01x01 - Pilot
Posted: 09/16/21 07:34
(CLASSICAL MUSIC PLAYING)
CHU: Bell, yank that sucker,
so we can get out of here.
BELL: Oh, the appendix hasn't burst.
That's good news.
Slippery little fellow.
Did you guys know this is
my first surgery with Dr. Bell?
CLAUDIA: No kidding.
We have to get a photo.
- JESSICA: Make it quick.
- CHERYL: Get in, Chu.
BELL: That is totally inappropriate.
- Go back to your stations.
- CHU: Oh, we're just having fun.
He's out cold, he'll never know.
CLAUDIA: Wait, I'm gonna take a
quick selfie. Get closer together.
CHU: I wish we could do one
without the mask.
(CAMERA PHONE CLICKING)
CLAUDIA: Quit clowning, Chu.
Just one more. I think we got it.
I'm going to send this to my mother.
(CAMERA PHONE CLICKING)
CHU: You'll get us all fired.
Cameras aren't allowed in the OR.
- (BEEPING)
- (COUGHING)
CHU: He's waking up.
- I need to up the sevo.
- (GASPING)
JESSICA: Oh, my God.
Did you hit an artery?
- CLAUDIA: On an appendectomy?
- CHU: You're losing blood fast.
I'm hanging two liters
of normal saline wide open,
Call for four units
of blood and FFP stat.
I'm giving him Trendelenburg.
(PANTING)
BELL: Packing, suction.
CLAUDIA: You have to clamp something.
He's lost at least two liters already.
BELL: Come on, come on.
CHU: We just lost the pulse.
P.E.A. arrest.
BELL: All right, pressure, Cheryl.
I'm starting compressions.
(GRUNTING)
(HEART MONITOR BEEPING)
JESSICA: CPR isn't gonna put all
that blood back into his body.
BELL: Don't die on me.
CHU: It's no use.
(BELL GRUNTS)
(HEART MONITOR BEEPS STEADILY)
(CLASSICAL MUSIC CONTINUES PLAYING)
(BELL PANTING)
CLAUDIA: He is so dead.
CHU: Time of death: : .
(HEART MONITOR BEEP STOPS)
(FLOOR SQUEAKS)
CHERYL: Dr. Bell.
(PANTING)
(WHIMPERS)
Oh...
Well, I think we can all agree
it was the misdosed sevo...
...that led to this
unfortunate situation.
What? You're kidding, right?
The patient woke up,
his arm hit my hand.
You left the blade in the field.
You nicked the artery.
- You all saw it.
- Well, you never should've okayed
him for surgery in the first
place. His INR was abnormal.
The upper range of normal.
That's never gonna fly.
You know, I'm-I'm flashing back
to the time when you tore through
that old woman's oropharynx
on a routine intubation.
Did that fly? I covered for you.
Not this time.
I'm chief of surgery, and he's
at the end of a -hour shift.
(BREATHES DEEPLY)
What did you see?
Well, w-we're all on the same team here,
right?
Maybe he had a heart attack.
(SIGHS)
Yes. There's some family history
of heart disease.
CLAUDIA: Uh, yes.
His left main clogged.
Sudden cardiac event.
CHU: We tried CPR.
He was unresponsive.
Yeah, that works.
Well, that's right.
That's exactly right.
There was no way to prevent this.
Who are you calling?
I'm erasing the photos,
Doctor.
♪ ♪
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ Wake up every morning, ♪
♪ by the night I count stacks ♪
♪ Knew that... was real ♪
♪ when I hit It bounce back ♪
- ♪
♪
- (HORN HONKING)
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ Boy, I been broke as hell ♪
♪ Cashed a check ♪
♪ and bounced back ♪
♪ D-town LAX, every week ♪
♪ I bounce back... ♪
- CONRAD: That's handicapped, pal.
- Yeah, whatever.
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ If you a real one, then you ♪
♪ know how to bounce back ♪
♪ Don't owe nobody, owe nobody ♪
♪ Always, always on the job, ♪
♪ I got no hobbies ♪
♪ Got the city, city with me ♪
♪ 'cause I'm homegrown ♪
♪ Vibin' out more ♪
♪ than my phone, though ♪
♪ Leave me 'lone, ♪
♪ me on my own, though. ♪
This bone here is the acromion.
We have bones,
and I can name each one.
Here is the clavicular head.
The sternum.
I got to go.
No. Stay. It's early.
I don't want to be late on my first day.
You're gonna be an amazing doctor.
DEVON: I know.
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ I want what I want, not what I need ♪
♪ The American dream ♪
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ What I want's just what I want ♪
PRIYA: Every doctor needs one of these.
It's part of the uniform.
- This is insane. I can't...
- Well, you have to.
It can't be returned. I had it engraved.
DEVON: "Dr. Devon Pravesh."
Keep it to remember this day.
Your first as a doctor.
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ What I want's just what I want ♪
♪ The American dream ♪
♪ What I want's just what I want ♪
♪ The American dream ♪
♪ The American dream. ♪
CARA: Wow.
That's him.
DEVON: Dr. Randolph Bell.
Chief of surgery. He's a legend.
Thank you very much for coming.
I really appreciate you taking the time.
And, Dr. Shore, thank you...
DEVON: Excuse me, Dr. Bell?
I just wanted to say
that I really admire you.
And you're the reason
why I chose this residency.
Well, you made the right decision.
Good luck to you.
Thank you.
Okay. So that's pretty much it?
Did you see that?
I feel like I just got blessed
by the Pope.
Oh, my supervising resident
just texted me.
Oh! A winky and a smiley face.
- That's got to be good, right?
- Yeah. Yeah.
(PHONE BEEPS)
(CHUCKLES SOFTLY)
(DANCE MUSIC PLAYING)
DEVON: Um, hey, man.
Know where I can find
Dr. Conrad Hawkins?
Namaste.
You found him.
Take off that tie.
You're not at Harvard anymore.
What are you into? White, black?
Brown?
Men?
- I-I don't understand what you...
- Oh...
"I don't understand."
Were you affirmative action at Harvard?
I read your file, bro.
Yale, then Harvard.
Let's go.
first authors. Step score: .
- I got by the way.
- TRANSPORT WORKER: Dr. C.
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.
EDMUND: Over easy, no cheese,
no mayo, breakfast sandwich.
CONRAD: Good man.
Second year.
I broke him.
Now he's a doctor.
- You're not.
- (BOTH LAUGH)
You got your little white coat, though.
Your stethoscope, your penlight.
You're all ready to play doctor, right?
No, no, no, no. It's not like that.
We're not laughing together.
Everything you thought you knew
about medicine is wrong.
All the rules you followed, we'll break.
I have only one rule. Covers everything.
I'm never wrong.
You do whatever the hell I tell you.
No questions asked.
- Do you want me to speak now?
- That's a question.
No, no, no, no, no, no, no.
Don't do that.
Don't do that. Eyes on me.
My last resident had an attitude, too,
and you know where he is now?
He's teaching eighth
grade biology. I cut him.
Do you know what that means?
It means I can end your career.
Just like that.
Remove you from this residency
at any time, for any reason.
And if I do that, no other
residency will take you.
All you'll have left from that
fancy Harvard medical school degree
is a mountain of debt.
Now, let's meet your first patient.
This is Dobroslav.
He's Croatian, speaks no English.
He has severe cauda equina syndrome.
What are we worried about?
- Early paralysis.
- Hey, man.
CONRAD: What's the first
sign of paralysis?
- a**l tone.
- Stick your finger up his ass.
Normal procedure is to get an MRI.
Thank you so much for telling me
about normal procedure.
An MRI would take hours and delay
steroid treatment and surgery,
both of which might save Dobroslav.
A loose rectum means
his legs may give out soon.
Tight means there's no paralysis.
So we need to know exactly
how tight it is up there.
Good afternoon,
we need to explore your rectum.
(AUTOMATED VOICE SPEAKING
OVER PHONE IN CROATIAN)
(GROANS LIGHTLY)
CONRAD: How tight would you say it is?
Compared to your prom date.
Stay like that until you can
answer the question.
Excuse me, nurse? Devon.
Nic.
I need a new resident.
Mine's impossible.
- You got Conrad.
- Yes, I did.
And I need someone else, like, now.
Let's say your car has a rattle.
So you take it to a mechanic and this
guy's kind, polite, eager to help.
For two days, he runs every test
in the book.
And then he calls you and says it's
gonna set you back a thousand bucks.
So you max out your credit card
and on your drive home, guess what.
What?
You hear the same rattle.
Or you could take the same car with
the same rattle to another mechanic.
And this guy is rude, uh,
dismissive, arrogant,
but he tightens a bolt,
fixes the rattle,
charges you five bucks. Problem solved.
This is nothing like that.
No, because your car can't end up dead.
Watch and learn.
Conrad's the guy who tightens the bolt.
Four heart failure disasters.
Two went straight to the unit.
One is dry and cold.
Now a new admission shows up
with a bewildering array of symptoms.
You'd probably diagnose her
by the type of dirt on her shoe.
Could you possibly do a quick consult?
I'm slammed.
- Ah.
- I took that photo.
MAN: Mrs. Robinson, we're going
to get you back to your room.
"No gamers, no slackers, no doctors."
That's pretty clear.
What did you do this time?
Tell me about the new admission.
Alopecia, discoid rash,
rising urea nitrogen...
Lupus.
Lupus.
MAN (OVER P.A.): HR to Dr. Shaw.
HR to Dr. Shaw.
♪ Feeling fallen like a stone ♪
♪ You ask your mother "Is it true?" ♪
♪ Stays to listen... ♪
You think you can just kiss me?
I will do whatever it takes
to get you back.
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me... ♪
Take off your shirt.
My shirt?
If we're gonna do this,
we're gonna do it my way.
♪ We're the last to know ♪
♪ We're the last to know... ♪
And your pants.
♪ It's no fun, you're the last one ♪
♪ You're the last to know ♪
♪ You're the last to know. ♪
Nic.
Nic.
(JIGGLES DOORKNOB, GROANS)
Not funny. Nic.
Acute leukemic on chemo.
Fiancé called because she was
shaking uncontrollably.
Uh, she spiked a fever
this morning, . .
Also, there was some vomiting.
There's no blood in it.
Last chemo was a week ago.
- Hey.
- You're here.
- I was scared.
- Ah, you're running a fever.
It's just another infection.
Chemo is still crushing
your immune system.
We'll get you started on
broad-spectrum antibiotics again.
Acetaminophen to get your fever down.
Get cultures from both arms. Urine.
She'll need a head CT.
- Okay.
- Don't worry.
We'll get this under control.
Get you both back home soon.
You're in good hands.
Guess where he went to medical school.
I think he went
to Harvard Medical School.
(LAUGHING):
Was it Harvard Medical School?
I'm pretty sure it was
Harvard Medical School.
Lily means a lot to all of us.
She's been in and out
of the ER so often,
we're all invested, but her
diagnosis is a tough one.
I'm giving you a gift.
From now on, she's your patient.
But if you screw this one up,
I will wreck you.
- I got it.
- NIC: Hey, Conrad.
What's wrong?
Your appendectomy patient
who had surgery last night...
What about him?
Conrad, he's dead.
What the hell happened?
HODAD happened.
What was it this time, Bell?
- Pulmonary embolism?
- Undisclosed heart condition.
Tragic situation,
and naturally I covered for you.
You need to consider a change
before you k*ll any more patients.
How dare you?
Go be one of those celebrity
TV doctors. You look the part.
Make a lot of money, wear nice clothes.
- You'd be great at it.
- You watch yourself, Conrad.
You know, I'm remembering
a pretty, young resident
that reported a fatal chemo
overdose a couple years back.
That good deed... that led to a lawsuit
that cost the hospital millions.
You tell me, Conrad, where is she today?
WOMAN (ON MONITOR):
...with cutting-edge research.
At this moment,
our patients are involved
in over ...
Not here.
♪ Gonna be here all my life ♪
♪ But I don't know what else to do... ♪
How'd you get that cheeseburger, Chad?
Delivery app.
It looks like you haven't
been following your diet.
Diets don't work.
Have you been taking your insulin?
I don't want a lecture, Nic.
I'm here 'cause my toe's k*lling me.
(GAGS)
Severe gangrene.
♪ All I know ♪
♪ Hear me on the radio ♪
♪ But I keep thinking ♪
♪ the time will go... ♪
The toe was already dead.
I just touched it.
- He broke my toe!
- His toe fell off.
Chad, buddy, we are amputating
the whole foot.
You knew this was coming. Devon.
What do you think they got for dessert?
You can't keep me here!
- IRVING: You need to settle down.
- CARA: Calm down.
New admission. -year-old girl,
history of IV drug use.
Likely endo.
She was trying to steal Dilaudid.
Now she wants to leave AMA.
- She's been spiking fever, vomiting.
- SISTER: She's using again.
She took all my money
and spent it on oxy.
- (YELLING)
- Oy, listen to me.
- Whoa, whoa, whoa, whoa.
- Please, stop.
Hey, hey, hey. See these?
See these? These are Osler's nodes
caused by bacteria swarming
in your blood
and moving throughout your body.
Classic for endocarditis,
an infection of the heart valve.
Happens to drug users all the time.
If you walk out of here without any
antibiotics, this will k*ll you.
If you give us a chance,
we can save your life.
I'll stay if you give me
three milligrams of Dilaudid.
Two.
If you calm down and
you get back in bed right now.
Chloe, baby!
- Get a crash cart.
- Chloe, baby!
- I'm not getting a pulse.
- Code Blue in ED alpha!
- Get them out of here.
- No, no!
- Baby, no! No!
- You need to give them space.
Start compressions.
You're running the code.
- I've never run a code.
- Do you want an amp of bicarb?
He's in charge.
IRVING: Page Anesthesia.
What is the first question
you ask in a code?
Rhythm.
What's her rhythm?
P.E.A.
- Should we shock?
- No, we can't.
Her rhythm's not shockable. Get me
one of epi. Make those compressions
harder and faster. Prepare to intubate.
(LIGHTLY GRUNTING)
It's been minutes.
It's time to call the code.
No!
This is my code. You gave me this code.
She's years old.
Harder, man.
You need to feel the ribs crack.
(IRVING GRUNTING)
That's enough.
No. Move.
I'm not giving up.
(HEART MONITOR FLATLINING)
I said that's enough.
We got a pulse.
You saved her life.
Her end tidal CO was less
than for the entire code.
- That doesn't necessarily mean that...
- Yes. Yes, it does.
She's been without oxygen
to her brain for minutes.
Congratulations, you got her heart
beating again, but she's brain-dead.
CONRAD: You came in here all
bright-eyed and bushy-tailed,
ready to save lives, but today
you didn't save a life.
You saved a brain stem
because you didn't listen to me.
Now the repercussions on Chloe's
family will be catastrophic.
There's no way they'll accept this.
Chloe looks alive.
They'll think she can wake up.
So they will hover over her,
tend to her for days,
weeks, maybe years,
waiting for a miracle to happen
that's utterly impossible.
What was rule one, Devon?
Do whatever you tell me to do.
No questions asked.
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.
As you can see,
the Titian is an amazing piece
of medical technology.
We've nicknamed it the "Hand of God"
because it does what no
human hands could accomplish.
- Even yours?
- (LAUGHTER)
Yeah, even mine.
(BELL CHUCKLES)
BELL: The finest surgeon in the world
would benefit from the Titian.
It's capable
of movements that are incredibly
steady and precise,
virtually eliminating human error.
RENATA: Chastain Park Memorial
is the first hospital in the country
to have this miraculous machine,
thanks to Dr. Bell, who spearheaded
this fund-raising campaign,
and, of course, to you,
our very generous donors.
Thank you.
CONRAD: "Serious complications may
occur, up to and including death.
Individual surgical results may vary."
I've trained for months to do this.
Results will not vary.
CONRAD: Until Bell gets his hands on it.
- Over my dead body.
- I'm sure HODAD could manage that.
I heard a nurse call him HODAD.
What does it stand for?
Hands of Death and Destruction.
You're kidding.
Does that mean everyone knows
about his complication rate?
CONRAD: All the nurses,
some of the doctors.
The ones who pay attention.
Poetry.
But none of the patients.
They're clueless.
You've got the best hands
in the business,
but he's still the most requested
surgeon in the hospital.
Have you seen his reviews online?
- He has got five stars.
- (MINA CHUCKLES)
Top patient review: "McDreamy is real."
- You want to hear yours?
- Don't care.
You got one star.
"Steer clear of Dr. Okafor.
She told me my uterus sucked."
It did suck.
I just had hernia surgery with Dr. Bell.
The man has magic hands.
WOMAN (OVER P.A.):
Dr. Flores, dial ...
BELL: Hey.
Randolph, I'm so glad you're here.
Where else would I be?
You better finish up
those smoked oysters.
There's no food after midnight.
All right. They're absolutely delicious.
This whole VIP floor is spectacular.
It's nothing more than
you deserve, my friend.
If it hadn't been
for your generous donation,
there would be no new cancer wing.
- Well...
- So...
I hear you're gonna be the first patient
to benefit from the Titian.
Yeah, it's quite the honor.
I hear the damn thing
practically operates itself.
Have you met your surgeon yet,
Dr. Okafor?
Nope, not yet.
She's Nigerian.
Mm-hmm.
Yeah, here on a visa.
Very promising young resident.
(SIGHS)
What do you mean, "young resident"?
Well, second year, I believe.
Randolph, I spoke directly to the CEO...
I mentioned you... but she told me
that Dr. Okafor was the best
possible person to remove
my prostate with the Titian.
- She'll be fine, I'm fairly certain.
- I want you.
You're the chief of surgery.
Don't you think I deserve the best?
Yes.
And I'll make sure you get it.
Thank you.
Lisa brought this back to you, baby,
your honey bunny.
I'm so happy you're with us again.
I'll be right back, my darling.
Dr. Pravesh,
I never thanked you
for saving my daughter's life.
Thank you.
You're wonderful.
I'll be in the cafeteria
if she wakes up.
(MONITOR BEEPING)
You okay?
Nothing like this has ever
happened to me before.
They'll do an investigation, right?
Are you kidding me? The hospital
will probably give you a medal.
Every day Chloe's in the ICU,
they bill thousands of dollars.
It's a huge payday for them.
Medicine isn't practiced
by saints, Devon.
It's a business.
Yeah, but this, all this,
just isn't what I imagined.
Then you're lucky.
When I was , my mom went in
for her routine physical.
They did some tests, and they...
they found something small on her lung.
So they cracked her chest,
and her lung collapsed.
She got pneumonia, and five days later,
she was dead.
She was years old.
I'm so sorry.
This happens all the time, Devon.
Medical error is
the third-leading cause of death
in the United States
after cancer and heart disease.
They don't want us talking about that.
But you still show up here every day.
'Cause it's personal to me.
And there are still plenty of good
doctors and nurses
trying to do the right thing.
I'm just trying to be one of 'em.
Lily.
You look like you're feeling better.
Yeah, yeah. Conrad's a miracle worker.
Well, good. Let's get you back
in bed. You need to stay warm.
Where's your fiancé?
Oh, he... he left a few hours ago.
I was still in the ER.
I bet he's just exhausted.
He'll be back tomorrow, I'm sure.
No, he won't.
I got diagnosed a month after
I got engaged.
It's not his fault.
He didn't sign up for cancer.
I mean, maybe if I just
let him go sooner...
I was selfish.
Didn't want to die alone.
(PAGER BEEPS, VIBRATES)
Do you have to go right away?
No.
No. We can talk.
(SIGHS)
(INDISTINCT VOICE OVER P.A.)
(PAGER BUZZING, BEEPING)
(BUZZING, BEEPING)
(BUZZING, BEEPING)
Come on, man.
(BUZZING, BEEPING)
- (ALARM SOUNDING)
- NIC: Status?
We pushed adenosine
six milligrams, then .
- She's still tach'ing away at .
- Try verapamil.
WOMAN: That won't work, Dr. Bell,
she's gonna have a heart attack.
- (ALARM SOUNDING)
- (WHISTLING)
(ALARM CONTINUES SOUNDING)
I think her heart's had
enough AV blockade.
(GASPS LOUDLY)
(ALARM SOUNDING)
(SIGHS)
Oh. (GASPS)
(INHALES AND EXHALES SHARPLY)
- (ALARM STOPS, BEEPING)
- Normal rhythm. Her heartbeat is back.
BELL: Ice water stimulus.
Prompts vagal tone,
restores normal rhythm in SVT.
Called the Diver's Reflex.
That was my next step.
Two in one day would have been
a bit excessive.
(INDISTINCT ANNOUNCEMENT OVER P.A.)
Tightening the bolt.
You saved my life, Dr. Bell.
Thank you so much.
- Nothing to it.
- (BEEPING CONTINUES)
I don't have time to give
updates on how the surgeries
went one by one. Are the
families all assembled?
Dr. Okafor, you have to talk
to them each individually.
- There are rules about this.
- I get it.
(INDISTINCT VOICE OVER P.A.,
CROWD CHATTER)
Luis is doing fine. He's in recovery.
- Oh.
- Oh.
Raj is in the ICU. It's touch and go.
- Oh.
- Oh.
Prescott's dead. (SNIFFLES)
What? Huh?
(INDISTINCT CHATTER)
Dr. Okafor! A word.
Sorry, I'm on my way out. I need to rest
for the first robot
prostatectomy tomorrow morning.
Well, that's actually why I'm here.
The patient has requested
- a last-minute change in the lineup.
- The lineup?
Lyle's always been my patient.
He's asked me to step in.
Does he have a death wish?
I hear you're applying for an O- visa.
You'll need a letter of
recommendation from your supervisor.
- I believe that'd be me.
- Dr. Bell,
you have never touched the Titian.
It takes many hours of practice
to be proficient.
You cannot do that surgery.
As in, it's literally impossible.
You have no idea what's possible
for a surgeon with my experience
and expertise.
The surgery is first thing
tomorrow morning.
There isn't enough time
to bring you up to speed.
I have to draw a line here.
This can't happen.
It's too risky for you
and for the patient.
Oh, then, I'm afraid
you'll be heading back to Abuja.
And as you know, immigration to the
States has become quite difficult.
We're shutting our doors.
Given the political unrest
and the quality
of health care available in Nigeria,
you might want to reconsider.
If I help you, you'll get your visa.
If I don't, you won't.
(SIREN WAILING IN DISTANCE)
Your call.
Start with a simple maneuver.
Four-millimeter incision
on the ventral surface.
(WHIRRING)
Slow and steady.
I've got it.
(BEEPING RAPIDLY)
What the hell's wrong with the machine?
It would be better,
for everyone, if I do this.
No. The patient asked for me.
I'm always there for my patients.
Just put that plum back on the table,
and let's get on with it.
Round .
Oh, for crying out loud!
(SNORING)
(SNORING STOPS)
(SNORING)
(LIGHT SWITCH CLICKS)
(EXHALES)
This is a new low even for you.
Is your pride really worth more
than the life of a patient?
Get out.
I can't stop this train wreck,
so I just wanted to let you know,
I've arranged for a very wide audience.
What are you talking about?
The hospital's gonna stream
the robotic surgery live.
Not just to the donors
who are watching here,
but to thousands of viewers online.
Unless, of course,
you want to step aside.
(EXHALES)
(CHUCKLES) Idiot.
I'll do no such thing.
The more witnesses the better.
This is going to be
a flawless presentation.
- (BEEPING)
- Do you think you can sleep?
Uh, yeah, I think so.
Hey, can I ask you something?
Of course.
What are my odds?
I mean, is there a chance
I can survive this?
I looked at your chart, and
you're on an intense protocol.
The next few months will be rough,
but you can beat this.
(MONITOR BUZZING)
How are you feeling, Lily?
A bit weak all of a sudden.
Your blood pressure is low. / .
It was / a minute ago.
Lily. Lily! Lily.
Lily!
Where's Conrad?
- He's in the ER. Why? What's wrong?
- Lily's BP is / and dropping.
Can we please get rapid response now?
Get a CBC, CMP, LFTs, lactate.
Is the IV wide open?
Systolic's fluctuating,
but it's not good.
We're three liters in already.
It's sepsis.
You want to give norepi peripherally?
No. Get a central line.
No. You've never done one.
We wait for Conrad.
We can't. She'll die.
NIC: Prepare the iodine swabs.
We need norepi and vaso on
the table. Get pharm here now.
I want leads on her at all times.
Call for an ultrasound as backup.
Scalpel.
Scalpel.
NIC: Have respiratory on page, please.
Oh, good. Her pressure's crashing.
We need a central line now.
I can see that.
Go on.
- Do it.
- Conrad, seriously...
- You heard me.
- She's right. You should do it, not me.
Then why are you here?
Premed, med school, MCATs.
Was that just for fun?
Come on. Be a doctor,
or go be something else.
(PANTING)
NIC: Her stats are slipping.
Pressure's / and dropping fast.
Okay.
Keep going.
So far, you haven't k*lled her.
Start at five micrograms.
Titrate up as needed.
Don't look at him.
I'm right, and you know it.
What next?
When her pressure levels out,
wean her off the norepi
and then drown her in fluids.
Congratulations.
We just busted your cherry.
(EXHALES)
BELL: We are moments away from the
maiden voyage of our new Titian.
And after having spent
considerable time working
with it, I can definitively say
this is a miraculous machine.
And we expect it to be particularly
useful for radical prostatectomies,
which is what we're doing today.
(SOFT WHIRRING)
(SIGHS) Tell me this isn't happening.
Oh, this is happening.
The man is insane.
Only upside is
this should be a career-ender.
(SIGHS) I can't watch.
I can't look away.
BELL: The prostate has
to be carefully peeled
off the bladder.
The risk of rupture and bleeding is high
in unskilled hands.
How is this possible?
BELL: As you can see, the robotic
instruments are smaller
than your fingernails.
But that blade
is sharper than a # .
This represents the union of human
ingenuity and cutting-edge technology.
Man and machine are melded,
working as one.
(STEADY BEEPING)
Where's Chloe's family?
They just left for the first time.
The mom was sleeping in there
in case she woke up.
You're done.
You can go home.
Hey!
I want to show you something.
Annabeth. Five. She had cancer.
I was a first year, just like you.
I gave her too much potassium.
She died.
From me, not the cancer.
If it were easy,
everyone would be a doctor,
because this is the best job in
the world. Despite everything.
Because of everything.
I'll see you tomorrow.
♪ ♪
♪ Lay my heart down ♪
♪ Laid it down for you ♪
♪ Laid it down for you ♪
♪ Oh ♪
♪ Put my arms out ♪
♪ Put 'em out to you ♪
♪ Oh, Lord, I was reaching for ya ♪
♪ Reaching for ya ♪
♪ Oh, child ♪
♪ Reaching for ya, reaching for ya ♪
♪ Oh, but you ♪
♪ Will never know this love ♪
♪ Will never know this pain ♪
♪ Never know the way I feel for you ♪
♪ You will never know this touch ♪
♪ Will never know this shame ♪
♪ Never know the way I want you to ♪
♪ You will never know ♪
♪ My love ♪
♪ You will never feel ♪
♪ The way I do ♪
♪ You will never know ♪
♪ My love ♪
♪ You will never feel the way I do ♪
(BEEP)
(MONITOR BEEPING STEADILY)
(BEEPING STOPS)
(WHIRRING, STEADY BEEPING)
CHU: Bell, yank that sucker,
so we can get out of here.
BELL: Oh, the appendix hasn't burst.
That's good news.
Slippery little fellow.
Did you guys know this is
my first surgery with Dr. Bell?
CLAUDIA: No kidding.
We have to get a photo.
- JESSICA: Make it quick.
- CHERYL: Get in, Chu.
BELL: That is totally inappropriate.
- Go back to your stations.
- CHU: Oh, we're just having fun.
He's out cold, he'll never know.
CLAUDIA: Wait, I'm gonna take a
quick selfie. Get closer together.
CHU: I wish we could do one
without the mask.
(CAMERA PHONE CLICKING)
CLAUDIA: Quit clowning, Chu.
Just one more. I think we got it.
I'm going to send this to my mother.
(CAMERA PHONE CLICKING)
CHU: You'll get us all fired.
Cameras aren't allowed in the OR.
- (BEEPING)
- (COUGHING)
CHU: He's waking up.
- I need to up the sevo.
- (GASPING)
JESSICA: Oh, my God.
Did you hit an artery?
- CLAUDIA: On an appendectomy?
- CHU: You're losing blood fast.
I'm hanging two liters
of normal saline wide open,
Call for four units
of blood and FFP stat.
I'm giving him Trendelenburg.
(PANTING)
BELL: Packing, suction.
CLAUDIA: You have to clamp something.
He's lost at least two liters already.
BELL: Come on, come on.
CHU: We just lost the pulse.
P.E.A. arrest.
BELL: All right, pressure, Cheryl.
I'm starting compressions.
(GRUNTING)
(HEART MONITOR BEEPING)
JESSICA: CPR isn't gonna put all
that blood back into his body.
BELL: Don't die on me.
CHU: It's no use.
(BELL GRUNTS)
(HEART MONITOR BEEPS STEADILY)
(CLASSICAL MUSIC CONTINUES PLAYING)
(BELL PANTING)
CLAUDIA: He is so dead.
CHU: Time of death: : .
(HEART MONITOR BEEP STOPS)
(FLOOR SQUEAKS)
CHERYL: Dr. Bell.
(PANTING)
(WHIMPERS)
Oh...
Well, I think we can all agree
it was the misdosed sevo...
...that led to this
unfortunate situation.
What? You're kidding, right?
The patient woke up,
his arm hit my hand.
You left the blade in the field.
You nicked the artery.
- You all saw it.
- Well, you never should've okayed
him for surgery in the first
place. His INR was abnormal.
The upper range of normal.
That's never gonna fly.
You know, I'm-I'm flashing back
to the time when you tore through
that old woman's oropharynx
on a routine intubation.
Did that fly? I covered for you.
Not this time.
I'm chief of surgery, and he's
at the end of a -hour shift.
(BREATHES DEEPLY)
What did you see?
Well, w-we're all on the same team here,
right?
Maybe he had a heart attack.
(SIGHS)
Yes. There's some family history
of heart disease.
CLAUDIA: Uh, yes.
His left main clogged.
Sudden cardiac event.
CHU: We tried CPR.
He was unresponsive.
Yeah, that works.
Well, that's right.
That's exactly right.
There was no way to prevent this.
Who are you calling?
I'm erasing the photos,
Doctor.
♪ ♪
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ Wake up every morning, ♪
♪ by the night I count stacks ♪
♪ Knew that... was real ♪
♪ when I hit It bounce back ♪
- ♪
♪
- (HORN HONKING)
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ Boy, I been broke as hell ♪
♪ Cashed a check ♪
♪ and bounced back ♪
♪ D-town LAX, every week ♪
♪ I bounce back... ♪
- CONRAD: That's handicapped, pal.
- Yeah, whatever.
♪ Last night took a "L," ♪
♪ but tonight I bounce back ♪
♪ If you a real one, then you ♪
♪ know how to bounce back ♪
♪ Don't owe nobody, owe nobody ♪
♪ Always, always on the job, ♪
♪ I got no hobbies ♪
♪ Got the city, city with me ♪
♪ 'cause I'm homegrown ♪
♪ Vibin' out more ♪
♪ than my phone, though ♪
♪ Leave me 'lone, ♪
♪ me on my own, though. ♪
This bone here is the acromion.
We have bones,
and I can name each one.
Here is the clavicular head.
The sternum.
I got to go.
No. Stay. It's early.
I don't want to be late on my first day.
You're gonna be an amazing doctor.
DEVON: I know.
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ I want what I want, not what I need ♪
♪ The American dream ♪
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ What I want's just what I want ♪
PRIYA: Every doctor needs one of these.
It's part of the uniform.
- This is insane. I can't...
- Well, you have to.
It can't be returned. I had it engraved.
DEVON: "Dr. Devon Pravesh."
Keep it to remember this day.
Your first as a doctor.
♪ I want what I want, not what I need ♪
♪ Even if it kills me, I'll be free ♪
♪ What I want's just what I want ♪
♪ The American dream ♪
♪ What I want's just what I want ♪
♪ The American dream ♪
♪ The American dream. ♪
CARA: Wow.
That's him.
DEVON: Dr. Randolph Bell.
Chief of surgery. He's a legend.
Thank you very much for coming.
I really appreciate you taking the time.
And, Dr. Shore, thank you...
DEVON: Excuse me, Dr. Bell?
I just wanted to say
that I really admire you.
And you're the reason
why I chose this residency.
Well, you made the right decision.
Good luck to you.
Thank you.
Okay. So that's pretty much it?
Did you see that?
I feel like I just got blessed
by the Pope.
Oh, my supervising resident
just texted me.
Oh! A winky and a smiley face.
- That's got to be good, right?
- Yeah. Yeah.
(PHONE BEEPS)
(CHUCKLES SOFTLY)
(DANCE MUSIC PLAYING)
DEVON: Um, hey, man.
Know where I can find
Dr. Conrad Hawkins?
Namaste.
You found him.
Take off that tie.
You're not at Harvard anymore.
What are you into? White, black?
Brown?
Men?
- I-I don't understand what you...
- Oh...
"I don't understand."
Were you affirmative action at Harvard?
I read your file, bro.
Yale, then Harvard.
Let's go.
first authors. Step score: .
- I got by the way.
- TRANSPORT WORKER: Dr. C.
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.
EDMUND: Over easy, no cheese,
no mayo, breakfast sandwich.
CONRAD: Good man.
Second year.
I broke him.
Now he's a doctor.
- You're not.
- (BOTH LAUGH)
You got your little white coat, though.
Your stethoscope, your penlight.
You're all ready to play doctor, right?
No, no, no, no. It's not like that.
We're not laughing together.
Everything you thought you knew
about medicine is wrong.
All the rules you followed, we'll break.
I have only one rule. Covers everything.
I'm never wrong.
You do whatever the hell I tell you.
No questions asked.
- Do you want me to speak now?
- That's a question.
No, no, no, no, no, no, no.
Don't do that.
Don't do that. Eyes on me.
My last resident had an attitude, too,
and you know where he is now?
He's teaching eighth
grade biology. I cut him.
Do you know what that means?
It means I can end your career.
Just like that.
Remove you from this residency
at any time, for any reason.
And if I do that, no other
residency will take you.
All you'll have left from that
fancy Harvard medical school degree
is a mountain of debt.
Now, let's meet your first patient.
This is Dobroslav.
He's Croatian, speaks no English.
He has severe cauda equina syndrome.
What are we worried about?
- Early paralysis.
- Hey, man.
CONRAD: What's the first
sign of paralysis?
- a**l tone.
- Stick your finger up his ass.
Normal procedure is to get an MRI.
Thank you so much for telling me
about normal procedure.
An MRI would take hours and delay
steroid treatment and surgery,
both of which might save Dobroslav.
A loose rectum means
his legs may give out soon.
Tight means there's no paralysis.
So we need to know exactly
how tight it is up there.
Good afternoon,
we need to explore your rectum.
(AUTOMATED VOICE SPEAKING
OVER PHONE IN CROATIAN)
(GROANS LIGHTLY)
CONRAD: How tight would you say it is?
Compared to your prom date.
Stay like that until you can
answer the question.
Excuse me, nurse? Devon.
Nic.
I need a new resident.
Mine's impossible.
- You got Conrad.
- Yes, I did.
And I need someone else, like, now.
Let's say your car has a rattle.
So you take it to a mechanic and this
guy's kind, polite, eager to help.
For two days, he runs every test
in the book.
And then he calls you and says it's
gonna set you back a thousand bucks.
So you max out your credit card
and on your drive home, guess what.
What?
You hear the same rattle.
Or you could take the same car with
the same rattle to another mechanic.
And this guy is rude, uh,
dismissive, arrogant,
but he tightens a bolt,
fixes the rattle,
charges you five bucks. Problem solved.
This is nothing like that.
No, because your car can't end up dead.
Watch and learn.
Conrad's the guy who tightens the bolt.
Four heart failure disasters.
Two went straight to the unit.
One is dry and cold.
Now a new admission shows up
with a bewildering array of symptoms.
You'd probably diagnose her
by the type of dirt on her shoe.
Could you possibly do a quick consult?
I'm slammed.
- Ah.
- I took that photo.
MAN: Mrs. Robinson, we're going
to get you back to your room.
"No gamers, no slackers, no doctors."
That's pretty clear.
What did you do this time?
Tell me about the new admission.
Alopecia, discoid rash,
rising urea nitrogen...
Lupus.
Lupus.
MAN (OVER P.A.): HR to Dr. Shaw.
HR to Dr. Shaw.
♪ Feeling fallen like a stone ♪
♪ You ask your mother "Is it true?" ♪
♪ Stays to listen... ♪
You think you can just kiss me?
I will do whatever it takes
to get you back.
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me ♪
♪ It's following me... ♪
Take off your shirt.
My shirt?
If we're gonna do this,
we're gonna do it my way.
♪ We're the last to know ♪
♪ We're the last to know... ♪
And your pants.
♪ It's no fun, you're the last one ♪
♪ You're the last to know ♪
♪ You're the last to know. ♪
Nic.
Nic.
(JIGGLES DOORKNOB, GROANS)
Not funny. Nic.
Acute leukemic on chemo.
Fiancé called because she was
shaking uncontrollably.
Uh, she spiked a fever
this morning, . .
Also, there was some vomiting.
There's no blood in it.
Last chemo was a week ago.
- Hey.
- You're here.
- I was scared.
- Ah, you're running a fever.
It's just another infection.
Chemo is still crushing
your immune system.
We'll get you started on
broad-spectrum antibiotics again.
Acetaminophen to get your fever down.
Get cultures from both arms. Urine.
She'll need a head CT.
- Okay.
- Don't worry.
We'll get this under control.
Get you both back home soon.
You're in good hands.
Guess where he went to medical school.
I think he went
to Harvard Medical School.
(LAUGHING):
Was it Harvard Medical School?
I'm pretty sure it was
Harvard Medical School.
Lily means a lot to all of us.
She's been in and out
of the ER so often,
we're all invested, but her
diagnosis is a tough one.
I'm giving you a gift.
From now on, she's your patient.
But if you screw this one up,
I will wreck you.
- I got it.
- NIC: Hey, Conrad.
What's wrong?
Your appendectomy patient
who had surgery last night...
What about him?
Conrad, he's dead.
What the hell happened?
HODAD happened.
What was it this time, Bell?
- Pulmonary embolism?
- Undisclosed heart condition.
Tragic situation,
and naturally I covered for you.
You need to consider a change
before you k*ll any more patients.
How dare you?
Go be one of those celebrity
TV doctors. You look the part.
Make a lot of money, wear nice clothes.
- You'd be great at it.
- You watch yourself, Conrad.
You know, I'm remembering
a pretty, young resident
that reported a fatal chemo
overdose a couple years back.
That good deed... that led to a lawsuit
that cost the hospital millions.
You tell me, Conrad, where is she today?
WOMAN (ON MONITOR):
...with cutting-edge research.
At this moment,
our patients are involved
in over ...
Not here.
♪ Gonna be here all my life ♪
♪ But I don't know what else to do... ♪
How'd you get that cheeseburger, Chad?
Delivery app.
It looks like you haven't
been following your diet.
Diets don't work.
Have you been taking your insulin?
I don't want a lecture, Nic.
I'm here 'cause my toe's k*lling me.
(GAGS)
Severe gangrene.
♪ All I know ♪
♪ Hear me on the radio ♪
♪ But I keep thinking ♪
♪ the time will go... ♪
The toe was already dead.
I just touched it.
- He broke my toe!
- His toe fell off.
Chad, buddy, we are amputating
the whole foot.
You knew this was coming. Devon.
What do you think they got for dessert?
You can't keep me here!
- IRVING: You need to settle down.
- CARA: Calm down.
New admission. -year-old girl,
history of IV drug use.
Likely endo.
She was trying to steal Dilaudid.
Now she wants to leave AMA.
- She's been spiking fever, vomiting.
- SISTER: She's using again.
She took all my money
and spent it on oxy.
- (YELLING)
- Oy, listen to me.
- Whoa, whoa, whoa, whoa.
- Please, stop.
Hey, hey, hey. See these?
See these? These are Osler's nodes
caused by bacteria swarming
in your blood
and moving throughout your body.
Classic for endocarditis,
an infection of the heart valve.
Happens to drug users all the time.
If you walk out of here without any
antibiotics, this will k*ll you.
If you give us a chance,
we can save your life.
I'll stay if you give me
three milligrams of Dilaudid.
Two.
If you calm down and
you get back in bed right now.
Chloe, baby!
- Get a crash cart.
- Chloe, baby!
- I'm not getting a pulse.
- Code Blue in ED alpha!
- Get them out of here.
- No, no!
- Baby, no! No!
- You need to give them space.
Start compressions.
You're running the code.
- I've never run a code.
- Do you want an amp of bicarb?
He's in charge.
IRVING: Page Anesthesia.
What is the first question
you ask in a code?
Rhythm.
What's her rhythm?
P.E.A.
- Should we shock?
- No, we can't.
Her rhythm's not shockable. Get me
one of epi. Make those compressions
harder and faster. Prepare to intubate.
(LIGHTLY GRUNTING)
It's been minutes.
It's time to call the code.
No!
This is my code. You gave me this code.
She's years old.
Harder, man.
You need to feel the ribs crack.
(IRVING GRUNTING)
That's enough.
No. Move.
I'm not giving up.
(HEART MONITOR FLATLINING)
I said that's enough.
We got a pulse.
You saved her life.
Her end tidal CO was less
than for the entire code.
- That doesn't necessarily mean that...
- Yes. Yes, it does.
She's been without oxygen
to her brain for minutes.
Congratulations, you got her heart
beating again, but she's brain-dead.
CONRAD: You came in here all
bright-eyed and bushy-tailed,
ready to save lives, but today
you didn't save a life.
You saved a brain stem
because you didn't listen to me.
Now the repercussions on Chloe's
family will be catastrophic.
There's no way they'll accept this.
Chloe looks alive.
They'll think she can wake up.
So they will hover over her,
tend to her for days,
weeks, maybe years,
waiting for a miracle to happen
that's utterly impossible.
What was rule one, Devon?
Do whatever you tell me to do.
No questions asked.
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.
As you can see,
the Titian is an amazing piece
of medical technology.
We've nicknamed it the "Hand of God"
because it does what no
human hands could accomplish.
- Even yours?
- (LAUGHTER)
Yeah, even mine.
(BELL CHUCKLES)
BELL: The finest surgeon in the world
would benefit from the Titian.
It's capable
of movements that are incredibly
steady and precise,
virtually eliminating human error.
RENATA: Chastain Park Memorial
is the first hospital in the country
to have this miraculous machine,
thanks to Dr. Bell, who spearheaded
this fund-raising campaign,
and, of course, to you,
our very generous donors.
Thank you.
CONRAD: "Serious complications may
occur, up to and including death.
Individual surgical results may vary."
I've trained for months to do this.
Results will not vary.
CONRAD: Until Bell gets his hands on it.
- Over my dead body.
- I'm sure HODAD could manage that.
I heard a nurse call him HODAD.
What does it stand for?
Hands of Death and Destruction.
You're kidding.
Does that mean everyone knows
about his complication rate?
CONRAD: All the nurses,
some of the doctors.
The ones who pay attention.
Poetry.
But none of the patients.
They're clueless.
You've got the best hands
in the business,
but he's still the most requested
surgeon in the hospital.
Have you seen his reviews online?
- He has got five stars.
- (MINA CHUCKLES)
Top patient review: "McDreamy is real."
- You want to hear yours?
- Don't care.
You got one star.
"Steer clear of Dr. Okafor.
She told me my uterus sucked."
It did suck.
I just had hernia surgery with Dr. Bell.
The man has magic hands.
WOMAN (OVER P.A.):
Dr. Flores, dial ...
BELL: Hey.
Randolph, I'm so glad you're here.
Where else would I be?
You better finish up
those smoked oysters.
There's no food after midnight.
All right. They're absolutely delicious.
This whole VIP floor is spectacular.
It's nothing more than
you deserve, my friend.
If it hadn't been
for your generous donation,
there would be no new cancer wing.
- Well...
- So...
I hear you're gonna be the first patient
to benefit from the Titian.
Yeah, it's quite the honor.
I hear the damn thing
practically operates itself.
Have you met your surgeon yet,
Dr. Okafor?
Nope, not yet.
She's Nigerian.
Mm-hmm.
Yeah, here on a visa.
Very promising young resident.
(SIGHS)
What do you mean, "young resident"?
Well, second year, I believe.
Randolph, I spoke directly to the CEO...
I mentioned you... but she told me
that Dr. Okafor was the best
possible person to remove
my prostate with the Titian.
- She'll be fine, I'm fairly certain.
- I want you.
You're the chief of surgery.
Don't you think I deserve the best?
Yes.
And I'll make sure you get it.
Thank you.
Lisa brought this back to you, baby,
your honey bunny.
I'm so happy you're with us again.
I'll be right back, my darling.
Dr. Pravesh,
I never thanked you
for saving my daughter's life.
Thank you.
You're wonderful.
I'll be in the cafeteria
if she wakes up.
(MONITOR BEEPING)
You okay?
Nothing like this has ever
happened to me before.
They'll do an investigation, right?
Are you kidding me? The hospital
will probably give you a medal.
Every day Chloe's in the ICU,
they bill thousands of dollars.
It's a huge payday for them.
Medicine isn't practiced
by saints, Devon.
It's a business.
Yeah, but this, all this,
just isn't what I imagined.
Then you're lucky.
When I was , my mom went in
for her routine physical.
They did some tests, and they...
they found something small on her lung.
So they cracked her chest,
and her lung collapsed.
She got pneumonia, and five days later,
she was dead.
She was years old.
I'm so sorry.
This happens all the time, Devon.
Medical error is
the third-leading cause of death
in the United States
after cancer and heart disease.
They don't want us talking about that.
But you still show up here every day.
'Cause it's personal to me.
And there are still plenty of good
doctors and nurses
trying to do the right thing.
I'm just trying to be one of 'em.
Lily.
You look like you're feeling better.
Yeah, yeah. Conrad's a miracle worker.
Well, good. Let's get you back
in bed. You need to stay warm.
Where's your fiancé?
Oh, he... he left a few hours ago.
I was still in the ER.
I bet he's just exhausted.
He'll be back tomorrow, I'm sure.
No, he won't.
I got diagnosed a month after
I got engaged.
It's not his fault.
He didn't sign up for cancer.
I mean, maybe if I just
let him go sooner...
I was selfish.
Didn't want to die alone.
(PAGER BEEPS, VIBRATES)
Do you have to go right away?
No.
No. We can talk.
(SIGHS)
(INDISTINCT VOICE OVER P.A.)
(PAGER BUZZING, BEEPING)
(BUZZING, BEEPING)
(BUZZING, BEEPING)
Come on, man.
(BUZZING, BEEPING)
- (ALARM SOUNDING)
- NIC: Status?
We pushed adenosine
six milligrams, then .
- She's still tach'ing away at .
- Try verapamil.
WOMAN: That won't work, Dr. Bell,
she's gonna have a heart attack.
- (ALARM SOUNDING)
- (WHISTLING)
(ALARM CONTINUES SOUNDING)
I think her heart's had
enough AV blockade.
(GASPS LOUDLY)
(ALARM SOUNDING)
(SIGHS)
Oh. (GASPS)
(INHALES AND EXHALES SHARPLY)
- (ALARM STOPS, BEEPING)
- Normal rhythm. Her heartbeat is back.
BELL: Ice water stimulus.
Prompts vagal tone,
restores normal rhythm in SVT.
Called the Diver's Reflex.
That was my next step.
Two in one day would have been
a bit excessive.
(INDISTINCT ANNOUNCEMENT OVER P.A.)
Tightening the bolt.
You saved my life, Dr. Bell.
Thank you so much.
- Nothing to it.
- (BEEPING CONTINUES)
I don't have time to give
updates on how the surgeries
went one by one. Are the
families all assembled?
Dr. Okafor, you have to talk
to them each individually.
- There are rules about this.
- I get it.
(INDISTINCT VOICE OVER P.A.,
CROWD CHATTER)
Luis is doing fine. He's in recovery.
- Oh.
- Oh.
Raj is in the ICU. It's touch and go.
- Oh.
- Oh.
Prescott's dead. (SNIFFLES)
What? Huh?
(INDISTINCT CHATTER)
Dr. Okafor! A word.
Sorry, I'm on my way out. I need to rest
for the first robot
prostatectomy tomorrow morning.
Well, that's actually why I'm here.
The patient has requested
- a last-minute change in the lineup.
- The lineup?
Lyle's always been my patient.
He's asked me to step in.
Does he have a death wish?
I hear you're applying for an O- visa.
You'll need a letter of
recommendation from your supervisor.
- I believe that'd be me.
- Dr. Bell,
you have never touched the Titian.
It takes many hours of practice
to be proficient.
You cannot do that surgery.
As in, it's literally impossible.
You have no idea what's possible
for a surgeon with my experience
and expertise.
The surgery is first thing
tomorrow morning.
There isn't enough time
to bring you up to speed.
I have to draw a line here.
This can't happen.
It's too risky for you
and for the patient.
Oh, then, I'm afraid
you'll be heading back to Abuja.
And as you know, immigration to the
States has become quite difficult.
We're shutting our doors.
Given the political unrest
and the quality
of health care available in Nigeria,
you might want to reconsider.
If I help you, you'll get your visa.
If I don't, you won't.
(SIREN WAILING IN DISTANCE)
Your call.
Start with a simple maneuver.
Four-millimeter incision
on the ventral surface.
(WHIRRING)
Slow and steady.
I've got it.
(BEEPING RAPIDLY)
What the hell's wrong with the machine?
It would be better,
for everyone, if I do this.
No. The patient asked for me.
I'm always there for my patients.
Just put that plum back on the table,
and let's get on with it.
Round .
Oh, for crying out loud!
(SNORING)
(SNORING STOPS)
(SNORING)
(LIGHT SWITCH CLICKS)
(EXHALES)
This is a new low even for you.
Is your pride really worth more
than the life of a patient?
Get out.
I can't stop this train wreck,
so I just wanted to let you know,
I've arranged for a very wide audience.
What are you talking about?
The hospital's gonna stream
the robotic surgery live.
Not just to the donors
who are watching here,
but to thousands of viewers online.
Unless, of course,
you want to step aside.
(EXHALES)
(CHUCKLES) Idiot.
I'll do no such thing.
The more witnesses the better.
This is going to be
a flawless presentation.
- (BEEPING)
- Do you think you can sleep?
Uh, yeah, I think so.
Hey, can I ask you something?
Of course.
What are my odds?
I mean, is there a chance
I can survive this?
I looked at your chart, and
you're on an intense protocol.
The next few months will be rough,
but you can beat this.
(MONITOR BUZZING)
How are you feeling, Lily?
A bit weak all of a sudden.
Your blood pressure is low. / .
It was / a minute ago.
Lily. Lily! Lily.
Lily!
Where's Conrad?
- He's in the ER. Why? What's wrong?
- Lily's BP is / and dropping.
Can we please get rapid response now?
Get a CBC, CMP, LFTs, lactate.
Is the IV wide open?
Systolic's fluctuating,
but it's not good.
We're three liters in already.
It's sepsis.
You want to give norepi peripherally?
No. Get a central line.
No. You've never done one.
We wait for Conrad.
We can't. She'll die.
NIC: Prepare the iodine swabs.
We need norepi and vaso on
the table. Get pharm here now.
I want leads on her at all times.
Call for an ultrasound as backup.
Scalpel.
Scalpel.
NIC: Have respiratory on page, please.
Oh, good. Her pressure's crashing.
We need a central line now.
I can see that.
Go on.
- Do it.
- Conrad, seriously...
- You heard me.
- She's right. You should do it, not me.
Then why are you here?
Premed, med school, MCATs.
Was that just for fun?
Come on. Be a doctor,
or go be something else.
(PANTING)
NIC: Her stats are slipping.
Pressure's / and dropping fast.
Okay.
Keep going.
So far, you haven't k*lled her.
Start at five micrograms.
Titrate up as needed.
Don't look at him.
I'm right, and you know it.
What next?
When her pressure levels out,
wean her off the norepi
and then drown her in fluids.
Congratulations.
We just busted your cherry.
(EXHALES)
BELL: We are moments away from the
maiden voyage of our new Titian.
And after having spent
considerable time working
with it, I can definitively say
this is a miraculous machine.
And we expect it to be particularly
useful for radical prostatectomies,
which is what we're doing today.
(SOFT WHIRRING)
(SIGHS) Tell me this isn't happening.
Oh, this is happening.
The man is insane.
Only upside is
this should be a career-ender.
(SIGHS) I can't watch.
I can't look away.
BELL: The prostate has
to be carefully peeled
off the bladder.
The risk of rupture and bleeding is high
in unskilled hands.
How is this possible?
BELL: As you can see, the robotic
instruments are smaller
than your fingernails.
But that blade
is sharper than a # .
This represents the union of human
ingenuity and cutting-edge technology.
Man and machine are melded,
working as one.
(STEADY BEEPING)
Where's Chloe's family?
They just left for the first time.
The mom was sleeping in there
in case she woke up.
You're done.
You can go home.
Hey!
I want to show you something.
Annabeth. Five. She had cancer.
I was a first year, just like you.
I gave her too much potassium.
She died.
From me, not the cancer.
If it were easy,
everyone would be a doctor,
because this is the best job in
the world. Despite everything.
Because of everything.
I'll see you tomorrow.
♪ ♪
♪ Lay my heart down ♪
♪ Laid it down for you ♪
♪ Laid it down for you ♪
♪ Oh ♪
♪ Put my arms out ♪
♪ Put 'em out to you ♪
♪ Oh, Lord, I was reaching for ya ♪
♪ Reaching for ya ♪
♪ Oh, child ♪
♪ Reaching for ya, reaching for ya ♪
♪ Oh, but you ♪
♪ Will never know this love ♪
♪ Will never know this pain ♪
♪ Never know the way I feel for you ♪
♪ You will never know this touch ♪
♪ Will never know this shame ♪
♪ Never know the way I want you to ♪
♪ You will never know ♪
♪ My love ♪
♪ You will never feel ♪
♪ The way I do ♪
♪ You will never know ♪
♪ My love ♪
♪ You will never feel the way I do ♪
(BEEP)
(MONITOR BEEPING STEADILY)
(BEEPING STOPS)
(WHIRRING, STEADY BEEPING)