1 00:00:00,001 --> 00:00:04,210 [Dave] You said that you wanted to leave the house. 2 00:00:04,211 --> 00:00:06,591 [Grey] On average, the fastest your heart should beat per minute 3 00:00:06,592 --> 00:00:08,698 is 220 minus your age. 4 00:00:08,699 --> 00:00:11,596 [Dave] Yeah, but what about your feelings for me? 5 00:00:11,597 --> 00:00:13,461 Why is this guy still in Seattle? 6 00:00:13,599 --> 00:00:17,086 Well, he won't leave without her, and she wants to wait him out. 7 00:00:17,224 --> 00:00:19,053 What do you want to do? 8 00:00:19,191 --> 00:00:22,141 Well, I want to deck the guy, but I'm not as patient as she is. 9 00:00:22,505 --> 00:00:23,765 Are those Molly's scans? 10 00:00:23,851 --> 00:00:25,351 [Griffith] Gotta be on my game. 11 00:00:25,404 --> 00:00:27,934 After flying solo, there's nowhere to go but down. 12 00:00:27,935 --> 00:00:31,064 I'm assisting on your girlfriend's surgery. You want me to slack off? 13 00:00:31,065 --> 00:00:32,446 - Carry on. - Yeah. 14 00:00:33,240 --> 00:00:35,350 [Grey] But, ideally, vigorous exercise 15 00:00:35,414 --> 00:00:39,039 is between 70 and 85% of your maximum heart rate. 16 00:00:39,040 --> 00:00:45,182 Did you pack Allison's blanket? Your mom says it's not in the bag. 17 00:00:45,183 --> 00:00:46,933 - It's in the backpack. [sighs] - Oh. 18 00:00:46,934 --> 00:00:50,187 What are you gonna do with the whole house to yourself? 19 00:00:50,188 --> 00:00:52,362 - Well, with any luck, sleep. - [sighs] 20 00:00:52,500 --> 00:00:55,400 I'm jealous. The conference agenda is jam-packed. 21 00:00:55,538 --> 00:00:57,333 Well, you should skip something, 22 00:00:57,334 --> 00:00:59,989 you know, get a massage or do something else for yourself. 23 00:00:59,990 --> 00:01:02,302 [Grey] Exceeding your maximum heart rate can result in 24 00:01:02,303 --> 00:01:05,306 - dizziness, chest pain, or even fainting. - [horn honks] 25 00:01:05,444 --> 00:01:07,274 - Okay. Okay. - Yeah. 26 00:01:07,412 --> 00:01:09,207 - You got that? - Yeah. Here. 27 00:01:10,380 --> 00:01:12,175 [Hunt] Okay. 28 00:01:12,176 --> 00:01:15,315 You two have fun. You know, what happens in Vegas stays in Vegas. 29 00:01:15,316 --> 00:01:17,594 - We're going to Oakland. - That too. 30 00:01:18,112 --> 00:01:19,162 Bye. 31 00:01:19,803 --> 00:01:23,635 [Grey] So listen to your body and don't push your limits. 32 00:01:23,773 --> 00:01:25,947 [speaking indistinctly] 33 00:01:27,156 --> 00:01:28,812 Hey, I didn't know you were here. 34 00:01:28,813 --> 00:01:31,331 I'm helping Dr. Webber with one of my old patients. 35 00:01:31,332 --> 00:01:33,471 Is it weird, you're kind of like my boss now? 36 00:01:33,472 --> 00:01:36,129 [chuckles] No. I invested in her and Meredith's Alzheimer's research. 37 00:01:36,130 --> 00:01:37,959 I'm a silent partner. That's it. 38 00:01:37,960 --> 00:01:40,306 Are you going to Boston? Because I'll take Griffith on my service. 39 00:01:40,307 --> 00:01:42,653 He's salty because she's been helping me prep 40 00:01:42,654 --> 00:01:44,586 for an experimental procedure all week. 41 00:01:44,587 --> 00:01:46,554 I needed our best intern for the case. 42 00:01:46,555 --> 00:01:48,693 - Griffith's someone to watch, huh? - Yeah. 43 00:01:48,694 --> 00:01:50,868 - How's Adams doing? - Well, he's with us today. You tell me. 44 00:01:50,869 --> 00:01:52,628 - Okay. - If your schedule changes, I- 45 00:01:52,629 --> 00:01:53,679 She's still mine. 46 00:01:53,768 --> 00:01:54,976 [stammers] 47 00:01:54,977 --> 00:02:00,671 Do you know how lucky you are you don't have to worry about vaginal tears? 48 00:02:00,672 --> 00:02:02,605 And good morning to you too. 49 00:02:02,606 --> 00:02:04,951 [sighs] I just sewed a third-degree tear encroaching on the sphincter, 50 00:02:04,952 --> 00:02:08,542 and that's after the mom labored for 24 hours with a nine-pound baby. 51 00:02:08,680 --> 00:02:11,570 You know, men have their share of... Yeah, that sounds awful. 52 00:02:11,683 --> 00:02:15,204 Oh, Wilson, hey. While you were in LandD, Mrs. Badgley started bleeding. 53 00:02:15,342 --> 00:02:19,553 Okay, well, I will tell Kincade she needs to move her myomectomy to this morning. 54 00:02:19,691 --> 00:02:21,624 Oh. Already on it. 55 00:02:21,625 --> 00:02:23,521 I-I figured you three wouldn't want to be on your feet for a long surge. 56 00:02:23,522 --> 00:02:25,812 Dr. Kincade already approved it, so we're set. 57 00:02:27,216 --> 00:02:31,910 Um, did Jo Wilson just let a guy who calls surgery a "surge" shark her? 58 00:02:32,048 --> 00:02:34,223 - He saved my babies. - Oh. Come on. 59 00:02:34,224 --> 00:02:36,741 That's all I can think about when I see his overachieving, stupid prodigy face, 60 00:02:36,742 --> 00:02:38,972 and if you tell anyone that, I will punch you. 61 00:02:39,573 --> 00:02:43,183 Hey, not for you. Have you exported your cases into the spreadsheet yet? 62 00:02:43,301 --> 00:02:44,931 - What spreadsheet? - [groans] 63 00:02:45,406 --> 00:02:50,549 Uh, our case logs for our meeting with Bailey at the end of the year. Sorry. 64 00:02:50,687 --> 00:02:52,310 It's fine. 65 00:02:52,311 --> 00:02:54,414 [sighs] Well, if it's any consolation, I'll be able to help you 66 00:02:54,415 --> 00:02:56,728 - with your case logs next year. - Thanks. 67 00:02:56,729 --> 00:03:00,040 - Uh, good morning. - Good morning. What... What's this? 68 00:03:00,041 --> 00:03:03,597 It's a thank-you for saying you would help me get my first solo surgery. 69 00:03:03,598 --> 00:03:06,046 - I promise I won't let you down. - [clicks tongue] 70 00:03:06,047 --> 00:03:10,811 All right, lesson number one: always under-promise and over-deliver. Yeah? 71 00:03:13,710 --> 00:03:15,643 [Owen sighs] Hey, Nora. 72 00:03:15,781 --> 00:03:19,302 - Hi, I just got your text. - Sorry for bugging you. This is... 73 00:03:19,303 --> 00:03:22,891 Liz. Hi, can we make this quick? I have a high school reunion to pull off. 74 00:03:22,892 --> 00:03:25,756 [chuckles] I'll do my best. Follow me. Um, how far along are you? 75 00:03:25,757 --> 00:03:27,137 Uh, 19 weeks. 76 00:03:27,138 --> 00:03:28,931 It's been an easy pregnancy until a couple days ago. 77 00:03:28,932 --> 00:03:31,642 I started to have indigestion, shortness of breath, 78 00:03:31,763 --> 00:03:33,316 some pressure in my chest. 79 00:03:33,454 --> 00:03:35,744 - Um, I have an OB appointment next week. - Okay. 80 00:03:35,801 --> 00:03:39,231 She has preexisting mitral valve prolapse, so I kidnapped her here. 81 00:03:39,232 --> 00:03:42,393 Yeah, I have to be at this reunion tonight. I'm the committee chair. 82 00:03:42,394 --> 00:03:45,639 Liz runs a tight ship. She got the boosters to repaint the gym. 83 00:03:45,640 --> 00:03:48,572 Finally. There's no way that '70s paint wasn't full of lead. 84 00:03:48,573 --> 00:03:49,746 [chuckles] 85 00:03:49,884 --> 00:03:51,814 I was a senior when you were a freshman. 86 00:03:52,439 --> 00:03:54,189 - Owen Hunt. - Megan Hunt's brother. 87 00:03:54,303 --> 00:03:55,353 Megan has a brother? 88 00:03:55,442 --> 00:03:56,684 [chuckles, sighs] 89 00:03:56,822 --> 00:03:59,031 Okay, I'm gonna page cardio and OB. 90 00:03:59,169 --> 00:04:03,035 While we wait, I'm gonna run some labs and an EKG. 91 00:04:03,173 --> 00:04:04,761 - Sound good? - I'm pregnant. 92 00:04:04,762 --> 00:04:07,107 - Only snacks and baths sound good. - [chuckles] 93 00:04:07,108 --> 00:04:09,318 Thank you, and it's good to see you again. 94 00:04:09,456 --> 00:04:10,664 Yeah. 95 00:04:10,802 --> 00:04:12,217 Allan Lewis, 50, 96 00:04:12,218 --> 00:04:14,701 developed PTLD after his third kidney transplant, 97 00:04:14,702 --> 00:04:18,671 had eight rounds of rituximab to reduce the tumor burden in his retroperitoneum. 98 00:04:18,672 --> 00:04:22,192 Here to debulk the residual tumor before resuming chemo 99 00:04:22,193 --> 00:04:24,746 and to alleviate the bowel obstruction symptoms. 100 00:04:24,747 --> 00:04:26,817 Not the kidney's fault. Don't blame the kidney. 101 00:04:26,818 --> 00:04:28,475 No one's blaming anyone. 102 00:04:28,613 --> 00:04:31,409 That's right. PTLD is a real complication caused by... 103 00:04:31,410 --> 00:04:34,342 A weakened immune system that triggers the Epstein-Barr virus. 104 00:04:34,343 --> 00:04:37,829 Of course, Allan is in the less than 1% of all people who get this. 105 00:04:37,967 --> 00:04:39,777 Now it feels like you're blaming me. 106 00:04:39,778 --> 00:04:42,833 Okay. Shelby is Allan's sister and the donor of his third kidney. 107 00:04:42,834 --> 00:04:45,630 I wouldn't have asked if I weren't such a hard match. 108 00:04:45,768 --> 00:04:47,998 My other two organ donors came through UNOS. 109 00:04:48,011 --> 00:04:49,772 Which donor drove you to chemo? 110 00:04:49,910 --> 00:04:54,017 Oh. The one who "inherited" Mom's 1969 Mercedes convertible. 111 00:04:54,018 --> 00:04:56,502 I took care of her all those years. Where were you? 112 00:04:56,503 --> 00:04:57,780 Working in Singapore. 113 00:04:57,781 --> 00:05:00,229 She came through for me when I needed a kidney, 114 00:05:00,230 --> 00:05:02,370 but there was a time when Shelbs and I weren't speaking. 115 00:05:02,371 --> 00:05:04,372 - They don't need to know this. - Look, okay, it's my medical history. 116 00:05:04,373 --> 00:05:07,478 Okay, let's get some new scans and we'll go from there, shall we? 117 00:05:07,479 --> 00:05:08,653 - Mm-hmm. - Bye. 118 00:05:14,147 --> 00:05:18,351 [Altman] Cass, I didn't know you'd be here. 119 00:05:18,352 --> 00:05:19,698 Oh. Teddy, hi. 120 00:05:20,181 --> 00:05:22,529 - I will catch up with you later? - Sure. 121 00:05:24,358 --> 00:05:25,704 Friend of yours? 122 00:05:25,705 --> 00:05:28,396 We sometimes plan to attend the same conferences, 123 00:05:28,397 --> 00:05:33,574 balance the snoozefest panels with extracurricular activities. 124 00:05:33,712 --> 00:05:34,782 Oh. 125 00:05:34,920 --> 00:05:36,888 - [Cass chuckles] - Is David here? 126 00:05:37,026 --> 00:05:40,616 I believe he's covering his chief's cases while she's at a conference. 127 00:05:40,754 --> 00:05:41,893 Right. 128 00:05:42,031 --> 00:05:43,081 What about Owen? 129 00:05:43,170 --> 00:05:46,725 - No. Nope. Just me. - Oh. 130 00:05:46,863 --> 00:05:48,451 [Bailey] Altman. 131 00:05:48,452 --> 00:05:51,246 - Oh, okay. Can you help me? Please. - Oh, yeah. Yeah. What- 132 00:05:51,247 --> 00:05:52,973 - Hi. - Hi. 133 00:05:55,659 --> 00:05:58,736 [Shepherd] Griffith, present. 134 00:05:58,737 --> 00:06:01,014 Molly Tran, 33, experiencing grand mal seizures. 135 00:06:01,015 --> 00:06:03,638 Currently refractory to anti-epileptic medication. 136 00:06:03,639 --> 00:06:06,469 Here for placement of DBS to suppress seizure activity. 137 00:06:06,538 --> 00:06:10,956 We'll make a small hole in your skull to implant the device in your brain, 138 00:06:10,957 --> 00:06:13,751 then place the pulse generator under your collarbone. 139 00:06:13,752 --> 00:06:15,823 It's like a pacemaker for your brain. 140 00:06:15,961 --> 00:06:17,963 And what about getting my memory back? 141 00:06:17,964 --> 00:06:19,861 [Shepherd] Let's take it one step at a time. 142 00:06:19,862 --> 00:06:22,968 Once we place the DBS, I will put a grid on your brain 143 00:06:22,969 --> 00:06:25,314 and then stimulate each section one by one, 144 00:06:25,315 --> 00:06:29,181 but we're only doing that because I will already be in that part of your brain. 145 00:06:29,319 --> 00:06:33,323 It's never been proven to retrieve memories lost to retrograde amnesia. 146 00:06:33,324 --> 00:06:35,670 Will the extra stimulation induce seizures? 147 00:06:35,671 --> 00:06:39,157 It's possible, but my hope is that the device will prevent that. 148 00:06:39,295 --> 00:06:44,438 Are you sure you want to do this? What did your parents say about it? 149 00:06:45,059 --> 00:06:49,098 Um, they were nervous until I sent them Dr. Shepherd's bio. 150 00:06:49,236 --> 00:06:50,755 Hmm. 151 00:06:51,203 --> 00:06:52,308 I want my memories. 152 00:06:52,309 --> 00:06:56,138 I just didn't realize so many people would be watching. 153 00:06:56,139 --> 00:06:57,624 [Shepherd] It's a big case. 154 00:06:59,591 --> 00:07:00,972 Excuse me. 155 00:07:01,490 --> 00:07:04,976 All right, so you can see the device will be implanted in the crown. 156 00:07:04,977 --> 00:07:07,426 It's one thing to show up at my house, but to come to hospital- 157 00:07:07,427 --> 00:07:10,119 - Hey. Back off. - She doesn't wanna talk to you. 158 00:07:10,257 --> 00:07:12,224 Look, I don't wanna talk to her. 159 00:07:12,362 --> 00:07:15,852 I need to talk to you. Molly hasn't told you everything you need to know. 160 00:07:28,758 --> 00:07:31,727 But when I did the test run in the auditorium, 161 00:07:31,728 --> 00:07:34,522 the slides looked like they were in a fun house mirror. 162 00:07:34,523 --> 00:07:36,455 Well, they must be formatted to the wrong size. 163 00:07:36,456 --> 00:07:38,872 - Right. - That's what Ron, that AV guy, says, 164 00:07:39,010 --> 00:07:42,380 and apparently the only way to fix it is to redo the whole damn thing. 165 00:07:42,381 --> 00:07:44,048 Well, how long did the first one take? 166 00:07:44,049 --> 00:07:46,673 - No idea. I paid Tuck to do it. - [both scoff] 167 00:07:46,811 --> 00:07:50,539 Dr. Bailey is presenting on her program training OB-GYN residents 168 00:07:50,677 --> 00:07:52,237 from states with abortion bans. 169 00:07:52,238 --> 00:07:54,680 [clicks tongue] So important. Now more than ever. 170 00:07:54,681 --> 00:07:58,719 Well, how am I supposed to inspire other hospitals to start programs like ours 171 00:07:58,857 --> 00:08:00,297 if they can't read my slides? 172 00:08:00,298 --> 00:08:02,722 Well, Cass is actually amazing at slideshows. 173 00:08:02,723 --> 00:08:06,762 [stammers] Sorry, I don't know why I said "actually. " She's just... She's amazing. 174 00:08:06,900 --> 00:08:11,214 - Uh, can you work fast? - For this cause, it would be my honor. 175 00:08:11,215 --> 00:08:13,146 - Thank you. Thank you. - Oh, thank you. 176 00:08:13,147 --> 00:08:14,197 [ship horn honks] 177 00:08:14,286 --> 00:08:16,254 All right, are you ready? 178 00:08:16,392 --> 00:08:21,224 Yes, aligning the MRI and CT images to create a 3-D representation of the brain. 179 00:08:22,225 --> 00:08:25,194 - Which approach would you suggest? - Transfrontal. 180 00:08:25,195 --> 00:08:28,541 Good thought. We are gonna go with frontal temporal. 181 00:08:28,542 --> 00:08:29,888 [Griffith] Uh. 182 00:08:30,026 --> 00:08:32,316 - Target? - Oh, that area of gliosis on the MRI. 183 00:08:32,442 --> 00:08:37,068 All right, divide it into three separate targets, so I have options. 184 00:08:38,069 --> 00:08:41,382 What if we trigger a seizure and have to put her in a barb coma? 185 00:08:41,521 --> 00:08:43,695 Isn't the whole procedure a wash? 186 00:08:43,833 --> 00:08:45,835 I don't let myself think like that. 187 00:08:47,009 --> 00:08:49,080 Yeah. [sighs] 188 00:08:49,218 --> 00:08:51,151 You really are the one to watch, huh? 189 00:08:52,532 --> 00:08:54,913 Just been lucky. Get on amazing cases. 190 00:08:55,431 --> 00:08:58,952 Don't do that. You're a woman surgeon. 191 00:08:58,953 --> 00:09:02,333 There are enough people out there who want to dismiss you. 192 00:09:02,334 --> 00:09:04,095 Don't be one of them. 193 00:09:05,579 --> 00:09:07,079 Now, our patient will be awake. 194 00:09:07,754 --> 00:09:11,654 So it is crucial that you follow my lead, keep your voice neutral. 195 00:09:11,792 --> 00:09:15,900 As far as Molly is concerned, everything is fine. 196 00:09:16,452 --> 00:09:17,764 - No problem. - Mmm. 197 00:09:17,765 --> 00:09:20,628 [Ndugu] Your labs are normal. Same with your EKG and echo, 198 00:09:20,629 --> 00:09:22,284 and your mitral valve looks stable. 199 00:09:22,285 --> 00:09:24,755 Great. See? Told you, just regular old pregnancy. 200 00:09:24,874 --> 00:09:27,083 So, can I get back to reunion planning now? 201 00:09:27,221 --> 00:09:30,328 While your symptoms are common, they are new for you, 202 00:09:30,329 --> 00:09:31,880 and we would like to run a few more tests. 203 00:09:31,881 --> 00:09:33,849 Okay, fine. Um, where's my phone? 204 00:09:33,850 --> 00:09:35,781 Do you have someone we should call? 205 00:09:35,782 --> 00:09:38,129 Uh, nope. Just a second-in-command 206 00:09:38,130 --> 00:09:40,337 who can't alphabetize name tags to save his life. 207 00:09:40,338 --> 00:09:43,686 [sighs] Come on, Bobby. M comes before O. 208 00:09:43,824 --> 00:09:46,758 Liz is having this baby on her own. She's my personal hero. 209 00:09:46,896 --> 00:09:48,795 [Liz] It wasn't always the plan, 210 00:09:48,796 --> 00:09:51,486 but I've been on at least one date with every age-appropriate bachelor 211 00:09:51,487 --> 00:09:54,420 in the greater Seattle area, and some not so age-appropriate. 212 00:09:54,421 --> 00:09:57,666 But none of them were the one, and I'm not getting any younger, 213 00:09:57,804 --> 00:09:59,150 so I'm going it alone. 214 00:09:59,288 --> 00:10:00,496 [phone vibrates] 215 00:10:01,428 --> 00:10:03,948 Liz, how long have you had that lump on your neck? 216 00:10:04,776 --> 00:10:07,192 - What lump? - May I? 217 00:10:07,330 --> 00:10:09,740 Millin, can you grab the ultrasound? Thank you. 218 00:10:12,694 --> 00:10:16,545 She's about to go to the OR. Make it quick. 219 00:10:16,546 --> 00:10:18,789 You can't let her do the experimental part of surgery. 220 00:10:18,790 --> 00:10:20,723 I respect her decision. 221 00:10:20,724 --> 00:10:22,482 Because if she gets her memories back, it absolves you of what you did? 222 00:10:22,483 --> 00:10:24,105 You don't know what you're talking about. 223 00:10:24,106 --> 00:10:25,694 When the accident happened, 224 00:10:25,695 --> 00:10:27,453 she tried everything she could to get her memories back. 225 00:10:27,454 --> 00:10:29,869 Psychotherapy, hypnotherapy, Vietnamese herbs. 226 00:10:29,870 --> 00:10:32,147 Her parents said that she spent everything she had, 227 00:10:32,148 --> 00:10:34,198 and when none of it worked, she spiraled. 228 00:10:34,219 --> 00:10:37,809 Not eating, not sleeping. They finally talked her into getting help. 229 00:10:38,223 --> 00:10:39,777 She never told me any of this. 230 00:10:39,915 --> 00:10:42,745 Okay, and why would she? You think she wants you to know? 231 00:10:43,159 --> 00:10:46,438 Look, I love her, and I wanna be able to live with myself 232 00:10:46,576 --> 00:10:48,751 - if anything bad happened to her. - [sighs] 233 00:10:48,889 --> 00:10:52,559 Coming to Seattle, the sudden breakup, the experimental brain surgery 234 00:10:52,560 --> 00:10:54,307 just to get her memories back. It... 235 00:10:54,308 --> 00:10:56,966 It just feels like the on-ramp to another crash. 236 00:10:57,864 --> 00:11:02,282 - She picked me. Get over it. - [scoffs] 237 00:11:15,053 --> 00:11:16,986 [sighs] Hey. 238 00:11:16,987 --> 00:11:19,056 [Nora] There's pens and extra card stock in the bag under the welcome table. 239 00:11:19,057 --> 00:11:22,026 No, under the welcome table. Call if you need anything. 240 00:11:22,164 --> 00:11:23,475 - Great. - Thanks. 241 00:11:23,613 --> 00:11:26,099 - [Nora] Oh, my God. - Hey, you okay? 242 00:11:26,237 --> 00:11:29,689 Just Bobby, our class secretary who doesn't know how to CC people, 243 00:11:29,827 --> 00:11:31,104 is now the one in charge. 244 00:11:31,105 --> 00:11:33,415 It's like a designated survivor situation. 245 00:11:33,416 --> 00:11:36,177 Well, if no one took this seriously, there would be no reunions 246 00:11:36,178 --> 00:11:38,468 and no one would reconnect with old friends, 247 00:11:38,525 --> 00:11:42,391 - and I guess life would just go on. - [sighs] 248 00:11:43,357 --> 00:11:46,050 Reconnecting can be... can be pretty great. 249 00:11:46,188 --> 00:11:47,292 Mm-hmm. 250 00:11:47,879 --> 00:11:50,261 Uh, so far so good with Liz, by the way. 251 00:11:50,399 --> 00:11:51,676 [sighs] 252 00:11:52,263 --> 00:11:54,886 Should I have taken Liz somewhere else? 253 00:11:55,922 --> 00:11:57,924 Why? 254 00:11:57,925 --> 00:12:00,063 Well, the last time I saw you, you didn't want to be a part of my care team. 255 00:12:00,064 --> 00:12:03,205 And now we're sharing a bench. 256 00:12:03,792 --> 00:12:07,761 [sighs] Well, you know... You brought in a friend for medical care, 257 00:12:07,899 --> 00:12:13,871 so this is... this is an above-board bench-sharing situation. 258 00:12:13,872 --> 00:12:16,286 In that case, can you sit a little longer? 259 00:12:16,287 --> 00:12:19,911 It's just hitting me that my friend might be sick. 260 00:12:20,049 --> 00:12:21,257 Sure. 261 00:12:25,434 --> 00:12:30,094 There's the two native kidneys, the two nonfunctioning transplanted kidneys. 262 00:12:30,888 --> 00:12:32,855 That's the working one right there. 263 00:12:32,856 --> 00:12:35,754 Have you ever seen a scan of five kidneys inside of one patient before? 264 00:12:35,755 --> 00:12:37,997 - Is that the mass? - Yeah, that's it right there. 265 00:12:37,998 --> 00:12:40,620 Is it kinking the vasculature of the working kidney? 266 00:12:40,621 --> 00:12:43,314 No, it's close, but fortunately, no. 267 00:12:43,452 --> 00:12:44,971 Yeah, we should debulk enough 268 00:12:44,972 --> 00:12:46,972 that the chemo has a shot at killing the remaining cells. 269 00:12:46,973 --> 00:12:48,836 Should we remove the native kidney? 270 00:12:48,837 --> 00:12:51,114 I could help with the retroperitoneal lymph node dissection. 271 00:12:51,115 --> 00:12:54,324 Mmm. It's not necessary. We still have good access to the paracaval lymph nodes 272 00:12:54,325 --> 00:12:56,915 but good to know you're thinking ahead. Book us an OR. 273 00:12:57,293 --> 00:12:59,675 [chuckles] That was pretty bold to ask to do 274 00:12:59,676 --> 00:13:01,952 a nephrectomy and a lymph node dissection. 275 00:13:01,953 --> 00:13:03,523 You never know if you don't ask. 276 00:13:04,680 --> 00:13:08,580 - Can you do his pre-op paperwork? - Nope, but good try. 277 00:13:11,963 --> 00:13:15,346 Poor Liz. She worked so hard on her reunion, 278 00:13:15,347 --> 00:13:18,175 and now some bumbling wannabe gets to be there for the big moment. 279 00:13:18,176 --> 00:13:20,039 - Probably just trying to help. - Is he? 280 00:13:20,040 --> 00:13:22,041 Is he? Or is he a man who is threatened by a woman in power 281 00:13:22,042 --> 00:13:24,527 and he's stealing it in the name of generosity? 282 00:13:24,665 --> 00:13:26,391 For the record, I'm a feminist. 283 00:13:26,529 --> 00:13:29,429 This morning, my co-resident stole my surgery 284 00:13:29,430 --> 00:13:31,223 so that I didn't have to "be on my feet." 285 00:13:31,224 --> 00:13:34,883 - Did you punch him? - No, he saved my babies. 286 00:13:34,884 --> 00:13:37,056 Well, he didn't save my babies. What's his name? 287 00:13:37,057 --> 00:13:38,471 - [Ndugu] Scans are up. - [Wilson sighs] 288 00:13:38,472 --> 00:13:39,819 [Ndugu clears throat] 289 00:13:41,579 --> 00:13:44,133 Oh. That's not something you see every day. 290 00:13:44,547 --> 00:13:46,032 [Liz] Is it cancer? 291 00:13:46,033 --> 00:13:48,412 No. Your thyroid, larynx and lymph nodes are all fine. 292 00:13:48,413 --> 00:13:52,263 It appears you have a rare condition called achalasia with megaesophagus, 293 00:13:52,348 --> 00:13:55,248 - which is aggravated by your pregnancy. - Which means? 294 00:13:55,386 --> 00:14:00,218 You have a fair amount of undigested food sitting in your esophagus. 295 00:14:00,356 --> 00:14:02,600 Um, how long has it been there? 296 00:14:02,738 --> 00:14:06,121 It's hard to tell without knowing how much you eat in one sitting. 297 00:14:06,259 --> 00:14:08,123 I had fish tacos yesterday. 298 00:14:08,261 --> 00:14:12,230 Ugh, stupid Bobby gave me a strawberry smoothie for breakfast. [gasps] 299 00:14:12,231 --> 00:14:14,369 It's all right. Don't worry. We're gonna run a scope down there 300 00:14:14,370 --> 00:14:16,120 - and clean it all out, okay? - Yeah. 301 00:14:17,546 --> 00:14:19,030 Oh. 302 00:14:20,721 --> 00:14:21,895 [sighs] 303 00:14:24,042 --> 00:14:28,245 - [Griffith] Yeah. Yeah. - Yeah, bit nervous, but... 304 00:14:28,246 --> 00:14:30,416 Your vitals are strong. Hey, going to OR one. 305 00:14:30,417 --> 00:14:33,423 You know, the next time I see you, I-I could have all my memories back. 306 00:14:33,424 --> 00:14:36,314 You know, the odds of this working are almost impossible. 307 00:14:36,315 --> 00:14:38,704 I just want to make sure you'll be okay if it doesn't. 308 00:14:38,705 --> 00:14:41,362 There must be other experimental treatments, right? 309 00:14:41,363 --> 00:14:44,133 If this one doesn't work, I mean, we'll try another one. 310 00:14:45,746 --> 00:14:47,438 Dave came to the hospital. 311 00:14:48,094 --> 00:14:49,144 Oh. Uh. 312 00:14:49,267 --> 00:14:50,613 Well, what did he say? 313 00:14:51,856 --> 00:14:52,926 [sighs] 314 00:14:53,893 --> 00:14:56,243 He just wanted to make sure that you'll be okay. 315 00:14:56,757 --> 00:14:57,862 I am. 316 00:14:59,105 --> 00:15:00,155 I will be. 317 00:15:00,969 --> 00:15:04,075 - You'll be here when I get out, right? - Of course. 318 00:15:06,975 --> 00:15:08,114 Okay. 319 00:15:09,322 --> 00:15:10,910 - [Molly] Okay. - [Kwan] Yeah. 320 00:15:12,381 --> 00:15:16,431 Okay. Don't let Shepherd push it in there. 321 00:15:16,432 --> 00:15:19,296 We've seen her go overboard, especially with difficult cases. 322 00:15:19,297 --> 00:15:21,058 You know I can't control that. 323 00:15:21,196 --> 00:15:24,326 You're on top right now. You have more influence than you think. 324 00:15:25,994 --> 00:15:27,133 I got you. 325 00:15:36,832 --> 00:15:38,144 Oh, there you are. 326 00:15:38,145 --> 00:15:40,041 I was starting to get flashbacks to that party 327 00:15:40,042 --> 00:15:42,147 where you ditched me to make out with Scott Jonas. 328 00:15:42,148 --> 00:15:45,151 - We just... We got some air. - [Nora] Tell me that lump's benign. 329 00:15:45,668 --> 00:15:48,844 - As benign as chicken pot pie. - Oh, thank God. What is it? 330 00:15:48,982 --> 00:15:50,639 Chicken pot pie. 331 00:15:50,777 --> 00:15:53,727 Yeah, that was yesterday's lunch. My throat's full of food. 332 00:15:53,953 --> 00:15:55,747 What? How? 333 00:15:55,748 --> 00:15:57,679 The sphincter connecting her stomach and her esophagus won't relax, 334 00:15:57,680 --> 00:15:59,027 so food's getting stuck. 335 00:15:59,028 --> 00:16:00,820 Is this gonna be for the rest of my pregnancy? 336 00:16:00,821 --> 00:16:02,823 No, we can remove the food with a scope 337 00:16:02,824 --> 00:16:04,859 and then inject Botox into the lower sphincter. 338 00:16:04,860 --> 00:16:06,827 So it looks young and wrinkle-free? 339 00:16:06,966 --> 00:16:10,314 No, so it relaxes and food can get into your stomach. 340 00:16:10,452 --> 00:16:12,202 Okay, so this is gonna take a while. 341 00:16:12,203 --> 00:16:15,180 Will you please make sure that someone steams the tablecloths? 342 00:16:15,181 --> 00:16:17,078 - I'm on it. - A nurse will get you prepped, okay? 343 00:16:17,079 --> 00:16:19,323 - Thank you. - Okay. I gotta go back to work. Okay. 344 00:16:19,702 --> 00:16:22,912 [sighs] Brush up on your EGDs in the skills lab. 345 00:16:23,051 --> 00:16:25,432 I thought we had Mr. Oden's CABG today. 346 00:16:25,570 --> 00:16:28,918 I am doing Mr. Oden's CABG. You were gonna brush up on your EGDs 347 00:16:29,057 --> 00:16:31,347 so you can do Liz's esophageal disimpaction. 348 00:16:31,991 --> 00:16:33,268 I'll go practice. 349 00:16:34,200 --> 00:16:36,202 Can you just cut and paste? 350 00:16:36,203 --> 00:16:39,583 The graphics, yes, but not the text. Will you read me those bullet points? 351 00:16:39,584 --> 00:16:41,724 Oh, sure. Um, okay. 352 00:16:41,862 --> 00:16:45,418 "All trainees come from the more than one-third of US counties 353 00:16:45,556 --> 00:16:48,421 that are maternity care deserts with no OB providers, 354 00:16:48,559 --> 00:16:50,250 hospitals, or birth centers." 355 00:16:50,388 --> 00:16:51,941 That's bleak. 356 00:16:51,942 --> 00:16:54,564 Didn't you win a Catherine Fox Award for your program? 357 00:16:54,565 --> 00:16:57,154 I did. Felt like an accomplishment then. 358 00:16:57,292 --> 00:17:01,537 Now, feels like I'm trying to bail water with a thimble. 359 00:17:01,675 --> 00:17:04,506 I get it, but programs like yours are a beacon of hope. 360 00:17:05,748 --> 00:17:07,440 Thank you. 361 00:17:07,578 --> 00:17:12,100 Now let's just make sure your presentation is as great as you are. 362 00:17:12,238 --> 00:17:15,793 Next bullet, please. Teddy. 363 00:17:15,931 --> 00:17:19,038 Oh. Yeah. [chuckles] Oh, sorry. Uh, "following Dobbs"... 364 00:17:22,420 --> 00:17:25,070 [Shepherd] DBS is in place. How are you doing, Molly? 365 00:17:25,113 --> 00:17:28,737 Pretty well, considering my head's basically in an Erector Set. 366 00:17:28,875 --> 00:17:30,842 Are you feeling more discomfort? 367 00:17:30,980 --> 00:17:35,226 I don't feel a thing, but I can hear tools clinking and things buzzing. 368 00:17:35,227 --> 00:17:37,158 - Are we almost there? - [Shepherd] Yes. 369 00:17:37,159 --> 00:17:40,127 Griffith, we are ready to connect to the stimulation panel. 370 00:17:40,128 --> 00:17:42,538 - And that should stop the seizures? - It should. 371 00:17:42,613 --> 00:17:46,168 [sighs] Wow. Wait, that's incredible. Thank you. 372 00:17:46,169 --> 00:17:48,135 And are you starting with the memory part too now? 373 00:17:48,136 --> 00:17:50,786 - In a minute. - Dr. Shepherd, I see epileptiform waves. 374 00:17:50,897 --> 00:17:53,072 All right, adjust the frequency. 375 00:17:53,073 --> 00:17:56,971 - [Griffith] They're improving. - [Shepherd] Okay. 376 00:17:56,972 --> 00:18:02,391 All right, Molly, now it is time to place the grid for memory retrieval. 377 00:18:04,117 --> 00:18:06,326 I'd nod, but, um, I can't move my head. 378 00:18:06,464 --> 00:18:08,121 Grid, please. 379 00:18:13,299 --> 00:18:14,817 Here we go. 380 00:18:16,129 --> 00:18:17,958 It's not that bad. 381 00:18:17,959 --> 00:18:20,339 You were just moaning like a dead animal. Let him check you out. 382 00:18:20,340 --> 00:18:24,586 Urine output's low. Hang on. Let me take a quick look with the ultrasound. 383 00:18:25,587 --> 00:18:29,004 Are you wearing perfume? 'Cause it smells like feet. 384 00:18:29,005 --> 00:18:31,557 Remember when I gave you a kidney and you promised to be nicer? 385 00:18:31,558 --> 00:18:36,184 This is how all of our fights end now. [chuckles] Do you have a sister? 386 00:18:36,322 --> 00:18:38,841 - I have four. - Oof. I thought one was a lot. 387 00:18:38,979 --> 00:18:40,464 Kidney. 388 00:18:40,465 --> 00:18:42,844 I learned early on that I'm better off not fighting back. 389 00:18:42,845 --> 00:18:44,709 Oh, look at you now. You're a surgeon. 390 00:18:44,710 --> 00:18:47,194 See what happens when you learn how to go with the flow? To adapt? 391 00:18:47,195 --> 00:18:51,026 I'm the senior VP of human resources at a giant tech company. 392 00:18:51,164 --> 00:18:54,029 - [groans] Kidney. - It only works when I do it. 393 00:18:54,167 --> 00:18:55,651 No. My kidney. It really hurts. 394 00:18:55,789 --> 00:18:56,997 Damn it, we need to move. 395 00:18:57,136 --> 00:18:58,999 - What's happening? - Am I dying? 396 00:18:59,000 --> 00:19:01,242 Allan's kidney's thrombosed. A clot's cutting off his blood supply. 397 00:19:01,243 --> 00:19:04,073 If we don't get him to surgery right now, he could lose it. 398 00:19:04,695 --> 00:19:06,835 Tell Webber and Marsh to meet me in the OR. 399 00:19:07,353 --> 00:19:09,943 - [screams, sucks teeth] - [Shelby] Okay, breathe. 400 00:19:14,532 --> 00:19:15,671 I did it. 401 00:19:16,465 --> 00:19:18,812 - You... You... You did it? - Uh-huh. 402 00:19:18,950 --> 00:19:20,228 Thank you. 403 00:19:20,229 --> 00:19:22,090 Uh... [stammers] You were right. She's amazing. 404 00:19:22,091 --> 00:19:24,541 She's also very hungry. Would you hand me those chips? 405 00:19:24,542 --> 00:19:28,028 - [phone vibrates] - Uh, you can have whatever you want. 406 00:19:28,167 --> 00:19:29,996 - Thank you. - Uh, I'll be right back. 407 00:19:30,134 --> 00:19:31,549 - Okay. - 'Kay. 408 00:19:32,861 --> 00:19:34,794 Well, you saved the day. 409 00:19:34,932 --> 00:19:40,524 Well, this saved me from having to go to my boss's panel on change management. 410 00:19:41,318 --> 00:19:44,286 Where is her thumb drive? 411 00:19:46,944 --> 00:19:49,429 Do you wanna skip the afternoon lectures? 412 00:19:50,430 --> 00:19:53,951 Well, we clearly have seen Bailey's presentation. 413 00:19:54,779 --> 00:19:58,507 - I'm supposed to meet up with Phil later. - So meet up with me instead. 414 00:19:59,439 --> 00:20:02,028 You said to let you know when I have figured it out, 415 00:20:02,166 --> 00:20:04,858 and I have figured it out. 416 00:20:10,726 --> 00:20:13,764 You are all set. 417 00:20:13,902 --> 00:20:15,041 Oh. 418 00:20:15,697 --> 00:20:19,425 Um... Would you keep it until we get there? 419 00:20:19,563 --> 00:20:22,531 My luck today, I'd drop it down the elevator shaft. 420 00:20:23,981 --> 00:20:26,017 Y... You are coming, right? 421 00:20:26,155 --> 00:20:30,125 Oh, I've been having stress dreams all week about showing up to an empty room. 422 00:20:30,126 --> 00:20:31,781 - [Bailey] Yeah. - Wouldn't miss it. 423 00:20:31,782 --> 00:20:33,577 - [Bailey] Okay. Here. - Mm-hmm. 424 00:20:33,991 --> 00:20:38,098 [Marsh] Okay, the renal artery is tortuous. IR never would've worked. 425 00:20:38,616 --> 00:20:40,411 Agreed. Fogarty catheter. 426 00:20:40,412 --> 00:20:42,481 [Adams] Will the kidney be okay? 427 00:20:42,482 --> 00:20:44,864 I don't know, but it's got a shot thanks to you. 428 00:20:47,418 --> 00:20:50,848 - [Webber] The embolectomy is complete. - [Marsh] Heparin. Thank you. 429 00:20:50,849 --> 00:20:54,010 - [Adams] Now what? - [Warren] We wait for it to pink up, 430 00:20:54,011 --> 00:20:55,737 then we go after the tumor. 431 00:20:56,600 --> 00:20:59,292 - [Marsh] Okay. - [Adams] Nothing's happening. 432 00:21:01,812 --> 00:21:02,951 [Marsh sighs] 433 00:21:04,987 --> 00:21:07,024 - It's still ischemic. - [Marsh sighs] 434 00:21:07,162 --> 00:21:10,165 Yeah, the clot caused too much damage. The kidney's dead. 435 00:21:10,648 --> 00:21:12,650 - Let's prep for a nephrectomy. - Yeah. 436 00:21:12,651 --> 00:21:15,445 But he has to be in remission before he can go back on the transplant list. 437 00:21:15,446 --> 00:21:18,103 - That could take months. - It's our only option at this point. 438 00:21:18,104 --> 00:21:20,105 He got lucky three times. Maybe it'll happen again. 439 00:21:20,106 --> 00:21:23,765 So that's it? You just tell him good luck and send him on his way. 440 00:21:23,766 --> 00:21:26,801 Well, what if we give it more time? Try papaverine? 441 00:21:26,802 --> 00:21:28,632 You know that's not gonna work. 442 00:21:29,633 --> 00:21:32,118 Adams, you want to suture ligate this vessel? 443 00:21:34,189 --> 00:21:36,156 You found the clot. You want it or not? 444 00:21:40,506 --> 00:21:41,679 [Adams] 0 silk. 445 00:21:44,613 --> 00:21:48,237 Okay, nice and easy. Good. 446 00:21:48,376 --> 00:21:49,756 [phone buzzes] 447 00:21:49,894 --> 00:21:54,105 Oh, Mr. Oden's in the ICU. We did his CABG off-pump. 448 00:21:54,243 --> 00:21:57,673 It's actually really exciting. You should review the surgical tape. 449 00:21:57,674 --> 00:22:02,803 Wilson, quick update. Ms. Badgley had a massive uterine hemorrhage mid-surge- 450 00:22:02,804 --> 00:22:05,013 You did a hysterectomy? On my patient? 451 00:22:05,151 --> 00:22:09,362 Technically, Kincade's patient. But yep. Good luck with your, um... 452 00:22:10,018 --> 00:22:12,434 - Esophageal disimpaction. - Mm-hmm. 453 00:22:12,572 --> 00:22:14,298 I'm gonna tear him limb from limb. 454 00:22:14,436 --> 00:22:16,542 Millin, you are flying through this. 455 00:22:16,543 --> 00:22:19,198 At the rate you're going, we'll be out of here in 15 minutes. 456 00:22:19,199 --> 00:22:21,374 My parents never sent me to summer camp. 457 00:22:21,375 --> 00:22:23,755 They just dropped me off at the arcade every day, 458 00:22:23,756 --> 00:22:26,171 and I played the claw machine for six hours straight. 459 00:22:26,172 --> 00:22:27,483 You know how to work those? 460 00:22:27,484 --> 00:22:29,209 - Mm-hmm. - What have you won? 461 00:22:30,038 --> 00:22:31,478 Strawberries and fish tacos. 462 00:22:34,076 --> 00:22:35,396 [Shepherd] Stimulate S-5. 463 00:22:36,769 --> 00:22:39,944 - [grid humming] - Molly, remember, if you see anything, 464 00:22:40,082 --> 00:22:43,776 no matter how faint the image, just let me know. 465 00:22:43,914 --> 00:22:45,294 Nothing yet. 466 00:22:45,433 --> 00:22:48,781 All right. Let's increase the frequency to 180 hertz. 467 00:22:48,919 --> 00:22:50,403 [humming intensifies] 468 00:22:50,541 --> 00:22:53,406 If it gets uncomfortable, let me know and I can stop. 469 00:22:54,959 --> 00:22:58,238 Okay. Let's bump it up to 200 Hz. 470 00:22:59,101 --> 00:23:00,586 [humming intensifies] 471 00:23:00,587 --> 00:23:03,484 Dr. Shepherd, she's starting to get D waves again. 472 00:23:03,485 --> 00:23:08,421 Sporadic episodes. We still have time before a potential seizure. W-5. 473 00:23:08,870 --> 00:23:10,250 [? tense music plays] 474 00:23:10,389 --> 00:23:14,289 Decrease the amplitude to two millivolts. 475 00:23:14,945 --> 00:23:16,049 How you doing, Molly? 476 00:23:16,533 --> 00:23:18,604 Still fine. Just... just waiting. 477 00:23:18,605 --> 00:23:21,364 The waves are increasing in frequency and amplitude. 478 00:23:21,365 --> 00:23:24,092 I'm keeping my eye on it. X-5. 479 00:23:25,727 --> 00:23:29,165 - [Griffith] I'm stopping. - Griffith, 480 00:23:29,166 --> 00:23:31,410 you will press that button if I tell you to. 481 00:23:33,170 --> 00:23:34,792 - Y-5. - She's going to seize. 482 00:23:34,793 --> 00:23:37,415 - If we have to put her in a coma, she- - Dr. Griffith, 483 00:23:37,416 --> 00:23:40,073 I need you to trust me or get out of my OR. 484 00:23:40,626 --> 00:23:42,213 I see something. 485 00:23:48,599 --> 00:23:50,649 [Shepherd] Can you tell me what you see? 486 00:23:51,464 --> 00:23:54,985 I'm outside. I'm walking near a lake. 487 00:23:55,848 --> 00:23:58,160 I see... I see mountains. 488 00:23:58,298 --> 00:24:00,508 It's, it's beautiful here. 489 00:24:00,991 --> 00:24:02,337 [humming stops] 490 00:24:02,475 --> 00:24:04,201 Wait, wait, it's all gone. 491 00:24:04,339 --> 00:24:05,899 Because I stopped stimulating. 492 00:24:05,927 --> 00:24:10,276 That was absolutely amazing. Is it time to close? 493 00:24:10,932 --> 00:24:14,142 That's not why I stopped. Hand me the control panel. 494 00:24:15,868 --> 00:24:19,699 We need to verify that the stimulation is provoking the memory. 495 00:24:19,700 --> 00:24:22,045 Her seizure activity is becoming more unstable. 496 00:24:22,046 --> 00:24:24,463 Restarting. See anything now? 497 00:24:24,601 --> 00:24:27,120 I'm still at the same place and... 498 00:24:29,329 --> 00:24:30,986 there's someone else here. 499 00:24:31,608 --> 00:24:33,886 - A man. - Do you know who it is? 500 00:24:34,024 --> 00:24:37,959 No, he's too far ahead, but he's wearing a red jacket. 501 00:24:38,856 --> 00:24:40,617 I think we're here together. 502 00:24:41,341 --> 00:24:42,895 Wait, did you stop again? 503 00:24:43,033 --> 00:24:44,344 I did. 504 00:24:44,483 --> 00:24:46,588 - All right. - [Molly sighs] 505 00:24:47,106 --> 00:24:48,625 How about now? 506 00:24:48,763 --> 00:24:52,905 I'm still here. I'm-I'm taking something out of my pocket. 507 00:24:53,043 --> 00:24:55,804 It's, uh... it's a map. 508 00:24:56,356 --> 00:25:02,017 It says, "The Beehive Basin Trail." It's Big Sky. 509 00:25:03,156 --> 00:25:07,264 All right, we are going to reduce the frequency back to 140 hertz 510 00:25:07,402 --> 00:25:12,752 and one millivolt, terminating the stimulation and removing the grid. 511 00:25:12,753 --> 00:25:15,236 Wait, no, no. Wait, why are you stopping please? 512 00:25:15,237 --> 00:25:18,427 We can't risk more seizure activity, but, Molly, you did great. 513 00:25:18,862 --> 00:25:21,692 - Would you like me to close? - I've got it. 514 00:25:21,713 --> 00:25:27,835 [Millin] The EGD went well. We were able to clear your esophagus 515 00:25:27,836 --> 00:25:29,699 and administer the Botox to relax your sphincter. 516 00:25:29,700 --> 00:25:31,908 And once we confirm everything's going down okay, 517 00:25:31,909 --> 00:25:33,531 you'll be good to eat whatever you want. 518 00:25:33,532 --> 00:25:35,567 Just need to take it easy for a couple of days. 519 00:25:35,568 --> 00:25:38,294 - I'll take it easy after the reunion. - No, wait, you need to rest. 520 00:25:38,295 --> 00:25:40,780 Otherwise, you'll wind up back here in a week. 521 00:25:40,918 --> 00:25:45,474 [sighs] Two years of hard work, and Bobby's about to undo it all in two hours? 522 00:25:45,613 --> 00:25:48,926 Well, why doesn't Nora go? Make sure he doesn't mess things up. 523 00:25:48,927 --> 00:25:51,272 - Okay, you need to fire him. - We don't pay him. 524 00:25:51,273 --> 00:25:54,655 Look, we can't just let Bobby have what he wants because he means well. 525 00:25:54,656 --> 00:25:57,866 You need to go down there and tell him that he is out. 526 00:25:59,281 --> 00:26:03,665 Well, um, the good news is we were able to debulk a lot of the mass. 527 00:26:03,803 --> 00:26:06,944 So there is bad news... again. 528 00:26:07,082 --> 00:26:13,123 Yes, so we couldn't revive your working kidney, so we had to remove it. 529 00:26:13,779 --> 00:26:17,506 Back to dialysis. More hours of my life wasted. 530 00:26:17,507 --> 00:26:20,336 Once you're in remission, we can put you back on the transplant list again. 531 00:26:20,337 --> 00:26:24,479 I've already had three. I'm a hard match. I won't find another. 532 00:26:25,791 --> 00:26:27,102 You never know. 533 00:26:27,620 --> 00:26:29,484 Before my first transplant, 534 00:26:29,622 --> 00:26:33,522 I made a bucket list of all the things I wanted to do before I died, 535 00:26:33,661 --> 00:26:35,766 you know, like climb the Great Wall 536 00:26:35,904 --> 00:26:37,181 or drive on the Autobahn. 537 00:26:37,319 --> 00:26:38,735 Oh, see the Rockettes. 538 00:26:38,873 --> 00:26:42,221 [chuckles] I mean, I thought I'd be lucky to do half. 539 00:26:42,359 --> 00:26:46,984 I did all of 'em. Organ donors gave me a second chance on life, 540 00:26:47,122 --> 00:26:50,229 and then a third and a fourth. 541 00:26:50,367 --> 00:26:53,163 And I'm happy with what I did with them. 542 00:26:53,301 --> 00:26:58,168 So, if this is it... this is it. 543 00:27:03,691 --> 00:27:04,771 Or you could call Gary. 544 00:27:04,864 --> 00:27:06,314 We're not calling Gary. 545 00:27:06,452 --> 00:27:08,523 - Wait. Gary is... - Our brother. 546 00:27:08,661 --> 00:27:10,042 Well, I'll be damned. 547 00:27:10,043 --> 00:27:11,698 I'd rather live the rest of my life in a box. 548 00:27:11,699 --> 00:27:13,183 By box do you mean coffin? 549 00:27:13,321 --> 00:27:15,150 It'd be better than calling Gary! 550 00:27:18,844 --> 00:27:22,226 She loved Big Sky. We went a couple of times. 551 00:27:22,227 --> 00:27:24,572 I can't believe she actually remembered something. 552 00:27:24,573 --> 00:27:26,541 All the way down to your red jacket. 553 00:27:28,992 --> 00:27:30,441 I'll check on her in a bit. 554 00:27:38,001 --> 00:27:41,107 - Hey. How are you feeling? - Hmm. 555 00:27:44,179 --> 00:27:46,768 [clears throat] Tired. 556 00:27:48,805 --> 00:27:50,565 Hey. They said I had a memory. 557 00:27:54,120 --> 00:27:56,088 [sighs] 558 00:27:56,226 --> 00:28:00,368 I just wish my brain could hold on to them when it's not being stimulated. 559 00:28:03,854 --> 00:28:06,408 Does, uh, Dave have a red jacket? 560 00:28:07,375 --> 00:28:09,135 He has a lot of jackets. 561 00:28:09,998 --> 00:28:11,897 Did you ever go to Big Sky with him? 562 00:28:13,243 --> 00:28:14,865 A couple of times. Why? 563 00:28:17,661 --> 00:28:19,145 Is that what I remembered? 564 00:28:24,254 --> 00:28:26,964 [sighs] But that was a memory from after the accident. 565 00:28:28,810 --> 00:28:32,572 You don't need to remember anything for us to have a future together. 566 00:28:33,194 --> 00:28:35,472 You know, it's all in my brain. 567 00:28:35,610 --> 00:28:39,752 It's all in there. We just have to find a way to unlock it. 568 00:28:39,753 --> 00:28:41,753 Hey, maybe there's a clinical trial. 569 00:28:41,754 --> 00:28:43,411 No, you... No, no, no, no, 570 00:28:43,412 --> 00:28:46,275 you don't let people dig into your brain when you're healthy. 571 00:28:46,276 --> 00:28:47,484 I'm worried about you. 572 00:28:47,622 --> 00:28:49,762 [sighs] The worst has already happened. 573 00:28:51,971 --> 00:28:56,389 - I lost my life. [cries] - No, you didn't. You're here. [stammers] 574 00:29:02,430 --> 00:29:06,089 You should rest. We can talk about this later. 575 00:29:10,921 --> 00:29:12,164 [sighs] 576 00:29:12,302 --> 00:29:15,581 - Okay. All right. Thank you. - [Hunt] Hey. 577 00:29:16,133 --> 00:29:17,859 So Liz is being discharged. 578 00:29:17,997 --> 00:29:20,344 She is. But she needs to rest, 579 00:29:20,482 --> 00:29:23,934 so she's sending me to go make sure this reunion doesn't fall apart. 580 00:29:24,072 --> 00:29:25,246 Mmm. 581 00:29:25,247 --> 00:29:28,351 I wish Megan wasn't chaperoning your nephew's camping trip. 582 00:29:28,352 --> 00:29:34,324 Yeah. I can go with you if you want. I'd love to see the new paint in the gym. 583 00:29:35,428 --> 00:29:37,637 Seriously? Teddy won't mind? 584 00:29:38,121 --> 00:29:39,191 [sighs] 585 00:29:39,329 --> 00:29:41,469 We've agreed to... 586 00:29:42,332 --> 00:29:44,610 We've agreed that we could see other people. 587 00:29:45,266 --> 00:29:47,302 - Oh. - Yeah. 588 00:29:49,753 --> 00:29:51,375 - Okay. - [chuckles] 589 00:29:51,513 --> 00:29:54,862 So I'll go home, and I'll change and come pick you up. 590 00:29:55,000 --> 00:29:56,311 I'll text you my address. 591 00:29:56,933 --> 00:29:58,486 - Okay. - Yeah. 592 00:30:02,421 --> 00:30:03,767 [sighs] 593 00:30:07,391 --> 00:30:11,188 [Bailey] So, the program is a 16-week rotation, 594 00:30:11,326 --> 00:30:14,502 but we operate on a rolling basis. 595 00:30:15,296 --> 00:30:18,092 The trainees request start dates, 596 00:30:18,230 --> 00:30:21,371 based on where it fits within their home curriculum. 597 00:30:21,509 --> 00:30:24,029 So at any given time, 598 00:30:24,167 --> 00:30:29,448 we have 20 to 30 trainees from 13 different states, 599 00:30:29,586 --> 00:30:31,760 but still that's not nearly enough 600 00:30:31,899 --> 00:30:35,005 to address patient demands across the country. 601 00:30:36,731 --> 00:30:38,526 You know, somebody recently said 602 00:30:38,664 --> 00:30:43,565 that programs like this are a beacon of hope in a dark time. 603 00:30:43,703 --> 00:30:49,571 Well, I hope that you will join me in lighting the way. Thank you. 604 00:30:56,199 --> 00:30:58,339 [both panting] 605 00:31:30,612 --> 00:31:34,927 [kissing, moaning] 606 00:31:51,254 --> 00:31:55,085 - Are you okay? - Yeah. Yeah. 607 00:31:55,223 --> 00:31:58,295 - Are you sure? - Yeah, yeah, yeah. I'm good. 608 00:31:58,433 --> 00:31:59,779 I'm good. Come here. 609 00:32:05,130 --> 00:32:06,752 Wait. Wait. Um... 610 00:32:06,890 --> 00:32:08,650 I'm sorry, it's just dumb. 611 00:32:08,788 --> 00:32:10,929 It's not you. It's just I, um... 612 00:32:12,482 --> 00:32:15,278 I feel like I'm cheating on my husband. 613 00:32:16,520 --> 00:32:19,650 Is this what it felt like when you first opened your marriage? 614 00:32:22,250 --> 00:32:24,287 Our marriage was suffocating us. 615 00:32:25,288 --> 00:32:28,739 Being with someone else... [sighs] 616 00:32:28,877 --> 00:32:31,294 ...felt like finally breathing fresh air. 617 00:32:40,475 --> 00:32:43,582 You really are amazing. 618 00:32:44,445 --> 00:32:45,495 So I'm told. 619 00:32:46,033 --> 00:32:51,624 But this... this... is not gonna fix my marriage. 620 00:32:53,385 --> 00:32:56,077 - I'm so sorry. - Me too. 621 00:32:57,768 --> 00:32:58,977 It's okay. 622 00:33:06,398 --> 00:33:12,749 I checked on Liz, and a smoothie went down and is in her stomach safe and sound. 623 00:33:12,887 --> 00:33:16,235 You handled that disimpaction like an experienced surgeon. 624 00:33:16,236 --> 00:33:17,891 You didn't need a surgeon for that. 625 00:33:17,892 --> 00:33:20,422 Any teenager in an arcade could've figured it out. 626 00:33:20,481 --> 00:33:22,690 Maybe just take the compliment. 627 00:33:23,380 --> 00:33:24,692 Where are you going? 628 00:33:25,348 --> 00:33:27,281 To update Liz's chart. 629 00:33:27,282 --> 00:33:30,248 Oh, you thought today was just about learning to disimpact an esophagus? 630 00:33:30,249 --> 00:33:31,768 What else would it be about? 631 00:33:31,906 --> 00:33:34,667 Your first transesophageal echocardiogram. 632 00:33:35,323 --> 00:33:37,015 - Really? - Yeah, come on up. 633 00:33:44,367 --> 00:33:47,232 - So you... You want me to... - Find the heart. 634 00:33:47,715 --> 00:33:49,441 It's just like the EGD, okay? 635 00:33:49,579 --> 00:33:52,720 Insert the scope, flat side facing the floor of the mouth. 636 00:33:53,583 --> 00:33:56,103 Good, slowly feed it down the esophagus. 637 00:33:56,241 --> 00:33:59,692 Good, good. Now adjust the angle. 638 00:34:00,831 --> 00:34:07,114 There. I-I might be biased, but every time I see that, it feels like the first time. 639 00:34:07,252 --> 00:34:08,632 It's incredible. 640 00:34:08,770 --> 00:34:11,497 [? somber music plays] 641 00:34:23,268 --> 00:34:24,338 Her EEG looks stable. 642 00:34:24,476 --> 00:34:25,856 Mm-hmm. 643 00:34:28,411 --> 00:34:30,033 I'm sorry for challenging you. 644 00:34:30,930 --> 00:34:32,346 Kwan was in your head. 645 00:34:32,760 --> 00:34:33,810 Yes. 646 00:34:33,933 --> 00:34:35,935 Your star may be on the rise, 647 00:34:37,351 --> 00:34:42,597 but that is not the same as having years of experience with hundreds of patients. 648 00:34:42,735 --> 00:34:46,325 Whatever you know about the patient's family, their loved ones, 649 00:34:46,463 --> 00:34:50,157 you keep it out of my OR or you do not step foot inside it. 650 00:34:50,295 --> 00:34:51,675 It won't happen again. 651 00:34:51,813 --> 00:34:56,473 Okay. Now get started on a write-up for grand rounds. 652 00:34:56,611 --> 00:34:58,781 You're gonna present this at grand rounds. 653 00:34:59,269 --> 00:35:03,135 We are. Congratulations. 654 00:35:09,486 --> 00:35:11,109 Wilson, hey, about that surge. 655 00:35:11,247 --> 00:35:14,836 No. Marcus, I am grateful to you for saving my pregnancy, 656 00:35:14,974 --> 00:35:17,624 but that does not mean that you get to walk all over me. 657 00:35:17,625 --> 00:35:19,357 - I'm sorry? - I'm not your patient. 658 00:35:19,358 --> 00:35:20,532 I'm your colleague. 659 00:35:20,533 --> 00:35:22,326 Sharking my surgeries doesn't help me. 660 00:35:22,327 --> 00:35:24,500 It undermines my authority and limits my training. 661 00:35:24,501 --> 00:35:26,882 - I was just trying to help. - Don't flatter yourself. 662 00:35:26,883 --> 00:35:29,920 - I can advocate for myself. - I'm sorry. 663 00:35:30,058 --> 00:35:33,752 And it's "surgery," not "surge." 664 00:35:38,515 --> 00:35:41,311 - [sighs] - This some sort of OB showdown? 665 00:35:43,037 --> 00:35:46,213 The three of us decided it was time for a little talk. 666 00:35:46,351 --> 00:35:48,318 Well, he earned it. 667 00:35:49,216 --> 00:35:50,700 Do you want to go for a burger? 668 00:35:51,045 --> 00:35:53,634 As long as I don't have to talk about vaginal tears. 669 00:35:54,221 --> 00:35:56,775 - Okay. [chuckles] - Good deal. 670 00:36:01,918 --> 00:36:05,853 - I love those crackers. - Yeah. You never let me throw them away 671 00:36:05,991 --> 00:36:08,221 when we got soup from our neighborhood deli. 672 00:36:08,718 --> 00:36:10,202 [sniffs] What kind of soup? 673 00:36:10,340 --> 00:36:12,998 You liked their Manhattan clam chowder. 674 00:36:17,209 --> 00:36:19,349 - I called your parents. - What? 675 00:36:20,212 --> 00:36:22,041 - Why? - I was worried. 676 00:36:22,180 --> 00:36:25,769 And then I found out that they had no idea about your surgery 677 00:36:25,907 --> 00:36:29,601 - or that we're back together. - Well, I didn't want them to freak out. 678 00:36:29,739 --> 00:36:32,535 Okay, but you lied to me about it. 679 00:36:33,708 --> 00:36:36,401 I think you know you're on a slippery slope. 680 00:36:36,539 --> 00:36:38,334 This isn't like last time. 681 00:36:38,472 --> 00:36:41,751 Yeah, which you also didn't tell me about. I found out from Dave. 682 00:36:41,889 --> 00:36:44,063 Okay, look, I am so close to remembering. 683 00:36:44,202 --> 00:36:47,632 No one with retrograde amnesia has ever gotten their memories back. 684 00:36:47,633 --> 00:36:49,965 What makes you think you're different? 685 00:36:49,966 --> 00:36:53,901 I don't know. But that day that I saw you in the ER, 686 00:36:54,039 --> 00:36:55,730 I mean, that was the first time 687 00:36:55,868 --> 00:36:59,286 I felt like a piece of my old life was trying to resurface. 688 00:36:59,424 --> 00:37:02,806 I do. I wanna remember my grandparents 689 00:37:02,944 --> 00:37:07,915 and-and family vacations and my college graduation. 690 00:37:09,261 --> 00:37:10,642 I don't feel whole. 691 00:37:10,780 --> 00:37:12,885 I want to. 692 00:37:14,093 --> 00:37:15,198 I need to. 693 00:37:15,612 --> 00:37:19,375 Because I don't know what will happen if I don't. 694 00:37:20,962 --> 00:37:22,757 Are you only with me 695 00:37:23,793 --> 00:37:26,968 because you think it might help get your memory back? 696 00:37:31,110 --> 00:37:33,596 I, um... 697 00:37:34,804 --> 00:37:36,599 I don't know. 698 00:37:43,468 --> 00:37:44,676 - Hey, um... - Yeah. 699 00:37:44,814 --> 00:37:46,624 ...so I reviewed Allan's post-op labs. 700 00:37:46,747 --> 00:37:48,917 - Everything looks good. - Great, thank you. 701 00:37:48,918 --> 00:37:51,716 And great catch with the thrombosis. He could have gone septic and died. 702 00:37:51,717 --> 00:37:54,858 Yeah, I don't understand why he won't just call his brother. 703 00:37:54,996 --> 00:37:56,550 He'd have a kidney tomorrow. 704 00:37:56,688 --> 00:37:59,578 Yeah, sometimes people are their own biggest obstacles. 705 00:38:00,208 --> 00:38:03,557 Hey, uh, do you think I need to repeat intern year? 706 00:38:03,695 --> 00:38:07,354 You said that all internships should be longer, but they're not. 707 00:38:07,492 --> 00:38:09,701 The rest of my class is already moving on. 708 00:38:09,839 --> 00:38:12,359 If I have to remediate, that'll go on my record. 709 00:38:12,497 --> 00:38:15,879 Competitive specialties and fellowships will be off the table. 710 00:38:15,880 --> 00:38:18,467 My surgical skills are as good as my classmates, 711 00:38:18,468 --> 00:38:20,228 but my career is going to suffer 712 00:38:20,229 --> 00:38:23,023 because I tried to save a patient who was going to die anyway. 713 00:38:23,024 --> 00:38:25,682 You're right, but that's up to Catherine Fox. 714 00:38:26,338 --> 00:38:28,088 Do you think I can change her mind? 715 00:38:28,202 --> 00:38:32,171 I'm not sure, but I know someone who might. 716 00:38:33,103 --> 00:38:37,556 [Adams] So, if you have any suggestions on how I could approach her 717 00:38:37,694 --> 00:38:40,732 or what to say, I'd really appreciate it. 718 00:38:40,870 --> 00:38:43,804 You want advice on how to persuade my wife? 719 00:38:43,942 --> 00:38:45,978 Yes, sir. 720 00:38:50,224 --> 00:38:54,366 Couple of years ago, I surprised her with a trip to the Maldives. 721 00:38:54,884 --> 00:38:58,128 Booked one of those bungalows that's over the water, 722 00:38:58,266 --> 00:39:02,029 a five-star restaurant, sunset yacht cruises. 723 00:39:02,167 --> 00:39:03,927 It sounds really nice. 724 00:39:04,065 --> 00:39:09,485 Oh, it was paradise. You know what she said the best part was? 725 00:39:10,037 --> 00:39:11,521 Yeah, I don't- 726 00:39:11,659 --> 00:39:13,592 It was a little coffee pot in our room 727 00:39:14,386 --> 00:39:17,389 that was stocked with Seattle roaster coffee. 728 00:39:18,217 --> 00:39:20,634 Said she never found anything better. 729 00:39:21,669 --> 00:39:23,289 You understand what I'm saying? 730 00:39:23,290 --> 00:39:26,604 You could've saved a lot of money and gone to the caf� next door? 731 00:39:26,605 --> 00:39:31,645 [scoffs] No. I'm saying that once she makes up her mind about something, 732 00:39:31,783 --> 00:39:35,200 she needs a really good reason for her to change it. 733 00:39:35,925 --> 00:39:37,202 And you don't have it. 734 00:39:37,582 --> 00:39:38,790 Sorry. 735 00:39:38,791 --> 00:39:40,791 [Grey] When you want something badly, 736 00:39:40,792 --> 00:39:43,967 it's hard to know if or when to throw in the towel. 737 00:39:43,968 --> 00:39:47,107 A glass of the house white, and his next drink is on me. 738 00:39:47,108 --> 00:39:49,317 I'm presenting at grand rounds! 739 00:39:49,456 --> 00:39:51,906 It's over. Me and Molly. 740 00:39:52,044 --> 00:39:54,875 I'm so sorry. Was it Dave? 741 00:39:56,083 --> 00:39:59,742 Hey. It took me longer to get out of there than I thought it would. 742 00:39:59,743 --> 00:40:02,295 - Did someone die? - Blue and Molly broke up. 743 00:40:02,296 --> 00:40:04,816 Oh, sorry. Did she go back to Dave? 744 00:40:04,954 --> 00:40:09,476 [inhales deeply] I just did my first transesophageal echocardiogram. 745 00:40:09,614 --> 00:40:11,114 [Adams] Read the room, Millin. 746 00:40:11,115 --> 00:40:13,099 Blue and Molly broke up. Don't ask about Dave. 747 00:40:13,100 --> 00:40:15,791 - Who's Dave? - Can you not talk about me in front of me? 748 00:40:15,792 --> 00:40:17,345 Nobody wants to talk about you. 749 00:40:17,346 --> 00:40:19,933 Could I just get a rum and coke and whatever he wants? 750 00:40:19,934 --> 00:40:21,384 Hey, hey, what about me? 751 00:40:21,522 --> 00:40:24,052 I'll buy you a drink when you and Griffith break up. 752 00:40:24,456 --> 00:40:26,086 - So, never. - [Griffith grunts] 753 00:40:26,147 --> 00:40:28,322 - Hey, can I get... - Shh, shh, shh. 754 00:40:32,119 --> 00:40:33,169 [knocks on door] 755 00:40:33,258 --> 00:40:35,156 [Grey] So we push the limits. 756 00:40:35,605 --> 00:40:40,196 Hoping if we put in a little more time, more effort, maybe it'll all work out. 757 00:40:40,334 --> 00:40:43,584 [stammers] You're not a margherita flatbread with a side salad. 758 00:40:45,546 --> 00:40:49,343 Um, Ben, Teddy's here. Yeah, I'll call you later. 759 00:40:51,034 --> 00:40:55,176 Uh, did you want, uh, mini red, mini white? The mini bourbon's mine. 760 00:40:55,314 --> 00:40:58,041 Uh, mini gin and tonic. 761 00:40:58,179 --> 00:41:03,253 Ah, only if you, uh, want it served in a giant glass. 762 00:41:05,601 --> 00:41:06,740 Okay. 763 00:41:07,775 --> 00:41:10,226 Uh, congratulations on your presentation. 764 00:41:10,364 --> 00:41:12,021 Thanks. [chuckles] 765 00:41:13,540 --> 00:41:17,682 Uh, I didn't see you and Beckman after. 766 00:41:17,820 --> 00:41:20,719 Oh. Yeah, we, uh... we left and ended up- 767 00:41:20,857 --> 00:41:25,172 You know, I don't need to know. I work with both your husbands. 768 00:41:26,553 --> 00:41:29,487 We ended up going to the environmental health panel. 769 00:41:30,246 --> 00:41:31,566 That's not what I expected. 770 00:41:31,696 --> 00:41:33,007 Honestly... 771 00:41:35,285 --> 00:41:36,597 me neither. 772 00:41:38,219 --> 00:41:39,497 - Cheers. - Ah. 773 00:41:41,878 --> 00:41:46,987 Take it right out of the... Okay. Get you some pretzels. 774 00:41:47,366 --> 00:41:48,506 Uh... 775 00:41:57,100 --> 00:41:59,551 [Grey] Or you could crash and burn. 776 00:42:00,587 --> 00:42:03,003 Taking everything you love down with you. 777 00:42:14,911 --> 00:42:16,913 But you won't know until you try. 778 00:42:25,888 --> 00:42:27,993 [theme music plays] 779 00:42:28,043 --> 00:42:32,593 Repair and Synchronization by Easy Subtitles Synchronizer 1.0.0.0