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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:02,826 --> 00:00:05,697 When the risk of a procedure is greater than the possible benefit, 2 00:00:06,265 --> 00:00:07,732 we watch and wait. 3 00:00:08,466 --> 00:00:10,136 If the symptoms progress 4 00:00:10,270 --> 00:00:11,670 -Good morning. -Good morning. 5 00:00:11,804 --> 00:00:13,706 then we pick up a scalpel. 6 00:00:21,149 --> 00:00:23,085 Who's that? We're in the middle of nowhere. 7 00:00:23,218 --> 00:00:26,055 Probably some camper who forgot toilet paper. 8 00:00:26,189 --> 00:00:28,459 - I'll be right back. Okay. Coming. 9 00:00:32,262 --> 00:00:33,298 Okay. 10 00:00:34,631 --> 00:00:35,967 Hey, 11 00:00:36,101 --> 00:00:38,636 the kids wanted to bring you the pancakes that they made. 12 00:00:39,305 --> 00:00:40,839 Whoa, whoa, whoa. 13 00:00:41,674 --> 00:00:44,677 - Who are you? - -Where are your clothes? 14 00:00:47,015 --> 00:00:48,548 You should have called first. 15 00:00:50,451 --> 00:00:51,719 Okay, you know what? 16 00:00:51,853 --> 00:00:54,056 Uh, we-we gotta go, or we're gonna be late. 17 00:00:54,189 --> 00:00:55,858 Um, all right, come on. Say goodbye to Daddy. 18 00:00:55,992 --> 00:00:57,360 -Bye, guys. -You should leave your ringer on. 19 00:00:57,494 --> 00:00:58,727 Yeah. 20 00:01:05,370 --> 00:01:08,140 -I'm so sorry. -No. She was just surprised. 21 00:01:08,273 --> 00:01:11,978 Listen, why don't you just relax, and I'll go get us some coffee, okay? 22 00:01:12,111 --> 00:01:13,146 Okay. 23 00:01:13,713 --> 00:01:15,482 Sounds easy, 24 00:01:15,615 --> 00:01:18,420 but doing nothing is one of the hardest things a surgeon has to do. 25 00:01:21,722 --> 00:01:25,294 We're trained to act, to remove, to fix. 26 00:01:25,428 --> 00:01:27,296 Restraint isn't in our DNA. 27 00:01:27,431 --> 00:01:28,831 Babies look good. 28 00:01:28,964 --> 00:01:32,036 -And the cerclages are still in place. -That's good. 29 00:01:32,636 --> 00:01:35,506 Good would be my water breaking seven weeks from now when I'm full term. 30 00:01:35,639 --> 00:01:37,608 You might make it all the way. 31 00:01:37,742 --> 00:01:40,912 It's possible. Babies are healthy. There's no sign of infection. 32 00:01:41,046 --> 00:01:43,649 Now. If I deliver early, they're at risk of sepsis, 33 00:01:43,782 --> 00:01:47,221 have underdeveloped lungs, have trouble feeding as 34 00:01:47,354 --> 00:01:50,091 It's a choose-your-own-adventure newborn hellscape. 35 00:01:51,560 --> 00:01:54,429 But you're right. I could make it seven weeks. 36 00:01:55,031 --> 00:01:56,065 Yeah. 37 00:01:58,000 --> 00:01:59,635 -You okay? -I'm having shortness of breath. 38 00:01:59,769 --> 00:02:02,738 -Can you page cardiology? -What do you What do you think it is? 39 00:02:02,872 --> 00:02:04,808 Do you think it's a heart thing or a lung thing? 40 00:02:04,942 --> 00:02:07,345 -Do you have any pain? Is it sharp, dull? -It's probably nothing. 41 00:02:07,479 --> 00:02:10,615 I just want to practice what I preach, get it all checked out. 42 00:02:10,748 --> 00:02:13,253 -Okay. I'll call upstairs. -Okay. 43 00:02:15,921 --> 00:02:18,959 In the end, all you can do is hope for the best. 44 00:02:19,893 --> 00:02:22,063 And trust you're making the right call. 45 00:02:23,764 --> 00:02:26,667 Meade? Where Where do you think you're going? 46 00:02:27,337 --> 00:02:30,273 Miranda. Webber canceled the surgical lecture series. 47 00:02:30,406 --> 00:02:33,177 - I assumed you knew. - Well, do I look like I knew? 48 00:02:33,310 --> 00:02:35,812 - Not Not particularly. 49 00:02:35,946 --> 00:02:39,518 Well, who cancels someone else's lecture and doesn't tell them? 50 00:02:39,650 --> 00:02:40,685 Well, maybe he forgot. 51 00:02:41,653 --> 00:02:45,758 Did he forget that I am the residency director? 52 00:02:46,759 --> 00:02:48,694 No. Ever since he took over as chief, 53 00:02:48,828 --> 00:02:53,168 he's been making changes to my program without consulting me. 54 00:02:53,301 --> 00:02:56,639 Like there's no rhyme or reason to how I do things here. 55 00:02:56,771 --> 00:02:58,974 I'm just the messenger. 56 00:02:59,975 --> 00:03:01,444 How's this for a message? 57 00:03:02,045 --> 00:03:03,046 I've had it. 58 00:03:07,151 --> 00:03:08,086 Yeah. 59 00:03:10,922 --> 00:03:12,492 Did you see Dr. Webber's email? 60 00:03:12,625 --> 00:03:15,928 How are we supposed to increase our cases by ten percent? 61 00:03:16,062 --> 00:03:18,332 Where are we supposed to find all these extra cases? 62 00:03:18,465 --> 00:03:20,367 You seem calm. You're not behind? 63 00:03:20,501 --> 00:03:21,835 I'm trying to finish this, 64 00:03:21,969 --> 00:03:23,371 because in five minutes, I'll never have free time again. 65 00:03:23,505 --> 00:03:25,507 I didn't know you knit. Cool. 66 00:03:26,007 --> 00:03:28,377 -It's crochet. -You two back together? 67 00:03:28,511 --> 00:03:31,048 - Uh, I-I am not with anyone right now. - -We made a pact. 68 00:03:31,181 --> 00:03:34,318 We are focusing on ourselves and hobbies. 69 00:03:34,884 --> 00:03:36,254 Is that a bowel movement? 70 00:03:37,522 --> 00:03:38,556 It's a spleen. 71 00:03:43,195 --> 00:03:44,964 Dr. Leone, call the blood bank. 72 00:03:45,098 --> 00:03:46,799 Dr. Leone, call the blood bank. 73 00:03:56,378 --> 00:03:59,415 Oh, my God. 74 00:03:59,549 --> 00:04:00,983 Someone call 9-1-1. 75 00:04:03,053 --> 00:04:06,557 Help! I need help. 76 00:04:07,057 --> 00:04:08,460 Help. 77 00:04:08,593 --> 00:04:11,596 - Help's here. Where are you? - Down here. 78 00:04:12,098 --> 00:04:15,568 Help. 79 00:04:15,701 --> 00:04:19,573 What's your name? 80 00:04:20,240 --> 00:04:21,376 Maisie. 81 00:04:21,509 --> 00:04:23,844 Maisie, I'm Owen. I am a doctor. 82 00:04:23,977 --> 00:04:26,814 I am calling 911, and we're gonna get you out of there. 83 00:04:26,948 --> 00:04:28,150 -All right? -Okay. 84 00:04:28,284 --> 00:04:29,718 Okay. 85 00:04:30,754 --> 00:04:33,089 911, what's your emergency? 86 00:04:40,732 --> 00:04:42,067 Make sure none of this is yours. 87 00:04:42,200 --> 00:04:44,037 It's getting donated at the end of the day. 88 00:04:45,271 --> 00:04:47,873 Ooh. This is a good one. 89 00:04:48,006 --> 00:04:49,610 Oh. I've been looking for that. 90 00:04:49,743 --> 00:04:51,679 Hey, how was your trip? 91 00:04:51,811 --> 00:04:53,847 Uh, I was in the south of France 92 00:04:53,981 --> 00:04:55,883 but I had to study and take my oral boards, 93 00:04:56,016 --> 00:04:57,452 so kinda canceled each other out. 94 00:04:58,087 --> 00:05:00,289 I, uh, put in the orders to replace Mr. Litton's electrolytes. 95 00:05:00,423 --> 00:05:01,590 Thank you. 96 00:05:01,724 --> 00:05:04,061 No prob. Um, if he needs a chest tube, can I do it? 97 00:05:04,194 --> 00:05:05,262 No. 98 00:05:08,733 --> 00:05:11,303 Bryant's on your service? Stay strong. 99 00:05:11,437 --> 00:05:13,772 -Trust me, not gonna be a problem. -Mm-hmm. 100 00:05:14,872 --> 00:05:16,643 Yeah, hi, I have a three-vehicle pileup incoming, 101 00:05:16,776 --> 00:05:18,545 and one is a bus with at least 30 passengers. 102 00:05:18,678 --> 00:05:20,146 Oh, finally some good news. 103 00:05:21,948 --> 00:05:23,384 For our-our case logs, 104 00:05:23,517 --> 00:05:26,488 I mean, I'm sorry that there was a car accident. 105 00:05:28,457 --> 00:05:31,327 Have I said welcome back yet? No? 106 00:05:36,033 --> 00:05:38,335 -We got them, Dr. Hunt. -Okay, I'll see you at the hospital. 107 00:05:40,638 --> 00:05:42,340 -Hey. -Thanks for coming. 108 00:05:42,474 --> 00:05:45,745 A car blew a tire, then hit another car which then hit a bus, 109 00:05:45,877 --> 00:05:47,446 and the bus hit a cyclist. 110 00:05:47,580 --> 00:05:49,949 I knew you were close by since you showed up unannounced this morning. 111 00:05:51,718 --> 00:05:53,521 I don't want to talk about this here. Where do you need me? 112 00:05:53,654 --> 00:05:55,123 Under the bus. 113 00:05:55,256 --> 00:05:57,726 SFD's concerned that we might need to amputate the cyclist's leg 114 00:05:57,860 --> 00:05:59,261 to get her out of there. 115 00:05:59,395 --> 00:06:01,096 A paramedic could assist, but I'd much rather have a surgeon. 116 00:06:01,230 --> 00:06:03,266 -Owen, is that you? -I'm right here. This is Maisie. 117 00:06:03,400 --> 00:06:05,934 She has pain in her left leg and pelvis, and she has some bleeding, 118 00:06:06,069 --> 00:06:08,172 but I can't reach her, so I have no idea where it's coming from. 119 00:06:08,305 --> 00:06:09,540 Right. 120 00:06:09,673 --> 00:06:12,009 Hi, Maisie. I'm Teddy. I'm a doctor too. 121 00:06:12,144 --> 00:06:13,545 - Are they getting close? - They're evacuating the bus 122 00:06:13,678 --> 00:06:15,615 and there's one more patient to come out of one of the cars, 123 00:06:15,748 --> 00:06:17,250 and then we're gonna get you out, okay? 124 00:06:17,383 --> 00:06:19,952 Maisie, is there anyone that you want us to call while we wait? 125 00:06:22,589 --> 00:06:25,627 I was gonna say that you can call my boyfriend, but I remembered that 126 00:06:26,227 --> 00:06:28,396 - he's not my boyfriend anymore. - I'm sorry. 127 00:06:28,530 --> 00:06:31,966 We got into a stupid fight because he didn't want to go on a stupid cruise 128 00:06:32,101 --> 00:06:35,372 for my parents' anniversary, which is perfectly reasonable. 129 00:06:35,505 --> 00:06:37,607 You know how cold it is in October in Alaska? 130 00:06:37,741 --> 00:06:39,009 I can imagine. 131 00:06:39,143 --> 00:06:41,446 I wanted to take it back, but he won't pick up my calls. 132 00:06:42,915 --> 00:06:45,184 Maybe if you tell him I'm trapped under a bus, he'll pick up. 133 00:06:45,317 --> 00:06:47,052 First, we are gonna get you out of here, 134 00:06:47,186 --> 00:06:49,422 and then we can call your boyfriend, okay? 135 00:06:50,523 --> 00:06:53,494 Okay. 136 00:06:55,629 --> 00:06:59,501 Were you going to tell me that you canceled my lecture series? 137 00:06:59,634 --> 00:07:01,404 Oh, I I thought I did. 138 00:07:01,537 --> 00:07:04,707 Yeah, I got here at 5:45 139 00:07:04,841 --> 00:07:07,878 to print handouts and set up the conference room for fun. 140 00:07:08,010 --> 00:07:09,246 Oh. 141 00:07:09,379 --> 00:07:11,816 My mistake, you know, with all the construction 142 00:07:11,950 --> 00:07:13,918 and the residents who are behind in their cases, 143 00:07:14,052 --> 00:07:15,521 it was all-hands-on-deck situation. 144 00:07:15,654 --> 00:07:18,591 With all due respect, this is not your deck. 145 00:07:19,426 --> 00:07:20,460 Hey, come on. 146 00:07:21,428 --> 00:07:22,662 - Oh. - Whoa. 147 00:07:25,600 --> 00:07:27,902 - Oh, my God. - Aaron! 148 00:07:28,034 --> 00:07:30,172 He's autistic, he's nonspeaking and sustained a head lac. 149 00:07:30,305 --> 00:07:32,641 -The patient is his aide. -Oh. Go after him! 150 00:07:32,774 --> 00:07:34,811 Glen Kelly, 53, GCS 3T, 151 00:07:34,944 --> 00:07:37,146 MVC with a city bus at high speed, restrained driver. 152 00:07:37,280 --> 00:07:39,917 Unknown past medical history, intubated on the scene. 153 00:07:40,049 --> 00:07:41,952 -How long did you administer CPR? -Ten minutes. 154 00:07:42,087 --> 00:07:43,488 Doesn't look good. 155 00:07:43,622 --> 00:07:45,557 Well, not if I can help it. Let's take him to trauma three. 156 00:07:50,830 --> 00:07:53,667 - Maisie, how you doing? - It's cold under here. 157 00:07:53,800 --> 00:07:56,371 I can't catch my breath. 158 00:07:57,005 --> 00:07:59,007 She's losing a lot of blood from her leg. 159 00:07:59,140 --> 00:08:00,676 They're working on the second car. 160 00:08:00,809 --> 00:08:02,177 All right, stay with me, Maisie. 161 00:08:02,311 --> 00:08:04,881 -Hang on. -Where are they with stabilizing the bus? 162 00:08:07,250 --> 00:08:09,520 -What are you doing? -I can't control internal bleeding, 163 00:08:09,654 --> 00:08:11,722 but I can try and stop the blood from pouring out of her leg. 164 00:08:11,856 --> 00:08:14,026 -Dr. Hunt, they can't get an airway. -Go. I got this. 165 00:08:14,159 --> 00:08:16,161 - Okay. -Ma'am, you can't go under there. 166 00:08:16,295 --> 00:08:18,598 It's Doctor, and she needs a tourniquet on her leg, now. 167 00:08:18,731 --> 00:08:20,400 All right, I'm just gonna put this on you 168 00:08:20,533 --> 00:08:23,771 and then I gotta get this tourniquet on you, okay? 169 00:08:23,904 --> 00:08:26,774 Okay. Deep breaths. 170 00:08:26,907 --> 00:08:28,510 You good? Teddy. 171 00:08:29,177 --> 00:08:31,179 Teddy, we still haven't stabilized the bus. 172 00:08:31,313 --> 00:08:33,382 You called me here. I'm gonna do my job. 173 00:08:33,516 --> 00:08:35,484 -Is it time? Are they getting me out? -Not yet. 174 00:08:35,618 --> 00:08:37,454 I need to work on your leg. 175 00:08:37,588 --> 00:08:40,123 I need to tighten this to stop the bleeding. Okay, here we go. 176 00:08:40,257 --> 00:08:43,261 - I know, I know it hurts. Keep breathing. 177 00:08:43,394 --> 00:08:45,196 We're gonna get you some medicine for the pain-- 178 00:08:45,330 --> 00:08:46,699 Teddy, they need you to move right now. 179 00:08:46,832 --> 00:08:48,133 Just give me a minute. 180 00:08:48,267 --> 00:08:49,602 Are you going back out? 181 00:08:49,735 --> 00:08:51,271 -Teddy! -I'm gonna stay right here with you. 182 00:08:51,404 --> 00:08:52,739 Keep breathing. 183 00:08:52,872 --> 00:08:54,975 - Come on, Maisie. Stay with me. Come on. 184 00:08:56,644 --> 00:08:57,778 Dr. Adams? 185 00:08:57,912 --> 00:09:00,083 Hi, I'm Dani Spencer. I'm your intern. 186 00:09:00,215 --> 00:09:02,384 It's my first day. Well, actually, it's my second day. 187 00:09:02,517 --> 00:09:06,255 My first day, Meredith Grey gave me an ex-lap in the reproductive health clinic. 188 00:09:08,291 --> 00:09:09,960 So, here I am. 189 00:09:10,961 --> 00:09:13,465 -How caffeinated are you? -Oh, I don't drink coffee. 190 00:09:13,598 --> 00:09:15,500 Good morning. A patient's flap went down. 191 00:09:15,634 --> 00:09:18,170 I'm taking him to the OR to try and salvage it. 192 00:09:18,304 --> 00:09:19,639 -I need-- -Can I get in on that? 193 00:09:19,772 --> 00:09:22,375 No, I need someone to keep up with my dressing changes. 194 00:09:22,508 --> 00:09:24,411 How about you get in on that? 195 00:09:25,113 --> 00:09:26,279 Yep. 196 00:09:28,117 --> 00:09:29,484 Come. 197 00:09:30,585 --> 00:09:33,622 -I heard you have a TRAM flap. -I already have an assist. 198 00:09:34,156 --> 00:09:35,157 No, you-- 199 00:09:35,290 --> 00:09:36,660 You owe me and you know it. 200 00:09:37,827 --> 00:09:40,430 You had diarrhea. That's not on me. 201 00:09:40,563 --> 00:09:43,067 I got you face time in front of Jackson Avery, 202 00:09:43,234 --> 00:09:45,704 and if you get that job in Boston, I should be getting 10%. 203 00:09:47,239 --> 00:09:48,974 I just told Adams no. 204 00:09:49,108 --> 00:09:51,344 If I give it to you just because you asked, what will people think? 205 00:09:51,477 --> 00:09:52,812 I don't care what people think. 206 00:09:55,983 --> 00:10:00,388 Frank Nelson, room 3256. He has a bad sacral decub ulcer. 207 00:10:00,522 --> 00:10:01,856 No one's been able to get a wound vac on it. 208 00:10:01,990 --> 00:10:03,458 -It's too close to the anus. -Ouch. 209 00:10:03,591 --> 00:10:05,494 The only option left is to give him an ostomy 210 00:10:05,628 --> 00:10:08,098 and hope that rerouting his bowels keeps the ulcer clean long enough to heal. 211 00:10:08,230 --> 00:10:12,402 But he's in his 80s and he's a vasculopath with high surgical risk. 212 00:10:12,536 --> 00:10:16,708 So if you can place the wound vac, I'll let you assist in the surgery. 213 00:10:17,509 --> 00:10:18,510 Consider it done. 214 00:10:23,349 --> 00:10:25,119 Hey, hey, how we doing in here? 215 00:10:25,251 --> 00:10:27,855 You called the chief of cardiothoracic surgery? 216 00:10:27,988 --> 00:10:29,256 He's a friend. 217 00:10:29,390 --> 00:10:32,060 I told you to page cardiology. 218 00:10:32,894 --> 00:10:35,898 Hi, I'm Winston Ndugu. Chief of cardiothoracic surgery. 219 00:10:36,032 --> 00:10:38,034 Nice to meet you. Iris, chief of this room. 220 00:10:39,902 --> 00:10:41,139 I told you 221 00:10:41,271 --> 00:10:44,876 Deep breaths. 222 00:10:45,009 --> 00:10:46,444 I hate everybody. 223 00:10:46,578 --> 00:10:48,214 That's not true. You love me. 224 00:10:48,346 --> 00:10:51,684 I didn't page the chief of cardiothoracic surgery without telling you. 225 00:10:51,817 --> 00:10:53,385 -Mmm. -I know better. 226 00:10:53,519 --> 00:10:55,288 Okay if I take a listen? I hear you're having some shortness of breath. 227 00:10:55,422 --> 00:10:57,290 Yeah, it's nothing concerning. 228 00:10:57,424 --> 00:11:00,762 It's just standard third trimester labored breathing. 229 00:11:00,895 --> 00:11:02,563 I'm sure you're right, but as you know, 230 00:11:02,697 --> 00:11:05,467 there's a lot of overlap between pregnancy symptoms and cardiac symptoms, 231 00:11:05,601 --> 00:11:08,071 so I just want to get an EKG just to be safe. 232 00:11:08,205 --> 00:11:09,405 -Yeah, whatever you need. -Okay. 233 00:11:10,774 --> 00:11:12,176 Okay, I'll be back to do the EKG. 234 00:11:16,280 --> 00:11:18,483 It's gonna be fine. You'll see. 235 00:11:18,617 --> 00:11:20,652 At least we're meeting our deductible this year. 236 00:11:24,224 --> 00:11:25,792 The tube is in. There's a lot of blood. 237 00:11:25,926 --> 00:11:27,961 - Another push of Epi. - Resuming compressions. 238 00:11:28,095 --> 00:11:29,329 Dr. Webber. 239 00:11:29,463 --> 00:11:31,233 I've got an unstable patient, nowhere to put him. 240 00:11:31,366 --> 00:11:34,302 Have Griffith and Bryant found their patient yet? We've got his aide. 241 00:11:34,435 --> 00:11:36,639 -Not that I've heard of. -I'll be right back. 242 00:11:36,772 --> 00:11:38,407 How long do we keep at it? 243 00:11:38,541 --> 00:11:40,877 At this point, he's only coming back with a miracle, 244 00:11:41,011 --> 00:11:43,013 and that is not in our control. 245 00:11:43,647 --> 00:11:45,850 Okay, time for a pulse check. Stop compressions. 246 00:11:56,429 --> 00:11:58,166 Hey, Meade call it. 247 00:12:00,601 --> 00:12:03,572 -Time of death, 8:24-- -What in God's name-- 248 00:12:04,273 --> 00:12:06,808 -I was gone for a minute. -She told me to do it. 249 00:12:06,942 --> 00:12:09,645 -We've done multiple rounds of CPR-- -That doesn't mean it's over. 250 00:12:09,779 --> 00:12:11,581 Restart compressions right now! 251 00:12:11,715 --> 00:12:13,350 Wait, so he's not dead? 252 00:12:15,320 --> 00:12:17,722 This was a blunt traumatic injury. 253 00:12:17,856 --> 00:12:20,326 He's had CPR, bilateral chest tubes. 254 00:12:20,458 --> 00:12:23,863 What, we're just gonna keep resuscitating him indefinitely? 255 00:12:23,996 --> 00:12:25,064 Should we open his chest? 256 00:12:26,800 --> 00:12:28,368 Get a thoracotomy tray. 257 00:12:30,404 --> 00:12:32,506 Not everyone wants to give up. 258 00:12:39,449 --> 00:12:40,483 That's him. 259 00:12:41,651 --> 00:12:44,289 Okay. 260 00:12:44,855 --> 00:12:47,524 I'll talk to him. You stay here. I don't want to overwhelm him. 261 00:12:48,327 --> 00:12:51,463 - Aaron. - I-- I don't know. 262 00:12:51,596 --> 00:12:52,899 I don't wanna-- I don't wanna know. 263 00:12:53,032 --> 00:12:54,400 -I'm Dr. Griffith. I'm here to help. -I don't know. 264 00:12:54,533 --> 00:12:55,768 I don't know. I don't know. 265 00:12:55,902 --> 00:12:57,237 I don't know. I don't want to-- 266 00:12:57,704 --> 00:12:59,973 I see you have a cut on your forehead. We can fix it for you. 267 00:13:00,107 --> 00:13:01,441 We just have to go inside the hospital. 268 00:13:01,575 --> 00:13:03,845 No, no, no, no, no, no, no, no. 269 00:13:03,978 --> 00:13:05,381 -We don't have to go right now. -No, no, no. 270 00:13:05,513 --> 00:13:06,649 You want me to sit with you? 271 00:13:06,782 --> 00:13:08,550 No, no, no, no, no. 272 00:13:09,418 --> 00:13:10,753 I'll give you some space. 273 00:13:10,886 --> 00:13:14,057 No, no, no, no, no, no, no. 274 00:13:14,891 --> 00:13:18,029 -Yeah, you got this. -Let's just give him a minute. 275 00:13:19,096 --> 00:13:20,866 No, no, no, no. 276 00:13:23,702 --> 00:13:25,705 Mr. Nelson, I am Dr. Kwan. 277 00:13:25,838 --> 00:13:27,408 -How are you doing today? -Peachy. 278 00:13:27,540 --> 00:13:29,677 I'd like to take a look at your wound if that's okay. 279 00:13:29,810 --> 00:13:31,645 I've got nothing better to do. 280 00:13:32,314 --> 00:13:36,285 I took a look at your chart, so you've been here a while. 281 00:13:37,585 --> 00:13:42,225 First I fell down the stairs, then I got pneumonia and a DVT. 282 00:13:42,359 --> 00:13:45,963 Now this ulcer won't heal. I wish you people would just let me die. 283 00:13:46,096 --> 00:13:48,633 You're not dying. We just need to place a wound vac. 284 00:13:48,766 --> 00:13:51,502 No, I'm done. Give me the ostomy. 285 00:13:51,636 --> 00:13:54,807 With your medical issues, if we can avoid another surgery-- 286 00:13:54,940 --> 00:13:56,176 I don't wanna hear it. 287 00:13:56,309 --> 00:13:59,779 I'm sick and tired of you bleeding heart do-gooders 288 00:13:59,913 --> 00:14:01,450 and your positive attitudes. 289 00:14:01,582 --> 00:14:03,318 I want to be left alone. 290 00:14:09,192 --> 00:14:11,027 -I'm not doing this for you. -You're not? 291 00:14:11,161 --> 00:14:14,630 Dr. Mohanty said if I can get this wound vac on you, 292 00:14:14,764 --> 00:14:17,067 she'd let me into a surgery that I haven't seen before. 293 00:14:17,202 --> 00:14:20,972 All this so you can be second fiddle in a surgery? 294 00:14:21,106 --> 00:14:23,742 More like fourth fiddle, but yeah. 295 00:14:23,875 --> 00:14:28,982 You're not like the others. You're a selfish dirtbag just like me. 296 00:14:29,916 --> 00:14:33,422 -I wouldn't characterize myself as-- -Okay, you can try. 297 00:14:35,056 --> 00:14:37,558 Okay, I'll go find someone to assist me. 298 00:14:40,062 --> 00:14:42,400 - I'm really tired. - Take deep breaths for me. 299 00:14:42,532 --> 00:14:46,136 -If only Sam had answered my calls. -I know the feeling. 300 00:14:46,270 --> 00:14:48,407 I'm so sick of fighting about everything. 301 00:14:48,539 --> 00:14:52,677 But he's he's still the only person I want right now. 302 00:14:52,811 --> 00:14:54,347 Can we call him? 303 00:14:55,248 --> 00:14:56,216 - Oh, my God! - Teddy. 304 00:14:56,350 --> 00:14:57,917 Teddy! 305 00:15:02,190 --> 00:15:04,024 Teddy, are you okay? You hurt? Teddy. 306 00:15:04,758 --> 00:15:06,995 -We're fine. What happened? -The cribbing shifted. 307 00:15:07,128 --> 00:15:09,865 We need to reinforce it so we can get them out of there. What is taking so long? 308 00:15:09,999 --> 00:15:12,034 We're almost ready to inflate the bag. 309 00:15:13,069 --> 00:15:15,038 Maisie. Maisie. 310 00:15:15,173 --> 00:15:17,341 Damn it. She lost consciousness. 311 00:15:17,475 --> 00:15:21,145 -Okay, let's get an intubation kit. -We need to get her out now. 312 00:15:21,280 --> 00:15:22,580 Let's go. Let's go. 313 00:15:22,713 --> 00:15:24,350 Come on, Maisie. Stay with us. 314 00:15:28,222 --> 00:15:31,292 We found this at the nurses' station. I think it's his. 315 00:15:31,425 --> 00:15:32,793 Okay. Thank you. 316 00:15:32,927 --> 00:15:35,230 We need to wash out that lac and assess how deep it is. 317 00:15:35,363 --> 00:15:36,897 How do you plan on getting him inside? 318 00:15:37,866 --> 00:15:39,134 I'll go get supplies. 319 00:15:39,268 --> 00:15:40,969 We can clean him up and figure out next steps here. 320 00:15:41,103 --> 00:15:43,340 Okay, cool. Wait, wait, what about me? What should I do? 321 00:15:43,474 --> 00:15:45,007 Make sure he doesn't go anywhere. 322 00:15:47,245 --> 00:15:49,913 "Make sure he doesn't go anywhere." Okay. All right. 323 00:15:51,883 --> 00:15:53,017 This yours? 324 00:15:53,151 --> 00:15:56,256 It's a good-looking bag, man. 325 00:16:00,595 --> 00:16:02,230 Where is Glen? 326 00:16:02,363 --> 00:16:05,666 Uh, Glen is in our emergency room. Doctors are helping him. 327 00:16:07,135 --> 00:16:08,836 You, uh You want to go inside? 328 00:16:08,970 --> 00:16:11,174 -Mm-mmm. Mm-mmm. Mm-mmm. Mm-mmm. -Okay. All good. 329 00:16:12,674 --> 00:16:14,612 Have you had bad experiences at hospitals? 330 00:16:17,113 --> 00:16:18,081 Yes. 331 00:16:18,215 --> 00:16:19,284 Yeah. 332 00:16:19,417 --> 00:16:20,651 Yeah, me too. 333 00:16:21,952 --> 00:16:23,623 You know, my brother has epilepsy, 334 00:16:23,755 --> 00:16:27,660 and, uh, spent a lot of time in the hospital as a kid. 335 00:16:29,829 --> 00:16:30,963 I hated it. 336 00:16:32,799 --> 00:16:33,834 So I understand. 337 00:16:37,972 --> 00:16:39,241 -You ball? -Mmm. 338 00:16:39,375 --> 00:16:40,775 You ball for real? 339 00:16:40,909 --> 00:16:42,778 -Let me see. May I? -Mmm. 340 00:16:42,912 --> 00:16:46,217 Okay, okay, let's see here. Let's see if I still got it, you know. 341 00:16:46,950 --> 00:16:48,653 All right, one, two. 342 00:16:48,785 --> 00:16:51,055 Okay, a little crossover. 343 00:16:51,689 --> 00:16:53,225 Ooh. Ooh. Ooh. 344 00:16:53,358 --> 00:16:54,560 Between the legs. 345 00:16:55,060 --> 00:16:56,462 Jump shot. 346 00:16:56,596 --> 00:16:59,399 Okay, let's go. You wanna play for real, let's do it. 347 00:16:59,533 --> 00:17:02,436 Oh. Okay. Okay, jump shot, jump shot. 348 00:17:03,470 --> 00:17:04,805 And he makes it! 349 00:17:07,107 --> 00:17:10,111 I know I've got a good ass, but nobody ogle. 350 00:17:10,246 --> 00:17:12,180 Gross, gross, gross. 351 00:17:16,620 --> 00:17:19,089 -There's still an air leak. -Okay, let's do it again. 352 00:17:19,224 --> 00:17:21,192 You have other patients, right? 353 00:17:21,326 --> 00:17:24,430 I can't lay here all day while you try and win a prize. 354 00:17:24,563 --> 00:17:27,866 - I want to watch Judge Judy in peace. 355 00:17:28,000 --> 00:17:29,236 I don't know what he's talking about. 356 00:17:29,369 --> 00:17:31,238 You said if you got this on me, 357 00:17:31,371 --> 00:17:33,241 Dr. Mohanty would hand you a surgery. 358 00:17:33,374 --> 00:17:35,543 Okay, it's a little more nuanced than that. 359 00:17:35,676 --> 00:17:37,346 You know, I'd love to hear more, 360 00:17:37,479 --> 00:17:40,717 but, uh, I think the ER needs some extra hands, 361 00:17:40,849 --> 00:17:44,220 so I'm gonna go help out of the goodness of my heart. 362 00:17:46,257 --> 00:17:48,057 -You're up. -Uh, technically, I'm with Dr. Adams. 363 00:17:48,192 --> 00:17:49,627 -Come over here. -Okay. 364 00:17:51,929 --> 00:17:53,964 You're getting paged a lot. 365 00:17:54,098 --> 00:17:55,066 Oh, God. 366 00:17:55,201 --> 00:17:56,801 Oh! 367 00:17:56,935 --> 00:17:58,404 Well, you got your wish. 368 00:17:58,537 --> 00:18:01,107 -I was just paged to the emergency room. -You're leaving? 369 00:18:01,642 --> 00:18:03,611 You can watch your TV in peace. 370 00:18:04,245 --> 00:18:05,280 Clean up. 371 00:18:06,547 --> 00:18:07,948 Ow. 372 00:18:08,082 --> 00:18:10,184 -Sorry. -You think he'll come back? 373 00:18:10,319 --> 00:18:13,122 -Uh, I don't know. -You can try if you want. 374 00:18:13,256 --> 00:18:15,258 Uh, it's not really a one-person job. 375 00:18:15,725 --> 00:18:18,094 That's okay. 376 00:18:18,229 --> 00:18:20,130 An ostomy doesn't scare me. 377 00:18:23,134 --> 00:18:25,537 Not like I go anywhere these days. 378 00:18:29,242 --> 00:18:30,809 Keep massaging the heart. 379 00:18:33,146 --> 00:18:34,914 -You want to switch out? -I'm fine. 380 00:18:35,617 --> 00:18:37,619 Meade, inject epi. 381 00:18:39,086 --> 00:18:40,356 No, into the myocardium. 382 00:18:40,489 --> 00:18:42,391 If you have a direct route for the drug, you take it. 383 00:18:42,525 --> 00:18:43,626 Heart it is. 384 00:18:45,595 --> 00:18:47,397 Insert the needle into the ventricle. 385 00:18:47,531 --> 00:18:50,167 Not my hand. Ventricle. 386 00:18:56,007 --> 00:18:57,041 Come on, Glen. 387 00:18:57,676 --> 00:19:00,313 How much longer are we going to put him through this? 388 00:19:10,258 --> 00:19:11,293 We did it. 389 00:19:12,228 --> 00:19:13,396 -No. -Sorry. 390 00:19:14,497 --> 00:19:17,835 Okay let's not just stand here. Let's get him to the OR. 391 00:19:20,371 --> 00:19:21,673 Here, let me help out with that. 392 00:19:21,806 --> 00:19:24,074 I got it. 393 00:19:25,510 --> 00:19:29,348 Hey, can you go to the gift shop and get me some socks? 394 00:19:29,482 --> 00:19:31,050 My feet are freezing. 395 00:19:31,518 --> 00:19:32,719 You're wearing socks. 396 00:19:32,853 --> 00:19:35,857 Well, ankle socks. They're not very warm. 397 00:19:35,989 --> 00:19:38,426 You're really gonna argue with your pregnant wife? 398 00:19:40,529 --> 00:19:42,930 -Any socks? -The purple fuzzy ones 399 00:19:43,064 --> 00:19:44,099 with the grippy bottoms. 400 00:19:44,234 --> 00:19:46,870 They're by the register, not the slippers. 401 00:19:47,002 --> 00:19:48,103 I'll be right back. 402 00:19:48,238 --> 00:19:50,374 -I have my phone if you need me. -Okay. 403 00:19:51,308 --> 00:19:53,412 You really know your way around that gift shop. 404 00:19:53,545 --> 00:19:55,414 My patients love socks. 405 00:19:55,881 --> 00:19:59,217 There's a lot of metal stirrups in OB. 406 00:19:59,886 --> 00:20:02,756 You are so calm. 407 00:20:03,857 --> 00:20:05,259 On the outside. 408 00:20:06,493 --> 00:20:08,596 On the inside, I'm a train wreck. 409 00:20:09,163 --> 00:20:10,698 Don't put on a show for my benefit. 410 00:20:10,832 --> 00:20:12,268 I'm trying to stay calm for Link. 411 00:20:12,401 --> 00:20:14,804 I've seen a lot of partners in his position. 412 00:20:14,936 --> 00:20:18,375 I don't want him to be scared when there's nothing that he can do. 413 00:20:18,508 --> 00:20:21,746 But I bet he'd rather be scared than know that you're suffering without him. 414 00:20:21,879 --> 00:20:23,414 Stay in your lane, Warren. 415 00:20:23,548 --> 00:20:25,116 Okay. 416 00:20:25,250 --> 00:20:27,319 Trust me, we got you. 417 00:20:27,453 --> 00:20:30,824 On my way in here, I ran into eight nurses reading the twins' strips 418 00:20:30,956 --> 00:20:32,157 at the nurses' station. 419 00:20:35,563 --> 00:20:38,566 -How does it look? -You don't want me to read this. 420 00:20:39,099 --> 00:20:41,670 But whatever it says, you're the toughest person I know. 421 00:20:41,803 --> 00:20:44,440 -You're gonna get through this. -Yeah. 422 00:20:45,508 --> 00:20:47,310 Pull the 12-lead, please. 423 00:20:49,979 --> 00:20:51,648 Page Dr. Ndugu. 911. 424 00:21:02,629 --> 00:21:04,631 -You know what this is? -No. 425 00:21:04,764 --> 00:21:06,634 So you don't know how long this is gonna take? 426 00:21:06,767 --> 00:21:08,001 You have somewhere more important to be? 427 00:21:08,134 --> 00:21:09,770 I'm just trying to get on a TRAM flap. 428 00:21:09,904 --> 00:21:11,473 Well, I'm not in France right now, 429 00:21:11,607 --> 00:21:14,443 but five minutes ago, I had my hands in a bloody abdominal cavity. 430 00:21:14,576 --> 00:21:15,745 You can't have it all. 431 00:21:20,718 --> 00:21:23,854 Maisie Lawrence, 27, pinned under a bus, intubated in the field, 432 00:21:23,988 --> 00:21:26,190 crush injury to the abdomen, left leg laceration. 433 00:21:26,324 --> 00:21:27,392 We placed a tourniquet. 434 00:21:27,526 --> 00:21:28,894 She needs blood, imaging and an OR. 435 00:21:29,026 --> 00:21:30,563 I'll let you three take over from here. 436 00:21:30,696 --> 00:21:31,731 All right, let's go. 437 00:21:34,468 --> 00:21:36,603 Hey, I'll be right there, okay? 438 00:21:37,337 --> 00:21:39,874 Hey, are you, uh are you trying to get away from me? 439 00:21:40,008 --> 00:21:42,912 I have patients to see, and Maisie doesn't need two trauma surgeons. 440 00:21:43,044 --> 00:21:45,748 - Is this about what happened this morning? 441 00:21:47,115 --> 00:21:49,084 Let's just do our jobs and forget about it, okay? 442 00:21:51,086 --> 00:21:52,356 Dr. Adams? 443 00:21:52,490 --> 00:21:54,792 Did you finish putting in Ms. Lewis's orders? 444 00:21:54,926 --> 00:21:55,893 Yeah. 445 00:21:56,027 --> 00:21:57,930 Can you help me with something? 446 00:21:58,095 --> 00:22:00,064 I know that you're trying to increase your cases, 447 00:22:00,197 --> 00:22:02,100 but Dr. Kwan was just paged to meet a rig, 448 00:22:02,234 --> 00:22:04,938 and we were so close to getting that wound vac on Frank. 449 00:22:05,070 --> 00:22:06,273 Not my patient, not my problem. 450 00:22:06,407 --> 00:22:07,875 They're gonna give him an ostomy, 451 00:22:08,008 --> 00:22:10,210 and he's old and has a bunch of comorbidities. 452 00:22:10,345 --> 00:22:13,080 Did Dr. Kwan promise you a spot on Mohanty's TRAM flap? 453 00:22:13,213 --> 00:22:16,084 -No. No, I swear. -I thought you didn't like Frank. 454 00:22:16,819 --> 00:22:20,390 Is he a gross old man who makes me vaguely uncomfortable? Yes. 455 00:22:20,524 --> 00:22:24,629 But he is also a person who deserves the best care we can provide. 456 00:22:24,762 --> 00:22:28,366 Dr. Adams, I took an oath to help the sick. 457 00:22:28,500 --> 00:22:31,937 What kind of a doctor am I if I break my promise on day one? 458 00:22:35,041 --> 00:22:37,745 Okay, let's go put a wound vac on Frank. 459 00:22:41,247 --> 00:22:44,519 -Uh How did you-- -Because I'm clutch. Right here, bud. 460 00:22:45,621 --> 00:22:48,758 Let me set this over here for you. 461 00:22:51,260 --> 00:22:52,930 All right, this way. 462 00:22:54,465 --> 00:22:55,599 Good? 463 00:22:58,770 --> 00:23:01,841 -All right, let's see. I'm gonna-- -Mm-mmm. 464 00:23:02,775 --> 00:23:05,312 I'm gonna just-- 465 00:23:08,782 --> 00:23:11,486 Foul on the play, dude, okay? You gotta work with me. 466 00:23:13,354 --> 00:23:15,824 No. Thank you. 467 00:23:15,958 --> 00:23:18,093 -Yeah, real clutch. -Well, what do you expect, okay? 468 00:23:18,226 --> 00:23:19,529 I'm poking at him right above his eye. 469 00:23:19,663 --> 00:23:22,465 As long as he can see my hands coming, he's gonna move. 470 00:23:22,599 --> 00:23:24,468 What if he can't see your hands? 471 00:23:25,002 --> 00:23:28,407 Great idea. Let me just grab my invisibility cloak, and then 472 00:23:29,574 --> 00:23:31,510 Wasn't that bad of a joke. 473 00:23:33,312 --> 00:23:34,981 Giving up, going on vacation? 474 00:23:38,052 --> 00:23:39,987 We need to look at the cut on your forehead. 475 00:23:40,120 --> 00:23:41,723 Do you want to wear this? 476 00:23:41,856 --> 00:23:44,693 Then you can keep playing your game while we clean it up. 477 00:23:47,963 --> 00:23:48,998 Mmm. 478 00:23:57,909 --> 00:23:59,010 Nice. 479 00:23:59,143 --> 00:24:01,146 Yeah, don't strain your neck looking up to me. 480 00:24:12,059 --> 00:24:13,595 Somebody please say something. 481 00:24:14,196 --> 00:24:16,398 Well, the good news is we have options. 482 00:24:16,531 --> 00:24:17,899 I come bearing gifts. 483 00:24:21,370 --> 00:24:24,708 -What happened? Did something change? -You might want to sit down. 484 00:24:26,275 --> 00:24:28,413 I don't want to sit down. What's wrong? 485 00:24:29,013 --> 00:24:31,851 Winston was about to give me the results of my echo. 486 00:24:33,519 --> 00:24:34,587 Is she okay? 487 00:24:36,021 --> 00:24:38,391 You have peripartum cardiomyopathy. 488 00:24:39,059 --> 00:24:41,629 Your heart muscle is weakening and getting bigger. 489 00:24:46,267 --> 00:24:48,604 Well, how do we treat it? Do we have to deliver the babies? 490 00:24:48,737 --> 00:24:50,774 We can start with medication, but if that doesn't work, 491 00:24:50,907 --> 00:24:52,809 then we will need to deliver the babies, 492 00:24:52,942 --> 00:24:57,114 or place a pump called an Impella, and it sits within the ventricle 493 00:24:57,248 --> 00:25:00,418 and it gives continuous flow to support the heart's function, 494 00:25:00,552 --> 00:25:01,920 giving you a chance to recover, 495 00:25:02,053 --> 00:25:04,957 which will also allow more time for the babies to develop. 496 00:25:12,266 --> 00:25:14,502 So what do you want to do? 497 00:25:18,307 --> 00:25:20,009 The babies need as 498 00:25:20,142 --> 00:25:23,246 need as much time as they can get, so I'll do the pump, 499 00:25:23,380 --> 00:25:25,015 if it comes to that. 500 00:25:25,148 --> 00:25:27,451 But the medication could work. 501 00:25:27,585 --> 00:25:29,654 -It could work, yes. It could. -Okay. 502 00:25:29,787 --> 00:25:32,191 I have a consult and then I will check back in, okay? 503 00:25:32,791 --> 00:25:34,927 Let's start her on Dobutamine and place an A-line. 504 00:25:41,702 --> 00:25:43,671 -Oh. You forgot your tablet. -Hey, no 505 00:25:43,804 --> 00:25:45,740 -I think it was already-- -I'll be right back. 506 00:25:46,441 --> 00:25:47,475 Okay. 507 00:25:50,346 --> 00:25:51,380 Okay. 508 00:25:53,883 --> 00:25:58,155 Hey, I'm trying to stay calm, so she stays calm, but be honest with me. 509 00:25:59,157 --> 00:26:00,658 How scared should I be? 510 00:26:03,229 --> 00:26:04,997 Her heart is failing. 511 00:26:10,070 --> 00:26:13,241 -Why? Why is this happening? -No one knows why. 512 00:26:13,374 --> 00:26:16,611 If it's genetic or the hemodynamic shifts of a twin pregnancy. 513 00:26:16,744 --> 00:26:19,848 But we're on top of it, and we have options at this point. 514 00:26:19,982 --> 00:26:23,320 You-You got to watch her like a hawk. An echo every 30 minutes if you have to. 515 00:26:23,453 --> 00:26:25,855 I was just telling Warren that he's exclusively on Jo today. 516 00:26:25,989 --> 00:26:28,592 She will have 100% of my attention. 517 00:26:31,364 --> 00:26:33,698 Listen, man, I know that it's difficult, 518 00:26:33,832 --> 00:26:36,602 but we can only take it one step at a time right now. 519 00:26:36,736 --> 00:26:38,871 Anxiety could only make it worse for Jo. 520 00:26:42,509 --> 00:26:44,244 -Okay. -Okay. 521 00:26:48,384 --> 00:26:51,487 Dr. Webber, Dr. Freeman's been trying to get a hold of you. 522 00:26:51,620 --> 00:26:53,289 Scott Freeman, the urologist? 523 00:26:53,422 --> 00:26:54,958 Uh, we have the same patient. 524 00:26:55,091 --> 00:26:59,196 -Uh, it must be urgent. -Oh. Then go, go. We have enough hands. 525 00:27:01,232 --> 00:27:04,636 Hey, look, I know we disagreed earlier, but I'm in this now. 526 00:27:04,770 --> 00:27:06,038 That's not it. I'm-- 527 00:27:06,171 --> 00:27:09,108 Then go. Handle your emergency and let me do my job. 528 00:27:11,210 --> 00:27:12,546 He's tanking. 529 00:27:12,680 --> 00:27:16,283 Go. We've got this. Come on, let's get him to the OR now. 530 00:27:28,399 --> 00:27:30,568 I have zero faith in you. 531 00:27:30,702 --> 00:27:32,804 Yeah, thanks, Frank. 532 00:27:32,937 --> 00:27:35,274 Can I try? 'Cause I learned a couple of things from Dr. Kwan. 533 00:27:35,408 --> 00:27:38,445 No, I want to do this fast so I can get into an actual OR. 534 00:27:39,078 --> 00:27:41,614 So you're Dr. Spencer and you're Dr. 535 00:27:41,748 --> 00:27:42,816 Adams. 536 00:27:42,949 --> 00:27:45,586 -A-D-A-M-S? -Yep. 537 00:27:45,720 --> 00:27:47,855 I'm gonna sue you people when all this is over. 538 00:27:47,989 --> 00:27:51,394 You're gonna want to include Kwan in that. K-W-A-N. 539 00:27:51,860 --> 00:27:55,631 What if you move it a little to the right and then lay it down from the bottom up? 540 00:27:55,765 --> 00:27:57,266 No. Not like that. 541 00:27:57,401 --> 00:27:59,136 Stop telling me how to do something you don't know how to do. 542 00:27:59,269 --> 00:28:00,604 You're barely a doctor. 543 00:28:02,607 --> 00:28:03,675 Sorry. 544 00:28:07,947 --> 00:28:10,683 -Zero faith, you said. -It worked? 545 00:28:11,585 --> 00:28:14,287 I'll take the ostomy off the board. 546 00:28:15,923 --> 00:28:21,063 I might leave her out of the lawsuit. She's a good kid. 547 00:28:22,631 --> 00:28:23,999 You sure we can't just suture it? 548 00:28:24,133 --> 00:28:26,337 It's superficial. He just needs some Dermabond. 549 00:28:26,470 --> 00:28:28,571 Okay. Hey, bud. 550 00:28:29,874 --> 00:28:32,377 So I'm gonna close up your cut, but it may sting a little bit. 551 00:28:32,511 --> 00:28:35,213 So if you need a break at any time, you just give me one of these, 552 00:28:35,348 --> 00:28:36,948 I'll stop right away, okay? 553 00:28:38,684 --> 00:28:40,354 -Okay. -Okay, good. 554 00:28:45,626 --> 00:28:46,760 You won again? 555 00:28:46,894 --> 00:28:49,097 What's your secret? 556 00:28:51,099 --> 00:28:54,203 I'm not telling you. - Ouch, that hurts. 557 00:28:56,272 --> 00:28:58,443 I'll tell her. 558 00:28:59,309 --> 00:29:01,447 Oh, so you hate me now? 559 00:29:02,080 --> 00:29:04,882 No, he just likes me more. 560 00:29:05,016 --> 00:29:07,719 They need a chest tube in trauma three. You go. I'll finish up here. 561 00:29:07,853 --> 00:29:09,822 No, it's okay. I'd rather stay. 562 00:29:09,955 --> 00:29:11,658 You know I said chest tube, right? 563 00:29:11,791 --> 00:29:13,593 Yeah, I heard you. 564 00:29:13,726 --> 00:29:17,031 It's just that if he's not gonna tell me his secrets, I gotta keep a close eye. 565 00:29:20,702 --> 00:29:22,637 -Page me if you need anything. -Will do. 566 00:29:27,043 --> 00:29:30,080 We're starting with an ex-lap and a vascular repair to the left leg. 567 00:29:30,214 --> 00:29:32,749 I'll take the ex-lap. Helm, you take the lead on the leg. 568 00:29:32,883 --> 00:29:34,986 - Welcome back. - -Feels like I never left. 569 00:29:47,802 --> 00:29:51,707 Some force greater than us wants to keep this man alive today. 570 00:29:51,840 --> 00:29:54,676 Let's do our best not to get in the way. 571 00:30:05,891 --> 00:30:07,460 - Got it. - Okay. 572 00:30:08,427 --> 00:30:09,828 Now, stapler. 573 00:30:09,962 --> 00:30:10,997 Yeah. 574 00:30:11,697 --> 00:30:13,032 Right in. 575 00:30:13,166 --> 00:30:15,335 - Uh, here? - Good, good, good. 576 00:30:17,505 --> 00:30:19,874 - Metz. - Ready for the specimen. 577 00:30:21,009 --> 00:30:22,378 Okay. That it? 578 00:30:23,344 --> 00:30:24,980 Good, good, good. 579 00:30:39,865 --> 00:30:41,033 I need loupes. 580 00:30:42,835 --> 00:30:44,371 -I need more lap pads. -How's the leg? 581 00:30:44,505 --> 00:30:46,541 It's a good thing you got a tourniquet on in the field. 582 00:30:46,675 --> 00:30:48,809 There's a huge defect in the femoral. 583 00:30:50,512 --> 00:30:52,747 Send a TEG and hang another unit. 584 00:30:53,683 --> 00:30:55,384 More lap pads. 585 00:30:56,420 --> 00:30:57,454 Okay. 586 00:31:02,460 --> 00:31:05,930 Please, her name is Maisie. The police said that she is here. 587 00:31:06,064 --> 00:31:09,436 All of her family lives out of state. I am the only one that she has. 588 00:31:09,569 --> 00:31:12,104 -Excuse me. Are you Sam? -Yeah, I-- 589 00:31:12,238 --> 00:31:15,208 Are you one of Maisie's doctors? Is she okay? 590 00:31:15,342 --> 00:31:18,178 She is here, but I-I can't disclose any more information. 591 00:31:18,311 --> 00:31:19,715 I'm-I'm so sorry. 592 00:31:22,750 --> 00:31:24,353 I never should have walked out of that door. 593 00:31:24,487 --> 00:31:27,390 I'm sorry. 594 00:31:30,059 --> 00:31:33,063 Here, um Why don't you sit down? 595 00:31:37,235 --> 00:31:38,270 Talk to us. 596 00:31:39,204 --> 00:31:42,241 My BP is dropping. My O2 sat's at 85. 597 00:31:42,376 --> 00:31:44,310 Don't panic. We got you. 598 00:31:44,444 --> 00:31:45,979 Deep long breaths, okay? 599 00:31:46,113 --> 00:31:48,115 There's decreased cardiac contractility. 600 00:31:48,248 --> 00:31:50,117 All right, Jo, we're gonna place the Impella, 601 00:31:50,250 --> 00:31:52,887 so we're gonna take you to the cath lab while you're still stable, okay? 602 00:31:53,021 --> 00:31:55,392 - Luna's puppy is missing-- - Link-- 603 00:31:55,525 --> 00:31:57,092 - Did her EF drop? - It's too low. 604 00:31:57,226 --> 00:31:58,695 She's gonna need the heart pump. 605 00:31:58,827 --> 00:32:00,864 It's gonna be okay. It's gonna be okay. 606 00:32:00,997 --> 00:32:02,966 Winston's done this hundreds of times. 607 00:32:03,099 --> 00:32:05,303 I won't, but I could do it with my eyes closed. All right? 608 00:32:05,437 --> 00:32:07,439 And I'll be right here waiting for you, okay? 609 00:32:07,572 --> 00:32:09,174 I love you. Do you hear me? 610 00:32:09,308 --> 00:32:11,310 Do you hear me? I love you so much. 611 00:32:12,244 --> 00:32:14,615 This won't take long. We'll let you know when she's done, all right? 612 00:32:18,919 --> 00:32:20,120 Clear! 613 00:32:31,935 --> 00:32:33,504 Hey. 614 00:32:33,638 --> 00:32:35,540 I did a thoracotomy today, on my own, and brought the patient back 615 00:32:35,673 --> 00:32:37,108 -with cardiac massage. -Nice. 616 00:32:37,241 --> 00:32:38,943 -He arrived DOA, but-- -I don't mean to cut you off, 617 00:32:39,077 --> 00:32:40,211 -but I really gotta-- -Oh, no, no. Go. 618 00:32:40,345 --> 00:32:42,081 I do want to hear though. 619 00:32:42,214 --> 00:32:44,917 I'm going to have a drink at Joe's tonight to celebrate if you want to join. 620 00:32:45,050 --> 00:32:47,020 -I'll see you there. -Okay. 621 00:32:54,464 --> 00:32:56,965 Adams, impressive work on that wound vac. 622 00:32:57,099 --> 00:32:59,536 You did what a fellow and two plastics residents couldn't. 623 00:32:59,670 --> 00:33:02,205 What can I say? I guess I really want in on that TRAM flap. 624 00:33:03,407 --> 00:33:04,676 Don't be late. 625 00:33:04,809 --> 00:33:05,976 Dr. Mohanty. 626 00:33:08,179 --> 00:33:11,082 Dr. Spencer was instrumental in placing the wound vac. 627 00:33:11,216 --> 00:33:12,985 Can she, uh, scrub in too? 628 00:33:13,787 --> 00:33:15,856 Sure. See you up there. 629 00:33:18,760 --> 00:33:20,193 You didn't have to do that. 630 00:33:20,327 --> 00:33:22,029 I know I didn't really help, so 631 00:33:22,163 --> 00:33:23,732 You got me in the room. 632 00:33:25,967 --> 00:33:29,773 When I was an intern, I hated when senior residents would dismiss me. 633 00:33:29,905 --> 00:33:34,077 Now I know they were just in a rush and everybody is scared of messing up. 634 00:33:34,210 --> 00:33:35,781 It's not personal. 635 00:33:36,681 --> 00:33:38,683 But it's also not a good excuse either. 636 00:33:39,984 --> 00:33:41,920 Make sure to review his imaging before we start. 637 00:33:46,392 --> 00:33:48,327 Well, what was your snack today? 638 00:33:48,462 --> 00:33:50,799 Oh, yeah? Yum. 639 00:33:51,566 --> 00:33:53,267 Oh, hang on, Daddy's here. 640 00:33:53,935 --> 00:33:55,805 -Want to say good night? It's Allison. -Yeah. 641 00:33:55,937 --> 00:33:58,139 Hey. Hey, Allie, how was your day? 642 00:33:58,708 --> 00:34:01,645 No, no, no more naked ladies. 643 00:34:01,778 --> 00:34:03,815 No, we're gonna talk about that tomorrow, yeah. 644 00:34:04,749 --> 00:34:06,451 Okay, I love you. Good night. 645 00:34:08,286 --> 00:34:09,621 Hey, I'll be home before 646 00:34:10,388 --> 00:34:12,659 And she hung up. 647 00:34:15,528 --> 00:34:17,297 Listen, Maisie is in the ICU. 648 00:34:17,431 --> 00:34:19,700 We saved her leg, but we had to keep her open, 649 00:34:19,834 --> 00:34:21,100 so we're doing a washout tomorrow. 650 00:34:21,234 --> 00:34:22,269 Good. 651 00:34:28,176 --> 00:34:31,548 Okay. I'm ready. Let me have it. 652 00:34:33,884 --> 00:34:36,521 All day I have stopped myself from picking a fight with you, 653 00:34:36,654 --> 00:34:39,089 and now you are literally asking for it. 654 00:34:39,223 --> 00:34:41,460 I don't want to. I am so sick of fighting. 655 00:34:42,461 --> 00:34:43,963 And the truth is, I have no business 656 00:34:44,096 --> 00:34:46,466 having feelings about who you're sleeping with. 657 00:34:47,099 --> 00:34:48,703 But still, it it was 658 00:34:50,203 --> 00:34:52,707 It was hard seeing you with someone else. 659 00:34:54,208 --> 00:34:57,211 Especially someone who you have a history with. 660 00:34:57,345 --> 00:34:58,648 Yeah. 661 00:34:59,381 --> 00:35:01,250 I don't love seeing you with Cass either. 662 00:35:02,453 --> 00:35:04,153 Fair. 663 00:35:04,287 --> 00:35:09,528 This morning when you were under that bus, I was I was worried. 664 00:35:09,661 --> 00:35:10,729 I 665 00:35:11,295 --> 00:35:15,066 I was thinking maybe we're rushing all of this. 666 00:35:20,339 --> 00:35:22,342 Don't you wish that we could just 667 00:35:23,243 --> 00:35:25,213 fast-forward to where we have it all figured out. 668 00:35:27,583 --> 00:35:29,552 And miss the look on your face this morning? 669 00:35:29,685 --> 00:35:32,689 - Yeah, that would have been great. 670 00:35:36,326 --> 00:35:41,198 I don't think we're rushing it. It's It's complicated. 671 00:35:45,203 --> 00:35:46,673 But we'll figure it out. 672 00:35:48,742 --> 00:35:49,777 Yeah. 673 00:35:52,111 --> 00:35:53,815 -Good night. -Good night. 674 00:36:03,392 --> 00:36:06,396 We'll get access through the femoral, feed it up to the left ventricle, 675 00:36:06,531 --> 00:36:08,900 check our placement under fluoro, secure it in place, 676 00:36:09,033 --> 00:36:10,133 and then we're out of here. 677 00:36:10,267 --> 00:36:11,937 What now? 678 00:36:12,071 --> 00:36:14,740 I'm not getting any fetal heart tones on baby A. 679 00:36:14,873 --> 00:36:17,409 - Her cardiac reserve is collapsing. - -No tones on baby B. 680 00:36:17,544 --> 00:36:19,144 Is Jo stable enough for a section? 681 00:36:19,278 --> 00:36:22,483 - At the moment, yes. Page OB. - We just did. 682 00:36:25,119 --> 00:36:28,457 I can't stand here just doing nothing. I'm gonna go see if I can find someone. 683 00:36:35,131 --> 00:36:38,234 Mr. Dominguez in bed four is ready for discharge. 684 00:36:38,369 --> 00:36:39,838 I'll go check on him. 685 00:36:39,971 --> 00:36:41,271 You did good today. 686 00:36:42,741 --> 00:36:44,644 What was that? 687 00:36:44,777 --> 00:36:46,244 You heard me. 688 00:36:47,145 --> 00:36:50,282 Mmm. A compliment from Dr. Griffith. I didn't think you had it in you. 689 00:36:50,416 --> 00:36:52,453 You prioritized a patient over a procedure. 690 00:36:52,587 --> 00:36:53,988 Not everyone would. 691 00:36:54,122 --> 00:36:55,188 Thank you. 692 00:36:58,027 --> 00:37:01,196 -We should grab a drink later. -That wasn't an opening. 693 00:37:01,731 --> 00:37:06,737 I was giving you constructive feedback in a professional setting. 694 00:37:08,005 --> 00:37:11,275 We're in a supply closet. 695 00:37:14,780 --> 00:37:16,649 I should go check on Mr. Dominguez. 696 00:37:16,783 --> 00:37:18,885 Or you could stay here. 697 00:37:19,787 --> 00:37:20,888 With me. 698 00:37:26,461 --> 00:37:27,495 I can't. 699 00:37:29,297 --> 00:37:31,734 All good. 700 00:37:32,735 --> 00:37:34,571 I'll see you. 701 00:37:47,187 --> 00:37:48,855 Adams got the surgery. 702 00:37:49,689 --> 00:37:50,924 I got a trauma. 703 00:37:51,625 --> 00:37:52,827 You can't have it all. 704 00:37:52,960 --> 00:37:55,062 Besides, there'll be more. 705 00:37:56,330 --> 00:37:57,966 You sound awfully sure about that. 706 00:37:58,100 --> 00:37:59,835 I know myself. 707 00:37:59,968 --> 00:38:02,772 If I want something bad enough, I'll do everything in my power to get it. 708 00:38:02,905 --> 00:38:05,476 And what you want is a TRAM flap. 709 00:38:06,744 --> 00:38:07,945 Yep. 710 00:38:09,278 --> 00:38:10,849 Is that all you want? 711 00:38:24,932 --> 00:38:27,735 The hardest thing about waiting is knowing when to stop. 712 00:38:28,737 --> 00:38:30,472 Instinct may tell you one thing, 713 00:38:31,272 --> 00:38:33,476 and experience tells you another. 714 00:38:34,309 --> 00:38:35,344 Nora? 715 00:38:35,478 --> 00:38:37,915 Hey, what are you what are you doing here? 716 00:38:40,117 --> 00:38:41,252 You okay? 717 00:38:43,021 --> 00:38:44,455 I can't do this. 718 00:38:46,224 --> 00:38:48,227 Do W-What, us? 719 00:38:48,360 --> 00:38:53,133 If this is about this morning, Teddy and I, we talked, and she's okay. 720 00:38:53,934 --> 00:38:55,068 And I'm not. 721 00:38:57,605 --> 00:38:58,873 Teddy's more than my surgeon. 722 00:38:59,007 --> 00:39:02,278 She saved my life with a procedure she invented. 723 00:39:02,410 --> 00:39:04,213 If I get a cold, I can't just go to urgent care. 724 00:39:04,345 --> 00:39:08,552 I have to call Teddy because she's the only one who understands my body. 725 00:39:09,954 --> 00:39:11,454 I text her when I have a fever. 726 00:39:11,589 --> 00:39:14,293 I call her when I want to take an ibuprofen. I 727 00:39:17,095 --> 00:39:20,700 You're trying to divorce yourself from her, but I'm getting more entangled. 728 00:39:21,901 --> 00:39:23,270 I see. 729 00:39:23,403 --> 00:39:26,006 I want to believe that we can make it work too, but I just 730 00:39:27,308 --> 00:39:28,877 I don't-- I don't see how. 731 00:39:31,479 --> 00:39:35,151 We found ourselves together a second time. 732 00:39:35,284 --> 00:39:36,887 Maybe we'll get a third. 733 00:39:39,823 --> 00:39:40,858 Yeah. 734 00:39:46,165 --> 00:39:47,967 All you can do is pay attention. 735 00:39:49,702 --> 00:39:54,741 Glen's out of surgery. He's hanging on. 736 00:39:56,844 --> 00:39:59,748 You were right to push. 737 00:39:59,882 --> 00:40:01,717 I'm glad to hear it. 738 00:40:03,417 --> 00:40:05,188 This may not be the time, 739 00:40:05,321 --> 00:40:09,560 but I want to talk to you about reinstating my lecture series. 740 00:40:09,693 --> 00:40:12,863 Now I know you have your reasons for canceling it, 741 00:40:12,997 --> 00:40:16,534 but I had my reasons for starting it. 742 00:40:16,668 --> 00:40:21,540 My reasoning may not stand. I've been a little distracted. 743 00:40:23,010 --> 00:40:25,212 Dr. Freeman and I don't share a patient. 744 00:40:27,015 --> 00:40:28,216 I am the patient. 745 00:40:29,651 --> 00:40:30,718 What? 746 00:40:30,852 --> 00:40:35,291 He gave me my biopsy results. 747 00:40:36,458 --> 00:40:37,661 I have cancer. 748 00:40:44,467 --> 00:40:46,638 - Where's OB? -On the other side of the hospital 749 00:40:46,772 --> 00:40:48,874 and have multiple emergent deliveries right now. 750 00:40:49,676 --> 00:40:51,277 -What are you doing? -We have to deliver these babies. 751 00:40:51,411 --> 00:40:54,915 We? Look, I haven't done a C-section since med school. 752 00:40:55,049 --> 00:40:56,650 You know where the uterus is? 753 00:40:57,284 --> 00:40:59,955 -Yes, I-I-I do. -Then you can do this. 754 00:41:00,088 --> 00:41:02,624 And hope that when the time finally comes 755 00:41:02,757 --> 00:41:03,960 Now. 756 00:41:16,407 --> 00:41:18,944 Okay. All right. Stay with me, Wilson. 757 00:41:19,078 --> 00:41:21,013 Come on. Stay with me. 758 00:41:21,146 --> 00:41:22,415 you'll be ready. 759 00:41:33,996 --> 00:41:38,201 One in eight men will be diagnosed with prostate cancer in their lifetime. 760 00:41:38,968 --> 00:41:41,504 For Black men, the risk is even higher. 761 00:41:42,206 --> 00:41:45,210 Fortunately, prostate cancer is highly treatable, 762 00:41:45,343 --> 00:41:47,746 but early detection is the key. 763 00:41:47,879 --> 00:41:51,217 And sometimes there are no noticeable symptoms. 764 00:41:51,951 --> 00:41:54,221 For years, I've worked with Black Health Matters 765 00:41:54,354 --> 00:41:57,657 to urge men to get screened regularly, 766 00:41:57,791 --> 00:41:59,460 starting with a simple blood test. 767 00:42:00,294 --> 00:42:05,501 Today, I'm living proof that early detection works. 768 00:42:06,468 --> 00:42:10,173 If you're Black or prostate cancer runs in your family, 769 00:42:10,306 --> 00:42:14,011 talk to your doctor about getting screened starting at age 40. 770 00:42:14,145 --> 00:42:17,682 To learn more, go to blackhealthmatters.com. 59965

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