1
00:00:02,394 --> 00:00:05,487
-Previously on The Resident...
-Dr. Bell? Here's the clamp.
2
00:00:05,506 --> 00:00:07,006
Something's wrong with me,
and I'm not quite sure what,
3
00:00:07,233 --> 00:00:08,990
-but I think it may be serious.
-Want me to examine you?
4
00:00:09,010 --> 00:00:10,417
The results all under the radar.
5
00:00:10,569 --> 00:00:12,736
We're gonna need
to set some rules.
6
00:00:12,829 --> 00:00:14,755
No one here needs to know
that we're related,
7
00:00:14,923 --> 00:00:16,256
or that
you're my biological son.
8
00:00:16,333 --> 00:00:18,166
-Agreed. It's none
of their business.
-Mm-hmm.
9
00:00:18,185 --> 00:00:19,834
AUSTIN:
I talked to your boy.
10
00:00:19,928 --> 00:00:22,246
He thinks I recommended him
to Chastain.
11
00:00:22,264 --> 00:00:25,749
-I did no such thing.
-I did.
12
00:00:25,842 --> 00:00:26,859
You didn't just break protocol.
13
00:00:27,010 --> 00:00:28,418
You broke every rule
of medicine.
14
00:00:28,512 --> 00:00:31,012
Are your patients just pawns
to prove how smart you are?
15
00:00:31,032 --> 00:00:32,514
Now that
you're spending more time
16
00:00:32,533 --> 00:00:35,592
on research and clinical trials,
we need a new ER doctor.
17
00:00:35,611 --> 00:00:38,262
All I know is that Nic wouldn't
want you to be alone forever.
18
00:00:38,355 --> 00:00:40,873
For your sake and for Gigi's,
you deserve to be happy.
19
00:00:41,066 --> 00:00:42,857
CONRAD:
Hey, Marion!
20
00:00:42,877 --> 00:00:44,209
We are gonna go get
some ice cream
21
00:00:44,361 --> 00:00:47,463
-if you would like to join us.
-I would love to.
22
00:00:50,125 --> 00:00:53,610
Marion, I just want
to say it again.
23
00:00:53,629 --> 00:00:55,462
I know.
24
00:00:55,614 --> 00:00:57,056
Boundaries clear.
25
00:00:57,283 --> 00:00:59,616
-We both had fun.
-Yes, we did.
26
00:00:59,635 --> 00:01:01,560
(both laugh)
27
00:01:01,711 --> 00:01:05,972
Conrad, it's okay. Truth?
28
00:01:06,125 --> 00:01:08,716
You're not my type.
29
00:01:08,811 --> 00:01:11,978
Well, okay.
30
00:01:12,131 --> 00:01:16,300
Besides, I've got a mad crush
on someone else.
31
00:01:16,393 --> 00:01:20,304
-Someone much younger.
-(laughing): Oh, ouch.
32
00:01:20,322 --> 00:01:22,564
And...
33
00:01:22,583 --> 00:01:24,232
shorter.
34
00:01:24,251 --> 00:01:25,992
Like your daughter.
35
00:01:26,087 --> 00:01:27,994
-GIGI: Daddy?
-And there she is.
36
00:01:28,089 --> 00:01:29,904
She never gets up this early.
37
00:01:30,073 --> 00:01:33,133
I'll be quiet. See you later.
38
00:01:35,763 --> 00:01:38,305
Daddy, you need a shirt.
39
00:01:38,456 --> 00:01:39,990
Yes, I do.
40
00:01:40,008 --> 00:01:41,749
You're up so early.
41
00:01:41,769 --> 00:01:44,603
I wanted to pick out
the perfect outfit for my trip
42
00:01:44,830 --> 00:01:47,013
to the aquarium.
43
00:01:47,166 --> 00:01:48,999
Oh, look at that.
44
00:01:49,017 --> 00:01:51,835
-Yeah?
-Yeah. Yeah,
definitely thumbs up.
45
00:01:51,854 --> 00:01:53,946
Get this sucker on you, okay?
46
00:01:54,097 --> 00:01:56,115
What are you gonna color
over here?
47
00:01:56,266 --> 00:01:58,675
-I don't know.
-Huh? You don't know?
48
00:01:58,694 --> 00:02:00,360
Hmm. Let me think.
49
00:02:00,454 --> 00:02:02,270
What is that?
What if I color that in there
50
00:02:02,364 --> 00:02:04,030
-like that, with that blue?
-(doorbell rings)
51
00:02:04,125 --> 00:02:05,849
(gasps)
Oh, my gosh, who is that?
52
00:02:05,851 --> 00:02:08,685
My favorite babysitter!
53
00:02:08,704 --> 00:02:11,380
(laughs)
54
00:02:15,527 --> 00:02:18,378
Hey, my love. Are you ready
to go see the fish?
55
00:02:18,455 --> 00:02:20,288
GIGI:
Yes!
56
00:02:21,124 --> 00:02:24,034
I will bring her back
tonight, Dr. Hawkins.
57
00:02:24,127 --> 00:02:27,187
Thanks for this.
Your purse, sweetheart.
58
00:02:32,728 --> 00:02:36,713
There's some mad money in there
for both of your tickets
59
00:02:36,732 --> 00:02:38,732
and a nice lunch.
60
00:02:38,884 --> 00:02:41,643
Make sure you pick up the check.
61
00:02:41,662 --> 00:02:44,246
Mwah.
62
00:02:45,557 --> 00:02:46,723
Have fun.
63
00:02:46,725 --> 00:02:48,408
Thanks.
64
00:02:48,560 --> 00:02:50,502
-Come on.
-(laughs) Bye-bye.
65
00:02:50,654 --> 00:02:52,746
GIGI:
Bye.
66
00:02:52,898 --> 00:02:55,465
♪
67
00:03:07,246 --> 00:03:08,854
CONRAD:
Your heart and lungs
68
00:03:09,081 --> 00:03:10,338
sound good, your blood pressure
69
00:03:10,432 --> 00:03:12,708
and cholesterol are both low.
70
00:03:12,710 --> 00:03:15,110
You're in good shape.
71
00:03:15,845 --> 00:03:17,754
But?
72
00:03:17,847 --> 00:03:19,514
I'll see you later,
and we'll talk.
73
00:03:19,533 --> 00:03:22,034
-No. Talk here. Let's go.
-(sighs)
74
00:03:22,185 --> 00:03:24,519
Lots of the tests aren't in
yet. I'm not gonna speculate.
75
00:03:24,538 --> 00:03:27,781
You have a differential.
I know you do.
76
00:03:27,875 --> 00:03:30,450
Cancer? Stroke?
77
00:03:30,544 --> 00:03:32,602
ALS? I thought of that one, too.
I just...
78
00:03:32,696 --> 00:03:35,288
And I'm reassured because the
lack of muscle fasciculations,
79
00:03:35,441 --> 00:03:37,883
-but just perhaps?
-No.
80
00:03:38,052 --> 00:03:39,551
Your exam isn't consistent
with ALS.
81
00:03:39,778 --> 00:03:41,869
This could be something simple
and treatable.
82
00:03:41,889 --> 00:03:44,389
-You know it's not.
-I don't know anything yet.
83
00:03:44,558 --> 00:03:47,309
I'll have more information
at the end of the day.
84
00:03:49,212 --> 00:03:51,212
-But in the meantime...
-Yeah. No, I know. I know.
85
00:03:51,306 --> 00:03:53,565
Don't operate. Trust me,
I don't want a repeat
86
00:03:53,717 --> 00:03:55,308
of what happened in the OR.
87
00:03:55,461 --> 00:03:59,312
Bolting mid-surgery,
leaving Dr. Devi,
88
00:03:59,465 --> 00:04:02,241
who I'm supposed to be teaching,
for God's sake.
89
00:04:02,468 --> 00:04:05,151
(pager beeping)
90
00:04:05,304 --> 00:04:08,229
I got to go.
Kit's new Flight Go Team
91
00:04:08,323 --> 00:04:10,898
just got activated
for the first time.
92
00:04:10,918 --> 00:04:13,143
Yeah, that's a big step forward
93
00:04:13,161 --> 00:04:15,254
for any hospital
with a level-1 trauma center.
94
00:04:15,405 --> 00:04:19,591
Doctors flying to emergencies
EMTs can't handle.
95
00:04:19,818 --> 00:04:22,002
Okay, go. We're finished here.
96
00:04:22,154 --> 00:04:23,095
-Till later today, all right?
-Yup. Yup. Yup.
97
00:04:23,246 --> 00:04:26,098
-I'll see you then.
-Yup, yup.
98
00:04:30,086 --> 00:04:33,438
♪ All systems go
any moment now ♪
99
00:04:33,665 --> 00:04:37,442
♪ High stakes, tightrope,
never looking down ♪
100
00:04:37,594 --> 00:04:41,187
♪ All grind, all shine,
all day, all night ♪
101
00:04:41,340 --> 00:04:45,025
♪ All together now,
all together now ♪
102
00:04:45,193 --> 00:04:49,103
♪ Take, oh, take it over ♪
103
00:04:49,123 --> 00:04:53,850
♪ Time ain't over till
we cross that line ♪
104
00:04:54,019 --> 00:04:56,186
♪ Say you'll never... ♪
105
00:04:56,204 --> 00:04:58,946
There's been an accident
on I-20 involving a bus.
106
00:04:58,966 --> 00:05:00,948
Multiple victims are
being transported here,
107
00:05:00,968 --> 00:05:02,784
but one is trapped,
can't be moved,
108
00:05:02,878 --> 00:05:05,362
and is in need of the highest
level of critical care.
109
00:05:05,380 --> 00:05:07,139
This is why you created
the Flight Go Team, right?
110
00:05:07,290 --> 00:05:10,033
Listen to me.
The situation is dangerous
111
00:05:10,052 --> 00:05:12,293
for the victims
and the rescuers.
112
00:05:12,387 --> 00:05:16,297
-Save lives,
but stay safe out there.
-Copy you.
113
00:05:16,317 --> 00:05:19,818
♪ Break on through to
the other side ♪
114
00:05:19,895 --> 00:05:21,728
♪ Hey ♪
115
00:05:21,880 --> 00:05:23,897
♪ All together now ♪
116
00:05:23,991 --> 00:05:25,715
♪ Hey ♪
117
00:05:25,717 --> 00:05:27,826
♪ All together now ♪
118
00:05:27,977 --> 00:05:31,054
♪ Hey, all together now ♪
119
00:05:31,073 --> 00:05:33,206
♪ Hey ♪
120
00:05:34,910 --> 00:05:36,460
♪ Hey ♪
121
00:05:38,822 --> 00:05:40,255
♪ Hey. ♪
122
00:05:42,734 --> 00:05:45,344
♪
123
00:05:51,927 --> 00:05:54,227
(sirens wailing)
124
00:06:13,115 --> 00:06:15,949
Bus carrying
a college women's softball team
125
00:06:16,043 --> 00:06:17,876
flipped over the guard rail,
landed on that car.
126
00:06:18,027 --> 00:06:19,544
The passengers
in the car died instantly.
127
00:06:19,696 --> 00:06:21,605
We got everyone out
of the bus except one.
128
00:06:21,623 --> 00:06:23,382
She's critical, and if we tried
to move her, she won't make it.
129
00:06:23,550 --> 00:06:26,292
She's pinned down with
a penetrating abdominal injury.
130
00:06:26,369 --> 00:06:27,869
The firefighters are trying
to cut her out, but
131
00:06:27,888 --> 00:06:29,946
-they're running out of time.
-Top windows the only access?
132
00:06:29,965 --> 00:06:31,890
Yeah, it's the front of the bus.
The door's jammed shut.
133
00:06:32,117 --> 00:06:33,708
We're working
on opening something else up,
134
00:06:33,727 --> 00:06:36,061
but no luck yet.
135
00:06:43,962 --> 00:06:47,322
Ah, so it's like that, huh?
136
00:06:49,818 --> 00:06:51,493
Pass me the stuff.
137
00:07:07,669 --> 00:07:09,486
CADE:
It's a good thing they
called in the Go Team,
138
00:07:09,504 --> 00:07:11,430
'cause this is definitely
something EMTs couldn't handle.
139
00:07:11,657 --> 00:07:13,080
CONRAD:
I know what you're thinking,
but the first rule
140
00:07:13,100 --> 00:07:15,267
of penetrating trauma--
never pull it out.
141
00:07:15,418 --> 00:07:16,935
If we pulled that out of her,
and it lacerated
142
00:07:17,086 --> 00:07:18,662
any vessels,
she could bleed out in seconds.
143
00:07:18,755 --> 00:07:20,013
I'm well aware.
144
00:07:20,107 --> 00:07:24,025
Pulling it out is a risk,
but we can manage that risk.
145
00:07:25,112 --> 00:07:26,427
Okay, what's your plan? Go on.
146
00:07:26,505 --> 00:07:29,931
You get the meds,
I'll get ready to intubate.
147
00:07:30,099 --> 00:07:33,285
Let's push 100 of ketamine
and 150 of roc.
148
00:07:33,512 --> 00:07:35,845
Keep her paralyzed and sedated
so she doesn't move an inch.
149
00:07:36,014 --> 00:07:39,291
Then we get her unpinned.
Okay, we got a good plan.
150
00:07:39,518 --> 00:07:42,610
(groaning)
Help me.
151
00:07:42,629 --> 00:07:44,020
We got you.
152
00:07:44,113 --> 00:07:46,256
(woman whimpers softly)
153
00:07:48,877 --> 00:07:51,219
Push the meds now.
154
00:07:52,789 --> 00:07:55,390
♪
155
00:08:02,632 --> 00:08:05,025
Now for the tough part.
156
00:08:10,065 --> 00:08:12,065
Let's pack that with wet gauze.
157
00:08:12,159 --> 00:08:13,492
And tape it. I'm on it.
158
00:08:26,489 --> 00:08:27,506
I'm here.
159
00:08:28,825 --> 00:08:31,176
Give me the bag.
160
00:08:33,071 --> 00:08:35,405
On my count. Three...
161
00:08:35,574 --> 00:08:37,574
Two, one.
162
00:08:37,667 --> 00:08:40,227
Okay.
163
00:08:42,748 --> 00:08:45,190
Perfect timing.
164
00:08:46,843 --> 00:08:49,176
Wait.
165
00:08:49,196 --> 00:08:51,178
There's someone else in here.
166
00:08:51,198 --> 00:08:52,605
There's a gas leak
under this thing.
167
00:08:52,699 --> 00:08:55,033
Smoke means there's fire, too.
It's gonna blow.
168
00:08:55,184 --> 00:08:57,518
Keep going. We'll catch up.
169
00:08:57,538 --> 00:08:58,945
Come on, guys.
170
00:08:59,097 --> 00:09:00,372
-CONRAD: What's your name?
-Jill.
171
00:09:00,523 --> 00:09:02,615
CONRAD:
Jill, you're gonna
be okay, all right?
172
00:09:02,784 --> 00:09:05,460
Oh, God. Oh, God.
173
00:09:11,960 --> 00:09:14,201
Posterior elbow dislocation,
174
00:09:14,370 --> 00:09:16,704
possible fracture, with
brachial artery compromise.
175
00:09:16,798 --> 00:09:18,039
This is gonna hurt.
176
00:09:18,058 --> 00:09:20,466
-CADE: Take a deep breath.
-(screams)
177
00:09:20,619 --> 00:09:22,435
Got it.
178
00:09:30,812 --> 00:09:33,196
(groaning)
179
00:09:45,419 --> 00:09:47,977
Hey, you,
get out of the bus, now.
180
00:09:47,996 --> 00:09:49,312
-I thought I heard a noise.
-(meows)
181
00:09:49,331 --> 00:09:52,148
It's a cat.
It must be the team mascot.
182
00:09:52,167 --> 00:09:54,384
-Not exactly a bobcat.
-Run!
183
00:10:02,510 --> 00:10:03,751
(glass shattering)
184
00:10:03,770 --> 00:10:05,437
(panting)
185
00:10:05,588 --> 00:10:08,398
CADE:
At least you saved the cat.
186
00:10:09,684 --> 00:10:11,851
Okay, that was kick-ass.
187
00:10:11,945 --> 00:10:14,696
Yeah, it was all right.
(sighs)
188
00:10:22,623 --> 00:10:24,105
Uh, Dr. Pravesh. Hey.
189
00:10:24,199 --> 00:10:25,348
Look, I know I gave you
some trouble
190
00:10:25,367 --> 00:10:26,850
the last time I worked with you,
191
00:10:26,868 --> 00:10:28,034
and I just want
to let you know that...
192
00:10:28,186 --> 00:10:29,352
Apology accepted,
but you have one strike
193
00:10:29,521 --> 00:10:30,962
and a lot to prove,
so don't forget it.
194
00:10:31,114 --> 00:10:32,355
Now, I hope you have
your big boy pants on
195
00:10:32,448 --> 00:10:34,874
because we have
a very difficult case.
196
00:10:34,968 --> 00:10:36,951
-Hi, there. How we doing?
-(sighs)
197
00:10:36,970 --> 00:10:39,712
Temp 102. BP 170/100.
198
00:10:39,865 --> 00:10:41,214
We gave Mr. Parker
199
00:10:41,383 --> 00:10:43,808
meds 40 minutes ago,
and his fever hasn't budged.
200
00:10:43,960 --> 00:10:46,478
Mr. Parker is my dad.
201
00:10:46,705 --> 00:10:47,871
Call me Jerome.
202
00:10:47,964 --> 00:10:50,464
Uh, I've had the fever
for ten days.
203
00:10:50,558 --> 00:10:52,275
(call button beeping)
204
00:10:53,153 --> 00:10:54,301
Oh, um...
205
00:10:54,470 --> 00:10:57,397
That's the, that's the
call bell. We're here.
206
00:10:57,549 --> 00:10:59,157
(beeping stops)
207
00:10:59,234 --> 00:11:02,327
I wanted to make sure it works.
208
00:11:03,330 --> 00:11:05,980
Um, preliminary test results
209
00:11:05,999 --> 00:11:07,573
came back inconclusive.
210
00:11:07,668 --> 00:11:10,076
Your chest X-ray and urine tests
211
00:11:10,228 --> 00:11:12,486
did not show
any sign of infection.
212
00:11:12,580 --> 00:11:14,080
No headache, diarrhea,
213
00:11:14,157 --> 00:11:16,341
stiff neck, nausea, sore throat.
214
00:11:16,568 --> 00:11:19,736
Which means we can consider this
a fever of unknown origin.
215
00:11:19,829 --> 00:11:22,163
Unknown origin?
216
00:11:22,182 --> 00:11:23,848
Wait, so you have no idea
what's wrong with me?
217
00:11:24,000 --> 00:11:26,759
Well, it's a mystery
for now, but you have
218
00:11:26,912 --> 00:11:29,020
two motivated detectives
on the case.
219
00:11:29,172 --> 00:11:31,189
What we need is more
information, so we're gonna
220
00:11:31,416 --> 00:11:33,340
run some more tests
and a thorough history,
221
00:11:33,435 --> 00:11:34,434
and that should be
222
00:11:34,510 --> 00:11:36,936
the key to figuring
this out, okay?
223
00:11:37,030 --> 00:11:38,530
Oh, God.
224
00:11:38,681 --> 00:11:41,182
Where's BooBooBear?
225
00:11:41,276 --> 00:11:43,851
-That's his service dog.
-JEROME: I have panic attacks.
226
00:11:43,945 --> 00:11:46,763
Boo is the only thread that, um,
227
00:11:46,781 --> 00:11:49,023
keeps me from unraveling.
228
00:11:49,100 --> 00:11:50,934
Your dog is tied up outside.
We don't allow
229
00:11:50,952 --> 00:11:52,210
animals in the ER.
230
00:11:52,361 --> 00:11:55,605
No, no, wait, no. Um, please,
you don't understand.
231
00:11:55,698 --> 00:11:57,549
I-I need her.
232
00:11:57,700 --> 00:12:00,109
-I'm beginning to freak out.
-TREVOR: O-Okay.
233
00:12:00,203 --> 00:12:01,444
Okay. Okay, um,
234
00:12:01,555 --> 00:12:04,038
I might be able to clear
the dog through social work.
235
00:12:04,207 --> 00:12:07,183
-I'll call Winston.
-(sighs)
236
00:12:09,730 --> 00:12:11,454
McDONNELL:
Three, two,
237
00:12:11,547 --> 00:12:13,398
one, mark.
238
00:12:20,815 --> 00:12:22,223
Two patients. That's the limit.
239
00:12:22,317 --> 00:12:24,993
We'll hitch a ride
on an ambulance.
240
00:12:29,991 --> 00:12:32,083
You okay? You got pretty cut up.
241
00:12:32,235 --> 00:12:35,545
-Let me take a look.
-I'm fine.
242
00:12:38,666 --> 00:12:39,999
That needs to be cleaned up.
243
00:12:40,151 --> 00:12:42,919
Might need a stitch or two.
244
00:12:43,913 --> 00:12:45,822
Are you two headed back
to Chastain?
245
00:12:45,840 --> 00:12:48,516
I got space
in the back of my rig.
246
00:12:54,090 --> 00:12:55,774
Thank you for getting me
off that bus.
247
00:12:55,942 --> 00:12:57,609
I almost went up in flames.
248
00:12:57,836 --> 00:12:59,235
I was worried about the cat.
249
00:13:00,688 --> 00:13:03,356
That you didn't know existed.
250
00:13:03,508 --> 00:13:04,966
Good point.
251
00:13:05,026 --> 00:13:07,010
Truth is,
I'm more of a dog person.
252
00:13:07,028 --> 00:13:09,454
(laughs) I'm a chicken guy.
253
00:13:09,623 --> 00:13:11,122
-No way.
-Oh, yeah.
254
00:13:11,349 --> 00:13:13,208
I'll have to hit you up
for some eggs.
255
00:13:28,624 --> 00:13:30,124
Oh, man.
256
00:13:30,143 --> 00:13:32,718
Is that little fluff nugget here
to comfort stressed out doctors?
257
00:13:32,813 --> 00:13:34,145
Because I am in need.
258
00:13:34,297 --> 00:13:37,315
That little fluff nugget
is an infection risk.
259
00:13:37,392 --> 00:13:39,375
Service dogs are allowed
in hospitals, Nurse Hundley.
260
00:13:39,394 --> 00:13:42,153
Some areas are off-limits,
but this isn't one.
261
00:13:42,305 --> 00:13:44,113
Hmm.
262
00:13:46,976 --> 00:13:49,160
-BooBooBear.
-DEVON: Hey, hold on.
263
00:13:49,387 --> 00:13:52,330
Lyme disease is on
the differential.
264
00:13:52,557 --> 00:13:54,907
Uh, Boo has no parasites, ever.
265
00:13:55,060 --> 00:13:56,392
She's groomed,
266
00:13:56,485 --> 00:13:57,836
gets a monthly topical
tick repellant, and her paws
267
00:13:57,987 --> 00:13:59,003
barely touch the ground. See?
268
00:13:59,230 --> 00:14:01,822
I-I carry her in this pup pack.
269
00:14:01,842 --> 00:14:04,384
We'll run a Lyme test anyway.
270
00:14:10,258 --> 00:14:12,241
Preliminary history
is unremarkable.
271
00:14:12,260 --> 00:14:14,018
No contact with anyone else
who was sick.
272
00:14:14,245 --> 00:14:17,080
No recent travel
or relevant medical issues.
273
00:14:17,098 --> 00:14:20,358
Jerome is a computer programmer
274
00:14:20,585 --> 00:14:23,010
who works from home.
275
00:14:23,029 --> 00:14:25,438
-Okay. What next?
-You build the differential
276
00:14:25,532 --> 00:14:28,641
using the latest test results,
but be patient.
277
00:14:28,793 --> 00:14:30,034
Fever of unknown origin
278
00:14:30,261 --> 00:14:33,204
can stump the most
experienced doctors.
279
00:14:47,536 --> 00:14:50,113
-What do we got?
-Two adult females.
280
00:14:50,206 --> 00:14:52,298
Young 20s. Traumatic
penetrating abdominal injury,
281
00:14:52,375 --> 00:14:54,634
evisceration.
Intubated at the scene.
282
00:14:54,786 --> 00:14:56,060
And the other one?
283
00:14:56,212 --> 00:14:57,729
Posterior elbow dislocation
with vascular compromise.
284
00:14:57,956 --> 00:14:59,805
Dr. Hawkins
reduced in the field.
285
00:14:59,900 --> 00:15:01,307
She's C.S. 13.
286
00:15:01,401 --> 00:15:02,975
Repetitive questioning,
possible head injury.
287
00:15:03,069 --> 00:15:05,570
Is Mindy going to be okay?
288
00:15:05,797 --> 00:15:06,905
Easy. We'll take care of her.
289
00:15:07,056 --> 00:15:09,407
We need to page
Sutton and Voss now.
290
00:15:20,145 --> 00:15:22,569
(softly):
Okay...
291
00:15:22,589 --> 00:15:24,213
Hey.
292
00:15:26,426 --> 00:15:28,075
Good work.
293
00:15:28,094 --> 00:15:29,410
I only have a few minutes.
294
00:15:29,429 --> 00:15:31,763
We have traumas
from the crash site coming in.
295
00:15:31,914 --> 00:15:33,580
What can we rule out?
296
00:15:33,600 --> 00:15:36,267
Jerome took an HIV test a week
ago. That came back negative.
297
00:15:36,419 --> 00:15:38,728
Plus, he has an elevated
white blood count.
298
00:15:40,014 --> 00:15:41,255
So?
299
00:15:41,499 --> 00:15:42,923
That means we cross off
all AIDS-defining illnesses,
300
00:15:42,943 --> 00:15:46,194
fungal infections like, uh, PJP.
301
00:15:50,692 --> 00:15:52,450
What else?
302
00:15:52,677 --> 00:15:55,078
Lupus, R.A., probably out.
303
00:15:56,698 --> 00:15:58,848
(sighs)
304
00:15:58,941 --> 00:16:00,774
I mean, the list
is brutally long.
305
00:16:00,794 --> 00:16:01,867
He could have almost anything.
306
00:16:01,962 --> 00:16:04,945
-Go talk to him again.
-Okay.
307
00:16:05,039 --> 00:16:06,297
-About what?
-Anything.
308
00:16:06,449 --> 00:16:08,949
What did he have for breakfast
two days ago?
309
00:16:09,043 --> 00:16:10,376
Do his parents
have heart trouble?
310
00:16:10,528 --> 00:16:11,694
Does he kiss his pet salamander?
311
00:16:11,787 --> 00:16:13,212
Wait. (chuckles)
312
00:16:13,364 --> 00:16:14,363
What does a salamander
have to do with it?
313
00:16:14,382 --> 00:16:15,881
Well, salamanders
carry salmonella,
314
00:16:16,034 --> 00:16:17,624
specifically osteomyelitis,
315
00:16:17,644 --> 00:16:19,126
which can cause a fever.
316
00:16:19,220 --> 00:16:21,646
My point is,
the answer is almost always
317
00:16:21,873 --> 00:16:24,223
in the patient history.
318
00:16:24,375 --> 00:16:26,526
I'll tag in when I can.
319
00:16:30,490 --> 00:16:32,532
(siren wailing)
320
00:16:34,995 --> 00:16:36,643
You aren't on the Go Team.
321
00:16:36,663 --> 00:16:40,164
Where'd the chopper pick you up?
Atlanta General?
322
00:16:40,316 --> 00:16:41,982
Yeah.
323
00:16:42,002 --> 00:16:44,836
They're not level-1 trauma.
324
00:16:45,063 --> 00:16:47,296
Where'd you learn
your field medicine?
325
00:16:49,676 --> 00:16:51,658
A lot of places.
326
00:16:51,753 --> 00:16:53,294
How about you?
327
00:16:53,404 --> 00:16:57,757
Afghanistan.
Yeah, Navy corpsman. Two tours.
328
00:16:57,851 --> 00:17:00,000
Back to you.
329
00:17:00,094 --> 00:17:02,928
Are you an ER doc?
330
00:17:03,081 --> 00:17:04,338
Trauma surgeon?
331
00:17:04,357 --> 00:17:07,083
I'm double board certified.
Emergency med and...
332
00:17:07,176 --> 00:17:08,693
EMT:
We're picking up
a patient en route.
333
00:17:08,844 --> 00:17:09,843
Female, 35,
334
00:17:09,863 --> 00:17:12,030
pregnant and in active labor.
335
00:17:13,366 --> 00:17:14,681
(chuckles)
336
00:17:14,776 --> 00:17:16,092
Who doesn't love babies?
337
00:17:16,185 --> 00:17:19,328
Looks like we're in
for more fun.
338
00:17:21,041 --> 00:17:23,541
We're stacked up
and more are incoming.
339
00:17:23,692 --> 00:17:25,601
Medivac just landed.
340
00:17:25,620 --> 00:17:27,770
We need a bay.
Severe abdominal lac.
341
00:17:27,789 --> 00:17:29,939
She needs to be top of the list.
342
00:17:29,957 --> 00:17:32,967
I saved you a trauma bay.
Follow me.
343
00:17:35,388 --> 00:17:39,223
Looks like Conrad
repacked the bowel on-site.
344
00:17:39,375 --> 00:17:41,117
-Team did a good job.
-Free fluid in the abdomen.
345
00:17:41,210 --> 00:17:44,044
Her intestines may have been
lacerated by the impalement.
346
00:17:44,064 --> 00:17:45,712
(groans)
347
00:17:45,807 --> 00:17:48,382
Mindy.
348
00:17:48,401 --> 00:17:49,975
Mindy. My name
349
00:17:50,128 --> 00:17:51,961
is Dr. Devi.
You've been in an accident,
350
00:17:51,963 --> 00:17:52,978
but we're gonna
take care of you, okay?
351
00:17:53,131 --> 00:17:54,480
AUSTIN:
Hundley, start her
352
00:17:54,574 --> 00:17:57,241
on her propofol drip.
I'll get someone to book an OR.
353
00:17:59,079 --> 00:18:01,496
BELL:
Gonna get you down to X-ray.
354
00:18:03,491 --> 00:18:04,657
Ortho and neuro page?
355
00:18:04,809 --> 00:18:06,809
Uh, Bay Two. Jill Rhinehart.
Dislocated elbow
356
00:18:06,828 --> 00:18:07,993
and an epidural hematoma.
357
00:18:08,088 --> 00:18:09,312
I thought you could use
an extra hand.
358
00:18:09,330 --> 00:18:10,338
Nolan.
359
00:18:14,502 --> 00:18:16,652
Hi, Jill. I'm Dr. Voss.
360
00:18:16,671 --> 00:18:18,221
And I'm Dr. Sutton.
361
00:18:19,099 --> 00:18:21,081
I'm just gonna do a quick exam.
362
00:18:21,101 --> 00:18:22,658
KIT:
How's the arm feel?
363
00:18:22,827 --> 00:18:25,085
It hurts bad, really bad.
364
00:18:25,179 --> 00:18:26,996
We'll get you something
for the pain.
365
00:18:27,014 --> 00:18:29,190
Let's get her 25 mikes
of fentanyl.
366
00:18:31,669 --> 00:18:33,528
Can you follow my finger?
367
00:18:36,932 --> 00:18:38,783
She needs an OR.
368
00:18:38,934 --> 00:18:41,193
I'll join you.
Compartment syndrome.
369
00:18:41,287 --> 00:18:43,621
We'll likely need to take that
down with a fasciotomy.
370
00:18:43,772 --> 00:18:45,623
-I'll prep her.
-Thanks.
371
00:18:45,774 --> 00:18:50,277
Jill, I'm gonna need
your consent for surgery.
372
00:18:50,296 --> 00:18:52,130
(crying)
373
00:18:52,281 --> 00:18:55,967
You're in good hands
with Dr. Nolan.
374
00:18:56,118 --> 00:18:58,386
-What a mess.
-And more coming.
375
00:18:59,973 --> 00:19:02,932
-Who are you operating on?
-I'm not.
376
00:19:03,868 --> 00:19:05,292
It's-it's better if I stay here.
377
00:19:05,370 --> 00:19:07,061
If they need a trauma surgeon,
they'll page me.
378
00:19:07,872 --> 00:19:08,980
All right.
379
00:19:09,131 --> 00:19:11,524
-I'll see you in a bit.
-Mm-hmm.
380
00:19:14,061 --> 00:19:18,990
(Bell speaking quietly)
381
00:19:24,497 --> 00:19:26,055
Ten times out of ten,
382
00:19:26,166 --> 00:19:27,648
a person with injuries like this
dies in the field.
383
00:19:27,725 --> 00:19:29,000
Genius work by the Go Team.
384
00:19:29,151 --> 00:19:30,001
Well, she has gross
contamination of her abdomen,
385
00:19:30,152 --> 00:19:31,394
and she's in septic shock.
386
00:19:31,412 --> 00:19:33,004
Okay, so we get in and out fast.
What's first?
387
00:19:33,155 --> 00:19:34,988
Identify the ligament of Treitz,
run the bowel,
388
00:19:35,082 --> 00:19:36,174
look for vascular injuries,
389
00:19:36,325 --> 00:19:37,566
and cut out anything
that's not viable.
390
00:19:37,585 --> 00:19:39,402
Very good.
We cannot miss anything.
391
00:19:39,420 --> 00:19:41,237
-If we leave contaminants...
-She dies.
392
00:19:41,330 --> 00:19:44,265
So, we're fast,
but we're meticulous.
393
00:19:46,093 --> 00:19:47,927
We need to avoid
ICP elevating meds
394
00:19:48,021 --> 00:19:50,671
and prep her for a right-sided
decompressive craniotomy.
395
00:19:50,798 --> 00:19:52,748
The arm looks terrible.
396
00:19:52,767 --> 00:19:54,675
Life and limb, literally.
397
00:19:54,694 --> 00:19:57,069
(siren wailing)
398
00:20:03,703 --> 00:20:05,778
-(groaning)
-Thank you.
399
00:20:05,872 --> 00:20:07,496
Thank you.
400
00:20:09,209 --> 00:20:11,692
Ma'am, how far apart
are your contractions?
401
00:20:11,711 --> 00:20:13,753
(speaking Creole)
402
00:20:16,607 --> 00:20:17,757
(speaking Creole)
403
00:20:22,964 --> 00:20:28,184
(both continue in Creole)
404
00:20:29,896 --> 00:20:32,396
Creole. She's Haitian.
405
00:20:32,623 --> 00:20:34,807
Guess I know where you learned
your field medicine.
406
00:20:34,959 --> 00:20:36,125
(groans)
407
00:20:36,143 --> 00:20:37,810
It's her third child.
408
00:20:37,886 --> 00:20:40,529
Which means it can come
very quickly.
409
00:20:43,818 --> 00:20:46,469
(groaning)
410
00:20:46,562 --> 00:20:47,912
Uh, no exotic foods?
411
00:20:48,139 --> 00:20:50,897
Raw fish? Wild mushrooms?
412
00:20:50,917 --> 00:20:52,583
JEROME:
I have a...
413
00:20:52,810 --> 00:20:54,810
a delicate stomach.
414
00:20:54,829 --> 00:20:57,713
Okay. Um...
415
00:20:59,166 --> 00:21:01,500
Any sexual encounters recently?
416
00:21:01,594 --> 00:21:03,761
I need my dog
417
00:21:03,988 --> 00:21:05,504
just to leave the apartment.
418
00:21:05,656 --> 00:21:07,080
Definitely not
419
00:21:07,158 --> 00:21:09,976
hooking up with some rando.
420
00:21:11,104 --> 00:21:13,980
-(monitors beeping rapidly)
-(grunting)
421
00:21:15,166 --> 00:21:18,025
-Jerome?
-(strained exhale)
422
00:21:19,854 --> 00:21:21,946
Uh... Uh...
423
00:21:22,097 --> 00:21:24,365
Hey, I-I need help in here.
424
00:21:28,346 --> 00:21:29,528
Here.
425
00:21:29,680 --> 00:21:32,606
(labored breathing)
426
00:21:32,625 --> 00:21:35,293
He's burning up.
427
00:21:35,444 --> 00:21:37,369
Fever 104.2.
428
00:21:37,463 --> 00:21:40,339
We're heading into the red zone.
Orders, doctor?
429
00:21:42,468 --> 00:21:43,859
Dr. Daniels.
430
00:21:43,878 --> 00:21:45,694
-(yelps)
-(gasps)
431
00:21:45,713 --> 00:21:47,046
Uh, let's push 30 ketorolac,
432
00:21:47,122 --> 00:21:48,139
get a cooling blanket on him.
433
00:21:48,290 --> 00:21:51,100
-Okay.
-I'll call Dr. Pravesh.
434
00:21:57,984 --> 00:22:00,318
(drill whirring)
435
00:22:16,169 --> 00:22:18,894
Significant hemorrhage
and ecchymosis,
436
00:22:18,913 --> 00:22:20,963
but the compression on the brain
should be much less.
437
00:22:22,066 --> 00:22:23,582
Now, I have to find the source.
438
00:22:23,734 --> 00:22:26,344
100% compartment syndrome.
439
00:22:26,604 --> 00:22:28,971
Thank goodness Conrad
reduced it on-site.
440
00:22:31,851 --> 00:22:34,626
Found the bleeders.
441
00:22:34,778 --> 00:22:36,670
Middle meningeal artery.
442
00:22:36,764 --> 00:22:39,172
Cauterizing now.
443
00:22:39,266 --> 00:22:42,026
Good job, Dr. Sutton.
Now, if I
444
00:22:42,195 --> 00:22:45,771
can just try
not to nick an artery.
445
00:22:45,923 --> 00:22:47,439
Won't be pretty,
446
00:22:47,592 --> 00:22:50,609
but when the swelling goes down,
she'll have a functional arm.
447
00:22:50,761 --> 00:22:52,745
Banner day for the Go Team.
448
00:22:54,265 --> 00:22:57,458
Quick question. Is Bell okay?
449
00:22:59,620 --> 00:23:00,619
What do you mean?
450
00:23:00,771 --> 00:23:03,047
He's a surgeon, not emergency.
451
00:23:03,198 --> 00:23:06,959
Pulled himself from
the board for the entire day.
452
00:23:07,111 --> 00:23:09,536
Austin's taking a case
for him in OR One.
453
00:23:09,555 --> 00:23:12,615
I did not know that.
454
00:23:12,708 --> 00:23:15,559
I'm not one to tattle.
455
00:23:15,711 --> 00:23:18,062
Something's up.
456
00:23:28,633 --> 00:23:31,242
(high-pitched ringing)
457
00:23:38,233 --> 00:23:40,826
AUSTIN:
Uh, pink bowel is healthy.
458
00:23:40,920 --> 00:23:43,145
Gray we resect.
459
00:23:43,164 --> 00:23:44,905
BP's dropping to the 70s.
Heart rate's 130.
460
00:23:44,999 --> 00:23:48,834
Cranking pressors. She's already
had four liters of fluid.
461
00:23:48,986 --> 00:23:51,429
We got a bit of luck here.
Looks like the blood vessels
462
00:23:51,597 --> 00:23:53,580
escaped getting torn apart.
463
00:23:53,674 --> 00:23:55,674
I've got eyes on the duodenum.
464
00:23:55,768 --> 00:23:57,435
First part of jejunum
looks good.
465
00:23:57,662 --> 00:24:00,162
-(monitors beeping rapidly)
-Oh, no.
466
00:24:00,255 --> 00:24:03,015
Bowels are leaking
into the abdomen.
467
00:24:03,109 --> 00:24:04,591
AUSTIN:
All right,
find the healthy margins
468
00:24:04,685 --> 00:24:06,927
and staple them, both sides.
469
00:24:06,946 --> 00:24:09,855
LEELA:
We're at 100 centimeters.
470
00:24:10,007 --> 00:24:12,098
Now 125. 150's the limit.
471
00:24:12,118 --> 00:24:13,842
She's gonna be at risk
for short gut syndrome.
472
00:24:14,011 --> 00:24:15,936
I'm about to
clip the next segment.
473
00:24:16,030 --> 00:24:17,604
(button clicks)
474
00:24:17,623 --> 00:24:19,773
(over speaker):
Uh, s-slow down.
475
00:24:19,867 --> 00:24:21,292
You can adjust to make the
476
00:24:21,443 --> 00:24:23,185
viable tissue a little more
visible in the field.
477
00:24:23,204 --> 00:24:26,947
Clip, and then you can staple,
and... toss.
478
00:24:27,041 --> 00:24:28,966
AUSTIN: This is my OR,
thank you very much.
479
00:24:29,117 --> 00:24:33,337
However,
good advice is good advice.
480
00:24:33,564 --> 00:24:36,974
Adjusting to get a better view.
481
00:24:38,311 --> 00:24:40,886
Just under
150 centimeters total.
482
00:24:41,038 --> 00:24:42,146
CHU:
BP's coming up.
483
00:24:42,373 --> 00:24:43,555
Backing off pressors.
484
00:24:43,649 --> 00:24:45,465
(chuckles) Right.
485
00:24:45,559 --> 00:24:47,359
Good call, Bell.
486
00:24:58,498 --> 00:25:00,372
(siren wailing)
487
00:25:02,226 --> 00:25:04,409
-(screaming)
-(speaking Creole)
488
00:25:04,504 --> 00:25:06,462
(heavy breathing)
489
00:25:11,994 --> 00:25:13,511
How far are we from Chastain?
490
00:25:13,662 --> 00:25:15,829
20 minutes.
491
00:25:15,848 --> 00:25:17,515
Ever delivered a baby before?
492
00:25:17,666 --> 00:25:18,849
A few.
493
00:25:19,001 --> 00:25:20,351
Ever delivered one
in a moving ambulance?
494
00:25:20,502 --> 00:25:22,911
This day just keeps getting
more and more interesting.
495
00:25:22,930 --> 00:25:24,246
It's one for the record books.
496
00:25:24,339 --> 00:25:28,234
-(gasps sharply)
-(speaking Creole)
497
00:25:35,701 --> 00:25:36,942
(knock on door)
498
00:25:37,094 --> 00:25:38,944
Hey. That was
good work with your
499
00:25:39,096 --> 00:25:40,763
hematoma and compartment
syndrome patient.
500
00:25:40,781 --> 00:25:43,265
It'll be a tough recovery,
but she should make it.
501
00:25:43,358 --> 00:25:45,543
You checked in on us
during surgery?
502
00:25:45,770 --> 00:25:49,104
N-No. I-I got the report
from Jessica.
503
00:25:49,197 --> 00:25:52,124
Oh, by the way,
is Conrad back yet?
504
00:25:52,218 --> 00:25:53,642
No.
505
00:25:53,702 --> 00:25:57,096
-What do you want with Conrad?
-He wanted to see me.
506
00:25:58,799 --> 00:26:00,057
AJ mentioned that you were
507
00:26:00,284 --> 00:26:03,185
in his bowel trauma in OR Two.
508
00:26:05,122 --> 00:26:06,622
It is my area of expertise.
509
00:26:06,640 --> 00:26:09,124
Thought I could be there
if they ran into the weeds.
510
00:26:09,143 --> 00:26:11,551
He said you made a good call.
511
00:26:11,629 --> 00:26:14,054
Uh, it was nothing.
512
00:26:14,148 --> 00:26:17,074
Really. I was superfluous.
513
00:26:17,225 --> 00:26:18,409
(sighs)
514
00:26:18,578 --> 00:26:21,495
No other procedures that need
your experienced hands?
515
00:26:23,231 --> 00:26:25,958
I understand you've canceled
your surgeries.
516
00:26:28,162 --> 00:26:30,278
Yeah, I felt
some flu-like symptoms,
517
00:26:30,331 --> 00:26:34,407
just a touch--
it's an abundance of caution.
518
00:26:34,501 --> 00:26:35,742
Of course.
519
00:26:35,761 --> 00:26:37,761
(sighs)
520
00:26:41,917 --> 00:26:44,143
No fever.
521
00:26:48,165 --> 00:26:50,515
Perhaps, when you feel up to it,
522
00:26:50,668 --> 00:26:53,319
you'll tell me
what's really going on.
523
00:27:08,961 --> 00:27:11,444
How's it going?
524
00:27:11,538 --> 00:27:13,947
Fever spiked to 105,
and he's hypotensive.
525
00:27:14,041 --> 00:27:15,557
We broadened his antibiotics,
526
00:27:15,559 --> 00:27:17,134
got cool saline, ice packs,
acetaminophen, ketorolac.
527
00:27:17,361 --> 00:27:19,285
We finally found a
cooling blanket, but he's so...
528
00:27:19,305 --> 00:27:21,805
-It's not doing a thing.
-WINSTON: Give me
the service dog.
529
00:27:21,957 --> 00:27:23,198
I'll take care of her.
530
00:27:23,217 --> 00:27:25,868
-Come on.
-WINSTON: I think this is beyond
531
00:27:25,961 --> 00:27:28,036
-BooBooBear's expertise.
-(Jerome groans)
532
00:27:28,055 --> 00:27:32,207
Okay. Okay. Good girl.
(smooching)
533
00:27:32,226 --> 00:27:33,984
How'd he get this bad
this quickly?
534
00:27:34,136 --> 00:27:35,844
Whatever it is has been
building in his system for days.
535
00:27:35,846 --> 00:27:37,396
I don't like where it's going.
536
00:27:37,548 --> 00:27:39,490
He was just talking to me
a bit ago, but he's so...
537
00:27:39,717 --> 00:27:40,883
altered. I...
538
00:27:40,901 --> 00:27:42,901
Well, he might need
to be intubated.
539
00:27:43,053 --> 00:27:44,310
Let's get an ABG.
540
00:27:44,330 --> 00:27:45,329
Yeah.
541
00:27:56,917 --> 00:27:59,009
-Hold on, hold on.
-Here.
542
00:27:59,753 --> 00:28:02,662
Your patient. You do it.
543
00:28:02,682 --> 00:28:04,223
Okay.
544
00:28:14,843 --> 00:28:16,509
Okay.
545
00:28:16,603 --> 00:28:19,697
(Jerome groaning softly)
546
00:28:21,183 --> 00:28:22,366
Oh, come on. He-he won't settle.
This is awful.
547
00:28:22,517 --> 00:28:23,775
-I can't do this.
-I'll hold him.
548
00:28:23,869 --> 00:28:25,351
Got it.
549
00:28:25,371 --> 00:28:27,121
(groaning)
550
00:28:28,432 --> 00:28:29,415
Okay.
551
00:28:32,861 --> 00:28:34,211
I'm in.
552
00:28:35,773 --> 00:28:37,297
(exhales)
553
00:28:48,452 --> 00:28:50,619
Oh! Uh...
554
00:28:50,637 --> 00:28:52,621
-Hold pressure, quick. Come on.
-Yeah, yeah, yeah.
555
00:28:52,639 --> 00:28:53,856
Hold pressure.
556
00:28:55,234 --> 00:28:58,310
-Did you check
his platelets and INR?
-Of course.
557
00:28:58,386 --> 00:29:00,720
160 and 1.8. Not normal,
but not catastrophic.
558
00:29:00,740 --> 00:29:03,799
Well, they must be getting
worse. He's not clotting.
559
00:29:03,892 --> 00:29:06,392
Possibly in DIC or liver
failure. He's decompensating.
560
00:29:06,412 --> 00:29:08,653
I don't understand
what's happening. Explain.
561
00:29:08,748 --> 00:29:10,489
(sighs) I can't.
562
00:29:10,641 --> 00:29:12,565
We can't fix him if we
don't know what's wrong,
563
00:29:12,659 --> 00:29:15,068
and we're running out of time.
564
00:29:15,162 --> 00:29:16,587
(stammers) Wait.
You mean he could die?
565
00:29:16,738 --> 00:29:17,904
-I...
-Hundley.
566
00:29:17,998 --> 00:29:20,332
35-year-old woman,
567
00:29:20,484 --> 00:29:22,000
BP steady, pulse in the 70s,
568
00:29:22,152 --> 00:29:23,668
but also we have a newborn male,
569
00:29:23,821 --> 00:29:25,170
healthy, Apgar off the charts.
570
00:29:25,322 --> 00:29:27,580
Who could use labor and delivery
and an OB-GYN.
571
00:29:27,600 --> 00:29:29,541
CONRAD:
She gave birth in the ambulance.
572
00:29:29,693 --> 00:29:30,842
Peachtree and Seventh.
573
00:29:30,995 --> 00:29:32,010
Perfect corner
to come into the world.
574
00:29:32,162 --> 00:29:34,420
-Great deli there, too.
-(chuckles)
575
00:29:34,515 --> 00:29:35,421
(speaking Creole)
576
00:29:35,441 --> 00:29:38,683
-(responds in Creole)
-Mèsi.
577
00:29:38,778 --> 00:29:40,260
DEVON:
Hey, Conrad, listen.
578
00:29:40,354 --> 00:29:43,188
We've got a 30-year-old male who
came in with a week of fever.
579
00:29:43,340 --> 00:29:45,098
No clear source,
and he's going downhill
580
00:29:45,175 --> 00:29:46,858
fast, and we're
nowhere closer to a diagnosis
581
00:29:47,011 --> 00:29:48,026
than when he first came in.
582
00:29:48,178 --> 00:29:50,012
We need all the help we can get.
583
00:29:50,030 --> 00:29:51,530
The antipyretics,
cooling blankets,
584
00:29:51,682 --> 00:29:53,015
antibiotics,
none of it's making him better.
585
00:29:53,033 --> 00:29:54,274
He's going into shock.
586
00:29:54,368 --> 00:29:56,126
We're gonna get started
on norepinephrine.
587
00:29:56,295 --> 00:29:58,203
Let's get him to the ICU.
588
00:29:58,297 --> 00:30:00,205
Still waiting on a bed.
ICU is short-handed today.
589
00:30:00,357 --> 00:30:02,966
Well, we can't keep him
down here indefinitely.
590
00:30:03,118 --> 00:30:04,359
I'm double board certified.
591
00:30:04,378 --> 00:30:06,878
Emergency med
and intensive care.
592
00:30:06,972 --> 00:30:08,046
If there's anything
I can do to help.
593
00:30:08,198 --> 00:30:09,047
DEVON:
This is my patient.
594
00:30:09,141 --> 00:30:10,123
I'm sorry, I don't know you.
595
00:30:10,217 --> 00:30:11,716
Do you have privileges here?
596
00:30:11,811 --> 00:30:14,703
He has a point.
597
00:30:14,721 --> 00:30:16,538
I'm vouching for her.
598
00:30:16,631 --> 00:30:18,798
I'll get Kit
to meet us in the ICU.
599
00:30:18,967 --> 00:30:20,208
CONRAD:
Sounds good.
600
00:30:20,227 --> 00:30:22,027
Let's grab you some scrubs.
601
00:30:44,326 --> 00:30:46,176
Hi. I'm Chastain's CEO,
Kit Voss.
602
00:30:46,403 --> 00:30:49,421
Thanks for pitching in.
I know we're desperately
603
00:30:49,497 --> 00:30:51,907
short-staffed here in the unit,
but I have to clear you.
604
00:30:51,925 --> 00:30:54,593
Understood.
My name is Kincaid Sullivan.
605
00:30:54,761 --> 00:30:56,002
I'm an ER doctor,
606
00:30:56,096 --> 00:30:57,503
and I also cover the ICU
at Atlanta General.
607
00:30:57,598 --> 00:30:59,247
You can call them
for recommendations.
608
00:30:59,266 --> 00:31:01,507
-And the state board, of course.
-CONRAD: Hey, Go Team.
609
00:31:01,527 --> 00:31:03,193
You with us?
610
00:31:04,438 --> 00:31:07,364
I'm issuing you privileges
on an emergency basis.
611
00:31:07,515 --> 00:31:09,274
Come to my office
when you have a moment,
612
00:31:09,426 --> 00:31:11,159
and we'll do the paperwork.
613
00:31:12,946 --> 00:31:15,855
Ejection fraction's at 15%.
614
00:31:15,949 --> 00:31:18,283
His heart is failing, too.
Damn it.
615
00:31:18,435 --> 00:31:21,211
She's the ICU doctor.
She should run the room.
616
00:31:21,380 --> 00:31:24,131
(sighs) Go.
617
00:31:25,033 --> 00:31:26,383
Okay, as far as I can tell,
618
00:31:26,534 --> 00:31:28,777
we've got a 30-year-old man,
otherwise healthy,
619
00:31:28,795 --> 00:31:30,387
febrile,
620
00:31:30,538 --> 00:31:31,871
now in multisystem
organ failure,
621
00:31:31,965 --> 00:31:33,115
with undifferentiated shock,
622
00:31:33,133 --> 00:31:35,708
respiratory failure,
liver failure,
623
00:31:35,728 --> 00:31:37,543
all complicated by disseminated
624
00:31:37,638 --> 00:31:40,213
intravascular coagulopathy?
625
00:31:40,232 --> 00:31:41,231
That cover it?
626
00:31:41,400 --> 00:31:43,567
No urine output
in the last three hours.
627
00:31:43,736 --> 00:31:46,144
Add renal failure to the list.
628
00:31:46,296 --> 00:31:49,055
He's nearly maxed out
on norepi and vaso.
629
00:31:49,149 --> 00:31:50,908
I think we should start
epi next.
630
00:31:51,059 --> 00:31:53,726
Agreed, but he needs
more access.
631
00:31:53,746 --> 00:31:56,747
We'll need to place four lines,
minimum, a central,
632
00:31:56,898 --> 00:31:59,750
-a dialysis catheter.
-An arterial, and a PA-line.
633
00:32:02,646 --> 00:32:05,238
All right, team.
Let's keep this man alive
634
00:32:05,407 --> 00:32:08,258
long enough to find out
what's wrong with him.
635
00:32:09,503 --> 00:32:10,743
What should I do?
636
00:32:10,763 --> 00:32:12,245
Go back to the white board
637
00:32:12,264 --> 00:32:14,506
and go over
every detail we know.
638
00:32:14,600 --> 00:32:15,581
Find answers,
639
00:32:15,601 --> 00:32:19,061
and be ready to report back.
640
00:32:26,261 --> 00:32:29,838
My sixth surgery of the day
starts in ten minutes.
641
00:32:29,931 --> 00:32:31,615
Please tell me
this coffee is hot.
642
00:32:31,766 --> 00:32:32,991
That's why God made microwaves.
643
00:32:33,101 --> 00:32:34,843
-Oh, bless you.
-(chuckles)
644
00:32:34,861 --> 00:32:36,769
(coffee pouring)
645
00:32:36,789 --> 00:32:39,623
Ooh. I smell panic.
646
00:32:39,774 --> 00:32:41,366
I'd rather smell a warm muffin.
647
00:32:41,460 --> 00:32:42,942
What's going on?
648
00:32:42,962 --> 00:32:44,035
We have a patient
who started out
649
00:32:44,129 --> 00:32:45,328
with a fever of unknown origin,
650
00:32:45,481 --> 00:32:47,130
and is now
the sickest guy in the unit,
651
00:32:47,282 --> 00:32:50,542
and if we don't get a diagnosis
soon, he's gonna die.
652
00:32:50,694 --> 00:32:53,862
-And this is the differential?
-Uh-huh.
653
00:32:53,880 --> 00:32:55,472
AUSTIN:
Good luck.
654
00:32:58,218 --> 00:33:00,293
I mean, how do they expect me
to figure this out?
655
00:33:00,312 --> 00:33:02,370
I'm supposed to see what
Hawkins and Pravesh don't?
656
00:33:02,389 --> 00:33:04,147
Wild guess,
they're teaching you to look.
657
00:33:04,374 --> 00:33:06,984
BILLIE:
And you may never get an answer.
658
00:33:07,060 --> 00:33:08,226
AUSTIN:
You know, by some estimates,
659
00:33:08,378 --> 00:33:11,046
one in four patients
who die in the ICU
660
00:33:11,064 --> 00:33:12,731
never get properly diagnosed.
661
00:33:12,883 --> 00:33:15,158
Despite our best efforts,
the human body is a mystery
662
00:33:15,310 --> 00:33:17,810
that keeps its secrets
more than a quarter of the time.
663
00:33:17,830 --> 00:33:19,645
-Okay, that's-that's so...
-Imperfect.
664
00:33:19,665 --> 00:33:20,739
Remarkable.
665
00:33:20,833 --> 00:33:22,907
Human.
666
00:33:23,060 --> 00:33:24,334
What have you got?
667
00:33:24,561 --> 00:33:26,169
Well...
668
00:33:26,321 --> 00:33:27,912
everything on that board
669
00:33:28,065 --> 00:33:30,823
and nothing at all.
670
00:33:30,917 --> 00:33:33,401
It's okay.
671
00:33:33,420 --> 00:33:34,660
It happens.
672
00:33:34,680 --> 00:33:36,421
We'll keep looking.
673
00:33:36,515 --> 00:33:39,224
But there is something
you can do for your patient.
674
00:33:41,353 --> 00:33:42,728
What?
675
00:33:43,930 --> 00:33:46,398
(purring softly)
676
00:33:50,362 --> 00:33:51,695
What's going on?
677
00:33:51,846 --> 00:33:53,755
A kid came in, drowning victim.
678
00:33:53,774 --> 00:33:56,258
They couldn't save her.
They tried over an hour.
679
00:33:56,426 --> 00:33:58,927
(sighs) Okay.
I need BooBooBear.
680
00:33:58,945 --> 00:34:00,595
For Jerome.
681
00:34:00,597 --> 00:34:03,932
Aw. I was wrong
about this little pup.
682
00:34:03,950 --> 00:34:06,359
She's really good at her job.
683
00:34:06,378 --> 00:34:07,952
Wait.
684
00:34:08,047 --> 00:34:11,214
-Don't forget this.
-Thanks.
685
00:34:27,474 --> 00:34:30,233
His bacterial cultures
all came back negative.
686
00:34:30,385 --> 00:34:32,794
We have him on
broad-spectrum antibiotics
687
00:34:32,813 --> 00:34:34,296
and added antifungals.
688
00:34:34,389 --> 00:34:36,981
Looks like the labs are negative
for vasculitis and autoimmune.
689
00:34:37,134 --> 00:34:39,576
What if it's something
more insidious?
690
00:34:39,727 --> 00:34:42,487
Like an underlying
malignancy leading to HLH?
691
00:34:42,639 --> 00:34:44,730
It's a good thought, but
the ferritin isn't consistent.
692
00:34:44,750 --> 00:34:46,249
-Ingestions?
-CONRAD: Tox screen, negative.
693
00:34:46,401 --> 00:34:47,809
Extended panel, negative.
694
00:34:47,828 --> 00:34:49,377
This was in the dog's backpack.
695
00:34:50,071 --> 00:34:51,737
-A map?
-Uh-huh.
696
00:34:51,757 --> 00:34:53,573
A trail map to a state park.
697
00:34:53,667 --> 00:34:55,759
We've already established
the dog's feet
698
00:34:55,928 --> 00:34:57,594
never touch the ground,
and we've already
699
00:34:57,821 --> 00:34:58,987
-tested for Lyme.
-No, no, no.
700
00:34:59,080 --> 00:35:00,913
Boo's feet
didn't touch the ground,
701
00:35:00,933 --> 00:35:03,158
but Jerome's have.
702
00:35:03,160 --> 00:35:05,677
In a Georgia state park,
where there are other
703
00:35:05,771 --> 00:35:07,345
tick-borne diseases,
not just Lyme.
704
00:35:07,439 --> 00:35:08,647
I looked it up.
705
00:35:08,756 --> 00:35:11,108
It could be babesiosis.
706
00:35:13,779 --> 00:35:16,113
Babesiosis is rare.
707
00:35:16,264 --> 00:35:18,949
So rare we never considered it.
708
00:35:19,100 --> 00:35:20,024
But the symptoms fit.
709
00:35:20,119 --> 00:35:21,767
It's an incredible long shot.
710
00:35:21,845 --> 00:35:23,936
But possible.
711
00:35:24,030 --> 00:35:25,513
So we start him on clindamycin
712
00:35:25,607 --> 00:35:28,683
and quinine, stat,
and if the smear is positive,
713
00:35:28,702 --> 00:35:31,169
we start pheresis.
714
00:35:32,873 --> 00:35:36,424
No matter if this is wrong
or right, good work, Trevor.
715
00:35:52,709 --> 00:35:53,650
Hello.
716
00:35:53,877 --> 00:35:55,652
Hi.
717
00:35:55,879 --> 00:35:57,045
How's Jerome?
718
00:35:57,063 --> 00:36:00,548
Blood test confirmed babesiosis.
719
00:36:01,493 --> 00:36:04,569
-Wow.
-Yeah, he's responding
to the meds.
720
00:36:04,721 --> 00:36:07,555
His fever is still high,
but it's coming down.
721
00:36:07,574 --> 00:36:09,908
Incredible save.
722
00:36:10,060 --> 00:36:12,060
Who was that kid? An intern?
723
00:36:12,078 --> 00:36:14,579
He's gonna be one of our best.
724
00:36:14,731 --> 00:36:16,564
All credit to him.
725
00:36:16,658 --> 00:36:18,258
And to the team. You...
726
00:36:19,569 --> 00:36:21,236
You ran the room.
727
00:36:21,238 --> 00:36:24,572
Does every day on the job
with you go like this one?
728
00:36:24,666 --> 00:36:25,998
Just one surprise
729
00:36:26,092 --> 00:36:28,167
-after another?
-No, thank God.
730
00:36:28,187 --> 00:36:30,836
Today was particularly intense.
731
00:36:30,931 --> 00:36:33,565
And I still don't know
your name.
732
00:36:34,918 --> 00:36:36,342
I don't know yours, either.
733
00:36:36,436 --> 00:36:37,602
Although, "Hey, you"
734
00:36:37,679 --> 00:36:40,588
-worked surprisingly well.
-Conrad Hawkins.
735
00:36:40,607 --> 00:36:42,941
Kincaid Sullivan.
736
00:36:43,035 --> 00:36:44,350
Cade to friend and foe alike.
737
00:36:44,369 --> 00:36:47,412
I'd like to have a word
with your foes.
738
00:36:48,765 --> 00:36:51,374
No, you wouldn't. Believe me.
739
00:36:56,030 --> 00:36:59,624
I'm gonna guess you were in
Haiti doing earthquake relief.
740
00:36:59,776 --> 00:37:01,534
Twice.
741
00:37:01,628 --> 00:37:03,386
How long you been
at Atlanta General?
742
00:37:05,557 --> 00:37:06,965
Not long.
743
00:37:07,117 --> 00:37:09,059
What's with the third degree?
744
00:37:10,044 --> 00:37:12,470
Dr. Pravesh, Jerome's doctor,
745
00:37:12,622 --> 00:37:15,248
is gonna be spending more time
doing clinical trials,
746
00:37:15,250 --> 00:37:18,068
and we need somebody to fill
his slot in the ER, so...
747
00:37:18,219 --> 00:37:20,962
He's having a hard time
finding good people.
748
00:37:20,981 --> 00:37:22,739
You seem
like good people.
749
00:37:23,817 --> 00:37:25,742
-Is that a job offer?
-No.
750
00:37:25,893 --> 00:37:28,245
That's up to Dr. Voss, our CEO.
751
00:37:28,396 --> 00:37:31,823
But Pravesh
already talked to her.
752
00:37:33,159 --> 00:37:35,460
She's making a few calls.
She'd like to talk to you.
753
00:37:40,834 --> 00:37:42,467
Thanks.
754
00:37:46,506 --> 00:37:48,014
(door opens)
755
00:37:48,750 --> 00:37:50,475
I don't remember much.
756
00:37:51,961 --> 00:37:53,678
I guess it got bad.
757
00:37:53,772 --> 00:37:55,921
It did.
758
00:37:55,999 --> 00:37:57,181
Don't go hiking
in the woods again
759
00:37:57,350 --> 00:37:59,925
without buttoning up your shirt,
tucking your pants
760
00:37:59,945 --> 00:38:01,686
into your socks,
and wearing a hat, okay?
761
00:38:01,838 --> 00:38:03,021
Trust me, I won't.
762
00:38:03,189 --> 00:38:05,615
I might not ever leave
my apartment again.
763
00:38:05,692 --> 00:38:07,367
(chuckles)
764
00:38:11,364 --> 00:38:14,499
I'll be back to check
on you later, okay?
765
00:38:19,539 --> 00:38:21,298
How does it feel?
766
00:38:21,525 --> 00:38:24,092
Making a diagnosis
no one else could make?
767
00:38:25,695 --> 00:38:27,137
Feels good.
768
00:38:27,364 --> 00:38:30,532
It was one of the good days.
We live for these.
769
00:38:30,550 --> 00:38:33,226
You were the hero.
770
00:38:35,129 --> 00:38:37,731
And I'm proud of what you did.
771
00:38:40,393 --> 00:38:42,193
Thanks.
772
00:38:44,214 --> 00:38:46,064
We have to care
about our patients, Trevor,
773
00:38:46,216 --> 00:38:48,399
but this could've gone
the other way.
774
00:38:48,493 --> 00:38:50,160
If it had,
775
00:38:50,311 --> 00:38:52,412
it would not have been
your fault.
776
00:39:02,065 --> 00:39:04,323
That was odd.
777
00:39:04,343 --> 00:39:05,324
What's that?
778
00:39:05,418 --> 00:39:08,970
She keeps on being nice to me.
779
00:39:10,924 --> 00:39:14,100
Possible she has a heart?
780
00:39:16,021 --> 00:39:19,430
She does have a heart, Trevor.
781
00:39:19,524 --> 00:39:21,358
Bigger than you know.
782
00:39:23,086 --> 00:39:24,752
Fever's still high, but he's
starting to feel better.
783
00:39:24,771 --> 00:39:26,696
Hey, guys.
784
00:39:26,773 --> 00:39:28,031
Dr. Sullivan checks out.
785
00:39:28,182 --> 00:39:30,608
The folks at Atlanta General
sang her praises.
786
00:39:30,760 --> 00:39:32,869
Though, she's only
been there a few months.
787
00:39:33,096 --> 00:39:34,704
Well, where was she before that?
788
00:39:34,856 --> 00:39:37,356
An ER in Chicago, also briefly.
789
00:39:37,450 --> 00:39:40,284
Before that, there's
a two-year gap in her record.
790
00:39:40,379 --> 00:39:42,379
Yeah, she said she spent
some time in Haiti
791
00:39:42,547 --> 00:39:44,789
-doing earthquake relief.
-She told me that as well.
792
00:39:44,883 --> 00:39:46,866
Well, how'd she do
on her interview?
793
00:39:46,960 --> 00:39:48,033
We didn't talk for long,
794
00:39:48,128 --> 00:39:50,612
but she's obviously
smart and capable.
795
00:39:50,746 --> 00:39:54,298
I could see her ICU
leadership was top notch.
796
00:39:54,467 --> 00:39:55,283
But?
797
00:39:55,452 --> 00:39:58,377
She was a bit evasive, frankly.
798
00:39:58,397 --> 00:39:59,954
Like she was hiding something.
799
00:40:00,047 --> 00:40:02,640
Did you hire her temporarily?
We need someone now.
800
00:40:02,792 --> 00:40:04,142
KIT:
Yes,
801
00:40:04,236 --> 00:40:06,069
but if we're going to make her
a permanent hire,
802
00:40:06,296 --> 00:40:08,405
I'll need more information,
803
00:40:08,632 --> 00:40:10,407
considerably more.
804
00:40:12,469 --> 00:40:13,743
(sighs)
805
00:40:13,912 --> 00:40:15,078
That's odd.
806
00:40:15,229 --> 00:40:16,746
Eh, she wasn't real talkative
807
00:40:16,915 --> 00:40:18,248
about her past with me, either,
808
00:40:18,399 --> 00:40:20,917
but she's a hell of a doctor.
I'd hate to lose her.
809
00:40:20,994 --> 00:40:23,661
Well, you'd be amazed at what
a five-minute Internet search
810
00:40:23,755 --> 00:40:25,422
can dig up on a person.
811
00:40:25,573 --> 00:40:27,999
That's worth a look.
812
00:40:28,151 --> 00:40:30,260
So, one in two people
813
00:40:30,429 --> 00:40:33,671
leave their social media
open to the public.
814
00:40:33,765 --> 00:40:35,006
Pay attention
815
00:40:35,158 --> 00:40:36,340
and you can find out
somebody's favorite color
816
00:40:36,509 --> 00:40:37,825
and who they dated
in high school.
817
00:40:37,844 --> 00:40:40,252
-(chuckles)
-All right.
818
00:40:40,272 --> 00:40:41,512
Kincaid.
819
00:40:41,665 --> 00:40:42,847
Sullivan.
820
00:40:42,999 --> 00:40:46,258
M.D. Atlanta, Georgia.
821
00:40:46,427 --> 00:40:47,610
Huh.
822
00:40:47,762 --> 00:40:51,114
No Facebook. No Insta.
823
00:40:51,265 --> 00:40:54,342
Okay, um, I'll try
broadening the search.
824
00:40:54,360 --> 00:40:58,371
I'll add her work history
and education.
825
00:41:01,626 --> 00:41:03,275
No results.
826
00:41:03,295 --> 00:41:07,380
Try changing the spelling
of her name.
827
00:41:08,300 --> 00:41:10,425
Add that she's an ER doc.
828
00:41:13,713 --> 00:41:15,863
Nothing.
829
00:41:15,882 --> 00:41:18,558
Not a single hit.
830
00:41:21,813 --> 00:41:23,980
That's weird.
831
00:41:24,149 --> 00:41:25,815
Given that she's not
an 80-year-old
832
00:41:25,967 --> 00:41:27,466
with a flip phone, yeah.
833
00:41:27,544 --> 00:41:30,712
It's like someone scrubbed
her entire Internet presence.
834
00:41:30,730 --> 00:41:33,198
(pager beeping)
835
00:41:35,810 --> 00:41:38,161
Test results.
836
00:41:38,388 --> 00:41:40,555
Patient's been waiting
for them all day.
837
00:41:40,648 --> 00:41:42,406
Go.
838
00:41:42,501 --> 00:41:44,075
I'll keep digging.
839
00:41:44,227 --> 00:41:47,245
-(Devon sighs)
-Yeah, thanks.
840
00:41:47,397 --> 00:41:49,130
Yeah.
841
00:42:02,746 --> 00:42:05,438
I've got what we need now.
842
00:42:07,100 --> 00:42:09,484
I think I know what's going on.
843
00:42:13,681 --> 00:42:15,990
Let's sit down.
844
00:42:27,879 --> 00:42:31,622
Captioning sponsored by
20th CENTURY FOX TELEVISION
845
00:42:31,775 --> 00:42:34,384
and TOYOTA.
846
00:42:34,535 --> 00:42:38,221
Captioned by
Media Access Group at WGBH
access.wgbh.org