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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:07,798 --> 00:00:10,432 The classic experiment on pain tolerance is 2 00:00:10,466 --> 00:00:12,568 to submerge your hand in freezing cold water... 3 00:00:12,601 --> 00:00:14,805 -Hi! -...and see how long you can take it. 4 00:00:14,838 --> 00:00:17,606 All right, troops. Let's get our shoes. We got five minutes, okay? 5 00:00:18,474 --> 00:00:21,111 Hey. Welcome home. 6 00:00:22,511 --> 00:00:25,347 Sorry, it's just... I'm... I've been up since 4:00 a.m. 7 00:00:25,381 --> 00:00:26,615 I missed you. 8 00:00:28,952 --> 00:00:31,855 Listen, um, while I was away-- 9 00:00:32,856 --> 00:00:36,159 -No, I'll... -No, I'll go. You get ready, okay? 10 00:00:36,193 --> 00:00:39,328 You can try to distract yourself by counting slowly 11 00:00:39,361 --> 00:00:40,831 or focusing on your breath. 12 00:00:45,467 --> 00:00:47,336 -Did you sleep? -Sure. 13 00:00:47,369 --> 00:00:48,805 Are you okay? 14 00:00:49,973 --> 00:00:51,574 Give me ten minutes. 15 00:00:52,374 --> 00:00:54,177 You can have 15 if you shower. 16 00:00:54,211 --> 00:00:56,545 Hey, uh, I wanted to head in early and try to get on a good service 17 00:00:56,579 --> 00:00:58,514 before grand rounds. 18 00:00:58,547 --> 00:01:00,649 Molly was discharged last night. She's already back in California. 19 00:01:00,683 --> 00:01:04,353 So Kwan's broken heart trumps me trying to get back into our class? 20 00:01:04,386 --> 00:01:09,059 No, but how many times has he waited for us? 21 00:01:15,731 --> 00:01:17,566 Kwan, you got 13 minutes! 22 00:01:19,501 --> 00:01:21,137 We've got 13 minutes. 23 00:01:21,171 --> 00:01:23,006 But no matter how high you count, 24 00:01:23,039 --> 00:01:24,540 or how deeply you breathe, 25 00:01:25,008 --> 00:01:27,509 that water is still undeniably cold. 26 00:01:27,543 --> 00:01:31,147 I'm gone two days and everything's trash. 27 00:01:31,181 --> 00:01:33,350 Today is not the day for trash. 28 00:01:33,382 --> 00:01:36,286 Oh, I could help if I was on your service. 29 00:01:36,785 --> 00:01:39,555 A world-renowned surgeon is coming here 30 00:01:39,588 --> 00:01:41,892 to see my patient for grand rounds, 31 00:01:41,925 --> 00:01:43,425 I'm buried in paperwork, 32 00:01:43,459 --> 00:01:45,561 and the attendings' lounge is out of oat creamer. 33 00:01:45,594 --> 00:01:49,065 So I don't have time for whatever this is you're trying to pull. 34 00:01:49,099 --> 00:01:51,368 Well, I-I just don't think I should be on Altman's service. 35 00:01:51,400 --> 00:01:54,070 You know, not-not until I get back in her good graces. 36 00:01:54,104 --> 00:01:57,107 Well, how do you think you're gonna get there if you never work with her? 37 00:01:57,140 --> 00:01:58,774 Bribery? 38 00:01:59,441 --> 00:02:03,046 Oh. Oh, okay, he's on his way. 39 00:02:04,413 --> 00:02:06,582 Uh, thank you. Mmm. 40 00:02:09,953 --> 00:02:13,756 - Perfect. Yes, yeah. - Good. Oh, one second. 41 00:02:13,790 --> 00:02:16,126 Good morning. Glad you decided to come. 42 00:02:16,159 --> 00:02:19,095 Well, I thought I'd come and see what all the fuss was about. 43 00:02:19,129 --> 00:02:20,763 Here. Right there. 44 00:02:20,797 --> 00:02:23,233 - Late night? - It was for Maxine and Gino. 45 00:02:23,732 --> 00:02:25,567 In their room next to mine. 46 00:02:25,601 --> 00:02:28,604 She really cycles through boyfriends. What happened to Claude? 47 00:02:28,637 --> 00:02:30,572 -Oh, he died. -I am truly sorry. 48 00:02:30,606 --> 00:02:33,109 No, he made it to his 100th birthday. That was his goal. 49 00:02:33,143 --> 00:02:34,643 You want one? 50 00:02:34,677 --> 00:02:36,478 I'd rather drink gasoline. 51 00:02:36,512 --> 00:02:41,117 Good morning, everyone. I would like to introduce Gabby Mims. 52 00:02:41,151 --> 00:02:43,119 Hello. 53 00:02:43,153 --> 00:02:48,124 Uh, four months ago, Gabby was diagnosed with pancreatic adenocarcinoma 54 00:02:48,158 --> 00:02:52,262 and began neoadjuvant chemotherapy to shrink the tumor. 55 00:02:52,295 --> 00:02:56,933 But because it encases several critical blood vessels, 56 00:02:56,967 --> 00:03:01,237 it's considered very high-risk and doesn't meet the guidelines 57 00:03:01,271 --> 00:03:02,906 for surgical resection. 58 00:03:02,939 --> 00:03:06,409 That is where today's guest comes in. 59 00:03:06,443 --> 00:03:13,183 He is taking on difficult cases like this to give patients hope of cancer remission. 60 00:03:13,216 --> 00:03:18,922 So please join me in welcoming one of my surgical heroes, 61 00:03:18,955 --> 00:03:21,858 Dr. Joseph Chase. 62 00:03:30,532 --> 00:03:31,835 Oh, my God. 63 00:03:32,335 --> 00:03:34,270 You know him? 64 00:03:34,304 --> 00:03:37,740 He got me kicked out of my first residency program. 65 00:03:44,513 --> 00:03:48,451 No. No, I'm not okay. 66 00:03:48,485 --> 00:03:50,420 No, I can't calm down. So save your breath. 67 00:03:50,820 --> 00:03:52,688 Fine. But maybe you could speed up the freaking out. 68 00:03:52,721 --> 00:03:54,523 -Bailey noticed your seat is empty. -Screw Bailey. 69 00:03:54,556 --> 00:03:56,625 She should name the grand rounds guests in the emails. 70 00:03:56,658 --> 00:03:59,829 Yeah, you think you could've gotten away with skipping grand rounds? 71 00:03:59,863 --> 00:04:02,365 I think we can get away with about 45 seconds. So, go. 72 00:04:02,731 --> 00:04:05,001 He never requested me on his service, 73 00:04:05,035 --> 00:04:07,536 he looked past me in rounds, he never remembered my name. 74 00:04:07,569 --> 00:04:10,706 I learned to handle it. But when he... ...neglected 75 00:04:10,739 --> 00:04:14,911 a Black patient with chronic pancreatitis for weeks, 76 00:04:15,512 --> 00:04:17,013 I tried to ignore it, 77 00:04:17,047 --> 00:04:18,882 but when her symptoms worsened significantly overnight, 78 00:04:18,915 --> 00:04:22,952 I told him I was concerned she wasn't being seen. 79 00:04:23,685 --> 00:04:26,523 He informed me, if I was going to make a habit 80 00:04:26,555 --> 00:04:28,358 out of telling him things he already knew, 81 00:04:28,391 --> 00:04:31,593 I could go be disrespectful at another program. 82 00:04:32,429 --> 00:04:34,064 Which led to... 83 00:04:34,898 --> 00:04:38,401 The scrub room incident. 84 00:04:38,435 --> 00:04:40,270 And during my expulsion review, 85 00:04:41,538 --> 00:04:45,574 he called out my "aggressive behavior" and my "subpar" surgical skills. 86 00:04:45,607 --> 00:04:48,511 - Well, he clearly didn't know you at all. - -Thank you. 87 00:04:48,545 --> 00:04:50,213 Right. Come on. We have to go back in. 88 00:04:50,246 --> 00:04:53,049 I can't watch Bailey fawn over him. 89 00:04:53,083 --> 00:04:56,252 She is who you work for now. You said he never saw you. 90 00:04:56,286 --> 00:05:00,423 Just get through the lecture, lay low, and then you never have to see him again. 91 00:05:02,492 --> 00:05:03,793 -Okay? -Okay. 92 00:05:08,498 --> 00:05:11,801 - Just give me... - Just give me another minute. 93 00:05:11,835 --> 00:05:15,138 ...portion of the IVC. 94 00:05:15,171 --> 00:05:18,108 I'll start by placing a mesocaval shunt, 95 00:05:18,141 --> 00:05:22,744 connecting the IVC past the location of the tumor 96 00:05:22,778 --> 00:05:25,614 and rerouting the small intestine outflow. 97 00:05:25,647 --> 00:05:29,319 And that's before I begin the periarterial divestment, 98 00:05:29,352 --> 00:05:32,122 during which I will resect the cancerous tissue 99 00:05:32,155 --> 00:05:35,125 surrounding the vessels, one of which is... 100 00:05:35,158 --> 00:05:36,993 The superior mesenteric artery. 101 00:05:37,026 --> 00:05:39,562 Good. And it is significant because? 102 00:05:39,596 --> 00:05:41,397 It supplies oxygenated blood 103 00:05:41,431 --> 00:05:43,967 to the pancreatic head, small intestines and parts of the colon. 104 00:05:44,000 --> 00:05:46,668 Your residents are quick on the draw, Dr. Bailey. 105 00:05:46,702 --> 00:05:48,471 Uh, Dr. Chase, 106 00:05:48,505 --> 00:05:51,341 surgical guidelines classify these tumors as inoperable. 107 00:05:51,374 --> 00:05:53,510 How can you ignore the recommendations? 108 00:05:53,543 --> 00:05:58,481 Well, I don't think all patients fall under the same criteria for resection. 109 00:05:58,515 --> 00:06:00,316 We may find that some actually benefit. 110 00:06:00,350 --> 00:06:01,851 By experimenting on them? 111 00:06:01,885 --> 00:06:04,888 Why don't I let our patient answer that one? 112 00:06:05,787 --> 00:06:07,223 I want to live. 113 00:06:07,689 --> 00:06:12,395 Following the guidelines might give me a few months, maybe a year. 114 00:06:13,029 --> 00:06:16,266 Dr. Chase's surgery could give me much longer. 115 00:06:16,299 --> 00:06:18,734 And his success rate is stellar. 116 00:06:19,202 --> 00:06:21,504 -He's planning to publish... -Soon. 117 00:06:21,538 --> 00:06:25,275 And I wanted to include Gabby, and you and your resident. 118 00:06:25,308 --> 00:06:26,708 Who have you chosen to assist? 119 00:06:26,742 --> 00:06:29,179 Uh, Griffith. Hi, uh, you're scrubbing in. 120 00:06:29,212 --> 00:06:32,515 Uh, and as for everyone else, thank you, you're dismissed. 121 00:06:34,484 --> 00:06:36,718 Okay, you got this. You're Simone Griffith. 122 00:06:36,752 --> 00:06:38,955 You take your excellence and you shove it down his throat. 123 00:06:38,988 --> 00:06:44,194 Uh, this is Dr. Griffith, one of our program's shining stars. 124 00:06:44,227 --> 00:06:45,694 Oh, I know Dr. Griffith. 125 00:06:46,162 --> 00:06:47,530 You do? 126 00:06:47,564 --> 00:06:49,399 Yes, our paths crossed when I worked in Baltimore. 127 00:06:49,832 --> 00:06:52,368 Good to see you thriving here, Dr. Griffith. 128 00:06:52,402 --> 00:06:55,171 Shall we go show our patient back to her room? 129 00:06:56,105 --> 00:06:57,207 Of course. 130 00:06:57,240 --> 00:06:58,841 Mmm. 131 00:07:01,010 --> 00:07:03,179 Morning. How was the conference? 132 00:07:03,213 --> 00:07:04,380 Educational. 133 00:07:05,781 --> 00:07:07,684 I'm sure Hunt's glad to have you back. 134 00:07:07,716 --> 00:07:09,552 You know, I barely survived with only one toddler. 135 00:07:09,586 --> 00:07:10,719 I don't know how he managed two-- 136 00:07:10,752 --> 00:07:12,222 We have an incoming trauma 137 00:07:12,255 --> 00:07:15,425 and a suspected acute diverticulitis in bed two. 138 00:07:15,925 --> 00:07:18,727 I'm here to help. Uh, want me to start her on broad spectrum antibiotics? 139 00:07:18,760 --> 00:07:22,432 Only if you know something that I don't. I am waiting on her scans. 140 00:07:22,465 --> 00:07:24,100 Sorry. Just trying to anticipate what you need. 141 00:07:24,133 --> 00:07:26,768 What I need is for you to get her to CT. 142 00:07:27,270 --> 00:07:28,705 Will do, Chief. 143 00:07:31,074 --> 00:07:32,408 - Hey. - Hey. 144 00:07:33,843 --> 00:07:37,547 Hey, so I thought we could go to your favorite Italian place tonight. 145 00:07:37,580 --> 00:07:39,716 Look, I don't want an open marriage. 146 00:07:39,748 --> 00:07:41,951 I almost slept with someone in Oakland, but I couldn't go through with it. 147 00:07:41,985 --> 00:07:46,155 I am so sorry. But I don't want to be with anybody else. I only want you. 148 00:07:48,057 --> 00:07:49,758 Me too. 149 00:07:51,060 --> 00:07:52,295 -Really? -Yeah. 150 00:07:53,730 --> 00:07:57,634 You know, change was worth a try, but I only want to be with you too. 151 00:07:57,667 --> 00:08:00,570 D... Did you try? 152 00:08:01,170 --> 00:08:04,741 Rig's outside. You want me to do the intake or... 153 00:08:05,975 --> 00:08:07,143 We've got it. 154 00:08:12,148 --> 00:08:15,385 Brendon Browning, 25-year-old male, penetrating injury 155 00:08:15,418 --> 00:08:17,120 to the chest from an ice pick, 156 00:08:17,153 --> 00:08:19,788 50 mics of fentanyl en route. GCS 15, hemodynamically stable. 157 00:08:19,822 --> 00:08:21,624 And I'm in love. 158 00:08:21,658 --> 00:08:22,959 Please don't move. This ice pick is in a very dangerous area. 159 00:08:22,992 --> 00:08:24,394 Is your partner on their way? 160 00:08:24,427 --> 00:08:26,896 Oh, she's not... Uh, we're not together. Yet. 161 00:08:26,929 --> 00:08:28,131 I just met her this morning. 162 00:08:28,865 --> 00:08:31,467 -Okay, let's get him to trauma 1. -We got you, Brendon. 163 00:08:43,379 --> 00:08:45,415 What the hell is happening? 164 00:08:45,448 --> 00:08:49,786 Uh, former patient of mine gave me two tickets to tonight's game 165 00:08:50,153 --> 00:08:52,622 right behind home plate. 166 00:08:52,655 --> 00:08:54,524 -You free? -What's the catch? 167 00:08:54,557 --> 00:08:55,692 -There's no catch. -Mmm. 168 00:08:56,392 --> 00:08:59,495 I... I have Baxter as my intern today, you have Kwan. 169 00:08:59,529 --> 00:09:01,464 If I'm gonna make it to this game on time, 170 00:09:01,497 --> 00:09:04,167 I need somebody who's efficient and can read their own handwriting. 171 00:09:04,200 --> 00:09:06,703 Uh, an intern for behind home plate? 172 00:09:07,737 --> 00:09:08,871 And an Americano. 173 00:09:09,339 --> 00:09:10,540 Yeah. Done. 174 00:09:10,973 --> 00:09:12,675 I didn't have to give you the coffee, did I? 175 00:09:12,709 --> 00:09:14,544 You'll never know. 176 00:09:17,815 --> 00:09:19,882 -Well, you're late. -Uh, sorry. Grand rounds ran long. 177 00:09:19,916 --> 00:09:23,553 Do you know about this Chase technique? It's really interesting. 178 00:09:23,586 --> 00:09:25,722 Well, it's a tragic case, and I hope that works out. 179 00:09:25,755 --> 00:09:29,359 Good job on Ms. Regalski's central line. You've been practicing. 180 00:09:29,392 --> 00:09:31,194 Well, I'm upping my game. 181 00:09:31,227 --> 00:09:33,363 Trying to change Dr. Fox's mind about my remediation. 182 00:09:33,730 --> 00:09:36,800 A central line's not going to do that. But the practice doesn't hurt. 183 00:09:36,834 --> 00:09:38,802 Oh, I also signed up to help with admin backlog. 184 00:09:38,836 --> 00:09:41,237 And I'm volunteering at the clinic on Saturdays. 185 00:09:41,270 --> 00:09:42,872 I told you that wasn't happening. 186 00:09:42,905 --> 00:09:44,907 -Actually, you didn't. You said-- -I am now. 187 00:09:44,941 --> 00:09:46,175 Let's finish rounds. 188 00:09:48,111 --> 00:09:50,580 There's a small left hemothorax. 189 00:09:50,613 --> 00:09:53,349 Let's do a FAST exam to make sure that the heart isn't involved. 190 00:09:53,383 --> 00:09:56,219 Okay, so where do you... Whoa. Stabbing? 191 00:09:56,252 --> 00:09:58,421 He was holding an ice pick and he slipped. 192 00:09:58,454 --> 00:10:00,089 So, he stabbed himself? 193 00:10:00,123 --> 00:10:01,557 They say people do stupid things when they're in love, 194 00:10:01,591 --> 00:10:02,992 but I didn't get it until today. 195 00:10:03,025 --> 00:10:05,027 He also met the love of his life today. 196 00:10:05,061 --> 00:10:07,196 Ah, neat. Another one of those. 197 00:10:07,230 --> 00:10:09,565 I was working the bar at a corporate brunch event. It's not my scene. 198 00:10:09,599 --> 00:10:13,403 But then I looked up, and there she was. The girl of my dreams. 199 00:10:13,436 --> 00:10:14,937 FAST exam is negative. 200 00:10:14,971 --> 00:10:16,773 Talking with her was the best 17 minutes of my life. 201 00:10:16,807 --> 00:10:18,941 How much ground could you possibly cover in 17 minutes? 202 00:10:18,975 --> 00:10:21,544 Her trip to Japan, her foster kittens, her bug collection. 203 00:10:21,577 --> 00:10:23,012 Enough to know that she's perfect. 204 00:10:23,045 --> 00:10:25,081 Mrs. Grandy's CT confirms acute diver-- 205 00:10:25,114 --> 00:10:26,616 Wow. Uh, screwdriver? 206 00:10:26,649 --> 00:10:28,886 -Ice pick. -He fell in love and slipped onto it. 207 00:10:28,918 --> 00:10:33,589 Warren, focus. Admit Mrs. Grandy, get her on antibiotics, and meet us in CT. 208 00:10:34,957 --> 00:10:37,059 All right. It looks like it only hit the lung. 209 00:10:37,660 --> 00:10:40,763 Yeah, but I don't like how close it is to the heart. 210 00:10:40,798 --> 00:10:41,899 Millin, get us a CT. 211 00:10:42,298 --> 00:10:44,300 I'll let them know we're on our way. 212 00:10:46,135 --> 00:10:48,971 Jack Moss, 36, sustained a tib-fib fracture over a year ago 213 00:10:49,005 --> 00:10:50,606 due to a motorbike accident. 214 00:10:50,640 --> 00:10:52,575 It resulted in malunion, here for a corrective osteotomy 215 00:10:52,608 --> 00:10:54,110 to realign the bones. 216 00:10:54,143 --> 00:10:56,379 At least I got to see the desert outside Marrakech 217 00:10:56,412 --> 00:10:58,314 before skidding into a textile market. 218 00:10:58,347 --> 00:11:02,218 Says you were scheduled for a surgery six months ago. Did you forget? 219 00:11:02,251 --> 00:11:04,954 My tourist visa came through, and I went to Tanzania instead. 220 00:11:04,987 --> 00:11:06,289 Must be nice. 221 00:11:06,824 --> 00:11:08,024 And how's the pain? 222 00:11:08,758 --> 00:11:09,725 Barely feel it. 223 00:11:09,759 --> 00:11:11,160 All right. 224 00:11:13,362 --> 00:11:16,065 You barely feel any pain? 225 00:11:16,098 --> 00:11:20,136 I mean, I feel it when I walk, like, more than a hundred feet. Can you fix it? 226 00:11:23,039 --> 00:11:27,343 You know, Jack, just at first glance, we may be looking at an amputation. 227 00:11:28,344 --> 00:11:31,949 What? Uh, no, no, no, no. I have another tour next month in Munich. 228 00:11:32,482 --> 00:11:33,951 And then after that, it's Prague. 229 00:11:35,551 --> 00:11:39,255 Uh. I'll tell you what, we'll get a new round of tests. CT, MRI, everything. 230 00:11:39,288 --> 00:11:41,057 And we'll take it from there. 231 00:11:41,859 --> 00:11:42,960 Kwan? 232 00:11:43,359 --> 00:11:44,828 You got it. 233 00:11:46,629 --> 00:11:47,898 Okay. 234 00:11:48,498 --> 00:11:50,868 Oh, here he is. I'm gonna ask him. 235 00:11:50,901 --> 00:11:52,134 I already told you-- 236 00:11:52,168 --> 00:11:53,503 Something I can settle for you? 237 00:11:53,871 --> 00:11:56,706 You've done this experimental surgery enough times 238 00:11:56,739 --> 00:11:58,674 to know that my baby girl will be okay, right? 239 00:11:58,708 --> 00:12:01,677 You have to stop calling me that. I'm 38. 240 00:12:01,711 --> 00:12:03,513 And I'm not okay. I have cancer. 241 00:12:03,546 --> 00:12:05,883 If I don't do this, I may never get to see Chicago. 242 00:12:05,916 --> 00:12:07,851 The musical or the city? 243 00:12:07,885 --> 00:12:11,053 The new library on South Chicago. That's what our team calls it. 244 00:12:11,387 --> 00:12:13,789 I'm an architect. It's been my life for four years. 245 00:12:13,824 --> 00:12:15,324 I want to see it finished. 246 00:12:15,358 --> 00:12:17,360 I want to see kids light up at all the books 247 00:12:17,393 --> 00:12:19,529 and old people play chess in the community room. 248 00:12:19,562 --> 00:12:21,364 I thought you wanted to spend more time with me. 249 00:12:21,397 --> 00:12:23,466 You'll be one of the people playing chess. 250 00:12:25,067 --> 00:12:27,036 Promise me she'll be okay. 251 00:12:27,069 --> 00:12:31,507 Well, I'd be lying. Nobody can guarantee that with 100% certainty. 252 00:12:31,541 --> 00:12:33,010 Here's what I can say. 253 00:12:33,042 --> 00:12:35,211 When I walk into that operating room, 254 00:12:35,244 --> 00:12:37,213 I'm gonna pour everything I've learned 255 00:12:37,246 --> 00:12:41,517 from decades of practice and research into curing your daughter's cancer. 256 00:12:41,885 --> 00:12:45,254 And I won't stop until I've done everything I can for her. 257 00:12:46,255 --> 00:12:48,257 He knows what he's doing, Mom. 258 00:12:49,559 --> 00:12:53,062 I know the odds. I want this. 259 00:12:54,597 --> 00:12:56,033 Good. 260 00:12:56,065 --> 00:12:58,001 Dr. Griffith, will you prep Ms. Mims for surgery? 261 00:12:58,035 --> 00:12:59,335 Of course. 262 00:12:59,368 --> 00:13:02,039 We'll see you soon, Gabby. 263 00:13:02,071 --> 00:13:04,206 -Here you go. -Thank you. 264 00:13:08,377 --> 00:13:10,079 Was it the night that I left? 265 00:13:10,112 --> 00:13:11,714 -When your mom was watching the kids? -Teddy... 266 00:13:11,747 --> 00:13:13,683 Owen, did you have someone over at our house? 267 00:13:13,716 --> 00:13:17,453 - We agreed on rules. No details. - So that's a yes. 268 00:13:17,486 --> 00:13:19,255 I did not bring anyone into our home. 269 00:13:19,288 --> 00:13:21,357 Anyone? Were there multiple people? 270 00:13:21,390 --> 00:13:23,426 No. Why are you accusing me? 271 00:13:23,459 --> 00:13:27,430 We opened our marriage, Teddy. And you also were with someone else. 272 00:13:27,463 --> 00:13:29,365 -How's our young Romeo? -Great. 273 00:13:29,398 --> 00:13:32,735 I know these odds. He is way more into her than she is into him. 274 00:13:32,768 --> 00:13:35,538 -They say every pot has its lid. -Some pots have many lids. 275 00:13:35,571 --> 00:13:37,306 -Says the kettle. -You're mixing metaphors. 276 00:13:37,340 --> 00:13:39,977 - No, I'm not. - Scans. Scans are up. 277 00:13:40,409 --> 00:13:42,612 Well, it's hard to see with all of this artifact, 278 00:13:42,645 --> 00:13:47,416 but it looks like the ice pick is penetrating the descending aortic arch. 279 00:13:47,918 --> 00:13:50,453 You see that? There is a contained hematoma 280 00:13:50,486 --> 00:13:53,322 that has formed around the entry site. 281 00:13:53,991 --> 00:13:55,458 How is he not bleeding out? 282 00:13:55,491 --> 00:13:57,828 The ice pick is essentially plugging the hole. 283 00:13:57,861 --> 00:13:59,629 So if we move him, and it moves... 284 00:13:59,662 --> 00:14:01,530 He could bleed out and die. 285 00:14:01,999 --> 00:14:04,001 So how do we get him to the OR? 286 00:14:09,705 --> 00:14:11,240 Hmm. Hi. 287 00:14:11,273 --> 00:14:15,411 How's Chase? Did he cure metastatic lung cancer too? 288 00:14:15,444 --> 00:14:18,481 Do you two have history? 289 00:14:18,514 --> 00:14:20,449 Never met him until today. 290 00:14:21,217 --> 00:14:22,853 But I do have history with you. 291 00:14:23,619 --> 00:14:27,090 Now, you asked me to do a consult on Gabby Mims two months ago, 292 00:14:27,124 --> 00:14:29,525 and clearly, you didn't trust my opinion. 293 00:14:30,027 --> 00:14:32,996 I was looking for options. 294 00:14:33,030 --> 00:14:36,165 Chase had one. No, he's breaking new ground. 295 00:14:36,198 --> 00:14:39,836 He's resecting a tumor from a place where multiple studies have determined 296 00:14:39,870 --> 00:14:41,704 that the risks outweigh the benefit. 297 00:14:41,737 --> 00:14:44,875 I take it you don't approve of his technique. 298 00:14:44,908 --> 00:14:49,345 Yeah. His so-called technique is the same as resecting any other tumor, 299 00:14:49,980 --> 00:14:51,380 just with more arrogance. 300 00:14:51,915 --> 00:14:55,886 And, frankly, I'm surprised you allowed him to use it on Gabby. 301 00:14:56,585 --> 00:14:58,354 I guess she was a good lure. 302 00:14:59,255 --> 00:15:02,692 You think... ...I used Gabby as surgical bait? 303 00:15:02,725 --> 00:15:05,028 People go to great lengths to meet their heroes. 304 00:15:05,062 --> 00:15:07,396 I know you've admired him from afar for years. 305 00:15:08,065 --> 00:15:14,171 Um, Dr. Chase's methods could be the future of pancreatic surgery. 306 00:15:14,203 --> 00:15:18,207 We can get on board or we can bury our heads in the sand 307 00:15:18,240 --> 00:15:19,675 and watch our patients die. 308 00:15:20,043 --> 00:15:24,547 You do what you want. I prefer to keep my head above ground. 309 00:15:35,725 --> 00:15:39,762 So if we roll over a paper clip, or someone runs into me, I'll die? 310 00:15:39,796 --> 00:15:42,165 It's not that simple. First, you would start to bleed, 311 00:15:42,199 --> 00:15:44,034 then we would get you into surgery as soon as possible. 312 00:15:44,067 --> 00:15:46,302 - Oh, God. - We will be very careful. 313 00:15:46,903 --> 00:15:49,238 - I don't know. - -Well, you rode in an ambulance, 314 00:15:49,271 --> 00:15:51,674 and then in an elevator and on a gurney. 315 00:15:51,707 --> 00:15:54,744 Like, those are pretty good odds, and I'm usually a downer. 316 00:15:54,777 --> 00:15:58,247 There's no reason to think that we can't get you to the OR safely. 317 00:15:58,280 --> 00:16:00,483 Yeah, and then you can go be happy with what's her... 318 00:16:01,383 --> 00:16:03,619 -What is her name? -I don't know. 319 00:16:04,453 --> 00:16:07,556 Why didn't I ask? I-I should have asked. It was 17 minutes! 320 00:16:07,590 --> 00:16:09,759 Hey, Brendon, we need you to calm down, okay? 321 00:16:09,793 --> 00:16:12,762 And we need you to trust us, okay? Can you do that? 322 00:16:13,295 --> 00:16:14,965 -Okay. -Okay. 323 00:16:16,133 --> 00:16:17,533 It's all right. It's okay. 324 00:16:17,566 --> 00:16:19,568 All right, everybody, move out of the way! 325 00:16:19,602 --> 00:16:23,439 Let's move on my count, okay? I'll set the pace. One, two, three. 326 00:16:23,472 --> 00:16:28,410 Okay. All right. We got you. 327 00:16:28,845 --> 00:16:32,149 Your pre-op labs are all good. You're cleared for surgery. 328 00:16:34,184 --> 00:16:36,119 I can't believe it's finally happening. 329 00:16:36,485 --> 00:16:39,990 So, what do you think of Dr. Chase? Is he as good as everyone says? 330 00:16:43,692 --> 00:16:46,629 He's excellent. I've actually watched him operate before. 331 00:16:46,662 --> 00:16:50,733 I once saw him treat a very complicated mesothelioma with HIPEC, 332 00:16:50,766 --> 00:16:54,403 combination of surgery and hot chemotherapy in the abdomen. 333 00:16:54,436 --> 00:16:56,006 The patient is okay? 334 00:16:56,039 --> 00:16:58,175 Posted a photo with his new grandson a few weeks ago. 335 00:17:03,847 --> 00:17:06,448 I have to do this, Mom. 336 00:17:07,383 --> 00:17:11,320 It's my only chance. 337 00:17:11,353 --> 00:17:16,358 Last time I was in a hospital bed, I was holding my new baby girl in my arms. 338 00:17:17,894 --> 00:17:20,964 I didn't want to let go of you then, and I don't want to let go now. 339 00:17:22,398 --> 00:17:25,401 What if this the last time... 340 00:17:37,147 --> 00:17:40,217 You've been the best mama I could ever have. 341 00:17:42,018 --> 00:17:46,388 You gave me the courage to think big, dream big, 342 00:17:47,389 --> 00:17:49,025 -believe big. -Believe big. 343 00:17:50,327 --> 00:17:53,830 - That's why I'm not afraid to do this. 344 00:17:55,664 --> 00:17:57,334 I love you. 345 00:17:58,434 --> 00:18:00,436 I love you more, baby girl. 346 00:18:03,505 --> 00:18:05,208 Who's ready for surgery? 347 00:18:08,777 --> 00:18:09,946 Okay. 348 00:18:12,748 --> 00:18:13,917 Now I'm ready. 349 00:18:16,119 --> 00:18:17,354 Let's do this. 350 00:18:17,386 --> 00:18:18,587 All righty. 351 00:18:20,723 --> 00:18:23,226 Hey. Uh, so I dropped off Ms. Schiller's labs 352 00:18:23,260 --> 00:18:26,196 and I submitted Mr. Bohigian's discharge paperwork. 353 00:18:26,229 --> 00:18:29,732 Oh. Good. When I finish with the scans, you can update the charts. 354 00:18:30,100 --> 00:18:32,401 Uh, Chase's surgery is about to start. 355 00:18:32,434 --> 00:18:33,636 Are you scrubbing in? 356 00:18:34,304 --> 00:18:37,007 No, I-I just assumed we'd watch. 357 00:18:37,040 --> 00:18:38,540 I'm not interested in that. 358 00:18:38,574 --> 00:18:40,409 Well, he could make history today. 359 00:18:40,442 --> 00:18:42,946 And you can learn a lot by watching good surgeons, right? 360 00:18:43,445 --> 00:18:45,382 -Come with me. -To the gallery? 361 00:18:46,482 --> 00:18:47,650 Better. 362 00:18:51,955 --> 00:18:54,891 Sorry. Jack saw a scenic photo in radiology 363 00:18:54,925 --> 00:18:56,525 and refused to go back to his room 364 00:18:56,558 --> 00:18:58,460 until I could figure out if it was Banff National Park. 365 00:18:59,062 --> 00:19:00,462 Was it? 366 00:19:00,496 --> 00:19:02,698 Oh, he thinks it is. 367 00:19:02,731 --> 00:19:06,236 -Okay, what do you see? -Well, a bone that's completely healed 368 00:19:06,269 --> 00:19:07,938 but at an angle. 369 00:19:07,971 --> 00:19:09,772 Oh, he's lucky if he gets five feet, let alone a hundred. 370 00:19:10,472 --> 00:19:12,409 Yeah, you can see the vessel is kinked here 371 00:19:12,441 --> 00:19:14,377 in the area of the bone deformity. 372 00:19:14,411 --> 00:19:18,214 He only has one vessel running off to the foot, barely keeping it alive. 373 00:19:18,248 --> 00:19:19,648 Damn. 374 00:19:19,682 --> 00:19:21,084 Hope he took lots of pictures in the Serengeti. 375 00:19:21,117 --> 00:19:22,852 He's not going anywhere besides PT. 376 00:19:25,355 --> 00:19:26,622 It's an amputation, right? 377 00:19:27,489 --> 00:19:30,093 Ooh, could I do it? I always wanted to do one. 378 00:19:30,126 --> 00:19:32,295 Go check on my arthroplasty from last night. 379 00:19:32,329 --> 00:19:35,131 Millin got to do one her first day. Interns perform them all the time-- 380 00:19:35,165 --> 00:19:36,598 Not hyped-up ones. 381 00:19:37,000 --> 00:19:40,469 Put that crap away. I'm already overloaded with patients. 382 00:19:40,502 --> 00:19:42,339 I don't have time to resuscitate you. 383 00:19:42,372 --> 00:19:43,605 Now go do what I asked. 384 00:19:46,977 --> 00:19:48,644 You're going too fast. 385 00:19:48,677 --> 00:19:51,181 Listen, if you have a problem with my pace, then you lead. 386 00:19:51,214 --> 00:19:53,350 - Is everything okay? - You're doing great. 387 00:19:53,383 --> 00:19:54,650 Almost at the elevator. 388 00:19:54,683 --> 00:19:56,219 -Whoa, whoa! -Hey! No running! 389 00:19:58,121 --> 00:19:59,823 Okay. 390 00:19:59,856 --> 00:20:02,325 So, um, tell us more about the woman you met. What does she do? 391 00:20:03,193 --> 00:20:05,061 She's a graphic designer, I think. 392 00:20:06,062 --> 00:20:07,797 I don't know her name or what she does. 393 00:20:07,831 --> 00:20:10,566 When you get out of here, you'll get a second chance. 394 00:20:11,034 --> 00:20:13,003 But what if I die? 395 00:20:13,036 --> 00:20:16,139 Hey, Millin. Why don't you get out your phone? We're gonna find her. 396 00:20:16,172 --> 00:20:17,440 Find her how? 397 00:20:17,474 --> 00:20:19,708 You're the millennial. You tell me. 398 00:20:21,378 --> 00:20:23,146 This never goes well for me. 399 00:20:24,180 --> 00:20:26,016 Can you think of anything unique? 400 00:20:26,049 --> 00:20:29,718 - A... A blue streak in her hair? - Uh, big glasses? 401 00:20:29,752 --> 00:20:33,522 She has hazel eyes. I think she has a small dimple when she smiles? 402 00:20:34,424 --> 00:20:36,259 Okay, everyone. Nice and slow. 403 00:20:37,526 --> 00:20:40,030 Easy. Okay. 404 00:20:40,729 --> 00:20:44,067 You ready for tonight? Yeah, last night, Boston was down. 405 00:20:44,100 --> 00:20:46,002 They put in Taft as a designated hitter. 406 00:20:46,369 --> 00:20:48,138 Steps up to the plate with the bases loaded 407 00:20:48,171 --> 00:20:51,508 and hits a genius triple to left center. 408 00:20:51,540 --> 00:20:52,541 Unstoppable. 409 00:20:52,574 --> 00:20:54,511 I'm, uh, taking Baxter back. 410 00:20:55,245 --> 00:20:57,814 I've got a sensitive case, and something's up with Kwan. 411 00:20:57,847 --> 00:20:59,748 Um, does tonight's seat go with Baxter? 412 00:20:59,782 --> 00:21:02,085 -Nope. -All right. Take whoever you want. 413 00:21:02,118 --> 00:21:05,055 I do need to see if I can switch the seats to tomorrow. 414 00:21:05,088 --> 00:21:07,556 Oh. No, no, no. I got a... a late CABG tomorrow night. 415 00:21:07,589 --> 00:21:09,625 So... ...put that phone away, please. 416 00:21:10,193 --> 00:21:13,662 My patient's got a severe tib-fib malunion with vascular damage 417 00:21:13,695 --> 00:21:15,664 and critical limb ischemia. 418 00:21:15,697 --> 00:21:20,569 I've-I've either gotta amputate or... bring in a genius designated hitter. 419 00:21:21,071 --> 00:21:23,139 Is he a candidate for a fem-tib bypass? 420 00:21:23,605 --> 00:21:27,143 He's got anatomy distorted below the knee. No. 421 00:21:27,776 --> 00:21:29,913 No, it won't work. 422 00:21:29,946 --> 00:21:32,215 When I say "severe," I mean I've never seen a leg like this in my entire career. 423 00:21:32,248 --> 00:21:33,649 I can bypass anything. 424 00:21:34,050 --> 00:21:35,218 Even this? 425 00:21:36,585 --> 00:21:37,821 -Damn it. -Yeah. 426 00:21:38,288 --> 00:21:39,856 Not everybody's unstoppable. 427 00:21:39,889 --> 00:21:41,391 No, I can do it. 428 00:21:41,791 --> 00:21:46,262 Which means I won't be sitting behind home plate tonight. 429 00:21:46,963 --> 00:21:48,697 What if I never find her? 430 00:21:48,730 --> 00:21:50,366 -Seattle's not that big. -But it's that not small, either. 431 00:21:50,400 --> 00:21:52,135 And you're young. You'll meet somebody else. 432 00:21:52,168 --> 00:21:54,304 -Uh, maybe you dodged a bullet. -Every nightmare I ever dated 433 00:21:54,337 --> 00:21:57,240 -made a great first impression. -Or she's the love of your life. 434 00:21:57,273 --> 00:22:00,443 I-I'm sorry. Does nobody else find this a little bit creepy? 435 00:22:00,477 --> 00:22:02,245 I'm sure you're great, but stalking is not-- 436 00:22:02,278 --> 00:22:04,147 -Have you ever been in love? -This feels inappropriate. 437 00:22:04,180 --> 00:22:05,815 When you're in love, you don't give up. 438 00:22:05,849 --> 00:22:06,983 -Keep looking. -Okay. 439 00:22:07,317 --> 00:22:09,185 Here we go. 440 00:22:12,021 --> 00:22:13,622 Careful. 441 00:22:14,424 --> 00:22:16,126 Easy. 442 00:22:18,161 --> 00:22:19,429 All right, let's turn. 443 00:22:25,135 --> 00:22:26,202 Doing great. 444 00:22:26,768 --> 00:22:28,670 Brendon, does she have a mole on her neck? 445 00:22:28,704 --> 00:22:30,306 - On her right side. Did you find her? - I think so. 446 00:22:30,340 --> 00:22:32,142 You were right about the bugs. 447 00:22:32,175 --> 00:22:35,512 "Elena Ginsburg, member of the Greater Seattle Entomology Club"? 448 00:22:35,545 --> 00:22:38,581 What's entomology? Oh, my God. That's her. 449 00:22:38,615 --> 00:22:40,150 - No, no! - Brendon, don't move! 450 00:22:40,183 --> 00:22:42,318 Okay, run. Let's go! Let's go! 451 00:22:48,358 --> 00:22:50,793 Hey. We need to get him on the OR table right now. 452 00:22:50,827 --> 00:22:52,495 - We need to get in there. - Gown and glove. 453 00:22:52,529 --> 00:22:56,132 Okay, on my count. Ready? One, two, three. 454 00:22:56,866 --> 00:22:58,700 - Betadine. - Yeah, I'm on it. 455 00:22:58,734 --> 00:23:00,803 The ice pick in his aorta moved. 456 00:23:00,837 --> 00:23:02,704 We got him here in less than a minute. We can save him. 457 00:23:02,738 --> 00:23:04,274 Let's go. Let's go! 458 00:23:04,307 --> 00:23:06,342 All right, we're removing the ice pick. 459 00:23:09,812 --> 00:23:11,548 -Scalpel. -How can I help? 460 00:23:11,581 --> 00:23:13,316 You can give us some space. Come on, Brendon. 461 00:23:13,349 --> 00:23:15,485 You made it this far. Stay with me. 462 00:23:17,719 --> 00:23:19,022 That's not it. 463 00:23:19,055 --> 00:23:20,689 Yeah, maybe I should get back to rounds. 464 00:23:20,722 --> 00:23:23,626 Uh, Mr. Vizcaino's wound vac's not gonna check itself. 465 00:23:23,660 --> 00:23:26,762 Uh, we just checked it. You know, you made a very good point. 466 00:23:27,230 --> 00:23:28,865 I did? 467 00:23:28,898 --> 00:23:31,467 Yeah. There is a value to watching great surgical cases. 468 00:23:31,501 --> 00:23:34,003 All right. Ah. Found it. 469 00:23:36,406 --> 00:23:39,042 -What is that? -This, son, is a videotape. 470 00:23:39,075 --> 00:23:41,844 Yeah, I kn-know that. What's on it? 471 00:23:41,878 --> 00:23:43,413 Surgeries. 472 00:23:43,446 --> 00:23:47,183 Look, I'm talking Whipples and Roux-en-Ys and Puestows. 473 00:23:47,217 --> 00:23:51,321 Procedures that require real skill, not that surgical cowboy nonsense. 474 00:23:51,354 --> 00:23:55,191 You wanna watch and learn, you watch this. 475 00:23:56,392 --> 00:23:57,527 How? 476 00:24:02,799 --> 00:24:06,035 I'm almost finished with the first shunt. 477 00:24:06,402 --> 00:24:12,108 Suction. But careful, too aggressive a move could spell disaster. 478 00:24:14,544 --> 00:24:16,379 -This okay? -It's fine. 479 00:24:16,412 --> 00:24:20,283 Dr. Griffith recently did a solo surgery. First in her class. 480 00:24:20,316 --> 00:24:22,218 Wow, congratulations. 481 00:24:22,252 --> 00:24:25,787 - Ever seen a mesocaval shunt before? - -No, sir. 482 00:24:25,822 --> 00:24:29,325 Congratulations again. You're about to see one completed. 483 00:24:30,793 --> 00:24:31,928 Oh. Careful with this margin. 484 00:24:31,961 --> 00:24:33,963 -I see it. -Mmm. 485 00:24:33,997 --> 00:24:35,965 And why do we need the shunt? 486 00:24:35,999 --> 00:24:40,470 To bypass the SMV and provide outflow from the intestine 487 00:24:40,503 --> 00:24:42,372 while you resect the tumor... 488 00:24:42,405 --> 00:24:44,440 That was meant for Griffith. 489 00:24:44,474 --> 00:24:49,345 Yeah. But correct. You must have been one outstanding student. 490 00:24:49,946 --> 00:24:54,550 I like to think I still am. It helps to have amazing teachers. 491 00:24:54,584 --> 00:25:01,357 Okay. Shunt is done. Moving on to the periarterial divestment on the SMA. 492 00:25:06,629 --> 00:25:09,299 Just like we planned before, I'll start with the osteotomy. 493 00:25:09,332 --> 00:25:11,301 Can I help you, Dr. Kwan? 494 00:25:11,334 --> 00:25:13,236 I'm on Dr. Ndugu's service now. 495 00:25:13,269 --> 00:25:16,472 Um, fine. Just stand over there. 496 00:25:18,007 --> 00:25:20,009 I will re-break the bones in your leg, 497 00:25:20,043 --> 00:25:22,612 and I will realign them with plates and screws. 498 00:25:22,645 --> 00:25:24,614 That's when I'll go in and attempt the bypass 499 00:25:24,647 --> 00:25:26,849 -to improve blood flow to the leg. -Okay, great. Let's do it. 500 00:25:26,883 --> 00:25:28,885 I wanna keep my legs so I can keep traveling. 501 00:25:30,520 --> 00:25:32,488 Jack, we won't perform the surgery 502 00:25:32,522 --> 00:25:36,459 unless you agree to stop traveling while you properly heal. 503 00:25:38,227 --> 00:25:39,829 Okay, well, how long will that take? 504 00:25:39,862 --> 00:25:41,364 Months. If today goes well. 505 00:25:41,397 --> 00:25:43,666 How long does recovery from an amputation take? 506 00:25:44,867 --> 00:25:47,270 -Months. -And if I do nothing? 507 00:25:47,303 --> 00:25:48,771 Without urgent intervention, 508 00:25:48,806 --> 00:25:50,473 the wound on your leg could become infected, 509 00:25:50,506 --> 00:25:51,841 which could lead to sepsis. 510 00:25:58,047 --> 00:25:59,215 Okay. 511 00:26:01,017 --> 00:26:02,652 I want the surgery. 512 00:26:03,586 --> 00:26:05,054 We'll see you in the OR. 513 00:26:09,392 --> 00:26:13,062 Babcock. Fortunately, the tissue's not friable, 514 00:26:13,096 --> 00:26:17,400 so it peels right off the vessel with sharp dissection. 515 00:26:17,867 --> 00:26:19,635 Look at that. 516 00:26:19,669 --> 00:26:22,638 Fundamentally, it's no different than resecting any other tumor. 517 00:26:22,672 --> 00:26:23,740 There's some bleeding. 518 00:26:23,773 --> 00:26:25,241 - Where? - Then suction. 519 00:26:26,743 --> 00:26:28,978 Uh, did the tumor invade the SMA? 520 00:26:29,011 --> 00:26:31,347 It's possible. Yep. 521 00:26:31,381 --> 00:26:34,384 The tumor definitely breached the arterial wall. Clamp. 522 00:26:35,184 --> 00:26:38,388 We need 4-0 prolene. And more suction. 523 00:26:38,421 --> 00:26:41,859 Okay, I'll suture the SMA, and then we'll close. 524 00:26:42,258 --> 00:26:44,527 Close? W-We haven't finished. 525 00:26:44,927 --> 00:26:48,064 If we continue with the procedure, we're putting her in greater danger. 526 00:26:48,097 --> 00:26:50,233 What about blood supply to the small bowel? 527 00:26:50,933 --> 00:26:54,070 Tell your intern that's out of scope for this procedure. 528 00:26:54,103 --> 00:26:56,072 I am officially done here. 529 00:26:56,105 --> 00:27:00,610 You have successfully completed all your other cases. Why stop now? 530 00:27:02,145 --> 00:27:08,251 Dr. Chase? Okay, if you stop, will Gabby be a part of your study? 531 00:27:08,284 --> 00:27:10,787 I'm kind of in the middle of something if you haven't noticed-- 532 00:27:10,821 --> 00:27:12,789 - Dr. Chase. - Of course not. 533 00:27:12,823 --> 00:27:14,657 Her procedure was incomplete. 534 00:27:15,893 --> 00:27:17,727 So that's how you do it. 535 00:27:17,760 --> 00:27:21,697 I thought it was unparalleled expertise and steady hands. 536 00:27:21,731 --> 00:27:23,266 But it's cutting and running 537 00:27:23,299 --> 00:27:25,234 before there are consequences, at least, for you. 538 00:27:25,268 --> 00:27:27,270 Dr. Bailey, her small bowel's becoming dusky. 539 00:27:27,303 --> 00:27:31,541 Okay. Uh, if we stop, she will die. 540 00:27:31,574 --> 00:27:34,110 I told you, I'm done here. 541 00:27:35,011 --> 00:27:36,779 You're damn right you are. 542 00:27:36,814 --> 00:27:38,581 No. I will finish. 543 00:27:38,614 --> 00:27:41,117 Your patient is no longer a candidate for this procedure-- 544 00:27:41,150 --> 00:27:44,320 Then by all means, don't let me keep you. There's the door. Use it! 545 00:27:45,988 --> 00:27:49,125 I need a stool, please. 546 00:27:49,158 --> 00:27:51,260 - Right away, doctor. - What do we do now? 547 00:27:51,294 --> 00:27:55,631 Uh, I don't know, but we sure as hell aren't closing. 548 00:28:05,475 --> 00:28:06,944 Just have to put in a few more, 549 00:28:06,976 --> 00:28:09,178 and if the alignment's in check, it's all you. 550 00:28:10,046 --> 00:28:11,614 When was the original fracture? 551 00:28:11,647 --> 00:28:13,483 Eighteen months ago. 552 00:28:13,516 --> 00:28:16,319 He was treated abroad, but he started weight-bearing way too soon. 553 00:28:16,352 --> 00:28:18,354 Nearly lost his leg today, but, hey, 554 00:28:18,688 --> 00:28:21,991 I bet the beer was damn tasty after seeing the Great Migration in the Serengeti. 555 00:28:22,024 --> 00:28:25,328 What? That's why he risked amputation? He didn't wanna cancel a trip? 556 00:28:25,361 --> 00:28:27,363 - That's what he said. - He lied to you. 557 00:28:27,396 --> 00:28:28,498 Drill. 558 00:28:28,866 --> 00:28:31,200 Jack's brother was an extreme adventurer. 559 00:28:31,234 --> 00:28:33,135 He booked a trip around the world. 560 00:28:33,169 --> 00:28:34,805 Motorcycle tours mostly. 561 00:28:34,838 --> 00:28:36,672 He died unexpectedly two years ago. 562 00:28:36,706 --> 00:28:39,843 Jack quit his job, and he's been spreading his brother's ashes 563 00:28:39,877 --> 00:28:42,612 in every country his brother wanted to see before he died. 564 00:28:42,645 --> 00:28:45,715 He could have avoided all this if he let himself heal physically, 565 00:28:46,349 --> 00:28:50,052 but spreading his brother's ashes probably healed something, too. 566 00:28:51,220 --> 00:28:53,189 Done. Ndugu, you're up. 567 00:28:53,589 --> 00:28:56,860 All right. Let's hope I didn't make you do all that work for nothing, huh? 568 00:28:56,894 --> 00:28:58,694 Potts scissors, please. 569 00:29:01,430 --> 00:29:04,200 Okay, watch this now. I'm going to... 570 00:29:05,368 --> 00:29:08,771 Oh, come on here. Come on. 571 00:29:10,439 --> 00:29:13,709 You know, they have places that convert these old tapes. 572 00:29:13,743 --> 00:29:14,945 Oh, to DVDs? 573 00:29:16,612 --> 00:29:18,381 Ah, here we go. All right. 574 00:29:18,414 --> 00:29:21,717 Now I'm going to dissect the lateral peritoneal attachments. 575 00:29:21,751 --> 00:29:25,121 -The Kocher maneuver. -Exactly. Here's the incision... 576 00:29:25,588 --> 00:29:28,391 Uh, are you using your finger to open up the duodenum? 577 00:29:28,424 --> 00:29:31,527 Yeah. Simple and effective. See? That's how I was taught. 578 00:29:32,595 --> 00:29:33,696 Huh. 579 00:29:35,966 --> 00:29:38,768 It's Bailey. It's a 9-1-1. 580 00:29:43,439 --> 00:29:47,276 I can't believe I fell for that man's snake oil. 581 00:29:47,643 --> 00:29:50,646 Did you have any idea when you were in Baltimore? 582 00:29:51,414 --> 00:29:52,916 Where's Chase? 583 00:29:52,950 --> 00:29:55,084 -Uh, you were right. Don't gloat. -About what? 584 00:29:55,117 --> 00:29:57,720 Gabby's tumor grew through the wall of the SMA. 585 00:29:57,753 --> 00:30:01,624 -Chase transected it while resecting. -Then decided to take a break? 586 00:30:02,158 --> 00:30:04,260 Dr. Bailey asked him to leave 587 00:30:04,293 --> 00:30:08,065 after figuring out he's been selective about the patients in his study. 588 00:30:10,132 --> 00:30:13,769 Well, the artery is shot. He did a nice job on the shunt, though. 589 00:30:13,804 --> 00:30:17,273 Adams, see how he rerouted the SMV to the IVC? 590 00:30:17,306 --> 00:30:19,642 Hey, look, I know this is a teachable moment, 591 00:30:19,675 --> 00:30:23,479 but every minute that goes by increases the chances of Gabby's bowel necrosing. 592 00:30:23,512 --> 00:30:30,020 And as much as I appreciate the genius of Chase's rerouting, we need to... 593 00:30:32,755 --> 00:30:34,290 What are you thinking? 594 00:30:34,657 --> 00:30:38,628 What if we used a saphenous vein graft to reconstruct the SMA? 595 00:30:38,661 --> 00:30:43,432 W-We could restore the blood supply and remove the invaded vessel. 596 00:30:43,934 --> 00:30:45,601 And the whole tumor with it. 597 00:30:45,635 --> 00:30:47,570 You think that's too risky? 598 00:30:47,603 --> 00:30:49,940 Only if you don't have enough hands. Adams, we're scrubbing in. 599 00:30:51,108 --> 00:30:53,309 - Okay. - Okay. Okay. 600 00:30:53,342 --> 00:30:54,945 We got a plan. We got a plan. 601 00:31:01,384 --> 00:31:04,021 There's too much bleeding. Can you see where it's coming from? 602 00:31:04,387 --> 00:31:05,755 How many units has he had? 603 00:31:05,788 --> 00:31:06,990 Four units. 604 00:31:19,702 --> 00:31:22,638 His heart won't restart. Warren, get over here. 605 00:31:24,841 --> 00:31:26,143 Take over compressions. 606 00:31:27,044 --> 00:31:29,146 Come on, Brendon. Come on. 607 00:31:45,394 --> 00:31:46,997 All right, stop compressions. 608 00:31:47,363 --> 00:31:48,531 Let me in there. 609 00:31:50,566 --> 00:31:52,201 All right, charge to 40. Clear. 610 00:31:54,670 --> 00:31:57,273 Charge again. Clear. 611 00:31:59,341 --> 00:32:01,044 It's been too long. 612 00:32:01,510 --> 00:32:04,747 He didn't give up. We can't either. All right. Charge to 50. Clear. 613 00:32:05,514 --> 00:32:06,917 - Teddy. - Come on. 614 00:32:06,950 --> 00:32:09,285 - Damn it. Let me in there. - Teddy. 615 00:32:15,758 --> 00:32:17,226 Come on. 616 00:32:21,430 --> 00:32:22,732 Teddy. 617 00:32:23,766 --> 00:32:26,903 Teddy! It's over. You've done all you can. 618 00:32:43,086 --> 00:32:46,089 Time of death, 19:24. 619 00:33:05,674 --> 00:33:07,144 I spoke to Brendon's parents. 620 00:33:07,576 --> 00:33:09,678 It shouldn't have gone like this. 621 00:33:13,582 --> 00:33:16,619 I, uh... I have a lot of paperwork to get through. You should just go. 622 00:33:17,020 --> 00:33:20,824 Teddy. Teddy, we need to talk about this. 623 00:33:21,258 --> 00:33:22,793 Now is not a good time. 624 00:33:26,462 --> 00:33:29,800 So, you're happy to work on our marriage when it means sleeping with Cass Beckman, 625 00:33:29,833 --> 00:33:31,802 but when I wanna have a difficult conversation-- 626 00:33:31,835 --> 00:33:34,303 Oh. I'm sorry, who slept with someone else? Not me. 627 00:33:35,504 --> 00:33:38,674 What did you think was gonna happen when we opened our marriage? 628 00:33:40,877 --> 00:33:42,179 I'm gonna be late. Um... 629 00:33:43,312 --> 00:33:44,647 Don't wait up for me. 630 00:34:01,898 --> 00:34:03,365 She's going to be okay, right? 631 00:34:03,399 --> 00:34:06,236 She needs a lot of rest, but she's doing very well. 632 00:34:06,870 --> 00:34:08,071 Thank you. 633 00:34:12,209 --> 00:34:15,078 You hear that, baby girl? You're gonna be okay. 634 00:34:16,579 --> 00:34:19,850 Thank you so much. Dr. Chase go back to DC? 635 00:34:19,883 --> 00:34:23,686 Uh, I don't know. He was not able to complete the surgery. 636 00:34:23,719 --> 00:34:27,023 But we had other surgeons step in and help, 637 00:34:27,057 --> 00:34:29,226 and we resected the tumor. 638 00:34:30,193 --> 00:34:31,294 You got it all? 639 00:34:31,328 --> 00:34:33,296 -No more tumor? -We did. 640 00:34:33,330 --> 00:34:34,563 I can't believe it. 641 00:34:35,065 --> 00:34:37,000 Dr. Chase taught you his technique? 642 00:34:37,033 --> 00:34:39,903 Dr. Bailey developed her own. 643 00:34:40,369 --> 00:34:42,038 That's what saved Gabby. 644 00:34:44,207 --> 00:34:46,375 I, uh... I'm so grateful. 645 00:34:46,408 --> 00:34:49,712 Thank you for taking care of my baby girl. 646 00:34:50,947 --> 00:34:53,950 You're gonna keep calling me that, a-aren't you? 647 00:34:56,253 --> 00:34:58,420 Forever and ever. 648 00:35:00,556 --> 00:35:01,790 Oh, my God. 649 00:35:03,360 --> 00:35:04,961 Uh, we'll give you some time. 650 00:35:11,101 --> 00:35:12,701 -Griffith. -Hmm? 651 00:35:15,238 --> 00:35:18,407 Uh, he must have been terrible to work for. 652 00:35:19,742 --> 00:35:21,378 I ended up in the right place. 653 00:35:23,246 --> 00:35:24,747 Excellent work today. 654 00:35:38,460 --> 00:35:41,530 Is it still there? My leg? 655 00:35:41,563 --> 00:35:44,234 Dr. Lincoln and Dr. Ndugu will be in soon, 656 00:35:44,267 --> 00:35:48,570 but they were able to realign your bone and reestablish blood flow. 657 00:35:48,604 --> 00:35:50,639 It was pretty amazing. 658 00:35:54,177 --> 00:35:55,845 You probably think I'm an idiot. 659 00:35:57,314 --> 00:35:58,480 I... 660 00:35:59,782 --> 00:36:03,353 think that you were in pain and taking the time to heal. 661 00:36:03,752 --> 00:36:05,422 It sucks, but... 662 00:36:06,823 --> 00:36:08,757 Especially after losing someone. 663 00:36:09,525 --> 00:36:11,294 And now I'm stuck in a bed. 664 00:36:12,661 --> 00:36:14,197 About that. 665 00:36:16,132 --> 00:36:21,104 These are VR goggles. We keep a few of them in our skills lab. 666 00:36:21,137 --> 00:36:22,771 They help us practice procedures. 667 00:36:22,806 --> 00:36:24,506 But I was able to download a program 668 00:36:24,540 --> 00:36:26,977 that allows you to visit spots across the globe. 669 00:36:27,010 --> 00:36:28,812 Uh, virtually, that is. 670 00:36:28,845 --> 00:36:31,815 I thought it would help distract you from being stuck here. 671 00:36:34,884 --> 00:36:36,353 Thank you. 672 00:36:37,686 --> 00:36:39,289 You're welcome. 673 00:36:44,361 --> 00:36:45,694 Dr. Lincoln? 674 00:36:47,364 --> 00:36:49,165 I am sorry about today. 675 00:36:49,199 --> 00:36:50,834 It's no excuse, 676 00:36:50,867 --> 00:36:55,105 but I've been going through something in my personal life. 677 00:36:55,138 --> 00:36:57,340 I'm impressed you even have a personal life. 678 00:36:57,374 --> 00:36:59,175 When I was an intern, 679 00:36:59,209 --> 00:37:01,211 there was a 32-day stretch where I didn't see the sunlight. 680 00:37:01,911 --> 00:37:03,346 It's probably for the best. 681 00:37:03,380 --> 00:37:05,714 And I'll get a life when I'm an attending. 682 00:37:09,685 --> 00:37:12,355 Hey. What is this? Why are you still in your scrubs? 683 00:37:12,389 --> 00:37:15,225 We can still make it by the third inning if we hurry, but we gotta go. 684 00:37:15,925 --> 00:37:17,994 You didn't take another surgery, did you? 685 00:37:19,062 --> 00:37:20,497 We're still going, right? 686 00:37:21,398 --> 00:37:23,166 Hey, Chief, your post-op notes are done, 687 00:37:23,199 --> 00:37:25,869 and I'll check in the ER for any consults before I go. 688 00:37:25,902 --> 00:37:27,937 No need to announce it. Just get it done. 689 00:37:28,570 --> 00:37:29,605 Okay. 690 00:37:30,006 --> 00:37:31,408 Hey, Chief. 691 00:37:32,541 --> 00:37:35,912 I'm sorry I screwed up during the heat dome, all right? 692 00:37:35,945 --> 00:37:38,547 I wish I could go back in time and do it better, but I can't. 693 00:37:38,580 --> 00:37:43,086 All I can do is play by the rules today. And I am trying really hard. 694 00:37:43,619 --> 00:37:47,057 But if that's not good enough, just... just call it. 695 00:37:48,191 --> 00:37:49,359 Good night. 696 00:37:53,096 --> 00:37:56,765 -I know it's complicated... -Is that Seattle Grace? 697 00:37:56,800 --> 00:38:00,669 It's Midvale General, Adele's favorite soap. 698 00:38:00,702 --> 00:38:04,107 It appears she taped over my esophagectomy. 699 00:38:04,140 --> 00:38:06,742 Uh, that's disappointing. I'm sorry. 700 00:38:07,110 --> 00:38:09,079 Not as sorry as Dr. Lehane's gonna be 701 00:38:09,112 --> 00:38:12,549 when he finds out his wife's pregnant with his brother's baby. 702 00:38:14,384 --> 00:38:16,585 When I first read Chase's work, 703 00:38:16,618 --> 00:38:19,956 I thought it was too good to be true. 704 00:38:20,423 --> 00:38:22,258 And I still fell for it. 705 00:38:22,292 --> 00:38:27,696 Yeah. People like Chase prey on our optimism and hope. 706 00:38:27,729 --> 00:38:30,800 The indictment's on him, not you. 707 00:38:31,835 --> 00:38:35,637 But I brought him here. 708 00:38:35,671 --> 00:38:42,545 I misled our residents into believing that these tumors could be resected. 709 00:38:42,579 --> 00:38:45,647 And apparently they can. 710 00:38:47,083 --> 00:38:48,451 You were able to do it. 711 00:38:48,918 --> 00:38:52,288 We were. 712 00:39:07,703 --> 00:39:08,872 Dr. Chase. 713 00:39:09,873 --> 00:39:11,508 Griffith. You need something? 714 00:39:11,541 --> 00:39:14,177 Oh. I can't change Baltimore's decision to terminate you, 715 00:39:14,210 --> 00:39:15,677 so don't bother asking. 716 00:39:15,711 --> 00:39:19,249 I'm not. I'm glad I'm here. I wasn't at first. 717 00:39:19,282 --> 00:39:22,485 I spent a lot of time wondering what I could've done 718 00:39:22,519 --> 00:39:25,622 to make you see what a good surgeon I could be. 719 00:39:25,654 --> 00:39:27,689 But today I realized it wouldn't have mattered. 720 00:39:28,124 --> 00:39:31,294 You don't care about teaching. You don't care about your patients. 721 00:39:31,327 --> 00:39:32,829 You only care about you. 722 00:39:32,862 --> 00:39:36,299 Maybe that gets you published, wins you awards. 723 00:39:37,167 --> 00:39:39,102 But it does not make you a good doctor. 724 00:39:39,135 --> 00:39:42,939 Well, that's... ...a lot of opinions from an intern 725 00:39:42,972 --> 00:39:45,608 who's only done one surgery on their own. 726 00:39:45,642 --> 00:39:47,544 Here's what you could've done to impress me. 727 00:39:47,577 --> 00:39:50,847 You could've been more specific in your post-op notes. 728 00:39:50,880 --> 00:39:53,516 "Better" doesn't really tell me anything useful. 729 00:39:53,550 --> 00:39:55,818 Could've been more assertive with your patients, 730 00:39:55,852 --> 00:39:58,821 and there was too much slack in your sliding half-knots. 731 00:39:58,855 --> 00:40:00,722 Still is, from what I saw in there today. 732 00:40:00,756 --> 00:40:02,659 Stands to reason, I suppose, 733 00:40:02,691 --> 00:40:06,563 given your mentor who's really no great shakes herself. 734 00:40:07,197 --> 00:40:09,899 Good luck, Dr. Griffith. You need it. 735 00:40:10,400 --> 00:40:14,070 When you're in pain, you can grin and bear it all you want. 736 00:40:15,104 --> 00:40:17,407 You can try to pretend it's not there. 737 00:40:18,341 --> 00:40:21,878 Have you seen this map? We're right behind home plate. 738 00:40:21,911 --> 00:40:23,213 Yeah, yeah. 739 00:40:23,246 --> 00:40:25,714 We get a concession server? 740 00:40:26,883 --> 00:40:30,453 Lincoln was right. I did need a night out. 741 00:40:31,387 --> 00:40:33,256 Glad he could help you out. 742 00:40:33,289 --> 00:40:38,094 I love baseball. You love baseball? Wait, are you for Seattle or Boston? 743 00:40:38,595 --> 00:40:41,631 When we get there, just pretend it's the OR. 744 00:40:42,031 --> 00:40:43,900 Okay? Hey, don't talk. 745 00:40:43,933 --> 00:40:46,236 Okay? Don't talk. 746 00:40:50,607 --> 00:40:52,542 But there's no glory in suffering. 747 00:40:52,575 --> 00:40:55,411 He said my sliding half-knots were sloppy. 748 00:40:55,445 --> 00:40:57,013 His shirt and tie didn't match. 749 00:40:57,046 --> 00:40:59,449 -He insulted Bailey. -No! 750 00:41:00,250 --> 00:41:01,584 Karma will get him. 751 00:41:01,618 --> 00:41:04,587 -Or a malpractice attorney. -Mmm. 752 00:41:05,488 --> 00:41:07,023 Hey, how was your day? 753 00:41:07,056 --> 00:41:09,225 Actually, uh, pretty great. 754 00:41:09,259 --> 00:41:13,229 Dr. Webber said he's gonna talk to Dr. Fox about letting me back into our class-- 755 00:41:13,263 --> 00:41:15,932 Nope, keep your good news to yourself. 756 00:41:15,965 --> 00:41:18,301 -We're moping. -Yeah, this is Mopetown. 757 00:41:18,334 --> 00:41:21,137 Population, two. I'm the mayor. She's the comptroller. 758 00:41:21,170 --> 00:41:22,338 What's a comptroller? 759 00:41:22,805 --> 00:41:24,641 I don't know. I don't care. 760 00:41:24,674 --> 00:41:26,876 I thought you'd be happy for me. 761 00:41:26,909 --> 00:41:29,778 I am. It's just been a long day. 762 00:41:30,146 --> 00:41:32,315 Yeah, so get on board or get out. 763 00:41:32,649 --> 00:41:34,050 I'm pretty beat. 764 00:41:34,083 --> 00:41:36,219 I'll see you upstairs? 765 00:41:36,252 --> 00:41:37,487 Okay. 766 00:41:38,655 --> 00:41:42,125 Okay, will you come with me to, like, a bug society meeting, 767 00:41:42,158 --> 00:41:44,794 so I can tell this girl that my patient died? 768 00:41:44,827 --> 00:41:46,763 No. That's not what a comptroller does. 769 00:41:46,796 --> 00:41:48,131 -What? -Yeah. 770 00:41:48,164 --> 00:41:50,233 - There's no reward. - Sorry. 771 00:41:50,266 --> 00:41:54,904 - It doesn't make you wiser. - Or stronger. 772 00:41:54,937 --> 00:41:56,673 It doesn't make you immune. 773 00:42:11,821 --> 00:42:13,356 Did you even hesitate? 774 00:42:14,957 --> 00:42:16,326 When you slept with someone else? 775 00:42:16,359 --> 00:42:17,727 -Of course I did. -Hmm. 776 00:42:20,530 --> 00:42:24,834 I love you. Teddy, only you. 777 00:42:25,902 --> 00:42:27,970 That night meant nothing. 778 00:42:33,242 --> 00:42:34,410 Hey. 779 00:42:36,879 --> 00:42:38,081 Teddy, come here. 780 00:42:42,919 --> 00:42:44,520 It's gonna be okay. 781 00:42:44,554 --> 00:42:46,522 Sometimes it makes the pain even worse. 62739

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