Original subtitles

When the risk of a procedure is greater than the possible benefit,

we watch and wait.

If the symptoms progress

-Good morning. -Good morning.

then we pick up a scalpel.

Who's that? We're in the middle of nowhere.

Probably some camper who forgot toilet paper.

- I'll be right back. Okay. Coming.

Okay.

Hey,

the kids wanted to bring you the pancakes that they made.

Whoa, whoa, whoa.

- Who are you? - -Where are your clothes?

You should have called first.

Okay, you know what?

Uh, we-we gotta go, or we're gonna be late.

Um, all right, come on. Say goodbye to Daddy.

-Bye, guys. -You should leave your ringer on.

Yeah.

-I'm so sorry. -No. She was just surprised.

Listen, why don't you just relax, and I'll go get us some coffee, okay?

Okay.

Sounds easy,

but doing nothing is one of the hardest things a surgeon has to do.

We're trained to act, to remove, to fix.

Restraint isn't in our DNA.

Babies look good.

-And the cerclages are still in place. -That's good.

Good would be my water breaking seven weeks from now when I'm full term.

You might make it all the way.

It's possible. Babies are healthy. There's no sign of infection.

Now. If I deliver early, they're at risk of sepsis,

have underdeveloped lungs, have trouble feeding as

It's a choose-your-own-adventure newborn hellscape.

But you're right. I could make it seven weeks.

Yeah.

-You okay? -I'm having shortness of breath.

-Can you page cardiology? -What do you What do you think it is?

Do you think it's a heart thing or a lung thing?

-Do you have any pain? Is it sharp, dull? -It's probably nothing.

I just want to practice what I preach, get it all checked out.

-Okay. I'll call upstairs. -Okay.

In the end, all you can do is hope for the best.

And trust you're making the right call.

Meade? Where Where do you think you're going?

Miranda. Webber canceled the surgical lecture series.

- I assumed you knew. - Well, do I look like I knew?

- Not Not particularly.

Well, who cancels someone else's lecture and doesn't tell them?

Well, maybe he forgot.

Did he forget that I am the residency director?

No. Ever since he took over as chief,

he's been making changes to my program without consulting me.

Like there's no rhyme or reason to how I do things here.

I'm just the messenger.

How's this for a message?

I've had it.

Yeah.

Did you see Dr. Webber's email?

How are we supposed to increase our cases by ten percent?

Where are we supposed to find all these extra cases?

You seem calm. You're not behind?

I'm trying to finish this,

because in five minutes, I'll never have free time again.

I didn't know you knit. Cool.

-It's crochet. -You two back together?

- Uh, I-I am not with anyone right now. - -We made a pact.

We are focusing on ourselves and hobbies.

Is that a bowel movement?

It's a spleen.

Dr. Leone, call the blood bank.

Dr. Leone, call the blood bank.

Oh, my God.

Someone call 9-1-1.

Help! I need help.

Help.

- Help's here. Where are you? - Down here.

Help.

What's your name?

Maisie.

Maisie, I'm Owen. I am a doctor.

I am calling 911, and we're gonna get you out of there.

-All right? -Okay.

Okay.

911, what's your emergency?

Make sure none of this is yours.

It's getting donated at the end of the day.

Ooh. This is a good one.

Oh. I've been looking for that.

Hey, how was your trip?

Uh, I was in the south of France

but I had to study and take my oral boards,

so kinda canceled each other out.

I, uh, put in the orders to replace Mr. Litton's electrolytes.

Thank you.

No prob. Um, if he needs a chest tube, can I do it?

No.

Bryant's on your service? Stay strong.

-Trust me, not gonna be a problem. -Mm-hmm.

Yeah, hi, I have a three-vehicle pileup incoming,

and one is a bus with at least 30 passengers.

Oh, finally some good news.

For our-our case logs,

I mean, I'm sorry that there was a car accident.

Have I said welcome back yet? No?

-We got them, Dr. Hunt. -Okay, I'll see you at the hospital.

-Hey. -Thanks for coming.

A car blew a tire, then hit another car which then hit a bus,

and the bus hit a cyclist.

I knew you were close by since you showed up unannounced this morning.

I don't want to talk about this here. Where do you need me?

Under the bus.

SFD's concerned that we might need to amputate the cyclist's leg

to get her out of there.

A paramedic could assist, but I'd much rather have a surgeon.

-Owen, is that you? -I'm right here. This is Maisie.

She has pain in her left leg and pelvis, and she has some bleeding,

but I can't reach her, so I have no idea where it's coming from.

Right.

Hi, Maisie. I'm Teddy. I'm a doctor too.

- Are they getting close? - They're evacuating the bus

and there's one more patient to come out of one of the cars,

and then we're gonna get you out, okay?

Maisie, is there anyone that you want us to call while we wait?

I was gonna say that you can call my boyfriend, but I remembered that

- he's not my boyfriend anymore. - I'm sorry.

We got into a stupid fight because he didn't want to go on a stupid cruise

for my parents' anniversary, which is perfectly reasonable.

You know how cold it is in October in Alaska?

I can imagine.

I wanted to take it back, but he won't pick up my calls.

Maybe if you tell him I'm trapped under a bus, he'll pick up.

First, we are gonna get you out of here,

and then we can call your boyfriend, okay?

Okay.

Were you going to tell me that you canceled my lecture series?

Oh, I I thought I did.

Yeah, I got here at 5:45

to print handouts and set up the conference room for fun.

Oh.

My mistake, you know, with all the construction

and the residents who are behind in their cases,

it was all-hands-on-deck situation.

With all due respect, this is not your deck.

Hey, come on.

- Oh. - Whoa.

- Oh, my God. - Aaron!

He's autistic, he's nonspeaking and sustained a head lac.

-The patient is his aide. -Oh. Go after him!

Glen Kelly, 53, GCS 3T,

MVC with a city bus at high speed, restrained driver.

Unknown past medical history, intubated on the scene.

-How long did you administer CPR? -Ten minutes.

Doesn't look good.

Well, not if I can help it. Let's take him to trauma three.

- Maisie, how you doing? - It's cold under here.

I can't catch my breath.

She's losing a lot of blood from her leg.

They're working on the second car.

All right, stay with me, Maisie.

-Hang on. -Where are they with stabilizing the bus?

-What are you doing? -I can't control internal bleeding,

but I can try and stop the blood from pouring out of her leg.

-Dr. Hunt, they can't get an airway. -Go. I got this.

- Okay. -Ma'am, you can't go under there.

It's Doctor, and she needs a tourniquet on her leg, now.

All right, I'm just gonna put this on you

and then I gotta get this tourniquet on you, okay?

Okay. Deep breaths.

You good? Teddy.

Teddy, we still haven't stabilized the bus.

You called me here. I'm gonna do my job.

-Is it time? Are they getting me out? -Not yet.

I need to work on your leg.

I need to tighten this to stop the bleeding. Okay, here we go.

- I know, I know it hurts. Keep breathing.

We're gonna get you some medicine for the pain--

Teddy, they need you to move right now.

Just give me a minute.

Are you going back out?

-Teddy! -I'm gonna stay right here with you.

Keep breathing.

- Come on, Maisie. Stay with me. Come on.

Dr. Adams?

Hi, I'm Dani Spencer. I'm your intern.

It's my first day. Well, actually, it's my second day.

My first day, Meredith Grey gave me an ex-lap in the reproductive health clinic.

So, here I am.

-How caffeinated are you? -Oh, I don't drink coffee.

Good morning. A patient's flap went down.

I'm taking him to the OR to try and salvage it.

-I need-- -Can I get in on that?

No, I need someone to keep up with my dressing changes.

How about you get in on that?

Yep.

Come.

-I heard you have a TRAM flap. -I already have an assist.

No, you--

You owe me and you know it.

You had diarrhea. That's not on me.

I got you face time in front of Jackson Avery,

and if you get that job in Boston, I should be getting 10%.

I just told Adams no.

If I give it to you just because you asked, what will people think?

I don't care what people think.

Frank Nelson, room 3256. He has a bad sacral decub ulcer.

No one's been able to get a wound vac on it.

-It's too close to the anus. -Ouch.

The only option left is to give him an ostomy

and hope that rerouting his bowels keeps the ulcer clean long enough to heal.

But he's in his 80s and he's a vasculopath with high surgical risk.

So if you can place the wound vac, I'll let you assist in the surgery.

Consider it done.

Hey, hey, how we doing in here?

You called the chief of cardiothoracic surgery?

He's a friend.

I told you to page cardiology.

Hi, I'm Winston Ndugu. Chief of cardiothoracic surgery.

Nice to meet you. Iris, chief of this room.

I told you

Deep breaths.

I hate everybody.

That's not true. You love me.

I didn't page the chief of cardiothoracic surgery without telling you.

-Mmm. -I know better.

Okay if I take a listen? I hear you're having some shortness of breath.

Yeah, it's nothing concerning.

It's just standard third trimester labored breathing.

I'm sure you're right, but as you know,

there's a lot of overlap between pregnancy symptoms and cardiac symptoms,

so I just want to get an EKG just to be safe.

-Yeah, whatever you need. -Okay.

Okay, I'll be back to do the EKG.

It's gonna be fine. You'll see.

At least we're meeting our deductible this year.

The tube is in. There's a lot of blood.

- Another push of Epi. - Resuming compressions.

Dr. Webber.

I've got an unstable patient, nowhere to put him.

Have Griffith and Bryant found their patient yet? We've got his aide.

-Not that I've heard of. -I'll be right back.

How long do we keep at it?

At this point, he's only coming back with a miracle,

and that is not in our control.

Okay, time for a pulse check. Stop compressions.

Hey, Meade call it.

-Time of death, 8:24-- -What in God's name--

-I was gone for a minute. -She told me to do it.

-We've done multiple rounds of CPR-- -That doesn't mean it's over.

Restart compressions right now!

Wait, so he's not dead?

This was a blunt traumatic injury.

He's had CPR, bilateral chest tubes.

What, we're just gonna keep resuscitating him indefinitely?

Should we open his chest?

Get a thoracotomy tray.

Not everyone wants to give up.

That's him.

Okay.

I'll talk to him. You stay here. I don't want to overwhelm him.

- Aaron. - I-- I don't know.

I don't wanna-- I don't wanna know.

-I'm Dr. Griffith. I'm here to help. -I don't know.

I don't know. I don't know.

I don't know. I don't want to--

I see you have a cut on your forehead. We can fix it for you.

We just have to go inside the hospital.

No, no, no, no, no, no, no, no.

-We don't have to go right now. -No, no, no.

You want me to sit with you?

No, no, no, no, no.

I'll give you some space.

No, no, no, no, no, no, no.

-Yeah, you got this. -Let's just give him a minute.

No, no, no, no.

Mr. Nelson, I am Dr. Kwan.

-How are you doing today? -Peachy.

I'd like to take a look at your wound if that's okay.

I've got nothing better to do.

I took a look at your chart, so you've been here a while.

First I fell down the stairs, then I got pneumonia and a DVT.

Now this ulcer won't heal. I wish you people would just let me die.

You're not dying. We just need to place a wound vac.

No, I'm done. Give me the ostomy.

With your medical issues, if we can avoid another surgery--

I don't wanna hear it.

I'm sick and tired of you bleeding heart do-gooders

and your positive attitudes.

I want to be left alone.

-I'm not doing this for you. -You're not?

Dr. Mohanty said if I can get this wound vac on you,

she'd let me into a surgery that I haven't seen before.

All this so you can be second fiddle in a surgery?

More like fourth fiddle, but yeah.

You're not like the others. You're a selfish dirtbag just like me.

-I wouldn't characterize myself as-- -Okay, you can try.

Okay, I'll go find someone to assist me.

- I'm really tired. - Take deep breaths for me.

-If only Sam had answered my calls. -I know the feeling.

I'm so sick of fighting about everything.

But he's he's still the only person I want right now.

Can we call him?

- Oh, my God! - Teddy.

Teddy!

Teddy, are you okay? You hurt? Teddy.

-We're fine. What happened? -The cribbing shifted.

We need to reinforce it so we can get them out of there. What is taking so long?

We're almost ready to inflate the bag.

Maisie. Maisie.

Damn it. She lost consciousness.

-Okay, let's get an intubation kit. -We need to get her out now.

Let's go. Let's go.

Come on, Maisie. Stay with us.

We found this at the nurses' station. I think it's his.

Okay. Thank you.

We need to wash out that lac and assess how deep it is.

How do you plan on getting him inside?

I'll go get supplies.

We can clean him up and figure out next steps here.

Okay, cool. Wait, wait, what about me? What should I do?

Make sure he doesn't go anywhere.

"Make sure he doesn't go anywhere." Okay. All right.

This yours?

It's a good-looking bag, man.

Where is Glen?

Uh, Glen is in our emergency room. Doctors are helping him.

You, uh You want to go inside?

-Mm-mmm. Mm-mmm. Mm-mmm. Mm-mmm. -Okay. All good.

Have you had bad experiences at hospitals?

Yes.

Yeah.

Yeah, me too.

You know, my brother has epilepsy,

and, uh, spent a lot of time in the hospital as a kid.

I hated it.

So I understand.

-You ball? -Mmm.

You ball for real?

-Let me see. May I? -Mmm.

Okay, okay, let's see here. Let's see if I still got it, you know.

All right, one, two.

Okay, a little crossover.

Ooh. Ooh. Ooh.

Between the legs.

Jump shot.

Okay, let's go. You wanna play for real, let's do it.

Oh. Okay. Okay, jump shot, jump shot.

And he makes it!

I know I've got a good ass, but nobody ogle.

Gross, gross, gross.

-There's still an air leak. -Okay, let's do it again.

You have other patients, right?

I can't lay here all day while you try and win a prize.

- I want to watch Judge Judy in peace.

I don't know what he's talking about.

You said if you got this on me,

Dr. Mohanty would hand you a surgery.

Okay, it's a little more nuanced than that.

You know, I'd love to hear more,

but, uh, I think the ER needs some extra hands,

so I'm gonna go help out of the goodness of my heart.

-You're up. -Uh, technically, I'm with Dr. Adams.

-Come over here. -Okay.

You're getting paged a lot.

Oh, God.

Oh!

Well, you got your wish.

-I was just paged to the emergency room. -You're leaving?

You can watch your TV in peace.

Clean up.

Ow.

-Sorry. -You think he'll come back?

-Uh, I don't know. -You can try if you want.

Uh, it's not really a one-person job.

That's okay.

An ostomy doesn't scare me.

Not like I go anywhere these days.

Keep massaging the heart.

-You want to switch out? -I'm fine.

Meade, inject epi.

No, into the myocardium.

If you have a direct route for the drug, you take it.

Heart it is.

Insert the needle into the ventricle.

Not my hand. Ventricle.

Come on, Glen.

How much longer are we going to put him through this?

We did it.

-No. -Sorry.

Okay let's not just stand here. Let's get him to the OR.

Here, let me help out with that.

I got it.

Hey, can you go to the gift shop and get me some socks?

My feet are freezing.

You're wearing socks.

Well, ankle socks. They're not very warm.

You're really gonna argue with your pregnant wife?

-Any socks? -The purple fuzzy ones

with the grippy bottoms.

They're by the register, not the slippers.

I'll be right back.

-I have my phone if you need me. -Okay.

You really know your way around that gift shop.

My patients love socks.

There's a lot of metal stirrups in OB.

You are so calm.

On the outside.

On the inside, I'm a train wreck.

Don't put on a show for my benefit.

I'm trying to stay calm for Link.

I've seen a lot of partners in his position.

I don't want him to be scared when there's nothing that he can do.

But I bet he'd rather be scared than know that you're suffering without him.

Stay in your lane, Warren.

Okay.

Trust me, we got you.

On my way in here, I ran into eight nurses reading the twins' strips

at the nurses' station.

-How does it look? -You don't want me to read this.

But whatever it says, you're the toughest person I know.

-You're gonna get through this. -Yeah.

Pull the 12-lead, please.

Page Dr. Ndugu. 911.

-You know what this is? -No.

So you don't know how long this is gonna take?

You have somewhere more important to be?

I'm just trying to get on a TRAM flap.

Well, I'm not in France right now,

but five minutes ago, I had my hands in a bloody abdominal cavity.

You can't have it all.

Maisie Lawrence, 27, pinned under a bus, intubated in the field,

crush injury to the abdomen, left leg laceration.

We placed a tourniquet.

She needs blood, imaging and an OR.

I'll let you three take over from here.

All right, let's go.

Hey, I'll be right there, okay?

Hey, are you, uh are you trying to get away from me?

I have patients to see, and Maisie doesn't need two trauma surgeons.

- Is this about what happened this morning?

Let's just do our jobs and forget about it, okay?

Dr. Adams?

Did you finish putting in Ms. Lewis's orders?

Yeah.

Can you help me with something?

I know that you're trying to increase your cases,

but Dr. Kwan was just paged to meet a rig,

and we were so close to getting that wound vac on Frank.

Not my patient, not my problem.

They're gonna give him an ostomy,

and he's old and has a bunch of comorbidities.

Did Dr. Kwan promise you a spot on Mohanty's TRAM flap?

-No. No, I swear. -I thought you didn't like Frank.

Is he a gross old man who makes me vaguely uncomfortable? Yes.

But he is also a person who deserves the best care we can provide.

Dr. Adams, I took an oath to help the sick.

What kind of a doctor am I if I break my promise on day one?

Okay, let's go put a wound vac on Frank.

-Uh How did you-- -Because I'm clutch. Right here, bud.

Let me set this over here for you.

All right, this way.

Good?

-All right, let's see. I'm gonna-- -Mm-mmm.

I'm gonna just--

Foul on the play, dude, okay? You gotta work with me.

No. Thank you.

-Yeah, real clutch. -Well, what do you expect, okay?

I'm poking at him right above his eye.

As long as he can see my hands coming, he's gonna move.

What if he can't see your hands?

Great idea. Let me just grab my invisibility cloak, and then

Wasn't that bad of a joke.

Giving up, going on vacation?

We need to look at the cut on your forehead.

Do you want to wear this?

Then you can keep playing your game while we clean it up.

Mmm.

Nice.

Yeah, don't strain your neck looking up to me.

Somebody please say something.

Well, the good news is we have options.

I come bearing gifts.

-What happened? Did something change? -You might want to sit down.

I don't want to sit down. What's wrong?

Winston was about to give me the results of my echo.

Is she okay?

You have peripartum cardiomyopathy.

Your heart muscle is weakening and getting bigger.

Well, how do we treat it? Do we have to deliver the babies?

We can start with medication, but if that doesn't work,

then we will need to deliver the babies,

or place a pump called an Impella, and it sits within the ventricle

and it gives continuous flow to support the heart's function,

giving you a chance to recover,

which will also allow more time for the babies to develop.

So what do you want to do?

The babies need as

need as much time as they can get, so I'll do the pump,

if it comes to that.

But the medication could work.

-It could work, yes. It could. -Okay.

I have a consult and then I will check back in, okay?

Let's start her on Dobutamine and place an A-line.

-Oh. You forgot your tablet. -Hey, no

-I think it was already-- -I'll be right back.

Okay.

Okay.

Hey, I'm trying to stay calm, so she stays calm, but be honest with me.

How scared should I be?

Her heart is failing.

-Why? Why is this happening? -No one knows why.

If it's genetic or the hemodynamic shifts of a twin pregnancy.

But we're on top of it, and we have options at this point.

You-You got to watch her like a hawk. An echo every 30 minutes if you have to.

I was just telling Warren that he's exclusively on Jo today.

She will have 100% of my attention.

Listen, man, I know that it's difficult,

but we can only take it one step at a time right now.

Anxiety could only make it worse for Jo.

-Okay. -Okay.

Dr. Webber, Dr. Freeman's been trying to get a hold of you.

Scott Freeman, the urologist?

Uh, we have the same patient.

-Uh, it must be urgent. -Oh. Then go, go. We have enough hands.

Hey, look, I know we disagreed earlier, but I'm in this now.

That's not it. I'm--

Then go. Handle your emergency and let me do my job.

He's tanking.

Go. We've got this. Come on, let's get him to the OR now.

I have zero faith in you.

Yeah, thanks, Frank.

Can I try? 'Cause I learned a couple of things from Dr. Kwan.

No, I want to do this fast so I can get into an actual OR.

So you're Dr. Spencer and you're Dr.

Adams.

-A-D-A-M-S? -Yep.

I'm gonna sue you people when all this is over.

You're gonna want to include Kwan in that. K-W-A-N.

What if you move it a little to the right and then lay it down from the bottom up?

No. Not like that.

Stop telling me how to do something you don't know how to do.

You're barely a doctor.

Sorry.

-Zero faith, you said. -It worked?

I'll take the ostomy off the board.

I might leave her out of the lawsuit. She's a good kid.

You sure we can't just suture it?

It's superficial. He just needs some Dermabond.

Okay. Hey, bud.

So I'm gonna close up your cut, but it may sting a little bit.

So if you need a break at any time, you just give me one of these,

I'll stop right away, okay?

-Okay. -Okay, good.

You won again?

What's your secret?

I'm not telling you. - Ouch, that hurts.

I'll tell her.

Oh, so you hate me now?

No, he just likes me more.

They need a chest tube in trauma three. You go. I'll finish up here.

No, it's okay. I'd rather stay.

You know I said chest tube, right?

Yeah, I heard you.

It's just that if he's not gonna tell me his secrets, I gotta keep a close eye.

-Page me if you need anything. -Will do.

We're starting with an ex-lap and a vascular repair to the left leg.

I'll take the ex-lap. Helm, you take the lead on the leg.

- Welcome back. - -Feels like I never left.

Some force greater than us wants to keep this man alive today.

Let's do our best not to get in the way.

- Got it. - Okay.

Now, stapler.

Yeah.

Right in.

- Uh, here? - Good, good, good.

- Metz. - Ready for the specimen.

Okay. That it?

Good, good, good.

I need loupes.

-I need more lap pads. -How's the leg?

It's a good thing you got a tourniquet on in the field.

There's a huge defect in the femoral.

Send a TEG and hang another unit.

More lap pads.

Okay.

Please, her name is Maisie. The police said that she is here.

All of her family lives out of state. I am the only one that she has.

-Excuse me. Are you Sam? -Yeah, I--

Are you one of Maisie's doctors? Is she okay?

She is here, but I-I can't disclose any more information.

I'm-I'm so sorry.

I never should have walked out of that door.

I'm sorry.

Here, um Why don't you sit down?

Talk to us.

My BP is dropping. My O2 sat's at 85.

Don't panic. We got you.

Deep long breaths, okay?

There's decreased cardiac contractility.

All right, Jo, we're gonna place the Impella,

so we're gonna take you to the cath lab while you're still stable, okay?

- Luna's puppy is missing-- - Link--

- Did her EF drop? - It's too low.

She's gonna need the heart pump.

It's gonna be okay. It's gonna be okay.

Winston's done this hundreds of times.

I won't, but I could do it with my eyes closed. All right?

And I'll be right here waiting for you, okay?

I love you. Do you hear me?

Do you hear me? I love you so much.

This won't take long. We'll let you know when she's done, all right?

Clear!

Hey.

I did a thoracotomy today, on my own, and brought the patient back

-with cardiac massage. -Nice.

-He arrived DOA, but-- -I don't mean to cut you off,

-but I really gotta-- -Oh, no, no. Go.

I do want to hear though.

I'm going to have a drink at Joe's tonight to celebrate if you want to join.

-I'll see you there. -Okay.

Adams, impressive work on that wound vac.

You did what a fellow and two plastics residents couldn't.

What can I say? I guess I really want in on that TRAM flap.

Don't be late.

Dr. Mohanty.

Dr. Spencer was instrumental in placing the wound vac.

Can she, uh, scrub in too?

Sure. See you up there.

You didn't have to do that.

I know I didn't really help, so

You got me in the room.

When I was an intern, I hated when senior residents would dismiss me.

Now I know they were just in a rush and everybody is scared of messing up.

It's not personal.

But it's also not a good excuse either.

Make sure to review his imaging before we start.

Well, what was your snack today?

Oh, yeah? Yum.

Oh, hang on, Daddy's here.

-Want to say good night? It's Allison. -Yeah.

Hey. Hey, Allie, how was your day?

No, no, no more naked ladies.

No, we're gonna talk about that tomorrow, yeah.

Okay, I love you. Good night.

Hey, I'll be home before

And she hung up.

Listen, Maisie is in the ICU.

We saved her leg, but we had to keep her open,

so we're doing a washout tomorrow.

Good.

Okay. I'm ready. Let me have it.

All day I have stopped myself from picking a fight with you,

and now you are literally asking for it.

I don't want to. I am so sick of fighting.

And the truth is, I have no business

having feelings about who you're sleeping with.

But still, it it was

It was hard seeing you with someone else.

Especially someone who you have a history with.

Yeah.

I don't love seeing you with Cass either.

Fair.

This morning when you were under that bus, I was I was worried.

I

I was thinking maybe we're rushing all of this.

Don't you wish that we could just

fast-forward to where we have it all figured out.

And miss the look on your face this morning?

- Yeah, that would have been great.

I don't think we're rushing it. It's It's complicated.

But we'll figure it out.

Yeah.

-Good night. -Good night.

We'll get access through the femoral, feed it up to the left ventricle,

check our placement under fluoro, secure it in place,

and then we're out of here.

What now?

I'm not getting any fetal heart tones on baby A.

- Her cardiac reserve is collapsing. - -No tones on baby B.

Is Jo stable enough for a section?

- At the moment, yes. Page OB. - We just did.

I can't stand here just doing nothing. I'm gonna go see if I can find someone.

Mr. Dominguez in bed four is ready for discharge.

I'll go check on him.

You did good today.

What was that?

You heard me.

Mmm. A compliment from Dr. Griffith. I didn't think you had it in you.

You prioritized a patient over a procedure.

Not everyone would.

Thank you.

-We should grab a drink later. -That wasn't an opening.

I was giving you constructive feedback in a professional setting.

We're in a supply closet.

I should go check on Mr. Dominguez.

Or you could stay here.

With me.

I can't.

All good.

I'll see you.

Adams got the surgery.

I got a trauma.

You can't have it all.

Besides, there'll be more.

You sound awfully sure about that.

I know myself.

If I want something bad enough, I'll do everything in my power to get it.

And what you want is a TRAM flap.

Yep.

Is that all you want?

The hardest thing about waiting is knowing when to stop.

Instinct may tell you one thing,

and experience tells you another.

Nora?

Hey, what are you what are you doing here?

You okay?

I can't do this.

Do W-What, us?

If this is about this morning, Teddy and I, we talked, and she's okay.

And I'm not.

Teddy's more than my surgeon.

She saved my life with a procedure she invented.

If I get a cold, I can't just go to urgent care.

I have to call Teddy because she's the only one who understands my body.

I text her when I have a fever.

I call her when I want to take an ibuprofen. I

You're trying to divorce yourself from her, but I'm getting more entangled.

I see.

I want to believe that we can make it work too, but I just

I don't-- I don't see how.

We found ourselves together a second time.

Maybe we'll get a third.

Yeah.

All you can do is pay attention.

Glen's out of surgery. He's hanging on.

You were right to push.

I'm glad to hear it.

This may not be the time,

but I want to talk to you about reinstating my lecture series.

Now I know you have your reasons for canceling it,

but I had my reasons for starting it.

My reasoning may not stand. I've been a little distracted.

Dr. Freeman and I don't share a patient.

I am the patient.

What?

He gave me my biopsy results.

I have cancer.

- Where's OB? -On the other side of the hospital

and have multiple emergent deliveries right now.

-What are you doing? -We have to deliver these babies.

We? Look, I haven't done a C-section since med school.

You know where the uterus is?

-Yes, I-I-I do. -Then you can do this.

And hope that when the time finally comes

Now.

Okay. All right. Stay with me, Wilson.

Come on. Stay with me.

you'll be ready.

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