1 00:00:04,570 --> 00:00:06,952 If you think choosing a college major is hard, 2 00:00:07,168 --> 00:00:09,846 wait until you have to choose your medical specialty. 3 00:00:10,353 --> 00:00:13,460 How late were you up researching treatments for that patient? 4 00:00:13,690 --> 00:00:15,807 - Late. - You need sleep. 5 00:00:15,832 --> 00:00:16,833 I'll get right on that. 6 00:00:17,084 --> 00:00:18,914 You have no idea how many emails you get 7 00:00:18,939 --> 00:00:22,045 until you come back from a three-month sabbatical. 8 00:00:22,183 --> 00:00:23,702 Delete all. 9 00:00:23,840 --> 00:00:25,480 Wait. What if some of those are important? 10 00:00:25,505 --> 00:00:27,300 I'm practicing healthy boundaries. 11 00:00:27,429 --> 00:00:29,721 If they need me, they can pick up the phone. 12 00:00:32,099 --> 00:00:34,170 It's not just what medicine you'll practice, 13 00:00:34,206 --> 00:00:35,725 it's your whole life. 14 00:00:35,750 --> 00:00:37,830 Hey, should I pull the drains on Mr. Sherwood before we round? 15 00:00:37,854 --> 00:00:39,614 Uh, no, Adams can do that. 16 00:00:39,752 --> 00:00:42,928 Um, Toni Wright is down a resident, 17 00:00:43,066 --> 00:00:46,242 so I took the liberty of moving you to her service. 18 00:00:46,380 --> 00:00:47,657 I hope that's okay. 19 00:00:48,211 --> 00:00:50,109 - Dr. Toni Wright? - Yeah. 20 00:00:50,216 --> 00:00:53,845 NIH grant recipient for research on myofibroblasts for wound healing, 21 00:00:53,870 --> 00:00:56,839 - pioneer in lymphedema, Dr. Toni Wright? - Oh. 22 00:00:56,977 --> 00:00:58,165 Yes. 23 00:00:58,564 --> 00:01:00,094 Okay, yeah. I may have read up on her. 24 00:01:00,118 --> 00:01:02,292 - Play it cool. - Yeah, I gotta go prep. 25 00:01:02,430 --> 00:01:05,088 - Ben Warren? - Hey, hey, hey. Come on. I... 26 00:01:05,226 --> 00:01:06,883 Look, I was born cool. 27 00:01:07,232 --> 00:01:08,302 Uh, okay. 28 00:01:09,230 --> 00:01:10,300 Oh, my God. 29 00:01:11,135 --> 00:01:13,413 I'm playing. I'm playing. 30 00:01:14,373 --> 00:01:15,899 Who you'll work with, 31 00:01:15,924 --> 00:01:19,215 whether you'll be home in time for dinner or never see your kids. 32 00:01:19,240 --> 00:01:21,553 I love how they think we have time to go to the doctor. 33 00:01:21,962 --> 00:01:23,534 Last year, I had a dental student 34 00:01:23,558 --> 00:01:25,428 pull one of my teeth in the cath lab. 35 00:01:25,453 --> 00:01:27,904 Have you considered egg freezing? 36 00:01:28,767 --> 00:01:30,313 Have I considered giving myself a series 37 00:01:30,337 --> 00:01:31,918 of shots and screwing up my hormones 38 00:01:31,943 --> 00:01:33,817 and then going through an uncomfortable procedure 39 00:01:33,842 --> 00:01:36,612 and then paying forever to store my eggs in a freezer 40 00:01:36,637 --> 00:01:38,156 on the chance that I might want kids? 41 00:01:38,309 --> 00:01:39,586 You could have just said, "No." 42 00:01:41,228 --> 00:01:43,964 I might do it. I wanna keep my options open. 43 00:01:43,989 --> 00:01:47,303 Why do they need to know when your mom had her first period? 44 00:01:47,328 --> 00:01:49,176 Oh. I hope they don't, 45 00:01:49,201 --> 00:01:51,208 'cause I have no idea and no way to ask. 46 00:01:51,232 --> 00:01:52,618 Oh, smoothies. 47 00:01:52,643 --> 00:01:56,665 The choice is yours, and so are the consequences. 48 00:01:58,693 --> 00:01:59,763 - Hey. - Hey. 49 00:02:02,387 --> 00:02:04,976 Hey, so my lawyer wanted to check in. 50 00:02:05,227 --> 00:02:08,023 I still haven't received any papers to sign. 51 00:02:08,048 --> 00:02:09,602 Yeah, I still have them. 52 00:02:09,627 --> 00:02:11,591 Your lawyer mentioned wanting 53 00:02:11,615 --> 00:02:13,225 to file before the end of the month. 54 00:02:14,157 --> 00:02:16,401 I-I just... I-I've been slammed with work. 55 00:02:16,539 --> 00:02:17,935 If we don't do it soon, they're gonna 56 00:02:17,959 --> 00:02:19,276 make us pay additional retainers. 57 00:02:19,300 --> 00:02:21,008 I am aware. I'm... I'm sorry. 58 00:02:21,033 --> 00:02:23,556 I-I have a consult, but I will... I will get to them as soon as I can. 59 00:02:23,580 --> 00:02:25,341 Okay. 60 00:02:25,479 --> 00:02:27,332 Dr. Morales to the ICU. 61 00:02:27,356 --> 00:02:28,827 Dr. Martha Morales to the ICU. 62 00:02:30,794 --> 00:02:32,495 - Dr. Wright, Ben Warren. - Hey. 63 00:02:32,520 --> 00:02:34,153 - Thrilled to be on your service. - Nice to meet you. 64 00:02:34,177 --> 00:02:36,129 Benson, back on my service again? 65 00:02:36,154 --> 00:02:38,122 Yeah, I can't get enough, and people call me Blue. 66 00:02:38,147 --> 00:02:40,943 - After the Joni Mitchell album? - No. 67 00:02:40,968 --> 00:02:43,955 Oh. Well, that's too bad. It's one of the all-time greats. 68 00:02:43,980 --> 00:02:45,903 I applied to three colleges in California 69 00:02:45,928 --> 00:02:47,648 solely because I thought it'd be cool 70 00:02:47,673 --> 00:02:50,962 to sing that line about coming home there and literally mean it. 71 00:02:50,987 --> 00:02:52,471 Do either of you play guitar? 72 00:02:52,741 --> 00:02:54,743 - Um, not really. - A little. 73 00:02:55,164 --> 00:02:57,235 - Well... - Um... 74 00:02:57,934 --> 00:03:01,248 Uh, listen, um, feel free to push me. You know, I like to work hard, 75 00:03:01,273 --> 00:03:03,610 and I'm actually applying for a plastics fellowship. 76 00:03:04,018 --> 00:03:05,019 Good for you. 77 00:03:06,810 --> 00:03:08,410 You should have told her you play guitar. 78 00:03:11,939 --> 00:03:14,579 Five minutes to answer a page? Patient could have died in that time. 79 00:03:14,604 --> 00:03:16,790 - Did somebody die? - That's irrelevant. 80 00:03:19,602 --> 00:03:21,535 - What do we got? - Randall Lutton, 62. 81 00:03:21,560 --> 00:03:24,547 He has scrotal swelling and severe pain after blunt trauma. 82 00:03:24,572 --> 00:03:27,702 BP is slightly elevated. Gave two of morphine en route. 83 00:03:28,293 --> 00:03:30,123 Oh, God, it hurts like hell. 84 00:03:30,312 --> 00:03:32,245 Yeah, we're gonna get you more inside, okay? 85 00:03:32,270 --> 00:03:34,041 I got up to use the bathroom in the middle of the night 86 00:03:34,065 --> 00:03:35,687 and walked right into the dresser. 87 00:03:36,152 --> 00:03:38,053 I'm gonna need an ultrasound and some gel. 88 00:03:38,078 --> 00:03:40,209 - Are you a doctor? - Urologist. 89 00:03:40,347 --> 00:03:42,073 No need to comment on the irony. 90 00:03:42,098 --> 00:03:45,273 Okay. Let's get him to trauma one. 91 00:03:48,937 --> 00:03:51,678 Hey, Corban, just double-checking you're getting your IV antibiotics 92 00:03:51,703 --> 00:03:53,118 before rounds with Dr. Altman. 93 00:03:53,334 --> 00:03:56,268 Um, do you think you could slip me the staff Wi-Fi password? 94 00:03:56,915 --> 00:03:58,503 I know the guest Wi-Fi is spotty, 95 00:03:58,528 --> 00:04:01,584 but ours is used for things like imaging and staff messaging, 96 00:04:01,609 --> 00:04:02,955 so they're pretty strict about it. 97 00:04:03,094 --> 00:04:04,440 Well, could you make an exception? 98 00:04:05,165 --> 00:04:07,764 I just... I really want to see my cousin get married in Big Sur today. 99 00:04:07,788 --> 00:04:09,988 Second cousin, second marriage, and he's not that great. 100 00:04:16,208 --> 00:04:19,859 - You didn't get it from me. - Thank you. 101 00:04:20,117 --> 00:04:22,636 Somehow, I am always in the hospital for 102 00:04:22,660 --> 00:04:24,677 my friends' and family's big life events. 103 00:04:24,702 --> 00:04:27,843 This is his second aortic graft to get infected in a year. 104 00:04:28,360 --> 00:04:29,750 No offense to Dr. Altman, 105 00:04:29,775 --> 00:04:32,684 but if this one doesn't take, we need a second opinion. 106 00:04:32,709 --> 00:04:34,987 Well, Dr. Altman's extremely skilled. 107 00:04:35,012 --> 00:04:37,820 She's even kind of famous now. She invented a new surgery. 108 00:04:38,236 --> 00:04:39,694 Yeah, but like a difficult one? 109 00:04:40,658 --> 00:04:44,100 Don't look at me like that. I already know I'm becoming Mom. 110 00:04:44,125 --> 00:04:46,472 Surgery's incredibly complicated. 111 00:04:47,349 --> 00:04:49,125 She's on a podcast. You can look it up. 112 00:04:50,072 --> 00:04:51,600 Told you. I just have bad luck. 113 00:04:51,625 --> 00:04:54,025 Well, hopefully the new TEVAR gives your aorta a break 114 00:04:54,050 --> 00:04:56,087 so... the antibiotics can do their job. 115 00:04:56,166 --> 00:04:57,823 That's what you said last time. 116 00:04:59,394 --> 00:05:00,568 I'll be back soon. 117 00:05:00,886 --> 00:05:03,371 Dr. Miley Tokugawa to the ER. 118 00:05:06,053 --> 00:05:07,484 Welcome back, Dr. Shepherd. 119 00:05:07,509 --> 00:05:09,895 Have you met our new plastics attending, Dr. Toni Wright? 120 00:05:10,032 --> 00:05:11,896 Relatively new. Nice to meet you. 121 00:05:12,034 --> 00:05:14,243 We should get started. It's a LeFort fracture. 122 00:05:14,268 --> 00:05:15,925 I'm sure there will be questions. 123 00:05:16,891 --> 00:05:20,136 - Did you see that? - Uh, yes. Um, yeah, I don't know. 124 00:05:20,274 --> 00:05:23,351 - I don't think she remembers me. - Should she? 125 00:05:23,376 --> 00:05:25,851 We went to med school together. We were in the same study group. 126 00:05:25,876 --> 00:05:27,153 She hated me. 127 00:05:27,178 --> 00:05:29,098 Oh, well, maybe it's better she doesn't remember. 128 00:05:32,183 --> 00:05:34,760 Teresa Daniels, 49, post-op day five from 129 00:05:34,784 --> 00:05:37,473 a hemicraniectomy for subdural hematoma 130 00:05:37,498 --> 00:05:39,475 after auto versus pedestrian. 131 00:05:39,500 --> 00:05:41,443 Concomitant LeFort I fractures. 132 00:05:41,468 --> 00:05:43,548 Please say you're fixing my mom's face today. 133 00:05:43,573 --> 00:05:45,368 Well, that's up to Dr. Shepherd. 134 00:05:45,393 --> 00:05:46,810 She'll tell us if your mom's head bleed 135 00:05:46,835 --> 00:05:47,914 has healed enough for us to proceed. 136 00:05:47,939 --> 00:05:50,787 I'll do a neuro exam on her now and make sure the EVD's working. 137 00:05:51,926 --> 00:05:55,344 - So, uh, what are you studying? - Uh, data science. 138 00:05:55,482 --> 00:05:58,036 I was going to major in it, but the intro course is hard. 139 00:05:58,061 --> 00:06:00,270 I'm a freshman at UC Davis. 140 00:06:00,521 --> 00:06:02,554 Do you have a study group? 141 00:06:02,948 --> 00:06:05,122 - I haven't found the right people. - Oh. 142 00:06:05,147 --> 00:06:06,936 Does make a big difference. 143 00:06:06,969 --> 00:06:08,695 My mom says to stick with it. 144 00:06:08,720 --> 00:06:10,749 I was complaining to her about it on the phone 145 00:06:10,773 --> 00:06:13,465 when she got... hit by that idiot driver. 146 00:06:14,153 --> 00:06:15,684 That's awful. I'm so sorry. 147 00:06:15,709 --> 00:06:17,504 She'll be happy to see you when she wakes up. 148 00:06:17,571 --> 00:06:19,849 ICP is 12 and subdural is stable. 149 00:06:19,999 --> 00:06:21,690 Great. So we're good to go. 150 00:06:21,715 --> 00:06:25,097 Let's order a CT max/face before bringing her to the OR. 151 00:06:31,926 --> 00:06:33,529 Hey. Sorry I'm late. 152 00:06:33,554 --> 00:06:36,074 How was Cousin Frank's wedding? Were you able to stream it? 153 00:06:38,110 --> 00:06:39,294 Still no contractions? 154 00:06:39,452 --> 00:06:41,554 Don't jinx it. 155 00:06:42,529 --> 00:06:44,013 - Okay. - Uh, Dr. Meade. 156 00:06:44,565 --> 00:06:46,715 Corban Gregory, 28-year-old male. 157 00:06:46,740 --> 00:06:49,683 Status, post-coarctation repair when he was two. 158 00:06:49,708 --> 00:06:52,780 He subsequently had two graft repairs, both became infected. 159 00:06:52,805 --> 00:06:54,757 Has now developed a pseudoaneurysm 160 00:06:54,782 --> 00:06:56,370 and is here today for his second TEVAR. 161 00:06:57,197 --> 00:06:59,475 You made somebody a new aorta? 162 00:06:59,684 --> 00:07:02,411 He's stalking you online. I told him it was weird. 163 00:07:02,436 --> 00:07:05,828 And it said that the patient had two repeat graft infections too. 164 00:07:07,045 --> 00:07:09,876 - Can I get this? - A TEVAR is still a solution for you. 165 00:07:09,901 --> 00:07:11,696 It's less invasive and less risky. 166 00:07:12,365 --> 00:07:13,883 For me or for you? 167 00:07:14,506 --> 00:07:18,125 Corban, the patient that you're reading about was much sicker. 168 00:07:18,150 --> 00:07:20,576 I don't want another Band-Aid if there's a permanent fix. 169 00:07:20,601 --> 00:07:23,096 I don't want to diminish what you're going through, but... 170 00:07:23,121 --> 00:07:24,847 You think you know what I'm going through? 171 00:07:25,365 --> 00:07:26,711 My favorite thing is running, 172 00:07:26,736 --> 00:07:29,187 but I can't remember the last time I had a runner's high. 173 00:07:29,551 --> 00:07:31,380 I won't be able to lift my baby nephew. 174 00:07:31,518 --> 00:07:33,624 I can't travel. I can't visit my friends. 175 00:07:33,649 --> 00:07:36,420 I have spent more time in the CCU than my own house in the last year. 176 00:07:36,445 --> 00:07:38,240 Is that not sick enough for you? 177 00:07:39,660 --> 00:07:41,864 - What, you just don't care? - That's not true. 178 00:07:41,889 --> 00:07:45,523 - Then why won't you fix me? - I wish there was an easy fix. 179 00:07:45,661 --> 00:07:46,903 Just get out. 180 00:07:48,673 --> 00:07:50,907 - Get out! - Okay. 181 00:07:58,798 --> 00:08:03,798 - Synced and corrected by ChrisKe - -- for www.addic7ed.com -- 182 00:08:06,548 --> 00:08:09,028 It's a larger patient load than usual, 183 00:08:09,053 --> 00:08:10,231 but with two of you... 184 00:08:10,262 --> 00:08:14,095 Adams, please tell me that you were at the benefits fair 185 00:08:14,120 --> 00:08:16,244 or rounding or anything but late. 186 00:08:16,269 --> 00:08:18,030 Sorry, I was on the phone with Boise General. 187 00:08:18,055 --> 00:08:20,402 They don't have Katie Rogers's immunotherapy either. 188 00:08:20,427 --> 00:08:21,964 Well, the government cut off funding. 189 00:08:21,989 --> 00:08:23,207 You're not going to find it. 190 00:08:23,232 --> 00:08:25,944 Okay, what about cytoreduction surgery with HIPEC? 191 00:08:25,969 --> 00:08:26,970 What about it? 192 00:08:26,995 --> 00:08:29,066 Well, could Katie be a candidate for it? 193 00:08:29,227 --> 00:08:31,215 I-I emailed you the case report. 194 00:08:31,240 --> 00:08:34,357 Okay, no. I appreciate your initiative, and I will look at it. 195 00:08:34,382 --> 00:08:37,386 But right now, I need you to focus on patients that are currently 196 00:08:37,410 --> 00:08:39,179 - admitted to the hospital. - Okay. 197 00:08:39,204 --> 00:08:43,858 We're down two residents due to illness and a family wedding, 198 00:08:43,883 --> 00:08:48,173 so I need you and Spencer to get started on the floor, okay? 199 00:08:48,198 --> 00:08:51,443 Ms. Hayes needs a Dobhoff tube for tube feeds. 200 00:08:51,882 --> 00:08:55,964 Ooh. Well, I've never inserted an NG tube on a real person 201 00:08:56,059 --> 00:08:59,856 - o-or a fake one, so... - Well, um, Adams will help you. 202 00:08:59,924 --> 00:09:02,582 - Don't forget to check your email. - I... 203 00:09:04,490 --> 00:09:06,285 Just keep taking deep breaths. 204 00:09:06,310 --> 00:09:08,174 New pain medication should kick in any second. 205 00:09:08,538 --> 00:09:09,953 Can I take a look? 206 00:09:10,314 --> 00:09:12,316 Yeah. 207 00:09:12,454 --> 00:09:15,353 Wow, that looks painful. 208 00:09:15,378 --> 00:09:17,552 Last I checked, it measured 20 centimeters. 209 00:09:17,804 --> 00:09:20,428 I suspect a bleeding testicular artery. Do you see anything? 210 00:09:20,679 --> 00:09:22,874 I, uh... It looks like it's expanding. 211 00:09:22,899 --> 00:09:25,304 Let's get an ultrasound and page urology. 212 00:09:25,329 --> 00:09:27,790 Was the dresser sharp? I mean, I do see a couple of small lesions. 213 00:09:27,814 --> 00:09:29,764 I-I must have just snagged a drawer pull. 214 00:09:29,789 --> 00:09:34,555 Oh, okay. Well, let's get him some more fluids and a full set of labs. 215 00:09:34,580 --> 00:09:36,305 Okay. 216 00:09:36,444 --> 00:09:37,766 Well, the testicles are intact and 217 00:09:37,790 --> 00:09:39,694 - they're in the correct position... - Okay. 218 00:09:39,719 --> 00:09:42,380 ... but I do see some free fluid in the scrotum. 219 00:09:43,140 --> 00:09:44,693 Oh, my God, Randall. 220 00:09:44,944 --> 00:09:46,290 Is it his heart? 221 00:09:46,315 --> 00:09:47,995 Uh, no, no. My heart's just fine. 222 00:09:48,041 --> 00:09:49,491 Doctors, this is my wife Kimmy. 223 00:09:49,516 --> 00:09:50,724 - Hey. - Hi. 224 00:09:53,564 --> 00:09:54,960 Is that one of your... 225 00:09:54,985 --> 00:09:58,092 Yeah, I walked into the dresser. 226 00:09:58,406 --> 00:09:59,890 Probably just a hematoma. 227 00:09:59,915 --> 00:10:02,824 Is this gonna jack your fertility? I ovulate next week. 228 00:10:02,849 --> 00:10:04,748 We're going to give you some privacy. 229 00:10:08,298 --> 00:10:10,265 Dr. Neil, dial radiology. 230 00:10:10,290 --> 00:10:12,040 Oh. 231 00:10:12,065 --> 00:10:13,860 You've been back three hours 232 00:10:13,885 --> 00:10:17,613 and you've already requested a new 3D microscope with AR tech? 233 00:10:17,864 --> 00:10:20,660 Why are you reading emails when you are supposed to be on leave? 234 00:10:20,685 --> 00:10:22,342 Catherine finally left the house. 235 00:10:22,367 --> 00:10:25,096 If that woman makes me take one more nap, I'm going to lose my mind. 236 00:10:25,121 --> 00:10:26,329 Um... 237 00:10:26,528 --> 00:10:29,186 When did you hire Toni Wright? 238 00:10:29,438 --> 00:10:30,473 A few months ago. 239 00:10:30,498 --> 00:10:31,947 I was surprised we got her. 240 00:10:31,972 --> 00:10:34,123 Jackson says she's the go-to for facial reconstruction. 241 00:10:34,148 --> 00:10:37,427 Well... Jackson is the go-to for facial reconstruction. 242 00:10:38,254 --> 00:10:41,407 - Is there a problem? - I just... I just spent the last few 243 00:10:41,431 --> 00:10:42,624 months getting to a really good place. 244 00:10:42,648 --> 00:10:44,521 I took Scout camping. 245 00:10:44,546 --> 00:10:47,568 I went to the grocery store during normal hours. I slept... 246 00:10:47,593 --> 00:10:49,112 You need to get to the point. 247 00:10:49,250 --> 00:10:53,012 Wright and I have a history, in that... 248 00:10:53,037 --> 00:10:57,041 in that, historically, she... pushes my buttons. 249 00:10:57,179 --> 00:11:00,424 If I hired people based on whose buttons they pushed, 250 00:11:00,562 --> 00:11:02,514 no one could work at this damn hospital. 251 00:11:02,539 --> 00:11:05,024 And your request for a microscope is denied. 252 00:11:05,049 --> 00:11:07,949 Oh. 253 00:11:16,247 --> 00:11:17,653 You know, I, uh... 254 00:11:17,678 --> 00:11:21,065 I read that you won the Goldstein Award for excellence in teaching. 255 00:11:22,067 --> 00:11:24,587 - Mmm? - Um... 256 00:11:24,849 --> 00:11:26,126 No. 257 00:11:33,353 --> 00:11:37,288 So, you know, you must be an excellent teacher. 258 00:11:37,504 --> 00:11:39,334 That's the name of the award. 259 00:11:42,150 --> 00:11:43,979 - She is all set. - Okay. 260 00:11:52,745 --> 00:11:54,644 Oh. Yeah. 261 00:11:55,861 --> 00:11:59,485 Oh, her nasofrontal and ZF sutures are broken. 262 00:11:59,703 --> 00:12:00,807 Good. What else? 263 00:12:00,898 --> 00:12:02,866 Her zygomatic arch is comminuted. 264 00:12:02,891 --> 00:12:04,833 And it's a LeFort III, not a LeFort I. 265 00:12:04,858 --> 00:12:06,914 Yeah. This just got a lot more complicated. 266 00:12:06,939 --> 00:12:08,075 Yeah. 267 00:12:08,100 --> 00:12:10,919 Should I call the OR? Let them know that we're gonna push the surgery? 268 00:12:10,943 --> 00:12:12,303 Her daughter's going to be crushed. 269 00:12:12,328 --> 00:12:14,028 No, we're not pushing anything. 270 00:12:14,319 --> 00:12:17,614 Every day that she's intubated, it makes it tougher for her to recover. 271 00:12:17,771 --> 00:12:22,396 We're just going to have to come up with a new plan, quickly. 272 00:12:23,714 --> 00:12:26,648 Dr. Traversa to radiology. Dr. Valentina Traversa... 273 00:12:26,899 --> 00:12:30,756 - Is he asleep? - Just resting. 274 00:12:31,308 --> 00:12:32,689 Did you get my scans back? 275 00:12:32,842 --> 00:12:35,672 Everything looks stable, so you're all set for the TEVAR. 276 00:12:37,314 --> 00:12:38,902 Corban. 277 00:12:39,557 --> 00:12:42,168 He was hoping you'd say that he got worse, 278 00:12:42,193 --> 00:12:45,262 so he could get that new aorta business. 279 00:12:45,287 --> 00:12:46,737 The TEVAR really might work. 280 00:12:46,762 --> 00:12:48,921 A new aorta would definitely work. 281 00:12:49,032 --> 00:12:51,949 If you survive it. 282 00:12:53,019 --> 00:12:54,607 I want to talk to the other guy, 283 00:12:54,632 --> 00:12:57,113 the doctor that did the new surgery with Dr. Altman. 284 00:12:57,138 --> 00:12:58,189 Dr. Ndugu? 285 00:12:58,214 --> 00:13:00,312 He could give me a second opinion, right? 286 00:13:00,337 --> 00:13:02,384 Dr. Altman should be in shortly. You can ask her any questions, 287 00:13:02,408 --> 00:13:04,134 - or you can... - I'm asking for Ndugu. 288 00:13:04,159 --> 00:13:05,760 This is my life. I'm not gonna ask 289 00:13:05,785 --> 00:13:07,570 permission to hear about all my options. 290 00:13:08,863 --> 00:13:09,917 Would you? 291 00:13:10,556 --> 00:13:12,800 Just give me ten minutes with him, please. 292 00:13:14,157 --> 00:13:15,831 I'll talk to him. No promises. 293 00:13:18,562 --> 00:13:20,357 Catherine, I didn't know you were here today. 294 00:13:20,382 --> 00:13:22,610 Oh. I had to get out of that house. 295 00:13:22,635 --> 00:13:25,465 For ten days, I've been taking care of my husband. 296 00:13:25,490 --> 00:13:26,994 I don't know how these nurses do it. 297 00:13:27,019 --> 00:13:29,573 All right, where's my consult? 298 00:13:29,961 --> 00:13:30,962 Randall? 299 00:13:31,333 --> 00:13:33,853 Randall, what are you doing here? 300 00:13:33,878 --> 00:13:34,983 Good to see ya. 301 00:13:35,008 --> 00:13:37,600 Oh. We missed you at the last AUA conference. 302 00:13:37,625 --> 00:13:40,214 - We were on our honeymoon. - Oh, that's right. 303 00:13:40,239 --> 00:13:42,536 So what... what brings you in? 304 00:13:42,561 --> 00:13:45,529 Uh, you... you have more important things to do. 305 00:13:45,554 --> 00:13:46,901 I can see a resident. 306 00:13:47,152 --> 00:13:48,463 Nonsense. I am here. 307 00:13:48,488 --> 00:13:49,766 Dr. Hunt, what we got? 308 00:13:49,791 --> 00:13:53,037 Blunt trauma. Now experiencing severe scrotal swelling. 309 00:13:53,062 --> 00:13:54,649 - Hmm. - It's the size of a coconut. 310 00:13:55,081 --> 00:13:57,532 Thank you, Dr. Millin, for that wonderful assessment. 311 00:13:57,646 --> 00:13:58,889 Randall, may I? 312 00:13:59,405 --> 00:14:00,579 Uh... 313 00:14:00,811 --> 00:14:02,364 You don't have to be here for this. 314 00:14:02,389 --> 00:14:05,549 Why don't you just go eat? I'm sure you're starving after Pilates. 315 00:14:05,574 --> 00:14:08,163 I'm not leaving your side. 316 00:14:08,414 --> 00:14:12,065 - How does it look? - Well, for a blunt trauma, it doesn't 317 00:14:12,202 --> 00:14:14,455 seem to follow the typical injury pattern. 318 00:14:14,480 --> 00:14:16,137 Will this mess up his sperm count? 319 00:14:16,275 --> 00:14:17,483 Yes, it will. 320 00:14:17,508 --> 00:14:20,116 From walking into a dresser? How is it this bad? 321 00:14:20,141 --> 00:14:23,011 I'll let Dr. Lutton answer that. 322 00:14:26,561 --> 00:14:29,150 I didn't walk into anything. 323 00:14:30,082 --> 00:14:32,878 Okay, please don't hate me. 324 00:14:33,602 --> 00:14:35,639 I gave myself a vasectomy last night. 325 00:14:35,664 --> 00:14:36,665 Oh. 326 00:14:38,228 --> 00:14:40,230 While I was at book club? 327 00:14:41,033 --> 00:14:43,311 - What the hell? - I will page psych. 328 00:14:43,336 --> 00:14:44,786 Mm-hmm. Yeah. 329 00:14:49,120 --> 00:14:50,300 - Keep swallowing. - Mmm, mmm. 330 00:14:50,325 --> 00:14:51,369 It pushes the tube 331 00:14:51,394 --> 00:14:52,872 - down your esophagus... - Mmm. 332 00:14:52,897 --> 00:14:55,451 - ... to your intestine. - Okay. 333 00:14:55,817 --> 00:14:57,337 - Does that look right? - Yeah. 334 00:14:57,370 --> 00:14:59,610 Keep going until you hit the mark we measured on the tube. 335 00:15:00,097 --> 00:15:02,617 - You sure you know what you're doing? - Uh... 336 00:15:02,642 --> 00:15:04,747 She does. Keep sipping. 337 00:15:04,998 --> 00:15:06,586 - Chin down. - Is-Is that mine? 338 00:15:06,837 --> 00:15:08,770 My catsitter's supposed to be calling. 339 00:15:08,896 --> 00:15:10,001 Uh, excuse me. 340 00:15:10,555 --> 00:15:11,840 Hi, this is Dr. Adams. 341 00:15:11,865 --> 00:15:14,776 Uh, yeah. Uh, actually, I'm with a patient right now. 342 00:15:14,801 --> 00:15:16,665 Can I call you back? 343 00:15:20,260 --> 00:15:22,128 Okay, I'm done. 344 00:15:22,153 --> 00:15:23,395 All right, looks good. 345 00:15:23,401 --> 00:15:24,401 All right, pull out the stylet, 346 00:15:24,402 --> 00:15:26,237 secure the tube and start trickle tube feeds. 347 00:15:26,261 --> 00:15:28,228 Then we gotta do research for Dr. Bailey. 348 00:15:28,479 --> 00:15:30,378 She didn't mention anything about research. 349 00:15:30,403 --> 00:15:31,887 - It's for her patient. - Oh. 350 00:15:31,912 --> 00:15:34,831 Well, she's in luck. I'm really good at research. 351 00:15:34,856 --> 00:15:37,250 In med school, I-I presented a poster... 352 00:15:37,275 --> 00:15:39,836 Great. Finish up here and, uh, I'm gonna get started. 353 00:15:39,861 --> 00:15:41,379 Where you going? 354 00:15:41,649 --> 00:15:42,685 I'll text you. 355 00:15:44,131 --> 00:15:46,488 I'll text him. 356 00:15:48,644 --> 00:15:51,509 Hey. How's it going with Wright? 357 00:15:52,356 --> 00:15:55,169 - I have no idea. - Did you change services? 358 00:15:55,193 --> 00:15:57,913 No, I-I'm just getting zero vibe. 359 00:15:58,431 --> 00:16:00,580 Because you're over-vibing? 360 00:16:00,605 --> 00:16:02,592 No, no, no, no, no. Okay, I've been cool. 361 00:16:02,617 --> 00:16:05,516 No excessive praise, no impulsive moves. 362 00:16:05,541 --> 00:16:07,198 Well, just give it time. 363 00:16:08,372 --> 00:16:10,063 Hey, if it makes you feel better, 364 00:16:10,088 --> 00:16:13,524 I hear your residency director is very impressed. 365 00:16:13,712 --> 00:16:14,713 It does. 366 00:16:15,620 --> 00:16:17,607 - What were you even thinking? - Psych is on their way. 367 00:16:17,632 --> 00:16:20,980 That man doesn't need a psychiatrist. He needs a marriage counselor. 368 00:16:21,005 --> 00:16:23,638 You think he was successful doing it on himself? 369 00:16:23,663 --> 00:16:24,871 We'll find out. 370 00:16:24,896 --> 00:16:28,367 I gotta get him in an OR and evacuate that hematoma. 371 00:16:28,392 --> 00:16:31,913 Can I scrub in? I've never operated on a DIY vasectomy before. 372 00:16:31,938 --> 00:16:33,560 It'll be my second. 373 00:16:33,585 --> 00:16:35,936 Wait, you know somebody else who tried to do their own vasectomy? 374 00:16:35,961 --> 00:16:39,102 Another urologist. Said he was embarrassed. 375 00:16:39,127 --> 00:16:42,233 I don't know why these boys don't just pick up the phone and call me. 376 00:16:42,371 --> 00:16:44,822 It's just a hollow tube filled with sperm. 377 00:16:44,866 --> 00:16:47,766 - In fact, if you ever want one... - I-I'm good down here. 378 00:16:47,870 --> 00:16:50,310 - Go scrub in. - Uh, wait. 379 00:16:50,335 --> 00:16:54,255 Just let Kimmy get in another few rounds, then go prep him. 380 00:16:54,280 --> 00:16:56,938 ... laughingstock, and you'll be to blame. 381 00:16:58,525 --> 00:17:00,286 Can't even count how many fractures she has. 382 00:17:00,424 --> 00:17:01,874 Yeah, the number doesn't matter. 383 00:17:02,012 --> 00:17:04,239 Okay, so how-how do we plate her zygomatic arch? 384 00:17:04,264 --> 00:17:08,027 It's like tempered glass. There's nothing solid to screw into. 385 00:17:08,052 --> 00:17:09,256 Warren, any ideas? 386 00:17:09,781 --> 00:17:13,272 Uh, create a scaffold of cadaveric bone paste and BMP. 387 00:17:13,793 --> 00:17:14,793 You've studied this. 388 00:17:14,818 --> 00:17:17,105 No, I saw it once, years ago. I... 389 00:17:17,130 --> 00:17:20,409 I was an anesthesiologist before I went into surgery. Mmm. 390 00:17:21,376 --> 00:17:22,687 Interesting. 391 00:17:22,712 --> 00:17:25,458 Okay, so our first step is gonna be to wire her jaw 392 00:17:25,483 --> 00:17:27,485 with her bite in the proper place. 393 00:17:27,510 --> 00:17:30,434 We won't be able to have her orally intubated for anesthesia. 394 00:17:30,459 --> 00:17:32,845 Warren, trach or submental intubation? 395 00:17:32,870 --> 00:17:35,261 Oh, trach. It's a straight shot into the airway, 396 00:17:35,286 --> 00:17:37,057 less risky than going through the chin into the mouth. 397 00:17:37,081 --> 00:17:38,807 Spoken like an anesthesiologist. 398 00:17:38,832 --> 00:17:40,095 A plastic surgeon thinks it'll take 399 00:17:40,120 --> 00:17:41,441 her three months to heal from a trach. 400 00:17:41,465 --> 00:17:43,985 A submental incision will heal in a week. 401 00:17:44,334 --> 00:17:47,827 Kwan, what are the steps of a submental intubation? 402 00:17:49,314 --> 00:17:52,202 You make an incision under the chin and... 403 00:17:53,363 --> 00:17:54,502 Honestly, I-I don't know. 404 00:17:54,775 --> 00:17:56,455 Of course not. You're a gen surge resident. 405 00:17:56,480 --> 00:17:58,482 - You'll learn today. - Cool. 406 00:17:58,514 --> 00:18:00,639 It is. Take a look at this. 407 00:18:03,592 --> 00:18:06,879 So we would create a large segment of aorta with a synthetic graft, 408 00:18:06,904 --> 00:18:09,769 rerouting it from your chest to your abdomen, 409 00:18:09,794 --> 00:18:11,884 and then we would staple off the infected piece here 410 00:18:11,909 --> 00:18:13,324 and remove it at a later time. 411 00:18:13,349 --> 00:18:15,129 So then no more TEVAR procedures? 412 00:18:15,154 --> 00:18:17,812 If the surgery's successful, yes. That's the idea. 413 00:18:17,837 --> 00:18:20,134 And you really think this could be a success for me? 414 00:18:20,159 --> 00:18:21,240 I'd need to further study 415 00:18:21,264 --> 00:18:22,551 your case before I could answer that. 416 00:18:22,575 --> 00:18:24,747 So shoot me his latest imaging, and 417 00:18:24,772 --> 00:18:26,406 I want to do another echo. Before we... 418 00:18:26,431 --> 00:18:28,832 Dr. Ndugu? Excuse me, may I have a word, please? 419 00:18:28,857 --> 00:18:30,788 Sure. Yeah. Excuse us. 420 00:18:39,194 --> 00:18:40,367 Someone talk fast. 421 00:18:40,392 --> 00:18:42,352 - Corban asked for a second... - Not you. 422 00:18:42,802 --> 00:18:44,710 You're talking to my patient behind my back 423 00:18:44,735 --> 00:18:47,082 about a procedure that I've already said no to. 424 00:18:47,220 --> 00:18:48,877 Okay, I assumed you were aware. 425 00:18:48,902 --> 00:18:51,268 Don't do that. Don't put it on the resident 426 00:18:51,293 --> 00:18:53,753 to have the uncomfortable conversation with her attending. 427 00:18:53,778 --> 00:18:56,338 Your patient asked if he was a good candidate for a ventral aorta. 428 00:18:56,515 --> 00:18:58,206 I simply explained what it was. 429 00:18:58,231 --> 00:18:59,750 No, you got his hopes up. 430 00:19:00,001 --> 00:19:01,554 And if you had come to me first, 431 00:19:01,579 --> 00:19:03,685 I would have explained that, unlike Nora, 432 00:19:03,823 --> 00:19:07,240 Corban has major scarring from a previous esophageal reconstruction. 433 00:19:07,265 --> 00:19:08,885 He is a bad candidate for it. 434 00:19:08,910 --> 00:19:11,013 How do we know who's a good candidate? We've done this once. 435 00:19:11,037 --> 00:19:14,006 And that might be all we ever do if we kill Corban with it. 436 00:19:14,567 --> 00:19:16,713 Nora hasn't even hit the six-month mark. 437 00:19:16,738 --> 00:19:18,913 We need more time to see how she does. 438 00:19:18,938 --> 00:19:21,078 Okay. All right. 439 00:19:22,748 --> 00:19:24,405 Dr. Altman, I'm sorry. I wasn't sure... 440 00:19:24,430 --> 00:19:27,398 How did Corban even know about the ventral aorta in the first place? 441 00:19:28,261 --> 00:19:31,023 If you shut me out again, you are off this case. 442 00:19:34,326 --> 00:19:35,362 I'm her boss. 443 00:19:35,916 --> 00:19:39,849 Didn't she make you chief while she was chief? 444 00:19:39,874 --> 00:19:42,635 Okay, well... Okay, so what? Now I owe her? 445 00:19:42,660 --> 00:19:44,007 If I made someone chief, 446 00:19:44,258 --> 00:19:47,340 and they gave my patient a second opinion behind my back, 447 00:19:47,365 --> 00:19:48,405 I would blow my stack too. 448 00:19:48,469 --> 00:19:49,849 Okay, yeah, yeah... 449 00:19:49,874 --> 00:19:52,429 ... that part was bad, but I'm not wrong. 450 00:19:52,680 --> 00:19:56,615 This surgery could cure all kinds of aortic disease, you know? 451 00:19:57,961 --> 00:20:01,137 Wait, Toni Wright just gave me the cold shoulder again. 452 00:20:01,626 --> 00:20:02,946 It's okay. I was pretty much done. 453 00:20:03,449 --> 00:20:07,290 Okay, she can do a supermicrosurgery in a 30x magnified field, 454 00:20:07,315 --> 00:20:08,618 but she can't say hi to me? 455 00:20:08,642 --> 00:20:10,870 Oh. Amelia, don't... 456 00:20:11,575 --> 00:20:13,842 I can't watch this. Nope. 457 00:20:14,978 --> 00:20:17,024 - Hi. - Hi. 458 00:20:17,049 --> 00:20:20,190 We went to med school together. You hated me. 459 00:20:20,491 --> 00:20:23,563 No. I didn't hate you. 460 00:20:24,257 --> 00:20:26,121 So you do remember me? 461 00:20:26,983 --> 00:20:28,019 Yeah. 462 00:20:31,245 --> 00:20:33,282 Wow. I should have thought this through. 463 00:20:33,307 --> 00:20:35,631 I don't really know what happens next. 464 00:20:36,655 --> 00:20:38,381 Why did you think I hated you? 465 00:20:38,632 --> 00:20:42,014 You ran out of your own birthday party when I showed up uninvited. 466 00:20:42,039 --> 00:20:44,007 - Oh, my God. - You changed study groups 467 00:20:44,145 --> 00:20:46,872 and actively avoided me in labs. 468 00:20:47,158 --> 00:20:48,677 Because I liked you. 469 00:20:49,323 --> 00:20:51,058 - What? - I tried to kiss you 470 00:20:51,083 --> 00:20:52,636 in The Mission during orientation. 471 00:20:53,189 --> 00:20:55,487 No, you were drunk. I thought... 472 00:20:55,512 --> 00:20:58,030 I thought you stumbled into... into me. 473 00:20:58,055 --> 00:21:01,206 No, I had a huge crush on you. 474 00:21:01,344 --> 00:21:03,967 I mean, I thought you were queer, but then I wasn't sure, 475 00:21:03,992 --> 00:21:06,961 so I didn't want to get burned, so I kept my distance. 476 00:21:07,325 --> 00:21:09,223 But you have nothing to worry about. 477 00:21:09,248 --> 00:21:13,667 This is all way in the past, and, um, frankly, you're not my type. 478 00:21:15,910 --> 00:21:17,083 My OR is ready. 479 00:21:20,250 --> 00:21:23,253 For some reason, I froze when I saw you earlier. 480 00:21:23,492 --> 00:21:24,907 I'm glad we cleared the air. 481 00:21:27,536 --> 00:21:29,089 I'm pretty sure Altman hates me. 482 00:21:29,259 --> 00:21:31,479 If she didn't kick you off the case, you're probably fine. 483 00:21:31,616 --> 00:21:32,996 Let's talk about something else. 484 00:21:33,134 --> 00:21:35,827 Uh, my patient tried to give himself a vasectomy. 485 00:21:35,852 --> 00:21:38,071 - Wow, we will always have jobs. - Mm-hmm. 486 00:21:38,095 --> 00:21:40,082 Everyone thinks they can do anything themselves 487 00:21:40,107 --> 00:21:42,523 if they watch enough videos on social media. 488 00:21:42,548 --> 00:21:44,343 He's a board-certified urologist. 489 00:21:44,567 --> 00:21:47,639 You know, that actually seems doable with some lidocaine and a mirror. 490 00:21:48,796 --> 00:21:51,374 OR's ready. I'm out. 491 00:21:54,595 --> 00:21:56,996 How come women in their 20s have to shell out big bucks 492 00:21:57,021 --> 00:21:58,298 to preserve their fertility, 493 00:21:58,323 --> 00:22:00,980 but men in their 60s are so worried about pregnancy, 494 00:22:01,005 --> 00:22:02,766 they are giving themselves vasectomies? 495 00:22:03,514 --> 00:22:04,819 Evolution failed us. 496 00:22:05,640 --> 00:22:09,334 Do it with me. Our future and less fertile selves will thank us. 497 00:22:09,585 --> 00:22:11,587 So we can both be hormonal at the same time? 498 00:22:11,612 --> 00:22:14,555 It's a hard pass, but I will do your shots. 499 00:22:14,580 --> 00:22:16,577 I am very good at giving injections. 500 00:22:17,478 --> 00:22:18,513 Don't ask why. 501 00:22:25,547 --> 00:22:28,101 You can have the other half of my sandwich if you're hungry. 502 00:22:28,317 --> 00:22:29,950 - I brought it from home. - Yeah, I'm good. 503 00:22:30,088 --> 00:22:31,952 Did you email me the results 504 00:22:31,977 --> 00:22:34,704 for the immunotherapy study from San Francisco? 505 00:22:34,729 --> 00:22:36,888 I included it in the Chicago study, at the bottom. 506 00:22:36,920 --> 00:22:38,542 - Okay. - I like to cook. 507 00:22:39,087 --> 00:22:42,273 Do you? It-It makes me happy following directions and... 508 00:22:42,298 --> 00:22:44,160 I wonder if we could file a compassionate 509 00:22:44,184 --> 00:22:46,107 use application for her meds. 510 00:22:46,420 --> 00:22:50,904 Or maybe we could get it off-label directly from the manufacturer. 511 00:22:52,064 --> 00:22:55,309 Why is this particular patient's research so important? 512 00:22:55,771 --> 00:22:58,703 I just meant, weren't there others in the trial? 513 00:22:58,728 --> 00:22:59,912 What about them? 514 00:22:59,937 --> 00:23:03,275 Look, I-I-I care about all the patients. I do. I just... 515 00:23:04,458 --> 00:23:07,815 I don't know. Katie... She's in her late twenties just like us. 516 00:23:07,840 --> 00:23:11,188 She feels like a classmate or more like a friend. 517 00:23:11,350 --> 00:23:16,596 We've just spent a lot of time together, so she is now kind of a friend. 518 00:23:17,954 --> 00:23:19,013 I get it. 519 00:23:19,365 --> 00:23:20,428 It's like when you meet someone 520 00:23:20,429 --> 00:23:23,428 and you feel like you've already met them before, 521 00:23:24,061 --> 00:23:27,133 like they're supposed to be in your life. 522 00:23:31,625 --> 00:23:33,419 Oh, no, it's-it's Wendy. 523 00:23:39,193 --> 00:23:40,678 Hey, may I come in? 524 00:23:45,059 --> 00:23:47,959 She wanted me to apologize. 525 00:23:48,029 --> 00:23:50,429 - Unbelievable. - It's okay. 526 00:23:50,864 --> 00:23:52,925 - Can we have a minute? - Sure. 527 00:23:54,542 --> 00:23:56,406 Don't say anything stupid. 528 00:23:56,544 --> 00:23:59,236 You're stressing me and the baby out enough. 529 00:24:02,585 --> 00:24:04,907 If you want Dr. Ndugu to replace your aorta, 530 00:24:04,932 --> 00:24:08,176 I won't stand in your way, but I do need you to hear me out first. 531 00:24:09,350 --> 00:24:10,420 Okay, talk. 532 00:24:10,495 --> 00:24:11,945 Okay. 533 00:24:15,319 --> 00:24:20,371 We have done this once on a person with very, very different anatomy 534 00:24:20,396 --> 00:24:23,270 who could have a complication at any moment. 535 00:24:23,408 --> 00:24:26,342 So it's not just a risk, it's a complete unknown. 536 00:24:26,367 --> 00:24:30,406 There is no way to know what will happen if we staple your aorta shut. 537 00:24:30,544 --> 00:24:32,062 And it is irreversible. 538 00:24:32,823 --> 00:24:37,180 If the staples don't hold and you hemorrhage, you'll die. 539 00:24:39,456 --> 00:24:42,541 I don't want to do this surgery on you because I want you to be able 540 00:24:42,566 --> 00:24:45,465 to meet your nephew and see your sister become a mom 541 00:24:45,490 --> 00:24:47,837 and go running again and visit your friends. 542 00:24:48,941 --> 00:24:53,325 And I know the idea of going through this again is infuriating, 543 00:24:53,350 --> 00:24:57,975 but at least... at least you'll still be alive. 544 00:25:07,051 --> 00:25:08,212 I'll give you more time. 545 00:25:14,756 --> 00:25:15,757 Thanks. 546 00:25:23,468 --> 00:25:26,126 Oh. Nice. You didn't skive at all. 547 00:25:26,151 --> 00:25:31,259 And now I will lift the scalp flap to expose the face. 548 00:25:32,417 --> 00:25:34,003 Hold up. What have you got there? 549 00:25:34,028 --> 00:25:35,064 A beaver blade. 550 00:25:35,089 --> 00:25:36,551 What, are you trying to keep us here all day? 551 00:25:36,575 --> 00:25:38,795 Plastic surgeons use this to make delicate incisions. 552 00:25:38,819 --> 00:25:40,590 Yeah, sure, if we're working on a cleft lip 553 00:25:40,614 --> 00:25:42,832 or somewhere where every millimeter counts. 554 00:25:42,857 --> 00:25:45,135 The scalp's robust. Get him the 15 blade. 555 00:25:52,418 --> 00:25:54,540 Make sure to stay in the same plane. 556 00:25:56,026 --> 00:25:57,131 Good. 557 00:25:58,202 --> 00:25:59,825 Oh, there's some fluid. 558 00:26:07,162 --> 00:26:08,647 Give me a specimen tube. 559 00:26:14,955 --> 00:26:16,267 Paper towel? 560 00:26:23,640 --> 00:26:25,966 - It's a halo sign. - Damn it, she's leaking CSF. 561 00:26:25,991 --> 00:26:27,440 We need neuro, now. 562 00:26:32,781 --> 00:26:33,894 What happened? 563 00:26:33,919 --> 00:26:36,235 She was fine. I started the trickle feeds and her sats dropped. 564 00:26:36,259 --> 00:26:37,230 What's wrong? 565 00:26:37,255 --> 00:26:39,099 Hold on, we're gonna find out. Just don't move. 566 00:26:42,196 --> 00:26:44,484 The tube is in her lung. Wait, you didn't see that on the X-ray? 567 00:26:44,508 --> 00:26:45,854 - What X-ray? - Let me see. 568 00:26:45,879 --> 00:26:48,177 Look, you have to get an X-ray after you insert a Dobhoff 569 00:26:48,202 --> 00:26:50,420 and most importantly, before you start feeds. 570 00:26:50,445 --> 00:26:52,365 Okay, let's pull it out, quickly now. 571 00:26:52,447 --> 00:26:54,407 I'm s-sorry, this is my first one. I-I didn't know. 572 00:26:54,432 --> 00:26:56,449 It's okay, and we can fix this. 573 00:26:56,702 --> 00:26:59,395 Uh, prepare for a bronchoscopy to suction the feeds out. 574 00:26:59,420 --> 00:27:01,042 Okay. 575 00:27:06,087 --> 00:27:07,447 - Suction. - Okay. 576 00:27:09,947 --> 00:27:12,778 Is it... Is it weird operating on your friend's scrotum? 577 00:27:12,803 --> 00:27:14,534 My dear, you've seen 578 00:27:14,559 --> 00:27:16,629 one testicle, you've seen them all. 579 00:27:16,654 --> 00:27:20,278 But ask me if I think the man has a screw loose, ooh, mmm. 580 00:27:20,303 --> 00:27:22,097 He must really not want kids. 581 00:27:22,122 --> 00:27:23,967 Of course not, he's a grandfather. 582 00:27:23,992 --> 00:27:25,342 That's when all the fun starts. 583 00:27:25,503 --> 00:27:27,678 Raising a child is hard, 584 00:27:27,703 --> 00:27:30,874 this coming from the chairwoman of a national hospital system. 585 00:27:30,899 --> 00:27:32,222 I don't know how you did it. 586 00:27:32,246 --> 00:27:34,178 Me neither, but I will tell you this. 587 00:27:34,203 --> 00:27:36,604 As proud as I am of all my accomplishments, 588 00:27:36,629 --> 00:27:40,668 the best job I've ever had is being Jackson's mom. 589 00:27:41,255 --> 00:27:44,775 And the biggest surprise, I didn't think I wanted to be a parent. 590 00:27:44,803 --> 00:27:48,271 I... I just never had that pull. 591 00:27:48,409 --> 00:27:51,723 But life is full of surprises. 592 00:27:51,748 --> 00:27:53,439 Yeah, just ask Kimmy. 593 00:27:53,577 --> 00:27:54,953 Oh. She better make sure that 594 00:27:54,977 --> 00:27:56,315 lawyer's looking over that prenup. 595 00:27:56,339 --> 00:27:58,962 Okay, let us finish this vasectomy in the right way. 596 00:27:58,987 --> 00:28:03,804 I've palpated the vas deferens and isolated it. Now, what is next? 597 00:28:03,829 --> 00:28:07,177 Exteriorize, ligate both ends, then divide and send path. 598 00:28:07,202 --> 00:28:08,341 Mm-hmm. 599 00:28:08,732 --> 00:28:09,940 After you. 600 00:28:11,543 --> 00:28:13,710 Uh, 4-0 VICRYL. 601 00:28:19,016 --> 00:28:21,650 - All right, what happened? - She has a CSF leak. 602 00:28:21,674 --> 00:28:23,859 Can you show me where the fluid's coming from? 603 00:28:23,883 --> 00:28:25,954 Do you think it's from the cranial base? 604 00:28:25,979 --> 00:28:28,741 I can't see. Let's light it up. Dilute fluorescein, please. 605 00:28:28,875 --> 00:28:31,487 Inject it into the EVD and clamp it. 606 00:28:31,512 --> 00:28:33,238 Injecting now. 607 00:28:33,514 --> 00:28:35,930 All right, now we wait. Lights please. 608 00:28:35,955 --> 00:28:37,167 For what? 609 00:28:37,192 --> 00:28:40,831 The drain is in her ventricle which is filled with CSF. 610 00:28:40,856 --> 00:28:43,445 If this is a leak, we should see... Oh. 611 00:28:43,696 --> 00:28:46,837 Yeah, the fluorescence is coming from the location of the dural tear. 612 00:28:46,862 --> 00:28:49,417 Is it weird that I think that's beautiful? 613 00:28:49,442 --> 00:28:50,753 Not at all. 614 00:28:50,778 --> 00:28:53,089 All right, let's sew this up. 5-0 nylon. 615 00:28:53,866 --> 00:28:57,318 Actually, the dura is friable. It's not gonna hold a stitch. 616 00:28:58,090 --> 00:29:00,974 And the pericranium is too scarred to harvest for a patch. 617 00:29:00,999 --> 00:29:02,587 You want some fascia lata? 618 00:29:02,612 --> 00:29:04,175 I think that might be our only option. Prep the thigh. 619 00:29:04,214 --> 00:29:05,906 Not the only option. 620 00:29:05,931 --> 00:29:07,036 Instead of another incision, 621 00:29:07,037 --> 00:29:09,377 I can harvest fascia from the existing field. 622 00:29:09,514 --> 00:29:11,389 You think it'll have enough bite to hold the dura? 623 00:29:11,414 --> 00:29:12,908 Give me three minutes, I'll show you. 624 00:29:12,932 --> 00:29:14,693 - Mm-hmm. - Scalpel. 625 00:29:21,786 --> 00:29:23,982 Okay, Mom. Whatever. 626 00:29:24,695 --> 00:29:26,818 I'll let you know when I know what he's decided. 627 00:29:27,562 --> 00:29:29,338 Hey. Everything okay? 628 00:29:31,217 --> 00:29:34,619 Everything's fine. I'm just... a terrible person. 629 00:29:34,644 --> 00:29:36,300 I have a hard time believing that. 630 00:29:36,325 --> 00:29:39,949 You're spending your third trimester with your brother in the CCU. 631 00:29:40,788 --> 00:29:44,964 My mom's a wreck because her son is having another big surgery 632 00:29:44,989 --> 00:29:47,337 while she's recovering from pneumonia. 633 00:29:47,588 --> 00:29:49,869 And I just yelled at her because she didn't have an opinion 634 00:29:49,900 --> 00:29:51,523 on the paint color for the nursery. 635 00:29:52,173 --> 00:29:55,107 Hey, you want your mom's help. That doesn't make you terrible. 636 00:29:56,630 --> 00:29:57,873 I'm just overwhelmed. 637 00:29:58,151 --> 00:30:00,809 Yeah. Of course you are. There's a lot going on. 638 00:30:01,047 --> 00:30:02,466 It's so stupid. 639 00:30:03,224 --> 00:30:06,020 I am 36 years old. I'm about to have a kid... 640 00:30:08,574 --> 00:30:10,404 but I still just want my mom. 641 00:30:11,991 --> 00:30:12,992 I know the feeling. 642 00:30:15,132 --> 00:30:18,377 I should call her and apologize. 643 00:30:18,515 --> 00:30:19,689 I'll see you up there. 644 00:30:34,437 --> 00:30:36,681 Hey, Corban made his decision. He wants a TEVAR. 645 00:30:36,706 --> 00:30:37,707 Okay. 646 00:30:39,743 --> 00:30:41,863 I'd page someone else, but we're down residents today. 647 00:30:41,963 --> 00:30:42,998 I'm good. 648 00:30:44,067 --> 00:30:46,474 - Do you need a minute? - Not at all. I'll go prep him. 649 00:30:46,612 --> 00:30:47,613 Okay. 650 00:30:51,790 --> 00:30:55,285 - Dr. Bailey, I am so sorry. - I take full responsibility. 651 00:30:55,310 --> 00:30:57,634 I should have told Spencer to check the KUB before starting feeds... 652 00:30:57,658 --> 00:31:00,384 Yeah. Damn right. And you better have a good reason you didn't. 653 00:31:00,409 --> 00:31:02,651 Yeah, a pharmaceutical company called with 654 00:31:02,675 --> 00:31:04,803 a lead on Katie's infusion. So I just... 655 00:31:04,828 --> 00:31:08,713 No, the last time I checked, I asked you to focus on your patients 656 00:31:08,738 --> 00:31:10,291 admitted in the hospital. 657 00:31:10,316 --> 00:31:12,905 I only picked up long enough to let them know that I was serious. 658 00:31:12,930 --> 00:31:15,892 Wendy could have died of chemical pneumonitis or pneumonia. 659 00:31:15,917 --> 00:31:18,472 She didn't, and Katie could die if we don't fight for her. 660 00:31:18,497 --> 00:31:20,932 I know. I am fighting for her too. 661 00:31:20,957 --> 00:31:22,312 Are you? 662 00:31:22,337 --> 00:31:25,237 Because what options have you found? What research have you done? 663 00:31:25,262 --> 00:31:27,174 Have you exhausted your contact list? 664 00:31:27,199 --> 00:31:28,999 Because it feels like you've given up. 665 00:31:29,793 --> 00:31:34,004 Oh, so you think after Katie sobbed in my arms, 666 00:31:34,029 --> 00:31:37,688 I... shrugged and said, "Good luck"? 667 00:31:37,939 --> 00:31:40,079 That I gave her a goody bag and sent her on her way? 668 00:31:40,104 --> 00:31:44,937 - She's dying, okay? We... - And I think about it every single day. 669 00:31:45,188 --> 00:31:50,365 And I also think about my 65-year-old with decompensated cirrhosis, 670 00:31:50,390 --> 00:31:52,046 who's treatment resistant 671 00:31:52,071 --> 00:31:55,484 and-and the 17-year-old that's septic and I can't figure out why. 672 00:31:55,509 --> 00:31:57,832 Don't forget about John Doe in the ICU 673 00:31:57,837 --> 00:32:01,031 whose abdomen I had to leave open. 674 00:32:01,471 --> 00:32:03,975 Yeah, he's also keeping me up at night. 675 00:32:04,000 --> 00:32:06,727 And now I guess you can add Wendy to my list. 676 00:32:07,572 --> 00:32:09,436 See, I haven't given up on Katie, 677 00:32:09,461 --> 00:32:13,125 but I also haven't given up on the rest of my patients, 678 00:32:13,150 --> 00:32:16,909 and that is where you and I are different. 679 00:32:18,227 --> 00:32:19,850 Get it together. 680 00:32:33,024 --> 00:32:36,580 Dr. Brooks to oncology. Dr. Brooks to oncology. 681 00:32:36,605 --> 00:32:38,902 Hi. Randall did great. 682 00:32:38,927 --> 00:32:40,635 He is recovering now, and they will 683 00:32:40,659 --> 00:32:42,620 call you when he's ready for visitors. 684 00:32:42,645 --> 00:32:44,563 Is it bad if I don't answer? 685 00:32:44,588 --> 00:32:46,368 No one would hold it against you. 686 00:32:47,782 --> 00:32:49,128 I really do love him. 687 00:32:50,349 --> 00:32:52,144 That's what makes this hurt so much. 688 00:32:53,480 --> 00:32:57,126 I mean, it's his body and he can do whatever he wants. 689 00:32:57,946 --> 00:33:00,188 But if I want to stay married to him, 690 00:33:00,607 --> 00:33:02,989 I don't get a say in whether I have a baby. 691 00:33:03,503 --> 00:33:05,850 Well, you could always ask him to reverse it. 692 00:33:06,167 --> 00:33:07,203 What's the point? 693 00:33:07,887 --> 00:33:09,939 He obviously doesn't want to have kids with me. 694 00:33:09,964 --> 00:33:11,954 Uh... 695 00:33:13,271 --> 00:33:14,549 Well, can you get a puppy? 696 00:33:16,654 --> 00:33:17,655 I'm allergic. 697 00:33:18,415 --> 00:33:19,485 That's unfortunate. 698 00:33:20,278 --> 00:33:21,487 Yeah. 699 00:33:25,269 --> 00:33:27,537 - Hey. - Hey. 700 00:33:27,562 --> 00:33:29,322 I did Corban's TEVAR. He did great. 701 00:33:29,670 --> 00:33:31,361 His numbers are improving. 702 00:33:32,706 --> 00:33:33,845 Okay. 703 00:33:33,870 --> 00:33:37,895 I'm-I'm sorry if I came across as harsh earlier. 704 00:33:38,745 --> 00:33:41,817 I-I still maintain that the ventral aorta 705 00:33:41,842 --> 00:33:44,070 wasn't the right call for this patient. 706 00:33:44,095 --> 00:33:46,304 What about the next one? 707 00:33:46,443 --> 00:33:49,549 You were more than happy to talk about this surgery on podcasts 708 00:33:49,687 --> 00:33:52,483 and publish abstracts, present it. 709 00:33:52,508 --> 00:33:54,218 You were the one who came up with it. 710 00:33:54,243 --> 00:33:55,876 What's the point if you never do it again? 711 00:33:55,900 --> 00:33:58,662 It's a break-the-glass- in-case-of-emergency surgery. 712 00:33:58,687 --> 00:34:00,161 But does it have to be? 713 00:34:01,009 --> 00:34:03,148 Think of the number of people suffering 714 00:34:03,172 --> 00:34:05,254 from aortic disease with no options. 715 00:34:05,392 --> 00:34:07,129 We might have something that could help them. 716 00:34:07,153 --> 00:34:08,465 Why don't you want to use it? 717 00:34:17,654 --> 00:34:19,310 She looks terrible. 718 00:34:20,412 --> 00:34:23,519 She'll look more like herself when the swelling goes down. 719 00:34:23,618 --> 00:34:25,941 And we'll keep monitoring her brain function to see what's intact. 720 00:34:25,965 --> 00:34:27,631 Her intracranial pressure is stable 721 00:34:27,656 --> 00:34:29,796 and she's not re-leaking any fluid from her nose. 722 00:34:29,821 --> 00:34:31,414 And that's good. 723 00:34:32,730 --> 00:34:34,767 I think I have to drop out of school. 724 00:34:35,561 --> 00:34:39,012 I can't leave her like this. It's always been me and her. 725 00:34:40,980 --> 00:34:43,291 Have you thought about contacting the school? 726 00:34:43,316 --> 00:34:46,484 Maybe take a leave of absence? Or do your coursework remotely. 727 00:34:47,469 --> 00:34:48,469 You think they'd do that? 728 00:34:48,569 --> 00:34:50,088 Yeah, you've worked really hard. 729 00:34:50,679 --> 00:34:51,977 And if you stop now, then it's gonna 730 00:34:52,001 --> 00:34:53,486 be a lot harder to start back up again. 731 00:34:53,830 --> 00:34:55,486 Never hurts to ask. 732 00:34:58,697 --> 00:35:00,319 Um, excuse me. 733 00:35:02,726 --> 00:35:05,669 Uh, Dr. Wright, uh, I ordered Teresa's post-op imaging, 734 00:35:05,694 --> 00:35:07,154 but it probably won't happen overnight, 735 00:35:07,178 --> 00:35:09,225 so I'll make sure it's done for first thing tomorrow. 736 00:35:09,249 --> 00:35:10,542 Good, thank you. 737 00:35:11,447 --> 00:35:15,313 Uh, all due respect, uh, I don't want to be just good. 738 00:35:15,428 --> 00:35:16,785 I want you to see me as excellent. 739 00:35:16,810 --> 00:35:18,949 So I'm asking, what would that take? 740 00:35:19,126 --> 00:35:21,231 Tell me what you need me to do, and I will do it. 741 00:35:21,871 --> 00:35:22,907 There's your problem. 742 00:35:23,280 --> 00:35:25,040 That I'm not anticipating you well enough? 743 00:35:25,107 --> 00:35:26,690 You're trying to anticipate me 744 00:35:26,715 --> 00:35:29,373 when you should be trying to anticipate the medicine. 745 00:35:29,624 --> 00:35:32,699 Look, over the years I've found that the most successful residents 746 00:35:32,724 --> 00:35:35,586 focus on patient care and surgical technique. 747 00:35:35,611 --> 00:35:37,529 - Mm-hmm. - They're confident in who they are, 748 00:35:37,554 --> 00:35:40,453 which translates into them being confident in what they do. 749 00:35:40,478 --> 00:35:43,753 And that is what leads to excellence in plastics. 750 00:35:44,357 --> 00:35:46,386 I didn't see that from you today. 751 00:35:47,224 --> 00:35:48,674 Maybe next time. 752 00:36:00,369 --> 00:36:03,545 Hey. Did you update, uh, Ms. Cahill's output for Baxter? 753 00:36:03,570 --> 00:36:04,571 He's on tonight. 754 00:36:07,060 --> 00:36:08,060 You okay? 755 00:36:08,178 --> 00:36:09,317 Super. 756 00:36:10,345 --> 00:36:13,590 Look, Bailey was mad at me, not you, and she was way out of line. 757 00:36:13,615 --> 00:36:14,857 Bailey? 758 00:36:15,139 --> 00:36:16,382 Bailey wasn't the problem. 759 00:36:17,919 --> 00:36:18,989 Spencer. 760 00:36:19,014 --> 00:36:20,734 I thought you were going to apologize to me. 761 00:36:21,124 --> 00:36:22,815 For what? 762 00:36:22,840 --> 00:36:24,922 Look, you might have taken the heat because you're the second year, 763 00:36:24,946 --> 00:36:26,864 but I fed the tube into Wendy's lungs. 764 00:36:26,889 --> 00:36:28,649 And if you had told me to get a KUB, 765 00:36:28,674 --> 00:36:31,159 I would have taken a damn X-ray and not initiated feeds. 766 00:36:31,184 --> 00:36:34,384 - Okay, but we managed it. She's fine. - She had food in her lungs! 767 00:36:39,029 --> 00:36:41,376 Uh, okay. Thank you. 768 00:36:41,772 --> 00:36:42,807 Thank you. 769 00:36:45,449 --> 00:36:46,726 I wasn't cool. 770 00:36:47,589 --> 00:36:49,127 Oh, you're being hard on yourself. 771 00:36:49,152 --> 00:36:51,533 Oh, she said in no uncertain terms 772 00:36:51,558 --> 00:36:54,976 that she did not see excellence in me today. 773 00:36:55,001 --> 00:36:56,692 I'm sorry. 774 00:36:56,716 --> 00:36:58,304 You know what makes it worse? 775 00:36:58,329 --> 00:37:00,765 She wasn't even mean about it. She just said it like it was a fact. 776 00:37:00,790 --> 00:37:01,791 Huh. 777 00:37:02,722 --> 00:37:04,857 What, you think it's a fact? 778 00:37:04,882 --> 00:37:06,069 Oh, no, no, no. I was... 779 00:37:06,093 --> 00:37:07,654 ... thinking about how I yelled at Adams. 780 00:37:07,678 --> 00:37:09,369 Oh. What did he do now? 781 00:37:09,512 --> 00:37:12,532 Well, his concern for one patient got in 782 00:37:12,557 --> 00:37:15,203 the way of his care for other patients. 783 00:37:15,529 --> 00:37:17,082 - Katie Rogers. - Yeah. 784 00:37:17,654 --> 00:37:21,243 I mean, truth is, if she was our only patient, 785 00:37:21,381 --> 00:37:23,176 his dedication would be admirable. 786 00:37:23,314 --> 00:37:25,834 - Mmm. - I hope I wasn't too hard on him. 787 00:37:25,972 --> 00:37:27,936 Um, I guess we got to have thick 788 00:37:27,960 --> 00:37:29,873 skin if we're going to do this thing. 789 00:37:30,696 --> 00:37:31,870 Want to go home? 790 00:37:31,895 --> 00:37:34,277 Mmm, let's go home. 791 00:37:41,048 --> 00:37:42,187 Hey. 792 00:37:42,786 --> 00:37:44,132 Everything okay? 793 00:37:47,853 --> 00:37:49,406 I haven't signed the papers yet. 794 00:37:52,417 --> 00:37:55,592 But getting a divorce was your idea. 795 00:37:55,617 --> 00:37:56,756 I know. 796 00:37:57,039 --> 00:37:58,040 I know. 797 00:37:59,397 --> 00:38:02,618 - Are you having second thoughts? - No. 798 00:38:04,355 --> 00:38:07,161 I keep taking the papers out to sign and then I don't do it 799 00:38:07,186 --> 00:38:09,340 and now... they're just sitting in my bag 800 00:38:09,365 --> 00:38:11,406 with crumbs and crayon marks on them. 801 00:38:14,284 --> 00:38:17,115 Just because it was my idea doesn't mean that I'm not scared. 802 00:38:20,167 --> 00:38:22,127 - What are you scared of? - I don't know. 803 00:38:22,788 --> 00:38:25,549 That everything will just explode and-and fall apart. 804 00:38:26,509 --> 00:38:29,898 But hasn't that happened already? 805 00:38:39,459 --> 00:38:41,349 You don't have to do them right now. 806 00:38:41,374 --> 00:38:43,273 I mean, I'll-I'll-I'll take out another retainer. 807 00:38:43,297 --> 00:38:44,470 We don't have to rush this. 808 00:38:44,495 --> 00:38:46,428 I have to do it sometime. 809 00:38:47,472 --> 00:38:48,714 Okay. 810 00:38:54,889 --> 00:38:56,338 My sixth-grade teacher said, 811 00:38:56,363 --> 00:38:59,649 "Your actions plus your choices equals your life." 812 00:39:00,145 --> 00:39:01,905 This is mostly true. 813 00:39:02,044 --> 00:39:05,806 I can do a whole vasectomy, start to finish. 814 00:39:05,831 --> 00:39:08,438 - It's pretty straightforward. - Why you looking at me? 815 00:39:11,637 --> 00:39:13,018 What? You changed your mind? 816 00:39:13,770 --> 00:39:16,678 Yeah, today, looking at questions about my mom, 817 00:39:16,703 --> 00:39:19,165 thinking about being a mom just brought up a lot of old feelings 818 00:39:19,189 --> 00:39:21,389 I don't have time to deal with. I need to focus on work. 819 00:39:23,145 --> 00:39:25,319 What if I did it with you? 820 00:39:25,344 --> 00:39:26,632 I don't have to be here for this, right? 821 00:39:26,657 --> 00:39:27,658 No. 822 00:39:28,549 --> 00:39:29,723 Thought you didn't want kids. 823 00:39:30,662 --> 00:39:32,000 I don't think I do. 824 00:39:32,789 --> 00:39:34,779 But I also don't want to wake up one day 825 00:39:34,803 --> 00:39:36,793 and my eggs are all shriveled and dusty 826 00:39:36,818 --> 00:39:40,665 and realize that I do, and it's too late. 827 00:39:41,225 --> 00:39:43,222 And then if we... if we do it together, I... 828 00:39:43,247 --> 00:39:47,286 I could be there for you if you think about your mom. 829 00:39:48,390 --> 00:39:50,195 - You'd do that? - Yeah, yeah. 830 00:39:50,220 --> 00:39:51,470 And then I can tell you about my 831 00:39:51,494 --> 00:39:52,981 mom, which would make you feel better. 832 00:39:54,707 --> 00:39:56,847 Fertility friends. 833 00:39:57,413 --> 00:39:58,690 Don't call it that. 834 00:40:02,094 --> 00:40:03,233 No, no. 835 00:40:04,510 --> 00:40:06,487 But what it doesn't account for is luck. 836 00:40:06,512 --> 00:40:08,628 - What is going on? - Leticia, you have to wait outside. 837 00:40:08,652 --> 00:40:10,354 - Someone tell me what's going on. - Get her out, please. 838 00:40:10,378 --> 00:40:12,355 - It's gonna be okay. It's gonna be okay. - No. 839 00:40:12,380 --> 00:40:13,540 - No, please. - What happened? 840 00:40:13,622 --> 00:40:15,083 I got him back after one round of epi, 841 00:40:15,107 --> 00:40:16,878 but he's still hypotensive with a narrow pulse pressure. 842 00:40:16,902 --> 00:40:18,904 - Did you get an X-ray? - Uh, right here. 843 00:40:19,042 --> 00:40:20,457 Good work. 844 00:40:20,902 --> 00:40:23,297 Mediastinal widening. The leak is expanding. 845 00:40:23,322 --> 00:40:24,461 Page Altman. 846 00:40:24,486 --> 00:40:26,434 We need to get him back to the angio suite. 847 00:40:30,452 --> 00:40:31,487 Let's move. 848 00:40:33,051 --> 00:40:36,054 Sometimes we encounter unexpected twists of fate. 849 00:40:37,129 --> 00:40:39,062 - Hey. - Hey. 850 00:40:40,477 --> 00:40:41,919 Thanks for today. 851 00:40:41,944 --> 00:40:44,485 You're the only neurosurgeon that's ever 852 00:40:44,510 --> 00:40:46,596 responded to my page in under an hour. 853 00:40:46,636 --> 00:40:50,467 Yeah, well, it was my first day back, so I didn't have a lot going on. 854 00:40:51,924 --> 00:40:54,915 Not... Not to say that I'm not always prompt. 855 00:40:54,940 --> 00:40:56,262 Right. 856 00:40:56,287 --> 00:40:58,497 You need me again, I will come just as fast. 857 00:40:59,064 --> 00:41:00,065 Okay. 858 00:41:00,877 --> 00:41:01,877 Uh... 859 00:41:01,902 --> 00:41:04,491 - I... I made it weird. - No. 860 00:41:04,516 --> 00:41:06,996 I swear to you, the crush is all in the past. 861 00:41:07,021 --> 00:41:09,111 I've had many crushes since then, 862 00:41:09,136 --> 00:41:10,551 succeeded at several, 863 00:41:10,576 --> 00:41:12,879 changed programs when others have failed. 864 00:41:14,654 --> 00:41:16,208 You used to laugh more. 865 00:41:21,119 --> 00:41:24,182 I also had a crush on you. 866 00:41:24,207 --> 00:41:26,627 I mean, I didn't understand what I was feeling, but, 867 00:41:26,652 --> 00:41:28,930 you know, I wish I had known. 868 00:41:30,285 --> 00:41:32,287 Sorry, that-that is... this is... 869 00:41:32,538 --> 00:41:34,924 I'm not hitting on you in the attending's lounge. 870 00:41:34,949 --> 00:41:35,949 Right. 871 00:41:35,974 --> 00:41:37,354 This is work. 872 00:41:38,383 --> 00:41:41,963 Do you wanna go somewhere, get a coffee? 873 00:41:45,412 --> 00:41:48,604 And the best things in life fall out of thin air. 874 00:41:59,784 --> 00:42:01,330 All you have to do is catch it. 875 00:42:01,354 --> 00:42:06,354 -