The Resident

Previously on The Resident...

Hope it's okay that I'm here.

- How dare you? - What happened here?

If you stepped out of line,

then it won't just be Pravesh who comes for you.

Surgery is a dangerous place.

Especially considering your condition.

You mean my dyslexia?

Tell me why you aren't a scientist yet.

This is obviously your future. You just got to go for it.

I would like to start shifting my professional focus

to clinical trials.

Have a proposal on my desk by Monday.

No eggs, Daddy, please, no eggs.

I want cereal. And a banana.

Whoa, whoa, excuse me.

Coming right up.

Daddy, did you forget to go to the market again?

I did.

I am a bad daddy.

No, you're not.

Let's grab your backpack.

We'll get something great for you...

Takeout on the way to school.

That's another all-nighter. This has got to stop.

- I know. - You're wearing yourself out.

I know.

But I don't know how to stop.

Dude, I lanced this massive abscess,

and the pus exploded all over Dr. Feldman.

- Ah. - He was pissed.

- Pus-wise, better him than you. - Definitely.

Trevor, we know you made the highlight reel.

Yeah, yeah.

No eruptions of bodily fluids, though.

You had that awesome spinal tap.

Hello. Beer-gate? Legendary.

Okay, Pravesh almost cut me, so...

Sure, but then Hawkins swooped in

and took you under his wing. Please, golden boy.

- "Golden boy." - I don't think anyone has any strong feelings

about me either way.

All right, well, I'd really like to put in a central line.

Hey. Five-car pileup on Peachtree,

multiple injuries headed our way.

All hands on deck. It's game time.

Dr. Hawkins, Bay 2.

- On it. - All right, let's get him to Bay 4.

- Zach, with me. - Gemma, Bay 9.

Pravesh, Bay 10. We're gonna need

- another set of hands in there. - Okay,

Janice, Trevor, you come with me.

Pravesh!

- Give me Trevor. - Go see what he needs.

Grab the ultrasound.

Right.

Assess her for internal injuries,

then we'll deal with the lower-extremity lacerations.

Got it.

Whoa.

- Ma'am, what's wrong? - It's not my stomach. I'm okay.

But he's not.

I watched him turn his bike and drive right into traffic.

He caused all of this.

There's something

definitely wrong with him.

Hey, Zach. I need you to do a quick FAST exam

and suture up some lacs. Trevor, come with me.

The X-rays showed a fractured rib

but fortunately no broken ankle.

You're gonna be fine.

- You're in good hands here. - Thank you.

You're welcome.

I-I really don't know what happened.

One minute I'm riding my bike, next I'm on the ground

and cars are skidding and crashing.

I feel terrible.

Sounds like you might have passed out?

You got lucky. You could've been killed.

Getting lucky is kind of my thing.

Yeah? How's that?

I was on a charter boat once, it sunk.

Everyone drowned except me.

- I won the lottery twice. - Cool.

Maybe you take a look at the numbers I've been playing.

Happy to, Doc.

Wow, you got the odds of the gods on your side.

I have always felt protected in an otherworldly way.

A-And those are just the highlights.

I also got diagnosed with this thing, sarcoid?

- Mm-hmm. - Supposed to be bad, but it's never been a problem.

Sarcoid?

What medications are you taking for that?

None. I'm not one to take meds I don't need.

Too many side effects.

- Whoa, whoa. - Oh, Wyatt.

Wyatt?

We need to get him on the monitor now.

- Hey. - Hey.

Sorry you had to come in on your day off.

It's killing me. I've got to get my grant proposal done.

- How are you? - Surgery went long. Don't ask.

Man, it's crazy in here today.

I know. Hi, Brit.

This is Dr. Devi.

She's the surgical consultant I told you about.

Uh, I'm so sorry. Hi, Brit.

I probably shouldn't have come.

I've had this pain on and off for months.

But I realized I'd lost ten pounds.

Without trying, really, so I'm a little spooked.

I'm probably overreacting, right?

Let's just start with an exam.

Ow! Right there.

Can you describe your pain for me?

Throbbing.

Or maybe stabbing.

Are you having any nausea or vomiting?

I thought I was just nervous at first,

you know, existential angst, which I am prone to,

and it is kind of my occupational wheelhouse.

I'm a cartoonist.

Life's a Joke.

- That's my strip. - Hmm.

So, yes to the nausea and vomiting?

Oh, right, yes. Krakatoa, east of Java, man.

Just keeps on coming up.

We'll start with a CT scan to take a closer look,

and we can admit you to get control over your pain

and we'll go from there.

- Okay? - Cool.

All right, we'll be back.

It's a large hepatic hemangioma.

That's a good catch, Dr. Devi.

I haven't seen one of these before.

Well, they're more common than you'd think.

They're benign tumors made up of clusters

of blood-filled cavities.

And usually they don't cause symptoms.

Well, I'm relieved it's benign.

My patient will be, too. She's a little kooky.

Sweet, though.

Should I book an OR for us this afternoon?

Oh, not so fast. Surgery's not a slam dunk here.

A benign tumor causing pain?

Well, surgery on the liver is always high-risk,

even in the best hands, and pain can be managed.

Okay, so I tell her we're not operating,

and I need a repeat scan in two months.

And that's not the answer, either.

This is not something we can decide here.

You need to talk to your patient

and get a sense of her risk tolerance

and the seriousness of her symptoms,

and then you tell me what path you think makes sense.

All right. Can you come with?

Nope. She's your patient, you handle it.

Then meet me in OR 3... An, uh, emergent splenectomy.

Uh, 15 minutes.

So, you have two options.

If you go with the surgery and it goes well,

- your symptoms go away. - Awesome.

But surgery on the liver is never an easy call to make.

It's an organ with many large blood vessels,

which means we could run into significant bleeding.

Oh. Not awesome.

And that circumstance would require

a much larger abdominal surgery with complications

and a long recovery.

Are you with me?

Uh, sort of.

Uh, you understand, right? I'm not a doctor.

I'm a cartoonist.

Right.

Um...

Do you take risks?

If you do, then we go with the surgery.

Are you cautious? Then we hold off for now,

so long as your pain is tolerable.

I don't know, Dr. Devi.

Okay, you know what? Look.

It's okay. Big decision.