02x02 - The Prince & The Pauper

[bunniefuu]

Previously on The Resident...

You may not realize his
yet, but we're a thing.

DEVON: Where can I get
an amazing present for Priya?

I'll take that one.
This will definitely work.

You do whatever the hell I tell you,

no questions asked.

You came in here ready to save lives,

but today, you saved a brain stem

- 'cause you didn't listen to me.
- You look well.

- Atlanta suits you.
- Why are you here, Dad?

I'm looking for worthwhile
investment opportunities.

Making you CEO was
the smartest thing we ever did.

I want to introduce you to your
new boss, Marshall Winthrop.

♪ You feel like summertime... ♪

MICAH: Thank you for busting me
out of that hospital room.

MINA: This is what you need. Fresh air.

MICAH: No, no, no, don't. I got it.

People will have to take care
of you for a while, Micah.

Relax and get used to it.

Yeah, the invalid thing? Not my style.

You're ten days out of major surgery.

Yeah. I get that.

But you know.

What's wrong?

No one wants to talk
about what's ahead for me.

Tell me the truth.

What's the average life expectancy
of someone after a heart transplant?

You're not average.

You're young and you're strong.

Micah, we almost lost you.

Let's just enjoy this moment.

Right here, right now.

Isn't life beautiful?

You are what's beautiful.

♪ Do love me, do love me, do,
do love me, do love me, do... ♪

PRIYA (LAUGHING): Oh!

DEVON: Priya, we have
to discipline this dog.

Bad doggy.

Bad, naughty little baby puppy-wuppy.

- That showed him.
- Jellybean has got to be

at the wedding.

No, no, not the wedding.

We were having such a nice night.

Have you arranged for someone
to teach you Bhangra?

A Bollywood dance would be so much fun.

You can do it for me, can't you?

All right.

You have to make sure
the fish isn't overcooked.

Three minutes a side.

And then... taste this.

(LAUGHS)

- Mmm.
- (PHONE CHIMES)

This new night nurse

keeps texting me about her COPD patient.

It's good, though, right?

I hope so.

Are we talking about the same thing?

- Chastain.
- Veggie kabob.

(BOTH CHUCKLE)

Delicious.

- (PHONE CHIMES)
- Mullins is out of the ICU.

- Hey.
- Hey.

- Give that back.
- Hey, hey.

- Give me my phone.
- Date night, date night.

We are off duty.

Oh, says the guy who's never off duty.

♪ All I wanna do is let you shine ♪

♪ Do love me, do love me, do ♪

♪ I love you, do love me,
do love me, do ♪

♪ Do love me, do love me, do ♪

♪ Put no one else above you ♪

♪ Do love me, do love me, do ♪

♪ Do love me, do love me, do. ♪

Who was she?

Love of my life.

Turned out to be a psychopathic doctor

who poisoned her own patients.

She's in jail for m*rder.

You have a nice night.

♪ Mm, mm, mm ♪

♪ Mm, mm, mm, mm ♪

♪ Oh, no, the vertigo's coming ♪

♪ Can't keep me on my feet ♪

♪ God knows I'm trying to be someone ♪

♪ My vision's failing me ♪

♪ I live like I'm dying tomorrow ♪

♪ God gave me one last chance ♪

♪ To take all the time
that I've borrowed ♪

♪ And make a new man ♪

♪ Feels like I'm burning out ♪

♪ Wondering why it changed ♪

♪ Bring back this life of mine ♪

♪ 'Cause it left with you ♪

♪ Take it day to day ♪

♪ I'm trying ♪

♪ Trying to block the memories ♪

♪ In my head ♪

♪ They said pain, it comes in waves ♪

♪ So dive in ♪

♪ They weren't lying ♪

♪ There's no denying it ♪

(EXHALES)

Uh, you look a lot like her.

- I can make you forget her.
- Don't talk.

Your voice, it's not the same.

You're under arrest for solicitation.

(SIREN WAILING)

♪ I knew that it will come for me ♪

♪ So why try to run? ♪

♪ I knew it will come for me. ♪

♪ ♪

(EXHALES)

Here you go. Should fit.

Thanks for arranging bail.

I just made CEO. Can we keep this quiet?

We need a not guilty verdict.

If you're convicted for solicitation,

the law says you have to report the
arrest to the state medical board.

♪ ♪

♪ Yeah... ♪

♪ Yeah, yeah ♪

♪ You've got to show me love ♪

♪ Heartbreaks and promises ♪

♪ I've had more than my share ♪

♪ I'm tired of giving my love ♪

♪ And getting nowhere... ♪

- Are you okay?
- Yeah.

- Thank you.
- You're welcome.

Look out!

BOY: Hey. You okay?

Help, I...

I-I can't breathe.

Someone call .

Teenage male, blunt abdominal trauma.

Pullman Yard, the meadow.

Roger that.

Medivac Midtown, we have a call.

MIDTOWN PARAMEDIC: Call received.

En route to Pullman Yard.

Medivac Midtown just got
a call to Pullman Yard.

See if you can b*at them to the scene.

AIRMED PARAMEDIC:
Copy you. AirMed Atlanta

turning around and heading
to Pullman Yard.

AirMed Atlanta just launched.

They're trying to poach a call,
but we can get there first.

PARAMEDIC: On my way.

You'll be fine.

Where the hell is the ambulance?

MIDTOWN PARAMEDIC: What the hell?

Look, there's two of them.

There's three of them.

You're okay. Just hold on.

MIDTOWN PARAMEDIC: AirMed Atlanta again?

What are you doing here?
This is our call!

Pullman Yard is zone three.

- AirMed Atlanta has zone three.
- You poached off the police scanner.

- That's the third time...
- After you took one of ours last week.

Okay, we got you, buddy.
You'll be in the ER in no time.

- What's your name?
- Jack.

Jack? All right,
where does it hurt? Right here?

Severe abdominal trauma.

Jack, I need you to keep still.
We're gonna put a collar on you.

Two weeks ago, Piedmont Park.

- Tell me that wasn't you.
- Okay, that was me,

but that was because
that patient needed help.

(OVERLAPPING ARGUING CONTINUES)

Today I got here first!

- Southeast Air Ambulance One...
- Hey, hey, hey. Wait, wait!

we have patient,
inbound to Chastain Park.

DEVON: All right, it's on, Mina.

- Oh, no, no, no.
- (BOTH LAUGH)

- Ok, that's the best you got?
- You won.

- Serious question right now.
- Laugh while you still can, my friend.

Very serious question:
is that all you got?

Dr. Pravesh. Just the man
we were looking for.

Time to grow up and be a role model.

First year med students.

- Aw.
- Green as new mown grass.

CONRAD: They get to tour the hospital,

and guess who has the honor
of showing them the ropes?

Oh, no. No, no, no, no, no.

Please, I have, I have patients to see.

CONRAD: Take them with.

Impart your wisdom.

- Be their Conrad.
- Conrad . .

Uh, no. No. No.

Hi. Aaron Holt.

Hey.

- Justin.
- Okay, okay.

Hi. All right. Uh...

(CLICKS TONGUE) Yes, thank you.

CONRAD: You wanted to see me?

No.

He did.

In my opinion, it's wholly inappropriate

for a third year resident to
attend a meeting between the CEO

and the chairman of the board.

We're discussing recent
unfortunate events at Chastain.

Residents are on the frontline
of patient care.

I want my son's input.

Conrad, if you had a magic wand,

what would you do first
to improve the hospital?

Easy, weed out problematic staff.

Starting with a resident
who breaks the rules

- whenever he damn well pleases?
- Excellence comes from the top down.

MARSHALL: What is your plan to
balance the budget, Dr. Bell?

Increase volume. Screen patients,
cut those at risk for nonpayment.

Every single one of those ideas
threatens patient safety.

This is a business, it's not a charity.

No money, no mission.

Okay, you want to go there?
Yeah, let's go there.

- How much does he make?
- A million five.

A million five. Why does
Dr. Bell make a million five

when the average
hospital CEO salary is $ , ?

(SIGHS) I'm not average.

The CEO at Atlanta General makes $
million. We both earn every penny.

You have no idea what this job entails.

All ten floors of this hospital
rest on my back.

There are departments,
surgeons, internists,

ten CT scanners that do not

and will never pay for themselves.

And while you are feeling
the pain and triumph

of helping a relative few,

I will be thinking of ways
to raise or cut a dollar

so that I can keep you working,
nurses attending, janitors cleaning,

those machines humming, so
Chastain's patients keep breathing.

- Exhibit A.
- (HELICOPTER WHIRRING)

A medevac helicopter coming here,

and not Atlanta General.

Why? Because I pushed Chastain

to buy that air transport
company so it brings patients

to our top-of-the-line,
level one trauma center.

Perfect example
of profits over patients.

Air ambulances used to be run by the
county. Now they're for-profit.

You know how much we charge for
that ten-minute flight? grand.

You could fly around the world
ten times...

Insurance pays. It's not our problem.

News flash. Millions of people
are uninsured.

That flight could equal bankruptcy.

- Would they rather be dead?
- Well, that's the option...

- your money or your life?
- Gentlemen, enough.

I set up this meeting to find solutions.

Chastain needs revenue to make payroll.

It also needs
to be a beacon of excellence.

You both have a point.

You're gonna have
to learn to work together.

(LAUGHS)

(BELL SCOFFS)

HUNDLEY:
How long have you been diabetic?

Since I was ten. Three years.

Because you're a minor,
we have to wait on your mom.

Okay.

Take a seat, and when
she gets here, come back, okay?

-year-old male,

skating accident, abdominal
trauma, BP /

- and dropping. Pulse is .
- All right, Trauma Ten.

- What's his name?
- Jack Alderwood.

- Jack, where's the pain?
- Everywhere.

- Jack! That's our son!
- All right, on a scale...

Sir, we're gonna take care
of him, I promise you.

- We just need some space.
- The doctors

are taking good care of your son.

On a scale of one to ten, ten being

- the most severe...
- Ten. Can't breathe.

Okay, here's my credit card
and insurance.

- Let's get you to registration, okay?
- Right now. One, two, three.

We need another large-bore IV.

Hang one liter normal saline,
get blood ready.

Trauma to the upper abdomen.

He's distended, diffuse pain.

Okay, hang in there, buddy.
You're doing great.

His FAST is positive. Free fluid
everywhere. He's bleeding out.

Hang two units O neg. Don't worry.

We're gonna take care of you.

He needs an OR. Where's Nolan?

Bowel surgery. Busy for
another three hours.

- CONRAD: Who's available from trauma?
- AUSTIN: I am.

- You're cardiothoracic.
- Well, actually,

I'm triple board certified...
cardiothoracic,

general and trauma. I'm also IFR
licensed on a twin engine plane,

and I can scuba dive up to feet.

k*ll me now.

- (MONITOR BEEPING RAPIDLY)
- (JACK GROANING)

All right, he's out.

CONRAD: Let's get him to OR One.

Let's look in on your
very first patient.

Don't be nervous. There
are no wrong answers.

Mr. Warden, these are medical students

rounding for the very first time.

I'd like them to listen to your heart.

Would that be all right with you?

- Sure. Have at it, Doc.
- All right.

DEVON: Heart sounds are
notoriously tricky, but they are

a key diagnostic tool.
So, what do you think...?

I can clearly hear a diastolic
rumble with an opening snap,

which is indicative of mitral stenosis

secondary to rheumatic heart disease.

Actually, I hear a crescendo
decrescendo systolic ejection

murmur radiating to the carotids,

with soft S and precordial thrill.

You know, I kind of just think
it sounds like Ken-tucky.

And sometimes, it kind of sounds
like Tennes-see, Tennes-see,

- Tennes-see.
- What do you think?

Um... I didn't really hear
anything abnormal.

I thought I was in
for gallbladder surgery?

You are. You have
a perfectly normal heart.

Are you sure? I distinctly
heard a diastolic...

Thank you. Let's go.

(MONITOR BEEPING STEADILY)

It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?

See some trauma, you
know, blood and gore?

It's your first day.
Just do what I tell you to do,

- no questions asked.
- NONI: Heads up.

There's a device rep
in the conference room,

luring in doctors to hear
her sales pitch. Free Thai food.

- Oh.
- (GASPS)

(CLICKS TONGUE)

WOMAN: Come on in, guys.

- Have some food.
- Thank you.

- Mm-hmm. You're welcome.
- Thank you.

Come on in, Doctor.

I'm Julian Booth,
device rep for Quovadis.

Hi. Uh, Dr. Pravesh.

Um... Devon.

I have some cool gear to show you.

Let's see what you might need.

You're not a surgeon.

How do you know that?

It's my superpower.

I can guess a doctor's specialty
at a glance,

even before they know it.

Take your medical students.

Born rad. Destined to spend his life

inside windowless rooms
with imaging machines.

(CHUCKLES)
He does look like a submariner.

Mm-hmm.

Okay, what about that one over there?

Peeds.

No way. My money's on derm.

No, I'm right.

That is impressive.

Good, right? And your shy one
will probably cure cancer.

All right, the one on the end here.

Annoying gunner... neurosurgeon?

No. He'll get his MD,

skip residency and head straight
to Silicon Valley.

That's what all the gunners do.

They invent devices like these.

Artificial sphincter.

- (LAUGHS)
- You laugh,

but the urologist who came up with this

hauled down $ million.

- You're kidding.
- Medical devices

are even bigger than pharma.

Pacemakers, cardiac caths,

cochlear implants,
artificial knees, skin, hips.

I was a dancer until one day
I was hit by a car.

It shattered my pelvis.

A total hip replacement
gave me my life back

and made me a true believer.

You're interested in ER, right?

(CHUCKLES)

Okay, now you're batting a thousand.

You won't be just a doctor, though.

You're too smart for that.

All the best ones do more
than one thing.

Maybe you'll invent one of these.

(CHUCKLES)

- No. I'm good.
- (LAUGHS)

- Thank you.
- You never know.

- (LAUGHS)
- $ million.

Jack came through the
splenectomy with flying colors.

- Thank God.
- Oh.

I don't know what we would
do if we lost him.

He's the center of our world. Jack is

the brightest, kindest...

This boy is the only thing
that pulled us through when...

Amber, Jack's sister, passed two
years ago from a brain tumor.

(MONITOR BEEPING STEADILY)

Am I okay?

- (GASPS) Yes, darling.
- Hey, buddy.

You're gonna be fine.
Isn't he, Dr. Hawkins?

Yeah. Jack, we had to do a
procedure to remove your spleen.

Spleen filters blood, helps
your body fight infections,

so you'll need
a regular schedule of vaccines,

but other than that, you won't
even know it's missing.

Hear that, Mom? It's okay.

(INHALES SHARPLY)

She worries.

Why don't you two get some food
while I do a post-op on Jack?

Okay, okay.

And thank you, Dr. Hawkins.

(CONRAD SIGHS)

Looks like you have a touch of jaundice.

Is that serious?

Not necessarily.

Tell me about your weight.
Any changes lately?

You're a thin guy.

I just dropped ten pounds.

I wasn't even trying, but I like it.

How were you feeling before
the accident? Everything okay?

I have been having some
back pain, but it's no big deal.

Probably pulled a muscle roller dancing.

Show me where it hurts.

(GRUNTS SOFTLY)

I'm sorry to hear about your sister.

Any other history of cancer
in the family?

My grandfather d*ed young.

I never knew him.

Colon cancer, I think.

And Mom had breast cancer,
but she's okay now.

Have to run a few more tests
before I can let you go.

I'll go write up the orders.

Can I help you?

Hey, call security.
We got a drug seeker.

Hey! Hey!

Okay, every doctor needs
to know how to place an IV.

I want you to practice on each other.

Good work.

(SCOFFS) This is child's play.

Did all summer
in my Dad's neurosurgery clinic.

Steady. Steady. Steady.

(GRUNTS)

See, this is why
you're going into radiology.

DEVON: Steady. Just watch.

Feel it. Touch it. There
you go, you feel that?

That's the vein. That's
where you want to go.

- The pulsing thing.
- Mm-hmm.

(GRUNTS, LAUGHS)

DEVON: Lower your hand.

Can I get a new partner?
He-he can't find the vein.

Maybe I can help.

Here.

Try this.

It uses infrared to find the vein.

- Here you go.
- Oh.

- That's it right there.
- JULIAN: See it?

STUDENT: That right there?

Yeah.

STUDENT: Got it.

(GASPS) I did it.

T-This device rocks.

- Whoa!
- Oh!

You have to remove the tourniquet first

before you withdraw the needle.

Apply pressure to slow the bleed.

All right.

There you go.

Everything is gonna be
perfectly fine now.

Whoa! Whoa, whoa, whoa. Whoa, whoa.

- You all right? Okay.
- Mm-hmm.

Amazing catch, Conrad.

Don't tell me I guessed right.

You ordered a CT with a pancreas
protocol on a -year-old.

How in the world did you know?

Uh, the family history was a red flag.

It was a long sh*t, but I had to check.

Jack has pancreatic cancer.

OSDER: I know you may not
feel lucky right now,

but you are.

The accident brought you
into the hospital,

and Dr. Hawkins caught it early.

Am I gonna die?

There is every reason
to believe that surgery will be

a total cure.

If we get him to Houston tonight,

will MD Anderson have a room for him?

Okay, please let me know
as soon as possible.

- Thank you.
- Mr. Alderwood.

Randolph Bell, Chief of Surgery,
CEO here at Chastain.

I'm so sorry to hear
about your son's diagnosis.

Now, you should know that Chastain's
cancer wing is state of the art...

No, no. MD Anderson
is a top five cancer center.

Only the best for Jack. We need to
get him there as soon as possible.

I understand. You know,
we do have a connection

to a helicopter company

that can handle the transfer
to the airport.

They're not cheap.
You might want to check

- with your insurance first.
- No, money is no object.

Well, I'm glad we could help.

OSDER: The next step
is to stage the cancer,

check for metastasis, make sure
Jack's lymph nodes are clear.

Okay?

Thank you.

(SIGHS) Baby...

You're gonna be okay, okay?

♪ ♪

- What's up?
- There's a young girl

running around the hospital.
About or .

I caught her stealing
from the drug cart.

I think she's in withdrawal.
She's blonde, pale.

- I'll check Five East.
- Thanks.

Hey.

Check me out.

I got it, I got it.

No, Micah, don't!

(GRUNTING)

No, I'm fine, I'm fine, I'm fine.

I just twisted it a little bit.
That's all.

here's someone in here!

- Mina, hurry!
- MICAH: Go.

Go. I'm fine.

I see legs.

Okay. Careful, careful.

(GASPS) Oh, my gosh.

She's alive. Let's clear
her from the door.

- Call a rapid response team.
- Yeah.

Nic!

She's in here. She's diabetic.

NIC: Oh, my God.

She was looking for insulin.

- Is she in DKA?
- Probably.

She tried injecting herself,
but she was too late.

Let's get her out of
here and find a vein.

If we don't get access,
she's gonna code.

Hey. Just got the call.
What do you need?

NIC: She's dry.

- Want me to do a central line?
- Yes, but not here. Not sterile.

- Let's get her a room.
- I discharged

earlier this morning.
Should be clean now.

Go to the crash cart at the end of
the hall. Get me a central line kit.

And ask a nurse to help you. Go.

- Okay. One, two, three.
- Three.

No, no, no. Here, here, here.
Just take that.

Got it.

- But he said get a nurse.
- I got it.

(MONITOR BEEPING RAPIDLY)

Pulse is tachy at .

Here.

This is a Foley catheter kit.

This is for urine.
I told you to ask a nurse.

NIC: No kit, no choice.
We have to do an EJ.

All right. I'm gonna crank
the bed down so she's headfirst.

Prepping for an IO
in case you can't get access.

NIC: Prepping for an EJ.

Swab, please.

We're in.

All right, let's hang fluids.
Two liters to start.

- Wait. Let me get the blood first.
- Okay.

NIC: Glucose, . Bicarb, undetectable.

PH, . . She's DKA.

A little longer in a coma,
she would have d*ed.

Let's get her to the ICU.
She still might.

You're Dr. AJ Austin.
I'd recognize you anywhere.

I'm sure you have a job to do,

but salespeople should not be
roaming the halls of Chastain.

The AJ Austin who did an
ascending aortic reconstruction

with a coronary artery reimplantation

in two hours, skin to skin.

I might be that guy.

Okay, I am that guy,
but I'm still not buying.

No agenda, I swear. I'm just a fangirl.

Dr. Benedict at Atlanta General
told me all about you.

Said you were the best student
he ever had.

You know Abe?

Quovadis has a fantastic, new left
atrial appendage occlusion device.

Dr. Benedict has been
putting it in for the past year.

I can show it to you
if you're interested.

All right. You got about five minutes.

- Lead the way.
- Great.

(INTERCOM BEEPS)

SECRETARY: I have your lawyer,
Mr. McCrary, line two.

All right. This is a private call.
There's no need to take notes.

Yeah?

Turns out your hooker cop was wired.

We aren't gonna get
a not guilty verdict.

The arraignment's
first thing in the morning.

We'll try to plea bargain.

Look reasonable and contrite.

Judges want to see a defendant
who knows he's made a mistake

and won't make another.

(KNOCK AT DOOR)

MINA: Micah?

Are you okay? I...

I'm sorry I had to leave you like that.

I'm fine.

I don't want to be a distraction.

You're a doctor. I understand you
have important things to do.

You are important.

This isn't working.

I see what's going on.

So do you.

We may be a thing,
but we're a brand-new thing.

And this is not what you signed up for.

I can't be a burden.

WOMAN (OVER P.A.): Dr. Okafor,

please report to OR One.

Dr. Okafor, please report to OR One.

I must go now.

But I am not agreeing with you.

No big decisions
until we make one together.

Conrad. Jack's lymph nodes look clear.

The cancer is most likely
localized to the pancreas.

- Okay, that's good news.
- But the trauma.

The accident,
it looks like it started a bleed

on the tumor itself. Right here.

It was too small to pick up before,

but there it is.

Stop!

He can't fly.

The helicopter's waiting.

His tumor is bleeding into his abdomen.

He needs to have the surgery now.

You put him on that helicopter, he
dies before he gets to Houston.

NOLAN: Okay, patient's name
is Jack Alderwood.

JESSICA: Confirmed.

Procedure is partial pancreatectomy.
Surgeon is Dr. Albert Nolan.

- Consent form signed?
- Signed and in the chart.

All right.

Partial pancreatectomy.
Isn't that right up your alley?

BELL: I've done over
of these in my career.

More than anyone else in Atlanta. Maybe
more than anyone in the country.

Yeah, well,
CEO is an important job, too.

At least, I think it is.

It is.

I still miss the OR.

Just keep me updated on how this goes.

I'm here if they need me.

Yeah, you got it, boss.

Where are your med students?

I sent them home.

I'm done babysitting.

Thank you, Carol.

That's too bad, Conrad. Oops.

- I mean, Devon.
- I'm not Conrad.

And they're sure not me.

That gunner nearly k*lled Abby.

Didn't your first patient
end up brain-dead?

The kid who screwed up is still here.

He's in the ICU
watching them work on Abby.

Thought you should know.

NIC: Hang in there, sweetie.

NURSE: O sats dropping.

She's in respiratory failure.

DOCTOR: Uh, we need to intubate.

Get the kit.

(MONITOR BEEPING RAPIDLY)

They're putting her on a vent.
She may never recover.

We all make mistakes.

I've made plenty.

What matters is that
you learn from them.

Poor thing. We got her name, Abby Arlen,

but we still can't find her parents.

- I'll go find them.
- Good. Go.

(MONITOR BEEPING STEADILY)

NOLAN: Okay.

Pancreas is fully exposed.

Prepare a specimen cup

for tissue sample.

AUSTIN: They're doing
a resection of the pancreas,

which is a bitch.

The organ is like Jell-O.

Soft, warm Jell-O.

You cut it wrong, the whole
thing falls apart.

You got to cut out that tumor,
leave yourself margins,

keep the tumor cold when you walk it...

speed walk it, double-time...
to pathology...

where the pathologist runs a stain,

puts the specimen under a microscope,

and looks for those nasty
little cancerous mites.

But you got to do it fast;
time is of the essence.

Our boy is still on the table.

(PHONE RINGING)

Uh, margins not clear.

Pathologist says to keep going.

It means they didn't get all the cancer.

They have to take another slice
of the pancreas,

and start the whole process
all over again.

(PHONE RINGING)

Margins still not clear.

(PHONE RINGING)

Margins still not clear.

(PHONE RINGING)

(PHONE RINGING)

Margins still not clear.

What's going on?

There's hardly any pancreas left.

They'll have to remove the entire organ.

AUSTIN: Worse still.
They have to resect parts

of the gallbladder, the small
intestine and the bile duct.

It's a Whipple procedure.

Even I've only done a handful
of Whipples in my life.

Dr. Nolan cannot handle this.

You know who has to do this, right?

Oh, the prince walks into my
office without even knocking.

Let's not make this harder
than it needs to be.

I'll make it as hard as I want
to every single time we meet.

I don't care who your father is.

We have an emergency
in OR One. The Alderwood boy.

Pancreatic margins
keep coming back cancerous.

He needs a Whipple procedure.

Back in the day,

you were the unsurpassed master
of the Whipple, but we both know

an appendectomy patient d*ed in your OR.

Your complication rates
are through the roof.

Can you do this procedure safely?

I can do it flawlessly,
and it's not your call.

Right angle, Cooley scissors to me.

Team HODAD.

The surgery was more radical
than we'd hoped, but...

it went off beautifully.

Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.

The most important thing is that
Jack is likely cancer-free.

And I'll roller dance again, right?

Absolutely.

Jack, unfortunately, due to
the nature of your surgery,

you will be a diabetic for
the rest of your life, but...

Maybe not the rest of your life.

Scientists are working on
growing organs in the lab.

Some day, we may get you a new pancreas.

Okay, and who are you?

Ms. Booth works for Quovadis Labs.

It's a cutting-edge
medical device company.

JULIAN: I'd like to show you
our new insulin pump.

The drug is delivered
continuously over hours,

and that keeps your blood
glucose levels in range,

even overnight.

How much is it?

JULIAN: Around ten grand.

We'll take it.

Great.

(MONITOR BEEPING STEADILY)

Is that our new uninsured patient?

I hear she could end up
costing Chastain a fortune.

That's one way to look at it.

Or you could see a -year-old girl,

who's fighting for her life.

Her name is Abby.

According to her mom,

she loves astronomy and Beyoncé.

She's a straight A student,

and got diabetes when she was ten.

Her mom works two jobs

but still can't afford the medicine.

It's over $ , a month.

So Abby didn't want her mom to know

that she needed more insulin.

Started rationing her doses
and ended up here.

She gonna make it?

Maybe.

Is there any way this could have
been prevented?

Technically, the
hospital's a non-profit.

In order to keep our tax-exempt status,

we're supposed to have programs
that benefit the community.

- What are we doing now?
- Nothing.

Not true. We have health fairs
and flu clinics.

- All kinds of...
- Window dressing.

CONRAD: The price of insulin has gone

from $ a vial to $ ,

and the drug hasn't changed one bit.

That's a , % increase,

and it's destroying people's lives.

Mina and I have an idea.

Let's hear it.

What about an outpatient clinic
for the uninsured,

with community outreach.

I used to volunteer for one run
by Partners in Health in Boston.

We'd love to start something
like that here.

It could have helped Abby;
we missed that chance.

We can't miss chances like that again.

With what funding?

How much would this cost,

and how much would it save?

I need to see data before
making a commitment.

Is that a polite way of saying no?

I told you we need balance.

Patient safety and financial stability.

So get us numbers,
we'll have a look at it,

maybe bring it up at
the next board meeting.

Okay.

I can't say that was a win.

It wasn't a no, either.
Your father left us an opening.

Yeah, I'll start putting
together the numbers.

Okay. Hey.

Hey.

Maybe it's a good thing that he's here.

Maybe things will be different.

I'm still giving you an out.

And I'm not taking it.

You'll go to rehab,
and you'll get better.

No big decision until then.

You sure you want to wait for me?

(BOTH LAUGH)

♪ ♪

(ENGINE STARTS)

♪ ♪

You told me the judge would show
mercy for a first offense.

Luck of the draw.

We caught a hard-ass.

And this will be reported
to the state medical board?

Not exactly.

By law, you now have to self-report

your conviction for solicitation.

Here are the forms.

You're the one who must report
this to the state medical board.

You mean, if I don't file the forms,

they'll never know I was arrested?

The only way anyone would find out

is if they went to the police department

and requested a copy
of your criminal record.

Who is ever gonna think of that?

I'm a doctor.