In order to be designated a Level 1 trauma center,
hospitals must meet a variety of requirements.
Ooh! What are you doing? Get out of the way. I'm almost to the next level.
I am cleaning up Katie's stuff.
Does it have to be right now? I haven't played in days.
Oh, I'm sorry the dying patient got in the way of your video games.
Hey, can you give this to Lucas?
Give it to him yourself.
They must maintain usable ORs within 15 minutes,
employ a minimum number of certified specialists...
No.
...and admit at least 1,200 trauma patients a year.
Hospitals in big cities pass the test easily.
But the farther away you get...
Adams? Come on. It's morning.
Mmm.
I know Katie was a tough loss. I'm feeling it too.
If you want me to find someone else for your assignment...
No, I'm good. I'm good. I'm going.
...hospitals are Level 2, 3, even 4,
and sometimes all they can do is transfer people to get the care they need
and hope they hang on.
We shouldn't be doing this. We have to stop.
Uh-huh.
Iris is back from vacation today. What if she walks in here?
Why would an L&D nurse go into a CCU closet?
Um...
She... Listen. She doesn't deserve to be treated like this.
I have to break it off.
When are you going to talk to her?
As soon as humanly possible.
Uh, we were just looking for...
- Gauze. - Yeah.
I don't care.
Oh, I actually do need to grab a Cordis kit.
I'll see you at rounds.
Okay.
♪ Till it's mine ♪
I'm freezing my eggs.
Sill don't care.
Richard. Hey, are you gonna change?
Uh, we're hitting the road in a half an hour.
Oh, I'm heading out, but not to Enumclaw.
- Why? - Well, my schedule changed.
Didn't you see my email?
- No. - Well, uh, I...
I forgot to hit send.
I told Cascade Hill I'm bringing them four surgeons.
Well-Well, you will. I got you a backup.
Oh, here she comes.
- Hey. - Hey.
- Hey, hi. - Um...
...have fun out there.
Thanks.
Listen, if you're too busy for this, I can just take the residents.
Oh, oh, Richard asked for a favor.
I made time, but I...
- I mean, If you don't want me to go-- - No, no, no, no.
These patients need all the help they can get.
Right.
I love field trips.
- Are you excited? - Not really.
Well, Dr. Hunt said last time he volunteered at Enumclaw,
there was a guy that was crushed by a horse.
Cool.
If you're not interested in rural medicine, then why did you volunteer?
I was looking for some peace and quiet.
Adams, hi. Are you coming too?
- No. - Hey, I texted you about Katie...
Is he okay?
Clearly wouldn't know.
- Okay, did you pack up all the supplies? - Yes.
- All right, let's go. - Oh, I made a playlist.
- I-I also brought earbuds, so. - Great.
Okay.
- Hi. - Planning a vacation?
If all goes well, we're gonna take a road trip, see some national parks.
Oh, Yosemite is one of my favorite places on Earth.
- Mmm. - I don't like nature.
He's warming up to the idea.
I'm gonna go get some food.
Hmm.
They say God made teenagers so it's easier to let them go.
- Kwan. - Quinn Durston, 43,
- with stage 4 hepatocellular carcinoma. - Mm-hmm.
He's had chemo and radiation. Now presenting with biliary stenosis.
He's scheduled for an ERCP to place a stent.
Waiting to hear from the FDA whether we can implant
a synthetic lymph node for compassionate use.
So there's still no decision?
I'll be following up right after this.
Do they know that I'm a single dad,
and if this treatment really could give me more time,
that'd be life-changing for Logan.
Unfortunately, they're only looking at the medical facts of the case.
Let me worry about the FDA.
In the meantime, Dr. Kwan?
- I'll run pre-op labs for the stent. - Good.
Okay. [sighs] Right. Here we are.
- Dr. Hunt. [chuckles] So good to see you. - Dr. Braider.
- Come here. - Oh.
This is Dr. Altman, Dr. Griffith, Dr. Spencer.
This is Dr. Lorna Braider. She is in family medicine.
And OB, orthopedic, pediatric, geriatric,
basically anything that comes in those doors.
Keeps things exciting around here.
- Why don't you put us to work? - Absolutely.
We've got a head lac in bed 3, abscess in bed 2.
Everything should be easy to find, but Dr. Hunt knows his way around.
I can take the head lac.
Yeah, I'm on it.
Okay. All right, well, we've got some supplies in the van.
- I'll go get them. - You are a literal lifesaver.
Oh. Hang on. Hold on those supplies.
Incoming rig. Let's go.
May not be a big city, but there is rarely a dull moment.
June Rojas, 23, fell while rafting the Green River.
- Trauma to the left arm. - Where's Keaton?
- Vitals stable. - Where's Keaton?
- We dressed the injury at the scene. - You want to take the lead,
- see what it's like to be in charge here? - June?
I'm Dr. Hunt. This is Dr. Braider and Dr. Altman.
- We're gonna take care of your arm, okay? - Have they found him?
- Who's him? - Boyfriend.
He's not my boyfriend. He's my soulmate.
Search and rescue's looking now.
Keaton has to be alive. I have to find him.
Take me back out there.
They're doing everything they can to find him, but I'm worried about your arm.
We're gonna get you inside and clean you up, all right?
Accomplished trauma surgeon with bedside manner.
Like I said, perfect match for Cascade Hill.
Are you-- Were you offered a job here?
Hey, there's a range of symptoms, and sometimes there aren't symptoms at all.
That's why getting screened is important.
Well, Dr. Adams?
I got a colonoscopy last year.
Yeah, those don't detect prostate cancer.
Prostate cancer screenings
typically start with a physical exam or a blood test.
But good for you on the colonoscopy. Keep that up.
- I'll take one of those. For my dad. - Oh, take two.
Black men are more likely to get it at a younger age.
Wanna ask your doctor when you turn around 40.
- Any other questions? - What if I just don't want to know?
Well, that's your prerogative, but it's very treatable if it's caught early.
Uh, oh, excuse me.
Um, Adams.
Um, where do you think you're going?
Uh, we've talked to everybody, so I was gonna grab a coffee next door.
Not quite everyone.
I think my barber, Jones, would benefit from some conversation.
No. No, no, no, we have an agreement, okay?
He gives me a clean shave, and I keep my mouth shut about medicine.
You know, church and state.
Fine, I'll give it to him.
No, wait a minute. That's not gonna do anything.
You gotta find an opening to talk to him.
You do remember how to talk, right?
- Did you put in Mr. Saks's pre-op orders? - I did.
Okay, maybe I should go review them.
Do you know that cows hate bad weather?
They'll run away from it until they get tired,
and then the storm catches up with them.
- Why do you know this? - But buffalo are brave.
- There's more. - They run right into the storm,
so they get through it faster.
- I'm a cow in this analogy? - Mmm.
- Dr. Ndugu. - Run into the storm.
Hey, welcome back.
Thanks. Good to be back.
Yeah, um...
Do you have a minute? Can we talk?
- Sure. - Happy birthday!
- Happy birthday, Iris. - You guys are so sweet.
- Here you go, birthday girl. - Thank you!
- Who planned this? - Come here.
Oh, you guys.
- Thank you. - Have a good day.
- Bye. Thanks. - See you later, Iris.
So what was it that you wanted to talk about?
Happy birthday.
- Thank you. - Yeah.
Uh-huh.
It's like flour.
Or Maldon salt.
Except it took years and millions to make. Stop touching it.
Okay.
So we add a liquid diluent
and then deliver percutaneously as close as we can to the tumor.
There we go.
Ah. Damn near perfect.
Can I try?
Mmm.
So, after injection, it'll form a gel.
A tiny blob training an army of immune cells
to attack the tumor without chemo side effects.
Huh, It's like a secret lymph node.
Or spy node?
The rebel base on Yavin 4.
They trained to destroy the Death Star?
So we're Jedis.
The Rebel Alliance. Have I taught you nothing?
Here, let me see.
My life could have been very different if this was around when my mom was sick.
You and a lot of people.
But let's not get ahead of ourselves. Still in the testing phase.
Nice approach.
Okay, go prep Quinn.
- Hey. - Hey.
Do you know if Lucas has any food allergies?
Lucas Adams?
Yeah, I want to order him some cookies.
- Cookies? - Or maybe doughnuts are better?
I'm just trying to be nice.
Yeah, I was nice to him. You know what it got me?
Hospice in my living room and blame for something that wasn't my fault.
- I don't have to get the cookies. - Everyone says
your coresidents are your support system and they'll look out for you.
You know who's actually looking out for you?
- Attendings? - You.
That's it. Sooner you figure that out, the better off you'll be.
Stop, please. It hurts.
I know, but we need to remove the dressing to check the wound.
- No, I'm sorry, I can't. - Looks like it's adhered to her arm.
We're gonna give you some meds,
then we're gonna wet the gauze with saline and try again, okay?
We shouldn't have tried Class IV rapids on our own.
We were halfway down before we capsized.
- I grabbed a branch, but Keaton... - I'm so sorry.
When we left this morning, I never thought by the end of the day he will be gone.
We don't know anything yet. Let's just take it one step at a time, okay?
We were called for a consult.
This is Patricia Kim.
She's transferred from OB post C-section for spontaneous pneumothorax.
She has a persistent air leak in her chest tube.
Your name's Iris, right?
Is that your birthday cake in the third floor break room?
- That's me. - Love Funfetti.
- Happy birthday. - Thanks.
What are you doing to celebrate?
I'm going out tonight with a few friends and, um, this guy that I'm seeing.
The guy you're seeing? How nice.
Assuming no one needs a triple bypass later.
He's a cardiothoracic surgeon.
Sounds like a keeper.
Can you set up for bedside talc pleurodesis, and...
page Dr. Ndugu.
Come on. You'll bring your board.
We'll stop at all the best skate parks.
That'll just make the trip take longer.
Did you hear back?
They said no.
They did. Quinn, I'm so sorry.
Did they give a reason?
No. They usually don't.
So what now?
Uh, we will place the stent as planned and then back to the drawing board.
Will I have to start chemo again?
That'll be up to your oncologist.
There's other innovations in the pipeline,
and we will look into every single one of them.
See? It'll be okay.
I'll take him upstairs for the stent.
How's your pain? You need more meds?
I'm okay. Nothing compares to the pain in my heart.
- Chest pain? - If Keaton's not in my life,
it's not worth saving.
Well, we're gonna try anyway, okay?
- Whoa. Okay. - She has pulsatile bleeding.
Right. The radial artery is partially transected.
Let's check collateral circulation.
The ulnar's not gonna be enough. We're gonna have to repair it.
I'm gonna place a tourniquet. Let's hang a liter of LR.
Dr. Hunt, we could use your help over here.
Griffith and Spencer, take over here now, please.
Okay. I got a male. Found him near the Green River.
He's got multiple lacs and abrasions
with severe ecchymosis on the left abdominal wall.
Airway's secure, GCS is 15,
and I got a body temp of 96.7. We put every blanket we had on him.
On my count. Ready? One, two, three, go.
- All right, can we get in there? - We're gonna check you out, Mister...
- Uh, Keaton. Keaton Pathak. - Keaton?
- June? - No, no, no.
- Oh, my God, you're alive! - No thanks to you.
You let go of my hand, you crazy bitch!
- That's not what happened. - You're gonna pull out your IV.
- Please calm down. - He has it wrong. He needs to know.
- Keep her the hell away from me! - Just stay down.
You're right, never a dull moment.
Um, Phillips-head. Phillips-head.
I got it. Is this like what you do at the hospital?
Well, I'm a surgeon, so usually I would be the one using the tools.
Don't even think about that.
No one operates on this chair but me.
I'm just here for prostate cancer.
Uh-huh. Hex wrench.
Thank you.
You know, Richard is a good man.
I was happy to volunteer my shop, and he's going to help a lot of people.
Yeah. Uh, yeah.
Hey, so have you ever had a prostate exam?
I beg your pardon?
I mean, I could, uh, set up an appointment. We could--
Save it.
- Can you at least read the pamphlet? - No.
And tell Richard I'm not interested.
Well, I know he put you up to this.
You're the boss.
- He's not interested. - I knew that. You gotta keep trying.
Well, I've been trying all morning.
Pupils equal and reactive.
Everything just happened so fast.
I had a lot of time to replay it in my head
while I was drowning in the freezing-ass Green River.
Second IV's in. Let's push warm fluids and four milligrams of morphine.
One large contusion on the left chest and one on the right arm.
- He needs X-rays and a FAST exam. - You know how much I love you.
And you decided to let go of me, okay? I saw it.
And since you didn't die, you're dead to me.
You don't mean that. Keaton!
- Try not to move. - Okay,
- there's free fluid around the spleen. - We gotta get her out of here.
- BP keeps dropping. - Let's push more fluids.
Dr. Braider, do you have a procedure room we could use?
- Down the hall on your right. - Thank you. Let's go.
No, I want to stay.
They'll bring you back after they wash your arm out.
We need to evacuate him to a Level 1 trauma center ASAP.
- He is not stable. - Then we'll keep pushing fluids.
Hopefully that'll tide him over until we get the blood.
Spoken like a rural hospital doctor. I'll call in the transport order.
I'll get him prepped. Thank you.
How'd it go?
Oh, the stent's in place.
So your biliary stenosis symptoms should improve.
If you're looking for Logan,
I saw him chatting up a volunteer at the nurses' station.
He's a good kid.
He's going through a lot.
His mother left when he was nine months old.
It's been just the two of us ever since.
My dad and I took a national parks trip the summer before I went off to college.
I didn't want to go.
I was annoyed that he woke me up at dawn
to go fly-fish in creeks that were cold as hell,
but now I cherish those memories.
It was our last hurrah before I became my own person.
I wanted that for Logan.
There are other drugs you haven't tried,
and we're still looking for other compassionate care
and clinical trial options.
What are the odds that Dr. Bailey finds something?
You only need one.
- Oof. - Are you okay?
Yeah. Uh, I'm just a little dizzy.
Okay, white counts are pretty high. You have a fever. May I?
Yeah.
- Okay, any pain? - A little bit up here.
Okay. I'm getting blood cultures and taking you up for scans.
Hey, how's it going in here?
We've clamped the chest tube and we are ready to start chemical pleurodesis.
Okay. All right.
Sorry to interrupt. I have the patient's personal belongings.
Yeah, please, by all means.
The talc should help sclerose the pleural cavity to seal the air leak.
Dr. Ndugu, did you know that it's Iris's birthday?
I did. Mm-hmm.
She is having dinner tonight with her friends and the guy that she's seeing.
I mean, you must know him. He's a cardiothoracic surgeon.
Uh-huh.
Where are you going for the big celebration?
Uh, I'm going to a sushi place near my apartment.
They have killer omakase.
You know what separates good omakase from bad?
Decisiveness.
You know, actually, the best omakase is about the right timing
and order of the food.
- Hmm. - That is why I had cake before lunch.
I admire your conviction, Meade.
You said that you were going to eat cake, so you ate cake.
All done here. Enjoy your dinner.
Thanks, I will.
Dr. Michelle Ward to L&D.
Whatever this is, he didn't need it.
He's getting sicker. He's not gonna be able to tolerate more chemo.
Well, we have to try. He wants to try.
What is the point of all our training
if some losers in an office building can tell us what's best for our patients?
People who don't even know him. Do they care at all?
Yes, they do.
How can you say that?
You see what's happening. Katie Rogers died in my living room.
Look, those losers are career public servants.
People who show up at the office every day
regardless of who's leading the charge.
They show up because they care.
I-I have to believe that. I've seen it.
And it's good that they don't know Quinn 'cause they can be objective.
Look, you cannot put a treatment with an unknown toxicity profile
into someone just because they're dying anyway.
That is not medicine. That is experimentation.
But it already worked on some other patients.
It could buy him some time.
Or it could make things worse.
Four years of schooling does not make you a god.
We need guardrails, just like everybody else.
Oh.
His biliary tree's still distended with an obstruction?
He has ascending cholangitis.
Okay, let's, uh, prep for a percutaneous cholangiogram with a drain.
Yeah.
Hey, hey, hey, hey, it's her birthday.
So I heard.
- What do you want me to do? - I want you to break up with her.
- Okay, I-I hate upsetting people. - Oh, my God.
Once at Joe's, I found a fingernail in my onion rings,
and I didn't want to tell the server, so I ate around it,
and it wasn't even that guy's birthday.
Okay, some stories don't need to be told.
I just don't wanna be a jerk.
Well, the jerky thing is to let Iris think that everything is fine
when you have one foot out the door and your mouth on my mouth.
Yeah, I agree. I'll do it tomorrow.
All right, you-you can do whatever you want.
I'm just... I'm just frustrated.
After months of wanting this,
I can't.
Not on your girlfriend's birthday.
How's he doing?
He's holding up.
- Good. Medevac's en route. - Okay.
- His repeat H&H dropped by two points. - Dr. Braider.
Owen, what are you doing here?
- I'm helping a community that needs it. - That's not what I meant.
Listen, I haven't made any decisions yet.
This hospital shuttered their ORs three years ago.
Because a bean counter decided that it made financial sense.
People didn't stop needing surgery.
They want me to start a regional surgical program,
rotate in specialists so that folks can get the care they need closer to home.
You're a trauma surgeon at a Level 1 trauma center.
And I get to build this program from the ground up.
- He's about to code. - Bag him. Gonna need an intubation kit.
All right.
- Got it? - Yep.
So who else needs one of these?
You've been gone for a while.
Yeah, I just... I just needed some air.
You know, I've known Jones longer than I have my wife.
I'd really appreciate it if you'd try it again.
He obviously doesn't want to talk.
Yeah, but that doesn't mean he doesn't want to listen.
And I know he's well overdue for a screening.
I thought that doctors weren't supposed to pressure their patients.
Well, I just want to make sure he understands the risks and the benefits.
With all due respect, sir,
I was told I'll just be handing out flyers when I volunteered for this.
I-I think you need to go back to the hospital.
- Because I don't wanna strong-arm one man? - I'm trying to save lives.
I don't need another doctor getting in the way.
Look, I understand that it's important.
- Not like I do. - Well, I studied the same facts.
I know the same risk factors, the screening process...
But you haven't lived it.
I'm so sorry. I... I-I didn't know.
Yeah.
You should go back to Grey Sloan. I'm sure they could use you there.
- Are you sure? I can... I can stay. I... - No, I got this covered.
You go ahead.
- Can't see the cords. - You want some cricoid pressure?
Wouldn't hurt.
- All right, I'm in. - Okay.
All right.
- Bilateral breath sounds. - His spleen is bleeding out?
- That's the most likely explanation. - BP's down to 75.
- Okay. How far is the medevac? - I don't know.
If there's heavy fog, it could take longer.
Can't wait. His spleen needs to come out right now.
We're gonna need one of those old ORs.
Does she need a plastics consult?
- No. - Even with tissue coverage,
- she'll have bad scarring. - We'll do our best to prevent that.
Brand me. I deserve a scar.
I was slipping and I let go of my boyfriend to grab another branch.
That's how you let him go? That's gut instincts or reflex.
Lizard brain. Darwin.
What did he expect you to do, sacrifice yourself so you both died?
No, you did the right thing.
If he can't see that, you were never meant to be.
The tourniquet's been applied for too long.
- It's cutting off her blood supply. - Am I losing my arm?
No, no, but the artery going to your hand
is compromised, and we need to repair it right now.
- Spencer, get 6-0 Prolene and a castro. - Um, sure. Any idea where?
I was gonna look for it, but shouldn't we get an attending?
June is our patient, and she needs a simple primary repair.
And if we don't do it now, she could lose her hand.
- Do you want that? - No.
Then get it together and help me.
Hey, I-I've been looking for you.
You did it. Way to go.
Hey... You can't do that.
Look, I just need your attention for 60 seconds.
- What's wrong? - The stent didn't work.
Your dad's developed an infection called ascending cholangitis,
and the only way to clear it is to place a drain
to remove the bile buildup in the liver.
Okay. And then he'll feel better after that?
I've been in your shoes.
You know, when you're in and out of the hospital so many times with someone,
it feels like the doctors are saying the same thing over and over again.
It's impossible to tell if it's really serious
or just more of the same.
But this time it's different, Logan.
Your dad probably only has a few weeks to live.
He came in really, really sick, and he's not getting better.
So if I were you,
I'd do everything in my power
to spend as much time with him as you can.
It's been a minute.
Yeah.
- You want a little oil on your scalp? - Coconut?
You got it.
I think my nephew took care of you the last time.
Yeah, he sure did.
Look, I... I know it's been a minute since I've been to see you.
Well, I thought you had left for another shop.
Nah.
Well, actually, I... I was home for a while.
I had surgery for prostate cancer.
I'm sorry, I didn't know.
Are you doing chemo?
Yeah, it was an option, but I elected to have my prostate removed.
I was nervous,
but I did it. I have no regrets.
I'm cancer-free, and I feel great.
Oh, Richard.
No. Get the screening, Jones.
I'm not saying this as a doctor.
But as a survivor and as your friend.
If it means that much.
It does.
All right. then, sit back and let me fix what my nephew did to you
'cause you're holding up my schedule.
Hey, can I gut check something with you? It's a guy thing.
- No. - Okay,
so say you had a favorite sandwich shop,
and you go and get a sandwich there every day and then you find a salad spot--
Okay, I'm not gonna do the whole complicated analogy,
so can you just say Ndugu?
Okay, fine. He...
He said he was going to break up with this nurse that he was dating,
and he didn't do it.
Okay, he's not into you.
Okay, at least not enough to go through trouble
of breaking up with somebody else.
What is happening?
I'm on these hormones from freezing my eggs.
So you have to be gentle with me.
- Okay, you should've opened with that. - It's her birthday.
Does that change anything?
Have you cried like this in front of him?
- Well, no. - Definitely don't.
But it-it's still going to-to be all right, right?
Maybe.
But if he doesn't keep his promise to you, then he's just a spineless wimp.
Ugh. He's not a bad person.
Well, he's got you crying like a teenager, so agree to disagree.
I said be gentle.
I know it was my idea to start a surgical program here,
but I did not mean today.
Do you see any other options?
- Do you even have the right instruments? - I got a chest tube tray.
And 11 blade isn't usually my go-to for an ex-lap,
but I've operated with less.
I hope no one gives birth today.
We stole every towel and drape from the OB ward.
What about retraction?
Uh, specialty from our military days.
They're not Deavers, but it works.
Systolic is down to 70.
Okay, Dr. Braider.
Do it.
I couldn't do that without loupes.
I've been wearing glasses since I was two.
Everyone in my family has perfect vision, but my pupils are just kind of--
Spencer, focus.
All right. I'm just gonna unclamp the artery.
♪ But I still breathe ♪
No leaks. We did it.
Of course we did.
- I'm going to live? - Yes, and do you remember why?
- Because I looked out for myself. - That's right.
You did what you had to do to survive.
Don't let anyone make you feel guilty for it.
I know. And maybe you're right. Maybe we were never meant to be.
I just don't want him to hate me.
♪ Where do we go? ♪
♪ When it all turns grey ♪
All right, drain is in. Send the samples for culture and sensitivities.
I spoke with Dr. Kuby.
She's going to start Quinn on third line chemo
once the infection clears.
- Does she think it might work? - She thinks it's worth trying.
His son hasn't even graduated high school.
Are you sure we shouldn't inject the synthetic lymph node?
It would be against the law to use an unapproved treatment
without FDA permission.
Okay, but the thing works.
Eighty percent of patients had tumor shrinkage six months after getting it.
Those are anecdotal results based on ten patients.
We have no idea if it would work for him.
We could just be giving his body something new to tolerate when he's already septic.
All right, I have a hernia repair to get to.
Secure the drain, and bring him back to his room.
We'll image in 24 to 48 hours to make sure the drain worked.
Okay, I'll let you know when the cultures are back.
Okay, fixation device.
All right, I see it. Looks like a stage 4 splenic lac.
- I'm gonna need more towels. - Yeah, I got you.
You two really have this down. I didn't realize you were also a veteran.
She was chief at MEDCOM in Landstuhl, Germany.
Don't let the fancy titles fool you. I also did tours in Afghanistan and Iraq.
- Isn't that where you were stationed? - That's where we met.
Oh. You better work fast.
There's too much blood. I can't visualize the pedicle.
- All right, let me try something. - Yeah.
Yeah, I got it. All right, follow with your hand.
Okay.
Got it. Clamp.
Another.
Scissors. Oh-vicryl. Times two.
Okay, when I'm done with this,
I'm gonna need sterile towels for the temporary closure.
BP is holding steady and pulse is stabilizing.
I cannot believe you pulled this off.
Well, you both just made my case for starting a surgical rotation here.
Okay.
Well, the helicopter pickup isn't too far. He's gonna be fine.
Are you sure you're okay driving the transport van back?
Yeah, as long as Spencer keeps her playlist to herself.
And Griffith did an excellent repair on June's arm.
I'll set up an outpatient follow-up with plastics.
Oh, hey. Um, I'm sorry we couldn't get to more patients,
but I'll come back next week.
No need to apologize,
but I will look forward to seeing you again.
Okay. I'll keep you updated on his status.
Great.
- Drive safe. - Okay, yeah.
You're very lucky to have him.
But I really hope he leaves you.
Maybe I shouldn't be so bold about poaching him from your hospital,
but you just seem like someone who loves a challenge as much as he does,
and you two clearly have history.
If you'd put a good word in for us here, I'd appreciate it.
Owen's gonna make up his own mind.
Good luck filling the position.
Hey, how'd it go today?
Oh, I showed Chester Jones how to message his PCP from his portal.
Um... [chuckles] ...I'm not quite sure what to think of that.
It's one of the best days I've had in a while.
Maybe I saved some lives, and I didn't have to cut anyone open.
Well, that sounds like a good day.
I saw Adams came back early.
Yeah, he wasn't in the right headspace for community outreach.
I'm so sorry he wasn't helpful.
Well, actually, he was.
Until today, I was hesitant to tell my own story.
But he reminded me that sometimes people need to hear from other patients
- just as much as doctors. - Hmm.
Yeah.
Well, I'm glad everything worked out.
I wish I could convince him to get a haircut.
Hey.
Wh-Where's your dad?
Uh, Dr. Bailey told the nurses to take him for a scan.
What kind of scan?
- I don't know. - I meant did something happen?
- I don't think so. - Oh.
Wait, wait. Do you think it's bad?
No, no, no, I think it's fine.
Oh, good. You're still here. I have something for you.
What is this?
A few of Katie's things her mom didn't take.
Just thought you might want them.
- You can't hate me forever. - Don't be so sure.
Lucas, I'm sorry for your loss. I...
She was your friend. I could've been more sensitive to that.
What a relief. I feel so much better now.
I know you're grieving.
You're looking for explanations and saying things you might not mean.
Who says I don't mean it?
Leave me alone.
Hey, I thought you were gonna wait 24 to 48 hours for Quinn's MRCP.
That is the protocol, but you know, he's been through so much.
I figured if the drain's not working, better to know now.
How's it looking?
- The bile's moving. - Hmm.
Hopefully, the antibiotic will cool off the cholangitis.
I think we did it.
Great.
Um, so while I have you, can I ask you about Mr. Elmer's labs?
Do you see that?
There's a fluid collection adjacent to the tumor. What?
Uh... Okay, is it blood? Or a bile leak?
It's not contiguous with the biliary tree.
Uh... Oh.
I don't like what I'm seeing 'cause he could be bleeding from this tumor.
All right, we need a repeat H&H and, uh, coags and, uh, set up an ultrasound.
It's hydrogel.
And how did it get there?
I injected it after you left.
It's... it is his best option,
and it was just sitting there in the hospital.
It's his best option for you to commit a crime on my patient
in my OR?
Okay. No one has to know.
What? Quinn has to know.
You can't put an experimental treatment in someone's body and not tell them.
Okay. Okay... [stammers] ...I can tell him.
No, stop. You have done enough.
Hey. Can we talk?
Iris is a really nice person.
She doesn't deserve to have her birthday ruined just because I'm impatient.
And the fact that you care is part of what I like about you.
So if you wanna wait till tomorrow, it's-it's fine.
But if you're having second thoughts about us, will you just please tell me?
I ended it.
You were right. She deserved the truth, even on her birthday.
Uh. How did she take it?
Mm-mmm. It... [sucks teeth] ...uh...
Well, I should stay off the labor and delivery floor for a while,
- but I'm single. - Oh?
And I want to take you out.
Then I want to take you home.
Oh, no. I'm-I'm freezing my eggs.
- Okay? - Well, I can't have sex.
Because it could cause ovarian torsion, which is, you know, when the ovaries--
I know what it is.
So I probably shouldn't go home with you.
Let's just do a movie and chill.
I mean watch an actual movie and actually chill.
I'd like that.
No matter how remote you are or how isolated you feel,
there's hope.
And help is usually closer than you think.
♪ Time, time, is it over yet? ♪
♪ Till you wanna keep me But then there's nothing left ♪
It's been a day, and I need a drink.
And I'm just sitting here, so I don't have to sit next to that guy.
You know what, that's a lie.
I'm just sitting here because I wanna sit here,
and if you don't like it, you can move.
It's not always easy to ask.
♪ Oh oh oh oh oh ♪
But with a little courage...
if you look, you'll find what you need.
Thank you for coming with us.
Oh, yeah. Yeah. It was a...
it was a good day.
Well, we removed a spleen with a chest tube kit.
I have done a lot of crazy things in my career, especially with you,
but this was... this was up there.
You're gonna take that job?
I turned it down.
You know, it was nice to think about, but the timing's not right.
Oh, thank God. I thought you were gonna leave me.
I mean, you know, if... if you had taken that job,
I would've had to find a new chief of trauma
and hire them and train them and just start over.
Yeah, it would've been a hassle.
Your family, your friends,
your community...
I'm gonna go there once a month though.
- Just to help out. - Oh. Yeah.
We'll figure something out.
...lifting you up.