The Resident (2018) s03e20 Episode Script
Burn It All Down
1
- Previously on The Resident
- Our relationship,
it is perfect just like this.
He'll be a vegetable.
It's the compassionate
choice at this point.
Are you suggesting we let him die?
Nobody, and I mean
nobody, dies in my OR!
This is Dawn Long.
She's been in LTACH this whole time?
Dawn Long had Candida auris.
Anybody who'd come into contat
with Ms. Long will have to
take extreme precautions.
If it gets out now that
we have a deadly fungus,
this hospital goes bankrupt.
Has this vent been
used in the last 24 hours?
It's been down here for
the decontamination process.
- Clean it now.
- Lunch. Half hour.
Daddy's still very sick?
He's fighting to get better.
They want to put you on a
ventilator to help you breathe.
Sleep tight, Daddy.
- Thank you.
- There you go.
Hey. How was that?
Intrusive.
They're swabbing armpit and groin.
Humiliating but necessary.
You don't need a mask, Zorro.
This is Candida auris, not coronavirus.
It travels on skin and equipment.
It isn't airborne.
And you're scaring people.
Shouldn't they be scared?
No. We've contacted
the health department, and it
is all being handled properly.
And why are you here, anyway?
Only people who have been in contact
with infected patients
need to be swabbed.
Can never be too safe.
Excuse me.
Transition team to OR Four.
Transition team to OR Four.
Where are we?
We think the fungus has been contained.
Think but don't know for certain.
Randolph, do you think
we should have Derek
transferred to Atlanta General?
- I really don't think that that's necessary.
- Well,
all his doctors are at Chastain.
His chemo protocol
is here. And, Kit, we're
taking every precaution.
Plus, Derek had zero crosses
with the infected patients.
Okay, but if there's any
sign that this is spreading
- I want him out.
- Agreed.
So, you fell while salsa dancing?
- Yeah.
- And took down a table full of mojitos.
- Ouch.
- I wanted to bring him in
last night, but he swore he was fine.
I am fine.
I just lost my balance
during that final spin.
- Follow my finger.
- Mm-hmm.
You don't lose your balance, Miguel.
He's the 2003 Salsa Planet champion.
- Did you know that?
- And 2002.
- Back-to-back, baby.
- Impressive.
You still compete?
Now I teach. Oh.
First lesson is free at my studio.
I love salsa. Thank you.
Uh, Miguel, will you
unbutton your shirt for me?
- Yeah, sure.
- Thank you.
Is that a pacemaker?
No, it's a, uh, it's a defibrillator.
What's that for, hon?
It's nothing to worry about, corazón.
It's probably broken, anyway.
Is that why you fell?
Because it shocked you?
Maybe.
Okay. So it sounds
like either your heart
or your defibrillator
needs some attention.
Am I allowed to be happy?
Chemo's working.
- The tumor's shrinking, Kit.
- Thank you.
We waited for you, Mom.
We're ready to extubate.
I love your dress.
Daddy gave it to me.
Well, your daddy's recovery is amazing.
Well, he's got a lot to live for.
- Hi, honey.
- Do you like my dress, Daddy?
Oh, it's gonna take him a minute
for him to wake up, sweetie.
I've got so many things to tell you.
Sarah's dog is having puppies,
and Mom said we could adopt one, maybe.
Hi, there.
Welcome back.
You don't have to answer the
thing about the puppy right now.
How do you feel?
I can't see.
Molly, I can't see. I can't see.
- What's going on, Mom?
- I don't know.
Can you see anything at all?
Nope. Nothing.
What's happening?
Could it be the cancer?
A-a brain bleed while he was sedated?
We're gonna get him
a head CT immediately,
and figure out what this is.
It's okay.
Here's what's dumb.
I don't even really like popcorn.
Well, who doesn't love butter and salt?
Truth. Which is why, when I was starving
and my options were vending machine
or a dumpster dive, I bought a bag.
Basically inhaled it and somehow
got a kernel stuck in my molar.
And you tried to remove it
- with a paper clip?
- I mean, that wasn't my first play.
I did try a toothpick like a human.
Uh, brushing, flossing,
and then my fingernails
when I got desperate.
But then I guess I just
got used to it.
I figured it would eventually
come out on its own.
Well, let's make sure
it's nothing serious.
How long have you been
experiencing jaw pain?
A few weeks.
I know, I know. I should've
gone to the dentist.
But I'm only working with
basic health insurance
and a public radio salary here.
And I have my son's tuition to pay.
So, when I woke up this morning,
it was like I was
being stabbed in the
Justine?
I need some help over here.
Grab her legs.
Tilt your head toward me.
Going in slowly.
You see that?
White lesions.
So I didn't have a stroke?
No. The CT confirmed that.
And it doesn't look like cancer, either.
Then why can't I see?
You have an infection in your eyes.
Okay. So we can fix this,
right? And he'll see again.
I'll be right back.
We can talk more
after the eye doctor finishes his exam.
Hang in there.
Okay
so all the tests from the hospital staff
and the patients have come back;
no one else has been colonized.
So it can't be Candida auris.
The labs will confirm
that one way or another,
but let's get him on contact
precautions just in case.
Gowns and gloves for
anyone who enters his room.
And if he does have it, what's next?
Fevers. His blood pressure drops
Sophia died within a
day of being diagnosed.
Be straight with me. Is
that what we're looking at?
It is a pan-resistant strain of candida.
And we don't have the
medicine to treat it.
Let's focus on what we can do.
Yeah, let's start him on GCSF.
Jump-start his immune system,
trend his labs every six hours,
and watch his blood
pressure like a hawk.
Did you learn something?
Molly
until we know what
we're dealing with here,
it's best Josie doesn't go in the room.
- Grandma?
- Okay, what's going on?
- Grandma.
- Yes?
Do you have any more of these?
They're really pretty.
Hey
- Oh, my God.
- What?
This is Dawn Long's vent.
Her daughter put that sticker on it.
You mean, if it wasn't
properly cleaned
Kit, if that's true, Derek probably
got Candida auris from that vent.
And now Michelle has a cold,
so I have an extra ticket
to my friend's show at The Loft.
Be my plus-one.
Oh, I'd love to, but it's
my folks' 45th anniversary.
- Mm.
- I'm sure Torres would love to roll.
Eh, pass.
Really?
He showed so much promise.
Fleeting attraction. You know how it is.
45 years of marriage. Wow.
Yeah. You know what?
They still love each other
like it was the first day.
Huh. Something to aspire to.
Hmm.
I didn't want it in
me in the first place.
I feel strong as an ox.
For God's sake, I'm only 55.
Mr. Espinoza, I am Dr. Austin.
This is Dr. Okafor.
We're gonna see what's
going on with this ICD, okay?
Probably shocked me by mistake.
I went in for a physical,
three, four months ago.
My doctor saw my swollen feet.
Of course they swell. I dance.
But he told me I had heart failure.
I still don't believe it.
My heart has never failed.
Except it did.
Are you sure?
Yeah, we are.
Would you like us to get your wife
before we talk more?
- I don't have a wife.
- Your girlfriend?
The woman who was with you in the ER?
Probably home with her husband.
Just tell me what I need to know.
Oh, Miguel,
your device worked
exactly as it should have.
Your heart went into a deadly rhythm
while you were dancing,
and your ICD shocked you back to life.
You're saying without it
I might have died?
Yes.
Well, will this happen again?
Well, your heart is functioning at 25%,
so it's very likely it will happen
when you exert yourself.
Like when I'm dancing.
Salsa is my life.
My livelihood.
I don't know how to do anything else.
Tell you what.
When we get your tests back,
Dr. Okafor and I will review them
and see if there's
anything more we can do.
How's Josie?
She didn't want to leave.
But the sitter took her
to the children's museum,
so that will help.
Any news?
The cultures came back,
and Derek has what we suspected.
A Candida auris bloodstream infection
that traveled to his eyes.
- So we're starting him on antifungals?
- Yes.
But it's a drug-resistant strain, Molly.
Our existing medications are
likely impotent against it.
- And his immune system is so weak
- No.
No, he can't get better one minute
and have no hope the next.
There's got to be something
we're not thinking of.
Conrad is working with
our infectious disease team
to see if there's anything we can try.
I'm
really hot.
I don't feel right at all.
Your fever's spiking.
We'll get you some acetaminophen.
He's getting worse.
That's Conrad now.
- I'll be back.
- Okay.
Christy, he needs some acetaminophen.
Right away.
How do you feel?
Excuse me?
My son-in-law is blind
because of Candida auris,
and it's probably going to kill him.
So, again, how do you feel?
I had nothing to do with that.
You had everything to do with it.
You knew your patient
had a deadly fungus,
and you covered it up
to save your own skin.
But not well enough.
Dawn's vent wasn't properly cleaned
and that vent went to Derek.
I gave specific instructions
to sterilize her room
and all the equipment.
Well, you failed.
And now my daughter
will lose her husband,
my grandchild her father
and Derek his life.
And you better hope that doesn't
happen, because if it does,
I will destroy you.
I'm sorry, Kit.
I can't imagine what
you're going through.
Of course you can't.
Because you've likely
never loved anyone.
- What is all this?
- Derek's best hope.
It's a modified drug-testing bioprinter.
Translation, please?
We know that Derek's
candida is resistant
to all individual drugs,
but how about a
combination of those drugs?
Yes, it would take
days to test them all
He barely has hours, Conrad.
That's where this printer comes in.
We're testing 96 different combinations
- at the same time.
- No hits yet, but it's early.
Well, let's just hope
they don't come too late.
Derek's started to spike fevers,
and we all know what comes next.
I can't have a brain
infection. It was popcorn.
Children eat it in movie theaters.
Come on, there's no way this
is a real thing that happens.
It's it's extremely unusual,
but it does happen.
I brought in Dr. Pravesh
to review your CT scan.
So, your infection traveled
through your sinuses
and into your brain here.
Which would explain the seizure.
So, what now?
Antibiotics that most
certainly constipate?
Justine, you may need surgery.
And we called in a neurosurgery consult
to find out, okay?
Neurosurgery?
Dr. Reynolds should be here shortly
Dr. Reynolds is stuck in surgery,
I'll be doing the
the operation.
Barrett.
Justine.
I-I didn't recognize your name
when I reviewed your chart.
Oh, I got a baby, wedding,
divorce. In that order.
Haven't switched my name
back yet because it is a pain.
Ryan was a bad choice.
But I got the best part
of him: my awesome kid.
So, how about you? Married?
Only to my work.
And, uh, how's Katie? And your mom?
Dr. Pravesh, Nurse Nevin,
I'll take it from here.
- Yeah, sure. Cool.
- Yeah.
Man, that was just
starting to get interesting.
Wait, do you think she's an ex?
Of course. Who do you think Katie is?
Sister?
I don't know, child?
Huh. And he has a mom.
Well, he didn't just spring fully formed
from Satan's head.
Well, luckily she's my
patient and a talker.
Maybe we'll finally learn something
about old Barrett Cain.
Hmm.
So, where are we?
The surgery will happen today,
once we've done a full workup.
After you're sedated, the oral surgeon
will pull out the infected tooth.
And then Dr. Cain will
remove a part of your skull
to access the infection.
Part of my skull. Okay,
that freaks me out.
Be straight with me. How much
danger are we talking here?
Uh, listen
Surgery to the brain is always risky.
But there's no other option,
and you're in great hands.
Dr. Cain is an excellent neurosurgeon.
Well, some things never change.
He was always the best at
everything he did.
You were close, I take it?
College.
I was the girl with her nose in a book.
He was the guy who flirted
me out of the library.
All my friends were like,
"What? A football player?"
But he had better
grades than most of them
and he was the star quarterback.
So Dr. Cain was a football player.
He was on his way to the NFL.
Scouts were all over him until
- Injury?
- ACL.
Burnt his sports career to the ground.
And by the time he rose from the ashes
and started figuring out
what to do with his life,
it was over between us.
He'd changed.
He had always been so in control,
and suddenly there was
something that he couldn't fix.
And he got bitter. Angry.
It wasn't what I signed
up for, so I got out.
Maybe I shouldn't have.
Maybe there's still time.
No.
I left him, and I lost him.
And now here he is when
I need him the most.
Barrett Cain is the one who got away.
I'll be back.
You look like you have news.
We have a hit.
That's great.
But what works in the lab
can be starkly different
to what works in a person.
True. But it's a chance, Kit.
Yes.
Yes, it is.
Nice.
Excuse me?
He can't give up.
- The man has a gift.
- Mm-hmm.
Wow.
Oh
What'd you find?
See? Just before he degenerates
- into V fib
- The rhythm started at V tach.
Which means we could ablate
it. Do you think it would work?
In the right hands.
And luckily, the man's
prowess on the dance floor
is second only to my
own dexterity and grace.
I assume that means I should
get him on the cath lab schedule.
Yes. Now let's go
give him the good news.
Thanks.
How are you feeling, Derek?
Weak. Really hot.
My back hurts a bit.
- What's going on?
- You have a high fever,
and your blood pressure's a little low,
but we're working on it.
We have a plan,
but it is gonna be tough.
Instead of using one
drug to fight the fungus,
we're using a combination.
"Voriconazole,
amphotericin".
His kidneys are just
starting to recover.
I know.
And I can't promise you
these drugs will work.
They could even make you
feel worse in the short-term.
I've been through chemo.
I can handle this.
Okay.
There is one more not
particularly fun thing.
W-We want to attack the fungus directly.
So we're gonna inject
the meds into your eyes.
Wait, what?
It won't hurt. Not with this.
It's numbing medicine.
It's okay.
I'm ready. Do it.
Now, you're gonna want to
- chop those mushrooms
- Miguel.
We come with hope.
Dr. Okafor and I have
familiarized ourselves
with the intimate details of your heart,
and we'd like to suggest a viable option
to return you back
to your dancing shoes.
It's a procedure called ablation.
We'll thread catheters
through the main artery
and vein in your groin
and then burn away
the part of your heart
that's been causing the abnormal rhythm.
You tell me my heart is weak.
And you want to fix it
by burning bits away.
Miguel,
if this goes as well as expected,
it means no more lethal arrhythmias.
No more collapsing.
We saw a video of you dancing.
2004 championship.
The year I came in second?
I was cheated, you know.
Second place, first place,
you are a true master.
And if this procedure works, it
means you can continue dancing,
without shocks and without fear.
Doctors
my heart is in your hands.
I need the least
incompetent scrub nurses.
Not Stacey, she drops
things. Not the crier.
Get me Candace. I don't mind her.
And someone else. Who doesn't suck?
Ajax is excellent.
He's passable. Get him.
Tell Chu I'll need some
extra blood on hand
and send off another
set of CBC and coags.
I don't want any surprises.
What's with the manic
quality control over there?
Think he cares more about this one.
OR Four is not gonna work for me.
I need my case in OR Five in
the new neurosurgery building.
Mm, looks like OR Five is taken.
Not anymore.
Justine seems pretty great.
She still means a lot
to you, doesn't she?
Few people have meant more.
So the drugs aren't working.
Norepi is up to 12 mics.
His urine output is trailing off.
The fluid has gone in already?
- All four liters.
- Anything on the labs?
Worsening acidosis. Increased lactate.
- He's in septic shock.
- Yeah.
Derek
it's Dr. Hawkins. Can you hear me?
What is going on?
His delirium is worsening.
We may need to re-intubate him.
Thanks.
I can't stop thinking, if Cain
had never come to Chastain,
Derek wouldn't be in this situation.
Red Rock is destroying
everything I love.
I would burn it all down, if I could.
Take a break, Kit. Get some air.
I'm gonna stay with Derek.
Mapping complete.
Rapid pace to induce.
- Charge the defibrillator.
- No, stop.
He's in V tach with
an unstable pressure.
We want him in V tach while we ablate.
I know, but his pressure's
50 and dropping.
- How long can he tolerate this?
- Until I say so.
Now is not the time to
lose your cool, Okafor.
Hmm. My cool is intact.
Excellent.
Ablation current on.
Off.
Pressure's down to 40.
Current on.
And
off.
We're back.
And our salsa king returns.
Derek, let me know if this hurts.
Oh.
Oh!
How you holding up?
I had to leave the room for a minute.
Thought I should get food.
As if I can stand to eat.
How is he doing?
Not good.
The meds haven't done a thing.
I was the one who brought
Derek to this hospital.
- It's, it's not your fault.
- I thought he would be safe.
I thought he'd be safe here, too.
And as far as the blame goes,
we know where that belongs.
He's dying, Randolph.
Let's go!
Let's go, let's go, let's go!
What's happening?
We're going to MRI.
- What's going on?
- Come with me, I'll explain.
What are we looking for?
That.
An abscess on his spine.
Which usually isn't good news, but
But in this case it is, in a way.
It explains why he's getting sicker.
That abscess is
continuously releasing fungus
into Derek's bloodstream.
So, our drugs might actually be working.
But they just can't reach
that walled-off abscess.
What tipped you off?
His back hurt,
so I examined his spine
exquisite tenderness
at the exact spot of the abscess.
So he'll need spinal surgery
to remove the abscess
or he'll never be able
to clear the infection.
Well, it won't be a simple case.
The infection has eroded
into the vertebral body.
We'll have to take out the bone.
And we're dealing with the cord here.
If we so much as touch
it while we're in there,
Derek wakes up paralyzed.
He needs a neurosurgeon.
Cain is the best.
That cannot be the answer.
It's the only answer.
I've booked your case in
our new neurosurgery building
- with our best staff.
- New. I like new.
And, of course, I will be
there from start to finish.
Thank you, Barrett.
These aren't the best circumstances,
but it is really good to see you again.
Dr. Cain.
Forgive the interruption.
Could we have a moment?
Okay. Well,
I will see you in the OR
and I'll meet you in the
recovery room afterwards.
Okay.
A nasty spinal abscess. Unfortunate.
Your patient needs surgery.
I'm glad you think so,
because we need you to do it.
I'm booked. A subdural empyema.
Reynolds has finished all his cases.
We'd like to shift him over to yours.
No, I prefer to keep this one myself.
Have Reynolds work on your patient.
Well, Reynolds doesn't do spine,
you know that as well as I do.
Our patient is Dr. Voss's son-in-law.
And he has a candida
abscess until proven otherwise.
A mess that you created.
He's in septic shock.
If you don't operate, and soon, he dies.
You owe Kit this much. And her family.
I need a recent set of labs.
Make sure his proxy is available
if he can't consent for himself.
- Will do.
- Okay, so
do you want us to call
Reynolds to take your patient?
No, there's no need for that.
She has a subdural empyema
she could decline precipitously.
Hawkins, need I remind you yet again
that you are not a neurosurgeon?
No one else is operating on my patient.
I will take care of them both.
Thank you.
Dissecting to the spine.
Curettes.
I assume you took a wrong turn.
I'm an extra set of hands
in case you need to do
an anterior approach.
Your services aren't required.
Ah, I see, you're a spy.
No, I'm just here as a friend,
to help Derek and Kit.
And you.
If this man comes out with so much as
a poorly executed closing stitch,
Kit Voss is gonna dedicate
the rest of her life
to ruining yours.
Hey, just checking in. Everything okay?
Yeah, just catching up
on e-mails while I wait.
I do have one question.
My son will be home next
week for spring break.
Am I gonna be out of here by then?
I think so. If everything
goes well, you should be, yeah.
Good.
Still trying to get my
head around all this.
It's not normal to have
your ex, your first love,
about to dig into
- Dig into
- Justine?
Justine?
Justine. Let's get a crash cart in here!
Okay, we're through
the transverse process,
facet and pedicle.
Buckle up for the corpectomy.
- Suction and lap pads.
- It's better if I do that.
This is not surprising.
The bone bleeds voraciously.
Just have to keep him alive
long enough to get it out.
This is not good.
No, it's not.
The bone's disintegrated
from the abscess.
Nothing but tiny little pieces.
Get that blood in and keep it coming.
We could lose liters in a few minutes.
Clearing the field.
Ah, careful with that cord.
Dr. Voss won't like it if
we paralyze her son-in-law.
Dr. Cain, you're getting a 911 page.
Room 5921.
Code team en route.
That's my case.
Dr. Cain, we're not done here.
- Hey. Did she seize again?
- Yeah.
She's obtunded,
hypertensive and bradycardic.
Cushing's reflex.
Pads.
We got to get her to an OR now.
Cain wanted to do this one.
He doesn't have a choice.
Let's go. Come on. Let's
go, let's go, let's go.
Damn it, I can't see where
the blood's coming from.
- I'm going in there.
- You can't, Kit.
He's losing too much blood.
He's going into hemorrhagic shock.
Let them focus. Okay?
Wait. Wait. We've lost nerve signal.
No, we have to keep moving.
Well, you can't see anything.
You're operating underwater.
Suction right there. One more
fragment left. I can feel it.
The vertebral body has been removed.
Nerve signal has returned.
Jason, get me a resident.
I'll finish and close up here.
Go to your patient.
- I told you to wait!
- We paged you, but she was going downhill.
- And I've started without you a thousand times.
- Details.
She started to seize,
then became obtunded.
And now I can't stop the bleeding.
She's bleeding because
her brain is swelling.
We need to control it. Move!
Chu, put her in reverse Trendelenberg.
- Push the mannitol and furosemide.
- On it.
You're pushing on her
brain. Are you sure?
I don't want her to herniate
and lacerate on her skull.
Craniotome to me.
Need to create some more
room for her brain to swell.
Aren't we going to start
bilateral partial frontal
lobectomies to control the swelling?
And have her turn into a vegetable?
No, we're not gonna do that.
Dr. Cain, the bleeding's stopping.
Her pressure's tanking. Damn it!
She's coding.
I need pads on her.
Get the code cart, now!
Starting CPR.
We've been coding her for 30 minutes.
Another milligram of epi.
Get in an amp of bicarb.
She must be acidotic by now.
Two more grams of mannitol.
Hold compressions.
Her pupils are blown.
No carotid pulse.
But no one dies, right? In your OR.
We can still save her?
There's not a person here to save.
Time of death
18:47.
Mommy!
Mm. Hi, sweetie.
How was the museum?
I thought he was getting better.
The tubes and wires are back on.
Hopefully not for long.
His fever's down.
Now that the abscess is
gone, the drugs are working.
Look what I made for Daddy.
Do you think he'll like it?
Ah, let me guess. One
of Sarah's puppies?
I already named her Penny.
Do you want to sit with Daddy?
Daddy, you're going to like Penny.
She won't bark, like Uncle Steve's dog.
I'm afraid to ask,
but do you think he'll
be able to see again?
Honestly, I don't know.
I hope so.
I don't know what we would
have done without you, Mom.
Oh
So, this is Mom,
this is you, and this is me with Penny.
Don't you think she's gonna be fluffy?
This is Grandma Kit.
Isn't she cute?
Miguel.
Hey, man, your ablation
went pitch perfect,
like a fine trumpet solo.
Thanks.
Yeah, that's supposed to be good news.
And my trumpet metaphor
was a pretty clever one.
Yet they tell me you will
not get out of bed. What's up?
It's just
I spent so much time telling myself
that I'm not sick,
that I'll be fine.
But knowing that I could
have died last night,
that's all I can think of.
Yeah, well, it's natural to worry.
But your heart is stronger than
when you came in here this morning.
And I thank you for that.
But after this, I can't see myself
getting back onto that dance floor.
You burned away a part of my heart,
and with it
went a lot of my nerve.
Should I be jealous?
Mm. Dr. Austin is testing the strength
of his patient's heart
to show him it's okay to dance again.
He's one of a kind, isn't he?
- Yeah.
- Hmm.
All right, here's a little tip.
He's more of a plant
guy. They live longer.
Oh, these are for his parents.
It's their wedding anniversary.
I'm meeting them for
the first time tonight.
What are they like?
I've never met them.
Oh. Well
wish me luck.
Just what I need.
I must admit, I didn't
think you'd make it.
So what's the, uh status
- on that superbug?
- Finally contained.
Yep, it's over.
The hospital's clean,
the patients are safe.
You know, I've become
accustomed to a particularly
heavy look of yours.
But today
today something's different.
Yeah. Yeah, it is.
Today, in order to protect my patients,
I had to become part of the
system I've been fighting.
How so?
Well, I didn't tell my patients
they could be at risk
of getting infected by a superbug.
Didn't want them to panic
and walk out of Chastain
and not get the care and
attention they needed.
You know, it's not often
that our worlds collide,
but about this, I know a thing or two.
Doing good isn't black and white.
And the shades of gray are unsettling.
Oh, I know. I deal with that every day.
How do I live with myself?
Never lose sight of your ideals.
'Cause once that happens,
the steps aren't many to the dark side.
Trust me, I know.
According to a source,
hospital workers were
made aware of the fungus ahead of time,
but chose to cover it up
instead of alerting the public.
A cover-up at one of
Atlanta's premiere hospitals.
I interviewed one nurse
here who said, and I quote,
"Don't believe anything
Chastain tells you".
How did this get out?
Doesn't really matter much how.
Find the source so I can
bury them under this building.
I told you we should have
notified State Health.
Sounds like you're
putting this off on me.
It's pretty damn clear that the cover-up
is reading far worse than the crime.
Your prints are all over this.
- Because you forced my hand.
- Leverage is a useful tool.
It's called blackmail.
I had to keep you on a loyal path.
I don't like being threatened.
Hawkins.
- I owe you an apology.
- This ought to be good.
When I initially evaluated
you, I missed your potential.
And that's on me.
But ever since you secured
the Georgia FC soccer team,
I-I've been paying attention, and I see
you have the makings
of a true rainmaker.
I'm an internist, not a neurosurgeon.
I don't think my limited earning
power is what you're looking for.
The title isn't about billing.
It's about being a public face.
Cain's reputation,
both past and present,
is problematic.
We need compassion.
Heroism.
A doctor who fights for patients.
Military hero turned whistleblower.
We all know how you love those.
This isn't about me.
It's about Chastain.
Cain and Bell had their chance
to be the star of this company,
but they couldn't deliver.
Your inspiring story
comes free and clear.
Our future is brighter with
Conrad Hawkins front and center.
And that's how I'll
frame it to the board
later this afternoon.
I'm sure Cain will love that.
He won't have a seat at the table.
And at some point down the road,
I'm sure the board will want
to talk to you, too.
The truth about Cain needs
to come out, and soon.
You don't want to save Chastain?
I know you care about this hospital.
If you really want to
change things around here,
this is an opportunity to gain
some real power and influence.
What do you say?
- Previously on The Resident
- Our relationship,
it is perfect just like this.
He'll be a vegetable.
It's the compassionate
choice at this point.
Are you suggesting we let him die?
Nobody, and I mean
nobody, dies in my OR!
This is Dawn Long.
She's been in LTACH this whole time?
Dawn Long had Candida auris.
Anybody who'd come into contat
with Ms. Long will have to
take extreme precautions.
If it gets out now that
we have a deadly fungus,
this hospital goes bankrupt.
Has this vent been
used in the last 24 hours?
It's been down here for
the decontamination process.
- Clean it now.
- Lunch. Half hour.
Daddy's still very sick?
He's fighting to get better.
They want to put you on a
ventilator to help you breathe.
Sleep tight, Daddy.
- Thank you.
- There you go.
Hey. How was that?
Intrusive.
They're swabbing armpit and groin.
Humiliating but necessary.
You don't need a mask, Zorro.
This is Candida auris, not coronavirus.
It travels on skin and equipment.
It isn't airborne.
And you're scaring people.
Shouldn't they be scared?
No. We've contacted
the health department, and it
is all being handled properly.
And why are you here, anyway?
Only people who have been in contact
with infected patients
need to be swabbed.
Can never be too safe.
Excuse me.
Transition team to OR Four.
Transition team to OR Four.
Where are we?
We think the fungus has been contained.
Think but don't know for certain.
Randolph, do you think
we should have Derek
transferred to Atlanta General?
- I really don't think that that's necessary.
- Well,
all his doctors are at Chastain.
His chemo protocol
is here. And, Kit, we're
taking every precaution.
Plus, Derek had zero crosses
with the infected patients.
Okay, but if there's any
sign that this is spreading
- I want him out.
- Agreed.
So, you fell while salsa dancing?
- Yeah.
- And took down a table full of mojitos.
- Ouch.
- I wanted to bring him in
last night, but he swore he was fine.
I am fine.
I just lost my balance
during that final spin.
- Follow my finger.
- Mm-hmm.
You don't lose your balance, Miguel.
He's the 2003 Salsa Planet champion.
- Did you know that?
- And 2002.
- Back-to-back, baby.
- Impressive.
You still compete?
Now I teach. Oh.
First lesson is free at my studio.
I love salsa. Thank you.
Uh, Miguel, will you
unbutton your shirt for me?
- Yeah, sure.
- Thank you.
Is that a pacemaker?
No, it's a, uh, it's a defibrillator.
What's that for, hon?
It's nothing to worry about, corazón.
It's probably broken, anyway.
Is that why you fell?
Because it shocked you?
Maybe.
Okay. So it sounds
like either your heart
or your defibrillator
needs some attention.
Am I allowed to be happy?
Chemo's working.
- The tumor's shrinking, Kit.
- Thank you.
We waited for you, Mom.
We're ready to extubate.
I love your dress.
Daddy gave it to me.
Well, your daddy's recovery is amazing.
Well, he's got a lot to live for.
- Hi, honey.
- Do you like my dress, Daddy?
Oh, it's gonna take him a minute
for him to wake up, sweetie.
I've got so many things to tell you.
Sarah's dog is having puppies,
and Mom said we could adopt one, maybe.
Hi, there.
Welcome back.
You don't have to answer the
thing about the puppy right now.
How do you feel?
I can't see.
Molly, I can't see. I can't see.
- What's going on, Mom?
- I don't know.
Can you see anything at all?
Nope. Nothing.
What's happening?
Could it be the cancer?
A-a brain bleed while he was sedated?
We're gonna get him
a head CT immediately,
and figure out what this is.
It's okay.
Here's what's dumb.
I don't even really like popcorn.
Well, who doesn't love butter and salt?
Truth. Which is why, when I was starving
and my options were vending machine
or a dumpster dive, I bought a bag.
Basically inhaled it and somehow
got a kernel stuck in my molar.
And you tried to remove it
- with a paper clip?
- I mean, that wasn't my first play.
I did try a toothpick like a human.
Uh, brushing, flossing,
and then my fingernails
when I got desperate.
But then I guess I just
got used to it.
I figured it would eventually
come out on its own.
Well, let's make sure
it's nothing serious.
How long have you been
experiencing jaw pain?
A few weeks.
I know, I know. I should've
gone to the dentist.
But I'm only working with
basic health insurance
and a public radio salary here.
And I have my son's tuition to pay.
So, when I woke up this morning,
it was like I was
being stabbed in the
Justine?
I need some help over here.
Grab her legs.
Tilt your head toward me.
Going in slowly.
You see that?
White lesions.
So I didn't have a stroke?
No. The CT confirmed that.
And it doesn't look like cancer, either.
Then why can't I see?
You have an infection in your eyes.
Okay. So we can fix this,
right? And he'll see again.
I'll be right back.
We can talk more
after the eye doctor finishes his exam.
Hang in there.
Okay
so all the tests from the hospital staff
and the patients have come back;
no one else has been colonized.
So it can't be Candida auris.
The labs will confirm
that one way or another,
but let's get him on contact
precautions just in case.
Gowns and gloves for
anyone who enters his room.
And if he does have it, what's next?
Fevers. His blood pressure drops
Sophia died within a
day of being diagnosed.
Be straight with me. Is
that what we're looking at?
It is a pan-resistant strain of candida.
And we don't have the
medicine to treat it.
Let's focus on what we can do.
Yeah, let's start him on GCSF.
Jump-start his immune system,
trend his labs every six hours,
and watch his blood
pressure like a hawk.
Did you learn something?
Molly
until we know what
we're dealing with here,
it's best Josie doesn't go in the room.
- Grandma?
- Okay, what's going on?
- Grandma.
- Yes?
Do you have any more of these?
They're really pretty.
Hey
- Oh, my God.
- What?
This is Dawn Long's vent.
Her daughter put that sticker on it.
You mean, if it wasn't
properly cleaned
Kit, if that's true, Derek probably
got Candida auris from that vent.
And now Michelle has a cold,
so I have an extra ticket
to my friend's show at The Loft.
Be my plus-one.
Oh, I'd love to, but it's
my folks' 45th anniversary.
- Mm.
- I'm sure Torres would love to roll.
Eh, pass.
Really?
He showed so much promise.
Fleeting attraction. You know how it is.
45 years of marriage. Wow.
Yeah. You know what?
They still love each other
like it was the first day.
Huh. Something to aspire to.
Hmm.
I didn't want it in
me in the first place.
I feel strong as an ox.
For God's sake, I'm only 55.
Mr. Espinoza, I am Dr. Austin.
This is Dr. Okafor.
We're gonna see what's
going on with this ICD, okay?
Probably shocked me by mistake.
I went in for a physical,
three, four months ago.
My doctor saw my swollen feet.
Of course they swell. I dance.
But he told me I had heart failure.
I still don't believe it.
My heart has never failed.
Except it did.
Are you sure?
Yeah, we are.
Would you like us to get your wife
before we talk more?
- I don't have a wife.
- Your girlfriend?
The woman who was with you in the ER?
Probably home with her husband.
Just tell me what I need to know.
Oh, Miguel,
your device worked
exactly as it should have.
Your heart went into a deadly rhythm
while you were dancing,
and your ICD shocked you back to life.
You're saying without it
I might have died?
Yes.
Well, will this happen again?
Well, your heart is functioning at 25%,
so it's very likely it will happen
when you exert yourself.
Like when I'm dancing.
Salsa is my life.
My livelihood.
I don't know how to do anything else.
Tell you what.
When we get your tests back,
Dr. Okafor and I will review them
and see if there's
anything more we can do.
How's Josie?
She didn't want to leave.
But the sitter took her
to the children's museum,
so that will help.
Any news?
The cultures came back,
and Derek has what we suspected.
A Candida auris bloodstream infection
that traveled to his eyes.
- So we're starting him on antifungals?
- Yes.
But it's a drug-resistant strain, Molly.
Our existing medications are
likely impotent against it.
- And his immune system is so weak
- No.
No, he can't get better one minute
and have no hope the next.
There's got to be something
we're not thinking of.
Conrad is working with
our infectious disease team
to see if there's anything we can try.
I'm
really hot.
I don't feel right at all.
Your fever's spiking.
We'll get you some acetaminophen.
He's getting worse.
That's Conrad now.
- I'll be back.
- Okay.
Christy, he needs some acetaminophen.
Right away.
How do you feel?
Excuse me?
My son-in-law is blind
because of Candida auris,
and it's probably going to kill him.
So, again, how do you feel?
I had nothing to do with that.
You had everything to do with it.
You knew your patient
had a deadly fungus,
and you covered it up
to save your own skin.
But not well enough.
Dawn's vent wasn't properly cleaned
and that vent went to Derek.
I gave specific instructions
to sterilize her room
and all the equipment.
Well, you failed.
And now my daughter
will lose her husband,
my grandchild her father
and Derek his life.
And you better hope that doesn't
happen, because if it does,
I will destroy you.
I'm sorry, Kit.
I can't imagine what
you're going through.
Of course you can't.
Because you've likely
never loved anyone.
- What is all this?
- Derek's best hope.
It's a modified drug-testing bioprinter.
Translation, please?
We know that Derek's
candida is resistant
to all individual drugs,
but how about a
combination of those drugs?
Yes, it would take
days to test them all
He barely has hours, Conrad.
That's where this printer comes in.
We're testing 96 different combinations
- at the same time.
- No hits yet, but it's early.
Well, let's just hope
they don't come too late.
Derek's started to spike fevers,
and we all know what comes next.
I can't have a brain
infection. It was popcorn.
Children eat it in movie theaters.
Come on, there's no way this
is a real thing that happens.
It's it's extremely unusual,
but it does happen.
I brought in Dr. Pravesh
to review your CT scan.
So, your infection traveled
through your sinuses
and into your brain here.
Which would explain the seizure.
So, what now?
Antibiotics that most
certainly constipate?
Justine, you may need surgery.
And we called in a neurosurgery consult
to find out, okay?
Neurosurgery?
Dr. Reynolds should be here shortly
Dr. Reynolds is stuck in surgery,
I'll be doing the
the operation.
Barrett.
Justine.
I-I didn't recognize your name
when I reviewed your chart.
Oh, I got a baby, wedding,
divorce. In that order.
Haven't switched my name
back yet because it is a pain.
Ryan was a bad choice.
But I got the best part
of him: my awesome kid.
So, how about you? Married?
Only to my work.
And, uh, how's Katie? And your mom?
Dr. Pravesh, Nurse Nevin,
I'll take it from here.
- Yeah, sure. Cool.
- Yeah.
Man, that was just
starting to get interesting.
Wait, do you think she's an ex?
Of course. Who do you think Katie is?
Sister?
I don't know, child?
Huh. And he has a mom.
Well, he didn't just spring fully formed
from Satan's head.
Well, luckily she's my
patient and a talker.
Maybe we'll finally learn something
about old Barrett Cain.
Hmm.
So, where are we?
The surgery will happen today,
once we've done a full workup.
After you're sedated, the oral surgeon
will pull out the infected tooth.
And then Dr. Cain will
remove a part of your skull
to access the infection.
Part of my skull. Okay,
that freaks me out.
Be straight with me. How much
danger are we talking here?
Uh, listen
Surgery to the brain is always risky.
But there's no other option,
and you're in great hands.
Dr. Cain is an excellent neurosurgeon.
Well, some things never change.
He was always the best at
everything he did.
You were close, I take it?
College.
I was the girl with her nose in a book.
He was the guy who flirted
me out of the library.
All my friends were like,
"What? A football player?"
But he had better
grades than most of them
and he was the star quarterback.
So Dr. Cain was a football player.
He was on his way to the NFL.
Scouts were all over him until
- Injury?
- ACL.
Burnt his sports career to the ground.
And by the time he rose from the ashes
and started figuring out
what to do with his life,
it was over between us.
He'd changed.
He had always been so in control,
and suddenly there was
something that he couldn't fix.
And he got bitter. Angry.
It wasn't what I signed
up for, so I got out.
Maybe I shouldn't have.
Maybe there's still time.
No.
I left him, and I lost him.
And now here he is when
I need him the most.
Barrett Cain is the one who got away.
I'll be back.
You look like you have news.
We have a hit.
That's great.
But what works in the lab
can be starkly different
to what works in a person.
True. But it's a chance, Kit.
Yes.
Yes, it is.
Nice.
Excuse me?
He can't give up.
- The man has a gift.
- Mm-hmm.
Wow.
Oh
What'd you find?
See? Just before he degenerates
- into V fib
- The rhythm started at V tach.
Which means we could ablate
it. Do you think it would work?
In the right hands.
And luckily, the man's
prowess on the dance floor
is second only to my
own dexterity and grace.
I assume that means I should
get him on the cath lab schedule.
Yes. Now let's go
give him the good news.
Thanks.
How are you feeling, Derek?
Weak. Really hot.
My back hurts a bit.
- What's going on?
- You have a high fever,
and your blood pressure's a little low,
but we're working on it.
We have a plan,
but it is gonna be tough.
Instead of using one
drug to fight the fungus,
we're using a combination.
"Voriconazole,
amphotericin".
His kidneys are just
starting to recover.
I know.
And I can't promise you
these drugs will work.
They could even make you
feel worse in the short-term.
I've been through chemo.
I can handle this.
Okay.
There is one more not
particularly fun thing.
W-We want to attack the fungus directly.
So we're gonna inject
the meds into your eyes.
Wait, what?
It won't hurt. Not with this.
It's numbing medicine.
It's okay.
I'm ready. Do it.
Now, you're gonna want to
- chop those mushrooms
- Miguel.
We come with hope.
Dr. Okafor and I have
familiarized ourselves
with the intimate details of your heart,
and we'd like to suggest a viable option
to return you back
to your dancing shoes.
It's a procedure called ablation.
We'll thread catheters
through the main artery
and vein in your groin
and then burn away
the part of your heart
that's been causing the abnormal rhythm.
You tell me my heart is weak.
And you want to fix it
by burning bits away.
Miguel,
if this goes as well as expected,
it means no more lethal arrhythmias.
No more collapsing.
We saw a video of you dancing.
2004 championship.
The year I came in second?
I was cheated, you know.
Second place, first place,
you are a true master.
And if this procedure works, it
means you can continue dancing,
without shocks and without fear.
Doctors
my heart is in your hands.
I need the least
incompetent scrub nurses.
Not Stacey, she drops
things. Not the crier.
Get me Candace. I don't mind her.
And someone else. Who doesn't suck?
Ajax is excellent.
He's passable. Get him.
Tell Chu I'll need some
extra blood on hand
and send off another
set of CBC and coags.
I don't want any surprises.
What's with the manic
quality control over there?
Think he cares more about this one.
OR Four is not gonna work for me.
I need my case in OR Five in
the new neurosurgery building.
Mm, looks like OR Five is taken.
Not anymore.
Justine seems pretty great.
She still means a lot
to you, doesn't she?
Few people have meant more.
So the drugs aren't working.
Norepi is up to 12 mics.
His urine output is trailing off.
The fluid has gone in already?
- All four liters.
- Anything on the labs?
Worsening acidosis. Increased lactate.
- He's in septic shock.
- Yeah.
Derek
it's Dr. Hawkins. Can you hear me?
What is going on?
His delirium is worsening.
We may need to re-intubate him.
Thanks.
I can't stop thinking, if Cain
had never come to Chastain,
Derek wouldn't be in this situation.
Red Rock is destroying
everything I love.
I would burn it all down, if I could.
Take a break, Kit. Get some air.
I'm gonna stay with Derek.
Mapping complete.
Rapid pace to induce.
- Charge the defibrillator.
- No, stop.
He's in V tach with
an unstable pressure.
We want him in V tach while we ablate.
I know, but his pressure's
50 and dropping.
- How long can he tolerate this?
- Until I say so.
Now is not the time to
lose your cool, Okafor.
Hmm. My cool is intact.
Excellent.
Ablation current on.
Off.
Pressure's down to 40.
Current on.
And
off.
We're back.
And our salsa king returns.
Derek, let me know if this hurts.
Oh.
Oh!
How you holding up?
I had to leave the room for a minute.
Thought I should get food.
As if I can stand to eat.
How is he doing?
Not good.
The meds haven't done a thing.
I was the one who brought
Derek to this hospital.
- It's, it's not your fault.
- I thought he would be safe.
I thought he'd be safe here, too.
And as far as the blame goes,
we know where that belongs.
He's dying, Randolph.
Let's go!
Let's go, let's go, let's go!
What's happening?
We're going to MRI.
- What's going on?
- Come with me, I'll explain.
What are we looking for?
That.
An abscess on his spine.
Which usually isn't good news, but
But in this case it is, in a way.
It explains why he's getting sicker.
That abscess is
continuously releasing fungus
into Derek's bloodstream.
So, our drugs might actually be working.
But they just can't reach
that walled-off abscess.
What tipped you off?
His back hurt,
so I examined his spine
exquisite tenderness
at the exact spot of the abscess.
So he'll need spinal surgery
to remove the abscess
or he'll never be able
to clear the infection.
Well, it won't be a simple case.
The infection has eroded
into the vertebral body.
We'll have to take out the bone.
And we're dealing with the cord here.
If we so much as touch
it while we're in there,
Derek wakes up paralyzed.
He needs a neurosurgeon.
Cain is the best.
That cannot be the answer.
It's the only answer.
I've booked your case in
our new neurosurgery building
- with our best staff.
- New. I like new.
And, of course, I will be
there from start to finish.
Thank you, Barrett.
These aren't the best circumstances,
but it is really good to see you again.
Dr. Cain.
Forgive the interruption.
Could we have a moment?
Okay. Well,
I will see you in the OR
and I'll meet you in the
recovery room afterwards.
Okay.
A nasty spinal abscess. Unfortunate.
Your patient needs surgery.
I'm glad you think so,
because we need you to do it.
I'm booked. A subdural empyema.
Reynolds has finished all his cases.
We'd like to shift him over to yours.
No, I prefer to keep this one myself.
Have Reynolds work on your patient.
Well, Reynolds doesn't do spine,
you know that as well as I do.
Our patient is Dr. Voss's son-in-law.
And he has a candida
abscess until proven otherwise.
A mess that you created.
He's in septic shock.
If you don't operate, and soon, he dies.
You owe Kit this much. And her family.
I need a recent set of labs.
Make sure his proxy is available
if he can't consent for himself.
- Will do.
- Okay, so
do you want us to call
Reynolds to take your patient?
No, there's no need for that.
She has a subdural empyema
she could decline precipitously.
Hawkins, need I remind you yet again
that you are not a neurosurgeon?
No one else is operating on my patient.
I will take care of them both.
Thank you.
Dissecting to the spine.
Curettes.
I assume you took a wrong turn.
I'm an extra set of hands
in case you need to do
an anterior approach.
Your services aren't required.
Ah, I see, you're a spy.
No, I'm just here as a friend,
to help Derek and Kit.
And you.
If this man comes out with so much as
a poorly executed closing stitch,
Kit Voss is gonna dedicate
the rest of her life
to ruining yours.
Hey, just checking in. Everything okay?
Yeah, just catching up
on e-mails while I wait.
I do have one question.
My son will be home next
week for spring break.
Am I gonna be out of here by then?
I think so. If everything
goes well, you should be, yeah.
Good.
Still trying to get my
head around all this.
It's not normal to have
your ex, your first love,
about to dig into
- Dig into
- Justine?
Justine?
Justine. Let's get a crash cart in here!
Okay, we're through
the transverse process,
facet and pedicle.
Buckle up for the corpectomy.
- Suction and lap pads.
- It's better if I do that.
This is not surprising.
The bone bleeds voraciously.
Just have to keep him alive
long enough to get it out.
This is not good.
No, it's not.
The bone's disintegrated
from the abscess.
Nothing but tiny little pieces.
Get that blood in and keep it coming.
We could lose liters in a few minutes.
Clearing the field.
Ah, careful with that cord.
Dr. Voss won't like it if
we paralyze her son-in-law.
Dr. Cain, you're getting a 911 page.
Room 5921.
Code team en route.
That's my case.
Dr. Cain, we're not done here.
- Hey. Did she seize again?
- Yeah.
She's obtunded,
hypertensive and bradycardic.
Cushing's reflex.
Pads.
We got to get her to an OR now.
Cain wanted to do this one.
He doesn't have a choice.
Let's go. Come on. Let's
go, let's go, let's go.
Damn it, I can't see where
the blood's coming from.
- I'm going in there.
- You can't, Kit.
He's losing too much blood.
He's going into hemorrhagic shock.
Let them focus. Okay?
Wait. Wait. We've lost nerve signal.
No, we have to keep moving.
Well, you can't see anything.
You're operating underwater.
Suction right there. One more
fragment left. I can feel it.
The vertebral body has been removed.
Nerve signal has returned.
Jason, get me a resident.
I'll finish and close up here.
Go to your patient.
- I told you to wait!
- We paged you, but she was going downhill.
- And I've started without you a thousand times.
- Details.
She started to seize,
then became obtunded.
And now I can't stop the bleeding.
She's bleeding because
her brain is swelling.
We need to control it. Move!
Chu, put her in reverse Trendelenberg.
- Push the mannitol and furosemide.
- On it.
You're pushing on her
brain. Are you sure?
I don't want her to herniate
and lacerate on her skull.
Craniotome to me.
Need to create some more
room for her brain to swell.
Aren't we going to start
bilateral partial frontal
lobectomies to control the swelling?
And have her turn into a vegetable?
No, we're not gonna do that.
Dr. Cain, the bleeding's stopping.
Her pressure's tanking. Damn it!
She's coding.
I need pads on her.
Get the code cart, now!
Starting CPR.
We've been coding her for 30 minutes.
Another milligram of epi.
Get in an amp of bicarb.
She must be acidotic by now.
Two more grams of mannitol.
Hold compressions.
Her pupils are blown.
No carotid pulse.
But no one dies, right? In your OR.
We can still save her?
There's not a person here to save.
Time of death
18:47.
Mommy!
Mm. Hi, sweetie.
How was the museum?
I thought he was getting better.
The tubes and wires are back on.
Hopefully not for long.
His fever's down.
Now that the abscess is
gone, the drugs are working.
Look what I made for Daddy.
Do you think he'll like it?
Ah, let me guess. One
of Sarah's puppies?
I already named her Penny.
Do you want to sit with Daddy?
Daddy, you're going to like Penny.
She won't bark, like Uncle Steve's dog.
I'm afraid to ask,
but do you think he'll
be able to see again?
Honestly, I don't know.
I hope so.
I don't know what we would
have done without you, Mom.
Oh
So, this is Mom,
this is you, and this is me with Penny.
Don't you think she's gonna be fluffy?
This is Grandma Kit.
Isn't she cute?
Miguel.
Hey, man, your ablation
went pitch perfect,
like a fine trumpet solo.
Thanks.
Yeah, that's supposed to be good news.
And my trumpet metaphor
was a pretty clever one.
Yet they tell me you will
not get out of bed. What's up?
It's just
I spent so much time telling myself
that I'm not sick,
that I'll be fine.
But knowing that I could
have died last night,
that's all I can think of.
Yeah, well, it's natural to worry.
But your heart is stronger than
when you came in here this morning.
And I thank you for that.
But after this, I can't see myself
getting back onto that dance floor.
You burned away a part of my heart,
and with it
went a lot of my nerve.
Should I be jealous?
Mm. Dr. Austin is testing the strength
of his patient's heart
to show him it's okay to dance again.
He's one of a kind, isn't he?
- Yeah.
- Hmm.
All right, here's a little tip.
He's more of a plant
guy. They live longer.
Oh, these are for his parents.
It's their wedding anniversary.
I'm meeting them for
the first time tonight.
What are they like?
I've never met them.
Oh. Well
wish me luck.
Just what I need.
I must admit, I didn't
think you'd make it.
So what's the, uh status
- on that superbug?
- Finally contained.
Yep, it's over.
The hospital's clean,
the patients are safe.
You know, I've become
accustomed to a particularly
heavy look of yours.
But today
today something's different.
Yeah. Yeah, it is.
Today, in order to protect my patients,
I had to become part of the
system I've been fighting.
How so?
Well, I didn't tell my patients
they could be at risk
of getting infected by a superbug.
Didn't want them to panic
and walk out of Chastain
and not get the care and
attention they needed.
You know, it's not often
that our worlds collide,
but about this, I know a thing or two.
Doing good isn't black and white.
And the shades of gray are unsettling.
Oh, I know. I deal with that every day.
How do I live with myself?
Never lose sight of your ideals.
'Cause once that happens,
the steps aren't many to the dark side.
Trust me, I know.
According to a source,
hospital workers were
made aware of the fungus ahead of time,
but chose to cover it up
instead of alerting the public.
A cover-up at one of
Atlanta's premiere hospitals.
I interviewed one nurse
here who said, and I quote,
"Don't believe anything
Chastain tells you".
How did this get out?
Doesn't really matter much how.
Find the source so I can
bury them under this building.
I told you we should have
notified State Health.
Sounds like you're
putting this off on me.
It's pretty damn clear that the cover-up
is reading far worse than the crime.
Your prints are all over this.
- Because you forced my hand.
- Leverage is a useful tool.
It's called blackmail.
I had to keep you on a loyal path.
I don't like being threatened.
Hawkins.
- I owe you an apology.
- This ought to be good.
When I initially evaluated
you, I missed your potential.
And that's on me.
But ever since you secured
the Georgia FC soccer team,
I-I've been paying attention, and I see
you have the makings
of a true rainmaker.
I'm an internist, not a neurosurgeon.
I don't think my limited earning
power is what you're looking for.
The title isn't about billing.
It's about being a public face.
Cain's reputation,
both past and present,
is problematic.
We need compassion.
Heroism.
A doctor who fights for patients.
Military hero turned whistleblower.
We all know how you love those.
This isn't about me.
It's about Chastain.
Cain and Bell had their chance
to be the star of this company,
but they couldn't deliver.
Your inspiring story
comes free and clear.
Our future is brighter with
Conrad Hawkins front and center.
And that's how I'll
frame it to the board
later this afternoon.
I'm sure Cain will love that.
He won't have a seat at the table.
And at some point down the road,
I'm sure the board will want
to talk to you, too.
The truth about Cain needs
to come out, and soon.
You don't want to save Chastain?
I know you care about this hospital.
If you really want to
change things around here,
this is an opportunity to gain
some real power and influence.
What do you say?