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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:04,162 WWW.MY-SUBS.CO 1 00:00:04,430 --> 00:00:08,476 Before the 20th century, drug safety studies were not required. 2 00:00:11,504 --> 00:00:14,033 What, did you come straight from the airport? 3 00:00:14,171 --> 00:00:16,553 How was your flight? And how’s your brother? 4 00:00:16,578 --> 00:00:18,718 I’m sorry, I’m super tired. Can we talk later? 5 00:00:18,743 --> 00:00:19,778 Yeah. 6 00:00:23,428 --> 00:00:26,465 I thought you said you were tired. 7 00:00:26,760 --> 00:00:28,668 Yeah, too tired to talk. 8 00:00:28,943 --> 00:00:30,945 - Uh-huh. - Mm-hmm. 9 00:00:31,267 --> 00:00:32,578 Uh-huh. 10 00:00:32,603 --> 00:00:34,674 Narcotics were sold over the counter. 11 00:00:34,699 --> 00:00:37,702 Teething babies were given serums laced with morphine. 12 00:00:37,840 --> 00:00:40,257 A medicine for strep was made with antifreeze. 13 00:00:40,395 --> 00:00:43,925 Do you think that we should clean up in case your aunt comes home? 14 00:00:43,950 --> 00:00:45,158 Don’t worry about it. 15 00:00:47,425 --> 00:00:49,955 Mmm. I’m a little worried about it. 16 00:00:51,024 --> 00:00:52,727 - Are you having a good time? - Yeah. 17 00:00:52,752 --> 00:00:54,064 Yeah? 18 00:00:56,613 --> 00:00:58,546 So don’t stress. 19 00:00:58,571 --> 00:01:00,457 No one was responsible for 20 00:01:00,481 --> 00:01:02,348 distinguishing between medicine that healed 21 00:01:02,486 --> 00:01:03,979 and medicine that harmed. 22 00:01:05,282 --> 00:01:07,456 Have fun with Mom, okay? And I love you. Come here. 23 00:01:07,481 --> 00:01:09,433 - I love you. - Bye, Daddy. 24 00:01:09,458 --> 00:01:10,494 Yeah. 25 00:01:11,253 --> 00:01:14,118 Um... Pizza’s in the fridge and laundry’s in the dryer. 26 00:01:14,143 --> 00:01:16,302 Thanks. We’ll call you in the morning. 27 00:01:16,327 --> 00:01:18,527 - I want that one. - Okay. 28 00:01:22,609 --> 00:01:23,610 Look, Mommy. 29 00:01:24,518 --> 00:01:25,904 All right. 30 00:01:25,929 --> 00:01:28,768 No one studied side effects or adverse reactions. 31 00:01:31,352 --> 00:01:35,494 The twins are fed, changed and asleep. 32 00:01:35,519 --> 00:01:37,199 Did you sing them "Twinkle, Twinkle" again? 33 00:01:37,290 --> 00:01:39,640 - "Highway to Hell." - Whatever works. 34 00:01:40,224 --> 00:01:41,570 Thank you for doing that. 35 00:01:41,595 --> 00:01:44,710 You need your rest before your first official day back. 36 00:01:47,418 --> 00:01:48,833 You excited? 37 00:01:49,084 --> 00:01:52,166 I am. Yeah, I mean, it’s a lot right now, 38 00:01:52,191 --> 00:01:55,272 with the kids, studying for exams and being a fifth year, 39 00:01:55,297 --> 00:01:57,782 but it’s only a few more months and... 40 00:01:58,758 --> 00:02:00,760 - I got this. - You’re like Wonder Woman. 41 00:02:00,785 --> 00:02:04,720 Can Wonder Woman deliver a baby in under 60 seconds? 42 00:02:04,971 --> 00:02:06,214 - Damn. - Yeah. 43 00:02:06,239 --> 00:02:08,026 No, forget Wonder Woman. 44 00:02:09,238 --> 00:02:11,516 - You’re Dr. Jo Wilson. - Mm-hmm. 45 00:02:12,659 --> 00:02:13,798 No, no, no, no, no, no. 46 00:02:13,936 --> 00:02:15,593 All you could do was roll the dice. 47 00:02:18,700 --> 00:02:21,402 Thanks again for letting me crash at your place. 48 00:02:21,692 --> 00:02:23,694 Thank you for, um... 49 00:02:24,671 --> 00:02:25,810 You know. 50 00:02:26,402 --> 00:02:28,202 Uh, I would offer to host tonight, 51 00:02:28,227 --> 00:02:31,678 but my... nephew/roommate is partying 52 00:02:31,703 --> 00:02:34,568 and sleeping his way through the intern class. 53 00:02:34,787 --> 00:02:35,788 That’s great. 54 00:02:37,390 --> 00:02:38,526 Is everything okay? 55 00:02:39,376 --> 00:02:43,360 Uh... My ex wants to get lunch. 56 00:02:44,777 --> 00:02:46,192 That doesn’t sound so bad. 57 00:02:48,217 --> 00:02:50,080 The last time this happened, she tried 58 00:02:50,105 --> 00:02:51,836 to stop me from signing divorce papers. 59 00:02:53,044 --> 00:02:55,079 Wh... Uh... She wanted to stay together? 60 00:02:55,530 --> 00:02:57,788 She didn’t really want it to be her fault. 61 00:02:57,812 --> 00:03:00,717 It, uh... it got messy at the end. 62 00:03:00,855 --> 00:03:03,202 Well, you don’t have to get lunch. You can just say no. 63 00:03:03,227 --> 00:03:05,412 I’m overreacting. She probably just wants to convince me 64 00:03:05,436 --> 00:03:07,783 to send Zach to summer camp or something. It’ll be fine. 65 00:03:08,151 --> 00:03:09,532 - I’ll find you later? - Mm-hmm. 66 00:03:10,234 --> 00:03:13,272 Dr. John to the ER. Dr. Christopher John to the ER. 67 00:03:32,696 --> 00:03:34,042 Good morning. 68 00:03:38,242 --> 00:03:39,864 Are there security cameras in here? 69 00:03:40,728 --> 00:03:41,729 I don’t think so. 70 00:03:45,131 --> 00:03:47,903 Yeah, okay. No kissing in the elevator. 71 00:03:48,479 --> 00:03:50,630 Probably shouldn’t be kissing anywhere in the hospital. 72 00:03:50,654 --> 00:03:51,758 What about on-call rooms? 73 00:03:51,783 --> 00:03:54,253 On-call rooms are fine if we lock the door 74 00:03:54,278 --> 00:03:56,142 and stagger our entrances and exits. 75 00:03:56,167 --> 00:03:58,100 Yeah, I’d say no flirting in public. 76 00:03:58,125 --> 00:03:59,715 And when I’m on your service, we should 77 00:03:59,740 --> 00:04:01,183 be three feet apart and no eye contact. 78 00:04:01,285 --> 00:04:02,616 Won’t that be a little weird? 79 00:04:02,641 --> 00:04:04,919 Then a professional amount of eye contact. 80 00:04:04,944 --> 00:04:06,152 Okay. Yeah. 81 00:04:08,085 --> 00:04:12,434 Uh, Dr. Ndugu, I will get on pulling Mr. Azab’s chest tube. 82 00:04:12,459 --> 00:04:13,954 Thank you, Dr. Millin. 83 00:04:18,509 --> 00:04:20,353 Dr. Whiteway to front desk. 84 00:04:20,377 --> 00:04:21,995 Dr. Preston Whiteway to front desk. 85 00:04:23,134 --> 00:04:25,136 Don’t even think about it. 86 00:04:25,891 --> 00:04:29,323 I was, uh... I was just passing by. Wanted to see how he was doing. 87 00:04:29,348 --> 00:04:33,050 You don’t go anywhere near patients, especially Quinn. 88 00:04:33,091 --> 00:04:35,577 Y-You don’t even look in his general direction. 89 00:04:36,380 --> 00:04:40,415 Look, I’ve already done a week of pre-ops. Isn’t that enough? 90 00:04:41,014 --> 00:04:43,129 You injected a man with a treatment 91 00:04:43,154 --> 00:04:46,551 the FDA specifically said not to, so no. 92 00:04:47,962 --> 00:04:49,446 What can I do to change that? 93 00:04:49,471 --> 00:04:52,129 - You can do what I tell you. - Okay. 94 00:04:53,225 --> 00:04:56,829 There are discharge summaries with your name written all over them. 95 00:04:56,854 --> 00:04:57,924 - Mm-hmm. - Go. 96 00:04:58,687 --> 00:05:01,345 Hey, um, when can I put him back on regular service? 97 00:05:01,483 --> 00:05:02,829 Mmm. When I say so. 98 00:05:02,854 --> 00:05:04,408 Yeah, but we’re stretched pretty thin. 99 00:05:04,659 --> 00:05:07,351 Oh. Well, let me help. Um... 100 00:05:08,456 --> 00:05:11,592 Here, I can, uh, discharge Quinn Durston myself. 101 00:05:11,617 --> 00:05:13,136 All right? So take that off your list. 102 00:05:13,219 --> 00:05:16,671 Um... Whatever you say. 103 00:05:16,980 --> 00:05:20,397 Dr. Burkhart to ortho. Dr. Kim Burkhart to ortho. 104 00:05:20,709 --> 00:05:22,356 Good morning, Bailey. 105 00:05:24,126 --> 00:05:26,311 Were... Were you with my patient, Quinn? 106 00:05:26,336 --> 00:05:28,382 I consulted on his case earlier this year. 107 00:05:28,407 --> 00:05:30,029 I thought I’d stop by and say hi. 108 00:05:30,167 --> 00:05:31,893 - He’s a nice guy. - Yeah. 109 00:05:32,997 --> 00:05:36,743 You, um, want to fill me in on your secret? 110 00:05:36,768 --> 00:05:37,967 Secret? 111 00:05:38,633 --> 00:05:40,532 Oh, judging by how his infection’s healing, 112 00:05:40,557 --> 00:05:42,179 you worked some kind of miracle. 113 00:05:42,818 --> 00:05:44,440 Keep up the good work. 114 00:05:44,465 --> 00:05:47,572 Dr. Peeka to the OR. Dr. Peeka to the OR. 115 00:05:47,909 --> 00:05:49,710 ... and that’s why Josefa Ortiz de Domínguez 116 00:05:49,734 --> 00:05:52,198 is one of Mexico’s unsung heroes 117 00:05:52,223 --> 00:05:53,501 of the revolution. 118 00:05:53,639 --> 00:05:56,582 - Good morning, you two. - Dr. Wilson. You’re back. 119 00:05:56,720 --> 00:05:58,481 It’s my first day back. 120 00:05:58,506 --> 00:06:00,897 Sorry for interrupting the history lecture. 121 00:06:01,035 --> 00:06:03,313 She’s already got our daughter halfway to a PhD. 122 00:06:03,338 --> 00:06:06,316 Oh, she’s a lucky girl to have two professors as parents. 123 00:06:06,341 --> 00:06:07,584 She’s our first kid. 124 00:06:07,609 --> 00:06:09,414 I’ll lower my expectations on the second or third. 125 00:06:09,439 --> 00:06:11,770 Let’s get through this pregnancy first. 126 00:06:11,908 --> 00:06:15,567 So you’ve got abdominal pain, nausea, vaginal bleeding. 127 00:06:15,592 --> 00:06:17,328 How long have you had the shortness of breath? 128 00:06:17,352 --> 00:06:18,388 Since yesterday. 129 00:06:18,871 --> 00:06:21,227 A-at first I thought it might just be the pregnancy. 130 00:06:21,252 --> 00:06:23,738 - Okay. May I? - Mm-hmm. 131 00:06:25,750 --> 00:06:27,406 Okay. 132 00:06:32,987 --> 00:06:34,955 Is... is our baby okay? 133 00:06:35,584 --> 00:06:37,830 Based on your high blood pressure, 134 00:06:37,855 --> 00:06:40,133 I am concerned about preeclampsia. 135 00:06:40,158 --> 00:06:42,110 I’d like to get some more labs to be sure. 136 00:06:42,135 --> 00:06:44,344 - Is that bad? Can you fix it? - Should I be scared? 137 00:06:44,576 --> 00:06:46,578 It’s okay to be scared. 138 00:06:46,968 --> 00:06:49,729 Just know that I will be by your side every step of the way, 139 00:06:49,754 --> 00:06:51,430 whatever it is, we will handle it. 140 00:06:51,568 --> 00:06:54,216 - Okay. - I’ll be back. 141 00:06:59,601 --> 00:07:01,569 - Hey, can I ask you something? - Mm-hmm. 142 00:07:01,594 --> 00:07:04,685 You and Owen are divorced. Do you get lunch? 143 00:07:04,710 --> 00:07:06,125 Mmm, not usually. 144 00:07:06,850 --> 00:07:08,881 He’s divorced from you. Do you get lunch? 145 00:07:09,228 --> 00:07:10,264 No. 146 00:07:10,543 --> 00:07:12,589 - Should I be worried? - About lunch? 147 00:07:12,614 --> 00:07:13,857 Dr. Shepherd? Paramedics called. 148 00:07:13,882 --> 00:07:16,248 They’re bringing in a code stroke. Female, 75. 149 00:07:16,273 --> 00:07:18,354 - Uh, hold that thought. How far out? - Unloading now. 150 00:07:18,378 --> 00:07:20,322 They picked her up around Lake Union slurring her words. 151 00:07:20,346 --> 00:07:23,729 Okay, notify CT. The patient is gonna need a scan ASAP. 152 00:07:23,867 --> 00:07:26,283 And make sure the endovascular lab is on standby. 153 00:07:26,421 --> 00:07:27,421 Okay. 154 00:07:27,491 --> 00:07:29,217 Oh, my God. 155 00:07:29,355 --> 00:07:32,047 - Owen, Owen. - Oh, my God. 156 00:07:32,072 --> 00:07:33,828 75-year-old female. She’s been asking... 157 00:07:33,853 --> 00:07:34,975 - Evelyn. - You know her? 158 00:07:35,000 --> 00:07:36,958 - Page Owen Hunt. - Is there a trauma injury? 159 00:07:36,983 --> 00:07:38,543 - Owen? - This is his mother. 160 00:07:39,269 --> 00:07:44,269 - Synced and corrected by ChrisKe - -- for www.MY-SUBS.com -- 161 00:07:52,412 --> 00:07:54,285 - Hey, Dr. Kwan. - Hey. 162 00:07:54,310 --> 00:07:56,254 I was starting to think that you’ve forgotten about us. 163 00:07:56,278 --> 00:07:58,866 No way. Uh, it’s just been really busy, 164 00:07:59,004 --> 00:08:01,223 but I hear you’re getting discharged. 165 00:08:01,361 --> 00:08:05,434 Yep, we’re gonna go home, get some rest, and then hit the road. 166 00:08:05,615 --> 00:08:07,824 First stop, Glacier National Park. 167 00:08:08,255 --> 00:08:09,877 You talked Logan into the trip? 168 00:08:10,015 --> 00:08:11,855 He’s actually the one that started planning it. 169 00:08:12,294 --> 00:08:14,054 I don’t know what happened. After my surgery, 170 00:08:14,079 --> 00:08:15,943 he became a regular John Muir. 171 00:08:17,022 --> 00:08:19,577 Who knows how long those glaciers will be there, right? 172 00:08:20,681 --> 00:08:21,855 Hey, Mr. Durston. 173 00:08:21,880 --> 00:08:24,108 Uh, Dr. Kwan, I thought you were supposed to be... 174 00:08:24,133 --> 00:08:26,179 I-I was just saying goodbye. Safe travels. 175 00:08:26,204 --> 00:08:28,448 Dr. Warren, his sats are at 93 on room air 176 00:08:28,473 --> 00:08:30,647 and heart rate is trending to the low one hundreds. 177 00:08:30,898 --> 00:08:32,393 - What does that mean? - It could be nothing, 178 00:08:32,418 --> 00:08:34,578 but we can’t discharge your dad until we check him out, 179 00:08:34,603 --> 00:08:36,191 so set up a chest X-ray and an EKG. 180 00:08:36,409 --> 00:08:38,329 It’s just a few tests. We’ll be out of here soon. 181 00:08:38,580 --> 00:08:41,376 Um, are you gonna go with him, Dr. Kwan? 182 00:08:43,083 --> 00:08:46,914 Of course. Yeah, uh, I will update you as soon as we know anything. 183 00:08:47,200 --> 00:08:48,478 Cool. 184 00:08:50,445 --> 00:08:53,896 Tonya Orvis, 56, seven months post heart transplant. 185 00:08:53,921 --> 00:08:56,579 Admitted with shortness of breath and chest pain. 186 00:08:56,943 --> 00:08:59,636 It’s always good to see you, but I’m sorry you’re not feeling well. 187 00:08:59,661 --> 00:09:02,905 It’s okay. I never feel well. 188 00:09:03,043 --> 00:09:05,642 Well, hopefully we can get this figured out and that’ll change. 189 00:09:05,667 --> 00:09:09,533 Can you make me a healthy 25-year-old with big boobs and beachy waves? 190 00:09:09,672 --> 00:09:12,126 That’s not technically my specialty. 191 00:09:12,151 --> 00:09:14,021 Then I think this is just how I’m gonna feel. 192 00:09:14,139 --> 00:09:16,555 I’m running on a used engine. What’d you expect? 193 00:09:17,004 --> 00:09:18,316 It’s kind of a miracle. 194 00:09:18,341 --> 00:09:20,716 I mean, I’ve never had a heart transplant, 195 00:09:20,741 --> 00:09:23,606 but I would think you’d feel better than before. 196 00:09:23,744 --> 00:09:25,616 You would think that. 197 00:09:25,641 --> 00:09:29,691 - What’s that supposed to mean? - You’re young, handsome. 198 00:09:29,716 --> 00:09:34,237 Give it 15 years, some hair loss and 20 cholesterol points. 199 00:09:34,262 --> 00:09:38,127 Uh, let’s send for a Prograf level, CT and an EKG, all right? 200 00:09:38,395 --> 00:09:40,258 - We’ll be back. - Can’t wait. 201 00:09:42,314 --> 00:09:45,352 - She is... - Charming, and you’ll love her. 202 00:09:46,940 --> 00:09:48,605 Evelyn, hey, it’s Teddy. 203 00:09:48,629 --> 00:09:50,599 Owen’s on his way down. Hang in there. Anything? 204 00:09:50,737 --> 00:09:54,223 - DTRs 2+ and equal bilaterally. - It looks like you had a TIA, 205 00:09:54,248 --> 00:09:56,683 - which is a mini stroke. - I know what it means. 206 00:09:56,821 --> 00:09:58,754 I may be old, but I’m still a nurse. 207 00:10:00,012 --> 00:10:01,861 It’s nice to see you though, dear. 208 00:10:01,999 --> 00:10:05,934 - How’s that baby of yours? - Five and full of energy. 209 00:10:05,959 --> 00:10:09,445 I came as fast as I could. Are you okay? Any pain or dizziness? 210 00:10:09,485 --> 00:10:11,491 Oh, Lord. I’m fine. 211 00:10:11,629 --> 00:10:14,149 Just call my regular doctor. No need to fuss. 212 00:10:14,174 --> 00:10:15,840 She’s moving all her extremities. 213 00:10:15,873 --> 00:10:17,427 No more facial drooping or slurring. 214 00:10:17,452 --> 00:10:18,866 It’s likely a TIA. 215 00:10:18,891 --> 00:10:21,615 Atrial fibrillation on her EKG. It’s intermittent on the monitor. 216 00:10:21,640 --> 00:10:24,401 Have you had any heart palpitations or felt your heart racing? 217 00:10:24,426 --> 00:10:27,127 - I don’t think so. - Okay, she needs a head CT, an echo, 218 00:10:27,152 --> 00:10:29,116 carotid duplexes, and she needs to be admitted. 219 00:10:30,347 --> 00:10:33,375 - As in now. - Owen, watch your tone. 220 00:10:33,400 --> 00:10:35,298 We’ve already ordered the CT and the echo. 221 00:10:35,323 --> 00:10:36,873 Once those are done, we’ll go from there, okay? 222 00:10:36,898 --> 00:10:40,037 Tell radiology that she has a history of a triple-A. 223 00:10:40,062 --> 00:10:41,419 She should be near the front of the line. 224 00:10:41,443 --> 00:10:43,791 - They’re waiting for her now. - Okay. 225 00:10:46,046 --> 00:10:49,325 Dr. Velhert to peds. Dr. Mandy Velhert to peds. 226 00:10:51,349 --> 00:10:53,159 What’s going on? 227 00:10:53,183 --> 00:10:55,491 I told you I would discharge Mr. Durston myself. 228 00:10:55,516 --> 00:10:57,966 Oncology needed the room and his paperwork was in order, so... 229 00:10:58,824 --> 00:11:01,956 And I was just saying a quick goodbye and then his sats dropped. 230 00:11:01,980 --> 00:11:03,924 Then you should have paged me. Where are you taking him? 231 00:11:03,948 --> 00:11:06,053 Radiology. CT is waiting on us. 232 00:11:06,240 --> 00:11:07,720 Don’t worry, they’re doing a good job. 233 00:11:07,745 --> 00:11:11,369 That may be, but they have other things to do. 234 00:11:11,394 --> 00:11:12,568 I will take it from here. 235 00:11:13,889 --> 00:11:16,729 - You’re taking him to CT? - Yeah, you said it yourself. 236 00:11:16,754 --> 00:11:17,858 We’re stretched thin. 237 00:11:21,354 --> 00:11:25,057 You said elevated liver enzymes, low platelets and high LDH? 238 00:11:25,082 --> 00:11:26,877 We don’t speak doctor. 239 00:11:26,902 --> 00:11:29,156 Does that mean I have preeclampsia? - Not exactly. 240 00:11:29,180 --> 00:11:32,873 Your lab results and physical exam indicate something related. 241 00:11:33,091 --> 00:11:35,566 - HELLP syndrome. - That sounds worse. 242 00:11:36,049 --> 00:11:39,130 It is a rare pregnancy complication of your blood and liver. 243 00:11:39,155 --> 00:11:40,812 So what do we do now? Give her medication? 244 00:11:42,450 --> 00:11:45,896 - What is that? What’s happening? - Your baby is in distress. 245 00:11:45,921 --> 00:11:48,510 Let’s get you on your side to see if that helps. 246 00:11:48,535 --> 00:11:51,469 Okay, ready? 247 00:11:51,720 --> 00:11:55,319 Okay, we need some help in here. Okay, Irene, change of plan. 248 00:11:55,344 --> 00:11:57,277 The best way to take care of you and your baby 249 00:11:57,302 --> 00:11:59,703 is to get you to the OR for a C-section. 250 00:11:59,728 --> 00:12:01,246 What... You’re taking her now? 251 00:12:01,271 --> 00:12:03,412 I’m not... I’m not due for another six weeks. 252 00:12:03,437 --> 00:12:05,473 Your baby is 34 weeks. She should be just fine. 253 00:12:05,498 --> 00:12:07,585 We have an amazing NICU team, but we do 254 00:12:07,610 --> 00:12:09,358 need to get her out as soon as possible. 255 00:12:10,014 --> 00:12:12,741 - You got this. I love you. - I love you too. 256 00:12:14,721 --> 00:12:17,272 You have to make sure both of them are okay, please. 257 00:12:17,539 --> 00:12:18,851 I’ll do everything I can. 258 00:12:25,575 --> 00:12:26,783 Hey. 259 00:12:26,808 --> 00:12:29,713 I just did my first A-line without supervision, 260 00:12:29,738 --> 00:12:31,119 and the patient is still alive. 261 00:12:31,199 --> 00:12:33,603 Do you want to go out to dinner? 262 00:12:33,628 --> 00:12:36,321 To celebrate. I mean, last night was so fun, 263 00:12:36,346 --> 00:12:38,796 and the night before that and twice the night before that. 264 00:12:39,085 --> 00:12:41,536 But don’t you ever get hungry? 265 00:12:42,835 --> 00:12:43,905 Sounds great. 266 00:12:45,192 --> 00:12:46,814 Uh... Bailey. 267 00:12:47,660 --> 00:12:49,006 I’ll see you tonight. 268 00:12:53,717 --> 00:12:54,891 I thought you were sad. 269 00:12:55,926 --> 00:12:57,886 - He found something to make him happy. - Shut up. 270 00:12:57,911 --> 00:12:59,111 Trust me, no judgment here. 271 00:12:59,136 --> 00:13:02,105 You know, like, Millin’s having, like, a full-on affair with... 272 00:13:02,130 --> 00:13:04,522 Have you heard from your family? Is your brother doing better? 273 00:13:04,659 --> 00:13:05,980 I’d rather not get into it. 274 00:13:07,559 --> 00:13:10,148 It’s the medical records office with another dumb question 275 00:13:10,173 --> 00:13:12,158 on another dumb discharge summary. 276 00:13:12,783 --> 00:13:15,645 Should I just throw in the towel? Become a mechanic? 277 00:13:15,670 --> 00:13:16,671 Yes. 278 00:13:16,809 --> 00:13:18,259 You don’t know what’s going on. 279 00:13:18,490 --> 00:13:19,767 Just speaking from the heart. 280 00:13:29,314 --> 00:13:31,316 No, no. They just finished imaging her. 281 00:13:31,528 --> 00:13:34,393 No, just hold tight, okay? I gotta go. 282 00:13:35,518 --> 00:13:38,624 Megan. She’s trying to decide if she needs to get on a plane. 283 00:13:39,162 --> 00:13:40,510 Does she need to get on a plane? 284 00:13:40,535 --> 00:13:43,639 Good news, imaging was negative, so there’s no active stroke. 285 00:13:43,664 --> 00:13:46,538 But we did see signs of bilateral carotid stenosis, 286 00:13:46,563 --> 00:13:48,506 which is not unusual due to her history. 287 00:13:48,531 --> 00:13:50,077 I’m gonna start her on anticoagulants 288 00:13:50,101 --> 00:13:51,716 to reduce risk of further strokes, 289 00:13:51,741 --> 00:13:53,926 and then we’re just gonna keep a really close eye on her. 290 00:13:53,950 --> 00:13:55,119 She’s in good spirits. 291 00:13:55,144 --> 00:13:57,092 I’ll give you an update once she’s settled in the room. 292 00:13:57,117 --> 00:13:58,153 Okay. 293 00:13:59,273 --> 00:14:02,483 I, uh... I can cancel my day to help you out with whatever you need. 294 00:14:02,508 --> 00:14:05,833 - I mean, your mom, you. - Yeah, you don’t need to do that. 295 00:14:05,936 --> 00:14:09,595 - Are you sure? It is not a problem. - I-I have it under control. 296 00:14:11,130 --> 00:14:12,752 Okay. Bye. 297 00:14:13,076 --> 00:14:15,636 Dr. Bush to the NICU. Dr. Justin Bush to the NICU. 298 00:14:19,603 --> 00:14:21,674 There she is. Cut the cord. 299 00:14:23,221 --> 00:14:26,120 Okay, sweet girl. 300 00:14:27,052 --> 00:14:29,063 Okay, hang two more units of blood. 301 00:14:29,322 --> 00:14:32,826 - I thought we called for backup. - We did. Twice. 302 00:14:32,851 --> 00:14:34,897 Where the hell are they? More traction. 303 00:14:34,922 --> 00:14:36,933 Heard you needed hands. What do we have? 304 00:14:36,958 --> 00:14:39,971 Just delivered the baby via crash C-section. Looks like HELLP. 305 00:14:39,996 --> 00:14:41,954 Based on her labs, the baby had prolonged 306 00:14:41,978 --> 00:14:43,802 bradycardia, so we had to deliver. 307 00:14:43,827 --> 00:14:46,278 - Hell of a first day back. - How much blood have you given? 308 00:14:47,215 --> 00:14:48,320 Three units. 309 00:14:48,591 --> 00:14:51,224 Need more lap pads. Send a TEG. 310 00:14:51,326 --> 00:14:53,362 Are you gonna help me control the bleeding or not? 311 00:14:54,059 --> 00:14:55,820 Okay, take this. 312 00:14:56,300 --> 00:14:58,992 Suction. More lap pads. 313 00:15:11,396 --> 00:15:14,399 - Hey, how was lunch? - Hey. Uh, fine. 314 00:15:14,789 --> 00:15:17,215 We talked. Actually, Celine did most of the talking, 315 00:15:17,240 --> 00:15:19,346 which is pretty typical for her. 316 00:15:19,484 --> 00:15:20,977 About Zachary or... 317 00:15:21,115 --> 00:15:23,877 - Um... - I mean, you don’t have to tell me. 318 00:15:23,902 --> 00:15:25,622 She’s your co-parent. It is not my business. 319 00:15:25,662 --> 00:15:28,330 - She wants to get back together. - Oh. 320 00:15:28,355 --> 00:15:30,963 I didn’t expect any of the words that came out of her mouth, 321 00:15:30,988 --> 00:15:33,266 and I was going to wait and talk to you about it tonight, 322 00:15:33,291 --> 00:15:35,465 but I don’t want to keep anything from you. 323 00:15:36,121 --> 00:15:38,330 Are you... 324 00:15:39,331 --> 00:15:41,402 - Do you want to get back together? - No. 325 00:15:45,164 --> 00:15:47,305 I don’t know. I don’t think so. 326 00:15:49,272 --> 00:15:50,515 Can we go somewhere? 327 00:15:50,653 --> 00:15:52,215 Talk about this, not in the hallway? 328 00:15:52,240 --> 00:15:54,208 I don’t know what there is to talk about. 329 00:15:54,346 --> 00:15:57,531 I’ve never met Celine, and... I’ve never met Zachary. 330 00:15:57,556 --> 00:16:00,052 I-I mean, I don’t even know how long you guys have been divorced. 331 00:16:00,076 --> 00:16:02,803 - Nine months. - That’s not long. 332 00:16:03,399 --> 00:16:06,352 You know, and we haven’t really defined this thing, like, 333 00:16:06,377 --> 00:16:09,543 - I-I really don’t get to weigh in. - Amelia. 334 00:16:09,568 --> 00:16:11,718 I have this really important patient 335 00:16:11,743 --> 00:16:13,755 that I need to give all of my attention to right now, 336 00:16:13,779 --> 00:16:15,471 so I’m going to focus on that. 337 00:16:16,298 --> 00:16:18,369 You just let me know what you decide. 338 00:16:26,102 --> 00:16:27,517 - Hey. - Hey. 339 00:16:27,542 --> 00:16:29,796 - I said I had this under control. - Yeah, and I heard you. 340 00:16:29,821 --> 00:16:33,120 I’m not here to help. I’m here on a wild goose chase. 341 00:16:33,523 --> 00:16:35,358 Novack-Myers wants their hydrogel back 342 00:16:35,382 --> 00:16:37,081 since the FDA denied Quinn’s request, 343 00:16:37,106 --> 00:16:40,116 but I can’t find it and no one knows where it is. 344 00:16:40,141 --> 00:16:41,222 Have you seen it? 345 00:16:41,247 --> 00:16:45,027 We have a floor full of patients, and you’re looking for a vial? 346 00:16:45,052 --> 00:16:48,099 - It’s worth a half million dollars. - Let it go. 347 00:16:48,124 --> 00:16:50,402 Our drug storage protocol should be airtight. 348 00:16:50,427 --> 00:16:52,586 You think this is an acceptable way to run a hospital? 349 00:16:52,611 --> 00:16:55,831 No, but look, we’re busier than we’ve been all year, 350 00:16:55,856 --> 00:16:57,789 and you are our chief resident. 351 00:16:57,814 --> 00:17:00,663 - Yeah, I know, I’m... - You have to do triage, 352 00:17:00,688 --> 00:17:03,941 and if you do it right, wild goose chase will not make the cut. 353 00:17:05,140 --> 00:17:06,521 Copy that. 354 00:17:08,472 --> 00:17:10,577 Pulmonary embolism in the right lower lobe. 355 00:17:11,019 --> 00:17:12,538 Oh, no. 356 00:17:14,974 --> 00:17:15,975 Damn it. 357 00:17:17,738 --> 00:17:20,257 All right, let’s get him on a heparin drip. 358 00:17:20,580 --> 00:17:23,721 He is not going home today. 359 00:17:23,746 --> 00:17:26,231 Still bleeding. 360 00:17:26,369 --> 00:17:27,726 How many units have we used? 361 00:17:27,750 --> 00:17:29,348 Eight so far. We need more laps. 362 00:17:29,372 --> 00:17:31,281 The TEG doesn’t look good. She’s too unstable. 363 00:17:31,305 --> 00:17:32,625 We just need to stop the bleeding. 364 00:17:32,650 --> 00:17:34,421 No, I’m more worried about correcting her acidosis, 365 00:17:34,446 --> 00:17:35,722 and we maxed her out on pressors. 366 00:17:35,747 --> 00:17:38,461 Millin, what’s the standard of care for damage control in surgery? 367 00:17:38,485 --> 00:17:41,670 We pack the patient and then we resuscitate her with IV fluids 368 00:17:41,695 --> 00:17:43,948 and blood products in the ICU, 369 00:17:43,973 --> 00:17:45,882 and then bring her back to the OR once she’s stable. 370 00:17:45,906 --> 00:17:47,079 Okay, good. Wilson? 371 00:17:47,104 --> 00:17:48,815 No. No, no, no. Something isn’t right. 372 00:17:48,840 --> 00:17:50,231 Was there something wrong with her labs? 373 00:17:50,255 --> 00:17:52,957 No, it’s just... I just have this feeling. 374 00:17:52,982 --> 00:17:54,822 You said it yourself, there’s a lot of bleeding. 375 00:17:54,846 --> 00:17:56,375 You just cut into her uterus and pulled out a baby. 376 00:17:56,399 --> 00:17:57,952 Of course there’s a lot of blood. 377 00:17:57,977 --> 00:18:01,371 Wilson, she’s too sick. If we keep going, we will lose her. 378 00:18:06,200 --> 00:18:07,960 Okay, let’s get her to the ICU. 379 00:18:15,393 --> 00:18:19,604 That’s precision. I can tell you’re an excellent surgeon. 380 00:18:19,629 --> 00:18:20,846 Okay, Mom. 381 00:18:20,871 --> 00:18:23,575 Okay. Ms. Hunt, you need anything at all, you have me paged. 382 00:18:23,692 --> 00:18:26,004 - All right? Bye. - Bye, Dr. Bryant. 383 00:18:26,809 --> 00:18:29,881 Okay, let’s dial back on flirting with the residents, please. 384 00:18:29,906 --> 00:18:31,167 You’re no fun. 385 00:18:31,192 --> 00:18:33,505 - You’ve just had a stroke. - A TIA. 386 00:18:34,178 --> 00:18:35,386 Barely counts. 387 00:18:36,348 --> 00:18:38,761 - Are you okay? - I’m fine. 388 00:18:38,786 --> 00:18:40,063 Oh. 389 00:18:40,314 --> 00:18:42,627 You sound just like your father. 390 00:18:42,698 --> 00:18:46,184 That man kept everything inside until the day he died. 391 00:18:47,001 --> 00:18:48,209 When you were six, 392 00:18:48,969 --> 00:18:52,317 there was a week where he seemed down. 393 00:18:53,691 --> 00:18:55,624 But he insisted he was fine. 394 00:18:56,424 --> 00:18:59,635 Then I ran into Sheila Skeeland at the pharmacy, you remember her? 395 00:19:00,118 --> 00:19:01,499 Dad’s secretary? 396 00:19:02,327 --> 00:19:08,147 She told me one of their co-workers had keeled over... dead, 397 00:19:08,713 --> 00:19:10,577 in your father’s office. 398 00:19:10,660 --> 00:19:14,146 He did CPR for 20 minutes. 399 00:19:16,962 --> 00:19:19,275 I wish he would have told me things. 400 00:19:19,526 --> 00:19:21,908 You feel you would have known him better if he’d let you in? 401 00:19:21,933 --> 00:19:23,210 Oh. 402 00:19:23,235 --> 00:19:25,617 I knew exactly who that man was. 403 00:19:26,845 --> 00:19:31,504 No, he would have felt better if he’d let it out on a... 404 00:19:34,400 --> 00:19:37,406 - Mom? Mom. Mom. - Owen. Owen. 405 00:19:37,431 --> 00:19:40,227 Code stroke. Code stroke in 3121. 406 00:19:40,252 --> 00:19:41,548 - Mom, it’s okay. - Owen. 407 00:19:41,573 --> 00:19:43,264 - Hey, hey, hey. I’m here. - Owen. 408 00:19:43,289 --> 00:19:44,920 - It’s okay. - Page Shepherd. 409 00:19:50,527 --> 00:19:52,207 Dr. Viola to the psych ward. 410 00:19:52,232 --> 00:19:54,268 Dr. Margaret Viola to the psych ward. 411 00:19:55,781 --> 00:19:58,093 Just finished my laminectomy. 412 00:19:59,860 --> 00:20:01,906 - Have you eaten anything? - Uh... No time. 413 00:20:01,931 --> 00:20:04,658 I’m trying to figure out why my patient is circling the drain. 414 00:20:05,538 --> 00:20:07,241 You want to bounce ideas? 415 00:20:08,248 --> 00:20:11,070 I know slightly more than nothing about 416 00:20:11,095 --> 00:20:12,959 differential diagnoses with HELLP. 417 00:20:12,984 --> 00:20:14,746 All her labs point to HELLP syndrome, 418 00:20:14,771 --> 00:20:17,464 but after I did the crash C-section, she never stopped bleeding. 419 00:20:17,489 --> 00:20:19,289 Maybe she just needs more time to resuscitate. 420 00:20:19,431 --> 00:20:21,226 You sound like Helm. 421 00:20:21,251 --> 00:20:23,891 She was with me in the OR. I’m pretty sure she thinks I’ve lost it. 422 00:20:26,093 --> 00:20:28,060 - Is that your patient? - Irene. 423 00:20:28,314 --> 00:20:31,490 Her wife keeps running back and forth between here and the NICU. 424 00:20:32,803 --> 00:20:33,839 Hmm. 425 00:20:35,521 --> 00:20:38,109 Tell her to take the stairs by the vending machines. 426 00:20:38,208 --> 00:20:40,521 There’s fewer people, plus you avoid that chatty nurse. 427 00:20:41,695 --> 00:20:43,041 Can I bring you a sandwich? 428 00:20:43,179 --> 00:20:44,663 No, I’m going to keep working. 429 00:20:46,596 --> 00:20:49,841 - You need to eat. - I need to... figure this out. 430 00:20:52,809 --> 00:20:53,845 Are you okay? 431 00:20:54,673 --> 00:20:57,952 I’m just worried about my patient. I will talk to you later. 432 00:20:59,368 --> 00:21:00,438 - Okay. - Okay. 433 00:21:07,514 --> 00:21:11,449 Dr. Anezi to ortho. Dr. Ali Anezi to ortho. 434 00:21:12,312 --> 00:21:13,115 Tonya. 435 00:21:15,245 --> 00:21:18,697 - It’s Dr. Adams. - I’m in the middle of something. 436 00:21:18,948 --> 00:21:21,261 - Is this important? - Uh, yeah. 437 00:21:21,399 --> 00:21:22,987 Yeah, kinda. 438 00:21:26,195 --> 00:21:29,854 Dr. Ndugu asked me to take your blood. Sorry to interrupt your, uh... 439 00:21:30,188 --> 00:21:32,466 I was practicing for when I’m dead. 440 00:21:33,022 --> 00:21:34,195 Okay. 441 00:21:34,644 --> 00:21:36,335 I know there’s no skill involved, 442 00:21:36,685 --> 00:21:38,860 I just get panic attacks sometimes. 443 00:21:39,269 --> 00:21:42,031 Pretending I’m dead helps me remember there’s nothing to worry about. 444 00:21:42,169 --> 00:21:43,653 I’ll be dead. 445 00:21:43,678 --> 00:21:46,846 I think you’ll live another 15 or 20 years with this heart. 446 00:21:48,002 --> 00:21:50,119 Or I could be hit by a bus tomorrow. 447 00:21:50,737 --> 00:21:52,257 Wait. This isn’t even about your heart? 448 00:21:52,282 --> 00:21:53,525 I’m a pragmatist. 449 00:21:53,550 --> 00:21:55,157 Yeah, I don’t think that’s what that means. 450 00:21:55,182 --> 00:21:57,115 Whatever it is, works for me. 451 00:21:57,140 --> 00:21:58,279 Does it? 452 00:21:58,530 --> 00:21:59,635 You don’t know me. 453 00:21:59,773 --> 00:22:02,879 No, but I know that life is mostly a nightmare. 454 00:22:02,904 --> 00:22:06,099 And you can choose to fixate on it and be miserable, 455 00:22:06,124 --> 00:22:08,540 or... you can ignore it, 456 00:22:08,678 --> 00:22:10,508 and have fun. 457 00:22:10,646 --> 00:22:13,269 I’m in a hospital. How am I supposed to have a good time? 458 00:22:13,294 --> 00:22:16,627 Well, the gift shop. It has these puzzles. 459 00:22:16,652 --> 00:22:18,091 And sometimes, the kids from Peds, 460 00:22:18,115 --> 00:22:19,975 they like to prank call the front desk. 461 00:22:20,000 --> 00:22:21,000 So that’s fun. 462 00:22:21,148 --> 00:22:23,461 And Andy, the nurse, 463 00:22:24,049 --> 00:22:25,809 single, ready to mingle. 464 00:22:25,971 --> 00:22:27,347 I’ll get right on it. 465 00:22:27,372 --> 00:22:30,459 Oh, at least order the pancakes from the cafeteria tomorrow morning. 466 00:22:30,597 --> 00:22:32,483 They’re surprisingly good. 467 00:22:33,624 --> 00:22:34,832 Are you done? 468 00:22:35,503 --> 00:22:37,663 Yeah. Yeah, I am. 469 00:22:40,710 --> 00:22:42,712 What happened? 470 00:22:42,737 --> 00:22:45,310 She started slurring her speech and lost mobility in her left side. 471 00:22:45,335 --> 00:22:47,105 She became obtunded, so we intubated. 472 00:22:47,130 --> 00:22:48,410 Owen, you should not be in here. 473 00:22:48,442 --> 00:22:49,823 I’m not going anywhere. 474 00:22:50,513 --> 00:22:51,894 There. Do you see that? 475 00:22:51,919 --> 00:22:54,354 A clot in the first segment of the middle cerebral artery. 476 00:22:54,379 --> 00:22:56,668 We’re lucky that you were with her, and that you caught it right away. 477 00:22:56,692 --> 00:22:59,039 This stroke has a high rate of mortality. 478 00:22:59,064 --> 00:23:00,155 Should we push thrombolytics? 479 00:23:00,180 --> 00:23:01,638 Well, she’s already on anticoagulation. 480 00:23:01,662 --> 00:23:03,457 Our best bet is to remove it. 481 00:23:03,482 --> 00:23:06,700 Why don’t you prep for an endovascular thrombectomy. 482 00:23:09,209 --> 00:23:10,849 I will take care of her like she’s my own. 483 00:23:12,086 --> 00:23:13,778 I checked her chart on her way up. 484 00:23:14,364 --> 00:23:17,575 She hasn’t updated her advanced directive in over a decade. 485 00:23:17,600 --> 00:23:21,751 Do you know if her wishes would’ve changed if anything were to happen? 486 00:23:21,776 --> 00:23:23,157 I’m not worried. It’s you. 487 00:23:25,410 --> 00:23:26,342 With the carotid stenosis... 488 00:23:26,366 --> 00:23:27,837 Get in there and do what you need to do. 489 00:23:27,861 --> 00:23:30,142 - We need to prepare for the worst... - We’re losing time! 490 00:23:30,922 --> 00:23:33,131 I will call you with updates. 491 00:23:40,883 --> 00:23:44,335 Helm wanted you to see Irene’s latest ABG results. 492 00:23:44,360 --> 00:23:46,766 Her labs are improving. That’s good, right? 493 00:23:47,476 --> 00:23:49,409 Except her hemoglobin is still dropping. 494 00:23:49,434 --> 00:23:50,711 She’s still bleeding. 495 00:23:50,736 --> 00:23:52,842 Could it be dilutional? 496 00:23:53,187 --> 00:23:55,292 I don’t know. I just... I... 497 00:23:56,476 --> 00:23:58,270 I think it might not be HELLP. 498 00:23:59,735 --> 00:24:02,215 Maybe she just needs more time? 499 00:24:02,240 --> 00:24:03,804 If the bleeding’s not coming from her uterus, 500 00:24:03,828 --> 00:24:05,174 she may not have time. So I... 501 00:24:07,001 --> 00:24:10,384 I-I think that we go back into the OR and we find the source. 502 00:24:11,755 --> 00:24:15,206 Or w-we could get a scan first? 503 00:24:16,565 --> 00:24:17,911 She’s crashing. 504 00:24:18,498 --> 00:24:20,327 Change of plans. I’m reopening her here. 505 00:24:20,465 --> 00:24:22,985 Uh... Hold on. Let me page Helm. 506 00:24:23,010 --> 00:24:25,100 Do whatever you need to do, but Irene can’t wait. 507 00:24:25,125 --> 00:24:27,129 I need a cut down tray! 508 00:24:36,630 --> 00:24:39,494 Uh. You know, you gotta jump 509 00:24:39,519 --> 00:24:42,487 a millisecond after it feels like it’s a little too late. Now. 510 00:24:44,351 --> 00:24:45,465 Doctors play video games? 511 00:24:45,490 --> 00:24:47,423 Oh. Surgeons have dexterity, bro. 512 00:24:48,502 --> 00:24:50,021 Uh, do you have Quinn’s results? 513 00:24:50,046 --> 00:24:52,610 Uh. Your dad has a pulmonary embolism. 514 00:24:52,635 --> 00:24:54,612 It’s a small blood clot in his lungs. 515 00:24:54,637 --> 00:24:56,363 We’ll give him medicine to clear it up. 516 00:24:56,388 --> 00:24:58,409 I-I know. He’s had one before. 517 00:24:58,676 --> 00:25:01,990 Um, wh-when is the experimental drug supposed to start working? 518 00:25:02,340 --> 00:25:03,721 There must be some confusion. 519 00:25:03,746 --> 00:25:05,830 Your dad didn’t end up getting the experimental drug. 520 00:25:05,855 --> 00:25:07,512 Dr. Bailey said he did. 521 00:25:07,650 --> 00:25:09,813 The FDA or whatever changed their mind. 522 00:25:11,078 --> 00:25:12,079 Hmm. 523 00:25:13,079 --> 00:25:15,906 - Can you excuse us for a minute? - Yeah. 524 00:25:20,042 --> 00:25:22,596 You know anything about this? 525 00:25:23,528 --> 00:25:24,805 You should talk to Dr. Bailey. 526 00:25:25,737 --> 00:25:27,981 I don’t see anything in his chart. Should I update it? 527 00:25:28,223 --> 00:25:31,709 Just record the PE. I’ll talk to Dr. Bailey about the oversight. 528 00:25:31,743 --> 00:25:33,987 And you, stay the hell out of this case. 529 00:25:45,860 --> 00:25:48,622 What happened? Did she throw another clot? 530 00:25:51,967 --> 00:25:53,520 I can’t operate on Owen’s mom. 531 00:25:53,573 --> 00:25:56,059 If anything happens to her, he will never forgive me. 532 00:25:56,084 --> 00:25:58,968 You can ask someone else to do it, he’ll understand. 533 00:25:58,993 --> 00:26:01,754 If she loses all cognitive function on someone else’s table, 534 00:26:01,779 --> 00:26:02,953 I’ll never forgive myself. 535 00:26:06,508 --> 00:26:07,824 She and my mom are a lot alike. 536 00:26:07,849 --> 00:26:11,508 You know, both military nurses and raised kids on their own. 537 00:26:13,066 --> 00:26:16,725 But I had a... ... a complicated relationship with my mom. 538 00:26:16,980 --> 00:26:19,707 So, having Evelyn as a mother-in-law kinda... 539 00:26:21,084 --> 00:26:22,533 you know, felt like a second chance. 540 00:26:22,558 --> 00:26:23,767 Hmm. 541 00:26:24,018 --> 00:26:25,709 You know what she’d say right now? 542 00:26:25,847 --> 00:26:28,718 "Suck it up and get in there." 543 00:26:30,290 --> 00:26:31,326 And she’d be right. 544 00:26:32,776 --> 00:26:33,915 You can do this. 545 00:26:38,782 --> 00:26:41,336 Feel free to say no, but can I go in there with you? 546 00:26:42,894 --> 00:26:43,895 Of course. 547 00:26:50,667 --> 00:26:52,048 What the hell are you doing? 548 00:26:52,073 --> 00:26:54,247 She was about to code. I had to open her. 549 00:26:54,272 --> 00:26:55,886 She’s probably bleeding from the uterine 550 00:26:55,911 --> 00:26:57,915 incision, or the incision you just created. 551 00:26:57,939 --> 00:26:59,803 She’s not. She’s bleeding from somewhere else. 552 00:27:02,150 --> 00:27:03,613 - Oh, my God. - Ultrasound. 553 00:27:14,610 --> 00:27:16,439 - Holy hell. - Whoa. 554 00:27:17,993 --> 00:27:20,868 There. She’s bleeding from the liver. 555 00:27:20,893 --> 00:27:23,905 She has a hemorrhage from a ruptured liver mass, probably an adenoma. 556 00:27:23,930 --> 00:27:26,010 So the bleed was coming from the mass the whole time? 557 00:27:26,472 --> 00:27:27,956 You were right. 558 00:27:27,981 --> 00:27:31,499 We need to embolize it in the IR suite. Millin, inform her wife. 559 00:27:31,524 --> 00:27:33,950 Are you two with me? 560 00:27:33,975 --> 00:27:35,148 Let’s pack and go. 561 00:27:43,622 --> 00:27:45,339 You know it’s a bad day when I’m having 562 00:27:45,364 --> 00:27:47,791 my morning green juice after 3:00 p.m. 563 00:27:47,816 --> 00:27:49,931 Did you give Quinn Durston the experimental hydrogel 564 00:27:49,956 --> 00:27:51,440 without the FDA’s approval? 565 00:27:52,507 --> 00:27:53,542 No. 566 00:27:54,483 --> 00:27:56,278 Did Kwan? 567 00:27:57,412 --> 00:27:59,699 Yeah, that’s why he’s been doing paperwork all week. 568 00:27:59,724 --> 00:28:01,278 Miranda, you lied to my face. 569 00:28:01,303 --> 00:28:05,341 No, no, no. I’m trying to protect you. Right? 570 00:28:05,366 --> 00:28:08,053 - Keep you out of it. - Yeah, well, he’s my patient too now. 571 00:28:08,078 --> 00:28:10,500 We are supposed to report the PE to the 572 00:28:10,524 --> 00:28:13,058 IRB and the clinical trial sponsor... 573 00:28:13,083 --> 00:28:16,116 - This could blow up. - I know that. 574 00:28:18,088 --> 00:28:19,468 Okay, look. 575 00:28:19,493 --> 00:28:22,101 It wasn’t you, so you could tell them that Kwan... 576 00:28:22,126 --> 00:28:24,611 No, I’m not turning Kwan in. 577 00:28:25,129 --> 00:28:26,460 Okay, he was... he was just trying to 578 00:28:26,485 --> 00:28:28,926 help, and we had a treatment that could. 579 00:28:28,951 --> 00:28:31,248 How many times you been on my case about going rogue? 580 00:28:31,273 --> 00:28:32,405 That’s just it, right? 581 00:28:32,430 --> 00:28:36,322 We’ve all done things we shouldn’t have, but we’re still here. 582 00:28:36,347 --> 00:28:38,956 Look, he’s paying for his mistake 583 00:28:38,981 --> 00:28:42,146 with notes and-and-and orders. 584 00:28:42,171 --> 00:28:44,020 It doesn’t need to upend his training. 585 00:28:44,045 --> 00:28:46,194 You could get fined, lose your license. 586 00:28:46,219 --> 00:28:48,187 It’s way less likely to happen to me than him. 587 00:28:50,755 --> 00:28:51,756 I hope you’re right. 588 00:29:00,751 --> 00:29:01,970 Advancing the catheter. 589 00:29:01,994 --> 00:29:03,178 What kind of nurse was Ms. Hunt? 590 00:29:03,202 --> 00:29:05,213 She was a scrub nurse in Vietnam. 591 00:29:05,238 --> 00:29:06,308 That tracks. 592 00:29:06,333 --> 00:29:08,423 Yeah, she seems like a hospital corners, 593 00:29:08,448 --> 00:29:10,595 - count the instruments kind of gal. - Very much so. 594 00:29:10,620 --> 00:29:13,037 All right. Push the contrast. Fluoro. 595 00:29:15,593 --> 00:29:19,149 Damn it. The carotid is narrower than it looked on the scans. 596 00:29:19,174 --> 00:29:21,540 Yeah, it looks 100% blocked on the left. 597 00:29:21,565 --> 00:29:23,670 Does that mean you can’t get the clot? 598 00:29:23,808 --> 00:29:24,982 I can do it. 599 00:29:25,120 --> 00:29:26,920 But if I knock against the wall of the artery, 600 00:29:26,950 --> 00:29:28,986 I could shower blood clots into her brain. 601 00:29:29,011 --> 00:29:30,963 When will we address the stenosis? 602 00:29:30,988 --> 00:29:33,000 I could do a carotid endarterectomy 603 00:29:33,025 --> 00:29:35,027 when she’s recovered from the thrombectomy. 604 00:29:35,165 --> 00:29:36,511 Someone get Dr. Hunt on the phone. 605 00:29:40,549 --> 00:29:42,344 How’s it going? Do you have a clear path? 606 00:29:42,482 --> 00:29:44,288 The stenosis is worse than expected. 607 00:29:44,312 --> 00:29:46,668 It’s about 95% occluded on the right side. 608 00:29:46,693 --> 00:29:48,143 - But I can make it work. - Okay. 609 00:29:48,281 --> 00:29:49,741 So what are you gonna do about the stenosis? 610 00:29:49,765 --> 00:29:51,019 Teddy and I just talked it through. 611 00:29:51,043 --> 00:29:53,123 Her brain tissue is too unstable right now. 612 00:29:53,148 --> 00:29:55,047 I could do an endarterectomy in a few weeks. 613 00:29:55,299 --> 00:29:57,956 A few weeks? She’ll have more strokes. 614 00:29:57,981 --> 00:29:59,568 Can we place the stent now? 615 00:29:59,593 --> 00:30:02,684 That would increase her risk of converting to a hemorrhagic stroke. 616 00:30:02,709 --> 00:30:04,401 I think that’s a risk we need to take. 617 00:30:05,022 --> 00:30:06,344 Owen, we’ve already lost a lot of time. 618 00:30:06,368 --> 00:30:08,168 This is my recommendation. It’s too dangerous. 619 00:30:08,232 --> 00:30:10,383 If she has more strokes, she’ll lose even more brain tissue. 620 00:30:10,407 --> 00:30:13,087 And if I placed the stent and it becomes hemorrhagic, she could die. 621 00:30:13,134 --> 00:30:15,170 I know my mom, okay? 622 00:30:16,327 --> 00:30:18,217 And she would rather die on that table 623 00:30:18,242 --> 00:30:20,442 than to live every day with the risk of a massive stroke 624 00:30:20,467 --> 00:30:22,331 taking away her independence. 625 00:30:23,075 --> 00:30:24,731 Amelia, I know what I’m asking you to do. 626 00:30:25,071 --> 00:30:27,281 And if anything happens, it’s on me, not you. 627 00:30:31,923 --> 00:30:32,924 Okay. I’ll do it. 628 00:30:34,810 --> 00:30:36,467 Okay, everybody. We’ve got to move. 629 00:30:36,605 --> 00:30:39,056 I’m going to perform the thrombectomy and place the stent. 630 00:30:39,081 --> 00:30:41,896 I know I said this was a bad idea before, but we need to forget that. 631 00:30:41,921 --> 00:30:43,681 If we’re going to do this, we need to operate 632 00:30:43,706 --> 00:30:45,140 as though we cannot fail. 633 00:30:45,165 --> 00:30:46,798 - I’m with you. - We got your back. 634 00:30:48,517 --> 00:30:49,863 Aspiration catheter. 635 00:32:20,546 --> 00:32:22,445 I need you to jump in. 636 00:32:22,470 --> 00:32:24,275 What the hell happened? I was just talking to her. 637 00:32:24,299 --> 00:32:26,336 - Adams, get in here right now. Come on. - Okay. 638 00:32:36,691 --> 00:32:38,934 - Is she... - She’s headed to recovery. 639 00:32:56,600 --> 00:32:57,636 Hey. 640 00:32:59,229 --> 00:33:02,449 - What sounds better, burgers or Thai? - Neither. 641 00:33:02,575 --> 00:33:04,508 I just lost a patient. 642 00:33:06,038 --> 00:33:08,282 Sudden cardiac death from transplant rejection. 643 00:33:08,307 --> 00:33:09,722 Oh. 644 00:33:09,954 --> 00:33:13,579 I’m so sorry. Do you want to go back to your place? 645 00:33:14,192 --> 00:33:16,125 I need to get caught up on notes. 646 00:33:18,742 --> 00:33:21,295 Don’t waste your time. He’s using you. 647 00:33:28,033 --> 00:33:29,310 We’ve all been there. 648 00:33:30,367 --> 00:33:31,817 It sucks. 649 00:33:37,371 --> 00:33:38,751 How is she doing? 650 00:33:39,419 --> 00:33:41,076 Stable. She’s tough. 651 00:33:41,651 --> 00:33:43,515 - And how are you doing? - I’m fine. 652 00:33:43,766 --> 00:33:45,664 Apple doesn’t fall far from the tree. 653 00:33:45,689 --> 00:33:47,588 She says that I’m like my dad. 654 00:33:48,060 --> 00:33:50,304 That may be true, but you’re also a lot like her. 655 00:33:51,708 --> 00:33:52,951 All right, Evelyn. 656 00:33:53,301 --> 00:33:56,200 We have started to wean you off sedation. 657 00:33:56,337 --> 00:33:57,752 Let’s see how you’re doing. 658 00:34:05,684 --> 00:34:07,238 Okay, please squeeze my fingers. 659 00:34:19,896 --> 00:34:21,794 Excellent work, Evelyn. 660 00:34:25,074 --> 00:34:26,282 Okay. 661 00:34:29,802 --> 00:34:32,573 I’ll let her rest and then we’ll wean her off some more. 662 00:34:32,598 --> 00:34:33,598 - Thank you. - Of course. 663 00:34:33,623 --> 00:34:35,004 Not just for that. 664 00:34:35,210 --> 00:34:37,913 I know I pushed you to take a risk that you weren’t comfortable with. 665 00:34:38,422 --> 00:34:39,941 You were right. 666 00:34:41,439 --> 00:34:42,854 It was worth it. 667 00:35:06,322 --> 00:35:08,496 It’s been a really long day. I almost lost a patient. 668 00:35:08,521 --> 00:35:09,867 Can we just... 669 00:35:17,988 --> 00:35:19,231 Welcome home. 670 00:35:20,082 --> 00:35:22,292 Can I crawl into bed with my shoes on? 671 00:35:23,290 --> 00:35:25,464 As long as you don’t mess up the laundry. 672 00:35:28,413 --> 00:35:29,872 Did your patient, uh... 673 00:35:30,011 --> 00:35:33,186 It wasn’t HELLP. 674 00:35:33,211 --> 00:35:35,661 It was a ruptured hepatic adenoma. 675 00:35:37,180 --> 00:35:39,759 We embolized. She’s in recovery. 676 00:35:40,471 --> 00:35:42,957 That’s great. You were right. 677 00:35:44,291 --> 00:35:45,464 Yeah. 678 00:35:47,363 --> 00:35:48,640 Hey. 679 00:35:49,227 --> 00:35:53,748 Listen, you saved a mom and her baby, and honestly, the other mom too. 680 00:35:53,901 --> 00:35:56,490 That family is going to be just fine. 681 00:35:57,957 --> 00:35:58,993 Maybe. 682 00:36:00,055 --> 00:36:04,976 Or... maybe months from now, Irene will still panic 683 00:36:05,001 --> 00:36:07,829 when she feels pain in her side, or... 684 00:36:09,029 --> 00:36:12,688 feel terrified when she gets a headache, or... 685 00:36:19,533 --> 00:36:23,882 hate herself when she looks at her daughter 686 00:36:24,722 --> 00:36:28,071 and all she can think about is the time that she almost died. 687 00:36:29,336 --> 00:36:30,923 Oh. Is this... 688 00:36:31,809 --> 00:36:32,845 Jo. 689 00:36:34,582 --> 00:36:36,584 I had no idea. Why didn’t you say anything? 690 00:36:36,609 --> 00:36:40,648 I just wanted to move on. I didn’t want to worry you. 691 00:36:42,038 --> 00:36:43,764 I really love our girls. 692 00:36:43,789 --> 00:36:46,038 Oh, I know. I know. 693 00:36:46,691 --> 00:36:47,933 Of course you do. 694 00:37:05,351 --> 00:37:06,352 Hey. 695 00:37:07,201 --> 00:37:08,695 Sorry, I-I don’t want to bother you. 696 00:37:08,720 --> 00:37:10,767 I just wanted to see how she was doing before I left. 697 00:37:10,904 --> 00:37:13,355 She’s slowly coming off sedation, 698 00:37:13,419 --> 00:37:15,110 and responding to basic commands. 699 00:37:15,517 --> 00:37:16,518 Great. 700 00:37:18,454 --> 00:37:21,250 If you need anything, just... just let me know. 701 00:37:22,222 --> 00:37:24,796 Would you... want to sit with us for a little while? 702 00:37:25,771 --> 00:37:27,980 I’m sure she’s sick of the sound of my voice by now. 703 00:37:30,120 --> 00:37:31,639 Yeah. Yeah, sure. 704 00:37:33,710 --> 00:37:36,230 I’ve got some time before the nanny has to leave. 705 00:37:36,255 --> 00:37:37,360 Yeah. 706 00:37:40,047 --> 00:37:43,430 Recommendations, rules, guidelines. 707 00:37:43,763 --> 00:37:47,111 Ideally, they exist to save you from unnecessary pain. 708 00:37:53,836 --> 00:37:56,788 _ 709 00:38:02,014 --> 00:38:04,776 Have fun, and stay safe while doing it. 710 00:38:14,544 --> 00:38:16,925 A-Are you using me? 711 00:38:17,866 --> 00:38:20,075 What? Why would you just say that? 712 00:38:20,309 --> 00:38:22,144 You were gone for three weeks to take 713 00:38:22,168 --> 00:38:24,115 care of your brother, who’s in a coma. 714 00:38:24,140 --> 00:38:25,486 - Yeah? - You haven’t said a word. 715 00:38:25,624 --> 00:38:27,049 You just wanna hook up. 716 00:38:27,074 --> 00:38:30,017 And I’m not looking for more than that, but I... care. 717 00:38:30,042 --> 00:38:31,434 I want to know what’s going on in your life. 718 00:38:31,458 --> 00:38:34,392 I want to know... you’re okay. 719 00:38:34,417 --> 00:38:36,360 It’s not you. It’s just I’m not 720 00:38:36,385 --> 00:38:38,810 ready to talk about my brother to anyone. 721 00:38:39,709 --> 00:38:42,988 But when the time comes, you’ll be the first person I dump my trauma on. 722 00:38:43,134 --> 00:38:44,169 Deal? 723 00:38:45,041 --> 00:38:46,076 Deal. 724 00:38:53,226 --> 00:38:55,263 But rules only work if you follow them. 725 00:38:59,016 --> 00:39:02,544 I wish I’d kissed you 726 00:39:03,587 --> 00:39:06,452 that night in med school. 727 00:39:12,074 --> 00:39:13,490 Did you run here? 728 00:39:13,515 --> 00:39:15,896 Yeah. 729 00:39:16,233 --> 00:39:20,786 I, uh... I might have looked for you in, like, three other places. 730 00:39:25,788 --> 00:39:28,722 Don’t go back... to Celine. 731 00:39:29,187 --> 00:39:30,361 I know it’s complicated. 732 00:39:31,207 --> 00:39:33,460 You’ve got Zach, and you’ve got years of memories 733 00:39:33,485 --> 00:39:34,875 that will always be with you, 734 00:39:34,900 --> 00:39:39,215 and it probably seems like the easier, safer option. 735 00:39:39,836 --> 00:39:41,355 But that doesn’t mean it’s better. 736 00:39:42,811 --> 00:39:45,814 You had your reasons for leaving. 737 00:39:45,839 --> 00:39:47,485 And they’re not going to go away 738 00:39:47,510 --> 00:39:49,473 just because you decide to start over. 739 00:39:51,082 --> 00:39:52,636 Probably not. 740 00:39:52,884 --> 00:39:55,300 And you and I are so new, we don’t even know what we are. 741 00:39:55,438 --> 00:39:57,095 Yeah. 742 00:39:57,233 --> 00:39:59,575 But what I do know is we’re great together. 743 00:39:59,934 --> 00:40:02,963 And we’ve known each other and liked each other 744 00:40:03,929 --> 00:40:05,379 since before you met Celine. 745 00:40:06,704 --> 00:40:08,222 That’s got to count for something. 746 00:40:10,574 --> 00:40:11,885 It counts for a lot. 747 00:40:12,389 --> 00:40:13,390 Good. 748 00:40:14,893 --> 00:40:17,137 Because this isn’t just a crush anymore. 749 00:40:17,932 --> 00:40:18,968 No? 750 00:40:21,843 --> 00:40:22,879 Not for me. 751 00:40:23,560 --> 00:40:25,872 And sometimes the rules you’ve been following... 752 00:40:26,700 --> 00:40:28,184 turn out to be flawed. 753 00:40:30,646 --> 00:40:31,819 All bets are off. 754 00:40:32,350 --> 00:40:33,938 Dr. Bailey. 755 00:40:36,065 --> 00:40:37,756 Warren knows. 756 00:40:37,781 --> 00:40:39,457 Yeah, you’re a few hours too late. 757 00:40:39,482 --> 00:40:41,588 - Is he going to turn me in? - No. 758 00:40:42,130 --> 00:40:43,718 He understands. But... 759 00:40:44,577 --> 00:40:46,866 And between you and me, he doesn’t want to sleep on the couch tonight. 760 00:40:49,659 --> 00:40:52,332 Um... Look, I know I went rogue again, 761 00:40:52,357 --> 00:40:54,541 and I know that I should be fired. 762 00:40:54,566 --> 00:40:57,673 But if I haven’t already said it, thank you. 763 00:40:58,915 --> 00:41:02,125 It’s going to take a minute before I can look at you 764 00:41:02,150 --> 00:41:04,843 without blinding anger. 765 00:41:05,750 --> 00:41:07,775 Dr. Bailey. 766 00:41:08,304 --> 00:41:09,304 Thank you. 767 00:41:09,408 --> 00:41:11,652 Just get some rest. 768 00:41:12,057 --> 00:41:15,440 So sorry it took me so long to answer your page. 769 00:41:15,609 --> 00:41:17,439 It’s been one of those days. 770 00:41:21,041 --> 00:41:22,698 Uh, something wrong? 771 00:41:22,723 --> 00:41:28,057 Spencer came to see me this afternoon about Quinn Durston’s PE. 772 00:41:28,082 --> 00:41:32,190 She... ... never should’ve bothered you with that. Uh... 773 00:41:32,215 --> 00:41:35,143 I’ll make sure she knows you’re not on the team, 774 00:41:35,168 --> 00:41:37,411 you-you just consulted that one time. 775 00:41:37,436 --> 00:41:39,093 Oh, she knows. 776 00:41:39,118 --> 00:41:42,106 She was following protocol, so I could report the complications 777 00:41:42,131 --> 00:41:44,616 to the IRB and the FDA, 778 00:41:44,777 --> 00:41:47,953 since Quinn was given an experimental treatment. 779 00:41:48,893 --> 00:41:51,792 - Okay, I can explain. - I hope so. 780 00:41:51,817 --> 00:41:55,373 The institutional review board will want every detail. 781 00:41:55,900 --> 00:41:57,764 They’re launching an investigation. 782 00:41:58,496 --> 00:42:00,568 You’re completely on your own. 783 00:42:03,332 --> 00:42:08,332 - Synced and corrected by ChrisKe - -- for www.MY-SUBS.com -- 61159

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