05x13 - Viral

[bunniefuu]

Previously on The Resident...

I have multiple sclerosis.

Darling, I'm so sorry.

We're-we're here for you.

The doctors at the Mayo said

you could return to surgery.

I'm hopeful and I'm reassured.

Promise me one thing...

you won't give up on the OR just yet.

Do Billie and AJ know

that you want to be
double board-certified

in the hardest field of medicine,

neuro and cardiothoracic surgery?

I've mentioned that I want to do this.

Bob Porter.

University Hospital, Augusta.

So you must be the other name

on the governor's short list
for a seat on the medical board.

So we are competitors.

You mind if I ask you
why you want a seat?

Just want to give back.

No, I need a letter of recommendation

for the Georgia State Medical Board.

I'm competing with
another doctor for the spot.

- Who is he?
- This is him.

BILLIE: Robert Porter is angling

for a seat on the board.

He r*ped me when I was years old.

You want to go before
the board and tell them?

I want to make a statement.

♪ ♪

Yes, a chronic back, elbow, knee issue

might not be a terminal disease, but...

it can feel like one

due to the impact it has on your life.

But...

with D printing, soon,

we will be able to create
patient-specific implants.

Customized. Targeted. Personal.

This will be revolutionary.

(SCOFFS)

(SIGHS)

DEVON: "Advancements
in medicine have inspired

promising new treatments,

empowering patients and giving
them more say in their care".

Thank you. "And clinical research

can advance it even further,

resulting in progress
that can change..."

Oh, my God. Could this
be any more boring?

Doubtful.

But never underestimate the draw

of your geeky clinical trial sexiness.

Mm?

(CHUCKLES SOFTLY)

I wish you were coming with me.

Me, too.

But this conference
might be more enticing

than gender reveal festivities.

About you doing both
cardiothoracic and neurosurgery,

obviously, it is entirely,
% your decision.

But, I mean, this is going to be...

a massive,

massive challenge, Leela.

I know. I won't make a decision

until I have a real conversation
with Billie about it.

Okay?

- (PHONE CHIMES, BUZZES)
- Okay.

And that's Jessica.

Good luck with your presentation.

♪ Ooh ♪

♪ Baby love, my baby love ♪

♪ I need you, oh, how I need you ♪

♪ But all you do is treat me bad ♪

This is the best macaron
I've ever tasted.

Your sister is so elegant.

She is. Beautiful and rich.

We've always been so different.

Just look at her.
Look how skinny she is,

and she's three months' pregnant.

It must be nice that you
and Padma are so similar.

You get to avoid comparisons.

Oh, no, there are comparisons.

One of us is fun and spontaneous,

the other serious, rigid. I'm sure

- you can guess who's who.
- No. - SCARLETT: Oh!

(SCOFFS) Way to stick to
the pink and blue theme, Jess.

Oh. (CHUCKLES) There's a theme?

I-I didn't know.

- Oh, funny, lady.
- (CHUCKLES)

You look lovely,

even if you're dressed for a funeral,

not a gender reveal party.

Considering that gender is
a social construct...

Uh, it's an amazing party.
(CHUCKLES SOFTLY)

Thank you so much for inviting me.

And thank you for coming, Leela.

And the real fun is about to begin.

Have we got a surprise for you.

She's so funny.

- Oh, my gosh. (CHUCKLES)
- Yeah.

Oh, photo op.

And that photo will be online

in three, two,

one.

(LEELA CHUCKLES)

They're so cute.

How did they meet?

JESSICA: Scarlett was bartending,

doing some modeling on the side.

Will came in for a drink and he
couldn't take his eyes off her.

She went from being behind
in car payments

to flying on private jets.

Wow.

WILL: All right, boys and girls,

let's gather round!

(INDISTINCT CHATTER)

(SCARLETT GIGGLES)

WILL: Thank you all for being here.

Let's find out if our firstborn

is a lad or lassie.

- (CHUCKLING, GROANING)
- Our OB and the guys

who built this are the
only ones who know.

(SCARLETT LAUGHS)

Is that a cannon?

Wait, like a cannon-cannon?

With these two,
it's go big or go gigantic.

- (CHUCKLES)
- WILL: On the count of three.

- (WHOOPING)
- One!

Two!

Three!

(LIGHT WHOOPING)

(MURMURING)

Is this thing broken?

- (GRUNTS)
- (GUESTS GASPING)

(SCREAMING)

- SCARLETT: Babe!
- JESSICA: Oh, my God.

LEELA: Someone call !

MAN: See if he's okay.

(OVERLAPPING CHATTER)

♪ ♪

I'm thinking we'll pick
up pasta from Luigi's

- or...
- Yes! I love their "carbon-ye-ara".

(CHUCKLES) Carbonara works.

With ice cream on top?

No, Daddy.

Just parmesan.

But I thought you liked
ice cream on top.

Bye, Daddy!

Okay, well, I'm having ice cream.

She's already reading? That's amazing.

CONRAD: Yeah,
way sooner than I ever did.

She must've got that from her mom.

- I'll be back in a sec.
- Thank you.

You working in the ER today?

Yeah, yeah, I'm covering for Devon.

He's at that clinical trial conference.

Ah, right. Yeah.

For some, being an ER doc isn't enough.

He's got to be a fancy scientist, too.

Well, our patients are lucky

to have you here, too, my friend.

MAN: Help!

My passenger is dying.

IRVING: What happened?

I picked her up from her apartment,

she got in all pale and shaky,

asking for a hospital,
and slumped onto the seat.

I'm Dr. Hawkins.

You're at Chastain Memorial Hospital.

(PANTING)

Can you tell us what's going on?

Okay, how about your name?

Finger stick .

Will get these to the lab stat.

Blood pressure low. O sat .

Her son, I'm guessing?

Hmm, she works at Only A Dollar.

Oh, here we go. Uh,
Charli April Martinez.

Born January , .

CONRAD: I see a subtle

petechial rash to her neck and arms.

IRVING: We're calling
her emergency contact.

She's years old,
ear infection in ,

vaccinations up to date.

Mm. Charli's popular.

IRVING: Turn the ringer on

in case someone calls
who can tell us something.

Her emergency contact's not answering.

I'll try again later.

Looks like she had a laparoscope
placed there recently,

but abdominal surgery
needs more than one port.

O sat's % on nasal cannula.

BP's / .

Seems like she's protecting her airway.

Let's use this opportunity
to get more info.

Trevor, page Raptor,
have him meet you at CT.

I'm gonna make a quick stop.
I'll catch up with you there.

_

(EXHALES)

(ELEVATOR BELL CHIMES)

BELL: Hey.

Thanks again for writing
that letter of recommendation.

Well, I hope it helps.

And Porter?

Is he still in the running
for the same seat?

Why wouldn't he be?

Well, I've heard there are multiple

ethics complaints against him.

I thought that might
get him disqualified.

(ELEVATOR BELL CHIMES)

Let me know if you hear
anything more about him.

You're smiling.

That's good news, right?

- This my latest MRI?
- Yep.

Your neuro exam is excellent.

No new lesions.

Since you started taking the meds,

your MS is not progressing.

How you feeling?

(EXHALES) Overall, good.

Better now.

It means you're cleared for surgery.

- Are you sure?
- You passed all the necessary tests.

I could have another
flare-up while I'm operating.

True, but it's unlikely, and
you know what to expect now.

Worse comes to worst,
you head off any symptoms

- with a steroid pulse.
- What about my patients?

Is this a risk they should take, too?

There are surgeons with MS
safely operating

thanks to good meds,
and you will have backup.

The OR needs you.

And you need the OR.

SCARLETT: I'm so sorry.

This was a terrible idea.
They said it was safe.

WILL: I can't hear her!

The expl*si*n ruptured
your eardrum, Will.

- It'll get better soon.
- He's gonna be okay, right?

- Yep, Irving will make sure of it.
- (WILL GROANS)

Am I glad to see you, brother-in-law.

You got any painkillers? Strong ones?

Yeah, let's get you
off the stretcher first.

On my count. One, two, three.

He can't hear. His eardrum
might have ruptured.

What happened?

The cannon exploded.

Right. Did you say "cannon"?

I-It was supposed
to fire blue or pink smoke.

I-I'm the one who talked him into it.

Okay, easy. Let's just focus
on getting him better.

Go get Will checked in, and
we'll take care of him, okay?

- (GRUNTS)
- IRVING: Whoa, looks like

it hurts.

Let's get mics of fentanyl.

HUNDLEY: Okay. Try holding still, hon.

You'll be feeling better
in a few seconds.

Will, I'm gonna send you
for a scan to get

a clear picture of what's going on.

- Okay?
- (WILL COUGHS)

(WHEEZING)

I don't hear any breath on the right.

My chest, it hurts.

His sats are starting to drop.

No lung sliding.

Looks like the shrapnel
collapsed the lung.

We need a chest tube now.

The doctor said his lung collapsed.

and he could have internal injuries.

Yeah, I can't believe it either.

Oh, I'll call you
when I know more, okay?

We got his lung re-expanded,
he's breathing much better,

- and he's on the way to CT.
- (EXHALES): Okay.

- His parents?
- Yeah.

They said I should have
talked him out of the cannon,

but it was my stupid idea
in the first place.

Oh, my God, I mean, what a disaster.

(SIGHS)

One of his coworkers posted it.

- (SCREAMING OVER VIDEO)
- And it's already been reposted

times.

What? A-As if this wasn't awful enough.

(SIGHS) Maybe put your phone away?

Uh, "Latest addition to the cesspool

of gender reveal idiocy".

"Stop blowing things up to tell
people your kid's got a penis".

Scarlett, your friends love you.

Who cares what a bunch
of strangers think?

- Yeah.
- Yeah?

Yeah.

Thank you.

CONRAD: Troponin and
BNP are both elevated.

She has leukocytosis but no fever.

Nothing is adding up. We need answers.

Her sats are drifting down.

She's getting sicker by the minute.

Considering all those
TikTok notifications,

she must have an account.

Let's see if it can tell us anything.

♪ Don't buy me no ring ♪

♪ See, I've got my own ♪

♪ Ah, nah-nah-nah, nah-nah-nah-nah... ♪

♪ Living in a haze ♪

♪ Staying in the shade ♪

♪ All I do is sit around
and wait for... ♪

Wow. Scans taking that long, huh?

(CHUCKLES) She's our patient,

we still don't know
what's wrong with her,

so we're looking for clues
and Irving is trying

to reach the family.

, followers.
Wow, that's impressive.

Yeah, but it's not helping.

Maybe this will.

Trevor, take it from the top

and walk us through it.

Well... (EXHALES)

... the apices of the lungs look clear.

There's some scattered
focal ground-glass.

Hold on, is that a, uh...

- A filling defect.
- Yeah.

Consistent with a huge clot
in her right pulmonary artery.

Yeah, and smaller clots
in the distal arteries, too.

Maybe they aren't blood clots.

Then what are they?

This pattern plus the rash,

I'm thinking fat embolism syndrome.

Yeah, globules of fat
clogging up the vessels.

That happens after fractures
or burns, right?

But she didn't have those.

Or pancreatitis.

But liposuction would explain all of it.

The fat embolism,
the surgical port we saw.

- (RAPID BEEPING)
- AUSTIN: O 's in the s.

heart rate. She's tanking.

(COUGHING)

CONRAD: Hemoptysis. We
need to secure her airway

before she aspirates.

What the hell is going on?

Let's intubate and find out.

Gail, I need you to look
for two small injection sites

on the patient's backside.

Do you see them?

Yes, I do.

Prepare the intubation meds now.

It's okay.

AUSTIN: All right, sats
are coming back up.

Looks like Charli here got
herself a Brazilian butt lift.

Aren't BBLs the most dangerous
procedure there is?

Yeah, but I doubt they advertise
the high fatality rates.

Right. They sell you on the prospect

of getting a curvier backside

while losing inches in the middle.

Let's get her to ICU.

I need to ultrasound her heart to see

where that runaway fat
is now calling home.

BELL: That does not look pretty.

The tiniest bowel perf and
he could end up in septic shock.

Jessica's brother-in-law?

Yeah.

We've admitted him and I booked an OR,

and as soon as it's ready,
we'll take him in.

Uh-huh. And what happened?

A gender reveal party gone very wrong.

A cannon was involved.

Probably best if I don't
know the details.

So, this could go south really fast.

He's gonna need exploratory laparotomy.

Well, I'm glad you're on deck.

Uh, you're on deck. I'm a maybe.

We need to talk.

- (SIGHS)
- What's going on?

Remember the last time
we operated together?

I had some issues.

And I contacted Conrad,
we had some tests run.

And?

I have MS.

Multiple sclerosis?

- I am so sorry, Dr. Bell.
- Thank you.

I'm-I'm adjusting to the new
reality, with Kit's help.

And on-on meds, I have
no symptoms, at least for now,

and Conrad has cleared me
for surgery. However...

... if you would prefer

to work with another doctor...

Absolutely not.

This is a physical challenge.

That's it.

- (LAUGHS SOFTLY)
- I have one, too.

If you hadn't told me,
I'd never, uh, guess

- that you have dyslexia.
- Thank you.

But when I chose surgery,
my family, friends, advisors,

everyone thought it would
make me dangerous.

But with my work-arounds,
I believe I've...

- You are one of the best.
- I don't know about that.

But I do not let dyslexia
stand in my way.

This is just a new
challenge to overcome.

Well, thank you, Dr. Devi.

Was a good pep talk.

I'll see you in the OR.

Man, when I was in my s,
the worst things

we did to ourselves were
tattoos and piercings.

- Guilty of the former.
- Latter for me.

I got a gnarly infection
from my eyebrow ring.

Oh, trust me, it was dope.

- Until it wasn't.
- (LAUGHTER)

Ah...

Oh, this is no good.

Charli's in trouble.

Is that fat sitting in her heart?

Not just sitting, it's in transit,

from her right atrium to her left.

So she has a congenital hole
in her heart?

AUSTIN: Probably undetected before,

but blew open when she had the P.E.s.

Maybe even acted as a pop-off valve,

- saving her life, but now...
- It's a b*mb.

- Primed and ready to go off at any moment.
- Yeah.

If it makes its way
into her arterial circulation...

- She'll stroke out.
- AUSTIN: I'll text Dr. Sutton.

If that fat embolizes to her brain,

we'll have minutes to intervene.

(PHONE RINGING)

TREVOR: Hopefully, it's her family.

CASSIE (OVER PHONE):
Charli, hon, this is Cassie

calling from Enhanced Dreams.

How you feeling after your procedure?

TREVOR: Actually, Cassie,

you're speaking with three doctors

at Chastain Memorial Hospital

who are trying to save Charli's life.

So if I had to guess, I'd say

she's feeling pretty damn
miserable right now.

Cassie, this is Dr. Hawkins.

Did Charli get a Brazilian butt
lift at Enhanced Dreams?

We're gonna take that as a yes.

It's led to fat embolism syndrome.

We need to talk to her surgeon.

(PHONE CRACKLES)

Uh... Did she seriously just hang up?

She's not getting rid of us that easy.

Trevor, google Enhanced Dreams.

We're calling Cassie back.

TREVOR: All right, here we go.

"Enhanced Dreams Plastic Surgery".

- (LINE RINGING)
- (SIGHS)

(BUSY SIGNAL)

(LAUGHS)

Great. Great, they're probably
busy hiding the evidence.

I doubt they'll have time
to pack up and run

- before my shift's over.
- Okay, that's not happening.

But let's keep calling.

Are you really calling me for
a stroke that hasn't happened?

- Can't you just give her TPA?
- She's had a recent surgery.

If we give her TPA, she could bleed out.

AUSTIN: If that fat goes to her
brain, you will only have minutes

to perform an
interventional thrombectomy.

Well, sucking clots out
of the brain through the groin

is not my specialty.

I haven't done that procedure
since residency.

- Just page IR.
- Come on, Sutton,

you know those guys don't
work over the weekend.

And if we page them,
they would not get here in time.

And our only endovascular
neurosurgeon's on vacation.

AUSTIN: Sutton, we
wouldn't be asking you this

if there was another option.

Then I'll have to.

I'd better go review
my head-neck vascular anatomy.

(SIGHS)

SCARLETT (SIGHS): They're here.

Dr. Bell, this is Will
and my sister Scarlett.

- Such a pleasure.
- Dr. Bell

is a nationally-recognized
trauma surgeon.

Jess has told me so much about you.

- She's your biggest fan.
- Well, and I'm hers.

We don't know what we would do
without her here at Chastain.

So, the scans show that there
are multiple metal fragments

peppered throughout your abdomen.

And in surgery,
we'll remove every fragment

and we'll ensure that the expl*si*n

didn't cause any other injuries
that we can't see on the scans.

He's gonna be okay, right?

He's in the right place,
but of course you should know

surgery carries risks.

And, Jessica, I know it's your day off,

but I would like you
to scrub in with me.

'Cause, after all,
you are my right hand.

You couldn't keep me out.

Great.

JESSICA: Just gonna get this.

- Okay.
- Yeah?

BELL: Ready?

Promise me he'll be okay, Jess.

Try not to worry. We're gonna
take great care of him.

SCARLETT: Okay.

I love you so much,
and I am so, so sorry

I talked you into that cannon.

I love you.

It's okay.

Are you sure you're up
for this, Dr. Bell?

It's just, the last time
we worked together,

you didn't feel well and
you abandoned the surgery.

You haven't been in the OR since then.

Yeah, no, I haven't been well.

And I can explain all that to you later,

but the important thing is,
we figured out the problem,

and I've been cleared for surgery

by both Kit and Conrad, so...

... I think we're okay.

Okay, yeah, mm-hmm.

(EXHALES)

(MONITOR BEEPING STEADILY)

BELL: Okay, through the fascia.

It looks like a little oozing
from the liver.

LEELA: I'll get better exposure now.

How are you doing, Dr. Bell?

BELL: All good.

- Okay, one piece of shrapnel: gone.
- (METALLIC CLINK)

And another.

LEELA: I'm having trouble getting it.

BELL: I got it.

It's such delicate work.

LEELA: Nice going.

- Now, what is that?
- BELL: Oh, that

looks like another piece of shrapnel.

This time it's wedged into the liver.

Removing the foreign body now.

LEELA: Suction.

Lap pads.

Looks like this went into
the liver and hit a vessel.

CHU: You guys got into something big.

I'm maxing my pressors.

BELL: It's gonna be okay.

Initiating massive transfusion protocol.

Okay, Dr. Devi, I need you
to help me get down to the aorta

to cross-clamp...

... and get control of this.

CHU: I'm transfusing the second unit

of blood, four liters of crystalloid,

two of albumin, and still losing.

- Blood pressure isn't budging.
- BELL: Okay, we're gonna need

supraceliac control.

Page AJ stat for a thoracotomy.

CONRAD: He's on deck in the OR suite.

I'm calling him now.

BELL: Good, thank you.

CHU: No blood pressure detected,

but HR reading .

AUSTIN: All right, somebody talk to me.

JESSICA: Thank you for coming so fast.

BELL: Unavoidable bleeding
after shrapnel removal.

We need better control from above

to be able to repair the defect.

- That's why we called you.
- All right, let's get to it.

AUSTIN: Scalpel me.

Spreaders.

Clamp.

All right. Voilà, that should do it.

(MONITOR BEEPS)

We've got a blood pressure back.

AUSTIN: All right.

BELL: Glad you're in the house.

AUSTIN: Hey, man, glad to be here.

WOMAN: Any available
resident to ICU Three.

Available resident to ICU Three.

Hey, look, if you're gonna ask me

to back off surgery again, that's okay,

but I-I want to say I called in AJ

because we needed him,
not because of the MS.

I know, and Will is alive
because you made that call.

I just wanted to say welcome back.

(LAUGHS SOFTLY) Thanks.

It's good to be back.

Dr. Sutton?

Do you have a moment?

Sure.

It's been a while since
I've approached the brain

from this direction.
I could use a break.

Just trying to get
my muscle memory to kick in.

I wanted to chat with you
some more about the idea

of double-boarding
with cardio and neuro.

Go on.

I know you think I'm crazy...
and so does Devon...

but people said the same thing
to me when I decided

to become a surgeon with dyslexia.

Yes, but it's not the same thing.

Maintaining excellence in both
specialties is impossible.

Expertise comes from repetition,
which is why this IR procedure

is so tough.

And trying to maintain
competency in both,

it isn't enough.

Okay, but I...

Listen, I have to get back to this.

Let's talk about it later, okay?

Okay.

You're not gonna believe this.

What am I looking at?

The Enhanced Dreams Instagram page.

This surgery was live this morning.

And that might even be Charli.

CASSIE: At Enhanced Dreams,
dreams really do come true,

as we give you nothing
but the hottest transformation.

Right, Doc?

- SURGEON: Oh, yeah.
- Look at all that

beautiful liquid gold
the doctor's harvesting.

That's human fat, which will be used

to sculpt a gorgeous new rear end.

Let me hear you say "thicc".

They need to be stopped.

- Patient was awake?
- Mm-hmm.

She likely gave permission to film it.

Maybe, but Enhanced Dreams
is run by a dermatologist,

not a plastic surgeon.

It's got to be illegal.

Eh, you would think, but it's not.

Anyone with a medical
license can perform

cosmetic surgery in Georgia.

Chalk it up to ridiculous things
that are legal in medicine.

(MONITOR BEEPING RAPIDLY)

We got you, Charli.
We got you, we got you.

- (MUFFLED GRUNTING)
- We got you.

CONRAD: She's stroking out.

- Page Billie!
- TREVOR: Shouldn't we get a CT

with contrast to figure out where?

No time. It's localized

to the left middle cerebral artery.

That's the best we can give
Billie right now.

Let's get her to IR.

(PHONE RINGS)

Nice to hear from you.

So, you have news about the board seats?

I do. (EXHALES)

Dr. Bell, we received
an accusation from, uh,

your hospital about one
of our top candidates.

Well, if you're talking about Porter,

I gather there were some
ethics complaints against him,

but I...

assumed you were aware.

No, this is new.

Uh...

the credibility of the source
is the issue.

It came from the same person
who wrote your recommendation

at Chastain.

Dr. Sutton?

Conflict of interest here

is, uh...

obvious. And it's...

not a stretch to imagine
you helped motivate this.

Well, I-I assure you, I did not.

Sadly, that's hard to believe.

So we can no longer offer you a position

on the state medical board.

The optics...

could not be worse.

(EXHALES)

Uh, thanks for the call.

I reached the mom.

She took Charli's son to Disney World

while she had surgery.

Apparently, Charli's desperate
for more followers.

If she hits K,

she can make cash, quit her job,

and get a place for her son and her.

So she decided to get
a Brazilian butt lift?

Her mom said she's always coming
up with ideas to look better.

She thinks that's how
she'll get more followers.

No one could talk her out of it.

Do they know how sick she is?

Her mom does.

Hasn't told the kid.

Hopefully she won't have to.

Hey, Billie, can we talk?

Can it wait? I'm due in IR.

No, it can't. I got a call from
the lieutenant governor saying

you filed a complaint
against Robert Porter.

That was supposed to be anonymous.

Well, what was?
What the hell's going on?

I can't... I-I can't think

- about this right now...
- Well, look, look,

whatever this is,

I mean, they think
that I put you up to it,

because you signed
my letter of recommendation.

And now the state medical board

is siding with Porter and... (STAMMERS)

cutting me.

Billie, we have a patient
waiting. Let's go.

- So?
- (SIGHS)

I've got to go.

How'd your IR practice go?

We'll find out.

Well, don't worry.

I know this anatomy well.

(STEADY BEEPING)

It's heartbreaking that this
young woman put her life at risk

for more followers.

It was also to give
her son a better life.

It's sad she believed this was
her best option to do that.

Just at the takeoff to
the left middle cerebral artery.

Come on, Billie.

Dr. Sutton, you're turned around.

You're in the right-sided circulation.

I know where I am.

The patient has left-sided weakness.

We need to get to the
right side of the brain.

CONRAD: She's confusing

- the patient's symptoms.
- LEELA: All of the patient's deficits

were on the right, which
means the embolism

has to be on the left.

(SIGHS)

Neuroanatomy . (EXHALES)

(INHALES DEEPLY)

Damn it. Where am I?

What's happening?

Looks like she's freezing up.

She never loses focus like this.

LEELA: It's all right.

We're almost there.

Right here is the left anterior
cerebral artery.

And here is the takeoff
to the middle cerebral artery.

CONRAD: There you go, Billie.

She found the embolism.

And now they pull it out?

Yeah.

It's safer than breaking it up.

TREVOR: She's gonna be okay now, right?

If they got there in time.

Thanks for having my back.

Anytime.

You okay?

No.

I'm furious with myself.

Do you want to talk about it?

Not really.

But this is a clear example
of why you can't double-board

in these two fields.

I don't understand.

My mind was a million miles away.

Dr. Austin juggles multiple specialties.

He's triple-boarded.

Not in neurosurgery.

This is as high-risk and complex
as any surgery gets.

If you try and do this
and anything else,

the result will be catastrophic.

I rise to challenges.

Okay? It's who I am.

A challenge is good.

A su1c1de mission is not.

And in this case, the person you'd k*ll

would be the one on the table.

- But you haven't even g...
- Leela,

you may need to ask yourself
why you are putting up mountains

too big for anyone to climb.

Is that your final answer?

Honestly, it would be anyone's.

(PHONE BUZZES)

Thanks again for your help.

(DOOR OPENS)

(SIGHS)

I had to tell Randolph
after what Beaumont said.

I'm so sorry, Billie.

I should have realized
this could happen.

KIT: But it shouldn't have.

You were promised confidentiality.

And the lieutenant governor broke

that promise. It's just outrageous.

So what do I do now?

You said you could prove
your charges against Porter.

(SIGHS) I can.

But it means devastating
emotional repercussions

for the other person involved.

Oh, Billie, I understand.

But if you don't,

I fear the repercussions for you
could be far worse.

Accusers destroy
the person accusing them.

That's how it works.

Jess.

Oh.

- Thank you.
- Oh.

Thank you so much.

I am just so happy

that he's okay.

- That was really stressful.
- (CHUCKLES)

Oh, God, you would not believe

things that people are saying
about me and Will.

"Let's just hope the husband
is sh**ting blanks now

so these two nitwits can't bring
a second child into the world".

Will is fine. You'll have
plenty more children,

- if you want them.
- Mm.

In a couple of days, these vultures

will be attacking someone else.

Mm, I'm thinking of making T-shirts

with the worst comments printed on them.

(INHALES DEEPLY) Truth is,

I feel like I kinda deserve it.

You don't.

Well, it's just...

The only opinion of me that
really matters, besides Will's,

is yours.

- And I just hope that you're not...
- Scarlett,

you are my sister.

I love you, no matter what.

I feel like there's always
a "no matter what" with me.

You were great at anything
you put your mind to.

The only thing I put my mind to
were boys and parties.

And you never needed
anyone's approval but your own.

And Mom told me I wouldn't
need so much attention

if I just took a page out of your book.

Oh, Scarlett.

You are a ray of sunshine.

And you bring it to Will,
and he loves you for it.

Aw. But?

But maybe nix the T-shirt idea.

- Mm.
- No sense in feeding the trolls.

And definitely a hard no
on backyard expl*sives.

- (CHUCKLES) That's sound advice.
- (CHUCKLES)

We still don't know
if it's a boy or a girl.

Well, if you must know...

- he's a little boy.
- (GASPS)

I saw the weenie on the ultrasound.

- What?
- Mm-hmm.

- Scarlett.
- What?

So why the party?

Is that a serious question?

- Do you not know your sister?
- (LAUGHS)

(SCARLETT LAUGHS)

Hiya, honey.

Hey.

Can you squeeze my hands?

Squeeze, squeeze, squeeze.

Good.

All right.

What happened?

Well, in a nutshell, the fat

from your Brazilian butt lift
swam to your brain

and it almost paralyzed you.

Oh, my God.

Oh, God.

I feel like such an idiot.

I shouldn't have done it.

I just... I saw this thing on Instagram

- and...
- TREVOR: Oh, we know it.

Frustratingly legal and yet...

criminally unqualified.

They had these glamour sh*ts,
and I just thought that...

damn, if I could look like that...

- (SIGHS)
- You could get more followers?

We spoke to your mom.

She knows?

AUSTIN: Yep.

But she also knows
that you're gonna be okay.

And Daniel? My-my son.

(STAMMERS) He's
probably so scared right now.

- (SNIFFLES)
- It's up to you what you tell him.

Thank you.

Whew. So, how does it look?
(CHUCKLES SOFTLY)

Sorry, how does what look?

I hope it looks dope,
like, after all that.

Well, when you are up and around,

you can decide for yourself.

Oh, can I have my phone, please?

Yeah.

People need to know about this.

Uh, I got to grab Gigi.
I'll catch you guys later.

Thank you.

People, I almost d*ed, y'all.

But I didn't. I didn't.

Okay, so I'm here to tell you,

if you are going to get a BBL

or any other procedure,

make sure your doc knows what
the hell they're doing. Okay?

So, sit back, relax

and let me tell you
my crazy story, okay?

Now, I am an optimist by nature,

but I'm beginning to think
we are screwed as a species.

Social media is gonna be our meteor.

Wow.

You sound like an angry old man

on the wrong side of the generation gap.

(CHUCKLES): Oh, wow.

Angry, yes. Old, no.

Mm, come on, Dr. Austin.

Disco didn't destroy society.

Without social media,
there would be no, uh,

Arab Spring.

Systemic racism might've
never been exposed.

What about that girl that
saved herself by learning

the "help me" gesture

- on TikTok?
- Oh. Right.

And all the swag you get

when your followers leap up.

Who follows you?

And why?

(INHALES SHARPLY)

(GRUNTS)

♪ That bitch, even
when I'm crying crazy ♪

♪ Yeah, I got boy problems,
that's the human in me ♪

♪ Bling, bling, then I solve
'em, that's the goddess ♪

♪ In me, you could've had a bad bitch ♪

- ♪ Noncommittal, helped you with your career ♪
- AUSTIN: Dr. Chu?

- NOLAN: Man's got moves.
- ♪ Just a little ♪

- , views?
- ♪ You're supposed to hold me down ♪

♪ But you're holding me back ♪

- Wow.
- Yeah,

they just seem to be
climbing by the second.

Have you no shame?

♪ Don't text me,
tell it straight to my face ♪

♪ Best friend sat me down in the... ♪

Whatever you do, Nolan,

just do not get a BBL.

Why would I?

Hey.

- Thanks for collecting her.
- Oh,

my pleasure. (CHUCKLES SOFTLY)

It's amazing how well she plays.

I swear, most kids
are so hooked on devices,

they never learn how.

Well, she won't be using any

- until at least college.
- (LAUGHS)

Good luck with that.

Daddy, look.

Oh, what's Mr. Giraffe doing now?

Can't you tell?

Mm...

He didn't pick up his toys,
so you sent him to his room.

Zoo.

Mr. Giraffe lives in the zoo.

Right.

Let's spring him from his cage
and go get your "carbon-ye-ara".

Yes.

(GRUNTING LOUDLY)

(CHUCKLING): Bye.

- Bye. - Bye, Gigi.
- Bye.

(KISSING) Mwah!

(CHUCKLES SOFTLY)

(CAR DOOR OPENS)

(CAR DOOR SHUTS)

I won't hurt you.

I'm here to warn you.

Withdraw the complaint,
say you lied for Dr. Bell,

and you'll never hear from me again.

You're scared.

Withdraw it

or I will destroy you.

You can't destroy me.

You k*lled a part of me
I can never get back.

You can never hurt me again.

Don't count on it.

I'm fully aware of your mistakes.

I'll expose all of them.

And I will take away the
very thing you love the most,

your career.

(CAR DOOR OPENS)

(ENGINE STARTS)