The Resident (2018) s02e03 Episode Script
Three Words
1 - Previously on The Resident - I also know a desperate man You've been a locum tenens for the last 36 months, hopping from hospital to hospital.
I'm Julian Booth, device rep for QuoVadis.
I was a dancer until one day, I was hit by a car.
Total hip replacement gave me my life back and made me a true believer.
This is a business.
It's not a charity.
- How much does he make? - A million five.
You're gonna have to learn to work together.
- Nic, I'm trying.
- This was never our problem.
- Then what was? - Not here, not now.
I got the cue ball curving while chilling with Irving.
A few more drinks, and he might start swerving.
Looking like that, I'm surprised they let us in.
And my rhymes are so sick, but I don't need your bad medicine.
That was was not great.
(CHUCKLES) Well, I don't have to be good to love hip-hop, so put that in your pocket and lock it.
Noted.
So are we getting back to the game or what? - Who's shot is it? - Mine.
I got to be honest.
I'm pretty tired of beating you.
(GRUNTS) Ouch.
Words hurt, man.
You're looking for Joanie Was Joanie there? That's not cool.
No, what's not cool is you guys hogging the table for two hours.
Yeah, people are waiting.
And if you've been shooting like that, you're cheating.
The rule is, one foot on the ground at all times.
- I'm pretty sure I did.
- I'm positive you didn't.
Why don't you show us how it's done whoever you are? Oh, what a gentleman, giving me the cue that's loose in the middle, chipped on top.
Every bar has a crooked cue, and I'm looking at it.
You're not slick.
I don't like you.
You make the shot, you get the table.
That you surely don't want to find You're looking for Joanie Was Joanie there But if you find Judy Deal's a deal.
Better leave it alone Leave it alone - Have a good night.
- You too.
Leave it alone, you better leave it alone See you at Chastain.
We start as interns on Monday.
Leave it alone Great, just what we need a new batch of arrogant, know-it-all interns.
Leave it alone, leave it alone Y'all better leave it alone Hello? Hello? Nic? (GIGGLES) Are you with me? Irving's three-year Chastain anniversary bash.
404 Tavern.
You're going, right? Excuse me.
Coming through! Whoa, whoa, whoa, whoa, whoa! Linda? - I told you, we don't have any.
- Come on.
- I know you have a stash.
- What about my patients? They need it just as much as yours does.
My patient is young, immunosuppressed, with a history of a liver transplant.
She had a syncopal episode.
BP 82/40, heart rate 120.
Two days of vomiting and diarrhea.
- She's severely dehydrated.
- She just got married.
Help her.
Excuse me.
Coming through.
Oh, miracle workers, both of you.
(SIGHS) We'll start getting some fluids in your wife, and figure out what's going on.
Thank you, Dr.
Feldman.
Glad you were passing through.
Thanks for helping out.
We're a level-1 trauma center and we can't get a bag of salt water.
Things like this happen in third world countries.
They're not supposed to happen here.
It's gonna continue to happen until someone in power decides to fix the problem.
Where you going? Speak truth to power.
Well, evidently, my revolving door of assistants is either charmed by you or asleep at the desk, which is more likely! Either way, I-I don't have time for whatever this is.
The staff is hoarding and rationing saline.
Patients' lives are at risk, and if that doesn't get you to focus, it's lawsuit waiting to happen.
Yeah, I'm fully aware.
I have a plan in motion.
See yourself out.
Please tell me your plan doesn't involve my father.
How is that any concern of yours? My father invests in companies, he makes his money, and then he moves on, leaving scorched earth behind.
I can handle your father.
Then I guess we'll see.
I got your page.
Everything okay? It is.
You've been requested.
Mr.
Candelora would like you on his wife's case.
I pulled up reviews on Chastain.
Dr.
Hawkins has five stars, but Dr.
Feldman only has four, so Dear, don't you think we should have discussed this first? (LAUGHS) What's to discuss, my love? You deserve the best care.
You're being rude.
I need you to relax, relate, release.
(INHALES DEEPLY) I wish I could, but my wife passed out at a coffee shop she made me stop at on her way to the doctor's office.
It's not constructive to place blame during intense discussions.
We're having an argument just call it an argument.
Good luck.
Uh, conflict minimization.
It's a technique Brianna found to keep the honeymoon alive, even though we're still newlyweds.
The honeymoon phase is a state of mind.
Can we please have Dr.
Hawkins treat you? It's okay.
If I ever get married, I hope to be just as good at fighting for my wife's health.
Well, you've got some big shoes to fill.
I didn't get my new liver from just anyone.
John was my donor.
(LAUGHS) I didn't have a choice.
World's better with you in it.
Back at you.
So will you let them look at your cough? I'm fine.
Um, could Brianna be rejecting the liver? I'll ultrasound her abdomen, send off some labs, see what that tells us.
You sure you're okay? I will be once we figure out what's wrong with my wife.
I can't believe you.
- Baby, just - Sit down.
Sit.
- You are stressing.
- I'm not stressing.
- Look at you.
You've got tubes in your nose.
- Just breathe.
You're stressing out.
- Yeah.
- I love you.
50% of all saline is made in a factory in Puerto Rico, which isn't operating since the hurricane.
Two other companies have a monopoly on the rest.
They can't handle the shortage, and on top of that, they're using the high demand to drive up prices.
But I have a plan that'll solve that problem and also increase our revenue.
We form a consortium with other health care providers and manufacture saline ourselves.
You're talking about creating a new company.
That's a big undertaking.
Well, the numbers will support the risk.
I'm not worried about the numbers.
You don't have enough experience - as CEO to pull this off.
- You know, I have a pretty firm grasp on what I can and cannot handle.
Well, I don't see it happening, Dr.
Bell.
We're tabling it.
That's Yeah.
That's a Didn't realize we'd dispensed with Robert's Rules of Order.
Very well.
All those in favor of letting Dr.
Bell proceed with the consortium? Great.
Let's turn to page two.
You stacked the deck.
Well played.
I'll be joining you today at the conference to meet the CEOs you hope will be our future partners.
I insist we travel together.
In my jet.
Looking forward to it.
I've been struck by lightning.
I don't see any burns on the skin.
- Have you had any muscle pain? - Nope.
Strong as an ox.
How about any hearing or vision loss? Is that a crack at my age, son? No, sir.
- Any chest pain? - Yup.
- Bad ticker.
- I see you had a defibrillator and a pacemaker put in.
Oh! (GROANS) See? Struck by lightning.
Your defibrillator is going off.
The pain that you're feeling is from the electrical shock.
We'll run some tests, and I'll call the company that made the device and have them bring in some equipment to run a diagnostic, okay? - I got the card right here.
- Great.
Um, I see your surgeon was Dr.
Austin.
Didn't he explain how defibrillators work? He used big words.
When he started talking, I stopped listening.
Okay.
Be right back.
Dr.
Austin, your billing with the Titian non-existent.
I am aware.
Good talk.
The Titian's a two million dollar machine.
Chastain needs to make a return on its investment.
Well, the former is not my fault, the latter is not my concern.
Your contract has a billing quota.
Which I exceed consistently.
Okafor, show him the numbers.
- Why would I have those numbers? - Somewhere, someone's got numbers.
Take a gander.
Good talk.
The quota includes robotic surgeries.
Every surgeon has learned and started billing with the Titian except you.
Well, I'll tell you what.
You find me a study that shows that the robotic approach is better than the standard CT surgery, and I will consider it.
Consider this: everyone's replaceable if they don't play ball, even you.
Good talk.
I can't seem to catch my breath.
I feel like I ran a marathon.
Dr.
Hawkins, do you see anything? Well, I don't see any overt signs of organ rejection, but we'll need to do a more extensive scan, some blood work, maybe even a biopsy.
BP 85/60, heart rate 130.
Tamponade.
Well, how bad is this? Tell me.
Fluid has built up around the heart.
It's keeping the heart from beating normally.
We need to drain it.
Let's get her upstairs.
It's gonna be okay.
It's just a bump in the road.
- Team Johnna can handle this.
- You know I prefer "BriaJohn.
" (CHUCKLES) I'm good with whatever you want.
(COUGHS) I, uh I still don't understand about the fluid around her heart? It's probably been there for weeks and getting worse.
Is this related to her transplant? Not sure yet, but certain medications or inflammation can cause fluid build-up.
We'll send out the fluid for analysis to figure it out.
Uh, Dr.
Hawkins, you're, uh, you're a resident, right? Shouldn't an attending be supervising this procedure? You strong-armed Dr.
Hawkins into taking my case.
Now he's not qualified to be my doctor? Hey, don't worry.
I've done this procedure hundreds of times.
She's in good hands.
I should know.
I was there the first time he did it.
Sounds like a pericardial tamponade.
You're right.
I need an 18-gauge spinal needle and a 60cc syringe to drain the fluid.
Whoa, whoa.
You're an intern.
You can't do procedures unsupervised.
Well, while we wait for the attending to come down, the patient will die.
So, you help me, or you get out of my way.
Careful, Hawkins.
You're gonna need people like me.
Somebody get me an IV.
Looks like you just went rogue to save a patient.
Wouldn't be the first time.
Whenever you're free, I'd like Friday at 8:00.
I'll eat pretty much anything.
I hate white tablecloths, so let's keep it casual.
Thank you.
I've been looking into the three CEOs you said were interested in starting a new saline company with Chastain.
Not necessary.
I'm handling it.
Sarah? 1947 Sager.
30 grand a bottle.
So, you're meeting them at the conference to pitch them.
- Yeah.
- It's a big deal.
- A lot at stake.
Nervous? - You know, when you've held someone else's life in your hands as many times as I have, you don't get nervous.
To a successful pitch.
You know, we want the same thing for Chastain.
In one instance, we temporarily disagree.
Let's move on.
Club soda.
Okafor, I better be here to watch you build a Barbie Dreamhouse.
You're not.
You're here to learn how to use the Titian.
Did you not understand me earlier? I'll try using different words.
I operate with these.
- They're better than any robot.
- Yes, I understood you.
Did you understand Bell? Uh, his mouth was moving, but I wasn't listening.
Everybody loves a shiny toy.
They'll spend double, triple, thousands more for a mindless, metal cyborg.
But the patient's outcome is no better.
This thing is a two million dollar rip-off.
You pretend to have high-minded motives for refusing this machine, but I know the truth.
You can't do this.
I can teach you.
Be careful.
(SIGHS) Let me introduce myself.
I am Dr.
AJ Austin, triple board certified, named top CT surgeon by U.
S.
News & World Report four times.
Chastain has given me the nickname "The Raptor.
" I don't know who came up with it, but I like it.
The raptor is a bird of prey, ruthless, intelligent, king of the sky, slave to none.
So let's not forget who's the teacher and who's the student.
Lesson for today: never underestimate The Raptor.
Irving said you haven't RSVP'd to the party at the 404 Tavern.
Oh, sorry.
I must have forgotten.
Somebody help! - What's happening? - He's wheezing.
We need to get your husband to the ER.
Coming in with oxygen.
Let's get him up.
Okay.
All right.
Here you go.
There we go.
I want to be with him.
No, no.
It's better if you stay here.
- You take him.
I'll stay with Brianna.
- Okay.
Thank you.
They've stabilized him, and he's being admitted.
- So, what now? - Well, since John's experiencing the same pulmonary issues as you, I'm wondering if you caught the same infection.
You said you got married recently.
- Where did you honeymoon? - The Big Island, Hawaii.
Spent most of the time in the hotel.
I feel so selfish not making him see a doctor.
I had no idea he was this sick.
John loves you.
I'm sure he was just trying to show you that by putting you first.
He feels guilty.
He cheated on me when we were dating, and I left him.
We weren't together anymore when I was diagnosed with liver disease.
And yet he still volunteered to be your organ donor? It was the worst time in my life.
I don't know where I'd be if he hadn't been there.
New Year's party started early.
- Sorry.
- No, it's not your fault.
You've been amazing.
Conrad, I have everything I need.
I'm okay.
You don't have to stay here all night.
I'm not going anywhere.
Wish there was more I could do.
I felt off yesterday.
Conrad, I'm so sorry.
Please, don't.
I should have gone to see my doctor.
The miscarriage is not your fault.
There is nothing anyone could have done.
These things they just happen, and no one knows why.
What would you have wanted to do? We will get through this.
Mr.
Yokum, this is Julian Booth, device rep from QuoVadis, the company that made your dual pacemaker and ICD device.
She's here to check it and, if necessary, help us fix it, okay? - Yes, sir.
- Nice to meet you, Mr.
Yokum.
Hi, sweetheart.
You're about to unbreak my metal heart.
(CHUCKLES) - You call me Hugh.
- (LAUGHS) Okay, Hugh.
- May I? - Yes, ma'am.
Thank you, thank you.
This will be quick and painless, I promise.
I can wirelessly pull information from the defibrillator's hard drive.
The defibrillator is misfiring.
It'll need to be replaced.
Was this implanted at Chastain? Dr.
Austin put it in.
Big guy.
Rude.
Took my hat away.
Dude tried to wear a cowboy hat in the OR.
(CHUCKLES) I'll get started on pre-op labs.
Good.
We will schedule surgery as soon as they come back.
- Do you have a replacement? - Ready to go.
All right.
Alert me if there are any complications.
I was with Hugh when the defibrillator went off.
It seemed extreme to me.
Are there cases when an ICD device misfired so badly that the shock killed the patient? I've never heard of that happening.
But it is possible, isn't it? There's a phenomenon known as "the cure is the cause.
" When the treatment results in more problems than the disease itself.
That's not what's happening here.
I think you're overreacting.
All right.
I really don't understand your problem with the Titian.
It's capable of steady and precise movements.
Oh, yuck.
Look who's toeing the company line.
- Ooh! - I don't want him to fire you.
Do what Bell wants.
Human hands, robotic hands, cutting is cutting.
Pay attention, Okafor.
Robots literally and figuratively stand in between me and the patient.
So, no, all cutting is not the same.
Not to me.
And it shouldn't be to you.
And trust me, Bell is not gonna fire me.
I am too valuable, - and he knows it.
- Yeah.
His ego is as big, if not bigger, than yours.
Firing you may not be the smart thing, but he'll do it just to prove a point.
- And that point would be what? - That he is the most powerful person in the room.
So if you don't sacrifice your beliefs, the next stop on your locum tenens journey will be Who Cares, New Jersey.
So, what you got against Jersey? We compared your X-rays and other tests.
You both have significant pulmonary damage.
We believe it's because of an infection, but we don't know what caused it.
So we'll look at your travel history, see if anything sticks out.
Even though Brianna has a compromised immune system due to the drugs she takes to avoid organ rejection, John's lungs are in a worse shape.
Which may mean that John got the infection first.
Something you want to share with the class? I have a crazy itch down there.
All right, let me see.
You have a rash.
Since we seem to share all our symptoms, why don't I have a rash? Maybe John got his doing something without you.
We were on our honeymoon, we did everything together.
Didn't we? You didn't sneak out of our hotel room while I was asleep? That's not an STD, is it? Let's not jump to any conclusions.
- Who is she? - Keep your oxygen mask on.
What, the waitress from our hotel? The guide from our tour? John.
John? We need to intubate.
70 of roc, 20 of etomidate.
John! What's going on? He can't breathe.
We need to do it for him.
John.
I am thrilled you've agreed, in principle, to partner with Chastain.
We'll produce our own saline, get out from under monopoly, help our patients, and make a few dollars along the way.
- Cheers.
- Hear, hear.
So sorry to intrude on the celebration.
Everyone, this is Marshall Winthrop.
He is the chairman of the board at Chastain Park Memorial.
- These three amazing CEOs - Oh, I know who they are.
Apparently better than you do, Randolph.
Dr.
Curtis, does your board know that you're being investigated for massive tax evasion? Mr.
Price, you have quite the résumé.
BA from Harvard.
MBA from Wharton.
Tell me, how is the weather in Arizona, where you actually went to college? And Kevin Finnerman, you have driven your hospital to the brink of bankruptcy with administration overhead that crushes what you spend in patient care.
You don't have the coin to partner with anyone.
Stick to what you know and leave the business of business to the big boys.
John's getting a chest C and a little test for STDs.
Syphilis or chlamydia could explain his symptoms.
Yeah.
If he passed something on to Brianna, it'll explain hers, too.
You okay? She was holding on to a honeymoon, when maybe there never should've been a marriage.
John says he's changed.
Let's give him the benefit of the doubt.
They went through so much.
Things changed.
I'm not sure that people can.
Are we still talking about the patient? We broke up because we had issues, and then Lily died, and your dad came back, I got arrested.
If those things didn't happen, do you think we'd be back together? Uh, yes.
Of course.
Don't you? I don't know.
I'll let you know when John's results come in.
Thank you so much.
Thank you.
I'm honored to be here among the tribe I value most: doctors, health care professionals, dedicated to making their patients' lives better.
We make decisions when a life hangs in the balance.
We treat and cure, all while risking unfounded blame and lawsuits.
But I'm here today not to list our challenges and virtues but to issue a clarion call to this group that I consider heroes.
It's time for us to suit up and take on a new fight, and we need to do it together.
Because bad things are happening in our world, and we can't fix them because we've lost control.
We've surrendered our power to the medical industrial complex, and it is time to show those who would stand in the way of the common good that we will no longer surrender.
It is up to us, not ignorant businessmen, to fight that good fight.
I suggest we can do it by solving a simple problem.
Hospitals cannot get ahold of one of the cheapest and most effective treatments ON EARTH: saline solution.
There's a handful of companies that control the market.
They hold us all hostage.
We need to change that.
Dr.
Conrad Hawkins.
I got your page.
The Raptor is here to help.
Let's just say I'm embracing the nickname.
Our patient has acute - respiratory failure.
- I'm aware.
Listen, as someone who has gone toe-to-toe with Bell and won, I need your advice on how to handle a situation.
He wants me to start billing with the Titian.
It's a machine I loathe as if it were a real person.
I agree.
But if I don't use it, he says he'll fire me.
Well, then you got a choice to make.
You do what Bell says and save your job, or stand up for your principles and risk getting fired.
Okay, that's not the answer I was looking for.
That's all I got.
Whoa.
Looks like your man John needs a bronchoscopy, stat.
Look at those lungs.
Most of it looks chronic.
This means John's health was impaired before his honeymoon.
Oh, long before, brother.
Based on this scan, I'd say his lungs have been taking a beating for years.
But why did John and Brianna's symptoms only develop after they got back from the honeymoon? Well, I don't know, but the Raptor does not envy you right now.
John's organs are shutting down.
First his lungs, now his kidneys.
Did you get Hugh's pre-op labs back? Um any second.
I'm sorry if I was a little short earlier.
I love my work.
- I get defensive.
- Understandable.
Admirable, too.
I hear you have a wedding coming up.
You studying up to do a Bollywood dance - at the reception? - (LAUGHS) Yeah.
My fiancée, Priya, insists.
I don't want to disappoint her, but I I have two left feet.
Well, maybe I can help.
I was a dancer, remember? Page Dr.
Austin.
His heart rate's dropping.
Get the pacer pads.
His device has completely failed.
Start pacing at 80.
Can we sedate him? His pressure's too low.
- It's not capturing.
- Pravesh, talk to me.
- His device isn't working.
- He needs a transvenous pacer.
Well, in my infinite wisdom, I ordered these on the way down.
Pravesh, suit up.
I'll talk you through it.
Come on, let's go.
Now, access the right internal jugular vein with the finder needle.
Good.
Now advance the guidewire.
Okay, and guide the catheter over the wire.
Remove the wire.
Stay cool, Pravesh.
Don't look at the monitor.
Listen to me.
Now insert the wire and inflate the balloon.
Grab the pacer generator.
Set the heartbeat to 80, and the output at ten milliamps.
Slowly advance, Pravesh.
Keep going.
Keep going There.
Blood pressure's back to normal.
Deflate the balloon.
Dial back on the output.
All right, let's get this guy up to ICU and change his device.
But for now, you saved his life.
Well done.
You're a natural.
I'm ready to leave the ICU? Yes, but we're still gonna keep a close eye on you.
I feel bad for leaving him.
I should be doing something.
The best thing to do is help figure out what you've both been exposed to.
John's lungs were severely damaged long before your honeymoon.
But your symptoms didn't start until after you returned home.
- We're missing something.
- I told you everything I can remember about our medical history.
All right.
Well, then, let's trace backwards.
When was the last time you were sick? Uh, we both had a cold around the holidays and a bout of food poisoning a month ago.
- From what? - Undercooked chicken.
John took it off the stove too soon because it was smoking out the kitchen.
I lived with him in that house for two years, and every time he cooks something with oil, the whole place smells like smoke again, which makes John's cough even worse.
You've mentioned his cough before.
Has he had it for a while? Yes.
It's been on and off since he bought the house three years ago.
We tested it for mold but didn't find anything.
I have the same cough, but we figured it was just some sort of allergy.
We don't normally do house calls, but do you mind if we go have a look? You're late.
I had a few last-minute deals to shore up.
So, just for your information, after my speech, six new CEOs expressed interest in starting - our own saline factory.
- We won't need them.
I just bought a manufacturing company to produce our own saline, and I'm working on getting fast track approval from the FDA.
So you bought a factory threw away a much larger opportunity just to keep me from having a win.
I got into a business with a proven track record.
It's not all about you, Bell.
That's something you seem to have a hard time understanding.
Club soda.
No weird smells.
No animals.
I don't see anything hazardous.
John's STD test came back.
Negative.
(SIGHS) Brianna will be relieved.
Maybe he did change.
Testing negative does not mean that he didn't cheat, but we'll give him the benefit of the doubt.
Still, it can't be easy for her; she never forgot how their relationship ended the first time.
Kind of like you never forgot what happened at the 404 Tavern.
Wish I could.
Seriously, none of them? - None.
- Not even the first three.
- I don't like lightsabers.
- Ugh.
Okay, what about Battlestar the concept of girl Starbuck, boy Starbuck that means nothing to you? What? Wow.
How has this never come up? I wish it hadn't.
Okay.
Clear your Saturday and your Sunday.
Movie marathon.
Me and you.
It's happening.
- You and me.
- Uh, all right.
I'm gonna need more beer for that.
Pick your franchise.
Hey! What the hell are you doing? Hey, hey.
Whoa, whoa, whoa, Conrad.
Conrad, stop.
Open the door.
Do exactly what I tell you to do.
You go out there and you apologize to the lady.
- Unlock the door.
- Conrad! I'm really, really sorry.
Stop it.
He put his hands on you.
What do you expect me to do? Don't you pretend this has anything to do with me.
It's not the first time I've seen you lose it like that.
What are we doing? Let's get out of here.
- I'm fine.
- No, you are not fine! Nic, okay, I overreacted, but you you're doing the same thing right now.
You know, Conrad, the way that you handle things scares me.
- That's not fair.
- Whether it's Afghanistan, losing the baby - Don't.
- No, you need to hear it.
'Cause that's the truth.
You bottle everything up inside.
I never know what you're thinking, I never know what you're feeling, and now this? Dragging some guy into a bathroom because some bomb goes off in you, and I can't see it coming? This is not normal.
I'm sorry, Conrad.
I can't I can't do this anymore.
I'm not the same guy I was back then.
And I want to believe that.
- I hope it'll be different.
- It will be.
Because I'll be different.
Do the work, get the help.
You make me want to be a better person.
That's one of the reasons why I love you.
I know you love me, and I know that you believe everything you just said.
But if this is gonna work, you need to believe it, too.
Yeah.
Sorry, I just realized there's pottery all over the place.
And I think they make it themselves.
Maybe somewhere in the house.
Only one place left to look.
You developed a condition called chronic silicosis, scarring of the lungs caused by inhaling silica.
A mineral found in clay used for pottery.
You and John have been inhaling harmful levels for years due to poor ventilation in your workshop.
John moved into the house first, so he was exposed for a longer period.
And that's why he got sicker faster? But why didn't we get sick until after our honeymoon? Volcanic ash is a trigger for acute silicosis, which you inhaled while you were in Hawaii.
It can take a few weeks for symptoms to show up.
And the rash? The bronch on his lungs revealed an infection called nocardia.
You both got it in Bali, but it's more common for men to develop a rash than women.
Silicosis and nocardia they're treatable.
But John's chest C revealed an empyema pus and dead tissue in the lung.
He needs surgery.
You have my consent.
Go help my husband.
I hear you're doing Mr.
Candelora's empyema.
We're heading to the OR now.
I assume you're using the Titian.
Well, you know what they say about assumptions.
Dr.
Austin, I was crystal clear.
Yes.
You were.
And I made a medical decision based on personal principles.
I will forever do the best job I can using the finest tools available.
Now, I assume that a surgeon like you would understand that.
But, if not fire me.
I keep my bags packed at all times.
I think that's wise.
This might be our last dance, Okafor.
If Bell was going to fire you, it would've just happened.
So, not our last dance.
How was the conference? Oh, inspiring.
Educational.
Your father's approach to just about everything is an acquired taste.
(LAUGHS) I'm gonna guess he insinuated himself into whatever your plans were for the saline shortage.
Oh, Marshall, on his own, wrote a check, bought a company just like that to manufacture clean, safe saline for Chastain.
We'll never be short again.
And now he'll sell the surplus and make a killing.
You know, you better open your eyes.
He's certainly here to scorch the earth, but trust me, he'll be sticking around to make a mint off the carbon he creates.
Long day? Yeah, it's not over.
Got a couple more phone calls to make, a few e-mails.
- You can do it tomorrow.
- Not my style.
Chastain isn't like other companies you've taken over.
I think I can handle anything this hospital throws my way.
Like a saline shortage? You might not believe this, but I have no ill intent in starting the saline factory.
I believe you.
Well, I want to take the olive branch, but I'm curious where it came from.
If I want people to believe I've changed, I need to consider that maybe you have, too.
I, uh hope you can see now that you're a lot more like me than you realize.
Good night son.
Good night Dad.
Is slow dancing a part of Bollywood? I just want to see how you move.
Get the nerves out.
We'll start with something you know.
Okay.
Sounds good.
Uh, let me just apologize in advance for stepping on your feet.
That's not gonna happen.
Okay.
I can feel it Coming on I think I want to change the Whole world Can you see I've been thinking about creating my own medical device.
Watching what you do gave me the idea.
You know, there's a secret to this.
People who dance well, their lips don't move.
Coming on I think I want to change the Whole world Well, I just want to say one last thing.
I think you're leading.
That's why it's working.
It's all good, it's okay Come on.
(LAUGHS) Look how good you're doing.
You're here.
I'm not going anywhere.
Me neither.
I want you to move me Like we're in Babylon tonight I want you to hear me - Hey.
- Hey.
You're here.
I'm here.
I love you, too.
Yeah, I said, yeah And I do think it'll be different this time.
Angels and demons I have fallen Kicked from heaven Good-bye My only sin was To want you Are you ready to go down in defeat? People may change, but I'm not sure your pool game can be saved.
(CHUCKLES) Those are fighting words.
I'll let my 12-game lead do the talking.
All right.
Watch this.
- 12 ball, corner pocket.
- Difficult shot.
I seem to remember you missing that one a lot.
I'm Julian Booth, device rep for QuoVadis.
I was a dancer until one day, I was hit by a car.
Total hip replacement gave me my life back and made me a true believer.
This is a business.
It's not a charity.
- How much does he make? - A million five.
You're gonna have to learn to work together.
- Nic, I'm trying.
- This was never our problem.
- Then what was? - Not here, not now.
I got the cue ball curving while chilling with Irving.
A few more drinks, and he might start swerving.
Looking like that, I'm surprised they let us in.
And my rhymes are so sick, but I don't need your bad medicine.
That was was not great.
(CHUCKLES) Well, I don't have to be good to love hip-hop, so put that in your pocket and lock it.
Noted.
So are we getting back to the game or what? - Who's shot is it? - Mine.
I got to be honest.
I'm pretty tired of beating you.
(GRUNTS) Ouch.
Words hurt, man.
You're looking for Joanie Was Joanie there? That's not cool.
No, what's not cool is you guys hogging the table for two hours.
Yeah, people are waiting.
And if you've been shooting like that, you're cheating.
The rule is, one foot on the ground at all times.
- I'm pretty sure I did.
- I'm positive you didn't.
Why don't you show us how it's done whoever you are? Oh, what a gentleman, giving me the cue that's loose in the middle, chipped on top.
Every bar has a crooked cue, and I'm looking at it.
You're not slick.
I don't like you.
You make the shot, you get the table.
That you surely don't want to find You're looking for Joanie Was Joanie there But if you find Judy Deal's a deal.
Better leave it alone Leave it alone - Have a good night.
- You too.
Leave it alone, you better leave it alone See you at Chastain.
We start as interns on Monday.
Leave it alone Great, just what we need a new batch of arrogant, know-it-all interns.
Leave it alone, leave it alone Y'all better leave it alone Hello? Hello? Nic? (GIGGLES) Are you with me? Irving's three-year Chastain anniversary bash.
404 Tavern.
You're going, right? Excuse me.
Coming through! Whoa, whoa, whoa, whoa, whoa! Linda? - I told you, we don't have any.
- Come on.
- I know you have a stash.
- What about my patients? They need it just as much as yours does.
My patient is young, immunosuppressed, with a history of a liver transplant.
She had a syncopal episode.
BP 82/40, heart rate 120.
Two days of vomiting and diarrhea.
- She's severely dehydrated.
- She just got married.
Help her.
Excuse me.
Coming through.
Oh, miracle workers, both of you.
(SIGHS) We'll start getting some fluids in your wife, and figure out what's going on.
Thank you, Dr.
Feldman.
Glad you were passing through.
Thanks for helping out.
We're a level-1 trauma center and we can't get a bag of salt water.
Things like this happen in third world countries.
They're not supposed to happen here.
It's gonna continue to happen until someone in power decides to fix the problem.
Where you going? Speak truth to power.
Well, evidently, my revolving door of assistants is either charmed by you or asleep at the desk, which is more likely! Either way, I-I don't have time for whatever this is.
The staff is hoarding and rationing saline.
Patients' lives are at risk, and if that doesn't get you to focus, it's lawsuit waiting to happen.
Yeah, I'm fully aware.
I have a plan in motion.
See yourself out.
Please tell me your plan doesn't involve my father.
How is that any concern of yours? My father invests in companies, he makes his money, and then he moves on, leaving scorched earth behind.
I can handle your father.
Then I guess we'll see.
I got your page.
Everything okay? It is.
You've been requested.
Mr.
Candelora would like you on his wife's case.
I pulled up reviews on Chastain.
Dr.
Hawkins has five stars, but Dr.
Feldman only has four, so Dear, don't you think we should have discussed this first? (LAUGHS) What's to discuss, my love? You deserve the best care.
You're being rude.
I need you to relax, relate, release.
(INHALES DEEPLY) I wish I could, but my wife passed out at a coffee shop she made me stop at on her way to the doctor's office.
It's not constructive to place blame during intense discussions.
We're having an argument just call it an argument.
Good luck.
Uh, conflict minimization.
It's a technique Brianna found to keep the honeymoon alive, even though we're still newlyweds.
The honeymoon phase is a state of mind.
Can we please have Dr.
Hawkins treat you? It's okay.
If I ever get married, I hope to be just as good at fighting for my wife's health.
Well, you've got some big shoes to fill.
I didn't get my new liver from just anyone.
John was my donor.
(LAUGHS) I didn't have a choice.
World's better with you in it.
Back at you.
So will you let them look at your cough? I'm fine.
Um, could Brianna be rejecting the liver? I'll ultrasound her abdomen, send off some labs, see what that tells us.
You sure you're okay? I will be once we figure out what's wrong with my wife.
I can't believe you.
- Baby, just - Sit down.
Sit.
- You are stressing.
- I'm not stressing.
- Look at you.
You've got tubes in your nose.
- Just breathe.
You're stressing out.
- Yeah.
- I love you.
50% of all saline is made in a factory in Puerto Rico, which isn't operating since the hurricane.
Two other companies have a monopoly on the rest.
They can't handle the shortage, and on top of that, they're using the high demand to drive up prices.
But I have a plan that'll solve that problem and also increase our revenue.
We form a consortium with other health care providers and manufacture saline ourselves.
You're talking about creating a new company.
That's a big undertaking.
Well, the numbers will support the risk.
I'm not worried about the numbers.
You don't have enough experience - as CEO to pull this off.
- You know, I have a pretty firm grasp on what I can and cannot handle.
Well, I don't see it happening, Dr.
Bell.
We're tabling it.
That's Yeah.
That's a Didn't realize we'd dispensed with Robert's Rules of Order.
Very well.
All those in favor of letting Dr.
Bell proceed with the consortium? Great.
Let's turn to page two.
You stacked the deck.
Well played.
I'll be joining you today at the conference to meet the CEOs you hope will be our future partners.
I insist we travel together.
In my jet.
Looking forward to it.
I've been struck by lightning.
I don't see any burns on the skin.
- Have you had any muscle pain? - Nope.
Strong as an ox.
How about any hearing or vision loss? Is that a crack at my age, son? No, sir.
- Any chest pain? - Yup.
- Bad ticker.
- I see you had a defibrillator and a pacemaker put in.
Oh! (GROANS) See? Struck by lightning.
Your defibrillator is going off.
The pain that you're feeling is from the electrical shock.
We'll run some tests, and I'll call the company that made the device and have them bring in some equipment to run a diagnostic, okay? - I got the card right here.
- Great.
Um, I see your surgeon was Dr.
Austin.
Didn't he explain how defibrillators work? He used big words.
When he started talking, I stopped listening.
Okay.
Be right back.
Dr.
Austin, your billing with the Titian non-existent.
I am aware.
Good talk.
The Titian's a two million dollar machine.
Chastain needs to make a return on its investment.
Well, the former is not my fault, the latter is not my concern.
Your contract has a billing quota.
Which I exceed consistently.
Okafor, show him the numbers.
- Why would I have those numbers? - Somewhere, someone's got numbers.
Take a gander.
Good talk.
The quota includes robotic surgeries.
Every surgeon has learned and started billing with the Titian except you.
Well, I'll tell you what.
You find me a study that shows that the robotic approach is better than the standard CT surgery, and I will consider it.
Consider this: everyone's replaceable if they don't play ball, even you.
Good talk.
I can't seem to catch my breath.
I feel like I ran a marathon.
Dr.
Hawkins, do you see anything? Well, I don't see any overt signs of organ rejection, but we'll need to do a more extensive scan, some blood work, maybe even a biopsy.
BP 85/60, heart rate 130.
Tamponade.
Well, how bad is this? Tell me.
Fluid has built up around the heart.
It's keeping the heart from beating normally.
We need to drain it.
Let's get her upstairs.
It's gonna be okay.
It's just a bump in the road.
- Team Johnna can handle this.
- You know I prefer "BriaJohn.
" (CHUCKLES) I'm good with whatever you want.
(COUGHS) I, uh I still don't understand about the fluid around her heart? It's probably been there for weeks and getting worse.
Is this related to her transplant? Not sure yet, but certain medications or inflammation can cause fluid build-up.
We'll send out the fluid for analysis to figure it out.
Uh, Dr.
Hawkins, you're, uh, you're a resident, right? Shouldn't an attending be supervising this procedure? You strong-armed Dr.
Hawkins into taking my case.
Now he's not qualified to be my doctor? Hey, don't worry.
I've done this procedure hundreds of times.
She's in good hands.
I should know.
I was there the first time he did it.
Sounds like a pericardial tamponade.
You're right.
I need an 18-gauge spinal needle and a 60cc syringe to drain the fluid.
Whoa, whoa.
You're an intern.
You can't do procedures unsupervised.
Well, while we wait for the attending to come down, the patient will die.
So, you help me, or you get out of my way.
Careful, Hawkins.
You're gonna need people like me.
Somebody get me an IV.
Looks like you just went rogue to save a patient.
Wouldn't be the first time.
Whenever you're free, I'd like Friday at 8:00.
I'll eat pretty much anything.
I hate white tablecloths, so let's keep it casual.
Thank you.
I've been looking into the three CEOs you said were interested in starting a new saline company with Chastain.
Not necessary.
I'm handling it.
Sarah? 1947 Sager.
30 grand a bottle.
So, you're meeting them at the conference to pitch them.
- Yeah.
- It's a big deal.
- A lot at stake.
Nervous? - You know, when you've held someone else's life in your hands as many times as I have, you don't get nervous.
To a successful pitch.
You know, we want the same thing for Chastain.
In one instance, we temporarily disagree.
Let's move on.
Club soda.
Okafor, I better be here to watch you build a Barbie Dreamhouse.
You're not.
You're here to learn how to use the Titian.
Did you not understand me earlier? I'll try using different words.
I operate with these.
- They're better than any robot.
- Yes, I understood you.
Did you understand Bell? Uh, his mouth was moving, but I wasn't listening.
Everybody loves a shiny toy.
They'll spend double, triple, thousands more for a mindless, metal cyborg.
But the patient's outcome is no better.
This thing is a two million dollar rip-off.
You pretend to have high-minded motives for refusing this machine, but I know the truth.
You can't do this.
I can teach you.
Be careful.
(SIGHS) Let me introduce myself.
I am Dr.
AJ Austin, triple board certified, named top CT surgeon by U.
S.
News & World Report four times.
Chastain has given me the nickname "The Raptor.
" I don't know who came up with it, but I like it.
The raptor is a bird of prey, ruthless, intelligent, king of the sky, slave to none.
So let's not forget who's the teacher and who's the student.
Lesson for today: never underestimate The Raptor.
Irving said you haven't RSVP'd to the party at the 404 Tavern.
Oh, sorry.
I must have forgotten.
Somebody help! - What's happening? - He's wheezing.
We need to get your husband to the ER.
Coming in with oxygen.
Let's get him up.
Okay.
All right.
Here you go.
There we go.
I want to be with him.
No, no.
It's better if you stay here.
- You take him.
I'll stay with Brianna.
- Okay.
Thank you.
They've stabilized him, and he's being admitted.
- So, what now? - Well, since John's experiencing the same pulmonary issues as you, I'm wondering if you caught the same infection.
You said you got married recently.
- Where did you honeymoon? - The Big Island, Hawaii.
Spent most of the time in the hotel.
I feel so selfish not making him see a doctor.
I had no idea he was this sick.
John loves you.
I'm sure he was just trying to show you that by putting you first.
He feels guilty.
He cheated on me when we were dating, and I left him.
We weren't together anymore when I was diagnosed with liver disease.
And yet he still volunteered to be your organ donor? It was the worst time in my life.
I don't know where I'd be if he hadn't been there.
New Year's party started early.
- Sorry.
- No, it's not your fault.
You've been amazing.
Conrad, I have everything I need.
I'm okay.
You don't have to stay here all night.
I'm not going anywhere.
Wish there was more I could do.
I felt off yesterday.
Conrad, I'm so sorry.
Please, don't.
I should have gone to see my doctor.
The miscarriage is not your fault.
There is nothing anyone could have done.
These things they just happen, and no one knows why.
What would you have wanted to do? We will get through this.
Mr.
Yokum, this is Julian Booth, device rep from QuoVadis, the company that made your dual pacemaker and ICD device.
She's here to check it and, if necessary, help us fix it, okay? - Yes, sir.
- Nice to meet you, Mr.
Yokum.
Hi, sweetheart.
You're about to unbreak my metal heart.
(CHUCKLES) - You call me Hugh.
- (LAUGHS) Okay, Hugh.
- May I? - Yes, ma'am.
Thank you, thank you.
This will be quick and painless, I promise.
I can wirelessly pull information from the defibrillator's hard drive.
The defibrillator is misfiring.
It'll need to be replaced.
Was this implanted at Chastain? Dr.
Austin put it in.
Big guy.
Rude.
Took my hat away.
Dude tried to wear a cowboy hat in the OR.
(CHUCKLES) I'll get started on pre-op labs.
Good.
We will schedule surgery as soon as they come back.
- Do you have a replacement? - Ready to go.
All right.
Alert me if there are any complications.
I was with Hugh when the defibrillator went off.
It seemed extreme to me.
Are there cases when an ICD device misfired so badly that the shock killed the patient? I've never heard of that happening.
But it is possible, isn't it? There's a phenomenon known as "the cure is the cause.
" When the treatment results in more problems than the disease itself.
That's not what's happening here.
I think you're overreacting.
All right.
I really don't understand your problem with the Titian.
It's capable of steady and precise movements.
Oh, yuck.
Look who's toeing the company line.
- Ooh! - I don't want him to fire you.
Do what Bell wants.
Human hands, robotic hands, cutting is cutting.
Pay attention, Okafor.
Robots literally and figuratively stand in between me and the patient.
So, no, all cutting is not the same.
Not to me.
And it shouldn't be to you.
And trust me, Bell is not gonna fire me.
I am too valuable, - and he knows it.
- Yeah.
His ego is as big, if not bigger, than yours.
Firing you may not be the smart thing, but he'll do it just to prove a point.
- And that point would be what? - That he is the most powerful person in the room.
So if you don't sacrifice your beliefs, the next stop on your locum tenens journey will be Who Cares, New Jersey.
So, what you got against Jersey? We compared your X-rays and other tests.
You both have significant pulmonary damage.
We believe it's because of an infection, but we don't know what caused it.
So we'll look at your travel history, see if anything sticks out.
Even though Brianna has a compromised immune system due to the drugs she takes to avoid organ rejection, John's lungs are in a worse shape.
Which may mean that John got the infection first.
Something you want to share with the class? I have a crazy itch down there.
All right, let me see.
You have a rash.
Since we seem to share all our symptoms, why don't I have a rash? Maybe John got his doing something without you.
We were on our honeymoon, we did everything together.
Didn't we? You didn't sneak out of our hotel room while I was asleep? That's not an STD, is it? Let's not jump to any conclusions.
- Who is she? - Keep your oxygen mask on.
What, the waitress from our hotel? The guide from our tour? John.
John? We need to intubate.
70 of roc, 20 of etomidate.
John! What's going on? He can't breathe.
We need to do it for him.
John.
I am thrilled you've agreed, in principle, to partner with Chastain.
We'll produce our own saline, get out from under monopoly, help our patients, and make a few dollars along the way.
- Cheers.
- Hear, hear.
So sorry to intrude on the celebration.
Everyone, this is Marshall Winthrop.
He is the chairman of the board at Chastain Park Memorial.
- These three amazing CEOs - Oh, I know who they are.
Apparently better than you do, Randolph.
Dr.
Curtis, does your board know that you're being investigated for massive tax evasion? Mr.
Price, you have quite the résumé.
BA from Harvard.
MBA from Wharton.
Tell me, how is the weather in Arizona, where you actually went to college? And Kevin Finnerman, you have driven your hospital to the brink of bankruptcy with administration overhead that crushes what you spend in patient care.
You don't have the coin to partner with anyone.
Stick to what you know and leave the business of business to the big boys.
John's getting a chest C and a little test for STDs.
Syphilis or chlamydia could explain his symptoms.
Yeah.
If he passed something on to Brianna, it'll explain hers, too.
You okay? She was holding on to a honeymoon, when maybe there never should've been a marriage.
John says he's changed.
Let's give him the benefit of the doubt.
They went through so much.
Things changed.
I'm not sure that people can.
Are we still talking about the patient? We broke up because we had issues, and then Lily died, and your dad came back, I got arrested.
If those things didn't happen, do you think we'd be back together? Uh, yes.
Of course.
Don't you? I don't know.
I'll let you know when John's results come in.
Thank you so much.
Thank you.
I'm honored to be here among the tribe I value most: doctors, health care professionals, dedicated to making their patients' lives better.
We make decisions when a life hangs in the balance.
We treat and cure, all while risking unfounded blame and lawsuits.
But I'm here today not to list our challenges and virtues but to issue a clarion call to this group that I consider heroes.
It's time for us to suit up and take on a new fight, and we need to do it together.
Because bad things are happening in our world, and we can't fix them because we've lost control.
We've surrendered our power to the medical industrial complex, and it is time to show those who would stand in the way of the common good that we will no longer surrender.
It is up to us, not ignorant businessmen, to fight that good fight.
I suggest we can do it by solving a simple problem.
Hospitals cannot get ahold of one of the cheapest and most effective treatments ON EARTH: saline solution.
There's a handful of companies that control the market.
They hold us all hostage.
We need to change that.
Dr.
Conrad Hawkins.
I got your page.
The Raptor is here to help.
Let's just say I'm embracing the nickname.
Our patient has acute - respiratory failure.
- I'm aware.
Listen, as someone who has gone toe-to-toe with Bell and won, I need your advice on how to handle a situation.
He wants me to start billing with the Titian.
It's a machine I loathe as if it were a real person.
I agree.
But if I don't use it, he says he'll fire me.
Well, then you got a choice to make.
You do what Bell says and save your job, or stand up for your principles and risk getting fired.
Okay, that's not the answer I was looking for.
That's all I got.
Whoa.
Looks like your man John needs a bronchoscopy, stat.
Look at those lungs.
Most of it looks chronic.
This means John's health was impaired before his honeymoon.
Oh, long before, brother.
Based on this scan, I'd say his lungs have been taking a beating for years.
But why did John and Brianna's symptoms only develop after they got back from the honeymoon? Well, I don't know, but the Raptor does not envy you right now.
John's organs are shutting down.
First his lungs, now his kidneys.
Did you get Hugh's pre-op labs back? Um any second.
I'm sorry if I was a little short earlier.
I love my work.
- I get defensive.
- Understandable.
Admirable, too.
I hear you have a wedding coming up.
You studying up to do a Bollywood dance - at the reception? - (LAUGHS) Yeah.
My fiancée, Priya, insists.
I don't want to disappoint her, but I I have two left feet.
Well, maybe I can help.
I was a dancer, remember? Page Dr.
Austin.
His heart rate's dropping.
Get the pacer pads.
His device has completely failed.
Start pacing at 80.
Can we sedate him? His pressure's too low.
- It's not capturing.
- Pravesh, talk to me.
- His device isn't working.
- He needs a transvenous pacer.
Well, in my infinite wisdom, I ordered these on the way down.
Pravesh, suit up.
I'll talk you through it.
Come on, let's go.
Now, access the right internal jugular vein with the finder needle.
Good.
Now advance the guidewire.
Okay, and guide the catheter over the wire.
Remove the wire.
Stay cool, Pravesh.
Don't look at the monitor.
Listen to me.
Now insert the wire and inflate the balloon.
Grab the pacer generator.
Set the heartbeat to 80, and the output at ten milliamps.
Slowly advance, Pravesh.
Keep going.
Keep going There.
Blood pressure's back to normal.
Deflate the balloon.
Dial back on the output.
All right, let's get this guy up to ICU and change his device.
But for now, you saved his life.
Well done.
You're a natural.
I'm ready to leave the ICU? Yes, but we're still gonna keep a close eye on you.
I feel bad for leaving him.
I should be doing something.
The best thing to do is help figure out what you've both been exposed to.
John's lungs were severely damaged long before your honeymoon.
But your symptoms didn't start until after you returned home.
- We're missing something.
- I told you everything I can remember about our medical history.
All right.
Well, then, let's trace backwards.
When was the last time you were sick? Uh, we both had a cold around the holidays and a bout of food poisoning a month ago.
- From what? - Undercooked chicken.
John took it off the stove too soon because it was smoking out the kitchen.
I lived with him in that house for two years, and every time he cooks something with oil, the whole place smells like smoke again, which makes John's cough even worse.
You've mentioned his cough before.
Has he had it for a while? Yes.
It's been on and off since he bought the house three years ago.
We tested it for mold but didn't find anything.
I have the same cough, but we figured it was just some sort of allergy.
We don't normally do house calls, but do you mind if we go have a look? You're late.
I had a few last-minute deals to shore up.
So, just for your information, after my speech, six new CEOs expressed interest in starting - our own saline factory.
- We won't need them.
I just bought a manufacturing company to produce our own saline, and I'm working on getting fast track approval from the FDA.
So you bought a factory threw away a much larger opportunity just to keep me from having a win.
I got into a business with a proven track record.
It's not all about you, Bell.
That's something you seem to have a hard time understanding.
Club soda.
No weird smells.
No animals.
I don't see anything hazardous.
John's STD test came back.
Negative.
(SIGHS) Brianna will be relieved.
Maybe he did change.
Testing negative does not mean that he didn't cheat, but we'll give him the benefit of the doubt.
Still, it can't be easy for her; she never forgot how their relationship ended the first time.
Kind of like you never forgot what happened at the 404 Tavern.
Wish I could.
Seriously, none of them? - None.
- Not even the first three.
- I don't like lightsabers.
- Ugh.
Okay, what about Battlestar the concept of girl Starbuck, boy Starbuck that means nothing to you? What? Wow.
How has this never come up? I wish it hadn't.
Okay.
Clear your Saturday and your Sunday.
Movie marathon.
Me and you.
It's happening.
- You and me.
- Uh, all right.
I'm gonna need more beer for that.
Pick your franchise.
Hey! What the hell are you doing? Hey, hey.
Whoa, whoa, whoa, Conrad.
Conrad, stop.
Open the door.
Do exactly what I tell you to do.
You go out there and you apologize to the lady.
- Unlock the door.
- Conrad! I'm really, really sorry.
Stop it.
He put his hands on you.
What do you expect me to do? Don't you pretend this has anything to do with me.
It's not the first time I've seen you lose it like that.
What are we doing? Let's get out of here.
- I'm fine.
- No, you are not fine! Nic, okay, I overreacted, but you you're doing the same thing right now.
You know, Conrad, the way that you handle things scares me.
- That's not fair.
- Whether it's Afghanistan, losing the baby - Don't.
- No, you need to hear it.
'Cause that's the truth.
You bottle everything up inside.
I never know what you're thinking, I never know what you're feeling, and now this? Dragging some guy into a bathroom because some bomb goes off in you, and I can't see it coming? This is not normal.
I'm sorry, Conrad.
I can't I can't do this anymore.
I'm not the same guy I was back then.
And I want to believe that.
- I hope it'll be different.
- It will be.
Because I'll be different.
Do the work, get the help.
You make me want to be a better person.
That's one of the reasons why I love you.
I know you love me, and I know that you believe everything you just said.
But if this is gonna work, you need to believe it, too.
Yeah.
Sorry, I just realized there's pottery all over the place.
And I think they make it themselves.
Maybe somewhere in the house.
Only one place left to look.
You developed a condition called chronic silicosis, scarring of the lungs caused by inhaling silica.
A mineral found in clay used for pottery.
You and John have been inhaling harmful levels for years due to poor ventilation in your workshop.
John moved into the house first, so he was exposed for a longer period.
And that's why he got sicker faster? But why didn't we get sick until after our honeymoon? Volcanic ash is a trigger for acute silicosis, which you inhaled while you were in Hawaii.
It can take a few weeks for symptoms to show up.
And the rash? The bronch on his lungs revealed an infection called nocardia.
You both got it in Bali, but it's more common for men to develop a rash than women.
Silicosis and nocardia they're treatable.
But John's chest C revealed an empyema pus and dead tissue in the lung.
He needs surgery.
You have my consent.
Go help my husband.
I hear you're doing Mr.
Candelora's empyema.
We're heading to the OR now.
I assume you're using the Titian.
Well, you know what they say about assumptions.
Dr.
Austin, I was crystal clear.
Yes.
You were.
And I made a medical decision based on personal principles.
I will forever do the best job I can using the finest tools available.
Now, I assume that a surgeon like you would understand that.
But, if not fire me.
I keep my bags packed at all times.
I think that's wise.
This might be our last dance, Okafor.
If Bell was going to fire you, it would've just happened.
So, not our last dance.
How was the conference? Oh, inspiring.
Educational.
Your father's approach to just about everything is an acquired taste.
(LAUGHS) I'm gonna guess he insinuated himself into whatever your plans were for the saline shortage.
Oh, Marshall, on his own, wrote a check, bought a company just like that to manufacture clean, safe saline for Chastain.
We'll never be short again.
And now he'll sell the surplus and make a killing.
You know, you better open your eyes.
He's certainly here to scorch the earth, but trust me, he'll be sticking around to make a mint off the carbon he creates.
Long day? Yeah, it's not over.
Got a couple more phone calls to make, a few e-mails.
- You can do it tomorrow.
- Not my style.
Chastain isn't like other companies you've taken over.
I think I can handle anything this hospital throws my way.
Like a saline shortage? You might not believe this, but I have no ill intent in starting the saline factory.
I believe you.
Well, I want to take the olive branch, but I'm curious where it came from.
If I want people to believe I've changed, I need to consider that maybe you have, too.
I, uh hope you can see now that you're a lot more like me than you realize.
Good night son.
Good night Dad.
Is slow dancing a part of Bollywood? I just want to see how you move.
Get the nerves out.
We'll start with something you know.
Okay.
Sounds good.
Uh, let me just apologize in advance for stepping on your feet.
That's not gonna happen.
Okay.
I can feel it Coming on I think I want to change the Whole world Can you see I've been thinking about creating my own medical device.
Watching what you do gave me the idea.
You know, there's a secret to this.
People who dance well, their lips don't move.
Coming on I think I want to change the Whole world Well, I just want to say one last thing.
I think you're leading.
That's why it's working.
It's all good, it's okay Come on.
(LAUGHS) Look how good you're doing.
You're here.
I'm not going anywhere.
Me neither.
I want you to move me Like we're in Babylon tonight I want you to hear me - Hey.
- Hey.
You're here.
I'm here.
I love you, too.
Yeah, I said, yeah And I do think it'll be different this time.
Angels and demons I have fallen Kicked from heaven Good-bye My only sin was To want you Are you ready to go down in defeat? People may change, but I'm not sure your pool game can be saved.
(CHUCKLES) Those are fighting words.
I'll let my 12-game lead do the talking.
All right.
Watch this.
- 12 ball, corner pocket.
- Difficult shot.
I seem to remember you missing that one a lot.