The Resident (2018) s02e04 Episode Script
About Time
1 Previously on The Resident AUSTIN: Dr.
Okafor frightens me.
- I want her to be my right hand.
- My thoughts exactly.
- CONRAD: Who are you? - BELL: Ms.
Booth works for QuoVadis Labs.
It's a cutting-edge medical device company.
Medical devices are even bigger than pharma.
Pacemakers, cochlear implants CONRAD: The kid was dying.
I had to cut.
You don't make the decision to cut.
I decide that.
BELL: Tell me exactly what happened.
Who made the first cut you or Conrad Hawkins? MAN: Marshall is our new chairman of the board.
It's time to put this hospital on a firm financial footing.
Stick to what you know, and leave the business to the big boys.
BELL: You better open your eyes.
He's certainly here to scorch the earth.
You're a lot more like me than you realize.
WOMAN: State your name for the record.
Dr.
Conrad Hawkins.
You understand that you're under oath? I do.
Remember: "yes," "no," "I don't recall.
" Where were you on the first day that you encountered my client? All right, here we go Hello, stranger CONRAD: When did the dizziness start? About 15 minutes ago.
Aw, you're just a little dehydrated.
I should have you back out before the encore.
You said volunteers got in free.
And here you are.
In the parking lot.
What'd you think you'd be onstage with the bands? DEVON: I thought I'd me able to see the bands.
- The bathrooms have a better view.
- (COUGHING) Then drink your way to a bathroom break.
Ah, good, we can use some extra hands.
Sorry, but I am here for this guy.
- Let's go.
- (BOTH CHUCKLE) One of the other doctors called in sick.
- So - You took their shift.
Just a couple more hours, and then I'm all yours.
No, that's fine.
I'm sure, uh, after a few beers, any guy out there will seem like a good dance partner.
- I'll dance with you.
- See? Not dehydrated, you won't.
But seriously, if you guys need help MINA: Go.
Somebody should have some fun today.
I'll see you later.
I'll find you.
God, I really wanted to see Scott Weiland live.
Well, that'll be tough, since he's dead.
You're thinking of the guy from Soundgarden.
No, that's Chris Cornell.
You're thinking of the guy from Stone Temple Pilots, who is Scott Weiland.
They're both dead? Are you two done? (EXPLOSION) (PEOPLE SCREAMING) DEVON: Oh, my God.
(SHOUTING, SCREAMING) NIC: Somebody get help! Nic! Nic! - The exit's this way, come on! - (GRUNTS) MAN: Go, go, go, go! Nic? - What happened? - I found him like this.
No pulse.
- I started compressions.
- Switch.
Yeah.
I'll get help.
32-year-old male found down without a pulse.
Now with ROSC.
- Multiple external injuries.
- BP 105/80.
Heart rate 110.
- Did he get any fluids? - Two liters.
He needs a pan scan.
- Do we have any idea what happened? - Radio said a couple speakers blew, but everyone thought it was a bomb.
MINA: Blunt abdominal trauma, hypotensive.
Are ambulances on a level zero? - Yeah, patients going all over town.
- Get ready for a full house, people.
Open-arm fracture and hemoptysis.
I need another large-bore I.
V.
One, two, three.
I heard you need extra hands.
NIC: Bleeding's controlled.
All right, it's getting pretty crazy in here, but, uh, no more improv surgeries, okay? Our gunshot kid during the blackout - he made it, didn't he? - Yeah, but you barely did.
Bell put me on the spot, asked me who made the first cut.
What'd you say? Nothing.
But don't make me cover for you again, okay? Thanks.
Dr.
Hawkins, they want you in the VIP room.
Yeah, I'm a little busy.
- Well, someone's got to go.
- DEVON: Hey, I got it.
I was about to go onstage, play my set.
That's when I heard that noise.
Is everyone okay? Let's focus on you right now, Mr.
Barrett.
Looks like you got stomped on pretty bad.
Actually, I just tripped backstage.
(CLATTERING) Is someone in the bathroom? Hey, Tony.
Doc, this is Tony, my sober companion.
Tony, this is Doc.
Tony's just making sure the room's clean.
You'd be surprised what people leave behind in hotels.
It's a hospital.
Maids leave stuff all the time.
How long have you been sober, Mr.
Barrett? Almost a year.
Got to get that chip.
It did get ugly, though.
The more records I sold, the more drugs I took.
I nearly drank myself to death a few years ago.
Had to quit the tour, take some time to dry out.
That show today was supposed to be my big comeback.
(GROANS) You have a possible tibia fracture.
While we get your X-rays we'll get you on oxycodone - for the pain, okay? - No, no, no, no.
No pills.
No booze, nothing.
Only vice I've got left are these babies.
You want one? I'm good.
We'll be back.
- (WHISPERING): Does he seem a little drunk to you? - Yes.
Add a blood alcohol test.
Tox, too.
Got it.
(CLASSICAL MUSIC PLAYING) Mm, so, Julian, what do you advise for an abdominal wall this well-upholstered? Try these retractors.
They're non-slip.
Designed for bariatrics.
JESSICA: I'm glad Prince Abdulraheem requested you personally, Dr.
Bell.
We miss you down here.
Well, thank you, Jessica.
I love the Saudis.
Ideal patients.
They pay same day, full price, in cash.
Mets.
Pick-ups.
We still on for tonight? Mm-hmm.
Dr.
Bell is meeting my boss tonight, Gordon Page.
He's throwing a party for the CEOs who do business with QuoVadis.
Yeah, I'm betting that a guy who went from med school dropout to start-up billionaire in five years can entertain like a rock star.
His open bar is epic.
He flies a mixologist in from Miami Beach.
Oh.
If you need a plus-one, I'm free.
The pick.
("LIKE NO OTHER MAN" BY THE HELLACOPTERS PLAYING) (SAW WHIRRING) See how we mind the patellar tendon as we saw the posterior tibia.
Retractor, please.
SURGICAL RESIDENT: PCL, right? That's right.
Oscillating saw's best to resect damaged areas of the proximal tibia.
Then we size the implants and cement the components.
Oh, it's a beautiful procedure, isn't it? Go ahead, you try.
Get in there and do the next cut.
You all right, dear? Well, I'm tired, so sick, tired of breakin' down (PANTING) (COUGHS) When you come around And crossroads, alleys and empty streets (SAW WHIRRING) Don't be too hard on yourself.
But time for a gut check.
Not too late to go into dermatology.
Dr.
Bell.
Randolph.
My man.
- Make an appointment.
- Amazing thing.
I checked the schedule, and we're both available right now.
I'm on a much needed break.
Which you'll share with me.
I let you get away with this why? Hmm.
I need to establish better boundaries with staff.
Why, dear man, did you assign me yet another moist towelette of a resident? Coleman? He graduated Baylor at the top of his class.
He nearly fainted in my OR.
We're a teaching hospital.
Teach him, he can learn.
Who's this douche? Head of the hottest new medical device company in the country.
Also the most eligible bachelor, I'm told.
Oh, come on, Bell.
We all know you're the most eligible bachelor.
All our residents are standouts, or they wouldn't be at Chastain.
I love Atlanta.
The street art, the craft beer.
A rough-but-ready Irishman in Buckhead I've been spending a lot of time with.
But have you seen the surgical suites at Walter Reed? Mayo and Stanford keep calling, too.
I I don't know how they all get my number.
I may be able to find you a replacement.
What? What is it? A piece of bone.
Ah.
It's an occupational hazard.
Keep me happy, Randolph.
(DOOR OPENS, CLOSES) What's your full name? Josh Robinson.
Do you remember where you were when you lost consciousness? Uh, at a concert in the park.
Reviewing your chart, you've had quite the interesting life.
How did you get so many injuries? Uh, well, this one, heli-rafting in Queenstown.
Um, mountain biking in Morocco.
Heat stroke, passed out.
And, uh Death Drop in Zambia, two years ago.
Still can't bend it right.
Someone knows how to use their vacation time.
I'm a professional adventure guide.
- Seriously? - Yeah.
I just took a group free diving.
- NIC: Wow.
- CONRAD: Oh, nice.
You on any medications? Uh, yeah.
It's in my bag.
Oh, there it is.
- Do you mind? - No.
CONRAD: You have injuries to mark your experiences.
I get tattoos to mark mine.
NIC: I don't see any prescription drugs.
These are all supplements.
Oh, Pharma.
Bad juju.
CONRAD: Josh.
(LAUGHS) Do not get me started on Big Pharma.
NIC: Milk thistle, kava kava, omega-3.
Ironic you take all these supplements to stay healthy and you end up stampeded by a bunch of drunk music fans.
Stampede? What stampede? NAOMI: And that's when you realized that my client - passed out before the stampede? - Yes.
And how many patients did you treat that day, Dr.
Hawkins? I don't recall.
More than five? More than ten? I'll tell you.
20.
Chastain strictly adheres to ACGME guidelines.
How can one resident possibly provide the standard of care to that many patients? We do it every day.
REPORTER: Disturbing footage today from the Hotlanta Music Festival.
CONRAD: Liver and kidneys have seen better days.
History of Crohn's, too.
So lots of signs of the rock star life.
I'm worried the swelling from his injury could cause too much pressure in his leg.
Could lead to poor blood flow and muscle necrosis.
Compartment syndrome.
So if we don't relieve the pressure, he'll lose the leg.
What's your plan? Fasciotomy.
I had Ortho come check his pressures.
- Good.
- They're only at 20.
Well, watch it closely.
If it hits 30, they'll need to operate right away.
Which is why I have him on the OR's radar.
But the anesthesiologist said he'd like to have him sober.
Well, his blood alcohol concentration is .
04.
Give him a few hours.
He says that he hasn't had a drink in a year.
But his serum alcohol level tells us he did.
Tests don't lie.
Alcoholics do.
Yeah, maybe sober companions, too.
How does one man take all of these? Those are just the supplements that our adventure guide remembers taking.
Kava kava was banned in Europe for causing liver toxicity.
That might explain all the bleeding, - but not why he passed out.
- If I had to guess, supplements and dehydration caused an arrhythmia.
- Knocked him out.
- MAN: I'm glad you called.
My firm has over 50 years of experience with neck injuries, right? You say the ER doctor didn't even order an MRI? That's malpractice.
You know, I'm all for patients' rights, but doctors' jobs are hard enough without these vulture lawyers.
And who gets sued the most? ER doctors.
Patients need to be able to sue.
It's their only recourse - for medical error.
- It's abused, and it leads to cover-our-asses overtreatment and over-testing.
Forcing doctors to practice defensive medicine.
Well, let's just focus on our patients and ignore the vultures.
Thank you.
I understand that you and Nurse Nevins are in a relationship.
- Correct? - That's irrelevant.
NAOMI: Do you think working with your girlfriend could possibly have affected your performance? Objection.
Argumentative.
No.
Never.
There is no better nurse practitioner than Nic.
Your client was lucky to have her.
Wouldn't you agree, Josh? (QUIETLY): Easy.
NAOMI: Isn't it true that you have a history of deviating from protocol? I know what you're trying to do.
You're suggesting I put my patient at risk, but you don't know a damn thing about medicine.
Let's take five.
- Conrad.
- I know, I messed up.
I don't need to hear it from you.
This lawsuit could end your career.
You could even be found personally liable.
And the hospital won't stand by you.
Not everyone at Chastain is on your side.
- But you are? - Yes.
You have no idea what this is like for me.
I know exactly what this is like.
I get sued all the time.
Yeah, you probably win every single one, no matter what you say or do.
Oh, don't be naive.
What happened doesn't matter.
A doctor can do everything right, and still get screwed.
Just control your emotions, and let the lawyers do their job.
I have to tell the truth, no matter what.
Then you'll lose.
Maybe.
AUSTIN: This metalhead is lucky you brought her to me.
That paper-thin portal vein could easily be ripped by a mere mortal.
MINA: I can do the Pringle Maneuver.
AUSTIN: I can do it better.
Observe.
Right angle.
MINA: Well, I've done it before, - flawlessly.
- Well, if there's nothing left for you to learn, Dr.
Okafor, why are you here? Good question.
PAUL: Pressure's still dropping.
MINA: We must have another bleeder in there somewhere.
- Give me another right angle.
- She's losing too much blood.
- Let me help.
- Too many cooks.
Can we think about the safety of the patient and not your ego? AUSTIN: Yeah, in the words of my colleague Dr.
Seuss, "With this brain in my head and this blade in my hand, I shall save every man, woman and child in the land.
" - That is not Dr.
Seuss.
- It's an adaptation.
Let me break it down, Okafor: my house, my rules.
(BEEPING STEADIES) Pressure's coming back up.
AUSTIN: Course it is.
(LAUGHS) Oh, it's so good to be king.
I'm getting sick of the king treating me like his valet.
I'll tell you what: you can close.
Your life can change in a moment.
Levi was born with a congenital corneal disease.
He'd never seen his mom, until a synthetic cornea from QuoVadis made it possible.
Utilizing advanced nanotechnology, we provided better bio integration, quicker healing I don't like being summoned.
GORDON (OVER VIDEO): You see, at QuoVadis, we measure our success by how much we improve the quality of people's lives.
Which is why I'm so passionate about our latest breakthrough device: a safer, a more effective vagus nerve stimulator.
Remember that rep serving free lunch with her device demos? - AUSTIN: Mm.
- This is her boss.
He's barely 30.
His company valued at $4 billion.
He's a salesman, Dr.
Bell.
The first thing they sell is themselves.
(VIDEO STOPS) This talk of his has over a million hits.
I find it quite moving.
What am I doing here? Oh, I'm assigning you to Ortho.
Ha.
Bell just made a funny.
MINA: I I am not changing my residency.
Well, no one said you were.
You're just rotating through a different surgical specialty.
This is a teaching hospital, and when we said, "See One, Do One, Teach One," we didn't literally mean just one.
See mine, do mine, be mine.
Okafor belongs to me.
I belong to no one.
I chose general surgery.
Me, not you.
(SCOFFS) Well, my bad, Dr.
Bell.
I now see the value in Okafor doing a dance with our friends in Ortho.
Happy hammering.
Dr.
Okafor, lovely to meet you.
You come highly recommended.
What did Dr.
Austin really say? That you're extremely demanding, and in need of an attitude adjustment.
Also too talented for Ortho, which he called glorified carpentry.
That was rude of him, but accurate.
You know what's beautiful about Ortho? When something is broken, we fix it.
First up, full hip replacement.
Shall we go and give the patient the ability to walk again? (DOOR OPENS) - Come on, just let it go.
Relax, relax.
- (MUTTERS) LFTs just came in.
Let me guess.
Alcoholic liver disease? Early stage.
INGRID: Relax, relax, let it go.
Ingrid, what's going on? We're having a party.
Are you sure all he's had are IV fluids? INGRID: Oh, I never took my eyes off him, I swear.
Does this thing have a gas pedal? Hey.
What'd you slip him? A drink? Pills? Let me have a look at that leg.
I'm not drunk.
I'm sober as a judge.
Pressure's too high.
We can't wait.
DEVON: All right, we need to get him up to surgery, or he'll lose his leg.
Let's go.
It's his leg, but if he keeps drinking, it won't matter.
(BONE CRACKING) (ROCK MUSIC PLAYING FAINTLY) KIT: You're up.
You want me to do the impaction? Mm-hmm.
This hip replacement needs to be attached firmly.
Think of something bothering you.
Pissed you got reassigned? Get out those frustrations.
The news reports said hundreds of people were injured at the concert, most of them seriously, so why am I only seeing 40 admits? Where are the brain injuries, the skull fractures, the ICU admissions? My understanding is, the serious cases all went to Atlanta General.
All of them? We're a level one trauma center.
Why are the EMTs not sending us the serious cases? Because Atlanta General has a new EMT lounge.
They have a 72-inch TV with sports channels and a popcorn machine with real butter.
They have a lounge just for the EMTs? I heard Trinity Memorial is building a better one.
We don't even give them stale bagels.
It's no wonder the ambulances are going elsewhere.
Give us the room.
Maybe it's time you start doing your job and let someone else cut open obese Saudi princes.
He requested the chief of surgery which is me.
I've been doing due diligence for the board.
Our costs are rising and our profit margins are shrinking.
Yeah, which is why I have a meeting with Gordon Page tonight.
Let me guess, Chastain agrees to use only QuoVadis medical devices and in exchange, Gordon gives us ? A 20% price cut to boost our profit margins.
Strong deal for both sides.
I need a better one.
I've already told the board not to worry because if you can't land Gordon, I will.
I didn't have time to go home and change.
Is this too wrinkled? - No.
- Thanks.
There isn't a full-length mirror in the ladies room.
(CHUCKLES) I'll get right on that.
This party of Gordon's is a big deal.
I don't get a lot of face time with him.
He's too busy.
I want to make a good impression.
Oh, come on, Gordon can't be tougher than some of these doctors at Chastain.
And you've been winning us over since you walked in that door.
You got this.
I hope so.
If I can be the one to bring Gordon and Bell together, I could be looking at a bonus, which I really need.
I'm helping my parents put my little sister through college.
You're gonna do great, Julian.
Thanks.
Oh, hey, could you do me a favor? Sure.
I heard you're treating Rhys Barrett in VIP.
If I confirmed that, I would be violating HIPAA.
Just blink if he's here.
(LAUGHS SOFTLY) My parents would not stop playing his albums when I was a kid; his songs are basically the only ones I knew until I dropped out of high school.
I'm still not telling you.
Pretty please.
Wait, you dropped out? I went back.
Anyway, I'll always have a special place in my heart for Rhys.
I know he hasn't toured for years.
Drugs and alcohol, I guess, which is such a shame, but I will always be a fan.
I'd love to meet him.
BELL: So, who's my biggest competition? Trinity Memorial beats you on cochlear implants by 15% but doesn't come close on caths or aortic valves.
St.
John's will make a play.
Yes, but with the VNS, Gordon wants high-volume pilot hospitals.
- More patients, better outcomes.
- Well, for a guy who just moved to Atlanta, he certainly has settled in.
(JULIAN CHUCKLES) (INDISTINCT CHATTER) JULIAN: Gordon.
I'd like to introduce you to the CEO of Chastain, - Dr.
Randolph Bell.
- Randolph Bell.
I've been looking forward to meeting you, Dr.
Bell.
I hope Julian here has made herself useful.
BELL: Oh, she's been invaluable.
So I've done some reading on your vagus nerve stimulator.
Is it everything I hear? More.
Yeah, we just wrapped our European trials.
It exceeded all our expectations.
We're going to help so many people.
Well, I'd love to see the data from those trials.
Previous VNS stimulators have all had issues.
Not ours.
But we'd value your thoughts.
- MAN: Hey, Gordon.
- Ooh.
Can I introduce you to the governor? He's on our board.
His son suffers from refractory seizures, so we might have some answers for him.
Governor.
(LAUGHS) (ROCK MUSIC PLAYING) You're even better than your reputation.
I need opportunities to hone my skills.
Lately, Dr.
Austin would rather show off his.
AJ does seem like a grade-A narcissist.
He's also the most brilliant surgeon I've ever seen.
No offense.
Well, you haven't got to know me yet.
There are things I can teach you even the Raptor doesn't know.
I'm listening.
(INDISTINCT CHATTER) And one for you, fresh from Havana.
Thank you.
Awful, what happened today at that music festival.
Yeah, thank God no one died.
You know, you're the only CEO here who didn't tell me in the first two minutes how much they made from it.
Well, don't give me too much credit.
To be perfectly frank, we didn't do so well.
I'm impressed by your honesty.
I'm interested to know more about you.
Were your parents in medicine? My parents ran a hardware store on Peachtree.
Worked seven days a week, not that it got them anything.
- You wanted more? - You know, I just wanted them to wake up one day and not have to go in, not have a job to do, no bills to worry about.
And being a doctor seemed like the hardest, best thing I could become.
I'd have the power to change their lives and Did you? Well, they died while I was still a resident.
They'd be proud if they could see you now.
Look at you.
You're at the top of your game.
- Well, I'm not done yet.
- (CHUCKLES) Look, I want Chastain to handle the launch of your VNS and and I want us to negotiate a financial relationship that benefits us both.
I'm talking to several CEOs who want the same.
Tonight? Enjoy the party.
I'm not ready to make my decision.
DEVON: They fixed his leg, but get this: Rhys's blood alcohol actually rose during surgery.
He's telling the truth.
He's not drinking.
Which means to save his liver, we have to figure out what's really going on.
And ? There's no explanation.
And what? We've been watching him.
The only thing he's put in his mouth is licorice.
CONRAD: And? Those vines, they're pure sugar.
I'm gonna order an EGD.
You snowboarded down a volcano? - Yeah, I did.
- How is that even a thing? You're a hell of a risk taker.
I respect that.
You guys ever take, uh, adventure vacations? Last year I went to Rwanda to volunteer with Partners in Health.
That's the kind of vacation I like.
Yeah, he slept in a tent, made friends with the village goat.
(LAUGHS) Yeah, they gave him to me as a gift.
They had this whole amazing ceremony and everything, but obviously, I couldn't take him with me.
Hmm.
And when Conrad left, they ate him.
No.
I don't like to talk about that part.
(LAUGHS) Wait a second.
What's going on here? NAOMI: Mr.
Robinson's arm had a clot.
- Correct? - Yes.
I suspected disseminated intravascular coagulation.
It's a blood disorder that causes simultaneous clotting and bleeding.
Why did you think DIC? The liver toxicity from the supplements combined with the traumatic injuries from being trampled used up his blood's clotting factors.
His blood work later confirmed it.
This is life-threatening, correct? It can be.
So you alerted your attending? I did not alert my attending because Mr.
Robinson was stable.
The next step was to remove the clot.
Continue advancing the cath to the cloth.
And this is where we confirm placement? Yes.
Inject contrast.
Once we get this clot, we'll go down and get the one in your leg.
So, you're saying what's wrong with me was caused by my supplements? Aspirating.
NIC: Ah, it's an easy mistake.
Supplements are completely unregulated.
People hear "natural" and they think safe.
- (JOSH GRUNTS) - Good.
- So what's next? - I want to monitor you on low dose heparin before you go back to conquering the world.
Thanks, man.
You're a great doctor.
- And if any of y y you - (MONITORS BEEPING) (SLURRING): What's happening? Slurred speech.
Right-sided weakness.
There might be another clot in his brain.
We need to get him to CT now.
(JOSH GROANING) CONRAD: How you doing, Josh? Okay, one more minute.
Josh's heart rate's slowing.
NIC: His respirations are irregular.
And severe hypertension.
Cushing's triad.
That's not a clot.
That's a massive hemorrhage.
He needs surgical decompression.
Page Neurosurgery.
- He's starting to seize.
- His ICP's going up.
- Where's Dr.
Jacobs? - In a resection.
It'll be another ten minutes.
No, that's too late.
We need him now.
- Left pupil's blown.
- He'll never make it.
How long did you wait for Dr.
Jacobs? The CTs show that Mr.
Robinson's hemorrhage would have rendered him brain-dead.
We have a right to know how long Dr.
Hawkins waited for Neuro before taking matters into his own hands.
It was an emergency.
He wasn't watching a clock.
Ju Move on.
The burr should've been performed by a trained neurosurgeon in the OR, not a third-year in the hallway where my client was more likely to contract the meningitis that would put him on a long road to recovery.
I had done them in Afghanistan.
You're not on a battlefield, Dr.
Hawkins.
Now answer the question.
Seconds? Think back.
How long did you wait? - How long ? - I didn't.
DEVON: Scrapings from your stomach lining stained positive for an overgrowth of fungus.
Something called A.
B.
S.
I have abs? Auto-brewery syndrome.
Sounds fun, but I'm guessing it's not.
One cause of A.
B.
S.
is consuming so much alcohol in the past that yeast builds up in the stomach.
That yeast now turns carbs into alcohol.
I'm making beer inside me? Yeah, and these were making it worse because sugars are carbs.
Well, they ought to put that on the label.
We'll get you on an antifungal.
Cut carbs, stick to meat and vegetables.
In a few hours, you'll be sober again, for real.
Did you say, uh, low carbs or no carbs? You can thank me later.
For? For talking to Bell tomorrow and persuading him to send you home to my OR.
I don't want those hands picking up any bad habits.
I'm fine where I am.
My mentor Dr.
Abe Benedict studied under DeBakey himself.
It's a sacred lineage, a genealogy of giants, and you belong in that line.
I'm not interested in being in your line of giants.
I am the first of my own line an ancestor, not your descendant.
How's the low-carb life? I'll take it.
Good news is you'll recover and so will your liver if you stay clean.
I will.
Thanks, Doc.
You all right? Yeah.
I was pretty far gone before I met Tony.
Honestly, I don't think he thought I'd make it.
He couldn't get through to me, but in the end, my fans did.
I started getting all these tweets and DMs, letters.
I never realized how much they cared.
Saved my life.
But some of them got hurt at the park today.
Accidents happen.
It's not your fault.
I just wanted so badly to hit that stage again, to feel that crowd out there.
People who actually came to hear me play, I let them down.
No.
No, you didn't.
Feels like it.
- Dr.
Okafor's a natural.
- Give her a week.
She'll be missing the delicate artistry of our body's vital organs.
- You're worried I'll ruin her.
- She's an artist, likely to become one of the great cardiothoracic surgeons of her generation.
Don't take that from her.
Did you ever think maybe the best decision is her decision? You said we're going to the cafeteria.
I lied.
I had a better idea.
Because this hospital was founded on a simple idea: improve the health and well-being of Atlanta, and today, Chastain's commitment to this community is as strong as ever, which is why we are forgiving the medical bills of every single patient of ours who's been affected by this tragedy.
And we're asking all Atlanta hospitals to do the same.
(APPLAUSE) And we have a really special surprise for you.
Mr.
Rhys, I'm Dr.
Bell.
Thank you.
They're all yours.
What do you think? Good enough place for a comeback? You've earned it.
I know some of you have been knocked down and you're-you're hurting.
This is a song about how we can help each other get back up.
I did everything I could I did everything I thought I should I closed my eyes so I could see - Not bad.
- (CHUCKLES) But in the dark I could not breathe I screamed until I had no voice I screamed and then I had No choice So you couldn't tell me before that Rhys was here, but now you can tell the whole world? I didn't call them.
Bell probably wanted his philanthropy televised.
He always brings out his best self in front of the cameras.
- (SCOFFS) - (CHUCKLES) Forgiving patient bills won't cost us much.
How much will the other hospitals lose? Millions.
And I hear the EMT lounge you're building puts theirs to shame.
Oh, it'll pay for itself in a month.
How about Gordon? I'm closing in on him.
Home again I screamed Until I had no voice I screamed And then I had no choice Signs along the road are hard to see - How's Josh? - Not out of the woods yet.
NIC: At least he has a fighting chance.
Hey Carry me back, carry me back You only came to that festival to see me, didn't you? Because I volunteered on our day off.
That's not true.
I love live music.
You never go with me.
'Cause you sway the whole time.
It's like being on a boat.
- It's annoying.
- I do not sway.
You're a swayer.
Really? Yeah.
All right, well, now you're swaying.
From myself I won't make the same mistakes.
I will make time for us.
We're busy.
We both know what we signed up for, but I will, too.
Set me free Yeah, you CONRAD: Every day, doctors make decisions.
Sometimes they're hard, sometimes they're easy, but this is one of the easy ones.
Josh is here because I took a risk.
I broke a rule to save a life, and if I hadn't, he'd be dead.
But you know that.
We're done here.
MARSHALL: You were right.
It's time I stop telling you what to do.
Will this be harder to win at trial? Yes.
But we are both fighters.
We will win this your way, son.
And I will be with you every step of the way, if you will let me.
Thank you.
(ELEVATOR BELL CHIMES) I get it.
A doctor saves you, you come home grateful, but rehab gets hard, money dries up and your future doesn't look like you hoped it would.
Soon, the doctor who stuck his neck out to save your ass starts to represent an opportunity.
It's not personal.
It is for me.
Conrad's my son.
So here's what happens next.
I am having a nondisclosure agreement drawn up as we speak.
It will be delivered to you within the hour, along with a generous check.
It is an off-the-record settlement that Conrad will never know about.
You will sign it.
My son will be in the cafeteria getting a coffee before his next shift.
You are going to go find him, apologize, tell him you will not be taking a dime, shake his hand, and leave.
- And if I don't? - Mr.
Robinson, I am a man of almost unlimited means, and I will use them to keep you in court the rest of your natural life.
Now, you seem like a nice kid.
I would hate to see you broke, on the street, buried in legal bills you cannot afford to pay.
Because the truth is, you can't win a lawsuit that never ends.
So, the next time someone saves your life, just say thank you.
Okafor frightens me.
- I want her to be my right hand.
- My thoughts exactly.
- CONRAD: Who are you? - BELL: Ms.
Booth works for QuoVadis Labs.
It's a cutting-edge medical device company.
Medical devices are even bigger than pharma.
Pacemakers, cochlear implants CONRAD: The kid was dying.
I had to cut.
You don't make the decision to cut.
I decide that.
BELL: Tell me exactly what happened.
Who made the first cut you or Conrad Hawkins? MAN: Marshall is our new chairman of the board.
It's time to put this hospital on a firm financial footing.
Stick to what you know, and leave the business to the big boys.
BELL: You better open your eyes.
He's certainly here to scorch the earth.
You're a lot more like me than you realize.
WOMAN: State your name for the record.
Dr.
Conrad Hawkins.
You understand that you're under oath? I do.
Remember: "yes," "no," "I don't recall.
" Where were you on the first day that you encountered my client? All right, here we go Hello, stranger CONRAD: When did the dizziness start? About 15 minutes ago.
Aw, you're just a little dehydrated.
I should have you back out before the encore.
You said volunteers got in free.
And here you are.
In the parking lot.
What'd you think you'd be onstage with the bands? DEVON: I thought I'd me able to see the bands.
- The bathrooms have a better view.
- (COUGHING) Then drink your way to a bathroom break.
Ah, good, we can use some extra hands.
Sorry, but I am here for this guy.
- Let's go.
- (BOTH CHUCKLE) One of the other doctors called in sick.
- So - You took their shift.
Just a couple more hours, and then I'm all yours.
No, that's fine.
I'm sure, uh, after a few beers, any guy out there will seem like a good dance partner.
- I'll dance with you.
- See? Not dehydrated, you won't.
But seriously, if you guys need help MINA: Go.
Somebody should have some fun today.
I'll see you later.
I'll find you.
God, I really wanted to see Scott Weiland live.
Well, that'll be tough, since he's dead.
You're thinking of the guy from Soundgarden.
No, that's Chris Cornell.
You're thinking of the guy from Stone Temple Pilots, who is Scott Weiland.
They're both dead? Are you two done? (EXPLOSION) (PEOPLE SCREAMING) DEVON: Oh, my God.
(SHOUTING, SCREAMING) NIC: Somebody get help! Nic! Nic! - The exit's this way, come on! - (GRUNTS) MAN: Go, go, go, go! Nic? - What happened? - I found him like this.
No pulse.
- I started compressions.
- Switch.
Yeah.
I'll get help.
32-year-old male found down without a pulse.
Now with ROSC.
- Multiple external injuries.
- BP 105/80.
Heart rate 110.
- Did he get any fluids? - Two liters.
He needs a pan scan.
- Do we have any idea what happened? - Radio said a couple speakers blew, but everyone thought it was a bomb.
MINA: Blunt abdominal trauma, hypotensive.
Are ambulances on a level zero? - Yeah, patients going all over town.
- Get ready for a full house, people.
Open-arm fracture and hemoptysis.
I need another large-bore I.
V.
One, two, three.
I heard you need extra hands.
NIC: Bleeding's controlled.
All right, it's getting pretty crazy in here, but, uh, no more improv surgeries, okay? Our gunshot kid during the blackout - he made it, didn't he? - Yeah, but you barely did.
Bell put me on the spot, asked me who made the first cut.
What'd you say? Nothing.
But don't make me cover for you again, okay? Thanks.
Dr.
Hawkins, they want you in the VIP room.
Yeah, I'm a little busy.
- Well, someone's got to go.
- DEVON: Hey, I got it.
I was about to go onstage, play my set.
That's when I heard that noise.
Is everyone okay? Let's focus on you right now, Mr.
Barrett.
Looks like you got stomped on pretty bad.
Actually, I just tripped backstage.
(CLATTERING) Is someone in the bathroom? Hey, Tony.
Doc, this is Tony, my sober companion.
Tony, this is Doc.
Tony's just making sure the room's clean.
You'd be surprised what people leave behind in hotels.
It's a hospital.
Maids leave stuff all the time.
How long have you been sober, Mr.
Barrett? Almost a year.
Got to get that chip.
It did get ugly, though.
The more records I sold, the more drugs I took.
I nearly drank myself to death a few years ago.
Had to quit the tour, take some time to dry out.
That show today was supposed to be my big comeback.
(GROANS) You have a possible tibia fracture.
While we get your X-rays we'll get you on oxycodone - for the pain, okay? - No, no, no, no.
No pills.
No booze, nothing.
Only vice I've got left are these babies.
You want one? I'm good.
We'll be back.
- (WHISPERING): Does he seem a little drunk to you? - Yes.
Add a blood alcohol test.
Tox, too.
Got it.
(CLASSICAL MUSIC PLAYING) Mm, so, Julian, what do you advise for an abdominal wall this well-upholstered? Try these retractors.
They're non-slip.
Designed for bariatrics.
JESSICA: I'm glad Prince Abdulraheem requested you personally, Dr.
Bell.
We miss you down here.
Well, thank you, Jessica.
I love the Saudis.
Ideal patients.
They pay same day, full price, in cash.
Mets.
Pick-ups.
We still on for tonight? Mm-hmm.
Dr.
Bell is meeting my boss tonight, Gordon Page.
He's throwing a party for the CEOs who do business with QuoVadis.
Yeah, I'm betting that a guy who went from med school dropout to start-up billionaire in five years can entertain like a rock star.
His open bar is epic.
He flies a mixologist in from Miami Beach.
Oh.
If you need a plus-one, I'm free.
The pick.
("LIKE NO OTHER MAN" BY THE HELLACOPTERS PLAYING) (SAW WHIRRING) See how we mind the patellar tendon as we saw the posterior tibia.
Retractor, please.
SURGICAL RESIDENT: PCL, right? That's right.
Oscillating saw's best to resect damaged areas of the proximal tibia.
Then we size the implants and cement the components.
Oh, it's a beautiful procedure, isn't it? Go ahead, you try.
Get in there and do the next cut.
You all right, dear? Well, I'm tired, so sick, tired of breakin' down (PANTING) (COUGHS) When you come around And crossroads, alleys and empty streets (SAW WHIRRING) Don't be too hard on yourself.
But time for a gut check.
Not too late to go into dermatology.
Dr.
Bell.
Randolph.
My man.
- Make an appointment.
- Amazing thing.
I checked the schedule, and we're both available right now.
I'm on a much needed break.
Which you'll share with me.
I let you get away with this why? Hmm.
I need to establish better boundaries with staff.
Why, dear man, did you assign me yet another moist towelette of a resident? Coleman? He graduated Baylor at the top of his class.
He nearly fainted in my OR.
We're a teaching hospital.
Teach him, he can learn.
Who's this douche? Head of the hottest new medical device company in the country.
Also the most eligible bachelor, I'm told.
Oh, come on, Bell.
We all know you're the most eligible bachelor.
All our residents are standouts, or they wouldn't be at Chastain.
I love Atlanta.
The street art, the craft beer.
A rough-but-ready Irishman in Buckhead I've been spending a lot of time with.
But have you seen the surgical suites at Walter Reed? Mayo and Stanford keep calling, too.
I I don't know how they all get my number.
I may be able to find you a replacement.
What? What is it? A piece of bone.
Ah.
It's an occupational hazard.
Keep me happy, Randolph.
(DOOR OPENS, CLOSES) What's your full name? Josh Robinson.
Do you remember where you were when you lost consciousness? Uh, at a concert in the park.
Reviewing your chart, you've had quite the interesting life.
How did you get so many injuries? Uh, well, this one, heli-rafting in Queenstown.
Um, mountain biking in Morocco.
Heat stroke, passed out.
And, uh Death Drop in Zambia, two years ago.
Still can't bend it right.
Someone knows how to use their vacation time.
I'm a professional adventure guide.
- Seriously? - Yeah.
I just took a group free diving.
- NIC: Wow.
- CONRAD: Oh, nice.
You on any medications? Uh, yeah.
It's in my bag.
Oh, there it is.
- Do you mind? - No.
CONRAD: You have injuries to mark your experiences.
I get tattoos to mark mine.
NIC: I don't see any prescription drugs.
These are all supplements.
Oh, Pharma.
Bad juju.
CONRAD: Josh.
(LAUGHS) Do not get me started on Big Pharma.
NIC: Milk thistle, kava kava, omega-3.
Ironic you take all these supplements to stay healthy and you end up stampeded by a bunch of drunk music fans.
Stampede? What stampede? NAOMI: And that's when you realized that my client - passed out before the stampede? - Yes.
And how many patients did you treat that day, Dr.
Hawkins? I don't recall.
More than five? More than ten? I'll tell you.
20.
Chastain strictly adheres to ACGME guidelines.
How can one resident possibly provide the standard of care to that many patients? We do it every day.
REPORTER: Disturbing footage today from the Hotlanta Music Festival.
CONRAD: Liver and kidneys have seen better days.
History of Crohn's, too.
So lots of signs of the rock star life.
I'm worried the swelling from his injury could cause too much pressure in his leg.
Could lead to poor blood flow and muscle necrosis.
Compartment syndrome.
So if we don't relieve the pressure, he'll lose the leg.
What's your plan? Fasciotomy.
I had Ortho come check his pressures.
- Good.
- They're only at 20.
Well, watch it closely.
If it hits 30, they'll need to operate right away.
Which is why I have him on the OR's radar.
But the anesthesiologist said he'd like to have him sober.
Well, his blood alcohol concentration is .
04.
Give him a few hours.
He says that he hasn't had a drink in a year.
But his serum alcohol level tells us he did.
Tests don't lie.
Alcoholics do.
Yeah, maybe sober companions, too.
How does one man take all of these? Those are just the supplements that our adventure guide remembers taking.
Kava kava was banned in Europe for causing liver toxicity.
That might explain all the bleeding, - but not why he passed out.
- If I had to guess, supplements and dehydration caused an arrhythmia.
- Knocked him out.
- MAN: I'm glad you called.
My firm has over 50 years of experience with neck injuries, right? You say the ER doctor didn't even order an MRI? That's malpractice.
You know, I'm all for patients' rights, but doctors' jobs are hard enough without these vulture lawyers.
And who gets sued the most? ER doctors.
Patients need to be able to sue.
It's their only recourse - for medical error.
- It's abused, and it leads to cover-our-asses overtreatment and over-testing.
Forcing doctors to practice defensive medicine.
Well, let's just focus on our patients and ignore the vultures.
Thank you.
I understand that you and Nurse Nevins are in a relationship.
- Correct? - That's irrelevant.
NAOMI: Do you think working with your girlfriend could possibly have affected your performance? Objection.
Argumentative.
No.
Never.
There is no better nurse practitioner than Nic.
Your client was lucky to have her.
Wouldn't you agree, Josh? (QUIETLY): Easy.
NAOMI: Isn't it true that you have a history of deviating from protocol? I know what you're trying to do.
You're suggesting I put my patient at risk, but you don't know a damn thing about medicine.
Let's take five.
- Conrad.
- I know, I messed up.
I don't need to hear it from you.
This lawsuit could end your career.
You could even be found personally liable.
And the hospital won't stand by you.
Not everyone at Chastain is on your side.
- But you are? - Yes.
You have no idea what this is like for me.
I know exactly what this is like.
I get sued all the time.
Yeah, you probably win every single one, no matter what you say or do.
Oh, don't be naive.
What happened doesn't matter.
A doctor can do everything right, and still get screwed.
Just control your emotions, and let the lawyers do their job.
I have to tell the truth, no matter what.
Then you'll lose.
Maybe.
AUSTIN: This metalhead is lucky you brought her to me.
That paper-thin portal vein could easily be ripped by a mere mortal.
MINA: I can do the Pringle Maneuver.
AUSTIN: I can do it better.
Observe.
Right angle.
MINA: Well, I've done it before, - flawlessly.
- Well, if there's nothing left for you to learn, Dr.
Okafor, why are you here? Good question.
PAUL: Pressure's still dropping.
MINA: We must have another bleeder in there somewhere.
- Give me another right angle.
- She's losing too much blood.
- Let me help.
- Too many cooks.
Can we think about the safety of the patient and not your ego? AUSTIN: Yeah, in the words of my colleague Dr.
Seuss, "With this brain in my head and this blade in my hand, I shall save every man, woman and child in the land.
" - That is not Dr.
Seuss.
- It's an adaptation.
Let me break it down, Okafor: my house, my rules.
(BEEPING STEADIES) Pressure's coming back up.
AUSTIN: Course it is.
(LAUGHS) Oh, it's so good to be king.
I'm getting sick of the king treating me like his valet.
I'll tell you what: you can close.
Your life can change in a moment.
Levi was born with a congenital corneal disease.
He'd never seen his mom, until a synthetic cornea from QuoVadis made it possible.
Utilizing advanced nanotechnology, we provided better bio integration, quicker healing I don't like being summoned.
GORDON (OVER VIDEO): You see, at QuoVadis, we measure our success by how much we improve the quality of people's lives.
Which is why I'm so passionate about our latest breakthrough device: a safer, a more effective vagus nerve stimulator.
Remember that rep serving free lunch with her device demos? - AUSTIN: Mm.
- This is her boss.
He's barely 30.
His company valued at $4 billion.
He's a salesman, Dr.
Bell.
The first thing they sell is themselves.
(VIDEO STOPS) This talk of his has over a million hits.
I find it quite moving.
What am I doing here? Oh, I'm assigning you to Ortho.
Ha.
Bell just made a funny.
MINA: I I am not changing my residency.
Well, no one said you were.
You're just rotating through a different surgical specialty.
This is a teaching hospital, and when we said, "See One, Do One, Teach One," we didn't literally mean just one.
See mine, do mine, be mine.
Okafor belongs to me.
I belong to no one.
I chose general surgery.
Me, not you.
(SCOFFS) Well, my bad, Dr.
Bell.
I now see the value in Okafor doing a dance with our friends in Ortho.
Happy hammering.
Dr.
Okafor, lovely to meet you.
You come highly recommended.
What did Dr.
Austin really say? That you're extremely demanding, and in need of an attitude adjustment.
Also too talented for Ortho, which he called glorified carpentry.
That was rude of him, but accurate.
You know what's beautiful about Ortho? When something is broken, we fix it.
First up, full hip replacement.
Shall we go and give the patient the ability to walk again? (DOOR OPENS) - Come on, just let it go.
Relax, relax.
- (MUTTERS) LFTs just came in.
Let me guess.
Alcoholic liver disease? Early stage.
INGRID: Relax, relax, let it go.
Ingrid, what's going on? We're having a party.
Are you sure all he's had are IV fluids? INGRID: Oh, I never took my eyes off him, I swear.
Does this thing have a gas pedal? Hey.
What'd you slip him? A drink? Pills? Let me have a look at that leg.
I'm not drunk.
I'm sober as a judge.
Pressure's too high.
We can't wait.
DEVON: All right, we need to get him up to surgery, or he'll lose his leg.
Let's go.
It's his leg, but if he keeps drinking, it won't matter.
(BONE CRACKING) (ROCK MUSIC PLAYING FAINTLY) KIT: You're up.
You want me to do the impaction? Mm-hmm.
This hip replacement needs to be attached firmly.
Think of something bothering you.
Pissed you got reassigned? Get out those frustrations.
The news reports said hundreds of people were injured at the concert, most of them seriously, so why am I only seeing 40 admits? Where are the brain injuries, the skull fractures, the ICU admissions? My understanding is, the serious cases all went to Atlanta General.
All of them? We're a level one trauma center.
Why are the EMTs not sending us the serious cases? Because Atlanta General has a new EMT lounge.
They have a 72-inch TV with sports channels and a popcorn machine with real butter.
They have a lounge just for the EMTs? I heard Trinity Memorial is building a better one.
We don't even give them stale bagels.
It's no wonder the ambulances are going elsewhere.
Give us the room.
Maybe it's time you start doing your job and let someone else cut open obese Saudi princes.
He requested the chief of surgery which is me.
I've been doing due diligence for the board.
Our costs are rising and our profit margins are shrinking.
Yeah, which is why I have a meeting with Gordon Page tonight.
Let me guess, Chastain agrees to use only QuoVadis medical devices and in exchange, Gordon gives us ? A 20% price cut to boost our profit margins.
Strong deal for both sides.
I need a better one.
I've already told the board not to worry because if you can't land Gordon, I will.
I didn't have time to go home and change.
Is this too wrinkled? - No.
- Thanks.
There isn't a full-length mirror in the ladies room.
(CHUCKLES) I'll get right on that.
This party of Gordon's is a big deal.
I don't get a lot of face time with him.
He's too busy.
I want to make a good impression.
Oh, come on, Gordon can't be tougher than some of these doctors at Chastain.
And you've been winning us over since you walked in that door.
You got this.
I hope so.
If I can be the one to bring Gordon and Bell together, I could be looking at a bonus, which I really need.
I'm helping my parents put my little sister through college.
You're gonna do great, Julian.
Thanks.
Oh, hey, could you do me a favor? Sure.
I heard you're treating Rhys Barrett in VIP.
If I confirmed that, I would be violating HIPAA.
Just blink if he's here.
(LAUGHS SOFTLY) My parents would not stop playing his albums when I was a kid; his songs are basically the only ones I knew until I dropped out of high school.
I'm still not telling you.
Pretty please.
Wait, you dropped out? I went back.
Anyway, I'll always have a special place in my heart for Rhys.
I know he hasn't toured for years.
Drugs and alcohol, I guess, which is such a shame, but I will always be a fan.
I'd love to meet him.
BELL: So, who's my biggest competition? Trinity Memorial beats you on cochlear implants by 15% but doesn't come close on caths or aortic valves.
St.
John's will make a play.
Yes, but with the VNS, Gordon wants high-volume pilot hospitals.
- More patients, better outcomes.
- Well, for a guy who just moved to Atlanta, he certainly has settled in.
(JULIAN CHUCKLES) (INDISTINCT CHATTER) JULIAN: Gordon.
I'd like to introduce you to the CEO of Chastain, - Dr.
Randolph Bell.
- Randolph Bell.
I've been looking forward to meeting you, Dr.
Bell.
I hope Julian here has made herself useful.
BELL: Oh, she's been invaluable.
So I've done some reading on your vagus nerve stimulator.
Is it everything I hear? More.
Yeah, we just wrapped our European trials.
It exceeded all our expectations.
We're going to help so many people.
Well, I'd love to see the data from those trials.
Previous VNS stimulators have all had issues.
Not ours.
But we'd value your thoughts.
- MAN: Hey, Gordon.
- Ooh.
Can I introduce you to the governor? He's on our board.
His son suffers from refractory seizures, so we might have some answers for him.
Governor.
(LAUGHS) (ROCK MUSIC PLAYING) You're even better than your reputation.
I need opportunities to hone my skills.
Lately, Dr.
Austin would rather show off his.
AJ does seem like a grade-A narcissist.
He's also the most brilliant surgeon I've ever seen.
No offense.
Well, you haven't got to know me yet.
There are things I can teach you even the Raptor doesn't know.
I'm listening.
(INDISTINCT CHATTER) And one for you, fresh from Havana.
Thank you.
Awful, what happened today at that music festival.
Yeah, thank God no one died.
You know, you're the only CEO here who didn't tell me in the first two minutes how much they made from it.
Well, don't give me too much credit.
To be perfectly frank, we didn't do so well.
I'm impressed by your honesty.
I'm interested to know more about you.
Were your parents in medicine? My parents ran a hardware store on Peachtree.
Worked seven days a week, not that it got them anything.
- You wanted more? - You know, I just wanted them to wake up one day and not have to go in, not have a job to do, no bills to worry about.
And being a doctor seemed like the hardest, best thing I could become.
I'd have the power to change their lives and Did you? Well, they died while I was still a resident.
They'd be proud if they could see you now.
Look at you.
You're at the top of your game.
- Well, I'm not done yet.
- (CHUCKLES) Look, I want Chastain to handle the launch of your VNS and and I want us to negotiate a financial relationship that benefits us both.
I'm talking to several CEOs who want the same.
Tonight? Enjoy the party.
I'm not ready to make my decision.
DEVON: They fixed his leg, but get this: Rhys's blood alcohol actually rose during surgery.
He's telling the truth.
He's not drinking.
Which means to save his liver, we have to figure out what's really going on.
And ? There's no explanation.
And what? We've been watching him.
The only thing he's put in his mouth is licorice.
CONRAD: And? Those vines, they're pure sugar.
I'm gonna order an EGD.
You snowboarded down a volcano? - Yeah, I did.
- How is that even a thing? You're a hell of a risk taker.
I respect that.
You guys ever take, uh, adventure vacations? Last year I went to Rwanda to volunteer with Partners in Health.
That's the kind of vacation I like.
Yeah, he slept in a tent, made friends with the village goat.
(LAUGHS) Yeah, they gave him to me as a gift.
They had this whole amazing ceremony and everything, but obviously, I couldn't take him with me.
Hmm.
And when Conrad left, they ate him.
No.
I don't like to talk about that part.
(LAUGHS) Wait a second.
What's going on here? NAOMI: Mr.
Robinson's arm had a clot.
- Correct? - Yes.
I suspected disseminated intravascular coagulation.
It's a blood disorder that causes simultaneous clotting and bleeding.
Why did you think DIC? The liver toxicity from the supplements combined with the traumatic injuries from being trampled used up his blood's clotting factors.
His blood work later confirmed it.
This is life-threatening, correct? It can be.
So you alerted your attending? I did not alert my attending because Mr.
Robinson was stable.
The next step was to remove the clot.
Continue advancing the cath to the cloth.
And this is where we confirm placement? Yes.
Inject contrast.
Once we get this clot, we'll go down and get the one in your leg.
So, you're saying what's wrong with me was caused by my supplements? Aspirating.
NIC: Ah, it's an easy mistake.
Supplements are completely unregulated.
People hear "natural" and they think safe.
- (JOSH GRUNTS) - Good.
- So what's next? - I want to monitor you on low dose heparin before you go back to conquering the world.
Thanks, man.
You're a great doctor.
- And if any of y y you - (MONITORS BEEPING) (SLURRING): What's happening? Slurred speech.
Right-sided weakness.
There might be another clot in his brain.
We need to get him to CT now.
(JOSH GROANING) CONRAD: How you doing, Josh? Okay, one more minute.
Josh's heart rate's slowing.
NIC: His respirations are irregular.
And severe hypertension.
Cushing's triad.
That's not a clot.
That's a massive hemorrhage.
He needs surgical decompression.
Page Neurosurgery.
- He's starting to seize.
- His ICP's going up.
- Where's Dr.
Jacobs? - In a resection.
It'll be another ten minutes.
No, that's too late.
We need him now.
- Left pupil's blown.
- He'll never make it.
How long did you wait for Dr.
Jacobs? The CTs show that Mr.
Robinson's hemorrhage would have rendered him brain-dead.
We have a right to know how long Dr.
Hawkins waited for Neuro before taking matters into his own hands.
It was an emergency.
He wasn't watching a clock.
Ju Move on.
The burr should've been performed by a trained neurosurgeon in the OR, not a third-year in the hallway where my client was more likely to contract the meningitis that would put him on a long road to recovery.
I had done them in Afghanistan.
You're not on a battlefield, Dr.
Hawkins.
Now answer the question.
Seconds? Think back.
How long did you wait? - How long ? - I didn't.
DEVON: Scrapings from your stomach lining stained positive for an overgrowth of fungus.
Something called A.
B.
S.
I have abs? Auto-brewery syndrome.
Sounds fun, but I'm guessing it's not.
One cause of A.
B.
S.
is consuming so much alcohol in the past that yeast builds up in the stomach.
That yeast now turns carbs into alcohol.
I'm making beer inside me? Yeah, and these were making it worse because sugars are carbs.
Well, they ought to put that on the label.
We'll get you on an antifungal.
Cut carbs, stick to meat and vegetables.
In a few hours, you'll be sober again, for real.
Did you say, uh, low carbs or no carbs? You can thank me later.
For? For talking to Bell tomorrow and persuading him to send you home to my OR.
I don't want those hands picking up any bad habits.
I'm fine where I am.
My mentor Dr.
Abe Benedict studied under DeBakey himself.
It's a sacred lineage, a genealogy of giants, and you belong in that line.
I'm not interested in being in your line of giants.
I am the first of my own line an ancestor, not your descendant.
How's the low-carb life? I'll take it.
Good news is you'll recover and so will your liver if you stay clean.
I will.
Thanks, Doc.
You all right? Yeah.
I was pretty far gone before I met Tony.
Honestly, I don't think he thought I'd make it.
He couldn't get through to me, but in the end, my fans did.
I started getting all these tweets and DMs, letters.
I never realized how much they cared.
Saved my life.
But some of them got hurt at the park today.
Accidents happen.
It's not your fault.
I just wanted so badly to hit that stage again, to feel that crowd out there.
People who actually came to hear me play, I let them down.
No.
No, you didn't.
Feels like it.
- Dr.
Okafor's a natural.
- Give her a week.
She'll be missing the delicate artistry of our body's vital organs.
- You're worried I'll ruin her.
- She's an artist, likely to become one of the great cardiothoracic surgeons of her generation.
Don't take that from her.
Did you ever think maybe the best decision is her decision? You said we're going to the cafeteria.
I lied.
I had a better idea.
Because this hospital was founded on a simple idea: improve the health and well-being of Atlanta, and today, Chastain's commitment to this community is as strong as ever, which is why we are forgiving the medical bills of every single patient of ours who's been affected by this tragedy.
And we're asking all Atlanta hospitals to do the same.
(APPLAUSE) And we have a really special surprise for you.
Mr.
Rhys, I'm Dr.
Bell.
Thank you.
They're all yours.
What do you think? Good enough place for a comeback? You've earned it.
I know some of you have been knocked down and you're-you're hurting.
This is a song about how we can help each other get back up.
I did everything I could I did everything I thought I should I closed my eyes so I could see - Not bad.
- (CHUCKLES) But in the dark I could not breathe I screamed until I had no voice I screamed and then I had No choice So you couldn't tell me before that Rhys was here, but now you can tell the whole world? I didn't call them.
Bell probably wanted his philanthropy televised.
He always brings out his best self in front of the cameras.
- (SCOFFS) - (CHUCKLES) Forgiving patient bills won't cost us much.
How much will the other hospitals lose? Millions.
And I hear the EMT lounge you're building puts theirs to shame.
Oh, it'll pay for itself in a month.
How about Gordon? I'm closing in on him.
Home again I screamed Until I had no voice I screamed And then I had no choice Signs along the road are hard to see - How's Josh? - Not out of the woods yet.
NIC: At least he has a fighting chance.
Hey Carry me back, carry me back You only came to that festival to see me, didn't you? Because I volunteered on our day off.
That's not true.
I love live music.
You never go with me.
'Cause you sway the whole time.
It's like being on a boat.
- It's annoying.
- I do not sway.
You're a swayer.
Really? Yeah.
All right, well, now you're swaying.
From myself I won't make the same mistakes.
I will make time for us.
We're busy.
We both know what we signed up for, but I will, too.
Set me free Yeah, you CONRAD: Every day, doctors make decisions.
Sometimes they're hard, sometimes they're easy, but this is one of the easy ones.
Josh is here because I took a risk.
I broke a rule to save a life, and if I hadn't, he'd be dead.
But you know that.
We're done here.
MARSHALL: You were right.
It's time I stop telling you what to do.
Will this be harder to win at trial? Yes.
But we are both fighters.
We will win this your way, son.
And I will be with you every step of the way, if you will let me.
Thank you.
(ELEVATOR BELL CHIMES) I get it.
A doctor saves you, you come home grateful, but rehab gets hard, money dries up and your future doesn't look like you hoped it would.
Soon, the doctor who stuck his neck out to save your ass starts to represent an opportunity.
It's not personal.
It is for me.
Conrad's my son.
So here's what happens next.
I am having a nondisclosure agreement drawn up as we speak.
It will be delivered to you within the hour, along with a generous check.
It is an off-the-record settlement that Conrad will never know about.
You will sign it.
My son will be in the cafeteria getting a coffee before his next shift.
You are going to go find him, apologize, tell him you will not be taking a dime, shake his hand, and leave.
- And if I don't? - Mr.
Robinson, I am a man of almost unlimited means, and I will use them to keep you in court the rest of your natural life.
Now, you seem like a nice kid.
I would hate to see you broke, on the street, buried in legal bills you cannot afford to pay.
Because the truth is, you can't win a lawsuit that never ends.
So, the next time someone saves your life, just say thank you.