1 00:00:02,302 --> 00:00:04,238 [♪ pop music playing] 2 00:00:04,371 --> 00:00:07,241 [Grey] When the risk of a procedure is greater than the possible benefit, 3 00:00:07,809 --> 00:00:09,276 we watch and wait. 4 00:00:10,010 --> 00:00:11,679 If the symptoms progress 5 00:00:11,813 --> 00:00:13,213 -Good morning. -Good morning. 6 00:00:13,347 --> 00:00:15,249 then we pick up a scalpel. 7 00:00:19,787 --> 00:00:22,557 -[knocks on door] -[sighs] 8 00:00:22,690 --> 00:00:24,626 Who's that? We're in the middle of nowhere. 9 00:00:24,759 --> 00:00:27,595 Probably some camper who forgot toilet paper. 10 00:00:27,729 --> 00:00:29,998 -[knocks on door] -I'll be right back. Okay. Coming. 11 00:00:33,801 --> 00:00:34,836 Okay. 12 00:00:36,169 --> 00:00:37,505 -[groans] -Hey, 13 00:00:37,639 --> 00:00:40,173 the kids wanted to bring you the pancakes that they made. 14 00:00:40,842 --> 00:00:42,376 Whoa, whoa, whoa. 15 00:00:43,210 --> 00:00:46,213 -[Leo] Who are you? -[Allison] Where are your clothes? 16 00:00:48,550 --> 00:00:50,083 You should have called first. 17 00:00:51,986 --> 00:00:53,253 [Altman] Okay, you know what? 18 00:00:53,387 --> 00:00:55,590 Uh, we-we gotta go, or we're gonna be late. 19 00:00:55,723 --> 00:00:57,391 Um, all right, come on. Say goodbye to Daddy. 20 00:00:57,525 --> 00:00:58,893 -Bye, guys. -You should leave your ringer on. 21 00:00:59,027 --> 00:01:00,260 Yeah. [sighs] 22 00:01:04,566 --> 00:01:05,600 [sighs] 23 00:01:06,901 --> 00:01:09,671 -I'm so sorry. -No. She was just surprised. 24 00:01:09,804 --> 00:01:13,508 Listen, why don't you just relax, and I'll go get us some coffee, okay? 25 00:01:13,641 --> 00:01:14,676 Okay. 26 00:01:15,242 --> 00:01:17,011 [Grey] Sounds easy, 27 00:01:17,144 --> 00:01:19,948 but doing nothing is one of the hardest things a surgeon has to do. 28 00:01:20,080 --> 00:01:21,950 [♪ music continues] 29 00:01:23,250 --> 00:01:26,821 [Grey] We're trained to act, to remove, to fix. 30 00:01:26,955 --> 00:01:28,823 Restraint isn't in our DNA. 31 00:01:28,957 --> 00:01:30,357 [nurse] Babies look good. 32 00:01:30,490 --> 00:01:33,561 -And the cerclages are still in place. -That's good. 33 00:01:34,161 --> 00:01:37,031 Good would be my water breaking seven weeks from now when I'm full term. 34 00:01:37,164 --> 00:01:39,132 -[breathes deeply] -You might make it all the way. 35 00:01:39,266 --> 00:01:42,436 It's possible. Babies are healthy. There's no sign of infection. 36 00:01:42,570 --> 00:01:45,172 Now. If I deliver early, they're at risk of sepsis, 37 00:01:45,305 --> 00:01:48,743 have underdeveloped lungs, have trouble feeding as [sighs] 38 00:01:48,876 --> 00:01:51,613 It's a choose-your-own-adventure newborn hellscape. 39 00:01:53,081 --> 00:01:55,950 But you're right. I could make it seven weeks. 40 00:01:56,551 --> 00:01:57,585 Yeah. 41 00:01:57,719 --> 00:01:59,386 [breathes heavily] 42 00:01:59,520 --> 00:02:01,154 -You okay? -I'm having shortness of breath. 43 00:02:01,288 --> 00:02:04,257 -Can you page cardiology? -What do you What do you think it is? 44 00:02:04,391 --> 00:02:06,326 Do you think it's a heart thing or a lung thing? 45 00:02:06,460 --> 00:02:08,863 -Do you have any pain? Is it sharp, dull? -It's probably nothing. 46 00:02:08,997 --> 00:02:12,132 I just want to practice what I preach, get it all checked out. 47 00:02:12,265 --> 00:02:14,769 -Okay. I'll call upstairs. -Okay. 48 00:02:17,437 --> 00:02:20,474 [Grey] In the end, all you can do is hope for the best. 49 00:02:21,408 --> 00:02:23,578 And trust you're making the right call. 50 00:02:23,711 --> 00:02:24,712 [♪ music ends] 51 00:02:25,278 --> 00:02:28,181 Meade? Where Where do you think you're going? 52 00:02:28,850 --> 00:02:31,786 Miranda. Webber canceled the surgical lecture series. 53 00:02:31,919 --> 00:02:34,689 -I assumed you knew. [chuckles] -Well, do I look like I knew? 54 00:02:34,822 --> 00:02:37,324 -[stammers] Not Not particularly. -[sighs] 55 00:02:37,457 --> 00:02:41,029 Well, who cancels someone else's lecture and doesn't tell them? 56 00:02:41,161 --> 00:02:42,195 Well, maybe he forgot. 57 00:02:43,163 --> 00:02:47,267 Did he forget that I am the residency director? 58 00:02:48,268 --> 00:02:50,203 No. Ever since he took over as chief, 59 00:02:50,337 --> 00:02:54,676 he's been making changes to my program without consulting me. 60 00:02:54,809 --> 00:02:58,146 Like there's no rhyme or reason to how I do things here. 61 00:02:58,278 --> 00:03:00,480 -I'm just the messenger. -[stammers] 62 00:03:01,481 --> 00:03:02,950 How's this for a message? 63 00:03:03,551 --> 00:03:04,552 I've had it. 64 00:03:08,656 --> 00:03:09,590 Yeah. 65 00:03:09,724 --> 00:03:12,292 [siren wailing in distance] 66 00:03:12,426 --> 00:03:13,995 Did you see Dr. Webber's email? 67 00:03:14,128 --> 00:03:17,431 How are we supposed to increase our cases by ten percent? 68 00:03:17,565 --> 00:03:19,834 Where are we supposed to find all these extra cases? 69 00:03:19,967 --> 00:03:21,869 [sighs] You seem calm. You're not behind? 70 00:03:22,003 --> 00:03:23,336 I'm trying to finish this, 71 00:03:23,470 --> 00:03:24,872 because in five minutes, I'll never have free time again. 72 00:03:25,006 --> 00:03:27,008 I didn't know you knit. Cool. 73 00:03:27,508 --> 00:03:29,877 -It's crochet. -You two back together? 74 00:03:30,011 --> 00:03:32,547 -Uh, I-I am not with anyone right now. -[Millin] We made a pact. 75 00:03:32,680 --> 00:03:35,817 We are focusing on ourselves and hobbies. 76 00:03:36,383 --> 00:03:37,752 Is that a bowel movement? 77 00:03:39,020 --> 00:03:40,054 It's a spleen. 78 00:03:44,692 --> 00:03:46,460 [PA announcer] Dr. Leone, call the blood bank. 79 00:03:46,594 --> 00:03:48,295 Dr. Leone, call the blood bank. 80 00:03:50,598 --> 00:03:52,033 [sighs] 81 00:03:52,166 --> 00:03:53,601 [engine accelerating] 82 00:03:53,735 --> 00:03:54,702 [tires screeching] 83 00:03:54,836 --> 00:03:57,739 [vehicles crash] 84 00:03:57,872 --> 00:04:00,908 -[passerby] Oh, my God. -[passersby clamoring] 85 00:04:01,042 --> 00:04:02,476 [passerby 2] Someone call 9-1-1. 86 00:04:04,545 --> 00:04:08,049 [cyclist] Help! I need help. 87 00:04:08,549 --> 00:04:09,951 Help. 88 00:04:10,084 --> 00:04:13,087 -Help's here. Where are you? -[cyclist] Down here. 89 00:04:13,588 --> 00:04:17,058 -[people clamoring] -[cyclist] Help. [grunts] 90 00:04:17,191 --> 00:04:21,062 -[breathing heavily] -What's your name? 91 00:04:21,729 --> 00:04:22,864 Maisie. 92 00:04:22,997 --> 00:04:25,332 Maisie, I'm Owen. I am a doctor. 93 00:04:25,465 --> 00:04:28,301 I am calling 911, and we're gonna get you out of there. 94 00:04:28,435 --> 00:04:29,637 -All right? -Okay. 95 00:04:29,771 --> 00:04:31,205 -[Hunt] Okay. -[grunts] 96 00:04:32,240 --> 00:04:34,575 [911 operator] 911, what's your emergency? 97 00:04:42,216 --> 00:04:43,551 Make sure none of this is yours. 98 00:04:43,684 --> 00:04:45,520 It's getting donated at the end of the day. 99 00:04:46,754 --> 00:04:49,356 [gasps] Ooh. This is a good one. 100 00:04:49,489 --> 00:04:51,092 Oh. I've been looking for that. 101 00:04:51,225 --> 00:04:53,161 Hey, how was your trip? 102 00:04:53,293 --> 00:04:55,328 Uh, I was in the south of France [sighs] 103 00:04:55,462 --> 00:04:57,364 but I had to study and take my oral boards, 104 00:04:57,497 --> 00:04:58,933 so kinda canceled each other out. 105 00:04:59,567 --> 00:05:01,769 I, uh, put in the orders to replace Mr. Litton's electrolytes. 106 00:05:01,903 --> 00:05:03,070 Thank you. 107 00:05:03,204 --> 00:05:05,540 No prob. Um, if he needs a chest tube, can I do it? 108 00:05:05,673 --> 00:05:06,741 No. 109 00:05:10,211 --> 00:05:12,780 Bryant's on your service? Stay strong. 110 00:05:12,914 --> 00:05:15,249 -Trust me, not gonna be a problem. -Mm-hmm. 111 00:05:16,349 --> 00:05:18,119 Yeah, hi, I have a three-vehicle pileup incoming, 112 00:05:18,252 --> 00:05:20,021 and one is a bus with at least 30 passengers. 113 00:05:20,154 --> 00:05:21,622 Oh, finally some good news. 114 00:05:23,423 --> 00:05:24,859 [stammering] For our-our case logs, 115 00:05:24,992 --> 00:05:27,962 I mean, I'm sorry that there was a car accident. 116 00:05:29,931 --> 00:05:32,800 Have I said welcome back yet? No? 117 00:05:34,836 --> 00:05:37,370 [firefighters, paramedics clamoring] 118 00:05:37,505 --> 00:05:39,807 -We got them, Dr. Hunt. -Okay, I'll see you at the hospital. 119 00:05:42,109 --> 00:05:43,811 -Hey. -Thanks for coming. 120 00:05:43,945 --> 00:05:47,215 A car blew a tire, then hit another car which then hit a bus, 121 00:05:47,347 --> 00:05:48,916 and the bus hit a cyclist. 122 00:05:49,050 --> 00:05:51,418 I knew you were close by since you showed up unannounced this morning. 123 00:05:51,552 --> 00:05:53,054 [Altman sighs] 124 00:05:53,187 --> 00:05:54,989 I don't want to talk about this here. Where do you need me? 125 00:05:55,122 --> 00:05:56,591 Under the bus. 126 00:05:56,724 --> 00:05:59,193 SFD's concerned that we might need to amputate the cyclist's leg 127 00:05:59,327 --> 00:06:00,728 to get her out of there. 128 00:06:00,862 --> 00:06:02,563 A paramedic could assist, but I'd much rather have a surgeon. 129 00:06:02,697 --> 00:06:04,732 -Owen, is that you? -I'm right here. This is Maisie. 130 00:06:04,866 --> 00:06:07,400 She has pain in her left leg and pelvis, and she has some bleeding, 131 00:06:07,535 --> 00:06:09,637 but I can't reach her, so I have no idea where it's coming from. 132 00:06:09,770 --> 00:06:11,005 [Altman] Right. 133 00:06:11,138 --> 00:06:13,473 Hi, Maisie. I'm Teddy. I'm a doctor too. 134 00:06:13,608 --> 00:06:15,009 -Are they getting close? -[Hunt] They're evacuating the bus 135 00:06:15,142 --> 00:06:17,078 and there's one more patient to come out of one of the cars, 136 00:06:17,211 --> 00:06:18,713 and then we're gonna get you out, okay? 137 00:06:18,846 --> 00:06:21,414 Maisie, is there anyone that you want us to call while we wait? 138 00:06:24,051 --> 00:06:27,088 I was gonna say that you can call my boyfriend, but I remembered that 139 00:06:27,688 --> 00:06:29,857 -he's not my boyfriend anymore. -[Altman] I'm sorry. 140 00:06:29,991 --> 00:06:33,426 We got into a stupid fight because he didn't want to go on a stupid cruise 141 00:06:33,561 --> 00:06:36,831 for my parents' anniversary, which is perfectly reasonable. 142 00:06:36,964 --> 00:06:39,066 You know how cold it is in October in Alaska? 143 00:06:39,200 --> 00:06:40,467 I can imagine. 144 00:06:40,601 --> 00:06:42,904 I wanted to take it back, but he won't pick up my calls. 145 00:06:44,372 --> 00:06:46,641 Maybe if you tell him I'm trapped under a bus, he'll pick up. 146 00:06:46,774 --> 00:06:48,509 First, we are gonna get you out of here, 147 00:06:48,643 --> 00:06:50,878 and then we can call your boyfriend, okay? 148 00:06:51,979 --> 00:06:54,949 -Okay. -[Maisie sniffles, grunts] 149 00:06:57,084 --> 00:07:00,955 Were you going to tell me that you canceled my lecture series? 150 00:07:01,088 --> 00:07:02,857 Oh, I [chuckles] I thought I did. 151 00:07:02,990 --> 00:07:06,160 [stammers] Yeah, I got here at 5:45 152 00:07:06,294 --> 00:07:09,330 to print handouts and set up the conference room for fun. 153 00:07:09,462 --> 00:07:10,698 -[siren wailing] -Oh. 154 00:07:10,831 --> 00:07:13,267 My mistake, you know, with all the construction 155 00:07:13,401 --> 00:07:15,369 and the residents who are behind in their cases, 156 00:07:15,503 --> 00:07:16,971 it was all-hands-on-deck situation. 157 00:07:17,104 --> 00:07:20,041 With all due respect, this is not your deck. 158 00:07:20,875 --> 00:07:21,909 Hey, come on. 159 00:07:22,877 --> 00:07:24,111 -Oh. -[Webber] Whoa. 160 00:07:27,048 --> 00:07:29,350 -[Bailey] Oh, my God. [gasps] -[paramedic] Aaron! 161 00:07:29,482 --> 00:07:31,619 He's autistic, he's nonspeaking and sustained a head lac. 162 00:07:31,752 --> 00:07:34,088 -The patient is his aide. -Oh. Go after him! 163 00:07:34,221 --> 00:07:36,257 Glen Kelly, 53, GCS 3T, 164 00:07:36,390 --> 00:07:38,592 MVC with a city bus at high speed, restrained driver. 165 00:07:38,726 --> 00:07:41,362 Unknown past medical history, intubated on the scene. 166 00:07:41,494 --> 00:07:43,397 -How long did you administer CPR? -Ten minutes. 167 00:07:43,531 --> 00:07:44,932 Doesn't look good. 168 00:07:45,066 --> 00:07:47,001 Well, not if I can help it. Let's take him to trauma three. 169 00:07:52,273 --> 00:07:55,109 -[Hunt] Maisie, how you doing? -It's cold under here. 170 00:07:55,242 --> 00:07:57,812 I can't catch my breath. [breathes heavily] 171 00:07:58,446 --> 00:08:00,448 She's losing a lot of blood from her leg. 172 00:08:00,581 --> 00:08:02,116 They're working on the second car. 173 00:08:02,249 --> 00:08:03,617 [Altman] All right, stay with me, Maisie. 174 00:08:03,751 --> 00:08:06,320 -Hang on. -Where are they with stabilizing the bus? 175 00:08:08,689 --> 00:08:10,958 -What are you doing? -I can't control internal bleeding, 176 00:08:11,092 --> 00:08:13,160 but I can try and stop the blood from pouring out of her leg. 177 00:08:13,294 --> 00:08:15,463 -Dr. Hunt, they can't get an airway. -Go. I got this. 178 00:08:15,596 --> 00:08:17,598 -[Hunt] Okay. -Ma'am, you can't go under there. 179 00:08:17,732 --> 00:08:20,034 It's Doctor, and she needs a tourniquet on her leg, now. 180 00:08:20,167 --> 00:08:21,836 All right, I'm just gonna put this on you 181 00:08:21,969 --> 00:08:25,206 and then I gotta get this tourniquet on you, okay? [grunts] 182 00:08:25,339 --> 00:08:28,209 -Okay. Deep breaths. -[saw whirring] 183 00:08:28,342 --> 00:08:29,944 You good? Teddy. 184 00:08:30,611 --> 00:08:32,613 Teddy, we still haven't stabilized the bus. 185 00:08:32,747 --> 00:08:34,815 [Altman] You called me here. I'm gonna do my job. 186 00:08:34,949 --> 00:08:36,917 -Is it time? Are they getting me out? -Not yet. 187 00:08:37,051 --> 00:08:38,886 I need to work on your leg. 188 00:08:39,020 --> 00:08:41,555 I need to tighten this to stop the bleeding. Okay, here we go. 189 00:08:41,689 --> 00:08:44,692 -[groaning] -I know, I know it hurts. Keep breathing. 190 00:08:44,825 --> 00:08:46,627 We're gonna get you some medicine for the pain-- 191 00:08:46,761 --> 00:08:48,129 Teddy, they need you to move right now. 192 00:08:48,262 --> 00:08:49,563 Just give me a minute. 193 00:08:49,697 --> 00:08:51,032 Are you going back out? 194 00:08:51,165 --> 00:08:52,700 -Teddy! -I'm gonna stay right here with you. 195 00:08:52,833 --> 00:08:54,168 Keep breathing. 196 00:08:54,301 --> 00:08:56,404 -[grunting] -Come on, Maisie. Stay with me. Come on. 197 00:08:58,072 --> 00:08:59,206 Dr. Adams? 198 00:08:59,340 --> 00:09:01,510 Hi, I'm Dani Spencer. I'm your intern. 199 00:09:01,642 --> 00:09:03,811 It's my first day. Well, actually, it's my second day. 200 00:09:03,944 --> 00:09:07,681 My first day, Meredith Grey gave me an ex-lap in the reproductive health clinic. 201 00:09:07,815 --> 00:09:08,849 [chuckles] 202 00:09:09,717 --> 00:09:11,385 So, here I am. [chuckles] 203 00:09:12,386 --> 00:09:14,889 -How caffeinated are you? -Oh, I don't drink coffee. 204 00:09:15,022 --> 00:09:16,924 [Kavita] Good morning. A patient's flap went down. 205 00:09:17,058 --> 00:09:19,593 I'm taking him to the OR to try and salvage it. 206 00:09:19,727 --> 00:09:21,062 -I need-- -Can I get in on that? 207 00:09:21,195 --> 00:09:23,798 No, I need someone to keep up with my dressing changes. 208 00:09:23,931 --> 00:09:25,833 How about you get in on that? 209 00:09:26,535 --> 00:09:27,701 [sighs] Yep. 210 00:09:29,538 --> 00:09:30,905 -Come. -[Spencer chuckles] 211 00:09:32,006 --> 00:09:35,042 -I heard you have a TRAM flap. -I already have an assist. 212 00:09:35,576 --> 00:09:36,577 No, you-- 213 00:09:36,710 --> 00:09:38,079 You owe me and you know it. 214 00:09:39,246 --> 00:09:41,849 You had diarrhea. That's not on me. 215 00:09:41,982 --> 00:09:44,485 I got you face time in front of Jackson Avery, 216 00:09:44,652 --> 00:09:47,121 and if you get that job in Boston, I should be getting 10%. 217 00:09:48,656 --> 00:09:50,391 I just told Adams no. 218 00:09:50,525 --> 00:09:52,760 If I give it to you just because you asked, what will people think? 219 00:09:52,893 --> 00:09:54,228 I don't care what people think. 220 00:09:57,398 --> 00:10:01,802 Frank Nelson, room 3256. He has a bad sacral decub ulcer. 221 00:10:01,936 --> 00:10:03,270 No one's been able to get a wound vac on it. 222 00:10:03,404 --> 00:10:04,872 -It's too close to the anus. -Ouch. 223 00:10:05,005 --> 00:10:06,907 The only option left is to give him an ostomy 224 00:10:07,041 --> 00:10:09,511 and hope that rerouting his bowels keeps the ulcer clean long enough to heal. 225 00:10:09,643 --> 00:10:13,814 But he's in his 80s and he's a vasculopath with high surgical risk. 226 00:10:13,948 --> 00:10:18,119 So if you can place the wound vac, I'll let you assist in the surgery. 227 00:10:18,919 --> 00:10:19,920 Consider it done. 228 00:10:24,758 --> 00:10:26,528 [sighs] Hey, hey, how we doing in here? 229 00:10:26,660 --> 00:10:29,263 You called the chief of cardiothoracic surgery? 230 00:10:29,396 --> 00:10:30,664 -He's a friend. -[sighs] 231 00:10:30,798 --> 00:10:33,467 [sighs, whispers] I told you to page cardiology. 232 00:10:34,301 --> 00:10:37,304 Hi, I'm Winston Ndugu. Chief of cardiothoracic surgery. 233 00:10:37,438 --> 00:10:39,440 Nice to meet you. Iris, chief of this room. 234 00:10:39,574 --> 00:10:41,175 [Wilson, Lincoln whispering] 235 00:10:41,308 --> 00:10:42,544 I told you 236 00:10:42,676 --> 00:10:46,280 -[inhales deeply] Deep breaths. -[breathes deeply] 237 00:10:46,413 --> 00:10:47,848 I hate everybody. 238 00:10:47,982 --> 00:10:49,618 That's not true. You love me. 239 00:10:49,750 --> 00:10:53,087 I didn't page the chief of cardiothoracic surgery without telling you. 240 00:10:53,220 --> 00:10:54,788 -Mmm. -I know better. 241 00:10:54,922 --> 00:10:56,690 Okay if I take a listen? I hear you're having some shortness of breath. 242 00:10:56,824 --> 00:10:58,692 Yeah, it's nothing concerning. 243 00:10:58,826 --> 00:11:02,163 It's just standard third trimester labored breathing. 244 00:11:02,296 --> 00:11:03,964 I'm sure you're right, but as you know, 245 00:11:04,098 --> 00:11:06,867 there's a lot of overlap between pregnancy symptoms and cardiac symptoms, 246 00:11:07,001 --> 00:11:09,470 so I just want to get an EKG just to be safe. 247 00:11:09,604 --> 00:11:10,804 -Yeah, whatever you need. -Okay. 248 00:11:12,173 --> 00:11:13,575 Okay, I'll be back to do the EKG. 249 00:11:17,678 --> 00:11:19,880 [breathing heavily] It's gonna be fine. You'll see. 250 00:11:20,014 --> 00:11:22,049 At least we're meeting our deductible this year. 251 00:11:22,183 --> 00:11:23,984 [both laugh] 252 00:11:25,620 --> 00:11:27,188 The tube is in. There's a lot of blood. 253 00:11:27,321 --> 00:11:29,356 -[Bailey] Another push of Epi. -[Meade] Resuming compressions. 254 00:11:29,490 --> 00:11:30,724 Dr. Webber. 255 00:11:30,858 --> 00:11:32,627 I've got an unstable patient, nowhere to put him. 256 00:11:32,760 --> 00:11:35,696 Have Griffith and Bryant found their patient yet? We've got his aide. 257 00:11:35,829 --> 00:11:38,032 -Not that I've heard of. -I'll be right back. 258 00:11:38,165 --> 00:11:39,800 [Meade] How long do we keep at it? 259 00:11:39,934 --> 00:11:42,269 At this point, he's only coming back with a miracle, 260 00:11:42,403 --> 00:11:44,405 and that is not in our control. 261 00:11:45,039 --> 00:11:47,241 Okay, time for a pulse check. Stop compressions. 262 00:11:47,374 --> 00:11:48,543 [panting] 263 00:11:57,818 --> 00:11:59,554 Hey, Meade [sighs] call it. 264 00:12:01,989 --> 00:12:04,959 -Time of death, 8:24-- -What in God's name-- 265 00:12:05,660 --> 00:12:08,195 -I was gone for a minute. -She told me to do it. 266 00:12:08,329 --> 00:12:11,031 -We've done multiple rounds of CPR-- -That doesn't mean it's over. 267 00:12:11,165 --> 00:12:12,967 Restart compressions right now! 268 00:12:13,100 --> 00:12:14,735 Wait, so he's not dead? 269 00:12:14,868 --> 00:12:15,869 [stammers] 270 00:12:16,705 --> 00:12:19,106 This was a blunt traumatic injury. 271 00:12:19,240 --> 00:12:21,710 He's had CPR, bilateral chest tubes. 272 00:12:21,842 --> 00:12:25,246 What, we're just gonna keep resuscitating him indefinitely? 273 00:12:25,379 --> 00:12:26,447 Should we open his chest? 274 00:12:28,182 --> 00:12:29,750 Get a thoracotomy tray. 275 00:12:31,785 --> 00:12:33,887 Not everyone wants to give up. 276 00:12:36,725 --> 00:12:38,560 [Bryant, Griffith panting] 277 00:12:40,828 --> 00:12:41,862 [Bryant] That's him. 278 00:12:43,030 --> 00:12:45,667 -[Griffith sighs] Okay. -[Bryant exhales sharply, clears throat] 279 00:12:46,233 --> 00:12:48,902 I'll talk to him. You stay here. I don't want to overwhelm him. 280 00:12:49,704 --> 00:12:52,840 -[panting] Aaron. -I-- I don't know. 281 00:12:52,973 --> 00:12:54,275 I don't wanna-- I don't wanna know. 282 00:12:54,408 --> 00:12:55,776 -I'm Dr. Griffith. I'm here to help. -I don't know. 283 00:12:55,909 --> 00:12:57,144 I don't know. I don't know. 284 00:12:57,278 --> 00:12:58,613 I don't know. I don't want to-- 285 00:12:59,079 --> 00:13:01,348 I see you have a cut on your forehead. We can fix it for you. 286 00:13:01,482 --> 00:13:02,816 We just have to go inside the hospital. 287 00:13:02,950 --> 00:13:05,219 No, no, no, no, no, no, no, no. 288 00:13:05,352 --> 00:13:06,755 -We don't have to go right now. -No, no, no. 289 00:13:06,887 --> 00:13:08,022 You want me to sit with you? 290 00:13:08,155 --> 00:13:09,923 No, no, no, no, no. 291 00:13:10,791 --> 00:13:12,126 I'll give you some space. 292 00:13:12,259 --> 00:13:15,429 No, no, no, no, no, no, no. 293 00:13:16,263 --> 00:13:19,400 -Yeah, you got this. -Let's just give him a minute. 294 00:13:20,467 --> 00:13:22,236 No, no, no, no. 295 00:13:25,072 --> 00:13:27,074 Mr. Nelson, I am Dr. Kwan. 296 00:13:27,207 --> 00:13:28,777 -How are you doing today? -Peachy. 297 00:13:28,909 --> 00:13:31,045 I'd like to take a look at your wound if that's okay. 298 00:13:31,178 --> 00:13:33,013 I've got nothing better to do. 299 00:13:33,682 --> 00:13:37,652 I took a look at your chart, so you've been here a while. 300 00:13:38,952 --> 00:13:43,591 First I fell down the stairs, then I got pneumonia and a DVT. 301 00:13:43,725 --> 00:13:47,328 Now this ulcer won't heal. I wish you people would just let me die. 302 00:13:47,461 --> 00:13:49,997 You're not dying. We just need to place a wound vac. 303 00:13:50,130 --> 00:13:52,866 No, I'm done. Give me the ostomy. 304 00:13:53,000 --> 00:13:56,170 [sighs] With your medical issues, if we can avoid another surgery-- 305 00:13:56,303 --> 00:13:57,539 I don't wanna hear it. 306 00:13:57,672 --> 00:14:01,141 I'm sick and tired of you bleeding heart do-gooders 307 00:14:01,275 --> 00:14:02,811 and your positive attitudes. 308 00:14:02,943 --> 00:14:04,679 I want to be left alone. 309 00:14:10,552 --> 00:14:12,386 -I'm not doing this for you. -You're not? 310 00:14:12,520 --> 00:14:15,989 Dr. Mohanty said if I can get this wound vac on you, 311 00:14:16,123 --> 00:14:18,425 she'd let me into a surgery that I haven't seen before. 312 00:14:18,560 --> 00:14:22,329 All this so you can be second fiddle in a surgery? 313 00:14:22,463 --> 00:14:25,099 More like fourth fiddle, but yeah. 314 00:14:25,232 --> 00:14:30,337 [chuckles] You're not like the others. You're a selfish dirtbag just like me. 315 00:14:31,271 --> 00:14:34,776 -I wouldn't characterize myself as-- -Okay, you can try. 316 00:14:36,410 --> 00:14:38,912 Okay, I'll go find someone to assist me. 317 00:14:41,415 --> 00:14:43,752 -[Maisie] I'm really tired. -Take deep breaths for me. 318 00:14:43,884 --> 00:14:47,488 -If only Sam had answered my calls. -I know the feeling. 319 00:14:47,622 --> 00:14:49,758 I'm so sick of fighting about everything. 320 00:14:49,890 --> 00:14:54,027 But he's he's still the only person I want right now. [breathing heavily] 321 00:14:54,161 --> 00:14:55,697 Can we call him? 322 00:14:56,598 --> 00:14:57,565 -Oh, my God! -[Hunt] Teddy. 323 00:14:57,699 --> 00:14:59,266 -[firefighter shouting] -Teddy! 324 00:15:03,538 --> 00:15:05,372 [Hunt] Teddy, are you okay? You hurt? Teddy. 325 00:15:06,106 --> 00:15:08,342 -We're fine. What happened? -The cribbing shifted. 326 00:15:08,475 --> 00:15:11,211 We need to reinforce it so we can get them out of there. What is taking so long? 327 00:15:11,345 --> 00:15:13,380 [firefighter] We're almost ready to inflate the bag. 328 00:15:14,415 --> 00:15:16,383 Maisie. Maisie. 329 00:15:16,518 --> 00:15:18,686 Damn it. She lost consciousness. 330 00:15:18,820 --> 00:15:22,489 -Okay, let's get an intubation kit. -We need to get her out now. 331 00:15:22,624 --> 00:15:23,924 [Altman] Let's go. Let's go. 332 00:15:24,057 --> 00:15:25,693 [Altman] Come on, Maisie. Stay with us. 333 00:15:29,564 --> 00:15:32,634 We found this at the nurses' station. I think it's his. 334 00:15:32,767 --> 00:15:34,134 Okay. Thank you. 335 00:15:34,268 --> 00:15:36,571 We need to wash out that lac and assess how deep it is. 336 00:15:36,704 --> 00:15:38,238 How do you plan on getting him inside? 337 00:15:39,206 --> 00:15:40,474 I'll go get supplies. 338 00:15:40,608 --> 00:15:42,309 We can clean him up and figure out next steps here. 339 00:15:42,443 --> 00:15:44,679 Okay, cool. Wait, wait, what about me? What should I do? 340 00:15:44,813 --> 00:15:46,346 Make sure he doesn't go anywhere. 341 00:15:48,583 --> 00:15:51,251 "Make sure he doesn't go anywhere." Okay. All right. 342 00:15:53,220 --> 00:15:54,354 This yours? 343 00:15:54,488 --> 00:15:57,592 -[grunts] -It's a good-looking bag, man. 344 00:16:01,930 --> 00:16:03,565 [electronic voice] Where is Glen? 345 00:16:03,698 --> 00:16:07,000 Uh, Glen is in our emergency room. Doctors are helping him. 346 00:16:08,469 --> 00:16:10,170 You, uh You want to go inside? 347 00:16:10,304 --> 00:16:12,507 -Mm-mmm. Mm-mmm. Mm-mmm. Mm-mmm. -Okay. All good. 348 00:16:14,007 --> 00:16:15,944 Have you had bad experiences at hospitals? 349 00:16:18,445 --> 00:16:19,413 [electronic voice] Yes. 350 00:16:19,547 --> 00:16:20,615 Yeah. 351 00:16:20,748 --> 00:16:21,982 Yeah, me too. 352 00:16:23,283 --> 00:16:24,953 You know, my brother has epilepsy, 353 00:16:25,085 --> 00:16:28,989 and, uh, spent a lot of time in the hospital as a kid. 354 00:16:31,158 --> 00:16:32,292 I hated it. 355 00:16:34,127 --> 00:16:35,162 So I understand. 356 00:16:39,299 --> 00:16:40,568 -You ball? -Mmm. 357 00:16:40,702 --> 00:16:42,102 You ball for real? 358 00:16:42,236 --> 00:16:44,104 -Let me see. May I? -Mmm. 359 00:16:44,238 --> 00:16:47,542 Okay, okay, let's see here. Let's see if I still got it, you know. 360 00:16:48,275 --> 00:16:49,978 All right, one, two. 361 00:16:50,110 --> 00:16:52,379 -Okay, a little crossover. -[giggling] 362 00:16:53,013 --> 00:16:54,549 Ooh. Ooh. Ooh. 363 00:16:54,682 --> 00:16:55,884 Between the legs. 364 00:16:56,383 --> 00:16:57,785 Jump shot. 365 00:16:57,919 --> 00:17:00,722 [laughs] Okay, let's go. You wanna play for real, let's do it. 366 00:17:00,855 --> 00:17:03,758 Oh. [chuckles] Okay. Okay, jump shot, jump shot. 367 00:17:04,792 --> 00:17:06,126 And he makes it! 368 00:17:08,428 --> 00:17:11,431 I know I've got a good ass, but nobody ogle. 369 00:17:11,566 --> 00:17:13,500 Gross, gross, gross. 370 00:17:13,968 --> 00:17:17,237 -[Frank grunts] -[whirring, beeping] 371 00:17:17,939 --> 00:17:20,407 -There's still an air leak. -Okay, let's do it again. 372 00:17:20,542 --> 00:17:22,510 [Frank] You have other patients, right? 373 00:17:22,644 --> 00:17:25,747 I can't lay here all day while you try and win a prize. 374 00:17:25,880 --> 00:17:29,182 -I want to watch Judge Judy in peace. -[chuckles] 375 00:17:29,316 --> 00:17:30,552 I don't know what he's talking about. 376 00:17:30,685 --> 00:17:32,554 You said if you got this on me, 377 00:17:32,687 --> 00:17:34,556 Dr. Mohanty would hand you a surgery. 378 00:17:34,689 --> 00:17:36,858 Okay, it's a little more nuanced than that. 379 00:17:36,991 --> 00:17:38,660 You know, I'd love to hear more, 380 00:17:38,793 --> 00:17:42,030 but, uh, I think the ER needs some extra hands, 381 00:17:42,162 --> 00:17:45,533 so I'm gonna go help out of the goodness of my heart. 382 00:17:47,569 --> 00:17:49,369 -You're up. -Uh, technically, I'm with Dr. Adams. 383 00:17:49,504 --> 00:17:50,939 -Come over here. -Okay. 384 00:17:51,071 --> 00:17:53,106 [phone buzzing, chimes] 385 00:17:53,240 --> 00:17:55,275 You're getting paged a lot. 386 00:17:55,409 --> 00:17:56,376 [whispers] Oh, God. 387 00:17:56,511 --> 00:17:58,111 -[sighs] -[Frank] Oh! 388 00:17:58,245 --> 00:17:59,714 Well, you got your wish. 389 00:17:59,847 --> 00:18:02,416 -I was just paged to the emergency room. -You're leaving? 390 00:18:02,951 --> 00:18:04,919 You can watch your TV in peace. 391 00:18:05,553 --> 00:18:06,588 Clean up. 392 00:18:07,855 --> 00:18:09,256 -[door opens, closes] -Ow. 393 00:18:09,389 --> 00:18:11,491 -Sorry. -You think he'll come back? 394 00:18:11,626 --> 00:18:14,428 -Uh, I don't know. -You can try if you want. 395 00:18:14,562 --> 00:18:16,564 Uh, it's not really a one-person job. 396 00:18:17,031 --> 00:18:19,399 That's okay. [breathing heavily] 397 00:18:19,534 --> 00:18:21,435 An ostomy doesn't scare me. 398 00:18:24,438 --> 00:18:26,841 Not like I go anywhere these days. 399 00:18:26,975 --> 00:18:28,843 [siren wailing in distance] 400 00:18:30,545 --> 00:18:32,112 [Webber] Keep massaging the heart. 401 00:18:34,448 --> 00:18:36,216 -You want to switch out? -I'm fine. 402 00:18:36,918 --> 00:18:38,920 Meade, inject epi. 403 00:18:40,387 --> 00:18:41,656 No, into the myocardium. 404 00:18:41,789 --> 00:18:43,691 If you have a direct route for the drug, you take it. 405 00:18:43,825 --> 00:18:44,926 Heart it is. 406 00:18:46,894 --> 00:18:48,696 [Millin] Insert the needle into the ventricle. 407 00:18:48,830 --> 00:18:51,465 Not my hand. Ventricle. 408 00:18:57,304 --> 00:18:58,338 Come on, Glen. 409 00:18:58,973 --> 00:19:01,609 How much longer are we going to put him through this? 410 00:19:05,913 --> 00:19:09,249 -[beeping] -[Millin, Meade laugh] 411 00:19:11,552 --> 00:19:12,587 [Meade] We did it. 412 00:19:13,521 --> 00:19:14,689 -No. -Sorry. 413 00:19:15,790 --> 00:19:19,127 Okay [stammers] let's not just stand here. Let's get him to the OR. 414 00:19:21,663 --> 00:19:22,964 [Lincoln] Here, let me help out with that. 415 00:19:23,097 --> 00:19:25,365 I got it. [sighs] 416 00:19:26,801 --> 00:19:30,638 [breathing heavily] Hey, can you go to the gift shop and get me some socks? 417 00:19:30,772 --> 00:19:32,339 My feet are freezing. 418 00:19:32,807 --> 00:19:34,008 You're wearing socks. 419 00:19:34,142 --> 00:19:37,145 Well, ankle socks. They're not very warm. 420 00:19:37,277 --> 00:19:39,714 You're really gonna argue with your pregnant wife? 421 00:19:41,816 --> 00:19:44,217 -Any socks? -The purple fuzzy ones 422 00:19:44,351 --> 00:19:45,385 with the grippy bottoms. 423 00:19:45,520 --> 00:19:48,156 They're by the register, not the slippers. 424 00:19:48,288 --> 00:19:49,389 I'll be right back. 425 00:19:49,524 --> 00:19:51,659 -I have my phone if you need me. -Okay. 426 00:19:52,593 --> 00:19:54,696 [Warren] You really know your way around that gift shop. 427 00:19:54,829 --> 00:19:56,698 My patients love socks. 428 00:19:57,165 --> 00:20:00,500 There's a lot of metal stirrups in OB. 429 00:20:01,169 --> 00:20:04,038 [chuckles] You are so calm. 430 00:20:05,139 --> 00:20:06,541 On the outside. 431 00:20:07,775 --> 00:20:09,877 On the inside, I'm a train wreck. 432 00:20:10,444 --> 00:20:11,979 Don't put on a show for my benefit. 433 00:20:12,113 --> 00:20:13,548 I'm trying to stay calm for Link. 434 00:20:13,681 --> 00:20:16,084 I've seen a lot of partners in his position. 435 00:20:16,216 --> 00:20:19,654 I don't want him to be scared when there's nothing that he can do. 436 00:20:19,787 --> 00:20:23,024 But I bet he'd rather be scared than know that you're suffering without him. 437 00:20:23,157 --> 00:20:24,692 Stay in your lane, Warren. 438 00:20:24,826 --> 00:20:26,393 -Okay. -[chuckles] 439 00:20:26,527 --> 00:20:28,596 Trust me, we got you. 440 00:20:28,730 --> 00:20:32,100 On my way in here, I ran into eight nurses reading the twins' strips 441 00:20:32,232 --> 00:20:33,433 at the nurses' station. 442 00:20:34,836 --> 00:20:35,870 [sighs] 443 00:20:36,838 --> 00:20:39,841 -How does it look? -You don't want me to read this. 444 00:20:40,373 --> 00:20:42,944 But whatever it says, you're the toughest person I know. 445 00:20:43,077 --> 00:20:45,713 -You're gonna get through this. -Yeah. 446 00:20:46,781 --> 00:20:48,583 Pull the 12-lead, please. 447 00:20:51,251 --> 00:20:52,920 Page Dr. Ndugu. 911. 448 00:21:03,898 --> 00:21:05,900 -You know what this is? -No. 449 00:21:06,033 --> 00:21:07,902 So you don't know how long this is gonna take? 450 00:21:08,035 --> 00:21:09,269 You have somewhere more important to be? 451 00:21:09,402 --> 00:21:11,038 I'm just trying to get on a TRAM flap. 452 00:21:11,172 --> 00:21:12,740 Well, I'm not in France right now, 453 00:21:12,874 --> 00:21:15,710 but five minutes ago, I had my hands in a bloody abdominal cavity. 454 00:21:15,843 --> 00:21:17,011 You can't have it all. 455 00:21:17,545 --> 00:21:18,846 [siren wailing] 456 00:21:21,983 --> 00:21:25,119 Maisie Lawrence, 27, pinned under a bus, intubated in the field, 457 00:21:25,253 --> 00:21:27,454 crush injury to the abdomen, left leg laceration. 458 00:21:27,588 --> 00:21:28,656 We placed a tourniquet. 459 00:21:28,790 --> 00:21:30,158 She needs blood, imaging and an OR. 460 00:21:30,290 --> 00:21:31,826 I'll let you three take over from here. 461 00:21:31,959 --> 00:21:32,994 All right, let's go. 462 00:21:35,730 --> 00:21:37,865 [Hunt] Hey, I'll be right there, okay? [pants] 463 00:21:38,599 --> 00:21:41,135 Hey, are you, uh are you trying to get away from me? 464 00:21:41,269 --> 00:21:44,172 I have patients to see, and Maisie doesn't need two trauma surgeons. 465 00:21:44,304 --> 00:21:47,008 -Is this about what happened this morning? -[sighs] 466 00:21:48,375 --> 00:21:50,343 Let's just do our jobs and forget about it, okay? 467 00:21:52,345 --> 00:21:53,614 [Spencer] Dr. Adams? 468 00:21:53,748 --> 00:21:56,050 [sighs] Did you finish putting in Ms. Lewis's orders? 469 00:21:56,184 --> 00:21:57,151 Yeah. 470 00:21:57,285 --> 00:21:59,187 Can you help me with something? 471 00:21:59,352 --> 00:22:01,321 I know that you're trying to increase your cases, 472 00:22:01,454 --> 00:22:03,356 but Dr. Kwan was just paged to meet a rig, 473 00:22:03,490 --> 00:22:06,194 and we were so close to getting that wound vac on Frank. 474 00:22:06,326 --> 00:22:07,528 Not my patient, not my problem. 475 00:22:07,662 --> 00:22:09,130 They're gonna give him an ostomy, 476 00:22:09,263 --> 00:22:11,464 and he's old and has a bunch of comorbidities. 477 00:22:11,599 --> 00:22:14,334 Did Dr. Kwan promise you a spot on Mohanty's TRAM flap? 478 00:22:14,467 --> 00:22:17,337 -No. No, I swear. -I thought you didn't like Frank. 479 00:22:18,072 --> 00:22:21,642 Is he a gross old man who makes me vaguely uncomfortable? Yes. 480 00:22:21,776 --> 00:22:25,880 But he is also a person who deserves the best care we can provide. 481 00:22:26,013 --> 00:22:29,617 Dr. Adams, I took an oath to help the sick. 482 00:22:29,750 --> 00:22:33,187 What kind of a doctor am I if I break my promise on day one? 483 00:22:36,290 --> 00:22:38,993 Okay, let's go put a wound vac on Frank. 484 00:22:42,495 --> 00:22:45,766 -Uh How did you-- -Because I'm clutch. Right here, bud. 485 00:22:46,868 --> 00:22:50,004 Let me set this over here for you. [clears throat] 486 00:22:52,506 --> 00:22:54,175 [Bryant] All right, this way. 487 00:22:55,710 --> 00:22:56,844 [Bryant] Good? 488 00:23:00,014 --> 00:23:03,084 -All right, let's see. I'm gonna-- -Mm-mmm. 489 00:23:04,018 --> 00:23:06,554 -I'm gonna just-- -[whimpering] 490 00:23:08,522 --> 00:23:09,557 [mumbles] 491 00:23:10,024 --> 00:23:12,727 Foul on the play, dude, okay? You gotta work with me. 492 00:23:14,595 --> 00:23:17,064 [electronic voice] No. Thank you. 493 00:23:17,198 --> 00:23:19,333 -Yeah, real clutch. -Well, what do you expect, okay? 494 00:23:19,466 --> 00:23:20,768 I'm poking at him right above his eye. 495 00:23:20,902 --> 00:23:23,704 As long as he can see my hands coming, he's gonna move. 496 00:23:23,838 --> 00:23:25,706 What if he can't see your hands? 497 00:23:26,240 --> 00:23:29,644 Great idea. Let me just grab my invisibility cloak, and then 498 00:23:30,811 --> 00:23:32,747 Wasn't that bad of a joke. [clears throat] 499 00:23:34,548 --> 00:23:36,217 Giving up, going on vacation? 500 00:23:39,287 --> 00:23:41,222 We need to look at the cut on your forehead. 501 00:23:41,355 --> 00:23:42,957 Do you want to wear this? 502 00:23:43,090 --> 00:23:45,927 Then you can keep playing your game while we clean it up. 503 00:23:49,196 --> 00:23:50,231 Mmm. 504 00:23:59,140 --> 00:24:00,241 Nice. 505 00:24:00,374 --> 00:24:02,376 Yeah, don't strain your neck looking up to me. 506 00:24:06,347 --> 00:24:08,249 [monitor beeping] 507 00:24:13,287 --> 00:24:14,822 Somebody please say something. 508 00:24:15,423 --> 00:24:17,625 Well, the good news is we have options. [sighs] 509 00:24:17,758 --> 00:24:19,126 [Lincoln] I come bearing gifts. 510 00:24:22,596 --> 00:24:25,933 -What happened? Did something change? -You might want to sit down. 511 00:24:27,500 --> 00:24:29,637 I don't want to sit down. What's wrong? 512 00:24:30,237 --> 00:24:33,074 Winston was about to give me the results of my echo. 513 00:24:34,742 --> 00:24:35,810 Is she okay? 514 00:24:37,244 --> 00:24:39,613 You have peripartum cardiomyopathy. 515 00:24:40,281 --> 00:24:42,850 Your heart muscle is weakening and getting bigger. 516 00:24:47,487 --> 00:24:49,824 Well, how do we treat it? Do we have to deliver the babies? 517 00:24:49,957 --> 00:24:51,993 We can start with medication, but if that doesn't work, 518 00:24:52,126 --> 00:24:54,028 then we will need to deliver the babies, 519 00:24:54,161 --> 00:24:58,332 or place a pump called an Impella, and it sits within the ventricle 520 00:24:58,466 --> 00:25:01,635 and it gives continuous flow to support the heart's function, 521 00:25:01,769 --> 00:25:03,137 giving you a chance to recover, 522 00:25:03,270 --> 00:25:06,173 which will also allow more time for the babies to develop. 523 00:25:06,640 --> 00:25:09,010 [breathing heavily] 524 00:25:13,481 --> 00:25:15,716 [smacks lips] So what do you want to do? 525 00:25:19,520 --> 00:25:21,222 The babies need as 526 00:25:21,355 --> 00:25:24,458 need as much time as they can get, so I'll do the pump, 527 00:25:24,592 --> 00:25:26,227 if it comes to that. 528 00:25:26,360 --> 00:25:28,662 But the medication could work. 529 00:25:28,796 --> 00:25:30,865 -It could work, yes. It could. -Okay. 530 00:25:30,998 --> 00:25:33,401 I have a consult and then I will check back in, okay? 531 00:25:34,001 --> 00:25:36,137 Let's start her on Dobutamine and place an A-line. 532 00:25:36,270 --> 00:25:38,406 [Lincoln breathes deeply] 533 00:25:42,910 --> 00:25:44,879 -Oh. You forgot your tablet. -Hey, no 534 00:25:45,012 --> 00:25:46,947 -I think it was already-- -I'll be right back. 535 00:25:47,648 --> 00:25:48,682 Okay. 536 00:25:51,552 --> 00:25:52,586 Okay. 537 00:25:55,089 --> 00:25:59,360 Hey, I'm trying to stay calm, so she stays calm, but be honest with me. 538 00:26:00,361 --> 00:26:01,862 How scared should I be? 539 00:26:04,432 --> 00:26:06,200 [grunts] Her heart is failing. 540 00:26:09,970 --> 00:26:11,138 [breathes shakily] 541 00:26:11,272 --> 00:26:14,442 -Why? Why is this happening? -No one knows why. 542 00:26:14,575 --> 00:26:17,812 If it's genetic or the hemodynamic shifts of a twin pregnancy. 543 00:26:17,945 --> 00:26:21,048 But we're on top of it, and we have options at this point. 544 00:26:21,182 --> 00:26:24,519 You-You got to watch her like a hawk. An echo every 30 minutes if you have to. 545 00:26:24,652 --> 00:26:27,054 I was just telling Warren that he's exclusively on Jo today. 546 00:26:27,188 --> 00:26:29,790 She will have 100% of my attention. 547 00:26:32,561 --> 00:26:34,895 Listen, man, I know that it's difficult, 548 00:26:35,029 --> 00:26:37,798 but we can only take it one step at a time right now. 549 00:26:37,932 --> 00:26:40,067 Anxiety could only make it worse for Jo. 550 00:26:43,704 --> 00:26:45,439 -Okay. -Okay. 551 00:26:49,578 --> 00:26:52,680 Dr. Webber, Dr. Freeman's been trying to get a hold of you. 552 00:26:52,813 --> 00:26:54,482 Scott Freeman, the urologist? 553 00:26:54,615 --> 00:26:56,150 Uh, we have the same patient. 554 00:26:56,283 --> 00:27:00,387 -Uh, it must be urgent. -Oh. Then go, go. We have enough hands. 555 00:27:02,423 --> 00:27:05,826 Hey, look, I know we disagreed earlier, but I'm in this now. 556 00:27:05,960 --> 00:27:07,228 That's not it. I'm-- 557 00:27:07,361 --> 00:27:10,297 Then go. Handle your emergency and let me do my job. 558 00:27:10,431 --> 00:27:11,832 [monitor beeping] 559 00:27:12,399 --> 00:27:13,734 He's tanking. 560 00:27:13,868 --> 00:27:17,471 Go. We've got this. Come on, let's get him to the OR now. 561 00:27:29,584 --> 00:27:31,752 I have zero faith in you. 562 00:27:31,886 --> 00:27:33,988 -Yeah, thanks, Frank. -[scoffs] 563 00:27:34,121 --> 00:27:36,457 Can I try? 'Cause I learned a couple of things from Dr. Kwan. 564 00:27:36,591 --> 00:27:39,628 No, I want to do this fast so I can get into an actual OR. 565 00:27:40,261 --> 00:27:42,796 So you're Dr. Spencer and you're Dr. 566 00:27:42,930 --> 00:27:43,998 Adams. 567 00:27:44,131 --> 00:27:46,767 -A-D-A-M-S? -Yep. 568 00:27:46,901 --> 00:27:49,036 I'm gonna sue you people when all this is over. 569 00:27:49,170 --> 00:27:52,574 You're gonna want to include Kwan in that. K-W-A-N. 570 00:27:53,040 --> 00:27:56,810 What if you move it a little to the right and then lay it down from the bottom up? 571 00:27:56,944 --> 00:27:58,445 No. Not like that. 572 00:27:58,580 --> 00:28:00,314 Stop telling me how to do something you don't know how to do. 573 00:28:00,447 --> 00:28:01,782 You're barely a doctor. 574 00:28:03,784 --> 00:28:04,852 Sorry. 575 00:28:04,985 --> 00:28:07,021 [whirring] 576 00:28:09,123 --> 00:28:11,859 -Zero faith, you said. -It worked? 577 00:28:12,760 --> 00:28:15,462 I'll take the ostomy off the board. [clears throat] 578 00:28:17,097 --> 00:28:22,236 I might leave her out of the lawsuit. She's a good kid. 579 00:28:23,804 --> 00:28:25,172 You sure we can't just suture it? 580 00:28:25,306 --> 00:28:27,509 It's superficial. He just needs some Dermabond. 581 00:28:27,642 --> 00:28:29,743 Okay. Hey, bud. 582 00:28:31,045 --> 00:28:33,548 So I'm gonna close up your cut, but it may sting a little bit. 583 00:28:33,682 --> 00:28:36,383 So if you need a break at any time, you just give me one of these, 584 00:28:36,518 --> 00:28:38,118 I'll stop right away, okay? 585 00:28:39,853 --> 00:28:41,523 -Okay. -Okay, good. 586 00:28:44,725 --> 00:28:46,060 -[chimes] -[Aaron chuckles] 587 00:28:46,794 --> 00:28:47,928 You won again? 588 00:28:48,062 --> 00:28:50,264 -[laughing] -[chuckles] What's your secret? 589 00:28:52,266 --> 00:28:55,369 -[electronic voice] I'm not telling you. -Ouch, that hurts. 590 00:28:55,503 --> 00:28:56,638 [laughs] 591 00:28:57,438 --> 00:28:59,608 [electronic voice] I'll tell her. 592 00:29:00,474 --> 00:29:02,611 Oh, so you hate me now? 593 00:29:03,244 --> 00:29:06,046 -No, he just likes me more. -[chuckles] 594 00:29:06,180 --> 00:29:08,882 They need a chest tube in trauma three. You go. I'll finish up here. 595 00:29:09,016 --> 00:29:10,985 No, it's okay. I'd rather stay. 596 00:29:11,118 --> 00:29:12,820 You know I said chest tube, right? 597 00:29:12,953 --> 00:29:14,755 Yeah, I heard you. 598 00:29:14,888 --> 00:29:18,192 It's just that if he's not gonna tell me his secrets, I gotta keep a close eye. 599 00:29:18,826 --> 00:29:19,927 [chuckles] 600 00:29:21,862 --> 00:29:23,797 -Page me if you need anything. -Will do. 601 00:29:28,202 --> 00:29:31,238 [Hunt] We're starting with an ex-lap and a vascular repair to the left leg. 602 00:29:31,372 --> 00:29:33,907 I'll take the ex-lap. Helm, you take the lead on the leg. 603 00:29:34,041 --> 00:29:36,143 -Welcome back. -[Helm] Feels like I never left. 604 00:29:36,277 --> 00:29:38,846 [♪ pop ballad plays] 605 00:29:48,956 --> 00:29:52,860 Some force greater than us wants to keep this man alive today. 606 00:29:52,993 --> 00:29:55,829 Let's do our best not to get in the way. 607 00:30:07,041 --> 00:30:08,610 -[Bailey] Got it. -[Millin] Okay. 608 00:30:09,577 --> 00:30:10,978 [Bailey] Now, stapler. 609 00:30:11,111 --> 00:30:12,146 [Millin] Yeah. 610 00:30:12,846 --> 00:30:14,181 Right in. 611 00:30:14,315 --> 00:30:16,483 -Uh, here? -[Bailey] Good, good, good. 612 00:30:18,653 --> 00:30:21,021 -Metz. -[Bailey] Ready for the specimen. 613 00:30:22,156 --> 00:30:23,525 [Millin] Okay. That it? 614 00:30:24,491 --> 00:30:26,126 [Bailey] Good, good, good. 615 00:30:27,529 --> 00:30:29,731 [♪ ballad continues] 616 00:30:41,008 --> 00:30:42,176 [Helm] I need loupes. 617 00:30:43,977 --> 00:30:45,513 -I need more lap pads. -How's the leg? 618 00:30:45,647 --> 00:30:47,682 It's a good thing you got a tourniquet on in the field. 619 00:30:47,816 --> 00:30:49,950 There's a huge defect in the femoral. 620 00:30:50,084 --> 00:30:51,519 [monitor beeping] 621 00:30:51,653 --> 00:30:53,887 [Hunt] Send a TEG and hang another unit. 622 00:30:54,823 --> 00:30:56,524 [Hunt grunts] More lap pads. 623 00:30:57,559 --> 00:30:58,593 [Helm] Okay. 624 00:31:03,598 --> 00:31:07,067 Please, her name is Maisie. The police said that she is here. 625 00:31:07,201 --> 00:31:10,572 All of her family lives out of state. I am the only one that she has. 626 00:31:10,705 --> 00:31:13,240 -Excuse me. Are you Sam? -Yeah, I-- 627 00:31:13,374 --> 00:31:16,343 Are you one of Maisie's doctors? Is she okay? [breathing shakily] 628 00:31:16,477 --> 00:31:19,313 She is here, but I-I can't disclose any more information. 629 00:31:19,446 --> 00:31:20,849 I'm-I'm so sorry. 630 00:31:23,884 --> 00:31:25,486 I never should have walked out of that door. 631 00:31:25,620 --> 00:31:28,523 [sobs] I'm sorry. 632 00:31:31,191 --> 00:31:34,194 Here, um [stammers] Why don't you sit down? 633 00:31:38,365 --> 00:31:39,400 Talk to us. 634 00:31:40,334 --> 00:31:43,370 My BP is dropping. My O2 sat's at 85. 635 00:31:43,505 --> 00:31:45,439 -Don't panic. We got you. -[sobbing] 636 00:31:45,573 --> 00:31:47,107 [Iris] Deep long breaths, okay? 637 00:31:47,241 --> 00:31:49,243 There's decreased cardiac contractility. 638 00:31:49,376 --> 00:31:51,245 All right, Jo, we're gonna place the Impella, 639 00:31:51,378 --> 00:31:54,014 so we're gonna take you to the cath lab while you're still stable, okay? 640 00:31:54,148 --> 00:31:56,518 -Luna's puppy is missing-- -[Wilson] Link-- [sobbing] 641 00:31:56,651 --> 00:31:58,218 -Did her EF drop? -[Warren] It's too low. 642 00:31:58,352 --> 00:31:59,821 She's gonna need the heart pump. 643 00:31:59,953 --> 00:32:01,989 It's gonna be okay. It's gonna be okay. 644 00:32:02,122 --> 00:32:04,091 Winston's done this hundreds of times. 645 00:32:04,224 --> 00:32:06,427 I won't, but I could do it with my eyes closed. All right? 646 00:32:06,561 --> 00:32:08,563 And I'll be right here waiting for you, okay? 647 00:32:08,696 --> 00:32:10,297 I love you. Do you hear me? 648 00:32:10,431 --> 00:32:12,433 Do you hear me? I love you so much. 649 00:32:13,367 --> 00:32:15,737 This won't take long. We'll let you know when she's done, all right? 650 00:32:20,040 --> 00:32:21,241 [Warren] Clear! 651 00:32:26,748 --> 00:32:27,981 [song ends] 652 00:32:33,053 --> 00:32:34,622 Hey. 653 00:32:34,756 --> 00:32:36,658 I did a thoracotomy today, on my own, and brought the patient back 654 00:32:36,791 --> 00:32:38,225 -with cardiac massage. -Nice. 655 00:32:38,358 --> 00:32:40,060 -He arrived DOA, but-- -I don't mean to cut you off, 656 00:32:40,194 --> 00:32:41,328 -but I really gotta-- -Oh, no, no. Go. 657 00:32:41,462 --> 00:32:43,197 I do want to hear though. 658 00:32:43,330 --> 00:32:46,033 I'm going to have a drink at Joe's tonight to celebrate if you want to join. 659 00:32:46,166 --> 00:32:48,135 -I'll see you there. -Okay. 660 00:32:55,577 --> 00:32:58,078 [Kavita] Adams, impressive work on that wound vac. 661 00:32:58,212 --> 00:33:00,648 You did what a fellow and two plastics residents couldn't. 662 00:33:00,782 --> 00:33:03,317 What can I say? I guess I really want in on that TRAM flap. 663 00:33:04,519 --> 00:33:05,787 Don't be late. 664 00:33:05,920 --> 00:33:07,087 Dr. Mohanty. 665 00:33:09,289 --> 00:33:12,192 Dr. Spencer was instrumental in placing the wound vac. 666 00:33:12,326 --> 00:33:14,094 Can she, uh, scrub in too? 667 00:33:14,896 --> 00:33:16,965 Sure. See you up there. 668 00:33:19,868 --> 00:33:21,301 You didn't have to do that. 669 00:33:21,435 --> 00:33:23,136 I know I didn't really help, so 670 00:33:23,270 --> 00:33:24,839 You got me in the room. 671 00:33:27,074 --> 00:33:30,879 When I was an intern, I hated when senior residents would dismiss me. 672 00:33:31,011 --> 00:33:35,182 Now I know they were just in a rush and everybody is scared of messing up. 673 00:33:35,315 --> 00:33:36,885 It's not personal. 674 00:33:37,785 --> 00:33:39,787 But it's also not a good excuse either. 675 00:33:41,088 --> 00:33:43,023 Make sure to review his imaging before we start. 676 00:33:47,494 --> 00:33:49,429 Well, what was your snack today? 677 00:33:49,564 --> 00:33:51,900 Oh, yeah? [laughs] Yum. 678 00:33:52,667 --> 00:33:54,368 Oh, hang on, Daddy's here. 679 00:33:55,035 --> 00:33:56,905 -Want to say good night? It's Allison. -Yeah. 680 00:33:57,037 --> 00:33:59,239 Hey. Hey, Allie, how was your day? 681 00:33:59,807 --> 00:34:02,744 No, no, no more naked ladies. [clears throat] 682 00:34:02,877 --> 00:34:04,913 No, we're gonna talk about that tomorrow, yeah. 683 00:34:05,847 --> 00:34:07,549 Okay, I love you. Good night. 684 00:34:09,383 --> 00:34:10,718 Hey, I'll be home before 685 00:34:11,485 --> 00:34:13,755 -And she hung up. -[chuckles] 686 00:34:16,624 --> 00:34:18,392 Listen, Maisie is in the ICU. 687 00:34:18,526 --> 00:34:20,795 We saved her leg, but we had to keep her open, 688 00:34:20,929 --> 00:34:22,195 so we're doing a washout tomorrow. 689 00:34:22,329 --> 00:34:23,363 Good. 690 00:34:29,269 --> 00:34:32,640 Okay. I'm ready. Let me have it. 691 00:34:34,976 --> 00:34:37,612 All day I have stopped myself from picking a fight with you, 692 00:34:37,745 --> 00:34:40,180 and now you are literally asking for it. 693 00:34:40,314 --> 00:34:42,550 I don't want to. I am so sick of fighting. 694 00:34:43,551 --> 00:34:45,053 And the truth is, I have no business 695 00:34:45,185 --> 00:34:47,555 having feelings about who you're sleeping with. 696 00:34:48,188 --> 00:34:49,791 But still, it it was 697 00:34:51,291 --> 00:34:53,795 It was hard seeing you with someone else. 698 00:34:55,295 --> 00:34:58,298 Especially someone who you have a history with. 699 00:34:58,432 --> 00:34:59,734 [Hunt] Yeah. [sighs] 700 00:35:00,467 --> 00:35:02,336 I don't love seeing you with Cass either. 701 00:35:03,538 --> 00:35:05,238 Fair. 702 00:35:05,372 --> 00:35:10,612 This morning when you were under that bus, I was I was worried. [sighs] 703 00:35:10,745 --> 00:35:11,813 I 704 00:35:12,379 --> 00:35:16,149 I was thinking maybe we're rushing all of this. 705 00:35:21,421 --> 00:35:23,423 Don't you wish that we could just 706 00:35:24,324 --> 00:35:26,293 fast-forward to where we have it all figured out. 707 00:35:26,426 --> 00:35:28,029 [Hunt chuckles] 708 00:35:28,663 --> 00:35:30,632 [chuckles] And miss the look on your face this morning? 709 00:35:30,765 --> 00:35:33,768 -Yeah, that would have been great. -[chuckles] 710 00:35:37,404 --> 00:35:42,275 I don't think we're rushing it. It's It's complicated. 711 00:35:46,279 --> 00:35:47,749 But we'll figure it out. 712 00:35:49,817 --> 00:35:50,852 Yeah. 713 00:35:53,186 --> 00:35:54,889 -Good night. -Good night. 714 00:35:58,325 --> 00:35:59,359 [sighs] 715 00:36:04,464 --> 00:36:07,467 We'll get access through the femoral, feed it up to the left ventricle, 716 00:36:07,602 --> 00:36:09,971 check our placement under fluoro, secure it in place, 717 00:36:10,104 --> 00:36:11,204 and then we're out of here. 718 00:36:11,338 --> 00:36:13,007 -[monitor beeping] -[Warren] What now? 719 00:36:13,141 --> 00:36:15,810 [Iris] I'm not getting any fetal heart tones on baby A. 720 00:36:15,943 --> 00:36:18,478 -Her cardiac reserve is collapsing. -[Iris] No tones on baby B. 721 00:36:18,613 --> 00:36:20,213 Is Jo stable enough for a section? 722 00:36:20,347 --> 00:36:23,551 -At the moment, yes. Page OB. -[Iris] We just did. 723 00:36:26,186 --> 00:36:29,524 I can't stand here just doing nothing. I'm gonna go see if I can find someone. 724 00:36:36,196 --> 00:36:39,299 Mr. Dominguez in bed four is ready for discharge. 725 00:36:39,433 --> 00:36:40,902 I'll go check on him. 726 00:36:41,035 --> 00:36:42,335 You did good today. 727 00:36:43,805 --> 00:36:45,707 -What was that? -[chuckles] 728 00:36:45,840 --> 00:36:47,307 -You heard me. -[chuckles] 729 00:36:48,208 --> 00:36:51,344 Mmm. A compliment from Dr. Griffith. I didn't think you had it in you. 730 00:36:51,478 --> 00:36:53,514 You prioritized a patient over a procedure. 731 00:36:53,648 --> 00:36:55,049 Not everyone would. 732 00:36:55,183 --> 00:36:56,249 Thank you. 733 00:36:59,087 --> 00:37:02,255 -We should grab a drink later. -That wasn't an opening. 734 00:37:02,790 --> 00:37:07,795 I was giving you constructive feedback in a professional setting. 735 00:37:09,063 --> 00:37:12,332 -We're in a supply closet. -[sighs] 736 00:37:15,837 --> 00:37:17,705 I should go check on Mr. Dominguez. 737 00:37:17,839 --> 00:37:19,941 Or you could stay here. 738 00:37:20,842 --> 00:37:21,943 With me. 739 00:37:27,515 --> 00:37:28,549 I can't. 740 00:37:30,350 --> 00:37:32,787 [sucks teeth] All good. 741 00:37:33,788 --> 00:37:35,623 I'll see you. [clears throat] 742 00:37:38,126 --> 00:37:39,493 [sighs] 743 00:37:48,236 --> 00:37:49,904 Adams got the surgery. 744 00:37:50,738 --> 00:37:51,973 I got a trauma. 745 00:37:52,673 --> 00:37:53,875 You can't have it all. 746 00:37:54,008 --> 00:37:56,110 Besides, there'll be more. 747 00:37:57,377 --> 00:37:59,013 You sound awfully sure about that. 748 00:37:59,147 --> 00:38:00,882 I know myself. 749 00:38:01,015 --> 00:38:03,818 If I want something bad enough, I'll do everything in my power to get it. 750 00:38:03,951 --> 00:38:06,521 And what you want is a TRAM flap. 751 00:38:07,789 --> 00:38:08,990 Yep. 752 00:38:10,323 --> 00:38:11,893 Is that all you want? 753 00:38:14,962 --> 00:38:15,930 [button clicks] 754 00:38:16,063 --> 00:38:17,297 [elevator motor stops] 755 00:38:20,802 --> 00:38:23,137 [♪ sorrowful music playing] 756 00:38:25,973 --> 00:38:28,776 [Grey] The hardest thing about waiting is knowing when to stop. 757 00:38:29,777 --> 00:38:31,512 Instinct may tell you one thing, 758 00:38:32,312 --> 00:38:34,515 and experience tells you another. 759 00:38:35,348 --> 00:38:36,383 Nora? 760 00:38:36,517 --> 00:38:38,953 Hey, what are you what are you doing here? 761 00:38:39,086 --> 00:38:40,121 [♪ song continues] 762 00:38:41,155 --> 00:38:42,290 You okay? 763 00:38:44,058 --> 00:38:45,492 I can't do this. 764 00:38:46,160 --> 00:38:47,128 [Hunt stammers] 765 00:38:47,261 --> 00:38:49,263 Do W-What, us? 766 00:38:49,396 --> 00:38:54,168 If this is about this morning, Teddy and I, we talked, and she's okay. 767 00:38:54,969 --> 00:38:56,103 And I'm not. 768 00:38:58,639 --> 00:38:59,907 Teddy's more than my surgeon. 769 00:39:00,041 --> 00:39:03,311 She saved my life with a procedure she invented. 770 00:39:03,443 --> 00:39:05,246 If I get a cold, I can't just go to urgent care. 771 00:39:05,378 --> 00:39:09,584 I have to call Teddy because she's the only one who understands my body. 772 00:39:10,985 --> 00:39:12,485 I text her when I have a fever. 773 00:39:12,620 --> 00:39:15,323 I call her when I want to take an ibuprofen. I 774 00:39:18,125 --> 00:39:21,729 You're trying to divorce yourself from her, but I'm getting more entangled. 775 00:39:22,930 --> 00:39:24,298 I see. 776 00:39:24,431 --> 00:39:27,034 I want to believe that we can make it work too, but I just 777 00:39:28,336 --> 00:39:29,904 I don't-- I don't see how. 778 00:39:32,506 --> 00:39:36,177 We found ourselves together a second time. 779 00:39:36,310 --> 00:39:37,912 Maybe we'll get a third. 780 00:39:40,848 --> 00:39:41,883 [Hunt] Yeah. 781 00:39:47,188 --> 00:39:48,990 [Grey] All you can do is pay attention. 782 00:39:49,123 --> 00:39:50,591 [♪ song continues] 783 00:39:50,725 --> 00:39:55,763 Glen's out of surgery. He's hanging on. 784 00:39:57,865 --> 00:40:00,768 You were right to push. 785 00:40:00,902 --> 00:40:02,737 I'm glad to hear it. 786 00:40:04,437 --> 00:40:06,207 This may not be the time, 787 00:40:06,340 --> 00:40:10,578 but I want to talk to you about reinstating my lecture series. 788 00:40:10,711 --> 00:40:13,881 Now I know you have your reasons for canceling it, 789 00:40:14,015 --> 00:40:17,551 but I had my reasons for starting it. 790 00:40:17,685 --> 00:40:22,556 My reasoning may not stand. I've been a little distracted. 791 00:40:24,025 --> 00:40:26,227 Dr. Freeman and I don't share a patient. 792 00:40:28,029 --> 00:40:29,230 I am the patient. 793 00:40:30,665 --> 00:40:31,732 What? 794 00:40:31,866 --> 00:40:36,304 He gave me my biopsy results. 795 00:40:37,470 --> 00:40:38,673 I have cancer. 796 00:40:45,478 --> 00:40:47,648 -[Ndugu] Where's OB? -On the other side of the hospital 797 00:40:47,782 --> 00:40:49,884 and have multiple emergent deliveries right now. 798 00:40:50,685 --> 00:40:52,286 -What are you doing? -We have to deliver these babies. 799 00:40:52,420 --> 00:40:55,923 We? Look, I haven't done a C-section since med school. 800 00:40:56,057 --> 00:40:57,658 You know where the uterus is? 801 00:40:58,292 --> 00:41:00,962 -Yes, I-I-I do. -Then you can do this. 802 00:41:01,095 --> 00:41:03,631 [Grey] And hope that when the time finally comes 803 00:41:03,764 --> 00:41:04,966 Now. 804 00:41:09,403 --> 00:41:10,470 [sighs] 805 00:41:10,604 --> 00:41:11,839 [monitor beeping] 806 00:41:15,977 --> 00:41:17,278 [sighs] 807 00:41:17,411 --> 00:41:19,947 [Ndugu] Okay. All right. Stay with me, Wilson. 808 00:41:20,081 --> 00:41:22,016 Come on. Stay with me. 809 00:41:22,149 --> 00:41:23,417 [Grey] you'll be ready. 810 00:41:34,996 --> 00:41:39,200 One in eight men will be diagnosed with prostate cancer in their lifetime. 811 00:41:39,967 --> 00:41:42,502 For Black men, the risk is even higher. 812 00:41:43,204 --> 00:41:46,207 Fortunately, prostate cancer is highly treatable, 813 00:41:46,340 --> 00:41:48,743 but early detection is the key. 814 00:41:48,876 --> 00:41:52,213 And sometimes there are no noticeable symptoms. 815 00:41:52,947 --> 00:41:55,216 For years, I've worked with Black Health Matters 816 00:41:55,349 --> 00:41:58,652 to urge men to get screened regularly, 817 00:41:58,786 --> 00:42:00,454 starting with a simple blood test. 818 00:42:01,288 --> 00:42:06,494 Today, I'm living proof that early detection works. 819 00:42:07,461 --> 00:42:11,165 If you're Black or prostate cancer runs in your family, 820 00:42:11,298 --> 00:42:15,002 talk to your doctor about getting screened starting at age 40. 821 00:42:15,136 --> 00:42:18,672 To learn more, go to blackhealthmatters.com.