06x12 - All the Wiser

[bunniefuu]

Previously on The Resident...

I think I need to get back to Minnesota

'cause my MS could be progressing.

Whatever you need,
you just say the word.

- They think I'm crazy.
- You'll see a psychiatrist.

And we'll move you to a better place,

one that specializes
in postpartum depression.

I was hoping for some kind of reprieve,

but the governor didn't budge, so, yes,

we will be closing the ER to trauma.

That's awful.

I mean, can't we make an emergency
appeal to the state assembly?

Our funding was always from the
governor's discretionary fund,

so we're completely at his mercy.

I believe you and I
joined the same club today.

We were too good for 'em.

I don't love how we got here,

but I am so happy that we are here.

BILLIE: I know. Me, too.

("BY DESIGN (EVEL KNIEVEL)"
by Jacob Banks playing)

♪ Well, well ♪

♪ If this is love ♪

♪ I'm back on board ♪

♪ Though I've ridden this bus before ♪

♪ ♪

Hey.

Last night was amazing.

It was.

♪ Maybe it's more, maybe it's not ♪

And so are you.

♪ Oh, I'll know
when we meet the wall... ♪

And we should do it again.

- And again. And again.
- (LAUGHS)

♪ ♪

♪ All I got is love and time... ♪

Feels weird to say it.

But this...

...us... feels so...

♪ ♪

Feels right.

♪ ♪

♪ But I'm hoping, rooting for you... ♪

- (THUNDER RUMBLING)
- JAMES: That was fun.

Who knew there were pros
to getting dumped at work?

It was lovely.

You are lovely.

But I have a shift in the ER, so...

♪ All I got is love and time ♪

♪ I'm just living... ♪

Hey, uh, why don't I ride in with you?

Uh, your car's right outside.

Yeah, well, it gives me a perfect excuse

to have to ride back here
with you after work then.

- Whoa, tiger.
- Ooh.

I know. I promise I won't get clingy.

Neither will I.

♪ ♪

♪ Ooh. ♪

I wish you'd been there.

(SIGHS)

I'm so proud of you
for protecting this place.

You know, taking Chastain apart
piece by piece, it just,

you know, it felt like
the beginning of the end.

And victory for Betz.

Still, at this rate
we're on the fast track

to a total shutdown by spring.

Not just the trauma center...
the entire hospital is at risk.

There is a parachute somewhere.

We'll find it.

God knows we need
all the help we can get.

Which is another reason
I'm glad you're home.

We need you back in the OR.

You haven't said much about the clinic.

How was your new treatment?

Oh, the muscle weakening
has lessened, so that's a win.

And, um, no tremors lately.

I'm your wife, Randolph.

I know when you're not
telling me something.

BELL: Oh, I just think I should, uh,

you know, I should take a b*at before...

jumping back into surgery.

The treatment. It didn't work.

No, it did, it just...

Just a little less than before.

But we knew from the start

there'd be diminishing returns, so...

Just need to make a new plan.

(PHONES CHIME)

It's Dr. Feldman. "Turn on the TV."

NEWS ANCHOR: We currently have
field reporters on scene in Midtown.

Heavy rain and winds
are said to be the cause

of a devastating helicopter
crash at th and Piedmont.

th and Piedmont. That's
a couple blocks from Chastain.

Again, we are getting
unconfirmed reports

that one of the passengers
on board was Governor Mark Betz.

- The governor's condition...
- You can't be serious.

If it's that close,
he'll be taken to Chastain.

♪ ♪

(SIREN CHIRPS)

(THUNDER RUMBLING)

Copter crashed into the café
where she was working.

Her vitals?

Stable, GCS .

Okay. Mass casualty protocol.

Looks like a concussion
and second-degree burns.

Let's get her to Bay Two.

Hey, glad you're here. We need
all the help we can get.

(SIREN WAILING)

Betz was in a helicopter crash.

- The governor?
- Yeah.

It's like musical chairs around here.

How many so far?

Three ambo, two walk-ins.

Let's get the next one.

Thea Dwyer... the pilot. Blunt
trauma to chest and abdomen.

Prolonged extraction time.
Some lacerations.

Okay. Trauma Room .

Is he okay? Is the governor okay?

All right, I'll go with her,
you get the next?

All right.

She put that bird down
in zero visibility.

Somehow avoided a school.

And the governor? Do we know
about his condition?

Not sure. He's in the next ambulance.

Should be here any second.

(THUNDER CRASHES)

DEVON: Obvious tenderness
and bruising on her abdomen.

- Put me to work.
- Another -gauge IV.

One of hers just blew.

One immaculate IV, coming right up.

How you feeling, Thea?

Like... I should've done more.

- (SIRENS WAILING)
- (ANXIOUS CHATTER)

That's Betz, for sure.

Hey. You guys got this?

- Yeah.
- Go.

Listen. You did the best
you could in terrible weather.

And you know what?
You saved lives in the process.

(ELEVATOR BELL DINGS)

BETZ: Wait, wait, that...

This isn't Atlanta General!

Get me out of this place!

We're gonna take good care of you.

Let's get a burn cart.

Governor, you shouldn't be alone.

Is there anyone we can call?

Uh, just my office.

My daughter's at college.

My wife... my ex-wife is in New Zealand.

One, two, three.

(BETZ GROANS)

Oh, I bet you're loving this.

I most certainly am not.

Well, the sooner
I'm out of here, the better.

Rest assured my doctors will
give you the very best care.

Oh, come on. Who are you kidding?

It's no secret how
you all feel about me.

I'm not about to give you
the chance to k*ll me

and call it complications.

We are professionals with one goal:

caring for all our patients.

But we will do our best
to get you transferred

as soon as possible.

We'll try to get him
stable enough to move.

Can't happen fast enough.

Look, I don't want any tests... Ow! Ow!

Possible broken clavicle.

EMTs say that he was briefly
unconscious at the scene.

CONRAD: Well,
we'll have to scan him when we can.

Chastain. It's some kind of a joke.

Look, I-I told them
not to bring me here.

Somebody call my office!
Or-or bring me a phone!

Hey, hey, hey.

Can we finish assessing
your injuries first?

DEVON: We're gonna get you stable,
give you some pain meds.

And then we will talk
about that transfer.

Any chest pain?

Just when I breathe in deep.

Sounds like pleuritic pain
from the rib fracture.

- Maybe this was an overcall.
- No, definitely not.

Needs to be checked out.

Oh, thank God! Thea!

Mom. Dad. I-I'm okay. I'm okay.

What the hell were you doing
flying in this weather?

Why would the governor risk your life?

I'm her dad Quentin Dwyer,
this is my wife Jane.

What do you know?

Well, actually, Dr. Sullivan
is the ER doctor,

and can explain.

Your daughter has sustained
some injuries,

but we're still assessing the extent.

I couldn't climb.
Must've been that crosswind.

Her heart sounds good, but I'd
like a few more tests before...

What kind of tests?

This laceration's gonna
need stitches at some point.

What's wrong with her heart?

Likely nothing.
We just want to be thorough.

I don't believe this.

You should have never taken that job.

There was a crosswind. I couldn't climb.

She just said that.

Thea, you just said that.

Is he here? The governor?

Because I'd like to give him
a piece of my mind.

I just don't like how he treats you.

I-I couldn't climb...

(MONITOR BEEPING)

What's happening?

- Thea?
- Grabbing an intubation kit.

Page Dr. Sutton and clear the CT!

(ELEVATOR BELL DINGS)

Hold the elevator.

I've got this.

Okay, uh, page if you need me, okay?

AUSTIN: Hey, is she from the heli crash?

Yeah, she's the pilot.

Her EKG was intermittently arrhythmic.

I think it's related to the head trauma.

She was oriented but repeating herself,

then became unconscious.
We needed to intubate.

CT should give answers.

Hey, uh, you believe
Governor Betz is here?

Oh, my guess is,
he's not too happy about it.

So, I hear, uh, you and Billie
called it quits.

Well, she called it.

You okay?

Uh, yeah, I-I'm good.

(PAGER BEEPING)

You know, I-I think, uh...

...everybody ended up
right where they ought to be.

You're gonna need an X-ray
on that clavicle,

but of course you can get
that done at another facility

- if you feel more comfortable.
- Oh, so I can go?

No.

We need a CT so we can rule out
anything serious

- from your head trauma.
- (BETZ SIGHS)

You were unconscious at the scene.

Well, sooner the better.

Well, unfortunately,
CT is all backed up.

Due to budget cuts,
we're a bit short-staffed.

Do you think I'm stupid?

I know what's happening here!

You're-you're trying
to teach me a lesson!

Well, I don't have to put up with it!

Now get me out of here now!

Get me my...

(RAGGED BREATHING)

- (MONITOR BEEPING)
- Ow.

ST elevation.
He's having a heart att*ck.

(PAINED GROANING)

All right, let's go.

Activate the cath lab.

It's hard to believe
anyone walked away from it.

She landed that helicopter at the
intersection of th and Piedmont.

Can you imagine?

(SIGHS)

Oh, no.

Multiple contusions.

Sulcal and cisternal effacement.

Swelling is severe already.
I'll book an OR. And you...

I know. Slam her with diuretics,
hyperosmolar therapy.

I'll bring her up. Thanks, Billie.

Of course.

(SIRENS WAILING)

(INDISTINCT CHATTER)

(PHONE BUZZING)

Hey, Marko.

Whoa, you actually answered this time.

I was not expecting that.

DEVON: I'm sorry, work has been nuts,

and I've had some
personal stuff to deal with.

Pravesh, please.

I've been around long enough
to know when I'm being ghosted.

All right?

Just be straight with me.

You've lost interest in my
longevity aspirations, right?

Listen, I've reviewed the materials.

And I just don't feel like it
aligns with my interests.

Y-You think it's bogus crap
and you're not a bogus doctor?

I'm not the right guy.

And you deserve someone
who's passionate,

- and that isn't me.
- (PAGER BEEPING)

Look, sorry I have to go.

But listen, good luck.

I am positive that you're gonna

find the right collaborator, okay?

Check it out.

- You made those?
- Mm-hmm.

Oh, they're adorable.

When did you get so good at knitting?

They have a class here. As therapy.

It's really, really relaxing.

Hey, will you give those to AJ?

To give to the boys from me?

Of course.

I really miss them.

Of course you do.

You'll see them soon.

AJ must regret this so much,
having babies with me.

Look, it has not been easy, okay?

For either of you.

But if there's one thing I know,
it's that

AJ doesn't regret a thing.

Arjun and Elijah are the two
gifts he never even saw coming.

I hope when the boys are older,

they are for each other
what you are for me.

Everything.

(BEEPING STEADILY)

His blood pressure is still
soft, despite the pressor.

I'm worried he's going
into cardiogenic shock.

AUSTIN: Once we find
the lesion and open it up,

he should rebound.

Oh, wow, look at that.

Two prior stents.

Yeah, this isn't his first heart att*ck.

None of this was on his medical record.

I can't believe our governor
is not smart enough

to give us an honest medical history.

AUSTIN: Well, fake tough
guys like Betz are always afraid

that health problems
will make them look weak.

His pressure's still dropping.
Are we close?

I think I found it. The culprit lesion.

Bingo. Obtuse marginal branch
in the circumflex.

CONRAD: That's a tiny vessel.

Opening something that small

won't improve his cardiac
function that much.

He'll still be dependent on pressors.

AUSTIN: Agreed. This man's heart
was in bad shape before the accident.

JAMES: Yeah, he's lucky he
didn't arrest during the crash.

All right, well, let's open
the vessel up

and see what else we can do.

JOURNALIST: We will
have an official statement

a little bit later in the day,
but for now

the cause of the accident

is still under investigation,
but we will be releasing...

Dr. Sullivan.

- Hey.
- You're back.

Yeah.

How was, uh, your trek across España?

Great, yeah, really something.

I've always wanted to do that.
I'd love to pick your brain

when you've recovered from the jet lag.

- Sure, a-anytime.
- Yeah.

- Good to see you, Dr. Feldman.
- Likewise.

LIV: Considering what he went through,

it's nothing less than a miracle.

But the doctors expect him
to make a full recovery.

However, he will be transferred

to a top-tier hospital
for the remainder of his care.

- I can...
- (REMOTE CLICKS)

She's selling scrapes and bruises

when I just heard from Raptor
that the man

was a cardiac time b*mb
even before the accident.

BELL: And if they're not honest
about his prior heart issues,

they may spin it to make it look
like we withheld appropriate care.

We have got to get him transferred.

But so far everyone is full.

AUSTIN: And what we discovered
is that you've had two stents

and two prior heart att*cks.

None of which appears
in your medical records.

Look, let me...

(GASPS)

Let me make something clear.

Neither you nor anyone else
in this hospital

are authorized to speak publicly
about my medical condition,

past or present.

Now, can you please check
with Dr. Voss about my transfer?

AUSTIN: Yeah, that's not
going to be so easy, Governor.

We opened what we could in the cath lab,

but your cardiac function
must've been bad from the start.

And right now your heart
is working only at ten percent.

Governor, your only hope for
survival is a heart transplant.

CONRAD: Your heart
was weak to begin with.

And now you're in heart failure.

The meds you're getting
from that big IV in your chest

are the only reason your heart

is b*ating strong enough
to keep you alive.

The only way you get
on the other side of this

is with a new heart.

We'll get you listed with UNOS,

the organ-sharing network,

but that's just the start
of the process.

Unfortunately you're sick enough
to need a new heart

but not sick enough
to be at the top of the list.

You're gonna have to wait.

How long?

Months, maybe longer.

What do I do all that time? Wither away?

AUSTIN: Well, there are options.

We can get you out of here with a VAD.

- Now, a VAD is...
- Yeah, yeah, I know what a VAD is.

My dad had one.

Plugging it into a wall socket at night.

Barely able to shower.

It is an adjustment.

Yeah, but-but it is not happening.

I am getting a new heart
and I'm not waiting.

I'm the governor, for God's sake!

If you won't get me to the top
of the transplant list,

another hospital will.

- Hey.
- Hey.

Welcome back. We missed you.

Yeah, thanks, good to be missed.

- You got a minute?
- Yeah.

How's your immunotherapy work
progressing?

- If you mean the MS trial...
- Yeah.

the phase one results

weren't conclusive but
promising enough where I'm still

a believer that targeting
the EBV-infected cells

is gonna have good results.

But how about phase two?

Clinically, we're ready
to launch, but as you know,

we don't have the money yet.
We're barely % funded.

You know, I'm working on it.

(SIGHS) Okay, then.

Well, how are you holding up?

Uh, yesterday wasn't bad.

Today's good.

Tomorrow, I don't...

I'm...

(SIGHS)

I'm just trying to make
some smart choices about

my treatment moving forward.

But-but I feel... I-I feel good today.

So... And I'm glad to be back.

♪ ♪

Thanks for the assist.

No problem.

Those parents seem wrecked.

Can't imagine.

The primary issue
is doing the craniotomy

and trying to reduce the swelling.

But after the kind of accident she had,

there could be surprises.

Of course.

To be honest, based on the CT,

this surgery is a Hail Mary.
But we have to try.

(SCRUBBING)

(SAW SCREECHING)

BILLIE: Okay.

LEELA: Removing the skull cap.

BILLIE: This should
relieve the pressure.

All right, brain looks good. Pulsatile.

Wouldn't it be cool to fly a helicopter?

Choppers terrify me.

But if this goes well, maybe
Thea will give you a lesson.

- (LEELA CHUCKLES)
- (MONITORS BEEPING)

She's hypertensive and bradycardic.

Pressure must be building again.

Her brain is herniating
out of her skull.

BILLIE: Could be a seizure.

Or fluid overload.

Let's give her more mannitol, stat.

Re-dose furosemide and get
the head of the bed up higher.

(BEEPING)

Oh, she's getting worse.

What am I not seeing?

It's something we can't see.

- A bleed?
- On the other side of the brain.

I couldn't see it in CT
because of the swelling.

LEELA: When the brain was decompressed,
the bleed had room to expand.

We have to open up the skull
on the other side.

Let's get her turned over.

Hey. You're here.

Yeah.

- It's good to have you back.
- Thanks.

It's a little weird.

I'm sure.

Just take it slow.

Have you, um...

Have you seen Dr. Voss yet?

No. I may be stalling.

I have some explaining to do.

Got to come clean.

Well, that's brave.

And hard, I'm sure.

A part of me would just like to resign.

Keep everything a secret,
go work somewhere else.

The minute I tell Voss, the...

stigma of addiction is on me forever.

Could end my career.

I'm sure people will understand.

Hmm.

I did.

And that means so much to me.

So...?

Will you tell her?

I will. I need to.

Okay.

♪ ♪

(DOOR CLOSES)

- Hey.
- Hey.

How was Padma?

It's hard to say.

She's doing better, for sure,
I'm just worried

about how it'll be when she returns.

Right, well, we'll just
take it one day at a time.

(SIGHS)

I assisted Billie with the pilot.

It's not looking good.

If she dies and the governor lives...

When he made her fly in bad weather.

That is so unfair.

It's just a rough day.

You know, we've just had
so many of those lately.

Why? What happened?

(SIGHS)

So, I was talking to Bell about his MS.

And I think that he was hoping
I was gonna get him a spot

in the second phase of the MS trial.

But there is no phase two yet.

Right.

Hey, what about that gazillionaire

who wanted to live forever?

I thought he was willing
to underwrite it, right?

Yeah, but I became a doctor
to help sick people,

not rich people who can't accept
that they're mortal.

If you help Marko, you might help Bell

and thousands of other people
suffering from MS.

And pretend to be passionate
about something

that I don't even care about?

Sure, why not?

If it's for the greater good.

You always make complicated
things seem simple.

You always make simple things
complicated.

(LAUGHS)

That's why we're a perfect fit.

Thank you.

How is she?

Was the surgery successful?

Mr. and Mrs. Dwyer, this is Dr. Sutton.

She's the neurosurgeon
who's been operating on Thea.

She's one of our best.

Your daughter had a significant
injury to her brain.

We were able to repair a bleed
and relieve the pressure.

The swelling has gone down and
she's out of immediate danger.

My poor baby.

She'll recover, though, right?

We won't really know that for some time.

Of course we will do
absolutely everything we can.

You mean she could die?

I'm afraid it's possible.

(CRYING)

QUENTIN: She's our only child.

Our everything.

She flew Apaches in Afghanistan.

Two tours without a scratch.

We'd almost stopped worrying about her.

All she ever wanted
was to serve, you know?

To fly and serve.

CADE: She seems like
an amazing young woman.

She is.

(SNIFFLES)

BILLIE: Don't give up hope.

We won't either.

(CRYING)

Come here.

So, I hear they were
unable to transfer you

due to lack of beds.

You know, all the ICUs
around town are full

because of the patients
we have to transfer

due to budget cuts?

That's correct.

But I have... a solution...

that solves both our problems

and keeps me here.

Okay, let's hear it.

I am willing to save this hospital.

Restore the money that's been cut.

From my discretionary fund.

Out of gratitude.

Gratitude.

My personal physician says...

that there are things that you can do...

to move me to the top of the UNOS list.

But in exchange you are
offering to save Chastain?

Correct.

So what'll it take...

to lift me higher?

An intra-aortic balloon pump.

We take a catheter and we insert
a small balloon in your aorta.

And it helps your heart function.

Okay.

Are there risks?

Of course there are risks.

The balloon could rupture,
causing damage to your aorta.

Your platelet count might fall,
which means you could bleed out.

But you've done this?

Plenty of times when it
was called for medically.

And afterwards?

I'll be high on the list?

And could get a heart soon?

CONRAD: I can't believe
you're entertaining this.

Is he the person you want
to compromise your ethics for?

No, it's not about him, Hawkins.

But I-I think about all the lives

we can save if we save Chastain.

Think about it.
Every hospital in Atlanta

will be strained
to the point of overwhelm

if Chastain cannot provide
the care that we do.

You do realize bumping Betz up the list

- knocks somebody else down.
- Yeah.

Yet I'm willing to live with that.

You think it's worth it.

For the greater good? Yes.

And what happens when he doesn't
keep his end of the bargain?

We have leverage.

The secrets he's been keeping.
The multiple heart att*cks.

The stents he's had implanted
out of state,

hidden from his own doctors.

Oh, so you just want to throw
blackmail into the mix?

Pretend we break HIPAA.

He goes back on his word,
there will be no pretending.

Look, I don't like any of it.

But we have a chance
to do a whole lot of good

by doing just a little bit
of bad, right?

Come on, think about the Hawkins
who used to break all the rules.

Tell me what that guy would say.

He'd say go for it.

♪ ♪

Um, thanks for agreeing
to meet me, Marko.

Well, I was a little surprised
after the way you blew me off.

Yeah. (CHUCKLES)

Well, after we spoke, um,

I wondered if I was being inflexible.

So I took another look
at the data that you gave me,

see if I missed anything.

- And did you?
- Yes.

Um, I came across a paper
that sort of blew my mind.

It's from the Academy of Health
and Lifespan Research.

- Excellent resource.
- Yes.

And their work on gene therapy
made me wonder if aging...

could actually be a reversible disease.

(LAUGHS) And wouldn't that be something?

I mean, I would love to be around

to meet my great-great-
grandchildren someday.

Who wouldn't?

- Right?
- (CHUCKLES)

So, if you are still willing
to fund the second phase

of my clinical trial,
studying the relationship

between Epstein-Barr and MS...

Yeah, yeah, yeah.
Pravesh, I already told you

I'm completely on board.

You're the one who, uh,

couldn't stomach
a little bit of compromise

to make this happen.

But I like this new side of you.

I know you're still on the fence, okay?

But I need you and you need me.

And there is nothing wrong with that.

Dr. Sullivan. Ian.

Oh, I'm so sorry
to have kept you waiting.

- Yeah.
- It's been quite a day here.

Our three-ring circus has added
a few extra rings.

(KIT SIGHS)

We squeaked by without you,
but I am so glad you're back.

Not quite back yet.

I hope Texas Children's
hasn't made a play for you.

(CHUCKLES) No, no, nothing like that.

But I do feel an obligation
to tell you...

um... I have a...

(SIGHS)

I have a personal issue...

that I-I need to take care of.

And I...

can't do that working the way
that... I used to work.

Oh, it's nothing serious, I hope.

Do you want to work part-time?

No.

I think I...

It's best I resign.

Is this because we can't fund
the intrauterine surgery center?

No, it's not, n-nothing to do with that.

I-I, I love it here.
I-I love being near my daughter.

The culture you've created,
it-it can't be b*at.

But this private issue, I-I don't...

I just don't see
any other way around it.

- I'm sorry.
- Oh.

Well, is there anything
I can do to help?

I wish that there was. I do.

We've loved having you
here, Dr. Sullivan.

Thank you.

Likewise.

AUSTIN: Advancing the balloon
catheter over the guide wire.

JAMES: And there we are,
in the descending thoracic aorta.

AUSTIN: Just distal to the subclavian.

JAMES: Great positioning.

As high as possible above
the femoral bifurcation

and renal arteries,
without compromising blood flow.

AUSTIN: Removing the guide wire.

JAMES: Uh, just a question.

Uh, from the numbers,
I would have thought

he'd be a VAD candidate, no?

CONRAD: Well,
you're not wrong, but a VAD...

AUSTIN: Was not the
best option in this case.

Well, because it wasn't
the right thing to do medically?

Or 'cause it wouldn't have
boosted him up on the transplant list?

Believe me, we are conflicted.

This wasn't just about Betz.

JAMES: Actually, you know what?

Uh, I don't want to know.

Attaching the pump console.

Initiate pumping.

AUSTIN: All good. For now.

I'll notify UNOS where Betz stands.

Conrad, I need your help.

It's Thea, the pilot.

I thought the surgery went
well, but I'm having trouble

keeping her O sats up.

If she dies of hypoxia,

then nothing I did
in surgery is gonna matter.

All right, well, we'll figure this out.

(PAGER BEEPING)

It's the ICU.

(MONITOR ALERT BEEPING)

I can't get her sats above

and her peak pressures are rising.

Bilateral breath sounds?
She did have the rib fractures.

Pneumothorax was my first thought too,

but she has lung sliding
on her ultrasound.

Okay, so no pneumo. Let's get
a portable chest X-ray.

I called them twice,
they're short-staffed.

But her chest imaging
post-intubation was clear.

- She has no history of asthma.
- And her resistance isn't high.

But her plateau is.

This is ARDS.

Damn, you're right.

Maybe she had an aspiration
event on her way to CT?

Leading to inflammation and ARDS.

So we start low tidal
volume ventilation.

And we go up on the PEEP now.

But, Billie, this means...

I know. Deep sedation and paralytics.

We will not be able
to monitor her neuro status.

If we can't get her sats up,
there'll be no neuro status to monitor.

Let's do it.

KIT: I just got off the phone with UNOS.

Governor Betz has been moved
to the top of the list

for a heart transplant.

I'd like an explanation.

Well, we performed a balloon
pump procedure on the governor

to assist with his cardiac functioning.

A procedure he did not actually need

but conveniently moved him up the list.

Yeah, well, we don't make the rules.

I agree with the decision.

And the procedure was successful.

Do you know what this means?

The pilot who may be about to die

because Betz made her fly
in unsafe conditions,

could end up giving him her heart.

Thea is still hanging on in the ICU.

We're not giving up on her.

And the procedure on the governor

was part of a compromise
that will benefit us all.

And how would that be?

Betz agreed to unlock the money
we need to save Chastain.

(BELL SCOFFS)

He's going to restore the money
from his discretionary fund?

If he gets a heart.

And survives the transplant.

You'd better move heaven
and earth to keep Thea alive.

You're still here?

Yeah. Didn't want to leave yet.

Me, too.

Any sign?

No.

How are they doing?

What you'd expect. (SIGHS)

They're strong.

You were good today.

Thanks.

Lost a lot of patients the last few...

I was starting to feel like
I couldn't help anyone anymore.

Not sure why I pinned my hopes on Thea.

It's hard to predict which
patients we'll get attached to.

But, you know, a lady chopper
pilot is pretty badass.

Says the resident badass.

Dr. Sullivan, Dr. Sutton.
Her eyes opened. Come quick!

♪ ♪

You didn't have to wait for me.

I wanted to.

(LEELA SIGHS)

What's wrong?

I met with Marko.

And I signed on to participate
in his research.

And secured funding
for phase two of my trial.

What? That's incredible.

Congratulations.

But you're not happy?

I just, you know...

I feel like a con man.

Faking enthusiasm for something
I really don't even care about.

Did you make promises you can't deliver?

- No.
- Then you're not a con man.

Did you tell Bell?

- Yeah.
- Was he happy?

Thrilled.

Well, I call that a win.

You know...

I don't know how I ever
managed without you.

(CHUCKLES)

I'm serious.

You came here
all those years ago, and...

...you changed my life.

I love you, Leela Devi.

I love you, too, Devon Pravesh.

Hey. What happened?

You're leaving?

I couldn't tell Kit the truth.

I'm sorry, Cade, but it would
mean giving up my career.

And I can only take so much at one time.

I understand. I'm sorry.

I'm heartbroken.

I've loved being here with you.

And I hope that w-we can...

Anyhow, for what it's worth,

I think some time off
may be what I need anyway.

But I'm gonna make it up to you.

Everything I've done,
every way I've hurt you.

Look, that's in the past.

I'm proud of you.

Not near as proud as I am of you.

I'll call you tomorrow.

Yes, and the day after.

Hey.

♪ ♪

It's so exciting. For Devon and for you.

When will phase two start?
Is he sure you qualify?

He says I meet all the criteria
for the trial

and says he's ready to go.

- It's incredible news.
- (PHONE CHIMES, BUZZES)

Wow, that was fast.

What's that?

There's been a motorcycle
accident outside of Macon.

UNOS may have a heart for the governor.

I just can't believe,
after everything that jerk

put us through,
we're gonna save his life.

Well, he still has to survive
the surgery.

But, yes, it's what we do.
And I'm proud of that.

Well, I just hope we don't come
to regret this deal we've made.

You and me both, Randolph.

- So Thea's going to make it?
- Yeah.

That's incredible.

I know. I can't quite believe it.

Bye, Ms. Jordan! Bye, Max!

Ah! Come here, you. (GROWLS)

Daddy, are we going to start decorating

for my birthday when we get home?

Yup. Right after dinner.

You know, now that you're going
to be such a big girl,

pretty soon you're gonna have
to leave the kindergarten here

and go to first grade.

I want to go to first grade.

But first my birthday party.

Okay, birthday girl.

And Sammie. When does she get here?

Hmm. Sammie and her dads, hey,

they're on a plane right this minute.

I'm so excited!

(PAINED GASPING)

Honey, you okay?

(GROANING)

My tummy. It's hurting.

A lot.

She has a fever.

(SAMMIE GROANING)

Maybe the flu, right?