Original subtitles

Yeah. Okay, Gilly, shut up for a second, all right? Listen to me. I want the

Bears with the points, Miami minus one, Atlanta plus three.

Seahawks, Colts, and Pats on the team.

Yeah, yeah, I see you. I got to go.

Well, I used to wake some more and get my breakfast in bed.

I used to worry she would ease my aching head.

What are you doing?

It's to immobilize your head. This is modern medicine. It's just to get a

picture, Mr.

Toledo. It'll be real quick.

And, well, talking is probably not helpful.

She filed for divorce?

I'm with a patient, Joe. You were barely separated, for God's sake. She

prohibits you with papers. Not now.

You've got to be fired, Aaron, immediately.

Don't get stuck on this. Camille's chief or nurse. You're a chief of

neurosurgery. Am I bothering you?

Don't do that.

Dr. Geiger, report to OR stat.

Dr. Geiger to OR3 stat. Thurman, come with me.

Hold on, Mr.

Colito. The technician will take care of you.

Hold on. I'm in a tube with a taped head. Hold on.

It's too long in the tube.

Let's just see what's wrong.

They let him near a patient. That's what's wrong. I don't care. He's a

We'll fix it.

You know, Camille's in there.

That's what. Jeffrey, don't involve yourself in this, all right? I'm just

saying. You can't have people's health compromised by certain animosity as a

matrimonial hatred.

I mention this because I care.

That's surprising.

That's not folks.

Camille, is this anything good? Give her another epi.

Immediate stenoscopy.

Massive bleeding.

He just erupted. He's only 33.

There's the blood. Six units. No negative. On the way to the OR. Clear!

Charge it again. What have we got? Still nothing. Get the sternal saw. Clear.

Chest tray. How long does that have to be? Two minutes.

Excuse me, doctor.

What are you doing?

0 .28. Nice. Thank you. Give me a 50 -way. Medium. Saw.

This is my procedure.

You'll get full credit, doctor. I promise. Especially if he dies.

Practice.

Now what the hell are you doing?

Step back, Doctor.

I will not step back. Dr. Thurman, step back now, please. We were stat -paged by

Dr. Waters.

Second.

Left? Another one? Yeah.

Another one?

Connect the arch. I got my finger out.

I can see it.

I need a clamp.

Good night, Phil.

Two lines under pressure. All right, keep the suction going.

Come on, give me a lousy beat. You're only 33.

Come on.

I'm pumping on them.

Come on.

Come on.

Come on.

Come on.

Come on.

When we were kids, on the corner of the street, we walked and we were

having fun.

We got it. We got a poem.

All right, give me a 502 with a budget.

It's okay.

Okay.

That's how it feels broken.

Maybe his wife filed it.

Oh,

Camille.

Yeah, okay.

Dr. Cohen.

The Arctic Archie.

You son of a bitch. We had a situation. The situation was you exacerbated her

crisis by bringing in these two. It's all about preserving life. Remember.

Jake Aaron sighed. I expect it. But leave the attitude out of OR.

You know me. I'm Mr. Neutral.

Dick, take the operative report.

List the complications in the operative report, please. You did good work. Let

me handle Dr. Thurmond.

First, you're handling me.

Sorry.

I did what was necessary.

I think you know that. It wasn't necessary for you to enjoy it.

You arrogant.

Finkelstein's biopsy has been postponed. Like the second opinion so much, it's

going for a third. You've got the weak deposition at three, the Kendall

at four, the ill federal come right after court.

The CUSA rep called. The sonic scalpel thing was being delivered. Do you know

the one that liquefied? Good.

Nova called again about your profile. Shall I tell him no? The Brooks record?

Yeah, tell him no still. And Commonwealth insurance won't cover your

They say you're too expensive. I told them we're cheaper than mayo. It's

too. They don't care.

Gentry, Stiller, and Farmer's are all covered by Commonwealth.

Stiller's dead.

345, then... Can I talk to you?

Talk here.

Joe and Mary Colito are inside.

Here.

I know I should have called you first before serving you with papers.

Aaron, I was trying to contend with my own pain. I just didn't have the

to take on yours.

Well, well said.

The separation.

I've been waking up every morning with the hope that things...

But I realize I don't want to get back.

The hope for me is divorce.

Is there somebody else?

No.

It's just not you.

Well... I have, um... I

have a patient I should, uh... Okay.

We'll talk later.

Aaron?

Kalito, Mrs. Kalito, how are you?

I got burns on my chin from that tape.

They tape my head.

I know, you keep telling me.

Mr. Kalito, I'm afraid that the news is not good.

The dizziness and the funny taste in your mouth are being caused by a brain

tumor.

Now, this is your MRI.

This entire blue area here is abnormal tissue.

All of that?

Yes. It's approximately two inches, but I believe it to be entirely operable.

The thing is, it's located in the temporal lobe, very close to the

of the brain. Now, that's a concern, and I'd like to operate as soon as

possible.

Oh, my God.

You said simple tests, nothing to... I'm sorry.

I can perform the procedure on Thursday.

I'd like to admit you tomorrow and... Just like that?

Just like that you want to cut into his head?

I know that this is a shock.

But if this tumor gets any bigger, you could lose your ability to speak or

understand.

And I'm afraid that it could be malignant.

I think we can get it all.

Not respect.

What we should be doing right now is addressing the doctor's mistake. How to

prevent the mistake instead of how to keep it from coming to the attention of

potential litigant who, because of the mistake, hasn't got enough faculty right

now to fill out his blue cross form. Just try to turn it into a big

You want me to smack you? Yeah, cut it out.

That's the point I get. That'll bring me profound joy. When I come to rescue and

I get sh** on by the ass, I'm endeavoring to cover. And as always,

performed admirably.

Problem is, our ass will stay covered.

Arthur Thurman is one of the most renowned surgeons in the country,

maybe the nation's best hospital. We're so thick with credential here,

malpractice won't even be suspected, much less proven.

It doesn't change the fact this legendary healer is 76 years old. His

shake. He just butchered a main artery.

And he's gone.

What's this?

That sign I...

In Texas, just turfed the case. I took it.

Patient and family are flying in tomorrow.

What kind of case?

Take a look.

Are you nuts?

Anybody can do it. It's us.

Specifically you.

The pediatric transplant surgeon will be here tomorrow. Her name is Dr. Karen

Antonovich. The hospital said yes to this?

They will.

I want you to head the team.

Well, who's deciding which one we save?

I'm not playing God with this.

The parents want us to save both.

Dr. Antonovich thinks it can be done.

She's crazy.

And so are you. Well, Ray said yes.

We can't separate them.

You can see there's a large ridge of common liver, which we can split.

making this separation possible.

The intestinal tracts could be complicated.

This one's trouble.

Jeffrey Geiger, Karen Antonovich. Hi.

Hi.

They're going to have to choose.

No.

We can save both. It'll be difficult. Too much bile duct work by the time we

finish the plumbing. It can be done.

Your hospital turfed because they knew it couldn't be.

And that's why I brought them here, because my hospital was wrong.

Mm -hmm.

I don't like her.

Fine. X -rays and tests are two. Check in after your bypass.

Nice to meet you. Same.

Well, he'll resist a little.

He had a son died young, less than a year old.

How? I don't know. He's never talked about it.

Look, if this case is too personal for him, maybe he shouldn't be in the room.

Doctor, you want him in the room. Trust me.

So you cannot just say yes to a Siamese separation.

Time was of the essence, Trevor. Aside from my right as chief of staff, what

about as a courtesy?

Camille, I need you. You can sell it. It is not your call, Clay. If the trustees

say no, I'll abort it. If they say yes, I want to be ready. You have got to move

on Thurman. Risk management is already there. I'm doing it now.

Run the red tape for me on the twins. I'll abide by the decision. I want to be

heard. This is not respect.

He's in there.

No better exercise for dexterity than Beethoven.

I've scheduled a meeting with the executive committee concerning this

incident.

2 .30.

I nicked an artery.

Name one surgeon who hasn't.

Hold out your hands.

Please.

Make them still, please.

You see that letter opener?

Put it in my hand like it was a scalpel.

The resting tremor.

Nothing more.

Today, maybe.

I'm worried about tomorrow.

You know, my friend, the day I stood before the trustees and filibustered for

your promotion, it was because I knew, in addition to your gift as a surgeon,

you understood the politics of running this department.

You knew then, as you do now, what my name means to this hospital.

I'm less concerned with your name than I am with your hands.

How dare you?

2 .30.

One more. Give me a little more suction there.

All my

life I wanted to be a pep. Yeah, you're right. It's a great job.

You get fame and anonymity.

One more I can take.

Get to stand up there with Gladys every night in the spotlight.

Dancing.

Taking bows.

As soon as the show's over, the lights go down.

You got privacy.

What are your thoughts, Camille?

I've always considered you the complete cat.

Well, thank you.

Twins are here.

Okay,

Robert, close them up.

First, I think I lost the cuff link. See if you can find it.

I'm okay.

Why the catheterization?

I thought the hearts were normal.

Just precaution.

John and Marsha Quinlan, Dr. Geiger. Hi. Nice to meet you.

Nice to meet you. Dr. Waters has been telling us about you.

Did Dr.

Waters explain the chances of both children surviving?

We're not choosing.

We can definitely save one.

By trying for both, you risk both.

They're inside.

Why don't you have a look?

Patty's on the right.

Marie, she's a little bit shy.

I just

figured,

you know, that it... Might help in there if you

know I'm a person, a grandpa, not just a, you know.

I won't forget that, Mr. Colito.

X -ray tech, report to 5 South.

You got a family, Doc?

What about that sonic thing? You practiced with it, right?

Yes, I did.

I sure did.

Once Dr.

Geiger completes the separation, teams three and four move in, beginning with

the biliary tree.

We'll be connecting the bile duct to this loop of intestine.

Once that's finished, we move to the abdominal wall.

After that, the plastic team takes over.

As you can see, we've got a crowd. Space is a problem. You don't so much as

breathe if it's not in the playbook.

If you have any questions, for God's sake, ask.

That's what this rehearsal is for. Tomorrow, we cannot miss a step.

Okay, let's start. Okay, babies, please.

Okay, let's go. I want it on a timer, okay? Abdominal tray.

We're going as many times as we can until I drop, all right?

Put this on a timer. Peter and Glenn next to me. I want separation. Keep the

corner clear.

This one here.

Patty. She's the boss.

You can tell that?

Oh, yeah.

I was the boss of my family until my brother started tying me up to a tree.

Oh, my God, they're gorgeous.

When they were first born, I thought they were monsters.

We wondered how we could ever grow to love them.

It took about ten minutes.

They seem quite attached to each other.

I am so sorry.

I know.

Yes.

They love each other very much.

Don't you?

Don't you?

Cardanoid.

You're in game.

Good.

I don't want to steal it from this vessel.

Pathology's back.

Grade 3 astrocytoma. Malignant.

Okay.

I'm there.

Give me the toy.

The script is too thin. We've got to tell the rep.

He's an elderly man. The likelihood is the tremor will get worse before it gets

better. I don't want to wait for a tragic result.

You can certainly wait longer than you have.

I made this hospital.

I'm responsible for the federal grants that built this surgical institution.

I'm the reason every medical graduate student wants to train here.

And I'm certainly the reason for you.

Now, I damn well deserve the courtesy of your presumption.

This isn't personal, Arthur.

It's personal.

You tell me I can't operate.

It's personal.

Nobody is telling you that, Dr. Thurman.

We would like you to get a complete physical.

Assuming a good bill of health, we remain honored to have you perform in

hospital.

Thank you.

While we're here, Phil.

The trustees have voted against separating the conjoined twins.

I beg your pardon?

They're uninsured.

The price tag of the procedure will be upwards of a million. Aftercare would

bring it to two.

I see. Well, why don't we just apply some of the teaching funds we'll

to receive as a result of retaining the legendary but incompetent Dr. Thurmond?

I don't appreciate that, Phil. I don't appreciate exalting politics over health

care. Our job is to look at the overall picture sometimes, Doctor.

I'm looking at two baby girls sharing one liver, facing a lifetime of

if we don't intercede. What about the suffering of all of the other people we

are supposed to help?

If we exhaust our resources on a futile philanthropic quest, we have nothing.

It's not futile. We are a service business. We're doctors.

I'm declaring this an emergency procedure.

For that, I don't need trustee authorization.

You listen to me.

I held those babies in my arms.

We're doing it. Meeting's over.

And separation is complete.

We can't make one mistake tomorrow. Not one.

Let's go.

Try it again.

Just getting a feel for the room, taking a look for tomorrow, you know?

Look, I know every doctor's got his or her way,

but you're the one who's done this operation before.

If anything, they'll all be looking to you for calm.

Mm -hmm.

I'm just worried about the team.

How did your son die?

Excuse me.

Dr. Waters mentioned that you had a son. Well, he was out of line.

Okay, I apologize.

But how about you? Are you ready for tomorrow?

I've never been more ready.

Well, I've never done this operation before where both babies lived.

Nobody's dying, Marl.

420R. 420R.

Here they come.

All right, let's keep going.

And by team two.

for those of you expecting music or my razor -like wit i apologize the size of

the room makes communication more difficult today waiting players watch

video monitors for those of you with god in your lives please make contact now

Let's go.

They said malignant.

But the surgery went good. Except for the hole in your head, you're perfect.

Where's Dr.

Shutt? He's in the OR, cutting the twins in half.

Gorgeous.

I would think he'd want to give me the good news himself.

Believe me, he would. He's just tied up in surgery.

Probably not a big deal for him.

Big deal for me.

Can I ask you something?

Of course.

You saved my life.

Most people don't do something like that ever, as long as they live it.

Do you think he sees me walking down the street three months from now, do you

think he's going to know who I am?

Absolutely.

I just want to make sure we'll have enough for a flat. Mm -hmm. I don't want

to... I just want to check the back wall.

I don't want to match it, and I don't want any argument from him later on, you

know? You got it?

Yeah. I just want it to be even.

Feels good.

Okay, give me the marker.

Here's the marker, okay?

Okay.

Retract it more. Keep it very tight.

I have 5 -0 suture. I'm going to have to throw some patches as we go.

Got the 5 -0 ready.

We'll get another one.

That's 7 -0 proline 2. The angio shows an aberrant artery.

Let me get this side.

Scalpel? Scalpel.

Not bad.

I passed the physical.

It was a resting tremor, just as I said.

And you're so sure of yourself, you're in here giving an appendectomy to an

apple. Don't you mock me, ever.

I have cheated death in this room.

I've beaten mortality again and again.

But you can't trump your own.

They may shake when it's cold.

I can't even button up my shirt. But in here, they come alive.

I come alive.

You're the greatest surgeon I've ever known.

My mentor.

But it's time to stop.

Officially, you may still have privileges, but as head of the

schedule procedures. I won't be assigning you to the OR.

I just have to exercise them more, that's all. The piano playing, it keeps

limber. I just need to exercise more, that's all.

What do I do?

Play with my grandchildren?

I don't even know them.

When they're having birthdays and getting married, I was here.

This is my room, Philip.

I can get better.

I'm sorry.

This is my room, damn you!

Okay, just hold it apart.

That's good.

Keep your finger right there.

You need a mosquito?

I am.

All right.

Another clamp. That looks good, yeah.

You can

pull

that back right there. Right there. That's it.

The back player.

Teams two and three ready? Ready.

You're on.

Let's go now.

Transfer team ready.

We're almost there.

And boom.

Come on, let's go.

All right, stay with me.

Okay, come on, sweetheart.

Good luck.

Got it. Erin, she's coming to you. Okay, bring her to me. Come on, bring her to

me. Okay, nice and easy.

Careful.

I'll need her vitals as soon as I can get them.

Okay, let's drape this girl right now.

She's bleeding.

Can you take this for me? On the bottle, please.

Where is this bleeding coming from, huh?

Abram vessel, we got bleeding.

Body temperature is 92.

Okay, turn up the blanket. Get ready to go on bypass.

Jeffrey?

We need you to go on the pump. I can't leave now. My hands are pulled. We can't

put her on bypass. We'll have to have her. We've got no choice. She's going to

go into arrest.

She won't survive.

Yes, she will.

Come on.

Come on, Patty. Ready with the pump?

Come on, girl. Stay here.

Flow pressure's dropped a little more. Okay, let's go on. Here you go.

All clamps off.

We had some complications.

What kind of complications?

With Patty.

She had an aberrant blood vessel, which caused some heavy bleeding, and the drop

in body temperature caused some threat to the heart.

What kind of threat?

We avoided arrest. The heart is fine, but the bleeding is a problem.

These doctors are good.

The reconstruction work on Patty is very difficult.

But these doctors are good.

Give me a bed. You missed that.

Right away.

Somebody help Sandy.

I don't want her to get upset.

Watch your gases closely.

Let's stay three units ahead.

Clean this up here.

What's your press?

Give me a lap.

I don't want her to get too much volume.

Clamp.

Good.

Clamp.

Got that right there. You got that? Got it.

Give me another climb up.

Hello?

I need a tubing clamp.

What kind of rhythm she's got? Normal. What kind of rhythm does she have?

Sinus rhythm 94.

Great. What's her pressure? Okay, thanks.

And her temp? Here's some water for you.

Thank God.

Here it's coming off.

Got work to do.

Take her off the pump. Clamp. Take these lines.

There you go.

What's her pressure?

90 over 60.

Great. Let's do a crit and a panel.

Okay.

I'm done here.

Cut. Got it.

Ma 'am?

She's gonna make it.

This little piggy's going to have roast beef.

We need you now.

Okay, fellas, take over.

What's going on?

We've still got problems here.

Hey,

Patty.

I know your sister.

Maria's conscious.

She's coming out of recovery.

Where's Patty? Patty had the complications. It could take a while. I

Here comes Marie.

Patty?

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