01x04 - Identity Crisis

[bunniefuu]

Previously on The Resident...

I got a question for you.

Old friend's developed
a bit of a tremor.

What about benzodiazepines?

DEVON: Dr. Hunter,
if there's ever an opportunity

to help you with your research,
count me in.

NIC: I saw Lily earlier.
She didn't look good.

I went to check Lily's files,
and they were missing.

CONRAD: Dr. Hunter keeps
her patients' records separate

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

JUDE: The operation came off
without a hitch.

You had a spectacular surgeon.

- Cake.
- CLAIRE: Louisa will be taken care of.

But I have to pull
$ million out of thin air.

Be prepared to be woefully understaffed

for the next months.

(SIREN WAILING IN DISTANCE)

(CAMERA PHONE CLICKING)

Hi. Patient in bed six
was triaged as acute.

Uh, he said his pain was a ten.

Ear pain is always rated
the lowest priority: basic.

Certainly not acute, which means
"big deal emergency."

When is Nurse Hundley back?

Oh, she's at St. John's now.

Budget cuts or something.

I got your back.

(ALARM SOUNDING, SIREN WAILING)

Tachy, intra-abdominal bleeding,
possible liver lac,

- and a right-sided pneumothorax.
- Acute?

Bus overturned on I- ,
multi casualties.

- Ambulances are stacking up outside.
- Page Dr. Hawkins.

We need help down here.

Bilateral femur fractures.
Hypotension, JVD,

and muffled heart sounds
indicate cardiac tamponade.

Both acute... uh, Trauma Bay Two
and, uh, bed eight.

Where is everyone?

It's all blowback from helping Louisa.
Our budget was cut.

ER staff nearly halved
midnight-to-noon shift.

Right, well, we have Claire
to thank for that.

Nurse Hundley was let go.

Too experienced, too good,
too expensive.

And the new triage nurse
is a bubblehead.

- All right, let's go.
- Urgent?

I-I don't want to tell you how to do
your job, but she's awake and breathing.

Uh... basic.

- My hand hurts.
- Yes, ma'am.

Hey.

Hey, I need to see a doctor, I think.

I wiped out on my skateboard,
I wasn't wearing my helmet.

- Um... Yeah, um...
- My head hurts a little bit.

- Little road rash.
- Okay, a headache, uh, road rash.

Uh, still breathing. Basic.
Please, just, uh, take a seat

in the waiting room.

(SIREN WAILING)

(WOMAN SPEAKING INDISTINCTLY)

DEVON: Charge.

Clear.

Shock.

Still no pulse.

Hair acts as an insulator,

and prevents the shock
from getting to the heart,

which is the point
of the defibrillation, so...

we remove it. Then we reapply
directly to the skin.

Charge.

Clear.

Shock.

Sinus rhythm.

(MONITOR BEEPING STEADILY)

Where's your I.D. bracelet?

Didn't get one.

Think I could get an aspirin?
Head's k*lling me.

Not until you see the doctor.
I'll get you an I.D., though.

Hey.

♪ ♪

♪ Push your hand through ♪
♪ the door, pickin' every lock ♪

♪ Make a quick escape... ♪

(SIREN WAILING)

MINA: Brent Carter?

- It's okay.
- Yeah. (GROANS)

Dislocated shoulder.

I've got it.

(YELLS)

(GRUNTS)

Good news is we fixed it.

Better?

BRENT: Yeah.

NURSE: Here you go.

- Excuse me, this isn't mine.
- (PHONE VIBRATES)

Hey, Irving, bed seven's

in A-fib with RVR,
I'm giving ten of diltiazem.

- Whatever, man. Just do it.
- WOMAN: Excuse me, Doctor.

- Excuse me.
- Yes, we'll be right with you, ma'am.

- Doctor, please.
- Oh.

DEVON: Sir?

Hey, sir.

Let's get this guy to acute, now!

Get his vitals, start an IV.

Let's have the intubation cart
standing by.

He's unresponsive. Pulse is weak.

Double access, wide open fluids,
peripheral neo for now.

Dr. Okafor, tube him.

MINA: On it.

Damn it. Left pupil is blown.

Looks like we have a brain
bleed. Do we have images?

There's no I.D. bracelet, so
there's no way to know if there

- are tests.
- Is he gonna be okay?

Where is this patient's I.D. bracelet?

- Has he even been checked in?
- I-I didn't have time.

- Um...
- CONRAD: What's his name?

Find his name.

Uh, Ian. His name is Ian Robinson.

- Ian, can you hear me?
- CONRAD: He can't hear you.

My best guess is a subdural hematoma.

The bleed must be compressing
his brain stem.

Well, is there another way to
relieve the pressure? Burr holes?

Not without scans to
know where the bleed is.

I can't just blindly drill into a brain.

But he's gonna be okay, right? Because
he-he said he just had a headache.

(MONITOR BEEPING)

(SUSTAINED BEEP)

(PHONE CHIMES)

TIFFANY: (SNIFFLES) Please.

Please, no, he...

He can't...

CONRAD: He has no I.D. bracelet.

You didn't even admit him properly.

So we have to learn his name
in the middle of a code?

Ian.

His name is Ian.

I found him.

Just lying over there,
unattended, in basic.

Why didn't you triage Ian properly?

It's my first day.

Oh, man.

He had a head injury.
That's, at minimum, urgent.

- Always.
- TIFFANY: We were so busy...

and he-he seemed okay.

With brain bleeds, there aren't
always symptoms at first.

He had a head injury.

He should be on concussion protocol...

in urgent.

TIFFANY: The patients,
they just... they kept coming.

And I-I didn't want to him to be
marked as urgent if he was basic.

It's better to be overly
cautious with a head injury.

Now you know what happens
when you aren't.

Next time your patient won't end up
like Ian, dying alone, in basic.

All right, everyone,
let's get back to work.

Someone is dead because of her mistake.

Yeah, and she'll always
carry that with her.

He's right.

We need to move on,

and focus on the patients
that we can help.

Abdominal pain. Bed two.

All you.

NIC: Heart rate is .

Blood pressure is / .

That's bad.

Well, it just means your body is working
hard to fight off this infection.

Okay, well, Dr. Hunter
just gave me mega antibiotics,

so it should start working soon.

I'm so sorry you're going
through this, Lily.

Your immune system was not strong enough

the last time you left the hospital.
We should've kept you longer.

No, it's not Dr. Hunter's fault.

I mean, she knows what she's doing.

Of course.

Dr. Hunter has a great reputation.

Yeah. She's the best oncologist
in Georgia.

Hey, how long have you had this rash?

Um, just since this morning.

It really itches.

As I remember, you don't have any
allergies to any medications, right?

Uh, honestly, I-I can't remember.

Sorry. The chemo's trashed my memory.

But, i-it should be in my chart, right?

Well, Dr. Hunter likes to keep
your paperwork at her clinic,

but, um, let me see what I can do

to get the information sent
over here, okay?

- Okay.
- All right, I'll be back.

Ian's father Paul's here.

We're gonna go talk to him.

You need to learn how to do one of the
hardest things we have to do as doctors.

Let's go.

CONRAD: Mr. Robinson,
I'm Dr. Conrad Hawkins.

Your son Ian suffered a fall,

and it led to a subdural hematoma,

(FADING):
which is a massive brain bleed.

(ECHOES): This was not
a survivable injury.

PAUL: Ian's dead?

CONRAD: Yes.

Are you ready?

Yeah.

That... That-that's not Ian.

That's not my boy.

How's your day going?

- Could use a do-over.
- Yeah.

We took his picture.

We'll ask everyone who comes in
if they recognize him.

I'll circle back later in the day.

Let me know if you find anything.

You bet.

I dropped off the John Doe
report with risk management.

- Now what?
- Go upstairs and see our patients.

Triple-check that anyone
who was admitted from the ER

was properly diagnosed and treated.

Who knows what mistakes
are coming our way.

I'm counting on you.

What about you?

I'm staying here.

I'll take over triage.

CONRAD: Great.

Show it to all the patients and everyone

in the waiting area...
ask if anyone knows who he is.

One thing we know for sure is
he isn't Ian Robinson.

Has the real Ian Robinson showed up yet?

No. Mr. Robinson isn't even sure
that his son was on that bus.

Right now, we have no idea
how that backpack even got here.

NIC: Lily's rash
is really bothering her.

It's probably a superficial phlebitis.

Change her IV and give her
of diphenhydramine.

Of course. Also, would it be possible

to get her complete chart
sent over from your clinic?

What's wrong with her record here?

Well, we weren't able to find it when
she was admitted...

it seems to have... completely
vanished from our system.

Huh. That's odd.

And since Lily's
multiresistant infection

is so difficult to treat, I figured
you'd probably be more comfortable

if we had her entire history here.

Of course. You're right.

I'll have the clinic send it right over.

Great. Thank you.

So, how long till Shirley
passes the gallstone?

We're trying to get
out of town for vacation.

Well, it really depends
on how many stones there are.

Any decreased appetite or weight loss?

Shirley hasn't been eating much.

Have you lost any weight?

Not much. A pound?

More like .

Your husband is very attentive.

Howie worries.

But he's not my husband.

- He's my boyfriend.
- (LAUGHS)

We met six months ago
at an aero-modeling convention.

We were both building exact replicas
of the Wright brothers' plane.

- (CHUCKLING)
- Yeah. For us, it was love

- at first Wright Flyer.
- (LAUGHING, COUGHING)

- DEVON: Okay.
- Please, Doctor, please help her.

- Oh, no, my...
- Okay.

I'll increase your pain
med dose and frequency.

Okay.

As long as you're here,
we'll run a few more tests.

- (BREATHLESS): Thank you.
- I don't want Howie to worry.

Then you better get
these gallstones out quick,

so we can go on our trip and relax.

(GROANS SOFTLY, SNIFFLES)

- Deep breath.
- (INHALES)

Oh, hey, Dr. Pravesh, I, uh...

I want to touch base with you.

I hope I didn't alarm you
by ordering more tests.

It's probably just gallstones.

Good.

See, we're on our way
to Kitty Hawk and, uh...

I'm gonna propose, in a big
romantic plane-themed gesture.

- That's great.
- See, when you get to

without a wife, you figure
nobody could ever love you.

Then along comes my Shirley.

She... she's my everything.

And if I should propose early,

you let me know.

I'm a practical man, and I don't
want to be morbid, but...

(CHUCKLES): we're old.

So please take good care of her.

Things seem less chaotic.

Made our way through the worst of it.

Any word on the identity
of the John Doe we lost this morning?

- Not yet.
- This is a new patient of ours.

- Shirley Harris.
- (TYPING)

Take a look at the ultrasound.

The ER doc diagnosed gallstones.

I'm afraid he missed a mass.

What does the blood work show?

Slight anemia. Weight loss.

Let's get an EUS
to better characterize the mass

and a CT for the surrounding areas.

And we'll hope for the best.

- Yeah. Let's hope.
- (TAPS KEY)

(MONITOR BEEPING STEADILY)

Kelly.

- What are you doing?
- Preparing for the dissection.

You aren't doing the dissection;
you're a resident.

I do it for Dr. Bell.

Well, he's not here.

When I was a resident, they wouldn't
let me tie a knot unsupervised.

Give me the Kelly.

KAYS: Watch and learn.

MINA: I have nothing to learn.

KAYS: You are barely halfway
through training...

there is plenty for you to learn.

(SIGHS)

Any action on this? How much you
gonna give me if I make the putt?

Huh. You haven't mentioned money
since you got a case of the yips.

How much?

- Hundred.
- You sure?

Downhill, very slippery.

- How about five?
- Easy money.

You haven't even two-putted
in six months.

Thousand?

Fine.

You miss, you donate a thousand bucks
to my son's school fund-raiser.

Wonderful. For the kids.

I miss the putt, thousand bucks
to your son's school.

I sink it, thousand bucks to...

me.

(LAUGHS)

♪ ♪

Damn it! Man!

(QUIETLY): I'm back.

(ELEVATOR BELL DINGS)

She made me hold the retractors
the entire time.

- Like I was... an intern.
- Insanity.

-something male, John Doe,

fractured left femur,
bruising to the right chest,

- neck injury with possible crushed larynx.
- John Doe?

I thought we had all the
casualties from the bus accident.

He's the last one... found him
way off in some shrubs.

He must have been thrown on impact.

Okay, this could be our guy,
Ian Robinson.

Take him to Trauma Two.

Let's hope it's him... it'd be nice to
tell Paul we found his son, alive.

Barely.

- (COUGHS)
- He's desatting.

Attending, get a GlideScope.

CONRAD/MINA: Airway.

Oh, no. No, no, that's surgery.
You can't do that in the ER.

Not without attending supervision.

By the time someone gets here, he'll
be brain-dead. Get the trach kit.

- Are you sure?
- There's no choice.

There is a choice... you could
choose to follow protocol.

- The patient would die.
- I'm not telling that father

his son is dead for a second time today.

Don't do this.

Stop!

That's normal.

- (SIGHS)
- (MONITOR BEEPING STEADILY)

I'll take this photo up to Paul
Robinson and confirm he's his son.

Not to point out
the obvious here, but you...

are a badass.

Let me see this badass's work.

Surgery performed in the ER

by an arrogant, overconfident,
unsupervised resident.

Flawless technique.

Mm, you know how to cut.

But you don't know when not to.

I'm benching you for the day. Clear?

Get him up to my OR.

That's unfair...
you saved the patient's life.

Why didn't you say something?

I want to cut tomorrow.

Thank you.

Yeah, we'll work on both of those.

My office sent over
Lily's file... did you get it?

Not yet.

Are you sure? Did you check?

- Did they e-mail it?
- We don't e-mail

patient files; they're not secure.

Well, let me check the fax.

No fax.

Is the paper tray empty?

(SCOFFS SOFTLY)

Nope, it's full, just waitin' for a fax.

Well, my office sent it over.
The problem is on your end.

It's a miracle people make it
out of this place alive.

There's one person I wish wouldn't.

Yes, that's my son.

Thank you, Dr. Hawkins.

He's in surgery; you can see him
just as soon as he's out.

- Okay.
- We need his medical history.

Is he allergic to anything?
Medications, food allergies?

Any health conditions I should know
about? Heart condition, diabetes?

Let's see, his doctor said
that he has low calcium.

(MONITOR BEEPING RAPIDLY)

Too much tension on my
carotid repair. Hold him still.

- Hold him still.
- CONRAD: Baseline is hypocalcemic!

The blood transfusion made it
worse... he needs calcium!

Okay, well, add calcium to his IV.

CHU: What IV? It tore right out
of his arm. We don't have access.

I'll put in a new IV. Hold his arm.

- I'll rip his arm out of the socket.
- The seizure won't stop

until we get calcium into his veins.

(GRUNTS)

Don't let go, no matter what.

KAYS: I need access now.
There's too much tension...

Almost there. Almost there.

- We're about to have a blowout
on our hands. - I'm in.

Pushing calcium now.

(MONITOR BEEPING STEADILY)

Thank you.

(EXHALES DEEPLY)

[HEAVY BREATHING]

NIC: It's gonna help with
your breathing, Lily, okay?

- Page Dr. Hawkins.
- I already paged him.

- Give me the epi.
- Nurses can't administer meds

without orders.

- (MUFFLED GROAN)
- Looks like they can.

- Where have you been?
- In a stuffy room

with stuffier administrators trying
to get them to rehire Nurse Hundley.

Once I pointed out they could be
looking at a lawsuit, they caved.

She'll be back in the ER
within the hour. She's wheezing.

- What's hanging?
- Saline and imipenem.

I just gave her epi.

Stop the imipenem. Open the saline wide.
Lily, you're gonna be all right.

I'm gonna sedate you
and put in a breathing tube

- to keep your airway open.
- What's happening? (WHEEZES)

(QUIETLY): I'm here, Lily,
and I'm gonna take care of this.

(WEAK, GASPING BREATHS)

I have to figure out which one of
her meds is causing the reaction.

There's... there's so many.

Well, I don't remember her
having any sensitivity,

so whatever it is, it's
got to be something new.

Her only new med is the imipenem...
if it is that, we're screwed.

Is she allergic
to any other antibiotics?

Whoa, whoa, wait, wait, wait, hold on.

Her chart only goes back as
far as this current admission.

I know, and I've been trying
to get it sent over

from Dr. Hunter's clinic
since this morning.

They keep insisting they
sent it, but it never arrived.

With Lily's infection,
I don't want to keep her off

the broad-spectrum antibiotic
for long. We need her chart.

Hey, Debbie, can you cover for
me for an hour? Can you stay?

- Where you going?
- Lane's clinic.

We obviously can't trust them

to get us her chart,
so I'm gonna go get it myself.

LANE: Just enhance that a bit more.

- What have you found?
- Shirley Harris's EUS,

CT and supporting lab work
confirm gallbladder cancer.

But the good news is it's early stage
and confined in the gallbladder.

So there is a real chance the
treatment could be curative for her?

Well, we can certainly reduce
the chance of recurrence.

The tumor's located in the
neck of the gallbladder.

In order to get clean margins, some of
her liver will have to be removed as well.

- It is tricky.
- Tricky?

It's a minefield of blood vessels
and bile ducts, and she's anemic.

Clip the wrong vessel,
once the bleeding starts,

we might not be able to stop it.

At her advanced age,
there's a real chance

she won't make it
through surgery... why risk it?

I highly recommend a palliative consult.

Shirley's is a young .

More like , full of life.
Her boyfriend's about to propose to her.

- She has a lot to live for.
- If she makes it off the table.

It has been done successfully before.

Cancer?

Gallbladder cancer?

Yes. But because we caught it early,

there's a real chance for a total cure.

With surgery and radiation.

That sounds simple,
but I'm guessing maybe it isn't.

The surgery itself is-is complicated.

HOWIE: How complicated?

Could the surgery k*ll Shirley?

This is a highly aggressive cancer.

Without the surgery,
you could have less than a year.

But with the surgery,
you can have many more years.

HOWIE: Are you okay?

Shirley, say something.

I might be dying.

And there's only one thing
I want to know.

Howie Green...

will you marry me?

You're not supposed to ask me that,
Shirley Harris. I'm going to ask you.

Don't be difficult.

- Answer me.
- Yes.

I will marry you,

- only if you marry me.
- Yes!

I will marry you. (LAUGHS)

So, how do we make sure this
lifesaving surgery doesn't k*ll me?

- 'Cause I got a wedding to go to.
- Yeah.

In the hands of a lesser surgeon,

I wouldn't be as confident,
but you're getting the best.

Dr. Randolph Bell has
the highest success rate.

SHIRLEY: The man on the billboards?

LANE: Yes. He's our chief of surgery.

CONRAD: Are you sure Dr.
Bell is right for this case?

He's done hepatobiliary
surgeries many times.

There's no one else here
who can touch his record.

It's his record I'm worried about.

His complication rates have
risen dramatically lately.

And I only bring this up because I know

attendings aren't always
aware of their colleagues.

- Every doctor makes mistakes.
- Of course, but this is far beyond.

Conrad, hold on.

I'm gonna speak to you now
as a dear friend and mentor.

You're one of the most gifted
young residents I know.

Don't sabotage a career
that's just beginning.

Doctors must support each other
through good times and bad.

You, of all people, should know that.

I'm grateful for all
you did for me in the past,

- but I have to speak for my patient.
- Shirley's my patient now.

She wants Bell, who's my choice.

Let's all get on the same page
with this decision.

Shall we?

Excellent.

♪ Money, money ♪
♪ I just can't get enough ♪

♪ Dollar, dollar I just
can't give it up ♪

♪ Brother, brother, I'm ♪
♪ working overtime... ♪

What would it take to get you unbenched?

(SIGHS)

(DOOR OPENS)

The inflammation makes it hard to
get a good view of the anatomy.

If I were assisting, I could clear
the field for you to do that.

Dr. Kays benched you.

You're the chief of surgery.
You can unbench me.

I could.

It's a difficult surgery.

What exactly are you implying?

I'm saying your success rate
is better when I'm beside you.

I agree with Dr. Kays' assessment.

You have gotten
a little full of yourself.

Take the day off.

- Hi.
- Hi.

- How can I make your day better?
- I'm Nic Nevin, from Chastain.

We're still waiting
on Lily Kendall's records.

Yeah, I faxed everything.

Right, um, and I'm sure
the problem's on our end,

but since I'm here, if you wouldn't
mind just making me a copy...

- Wait in the lobby.
- Sure.

Nurse Hundley. You're back!

- You're back! Oh...
- (LAUGHS)

As much as I love to see
a man on his knees,

get up, Dr. Feldman.

This place is a mess.

Allie?

- Nic?
- (CHUCKLES)

- I haven't seen you since...
- Nursing school.

- Wait, you're not here for...
- Oh, no, no, not a patient.

No, I'm just waiting on some records.

Good. I have to get back to work.

- We should catch up soon.
- I would love that.

- All right, I'll see you.
- Okay.

MAN: Can I help you?

Oh, I was just, uh,
admiring the facility.

That treatment room is incredible.

You can treat so many patients
at the same time.

Dr. Hunter doesn't want
to turn patients away,

so we squeeze in as many as possible.

- Here's the file.
- All right,

- let me just make sure it's all here.
- It is.

Okay. Well, thank you.

Bye-bye.

Excuse me, Dr. Hunter.

LANE: Dr. Pravesh.

I wrote a paper on intraoperative
radiation therapy,

so I would love
to observe this afternoon.

Well, you're certainly welcome to
observe, if there is a procedure.

Medicare hasn't signed off yet.

Let me take that off your plate.

That's industrious.
I like that. Be warned,

Medicare doesn't like to approve
expensive experimental procedures.

Oh, no worries.
I can be very persuasive.

- Please. Please don't hang up.
- (LINE CLICKS)

They hung up. Unbelievable.

Or believable.

DEVON: I'm a physician calling
on behalf of Shirley Harris.

Shirley Harris. H-A-R-R...

I cannot hold again, okay?
Don't you dare... (GROANS)

Hi, yes. I need approval
on an experimental...

Yes, I'll hold. No, I will not hold!

I have been hung up on seven times

and on hold for over an hour
and minutes!

There's no code
because it is a new procedure.

Without the tumor resection and
the adjunct radiation procedure,

the patient will die.

Can you hold on a minute?

You will?

Oh, that's awesome. Oh, I'm so relieved.

Thank you.

Whoa, whoa. Uh, where are you going?

Kitty Hawk.

You have surgery this afternoon.
I just got it authorized.

- It took four hours.
- SHIRLEY: Sorry.

Can't make it.

I'll be standing
at the birthplace of aviation,

marrying the love of my life.

After our honeymoon, we'll come
back and fight the cancer together.

Right now there is a window of time

where the cancer is contained
and we can remove it all.

If we wait, the disease will spread.

Dr. Pravesh...

you don't know
that the cancer will spread

or if the surgery will k*ll me,

but I know that when I die,

I will be this man's wife.

We're going to Kitty Hawk.

Wait. Please. What if you could get
married and have the surgery today?

We want to be married at Kitty Hawk.

Then I'll bring Kitty Hawk to you.

CONRAD: How'd you score
the model airplanes?

DEVON: Howie has hundreds of them.

(CAMERA CLICKS)

♪ ♪

So, Irving is a licensed minister?

And willing to write a wedding
ceremony filled with airplane puns.

Less surprising.

- (CAMERA CLICKS)
- The photographer?

Publicist. Renata loves a PR moment.

DEVON: A hospital story
with a happy ending.

As long as Bell doesn't k*ll her
on the OR table.

(MONITOR BEEPING)

CONRAD: Okay, thank you.

Right, let me know
if anything does turn up.

Still trying to identify the poor
guy we lost in the ER this morning?

CONRAD: Police are checking
missing persons reports.

I don't know what else to
do to find out who he is.

You understand we can only save
the living ones.

- Right?
- Yeah.

But I can't get his family
out of my head.

What is this thing?

Some sort of lifesaving
playing-card-ectomy?

You should go now.

Mm-hmm.

I'll take it from here, Howie.

To cross this line,
you have to be sterile.

I'm so happy you're my wife, Mrs. Green.

Well, get used to it.

I'll see you when I wake up, Mr. Green.

She's in good hands.

Thank you.

(MONITOR BEEPING STEADILY)

♪ ♪

- Beautiful incision, Dr. Bell.
- Thank you, Jessica. Suction.

Okay. All set.

So we use the Mobetron

because it allows the electrons
to precisely deliver radiation

and limit the spread to
non-affected organs.

Exactly. We'll give one
large fraction dosage.

Well, don't you need
a radiation oncologist?

I'm double-boarded.

(MONITOR BEEPING RAPIDLY)

Blood pressure's dropping, Dr. Bell.

It's fine as a bleeder.
It's nothing I can't handle.

(RAPID BEEPING CONTINUES)

- Do you need assistance?
- No, I need quiet so I can work.

Vascular clamp.

.

Run fluids. Wide open.

- (BEEPING SLOWS)
- We're good.

Change the music, something upbeat.

♪ Whoa, whoa, whoa, whoa, whoa ♪

All right, we're on.

So, it was a question of anatomy

'cause hers was atypical.

Though it didn't show up on imaging,

the common hepatic artery
was not in its normal position.

And a less-experienced surgeon
wouldn't have known to look for that.

They would have tied it off
like a bleeder, not realizing

they're cutting off the entire
blood supply to the liver.

Because I've seen it before,

now I routinely look for it,
and that habitual extra precaution,

well, that just helped me avoid
a deadly complication.

And now, I believe
she has a honeymoon to go on.

Well, I'm certainly happy
we had you today, Dr. Bell.

♪ Everything I touch ♪

♪ Burns right down To dust ♪
♪ 'cause I'm reckless ♪

♪ Yeah, I'm reckless ♪

♪ And I always seem to fall ♪

♪ On the wrong side of the law ♪

♪ 'Cause I'm reckless ♪

♪ And I can't help ♪

♪ My reckless ways. ♪

I hear you went to my clinic.

I did.

I did. I was impressed. Beautiful
architecture. Inspiring, really.

Mm. You're very dedicated.

A real gem.

(SIGHS)

Tumor margins clean.
Clear nodes. (CHUCKLES)

With my hands and your radiation,

we didn't just buy her
more time, we cured her.

You know, I've been married twice.

Had my share of affairs,
but I've never really...

had love like that. But that
right there is why I do this.

LANE: Really?

Would you have done the surgery
if Medicare had refused to pay?

No, of course not.
I'm not some gung ho resident.

Would you?

Top Ramen got me through my residency.

I'm serious. It took me years
to pay off my student loans.

Yeah.

Now...

we're the best at what we do.

We save lives.

- We deserve to be paid for it.
- Amen.

Great to see you back.

It's good to be seen, Dr. Hawkins.

Don't know what you said to
convince them to rehire

some old ER nurse, but thanks.
I owe you a beer.

- I'd say it's the other way around.
- (LAUGHS)

- This place is a wreck without you.
- I heard today was a rough one.

It's a good thing you were here
to take over.

Which reminds me.

A janitor turned this in.

He found it on the floor.

Might belong to your John Doe.

_

Thank you.

You're welcome.

(SIGHS)

(LINE RINGING)

Hello?

This is Dr. Conrad Hawkins
at Chastain Park Memorial.

Is this Erik's mom?

I have some bad news.

Your son came into our ER today
after an accident.

(FADING): He had a head injury
that was very serious.

We did everything possible,

but unfortunately, we couldn't save him.

(DEVON SIGHS)

What do you say we get away
together for a few days? Just us.

That sounds nice.
Where are you thinking?

I don't know.

Kitty Hawk.

If we're gonna take time off work,
we have to go someplace good.

All right. Wherever you want to go.

As long as I'm with you.

Kauai.

Just tell me when.

(GROANS SOFTLY)

Oh, don't leave. Come back here.

(LAUGHS) Let me get my computer.
I need to work.

So what are you working on?

This is my own thing.

A group of people not far from
here got some rare sickness.

They think it has something
to do with the drinking water.

Who knows. Could be the
next Flint, Michigan.

If it is, I'm going to find the story.

I'm proud of you.

Proud of you.

♪ ♪

(DEVON SIGHS)

♪ And I've walked a dark ♪
♪ and narrow road... ♪

(LAUGHING): I'm so glad you called.

Well, it's just so nice
to get out for a beer.

And great that you don't have to
work late or do a double.

The hours at the clinic are great.
I get to help my kid with homework.

I was gonna ask you, um,
what it's like to work for Dr. Hunter.

We just had massive budget cuts
at Chastain, so you know,

just checking to see if there's
any greener grass.

I heard. That sucks.

Um, I like working for Hunter.

I mean, the pay is good,
so are the benefits.

She doesn't freak out if I have to
take the day off 'cause my kid's sick.

- And it looks like a health spa.
- The patients love it.

Well, as much as they can.
Cancer's brutal.

You know, I noticed working with
her patients at Chastain...

The chemo dosages she
uses are really high.

I'm not a doctor, but I know she
puts a lot of thought into coming up

with the protocol for each patient.
Everyone is unique.

That's terrific.

Yeah.

If you do decide you want
to work for Dr. Hunter,

one thing I can tell you is,

she likes everyone who works
for her to be discreet.

Maybe that's why it was so difficult

to get a patient file from your office.

I just remembered that my sitter
has to leave early tonight, so...

Oh, well, maybe another time.

Sure.

♪ Can see our scars ♪

♪ It's what we're made of ♪

♪ It's who we are. ♪