The Resident (2018) s05e14 Episode Script

Hell in a Handbasket

1 Previously on The Resident Trevor, no one here needs to know that we're related, that you're my biological son.
I need to talk to the state medical board.
Bell asked me to write him a recommendation for it.
He told me Robert Porter is angling for a seat on the board.
He has to be stopped.
He raped me when I was 13 years old.
Withdraw the complaint.
Say you lied for Dr.
Bell, and you'll never hear from me again.
You're scared.
Withdraw it or I will destroy you.
I'm fully aware of your mistakes.
I'll expose all of them, and I will take away the very thing you love the most, your career.
You ready to tap out yet, Hawkins? No way.
You? No, sir.
I can do this all day.
Saved by the bell.
Ooh! I've seen that smile before.
Getting in shape for a lady friend, - perhaps? - Oh, - is that a clinical diagnosis? - 100%.
You know, I passed by Marion headed to your house this morning.
How's she doing? Touché.
- Oh, no.
- What's wrong? Breakfast potatoes, turkey bacon, toast, eggs? - What's the occasion? - No occasion.
I just wanted to do something nice for my sister.
Someone died, didn't they? Was it Uncle Ishman? Okay, Uncle Ishman will outlive all of us.
But, um, since today is the last day before Devon comes home from his conference, uh, there's actually something I wanted to talk to you about.
Padma, I got to go.
- Do you have to? - It's kind of an emergency.
And we will talk later, okay? And thank you.
And I'm so sorry.
- What's up, Janice? - Hey.
- What's all the commotion about? - You haven't seen? It's all over Twitter.
Apparently, Dr.
Sutton cut unsupervised when she was a resident.
Ended up paralyzing a patient.
Why are we concerning ourselves with a few inflammatory tweets? If by "a few" you mean hundreds.
Are they wrong? Did you not promote Dr.
Sutton knowing full well she had been fired for misconduct? All doctors make mistakes.
Billie was promoted because she deserved it.
Did she deserve it over our surgeons with more experience and seniority? What you should be asking yourself is why these reports are surfacing now, years later.
Voss is right.
There clearly is an ulterior motive here.
Sutton filed a complaint against a powerful doctor.
If I were to guess, this is a smear campaign designed to turn the public against her.
Keeping Chastain under this intense public scrutiny is not something we can risk right now.
Then what do you suggest? You know how much this board respects you, Dr.
But I think you should be relieved of your CEO duties.
Just until we get this situation handled.
- You want to fire me? - No one's being fired.
We can mute the outrage by putting someone in your seat that can take the heat off the hospital.
Even if we were considering this, which we are not, who would that person be? Dr.
Bell is the obvious candidate.
I think we should take a vote.
All in favor of putting Dr.
Voss on a temporary leave of absence.
Hey there, sugar dumpling Let me tell you something Boy, I've been trying to say now You look so sweet and you're so doggone fine Just can't get you out of my mind.
AJ, did you talk to her? I talked.
Billie, not so much.
She needs to know we're here for her.
This is wrong.
Those pansy-ass keyboard crusaders only show courage behind a computer screen.
Or not.
I don't think they're here for Billie.
I'll call EMS.
Tell them to hurry.
We have no idea how long - she's been up there.
- She's not moving.
No doubt the blood has already started to pool into her legs.
If she passes out, she'll develop suspension syndrome.
That could kill her.
We need emergency services to Chastain hospital now.
Hold on! We're getting you help! Try to keep your legs moving! - Gather around, y'all.
- Incoming trauma.
We need all available hands on deck.
- Is this everyone? - Dr.
Pravesh won't be back from his critical care conference until tomorrow.
- But where are all the nurses? - Dallas, Newark, L.
- Take your pick.
- Ugh, these travel contracts are no joke.
Last week I was offered $130 an hour in Key West.
Housing, meal stipends.
If it weren't for Riley's school, I'd have taken it.
We are fielding offers left and right.
It's a national problem hospitals are desperate to fix.
Same kind of nurse exodus happened at Atlanta General.
Led to some pretty unsafe working conditions.
Which is why Chastain should cough up the funds to keep us.
Instead, we get travel mugs and back-to-back surgeries.
Speaking of which, I'm needed in the OR five minutes ago.
We'll make do.
- Bay 10.
- Window washer took a fall.
- Caught by her harness.
- Tachy to 130, BP 80/50.
Sats stable post-intubation.
One, two, three.
- Bolus a liter of LR.
Let's get some norepi.
- Mm-hmm.
I'll get labs and EKG.
Let's get her out of this harness.
Whoa, whoa.
That harness is acting like a tourniquet.
- Restricting blood flow.
- And allowing toxins to accumulate.
- Remove the tourniquet and - Pop goes the weasel.
- Those toxins flood right into the body.
- Right.
We need to prepare for the worst.
Say whatever you want, there's a reason Sutton was made chief of surgery.
We heard.
I'm so sorry, Kit.
This won't stand.
It's a wrongful dismissal.
There's more to it than that.
This all leads back to Porter.
I'd put money he pushed the board to suspend me.
But the real question is, how are you doing, Billie? Well, I feel awful.
This is all my fault.
No, none of this is on you.
Listen, Porter came to see me last night.
He threatened to come after me if I didn't withdraw my complaint.
But I never expected this to blow back on you.
He's trying to discredit you, take away your allies.
- We can't let that happen.
- And Marshall called.
They want to install me as interim CEO.
Do it.
We need you as a shield.
Well, better you running the hospital than some Porter ally.
Oh Okay, I'll do it.
Oh, please say it's not about me.
Another OR nurse just handed in their notice.
Dealing with this nursing shortage was top of my priority list.
So this is your way of saying it's my problem now? Unfortunately for you, but lucky for us.
Bicarb drip going up and the calcium chloride's - ready to push.
- Let's get some vasopressin in our back pocket.
- Just in case.
- Already ahead of you.
FAST is negative.
BP is stable.
We've done everything we can.
It still might not be enough.
Say the word.
Here we go.
BP is tanking, 60/20.
Her heart rate is skyrocketing.
Potassium is high, which makes sense.
But her hemoglobin is 5.
She's profoundly anemic.
We need two units of blood.
Where's it all going? Her FAST was negative, but that doesn't rule out a pelvic fracture.
Well, if she fell with enough force to fracture her pelvis, there's no telling what other damage might be done.
This is as stable as she's gonna get.
Let's get her to CT and figure out what we're dealing with.
Uh, Hundley, page Kit.
- Tell her to meet us there.
- Okay.
The Sutton stuff is wild.
And beyond cruel.
Poor Billie.
I read that she was banned from practicing medicine in the U.
Come on, Janice.
That's not true.
How do you know? I know, okay? Can't you tell these are all lies? I didn't realize you were such a fan.
I thought you didn't like her.
I don't like unwarranted character assassinations.
- Preach, Trevor.
- You do realize people are trying to destroy her reputation with no proof and you're piling on.
When hundreds of people are all saying the same thing, you can't just discount it.
You can't blindly believe it, either.
All I'm saying is that where there's smoke there's usually fire.
Hey, Hawkins.
Do you know what's up with this Sutton thing? - I assume it's getting worse.
- By the minute.
I know she's your friend.
Is there anything I can do? Shut down any rumors you hear around this place.
The gossip mill is amplifying everything.
Yeah, that intern Trevor was pretty upset.
Trevor? - Why? - I don't know.
But he was defending the hell out of her.
- Hey.
- Hey.
You know I care about you, right? What is going on here? Hmm, I wish I could tell you, Conrad.
You can.
Uh, you won't understand.
Actually, the only person who ever did was Nic.
Times like this, I really miss her.
Nic wouldn't want you to carry this weight alone.
Talk to me.
I filed an ethics complaint against a doctor who's up for a seat on the state medical board.
And now he's trying to destroy you? What kind of ethics complaint? Uh, it was a "Me Too" kind of a thing.
I am so sorry.
When did this happen? A long time ago.
- Too long ago.
- Doesn't matter.
We will fight back.
Go public.
- Out him for the monster he is.
- I can't.
Why not? It's complicated.
Please just keep this between us.
- Promise me.
- Of course.
But if you're going into battle, I want to be your wingman.
So, our window washer, who took an unexpected bungee jump, she has a spinal compression and a pelvic fracture.
The spinal compression appears minor.
No reason to believe it wouldn't heal on its own, but that pelvic fracture, that's a different story.
Marshall told me what happened with the board.
We are all standing by you and Billie.
What he said.
We got your back, Boss Voss.
Just let us know what you need.
Tara needs an open reduction internal fixation on her pelvis immediately.
It will be a brutal operation.
Incredibly long.
And I can't wait.
This is the best medicine for Tara and me today.
I'll take it from here, gentlemen.
Well, all right.
- Is it true? - Depends.
Which part? Are you really a card-carrying member of the Illuminati? That's ridiculous.
We don't carry cards anymore.
I've had Internet mobs come after me.
It can happen to anyone.
Oh, yeah? What did you do? Uh, something to do with Christmas being a pagan holiday.
You know, nothing to do with baby Jesus.
I didn't realize I'd be unleashing Armageddon.
Well, I could have told you that.
But this this is a little different.
Wait, uh So, were you really cut from your residency for harming a patient? Mostly true.
'Cause I opened and closed for my attending on a regular basis.
I'd done that procedure for him at least a dozen times.
So, when he was late, I started without him.
And it was a terrible call.
I'll live with it for the rest of my life.
But I was young and arrogant.
Can't really dock you for youthful arrogance.
It's kind of my signature move.
But are you okay? Seriously.
Like you said, it can happen to anyone.
Don't worry about me.
Double shift's almost over.
How you holding up? My feet are killing me.
And I'm too tired to rub them.
Message received.
- Come here.
- Hmm.
Another recruiter reached out.
This time to talk about a travel nurse gig in Sacramento.
Did this one take no for an answer? I, um I might not have told her no.
I thought we agreed moving wasn't an option.
Chastain is our home.
It's starting to feel like a shelter for battered nurses.
You know I love Chastain, but I don't know how long I can take pulling triple duty.
This nursing shortage has been hard, - but it's temporary.
- Which means it could be two weeks or two years.
So you're going to meet her? I won't sign anything without talking to you first.
I just want to see if the grass is any greener.
Hey, you're just the person I wanted to see.
Kit brought me up to speed on the nursing shortage.
I know you've been stretched thin.
More like flattened to a pancake.
Well, I think we found a way to lighten the load.
There's a handful of nursing students who can start as early as tomorrow.
I appreciate the effort, Dr.
Bell, but nursing students aren't nurses.
They're just more work for us to train.
But they're extra hands that we desperately need.
Which reminds me, can you scrub in on a pelvic fracture? Uh, I wish I could.
My shift just ended and I have an appointment.
- Can't you reschedule? - No, actually, and that's what I want to talk to you about, Dr.
I'm meeting with a recruiter.
- You're leaving us? - No.
I mean, not yet.
I'm-I'm just testing the waters.
Jessica, you are a crucial member of this team.
Especially to me.
Of course, but I I know I speak for every other surgeon when I say you hold tremendous value.
I know.
That's why I have to explore my options.
Wharthon? You can't leave.
You're supposed to be getting prepped for your laminectomy.
That's cancelled.
- I don't understand.
- Look, I would have to be a fool to allow myself to be operated on by a surgeon who killed a patient.
At the very hospital that turned a blind eye.
Hey, Irene, Irene I hear your concern.
But neither of those things happened.
You expect me to believe that? Pelvic reduction forceps, please.
You know, this lack of support is really killing my vibe.
With all the scrub nurses gone, who's going to remember to feed your ego? Oh, I can tell you've had a rough day today, Dr.
Voss, so I'm gonna let that one slide.
Did we call for a general surgeon? No, just filling in for Jessica.
Randolph Bell.
The man, the myth, the scrub nurse.
Ever think you'd gain two jobs in one day, darling? Uh, let's hold off on the pet names for a sec.
Looks like we got a problem.
Must have injured a vessel pulling the anterior pelvis together.
Yeah, the pulse is present.
But she must not be getting any venous drainage to her legs.
And here I thought my services were not needed.
Nurse Bell, scalpel.
Thank you.
Dissecting for proximal and distal exposure.
New job looks good on you.
Don't get used to it.
All right.
All right, well, there you have it.
All credit for the save goes to our exceptional new scrub nurse.
I'll be right back to check on you, all right? What now? As hard as this is to say, you were right.
I shouldn't have said anything about Dr.
Yeah, you think? Everything okay? Dr.
Sutton submitted an ethics complaint against a very powerful doctor who's trying to get on the state medical board and now he's retaliating.
Whoa, wait, an ethics complaint? When? Apparently it was a long time ago, but that's not the worst part.
The complaint was that he is a sexual predator.
Give me your phone so I know you're not recording this.
Now yours.
Here's the offer.
You pull your name out of the running for the state medical board, I'll say it was a case of mistaken identity and withdraw my statement.
Why do you care so much about the state medical board? A predator like you has no place passing judgment on the ethics of other doctors.
We remember the past very differently.
I was 13.
The law is clear.
You're in no position to give me ultimatums.
You have no proof, not one shred of evidence to back up your accusation.
What you do have is a checkered past of your own that includes malpractice.
I was a resident, and my attending was legally responsible.
But I already paid the price for that.
It's long over.
Clearly, that is not the case.
Otherwise you wouldn't be here.
I am one of the most prominent, revered doctors in Georgia.
Your word against mine, you lose every time.
- Then why are you here? - I want my record cleared.
Withdraw the complaint.
That is enough of a bargain.
You have an impressive résumé, Jessica.
There are a dozen hospitals that would kill to have you on their roster.
Any of these hospitals happen to be in Georgia? Atlanta, specifically? Currently, we're only looking to fill positions in Sacramento.
Which is far away.
Look, I have the greatest respect for nurses.
My sister is one.
I know all about the scut work, the-the double shifts.
You're not appreciated as you should be.
And you're certainly not compensated as such.
But that is changing.
FHM will not only cover your relocation expenses, we will pay you $7,500 a week for only 48 hours of work.
Comes out to $150 dollars an hour.
With unparalleled health benefits, and we will pay for your housing as long as you're with us.
- Wow.
- Not to mention, in California, nurses are unionized, so if you decide to stay longer This is an intriguing offer.
But I need to think about it.
Well, my flight leaves in six hours, so I'll need an answer by then.
Is the pain normal? Unfortunately.
You underwent a massive pelvic repair.
The harness that saved you almost cost you your life.
It may take you a while before you're scaling the sides of buildings again, but give it time.
And, until then, we'll try to keep you as comfortable as possible.
Thank you.
That's all right, dear, just let it out.
Sorry about that.
The anesthesia used in surgery makes most people nauseous.
Surgery? Who had surgery? You did.
After the fall.
Don't you remember? Tara, can you tell us where you are? This might be uncomfortable.
Absent gag reflex.
This could be a sign of cerebellar herniation.
What exactly are you saying? I'm withdrawing my complaint against Porter.
- Why? - If he was so sure of his position, he wouldn't have met with you.
He's scared.
- So am I.
- Of what? Of where this is heading.
Don't let him get into your head.
Look, I am willing to take any blow myself.
I'm tough enough to handle it.
But I can't inflict damage on you or Chastain.
I won't fight a battle I can't win if it ends up hurting the people I love.
- We're not afraid.
- We're fighting with you.
Billie, has something else happened? I got pregnant when I was raped, and I had the baby.
Uh, we've reconnected.
But he's starting to ask questions and figure things out.
If he finds out how he came into this world, it might destroy him.
I have to protect him.
I have to put an end to this.
We'll stand with you.
Whatever your decision.
I got your text.
What's up? Did you know Billie had filed a complaint against a state medical board nominee? What are you talking about? He's the one coming after her online.
Because of some interaction they had a while ago.
I think I figured out who he is.
Listen, Trevor, you need to stop.
All right? - If Billie didn't tell you any of this - Yeah, that's the point.
Why would she hide it? Why would she Why would she care if I know about an ethics complaint against some-some random doctor? I am advising you, as your mentor and your friend, you need to drop this.
There are only two nominees to the state medical board.
Bell and this guy.
His name is Robert Porter.
And that's not all I know.
I, um, I did this deep dive.
It turns out Porter lived in the same town as Billie.
Same neighborhood.
Until her family moved away, and you know when they did that? Six months before I was born.
- All right, that's enough.
That's it.
- No, no You don't know when to quit, do you? See, that's your problem.
You don't know anything - about boundaries, Trevor.
- Boundaries? Boundaries? Really? There was no high school romance with a football player, was there? No accidental pregnancy.
You know the truth.
You need to tell me, um Robert Porter is my father, isn't he? She was 13.
He was an adult.
He forced himself on her, and I'm the product of a rape? Trevor.
All this time she was protecting me from the truth.
That my biological father is a monster.
Trevor, listen to me.
You are the product of your own actions.
- You hear me? - No.
Trevor! How's Billie doing? - Is she joining us? - I don't know.
There's a lot going on.
None of it good.
What's the story? Tara made it through an extensive orthopedic and vascular surgery.
Then she developed signs - of cerebellar herniation.
- What do you see? Right here.
A traumatic Chiari malformation.
It's subtle.
Trauma CTs can easily miss it.
But how did it happen? There wasn't any direct trauma to her head.
She did have that spinal fracture.
- It looked stable, but - That can cause a tear in the dura, allowing spinal fluid to leak out.
So we need to close the leak.
First with a spinal surgery, and then the brain.
I can do it.
Are you sure you're in the right headspace? No doubt.
Well, I'd never bet against Dr.
Billie Sutton.
As Dr.
Voss is aware, I have a hard out, so I'll take Tara to the OR now.
Is she gonna fight? No.
The fight is already lost.
All we can do is respect her decision and her privacy and back her.
Glad to have you back in the OR, Dr.
We missed you.
We need music.
Whoa, that's under a lot of pressure.
It is.
And you're gonna open it.
Efficiently, so that the cerebellum doesn't herniate out the dural opening.
I'm on it.
15 blade to me.
Uh, ooh Let's start at the bottom.
Get it open within ten seconds.
Come on, baby If we're lucky, fluid will release and the brain will decompress.
Let me tell you something, boy I've been trying to say now Uh, she's still herniating.
We have to access the spinal fluid.
How do we do that? We need to cauterize the bottom of the cerebellum.
That's the only way we can decompress this.
Electrocautery to me, now.
We can do it, we can do it We can do it, we can do it Come on, I'm feeling it Come on, come on, come on That was amazing.
If anyone ever questions your competency again, I'm gonna tell them about this.
I need you to groove me You're a force of nature.
Now, darling.
So Well, what number did they give you? I want to know what Chastain is offering first.
HFM's offer was double.
You can't be serious.
But the cost of living in California is higher, so to adjust for that, I'd need at least And you have to hire five more nurses.
- Real ones, not students.
- I No more three-to-one assignments in the ICU.
And stop the mandatory overtime.
Kit has given me this much room and that's it.
You can have three nurses.
And let me just say that this family is more than the sum of its parts.
It's like any family.
So do we have a deal? Okay.
Oh, Kit told me that you scrubbed in, in my place.
It made me feel warm and fuzzy inside.
Yeah, it was a humbling moment in my career.
And one of the most enlightening.
I'm glad you're staying.
Me, too.
It's gonna be fine.
Don't worry.
This seat taken? You didn't have to come.
Yes, we did.
We're a team.
Teams stick together.
- Hey, buddy.
- Hey, how are you? So, Dr.
Sutton, you called this meeting.
You have something you want to say, now is the moment.
I'm here to withdraw my complaint against Dr.
Sutton, you owe this board an explanation.
Why come up with this heinous lie against a fellow doctor? A pillar of our medical community? - A - Pedophile.
This is a private meeting, young man.
I'm sorry, but but who the hell are you? My name is Dr.
Trevor Daniels.
I was born August 3, 1995 to my mother, Dr.
Billie Sutton, and Robert Porter, who raped her when she was 13 years old.
Okay, this this is a ridiculous stunt.
Test my DNA against his.
I am the living proof that everything my mom says is true.
Oh, my God.
- Is this number real? - Really real.
- And Bell signed off on it? - Uh-huh.
Aren't you gonna say something? - This is more money than I make.
- I know.
Are you mad? Are you kidding me? I have a sugar mama.
Yes! Hello! I'm so proud of you.
We can set up your weekly allowance.
- You can buy me a new car.
- Okay.
How was work? You rushed out pretty quick this morning.
Yeah, I know.
Today was weird.
But I'm here now.
Are you buying a house? Are you leaving me? We need to talk.
Please don't go.
Look, I know I bailed on you earlier.
And I'm always grumpy.
And I think about strangling you every time I step on one of your crystals.
Okay, they have to charge somewhere.
Not on the floor.
The point is, I love having you here.
In Atlanta, close to me, so if you're trying to run away, please stay.
I'm not running away, Leel.
I'm adulting.
Well, that's great.
I've been thinking a lot about my future.
And while #VanLife has its perks, it's holding me back from what I actually want.
A child.
I want to have a baby.
But I thought with the leukemia, it's I can't get pregnant on my own.
That's that's why I wanted to talk to you.
Do you want to adopt? Or look for a surrogate? I could gather resources from Chastain.
Um, no, I, um, I want this baby to be 100% me.
And since we're identical twins, I was wondering would you give me one of your eggs? My eggs? In your body? It makes perfect sense.
You and I are genetically identical.
It would be no different than me using one of my own.
I understand, it's just It's a lot to wrap my head around.
And in a very real way, it would be my kid, as well.
And who would take care of it ? Adulting, remember? This is about me growing up.
Anyone home? Just think about it.
- Hey.
- Hi.
Did I miss anything? What did the lieutenant governor say? Well, Porter's out.
And, hopefully, when the results of the DNA test come back in, he'll lose his license to practice in the state of Georgia.
I wouldn't mind seeing him behind bars.
Does this mean you'll be on the medical board? Looks that way.
Thanks to Billie.
You didn't have to do that.
I did.
You were incredibly brave.
So were you.
I'm sorry I couldn't protect you from this.
But I'm proud of how you handled it.
Are you okay, Trevor? I honestly, I-I don't know.
I'm sorry, I-I think I just need some time.
Away from all this.
Thank you.
And I'm here if you Okay.
You okay? Yes.
Or, at least, I will be.
You know, tomorrow's my day off.
My dad has Gigi.
You want to go somewhere with me and just talk? I don't want you to be alone.
I'd like that.

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