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[♪ upbeat music playing]
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[Grey] Somewhere around 1600 BC,
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surgeons invented sutures
made of sheep and horse intestines.
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They were called catgut,
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and used almost exclusively
until the 1970s.
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What, are you Batman? What time is it?
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It's early. I just thought I'd get a jump
on orders and notes.
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-You have all day for that.
-Yeah, but I was hoping if I get it done
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and out of the way early,
I can get in on a surgery.
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You know, I haven't been
in the OR in days.
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Too tired for sympathy. Good luck.
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All right.
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[Grey] Catgut was unpredictable.
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It often dissolved at random
and caused allergic reactions.
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-Yeah?
-Hi, uh, I… Sorry to bother you.
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I was looking over my research proposal,
and I think there's a typo in your notes.
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It just says "mid."
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Did you mean midterm or--
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Not a typo. I think your idea is mid.
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Middle of the road. Mediocre.
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You don't think colon cancer outcomes
in metropolitan areas is compelling?
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I think it's too broad
and it's been done to death.
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It's mid?
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Well, thanks for your feedback.
[clears throat]
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[♪ upbeat music continues]
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[Grey] Meanwhile,
in a chemistry lab somewhere,
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scientists tried to invent
a permanent polymer,
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but it kept degrading.
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Have you been here before?
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-No.
-Same.
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I hope it's not a sob fest.
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Cry enough at home by myself.
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[Grey] Surgeons saw this failure
and found an opportunity--
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dissolvable stitches.
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The answer was there all along.
We just had to know where to look.
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My patient is asking
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if a triathlon is considered
strenuous exercise.
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[chuckles] I'd say so.
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This is weird.
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My neuroendoscopy was rescheduled.
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Oh. Could be a glitch in the system.
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No, my biopsy and craniotomy
were also moved.
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I'm completely clear on Friday.
I'm calling IT.
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-Uh, don't do that.
-Right, I'll call scheduling--
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Look, it was me.
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Since the stars aligned
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and our exes miraculously
had our kids at the same time,
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I booked us a weekend on Whidbey Island.
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You had my schedule cleared?
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Yeah. We can just relax
and spend time together.
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Are those patients okay with that?
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The fellow's handling them.
He seemed happy to help.
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[grunts]
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I saw that.
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-How are you?
-You need to stop.
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Stop because you don't want
to talk about it?
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Or stop because you are fully healed,
no more abdominal pain or fever…
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I'm good, just focused on work.
What are you studying?
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I have to master the latest
epilepsy guidelines before 8:00.
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You already have a spot in Shepherd's lab?
Nepotism much?
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She's launching a new study.
Anybody could apply.
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Just stay off the Olympic floor.
That's mine.
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You can't call dibs on a floor.
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Yeah, I don't have to. I'm Norton's guy.
I have a full floor of patients.
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Can't say who it is,
but one of them is in the NBA.
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Good morning. All right, the deadline
for research positions is coming up,
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so if you have not applied for one,
do not wait. All right?
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Get to work.
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Hey, uh, you didn't show up
to Beckman's info session.
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I told him you'd be perfect for his lab.
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-I didn't ask you to do that.
-Oh, it's no big deal. I--
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I don't need your help.
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Did you hear that? He's so out of line.
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Sounds like he was doing his job.
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Now I need you to stop.
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Hmm. Still feels like I'm checking in
to a hotel.
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Hmm.
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Where's all the equipment?
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It's hidden. It's more calming that way.
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How calm's it gonna be if someone codes
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and you have to go hunting
for a defibrillator?
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I have enough problems up here
without your two cents.
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Ah, I thought Dr. Fancy Pants
was working financial miracles up here.
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Yeah, he's golfing today.
I call that a miracle.
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Yeah, Lillian Kemp, 808.
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Kwan's your resident.
Make sure he doesn't do anything illegal.
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Hey, um, I saw you have
a total cranial vault tomorrow.
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Do you use the Melbourne method for that?
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Yep. [mumbles]
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-Cool.
-Dr. Warren, you're late.
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Sorry. Sorry. I had drop-off this morning
and the streets were closed
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-because of the Sockeye Salmon Run--
-I don't need to know why.
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-I just need my cases covered.
-They are, 100%.
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And the 3D model
for tomorrow's craniosynostosis case?
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Oh, it's pretty much done.
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Good. I rely on my fellow
like I rely on my right hand,
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which is in fact my dominant hand.
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I eased you in.
Now I need you to level up.
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Roger that.
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Consent this morning's patients
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and make sure all the wound vacs
are changed in the SICU.
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I thought you said
you had everything covered?
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It will be, if we both get to work.
Now I got to go build a 3D model.
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Okay, wait. Hey, um, do you think you
could get me in on that surgery tomorrow?
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-[chuckles] Did you hear Dr. Wright?
-Yeah.
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At this rate,
I'll be lucky if I'm still on it.
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-Thanks.
-Okay.
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-[patient sniffling, grunting]
-Tracie, I'm Dr. Lincoln.
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This is Dr. Millin.
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Looks like we've got a couple
of salmon runners on our hands.
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-What gave it away?
-Her hat fell off.
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I spent all day… [groans]
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I spent a whole day making them. [grunts]
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Which no one asked you to do.
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[groans] I got trampled
when I went back to get it.
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-Swimming upstream? That's brave.
-Try stupid.
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-May I?
-Yeah. [groaning]
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That's what I get for trying
to get my sister out of the house.
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We could have done
literally anything else, but no,
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she wanted to run a freaking 10K
in honor of fish.
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She needs a full trauma panel,
chest and left tibia X-rays.
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She has chest wall trauma, so…
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A full cardiac assessment.
I will page cardio. I'm on it.
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Lillian Kemp readmitted
for recurrent episodes
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of severe epigastric pain associated
with intractable nausea and vomiting.
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Medicine asked for a surgical consult
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after extensive workup didn't reveal
etiology of symptoms.
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I have been here so many times this month,
I pretty much… [chuckles] …moved in.
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And we'd like to get her out,
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so anything you can do to speed this along
would be greatly appreciated.
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We will do everything we can to get
to the bottom of her symptoms.
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Well, I'm s-- I'm sorry.
"Everything you can"?
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Yeah, we're not leaving here
until we have answers.
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[stutters] That is my hope as well.
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00:06:13,206 --> 00:06:16,668
-Your hope? Aren't you the doctor?
-Khadijah.
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00:06:16,751 --> 00:06:20,505
I'm sorry,
my children don't handle stress well.
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Mom, we are paying good money
for you to be here.
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It is okay to have a certain level
of expectations.
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-Mm. Uh--
-And we will meet them.
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We just need a little more time
to review your chart.
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-[Lillian] Hmm.
-[Bailey chuckles]
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Are they all that demanding?
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[sighs] I'll set up a bagel platter.
That should do it.
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He just got here.
Transport's bringing him up now.
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You reached the transferring physician?
146
00:06:43,278 --> 00:06:46,615
Yes, patient's name is Miguel Velasco,
eight-year-old otherwise healthy male,
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transferred after a minor head trauma
during soccer practice this morning.
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No LOC, but mild headache, nausea.
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00:06:52,662 --> 00:06:55,665
Parsons General has sent us a couple of
these since their neuro department closed.
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-Any guesses?
-Most likely a concussion.
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Textbook. How should we proceed?
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Admit for obs,
but no advanced imaging is indicated.
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00:07:02,005 --> 00:07:03,214
Discharge in the morning.
154
00:07:03,298 --> 00:07:05,717
Limit screens, manage pain
with acetaminophen,
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00:07:05,800 --> 00:07:06,801
and light physical activity.
156
00:07:06,885 --> 00:07:08,803
Mm-hmm. Sounds like a plan.
I'm going to round in the ICU.
157
00:07:08,887 --> 00:07:10,639
-Let me know if anything changes.
-Yep.
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00:07:10,722 --> 00:07:13,350
[crying] Make it stop! Make it stop!
159
00:07:13,433 --> 00:07:15,393
-[Shepherd] Dr. Griffith.
-Help my son! Help my son!
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00:07:15,477 --> 00:07:18,563
All right, let's get him on his side
and give him one milligram of lorazepam.
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00:07:18,647 --> 00:07:22,192
[crying] Oh, my God. Miguel, baby.
162
00:07:33,912 --> 00:07:38,083
But if you support this, I'm sure we can
find funds for that highway project.
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Okay, talk soon.
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00:07:41,461 --> 00:07:43,463
There's no medical leave
in my line of work.
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00:07:43,546 --> 00:07:46,466
Grant is a chief of staff
for State Representative Mallard.
166
00:07:46,549 --> 00:07:49,094
Yeah, we're trying to get more funding
for after-school programs.
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You have my vote. I got a seven-year-old
who needs to stay busy.
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00:07:52,222 --> 00:07:54,683
-Bryant.
-Uhm Grant de Vera, 34-year-old male,
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00:07:54,766 --> 00:07:57,102
post-op day one
from a right fibular osteocutaneous
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free flap following an MVC.
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Strong arterial signals
with no signs of venous congestion.
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Mind if I take a look?
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-So is your funding going to pass?
-I need four more votes
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-and they're holding out for leverage.
-Hmm.
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00:08:10,407 --> 00:08:12,659
[heartbeat pulsing]
176
00:08:12,742 --> 00:08:15,453
Yeah. You're healing nicely.
177
00:08:15,537 --> 00:08:16,538
Do you want me to do that?
178
00:08:16,621 --> 00:08:18,581
Yeah. So I'm gonna be in surgery
most of the day.
179
00:08:18,665 --> 00:08:21,459
Dr. Warren and Dr. Bryant
are gonna hold down the fort.
180
00:08:24,045 --> 00:08:26,339
Hey, uh, you want me to assist
in your DIEP?
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00:08:27,257 --> 00:08:29,300
Did you do everything else I asked you to?
182
00:08:29,384 --> 00:08:31,094
Well, no, but, um…
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00:08:32,011 --> 00:08:33,179
So, no.
184
00:08:33,263 --> 00:08:34,931
-Yeah. You're learning, Warren.
-[chuckles]
185
00:08:35,682 --> 00:08:39,394
Hi, Migue, I'm Dr. Shepherd.
This is Dr. Griffith.
186
00:08:39,477 --> 00:08:41,521
You had a seizure.
Do you know what that is?
187
00:08:41,604 --> 00:08:45,817
It's kind of like when the brain's
electrical signals get mixed up.
188
00:08:45,900 --> 00:08:47,360
Is it gonna happen again?
189
00:08:47,444 --> 00:08:50,447
We're not sure yet,
but we are gonna take good care of you.
190
00:08:51,906 --> 00:08:52,991
Bright light, okay?
191
00:08:56,453 --> 00:08:58,788
-Pupils are equal and reactive.
-Okay.
192
00:08:59,372 --> 00:09:01,291
All right, would you squeeze my fingers?
193
00:09:02,459 --> 00:09:04,002
Has he ever had a seizure before?
194
00:09:04,085 --> 00:09:06,671
No, never. Is this from his fall?
195
00:09:06,755 --> 00:09:09,215
-It's possible.
-[parent] He just started soccer.
196
00:09:09,299 --> 00:09:12,260
We went to Italy a few months ago
and it sparked an interest.
197
00:09:12,343 --> 00:09:15,138
-We saw a Juve game and ate gelato.
-[parent chuckles] Yeah.
198
00:09:15,221 --> 00:09:18,892
He was chasing the ball at practice and
then he fell and landed right on his head.
199
00:09:18,975 --> 00:09:20,894
I knew soccer was a bad idea.
200
00:09:20,977 --> 00:09:23,438
You did the right thing bringing him in.
We are gonna check him out.
201
00:09:23,521 --> 00:09:27,192
Why don't you order a CBC, a CMP,
coag panel, and get him up to CT?
202
00:09:27,275 --> 00:09:28,777
-Already on it.
-Mm-hmm.
203
00:09:31,988 --> 00:09:33,073
What do you see?
204
00:09:33,156 --> 00:09:35,033
Left segmented comminuted
tibial fractures.
205
00:09:35,116 --> 00:09:36,117
What's that?
206
00:09:36,201 --> 00:09:38,203
She has multiple fracture fragments
of the tibia.
207
00:09:38,286 --> 00:09:40,955
Multiple. I'm an overachiever.
208
00:09:41,039 --> 00:09:42,749
[chuckles] Indeed you are.
209
00:09:42,832 --> 00:09:44,000
Millin, what's the fix?
210
00:09:44,084 --> 00:09:45,210
I'd put her in an ex-fix
211
00:09:45,293 --> 00:09:48,046
and then she'll need an ORIF
once the swelling goes down.
212
00:09:48,129 --> 00:09:49,214
All right, what do we got?
213
00:09:49,297 --> 00:09:52,133
We got another… [chuckles]
…hot doctor is what we got.
214
00:09:52,217 --> 00:09:54,302
We've also got morphine on board.
215
00:09:54,385 --> 00:09:55,595
Are you single?
216
00:09:55,678 --> 00:09:59,432
Because my sister is divorced
and she is ready to mingle.
217
00:09:59,516 --> 00:10:02,227
I'm sorry, she's very pushy
and inappropriate.
218
00:10:02,310 --> 00:10:03,478
It's okay.
219
00:10:03,561 --> 00:10:05,688
Well, if it's okay, are you single?
220
00:10:05,772 --> 00:10:07,065
Uh, yeah.
221
00:10:07,148 --> 00:10:10,193
Ry, single and employed--
222
00:10:10,276 --> 00:10:12,695
-Enough, Trace.
-Can somebody get me up to speed here?
223
00:10:12,779 --> 00:10:15,615
Tracie was trampled
at the Sockeye Salmon Run.
224
00:10:15,698 --> 00:10:18,243
In addition to her extremity fractures,
she also has a non-displaced
225
00:10:18,326 --> 00:10:20,286
sternal fracture and is complaining
of shortness of breath.
226
00:10:20,370 --> 00:10:22,997
Okay, chest X-ray is negative for pneumo.
227
00:10:23,081 --> 00:10:25,458
EKG has some nonspecific T wave changes.
228
00:10:25,542 --> 00:10:27,585
Initial troponins are mildly elevated,
229
00:10:27,669 --> 00:10:29,295
but I see no reason
to delay treating her leg.
230
00:10:29,379 --> 00:10:31,756
So let's get her to CT and then
we'll just keep an eye on things.
231
00:10:31,840 --> 00:10:33,842
Great. Get her ready for the ex-fix.
232
00:10:35,426 --> 00:10:39,389
Uh, would you mind paging me when the CT
and next set of troponins come back?
233
00:10:39,472 --> 00:10:42,559
-Nope.
-No, you don't mind? Or, no…
234
00:10:42,642 --> 00:10:44,269
Tracie, let's get you upstairs.
235
00:10:45,812 --> 00:10:48,189
[Tracie chuckling softly]
236
00:10:50,275 --> 00:10:53,611
CBC and CMP are normal.
237
00:10:53,695 --> 00:10:59,492
There's nothing remarkable
on the CT or ultrasound, um…
238
00:10:59,576 --> 00:11:02,036
Biopsy from the endoscopy…
239
00:11:02,120 --> 00:11:05,498
[scoffs] Look,
show only mild chronic gastritis.
240
00:11:05,582 --> 00:11:07,333
She's had every test twice.
241
00:11:08,585 --> 00:11:09,586
You want a latte?
242
00:11:10,503 --> 00:11:11,880
Do I want a latte?
243
00:11:12,589 --> 00:11:13,590
Do…
244
00:11:14,632 --> 00:11:17,510
-I mean, are they good?
-Well, it's like a $2,000 machine.
245
00:11:18,553 --> 00:11:21,097
I mean, if you're already making one then…
246
00:11:21,181 --> 00:11:22,765
[chuckles]
247
00:11:22,849 --> 00:11:24,601
[Webber] How's it going?
248
00:11:24,684 --> 00:11:28,229
[stammers] See,
I still don't get the maroon scrubs.
249
00:11:28,313 --> 00:11:29,564
They're merlot.
250
00:11:29,647 --> 00:11:32,358
Oh, got to have high fashion
to treat rich people?
251
00:11:32,442 --> 00:11:34,068
How's it going with the patient?
252
00:11:34,152 --> 00:11:36,738
[sighs] I'm psyching myself up.
253
00:11:36,821 --> 00:11:39,574
Lillian's kids are gonna have my head
254
00:11:39,657 --> 00:11:41,826
when I tell them
we've still come up empty.
255
00:11:41,910 --> 00:11:43,703
Really? Nothing?
256
00:11:43,786 --> 00:11:47,415
I'm going to refer her to GI
for a second opinion.
257
00:11:47,498 --> 00:11:49,792
Well, I know you did the best
that you could.
258
00:11:49,876 --> 00:11:51,628
-They'll understand. Mm.
-[sighs]
259
00:11:53,171 --> 00:11:54,380
Your latte.
260
00:11:56,507 --> 00:11:57,508
Okay.
261
00:12:00,678 --> 00:12:03,306
[clicks tongue] Hmm.
Starting to see the appeal.
262
00:12:03,389 --> 00:12:05,266
-Mm-hmm.
-Now let's go to battle.
263
00:12:05,350 --> 00:12:06,434
Yeah.
264
00:12:06,517 --> 00:12:08,895
[smacks lips] Mmm. Okay.
265
00:12:08,978 --> 00:12:11,147
She's still not hitting her milestones
266
00:12:11,231 --> 00:12:15,193
and they're not saying
that it's because of what happened…
267
00:12:15,276 --> 00:12:17,195
[crying] …but how could it not be?
268
00:12:17,278 --> 00:12:19,614
I'm-I'm so sorry. I can't.
Can somebody else go?
269
00:12:19,697 --> 00:12:21,157
Of course.
270
00:12:24,202 --> 00:12:25,703
Would you like to share your story?
271
00:12:26,871 --> 00:12:28,206
Oh, um…
272
00:12:29,040 --> 00:12:31,584
Yeah, I guess… I guess I could try.
273
00:12:32,252 --> 00:12:34,879
It was, um, three years ago.
274
00:12:34,963 --> 00:12:38,716
It just all happened so fast.
275
00:12:39,842 --> 00:12:40,927
And, uh…
276
00:12:41,761 --> 00:12:44,180
[stammers] Sorry,
are there walnuts in these?
277
00:12:44,264 --> 00:12:46,933
-'Cause I'm allergic.
-Do you have an EpiPen?
278
00:12:47,016 --> 00:12:49,978
Uh, not on me, so I should probably
go home and get it, um…
279
00:12:50,061 --> 00:12:52,188
Wait, no, I'm a doctor.
I can take you down to the ER and--
280
00:12:52,272 --> 00:12:54,357
That's very generous, but that's…
No, it's not necessary.
281
00:12:54,440 --> 00:12:56,442
Well… It's better safe than sorry.
282
00:12:56,526 --> 00:12:57,944
-So…
-Um…
283
00:12:58,027 --> 00:12:59,612
-Go. Go, go. Go.
-Okay.
284
00:13:07,537 --> 00:13:09,497
-Hey, have you seen Shepherd?
-ICU for a consult.
285
00:13:09,580 --> 00:13:10,581
Okay.
286
00:13:12,959 --> 00:13:14,085
Are you okay?
287
00:13:14,711 --> 00:13:17,797
-Fine.
-Look, I know something's wrong.
288
00:13:17,880 --> 00:13:19,716
You never miss work
and you were out for three days,
289
00:13:19,799 --> 00:13:21,050
and this morning you looked
290
00:13:21,134 --> 00:13:22,302
-like you were in pain.
-I said I'm fine.
291
00:13:22,385 --> 00:13:24,887
-I don't need you checking on me.
-Yeah, but if you need anything--
292
00:13:24,971 --> 00:13:26,597
I don't need anything. I'm handling it.
293
00:13:26,681 --> 00:13:28,891
Look, would you just let me be there
for you?
294
00:13:29,684 --> 00:13:30,935
Look, you don't have
to tell me everything,
295
00:13:31,019 --> 00:13:32,270
you don't, but if you want to talk--
296
00:13:32,353 --> 00:13:34,981
I don't, and I don't want
to talk about it with you.
297
00:13:35,064 --> 00:13:39,319
-[sighs] Oh, my God, is that a…
-Giant cyst on his parietal lobe.
298
00:13:40,278 --> 00:13:41,320
Paging Shepherd.
299
00:13:41,404 --> 00:13:42,405
[line ringing]
300
00:13:42,488 --> 00:13:44,949
[♪ ominous music plays]
301
00:13:50,413 --> 00:13:51,622
You're giving up?
302
00:13:51,706 --> 00:13:53,875
Well, what are we paying you for,
the nicer pillows?
303
00:13:53,958 --> 00:13:56,294
Amari. Calm down.
304
00:13:56,377 --> 00:13:58,796
They just gave us the same speech
that we heard five times
305
00:13:58,880 --> 00:14:02,133
from the doctors on the regular floor,
except those times were free.
306
00:14:02,216 --> 00:14:03,384
Well, not exactly.
307
00:14:05,219 --> 00:14:06,721
We're really sorry.
308
00:14:06,804 --> 00:14:08,347
I told you they don't care about Mom.
309
00:14:08,431 --> 00:14:10,099
All they care about
is if the check clears.
310
00:14:10,183 --> 00:14:13,686
Okay, if all that we cared
about was money,
311
00:14:13,770 --> 00:14:18,733
then we would put your mom through
a battery of costly, unnecessary tests.
312
00:14:18,816 --> 00:14:22,153
Is that what you want? [stammers]
And just because you can afford this room
313
00:14:22,236 --> 00:14:24,906
doesn't mean that you are exempt
from treating people with respect.
314
00:14:26,491 --> 00:14:27,617
We are not rich.
315
00:14:28,993 --> 00:14:30,328
I'm a paralegal.
316
00:14:30,411 --> 00:14:31,788
He's an electrician.
317
00:14:32,330 --> 00:14:34,082
We pooled our savings to get this room.
318
00:14:36,667 --> 00:14:37,710
She can't eat.
319
00:14:38,377 --> 00:14:40,046
She can't walk to the bathroom.
320
00:14:40,129 --> 00:14:44,008
We just wanted to make sure we put
everything that we have into helping her.
321
00:14:44,550 --> 00:14:46,969
Uh… And I'm sorry, I…
322
00:14:47,678 --> 00:14:51,057
Just… Unfortunately, your--
your mom's symptoms are hard to pin down.
323
00:14:51,140 --> 00:14:52,517
No matter what floor you're on.
324
00:14:52,600 --> 00:14:55,394
But we're referring you
to the best GI we know,
325
00:14:55,478 --> 00:14:57,605
and you will absolutely be seen this week.
326
00:14:58,231 --> 00:14:59,899
Hopefully, that's worth the price
of admission.
327
00:15:01,651 --> 00:15:03,236
-It's better than nothing.
-Mm.
328
00:15:03,319 --> 00:15:05,947
Dr. Kwan will get you ready for discharge.
329
00:15:06,030 --> 00:15:08,241
Just follow up after you see the GI.
330
00:15:11,202 --> 00:15:14,372
[sighs] Finished checking Grant's flap.
Looks good. Is something wrong?
331
00:15:14,455 --> 00:15:16,249
I forgot my daughter
has early dismissal today,
332
00:15:16,332 --> 00:15:18,292
and I can't find anybody to pick her up.
333
00:15:18,376 --> 00:15:20,545
I absolutely loved early dismissal.
334
00:15:20,628 --> 00:15:23,714
Well, I used to hang out with friends
at the pizza buffet,
335
00:15:23,798 --> 00:15:25,800
but I can see how in your case,
it's stressful.
336
00:15:25,883 --> 00:15:28,010
Yeah. She's been sitting
in the school office for an hour.
337
00:15:28,094 --> 00:15:29,345
Well, why don't you go get her?
338
00:15:29,428 --> 00:15:32,098
Wright was all over me this morning
for being late. I can't leave.
339
00:15:32,181 --> 00:15:34,392
Okay, well I can… I can do it.
340
00:15:34,475 --> 00:15:35,643
Yeah, my wife would kill me.
341
00:15:36,936 --> 00:15:37,937
So then just go.
342
00:15:38,020 --> 00:15:40,648
You know, Wright's gonna be in surgery
for at least another hour.
343
00:15:40,731 --> 00:15:42,150
I can cover till then.
344
00:15:42,692 --> 00:15:44,235
Okay, okay.
345
00:15:44,318 --> 00:15:47,905
Yeah, listen, just stick to flap checks
and changing wound vacs in the SICU.
346
00:15:48,698 --> 00:15:51,325
-Flap checks.
-But, hey, if anything happens, call me.
347
00:15:51,409 --> 00:15:53,035
I'm all over it, okay? Go.
348
00:15:55,788 --> 00:15:59,167
Arachnoid cysts often go undetected
because they're small.
349
00:15:59,250 --> 00:16:03,087
Migue's is very large,
and it is putting pressure on his brain.
350
00:16:03,171 --> 00:16:06,007
That's what caused the dizziness
and seizure? Not the fall at soccer?
351
00:16:06,090 --> 00:16:09,635
Most likely. Once we remove it,
his symptoms should stop.
352
00:16:09,719 --> 00:16:11,929
We've booked an OR,
and we can get him up there soon.
353
00:16:12,013 --> 00:16:13,973
You wanna do the surgery now?
354
00:16:14,056 --> 00:16:16,392
Don't you need more tests
or time to prepare?
355
00:16:16,475 --> 00:16:18,603
I know it feels really sudden and scary,
356
00:16:18,686 --> 00:16:20,271
but I've done this many times before,
357
00:16:20,354 --> 00:16:22,356
and we should remove the cyst
before it ruptures.
358
00:16:22,440 --> 00:16:23,774
It's his best option.
359
00:16:25,234 --> 00:16:28,112
Please, be careful with him.
360
00:16:30,239 --> 00:16:33,117
All right, get him prepped.
I will see you upstairs.
361
00:16:33,201 --> 00:16:34,702
And me too?
362
00:16:34,785 --> 00:16:37,038
Oh, um, what about my research?
363
00:16:37,663 --> 00:16:39,081
I'll work late to make up for it.
364
00:16:39,916 --> 00:16:42,335
Okay, as long as it's done. Hmm.
365
00:16:44,128 --> 00:16:45,796
You're following me into the OR?
366
00:16:46,631 --> 00:16:47,632
It's a cool case.
367
00:16:51,052 --> 00:16:53,804
[receptionist] Thanks for waiting.
How can I help you?
368
00:16:53,888 --> 00:16:56,807
I have a pregnant woman who might be
having a possible allergic reaction, and--
369
00:16:56,891 --> 00:16:59,977
-I'm feeling fine, really. It's--
-It looks like bed five is open.
370
00:17:00,061 --> 00:17:01,771
-Can we take that?
-I think I'm just gonna go home
371
00:17:01,854 --> 00:17:03,439
-'cause it's…
-Oh, no, you should really get checked.
372
00:17:03,522 --> 00:17:05,233
I'm not allergic to walnuts!
373
00:17:05,775 --> 00:17:07,485
I lied. I-I actually love walnuts.
374
00:17:07,568 --> 00:17:10,196
I-I just said that to get out
of sharing in group, and of…
375
00:17:10,279 --> 00:17:11,989
[panting] Of course, now I'm in an ER,
376
00:17:12,073 --> 00:17:15,534
which is bringing back everything
I was trying hard not to remember.
377
00:17:15,618 --> 00:17:18,829
I'm… My heart is racing.
Is it… Wow. Is it hot in here?
378
00:17:18,913 --> 00:17:20,998
Okay, okay. Let's get some fresh air.
379
00:17:21,082 --> 00:17:22,541
Okay.
380
00:17:22,625 --> 00:17:23,626
No.
381
00:17:24,293 --> 00:17:25,294
-Hi.
-No.
382
00:17:25,378 --> 00:17:27,088
No. [breathes deeply]
383
00:17:27,171 --> 00:17:31,342
What are the odds that the biopsy
for celiac was a false negative?
384
00:17:31,425 --> 00:17:33,844
I imagine not zero.
Maybe, but I've never seen it.
385
00:17:33,928 --> 00:17:37,223
I, uh… And I thought
you were discharging Lillian.
386
00:17:38,266 --> 00:17:42,103
They have spent almost every dollar
they have to get here,
387
00:17:42,186 --> 00:17:44,647
so I don't wanna just send them home.
388
00:17:44,730 --> 00:17:46,357
I'm sure you did the best you could.
389
00:17:47,275 --> 00:17:50,319
See? Stop saying that
because I don't know that I did.
390
00:17:51,195 --> 00:17:53,823
I mean, do I not have
more tricks up my sleeve?
391
00:17:53,906 --> 00:17:55,533
I should be able to figure this out.
392
00:17:56,158 --> 00:17:57,743
I am not mid.
393
00:17:57,827 --> 00:17:59,370
Didn't say you were.
394
00:17:59,453 --> 00:18:00,496
What's mid?
395
00:18:01,831 --> 00:18:03,082
Mediocre.
396
00:18:05,001 --> 00:18:06,085
According to my TA.
397
00:18:06,168 --> 00:18:07,795
-Well, that's just rude.
-[scoffs] Yeah.
398
00:18:07,878 --> 00:18:11,299
You know, every research idea
I have is old news.
399
00:18:12,174 --> 00:18:16,387
You know, everyone in my program
works half as much as I do
400
00:18:16,470 --> 00:18:17,847
and finishes twice as fast.
401
00:18:17,930 --> 00:18:22,643
And now, I can't even figure out
what's wrong with my own damn patient.
402
00:18:28,858 --> 00:18:32,236
Aren't you gonna, you know, pump me up,
give me some kind of pep talk?
403
00:18:33,404 --> 00:18:36,532
No, I know how it feels
to put your blood, sweat, and tears
404
00:18:36,616 --> 00:18:39,952
into something that did not work out
the way you expected it. [sighs]
405
00:18:45,041 --> 00:18:46,375
You want a latte?
406
00:18:46,459 --> 00:18:47,501
I'd love one.
407
00:18:47,585 --> 00:18:48,753
[Bailey] Mm.
408
00:18:50,129 --> 00:18:51,255
A little tighter.
409
00:18:52,089 --> 00:18:53,215
There.
410
00:18:53,299 --> 00:18:55,843
Look at you.
You're in a medieval torture device.
411
00:18:55,926 --> 00:18:58,429
Because I was trying to help you.
412
00:18:58,512 --> 00:19:00,181
You're so stubborn. [gasping]
413
00:19:00,264 --> 00:19:02,892
I don't know why I bother. [choking]
414
00:19:02,975 --> 00:19:05,061
-[machine beeps]
-Tracie, are you feeling okay?
415
00:19:05,144 --> 00:19:06,729
-Ultrasound?
-BP's soft.
416
00:19:06,812 --> 00:19:09,649
-Tracie. Tracie.
-[Lincoln] Take deep breaths.
417
00:19:09,732 --> 00:19:11,651
Hi. I'm with Tracie Pearson.
418
00:19:11,734 --> 00:19:14,195
She's dyspneic,
and systolics are in the mid 80s.
419
00:19:14,278 --> 00:19:16,489
-What's happening? Why can't she breathe?
-[choking]
420
00:19:16,572 --> 00:19:18,741
Ultrasound shows hypokinesis
in the anterior segment.
421
00:19:18,824 --> 00:19:20,534
-Uh, okay.
-You're gonna be okay.
422
00:19:21,661 --> 00:19:23,496
Dr. Ndugu wants us to take her down
to the cath lab.
423
00:19:23,579 --> 00:19:25,498
Ndugu, the heart surgeon?
What's happening?
424
00:19:25,581 --> 00:19:26,707
You said her chest CT was clear.
425
00:19:26,791 --> 00:19:29,502
It is, but Tracie's heart
is having trouble contracting.
426
00:19:29,585 --> 00:19:30,795
But she's gonna be okay, right?
427
00:19:30,878 --> 00:19:32,463
We don't know, which is why we have to go.
428
00:19:32,546 --> 00:19:34,090
[rapid beeping]
429
00:19:34,173 --> 00:19:36,801
-Oh, my God, Tracie!
-Okay, BP is dropping.
430
00:19:36,884 --> 00:19:39,220
-Trace.
-Pulse ox is 80.
431
00:19:39,303 --> 00:19:41,305
-Get an intubation kit.
-[Ryann crying] Tracie!
432
00:19:41,389 --> 00:19:43,015
-Tracie!
-[PA announcer] Code Blue, third floor.
433
00:19:43,099 --> 00:19:44,475
Code Blue, third floor.
434
00:19:44,558 --> 00:19:46,352
-[Ryann] Oh, Tracie.
-Code Blue. Code Blue.
435
00:19:50,314 --> 00:19:51,357
[phone chimes]
436
00:19:52,692 --> 00:19:54,110
Uncle Clint texted.
437
00:19:54,193 --> 00:19:55,736
He wants to know how you're feeling,
438
00:19:55,820 --> 00:19:58,572
and if they've diagnosed you
with too much sugar, yet.
439
00:19:58,656 --> 00:20:00,825
You tell him to mind his damn business.
440
00:20:00,908 --> 00:20:03,452
I swear that man's losing his mind
along with his vision.
441
00:20:03,536 --> 00:20:05,037
Well, he's not wrong to wonder.
442
00:20:05,121 --> 00:20:06,539
Started with vomiting, same as you.
443
00:20:06,622 --> 00:20:08,165
Is this your brother?
444
00:20:08,249 --> 00:20:10,835
Pain in my behind is what he is.
445
00:20:10,918 --> 00:20:12,086
Not as bad as Aunt Cici.
446
00:20:12,169 --> 00:20:14,922
Yeah, my sister's trying
to heal me with food.
447
00:20:15,005 --> 00:20:17,133
Ironic since the woman has stomach ulcers.
448
00:20:17,216 --> 00:20:20,094
Well, food can aggravate ulcers,
but it doesn't cause them.
449
00:20:20,177 --> 00:20:22,096
All I'm saying is she's a nail technician.
450
00:20:22,179 --> 00:20:25,099
What does she know about nutrition? Pfft.
451
00:20:26,225 --> 00:20:27,226
Ugh.
452
00:20:27,935 --> 00:20:29,353
Amelia.
453
00:20:29,437 --> 00:20:31,814
-Hey. Are you stressed?
-How'd you guess?
454
00:20:31,897 --> 00:20:32,940
Well, you're in luck.
455
00:20:33,023 --> 00:20:35,568
I snagged us a 90-minute couples massage
for Saturday,
456
00:20:35,651 --> 00:20:36,861
and they come to the room,
457
00:20:36,944 --> 00:20:38,904
-so we don't--
-And you didn't wanna check with me first?
458
00:20:38,988 --> 00:20:39,989
To see if I like massages?
459
00:20:41,157 --> 00:20:44,118
-Uh, do you?
-I like 50 minutes.
460
00:20:44,201 --> 00:20:45,619
[stammers]
461
00:20:45,703 --> 00:20:48,581
After that, I get a little bored,
and I don't like couples massages.
462
00:20:48,664 --> 00:20:50,875
[stammers]
I think they're weird. [inhales]
463
00:20:50,958 --> 00:20:51,959
Also,
464
00:20:53,210 --> 00:20:55,838
I don't like canceling surgeries
unless it's an emergency,
465
00:20:55,921 --> 00:20:58,132
which you would have known
if you had asked me first.
466
00:20:58,215 --> 00:20:59,216
I-I-I'm-I'm sorry.
467
00:20:59,300 --> 00:21:02,219
I thought
that surprising you was romantic.
468
00:21:02,303 --> 00:21:03,929
Do you want me to cancel it?
469
00:21:05,097 --> 00:21:06,348
I don't know. I…
470
00:21:08,184 --> 00:21:10,478
I have to operate on an eight-year-old.
[sighs]
471
00:21:12,730 --> 00:21:14,023
[sighs]
472
00:21:14,106 --> 00:21:15,191
[Ndugu] You have femoral access?
473
00:21:15,274 --> 00:21:16,734
[Millin] We have IVUS on standby.
474
00:21:17,943 --> 00:21:19,695
[Ndugu] All right. Guide catheter.
475
00:21:20,821 --> 00:21:23,741
Advancing to the left main coronary.
476
00:21:23,824 --> 00:21:25,159
Heparin, please.
477
00:21:25,242 --> 00:21:26,994
-Go ahead and shoot the angio.
-[Millin] Mm-hmm.
478
00:21:29,580 --> 00:21:33,125
[Millin] Is that a proximal LAD dissection
with a thrombus?
479
00:21:33,918 --> 00:21:36,670
[Ndugu] Unfortunately, yeah.
Let's prepare to place a stent.
480
00:21:36,754 --> 00:21:39,215
-I got this. You can go if you want.
-[Millin] I wanna help.
481
00:21:41,383 --> 00:21:42,885
[Ndugu] Okay. Guide wire.
482
00:21:44,345 --> 00:21:47,139
-So, that, that's how you showed me--
-Oh, thank you.
483
00:21:47,223 --> 00:21:50,226
What in God's… [gasps]
You're gonna mess up that carpet.
484
00:21:50,309 --> 00:21:53,270
Okay, hear me out, all right?
Lillian's sister, Aunt Cici,
485
00:21:53,354 --> 00:21:56,148
has recurrent kidney stones
and stomach ulcers.
486
00:21:56,232 --> 00:21:59,026
Her brother has vision loss
and low blood sugar,
487
00:21:59,109 --> 00:22:02,905
and cousin Bobby's got chronic diarrhea
and eats antacids like they're candy.
488
00:22:02,988 --> 00:22:05,074
-This might be genetic.
-Bingo.
489
00:22:05,157 --> 00:22:07,993
And it appears to go
beyond GI symptoms too.
490
00:22:08,077 --> 00:22:12,414
Kidney stones,
ulcers, reflux, vision loss.
491
00:22:14,333 --> 00:22:15,751
I wonder if it's MEN.
492
00:22:16,460 --> 00:22:18,087
Multiple Endocrine Neoplasia?
493
00:22:18,170 --> 00:22:20,965
It causes tumors
in the parathyroid glands?
494
00:22:21,048 --> 00:22:22,883
And the adrenals. It's pretty rare.
495
00:22:22,967 --> 00:22:25,886
Y-Yeah, but I've seen it enough
to know that it tracks.
496
00:22:25,970 --> 00:22:28,264
Kwan, okay, order genetic testing,
497
00:22:28,347 --> 00:22:31,392
and let's get a PET scan
to see if there are tumors.
498
00:22:31,475 --> 00:22:33,853
PET scans can take weeks to schedule.
499
00:22:33,936 --> 00:22:35,312
[Bailey sighs]
500
00:22:36,313 --> 00:22:37,898
She's VIP.
501
00:22:37,982 --> 00:22:39,024
Get her in today.
502
00:22:39,108 --> 00:22:40,234
All right.
503
00:22:42,987 --> 00:22:44,905
[Shepherd] Craniotomy complete. Basin?
504
00:22:45,739 --> 00:22:46,740
Scalpel.
505
00:22:46,824 --> 00:22:48,993
[Adams] I can't believe that Parsons
thought this was a concussion.
506
00:22:49,076 --> 00:22:50,661
[Griffith] Heard the whole hospital
might shut down.
507
00:22:50,744 --> 00:22:53,581
[Shepherd] Neurosurgery
is the third department to be eliminated.
508
00:22:53,664 --> 00:22:56,208
[Adams] If the whole hospital closes,
does that mean we absorb overflow?
509
00:22:56,292 --> 00:22:57,960
[Shepherd] Well, we'll have to.
510
00:22:58,043 --> 00:23:01,213
But in the meantime,
these misdiagnoses are a problem.
511
00:23:01,297 --> 00:23:05,801
This entire day blew up because Parsons
told me that Migue had a concussion.
512
00:23:05,885 --> 00:23:07,636
All right, incision to the dura complete.
513
00:23:07,720 --> 00:23:09,013
What are next steps?
514
00:23:09,096 --> 00:23:11,932
[Griffith] Guided ultrasound,
aspirate the cyst, perform the cystectomy.
515
00:23:12,016 --> 00:23:13,851
[Shepherd] Correct. Ultrasound and needle.
516
00:23:15,060 --> 00:23:16,228
Mm-hmm.
517
00:23:19,356 --> 00:23:20,357
Hang on.
518
00:23:21,650 --> 00:23:24,403
It looks like there's something
moving inside the cyst.
519
00:23:24,486 --> 00:23:25,487
[Adams] What the hell is that?
520
00:23:26,614 --> 00:23:28,240
[Shepherd] It looks like a daughter cyst.
521
00:23:28,324 --> 00:23:30,159
[Griffith] Arachnoid cysts
can have daughters?
522
00:23:30,701 --> 00:23:32,036
[Shepherd] It's not an arachnoid cyst.
523
00:23:33,037 --> 00:23:34,413
It's a parasite.
524
00:23:35,414 --> 00:23:36,415
[sighs]
525
00:23:38,250 --> 00:23:40,252
[grunts] I think a call
526
00:23:40,336 --> 00:23:43,255
from the head of the largest
neighborhood watch in his district
527
00:23:43,339 --> 00:23:44,340
could win him over.
528
00:23:44,423 --> 00:23:46,967
-Hey. Sorry, but are you in pain?
-[sighs]
529
00:23:47,051 --> 00:23:48,218
-Yeah.
-You'll do it?
530
00:23:48,302 --> 00:23:50,012
-Okay.
-Great.
531
00:23:51,138 --> 00:23:52,181
[grunts]
532
00:23:52,973 --> 00:23:54,266
Let me know how it goes.
533
00:23:54,350 --> 00:23:55,392
Talk soon.
534
00:23:56,352 --> 00:23:58,228
[sighs, winces]
535
00:23:58,312 --> 00:24:01,732
Okay. Yeah.
Have you ever read The Art of Persuasion?
536
00:24:03,025 --> 00:24:06,445
So my dad gave me a copy
when I was about nine or ten,
537
00:24:06,528 --> 00:24:09,198
and I used it to convince him to
buy season passes for the Hornets.
538
00:24:10,324 --> 00:24:13,410
Okay, this flap is swollen,
but we do have healthy arterial flow.
539
00:24:13,494 --> 00:24:15,412
-Should I be worried?
-No, no, this can happen.
540
00:24:15,496 --> 00:24:17,831
I'm just gonna check with our fellow
to make sure, okay?
541
00:24:21,043 --> 00:24:22,795
Come on, come on, come on.
542
00:24:22,878 --> 00:24:24,046
[line ringing]
543
00:24:24,129 --> 00:24:26,590
You've reached Ben Warren.
I can't take your call right now,
544
00:24:26,674 --> 00:24:29,009
but go ahead and leave a message,
and you know what to do.
545
00:24:32,554 --> 00:24:34,098
[Wilson sighs]
546
00:24:34,890 --> 00:24:36,058
Thanks.
547
00:24:36,809 --> 00:24:37,851
Okay.
548
00:24:39,311 --> 00:24:40,437
[sighs]
549
00:24:40,521 --> 00:24:43,816
Two seconds in the ER
with the smell of disinfectant
550
00:24:43,899 --> 00:24:47,903
and the awful lighting,
and I'm just right back to that night.
551
00:24:47,987 --> 00:24:48,988
Were you induced?
552
00:24:49,071 --> 00:24:50,072
[scoffs]
553
00:24:50,739 --> 00:24:53,242
One minute I was
having dinner with my husband,
554
00:24:53,325 --> 00:24:57,162
next I knew,
an OB was elbows deep in my uterus.
555
00:24:57,246 --> 00:25:00,082
My C-section was done by a heart surgeon.
556
00:25:00,791 --> 00:25:04,086
I thought heart surgeons
operated on hearts.
557
00:25:04,169 --> 00:25:05,838
He did that too.
558
00:25:10,175 --> 00:25:15,514
The OB's phone kept ringing
as she was slicing me open, over and over.
559
00:25:16,765 --> 00:25:18,892
-You wanna know what the ringtone was?
-Mm-hmm.
560
00:25:18,976 --> 00:25:20,936
-"Hit me baby one more time."
-[chuckles softly] No.
561
00:25:21,854 --> 00:25:23,313
[Corrie chuckles]
562
00:25:24,314 --> 00:25:27,693
[sighs] Now every time I hear
my favorite middle-school dance song,
563
00:25:27,776 --> 00:25:30,237
I just have a full-blown panic attack.
564
00:25:31,280 --> 00:25:34,033
I remember random things too. Um…
565
00:25:35,034 --> 00:25:37,578
the fake flowers in my hospital room.
566
00:25:38,287 --> 00:25:41,582
The orderly's necklace jangling
567
00:25:41,665 --> 00:25:44,877
as she rushed me down the hall,
the monitor beeping.
568
00:25:47,087 --> 00:25:48,464
It was my worst nightmare.
569
00:25:50,299 --> 00:25:52,968
I didn't know
if my babies were gonna make it.
570
00:25:53,052 --> 00:25:54,970
I didn't know if I was gonna make it.
571
00:25:57,598 --> 00:26:02,895
And I've been around medicine
my entire adult life, but that monitor…
572
00:26:04,063 --> 00:26:06,940
I can hear it when I take a shower.
573
00:26:07,024 --> 00:26:09,401
I can hear it when I pick up my kids.
574
00:26:09,485 --> 00:26:12,946
I hear it when I'm sleeping.
575
00:26:13,572 --> 00:26:16,033
I just hear it everywhere.
576
00:26:17,910 --> 00:26:24,083
I quit my job because I knew that
I would hear it forever, and I just…
577
00:26:26,085 --> 00:26:28,087
I don't know how to live with that.
578
00:26:35,219 --> 00:26:36,970
[Ndugu] All right, deploying the stent.
579
00:26:38,764 --> 00:26:39,932
Withdrawing the balloon.
580
00:26:41,558 --> 00:26:43,018
Prepare to shoot another angio.
581
00:26:45,646 --> 00:26:47,147
-Beautiful.
-[Millin] Hear that, Tracie?
582
00:26:47,231 --> 00:26:48,816
You're gonna live to run another race.
583
00:26:48,899 --> 00:26:50,025
[Ndugu] Nice thinking on your feet.
584
00:26:50,651 --> 00:26:51,860
You've got the instincts.
585
00:26:51,944 --> 00:26:54,696
I mean, you-you really should talk
to Beckman about research,
586
00:26:54,780 --> 00:26:58,784
you know, assuming
cardiothoracic is still what you want.
587
00:26:59,576 --> 00:27:00,869
[monitor beeping]
588
00:27:00,953 --> 00:27:02,121
[Millin] She's in V-tach?
589
00:27:02,204 --> 00:27:03,539
[Ndugu] Okay. All right.
590
00:27:03,622 --> 00:27:05,040
-[Millin] No pulse.
-[Ndugu] Charge to 150.
591
00:27:05,124 --> 00:27:06,667
-[flatlining]
-[defibrillator charging]
592
00:27:06,750 --> 00:27:09,962
Right, clear. Come on.
593
00:27:10,045 --> 00:27:11,255
[rhythmic beeping]
594
00:27:11,338 --> 00:27:13,715
-[Millin sighs] Okay.
-[Ndugu] Yeah. Fluoro.
595
00:27:16,760 --> 00:27:18,637
All right, dissection could have extended.
596
00:27:18,720 --> 00:27:20,764
There. Push pressors.
597
00:27:20,848 --> 00:27:22,391
Can you try to reopen it
with another stent?
598
00:27:22,474 --> 00:27:24,476
-[flatlining]
-[Ndugu] I can try,
599
00:27:24,560 --> 00:27:26,520
but it's already
propagated into other vessels.
600
00:27:26,603 --> 00:27:29,731
-[flatlining continues]
-[Millin] Come on, Tracie, come on.
601
00:27:30,566 --> 00:27:33,235
[winces, grunts] What do you see?
602
00:27:33,318 --> 00:27:35,237
There is a small collection of blood
under the flap,
603
00:27:35,320 --> 00:27:37,155
which is likely what's causing your pain.
604
00:27:37,865 --> 00:27:39,908
Dr. Wright's still in surgery.
She asked for you to wait.
605
00:27:39,992 --> 00:27:41,368
Okay. Um…
606
00:27:42,452 --> 00:27:44,538
Can you tell her that
his flap is compromised?
607
00:27:44,621 --> 00:27:45,956
The tissue has limited perfusion.
608
00:27:46,039 --> 00:27:48,333
I think it's pressure
from a hematoma underneath the flap.
609
00:27:48,417 --> 00:27:50,878
-Then he doesn't have time to wait.
-Yeah, I know that. Thank you.
610
00:27:50,961 --> 00:27:54,756
-You know I can hear you, right?
-Yeah, yeah. Um, everything is fine.
611
00:27:54,840 --> 00:27:59,386
Everything's okay. We just need a minute
to then figure out a plan.
612
00:27:59,469 --> 00:28:00,679
Can we get Dr. Warren?
613
00:28:00,762 --> 00:28:03,473
He's not available at the moment, so…
614
00:28:03,557 --> 00:28:04,808
[sucks teeth]
615
00:28:05,601 --> 00:28:07,728
Get me a staple remover
and maybe some leeches, please.
616
00:28:07,811 --> 00:28:10,105
-L-Leeches? N-N-No "maybe."
-Yeah.
617
00:28:10,188 --> 00:28:12,566
If you're gonna put leeches on me,
I'd rather you be sure.
618
00:28:12,649 --> 00:28:15,068
I'm sure. I'm sure, okay?
619
00:28:15,152 --> 00:28:17,321
Now let's just do this
before it's too late.
620
00:28:21,450 --> 00:28:22,576
[Corrie] Here.
621
00:28:22,659 --> 00:28:24,786
Thank you. I am so sorry.
622
00:28:24,870 --> 00:28:26,663
I just dumped all over you.
623
00:28:26,747 --> 00:28:29,249
Ugh. I'm one Britney Spears song away
from complete ruin.
624
00:28:33,211 --> 00:28:34,421
I know I'm lucky.
625
00:28:34,504 --> 00:28:37,716
I survived and my child is healthy.
626
00:28:37,799 --> 00:28:40,677
Even though you both survived, it doesn't
mean that you don't need to grieve.
627
00:28:43,347 --> 00:28:45,057
I actually thought
this time would be easier.
628
00:28:46,808 --> 00:28:48,977
And the pregnancy's
been physically smooth,
629
00:28:49,645 --> 00:28:50,854
but inside…
630
00:28:54,107 --> 00:28:56,401
-I don't know how I'm gonna do this.
-You will.
631
00:28:57,069 --> 00:28:58,779
You'll put one foot in front of the other.
632
00:28:59,488 --> 00:29:01,657
And you'll do it
because you love that baby.
633
00:29:03,200 --> 00:29:04,451
I don't know if that's enough.
634
00:29:05,160 --> 00:29:06,453
[sighs]
635
00:29:07,454 --> 00:29:11,750
If you need anything or you just need
to talk, I'm gonna give you my number.
636
00:29:11,833 --> 00:29:13,543
[sniffles] Oh, thanks.
637
00:29:13,627 --> 00:29:15,420
-I'll give you mine too.
-Okay. [chuckles]
638
00:29:15,504 --> 00:29:18,423
[chuckles] You're clearly
just as messed up as I am.
639
00:29:18,507 --> 00:29:19,716
You cried twice.
640
00:29:19,800 --> 00:29:21,468
[both laugh]
641
00:29:22,886 --> 00:29:26,640
I know you have mixed feelings about Kwan,
642
00:29:26,723 --> 00:29:30,394
but, you know, few residents
would take such a thorough history.
643
00:29:30,477 --> 00:29:31,895
They just want to cut.
644
00:29:31,979 --> 00:29:33,355
Who says I have mixed feelings?
645
00:29:33,438 --> 00:29:34,940
Aren't you mad at Norton?
646
00:29:35,023 --> 00:29:37,025
Just direct your contempt towards him.
647
00:29:37,109 --> 00:29:38,694
Well, trust me, he's getting it, too.
648
00:29:38,777 --> 00:29:40,028
Oh--
649
00:29:40,112 --> 00:29:43,156
Is that what you're feeling mid about?
650
00:29:43,240 --> 00:29:46,118
I'd like to think
I'm a good judge of character.
651
00:29:46,827 --> 00:29:48,996
But I fell asleep on the job on this one.
652
00:29:49,079 --> 00:29:53,875
I mean, he's dismantling the institution
that I've spent my entire career building.
653
00:29:53,959 --> 00:29:55,919
Well, you're the boss. Fire him.
654
00:29:56,003 --> 00:29:58,797
I wish it was that easy.
Catherine loves him.
655
00:30:01,133 --> 00:30:02,217
[Bailey gasps]
656
00:30:02,300 --> 00:30:04,219
[Webber] Oh, my God.
657
00:30:04,302 --> 00:30:07,264
Tumor right on the duodenum.
658
00:30:07,347 --> 00:30:08,348
Who's mid now?
659
00:30:08,432 --> 00:30:10,434
[♪ hopeful music playing]
660
00:30:16,648 --> 00:30:17,649
[Bryant] You doing okay?
661
00:30:17,733 --> 00:30:19,151
Surprisingly, yes.
662
00:30:19,234 --> 00:30:22,404
I guess working with politicians
prepared me for these little guys.
663
00:30:22,487 --> 00:30:25,073
-[laughs]
-[phone dings]
664
00:30:25,157 --> 00:30:26,700
O-Oh, my God.
665
00:30:26,783 --> 00:30:29,828
-I got the votes. [chuckles]
-Art of persuasion, huh?
666
00:30:29,911 --> 00:30:30,954
Art of favors.
667
00:30:31,038 --> 00:30:33,915
I said we'd support zone initiatives
so Royce would support us.
668
00:30:33,999 --> 00:30:35,083
He's a yes.
669
00:30:35,167 --> 00:30:38,086
What happened? All right, what--
Why didn't you call me?
670
00:30:38,170 --> 00:30:40,422
I tried to. The flap lost signal.
I had to do something.
671
00:30:40,505 --> 00:30:43,717
Sorry, I got held up in the OR.
672
00:30:43,800 --> 00:30:45,135
Oh. Compartment syndrome?
673
00:30:45,218 --> 00:30:47,429
Yeah, it, uh, it came on fast.
674
00:30:47,512 --> 00:30:49,514
Yeah, color's coming back.
675
00:30:49,598 --> 00:30:50,932
Good call, Warren.
676
00:30:51,683 --> 00:30:53,810
Yeah, um, look, I-I actually wasn't--
677
00:30:53,894 --> 00:30:55,228
Sure about the leeches.
678
00:30:55,312 --> 00:30:56,563
He wasn't sure about the leeches at first,
679
00:30:56,646 --> 00:31:00,150
but he knew that we had to act
as soon as he saw that the leg was dusky,
680
00:31:00,233 --> 00:31:02,652
-and that's what we did.
-It's a great save.
681
00:31:02,736 --> 00:31:05,447
Grant, unfortunately you're not gonna
be able to be on your phone.
682
00:31:05,530 --> 00:31:08,825
We need to get you to the OR
so we can wash out and repair your flap.
683
00:31:08,909 --> 00:31:10,368
Warren, let's go scrub.
684
00:31:11,745 --> 00:31:14,498
-Do you want me to get him prepped?
-That'd be great. Thank you.
685
00:31:21,755 --> 00:31:24,508
-[Griffith] Never seen a hydrodissection.
-[Shepherd] They're not common.
686
00:31:24,591 --> 00:31:27,594
I saw one during my fellowship,
but I've never actually done one.
687
00:31:27,677 --> 00:31:29,012
[Adams] You sure now's the time to try?
688
00:31:29,096 --> 00:31:31,807
-[Griffith] We obviously can't leave it.
-[Shepherd] And we can't aspirate.
689
00:31:31,890 --> 00:31:35,143
The parasite secretes toxins
into the hydatid fluid.
690
00:31:35,227 --> 00:31:38,688
If any of it leaks into his brain,
he could go into anaphylactic shock,
691
00:31:38,772 --> 00:31:41,525
and even if he doesn't, he'd be
on medication for the rest of his life
692
00:31:41,608 --> 00:31:43,735
just to make sure that
the parasites don't come back.
693
00:31:43,819 --> 00:31:45,278
We have to remove the cyst intact.
694
00:31:45,362 --> 00:31:48,156
-[Adams] By forcing it out with saline.
-[Shepherd] Let's hope.
695
00:31:48,240 --> 00:31:50,659
-All right, starting irrigation.
-[Adams] Okay.
696
00:31:54,287 --> 00:31:55,372
More irrigation.
697
00:31:56,331 --> 00:31:57,499
[Adams] Could the saline pop it?
698
00:31:57,582 --> 00:31:59,751
[Shepherd] I'm trying not to
think about that.
699
00:32:00,919 --> 00:32:03,046
[Griffith] Okay. Just a little more.
700
00:32:03,797 --> 00:32:04,798
[Shepherd] Come on.
701
00:32:05,465 --> 00:32:06,550
Just a little more.
702
00:32:08,093 --> 00:32:09,344
Come on.
703
00:32:09,427 --> 00:32:10,846
[Griffith] There.
704
00:32:10,929 --> 00:32:12,430
[Shepherd exhales heavily]
705
00:32:12,514 --> 00:32:15,058
[Griffith] That might be the coolest thing
I've ever seen.
706
00:32:15,142 --> 00:32:16,184
[Adams] Now can we pop it?
707
00:32:17,686 --> 00:32:19,187
I'll send it to path.
708
00:32:24,276 --> 00:32:27,195
-Millin. Hey, wait up. Millin.
-[Millin sniffling]
709
00:32:27,279 --> 00:32:29,698
-[sniffling]
-Millin. Hey, hey, hey.
710
00:32:30,615 --> 00:32:32,367
-Are you-- Are you okay?
-We lost a patient.
711
00:32:33,410 --> 00:32:34,619
[sniffles]
712
00:32:35,370 --> 00:32:37,998
This wasn't on us.
Her heart was too injured to recover.
713
00:32:39,082 --> 00:32:40,500
It's not about fault.
714
00:32:41,209 --> 00:32:42,419
A person died.
715
00:32:42,502 --> 00:32:43,670
I know.
716
00:32:45,547 --> 00:32:48,300
And we did everything that we could do
to prevent it.
717
00:32:49,843 --> 00:32:51,970
It wasn't enough. [sobbing]
718
00:33:03,565 --> 00:33:05,525
[Shepherd] We'll monitor him
for a week or two
719
00:33:05,609 --> 00:33:08,778
and then he'll be
on anti-parasite medication,
720
00:33:08,862 --> 00:33:10,113
but yeah, he'll be okay.
721
00:33:10,197 --> 00:33:11,656
How did he get a parasite?
722
00:33:11,740 --> 00:33:13,992
Oh, this kind of parasite
isn't found in the US
723
00:33:14,075 --> 00:33:15,744
and even then they're very, very rare.
724
00:33:18,038 --> 00:33:19,456
Are they found in Italy?
725
00:33:19,539 --> 00:33:20,707
It can be.
726
00:33:22,584 --> 00:33:25,337
[sobs] Oh, my God. This is my fault.
727
00:33:25,420 --> 00:33:28,506
You don't know how he got it.
You cannot blame yourself.
728
00:33:29,299 --> 00:33:33,303
He's always begging to come with me
when I travel for work.
729
00:33:33,386 --> 00:33:35,680
I finally caved with Italy.
730
00:33:36,473 --> 00:33:38,642
I wanted to introduce him to Juventus
731
00:33:38,725 --> 00:33:41,269
and the Egyptian Museum and gelato.
732
00:33:41,353 --> 00:33:43,855
[sobs] I'm never taking him
anywhere again.
733
00:33:43,939 --> 00:33:45,690
You wanted to spend time with him.
734
00:33:46,274 --> 00:33:49,152
It sounds like you made
some wonderful memories.
735
00:33:51,571 --> 00:33:53,198
I'm needed on a consult.
736
00:33:53,281 --> 00:33:54,658
-Would you call me when he wakes up?
-Yes.
737
00:33:59,246 --> 00:34:02,123
Why didn't the tumor show up
in any of the scans she had before?
738
00:34:02,207 --> 00:34:04,125
Well, we did a specialized scan.
739
00:34:04,209 --> 00:34:07,379
It's only indicated
if you have certain genetic diseases.
740
00:34:07,462 --> 00:34:09,381
So she has it? MEN?
741
00:34:09,464 --> 00:34:10,840
We still have to wait for the results,
742
00:34:10,924 --> 00:34:13,635
but the tumor is specifically
in line with MEN1.
743
00:34:13,718 --> 00:34:16,137
Well, you figured it out.
I can't believe it.
744
00:34:16,221 --> 00:34:17,806
There's a name for what I have.
745
00:34:18,348 --> 00:34:19,933
Let's not get too excited.
746
00:34:20,016 --> 00:34:22,185
You also have a tumor in your intestine.
747
00:34:22,269 --> 00:34:24,938
Uh-huh, but we know how to treat that.
748
00:34:25,021 --> 00:34:28,525
[chuckles] Yes, we'd like to schedule you
for surgery as soon as possible.
749
00:34:28,608 --> 00:34:31,403
-That should alleviate the symptoms.
-[sighs]
750
00:34:32,654 --> 00:34:37,284
Oh, thank you both
for getting me this VIP service.
751
00:34:37,367 --> 00:34:40,203
You were right, it was worth every penny.
752
00:34:40,287 --> 00:34:42,205
Well, you're lucky
to have a tight-knit family
753
00:34:42,289 --> 00:34:43,873
that looks out for each other.
754
00:34:43,957 --> 00:34:45,041
Yes.
755
00:34:45,792 --> 00:34:48,795
Now, do I get to keep these sheets
or do they have to stay here?
756
00:34:48,878 --> 00:34:51,256
-[Khadijah laughs]
-[Amari] Oh, my gosh, Mom.
757
00:34:58,888 --> 00:35:00,140
[sighs]
758
00:35:06,479 --> 00:35:07,606
How is she?
759
00:35:07,689 --> 00:35:11,443
One of Tracie's coronary arteries
was damaged during the accident.
760
00:35:11,526 --> 00:35:14,904
Uh, we took her to surgery
and tried to repair it,
761
00:35:15,905 --> 00:35:19,034
but she sustained massive heart damage.
762
00:35:21,119 --> 00:35:23,371
-Tracie died.
-[cries]
763
00:35:23,455 --> 00:35:24,456
I'm so sorry.
764
00:35:25,498 --> 00:35:26,833
But we were fighting.
765
00:35:26,916 --> 00:35:28,752
We did everything we could.
766
00:35:28,835 --> 00:35:29,836
No.
767
00:35:30,879 --> 00:35:34,674
[sobbing] No, she can't be.
768
00:35:34,758 --> 00:35:38,762
[screaming] You have to get her back!
You have to get her back!
769
00:35:38,845 --> 00:35:43,725
[crying] Get her back! Get her back! No!
770
00:35:45,852 --> 00:35:48,188
Finished dressing changes
for all of Wright's post-ops.
771
00:35:48,271 --> 00:35:49,898
Oh. How'd it go?
Did you save Grant's flap?
772
00:35:49,981 --> 00:35:52,233
Uh, we did.
We did, largely thanks to your help.
773
00:35:52,317 --> 00:35:53,318
Awesome.
774
00:35:53,818 --> 00:35:55,528
You're going through my progress notes?
775
00:35:55,612 --> 00:35:59,449
Uh, actually, Wright wants to recommend me
for this fellow position
776
00:35:59,532 --> 00:36:01,951
on the Washington Association
of Plastic Surgeons board.
777
00:36:02,035 --> 00:36:04,412
I'm just, uh, you know,
looking at the job description.
778
00:36:04,496 --> 00:36:06,873
-Congratulations, man. That's awesome.
-[chuckles] Thank you.
779
00:36:06,956 --> 00:36:10,210
Hey, um, do you need help preparing
for that total cranial vault tomorrow?
780
00:36:10,293 --> 00:36:12,462
Uh, no, no, no. I'm good. I'm good.
781
00:36:12,545 --> 00:36:15,632
But, uh, I do have some orders
that need placing,
782
00:36:15,715 --> 00:36:17,592
some wound vacs that need checking.
783
00:36:17,676 --> 00:36:21,304
And Mrs. Galoosian in 4135.
784
00:36:21,388 --> 00:36:22,430
She needs to be ambulated.
785
00:36:22,514 --> 00:36:23,598
Right. So it's like that?
786
00:36:25,141 --> 00:36:26,685
I'm sorry, it's just I… [sighs]
787
00:36:26,768 --> 00:36:28,812
I cover for you
and I get you back in good with Wright,
788
00:36:28,895 --> 00:36:30,772
and you won't even consider
getting me on the case.
789
00:36:30,855 --> 00:36:32,816
You, uh… You covered for me?
790
00:36:32,899 --> 00:36:33,900
Yeah.
791
00:36:33,983 --> 00:36:35,777
Oh. Like the time I covered for you
792
00:36:35,860 --> 00:36:38,363
when you ordered therapeutic heparin
instead of prophylaxis?
793
00:36:38,446 --> 00:36:39,864
-W--
-Or the time that you forgot
794
00:36:39,948 --> 00:36:42,283
to change the dressing
on that post-op patient?
795
00:36:43,243 --> 00:36:47,372
See, we look out for each other because,
you know, it's the right thing to do,
796
00:36:47,455 --> 00:36:49,708
not because we expect anything in return.
797
00:36:49,791 --> 00:36:52,335
So, uh, I'm going to go prep for tomorrow.
798
00:37:03,847 --> 00:37:04,889
Thought you went home.
799
00:37:04,973 --> 00:37:06,349
Oh, I live here now.
800
00:37:06,433 --> 00:37:08,226
Yeah, I need to move out
of my aunt's place
801
00:37:08,309 --> 00:37:10,311
before we, uh, murder each other.
802
00:37:11,896 --> 00:37:14,441
I did go through a thing,
803
00:37:14,524 --> 00:37:16,317
but I'm afraid
if I start talking about it,
804
00:37:16,401 --> 00:37:18,570
I won't be able to come back, and I just…
805
00:37:19,446 --> 00:37:21,823
I really need to focus on work right now.
806
00:37:21,906 --> 00:37:23,992
Okay. [chuckles]
807
00:37:25,744 --> 00:37:28,329
If you need a place to stay,
you could move in with us.
808
00:37:31,249 --> 00:37:33,793
So you don't want to talk to me,
but you'll live with me?
809
00:37:33,877 --> 00:37:36,004
Just saying. Empty room in the house.
810
00:37:37,005 --> 00:37:39,090
-What about Bryant?
-I'm sure he'll be cool with it.
811
00:37:41,092 --> 00:37:42,635
-Good night.
-Good night.
812
00:37:51,978 --> 00:37:52,979
Oh, you're heading out?
813
00:37:53,062 --> 00:37:54,606
Uh, switching gears.
814
00:37:54,689 --> 00:37:57,817
I'm gonna work
on my research project for a while.
815
00:37:57,901 --> 00:37:59,235
Oh, you have an idea?
816
00:37:59,319 --> 00:38:01,613
I do. Um,
817
00:38:01,696 --> 00:38:05,658
my TA still doesn't love it,
but yeah, I don't care what she thinks.
818
00:38:05,742 --> 00:38:07,035
I know it's worthwhile.
819
00:38:07,118 --> 00:38:08,620
Whoa, whoa. W-What is it?
820
00:38:08,703 --> 00:38:14,083
Well, so Lillian spent six months
trying to get a diagnosis,
821
00:38:14,167 --> 00:38:17,670
but it wasn't until she was
on the VIP floor that we found one,
822
00:38:17,754 --> 00:38:19,380
and I just want to know why.
823
00:38:19,464 --> 00:38:22,884
I mean, was it the extra time we gave her?
824
00:38:22,967 --> 00:38:26,346
Or… [stammers] access
to outpatient testing?
825
00:38:26,429 --> 00:38:29,474
Since when did you care
so much about the VIP wing?
826
00:38:29,557 --> 00:38:31,017
[stammers] I don't,
827
00:38:31,100 --> 00:38:35,772
but I want to use the results
to get better care for everyone,
828
00:38:35,855 --> 00:38:38,691
regardless of whether
they can afford VIP service.
829
00:38:39,400 --> 00:38:40,610
Well, that sounds great.
830
00:38:40,693 --> 00:38:41,694
-Yes.
-Mm.
831
00:38:41,778 --> 00:38:45,657
So, I reached out to Norton
and we're having dinner tomorrow.
832
00:38:45,740 --> 00:38:47,408
[Webber] Well, now,
why do you want to talk to him?
833
00:38:47,492 --> 00:38:50,995
Look, I know you don't like him,
but he might be onto something.
834
00:38:51,079 --> 00:38:52,539
I really don't think so.
835
00:38:52,622 --> 00:38:55,583
-Let's see what the data says.
-Bail-- Bailey.
836
00:39:03,633 --> 00:39:04,717
Hey.
837
00:39:04,801 --> 00:39:05,844
Hey.
838
00:39:06,511 --> 00:39:07,929
How'd your surgery go?
839
00:39:08,012 --> 00:39:09,180
Unexpectedly.
840
00:39:10,014 --> 00:39:13,393
Kid's brain cyst
turned out to be a parasite.
841
00:39:13,476 --> 00:39:15,478
-Oh.
-He's gonna be okay, though.
842
00:39:16,646 --> 00:39:20,108
I don't like surprises
in the OR or at home.
843
00:39:20,191 --> 00:39:21,192
Okay.
844
00:39:21,943 --> 00:39:22,944
I used to.
845
00:39:23,903 --> 00:39:27,156
But being able to plan for what's ahead…
846
00:39:28,825 --> 00:39:30,118
it helps me stay sober.
847
00:39:32,161 --> 00:39:35,081
Look, I'm… I'm really sorry.
848
00:39:35,665 --> 00:39:37,667
I wasn't thinking.
849
00:39:37,750 --> 00:39:38,918
I mean, I was,
850
00:39:39,002 --> 00:39:43,756
but it was about getting away from work
and kids and having space for…
851
00:39:44,549 --> 00:39:45,800
[sighs] …us.
852
00:39:45,884 --> 00:39:51,806
It's been, uh, a long time
since I wanted that with someone.
853
00:39:51,890 --> 00:39:54,100
[stammers] I mean,
I should have just told you.
854
00:39:54,183 --> 00:39:56,394
I mean, I forgot that, y-you know,
855
00:39:56,477 --> 00:39:59,147
nothing I've told you so far
has freaked you out.
856
00:40:00,064 --> 00:40:01,149
It's true.
857
00:40:03,234 --> 00:40:05,153
I'm… I'm gonna cancel the hotel.
858
00:40:05,236 --> 00:40:06,404
No, don't.
859
00:40:07,113 --> 00:40:11,910
The thing is, Whidbey Island,
it's not a surprise anymore.
860
00:40:13,536 --> 00:40:15,204
So, you wanna go?
861
00:40:15,288 --> 00:40:21,169
I've never been, and I would really like
to spend the weekend with you alone,
862
00:40:21,252 --> 00:40:24,881
but could you send me
the itinerary in advance?
863
00:40:24,964 --> 00:40:26,215
Oh.
864
00:40:26,299 --> 00:40:28,051
We're never leaving the room.
865
00:40:28,134 --> 00:40:29,177
[chuckles]
866
00:40:29,886 --> 00:40:34,390
[Grey] On a good day, life feels like
an endless string of opportunities.
867
00:40:35,850 --> 00:40:36,976
You're still here?
868
00:40:37,685 --> 00:40:38,770
Mm-hmm.
869
00:40:39,812 --> 00:40:40,980
Everything okay?
870
00:40:42,148 --> 00:40:44,567
[inhales deeply] Long story.
871
00:40:46,110 --> 00:40:48,738
[chuckles] Come on,
you gotta give me more than that.
872
00:40:49,739 --> 00:40:51,699
It was actually a good day.
873
00:40:53,910 --> 00:40:57,538
You have no idea
how happy I am to hear that.
874
00:41:00,124 --> 00:41:02,293
I'll tell you everything over dinner.
875
00:41:04,087 --> 00:41:08,091
[Grey] On a bad day,
all we see is problems.
876
00:41:09,258 --> 00:41:11,344
Sometimes, the solutions are obvious.
877
00:41:12,887 --> 00:41:14,764
I'm working, make an appointment.
878
00:41:15,348 --> 00:41:17,725
I know it's your job, but it's confusing.
879
00:41:18,518 --> 00:41:20,186
Is this about Beckman?
880
00:41:20,269 --> 00:41:21,270
I miss you.
881
00:41:22,355 --> 00:41:25,233
And if this were different,
I would make a clean break
882
00:41:25,316 --> 00:41:27,694
and I would get over you,
and I would move on,
883
00:41:27,777 --> 00:41:29,028
but I can't.
884
00:41:30,655 --> 00:41:35,618
So when you go out of your way to help me,
it's confusing
885
00:41:35,702 --> 00:41:38,663
because I don't know if you're doing it
because you're the new residency director
886
00:41:38,746 --> 00:41:40,915
or if it's because…
887
00:41:45,962 --> 00:41:49,924
And you seem to be doing fine,
which is great for you. [sniffles]
888
00:41:53,553 --> 00:41:55,847
I sh-- I should go. [sniffles]
889
00:41:55,930 --> 00:41:58,099
Hey. I'm not…
890
00:41:59,100 --> 00:42:00,351
I'm not fine.
891
00:42:01,894 --> 00:42:03,521
-[sniffles] You're not?
-No.
892
00:42:04,188 --> 00:42:05,189
I…
893
00:42:05,815 --> 00:42:06,899
I miss you too.
894
00:42:27,128 --> 00:42:31,049
[Grey] But a lot of the time,
you have to dig down deeper,
895
00:42:32,675 --> 00:42:33,801
find the hidden truth.
896
00:42:33,885 --> 00:42:34,886
Taking a break?
897
00:42:36,345 --> 00:42:39,557
Uh, I caught up on all my notes,
898
00:42:39,640 --> 00:42:42,685
and Mrs. Kemp is resting up
for her surgery tomorrow.
899
00:42:42,769 --> 00:42:44,687
-So, yeah.
-Good.
900
00:42:45,521 --> 00:42:46,564
You should rest up too,
901
00:42:47,231 --> 00:42:50,318
assuming you'll be scrubbing in
with Dr. Bailey.
902
00:42:52,320 --> 00:42:54,072
I will. Thank you.
903
00:42:55,573 --> 00:42:56,574
Nice work today.
904
00:43:01,162 --> 00:43:02,538
[man] Benson.
905
00:43:05,374 --> 00:43:06,375
Benson.
906
00:43:12,840 --> 00:43:13,841
Dad?
907
00:43:13,925 --> 00:43:16,636
[Grey] Just know,
you may not like what you see.