The Resident (2018) s02e01 Episode Script
00:42:30
1 CONRAD: All we want to do is help our patients, but what they don't teach us in medical school is: there are so many ways to do harm.
Previously on The Resident - NIC: The surgery was canceled.
- They can't do that.
Yes, they can.
CONRAD: Is your pride really worth more than the life of a patient? Chief of Surgery.
Resident.
Try to remember that.
You don't have the right to play God, Conrad.
AUSTIN: There's always art balanced with science.
- CONRAD: You okay? - MINA: Just worried about him.
Fortunately, I happen to be Rembrandt.
I think Lane's overtreating her patients, including Lily.
We have to do something about Lane.
We're gonna find out what it is.
Together.
We need to have a physician running Chastain.
- The CEO will see you now.
- (EXHALES) (THUNDER RUMBLES) Guess who's on a break? - Me.
- (LAUGHING): Yeah, you and me.
Chastain can take care of itself right now.
Our downtime is finally synced up.
It has been a while.
Patients are fine, a quick page away, which is why I've taken it upon myself to acquire these beauties.
In the interest of time Our chief resident, Dr.
Benjamin, is at a medical convention in Denver.
These keys are to his office.
With a sofa and a locking door? A shower and a locking door.
(THUNDER RUMBLES) Buy yourself a dream How's it looking? Buy yourself a car - And a house to live in - (BOTH MOANING) - (NIC PANTING) - Get yourself a girl Someone different, buy yourself a dream (PAGER BEEPING) And it won't mean nothing Just leave it.
CONRAD: Damn it.
(PAGER CONTINUES BEEPING) Mine or yours? Mine.
(PAGER BEEPING) It all could be different Time to do something new I've given everything I want to be a happy man, too.
(THUNDER RUMBLING) Secret admirer? Someone's getting jealous? They're for you, but Phoebe in the flower shop does have eyes for me.
I may have flirted my way to a discount.
- Phoebe, huh? - Yeah.
Half Asian girl with High-pitched voice, drenched in perfume.
I know Phoebe, and I admire her work, but this was unnecessary.
Well, my perfectly stitched heart begs to differ.
Can you stay? I wish I could, but I have a case.
Newborn, sick heart the size of a walnut.
We have to reroute blood flow so she can get oxygen.
She's extremely high risk.
(CRYING) What are her odds? Part of Mabel's heart is underdeveloped.
The defect is more severe than we thought.
Without surgery, two days tops.
With surgery, she's got a real shot.
Yeah, a long shot.
Mr.
Thoms, your wife brought these beautiful twins into this world together.
It is my mission to reunite them in a few hours, and I am not in a losing mood.
Rarely am I.
(BABY CRYING) (SIGHS) I feel dizzy.
Hey, stay calm.
Okay? Just stay calm.
Stay cool.
Your pulse is ridiculously high.
Look at me.
We can't have you stroking out before I bring Mabel back to her brother Matt, you hear me? - Help is on the way.
- Yeah.
- Let's go.
- Okay.
NEWSWOMAN (ON TV): Today, a once-prominent Atlanta oncologist, Dr.
Lane Hunter, was arraigned on one charge of murder and 12 charges of insurance fraud and money laundering.
Dr.
Hunter is accused of fraud and murder.
She provided false medical information to cancer patients in order to charge them thousands of dollars in unnecessary chemotherapy.
Did you take a shower? Don't worry about it.
Where did you take a shower? Mr.
Thoms, Dr.
Hawkins, this is Dr.
Pravesh.
We met in the ER when my wife came in.
- How's she doing? - She's resting.
And I'm gonna head back down shortly again and check on her.
CONRAD: We stopped by to make sure you're feeling okay.
BP a little high? Have a seat.
(BABY CRYING) Any palpitations? My baby girl's in the OR, my baby boy won't stop crying, labor almost killed my wife.
Now she's in the ICU.
Yes.
Palpitations.
BP's 180/120.
Normal protocol would be to send you down to the ER for observation.
There's no way in hell I'm leaving my son.
CONRAD: Oh, we get it, but there's a rule against dads having heart attacks in the NICU.
Let us run some labs, get an EKG, start you on some blood pressure meds, make sure that doesn't happen.
What do you say? - Okay.
- Yeah? - JASON: Okay.
- All right.
Um, I want to check in on my wife.
(KNOCKING) (SIGHS) Dr.
Pravesh.
Melanie.
Welcome back.
You gave us quite a scare.
You lost a lot of blood during delivery.
How are you feeling? How are my babies? Mabel? As you know, Mabel has hypoplastic left heart syndrome.
Prenatal imaging can only tell us so much, so we didn't know the severity of her heart deformity - until she was born.
- Is she okay? I haven't even met her yet.
(WATER RUNNING) DEVON: Soon after birth, she was taken into surgery, but I assure you that she is in the best possible hands.
Dr.
Sharavino called and said you're having another flare? What's going on? Oh, fever, body aches, yeah, the usual.
Our mom also had lupus, which led to kidney failure, and then she died, so "the usual" can be fatal in our family.
Well, we'll be extra careful.
Any, um, sore throat, congestion? Peeing a lot, a little pain.
Okay, well, we'll definitely run your blood work, but if it's anything like your last three admissions, it'll be a UTI, so we'll get you started on doxycycline to make sure it doesn't turn into a kidney infection.
Oh, she has a mild allergy to To doxycycline.
An antihistamine should help head off the hives you got on your last visit.
Um, will a doctor be in soon or? I'll be back shortly.
Can you get off that thing for, like, a second? I would, but it's way more interesting than you are right now.
Run this blood work.
Thanks.
Hot, hot, hot, hot! (SIREN WAILING) (MACHINE BEEPING) NEWSWOMAN (ON TV): Legal experts note that if Dr.
Hunter were found guilty, she may face the death (THUNDER RUMBLING) (MONITOR BEEPING RAPIDLY) (ALARM SOUNDING) (THUNDER CRASHING) - (LOUD, INDISTINCT CHATTER) - WOMAN: We need some help! (BABY CRYING) Bypass.
(LOUD, DRONING BEEP) Scalpel.
Thank you.
Ready for this? And here we go.
(GENERATOR POWERING DOWN) (RAPID DINGING, BEEPING) (BABY CRYING) (THUNDER RUMBLING) Will Matt be okay? And Mabel? Is she-is she in surgery? Do they have power? Is she okay? What's happening with Mabel? Mabel's with the best surgeons I know.
Matt will be fine.
What about these other babies? Are they all right? It's gonna be fine.
Stay calm.
- I got this.
- (BABY CRYING) Stopped crying.
Why isn't he crying anymore? Get me an Ambu bag.
JASON: He could have died.
What is going on? CONRAD: The power went out.
Likely due to the storm.
Backup power kicked on now.
It's limited, but we got emergency lights and necessary equipment, so we're good to go.
- You okay? - Yeah, yeah.
All right.
(BABY CRYING) (SIGHS) Took too long for those generators to come on.
Yeah, that wasn't cool at all.
I'm gonna go to the basement, make sure everything's okay.
Until full power's restored, revert back to standard triage protocol.
Put the sickest together, get ready to evacuate if needed.
Find me if he has a heart attack.
NIC: All right, gather around.
We're operating on backup power now, so no computers, no digital charts, and the paper ones are buried in the basement, so so, write pertinent information on each patient.
Write clearly, write concisely, follow me.
5920 monitor urine output.
We need him peeing like a champ.
5921 alcohol withdrawal, taper diazepam.
5918 do not ask about the cats.
It gives him PTSD.
5917 check vitals every 30 minutes.
Come on, keep up.
Dr.
Bell, should we deploy emergency protocols A or B? Dr.
Bell.
Dr.
Bell, all computer systems are down.
Dr.
Bell, trauma is completely jammed.
Is that why you're not taking any patients in the ER? Do you have a better solution? Dr.
Bell, we're almost at capacity down there.
Dr.
Bell, ortho has a dozen scheduled cases.
Keep or cancel? Computer systems are down.
WHITLEY: Mr.
Bell, why is this happening? It's Dr.
Bell.
I recommend thinking before you speak.
If that's too much of a challenge, don't speak.
There's a massive storm outside.
The power grid is down.
There's a team working with the city to get it restored as soon as possible.
The fire department is on their way to help with emergency power, if needed.
Treat all current trauma patients, then shut it down.
ER stays open to capacity.
Let me know the second that happens.
Ortho hits pause.
Don't cancel a single surgery.
Slide 'em an hour.
When we're back up, start cutting.
All hands on deck.
Focus.
Communicate.
The hospital and our patients will be fine.
Decisions go through me.
Get back out there.
Albert, why are you still here? In regards to the trauma center, I think we can consider a better option.
Not unless you want a one-way ticket to Caracas as your last stop on the surgical train.
Leave.
AUSTIN: You know, policy dictates that we abandon surgery until full power is restored.
MINA: Closing now is a death sentence.
AUSTIN: No doubt.
But, legally, baby Mabel was simply a sad casualty of unfortunate circumstances.
What to do, what to do? Don't be dramatic.
You know what we're going to do.
Oh, look who put their big girl pants on today.
Okafor if we continue and Mabel doesn't survive coin toss at this point are you willing to lay your head next to mine as Bell lowers a steel blade to the back of our beautiful ebony necks? Gladly.
AUSTIN: Is there anyone here who is more concerned with their career than saving Mabel's life? Quick show of hands.
Nurse What's-Your-Name, set the timer for 40 minutes.
Yes, Doctor.
Dr.
AJ Austin's Lonely Heart Club Band plays on.
Backup power in the ICU isn't working right.
- I'm going to the basement.
- I was there.
It's not good.
Get back to the ICU.
Start triaging for evacuation.
- What's going on? - Just go.
We're stuck between floors.
I'm claustrophobic.
And you got in an elevator? Well, my bathmophobia is worse.
I don't know what that is.
It's the fear of stairs and and-and st-steep slopes.
Steep steep slopes.
Oh, my God, it's hot in here.
Seems Mother Nature has gifted us with some mood lighting tonight.
- The storm knocked out the power? - Yes.
And unfortunately has held up Dr.
Sharavino.
But not to worry.
I will be with you your entire stay.
Uh, is her lab work back yet or? Not until the power's back, but knowing Joplin's history, we have a good course of treatment.
No offense, but my sister needs to see a doctor, not a nurse.
Your sister needs an antibiotic to treat a UTI that is quickly becoming a kidney infection.
I diagnosed it, so I will treat it.
If I need to tag in an attending, I will do that.
Badass.
I like her.
You're also gonna have to stay the night for observation.
I sort of dropped out of college and have no future plans, so all good.
All right, well, here's your antibiotic, and I'll be back in a bit.
I didn't know nurses do all that.
I'm a nurse practitioner.
We do most things doctors do, just with better bedside manner.
AUSTIN: Storm's still a'ragin'.
I like storms.
It's Earth's way of venting.
Poltergeist.
They had some big-ass storms in that movie.
(CHUCKLES) Yeah, when that tree came alive and snatched that kid out of the bed, I was like, "Yo, Spielberg knows what's up.
" How much time do the generators give us? Could be four hours, could be two.
Hard to tell.
That's your estimate, isn't it? - For the backup generators? - Eh, give or take.
- Emphasis on "take.
" - How do you know that? I've never worked in a hospital that's done proper generator maintenance.
Now, maybe Chastain will surprise me.
- Where's your money? - 34 minutes.
(CHUCKLES) That isn't enough time for the first phase, and then you have to close - after we place the graft.
- Now you're being dramatic.
Trust.
If all goes well without one single hiccup, we will sail through this painfully intricate surgery by the skin of our teeth.
Suction.
Every moment we turn away or transfer patients, we hemorrhage money.
Atlanta General and Emory still fully functioning.
The storm hasn't affected them, so worst-case scenario Is happening now.
Dr.
Hawkins, this is a strategy session - for department heads only.
- Half the generators are down.
And the ICUs they don't have any backup power.
- How many patients on life support? - 36.
There are six empty beds in Neuro with backup power.
The others We don't start relocating them to a different hospital Yeah, I know.
They'll die.
Time to start an evacuation.
Ah, look at that.
Perfect fit.
I'll hold it steady, you start the proximal anastomosis.
- Without video assist? - Yep.
I-I can't get good visualization.
If I'm a millimeter off, that's a hiccup we can't afford.
That's why the sutures must be spaced closely together in the corners.
- This area here is prone to bleeding.
- I think I got it.
Of course you got it.
Now keep stitching.
We need to know what's happening out there.
Right now.
Dr.
Okafor, I need you to focus.
Nurse, grab the house phone.
Make a quick call.
An update on all things Chastain.
Specifically ICU room 3124, - Micah Stevens.
- That's not necessary.
We'll check on playboy, then we'll cross your worry for him off your to-do list.
I do not have a to-do list.
Liar, liar, scrubs on fire.
You have a list, you checked it twice, and now it's scratching the surface of your brain space.
- Stop it! - Hell no! Your inability to quell your concern for teacher man could distract you enough to make the slightest of mistakes.
Not on my watch, princess.
Are you waiting for the world to change or what? Make the call.
(DIALING) (PHONE RINGING) ICU.
Yeah, we're doing okay down here.
Micah? Yeah.
Tell Mina he's fine and he's staying.
I will.
Mina's in the OR.
She's fine.
- Good.
- MELANIE: No, no, no, no, no, no.
- Ms.
Thoms, no.
- Are you out of your mind? No, take your marker there and change this "go" to a "no way in hell.
" Melanie, calm down.
- Need a hand over there? - No, I got it covered.
Ma'am, this is in your best interest.
Her baby girl is in the OR.
I got to get 30 heads out of here.
She's one of them.
She's on oxygen.
I don't have a choice.
Pravesh, why don't you just let me handle Put her on portable oxygen.
Take Mr.
Sykes.
TBI after an MVC.
Barb coma for a week.
(CHUCKLES) Bell will lose his mind.
That barb coma has already billed a quarter mil.
Wow, Bolton, really? Bell freaks, it's on you.
Yeah, I'll take it.
Dr.
Pravesh and Hawkins are needed in the ER, 911.
I'll take care of Melanie.
Go.
Thank you.
Thank you.
- I need a tank.
- NURSE: Right away.
Yes, sir.
I understand.
Yes, I told him already.
Hold, please.
Eastside General has power and open beds.
There is no Eastside General.
There's Atlanta General and Eastside Medical.
Which is it? Just ask.
Oh, no, this is an incoming call.
It's Marshall Winthrop.
Return.
But he's the chairman of the board, and he's called three times.
You can inform Conrad Hawkins's dad I'm a little busy.
He can wait.
Indefinitely.
MAN: It's not the storm.
Our problem has nothing to do with the electric grid.
Chastain's under attack from cyber pirates.
Pirates? That can't be a thing.
Classic move from an organized foreign crime syndicate.
They paralyze an institution, cause disruption, ask for ransom.
- You don't have security in place? - Yes.
But it needs an upgrade, which I mentioned multiple times and the administration ignored.
The upgrade you proposed took us off-line for days.
We can't afford that kind of shutdown.
Well, now we're shut down anyway.
Ye How much will it cost and how long will it take for you to fix this? There's no way to tell.
The attack program that hacked in keeps replicating.
So if you want to get this done quickly, your best bet is to pay the ransom when the demand comes in.
Your professional IT advice is to wait and pay? Yes.
Good-bye.
What? - HUNDLEY: I'm sorry, you can't come in.
- Hundley.
- Talk to me.
- No We're at capacity.
PARAMEDIC: Eight-year-old.
Gunshot wound to the abdomen.
Hypotensive and tachy.
I'm afraid, man.
He's dying.
HUNDLEY: Dr.
Bell made the call.
We're closed to trauma.
Make room for one more.
You don't understand what's going on down here.
There are no working ORs, and this boy needs surgery.
We have no way to help him.
I don't think he makes it to another hospital alive.
CONRAD: Zero chance he makes it to another hospital alive, so we roll the dice here.
Audra! I need an airway.
Check his breathing, heart rate and BP.
Page Nolan.
Pagers aren't working.
- Conrad, we can't save him here.
- Just get me Nolan.
- Park him there.
- How'd you find him? Returning my rig, and I saw the kid laying on the sidewalk.
I was only a block away, man.
I didn't know you guys were closed.
It's my first week.
He's my first kid, man.
- Please, I can't lose him.
- You made the right call.
One, two, three.
I need a trauma surgeon now! There's blood entering his abdominal cavity.
No breath sounds on the left side.
- Where's Nolan? - We're getting him.
Thready pulse.
He's about to code.
Get me a sterile blade and a thoracotomy kit.
Right now this isn't your fault, but if you cut and he dies, it's on you.
Don't risk it.
10 blade.
Are we really doing this? (GRUNTS) His pulse is stronger.
Get Nolan down here now.
I need help stopping this bleeding.
- Oh, what the hell have you done? - CONRAD: Kid was dying.
- I had to cut.
- You never have to cut.
You're not a surgeon.
You don't make the decision to cut.
I decide that.
Let's say, as his doctor, I decided to save his life by any means necessary.
Feel free to help.
NOLAN: Begin the massive transfusion protocol.
Hang four units O-neg now.
- We have to get him up to an OR.
- NOLAN: No.
The generators are busted.
The entire OR is about to be pitch-black, so there's no OR to send him to.
Well, he's not stable enough to transport him to another hospital.
Do the surgery here in the ER.
No, no, no.
There's not enough room.
It's not sterile.
And, once again, it's about to be pitch-black.
I'm sorry, what's this? Where are you going? What is this, cut and run? Where you think you're going? To build you an OR.
There's no viable ORs.
You can't do the surgery here.
I'll build you an OR.
Did it all the time in the Helmand Province in Afghanistan.
You just keep that kid alive.
Come on.
Young boy Trying to rule the world, I see Well, golden But first you gotta listen to me I'll tell the truth I promise you This world may frown upon the things I have you do Oh, na, na One, two three.
Portable floodlights make a lot of heat - they'll melt the drapes.
- Good call.
Have them angle the rig toward the window.
'Cause the people going nowhere are the ones That are flexing, I'm not trying to be a preacher I was never a reverend, but I can take your to church And show you glimpses of heaven you better Run in some type of direction, 'cause the people Going nowhere are the ones that are flexing I'm not trying to be a preacher I was never a reverend Go.
Run Run from the devil CONRAD: All right.
All we need now is a patient.
You better run - Run from the devil.
-Give me four units of O-neg and a cooler on standby.
Time to head out.
If word gets out this is happening, it might not be good.
Head up to the ICU, they need you up there.
CHU: Pressure's stable.
100/60.
- Good.
We got a fighting chance.
- Depending on what we find inside this kid's abdomen.
Scalpel, please.
Why are all these patients moving? Uh, with an extended power outage, we have to move life support patients - to different facilities.
- Oh.
- Joplin need something? - No.
I, um, - I owe you an apology.
- Oh, don't worry about it.
No.
Earlier, I was rude.
I just Ever since our mom died, I feel such a responsibility to help Joplin be the best and the healthiest and and I am babbling, and you are very busy.
Um Just You are beyond capable, - and I'm really sorry.
- Hey, you were being protective of your little sister.
I get it.
And she's lucky to have you.
(SIGHS) We're not gonna make it, are we? You should take over stitching.
AUSTIN: No.
Yours are pretty perfect.
I'm only half done with the graft.
You're faster.
If that were true, I'd be doing them.
Perfusionist, get out the manual crank.
Wait, the power's running out? We'll have no lights, no suction, no perfusion.
Party people, it's time for you to get in touch with your not-so-secret love for the Sugarhill Gang.
Why? Because in less than eight minutes, we are not just going old school, we are going O.
G.
, baby.
IRVING: Calm breath out.
Imagine someplace peaceful.
A bubbling brook.
You're not helping.
What's your happy place? Happy.
Think happy.
Can I put my head in your lap? - Please.
- Sure.
(GRUNTS) Okay.
(EXHALES) (WHISPERS): Why me? - Okay.
- Okay.
- (SIGHS) - Yeah.
- Better.
- (CLEARS THROAT) Mm-hmm.
NOLAN: Looks like our bullet nicked his descending aorta and his spleen.
- CONRAD: Can you repair it? - NOLAN: Well, depends what I find in there.
BELL: So, just to clarify, am I firing all of you because an internist accepted a trauma patient after the hospital was closed to all ambulance traffic or because a doctor took it upon himself to cut a kid open with no working ORs? He wasn't gonna survive transport, so I made the call.
NOLAN: I'm the attending trauma surgeon on deck.
I made the decision to keep him and cut.
He had seconds to live.
At least now he's got a fighting chance.
But you had no faith in the first responders - to keep him alive.
- I've been a first responder at a war front, and his wounds are up there with any artillery damage I've seen.
He was bleeding out.
He had seconds.
It's like Niagara Falls in here.
The aortic damage makes it almost impossible to stop this bleeding.
Can you use an extra set of hands? CONRAD: Dr.
Bell, this is one life.
At the command center, you're saving many lives.
MAN: Dr.
Bell.
I-I'm sorry to interrupt, but this is urgent.
Well, spit it out.
It's not a foreign cyber crime ring.
The IP address that launched the malware came from inside Chastain.
Are you kidding me? This isn't the storm? - How long have you known? - Are you telling me we're being attacked by one of our own? That's exactly what I'm telling you.
NURSE: Hey, it's Mabel's dad.
I found him collapsed.
He's been vomiting.
He's weak, disoriented.
I treated him for severe hypertension earlier.
Jason, have you eaten? Okay.
With his high blood pressure from this morning, I'm afraid he's having a stroke.
We need to get him up to CT for imaging.
All right, I'll handle him here.
You run up to imaging, force your way to the front of the line, - and throw elbows if you have to.
- Okay, you know I will.
All right.
AUSTIN: All right.
You are going to be in position for a long time, - so I suggest you get your stretch on.
- MINA: 37 seconds and counting.
Nervous nurse, when you crank, you are this baby's heart.
You hear me? You are responsible for circulating oxygen-rich blood through all of her tiny organs, so feel the heart.
Be the heart.
Now say it with me.
Feel the heart.
Be the heart.
Louder, so I can believe you.
Feel the heart.
Be the heart.
- Better.
Not great.
- MINA: Ten seconds.
AUSTIN: All right, position for lights.
MINA: Seven, six, five, four, three Here we go.
(LIGHTS CLICKING ON) Be the heart.
Feel the heart.
Be the heart.
Feel the heart.
- Go for perfusion.
- Feel the heart.
Be the heart.
Feel the heart.
- Be the heart.
- Suction.
Feel the heart.
Be the heart.
Feel the heart.
Be the heart.
A hacker tried to get into our system before.
Almost released the worm a couple months ago.
It's hard to believe that one of us would do this.
- Is it, though? - (BANGING CONTINUES) Oh, God, what is that banging? Come on.
Come on.
Linda, need some help? I am sick of this crap.
My patient needs sedation.
All right.
There's a trick.
You know, when they brought these computers in, they said life would be easier.
My day got an hour longer and I get to spend even less time with my patients.
NIC: That works when there's power.
This works when there's no power.
You've done that before.
Yeah.
Hey, you know what? Smash all the computerized do-dads and gizmos.
I won't tell anybody.
Maybe we can actually start looking people in the eye again instead of staring at screens all the time.
Hey, I'm not bitter.
Yes, I am.
I mean, she's not wrong.
You think she knows how to write computer code? NIC: Definitely not.
You said the hackers tried to shut us down before.
Do we have dates? I mean, we can see who was working on those days and go from there.
No, no, no, no, no.
Don't tell me.
Dr.
Pravesh, no more power.
CTs are shut down until further notice.
- You got to be kidding me.
- Unless you got a generator - in your pocket.
- Oh, come on.
- Dr.
Wilson.
- Make it good, Pravesh.
Blood pressure's been 180/120 all day.
Weak, vomiting, abdominal pain.
Good enough? Good catch.
Could be a hemorrhagic stroke.
Get him over to Atlanta General ASAP for a CT to confirm.
I'll call ahead and have Neuro waiting.
Helipad.
Go.
Your wife and children are in good hands.
We got to get you checked out before things get worse, okay? Let's go.
Let's go, let's go, let's go.
Come on.
Wait, hold on.
NURSE: Oh, my God.
- Whoa.
What? - Get me a BP - and a blood sugar reading, please.
- Okay.
Squeeze my hands.
Squeeze them.
- We're ready to take off.
- I need just a second.
- Okay.
It's okay.
- Okay, smile for me Pupil's reactive.
If we don't go now while there's a break in the weather, we don't get out.
Blood sugar is 88.
BP 90/50.
His blood pressure is dropping.
He's not having a stroke.
- He's having an anaphylactic reaction.
- You sure? It really looked like a stroke.
It presented with GI symptoms, so I didn't catch it at first, - but I'm sure.
- So is he staying or going? He's staying.
- (GASPING) - Jason Jason, what are your allergies? Hey! Do you have an epi? Peanut butter, kale, honey, broccoli It's okay.
It's okay.
- (GASPS) - DEVON: Come on, come on.
(COUGHS) Mangos.
I'm allergic to mangos.
Second to last ingredient.
NURSE: Oh, my God.
Jason, you're gonna be okay.
All right.
Let's see what's going on.
Mmm, any good drugs? Can I get in on the fun? JOPLIN: There you go, sister.
Ready to relax and explore your humanity.
(CHUCKLES) NIC: Okay Hmm.
Is there something wrong? Joplin, where are the pills I gave you earlier? - In my belly.
- Try again, because you have an allergy to doxycycline, and I haven't given you an antihistamine yet.
And I'm seeing no hives, no reaction, so you clearly didn't take the pills.
Okay, Nancy Drew.
You're right, I flushed the antibiotics down the toilet.
What? I mean, if you're not gonna do what they say, why are we even at the hospital? Joplin, what are you doing on your phone in the middle of the night? Just, like, texting, Instagramming? Uh, no.
She writes code for different apps.
It-it doesn't pay much, but it's something.
What were you studying when you dropped out of college? Software engineering at MIT.
What's going on? JOPLIN: Better question is why I'm not at MIT anymore.
ANSWER: hospital bills so crippling, I had to drop out and she had to declare bankruptcy.
Are you faking symptoms to be here? Look, we want less hospital, not more why would she fake her symptoms? Because I think she hacked into our system to shut us down.
That's crazy.
Joplin This isn't the first time that someone's hacked into our computer.
The attacks started on July 4.
You were here then.
Is this true? Did you do this? - Why? Why would you do - Are you kidding me? Medical bills ruined us.
Chastain ruined us.
I can't get the job that I want without the degree from MIT.
We are making it work.
We are barely getting by.
You're working two jobs in order to make payments to Chastain for my bill.
And for what? So the hospital can get rich? Damn right I hacked into the billing department.
To get our lives back.
To wipe our slate clean.
Wait, the billing department? No, your cyber attack is responsible for this entire power outage.
That's not possible.
The code I created was only to wipe out billing.
Whatever you intended, it did a hell of a lot more than that.
You severed our connection to the grid.
You said that was the storm.
We were wrong.
Well, I-I messed up.
- It must've rep - People's lives are in danger because of you.
I I-I can try to fix it.
Let me try to fix it.
If she can fix this, do you have to tell anyone what happened? You saw the damage her virus caused.
Joplin's a good person who did something stupid.
Young people do dumb stuff.
I hear you, but right now let's just focus on getting the hospital back up and running again.
Look, I know I'm asking for too much, but so far, no one's gotten hurt, right? We are barely surviving as it is.
I honestly don't know how Please, I know this is bad Here.
Uh, i-it's a full backup of-of the hospital computers I made before I did what I should've never done.
A-All hackers make 'em, in case.
Give it to I.
T.
They'll know what to do.
I deserve whatever happens to me, but Rachel didn't know anything.
Make sure they know that.
And that I'm sorry.
I really am.
I'll pass that on.
(SOFTLY): God.
I'm sorry.
- Sorry - Don't I gave the drive to I.
T.
Power's being restored now.
But Bell doesn't need to know that yet.
No, we're gonna lie to help Joplin out.
I like that way you think.
I'm in.
We can get you the antidote to the malware.
The person is remorseful and asking for leniency before they hand it out.
Blackmail? Let's just call it negotiating.
Well, what are we talking about? A nurse demanding more mental health days? Some millennial intern's crusade for more acai bowls in the cafeteria? NIC: A patient whose life was destroyed by Chastain.
And a PR nightmare.
Don't need another one of those.
Chastain's computers were vulnerable.
- Our generators weren't up to code.
- Not my fault.
- Press won't see it that way.
- Patients' lives were in jeopardy.
It's unlikely they'll put the blame on Charles the I.
T.
guy.
What is it with you two? Sticking your necks out for some patient you just met a few hours ago.
Seriously? Chastain shined during a crippling power outage likely caused - by - (SIGHS) bad weather.
NIC: And a young patient's life isn't completely ruined.
That's a win-win.
Well, nice try, but hacking into a hospital database, cutting off its power, endangering countless lives I need a name.
We're not asking for anonymity.
We're just asking for leniency.
Well handling this quickly and quietly is in everyone's best interest.
So, deal? Yeah.
AUSTIN: Wait for it.
Wait for it Ah.
And then there was light, and he saw that it was good.
(FILTERED BREATHING) NOLAN: We saved that kid's life.
He's gonna make it, by the way.
You sure you're gonna make it? That improv surgery is the craziest thing I've ever done in my life.
I mean, I don't know whether to thank you or to punch you.
(CHUCKLES) Hey, I carried a fully-grown man up three flights of stairs today.
And you're telling me this why? Because I broke a sweat and you know where there's a secret shower.
(SMACKS LIPS, GRUNTS) Dr.
Benjamin's office.
You earned these today.
But you didn't get 'em from me.
You have my word.
You do know Benjamin is back in the office now? Good.
(QUIETLY): Uh, what happened in the elevator stays in the elevator.
(CHUCKLES) Not something I'd want to advertise.
Right.
(CRYING) DEVON: Looks good.
Make sure he takes it easy for the next few days.
Not sure that's how this new-dad thing works.
I've got my eye on him.
I'll keep him in line.
Uh, thank you, Dr.
Pravesh.
We can't can't thank you enough.
Mr.
and Mrs.
Thoms, someone here is excited to see you.
MINA: Your daughter's a warrior.
AUSTIN: We repaired her heart, and it's even stronger than we expected.
(MATT CRYING) MINA: How long has he been crying? Since they took Mabel for surgery.
Nothing we've tried has calmed him.
I have an idea.
Until today, these babies shared a womb.
They don't know an existence without the touch of the other.
And then they were thrust into a huge, cold world, alone.
(CRYING) They missed each other.
Everything's gonna be A-OK.
(CRYING) I don't think it's working.
- Give it a moment.
- You are my sunshine My only sunshine You make me happy When skies are gray You'll never know, dear How much I love you Please don't take My sunshine away The other night, dear As I lay sleeping How's the baby? Resting comfortably.
How are you? When I awoke, dear Feels like I'm never getting out of here.
I was mistaken So I hung my head And I cried.
You're fired.
What? - I just saved your neck.
- You risked.
I saved.
Get out.
First thing tomorrow, we need to You're wholly incompetent.
- Meaning? - You're fired.
Talk to HR about severance.
(SIGHS) MAN (OVER P.
A.
): Any available resident to ICU 3.
Dr.
Bell.
You wanted to see me? Great save today.
Thank you.
You know, it's days like this that make Just cut the crap and tell me exactly what happened in the ER.
Who was there? Who made the first cut, you or Conrad Hawkins? CONRAD: My place? I don't know.
I'm so tired.
Oh, we'll be sleeping like babies before you know it.
That sounds amazing.
Previously on The Resident - NIC: The surgery was canceled.
- They can't do that.
Yes, they can.
CONRAD: Is your pride really worth more than the life of a patient? Chief of Surgery.
Resident.
Try to remember that.
You don't have the right to play God, Conrad.
AUSTIN: There's always art balanced with science.
- CONRAD: You okay? - MINA: Just worried about him.
Fortunately, I happen to be Rembrandt.
I think Lane's overtreating her patients, including Lily.
We have to do something about Lane.
We're gonna find out what it is.
Together.
We need to have a physician running Chastain.
- The CEO will see you now.
- (EXHALES) (THUNDER RUMBLES) Guess who's on a break? - Me.
- (LAUGHING): Yeah, you and me.
Chastain can take care of itself right now.
Our downtime is finally synced up.
It has been a while.
Patients are fine, a quick page away, which is why I've taken it upon myself to acquire these beauties.
In the interest of time Our chief resident, Dr.
Benjamin, is at a medical convention in Denver.
These keys are to his office.
With a sofa and a locking door? A shower and a locking door.
(THUNDER RUMBLES) Buy yourself a dream How's it looking? Buy yourself a car - And a house to live in - (BOTH MOANING) - (NIC PANTING) - Get yourself a girl Someone different, buy yourself a dream (PAGER BEEPING) And it won't mean nothing Just leave it.
CONRAD: Damn it.
(PAGER CONTINUES BEEPING) Mine or yours? Mine.
(PAGER BEEPING) It all could be different Time to do something new I've given everything I want to be a happy man, too.
(THUNDER RUMBLING) Secret admirer? Someone's getting jealous? They're for you, but Phoebe in the flower shop does have eyes for me.
I may have flirted my way to a discount.
- Phoebe, huh? - Yeah.
Half Asian girl with High-pitched voice, drenched in perfume.
I know Phoebe, and I admire her work, but this was unnecessary.
Well, my perfectly stitched heart begs to differ.
Can you stay? I wish I could, but I have a case.
Newborn, sick heart the size of a walnut.
We have to reroute blood flow so she can get oxygen.
She's extremely high risk.
(CRYING) What are her odds? Part of Mabel's heart is underdeveloped.
The defect is more severe than we thought.
Without surgery, two days tops.
With surgery, she's got a real shot.
Yeah, a long shot.
Mr.
Thoms, your wife brought these beautiful twins into this world together.
It is my mission to reunite them in a few hours, and I am not in a losing mood.
Rarely am I.
(BABY CRYING) (SIGHS) I feel dizzy.
Hey, stay calm.
Okay? Just stay calm.
Stay cool.
Your pulse is ridiculously high.
Look at me.
We can't have you stroking out before I bring Mabel back to her brother Matt, you hear me? - Help is on the way.
- Yeah.
- Let's go.
- Okay.
NEWSWOMAN (ON TV): Today, a once-prominent Atlanta oncologist, Dr.
Lane Hunter, was arraigned on one charge of murder and 12 charges of insurance fraud and money laundering.
Dr.
Hunter is accused of fraud and murder.
She provided false medical information to cancer patients in order to charge them thousands of dollars in unnecessary chemotherapy.
Did you take a shower? Don't worry about it.
Where did you take a shower? Mr.
Thoms, Dr.
Hawkins, this is Dr.
Pravesh.
We met in the ER when my wife came in.
- How's she doing? - She's resting.
And I'm gonna head back down shortly again and check on her.
CONRAD: We stopped by to make sure you're feeling okay.
BP a little high? Have a seat.
(BABY CRYING) Any palpitations? My baby girl's in the OR, my baby boy won't stop crying, labor almost killed my wife.
Now she's in the ICU.
Yes.
Palpitations.
BP's 180/120.
Normal protocol would be to send you down to the ER for observation.
There's no way in hell I'm leaving my son.
CONRAD: Oh, we get it, but there's a rule against dads having heart attacks in the NICU.
Let us run some labs, get an EKG, start you on some blood pressure meds, make sure that doesn't happen.
What do you say? - Okay.
- Yeah? - JASON: Okay.
- All right.
Um, I want to check in on my wife.
(KNOCKING) (SIGHS) Dr.
Pravesh.
Melanie.
Welcome back.
You gave us quite a scare.
You lost a lot of blood during delivery.
How are you feeling? How are my babies? Mabel? As you know, Mabel has hypoplastic left heart syndrome.
Prenatal imaging can only tell us so much, so we didn't know the severity of her heart deformity - until she was born.
- Is she okay? I haven't even met her yet.
(WATER RUNNING) DEVON: Soon after birth, she was taken into surgery, but I assure you that she is in the best possible hands.
Dr.
Sharavino called and said you're having another flare? What's going on? Oh, fever, body aches, yeah, the usual.
Our mom also had lupus, which led to kidney failure, and then she died, so "the usual" can be fatal in our family.
Well, we'll be extra careful.
Any, um, sore throat, congestion? Peeing a lot, a little pain.
Okay, well, we'll definitely run your blood work, but if it's anything like your last three admissions, it'll be a UTI, so we'll get you started on doxycycline to make sure it doesn't turn into a kidney infection.
Oh, she has a mild allergy to To doxycycline.
An antihistamine should help head off the hives you got on your last visit.
Um, will a doctor be in soon or? I'll be back shortly.
Can you get off that thing for, like, a second? I would, but it's way more interesting than you are right now.
Run this blood work.
Thanks.
Hot, hot, hot, hot! (SIREN WAILING) (MACHINE BEEPING) NEWSWOMAN (ON TV): Legal experts note that if Dr.
Hunter were found guilty, she may face the death (THUNDER RUMBLING) (MONITOR BEEPING RAPIDLY) (ALARM SOUNDING) (THUNDER CRASHING) - (LOUD, INDISTINCT CHATTER) - WOMAN: We need some help! (BABY CRYING) Bypass.
(LOUD, DRONING BEEP) Scalpel.
Thank you.
Ready for this? And here we go.
(GENERATOR POWERING DOWN) (RAPID DINGING, BEEPING) (BABY CRYING) (THUNDER RUMBLING) Will Matt be okay? And Mabel? Is she-is she in surgery? Do they have power? Is she okay? What's happening with Mabel? Mabel's with the best surgeons I know.
Matt will be fine.
What about these other babies? Are they all right? It's gonna be fine.
Stay calm.
- I got this.
- (BABY CRYING) Stopped crying.
Why isn't he crying anymore? Get me an Ambu bag.
JASON: He could have died.
What is going on? CONRAD: The power went out.
Likely due to the storm.
Backup power kicked on now.
It's limited, but we got emergency lights and necessary equipment, so we're good to go.
- You okay? - Yeah, yeah.
All right.
(BABY CRYING) (SIGHS) Took too long for those generators to come on.
Yeah, that wasn't cool at all.
I'm gonna go to the basement, make sure everything's okay.
Until full power's restored, revert back to standard triage protocol.
Put the sickest together, get ready to evacuate if needed.
Find me if he has a heart attack.
NIC: All right, gather around.
We're operating on backup power now, so no computers, no digital charts, and the paper ones are buried in the basement, so so, write pertinent information on each patient.
Write clearly, write concisely, follow me.
5920 monitor urine output.
We need him peeing like a champ.
5921 alcohol withdrawal, taper diazepam.
5918 do not ask about the cats.
It gives him PTSD.
5917 check vitals every 30 minutes.
Come on, keep up.
Dr.
Bell, should we deploy emergency protocols A or B? Dr.
Bell.
Dr.
Bell, all computer systems are down.
Dr.
Bell, trauma is completely jammed.
Is that why you're not taking any patients in the ER? Do you have a better solution? Dr.
Bell, we're almost at capacity down there.
Dr.
Bell, ortho has a dozen scheduled cases.
Keep or cancel? Computer systems are down.
WHITLEY: Mr.
Bell, why is this happening? It's Dr.
Bell.
I recommend thinking before you speak.
If that's too much of a challenge, don't speak.
There's a massive storm outside.
The power grid is down.
There's a team working with the city to get it restored as soon as possible.
The fire department is on their way to help with emergency power, if needed.
Treat all current trauma patients, then shut it down.
ER stays open to capacity.
Let me know the second that happens.
Ortho hits pause.
Don't cancel a single surgery.
Slide 'em an hour.
When we're back up, start cutting.
All hands on deck.
Focus.
Communicate.
The hospital and our patients will be fine.
Decisions go through me.
Get back out there.
Albert, why are you still here? In regards to the trauma center, I think we can consider a better option.
Not unless you want a one-way ticket to Caracas as your last stop on the surgical train.
Leave.
AUSTIN: You know, policy dictates that we abandon surgery until full power is restored.
MINA: Closing now is a death sentence.
AUSTIN: No doubt.
But, legally, baby Mabel was simply a sad casualty of unfortunate circumstances.
What to do, what to do? Don't be dramatic.
You know what we're going to do.
Oh, look who put their big girl pants on today.
Okafor if we continue and Mabel doesn't survive coin toss at this point are you willing to lay your head next to mine as Bell lowers a steel blade to the back of our beautiful ebony necks? Gladly.
AUSTIN: Is there anyone here who is more concerned with their career than saving Mabel's life? Quick show of hands.
Nurse What's-Your-Name, set the timer for 40 minutes.
Yes, Doctor.
Dr.
AJ Austin's Lonely Heart Club Band plays on.
Backup power in the ICU isn't working right.
- I'm going to the basement.
- I was there.
It's not good.
Get back to the ICU.
Start triaging for evacuation.
- What's going on? - Just go.
We're stuck between floors.
I'm claustrophobic.
And you got in an elevator? Well, my bathmophobia is worse.
I don't know what that is.
It's the fear of stairs and and-and st-steep slopes.
Steep steep slopes.
Oh, my God, it's hot in here.
Seems Mother Nature has gifted us with some mood lighting tonight.
- The storm knocked out the power? - Yes.
And unfortunately has held up Dr.
Sharavino.
But not to worry.
I will be with you your entire stay.
Uh, is her lab work back yet or? Not until the power's back, but knowing Joplin's history, we have a good course of treatment.
No offense, but my sister needs to see a doctor, not a nurse.
Your sister needs an antibiotic to treat a UTI that is quickly becoming a kidney infection.
I diagnosed it, so I will treat it.
If I need to tag in an attending, I will do that.
Badass.
I like her.
You're also gonna have to stay the night for observation.
I sort of dropped out of college and have no future plans, so all good.
All right, well, here's your antibiotic, and I'll be back in a bit.
I didn't know nurses do all that.
I'm a nurse practitioner.
We do most things doctors do, just with better bedside manner.
AUSTIN: Storm's still a'ragin'.
I like storms.
It's Earth's way of venting.
Poltergeist.
They had some big-ass storms in that movie.
(CHUCKLES) Yeah, when that tree came alive and snatched that kid out of the bed, I was like, "Yo, Spielberg knows what's up.
" How much time do the generators give us? Could be four hours, could be two.
Hard to tell.
That's your estimate, isn't it? - For the backup generators? - Eh, give or take.
- Emphasis on "take.
" - How do you know that? I've never worked in a hospital that's done proper generator maintenance.
Now, maybe Chastain will surprise me.
- Where's your money? - 34 minutes.
(CHUCKLES) That isn't enough time for the first phase, and then you have to close - after we place the graft.
- Now you're being dramatic.
Trust.
If all goes well without one single hiccup, we will sail through this painfully intricate surgery by the skin of our teeth.
Suction.
Every moment we turn away or transfer patients, we hemorrhage money.
Atlanta General and Emory still fully functioning.
The storm hasn't affected them, so worst-case scenario Is happening now.
Dr.
Hawkins, this is a strategy session - for department heads only.
- Half the generators are down.
And the ICUs they don't have any backup power.
- How many patients on life support? - 36.
There are six empty beds in Neuro with backup power.
The others We don't start relocating them to a different hospital Yeah, I know.
They'll die.
Time to start an evacuation.
Ah, look at that.
Perfect fit.
I'll hold it steady, you start the proximal anastomosis.
- Without video assist? - Yep.
I-I can't get good visualization.
If I'm a millimeter off, that's a hiccup we can't afford.
That's why the sutures must be spaced closely together in the corners.
- This area here is prone to bleeding.
- I think I got it.
Of course you got it.
Now keep stitching.
We need to know what's happening out there.
Right now.
Dr.
Okafor, I need you to focus.
Nurse, grab the house phone.
Make a quick call.
An update on all things Chastain.
Specifically ICU room 3124, - Micah Stevens.
- That's not necessary.
We'll check on playboy, then we'll cross your worry for him off your to-do list.
I do not have a to-do list.
Liar, liar, scrubs on fire.
You have a list, you checked it twice, and now it's scratching the surface of your brain space.
- Stop it! - Hell no! Your inability to quell your concern for teacher man could distract you enough to make the slightest of mistakes.
Not on my watch, princess.
Are you waiting for the world to change or what? Make the call.
(DIALING) (PHONE RINGING) ICU.
Yeah, we're doing okay down here.
Micah? Yeah.
Tell Mina he's fine and he's staying.
I will.
Mina's in the OR.
She's fine.
- Good.
- MELANIE: No, no, no, no, no, no.
- Ms.
Thoms, no.
- Are you out of your mind? No, take your marker there and change this "go" to a "no way in hell.
" Melanie, calm down.
- Need a hand over there? - No, I got it covered.
Ma'am, this is in your best interest.
Her baby girl is in the OR.
I got to get 30 heads out of here.
She's one of them.
She's on oxygen.
I don't have a choice.
Pravesh, why don't you just let me handle Put her on portable oxygen.
Take Mr.
Sykes.
TBI after an MVC.
Barb coma for a week.
(CHUCKLES) Bell will lose his mind.
That barb coma has already billed a quarter mil.
Wow, Bolton, really? Bell freaks, it's on you.
Yeah, I'll take it.
Dr.
Pravesh and Hawkins are needed in the ER, 911.
I'll take care of Melanie.
Go.
Thank you.
Thank you.
- I need a tank.
- NURSE: Right away.
Yes, sir.
I understand.
Yes, I told him already.
Hold, please.
Eastside General has power and open beds.
There is no Eastside General.
There's Atlanta General and Eastside Medical.
Which is it? Just ask.
Oh, no, this is an incoming call.
It's Marshall Winthrop.
Return.
But he's the chairman of the board, and he's called three times.
You can inform Conrad Hawkins's dad I'm a little busy.
He can wait.
Indefinitely.
MAN: It's not the storm.
Our problem has nothing to do with the electric grid.
Chastain's under attack from cyber pirates.
Pirates? That can't be a thing.
Classic move from an organized foreign crime syndicate.
They paralyze an institution, cause disruption, ask for ransom.
- You don't have security in place? - Yes.
But it needs an upgrade, which I mentioned multiple times and the administration ignored.
The upgrade you proposed took us off-line for days.
We can't afford that kind of shutdown.
Well, now we're shut down anyway.
Ye How much will it cost and how long will it take for you to fix this? There's no way to tell.
The attack program that hacked in keeps replicating.
So if you want to get this done quickly, your best bet is to pay the ransom when the demand comes in.
Your professional IT advice is to wait and pay? Yes.
Good-bye.
What? - HUNDLEY: I'm sorry, you can't come in.
- Hundley.
- Talk to me.
- No We're at capacity.
PARAMEDIC: Eight-year-old.
Gunshot wound to the abdomen.
Hypotensive and tachy.
I'm afraid, man.
He's dying.
HUNDLEY: Dr.
Bell made the call.
We're closed to trauma.
Make room for one more.
You don't understand what's going on down here.
There are no working ORs, and this boy needs surgery.
We have no way to help him.
I don't think he makes it to another hospital alive.
CONRAD: Zero chance he makes it to another hospital alive, so we roll the dice here.
Audra! I need an airway.
Check his breathing, heart rate and BP.
Page Nolan.
Pagers aren't working.
- Conrad, we can't save him here.
- Just get me Nolan.
- Park him there.
- How'd you find him? Returning my rig, and I saw the kid laying on the sidewalk.
I was only a block away, man.
I didn't know you guys were closed.
It's my first week.
He's my first kid, man.
- Please, I can't lose him.
- You made the right call.
One, two, three.
I need a trauma surgeon now! There's blood entering his abdominal cavity.
No breath sounds on the left side.
- Where's Nolan? - We're getting him.
Thready pulse.
He's about to code.
Get me a sterile blade and a thoracotomy kit.
Right now this isn't your fault, but if you cut and he dies, it's on you.
Don't risk it.
10 blade.
Are we really doing this? (GRUNTS) His pulse is stronger.
Get Nolan down here now.
I need help stopping this bleeding.
- Oh, what the hell have you done? - CONRAD: Kid was dying.
- I had to cut.
- You never have to cut.
You're not a surgeon.
You don't make the decision to cut.
I decide that.
Let's say, as his doctor, I decided to save his life by any means necessary.
Feel free to help.
NOLAN: Begin the massive transfusion protocol.
Hang four units O-neg now.
- We have to get him up to an OR.
- NOLAN: No.
The generators are busted.
The entire OR is about to be pitch-black, so there's no OR to send him to.
Well, he's not stable enough to transport him to another hospital.
Do the surgery here in the ER.
No, no, no.
There's not enough room.
It's not sterile.
And, once again, it's about to be pitch-black.
I'm sorry, what's this? Where are you going? What is this, cut and run? Where you think you're going? To build you an OR.
There's no viable ORs.
You can't do the surgery here.
I'll build you an OR.
Did it all the time in the Helmand Province in Afghanistan.
You just keep that kid alive.
Come on.
Young boy Trying to rule the world, I see Well, golden But first you gotta listen to me I'll tell the truth I promise you This world may frown upon the things I have you do Oh, na, na One, two three.
Portable floodlights make a lot of heat - they'll melt the drapes.
- Good call.
Have them angle the rig toward the window.
'Cause the people going nowhere are the ones That are flexing, I'm not trying to be a preacher I was never a reverend, but I can take your to church And show you glimpses of heaven you better Run in some type of direction, 'cause the people Going nowhere are the ones that are flexing I'm not trying to be a preacher I was never a reverend Go.
Run Run from the devil CONRAD: All right.
All we need now is a patient.
You better run - Run from the devil.
-Give me four units of O-neg and a cooler on standby.
Time to head out.
If word gets out this is happening, it might not be good.
Head up to the ICU, they need you up there.
CHU: Pressure's stable.
100/60.
- Good.
We got a fighting chance.
- Depending on what we find inside this kid's abdomen.
Scalpel, please.
Why are all these patients moving? Uh, with an extended power outage, we have to move life support patients - to different facilities.
- Oh.
- Joplin need something? - No.
I, um, - I owe you an apology.
- Oh, don't worry about it.
No.
Earlier, I was rude.
I just Ever since our mom died, I feel such a responsibility to help Joplin be the best and the healthiest and and I am babbling, and you are very busy.
Um Just You are beyond capable, - and I'm really sorry.
- Hey, you were being protective of your little sister.
I get it.
And she's lucky to have you.
(SIGHS) We're not gonna make it, are we? You should take over stitching.
AUSTIN: No.
Yours are pretty perfect.
I'm only half done with the graft.
You're faster.
If that were true, I'd be doing them.
Perfusionist, get out the manual crank.
Wait, the power's running out? We'll have no lights, no suction, no perfusion.
Party people, it's time for you to get in touch with your not-so-secret love for the Sugarhill Gang.
Why? Because in less than eight minutes, we are not just going old school, we are going O.
G.
, baby.
IRVING: Calm breath out.
Imagine someplace peaceful.
A bubbling brook.
You're not helping.
What's your happy place? Happy.
Think happy.
Can I put my head in your lap? - Please.
- Sure.
(GRUNTS) Okay.
(EXHALES) (WHISPERS): Why me? - Okay.
- Okay.
- (SIGHS) - Yeah.
- Better.
- (CLEARS THROAT) Mm-hmm.
NOLAN: Looks like our bullet nicked his descending aorta and his spleen.
- CONRAD: Can you repair it? - NOLAN: Well, depends what I find in there.
BELL: So, just to clarify, am I firing all of you because an internist accepted a trauma patient after the hospital was closed to all ambulance traffic or because a doctor took it upon himself to cut a kid open with no working ORs? He wasn't gonna survive transport, so I made the call.
NOLAN: I'm the attending trauma surgeon on deck.
I made the decision to keep him and cut.
He had seconds to live.
At least now he's got a fighting chance.
But you had no faith in the first responders - to keep him alive.
- I've been a first responder at a war front, and his wounds are up there with any artillery damage I've seen.
He was bleeding out.
He had seconds.
It's like Niagara Falls in here.
The aortic damage makes it almost impossible to stop this bleeding.
Can you use an extra set of hands? CONRAD: Dr.
Bell, this is one life.
At the command center, you're saving many lives.
MAN: Dr.
Bell.
I-I'm sorry to interrupt, but this is urgent.
Well, spit it out.
It's not a foreign cyber crime ring.
The IP address that launched the malware came from inside Chastain.
Are you kidding me? This isn't the storm? - How long have you known? - Are you telling me we're being attacked by one of our own? That's exactly what I'm telling you.
NURSE: Hey, it's Mabel's dad.
I found him collapsed.
He's been vomiting.
He's weak, disoriented.
I treated him for severe hypertension earlier.
Jason, have you eaten? Okay.
With his high blood pressure from this morning, I'm afraid he's having a stroke.
We need to get him up to CT for imaging.
All right, I'll handle him here.
You run up to imaging, force your way to the front of the line, - and throw elbows if you have to.
- Okay, you know I will.
All right.
AUSTIN: All right.
You are going to be in position for a long time, - so I suggest you get your stretch on.
- MINA: 37 seconds and counting.
Nervous nurse, when you crank, you are this baby's heart.
You hear me? You are responsible for circulating oxygen-rich blood through all of her tiny organs, so feel the heart.
Be the heart.
Now say it with me.
Feel the heart.
Be the heart.
Louder, so I can believe you.
Feel the heart.
Be the heart.
- Better.
Not great.
- MINA: Ten seconds.
AUSTIN: All right, position for lights.
MINA: Seven, six, five, four, three Here we go.
(LIGHTS CLICKING ON) Be the heart.
Feel the heart.
Be the heart.
Feel the heart.
- Go for perfusion.
- Feel the heart.
Be the heart.
Feel the heart.
- Be the heart.
- Suction.
Feel the heart.
Be the heart.
Feel the heart.
Be the heart.
A hacker tried to get into our system before.
Almost released the worm a couple months ago.
It's hard to believe that one of us would do this.
- Is it, though? - (BANGING CONTINUES) Oh, God, what is that banging? Come on.
Come on.
Linda, need some help? I am sick of this crap.
My patient needs sedation.
All right.
There's a trick.
You know, when they brought these computers in, they said life would be easier.
My day got an hour longer and I get to spend even less time with my patients.
NIC: That works when there's power.
This works when there's no power.
You've done that before.
Yeah.
Hey, you know what? Smash all the computerized do-dads and gizmos.
I won't tell anybody.
Maybe we can actually start looking people in the eye again instead of staring at screens all the time.
Hey, I'm not bitter.
Yes, I am.
I mean, she's not wrong.
You think she knows how to write computer code? NIC: Definitely not.
You said the hackers tried to shut us down before.
Do we have dates? I mean, we can see who was working on those days and go from there.
No, no, no, no, no.
Don't tell me.
Dr.
Pravesh, no more power.
CTs are shut down until further notice.
- You got to be kidding me.
- Unless you got a generator - in your pocket.
- Oh, come on.
- Dr.
Wilson.
- Make it good, Pravesh.
Blood pressure's been 180/120 all day.
Weak, vomiting, abdominal pain.
Good enough? Good catch.
Could be a hemorrhagic stroke.
Get him over to Atlanta General ASAP for a CT to confirm.
I'll call ahead and have Neuro waiting.
Helipad.
Go.
Your wife and children are in good hands.
We got to get you checked out before things get worse, okay? Let's go.
Let's go, let's go, let's go.
Come on.
Wait, hold on.
NURSE: Oh, my God.
- Whoa.
What? - Get me a BP - and a blood sugar reading, please.
- Okay.
Squeeze my hands.
Squeeze them.
- We're ready to take off.
- I need just a second.
- Okay.
It's okay.
- Okay, smile for me Pupil's reactive.
If we don't go now while there's a break in the weather, we don't get out.
Blood sugar is 88.
BP 90/50.
His blood pressure is dropping.
He's not having a stroke.
- He's having an anaphylactic reaction.
- You sure? It really looked like a stroke.
It presented with GI symptoms, so I didn't catch it at first, - but I'm sure.
- So is he staying or going? He's staying.
- (GASPING) - Jason Jason, what are your allergies? Hey! Do you have an epi? Peanut butter, kale, honey, broccoli It's okay.
It's okay.
- (GASPS) - DEVON: Come on, come on.
(COUGHS) Mangos.
I'm allergic to mangos.
Second to last ingredient.
NURSE: Oh, my God.
Jason, you're gonna be okay.
All right.
Let's see what's going on.
Mmm, any good drugs? Can I get in on the fun? JOPLIN: There you go, sister.
Ready to relax and explore your humanity.
(CHUCKLES) NIC: Okay Hmm.
Is there something wrong? Joplin, where are the pills I gave you earlier? - In my belly.
- Try again, because you have an allergy to doxycycline, and I haven't given you an antihistamine yet.
And I'm seeing no hives, no reaction, so you clearly didn't take the pills.
Okay, Nancy Drew.
You're right, I flushed the antibiotics down the toilet.
What? I mean, if you're not gonna do what they say, why are we even at the hospital? Joplin, what are you doing on your phone in the middle of the night? Just, like, texting, Instagramming? Uh, no.
She writes code for different apps.
It-it doesn't pay much, but it's something.
What were you studying when you dropped out of college? Software engineering at MIT.
What's going on? JOPLIN: Better question is why I'm not at MIT anymore.
ANSWER: hospital bills so crippling, I had to drop out and she had to declare bankruptcy.
Are you faking symptoms to be here? Look, we want less hospital, not more why would she fake her symptoms? Because I think she hacked into our system to shut us down.
That's crazy.
Joplin This isn't the first time that someone's hacked into our computer.
The attacks started on July 4.
You were here then.
Is this true? Did you do this? - Why? Why would you do - Are you kidding me? Medical bills ruined us.
Chastain ruined us.
I can't get the job that I want without the degree from MIT.
We are making it work.
We are barely getting by.
You're working two jobs in order to make payments to Chastain for my bill.
And for what? So the hospital can get rich? Damn right I hacked into the billing department.
To get our lives back.
To wipe our slate clean.
Wait, the billing department? No, your cyber attack is responsible for this entire power outage.
That's not possible.
The code I created was only to wipe out billing.
Whatever you intended, it did a hell of a lot more than that.
You severed our connection to the grid.
You said that was the storm.
We were wrong.
Well, I-I messed up.
- It must've rep - People's lives are in danger because of you.
I I-I can try to fix it.
Let me try to fix it.
If she can fix this, do you have to tell anyone what happened? You saw the damage her virus caused.
Joplin's a good person who did something stupid.
Young people do dumb stuff.
I hear you, but right now let's just focus on getting the hospital back up and running again.
Look, I know I'm asking for too much, but so far, no one's gotten hurt, right? We are barely surviving as it is.
I honestly don't know how Please, I know this is bad Here.
Uh, i-it's a full backup of-of the hospital computers I made before I did what I should've never done.
A-All hackers make 'em, in case.
Give it to I.
T.
They'll know what to do.
I deserve whatever happens to me, but Rachel didn't know anything.
Make sure they know that.
And that I'm sorry.
I really am.
I'll pass that on.
(SOFTLY): God.
I'm sorry.
- Sorry - Don't I gave the drive to I.
T.
Power's being restored now.
But Bell doesn't need to know that yet.
No, we're gonna lie to help Joplin out.
I like that way you think.
I'm in.
We can get you the antidote to the malware.
The person is remorseful and asking for leniency before they hand it out.
Blackmail? Let's just call it negotiating.
Well, what are we talking about? A nurse demanding more mental health days? Some millennial intern's crusade for more acai bowls in the cafeteria? NIC: A patient whose life was destroyed by Chastain.
And a PR nightmare.
Don't need another one of those.
Chastain's computers were vulnerable.
- Our generators weren't up to code.
- Not my fault.
- Press won't see it that way.
- Patients' lives were in jeopardy.
It's unlikely they'll put the blame on Charles the I.
T.
guy.
What is it with you two? Sticking your necks out for some patient you just met a few hours ago.
Seriously? Chastain shined during a crippling power outage likely caused - by - (SIGHS) bad weather.
NIC: And a young patient's life isn't completely ruined.
That's a win-win.
Well, nice try, but hacking into a hospital database, cutting off its power, endangering countless lives I need a name.
We're not asking for anonymity.
We're just asking for leniency.
Well handling this quickly and quietly is in everyone's best interest.
So, deal? Yeah.
AUSTIN: Wait for it.
Wait for it Ah.
And then there was light, and he saw that it was good.
(FILTERED BREATHING) NOLAN: We saved that kid's life.
He's gonna make it, by the way.
You sure you're gonna make it? That improv surgery is the craziest thing I've ever done in my life.
I mean, I don't know whether to thank you or to punch you.
(CHUCKLES) Hey, I carried a fully-grown man up three flights of stairs today.
And you're telling me this why? Because I broke a sweat and you know where there's a secret shower.
(SMACKS LIPS, GRUNTS) Dr.
Benjamin's office.
You earned these today.
But you didn't get 'em from me.
You have my word.
You do know Benjamin is back in the office now? Good.
(QUIETLY): Uh, what happened in the elevator stays in the elevator.
(CHUCKLES) Not something I'd want to advertise.
Right.
(CRYING) DEVON: Looks good.
Make sure he takes it easy for the next few days.
Not sure that's how this new-dad thing works.
I've got my eye on him.
I'll keep him in line.
Uh, thank you, Dr.
Pravesh.
We can't can't thank you enough.
Mr.
and Mrs.
Thoms, someone here is excited to see you.
MINA: Your daughter's a warrior.
AUSTIN: We repaired her heart, and it's even stronger than we expected.
(MATT CRYING) MINA: How long has he been crying? Since they took Mabel for surgery.
Nothing we've tried has calmed him.
I have an idea.
Until today, these babies shared a womb.
They don't know an existence without the touch of the other.
And then they were thrust into a huge, cold world, alone.
(CRYING) They missed each other.
Everything's gonna be A-OK.
(CRYING) I don't think it's working.
- Give it a moment.
- You are my sunshine My only sunshine You make me happy When skies are gray You'll never know, dear How much I love you Please don't take My sunshine away The other night, dear As I lay sleeping How's the baby? Resting comfortably.
How are you? When I awoke, dear Feels like I'm never getting out of here.
I was mistaken So I hung my head And I cried.
You're fired.
What? - I just saved your neck.
- You risked.
I saved.
Get out.
First thing tomorrow, we need to You're wholly incompetent.
- Meaning? - You're fired.
Talk to HR about severance.
(SIGHS) MAN (OVER P.
A.
): Any available resident to ICU 3.
Dr.
Bell.
You wanted to see me? Great save today.
Thank you.
You know, it's days like this that make Just cut the crap and tell me exactly what happened in the ER.
Who was there? Who made the first cut, you or Conrad Hawkins? CONRAD: My place? I don't know.
I'm so tired.
Oh, we'll be sleeping like babies before you know it.
That sounds amazing.