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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:07,580 --> 00:00:10,168 The classic experiment on pain tolerance is 2 00:00:10,169 --> 00:00:12,308 to submerge your hand in freezing cold water... 3 00:00:12,309 --> 00:00:14,551 - Hi! - ...and see how long you can take it. 4 00:00:14,552 --> 00:00:17,348 All right, troops. Let's get our shoes. We got five minutes, okay? 5 00:00:18,211 --> 00:00:20,869 Hey. Welcome home. 6 00:00:22,250 --> 00:00:25,079 Sorry, it's just... I'm... I've been up since 4:00 a.m. 7 00:00:25,080 --> 00:00:26,357 I missed you. 8 00:00:28,704 --> 00:00:31,604 Listen, um, while I was away-- 9 00:00:32,605 --> 00:00:35,917 - No, I'll... - No, I'll go. You get ready, okay? 10 00:00:35,918 --> 00:00:39,093 You can try to distract yourself by counting slowly 11 00:00:39,094 --> 00:00:40,578 or focusing on your breath. 12 00:00:41,131 --> 00:00:45,168 ♪ And no one's happy now Can we make it okay?♪ 13 00:00:45,169 --> 00:00:47,101 - Did you sleep? - Sure. 14 00:00:47,102 --> 00:00:48,552 Are you okay? 15 00:00:49,725 --> 00:00:51,313 Give me ten minutes. 16 00:00:52,142 --> 00:00:53,935 You can have 15 if you shower. 17 00:00:53,936 --> 00:00:56,283 Hey, uh, I wanted to head in early and try to get on a good service 18 00:00:56,284 --> 00:00:58,250 before grand rounds. 19 00:00:58,251 --> 00:01:00,390 Molly was discharged last night. She's already back in California. 20 00:01:00,391 --> 00:01:04,118 So Kwan's broken heart trumps me trying to get back into our class? 21 00:01:04,119 --> 00:01:08,812 No, but how many times has he waited for us? 22 00:01:08,813 --> 00:01:12,264 ♪ Like sunburn on my skin ♪ 23 00:01:12,265 --> 00:01:14,578 ♪ You never learn ♪ 24 00:01:15,475 --> 00:01:17,305 Kwan, you got 13 minutes! 25 00:01:19,238 --> 00:01:20,893 We've got 13 minutes. 26 00:01:20,894 --> 00:01:22,757 But no matter how high you count, 27 00:01:22,758 --> 00:01:24,277 or how deeply you breathe, 28 00:01:24,760 --> 00:01:27,245 that water is still undeniably cold. 29 00:01:27,246 --> 00:01:30,903 I'm gone two days and everything's trash. 30 00:01:30,904 --> 00:01:33,113 Today is not the day for trash. 31 00:01:33,114 --> 00:01:36,047 Oh, I could help if I was on your service. 32 00:01:36,531 --> 00:01:39,291 A world-renowned surgeon is coming here 33 00:01:39,292 --> 00:01:41,638 to see my patient for grand rounds, 34 00:01:41,639 --> 00:01:43,157 I'm buried in paperwork, 35 00:01:43,158 --> 00:01:45,297 and the attendings' lounge is out of oat creamer. 36 00:01:45,298 --> 00:01:48,818 So I don't have time for whatever this is you're trying to pull. 37 00:01:48,819 --> 00:01:51,131 Well, I-I just don't think I should be on Altman's service. 38 00:01:51,132 --> 00:01:53,823 You know, not-not until I get back in her good graces. 39 00:01:53,824 --> 00:01:56,860 Well, how do you think you're gonna get there if you never work with her? 40 00:01:56,861 --> 00:01:58,518 Bribery? 41 00:01:59,209 --> 00:02:02,797 Oh. Oh, okay, he's on his way. 42 00:02:04,145 --> 00:02:06,318 Uh, thank you. Mmm. 43 00:02:09,702 --> 00:02:13,498 Perfect. Yes, yeah. Good. Oh, one second. 44 00:02:13,499 --> 00:02:15,879 Good morning. Glad you decided to come. 45 00:02:15,880 --> 00:02:18,848 Well, I thought I'd come and see what all the fuss was about. 46 00:02:18,849 --> 00:02:20,505 Here. Right there. 47 00:02:20,506 --> 00:02:22,991 - Late night? - It was for Maxine and Gino. 48 00:02:23,474 --> 00:02:25,303 In their room next to mine. 49 00:02:25,304 --> 00:02:28,340 She really cycles through boyfriends. What happened to Claude? 50 00:02:28,341 --> 00:02:30,308 - Oh, he died. - I am truly sorry. 51 00:02:30,309 --> 00:02:32,862 No, he made it to his 100th birthday. That was his goal. 52 00:02:32,863 --> 00:02:34,381 You want one? 53 00:02:34,382 --> 00:02:36,210 I'd rather drink gasoline. 54 00:02:36,211 --> 00:02:40,870 Good morning, everyone. I would like to introduce Gabby Mims. 55 00:02:40,871 --> 00:02:42,872 Hello. 56 00:02:42,873 --> 00:02:47,877 Uh, four months ago, Gabby was diagnosed with pancreatic adenocarcinoma 57 00:02:47,878 --> 00:02:52,019 and began neoadjuvant chemotherapy to shrink the tumor. 58 00:02:52,020 --> 00:02:56,679 But because it encases several critical blood vessels, 59 00:02:56,680 --> 00:03:00,993 it's considered very high-risk and doesn't meet the guidelines 60 00:03:00,994 --> 00:03:02,650 for surgical resection. 61 00:03:02,651 --> 00:03:06,171 That is where today's guest comes in. 62 00:03:06,172 --> 00:03:12,936 He is taking on difficult cases like this to give patients hope of cancer remission. 63 00:03:12,937 --> 00:03:18,666 So please join me in welcoming one of my surgical heroes, 64 00:03:18,667 --> 00:03:21,601 Dr. Joseph Chase. 65 00:03:30,300 --> 00:03:31,577 Oh, my God. 66 00:03:32,094 --> 00:03:34,026 You know him? 67 00:03:34,027 --> 00:03:37,479 He got me kicked out of my first residency program. 68 00:03:44,279 --> 00:03:48,213 No. No, I'm not okay. 69 00:03:48,214 --> 00:03:50,181 No, I can't calm down. So save your breath. 70 00:03:50,561 --> 00:03:52,424 Fine. But maybe you could speed up the freaking out. 71 00:03:52,425 --> 00:03:54,288 - Bailey noticed your seat is empty. - Screw Bailey. 72 00:03:54,289 --> 00:03:56,359 She should name the grand rounds guests in the emails. 73 00:03:56,360 --> 00:03:59,569 Yeah, you think you could've gotten away with skipping grand rounds? 74 00:03:59,570 --> 00:04:02,124 I think we can get away with about 45 seconds. So, go. 75 00:04:02,470 --> 00:04:04,747 He never requested me on his service, 76 00:04:04,748 --> 00:04:07,301 he looked past me in rounds, he never remembered my name. 77 00:04:07,302 --> 00:04:10,442 I learned to handle it. But when he... ...neglected 78 00:04:10,443 --> 00:04:14,654 a Black patient with chronic pancreatitis for weeks, 79 00:04:15,276 --> 00:04:16,759 I tried to ignore it, 80 00:04:16,760 --> 00:04:18,623 but when her symptoms worsened significantly overnight, 81 00:04:18,624 --> 00:04:22,697 I told him I was concerned she wasn't being seen. 82 00:04:23,422 --> 00:04:26,286 He informed me, if I was going to make a habit 83 00:04:26,287 --> 00:04:28,115 out of telling him things he already knew, 84 00:04:28,116 --> 00:04:31,326 I could go be disrespectful at another program. 85 00:04:32,189 --> 00:04:33,811 Which led to... 86 00:04:34,640 --> 00:04:38,159 The scrub room incident. 87 00:04:38,160 --> 00:04:40,024 And during my expulsion review, 88 00:04:41,302 --> 00:04:45,339 he called out my "aggressive behavior" and my "subpar" surgical skills. 89 00:04:45,340 --> 00:04:48,273 - Well, he clearly didn't know you at all. - Thank you. 90 00:04:48,274 --> 00:04:49,964 Right. Come on. We have to go back in. 91 00:04:49,965 --> 00:04:52,795 I can't watch Bailey fawn over him. 92 00:04:52,796 --> 00:04:56,005 She is who you work for now. You said he never saw you. 93 00:04:56,006 --> 00:05:00,182 Just get through the lecture, lay low, and then you never have to see him again. 94 00:05:02,253 --> 00:05:03,531 - Okay? - Okay. 95 00:05:08,259 --> 00:05:11,538 Just give me... Just give me another minute. 96 00:05:11,539 --> 00:05:14,886 ...portion of the IVC. 97 00:05:14,887 --> 00:05:17,854 I'll start by placing a mesocaval shunt, 98 00:05:17,855 --> 00:05:22,480 connecting the IVC past the location of the tumor 99 00:05:22,481 --> 00:05:25,379 and rerouting the small intestine outflow. 100 00:05:25,380 --> 00:05:29,072 And that's before I begin the periarterial divestment, 101 00:05:29,073 --> 00:05:31,868 during which I will resect the cancerous tissue 102 00:05:31,869 --> 00:05:34,871 surrounding the vessels, one of which is... 103 00:05:34,872 --> 00:05:36,735 The superior mesenteric artery. 104 00:05:36,736 --> 00:05:39,324 Good. And it is significant because? 105 00:05:39,325 --> 00:05:41,153 It supplies oxygenated blood 106 00:05:41,154 --> 00:05:43,708 to the pancreatic head, small intestines and parts of the colon. 107 00:05:43,709 --> 00:05:46,400 Your residents are quick on the draw, Dr. Bailey. 108 00:05:46,401 --> 00:05:48,229 Uh, Dr. Chase, 109 00:05:48,230 --> 00:05:51,094 surgical guidelines classify these tumors as inoperable. 110 00:05:51,095 --> 00:05:53,269 How can you ignore the recommendations? 111 00:05:53,270 --> 00:05:58,239 Well, I don't think all patients fall under the same criteria for resection. 112 00:05:58,240 --> 00:06:00,069 We may find that some actually benefit. 113 00:06:00,070 --> 00:06:01,588 By experimenting on them? 114 00:06:01,589 --> 00:06:04,626 Why don't I let our patient answer that one? 115 00:06:05,524 --> 00:06:06,973 I want to live. 116 00:06:07,457 --> 00:06:12,151 Following the guidelines might give me a few months, maybe a year. 117 00:06:12,772 --> 00:06:16,016 Dr. Chase's surgery could give me much longer. 118 00:06:16,017 --> 00:06:18,468 And his success rate is stellar. 119 00:06:18,951 --> 00:06:21,262 - He's planning to publish... - Soon. 120 00:06:21,263 --> 00:06:25,025 And I wanted to include Gabby, and you and your resident. 121 00:06:25,026 --> 00:06:26,440 Who have you chosen to assist? 122 00:06:26,441 --> 00:06:28,925 Uh, Griffith. Hi, uh, you're scrubbing in. 123 00:06:28,926 --> 00:06:32,274 Uh, and as for everyone else, thank you, you're dismissed. 124 00:06:34,242 --> 00:06:36,450 Okay, you got this. You're Simone Griffith. 125 00:06:36,451 --> 00:06:38,694 You take your excellence and you shove it down his throat. 126 00:06:38,695 --> 00:06:43,940 Uh, this is Dr. Griffith, one of our program's shining stars. 127 00:06:43,941 --> 00:06:45,426 Oh, I know Dr. Griffith. 128 00:06:45,909 --> 00:06:47,288 You do? 129 00:06:47,289 --> 00:06:49,153 Yes, our paths crossed when I worked in Baltimore. 130 00:06:49,568 --> 00:06:52,121 Good to see you thriving here, Dr. Griffith. 131 00:06:52,122 --> 00:06:54,918 Shall we go show our patient back to her room? 132 00:06:55,850 --> 00:06:56,953 Of course. 133 00:06:56,954 --> 00:06:58,577 Mmm. 134 00:07:00,751 --> 00:07:02,925 Morning. How was the conference? 135 00:07:02,926 --> 00:07:04,134 Educational. 136 00:07:05,515 --> 00:07:07,447 I'm sure Hunt's glad to have you back. 137 00:07:07,448 --> 00:07:09,310 You know, I barely survived with only one toddler. 138 00:07:09,311 --> 00:07:10,484 I don't know how he managed two-- 139 00:07:10,485 --> 00:07:11,968 We have an incoming trauma 140 00:07:11,969 --> 00:07:15,179 and a suspected acute diverticulitis in bed two. 141 00:07:15,663 --> 00:07:18,492 I'm here to help. Uh, want me to start her on broad spectrum antibiotics? 142 00:07:18,493 --> 00:07:22,185 Only if you know something that I don't. I am waiting on her scans. 143 00:07:22,186 --> 00:07:23,842 Sorry. Just trying to anticipate what you need. 144 00:07:23,843 --> 00:07:26,501 What I need is for you to get her to CT. 145 00:07:27,019 --> 00:07:28,469 Will do, Chief. 146 00:07:30,816 --> 00:07:32,162 - Hey. - Hey. 147 00:07:33,646 --> 00:07:37,304 Hey, so I thought we could go to your favorite Italian place tonight. 148 00:07:37,305 --> 00:07:39,479 Look, I don't want an open marriage. 149 00:07:39,480 --> 00:07:41,688 I almost slept with someone in Oakland, but I couldn't go through with it. 150 00:07:41,689 --> 00:07:45,900 I am so sorry. But I don't want to be with anybody else. I only want you. 151 00:07:47,798 --> 00:07:49,490 Me too. 152 00:07:50,801 --> 00:07:52,044 - Really? - Yeah. 153 00:07:53,528 --> 00:07:57,393 You know, change was worth a try, but I only want to be with you too. 154 00:07:57,394 --> 00:08:00,328 D... Did you try? 155 00:08:00,915 --> 00:08:04,505 Rig's outside. You want me to do the intake or... 156 00:08:05,713 --> 00:08:06,886 We've got it. 157 00:08:11,891 --> 00:08:15,135 Brendon Browning, 25-year-old male, penetrating injury 158 00:08:15,136 --> 00:08:16,861 to the chest from an ice pick, 159 00:08:16,862 --> 00:08:19,553 50 mics of fentanyl en route. GCS 15, hemodynamically stable. 160 00:08:19,554 --> 00:08:21,382 And I'm in love. 161 00:08:21,383 --> 00:08:22,694 Please don't move. This ice pick is in a very dangerous area. 162 00:08:22,695 --> 00:08:24,144 Is your partner on their way? 163 00:08:24,145 --> 00:08:26,629 Oh, she's not... Uh, we're not together. Yet. 164 00:08:26,630 --> 00:08:27,873 I just met her this morning. 165 00:08:28,598 --> 00:08:31,221 - Okay, let's get him to trauma 1. - We got you, Brendon. 166 00:08:43,129 --> 00:08:45,165 What the hell is happening? 167 00:08:45,166 --> 00:08:49,550 Uh, former patient of mine gave me two tickets to tonight's game 168 00:08:49,895 --> 00:08:52,379 right behind home plate. 169 00:08:52,380 --> 00:08:54,277 - You free? - What's the catch? 170 00:08:54,278 --> 00:08:55,452 - There's no catch. - Mmm. 171 00:08:56,142 --> 00:08:59,248 I... I have Baxter as my intern today, you have Kwan. 172 00:08:59,249 --> 00:09:01,215 If I'm gonna make it to this game on time, 173 00:09:01,216 --> 00:09:03,908 I need somebody who's efficient and can read their own handwriting. 174 00:09:03,909 --> 00:09:06,463 Uh, an intern for behind home plate? 175 00:09:07,498 --> 00:09:08,603 And an Americano. 176 00:09:09,086 --> 00:09:10,294 Yeah. Done. 177 00:09:10,709 --> 00:09:12,433 I didn't have to give you the coffee, did I? 178 00:09:12,434 --> 00:09:14,298 You'll never know. 179 00:09:17,612 --> 00:09:19,613 - Well, you're late. - Uh, sorry. Grand rounds ran long. 180 00:09:19,614 --> 00:09:23,306 Do you know about this Chase technique? It's really interesting. 181 00:09:23,307 --> 00:09:25,481 Well, it's a tragic case, and I hope that works out. 182 00:09:25,482 --> 00:09:29,105 Good job on Ms. Regalski's central line. You've been practicing. 183 00:09:29,106 --> 00:09:30,935 Well, I'm upping my game. 184 00:09:30,936 --> 00:09:33,110 Trying to change Dr. Fox's mind about my remediation. 185 00:09:33,490 --> 00:09:36,561 A central line's not going to do that. But the practice doesn't hurt. 186 00:09:36,562 --> 00:09:38,563 Oh, I also signed up to help with admin backlog. 187 00:09:38,564 --> 00:09:40,979 And I'm volunteering at the clinic on Saturdays. 188 00:09:40,980 --> 00:09:42,636 I told you that wasn't happening. 189 00:09:42,637 --> 00:09:44,638 - Actually, you didn't. You said-- - I am now. 190 00:09:44,639 --> 00:09:45,916 Let's finish rounds. 191 00:09:47,849 --> 00:09:50,333 There's a small left hemothorax. 192 00:09:50,334 --> 00:09:53,095 Let's do a FAST exam to make sure that the heart isn't involved. 193 00:09:53,096 --> 00:09:55,960 Okay, so where do you... Whoa. Stabbing? 194 00:09:55,961 --> 00:09:58,169 He was holding an ice pick and he slipped. 195 00:09:58,170 --> 00:09:59,826 So, he stabbed himself? 196 00:09:59,827 --> 00:10:01,310 They say people do stupid things when they're in love, 197 00:10:01,311 --> 00:10:02,725 but I didn't get it until today. 198 00:10:02,726 --> 00:10:04,762 He also met the love of his life today. 199 00:10:04,763 --> 00:10:06,936 Ah, neat. Another one of those. 200 00:10:06,937 --> 00:10:09,318 I was working the bar at a corporate brunch event. It's not my scene. 201 00:10:09,319 --> 00:10:13,149 But then I looked up, and there she was. The girl of my dreams. 202 00:10:13,150 --> 00:10:14,668 FAST exam is negative. 203 00:10:14,669 --> 00:10:16,532 Talking with her was the best 17 minutes of my life. 204 00:10:16,533 --> 00:10:18,672 How much ground could you possibly cover in 17 minutes? 205 00:10:18,673 --> 00:10:21,295 Her trip to Japan, her foster kittens, her bug collection. 206 00:10:21,296 --> 00:10:22,745 Enough to know that she's perfect. 207 00:10:22,746 --> 00:10:24,816 Mrs. Grandy's CT confirms acute diver-- 208 00:10:24,817 --> 00:10:26,369 Wow. Uh, screwdriver? 209 00:10:26,370 --> 00:10:28,648 - Ice pick. - He fell in love and slipped onto it. 210 00:10:28,649 --> 00:10:33,343 Warren, focus. Admit Mrs. Grandy, get her on antibiotics, and meet us in CT. 211 00:10:34,724 --> 00:10:36,795 All right. It looks like it only hit the lung. 212 00:10:37,416 --> 00:10:40,521 Yeah, but I don't like how close it is to the heart. 213 00:10:40,522 --> 00:10:41,662 Millin, get us a CT. 214 00:10:42,041 --> 00:10:44,043 I'll let them know we're on our way. 215 00:10:45,873 --> 00:10:48,702 Jack Moss, 36, sustained a tib-fib fracture over a year ago 216 00:10:48,703 --> 00:10:50,359 due to a motorbike accident. 217 00:10:50,360 --> 00:10:52,326 It resulted in malunion, here for a corrective osteotomy 218 00:10:52,327 --> 00:10:53,845 to realign the bones. 219 00:10:53,846 --> 00:10:56,123 At least I got to see the desert outside Marrakech 220 00:10:56,124 --> 00:10:58,056 before skidding into a textile market. 221 00:10:58,057 --> 00:11:01,957 Says you were scheduled for a surgery six months ago. Did you forget? 222 00:11:01,958 --> 00:11:04,718 My tourist visa came through, and I went to Tanzania instead. 223 00:11:04,719 --> 00:11:06,031 Must be nice. 224 00:11:06,583 --> 00:11:07,757 And how's the pain? 225 00:11:08,516 --> 00:11:09,481 Barely feel it. 226 00:11:09,482 --> 00:11:10,898 All right. 227 00:11:13,107 --> 00:11:15,798 You barely feel any pain? 228 00:11:15,799 --> 00:11:19,871 I mean, I feel it when I walk, like, more than a hundred feet. Can you fix it? 229 00:11:22,841 --> 00:11:27,086 You know, Jack, just at first glance, we may be looking at an amputation. 230 00:11:28,087 --> 00:11:31,712 What? Uh, no, no, no, no. I have another tour next month in Munich. 231 00:11:32,229 --> 00:11:33,714 And then after that, it's Prague. 232 00:11:35,370 --> 00:11:38,994 Uh. I'll tell you what, we'll get a new round of tests. CT, MRI, everything. 233 00:11:38,995 --> 00:11:40,790 And we'll take it from there. 234 00:11:41,618 --> 00:11:42,723 Kwan? 235 00:11:43,102 --> 00:11:44,586 You got it. 236 00:11:46,381 --> 00:11:47,658 Okay. 237 00:11:48,245 --> 00:11:50,626 Oh, here he is. I'm gonna ask him. 238 00:11:50,627 --> 00:11:51,869 I already told you-- 239 00:11:51,870 --> 00:11:53,250 Something I can settle for you? 240 00:11:53,630 --> 00:11:56,459 You've done this experimental surgery enough times 241 00:11:56,460 --> 00:11:58,427 to know that my baby girl will be okay, right? 242 00:11:58,428 --> 00:12:01,430 You have to stop calling me that. I'm 38. 243 00:12:01,431 --> 00:12:03,259 And I'm not okay. I have cancer. 244 00:12:03,260 --> 00:12:05,641 If I don't do this, I may never get to see Chicago. 245 00:12:05,642 --> 00:12:07,608 The musical or the city? 246 00:12:07,609 --> 00:12:10,785 The new library on South Chicago. That's what our team calls it. 247 00:12:11,130 --> 00:12:13,545 I'm an architect. It's been my life for four years. 248 00:12:13,546 --> 00:12:15,064 I want to see it finished. 249 00:12:15,065 --> 00:12:17,101 I want to see kids light up at all the books 250 00:12:17,102 --> 00:12:19,275 and old people play chess in the community room. 251 00:12:19,276 --> 00:12:21,105 I thought you wanted to spend more time with me. 252 00:12:21,106 --> 00:12:23,210 You'll be one of the people playing chess. 253 00:12:24,834 --> 00:12:26,800 Promise me she'll be okay. 254 00:12:26,801 --> 00:12:31,253 Well, I'd be lying. Nobody can guarantee that with 100% certainty. 255 00:12:31,254 --> 00:12:32,772 Here's what I can say. 256 00:12:32,773 --> 00:12:34,946 When I walk into that operating room, 257 00:12:34,947 --> 00:12:36,948 I'm gonna pour everything I've learned 258 00:12:36,949 --> 00:12:41,264 from decades of practice and research into curing your daughter's cancer. 259 00:12:41,643 --> 00:12:44,992 And I won't stop until I've done everything I can for her. 260 00:12:45,993 --> 00:12:47,995 He knows what he's doing, Mom. 261 00:12:49,306 --> 00:12:52,793 I know the odds. I want this. 262 00:12:54,346 --> 00:12:55,795 Good. 263 00:12:55,796 --> 00:12:57,762 Dr. Griffith, will you prep Ms. Mims for surgery? 264 00:12:57,763 --> 00:12:59,074 Of course. 265 00:12:59,075 --> 00:13:01,801 We'll see you soon, Gabby. 266 00:13:01,802 --> 00:13:03,942 - Here you go. - Thank you. 267 00:13:08,118 --> 00:13:09,843 Was it the night that I left? 268 00:13:09,844 --> 00:13:11,465 - When your mom was watching the kids? - Teddy... 269 00:13:11,466 --> 00:13:13,433 Owen, did you have someone over at our house? 270 00:13:13,434 --> 00:13:17,195 - We agreed on rules. No details. - So that's a yes. 271 00:13:17,196 --> 00:13:18,990 I did not bring anyone into our home. 272 00:13:18,991 --> 00:13:21,096 Anyone? Were there multiple people? 273 00:13:21,097 --> 00:13:23,167 No. Why are you accusing me? 274 00:13:23,168 --> 00:13:27,171 We opened our marriage, Teddy. And you also were with someone else. 275 00:13:27,172 --> 00:13:29,104 - How's our young Romeo? - Great. 276 00:13:29,105 --> 00:13:32,486 I know these odds. He is way more into her than she is into him. 277 00:13:32,487 --> 00:13:35,282 - They say every pot has its lid. - Some pots have many lids. 278 00:13:35,283 --> 00:13:37,043 - Says the kettle. - You're mixing metaphors. 279 00:13:37,044 --> 00:13:39,736 - No, I'm not. - Scans. Scans are up. 280 00:13:40,150 --> 00:13:42,358 Well, it's hard to see with all of this artifact, 281 00:13:42,359 --> 00:13:47,157 but it looks like the ice pick is penetrating the descending aortic arch. 282 00:13:47,675 --> 00:13:50,194 You see that? There is a contained hematoma 283 00:13:50,195 --> 00:13:53,060 that has formed around the entry site. 284 00:13:53,750 --> 00:13:55,199 How is he not bleeding out? 285 00:13:55,200 --> 00:13:57,580 The ice pick is essentially plugging the hole. 286 00:13:57,581 --> 00:13:59,375 So if we move him, and it moves... 287 00:13:59,376 --> 00:14:01,275 He could bleed out and die. 288 00:14:01,758 --> 00:14:03,760 So how do we get him to the OR? 289 00:14:09,455 --> 00:14:10,973 Hmm. Hi. 290 00:14:10,974 --> 00:14:15,150 How's Chase? Did he cure metastatic lung cancer too? 291 00:14:15,151 --> 00:14:18,222 Do you two have history? 292 00:14:18,223 --> 00:14:20,190 Never met him until today. 293 00:14:20,950 --> 00:14:22,606 But I do have history with you. 294 00:14:23,366 --> 00:14:26,851 Now, you asked me to do a consult on Gabby Mims two months ago, 295 00:14:26,852 --> 00:14:29,268 and clearly, you didn't trust my opinion. 296 00:14:29,786 --> 00:14:32,753 I was looking for options. 297 00:14:32,754 --> 00:14:35,929 Chase had one. No, he's breaking new ground. 298 00:14:35,930 --> 00:14:39,588 He's resecting a tumor from a place where multiple studies have determined 299 00:14:39,589 --> 00:14:41,452 that the risks outweigh the benefit. 300 00:14:41,453 --> 00:14:44,627 I take it you don't approve of his technique. 301 00:14:44,628 --> 00:14:49,081 Yeah. His so-called technique is the same as resecting any other tumor, 302 00:14:49,737 --> 00:14:51,118 just with more arrogance. 303 00:14:51,670 --> 00:14:55,639 And, frankly, I'm surprised you allowed him to use it on Gabby. 304 00:14:56,330 --> 00:14:58,090 I guess she was a good lure. 305 00:14:58,988 --> 00:15:02,438 You think... ...I used Gabby as surgical bait? 306 00:15:02,439 --> 00:15:04,785 People go to great lengths to meet their heroes. 307 00:15:04,786 --> 00:15:07,134 I know you've admired him from afar for years. 308 00:15:07,824 --> 00:15:13,933 Um, Dr. Chase's methods could be the future of pancreatic surgery. 309 00:15:13,934 --> 00:15:17,971 We can get on board or we can bury our heads in the sand 310 00:15:17,972 --> 00:15:19,422 and watch our patients die. 311 00:15:19,801 --> 00:15:24,289 You do what you want. I prefer to keep my head above ground. 312 00:15:35,472 --> 00:15:39,510 So if we roll over a paper clip, or someone runs into me, I'll die? 313 00:15:39,511 --> 00:15:41,926 It's not that simple. First, you would start to bleed, 314 00:15:41,927 --> 00:15:43,790 then we would get you into surgery as soon as possible. 315 00:15:43,791 --> 00:15:46,035 - Oh, God. - We will be very careful. 316 00:15:46,656 --> 00:15:49,002 - I don't know. - Well, you rode in an ambulance, 317 00:15:49,003 --> 00:15:51,418 and then in an elevator and on a gurney. 318 00:15:51,419 --> 00:15:54,490 Like, those are pretty good odds, and I'm usually a downer. 319 00:15:54,491 --> 00:15:58,011 There's no reason to think that we can't get you to the OR safely. 320 00:15:58,012 --> 00:16:00,221 Yeah, and then you can go be happy with what's her... 321 00:16:01,119 --> 00:16:03,362 - What is her name? - I don't know. 322 00:16:04,191 --> 00:16:07,296 Why didn't I ask? I-I should have asked. It was 17 minutes! 323 00:16:07,297 --> 00:16:09,505 Hey, Brendon, we need you to calm down, okay? 324 00:16:09,506 --> 00:16:12,509 And we need you to trust us, okay? Can you do that? 325 00:16:13,062 --> 00:16:14,718 - Okay. - Okay. 326 00:16:15,892 --> 00:16:17,272 It's all right. It's okay. 327 00:16:17,273 --> 00:16:19,308 All right, everybody, move out of the way! 328 00:16:19,309 --> 00:16:23,174 Let's move on my count, okay? I'll set the pace. One, two, three. 329 00:16:23,175 --> 00:16:28,146 Okay. All right. We got you. 330 00:16:28,594 --> 00:16:31,908 Your pre-op labs are all good. You're cleared for surgery. 331 00:16:33,944 --> 00:16:35,877 I can't believe it's finally happening. 332 00:16:36,223 --> 00:16:39,743 So, what do you think of Dr. Chase? Is he as good as everyone says? 333 00:16:43,437 --> 00:16:46,370 He's excellent. I've actually watched him operate before. 334 00:16:46,371 --> 00:16:50,477 I once saw him treat a very complicated mesothelioma with HIPEC, 335 00:16:50,478 --> 00:16:54,136 combination of surgery and hot chemotherapy in the abdomen. 336 00:16:54,137 --> 00:16:55,758 The patient is okay? 337 00:16:55,759 --> 00:16:57,933 Posted a photo with his new grandson a few weeks ago. 338 00:17:03,595 --> 00:17:06,184 I have to do this, Mom. 339 00:17:07,116 --> 00:17:11,084 It's my only chance. 340 00:17:11,085 --> 00:17:16,090 Last time I was in a hospital bed, I was holding my new baby girl in my arms. 341 00:17:17,643 --> 00:17:20,715 I didn't want to let go of you then, and I don't want to let go now. 342 00:17:22,131 --> 00:17:25,134 What if this the last time... 343 00:17:36,904 --> 00:17:39,976 You've been the best mama I could ever have. 344 00:17:41,771 --> 00:17:46,120 You gave me the courage to think big, dream big, 345 00:17:47,156 --> 00:17:48,778 - believe big. - Believe big. 346 00:17:50,090 --> 00:17:53,576 That's why I'm not afraid to do this. 347 00:17:55,405 --> 00:17:57,097 I love you. 348 00:17:58,167 --> 00:18:00,203 I love you more, baby girl. 349 00:18:03,241 --> 00:18:04,966 Who's ready for surgery? 350 00:18:08,522 --> 00:18:09,695 Okay. 351 00:18:12,491 --> 00:18:13,665 Now I'm ready. 352 00:18:15,874 --> 00:18:17,116 Let's do this. 353 00:18:17,117 --> 00:18:18,325 All righty. 354 00:18:20,465 --> 00:18:22,983 Hey. Uh, so I dropped off Ms. Schiller's labs 355 00:18:22,984 --> 00:18:25,952 and I submitted Mr. Bohigian's discharge paperwork. 356 00:18:25,953 --> 00:18:29,474 Oh. Good. When I finish with the scans, you can update the charts. 357 00:18:29,853 --> 00:18:32,165 Uh, Chase's surgery is about to start. 358 00:18:32,166 --> 00:18:33,374 Are you scrubbing in? 359 00:18:34,064 --> 00:18:36,756 No, I-I just assumed we'd watch. 360 00:18:36,757 --> 00:18:38,275 I'm not interested in that. 361 00:18:38,276 --> 00:18:40,173 Well, he could make history today. 362 00:18:40,174 --> 00:18:42,694 And you can learn a lot by watching good surgeons, right? 363 00:18:43,212 --> 00:18:45,145 - Come with me. - To the gallery? 364 00:18:46,215 --> 00:18:47,388 Better. 365 00:18:51,703 --> 00:18:54,636 Sorry. Jack saw a scenic photo in radiology 366 00:18:54,637 --> 00:18:56,258 and refused to go back to his room 367 00:18:56,259 --> 00:18:58,192 until I could figure out if it was Banff National Park. 368 00:18:58,813 --> 00:19:00,193 Was it? 369 00:19:00,194 --> 00:19:02,437 Oh, he thinks it is. 370 00:19:02,438 --> 00:19:05,992 - Okay, what do you see? - Well, a bone that's completely healed 371 00:19:05,993 --> 00:19:07,683 but at an angle. 372 00:19:07,684 --> 00:19:09,514 Oh, he's lucky if he gets five feet, let alone a hundred. 373 00:19:10,239 --> 00:19:12,171 Yeah, you can see the vessel is kinked here 374 00:19:12,172 --> 00:19:14,138 in the area of the bone deformity. 375 00:19:14,139 --> 00:19:17,969 He only has one vessel running off to the foot, barely keeping it alive. 376 00:19:17,970 --> 00:19:19,385 Damn. 377 00:19:19,386 --> 00:19:20,834 Hope he took lots of pictures in the Serengeti. 378 00:19:20,835 --> 00:19:22,596 He's not going anywhere besides PT. 379 00:19:25,115 --> 00:19:26,358 It's an amputation, right? 380 00:19:27,256 --> 00:19:29,843 Ooh, could I do it? I always wanted to do one. 381 00:19:29,844 --> 00:19:32,052 Go check on my arthroplasty from last night. 382 00:19:32,053 --> 00:19:34,883 Millin got to do one her first day. Interns perform them all the time-- 383 00:19:34,884 --> 00:19:36,334 Not hyped-up ones. 384 00:19:36,748 --> 00:19:40,233 Put that crap away. I'm already overloaded with patients. 385 00:19:40,234 --> 00:19:42,097 I don't have time to resuscitate you. 386 00:19:42,098 --> 00:19:43,341 Now go do what I asked. 387 00:19:46,723 --> 00:19:48,379 You're going too fast. 388 00:19:48,380 --> 00:19:50,933 Listen, if you have a problem with my pace, then you lead. 389 00:19:50,934 --> 00:19:53,108 - Is everything okay? - You're doing great. 390 00:19:53,109 --> 00:19:54,385 Almost at the elevator. 391 00:19:54,386 --> 00:19:55,974 - Whoa, whoa! - Hey! No running! 392 00:19:57,872 --> 00:19:59,563 Okay. 393 00:19:59,564 --> 00:20:02,083 So, um, tell us more about the woman you met. What does she do? 394 00:20:02,946 --> 00:20:04,810 She's a graphic designer, I think. 395 00:20:05,811 --> 00:20:07,536 I don't know her name or what she does. 396 00:20:07,537 --> 00:20:10,299 When you get out of here, you'll get a second chance. 397 00:20:10,782 --> 00:20:12,748 But what if I die? 398 00:20:12,749 --> 00:20:15,889 Hey, Millin. Why don't you get out your phone? We're gonna find her. 399 00:20:15,890 --> 00:20:17,201 Find her how? 400 00:20:17,202 --> 00:20:19,446 You're the millennial. You tell me. 401 00:20:21,137 --> 00:20:22,897 This never goes well for me. 402 00:20:23,933 --> 00:20:25,761 Can you think of anything unique? 403 00:20:25,762 --> 00:20:29,455 A... A blue streak in her hair? Uh, big glasses? 404 00:20:29,456 --> 00:20:33,253 She has hazel eyes. I think she has a small dimple when she smiles? 405 00:20:34,184 --> 00:20:36,014 Okay, everyone. Nice and slow. 406 00:20:37,291 --> 00:20:39,776 Easy. Okay. 407 00:20:40,467 --> 00:20:43,814 You ready for tonight? Yeah, last night, Boston was down. 408 00:20:43,815 --> 00:20:45,748 They put in Taft as a designated hitter. 409 00:20:46,127 --> 00:20:47,887 Steps up to the plate with the bases loaded 410 00:20:47,888 --> 00:20:51,270 and hits a genius triple to left center. 411 00:20:51,271 --> 00:20:52,305 Unstoppable. 412 00:20:52,306 --> 00:20:54,274 I'm, uh, taking Baxter back. 413 00:20:54,998 --> 00:20:57,552 I've got a sensitive case, and something's up with Kwan. 414 00:20:57,553 --> 00:20:59,485 Um, does tonight's seat go with Baxter? 415 00:20:59,486 --> 00:21:01,832 - Nope. - All right. Take whoever you want. 416 00:21:01,833 --> 00:21:04,800 I do need to see if I can switch the seats to tomorrow. 417 00:21:04,801 --> 00:21:07,320 Oh. No, no, no. I got a... a late CABG tomorrow night. 418 00:21:07,321 --> 00:21:09,358 So... ...put that phone away, please. 419 00:21:09,944 --> 00:21:13,395 My patient's got a severe tib-fib malunion with vascular damage 420 00:21:13,396 --> 00:21:15,397 and critical limb ischemia. 421 00:21:15,398 --> 00:21:20,300 I've-I've either gotta amputate or... bring in a genius designated hitter. 422 00:21:20,817 --> 00:21:22,888 Is he a candidate for a fem-tib bypass? 423 00:21:23,372 --> 00:21:26,892 He's got anatomy distorted below the knee. No. 424 00:21:27,514 --> 00:21:29,653 No, it won't work. 425 00:21:29,654 --> 00:21:31,965 When I say "severe," I mean I've never seen a leg like this in my entire career. 426 00:21:31,966 --> 00:21:33,382 I can bypass anything. 427 00:21:33,796 --> 00:21:34,969 Even this? 428 00:21:36,350 --> 00:21:37,558 - Damn it. - Yeah. 429 00:21:38,041 --> 00:21:39,594 Not everybody's unstoppable. 430 00:21:39,595 --> 00:21:41,148 No, I can do it. 431 00:21:41,528 --> 00:21:46,015 Which means I won't be sitting behind home plate tonight. 432 00:21:46,705 --> 00:21:48,430 What if I never find her? 433 00:21:48,431 --> 00:21:50,121 - Seattle's not that big. - But it's that not small, either. 434 00:21:50,122 --> 00:21:51,882 And you're young. You'll meet somebody else. 435 00:21:51,883 --> 00:21:54,056 - Uh, maybe you dodged a bullet. - Every nightmare I ever dated 436 00:21:54,057 --> 00:21:56,990 - made a great first impression. - Or she's the love of your life. 437 00:21:56,991 --> 00:22:00,200 I-I'm sorry. Does nobody else find this a little bit creepy? 438 00:22:00,201 --> 00:22:01,995 I'm sure you're great, but stalking is not-- 439 00:22:01,996 --> 00:22:03,894 - Have you ever been in love? - This feels inappropriate. 440 00:22:03,895 --> 00:22:05,551 When you're in love, you don't give up. 441 00:22:05,552 --> 00:22:06,725 - Keep looking. - Okay. 442 00:22:07,070 --> 00:22:08,934 Here we go. 443 00:22:11,765 --> 00:22:13,353 Careful. 444 00:22:14,181 --> 00:22:15,872 Easy. 445 00:22:17,909 --> 00:22:19,186 All right, let's turn. 446 00:22:24,881 --> 00:22:25,951 Doing great. 447 00:22:26,504 --> 00:22:28,401 Brendon, does she have a mole on her neck? 448 00:22:28,402 --> 00:22:30,058 - On her right side. Did you find her? - I think so. 449 00:22:30,059 --> 00:22:31,887 You were right about the bugs. 450 00:22:31,888 --> 00:22:35,270 "Elena Ginsburg, member of the Greater Seattle Entomology Club"? 451 00:22:35,271 --> 00:22:38,342 What's entomology? Oh, my God. That's her. 452 00:22:38,343 --> 00:22:39,895 - No, no! - Brendon, don't move! 453 00:22:39,896 --> 00:22:42,071 Okay, run. Let's go! Let's go! 454 00:22:48,111 --> 00:22:50,527 Hey. We need to get him on the OR table right now. 455 00:22:50,528 --> 00:22:52,252 - We need to get in there. - Gown and glove. 456 00:22:52,253 --> 00:22:55,878 Okay, on my count. Ready? One, two, three. 457 00:22:56,603 --> 00:22:58,431 - Betadine. - Yeah, I'm on it. 458 00:22:58,432 --> 00:23:00,537 The ice pick in his aorta moved. 459 00:23:00,538 --> 00:23:02,435 We got him here in less than a minute. We can save him. 460 00:23:02,436 --> 00:23:04,023 Let's go. Let's go! 461 00:23:04,024 --> 00:23:06,095 All right, we're removing the ice pick. 462 00:23:09,547 --> 00:23:11,306 - Scalpel. - How can I help? 463 00:23:11,307 --> 00:23:13,066 You can give us some space. Come on, Brendon. 464 00:23:13,067 --> 00:23:15,242 You made it this far. Stay with me. 465 00:23:17,486 --> 00:23:18,762 That's not it. 466 00:23:18,763 --> 00:23:20,453 Yeah, maybe I should get back to rounds. 467 00:23:20,454 --> 00:23:23,387 Uh, Mr. Vizcaino's wound vac's not gonna check itself. 468 00:23:23,388 --> 00:23:26,495 Uh, we just checked it. You know, you made a very good point. 469 00:23:26,978 --> 00:23:28,599 I did? 470 00:23:28,600 --> 00:23:31,222 Yeah. There is a value to watching great surgical cases. 471 00:23:31,223 --> 00:23:33,743 All right. Ah. Found it. 472 00:23:36,159 --> 00:23:38,782 - What is that? - This, son, is a videotape. 473 00:23:38,783 --> 00:23:41,578 Yeah, I kn-know that. What's on it? 474 00:23:41,579 --> 00:23:43,165 Surgeries. 475 00:23:43,166 --> 00:23:46,928 Look, I'm talking Whipples and Roux-en-Ys and Puestows. 476 00:23:46,929 --> 00:23:51,070 Procedures that require real skill, not that surgical cowboy nonsense. 477 00:23:51,071 --> 00:23:54,937 You wanna watch and learn, you watch this. 478 00:23:56,145 --> 00:23:57,284 How? 479 00:24:02,531 --> 00:24:05,775 I'm almost finished with the first shunt. 480 00:24:06,155 --> 00:24:11,850 Suction. But careful, too aggressive a move could spell disaster. 481 00:24:14,301 --> 00:24:16,129 - This okay? - It's fine. 482 00:24:16,130 --> 00:24:20,030 Dr. Griffith recently did a solo surgery. First in her class. 483 00:24:20,031 --> 00:24:21,963 Wow, congratulations. 484 00:24:21,964 --> 00:24:25,518 - Ever seen a mesocaval shunt before? - No, sir. 485 00:24:25,519 --> 00:24:29,074 Congratulations again. You're about to see one completed. 486 00:24:30,559 --> 00:24:31,662 Oh. Careful with this margin. 487 00:24:31,663 --> 00:24:33,699 - I see it. - Mmm. 488 00:24:33,700 --> 00:24:35,701 And why do we need the shunt? 489 00:24:35,702 --> 00:24:40,222 To bypass the SMV and provide outflow from the intestine 490 00:24:40,223 --> 00:24:42,121 while you resect the tumor... 491 00:24:42,122 --> 00:24:44,192 That was meant for Griffith. 492 00:24:44,193 --> 00:24:49,094 Yeah. But correct. You must have been one outstanding student. 493 00:24:49,681 --> 00:24:54,305 I like to think I still am. It helps to have amazing teachers. 494 00:24:54,306 --> 00:25:01,106 Okay. Shunt is done. Moving on to the periarterial divestment on the SMA. 495 00:25:06,387 --> 00:25:09,044 Just like we planned before, I'll start with the osteotomy. 496 00:25:09,045 --> 00:25:11,046 Can I help you, Dr. Kwan? 497 00:25:11,047 --> 00:25:12,979 I'm on Dr. Ndugu's service now. 498 00:25:12,980 --> 00:25:16,225 Um, fine. Just stand over there. 499 00:25:17,744 --> 00:25:19,745 I will re-break the bones in your leg, 500 00:25:19,746 --> 00:25:22,368 and I will realign them with plates and screws. 501 00:25:22,369 --> 00:25:24,370 That's when I'll go in and attempt the bypass 502 00:25:24,371 --> 00:25:26,579 - to improve blood flow to the leg. - Okay, great. Let's do it. 503 00:25:26,580 --> 00:25:28,617 I wanna keep my legs so I can keep traveling. 504 00:25:30,273 --> 00:25:32,240 Jack, we won't perform the surgery 505 00:25:32,241 --> 00:25:36,210 unless you agree to stop traveling while you properly heal. 506 00:25:37,971 --> 00:25:39,592 Okay, well, how long will that take? 507 00:25:39,593 --> 00:25:41,111 Months. If today goes well. 508 00:25:41,112 --> 00:25:43,424 How long does recovery from an amputation take? 509 00:25:44,633 --> 00:25:47,013 - Months. - And if I do nothing? 510 00:25:47,014 --> 00:25:48,532 Without urgent intervention, 511 00:25:48,533 --> 00:25:50,223 the wound on your leg could become infected, 512 00:25:50,224 --> 00:25:51,571 which could lead to sepsis. 513 00:25:57,784 --> 00:25:58,957 Okay. 514 00:26:00,752 --> 00:26:02,409 I want the surgery. 515 00:26:03,341 --> 00:26:04,791 We'll see you in the OR. 516 00:26:09,140 --> 00:26:12,798 Babcock. Fortunately, the tissue's not friable, 517 00:26:12,799 --> 00:26:17,148 so it peels right off the vessel with sharp dissection. 518 00:26:17,631 --> 00:26:19,390 Look at that. 519 00:26:19,391 --> 00:26:22,393 Fundamentally, it's no different than resecting any other tumor. 520 00:26:22,394 --> 00:26:23,498 There's some bleeding. 521 00:26:23,499 --> 00:26:24,982 - Where? - Then suction. 522 00:26:26,502 --> 00:26:28,710 Uh, did the tumor invade the SMA? 523 00:26:28,711 --> 00:26:31,092 It's possible. Yep. 524 00:26:31,093 --> 00:26:34,130 The tumor definitely breached the arterial wall. Clamp. 525 00:26:34,924 --> 00:26:38,133 We need 4-0 prolene. And more suction. 526 00:26:38,134 --> 00:26:41,621 Okay, I'll suture the SMA, and then we'll close. 527 00:26:42,000 --> 00:26:44,278 Close? W-We haven't finished. 528 00:26:44,693 --> 00:26:47,798 If we continue with the procedure, we're putting her in greater danger. 529 00:26:47,799 --> 00:26:49,974 What about blood supply to the small bowel? 530 00:26:50,699 --> 00:26:53,804 Tell your intern that's out of scope for this procedure. 531 00:26:53,805 --> 00:26:55,806 I am officially done here. 532 00:26:55,807 --> 00:27:00,363 You have successfully completed all your other cases. Why stop now? 533 00:27:01,882 --> 00:27:07,991 Dr. Chase? Okay, if you stop, will Gabby be a part of your study? 534 00:27:07,992 --> 00:27:10,545 I'm kind of in the middle of something if you haven't noticed-- 535 00:27:10,546 --> 00:27:12,547 - Dr. Chase. - Of course not. 536 00:27:12,548 --> 00:27:14,412 Her procedure was incomplete. 537 00:27:15,655 --> 00:27:17,483 So that's how you do it. 538 00:27:17,484 --> 00:27:21,452 I thought it was unparalleled expertise and steady hands. 539 00:27:21,453 --> 00:27:23,006 But it's cutting and running 540 00:27:23,007 --> 00:27:24,973 before there are consequences, at least, for you. 541 00:27:24,974 --> 00:27:27,010 Dr. Bailey, her small bowel's becoming dusky. 542 00:27:27,011 --> 00:27:31,290 Okay. Uh, if we stop, she will die. 543 00:27:31,291 --> 00:27:33,845 I told you, I'm done here. 544 00:27:34,743 --> 00:27:36,536 You're damn right you are. 545 00:27:36,537 --> 00:27:38,331 No. I will finish. 546 00:27:38,332 --> 00:27:40,851 Your patient is no longer a candidate for this procedure-- 547 00:27:40,852 --> 00:27:44,062 Then by all means, don't let me keep you. There's the door. Use it! 548 00:27:45,754 --> 00:27:48,859 I need a stool, please. 549 00:27:48,860 --> 00:27:50,999 - Right away, doctor. - What do we do now? 550 00:27:51,000 --> 00:27:55,384 Uh, I don't know, but we sure as hell aren't closing. 551 00:28:05,221 --> 00:28:06,705 Just have to put in a few more, 552 00:28:06,706 --> 00:28:08,915 and if the alignment's in check, it's all you. 553 00:28:09,778 --> 00:28:11,364 When was the original fracture? 554 00:28:11,365 --> 00:28:13,228 Eighteen months ago. 555 00:28:13,229 --> 00:28:16,059 He was treated abroad, but he started weight-bearing way too soon. 556 00:28:16,060 --> 00:28:18,096 Nearly lost his leg today, but, hey, 557 00:28:18,441 --> 00:28:21,754 I bet the beer was damn tasty after seeing the Great Migration in the Serengeti. 558 00:28:21,755 --> 00:28:25,068 What? That's why he risked amputation? He didn't wanna cancel a trip? 559 00:28:25,069 --> 00:28:27,104 - That's what he said. - He lied to you. 560 00:28:27,105 --> 00:28:28,244 Drill. 561 00:28:28,624 --> 00:28:30,936 Jack's brother was an extreme adventurer. 562 00:28:30,937 --> 00:28:32,869 He booked a trip around the world. 563 00:28:32,870 --> 00:28:34,560 Motorcycle tours mostly. 564 00:28:34,561 --> 00:28:36,424 He died unexpectedly two years ago. 565 00:28:36,425 --> 00:28:39,599 Jack quit his job, and he's been spreading his brother's ashes 566 00:28:39,600 --> 00:28:42,361 in every country his brother wanted to see before he died. 567 00:28:42,362 --> 00:28:45,468 He could have avoided all this if he let himself heal physically, 568 00:28:46,090 --> 00:28:49,783 but spreading his brother's ashes probably healed something, too. 569 00:28:50,957 --> 00:28:52,924 Done. Ndugu, you're up. 570 00:28:53,338 --> 00:28:56,616 All right. Let's hope I didn't make you do all that work for nothing, huh? 571 00:28:56,617 --> 00:28:58,447 Potts scissors, please. 572 00:29:01,174 --> 00:29:03,935 Okay, watch this now. I'm going to... 573 00:29:05,109 --> 00:29:08,526 Oh, come on here. Come on. 574 00:29:10,183 --> 00:29:13,461 You know, they have places that convert these old tapes. 575 00:29:13,462 --> 00:29:14,704 Oh, to DVDs? 576 00:29:16,361 --> 00:29:18,121 Ah, here we go. All right. 577 00:29:18,122 --> 00:29:21,469 Now I'm going to dissect the lateral peritoneal attachments. 578 00:29:21,470 --> 00:29:24,853 - The Kocher maneuver. - Exactly. Here's the incision... 579 00:29:25,336 --> 00:29:28,131 Uh, are you using your finger to open up the duodenum? 580 00:29:28,132 --> 00:29:31,273 Yeah. Simple and effective. See? That's how I was taught. 581 00:29:32,343 --> 00:29:33,446 Huh. 582 00:29:35,725 --> 00:29:38,521 It's Bailey. It's a 9-1-1. 583 00:29:43,181 --> 00:29:47,013 I can't believe I fell for that man's snake oil. 584 00:29:47,392 --> 00:29:50,395 Did you have any idea when you were in Baltimore? 585 00:29:51,155 --> 00:29:52,672 Where's Chase? 586 00:29:52,673 --> 00:29:54,847 - Uh, you were right. Don't gloat. - About what? 587 00:29:54,848 --> 00:29:57,470 Gabby's tumor grew through the wall of the SMA. 588 00:29:57,471 --> 00:30:01,372 - Chase transected it while resecting. - Then decided to take a break? 589 00:30:01,890 --> 00:30:03,994 Dr. Bailey asked him to leave 590 00:30:03,995 --> 00:30:07,826 after figuring out he's been selective about the patients in his study. 591 00:30:09,898 --> 00:30:13,521 Well, the artery is shot. He did a nice job on the shunt, though. 592 00:30:13,522 --> 00:30:17,007 Adams, see how he rerouted the SMV to the IVC? 593 00:30:17,008 --> 00:30:19,389 Hey, look, I know this is a teachable moment, 594 00:30:19,390 --> 00:30:23,220 but every minute that goes by increases the chances of Gabby's bowel necrosing. 595 00:30:23,221 --> 00:30:29,779 And as much as I appreciate the genius of Chase's rerouting, we need to... 596 00:30:32,506 --> 00:30:34,025 What are you thinking? 597 00:30:34,405 --> 00:30:38,373 What if we used a saphenous vein graft to reconstruct the SMA? 598 00:30:38,374 --> 00:30:43,172 W-We could restore the blood supply and remove the invaded vessel. 599 00:30:43,690 --> 00:30:45,346 And the whole tumor with it. 600 00:30:45,347 --> 00:30:47,313 You think that's too risky? 601 00:30:47,314 --> 00:30:49,696 Only if you don't have enough hands. Adams, we're scrubbing in. 602 00:30:50,870 --> 00:30:53,043 - Okay. - Okay. Okay. 603 00:30:53,044 --> 00:30:54,701 We got a plan. We got a plan. 604 00:31:01,121 --> 00:31:03,779 There's too much bleeding. Can you see where it's coming from? 605 00:31:04,124 --> 00:31:05,504 How many units has he had? 606 00:31:05,505 --> 00:31:06,747 Four units. 607 00:31:07,645 --> 00:31:11,131 ♪ Black and blue, far away ♪ 608 00:31:19,450 --> 00:31:22,384 His heart won't restart. Warren, get over here. 609 00:31:24,593 --> 00:31:25,905 Take over compressions. 610 00:31:26,802 --> 00:31:28,908 Come on, Brendon. Come on. 611 00:31:45,131 --> 00:31:46,753 All right, stop compressions. 612 00:31:47,098 --> 00:31:48,272 Let me in there. 613 00:31:50,308 --> 00:31:51,931 All right, charge to 40. Clear. 614 00:31:54,416 --> 00:31:57,005 Charge again. Clear. 615 00:31:59,076 --> 00:32:00,801 It's been too long. 616 00:32:01,250 --> 00:32:04,495 He didn't give up. We can't either. All right. Charge to 50. Clear. 617 00:32:05,254 --> 00:32:06,668 - Teddy. - Come on. 618 00:32:06,669 --> 00:32:09,017 - Damn it. Let me in there. - Teddy. 619 00:32:15,506 --> 00:32:16,956 Come on. 620 00:32:21,167 --> 00:32:22,478 Teddy. 621 00:32:23,514 --> 00:32:26,655 Teddy! It's over. You've done all you can. 622 00:32:42,843 --> 00:32:45,846 Time of death, 19:24. 623 00:33:05,418 --> 00:33:06,902 I spoke to Brendon's parents. 624 00:33:07,316 --> 00:33:09,422 It shouldn't have gone like this. 625 00:33:13,322 --> 00:33:16,360 I, uh... I have a lot of paperwork to get through. You should just go. 626 00:33:16,774 --> 00:33:20,571 Teddy. Teddy, we need to talk about this. 627 00:33:21,020 --> 00:33:22,538 Now is not a good time. 628 00:33:26,163 --> 00:33:29,544 So, you're happy to work on our marriage when it means sleeping with Cass Beckman, 629 00:33:29,545 --> 00:33:31,546 but when I wanna have a difficult conversation-- 630 00:33:31,547 --> 00:33:34,033 Oh. I'm sorry, who slept with someone else? Not me. 631 00:33:35,241 --> 00:33:38,416 What did you think was gonna happen when we opened our marriage? 632 00:33:40,625 --> 00:33:41,937 I'm gonna be late. Um... 633 00:33:43,076 --> 00:33:44,388 Don't wait up for me. 634 00:34:01,646 --> 00:34:03,095 She's going to be okay, right? 635 00:34:03,096 --> 00:34:05,995 She needs a lot of rest, but she's doing very well. 636 00:34:06,617 --> 00:34:07,825 Thank you. 637 00:34:11,967 --> 00:34:14,832 You hear that, baby girl? You're gonna be okay. 638 00:34:16,316 --> 00:34:19,594 Thank you so much. Dr. Chase go back to DC? 639 00:34:19,595 --> 00:34:23,426 Uh, I don't know. He was not able to complete the surgery. 640 00:34:23,427 --> 00:34:26,774 But we had other surgeons step in and help, 641 00:34:26,775 --> 00:34:28,984 and we resected the tumor. 642 00:34:29,950 --> 00:34:31,054 You got it all? 643 00:34:31,055 --> 00:34:33,056 - No more tumor? - We did. 644 00:34:33,057 --> 00:34:34,300 I can't believe it. 645 00:34:34,817 --> 00:34:36,749 Dr. Chase taught you his technique? 646 00:34:36,750 --> 00:34:39,650 Dr. Bailey developed her own. 647 00:34:40,133 --> 00:34:41,790 That's what saved Gabby. 648 00:34:43,964 --> 00:34:46,138 I, uh... I'm so grateful. 649 00:34:46,139 --> 00:34:49,453 Thank you for taking care of my baby girl. 650 00:34:50,695 --> 00:34:53,698 You're gonna keep calling me that, a-aren't you? 651 00:34:56,011 --> 00:34:58,151 Forever and ever. 652 00:35:00,291 --> 00:35:01,534 Oh, my God. 653 00:35:03,122 --> 00:35:04,709 Uh, we'll give you some time. 654 00:35:10,853 --> 00:35:12,441 - Griffith. - Hmm? 655 00:35:14,995 --> 00:35:18,137 Uh, he must have been terrible to work for. 656 00:35:19,483 --> 00:35:21,140 I ended up in the right place. 657 00:35:23,003 --> 00:35:24,488 Excellent work today. 658 00:35:33,221 --> 00:35:36,534 ♪ I can't see the future ♪ 659 00:35:38,226 --> 00:35:41,262 Is it still there? My leg? 660 00:35:41,263 --> 00:35:43,989 Dr. Lincoln and Dr. Ndugu will be in soon, 661 00:35:43,990 --> 00:35:48,304 but they were able to realign your bone and reestablish blood flow. 662 00:35:48,305 --> 00:35:50,376 It was pretty amazing. 663 00:35:53,896 --> 00:35:55,588 You probably think I'm an idiot. 664 00:35:57,072 --> 00:35:58,211 I... 665 00:35:59,523 --> 00:36:03,112 think that you were in pain and taking the time to heal. 666 00:36:03,492 --> 00:36:05,184 It sucks, but... 667 00:36:06,564 --> 00:36:08,497 Especially after losing someone. 668 00:36:09,257 --> 00:36:11,051 And now I'm stuck in a bed. 669 00:36:12,398 --> 00:36:13,951 About that. 670 00:36:15,884 --> 00:36:20,853 These are VR goggles. We keep a few of them in our skills lab. 671 00:36:20,854 --> 00:36:22,510 They help us practice procedures. 672 00:36:22,511 --> 00:36:24,236 But I was able to download a program 673 00:36:24,237 --> 00:36:26,721 that allows you to visit spots across the globe. 674 00:36:26,722 --> 00:36:28,551 Uh, virtually, that is. 675 00:36:28,552 --> 00:36:31,555 I thought it would help distract you from being stuck here. 676 00:36:34,627 --> 00:36:36,111 Thank you. 677 00:36:37,423 --> 00:36:39,045 You're welcome. 678 00:36:44,119 --> 00:36:45,431 Dr. Lincoln? 679 00:36:47,122 --> 00:36:48,916 I am sorry about today. 680 00:36:48,917 --> 00:36:50,573 It's no excuse, 681 00:36:50,574 --> 00:36:54,853 but I've been going through something in my personal life. 682 00:36:54,854 --> 00:36:57,096 I'm impressed you even have a personal life. 683 00:36:57,097 --> 00:36:58,926 When I was an intern, 684 00:36:58,927 --> 00:37:00,963 there was a 32-day stretch where I didn't see the sunlight. 685 00:37:01,654 --> 00:37:03,102 It's probably for the best. 686 00:37:03,103 --> 00:37:05,451 And I'll get a life when I'm an attending. 687 00:37:09,420 --> 00:37:12,111 Hey. What is this? Why are you still in your scrubs? 688 00:37:12,112 --> 00:37:14,977 We can still make it by the third inning if we hurry, but we gotta go. 689 00:37:15,668 --> 00:37:17,739 You didn't take another surgery, did you? 690 00:37:18,809 --> 00:37:20,259 We're still going, right? 691 00:37:21,156 --> 00:37:22,915 Hey, Chief, your post-op notes are done, 692 00:37:22,916 --> 00:37:25,608 and I'll check in the ER for any consults before I go. 693 00:37:25,609 --> 00:37:27,680 No need to announce it. Just get it done. 694 00:37:28,336 --> 00:37:29,337 Okay. 695 00:37:29,751 --> 00:37:31,166 Hey, Chief. 696 00:37:32,305 --> 00:37:35,652 I'm sorry I screwed up during the heat dome, all right? 697 00:37:35,653 --> 00:37:38,310 I wish I could go back in time and do it better, but I can't. 698 00:37:38,311 --> 00:37:42,833 All I can do is play by the rules today. And I am trying really hard. 699 00:37:43,351 --> 00:37:46,802 But if that's not good enough, just... just call it. 700 00:37:47,941 --> 00:37:49,115 Good night. 701 00:37:52,843 --> 00:37:56,501 - I know it's complicated... - Is that Seattle Grace? 702 00:37:56,502 --> 00:38:00,401 It's Midvale General, Adele's favorite soap. 703 00:38:00,402 --> 00:38:03,853 It appears she taped over my esophagectomy. 704 00:38:03,854 --> 00:38:06,477 Uh, that's disappointing. I'm sorry. 705 00:38:06,857 --> 00:38:08,823 Not as sorry as Dr. Lehane's gonna be 706 00:38:08,824 --> 00:38:12,311 when he finds out his wife's pregnant with his brother's baby. 707 00:38:14,140 --> 00:38:16,348 When I first read Chase's work, 708 00:38:16,349 --> 00:38:19,697 I thought it was too good to be true. 709 00:38:20,180 --> 00:38:22,009 And I still fell for it. 710 00:38:22,010 --> 00:38:27,428 Yeah. People like Chase prey on our optimism and hope. 711 00:38:27,429 --> 00:38:30,536 The indictment's on him, not you. 712 00:38:31,571 --> 00:38:35,367 But I brought him here. 713 00:38:35,368 --> 00:38:42,305 I misled our residents into believing that these tumors could be resected. 714 00:38:42,306 --> 00:38:45,378 And apparently they can. 715 00:38:46,828 --> 00:38:48,208 You were able to do it. 716 00:38:48,657 --> 00:38:52,040 We were. 717 00:39:07,435 --> 00:39:08,608 Dr. Chase. 718 00:39:09,609 --> 00:39:11,265 Griffith. You need something? 719 00:39:11,266 --> 00:39:13,923 Oh. I can't change Baltimore's decision to terminate you, 720 00:39:13,924 --> 00:39:15,407 so don't bother asking. 721 00:39:15,408 --> 00:39:18,997 I'm not. I'm glad I'm here. I wasn't at first. 722 00:39:18,998 --> 00:39:22,241 I spent a lot of time wondering what I could've done 723 00:39:22,242 --> 00:39:25,383 to make you see what a good surgeon I could be. 724 00:39:25,384 --> 00:39:27,420 But today I realized it wouldn't have mattered. 725 00:39:27,869 --> 00:39:31,043 You don't care about teaching. You don't care about your patients. 726 00:39:31,044 --> 00:39:32,562 You only care about you. 727 00:39:32,563 --> 00:39:36,049 Maybe that gets you published, wins you awards. 728 00:39:36,912 --> 00:39:38,844 But it does not make you a good doctor. 729 00:39:38,845 --> 00:39:42,676 Well, that's... ...a lot of opinions from an intern 730 00:39:42,677 --> 00:39:45,368 who's only done one surgery on their own. 731 00:39:45,369 --> 00:39:47,301 Here's what you could've done to impress me. 732 00:39:47,302 --> 00:39:50,580 You could've been more specific in your post-op notes. 733 00:39:50,581 --> 00:39:53,272 "Better" doesn't really tell me anything useful. 734 00:39:53,273 --> 00:39:55,551 Could've been more assertive with your patients, 735 00:39:55,552 --> 00:39:58,554 and there was too much slack in your sliding half-knots. 736 00:39:58,555 --> 00:40:00,452 Still is, from what I saw in there today. 737 00:40:00,453 --> 00:40:02,420 Stands to reason, I suppose, 738 00:40:02,421 --> 00:40:06,321 given your mentor who's really no great shakes herself. 739 00:40:06,942 --> 00:40:09,635 Good luck, Dr. Griffith. You need it. 740 00:40:10,152 --> 00:40:13,811 When you're in pain, you can grin and bear it all you want. 741 00:40:14,847 --> 00:40:17,159 You can try to pretend it's not there. 742 00:40:18,091 --> 00:40:21,611 Have you seen this map? We're right behind home plate. 743 00:40:21,612 --> 00:40:22,957 Yeah, yeah. 744 00:40:22,958 --> 00:40:25,444 We get a concession server? 745 00:40:26,617 --> 00:40:30,207 Lincoln was right. I did need a night out. 746 00:40:31,139 --> 00:40:33,002 Glad he could help you out. 747 00:40:33,003 --> 00:40:37,835 I love baseball. You love baseball? Wait, are you for Seattle or Boston? 748 00:40:38,353 --> 00:40:41,390 When we get there, just pretend it's the OR. 749 00:40:41,770 --> 00:40:43,633 Okay? Hey, don't talk. 750 00:40:43,634 --> 00:40:45,980 Okay? Don't talk. 751 00:40:45,981 --> 00:40:49,537 ♪ See the light, see the light That breaks through ♪ 752 00:40:50,365 --> 00:40:52,297 But there's no glory in suffering. 753 00:40:52,298 --> 00:40:55,162 He said my sliding half-knots were sloppy. 754 00:40:55,163 --> 00:40:56,750 His shirt and tie didn't match. 755 00:40:56,751 --> 00:40:59,201 - He insulted Bailey. - No! 756 00:40:59,995 --> 00:41:01,340 Karma will get him. 757 00:41:01,341 --> 00:41:04,344 - Or a malpractice attorney. - Mmm. 758 00:41:05,242 --> 00:41:06,760 Hey, how was your day? 759 00:41:06,761 --> 00:41:08,969 Actually, uh, pretty great. 760 00:41:08,970 --> 00:41:12,973 Dr. Webber said he's gonna talk to Dr. Fox about letting me back into our class-- 761 00:41:12,974 --> 00:41:15,665 Nope, keep your good news to yourself. 762 00:41:15,666 --> 00:41:18,047 - We're moping. - Yeah, this is Mopetown. 763 00:41:18,048 --> 00:41:20,877 Population, two. I'm the mayor. She's the comptroller. 764 00:41:20,878 --> 00:41:22,086 What's a comptroller? 765 00:41:22,570 --> 00:41:24,398 I don't know. I don't care. 766 00:41:24,399 --> 00:41:26,607 I thought you'd be happy for me. 767 00:41:26,608 --> 00:41:29,508 I am. It's just been a long day. 768 00:41:29,887 --> 00:41:32,062 Yeah, so get on board or get out. 769 00:41:32,407 --> 00:41:33,787 I'm pretty beat. 770 00:41:33,788 --> 00:41:35,961 I'll see you upstairs? 771 00:41:35,962 --> 00:41:37,274 Okay. 772 00:41:38,413 --> 00:41:41,864 Okay, will you come with me to, like, a bug society meeting, 773 00:41:41,865 --> 00:41:44,556 so I can tell this girl that my patient died? 774 00:41:44,557 --> 00:41:46,524 No. That's not what a comptroller does. 775 00:41:46,525 --> 00:41:47,870 - What? - Yeah. 776 00:41:47,871 --> 00:41:49,975 - There's no reward. - Sorry. 777 00:41:49,976 --> 00:41:54,635 It doesn't make you wiser. Or stronger. 778 00:41:54,636 --> 00:41:56,431 It doesn't make you immune. 779 00:41:57,605 --> 00:42:00,883 ♪ Here we are, here we are I'm with you ♪ 780 00:42:00,884 --> 00:42:04,888 ♪ There's a beautiful dawn In the breakthrough ♪ 781 00:42:08,857 --> 00:42:11,549 ♪ There's a beautiful dawn In the breakthrough ♪ 782 00:42:11,550 --> 00:42:13,103 Did you even hesitate? 783 00:42:14,691 --> 00:42:16,070 When you slept with someone else? 784 00:42:16,071 --> 00:42:17,486 - Of course I did. - Hmm. 785 00:42:20,282 --> 00:42:24,563 I love you. Teddy, only you. 786 00:42:25,633 --> 00:42:27,704 That night meant nothing. 787 00:42:28,808 --> 00:42:32,640 ♪ Here we are, here we are I'm with you ♪ 788 00:42:32,985 --> 00:42:34,158 Hey. 789 00:42:36,644 --> 00:42:37,817 Teddy, come here. 790 00:42:42,650 --> 00:42:44,271 It's gonna be okay. 791 00:42:44,272 --> 00:42:46,273 Sometimes it makes the pain even worse. 792 00:42:46,274 --> 00:42:49,795 ♪ There's a beautiful dawn In the breakthrough ♪ 793 00:42:49,795 --> 00:42:59,795 . 63576

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