1 00:00:07,214 --> 00:00:11,528 For most of history, doctors had no way to stop pain. 2 00:00:12,046 --> 00:00:13,151 -Hey. -Hi. 3 00:00:13,289 --> 00:00:14,704 Hi. 4 00:00:14,842 --> 00:00:16,962 I know I said you couldn't have a chocolate croissant, 5 00:00:17,086 --> 00:00:19,122 but they were out of bagels, so you're welcome. 6 00:00:19,260 --> 00:00:20,261 Thank you. 7 00:00:21,159 --> 00:00:22,367 Is everything okay? 8 00:00:22,505 --> 00:00:24,300 Oh, look. Sam's mom is here. 9 00:00:25,439 --> 00:00:26,439 Have fun at camp. 10 00:00:26,543 --> 00:00:27,855 Yeah, see you later. 11 00:00:27,993 --> 00:00:29,339 What was that about? 12 00:00:29,891 --> 00:00:31,131 He'll tell you when he's ready. 13 00:00:32,032 --> 00:00:33,032 Seriously? 14 00:00:33,136 --> 00:00:35,035 During surgery, 15 00:00:35,173 --> 00:00:38,176 patients felt every cut and stitch until they inevitably passed out. 16 00:00:40,419 --> 00:00:41,972 What are you doing? 17 00:00:42,111 --> 00:00:43,388 It's my chief resident dance. 18 00:00:43,526 --> 00:00:45,838 Oh, you know, this job is nothing to dance about. 19 00:00:45,976 --> 00:00:48,910 It is when you assign yourself a cutting-edge transplant surgery. 20 00:00:49,049 --> 00:00:50,291 Ah. 21 00:00:50,429 --> 00:00:52,389 Oh, hey. I'm excited to be working with you today. 22 00:00:52,500 --> 00:00:54,364 It is going to be groundbreaking. -We'll see. 23 00:00:55,538 --> 00:00:56,815 Hey. Good morning. 24 00:00:56,953 --> 00:00:59,335 Hey, looking forward to joining you in the OR today. 25 00:00:59,473 --> 00:01:01,613 Oh, is that why you're so chipper? 26 00:01:01,751 --> 00:01:02,924 For sure. 27 00:01:03,063 --> 00:01:04,926 I just parked in the chief's parking space. 28 00:01:05,065 --> 00:01:07,308 Isn't that the space just next to your old one? 29 00:01:07,446 --> 00:01:09,931 This one doesn't have a dip in the asphalt. 30 00:01:10,070 --> 00:01:12,486 Mm-hmm. It's the perks of being a chief. 31 00:01:12,624 --> 00:01:13,970 They are mighty fine. 32 00:01:14,108 --> 00:01:17,732 Yeah, I've done both those jobs, so I know that chiefing 33 00:01:17,870 --> 00:01:22,910 is mostly scheduling and HR issues and being buried in paperwork. 34 00:01:23,531 --> 00:01:26,016 Um, does the chief resident still have his own desk? 35 00:01:26,155 --> 00:01:27,811 Already got it stocked with snacks. 36 00:01:27,949 --> 00:01:29,675 That's what I'm talking about. 37 00:01:29,813 --> 00:01:31,574 I hit the bulk store and everything. 38 00:01:31,712 --> 00:01:34,749 All a surgeon could do to minimize pain was work faster. 39 00:01:34,887 --> 00:01:39,996 That all changed when the first surgery was performed using ether as an aesthetic. 40 00:01:41,101 --> 00:01:42,136 Morning, bench warmers. 41 00:01:43,517 --> 00:01:45,557 He's just jealous because he doesn't get to scrub in 42 00:01:45,657 --> 00:01:47,057 on the double lung transplant today. 43 00:01:47,176 --> 00:01:49,764 Au contraire, I am on plastics. 44 00:01:49,902 --> 00:01:51,801 Since when were you interested in that? 45 00:01:51,939 --> 00:01:53,975 Huge scope and range in terms of anatomy, 46 00:01:54,114 --> 00:01:56,875 cutting-edge research opportunities, high demand. 47 00:01:57,807 --> 00:01:59,671 I think plastics might be the one. 48 00:02:00,223 --> 00:02:02,536 I hope you and plastics are very happy together. 49 00:02:02,674 --> 00:02:05,021 Now surgeons faced a new dilemma. 50 00:02:05,159 --> 00:02:07,161 If a patient can't feel pain... 51 00:02:07,299 --> 00:02:08,818 -Excuse me. -...when do you stop? 52 00:02:08,956 --> 00:02:10,509 Are we assigned a cubby? 53 00:02:11,717 --> 00:02:12,822 Your first day? 54 00:02:12,960 --> 00:02:14,341 I-I missed the actual first day. 55 00:02:14,479 --> 00:02:17,309 Preplanned vacation for my grandparents' anniversary. 56 00:02:17,447 --> 00:02:18,966 Bold for an autotroph. 57 00:02:20,968 --> 00:02:24,109 Bottom of the food chain. Intern locker room is down the hall. 58 00:02:24,247 --> 00:02:27,388 -Sorry, but I'm not... -Hey. Pro-tip: Excuses make it worse. 59 00:02:27,526 --> 00:02:29,045 Your resident will thank me. 60 00:02:29,908 --> 00:02:31,392 Oh, really? 61 00:02:31,530 --> 00:02:33,291 Trust me. Who do you have? 62 00:02:34,326 --> 00:02:35,327 Kwan. 63 00:02:36,501 --> 00:02:38,330 Well, I guess I'll have to thank myself. 64 00:02:38,468 --> 00:02:40,090 What'd you say your name was? 65 00:02:40,643 --> 00:02:41,851 Mohanty. 66 00:02:41,989 --> 00:02:43,370 Kavita Mohanty. 67 00:02:43,922 --> 00:02:46,235 Yeah, I don't see you on my roster. 68 00:02:47,028 --> 00:02:48,513 That's because you're on mine. 69 00:02:49,169 --> 00:02:51,895 I'm the new plastics fellow. You're on my service. 70 00:03:02,630 --> 00:03:03,769 Dr. Griffith, hey, uh... 71 00:03:04,391 --> 00:03:07,704 how does an intern get in on this insane double lung transplant? 72 00:03:08,429 --> 00:03:11,708 I don't make the assignments. Talk to Warren. Also, you're late. 73 00:03:11,846 --> 00:03:13,524 But you can put in a good word for me though, right? 74 00:03:13,607 --> 00:03:16,575 No, you don't get to ask me favors. Go make yourself useful. 75 00:03:18,888 --> 00:03:20,890 Wow, what did he do to you? 76 00:03:22,167 --> 00:03:23,789 -We need to make a pact. -Uh-huh? 77 00:03:23,927 --> 00:03:25,515 We're second years. We need to focus. 78 00:03:26,309 --> 00:03:27,586 No sex, no relationships. 79 00:03:28,346 --> 00:03:29,588 You with me? 80 00:03:32,902 --> 00:03:34,421 You had sex with him. 81 00:03:34,559 --> 00:03:35,559 I... 82 00:03:35,663 --> 00:03:37,217 It was an accident. 83 00:03:37,355 --> 00:03:38,770 How? Did you fall on it? 84 00:03:39,736 --> 00:03:41,807 The logistics don't matter. Are you in? 85 00:03:41,945 --> 00:03:43,665 Oh, I'm not the one sleeping with an intern. 86 00:03:46,812 --> 00:03:48,435 Dr. Padero to the NICU. 87 00:03:48,573 --> 00:03:50,782 Dr. Christina Padero to the NICU. 88 00:03:50,920 --> 00:03:53,440 Hey. Hey. Do you know anything about cars? 89 00:03:53,578 --> 00:03:55,994 Should I get the extended warranty? 90 00:03:56,132 --> 00:03:58,548 Well, I mean, it depends on the car, your budget, 91 00:03:58,686 --> 00:03:59,966 how long you plan on keeping it. 92 00:04:00,067 --> 00:04:01,147 My lease is up in 12 hours. 93 00:04:01,241 --> 00:04:02,759 Wow, you cut it close. 94 00:04:02,897 --> 00:04:04,865 We need a bigger car, but I hate negotiating. 95 00:04:05,003 --> 00:04:07,971 I thought Link would be out of the hospital, and he could handle it, but... 96 00:04:08,109 --> 00:04:11,975 Well, I spent the last year negotiating every penny for this hospital. 97 00:04:12,113 --> 00:04:14,481 You just have to be patient and clear on what your goals are. 98 00:04:14,564 --> 00:04:15,945 Anything is possible. 99 00:04:16,083 --> 00:04:18,637 You know, last month, I got an MRI machine at cost. 100 00:04:19,638 --> 00:04:20,950 Do you want to go with me? 101 00:04:21,088 --> 00:04:23,124 Uh, I have patients, but... 102 00:04:23,263 --> 00:04:26,507 -Hey, you, it's been a minute. -Hi. 103 00:04:26,645 --> 00:04:28,992 -How is everything? -Good, I'm-I'm great. 104 00:04:29,130 --> 00:04:31,823 -What are you doing here? -David left his wallet at home. 105 00:04:31,961 --> 00:04:33,342 How was your pineapple pizza? 106 00:04:33,480 --> 00:04:34,515 Uh, pizza? 107 00:04:34,998 --> 00:04:37,484 Ran into Owen and the kids last night picking up dinner. 108 00:04:37,622 --> 00:04:39,903 I admit I was a little judgmental when I heard your order. 109 00:04:40,038 --> 00:04:42,937 Oh, yeah, I was working late. Big... big trauma. I just... 110 00:04:43,075 --> 00:04:45,388 I didn't get home before they devoured everything. 111 00:04:45,526 --> 00:04:47,977 Oh. 112 00:04:48,460 --> 00:04:50,013 -Well, hi, we haven't met. -Oh. 113 00:04:50,151 --> 00:04:51,808 -I'm Jo Wilson. -Hi. Cass. 114 00:04:51,946 --> 00:04:53,396 Oh, yeah. Sorry, um... Jo Wilson. 115 00:04:53,534 --> 00:04:55,329 Um, Cass, um... Beckman. 116 00:04:55,467 --> 00:04:58,505 Um, she's just an incredible trauma surgeon. 117 00:04:59,022 --> 00:05:00,458 -Thank you. -Uh, she's married to David. 118 00:05:00,541 --> 00:05:02,647 Oh, yeah, I've worked with David. He's great. 119 00:05:02,785 --> 00:05:04,255 Can't remember his wallet to save his life, 120 00:05:04,338 --> 00:05:05,650 but he does an excellent CABG. 121 00:05:06,961 --> 00:05:09,654 Um, this is me. Nice to meet you, Jo. 122 00:05:11,103 --> 00:05:12,553 I'm really glad I ran into you. 123 00:05:15,729 --> 00:05:17,869 So, we'll take your car? 124 00:05:23,392 --> 00:05:26,360 Hey, hey, I hear we're playing musical chairs with some lungs today. 125 00:05:26,498 --> 00:05:28,880 Oh, shoot, I'm sorry, I must have the wrong room. 126 00:05:29,018 --> 00:05:30,247 I'm looking for Ryan Delgadillo. 127 00:05:30,330 --> 00:05:32,021 He's about this high. He loves airplanes. 128 00:05:32,159 --> 00:05:34,506 -It's me. -What? It's you? 129 00:05:34,644 --> 00:05:37,046 You must have grown, like, 6 inches since the last time I saw you. 130 00:05:37,129 --> 00:05:38,648 I'm in kindergarten. 131 00:05:38,786 --> 00:05:41,479 You're in kindergarten? Wow, that's big kid stuff right there. 132 00:05:41,617 --> 00:05:43,273 Uh, you've all met Dr. Ndugu. 133 00:05:43,412 --> 00:05:45,690 He recently pioneered a breakthrough cardio surgery. 134 00:05:45,828 --> 00:05:48,209 -We're lucky to have him. -I'm happy to help. 135 00:05:48,348 --> 00:05:49,866 -Uh, Dr. Griffith? -Ryan Delgadillo. 136 00:05:50,004 --> 00:05:53,318 Age six. Diagnosed with bronchiolitis obliterans at age two. 137 00:05:53,456 --> 00:05:55,285 He's been on ECMO for four weeks. 138 00:05:55,424 --> 00:05:58,565 Today, we will be performing a bilateral lung transplant from living donors. 139 00:05:58,703 --> 00:06:00,912 Each parent is donating one lower lobe. 140 00:06:01,050 --> 00:06:03,915 Transplanted together, they will act as Ryan's new lungs. 141 00:06:04,398 --> 00:06:05,958 You're sure this is the right way to go? 142 00:06:06,055 --> 00:06:08,851 We should wait longer for a pair of lungs from a deceased donor? 143 00:06:08,989 --> 00:06:11,543 Are you having second thoughts? -About me? No. 144 00:06:12,095 --> 00:06:14,684 I'd give Ry all my lungs if I could. 145 00:06:20,103 --> 00:06:21,298 -Can we have a moment? -Of course. 146 00:06:21,381 --> 00:06:22,382 We'll be right back. 147 00:06:23,900 --> 00:06:25,937 Okay, and how is this? Is it comfortable? -Yeah. 148 00:06:27,421 --> 00:06:29,665 We just wanna make sure that small pieces of our lungs 149 00:06:29,803 --> 00:06:32,115 are as good as a full set from someone his own size. 150 00:06:32,253 --> 00:06:33,807 It's a valid concern. 151 00:06:33,945 --> 00:06:36,568 Look, getting two lungs from a deceased donor, it's preferable, 152 00:06:37,224 --> 00:06:38,349 but we haven't found a match. 153 00:06:38,432 --> 00:06:40,952 And Ryan's been on ECMO for weeks now, 154 00:06:41,090 --> 00:06:43,817 and the risks of bleeding, blood clotting, organ damage, 155 00:06:43,955 --> 00:06:45,094 they've all quadrupled. 156 00:06:45,232 --> 00:06:46,716 Our window to act is closing. 157 00:06:47,372 --> 00:06:49,685 And, uh... you think it'll work? 158 00:06:49,823 --> 00:06:52,964 Based on the extensive workups we've done on all of you, we do. 159 00:06:53,447 --> 00:06:56,899 Once you sign the consent forms, we can get you prepped for surgery. 160 00:07:11,465 --> 00:07:12,639 Okay, where do you want me? 161 00:07:13,329 --> 00:07:14,434 There is fine. 162 00:07:16,608 --> 00:07:18,645 Hey, which one of these rigs has my patient? 163 00:07:18,783 --> 00:07:19,783 Who's your patient? 164 00:07:19,887 --> 00:07:21,199 -Katie. -Katie Rogers. 165 00:07:21,337 --> 00:07:23,995 Twenty-seven. Auto versus tree. Restrained passenger. 166 00:07:24,133 --> 00:07:26,756 Negative LOC. GCS 15. Moving all extremities. 167 00:07:26,894 --> 00:07:27,964 Minor scrapes and bruises. 168 00:07:28,102 --> 00:07:30,311 Dr. Bailey, can I still do chemo today? 169 00:07:30,450 --> 00:07:31,810 Okay, we need to examine you first. 170 00:07:31,934 --> 00:07:34,281 She also has stage two gastric cancer. 171 00:07:34,419 --> 00:07:36,835 Look, if I can't, can you still operate next month? 172 00:07:36,973 --> 00:07:39,148 One step at a time. Let's get her inside. 173 00:07:39,838 --> 00:07:40,701 -Oh! -Hey, move. 174 00:07:40,839 --> 00:07:42,462 -I'm all good. -Out of the way. 175 00:07:42,600 --> 00:07:43,911 My bag. I need my laptop. 176 00:07:44,049 --> 00:07:46,776 Um, Adams, Bryant, go find it. 177 00:07:46,914 --> 00:07:48,226 You can go in. I got this. 178 00:07:48,364 --> 00:07:49,952 I don't mind taking a look at the rig. 179 00:07:50,090 --> 00:07:51,229 You're not on a tour. 180 00:07:51,367 --> 00:07:53,438 Did I do something to piss you off? 181 00:07:53,576 --> 00:07:55,682 Yeah, you slept with my girlfriend. 182 00:07:57,166 --> 00:07:58,201 Slept... 183 00:08:11,283 --> 00:08:12,837 Cass Beckman seems nice. 184 00:08:12,975 --> 00:08:14,597 Yeah, she's great. 185 00:08:14,735 --> 00:08:16,703 What about something like this? -Nah, it's small. 186 00:08:16,841 --> 00:08:18,498 What was the big, big trauma? 187 00:08:18,981 --> 00:08:20,727 I was on call last night. I didn't hear about it. 188 00:08:20,810 --> 00:08:23,178 Oh, it must have been another night. What about the one outside? 189 00:08:23,261 --> 00:08:26,609 Oh, wait! Oh, this is perfect. 190 00:08:26,747 --> 00:08:29,198 This is gonna be way out of your budget. 191 00:08:29,336 --> 00:08:32,201 No, but you have all that negotiating experience, and you said yourself, 192 00:08:32,339 --> 00:08:34,500 "Anything is possible." Please, don't make me drive a minivan. 193 00:08:34,583 --> 00:08:36,377 Can I help you, ladies? 194 00:08:36,930 --> 00:08:38,518 Can we test-drive this car? 195 00:08:41,521 --> 00:08:43,384 BP's 122 over 68. 196 00:08:43,523 --> 00:08:45,317 Heart rate is sitting in the low hundreds. 197 00:08:45,455 --> 00:08:47,803 -I feel dizzy. -Uh, you might be dehydrated. 198 00:08:47,941 --> 00:08:51,047 Let's hang another bag of fluids and give her something for the pain. 199 00:08:51,185 --> 00:08:52,324 So, what happened? 200 00:08:52,462 --> 00:08:54,948 My rideshare had a chance encounter with a tree. 201 00:08:55,086 --> 00:08:57,295 These injuries don't look as nice as that sounds. 202 00:08:57,433 --> 00:09:00,574 I'm a couples therapist, so I like to put a positive flip on first meetings. 203 00:09:00,712 --> 00:09:02,403 -Ow. -She's... she's tender. 204 00:09:05,924 --> 00:09:07,995 Free fluid in the splenorenal recess. 205 00:09:08,133 --> 00:09:11,067 That doesn't sound like a stop on the road to Cancer-freeville. 206 00:09:11,205 --> 00:09:12,206 Should I be worried? 207 00:09:12,344 --> 00:09:13,366 What do I always tell you? 208 00:09:13,449 --> 00:09:14,933 "Don't worry until you look worried." 209 00:09:15,071 --> 00:09:17,073 Good. All right, uh, Adams, Bryant, 210 00:09:17,211 --> 00:09:20,525 get her to CT and page me when the scans are up. 211 00:09:20,663 --> 00:09:23,148 Uh, Dr. Bailey, I can take her myself. 212 00:09:23,286 --> 00:09:24,702 Bryant can go with you. 213 00:09:25,219 --> 00:09:26,807 Uh, do I look like his resident? 214 00:09:26,945 --> 00:09:28,312 Yeah, but he'll learn more with you. 215 00:09:28,395 --> 00:09:30,570 Of course he will, but then you won't learn to teach. 216 00:09:34,884 --> 00:09:37,438 Mr. Lee, how are we doing today? 217 00:09:37,577 --> 00:09:41,235 I'm the same as yesterday, but you don't look like Dr. Kayise. 218 00:09:41,373 --> 00:09:43,824 He was pulled into an emergency case. 219 00:09:43,962 --> 00:09:46,171 I'm Dr. Mohanty. This is Dr. Kwan. 220 00:09:46,309 --> 00:09:48,035 We'll be your doctors today. 221 00:09:49,002 --> 00:09:52,350 Ray Lee, 35, presenting after scald injury while hiking... 222 00:09:52,488 --> 00:09:54,766 Technically camping. I just finished Storm King. 223 00:09:55,595 --> 00:09:59,426 Three percent TBSA partial thickness burns affecting left forearm. 224 00:09:59,564 --> 00:10:03,499 Status post-bedside debridement and skin grafts post-op day one. 225 00:10:03,637 --> 00:10:04,742 Can we take a look? 226 00:10:04,880 --> 00:10:06,088 Be my guest. 227 00:10:07,745 --> 00:10:10,540 No. Dr. Mohanty is the plastic surgery fellow. 228 00:10:10,679 --> 00:10:13,405 She is very experienced and accomplished. 229 00:10:13,543 --> 00:10:14,683 Sorry about that. 230 00:10:14,821 --> 00:10:17,133 It's an honest mistake. Anyone can make it. 231 00:10:17,271 --> 00:10:18,894 She's so youthful. 232 00:10:19,032 --> 00:10:21,310 In a good way, not that she's old. 233 00:10:21,448 --> 00:10:22,932 I think he gets it. 234 00:10:24,347 --> 00:10:26,315 Let's remove the dressing, shall we? 235 00:10:26,453 --> 00:10:30,491 I'm guessing this makes the last time I make mac and cheese on a camp stove. 236 00:10:30,630 --> 00:10:32,321 This was a cooking accident? 237 00:10:32,459 --> 00:10:35,600 I'm the punch line in those jokes about cooks who can't boil water. 238 00:10:40,467 --> 00:10:42,124 Looks like it's healing appropriately. 239 00:10:42,262 --> 00:10:45,506 Dr. Kwan will redress it for you, and I'll check back in a bit. 240 00:10:47,163 --> 00:10:49,131 I forgot to ask if I can have some crackers. 241 00:10:49,269 --> 00:10:50,269 Can we page her? 242 00:10:50,373 --> 00:10:52,479 Let's not bother her for a snack. 243 00:10:53,480 --> 00:10:55,862 What do you want? Grahams or saltines? 244 00:11:01,522 --> 00:11:04,353 All right. Starting your scans. Hold still. 245 00:11:17,815 --> 00:11:18,747 I didn't know. 246 00:11:18,885 --> 00:11:19,886 Whatever. 247 00:11:26,582 --> 00:11:29,067 Hello? Is anybody there? 248 00:11:29,205 --> 00:11:31,173 Yeah, we're here. Everything okay? 249 00:11:31,311 --> 00:11:33,244 Yeah. It's just, it's quiet. 250 00:11:33,382 --> 00:11:35,280 Seemed like a bad sign. 251 00:11:36,385 --> 00:11:38,594 Everything's fine. We're just waiting on your scans. 252 00:11:38,732 --> 00:11:42,218 Okay. I'm used to listening to people talk all day. 253 00:11:42,356 --> 00:11:46,360 Cheating husband, wife who resents giving up her career. 254 00:11:46,913 --> 00:11:49,812 You know, it's my job to help people communicate. 255 00:11:49,950 --> 00:11:51,918 Like, in my work, talking is good. 256 00:11:52,056 --> 00:11:54,299 Screaming, crying, it's all fine. 257 00:11:54,437 --> 00:11:59,960 It's only when my clients go silent, that's when I can't help them. 258 00:12:00,443 --> 00:12:02,031 But I guess that doesn't happen here. 259 00:12:06,622 --> 00:12:07,899 Nope. 260 00:12:13,629 --> 00:12:15,182 -Hey. -Yeah. 261 00:12:15,320 --> 00:12:17,136 Griffith and Millin filled me in. You want me on the dads? 262 00:12:17,219 --> 00:12:20,118 Yeah, Kim's flight got canceled, so now he's stuck in Florida. 263 00:12:20,256 --> 00:12:21,810 Are you okay being my assist? 264 00:12:21,948 --> 00:12:23,743 -Of course, but you owe me. -Okay. Yes. 265 00:12:23,881 --> 00:12:25,330 Does Bailey have a girlfriend? 266 00:12:25,468 --> 00:12:27,505 -I'm not answering that. -Boyfriend? 267 00:12:27,643 --> 00:12:29,735 He asked me not to say anything. You want me to break his trust? 268 00:12:29,818 --> 00:12:31,992 -I do. Yeah. I'm his mother. -You're unbelievable. 269 00:12:32,130 --> 00:12:33,131 -Okay. -Hey. 270 00:12:33,269 --> 00:12:34,995 -Hi. -Webber and Warren got held up, 271 00:12:35,133 --> 00:12:37,156 but we should get started without them. -Okay. What are we looking at? 272 00:12:37,239 --> 00:12:38,827 -Three lungs. -Yeah. 273 00:12:38,965 --> 00:12:41,574 Two healthy, one with extensive mosaic perfusion and air trappings. 274 00:12:41,657 --> 00:12:43,141 Looks like bronchiolitis obliterans. 275 00:12:43,279 --> 00:12:45,730 Technically true. Not the answer I'm looking for. 276 00:12:45,868 --> 00:12:49,147 In this first scan, we have two nonspecific granulomas... 277 00:12:49,285 --> 00:12:51,598 We are looking at a family, okay? 278 00:12:52,081 --> 00:12:54,221 That's who will be on our operating tables today. 279 00:12:54,359 --> 00:12:56,727 And look, I know it goes without saying, but I want it on record. 280 00:12:56,810 --> 00:12:58,363 There is no room for error. None. 281 00:12:58,501 --> 00:13:00,365 One mistake and a whole family suffers. 282 00:13:00,503 --> 00:13:04,887 But if you're this concerned, maybe we should consider holding a beat. 283 00:13:05,577 --> 00:13:08,304 I'm sorry... ...are you having cold feet? 284 00:13:08,822 --> 00:13:10,962 No, no, but I've always had reservations. 285 00:13:11,100 --> 00:13:13,551 You know as well as I do this is not the standard of care. 286 00:13:13,689 --> 00:13:15,573 Yeah, Ryan's not a standard case. -Of course not, 287 00:13:15,656 --> 00:13:18,901 but there's a reason that no one does living-donor lung transplants anymore. 288 00:13:19,039 --> 00:13:21,490 We're talking a much higher mortality rate. 289 00:13:21,628 --> 00:13:23,492 Post-op, Vivek and Steven are at risk 290 00:13:23,630 --> 00:13:26,667 for bronchial stump leaks, bleeding, diminished lung capacity... 291 00:13:26,806 --> 00:13:29,705 -Yeah. -I'm sorry, haven't they been made aware of the risks? 292 00:13:29,843 --> 00:13:32,673 Yes, they have, but I'm concerned that their... 293 00:13:33,813 --> 00:13:36,180 understandable desire to save their son is clouding their judgment... 294 00:13:36,263 --> 00:13:37,678 Yeah, but of course it is. 295 00:13:37,817 --> 00:13:39,563 They can't just sit back and watch their kid die. 296 00:13:39,646 --> 00:13:41,717 What happens if we do this, and he still dies? 297 00:13:41,855 --> 00:13:45,376 Look, I'm... I just wanna make sure that we're thinking this through. That's all. 298 00:13:45,514 --> 00:13:49,138 I know, but if I knew you weren't all in, I would have gone to someone else. 299 00:13:49,276 --> 00:13:51,402 You didn't really give me a choice, and you'd be hard-pressed 300 00:13:51,485 --> 00:13:54,764 to find a cardiothoracic surgeon that can get behind a living lung donation. 301 00:13:54,903 --> 00:13:59,045 Listen, I've been working with Ryan and his parents for months now, months. 302 00:13:59,183 --> 00:14:01,737 We are out of time. We have to take a swing. That is it. 303 00:14:01,875 --> 00:14:04,844 I'm the one who's been seeing his health decline on ECMO every day, 304 00:14:04,982 --> 00:14:06,880 calling UNOS multiple times. 305 00:14:07,018 --> 00:14:10,056 Hold on, hold on. Let's... We can debate this all day long. 306 00:14:10,539 --> 00:14:14,370 The only people who can really make the decision are Ryan's dads, 307 00:14:14,508 --> 00:14:16,372 so why don't I... 308 00:14:16,994 --> 00:14:18,443 we go speak to them? 309 00:14:18,581 --> 00:14:20,273 -Okay. -I'm coming too. 310 00:14:20,411 --> 00:14:23,552 No, no, you should stay here, get some air, and I will fill you in. 311 00:14:23,690 --> 00:14:25,002 Okay. 312 00:14:31,836 --> 00:14:32,768 Switch services with me. 313 00:14:32,906 --> 00:14:33,906 No. 314 00:14:34,011 --> 00:14:35,219 The plastics fellow hates me. 315 00:14:35,357 --> 00:14:36,703 What did you do? 316 00:14:36,841 --> 00:14:38,070 Why do you assume I did something? 317 00:14:38,153 --> 00:14:39,706 Because it's you. 318 00:14:39,844 --> 00:14:41,936 Well, I heard your boyfriend's working with your other boyfriend. 319 00:14:42,019 --> 00:14:43,537 You told Kwan before you told me? 320 00:14:43,675 --> 00:14:45,249 -Listen, we live together. -Yeah, yeah, yeah, I knew first. 321 00:14:45,332 --> 00:14:46,540 You should be mad at her. 322 00:14:46,678 --> 00:14:48,011 Hey, switch with me so you don't work together. 323 00:14:48,094 --> 00:14:49,094 I'm not interested. 324 00:14:49,198 --> 00:14:50,786 I've got my own problems. 325 00:14:56,378 --> 00:14:57,827 -Is it time? -Not quite yet. 326 00:14:57,966 --> 00:15:00,727 This is Dr. Grey. She'll be joining your surgical team. 327 00:15:01,279 --> 00:15:02,971 It's nice to meet both of you. 328 00:15:03,109 --> 00:15:06,457 I know you've been made aware of the risks of your surgeries, 329 00:15:06,940 --> 00:15:08,597 but I'm new to the team, 330 00:15:08,735 --> 00:15:12,118 so I just wanted to make sure that we're all on the same page here. 331 00:15:12,256 --> 00:15:14,948 We're in no matter the risks. That's the page we're on. 332 00:15:15,086 --> 00:15:18,262 Okay, you understand that you'll both likely have diminished lung capacity 333 00:15:18,400 --> 00:15:19,608 for the rest of your lives? 334 00:15:19,746 --> 00:15:21,354 -I hate exercise. -But you could have bleeding. 335 00:15:21,437 --> 00:15:23,923 You could need more surgeries, develop infections. 336 00:15:24,061 --> 00:15:25,579 We have insurance. 337 00:15:25,717 --> 00:15:27,257 -You could have a stroke. -Nothing that could happen to me 338 00:15:27,340 --> 00:15:28,858 would be worse than losing my son. 339 00:15:30,239 --> 00:15:32,000 Ryan was two when we met. 340 00:15:32,138 --> 00:15:35,348 You can't really explain, "This is Daddy's boyfriend," to a two-year-old. 341 00:15:35,486 --> 00:15:38,696 I was just a man who was around sometimes and gave him snacks. 342 00:15:40,387 --> 00:15:44,046 But one night the power went out and Ryan panicked 343 00:15:44,184 --> 00:15:48,568 and ran into my arms, and I realized he trusted me. 344 00:15:49,707 --> 00:15:50,811 He felt safe with me. 345 00:15:51,812 --> 00:15:54,332 I couldn't tell you when it happened or how, but... 346 00:15:56,403 --> 00:15:57,439 I was his dad. 347 00:15:59,337 --> 00:16:01,719 I've felt helpless watching him suffer. 348 00:16:02,237 --> 00:16:04,964 If I can take that away, you're giving me the greatest gift. 349 00:16:09,140 --> 00:16:10,970 Well, he's lucky to have you both. 350 00:16:11,108 --> 00:16:13,108 I'll let the team know we're good to go. All right? 351 00:16:14,490 --> 00:16:15,526 Okay. 352 00:16:24,155 --> 00:16:26,468 Hey, I need to give you a heads-up. 353 00:16:26,606 --> 00:16:28,559 If it's that I'm working with the boyfriend you cheated on, 354 00:16:28,642 --> 00:16:30,851 -you're too late. -I... I didn't cheat. 355 00:16:30,990 --> 00:16:32,888 We were broken up then and now. 356 00:16:33,026 --> 00:16:34,980 Yeah, well, he's acting like the two of you are married, 357 00:16:35,063 --> 00:16:37,672 and that he walked in on us at the bar. -We agreed that never happened. 358 00:16:37,755 --> 00:16:39,225 Yeah, well, he didn't, and he's pretty pissed 359 00:16:39,308 --> 00:16:40,640 for somebody who you're not with, so... 360 00:16:40,723 --> 00:16:42,484 Wes, it's over. 361 00:16:42,622 --> 00:16:43,692 I swear. 362 00:16:45,038 --> 00:16:47,095 -That guy's a piece of work. -Hey, where are you going? 363 00:16:47,178 --> 00:16:49,456 I'm gonna go tell him I'm done putting up with his crap. 364 00:16:54,944 --> 00:16:56,774 Dr. Reeves to pediatrics. 365 00:16:56,912 --> 00:16:59,018 Dr. Carol Reeves to pediatrics. 366 00:17:04,782 --> 00:17:05,921 -Um... -Oh. 367 00:17:08,165 --> 00:17:11,237 Sorry. I... I didn't mean to creep up on you. 368 00:17:11,375 --> 00:17:13,791 Oh, it's all right. I was getting in the zone. 369 00:17:14,274 --> 00:17:17,174 Do you always blast music before your surgeries? 370 00:17:17,864 --> 00:17:19,935 I used to, yeah. 371 00:17:20,418 --> 00:17:23,042 Now I just kind of save it for the scary ones. 372 00:17:24,595 --> 00:17:25,872 You're nervous? 373 00:17:27,460 --> 00:17:31,084 You know we're doing a living-donor lung transplant today, right? 374 00:17:31,222 --> 00:17:34,156 Yeah, but you built a new aorta. You can do anything. 375 00:17:34,294 --> 00:17:37,401 That was a little luck and a lot of Dr. Altman. 376 00:17:38,160 --> 00:17:39,541 Do you really feel that way? 377 00:17:39,679 --> 00:17:42,095 I know I'm good at my job. I'm not fishing for compliments. 378 00:17:43,821 --> 00:17:47,652 But when you sign on to a risky surgery that you've never done before, 379 00:17:48,964 --> 00:17:53,106 you don't really know if you have what it takes until you succeed or fail. 380 00:17:53,865 --> 00:17:56,144 Yeah, I just... I don't want to fail today. 381 00:17:57,283 --> 00:17:58,629 You're a terrible surgeon. 382 00:17:58,767 --> 00:18:01,459 Okay, thank you for that vote of confidence. 383 00:18:01,597 --> 00:18:02,771 You didn't let me finish. 384 00:18:02,909 --> 00:18:04,635 Do I want to? 385 00:18:04,773 --> 00:18:07,707 You don't have a god complex like every other surgeon. 386 00:18:07,845 --> 00:18:09,157 Myself included. 387 00:18:09,295 --> 00:18:11,987 You know your limits, and you don't push it. 388 00:18:12,539 --> 00:18:16,681 You hit a wall, you go around it. And that's why you won't fail. 389 00:18:17,406 --> 00:18:19,512 You're not in this to prove something. You're... 390 00:18:19,650 --> 00:18:21,755 You're just trying to be a good doctor. 391 00:18:23,792 --> 00:18:26,105 -That did get better. -Mmm. 392 00:18:28,762 --> 00:18:29,763 I hope you're right. 393 00:18:32,801 --> 00:18:35,721 The reality is, is that no one can tell you whether or not to be together. 394 00:18:35,804 --> 00:18:37,599 That is between you two. 395 00:18:38,289 --> 00:18:39,325 Where's your intern? 396 00:18:39,808 --> 00:18:41,844 I don't know. I've paged him twice. 397 00:18:41,982 --> 00:18:44,263 Hey, we need to get straight on something. I never knew... 398 00:18:44,709 --> 00:18:46,573 -There he is. -Okay, yeah, I gotta go. 399 00:18:46,711 --> 00:18:49,576 We will talk in our session next week. All right, buh-bye. 400 00:18:49,714 --> 00:18:51,923 I am so sorry. Client emergency. 401 00:18:52,061 --> 00:18:53,960 Hope they work things out. 402 00:18:54,098 --> 00:18:58,309 Well, honestly, they should call it, but they can't quit one another, so... 403 00:18:58,447 --> 00:19:00,139 How are my scans? 404 00:19:00,898 --> 00:19:02,486 They show bleeding in the spleen. 405 00:19:02,624 --> 00:19:04,384 That was the fluid we saw in the ultrasound. 406 00:19:04,971 --> 00:19:07,836 Is there a spleen Band-Aid for that? 407 00:19:07,974 --> 00:19:10,666 Unfortunately, no, we will have to remove it surgically. 408 00:19:12,116 --> 00:19:15,257 What about chemo? Is this gonna interrupt my treatment schedule, or... 409 00:19:15,395 --> 00:19:16,465 You see my face? 410 00:19:18,812 --> 00:19:20,089 -You're not worried. -No, 411 00:19:20,228 --> 00:19:23,472 but I will be if you don't let us remove your spleen. 412 00:19:24,232 --> 00:19:27,511 Okay, yeah, I was really hoping chemo and I would work out. 413 00:19:27,649 --> 00:19:30,307 Yeah, me too, but let's take care of this first. 414 00:19:34,414 --> 00:19:36,554 Okay, there's a lot of moving pieces today, 415 00:19:36,692 --> 00:19:38,384 so let's go over the plan one more time. 416 00:19:38,522 --> 00:19:41,697 Ndugu, Griffith and Millin will be here on Team Ryan. 417 00:19:41,835 --> 00:19:45,149 Once they've prepped him for the grafts, Dr. Grey and I will open Vivek. 418 00:19:45,287 --> 00:19:49,326 As we prep the right lobe, Dr. Webber and Dr. Warren will procure Steven's left lobe. 419 00:19:49,464 --> 00:19:52,087 We'll all meet back here at the end. Any questions? 420 00:19:52,915 --> 00:19:54,986 -I'm ready. Let's go. -Okay. 421 00:19:55,124 --> 00:19:56,367 Good luck, everybody. 422 00:20:04,375 --> 00:20:06,412 Scalpel. 423 00:20:15,938 --> 00:20:20,322 A virtual personal assistant in the car? Now, that's a car you can live in. 424 00:20:20,460 --> 00:20:22,842 Stop talking about how much you love this car. 425 00:20:22,980 --> 00:20:24,692 You've got to, like, you know... Just play it cool. 426 00:20:24,775 --> 00:20:28,019 I can do that. I can be cool. Look how cool I'm being right now. 427 00:20:28,537 --> 00:20:30,539 All right, you know what? Let me do the talking. 428 00:20:31,471 --> 00:20:32,645 -Here you are. -Thank you. 429 00:20:33,646 --> 00:20:37,305 Jo, what are you thinking? Ready to move forward? 430 00:20:37,443 --> 00:20:41,309 Definitely. It has everything we need. The three rows are just so... 431 00:20:42,137 --> 00:20:45,968 But there are factors that I'm factoring in. 432 00:20:46,106 --> 00:20:49,213 Let's talk brass tacks. What's your bottom line? 433 00:20:50,490 --> 00:20:54,287 My manager says I can give you a $1,000 credit. 434 00:20:55,184 --> 00:20:56,462 How... 435 00:20:57,946 --> 00:20:59,258 does this look to you? 436 00:21:01,639 --> 00:21:03,779 We both know you can do better than this. 437 00:21:04,332 --> 00:21:06,195 -Jo is a loyal customer. -Very loyal. 438 00:21:06,334 --> 00:21:08,301 I mean, she's about to have twins. 439 00:21:08,439 --> 00:21:10,821 She can't take on this kind of car payment. 440 00:21:10,959 --> 00:21:12,823 I don't know your financial situation, 441 00:21:12,961 --> 00:21:16,758 but I can tell you, people grossly under budget for cars. 442 00:21:16,896 --> 00:21:18,553 They think it's just rubber and metal, 443 00:21:18,691 --> 00:21:21,659 and it's not worth the hard-earned money, but this isn't just a car. 444 00:21:21,797 --> 00:21:23,765 This is your children's lives. 445 00:21:24,628 --> 00:21:25,905 It's their memories. 446 00:21:26,043 --> 00:21:27,631 Family road trips. 447 00:21:28,183 --> 00:21:31,635 Neighborhood carpool, driving to soccer games... 448 00:21:31,773 --> 00:21:33,333 Your kids are gonna grow up in this car. 449 00:21:34,534 --> 00:21:37,710 That's worth something, no? 450 00:21:38,711 --> 00:21:41,438 I'm sorry, um... I just... I need a minute. 451 00:21:42,024 --> 00:21:46,201 Uh, she's a surgeon. That's probably a very important call. 452 00:21:46,339 --> 00:21:47,513 I'll be right back. Sorry. 453 00:22:13,849 --> 00:22:14,988 Ugh. 454 00:22:16,196 --> 00:22:17,577 Hey, what's happening? 455 00:22:18,337 --> 00:22:22,202 Is this a negotiating tactic? Wow. You are so good. 456 00:22:22,341 --> 00:22:24,204 We never took a family road trip. 457 00:22:24,343 --> 00:22:28,381 I mean, we wanted to go to Alaska with the kids, but we just kept pushing it off. 458 00:22:29,796 --> 00:22:30,728 You could still go. 459 00:22:30,866 --> 00:22:33,835 But not as a whole family. 460 00:22:37,425 --> 00:22:38,909 Owen and I are getting a divorce. 461 00:22:39,047 --> 00:22:40,289 Oh, Teddy, I... 462 00:22:42,015 --> 00:22:43,672 I am so sorry. 463 00:22:43,810 --> 00:22:45,985 No, it was my choice, but it's just... 464 00:22:47,642 --> 00:22:49,747 Now the kids will never have that memory. 465 00:22:50,748 --> 00:22:55,512 Instead they're bumping into Cass Beckman and eating strange pizza without me. 466 00:22:58,066 --> 00:23:01,380 Well, what good are family memories with a miserable mom? 467 00:23:02,657 --> 00:23:04,693 Your kids deserve the best version of you. 468 00:23:04,831 --> 00:23:06,592 But I'm not. I'm n... 469 00:23:06,730 --> 00:23:09,353 I'm not the best version of me. 470 00:23:09,491 --> 00:23:13,668 This morning, I was crying in the shower just thinking about selling the house and... 471 00:23:14,323 --> 00:23:18,880 and tonight, Owen is gonna be with the kids while I'm in a hotel room 472 00:23:19,018 --> 00:23:24,161 eating room service and watching dumb reality TV. 473 00:23:27,233 --> 00:23:29,994 That doesn't sound so bad. 474 00:23:32,376 --> 00:23:35,621 Well, it kind of loses its luster after three nights in one week. 475 00:23:39,935 --> 00:23:42,351 I've been divorced. 476 00:23:43,456 --> 00:23:47,011 It's not like flipping a switch. 477 00:23:47,149 --> 00:23:49,393 It takes time to find your footing. 478 00:23:49,531 --> 00:23:51,430 But when you do, it is so worth it. 479 00:23:52,707 --> 00:23:55,675 I'm happier now than I have ever been. 480 00:23:56,952 --> 00:23:59,472 I don't know what makes me happy anymore. 481 00:23:59,610 --> 00:24:02,889 Well, you don't have to transform your life overnight. 482 00:24:03,580 --> 00:24:05,098 Start small. 483 00:24:05,789 --> 00:24:12,002 Put yourself first for once and then find one tiny moment of joy. 484 00:24:23,151 --> 00:24:24,359 Any word from Marsh? 485 00:24:24,497 --> 00:24:25,533 Not yet. 486 00:24:26,672 --> 00:24:28,777 You know, you could have held off on scrubbing in. 487 00:24:28,915 --> 00:24:33,092 Yeah, I'd rather get the patient prepped. Don't want to be the hold up. 488 00:24:34,334 --> 00:24:36,405 See? That him? 489 00:24:36,544 --> 00:24:38,753 Uh, no, that's yours. 490 00:24:39,443 --> 00:24:42,135 Really? Um, do you mind? 491 00:24:46,726 --> 00:24:49,177 "Follett lost her phone. If you need her, text Barnes." 492 00:24:49,315 --> 00:24:50,972 Yeah. 493 00:24:51,110 --> 00:24:53,492 Um... 494 00:24:55,701 --> 00:24:58,358 "Fukushima's great aunt passed. She'd like next weekend off." 495 00:24:58,497 --> 00:24:59,737 Whole weekend for a great aunt? 496 00:25:00,706 --> 00:25:02,846 I mean, I'm sorry for her loss... 497 00:25:04,295 --> 00:25:05,745 You want me to check? 498 00:25:05,883 --> 00:25:07,126 I want you to make it stop. 499 00:25:07,264 --> 00:25:08,507 Well, that I can do. 500 00:25:09,438 --> 00:25:11,095 Silent. 501 00:25:11,233 --> 00:25:13,083 You know that doesn't make the work go away, right? 502 00:25:13,166 --> 00:25:14,547 Chief to chief? 503 00:25:15,099 --> 00:25:17,170 It's called punting. 504 00:25:29,079 --> 00:25:31,046 Did you do a post-op check on Alex Brokaw? 505 00:25:31,184 --> 00:25:33,773 She's on SBT. She should be ready to wake up soon 506 00:25:33,911 --> 00:25:35,312 and face reality, unlike other people. 507 00:25:35,395 --> 00:25:37,190 What the hell is that supposed to mean? 508 00:25:37,328 --> 00:25:40,007 I talked to Griffith. She said you guys were over then and now. Her words. 509 00:25:40,090 --> 00:25:41,643 I'm not talking about this with you. 510 00:25:41,781 --> 00:25:43,355 And I'm not gonna let your bruised little ego ruin my career. 511 00:25:43,438 --> 00:25:45,840 I don't need to get in your way. You can ruin it all on your own. 512 00:25:45,923 --> 00:25:46,924 Ready to go? 513 00:25:47,407 --> 00:25:49,306 Katie deserves all our focus. 514 00:26:03,458 --> 00:26:06,047 Is Bailey worried about soccer tryouts? 515 00:26:06,910 --> 00:26:08,256 Is he fighting with a friend? 516 00:26:08,843 --> 00:26:10,534 -Is it guy stuff? -Meredith. 517 00:26:11,121 --> 00:26:13,123 Okay, I'm just asking. 518 00:26:13,606 --> 00:26:15,366 Uh, Ryan is on bypass and he's stable. 519 00:26:15,504 --> 00:26:17,664 Thanks, Dr. Millin. Let us know if there's any changes. 520 00:26:18,611 --> 00:26:21,890 -Okay, here we go. -Okay, scalpel. 521 00:26:22,028 --> 00:26:24,134 We need to move quickly and efficiently. 522 00:26:24,272 --> 00:26:26,239 Wait, he's febrile. 523 00:26:27,068 --> 00:26:28,794 102.1. 524 00:26:28,932 --> 00:26:31,141 What was his white blood cell count from this morning? 525 00:26:31,279 --> 00:26:33,557 -11.1. -Okay, it's borderline. 526 00:26:33,695 --> 00:26:36,180 We can't remove part of his lung if he's fighting an infection. 527 00:26:37,112 --> 00:26:39,425 Let's reset the probe and recheck his temp, please. 528 00:26:40,426 --> 00:26:42,911 Well, it's not gonna matter if his white count is borderline. 529 00:26:43,049 --> 00:26:44,464 Ryan is running out of time. 530 00:26:44,603 --> 00:26:46,280 Vivek would want us to do everything we can. 531 00:26:46,363 --> 00:26:48,020 Recheck the temp again, please. 532 00:26:48,503 --> 00:26:50,056 Still 102.1. 533 00:26:51,471 --> 00:26:53,094 We should postpone for a few days. 534 00:26:53,232 --> 00:26:55,872 Let's hope Ryan has a few days. Surgery's off. Get him out of here. 535 00:27:06,107 --> 00:27:09,006 -She just needs a minute. -I thought the car was for you. 536 00:27:09,628 --> 00:27:13,632 It is, yeah. It's for me and my kids. 537 00:27:16,220 --> 00:27:17,497 Um... 538 00:27:18,291 --> 00:27:20,293 -Do you have kids? -No. 539 00:27:20,880 --> 00:27:22,710 -Right. -Back to the car. 540 00:27:22,848 --> 00:27:24,368 -I thought you liked it. -I loved it. 541 00:27:24,470 --> 00:27:27,369 I... uh, I think it's fine. 542 00:27:27,507 --> 00:27:29,786 I wish the price was more negotiable, but... 543 00:27:29,924 --> 00:27:31,891 All right, Dan. Can I call you Dan? 544 00:27:32,512 --> 00:27:34,169 Uh, I prefer Daniel. 545 00:27:34,307 --> 00:27:37,379 We are busy people, Dan, and I'm sure that you've got a lot going on too. 546 00:27:37,517 --> 00:27:38,864 So, let's make this quick. 547 00:27:39,002 --> 00:27:41,245 She wants this car, but she also wants 548 00:27:41,383 --> 00:27:43,489 to be able to pay for college someday for her kids. 549 00:27:43,627 --> 00:27:47,873 So if you want the sale, we will take the car at MSRP, 550 00:27:48,011 --> 00:27:51,393 no market adjustment fee, no preparation fee, 551 00:27:51,531 --> 00:27:54,534 and, uh, we're declining the extended warranty. 552 00:27:55,087 --> 00:27:58,228 I-I'm only authorized to take the price down $1,500. 553 00:27:58,366 --> 00:28:01,369 An hour ago that was 1,000, so you can see why I'm skeptical. 554 00:28:03,820 --> 00:28:07,271 Like I said, everybody wants this car. 555 00:28:07,409 --> 00:28:09,605 Well, then you're just gonna have to sell it to one of them. 556 00:28:09,688 --> 00:28:12,000 Thank you so much for your time. 557 00:28:12,483 --> 00:28:14,934 Uh, I'm sorry. 558 00:28:15,763 --> 00:28:17,557 -What are you doing? -I am finding my joy. 559 00:28:17,696 --> 00:28:19,180 I-I-I can run the numbers again. 560 00:28:20,181 --> 00:28:22,010 Maybe there's a compromise. 561 00:28:22,493 --> 00:28:23,909 We're listening. 562 00:28:28,051 --> 00:28:29,052 You paged? 563 00:28:30,156 --> 00:28:31,779 Mr. Lee's developed a hematoma. 564 00:28:31,917 --> 00:28:34,885 I need you to book an OR so we can drain and evaluate the skin graft. 565 00:28:35,023 --> 00:28:37,129 -Another surgery? -Dr. Kwan will get you prepped. 566 00:28:37,681 --> 00:28:39,338 Wait, we're taking him now? 567 00:28:39,476 --> 00:28:41,637 We have to control the bleeders ASAP. You have a problem with that? 568 00:28:41,720 --> 00:28:42,824 He just ate lunch. 569 00:28:43,445 --> 00:28:45,551 He's NPO. He can't have anything. 570 00:28:46,690 --> 00:28:48,312 -Who lifted the order? -I did. 571 00:28:48,450 --> 00:28:50,245 His surgery was done. It'd been hours. 572 00:28:50,383 --> 00:28:52,661 He's on war far in, which made him a risk for a rebleed. 573 00:28:52,800 --> 00:28:57,080 That's why the NPO wasn't lifted. You'd have known if you'd bothered to ask. 574 00:28:57,736 --> 00:29:00,221 Call anesthesia and see what they're comfortable with. 575 00:29:00,359 --> 00:29:01,740 This could be a long night. 576 00:29:04,881 --> 00:29:06,710 All right, this is the worst-case scenario. 577 00:29:06,848 --> 00:29:08,712 -I know. -I got Ryan off ECMO, 578 00:29:08,850 --> 00:29:10,300 got him intubated, put him on bypass, 579 00:29:10,438 --> 00:29:12,391 and now I got to get him off bypass and back on ECMO? 580 00:29:12,474 --> 00:29:14,097 I told Webber the surgery's off. 581 00:29:14,235 --> 00:29:16,168 Okay. Look, we'll push it a few days. 582 00:29:16,306 --> 00:29:17,859 You suggested it yourself earlier... 583 00:29:17,997 --> 00:29:20,793 That was before we took him off ECMO. Ryan is six years old. 584 00:29:21,449 --> 00:29:24,107 Six. His lungs can't handle the back and forth. He's too small. 585 00:29:26,316 --> 00:29:28,490 What if he could live with one lobe instead of two? 586 00:29:28,628 --> 00:29:32,149 Well, his heart could fail if he only has lung tissue on one side. 587 00:29:32,287 --> 00:29:35,256 Are you thinking we split Steven's right lower lobe into two? 588 00:29:35,394 --> 00:29:37,189 Isn't that what you do with livers? 589 00:29:37,327 --> 00:29:39,570 -This isn't the same. -Yeah, but could you do it? 590 00:29:39,708 --> 00:29:42,850 I mean, is it possible without destroying the remaining lobe segments? 591 00:29:48,717 --> 00:29:50,754 Uh, hold on. Um... 592 00:29:53,067 --> 00:29:56,795 Yeah, well, the ratio would have to be less than 200%. 593 00:30:07,357 --> 00:30:08,634 Yeah, the math checks out. 594 00:30:08,772 --> 00:30:10,947 So, then I should tell Webber the surgery's back on? 595 00:30:11,085 --> 00:30:13,363 No, no. 'Cause that doesn't mean that I can pull it off. 596 00:30:13,501 --> 00:30:16,262 The-the orientation of the vasculature would be reversed. 597 00:30:19,472 --> 00:30:23,062 So, if we split the lobe into two halves, 598 00:30:23,200 --> 00:30:25,340 then the right side would fit into the right side 599 00:30:25,478 --> 00:30:28,550 of his chest cavity without a problem, but for the left, 600 00:30:29,103 --> 00:30:33,624 we would need to invert it to match the anastomosis. 601 00:30:33,762 --> 00:30:34,798 And that could work? 602 00:30:37,387 --> 00:30:38,422 Yeah, that could work. 603 00:30:38,560 --> 00:30:39,907 -Let's try it. -Okay, great. 604 00:30:40,045 --> 00:30:41,391 -Let's go. -Okay. 605 00:30:45,498 --> 00:30:47,328 Dissection looks good. 606 00:30:47,466 --> 00:30:49,054 Her spleen is almost free. 607 00:30:49,709 --> 00:30:51,642 I lost visualization. 608 00:30:52,851 --> 00:30:54,666 You can just tell me when you want me to move it. 609 00:30:54,749 --> 00:30:56,544 That was easier. 610 00:30:56,682 --> 00:31:00,410 Uh, how about walking your intern through the next steps? 611 00:31:01,238 --> 00:31:05,070 First, we identify the splenic artery in the veins. 612 00:31:05,208 --> 00:31:09,246 Then we clamp and divide them to free up the spleen to send to path. 613 00:31:09,384 --> 00:31:12,249 Then we ligate the vessels. Ready for specimen. 614 00:31:13,630 --> 00:31:15,425 That's your cue to hand me the Metz. 615 00:31:19,360 --> 00:31:20,602 Right. 616 00:31:22,915 --> 00:31:24,537 Okay. 617 00:31:29,991 --> 00:31:32,718 Okay. Make sure you have good hemostasis. 618 00:31:33,477 --> 00:31:34,893 Suction is clogged. 619 00:31:35,031 --> 00:31:36,791 Use some saline to clear the line. 620 00:31:45,144 --> 00:31:50,909 Hang on. Bryant, will you take the spleen to path and put in a stat order for me? 621 00:31:51,047 --> 00:31:52,531 -Got it. -Mm-hmm. 622 00:31:55,223 --> 00:31:57,191 I'll take that and 2-0 silk, please. 623 00:31:57,329 --> 00:31:59,055 -I'm not done. -You are now. 624 00:32:01,298 --> 00:32:02,679 Take over the retractor. 625 00:34:05,112 --> 00:34:08,253 Good job, everyone. We did it. We saved a family today. 626 00:34:15,329 --> 00:34:18,642 Good hemostasis in the stump. All right. 627 00:34:18,780 --> 00:34:22,577 So let's pack her and check the other quadrants before we close. 628 00:34:23,406 --> 00:34:24,579 Lap pads? 629 00:34:27,479 --> 00:34:31,621 I don't know what is going on with you and Bryant, but it has to stop. 630 00:34:31,759 --> 00:34:33,623 Dr. Bailey... 631 00:34:33,761 --> 00:34:37,834 What I do know is that you've already been kicked out of an OR once this month, 632 00:34:37,972 --> 00:34:41,527 and whatever it is has been impacting and affecting patients, 633 00:34:41,665 --> 00:34:45,876 including this poor woman, who sure as hell has been through enough. 634 00:34:46,014 --> 00:34:48,051 I can't have it. Am I clear? 635 00:34:48,189 --> 00:34:50,157 -Yes, but... -Am I clear? 636 00:34:50,295 --> 00:34:51,503 It's Katie's liver. 637 00:34:51,641 --> 00:34:53,332 Do these look like tumors? 638 00:34:58,924 --> 00:35:00,236 Oh, no. 639 00:35:14,250 --> 00:35:15,492 You sure you don't want a ride? 640 00:35:16,252 --> 00:35:17,563 I could use the air. 641 00:35:17,701 --> 00:35:21,049 Well, thank you, again, and it does get better, Teddy. 642 00:35:21,188 --> 00:35:23,845 You just have to give yourself permission to feel happy again. 643 00:35:29,541 --> 00:35:31,612 Is there anything else I can do for you? 644 00:35:46,903 --> 00:35:48,111 How are you feeling? 645 00:35:49,319 --> 00:35:51,770 Tired. A little weak. 646 00:35:51,908 --> 00:35:54,497 That makes sense. You have an infection. 647 00:35:55,153 --> 00:35:57,879 You spiked a fever in the OR, and we weren't able to take your lobe. 648 00:35:58,017 --> 00:35:59,053 What about Ryan? 649 00:35:59,191 --> 00:36:00,606 He's doing great. 650 00:36:00,744 --> 00:36:03,104 We were able to make two lungs from your husband's one lobe. 651 00:36:03,299 --> 00:36:05,232 -He's gonna be okay? -Mm-hmm. 652 00:36:06,474 --> 00:36:08,649 Thank you. 653 00:36:10,098 --> 00:36:11,479 Thank you for saving my son. 654 00:36:16,312 --> 00:36:18,348 Did you put in an order for the post-op labs? 655 00:36:18,486 --> 00:36:19,970 Yep, for first thing in the morning. 656 00:36:20,454 --> 00:36:21,593 We should get a set now. 657 00:36:21,731 --> 00:36:23,767 Okay. Sorry, I can do that right now. 658 00:36:25,390 --> 00:36:28,910 Look, I only ask 'cause I got it wrong my first time. 659 00:36:36,677 --> 00:36:38,817 Ah. Look who's back. 660 00:36:40,474 --> 00:36:42,061 How'd it go? 661 00:36:42,200 --> 00:36:44,640 Was my spleen okay? Did you tell her it wasn't her, it was me? 662 00:36:44,754 --> 00:36:47,170 The operation went smoothly. 663 00:36:47,722 --> 00:36:49,690 And, um, when can I get back to work? 664 00:36:49,828 --> 00:36:51,795 Well, you've still got to rest for a few days. 665 00:36:51,933 --> 00:36:54,246 Hopefully your clients will understand. -Thank you. 666 00:36:54,384 --> 00:36:55,730 This morning was pretty scary, 667 00:36:55,868 --> 00:36:57,787 and I was kind of freaked out by the whole spleen thing, 668 00:36:57,870 --> 00:37:00,079 but I'm grateful that you guys were able to fix it, 669 00:37:00,218 --> 00:37:04,049 and I can get back to cancer treatment. 670 00:37:05,292 --> 00:37:09,261 Oh, don't worry. I know, it's one day at a time. 671 00:37:15,336 --> 00:37:16,337 What's wrong? 672 00:37:16,889 --> 00:37:18,028 Hmm. 673 00:37:18,166 --> 00:37:21,239 So, while we were operating, 674 00:37:21,377 --> 00:37:27,072 we found areas on your liver that are concerning for metastasis. 675 00:37:27,831 --> 00:37:29,005 The cancer's spreading. 676 00:37:31,249 --> 00:37:35,391 I thought Dr. Sugihara, he said that the chemo was working. 677 00:37:36,944 --> 00:37:38,635 How bad is it? 678 00:37:38,773 --> 00:37:41,604 Well, okay, we won't know until we get the biopsy results, 679 00:37:41,742 --> 00:37:45,435 and we need new scans to rest age you. 680 00:37:46,816 --> 00:37:48,266 If you had to guess... 681 00:37:51,269 --> 00:37:52,269 Never mind. 682 00:37:52,373 --> 00:37:54,237 I can see it on your face. 683 00:37:54,789 --> 00:37:56,204 You're worried. 684 00:37:57,792 --> 00:38:00,623 It's over, isn't it? 685 00:38:04,074 --> 00:38:05,110 No. 686 00:38:05,662 --> 00:38:09,010 As long as you're still here, nothing's over. 687 00:38:09,632 --> 00:38:11,289 He is right. 688 00:38:12,566 --> 00:38:15,327 Get some rest and we'll talk more tomorrow. 689 00:38:15,465 --> 00:38:16,466 Okay? 690 00:38:30,618 --> 00:38:32,965 Anesthesia said Ray should be ready by 9:30. 691 00:38:33,103 --> 00:38:34,622 Great. 692 00:38:36,175 --> 00:38:37,211 Your noodles look great. 693 00:38:39,006 --> 00:38:41,353 I'm supposed to be on a date at Nicoletti's right now. 694 00:38:44,943 --> 00:38:48,395 Hey, uh, look, I think we got off on the wrong foot. 695 00:38:48,533 --> 00:38:51,087 And I admit it was totally my fault, and I'm sorry. 696 00:38:51,225 --> 00:38:54,539 But aside from the occasional social faux pas, I'm a pretty great resident. 697 00:38:54,677 --> 00:38:56,748 I'm highly skilled, I'm good at taking direction, 698 00:38:56,886 --> 00:38:59,820 and I'm very interested in a plastic specialty. 699 00:38:59,958 --> 00:39:04,169 Tell me what I need to do to have another chance to impress you, and I will do it. 700 00:39:04,307 --> 00:39:06,240 -Anything at all. -Stop talking. 701 00:39:10,831 --> 00:39:11,935 Copy that. 702 00:39:17,734 --> 00:39:18,908 I'm in. 703 00:39:19,046 --> 00:39:21,531 -In what? -The-the pact. I'm in. 704 00:39:23,913 --> 00:39:25,501 I thought you didn't need the pact. 705 00:39:25,639 --> 00:39:27,399 Just, you know, being proactive. 706 00:39:27,537 --> 00:39:28,538 Can't hurt. 707 00:39:29,228 --> 00:39:30,609 Ryan's off pressors. 708 00:39:30,747 --> 00:39:32,839 We'll be able to wean him off ECMO in the next 48 hours. 709 00:39:32,922 --> 00:39:34,358 -He's doing great. -That's amazing. 710 00:39:34,441 --> 00:39:36,049 Can you do a post-op check on him before you go? 711 00:39:36,132 --> 00:39:37,582 -Of course. -All right. 712 00:39:38,445 --> 00:39:40,205 -Oh, uh, Millin. -Hmm? 713 00:39:40,343 --> 00:39:41,379 Thanks for the pep talk. 714 00:39:42,069 --> 00:39:43,311 Anytime. 715 00:39:46,970 --> 00:39:48,213 What pep talk? 716 00:39:48,972 --> 00:39:49,972 It was nothing. 717 00:39:50,077 --> 00:39:51,389 I'm gonna go check on Ryan. 718 00:39:53,183 --> 00:39:55,669 Anything can be a race against the clock if you let it. 719 00:39:57,118 --> 00:39:59,776 Waiting for a promotion, having a child, 720 00:40:00,432 --> 00:40:02,607 eating the last yogurt in your refrigerator. 721 00:40:03,642 --> 00:40:04,988 Oh. 722 00:40:05,920 --> 00:40:07,128 Hey, you... 723 00:40:08,302 --> 00:40:09,614 You okay? 724 00:40:09,752 --> 00:40:13,997 I think my patient has terminal cancer, and she's 27. 725 00:40:14,895 --> 00:40:17,069 That's tough. I'm sorry. 726 00:40:18,761 --> 00:40:21,108 Um, you gonna be a while. 727 00:40:21,246 --> 00:40:23,869 Looks that way. 728 00:40:26,113 --> 00:40:28,564 I will pick up Pru. Mwah. 729 00:40:30,289 --> 00:40:32,119 -Oh. -T... 730 00:40:32,257 --> 00:40:34,639 Oh, and what brings you here? 731 00:40:34,777 --> 00:40:36,503 Dropping off some items to Warren. 732 00:40:38,021 --> 00:40:40,368 I'll see you at home. 733 00:40:41,818 --> 00:40:44,200 So what are those, intern payroll forms? 734 00:40:44,338 --> 00:40:45,719 Insurance reimbursements. 735 00:40:45,857 --> 00:40:49,136 Aw. The chief resident has to do insurance too? 736 00:40:49,274 --> 00:40:51,794 No. Chief of surgery does. 737 00:40:52,380 --> 00:40:53,727 Oh. 738 00:40:54,244 --> 00:40:57,938 -Is your wife always right? -I find it's always easiest to assume yes. 739 00:40:59,629 --> 00:41:01,942 Sometimes you really are running out of time. 740 00:41:02,770 --> 00:41:05,359 Most of the time, it's all in your head. 741 00:41:05,497 --> 00:41:08,742 -Hey. -Turns out Vivek had a sinus infection. 742 00:41:08,880 --> 00:41:10,160 -He's gonna be okay. -Ah. Good. 743 00:41:11,503 --> 00:41:13,471 Thank you for hanging in there with me today. 744 00:41:13,609 --> 00:41:15,403 You know I don't give up that easily. 745 00:41:15,542 --> 00:41:16,957 That's an understatement. 746 00:41:17,095 --> 00:41:19,455 And I don't need you to tell me what's going on with Bailey. 747 00:41:19,787 --> 00:41:21,893 What is this? Are you trying reverse psychology now? 748 00:41:22,031 --> 00:41:23,757 No, it is not. 749 00:41:23,895 --> 00:41:26,435 I think it's great that my kids trust you enough to share things with you. 750 00:41:26,518 --> 00:41:28,486 -You know I love those kids. -I know. 751 00:41:28,624 --> 00:41:30,108 -Come on. Let's go home. -Okay. 752 00:41:32,006 --> 00:41:34,250 And when you let go of all that fear... 753 00:42:01,001 --> 00:42:02,520 Where are we going? 754 00:42:06,282 --> 00:42:08,560 ...the possibilities are infinite.