Previously on The Resident...
I set up marriages between Indian Americans in Atlanta.
No ring, a faint look of desperation.
You're available.
Patients need to be honest with themselves
about their prognosis.
Based on what I saw this morning,
you will never likely operate again,
but you're honest with yourself about that, right?
- Just give me another chance. - I'm willing to watch
and see how you do,
but I see no place for you at Chastain.
Visa expires next week.
If I go to Nigeria on my own accord,
I could apply to return in the future.
I'm going back to Nigeria.
I'm coming with you.
- Good morning. - Hey.
Are we feeling nostalgic yet?
Nostalgia requires a yearning for what's already passed.
I'm looking forward to what's to come.
Well, our Nigerian adventure begins tonight.
11:00 flight.
Mm-hmm. And 12 and a half hours in the air.
Oh, thank God for neck pillows.
Yeah, that would be me.
I'm your neck pillow.
Yeah.
Yes, you are.
I'll see you at Chastain.
One last shift and our adventure awaits.
Man, AJ, you sure got a big collection of...
stuff.
Hey, Dad,
make sure you check in on my vinyl collection
every once in a while.
They'll be in the storage locker.
What do you want me to do, talk to your records?
Make sure they're not lonely?
Hey, Ma, you all right over there?
I'm fine.
Excuse me a moment.
You were so excited for sleepaway camp.
It's all you talked about.
But then you-you spent those two weeks
asking me to come back and pick you up.
You wrote me every single day.
Yeah.
I was a mama's boy.
And I still am, you know.
I love her, Mom.
That doesn't mean I don't love you.
You know I do. More than anything.
But I'm going.
I really want to.
Weren't you here yesterday?
10,000 hours of practice is a minimum for greatness.
Hmm.
I'm all in for greatness.
I'm Billie Sutton, by the way.
Fifth-year neurosurgery resident.
- I... - Let emotional irregularity
ruin your career.
I know who you are.
And you're the legendary Barrett Cain.
You could remove a meningioma in under ten minutes
with no complications.
Or at least you could before the accident.
Believe it or not, I'm a fan.
Damn it.
Good morning, Dr. Cain.
How's your hand today?
Did you complete the vessel anastomosis?
Yes. Yes, I did. And the hand...
is...
It's perfect.
You've successfully completed all your prerequisites.
Should I put in a request
to get you back on the surgical schedule?
Absolutely. I'm ready.
- Synced and corrected by Firefly - - www.addic7ed.com -
16-year-old female. Lisa McBride.
Traumatic neck injury following a diving accident.
GCS 15. Vitals stable.
Okay, let's get her to Trauma Bay Nine.
Lifeguard nearly drowns.
Add that to my emergency room bingo.
It's tradition for new employees
to jump off the ten-meter diving board.
So you jumped?
Kind of. I splat.
Okay, on three.
One, two, three.
I just got hired.
My boss is so mad. I bet you she fires me.
Let's not worry about all that until we make sure you're okay.
I just really need this job.
College applications are expensive.
BP's dropping. 70/40.
- Spinal shock? - Could be.
All right, bolus two liters of normal saline.
- Get atropine on standby, please. - What's going on?
- Am I dying? - No.
Sometimes an injury like this can cause problems
- with your blood pressure and heart rate. - My legs and arms...
they're all tingly.
- Wiggle your toes. - I...
Wiggle your toes.
Squeeze my fingers.
You feel that?
A little. I don't know.
Maybe not. What does that mean?
Let's get you to CT and find out.
Can someone please call my mom?
Okay, have them prep an OR,
then call her parents and tell them
that their daughter might need surgery.
I was surprised to see your name back on my surgical board.
- Your board? - My board.
My hospital. My rules.
Which means you don't touch a scalpel until I've cleared you.
So then clear me.
I've done everything. Recovery. PT.
Sim lab practice.
If you want to return to the OR,
you will do so under my supervision.
I will be standing with you for your first surgery back.
I don't need a babysitter.
And I don't need a neurosurgeon with authority issues.
I look forward to operating with you, Dr. Voss.
Going to miss you, Dr. Austin.
You know, we never got that drink we talked about getting.
And we never played racquetball.
Maybe I'll visit you. We'll play a match in Lagos.
Well, you're welcome anytime, Chu.
Right angle.
I made you a going-away present.
Kristy.
It's an OR cap.
I made it myself.
These are the colors from the Nigerian flag.
We've had some times together, huh?
Indeed we have.
I'm gonna miss them.
I'm gonna miss you guys, too.
Our leaping lifeguard is headed to the OR
for spinal decompression.
Poor kid.
Has anyone seen Mina?
How's she holding up?
She may be Spock,
but I'm sure she's just as devastated as we all are.
- Oh. Speak of the devil. - Good.
You're all here.
I have a few borrowed items to return.
A phone charger you forgot at my Halloween party three years ago.
The blouse you gave me barhopping downtown.
- Mm. - Pre-COVID.
And your headphones. Don't remember when I borrowed these.
You didn't borrow them. You took them.
But it doesn't matter. You keep 'em.
You know, I was thinking about the time we first met.
Do you remember? I was just finishing up
- with that... - No, no, no, no. Don't do that.
I'm not dead.
People move away all the time.
It's not a Hallmark moment.
No need to get sentimental.
Well, at least we know that Mina is still... Mina.
How am I gonna say goodbye to her?
You'll find a way.
I need to see my daughter Lisa.
Sh-She's a lifeguard.
- Mrs. McBride? - Yes.
Was your daughter in a diving accident?
Yes, that's her. Is she okay?
Lisa's being prepped for surgery.
You can see her as soon as she gets out of the OR.
I know how hard this is.
You would do anything for your daughter.
Anything. But right now
you have to let the surgeons do their work.
She's in the best of hands.
Okay.
Just remember, you're still in a probationary period.
Follow the rules and mind your manners.
- Consider my manners 100% minded. - Good.
One wrong move and this poor girl will be a quadriplegic.
Which is why I'm here...
to make sure that doesn't happen.
Dr. Cain is the lead surgeon?
Risen from the dead, it would appear.
Is that a problem?
I'm not sure how fond he is of me.
But the new Billie could learn from him,
so, no, no problem at all.
Dr. Cain,
shall we begin?
10 blade to me.
- Hey, Ma, how you feeling? - Just a bit of a headache.
She hit the corner of the kitchen sink.
You've been drinking too much coffee
and not enough water. I think she's dehydrated.
Well, that would explain the dizziness.
We'll give you some IV fluids.
Did you lose consciousness?
No. It's just...
my friend Charlene,
she got dizzy, didn't see a doctor and...
turns out she was having a stroke.
Now she walks with a cane.
You're not having a stroke, Mom.
Normal BP and heart rate.
EKG doesn't show anything of concern.
Um, exam was normal.
We're running her bloodwork now and waiting on a head CT.
S-Scuse me while I confer with Dr. Hawkins.
- Well, thanks for checking up on her. - Oh, of course.
I was in surgery when they called.
Whatever you need, man. I'm here.
Listen, she can be a bit of a hypochondriac.
All right? She came from Maui convinced
that she had dengue fever.
It was allergies.
And it's only gotten worse ever since I told her
I was going to Nigeria.
You know?
Maybe she's just having a hard time processing her feelings.
To be honest, we all are.
I want to keep her in the ER for a bit,
make sure she's feeling okay.
And, selfishly, I just like talking to her.
She has some enlightening stories about your childhood.
Hey. You keep those to yourself.
We'll get you on that plane with a clear conscience.
Appreciate it.
- What's up? - Looks like I got
my first potential date from my Indian matchmaker.
Ooh. Anyone interesting?
- Oh, my God. - Oh, wait. Give me that.
Dr. Pravesh?
Your sickle cell patient Rose Williams's labs came back.
Everything looks fine.
Okay. Cool. Doctor, thank you.
Is something wrong?
Dr. Devi, have you ever used
- a match... ? - Mr. Benson in room 5202
needs an EKG. Can you handle that, please?
- Sure. - Thank you.
You are not being helpful.
Rose.
That was a cryptic message telling me to come in.
- Is something wrong? - Good news, actually.
Your counts are excellent, and you could never tell
that you had a devastating sickle cell crisis last month.
Oh, that's a relief.
Honestly, I feel healthier and happier
than I have felt in a long time, but, um...
admitting that sends a wave of dread over me
because I know it's temporary, and I know
that I'll never escape that, not for the rest of my life.
Here.
Well... what if I told you that might not be true?
We've been through this.
Doctors always underestimate my pain, but it is very, very real.
I know. I know.
But I've been doing some research.
There have been some developments in gene therapy.
Recent clinical trials with good outcomes.
There might be a cure, Rose.
I've opened the soft tissue.
Cerebellar retractor.
Maybe less force.
You don't want to make your closure harder.
Thank you for the advice, Dr. Voss.
Bovie?
Elevating the paraspinal musculature
off of the periosteal plane.
Sweeping it to the side.
And... beautiful.
Dr. Voss? You're needed in the ER.
And you're thinking, I can waste the rest of my day
babysitting a perfectly capable surgeon,
or I should move on to an operation where I'd actually
be useful.
I'm fine with either choice.
It's your hospital, your rules.
You seem to have made a miraculous recovery, Dr. Cain.
Well done.
Dr. Sutton, learn all you can from this man.
It's good to have you back, Barrett.
How is your mother?
She's fine.
She's likely somatizing her anxiety.
Conrad's doing a workup.
All of this has to be stressful for you.
Well, for everybody.
Turns out you and I are the Beyoncé and Jay-Z of Chastain.
I will stand for nothing less.
You know, I never realized
how us leaving would have such an impact.
Oh, yeah, the hugging, kissing, crying.
Oh, it's nauseating.
Do you regret this?
What?
Moving to Nigeria with me?
Listen to me.
I regret nothing.
Okay, that's my mom.
Listen, we are good.
Okay.
Anything we need to be worried about?
Based on the test results,
everything looks completely normal.
You see? Everything's gonna be fine.
I am so embarrassed.
Making such a fuss about nothing.
It's better to be safe than sorry.
No, it's more than that.
This is supposed to be AJ's last day.
And here I came and made it all about me.
People often don't realize
how powerful the mind-body connection is.
Sometimes, when your heart breaks, your body does, too.
It's good you came in. It's important to take care
of yourself, even when things are hard.
Especially when things are hard.
Thank you.
Hey. Everything okay?
Labs and CT are normal.
Just to be safe, I'm gonna set up an appointment
with her primary care physician.
- She'll go in the next couple days. - Yes.
So she doesn't have to be admitted?
There is no specific medical reason to admit her.
Please, AJ, I want to go home.
You're sure, Mom?
I'm sure.
You have to drill down the facet.
Her hyperflexion injury caused the bones to shift.
We have to shave them down.
That's arterial blood. Vertebral artery.
The bone was tamponading the bleed.
Give me suction. Turn it up. Now.
You'll have to remove bone to expose and repair the artery.
I know that. Drill.
Dr. Cain?
I got it. Hold on.
Dr. Cain, I don't think you do.
- Let me take over the surgery. - Give me a second.
If we wait, you won't have to worry
about her walking again. She'll be brain dead.
- Call Dr. Voss. - Wait!
Okay, take over.
Suction here. Hold it stable.
Drilling above and below to expose the artery.
Two arterial ligation clamps to me now.
Hey, can you cover for me in the ER?
- For, like, an hour. - Yeah, no problem.
Does this have anything to do with your date with Dr. Devi?
Mina told me.
Of course she did.
No. So I have a meeting.
Remember Rose, our sickle cell patient?
Of course. She's been through hell and back.
Well, I think I may have found her a clinical trial
using gene therapy.
The founder of one of these companies running the trial...
he's an old college buddy of mine, and he wrote this paper
about how he's revolutionizing sickle cell treatment,
potentially curing it.
Well, we both know he'll be incentivized
to publish only the good outcomes
and conveniently leave out the bad.
Like most pharma companies.
Just keep an eye on that.
Look, you know I'm not going to get Rose involved
in anything that I don't 100% believe in. You know that.
Of course I do. I trust you.
I just don't trust Big Pharma.
We both love Rose.
Just... I want this to work out for her.
Yeah. Me, too.
See you.
Would you stop following me?
- I work here, too. - Yes, on another floor.
Yet every time I turn around, there you are.
Well, maybe I want to spend every last second
that I can with you.
Okay, if you're expecting me
to have some emotional breakdown...
tears, wailing, and so on... it's not gonna happen.
How about you just admit that you love us
- and you're gonna miss us? - I do love you, and I will miss you.
You don't look like it.
What do you mean?
This is my "I love you" face.
You're the worst.
Okay, fine. You know what? Go back to Nigeria.
See if I care. But I will get the goodbye I want.
You can count on it.
_
Phillip, dude, you're still driving
that nasty beater from college,
and this is what your lab looks like?
That car treats me well, man.
We had some good times
rolling around Harvard Square in that car.
No comment.
Look, the way I see it,
you got to put your money into something that can do some good.
And right now that's here.
I'm proud of you, man.
I always knew you'd be a great hematologist, but...
What? You didn't think I would cure sickle cell anemia?
Have you?
We've completed our gene therapy protocol
in a total of five patients.
All are currently leading normal lives.
- No more symptoms, no pain. - Did you get a chance
to look at my patient's medical chart that I sent you?
Yes. Keep in mind it doesn't normally happen this fast.
But we did just have somebody drop out,
and, I mean, Rose is a perfect candidate.
That said, I mean, these are uncharted waters.
There is a chance... slight...
that a patient could come out worse.
They could die.
A lot of hospitals won't risk hosting our trials.
But you think Chastain should?
Not think. Need.
I know it's a lot to ask.
But if I can convince your CEO to become a site in this trial,
we would be one step closer
to eradicating sickle cell from Atlanta.
Look, I can probably get you in the room,
but Kit Voss... she's a different kind of CEO.
If she even suspects, Phillip,
that this is about money or profit...
Just-just give me a chance, okay?
I will nail it, and then you and me, Pravesh,
we'll start changing the world.
Ah.
We've taken enough time on your last day, AJ.
- You don't have to do this. - Of course I don't have to, Ma.
I want to. You know, today made me realize
that I've not spent enough quality time
- with you and Dad before I left. - Oh.
I just want to make sure you get back, settled safely.
We won't complain about more time now, will we?
I want to apologize for all day, really.
Mom, you have nothing to apologize for.
Yes, I do.
Ever since you told us you were leaving, AJ,
all I've thought about is myself.
About my own distress.
About how much I'll miss you.
But I should be happy for you,
about the adventures you'll be having
with your darling Mina at your side.
Can you forgive your mother for her selfishness?
Of course, Ma.
You okay, babe?
Mm-mm.
Take a deep breath.
Mom, we need to get you back to Chastain.
You can say the words out loud.
My mother has a tumor in her lung.
AJ, I'm-I'm so sorry.
How could I have not seen this?
When she came into the ER,
the exams and bloodwork we did would not have caught this,
but now we know.
So we take this one step at a time
and we focus on the circumstances in front of us.
I'll do the surgery myself.
You know that's not possible. It's a conflict of interest.
We do the surgery and the biopsy at the same time.
She'll need a segmentectomy to remove the growth fully
and maybe a lobectomy.
She needs the best hands we got, Hawkins.
So let me do it.
Thank you.
Now I have to go tell her.
I don't understand.
A tumor in my lung?
I've never smoked.
And it could be benign,
just a harmless growth, but we don't know.
And we can't diagnose it from imaging alone,
so we need to do a biopsy just to be sure.
- You gonna do it now? - Yeah, you know, the sooner, the better.
Now, the good news is, as far as we can tell,
we caught it early.
It looks localized.
AJ.
I need to know...
what are my chances?
Mom, biopsy first.
Mina will do it. She is the absolute best.
So let's get our facts straight,
and then we'll talk about possibilities.
It's going to be okay.
We are in this together.
Look, this is not about the money.
And I know when somebody says that,
it is always about the money.
Then what is this about, Mr. Bondman?
You're looking at me, and you're thinking,
"What is this white guy from Harvard doing,
trying to cure a predominantly African American disease?"
Well, I'll be honest with you, it was a calculated decision.
The technology is here... CRISPR, gene therapy.
There is a badly underserved population.
And if Bio South can solve this problem,
we would have the momentum and the money to solve others.
Bio South, Phillip Bondman
would become synonymous with curing people.
I appreciate the honesty.
But does this give Rose a fighting chance
- at battling her disease? - Yes, it does.
And not just Rose.
We're a public hospital now, so we're serving
large sickle cell populations
that can really benefit from Phillip's work here.
I want a cure, of course.
And Rose deserves nothing less.
But getting into bed with Big Pharma...
With all due respect, Bio South is not Big Pharma.
We couldn't be further from it.
We are small, we're scrappy...
... and we want to do good.
So, what did you say?
That I'd consider it.
In a perfect world, there wouldn't be
a financial incentive to make better medicine.
Yeah, but that's not the world we live in,
so what harm is there in giving the guy a chance?
The harm is, history is littered
with examples of dubious advancements in science
coming at the cost of a vulnerable population.
The Tuskegee syphilis experiment, Henrietta Lacks...
Yeah, yeah, but in this case,
the patients have the most to gain.
You know, a-a... a cure for an ancient disease...
how amazing would that be?
It could also be an opportunity to show
that this is a new Chastain.
One that will go to the ends of the earth for its patients.
It sounds to me like you've already made your decision.
AJ, if something happens to me, I...
Now, don't talk like that, Ma.
This is not our last conversation.
All right? No one is dying here.
I know, AJ.
But I need you to hear one thing.
Please, son, whatever happens to me...
I want you to go with Mina.
Be happy.
Live your life. This is important.
You deserve joy.
Thank you, Ma.
Hey, Leela?
- Hey. - Yes, Dr. Pravesh?
Um...
this is gonna sound weird,
but I am working with a matchmaker, and on her site,
- you-you... - Oh, God.
You saw my photo?
Yeah.
Is that what you were looking at with Mina earlier?
Oh, that's... that's embarrassing.
Um, I never go on that thing.
My dad wants me to have an arranged marriage,
like my parents did, so I just humor him,
but any time that matchmaker offers anybody up,
I just say, "No way".
- Mm. - I don't have time for it, and it's just... it's...
Oh, wait. Are you...
- you looking to get... married? - No, no.
No, no. Uh, same as you.
My mom... she just keeps pushing and pushing, you know.
- Indian parents, right? - Yeah.
Yeah.
- Okay. - Okay.
Later, Dr. Pravesh.
- See you. - Okay.
There's the mass.
Let's biopsy. Forceps.
Oh, you've come a long way since our first operation together.
Ah, seriously, you, too?
You know, I know I was never your mentor...
more like your tormentor...
so it's not my place to be proud, but I am.
I'm gonna miss working with you.
Who else would have shown me what not to do?
Let's get that to the lab.
See what we're dealing with.
Can you move your toes for me?
I can't thank you enough.
Well, you have Dr. Sutton here to thank.
She's the one who saved Lisa's life.
Just don't go falling off any more diving boards.
I can't believe I was so stupid.
Ah, don't beat yourself up. We all do stupid stuff at your age.
But the good news is,
they removed the bone fragments
that were compressing your spine.
With some time and aggressive therapy,
you'll be good as new.
That is wonderful news.
And your boss dropped this off.
It's the first paycheck?
First and last. Um, I got fired.
I'm sorry to hear that.
I thought I knew what this summer was going to look like.
Make some money, get a tan,
sneak in a couple of night swims at closing.
Probably sounds silly.
Take it from me.
Even the best laid plans fall apart.
Things change.
You lose a job.
But the people that love you stick by your side.
They do.
And that's a beautiful thing.
I can't even believe it.
You'll start the trial next week. It's fast.
Most people have to wait months, but there's an opening.
Yeah, and it's gonna be a long, hard road, and nothing
- is guaranteed, Rose. - But I have a chance?
Oh, you have more than just a chance.
You have a damn good chance.
Barrett?
Go.
- We'll be in touch. - Thank you so much.
You'll never guess what just happened.
I've been accepted into a gene therapy clinical trial.
That could work.
Chances are slim, but... that could work.
This is a big deal.
Aren't you happy for me?
Yes, of course I'm happy for you, Rose.
I'm happy for you.
Wait.
I don't know what's going on with you,
but if there's a light at the end of my tunnel,
there's a light at the end of yours, too.
And what if there is no light?
What if I just have to face the facts?
Own up to the truth that I'm not who I once was?
You're more than just a surgeon.
Am I?
Look, I'm gonna go to Waylon's
and eat my weight in pretzels and beer cheese.
There's a big world outside of the OR.
If you want to see it, that's where I'll be.
I'd like that.
Pleural studding,
too small to have been detected on imaging.
Well, whatever it is, it's already spread.
It's much worse than we hoped.
It's adenocarcinoma.
I'm so sorry, Mina.
Well, we can't cut all of this out.
Um, let's close up.
No reason to put her through the rest of this surgery.
The biopsy confirmed it.
Your mother has stage IV lung cancer.
If she's a candidate for target therapy,
Carol will have years.
Many years.
You and I both know the average life expectancy...
is two years.
She's not average.
She's resilient, strong.
I know that because she raised you.
If anyone could beat this, it's Carol.
Your mother needs you.
In Atlanta, by her side.
You cannot come to Nigeria with me.
I know.
I wish things didn't have to be this way.
I wish I didn't have to leave Chastain.
Leave you.
I will do anything
to be with you through this.
Maybe one day I could come back.
Yeah.
Maybe.
Hi. Can I get a taxi to Atlanta Hartsfield?
Mm, right away.
- I'm at Chas... - Hey, Mina. Nic's been looking for you.
I think she wants to say goodbye.
She's upstairs in the café.
You okay?
Surprise!
Mina, darling, are you all right?
I'm-I'm fine.
She just needs a moment.
And maybe a drink?
- Yes, please. - Yeah, mm-hmm.
Here you go.
How are we ever going to replace you?
And AJ. Where is he?
Um...
He got caught up elsewhere.
Hey, I know what will cheer you up, presents!
I hate presents.
No, no, no, no, no. No, no, you'll like these.
You'll like these. They're a list of online games
you can play with your friends.
You know, in other words, us.
But long-distance. This way you can still join us.
And maybe AJ will rock charades.
Thank you. Truly.
This means more to me than you'll ever know.
Ah, there's-there's one more from all of us.
Mina Okafor's infamous one-star Yelp review!
"Steer clear of Dr. Okafor.
She told me my uterus sucked".
It did suck.
Ah, we love you.
We don't want you to forget us.
I will never forget you.
Speech!
Okay.
I'm not gonna stand here and...
give some speech about how much you all mean to me
and how much I'll miss you,
because that's not who I am.
And based on the shroud of secrecy
surrounding this party...
you all know that.
You know exactly who I am,
and yet you still care about me.
I haven't had a lot of those sorts of folks
in my life before.
I don't always say this...
actually, I've never said it...
but...
you're my family.
And I love you.
I always will.
I need you to do me a favor.
Keep an eye on AJ for me.
He's not going with you?
His mother.
Yeah.
He has to be here for her.
Through the treatment.
It's the right thing to do.
Yeah.
I'm so sorry, Mina.
I know how much you wanted him there.
When he's falling apart,
call me.
I'm not disappearing for good.
I want to be there for him.
We'll take care of him. I promise.
Of everyone...
... I'll miss you the most.
Not half as much as I'm gonna miss you.
You are my sister.
And you are mine.
Now, that's your "I love you" face.
So, it's gonna be a, uh...
long 12 hours and 27 minutes.
No neck pillow this time.
I love you, Mina Okafor.
I love you, too.
You know, you always said we'd be doomed from the start.
I'm always right.
This is...
this is not over.
Not yet.
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