1 00:00:02,878 --> 00:00:05,631 ♪♪ 2 00:00:05,631 --> 00:00:07,466 Meredith: In college, I was the hungover premed 3 00:00:07,466 --> 00:00:10,010 who fell asleep at her study carrel. 4 00:00:10,010 --> 00:00:11,678 Podcaster: If you're just joining our podcast, 5 00:00:11,678 --> 00:00:13,680 my guests are Doctors Teddy Altman 6 00:00:13,680 --> 00:00:16,350 and Winston Ndugu from Grey-Sloan Memorial, 7 00:00:16,350 --> 00:00:19,686 who pioneered the creation of a ventral aorta surgery. 8 00:00:19,686 --> 00:00:22,689 At what point did you think, "We just broke new ground"? 9 00:00:22,689 --> 00:00:24,233 Winston: Immediately. Really? 10 00:00:24,233 --> 00:00:25,859 Yeah. Once that staple held, I knew. 11 00:00:25,859 --> 00:00:28,111 Sometimes you just have a feeling. 12 00:00:28,111 --> 00:00:30,656 Meredith: In med school, I was the famous surgeon's daughter. 13 00:00:30,656 --> 00:00:32,908 Podcaster: It wasn't like that for you? 14 00:00:32,908 --> 00:00:34,993 Teddy: Honestly, there was so much going on that night, 15 00:00:34,993 --> 00:00:37,120 I didn't have time to process it all until later. 16 00:00:37,120 --> 00:00:39,414 Now I'm the famous surgeon. Podcaster: So you had doubts? 17 00:00:39,414 --> 00:00:40,916 Oh, yeah. 18 00:00:40,916 --> 00:00:43,043 I was never certain it would work, 19 00:00:43,043 --> 00:00:44,419 but our patient didn't have any other option. 20 00:00:44,419 --> 00:00:46,421 I knew that we had to try. 21 00:00:46,421 --> 00:00:48,048 Meredith: In medicine, 22 00:00:48,048 --> 00:00:50,300 your identity is constantly changing. 23 00:00:50,300 --> 00:00:52,010 It's your job to keep up. 24 00:00:52,010 --> 00:00:53,262 Podcaster: Safe to say it worked out. 25 00:00:53,262 --> 00:00:55,347 What's next for you both? 26 00:00:55,347 --> 00:00:57,349 Well, we're still monitoring our patient's progress. 27 00:00:57,349 --> 00:00:59,434 And? So far, so good. 28 00:00:59,434 --> 00:01:02,020 They sound really good. Very competent. 29 00:01:02,020 --> 00:01:03,814 Yeah. I'd come to this hospital. 30 00:01:03,814 --> 00:01:07,442 Well, speaking of, I made an appointment for you. 31 00:01:07,442 --> 00:01:09,861 We've talked about this, Catherine. 32 00:01:09,861 --> 00:01:12,072 I don't need another opinion. I like Dr. Freeman. 33 00:01:12,072 --> 00:01:13,574 I know you do -- 34 00:01:13,574 --> 00:01:15,701 because he goes along with whatever you want. 35 00:01:15,701 --> 00:01:17,536 You don't think doctors should listen to their patients? 36 00:01:17,536 --> 00:01:20,080 I think you need objective advice 37 00:01:20,080 --> 00:01:21,957 from someone whose paycheck you don't sign. 38 00:01:23,792 --> 00:01:26,545 It's just another opinion. 39 00:01:26,545 --> 00:01:27,671 Who am I saying? 40 00:01:27,671 --> 00:01:29,464 Kaplan? 41 00:01:29,464 --> 00:01:32,217 Laura Kaplan? In Boston? 42 00:01:32,217 --> 00:01:34,011 I thought you made an appointment here. 43 00:01:34,011 --> 00:01:37,055 I sent for my plane. She landed about an hour ago. 44 00:01:37,055 --> 00:01:42,394 ♪♪ 45 00:01:42,394 --> 00:01:43,562 Morning. Hey. 46 00:01:43,562 --> 00:01:45,105 Hey. 47 00:01:45,105 --> 00:01:47,024 Hey, nice job on that podcast. 48 00:01:47,024 --> 00:01:48,358 I didn't realize you and Altman 49 00:01:48,358 --> 00:01:50,068 came up with that at our wedding. Yeah. 50 00:01:50,068 --> 00:01:51,653 You never know when an idea will strike. 51 00:01:51,653 --> 00:01:52,904 [ Chuckles ] 52 00:01:52,904 --> 00:01:54,906 Go ahead, Dr. Adams. Uh, yes. 53 00:01:54,906 --> 00:01:58,577 Uh, Jo Wilson, post-op day seven from emergent C-section 54 00:01:58,577 --> 00:02:00,370 and Impella CP placement. 55 00:02:00,370 --> 00:02:03,290 Now, post-op day three from a 5.5 placement 56 00:02:03,290 --> 00:02:04,666 through the right axillary artery. 57 00:02:04,666 --> 00:02:07,002 Her heart function continues to recover, 58 00:02:07,002 --> 00:02:09,045 with her EF up another 5%. 59 00:02:09,045 --> 00:02:11,673 And I heard she got to meet her babies yesterday. 60 00:02:11,673 --> 00:02:13,216 How are they doing? 61 00:02:13,216 --> 00:02:16,094 Well, Peyton's off of CPAP but still fragile. 62 00:02:16,094 --> 00:02:18,221 Hattie's bilirubin levels are bad 63 00:02:18,221 --> 00:02:20,682 every time they pause phototherapy. 64 00:02:20,682 --> 00:02:22,225 And you're all headed in the right direction. 65 00:02:22,225 --> 00:02:23,560 That's what matters. 66 00:02:23,560 --> 00:02:26,271 I just really want the six of us 67 00:02:26,271 --> 00:02:28,273 to finally be together. 68 00:02:28,273 --> 00:02:29,733 Jo, you will never guess 69 00:02:29,733 --> 00:02:31,777 who Marcus walked out with last night. 70 00:02:31,777 --> 00:02:33,820 Dr. Ndugu. Hey. 71 00:02:33,820 --> 00:02:35,989 I didn't know you were doing rounds. Yeah. 72 00:02:35,989 --> 00:02:38,533 I'll come back later. 73 00:02:38,533 --> 00:02:41,662 [ Monitor beeping ] 74 00:02:41,662 --> 00:02:43,580 What was that? 75 00:02:43,580 --> 00:02:44,873 What was what? 76 00:02:44,873 --> 00:02:46,792 Did you sleep with my favorite nurse? 77 00:02:46,792 --> 00:02:48,335 Uh, should I leave? 78 00:02:48,335 --> 00:02:50,379 We've just gone out a couple times. That's all. 79 00:02:50,379 --> 00:02:52,130 Well, are you gonna take her out again? 80 00:02:52,130 --> 00:02:54,466 Uh...maybe. It's new. 81 00:02:54,466 --> 00:02:56,051 And none of our business. 82 00:02:56,051 --> 00:03:00,347 She is the entire department's favorite nurse! 83 00:03:00,347 --> 00:03:03,016 Everybody loves her! Everyone! 84 00:03:05,519 --> 00:03:07,688 [ Exhales sharply ] 85 00:03:07,688 --> 00:03:09,314 [ Whispering ] Hormones. Okay. 86 00:03:09,314 --> 00:03:10,732 Uh, I-I need to check on my next patient. 87 00:03:10,732 --> 00:03:12,359 Are you gonna be okay? 88 00:03:12,359 --> 00:03:14,820 Yeah. Uh, page me if you need anything. 89 00:03:17,197 --> 00:03:18,824 [ Indistinct conversations ] 90 00:03:18,824 --> 00:03:20,117 Good morning. 91 00:03:20,117 --> 00:03:22,327 Traitor. Trouble in paradise? 92 00:03:22,327 --> 00:03:23,912 I broke our pact. She's bitter. 93 00:03:23,912 --> 00:03:25,414 You should break it too. 94 00:03:25,414 --> 00:03:27,332 What, like I can just snap my fingers? 95 00:03:27,332 --> 00:03:28,667 Who am I supposed to sleep with? 96 00:03:28,667 --> 00:03:32,295 I ordered an X-ray from Ms. Johnson's left arm. 97 00:03:32,295 --> 00:03:34,005 It was the right arm, wasn't it? 98 00:03:34,005 --> 00:03:36,550 I will fix it. 99 00:03:36,550 --> 00:03:38,260 An intern? Please. I have dignity. 100 00:03:38,260 --> 00:03:39,928 Don't knock it till you've tried it. 101 00:03:39,928 --> 00:03:41,138 Tried what? 102 00:03:41,138 --> 00:03:42,889 Vegan sloppy joes. 103 00:03:42,889 --> 00:03:44,224 You sleeping with an intern, too? 104 00:03:44,224 --> 00:03:46,309 W-- Who was sleeping with an intern? 105 00:03:46,309 --> 00:03:48,311 I am. Who are you texting? 106 00:03:48,311 --> 00:03:50,147 Nobody. Doesn't look like nobody. 107 00:03:50,147 --> 00:03:51,481 Ah, she's just a patient. 108 00:03:51,481 --> 00:03:53,358 Why are you texting a patient? 109 00:03:53,358 --> 00:03:55,235 Well, Bailey made me drive her an hour to get treatment, 110 00:03:55,235 --> 00:03:56,737 and now she's sending me dumb memes. 111 00:03:56,737 --> 00:03:58,029 It's nothing. Wear a condom. 112 00:03:58,029 --> 00:04:00,031 She's a cancer patient. 113 00:04:00,031 --> 00:04:02,701 Hey, did you see that I admitted Mr. Howard? 114 00:04:02,701 --> 00:04:04,369 You don't have to put your phone down. 115 00:04:04,369 --> 00:04:06,037 It's fine. Sorry. 116 00:04:06,037 --> 00:04:08,290 My phone has been blowing up since the podcast dropped. 117 00:04:08,290 --> 00:04:09,750 I listened. You sounded great. 118 00:04:09,750 --> 00:04:12,419 Now I've got doctors reaching out about their patients. 119 00:04:12,419 --> 00:04:13,962 And the department chief from Mass General 120 00:04:13,962 --> 00:04:16,255 has asked me to do grand rounds. Ah. Sounds rough. 121 00:04:16,255 --> 00:04:18,382 Well, it's not like I'm getting a Nobel Prize. 122 00:04:18,382 --> 00:04:20,552 I mean, MGH asks everyone to guest lecture. 123 00:04:20,552 --> 00:04:22,220 Well, they never asked me, and I went to Harvard. 124 00:04:22,220 --> 00:04:23,513 Anyway, so, Mr. Howard. 125 00:04:23,513 --> 00:04:24,973 His EKG shows a conduction block. 126 00:04:24,973 --> 00:04:26,558 Do you want an echo? 127 00:04:26,558 --> 00:04:28,560 [ Phone ringing ] Um...Uh, yes. Sorry. 128 00:04:28,560 --> 00:04:29,978 I have to take this. 129 00:04:29,978 --> 00:04:31,521 Hi. This is Altman. 130 00:04:31,521 --> 00:04:34,149 Hi. Janet? I'm Dr. Millin. 131 00:04:34,149 --> 00:04:36,026 I hear you're having some leg pain. 132 00:04:36,026 --> 00:04:38,528 Yeah, and some heaviness. I'm concerned it might be a DVT. 133 00:04:38,528 --> 00:04:40,405 I think she should have an ultrasound. 134 00:04:40,405 --> 00:04:42,199 I assume you want a full work-up -- 135 00:04:42,199 --> 00:04:44,910 CBC, D-dimer, and a duplex ultrasound. 136 00:04:44,910 --> 00:04:47,204 I'm Jules Millin. 137 00:04:47,204 --> 00:04:49,539 I'm a second-year surgical resident. 138 00:04:49,539 --> 00:04:51,041 You're internal medicine, right? 139 00:04:51,041 --> 00:04:54,336 Oh. No. Ooh. Oh, I'm not a doctor. Sorry. 140 00:04:54,336 --> 00:04:55,504 Oh, yeah. We were role-playing. Yeah. 141 00:04:55,504 --> 00:04:57,923 The more medical terms, the better it gets. 142 00:04:57,923 --> 00:05:00,550 Yeah. So Hal does his homework. 143 00:05:00,550 --> 00:05:02,969 So do you have leg pain or is this... 144 00:05:02,969 --> 00:05:04,387 Oh, no. That's real. 145 00:05:04,387 --> 00:05:06,097 The pain started this morning 146 00:05:06,097 --> 00:05:08,683 when we were trying to squeeze in a quickie before work. 147 00:05:08,683 --> 00:05:10,435 May I do an exam? Mm-hmm. 148 00:05:10,435 --> 00:05:12,604 ♪♪ 149 00:05:12,604 --> 00:05:15,857 Um, how long did the pain last for? 150 00:05:15,857 --> 00:05:17,984 Uh, a few hours. Yeah. 151 00:05:17,984 --> 00:05:20,070 We've been trying to spice things up lately, 152 00:05:20,070 --> 00:05:22,781 so we just want to make sure we haven't caused a problem. 153 00:05:22,781 --> 00:05:24,866 Well, um... 154 00:05:24,866 --> 00:05:30,372 DVTs usually occur with... less, um, activity, 155 00:05:30,372 --> 00:05:32,624 but it is better to be safe than sorry, 156 00:05:32,624 --> 00:05:34,918 so I will order some tests... All right. 157 00:05:34,918 --> 00:05:36,378 ...and get back to you. 158 00:05:36,378 --> 00:05:37,879 Okay. Thank you. Thank you. 159 00:05:37,879 --> 00:05:39,506 ♪♪ 160 00:05:39,506 --> 00:05:41,258 Dr. Griffith. 161 00:05:41,258 --> 00:05:44,928 38-year-old female with a large mediastinal teratoma 162 00:05:44,928 --> 00:05:47,556 that has been resistant to chemotherapy, 163 00:05:47,556 --> 00:05:49,224 presents with progressive shortness of breath, 164 00:05:49,224 --> 00:05:50,684 orthopnea, and angina. 165 00:05:50,684 --> 00:05:53,061 It has to be at least 35 pounds. 166 00:05:53,061 --> 00:05:55,647 And 27 centimeters for the longest diameter. 167 00:05:55,647 --> 00:05:59,025 The tumor is displacing the heart and great vessels. 168 00:05:59,025 --> 00:06:01,653 The SVC is compressed, 169 00:06:01,653 --> 00:06:04,698 and it's also indenting the right lobe of the liver. 170 00:06:04,698 --> 00:06:06,324 Mm. How are the lungs? 171 00:06:06,324 --> 00:06:07,492 Compressed, with near total collapse 172 00:06:07,492 --> 00:06:08,952 of the mid, right, and lower lobes. 173 00:06:08,952 --> 00:06:10,912 Has anyone tried to operate on the thing? 174 00:06:10,912 --> 00:06:12,539 Her name is London, 175 00:06:12,539 --> 00:06:16,126 and yes, there have been two attempts at Seattle Pres. 176 00:06:16,126 --> 00:06:18,670 They had to abort both times 177 00:06:18,670 --> 00:06:20,338 because she arrested on the table. 178 00:06:20,338 --> 00:06:22,007 But you believe you would have a different outcome 179 00:06:22,007 --> 00:06:24,175 if you tried? Well, I have removed 180 00:06:24,175 --> 00:06:26,261 extremely difficult tumors before, 181 00:06:26,261 --> 00:06:28,597 a-and this one is benign. 182 00:06:28,597 --> 00:06:31,224 So if we can successfully remove it, 183 00:06:31,224 --> 00:06:32,809 then she resumes a normal life. 184 00:06:32,809 --> 00:06:35,645 Even if you convinced anesthesia, 185 00:06:35,645 --> 00:06:38,398 you could still encounter catastrophic bleeding. 186 00:06:38,398 --> 00:06:40,775 And that is why I'm here, at the tumor board, 187 00:06:40,775 --> 00:06:43,361 where people help their colleagues 188 00:06:43,361 --> 00:06:45,155 to come up with a plan. 189 00:06:45,155 --> 00:06:48,533 If anyone here thinks this remotely is a possibility, 190 00:06:48,533 --> 00:06:49,868 please speak up. 191 00:06:49,868 --> 00:06:51,119 Yes. 192 00:06:51,119 --> 00:06:56,666 ♪♪ 193 00:06:56,666 --> 00:06:59,878 It's a tragic case, Dr. Bailey, but... 194 00:06:59,878 --> 00:07:01,338 it's a lawsuit waiting to happen. 195 00:07:01,338 --> 00:07:03,423 [ Stammers, sighs ] 196 00:07:05,008 --> 00:07:06,343 I'll do it with you. 197 00:07:06,343 --> 00:07:09,804 ♪♪ 198 00:07:09,804 --> 00:07:12,098 The alternative is hospice, right? 199 00:07:12,098 --> 00:07:15,060 Mm-hmm. Dr. Hunt, It just can't be done. 200 00:07:15,060 --> 00:07:18,146 Yeah. Well, you don't know what we are capable of. 201 00:07:18,146 --> 00:07:22,400 ♪♪ 202 00:07:22,400 --> 00:07:24,361 Bye. I knew you'd have an idea. 203 00:07:24,361 --> 00:07:26,571 Yeah. I got nothing. 204 00:07:26,571 --> 00:07:29,407 ♪♪ 205 00:07:41,336 --> 00:07:43,630 Well, look who's here! 206 00:07:43,630 --> 00:07:45,048 How was your flight? 207 00:07:45,048 --> 00:07:46,049 Ah. Most quiet I've had in months. 208 00:07:46,049 --> 00:07:47,634 Great. 209 00:07:47,634 --> 00:07:50,261 Dr. Webber. It's a pleasure. 210 00:07:50,261 --> 00:07:53,264 I've heard a lot about you. All good things. 211 00:07:53,264 --> 00:07:56,017 Catherine's thrilled you've joined the team in Boston. 212 00:07:56,017 --> 00:07:58,019 She's thrilled she poached me from Sloan Kettering. 213 00:07:58,019 --> 00:08:01,064 You are at the forefront of urologic oncology. 214 00:08:01,064 --> 00:08:02,691 And that lecture that you gave 215 00:08:02,691 --> 00:08:04,859 to the American Urological Association last month 216 00:08:04,859 --> 00:08:06,236 brought the house down. 217 00:08:06,236 --> 00:08:09,280 And she is developing a program 218 00:08:09,280 --> 00:08:11,825 that uses AI to study biomarkers. 219 00:08:11,825 --> 00:08:13,702 We just received another grant for it yesterday. 220 00:08:13,702 --> 00:08:15,495 You bet you did. 221 00:08:15,495 --> 00:08:18,331 Now, tell us about my husband's prostate. 222 00:08:18,331 --> 00:08:19,666 Catherine, please. 223 00:08:19,666 --> 00:08:22,293 If now's not a good time -- 224 00:08:22,293 --> 00:08:24,879 Don't be ridiculous. Come on, everybody. Sit down. 225 00:08:24,879 --> 00:08:26,715 Have a seat. Come on. 226 00:08:28,299 --> 00:08:30,135 Good news is you caught it early. 227 00:08:30,135 --> 00:08:32,011 Grade Group 2 with 7 Gleason. 228 00:08:32,011 --> 00:08:35,472 He knows all of that. So tell us. What do you suggest? 229 00:08:35,472 --> 00:08:37,183 Well, given the cancer's localized 230 00:08:37,183 --> 00:08:39,269 and you're generally in good health, 231 00:08:39,269 --> 00:08:40,812 I recommend a radical prostatectomy. 232 00:08:40,812 --> 00:08:43,106 I couldn't agree more. 233 00:08:43,106 --> 00:08:46,484 If you're worried about side effects -- urinary incontinence, 234 00:08:46,484 --> 00:08:49,112 erectile dysfunction -- they are a risk. 235 00:08:49,112 --> 00:08:52,073 But for many men -- What about infection? 236 00:08:52,073 --> 00:08:54,284 It's unlikely but possible. 237 00:08:54,284 --> 00:08:57,829 Blood clots, stroke, injury to the rectum, 238 00:08:57,829 --> 00:08:59,414 bladder, nerves -- 239 00:08:59,414 --> 00:09:00,915 They're all possible too, right? 240 00:09:00,915 --> 00:09:02,876 ♪♪ 241 00:09:02,876 --> 00:09:04,419 Yeah. 242 00:09:06,087 --> 00:09:07,839 Thank you for your time, 243 00:09:07,839 --> 00:09:11,217 but I've already selected an option with my own doctor. 244 00:09:11,217 --> 00:09:14,512 Watchful waiting. I've got patients to see. 245 00:09:14,512 --> 00:09:17,348 ♪♪ 246 00:09:17,348 --> 00:09:19,642 [ Door opens, closes ] 247 00:09:21,269 --> 00:09:24,147 I'm not seeing abnormalities. What's that wand called? 248 00:09:24,147 --> 00:09:25,899 An ultrasound probe. Write that down. 249 00:09:25,899 --> 00:09:27,567 Okay. 250 00:09:27,567 --> 00:09:30,403 All right. The ultrasound is negative. 251 00:09:30,403 --> 00:09:32,489 So she doesn't have a clot. 252 00:09:32,489 --> 00:09:33,948 Not that I can see. 253 00:09:33,948 --> 00:09:35,784 Sounds like... maybe there still might be one. 254 00:09:35,784 --> 00:09:37,577 Well, your D-dimer was slightly elevated, 255 00:09:37,577 --> 00:09:39,370 which is the marker we look at for clots. 256 00:09:39,370 --> 00:09:41,331 It doesn't necessarily mean anything, 257 00:09:41,331 --> 00:09:43,541 but it is reason to come back if you have any more pain. 258 00:09:43,541 --> 00:09:46,586 Maybe I just need to stretch before I go to the doctor. Mm. 259 00:09:46,586 --> 00:09:49,130 Stretch? Uh, don't ask any questions. 260 00:09:49,130 --> 00:09:51,716 I'm gonna start your, um, discharge paperwork. 261 00:09:51,716 --> 00:09:53,343 What was that all about? 262 00:09:53,343 --> 00:09:55,428 They like to role-play doctor and patient in bed. 263 00:09:55,428 --> 00:09:56,513 Good for them. 264 00:09:58,556 --> 00:10:00,642 But they're so cute. 265 00:10:00,642 --> 00:10:02,393 Mm. Rustic cute. 266 00:10:02,393 --> 00:10:05,146 Five reviews said those rockers broke within a year. 267 00:10:05,146 --> 00:10:07,107 [ Chuckles ] How's the lake house? 268 00:10:07,107 --> 00:10:09,818 We've moved from arguing over tile 269 00:10:09,818 --> 00:10:12,362 to arguing over porch chairs. 270 00:10:12,362 --> 00:10:14,197 How was the tumor board? 271 00:10:14,197 --> 00:10:17,784 Uh, un-- unfortunately, they are concerned about the risks 272 00:10:17,784 --> 00:10:20,703 and recommend that we don't proceed. 273 00:10:20,703 --> 00:10:24,124 So, naturally, I called in reinforcements. 274 00:10:24,124 --> 00:10:28,128 This is Dr. Owen Hunt. He's one of our trauma surgeons. 275 00:10:28,128 --> 00:10:30,964 If it's okay with you, I'd like to work with Dr. Bailey 276 00:10:30,964 --> 00:10:33,591 to make sure that we've explored every possible option. 277 00:10:33,591 --> 00:10:35,218 I want to help. 278 00:10:35,218 --> 00:10:37,762 I like him. 279 00:10:37,762 --> 00:10:40,849 Everyone else has reservations. Why do you think you can do it? 280 00:10:40,849 --> 00:10:44,102 Charlie, we've actually found surgeons 281 00:10:44,102 --> 00:10:47,355 that are not giving us a hard no. 282 00:10:47,355 --> 00:10:49,149 I've almost lost you twice. 283 00:10:49,149 --> 00:10:50,984 I'm definitely not ready to lose you today 284 00:10:50,984 --> 00:10:53,069 from some botched operation. 285 00:10:53,069 --> 00:10:54,487 Neither are we. 286 00:10:54,487 --> 00:10:56,990 Hey. I'm still here. 287 00:10:56,990 --> 00:10:59,617 They're just asking if they can go work on a plan. 288 00:10:59,617 --> 00:11:03,872 If their plan leads to us growing old together, 289 00:11:03,872 --> 00:11:06,875 looking at the water from shoddy 290 00:11:06,875 --> 00:11:09,210 but very cute rocking chairs... 291 00:11:10,837 --> 00:11:12,255 ...I'm in. 292 00:11:12,255 --> 00:11:13,673 Aren't you? 293 00:11:13,673 --> 00:11:15,675 [ Monitor beeping ] 294 00:11:15,675 --> 00:11:17,427 ♪♪ 295 00:11:17,427 --> 00:11:19,721 You really think you can figure out a way 296 00:11:19,721 --> 00:11:21,806 to keep her heart from stopping when she's on that table? 297 00:11:21,806 --> 00:11:24,601 Look. If we can't figure this out, we won't proceed. 298 00:11:24,601 --> 00:11:27,020 That was our deal when you two came to me. 299 00:11:28,271 --> 00:11:30,732 Okay. Work on your plan. 300 00:11:30,732 --> 00:11:32,650 Okay. We'll be back. 301 00:11:32,650 --> 00:11:33,776 Okay. 302 00:11:33,776 --> 00:11:41,784 ♪♪ 303 00:11:41,784 --> 00:11:44,078 Hi, my beauties! 304 00:11:45,705 --> 00:11:48,208 They look bigger. Did they get bigger? 305 00:11:48,208 --> 00:11:50,710 Hattie's put on a full ounce in the last 24 hours, 306 00:11:50,710 --> 00:11:52,086 and Peyton isn't far behind. 307 00:11:52,086 --> 00:11:54,964 That's right. Lincolns know how to bulk. 308 00:11:54,964 --> 00:11:56,674 [ Laughs ] 309 00:11:56,674 --> 00:11:59,135 Hey, I got to go to PT. 310 00:11:59,135 --> 00:12:00,887 You sure you're okay? Yeah. 311 00:12:00,887 --> 00:12:02,096 You sure? Yeah. 312 00:12:03,389 --> 00:12:04,682 All right. 313 00:12:04,682 --> 00:12:05,725 Okay. 314 00:12:06,684 --> 00:12:07,560 See you soon. 315 00:12:10,605 --> 00:12:12,857 You're Peyton and Hattie's mom? 316 00:12:12,857 --> 00:12:14,901 Mm-hmm. 317 00:12:15,860 --> 00:12:18,196 S-Sorry. 318 00:12:18,196 --> 00:12:20,990 It's just that, um, that's the first time 319 00:12:20,990 --> 00:12:23,451 that somebody's called me their mom. 320 00:12:24,577 --> 00:12:26,079 Here. [ Exhales deeply ] 321 00:12:27,664 --> 00:12:30,083 Oh. Wait. That one's not clean. 322 00:12:30,083 --> 00:12:32,543 Um, here. 323 00:12:32,543 --> 00:12:37,215 I'm an OB-GYN, and I... talk to my patients all the time 324 00:12:37,215 --> 00:12:39,425 about postpartum hormone drops, 325 00:12:39,425 --> 00:12:43,930 but I had no idea it was this intense and just...random. 326 00:12:43,930 --> 00:12:46,182 Yesterday, my boyfriend and I were buying diapers -- 327 00:12:46,182 --> 00:12:48,142 for me, not the baby -- 328 00:12:48,142 --> 00:12:50,895 and the guy ringing me up said, "Will that be all?" 329 00:12:50,895 --> 00:12:52,689 And I burst into tears. 330 00:12:52,689 --> 00:12:54,482 It's nice to know that I'm not alone. 331 00:12:57,026 --> 00:12:58,319 What? 332 00:12:58,319 --> 00:13:00,780 You're my first mom friend. 333 00:13:00,780 --> 00:13:04,158 Oh! I'm honored. 334 00:13:04,158 --> 00:13:06,577 Did you tear? Can I ask you that? 335 00:13:06,577 --> 00:13:08,371 Yeah. You can ask me anything. 336 00:13:08,371 --> 00:13:10,164 But, um, no, I-I didn't tear. 337 00:13:10,164 --> 00:13:14,002 I, uh...I had something called a crash C-section. 338 00:13:14,002 --> 00:13:16,045 Oh. Tell me everything. 339 00:13:18,631 --> 00:13:19,966 I'll be back. 340 00:13:19,966 --> 00:13:22,093 Richard. What the hell are you doing? 341 00:13:22,093 --> 00:13:24,262 I'm about to check Mr. Tolli's wound vac. 342 00:13:24,262 --> 00:13:26,806 You said you would hear Kaplan out. 343 00:13:26,806 --> 00:13:28,683 I did. 344 00:13:28,683 --> 00:13:31,311 Is this because you're worried about the bedroom? 345 00:13:31,311 --> 00:13:34,355 Because you know we'll figure that out. 346 00:13:35,732 --> 00:13:37,734 Come on. 347 00:13:37,734 --> 00:13:40,403 Woman on P.A.: Dr. Marion Ziegler to the Cardiac Unit. 348 00:13:42,572 --> 00:13:44,532 I'm not having this conversation here. 349 00:13:44,532 --> 00:13:46,826 Is this because you prefer a male doctor? 350 00:13:46,826 --> 00:13:48,328 Now, that's insulting. 351 00:13:48,328 --> 00:13:50,163 I'm just trying to understand 352 00:13:50,163 --> 00:13:53,416 why you would dismiss a top urologist like she's an intern. 353 00:13:53,416 --> 00:13:55,460 I moved mountains to bring her here for you! 354 00:13:55,460 --> 00:13:57,628 I didn't ask you to. 355 00:13:57,628 --> 00:14:00,006 Now, my cancer hasn't metastasized. 356 00:14:00,006 --> 00:14:02,508 Watchful waiting is a perfectly reasonable option. 357 00:14:02,508 --> 00:14:04,886 I've respected your healthcare decisions 358 00:14:04,886 --> 00:14:06,971 even when I didn't agree. 359 00:14:06,971 --> 00:14:09,557 I need you to do the same for me. 360 00:14:09,557 --> 00:14:13,478 Woman on P.A.: Dr. Manner to PEDS. Dr. Karin Manner to PEDS. 361 00:14:13,478 --> 00:14:15,104 Who was the surgeon at Seattle Pres? 362 00:14:15,104 --> 00:14:16,564 Collins. Yeah. 363 00:14:16,564 --> 00:14:18,274 Uh, he actually did his residency here 364 00:14:18,274 --> 00:14:19,859 a couple of years behind me. 365 00:14:19,859 --> 00:14:21,527 When his chief wouldn't let him try again, 366 00:14:21,527 --> 00:14:23,237 he sent London to me. 367 00:14:23,237 --> 00:14:25,448 If she codes the minute she lays on the table, 368 00:14:25,448 --> 00:14:27,116 why didn't they try a reverse Trendelenburg, 369 00:14:27,116 --> 00:14:28,451 keep her on an incline to take the pressure 370 00:14:28,451 --> 00:14:29,952 off some of the cardiac vessels? 371 00:14:29,952 --> 00:14:32,246 Look. They did. But see how compressed they are? 372 00:14:32,246 --> 00:14:34,457 It wasn't enough. Winston: Okay. 373 00:14:34,457 --> 00:14:36,334 What about conscious sedation instead of general anesthesia? 374 00:14:36,334 --> 00:14:37,710 She'd continue to breathe on her own, 375 00:14:37,710 --> 00:14:39,754 which would help blood return back to the heart 376 00:14:39,754 --> 00:14:41,464 and minimize airway collapse. 377 00:14:41,464 --> 00:14:43,758 I mean, it might help some. 378 00:14:43,758 --> 00:14:46,260 The tumor's matured into its own ecosystem. 379 00:14:46,260 --> 00:14:48,805 You can see the calcifications, fat, 380 00:14:48,805 --> 00:14:51,182 the cystic components. What... 381 00:14:51,182 --> 00:14:53,684 What if we drain it, shrink the mass before we go in? 382 00:14:53,684 --> 00:14:56,104 It's a good idea, but the location is just too risky. 383 00:14:56,104 --> 00:14:57,772 We can't risk the contents of the tumor 384 00:14:57,772 --> 00:14:58,940 spilling into the chest. 385 00:14:58,940 --> 00:15:00,149 It will just regrow. Yeah. 386 00:15:00,149 --> 00:15:01,984 I got to run to a consult in the pit, 387 00:15:01,984 --> 00:15:03,319 but I will keep thinking on this. 388 00:15:03,319 --> 00:15:05,405 No promises, though. 389 00:15:06,739 --> 00:15:09,200 Adams, Griffith, let's look up every case report published 390 00:15:09,200 --> 00:15:10,993 on mediastinal teratomas. 391 00:15:10,993 --> 00:15:14,747 Research patterns. Cross-reference solutions, okay? 392 00:15:14,747 --> 00:15:16,416 We all just listened to a podcast this morning 393 00:15:16,416 --> 00:15:18,251 about how our hospital pulled off a miracle. 394 00:15:18,251 --> 00:15:20,545 Who's to say we can't do it again, right? Go. 395 00:15:20,545 --> 00:15:22,755 [ Exhales deeply ] 396 00:15:22,755 --> 00:15:25,633 We're gonna come up with something. 397 00:15:25,633 --> 00:15:27,385 ♪♪ 398 00:15:27,385 --> 00:15:29,387 Hey. Hi. 399 00:15:29,387 --> 00:15:31,597 Are you done with that tablet? Nope. Get your own. 400 00:15:31,597 --> 00:15:34,600 Bailey and Hunt have a massive mediastinal teratoma. 401 00:15:34,600 --> 00:15:36,978 If you sweet-talk Bailey, you could get in on it with us. 402 00:15:36,978 --> 00:15:38,312 They're looking for ideas. 403 00:15:38,312 --> 00:15:40,231 I'm too swamped down here. 404 00:15:40,231 --> 00:15:43,234 Hey. I'm sorry about this morning. 405 00:15:43,234 --> 00:15:45,111 Jo's crying about everything these days. 406 00:15:45,111 --> 00:15:47,780 It's fine. But she loves Iris, 407 00:15:47,780 --> 00:15:51,117 so she'll be happy if you two are a thing. 408 00:15:57,248 --> 00:15:59,125 Why are you acting weird? I'm not acting weird. 409 00:15:59,125 --> 00:16:01,419 Yeah, you are. [ Woman gasps, door opens ] 410 00:16:01,419 --> 00:16:03,296 Help! Help! My wife! Whoa. What the... 411 00:16:03,296 --> 00:16:05,089 Hal? Sir, you might want to button that. 412 00:16:05,089 --> 00:16:08,885 Oh, my God. Janet. [ Gasping ] 413 00:16:08,885 --> 00:16:09,886 Jules: Okay. 414 00:16:09,886 --> 00:16:11,512 I'm getting weak pulses. 415 00:16:11,512 --> 00:16:12,930 Okay. Janet, look at me. 416 00:16:12,930 --> 00:16:14,390 I'm going to take care of you, okay? 417 00:16:14,390 --> 00:16:15,475 We need a gurney in here! 418 00:16:23,399 --> 00:16:25,276 The plane won't be ready for another couple of hours. 419 00:16:25,276 --> 00:16:27,236 Catherine said I could work in here. 420 00:16:27,236 --> 00:16:28,029 Not a problem. 421 00:16:31,365 --> 00:16:33,409 I owe you an apology. 422 00:16:33,409 --> 00:16:35,203 I was led to believe 423 00:16:35,203 --> 00:16:36,746 that you were the one seeking a second opinion. 424 00:16:36,746 --> 00:16:38,331 You couldn't have known. 425 00:16:38,331 --> 00:16:40,374 I should have at least suspected. 426 00:16:40,374 --> 00:16:42,210 I think your wife broke contract laws 427 00:16:42,210 --> 00:16:44,086 to ensure my employment at her hospital. 428 00:16:44,086 --> 00:16:45,588 Don't feel bad. 429 00:16:45,588 --> 00:16:48,674 You're not the first to fall prey to her ways. 430 00:16:48,674 --> 00:16:51,469 Guessing I won't be the last. [ Chuckles ] 431 00:16:51,469 --> 00:16:53,179 She does it 'cause she cares. 432 00:16:53,179 --> 00:16:55,848 That's what makes it infuriating. 433 00:16:55,848 --> 00:16:58,059 [ Both laugh ] 434 00:16:59,852 --> 00:17:02,313 Feel free to say no. 435 00:17:02,313 --> 00:17:05,441 But I've got a patient with a retroperitoneal tumor. 436 00:17:05,441 --> 00:17:07,777 And I would be remiss 437 00:17:07,777 --> 00:17:10,070 if I didn't ask Fox Hospitals' chief of chiefs for a consult. 438 00:17:11,364 --> 00:17:13,657 No. I got a little time. 439 00:17:13,657 --> 00:17:18,162 How about we get a couple pastries to go with this coffee? 440 00:17:18,162 --> 00:17:20,580 Thank you. That would be great. 441 00:17:21,874 --> 00:17:24,460 22-pound teratoma in the abdomen. 442 00:17:24,460 --> 00:17:27,128 San Francisco, 2018. 443 00:17:27,128 --> 00:17:29,131 They started with a CAN'T-guided drainage. 444 00:17:29,131 --> 00:17:30,675 Yeah, but look at the picture of the CT. 445 00:17:30,675 --> 00:17:33,553 Nowhere near the heart. Another dead end. 446 00:17:33,553 --> 00:17:35,263 [ Phone buzzes ] 447 00:17:35,263 --> 00:17:37,306 Another dumb meme from your patient? 448 00:17:37,306 --> 00:17:40,685 Uh, she's asking for movie recs. She's stuck at home. 449 00:17:40,685 --> 00:17:43,813 Not exactly a doctor-patient conversation topic. 450 00:17:43,813 --> 00:17:45,398 She's Bailey's patient, 451 00:17:45,398 --> 00:17:47,108 and she has Stage 4 gastric cancer. 452 00:17:47,108 --> 00:17:49,485 She can ask whatever she wants. 453 00:17:49,485 --> 00:17:50,861 Yeah, but shouldn't you keep it professional? 454 00:17:50,861 --> 00:17:52,572 Look, you have no idea what you're talking about. 455 00:17:52,572 --> 00:17:55,241 I'm just saying you're young, you're single, you... 456 00:17:55,241 --> 00:17:56,450 you look like you. 457 00:17:56,450 --> 00:17:57,660 You might be leading her on. 458 00:17:57,660 --> 00:17:58,911 ♪♪ 459 00:17:58,911 --> 00:18:00,454 I'm her doctor. 460 00:18:00,454 --> 00:18:02,373 And she's a vulnerable patient. 461 00:18:02,373 --> 00:18:04,458 I-I don't -- I don't need this right now. 462 00:18:04,458 --> 00:18:05,835 No. I'm just trying to look out for you. 463 00:18:05,835 --> 00:18:06,919 Yeah. Try less. 464 00:18:06,919 --> 00:18:09,171 [ Phone chimes ] 465 00:18:09,171 --> 00:18:10,673 Hunt's asking for an update. 466 00:18:10,673 --> 00:18:13,634 ♪♪ 467 00:18:13,634 --> 00:18:15,553 Okay. Anything? Not yet. 468 00:18:15,553 --> 00:18:17,597 [ Sighs ] 469 00:18:20,224 --> 00:18:23,227 Why'd you join this case when everyone else dismissed it? 470 00:18:23,227 --> 00:18:25,271 It's like you said. It's benign. 471 00:18:25,271 --> 00:18:27,315 Once it's out, she moves on with her life. 472 00:18:27,315 --> 00:18:29,984 There's no worry of mets or recurrence. 473 00:18:32,653 --> 00:18:35,364 Yeah. And I might be feeling a little uninspired lately. 474 00:18:35,364 --> 00:18:37,366 Aha. 475 00:18:37,366 --> 00:18:40,870 Wouldn't have to do with other people solving cases at weddings 476 00:18:40,870 --> 00:18:42,455 and doing podcasts, would it? 477 00:18:42,455 --> 00:18:44,373 [ Chuckles softly ] 478 00:18:44,373 --> 00:18:46,250 I'll see you at drop-off. 479 00:18:46,250 --> 00:18:48,586 I know everything's falling on you right now. 480 00:18:48,586 --> 00:18:51,255 She's lecturing, and you're packing lunches. 481 00:18:51,255 --> 00:18:52,757 I'm happy to do it, 482 00:18:52,757 --> 00:18:55,009 and she deserves all the attention. 483 00:18:55,009 --> 00:18:58,554 I just think this tumor was... 484 00:18:58,554 --> 00:19:00,723 I don't know. 485 00:19:00,723 --> 00:19:04,101 My patient cannot be the fix to get you out of this slump. 486 00:19:04,101 --> 00:19:05,770 What do we got? 487 00:19:05,770 --> 00:19:08,606 Ten cases, at least half of them considered inoperable. 488 00:19:08,606 --> 00:19:11,233 And none of the masses are nearly the same size. 489 00:19:11,233 --> 00:19:13,944 There's one case that reported a similar arrest in the O.R., 490 00:19:13,944 --> 00:19:16,072 but the team never tried it again because they couldn't 491 00:19:16,072 --> 00:19:17,865 safely find a way around the heart and lungs. 492 00:19:17,865 --> 00:19:20,326 Which is exactly what happened with London. 493 00:19:20,326 --> 00:19:24,288 As difficult as this is for me to say... 494 00:19:24,288 --> 00:19:27,041 I think we're out of options. 495 00:19:27,041 --> 00:19:29,418 What about ECMO? What about it? 496 00:19:29,418 --> 00:19:31,337 We need to bypass the pulmonary system, 497 00:19:31,337 --> 00:19:32,713 so why don't we use ECMO? 498 00:19:32,713 --> 00:19:34,840 The machine oxygenates and pumps the blood 499 00:19:34,840 --> 00:19:37,259 so her heart and lungs don't have to. 500 00:19:37,259 --> 00:19:41,097 There is no arrest if the machine is acting as her heart. 501 00:19:42,223 --> 00:19:43,766 Don't say no yet. 502 00:19:43,766 --> 00:19:46,018 I'm gonna go find Ndugu. 503 00:19:46,018 --> 00:19:49,313 ♪♪ 504 00:19:49,313 --> 00:19:51,107 Jules: Almost there, Janet. 505 00:19:51,107 --> 00:19:53,567 Janet: If this is a clot, you can fix it, right? 506 00:19:53,567 --> 00:19:56,862 Blood clots are treatable if you catch them in time. 507 00:19:56,862 --> 00:19:59,323 So it's a good thing you were here. 508 00:19:59,323 --> 00:20:01,158 [ Switch clicks ] Weird but good. 509 00:20:01,158 --> 00:20:02,827 I should probably be embarrassed, 510 00:20:02,827 --> 00:20:04,453 but I'm proud of us. 511 00:20:04,453 --> 00:20:06,747 All my friends got bored of their spouses 512 00:20:06,747 --> 00:20:08,541 and filed for divorce. 513 00:20:08,541 --> 00:20:10,418 But we got creative. 514 00:20:10,418 --> 00:20:13,212 By coming to the hospital and having sex. 515 00:20:13,212 --> 00:20:14,964 Don't be jealous. 516 00:20:14,964 --> 00:20:16,716 I'm sure other people aren't getting any either. 517 00:20:16,716 --> 00:20:17,925 Teddy: All right. Let me see. 518 00:20:20,720 --> 00:20:24,140 Looks like there's a left iliac vein thrombosis. 519 00:20:24,140 --> 00:20:25,516 Hal was right. DVT. 520 00:20:25,516 --> 00:20:27,143 If you look closely, 521 00:20:27,143 --> 00:20:29,311 the iliac artery is compressing the vein. 522 00:20:29,311 --> 00:20:31,564 May-Thurner syndrome. Mm-hmm. 523 00:20:31,564 --> 00:20:34,066 Let's book an angio suite for a thrombectomy 524 00:20:34,066 --> 00:20:36,652 and iliac vein stenting and start practicing. 525 00:20:36,652 --> 00:20:38,863 I am gonna supervise you doing the procedure. 526 00:20:39,905 --> 00:20:42,742 Me? She means me. 527 00:20:42,742 --> 00:20:45,035 I don't care who it is as long as you guys are prepped 528 00:20:45,035 --> 00:20:46,287 and ready to go. 529 00:20:46,287 --> 00:20:49,749 ♪♪ 530 00:20:49,749 --> 00:20:51,751 You really think this will work? 531 00:20:51,751 --> 00:20:54,920 The challenge, right, has always been the pressure 532 00:20:54,920 --> 00:20:57,214 that your tumor is putting on your heart, 533 00:20:57,214 --> 00:20:59,133 your lungs, and major arteries 534 00:20:59,133 --> 00:21:01,051 when you're positioned for surgery. 535 00:21:01,051 --> 00:21:02,595 Owen: The ECMO machine makes that irrelevant 536 00:21:02,595 --> 00:21:04,180 because it oxygenates and pumps your blood for you. 537 00:21:04,180 --> 00:21:06,265 So no matter what happens, 538 00:21:06,265 --> 00:21:09,393 your body will receive oxygen and blood flow while we work. 539 00:21:09,393 --> 00:21:12,605 I can't believe you actually figured it out. 540 00:21:12,605 --> 00:21:15,691 Have you done this before? How common is this ECMO? 541 00:21:15,691 --> 00:21:18,569 Charlie, you said you were in if they figured it out. 542 00:21:18,569 --> 00:21:21,864 How common is it? It's not common for this. 543 00:21:21,864 --> 00:21:24,492 And it can be hard to wean off ECMO after removing something 544 00:21:24,492 --> 00:21:26,285 that's compressed your lung for so long. 545 00:21:26,285 --> 00:21:27,787 But her heart is healthy. 546 00:21:27,787 --> 00:21:29,622 I don't anticipate that being a problem. 547 00:21:29,622 --> 00:21:31,707 But it could be a problem. 548 00:21:31,707 --> 00:21:34,627 ♪♪ 549 00:21:34,627 --> 00:21:36,420 You almost lost me twice. 550 00:21:37,630 --> 00:21:41,342 If we do nothing, this thing just keeps growing inside me 551 00:21:41,342 --> 00:21:43,385 till it squashes all my organs... 552 00:21:44,929 --> 00:21:47,014 ...and I'm definitely gone. 553 00:21:47,014 --> 00:21:49,809 I don't want to live like that. 554 00:21:50,768 --> 00:21:52,770 Slowly suffocating. 555 00:21:52,770 --> 00:21:57,399 And I don't want you to have to watch me live like that. 556 00:21:57,399 --> 00:22:01,445 We asked them to come up with a solution. 557 00:22:01,445 --> 00:22:03,280 ♪♪ 558 00:22:03,280 --> 00:22:05,616 I'm taking it. Okay. 559 00:22:05,616 --> 00:22:07,243 Dr. Griffith and Dr. Adams will get you prepped. 560 00:22:07,243 --> 00:22:10,204 We will see you in the O.R., okay? 561 00:22:10,204 --> 00:22:12,039 ♪♪ 562 00:22:14,124 --> 00:22:16,001 Is it weird that he's not blinking? 563 00:22:16,001 --> 00:22:18,462 Newborn tear ducts aren't fully developed. 564 00:22:18,462 --> 00:22:20,464 It's so cool that you know all this stuff. 565 00:22:20,464 --> 00:22:24,718 Is it bad if I'm not, like... feeling anything? 566 00:22:24,718 --> 00:22:27,429 You mean you don't feel a bond? 567 00:22:27,429 --> 00:22:30,516 I'm already a terrible mom. No. No. 568 00:22:30,516 --> 00:22:33,519 It's completely normal, and you're exhausted, 569 00:22:33,519 --> 00:22:35,312 and your hormones are all over the place. 570 00:22:35,312 --> 00:22:38,399 And to be honest, newborns are kind of just blobs. 571 00:22:38,399 --> 00:22:41,235 In a few weeks, he'll be laughing and smiling, 572 00:22:41,235 --> 00:22:43,696 and it just -- It gets so much better. 573 00:22:43,696 --> 00:22:45,197 You're a really good doctor. 574 00:22:46,782 --> 00:22:48,158 Are you taking new patients? 575 00:22:48,158 --> 00:22:51,287 Well, it's -- Hey. How are my girls? 576 00:22:51,287 --> 00:22:53,122 Hey. Well, we made a new frien-- 577 00:22:53,122 --> 00:22:54,206 Whoa! Oh, my God. Oh. Whoa. 578 00:22:54,206 --> 00:22:55,666 Someone call a rapid response. 579 00:22:55,666 --> 00:22:57,501 Bridget: Right away, Doctor. 580 00:22:57,501 --> 00:23:01,213 ♪♪ 581 00:23:06,552 --> 00:23:08,679 She's still seizing. 582 00:23:08,679 --> 00:23:10,556 Someone get me IM midazolam. 583 00:23:10,556 --> 00:23:13,434 She's seven days postpartum. Check her blood pressure. 584 00:23:13,434 --> 00:23:15,561 It's probably eclampsia. She needs mag now. 585 00:23:15,561 --> 00:23:17,605 Link: Did she have any symptoms before she started seizing? 586 00:23:17,605 --> 00:23:19,899 No. She seemed completely fine. It came out of nowhere. 587 00:23:19,899 --> 00:23:21,692 We'll need to get her up to O.B. 588 00:23:21,692 --> 00:23:24,320 Will you go up with her? Whatever you want. 589 00:23:24,320 --> 00:23:26,614 Call me when you get up there, okay? 590 00:23:26,614 --> 00:23:30,951 ♪♪ 591 00:23:30,951 --> 00:23:33,078 Scissors. [ Monitor beeping ] 592 00:23:33,078 --> 00:23:35,122 Put two units of blood on standby. 593 00:23:35,122 --> 00:23:37,082 Simone: Lap pad. 594 00:23:38,334 --> 00:23:40,502 All right. I secured the cannula. 595 00:23:40,502 --> 00:23:43,005 Adams, are we ready to remove the clamps? 596 00:23:43,005 --> 00:23:44,506 Yeah. ECMO's ready. 597 00:23:46,675 --> 00:23:48,093 ♪♪ 598 00:23:48,093 --> 00:23:51,764 Okay. Dark flow. 599 00:23:51,764 --> 00:23:54,600 We have full flow. Let's try lowering her down. 600 00:23:54,600 --> 00:23:56,477 [ Machinery whirring ] 601 00:23:56,477 --> 00:24:01,857 ♪♪ 602 00:24:01,857 --> 00:24:04,276 At least that worked. We're gonna make all of it work. 603 00:24:04,276 --> 00:24:06,028 Griffith, Adams, you may never see 604 00:24:06,028 --> 00:24:08,238 another case like this again, so keep your eyes on the field. 605 00:24:08,238 --> 00:24:11,825 You see any signs of hemodynamic instability, speak up. 606 00:24:11,825 --> 00:24:14,578 This is not a race. Our goal is not to finish fast. 607 00:24:14,578 --> 00:24:16,914 It is to keep her safe. 608 00:24:16,914 --> 00:24:18,248 Understood? Mm. 609 00:24:18,248 --> 00:24:19,249 Mm-hmm. Okay. 610 00:24:20,626 --> 00:24:24,171 Okay. London. Let's intubate. 611 00:24:24,171 --> 00:24:28,676 ♪♪ 612 00:24:28,676 --> 00:24:31,345 It's a hormonally active adrenal mass, 613 00:24:31,345 --> 00:24:33,597 so you need to watch out for sudden hypertension. 614 00:24:33,597 --> 00:24:35,683 I'm planning to use alpha blockers. Oh, good. 615 00:24:35,683 --> 00:24:38,811 Well, I assume you're gonna do this open, given the size. 616 00:24:38,811 --> 00:24:40,187 That's the plan. 617 00:24:40,187 --> 00:24:42,064 My colleague will actually do it. 618 00:24:42,064 --> 00:24:44,525 I usually stick to robotic procedures. 619 00:24:44,525 --> 00:24:47,528 Oh. You got something against the old-fashioned way? 620 00:24:47,528 --> 00:24:51,907 No. Um...I have M.S. 621 00:24:51,907 --> 00:24:55,619 So standing for long periods in the O.R. just isn't an option. 622 00:24:55,619 --> 00:24:57,830 I didn't realize. I-I'm sorry. 623 00:24:57,830 --> 00:24:59,623 No need to be sorry. 624 00:24:59,623 --> 00:25:03,335 I mean, I was devastated after I got the diagnosis. 625 00:25:03,335 --> 00:25:05,462 I had put in so much work my whole career, 626 00:25:05,462 --> 00:25:07,506 and the thought of no longer being in the O.R. 627 00:25:07,506 --> 00:25:11,719 was soul-crushing... to say the least. 628 00:25:11,719 --> 00:25:14,972 But that's when I realized it was just my fear talking. 629 00:25:14,972 --> 00:25:19,518 And I looked at my symptoms -- muscle pain and leg weakness -- 630 00:25:19,518 --> 00:25:22,938 and I thought, "If only there was a way to operate 631 00:25:22,938 --> 00:25:26,108 while sitting down, without having to hold the scalpel." 632 00:25:28,694 --> 00:25:30,571 Was it a difficult adjustment? 633 00:25:30,571 --> 00:25:34,241 Adjusting to living with a chronic illness is never easy. 634 00:25:34,241 --> 00:25:36,243 But over time, 635 00:25:36,243 --> 00:25:40,748 I just turned mess into a pivot...not an ending. 636 00:25:40,748 --> 00:25:44,251 Well, you seem to be managing well. 637 00:25:44,251 --> 00:25:47,671 Oh, well, I have my ups and downs, believe me. 638 00:25:47,671 --> 00:25:51,467 But Catherine Fox is flying me around on her private plane 639 00:25:51,467 --> 00:25:53,886 and paying me more money than I know what to do with. 640 00:25:55,262 --> 00:25:57,264 And I still get to do what I love, 641 00:25:57,264 --> 00:26:00,184 even if it is in a different way. 642 00:26:01,560 --> 00:26:04,938 They're gonna go ahead with Bailey's giant teratoma 643 00:26:04,938 --> 00:26:06,231 in O.R. 2. 644 00:26:06,231 --> 00:26:07,608 Ndugu's gonna have to resect -- 645 00:26:07,608 --> 00:26:09,109 Can we just focus, please? 646 00:26:09,109 --> 00:26:11,445 It's a fake patient. Calm down. 647 00:26:11,445 --> 00:26:12,988 Don't tell me to calm down. 648 00:26:12,988 --> 00:26:15,407 What is wrong with you? 649 00:26:15,407 --> 00:26:18,994 Is it about Simone breaking that dumb pact? 650 00:26:18,994 --> 00:26:21,705 No. And stop asking. I'm fine. 651 00:26:21,705 --> 00:26:23,582 Well, you don't seem fine. 652 00:26:23,582 --> 00:26:26,418 That's because you are bothering me. 653 00:26:26,418 --> 00:26:29,004 Well, that can't be it. I always bother you. 654 00:26:29,004 --> 00:26:31,715 I'm just... 655 00:26:31,715 --> 00:26:34,176 Oh, I'm just tired. 656 00:26:34,176 --> 00:26:35,719 Every day is the same. 657 00:26:35,719 --> 00:26:38,013 It's the same people 658 00:26:38,013 --> 00:26:40,641 and the same rooms and the same conversations, 659 00:26:40,641 --> 00:26:43,268 and I'm just sick of it. 660 00:26:43,268 --> 00:26:45,771 Well, I am sorry we are not good enough for you. 661 00:26:45,771 --> 00:26:47,231 I didn't say that. 662 00:26:47,231 --> 00:26:48,941 You don't have to defend yourself. 663 00:26:48,941 --> 00:26:50,984 We all know you're aloof. 664 00:26:59,159 --> 00:27:00,410 You're leaving? Yeah. 665 00:27:00,410 --> 00:27:02,162 I've already done a thrombectomy. 666 00:27:02,162 --> 00:27:03,664 You can have it. 667 00:27:03,664 --> 00:27:05,624 Woman on P.A.: Dr. Cardenas to the ICU. 668 00:27:05,624 --> 00:27:07,584 Dr. Maria Cardenas to the ICU. 669 00:27:07,584 --> 00:27:09,586 ♪♪ 670 00:27:09,586 --> 00:27:11,797 What's happening? Who's the doctor? 671 00:27:11,797 --> 00:27:14,216 Uh, John Burnett. 672 00:27:14,216 --> 00:27:15,717 An intern? 673 00:27:15,717 --> 00:27:17,636 Let's get a CT. They're getting a CT. 674 00:27:17,636 --> 00:27:20,848 No. She has eclampsia. Tell him she needs magnesium. 675 00:27:20,848 --> 00:27:22,850 Really? Tell him. 676 00:27:22,850 --> 00:27:25,769 Uh...e-excuse me. 677 00:27:25,769 --> 00:27:27,771 I've got Jo Wilson on the phone, and she says it's eclampsia 678 00:27:27,771 --> 00:27:29,648 and you should start her on magnesium. 679 00:27:29,648 --> 00:27:31,525 Her BP is only 143 over 91. 680 00:27:31,525 --> 00:27:32,776 It could be an intracranial hemorrhage. 681 00:27:32,776 --> 00:27:34,069 Put me on speaker. 682 00:27:34,069 --> 00:27:37,322 Um...okay. 683 00:27:37,322 --> 00:27:40,200 You're on speaker. Jo: I understand your concern, 684 00:27:40,200 --> 00:27:42,202 but postpartum eclampsia doesn't always present 685 00:27:42,202 --> 00:27:43,996 with a really high BP. 686 00:27:43,996 --> 00:27:46,373 Neither does a brain bleed. Barnett -- 687 00:27:46,373 --> 00:27:47,875 It's -- It's Burnett. Whatever. 688 00:27:47,875 --> 00:27:49,877 I may be on leave, but that doesn't mean 689 00:27:49,877 --> 00:27:51,712 I can't schedule you to work every holiday 690 00:27:51,712 --> 00:27:53,505 and make your life miserable. 691 00:27:53,505 --> 00:27:56,842 So trust me when I tell you to start the mag now. 692 00:27:56,842 --> 00:27:59,178 [ Monitor beeping ] 693 00:27:59,178 --> 00:28:00,804 Start an IV of magnesium. 694 00:28:02,055 --> 00:28:04,057 [ Exhales deeply ] 695 00:28:04,057 --> 00:28:06,894 ♪♪ 696 00:28:06,894 --> 00:28:09,688 Your mom's gonna be okay. 697 00:28:09,688 --> 00:28:12,399 Winston: We're gonna have to take part of the lower lobe. 698 00:28:12,399 --> 00:28:14,985 Adams, you want to staple the lung? Yep. Stapler. 699 00:28:14,985 --> 00:28:17,237 Bailey, ready to start resecting the adhered diaphragm? 700 00:28:17,237 --> 00:28:18,989 Ready when you are. 701 00:28:18,989 --> 00:28:21,533 Griffith, what should we be careful to avoid? 702 00:28:21,533 --> 00:28:23,619 Simone: Hepatic veins and the retrohepatic IVC. 703 00:28:23,619 --> 00:28:25,871 Good. Let's get the stapler ready. Ha. 704 00:28:25,871 --> 00:28:29,458 London thought fixing up a summer house was a lot of work. 705 00:28:29,458 --> 00:28:31,752 It's got nothing on fixing up a torso. 706 00:28:31,752 --> 00:28:33,879 Reload, please. [ Monitor beeping rapidly ] 707 00:28:33,879 --> 00:28:36,089 Uh, BP's bottoming out. 708 00:28:36,089 --> 00:28:38,091 Damn it. I don't see any bleeding. 709 00:28:38,091 --> 00:28:40,344 Neither do I. The staple line looks clean. 710 00:28:40,344 --> 00:28:42,930 Something's got to be causing this. What the hell is it? 711 00:28:42,930 --> 00:28:45,933 Does the ECMO say anything? There's a suction-event alarm. 712 00:28:45,933 --> 00:28:47,893 Okay. Since we took pressure off the lung, 713 00:28:47,893 --> 00:28:49,144 could there be volume shifts? 714 00:28:49,144 --> 00:28:51,021 That's definitely possible. Yeah. 715 00:28:51,021 --> 00:28:53,523 Okay. We need to up her pressors and flood her with fluids. 716 00:28:53,523 --> 00:28:56,526 If we don't get flow back right away, she's done. 717 00:28:56,526 --> 00:28:57,653 [ Beeping continues ] 718 00:29:03,242 --> 00:29:06,411 Push fluids as hard as you can. I am. 719 00:29:06,411 --> 00:29:07,788 BP's still dropping. She can't take this much longer. 720 00:29:07,788 --> 00:29:08,997 I should've listened to that board. If I lose her -- 721 00:29:08,997 --> 00:29:10,415 This is not on you. 722 00:29:10,415 --> 00:29:12,668 Come on, come on, come on, come on. 723 00:29:12,668 --> 00:29:15,128 BP's coming back up. 724 00:29:15,128 --> 00:29:16,713 Well, that was close. 725 00:29:16,713 --> 00:29:20,217 Okay, folks. 726 00:29:20,217 --> 00:29:22,177 There's still a lot of tumor left. 727 00:29:22,177 --> 00:29:24,846 Griffith, you're on the liver resection. 728 00:29:24,846 --> 00:29:27,057 Adams, you're on the superior mediastinum. 729 00:29:27,057 --> 00:29:30,769 If...that's okay with you. 730 00:29:30,769 --> 00:29:32,604 Do what we say when we say it. 731 00:29:32,604 --> 00:29:34,064 Stapler. 732 00:29:34,064 --> 00:29:37,025 [ Monitor beeping steadily ] 733 00:29:38,235 --> 00:29:39,861 Jules: Contrast. 734 00:29:41,738 --> 00:29:44,032 There's the occlusion in the iliac vein. 735 00:29:44,032 --> 00:29:45,033 Advance more. 736 00:29:46,368 --> 00:29:48,287 Okay. Pin the guide wire 737 00:29:48,287 --> 00:29:50,372 and turn on the thrombectomy catheter, please. 738 00:29:50,372 --> 00:29:52,374 [ Machinery clicking, monitor beeping ] 739 00:29:52,374 --> 00:29:55,043 Blue: It's a shame Janet isn't awake to see this. 740 00:29:55,043 --> 00:29:57,212 It would really turn her... 741 00:29:57,212 --> 00:30:00,590 into a passionate fan of biological science 742 00:30:00,590 --> 00:30:02,384 and anatomy. 743 00:30:02,384 --> 00:30:05,304 Okay. I'm in. Turn it off. I don't get it. 744 00:30:05,304 --> 00:30:07,681 If you have to pretend to be someone else for your partner 745 00:30:07,681 --> 00:30:09,766 to want to sleep with you, maybe you shouldn't be together. 746 00:30:09,766 --> 00:30:12,019 I've learned you never know what's going on 747 00:30:12,019 --> 00:30:14,438 in another person's relationship. 748 00:30:14,438 --> 00:30:16,565 Ready. 749 00:30:16,565 --> 00:30:17,399 Contrast. 750 00:30:21,361 --> 00:30:25,032 Thrombus is gone. The vein is patent. 751 00:30:25,032 --> 00:30:27,242 Great work. Now to stent. 752 00:30:30,203 --> 00:30:32,331 Thanks again for the consult. 753 00:30:32,331 --> 00:30:34,750 I see why Catherine calls you legendary. 754 00:30:34,750 --> 00:30:37,210 Oh, she is prone to exaggeration. 755 00:30:37,210 --> 00:30:39,755 I know. But in your case, it's true. 756 00:30:39,755 --> 00:30:42,382 Well, you live up to your reputation as well. 757 00:30:42,382 --> 00:30:45,218 Oh. But not enough to consider my recommendation? 758 00:30:47,512 --> 00:30:49,973 I'm sorry. I-I... I shouldn't have said that. 759 00:30:49,973 --> 00:30:51,850 That's okay. 760 00:30:51,850 --> 00:30:54,436 Can I ask you about something? 761 00:30:54,436 --> 00:30:56,605 Urosymphseal fistulas. 762 00:30:58,482 --> 00:31:01,443 They are an extremely rare post-op complication 763 00:31:01,443 --> 00:31:04,404 of radical prostatectomy. But the odds aren't zero. 764 00:31:04,404 --> 00:31:05,697 They're close. 765 00:31:05,697 --> 00:31:07,407 What if it happened? 766 00:31:07,407 --> 00:31:09,659 Chronic pain, 767 00:31:09,659 --> 00:31:12,037 which often leads to difficulty walking, 768 00:31:12,037 --> 00:31:15,082 possibly warranting the use of opioids. 769 00:31:15,082 --> 00:31:17,042 [ Sighs ] 770 00:31:17,042 --> 00:31:20,504 I can treat complications, 771 00:31:20,504 --> 00:31:23,090 but if your cancer grows and metastasizes, 772 00:31:23,090 --> 00:31:25,092 that's when my hands are tied. 773 00:31:25,092 --> 00:31:27,552 [ Bell chimes, door opens ] 774 00:31:28,887 --> 00:31:32,724 If you change your mind or if you just want to talk more, 775 00:31:32,724 --> 00:31:34,267 Catherine has my number. 776 00:31:34,267 --> 00:31:41,274 ♪♪ 777 00:31:41,274 --> 00:31:46,738 ♪♪ 778 00:31:46,738 --> 00:31:49,825 Done resecting the liver. Good. 779 00:31:49,825 --> 00:31:52,661 Excellent hemostasis. 780 00:31:52,661 --> 00:31:55,330 [ Suction gurgling ] 781 00:31:55,330 --> 00:31:56,957 All right. No bleeding on this side. 782 00:31:56,957 --> 00:31:59,042 Okay. We are in the home stretch. 783 00:31:59,042 --> 00:32:01,711 Let's get ready to get this tumor out. 784 00:32:01,711 --> 00:32:04,172 Hold on. Hold on. 785 00:32:04,172 --> 00:32:06,425 Do you hear that? What? 786 00:32:08,093 --> 00:32:11,138 [ Monitor beeping rapidly ] Okay. We're gonna need more lap pads, and hang blood. 787 00:32:11,138 --> 00:32:14,307 Adams, quickly pack her. Aw, damn it. 788 00:32:14,307 --> 00:32:17,060 All right. Keep the suction coming. 789 00:32:17,060 --> 00:32:18,728 Oh, w-wait. Wait. Ah! Okay. 790 00:32:18,728 --> 00:32:21,481 There's a tear where the IVC 791 00:32:21,481 --> 00:32:24,234 passes through the diaphragm into the chest. 792 00:32:24,234 --> 00:32:27,195 I'm trying to secure -- Let me have a clamp. 793 00:32:27,195 --> 00:32:29,156 Okay. I need visualization. 794 00:32:29,156 --> 00:32:31,450 Put the suction on the lap pads. Not too harsh. 795 00:32:31,450 --> 00:32:34,035 Gentle, steady pressure, okay? 796 00:32:34,035 --> 00:32:36,079 [ Suction hissing, monitor beeping rapidly ] 797 00:32:36,079 --> 00:32:38,832 ♪♪ 798 00:32:38,832 --> 00:32:40,208 I think I got it. 799 00:32:40,208 --> 00:32:42,210 I think that... 800 00:32:42,210 --> 00:32:46,339 Ah. She's stabilizing. [ Chuckles ] 801 00:32:46,339 --> 00:32:48,133 Owen: Okay, everyone. On the count of three. 802 00:32:48,133 --> 00:32:50,010 Everyone needs to help with this specimen. 803 00:32:50,010 --> 00:32:51,344 Okay. Ready? 804 00:32:51,344 --> 00:32:54,306 One. Two. Three. 805 00:32:54,306 --> 00:32:55,932 [ Grunts ] 806 00:32:55,932 --> 00:32:58,393 Underneath it. There we go. 807 00:32:58,393 --> 00:33:00,187 [ Exhales deeply ] Okay. 808 00:33:01,771 --> 00:33:03,857 Okay. 809 00:33:06,193 --> 00:33:08,320 Okay. 810 00:33:08,320 --> 00:33:10,697 How do we all feel about getting the hell out of here? 811 00:33:10,697 --> 00:33:12,199 Yeah. You don't have to ask me twice. 812 00:33:12,199 --> 00:33:13,450 Bovie. 813 00:33:13,450 --> 00:33:15,660 2-0 prolene. 814 00:33:15,660 --> 00:33:18,413 [ Chuckles softly ] 815 00:33:18,413 --> 00:33:22,167 ♪♪ 816 00:33:22,167 --> 00:33:23,835 Okay. Stop here. 817 00:33:23,835 --> 00:33:26,505 Iris. Oh. Hey! What are you doing up here? 818 00:33:26,505 --> 00:33:28,423 So, a mom from the NICU 819 00:33:28,423 --> 00:33:30,800 is being treated for postpartum eclampsia. 820 00:33:30,800 --> 00:33:32,511 Can you look up her chart? 821 00:33:32,511 --> 00:33:35,430 Her name is Gina... I don't know her last name. 822 00:33:35,430 --> 00:33:38,141 I'm sorry. I can't. You're not her doctor. 823 00:33:38,141 --> 00:33:40,685 I just want to check on her. 824 00:33:40,685 --> 00:33:43,271 Do you want me to call Marcus? 825 00:33:43,271 --> 00:33:45,774 No. What I want is my friend's chart. 826 00:33:45,774 --> 00:33:47,484 I'm sorry. 827 00:33:47,484 --> 00:33:49,319 Stop saying you're sorry. Sorry doesn't help me. 828 00:33:49,319 --> 00:33:51,071 I'm this woman's only friend right now, 829 00:33:51,071 --> 00:33:52,280 and the person in charge of her care 830 00:33:52,280 --> 00:33:54,032 has been a doctor for about 90 days, 831 00:33:54,032 --> 00:33:55,992 so if you could just please remove the stick -- 832 00:33:55,992 --> 00:33:58,119 Jo. All I want right now -- 833 00:33:58,119 --> 00:34:00,455 I think we should go. No, we're not gonna go. 834 00:34:00,455 --> 00:34:03,792 No. You cannot move me against my will. 835 00:34:03,792 --> 00:34:06,711 Stop! I... 836 00:34:06,711 --> 00:34:09,297 This is not okay. Can you give me a minute? 837 00:34:09,297 --> 00:34:10,882 This is... Hey. Hey, hey, hey, hey. 838 00:34:10,882 --> 00:34:13,301 Honey, look. I know you're scared, okay? 839 00:34:13,301 --> 00:34:16,471 But...honey, she's just trying to do her job. 840 00:34:17,764 --> 00:34:22,226 [ Sobbing ] ♪ There is ♪ 841 00:34:22,226 --> 00:34:27,148 ♪ Light on the other side ♪ 842 00:34:34,864 --> 00:34:37,199 It will take a few days to wean her off ECMO. 843 00:34:37,199 --> 00:34:38,743 She does have a long recovery. 844 00:34:38,743 --> 00:34:40,870 But she's gonna come home. Eventually. 845 00:34:40,870 --> 00:34:42,706 That is the plan. 846 00:34:42,706 --> 00:34:44,873 I don't know how to thank you. 847 00:34:44,873 --> 00:34:46,501 I think you just did. 848 00:34:47,793 --> 00:34:49,504 [ Chuckles ] 849 00:34:49,504 --> 00:34:52,299 She's always been able to see what I can't. 850 00:34:52,299 --> 00:34:55,677 Her mind is filled with these big ideas 851 00:34:55,677 --> 00:34:57,679 that always seem impossible. 852 00:34:57,679 --> 00:35:01,474 Our wedding. This lake house. 853 00:35:01,474 --> 00:35:03,476 Getting this tumor removed. 854 00:35:05,061 --> 00:35:07,022 But she knew you could do it. 855 00:35:08,481 --> 00:35:10,233 And she was right. 856 00:35:11,443 --> 00:35:14,821 I almost tried to stop her. 857 00:35:16,448 --> 00:35:18,241 But I'm glad I stayed out of it. 858 00:35:18,241 --> 00:35:19,993 [ Chuckles softly ] 859 00:35:19,993 --> 00:35:22,787 Um, we'll let you both get some rest. 860 00:35:22,787 --> 00:35:24,623 Thank you. 861 00:35:24,623 --> 00:35:26,416 Mm-hmm. 862 00:35:28,126 --> 00:35:30,128 Great work today, Griffith. 863 00:35:30,128 --> 00:35:33,006 You and Adams... you really stepped up. 864 00:35:33,006 --> 00:35:35,550 Thank you. I really appreciate the opportunity. 865 00:35:35,550 --> 00:35:36,468 I learned a lot. 866 00:35:40,597 --> 00:35:45,560 We did...a good thing today. 867 00:35:45,560 --> 00:35:48,146 Some might call it... inspiring. 868 00:35:48,146 --> 00:35:49,773 Mm. 869 00:35:49,773 --> 00:35:52,400 Might be even something you could lecture about. 870 00:35:52,400 --> 00:35:54,944 [ Chuckles ] Hey, I hope I didn't overstep. 871 00:35:54,944 --> 00:35:57,781 You know, jumping in with the residents. Oh. No. 872 00:35:57,781 --> 00:35:59,991 I mean, if I'm the only voice that's teaching them, 873 00:35:59,991 --> 00:36:02,160 they'll wind up tuning me out. 874 00:36:02,160 --> 00:36:04,412 What do you think about having the residents do 875 00:36:04,412 --> 00:36:06,831 an ambulance ride-along or EMS training? 876 00:36:06,831 --> 00:36:09,209 Something that could really get them thinking on their feet. 877 00:36:09,209 --> 00:36:11,836 You know, it could help them in the E.R. 878 00:36:11,836 --> 00:36:14,631 or in situations like today in the O.R. 879 00:36:14,631 --> 00:36:18,885 I think you should write up a proposal and send it to me. 880 00:36:18,885 --> 00:36:22,764 ♪♪ 881 00:36:22,764 --> 00:36:24,808 Teddy: The surgery went well. 882 00:36:24,808 --> 00:36:26,559 We were able to clear the clot and put in the stent. 883 00:36:26,559 --> 00:36:29,270 Thank you. You'll need to be on anticoagulation, 884 00:36:29,270 --> 00:36:32,691 but after a while you'll be able to get back to life as usual. 885 00:36:32,691 --> 00:36:35,443 I'll get back to life as usual right away? 886 00:36:35,443 --> 00:36:38,863 Or when can I have sex is what I'm asking. 887 00:36:38,863 --> 00:36:40,490 Yeah. We know. 888 00:36:40,490 --> 00:36:42,450 You need to elevate your leg when resting, 889 00:36:42,450 --> 00:36:45,704 but other than that, it is good to move it around. 890 00:36:45,704 --> 00:36:48,331 Guess Trudy can still see the doctor. 891 00:36:48,331 --> 00:36:52,836 Trudy's always a good time, but, honey... 892 00:36:52,836 --> 00:36:55,255 I love you most when you're just Janet. 893 00:36:55,255 --> 00:36:58,550 ♪♪ 894 00:36:58,550 --> 00:36:59,884 We'll give you some privacy. 895 00:36:59,884 --> 00:37:02,011 ♪ Let go for dear life ♪ 896 00:37:02,011 --> 00:37:05,181 ♪ Just free fall ♪ 897 00:37:05,181 --> 00:37:07,600 ♪ Let go for dear life ♪ 898 00:37:07,600 --> 00:37:09,936 ♪ Just free fall ♪ 899 00:37:09,936 --> 00:37:11,730 ♪ Let go for dear life... ♪ 900 00:37:11,730 --> 00:37:13,523 I checked London's labs before leaving. 901 00:37:14,607 --> 00:37:15,817 Thanks. 902 00:37:15,817 --> 00:37:17,569 Hey, I'm sorry about earlier. 903 00:37:17,569 --> 00:37:19,904 How you interact with your patients -- your business. 904 00:37:19,904 --> 00:37:21,406 I'll stay out of it. 905 00:37:21,406 --> 00:37:23,199 I appreciate that. 906 00:37:23,199 --> 00:37:27,412 I do value your opinion, though. 907 00:37:27,412 --> 00:37:29,330 You do? I do. 908 00:37:29,330 --> 00:37:33,376 Just, uh... not about relationships, 909 00:37:33,376 --> 00:37:34,878 for obvious reasons. 910 00:37:34,878 --> 00:37:35,962 Ouch. 911 00:37:35,962 --> 00:37:37,756 [ Laughs ] Hey, look. 912 00:37:37,756 --> 00:37:40,759 I'm putting together a watch list for my patient. 913 00:37:40,759 --> 00:37:41,926 What am I missing? 914 00:37:41,926 --> 00:37:45,263 Mm. 915 00:37:45,263 --> 00:37:47,140 What, she hasn't seen any of these? 916 00:37:47,140 --> 00:37:48,975 ♪ Just free fall ♪ 917 00:37:50,226 --> 00:37:52,020 Thank you. 918 00:37:52,020 --> 00:37:54,731 [ Indistinct conversations ] 919 00:37:56,149 --> 00:37:56,983 Hey. 920 00:37:57,901 --> 00:37:59,486 Hi. 921 00:37:59,486 --> 00:38:01,362 Did you make it through your busy day? 922 00:38:01,362 --> 00:38:03,323 Oh. I...I did. 923 00:38:04,449 --> 00:38:07,160 Um, I did a thrombectomy and placed a stent. 924 00:38:07,160 --> 00:38:09,245 Nice, Millin. [ Chuckles ] 925 00:38:09,245 --> 00:38:11,664 You still haven't told me about that thoracotomy, by the way. 926 00:38:11,664 --> 00:38:14,417 It wasn't that big a deal. 927 00:38:14,417 --> 00:38:17,420 You saved a man's life with your hands. 928 00:38:17,420 --> 00:38:19,506 Doesn't get any bigger than that. 929 00:38:21,633 --> 00:38:23,009 Do you think I'm aloof? 930 00:38:24,385 --> 00:38:26,721 Aloof. Thank you. 931 00:38:26,721 --> 00:38:29,224 Um...no. 932 00:38:30,517 --> 00:38:32,977 You're discerning. You don't suffer any fools. 933 00:38:32,977 --> 00:38:35,855 But...that's not aloof. 934 00:38:35,855 --> 00:38:37,899 That's, um... 935 00:38:37,899 --> 00:38:39,776 That's protecting yourself because you care. 936 00:38:43,112 --> 00:38:46,407 It's funny you say that, because I have been -- 937 00:38:46,407 --> 00:38:49,327 I had the worst day. 938 00:38:49,327 --> 00:38:51,996 I need the biggest vodka tonic that they have. 939 00:38:51,996 --> 00:38:54,082 Hi. I'm Iris. 940 00:38:54,082 --> 00:38:56,417 Uh, this is Jules Millin, a surgical resident. 941 00:38:56,417 --> 00:38:58,378 Nice to meet you. Yeah. Nice to meet you. 942 00:38:58,378 --> 00:39:01,381 Um, I should go find my friends. 943 00:39:03,132 --> 00:39:04,467 Here. Thank you. 944 00:39:04,467 --> 00:39:06,386 See you later. 945 00:39:06,386 --> 00:39:08,763 Meredith: It's jarring when your identity shifts, 946 00:39:08,763 --> 00:39:12,392 when you're suddenly a doctor, a partner, a parent. 947 00:39:12,392 --> 00:39:15,520 It helps if you focus on the things that haven't changed . 948 00:39:15,520 --> 00:39:18,565 I'm gonna have to change hospitals. 949 00:39:18,565 --> 00:39:20,650 I've cried in front of too many people at this one. 950 00:39:20,650 --> 00:39:22,735 They understand. 951 00:39:22,735 --> 00:39:24,863 ♪ Well, I wouldn't mind if you never... ♪ 952 00:39:24,863 --> 00:39:28,408 I just feel like ever since I was admitted, 953 00:39:28,408 --> 00:39:31,494 I've just lost myself. 954 00:39:33,371 --> 00:39:35,331 I can't take care of our kids. 955 00:39:35,331 --> 00:39:37,083 I can't take care of my patients. 956 00:39:37,083 --> 00:39:39,502 I can't even shower. 957 00:39:39,502 --> 00:39:41,296 It's temporary. 958 00:39:41,296 --> 00:39:42,922 Your heart is recovering. 959 00:39:42,922 --> 00:39:45,174 I know. 960 00:39:45,174 --> 00:39:51,389 But...for a few hours today, I got to be a doctor again 961 00:39:51,389 --> 00:39:53,975 and help this woman navigate a difficult time. 962 00:39:53,975 --> 00:39:58,062 But then, when it really mattered... 963 00:39:58,062 --> 00:40:00,064 someone else got to help her. 964 00:40:01,482 --> 00:40:03,693 At least Gina's okay. 965 00:40:03,693 --> 00:40:08,031 And I would bet that she'd say what you did mattered, too. 966 00:40:09,908 --> 00:40:11,117 Maybe even more. 967 00:40:12,952 --> 00:40:15,538 [ Voice breaking ] Oh, God. It's happening again. 968 00:40:15,538 --> 00:40:18,333 No. 969 00:40:18,333 --> 00:40:20,960 I'll get the tissues. [ Exhales deeply ] 970 00:40:20,960 --> 00:40:23,755 Just... [ Chuckles ] 971 00:40:23,755 --> 00:40:27,258 [ Laughs weakly ] 972 00:40:27,258 --> 00:40:29,969 The comfort of old friends. Thirty-five pounds. 973 00:40:29,969 --> 00:40:31,679 That's like carrying four babies. 974 00:40:31,679 --> 00:40:33,556 Yeah, or four bowling balls. 975 00:40:33,556 --> 00:40:34,933 Who carries four bowling balls? 976 00:40:34,933 --> 00:40:36,184 People do weird things. 977 00:40:37,352 --> 00:40:39,562 Got to go. 978 00:40:41,272 --> 00:40:42,941 [ Phone buzzing ] 979 00:40:42,941 --> 00:40:44,525 Yeah. I'm out too. 980 00:40:46,694 --> 00:40:49,113 See you tomorrow. ♪ But I'm running off the track ♪ 981 00:40:49,113 --> 00:40:50,990 ♪ Oh, yeah ♪ 982 00:40:52,700 --> 00:40:54,953 ♪ Yeah ♪ 983 00:40:54,953 --> 00:40:56,829 She's just a stop sign. 984 00:40:56,829 --> 00:40:58,331 Not a roadblock. 985 00:40:58,331 --> 00:41:00,708 How did... [ Phone buzzing ] 986 00:41:00,708 --> 00:41:02,794 Doesn't matter. 987 00:41:02,794 --> 00:41:04,504 Wait. Are you leaving me too? 988 00:41:04,504 --> 00:41:06,881 Um, s-sorry. 989 00:41:06,881 --> 00:41:09,425 Hey. Have a drink on me. Mm? 990 00:41:09,425 --> 00:41:13,846 ♪♪ 991 00:41:13,846 --> 00:41:16,349 Anyone sitting here? 992 00:41:16,349 --> 00:41:20,436 ♪♪ 993 00:41:20,436 --> 00:41:22,063 The thrill of trying something new. 994 00:41:22,063 --> 00:41:24,190 Hi. I'm Sally. 995 00:41:24,190 --> 00:41:26,317 Because even though you may not recognize yourself... 996 00:41:26,317 --> 00:41:27,443 Catherine? 997 00:41:27,443 --> 00:41:29,612 [ Door closes ] I'm sorry. 998 00:41:29,612 --> 00:41:31,864 I am so sorry. 999 00:41:31,864 --> 00:41:35,034 I-I got scared, and I just called the best that I knew. 1000 00:41:35,034 --> 00:41:37,412 I should have talked to you before I brought Laura in. 1001 00:41:37,412 --> 00:41:39,288 Look. I've thought a lot 1002 00:41:39,288 --> 00:41:42,542 about letting fear cloud judgment today. 1003 00:41:42,542 --> 00:41:44,836 Whatever you want to do, I support, but -- 1004 00:41:45,628 --> 00:41:47,255 I'm a surgeon. 1005 00:41:47,255 --> 00:41:50,258 I'm a senior member of this hospital. 1006 00:41:50,258 --> 00:41:52,385 If something were to go wrong 1007 00:41:52,385 --> 00:41:55,763 and I couldn't stand long enough to do a simple appy, 1008 00:41:55,763 --> 00:41:58,474 I'd feel...weak. 1009 00:41:59,809 --> 00:42:01,519 And I don't know how to lead like that. 1010 00:42:01,519 --> 00:42:03,563 I don't know who I'd be. 1011 00:42:03,563 --> 00:42:05,773 But people adapt. 1012 00:42:06,649 --> 00:42:08,526 I want to go ahead with the surgery. 1013 00:42:08,526 --> 00:42:11,070 Mm. ♪ I'm under pressure ♪ 1014 00:42:11,070 --> 00:42:13,406 ♪ I feel the pressure ♪ 1015 00:42:14,323 --> 00:42:16,909 It's been you all along. 1016 00:42:26,544 --> 00:42:36,471 ♪♪ 1017 00:42:36,471 --> 00:42:46,147 ♪♪ 1018 00:42:46,147 --> 00:42:54,197 ♪♪