Saving Hope

- Okay, people. - Mmm.

TAVI is a minimally invasive way

of replacing a diseased aortic valve.

In the old days, we would crack the chest,

do open heart surgery.

But this takes way less time,

and for some high-risk patients, it's the only option.

So today we are going to replace our diseased pig's valve

with one made of bovine tissue.

Okay, we're gonna go in percutaneously

through the femoral artery,

up through the chest, insert and deploy the valve.

And voila, Wilbur has a new lease on life.

You've exposed the femoral artery?

Lin, what's next?

Cannulate the left and right femoral artery with sheaths.

How do you deal with a left suicide ventricle? Reid?

Suicide ventricle. Um...

- It is a very rare condition that... - You're stalling.

Reycraft?

Bolus saline and beta blockers.

Excellent. In 2010, "the new England journal"

published a multicenter trial

on TAVI recipients.

How many patients were in that study, Reid?

I'm sorry, Dr. Bell.

Gonna have to get back to you.

The answer is 358.

Ladies and gentlemen,

the patients of Hope Zion are in good hands

because although Dr. Reid doesn't know the answer,

she will get back to us.

Okay, what do you say we save these pigs' lives, huh?

The contraindication of performing this procedure?

An A.C.L.-deficient knee.

Very good. Dr. Blake, what else?

Uh...

Dr. Blake, you're going to be in private practice

in less than a year, god help us. What else?

Uh, a significant coronal deformity would call for

(singing stops, equipment hissing, beeping)

Uh...

Oh...

I'm sorry. I thought I heard... singing.

Must've been out in the hallway.

I-I'm sorry to disturb you.

Mr. Adams was in a car accident last night.

We'll need to get a fine cut C.T. of his spine

and see exactly what it is we're dealing with here.

358 patients? Really?

I mean, how were you supposed to know that? (machinery beeps)

Well, I'm sure Reycraft knew the answer.

Yeah, whatever. That guys is so tightly wound

he probably reads flash cards in the shower.

Well, Dr. Bell is an amazing surgeon.

Yeah, but she blows as a person.

I just need to get better.

- Catheter in? - Catheter's in.

- Any complications? - No.

B.P.'s steady. Heart rate normal.

Getting ready to deploy the valve.

Valve deployed.

Pig is tanking, Reid. What are you gonna do?

Uh, do an angio.

Uh, make sure I haven't blocked the coronaries.

You've got tombstones on your E.K.G.,

so you might want to keep your pig alive

while you do your sleuthing. (sighs)

Dr. Reid, your pig is in V-fib.

(Alex) Okay.

I think I killed my pig.

You deployed your valve too high.

You gave your pig a heart attack.

Now if this were a real patient,

Dr. Reid would be spending the next three years

in legal depositions.

Sloppy work, but thank you

for giving us all a teachable moment.

- I have two pigs? - (woman) No.

- Charlie. - Dawn.

- You got my message? - Yes.

How are you? Wow, you look great.

Uh, thank you. I-I feel good, Dawn.

How's, uh, Hope Zion treating you?

It's good.

I mean, they still haven't got my parking spot,

but, um, it's familiar.

Feels like home.

- Hey. - Hey.

How'd it, uh, go?

I killed my pig.

Ooh. Call the hambulance.

Dawn, what, uh, what did you page me about?

Well, um, you're gonna think this is ridiculous,

because it is.

But I finally sold the condo,

and one of the movers found this

behind one of the cabinets.

Peggy's cove.

That was an amazing thing that you did that weekend.

This, uh, dog was drowning, and I rescued it.

Anybody would have done that, Dawn.

- It's no big deal. - He's being humble.

I'm sure he is.

You should get him to tell you the story sometime.

I just thought maybe you would want to have it,

for memory's sake.

Joel.

Hey.

Uh, how's that O.R. schedule coming?

Uh, the same.

Yeah, it's amazing we ever got on without him.

Nice lobster.

Awkward.

8 1/2. Ohio state.

Okay.

- Oy. Uh, 48, uh... - Sam?

Uh... Over. Nickel. Okay.

Done. Done.

Done. Don't look at me in that tone of voice.

Turn off the phone, Sam.

What's the problem, Sam?

Uh, they were giving me this, you know... the thing.

The C.T.

I got a terrible pain.

Show me where it hurts.

I thought you'd never ask.

- It's all yours. - Oh. (laughs) You rascal.

If I'd known I'd live this long...

I would have taken better care of myself.

- You're only 55. - Are you kidding?

That's 112 in hustler years.

(cell phone ringtone plays "call to the post")

Oh, sorry. I thought I turned that off.

- Dr. Lin. - I thought I turned it off.

Phone.

No...

Ahh! There goes my livelihood.

She's usually a lot nicer than this.

What happened, you kill someone this morning?

No way.

What are the odds?

He has some lower abdominal pain.

Let me guess. That's not good.

It's nothing conclusive.

Give you even money it's cancer.

Yeah, I'm pretty sure I'm not supposed to wager

on a patient's pathology.

- Dr. Reid? - Smart.

Save your money. My lifestyle.

The question isn't "why me?" but "why not me"?

- Sam? - Lie back, Mr. Roth.

Jeez. I can't breathe!

I think he's having a heart attack.

Emma Nolan. I treated her two months ago

for a clavicle contusion suffered on a school trip,

- but it hasn't really resolved. - C.T.?

Uh, yeah. As you can see, it shows no fracture

in the neck or spine, but there's some inflammation.

Yeah, there's a bright spot above the left clavicle.

Yeah, sarcoma?

Too early to tell. We need to get a sample.

That's what I was thinking, so I set up a biopsy tray.

Got it all ready for you.

Hi. Dr. Goran.

- Emma. - Hi, doctor.

What's wrong with her?

And these are my parents.

Based on Emma's imaging,

we're not exactly sure what it is yet.

Oh, god.