1 00:00:00,430 --> 00:00:03,088 [GREY] When my mother was diagnosed with Alzheimer's disease, 2 00:00:03,226 --> 00:00:04,699 her cousin said she must've gotten 3 00:00:04,723 --> 00:00:06,195 it because she didn't take fish oil. 4 00:00:06,333 --> 00:00:11,313 I picked up everything on the list, except they ran out of Dijon, 5 00:00:11,338 --> 00:00:14,038 so, I got whole grain instead, which... 6 00:00:14,062 --> 00:00:16,801 Yeah, I know... is inferior, but... 7 00:00:16,826 --> 00:00:17,906 [♪ "WISH YOU WELL" PLAYING ♪] 8 00:00:18,078 --> 00:00:19,735 - Who are you? - [WILSON] Hey. 9 00:00:19,873 --> 00:00:21,909 Hey, you're, uh, back early. 10 00:00:21,934 --> 00:00:23,767 Yeah, I decided to do the groceries first 11 00:00:23,792 --> 00:00:25,302 and pick up your car after. Who's this? 12 00:00:25,327 --> 00:00:30,194 That's Elroy, the contractor I hired to babyproof for us. 13 00:00:30,219 --> 00:00:31,433 These stairs aren't safe. 14 00:00:31,912 --> 00:00:32,913 Naked sides. 15 00:00:33,799 --> 00:00:34,835 Don't worry. 16 00:00:35,355 --> 00:00:36,701 - I can fix them. - [WILSON] Okay. 17 00:00:37,062 --> 00:00:38,340 I told you I was gonna do that. 18 00:00:38,365 --> 00:00:40,480 Yeah, back when Scout and Luna were babies, 19 00:00:40,505 --> 00:00:42,196 and now we have two more babies. 20 00:00:42,921 --> 00:00:44,164 - [SCOFFS] - [PHONE CHIMES] 21 00:00:45,645 --> 00:00:48,711 My patient with a myoelectric prosthesis was just brought into the ER. 22 00:00:48,736 --> 00:00:50,117 Mountain bike accident. 23 00:00:50,981 --> 00:00:53,417 - I should go. - Wait, wait, wait. What about my car? 24 00:00:54,396 --> 00:00:55,742 Ask Elroy. 25 00:00:58,034 --> 00:00:59,947 [GREY] Her neighbor thought it was because my mother, 26 00:00:59,972 --> 00:01:03,667 a world renowned surgeon, didn't do enough crossword puzzles. 27 00:01:04,105 --> 00:01:06,107 ♪ Just where I'm gonna go ♪ 28 00:01:08,363 --> 00:01:09,433 [KWAN MOANS] 29 00:01:11,632 --> 00:01:13,979 Is this your way of thanking me for the coffee? 30 00:01:14,004 --> 00:01:16,409 I'm stressed about the MandM. 31 00:01:16,805 --> 00:01:18,428 Well, I am ready to help. 32 00:01:19,302 --> 00:01:21,822 ♪ Under the pressure they say I'm gonna break ♪ 33 00:01:21,960 --> 00:01:22,960 [GRUNTS] 34 00:01:23,065 --> 00:01:24,928 [PHONE BUZZING] 35 00:01:26,350 --> 00:01:28,562 [GROANS] Shepherd. I'm on her service. 36 00:01:28,587 --> 00:01:30,324 ♪ Out here trying to get something worth having ♪ 37 00:01:30,348 --> 00:01:32,108 ♪ Ain't gonna happen here ♪ 38 00:01:32,246 --> 00:01:33,456 You better go. 39 00:01:33,481 --> 00:01:38,275 I'll ask her if I can sneak away to come watch, but if not, good luck. 40 00:01:39,201 --> 00:01:40,892 [GREY] I told them to shove it. 41 00:01:41,117 --> 00:01:44,431 They always want to cast blame, something to fear and avoid. 42 00:01:45,625 --> 00:01:47,144 But the only thing to blame... 43 00:01:48,229 --> 00:01:49,230 is everything. 44 00:01:51,136 --> 00:01:53,478 [STAMMERS, GASPS] Bless you. Oh. 45 00:01:53,503 --> 00:01:56,161 You left out the door so early, I figured you needed a pick-me-up. 46 00:01:56,408 --> 00:01:58,834 Well, I thought keeping busy would take my mind off things, 47 00:01:58,859 --> 00:02:01,931 but... it just means I'm tired and hangry. 48 00:02:01,956 --> 00:02:03,587 Yeah. How's Katie doing? 49 00:02:04,351 --> 00:02:06,290 [SIGHS] I'm waiting for her labs, 50 00:02:06,315 --> 00:02:12,158 but I'm guessing she has carcinomatosis and a partial obstruction. 51 00:02:12,183 --> 00:02:14,723 - Well, how often are they draining her? - Twice a day. 52 00:02:14,748 --> 00:02:17,244 [GROANS] Okay, well, listen, if there's anything I can do, 53 00:02:17,245 --> 00:02:18,810 - just let me know... - [WEBBER] Warren. 54 00:02:19,705 --> 00:02:21,776 - You're with me. - [SIGHS] 55 00:02:21,985 --> 00:02:24,860 Okay, go. I'm okay. [GIGGLES] 56 00:02:24,885 --> 00:02:27,474 - Dr. Bailey. [CHUCKLES] - Welcome back. 57 00:02:28,130 --> 00:02:31,167 First day back in the OR. How's it feel? 58 00:02:31,192 --> 00:02:33,539 Well, I'm working with my chief resident. 59 00:02:33,564 --> 00:02:35,057 I have an MandM later today, 60 00:02:35,058 --> 00:02:37,993 and the cafeteria is serving shepherd's pie. 61 00:02:38,113 --> 00:02:39,183 Feels like Christmas. 62 00:02:40,556 --> 00:02:42,154 Well, wait till you see our first consult. 63 00:02:42,178 --> 00:02:43,524 [WEBBER] Good morning. 64 00:02:43,775 --> 00:02:46,778 Oh, Russell, this is Dr. Webber and Dr. Warren. 65 00:02:46,803 --> 00:02:48,471 - These are the headliners. - [BOTH CHUCKLE] 66 00:02:48,495 --> 00:02:50,221 Russell's a community theater director. 67 00:02:50,246 --> 00:02:51,817 Right now, he's putting up a production of Hamlet. 68 00:02:51,842 --> 00:02:54,993 "When sorrows come, they come not single spies"... 69 00:02:55,018 --> 00:02:56,744 ... "but in battalions." 70 00:02:56,769 --> 00:02:59,446 - Yes, okay. [LAUGHING] - Yeah. [LAUGHS] 71 00:02:59,471 --> 00:03:02,750 You would demote my Claudius to an understudy. 72 00:03:02,775 --> 00:03:04,722 - Hamlet's my favorite Shakespeare. - Mmm. 73 00:03:04,747 --> 00:03:07,232 - Um, Dr. Meade? - Much Ado About Nothing. 74 00:03:07,869 --> 00:03:09,353 He wants you to present the case. 75 00:03:09,878 --> 00:03:11,340 Right. Sorry, um... 76 00:03:11,982 --> 00:03:15,186 "Russell West, 34, with history of beta thalassemia 77 00:03:15,211 --> 00:03:17,731 with blood transfusions every three months for anemia. 78 00:03:17,863 --> 00:03:21,158 Admitted for splenic sequestration crisis two weeks ago." 79 00:03:21,183 --> 00:03:23,737 His abdomen has been getting increasingly distended. 80 00:03:23,875 --> 00:03:26,257 Uh, we're consulting today for a splenectomy. 81 00:03:26,395 --> 00:03:28,983 I thought I was just gaining a little weight... [CHUCKLES] 82 00:03:29,121 --> 00:03:31,572 ... but then my stomach just kept getting bigger and bigger. 83 00:03:31,710 --> 00:03:33,342 - Can I take a look? - Yeah. 84 00:03:33,367 --> 00:03:34,644 I'll call for an ultrasound. 85 00:03:34,669 --> 00:03:36,630 Oh, let's go old school while we wait. 86 00:03:36,655 --> 00:03:38,313 When was the last time you did percussion? 87 00:03:38,470 --> 00:03:40,717 Uh... [CHUCKLES] 88 00:03:42,756 --> 00:03:45,034 All right, you hear that? It's hollow. That's his lung. 89 00:03:45,586 --> 00:03:49,763 Here. That's dull. That's the spleen from here... 90 00:03:52,115 --> 00:03:53,772 to here. 91 00:03:54,638 --> 00:03:57,261 Your spleen extends from the left upper quadrant 92 00:03:57,286 --> 00:03:59,171 all the way to the right lower quadrant. 93 00:03:59,196 --> 00:04:01,207 It's taking up your entire abdomen. 94 00:04:01,232 --> 00:04:02,854 This needs to come out immediately. 95 00:04:02,879 --> 00:04:05,434 I'm in the middle of tech week. I can't... 96 00:04:05,986 --> 00:04:07,647 Won't it just shrink on its own? 97 00:04:07,672 --> 00:04:09,278 It's unlikely in a case this severe. 98 00:04:09,303 --> 00:04:11,138 Plus, you'd run the risk of rupturing it. 99 00:04:11,163 --> 00:04:12,381 Okay, that sounds bad. 100 00:04:12,406 --> 00:04:14,857 Yeah, really bad. Instant death. 101 00:04:14,882 --> 00:04:16,711 [WARREN CLEARS THROAT] 102 00:04:16,962 --> 00:04:19,113 You... You want to take care of this sooner rather than later. 103 00:04:19,137 --> 00:04:20,989 Dr. Meade can take you for a CT scan 104 00:04:21,013 --> 00:04:23,092 so we can plan a surgical approach. 105 00:04:23,117 --> 00:04:25,222 Yeah, could he do it instead? 106 00:04:25,247 --> 00:04:26,731 [STAMMERS] I'll go with you. 107 00:04:26,756 --> 00:04:27,791 Yeah. 108 00:04:30,229 --> 00:04:32,746 - Well? - It's better than Christmas. 109 00:04:32,771 --> 00:04:34,048 [LAUGHING] 110 00:04:34,073 --> 00:04:35,327 [SOFTLY] ... had been compromised. 111 00:04:35,352 --> 00:04:38,734 We then used 4-0 VICRYL sutures to inset the... 112 00:04:38,759 --> 00:04:40,175 Are you reciting your presentation? 113 00:04:41,124 --> 00:04:42,648 You know how when you lie, your cheeks 114 00:04:42,672 --> 00:04:44,631 get flushed and your voice gets all high? 115 00:04:45,059 --> 00:04:47,890 You do both of those things, and so do I when I give presentations, 116 00:04:47,915 --> 00:04:51,919 and I also sweat and sometimes faint. 117 00:05:00,547 --> 00:05:01,944 [NDUGU SIGHS] 118 00:05:03,319 --> 00:05:05,814 - Interesting case? - Your sternal reconstruction patient. 119 00:05:06,058 --> 00:05:07,128 Scott Hill? 120 00:05:07,392 --> 00:05:09,187 Beckman's out. Someone has to check on him. 121 00:05:09,212 --> 00:05:12,802 Well, Dr. Wright is supposed to be attempting another flap tomorrow. 122 00:05:13,881 --> 00:05:16,667 - Hope it takes. - [ELEVATOR DINGS] 123 00:05:16,692 --> 00:05:18,003 See you at the MandM. 124 00:05:21,331 --> 00:05:22,577 It'll be fine. 125 00:05:23,228 --> 00:05:26,386 I've successfully avoided him after lying to help his patient. 126 00:05:26,411 --> 00:05:29,764 Oh, that was weeks ago. He's probably forgotten. 127 00:05:31,347 --> 00:05:33,038 You truly are a terrible liar. 128 00:05:36,414 --> 00:05:38,761 Sorry for interrupting your parental leave. 129 00:05:38,786 --> 00:05:40,271 Was Jo annoyed? 130 00:05:40,460 --> 00:05:42,220 Yeah, but not because of that. 131 00:05:42,924 --> 00:05:44,305 Oh, here they are. 132 00:05:45,327 --> 00:05:48,295 Okay, "Jon Ellison, 40. Status post-mountain biking accident. 133 00:05:48,320 --> 00:05:50,203 No LOC or signs of head trauma. 134 00:05:50,341 --> 00:05:53,595 He has bruising on his chest, and X-rays show multiple rib fractures. 135 00:05:53,620 --> 00:05:55,691 He had targeted muscle reinnervation surgery 136 00:05:55,716 --> 00:05:57,716 a few months ago for an advanced arm prosthesis"... 137 00:05:57,753 --> 00:05:58,753 I know. I did it. 138 00:05:58,857 --> 00:06:00,514 After I amputated his arm. 139 00:06:00,539 --> 00:06:01,609 Jon. 140 00:06:01,805 --> 00:06:02,806 Pauline. 141 00:06:03,493 --> 00:06:04,493 What happened? 142 00:06:04,518 --> 00:06:06,253 I was training at Tiger Mountain. 143 00:06:06,278 --> 00:06:07,772 The hand just let go. 144 00:06:07,797 --> 00:06:09,351 I lost my balance and fell. 145 00:06:09,376 --> 00:06:11,256 He crashed straight into a boulder. 146 00:06:11,525 --> 00:06:12,945 Tell 'em about the last time. 147 00:06:12,969 --> 00:06:15,080 Yeah, it did the same thing last month. 148 00:06:15,218 --> 00:06:16,984 I sideswiped a tree and almost missed 149 00:06:17,008 --> 00:06:18,996 qualifying for the World Championships. 150 00:06:19,021 --> 00:06:21,092 - When's the competition? - Three months. 151 00:06:21,121 --> 00:06:23,892 I can still compete though, right? I'm up for sponsorships. 152 00:06:23,917 --> 00:06:25,618 The nerve we rerouted to your upper arm 153 00:06:25,643 --> 00:06:28,162 should be sending precise signals to your hand. 154 00:06:28,187 --> 00:06:29,787 We'll get some scans. We'll check it out. 155 00:06:29,992 --> 00:06:31,752 Kwan, call CT. Let 'em know we're coming. 156 00:06:31,777 --> 00:06:32,813 Yeah. 157 00:06:36,547 --> 00:06:37,755 What are we playing? 158 00:06:38,096 --> 00:06:39,270 Five-card stud. 159 00:06:39,463 --> 00:06:41,707 - You play? - Uh, not anymore. 160 00:06:42,404 --> 00:06:45,396 But I ran a weekly poker night in med school. 161 00:06:45,534 --> 00:06:47,881 - Were you any good? - Graduated debt-free. 162 00:06:47,906 --> 00:06:50,046 [CHUCKLES, COUGHS] 163 00:06:50,411 --> 00:06:51,550 How are you feeling today? 164 00:06:51,575 --> 00:06:53,197 They drained another liter this morning. 165 00:06:53,222 --> 00:06:56,476 She's still nauseous. We asked for ice chips 30 minutes ago. 166 00:06:56,501 --> 00:06:59,711 Oh, it must have gotten lost in the morning handoff. 167 00:06:59,736 --> 00:07:02,896 - I'll get them myself. - Can you grab some for my mom too? 168 00:07:03,034 --> 00:07:05,830 - She needs to chill. - You see how she treats me? 169 00:07:05,972 --> 00:07:07,560 [BAILEY, MOTHER CHUCKLE] 170 00:07:10,808 --> 00:07:13,155 Uh, I'll... I'll get you those ice chips. 171 00:07:16,407 --> 00:07:17,684 How bad? 172 00:07:18,420 --> 00:07:20,673 [SIGHS] Katie's creatinine is elevated, albumin low. 173 00:07:20,698 --> 00:07:25,047 Her AST, ALT, and INR are... through the roof. 174 00:07:25,944 --> 00:07:27,702 She's in multiple organ failure. 175 00:07:28,104 --> 00:07:30,659 The TPN is too hard on her liver. 176 00:07:31,208 --> 00:07:33,003 It's the only thing giving her nutrition. 177 00:07:37,094 --> 00:07:38,958 Call palliative care. 178 00:07:41,637 --> 00:07:46,637 - Synced and corrected by ChrisKe - -- for www.addic7ed.com -- 179 00:07:55,990 --> 00:07:57,405 [SIGHS] I thought I was late. 180 00:07:57,769 --> 00:08:00,246 Bailey does not need another reason to yell at me. 181 00:08:00,680 --> 00:08:02,268 - Hey, how's Katie? - Yes. 182 00:08:03,718 --> 00:08:08,067 Her INR is getting worse. She needs two more units of FFP. Correct. 183 00:08:09,261 --> 00:08:10,783 - Thank you. - [PHONE BEEPS] 184 00:08:10,808 --> 00:08:13,121 Katie? What, is her liver failing? 185 00:08:13,664 --> 00:08:15,010 What did the repeat scans show? 186 00:08:19,437 --> 00:08:21,899 [SIGHS] She doesn't know yet. We're gonna tell her after the MandM. 187 00:08:21,923 --> 00:08:22,923 I wanna be there. 188 00:08:23,073 --> 00:08:25,041 You are not part of her care team. 189 00:08:25,469 --> 00:08:27,471 Do I need to write you a reminder? 190 00:08:29,358 --> 00:08:31,977 Hi. Good morning, everyone. 191 00:08:32,002 --> 00:08:33,728 Are we ready to begin? 192 00:08:34,077 --> 00:08:36,355 - Dr. Millin? - Yes. 193 00:08:41,908 --> 00:08:45,818 Uh, Scott Hill, age 73, presented four months ago 194 00:08:45,843 --> 00:08:48,052 with shortness of breath and chest pain. 195 00:08:49,502 --> 00:08:53,377 See what I told you? The spleen has taken over the entire abdomen. 196 00:08:53,402 --> 00:08:55,759 It has sequestered so much of his blood supply. 197 00:08:55,784 --> 00:08:58,338 I mean, how would you even mobilize that? 198 00:08:59,461 --> 00:09:00,669 You tell me. 199 00:09:01,627 --> 00:09:03,008 Uh, well, um... 200 00:09:03,033 --> 00:09:06,503 If it were a smaller spleen, I would enter the lesser sac, 201 00:09:06,528 --> 00:09:09,083 take down attachments, and medially rotate it 202 00:09:09,108 --> 00:09:12,065 to access the pedicle, but this... 203 00:09:12,204 --> 00:09:13,627 Yeah, I have no clue. 204 00:09:13,652 --> 00:09:15,993 Plus, once we're in there, one nick to the organ 205 00:09:16,018 --> 00:09:17,538 and Russell could bleed out in seconds. 206 00:09:19,566 --> 00:09:21,292 When I was a resident, 207 00:09:21,438 --> 00:09:25,084 I scrubbed in on a liver teratoma I thought was impossible to resect. 208 00:09:26,056 --> 00:09:28,033 But I had an attending, Dr. Rathbone, 209 00:09:28,058 --> 00:09:30,825 who did a total vascular exclusion of the liver 210 00:09:30,925 --> 00:09:32,591 to create a bloodless field. 211 00:09:32,616 --> 00:09:36,298 It was brilliant, and it taught me to always keep an open mind. 212 00:09:37,050 --> 00:09:40,053 I saved a piece of that tumor in a jar for years after. 213 00:09:41,005 --> 00:09:44,353 Maybe after this you can, uh, save a piece of Russell's spleen, huh? 214 00:09:44,378 --> 00:09:46,998 [SCOFFS] Do I have to? 215 00:09:48,068 --> 00:09:50,296 Okay, let's take a page from Rathbone's playbook. 216 00:09:50,321 --> 00:09:53,748 Let's call IR, have them embolize the splenic artery, 217 00:09:53,773 --> 00:09:55,406 then we'll open him up and see what we got. 218 00:09:55,430 --> 00:09:57,545 Uh, what about the MandM? We're already late. 219 00:09:57,570 --> 00:09:59,814 No, MandMs happen every week. 220 00:10:00,958 --> 00:10:03,029 But a spleen like this? 221 00:10:03,655 --> 00:10:05,760 It happens once in a lifetime. 222 00:10:05,905 --> 00:10:11,007 We then used interrupted 4-0 VICRYL sutures to inset the omental flap. 223 00:10:11,055 --> 00:10:13,264 You can see the healthy flap here. 224 00:10:13,289 --> 00:10:18,559 Did his pre-op scans show any sign for concern about pedicle tension? 225 00:10:18,584 --> 00:10:20,706 No, the team agreed that the distance 226 00:10:20,731 --> 00:10:23,631 between the epigastrium and the superior sternum was acceptable. 227 00:10:23,769 --> 00:10:26,204 And at this point, "the team" was... 228 00:10:26,229 --> 00:10:27,782 Me and Dr. Mohanty. 229 00:10:27,807 --> 00:10:30,060 You had finished harvesting the omentum, 230 00:10:30,085 --> 00:10:32,994 and Dr. Wright and Dr. Warren were needed on another case. 231 00:10:33,019 --> 00:10:35,742 So, the, uh, the changes in the flap's appearance 232 00:10:35,743 --> 00:10:37,541 progressed rapidly post-op. 233 00:10:37,566 --> 00:10:41,211 As you can see here, uh, it is dark and swollen. 234 00:10:41,236 --> 00:10:43,098 Did you check Doppler flow after inset? 235 00:10:43,123 --> 00:10:46,453 - Yes, there was biphasic signal. - And which one of you did that? 236 00:10:47,597 --> 00:10:50,874 Well, we can both confirm that there was a... signal. 237 00:10:50,899 --> 00:10:53,246 When we realized there was no blood flow to the flap... 238 00:10:53,271 --> 00:10:57,476 I'm sorry, so the two of you... both... heard the signal? 239 00:10:57,501 --> 00:10:59,676 Were roles clearly defined during the inset? 240 00:10:59,701 --> 00:11:01,392 - I believe so. - You believe so? 241 00:11:02,307 --> 00:11:05,242 Who placed the stitch causing tension around the pedicle? 242 00:11:06,925 --> 00:11:11,377 Look, this patient, my patient, hasn't left the hospital in weeks 243 00:11:11,402 --> 00:11:15,992 due to a gaping hole in his chest, which I believed we had fixed. 244 00:11:16,490 --> 00:11:18,937 He's still here because of someone's negligence 245 00:11:18,962 --> 00:11:21,171 and it sure as hell isn't mine, so... 246 00:11:22,712 --> 00:11:24,368 who placed the stitch? 247 00:11:27,835 --> 00:11:28,836 That's on me. 248 00:11:30,029 --> 00:11:32,238 I should have watched my resident more carefully. 249 00:11:32,602 --> 00:11:35,088 I take full responsibility as her supervisor. 250 00:11:43,805 --> 00:11:48,278 - [PHONE BUZZES] - _ 251 00:11:50,584 --> 00:11:52,517 He is all set. 252 00:11:53,582 --> 00:11:56,353 Would either of you mind if I catch the last part of the MandM? 253 00:11:56,378 --> 00:11:58,079 - Start the scan, Kwan. - We do. 254 00:11:58,104 --> 00:12:01,270 - [PHONE BUZZES] - _ 255 00:12:02,270 --> 00:12:04,041 - Everything okay? - I'm a handy person. 256 00:12:04,728 --> 00:12:06,881 Did I miss the first part of this conversation? 257 00:12:06,906 --> 00:12:10,540 Jo's getting an estimate from a contractor to babyproof our place, 258 00:12:10,565 --> 00:12:13,016 even though I told her I can do it. I want to do it. 259 00:12:14,224 --> 00:12:15,787 Are you sure you still need me here? 260 00:12:15,812 --> 00:12:17,548 The babies can't even roll over on their own. 261 00:12:17,572 --> 00:12:18,892 They're nowhere close to crawling. 262 00:12:18,917 --> 00:12:21,516 We have a minute before the stairs are an actual risk. 263 00:12:21,541 --> 00:12:24,240 So, you'll just wait till Scout and Luna are teenagers? 264 00:12:25,624 --> 00:12:27,281 - Kwan? - Yes, all right, 265 00:12:27,306 --> 00:12:30,629 three right-sided rib fractures. He has a small pneumothorax. 266 00:12:30,654 --> 00:12:32,099 He probably doesn't need a chest tube, 267 00:12:32,124 --> 00:12:33,943 but the muscle in the TMR looks good. 268 00:12:33,968 --> 00:12:35,866 All right, admit him for observation 269 00:12:35,891 --> 00:12:38,623 and then just do a follow-up X-ray with him later today. 270 00:12:39,042 --> 00:12:41,157 I'm sorry you had to come in for rib fractures, 271 00:12:41,182 --> 00:12:43,746 but maybe now you can go home and babyproof. 272 00:12:43,771 --> 00:12:46,014 We should still check the signals to his bionic arm. 273 00:12:46,152 --> 00:12:48,752 I mean, there's no hematoma or bleeding around the nerves in the TMR. 274 00:12:48,776 --> 00:12:49,880 The signals should be fine. 275 00:12:49,905 --> 00:12:51,545 Yeah, but he's still falling off his bike. 276 00:12:52,582 --> 00:12:55,723 Kwan, get Jon back to his room and set up for EMG testing. 277 00:12:55,748 --> 00:12:57,301 - Yeah. - [SHEPHERD] Mm-hmm. 278 00:12:59,318 --> 00:13:01,607 When a pedicle passes through narrow tunnels, 279 00:13:01,608 --> 00:13:03,066 we're essentially working blind. 280 00:13:03,217 --> 00:13:05,869 Uh, Dr. Millin, when you placed the stitch, 281 00:13:05,870 --> 00:13:06,907 did you use a lot of tension? 282 00:13:07,045 --> 00:13:08,805 Excuse me? 283 00:13:08,943 --> 00:13:11,532 I asked if you used a lot of tension when you placed the stitch. 284 00:13:11,557 --> 00:13:13,178 I-I didn't place the stitch. 285 00:13:14,284 --> 00:13:16,015 Dr. Mohanty, did you or did you not 286 00:13:16,039 --> 00:13:17,770 allow Dr. Millin to place the stitch? 287 00:13:17,795 --> 00:13:20,048 She specifically asked to do some of the suturing... 288 00:13:20,073 --> 00:13:23,406 And you said no. Th-This is a huge miscommunication. 289 00:13:23,431 --> 00:13:25,318 [STUTTERS] Are you saying she's lying? 290 00:13:25,951 --> 00:13:27,134 I didn't say that. 291 00:13:27,159 --> 00:13:29,318 But you are denying that it was you. 292 00:13:29,343 --> 00:13:32,277 If you're both saying you didn't place the suture, 293 00:13:32,302 --> 00:13:33,702 one of you is not telling the truth. 294 00:13:34,235 --> 00:13:37,548 I only closed the abdomen. I wasn't anywhere near... the pedicle. 295 00:13:37,573 --> 00:13:41,334 Dr. Millin, admitting your mistakes is an important part to learning. 296 00:13:41,359 --> 00:13:45,209 If you can't own up to them, we've got a much more serious problem. 297 00:13:50,416 --> 00:13:51,452 What the hell was that? 298 00:13:52,276 --> 00:13:54,564 - Dr. Millin. - You placed that stitch, and you know it. 299 00:13:54,589 --> 00:13:55,935 Can we talk about this, please? 300 00:13:55,960 --> 00:13:59,353 Oh, I'm sorry. Do you not want to get dragged in public? 301 00:13:59,378 --> 00:14:01,103 Sometimes MandMs go south. 302 00:14:01,355 --> 00:14:02,770 Everyone knows this. 303 00:14:02,795 --> 00:14:04,387 Is that supposed to be an apology? 304 00:14:04,412 --> 00:14:05,566 You're a resident. 305 00:14:05,591 --> 00:14:07,465 Residents are supposed to make mistakes. 306 00:14:07,490 --> 00:14:09,389 Well, I didn't screw up. 307 00:14:09,414 --> 00:14:12,313 You lied, and I got scorched for it. 308 00:14:12,392 --> 00:14:14,014 I have patients to see. 309 00:14:15,736 --> 00:14:17,623 [BREATHING HEAVILY] 310 00:14:18,352 --> 00:14:21,237 Okay, let me know if you feel any discomfort. 311 00:14:21,262 --> 00:14:22,504 I'm used to it. 312 00:14:22,529 --> 00:14:24,861 Okay, Jon, I want you to imagine your phantom limb 313 00:14:24,886 --> 00:14:26,794 and start opening and closing your hand. 314 00:14:26,819 --> 00:14:29,072 - [SWISHING] - [PAULINE] That's a good sign, right? 315 00:14:29,097 --> 00:14:31,146 Yeah, the muscles are receiving signal. 316 00:14:31,171 --> 00:14:32,380 It's a really good sign. 317 00:14:32,405 --> 00:14:34,284 And how's the prosthesis treating you otherwise? 318 00:14:34,309 --> 00:14:38,175 If I was wearing it, I'd give you a thumbs up or the middle finger. 319 00:14:38,200 --> 00:14:39,581 Depends on my mood. 320 00:14:39,606 --> 00:14:42,409 Oh, he's painted the baby's room and started cooking again. 321 00:14:42,434 --> 00:14:43,742 It's changed his life at home. 322 00:14:43,767 --> 00:14:48,056 I just can't do the one thing I was... really hoping for. 323 00:14:48,081 --> 00:14:50,266 Well, your signals are good. 324 00:14:50,291 --> 00:14:52,707 The TMR is not the problem. 325 00:14:52,732 --> 00:14:56,168 Jon, when you ride, do you experience a high level of stress? 326 00:14:56,193 --> 00:14:58,894 He's dodging trees and jumping rocks 327 00:14:58,919 --> 00:15:00,793 and trying not to fall off the trail. 328 00:15:00,818 --> 00:15:02,208 I actually find it relaxing. 329 00:15:02,233 --> 00:15:04,880 Right, but you're still encountering unexpected obstacles 330 00:15:04,905 --> 00:15:09,137 and... changes in terrain that could cause a reflexive reaction 331 00:15:09,162 --> 00:15:11,459 in the muscles that send signal that could potentially 332 00:15:11,484 --> 00:15:13,124 make your hand do things you don't intend. 333 00:15:13,175 --> 00:15:15,212 - Like let go of the bike? - Exactly. 334 00:15:15,463 --> 00:15:18,501 [SCOFFS] Mountain biking's all about dealing with the unexpected. 335 00:15:18,526 --> 00:15:20,951 If I can't do that, I can't ride, 336 00:15:20,976 --> 00:15:23,920 and that means no sponsorships, no prize money. 337 00:15:23,945 --> 00:15:25,265 - Jon... - And without that money, 338 00:15:25,290 --> 00:15:27,199 we can't afford repairs to my gear, 339 00:15:27,224 --> 00:15:29,191 my training time, part of our mortgage. 340 00:15:29,216 --> 00:15:32,100 I've been working for months to qualify for this race. 341 00:15:32,125 --> 00:15:33,817 Now you're telling me I could lose it all? 342 00:15:33,842 --> 00:15:36,691 If you're getting more exercise, your muscles are getting stronger, 343 00:15:36,716 --> 00:15:40,064 they might be sending a stronger signal than the prosthesis needs. 344 00:15:40,089 --> 00:15:43,008 Let's take a look at that, and we'll go from there. 345 00:15:43,033 --> 00:15:44,068 [SIGHS] 346 00:15:52,119 --> 00:15:53,224 [DOOR OPENS] 347 00:15:53,664 --> 00:15:55,679 Curtis. Up for a visit? 348 00:15:55,704 --> 00:15:56,947 [CHUCKLES] 349 00:15:57,435 --> 00:15:58,954 From the chief? 350 00:15:59,468 --> 00:16:00,952 Anytime. 351 00:16:02,535 --> 00:16:04,295 - How are you? - [SIGHS] 352 00:16:04,434 --> 00:16:07,575 I told the nurses I was cancer-roommates with Richard Webber. 353 00:16:07,713 --> 00:16:10,060 - Suddenly I got extra pillows. - [CHUCKLES] 354 00:16:10,198 --> 00:16:11,786 And unlimited applesauce. 355 00:16:12,244 --> 00:16:14,142 What's a fancy title for? [CHUCKLES] 356 00:16:15,030 --> 00:16:16,791 You just missed my wife and kids. 357 00:16:18,448 --> 00:16:19,897 Really wish you would've met them. 358 00:16:20,035 --> 00:16:21,635 - Yeah, I would've loved that too. - Yeah. 359 00:16:21,805 --> 00:16:22,979 How old are your kids? 360 00:16:23,004 --> 00:16:24,290 Trevor's eight. 361 00:16:24,315 --> 00:16:25,878 - He's my bookworm. - [CHUCKLES] 362 00:16:25,903 --> 00:16:28,319 And, uh, Amani's five. 363 00:16:28,344 --> 00:16:30,200 She's already running around on her bike 364 00:16:30,201 --> 00:16:32,400 like a bat out of hell. [LAUGHS] 365 00:16:32,425 --> 00:16:34,669 - She'll be trouble. - [CHUCKLES] 366 00:16:36,412 --> 00:16:38,552 Now, that's the hardest part of all this. 367 00:16:39,883 --> 00:16:40,884 It's, uh... 368 00:16:42,092 --> 00:16:44,025 leaving them behind. 369 00:16:45,095 --> 00:16:46,476 [NOTIFICATION CHIMES] 370 00:16:52,689 --> 00:16:53,966 Look, I'd... 371 00:16:53,991 --> 00:16:56,837 I'd love to stay, Curtis, but I'm needed in surgery. 372 00:16:57,352 --> 00:16:59,665 Thank you for stopping by, Dr. Webber. 373 00:17:01,351 --> 00:17:02,697 Just Richard. 374 00:17:16,524 --> 00:17:17,733 How long does she have? 375 00:17:17,758 --> 00:17:20,450 If I give you an answer, it... 376 00:17:20,475 --> 00:17:22,304 it's just my best guess. 377 00:17:22,556 --> 00:17:24,247 But I have more energy today. 378 00:17:24,385 --> 00:17:26,387 We removed the NG tube. 379 00:17:26,412 --> 00:17:28,631 I ate a Popsicle without throwing up. 380 00:17:28,656 --> 00:17:30,978 Yeah, it's common to have good days. 381 00:17:31,275 --> 00:17:34,637 Our focus now is on keeping you comfortable 382 00:17:34,662 --> 00:17:38,493 so you can have as many good days as possible. 383 00:17:38,631 --> 00:17:41,496 And if you do in-hospital hospice, we can manage your symptoms 384 00:17:41,521 --> 00:17:43,404 and pain here for as long as you need. 385 00:17:43,530 --> 00:17:45,187 No, I-I need to go home. 386 00:17:46,984 --> 00:17:49,065 I need to... to sleep in my own bed. 387 00:17:49,090 --> 00:17:51,533 I need to eat my own food, and maybe 388 00:17:51,558 --> 00:17:55,174 if we... work with the PT, I'll improve. 389 00:17:55,534 --> 00:17:57,157 Then that's what we'll do. 390 00:17:58,249 --> 00:17:59,526 We... 391 00:17:59,859 --> 00:18:02,828 We can arrange home health and PT, 392 00:18:02,966 --> 00:18:05,555 but you'd only have someone a couple of hours a week, 393 00:18:05,653 --> 00:18:07,251 and you need more support. 394 00:18:07,634 --> 00:18:11,915 If you do in-home hospice care, well, they'll send you someone 24/7, 395 00:18:11,940 --> 00:18:14,840 but it could take a week to get started. 396 00:18:14,865 --> 00:18:17,005 I need to get out of here now. 397 00:18:17,482 --> 00:18:18,932 I need to get better. 398 00:18:18,957 --> 00:18:21,580 I'll take care of her until everything's arranged. 399 00:18:21,947 --> 00:18:26,551 She needs a hospital bed, an oxygen concentrator, a Hoyer lift... 400 00:18:26,576 --> 00:18:28,025 I'll figure it out. 401 00:18:29,244 --> 00:18:31,149 I did it with my mom. 402 00:18:34,894 --> 00:18:37,734 If you do this, Katie will be leaving 403 00:18:37,759 --> 00:18:39,727 against medical advice. 404 00:18:39,752 --> 00:18:41,923 The insurance won't cover everything 405 00:18:41,948 --> 00:18:44,007 she needs at home if she does that. 406 00:18:45,077 --> 00:18:48,839 I've done everything you've asked. 407 00:18:50,605 --> 00:18:55,900 Every scan, every test, every infusion, and here I am. 408 00:18:57,823 --> 00:19:02,172 You... You don't know if I'm dying. 409 00:19:02,447 --> 00:19:04,070 You don't know anything. 410 00:19:04,397 --> 00:19:05,468 If I go home... 411 00:19:07,636 --> 00:19:08,810 I'll get better. 412 00:19:10,006 --> 00:19:11,387 You'll see. 413 00:19:15,210 --> 00:19:16,280 [STAMMERS] 414 00:19:17,696 --> 00:19:21,709 Okay. Then I will talk with social work, 415 00:19:21,734 --> 00:19:23,253 and we'll start the process. 416 00:19:29,031 --> 00:19:31,512 Bailey, are you sure AMA is the right move for Katie? 417 00:19:31,537 --> 00:19:33,712 I most certainly am not. 418 00:19:34,568 --> 00:19:37,104 Look, don't-don't make any moves yet. 419 00:19:37,129 --> 00:19:40,581 I... know someone she might listen to. 420 00:19:44,633 --> 00:19:45,772 Hey, I'm still here. 421 00:19:45,988 --> 00:19:48,693 - Did you read the estimate? - I've been with my patient. 422 00:19:48,718 --> 00:19:51,392 Well, in order to fully babyproof the balcony, 423 00:19:51,417 --> 00:19:53,335 we have to put up a higher enclosure 424 00:19:53,360 --> 00:19:56,441 which costs more than I can say without throwing up. 425 00:19:56,466 --> 00:19:58,261 I told you I... I could do it. 426 00:19:58,399 --> 00:19:59,612 You know, I'm not even sure the HOA 427 00:19:59,636 --> 00:20:01,137 will allow it, so what do you want to do? 428 00:20:01,274 --> 00:20:02,654 Now you want my opinion? 429 00:20:02,679 --> 00:20:04,785 You really wanna get into it again? 430 00:20:04,923 --> 00:20:07,881 - Look, I'm sorry. I should go. - Same. 431 00:20:09,376 --> 00:20:10,411 [SIGHS] 432 00:20:11,033 --> 00:20:12,734 - You gotta go? - No, it's fine. Let's continue. 433 00:20:12,758 --> 00:20:13,898 Okay. 434 00:20:14,036 --> 00:20:16,003 Okay, this should test the grip. 435 00:20:17,061 --> 00:20:18,510 Mm-hmm. 436 00:20:18,648 --> 00:20:21,170 Hmm. And now finger rolls. 437 00:20:23,562 --> 00:20:27,290 It's working well within normal EMG signals, 438 00:20:27,315 --> 00:20:30,061 and he says it works fine when he's not biking, so... 439 00:20:30,086 --> 00:20:32,295 - It's the stress. - Yeah. [SIGHS] 440 00:20:32,839 --> 00:20:34,841 He's done with competitive racing. 441 00:20:38,450 --> 00:20:39,936 That was lunch. 442 00:20:40,240 --> 00:20:41,724 My life is over. 443 00:20:41,926 --> 00:20:44,618 Are your organs failing from stage-four gastric cancer? 444 00:20:44,869 --> 00:20:46,422 It'll work out. 445 00:20:46,447 --> 00:20:47,543 I've been there. 446 00:20:47,568 --> 00:20:49,152 You got kicked out of your last program. 447 00:20:49,177 --> 00:20:50,817 Still worked out. I'm here. 448 00:20:53,351 --> 00:20:56,856 Hey, your girlfriend is not only a sloppy surgeon, she's a liar. 449 00:20:57,348 --> 00:20:58,971 The MandM did not go well. 450 00:20:58,996 --> 00:21:02,068 She blamed me for her crappy suture that killed our patient's flap, 451 00:21:02,093 --> 00:21:04,233 and now none of the attendings will even look at me. 452 00:21:04,258 --> 00:21:06,674 Kavita is not a liar. Both her parents are doctors. 453 00:21:06,812 --> 00:21:08,953 And that makes her immune to being a horrible person? 454 00:21:09,161 --> 00:21:10,886 Hey, wait, she's not a horrible person. 455 00:21:10,911 --> 00:21:12,777 No, you told me to be nice to her, 456 00:21:12,802 --> 00:21:14,959 and I was, and look where that got me. 457 00:21:15,159 --> 00:21:16,574 Thrown under the freaking bus. 458 00:21:17,860 --> 00:21:19,879 - You love the bus. - Kwan. 459 00:21:21,421 --> 00:21:22,907 This isn't a joke. 460 00:21:22,932 --> 00:21:24,658 Hey! This is my career! 461 00:21:25,303 --> 00:21:26,314 And you know what makes it worse, 462 00:21:26,315 --> 00:21:28,872 is that you're automatically taking her side. 463 00:21:30,431 --> 00:21:31,881 Oh... Some friend you are. 464 00:21:33,054 --> 00:21:36,540 - Where are you going? - To... to fix this. 465 00:21:41,223 --> 00:21:42,431 [ADAMS] Hey. 466 00:21:42,828 --> 00:21:44,071 [MOUTHING] Thank you. 467 00:21:47,693 --> 00:21:51,214 [CHUCKLES] Anna Karenina? This is what you want to read right now? 468 00:21:51,478 --> 00:21:55,001 - It's pretty depressing. - Well, I'm making my way through a list 469 00:21:55,138 --> 00:21:56,862 of a hundred books you should read. 470 00:21:56,887 --> 00:21:58,839 Yeah, I've read these. You can skip them. 471 00:21:58,977 --> 00:22:01,187 You've read all 100 books? 472 00:22:01,325 --> 00:22:04,419 Uh, Moby Dick, a bunch of men yelling on a boat. 473 00:22:04,444 --> 00:22:06,330 Oh, and there's a whale. 474 00:22:06,355 --> 00:22:09,427 Uh, War and Peace, a lot of war, a little peace. 475 00:22:09,452 --> 00:22:11,972 - [CHUCKLES] - That's two off your list. 476 00:22:15,346 --> 00:22:16,657 Let's get out of here. 477 00:22:17,064 --> 00:22:18,790 Let's go look at the houseboats. 478 00:22:18,963 --> 00:22:20,172 [ADAMS SIGHS] 479 00:22:21,646 --> 00:22:22,681 We can't just leave. 480 00:22:23,611 --> 00:22:25,924 - You're a patient. - Didn't stop you before. 481 00:22:26,337 --> 00:22:29,121 - And you were my doctor then. - Yeah, it's not that simple. 482 00:22:29,146 --> 00:22:30,561 You can't walk. 483 00:22:30,586 --> 00:22:32,588 We'd need portable oxygen. 484 00:22:32,613 --> 00:22:34,408 I can walk. Just give me your hand. 485 00:22:34,573 --> 00:22:35,954 Look, Katie, we just... 486 00:22:36,131 --> 00:22:38,064 Can... can you get my bag? 487 00:22:38,249 --> 00:22:40,527 I can't. I don't even know if I can get you in my car. 488 00:22:40,552 --> 00:22:42,830 [GROANS, SIGHS] 489 00:22:43,081 --> 00:22:45,635 [WHISPERING] Okay. It's okay. It's okay, it's okay. I got you. 490 00:22:47,013 --> 00:22:48,981 This is it for me, isn't it? 491 00:22:50,771 --> 00:22:54,455 - I really wanted to go home. - I'm so sorry. 492 00:23:00,478 --> 00:23:01,686 [WEBBER] Okay. 493 00:23:01,711 --> 00:23:03,486 Going through the fascia. 494 00:23:05,759 --> 00:23:07,243 - [SIGHS] Metz. - [WARREN] You know, 495 00:23:07,268 --> 00:23:08,931 Meade here has been doing some research. 496 00:23:08,956 --> 00:23:11,553 Fact, the largest spleen ever recorded, 497 00:23:11,690 --> 00:23:13,811 26 pounds and 17 inches. [CHUCKLES] 498 00:23:13,836 --> 00:23:16,666 And based on our estimates, this one could beat it, sir. 499 00:23:16,691 --> 00:23:18,555 You ready to make history, Dr. Webber? 500 00:23:22,098 --> 00:23:26,444 Oh. [CHUCKLES] Oh, my God. That is... 501 00:23:26,469 --> 00:23:28,299 - Nothing but spleen. - [WARREN CHUCKLING] 502 00:23:28,324 --> 00:23:30,966 Look, I don't want to hear another word about records 503 00:23:30,991 --> 00:23:33,589 or history until Russell is on his way to post-op. 504 00:23:33,614 --> 00:23:36,040 Okay, our focus should be on this patient, on this surgery. 505 00:23:36,065 --> 00:23:37,653 - Understood? - Loud and clear, boss. 506 00:23:37,678 --> 00:23:40,286 We've got a lot of work ahead of us. And I need full visualization. 507 00:23:40,501 --> 00:23:41,898 Titan. 508 00:23:42,036 --> 00:23:43,693 Okay. 509 00:23:43,718 --> 00:23:45,513 [WARREN] All right, here we go. 510 00:23:49,689 --> 00:23:53,540 She'll stay here until her in-home hospice is set up. 511 00:23:53,565 --> 00:23:54,946 Okay. 512 00:23:54,971 --> 00:23:56,845 The social worker's on her way to get the process started. 513 00:23:56,870 --> 00:23:59,132 Did you mention we're hoping they can rush this? 514 00:23:59,157 --> 00:24:01,401 Yeah, and I might have dropped your name. 515 00:24:02,001 --> 00:24:04,141 [SIGHS] All right, we'll see if it helps. 516 00:24:05,838 --> 00:24:06,908 Oh. 517 00:24:08,316 --> 00:24:09,352 So, what? 518 00:24:09,729 --> 00:24:11,248 Now you bring in the doctors 519 00:24:11,273 --> 00:24:13,905 with the sad smiles and quiet voices 520 00:24:13,930 --> 00:24:16,968 pretending to know what it's like to die before you're supposed to? 521 00:24:17,893 --> 00:24:22,726 Our team will do everything to make her more comfortable. 522 00:24:22,973 --> 00:24:25,000 They'll also move her into a room 523 00:24:25,001 --> 00:24:28,221 with more natural light, fewer machines. 524 00:24:28,577 --> 00:24:30,751 And the chaplain will come too, right? 525 00:24:31,585 --> 00:24:36,832 You had this same conversation 15 years ago about my mother. 526 00:24:37,543 --> 00:24:41,508 And now you have the gall to have it again about my daughter. 527 00:24:41,810 --> 00:24:44,424 - She was doing better! - I know. 528 00:24:45,272 --> 00:24:48,300 - I am so sorry. - Stop saying you're sorry! 529 00:24:50,139 --> 00:24:51,761 If this was one of your babies, 530 00:24:52,659 --> 00:24:55,706 and their life-saving medication was discontinued 531 00:24:55,731 --> 00:24:57,139 and you had to watch the life drain 532 00:24:57,163 --> 00:24:58,828 from their bodies, what would you do? 533 00:24:59,257 --> 00:25:02,713 I would fight. 534 00:25:02,909 --> 00:25:04,359 But you didn't, did you? 535 00:25:05,381 --> 00:25:07,211 Not for my baby. 536 00:25:22,648 --> 00:25:23,821 Dr. Bailey. 537 00:25:37,017 --> 00:25:38,334 [OBJECT CLINKS] 538 00:25:40,016 --> 00:25:41,120 Whoa! 539 00:25:41,145 --> 00:25:43,890 Come in, make yourself at home. What is this? 540 00:25:43,915 --> 00:25:46,376 I borrowed a few things from Dr. Salley. 541 00:25:46,401 --> 00:25:48,218 I wanted to see if adjusting the grip 542 00:25:48,242 --> 00:25:50,059 on a body-powered prosthesis helps. 543 00:25:50,888 --> 00:25:52,624 Jon talked you into finding another solution? 544 00:25:52,648 --> 00:25:54,970 I couldn't tell him that he can't use the robotic one. 545 00:25:54,995 --> 00:25:56,275 - Link. - After his car accident, 546 00:25:56,300 --> 00:25:58,491 he went really dark when he couldn't ride. 547 00:25:58,516 --> 00:26:01,899 I don't want him or Pauline to have to repeat that. 548 00:26:03,065 --> 00:26:04,274 [SIGHS] 549 00:26:07,387 --> 00:26:08,802 Damn it, why can't I do this? 550 00:26:08,940 --> 00:26:11,080 Last time I checked, you're not a prosthetist. 551 00:26:11,791 --> 00:26:15,163 I have reconstructed fingers. I've replanted amputated hands. 552 00:26:15,188 --> 00:26:17,441 I've replaced every joint you can name. 553 00:26:17,466 --> 00:26:18,743 I fix things. 554 00:26:18,768 --> 00:26:20,356 It's what I do. 555 00:26:20,720 --> 00:26:25,932 Sounds like you're trying to fix things at home in my lab. 556 00:26:25,957 --> 00:26:29,384 My shoulder's still... bugging me. 557 00:26:29,409 --> 00:26:32,422 You had a major injury, and that's gonna take time. 558 00:26:32,447 --> 00:26:35,139 I know. I just I... [SIGHS] 559 00:26:35,323 --> 00:26:37,678 ... I felt pain the last time I was in the OR. 560 00:26:37,703 --> 00:26:40,361 It's also why I'm behind on babyproofing. 561 00:26:40,386 --> 00:26:41,807 What does Jo think? 562 00:26:42,625 --> 00:26:43,660 You haven't told her. 563 00:26:43,685 --> 00:26:44,928 She's got her own stuff. 564 00:26:45,311 --> 00:26:49,266 I-I thought I was gonna be back to normal by the time the twins came. 565 00:26:49,291 --> 00:26:52,131 Instead, I'm just icing my shoulder 566 00:26:52,156 --> 00:26:56,229 and hoping nobody face-plants off the stairs. 567 00:26:57,723 --> 00:26:59,380 [SIGHS] 568 00:26:59,405 --> 00:27:02,615 You are very handy, and you can fix a lot of things. 569 00:27:02,753 --> 00:27:04,730 But sometimes when you let go of expectations, 570 00:27:04,755 --> 00:27:07,136 you open yourself up to other possibilities. 571 00:27:10,573 --> 00:27:11,712 Yeah, you're right. 572 00:27:11,737 --> 00:27:13,221 - Does that mean I get my lab back? - Soon. 573 00:27:13,246 --> 00:27:14,282 [SHEPHERD] Mm-hmm. 574 00:27:15,546 --> 00:27:17,203 You just gave me an idea. 575 00:27:17,950 --> 00:27:19,296 [DOOR OPENS] 576 00:27:19,828 --> 00:27:21,436 Hey, I got your text. 577 00:27:21,574 --> 00:27:23,093 I'm sorry I missed the MandM. 578 00:27:23,118 --> 00:27:24,568 That's old news. 579 00:27:24,593 --> 00:27:28,236 Wright said that Jackson Avery called to check my references. 580 00:27:28,261 --> 00:27:29,849 - That's huge. - [CHUCKLES] 581 00:27:30,379 --> 00:27:31,380 Boston's in the bag. 582 00:27:31,405 --> 00:27:32,855 It gets even better. 583 00:27:32,880 --> 00:27:34,813 Apparently, she told him that Grey Sloan 584 00:27:34,838 --> 00:27:36,253 wouldn't give me up without a fight. 585 00:27:36,278 --> 00:27:37,728 So you could stay here? 586 00:27:37,866 --> 00:27:41,491 I don't have any formal offers yet, but as long as 587 00:27:41,516 --> 00:27:45,752 I don't majorly screw anything up, I'm gonna have options. 588 00:27:47,813 --> 00:27:48,813 Wow, um. 589 00:27:48,971 --> 00:27:50,317 Can I ask you something? 590 00:27:51,560 --> 00:27:56,115 Would... stitching over the pedicle in an omentum be a major screwup? 591 00:27:56,140 --> 00:27:57,625 Why do you ask? 592 00:27:59,633 --> 00:28:03,135 Did you blame Jules for your suture in the MandM? 593 00:28:04,096 --> 00:28:08,380 I've been in school, or residency, or fellowship my entire life. 594 00:28:08,405 --> 00:28:10,683 I'm so close to it finally paying off. 595 00:28:11,693 --> 00:28:13,177 So you... did lie. 596 00:28:13,202 --> 00:28:16,111 Surgery's cutthroat, especially plastics. 597 00:28:16,136 --> 00:28:17,311 Don't tell me you've never told a 598 00:28:17,335 --> 00:28:18,770 small mistruth to get what you needed. 599 00:28:18,794 --> 00:28:20,600 Yeah, but this is more than just a little white lie. 600 00:28:20,624 --> 00:28:22,739 Every MandM feels like the end of the world 601 00:28:22,764 --> 00:28:25,042 when you're a resident, but you get past them. 602 00:28:25,067 --> 00:28:27,088 No one will even remember this case tomorrow. 603 00:28:27,226 --> 00:28:29,884 And I'll figure something out to help Millin. 604 00:28:30,041 --> 00:28:33,493 If I take an attending job here, I can help her even more. 605 00:28:34,534 --> 00:28:36,053 Yeah, I guess that makes sense. 606 00:28:37,917 --> 00:28:41,585 So you're actually considering Grey Sloan over Boston? 607 00:28:41,610 --> 00:28:42,646 Maybe. 608 00:28:43,518 --> 00:28:47,288 As much as I love Boston, Seattle's also... 609 00:28:48,266 --> 00:28:49,337 growing on me. 610 00:28:50,152 --> 00:28:51,360 [KWAN CHUCKLES] 611 00:28:53,553 --> 00:28:56,004 [GROANS] Sixteen inches. So close. 612 00:28:56,142 --> 00:28:57,626 Well, it's still pretty damn big. 613 00:28:57,724 --> 00:28:59,990 Hey, hey, stand next to it for scale. 614 00:29:00,976 --> 00:29:03,185 - Oh, uh, shouldn't it be Dr. Webber? - Yeah. 615 00:29:03,210 --> 00:29:04,815 Hey, what about it, Chief? 616 00:29:04,840 --> 00:29:06,749 You, uh... You want a picture with the mega spleen? 617 00:29:06,773 --> 00:29:08,223 Yeah, no pictures for me. 618 00:29:08,283 --> 00:29:09,905 We should weigh it. 619 00:29:09,930 --> 00:29:11,408 I mean, it's not the biggest ever, but it might be the heaviest. 620 00:29:11,433 --> 00:29:12,952 Come on, here we go. 621 00:29:14,022 --> 00:29:15,422 - Got it? You know what? - I got it. 622 00:29:15,447 --> 00:29:16,862 Hold on, let me... let me help you. 623 00:29:17,036 --> 00:29:18,037 You can just put it... 624 00:29:20,028 --> 00:29:22,271 Oh, that's a damn shame. 625 00:29:23,283 --> 00:29:26,424 It... it looks even bigger on the floor. [CHUCKLES] 626 00:29:27,553 --> 00:29:28,553 Hey, you know what? 627 00:29:28,578 --> 00:29:30,580 - Get down, get down. - Okay. 628 00:29:32,074 --> 00:29:33,326 - Yeah, yeah. - No, no, no. 629 00:29:33,351 --> 00:29:34,584 Look, that's enough. 630 00:29:34,609 --> 00:29:38,815 Now no more pictures, or jokes, or talking about bragging rights. 631 00:29:38,840 --> 00:29:41,795 Today was not a success of medicine, it was a failure. 632 00:29:42,393 --> 00:29:44,615 You think Russell wanted it to get that bad? 633 00:29:44,736 --> 00:29:46,634 It's a miracle it didn't kill him. 634 00:29:47,095 --> 00:29:48,268 You should be ashamed. 635 00:29:49,542 --> 00:29:51,060 I know I am. 636 00:29:52,294 --> 00:29:54,054 Clean this mess up. 637 00:29:56,789 --> 00:29:59,447 [MEADE WHISPERS] Yeah, of course. Got ya. 638 00:30:10,252 --> 00:30:14,402 No, I-I replay the steps in my head every night. 639 00:30:14,427 --> 00:30:17,053 Could I have operated earlier? 640 00:30:17,128 --> 00:30:19,613 Could I have pushed oncology harder? 641 00:30:19,860 --> 00:30:24,451 Could I have filed more appeals with the drug manufacturer? 642 00:30:25,730 --> 00:30:27,482 No, you did everything you could. 643 00:30:28,125 --> 00:30:31,541 I did everything I could 15 years ago for Katie's grandmother. 644 00:30:32,355 --> 00:30:34,668 But immunotherapies didn't exist then. 645 00:30:34,923 --> 00:30:38,548 She died from actual cancer, but Katie... 646 00:30:40,076 --> 00:30:44,424 No, Katie's dying from... bureaucratic stupidity. 647 00:30:45,354 --> 00:30:48,022 Just years of hard work, 648 00:30:48,047 --> 00:30:51,220 finally developed a medicine that was working, 649 00:30:51,245 --> 00:30:53,424 and instead of helping people access it, 650 00:30:53,449 --> 00:30:57,539 our government... is dismantling science. 651 00:30:58,397 --> 00:31:00,469 Just like that, clinical trial gone. 652 00:31:00,646 --> 00:31:02,475 And not just Katie, or cancer, 653 00:31:02,613 --> 00:31:08,516 it's maternal health, diabetes prevention, substance abuse programs. 654 00:31:09,965 --> 00:31:13,521 Space exploration is even on the damn chopping block. 655 00:31:13,546 --> 00:31:17,353 Just decades of groundbreaking work... 656 00:31:18,810 --> 00:31:24,954 without even a single thought to its cost in human lives. 657 00:31:27,224 --> 00:31:29,926 I can't even give Katie a chance to spend 658 00:31:29,951 --> 00:31:33,333 her last moments outside of these hospital walls. 659 00:31:34,127 --> 00:31:36,497 [STAMMERS] Well, we're setting her up 660 00:31:36,521 --> 00:31:38,891 with in-home hospice care and she'll... 661 00:31:39,892 --> 00:31:43,481 It'll be a miracle if she makes it that long. 662 00:31:43,506 --> 00:31:44,955 [♪ "FINIFUGAL" PLAYING ♪] 663 00:31:46,159 --> 00:31:47,851 ♪ Stay ♪ 664 00:31:49,142 --> 00:31:51,800 ♪ And I will... ♪ 665 00:31:52,951 --> 00:31:55,160 - Hey, I spoke to Kavita... - Now's not a good time. 666 00:31:56,637 --> 00:31:58,363 Uh, Dr. Wright. 667 00:31:59,177 --> 00:32:00,868 How is Scott doing? 668 00:32:00,893 --> 00:32:03,546 His heart's had minimal tissue coverage for two weeks. 669 00:32:03,571 --> 00:32:04,813 He's not great. 670 00:32:06,977 --> 00:32:08,013 Can I help you? 671 00:32:09,059 --> 00:32:13,477 I have worked really hard to build a good reputation for myself here, 672 00:32:13,502 --> 00:32:17,114 and I-I can't stand by and watch it all go down the drain. 673 00:32:18,275 --> 00:32:21,830 Dr. Mohanty lied in the MandM. I didn't stitch over the pedicle. 674 00:32:21,855 --> 00:32:24,187 I wanted to sew around the pedicle, but she wouldn't let me. 675 00:32:24,212 --> 00:32:29,387 And I don't know why she lied, but I promise you it wasn't me. 676 00:32:30,598 --> 00:32:32,318 That's quite the sob story you've got there. 677 00:32:32,427 --> 00:32:34,153 I'm setting the record straight. 678 00:32:34,178 --> 00:32:36,406 Look, hospitals are high school. Emotions are high. 679 00:32:36,431 --> 00:32:41,160 Status matters. People are competitive, and desperate, and insecure. 680 00:32:42,058 --> 00:32:45,242 I need my surgeons to be mature, to rise above, 681 00:32:45,267 --> 00:32:47,348 to not get sucked into the drama and the politics. 682 00:32:47,373 --> 00:32:48,799 Did you have a good outcome or a bad one? 683 00:32:48,824 --> 00:32:50,722 - That's all I care about. - Understood. 684 00:32:50,812 --> 00:32:54,264 I will make sure that Scott has his labs in the morning. 685 00:32:54,371 --> 00:32:56,235 You're not on his surgery anymore. 686 00:32:56,388 --> 00:32:59,392 Hey, Kwan, have you ever done a sternal reconstruction? 687 00:32:59,847 --> 00:33:00,848 [KWAN] No. 688 00:33:01,976 --> 00:33:03,218 You will tomorrow. 689 00:33:03,243 --> 00:33:06,522 Come with me, and I'll give you my notes on the case. 690 00:33:17,238 --> 00:33:18,578 Did you figure it out? 691 00:33:18,603 --> 00:33:22,508 Making the bionic hand work for competitive mountain biking? 692 00:33:23,012 --> 00:33:24,942 - No. - So that's it. 693 00:33:24,967 --> 00:33:26,003 I'm done. 694 00:33:27,110 --> 00:33:28,889 Not necessarily. 695 00:33:28,914 --> 00:33:30,916 I've come up with another option. 696 00:33:30,941 --> 00:33:33,609 Now, this is just a prototype, but the idea is 697 00:33:33,634 --> 00:33:36,222 that instead of your bionic hand gripping the handlebar, 698 00:33:36,247 --> 00:33:38,110 we build an attachment to the bike 699 00:33:38,870 --> 00:33:41,492 and a terminal device that you'd wear only while biking. 700 00:33:43,446 --> 00:33:44,654 Keep talking. 701 00:33:44,679 --> 00:33:48,640 We'd make a custom, activity-specific prosthetic 702 00:33:49,201 --> 00:33:51,997 that would snap into the bike attachment. 703 00:33:52,022 --> 00:33:53,881 And it'd be built so you could snap 704 00:33:53,906 --> 00:33:56,250 quickly out of the receiver for safety. 705 00:33:56,459 --> 00:34:00,152 If you like it, we could find a prosthetist to collaborate with 706 00:34:00,177 --> 00:34:02,559 and maybe even a sponsor will help cover the costs. 707 00:34:04,389 --> 00:34:05,942 This is, uh... 708 00:34:06,873 --> 00:34:08,703 This is amazing. 709 00:34:09,980 --> 00:34:11,534 [CHUCKLING] You made this. How? 710 00:34:11,559 --> 00:34:15,098 No, no, this was all Dr. Lincoln. I know nothing about bikes. 711 00:34:15,123 --> 00:34:17,758 Man, thank you. 712 00:34:19,127 --> 00:34:20,807 I don't know what I would have done if I... 713 00:34:20,832 --> 00:34:22,109 You're welcome. 714 00:34:24,581 --> 00:34:29,310 ♪ I wanna know what happens underneath ♪ 715 00:34:29,335 --> 00:34:30,785 Should I not ask? 716 00:34:31,326 --> 00:34:33,703 Dr. Wright said that I was being dramatic, 717 00:34:33,728 --> 00:34:35,488 and she doesn't want to work with me anymore. 718 00:34:36,276 --> 00:34:38,294 I'm sorry, I know the truth. 719 00:34:38,319 --> 00:34:40,286 I don't think you're being dramatic. 720 00:34:40,311 --> 00:34:42,191 Everyone who knows and loves you feels the same. 721 00:34:42,645 --> 00:34:44,094 I'm not so sure. 722 00:34:45,464 --> 00:34:46,845 Hey, hey, I need a favor. 723 00:34:46,983 --> 00:34:48,225 It's about Katie. 724 00:34:48,250 --> 00:34:50,271 You know I can't disclose her medical information, 725 00:34:50,296 --> 00:34:51,988 but nice job getting her to stick around. 726 00:34:52,013 --> 00:34:54,015 What if we took her to your place? 727 00:34:54,195 --> 00:34:56,024 To what, die at my house? 728 00:34:56,820 --> 00:34:58,625 You want her to die at my house. 729 00:34:58,650 --> 00:35:00,824 Well, okay, technically it's my Aunt Meredith's house. 730 00:35:00,962 --> 00:35:02,457 - All right? - She's gonna go to her own home next week. 731 00:35:02,481 --> 00:35:04,310 She doesn't have that long. 732 00:35:05,996 --> 00:35:07,666 You sure this is a good idea? 733 00:35:08,066 --> 00:35:09,412 She's dying. 734 00:35:10,338 --> 00:35:12,639 I'll ask for time off so I can take care of her myself. 735 00:35:12,664 --> 00:35:14,217 No. 736 00:35:14,580 --> 00:35:15,978 We'll take shifts. 737 00:35:16,949 --> 00:35:18,191 Thank you. 738 00:35:19,774 --> 00:35:20,982 Count Kwan in too. 739 00:35:21,007 --> 00:35:23,631 He owes me for putting up with Mohanty. 740 00:35:26,772 --> 00:35:27,842 [KNOCKS ON DOOR] 741 00:35:30,769 --> 00:35:32,601 Hey, uh, Chief, look, um... 742 00:35:34,193 --> 00:35:35,734 I just wanted to apologize. 743 00:35:35,913 --> 00:35:38,297 I-I got excited about a flashy case 744 00:35:38,322 --> 00:35:40,519 and I-I let things get out of hand. 745 00:35:41,175 --> 00:35:44,523 A few weeks ago, a case like that would've made my year. 746 00:35:44,774 --> 00:35:46,983 A spleen the size of a sandbag? 747 00:35:47,008 --> 00:35:48,907 I'd have taken photos too. 748 00:35:49,022 --> 00:35:51,024 But I'm feeling different now. 749 00:35:51,049 --> 00:35:52,913 Bad different? 750 00:35:53,187 --> 00:35:55,125 You know, I tried to push it down and 751 00:35:55,149 --> 00:35:57,087 return to work like nothing happened. 752 00:35:57,225 --> 00:36:01,678 These days, the patients that I can't stop thinking about 753 00:36:01,816 --> 00:36:03,784 are the ones we couldn't get to in time. 754 00:36:05,061 --> 00:36:08,271 And instead of addressing the problem, 755 00:36:08,296 --> 00:36:13,665 we're patting ourselves on the back for removing a massive spleen. 756 00:36:13,690 --> 00:36:16,762 Look, having a perspective shift after cancer... 757 00:36:16,787 --> 00:36:18,785 it's... it's natural. 758 00:36:18,810 --> 00:36:20,396 I mean, I've been there. 759 00:36:20,421 --> 00:36:22,112 But what if I can't unsee this? 760 00:36:22,250 --> 00:36:23,493 Would that be so bad? 761 00:36:24,142 --> 00:36:25,860 Maybe it's time to start a new chapter. 762 00:36:25,884 --> 00:36:27,283 Spoken like a younger man. 763 00:36:28,013 --> 00:36:30,327 You know, I'm, um, just a guy who 764 00:36:30,352 --> 00:36:32,900 has a lot of experience starting over. 765 00:36:34,278 --> 00:36:36,626 Look, I'm gonna go check on our patient. 766 00:36:39,070 --> 00:36:41,003 It really was quite a spleen, though, wasn't it? 767 00:36:41,028 --> 00:36:42,465 Lord have mercy. [CHUCKLES] 768 00:36:43,833 --> 00:36:48,182 ♪ Gonna follow the moon till I'm home again ♪ 769 00:36:48,207 --> 00:36:51,876 Okay, monitor her pain and oxygen requirements and page me 770 00:36:51,901 --> 00:36:54,016 if we need to take more fluid off of her abdomen. 771 00:36:54,041 --> 00:36:57,044 Hey, Dr. Bailey, can we run something by you? 772 00:36:57,590 --> 00:36:59,937 Why do I feel like I'm not gonna like this? 773 00:36:59,962 --> 00:37:03,775 Uh, well, uh, Griffith offered to take Katie to her home. 774 00:37:03,928 --> 00:37:06,620 We all know there's a good chance she won't make it to her own home 775 00:37:06,645 --> 00:37:08,336 if she waits for hospice to be set up. 776 00:37:08,777 --> 00:37:11,020 All she wants is to not die in a hospital. 777 00:37:11,190 --> 00:37:12,847 Yeah. What do you think? 778 00:37:13,094 --> 00:37:17,789 [SIGHS] I think you two have lost your ever-loving minds. 779 00:37:17,927 --> 00:37:20,456 Katie is not a stray cat to take in. 780 00:37:20,481 --> 00:37:22,034 She needs 24/7 care. 781 00:37:22,059 --> 00:37:24,080 Adams, Kwan, and I would take shifts. 782 00:37:24,105 --> 00:37:26,290 Yeah, and... and her mom can stay in their spare bedroom. 783 00:37:26,314 --> 00:37:28,144 - [GRIFFITH GRUNTS] - [WHISPERING] Sorry. 784 00:37:28,169 --> 00:37:29,660 What about pain management? 785 00:37:29,685 --> 00:37:32,262 We can get her scripts filled and administer them at the house. 786 00:37:32,286 --> 00:37:34,115 Yeah, and I can drain her abdomen when needed. 787 00:37:34,366 --> 00:37:35,920 Look, it's literally her dying wish. 788 00:37:35,945 --> 00:37:37,222 [STUTTERS] I hear you. 789 00:37:38,499 --> 00:37:40,078 But as her surgeon and a leader 790 00:37:40,079 --> 00:37:42,986 in this hospital, I... I cannot advise it. 791 00:37:43,469 --> 00:37:47,473 Okay, she would need a... a hospital bed, an oxygen concentrator. 792 00:37:47,612 --> 00:37:49,027 Are you writing this down? 793 00:37:49,165 --> 00:37:50,615 - Oh. - Yeah. 794 00:37:52,168 --> 00:37:53,825 [SIREN WAILING] 795 00:38:00,826 --> 00:38:04,278 Finally, I was about to go to Saigon Palace by myself. 796 00:38:04,525 --> 00:38:06,335 Yeah, I was looking over Dr. Wright's notes 797 00:38:06,336 --> 00:38:07,666 for the sternal reconstruction. 798 00:38:08,036 --> 00:38:09,755 I heard you were joining the case. 799 00:38:09,949 --> 00:38:11,503 I'll fill you in over pho. 800 00:38:12,210 --> 00:38:13,452 I can't do it. 801 00:38:13,482 --> 00:38:16,236 Banh mi. Whatever. I'm starving. Let's go. 802 00:38:16,370 --> 00:38:20,581 I told Wright to find another resident for the procedure tomorrow. 803 00:38:21,249 --> 00:38:23,492 - Why? - Jules is my friend. 804 00:38:25,132 --> 00:38:27,237 Turns out you and I aren't as alike as we thought. 805 00:38:28,894 --> 00:38:31,830 I already told Wright that I was committed to assist Altman tomorrow. 806 00:38:33,794 --> 00:38:35,071 You didn't tell her about me? 807 00:38:36,079 --> 00:38:38,322 I was going to give you a chance to do it yourself. 808 00:38:43,822 --> 00:38:45,611 I hope you get the job in Boston. 809 00:38:48,948 --> 00:38:50,538 [GREY] We often place blame because 810 00:38:50,563 --> 00:38:52,435 it's easier than taking responsibility. 811 00:38:53,071 --> 00:38:55,798 If you always look outward, you never have to turn inward. 812 00:38:55,866 --> 00:38:57,350 Seriously? 813 00:38:58,162 --> 00:39:00,383 - I get to leave? - Yeah. 814 00:39:00,408 --> 00:39:04,387 We arranged medical transport, and Dr. Griffith 815 00:39:04,412 --> 00:39:06,587 is working to get you discharged right now. 816 00:39:06,725 --> 00:39:09,530 I'll stock the fridge, cook meals, whatever I need to do. 817 00:39:09,555 --> 00:39:10,835 No. That... that's not necessary. 818 00:39:10,860 --> 00:39:13,587 We, uh... We want to help. 819 00:39:15,583 --> 00:39:16,837 [KATIE] Thank you. 820 00:39:18,109 --> 00:39:19,923 None of this would have happened without you. 821 00:39:23,281 --> 00:39:26,422 [GREY] But progress only comes when you shine the light on yourself. 822 00:39:31,487 --> 00:39:33,834 Didn't I fold all this laundry earlier? 823 00:39:34,065 --> 00:39:36,557 Hattie spit up everywhere, so did Peyton. 824 00:39:36,582 --> 00:39:38,663 Luna got the ketchup bottle and... 825 00:39:38,688 --> 00:39:40,866 You know what? I don't want to talk about it. 826 00:39:43,723 --> 00:39:45,725 My shoulder still hurts. 827 00:39:48,014 --> 00:39:50,765 I was hoping it'd get better, and I'd go back to work 828 00:39:52,297 --> 00:39:55,059 and build the safest staircase ever to exist, 829 00:39:55,084 --> 00:39:57,914 but obviously, that hasn't happened. 830 00:39:58,052 --> 00:40:01,780 Well, you don't have to fix everything yourself. 831 00:40:01,918 --> 00:40:03,748 Yeah, I've realized that. 832 00:40:04,541 --> 00:40:07,096 But you might have to go back to work eventually 833 00:40:07,234 --> 00:40:09,270 so we can afford to pay Elroy to do it. 834 00:40:09,408 --> 00:40:11,652 [CHORTLES] 835 00:40:11,790 --> 00:40:13,481 [WILSON CHUCKLES] 836 00:40:13,793 --> 00:40:15,711 - I was wondering... - Mm-hmm. 837 00:40:15,736 --> 00:40:19,567 ... what if Elroy didn't actually fix this place? 838 00:40:21,100 --> 00:40:24,226 We've really pushed our luck already with these stairs, 839 00:40:24,251 --> 00:40:27,816 the-the fireplace, the balcony, the glass doors. 840 00:40:27,841 --> 00:40:29,497 What if he fixed my rental instead? 841 00:40:29,768 --> 00:40:32,979 - You want us to move into the man cave? - [CHUCKLES] 842 00:40:33,392 --> 00:40:37,465 It's in a great neighborhood, and it would be way easier to babyproof. 843 00:40:39,266 --> 00:40:42,151 This place just has so many memories. 844 00:40:42,176 --> 00:40:45,590 You know, movie nights on this couch, 845 00:40:45,615 --> 00:40:48,068 the Nicoletti's take-out dinners on that table. 846 00:40:48,093 --> 00:40:50,879 You proposed to me, right there. 847 00:40:53,001 --> 00:40:56,176 - Yeah. - Guess we'll have to make new memories. 848 00:41:00,494 --> 00:41:01,806 We will. 849 00:41:12,660 --> 00:41:13,833 [GREY] What do you think? 850 00:41:14,978 --> 00:41:16,220 How do you feel? 851 00:41:16,492 --> 00:41:17,769 Millin. 852 00:41:18,375 --> 00:41:19,791 What are you doing here? 853 00:41:19,816 --> 00:41:22,456 Uh, your front driver's side tire is looking a little low. 854 00:41:22,574 --> 00:41:24,093 You're checking my tires? 855 00:41:24,863 --> 00:41:28,048 Today sucked in a lot of ways, 856 00:41:28,073 --> 00:41:31,352 but the worst part is that it confirmed what you think about me. 857 00:41:31,377 --> 00:41:33,079 - Millin... - And I know that I've disappointed you. 858 00:41:33,104 --> 00:41:35,953 And you're not wrong, I haven't always been honest with you. 859 00:41:35,978 --> 00:41:38,538 Like, sometimes when I'm too tired, I don't dictate your op notes, 860 00:41:38,563 --> 00:41:40,198 I make my interns do it. 861 00:41:40,223 --> 00:41:42,644 And I know where you keep your secret stash of protein bars 862 00:41:42,669 --> 00:41:44,223 at the nurses' station, 863 00:41:44,248 --> 00:41:46,975 and I'll sneak one if I don't have time to get to the cafeteria. 864 00:41:50,621 --> 00:41:53,729 And I coached your patient... behind your back 865 00:41:53,754 --> 00:41:55,583 to get around his insurance, 866 00:41:55,674 --> 00:41:58,470 so you would have to operate on him that day. 867 00:42:00,624 --> 00:42:01,764 He was in pain. 868 00:42:02,666 --> 00:42:06,924 I didn't know what else to do, so I lied, but I didn't lie today. 869 00:42:06,949 --> 00:42:09,641 I didn't sew over Scott's pedicle, 870 00:42:09,666 --> 00:42:14,474 and I wasn't trying to frame Mohanty or not take responsibility. 871 00:42:14,499 --> 00:42:17,882 I just didn't do it, and I need you to know that. 872 00:42:17,907 --> 00:42:20,031 It's not my department. I'm not the one you need to convince. 873 00:42:20,056 --> 00:42:22,748 I don't care what anyone else thinks. 874 00:42:30,070 --> 00:42:31,417 I believe you. 875 00:42:36,450 --> 00:42:38,142 I'll, uh... I'll see you tomorrow. 876 00:42:40,610 --> 00:42:41,991 [GREY] Ask the questions, 877 00:42:43,063 --> 00:42:44,720 and the answers might surprise you. 878 00:42:46,774 --> 00:42:51,774 - Synced and corrected by ChrisKe - -- for www.addic7ed.com --