The episode again seems to have begun with a proposition by Conrad to have sex with Nic at work. First fireable offense of the new season!
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Dr. Okefor goes to see her heart transplant boyfriend who she inappropriately performed surgery on last season. It's a good thing that went well. Dr "in the flesh" Austin is promising to perform heart surgery on a premature infant. Not a pediatric cardiac surgeon but hey.
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The idea that such a surgery on such a small infant is some kind of guaranteed success as Austin suggests is...inappropriate. Usually, if at all possible, you try to grow the baby unless it's an immediate life-threatening problem. Must be planning a Norwood procedure.
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Because there are no separations of specialties at all, apparently Conrad and the intern are now in the neonatal ICU, rather than say pediatricians or surgical residents. Then for some reason they just start examining the dad at bedside. Are there only 3 doctors in this hospital?
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Ok fair, hypoplastic left heart, that would be considered even in a very small infant. The Norwood, the first part of a staged series of operations that lets the right heart function as a "common ventricle" when the left heart is too underdeveloped. Has their consulting improved?
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Looks like not. Austin is planning to do this (when was he a pediatric cardiac surgeon again?) with a 2nd year resident rather than say, a fellow or another attending.
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Very realistic, the kid will not get off the phone long enough to make eye contact with Nic.
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And now the drama. Power loss, and apparently no emergency generators. Like, we've never thought of what if there's a thunderstorm?
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For some pointless reason there is no top drape on the baby surgery so we can see the infants face. And then, even though the chest is open, Austin asks for a scalpel. Can someone please tell them we use more than scalpels in surgery already?
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Ok commercial break is over and there still are no emergency generators on. Is this for real?
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After enough time for all the patients on ventilators to arrest generators click on. This is idiotic.
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Dr. Bell aka HODAD is overwhelmed by people asking him questions. Then a female doctor asks, "Mr. Bell, why is this happening?" He corrects her, rudely, to "Dr. Bell" because that's the real problem in medicine - female doctors not acknowledging the degree of the male CEO.
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His plan isn't terrible. It's more risky to treat this as only temporary, but he remains a better administrator than a surgeon.
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Now back to AJ Austin - who keeps referring to himself in the third person - thinks he's breaking the rules by not aborting an open heart surgery that would result in patient death. More fake drama. And he remains inappropriate, referring to staff as "nurse whatsyourname."
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And out of pure pettiness I'd like to point out he's not using a pediatric Yankauer suction.
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HODAD even seems to pull the trigger on evacuation at the proper time. He turned in the crooked oncologist, he seems to be maintaining in an emergency, why is he still being lit like the villain? This is a healthy career progression.
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AJ Austin is having his second year resident suture in a shunt in a Norwood procedure. He harasses her calling her princess and insisting on calling her boyfriend mid-case to mock her for feeling uncomfortable doing an incredibly complex task above her level. Can we fire him?
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In a new order of magnitude of skullduggery they are suggesting the doctors are triaging patient based on their billing cost to the hospital rather than acuity.
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Oooh. New level of drama - the blackout is being caused by "pirates." I have to wonder about the plausibility of being able to strike a single institution on a power grid - like hospital computers are responsible for running the hospital power grid? Waah?
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Hospital have been known to be cyber-attacked, but usually the attacks are on the computer frameworks rather than the power-grid, which I can't imagine how that could be plausible. Not an IT guy, but pretty sure our computers and the power company's are separate.
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Now a trauma has appeared and Conrad is going to do a thoracotomy. On a patient who still has a pulse. I can't even.
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He then builds an OR by making a tent with lights from a firetruck shining in it. Because reflected headlights are adequate for OR lights. A better move would be just finding the surgeon a headlamp. Or getting the *spotlight* from an emergency vehicle. But I'm not a writer...
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Trauma surgeon operating in the dark. Someone get the poor man a headlight that isn't on a car.
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Now dad of Norwood baby is passed out on stairs, and the intern shoulder-carries him upstairs to the ICU. Impressive. But we do have stretchers for that.
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Preemie Norwood baby needs to have the pump run off power. For some completely not-suspicious reason, AJ Austin (in the flesh) knew precisely how long the generators would last to a second.
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In an amazing act of doctoring the intern diagnoses not a stroke in the 30 year old dad but an allergic reaction. My hero.
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They're trying to suggest a kid with a cell-phone is running the hack, but for some reason, despite being so savvy as to bring down a hospital with a cell-phone, needed to be physically present in a hospital bed to perform the hack.
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This is a break from tradition. Not since the first episode in which they showed they didn't understand how doors work have we seen a plot point turn on something so stupid *and* non medical.
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But then we knew their computers were a sieve when they suggested a patient could hack the video cameras recording his own surgery last year. They apparently have set the password of all their computers to "password."
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Nic and Conrad then aid and abet this felon by helping them negotiate with HODAD for her hospital bills to go away. Postop from a Norwood the baby is immediately extubated and crying. That's...improbable.
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