1
00:00:01,393 --> 00:00:03,560
-Previously on The Resident...
-I think we should
2
00:00:03,562 --> 00:00:06,897
dig into Dr. Bosley's
patient outcomes and...
3
00:00:06,899 --> 00:00:09,082
give Ms. Benesch a fair hearing.
4
00:00:09,084 --> 00:00:10,825
Let's just simmer down.
5
00:00:10,827 --> 00:00:12,368
Just watch
6
00:00:12,370 --> 00:00:13,920
and learn how we operate.
7
00:00:13,922 --> 00:00:16,015
I-I think I'm getting a pretty
good sense of how you operate.
8
00:00:16,017 --> 00:00:18,258
Are you looking
for a financial settlement?
9
00:00:18,260 --> 00:00:20,185
No. I'm looking
for accountability.
10
00:00:20,187 --> 00:00:22,670
I did not have to end up
like this.
11
00:00:22,672 --> 00:00:25,432
I don't want future patients
of Dr. Bosley to, either.
12
00:00:25,434 --> 00:00:27,584
I want the board
to do something.
13
00:00:27,586 --> 00:00:30,195
-Will they?
-Honestly, probably not.
14
00:00:30,197 --> 00:00:33,240
But I will do something.
15
00:00:34,035 --> 00:00:36,410
(grunting)
16
00:00:44,286 --> 00:00:45,769
So what's happening
in the world?
17
00:00:45,771 --> 00:00:47,437
-I'm not reading the news.
-(grunting)
18
00:00:47,439 --> 00:00:49,214
I'm watching a video
of a bulldog
19
00:00:49,216 --> 00:00:51,458
failing to eat its kibble.
20
00:00:51,460 --> 00:00:52,943
Okay.
21
00:00:52,945 --> 00:00:54,386
Slow news day.
22
00:00:55,222 --> 00:00:56,613
What's going on with your leg?
23
00:00:56,615 --> 00:00:58,724
Oh, I guess it slept in.
24
00:00:58,726 --> 00:00:59,892
(groans)
25
00:00:59,894 --> 00:01:01,543
Could be an MS flare-up.
26
00:01:01,545 --> 00:01:03,729
I'll email Dr. Greer,
see if she can fit you in today.
27
00:01:03,731 --> 00:01:05,380
Yeah, well, early is better.
28
00:01:05,382 --> 00:01:07,124
I have a 10:00 with Abernathy,
29
00:01:07,126 --> 00:01:08,383
the head of the medical board,
30
00:01:08,385 --> 00:01:10,310
'cause I found more complaints
against Bosley,
31
00:01:10,312 --> 00:01:12,796
the neurosurgeon
who paralyzed Emily Benesch.
32
00:01:12,798 --> 00:01:15,299
Do you think you have enough
to convince the board
33
00:01:15,301 --> 00:01:17,859
to look into Bosley now?
34
00:01:17,861 --> 00:01:20,153
I'm not gonna give 'em
any choice.
35
00:01:20,155 --> 00:01:24,825
You know,
this whole moral crusader thing
36
00:01:24,827 --> 00:01:26,476
looks good on you.
37
00:01:26,478 --> 00:01:27,477
It's very...
38
00:01:27,479 --> 00:01:28,995
super hero-y.
39
00:01:28,997 --> 00:01:30,480
You should see me in spandex.
40
00:01:30,482 --> 00:01:32,508
-Well, that's ruined it.
(chuckles)
-(chuckles)
41
00:01:34,578 --> 00:01:35,928
(indistinct chatter)
42
00:01:35,930 --> 00:01:37,321
Can I help you?
43
00:01:37,323 --> 00:01:38,764
You look familiar,
but I can't place you.
44
00:01:38,766 --> 00:01:40,991
Are you gonna harass me
every time I have an ER shift?
45
00:01:40,993 --> 00:01:43,844
-Yes.
-You know, please look
into your abandonment issues.
46
00:01:43,846 --> 00:01:46,012
You know my father left me
at Yankee Stadium and got home
47
00:01:46,014 --> 00:01:48,348
with my brother before
he realized I was missing.
48
00:01:48,350 --> 00:01:50,792
I'm sorry I triggered you,
Irving.
49
00:01:50,794 --> 00:01:52,093
You don't care. Where's Leela?
50
00:01:52,095 --> 00:01:53,779
Sister day with Padma.
51
00:01:53,781 --> 00:01:55,355
Bonding over the gifting
of eggs.
52
00:01:55,357 --> 00:01:56,949
Level-1 trauma coming in!
53
00:01:56,951 --> 00:01:59,042
Bay 11's ready.
54
00:01:59,845 --> 00:02:01,453
Eliza Brockton.
32-year-old female.
55
00:02:01,455 --> 00:02:03,530
Status post-fall from her
sixth-floor apartment building.
56
00:02:03,532 --> 00:02:06,016
BP 120/68, tachy to 100,
57
00:02:06,018 --> 00:02:07,292
satting at 98%.
58
00:02:08,445 --> 00:02:10,295
Trauma survey.
59
00:02:11,281 --> 00:02:13,966
Pupils equal and reactive.
60
00:02:13,968 --> 00:02:15,450
DEVON:
Airway's intact.
61
00:02:15,452 --> 00:02:18,211
-Good breath sounds bilaterally.
-HUNDLEY: Pulse strong.
62
00:02:18,213 --> 00:02:20,547
Vitals stable. I'll get labs.
63
00:02:20,549 --> 00:02:23,367
I'll do a FAST exam
and put in for a chest X-ray.
64
00:02:23,369 --> 00:02:24,626
Eliza,
65
00:02:24,628 --> 00:02:27,387
how did you fall
from your apartment building?
66
00:02:27,389 --> 00:02:28,555
I-I was, um...
67
00:02:28,557 --> 00:02:30,816
I was hanging
a-an orchid on my balcony,
68
00:02:30,818 --> 00:02:34,987
and I-I reached too far over the
railing and I just... (sighs)
69
00:02:34,989 --> 00:02:36,488
lost my balance.
70
00:02:36,490 --> 00:02:39,491
Thank God the entry awning
broke my fall.
71
00:02:39,493 --> 00:02:41,551
Well, we're gonna get
that chest X-ray
72
00:02:41,553 --> 00:02:44,145
and CT scan
to check for head trauma.
73
00:02:44,147 --> 00:02:45,389
We'll be back, okay?
74
00:02:45,391 --> 00:02:48,125
-Uh, okay.
-All right, hang tight.
75
00:02:50,896 --> 00:02:53,730
You want to get her records
and I'll arrange the CT?
76
00:02:53,732 --> 00:02:54,965
Yeah.
77
00:02:57,736 --> 00:02:59,595
(typing)
78
00:03:01,164 --> 00:03:02,330
What is it?
79
00:03:02,332 --> 00:03:04,165
Eliza's attempted suicide
three times
80
00:03:04,167 --> 00:03:05,726
in the past six years.
81
00:03:07,262 --> 00:03:09,763
Let's get a psych consult
down here.
82
00:03:09,765 --> 00:03:12,265
(dialing)
83
00:03:12,267 --> 00:03:13,609
Eliza.
84
00:03:17,923 --> 00:03:18,697
Hundley.
85
00:03:18,699 --> 00:03:19,940
My patient eloped from 11.
86
00:03:19,942 --> 00:03:21,107
Call the code.
87
00:03:21,109 --> 00:03:22,034
Excuse me.
88
00:03:22,945 --> 00:03:25,762
HUNDLEY:
Attention, staff. Code Green.
89
00:03:25,764 --> 00:03:28,932
32-year-old Caucasian female.
90
00:03:28,934 --> 00:03:31,501
Dark hair, blue eyes.
Code Green.
91
00:03:35,031 --> 00:03:36,773
Eliza!
92
00:03:36,775 --> 00:03:39,134
♪
93
00:03:46,376 --> 00:03:47,893
Eliza!
94
00:03:47,895 --> 00:03:49,377
Wait!
95
00:03:49,379 --> 00:03:52,606
♪
96
00:03:58,464 --> 00:04:00,447
Eliza!
97
00:04:06,914 --> 00:04:08,730
(horn honks)
98
00:04:08,732 --> 00:04:11,041
♪
99
00:04:28,160 --> 00:04:29,843
You all right?
100
00:04:29,845 --> 00:04:30,936
I'm fine.
101
00:04:30,938 --> 00:04:32,253
Eliza's stable.
102
00:04:32,255 --> 00:04:34,164
Scans were negative.
BP was borderline,
103
00:04:34,166 --> 00:04:35,107
so we placed an A-line.
104
00:04:35,109 --> 00:04:36,608
And Psych is en route.
105
00:04:36,610 --> 00:04:39,927
That was a very brave thing
you did, Dr. Pravesh.
106
00:04:39,929 --> 00:04:41,113
(chuckles)
107
00:04:41,115 --> 00:04:42,447
I'm just glad
we got to her in time.
108
00:04:42,449 --> 00:04:43,991
Mm-hmm.
109
00:04:48,789 --> 00:04:50,539
We're good.
110
00:04:53,368 --> 00:04:54,501
So...
111
00:04:57,189 --> 00:04:59,113
I guess the truth is out.
112
00:04:59,115 --> 00:05:00,690
I don't want this anymore.
113
00:05:00,692 --> 00:05:04,285
And I wish you would just mind
your own business and let me go.
114
00:05:04,287 --> 00:05:07,097
-You know we can't do that.
-(sighs)
115
00:05:11,478 --> 00:05:13,537
This is Dr. Malco.
116
00:05:14,297 --> 00:05:16,982
She's from
the psychiatry department.
117
00:05:16,984 --> 00:05:18,817
Hi, Eliza.
118
00:05:18,819 --> 00:05:20,544
I'm guessing
you know the drill here.
119
00:05:20,546 --> 00:05:22,029
I'm gonna ask you
a few questions.
120
00:05:22,823 --> 00:05:24,397
You have my file.
121
00:05:24,399 --> 00:05:26,399
So you could just read
my old answers.
122
00:05:26,401 --> 00:05:29,745
My new answers are all the same.
123
00:05:30,814 --> 00:05:32,164
I'm out of words.
124
00:05:33,149 --> 00:05:36,242
I imagine that must be
very difficult for a writer.
125
00:05:36,244 --> 00:05:37,627
To be out of words.
126
00:05:38,730 --> 00:05:41,064
I'm out of everything.
127
00:05:41,066 --> 00:05:42,899
I want you to know,
128
00:05:42,901 --> 00:05:46,678
both of your books have informed
the way I treat depression.
129
00:05:46,680 --> 00:05:49,014
I'd like to return the favor.
130
00:05:49,666 --> 00:05:51,058
Do you have a gun?
131
00:05:53,095 --> 00:05:56,063
We're gonna keep you
on a 36-hour hold.
132
00:06:04,031 --> 00:06:05,530
Dear merciful Father,
133
00:06:05,532 --> 00:06:08,592
we ask for Your blessings
on Daisy.
134
00:06:08,594 --> 00:06:09,868
She needs You.
135
00:06:09,870 --> 00:06:14,764
We're asking that You grant her
the patience to...
136
00:06:14,766 --> 00:06:17,191
help her with her affliction
137
00:06:17,193 --> 00:06:19,527
and the freedom from her pain.
138
00:06:19,529 --> 00:06:23,289
And lead her out
the shadow of the valley
139
00:06:23,291 --> 00:06:27,052
so that we can heal her body
and spirit.
140
00:06:27,054 --> 00:06:28,795
(chuckles softly)
141
00:06:29,781 --> 00:06:32,057
Now let's go get you
a damn kidney, huh? (chuckles)
142
00:06:32,059 --> 00:06:33,800
(chuckling)
143
00:06:33,802 --> 00:06:36,144
-Amen.
-Amen.
144
00:06:41,460 --> 00:06:44,294
-Ah... (grunts)
-(laughs)
145
00:06:44,296 --> 00:06:46,963
Aaron, it is good to see you.
146
00:06:46,965 --> 00:06:48,465
Yeah, it's been a minute.
147
00:06:48,467 --> 00:06:51,317
You know we've had our
own conversations about pain.
148
00:06:51,319 --> 00:06:52,302
Mm.
149
00:06:52,304 --> 00:06:54,304
How are you and Gigi holding up?
150
00:06:54,306 --> 00:06:56,063
Yeah, really well.
151
00:06:56,065 --> 00:06:58,250
Gigi's definitely
my greatest achievement so far.
152
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You got that right.
153
00:07:00,254 --> 00:07:01,311
Yeah.
154
00:07:01,313 --> 00:07:03,588
Speaking
of our past conversations,
155
00:07:03,590 --> 00:07:05,982
the last few days, I've...
156
00:07:05,984 --> 00:07:07,333
been...
(exhales)
157
00:07:07,335 --> 00:07:09,928
back in the fresh grief
of Nic's passing,
158
00:07:09,930 --> 00:07:12,413
I-I guess. I don't...
159
00:07:12,415 --> 00:07:14,916
Uh, I don't know
what set it off.
160
00:07:14,918 --> 00:07:17,936
Ah, well, if it isn't Pastor
Aaron, my favorite clergyman.
161
00:07:17,938 --> 00:07:20,922
AJ, my big bad Buddhist, you.
162
00:07:20,924 --> 00:07:22,590
-Hey.
-How are you?
163
00:07:22,592 --> 00:07:23,758
How's your mother?
164
00:07:23,760 --> 00:07:27,170
She is as well as she can be.
165
00:07:27,172 --> 00:07:29,172
The cancer is progressing.
166
00:07:29,174 --> 00:07:31,432
I'm sorry to hear that.
167
00:07:31,434 --> 00:07:33,452
I-I'll definitely have
to go see her.
168
00:07:33,454 --> 00:07:36,362
Well, you see, her palliative
care is top-tier, right?
169
00:07:36,364 --> 00:07:39,291
But she's gonna need
to transition
170
00:07:39,293 --> 00:07:41,201
to hospice sooner
rather than later,
171
00:07:41,203 --> 00:07:43,353
and she is not keen on the idea.
172
00:07:43,355 --> 00:07:45,297
So I was thinking
maybe you can help me
173
00:07:45,299 --> 00:07:47,874
have that conversation with her
when it's time.
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I'll be happy to.
175
00:07:48,969 --> 00:07:50,210
Appreciate it, man.
176
00:07:50,212 --> 00:07:54,455
I have a favor of my own
to ask you two.
177
00:07:54,457 --> 00:07:56,700
Yeah. Anything.
178
00:07:56,702 --> 00:08:00,645
Recently, I had a heart stent
placed a few months back.
179
00:08:00,647 --> 00:08:03,540
A fit young dude like you?
180
00:08:03,542 --> 00:08:05,317
They found some blockage.
Now, the doctor told me
181
00:08:05,319 --> 00:08:06,651
that I should be feeling better,
182
00:08:06,653 --> 00:08:09,229
but I've been having
a lot of chest pain lately.
183
00:08:09,231 --> 00:08:12,991
Ah, say no more. AJ and I will
take a look at you in the ER.
184
00:08:12,993 --> 00:08:14,493
Better safe than sorry.
185
00:08:14,495 --> 00:08:16,077
AUSTIN:
Let's go now.
186
00:08:17,981 --> 00:08:19,480
Head scans are good.
187
00:08:19,482 --> 00:08:21,057
-Nothing to worry about.
-Great.
188
00:08:21,059 --> 00:08:22,742
But the leg issue is
a little MS flare-up.
189
00:08:22,744 --> 00:08:24,819
No biggie. This will happen
from time to time.
190
00:08:24,821 --> 00:08:26,505
Well, I'm glad we checked, then.
191
00:08:26,507 --> 00:08:28,155
We'll put you on a short course
of steroids
192
00:08:28,157 --> 00:08:29,323
that should improve
your symptoms.
193
00:08:29,325 --> 00:08:30,900
In the meantime,
take the pressure
194
00:08:30,902 --> 00:08:32,736
-off your leg with this.
-BELL: Oh.
195
00:08:32,738 --> 00:08:35,830
(chuckles) No. That is...
uh, won't be necessary.
196
00:08:35,832 --> 00:08:37,665
GREER:
It's only for a few days.
197
00:08:37,667 --> 00:08:40,076
The last thing we want
is for you to stumble
198
00:08:40,078 --> 00:08:41,578
-and hit your head.
-Randolph,
199
00:08:41,580 --> 00:08:43,429
-take the cane.
-BELL: No, it's...
200
00:08:43,431 --> 00:08:45,673
(stammers) It starts
with a cane, and then it goes
201
00:08:45,675 --> 00:08:47,433
to adult diapers and a chairlift
to get up the stairs.
202
00:08:47,435 --> 00:08:50,177
It's a concession to the
disease, and I won't make it.
203
00:08:50,179 --> 00:08:52,030
Good Lord, Randolph.
Typical man.
204
00:08:52,032 --> 00:08:54,424
You can dress it as bravery,
but it's just vanity.
205
00:08:54,426 --> 00:08:57,427
Okay. Uh,
I'd love to stick around
206
00:08:57,429 --> 00:08:59,095
and talk about canes and men,
207
00:08:59,097 --> 00:09:01,598
but... I have
an important meeting to get to.
208
00:09:01,600 --> 00:09:02,999
So, Meghan, thank you.
209
00:09:07,363 --> 00:09:09,005
(sighs)
210
00:09:10,275 --> 00:09:11,716
I remember
211
00:09:11,718 --> 00:09:15,795
being at a birthday party when
I was four or five years old.
212
00:09:15,797 --> 00:09:17,705
And...
213
00:09:17,707 --> 00:09:20,708
the birthday girl
shrieked with joy
214
00:09:20,710 --> 00:09:24,971
when she unwrapped a doll
from her parents.
215
00:09:24,973 --> 00:09:27,473
For the first time,
I became distinctly aware
216
00:09:27,475 --> 00:09:32,478
that it was something
that I had never... felt.
217
00:09:33,315 --> 00:09:34,631
Is there anything
in your daily life
218
00:09:34,633 --> 00:09:37,284
that brings relief
from the pain and dread?
219
00:09:38,895 --> 00:09:41,413
Periodically, when I'm writing.
220
00:09:41,415 --> 00:09:44,398
Are there any moments
in your past where you...
221
00:09:44,400 --> 00:09:46,710
can recall feeling happy?
222
00:09:48,755 --> 00:09:50,371
This morning.
223
00:09:51,166 --> 00:09:52,924
When I felt the wind on my face
224
00:09:52,926 --> 00:09:57,012
as I fell to what
should have been my death.
225
00:09:59,324 --> 00:10:03,417
My reservoir of hope...
226
00:10:03,419 --> 00:10:05,478
is empty.
227
00:10:10,927 --> 00:10:13,153
(exhales)
228
00:10:19,786 --> 00:10:23,437
Eliza has what we call
treatment-resistant depression.
229
00:10:23,439 --> 00:10:26,124
Cognitive behavioral therapy,
antidepressants,
230
00:10:26,126 --> 00:10:28,460
and ECT have all
been ineffective.
231
00:10:28,462 --> 00:10:30,277
So, what do we do?
232
00:10:30,279 --> 00:10:32,021
We just keep her here
233
00:10:32,023 --> 00:10:33,781
for 34 hours and then just
234
00:10:33,783 --> 00:10:36,359
-let her walk out?
-We don't have a lot of options.
235
00:10:36,361 --> 00:10:39,137
Sad to say, I have no beds free
on the unit.
236
00:10:39,139 --> 00:10:41,306
Don't patients with
237
00:10:41,308 --> 00:10:43,383
treatment-resistant depression
238
00:10:43,385 --> 00:10:45,960
qualify for off-label
deep brain stimulation?
239
00:10:45,962 --> 00:10:47,461
I've read
240
00:10:47,463 --> 00:10:49,296
some clinical trials on it,
241
00:10:49,298 --> 00:10:51,316
and I know Dr. Sutton
has used it on patients
242
00:10:51,318 --> 00:10:53,652
with Parkinson's and even OCD.
243
00:10:53,654 --> 00:10:55,211
They do,
244
00:10:55,213 --> 00:10:57,155
but there's no guarantee
it works.
245
00:10:58,566 --> 00:11:00,233
Well, in one trial,
246
00:11:00,235 --> 00:11:03,578
50% of patients saw some relief
from their symptoms.
247
00:11:06,333 --> 00:11:10,418
Do you think Eliza
would consider the procedure?
248
00:11:12,005 --> 00:11:15,064
All Eliza wants is to exit life.
249
00:11:15,066 --> 00:11:17,175
It'll be challenging
250
00:11:17,177 --> 00:11:19,569
to get her to agree
to any treatment,
251
00:11:19,571 --> 00:11:21,495
much less one that requires
holes drilled in her skull
252
00:11:21,497 --> 00:11:23,998
and electrodes placed
in her brain.
253
00:11:24,000 --> 00:11:26,426
Well, if we do nothing, there
is no doubt that she will try
254
00:11:26,428 --> 00:11:29,245
-to kill herself again.
-No doubt.
255
00:11:29,247 --> 00:11:30,504
I'll talk to Dr. Sutton.
256
00:11:30,506 --> 00:11:33,191
See if she can discuss
the procedure with Eliza.
257
00:11:42,018 --> 00:11:43,535
Dr. Sullivan didn't come in?
258
00:11:43,537 --> 00:11:44,761
She took the day off.
259
00:11:44,763 --> 00:11:45,945
We got Pravesh back instead.
260
00:11:45,947 --> 00:11:47,931
Who?
261
00:11:47,933 --> 00:11:49,432
(chuckles)
262
00:11:49,434 --> 00:11:52,285
Good thing we looked into
your chest pain. You have EKG
263
00:11:52,287 --> 00:11:55,547
changes and labs consistent
with an NSTEMI.
264
00:11:55,549 --> 00:11:57,364
It's a minor heart attack.
265
00:11:57,366 --> 00:11:59,533
AARON:
What? A minor heart attack?
266
00:11:59,535 --> 00:12:01,611
-How is that possible?
-AUSTIN: Take it easy, Aaron.
267
00:12:01,613 --> 00:12:03,871
All right, we're on it.
We got you.
268
00:12:03,873 --> 00:12:05,465
Taking good care
of yourself, right?
269
00:12:05,467 --> 00:12:07,467
-Yes.
-AUSTIN: All right, well,
270
00:12:07,469 --> 00:12:09,561
explain to us how you ended up
with a cardiac stent.
271
00:12:09,563 --> 00:12:13,398
Well, this cardiac clinic came
to the church leaving flyers.
272
00:12:13,400 --> 00:12:15,400
They were offering
heart screenings
273
00:12:15,402 --> 00:12:17,460
with no out-of-pocket
with Medicaid.
274
00:12:17,462 --> 00:12:21,055
And, uh, now, my congregation
275
00:12:21,057 --> 00:12:22,389
relies on outreach, so
276
00:12:22,391 --> 00:12:24,484
I wanted to set an example
to the flock, so I went.
277
00:12:24,486 --> 00:12:27,394
And what did the screening
turn up?
278
00:12:27,396 --> 00:12:30,323
Cardiologist said that my...
279
00:12:30,325 --> 00:12:32,658
my labs and my tests were...
280
00:12:32,660 --> 00:12:33,918
"borderline" was the word,
281
00:12:33,920 --> 00:12:36,629
and that I needed a cath ASAP.
282
00:12:39,150 --> 00:12:41,334
Were you feeling any chest pain?
283
00:12:41,336 --> 00:12:43,410
No. No.
284
00:12:43,412 --> 00:12:45,597
He said that the cath
was very important
285
00:12:45,599 --> 00:12:48,415
to screen for heart disease.
Silent killer.
286
00:12:48,417 --> 00:12:52,687
Okay, but why did
they stent you?
287
00:12:55,091 --> 00:12:57,424
Well, during the procedure,
288
00:12:57,426 --> 00:13:00,186
my heart was beating
out of my chest.
289
00:13:00,188 --> 00:13:02,096
And the pain,
290
00:13:02,098 --> 00:13:04,340
I mean, it's very severe, but
291
00:13:04,342 --> 00:13:07,193
once they put in the stent,
I had relief.
292
00:13:07,195 --> 00:13:09,120
You know, I'm a little
achy and tired
293
00:13:09,122 --> 00:13:10,363
here and there,
but for the most part,
294
00:13:10,365 --> 00:13:12,940
-I'm-I'm thankful.
-(phone ringing)
295
00:13:13,868 --> 00:13:16,702
Chest pain usually comes
before cardiac
296
00:13:16,704 --> 00:13:18,797
catheterization, not after.
297
00:13:18,799 --> 00:13:20,189
Excuse me, I need to take this.
298
00:13:20,191 --> 00:13:22,467
I hate to do this
to you, brother,
299
00:13:22,469 --> 00:13:25,970
but we need to get you
in our cath lab right away.
300
00:13:25,972 --> 00:13:29,715
And I promise you, you won't
feel any pain with these hands.
301
00:13:29,717 --> 00:13:31,518
All right?
302
00:13:33,462 --> 00:13:35,462
We got you, man.
303
00:13:35,464 --> 00:13:37,798
Hey, Billie.
304
00:13:37,800 --> 00:13:39,542
-You got a sec?
-What's up?
305
00:13:39,544 --> 00:13:41,394
So, I have a young woman
in the ER,
306
00:13:41,396 --> 00:13:42,879
she's banged up pretty bad
307
00:13:42,881 --> 00:13:44,564
from two failed
suicide attempts today.
308
00:13:44,566 --> 00:13:47,733
Yeah, I heard Superman
flew in and saved her.
309
00:13:47,735 --> 00:13:51,329
Her name is Eliza Brockton.
She's very smart, wily.
310
00:13:51,331 --> 00:13:54,057
She's a memoirist
who wrote two best sellers
311
00:13:54,059 --> 00:13:55,224
about depression.
312
00:13:55,226 --> 00:13:56,984
Sure, yeah, I read
the first one,
313
00:13:56,986 --> 00:13:58,394
The Lure of the Void.
314
00:13:58,396 --> 00:14:00,246
Right.
315
00:14:00,248 --> 00:14:02,732
So, I think she's
a good candidate for DBS.
316
00:14:02,734 --> 00:14:06,511
Well, DBS is still experimental
for depression.
317
00:14:06,513 --> 00:14:07,920
Does she meet
the inclusion criteria?
318
00:14:07,922 --> 00:14:09,163
Yes.
319
00:14:09,165 --> 00:14:12,091
No improvement
from CBT, SSRIs, or ECT.
320
00:14:12,093 --> 00:14:13,259
-(phone buzzes)
-Okay.
321
00:14:13,261 --> 00:14:14,501
-I'll talk to her.
-Thanks.
322
00:14:15,597 --> 00:14:17,747
It's Trevor. I've been trying
to reach him for weeks.
323
00:14:17,749 --> 00:14:22,026
Take it. No, take it, and
let him know that we miss him.
324
00:14:23,605 --> 00:14:26,105
Trevor, I'm so glad
you finally called.
325
00:14:26,107 --> 00:14:28,591
-Are you okay?
-Uh, yeah, yeah.
326
00:14:28,593 --> 00:14:30,426
I'm sorry it took so long
to get back to you. Just...
327
00:14:30,428 --> 00:14:33,538
-dealing with a lot of stuff.
-Of course.
328
00:14:33,540 --> 00:14:35,264
I can only imagine
a horrible revelation like...
329
00:14:35,266 --> 00:14:36,708
Yeah. We don't have to, um...
330
00:14:38,194 --> 00:14:40,211
Look, there's some...
there's some stuff
331
00:14:40,213 --> 00:14:42,380
I want to tell you in person.
332
00:14:42,382 --> 00:14:45,441
Okay. Sure.
333
00:14:45,443 --> 00:14:47,886
Just know, I've been
worried about you.
334
00:14:47,888 --> 00:14:49,295
All of us here have.
335
00:14:49,297 --> 00:14:50,722
And I'm not sure
if you're aware of this,
336
00:14:50,724 --> 00:14:53,616
but you're in danger
of losing your residency.
337
00:14:53,618 --> 00:14:56,043
Yeah, I know.
338
00:14:56,045 --> 00:14:59,063
Uh, look, can we meet up
tomorrow? I'll fill you in.
339
00:15:00,066 --> 00:15:01,715
Yeah, sure. That works.
340
00:15:01,717 --> 00:15:03,651
Cool. Thanks, Billie.
341
00:15:05,630 --> 00:15:06,738
(phone beeps)
342
00:15:09,317 --> 00:15:11,134
Phones in your locker
while you're at the warehouse.
343
00:15:11,136 --> 00:15:12,151
Yeah, yeah, sorry. My bad.
344
00:15:12,153 --> 00:15:13,578
-You know that.
-Yeah.
345
00:15:18,251 --> 00:15:20,643
What's with the limp?
You okay, Randolph?
346
00:15:20,645 --> 00:15:23,454
Oh, I'm-I'm doing great.
Thanks for your concern.
347
00:15:23,456 --> 00:15:25,831
I want to talk to you
about Bosley.
348
00:15:25,833 --> 00:15:27,483
I don't get it.
349
00:15:27,485 --> 00:15:29,485
What is your beef
with Dr. Bosley?
350
00:15:29,487 --> 00:15:32,505
-Is this personal?
-I've never met the man.
351
00:15:32,507 --> 00:15:35,658
I told you last week,
Dr. Elkins was looking
352
00:15:35,660 --> 00:15:37,160
-into the Emily Benesch case.
-Well, you know...
353
00:15:37,162 --> 00:15:38,937
She didn't.
354
00:15:40,089 --> 00:15:42,256
These are five more complaints
against Bosley
355
00:15:42,258 --> 00:15:44,350
for catastrophic outcomes
that the board
356
00:15:44,352 --> 00:15:46,427
didn't look into either.
357
00:15:46,429 --> 00:15:47,928
(sighs)
358
00:15:47,930 --> 00:15:49,763
Look...
359
00:15:49,765 --> 00:15:51,524
I-I'm just not familiar with
360
00:15:51,526 --> 00:15:53,451
the details
of these old complaints
361
00:15:53,453 --> 00:15:54,768
off the top of my head,
362
00:15:54,770 --> 00:15:57,029
but I can tell you that,
if we made the decision
363
00:15:57,031 --> 00:15:58,864
not to investigate,
364
00:15:58,866 --> 00:16:00,792
we had good reasons.
365
00:16:00,794 --> 00:16:03,686
See, I can't imagine what those
366
00:16:03,688 --> 00:16:05,463
could possibly be.
367
00:16:05,465 --> 00:16:08,858
Randolph, you're a good man,
and I like you.
368
00:16:08,860 --> 00:16:12,286
You can be a very valuable
member of the medical board.
369
00:16:12,288 --> 00:16:14,455
That's what I'm trying to be.
370
00:16:14,457 --> 00:16:15,531
Well, typically,
371
00:16:15,533 --> 00:16:18,125
new members tend to stay
on the sidelines
372
00:16:18,127 --> 00:16:19,702
for a period
to see how things work
373
00:16:19,704 --> 00:16:22,296
before going full Norma Rae,
374
00:16:22,298 --> 00:16:24,540
you know what I mean?
375
00:16:24,542 --> 00:16:27,986
I'll see you at the
board meeting this afternoon.
376
00:16:30,490 --> 00:16:33,216
All right, Aaron,
I found the stent,
377
00:16:33,218 --> 00:16:35,718
and I also found the cause
378
00:16:35,720 --> 00:16:37,553
of your heart attack.
379
00:16:37,555 --> 00:16:40,573
Unfortunately,
they're one and the same.
380
00:16:40,575 --> 00:16:42,500
Uh, what does that mean?
381
00:16:42,502 --> 00:16:45,319
The stent your doctors placed
is actually blocking
382
00:16:45,321 --> 00:16:47,396
one of the other arteries
in your heart.
383
00:16:47,398 --> 00:16:50,066
That's why you were
feeling so much pain.
384
00:16:50,068 --> 00:16:52,493
AJ, the rest of his vessels
are pristine.
385
00:16:52,495 --> 00:16:55,571
Cholesterol's low,
no family history...
386
00:16:55,573 --> 00:16:57,573
CONRAD:
And it looks like the stent
was placed in the location
387
00:16:57,575 --> 00:17:00,426
of a coronary artery dissection.
Are we thinking the same thing?
388
00:17:00,428 --> 00:17:02,411
AUSTIN:
Yeah. It sickens me
389
00:17:02,413 --> 00:17:03,837
to say this,
390
00:17:03,839 --> 00:17:06,415
but you never should have had
a cath in the first place.
391
00:17:06,417 --> 00:17:09,510
Worse, the cardiologist
tore blood vessels
392
00:17:09,512 --> 00:17:12,363
when he put it in, which is why
the procedure was so painful.
393
00:17:12,365 --> 00:17:15,033
I should prepare
to see my maker.
394
00:17:15,035 --> 00:17:16,759
No need to pack your bags.
395
00:17:16,761 --> 00:17:19,537
You will get to your next
great achievement.
396
00:17:21,766 --> 00:17:23,282
Aaron,
397
00:17:23,284 --> 00:17:25,710
what was the name
of your cardiologist?
398
00:17:28,197 --> 00:17:29,672
(knock on door)
399
00:17:32,552 --> 00:17:33,367
Eliza,
400
00:17:33,369 --> 00:17:35,628
this is Dr. Billie Sutton,
401
00:17:35,630 --> 00:17:37,463
and she is a neurosurgeon,
402
00:17:37,465 --> 00:17:39,540
and I've asked her to come here
and talk to you.
403
00:17:39,542 --> 00:17:40,633
Hi, Eliza.
404
00:17:40,635 --> 00:17:42,560
I've seen that expression
405
00:17:42,562 --> 00:17:44,062
on your face too many times.
406
00:17:44,064 --> 00:17:46,972
You have a plan to fix me,
407
00:17:46,974 --> 00:17:49,692
but I am unfixable.
408
00:17:51,479 --> 00:17:53,462
I don't want to go
through this again.
409
00:17:53,464 --> 00:17:55,648
I-I get that.
410
00:17:55,650 --> 00:17:57,742
And, truth be told,
my plan might not work.
411
00:17:57,744 --> 00:18:00,727
DEVON:
The success rate
of deep brain stimulation
412
00:18:00,729 --> 00:18:02,305
for depression is about 50%.
413
00:18:02,307 --> 00:18:04,248
That is a broad definition
of success,
414
00:18:04,250 --> 00:18:07,810
from modest improvement
to complete absence
415
00:18:07,812 --> 00:18:09,161
of symptoms.
416
00:18:09,163 --> 00:18:11,547
Deep brain stimulation?
417
00:18:13,484 --> 00:18:15,426
A small conductor, an electrode,
418
00:18:15,428 --> 00:18:18,337
is permanently placed in a
specific region of the brain.
419
00:18:18,339 --> 00:18:21,173
The conductor carries a
low-level impulse from a battery
420
00:18:21,175 --> 00:18:22,675
to the area of the brain
that regulates mood.
421
00:18:22,677 --> 00:18:24,585
What could possibly go wrong?
422
00:18:24,587 --> 00:18:27,830
In very rare circumstances,
a hemorrhage can occur.
423
00:18:29,016 --> 00:18:32,685
Wh-Which would conceivably
turn me into a can of peas.
424
00:18:32,687 --> 00:18:36,430
Well, like I said,
that outcome is very rare,
425
00:18:36,432 --> 00:18:37,598
and I'm very good at this.
426
00:18:37,600 --> 00:18:39,859
And here's the part
you might like...
427
00:18:39,861 --> 00:18:41,360
Can't imagine
what that would be.
428
00:18:41,362 --> 00:18:43,788
Well, first we have
to scan your brain.
429
00:18:43,790 --> 00:18:46,457
Then, I give you a tour
of the organ
430
00:18:46,459 --> 00:18:49,276
that's not only the source
of your literary success,
431
00:18:49,278 --> 00:18:51,187
but the thing
that wants you dead.
432
00:18:51,189 --> 00:18:53,464
I'll pull some strings
to get you out
433
00:18:53,466 --> 00:18:56,134
-of the ER while you wait.
-ELIZA: Mm.
434
00:18:57,971 --> 00:19:01,030
We'll be back.
435
00:19:01,032 --> 00:19:03,032
(door opens)
436
00:19:03,034 --> 00:19:04,550
(door closes)
437
00:19:04,552 --> 00:19:05,959
Aaron is stable,
438
00:19:05,961 --> 00:19:08,312
but I can't undo the injury
his heart has sustained.
439
00:19:08,314 --> 00:19:11,207
Once a blood vessel's been torn,
it can tear again.
440
00:19:11,209 --> 00:19:14,059
And an acute clot could form,
441
00:19:14,061 --> 00:19:15,820
cause him more heart attacks.
442
00:19:15,822 --> 00:19:17,730
His cardiac function
has decreased
443
00:19:17,732 --> 00:19:19,398
to only a third
of what it should be.
444
00:19:19,400 --> 00:19:21,975
-In time, it could improve.
-It's all wrong,
445
00:19:21,977 --> 00:19:23,477
and the worst part is,
446
00:19:23,479 --> 00:19:26,238
the procedure
was entirely unnecessary.
447
00:19:26,240 --> 00:19:28,724
Look, I got a quick errand
I got to run.
448
00:19:28,726 --> 00:19:30,334
I'll be back as fast as I can.
449
00:19:30,336 --> 00:19:33,062
I'll hold the pastor in the ER,
keep an eye on him.
450
00:19:33,064 --> 00:19:35,464
-Yeah, man.
-I'll update you.
451
00:19:47,020 --> 00:19:48,835
This is the cerebrum...
452
00:19:48,837 --> 00:19:51,430
(machine beeps)
453
00:19:51,432 --> 00:19:53,098
...where consciousness,
emotion, perception,
454
00:19:53,100 --> 00:19:56,194
and memory are all integrated.
455
00:19:56,196 --> 00:19:58,362
Like any other part of the body,
456
00:19:58,364 --> 00:20:02,033
pathways of connections
can be too strong or too weak,
457
00:20:02,035 --> 00:20:03,367
and when they are weak, we try
458
00:20:03,369 --> 00:20:04,760
to augment them
with medications,
459
00:20:04,762 --> 00:20:06,595
you know, SSRIs, ECT...
460
00:20:06,597 --> 00:20:09,040
-But those didn't work.
-Which is why we get
461
00:20:09,042 --> 00:20:10,541
to try something more intense.
462
00:20:10,543 --> 00:20:12,877
We would place electrodes
463
00:20:12,879 --> 00:20:15,120
here and here.
464
00:20:15,122 --> 00:20:17,606
Like a pacemaker for the brain
465
00:20:17,608 --> 00:20:19,291
instead of the heart.
466
00:20:19,293 --> 00:20:21,777
The electrodes stimulate
Brodmann area 25,
467
00:20:21,779 --> 00:20:24,871
which is like the interstate
highway of nerve connections,
468
00:20:24,873 --> 00:20:26,298
or white matter,
469
00:20:26,300 --> 00:20:28,284
and it's sitting right on top
470
00:20:28,286 --> 00:20:30,561
of a huge serotonin depot.
471
00:20:30,563 --> 00:20:33,898
It's like drilling
for a well of happiness.
472
00:20:33,900 --> 00:20:37,293
If you like that image.
473
00:20:37,295 --> 00:20:40,887
Reminds me of those
flimsy claws at arcades
474
00:20:40,889 --> 00:20:44,633
that kids dump their money into
and try to grab a prize,
475
00:20:44,635 --> 00:20:46,577
but they never get one.
476
00:20:46,579 --> 00:20:50,706
Well, DBS has much higher odds
of success than those claws.
477
00:20:52,643 --> 00:20:54,477
Define success.
478
00:20:54,479 --> 00:20:57,088
We banish the hell in your head
479
00:20:57,090 --> 00:20:58,981
but keep the heavenly talent.
480
00:20:58,983 --> 00:21:01,092
I won't wake up
481
00:21:01,094 --> 00:21:03,427
and be someone else,
482
00:21:03,429 --> 00:21:05,596
will I?
483
00:21:05,598 --> 00:21:08,516
Everyone facing DBS
asks that question.
484
00:21:09,585 --> 00:21:11,686
Surely not everybody.
485
00:21:13,347 --> 00:21:15,422
Look, they say
in Alcoholics Anonymous,
486
00:21:15,424 --> 00:21:17,424
if you sober up a horse thief,
487
00:21:17,426 --> 00:21:19,485
all you have is
a sober horse thief.
488
00:21:20,929 --> 00:21:23,005
You will remain you,
489
00:21:23,007 --> 00:21:24,991
but a happy you.
490
00:21:27,695 --> 00:21:30,162
You're describing a stranger.
491
00:21:32,366 --> 00:21:34,366
AUSTIN:
You know, I really
appreciate you
492
00:21:34,368 --> 00:21:36,869
making time for me
on such short notice,
493
00:21:36,871 --> 00:21:38,187
Dr. Pellington.
494
00:21:38,205 --> 00:21:39,688
Well, I'm glad we could
make it work, Mr. Austin.
495
00:21:39,690 --> 00:21:42,300
Now, as you know, we took
a picture of your heart
496
00:21:42,302 --> 00:21:45,044
a few minutes ago,
I sure am glad we did.
497
00:21:45,046 --> 00:21:47,196
It revealed some extra beats.
498
00:21:47,198 --> 00:21:48,697
Now, we have
a fancy term for that.
499
00:21:48,699 --> 00:21:51,033
It's called premature
ventricular contractions,
500
00:21:51,035 --> 00:21:53,035
but the important thing is,
501
00:21:53,037 --> 00:21:54,537
it may have shown a blockage
502
00:21:54,539 --> 00:21:56,705
in your arteries
that feed blood to your heart,
503
00:21:56,707 --> 00:21:58,965
and that's the first step
to a heart attack.
504
00:21:58,967 --> 00:22:01,377
Whoa, a heart attack.
505
00:22:01,379 --> 00:22:03,896
(sighs) C-Can I take
a look at that?
506
00:22:03,898 --> 00:22:06,306
-Oh, sure, sure.
-Thanks.
507
00:22:06,308 --> 00:22:08,384
You are one lucky man
508
00:22:08,386 --> 00:22:10,569
because we can do
a cardiac cath.
509
00:22:10,571 --> 00:22:11,996
That's a procedure
510
00:22:11,998 --> 00:22:14,165
where we can get a better view
of those arteries,
511
00:22:14,167 --> 00:22:15,816
and if there is blockages,
512
00:22:15,818 --> 00:22:17,984
which I suspect there will be,
513
00:22:17,986 --> 00:22:20,563
we can open 'em right up.
Any questions?
514
00:22:20,565 --> 00:22:22,915
Yeah, just one.
515
00:22:22,917 --> 00:22:26,068
Did you go into medicine
intending to become a fraud?
516
00:22:26,070 --> 00:22:27,753
Excuse me?
517
00:22:27,755 --> 00:22:30,089
I'm a cardiothoracic surgeon
518
00:22:30,091 --> 00:22:32,016
at Chastain Park Memorial,
519
00:22:32,018 --> 00:22:34,093
and you and I both know that
520
00:22:34,095 --> 00:22:35,594
my EKG is normal.
521
00:22:35,596 --> 00:22:38,338
There is no medical reason
to take me to cath,
522
00:22:38,340 --> 00:22:41,266
just like there wasn't
for Pastor Aaron either.
523
00:22:41,268 --> 00:22:42,418
I could point to hundreds...
524
00:22:42,420 --> 00:22:45,270
Pastor Aaron is in our ICU
525
00:22:45,272 --> 00:22:47,365
right now as a result
of the botched stent
526
00:22:47,367 --> 00:22:49,516
you put in when you dissected
527
00:22:49,518 --> 00:22:53,204
his LAD during
an unnecessary cath.
528
00:22:53,206 --> 00:22:55,431
So, not only are you greedy,
529
00:22:55,433 --> 00:22:57,766
you are incompetent at best.
530
00:22:57,768 --> 00:23:00,285
I don't know what the hell
you think you're getting at,
531
00:23:00,287 --> 00:23:02,028
but everything I did is legal.
532
00:23:02,030 --> 00:23:04,715
Legal? Really?
533
00:23:04,717 --> 00:23:08,260
You know, that's a pretty
low bar for a doctor.
534
00:23:09,964 --> 00:23:11,055
I'll tell you what,
535
00:23:11,057 --> 00:23:13,949
Pellington,
536
00:23:13,951 --> 00:23:15,951
if my friend takes a turn
for the worse,
537
00:23:15,953 --> 00:23:19,788
you will find yourself
on the losing end of a lawsuit
538
00:23:19,790 --> 00:23:22,733
with me as the expert witness.
539
00:23:25,980 --> 00:23:27,980
Aaron.
540
00:23:27,982 --> 00:23:29,465
How you doing?
541
00:23:29,467 --> 00:23:31,617
I was just working
on next week's sermon.
542
00:23:33,246 --> 00:23:35,246
You know, today's been
all about me,
543
00:23:35,248 --> 00:23:37,489
and earlier you mentioned
about being pulled back in
544
00:23:37,491 --> 00:23:40,400
the pain of your wife's death,
before we got interrupted.
545
00:23:40,402 --> 00:23:42,494
And it will continue
to be all about you.
546
00:23:42,496 --> 00:23:45,238
Numbers look good.
Any chest pain?
547
00:23:45,240 --> 00:23:47,541
Ah, nothing significant.
548
00:23:48,428 --> 00:23:51,487
You and I are in
the "you" business.
549
00:23:51,489 --> 00:23:54,247
-You let me do my job.
-(chuckling)
550
00:23:54,249 --> 00:23:56,600
This resurgence of grief,
551
00:23:56,602 --> 00:23:59,328
have you had any big recent
changes in your life?
552
00:23:59,330 --> 00:24:02,982
Crazy work stuff the past week.
553
00:24:04,669 --> 00:24:06,426
(exhales) Have you been
554
00:24:06,428 --> 00:24:08,487
stepping out with any women
since Nic's death?
555
00:24:08,489 --> 00:24:12,691
Eh... one. Nothing serious.
Potentially others.
556
00:24:12,693 --> 00:24:14,843
-They all come
with complications.
-Yeah.
557
00:24:14,845 --> 00:24:18,438
Yeah, and I'm sure that you had
those complications with Nic.
558
00:24:18,440 --> 00:24:20,866
Yeah, but the baggage
was mostly mine.
559
00:24:20,868 --> 00:24:21,959
(laughs)
560
00:24:21,961 --> 00:24:23,702
You know, my experience with
561
00:24:23,704 --> 00:24:27,022
counseling widowers is that
guilt and loyalty
562
00:24:27,024 --> 00:24:30,092
can toss you back
into the original grief.
563
00:24:31,954 --> 00:24:33,637
Maybe.
564
00:24:33,639 --> 00:24:35,473
Hey.
565
00:24:35,475 --> 00:24:36,807
If it's this woman,
566
00:24:36,809 --> 00:24:39,535
or if it's that woman,
you deserve
567
00:24:39,537 --> 00:24:41,386
your next
great romantic achievement.
568
00:24:41,388 --> 00:24:43,439
(heart monitor beeping rapidly)
569
00:24:44,633 --> 00:24:46,725
Patient's in V tach!
I need a crash cart!
570
00:24:46,727 --> 00:24:48,986
(groans)
571
00:24:50,656 --> 00:24:54,399
He's pulseless. Now in V fib.
572
00:24:54,401 --> 00:24:57,495
We need to shock.
Get the pads on.
573
00:25:03,394 --> 00:25:04,226
(grunts)
574
00:25:04,228 --> 00:25:06,319
Charging. And clear.
575
00:25:06,321 --> 00:25:09,064
Now.
576
00:25:09,066 --> 00:25:11,342
Still in V fib.
577
00:25:11,344 --> 00:25:13,427
Get me a bolus of amio
and shock again.
578
00:25:16,073 --> 00:25:18,015
(Conrad grunts)
579
00:25:20,761 --> 00:25:22,002
Charging.
580
00:25:22,004 --> 00:25:24,230
Clear. And shock.
581
00:25:25,583 --> 00:25:26,598
(Aaron gasps)
582
00:25:26,600 --> 00:25:29,434
-He has a pulse.
-HUNDLEY: Sinus rhythm.
583
00:25:29,436 --> 00:25:32,087
But if this happens again,
he is not...
584
00:25:32,089 --> 00:25:34,347
When it happens again,
he won't survive it.
585
00:25:34,349 --> 00:25:37,993
Let's get him to the ICU.
I'll page AJ.
586
00:25:43,692 --> 00:25:46,210
-Hey, what's going on?
-I got him out of V fib, but...
587
00:25:46,212 --> 00:25:49,421
Hey. Right here,
I got you, brother.
588
00:25:53,219 --> 00:25:56,612
His left ventricle
is barely contracting.
589
00:25:56,614 --> 00:25:58,964
Down to about 15%.
He couldn't tolerate
590
00:25:58,966 --> 00:26:00,282
the refractory arrhythmia.
591
00:26:00,284 --> 00:26:02,208
We can't fix
his coronary arteries
592
00:26:02,210 --> 00:26:04,544
with more stents.
They're too damaged.
593
00:26:04,546 --> 00:26:07,456
I'm gonna have to take a vessel
from his chest and go around it.
594
00:26:07,458 --> 00:26:11,460
From an unnecessary cath
to open-heart surgery.
595
00:26:11,462 --> 00:26:13,462
(monitor beeps)
596
00:26:13,464 --> 00:26:15,480
(sighs)
597
00:26:15,482 --> 00:26:18,300
His systolic's
dropping to the 60s.
598
00:26:18,302 --> 00:26:19,559
I need more pressure than that
599
00:26:19,561 --> 00:26:22,154
-to do surgery.
-I'm maxed out on pressors.
600
00:26:22,156 --> 00:26:25,157
We're gonna have to
put him on ECMO.
601
00:26:25,159 --> 00:26:28,143
Wh-What's going on, fellas?
602
00:26:28,145 --> 00:26:30,904
AJ needs to perform
bypass surgery,
603
00:26:30,906 --> 00:26:32,238
so we're gonna
put you on a machine
604
00:26:32,240 --> 00:26:33,665
that will take over
for your heart,
605
00:26:33,667 --> 00:26:36,501
so your heart can survive
the procedure, okay?
606
00:26:36,503 --> 00:26:39,988
If God wants me
at His table right now,
607
00:26:39,990 --> 00:26:41,765
I have faith in Him.
608
00:26:41,767 --> 00:26:44,159
Have faith in me.
609
00:26:44,161 --> 00:26:46,753
I'm gonna do my best to make you
late for that dinner.
610
00:26:46,755 --> 00:26:48,647
You hear me?
611
00:26:50,684 --> 00:26:54,445
I am glad to see that you
agreed to the DBS.
612
00:26:54,447 --> 00:26:57,281
Of course, you'll be
under psychiatric care
613
00:26:57,283 --> 00:26:59,599
for some time
after the surgery, but...
614
00:26:59,601 --> 00:27:01,601
have you thought about
615
00:27:01,603 --> 00:27:03,120
what kind of support
you're gonna need
616
00:27:03,122 --> 00:27:04,663
when you get back
into your life?
617
00:27:06,959 --> 00:27:08,325
Well, if this works,
618
00:27:08,327 --> 00:27:11,186
I'll be happy, right? So...
619
00:27:11,188 --> 00:27:12,963
I won't need anything.
620
00:27:13,966 --> 00:27:15,207
I started reading
your first book.
621
00:27:15,209 --> 00:27:18,385
Hmm. Enjoy it while you can.
622
00:27:19,788 --> 00:27:22,531
And that description
of the conversation that you had
623
00:27:22,533 --> 00:27:25,291
with your therapist after
your first suicide attempt...
624
00:27:25,293 --> 00:27:28,553
About falling in love with
625
00:27:28,555 --> 00:27:30,630
my depression.
626
00:27:30,632 --> 00:27:32,541
DEVON:
Yeah.
627
00:27:32,543 --> 00:27:34,526
It's hard to conceive of that.
628
00:27:35,729 --> 00:27:38,638
Well, for most people, it's...
629
00:27:38,640 --> 00:27:40,640
impossible, which is...
630
00:27:40,642 --> 00:27:43,568
why this is all so futile.
631
00:27:43,570 --> 00:27:44,903
(monitor beeping)
632
00:27:44,905 --> 00:27:46,405
-Are you okay?
-Yeah.
633
00:27:46,407 --> 00:27:48,999
Yeah, I'm just, I'm just tired.
634
00:27:49,985 --> 00:27:53,128
This is so weird.
635
00:27:55,582 --> 00:27:57,841
-Eliza?
-Hmm? Yeah.
636
00:27:57,843 --> 00:27:59,426
Hey.
637
00:28:01,347 --> 00:28:04,181
My God, she pulled out
her A-line!
638
00:28:04,183 --> 00:28:06,266
I need another set
of hands in here!
639
00:28:07,261 --> 00:28:09,728
Eliza, I'm not letting you go.
640
00:28:10,856 --> 00:28:12,856
Please...
641
00:28:12,858 --> 00:28:14,983
give us a chance.
642
00:28:18,013 --> 00:28:21,699
Okay, so, remember, stay calm,
avoid an accusatory tone.
643
00:28:21,701 --> 00:28:24,593
But just share your truth.
644
00:28:24,595 --> 00:28:26,428
Yeah. Okay.
645
00:28:26,430 --> 00:28:29,206
I'm nervous, but I can do that.
646
00:28:31,210 --> 00:28:32,935
I wouldn't put you
in front of these people
647
00:28:32,937 --> 00:28:34,937
if I didn't think
you could reach them.
648
00:28:34,939 --> 00:28:36,714
Okay.
649
00:28:36,716 --> 00:28:38,966
Okay. All right. Here we go.
650
00:28:48,060 --> 00:28:50,043
I'm gonna move that chair.
651
00:28:50,045 --> 00:28:52,521
Just the top of the table.
652
00:28:54,233 --> 00:28:55,899
Okay.
653
00:28:55,901 --> 00:28:58,126
ELKINS:
Uh...
654
00:28:58,128 --> 00:28:59,570
Who is this woman, Dr. Bell?
655
00:28:59,572 --> 00:29:01,930
You didn't mention that you were
bringing a guest this morning.
656
00:29:01,932 --> 00:29:03,298
BELL:
This is Emily Benesch.
657
00:29:03,300 --> 00:29:06,468
She's gonna tell us her story,
658
00:29:06,470 --> 00:29:07,953
and we are going to listen.
659
00:29:09,397 --> 00:29:11,564
EMILY:
The last time I walked
on my own two feet,
660
00:29:11,566 --> 00:29:15,043
it was into
Dr. Bosley's practice.
661
00:29:16,404 --> 00:29:17,996
The man I was engaged to marry
662
00:29:17,998 --> 00:29:20,424
left me
after I was paralyzed.
663
00:29:25,765 --> 00:29:27,598
(exhales)
664
00:29:30,160 --> 00:29:32,995
I can't... (sighs)
turn over in bed,
665
00:29:32,997 --> 00:29:35,163
reach a book on the shelf,
666
00:29:35,165 --> 00:29:36,999
get out of my house, into a car,
667
00:29:37,001 --> 00:29:41,019
through a store
without pain and struggle.
668
00:29:41,021 --> 00:29:43,071
And why?
669
00:29:44,099 --> 00:29:46,099
Because no one stopped a man
670
00:29:46,101 --> 00:29:49,995
who should never have been
operating to begin with.
671
00:29:51,198 --> 00:29:54,683
You sit in here and review
his explanations.
672
00:29:54,685 --> 00:29:56,126
Accidents happen,
673
00:29:56,128 --> 00:29:58,545
but again and again?
674
00:30:00,115 --> 00:30:02,257
Who else will end up like me?
675
00:30:04,695 --> 00:30:07,787
Would you send your wife to him?
676
00:30:07,789 --> 00:30:10,198
Your son?
677
00:30:10,200 --> 00:30:12,050
Your father?
678
00:30:12,052 --> 00:30:14,311
Then why a stranger?
679
00:30:15,463 --> 00:30:18,798
I know that a very high
percentage of doctors
680
00:30:18,800 --> 00:30:20,876
are-are competent
681
00:30:20,878 --> 00:30:22,635
and good people.
682
00:30:22,637 --> 00:30:25,564
And the few who ruin
683
00:30:25,566 --> 00:30:27,399
people's lives,
684
00:30:27,401 --> 00:30:30,977
they're-- are repeat offenders.
685
00:30:30,979 --> 00:30:33,038
Like Dr. Bosley.
686
00:30:34,166 --> 00:30:37,167
If a hundred good doctors
do nothing
687
00:30:37,169 --> 00:30:39,728
about one bad one,
688
00:30:39,730 --> 00:30:42,256
then we've got 101 bad doctors.
689
00:30:44,751 --> 00:30:47,160
You owe it to yourselves.
690
00:30:47,162 --> 00:30:49,513
You owe it to me.
691
00:30:54,595 --> 00:30:56,728
Thank you, Emily.
692
00:30:58,506 --> 00:31:02,417
We'll pass this up to
the complaint division and...
693
00:31:02,419 --> 00:31:05,270
discuss the status
of the investigation
694
00:31:05,272 --> 00:31:08,699
on a weekly basis.
695
00:31:08,701 --> 00:31:10,492
Thank you.
696
00:31:24,458 --> 00:31:27,200
The ECMO's giving his heart
some relief,
697
00:31:27,202 --> 00:31:29,702
but this is as strong
as he's gonna get.
698
00:31:29,704 --> 00:31:32,038
If I don't operate now,
there might not be
699
00:31:32,040 --> 00:31:34,540
-any heart muscle left to save.
-Yeah, it's time.
700
00:31:34,542 --> 00:31:38,395
Let's hope he's strong enough
to survive.
701
00:32:02,479 --> 00:32:05,330
All right, the first graft
is complete.
702
00:32:05,332 --> 00:32:08,241
This LAD is gonna be
a little tougher.
703
00:32:08,243 --> 00:32:09,968
4.0 Prolene to me.
704
00:32:15,267 --> 00:32:18,435
Suturing over the dissection.
705
00:32:19,496 --> 00:32:21,254
CHU:
You're using both internal
706
00:32:21,256 --> 00:32:23,515
mammary arteries for grafts.
707
00:32:23,517 --> 00:32:25,609
Is there a risk
of recurring heart disease?
708
00:32:25,611 --> 00:32:28,003
Oh, good question, Chu.
709
00:32:28,005 --> 00:32:30,739
Not in a man who doesn't
actually have heart disease.
710
00:32:33,026 --> 00:32:35,527
Both anastomoses complete.
711
00:32:35,529 --> 00:32:37,204
Removing the clamp.
712
00:32:41,852 --> 00:32:44,461
CHU:
Let me know when you're ready.
713
00:32:47,874 --> 00:32:51,117
I am in position.
714
00:32:51,119 --> 00:32:53,286
Let's hit the reset button
715
00:32:53,288 --> 00:32:56,381
on the good pastor's
new and improved heart.
716
00:32:56,383 --> 00:32:58,058
-Starting with five joules.
-(whirring)
717
00:33:03,131 --> 00:33:05,524
-CHU: Going up to ten.
-(beeping)
718
00:33:07,060 --> 00:33:10,237
(whirring)
719
00:33:12,566 --> 00:33:14,974
(Austin sighs)
720
00:33:14,976 --> 00:33:17,077
Take it to 20.
721
00:33:18,831 --> 00:33:20,580
(beeping)
722
00:33:23,076 --> 00:33:25,460
(whirring)
723
00:33:29,566 --> 00:33:31,258
Come on.
724
00:33:33,995 --> 00:33:35,679
(sighs)
725
00:33:40,927 --> 00:33:43,261
BILLIE:
I'm placing the electrode.
726
00:33:43,263 --> 00:33:46,081
Now, there are no pain receptors
in the brain,
727
00:33:46,083 --> 00:33:47,858
so this won't hurt.
728
00:33:47,860 --> 00:33:49,192
That's ironic.
729
00:33:50,420 --> 00:33:52,362
BILLIE:
Advancing the electrode.
730
00:33:52,364 --> 00:33:55,106
60 millimeters.
731
00:33:55,108 --> 00:33:58,535
78 millimeters.
732
00:34:01,765 --> 00:34:04,766
We're at the target region.
733
00:34:04,768 --> 00:34:06,451
Dr. Malco?
734
00:34:06,453 --> 00:34:07,544
Pass it over to me.
735
00:34:07,546 --> 00:34:11,456
For what it's worth,
I feel no different.
736
00:34:11,458 --> 00:34:13,625
I...
737
00:34:13,627 --> 00:34:15,126
maybe feel worse, even.
738
00:34:15,128 --> 00:34:16,628
Perhaps because now
739
00:34:16,630 --> 00:34:19,205
my head is screwed
into a metal frame.
740
00:34:19,207 --> 00:34:21,707
We haven't turned it on
yet, Eliza.
741
00:34:21,709 --> 00:34:25,062
-That's what I'm about to do.
-ELIZA: Oh.
742
00:34:25,064 --> 00:34:27,789
-(machine beeps)
-Two volts.
743
00:34:27,791 --> 00:34:31,401
Eliza, rate your mood
on a scale of zero to ten.
744
00:34:31,403 --> 00:34:32,736
Unchanged.
745
00:34:32,738 --> 00:34:35,964
Zero.
746
00:34:35,966 --> 00:34:39,725
Adjusting to four volts.
747
00:34:39,727 --> 00:34:42,537
And now?
748
00:34:44,899 --> 00:34:46,583
Nothing.
749
00:34:49,404 --> 00:34:52,047
-(machine beeps)
-Six volts.
750
00:34:53,592 --> 00:34:55,634
Eliza, how about now?
751
00:34:57,078 --> 00:35:00,138
Eliza, are you okay?
752
00:35:02,935 --> 00:35:04,392
I'm...
753
00:35:05,345 --> 00:35:07,011
-I'm...
-MALCO: Eliza, if we
754
00:35:07,013 --> 00:35:09,106
-went too far we can
turn it back down.
-ELIZA: No.
755
00:35:09,108 --> 00:35:12,091
No. Don't-don't-don't
turn it back down.
756
00:35:12,093 --> 00:35:13,668
Don't-don't...
757
00:35:13,670 --> 00:35:16,095
Don't do anything.
758
00:35:16,097 --> 00:35:18,949
Tell us how you feel, Eliza.
759
00:35:18,951 --> 00:35:21,100
ELIZA:
I feel calm?
760
00:35:21,102 --> 00:35:23,620
Everything...
761
00:35:23,622 --> 00:35:26,665
everything seems... brighter.
762
00:35:28,368 --> 00:35:30,702
(chuckles)
763
00:35:30,704 --> 00:35:33,355
Is...?
764
00:35:33,357 --> 00:35:36,133
Could this be... (chuckles)
765
00:35:36,135 --> 00:35:39,377
Could this be happiness?
766
00:35:39,379 --> 00:35:41,221
(chuckles)
767
00:35:51,507 --> 00:35:54,042
Well, against all odds,
Aaron's alive
768
00:35:54,044 --> 00:35:55,894
with plenty more sermons
to give.
769
00:35:55,896 --> 00:35:58,062
Yeah, well,
it's a flawed victory.
770
00:35:58,064 --> 00:35:59,564
His heart
is permanently damaged,
771
00:35:59,566 --> 00:36:01,491
and he'll spend the rest
of his life exhausted.
772
00:36:01,493 --> 00:36:05,236
All because of unnecessary tests
and useless procedures
773
00:36:05,238 --> 00:36:06,905
that were detrimental
to his health.
774
00:36:06,907 --> 00:36:09,499
You know, I talked to Bell, now
that he's on the medical board.
775
00:36:09,501 --> 00:36:13,061
Ah, let me guess.
The system is so broken,
776
00:36:13,063 --> 00:36:15,063
Pellington won't face
any ramifications.
777
00:36:15,065 --> 00:36:16,464
Bingo.
778
00:36:17,918 --> 00:36:20,418
There's literally
nothing we can do.
779
00:36:20,420 --> 00:36:23,087
Maybe not, but there
is always karma.
780
00:36:23,089 --> 00:36:24,664
So we'd like to think.
781
00:36:24,666 --> 00:36:28,351
♪ Like the beating
of life in my veins ♪
782
00:36:28,353 --> 00:36:30,412
♪ I know there's gonna be ♪
783
00:36:30,414 --> 00:36:33,097
♪ Some brighter days ♪
784
00:36:33,099 --> 00:36:34,858
♪ I know there's ♪
785
00:36:34,860 --> 00:36:39,270
♪ Gonna be some brighter days ♪
786
00:36:39,272 --> 00:36:41,531
♪ I swear that love will find ♪
787
00:36:41,533 --> 00:36:43,849
♪ You in your pain ♪
788
00:36:43,851 --> 00:36:45,109
♪ Ooh ♪
789
00:36:45,111 --> 00:36:46,928
♪ I feel it in me like ♪
790
00:36:46,930 --> 00:36:50,765
♪ The beating of life
in my veins ♪
791
00:36:50,767 --> 00:36:52,392
♪ I know there's gonna be ♪
792
00:36:52,394 --> 00:36:56,104
♪ Some brighter days ♪
793
00:36:56,106 --> 00:36:57,455
♪ I know there's gonna be... ♪
794
00:36:57,457 --> 00:37:01,092
-Are you okay?
-Yeah, yeah, Nic has just...
795
00:37:02,054 --> 00:37:04,221
Nic has just been on my mind.
796
00:37:05,465 --> 00:37:07,465
And...
797
00:37:07,467 --> 00:37:09,375
and what we do,
798
00:37:09,377 --> 00:37:11,561
just...
799
00:37:11,563 --> 00:37:15,047
watching people slide
to the very edge
800
00:37:15,049 --> 00:37:17,984
while we fight to save them.
801
00:37:19,387 --> 00:37:21,463
Yeah.
802
00:37:21,465 --> 00:37:25,224
Yeah, like
we're surrounded by loss.
803
00:37:25,226 --> 00:37:28,578
Past, present, the future.
804
00:37:28,580 --> 00:37:31,498
Ours, other people's.
805
00:37:34,995 --> 00:37:37,145
Look, man, I'm preparing
806
00:37:37,147 --> 00:37:39,238
for my mother's passing.
807
00:37:39,240 --> 00:37:42,484
And when she does, I...
808
00:37:42,486 --> 00:37:44,261
I don't know what I'm gonna do.
809
00:37:44,263 --> 00:37:47,472
I know I'll never know
another like her.
810
00:37:48,934 --> 00:37:50,492
No.
811
00:37:51,495 --> 00:37:54,688
There are some holes
you just can't fill.
812
00:37:55,499 --> 00:37:56,681
Yeah.
813
00:37:56,833 --> 00:38:00,835
♪ I know there's gonna be
some brighter ♪
814
00:38:00,837 --> 00:38:03,095
♪ Days. ♪
815
00:38:03,097 --> 00:38:04,447
(knock on door)
816
00:38:05,784 --> 00:38:07,117
(exhales)
817
00:38:07,119 --> 00:38:09,527
Go ahead, ask.
818
00:38:09,529 --> 00:38:11,204
How are you feeling?
819
00:38:12,124 --> 00:38:13,272
(laughs):
Good.
820
00:38:13,274 --> 00:38:16,851
Weird. Um, hopeful.
821
00:38:16,853 --> 00:38:19,370
Scared. Bionic.
822
00:38:19,372 --> 00:38:21,631
I feel like I'm at one
of those all-you-can-eat
823
00:38:21,633 --> 00:38:25,376
buffet restaurants,
only it's for emotions.
824
00:38:25,378 --> 00:38:26,861
(chuckles)
825
00:38:26,863 --> 00:38:28,972
Sounds dizzying,
826
00:38:28,974 --> 00:38:30,640
but an improvement.
827
00:38:31,885 --> 00:38:34,886
Dr. Malco has a few options for
psychiatric treatment centers,
828
00:38:34,888 --> 00:38:36,387
and they all accept
your insurance,
829
00:38:36,389 --> 00:38:37,797
and they're gonna
take you right away.
830
00:38:37,799 --> 00:38:40,542
BILLIE:
You'll come back
and see me in two weeks,
831
00:38:40,544 --> 00:38:43,236
and I'll adjust your stim level
if necessary.
832
00:38:44,731 --> 00:38:47,215
Okay.
833
00:38:47,217 --> 00:38:49,492
Uh, thank you...
834
00:38:50,645 --> 00:38:52,662
...for not letting me go.
835
00:38:53,890 --> 00:38:55,457
Of course.
836
00:39:05,569 --> 00:39:08,994
Days like this,
I love being a doctor.
837
00:39:08,996 --> 00:39:11,639
-Best job in the world.
-(chuckles)
838
00:39:19,265 --> 00:39:21,099
Bell.
839
00:39:21,101 --> 00:39:23,526
Bell, Bell, Bell.
840
00:39:23,528 --> 00:39:26,104
You know, I thought
I had the deepest,
841
00:39:26,106 --> 00:39:27,697
highest-octane reservoir
842
00:39:27,699 --> 00:39:31,593
of ego, but, brother,
your vanity makes mine blush.
843
00:39:31,595 --> 00:39:34,095
CONRAD:
Randolph, you are my friend,
844
00:39:34,097 --> 00:39:36,539
but it's a good thing
you don't have cancer
845
00:39:36,541 --> 00:39:38,433
because you are not
a good enough friend
846
00:39:38,435 --> 00:39:40,025
for me to shave off this.
I mean, this is like a silken
847
00:39:40,027 --> 00:39:43,438
-masterpiece up here.
-AUSTIN: That it is, it is.
-KIT: Ooh.
848
00:39:43,440 --> 00:39:45,006
So...
849
00:39:46,033 --> 00:39:48,009
What do you say?
850
00:39:49,888 --> 00:39:51,796
Okay, I will take this...
851
00:39:51,798 --> 00:39:53,890
walking stick,
852
00:39:53,892 --> 00:39:55,725
but not because
I'm old or infirm,
853
00:39:55,727 --> 00:39:58,061
but because it's really cool.
854
00:39:58,063 --> 00:39:59,787
(laughter)
855
00:39:59,789 --> 00:40:02,649
-Thanks, guys.
-You got it.
856
00:40:22,236 --> 00:40:24,087
Well, you look good.
857
00:40:25,757 --> 00:40:27,257
You okay?
858
00:40:27,259 --> 00:40:29,408
I am.
859
00:40:29,410 --> 00:40:31,052
I'm good.
860
00:40:39,846 --> 00:40:42,063
(Trevor sighs)
861
00:40:42,999 --> 00:40:44,691
So, what's going on?
862
00:40:45,852 --> 00:40:47,527
Okay, first...
863
00:40:49,189 --> 00:40:51,597
I'm not sure
I want to be a doctor.
864
00:40:51,599 --> 00:40:55,285
I went into it
for the wrong reasons.
865
00:40:56,680 --> 00:40:58,496
Why did you go into it?
866
00:41:03,870 --> 00:41:06,871
I wanted to be the person
I thought you'd love enough
867
00:41:06,873 --> 00:41:09,299
to wish you'd kept me.
868
00:41:09,301 --> 00:41:12,193
Now I realize you were a child.
869
00:41:12,195 --> 00:41:14,286
That's why you couldn't keep me.
870
00:41:14,288 --> 00:41:17,098
I know we both suffered.
871
00:41:20,887 --> 00:41:23,813
Right now
it feels like being a doctor
872
00:41:23,815 --> 00:41:25,648
won't give me what it gives you.
873
00:41:28,211 --> 00:41:31,062
The good news is, being an M.D.
874
00:41:31,064 --> 00:41:34,048
opens up a lot of opportunities.
875
00:41:34,050 --> 00:41:36,475
Yeah. I...
876
00:41:36,477 --> 00:41:39,496
got a job in
research and development
877
00:41:39,498 --> 00:41:41,146
at a biotech start-up.
878
00:41:41,148 --> 00:41:43,983
Drug chemistry, my sweet spot.
879
00:41:43,985 --> 00:41:47,061
But I'm gonna do it,
you know, by the rules.
880
00:41:47,063 --> 00:41:50,248
-(both chuckle)
-Try to make a difference.
881
00:41:50,250 --> 00:41:53,176
I don't know.
We'll see what happens.
882
00:41:55,588 --> 00:41:57,597
I'm happy for you, Trevor.
883
00:41:59,592 --> 00:42:02,060
And I'm very proud.
884
00:42:03,188 --> 00:42:05,170
Yeah, since Porter,
885
00:42:05,172 --> 00:42:07,415
since giving you away, I...
886
00:42:07,417 --> 00:42:09,526
It had been inconceivable to me
887
00:42:09,528 --> 00:42:12,529
that I could ever feel maternal
towards anyone.
888
00:42:14,015 --> 00:42:15,990
I never wanted kids.
889
00:42:17,460 --> 00:42:18,943
But you forced me to meet you,
890
00:42:18,945 --> 00:42:21,112
and what had been inconceivable
happened.
891
00:42:21,114 --> 00:42:24,432
Something opened up in me.
No, these last couple
892
00:42:24,434 --> 00:42:27,602
of weeks, when I didn't know
where you were,
893
00:42:27,604 --> 00:42:29,695
what you were doing...
894
00:42:29,697 --> 00:42:32,173
I was beside myself with worry.
895
00:42:34,535 --> 00:42:37,220
Which I suspect means
I was feeling a little bit
896
00:42:37,222 --> 00:42:39,180
like a real mother.
897
00:42:46,064 --> 00:42:48,731
You are my son.
898
00:42:48,733 --> 00:42:51,526
Nothing can ever change that.
899
00:42:52,887 --> 00:42:54,571
And I love you.
900
00:42:54,573 --> 00:42:56,798
Captioning sponsored by
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901
00:42:56,800 --> 00:42:58,649
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902
00:42:58,651 --> 00:43:01,035
Captioned by
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