1
00:00:12,054 --> 00:00:14,056
[ Alarm beeping ]

2
00:00:14,056 --> 00:00:21,021
♪♪

3
00:00:21,021 --> 00:00:23,065
[ Beeping stops ]

4
00:00:24,441 --> 00:00:26,443
[ Sighs ]

5
00:00:26,443 --> 00:00:33,825
♪♪

6
00:00:33,825 --> 00:00:41,458
♪♪

7
00:00:41,458 --> 00:00:42,543
Time to get up already?

8
00:00:42,543 --> 00:00:43,835
Mm, for me.

9
00:00:43,835 --> 00:00:46,380
Early department meeting.

10
00:00:46,380 --> 00:00:48,507
You should stay in bed
a while longer.

11
00:00:48,507 --> 00:00:49,925
So should you.

12
00:00:49,925 --> 00:00:51,718
Mm.

13
00:00:51,718 --> 00:00:54,096
How about I put a call in
to Rosalia's,

14
00:00:54,096 --> 00:00:57,641
breakfast burrito,
latte for pickup.
[ Groans ]

15
00:00:57,641 --> 00:00:59,935
20 minutes saved.

16
00:00:59,935 --> 00:01:02,145
If I get back
in that bed,

17
00:01:02,145 --> 00:01:04,439
it's gonna be for more
than 20 minutes.

18
00:01:04,439 --> 00:01:06,775
Oh.

19
00:01:06,775 --> 00:01:08,068
I can be late.

20
00:01:12,364 --> 00:01:13,574
Perez: I told you
to put on a jacket.

21
00:01:13,574 --> 00:01:16,577
And I told you
I'd be fine.

22
00:01:16,577 --> 00:01:18,954
Are you fine?

23
00:01:18,954 --> 00:01:20,539
No.
I'm freezing.

24
00:01:20,539 --> 00:01:23,041
[ Chuckles ]
It's San Jose.

25
00:01:23,041 --> 00:01:24,167
"Winter" is
a relative term.

26
00:01:24,167 --> 00:01:25,043
Eh.

27
00:01:26,837 --> 00:01:28,839
Thanks.
Mm-hmm.

28
00:01:32,718 --> 00:01:34,595
Weren't you wearing that
yesterday?

29
00:01:34,595 --> 00:01:36,179
I crashed at her place.

30
00:01:36,179 --> 00:01:38,348
We were working on a research
project and finished late,

31
00:01:38,348 --> 00:01:40,017
and he slept
on the couch.

32
00:01:40,017 --> 00:01:41,893
Didn't you have
a date?

33
00:01:41,893 --> 00:01:45,063
I rescheduled it.

34
00:01:45,063 --> 00:01:47,524
I gotta get inside and shower
or I'll be late for my call.

35
00:01:47,524 --> 00:01:48,567
See you.

36
00:01:48,567 --> 00:01:49,318
Alright.
See ya.

37
00:01:51,403 --> 00:01:52,779
He's bread crumbing you.

38
00:01:52,779 --> 00:01:53,780
Excuse me?

39
00:01:53,780 --> 00:01:56,158
He's flirtatious,
non-committal.

40
00:01:56,158 --> 00:01:56,992
He's giving you
just enough attention

41
00:01:56,992 --> 00:01:58,910
to keep you on the hook.

42
00:01:58,910 --> 00:02:00,203
He's dropping crumbs.

43
00:02:00,203 --> 00:02:01,747
You'll never get
the full slice.

44
00:02:01,747 --> 00:02:02,914
We're just friends.

45
00:02:02,914 --> 00:02:04,374
I'm fine with that.
[ Cellphone dings ]

46
00:02:04,374 --> 00:02:08,045
Hm. Or maybe you're settling
for whatever he'll give you.

47
00:02:11,923 --> 00:02:14,259
When did the stomach pain
begin?

48
00:02:14,259 --> 00:02:16,553
A couple weeks ago.

49
00:02:16,553 --> 00:02:20,057
I'm on my tenth day of Lupron,
so it could be the side effects.

50
00:02:20,057 --> 00:02:21,183
We're hoping
for an embryo transfer

51
00:02:21,183 --> 00:02:22,976
at the end of the month.

52
00:02:22,976 --> 00:02:24,936
Gotta take care
of this mama.

53
00:02:24,936 --> 00:02:26,980
Other than the pain,
any other --

54
00:02:26,980 --> 00:02:28,523
Emesis, fever, sweats.

55
00:02:31,068 --> 00:02:32,319
[ Groans,
inhales sharply ]

56
00:02:32,319 --> 00:02:34,404
Some tenderness
and distension.

57
00:02:36,365 --> 00:02:38,325
A scar on the right
lower quadrant.

58
00:02:38,325 --> 00:02:40,327
That's
a first date souvenir.

59
00:02:40,327 --> 00:02:42,120
Unofficial first date.

60
00:02:42,120 --> 00:02:43,497
Shaun:
A McBurney's incision.

61
00:02:43,497 --> 00:02:45,332
You had
an open appendectomy.

62
00:02:45,332 --> 00:02:46,833
She had
a ruptured appendix.

63
00:02:46,833 --> 00:02:48,126
I'm an RN.

64
00:02:48,126 --> 00:02:50,587
Oh, it was
a medical meet-cute.

65
00:02:50,587 --> 00:02:53,715
[ Gasping ]
I'm okay.

66
00:02:53,715 --> 00:02:55,133
Shaun: You are not.

67
00:02:55,133 --> 00:02:57,260
There is
an irregularly shaped mass

68
00:02:57,260 --> 00:02:58,720
in the right-side
pelvic region.

69
00:02:58,720 --> 00:03:00,430
You need a CT, stat.

70
00:03:00,430 --> 00:03:09,022
♪♪

71
00:03:09,022 --> 00:03:11,066
Morgan: [ Echoing ]
Can I help you?

72
00:03:11,066 --> 00:03:12,609
Are you okay?

73
00:03:15,195 --> 00:03:18,824
Um, I fell
and hit my head.

74
00:03:18,824 --> 00:03:20,158
Come here.

75
00:03:20,158 --> 00:03:22,202
[ Groans ]

76
00:03:23,537 --> 00:03:25,038
Possible head trauma.

77
00:03:25,038 --> 00:03:32,504
♪♪

78
00:03:32,504 --> 00:03:34,214
Can you give me your name
and date of birth?

79
00:03:34,214 --> 00:03:36,800
Um, Toni Rhodes,

80
00:03:36,800 --> 00:03:39,761
Aug-- August 7, 1995.

81
00:03:39,761 --> 00:03:41,096
Slowly reactive pupils.

82
00:03:41,096 --> 00:03:42,389
Any drugs
or alcohol use?

83
00:03:42,389 --> 00:03:44,641
No. No.

84
00:03:44,641 --> 00:03:46,184
Uh, yes.

85
00:03:46,184 --> 00:03:49,729
I -- I had a couple drinks
last night.

86
00:03:49,729 --> 00:03:51,356
How did I get here?

87
00:03:51,356 --> 00:03:54,234
♪♪

88
00:03:54,234 --> 00:03:55,402
[ Groans ]

89
00:03:56,820 --> 00:03:58,321
And we need a head CT

90
00:03:58,321 --> 00:04:00,991
to check for brain bleed
or skull fractures.

91
00:04:00,991 --> 00:04:03,910
Oh, my stomach is...

92
00:04:03,910 --> 00:04:05,620
How did you get this?

93
00:04:07,539 --> 00:04:09,749
Okay, her abdomen is rigid
and distended.

94
00:04:09,749 --> 00:04:15,213
♪♪

95
00:04:15,213 --> 00:04:16,923
Significant
intraperitoneal hemorrhage

96
00:04:16,923 --> 00:04:18,300
at left upper quadrant.

97
00:04:18,300 --> 00:04:19,092
You're bleeding
from your spleen.

98
00:04:19,092 --> 00:04:20,510
We need to get you
into surgery.

99
00:04:20,510 --> 00:04:24,890
♪♪

100
00:04:24,890 --> 00:04:27,642
-- Captions by VITAC --

101
00:04:27,642 --> 00:04:34,649
♪♪

102
00:04:36,401 --> 00:04:38,612
I reviewed
your patient's ultrasound.

103
00:04:38,612 --> 00:04:41,364
The appearance of that
mixed-echogenic mass is unusual.

104
00:04:41,364 --> 00:04:42,699
Yes.

105
00:04:42,699 --> 00:04:45,076
We --
Keep me posted.

106
00:04:45,076 --> 00:04:46,912
Ooh, you went to Rosalia's?

107
00:04:46,912 --> 00:04:49,456
The breakfast burrito
with the spicy chorizo --

108
00:04:49,456 --> 00:04:50,957
Try molten chorizo.

109
00:04:50,957 --> 00:04:53,001
Totally worth the ulcer
I'm probably getting.

110
00:04:53,001 --> 00:04:54,294
Hard stan.
[ Chuckles ]

111
00:04:54,294 --> 00:04:57,714
I have never been
to Rosalia's.

112
00:04:57,714 --> 00:05:00,008
I recommend it.

113
00:05:00,008 --> 00:05:01,468
Your images are ready,
Dr. Murphy.

114
00:05:06,598 --> 00:05:08,683
There is the mass.

115
00:05:08,683 --> 00:05:11,353
There's a ton of free fluid
surrounding the lesion.

116
00:05:11,353 --> 00:05:15,565
Possible active bleeding and
invasion into adjacent organs.

117
00:05:15,565 --> 00:05:18,985
She needs surgery immediately
for resection of the lesion.

118
00:05:20,904 --> 00:05:22,113
How long
have you had these?

119
00:05:22,113 --> 00:05:23,573
My monster horns?

120
00:05:23,573 --> 00:05:25,158
A few years.

121
00:05:25,158 --> 00:05:30,288
But now they're making it hard
for my glasses to stay on.

122
00:05:30,288 --> 00:05:32,123
[ Chuckles ]

123
00:05:32,123 --> 00:05:33,875
I keep them hidden
with my hair.

124
00:05:33,875 --> 00:05:37,170
You are beautiful,
and you have nothing to hide.

125
00:05:37,170 --> 00:05:38,839
But those glasses do need
to stay put,

126
00:05:38,839 --> 00:05:40,882
so I think we should
remove these growths.

127
00:05:40,882 --> 00:05:43,802
Without shaving my hair
or leaving big scars?

128
00:05:43,802 --> 00:05:46,012
Those are the only options
other doctors have given me.

129
00:05:46,012 --> 00:05:47,722
Those doctors don't know
my technique.

130
00:05:50,976 --> 00:05:54,604
I'll make
a tiny incision here.

131
00:05:54,604 --> 00:05:59,150
It minimizes scars, and it'll
leave your hair intact.

132
00:06:00,694 --> 00:06:02,112
Okay. [ Chuckles ]
Okay?

133
00:06:02,112 --> 00:06:04,114
Put Gwendolyn on my schedule
in the morning.

134
00:06:04,114 --> 00:06:05,115
Thank you,
Dr. Andrews.

135
00:06:05,115 --> 00:06:07,325
Yes.

136
00:06:07,325 --> 00:06:10,245
Toni's CT
came back clean.

137
00:06:10,245 --> 00:06:12,038
No fractures
or intracranial bleeding,

138
00:06:12,038 --> 00:06:13,498
so she's clear
for surgery.

139
00:06:13,498 --> 00:06:15,125
Hm.

140
00:06:15,125 --> 00:06:16,543
We need to finish our research
for tomorrow?

141
00:06:16,543 --> 00:06:18,086
I'll spring for pizza.

142
00:06:21,798 --> 00:06:23,717
Have you ever heard
of bread crumbing?

143
00:06:23,717 --> 00:06:25,969
Does it involve pigeons?

144
00:06:25,969 --> 00:06:28,054
No.
[ Chuckles ]

145
00:06:28,054 --> 00:06:33,184
It's when two people
hang out a lot.

146
00:06:33,184 --> 00:06:34,603
One wants to be
more than friends,

147
00:06:34,603 --> 00:06:37,272
and the other
isn't clear.

148
00:06:39,232 --> 00:06:41,192
Question is, what should
the first person do --

149
00:06:41,192 --> 00:06:44,613
be patient or move on?

150
00:06:44,613 --> 00:06:46,990
Asking for a friend.

151
00:06:46,990 --> 00:06:50,744
I'd say real personal connection
can be rare, invaluable,

152
00:06:50,744 --> 00:06:54,289
whether the context
is romantic or platonic.

153
00:06:56,875 --> 00:06:58,335
I'll see you inside.

154
00:06:58,335 --> 00:07:04,132
♪♪

155
00:07:04,132 --> 00:07:05,967
Asher: There are tentacles
of scar tissue

156
00:07:05,967 --> 00:07:08,303
reaching into every organ.

157
00:07:08,303 --> 00:07:11,181
Multiple abscesses
and infection burden.

158
00:07:11,181 --> 00:07:13,266
We will need
several drains.

159
00:07:13,266 --> 00:07:16,019
100 cc already.
This infection is crazy.

160
00:07:18,813 --> 00:07:23,693
So, things with you and Lim
are still sorta awkward?

161
00:07:23,693 --> 00:07:26,529
Dr. Lim and I have
a professional relationship

162
00:07:26,529 --> 00:07:28,490
centered on medicine.

163
00:07:28,490 --> 00:07:31,493
The mass is adherent
to the pelvic wall,

164
00:07:31,493 --> 00:07:34,621
colon, bladder, uterus.

165
00:07:34,621 --> 00:07:35,705
But you guys
used to be closer.

166
00:07:35,705 --> 00:07:37,082
Do you miss that?

167
00:07:37,082 --> 00:07:39,167
Cutting through
more tissue.

168
00:07:39,167 --> 00:07:42,087
Dr. Lim is
Chief of Surgery,

169
00:07:42,087 --> 00:07:43,922
I am an attending.

170
00:07:43,922 --> 00:07:50,095
A medical focus is logical
and productive.

171
00:07:50,095 --> 00:07:51,471
We've reached the mass.

172
00:07:51,471 --> 00:07:53,139
Cutting into the capsule.

173
00:07:53,139 --> 00:07:54,099
Wait.

174
00:07:54,099 --> 00:07:55,350
Oh, my God, is that...?

175
00:07:57,894 --> 00:08:00,021
A surgical towel.

176
00:08:00,021 --> 00:08:04,359
♪♪

177
00:08:04,359 --> 00:08:05,944
Have my special
ex lap tray ready.

178
00:08:05,944 --> 00:08:07,612
Transfuse two units
and stay two ahead.

179
00:08:07,612 --> 00:08:10,198
Place a Foley catheter
now.

180
00:08:10,198 --> 00:08:11,991
Her hematocrit's
in the toilet.

181
00:08:11,991 --> 00:08:14,327
A fall shouldn't have caused
this much damage.

182
00:08:14,327 --> 00:08:15,412
Perez: She was high
when she came in.

183
00:08:15,412 --> 00:08:17,205
No telling what
could've happened.

184
00:08:17,205 --> 00:08:19,082
How about we hold that
judgment till her tox
results come back?

185
00:08:19,082 --> 00:08:20,917
Placing arterial line now.

186
00:08:20,917 --> 00:08:24,337
Sluggish pupils, memory loss,
confusion -- she's using.

187
00:08:24,337 --> 00:08:27,424
Not judgment, just recognize
certain behavior when I see it.

188
00:08:27,424 --> 00:08:29,551
She's hemodynamically unstable.
Debate later.

189
00:08:29,551 --> 00:08:32,637
Right now, we need
to stop this bleed.

190
00:08:32,637 --> 00:08:36,474
Dr. Allen, why aren't you
placing the catheter?

191
00:08:36,474 --> 00:08:38,893
There's severe bruising
and signs of major trauma

192
00:08:38,893 --> 00:08:39,728
in her pelvic region.

193
00:08:42,188 --> 00:08:43,648
I think she was raped.

194
00:08:47,777 --> 00:08:49,863
We were able to save
your spleen,

195
00:08:49,863 --> 00:08:51,156
but you bled a lot
during the surgery

196
00:08:51,156 --> 00:08:52,991
for reasons
we don't understand yet.

197
00:08:52,991 --> 00:08:54,534
We need to run more tests.

198
00:08:56,786 --> 00:08:58,747
When we were placing
your catheter,

199
00:08:58,747 --> 00:09:00,999
we discovered some bruising
and signs of trauma

200
00:09:00,999 --> 00:09:02,917
in your pelvic region.

201
00:09:02,917 --> 00:09:05,128
We're worried you may have been
sexually assaulted.

202
00:09:07,714 --> 00:09:10,800
[ Exhales sharply ]

203
00:09:10,800 --> 00:09:14,471
No, that's...
just not possible.

204
00:09:14,471 --> 00:09:17,974
Your urine testing also
came back positive for Rohypnol.

205
00:09:17,974 --> 00:09:19,601
It's often associated
with date rape.

206
00:09:19,601 --> 00:09:22,562
No, I-I...

207
00:09:22,562 --> 00:09:24,814
I went out for drinks
with my friend.

208
00:09:24,814 --> 00:09:28,443
We were celebrating
his new job.

209
00:09:28,443 --> 00:09:31,488
I watched the bartender
mix my drinks.

210
00:09:31,488 --> 00:09:34,115
I was tipsy,
but I wasn't drunk.

211
00:09:36,534 --> 00:09:39,746
The bruises must be from
when I tripped.

212
00:09:39,746 --> 00:09:42,332
I would remember if
what you're saying happened.

213
00:09:42,332 --> 00:09:45,085
Rohypnol can cause
short-term amnesia.

214
00:09:47,462 --> 00:09:52,175
I'm sure this information
is a shock.

215
00:09:52,175 --> 00:09:53,718
We're here
to support you.

216
00:09:57,013 --> 00:09:58,765
The best way
to gather evidence

217
00:09:58,765 --> 00:10:03,019
as to what happened
is to do a rape kit.

218
00:10:03,019 --> 00:10:07,565
No, I -- I don't
need that.

219
00:10:07,565 --> 00:10:10,276
I was with my friend.

220
00:10:10,276 --> 00:10:12,362
He wouldn't let anything
happen to me.

221
00:10:12,362 --> 00:10:15,865
You don't have to decide
right now.

222
00:10:15,865 --> 00:10:17,700
Get some rest.

223
00:10:17,700 --> 00:10:19,702
We'll let you know when
your latest labs come back.

224
00:10:19,702 --> 00:10:26,417
♪♪

225
00:10:26,417 --> 00:10:27,585
[ Sighs ]

226
00:10:27,585 --> 00:10:29,754
A retained surgical item?

227
00:10:29,754 --> 00:10:32,674
It's a towel that was left
in you after a procedure.

228
00:10:32,674 --> 00:10:35,051
It is adherent
to several vital organs.

229
00:10:35,051 --> 00:10:37,637
We could not remove it
without irreversibly damaging --

230
00:10:37,637 --> 00:10:38,805
Left behind by who?

231
00:10:38,805 --> 00:10:40,390
My doctor?

232
00:10:40,390 --> 00:10:42,100
Let's focus on getting it out
first, and then we can --

233
00:10:42,100 --> 00:10:44,644
Who performed
my appendectomy?

234
00:10:44,644 --> 00:10:45,812
Broder, I think.
But --

235
00:10:45,812 --> 00:10:47,522
The count of sponges
and other items

236
00:10:47,522 --> 00:10:50,150
inside the surgical cavity
is done by the lead scrub nurse.

237
00:10:50,150 --> 00:10:51,401
But you may
discuss this later.

238
00:10:51,401 --> 00:10:53,027
Okay. So who was
the lead scrub nurse?

239
00:10:53,027 --> 00:10:55,446
Gomez, maybe, or Kraus.

240
00:10:55,446 --> 00:10:56,781
I really don't remember.

241
00:10:56,781 --> 00:10:58,950
But you were
definitely there.

242
00:10:58,950 --> 00:11:00,201
Are you blaming this
on me?

243
00:11:00,201 --> 00:11:01,703
You were one of the nurses.

244
00:11:01,703 --> 00:11:03,246
I mean, shouldn't you
have noticed?

245
00:11:03,246 --> 00:11:05,206
I was circulating,
not scrub.

246
00:11:05,206 --> 00:11:06,875
No way I was the one
who did this.

247
00:11:06,875 --> 00:11:08,376
A minute ago
you can't remember,

248
00:11:08,376 --> 00:11:10,170
but now you're sure
you didn't do it.

249
00:11:10,170 --> 00:11:12,672
Maybe we should
move on to --
Why are you
attacking me?

250
00:11:12,672 --> 00:11:15,300
I just found out I have
an infected towel in my gut

251
00:11:15,300 --> 00:11:17,177
that will require
major surgery,

252
00:11:17,177 --> 00:11:19,095
and you're making this
about you.

253
00:11:19,095 --> 00:11:20,263
You're acting like
this was my fault.

254
00:11:20,263 --> 00:11:22,432
It doesn't matter
whose fault it was.

255
00:11:25,560 --> 00:11:29,564
We will approach the towel
like a sarcoma --

256
00:11:29,564 --> 00:11:31,107
perform
an en bloc resection,

257
00:11:31,107 --> 00:11:33,985
bypass any intertwined
vital arterial structures,

258
00:11:33,985 --> 00:11:36,821
and finish with
a thorough debridement.

259
00:11:36,821 --> 00:11:38,364
I think that's
a reasonable option.

260
00:11:38,364 --> 00:11:40,700
Well, right now, your opinion
doesn't mean a lot.

261
00:11:42,785 --> 00:11:44,120
I just need a minute.

262
00:11:46,998 --> 00:11:48,708
I'll be out
in the hall.

263
00:11:48,708 --> 00:11:50,251
[ Monitor beeping ]

264
00:11:51,794 --> 00:11:55,924
She's...not conscious.

265
00:11:55,924 --> 00:11:57,133
She's syncopal.

266
00:11:57,133 --> 00:11:58,718
She fainted?
[ Monitor alarm ]

267
00:11:58,718 --> 00:12:00,053
Naveen.
BP spiking.

268
00:12:00,053 --> 00:12:02,096
Oh, my God.
Heart rate's up.

269
00:12:02,096 --> 00:12:04,265
Possible bleed
or septic shock.

270
00:12:04,265 --> 00:12:05,934
Crash airway tray!

271
00:12:05,934 --> 00:12:08,770
An additional abscess cavity
in the towel may have ruptured.

272
00:12:08,770 --> 00:12:10,188
We need to get her
back to the O. R.

273
00:12:10,188 --> 00:12:13,483
♪♪

274
00:12:13,483 --> 00:12:15,318
You wanted to see me?
Hey.

275
00:12:15,318 --> 00:12:17,570
Yeah, I'm double booked
tomorrow.

276
00:12:17,570 --> 00:12:19,155
You'll be scrubbing in
with Dr. Annanian

277
00:12:19,155 --> 00:12:20,782
for Gwendolyn's surgery.

278
00:12:20,782 --> 00:12:22,909
But she was so impressed
with you.

279
00:12:22,909 --> 00:12:25,203
She's really excited
to have you as her surgeon.

280
00:12:25,203 --> 00:12:27,288
Well, it's a meeting
I can't miss.

281
00:12:27,288 --> 00:12:29,666
But Dr. Annanian has
my surgical plan.

282
00:12:29,666 --> 00:12:30,458
I'll check in
afterwards.

283
00:12:33,378 --> 00:12:35,755
The rupture caused
widespread peritonitis.

284
00:12:35,755 --> 00:12:38,258
This infection is way worse
than before.

285
00:12:38,258 --> 00:12:42,637
Aggressively irrigate,
debride, and suction.

286
00:12:42,637 --> 00:12:45,348
We need to control
the infection.

287
00:12:45,348 --> 00:12:47,308
Send tissue and fluid
to the micro lab

288
00:12:47,308 --> 00:12:49,519
so we can focus
her antibiotics.

289
00:12:49,519 --> 00:12:51,396
[ Monitor alarm ]

290
00:12:51,396 --> 00:12:52,730
Big drop in BP.

291
00:12:52,730 --> 00:12:53,815
Heart rate spiking.

292
00:12:53,815 --> 00:12:55,316
She isn't tolerating
surgery.

293
00:12:55,316 --> 00:12:57,235
We need to close her
again.

294
00:12:57,235 --> 00:12:58,152
Sutures.

295
00:13:00,905 --> 00:13:02,657
Wait,
what about the towel?

296
00:13:02,657 --> 00:13:05,660
We can't operate until her BP
and O2 sats are under control.

297
00:13:05,660 --> 00:13:07,662
She'll need to remain sedated
and intubated

298
00:13:07,662 --> 00:13:10,081
until she stabilizes.

299
00:13:10,081 --> 00:13:13,418
And we need to find a new
approach to removing the towel.

300
00:13:13,418 --> 00:13:15,003
Once she's closed,
I can dive into research.

301
00:13:16,337 --> 00:13:19,757
I will consult
with Dr. Lim.

302
00:13:19,757 --> 00:13:21,467
[ Door opens ]

303
00:13:21,467 --> 00:13:24,137
I would like
a surgical consult.

304
00:13:24,137 --> 00:13:25,513
The Mukherjee case?

305
00:13:25,513 --> 00:13:28,641
The mass on the CT was
a retained surgical towel.

306
00:13:28,641 --> 00:13:31,519
And is acutely infected
and adherent to vital organs.

307
00:13:31,519 --> 00:13:34,188
The patient blames her wife,
who was a surgical nurse

308
00:13:34,188 --> 00:13:36,316
during the appendectomy --
circulating, not scrub.

309
00:13:36,316 --> 00:13:37,483
If we could stick
to the medical --

310
00:13:37,483 --> 00:13:39,235
The patient
didn't understand

311
00:13:39,235 --> 00:13:40,862
the count was not
her wife's responsibility.

312
00:13:40,862 --> 00:13:42,238
They argued quite a --

313
00:13:42,238 --> 00:13:44,240
The most pressing issue
is the towel

314
00:13:44,240 --> 00:13:47,035
poisoning her
from the inside.

315
00:13:47,035 --> 00:13:48,745
What is your plan
to remove it?

316
00:13:48,745 --> 00:13:51,289
That...

317
00:13:51,289 --> 00:13:55,793
is what I am here
to discuss.

318
00:13:55,793 --> 00:13:58,254
You are an attending,
Dr. Murphy.

319
00:13:58,254 --> 00:13:59,422
And your patient
has a few hours

320
00:13:59,422 --> 00:14:02,300
before she's stable enough
for any procedure.

321
00:14:02,300 --> 00:14:06,137
Research RSIs and
brainstorm possible
solutions with your team.

322
00:14:06,137 --> 00:14:08,931
Then, if you still need
a consult, my door is open.

323
00:14:08,931 --> 00:14:18,232
♪♪

324
00:14:18,232 --> 00:14:19,692
How's
Toni's platelet count?

325
00:14:19,692 --> 00:14:20,818
Still dropping.

326
00:14:20,818 --> 00:14:22,612
Did you do
an anti-platelet antibody?

327
00:14:22,612 --> 00:14:24,280
Waiting on results.

328
00:14:24,280 --> 00:14:27,742
Order another PRBC transfusion
to get her hematocrit up.

329
00:14:27,742 --> 00:14:29,118
Any progress
on the rape kit?

330
00:14:32,163 --> 00:14:34,415
She doesn't want
to talk about it.

331
00:14:34,415 --> 00:14:36,334
I can't blame her.

332
00:14:36,334 --> 00:14:38,795
It's an invasive process
that only serves to prove

333
00:14:38,795 --> 00:14:41,506
something horrible happened
that she doesn't remember.

334
00:14:41,506 --> 00:14:44,425
Her brain may not be able
to remember, but her body does.

335
00:14:44,425 --> 00:14:47,136
And chances are, eventually,
it will all come back.

336
00:14:47,136 --> 00:14:49,305
Shouldn't we respect
her wishes?

337
00:14:49,305 --> 00:14:50,431
I mean, we don't want her
to feel like

338
00:14:50,431 --> 00:14:51,474
she's being assaulted
all over again.

339
00:14:51,474 --> 00:14:52,850
Denying what happened
doesn't change the fact

340
00:14:52,850 --> 00:14:54,393
that it happened.

341
00:14:54,393 --> 00:14:56,729
[ Cellphones ding ]

342
00:14:56,729 --> 00:14:58,189
It's Toni -- Code Gray.

343
00:15:01,859 --> 00:15:03,986
Toni: [ Crying ]
No, please, please, stop!

344
00:15:03,986 --> 00:15:06,239
She woke up screaming,
and she pulled out her IV.

345
00:15:06,239 --> 00:15:08,074
Just stay away from me!

346
00:15:08,074 --> 00:15:09,742
We just want to help you.

347
00:15:09,742 --> 00:15:12,870
Toni, you're okay.

348
00:15:12,870 --> 00:15:14,372
We're here with you.

349
00:15:14,372 --> 00:15:16,249
It's not real.

350
00:15:16,249 --> 00:15:17,959
Can you breathe with me?

351
00:15:17,959 --> 00:15:20,586
[ Breathes deeply, shakily ]

352
00:15:20,586 --> 00:15:21,963
[ Monitor alarm ]

353
00:15:24,590 --> 00:15:25,258
You're okay.

354
00:15:28,386 --> 00:15:30,054
You're not in danger
anymore.

355
00:15:32,473 --> 00:15:34,308
I...

356
00:15:34,308 --> 00:15:35,893
had a nightmare.

357
00:15:38,521 --> 00:15:39,939
Her gown.

358
00:15:42,233 --> 00:15:44,443
I need to take a look
at that.

359
00:15:44,443 --> 00:15:46,195
Okay?

360
00:15:46,195 --> 00:15:54,453
♪♪

361
00:15:54,453 --> 00:15:56,080
The spleen repair
didn't work.

362
00:15:56,080 --> 00:15:58,708
♪♪

363
00:16:02,128 --> 00:16:04,630
[ Elevator bell dings ]
Shaun: Over the course
of your long career,

364
00:16:04,630 --> 00:16:06,465
you have removed
five retained sponges.

365
00:16:06,465 --> 00:16:09,093
That is statistically higher
than any surgeon in the region.

366
00:16:09,093 --> 00:16:12,221
Special skill on my résumé
right under juggling.

367
00:16:12,221 --> 00:16:13,973
My patient has
a retained towel

368
00:16:13,973 --> 00:16:16,517
that has caused sepsis
with multi-organ involvement.

369
00:16:16,517 --> 00:16:18,477
I would like
a surgical consult.

370
00:16:18,477 --> 00:16:20,104
Perfect request
for your department head.

371
00:16:20,104 --> 00:16:25,401
Dr. Lim said I should tackle
the problem on my own.

372
00:16:25,401 --> 00:16:26,694
Well,
that's interesting.

373
00:16:26,694 --> 00:16:28,196
She is right.

374
00:16:28,196 --> 00:16:29,697
I am an attending.

375
00:16:32,950 --> 00:16:37,079
But your RSI experience would be
very helpful on this case.

376
00:16:37,079 --> 00:16:38,789
Alright,
I'll take a look.

377
00:16:38,789 --> 00:16:44,045
♪♪

378
00:16:44,045 --> 00:16:45,838
Thank you.

379
00:16:45,838 --> 00:16:47,089
Nurse Villanueva,

380
00:16:47,089 --> 00:16:50,092
why is Gwen's surgery
still on my schedule?

381
00:16:50,092 --> 00:16:52,345
She panicked when I told her
it'd be another surgeon.

382
00:16:52,345 --> 00:16:53,638
She really wants you.
Assure the patient

383
00:16:53,638 --> 00:16:55,223
she's in great hands
with Dr. Annanian,

384
00:16:55,223 --> 00:16:56,933
and take her
off my rotation.

385
00:16:56,933 --> 00:16:57,725
No.

386
00:16:59,852 --> 00:17:01,938
You told her
you'd do the surgery.

387
00:17:01,938 --> 00:17:04,023
You can tell her that
you're not going to do it.

388
00:17:07,526 --> 00:17:11,113
What about a minimally
invasive surgery --

389
00:17:11,113 --> 00:17:12,698
cutting up the towel,
removing it piece by piece

390
00:17:12,698 --> 00:17:13,699
through a single port?

391
00:17:13,699 --> 00:17:14,784
That won't work.

392
00:17:14,784 --> 00:17:15,993
Where it's stitched
to the organs,

393
00:17:15,993 --> 00:17:17,995
the infected tissue
puts her at high risk.

394
00:17:17,995 --> 00:17:21,082
An aggressive gross total
resection of all organs invaded

395
00:17:21,082 --> 00:17:23,376
by the towel plus all infected
and necrotic tissue

396
00:17:23,376 --> 00:17:25,544
is the best option
for long-term survival.

397
00:17:25,544 --> 00:17:27,463
That procedure
risks major bleeds,

398
00:17:27,463 --> 00:17:30,007
and we'd have to remove
her uterus.

399
00:17:30,007 --> 00:17:31,425
They're planning a family,

400
00:17:31,425 --> 00:17:32,802
and Naveen is supposed
to carry the baby.

401
00:17:32,802 --> 00:17:36,722
That will also be impossible
if she is dead.

402
00:17:36,722 --> 00:17:39,308
That's elegantly put.

403
00:17:39,308 --> 00:17:41,978
The wife of the patient
is here, right?

404
00:17:41,978 --> 00:17:44,313
Explain the options
to her,

405
00:17:44,313 --> 00:17:46,566
and see how she wants us
to proceed.

406
00:17:46,566 --> 00:17:50,695
They had an argument
before her last surgery.

407
00:17:50,695 --> 00:17:53,948
She will not be pleased with
her wife making that decision.

408
00:17:53,948 --> 00:17:55,533
Just go talk to her.

409
00:17:55,533 --> 00:18:02,873
♪♪

410
00:18:02,873 --> 00:18:04,667
We figured out
why you've been bleeding.

411
00:18:04,667 --> 00:18:07,378
You have a condition
known as ITP.

412
00:18:07,378 --> 00:18:10,715
Your immune system
is destroying your platelets.

413
00:18:10,715 --> 00:18:12,383
Can you fix it?

414
00:18:12,383 --> 00:18:14,802
There is medication
that can help.

415
00:18:14,802 --> 00:18:17,471
And we need to remove
your spleen.

416
00:18:17,471 --> 00:18:20,057
Why didn't you just do that
during my earlier surgery?

417
00:18:20,057 --> 00:18:21,934
We weren't aware
of your ITP.

418
00:18:21,934 --> 00:18:24,020
It's a condition that
can be triggered by trauma.

419
00:18:24,020 --> 00:18:27,356
The ITP complicates
our approach.

420
00:18:27,356 --> 00:18:30,026
Usually, we'd remove your spleen
through your abdomen,

421
00:18:30,026 --> 00:18:34,030
but that risks
a catastrophic bleed.

422
00:18:34,030 --> 00:18:35,656
We can remove
your spleen vaginally

423
00:18:35,656 --> 00:18:37,325
with minimal incisions.

424
00:18:37,325 --> 00:18:38,743
There's less risk
of bleeding.

425
00:18:38,743 --> 00:18:40,870
[ Sighs ]

426
00:18:40,870 --> 00:18:43,247
Okay, let's do it.

427
00:18:43,247 --> 00:18:47,501
I'm hoping you'll let us do
a rape kit before the procedure.

428
00:18:47,501 --> 00:18:49,795
I already told you,
no.

429
00:18:49,795 --> 00:18:51,339
[ Screaming ]

430
00:18:51,339 --> 00:18:53,382
The transvaginal approach
will destroy

431
00:18:53,382 --> 00:18:54,842
all evidence
of the sexual assault.

432
00:18:54,842 --> 00:18:57,261
No.

433
00:18:57,261 --> 00:18:58,304
I don't care.

434
00:18:58,304 --> 00:19:01,057
Without the kit,
you'll have no proof.

435
00:19:02,850 --> 00:19:04,894
[ Glass shatters ]

436
00:19:06,395 --> 00:19:09,357
You're right.

437
00:19:09,357 --> 00:19:14,612
I believe that something
terrible happened to me.

438
00:19:14,612 --> 00:19:18,574
But that is true whether or not
I go chase down the boogeyman.

439
00:19:18,574 --> 00:19:19,659
But it could help.

440
00:19:19,659 --> 00:19:22,620
Nothing will help.

441
00:19:22,620 --> 00:19:25,122
Don't let whoever did this
to you get away with it.

442
00:19:25,122 --> 00:19:28,250
He already has.

443
00:19:28,250 --> 00:19:32,004
Doing a rape kit
is not going to unrape me.

444
00:19:32,004 --> 00:19:39,470
♪♪

445
00:19:39,470 --> 00:19:40,930
Go ahead
with the surgery.

446
00:19:46,394 --> 00:19:47,770
We need your decision.

447
00:19:50,940 --> 00:19:53,484
Is there any way to do
the total resection

448
00:19:53,484 --> 00:19:56,278
without removing
Naveen's uterus?

449
00:19:56,278 --> 00:19:57,530
No.

450
00:19:57,530 --> 00:20:00,366
She's dreamed of being pregnant
her whole life.

451
00:20:00,366 --> 00:20:01,617
I can't choose this
for her.

452
00:20:01,617 --> 00:20:04,286
You can.

453
00:20:04,286 --> 00:20:07,248
We understand
how difficult this is.

454
00:20:07,248 --> 00:20:09,250
She'll never forgive me.
She will.

455
00:20:09,250 --> 00:20:11,210
I mean, it's obvious
Naveen loves you.

456
00:20:11,210 --> 00:20:14,422
She already blames me
for what's happening.

457
00:20:14,422 --> 00:20:17,591
If I'm the one that takes away
her chance to carry a child...

458
00:20:20,761 --> 00:20:22,805
You are right.

459
00:20:22,805 --> 00:20:24,140
If you choose
the gross resection

460
00:20:24,140 --> 00:20:25,558
and your wife
loses her uterus,

461
00:20:25,558 --> 00:20:27,852
it is likely
she will never forgive you.

462
00:20:27,852 --> 00:20:29,228
But that is irrelevant.

463
00:20:29,228 --> 00:20:31,814
This is your decision.

464
00:20:31,814 --> 00:20:36,068
You have to make it.

465
00:20:36,068 --> 00:20:38,070
Whatever happens next.

466
00:20:38,070 --> 00:20:43,576
♪♪

467
00:20:43,576 --> 00:20:45,119
Do the total resection.

468
00:20:45,119 --> 00:20:52,501
♪♪

469
00:20:52,501 --> 00:21:00,384
♪♪

470
00:21:00,384 --> 00:21:03,095
I haven't seen you around here
for a while, huh?

471
00:21:03,095 --> 00:21:06,223
Forgot how relationships can eat
into discretionary time.

472
00:21:06,223 --> 00:21:09,518
Doesn't exactly sound
like a complaint.

473
00:21:09,518 --> 00:21:11,228
It's not.

474
00:21:11,228 --> 00:21:14,940
Shaun came to me
with a surgical consult.

475
00:21:14,940 --> 00:21:17,610
Your RSI record.
Smart.

476
00:21:17,610 --> 00:21:19,653
He did it because
you sent him away.

477
00:21:19,653 --> 00:21:22,364
Well,
part of the Chief's job

478
00:21:22,364 --> 00:21:26,535
is to empower their attendings
to find their own solutions.

479
00:21:26,535 --> 00:21:27,578
Sounds like Shaun did.

480
00:21:27,578 --> 00:21:30,039
A lot of ways to empower
an attending.

481
00:21:30,039 --> 00:21:31,540
And I chose one.

482
00:21:31,540 --> 00:21:34,293
Because you're still angry
with Shaun?

483
00:21:34,293 --> 00:21:35,377
Okay.

484
00:21:35,377 --> 00:21:36,295
How long are you
gonna keep that up?

485
00:21:36,295 --> 00:21:37,797
How about
as long as I want?

486
00:21:37,797 --> 00:21:41,342
Okay, you be as mad at Shaun
for as long as you need to be.

487
00:21:41,342 --> 00:21:42,802
Thanks
for the permission.

488
00:21:42,802 --> 00:21:44,970
Just so you know,
it's toxic.

489
00:21:44,970 --> 00:21:46,430
And not just for Shaun.

490
00:21:46,430 --> 00:21:47,932
Spare me.

491
00:21:47,932 --> 00:21:50,059
You're not concerned for anyone
other than Shaun.

492
00:21:52,937 --> 00:21:54,480
I have to
get back to work.

493
00:21:54,480 --> 00:22:01,570
♪♪

494
00:22:03,948 --> 00:22:05,491
Dr. Andrews.

495
00:22:11,372 --> 00:22:13,874
I rescheduled
my finance meeting.

496
00:22:13,874 --> 00:22:15,125
But in the future,

497
00:22:15,125 --> 00:22:17,753
I'm requesting a scrub nurse
who respects my role

498
00:22:17,753 --> 00:22:20,840
as surgeon
and hospital president.

499
00:22:31,141 --> 00:22:34,979
When I was in the hospital,
you sat at my bedside.

500
00:22:34,979 --> 00:22:38,732
You helped me recover
when I wasn't sure I wanted to.

501
00:22:38,732 --> 00:22:41,735
That meant a lot.

502
00:22:41,735 --> 00:22:43,571
Personal attention with patients
is important

503
00:22:43,571 --> 00:22:45,072
even when you're president.

504
00:22:45,072 --> 00:22:51,120
♪♪

505
00:22:56,166 --> 00:22:57,543
The laparoscopic
splenectomy

506
00:22:57,543 --> 00:22:59,670
is a great alternative
to the transvaginal --

507
00:22:59,670 --> 00:23:03,007
Toni's surgery is already
scheduled for this evening.

508
00:23:03,007 --> 00:23:05,426
And she asked that you be
removed from her case.

509
00:23:05,426 --> 00:23:07,177
She may regret
not taking action on this

510
00:23:07,177 --> 00:23:10,222
for the rest of her life.

511
00:23:10,222 --> 00:23:13,893
That's her decision,
not yours.

512
00:23:18,355 --> 00:23:19,648
I got your message,
Shaun.

513
00:23:19,648 --> 00:23:20,774
What's so urgent?

514
00:23:20,774 --> 00:23:22,860
I have added you
to Naveen's surgical team.

515
00:23:22,860 --> 00:23:25,654
Please get ready to scrub in
in 30 minutes.

516
00:23:25,654 --> 00:23:28,282
You have a surgical plan
in place, Shaun.

517
00:23:28,282 --> 00:23:30,993
You're perfectly capable of
executing that plan.

518
00:23:30,993 --> 00:23:34,788
It is my responsibility
as attending to create

519
00:23:34,788 --> 00:23:37,583
the conditions most likely to
result in a positive outcome.

520
00:23:37,583 --> 00:23:39,126
Which you've done.

521
00:23:39,126 --> 00:23:42,296
Which include the presence of
a surgeon with RSI experience.

522
00:23:42,296 --> 00:23:44,006
Shaun, you're -- you've always
been confident

523
00:23:44,006 --> 00:23:46,425
in -- in the O. R.

524
00:23:46,425 --> 00:23:48,802
[ Scoffs ]
What is this about?

525
00:23:48,802 --> 00:23:51,639
Having a surgeon with
relevant experience present

526
00:23:51,639 --> 00:23:54,224
in case I need advice.

527
00:23:54,224 --> 00:23:55,976
Well,
what if I'm busy?
You're not.

528
00:23:55,976 --> 00:23:57,978
What exactly about this case
is so concerning --

529
00:23:57,978 --> 00:24:00,814
You have more
RSI experience

530
00:24:00,814 --> 00:24:02,441
than any surgeon
in this hospital.

531
00:24:02,441 --> 00:24:04,401
That is why I would like you
in this surgery.

532
00:24:06,695 --> 00:24:08,405
Please?

533
00:24:08,405 --> 00:24:10,032
Alright, fine.
I'll be there.

534
00:24:10,032 --> 00:24:11,533
Please get changed.

535
00:24:13,953 --> 00:24:15,996
[ Monitor beeping ]

536
00:24:17,998 --> 00:24:21,001
I can't reach the highest point
from here.

537
00:24:21,001 --> 00:24:22,920
Best way to hide the scars
is to go in above her hair line.

538
00:24:26,882 --> 00:24:28,300
We'll need to shave
some of her hair.

539
00:24:30,928 --> 00:24:33,097
Maybe not.

540
00:24:33,097 --> 00:24:34,765
Someone get me a comb.

541
00:24:37,393 --> 00:24:39,937
Moving on
to the hysterectomy.

542
00:24:39,937 --> 00:24:43,148
Please clamp
the uterine horns.

543
00:24:43,148 --> 00:24:47,653
♪♪

544
00:24:47,653 --> 00:24:49,029
Grasping round ligament,

545
00:24:49,029 --> 00:24:54,868
midway to the inter--
internal inguinal...

546
00:24:54,868 --> 00:24:56,495
Infection
of the muscular layer

547
00:24:56,495 --> 00:24:59,373
of the uterine wall
has reduced.

548
00:24:59,373 --> 00:25:02,584
Maybe we can
save her uterus.

549
00:25:02,584 --> 00:25:11,010
♪♪

550
00:25:11,010 --> 00:25:19,476
♪♪

551
00:25:19,476 --> 00:25:20,769
Shaun?

552
00:25:23,022 --> 00:25:24,565
Come on.

553
00:25:24,565 --> 00:25:27,776
Shaun.

554
00:25:27,776 --> 00:25:30,612
Stick to the plan.

555
00:25:30,612 --> 00:25:32,322
You cannot save
the uterus.

556
00:25:32,322 --> 00:25:35,743
[ Breathes shakily ]

557
00:25:35,743 --> 00:25:37,077
Okay.

558
00:25:39,663 --> 00:25:40,497
You are right.

559
00:25:40,497 --> 00:25:45,127
Necrosis
is too advanced.

560
00:25:45,127 --> 00:25:48,380
Transfixion sutures
and hemoclip.

561
00:25:48,380 --> 00:25:54,470
♪♪

562
00:26:01,310 --> 00:26:03,103
Hey.

563
00:26:05,439 --> 00:26:08,650
I wanted to see
how you're doing.

564
00:26:08,650 --> 00:26:11,278
Naveen is
recovering well.

565
00:26:11,278 --> 00:26:13,989
The surgery turned out
as expected.

566
00:26:13,989 --> 00:26:15,783
You hesitated
in the O. R.

567
00:26:15,783 --> 00:26:17,326
What was that about?

568
00:26:17,326 --> 00:26:20,913
I wanted to save
her uterus.

569
00:26:20,913 --> 00:26:23,665
Why'd you get stuck on
not doing the hysterectomy?

570
00:26:23,665 --> 00:26:25,793
The patient wants
to carry a child.

571
00:26:25,793 --> 00:26:28,128
Well,
that's very empathetic.

572
00:26:28,128 --> 00:26:30,464
I guess you -- you developed
a personal connection?

573
00:26:34,093 --> 00:26:38,388
Luna made
the right decision

574
00:26:38,388 --> 00:26:41,934
even if her wife
will never forgive her.

575
00:26:41,934 --> 00:26:45,062
Are you worried that
this will hurt their marriage?

576
00:26:45,062 --> 00:26:47,064
It doesn't matter, okay?
It doesn't matter.

577
00:26:47,064 --> 00:26:51,026
What matters is that
she is alive.

578
00:26:51,026 --> 00:26:52,820
We saved her life.

579
00:26:52,820 --> 00:26:55,405
Well, that is one thing
that matters.

580
00:26:55,405 --> 00:26:57,574
So is losing
a personal connection --

581
00:26:57,574 --> 00:26:58,700
No, the medicine is --

582
00:26:58,700 --> 00:27:01,411
Shaun,
is this about Lim?

583
00:27:01,411 --> 00:27:04,081
What -- What about her?

584
00:27:04,081 --> 00:27:06,041
I don't know.
I just -- It's...

585
00:27:06,041 --> 00:27:07,251
Lim is still
up-- upset with you.

586
00:27:07,251 --> 00:27:08,544
She's still mad at you.

587
00:27:08,544 --> 00:27:09,795
D-Does that bother you?

588
00:27:09,795 --> 00:27:12,297
Dr. Lim and I have
a professional relationship --

589
00:27:12,297 --> 00:27:14,007
No.
No, you don't.

590
00:27:14,007 --> 00:27:15,384
And you need
to fix that.

591
00:27:15,384 --> 00:27:16,969
The two of you need
to sort that out.

592
00:27:16,969 --> 00:27:18,470
I don't know what
you want me to do.

593
00:27:18,470 --> 00:27:20,097
I want you and Lim
to talk to each other.

594
00:27:20,097 --> 00:27:21,223
She does not want to talk
to me.

595
00:27:21,223 --> 00:27:23,058
That depends on what
you have to say.

596
00:27:23,058 --> 00:27:25,477
I have nothing to say.

597
00:27:25,477 --> 00:27:29,815
Shaun, Lim is hurting,
okay?

598
00:27:29,815 --> 00:27:31,608
You are hurting.

599
00:27:33,151 --> 00:27:34,611
Tell her that.

600
00:27:34,611 --> 00:27:36,154
I mean, maybe --
maybe she'll forgive you.

601
00:27:36,154 --> 00:27:37,155
Maybe --
Maybe she won't.

602
00:27:37,155 --> 00:27:39,449
I don't know.

603
00:27:39,449 --> 00:27:41,910
But the two of you
have to resolve this

604
00:27:41,910 --> 00:27:44,037
for both of your sakes
and mine.

605
00:27:44,037 --> 00:27:51,920
♪♪

606
00:27:51,920 --> 00:27:55,591
Dr. Lim and I have
a professional relationship.

607
00:27:55,591 --> 00:27:57,217
I do not need
to talk to her.

608
00:27:57,217 --> 00:27:58,844
I have to finish
my op note now.

609
00:27:58,844 --> 00:28:08,812
♪♪

610
00:28:08,812 --> 00:28:12,065
I've never done a splenectomy
that way either.

611
00:28:12,065 --> 00:28:15,152
Cool surgery,
not the coolest circumstances.

612
00:28:18,614 --> 00:28:20,449
Our patient went through
something terrible

613
00:28:20,449 --> 00:28:22,910
and my initial reaction
was to judge her...

614
00:28:22,910 --> 00:28:25,454
same way people judge me.

615
00:28:25,454 --> 00:28:27,080
Don't beat yourself up.

616
00:28:27,080 --> 00:28:27,998
You didn't know.

617
00:28:31,126 --> 00:28:33,170
You're a good friend.

618
00:28:33,170 --> 00:28:34,046
I know.

619
00:28:34,046 --> 00:28:36,173
[ Chuckles ]

620
00:28:38,759 --> 00:28:41,011
But...

621
00:28:41,011 --> 00:28:45,432
I've been waiting
to be more than that,

622
00:28:45,432 --> 00:28:47,392
and I don't think
I should do that anymore.

623
00:28:49,770 --> 00:28:51,730
I'm gonna take a rain check
on research

624
00:28:51,730 --> 00:28:54,274
and reschedule my date.

625
00:28:54,274 --> 00:28:57,110
I think that's good.

626
00:28:58,362 --> 00:28:59,696
You deserve
to be happy.

627
00:29:03,492 --> 00:29:05,285
[ Cellphone dings ]

628
00:29:06,828 --> 00:29:08,330
I have to go
prep Toni.

629
00:29:08,330 --> 00:29:13,543
♪♪

630
00:29:13,543 --> 00:29:16,129
[ Monitor beeping ]

631
00:29:20,050 --> 00:29:23,553
I owe you an apology
for pressuring you.

632
00:29:29,101 --> 00:29:30,560
I didn't do
a rape kit.

633
00:29:33,188 --> 00:29:35,273
And I've always
regretted it.

634
00:29:37,484 --> 00:29:39,695
And I didn't want you
to feel the same.

635
00:29:42,114 --> 00:29:44,116
[ Sighs ]

636
00:29:54,835 --> 00:29:58,005
I was in medical school.

637
00:29:58,005 --> 00:30:01,842
He was a friend
of a friend.

638
00:30:01,842 --> 00:30:05,929
Somewhere along the way,
he became a stalker.

639
00:30:05,929 --> 00:30:09,766
One night he showed up
at a bar I was at.

640
00:30:09,766 --> 00:30:13,437
He followed me home.

641
00:30:13,437 --> 00:30:15,731
I hated the idea of being seen
as a victim...

642
00:30:18,442 --> 00:30:20,277
...so I never told anyone.

643
00:30:20,277 --> 00:30:27,617
♪♪

644
00:30:27,617 --> 00:30:34,750
♪♪

645
00:30:34,750 --> 00:30:38,462
I let that creep go.

646
00:30:38,462 --> 00:30:42,966
And now I'll never know
how many other women he hurt.

647
00:30:45,343 --> 00:30:47,054
But that's my regret.

648
00:30:49,056 --> 00:30:50,849
And it's not fair
to put that on you.

649
00:30:50,849 --> 00:31:00,192
♪♪

650
00:31:00,192 --> 00:31:01,777
[ Breathing heavily ]

651
00:31:01,777 --> 00:31:03,779
[ Sniffles ]

652
00:31:03,779 --> 00:31:12,579
♪♪

653
00:31:12,579 --> 00:31:14,581
[ Crying ]

654
00:31:14,581 --> 00:31:20,921
♪♪

655
00:31:20,921 --> 00:31:27,344
♪♪

656
00:31:27,344 --> 00:31:29,137
I knew he liked me.

657
00:31:32,808 --> 00:31:35,477
I should have
made sure

658
00:31:35,477 --> 00:31:38,188
that he knew
it wasn't a date.

659
00:31:39,898 --> 00:31:41,399
I shouldn't have had
a drink.

660
00:31:41,399 --> 00:31:42,984
I...

661
00:31:45,821 --> 00:31:47,948
I don't even know

662
00:31:47,948 --> 00:31:50,575
if I told him to stop.

663
00:31:50,575 --> 00:31:57,207
♪♪

664
00:31:57,207 --> 00:31:58,208
What if I didn't?

665
00:31:58,208 --> 00:32:02,295
It is not your fault.

666
00:32:02,295 --> 00:32:04,256
He took away
your choice.

667
00:32:04,256 --> 00:32:09,928
And now you have to do
what's best for you,

668
00:32:09,928 --> 00:32:12,013
whatever that is.

669
00:32:13,098 --> 00:32:15,934
Toni,
time for surgery.

670
00:32:15,934 --> 00:32:21,565
♪♪

671
00:32:21,565 --> 00:32:22,774
Not yet.

672
00:32:22,774 --> 00:32:28,029
♪♪

673
00:32:28,029 --> 00:32:29,990
There's still
a little swelling,

674
00:32:29,990 --> 00:32:31,575
but you'll have
minimal scarring.

675
00:32:38,623 --> 00:32:40,167
They're gone.

676
00:32:40,167 --> 00:32:42,919
Now those glasses
will stay put.

677
00:32:42,919 --> 00:32:45,380
Nice job with my braids.

678
00:32:45,380 --> 00:32:46,464
Wasn't me.

679
00:32:48,216 --> 00:32:51,636
Always wanted a daughter,
so I learned to braid.

680
00:32:51,636 --> 00:32:54,556
Well, you might've found
a nice side hustle.

681
00:32:54,556 --> 00:32:56,266
[ Chuckles ]

682
00:32:58,560 --> 00:32:59,936
[ Sighs ]

683
00:32:59,936 --> 00:33:01,396
Thank you,
Dr. Andrews.

684
00:33:03,440 --> 00:33:05,108
You're welcome.

685
00:33:05,108 --> 00:33:11,281
♪♪

686
00:33:11,281 --> 00:33:17,412
♪♪

687
00:33:17,412 --> 00:33:19,539
Are you okay
to continue?

688
00:33:19,539 --> 00:33:20,707
Yes.

689
00:33:20,707 --> 00:33:26,254
♪♪

690
00:33:26,254 --> 00:33:31,801
♪♪

691
00:33:31,801 --> 00:33:33,136
Are you okay
to continue?

692
00:33:36,473 --> 00:33:37,515
Yes.

693
00:33:37,515 --> 00:33:41,228
♪♪

694
00:33:41,228 --> 00:33:43,271
[ Camera shutter clicks,
camera whirs ]

695
00:33:43,271 --> 00:33:46,149
♪♪

696
00:33:46,149 --> 00:33:48,693
[ Camera shutter clicks,
camera whirs ]
Nurse: [ Echoing ]
Are you okay to continue?

697
00:33:48,693 --> 00:33:50,695
[ Camera shutter clicks,
camera whirs ]

698
00:33:50,695 --> 00:33:52,113
♪♪

699
00:33:52,113 --> 00:33:54,115
Are you okay to continue?

700
00:33:54,115 --> 00:33:59,621
♪♪

701
00:33:59,621 --> 00:34:01,122
Are you okay to continue?

702
00:34:05,919 --> 00:34:08,046
Are you okay to continue?

703
00:34:08,046 --> 00:34:10,465
[ Camera shutter clicks,
camera whirs ]

704
00:34:10,465 --> 00:34:13,218
Naveen, in the process
of removing the towel,

705
00:34:13,218 --> 00:34:15,637
we also had to take
your uterus.

706
00:34:17,889 --> 00:34:19,766
We're so sorry.

707
00:34:19,766 --> 00:34:21,518
There was no other way?

708
00:34:21,518 --> 00:34:23,853
[ Sighs ]

709
00:34:25,480 --> 00:34:27,941
Yes,
but I told them...

710
00:34:27,941 --> 00:34:30,777
I told them to do it.

711
00:34:30,777 --> 00:34:33,280
I needed you to survive.

712
00:34:33,280 --> 00:34:35,865
Because you mean everything
to me.

713
00:34:35,865 --> 00:34:37,909
And I failed at
my most important job --

714
00:34:37,909 --> 00:34:40,203
keeping you safe.

715
00:34:40,203 --> 00:34:42,706
I failed you five years ago
in the O. R.

716
00:34:42,706 --> 00:34:44,958
and again yesterday.

717
00:34:44,958 --> 00:34:47,585
I was so focused
on defending myself,

718
00:34:47,585 --> 00:34:49,838
I wasn't thinking about
what you were going through,

719
00:34:49,838 --> 00:34:50,714
how scared you were.

720
00:34:50,714 --> 00:34:52,424
And I'm so, so sorry.

721
00:34:52,424 --> 00:34:54,301
Whatever you need,
if -- if you want me here

722
00:34:54,301 --> 00:34:57,220
every step of the way,
or...

723
00:34:57,220 --> 00:34:58,722
out of the picture
completely...

724
00:35:02,434 --> 00:35:04,728
You better be here
every step of the way...

725
00:35:07,022 --> 00:35:10,275
...because I love you
more than anything, too.

726
00:35:10,275 --> 00:35:15,947
♪♪

727
00:35:15,947 --> 00:35:18,033
I'm sorry.

728
00:35:18,033 --> 00:35:21,077
♪♪

729
00:35:29,127 --> 00:35:30,754
How's she doing?

730
00:35:30,754 --> 00:35:32,964
Surgery went well.

731
00:35:32,964 --> 00:35:34,674
Her platelet count is turning
in the right direction.

732
00:35:34,674 --> 00:35:36,676
Good.

733
00:35:36,676 --> 00:35:38,094
And beyond
the physical?

734
00:35:38,094 --> 00:35:40,555
Too early to tell.

735
00:35:40,555 --> 00:35:41,931
Recovery's a process.

736
00:35:44,976 --> 00:35:48,146
All that time
we were together,

737
00:35:48,146 --> 00:35:49,606
why didn't you tell me?

738
00:35:53,485 --> 00:35:55,904
Because I don't need
anyone's pity,

739
00:35:55,904 --> 00:35:57,155
yours included.

740
00:35:59,658 --> 00:36:00,992
It's in the past.

741
00:36:04,412 --> 00:36:08,958
What you did for Toni,
that was really brave.

742
00:36:11,670 --> 00:36:15,715
I'm here if you ever need
someone to be brave for you.

743
00:36:18,760 --> 00:36:20,512
Thank you.

744
00:36:20,512 --> 00:36:28,937
♪♪

745
00:36:32,065 --> 00:36:37,654
I need to talk to you
about your surgery.

746
00:36:37,654 --> 00:36:40,240
I can't change
what happened,

747
00:36:40,240 --> 00:36:42,784
and I do not owe you
an apology.

748
00:36:42,784 --> 00:36:43,785
Dr. Murphy.

749
00:36:43,785 --> 00:36:48,331
But I am sorry
for other things.

750
00:36:49,874 --> 00:36:55,296
In my RSI surgery today,
the medical choice was clear,

751
00:36:55,296 --> 00:36:57,132
but I did not
want to proceed

752
00:36:57,132 --> 00:37:01,219
because I knew what
the consequences would be.

753
00:37:01,219 --> 00:37:03,805
In your surgery,
the medical choice was clear,

754
00:37:03,805 --> 00:37:07,684
and I did proceed,

755
00:37:07,684 --> 00:37:13,022
but I did not know
what the consequences would be.

756
00:37:15,108 --> 00:37:16,526
I saved your life,

757
00:37:16,526 --> 00:37:22,532
but my decision
also caused you harm.

758
00:37:22,532 --> 00:37:26,453
When I saw you hurt
and bleeding...

759
00:37:28,955 --> 00:37:33,293
...I saw my brother Steve,
when he died.

760
00:37:33,293 --> 00:37:35,170
When I thought
I might lose you

761
00:37:35,170 --> 00:37:38,465
the way I lost him,
I did not like that.

762
00:37:38,465 --> 00:37:44,804
♪♪

763
00:37:44,804 --> 00:37:48,183
I am sorry...

764
00:37:48,183 --> 00:37:50,602
this...

765
00:37:50,602 --> 00:37:53,605
has been very hard
for you.

766
00:37:55,565 --> 00:38:00,236
A medicine-only relationship
is -- is not easy.

767
00:38:00,236 --> 00:38:02,947
I...

768
00:38:02,947 --> 00:38:04,949
It is not what I want.

769
00:38:06,868 --> 00:38:09,287
I have missed
your friendship.

770
00:38:09,287 --> 00:38:14,292
♪♪

771
00:38:14,292 --> 00:38:16,377
I have missed you.

772
00:38:16,377 --> 00:38:18,004
[ Breathes shakily ]

773
00:38:19,756 --> 00:38:21,841
This has been...

774
00:38:24,803 --> 00:38:26,513
...really hard.

775
00:38:28,640 --> 00:38:30,433
[ Sniffles ]

776
00:38:30,433 --> 00:38:32,227
And my life is in
a good place now.

777
00:38:34,604 --> 00:38:36,189
I'm happy.

778
00:38:38,858 --> 00:38:41,528
But [sniffles]

779
00:38:41,528 --> 00:38:45,490
still angry
sometimes.

780
00:38:45,490 --> 00:38:48,409
It may take a while
to let that go.

781
00:38:52,413 --> 00:38:53,373
But...

782
00:38:57,126 --> 00:38:58,753
...I've missed you,
too, Shaun.

783
00:38:58,753 --> 00:39:05,343
♪♪

784
00:39:05,343 --> 00:39:08,388
Hey.

785
00:39:08,388 --> 00:39:11,850
You know, I love being the boss,
but connecting with patients

786
00:39:11,850 --> 00:39:14,435
is the reason I got into
medicine in the first place.

787
00:39:14,435 --> 00:39:17,605
And you made me
remember that.

788
00:39:17,605 --> 00:39:18,690
Thank you.

789
00:39:18,690 --> 00:39:20,233
You're welcome.

790
00:39:24,529 --> 00:39:26,906
Could I buy you a drink

791
00:39:26,906 --> 00:39:29,909
as an apology
for being a pompous ass?

792
00:39:29,909 --> 00:39:31,578
[ Elevator bell dings ]
No.

793
00:39:33,913 --> 00:39:36,207
Unless you throw in
some wings and fries.

794
00:39:37,792 --> 00:39:39,043
Tough negotiator.

795
00:39:39,043 --> 00:39:40,295
You know it.

796
00:39:40,295 --> 00:39:44,007
♪♪

797
00:39:45,925 --> 00:39:48,595
Shaun came to see me.

798
00:39:48,595 --> 00:39:50,763
We talked.

799
00:39:50,763 --> 00:39:52,140
Thank you.

800
00:39:52,140 --> 00:39:53,433
You're welcome.

801
00:39:55,184 --> 00:39:56,436
Join me?

802
00:39:56,436 --> 00:39:58,938
I'm sure we can find
some cucumber water

803
00:39:58,938 --> 00:40:00,732
around here somewhere.

804
00:40:00,732 --> 00:40:02,025
Late dinner with Clay.

805
00:40:04,903 --> 00:40:06,654
Good night.

806
00:40:06,654 --> 00:40:11,618
♪♪

807
00:40:11,618 --> 00:40:16,789
♪♪

808
00:40:16,789 --> 00:40:17,540
Hey.

809
00:40:17,540 --> 00:40:19,292
Hey.

810
00:40:26,758 --> 00:40:28,051
Good night.

811
00:40:31,804 --> 00:40:38,853
♪♪

812
00:40:38,853 --> 00:40:45,944
♪♪

813
00:40:45,944 --> 00:40:47,278
What was that?

814
00:40:49,697 --> 00:40:51,449
I don't know.

815
00:40:51,449 --> 00:40:56,788
♪♪

816
00:40:56,788 --> 00:41:02,502
♪♪

817
00:41:02,502 --> 00:41:04,379
You're back.
Yes.

818
00:41:04,379 --> 00:41:07,382
You told me I was isolating
myself in my other office.

819
00:41:07,382 --> 00:41:09,550
Shaun, there's something
you should know.

820
00:41:09,550 --> 00:41:13,680
Lim, when she was in her chair
and adjusted her position,

821
00:41:13,680 --> 00:41:16,891
there was flexion and rotation
in the psoas and in the glutes.

822
00:41:16,891 --> 00:41:19,894
There was movement.

823
00:41:19,894 --> 00:41:23,523
She could walk again.

824
00:41:23,523 --> 00:41:31,531
♪♪

825
00:41:41,374 --> 00:41:50,633
♪♪

826
00:41:50,633 --> 00:42:00,226
♪♪

827
00:42:00,226 --> 00:42:09,652
♪♪