05x15 - In For a Penny

[bunniefuu]

Previously on The Resident...

Palliative care doctors will

treat your symptoms

and make sure you live your best life.

And this will give us more time to
do the things that we love together.

I've been short-listed for a seat
at the state medical board.

That's wonderful, Randolph.

I want this baby to be % me.

And since we're identical
twins, I was wondering,

would you give me one of your eggs?

- Are you in trouble?
- No.

I'm fully in control
of my past, present,

and to some extent my future.

First...

we sterilize the tweezers.

Don't burn yourself, Mr. Soriano.

ALBERT: Ever inspired by
your confidence, Jordan.

(LAUGHTER)

Now we use our sterilized
tweezer to place four

different antibiotics.

Bingo.

It'll take at least
hours for us to see

which antibiotics
fights off the bacteria.

And that is just like
a real clinical trial.

Progress is incremental.

But that's the only way
for us to figure out

which treatments work to heal people.

Like me.

- So you're the petri dish?
- (LAUGHTER)

- Ew. Gross.
- No, no,

Jordan is right, isn't he, Dr. Pravesh?

Well, we have more
scientific terms for it,

but, yeah, your teacher is
a straight-up petri dish.

(LAUGHTER)

But a very brave one.

The risks are high,

but just think of the potential rewards.

Scurvy, polio, diabetes.

All of those are treatable, even curable

because of clinical trials.

So today, class, please
listen to your sub,

read chapter four

while I will go to
Chastain Memorial Hospital

so Dr. Pravesh can give me

my first infusion of a potentially

life-saving drug for my lung cancer.

It could be a cure or it
could be something else.

That is the beauty of experimentation.

We only know once we've taken a chance.

(MONITOR BEEPING RAPIDLY)

All right, let's chase that last dose
of epi with another amp of bicarb.

Pushing bicarb now.

How long have we been coding him?

minutes by my watch.

But since EMS found him at the scene,

it's probably closer to an hour.

He's been asystolic the
last three pulse checks,

maxed out on meds.

Fixed and dilated.

All right, it's time. Stop compressions.

Time of death : a.m.

(SUSTAINED FLATLINE TONE)

HUNDLEY: He's too young.

IRVING: And alone.

EMS couldn't find a
wallet or phone on him.

Olanzapine.

Aripiprazole.

Antipsychotics? Unusual.

Explains why the Narcan didn't work.

If you take enough of this,
you can still get high.

These doses are...

What?

These doses are what?

Then the unicorns have a party,

but the kitty has disappeared.

They have to save her, so they
call in Happy the bloodhound,

'cause he has a great nose
and he's a famous detective.

Whoa, whoa, whoa,
don't tell me any more,

you'll ruin it for me. Hi, Tisha.

Can we read together, Daddy,

and you do all the funny
voices the way you do?

Yes, of course. Right after work, okay?

What is it, Daddy?

Have a great day at school, Bubble.

(KISSES) Love you.

- Bye, Daddy.
- Bye.

♪ ♪

Where you going?

To the pharmacy that
filled these prescriptions.

I've never heard of this patient

and I didn't prescribe these.

That's not what you do.

You have to go straight to the FBI.

Okay. And how do you know that?

I just do.

There's an office downtown.
I can give you a name.

Oh, perfect. You can give me the name

of an FBI agent. That's-that's great.

His name is Todd Barker.

I'll call him and let him
know that someone is using

your name and NPI number
to prescribe dr*gs,

- and he'll take it from there.
- Whoa, whoa, slow your roll.

What?!

- (PAGER BEEPING)
- Irving is paging me. I got to go.

Hold on.

Hey.

(MAN SPEAKING INDISTINCTLY OVER P.A.)

(INDISTINCT CONVERSATION)

Dr. Hawkins told me that Grace likes

the comfy chairs from the fourth floor,

so I got you one. And
by "got" I mean stole.

- Just don't tell.
- Thank you.

Where is Dr. Hawkins, by the way?

He was with us through all the chemo.

Yeah, he'll still check
in on you, I promise.

Dr. Pravesh is our doctor now.

He's the clinical trial specialist.

So, it doesn't look like much,

- but...
- My TILs.

This is Albert's first dose

of tumor-infiltrating lymphocytes.

The cells that we harvested
last month from your lung biopsy

are now primed to target
your specific cancer.

- Pretty amazing, right?
- It's awesome.

As in the true meaning of
the word, inspiring awe.

Like the way I feel about black holes

and atomic vibration.

You two are such nerds.

Damn right.

So you will get one
dose every few hours,

six in total.

It'll be some time before
we know if you respond.

But this is the first step.

Science never sounded so easy.

So I want you to be realistic.

This will likely make you feel
sicker before you get better.

So expect flu-like symptoms,

maybe worse.

How much worse?

Hey, don't worry.

I could handle whatever comes.

This is my lifeline.

My last best chance.

All right, then, here we go.

Oh, Dr. Feldman, wait.

Can you cover for me for a few hours?

No. My shift is over.
You're taking over for me

so I can have a life
outside these walls.

Yeah, totally. So you can cover for me?

- No.
- Thank you.

I suppose I can't ask
you where you're going,

but where are you going?

hours on my feet,

what's another to ?

This is doctor abuse.

Mariana, years old,
respiratory distress.

- (MARIANA INHALES RAGGEDLY)
- No breath sounds on the right.

Likely a collapsed lung.
Where do you want us?

Bay . Do you have a set of vitals?

Heart rate . BP /palp.
%, % on oxygen.

All right. Page Dr. Austin.

Dr. Austin is on his way out of here,

but feel free to page Dr. Devi.

- You're leaving, too? Unfair.
- Yes, sir.

If I have to stay,
everyone else should stay!

- I'm here. You leaving?
- I have to visit my mother.

And Irving is whining
like a puppy dog in pain.

- You go. I got this.
- IRVING: On my count.

- One, two, three.
- What do you need?

How do you feel about a pneumothorax?

- Psyched.
- IRVING: This is Mariana.

You live in my ER now, Devi.

Mariana, we're first gonna
take a listen to your lungs,

okay? Hundley, can I get
a chest tube kit, please?

Mm-hmm.

Your right lung has collapsed.
I need to do a decompression

to help you breathe better, okay?

(GRUNTS)

We're gonna numb you first.

This may hurt a bit.

(MARIANA WHIMPERING)

Chest tube to me.

Mm-hmm.

Take a deep breath in.

(MARIANA INHALES)

(CRYING OUT)

- (MARIANA GASPING, WHIMPERING)
- All right, we're in place.

Pleur-evac.

(SUCTIONING)

(BEEPING STEADILY)

(BREATHING DEEPLY)

I felt like I was about to die.

Well, you were, dear.

But Dr. Devi just saved you

like the boss she is.

Thank you.

Here we go, milady. Back
to its rightful owner.

You were only CEO for a few days.

Wait, did you move my plant?

Yeah, it has better light over there.

I have my first meeting

as a member of the state
medical board today,

so I can start a chapter in my new life

and I can hand you a
smoothly running hospital.

Huh. Looks like Trevor Daniels

- didn't show up for work again today.
- He's been

AWOL since speaking
out on Billie's behalf.

She's trying to find him.

And Dr. Hawkins called to say
he's on his way to the FBI.

The FBI?

Oh. And our new ER doc

just took off in the
middle of her shift.

What were you saying about
a smoothly running hospital?

That in your capable
hands, it'll soon be silk.

You look very sharp in
that suit, by the way.

I know.

Okay, um, your own sister

being the biological mother

of your child is...

It's a little weird, right?
Am I allowed to say that?

Lots of women donate their
eggs to their sisters.

True, but Devon has a point. Giving you

one of my eggs is complicated.

We have to be honest about this, right?

You both would be the
baby's mother, technically.

No. I'd be the baby's mother.

I will give birth and raise my child.

Leela's responsibility ends
with the donation of the egg.

Yes, but you are identical
twins with identical DNA.

If I could have a child with my own egg

that's identical to hers,

you wouldn't think of
my baby as Leela's,

- would you?
- But who will be the father?

A sperm donor.

Okay, but who?

That's my call.

Just give me some time
to think about it.

I know I don't really have a say here,

- but I...
- No, you don't, sweets.

My body. My sister.

My egg.

♪ ♪

(LOCK BEEPS)

BARKER: Dr. Hawkins.
We spoke on the phone.

Agent Barker.

Sorry for the delay.

We were waiting on someone. Follow me.

Dr. Sullivan.

CADE: Agent Barker. Always a pleasure.

BARKER: Glad you could
make it. Things go smoother

- when you're around.
- (DOOR CLOSES)

I realized I shouldn't leave
you alone to navigate this.

And what exactly are we navigating?

- Mom?
- CAROL: In the kitchen!

(inhales) Ah.

I know that smell.

That brings me back

to sixth grade, after school,

racing home so I could get my hands

on double banana nut muffins. Yes.

With the streusel.

Well, my store-bought scones are
ashamed to be in your presence.

Nonsense. We need something
to feed the birds.

(BOTH LAUGH)

Honestly, Mom, when was
the last time you baked?

- (EXHALES) Chemo Carol is history.
- Mm.

Palliative care Carol is rocking

- this kitchen.
- Yeah, I can see that.

I have the incentive now
that I can enjoy food again.

AUSTIN: Mm.

Doreen and I are visiting

the botanical gardens this afternoon,

so what can I do for you, baby boy?

Nothing.

Just seeing you like this is all I need.

- Thank you.
- (CHUCKLES)

AJ.

I want you to know

I understand my days are numbered,

but I'm truly living them.

I can see that, Mom.

(CHUCKLES): And that makes me so happy.

CAROL: Mmm.

Albert.

Talk to me, man. What's going on?

It's just, um, some chills.

He's complaining of nausea
and muscle aches, as well.

Yeah, it's just like the flu, right?

Okay, you're spiking a fever.
I'll order you some meds

- and a cooling blanket, all right?
- It's hard to...

- (MONITOR BEEPING RAPIDLY)
- ... breathe.

- What's happening?
- Probably has some fluid in his lungs.

I'll put him on oxygen.

This isn't like the flu.

It's getting harder
really fast, Dr. Pravesh.

It's quicker than I expected.

This is the only hope to
get you better, right?

I'm here for you every step of the way.

You still with me?

(INHALES RAGGEDLY)

Okay.

Just breathe.

antipsychotic prescriptions
written in your name

in the last two months
at six different clinics

in addition to high-priced asthma meds

and antihypertensives.

Well, I didn't do this.

No one's breaking out the
handcuffs, Dr. Hawkins.

BARKER: We think you're a small part

of a much bigger case we've
been tracking for a year.

These are all brand-name dr*gs.

Highly reimbursed medications.

Medicare fraud.

Yes. Kickbacks. Drug diversion.

We think it's a pill mill.

A big one. At least
six clinics involved.

Probably busing people in.

You have a pole camera up yet?

BARKER: A warrant just came through.

Classic mob operation.

The Mafia is often
involved in Medicare fraud.

There's little oversight,

scant punishment and big rewards.

BARKER: And we now have
mob levels of v*olence.

Federal investigators, informants,

even doctors who assist
in our investigations

have been m*rder*d.

Which is why we're keeping an eye

on Dr. Sullivan as best we can.

Nice to know you've been
working with the FBI.

How did they get

- Dr. Hawkins' name and numbers?
- BARKER: Few years ago,

there was a ransomware
att*ck on Chastain.

They were just idiots in some basement.

Yeah, well, typically these idiots

sell your identities, DEA, NPI numbers

to larger criminal organizations.

So, what do I do about it?

You go back to Chastain,
leave this to us.

If you don't, it could
be your life in danger.

I think we've heard
enough to understand.

Not nearly.

That's all I can tell you right now.

CADE: And we have to get back to work.

Great seeing you again. Talk soon.

Dr. Hawkins.

You and I need to have a little chat.

Mariana, how are you feeling?

Better. Very well, actually.

Oh, glad to hear it.

I can't believe this happened again.

Wait, your lung's collapsed before?

Yes. My doctor wasn't too worried.

He said I was young, healthy.

Is it possible this
is just a coincidence?

It's unlikely.

We're going to have to keep
you here to figure this out.

No, I have an important
meeting with a client later.

Cancel it.

Can you elaborate?

I'm sorry.

I did not mean to sound so blunt.

I'm a surgeon,

so most of the patients I
deal with are unconscious.

My bedside manner gets a little rusty.

But that's no excuse.

I'd be more concerned if
your scalpel was rusty.

And you do not need to apologize.

Would a male surgeon apologize?

It's unlikely.

I've told my team to sh**t me

if I ever apologize to a client.

Makes them trust you less.

What do you do?

I'm an architect.

My uncle's an architect.

He's never apologized for anything.

Frank Lloyd Wright said, "Early
in life, I had to choose"

"between honest arrogance
and hypocritical humility.

I chose honest arrogance."

(CHUCKLES) Well,

I vote for honest humility.

And on that note,

your lung should not collapse twice.

We'll have to consult
a specialist, okay?

I'll be back to check on you later.

(INHALES, EXHALES)

- Breathing better?
- Mm-hmm.

See? Everything's fine.

If he's this bad after a first dose,

what will happen next?

He's got five more to go.

Everybody reacts differently.

We won't know until we proceed.

That's just how it works.

Grace, you haven't eaten all day.

Why don't you go to the
cafeteria for a bit?

I'll be fine.

(SIGHS) Okay.

(RECEDING FOOTSTEPS)

I've tried to talk her through
this, explain the science.

I gave her a book on Marie Curie.

Big mistake, since Curie d*ed
experimenting on herself.

Yeah, still walking that one back.

(BOTH CHUCKLE)

Albert, it's time for your second dose.

I figured.

That's why I asked her to step out.

You sure?

Yes.

I'll be back.

(EXHALES)

The Lord is my shepherd,
I shall not want...

Well, I don't think we've seen
anything too concerning today.

Certainly nothing
requiring punitive action.

BELL: Uh, actually, there is one case

we haven't discussed that's alarming.

Emily Benesch, years old.

Ms. Benesch had, uh, an anterior
cervical discectomy and fusion.

Dr. Elkins, you're a neurosurgeon.
Did you see this complaint?

I did. As I recall,

the patient had complications post-op.

The surgeon damaged her spinal cord.

Now Ms. Benesch is a paraplegic.

Spinal surgery always has risks.

Well, uh,

after the operation, she
felt something was wrong,

she asked her surgeon Dr. Keith
Bosley for a follow-up,

and he "brushed her off."

I know Dr. Bosley personally.
I-I doubt he brushed her off.

Well, I found several other
complaints against him.

So wouldn't, uh, multiple complaints

be a red flag?

I think we should dig into
Dr. Bosley's patient outcomes

and... give Ms. Benesch a fair hearing.

ABERNATHY: Stories like
this flood our office.

Patients get emotional
when complications occur

and look to place blame.

This patient isn't emotional,
she's a paraplegic.

We can't fix every patient's problem

or guarantee everyone a perfect outcome.

No, I understand that.

But isn't it the job of this board

to hear our patients' problems,

particularly when there
are repeat complaints?

Dr. Elkins, will you delve
into this more deeply?

BELL: Should a close friend

of Dr. Bosley's be the one
to lead his investigation?

State medical boards
are staffed by doctors

precisely because we are the best people

to judge our own colleagues.

So let's just simmer down.

Just watch, and learn how we operate.

Oh, I-I think I'm getting
a pretty good sense

of how you operate.

CONRAD: When you wouldn't answer
questions about your past,

I didn't push.

I respected your privacy,
but that's off the table now.

Talk to me.

It started with a phone call
back when I was a resident.

I was employed by a big
hospital system in Chicago

that took a lot of Medicare patients.

They were overtreating,
doing unnecessary surgeries,

and ripping off Medicare
for millions of dollars.

That's almost standard
operational procedure

in some hospitals these days.

I couldn't let it stand.

I see a problem... I try to fix it.

I get that.

So I called a Medicare fraud tip line,

and the DOJ got involved.

Long story short, I
ended up wearing a wire

and collecting documents to help
them get the proof they needed.

You were hooked.

Yeah.

So when the FBI approached me
to keep working with them...

... I was all in.

They need doctors to
understand medically

what's fraud and what isn't,
and to work undercover.

Soon, we went after the biggest fish.

The Mafia.

(EXHALES)

It was a much tougher
world. Lot of risk.

Eventually, I was identified
as an FBI operative, and...

... there was an attempt on my life.

- Are you safe now?
- It's been two years.

But the Mafia makes a practice
of punishing its enemies.

I never know who I can trust,

so I say as little as
possible about my past,

and I don't stay long in one place.

You should have told me.

I get that you're in a tough spot.

Here's the thing.

I like you.

And I like you.

But it ends there.

I don't get involved
with anyone, Conrad.

And no one should get involved with me,

for a number of reasons,

but the main one is
that I will disappear.

Well, maybe you should stop running.

Trust me on this.

You take care of people.

You want to take care of me.

But you can't.

I take care of myself.

I'll see you at Chastain.

(PHONE CHIMES)

_

- (MONITOR BEEPING RAPIDLY)
- Dr. Pravesh, what's going on?

His pressure is plummeting and
he's spiking a fever again.

He still has three doses left.

More fluids should
bring up the pressure.

I- I don't think he
can handle the trial.

I don't think I can, either.

- I want it to stop.
- When Albert is stable,

we will discuss it, but right now

we don't even know if
the trial is to blame.

It could be an infection, and
I don't want to deprive him

of a cure for the wrong reasons.

How are you gonna figure it out?

Grace.

You have to trust me and this process.

You two and your scientific method.

I don't trust this "process."

Look at him.

Whatever you're doing
is making him worse.

If this protocol's gonna
work, it's gonna take time.

Let's get him to the ICU

so we can stabilize him and monitor him,

and I promise you

that all options will be
available to the both of you.

Fine, and thank you,
but I'd like to call in

Dr. Hawkins for a second opinion.

I've already paged him for
a consult. He's on his way.

Albert?

I am right here.

It's gonna be okay.

MARIANA: I'm fine. Yes. Yes. (SCOFFS)

Don't worry. Uh... The
doctor's walking in.

I love you, too. Bye.

My husband. Also an architect.

Which is why he isn't here.

He's on-site of a new
project in Memphis.

Dual-career marriage.
I know all about that.

And the people who do it with children?

Boggles the mind.

- Agreed.
- (CHUCKLES)

My career is all-consuming.

And I'm a perfectionist.
It's a compulsion.

(COUGHING)

Cough sounds bad.

Let me take a listen.

AUSTIN: Hey, what's going on?

Hemoptysis in our pneumothorax patient.

Her lungs sounded clear, but now...

AUSTIN: There's still an air leak.

And there's no blood in the chest tube.

Mariana, we're gonna
confer for a minute, okay?

Okay, so something more
serious is going on.

All right, well, give
me the differential.

It could be an abscess,
bronchiectasis or even cancer.

- A CT should help.
- All right.

Well, let's get her in
the magic box right now.

BELL: And then this Dr. Abernathy

dismisses the case as
though it was nothing.

Do you think the
neurosurgeon's really culpable?

Well, I'm not gonna condemn him
without solid consideration,

but they refused to give it any air.

What?

- Does any of this really surprise you?
- No.

This is why I wanted the
job in the first place.

- So what will you do?
- (SIGHS)

♪ ♪

(LINE RINGING)

EMILY (OVER PHONE): Hello?

Hello, is this Ms. Benesch?

Yes, who's calling?

This is Dr. Randolph Bell
from the state medical board.

I'd like to talk with
you about Dr. Bosley.

Finally. I'd given up hope.

Got your page.

I came as quickly as I could.

Is your emergency handled?

Hard to tell. How's Albert doing?

Well, we're four doses in.

I've had to give him
broad-spectrum antibiotics

and three liters of fluids,
and he's getting sicker.

I had to start him on norepi.

- You think it's the trial drug?
- I do.

His blood cultures came back negative,

there's no sign of infection.

And it's time for his next dose.

Ah, that's a tough call.

He's already on a non-rebreather
with a borderline blood gas.

With another dose, you
may have to intubate.

Which could be fatal for Albert.

A ventilator-associated pneumonia,

with his immune system?

God, and his poor wife.

And the trial?

An intubation would be an
unexpected adverse event,

which could get the trial
paused or stopped altogether.

But if he doesn't finish the protocol,

and his cancer only gets worse...

So if I give him the
dose, it could k*ll him.

And if I hold it, then
everything he's gone through

up until this point would
be completely useless.

There's no good answer.

(SIGHS)

And Albert's wife, she doesn't
trust me, she trusts you.

Yeah, I'll talk to her,
but let's be clear:

you make the call.

No. Neither of us will.

Albert should decide.

So, your CT was clear.

Which means it's not an
abscess, inflammation or cancer.

Okay, so what's next?

It's good to rule things out.

I am going to circle back
with Dr. Austin, and I...

- (EXHALES)
- (MONITOR BEEPING)

Are you still in pain?

Is it your chest?

It's just, it's just cramps.

The same every month.

Ooh, they're excruciating sometimes.

Have they always been this bad?

As long as I can remember.

Sometimes I even get a nosebleed.

It's a real thrill, being a woman.

The last time your lung collapsed,

were you also on your period?

Uh, a-as a matter of fact I was.

I... Yeah.

I-I remember I had to ask for
pain meds while I was here.

Why?

Sit tight, I will be right back.

I promise.

AUSTIN: Endometriosis? Really?

Her pneumothorax coincides
with her periods,

which are abnormally painful.

Isn't it possible that
aberrant endometrial tissue

from her pelvis traveled
through tiny defects

in her diaphragm up
into her chest, where...

Where it continues to
respond to the hormones

of her menstrual cycle,
thus wreaking havoc.

Yeah, it's definitely
possible, but, Devi, that's...

- extremely rare.
- So is having repeated episodes

of pneumothorax with no
discernible cause on imaging.

What if these aren't random?

What if this is evidence of a problem

her body's been trying
to hide this entire time?

Well, we could get an
MRI for a better look,

but ultimately the only way to confirm

a catamenial pneumo is with surgery.

That's thoracic and abdominal.

And if we find what you think we will,

- that could be a hell of a procedure.
- That can cure her.

I'm ready for this.

Oh, I know you are.

Devi, you just pulled off a
Conrad Hawkins-level diagnosis.

Let's get your patient
ready and scrub in.

GRACE: Tell him we can stop,

Dr. Hawkins, please.

Of course we can.

- I've always said that.
- ALBERT: We can't quit

an experiment halfway through.

I tell my students all the time.

This is your life.

You get to be selfish.

You don't have to think
about the greater good.

I am being selfish.

Without the trial, I die.

But you may die sooner with it.

I can't lose you.

Do you think I'm not scared?

- I am.
- (WHIMPERS SOFTLY)

But this is what I want to do.

I'm willing to suffer for the science,

just for a chance, however
slim, to survive this cancer.

I just need you to support me, please.

- But, Albert...
- Listen, listen.

We're a team, right?

Don't fight Dr. Pravesh.

Just trust him.

And trust me

and honor what I want and believe.

Okay.

I've decided, Dr. Pravesh.

(GRUNTS) Please give me the next dose.

(CRYING)

BELL: I hope this isn't an imposition.

More like a surprise.

I thought the state medical board

had lost all interest in my case.

My lawyer certainly has.

Well, I'm sorry to hear that.

(CHUCKLES): Thank you.

I don't blame her. She
took me on pro bono.

When we couldn't get any
traction with the board,

there wasn't any way forward.

Are you looking for a
financial settlement?

No, I'm looking for accountability.

He nicked the artery in my spine.

There was massive bleeding.

My spinal cord was damaged.

I did not have to end up like this.

I don't want future patients
of Dr. Bosley to, either.

Hey, your case file
says that you received

a second and third opinion
about your outcome.

And that a post-op MRI
would have caught the damage,

and then a second emergency
surgery could have repaired it.

Yes. I might still be walking today

if Dr. Bosley had listened to me.

He didn't.

So he says you pushed
hard for the surgery,

That's not the point.

The harm I suffered during the operation

could have been prevented.

I want the board to do something.

Will they?

Honestly? Probably not.

But I will do something.

I'm maxed out on norepi,
adding vasopressin.

I hear crackles halfway up,

and he's losing consciousness.

Albert.

Can you hear me?

- We're gonna need to intubate.
- No, not intubation.

He's struggling to breathe, Grace.

It may be the only thing
to help keep him alive.

I'll grab an intubation tray.

I knew we should have stopped.

My husband, him I understand.

He'll never quit. But you?

You're doctors. You know.

You're supposed to know better.

Why couldn't you stop him?

Grace, you know I respect
you and your husband.

He didn't want to stop,
we have to honor that.

And Dr. Pravesh has my total support.

I'll be right back.

Add a dialysis line. His
kidneys are shutting down.

Yeah. Just let me know, please.

CONRAD: Albert's stable for now.

Yeah, well, it doesn't change the fact

that he walked in here
in decent shape and...

now he's on dialysis and
he's being intubated.

Did you call the study sponsors?

I had to notify them of
the toxicity of the drug,

and now they're deciding
if they're gonna put

the trial on hold.

Grace was right,

I knew the dangers,

I knew the odds for
Albert were getting longer

every single hour.

I shouldn't have listened to him,

except I know that I should have.

You followed the patient's wishes.

It was the right move.

Albert knew exactly what he was doing.

I feel like a general
who's sending my soldiers

out into the b*ttlefield to
face a line of machine g*ns

while I stand in safety.

All wars have casualties.

And they also have triumphs.

It's the same with clinical trials.

I want Albert to survive.

I want him to teach his
kids for years to come.

So they can visit him
in his happy retirement.

He deserves that.

This isn't over.

The intubation bought him time.

So... next steps.

All right, what we know
now is that he's battling

massive inflammation
from the trial drug.

So, if we treat the inflammation...

I hesitated to give him steroids

because I thought he
was infected, but...

We should go for it... plus toci.

If all his cultures have
been negative, yeah.

It could help more
than it could hurt him.

Let's do it.

Endometriosis fits your symptoms.

You check all the boxes.

You know, most doctors don't ask women

the right question to
make these connections.

That's why it can take
years to diagnose.

But if we're right, we can fix this.

AUSTIN: But we do need to be clear
about what this means for you.

This condition can
affect your fertility.

Now, with surgery, you
should end up pain-free,

but if we find extensive damage,

you are aware that you may not
be able to have children, right?

I discussed it with my husband.

He's flying in to be with me.

He's okay with never having children.

And you?

W-We're on the same page.

We're focused on each
other, and our careers.

And there's nothing wrong with that.

AUSTIN: You're absolutely right.

His MAPs are solid.

I'm gonna titrate down the norepi.

- That's an improvement.
- Not enough.

What do the labs say?

Just tell me.

Look for yourself.

His blood gas looks good.

We can turn down his oxygen to %.

And his liver function is normalizing.

He's turning around.

(EXHALES)

He's gonna be okay.

Yes. Yes.

Albert will make it through this trial.

You have given him a chance to survive.

You did it.

He's looking better, right?

He already wants to send
a video to his students.

I tell them every day,

record even the most incremental
progress in your experiments.

- This is more than incremental.
- (CHUCKLES SOFTLY)

When you're ready,
I'll set up a transfer

back to the room with the comfy chair.

(EXHALES)

Albert, I owe you an
apology. Grace, you, too.

I just had no idea it
was gonna get this bad.

You were doing your job.

I'm sorry I got so angry.

Oh, stop, both of you. I was a
willing guinea pig, remember?

A human petri dish.

Besides, it worked.

Well, we know you can
get through the doses.

But we don't actually know if
it's gonna help your cancer yet.

But I have a chance.
More than I had before.

See? I told you to trust Dr. Pravesh.

- You were right.
- Mm.

Like two peas in a
pod, you science nerds.

That's right.

Now, here's the real question.

Who can recite the
periodic table faster?

- Did you just challenge me?
- Yes, I did.

No... Actually, no, y-you
need to get some rest.

Hydrogen, helium, lithium...

Okay, okay, okay. You win.

- (LAUGHS)
- You win.

WOMAN (OVER P.A. SYSTEM): Imaging,

please dial ...

Oh, well, well, well, if it
isn't the queen of Chastain.

Hey.

- Ah...
- (GIGGLES)

- Oh. Nice.
- You like that, right?

Hey, man, I heard Devon's clinical trial

passed the first test.

Yeah, barely.

The protocol was worse
than anyone imagined.

Your mom wouldn't have survived it, AJ.

Well, we have no regrets.

You know what she did today?

She made three different kind of muffins

and she took a walk through
the botanical gardens.

Telling you, brother,
palliative care was a good call.

So, uh...

do we need to talk about the new ER doc?

- Okay.
- Yeah.

Look, I'm just saying, I like her.

No BS, no sugarcoating.

Uh, she's definitely
an interesting case.

"Interesting." That sounds mysterious.

Come on, man. Give up the backstory.

No, do not go there.

(CHUCKLES): You know something I don't?

I thought you two might
have something going on.

- Just colleagues.
- Yeah, for now.

No. I already have one lady in my life.

Me.

- I'll catch you tomorrow.
- All right.

See you later, cutie-pie.

Bye.

The unicorn book, you promised.

CONRAD: What?

Unicorn book? I don't know
what you're talking about.

- (LAUGHS): Daddy.
- I didn't forget, sweetheart.

Happy the Bloodhound is coming right up.

LEELA: I'm so proud of you.

DEVON: And I'm proud of you.

You made a tough diagnosis
most doctors would miss.

And you got your patient

through a very rough surgery, Leela.

Well, I really admire Mariana.

And I'm really glad I
got to know her a bit.

She's a successful businesswoman,

and an unapologetic control freak,

with a very successful
husband in the same business.

Sounds familiar.

And she wasn't at all
afraid of a condition

that could make her infertile,

because she doesn't want kids.

I mean, there are people like that.

I'm just not one of them.

(EXHALES) I want to
have a family one day.

With you.

We need to talk about this.

I don't know if I want kids.

At least not right now.

I could not manage surgical
residency and a family.

Yeah, I get that.

And it can wait. We have plenty of time.

Devon, it could be a long while.

Leela, all kinds of doctors manage it.

I mean, there are work-arounds.

I believe that, I just...

I don't know if it'll ever
be the right thing for me.

Which is why I-I realized

that what Padma wants can help us both.

I can give her the egg
she so desperately wants,

so she can have a baby,
and at the same time,

I can freeze some for me. For us.

For the future.

Yes.

Just to give me time to think about it.

But that's all I can promise right now.

Can you live with that?