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There comes a point in every surgeon's career where the novelty wears off and
monotony sets in.
You
go
to work, you perform the same procedures over and over, you get home
late, eat leftovers straight out of the fridge, go to sleep.
Could you stop that? I'm trying to buy a new mini fridge.
No, I have to make it to ten.
This is like an abandoned gold rush town. With condoms.
That one went on purpose.
Then you wake up and do it all over again.
The second you get lulled into the routine, that's when it happens.
She's toting.
Again?
That's when you meet the patient who changes your life.
Starting compressions.
Quite a pair, aren't we?
Me and my sling and you and your 30 -week glow.
Awesomeness, awesome glow.
I'm almost done here.
Take your time. I'll work on notes.
Have you gotten to run your parents out of town yet?
No, I hope not. We're going to need all the help we can get.
Though I will be glad when my mom stops badgering me about getting twins
baptized. I already told her we should wait until they're at least 18.
Are you serious?
Ah, can you take a look at our new admission?
I'm off to have Dr. Marcus do it.
There was an incident.
She threw a water pitcher at him. Well, can you blame her?
Um, do you want to just work in here? I won't be long.
Yeah. Great. Okay.
It's a moment of truth.
Melinda's on the line.
The shot will win all the marbles.
Hey, pal.
It's a meet -up game.
Where do you think you're going? Home. We should be in the O .R. not wasting
time on Bailey's pet project. Dr. Kwan. Which is providing people with the care
they so desperately need.
Uh, do you look fancy? Big plans?
Uh, if you mean dinner with my husband and no children, then yes.
Uh, today's no shows.
Follow up.
Try to reschedule.
Mercedes Hernandez?
Again?
Her prescription for PCOS and diabetes expired months ago. She was hospitalized
for diabetic ketoacidosis back in March.
You cannot force the patient to come and see you. All you can do is... Follow
up. Good. Don't forget to restock the beds before you close. And if you need
anything, call someone else.
And Mellon. Yeah, yeah?
Condoms are not a toy.
Yeah. I'll get started on the bed.
Well, Adams still isn't here?
Negative. My mother always said, early is on time, on time is late, and late
is... Unacceptable. My dad says that, too.
Ah, and I'm about to be late for a herniary repair. Can you do the workup
new transfer from Vashon?
Of course.
Thanks. And tell Adams he owes you one.
Yeah.
Oh, great.
First Doogie Howser, now pregnant Barbie.
Amy, I am Dr. Wilson, and I am here to check your cervix. Is that okay with
Are you a real doctor?
Or a rookie like the other guy?
I'm an OB resident, a board -certified general surgeon, and your only other
option right now.
Okay. Fine.
I want an unmedicated vaginal birth.
It's probably a foreign concept around here, but women have been doing it for
millennia. Okay, you are four centimeters dilated. Let's take a look.
Okay,
your baby is breech. It's coming feet first.
I know. She was supposed to turn right now, but she's being difficult.
Okay, we can try to turn her with a procedure called external cephalic
but if that doesn't work, you will need a C -section.
I read online you can still deliver a breached baby vaginally.
It is possible, but unfortunately, it is high risk for the baby, so we tend to
not... A C -section isn't in my birth plan.
Okay.
I will try to turn her by pushing on your belly. It's more likely to be
successful if you have an epidural in place.
Also not in my birth plan.
When I say I'm having an unmedicated birth, I am having an unmedicated birth.
Okay?
I understand. I will give you a minute, and then I will be back to do the
version.
Ms. Evans.
Hi, I'm Dr. Griffith. How are you feeling?
Ready to party.
Glad to hear it.
Meat?
One sec.
Regina Evans, 51, presents with congestive heart failure, renal failure,
hospital -acquired pneumonia in the setting of polyarteritis nodosa, or PAN.
Which is?
Rare from a vasculitis.
In other words, I got one foot in the grave and the other on a banana peel.
She's on four liters nasal cannula and a Bumex drip.
Welcome to Grace Sloan.
What's the plan?
Call in attending.
She needs a CBC, CMP, coags, blood cultures, an EKG, and a CT of the chest
abdomen. Right.
All right.
I'll be back to check on you.
Oh, um, there's some photos in that bag there.
Would you be a dear and grab them for me?
Sure.
Yeah.
I've seen a lot of hospital rooms.
Photos help make it home. Boys wanted to go to Paris.
Greatest city on earth.
You're a chef.
I'm tired, but I still throw a hell of a dinner party.
Why do you have a photo of my mom?
Miss Hernandez, this is Dr. Kwan calling about your appointment today.
We wanted to check on your diabetes. Give us a call back to reschedule.
She missed three appointments.
I know she has child care issues sometimes, but she usually calls.
I'm going to miss my bus.
You want to give me a ride home? You live on the other side of town.
What if I bribe you with cake?
It's from Max and Irvin's tasting last week, but the red velvet is still good.
Is that a no?
I will give you a ride home, but we're making a stop on the way.
Isn't your car outside?
I need a few things.
You're Niecy and Wayne's baby girl?
Simone. You were friends with my mom?
Friends?
Girl, we were attached at the hip.
Grew up around the corner from each other.
I can't believe it.
Simone Griffith, all grown up, and a doctor.
Surgeon, actually.
Mama Joyce would be so proud.
You know Granny.
She was basically my surrogate mom.
You still talk to her or my dad?
Well, we fell out of touch.
I think after your mom, I brought up painful memories.
Is there someone I can call for you?
No.
My mom's on a senior cruise in Antarctica.
Sounds cold if you ask me, but she's my only family.
This might be a little cold.
Remind me never to leave Amelia's gym rush hour.
Not my responsibility.
Hey, hi, I'm Dr. Adams. I'll be taking over your care.
Once Dr.
Griffith gets me up to speed, we'll head to CT, all right? Sounds good.
Griffith? Yeah, I'll be right there. I'm just going to finish your echo.
It's colder in here than on my mom's cruise.
I'll have the nurse bring you another blanket.
I wasn't talking about me.
Hey, I'm going to be a while. My patient is in active labor and her baby is
rich.
Sounds great.
When did you talk to my mom about baptizing the twins?
Two days ago.
She told me that you didn't want to talk about it, thought I was doing you a
favor. I thought you weren't religious.
Did I ever say that I wasn't?
Have you been going to church and I haven't noticed?
No, but that doesn't mean that I don't believe in God.
Okay.
Define God.
What? I just want to know what God is to you.
God is... I don't know. It's like porn. You know it when you see it.
Did you just compare God to porn?
I felt wrong coming out of my mouth, but the principle still applies.
Have you ever been to church?
Yeah, in high school, I would hit up the Korean church for free meals all the
time. Not helping your case.
Why are you cross -examining me?
I'm just trying to understand.
Okay.
Um, talking to your mom reminded me of the nights that I would eat in the
courtyard and peek in at the youth group or senior Bible study, and it
was a community.
That I never had. That I want for our kids.
So my mother got to you. It's not ritual sacrifice.
It's pouring water on their head. And initiating them into a religion I don't
believe in. And up until a few minutes ago, I thought you didn't believe in
either.
Where are you going?
To flip a stubborn baby.
Go figure.
Is this weird?
You know, we could get fired for this. Or sued.
Or both.
Yeah, well, looks like no one's home anyways.
Let's go.
Hola.
¿Quién es?
Buenas noches.
Disculpe la molestia. Somos doctores de la clínica Elena Bailey y buscamos a
Mercedes Hernandez.
¿Está disponible?
Do you speak Spanish?
I took a couple years in high school, but it never really stuck.
Are you a doctor?
Yeah, yeah, I am.
He's a velociraptor.
Yes? I meant to call.
It's okay.
It's okay. I forgot today was the half day at hobby school. My mom couldn't
watch him.
Do you always come to people's houses?
My colleague, Dr. Millen, and I just wanted to make sure you were all right.
I'm a little run down, but what else is new?
Where are my manners? Let me get you something to drink. Oh, no, no, no. It's
okay.
It's okay.
It's okay. Don't move. Don't move.
It's okay.
It's okay.
It's okay. It's okay.
It's okay. It's okay.
It's okay. It's okay. It's okay.
It's okay.
It's okay.
It's okay. It's okay. It's okay. It's okay. It's okay. It's okay. It's okay.
It's okay. It's okay. It's okay. It's okay. It's okay. It's okay.
It's okay.
It's okay.
It's okay.
It's okay.
Simone, is that you? That's me.
Your scans will just take another minute.
Why'd you kick out my intern?
You left him to do your work.
We used to get left like that all the time.
Will you just let me do my job?
She has an aneurysm in her superior methanteric artery.
That would explain her vague abdominal pain. Yeah, she needs a stent. I'll call
Weber.
All right, you want her? She's all yours.
I'll go see my 20 -year -old piece.
Temps 102.
Do you have any abdominal pain or cough?
No. It's not hypoglycemia.
Blood sugar is high, 349.
Have you been taking your insulin?
My prescription ran out. I've been taking supplements, trying to eat
Can we give you an insulin shot?
This is Benito.
Ah, it's nice to meet you, Benito. He's eight, like me.
And this is his friend, Josh.
Did you know velociraptors are the smartest dinosaurs?
They can run 24 miles per hour.
Hurry, please.
Can I go outside?
I'm bored.
Okay,
little poke.
I'm sorry.
I stubbed my toe a while ago. It's not healing.
Can we take a look?
Mm -hmm.
Mercedes, you need to go to the hospital.
We're between insurance plans.
Grace Loan has programs that can help with that.
Have you with their outfit if I'm not here at bedtime?
This is a serious infection.
I can come to the clinic tomorrow.
Please.
Okay, how about we give you an IV antibiotic and then we try to clean out
infected tissue now?
Baby won't budge and Mom is refusing meds.
What are you doing?
I'm making a list of all the reasons baptizing our kids makes no sense.
No matter which room I walk into tonight, nobody cares what I think.
Number one, you perform abortions for a living. How is that an issue?
It sends a mixed message.
Plenty of Christians believe in a woman's right to choose. Number two,
Luna are not baptized, and for that matter, neither are you. Well, I was
thinking that we could do Luna at the same time. You'd have to talk to Amelia
about Scout. You'd have to talk to me about Scout, and I would say no way in
hell. Well, now you're resorting to puns.
Number three.
Okay, you know, I am...
I am so tired and very over this.
Organized religion is not the only community out there. You want community?
them play sports.
I was talking about a spiritual community.
So am I.
Just give me one reason why this makes even a little bit of sense.
I'll give you seven of them. One for every month I've been carrying not one,
two of your babies.
Spoke with the attending. We're going to try and wean you off some of these
drips tonight and plan to take care of the aneurysm in the morning.
I still can't believe that Denise Ward's daughter is my doctor.
Still can't believe you knew my mom.
Does your granny still have that old hoopie? The Chevy.
Sold it a few years ago.
Oh, that is a shame.
We used to steal that.
I mean, borrow that thing all the time.
She's in a home now.
Alzheimer's disease.
It's been hard to watch. She had a mind like a steel trap.
No joke.
One time, me and your mom poured Mama Joyce's liquor in the thermos. And then
refilled the bottles with water and Kool -Aid. We thought we were so slick.
So when we went to sneak out, thermos was empty.
You couldn't get anything past her.
You and my mom did that?
Tip of the iceberg.
My dad said my mom never partied. She was too focused on school.
So he's still a buzzkill.
My dad's an amazing father.
Who clearly didn't give me the full story.
I brought another bag of Bumex.
Or I can come back later. No, go ahead. I should let you rest. I'll be back to
check on you.
Hey, Ivy is in and starting antibiotics.
How's the toe?
Necrotic, but I'm trying to breathe as much as I can.
Do you feel this?
Not really.
Okay, good.
I should have come to the clinic today.
I should have found a friend to watch Javi.
Oh, it's okay.
Really, we get it.
You're doing the best that you can.
Javi's lucky to have a mother who cares as much as you do.
He's my whole world.
Can you move the toe a little bit to the left?
Yeah, great. Yeah, there you go.
What is that? It's hurting.
You're doing great.
You're in great deep breath.
No, stop. I can't take it anymore.
Are you sure I can't give you something to help the contractions or an epidural?
What part of no do you not understand? It'll help with the pain.
I've heard about the domino effect.
You do this, I have a complication, one thing leads to the next, and suddenly
I'm having an emergency C -section. Well, if I can't turn the baby, then you
might have no choice.
This must be why our maternal mortality rate is off the charts.
You don't have to like or respect me, but I am a doctor, and I am trained to
take care of you and your baby, and you are making it impossible. So you can
either suffer through the pain while I do this procedure, or let me give you
some freaking medicine.
I need my husband.
Okay.
We'll call him for you. You can't.
He died three months ago.
We didn't come here to amputate her toe.
I wasn't trying to amputate it. It just fell off. It's a diabetic foot
infection, which is probably spreading, which means... Probably has to take off
way more than just her toe.
She could lose her whole leg.
Your infection is getting worse.
I have to call an ambulance.
No, please.
I'm begging you. We'll alert the financial assistance program the second
admit you.
Not if it's money.
If you don't go, you could die.
Okay, and we want to help you.
People saw immigration by the hospital. If I go, they could get me.
My status was revoked a few months ago, and my friend's brother...
Last week, I surrounded his car, broke all his windows, and dragged him out by
his feet. We still don't know where they took him.
I'm so sorry. Our whole life is here.
My son's school, his soccer team, our church.
We can't be taken away from that.
I can't be taken away from him.
I know you're scared, but you need more help than we can give you here.
And we will do everything we can to keep you safe. We'll even drive you
ourselves. I can't. It's too risky.
We need to take her to the hospital.
I know. Do you?
Because a couple of hours ago, you thought it was a brilliant idea to take
of her here.
Please! Please don't call 911!
I'm not.
But I am calling for help.
Now your numbers are improving, so we're stopping some of your drips.
Now you look better.
I look like death and you know it.
I didn't mean to come for your father.
He's a good man.
Yeah, he's the best. And I don't blame him for putting your mom on a pedestal.
All my life, I've heard she was a straight -A student, volleyball
She was.
But she was also the life of the party.
We once went to this tribe called Quechua with joints hidden in her shoes.
Stop.
She got us into the VIP after party, too.
By the time we got home, the sun was up and Mama Joyce was waiting for us on the
front lawn. She must have been livid. Ooh, your mother was grounded for weeks.
Oh, but it was worth it. Your life sounds so much more exciting than mine.
Nothing you can't fix with a concert and a pair of roomy sneakers.
Yeah, I don't have a lot of free time, but my job's fulfilling.
Sounds like something a nun says before she runs over the garden. Is that what
my mom said before she ditched her first wedding?
She wasn't one for him and in high.
She knew exactly what she wanted.
And she went for it.
And thank God she did.
Because here you are.
I can't do this without him.
I think you can.
Is your baby's father alive?
What? Is something wrong?
Your baby needs to come out. If you want a vaginal birth, I need to try and turn
her again.
What was his name?
Kevin.
This one really hurts.
What was he like?
Why do you care?
I just... I do.
He knew the names of all of our neighbors and their dogs.
He gave the best hugs, and he made me laugh.
He loaded the dishwasher like a raccoon on meth.
You're going to be the most amazing dad.
I can't imagine how hard this has been for you.
But this baby, she's a part of him, too.
Doesn't that make you want to meet her?
Because she really wants to meet you.
I don't think I can.
My mom had this whole life I didn't know about.
Friends and fun.
And then it ended.
I ended it.
You were a baby.
You couldn't even hold your own head up. No, but I made her a statistic.
No. No.
I did.
I wanted to be a chef.
Thought I'd try to apprentice under someone here.
But your mom, she always wanted me to live my life to the fullest.
She convinced me to apply to this prestigious culinary institute in Paris.
I couldn't believe it when I got accepted.
And then I found out that it started a few weeks before she was due to have
I asked if she wanted me to stay, and of course she said no.
I shouldn't have listened to her.
My dad was there.
He's too nice.
Me, I would have gone full Rambo on those doctor's asses.
Oh, damn it, your O2 is dropping. Okay, just keep breathing.
Deep breaths.
Just keep breathing.
Order a chest x -ray and put her on a high -flow nasal cannula now.
That's it. Deep breaths.
Where is she?
Oh, we didn't know. I can explain everything.
She's right in here.
Hi, I'm Dr. Bailey.
Hello, Bailey.
Like the clinic?
That was my mother. It's named for her.
Do you mind if I take a look?
Please. Okay.
Do you think you can fix my toe?
Right.
So, unfortunately, the infection choked off its blood supply, so it's gone.
But right now, I am worried about the rest of your foot, which is also
infected. Now, we've got a shot saving it, but we have to move fast.
I told him I can't go to the hospital.
You don't have to. I brought the hospital to you. We have a fully staffed
ambulance right outside.
Okay, we can debride there.
Okay. Good?
Okay. All right, come on.
All right. Okay.
That's good.
All right, here we go.
Mommy?
Where are you taking her?
Don't worry. I'll be right outside. No. You can't take her like you took Taylor,
honey. I won't let you.
I know you're scared, but we're just taking your mom right outside, and we're
going to fix her up, okay? No, Mommy.
Don't leave me.
Go. Go. I'll stay here.
Feeling any better?
I feel like I got picked up by a tornado and dropped on my ass.
So, a little.
There she is.
You look just like her when you smile.
You should smile more often.
Not you telling me to smile more.
I see it when I see it.
I'm just going to take a quick listen.
Deep breath.
I feel like I'm finally getting to know her.
She sounds so confident, full of life.
She was.
And I miss her more than anything in the world.
Hey, is everything okay in here?
Yeah, see what she's adding?
So I put her on high flow, stuttered her on bronchodilators, and I'm giving her
steroids. Seems to be helping. Good.
And Dr. Weber just got out of surgery, so I'll confirm Ms. Evans' procedure for
birthing tomorrow.
What's the story there?
Trust me, it's not worth your time.
You'll have to come visit me on that, and I'll invite you to one of my famous
dinner parties. I would love that.
And bring Ebony.
How is she?
We're not close.
Why the hell not?
She's the only sister you've got. She blames me, too.
Mom.
Your mother would roll over in her grave if she knew that you were walking
around carrying all this guilt.
Just let my fingers make it go away.
Then give it to me.
What?
Give me your guilt.
Let me carry that burden for the both of us.
And you go and you live life to the fullest.
But you don't want it.
I'm going to die soon anyway. No.
Stop it.
Listen.
Anytime you want to talk to somebody who gets it, and I mean really
gets it, I'm a fairy right away.
That being, Luera.
Is she really right outside?
Two steps away.
She'll be back before you can say Velociraptor 310 fast.
Velociraptor, Velociraptor, Velociraptor.
I thought that would be harder.
Oye, ¿quieres agüita?
Where did you get Benito?
My mom.
He's scary.
So he protects us.
Did you know velociraptors are the best hunters?
And they can fly.
Sounds like someone I'd like in my corner.
She's going to be okay.
With Benito watching over her, I like her odds.
All right, we're going to need to extend the incision to drain the whole
abscess. I drained it as much as I could. Yeah, I can see that.
All right, hand me a scalpel.
Come on, I don't have all night.
I'm so sorry we interrupted your dinner.
We didn't.
We're parents. We don't have all night for a meal either.
So you're not mad?
Oh, I am mad. I'm outraged that it's come to this. People are so scared to
their homes. They risk their lives.
It's cruel, inhumane, and people are going to lose their lives because of it.
All right, now, get in there, top and bottom.
Break up all oculation.
There, we are chasing every bit of infection.
Do we have to amputate?
I don't know yet.
It didn't come all this way to not save a foot.
Take. Got it.
Okay, you probably hate me right now, but deep breath. Okay, ready?
One, two, blow it out.
Okay.
Okay.
Baby's still having D -cells.
Her heart rate keeps dropping. We need to go to a C -section. No, no, no.
Please. I know that you wish Kevin was here right now. And if I could make that
happen, I would. But all I can do is try and help you. So if he was here, what
would he do?
No matter how anxious or stressed I was,
it's always calmed me down.
Okay.
Okay.
Is it working?
Honestly? Yeah.
No, it's super weird.
Oh,
it's the first time I've laughed in three months.
I'm glad I can help.
All right, let me try and turn her one more time before your next contraction,
okay? All right, deep breath.
All right, are you ready?
Baby looks good on the monitor.
She's getting comfortable in her new position.
Okay.
All right, let's take a break before we start the hard part.
I visually ate you.
My seventh procedure is scheduled for 8 a .m. tomorrow morning.
That's all. Thank you for taking care of that.
I'm just doing my job.
Regina Evans was my mom's best friend.
They grew up together.
Why didn't you tell me that you knew her?
I didn't until tonight.
But things have been so rough between us.
Didn't know how.
We need some help, Chief Cody.
What?
Starting compression.
He's Sergeant Weber now.
Sergeant.
150. Clear.
Charging at 200.
Clear.
Charging at 270. Come on, I just found you. Clear.
Charging again.
Clear. I said clear.
No, no.
Come on, Rosita, come on.
Rosita, please.
Come on.
Please.
How
did
you know that we should check up on Mercedes?
Gut feeling, I guess.
My gut's usually full of pizza.
How's Javi?
He's glad to see his mom's okay.
Yeah, for now.
Tomorrow he'll be terrified all over again.
Every time his mom drops him off at school or gets pulled over or leaves to
to the grocery store.
Any time they're apart.
I told Miss Hernandez her foot's going to make it.
As long as she takes care of the wound and maintains her blood sugar. I left
supplies and made her promise to have someone pick up her prescriptions. I'll
follow up in a couple of days.
Javi wanted you to have this.
Oh, I can't accept this. This is Benito's friend.
And he said that's why he wanted you to have him.
What you two did tonight was...
Incredibly irresponsible.
You put yourself and the clinic at risk.
You also went above and beyond the standard of care to save a life.
And I'm glad you did.
Go rogue again without telling me first, and you're fired.
Miss Evans' D -dimer just came back. It was through the roof.
It was probably a massive PE.
That's not surprising considering her comorbidities.
Guess not.
You did everything you could.
It was her time.
I'm gonna finish her death note before I go home.
Hey.
I just delivered my patient.
Healthy baby girl, eight pounds, four ounces, Charlotte Kevin Ramsey.
Kevin? After her husband who died.
Huh.
This whole baptism thing, what's it really about?
Uh,
there was a, uh, church group that used to...
Come visit us in the cancer ward.
And they brought us homemade quilts and cookies and prayed for us.
And I couldn't stand them.
They were so sure that God was watching over us.
But if God was watching over us, why were we stuck in the hospital? Why were
five and ten year olds dying?
And now the planet's burning.
Children are living in poverty. People are starving.
Where is God?
I guess now would be a bad time to tell you that I prayed for you.
What? When?
After the explosion.
I didn't know what else to do.
I had a team of world -class surgeons working on me, but you think a higher
power saved me?
I don't know.
I just know that I was terrified, and it gave me comfort.
Is there a world in which we can table this for now?
I am so tired.
Yes. Something we finally agree on.
I am here. I am here. And I will remove
Mr. Levin's mediastinal tubes and prep Mrs. Swanson for her lobectomy.
You look... Please don't complete that sentence. Quan had me up all night. It
was a house call for a patient.
Oh, I don't need details.
What's this for? Oh, Altman and I are presenting our surgery on Nora Young
to a group of high -level donors.
Oh, no.
Yeah. You're famous. How awful.
You don't understand. I hate public speaking, okay? I hate it. Ever since I
hyperventilated... Leading the Pledge of Allegiance at Harborview Elementary
School. It was deeply traumatic for me.
Why don't you take this with you?
His name is Josh.
He is a velociraptor, and they are the smartest dinosaur.
Okay. Thank you.
I don't think that a toy dinosaur will help me sound less juvenile, though.
Okay. Well, if you change your mind.
The patient you remember on your deathbed is almost never the one with
serious injuries.
Nor is it the patient who made the most miraculous recovery.
Hey, let me take you home.
Amelia's in Boston.
I've got her car.
I'm okay, but thanks.
Are you sure?
You've been out for the last 24 hours straight. I already called a ride share,
but... Thank you.
Yeah.
Hi,
Joyce Ward's room, please.
Hi, Granny. It's me.
Yes, your daughter, Denise.
Guess who I saw today?
Regina Evans.
Do you remember her?
She said the same about you.
It's the one who made you ask tough questions.
Who taught you something about what you stand for.
What are we going to tell my mom?
Thought we said we were going to table it.
Right.
Wait.
What is it?
I think my water just broke.
You think?
It's not typical.
I'm leaking.
We should probably...
Okay, okay. It's the patient who held up a mirror and helped you see the kind of
person you want to be.
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