1 00:00:03,062 --> 00:00:04,728 Previously on The Resident... 2 00:00:04,747 --> 00:00:05,912 I have multiple sclerosis. 3 00:00:06,065 --> 00:00:07,339 We could always use more women in neurosurgery, 4 00:00:07,491 --> 00:00:09,233 but I would never try to recruit you. 5 00:00:09,401 --> 00:00:11,401 -Why? -Devon would kill me, for one thing. 6 00:00:11,403 --> 00:00:12,827 He'll support whatever I choose to do. 7 00:00:12,921 --> 00:00:16,164 -Kit, I'm leaving Chastain. -A leave of absence. 8 00:00:16,183 --> 00:00:18,350 -Of course, to heal... -No, permanently. 9 00:00:18,460 --> 00:00:22,079 I was raped by our neighbor. I was 13. 10 00:00:22,172 --> 00:00:24,606 -He was a grown man. -Billie... 11 00:00:26,510 --> 00:00:28,694 (thunder rumbling) 12 00:00:33,534 --> 00:00:35,701 (car alarm chirps) 13 00:00:35,928 --> 00:00:38,445 Hey, come here. 14 00:00:38,539 --> 00:00:40,205 No, I'm fine. 15 00:00:40,357 --> 00:00:41,932 You're getting soaked. 16 00:00:42,025 --> 00:00:45,127 I'm not gonna melt. Promise. 17 00:00:52,278 --> 00:00:54,035 Hey, I need some help! 18 00:00:54,129 --> 00:00:56,113 Hey. I was headed to a call 19 00:00:56,131 --> 00:00:58,557 when I found her on the Centerville exit off of 124. 20 00:00:58,784 --> 00:01:00,500 She was all by herself. 21 00:01:00,561 --> 00:01:02,394 She's limping, and she's freezing cold. 22 00:01:02,621 --> 00:01:04,229 She needs help, so I brought her straight here. 23 00:01:04,456 --> 00:01:05,672 You did the right thing. What's your name? 24 00:01:05,733 --> 00:01:06,899 DRIVER: She hasn't said a word 25 00:01:07,050 --> 00:01:08,809 since I found her. She hasn't cried either. 26 00:01:08,961 --> 00:01:10,736 Not a sound. 27 00:01:10,887 --> 00:01:13,447 I'm gonna take you inside and get you warm, okay? 28 00:01:15,743 --> 00:01:17,634 I'm a doctor. I won't hurt you. 29 00:01:17,653 --> 00:01:20,496 I'm gonna take care of you, I promise. 30 00:01:22,157 --> 00:01:24,500 Don't be afraid. 31 00:01:31,333 --> 00:01:34,510 My little girl made that. Do you like it? 32 00:01:37,747 --> 00:01:39,098 Okay. 33 00:01:41,418 --> 00:01:44,645 -(grunts) Here we go. -Thanks, Doc. 34 00:01:46,165 --> 00:01:47,331 What happened? 35 00:01:47,349 --> 00:01:48,923 Tow truck driver brought her in. 36 00:01:49,017 --> 00:01:50,442 Found her alone by the side of the road. 37 00:01:50,611 --> 00:01:54,521 She is not speaking. 38 00:01:54,673 --> 00:01:57,174 Clara, let's get a temp, change her out of these clothes, 39 00:01:57,267 --> 00:01:59,359 and get her on the monitor. 40 00:01:59,511 --> 00:02:03,029 (indistinct P.A. announcements) 41 00:02:03,198 --> 00:02:04,364 (thermometer beeps) 42 00:02:04,516 --> 00:02:05,457 It's not registering. 43 00:02:05,609 --> 00:02:07,942 She's hypothermic. We need a core temp. 44 00:02:08,796 --> 00:02:11,872 And some blankets and warmed saline. 45 00:02:11,966 --> 00:02:13,298 CLARA: I'm on it. 46 00:02:13,450 --> 00:02:14,591 Her right arm. 47 00:02:17,863 --> 00:02:20,380 Posterior shoulder dislocation. 48 00:02:20,532 --> 00:02:24,184 -No swelling around the joint. -Let's reduce that, quick. 49 00:02:26,796 --> 00:02:30,732 This will hurt, but then it will feel much better, okay? 50 00:02:33,228 --> 00:02:34,728 -(cracking) -(winces) 51 00:02:34,880 --> 00:02:36,971 Not a peep. 52 00:02:37,065 --> 00:02:38,640 -What's going on? -I don't know. 53 00:02:38,734 --> 00:02:40,934 Clara, can you call Winston? 54 00:02:41,086 --> 00:02:43,996 -Tell him we have an unaccompanied minor. -Yeah. 55 00:02:52,414 --> 00:02:53,672 DEVON: So, I did the math. 56 00:02:53,899 --> 00:02:55,899 For you to be double board-certified 57 00:02:55,992 --> 00:02:58,343 in neuro and cardiothoracic surgery, 58 00:02:58,495 --> 00:03:00,237 it would take you, like, eight years. 59 00:03:00,297 --> 00:03:03,740 Think about it, Devon. I could drain a brain bleed on a Monday 60 00:03:03,833 --> 00:03:07,244 and hold a beating heart in my hands on a Tuesday. 61 00:03:07,262 --> 00:03:10,004 Look, I love that you want to do 62 00:03:10,024 --> 00:03:11,748 all the things, 63 00:03:11,767 --> 00:03:14,751 but I'm just concerned that you're gonna get burned out. 64 00:03:14,770 --> 00:03:16,586 There's only 24 hours in a day. 65 00:03:16,647 --> 00:03:19,847 I'm spending two of them standing outside in the rain 66 00:03:19,942 --> 00:03:22,609 so you can buy sneakers. 67 00:03:22,761 --> 00:03:24,519 Come on, the line's moving. 68 00:03:24,613 --> 00:03:26,112 You're a good woman. 69 00:03:26,207 --> 00:03:29,023 ROXIE: Look at you all coming out in the rain 70 00:03:29,192 --> 00:03:30,042 for this drop. 71 00:03:30,193 --> 00:03:32,360 From my heart, I thank you. 72 00:03:32,438 --> 00:03:35,455 -Now, come and get these kicks. -(cheering) 73 00:03:36,442 --> 00:03:39,701 Oh, damn. These black vapor lows are fire. 74 00:03:39,720 --> 00:03:42,537 Geez. I have to have these. 75 00:03:42,631 --> 00:03:45,891 Hey, Haircut. Caught your drip the moment you walked up, 76 00:03:46,042 --> 00:03:49,119 and I saw you eyeing these. (wheezes) 77 00:03:49,137 --> 00:03:50,729 Are you feeling all right? 78 00:03:50,880 --> 00:03:54,474 Oh, don't worry about me. I just got "big girl-itis." 79 00:03:54,568 --> 00:03:57,402 My name is Dr. Pravesh. This is Dr. Devi. 80 00:03:57,554 --> 00:03:59,554 Seems like you're having some chest pain. 81 00:03:59,631 --> 00:04:02,482 Why don't we just take a seat here. 82 00:04:02,576 --> 00:04:05,410 ♪ But I came here to get busy... ♪ 83 00:04:05,562 --> 00:04:08,080 (sighs) I just need another antacid. 84 00:04:08,231 --> 00:04:10,415 Will you hand me my purse? 85 00:04:10,492 --> 00:04:12,325 ♪ But I came to get down... ♪ 86 00:04:12,402 --> 00:04:14,586 DEVON: Just gonna check your pulse. 87 00:04:14,813 --> 00:04:16,904 How many of these have you taken today? 88 00:04:16,999 --> 00:04:19,240 Uh... all of them. 89 00:04:19,334 --> 00:04:22,486 -Your heart is racing. -It's just nerves, is all. 90 00:04:22,504 --> 00:04:25,413 This is my big day. I have been planning this for months. 91 00:04:25,582 --> 00:04:27,007 We need to get you to a hospital. 92 00:04:27,101 --> 00:04:28,583 No, no, no, no, no, ham, no, ma'am. 93 00:04:28,602 --> 00:04:31,011 There is a photographer coming from Best of Atlanta. 94 00:04:31,163 --> 00:04:32,846 I got an interview later. 95 00:04:32,998 --> 00:04:34,472 You could be having a heart attack. 96 00:04:34,608 --> 00:04:36,182 No. I-- No. 97 00:04:36,335 --> 00:04:39,111 -(line ringing) -We are not gonna take no for an answer. 98 00:04:39,262 --> 00:04:41,530 ♪ What you playin' for? ♪ 99 00:04:43,767 --> 00:04:46,368 ♪ ♪ 100 00:04:57,356 --> 00:04:58,705 Hey. 101 00:04:59,691 --> 00:05:01,691 Hope you didn't have plans later. 102 00:05:01,710 --> 00:05:04,544 (laughs) No problem. I already cleared my schedule. 103 00:05:04,638 --> 00:05:07,697 I want to hang out with my new best friend here. 104 00:05:07,791 --> 00:05:11,059 I'm sad to say no one's ever mistook me for Mary Poppins. 105 00:05:13,539 --> 00:05:14,721 Shoulder should be feeling better. 106 00:05:14,873 --> 00:05:17,482 Can you move your arm for me? 107 00:05:17,709 --> 00:05:21,803 So, she understands what we say. Follows direction. 108 00:05:21,822 --> 00:05:23,471 That's progress. 109 00:05:23,490 --> 00:05:25,407 (door opens) 110 00:05:27,995 --> 00:05:30,329 Winston's here. 111 00:05:32,833 --> 00:05:34,666 Nurse Clara's gonna take care of you 112 00:05:34,893 --> 00:05:37,669 while we talk to Winston, okay? 113 00:05:37,896 --> 00:05:39,421 Be right back. 114 00:05:45,587 --> 00:05:47,921 -Thanks for coming. -Oh, not a problem at all. 115 00:05:48,073 --> 00:05:49,089 You have an unaccompanied minor? 116 00:05:49,241 --> 00:05:50,924 She was left on the side of the road 117 00:05:51,000 --> 00:05:53,000 with a dislocated shoulder. 118 00:05:53,020 --> 00:05:55,336 Seems like she was running from something 119 00:05:55,430 --> 00:05:56,462 or someone. 120 00:05:56,598 --> 00:05:57,505 WINSTON: Um... 121 00:05:57,599 --> 00:05:59,507 She's not talking, so there's a lot 122 00:05:59,526 --> 00:06:01,509 we don't know yet. We've established her lack 123 00:06:01,528 --> 00:06:03,010 of speech isn't a lack of understanding. 124 00:06:03,030 --> 00:06:05,271 Have you checked for signs of physical abuse? 125 00:06:05,424 --> 00:06:06,865 She's headed for scans shortly. 126 00:06:07,016 --> 00:06:08,867 Oh, I'll contact Atlanta P.D. 127 00:06:09,094 --> 00:06:11,185 If there's been a missing child report, 128 00:06:11,279 --> 00:06:12,537 we'll know soon. In the meantime, 129 00:06:12,689 --> 00:06:14,280 Chastain has to assume 130 00:06:14,357 --> 00:06:16,116 an emergency temporary guardianship. 131 00:06:16,268 --> 00:06:17,434 Who's gonna be taking care of her? 132 00:06:17,527 --> 00:06:19,269 Dr. Sullivan, it's your ER shift, 133 00:06:19,287 --> 00:06:21,380 -so I presume... -Me. -CADE: Happy to. 134 00:06:22,958 --> 00:06:25,867 She's bonded with me, so 135 00:06:25,886 --> 00:06:27,427 I'll run point. 136 00:06:29,390 --> 00:06:32,115 It's good with me. Takes a village, right? 137 00:06:32,134 --> 00:06:34,893 -(chuckles) -The village of Drs. Hawkins-Sullivan. 138 00:06:35,044 --> 00:06:37,729 Got it. And the child's name? 139 00:06:40,383 --> 00:06:41,691 Jane Doe. 140 00:06:43,128 --> 00:06:45,445 (indistinct P.A. announcements) 141 00:06:46,632 --> 00:06:48,240 Good morning. 142 00:06:49,392 --> 00:06:51,484 Didn't I leave you in a warm bed blissfully asleep? 143 00:06:51,578 --> 00:06:54,913 Yes, you did. And for that, I thank you. 144 00:06:55,064 --> 00:06:56,990 But-but, listen, before you get too excited, 145 00:06:57,084 --> 00:07:00,067 I'm not here officially. 146 00:07:00,162 --> 00:07:01,586 Just a social call. 147 00:07:01,738 --> 00:07:04,906 The doctors at the Mayo said you could return to surgery. 148 00:07:05,000 --> 00:07:06,758 The steroid pulse and immunomodulators 149 00:07:06,910 --> 00:07:08,593 have been amazing at stopping your M.S. symptoms. 150 00:07:08,745 --> 00:07:11,913 I-I know, and I'm grateful and I'm, and I'm hopeful 151 00:07:11,932 --> 00:07:13,748 and I'm reassured, 152 00:07:13,842 --> 00:07:16,768 but I'm... I'm not there yet. 153 00:07:16,845 --> 00:07:19,438 If this isn't your official return, 154 00:07:19,589 --> 00:07:22,256 did you really come all the way here 155 00:07:22,276 --> 00:07:23,683 in the rain just to bring me a latte? 156 00:07:23,835 --> 00:07:26,486 No. There's something I wanted to tell you. I've, um... 157 00:07:26,596 --> 00:07:28,171 I've been shortlisted 158 00:07:28,264 --> 00:07:30,574 for a seat at the state medical board. 159 00:07:33,345 --> 00:07:35,287 That's wonderful, Randolph. 160 00:07:35,438 --> 00:07:37,122 They could use people like you. 161 00:07:37,273 --> 00:07:39,516 Doctors policing doctors 162 00:07:39,534 --> 00:07:41,518 has not worked well for patients. 163 00:07:41,611 --> 00:07:44,111 We all need to be more accountable, and... 164 00:07:44,131 --> 00:07:46,706 You know, it's been a long career, and I've seen 165 00:07:46,800 --> 00:07:48,241 mistakes happen that shouldn't have, 166 00:07:48,393 --> 00:07:50,451 and you know I've made them myself. 167 00:07:50,545 --> 00:07:52,362 And I'd just... 168 00:07:52,455 --> 00:07:54,698 like to try and make up for that. 169 00:07:54,791 --> 00:07:56,866 It's a brilliant idea. 170 00:07:56,960 --> 00:08:00,386 Well, it's-it's not a done deal. There's-there's only one seat 171 00:08:00,481 --> 00:08:03,039 -open on the board. -Oh, they'll pick you. 172 00:08:03,132 --> 00:08:05,633 You know, if-if I get it, 173 00:08:05,652 --> 00:08:08,878 I can fight for patients' rights without 174 00:08:08,897 --> 00:08:11,138 having a patient's life in my hands. 175 00:08:12,141 --> 00:08:15,452 I hope it adds some new meaning to my career. 176 00:08:16,997 --> 00:08:18,888 Just promise me one thing. 177 00:08:18,907 --> 00:08:20,982 You won't give up on the OR just yet. 178 00:08:21,001 --> 00:08:23,418 We still need you. 179 00:08:25,397 --> 00:08:28,489 I need a full blood panel, chest X-ray and EKG. 180 00:08:28,583 --> 00:08:32,594 The EMTs said they couldn't find a vein. 181 00:08:33,588 --> 00:08:35,572 -Hundley? -Leave it to me. 182 00:08:35,665 --> 00:08:37,641 Sit up for me, Roxie. 183 00:08:39,094 --> 00:08:40,685 Can we talk? 184 00:08:40,837 --> 00:08:42,412 -Woman to woman? -Mm-hmm. 185 00:08:42,430 --> 00:08:46,173 That normal BP cuff, that is not gonna fit my arm. 186 00:08:46,193 --> 00:08:47,751 Thanks for the tip, 187 00:08:47,844 --> 00:08:49,694 but I'm one step ahead of you. 188 00:08:51,865 --> 00:08:53,256 This is a leg BP cuff. 189 00:08:53,275 --> 00:08:54,682 It'll do the trick. 190 00:08:54,701 --> 00:08:58,027 In my ER, you get what you need. 191 00:08:58,947 --> 00:09:00,446 DEVON: Sit back please. Thank you. 192 00:09:00,541 --> 00:09:02,448 -Hi. -ROXIE: Hey. 193 00:09:02,601 --> 00:09:05,860 I'm glad I listened to you and Dr. Pravesh. 194 00:09:05,879 --> 00:09:07,103 This pain is no joke. 195 00:09:07,122 --> 00:09:09,439 Keep me posted. 196 00:09:09,457 --> 00:09:11,132 Will do. 197 00:09:12,944 --> 00:09:16,203 I brought you something to eat and drink 198 00:09:16,223 --> 00:09:18,873 from our world-famous 199 00:09:18,967 --> 00:09:20,225 Chastain cafeteria. 200 00:09:20,376 --> 00:09:22,394 Let's start with the juice. 201 00:09:28,643 --> 00:09:30,217 No issues swallowing. 202 00:09:30,312 --> 00:09:31,403 And no respiratory symptoms either. 203 00:09:31,554 --> 00:09:33,463 Her lungs are clear, 204 00:09:33,523 --> 00:09:35,298 but look at this. 205 00:09:35,300 --> 00:09:36,891 We just took off her socks and... 206 00:09:36,985 --> 00:09:38,743 (monitors beeping) 207 00:09:44,659 --> 00:09:47,827 Tachy. 140. She's in pain. Let's get her some ibuprofen. 208 00:09:47,979 --> 00:09:49,504 Got it. 209 00:09:50,907 --> 00:09:54,092 Soft tissue is macerated. This could be trench foot. 210 00:09:55,320 --> 00:09:57,596 I'll elevate her feet. 211 00:09:59,266 --> 00:10:00,824 Looks like she was standing in the rain all night. 212 00:10:00,842 --> 00:10:03,993 Must've been numb from the cold. Now that we're warming her up, 213 00:10:04,012 --> 00:10:06,420 her feeling's coming back. 214 00:10:06,440 --> 00:10:10,442 Skin is already infected, and it could get worse. 215 00:10:11,612 --> 00:10:14,838 If you need to cry or yell, 216 00:10:14,931 --> 00:10:17,357 or if you want to hold my hand, 217 00:10:17,509 --> 00:10:18,858 you can do that, 218 00:10:18,952 --> 00:10:20,493 okay, honey? 219 00:10:28,870 --> 00:10:30,203 You try sitting still 220 00:10:30,297 --> 00:10:31,946 while you're crammed into a metal cage. 221 00:10:31,965 --> 00:10:34,040 I got you. 222 00:10:34,192 --> 00:10:35,875 I should've done that. I'm sorry. 223 00:10:36,027 --> 00:10:37,527 It's not your fault. 224 00:10:37,545 --> 00:10:40,029 The world's made for folks your size, not mine, 225 00:10:40,123 --> 00:10:42,215 but I see you trying. 226 00:10:42,367 --> 00:10:43,642 He's one of the good ones. 227 00:10:43,718 --> 00:10:47,203 (indistinct P.A. announcements) 228 00:10:47,222 --> 00:10:50,556 And that is one of the fine ones. 229 00:10:50,651 --> 00:10:52,558 Don't let him hear that. 230 00:10:52,711 --> 00:10:54,377 Hey. I am Dr. Austin. 231 00:10:54,396 --> 00:10:57,471 Dr. Pravesh tells me that you're having some chest pains. 232 00:10:57,491 --> 00:10:59,048 DEVON: And shortness of breath, 233 00:10:59,142 --> 00:11:01,401 with a normal EKG. 234 00:11:01,553 --> 00:11:03,644 We're just waiting on the chest X-ray. 235 00:11:03,738 --> 00:11:05,405 Reflux? 236 00:11:05,557 --> 00:11:07,165 Here we go. Heard that one a dozen times. 237 00:11:07,316 --> 00:11:10,243 Not from what I can tell. I think it's more. 238 00:11:10,412 --> 00:11:12,729 It sounds like mediastinal crepitus to me. 239 00:11:12,747 --> 00:11:15,632 It's hard to hear anything through the soft tissue. 240 00:11:18,403 --> 00:11:20,345 There are no signs of SUBQ emphysema. 241 00:11:20,496 --> 00:11:22,906 That's good, but, Pravesh, you know I can't do 242 00:11:22,924 --> 00:11:25,332 a complete consult without all the data. 243 00:11:25,427 --> 00:11:28,978 Call me when you get an X-ray, all right? 244 00:11:29,915 --> 00:11:31,356 (scoffs softly) 245 00:11:32,600 --> 00:11:35,009 He always that way? 246 00:11:35,028 --> 00:11:37,529 Well, he is a very busy surgeon. 247 00:11:37,756 --> 00:11:40,440 And there's something going on with his mother recently. 248 00:11:40,592 --> 00:11:42,608 He's just got a lot on his plate. 249 00:11:42,703 --> 00:11:45,445 -Mm-hmm. -But that is not an excuse, I know. 250 00:11:45,597 --> 00:11:48,540 Sounds like one. 251 00:11:59,110 --> 00:12:00,126 Morning. 252 00:12:00,295 --> 00:12:01,611 -Dr. Bell? -Yeah. 253 00:12:01,613 --> 00:12:03,463 The lieutenant governor needs a few minutes 254 00:12:03,557 --> 00:12:05,281 before your meeting begins. Please have a seat. 255 00:12:05,300 --> 00:12:07,726 -Thank you. -Mm-hmm. 256 00:12:11,881 --> 00:12:14,715 PORTER: Well, it's the famous Dr. Bell. 257 00:12:14,735 --> 00:12:16,234 Bob Porter. 258 00:12:16,461 --> 00:12:18,403 University Hospital, Augusta. 259 00:12:18,630 --> 00:12:20,129 I know who you are. 260 00:12:20,223 --> 00:12:21,481 -The highest billing ortho in Georgia. -Well, I'd prefer 261 00:12:21,575 --> 00:12:23,816 to be known for my outcomes, but I'll take it. 262 00:12:23,969 --> 00:12:26,152 So you must be the other name on the governor's short list 263 00:12:26,304 --> 00:12:28,154 for a seat on the medical board. 264 00:12:28,306 --> 00:12:30,081 So we are competitors. 265 00:12:30,233 --> 00:12:32,008 Honored indeed. 266 00:12:32,010 --> 00:12:33,142 Do you know Beaumont? 267 00:12:33,236 --> 00:12:34,477 No. Never met him. 268 00:12:34,496 --> 00:12:36,145 A lovely guy. He and I go way back. 269 00:12:36,164 --> 00:12:37,422 We were roommates at Dartmouth. 270 00:12:37,573 --> 00:12:39,424 Oh, okay, well, I guess the fix is in. 271 00:12:39,575 --> 00:12:41,501 No, no, no. Your reputation speaks for itself. 272 00:12:41,577 --> 00:12:43,653 Well, thank you, that's very kind, um... 273 00:12:43,671 --> 00:12:46,506 You mind if I ask you why you want a seat on the board? 274 00:12:46,600 --> 00:12:49,325 Licensing physicians, investigating 275 00:12:49,344 --> 00:12:50,602 patient complaints-- I mean, 276 00:12:50,753 --> 00:12:52,586 that can't hold a candle to running four ORs at once. 277 00:12:52,606 --> 00:12:55,756 (chuckles) Don't believe everything you hear. 278 00:12:55,850 --> 00:12:57,275 Seriously, why do you want it? 279 00:12:57,426 --> 00:12:59,852 Well, I don't know, I guess at this point in my life, 280 00:13:00,005 --> 00:13:01,112 I, uh... 281 00:13:01,264 --> 00:13:04,032 just want to give back. 282 00:13:05,343 --> 00:13:07,952 He's ready for you, Dr. Bell. 283 00:13:08,104 --> 00:13:09,862 Nice meeting you. 284 00:13:10,015 --> 00:13:12,123 -Same here. -Mm-hmm. 285 00:13:13,368 --> 00:13:14,942 PORTER: So, show me this hand of yours 286 00:13:14,961 --> 00:13:16,869 that hurts so much. 287 00:13:16,963 --> 00:13:18,354 Yeah, it's really sore. 288 00:13:18,523 --> 00:13:19,631 Is it sore 289 00:13:19,782 --> 00:13:21,357 -in your thumb? -Yeah, it's... 290 00:13:21,450 --> 00:13:23,526 Is it this, just this finger right here? 291 00:13:23,528 --> 00:13:25,786 -Mm-hmm. -Really? And you don't feel anything on this side? 292 00:13:25,806 --> 00:13:28,455 -No. Oh, yeah. -Do you feel anything in your wrist? 293 00:13:28,550 --> 00:13:29,882 -Anything in your forearm? -Of course. 294 00:13:29,976 --> 00:13:31,384 -PORTER: The elbow? -WOMAN: Mm-hmm. 295 00:13:31,478 --> 00:13:33,036 -(both chuckle) -PORTER: You're hurt everywhere. 296 00:13:33,204 --> 00:13:34,554 There's got to be a specific place... 297 00:13:34,706 --> 00:13:37,390 WINSTON: Atlanta PD doesn't have any missing child 298 00:13:37,542 --> 00:13:39,542 reports that match your Jane Doe. 299 00:13:39,561 --> 00:13:41,319 But I notified DFCS. 300 00:13:41,470 --> 00:13:43,304 And if anyone recognizes her, 301 00:13:43,398 --> 00:13:45,490 they'll let me know. Until then... 302 00:13:45,659 --> 00:13:48,934 The hospital has temporary emergency guardianship 303 00:13:48,995 --> 00:13:50,662 and you two are in charge. 304 00:13:50,813 --> 00:13:52,055 CONRAD: Thank you. 305 00:13:52,148 --> 00:13:53,573 Did she have her psych consults? 306 00:13:53,667 --> 00:13:55,391 Yes, and as we suspected, 307 00:13:55,410 --> 00:13:57,985 her silence is very likely the result of trauma. 308 00:13:58,004 --> 00:13:59,412 Whether that's from her recent injuries 309 00:13:59,506 --> 00:14:01,005 or something much worse, they don't know. 310 00:14:01,198 --> 00:14:02,507 She has a cracked rib, 311 00:14:02,658 --> 00:14:04,658 -a few suspicious bruises. -All signs point to abuse. 312 00:14:04,752 --> 00:14:06,419 Well, it's definitely a possibility, but... 313 00:14:06,495 --> 00:14:07,995 I'll keep looking for family. 314 00:14:08,164 --> 00:14:10,073 Let me know if there's anything else I can do 315 00:14:10,166 --> 00:14:12,091 to protect her. 316 00:14:12,243 --> 00:14:15,411 (indistinct P.A. announcements) 317 00:14:15,430 --> 00:14:17,430 Hey, I know you have a daughter. 318 00:14:17,524 --> 00:14:20,083 So if this case is hitting too close to home for you... 319 00:14:20,101 --> 00:14:21,918 Yeah, it hits close to home. 320 00:14:22,011 --> 00:14:23,194 But... 321 00:14:23,346 --> 00:14:26,030 there's nowhere else I'd rather be. 322 00:14:29,094 --> 00:14:32,328 She's choosing not to speak to feel safe. 323 00:14:33,448 --> 00:14:36,332 I'm seeing a lot of that recently. 324 00:14:42,365 --> 00:14:43,715 Mm. 325 00:14:43,866 --> 00:14:45,049 My savior. 326 00:14:45,201 --> 00:14:46,700 My last doctor 327 00:14:46,720 --> 00:14:48,778 used to make me bring my own hospital gown 328 00:14:48,796 --> 00:14:51,464 to her office. Sewed it myself. 329 00:14:51,616 --> 00:14:53,449 Denim and rhinestones. 330 00:14:53,468 --> 00:14:55,059 Well, that sounds fly as hell. 331 00:14:55,211 --> 00:14:56,636 Where can I get one? 332 00:14:56,788 --> 00:14:59,063 If y'all make me feel better, 333 00:14:59,215 --> 00:15:00,881 I'll sew one for you, too. 334 00:15:00,901 --> 00:15:02,141 -Deal. -(moans) 335 00:15:02,235 --> 00:15:03,809 Can we get her close-up 336 00:15:03,962 --> 00:15:05,886 over with so she can sit back down? 337 00:15:05,980 --> 00:15:08,531 This will take just a minute, Roxie. 338 00:15:13,062 --> 00:15:15,747 Um... Dr. Pravesh? 339 00:15:15,898 --> 00:15:17,640 The picture probably won't be very clear 340 00:15:17,733 --> 00:15:19,642 because of... her size. 341 00:15:19,661 --> 00:15:20,826 DEVON: The lungs are the same size 342 00:15:20,979 --> 00:15:22,420 even when the patient is very large. 343 00:15:22,647 --> 00:15:24,313 Yeah, but the body mass 344 00:15:24,407 --> 00:15:26,165 around the lungs can mess up the image. 345 00:15:26,259 --> 00:15:27,500 A CT might be better... 346 00:15:27,652 --> 00:15:29,243 except the machine has a weight limit. 347 00:15:29,262 --> 00:15:31,170 The CT delivers 200 times 348 00:15:31,264 --> 00:15:33,097 more radiation than a chest X-ray. 349 00:15:33,324 --> 00:15:35,099 -Mm-hmm. -I'm the doctor. 350 00:15:35,326 --> 00:15:37,160 I ordered a chest X-ray. 351 00:15:37,178 --> 00:15:39,520 So please make that happen. 352 00:15:45,779 --> 00:15:47,594 How are we doing? 353 00:15:47,722 --> 00:15:49,614 Her heart rate is normal. 354 00:15:49,765 --> 00:15:52,341 And she just got her first dose of antibiotics. 355 00:15:52,360 --> 00:15:54,010 Okay. 356 00:15:54,028 --> 00:15:56,770 CONRAD: So... 357 00:15:56,790 --> 00:15:58,998 this is my house. 358 00:16:01,869 --> 00:16:04,087 Can you draw yours? 359 00:16:13,715 --> 00:16:16,099 Do you live in a car, honey? 360 00:16:22,983 --> 00:16:26,133 This line... 361 00:16:26,227 --> 00:16:28,302 tells us how your foot 362 00:16:28,321 --> 00:16:29,895 is doing. 363 00:16:30,048 --> 00:16:31,397 If the medicine is working, 364 00:16:31,491 --> 00:16:35,410 the infection won't spread outside the line. 365 00:16:38,314 --> 00:16:40,623 You need another color marker over there? 366 00:16:45,672 --> 00:16:47,747 Trade colors with me. 367 00:16:47,915 --> 00:16:51,083 He is so good with kids ever since he had one of his own. 368 00:16:51,236 --> 00:16:52,902 Well, I'm still struggling 369 00:16:53,071 --> 00:16:55,238 to find a way to make her trust me. 370 00:16:55,331 --> 00:16:56,997 She bonded with him instantly. 371 00:16:57,017 --> 00:16:58,332 Don't feel bad. 372 00:16:58,426 --> 00:17:00,576 -You never had a chance. -Yeah, no, I get that. 373 00:17:00,745 --> 00:17:03,521 The guy's like a picnic basket filled with cupcakes 374 00:17:03,748 --> 00:17:06,065 and ponies and sunbeams. 375 00:17:09,937 --> 00:17:11,678 Anyway, I reviewed your patient's chart. 376 00:17:11,698 --> 00:17:14,106 If she were unable to talk due to damage to her brain, 377 00:17:14,200 --> 00:17:16,942 she'd be making sounds or struggling to be understood. 378 00:17:17,095 --> 00:17:18,611 Which isn't the case. 379 00:17:18,705 --> 00:17:20,521 So you're good with us holding off on a head CT? 380 00:17:20,615 --> 00:17:22,265 Completely. 381 00:17:22,358 --> 00:17:23,282 She's been through enough. 382 00:17:23,434 --> 00:17:25,785 Clearly. The question is what? 383 00:17:25,937 --> 00:17:28,529 She's guarding some kind of secret. 384 00:17:28,548 --> 00:17:31,758 But we need the truth to help her. 385 00:17:41,452 --> 00:17:43,119 Now do you see any evidence of pneumothorax 386 00:17:43,121 --> 00:17:44,545 or pneumomediastinum? 387 00:17:44,639 --> 00:17:47,290 -Because I'm thinking that maybe right here... -No. 388 00:17:47,308 --> 00:17:48,808 Okay. 389 00:17:48,960 --> 00:17:50,626 But given her symptoms, we have to... 390 00:17:50,719 --> 00:17:52,553 You know how to read an X-ray, Pravesh. 391 00:17:52,647 --> 00:17:55,965 This one is not giving us any actionable information. 392 00:17:55,983 --> 00:17:59,410 With her body habitus, we can't even comment on the lung field, 393 00:17:59,562 --> 00:18:01,245 let alone make out a subtle finding. 394 00:18:01,414 --> 00:18:03,472 AJ? 395 00:18:03,474 --> 00:18:05,825 -You are being dismissive. -No. 396 00:18:05,919 --> 00:18:07,734 I'm being real. There are complications 397 00:18:07,829 --> 00:18:09,478 when carrying around that kind of weight. 398 00:18:09,480 --> 00:18:11,738 Believe me when I tell you that she is painfully aware 399 00:18:11,833 --> 00:18:13,758 of that fact, and it's part of the reason 400 00:18:13,909 --> 00:18:16,577 -why she hasn't gotten treated. -So stop dancing around the issue 401 00:18:16,671 --> 00:18:18,596 and explain to your patient that her size 402 00:18:18,747 --> 00:18:20,673 is preventing you from reaching a diagnosis. 403 00:18:20,825 --> 00:18:23,601 She does not need me to tell her that she is obese. 404 00:18:23,752 --> 00:18:24,827 Why not? 405 00:18:24,920 --> 00:18:27,438 It's a medical condition, like any other. 406 00:18:30,668 --> 00:18:33,185 Who do you think does more harm, Pravesh? 407 00:18:33,338 --> 00:18:35,171 The doctor who names the disease 408 00:18:35,264 --> 00:18:37,281 or the doctor who won't even utter it? 409 00:18:38,843 --> 00:18:42,495 Get a better picture of what's going on inside Ms. Cabot. 410 00:18:51,981 --> 00:18:53,614 (monitor beeping) 411 00:18:53,633 --> 00:18:55,541 -What happened? -Her heart rate shot up. 412 00:18:55,693 --> 00:18:57,284 She's febrile to 102. 413 00:18:57,362 --> 00:18:59,303 Her white blood cell count is up to 25,000. 414 00:18:59,455 --> 00:19:02,047 The cellulitis is advancing outside the margins, 415 00:19:02,200 --> 00:19:03,141 -despite antibiotics. -(wincing) 416 00:19:03,292 --> 00:19:05,476 Pain out of proportion. 417 00:19:05,628 --> 00:19:09,480 You're worried about necrotizing fasciitis? 418 00:19:12,343 --> 00:19:14,443 We need a surgical consult. 419 00:19:15,730 --> 00:19:18,406 She might be headed to the OR. 420 00:19:20,401 --> 00:19:22,902 We are talking about a highly lethal infection. 421 00:19:23,054 --> 00:19:24,553 Which we're not certain she has. 422 00:19:24,614 --> 00:19:27,481 The CT shows no evidence of gas in the tissue. 423 00:19:27,500 --> 00:19:29,483 But a CT scan can miss the diagnosis. 424 00:19:29,577 --> 00:19:31,060 And if this is necrotizing fasciitis, 425 00:19:31,078 --> 00:19:32,152 we can't afford to wait. 426 00:19:32,246 --> 00:19:34,413 She could lose her leg. Or worse. 427 00:19:34,565 --> 00:19:36,323 WINSTON: None of us want that, but we have 428 00:19:36,342 --> 00:19:38,083 to consider what recovery from surgery 429 00:19:38,236 --> 00:19:39,493 will look like for this patient. 430 00:19:39,512 --> 00:19:42,513 Limited mobility or amputation would be 431 00:19:42,665 --> 00:19:44,256 a massive hurdle for a kid 432 00:19:44,350 --> 00:19:46,517 whose basic needs aren't being met. 433 00:19:46,744 --> 00:19:48,686 You're asking me to open up a little girl's leg 434 00:19:48,913 --> 00:19:50,079 based on a hunch. 435 00:19:50,097 --> 00:19:51,747 Yes, her leg is still red. 436 00:19:51,766 --> 00:19:55,175 But the swelling is minimal, no evidence of blistering. 437 00:19:55,195 --> 00:19:57,361 I would have a hard time justifying this kind 438 00:19:57,513 --> 00:19:59,755 of exploration even on a fully consenting adult. 439 00:19:59,774 --> 00:20:03,092 We have no medical record for our little Jane Doe, so 440 00:20:03,185 --> 00:20:05,444 if we're wrong and she suffers any complications, 441 00:20:05,538 --> 00:20:08,372 then it's not just surgery without consent. 442 00:20:08,524 --> 00:20:10,766 It's criminal assault on a minor. 443 00:20:10,785 --> 00:20:12,952 What happened to our emergency guardianship? 444 00:20:13,104 --> 00:20:14,378 WINSTON: It allows Chastain to do 445 00:20:14,530 --> 00:20:16,214 anything necessary to save her life. 446 00:20:16,290 --> 00:20:18,274 Can you tell yourself with certainty 447 00:20:18,292 --> 00:20:21,344 that this falls into those parameters? 448 00:20:23,464 --> 00:20:26,115 Right now, my suspicion for necrotizing fasciitis 449 00:20:26,133 --> 00:20:28,434 is just a suspicion. 450 00:20:29,729 --> 00:20:31,637 I agree. The infection doesn't 451 00:20:31,789 --> 00:20:34,290 constitute an immediate life-or-death threat. 452 00:20:34,459 --> 00:20:36,809 But waiting is dangerous, too. 453 00:20:36,903 --> 00:20:39,144 Things could change fast. 454 00:20:39,981 --> 00:20:42,222 Get her admitted to the pediatric floor. 455 00:20:42,242 --> 00:20:44,467 We'll monitor her leg like a hawk. 456 00:20:44,485 --> 00:20:47,561 If she worsens, if she becomes hemodynamically 457 00:20:47,655 --> 00:20:49,972 unstable, if the wind blows the wrong way, 458 00:20:50,065 --> 00:20:51,640 I'll take her to the OR. 459 00:20:51,734 --> 00:20:55,461 Regardless of the consequences. 460 00:20:57,999 --> 00:21:00,091 Hey, Billie. 461 00:21:02,320 --> 00:21:04,262 I-I have a favor to ask. 462 00:21:04,413 --> 00:21:07,080 Well, if it's about jumping in on these two hernia repairs 463 00:21:07,100 --> 00:21:08,674 or the bowel obstruction, then yes. 464 00:21:08,768 --> 00:21:11,936 -A thousand times yes. -No, I need a letter of recommendation 465 00:21:12,087 --> 00:21:13,920 for the Georgia State Medical Board. 466 00:21:13,940 --> 00:21:15,756 Oh, well... 467 00:21:15,833 --> 00:21:17,424 Georgia could certainly use more doctors 468 00:21:17,443 --> 00:21:19,018 willing to fight for patient safety. 469 00:21:19,170 --> 00:21:21,186 I'm competing for the spot with another doctor. 470 00:21:21,339 --> 00:21:23,096 And he's-he's connected, he's a star 471 00:21:23,190 --> 00:21:24,949 at his hospital in Augusta... 472 00:21:25,100 --> 00:21:27,484 -top earner. -And you want to outshine him? 473 00:21:27,637 --> 00:21:29,194 Yeah, it's not gonna be easy. He's, uh, 474 00:21:29,347 --> 00:21:30,362 he's a powerful guy, he's very slick. 475 00:21:30,515 --> 00:21:33,182 I just need to stack the deck 476 00:21:33,275 --> 00:21:35,034 -as much as I can. -Who is he? 477 00:21:35,128 --> 00:21:36,627 Robert Porter. 478 00:21:39,023 --> 00:21:41,023 Oh, you know him? Yeah, well, of course. 479 00:21:41,042 --> 00:21:44,760 Well, maybe. There are probably a lot of doctors with that name. 480 00:21:45,863 --> 00:21:47,430 This is him. 481 00:21:50,034 --> 00:21:53,385 You'll have your recommendation on your desk by end of day. 482 00:21:53,538 --> 00:21:56,105 Okay, thank you. 483 00:21:59,544 --> 00:22:01,610 (panting) 484 00:22:23,843 --> 00:22:25,734 That is an esophageal perforation. 485 00:22:25,753 --> 00:22:29,329 Roxie, what that means is fluid is leaking out of 486 00:22:29,349 --> 00:22:30,997 your esophagus into your chest cavity, 487 00:22:31,092 --> 00:22:33,759 which is why you're in pain. 488 00:22:33,853 --> 00:22:35,186 Can you repair it? 489 00:22:35,413 --> 00:22:37,671 Well, the perf is a tough surgery on anyone. 490 00:22:37,765 --> 00:22:39,915 It's even more complex if I'm operating on someone 491 00:22:39,934 --> 00:22:42,935 -with a BMI of 50. -Wow. Do you talk that insensitively 492 00:22:43,029 --> 00:22:44,587 about all your patients? 493 00:22:44,680 --> 00:22:46,939 Or just the ones whose body type you don't approve of? 494 00:22:47,108 --> 00:22:48,424 Forgive Dr. Austin. 495 00:22:48,426 --> 00:22:50,534 -What he means to say... -He meant to insult me! 496 00:22:50,761 --> 00:22:53,095 Maybe I don't need surgery. 497 00:22:53,188 --> 00:22:55,781 Maybe he can't handle me because I have too much 498 00:22:55,933 --> 00:22:59,268 -"soft tissue." -My job is to assess the entire patient. 499 00:22:59,270 --> 00:23:01,879 And make sure you are aware of the risks. 500 00:23:02,030 --> 00:23:03,606 I'm guessing you're 30, 31? 501 00:23:03,624 --> 00:23:06,275 I'm flattered, but no, I have a few more years under my belt. 502 00:23:06,293 --> 00:23:08,052 I'm not asking your age. 503 00:23:08,279 --> 00:23:10,112 I'm talking your BMI. 504 00:23:10,131 --> 00:23:12,114 I'd put you at... 32? 505 00:23:12,133 --> 00:23:14,450 Anything over 29 makes you obese. 506 00:23:14,468 --> 00:23:16,877 -Which is why I work out. -So do I! 507 00:23:16,896 --> 00:23:18,804 Six miles on a bike every other day 508 00:23:18,898 --> 00:23:20,231 and yoga in between. 509 00:23:20,458 --> 00:23:23,359 I'm a person, Dr. Austin. 510 00:23:24,795 --> 00:23:26,812 And you're an arrogant jerk. 511 00:23:26,964 --> 00:23:28,239 True. 512 00:23:28,466 --> 00:23:29,857 But I'm also the most straightforward doctor 513 00:23:29,967 --> 00:23:33,077 you will meet in this hospital. I heal with my hands. 514 00:23:33,228 --> 00:23:35,487 Not my oratory skills. Now, when 515 00:23:35,581 --> 00:23:38,416 I look at you, Ms. Cabot, I see a woman who is very strong 516 00:23:38,643 --> 00:23:41,043 who can handle some straight talk. 517 00:23:42,997 --> 00:23:44,404 So... 518 00:23:44,573 --> 00:23:47,341 are you ready to talk about the vomiting? 519 00:23:50,655 --> 00:23:53,097 Roxie, I found enamel erosion and staining in your mouth 520 00:23:53,324 --> 00:23:55,174 when I did the exam. 521 00:23:55,326 --> 00:23:58,494 Classic signs of... bulimia. 522 00:23:58,587 --> 00:24:01,605 Which caused the damage in your esophagus. 523 00:24:01,757 --> 00:24:03,441 The surgery will be a waste if we don't get 524 00:24:03,668 --> 00:24:06,569 to the root cause of all the problems. 525 00:24:10,891 --> 00:24:13,284 I've dieted all my life. 526 00:24:13,435 --> 00:24:17,288 And no one believes how hard I try. 527 00:24:17,515 --> 00:24:19,698 I try... 528 00:24:19,867 --> 00:24:21,850 (sniffles) 529 00:24:21,869 --> 00:24:25,037 Somewhere along the line I just... 530 00:24:25,189 --> 00:24:28,424 I got desperate, I... 531 00:24:31,545 --> 00:24:33,596 There is nothing to be ashamed of. 532 00:24:34,699 --> 00:24:37,475 Obesity is a complex disease 533 00:24:37,660 --> 00:24:39,034 with a myriad of factors. 534 00:24:39,127 --> 00:24:42,721 But purging after every meal is not the answer. 535 00:24:42,873 --> 00:24:44,723 AJ. 536 00:24:44,800 --> 00:24:46,800 No... 537 00:24:46,819 --> 00:24:48,727 it's okay. 538 00:24:48,879 --> 00:24:51,396 I'm actually beginning to appreciate his candor. 539 00:24:51,549 --> 00:24:53,382 Well, thank you. 540 00:24:53,400 --> 00:24:55,642 And I appreciate yours, Ms. Cabot. 541 00:24:55,736 --> 00:24:59,580 I've never had a doctor talk to me the way you two have. 542 00:25:01,334 --> 00:25:05,127 They either ignore me or write me off. 543 00:25:06,506 --> 00:25:09,632 I gave up thinking anyone could help me. 544 00:25:11,068 --> 00:25:13,736 We can help you. 545 00:25:13,754 --> 00:25:15,179 All right? 546 00:25:15,406 --> 00:25:18,015 Dr. Austin is gonna repair the perforation. 547 00:25:18,166 --> 00:25:19,350 And we are gonna come up 548 00:25:19,501 --> 00:25:21,760 with a plan for treating the rest. 549 00:25:21,912 --> 00:25:24,063 Deal? 550 00:25:26,692 --> 00:25:28,609 Deal. 551 00:25:30,679 --> 00:25:32,512 Hey, my shift is over. 552 00:25:32,606 --> 00:25:34,273 But I couldn't leave without finding out 553 00:25:34,349 --> 00:25:36,016 how our little Jane Doe is doing. 554 00:25:36,110 --> 00:25:38,702 I have to show you something. 555 00:25:38,929 --> 00:25:41,497 Hey. 556 00:25:42,542 --> 00:25:45,376 Dr. Cade would like to see that burn. 557 00:25:45,527 --> 00:25:47,461 Is that okay? 558 00:25:53,944 --> 00:25:55,869 It's a Lichtenberg figure. 559 00:25:55,963 --> 00:25:57,613 From a lightning strike. 560 00:25:57,631 --> 00:26:00,391 Lightning could explain the posterior shoulder dislocation. 561 00:26:00,618 --> 00:26:02,893 And maybe help us figure out where she came from. 562 00:26:03,788 --> 00:26:06,021 Let me check my weather app. 563 00:26:07,141 --> 00:26:08,807 Three lightning strikes 564 00:26:08,901 --> 00:26:11,384 touched down here, here and here. 565 00:26:11,462 --> 00:26:13,904 This is sort of near where she was found-- it's near 566 00:26:14,073 --> 00:26:15,906 Black Shoals Park area. 567 00:26:16,058 --> 00:26:18,058 I've biked out there. 568 00:26:18,077 --> 00:26:20,652 It's a tough area for a kid. 569 00:26:20,805 --> 00:26:22,913 Lots of homeless encampments. 570 00:26:23,065 --> 00:26:25,324 She couldn't have been all the way out there on her own. 571 00:26:25,476 --> 00:26:28,234 Maybe whoever she was with is still out there? 572 00:26:28,254 --> 00:26:30,479 -I'll go find out. -No, that's a bad idea. 573 00:26:30,572 --> 00:26:34,240 -We don't know what you'd be walking into. -I can handle myself. 574 00:26:34,260 --> 00:26:35,667 And you have to stay with her and if this 575 00:26:35,820 --> 00:26:37,319 gets worse, you got to get Kit to authorize surgery. 576 00:26:37,338 --> 00:26:39,504 You can't go out there alone. 577 00:26:39,599 --> 00:26:41,724 You stay. Let me go. 578 00:26:47,940 --> 00:26:50,524 I'm glad to have a way I can help. 579 00:26:59,619 --> 00:27:02,161 What can I do for you, Dr. Sutton? 580 00:27:04,773 --> 00:27:06,682 (sighs) This is hard. 581 00:27:06,700 --> 00:27:09,868 I don't want to involve you, but I have no choice. 582 00:27:09,962 --> 00:27:13,446 I need to talk to the state medical board. 583 00:27:13,540 --> 00:27:15,374 And why is that? 584 00:27:15,526 --> 00:27:18,135 Dr. Bell asked me to write him a recommendation for it. 585 00:27:18,362 --> 00:27:20,120 He told me Robert Porter 586 00:27:20,288 --> 00:27:22,122 is angling for a seat on the board. 587 00:27:22,216 --> 00:27:25,701 Robert Porter, the orthopedic surgeon in Augusta? 588 00:27:25,719 --> 00:27:27,478 He has to be stopped. 589 00:27:27,629 --> 00:27:29,605 He's a pedophile. 590 00:27:30,983 --> 00:27:33,233 How do you know that? 591 00:27:34,302 --> 00:27:37,613 He raped me when I was 13 years old. 592 00:27:38,565 --> 00:27:40,532 Oh, Billie. 593 00:27:41,568 --> 00:27:44,052 I am so sorry. 594 00:27:44,071 --> 00:27:45,070 It was a long time ago. 595 00:27:45,222 --> 00:27:46,830 I survived. 596 00:27:47,057 --> 00:27:49,074 My feelings aren't what matters right now. 597 00:27:49,168 --> 00:27:52,026 What matters is there's no way in hell 598 00:27:52,028 --> 00:27:53,170 Porter should be allowed to judge 599 00:27:53,397 --> 00:27:54,730 the moral failings of other doctors. 600 00:27:54,732 --> 00:27:57,675 You want to go before the board and tell them? 601 00:27:57,826 --> 00:27:59,993 Yes. I want to make a statement. 602 00:28:00,012 --> 00:28:02,587 Porter will deny it, of course. 603 00:28:02,740 --> 00:28:05,432 Do you have any proof? 604 00:28:06,835 --> 00:28:08,852 It's complicated. 605 00:28:09,079 --> 00:28:12,439 There's another person involved that I can't bring into this. 606 00:28:13,751 --> 00:28:16,101 It will have to be Porter's word against mine. 607 00:28:16,253 --> 00:28:19,345 You know women who come forward 608 00:28:19,365 --> 00:28:22,348 with abuse allegations are often attacked. 609 00:28:22,426 --> 00:28:23,867 I know. 610 00:28:24,094 --> 00:28:26,428 But I have to try. 611 00:28:26,597 --> 00:28:29,765 Let me talk to the lieutenant governor 612 00:28:29,783 --> 00:28:32,692 and tell him you have crucial information. 613 00:28:32,712 --> 00:28:37,047 Perhaps we can keep them from releasing your name. 614 00:28:37,199 --> 00:28:40,509 But I can't guarantee it. 615 00:28:42,796 --> 00:28:44,346 Thank you. 616 00:28:48,786 --> 00:28:51,520 -(indistinct P.A. announcements) -Dr. Hawkins? 617 00:28:56,051 --> 00:28:57,234 How's she doing? 618 00:28:57,461 --> 00:28:59,219 Her infection is worsening. 619 00:28:59,238 --> 00:29:00,645 I suspect it's bacteremic. 620 00:29:00,740 --> 00:29:03,407 We are gonna have to operate without family consent. 621 00:29:03,634 --> 00:29:04,967 Well, I have something you should see. 622 00:29:05,060 --> 00:29:07,319 I may have found a family member, though it's 623 00:29:07,471 --> 00:29:08,987 not the kind any of us hoped to find. 624 00:29:09,064 --> 00:29:12,708 He has a record of domestic violence. 625 00:29:14,420 --> 00:29:16,478 Cade went to find the girl's family 626 00:29:16,571 --> 00:29:18,255 -out at Black Shoals Park. -Oh, no. 627 00:29:18,482 --> 00:29:20,424 AUTOMATED VOICE: Your call has been forwarded to an automated 628 00:29:20,575 --> 00:29:22,575 -voice message system. -What's going on? 629 00:29:22,595 --> 00:29:24,244 Winston, call the police. We need to get them 630 00:29:24,263 --> 00:29:26,430 to Cade's location. 631 00:29:33,847 --> 00:29:36,064 ♪ ♪ 632 00:29:46,844 --> 00:29:48,994 ♪ ♪ 633 00:30:08,365 --> 00:30:10,432 ♪ ♪ 634 00:30:17,299 --> 00:30:20,575 CONRAD: The cellulitis is expanding beyond even the most recent 635 00:30:20,577 --> 00:30:22,561 marker, her blood pressure's borderline. 636 00:30:22,655 --> 00:30:24,137 It's more swollen than before. 637 00:30:24,214 --> 00:30:26,139 -And these blisters are new. -We can't wait any longer. 638 00:30:26,158 --> 00:30:30,244 -I don't know that we'll get parental consent. -It's life or death now. 639 00:30:31,238 --> 00:30:33,221 Then Chastain will take the risk. 640 00:30:33,240 --> 00:30:36,041 Let's prep her for surgery. 641 00:30:37,652 --> 00:30:40,395 AUTOMATED VOICE: Your call has been forwarded to an automated 642 00:30:40,564 --> 00:30:41,746 voice message... 643 00:30:41,899 --> 00:30:44,007 ♪ ♪ 644 00:31:07,758 --> 00:31:11,410 (indistinct chatter) 645 00:31:14,932 --> 00:31:16,707 Uh... 646 00:31:16,858 --> 00:31:18,524 I'm sorry. 647 00:31:18,619 --> 00:31:20,544 I... It's okay. 648 00:31:20,695 --> 00:31:23,121 Do you have a few dollars? 649 00:31:23,273 --> 00:31:25,457 I'm really hungry. 650 00:31:25,551 --> 00:31:27,593 Of course. 651 00:31:30,372 --> 00:31:32,614 Maybe you can help me. 652 00:31:32,633 --> 00:31:33,891 I'm looking for a family. 653 00:31:34,084 --> 00:31:35,800 They're possibly living in their car. 654 00:31:35,895 --> 00:31:38,620 -Have you seen any...? -Can you help me?! 655 00:31:38,639 --> 00:31:40,789 Are you okay? 656 00:31:40,807 --> 00:31:43,975 M-My car, it was struck by lightning. I-I'm hurt. 657 00:31:44,128 --> 00:31:45,977 That's Ana. 658 00:31:46,130 --> 00:31:48,480 Do you have a sister around eight years old? 659 00:31:48,632 --> 00:31:50,056 She has dark hair. 660 00:31:50,075 --> 00:31:52,150 That's Scout! That's Scout! 661 00:31:52,302 --> 00:31:54,077 She disappeared a few days ago. 662 00:31:54,304 --> 00:31:56,229 -Please... -She's at the hospital. 663 00:31:56,398 --> 00:31:59,625 Let's get you there, too. Okay? 664 00:32:02,996 --> 00:32:04,496 KIT: These blisters are developing rapidly. 665 00:32:04,572 --> 00:32:06,406 LEELA: It means the infection is moving fast. 666 00:32:06,425 --> 00:32:08,316 KIT: Then we need to move faster. 667 00:32:08,335 --> 00:32:11,470 LEELA: Making the initial incision now. 668 00:32:12,914 --> 00:32:14,598 -(air hisses) -(Leela gasps softly) 669 00:32:14,749 --> 00:32:17,351 (exhales) 670 00:32:33,360 --> 00:32:35,860 KIT: Let's start the debridement. 671 00:32:35,955 --> 00:32:37,362 We're looking for healthy tissue. 672 00:32:37,514 --> 00:32:39,014 LEELA: How deep do we need to go? 673 00:32:39,032 --> 00:32:40,606 KIT: Until we find some. 674 00:32:40,701 --> 00:32:42,584 LEELA: Forceps to me. 675 00:32:46,690 --> 00:32:47,872 KIT: Better get equipment 676 00:32:47,967 --> 00:32:50,192 for a below-the-knee amputation just in case. 677 00:32:50,210 --> 00:32:51,543 LEELA: Amputation? 678 00:32:51,695 --> 00:32:52,970 She's just a child. 679 00:32:53,197 --> 00:32:56,139 KIT: It's a precaution. We have to be ready. 680 00:33:05,542 --> 00:33:07,818 (Ana grunts) 681 00:33:07,969 --> 00:33:10,378 Been calling you nonstop. 682 00:33:10,472 --> 00:33:12,155 -Why didn't you pick up? -This is Ana, 683 00:33:12,307 --> 00:33:14,232 our minor's older sister. 684 00:33:14,326 --> 00:33:15,993 She's hypothermic with a wrist fracture. 685 00:33:16,144 --> 00:33:17,385 Where's Scout? 686 00:33:17,404 --> 00:33:19,645 -She's in surgery. -What? 687 00:33:20,407 --> 00:33:22,574 Let's just focus on you right now, okay? 688 00:33:22,668 --> 00:33:25,585 Clara? Page Winston. 689 00:33:29,750 --> 00:33:32,083 (monitor beeping steadily) 690 00:33:32,236 --> 00:33:34,660 LEELA: I've got clean margins, 691 00:33:34,755 --> 00:33:39,074 but the infection is close to the anterior tibial artery. 692 00:33:39,092 --> 00:33:40,408 KIT: If we compromise that, 693 00:33:40,427 --> 00:33:43,145 we risk seeding the infection further. 694 00:33:44,248 --> 00:33:45,930 LEELA: We'd have to amputate. 695 00:33:46,083 --> 00:33:48,025 So let's not. 696 00:33:49,603 --> 00:33:51,677 ("Whatever You Say" by Juneau Lake playing) 697 00:33:51,697 --> 00:33:53,513 ♪ I never knew your love... ♪ 698 00:33:53,532 --> 00:33:55,924 Let's lose the tray. I want step stools 699 00:33:55,942 --> 00:33:58,760 on both sides of the bed. How many sides? 700 00:33:58,779 --> 00:34:00,686 -NURSES: Both sides. -AUSTIN: Thank you very much. 701 00:34:00,781 --> 00:34:03,523 ♪ Now you know just how far we're apart... ♪ 702 00:34:03,600 --> 00:34:07,044 DEVON: Roxie, welcome to your OR. 703 00:34:07,195 --> 00:34:11,214 ♪ Whatever you say, whatever you do ♪ 704 00:34:11,366 --> 00:34:14,051 ♪ As long as you keep me... ♪ 705 00:34:14,278 --> 00:34:15,552 Warm blankets. 706 00:34:15,779 --> 00:34:18,780 -Am I flying business class? -(Austin chuckles) 707 00:34:18,949 --> 00:34:21,283 Now we're gonna transfer you to the bed, Ms. Cabot. 708 00:34:21,301 --> 00:34:24,061 All you need to do is lay back and relax. 709 00:34:24,137 --> 00:34:26,563 ♪ To you... ♪ 710 00:34:32,071 --> 00:34:33,795 ROXIE: Dr. Austin, you keep talking to me 711 00:34:33,888 --> 00:34:35,221 with that Barry White baritone, 712 00:34:35,315 --> 00:34:37,657 I'll relax right into a puddle. 713 00:34:40,061 --> 00:34:42,120 Where's Haircut? 714 00:34:43,565 --> 00:34:45,565 DEVON: I'm right here with you, Roxie. 715 00:34:45,659 --> 00:34:49,160 I thought we said no nicknames in front of Dr. Austin. 716 00:34:49,254 --> 00:34:51,237 AUSTIN: Oh, too late. I heard it. 717 00:34:51,256 --> 00:34:52,405 I'm committing it to memory, 718 00:34:52,499 --> 00:34:54,791 and I'll be using it from here on out. 719 00:34:54,943 --> 00:34:56,718 He stays. 720 00:34:57,654 --> 00:34:58,578 AUSTIN: Okay. 721 00:34:58,672 --> 00:35:00,488 Change of plans, people. 722 00:35:00,507 --> 00:35:03,100 Dr. Haircut will be observing us today 723 00:35:03,327 --> 00:35:06,010 very much the way a music stand 724 00:35:06,163 --> 00:35:08,163 observes the first chair violin. 725 00:35:08,181 --> 00:35:10,348 Silent and invisible. 726 00:35:11,259 --> 00:35:12,609 DEVON: It's time to rest now. 727 00:35:12,760 --> 00:35:18,532 ♪ As long as you keep me right next to you. ♪ 728 00:35:21,120 --> 00:35:24,512 Winston, how's the surgery going? 729 00:35:24,531 --> 00:35:26,514 Not my area, but it's still touch and go. 730 00:35:26,533 --> 00:35:28,642 Please, I-I really just need to see my sister. 731 00:35:28,644 --> 00:35:31,277 We will take you to her as soon as we can. 732 00:35:31,296 --> 00:35:35,023 Scout wouldn't speak or tell us her name. 733 00:35:35,041 --> 00:35:37,709 She hasn't talked since our mom disappeared. 734 00:35:37,878 --> 00:35:40,971 Can you start from the beginning? 735 00:35:41,198 --> 00:35:43,047 We're from Memphis. 736 00:35:43,200 --> 00:35:46,434 Father said our mom ran off. 737 00:35:47,629 --> 00:35:50,038 I don't believe it. 738 00:35:50,131 --> 00:35:52,691 She wouldn't. 739 00:35:53,560 --> 00:35:55,043 He beat her. 740 00:35:55,061 --> 00:35:57,154 And me. 741 00:35:58,064 --> 00:35:59,381 And when he hit Scout, 742 00:35:59,399 --> 00:36:01,641 I stole the car, and we ran away. 743 00:36:01,735 --> 00:36:05,144 We were living in the car when that storm came, 744 00:36:05,238 --> 00:36:08,314 and, uh, the lightning hit, 745 00:36:08,333 --> 00:36:11,334 and I don't remember anything after that. 746 00:36:11,561 --> 00:36:13,561 When I came to, 747 00:36:13,580 --> 00:36:15,672 Scout was gone. 748 00:36:18,177 --> 00:36:21,178 WINSTON: I'm your social worker, 749 00:36:21,254 --> 00:36:25,015 and I will figure out how best to take care of you. 750 00:36:25,166 --> 00:36:26,183 Please, you... 751 00:36:26,334 --> 00:36:28,185 You won't call our father, will you? 752 00:36:28,412 --> 00:36:30,428 No, you won't be returned to an abusive home. 753 00:36:30,522 --> 00:36:32,731 That's certain. 754 00:36:43,760 --> 00:36:45,452 ♪ ♪ 755 00:36:51,601 --> 00:36:53,618 Hey. I'm here. 756 00:36:54,379 --> 00:36:57,105 We're safe. (chuckles softly) 757 00:36:57,123 --> 00:36:59,365 Everything's gonna be okay. 758 00:36:59,384 --> 00:37:00,942 Ana. 759 00:37:01,035 --> 00:37:02,794 Hey. 760 00:37:02,946 --> 00:37:04,054 She speaks. 761 00:37:04,205 --> 00:37:06,114 (kisses, chuckles) 762 00:37:06,132 --> 00:37:07,949 (Scout chuckles) 763 00:37:08,042 --> 00:37:10,143 She does, indeed. 764 00:37:14,399 --> 00:37:16,316 They saved you. 765 00:37:17,477 --> 00:37:18,884 Thank you. 766 00:37:18,979 --> 00:37:20,553 You are very welcome. 767 00:37:20,572 --> 00:37:23,465 Your leg will heal. You'll have quite the scar, 768 00:37:23,558 --> 00:37:25,575 but otherwise, you'll be just fine. 769 00:37:26,894 --> 00:37:28,411 One more thing. 770 00:37:28,563 --> 00:37:31,665 My daughter said I could give this to you. 771 00:37:55,832 --> 00:37:58,149 (indistinct P.A. announcements) 772 00:37:58,944 --> 00:38:00,335 (laughs) 773 00:38:00,428 --> 00:38:01,761 DEVON: So, I think 774 00:38:01,780 --> 00:38:03,855 they complete my drip rather well, don't you think? 775 00:38:03,949 --> 00:38:05,431 (both chuckle) 776 00:38:05,450 --> 00:38:08,285 This is officially the hardest I've ever had to work 777 00:38:08,512 --> 00:38:10,345 for a sale. 778 00:38:10,363 --> 00:38:11,771 Ms. Cabot, 779 00:38:11,865 --> 00:38:15,016 just want you to know that your surgery went flawlessly. 780 00:38:15,109 --> 00:38:16,868 I expect a full recovery very soon. 781 00:38:16,962 --> 00:38:21,381 However, there is one important open question. 782 00:38:25,304 --> 00:38:27,787 -(Roxie chuckles) -Do these come in 13? 783 00:38:27,806 --> 00:38:31,883 You two sure know how to make a girl feel special. 784 00:38:32,035 --> 00:38:34,477 I made a referral for you for Dr. Frank. 785 00:38:34,629 --> 00:38:37,480 She's an obesity specialist. I know her personally. 786 00:38:37,632 --> 00:38:39,799 She creates individualized plans for her patients 787 00:38:39,818 --> 00:38:42,635 that include genetics, environmental factors 788 00:38:42,729 --> 00:38:44,212 and even metabolic function. 789 00:38:44,305 --> 00:38:46,881 And she can get you into a treatment program 790 00:38:46,900 --> 00:38:48,066 for the bulimia. 791 00:38:48,160 --> 00:38:50,994 It's a combination of therapy and SSRIs. 792 00:38:51,145 --> 00:38:52,829 So no more judgment. 793 00:38:52,998 --> 00:38:55,147 No more one-size-fits-all medicine. 794 00:38:55,283 --> 00:38:57,667 You know, I do love my couture. 795 00:38:57,894 --> 00:39:00,395 (all chuckle) 796 00:39:00,397 --> 00:39:03,247 Being caught in a storm nearly killed those two girls. 797 00:39:03,400 --> 00:39:04,916 But running away may have saved their lives. 798 00:39:05,068 --> 00:39:07,251 These are the kind of choices no kid should have to make. 799 00:39:07,346 --> 00:39:09,161 -They needed help. -Well, 800 00:39:09,255 --> 00:39:11,589 their access to social services may have been limited. 801 00:39:11,741 --> 00:39:15,060 Chances are they would've been returned to their father. 802 00:39:16,763 --> 00:39:19,097 Tell me they won't be separated. 803 00:39:19,249 --> 00:39:20,523 I will bend heaven and earth 804 00:39:20,750 --> 00:39:22,007 to make sure that doesn't happen. 805 00:39:22,060 --> 00:39:24,110 CONRAD: Thank you, Winston. 806 00:39:27,532 --> 00:39:30,141 This case got personal for you, didn't it? 807 00:39:30,293 --> 00:39:32,017 Got personal for all of us. 808 00:39:32,153 --> 00:39:33,519 A child not willing to open up 809 00:39:33,538 --> 00:39:35,205 even to those who wanted to help her. 810 00:39:35,432 --> 00:39:37,448 -A child on the run... -Okay, full disclosure, 811 00:39:37,601 --> 00:39:39,525 I'm beginning to enjoy your company. 812 00:39:39,544 --> 00:39:40,952 We work well together. 813 00:39:41,104 --> 00:39:42,437 But I do not enjoy being psychoanalyzed. 814 00:39:42,455 --> 00:39:45,048 -Psychoanalyzed? Really? -Just no third degree. 815 00:39:45,199 --> 00:39:46,608 Offering you my umbrella? 816 00:39:46,626 --> 00:39:48,218 Did that feel like the third degree to you? 817 00:39:48,445 --> 00:39:49,944 I'm not a minor in your ER. 818 00:39:49,963 --> 00:39:51,388 I'm an adult who can make her own decisions. 819 00:39:51,615 --> 00:39:54,391 And I'm your colleague. I helped you get this job. 820 00:39:56,119 --> 00:39:58,436 Are you in trouble? 821 00:39:59,731 --> 00:40:01,106 No. 822 00:40:02,234 --> 00:40:04,142 I'm fully in control of my past, present 823 00:40:04,294 --> 00:40:06,051 and, to some extent, my future. 824 00:40:06,071 --> 00:40:09,030 -(elevator dings) -If I need help, I will ask. 825 00:40:10,742 --> 00:40:12,242 But will you? 826 00:40:12,393 --> 00:40:15,995 I'll see you around, Hawkins. 827 00:40:17,490 --> 00:40:21,284 So, what should we do on our day off? 828 00:40:21,436 --> 00:40:23,586 We can go have lunch in Roswell. 829 00:40:23,738 --> 00:40:27,072 -Or we can go for massages. -(chuckles) Dev. 830 00:40:27,092 --> 00:40:29,742 Well, we could quit our jobs 831 00:40:29,836 --> 00:40:33,078 and go live in the Maldives before they sink. 832 00:40:33,098 --> 00:40:35,840 -(chuckles) -(groans) 833 00:40:35,917 --> 00:40:38,768 -My schedule changed. -(exhales) 834 00:40:38,920 --> 00:40:40,678 I have to do a valve replacement with AJ, 835 00:40:40,830 --> 00:40:42,922 and then Billie and I have a schwannoma resection 836 00:40:42,941 --> 00:40:44,441 later tonight. 837 00:40:44,592 --> 00:40:46,592 Don't be angry. 838 00:40:46,611 --> 00:40:48,427 (Devon exhales) 839 00:40:48,447 --> 00:40:50,838 I'm not angry. 840 00:40:50,857 --> 00:40:52,857 I'm worried, though. 841 00:40:53,026 --> 00:40:54,433 Do Billie and AJ know 842 00:40:54,453 --> 00:40:56,119 that you want to be double board-certified 843 00:40:56,346 --> 00:40:57,770 in the hardest field of medicine, 844 00:40:57,864 --> 00:41:00,364 neuro and cardiothoracic surgery? 845 00:41:00,517 --> 00:41:02,016 Yes. 846 00:41:02,035 --> 00:41:04,627 I've mentioned that I want to do this. 847 00:41:04,854 --> 00:41:06,871 And did they think you can do it? 848 00:41:07,023 --> 00:41:08,965 No. 849 00:41:09,116 --> 00:41:11,876 They didn't take me seriously. 850 00:41:12,028 --> 00:41:13,194 Are you serious? 851 00:41:13,287 --> 00:41:16,139 Have you thought it through? 852 00:41:17,033 --> 00:41:19,392 There's a reason why no one else has done it. 853 00:41:20,294 --> 00:41:21,703 Can you please just support me? 854 00:41:21,796 --> 00:41:24,205 I support you in every dream you want to chase 855 00:41:24,298 --> 00:41:26,724 as long as it's not impossible. 856 00:41:26,851 --> 00:41:29,134 Leela, 857 00:41:29,229 --> 00:41:32,396 this is literally impossible. 858 00:41:33,158 --> 00:41:36,551 Even for the most talented surgical resident in the world, 859 00:41:36,569 --> 00:41:39,237 and I'm ready to say that that is you. 860 00:41:39,389 --> 00:41:41,647 ♪ When the change comes ♪ 861 00:41:41,666 --> 00:41:44,575 ♪ Darlin', it might hurt you some... ♪ 862 00:41:44,669 --> 00:41:48,487 Did I tell you how sexy it is that you stood up to Dr. Austin 863 00:41:48,581 --> 00:41:50,155 and lived to tell it? 864 00:41:50,250 --> 00:41:52,250 It was a conversation. 865 00:41:52,344 --> 00:41:54,010 I didn't wrestle him to the ground. 866 00:41:54,161 --> 00:41:56,179 Don't shortchange yourself. 867 00:41:56,330 --> 00:41:59,590 You advocated for your patient. 868 00:41:59,684 --> 00:42:02,668 I find that incredibly sexy. 869 00:42:02,762 --> 00:42:04,687 -Oh, yeah? -Mm-hmm. 870 00:42:05,524 --> 00:42:07,774 ♪ Mm. ♪ 871 00:42:11,271 --> 00:42:14,105 Okay, uh, why don't you pencil him in for 3:00, then. 872 00:42:14,199 --> 00:42:16,107 I have good news. 873 00:42:16,259 --> 00:42:17,516 I could use some. 874 00:42:17,610 --> 00:42:20,352 I extracted a promise from the lieutenant governor 875 00:42:20,446 --> 00:42:22,872 to assure your anonymity. 876 00:42:23,099 --> 00:42:26,042 You can testify to him and the whole board. 877 00:42:26,119 --> 00:42:28,027 (exhales) When? 878 00:42:28,046 --> 00:42:30,195 Today. 2:00 p.m. 879 00:42:31,032 --> 00:42:33,550 I cleared your schedule. No sense delaying. 880 00:42:33,701 --> 00:42:37,536 (exhales) I've been private about this for so long. 881 00:42:37,630 --> 00:42:39,639 Are you sure you're ready? 882 00:42:40,950 --> 00:42:42,617 You should know there's still danger. 883 00:42:42,619 --> 00:42:45,636 Porter is powerful within the medical community, 884 00:42:45,789 --> 00:42:48,547 and Randolph told me he and the lieutenant governor 885 00:42:48,567 --> 00:42:50,567 were in the same fraternity in college. 886 00:42:50,794 --> 00:42:52,235 (exhales) So this is a boat 887 00:42:52,386 --> 00:42:54,629 -that could spring a hundred leaks. -Yes. 888 00:42:54,722 --> 00:42:55,980 But he also told me 889 00:42:56,074 --> 00:42:58,482 there are other ethics complaints against Porter. 890 00:42:58,635 --> 00:43:00,076 After your testimony, 891 00:43:00,227 --> 00:43:01,744 they may take those seriously. 892 00:43:01,896 --> 00:43:03,821 I hope so. 893 00:43:03,973 --> 00:43:05,540 It's still risky. 894 00:43:06,476 --> 00:43:08,418 I know. 895 00:43:09,087 --> 00:43:10,812 And you're determined? 896 00:43:10,905 --> 00:43:13,006 I am. 897 00:43:18,930 --> 00:43:22,081 Captioning sponsored by 20th CENTURY FOX TELEVISION 898 00:43:22,175 --> 00:43:24,750 and TOYOTA. 899 00:43:24,769 --> 00:43:28,563 Captioned by Media Access Group at WGBH access.wgbh.org