The Resident (2018) s04e03 Episode Script
The Accidental Patient
1
Previously on The Resident
DEVON: My father, he died alone
because his public hospital
in a poor brown neighborhood
didn't have enough
resources to save him.
There's something I have to tell you.
I'm pregnant.
Oh, my God, you're gonna be the best mother ever.
Listen, I'm sorry you got the cold shoulder all day.
KIT: All will be forgiven if you answer one question.
Who's replacing Logan Kim as CEO? Chastain isn't getting a new CEO.
I don't understand.
Someone has to be in charge.
Who's gonna run the hospital? MINA: Ben Mullins has a clotting disorder that is threatening his heart, lungs and now his brain.
This is your fault.
This is on you.
No, it's on the patient, who was advised of the risks.
Mm-hmm, deny it all you want.
But you will be held responsible for this.
His prognosis is good.
(SIGHS) Dr.
Cain said the same thing.
We are indebted to him.
Mrs.
Mullins, there's something you should know.
Don't know what I'm running from - (PHONE RINGS) - What's up? LAWYER: I have bad news.
The guy who got COVID in your OR is suing you.
Well, that's too bad it's my word against his.
No, not this time.
One of your colleagues at Chastain is testifying against you.
Find out who it is.
I'll see what I can do.
Just don't talk to anyone at the hospital about this.
- (CAR ALARM BLARING) - There's an accident.
(FLAMES ROARING) (GLASS SHATTERS) WOMAN: Help! (SOBBING): Help! Help! Please open the door.
(GASPING) Oh, my God.
(WHIMPERING) It'll be okay.
(WOMAN SPEAKS INDISTINCTLY) CAIN: Get out of the road! Get out Get out of the road! - (SIREN WAILING) - (CRASHING) ASSOCIATE: Mr.
Yorn? Dr.
Bell.
Thank you.
Dr.
Bell, come on in.
(EXHALES SHARPLY) Check this out.
EKO composite barrel.
Feel this thing.
- Wow.
- (CHUCKLES): Yeah.
It's for my son.
That's him right here.
He's got a hell of a swing.
Little man's living his best life.
- You got any rug rats? - Uh, no.
Yeah, you don't know what you're missing.
So, listen, uh, I caught your show.
Um, not for me.
Numbers are pretty good though.
Well, I'll get right to it.
I spoke to Dr.
Voss and I know that you're I haven't hired a new CEO for Chastain.
You're here because you want the job back.
No (LAUGHS) No, not at all, but I do want to see the chair filled with someone who can put Chastain back on its feet and overcome the losses we suffered during COVID, so I'm offering to help you in that search.
I'm sorry you came all this way for nothing.
Excuse me? We have no need for a new CEO.
Not now.
Not ever.
You're selling the hospital? Yeah, Red Rock doesn't throw good money after bad.
Hey maybe someone else will.
Mina? We need to talk.
You didn't seem to want to talk when we woke up this morning.
(SIGHS) All right, listen.
We are both passionate and opinionated people.
Inside and outside of the operating room.
- So we need ground rules.
- Exactly.
Inside these walls, we keep it strictly professional at all times.
Agreed, no physical contact of any kind.
Well, we can table that part of the discussion for later.
But for now, in general, it's understood that we will not always agree.
Like your choice of OR music? A bypass should never be performed to the blues.
Or your choice of furosemide drip over boluses.
It's the only way to diurese.
Why you choose interrupted suture for skin closure is beyond me.
Or how you told Mrs.
Mullins that Cain lied to her.
Mina.
I'm giving Barrett a chance to see if he can redeem himself.
I'm not gonna hold my breath for that.
I'm not asking you to.
But I am asking you to remember that I am still your attending.
Well, there's just one more ground rule.
This lounge (CLEARS THROAT) It is the residents' lounge.
Just because you are dating a resident does not mean you have access.
Oh, really? So it's like that, huh? (WHISPERS): Yeah, it's like that.
I never really liked the coffee in here anyway.
(DOOR OPENS) (SIGHS) Hey.
Paged to the ER? Yeah.
- (ELEVATOR BELL DINGS) - Me, too.
You okay? Yeah, just in my head.
Those home pregnancy tests are 99% accurate.
I know, I just, I don't, I don't feel any different.
I'm not tired, I'm not nauseous.
You want to do a blood test so we're not guessing? I want to know for sure.
Today.
Without anyone else finding out.
- (BOTH LAUGH) - (ELEVATOR BELL DINGS) What's going on? Incoming multi-vehicle accident.
A dozen cars, two dead on scene.
- Let's get ready.
- (ALARM BLARING) 25-year-old male with blunt abdominal trauma.
BP 92/62, pulse 110.
Laceration of the left forearm, - bleeding controlled.
- What's he have? Two liters normal saline.
- Let's get him in Bay Three.
- This is so intense.
67-year-old male with burns on his face, arms, chest and legs.
BP 100/60, - pulse 120.
- My car caught on fire.
- I tried to get out, but - Easy, easy.
Don't talk.
We're gonna take care of you.
That man saved my life.
It's Cain.
- Go, I got this.
- Dr.
Cain.
48-year-old male.
Ambulance versus pedestrian, with right shoulder pain.
BP 110/80.
Heart rate 120.
I hear you're a hero, saved one of the victims.
No good deed goes unpunished.
Just came out of nowhere.
All right.
- On your count.
- All right, we're good one, two, three.
Aah! (EXHALES) Get the ultrasound.
Yeah, we know the protocol.
Clear breath sounds bilaterally.
My airways are fine.
See any free fluid? Negative.
Pupils are equal, round and reactive to light.
Touch your fingers together.
Now grab my fingers.
Squeeze, squeeze, squeeze.
Grip strength five out of five and symmetric bilaterally.
Does this feel the same as this? Again.
This.
This.
Cain? Get me to CT.
(MACHINE WHIRRING) (MACHINE BLIPPING) Talk to me.
Not each other.
I'm the patient.
I'm right here.
Dr.
Cain, put down the tablet.
You shouldn't move.
It could exacerbate your injuries.
Scapulothoracic dissociation.
My arm must've been yanked with significant force, ripping the scapula from my thoracic cage.
Tearing the nerves in my brachial plexus.
Can't close my hand.
Can't touch my fingers together.
He's gonna need surgery if he ever wants to operate again.
That is a complex procedure, even for the best orthopedic surgeon.
Page Dr.
Voss.
Hey.
Well, that was certainly a hot mess.
- You heard about Cain? - Yeah.
How is he? In imaging.
He may be seriously injured.
Well, nobody deserves that.
Listen.
I saw Yorn.
And? Did he say why he hasn't hired a CEO? They're selling the hospital.
God.
Uh, is there a buyer? I mean, Red Rock's been a disaster.
I-I don't know, but any big corporation's gonna put profits over patients.
You think we're better off with the devil we know? I need to show Yorn that Chastain is worth a hell of a lot more than he thinks it is.
You have a rather unsettling sparkle in your eye.
I'm guessing you have a plan.
Oh, Randolph.
I don't like this.
Look, we need to show Red Rock that we can remedy our anemic bottom line or it's over.
And filming a segment highlighting Chastain's value to the community is the quickest and best way to get rich people to write checks and sick people to flock to us.
Surgeries have complications.
Things can go wrong.
- Worse than they have already? - (PAGER VIBRATES) It's Cain.
Don't do anything crazy.
And let's keep Red Rock's plans to ourselves.
The last thing we need to do is panic the staff.
Mm.
Really? (CHUCKLES) Come on.
- Ready? - Mm, no.
Too bad.
(WINCES) Mm, maybe I should've married a nurse.
(CHUCKLES) Here.
- I won't quit my day job.
- (MOANS) We'll know soon.
Now all we do is wait.
Hey, Doc, how long do I have to be like this? Mr.
McCloud, your condition is critical.
- We need to discuss it.
- (LAUGHS) I know I look like a burrito, but it can't be that bad.
I can't even feel any pain.
The fire destroyed your pain receptors.
And we're gonna give you fluids to make you feel comfortable.
- But that's all we can offer you.
- Wait a minute.
What are you telling me? (EXHALES) You might not survive this.
Is there someone we can call to be with you? I saw that your daughter was on your emergency contact list.
No.
No.
I don't want Ariana to remember me like this.
You shouldn't be alone.
And I'm sure that your daughter wants to see you.
My daughter and I she we don't talk much.
There have been problems.
When I was growing up, my father was always driving his cab.
Nights, weekends, birthdays, you name it.
Then there was this one day that I asked to ride along.
We drove all night.
He let me sit up front, he even taught me how to spot a fake 20.
And then we just started talking.
He spoke to me about India, what it was like immigrating to Queens.
Starting a family.
We never talked like that again.
When he died, I didn't even get to say goodbye.
What I would do for just one more day, one more ride, one more talk with my dad.
My point is that maybe your daughter would feel the same.
You don't know our story.
It's our story.
It's not yours.
Just be my doctor, and try and get me through this.
Okay.
C-spine is cleared.
I know what you're thinking.
(GRUNTS) That this is karma, the accident.
The sooner we operate, the better chance you have to restore your hand function.
That's what I'm thinking.
I assume you'll be accessing my brachial plexus - from my neck? - Yes.
Once I have, we'll decide on the best approach to reattach your scapula to your thoracic cage and perform a nerve repair.
I want my surgical residents to observe you in the OR.
You don't trust me.
Fine.
There are other orthopedic surgeons here.
No, no, I want you.
You're the best.
But I nearly killed your son-in-law.
Yes, you did.
And now I'm gonna try and save your surgical career.
(MONITOR BEEPING RAPIDLY) His neck veins are distended.
Heart sounds are faint.
That combined with your low blood pressure and tachycardia Beck's triad.
Which means I have bigger problems than just my hands.
I have to tell you something, otherwise I'm going to explode, but you can't get mushy, and have to agree this conversation never happened.
Okay.
I'm seeing someone.
He works here.
(LAUGHS) Well, it's about damn time.
Who else knows? Just you and AJ's cats.
Oh, my God, I have so many questions.
- When did it start? - First kiss, your wedding.
First hookup, shortly after that.
First fight, here.
Now you're caught up.
Wow, you're terrible at this.
I don't know what else to tell you.
He and I are totally on the same page.
Most of the time.
But that's another story.
- Now we have ground rules.
- Mm.
- I know all about the ground rules.
- Exactly.
I had to tell someone, and obviously that someone was you.
(LAUGHS) I'm so happy for you.
Thank you.
Wait.
Where are you going? (EXHALES) TERRY: Man or woman is fine.
They just they need a face for camera, okay? I'm not looking for a supermodel, just - someone to share the frame with you.
- I get it, I get it, a face - for camera.
- And a nice, safe surgery.
Okay? Nothing too messy.
Or or sad.
- A quick fix with a "ring the Bell" ending.
- Nice and safe does not make for impactful television.
- We have to take a risk here, Terry.
- Okay.
Okay.
A small risk.
On a charismatic patient.
(TAPPING KEYBOARD) (CHUCKLES) Bingo.
You look familiar.
Are you one of those dancing doctors on TikTok? BELL: Mr.
Mackey.
I'm Dr.
Bell, general surgeon here at Chastain.
I'll be operating with Dr.
Okafor today.
- Where's Dr.
Nolan? - There was a schedule change.
Let me get to the big question right at the top.
- Will I have a scar? - A small one.
A lot of my followers online are ladies, and, well, let's just say they don't follow me for my pithy captions.
- (BELL CHUCKLES) - They come for this.
And a handful of gents, too, if I'm being honest.
So I got to keep it looking prime time.
Well, Emmett, I'm not just a doctor here at Chastain.
I also host a TV show.
And I would like to do a feature on you.
We'd interview you and then film the surgery.
With your permission, of course.
I love it.
Have at it.
Exploit me.
(LAUGHS) WOMAN (OVER P.
A.
): CT, pick up line 2292.
CT, pick up extension 2292.
Why are there cameras here? I don't want to be filmed.
They can't film you without your consent.
Um, your chart said that you have rheumatoid arthritis.
Are you on any medications? Not anymore.
Nothing ever worked.
Hmm.
(EVA GROANS) (WHISPERS): Sorry.
- (PANTING) - Where you from? The Midwest.
Oh, my God.
No.
I'm on television.
Take out my IV.
No, we're still waiting on your lab results.
Hey, don't do that.
Hey! - (GROANS) - We need some help over here! Yep, just as expected.
The fluid around your heart is preventing it from pumping properly.
You know I'm a doctor, too, right? Your pericardial effusion is growing and causing tamponade.
Why didn't you catch this earlier? When I did your initial FAST exam in the ER, it wasn't there, which means two hours ago, you couldn't even see it.
- So now you drain it.
- KIT: Yes.
But you might have a cardiac or aortic injury that needs repair.
My hands are the painfully obvious priority here.
Heart before hands, I'm afraid.
How long until I can operate? Just enough time for me to perform a pericardiocentesis and drain.
Then he's all yours.
Okay.
This is Eva.
She tried to run when she saw herself on TV.
Any explanation? She's still in Bay One refusing to answer any questions.
I mean, she understands that she needs to stay, but she's still visibly shaken.
Head CT's negative.
But the labs show she's in renal failure.
Spiking a fever.
I'll send for a new set of labs, but we're definitely missing something.
I'll try her emergency contact, see if they can help us figure out what's going on here.
Any news on that other blood test? The important one to us? (WHISPERS): Still waiting.
Hi.
This is Dr.
Hawkins at Chastain Park Memorial.
I'm calling about Eva Wolman.
We just admitted her.
That's correct.
Okay.
I understand.
Thank you.
The number Eva listed belongs to an FBI agent.
He's on his way.
He says we need to secure her area.
No visitors.
Direct medical personnel.
I'm guessing she's in some sort of witness protection program.
Okay, well, then we should get her a guard and a private room.
- I'll call security.
- If someone wanted to hurt Eva, now they know where to find her.
All right, fluid has drained from your heart.
Confirm with echo.
AUSTIN: Hmm.
Ham and cheese crepe.
I was in the cafeteria, dining on that savory galette when they told me Chastain's next recruit was the Barrett Cain.
The food wasn't inspiring, but the name was.
Why? Come on, man.
Another surgical god under the same roof? And a brother at that.
I had hoped for a colleague, a comrade.
But, brother, you have managed to alienate every single doctor in this hospital.
And even still, I have my instincts.
That hope I felt is still very much alive.
We know traumatic events like this can have a profound impact on one's constitution.
You know? So maybe you come out on the other side of this, surgical gifts intact with a different outlook on life.
Are you testifying against me in the Mullins lawsuit? You're too proud not to tell me if it was you.
So who is it? I will tell them to prep the OR.
So, how soon can we transfer her? We don't know.
What do you mean you don't know? We're trying to figure out what's wrong with her.
Eva wasn't severely injured in the crash and yet her organs are failing.
We need to figure out what's going on with her.
We pulled this from your cameras.
This guy approached the front desk looking for her room number.
When they asked his name, he disappeared.
Let's notify Chastain tell them to report but not engage him.
Should assume he's dangerous.
How much danger is she in? She testified against some powerful people.
That's all I can say.
So figure out what's wrong with her, 'cause she's not safe here.
Emmett's crits are drifting down.
He may have a bleed from his spleen or liver.
Surgery is risky, with the potential for complications.
- Agreed.
- So filming it is unethical.
The patient consented.
Just because he said yes doesn't make it right.
I think we should attempt this laparoscopically.
We need to be focused on what happens in the OR.
Our minds should be fully on Emmett, - not on cameras, which could - My mind is exactly where it needs to be.
- You don't understand - No, I understand.
They took your face off the building, so you had to find some other place to put it.
I'm a surgeon first.
Mm.
Not today.
(FOOTSTEPS APPROACHING) Good news.
Your labs are improving.
MAN (OVER P.
A.
): Available RN to Surgical.
That looks painful.
Must have been from the accident.
I've always bruised easily.
No, no, it's okay.
It's okay, it's okay.
I just wanna see her.
It's all right.
I won't let him hurt you.
He's not here to hurt me.
I'm the one who hurt him.
I think it would be good for them to talk to each other, under supervision.
Eva's very happy to see him.
Says they've known each other their entire lives.
That doesn't mean he's not a threat.
Until we complete a full background check on this guy, we keep them separate.
Understood? Okay, yeah.
Fair enough.
- I'll talk to her.
- Mm.
I was moonlighting at this little dive bar down on Park Street, and, uh one day, she walked in.
(CHUCKLES SOFTLY) She looked at me, and we basically had our first date right then and there.
(CHUCKLES) Only a few months in, we were already talking about marriage.
I wanted a summer wedding.
Eva hates the cold.
So much that I-I had to get rid of my Bobcats season tickets.
That's how much she hates it.
He stopped going to hockey games.
That's how much he loved me.
(CHUCKLES) And then, one day, she was gone.
No calls.
Nothing.
She wouldn't return my messages.
My friends all said that I had moved too fast and I spooked her, that she ghosted me.
But that didn't make any sense, 'cause we were good together.
My sister lives in Atlanta.
So when she texted me and said that she saw Eva on TV, I just got on the next flight here.
Even if she never wanted to see me again, I needed to know why.
I couldn't tell him why.
I blew the whistle at the firm where I worked.
Insider trading.
My words sent guys to prison.
FBI said I had to go into witness protection, and I didn't want to bring Darren into that.
I've been where you are.
I was a whistleblower.
Yeah.
And I was afraid that doing the right thing would hurt someone I love.
So, I know the pain that comes with that.
I didn't want to hurt him.
I still don't.
But I still think about him.
You could tell him that.
- (GROANS SOFTLY) - (LAUGHS) (SNIFFLES) - Might give you closure.
- (CHUCKLES) Closure.
Yeah.
That could be good for both of us.
(INHALES SHARPLY) - (SLURRING): Could you - Eva.
Eva.
Eva.
Squeeze my fingers.
Squeeze my fingers.
Call a code stroke! (PHONE VIBRATES) What? What is it? I'm sorry.
It's an emergency.
I have to go.
TERRY: Wide we want to feel the whole room.
Get all the toys, everything that's Soon as they land, tight on Bell.
Get a few shots of the surgery, but I don't want to see too much mess.
You, I don't want Hope it's more fun being on your show than it is watching it.
You've seen it? Once.
While folding laundry.
You oversimplify science.
You referred to a minor study as "evidence".
And now you're bringing your entourage into the OR.
Also, you wear too much makeup.
(MONITORS BEEPING) His pressure's plummeting, heart rate's rising.
- He must be bleeding out.
- We got to move.
(MONITOR FLATLINING) (SIGHS DEEPLY) Hey.
You okay? Yeah.
I lost a patient.
It was expected, but still Is the family here? I'll notify them for you.
- There's no one.
- (PHONE VIBRATES) He died alone.
Sorry.
Losing someone's never easy.
I tried to get him to call his daughter, talk to her one last time, but I'll get someone to cover for you.
No.
I'm okay.
I just need a minute.
When do we expect Dr.
Voss? She's late.
She must be wrapping up her last surgery.
Cain's already under.
He always lets us start without him.
DAVIS: He used to say, "How else will we learn? Closed eyes mean cut away.
No need to wait for the attending".
NELSON: I need the practice.
10-blade to me.
Oh, crap.
He's awake! Up his sedation! (GASPS) Dr.
Cain! (ALERT BLARING) (GRUNTS) Dr.
Cain, please (MONITOR BEEPING STEADILY) 10-blade to me.
Uh, Dr.
Bell? A little camera right, please.
Perfect.
(MONITORS BEEPING) Spleen is dry.
We should have done an ex-lap.
The source of the bleed must be coming from the liver lac.
Is it coming from the arteries or the vein? I still I can't see a thing.
He's gonna bottom out soon.
Let's try the Pringle maneuver.
(BEEPING CONTINUES) MAN (OVER P.
A.
): Transition team to OR Four.
Transition team How is she? I wish we had better news.
Eva had a mild stroke.
Are you saying she could die? We're monitoring her.
I finally find her after all this time, and now this? We're doing everything we can, Darren.
But we need your help.
I don't understand.
We don't know Eva, but you do.
Is there anything about her medical history that you could tell us? Something that could help us figure this out.
Anything out of the ordinary? I-I-I'm sorry.
Nothing's coming to mind, no.
You know, when you love someone, we dismiss certain things.
Certain quirks become normal.
Yeah.
What about those types of things? Yeah, yeah.
She used to, uh, try to hide her stress.
Um, especially during midterms or finals.
Not many people could tell, but I knew.
(EXHALES) She used to talk in her sleep.
Sometimes it was creepy, but most of the time, it was pretty hilarious.
And she would eat, uh, odd foods at weird times.
And she would break out in this, um, purple rash every once in a while.
But I'm only remembering that 'cause she was so self-conscious of it.
Did this rash look like a bruise? U-Uh, yeah.
Sort of.
And would it come at a certain time of year? - Now that you mention it, yeah.
- In the winter.
Purpuric lesions.
Renal failure.
Fever.
Combine that with her diagnosis of rheumatoid arthritis (EXHALES) NIC: Eva, you have a condition called cryoglobulinemia.
It's rare and can be mistaken for rheumatoid arthritis.
And it's why your meds never helped.
And why you always hated the cold.
Cryoglobulins are proteins in your blood.
They clump together during the cold, get trapped in your blood vessels, like a like a traffic jam.
And why am I so sick now? It was cold outside during the accident - and you weren't kept warm.
- And the nurse turned the temperature down in your room because of your fever.
And this rash is it's actually called "purpura".
And it's due to the cryoglobulins clumping in the vessels in your skin.
And they're doing the same thing in your brain, which is why you had a mild stroke.
But now we can treat you.
CONRAD: We're just gonna get this blood to the lab, confirm it.
(INHALES) We'll be right back.
(MONITORS BEEPING RAPIDLY) Who told you to start without me? We always start without Dr.
Cain, so Well, this is my OR.
And in my OR, residents never cut unsupervised.
You should have waited.
Step aside.
- (ALARM BEEPING) - O2 sats and BP are falling.
- What the hell did you do? - We just started the dissection.
It was going perfectly.
Well, this situation says otherwise.
You went too deep and punctured Cain's pleural cavity.
We need thoracic.
Page Dr.
Austin.
(MONITOR BEEPING) I still don't have source control.
Activate massive transfusion protocol.
- Get the cameras out of here.
- Just keep rolling.
- Don't stop shooting.
- BELL: We got this.
Converting to open.
Hold down on the liver.
MINA: What next? Partial hepatectomy.
Resecting a part of his liver could cause more bleeding.
He's already lost half his volume.
He can't afford to lose more.
It's a risk we have to take, and we've got to be perfect.
Retractors.
BELL: Stapler.
Blue load.
There it is.
- Hepatic vein bleeding.
- Right angle to me.
One more staple.
Blue load.
MINA: Ligating the vein.
(STAPLER CLACKING) (MONITOR CHIRPS) Bleeding stopped.
Call down to the blood bank for more blood products.
More suction.
All right, Kit, lay it on me.
KIT: Tension pneumothorax.
We decompressed it, but now he needs a chest tube and a vessel repair.
Which one of you neophytes punctured Cain's lung? I need a chest tube.
Scalpel.
- How's the view? - Better.
I found the bleeder.
(MONITOR BEEPING) AUSTIN: All right, normally, this is the part of the story where he stabilizes.
Then why the hell hasn't he? What is this, Bikram ICU? It's hot in here, even for me.
Well, we have to keep you warm so this machine can remove the abnormal protein from your blood.
You're gonna make a full recovery.
And now that you have a proper diagnosis, you're gonna feel better than ever.
Thank you.
(FOOTSTEPS APPROACHING) - Hi.
- DARREN: Hey.
So, on a scale from one to ten, how, um, upset/angry are you? At the moment, I'm just glad you're okay.
I owe you a long explanation and I really missed you.
I guess I thought about you a little bit, too.
(BOTH LAUGH) Eva I got a job that I hate and a special-needs bulldog that I love.
Would it be crazy if we came with you this time? Darren, this isn't a decision you make in a moment.
Trust me.
I've lived it.
You have to be sure.
I would love for us to be together again, but I understand if you can't do this.
Don't try to talk me out of it.
I'm sure.
(BOTH CHUCKLE SOFTLY) (BOTH LAUGHING) - That's Mr.
McCloud's daughter.
- (CRYING) He called her before he died, but she came too late to see him.
- Thanks.
- Yeah.
(KNOCKS) Hi, I'm Dr.
Pravesh.
I treated your father.
I'm I'm sorry.
If it helps, he wasn't in any pain.
I wanted to see him.
(SNIFFLES) It had been too long.
I thought there was time.
At least he called me.
We got to talk for a bit.
I got to apologize.
(SNIFFLES) I'm s I'm so glad he reached you.
And I'm so grateful to you.
He said you convinced him to call.
We always think there's so much more time, and then something happens out of the blue.
(ARIANA CRYING) I'm so sorry for your loss.
I'll send one of our counselors to come talk to you.
Thank you.
Well, as you've seen, medicine is unpredictable.
No matter how much you prepare, the human body is full of surprises.
How you feeling? Warm.
Tingly.
Like I could hug you.
(CHUCKLES) Well, that could be the pain meds.
What's your handle? For Twitter.
- Insta.
- I So I can follow you.
I don't do that.
(CHUCKLES) Give me your phone.
(BELL CLEARS THROAT) Well, I guess I'll be doing that.
Every day, patients walk through the doors of Chastain with different needs, and our staff is ready.
Our doctors and nurses work tirelessly.
They care deeply.
Sacrifice willingly.
This hospital is a cornerstone of this community and a center for medical innovation, and that's why I'm so proud to call Chastain Park Memorial home.
And cut! Fantastic.
We got it, Dr.
Bell.
- All right? - TERRY: Yeah.
Hey, thanks, Randolph.
You were right.
This was a smart play.
Thanks.
Bet you're glad the circus is leaving town.
I was wrong.
You didn't bring the cameras here for you.
You're trying to help Chastain.
How bad is it? Bad.
You're not the only one who loves this place.
So, what can we do? What happened in there? Cardiac tamponade.
I thought he had a pericardial drain in place.
Yeah, he did.
And it clotted.
By the time I cracked his chest and got him on bypass, 15 minutes went by.
Even with cardiac massage, there's no way to know if his brain was adequately perfused for those 15 minutes.
But we do know we don't want survival for survival's sake.
We want our patients to be more than just a body in a bed.
No matter who it is.
And his hands? KIT: We'll have to wait to do his brachial plexus repair - when he's stabilized.
- (PAGER VIBRATING) Yeah.
That's if he wakes up.
I got to go.
Keep me posted.
CONRAD: Can we agree that if one of us goes into witness protection, we both do? Yep, definitely.
With our chickens.
- We got to raise them right.
- (LAUGHING) Now that we're clear on that Are the results in? Just a click away.
I may have already ordered a case of nonalcoholic sparkling cider for you.
And a few other things.
Like what? Prenatal vitamins.
Pregnancy pillows.
(CHUCKLES): What? - Support bands.
- Wow.
- Oils for your stomach.
A heat wrap for your back.
- Conrad.
- (LAUGHS) - And a foot massager.
I know, I jumped the gun just a little bit, but I may have bought some oils, too.
- Huh.
- And some leggings.
Lots of leggings.
Oh.
(CHUCKLES) I think we're ready.
Let's do it.
(SIGHS) (CHUCKLES SOFTLY) It's official.
(INHALES) It's official.
(LAUGHS) Aw.
Now, that is the only face I want to see after the day I had.
Our rule was no physical contact inside the hospital.
Yeah, I don't think we ever locked that one down completely.
Besides, you know rules are always subject to revision.
- Mm-mm.
- No? Moot, as we're not - inside.
- Mm-hmm.
You okay? Yeah.
But there's something about Chastain you should know.
There's something I have to tell you.
I'm pregnant.
Oh, my God, you're gonna be the best mother ever.
Listen, I'm sorry you got the cold shoulder all day.
KIT: All will be forgiven if you answer one question.
Who's replacing Logan Kim as CEO? Chastain isn't getting a new CEO.
I don't understand.
Someone has to be in charge.
Who's gonna run the hospital? MINA: Ben Mullins has a clotting disorder that is threatening his heart, lungs and now his brain.
This is your fault.
This is on you.
No, it's on the patient, who was advised of the risks.
Mm-hmm, deny it all you want.
But you will be held responsible for this.
His prognosis is good.
(SIGHS) Dr.
Cain said the same thing.
We are indebted to him.
Mrs.
Mullins, there's something you should know.
Don't know what I'm running from - (PHONE RINGS) - What's up? LAWYER: I have bad news.
The guy who got COVID in your OR is suing you.
Well, that's too bad it's my word against his.
No, not this time.
One of your colleagues at Chastain is testifying against you.
Find out who it is.
I'll see what I can do.
Just don't talk to anyone at the hospital about this.
- (CAR ALARM BLARING) - There's an accident.
(FLAMES ROARING) (GLASS SHATTERS) WOMAN: Help! (SOBBING): Help! Help! Please open the door.
(GASPING) Oh, my God.
(WHIMPERING) It'll be okay.
(WOMAN SPEAKS INDISTINCTLY) CAIN: Get out of the road! Get out Get out of the road! - (SIREN WAILING) - (CRASHING) ASSOCIATE: Mr.
Yorn? Dr.
Bell.
Thank you.
Dr.
Bell, come on in.
(EXHALES SHARPLY) Check this out.
EKO composite barrel.
Feel this thing.
- Wow.
- (CHUCKLES): Yeah.
It's for my son.
That's him right here.
He's got a hell of a swing.
Little man's living his best life.
- You got any rug rats? - Uh, no.
Yeah, you don't know what you're missing.
So, listen, uh, I caught your show.
Um, not for me.
Numbers are pretty good though.
Well, I'll get right to it.
I spoke to Dr.
Voss and I know that you're I haven't hired a new CEO for Chastain.
You're here because you want the job back.
No (LAUGHS) No, not at all, but I do want to see the chair filled with someone who can put Chastain back on its feet and overcome the losses we suffered during COVID, so I'm offering to help you in that search.
I'm sorry you came all this way for nothing.
Excuse me? We have no need for a new CEO.
Not now.
Not ever.
You're selling the hospital? Yeah, Red Rock doesn't throw good money after bad.
Hey maybe someone else will.
Mina? We need to talk.
You didn't seem to want to talk when we woke up this morning.
(SIGHS) All right, listen.
We are both passionate and opinionated people.
Inside and outside of the operating room.
- So we need ground rules.
- Exactly.
Inside these walls, we keep it strictly professional at all times.
Agreed, no physical contact of any kind.
Well, we can table that part of the discussion for later.
But for now, in general, it's understood that we will not always agree.
Like your choice of OR music? A bypass should never be performed to the blues.
Or your choice of furosemide drip over boluses.
It's the only way to diurese.
Why you choose interrupted suture for skin closure is beyond me.
Or how you told Mrs.
Mullins that Cain lied to her.
Mina.
I'm giving Barrett a chance to see if he can redeem himself.
I'm not gonna hold my breath for that.
I'm not asking you to.
But I am asking you to remember that I am still your attending.
Well, there's just one more ground rule.
This lounge (CLEARS THROAT) It is the residents' lounge.
Just because you are dating a resident does not mean you have access.
Oh, really? So it's like that, huh? (WHISPERS): Yeah, it's like that.
I never really liked the coffee in here anyway.
(DOOR OPENS) (SIGHS) Hey.
Paged to the ER? Yeah.
- (ELEVATOR BELL DINGS) - Me, too.
You okay? Yeah, just in my head.
Those home pregnancy tests are 99% accurate.
I know, I just, I don't, I don't feel any different.
I'm not tired, I'm not nauseous.
You want to do a blood test so we're not guessing? I want to know for sure.
Today.
Without anyone else finding out.
- (BOTH LAUGH) - (ELEVATOR BELL DINGS) What's going on? Incoming multi-vehicle accident.
A dozen cars, two dead on scene.
- Let's get ready.
- (ALARM BLARING) 25-year-old male with blunt abdominal trauma.
BP 92/62, pulse 110.
Laceration of the left forearm, - bleeding controlled.
- What's he have? Two liters normal saline.
- Let's get him in Bay Three.
- This is so intense.
67-year-old male with burns on his face, arms, chest and legs.
BP 100/60, - pulse 120.
- My car caught on fire.
- I tried to get out, but - Easy, easy.
Don't talk.
We're gonna take care of you.
That man saved my life.
It's Cain.
- Go, I got this.
- Dr.
Cain.
48-year-old male.
Ambulance versus pedestrian, with right shoulder pain.
BP 110/80.
Heart rate 120.
I hear you're a hero, saved one of the victims.
No good deed goes unpunished.
Just came out of nowhere.
All right.
- On your count.
- All right, we're good one, two, three.
Aah! (EXHALES) Get the ultrasound.
Yeah, we know the protocol.
Clear breath sounds bilaterally.
My airways are fine.
See any free fluid? Negative.
Pupils are equal, round and reactive to light.
Touch your fingers together.
Now grab my fingers.
Squeeze, squeeze, squeeze.
Grip strength five out of five and symmetric bilaterally.
Does this feel the same as this? Again.
This.
This.
Cain? Get me to CT.
(MACHINE WHIRRING) (MACHINE BLIPPING) Talk to me.
Not each other.
I'm the patient.
I'm right here.
Dr.
Cain, put down the tablet.
You shouldn't move.
It could exacerbate your injuries.
Scapulothoracic dissociation.
My arm must've been yanked with significant force, ripping the scapula from my thoracic cage.
Tearing the nerves in my brachial plexus.
Can't close my hand.
Can't touch my fingers together.
He's gonna need surgery if he ever wants to operate again.
That is a complex procedure, even for the best orthopedic surgeon.
Page Dr.
Voss.
Hey.
Well, that was certainly a hot mess.
- You heard about Cain? - Yeah.
How is he? In imaging.
He may be seriously injured.
Well, nobody deserves that.
Listen.
I saw Yorn.
And? Did he say why he hasn't hired a CEO? They're selling the hospital.
God.
Uh, is there a buyer? I mean, Red Rock's been a disaster.
I-I don't know, but any big corporation's gonna put profits over patients.
You think we're better off with the devil we know? I need to show Yorn that Chastain is worth a hell of a lot more than he thinks it is.
You have a rather unsettling sparkle in your eye.
I'm guessing you have a plan.
Oh, Randolph.
I don't like this.
Look, we need to show Red Rock that we can remedy our anemic bottom line or it's over.
And filming a segment highlighting Chastain's value to the community is the quickest and best way to get rich people to write checks and sick people to flock to us.
Surgeries have complications.
Things can go wrong.
- Worse than they have already? - (PAGER VIBRATES) It's Cain.
Don't do anything crazy.
And let's keep Red Rock's plans to ourselves.
The last thing we need to do is panic the staff.
Mm.
Really? (CHUCKLES) Come on.
- Ready? - Mm, no.
Too bad.
(WINCES) Mm, maybe I should've married a nurse.
(CHUCKLES) Here.
- I won't quit my day job.
- (MOANS) We'll know soon.
Now all we do is wait.
Hey, Doc, how long do I have to be like this? Mr.
McCloud, your condition is critical.
- We need to discuss it.
- (LAUGHS) I know I look like a burrito, but it can't be that bad.
I can't even feel any pain.
The fire destroyed your pain receptors.
And we're gonna give you fluids to make you feel comfortable.
- But that's all we can offer you.
- Wait a minute.
What are you telling me? (EXHALES) You might not survive this.
Is there someone we can call to be with you? I saw that your daughter was on your emergency contact list.
No.
No.
I don't want Ariana to remember me like this.
You shouldn't be alone.
And I'm sure that your daughter wants to see you.
My daughter and I she we don't talk much.
There have been problems.
When I was growing up, my father was always driving his cab.
Nights, weekends, birthdays, you name it.
Then there was this one day that I asked to ride along.
We drove all night.
He let me sit up front, he even taught me how to spot a fake 20.
And then we just started talking.
He spoke to me about India, what it was like immigrating to Queens.
Starting a family.
We never talked like that again.
When he died, I didn't even get to say goodbye.
What I would do for just one more day, one more ride, one more talk with my dad.
My point is that maybe your daughter would feel the same.
You don't know our story.
It's our story.
It's not yours.
Just be my doctor, and try and get me through this.
Okay.
C-spine is cleared.
I know what you're thinking.
(GRUNTS) That this is karma, the accident.
The sooner we operate, the better chance you have to restore your hand function.
That's what I'm thinking.
I assume you'll be accessing my brachial plexus - from my neck? - Yes.
Once I have, we'll decide on the best approach to reattach your scapula to your thoracic cage and perform a nerve repair.
I want my surgical residents to observe you in the OR.
You don't trust me.
Fine.
There are other orthopedic surgeons here.
No, no, I want you.
You're the best.
But I nearly killed your son-in-law.
Yes, you did.
And now I'm gonna try and save your surgical career.
(MONITOR BEEPING RAPIDLY) His neck veins are distended.
Heart sounds are faint.
That combined with your low blood pressure and tachycardia Beck's triad.
Which means I have bigger problems than just my hands.
I have to tell you something, otherwise I'm going to explode, but you can't get mushy, and have to agree this conversation never happened.
Okay.
I'm seeing someone.
He works here.
(LAUGHS) Well, it's about damn time.
Who else knows? Just you and AJ's cats.
Oh, my God, I have so many questions.
- When did it start? - First kiss, your wedding.
First hookup, shortly after that.
First fight, here.
Now you're caught up.
Wow, you're terrible at this.
I don't know what else to tell you.
He and I are totally on the same page.
Most of the time.
But that's another story.
- Now we have ground rules.
- Mm.
- I know all about the ground rules.
- Exactly.
I had to tell someone, and obviously that someone was you.
(LAUGHS) I'm so happy for you.
Thank you.
Wait.
Where are you going? (EXHALES) TERRY: Man or woman is fine.
They just they need a face for camera, okay? I'm not looking for a supermodel, just - someone to share the frame with you.
- I get it, I get it, a face - for camera.
- And a nice, safe surgery.
Okay? Nothing too messy.
Or or sad.
- A quick fix with a "ring the Bell" ending.
- Nice and safe does not make for impactful television.
- We have to take a risk here, Terry.
- Okay.
Okay.
A small risk.
On a charismatic patient.
(TAPPING KEYBOARD) (CHUCKLES) Bingo.
You look familiar.
Are you one of those dancing doctors on TikTok? BELL: Mr.
Mackey.
I'm Dr.
Bell, general surgeon here at Chastain.
I'll be operating with Dr.
Okafor today.
- Where's Dr.
Nolan? - There was a schedule change.
Let me get to the big question right at the top.
- Will I have a scar? - A small one.
A lot of my followers online are ladies, and, well, let's just say they don't follow me for my pithy captions.
- (BELL CHUCKLES) - They come for this.
And a handful of gents, too, if I'm being honest.
So I got to keep it looking prime time.
Well, Emmett, I'm not just a doctor here at Chastain.
I also host a TV show.
And I would like to do a feature on you.
We'd interview you and then film the surgery.
With your permission, of course.
I love it.
Have at it.
Exploit me.
(LAUGHS) WOMAN (OVER P.
A.
): CT, pick up line 2292.
CT, pick up extension 2292.
Why are there cameras here? I don't want to be filmed.
They can't film you without your consent.
Um, your chart said that you have rheumatoid arthritis.
Are you on any medications? Not anymore.
Nothing ever worked.
Hmm.
(EVA GROANS) (WHISPERS): Sorry.
- (PANTING) - Where you from? The Midwest.
Oh, my God.
No.
I'm on television.
Take out my IV.
No, we're still waiting on your lab results.
Hey, don't do that.
Hey! - (GROANS) - We need some help over here! Yep, just as expected.
The fluid around your heart is preventing it from pumping properly.
You know I'm a doctor, too, right? Your pericardial effusion is growing and causing tamponade.
Why didn't you catch this earlier? When I did your initial FAST exam in the ER, it wasn't there, which means two hours ago, you couldn't even see it.
- So now you drain it.
- KIT: Yes.
But you might have a cardiac or aortic injury that needs repair.
My hands are the painfully obvious priority here.
Heart before hands, I'm afraid.
How long until I can operate? Just enough time for me to perform a pericardiocentesis and drain.
Then he's all yours.
Okay.
This is Eva.
She tried to run when she saw herself on TV.
Any explanation? She's still in Bay One refusing to answer any questions.
I mean, she understands that she needs to stay, but she's still visibly shaken.
Head CT's negative.
But the labs show she's in renal failure.
Spiking a fever.
I'll send for a new set of labs, but we're definitely missing something.
I'll try her emergency contact, see if they can help us figure out what's going on here.
Any news on that other blood test? The important one to us? (WHISPERS): Still waiting.
Hi.
This is Dr.
Hawkins at Chastain Park Memorial.
I'm calling about Eva Wolman.
We just admitted her.
That's correct.
Okay.
I understand.
Thank you.
The number Eva listed belongs to an FBI agent.
He's on his way.
He says we need to secure her area.
No visitors.
Direct medical personnel.
I'm guessing she's in some sort of witness protection program.
Okay, well, then we should get her a guard and a private room.
- I'll call security.
- If someone wanted to hurt Eva, now they know where to find her.
All right, fluid has drained from your heart.
Confirm with echo.
AUSTIN: Hmm.
Ham and cheese crepe.
I was in the cafeteria, dining on that savory galette when they told me Chastain's next recruit was the Barrett Cain.
The food wasn't inspiring, but the name was.
Why? Come on, man.
Another surgical god under the same roof? And a brother at that.
I had hoped for a colleague, a comrade.
But, brother, you have managed to alienate every single doctor in this hospital.
And even still, I have my instincts.
That hope I felt is still very much alive.
We know traumatic events like this can have a profound impact on one's constitution.
You know? So maybe you come out on the other side of this, surgical gifts intact with a different outlook on life.
Are you testifying against me in the Mullins lawsuit? You're too proud not to tell me if it was you.
So who is it? I will tell them to prep the OR.
So, how soon can we transfer her? We don't know.
What do you mean you don't know? We're trying to figure out what's wrong with her.
Eva wasn't severely injured in the crash and yet her organs are failing.
We need to figure out what's going on with her.
We pulled this from your cameras.
This guy approached the front desk looking for her room number.
When they asked his name, he disappeared.
Let's notify Chastain tell them to report but not engage him.
Should assume he's dangerous.
How much danger is she in? She testified against some powerful people.
That's all I can say.
So figure out what's wrong with her, 'cause she's not safe here.
Emmett's crits are drifting down.
He may have a bleed from his spleen or liver.
Surgery is risky, with the potential for complications.
- Agreed.
- So filming it is unethical.
The patient consented.
Just because he said yes doesn't make it right.
I think we should attempt this laparoscopically.
We need to be focused on what happens in the OR.
Our minds should be fully on Emmett, - not on cameras, which could - My mind is exactly where it needs to be.
- You don't understand - No, I understand.
They took your face off the building, so you had to find some other place to put it.
I'm a surgeon first.
Mm.
Not today.
(FOOTSTEPS APPROACHING) Good news.
Your labs are improving.
MAN (OVER P.
A.
): Available RN to Surgical.
That looks painful.
Must have been from the accident.
I've always bruised easily.
No, no, it's okay.
It's okay, it's okay.
I just wanna see her.
It's all right.
I won't let him hurt you.
He's not here to hurt me.
I'm the one who hurt him.
I think it would be good for them to talk to each other, under supervision.
Eva's very happy to see him.
Says they've known each other their entire lives.
That doesn't mean he's not a threat.
Until we complete a full background check on this guy, we keep them separate.
Understood? Okay, yeah.
Fair enough.
- I'll talk to her.
- Mm.
I was moonlighting at this little dive bar down on Park Street, and, uh one day, she walked in.
(CHUCKLES SOFTLY) She looked at me, and we basically had our first date right then and there.
(CHUCKLES) Only a few months in, we were already talking about marriage.
I wanted a summer wedding.
Eva hates the cold.
So much that I-I had to get rid of my Bobcats season tickets.
That's how much she hates it.
He stopped going to hockey games.
That's how much he loved me.
(CHUCKLES) And then, one day, she was gone.
No calls.
Nothing.
She wouldn't return my messages.
My friends all said that I had moved too fast and I spooked her, that she ghosted me.
But that didn't make any sense, 'cause we were good together.
My sister lives in Atlanta.
So when she texted me and said that she saw Eva on TV, I just got on the next flight here.
Even if she never wanted to see me again, I needed to know why.
I couldn't tell him why.
I blew the whistle at the firm where I worked.
Insider trading.
My words sent guys to prison.
FBI said I had to go into witness protection, and I didn't want to bring Darren into that.
I've been where you are.
I was a whistleblower.
Yeah.
And I was afraid that doing the right thing would hurt someone I love.
So, I know the pain that comes with that.
I didn't want to hurt him.
I still don't.
But I still think about him.
You could tell him that.
- (GROANS SOFTLY) - (LAUGHS) (SNIFFLES) - Might give you closure.
- (CHUCKLES) Closure.
Yeah.
That could be good for both of us.
(INHALES SHARPLY) - (SLURRING): Could you - Eva.
Eva.
Eva.
Squeeze my fingers.
Squeeze my fingers.
Call a code stroke! (PHONE VIBRATES) What? What is it? I'm sorry.
It's an emergency.
I have to go.
TERRY: Wide we want to feel the whole room.
Get all the toys, everything that's Soon as they land, tight on Bell.
Get a few shots of the surgery, but I don't want to see too much mess.
You, I don't want Hope it's more fun being on your show than it is watching it.
You've seen it? Once.
While folding laundry.
You oversimplify science.
You referred to a minor study as "evidence".
And now you're bringing your entourage into the OR.
Also, you wear too much makeup.
(MONITORS BEEPING) His pressure's plummeting, heart rate's rising.
- He must be bleeding out.
- We got to move.
(MONITOR FLATLINING) (SIGHS DEEPLY) Hey.
You okay? Yeah.
I lost a patient.
It was expected, but still Is the family here? I'll notify them for you.
- There's no one.
- (PHONE VIBRATES) He died alone.
Sorry.
Losing someone's never easy.
I tried to get him to call his daughter, talk to her one last time, but I'll get someone to cover for you.
No.
I'm okay.
I just need a minute.
When do we expect Dr.
Voss? She's late.
She must be wrapping up her last surgery.
Cain's already under.
He always lets us start without him.
DAVIS: He used to say, "How else will we learn? Closed eyes mean cut away.
No need to wait for the attending".
NELSON: I need the practice.
10-blade to me.
Oh, crap.
He's awake! Up his sedation! (GASPS) Dr.
Cain! (ALERT BLARING) (GRUNTS) Dr.
Cain, please (MONITOR BEEPING STEADILY) 10-blade to me.
Uh, Dr.
Bell? A little camera right, please.
Perfect.
(MONITORS BEEPING) Spleen is dry.
We should have done an ex-lap.
The source of the bleed must be coming from the liver lac.
Is it coming from the arteries or the vein? I still I can't see a thing.
He's gonna bottom out soon.
Let's try the Pringle maneuver.
(BEEPING CONTINUES) MAN (OVER P.
A.
): Transition team to OR Four.
Transition team How is she? I wish we had better news.
Eva had a mild stroke.
Are you saying she could die? We're monitoring her.
I finally find her after all this time, and now this? We're doing everything we can, Darren.
But we need your help.
I don't understand.
We don't know Eva, but you do.
Is there anything about her medical history that you could tell us? Something that could help us figure this out.
Anything out of the ordinary? I-I-I'm sorry.
Nothing's coming to mind, no.
You know, when you love someone, we dismiss certain things.
Certain quirks become normal.
Yeah.
What about those types of things? Yeah, yeah.
She used to, uh, try to hide her stress.
Um, especially during midterms or finals.
Not many people could tell, but I knew.
(EXHALES) She used to talk in her sleep.
Sometimes it was creepy, but most of the time, it was pretty hilarious.
And she would eat, uh, odd foods at weird times.
And she would break out in this, um, purple rash every once in a while.
But I'm only remembering that 'cause she was so self-conscious of it.
Did this rash look like a bruise? U-Uh, yeah.
Sort of.
And would it come at a certain time of year? - Now that you mention it, yeah.
- In the winter.
Purpuric lesions.
Renal failure.
Fever.
Combine that with her diagnosis of rheumatoid arthritis (EXHALES) NIC: Eva, you have a condition called cryoglobulinemia.
It's rare and can be mistaken for rheumatoid arthritis.
And it's why your meds never helped.
And why you always hated the cold.
Cryoglobulins are proteins in your blood.
They clump together during the cold, get trapped in your blood vessels, like a like a traffic jam.
And why am I so sick now? It was cold outside during the accident - and you weren't kept warm.
- And the nurse turned the temperature down in your room because of your fever.
And this rash is it's actually called "purpura".
And it's due to the cryoglobulins clumping in the vessels in your skin.
And they're doing the same thing in your brain, which is why you had a mild stroke.
But now we can treat you.
CONRAD: We're just gonna get this blood to the lab, confirm it.
(INHALES) We'll be right back.
(MONITORS BEEPING RAPIDLY) Who told you to start without me? We always start without Dr.
Cain, so Well, this is my OR.
And in my OR, residents never cut unsupervised.
You should have waited.
Step aside.
- (ALARM BEEPING) - O2 sats and BP are falling.
- What the hell did you do? - We just started the dissection.
It was going perfectly.
Well, this situation says otherwise.
You went too deep and punctured Cain's pleural cavity.
We need thoracic.
Page Dr.
Austin.
(MONITOR BEEPING) I still don't have source control.
Activate massive transfusion protocol.
- Get the cameras out of here.
- Just keep rolling.
- Don't stop shooting.
- BELL: We got this.
Converting to open.
Hold down on the liver.
MINA: What next? Partial hepatectomy.
Resecting a part of his liver could cause more bleeding.
He's already lost half his volume.
He can't afford to lose more.
It's a risk we have to take, and we've got to be perfect.
Retractors.
BELL: Stapler.
Blue load.
There it is.
- Hepatic vein bleeding.
- Right angle to me.
One more staple.
Blue load.
MINA: Ligating the vein.
(STAPLER CLACKING) (MONITOR CHIRPS) Bleeding stopped.
Call down to the blood bank for more blood products.
More suction.
All right, Kit, lay it on me.
KIT: Tension pneumothorax.
We decompressed it, but now he needs a chest tube and a vessel repair.
Which one of you neophytes punctured Cain's lung? I need a chest tube.
Scalpel.
- How's the view? - Better.
I found the bleeder.
(MONITOR BEEPING) AUSTIN: All right, normally, this is the part of the story where he stabilizes.
Then why the hell hasn't he? What is this, Bikram ICU? It's hot in here, even for me.
Well, we have to keep you warm so this machine can remove the abnormal protein from your blood.
You're gonna make a full recovery.
And now that you have a proper diagnosis, you're gonna feel better than ever.
Thank you.
(FOOTSTEPS APPROACHING) - Hi.
- DARREN: Hey.
So, on a scale from one to ten, how, um, upset/angry are you? At the moment, I'm just glad you're okay.
I owe you a long explanation and I really missed you.
I guess I thought about you a little bit, too.
(BOTH LAUGH) Eva I got a job that I hate and a special-needs bulldog that I love.
Would it be crazy if we came with you this time? Darren, this isn't a decision you make in a moment.
Trust me.
I've lived it.
You have to be sure.
I would love for us to be together again, but I understand if you can't do this.
Don't try to talk me out of it.
I'm sure.
(BOTH CHUCKLE SOFTLY) (BOTH LAUGHING) - That's Mr.
McCloud's daughter.
- (CRYING) He called her before he died, but she came too late to see him.
- Thanks.
- Yeah.
(KNOCKS) Hi, I'm Dr.
Pravesh.
I treated your father.
I'm I'm sorry.
If it helps, he wasn't in any pain.
I wanted to see him.
(SNIFFLES) It had been too long.
I thought there was time.
At least he called me.
We got to talk for a bit.
I got to apologize.
(SNIFFLES) I'm s I'm so glad he reached you.
And I'm so grateful to you.
He said you convinced him to call.
We always think there's so much more time, and then something happens out of the blue.
(ARIANA CRYING) I'm so sorry for your loss.
I'll send one of our counselors to come talk to you.
Thank you.
Well, as you've seen, medicine is unpredictable.
No matter how much you prepare, the human body is full of surprises.
How you feeling? Warm.
Tingly.
Like I could hug you.
(CHUCKLES) Well, that could be the pain meds.
What's your handle? For Twitter.
- Insta.
- I So I can follow you.
I don't do that.
(CHUCKLES) Give me your phone.
(BELL CLEARS THROAT) Well, I guess I'll be doing that.
Every day, patients walk through the doors of Chastain with different needs, and our staff is ready.
Our doctors and nurses work tirelessly.
They care deeply.
Sacrifice willingly.
This hospital is a cornerstone of this community and a center for medical innovation, and that's why I'm so proud to call Chastain Park Memorial home.
And cut! Fantastic.
We got it, Dr.
Bell.
- All right? - TERRY: Yeah.
Hey, thanks, Randolph.
You were right.
This was a smart play.
Thanks.
Bet you're glad the circus is leaving town.
I was wrong.
You didn't bring the cameras here for you.
You're trying to help Chastain.
How bad is it? Bad.
You're not the only one who loves this place.
So, what can we do? What happened in there? Cardiac tamponade.
I thought he had a pericardial drain in place.
Yeah, he did.
And it clotted.
By the time I cracked his chest and got him on bypass, 15 minutes went by.
Even with cardiac massage, there's no way to know if his brain was adequately perfused for those 15 minutes.
But we do know we don't want survival for survival's sake.
We want our patients to be more than just a body in a bed.
No matter who it is.
And his hands? KIT: We'll have to wait to do his brachial plexus repair - when he's stabilized.
- (PAGER VIBRATING) Yeah.
That's if he wakes up.
I got to go.
Keep me posted.
CONRAD: Can we agree that if one of us goes into witness protection, we both do? Yep, definitely.
With our chickens.
- We got to raise them right.
- (LAUGHING) Now that we're clear on that Are the results in? Just a click away.
I may have already ordered a case of nonalcoholic sparkling cider for you.
And a few other things.
Like what? Prenatal vitamins.
Pregnancy pillows.
(CHUCKLES): What? - Support bands.
- Wow.
- Oils for your stomach.
A heat wrap for your back.
- Conrad.
- (LAUGHS) - And a foot massager.
I know, I jumped the gun just a little bit, but I may have bought some oils, too.
- Huh.
- And some leggings.
Lots of leggings.
Oh.
(CHUCKLES) I think we're ready.
Let's do it.
(SIGHS) (CHUCKLES SOFTLY) It's official.
(INHALES) It's official.
(LAUGHS) Aw.
Now, that is the only face I want to see after the day I had.
Our rule was no physical contact inside the hospital.
Yeah, I don't think we ever locked that one down completely.
Besides, you know rules are always subject to revision.
- Mm-mm.
- No? Moot, as we're not - inside.
- Mm-hmm.
You okay? Yeah.
But there's something about Chastain you should know.