1 00:00:02,007 --> 00:00:04,300 [♪ upbeat music playing] 2 00:00:07,178 --> 00:00:11,558 [Grey] For most of history, doctors had no way to stop pain. 3 00:00:12,058 --> 00:00:13,184 - Hey. - Hi. 4 00:00:13,268 --> 00:00:14,728 Hi. 5 00:00:14,811 --> 00:00:16,980 I know I said you couldn't have a chocolate croissant, 6 00:00:17,063 --> 00:00:19,190 but they were out of bagels, so you're welcome. 7 00:00:19,274 --> 00:00:20,275 Thank you. 8 00:00:21,151 --> 00:00:22,318 Is everything okay? 9 00:00:22,402 --> 00:00:24,279 - [car horn honks] - Oh, look. Sam's mom is here. 10 00:00:25,447 --> 00:00:26,448 Have fun at camp. 11 00:00:26,531 --> 00:00:27,907 [Marsh] Yeah, see you later. 12 00:00:27,991 --> 00:00:29,325 What was that about? 13 00:00:29,909 --> 00:00:31,036 He'll tell you when he's ready. 14 00:00:32,037 --> 00:00:33,038 Seriously? 15 00:00:33,121 --> 00:00:34,372 [Grey] During surgery, 16 00:00:34,456 --> 00:00:38,209 patients felt every cut and stitch until they inevitably passed out. 17 00:00:38,293 --> 00:00:39,711 [giggling] 18 00:00:40,420 --> 00:00:42,047 What are you doing? 19 00:00:42,130 --> 00:00:43,423 It's my chief resident dance. 20 00:00:43,506 --> 00:00:45,884 Oh, you know, this job is nothing to dance about. 21 00:00:45,967 --> 00:00:48,970 It is when you assign yourself a cutting-edge transplant surgery. 22 00:00:49,054 --> 00:00:49,888 Ah. 23 00:00:49,971 --> 00:00:52,390 Oh, hey. I'm excited to be working with you today. 24 00:00:52,474 --> 00:00:54,350 - It is going to be groundbreaking. - We'll see. 25 00:00:55,518 --> 00:00:56,811 [Webber] Hey. Good morning. 26 00:00:56,895 --> 00:00:59,397 Hey, looking forward to joining you in the OR today. 27 00:00:59,481 --> 00:01:01,691 - [chuckles] - Oh, is that why you're so chipper? 28 00:01:01,775 --> 00:01:02,901 For sure. 29 00:01:02,984 --> 00:01:04,944 I just parked in the chief's parking space. 30 00:01:05,028 --> 00:01:07,363 Isn't that the space just next to your old one? 31 00:01:07,447 --> 00:01:09,949 This one doesn't have a dip in the asphalt. 32 00:01:10,033 --> 00:01:12,535 Mm-hmm. It's the perks of being a chief. 33 00:01:12,619 --> 00:01:13,953 - They are mighty fine. - [both laugh] 34 00:01:14,037 --> 00:01:17,749 Yeah, I've done both those jobs, so I know that chiefing 35 00:01:17,832 --> 00:01:22,921 is mostly scheduling and HR issues and being buried in paperwork. 36 00:01:23,505 --> 00:01:26,049 Um, does the chief resident still have his own desk? 37 00:01:26,132 --> 00:01:27,842 Already got it stocked with snacks. 38 00:01:27,926 --> 00:01:29,719 - That's what I'm talking about. - [chuckling] 39 00:01:29,803 --> 00:01:31,346 I hit the bulk store and everything. 40 00:01:31,429 --> 00:01:34,766 [Grey] All a surgeon could do to minimize pain was work faster. 41 00:01:34,849 --> 00:01:39,979 That all changed when the first surgery was performed using ether as anaesthetic. 42 00:01:41,106 --> 00:01:42,148 Morning, benchwarmers. 43 00:01:43,483 --> 00:01:45,568 He's just jealous because he doesn't get to scrub in 44 00:01:45,652 --> 00:01:47,112 on the double lung transplant today. 45 00:01:47,195 --> 00:01:49,781 Au contraire, I am on plastics. 46 00:01:49,864 --> 00:01:51,825 Since when were you interested in that? 47 00:01:51,908 --> 00:01:53,993 Huge scope and range in terms of anatomy, 48 00:01:54,077 --> 00:01:56,871 cutting-edge research opportunities, high demand. 49 00:01:57,789 --> 00:01:59,624 I think plastics might be the one. 50 00:02:00,208 --> 00:02:02,585 I hope you and plastics are very happy together. 51 00:02:02,669 --> 00:02:05,088 [Grey] Now surgeons faced a new dilemma. 52 00:02:05,171 --> 00:02:07,173 If a patient can't feel pain... 53 00:02:07,257 --> 00:02:08,883 - Excuse me. - [Grey] ...when do you stop? 54 00:02:08,967 --> 00:02:10,510 Are we assigned a cubby? 55 00:02:11,719 --> 00:02:12,846 Your first day? 56 00:02:12,929 --> 00:02:14,347 I-I missed the actual first day. 57 00:02:14,430 --> 00:02:17,350 Preplanned vacation for my grandparents' anniversary. 58 00:02:17,433 --> 00:02:18,935 Bold for an autotroph. 59 00:02:20,937 --> 00:02:24,149 Bottom of the food chain. Intern locker room is down the hall. 60 00:02:24,232 --> 00:02:27,443 - Sorry, but I'm not... - Hey. Pro-tip: Excuses make it worse. 61 00:02:27,527 --> 00:02:29,028 Your resident will thank me. 62 00:02:29,904 --> 00:02:31,447 Oh, really? 63 00:02:31,531 --> 00:02:33,283 Trust me. Who do you have? 64 00:02:34,325 --> 00:02:35,326 Kwan. 65 00:02:36,494 --> 00:02:38,371 Well, I guess I'll have to thank myself. 66 00:02:38,454 --> 00:02:40,081 What'd you say your name was? 67 00:02:40,665 --> 00:02:41,916 Mohanty. 68 00:02:42,000 --> 00:02:43,334 Kavita Mohanty. 69 00:02:43,918 --> 00:02:46,254 Yeah, I don't see you on my roster. 70 00:02:47,005 --> 00:02:48,506 That's because you're on mine. 71 00:02:49,132 --> 00:02:51,885 I'm the new plastics fellow. You're on my service. 72 00:02:52,886 --> 00:02:54,012 [chuckles] 73 00:02:54,095 --> 00:02:56,097 [siren wailing in distance] 74 00:03:02,604 --> 00:03:03,771 [Bryant] Dr. Griffith, hey, uh... 75 00:03:04,355 --> 00:03:07,650 how does an intern get in on this insane double lung transplant? 76 00:03:08,401 --> 00:03:11,738 I don't make the assignments. Talk to Warren. Also, you're late. 77 00:03:11,821 --> 00:03:13,489 But you can put in a good word for me though, right? 78 00:03:13,573 --> 00:03:16,576 No, you don't get to ask me favors. Go make yourself useful. 79 00:03:18,870 --> 00:03:20,872 Wow, what did he do to you? 80 00:03:22,165 --> 00:03:23,833 - We need to make a pact. - Uh-huh? 81 00:03:23,917 --> 00:03:25,501 We're second years. We need to focus. 82 00:03:26,294 --> 00:03:27,587 No sex, no relationships. 83 00:03:28,338 --> 00:03:29,589 You with me? 84 00:03:32,884 --> 00:03:34,469 [gasps] You had sex with him. 85 00:03:34,552 --> 00:03:35,553 I... 86 00:03:35,637 --> 00:03:37,263 - It was an accident. - [chuckles] 87 00:03:37,347 --> 00:03:38,765 How? Did you fall on it? 88 00:03:39,724 --> 00:03:41,851 The logistics don't matter. Are you in? 89 00:03:41,935 --> 00:03:43,645 Oh, I'm not the one sleeping with an intern. 90 00:03:43,728 --> 00:03:45,104 [mumbles] 91 00:03:46,814 --> 00:03:48,483 [announcer over PA] Dr. Padero to the NICU. 92 00:03:48,566 --> 00:03:50,818 Dr. Christina Padero to the NICU. 93 00:03:50,902 --> 00:03:53,488 Hey. Hey. Do you know anything about cars? 94 00:03:53,571 --> 00:03:56,032 Should I get the extended warranty? 95 00:03:56,115 --> 00:03:58,576 Well, I mean, it depends on the car, your budget, 96 00:03:58,660 --> 00:03:59,994 how long you plan on keeping it. 97 00:04:00,078 --> 00:04:01,162 My lease is up in 12 hours. 98 00:04:01,246 --> 00:04:02,789 Wow, you cut it close. 99 00:04:02,872 --> 00:04:04,874 We need a bigger car, but I hate negotiating. 100 00:04:04,958 --> 00:04:08,002 I thought Link would be out of the hospital, and he could handle it, but... 101 00:04:08,086 --> 00:04:12,006 Well, I spent the last year negotiating every penny for this hospital. 102 00:04:12,090 --> 00:04:14,467 You just have to be patient and clear on what your goals are. 103 00:04:14,550 --> 00:04:15,969 Anything is possible. 104 00:04:16,052 --> 00:04:18,638 You know, last month, I got an MRI machine at cost. 105 00:04:19,639 --> 00:04:20,974 Do you want to go with me? 106 00:04:21,057 --> 00:04:23,142 [Altman] Uh, I have patients, but... 107 00:04:23,226 --> 00:04:26,562 - Hey, you, it's been a minute. - Hi. 108 00:04:26,646 --> 00:04:29,023 - How is everything? - Good, I'm-I'm great. 109 00:04:29,107 --> 00:04:31,859 - What are you doing here? - David left his wallet at home. 110 00:04:31,943 --> 00:04:33,403 How was your pineapple pizza? 111 00:04:33,486 --> 00:04:34,487 Uh, pizza? 112 00:04:34,988 --> 00:04:37,490 Ran into Owen and the kids last night picking up dinner. 113 00:04:37,573 --> 00:04:39,909 I admit I was a little judgmental when I heard your order. 114 00:04:39,993 --> 00:04:42,954 Oh, yeah, I was working late. Big... big trauma. I just... [stutters] 115 00:04:43,037 --> 00:04:45,456 I didn't get home before they devoured everything. 116 00:04:45,540 --> 00:04:47,959 - Oh. - [chuckles] 117 00:04:48,459 --> 00:04:50,044 - Well, hi, we haven't met. - Oh. 118 00:04:50,128 --> 00:04:51,838 - I'm Jo Wilson. - Hi. Cass. 119 00:04:51,921 --> 00:04:53,464 Oh, yeah. Sorry, um... Jo Wilson. 120 00:04:53,548 --> 00:04:55,383 Um, Cass, um... Beckman. 121 00:04:55,466 --> 00:04:58,469 Um, she's just an incredible trauma surgeon. 122 00:04:59,012 --> 00:05:00,471 - Thank you. - Uh, she's married to David. 123 00:05:00,555 --> 00:05:02,682 Oh, yeah, I've worked with David. He's great. 124 00:05:02,765 --> 00:05:04,267 Can't remember his wallet to save his life, 125 00:05:04,350 --> 00:05:05,685 but he does an excellent CABG. 126 00:05:05,768 --> 00:05:06,853 - [chuckles] - [elevator dings] 127 00:05:06,936 --> 00:05:09,647 Um, this is me. Nice to meet you, Jo. 128 00:05:11,065 --> 00:05:12,567 I'm really glad I ran into you. 129 00:05:15,737 --> 00:05:17,864 So, we'll take your car? 130 00:05:23,369 --> 00:05:26,372 Hey, hey, I hear we're playing musical chairs with some lungs today. 131 00:05:26,456 --> 00:05:28,916 Oh, shoot, I'm sorry, I must have the wrong room. 132 00:05:29,000 --> 00:05:30,209 I'm looking for Ryan Delgadillo. 133 00:05:30,293 --> 00:05:32,045 He's about this high. He loves airplanes. 134 00:05:32,128 --> 00:05:34,505 - It's me. - What? It's you? 135 00:05:34,589 --> 00:05:37,008 You must have grown, like, 6 inches since the last time I saw you. 136 00:05:37,091 --> 00:05:38,634 [chuckles] I'm in kindergarten. 137 00:05:38,718 --> 00:05:41,512 You're in kindergarten? Wow, that's big kid stuff right there. 138 00:05:41,596 --> 00:05:43,306 Uh, you've all met Dr. Ndugu. 139 00:05:43,389 --> 00:05:45,725 He recently pioneered a breakthrough cardio surgery. 140 00:05:45,808 --> 00:05:48,227 - We're lucky to have him. - I'm happy to help. 141 00:05:48,311 --> 00:05:49,687 - Uh, Dr. Griffith? - Ryan Delgadillo. 142 00:05:49,771 --> 00:05:53,358 Age six. Diagnosed with bronchiolitis obliterans at age two. 143 00:05:53,441 --> 00:05:54,942 He's been on ECMO for four weeks. 144 00:05:55,026 --> 00:05:58,613 Today, we will be performing a bilateral lung transplant from living donors. 145 00:05:58,696 --> 00:06:00,948 Each parent is donating one lower lobe. 146 00:06:01,032 --> 00:06:03,868 Transplanted together, they will act as Ryan's new lungs. 147 00:06:04,369 --> 00:06:05,953 You're sure this is the right way to go? 148 00:06:06,037 --> 00:06:08,873 We should wait longer for a pair of lungs from a deceased donor? 149 00:06:08,956 --> 00:06:11,501 - Are you having second thoughts? - About me? No. 150 00:06:12,085 --> 00:06:14,670 I'd give Ry all my lungs if I could. 151 00:06:20,093 --> 00:06:21,302 - Can we have a moment? - Of course. 152 00:06:21,386 --> 00:06:22,387 We'll be right back. 153 00:06:23,846 --> 00:06:25,932 - Okay, and how is this? Is it comfortable? - Yeah. 154 00:06:27,350 --> 00:06:29,727 We just wanna make sure that small pieces of our lungs 155 00:06:29,811 --> 00:06:32,188 are as good as a full set from someone his own size. 156 00:06:32,271 --> 00:06:33,356 It's a valid concern. 157 00:06:33,439 --> 00:06:36,526 Look, getting two lungs from a deceased donor, it's preferable, 158 00:06:37,193 --> 00:06:38,361 but we haven't found a match. 159 00:06:38,444 --> 00:06:40,988 And Ryan's been on ECMO for weeks now, 160 00:06:41,072 --> 00:06:43,866 and the risks of bleeding, blood clotting, organ damage, 161 00:06:43,950 --> 00:06:45,118 they've all quadrupled. 162 00:06:45,201 --> 00:06:46,702 Our window to act is closing. 163 00:06:47,328 --> 00:06:49,705 And, uh... you think it'll work? 164 00:06:49,789 --> 00:06:52,917 Based on the extensive workups we've done on all of you, we do. 165 00:06:53,418 --> 00:06:56,879 Once you sign the consent forms, we can get you prepped for surgery. 166 00:07:08,391 --> 00:07:11,394 [siren wailing] 167 00:07:11,477 --> 00:07:12,645 Okay, where do you want me? 168 00:07:13,354 --> 00:07:14,439 There is fine. 169 00:07:16,566 --> 00:07:18,693 [Bailey] Hey, which one of these rigs has my patient? 170 00:07:18,776 --> 00:07:19,777 Who's your patient? 171 00:07:19,861 --> 00:07:21,195 - Katie. - Katie Rogers. 172 00:07:21,279 --> 00:07:24,031 Twenty-seven. Auto versus tree. Restrained passenger. 173 00:07:24,115 --> 00:07:26,784 Negative LOC. GCS 15. Moving all extremities. 174 00:07:26,868 --> 00:07:27,994 Minor scrapes and bruises. 175 00:07:28,077 --> 00:07:30,371 Dr. Bailey, can I still do chemo today? 176 00:07:30,455 --> 00:07:31,831 Okay, we need to examine you first. 177 00:07:31,914 --> 00:07:34,292 She also has stage two gastric cancer. 178 00:07:34,375 --> 00:07:36,878 Look, if I can't, can you still operate next month? 179 00:07:36,961 --> 00:07:39,130 One step at a time. Let's get her inside. 180 00:07:39,839 --> 00:07:40,756 - [Bailey] Oh! - Hey, move. 181 00:07:40,840 --> 00:07:42,508 - I'm all good. - Out of the way. 182 00:07:42,592 --> 00:07:43,968 My bag. I need my laptop. 183 00:07:44,051 --> 00:07:46,804 Um, Adams, Bryant, go find it. 184 00:07:46,888 --> 00:07:48,264 You can go in. I got this. 185 00:07:48,347 --> 00:07:49,974 I don't mind taking a look at the rig. 186 00:07:50,057 --> 00:07:51,267 You're not on a tour. 187 00:07:51,350 --> 00:07:53,478 Did I do something to piss you off? 188 00:07:53,561 --> 00:07:55,688 Yeah, you slept with my girlfriend. 189 00:07:57,190 --> 00:07:58,191 Slept... 190 00:07:59,817 --> 00:08:00,818 [sighs] 191 00:08:11,287 --> 00:08:12,872 Cass Beckman seems nice. 192 00:08:12,955 --> 00:08:14,624 Yeah, she's great. 193 00:08:14,707 --> 00:08:16,751 - What about something like this? - Nah, it's small. 194 00:08:16,834 --> 00:08:18,461 What was the big, big trauma? 195 00:08:18,961 --> 00:08:20,671 I was on call last night. I didn't hear about it. 196 00:08:20,755 --> 00:08:23,174 Oh, it must have been another night. What about the one outside? 197 00:08:23,257 --> 00:08:26,636 [gasps] Oh, wait! Oh, this is perfect. 198 00:08:26,719 --> 00:08:29,222 - [gasps] - This is gonna be way out of your budget. 199 00:08:29,305 --> 00:08:32,225 No, but you have all that negotiating experience, and you said yourself, 200 00:08:32,308 --> 00:08:34,519 "Anything is possible." Please, don't make me drive a minivan. 201 00:08:34,602 --> 00:08:36,354 Can I help you, ladies? 202 00:08:36,938 --> 00:08:38,481 Can we test-drive this car? 203 00:08:41,526 --> 00:08:43,402 BP's 122 over 68. 204 00:08:43,486 --> 00:08:45,363 Heart rate is sitting in the low hundreds. 205 00:08:45,446 --> 00:08:47,823 - [Katie] I feel dizzy. - [Bailey] Uh, you might be dehydrated. 206 00:08:47,907 --> 00:08:51,077 Let's hang another bag of fluids and give her something for the pain. 207 00:08:51,160 --> 00:08:52,161 So, what happened? 208 00:08:52,245 --> 00:08:54,956 My rideshare had a chance encounter with a tree. 209 00:08:55,039 --> 00:08:57,291 [chuckles] These injuries don't look as nice as that sounds. 210 00:08:57,375 --> 00:09:00,628 I'm a couples therapist, so I like to put a positive flip on first meetings. 211 00:09:00,711 --> 00:09:02,380 - Ow. [grunts] - She's... she's tender. 212 00:09:05,925 --> 00:09:08,010 Free fluid in the splenorenal recess. 213 00:09:08,094 --> 00:09:11,097 That doesn't sound like a stop on the road to Cancer-freeville. 214 00:09:11,180 --> 00:09:12,265 Should I be worried? 215 00:09:12,348 --> 00:09:13,349 What do I always tell you? 216 00:09:13,432 --> 00:09:14,976 "Don't worry until you look worried." 217 00:09:15,059 --> 00:09:17,103 Good. All right, uh, Adams, Bryant, 218 00:09:17,186 --> 00:09:20,565 get her to CT and page me when the scans are up. 219 00:09:20,648 --> 00:09:23,234 Uh, Dr. Bailey, I can take her myself. 220 00:09:23,317 --> 00:09:24,694 Bryant can go with you. 221 00:09:25,194 --> 00:09:26,862 Uh, do I look like his resident? 222 00:09:26,946 --> 00:09:28,281 Yeah, but he'll learn more with you. 223 00:09:28,364 --> 00:09:30,575 Of course he will, but then you won't learn to teach. 224 00:09:34,870 --> 00:09:37,456 Mr. Lee, how are we doing today? 225 00:09:37,540 --> 00:09:41,252 I'm the same as yesterday, but you don't look like Dr. Kayise. 226 00:09:41,335 --> 00:09:43,879 He was pulled into an emergency case. 227 00:09:43,963 --> 00:09:46,215 I'm Dr. Mohanty. This is Dr. Kwan. 228 00:09:46,299 --> 00:09:48,009 We'll be your doctors today. 229 00:09:48,968 --> 00:09:52,388 Ray Lee, 35, presenting after scald injury while hiking... 230 00:09:52,471 --> 00:09:54,724 Technically camping. I just finished Storm King. 231 00:09:55,558 --> 00:09:59,437 Three percent TBSA partial thickness burns affecting left forearm. 232 00:09:59,520 --> 00:10:03,566 Status post-bedside debridement and skin grafts post-op day one. 233 00:10:03,649 --> 00:10:04,775 Can we take a look? 234 00:10:04,859 --> 00:10:06,068 Be my guest. 235 00:10:07,695 --> 00:10:10,573 No. Dr. Mohanty is the plastic surgery fellow. 236 00:10:10,656 --> 00:10:13,451 She is very experienced and accomplished. 237 00:10:13,534 --> 00:10:14,535 Sorry about that. 238 00:10:14,619 --> 00:10:17,204 It's an honest mistake. Anyone can make it. 239 00:10:17,288 --> 00:10:18,956 She's so youthful. 240 00:10:19,040 --> 00:10:21,375 In a good way, not that she's old. 241 00:10:21,459 --> 00:10:22,918 I think he gets it. 242 00:10:24,337 --> 00:10:26,339 Let's remove the dressing, shall we? 243 00:10:26,422 --> 00:10:30,509 I'm guessing this makes the last time I make mac and cheese on a camp stove. 244 00:10:30,593 --> 00:10:32,345 - [Kwan] This was a cooking accident? - [Lee chuckles] 245 00:10:32,428 --> 00:10:35,556 I'm the punch line in those jokes about cooks who can't boil water. 246 00:10:37,892 --> 00:10:38,893 [cell phone buzzes] 247 00:10:40,436 --> 00:10:42,146 Looks like it's healing appropriately. 248 00:10:42,229 --> 00:10:45,483 Dr. Kwan will redress it for you, and I'll check back in a bit. 249 00:10:47,151 --> 00:10:49,195 I forgot to ask if I can have some crackers. 250 00:10:49,278 --> 00:10:50,279 Can we page her? 251 00:10:50,363 --> 00:10:52,448 Let's not bother her for a snack. 252 00:10:53,449 --> 00:10:55,868 What do you want? Grahams or saltines? 253 00:11:01,499 --> 00:11:04,335 All right. Starting your scans. Hold still. 254 00:11:05,378 --> 00:11:06,545 [Bryant sighs] 255 00:11:17,807 --> 00:11:18,808 I didn't know. 256 00:11:18,891 --> 00:11:19,892 Whatever. 257 00:11:26,607 --> 00:11:29,110 Hello? Is anybody there? 258 00:11:29,193 --> 00:11:31,195 Yeah, we're here. Everything okay? 259 00:11:31,278 --> 00:11:33,322 [Katie] Yeah. It's just, it's quiet. 260 00:11:33,406 --> 00:11:35,282 Seemed like a bad sign. 261 00:11:36,367 --> 00:11:38,619 Everything's fine. We're just waiting on your scans. 262 00:11:38,703 --> 00:11:42,248 Okay. I'm used to listening to people talk all day. 263 00:11:42,331 --> 00:11:46,293 Cheating husband, wife who resents giving up her career. 264 00:11:46,877 --> 00:11:49,880 You know, it's my job to help people communicate. 265 00:11:49,964 --> 00:11:51,966 Like, in my work, talking is good. 266 00:11:52,049 --> 00:11:54,301 Screaming, crying, it's all fine. 267 00:11:54,385 --> 00:11:59,932 It's only when my clients go silent, that's when I can't help them. [chuckles] 268 00:12:00,433 --> 00:12:02,017 But I guess that doesn't happen here. 269 00:12:06,647 --> 00:12:07,898 Nope. 270 00:12:13,654 --> 00:12:14,655 - Hey. - Yeah. 271 00:12:14,739 --> 00:12:17,074 Griffith and Millin filled me in. You want me on the dads? 272 00:12:17,158 --> 00:12:20,161 Yeah, Kim's flight got canceled, so now he's stuck in Florida. 273 00:12:20,244 --> 00:12:21,871 Are you okay being my assist? 274 00:12:21,954 --> 00:12:23,789 - Of course, but you owe me. - Okay. Yes. 275 00:12:23,873 --> 00:12:25,374 Does Bailey have a girlfriend? 276 00:12:25,458 --> 00:12:26,625 I'm not answering that. 277 00:12:26,709 --> 00:12:27,710 Boyfriend? 278 00:12:27,793 --> 00:12:29,712 He asked me not to say anything. You want me to break his trust? 279 00:12:29,795 --> 00:12:32,047 - I do. Yeah. I'm his mother. - You're unbelievable. 280 00:12:32,131 --> 00:12:33,132 - Okay. - Hey. 281 00:12:33,215 --> 00:12:34,800 - Hi. - Webber and Warren got held up, 282 00:12:34,884 --> 00:12:37,136 - but we should get started without them. - Okay. What are we looking at? 283 00:12:37,219 --> 00:12:38,220 - Three lungs. - Yeah. 284 00:12:38,304 --> 00:12:41,557 Two healthy, one with extensive mosaic perfusion and air trappings. 285 00:12:41,640 --> 00:12:43,184 Looks like bronchiolitis obliterans. 286 00:12:43,267 --> 00:12:45,770 Technically true. Not the answer I'm looking for. 287 00:12:45,853 --> 00:12:49,190 In this first scan, we have two nonspecific granulomas... 288 00:12:49,273 --> 00:12:51,567 We are looking at a family, okay? 289 00:12:52,067 --> 00:12:54,236 That's who will be on our operating tables today. 290 00:12:54,320 --> 00:12:56,697 And look, I know it goes without saying, but I want it on record. 291 00:12:56,781 --> 00:12:58,407 There is no room for error. None. 292 00:12:58,491 --> 00:13:00,367 One mistake and a whole family suffers. 293 00:13:00,451 --> 00:13:04,872 But if you're this concerned, maybe we should consider holding a beat. 294 00:13:05,539 --> 00:13:08,250 I'm sorry... [stutters] ...are you having cold feet? 295 00:13:08,793 --> 00:13:10,961 No, no, but I've always had reservations. 296 00:13:11,045 --> 00:13:13,589 You know as well as I do this is not the standard of care. 297 00:13:13,672 --> 00:13:15,299 - Yeah, Ryan's not a standard case. - Of course not, 298 00:13:15,382 --> 00:13:18,928 but there's a reason that no one does living-donor lung transplants anymore. 299 00:13:19,011 --> 00:13:21,514 We're talking a much higher mortality rate. 300 00:13:21,597 --> 00:13:23,516 Post-op, Vivek and Steven are at risk 301 00:13:23,599 --> 00:13:26,685 for bronchial stump leaks, bleeding, diminished lung capacity... 302 00:13:26,769 --> 00:13:29,146 - Yeah. - I'm sorry, haven't they been made aware 303 00:13:29,230 --> 00:13:30,981 - of the risks? - Yes, they have, 304 00:13:31,065 --> 00:13:32,691 but I'm concerned that their... 305 00:13:33,776 --> 00:13:36,153 understandable desire to save their son is clouding their judgment... 306 00:13:36,237 --> 00:13:37,696 Yeah, but of course it is. 307 00:13:37,780 --> 00:13:39,532 They can't just sit back and watch their kid die. 308 00:13:39,615 --> 00:13:41,742 What happens if we do this, and he still dies? 309 00:13:41,826 --> 00:13:45,371 Look, I'm... I just wanna make sure that we're thinking this through. That's all. 310 00:13:45,454 --> 00:13:49,166 I know, but if I knew you weren't all in, I would have gone to someone else. 311 00:13:49,250 --> 00:13:51,335 You didn't really give me a choice, and you'd be hard-pressed 312 00:13:51,418 --> 00:13:54,797 to find a cardiothoracic surgeon that can get behind a living lung donation. 313 00:13:54,880 --> 00:13:59,051 Listen, I've been working with Ryan and his parents for months now, months. 314 00:13:59,134 --> 00:14:01,762 We are out of time. We have to take a swing. That is it. 315 00:14:01,846 --> 00:14:04,890 I'm the one who's been seeing his health decline on ECMO every day, 316 00:14:04,974 --> 00:14:06,892 calling UNOS multiple times. 317 00:14:06,976 --> 00:14:10,020 Hold on, hold on. Let's... We can debate this all day long. 318 00:14:10,521 --> 00:14:14,400 The only people who can really make the decision are Ryan's dads, 319 00:14:14,483 --> 00:14:16,360 so why don't I... 320 00:14:16,986 --> 00:14:18,487 we go speak to them? 321 00:14:18,571 --> 00:14:19,905 - Okay. - I'm coming too. 322 00:14:19,989 --> 00:14:23,617 No, no, you should stay here, get some air, and I will fill you in. 323 00:14:23,701 --> 00:14:24,994 Okay. 324 00:14:31,834 --> 00:14:32,835 Switch services with me. 325 00:14:32,918 --> 00:14:33,919 [scoffs] No. 326 00:14:34,003 --> 00:14:35,254 The plastics fellow hates me. 327 00:14:35,337 --> 00:14:36,714 What did you do? 328 00:14:36,797 --> 00:14:38,048 Why do you assume I did something? 329 00:14:38,132 --> 00:14:39,258 Because it's you. 330 00:14:39,341 --> 00:14:41,927 Well, I heard your boyfriend's working with your other boyfriend. 331 00:14:42,011 --> 00:14:43,345 You told Kwan before you told me? 332 00:14:43,429 --> 00:14:45,222 - Listen, we live together. - Yeah, yeah, yeah, I knew first. 333 00:14:45,306 --> 00:14:46,390 You should be mad at her. 334 00:14:46,473 --> 00:14:48,017 Hey, switch with me so you don't work together. 335 00:14:48,100 --> 00:14:49,101 I'm not interested. 336 00:14:49,184 --> 00:14:50,769 I've got my own problems. 337 00:14:56,358 --> 00:14:57,860 - Is it time? - Not quite yet. 338 00:14:57,943 --> 00:15:00,696 This is Dr. Grey. She'll be joining your surgical team. 339 00:15:01,280 --> 00:15:02,990 It's nice to meet both of you. 340 00:15:03,073 --> 00:15:06,452 I know you've been made aware of the risks of your surgeries, 341 00:15:06,952 --> 00:15:08,370 but I'm new to the team, 342 00:15:08,454 --> 00:15:12,124 so I just wanted to make sure that we're all on the same page here. 343 00:15:12,207 --> 00:15:14,960 We're in no matter the risks. That's the page we're on. 344 00:15:15,044 --> 00:15:18,297 Okay, you understand that you'll both likely have diminished lung capacity 345 00:15:18,380 --> 00:15:19,381 for the rest of your lives? 346 00:15:19,465 --> 00:15:21,342 - I hate exercise. - But you could have bleeding. 347 00:15:21,425 --> 00:15:23,969 You could need more surgeries, develop infections. 348 00:15:24,053 --> 00:15:25,095 We have insurance. 349 00:15:25,179 --> 00:15:27,264 - You could have a stroke. - Nothing that could happen to me 350 00:15:27,348 --> 00:15:28,849 would be worse than losing my son. 351 00:15:30,225 --> 00:15:31,393 Ryan was two when we met. 352 00:15:31,477 --> 00:15:35,397 You can't really explain, "This is Daddy's boyfriend," to a two-year-old. 353 00:15:35,481 --> 00:15:38,692 I was just a man who was around sometimes and gave him snacks. 354 00:15:40,361 --> 00:15:44,073 But one night the power went out and Ryan panicked 355 00:15:44,156 --> 00:15:48,535 and ran into my arms, and I realized he trusted me. 356 00:15:49,703 --> 00:15:50,788 He felt safe with me. 357 00:15:51,789 --> 00:15:54,333 I couldn't tell you when it happened or how, but... 358 00:15:56,377 --> 00:15:57,419 I was his dad. 359 00:15:59,338 --> 00:16:01,715 I've felt helpless watching him suffer. 360 00:16:02,216 --> 00:16:04,969 If I can take that away, you're giving me the greatest gift. 361 00:16:09,139 --> 00:16:10,975 Well, he's lucky to have you both. 362 00:16:11,058 --> 00:16:13,060 I'll let the team know we're good to go. All right? 363 00:16:14,520 --> 00:16:15,521 Okay. 364 00:16:24,154 --> 00:16:26,490 Hey, I need to give you a heads-up. 365 00:16:26,573 --> 00:16:28,534 If it's that I'm working with the boyfriend you cheated on, 366 00:16:28,617 --> 00:16:30,911 - you're too late. - I... I didn't cheat. 367 00:16:30,995 --> 00:16:32,913 We were broken up then and now. 368 00:16:32,997 --> 00:16:34,957 Yeah, well, he's acting like the two of you are married, 369 00:16:35,040 --> 00:16:37,668 - and that he walked in on us at the bar. - We agreed that never happened. 370 00:16:37,751 --> 00:16:39,211 Yeah, well, he didn't, and he's pretty pissed 371 00:16:39,294 --> 00:16:40,671 for somebody who you're not with, so... 372 00:16:40,754 --> 00:16:42,548 Wes, it's over. 373 00:16:42,631 --> 00:16:43,674 I swear. 374 00:16:45,009 --> 00:16:47,052 - That guy's a piece of work. - Hey, where are you going? 375 00:16:47,136 --> 00:16:49,430 I'm gonna go tell him I'm done putting up with his crap. 376 00:16:51,181 --> 00:16:54,184 [hip-hop music playing over earbuds] 377 00:16:54,935 --> 00:16:56,812 [announcer over PA] Dr. Reeves to pediatrics. 378 00:16:56,895 --> 00:16:58,981 Dr. Carol Reeves to pediatrics. 379 00:17:01,567 --> 00:17:02,818 [sighs] 380 00:17:04,778 --> 00:17:05,988 - Um... - Oh. 381 00:17:06,071 --> 00:17:07,364 [both chuckle] 382 00:17:08,115 --> 00:17:11,285 Sorry. I... I didn't mean to creep up on you. 383 00:17:11,368 --> 00:17:13,746 Oh, it's all right. I was getting in the zone. 384 00:17:14,246 --> 00:17:17,166 Do you always blast music before your surgeries? 385 00:17:17,875 --> 00:17:19,918 I used to, yeah. 386 00:17:20,419 --> 00:17:23,005 Now I just kind of save it for the scary ones. 387 00:17:24,590 --> 00:17:25,841 You're nervous? 388 00:17:27,426 --> 00:17:31,096 You know we're doing a living-donor lung transplant today, right? 389 00:17:31,180 --> 00:17:34,183 Yeah, but you built a new aorta. You can do anything. 390 00:17:34,266 --> 00:17:37,436 That was a little luck and a lot of Dr. Altman. [chuckles] 391 00:17:38,145 --> 00:17:39,521 Do you really feel that way? 392 00:17:39,605 --> 00:17:42,066 I know I'm good at my job. I'm not fishing for compliments. 393 00:17:43,776 --> 00:17:47,654 But when you sign on to a risky surgery that you've never done before, 394 00:17:48,947 --> 00:17:53,118 you don't really know if you have what it takes until you succeed or fail. 395 00:17:53,827 --> 00:17:56,163 Yeah, I just... I don't want to fail today. 396 00:17:57,289 --> 00:17:58,624 You're a terrible surgeon. 397 00:17:58,707 --> 00:18:01,502 [chuckling] Okay, thank you for that vote of confidence. 398 00:18:01,585 --> 00:18:02,836 You didn't let me finish. 399 00:18:02,920 --> 00:18:04,671 [chuckles] Do I want to? 400 00:18:04,755 --> 00:18:07,758 You don't have a god complex like every other surgeon. 401 00:18:07,841 --> 00:18:09,176 Myself included. 402 00:18:09,259 --> 00:18:11,929 You know your limits, and you don't push it. 403 00:18:12,513 --> 00:18:16,683 You hit a wall, you go around it. And that's why you won't fail. 404 00:18:17,392 --> 00:18:19,561 You're not in this to prove something. You're... 405 00:18:19,645 --> 00:18:21,730 You're just trying to be a good doctor. 406 00:18:23,774 --> 00:18:26,068 - That did get better. [chuckles] - Mmm. 407 00:18:28,737 --> 00:18:29,738 I hope you're right. 408 00:18:30,864 --> 00:18:31,865 [Ndugu sighs] 409 00:18:31,949 --> 00:18:35,702 The reality is, is that no one can tell you whether or not to be together. 410 00:18:35,786 --> 00:18:37,621 That is between you two. 411 00:18:38,288 --> 00:18:39,289 Where's your intern? 412 00:18:39,790 --> 00:18:41,875 I don't know. I've paged him twice. 413 00:18:41,959 --> 00:18:44,128 Hey, we need to get straight on something. I never knew... 414 00:18:44,711 --> 00:18:46,630 - There he is. - [Katie] Okay, yeah, I gotta go. 415 00:18:46,713 --> 00:18:49,633 We will talk in our session next week. All right, buh-bye. 416 00:18:49,716 --> 00:18:51,969 I am so sorry. Client emergency. 417 00:18:52,052 --> 00:18:53,971 Hope they work things out. 418 00:18:54,054 --> 00:18:58,350 Well, honestly, they should call it, but they can't quit one another, so... 419 00:18:58,433 --> 00:19:00,102 How are my scans? 420 00:19:00,894 --> 00:19:02,521 They show bleeding in the spleen. 421 00:19:02,604 --> 00:19:04,356 That was the fluid we saw in the ultrasound. 422 00:19:04,940 --> 00:19:07,860 Is there a spleen Band-Aid for that? [chuckles] 423 00:19:07,943 --> 00:19:10,654 Unfortunately, no, we will have to remove it surgically. 424 00:19:12,072 --> 00:19:15,325 What about chemo? Is this gonna interrupt my treatment schedule, or... 425 00:19:15,409 --> 00:19:16,451 You see my face? 426 00:19:18,787 --> 00:19:20,122 - You're not worried. - No, 427 00:19:20,205 --> 00:19:23,417 but I will be if you don't let us remove your spleen. 428 00:19:24,209 --> 00:19:27,546 Okay, yeah, I was really hoping chemo and I would work out. 429 00:19:27,629 --> 00:19:30,299 Yeah, me too, but let's take care of this first. 430 00:19:34,386 --> 00:19:36,597 [Grey] Okay, there's a lot of moving pieces today, 431 00:19:36,680 --> 00:19:38,390 so let's go over the plan one more time. 432 00:19:38,473 --> 00:19:41,685 [Marsh] Ndugu, Griffith and Millin will be here on Team Ryan. 433 00:19:41,768 --> 00:19:45,189 Once they've prepped him for the grafts, Dr. Grey and I will open Vivek. 434 00:19:45,272 --> 00:19:47,482 As we prep the right lobe, Dr. Webber and Dr. Warren 435 00:19:47,566 --> 00:19:49,359 will procure Steven's left lobe. 436 00:19:49,443 --> 00:19:52,112 We'll all meet back here at the end. Any questions? 437 00:19:52,905 --> 00:19:55,032 - I'm ready. Let's go. - Okay. 438 00:19:55,115 --> 00:19:56,366 [Webber] Good luck, everybody. 439 00:20:04,374 --> 00:20:06,418 [exhales] Scalpel. 440 00:20:15,886 --> 00:20:20,349 A virtual personal assistant in the car? Now, that's a car you can live in. 441 00:20:20,432 --> 00:20:22,893 Stop talking about how much you love this car. 442 00:20:22,976 --> 00:20:24,645 You've got to, like, you know... Just play it cool. 443 00:20:24,728 --> 00:20:27,981 I can do that. I can be cool. Look how cool I'm being right now. 444 00:20:28,523 --> 00:20:30,567 All right, you know what? Let me do the talking. 445 00:20:31,485 --> 00:20:32,653 - Here you are. - Thank you. 446 00:20:33,654 --> 00:20:37,324 Jo, what are you thinking? Ready to move forward? 447 00:20:37,407 --> 00:20:41,286 Definitely. It has everything we need. The three rows are just so... 448 00:20:42,120 --> 00:20:45,999 But there are factors that I'm factoring in. 449 00:20:46,083 --> 00:20:49,211 [clears throat] Let's talk brass tacks. What's your bottom line? 450 00:20:50,504 --> 00:20:54,299 My manager says I can give you a $1,000 credit. 451 00:20:55,175 --> 00:20:56,468 How... 452 00:20:57,928 --> 00:20:59,263 does this look to you? 453 00:21:01,640 --> 00:21:03,767 We both know you can do better than this. 454 00:21:04,351 --> 00:21:06,270 - Jo is a loyal customer. - Very loyal. 455 00:21:06,353 --> 00:21:08,313 I mean, she's about to have twins. 456 00:21:08,397 --> 00:21:10,857 She can't take on this kind of car payment. 457 00:21:10,941 --> 00:21:12,859 I don't know your financial situation, 458 00:21:12,943 --> 00:21:16,780 but I can tell you, people grossly underbudget for cars. 459 00:21:16,863 --> 00:21:18,115 They think it's just rubber and metal, 460 00:21:18,198 --> 00:21:21,702 and it's not worth the hard-earned money, but this isn't just a car. 461 00:21:21,785 --> 00:21:23,745 This is your children's lives. 462 00:21:24,621 --> 00:21:25,956 It's their memories. 463 00:21:26,039 --> 00:21:27,582 Family road trips. 464 00:21:28,166 --> 00:21:31,670 Neighborhood carpool, driving to soccer games... 465 00:21:31,753 --> 00:21:33,297 Your kids are gonna grow up in this car. 466 00:21:34,548 --> 00:21:37,676 That's worth something, no? 467 00:21:38,677 --> 00:21:41,430 I'm sorry, um... [clears throat] I just... I need a minute. 468 00:21:42,014 --> 00:21:46,268 Uh, she's a surgeon. That's probably a very important call. 469 00:21:46,351 --> 00:21:47,519 I'll be right back. Sorry. 470 00:21:50,355 --> 00:21:52,441 [sighs, breathes shakily] 471 00:21:54,067 --> 00:21:55,068 [sighs] 472 00:22:02,451 --> 00:22:03,452 [sobs] 473 00:22:06,246 --> 00:22:08,332 [crying] 474 00:22:12,002 --> 00:22:13,170 [sniffles, breathes shakily] 475 00:22:13,879 --> 00:22:14,963 Ugh. 476 00:22:16,173 --> 00:22:17,549 [whispers] Hey, what's happening? 477 00:22:18,300 --> 00:22:22,220 Is this a negotiating tactic? Wow. You are so good. 478 00:22:22,304 --> 00:22:24,139 We never took a family road trip. 479 00:22:24,222 --> 00:22:28,393 I mean, we wanted to go to Alaska with the kids, but we just kept pushing it off. 480 00:22:29,770 --> 00:22:30,771 You could still go. 481 00:22:30,854 --> 00:22:33,815 But not as a whole family. 482 00:22:37,444 --> 00:22:38,987 Owen and I are getting a divorce. 483 00:22:39,071 --> 00:22:40,280 Oh, Teddy, I... 484 00:22:42,032 --> 00:22:43,700 I am so sorry. 485 00:22:43,784 --> 00:22:45,952 No, it was my choice, but it's just... 486 00:22:47,621 --> 00:22:49,706 Now the kids will never have that memory. 487 00:22:50,707 --> 00:22:55,504 Instead they're bumping into Cass Beckman and eating strange pizza without me. 488 00:22:58,048 --> 00:23:01,343 Well, what good are family memories with a miserable mom? 489 00:23:02,636 --> 00:23:04,721 Your kids deserve the best version of you. 490 00:23:04,805 --> 00:23:06,640 But I'm not. I'm n... [cries] 491 00:23:06,723 --> 00:23:09,393 I'm not the best version of me. 492 00:23:09,476 --> 00:23:13,647 This morning, I was crying in the shower just thinking about selling the house and... 493 00:23:14,314 --> 00:23:18,902 and tonight, Owen is gonna be with the kids while I'm in a hotel room 494 00:23:18,985 --> 00:23:24,157 eating room service and watching dumb reality TV. 495 00:23:27,202 --> 00:23:29,996 That doesn't sound so bad. [chuckles] 496 00:23:32,332 --> 00:23:35,627 Well, it kind of loses its luster after three nights in one week. 497 00:23:39,923 --> 00:23:42,342 I've been divorced. 498 00:23:43,385 --> 00:23:47,055 It's not like flipping a switch. 499 00:23:47,139 --> 00:23:49,433 It takes time to find your footing. 500 00:23:49,516 --> 00:23:51,393 But when you do, it is so worth it. 501 00:23:52,686 --> 00:23:55,689 I'm happier now than I have ever been. 502 00:23:56,940 --> 00:23:59,484 I don't know what makes me happy anymore. 503 00:23:59,568 --> 00:24:02,863 Well, you don't have to transform your life overnight. 504 00:24:03,572 --> 00:24:05,073 Start small. 505 00:24:05,740 --> 00:24:11,997 Put yourself first for once and then find one tiny moment of joy. 506 00:24:19,212 --> 00:24:20,380 [Webber sighs] 507 00:24:23,133 --> 00:24:24,426 Any word from Marsh? 508 00:24:24,509 --> 00:24:25,552 Not yet. 509 00:24:26,636 --> 00:24:28,805 You know, you could have held off on scrubbing in. 510 00:24:28,889 --> 00:24:33,143 Yeah, I'd rather get the patient prepped. Don't want to be the hold up. [sighs] 511 00:24:33,226 --> 00:24:34,269 [phone chimes] 512 00:24:34,352 --> 00:24:36,438 See? That him? 513 00:24:36,521 --> 00:24:38,773 - [water running] - Uh, no, that's yours. 514 00:24:39,441 --> 00:24:42,110 Really? Um, do you mind? 515 00:24:46,698 --> 00:24:49,242 "Follett lost her phone. If you need her, text Barnes." 516 00:24:49,326 --> 00:24:50,994 [sighs] Yeah. 517 00:24:51,077 --> 00:24:53,455 - [phone chimes] - [Warren] Um... 518 00:24:54,080 --> 00:24:55,290 [clears throat] 519 00:24:55,373 --> 00:24:58,418 "Fukushima's great aunt passed. She'd like next weekend off." 520 00:24:58,502 --> 00:24:59,669 Whole weekend for a great aunt? 521 00:25:00,670 --> 00:25:02,839 - I mean, I'm sorry for her loss... - [phone chimes] 522 00:25:04,257 --> 00:25:05,800 - [sighs] - You want me to check? 523 00:25:05,884 --> 00:25:07,177 I want you to make it stop. 524 00:25:07,260 --> 00:25:08,512 Well, that I can do. 525 00:25:09,429 --> 00:25:11,139 - Silent. - [chuckles] 526 00:25:11,223 --> 00:25:13,099 You know that doesn't make the work go away, right? 527 00:25:13,183 --> 00:25:14,559 Chief to chief? 528 00:25:15,101 --> 00:25:17,229 It's called punting. 529 00:25:17,312 --> 00:25:18,897 [both chuckle] 530 00:25:20,607 --> 00:25:22,609 [monitor beeping steadily] 531 00:25:29,074 --> 00:25:31,076 [Adams] Did you do a post-op check on Alex Brokaw? 532 00:25:31,159 --> 00:25:33,828 [Bryant] She's on SBT. She should be ready to wake up soon 533 00:25:33,912 --> 00:25:35,288 and face reality, unlike other people. 534 00:25:35,372 --> 00:25:36,873 What the hell is that supposed to mean? 535 00:25:36,957 --> 00:25:40,001 I talked to Griffith. She said you guys were over then and now. Her words. 536 00:25:40,085 --> 00:25:41,253 I'm not talking about this with you. 537 00:25:41,336 --> 00:25:43,338 And I'm not gonna let your bruised little ego ruin my career. 538 00:25:43,421 --> 00:25:45,840 I don't need to get in your way. You can ruin it all on your own. 539 00:25:45,924 --> 00:25:46,925 [Bailey] Ready to go? 540 00:25:47,425 --> 00:25:49,302 Katie deserves all our focus. 541 00:25:50,804 --> 00:25:52,305 [Bryant sighs] 542 00:26:03,441 --> 00:26:06,069 [Grey] Is Bailey worried about soccer tryouts? 543 00:26:06,903 --> 00:26:08,238 Is he fighting with a friend? 544 00:26:08,822 --> 00:26:10,490 - Is it guy stuff? - Meredith. 545 00:26:11,116 --> 00:26:13,076 Okay, I'm just asking. 546 00:26:13,577 --> 00:26:15,412 Uh, Ryan is on bypass and he's stable. 547 00:26:15,495 --> 00:26:17,330 Thanks, Dr. Millin. Let us know if there's any changes. 548 00:26:18,540 --> 00:26:21,918 - Okay, here we go. - [Marsh] Okay, scalpel. 549 00:26:22,002 --> 00:26:24,212 We need to move quickly and efficiently. 550 00:26:24,296 --> 00:26:26,256 Wait, he's febrile. 551 00:26:27,048 --> 00:26:28,800 - [Grey] 102.1. - [Marsh sighs] 552 00:26:28,883 --> 00:26:31,177 What was his white blood cell count from this morning? 553 00:26:31,261 --> 00:26:33,597 - 11.1. - Okay, it's borderline. 554 00:26:33,680 --> 00:26:36,182 We can't remove part of his lung if he's fighting an infection. 555 00:26:37,100 --> 00:26:39,394 Let's reset the probe and recheck his temp, please. 556 00:26:40,395 --> 00:26:42,939 Well, it's not gonna matter if his white count is borderline. 557 00:26:43,023 --> 00:26:44,482 Ryan is running out of time. 558 00:26:44,566 --> 00:26:46,276 Vivek would want us to do everything we can. 559 00:26:46,359 --> 00:26:48,028 Recheck the temp again, please. 560 00:26:48,528 --> 00:26:50,113 Still 102.1. 561 00:26:50,196 --> 00:26:51,364 [sighs deeply] 562 00:26:51,448 --> 00:26:53,033 We should postpone for a few days. 563 00:26:53,116 --> 00:26:55,702 Let's hope Ryan has a few days. Surgery's off. Get him out of here. 564 00:27:06,087 --> 00:27:09,007 - She just needs a minute. - I thought the car was for you. 565 00:27:09,591 --> 00:27:13,595 It is, yeah. It's for me and my kids. 566 00:27:16,222 --> 00:27:17,515 Um... 567 00:27:18,266 --> 00:27:20,310 - Do you have kids? - No. 568 00:27:20,894 --> 00:27:22,771 - Right. - Back to the car. 569 00:27:22,854 --> 00:27:24,397 - I thought you liked it. - I loved it. 570 00:27:24,481 --> 00:27:27,400 I... uh, I think it's fine. 571 00:27:27,484 --> 00:27:29,819 I wish the price was more negotiable, but... 572 00:27:29,903 --> 00:27:31,905 All right, Dan. Can I call you Dan? 573 00:27:32,530 --> 00:27:34,157 Uh, I prefer Daniel. 574 00:27:34,240 --> 00:27:37,452 We are busy people, Dan, and I'm sure that you've got a lot going on too. 575 00:27:37,535 --> 00:27:38,912 So, let's make this quick. 576 00:27:38,995 --> 00:27:41,289 She wants this car, but she also wants 577 00:27:41,373 --> 00:27:43,500 to be able to pay for college someday for her kids. 578 00:27:43,583 --> 00:27:47,921 So if you want the sale, we will take the car at MSRP, 579 00:27:48,004 --> 00:27:51,424 no market adjustment fee, no preparation fee, 580 00:27:51,508 --> 00:27:54,511 and, uh, we're declining the extended warranty. 581 00:27:55,095 --> 00:27:58,264 I-I'm only authorized to take the price down $1,500. 582 00:27:58,348 --> 00:28:01,351 An hour ago that was 1,000, so you can see why I'm skeptical. 583 00:28:03,812 --> 00:28:07,315 Like I said, everybody wants this car. 584 00:28:07,399 --> 00:28:09,609 Well, then you're just gonna have to sell it to one of them. 585 00:28:09,693 --> 00:28:11,945 Thank you so much for your time. 586 00:28:12,445 --> 00:28:14,906 - Uh, I'm sorry. - [mouths words] 587 00:28:15,740 --> 00:28:17,575 - What are you doing? - I am finding my joy. 588 00:28:17,659 --> 00:28:19,160 I-I-I can run the numbers again. 589 00:28:20,161 --> 00:28:21,996 Maybe there's a compromise. 590 00:28:22,497 --> 00:28:23,915 We're listening. 591 00:28:28,044 --> 00:28:29,045 [Kwan] You paged? 592 00:28:30,130 --> 00:28:31,756 Mr. Lee's developed a hematoma. 593 00:28:31,840 --> 00:28:34,926 I need you to book an OR so we can drain and evaluate the skin graft. 594 00:28:35,009 --> 00:28:37,137 - Another surgery? - Dr. Kwan will get you prepped. 595 00:28:37,679 --> 00:28:39,222 Wait, we're taking him now? 596 00:28:39,305 --> 00:28:41,641 We have to control the bleeders ASAP. You have a problem with that? 597 00:28:41,725 --> 00:28:42,809 He just ate lunch. 598 00:28:43,435 --> 00:28:45,520 He's NPO. He can't have anything. 599 00:28:46,688 --> 00:28:48,356 - Who lifted the order? - I did. 600 00:28:48,440 --> 00:28:50,275 His surgery was done. It'd been hours. 601 00:28:50,358 --> 00:28:52,694 He's on warfarin, which made him a risk for a rebleed. 602 00:28:52,777 --> 00:28:57,031 That's why the NPO wasn't lifted. You'd have known if you'd bothered to ask. 603 00:28:57,699 --> 00:29:00,243 Call anesthesia and see what they're comfortable with. 604 00:29:00,326 --> 00:29:01,745 This could be a long night. 605 00:29:04,831 --> 00:29:06,750 [Ndugu] All right, this is the worst-case scenario. 606 00:29:06,833 --> 00:29:08,752 - [Marsh] I know. - I got Ryan off ECMO, 607 00:29:08,835 --> 00:29:10,336 got him intubated, put him on bypass, 608 00:29:10,420 --> 00:29:12,380 and now I got to get him off bypass and back on ECMO? 609 00:29:12,464 --> 00:29:14,132 I told Webber the surgery's off. 610 00:29:14,215 --> 00:29:16,217 Okay. Look, we'll push it a few days. 611 00:29:16,301 --> 00:29:17,510 You suggested it yourself earlier... 612 00:29:17,594 --> 00:29:20,764 That was before we took him off ECMO. Ryan is six years old. 613 00:29:21,431 --> 00:29:24,100 Six. His lungs can't handle the back and forth. He's too small. 614 00:29:26,311 --> 00:29:28,521 What if he could live with one lobe instead of two? 615 00:29:28,605 --> 00:29:32,150 Well, his heart could fail if he only has lung tissue on one side. 616 00:29:32,233 --> 00:29:35,278 Are you thinking we split Steven's right lower lobe into two? 617 00:29:35,361 --> 00:29:37,238 Isn't that what you do with livers? 618 00:29:37,322 --> 00:29:39,616 - This isn't the same. - Yeah, but could you do it? 619 00:29:39,699 --> 00:29:42,869 I mean, is it possible without destroying the remaining lobe segments? 620 00:29:48,708 --> 00:29:50,710 Uh, hold on. Um... 621 00:29:53,046 --> 00:29:56,758 Yeah, well, the ratio would have to be less than 200%. 622 00:30:07,352 --> 00:30:08,561 Yeah, the math checks out. 623 00:30:08,645 --> 00:30:10,980 So, then I should tell Webber the surgery's back on? 624 00:30:11,064 --> 00:30:13,399 No, no. 'Cause that doesn't mean that I can pull it off. 625 00:30:13,483 --> 00:30:16,236 The-the orientation of the vasculature would be reversed. 626 00:30:19,447 --> 00:30:23,117 So, if we split the lobe into two halves, 627 00:30:23,201 --> 00:30:25,370 then the right side would fit into the right side 628 00:30:25,453 --> 00:30:28,498 of his chest cavity without a problem, but for the left, 629 00:30:29,082 --> 00:30:33,670 we would need to invert it to match the anastomosis. 630 00:30:33,753 --> 00:30:34,754 And that could work? 631 00:30:37,382 --> 00:30:38,466 Yeah, that could work. 632 00:30:38,550 --> 00:30:39,968 - Let's try it. - Okay, great. 633 00:30:40,051 --> 00:30:41,386 - Let's go. - [Ndugu] Okay. 634 00:30:45,473 --> 00:30:47,350 [Bailey] Dissection looks good. 635 00:30:47,433 --> 00:30:49,060 Her spleen is almost free. 636 00:30:49,727 --> 00:30:51,604 I lost visualization. 637 00:30:52,814 --> 00:30:54,691 [Bryant] You can just tell me when you want me to move it. 638 00:30:54,774 --> 00:30:56,150 [Adams] That was easier. 639 00:30:56,234 --> 00:31:00,363 [clears throat] Uh, how about walking your intern through the next steps? 640 00:31:01,197 --> 00:31:05,076 [Adams] First, we identify the splenic artery in the veins. 641 00:31:05,159 --> 00:31:09,289 Then we clamp and divide them to free up the spleen to send to path. 642 00:31:09,372 --> 00:31:12,250 Then we ligate the vessels. Ready for specimen. 643 00:31:13,626 --> 00:31:15,420 That's your cue to hand me the Metz. 644 00:31:19,382 --> 00:31:20,592 Right. 645 00:31:22,927 --> 00:31:24,512 Okay. 646 00:31:29,976 --> 00:31:32,729 [Bailey] Okay. Make sure you have good hemostasis. 647 00:31:33,479 --> 00:31:34,939 [Adams] Suction is clogged. 648 00:31:35,023 --> 00:31:36,774 [Bailey] Use some saline to clear the line. 649 00:31:45,116 --> 00:31:50,955 Hang on. Bryant, will you take the spleen to path and put in a stat order for me? 650 00:31:51,039 --> 00:31:52,498 - Got it. - Mm-hmm. 651 00:31:53,416 --> 00:31:54,417 [Bailey clears throat] 652 00:31:55,209 --> 00:31:57,253 I'll take that and 2-0 silk, please. 653 00:31:57,337 --> 00:31:59,047 - I'm not done. - You are now. 654 00:32:01,299 --> 00:32:02,675 Take over the retractor. 655 00:32:13,436 --> 00:32:16,439 [♪ "Where Is My Mind?" playing] 656 00:33:56,205 --> 00:33:58,249 [exhales deeply] 657 00:34:05,089 --> 00:34:08,259 Good job, everyone. We did it. We saved a family today. 658 00:34:15,308 --> 00:34:18,686 [Bailey] Good hemostasis in the stump. All right. 659 00:34:18,770 --> 00:34:22,565 So let's pack her and check the other quadrants before we close. 660 00:34:23,399 --> 00:34:24,567 Lap pads? 661 00:34:27,445 --> 00:34:31,657 I don't know what is going on with you and Bryant, but it has to stop. 662 00:34:31,741 --> 00:34:32,742 [Adams] Dr. Bailey... 663 00:34:32,825 --> 00:34:37,872 What I do know is that you've already been kicked out of an OR once this month, 664 00:34:37,955 --> 00:34:41,542 and whatever it is has been impacting and affecting patients, 665 00:34:41,626 --> 00:34:45,922 including this poor woman, who sure as hell has been through enough. 666 00:34:46,005 --> 00:34:48,091 I can't have it. Am I clear? 667 00:34:48,174 --> 00:34:50,218 - Yes, but... - Am I clear? 668 00:34:50,301 --> 00:34:51,552 It's Katie's liver. 669 00:34:51,636 --> 00:34:53,346 Do these look like tumors? 670 00:34:58,935 --> 00:35:00,228 Oh, no. 671 00:35:07,110 --> 00:35:08,111 [♪ song ends] 672 00:35:14,200 --> 00:35:15,493 [Wilson] You sure you don't want a ride? 673 00:35:16,202 --> 00:35:17,370 I could use the air. 674 00:35:17,453 --> 00:35:21,082 Well, thank you, again, and it does get better, Teddy. 675 00:35:21,165 --> 00:35:23,835 You just have to give yourself permission to feel happy again. 676 00:35:24,418 --> 00:35:26,546 [♪ "Stay With You" playing] 677 00:35:29,549 --> 00:35:31,592 Is there anything else I can do for you? 678 00:35:46,899 --> 00:35:48,067 How are you feeling? 679 00:35:49,318 --> 00:35:51,821 [chuckles] Tired. A little weak. 680 00:35:51,904 --> 00:35:54,448 That makes sense. You have an infection. 681 00:35:55,116 --> 00:35:57,952 You spiked a fever in the OR, and we weren't able to take your lobe. 682 00:35:58,035 --> 00:35:59,120 What about Ryan? 683 00:35:59,203 --> 00:36:00,204 He's doing great. 684 00:36:00,288 --> 00:36:02,707 We were able to make two lungs from your husband's one lobe. 685 00:36:03,291 --> 00:36:05,251 - He's gonna be okay? - Mm-hmm. 686 00:36:06,460 --> 00:36:08,629 [sighs] Thank you. 687 00:36:10,089 --> 00:36:11,465 Thank you for saving my son. 688 00:36:16,262 --> 00:36:18,389 [Adams] Did you put in an order for the post-op labs? 689 00:36:18,472 --> 00:36:19,932 Yep, for first thing in the morning. 690 00:36:20,433 --> 00:36:21,642 We should get a set now. 691 00:36:21,726 --> 00:36:23,769 Okay. Sorry, I can do that right now. 692 00:36:25,354 --> 00:36:28,900 Look, I only ask 'cause I got it wrong my first time. 693 00:36:36,657 --> 00:36:38,784 [Bailey] Ah. Look who's back. 694 00:36:40,453 --> 00:36:41,454 [Katie] How'd it go? 695 00:36:41,537 --> 00:36:44,665 Was my spleen okay? Did you tell her it wasn't her, it was me? 696 00:36:44,749 --> 00:36:47,126 The operation went smoothly. 697 00:36:47,710 --> 00:36:49,712 And, um, when can I get back to work? 698 00:36:49,795 --> 00:36:51,547 Well, you've still got to rest for a few days. 699 00:36:51,631 --> 00:36:53,216 [Bryant] Hopefully your clients will understand. 700 00:36:53,299 --> 00:36:54,300 [Katie] Thank you. 701 00:36:54,383 --> 00:36:55,593 This morning was pretty scary, 702 00:36:55,676 --> 00:36:57,762 and I was kind of freaked out by the whole spleen thing, 703 00:36:57,845 --> 00:37:00,097 but I'm grateful that you guys were able to fix it, 704 00:37:00,181 --> 00:37:04,018 and I can get back to cancer treatment. 705 00:37:05,269 --> 00:37:09,273 Oh, don't worry. I know, it's one day at a time. 706 00:37:15,321 --> 00:37:16,322 What's wrong? 707 00:37:16,906 --> 00:37:18,074 Hmm. 708 00:37:18,157 --> 00:37:21,244 So, while we were operating, 709 00:37:21,327 --> 00:37:27,041 we found areas on your liver that are concerning for metastasis. 710 00:37:27,833 --> 00:37:29,001 The cancer's spreading. 711 00:37:31,212 --> 00:37:35,383 I thought Dr. Sugihara, he said that the chemo was working. 712 00:37:36,968 --> 00:37:38,052 How bad is it? 713 00:37:38,135 --> 00:37:41,639 [Bailey] Well, okay, we won't know until we get the biopsy results, 714 00:37:41,722 --> 00:37:45,434 and we need new scans to restage you. 715 00:37:46,811 --> 00:37:48,229 If you had to guess... 716 00:37:51,274 --> 00:37:52,275 Never mind. 717 00:37:52,358 --> 00:37:54,235 I can see it on your face. 718 00:37:54,777 --> 00:37:56,195 You're worried. 719 00:37:57,780 --> 00:38:00,616 It's over, isn't it? 720 00:38:04,078 --> 00:38:05,079 No. 721 00:38:05,663 --> 00:38:09,000 As long as you're still here, nothing's over. 722 00:38:09,625 --> 00:38:11,252 He is right. 723 00:38:12,545 --> 00:38:15,381 Get some rest and we'll talk more tomorrow. 724 00:38:15,464 --> 00:38:16,465 [mouths] Okay? 725 00:38:27,226 --> 00:38:28,477 [♪ song ends] 726 00:38:30,604 --> 00:38:33,024 Anesthesia said Ray should be ready by 9:30. 727 00:38:33,107 --> 00:38:34,608 Great. 728 00:38:36,193 --> 00:38:37,194 Your noodles look great. 729 00:38:38,988 --> 00:38:41,365 I'm supposed to be on a date at Nicoletti's right now. 730 00:38:44,910 --> 00:38:48,414 Hey, uh, look, I think we got off on the wrong foot. 731 00:38:48,497 --> 00:38:51,083 And I admit it was totally my fault, and I'm sorry. 732 00:38:51,167 --> 00:38:54,587 But aside from the occasional social faux pas, I'm a pretty great resident. 733 00:38:54,670 --> 00:38:56,797 I'm highly skilled, I'm good at taking direction, 734 00:38:56,881 --> 00:38:59,842 and I'm very interested in a plastic specialty. 735 00:38:59,925 --> 00:39:04,221 Tell me what I need to do to have another chance to impress you, and I will do it. 736 00:39:04,305 --> 00:39:06,223 - Anything at all. - Stop talking. 737 00:39:10,811 --> 00:39:11,937 Copy that. 738 00:39:17,735 --> 00:39:18,944 I'm in. 739 00:39:19,028 --> 00:39:21,530 - In what? - The-the pact. I'm in. 740 00:39:23,908 --> 00:39:25,534 I thought you didn't need the pact. 741 00:39:25,618 --> 00:39:27,453 Just, you know, being proactive. 742 00:39:27,536 --> 00:39:28,537 Can't hurt. 743 00:39:29,246 --> 00:39:30,373 Ryan's off pressors. 744 00:39:30,456 --> 00:39:32,833 We'll be able to wean him off ECMO in the next 48 hours. 745 00:39:32,917 --> 00:39:34,335 - He's doing great. - That's amazing. 746 00:39:34,418 --> 00:39:36,045 Can you do a post-op check on him before you go? 747 00:39:36,128 --> 00:39:37,588 - Of course. - [Ndugu] All right. 748 00:39:38,464 --> 00:39:40,257 - Oh, uh, Millin. - Hmm? 749 00:39:40,341 --> 00:39:41,342 Thanks for the pep talk. 750 00:39:42,093 --> 00:39:43,302 Anytime. 751 00:39:46,972 --> 00:39:48,182 What pep talk? 752 00:39:48,974 --> 00:39:49,975 It was nothing. 753 00:39:50,059 --> 00:39:51,435 I'm gonna go check on Ryan. 754 00:39:53,145 --> 00:39:55,648 [Grey] Anything can be a race against the clock if you let it. 755 00:39:57,108 --> 00:39:59,777 Waiting for a promotion, having a child, 756 00:40:00,403 --> 00:40:02,613 eating the last yogurt in your refrigerator. 757 00:40:03,656 --> 00:40:04,990 [Warren] Oh. 758 00:40:05,908 --> 00:40:07,118 Hey, you... 759 00:40:08,327 --> 00:40:09,578 You okay? 760 00:40:09,662 --> 00:40:13,999 I think my patient has terminal cancer, and she's 27. 761 00:40:14,875 --> 00:40:17,044 That's tough. I'm sorry. 762 00:40:18,754 --> 00:40:21,173 Um, you gonna be a while. 763 00:40:21,257 --> 00:40:23,926 [chuckles] Looks that way. 764 00:40:24,009 --> 00:40:25,511 [chuckling] 765 00:40:26,095 --> 00:40:28,597 - I will pick up Pru. Mwah. - [Warren sighs] 766 00:40:28,681 --> 00:40:30,224 [Bailey laughs] 767 00:40:30,307 --> 00:40:32,143 - Oh. - [laughs] T... 768 00:40:32,226 --> 00:40:34,687 Oh, and what brings you here? 769 00:40:34,770 --> 00:40:36,564 Dropping off some items to Warren. 770 00:40:36,647 --> 00:40:37,940 [sighs heavily] 771 00:40:38,023 --> 00:40:40,359 I'll see you at home. [chuckles] 772 00:40:41,819 --> 00:40:44,238 So what are those, intern payroll forms? 773 00:40:44,321 --> 00:40:45,781 [Webber] Insurance reimbursements. 774 00:40:45,865 --> 00:40:49,201 Aw. The chief resident has to do insurance too? 775 00:40:49,285 --> 00:40:51,787 No. Chief of surgery does. 776 00:40:52,371 --> 00:40:53,497 Oh. 777 00:40:53,998 --> 00:40:58,002 - Is your wife always right? - I find it's always easiest to assume yes. 778 00:40:58,085 --> 00:40:59,503 [chuckles] 779 00:40:59,587 --> 00:41:01,922 [Grey] Sometimes you really are running out of time. 780 00:41:02,756 --> 00:41:05,384 Most of the time, it's all in your head. 781 00:41:05,468 --> 00:41:08,804 - Hey. - Turns out Vivek had a sinus infection. 782 00:41:08,888 --> 00:41:10,139 - He's gonna be okay. - Ah. Good. 783 00:41:11,474 --> 00:41:13,517 Thank you for hanging in there with me today. 784 00:41:13,601 --> 00:41:15,478 You know I don't give up that easily. 785 00:41:15,561 --> 00:41:16,854 That's an understatement. 786 00:41:16,937 --> 00:41:18,898 And I don't need you to tell me what's going on with Bailey. 787 00:41:19,732 --> 00:41:21,942 What is this? Are you trying reverse psychology now? 788 00:41:22,026 --> 00:41:23,694 No, it is not. 789 00:41:23,777 --> 00:41:26,447 I think it's great that my kids trust you enough to share things with you. 790 00:41:26,530 --> 00:41:28,532 - You know I love those kids. - I know. 791 00:41:28,616 --> 00:41:30,075 - Come on. Let's go home. - Okay. 792 00:41:31,994 --> 00:41:34,246 [Grey] And when you let go of all that fear... 793 00:41:39,585 --> 00:41:40,586 [car chimes] 794 00:42:00,981 --> 00:42:02,483 Where are we going? 795 00:42:06,278 --> 00:42:08,572 [Grey] ...the possibilities are infinite.