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