01x02 - Independence Day

[bunniefuu]

- Previously on The Resident...
- Top of your class,

followed all the rules, and you
think that puts you at an advantage.

It doesn't.

It just means you have more
to unlearn than the guys

- who weren't paying attention.
- I need a new resident.

- Mine's impossible.
- You got Conrad.

- Watch and learn.
- Start compressions.

(MONITOR FLATLINING, BEEPS)

I will do whatever it
takes to get you back.

- Hey.
- You're here.

Lily means a lot to all of us.

From now on, she's your patient.

- What are my odds?
- The next few months will be rough.

But you can b*at this.

All we want to do is help our patients,

but what they don't
teach us in medical school

is there are so many ways to do harm.

You got the best hands in the business.

But he's still the most
requested surgeon.

Did you hit an artery?

- On an appendectomy?
- (MONITOR FLATLINING)

Maybe he had a heart att*ck.

That's exactly right.

You need to consider a change
before you k*ll any more patients.

How dare you.

Is your pride really worth more
than the life of a patient?

You watch yourself, Conrad.

Career day. Exciting, right?

Time for you guys to
think about your future.

And I want you to aim high.

For example, you could
be a doctor like...

Dr. Hawkins here, who diagnosed
my heart condition early.

And, God willing, he's gonna be
the man that saved my life. So...

let's give him a warm welcome.

Okay, one more time or we're gonna
do a pop quiz on the periodic table.

(WHOOPING, CHEERING)

All right. You guys are wound up now.

They're all yours. Good luck.

Wow.

When I was about your age,

I was driving with my dad.

Guy on a moped swerved in front of us,

right into the path of an oncoming car.

Wham. The impact threw this
guy's body onto the pavement.

He must have slid feet.

And my dad, he just sat there,

pissed at being held up.

But a woman in the car
behind us jumped out,

and she worked on that kid
until the ambulance came.

This incredible woman had the ability

to save a life right in front of me,

and I knew, in that moment,

that I wanted to be a person

who could jump out of
the car to help people.

So that's what I do.

So, has anyone thought
about becoming a doctor?

I've thought about
becoming a millionaire.

(CHUCKLES) That's not a career path.

So, do you cut people
open and take them apart?

(PANTING): That's...

a surgeon, Treena.

I'm an internist.

Someone has to first
figure out what's wrong.

- Micah?
- Yeah...

- I got you.
- (STUDENTS GASPING)

Someone call .

No cell phones... allowed in class.

(PHONES DIALING)

It's my teacher. Please help.

It's his heart. Sanford High.

The rate's too fast. I got to slow it

to get more blood into your heart.

Grab that funnel

and some tubing, on the counter.

You. Balloon. Go.

Get the nurse.

(STRAINED BREATHING)

- What are you doing?
- Makeshift stethoscope.

(HEART b*ating)

I hear a friction rub.

Might be an effusion.

Hang on, hang on.
Don't worry. We got you.

Pulse is getting weaker.

Elevate his legs.
Elevate-elevate his legs.

Blow as hard as you can.

(BLOWS WEAKLY)

Stay with me. Stay with me.
Stay with me.

Coming through.

Okay.

Lost his pulse. Back up.

Back up, back up, back up. You stay.

Stay.

(GASPS, BREATHING DEEPLY)

-year-old pre-transplant patient

with V tach arrest.

Take him to Chastain.

Am I... out of time?

Not yet.

♪ ♪

Remember, once we get the signal,

we get into position.

Mitch and I fire first.

Keep the muzzle of your g*n pointed up.

- (DOG BARKS)
- Last thing you want to do is sh**t your dog.

- And don't mess with Lane.
- Oh, I'd never.

She saved my sister-in-law's life.

Breast cancer.

Okay, I'm ready to see some quail now.

(DOG BARKING)

(LAUGHING): Wow.

That was fun.

- (g*nsh*t)
- (YELLS)

LANE: Oh, my God.

Trip sh*t Mitch.

- Trip?
- It's okay, it's okay.

Mitch, you're gonna be fine. Hold on.

- BELL: He's pulseless!
- Take a deep breath.

- BELL: He's had a heart att*ck!
- Calm down. I'm right here.

(PHONE RINGS)

I love hearing your voice
first thing in the morning.

Conrad, listen.

CONRAD: Breakfast at the cafeteria?

- Hard pass.
- Grits.

Pancakes. Sausage. Just like old times.

- That's not why I'm calling.
- I don't care

why you're calling.
Just that you're calling.

I have your heart.

Always.

Your patient's heart.

♪ You know ♪

♪ That the heart feels better
when the b*at goes on ♪

♪ The b*at goes on, the b*at goes on ♪

Where have you been?

No one's telling me anything.

I'm dying of suspense, literally.

(LAUGHS)

We heard from UNOS.

This time it's a perfect match.

(LAUGHS)

♪ Walk home alone ♪

Oh.

When-when can we do a transplant?

As soon as the heart gets here.

There's a short window when
a donated heart is viable.

Transplant team has been called in.

I will be with you
every step of the way.

- Okay.
- Recovery from this kind of surgery

can take months. You sure
you're up for it, Micah?

With me and my God,

there's nothing we can't handle.

♪ Dance ♪

(LAUGHS): New heart. New heart.

New heart.

Thanks.

- Trauma One?
- Right, straight into one.

Witnessed arrest outside of
the hospital, now unconscious

with a thready pulse. He's critical.

Page cardiology.

Here I am.

Second patient.
g*nsh*t wound to the buttocks.

Get surgery here for Trauma Two.

(GROANING)

It's okay, Mitch.

You're gonna be all right.

NURSE: Have two litres of O neg
standing by... is that enough?

NURSE : Check glucose and blood.

BELL: Must have had a
heart att*ck in the field.

- Is that Congressman Dunlap?
- Yep.

- How long was he down?
- Two minutes.

Witnessed, we achieved
ROSC in the field.

Any medical history we should know?

Well, hypertension, high cholesterol.
Not sure of anything else.

EKG showed Q waves, which means

there was an MI in the past, as well.

Well, I'm surprised he
survived another one.

Yeah. We'll do a...
echo and a cardiac cath,

- figure out what's going on.
- ST depression.

- What's going on?
- Not sure yet.

I just heard it was
some kind of accident.

Dr. Hunter and Bell were there.

Victim must be a VIP.

That's the head of publicity
for the hospital.

Clean up on aisle nine.

How is Congressman Dunlap?

Medics stabilized him in the ambulance.

Peterson's gonna run a bedside echo,
and we'll know more soon.

Mitch's wounds are superficial.

Hey, how you doing? Dr. Hawkins.

- Hi, Doctor.
- Nice to meet you. Brody, how we feeling?

I'm just gonna lift up

your shirt here, check things out.

This is a PR disaster.

We take a congressman and
our lobbyist out hunting,

and they both end up in our ER.

Well, we can still change the narrative

if we can save 'em.

Did you hear what happened?

Yeah. Remind me not
to go hunting with you.

Dr. Hunter, so pleased to meet you.

I'm Dr. Devon Pravesh,

and I just read your paper

on aggressive treatment
of stage IV bladder cancer.

- Are you done sucking up yet?
- Nope. A five-year survival

was higher with platinum-based therapy.

It's incredible.

CONRAD: Oh, man. My new intern.

- He's a real gunner.
- Cancer is fascinating to me.

And you are the top
oncologist in Georgia,

so... maybe if you have
some time someday...

Absolutely. I'd love to help.

Sucking up works for me.

I think Dr. Feldman could
use some help in Trauma Two.

It was good to meet you.

Roughly bird sh*t evenly
distributed across the buttocks.

He's sedated and prepped for you

to start removing the
pellets, Dr. Okafor.

These are superficial wounds.

You don't need a surgeon.
Any fool could do this.

(REMOVES GLOVE)

(PAGER BEEPS)

Got to go. The OR just paged me.

Dr. Pravesh.

Just the man. Divide and conquer.

You take the right
cheek, I'll take the left.

NIC: Conrad.

Micah's heart's arriving
earlier than expected.

- The medevac's five minutes out.
- Don't leave.

I need you.

Sorry. Got a situation here.

Devon, come with me.

Seriously? Seriously?

I've got a case that's
gonna take my full attention.

I know you'll be crushed
to hear you're on your own.

It's Independence Day.

What's Independence Day?

Your first day as a
doctor without my help.

Start by handling sign out.

Doctors at the end of their shifts

must debrief you on all their patients.

You write down every
single word since you know

absolutely nothing about these cases.

You'll be covering patients solo.

- No backup.
- Poor bastard.

What do you mean, "no backup"?

You'll have Nic.

Page me if there's a serious
problem, but remember,

that's a sign of weakness.
Don't let him k*ll anyone.

I'll do my best.

_

How many surgical
residents did you b*at out

to scrub in on a heart transplant?

All of them.

You excited?

Don't I look it?

No.

I am excited. For Micah.

I want him fixed.

- Me too.
- (ELEVATOR BELL DINGS)

Oh, my God.

Um... uh, my name is Dr. Devon Pravesh,

and I'm handling sign out today.

- (ALL CLAMORING)
- Dr. Pravesh.

I've never done this before,
so please, uh, speak slowly,

uh, one at a time,
and-and be-be patient.

First patient is Leona
Bates, -year-old female,

status is post appendectomy in .

- This is her EKG from admission.
- All right.

- Slow down, slow down.
- And then from ten minutes later,

- and then from an hour after that.
- Okay, okay.

- (ALL CLAMORING)
- Uh...

- All right, go ahead.
- -year-old male with a history

of diabetes mellitus, pancreatitis

due to increased triglycerides presented

with abnormal LFTs and a
heterogeneous liver mass.

Lucinda Cooley's blood
glucose level is in the s.

She was getting way too much insulin

(ECHOING): because the
nurse was telling me

- that she'd been hypoglycemic...
- Due to acute illness.

Which super pisses me off.
That's Nurse Raymond.

Watch out for him, okay?
He's a total d*ck.

All right.

Olivia Coffin, -year-old female.

She's a mess.

- Also a whiner.
- And a talker.

- (OVERLAPPING CHATTER)
- On the pain-in-the-ass scale,

- she's ten. - Probably about a ten.
- Super complicated...

Micah Stevens' heart, Doc.

(HEART b*ating)

Hey.

Mitch.

I-Is Mitch all right?

He'll be fine. Don't worry.

PETERSON: We have the results
of the cardiac catheterization.

There's good news and bad news.

You had a very serious heart att*ck,

and the only reason
you're still with us at all

is because you were with these two.

- What's the good news?
- That is the good news.

The bad news is, your
heart was badly damaged.

The ejection fraction
is severely reduced.

BELL: What that means, Trip,

is... you're gonna need a transplant.

Oh, good Lord.

We'll contact UNOS immediately.

You'll be status A.

So that'll put you at the
top of the organ donor list.

You'll be top priority for a new heart.

Well, how long is it
gonna take to find one?

Well, unfortunately,

finding the right match can
take weeks, sometimes months.

Well, maybe.

We do have a new heart at
Chastain. It just flew in.

- That organ is already allocated.
- Well, let's

just wait, see if it's a match.

And if it is, we will un-allocate it.

Right?

Ready?

- Here we go.
- (LAUGHS): Yeah.

Gonna get you back to your class.

Got to teach those students, right?
They need you.

- Yeah.
- Yeah? Okay.

- Let's do this.
- Sorry, Micah. I need Dr. Hawkins

- for just a moment.
- Okay.

Is everything all right?

- Micah's surgery was canceled.
- Why?

His heart was reallocated
to Congressman Dunlap.

They can't do that.

Yes, they can. The hospital
went through proper channels.

- They got the okay from UNOS.
- You mean they pulled strings.

Look, I'm pissed, too, but
they didn't break any rules.

Dunlap has higher priority
than Micah because he's sicker.

There's nothing you can do.

Says who?

I called Dunlap's wife.
Turns out they're separated.

The daughter's coming.
Flying in from California.

Divorce blowback. You get
sick, you're all alone.

Yeah, could happen to us, too.

How many exes have we got between us?

Four, last time I counted.

Unless, of course, you've been busy.

(CHUCKLES): No. No.

But I still haven't given up hope.

Me, I'm off the romance
track permanently.

From here on in, I'm married to my work.

Never say never.

There's Conrad.

He's the resident in
charge of Micah's care.

Don't I know it.

Go easy on him.

Dr. Hawkins, I know you're
upset. I would be, too.

This is against all
protocol, and you know it.

Micah's waited two years for a heart.

You can't just cut in line
for a VIP who hasn't waited

- two minutes.
- Well, they-they both need a heart.

There was only one. It
was a tough decision.

My patient is , with his
whole life ahead of him.

That heart could give him more years.

Trip Dunlap is and a smoker.

His body's far more
likely to reject the heart.

And even if the transplant
takes, what does it buy him,

- ten more years?
- Look, Dunlap is critical. I mean,

he could die tonight. And
Micah, he's waited this long.

- He can safely wait a bit longer.
- His quality of life is zero.

He was an athlete.
He's a science teacher.

Loved by his students.
I know him. We all do,

because he's been in
and out of here so often.

Three times we thought we had a heart.

Three times he was sent home.

Zero complaining or self-pity, ever.

This guy, he's golden.

You want to tell Dunlap's daughter
her father is less deserving?

Why? Because he's a VIP
who can help out Chastain.

You really speak your mind.
It's just, it's a juvenile habit.

The decision was made
for medical reasons alone.

I think we both know
that's not the truth.

I'm gonna cut you some slack
because you're upset.

Chief of surgery,

resident.

Try to remember that.

DEVON: All good news, Mr. Ramirez.
Your EKG looks normal,

- and you should be out of here tomorrow.
- Thank you.

(QUIETLY): You forgot to
listen to his heart, Doctor.

I don't need to listen to his
heart. I looked at his EKG.

Why didn't the murmur
show up on his EKG?

Occasionally, you can
get a normal reading

in patients with
significant heart disease.

Always use your stethoscope.

If you don't, Conrad will ream you.

- Do you have to tell him?
- No, because I know you're never

gonna skip listening to
a patient's heart again.

Devon, I want you to call
the OPO every minutes.

- We need to find another heart.
- Can you get

a physician's assistant to do it?
I'm handling patients.

Most people take a few hours
to fail Independence Day.

You just broke the record.
What has it been, minutes?

- I smell carbs!
- Chad, you have surgery

scheduled today to remove
that foot. You can't eat.

DEVON: No pizza. Take it back.

How 'bout chocolate pudding?

Four or five cups should slay the beast.

You can aspirate food under anesthesia

and die. Even chocolate pudding.

- I told him that.
- Well, I didn't believe him.

Is he a real doctor?

(BEEPING)

Tachycardia .

Doobie's heart rate's spiking.

I want you to call the OPO every
minutes. And don't page me

about a patient unless it's
an emergency. It's a sign

- of weakness.
- It's a sign of weakness.

What's going on, Doobie?

Nothing.

His heart rate's falling.

Are you all right?

(GRUNTS)

WOMAN (ON PHONE): Are you
ready for your injection?

I don't care if you are.

You're getting it.

"Naughty Nurses"? Really?

- (WOMAN GRUNTS)
- When in Rome?

You are recovering from
major heart surgery.

Get the mittens.

Mittens?

(LAUGHING)

WOMAN: Do you like it? Do you like that?

- Do you like it? Yeah! Yeah!
- (LAUGHING): Oh...

(MONITOR BEEPING STEADILY)

(PASSES GAS)

Where have you been?
I paged you three times.

I'm already on your cheek.

- Nic is really good.
- You just noticed?

Why didn't she want to be a doctor?

IRVING: Because she's smart.

Nurses get to spend time
with patients. We don't.

They have a strong union,
earn overtime, make good money.

For all of residency, if you
figure the hours we're working,

interns and residents make minimum wage.

- (MITCH COUGHING)
- Well, I still think she'd make a good doctor.

She's working on her
doctorate. Doctor of Nursing.

(COUGHING)

How long has he been coughing?

IRVING: A while. His
heart rate's over .

O saturation .

He's been immobile for several hours.

I'm hearing some abnormal breath sounds.

Pleuritis?

I think it's a possible
pulmonary embolism.

Let's get him to CT, stat.

SINGERS: ♪ When other helpers fail ♪

♪ And comforts flee ♪

♪ Help of the helpless ♪

♪ O abide with me. ♪

(SIGHS)

NIC: I take it you haven't told him yet.

That we're sending him home
for a fourth time? Not yet.

Do I have to?

Yeah.

(SIGHS)

This isn't like you.

How's my shadow doing?

If you mean Dr. Pravesh, quite well.

- Don't change the subject.
- I want to change the subject.

Let's talk about anything else.

- It's not your fault.
- It feels like it is.

I come up against Bell...
he's like a wall.

I look for a work-around, a side
door, a window... there's none.

You'll find one.

You always do.

God, I love it when you believe in me.

I never stopped believing in you.

- (SIGHS)
- (DOOR CLOSES)

(MONITOR BEEPING)

_

RADIOLOGIST: This the
lobbyist who got sh*t?

Yes.

Filling defect in the
right pulmonary artery,

- suggesting...
- Massive lung clot.

Nice catch.

Particularly impressive for an intern.

- (ALARM BEEPING)
- His pressure just dropped.

Let's get him out of there. Mitch?

Hey, Mitch.

Mitch? He's unconscious.

He needs thrombolysis.

Activate the interventional team.

No. His pressure's / . Page surgery.

Why? I can do the thrombolysis
with a local catheter right now.

It won't work with this patient.
We have to cr*ck his chest open,

remove the clot, and save
whatever lung can be saved.

That's extreme and way too
big a call for you to make

without backup. Page Conrad.

- I'll page him.
- No. I know exactly what to do.

We've got IV access. Let's
give him a stat IV direct

thrombin inhibitor.
Tell the OR we're coming.

- On my call. One, two, three. (GRUNTS)
- Two.

(WEAKLY): What's happening?

You've got a blood clot
in an artery in your lung.

We're taking you to emergency surgery.

Am I going to die?

No. You're gonna be fine, Mitch.

You better hope you made the right call.

♪ Happy birthday to you... ♪

Yes, uh, I'll pass on the
information. Thank you.

♪ ...to you ♪

♪ Happy birthday, dear... ♪

Hey. You finally get through to OPO?

I did.

And they have a heart
that's a match for Micah.

That's great news.

Why do you look like
you're going to a funeral?

It's Chloe.

(MONITOR BEEPING STEADILY)

My first medical error.

You told me to stop CPR,
and I didn't do it.

Rule one: do what I tell you to do,

- no questions asked.
- Conrad, ease up.

She's brain-dead. Neuro confirmed.

They did a full workup.

That's no longer a human
being... that's an organ farm.

- What's the problem here?
- Her mom called the OPO about

- donating her organs, and then she backed off.
- CONRAD: Why?

She can't accept the diagnosis.

Is there any chance that
something good can come of this?

Yes, so many people could
receive her other organs, too.

If the family can be
made to face the truth.

- Want me to speak to them?
- No.

- No.
- No.

- Then you speak to them.
- I can't.

Not anymore. No doctor whose patient

could benefit from an organ
donation can make the case

to a family to withdraw life support.

It's a hard and fast
rule, and a good one.

The hospital, on the
other hand, could step in.

Ugh.

CONRAD: Before you say
anything, I'm not here to argue.

- I have a solution.
- (SIGHS)

You have one minute. Go.

There's a brain-dead patient
in the ICU. Chloe Gellar.

Her heart could save Micah's life,

and you are the only
person I can think of

who can convince the mother
to withdraw life support.

So... so your solution
is to have me walk in

and ask a grieving mother
to unplug her child?

Her child is gone.

- The answer's no.
- No one is better

at communicating than you.

Thanks for the compliment, but no.

Chloe's organs would save so many lives.

You know, humanitarian
considerations aside,

to force a mother's hand

- would risk a lawsuit.
- So Chloe stays

on life support in our ICU indefinitely?

If her family can handle
it financially, yes.

In other words, it's all
about the bottom line.

You would gladly step in

if Chastain weren't
making grand a week

on Chloe's gold-plated insurance.

The whole world is
about the bottom line.

DEVON: Your white blood cell
count is improving, Lily,

but still a bit lower
than we'd like to see.

I think you need to stay
here a little longer.

No, please, Dr. Pravesh.
I just want to go home.

Dr. Hunter already said that I could.

I'm not sure she's seen
your most recent numbers.

Your immune system is still
badly compromised, Lily.

You could easily get
another infection and

- end up back in the ER again.
- DEVON: And that's a huge risk

with leukemia and what
brought you to the ER

- in the first place.
- How we doing in here?

Dr. Hunter, hi!

How you feeling, darling?

Better. Really, so much better.

Well, no fever.

- She did have one this morning.
- Exactly.

That's why I'm trying
to get her out of here.

Lily's more likely to
get another infection

here than she would be at home.

One in seven patients end up
with a hospital-based infection.

People on chemo are most at risk for
everything from the flu to MRSA.

That's why I get my chemo
at Dr. Hunter's clinic.

Makes sense.

- (PAGER BEEPING)
- It does, doesn't it?

Excuse me.

I haven't had the chance to thank you

for taking such good care of my patient.

- Of course.
- LILY: Wow. That's high praise.

She doesn't trust anyone but Conrad.

Well, now I can trust Dr. Pravesh, too.

- (CHUCKLES)
- BELL: And back in the day,

of course, we had no
way to retract skin flaps

without holding your arms

in an extremely uncomfortable
position for hours at a time

until I invented...
this a*t*matic retractor,

which the company named the "Bell."

- (ALL LAUGH)
- Out of modesty,

of course, I demurred,
but they insisted.

Dr. Bell, can I speak with you a moment?

Of course. How is Congressman Dunlap?

Well, there was a complication
with his pre-op tests.

- That's concerning.
- And it appears when he fell,

he fractured a rib,
lacerated his spleen.

We can still do the transplant,
but he'll need a splenectomy first.

And your outcomes after splenectomy

set the national standard.

Can we count on you to scrub
in with the transplant team?

I'd love to.

All right. Thank you.

♪ ♪

(DOOR OPENS)

Well, you know, when I was your age,

we did not have this
technology to practice on.

(BELL CHUCKLES)

I used to practice making
stitches with my hands

jammed inside a tin can, just to
simulate that tight body cavity.

Could you back up?

Your cologne.

I came to offer you an opportunity.

I'm doing a splenectomy prior
to Dunlap's heart transplant,

and I'll need to be quick

with zero pancreatic injury
to keep his outcome in line

with my past successes,

and you are welcome to observe

and possibly even assist.

You blackmailed me.

You wouldn't help me get my visa

unless I did the robotic
surgery you were supposed to do.

- Then... you took all the credit.
- (SIGHS)

I'm never saving your ass again.

(LAUGHS)

How's Mitch doing?

He's not dead yet.

Wait. What do you mean?

Were there complications in surgery?

The clot was extensive.
I'm monitoring his vitals.

I'll give him another
arterial blood gas in an hour

and adjust his ventilator, but
he's not out of the woods yet.

(MONITOR BEEPING)

I couldn't discharge him, Conrad.

He's getting steadily worse.

I can barely feel his pulse.

His hands and feet are cold.

(GASPING): I can't... lie down.

When I do... it feels like I'm drowning.

Your lungs are building up with fluid,

because your heart
is struggling to pump efficiently.

- (GROANS) I'm scared.
- CONRAD: Oh, you got

to hold onto that faith of yours, Micah.

You got to stay strong.

I don't know... if I can.

Where's my miracle, Dr. Hawkins?

I'll find one.

(AIR PUMPING)

- (BEEPS)
- (SIGHS)

NIC: (SIGHS) There you are.

We're running out of time.
They're prepping Dunlap

- for surgery in an hour.
- I know.

- What are you doing?
- Nothing you need to know about.

Who's Samuel Poole?

Whatever you're doing, don't do it.

(CONRAD SIGHS)

(INDISTINCT CHATTER)

Hey, Noni.

You are looking lovely today, as always.

Pretty lovely yourself.

What is it? What...?

(LAUGHS)

Those are cute earrings.

So, um, I need a favor.

Name it.

Can you get me two blood samples?

I have to verify they weren't hemolyzed

in case that messed with
the analysis, and I would

consider it a special favor

if you would do it for me while I wait?

Anything for you, Conrad.

Trip Dunlap, the congressman?

- Mm-hmm. Mm-hmm.
- And Samuel Poole.

Okay.

(SIGHS)

(DISTANT CHATTER)

All good, Noni.

- Thanks.
- Mm-hmm.

BELL: These aren't
consistent with Trip's

blood tests you ran earlier today.

No, the incompatibility is a rare one

that didn't show up the first time.

Randolph, this HLA result means that...

Oh, he'd have a life-threatening

immune reaction if exposed to
this particular donor heart.

PETERSON: The heart would
be destroyed in the process.

We both know this heart
won't work for Dunlap,

but can, however, still
work for Micah Stevens,

the patient who was supposed
to get it in the first place.

And Stevens doesn't
have the same HLA issue?

- No, he doesn't.
- Hmm.

This is quite a save.

What inspired you to run the test again?

Well, I can't take the credit.

Conrad Hawkins asked me to do it

as a precaution, which leaves
us with a pretty big problem.

The press is outside waiting
to report on Dunlap's surgery.

He's in critical condition.

Who's going to go out and tell them

we don't have a heart for him anymore?

Nobody.

♪ ♪

BELL: To me, the people who...

He could talk a dog off a meat truck.

...will see the gift.

He's finally helping
us do the right thing.

For all the wrong reasons.

♪ ♪

CONRAD: I hear Chloe's mother
agreed to donate her organs.

That's nice work, Bell.

BELL: No, I believe
the credit's all yours.

You found a patient with
an HLA incompatibility and

the same blood type as Dunlap's,
you switched the samples,

and then you told Peterson
to run the test again.

- Mm. Prove it.
- I'll have them check the vials

- for fingerprints, and then I'll run the DNA.
- Go for it.

Micah will already have his heart.

And you
will never practice medicine again.

Two patients are getting
organs, two lives saved.

If you want to dirty this win
with a scandal, be my guest.

(BELL SCOFFS)

I don't.

I'll do nothing.

If I get what I want in return.

- Hi.
- Hi.

- MAN: Good luck, Micah.
- WOMAN: Good luck, Micah.

(PANTING)

- Mina?
- What's up?

I have to scrub in for Micah's surgery.

I want you to take Bell's offer instead.

Don't let him screw up the
congressman's splenectomy.

Why would you, of all people,
want me to help HODAD,

- the hands of death and destruction?
- It's not about helping him.

I'm thinking about the best
way to advance your career.

Bell's still the most
requested surgeon at Chastain.

He gets the most interesting cases,

and he trusts you to operate beside him.

You need the practice.
Win-win situation.

Congressman Dunlap,

he doesn't deserve to be harmed
by a botched splenectomy.

You could potentially save a life.

Isn't that what we're here to do?

You had me at "advance my career."

(SIGHS)

♪ Seconds ♪

♪ Ticking off the clock ♪

♪ Counting ♪

♪ Down to when I walk ♪

♪ It's easier to go than to stay ♪

♪ Just watch me take that flicker ♪

♪ To flame ♪

♪ Sometimes... ♪

Dr. Okafor. Now, my approach
to this complex procedure

will die with me if it isn't passed on

to the next generation.
We are a teaching hospital.

See one, do one,

teach one. It's our tradition.

Don't be nervous. I'll
talk you through it.

Careful not to avulse the spleen.

♪ ♪

(MONITOR BEEPING)

♪ Standing in the smoke ♪

♪ Fading into ruin ♪

♪ Nowhere left to go ♪

♪ Hanging on a feeling ♪

♪ Losing all control ♪

♪ Cannot find the healing ♪

♪ Done it all before ♪

BELL: Avoid injury to the splenic vein.

(MONITOR BEEPING)

♪ I can't help ♪

You see that? That pulsing little worm?

That's an extra abnormal artery.

And if you don't ligate it,
the field will get bloody fast,

and you won't be able
to see what you're doing.

♪ Than I can count ♪

♪ All the bridges ♪

♪ I have found ♪

♪ I can't help burning them down ♪

♪ Oh, oh, oh, oh ♪

♪ Oh, oh-oh, oh, oh ♪

♪ Oh, oh, oh, oh ♪

♪ I can't help burning them down ♪

♪ Oh, oh, oh, oh ♪

♪ Oh, oh, oh-oh, oh ♪

♪ Oh, oh, oh, oh ♪

♪ I can't help burning them down. ♪

Where's Lily Kendall?

She went home.

Nic?

Dr. Hunter. I just want
to make sure you're aware

- that Lily's absolute neutrophil cell count...
- Was much better.

Really? 'Cause I saw the numbers, and,

I mean, I just glanced at it,

- but I'm pretty sure...
- I did another draw late today.

Her count improved substantially.

Oh. That's terrific.

Please don't question me
in front of the staff, Nic.

Oh, I'm-I'm sorry.

- I didn't mean to.
- I know you didn't.

And I know you won't
let it happen again.

Thanks.

(SIGHS)

(MONITOR BEEPING)

(KNOCKING ON DOOR)

So they let you keep the foot?

Yeah. Not ready to part with it.

Is that weird?

Well, I hope you like pepperoni.

Not with pineapple.

All right.

Give it to the nurses, then.

You leave with that pizza,

and I'll put one of your feet in a jar.

Sit down.

Grab a slice, Doctor.

Better not be one of them
cauliflower crusts, either.

(LAUGHS)

Good night, Nic.

Good night.

_

(SIGHS)

♪ ♪

(INDISTINCT CHATTER)

♪ All my life I've been searching... ♪

Nic wants a greyhound.

- Uh, no, I don't.
- Yes, you do.

Beer. Whatever's on tap.

She's being difficult.
She wants a greyhound.

MINA: Great day.

New hearts b*ating in new chests.

Outlook for both patients:
highly optimistic.

And I hear Devon crushed
Independence Day?

Day's not over yet.

Hmm. Be right back.

♪ ♪

CONRAD: Something's wrong.

What is it?

(SIGHS)

Dr. Hunter discharged Lily today.

But her white blood cell
count was still really low.

She said it had recovered, but
I went to check Lily's files,

and... they were missing.

Dr. Hunter keeps her
patients' records separate

on her own server at her
clinics, not at the hospital.

Why would she do that?

Most of her people
are in clinical trials,

and the drug protocols and
combinations are patent-pending.

So she owns them?

Yeah.

And stands to profit from them?

Absolutely. Anyone who discovers
a new w*apon against cancer

deserves a reward, don't you think?

♪ ♪

- Can I buy you a drink?
- Sure.

Bubbly water for me.

Don't tell me. You're in AA.

(CHUCKLES): No, nothing like that.

I'm on call.

Oh. You're a doctor?

Oh.

Cameron.

Irving. Nice to meet you.

Hey. I'm Kyle.

Mina.

You work around here?

Yes, at the hospital.

So you're a nurse?

No. I'm a surgeon.

♪ I swear I'll be true ♪

♪ I love only you. ♪

♪ ♪

- MAN: Everybody's having a good time?
- Thank you.

(BALLAD INTRO PLAYING)

Isn't that our song?

We don't have a song.

Well, let's make it this one.

♪ I ♪

♪ May not be ♪

♪ All... ♪

Thank you for today.

Every day, actually.

♪ That's worth more than gold ♪

That's it? No second chances with you?

One strike and I'm out?

Oh, you whiffed the
ball a number of times.

How?

No sense in talking about it.

- Oh, come on, Nic.
- (CHUCKLES)

If I don't know what I
did, how can I fix it?

You can't.

It's who you are.

♪ And I'm not ashamed to say ♪

♪ That I'm gonna love this girl... ♪

- You took a big risk today.
- And it paid off.

Yeah, well, what if
Chloe's mom hadn't agreed

to donate her organs... what then?

Micah would have lived, and
Dunlap probably would have d*ed.

♪ We just got to ♪

You don't have the right
to play God, Conrad.

♪ Whoa... ♪

I'm bad.

I'm so bad.

- (LAUGHS): Exactly.
- Oh, come on.

You know I'm right.

Uh, incoming.

In the ER, I caught Mitch's
PE, which Irving missed,

and then I handed off
patients to the next shift

with no issues, and
I did the whole thing

without asking you one question.

Mm. Okay, well, are you
looking for an attaboy?

'Cause you won't get one.

You should have asked a question

before you sent Mitch for
an unnecessary thoracotomy.

Did you even see a
thoracotomy in med school?

It's when they cut someone open
in the middle of their chest

laterally all the way to their back,

and then they peel back the skin

and literally cr*ck open their ribs

to get to the pleural cavity.

And poor Mitch could have
had a noninvasive femoral cath

and been home in a few days,

but now he's gonna be in the
hospital for at least a week

- enduring a hellishly painful recovery.
- Wrong.

You didn't check Mitch's records. I did.

And it turns out he has a
hereditary platelet dysfunction,

which means a femoral cath
would have caused him massive bleeding,

and he would have d*ed.

So I made a fast call,

and it was the right call,

that may have saved his life.

- And you know how I know that?
- Hmm?

He's doing great in recovery right now.

Look at this guy. He
forgot rule number one.

DEVON: I didn't forget it.

I broke it.

And I will again.

Because you are not always right.

No one is.

That's why this job is so difficult.

And when you're wrong, I will
be the first one to tell you.

And if you don't like that...

cut me.

Right now, right here.

I don't care. End my career.

Because I am not your sl*ve,
your shadow, or your echo.

Devon!

Congratulations, you just
passed Independence Day.