The Resident (2018) s06e09 Episode Script

1
Previously on The Resident
DR. PETROSIAN: Babies cry, Padma.
Just hold them as much as you can.
It's just hard, do you understand?
(CRYING)
This isn't about your
emotional fortitude.
It's about your MS.
The stress is bad for you.
The twins aren't even crawling,
and I'm terrified for them already.
Never truly realized how fragile
they are until I held my own
flesh and blood in my arms.
You know, you're not really
selling the parenthood
- thing here.
- Thank God I don't have twins.
That's not helping either, Hawkins.
(BOTH LAUGH)
("HIP HUG-HER" BY BOOKER T.
& THE M. G.'S PLAYING)
A little fuel to start the day.
- Ugh. Does it come in an IV?
- (CHUCKLES)
I was up all night.
Neighbor had a party.
Nothing like EDM blasting
through the walls to lull you to sleep.
- Who said I was trying to sleep?
- Hmm?
I got right in there and
taught those fools the wobble.
Hey
(LAUGHS)
CRICKET: Hello, I'm not ordering
French fries here.
Can I get some damn help?
What do we think, ATV accident
- or cow tipping gone wrong?
- Help, doctor.
Uh, $20 these two
make their own fireworks.
Thank you.
Hi, I'm Dr. Feldman.
This is Nurse Hundley.
- What happened?
- Uh, my buddy Wolf here
is in a little bit of pain, that's all.
Okay, we'll take care of him,
and your name?
- Cricket.
- All right, Wolf and Cricket.
(GRUNTS)
Let's get you checked out.
Don't need an exam.
(PANTING): Just
just something for the pain.
Hmm.
Well, I can't prescribe
any medication without a full exam.
So, where exactly is this pain?
WOLF: All over.
Looks like you've got some blood
on your arm.
Let us take a look.
(STAMMERS) He don't like to be touched.
Well, then we're not gonna get
very far today.
Told you. This was a bad idea.
Let's go somewhere else.
- Hold on
- Do not touch me!
Whoa, whoa, whoa.
What's going on here?
Well, they won't let us leave.
If you let us take a look at your arm,
we'll give you something for the pain.
All right.
Come on, take a seat.
Lie down.
(GRUNTS)
(WINCES)
CONRAD Ooh
That looks like it hurts.
- It does.
- CONRAD: Yeah?
Okay, what did this to you?
Nothing.
A cat.
Maine Coon. Big sucker.
- Must've been ginormous.
- Yes, sir.
40 pounder. We don't call her
Girlzilla for nothing.
- (SQUEALING)
- AUSTIN: Good morning.
The cavalry has arrived.
Hey, hey, little fellas.
Mama's getting you all
squeaky clean, huh?
- (SQUEALING)
- Trying.
I got them wristbands
because they're so hard to tell apart,
especially at this age.
Hey, I'll tag in.
I can't believe the sitter
bailed last-minute.
- Maybe I should stay home.
- AUSTIN: Hey.
No, that is nonsense, Padma.
You have been overwhelmed
for months, and you deserve
- the day off.
- (SQUEALING)
Thanks.
Oh, I just want to feel
like myself again.
Hopefully, this self-care day does it.
(COOING)
I really appreciate you stepping up.
I know today's a big day for you.
Hey, no worries. I have a
couple hours before the surgery,
and Chastain nursery will take them.
I'm sure they'll like it there.
I'll be back by 8:00. Oh, and, um,
Elijah is the green wristband,
and Arjun is the blue.
- Got it.
- (BABIES COOING)
Oh
Maybe, uh
Hey, Padma.
♪
Wow. Sam, this is amazing.
SAM: Another hour, and your patient
will have a brand-new titanium ribcage
tailored to fit her chest wall.
And this only took three days to build.
Well, at Inman Park Tech,
we make the impossible possible.
Well, if anyone deserves it,
it's-it's Tessa.
She was one of my
clinical trial patients,
and sadly, the meds didn't work,
and so the cancer spread to her ribs.
SAM: If the surgery goes well today,
this could be the start
of a new life for her.
And the beginning
of a beautiful new partnership
between Inman Park Tech and Chastain.
You know, I have to be honest,
Dr. Pravesh, I was skeptical about doing
business with Chastain.
Everyone knows you're
about to get your funding cut.
Don't count us out.
We're fighting hard to stay in
business, while still delivering
care with the same level of excellence.
You see, that spunk right there is
why we decided to support Chastain
in being the first hospital in
America to implant a titanium ribcage.
- Ah, come over here.
- Hey, Sam.
- Dr. Pravesh, this is Gina.
- Hi.
She's making a
documentary about our lab.
Hi. Nice to meet you.
They've already received
early interest from Sundance.
Yeah, now it's just about
finding a great story,
and Sam thinks your patient has one.
We'd like Gina and her crew to
film the implantation surgery.
Um
(SIGHS)
Well, I would need
to get clearance first
and the consent
of the patient, of course.
It would be great publicity for us both,
and you'd be getting
the word out that Chastain
is still a cutting-edge hospital.
All right, um, let me see what I can do.
Great.
So, I have some good news.
I just spoke with Dr. Pravesh,
and your surgery
will definitely happen today.
TESSA: Oh, Dr. Pravesh is an angel.
Your titanium ribs will be here
within the hour.
Wow.
A titanium rib cage.
- Will they let me through TSA?
- (BOTH CHUCKLE)
I'm worried. We thought the last surgery
- would fix everything.
- Oh, please,
don't question the doctors, Wendy.
They made no promises
when they operated.
- It wasn't a cure-all.
- No,
it's-it's okay. After the trial failed,
Dr. Austin and I succeeded
in removing the sarcoma
from your mom's chest wall,
breast, and the affected ribs, but
it left her lungs
and her heart without protection.
TESSA: I don't have
much of a choice, dear.
It has to be done.
We have to replace them.
Well, the surgery is risky,
I won't lie. A full implantation
of 3D printed ribs like this
has only been done
once before, but we have
a multidisciplinary team
of experts ready to make that happen
as safely as possible.
Will Dr. Austin be joining you
in the surgery?
Yes, of course. He should be here soon.
(GRUNTING)
What's wrong with him, doc?
Lacerations, fever,
pain in the right
upper area of his belly.
Gonna order some labs and get
a CT of his abdomen to find out.
Cat-scratch fever is at the top
of our list, assuming it really
was a Maine Coon that mauled you.
It was a cat, okay?
IRVING: "A cat."
Interesting word choice.
I need to impress on you how
important it is you tell us the truth.
We can't diagnose and treat you
if we don't have the right information.
Talk to me. Our ribs, how do they look?
Futuristic, like something
out of a Marvel movie.
Tessa's in great spirits.
Her daughter, little less so.
She watched her mom
struggle long enough.
Tessa's husband died tragically,
my trial failed her, then cancer,
and now, she needs new ribs.
This poor woman, she's suffered.
Then let's hope this surgery
is a win for her.
(SIGHS) Actually, there's something
that I need to run by you.
A documentary crew
has been following the
robotics lab at Inman Park Tech,
and they want to film
Tessa's surgery.
That's a big ask. There are
liability issues and privacy, too,
- for Tessa.
- KIT: And will we have
any creative say in how
Chastain is represented?
I imagine we will not.
Then, there's your answer.
I'm sorry, Devon, hard pass.
Respectfully, Dr. Voss, this is a once
in a lifetime opportunity,
and if it all goes well,
it could put Chastain back on top.
This documentary could be
very good publicity for us.
Well, a-and if not, it could
have the opposite effect.
We we'd need creative say,
pending the outcome.
Okay. We make it very clear
that we need creative say,
or we don't move forward
with the documentary.
Under those circumstances,
I'll allow it,
but you're in charge, Devon.
Don't let a camera crew get in the way
of achieving the best outcome
for our patient.
- DEVON: Okay.
- Dr. Voss.
Could I have a word?
Have you seen the front page
of the Atlanta Metro Daily?
It's about Bell, and it is not good.
It's despicable. Anonymous
sources. Gutter journalism.
This has Governor Betz's fingerprints
- all over it.
- But is it true?
There are nuggets of truth,
but it's blown
way out of proportion.
(SIGHS) Well, I heard that, long ago,
the staff used to call him
HODAD, Hands of Death and Destruction.
He operated when he shouldn't have,
when he had a physical problem.
He's a different man now,
a different doctor.
Well, they sure made his MS an issue.
Randolph has some of the
best outcomes in the hospital.
He's top of his field.
I have total faith in him.
He has a rib implantation in a few
hours. What are you going to do?
The implantation is high profile.
The publicity will be good for
Randolph's image when he's successful.
And what if it isn't?
I have to believe in our surgeons.
Until then, I do damage control.
Wolf's lab results are in.
Positive for severe pancreatitis,
but negative for cat-scratch fever.
Which means his symptoms aren't caused
by whatever scratched him on the arm.
Definitely not.
Well, I'll start him on fluids,
make sure his pain is under control.
- And I'll send off some more labs.
- (SIGHS)
I think he has an exotic cat at home.
Yeah, with scratches like that,
it makes the most sense.
Well, no one's gonna confess
to a crime that easily.
We'll have to pull the truth out of 'em.
I need you two in here, now!
(LABORED BREATHING)
Pulmonary edema. The
pancreatitis is getting worse.
Getting him on oxygen.
Wolf, I'm done playing.
Tell me what's going on.
You need to tell us. Now.
(SCREAMS)
Two of lorazepam
and get me an intubation kit.
(SCREAMING)
Can't you just make an exception?
Chastain recently changed
their policies.
We can no longer accept babies
under ten months.
Laura, I am needed
for a groundbreaking surgery.
Help me out here, please.
Just for a few hours.
Dr. Austin, I wish I could,
but there are rules,
and violating them is gonna put
Chastain in legal jeopardy.
I'm really sorry.
Right.
Make sure they get
my good side, Dr. Pravesh.
All sides of you are good, Tessa.
(LAUGHS)
I want to go on record.
I think this documentary is a bad idea.
It could only distract
everyone in surgery.
Listen, if there are any issues
at all, I will pull the plug.
That is a promise.
Your mom is the priority. Always.
Okay.
Thanks.
I come bearing ribs.
GINA: Let's get you
in. Come on, come on.
We need to get this.
Wow. I really will be the bionic woman.
(CHUCKLES)
BELL: Yeah. So, this
will be your new sternum,
and these curved pieces will replace
the ribs that we removed.
They're beautiful.
So, historically, patients like Tessa
ended up with a flat metal plate
to cover their vital organs,
which might've kept them safe,
but also left them unable to move.
So, their ability to live full lives
was drastically curtailed.
But all that changes now with Tessa.
With these new ribs,
we'll give her full mobility
and a new life.
Isn't there another surgeon?
I would love
to get a profile on him
and his consent to film.
Yes, Dr. Austin,
he'll be the lead surgeon.
He's triple board-certified.
He's got nerves of steel and
great hands, and he is arguably
the best cardiothoracic surgeon
in the nation.
And a new father.
GINA: Oh, here he is.
Hey, uh, my apologies.
Sitter cancelled. What's this?
Um, these guys are filming the surgery
as part of a documentary.
Um, have you sorted out your childcare?
I've been calling Padma,
she's not been answering.
- I'm still working it out. Hey.
- (PHONE CHIMES)
- (PHONE BUZZES)
- Tessa, I read your report,
and your pre-op exam is clear.
You are as healthy as possible
and ready for surgery.
You have any questions
before we take you to the OR?
♪
- (PHONES RINGING)
- The article is a political smear job
by a governor trying to destroy Dr. Bell
because he dared speak truth to power.
- (PHONES CONTINUE RINGING)
- Yes, he's my husband,
and I couldn't be more proud
of him at this moment.
That's all I'm going to say.
- (PHONES CONTINUE RINGING)
- (SIGHS)
(PHONE BEEPS)
- (PHONES CONTINUE RINGING)
- Dr. Stanley.
I wasn't expecting to hear from
you till our next board meeting.
- Oh, come on. It's slander.
- (PHONE CHIMING)
You and I both know
that Randolph is a specta
Ma'am, you can't go in there.
I'm gonna have to call you back.
You're Kit Voss, the CEO of the
hospital? The person in charge?
I tried to stop her.
It's all right, Tabitha.
I am.
My mother is Tessa Perez.
She's about to have
her chest cracked open
for this dangerous new operation.
Okay.
I'm here to help you.
Tell me what's wrong.
I read the article online.
You can't possibly let some butcher
do this operation on my mom.
KIT: These allegations are false.
Remember, Dr. Bell was the one
who successfully removed your
mother's cancer just weeks ago.
Yeah, after the Chastain clinical trial
should've cured it.
Clinical trials are experiments.
There are no guarantees.
And this is also experimental.
Maybe this could kill her.
I'm sure you were both told
the risks are high,
but so are the rewards.
I'm-I'm sorry, but your mother
is out of options. She chose this.
Then get her another doctor.
I would trust my life to Dr. Bell.
I'd want him if I were
going into this surgery
- your mother is facing.
- You're his wife!
You're not impartial.
Look, my mom is my best friend.
Okay? She's the kindest person I know,
and she's too trusting.
I have to be careful for her.
I've watched her suffer long enough.
From now on, I protect her.
Either Dr. Bell is out, or we are.
♪
You're taking me off
the surgery, aren't you?
I'm sorry,
but the patient's daughter insists.
No, I heard about the article, and
well, I get that it's a risk
to Chastain. The
cameras running, a surgeon who's
been publicly outed as incompetent.
You can't be allowed
to do a high-risk operation
- on a patient.
- It's quite possible that even
your best effort could still
result in a failed outcome.
(SIGHS) No, it's-it's clear
what we have to do.
- I'm out.
- You don't deserve this.
You are a brilliant surgeon
and even better man.
We're in a war with Betz, and
he launched a nuclear weapon.
We're gonna fight it.
Okay.
Hands of Death and Destruction. HODAD.
- (SIGHS)
- KIT: Now,
what can I do to help?
Well, AJ can't do
the surgery on his own.
There's no one I trust more than you.
Can you step in for me?
Of course.
I'm familiar with what was planned.
Okay, good, good,
so I'll-I'll run through
the specifics with you so you are ready.
MAN (OVER P. A.): Dr. Lopez,
come to the pharmacy for a consult.
Dr. Lopez to the pharmacy
Your friend is dying.
You need to tell us what did this,
or we can't save him.
Well, the truth is we
we get kicked, bit, and scratched
all the time by a lot of things.
Kicked? Bit?
- By what?
- We, um
(SIGHS)
We have a home zoo.
That, uh, the show about that guy
who made a great living raising tigers
made a big impression.
You know it didn't end well
for him, right?
(CHUCKLES) He's famous.
He's in prison for murder.
Okay. (LAUGHS) What's your point?
How do you not understand the danger
you're putting yourselves in?
Wild animals can carry many diseases,
not to mention maul you.
Hey, people pay big money
to pet a king cobra,
feed an ape, take a photo
next to an African lion.
We're animal lovers,
- I swear.
- What you're doing is illegal.
Your friend's on a vent.
He's hanging on by a thread.
Okay. What what can I do?
What savaged his arm?
That was a lion. Maude.
She's normally real gentle,
but, uh, we got careless.
Okay, finally we're getting someplace.
What else could've bitten
or scratched him?
(SIGHS) We got so many animals.
It it could've been any of them.
Well, then you and I
are gonna make a list.
- (HIGH-PITCHED RINGING)
- (GROANS)
(GASPING)
(PANTING)
(SNIFFLES)
(CRYING)
- (BABBLING)
- Oh. (LAUGHS)
- Hey.
- Aw, look at those cheeks.
HUNDLEY: Mm. Just
the babies I wanted to see.
Oh, that's great, Hundley.
That's just the reaction
the three of us were hoping for.
Listen, I hit a bit
of a logistical snafu,
and I need a babysitter.
Billie already gave me
a heads-up. I'll take one.
- Hand him over.
- Thank you. One is a great start.
Yeah. (GRUNTS) That's why
God made two hands.
One for charting,
and one for snuggling. (LAUGHS)
Wait. Is this Elijah or Arjun?
Well, we also had a mishap
with the wristbands
and the tub so I'm not quite
sure who's who at the moment.
- Mm-hmm.
- But do not judge.
Even Mommy has trouble
telling them apart.
Having a baby with a friend
complicates everything.
Two of them is another level entirely.
Or did you miss that in the
parenting instructional manual?
Uh, there's a parenting
instruction manual?
Hey, Feldman!
You are great with the boys,
they love you, and I need childcare.
Oh, of course. Hundred bucks an hour.
Done! Thank you, my man.
He was gonna do that for free.
Pancreatitis,
delirium, seizures.
None of Wolf's symptoms are consistent
with injuries caused
by any animals on this list.
There's got to be something else.
No, that-that's all the
big animals we got, I swear it.
All the big animals?
You got any small ones?
Oh, we-we got critters, but
Wolf mostly takes care of 'em.
You know, snakes, spiders, scorpions.
Ugh. You are killing me here, man.
You didn't think it would be
useful to mention this earlier?
It's a side hustle.
By the way, you would not believe
what some dude in China will pay
for a little Brazilian scorpion venom.
(SUCKS AIR THROUGH TEETH)
Hurts to milk 'em, though.
And they bite. Stings like a bitch.
Brazilian scorpions?
Tityniae serrulatus, to be specific.
(CONRAD SIGHS)
Tityustoxin.
Was Wolf, by chance, siphoning
the venom this morning?
I hope so. We got a deadline to meet.
That's it.
CRICKET: Where you going?
Tityustoxin from the scorpion venom
was causing Wolf's pancreas
to inflame and auto-digest itself.
- What the hell does that mean?
- It means
your business partner
needs antivenom, or he dies.
Hey, what's taking Bell so long?
He should be here by now.
I've taken him off the surgery.
Because of the article?
I'm stepping in for him.
Well, I'm disappointed for Bell,
but I'm good with it.
- Pravesh?
- (SIGHS)
Given the circumstance,
it's the best option we have.
Aah!
- Hey, what's wrong? Talk to me.
- (LABORED BREATHING)
My back. The pain.
And-and my legs they're numb.
- Keep rolling.
- WENDY: What's going on?
Is she okay?
New lower extremity weakness.
Cauda equina syndrome.
- What does that mean?
- AUSTIN: We need to go now!
I'll meet you in the OR.
Go, go. Go!
- Anybody?!
- Wendy. Wendy.
What's going on?
DEVON: We have to get
your mother to the OR now.
She has a serious complication
that we have to deal with first.
- Come on.
- We have to stabilize her
before we can implant the ribs.
I can't promise you that the rib
surgery is gonna happen today.
(RHYTHMIC BEEPING)
AUSTIN: How did we
not see this in imaging?
We couldn't have.
The cancer must have
metastasized rapidly
during her time in the ICU,
even between scans.
What's going on?
Our patient has
a dangerous complication.
Should we be filming?
No, this has nothing to do
with the rib implantation.
What are the odds that Tessa's
story has a happy ending now?
A lot less than they were this morning.
(ALARM SOUNDING)
We're losing nerve signal.
KIT: The tumor has eroded the bone.
Pathologic spinal fracture
leading to cord compression.
All right, if we don't get rid
of this tumor,
new set of ribs
aren't gonna make a difference.
KIT: You're right. She
needs a decompression.
Should I page Billie?
Right away.
Our neurosurgeon is on the way.
You can go.
We won't be filming any more.
I'm thinking that this is great stuff.
- You know, conflict is drama.
- No.
There's a woman down there
whose life hangs in the balance.
Filming it would be a distraction.
I'm not gonna let you continue.
The patient comes first.
Okay, but you're missing out
on a golden opportunity.
I'm sorry, but please leave.
KIT: The vertebrae is crumbling.
AUSTIN: Any word on Billie, Pravesh?
She's coming.
KIT: Well, she better hurry.
(RHYTHMIC BEEPING)
What have we got?
KIT: An emergent spinal decompression.
- (ALARM SOUNDING)
- BILLIE: When did you lose
SSEPs to the lower extremities?
Five minutes ago.
Time is spine.
All right, osteotome to me.
(PHONE RINGING)
Hi. Sam, how are you?
What the hell is going on
over there, Pravesh?
There's been an unforeseen
complication with the surgery.
I'm not talking about the surgery.
I'm talking about this article.
DEVON: The article It
It's a mixture of exaggeration
and outright lies.
You told me Chastain was the best.
This guy, Dr. Bell
- He's on Tessa's medical team.
- Well, not anymore.
We-we took him off the surgery.
If the article's a lie,
why would you take him off the case?
It's either one or the other.
Well, at this point, it's moot
because we don't even know
if we can move forward.
And if you can, who operates?
Dr. Voss. She's our CEO.
Top ortho surgeon. She can
do it. There's no one better.
But Sam,
there won't be any more filming.
Fine. I can live with that.
We've worked so hard,
it's too late to pull the plug.
But Inman Park Tech better come
out of this looking like rock stars.
If not, our new partnership is over.
(CALL BEEPS OFF)
Hey, I got your page. How bad is it?
Um, unclear.
Apparently, one of Conrad's
patients was stung repeatedly
by a scorpion and developed
severe pancreatitis.
I think I speak for
the whole hospital when I say,
we know how good you are,
and we're all behind you.
Well, I appreciate that.
You taught me so much. This will pass.
I hope so.
All right, so, here's the deal.
I dosed him with antivenom.
But he's already developing
necrotizing pancreatitis.
With worsening organ dysfunction.
His urine output's trailing off,
he's tough to ventilate.
- LEELA: What's his bladder pressure?
- Mid-20s.
He's got abdominal compartment syndrome.
If the pressure
in his abdomen gets any higher,
he's-he's gonna go into shock.
Well, he needs a laparotomy.
- Should I book an OR?
- Um, no, not yet.
We need to maximize
medical management first.
Let's start with paracentesis,
drain the fluid at bedside
and then reassess.
LEELA: Okay, I'll prepare
the paracentesis now.
As an internist, I appreciate
the nonsurgical approach,
but is this you or the article talking?
This is about the patient.
I-I I know you might find it
hard to believe,
considering that nickname has
come back to haunt me, but I
I am long past the days
of letting outside influence
dictate the way I do my job.
(SIGHS)
There's a ton of ascites fluid
in his abdomen.
No wonder he's so distended.
Yeah, there's quite a bit.
(SIGHS) Well, do you want
to do the procedure?
Technically, Conrad consulted you.
Uh, nope, nope.
You can handle it.
(LEELA SIGHS)
(RHYTHMIC BEEPING)
BILLIE: Spinal cord is decompressed.
The tumor is resected.
And our nerve signal is back, but weak.
KIT: Now we have to stabilize the spine,
rebuild it, vertebrae by vertebrae.
BILLIE: I'm trying.
These screws won't hold.
Her bones must have been
compromised from the tumor.
KIT: We have to fuse more levels.
But I'm not sure if Tessa can hold up.
(ALARMS SOUNDING)
AUSTIN: Her blood pressure's dropping.
She's going into A-fib.
We need more IV fluids,
and we need another amio bolus ready.
(SOFT, RHYTHMIC BEEPING)
(SIGHS)
(ALARMS SOUNDING)
Hey, Doc?!
His blood pressure's low.
(SIGHS)
And his abdomen is tense.
Paracentesis wasn't enough.
- Can you do it again, or?
- It won't solve the problem.
He's too sick.
Hamad, page Bell and Devi.
Have 'em meet us in the OR now.
(RHYTHMIC BEEPING)
Spinal fusion is a success.
Thanks to our brilliant neurosurgeon,
Tessa is stable.
AUSTIN: Yeah, but is she stable enough
to make it through the rib implantation?
KIT: That's for us to figure out.
Dr. Sutton, we'll take it
from here. Thank you.
I'll leave you to it.
- Good luck, everyone.
- KIT: All right.
Let's close up her back.
Now, do we proceed
with the implantation or?
Or do we stop and give her
a rest from anesthesia,
return to the ribs another day?
Her A-fib hasn't recurred,
but if it does
It's a risk.
But every day without
those ribs brings another risk.
Heart and lungs exposed.
KIT: Pravesh, you made this a reality.
You know Tessa. You make the call.
Let's do it.
(SIGHS) This is on me.
I thought the paracentesis
would be enough.
It was the right call,
but now the compartment syndrome
is compressing his IVC.
There's not enough
blood getting to his heart.
- Get your stuff.
- BELL: His MAPs are in the 40s.
Hawkins, at-at this rate,
he could code before we get to the OR.
Well, then he needs
a decompressive laparotomy
right here, right now.
Dr. Devi's on her way to the OR.
I think it's best we do it there.
(SIGHS)
(BELL SIGHS)
Listen to me. I knew that man
they wrote about in that
article, and that's not you.
Not now.
I'm not so sure about that anymore,
for a number of reasons.
I'd trust you with my life.
After everything we've been through,
that has to mean something to you
because it means something to me.
I know you can save
this man's life right now.
Come on. Let's do it.
I need Betadine and a ten blade.
(ALARM SOUNDING)
No pulse. Just hold off on compressions.
Ten blade.
- (ALARM STOPS)
- (RHYTHMIC BEEPING)
He's got a pulse, and it is strong.
(ELEVATOR BELL DINGS)
That was amazing, man!
You see that?
GINA: And we filmed all of it.
Congrats, Dr. Bell.
You brought the drama.
Wow. That was awesome.
I just, uh I need
I just need you all to sign a release,
of course.
Um, I'm not sure that
Footage doesn't lie.
GINA: Amazing. So good.
(RHYTHMIC BEEPING)
Let's rotate.
Removing the prosthetic.
All right.
Ready to implant the titanium.
Fits like a glove.
- (ALARMS SOUND)
- AUSTIN: She's back in A-fib
and hypotensive.
We can bolus her amio again,
- but we're running out of time.
- Let's bring this home.
Attaching the ribs in place.
(ALARMS SOUNDING)
(ALARMS STOP)
(AUSTIN SIGHS)
(RHYTHMIC BEEPING)
I mean, it's like a piece of armor.
Utterly amazing.
(AUSTIN LAUGHS)
(AUSTIN AND KIT LAUGH)
How's my mom?
She came through beautifully.
What a fighter.
The ribs fit perfectly.
As you see, the surgery was a long one.
Recovery's going to be tough,
but we're optimistic.
Okay. Thank you.
Um, thank you, Dr. Pravesh.
I'm sorry that I ever doubted you.
It's not over yet.
But we've done our best,
and now we'll do our best
to make sure she gets back on her feet
and living her new life.
- Thank you.
- Of course.
♪
(INDISTINCT CHATTER)
(PHONE RINGING IN DISTANCE)
(SIGHS)
- (COOING)
- Hmm.
Hey. Irving and Hundley bailed?
There was a multiple injury crash,
and they got overwhelmed in the ER.
(AUSTIN MUTTERS)
I was leaving and
couldn't handle this cuteness,
so I kidnapped them.
Hey. Hey, little man.
Aw. Did you miss Papa?
You know, I never held my son, Trevor.
Well, you know, you were a child
yourself when he was born.
- Mm.
- (BABBLING)
Well, because of where
he came from, I didn't want to.
Couldn't do it.
This is what I missed, hmm?
You know, you can still be
a great mom if you want to.
Mm.
And hey, you found a way to
make a new bond with Trevor.
Yeah, he's a good guy.
He's working hard to develop new drugs.
Chemistry is his first passion,
so he moved to Baltimore.
- But we're still in touch.
- Mm-hmm.
Mm, but this is something else.
Oh, you got that right.
These two bring me
a special kind of joy.
Even when Elijah's just
staring daggers at me.
- (COOS)
- Yeah.
- You know, I think he's hungry.
- (BABBLES LOUDLY)
Seems like you can
tell your twins apart after all.
Ah, well, I forgot that
their distinguishing features
- are their personalities.
- (LAUGHS)
Well, you're gonna have a lot of
fun watching these two grow up.
- (LAUGHS)
- They're gonna love their papa.
AUSTIN: Mm.
I-I do not even know
what I'm feeling right now.
Y-You should have been there,
right? Th-this doctor
He cut right into your stomach
right in the hallway.
Your guts started oozing out
all over the place
- like
- Okay, okay, enough.
Dr. Bell saved your life.
You're going to need
another trip to the OR once
your belly's less swollen to
get that abdominal wound closed,
but you'll be okay.
- How you feeling?
- Better.
A lot better.
You underestimated that scorpion.
Repeated exposure to scorpion venom
Yeah, that wreaks havoc on your body.
I feel like a damn fool.
- It won't happen again.
- Good.
Let this be a lesson to you both.
Don't lie to your doctors.
We-we we didn't lie.
I mean, we just didn't tell
the whole truth.
Yeah, which almost got you killed.
Well, w-we will take precautions
from now on, right?
W-Wear gloves, be the safest
unauthorized zoo in the state.
CONRAD: Trafficking in exotic animals
is illegal in the state of Georgia,
and having any wild animal
- requires a permit.
- CRICKET: Well,
sure, but, I mean,
who's really paying attention?
- (BOTH LAUGHING)
- I am.
Reported you both
to the state animal control.
- Oh.
- Wait. What the hell, man?!
Wh-What about doctor-patient privilege?
I didn't tell them anything
about your health history.
Here you go.
Pravesh?
Congratulations.
You have every right
to be proud of yourself.
And you pulled off that surgery
like a boss, Voss.
We proved something here.
Huge leaps in medicine
can happen in unexpected places.
- Yeah.
- Doctors?
I hear the patient is
in recovery, doing beautifully.
- Job well done.
- Thank you.
And I can't wait to see what Chastain
and Inman Park Tech partner on next.
Me, too.
Nice going, Pravesh.
Still love your spunk.
Spunk.
I thought we were meeting at home.
Well, couldn't wait.
Is something wrong?
Oh, I told you
I wasn't gonna read the article.
But of course you did.
But I-I didn't finish.
Um, my heart started racing,
and there was a ringing in my ears,
and then the room started to spin.
Like an anxiety attack?
It's the MS, Kit.
It's probably made worse
from the stress.
And it cleared up,
and I got through the day.
But
it's not the only time since
I returned from the clinic.
Well, let me see
if Conrad's still around.
- He can examine you.
- Hey.
I think we both know this is not
something Conrad can manage.
And maybe it is the stress.
But it it could also be
side effects of my new meds.
Oh, they worked for a while.
Maybe they're not working
so well anymore.
My MS could be progressing.
Then we'll find another
treatment, a-a clinical trial.
I think I need to get back to Minnesota.
Whatever you need,
you just say the word.
All I want is you by my side,
whatever it takes.
(FOOTSTEPS APPROACHING)
(AUSTIN SIGHS)
- All right, home sweet home.
- (BABBLING)
- Oh.
- (BABIES CRYING)
Okay.
Where is Mommy, guys?
- I'll be right back.
- (BABBLING)
She's supposed to be home by now.
(BABBLING)
Padma?
(BABIES FUSSING)
Padma?
(BABY CRYING)
(BABIES CRYING)
Hi. You've reached Padma.
Leave a message.
- (BEEP)
- (BOTH CRYING LOUDLY)