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The Resident

The Resident – Identity Crisis (1×04)

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It didn’t take long before Dr. Hawkins’ decision to save Luisa trickled down to the hospital on The Resident. 

They have to get the $2 million dollars from somewhere — budget cuts were inevitable.

And the first phase of budget cuts is to get rid of the overqualified, overcompensated employees and replace them with “bubbleheads.”

Admittedly, Chastain was understaffed this week and as a result, a hot mess.

Everything was blamed on the new nurse. Was it fair? Maybe. She was sitting there trying to score the perfect selfie for her social media #firstdayatthehospital post.

But she was also really stressed out about giving patients the wrong code after Dr. Feldman scolded her. I can understand not wanting to upset anyone and as a result, assigning a patient with a mere headache to the “basic” pile.

In fact, I would say she’s only about 25% to blame as several other people made their rounds, threw a backpack at the unconscious patient, knocked his phone over, and even tripped over him without taking notice.

I don’t care how busy you are, if you are a doctor in a hospital setting, it is your job to take note of your surroundings.

And why was a nurse not shadowing another nurse on her first day? That’s absurd and I really hope it doesn’t happen in real life.

Dr. Pravesh FINALLY spotted him lying unconscious and realized something was very wrong. By the time they got to him, his brain was bleeding and there was nothing more they could do for him.

“Bubblehead” nurse got a massive scolding from Dr. Hawkins. It was so bad, all the other doctors, including Dr. Feldman, assured him she’d learned her lesson so that he’d let it go. We never did see her again and if Twitter had its way, she was probably fired.

In addition to misdiagnosing him, she failed to I.D his properly. And then she took his name from the backpack, which wasn’t his to begin with thus misidentifying him as Ian. I’m not sure if the I.D’s that they have don’t have pictures on them, but I guess no one thought to assumed that this mix-up was even possible.

This kickstarted a string of very unfortunate event. Dr. Hawkins called Ian’s father who broke down upon hearing the news of his son’s death. Except when he went to identify him, he realized it wasn’t really his son.

So now, Dr. Hawkins wasn’t only trying to help the living, he was also trying to identify the John Doe so that he could inform his family.

And since one patient was so neglected, who knows what other mistakes were made during intake.

Dr. Pravesh took lead on an elderly patient with supposed gallstones. I’m trained to think that whenever someone talks about how much they love the other person or how they have big plans for the future, it’s a sure indicator that the character is going to die.

The woman’s husband asked Pravesh to inform him if the situation became dire because he wanted to propose to his 80-year-old girlfriend.

Something so trivial forced Pravesh to develop a bond with the couple and when tests revealed it was cancer, he insisted they take on the meticulous surgery. He was so dedicated, he even spent four hours on Medicare to make sure the surgery was approved.

And when the couple decided to postpone the surgery so they could tie the knot first, he offered to bring the wedding to them, quickly decorating a room with airplane-themed decorations. He even got Dr. Feldman to officiate while Dr. Hawkins secured a photographer through the hospital’s publicist. You can never have too much PR!

The surgery — performed by a refreshed, re-energized and unfailingly cocky Dr. Bell — went off without a hitch. At least someone had a better day than Dr. Hawkins.

Dr. Bell is doing well, for now, thanks to the benzo’s. The tremors have subsided, but may I remind you, symptoms include aggression and cognitive impairment so it’s only a matter of time before something goes haywire. Will Mina be there to help him when it does?

He completely discarded her because he was so overly confident about the surgery.

Mina may be arrogant but she has every right to be; she’s bloody brilliant.

And unfortunately, that’s seen as a threat in industries, especially to the older, more established doctors who are used to things being a certain way.

Protocol should never be broken, but if Mina saved a life because she made a quick choice in a hospital where the staff is scarce she definitely shouldn’t be punished for it.

Not only did she get benched by an upper doctor, Bell was so threatened and irked by her blatantly honest comment about being his secret success weapon, he upheld the decision.

Sometimes, it’s really frightening to see just how unimportant our lives actually are to doctors. If they aren’t stroking their egos or making money off of it, they simply do not care about the outcome.

Dr. Bell and Dr. Hunter even made a snarky comment about how “residents” are so gung ho, which further proves that older and more experienced doctors are too stale and out-of-touch. They prioritize money over the well-being of patients way too often.

That actually couldn’t be more true about Dr. Hunter. Nic’s storyline has been very different from everyone else’s. For starters, she’s really the only nurse on the team, but she’s very much involved with all the patients, especially Lily.

Lily is a cancer patient who frequents the hospital because of her cancer.  A few episodes ago, Nic questioned Dr. Hunter about Lily’s early release.

The moment sparked a passive aggressiveness between the two ladies and Nic hasn’t let go of it, especially because Lily arrived in the hospital again, this time weaker than ever and with an infection.

Without checking her charts, neither Nic nor Dr. Hawkins felt confident enough to move forward with treatment. She requested Lily’s charts from Dr. Hunter, who keeps them at her private practice, but they didn’t show up on purpose.

Obviously, Dr. Hunter is hiding something very critical about Lily’s prognosis.

Nic decided to take matters into her own hands and get the files in person. Off the bat, the receptionist seemed shady and disinclined to give her the charts.

As she’s waiting in the lobby, she runs into her old nursing school friend who works for Dr. Hunter, which leads her to take a peek inside the treatment room; a space with dozens of patients all hooked up to IVs.

I could barely breathe as she snapped a picture thinking she would get caught up at any minute.

Nic is fearless, especially as she zoomed in on the patient medications right as Dr. Hunter walked in!

Unable to let it go, she meets up with her nursing school friend for drinks and uses the catch-up session to grill her about what it’s like working for Dr. Hunter.

This makes her look very suspicious and the friend informs her that Dr. Hunters wants her employees to be discreet.

 

Nic has really dug herself into a major role, but she might be on the cusp of exposing something tremendous and corrupt.

If everyone is so shady about what’s happening at the private practice, could Dr. Hunter be giving these severely sick patients placebos in order to make a few bucks?

Unlike other medical shows, the writers are focusing on the doctors and their craft, while also exposing some flaws in our medical system.

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The Resident

The Resident – Comrades in Arms (1×03)

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The Resident Comrades in Arms

If you’ve been paying attention to the first few episodes of The Resident, you’ve probably picked up a theme.

The doctors get a patient with a serious and life-threatening condition, which oftentimes requires an expensive surgery or medical procedure. The hospital objects because someone else will get the organ/there isn’t enough money in the budget/whatever other problem presents itself. Dr. Conrad goes rogue and devises a plan against the wishes of everyone thus getting his way and creating a few enemies in the process.

This week, however, Dr. Conrad had his team of idealist doctors backing him when their hospital employee, Luisa, turned out to be an undocumented immigrant with a life-threatening tumor.

The Resident is one of the shows that touches upon the reality of our healthcare system: it’s a business, down to its core.

That means they can’t save everyone, not even one of their own.

Luisa’s surgery can cost them upwards of $1 million dollars on a good day and that just simply isn’t something the hospital can afford.

Add in undocumented and uninsured and Dr. Conrad really doesn’t have a strong case here.

Especially with Barb frantically making her rounds around Chastain and drilling into every resident, nurse, doctor and med student that they are to upcode: assign an inaccurate billing code to increase reimbursement. Shady stuff right.

No one is a fan of charging patients more than they are supposed to be simply to “make ends meet,” but worst of all, Barb is thwarting major surgeries in an attempt to capitalize.

Thankfully, Nic finally puts an end to all the madness by catching a grave error on Barb’s part; she stopped a patient’s necessary surgery to send him for an “MRI” before reading up on his charts. Had Nic not intervened, well, his metal penile injection would not have made it out of there unscathed. And that my friends, would cost the hospital A LOT more than $2 million.

Not only was Barb annoying, she was a walking and talking embodiment of everything that is wrong in healthcare right now… and she called immigration on Luisa.

Since I don’t have a fond grasp on how any of this works, I’m not 100% sure if you immigration can just come and remove unconscious patient prior to surgery to deport them back to their homeland.  It seems rather unjust, but at the same time, unsurprising.

The storyline really resonated with the current state of things in Donald Trump’s America, which makes this that much more upsetting.

These days everything is a business and nothing can survive without money; I get that. But Barb telling them to stop testing on Luisa until they can verify if her insurance could cover it and then Luisa collapsing in the middle of the hallway was just brash. Couldn’t you at least try to cover face in front of the patient? How is one supposed to feel when they are literally dying on your hospital bed and you’re refusing service?

The theme of “you can’t help everyone” really carried through the episode as a lesson Conrad had to learn.

His other patient, a drunk man who fell over during their “doctors against cancer race,” could have received the proper treatment, but refused to help himself. Seeing him throwing back beers at the bar after being told he’s drinking himself to death was a somber look at the reality of alcoholics.

Seeing that bone protrude almost made me puke so yeah, I don’t even have the stomach for a medical show, yet alone to be an actual doctor.

Dr. Bell is another patient who refuses to get the proper help and is looking for a quick fix. As a surgeon, he should know better than that but desperation trumps clear thinking. His hand tremors may have subsided for now, but the effects — aggression and cognitive impairment — could very well cost him the job.

Nic has been onto Dr. Lane about Lily’s case since last week and it seems that her intuition was right. Lily is rushed to the hospital at the end of the episode because the cancer is winning. Why isn’t her treatment working? What is Dr. Lane hiding?

I can’t say I’m fond of Dr. Jude for two reasons: he keeps trying to convince Conrad to re-enlist with him and he’s hitting on his girl. Right after Nic admitted that she and Conrad were no longer an item, he was asking her out to a concert and assuring her it “wouldn’t be a date.” Yeah, okay.

And while their time in Afghanistan likely made them both better doctors, he needs to respect that Conrad thinks he can make a real change at Chastain. Sure, everyone is always after him because he makes calls that put patients before profits but you need a good balance in order for things to function. Can you imagine if everyone was simply in it for the money? His smile when Dr. Pravesh successfully drilled into Luisa’s leg tells you everything you need to know — this is is home and he’s going to fight for his patients.

Thoughts on The Resident? What are you loving? What are you hating?

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The Resident

The Resident – Pilot & Independence Day (1×01 & 1×02)

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The Resident Pilot Independence Day

This isn’t your typical medical drama… and that’s a VERY good thing.

Don’t get me wrong, I love Chicago Med and Grey’s Anatomy as much as the next gal, but The Resident brings a breath of fresh air to the usually high-spirited and patient-serving hospital rooms.

By fresh air, I mean realness that sometimes, the patients best intentions aren’t always a priority.

The series makes it abundantly clear that the bottom line runs everything. Doctors welcome brain-dead patients to stay as long as the family would like if they pay the hefty bill on time. City officials get to skip the line for a heart transplant, even though someone younger, fitter and more-deserving did the time simply because it “looks better” in the PR-scheme of things. If new cancer trials make money, they’ll dismiss patients whose blood counts are way too low and scold the nurse for “questioning their decisions” in front of the staff. And if they have to blackmail medical students into doing their surgeries to cover up for hand tremors to keep up appearances, that’s what they’ll do.

This, unfortunately, is how the real world works. And all of this happened in the first two episodes of the series premiere.

That isn’t to say that there isn’t the do-gooders, the doctors that care more than they should and the ones who will bend the rules so that their patients will get the best treatment.

Dr. Bell and Dr. Hunter fall into the first example, while the rest of the cast, spearheaded by Dr. Conrad Hawkins, fall into the latter. Thank god.

Matt Czuchry, Conrad, is the new, upgraded version of McDreamy. Don’t be fooled by the tattoos, he’s damn good at what he does. That’s why his #1 rule to his intern Dr. Devon Pravesh is to always listen to him. Pravesh is thrown off by Condrad’s charming, yet egotistical, approach, but eventually, learns that in he, he must trust.

Czuchry is also able to distance himself from his most-notable role as Logan on Gilmore Girls, which is always a good moment for any actor.

Czuchry and Bell butt-heads, which is almost striking for a resident and a head surgeon. Yet, Conrad isn’t intimidated because he knows that Bell’s time should be up considering his nickname is HODAD “Hands of Death and Destruction.” He’s not afraid to call him out on anything and he’s even willing to play the role of “God,” which his ex Nic tries to tell him he isn’t when he switches blood sample labels to guarantee his patient will actually get the heart he so desperately needs.

At times, the banter is almost reminiscent of a father’s and son’s, which is unlikely but would be quite the plot twist.

Look, I don’t think anyone should ever hail themselves as “God,” but I too, would like to have this type of doctor on my team when I’m at my ends will.

By the end, Dr. Pravesh decides to stand up to Conrad, telling him that he’ll be standing up for himself because no one is capable of knowing everything. And yet, that was the lesson. Someone as bright as Devon would surely get that, which Conrad banked on. “You’ve passed Independence Day,” which translates to “welcome to the team.” You can’t have a doctor who is only willing to follow orders. If that was the case, anyone could do it.

Although, once again, the series makes it a point to break the doe-eyed med students who think that they know it all because they aced all their exams. Those, according to Conrad, are tougher to train because they literally have to “forget” everything they learned to grasp how things work in the field.

Nic takes on the role of the den mother. She’s got everyone’s best interests at heart, even Conrad’s, although she isn’t willing to give him another chance at love. And he tries, very, very hard.

It’s a striking contrast from Emily VanCamp’s Revenge character, but strong and demanding at the same time. She’ll be the glue that holds everything together here.

She also isn’t afraid to stand up for her beliefs and call out Conrad when he’s getting out of line and about to pull the plug on a brain-dead patient. Not under her watch.

Almost immediately, you’re drawn to Conrad and Nic’s relationship, even though you don’t know the history. She’s supportive yet distanced and not falling for his smooth talking.

With such a strong cast, you would have thought I’d mentioned everyone, but I left the best for last. Dr. Mina Okafor is a firecracker, whose stoic expression tells you everything you need to know.

She’s a no-nonsense type of gal, who is good and knows she is good but finds herself blackmailed by Bell, who refuses to vouch for her immigration visa if she doesn’t secretly assist him in a surgery, which he takes all the credit for.

It’s a tough predicament, especially when you can learn so much from a man like him, while also being completely disgusted with the reality for minority women.

Women do all the work, men take the credit.

Sometimes to get ahead, women take whatever is given to them, even the unfair hands.

Even with all of the tough cases presented, The Resident finds time to weave through some comedic moments. Taking pellets out of a man’s bum while he passes gas? Hilarious, unless you’re the one in the situation.

I really thought Dr. Hunter would be the backbone of the series a la Sharon Goodwin, but it seems that the upper management has been in this for so long, they’ve lost their sense of purpose.

Hopefully, the younger doctors will continue to keep them in line as the series progresses.

And if not, at least we have yet another bar to frequent when the medical jargon becomes too much. Sorry, Molly’s!

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