1 00:00:04,625 --> 00:00:06,488 Meredith: Every time a surgeon operates, 2 00:00:06,489 --> 00:00:08,662 it's for the first time all over again. 3 00:00:08,663 --> 00:00:10,768 ♪ I'm feeling it now [ Sighs ] 4 00:00:10,769 --> 00:00:13,150 ♪ I rise above 5 00:00:13,151 --> 00:00:14,496 ♪ Nothing bringing me down 6 00:00:14,497 --> 00:00:16,325 Ohh! Wha-- What are you doing?! 7 00:00:16,326 --> 00:00:17,740 Huh? I'm hiding from James. 8 00:00:17,741 --> 00:00:19,121 I just saw his car pull up. 9 00:00:19,122 --> 00:00:20,260 I thought you liked him. 10 00:00:20,261 --> 00:00:21,434 I did. We had sex. 11 00:00:21,435 --> 00:00:22,745 Oh. Twice. 12 00:00:22,746 --> 00:00:26,163 And then I find his wedding album. To Ryan. 13 00:00:26,164 --> 00:00:28,027 I had sex with Ryan's husband. 14 00:00:28,028 --> 00:00:29,649 - How did I miss this? - This is not a problem. 15 00:00:29,650 --> 00:00:31,892 He is a man of God who cheats. 16 00:00:31,893 --> 00:00:34,551 I'm pregnant with twins.[ Gasps ] 17 00:00:35,587 --> 00:00:37,553 Hey. I-- I can see you! 18 00:00:37,554 --> 00:00:39,072 Can we talk? 19 00:00:39,073 --> 00:00:40,384 - Whoa! - Brought you tea! 20 00:00:40,385 --> 00:00:42,386 Oh. I can't hear you! 21 00:00:42,387 --> 00:00:44,112 Ask him if it's caffeinated. 22 00:00:44,113 --> 00:00:45,837 Fine. I'll get coffee from the cart. 23 00:00:45,838 --> 00:00:48,392 Look, I know this is a lot, but we'll figure it out. 24 00:00:48,393 --> 00:00:49,634 We're gonna get a night nurse. 25 00:00:49,635 --> 00:00:51,188 My mom can move in for a while. 26 00:00:51,189 --> 00:00:52,637 ♪ I'm moving up 27 00:00:52,638 --> 00:00:54,812 - Where are we going? - The other entrance. 28 00:00:54,813 --> 00:00:57,332 Even if you've done hundreds of kidney resections 29 00:00:57,333 --> 00:00:58,747 or heart transplants, 30 00:00:58,748 --> 00:01:00,542 you've never resected this kidney 31 00:01:00,543 --> 00:01:02,889 or transplanted this heart. 32 00:01:02,890 --> 00:01:04,856 Past experience usually helps, 33 00:01:04,857 --> 00:01:07,652 but for unique cases, you fake it first. 34 00:01:07,653 --> 00:01:09,033 No. Sorry. 35 00:01:09,034 --> 00:01:10,379 Then who are those for? 36 00:01:10,380 --> 00:01:12,001 Me. I'm going to put them in the fridge. 37 00:01:12,002 --> 00:01:13,348 I don't have time to come back here. 38 00:01:13,349 --> 00:01:14,728 Hope you made time for an EKG 39 00:01:14,729 --> 00:01:16,903 after consuming 400 milligrams of caffeine. 40 00:01:16,904 --> 00:01:18,905 I have taken two of Yasuda's shifts this week. 41 00:01:18,906 --> 00:01:21,528 Same. She and her sister really appreciate it. 42 00:01:21,529 --> 00:01:24,393 Well, not enough to share her mom's cookies she sent her. 43 00:01:24,394 --> 00:01:26,223 I'm just glad that Chloe seems to be recovering well. 44 00:01:26,224 --> 00:01:27,741 Woman: Excuse me. Have you registered to vote? 45 00:01:27,742 --> 00:01:29,502 - Already registered. - Yeah, me too. 46 00:01:29,503 --> 00:01:31,745 Same. Not my thing. 47 00:01:31,746 --> 00:01:34,403 You rehearse on replicas for hours on end, 48 00:01:34,404 --> 00:01:36,750 and hopefully when the real patient is on the table, 49 00:01:36,751 --> 00:01:38,200 you know what you're doing. 50 00:01:38,201 --> 00:01:40,409 Lots of people put sex on the calendar. 51 00:01:40,410 --> 00:01:42,273 Marsha: When you're juggling two busy schedules, 52 00:01:42,274 --> 00:01:44,896 it's perfectly normal to schedule intimacy. 53 00:01:44,897 --> 00:01:47,106 Okay. You schedule a haircut. [ Groans ] 54 00:01:47,107 --> 00:01:50,316 I do not want to have to schedule sex with my wife. 55 00:01:50,317 --> 00:01:52,421 Why do you think this bothers you? 56 00:01:52,422 --> 00:01:55,217 It feels like she's not trying to fix anything. 57 00:01:55,218 --> 00:01:56,770 You know? We are hemorrhaging, 58 00:01:56,771 --> 00:01:58,427 and she's just reaching for a Band-Aid. 59 00:01:58,428 --> 00:02:00,602 So if I don't want to fix our problems 60 00:02:00,603 --> 00:02:03,605 the same way that you do, that - means that I'm not trying? - No, no, no. 61 00:02:03,606 --> 00:02:04,951 Unfortunately, we have to stop for today, 62 00:02:04,952 --> 00:02:06,849 but I want you to see this through. 63 00:02:06,850 --> 00:02:09,369 Have scheduled sex this week and see how it feels. 64 00:02:09,370 --> 00:02:12,752 It might not be what you think. For either of you. 65 00:02:12,753 --> 00:02:16,618 Well, I guess I'll see you at 10:00 tomorrow night. 66 00:02:16,619 --> 00:02:20,208 Um, would this be a bad time to tell you 67 00:02:20,209 --> 00:02:22,142 that I have to reschedule? 68 00:02:24,558 --> 00:02:26,766 [ Knock on door ] 69 00:02:26,767 --> 00:02:28,975 Hey. Haven't seen you in a while. 70 00:02:28,976 --> 00:02:31,805 I know. Yeah. Sorry. It's been... busy. 71 00:02:31,806 --> 00:02:33,117 [ Both chuckle ] 72 00:02:33,118 --> 00:02:34,567 Been meaning to give this to you. Oh. 73 00:02:34,568 --> 00:02:36,501 Yeah. Left it at my place, so... 74 00:02:37,674 --> 00:02:39,503 Yeah. Oh! 75 00:02:39,504 --> 00:02:41,436 Mm-hmm. Ha-ha. Yeah. 76 00:02:41,437 --> 00:02:44,509 I guess you have been really busy. Because this is not mine. 77 00:02:46,580 --> 00:02:47,787 [ Stammers ] You sure? 78 00:02:47,788 --> 00:02:48,891 [ Laughs ] Yeah. 79 00:02:48,892 --> 00:02:50,307 It's a really nice color, though. 80 00:02:50,308 --> 00:02:51,377 She has good taste. 81 00:02:51,378 --> 00:02:53,102 Oh, my God. I'm so sorry. 82 00:02:53,103 --> 00:02:54,414 [ Door opens ] 83 00:02:54,415 --> 00:02:56,485 Hey. You needed a consult? 84 00:02:56,486 --> 00:02:58,211 Uh, I have a patient coming in 85 00:02:58,212 --> 00:03:00,040 from Friday Harbor with a head injury. 86 00:03:00,041 --> 00:03:02,836 The local hospital's sending in the scans. 87 00:03:02,837 --> 00:03:04,286 Should I come back? No. 88 00:03:04,287 --> 00:03:05,529 I was just leaving. 89 00:03:05,530 --> 00:03:07,462 I'm gonna go. 90 00:03:07,463 --> 00:03:10,844 Have the nurses page me when the scans are in. Heh. 91 00:03:10,845 --> 00:03:12,915 Hm. 92 00:03:12,916 --> 00:03:15,642 [ Door closes ][ Sighs ] 93 00:03:15,643 --> 00:03:17,817 Ben: Schmitt is with Dr. Beltran today, 94 00:03:17,818 --> 00:03:19,508 so I've got your assignments. 95 00:03:19,509 --> 00:03:22,511 Let's do a lineup. A lineup. 96 00:03:22,512 --> 00:03:25,204 It's something we did at the fire station to get the day started right. 97 00:03:25,205 --> 00:03:27,206 Discipline, organization. 98 00:03:27,207 --> 00:03:29,311 Or you can stay exactly where you are. That works, too. 99 00:03:29,312 --> 00:03:31,658 So, Yasuda's out on PTO today. 100 00:03:31,659 --> 00:03:34,523 But, Adams, you're with Schmitt on Beltran's service. 101 00:03:34,524 --> 00:03:36,353 Millin, you're with me and Ndugu. 102 00:03:36,354 --> 00:03:38,527 Griffith, with Lincoln. 103 00:03:38,528 --> 00:03:40,943 Um, you forgot someone. 104 00:03:40,944 --> 00:03:42,704 And you've forgotten your dictations. 105 00:03:42,705 --> 00:03:45,569 There are over 100 incomplete records with your name on it. 106 00:03:45,570 --> 00:03:48,192 Have fun staring at a computer all day playing catch-up. 107 00:03:48,193 --> 00:03:49,504 [ Groans ] 108 00:03:49,505 --> 00:03:50,988 Woman on P.A.: Orderly to 6 East. 109 00:03:50,989 --> 00:03:53,266 Any available orderly to 6 East. 110 00:03:53,267 --> 00:03:54,751 Are you lurking? 111 00:03:56,477 --> 00:03:58,064 Okay. Your-- 112 00:03:58,065 --> 00:04:01,032 Your evaluation forms were sent out today. 113 00:04:01,033 --> 00:04:02,862 I know. Ndugu will be the first one 114 00:04:02,863 --> 00:04:04,553 who will officially assess me. 115 00:04:04,554 --> 00:04:06,935 You know? How do you know?! 116 00:04:06,936 --> 00:04:10,421 Um, you left your laptop open on the kitchen counter today. 117 00:04:10,422 --> 00:04:12,423 Hey, hey, hey. You lurk, I snoop. 118 00:04:12,424 --> 00:04:16,255 Okay. Just-- Just-- Mnh. Just be yourself! 119 00:04:16,256 --> 00:04:18,395 I've never been to Friday Harbor. 120 00:04:18,396 --> 00:04:20,569 I went on a field trip in seventh grade. 121 00:04:20,570 --> 00:04:22,399 We picked apples. 122 00:04:22,400 --> 00:04:25,229 Hey. Today you are picking up Ofelia Lopez. 123 00:04:25,230 --> 00:04:27,404 She's 10 years old. She fell off a moving tractor. 124 00:04:27,405 --> 00:04:28,681 Her vitals are stable, but she's got 125 00:04:28,682 --> 00:04:30,338 a bad leg injury and a TBI, 126 00:04:30,339 --> 00:04:32,063 so she needs a higher level of care 127 00:04:32,064 --> 00:04:33,582 than her community hospital can provide. 128 00:04:33,583 --> 00:04:35,757 I would go myself, but I got a full patient roster. 129 00:04:35,758 --> 00:04:37,552 I don't mind getting out of the hospital. 130 00:04:37,553 --> 00:04:39,105 - It's a nice drive. - I'm sure it is. 131 00:04:39,106 --> 00:04:40,279 But you're taking a helicopter. 132 00:04:40,280 --> 00:04:41,901 No! Nice! 133 00:04:41,902 --> 00:04:43,937 Taking an ambulance would be more cost-efficient, 134 00:04:43,938 --> 00:04:45,767 m-more environmentally friendly. 135 00:04:45,768 --> 00:04:47,355 And it's not up in the sky. 136 00:04:47,356 --> 00:04:48,839 Update me when you arrive! 137 00:04:48,840 --> 00:04:50,737 ♪ 138 00:04:50,738 --> 00:04:52,083 [ Button clicks ] 139 00:04:52,084 --> 00:04:55,742 ♪ 140 00:04:55,743 --> 00:04:57,157 Morning, Mr. Riley. 141 00:04:57,158 --> 00:05:00,540 No, no. Left, right, left. 142 00:05:00,541 --> 00:05:03,302 The other left, Kenneth. Ugh. 143 00:05:03,303 --> 00:05:05,821 Instructions go in one ear and out the other 144 00:05:05,822 --> 00:05:07,167 with this kid. 145 00:05:07,168 --> 00:05:08,755 Maybe he's missing his director, huh? 146 00:05:08,756 --> 00:05:10,274 He's missing something, alright. 147 00:05:10,275 --> 00:05:11,931 [ Chuckles ] Go ahead. 148 00:05:11,932 --> 00:05:13,933 Uh, Darren Riley, 55, presented with 149 00:05:13,934 --> 00:05:16,176 antibiotic-resistant pneumonia with a concern 150 00:05:16,177 --> 00:05:18,455 for a rapidly progressing necrotizing infection. 151 00:05:18,456 --> 00:05:20,319 Was intubated but couldn't oxygenate 152 00:05:20,320 --> 00:05:22,148 despite maximal ventilation settings. 153 00:05:22,149 --> 00:05:24,806 Placed on VV ECMO and was extubated last night. 154 00:05:24,807 --> 00:05:26,601 Mr. Riley's X-rays from this morning. 155 00:05:26,602 --> 00:05:28,810 Left lung's completely whited out. 156 00:05:28,811 --> 00:05:30,708 Winston: Let's order him a CT with contrast. 157 00:05:30,709 --> 00:05:32,538 Mr. Riley, I'm gonna change your cannula dressing. 158 00:05:32,539 --> 00:05:34,091 Well, I can take care of that as soon as I place this order. 159 00:05:34,092 --> 00:05:35,817 We'll just meet you in radiology. 160 00:05:35,818 --> 00:05:38,337 That's not necessary. I want to help with transport anyway. 161 00:05:38,338 --> 00:05:39,476 Oh, but we can handle that. 162 00:05:39,477 --> 00:05:40,925 Moving a patient on ECMO can be tricky, 163 00:05:40,926 --> 00:05:43,307 so I'd like to be there for it. 164 00:05:43,308 --> 00:05:46,586 Okay. Uh, great. 165 00:05:46,587 --> 00:05:48,588 All risks and benefits were explained 166 00:05:48,589 --> 00:05:51,108 and patient agreed to sign informed consent... 167 00:05:51,109 --> 00:05:53,006 [ Groans ] Hey. Are you okay? 168 00:05:53,007 --> 00:05:55,526 Yeah. Yeah. Good. Must have slept funny. 169 00:05:55,527 --> 00:05:57,425 [ Chuckles ] 170 00:05:57,426 --> 00:06:01,705 The patient was taken to an operating room and placed... 171 00:06:01,706 --> 00:06:03,189 [ Zayne groans ] 172 00:06:03,190 --> 00:06:04,501 Hey. Are you sure you're okay? 173 00:06:04,502 --> 00:06:05,847 I could take a look if you want. 174 00:06:05,848 --> 00:06:07,470 [ Zayne grunting ] 175 00:06:09,921 --> 00:06:11,680 Someone get me a gurney! 176 00:06:11,681 --> 00:06:15,547 ♪ 177 00:06:26,455 --> 00:06:29,008 Mr. Wheeler, how are you feeling? 178 00:06:29,009 --> 00:06:30,389 Fit as a fiddle. Think I'm about ready to go home? 179 00:06:30,390 --> 00:06:31,873 Not quite yet. 180 00:06:31,874 --> 00:06:34,013 I saw some fluid building around your heart 181 00:06:34,014 --> 00:06:35,532 on this morning's echo. 182 00:06:35,533 --> 00:06:37,534 It's a common complication after heart surgery. 183 00:06:37,535 --> 00:06:39,363 We might have to do a procedure to drain it, 184 00:06:39,364 --> 00:06:40,709 in which case we'd have to keep you a little bit longer. 185 00:06:40,710 --> 00:06:43,022 Oh, no. I can't stay longer. 186 00:06:43,023 --> 00:06:44,506 I have to be home next week. 187 00:06:44,507 --> 00:06:46,508 It's my 40th wedding anniversary. 188 00:06:46,509 --> 00:06:48,234 Congratulations. That's a big milestone. 189 00:06:48,235 --> 00:06:50,892 Hey, why don't we watch it and see if it resolves on its own 190 00:06:50,893 --> 00:06:52,618 before we jump into a new procedure? 191 00:06:52,619 --> 00:06:55,414 Macie and I got engaged when we were 19. 192 00:06:55,415 --> 00:06:58,555 She wanted this big church wedding, 193 00:06:58,556 --> 00:07:01,799 but our parents didn't approve, so we eloped at city hall. 194 00:07:01,800 --> 00:07:03,422 [ Chuckles ] We know how that goes. 195 00:07:03,423 --> 00:07:05,285 We wanted to get married in the park, 196 00:07:05,286 --> 00:07:06,770 but we wound up doing it in a bar. 197 00:07:06,771 --> 00:07:09,117 Every year, we recreate our wedding dinner-- 198 00:07:09,118 --> 00:07:11,119 hot dogs from the cart on the corner. 199 00:07:11,120 --> 00:07:13,742 You know, we should go to Joe's for our anniversary. 200 00:07:13,743 --> 00:07:15,882 It's the only place we ever go. 201 00:07:15,883 --> 00:07:17,574 Look, I want to run another set of coags, 202 00:07:17,575 --> 00:07:19,439 and we will take it from there. 203 00:07:21,302 --> 00:07:23,407 Get her flowers on your way home. 204 00:07:23,408 --> 00:07:24,443 Works every time. 205 00:07:24,444 --> 00:07:26,168 - Thanks for the tip. - Yeah. 206 00:07:26,169 --> 00:07:27,343 Woman on P.A.: Dr. Horowitz, 6-2-9-6. Dr. Horowitz... 207 00:07:28,793 --> 00:07:30,587 Thanks for making the trip. She's got severe 208 00:07:30,588 --> 00:07:32,278 left lower extremity trauma, 209 00:07:32,279 --> 00:07:35,108 extensive soft-tissue damage, as well as vascular injury. 210 00:07:35,109 --> 00:07:36,455 Suffered some head trauma 211 00:07:36,456 --> 00:07:38,180 with multiple contusions and lacerations. 212 00:07:38,181 --> 00:07:40,769 - Okay. Hi. - Hi. 213 00:07:40,770 --> 00:07:42,599 Levi: Her respirations look a bit labored. 214 00:07:42,600 --> 00:07:44,393 Her sats were in the 80s when she arrived. 215 00:07:44,394 --> 00:07:45,464 The oxygen's helped. 216 00:07:45,465 --> 00:07:46,603 But you didn't intubate? 217 00:07:46,604 --> 00:07:48,121 Our only ventilator's in use, 218 00:07:48,122 --> 00:07:50,054 and we don't have the resources to manually bag her 219 00:07:50,055 --> 00:07:51,608 if we did RSI.Okay. 220 00:07:51,609 --> 00:07:53,195 Nanette: We rushed her here as soon as we could. 221 00:07:53,196 --> 00:07:55,612 This doctor said you'll be able to help her more? 222 00:07:55,613 --> 00:07:58,477 Will her leg be alright? She loves to play in the fields. 223 00:07:58,478 --> 00:08:00,789 I'm Dr. Schmitt. This is Dr. Adams. 224 00:08:00,790 --> 00:08:03,827 We'll have a better idea - once we examine her, okay? - Okay. 225 00:08:03,828 --> 00:08:05,518 We temporized with a splint and tourniquet. 226 00:08:05,519 --> 00:08:08,246 Ischemia time is about 45 minutes. 227 00:08:09,178 --> 00:08:11,490 Um... 228 00:08:11,491 --> 00:08:14,113 Hi. I'm Levi. 229 00:08:14,114 --> 00:08:15,667 Your name's Ofelia, right? 230 00:08:16,703 --> 00:08:19,913 My friend Lucas and I are gonna help make you feel better, okay? 231 00:08:21,190 --> 00:08:22,398 Okay. 232 00:08:24,365 --> 00:08:26,332 Okay. This is my number. 233 00:08:26,333 --> 00:08:28,299 We're gonna get to Grey-Sloan before you, 234 00:08:28,300 --> 00:08:29,991 so once you get there, give me a call. 235 00:08:29,992 --> 00:08:31,648 Wait. We can't go with you? 236 00:08:31,649 --> 00:08:34,478 I'm so sorry. There's not enough room in the helicopter. 237 00:08:34,479 --> 00:08:37,550 But I promise we'll take excellent care of her, okay? 238 00:08:37,551 --> 00:08:39,690 - Okay. - Okay. 239 00:08:39,691 --> 00:08:46,733 ♪ 240 00:08:52,739 --> 00:08:54,361 Jose: We love you, mija. 241 00:08:55,776 --> 00:09:02,783 ♪ 242 00:09:03,232 --> 00:09:05,854 We're gonna have to amputate the leg if we don't get back fast, 243 00:09:05,855 --> 00:09:07,856 so let's intubate for transport ASAP. 244 00:09:07,857 --> 00:09:09,030 Okay. 245 00:09:09,031 --> 00:09:11,412 [ Sighs ] Back to the helicopter. 246 00:09:16,279 --> 00:09:18,695 Dr. Kwan? Aren't you supposed to-- 247 00:09:18,696 --> 00:09:20,593 Look, I know I'm behind on charts... 248 00:09:20,594 --> 00:09:22,043 and when I'm behind, it becomes your problem, 249 00:09:22,044 --> 00:09:23,527 and you don't like problems. 250 00:09:23,528 --> 00:09:25,564 Uh, is that Zayne from custodial staff? 251 00:09:25,565 --> 00:09:26,875 Yeah, he, uh, collapsed 252 00:09:26,876 --> 00:09:28,739 with a severe abdominal and hip pain. 253 00:09:28,740 --> 00:09:30,396 Mr. Johnson, I see you took 254 00:09:30,397 --> 00:09:32,191 that whole rack down with you. You okay? 255 00:09:32,192 --> 00:09:34,055 Pain started way before that rack fell. 256 00:09:34,056 --> 00:09:35,608 I've been managing it fine for months now. 257 00:09:35,609 --> 00:09:37,058 Alright, well, we need to get you to the E.R. 258 00:09:37,059 --> 00:09:38,611 to get you checked out. Hospital rules. 259 00:09:38,612 --> 00:09:40,233 I'll just take something once my shift ends. 260 00:09:40,234 --> 00:09:42,408 Let me save you the trouble. You can fight her on this, 261 00:09:42,409 --> 00:09:45,066 but you will lose. We all do. 262 00:09:45,067 --> 00:09:46,377 Can you make it quick? 263 00:09:46,378 --> 00:09:47,724 I will make it thorough. 264 00:09:47,725 --> 00:09:48,897 Come on. Let's go. 265 00:09:48,898 --> 00:09:50,728 You too, Kwan! 266 00:09:54,041 --> 00:09:55,594 Doctor should be in soon. 267 00:09:55,595 --> 00:09:57,354 Okay. 268 00:09:57,355 --> 00:09:59,736 We are never going to fit 269 00:09:59,737 --> 00:10:02,083 four car seats in either of our cars. 270 00:10:02,084 --> 00:10:03,671 Are we gonna have to get a minivan? 271 00:10:03,672 --> 00:10:06,087 You know what's transporting those babies right now? 272 00:10:06,088 --> 00:10:07,571 Me! 273 00:10:07,572 --> 00:10:10,436 Every horrible pregnancy symptom, double it! 274 00:10:10,437 --> 00:10:12,196 Twice the-- the reflux, 275 00:10:12,197 --> 00:10:13,750 the weight gain, the exhaustion. 276 00:10:13,751 --> 00:10:16,235 And then after all that, I'm gonna return to work, 277 00:10:16,236 --> 00:10:17,616 delivering other people's babies, 278 00:10:17,617 --> 00:10:19,756 taking care of not one, but two newborns. 279 00:10:19,757 --> 00:10:23,622 But, sure, by all means, you go test-drive minivans. 280 00:10:23,623 --> 00:10:25,900 How can I help? 281 00:10:25,901 --> 00:10:27,626 I wish I could tell you, but all the energy 282 00:10:27,627 --> 00:10:28,834 that used to go to my brain 283 00:10:28,835 --> 00:10:30,111 is now being diverted to my uterus. 284 00:10:30,112 --> 00:10:31,422 [ Phone buzzing ] You know what? 285 00:10:31,423 --> 00:10:33,252 I really need this to not take a long time. 286 00:10:33,253 --> 00:10:34,736 I have a patient who is 29 weeks 287 00:10:34,737 --> 00:10:36,462 and she's about to deliver triplets. 288 00:10:36,463 --> 00:10:38,740 Three babies. Hmm? [ Chuckles ] 289 00:10:38,741 --> 00:10:40,949 Could be worse! Heh! 290 00:10:40,950 --> 00:10:42,330 You want three? 291 00:10:42,331 --> 00:10:44,435 [ Phone buzzing ] 292 00:10:44,436 --> 00:10:46,575 [ Sighs ] A consult in the E.R. 293 00:10:46,576 --> 00:10:48,301 Just go. 294 00:10:48,302 --> 00:10:49,682 I'm staying for the ultrasound. 295 00:10:49,683 --> 00:10:51,719 It's gonna show the same as it did yesterday, 296 00:10:51,720 --> 00:10:53,928 and then you're gonna smile and say, "We've got this." 297 00:10:53,929 --> 00:10:55,274 And right now I really-- 298 00:10:55,275 --> 00:10:58,692 I frankly don't-- really don't need that. 299 00:11:01,626 --> 00:11:03,385 [ Exhales heavily ] 300 00:11:03,386 --> 00:11:05,526 [ Door opens and closes ] 301 00:11:07,183 --> 00:11:09,737 Did you play? Marching band? 302 00:11:09,738 --> 00:11:10,945 No. 303 00:11:10,946 --> 00:11:13,189 Cool. Me neither. 304 00:11:14,501 --> 00:11:16,295 Oh, I didn't do sports. 305 00:11:16,296 --> 00:11:17,572 But it's band. 306 00:11:17,573 --> 00:11:19,332 Do they wear uniforms? 307 00:11:19,333 --> 00:11:20,955 Then I didn't do it. 308 00:11:20,956 --> 00:11:22,473 [ Beeping ] 309 00:11:22,474 --> 00:11:24,752 Oh. Damn it. 310 00:11:24,753 --> 00:11:26,512 His lung is completely liquified 311 00:11:26,513 --> 00:11:28,790 from all the necrotic tissue. 312 00:11:28,791 --> 00:11:30,378 [ Sighs ] What's your recommendation? 313 00:11:30,379 --> 00:11:32,483 Chest tube and change the antibiotics. 314 00:11:32,484 --> 00:11:34,278 Oh, a chest tube won't drain this, 315 00:11:34,279 --> 00:11:35,797 and the antibiotics aren't penetrating, 316 00:11:35,798 --> 00:11:39,180 so we'll need to completely remove the source. 317 00:11:39,181 --> 00:11:42,217 The source is his lung. 318 00:11:42,218 --> 00:11:44,841 Book an O.R.-- I'm gonna get him off the table. 319 00:11:44,842 --> 00:11:47,982 Well, don't you want us to get him-- [Clears throat] 320 00:11:47,983 --> 00:11:50,156 Does he normally have to do everything himself? 321 00:11:50,157 --> 00:11:53,712 Well, he let me sew a patch graft angioplasty once. 322 00:11:53,713 --> 00:11:55,645 Maybe it's you. 323 00:11:57,406 --> 00:11:58,718 [ Door slides ] 324 00:11:59,891 --> 00:12:01,409 Simone: When you say it's "not your thing," 325 00:12:01,410 --> 00:12:03,376 you don't mean like you never vote, right? 326 00:12:03,377 --> 00:12:05,103 Like it's a recent thing? 327 00:12:07,416 --> 00:12:09,037 What about in 2016? 328 00:12:09,038 --> 00:12:10,832 What do we got? 329 00:12:10,833 --> 00:12:13,524 Uh, Zayne Johnson, 32. 330 00:12:13,525 --> 00:12:15,941 Diffuse pain, greatest in his abdomen and right hip 331 00:12:15,942 --> 00:12:17,805 after a supply rack fell on him. 332 00:12:17,806 --> 00:12:19,047 We're still working on his history. 333 00:12:19,048 --> 00:12:20,531 Do you take any medication? 334 00:12:20,532 --> 00:12:22,499 How much room do you have on that thing? [Groans] 335 00:12:22,500 --> 00:12:25,571 I take folic acid, hydroxyurea, ibuprofen, 336 00:12:25,572 --> 00:12:26,883 and tramadol as needed. 337 00:12:26,884 --> 00:12:28,574 - You have sickle cell? - Yeah. 338 00:12:28,575 --> 00:12:30,541 And I know about that new gene therapy that cures it, 339 00:12:30,542 --> 00:12:32,026 but my insurance won't cover it 340 00:12:32,027 --> 00:12:33,786 and I don't have $3 million laying around, 341 00:12:33,787 --> 00:12:35,374 so I still got it. 342 00:12:35,375 --> 00:12:37,894 FDA approves a cure, and nobody can afford to get it. 343 00:12:37,895 --> 00:12:40,275 If I had three mill, I wouldn't want to spend it on treatments. 344 00:12:40,276 --> 00:12:42,588 I'd buy a boat and sail around the world. 345 00:12:42,589 --> 00:12:45,487 I was kind of in the middle of another patient upstairs. 346 00:12:45,488 --> 00:12:47,766 Yeah, I brought you here for that hip. 347 00:12:47,767 --> 00:12:51,631 The articular surface is completely destroyed. 348 00:12:51,632 --> 00:12:53,668 Griffith, take him upstairs for an MRI. 349 00:12:53,669 --> 00:12:55,877 And we should also get an abdominal CT. 350 00:12:55,878 --> 00:12:58,121 - No, no. I-- - Ah. It won't take long. Okay? 351 00:12:58,122 --> 00:13:01,089 If there's anything you need, you let these interns know. 352 00:13:01,090 --> 00:13:03,298 Don't be shy. 353 00:13:03,299 --> 00:13:04,748 [ Groans ] 354 00:13:04,749 --> 00:13:06,854 [ Thunder crashes ] 355 00:13:06,855 --> 00:13:08,683 Pilot: We've hit a bit of rain and fog. 356 00:13:08,684 --> 00:13:10,616 I'm trying to steer us out of it. 357 00:13:10,617 --> 00:13:12,204 Think about puppies. 358 00:13:12,205 --> 00:13:15,277 Gravity blankets. Wizards and adventure. 359 00:13:17,451 --> 00:13:21,040 Well, either somebody died or you're ghosting someone. 360 00:13:21,041 --> 00:13:22,904 I am ignoring a mistake. 361 00:13:22,905 --> 00:13:24,285 And don't look at my phone. 362 00:13:24,286 --> 00:13:26,080 Is it the guy from the hallway? 363 00:13:26,081 --> 00:13:27,460 So what? Does he hate dogs? 364 00:13:27,461 --> 00:13:28,945 Puts the toilet paper on wrong? 365 00:13:28,946 --> 00:13:30,463 Does he not know how to cook a real meal? 366 00:13:30,464 --> 00:13:32,465 Do you? I'm just saying. 367 00:13:32,466 --> 00:13:34,916 Just because it's a bad match doesn't mean it's a mistake. 368 00:13:34,917 --> 00:13:36,642 You're right. It wasn't a mistake. 369 00:13:36,643 --> 00:13:38,299 It was a giant failure! 370 00:13:38,300 --> 00:13:39,610 [ Thud ] 371 00:13:39,611 --> 00:13:41,440 [ Rapid beeping ] Oh, my God. 372 00:13:41,441 --> 00:13:42,924 Her blood pressure spiked. She might be herniating. 373 00:13:42,925 --> 00:13:44,063 Okay. 374 00:13:44,064 --> 00:13:45,651 [ Monitor beeping rapidly ] 375 00:13:45,652 --> 00:13:47,515 Her pupils aren't blown. 376 00:13:47,516 --> 00:13:50,000 Actually, they're pinpoint. 377 00:13:50,001 --> 00:13:52,382 Her heart rate's in the 50s. 378 00:13:52,383 --> 00:13:54,867 - Okay. - Okay. We got you. 379 00:13:54,868 --> 00:13:57,181 Okay. We got you. We got you. 380 00:13:58,320 --> 00:14:02,323 She's diaphoretic, bradycardic. 381 00:14:02,324 --> 00:14:03,496 Her eyes are tearing up. 382 00:14:03,497 --> 00:14:05,533 We keep having to suction her. 383 00:14:05,534 --> 00:14:07,673 Her parents said that she likes playing in the fields, right? 384 00:14:07,674 --> 00:14:09,192 The farm probably uses pesticides. 385 00:14:09,193 --> 00:14:10,676 Are you thinking organophosphate poisoning? 386 00:14:10,677 --> 00:14:12,126 Yeah. Let's get her on atropine. 387 00:14:12,127 --> 00:14:14,853 Okay. Oh. She's seizing! 388 00:14:14,854 --> 00:14:18,511 Oh! Oh! Okay. 389 00:14:18,512 --> 00:14:20,859 Damn it. The tourniquet. 390 00:14:20,860 --> 00:14:22,136 Did it come loose? 391 00:14:22,137 --> 00:14:23,516 No. The clasp is broken. 392 00:14:23,517 --> 00:14:24,863 We have to stop this bleeding! 393 00:14:24,864 --> 00:14:26,692 Holding pressure! Yeah, I got her leg! 394 00:14:26,693 --> 00:14:28,419 Find the atropine! 395 00:14:34,735 --> 00:14:36,495 [ Thunder rumbles ] 396 00:14:36,496 --> 00:14:38,359 Hey, uh, Aurelio's labs are back. 397 00:14:38,360 --> 00:14:40,879 Okay. Great. Thank you. 398 00:14:40,880 --> 00:14:43,709 Can I get an ultrasound and a pericardiocentesis kit? 399 00:14:43,710 --> 00:14:46,332 I just need to finish reviewing these scans. 400 00:14:46,333 --> 00:14:47,816 Teddy, it's still a small effusion. 401 00:14:47,817 --> 00:14:49,577 He's coagulopathic. I mean, we can either do 402 00:14:49,578 --> 00:14:52,511 the pericardiocentesis now or we can wait till he crashes 403 00:14:52,512 --> 00:14:54,375 in the middle of the night and do it then. 404 00:14:54,376 --> 00:14:55,928 We don't know that's gonna happen. 405 00:14:55,929 --> 00:14:57,550 Didn't you accuse me of-- what was it-- 406 00:14:57,551 --> 00:15:00,346 putting a Band-Aid on a hemorrhage this morning? 407 00:15:00,347 --> 00:15:01,934 What does that have to do with this? 408 00:15:01,935 --> 00:15:04,419 So now I am trying to face this problem head on, 409 00:15:04,420 --> 00:15:06,042 and that doesn't seem to be good enough, either. 410 00:15:06,043 --> 00:15:07,906 I mean, forget about my years of experience 411 00:15:07,907 --> 00:15:09,597 treating pericardial effusions. Teddy-- 412 00:15:09,598 --> 00:15:13,532 [ Clears throat ] Uh, I was just getting a cup of tea. 413 00:15:13,533 --> 00:15:15,396 Oh, well, um-- Well, we were just, um-- 414 00:15:15,397 --> 00:15:17,536 We were just discussing a patient. 415 00:15:17,537 --> 00:15:19,227 Look, I can give it another hour, 416 00:15:19,228 --> 00:15:21,505 but then we're gonna need another set of scans 417 00:15:21,506 --> 00:15:23,749 and a repeat echo. 418 00:15:23,750 --> 00:15:25,096 Okay. 419 00:15:28,099 --> 00:15:30,756 Oh, you should try the Moroccan Mint. 420 00:15:30,757 --> 00:15:33,587 It's very, uh... refreshing. Hm! 421 00:15:36,797 --> 00:15:38,764 Simone: What about local elections? 422 00:15:38,765 --> 00:15:42,458 State propositions? Or public surveys? 423 00:15:43,459 --> 00:15:45,357 I send those straight to spam. 424 00:15:45,358 --> 00:15:46,772 Link: Griffith, what are we looking at? 425 00:15:46,773 --> 00:15:48,498 Studying his abdominal CT. 426 00:15:48,499 --> 00:15:50,224 His hip MRI is about to come up. 427 00:15:50,225 --> 00:15:51,708 You can relax, Zayne. 428 00:15:51,709 --> 00:15:53,641 Pretend you're in that $3-million boat. 429 00:15:53,642 --> 00:15:56,092 That's not relaxing. I get seasick. 430 00:15:56,093 --> 00:15:57,679 But you want to sail around the world? 431 00:15:57,680 --> 00:16:00,406 No, but my son does, and I'd do anything for him. 432 00:16:00,407 --> 00:16:03,099 Simone: Is that his spleen? It's so small. 433 00:16:03,100 --> 00:16:05,584 Pretty much nonfunctional at this point. 434 00:16:05,585 --> 00:16:07,758 Also, those are iron deposits in his liver. 435 00:16:07,759 --> 00:16:09,312 Should we take care of his gallstones, too? 436 00:16:09,313 --> 00:16:12,108 The gallbladder wall's not acutely inflamed. 437 00:16:12,109 --> 00:16:13,661 [ Link sighs ] 438 00:16:13,662 --> 00:16:15,283 The sickle cell has basically ravaged his body, 439 00:16:15,284 --> 00:16:16,836 including--His hip, which you all 440 00:16:16,837 --> 00:16:18,977 would have seen if you noticed his MRI was up. 441 00:16:18,978 --> 00:16:21,289 He's got subchondral collapse and flattening of the femoral head. 442 00:16:21,290 --> 00:16:22,635 We're gonna have to replace the whole joint. 443 00:16:22,636 --> 00:16:24,430 Oh, he's not gonna like that. 444 00:16:24,431 --> 00:16:26,363 We don't have a choice-- if he wants to stop this joint 445 00:16:26,364 --> 00:16:28,745 from completely degenerating. 446 00:16:28,746 --> 00:16:32,645 ♪ 447 00:16:32,646 --> 00:16:35,303 Hey. Did you get the films from my transfer patient? 448 00:16:35,304 --> 00:16:36,649 Schmitt and Adams are worried about the leg. 449 00:16:36,650 --> 00:16:39,238 My fellow will need to take it. 450 00:16:39,239 --> 00:16:40,481 Okay. 451 00:16:40,482 --> 00:16:42,897 Hey. I took a look at Ofelia's scans. 452 00:16:42,898 --> 00:16:44,795 Minor subdural. No swelling, no shift. 453 00:16:44,796 --> 00:16:47,005 I'm not terribly worried, but I will re-evaluate when they land. 454 00:16:47,006 --> 00:16:48,834 Their ETA is 25 minutes. 455 00:16:48,835 --> 00:16:50,111 Okay. I'm gonna check on a patient. 456 00:16:50,112 --> 00:16:51,319 Text me if they get here sooner. 457 00:16:51,320 --> 00:16:53,011 Hey. A-About earlier, 458 00:16:53,012 --> 00:16:54,840 it wasn't exactly what it looked like. 459 00:16:54,841 --> 00:16:56,462 Uh, none of my business. 460 00:16:56,463 --> 00:16:58,671 Okay. 461 00:16:58,672 --> 00:17:00,397 Lucas: The tourniquet's completely broken. 462 00:17:00,398 --> 00:17:01,881 I can't get it to hold tight enough. 463 00:17:01,882 --> 00:17:03,193 I'm gonna need another one. 464 00:17:03,194 --> 00:17:04,505 Oh, it looks like there's an injury 465 00:17:04,506 --> 00:17:06,162 to her superficial femoral artery. 466 00:17:06,163 --> 00:17:07,818 There's another tourniquet in this bag. 467 00:17:07,819 --> 00:17:10,166 Hold as much pressure as you can. Got it. 468 00:17:10,167 --> 00:17:11,754 [ Grunts ] Here. 469 00:17:13,066 --> 00:17:14,032 Alright. 470 00:17:14,033 --> 00:17:16,862 ♪ 471 00:17:16,863 --> 00:17:19,520 Once we get a signal, we need to update Beltran. 472 00:17:19,521 --> 00:17:21,694 ♪ 473 00:17:21,695 --> 00:17:23,041 Got it. 474 00:17:23,042 --> 00:17:25,077 ♪ 475 00:17:25,078 --> 00:17:26,734 Damn it. 476 00:17:26,735 --> 00:17:28,046 It's basically beyond repair. 477 00:17:28,047 --> 00:17:30,358 She's gonna need an amputation. 478 00:17:30,359 --> 00:17:32,567 Well, we have I.V. tubing. 479 00:17:32,568 --> 00:17:34,500 What if we make a temporary shunt, 480 00:17:34,501 --> 00:17:37,365 see if we can reconnect the femoral artery with the tubing? 481 00:17:37,366 --> 00:17:39,885 If the pilot is re-routing, 482 00:17:39,886 --> 00:17:41,818 it's gonna take us a lot longer to get back. 483 00:17:41,819 --> 00:17:44,062 The tourniquet's been on for almost two hours. 484 00:17:44,063 --> 00:17:45,373 The leg looks ischemic. 485 00:17:45,374 --> 00:17:48,204 If we do nothing, she'll lose it. 486 00:17:48,205 --> 00:17:50,033 [ Thunder crashes ] 487 00:17:50,034 --> 00:17:52,691 ♪ 488 00:17:52,692 --> 00:17:54,037 Okay. Yeah. I'm in. 489 00:17:54,038 --> 00:17:55,764 Okay. Alright. 490 00:17:57,490 --> 00:17:59,146 [ Siren wails ] 491 00:17:59,147 --> 00:18:03,322 So, if you take my lung, I'll be rid of this thing here? 492 00:18:03,323 --> 00:18:06,877 Unfortunately, due to your smoking history, 493 00:18:06,878 --> 00:18:08,707 your other lung won't be able to oxygenate your body 494 00:18:08,708 --> 00:18:10,122 well enough by itself. 495 00:18:10,123 --> 00:18:11,882 You'd have to stay on ECMO 496 00:18:11,883 --> 00:18:14,264 until we can get you a lung transplant. 497 00:18:14,265 --> 00:18:18,130 Any chance that happens before the NorthPac Band Review? 498 00:18:18,131 --> 00:18:20,546 Jules: We don't know. It could be tomorrow. 499 00:18:20,547 --> 00:18:22,376 It could be weeks from now. 500 00:18:22,377 --> 00:18:24,412 There will be other performances. 501 00:18:24,413 --> 00:18:26,966 I was thinking about my alto sax. 502 00:18:26,967 --> 00:18:29,935 First instrument I ever picked up. 503 00:18:29,936 --> 00:18:32,800 Thing was nearly bigger than me. 504 00:18:32,801 --> 00:18:37,115 But once I got the hang of it, I fell in love. 505 00:18:37,116 --> 00:18:39,324 I haven't been able to play in weeks. 506 00:18:39,325 --> 00:18:41,637 [ Breathing sharply ] 507 00:18:43,639 --> 00:18:46,125 What if I can't ever play again? 508 00:18:47,954 --> 00:18:49,783 Or, worse... 509 00:18:51,578 --> 00:18:53,339 ...what if I can't teach? 510 00:18:54,443 --> 00:18:57,274 The band's more than just my job. 511 00:18:59,379 --> 00:19:00,967 It's my life. 512 00:19:02,348 --> 00:19:06,213 Well, music and teaching, it's in your bones. 513 00:19:06,214 --> 00:19:08,147 Losing a lung won't change that. 514 00:19:09,493 --> 00:19:11,494 Just might need a little extra practice after surgery. 515 00:19:11,495 --> 00:19:13,013 That's all. 516 00:19:15,671 --> 00:19:17,155 Let's get you prepped. 517 00:19:17,156 --> 00:19:22,436 ♪ 518 00:19:22,437 --> 00:19:24,127 Mr. Johnson? 519 00:19:24,128 --> 00:19:25,818 Dr. Bailey and Dr. Lincoln would like to talk to you. 520 00:19:25,819 --> 00:19:27,303 I have to finish work so I can get home 521 00:19:27,304 --> 00:19:29,615 for dinner with my son. 522 00:19:29,616 --> 00:19:32,204 Uh, your scans show something called 523 00:19:32,205 --> 00:19:33,999 avascular necrosis in your hip. 524 00:19:34,000 --> 00:19:35,621 I'll make an appointment to come back. 525 00:19:35,622 --> 00:19:37,002 My son needs extra attention, 526 00:19:37,003 --> 00:19:38,693 and my sister's had him all day. 527 00:19:38,694 --> 00:19:40,695 Your pain is only gonna get worse. 528 00:19:40,696 --> 00:19:42,456 The sickled cells in the joint cut off 529 00:19:42,457 --> 00:19:44,699 the blood supply to the bone, which is causing it to die. 530 00:19:44,700 --> 00:19:46,770 But we can replace the joint today, 531 00:19:46,771 --> 00:19:49,014 and your insurance covers it. 532 00:19:49,015 --> 00:19:50,671 And then I won't feel pain? 533 00:19:50,672 --> 00:19:52,638 Well, we can at least help with the pain in your hip. 534 00:19:52,639 --> 00:19:54,330 So instead of curing my pain, 535 00:19:54,331 --> 00:19:56,746 they're gonna let every joint and organ 536 00:19:56,747 --> 00:19:59,335 in my body deteriorate and then they'll pay to fix it? 537 00:19:59,336 --> 00:20:04,132 I know. It doesn't make sense. And the system sucks. 538 00:20:04,133 --> 00:20:06,204 Maybe I shouldn't say that, but... 539 00:20:06,205 --> 00:20:08,482 I've been through this before. 540 00:20:08,483 --> 00:20:11,209 I know the frustration of trying to fight a system 541 00:20:11,210 --> 00:20:14,626 that doesn't care if you suffer or even if you live or die. 542 00:20:14,627 --> 00:20:17,042 They only see you as a code or a cost 543 00:20:17,043 --> 00:20:20,148 or some number in a sea of numbers. 544 00:20:20,149 --> 00:20:22,254 The system couldn't care less about you. 545 00:20:22,255 --> 00:20:25,775 But if you care about yourself, you should get the surgery. 546 00:20:25,776 --> 00:20:27,086 [ Exhales sharply ] 547 00:20:27,087 --> 00:20:28,917 Simone: Think about your son. 548 00:20:30,056 --> 00:20:33,403 If you weren't able to walk or continue to do your job, 549 00:20:33,404 --> 00:20:36,303 it'll be a lot harder to take care of him. 550 00:20:36,304 --> 00:20:47,003 ♪ 551 00:20:47,004 --> 00:20:48,212 Okay. 552 00:20:49,627 --> 00:20:50,765 What's next? 553 00:20:50,766 --> 00:20:52,871 I'll go tell Dr. Lincoln. 554 00:20:52,872 --> 00:20:55,357 Don't bother. I'll do it. 555 00:21:02,882 --> 00:21:05,021 [ Knock on door ] 556 00:21:05,022 --> 00:21:08,058 Oh. Uh, I'm about to meet with Balcom Medical. 557 00:21:08,059 --> 00:21:10,268 You know, I've always had a great relationship 558 00:21:10,269 --> 00:21:11,579 with Ethan Chen, 559 00:21:11,580 --> 00:21:13,271 so if there's anything the hospital needs, 560 00:21:13,272 --> 00:21:14,341 I'm your man. 561 00:21:14,342 --> 00:21:16,101 Oh. Ethan is retired. 562 00:21:16,102 --> 00:21:18,034 Oh. Well, good for him. 563 00:21:18,035 --> 00:21:19,760 Yeah, the new CFO is Erika Desai. 564 00:21:19,761 --> 00:21:21,313 She is great. 565 00:21:21,314 --> 00:21:23,384 But her husband Nirav's 566 00:21:23,385 --> 00:21:25,075 also very prominent on the board, 567 00:21:25,076 --> 00:21:27,871 and he only hears what he wants to hear, which is himself. 568 00:21:27,872 --> 00:21:30,011 Ooh. It sounds like a communication issue. 569 00:21:30,012 --> 00:21:33,705 And he often overlooks how hard I am trying 570 00:21:33,706 --> 00:21:35,500 to make everything work! 571 00:21:35,501 --> 00:21:38,434 And then he insinuates that I only care about what is best for me, 572 00:21:38,435 --> 00:21:40,470 regardless of what anyone else wants. 573 00:21:40,471 --> 00:21:43,577 You mean what's best for the hospital. 574 00:21:43,578 --> 00:21:46,166 This isn't about Balcom, is it? 575 00:21:47,651 --> 00:21:52,310 So... you want advice or a pep talk? 576 00:21:52,311 --> 00:21:54,760 Is there one that's less irritating than the other? 577 00:21:54,761 --> 00:21:57,142 You've already been through a war together. 578 00:21:57,143 --> 00:21:58,350 You can do this. 579 00:21:58,351 --> 00:22:00,628 That's the least irritating one?! 580 00:22:00,629 --> 00:22:02,321 [ Sighs ] 581 00:22:03,460 --> 00:22:04,977 Winston: Tissue's very fibrotic. 582 00:22:04,978 --> 00:22:06,807 Millin, suction? Jules: Got it. 583 00:22:06,808 --> 00:22:08,981 Ben: My mom really wanted me to learn an instrument. 584 00:22:08,982 --> 00:22:11,570 Then my fourth-grade class got sent home with recorders. 585 00:22:11,571 --> 00:22:13,296 My brother and I were learning the accordion 586 00:22:13,297 --> 00:22:15,160 - for a few months. - Didn't stick with it? 587 00:22:15,161 --> 00:22:17,714 Our teacher didn't want to be paid in lemons from our yard. 588 00:22:17,715 --> 00:22:19,923 [ Chuckles ] I'm at the hilum. 589 00:22:19,924 --> 00:22:21,269 You need more retraction? 590 00:22:21,270 --> 00:22:24,480 That'd be great. Harrington, please. 591 00:22:24,481 --> 00:22:25,861 Ben: Oh. 592 00:22:27,207 --> 00:22:29,588 Could you hold that right there, Warren? 593 00:22:29,589 --> 00:22:31,902 - Uh-huh. - Thank you, Bokhee. 594 00:22:33,041 --> 00:22:35,387 With all due respect, I may be on a trial basis, 595 00:22:35,388 --> 00:22:37,493 but I'm coming in as a fourth year resident. 596 00:22:37,494 --> 00:22:38,977 I'm perfectly capable of retracting 597 00:22:38,978 --> 00:22:40,392 and prepping patients for transport 598 00:22:40,393 --> 00:22:41,911 and moving them to the CT. 599 00:22:41,912 --> 00:22:43,844 Hell, I'm capable of a lot more than that. 600 00:22:43,845 --> 00:22:45,847 Alright. Specimen. 601 00:22:48,574 --> 00:22:50,161 Here we go. 602 00:22:57,997 --> 00:22:59,895 [ Drill whirring ] 603 00:23:01,552 --> 00:23:02,863 How's he doing? 604 00:23:02,864 --> 00:23:04,243 Simone: Feels like this could have been 605 00:23:04,244 --> 00:23:06,211 a much less extensive surgery years ago. 606 00:23:06,212 --> 00:23:09,317 Bailey: Well, seeking treatment when you have sickle cell 607 00:23:09,318 --> 00:23:12,873 is a minefield of stigmas and misunderstandings. 608 00:23:12,874 --> 00:23:14,046 That's not on Zayne. 609 00:23:14,047 --> 00:23:15,496 Kwan, careful with the drill! 610 00:23:15,497 --> 00:23:17,429 This bone is like stone! 611 00:23:17,430 --> 00:23:19,224 [ Drill whirring ] 612 00:23:19,225 --> 00:23:20,846 You know-- I'll take over. 613 00:23:20,847 --> 00:23:23,401 Bailey: Oh, let him give it another try. Go again. 614 00:23:23,402 --> 00:23:25,058 Easy this time. 615 00:23:27,682 --> 00:23:30,062 [ Drill whirring ] 616 00:23:30,063 --> 00:23:32,410 Put-- Put the drill down! 617 00:23:32,411 --> 00:23:35,067 Bailey: If he doesn't try again, he won't learn. 618 00:23:35,068 --> 00:23:37,242 We're not doing second chances right now. 619 00:23:37,243 --> 00:23:39,727 This man is in constant, agonizing pain. 620 00:23:39,728 --> 00:23:41,867 And I'm just talking literal physical pain, 621 00:23:41,868 --> 00:23:43,662 not the hell of suffering in silence 622 00:23:43,663 --> 00:23:45,768 because nobody cares or believes in him. 623 00:23:45,769 --> 00:23:47,286 It's the only way he can get by, 624 00:23:47,287 --> 00:23:50,255 even though it causes more pain and more suffering! 625 00:23:50,256 --> 00:23:51,775 Damn it! 626 00:23:52,810 --> 00:23:54,916 Someone get me a new drill bit! 627 00:23:56,193 --> 00:23:57,712 Bailey: Are you done? 628 00:24:01,129 --> 00:24:03,268 Yeah. Whatever you're going through, 629 00:24:03,269 --> 00:24:05,581 go through it on your own time. 630 00:24:05,582 --> 00:24:08,100 We are taking care of Zayne right now. 631 00:24:08,101 --> 00:24:10,758 I cannot take care of you, too. 632 00:24:10,759 --> 00:24:12,727 [ Monitor beeping ] 633 00:24:20,804 --> 00:24:22,460 [ Drill whirring ] 634 00:24:22,461 --> 00:24:24,600 ♪ 635 00:24:24,601 --> 00:24:27,913 Suction, please. Adams! Suction! 636 00:24:27,914 --> 00:24:29,225 I'm trying! 637 00:24:29,226 --> 00:24:30,916 I just have one more tie. 638 00:24:30,917 --> 00:24:32,262 [ Thud ] 639 00:24:32,263 --> 00:24:35,196 Oh! Oh, my God! Ohh! Okay. 640 00:24:35,197 --> 00:24:36,336 Whoa! 641 00:24:39,478 --> 00:24:41,306 Let's do this fast. Alright. 642 00:24:41,307 --> 00:24:42,377 Okay. 643 00:24:43,792 --> 00:24:46,518 Ah! Damn it! Can't get it to stay. 644 00:24:46,519 --> 00:24:47,692 Can you hold it, please? 645 00:24:47,693 --> 00:24:49,107 Yeah. 646 00:24:49,108 --> 00:24:54,077 ♪ 647 00:24:54,078 --> 00:24:59,186 Okay. [ Grunts ] 648 00:24:59,187 --> 00:25:01,119 I think that's it. Okay. 649 00:25:01,120 --> 00:25:03,018 Tourniquet coming off. 650 00:25:04,675 --> 00:25:06,780 Okay. Okay. 651 00:25:06,781 --> 00:25:10,300 ♪ 652 00:25:10,301 --> 00:25:11,612 It's holding. 653 00:25:11,613 --> 00:25:13,235 [ Laughs ][Chuckling] We did it. 654 00:25:14,374 --> 00:25:15,478 [ Thud ] 655 00:25:15,479 --> 00:25:16,859 Ohh! What's happening?! 656 00:25:16,860 --> 00:25:18,308 I don't know! I can't see anything! 657 00:25:18,309 --> 00:25:20,103 Pilot: I can't get around this storm! 658 00:25:20,104 --> 00:25:22,761 I'm gonna attempt an emergency landing! 659 00:25:22,762 --> 00:25:29,044 ♪ 660 00:25:31,012 --> 00:25:33,013 Macie. Macie. 661 00:25:33,014 --> 00:25:34,773 How long has he been like this? 662 00:25:34,774 --> 00:25:36,292 15 minutes. Muffled heart sounds. 663 00:25:36,293 --> 00:25:37,846 Low BP, JVD. 664 00:25:39,020 --> 00:25:41,677 Cardiac tamponade. This is why I wanted to do the procedure earlier. 665 00:25:41,678 --> 00:25:43,506 He wasn't - this symptomatic. - Alright. 666 00:25:43,507 --> 00:25:45,301 We're gonna need to reopen him and relieve the pressure. 667 00:25:45,302 --> 00:25:47,441 We're doing a needle aspiration bedside. We're already prepped. 668 00:25:47,442 --> 00:25:48,822 It's much more controllable in the O.R. 669 00:25:48,823 --> 00:25:50,271 Macie: I'm his wife. Let me through! 670 00:25:50,272 --> 00:25:51,721 There's blood seeping out of his incision already. 671 00:25:51,722 --> 00:25:53,067 We don't have time. Scalpel. 672 00:25:53,068 --> 00:25:55,311 I'm right here, dear. 673 00:25:55,312 --> 00:25:56,900 [ Macie screams ] Oh, my God! Whoa! 674 00:26:03,009 --> 00:26:06,011 I need a crash cart! Prepare for open cardiac massage! 675 00:26:06,012 --> 00:26:07,841 Someone get her out of here, please! 676 00:26:07,842 --> 00:26:09,912 [Crying] No! 677 00:26:09,913 --> 00:26:12,052 [ Gasps ] 678 00:26:12,053 --> 00:26:14,675 I feel so... much better now. 679 00:26:14,676 --> 00:26:16,677 - He's alive?! - Aurelio: Ohh. 680 00:26:16,678 --> 00:26:18,092 Owen: His vitals have stabilized! 681 00:26:18,093 --> 00:26:19,749 We need to get him to the O.R. now! 682 00:26:19,750 --> 00:26:21,440 What's happening?! My husband's okay?! 683 00:26:21,441 --> 00:26:23,546 It was a buildup of pressure from fluid and blood, 684 00:26:23,547 --> 00:26:25,548 but it was around the heart, not the heart itself. 685 00:26:25,549 --> 00:26:28,413 We're gonna know more when we get him in there, but we need to move fast! 686 00:26:28,414 --> 00:26:30,761 Let's go, let's go, let's go, let's go! Let's go! 687 00:26:32,452 --> 00:26:34,868 What would you do with $3 million? 688 00:26:34,869 --> 00:26:36,732 Fund voter-registration drives. 689 00:26:36,733 --> 00:26:38,734 How do you think the system gets fixed? 690 00:26:38,735 --> 00:26:41,253 Well, it's my game. You have to spend it on yourself. 691 00:26:41,254 --> 00:26:42,876 I'd hire an at-home nurse, 692 00:26:42,877 --> 00:26:44,740 and my granny wouldn't have to live in a facility. 693 00:26:44,741 --> 00:26:46,604 Pay off my loans. 694 00:26:46,605 --> 00:26:49,434 Start a maternal-health nonprofit. 695 00:26:49,435 --> 00:26:51,539 Boring! 696 00:26:51,540 --> 00:26:53,680 Let me guess. You'd buy an obnoxious car. 697 00:26:53,681 --> 00:26:55,751 Oh, for starters, I'd get my own place 698 00:26:55,752 --> 00:26:57,442 so I don't have to live with you fools anymore. 699 00:26:57,443 --> 00:26:59,996 I'd travel, and, yes, buy an obnoxious car. 700 00:26:59,997 --> 00:27:01,549 Mm-hmm. 701 00:27:01,550 --> 00:27:03,586 But if I had a curable disease, you'd be damn sure 702 00:27:03,587 --> 00:27:05,415 I'd spend every penny to heal myself. 703 00:27:05,416 --> 00:27:07,659 What's crazy is he works at a hospital... 704 00:27:07,660 --> 00:27:10,489 and he can't even get the treatment he needs covered. 705 00:27:10,490 --> 00:27:12,975 And he'd probably be a great candidate for it. 706 00:27:12,976 --> 00:27:14,632 It's out there. It's available. 707 00:27:14,633 --> 00:27:17,773 We have everything we need to cure his sickle cell. 708 00:27:17,774 --> 00:27:20,258 Everything except the money. 709 00:27:20,259 --> 00:27:23,123 ♪ 710 00:27:23,124 --> 00:27:24,745 [ Thunder rumbles ] 711 00:27:24,746 --> 00:27:26,264 Jose: What do you mean we beat them here? 712 00:27:26,265 --> 00:27:28,438 - It's a three-hour drive. - When the weather is bad, 713 00:27:28,439 --> 00:27:30,130 they often re-route to get around the storm. 714 00:27:30,131 --> 00:27:31,752 And how much longer until they arrive? 715 00:27:31,753 --> 00:27:34,444 And is Ofelia still okay? 716 00:27:34,445 --> 00:27:36,308 This doesn't necessarily mean anything, 717 00:27:36,309 --> 00:27:38,621 but at the moment, we've lost contact with them. 718 00:27:38,622 --> 00:27:40,658 No. No. 719 00:27:40,659 --> 00:27:42,314 I'm calling Dr. Schmitt and Dr. Adams. 720 00:27:42,315 --> 00:27:44,800 We will also keep trying them until we get through. 721 00:27:44,801 --> 00:27:47,941 We trusted your team with our daughter. 722 00:27:47,942 --> 00:27:50,737 They promised to take care of our little baby! 723 00:27:50,738 --> 00:27:52,428 Amelia: I know that this is terrifying. 724 00:27:52,429 --> 00:27:53,981 We are closely monitoring the situation. 725 00:27:53,982 --> 00:27:56,466 Dr. Beltran has a whole staff 726 00:27:56,467 --> 00:27:58,123 that is prepared to treat Ofelia 727 00:27:58,124 --> 00:28:00,747 as soon as she arrives. 728 00:28:00,748 --> 00:28:03,232 Come on. Let's go take a seat. Come on. 729 00:28:03,233 --> 00:28:11,309 ♪ 730 00:28:11,310 --> 00:28:13,000 [ Knock on door ] 731 00:28:13,001 --> 00:28:14,864 [ Thunder rumbles ] 732 00:28:14,865 --> 00:28:16,797 Oh. Kwan, Griffith. 733 00:28:16,798 --> 00:28:19,006 Yeah, yeah, sorry to bother you, but this is important. 734 00:28:19,007 --> 00:28:20,974 It's about a patient, and it's urgent. 735 00:28:20,975 --> 00:28:22,182 Can you page another attending? 736 00:28:22,183 --> 00:28:23,977 We need you-- or Dr. Altman, 737 00:28:23,978 --> 00:28:25,357 but she's headed to emergent surgery. 738 00:28:25,358 --> 00:28:27,532 Our patient has sickle cell disease, 739 00:28:27,533 --> 00:28:29,845 and there's a new gene therapy that could cure him, 740 00:28:29,846 --> 00:28:32,226 but it's expensive and his insurance won't cover it. 741 00:28:32,227 --> 00:28:34,332 We know the hospital can't treat everyone pro bono, 742 00:28:34,333 --> 00:28:36,023 but this man works here. 743 00:28:36,024 --> 00:28:37,542 H-He walks the same halls as us 744 00:28:37,543 --> 00:28:39,164 and eats the same cafeteria food. 745 00:28:39,165 --> 00:28:40,545 How can we look him in the eye 746 00:28:40,546 --> 00:28:42,029 knowing we're not gonna help him 747 00:28:42,030 --> 00:28:44,342 just 'cause some idiot suit in an insurance office 748 00:28:44,343 --> 00:28:46,033 says we can't? 749 00:28:46,034 --> 00:28:47,242 [ Woman sneezes ] 750 00:28:52,316 --> 00:28:55,111 Doctors, these are some of our partners 751 00:28:55,112 --> 00:28:57,217 from Balcom Medical. 752 00:28:57,218 --> 00:28:59,495 These are two of our surgical interns... 753 00:28:59,496 --> 00:29:02,394 who I believe have rounds? 754 00:29:02,395 --> 00:29:04,258 - We-- We do. - Thank you for your time. 755 00:29:04,259 --> 00:29:05,882 [ Kwan chuckles nervously ] 756 00:29:07,435 --> 00:29:09,401 His chest tubes are putting out minimal fluid, 757 00:29:09,402 --> 00:29:11,542 and he's stable on ECMO. 758 00:29:13,786 --> 00:29:16,306 [ Woman on P.A. speaking indistinctly ] 759 00:29:20,793 --> 00:29:22,587 Yeah, he knew he was sick for a while, 760 00:29:22,588 --> 00:29:24,451 but he's been trying to work through it. 761 00:29:24,452 --> 00:29:26,246 He said if he's gonna drop, 762 00:29:26,247 --> 00:29:29,421 he'd rather do it around people than at home by himself. 763 00:29:29,422 --> 00:29:31,389 And all I've done since he showed up here 764 00:29:31,390 --> 00:29:34,738 is give him bad news, and he's had to take it all on by himself. 765 00:29:36,084 --> 00:29:39,638 He doesn't have any family. And his students can't visit. 766 00:29:39,639 --> 00:29:43,401 So my personal interest in providing Mr. Riley's care 767 00:29:43,402 --> 00:29:46,129 has nothing to do with anyone's capability. 768 00:29:47,302 --> 00:29:49,269 I just don't want him to feel alone. 769 00:29:49,270 --> 00:29:51,098 ♪ Break down 770 00:29:51,099 --> 00:29:54,101 So, um, Millin, put in the post-op labs. 771 00:29:54,102 --> 00:29:55,620 - Of course. - Great. 772 00:29:55,621 --> 00:29:57,898 Warren, start to wean him off sedation 773 00:29:57,899 --> 00:30:00,625 and extubate him when you think he's ready. 774 00:30:00,626 --> 00:30:02,800 ♪ Breathe in 775 00:30:02,801 --> 00:30:04,629 You got it. Alright. 776 00:30:04,630 --> 00:30:06,804 ♪ Breathe out again 777 00:30:06,805 --> 00:30:10,946 ♪ Clouds hangin' over my shoulder ♪ 778 00:30:10,947 --> 00:30:12,740 I... 779 00:30:12,741 --> 00:30:14,950 ♪ Feelin'’ heavy now, weighs me down... ♪ 780 00:30:14,951 --> 00:30:16,434 Amelia: Anything new? 781 00:30:16,435 --> 00:30:18,781 Just my increased blood pressure. 782 00:30:18,782 --> 00:30:20,334 They should've connected with an ambulance 783 00:30:20,335 --> 00:30:23,165 when they made it down-- if they made it down. 784 00:30:23,166 --> 00:30:26,237 [ Radio crackling] 785 00:30:26,238 --> 00:30:27,686 [ Beep ] Hello? 786 00:30:27,687 --> 00:30:28,998 This is Grey-Sloan Memorial. 787 00:30:28,999 --> 00:30:30,620 Is there anyone there? Come in. 788 00:30:30,621 --> 00:30:32,657 [ Radio static] 789 00:30:32,658 --> 00:30:36,868 ♪ Let down again 790 00:30:36,869 --> 00:30:39,767 I sent them. I specifically sent Schmitt in my place. 791 00:30:39,768 --> 00:30:41,700 I sent your nephew. If something happens, 792 00:30:41,701 --> 00:30:43,288 I'm gonna have to call Schmitt's family 793 00:30:43,289 --> 00:30:45,532 and tell them that I put him on that helicopter. 794 00:30:45,533 --> 00:30:48,190 And your family. 795 00:30:48,191 --> 00:30:50,640 ♪ Crash and burn again I'm really sorry. 796 00:30:50,641 --> 00:30:52,988 I-I just had to go to the worst case scenario in my head, 797 00:30:52,989 --> 00:30:54,541 and it's really hard not to 798 00:30:54,542 --> 00:30:57,337 when they're flying right now over water 799 00:30:57,338 --> 00:31:00,374 and other things that could spell disaster. 800 00:31:00,375 --> 00:31:02,790 Well, I've experienced enough 801 00:31:02,791 --> 00:31:05,621 that I always go to the worst case scenario. 802 00:31:05,622 --> 00:31:07,830 And sometimes you've just got to accept the situation 803 00:31:07,831 --> 00:31:10,453 at face value... 804 00:31:10,454 --> 00:31:12,767 so you can keep moving forward. 805 00:31:14,320 --> 00:31:16,494 [ Thunder crashes ][ Phone buzzes ] 806 00:31:16,495 --> 00:31:17,978 ♪ Somebody tap me out 807 00:31:17,979 --> 00:31:20,256 Hello? 808 00:31:20,257 --> 00:31:22,189 [ Siren wails ] 809 00:31:22,190 --> 00:31:26,021 ♪ Wide asleep 810 00:31:26,022 --> 00:31:31,681 ♪ Playin' hide-and-seek 811 00:31:31,682 --> 00:31:37,377 ♪ Can you rescue me? 812 00:31:37,378 --> 00:31:38,999 ♪ Ohh, ohh, ohh 813 00:31:39,000 --> 00:31:43,003 ♪ Wide asleep 814 00:31:43,004 --> 00:31:48,595 ♪ Chasin' fever dreams 815 00:31:48,596 --> 00:31:54,049 ♪ Playin' hide-and-seek 816 00:31:54,050 --> 00:32:00,572 ♪ Can you rescue me? 817 00:32:00,573 --> 00:32:05,370 ♪ Before I 818 00:32:05,371 --> 00:32:11,101 ♪ Break down again 819 00:32:17,418 --> 00:32:21,629 His heart exploded, and now he's completely fine. 820 00:32:23,079 --> 00:32:24,355 [ Chuckles ] 821 00:32:24,356 --> 00:32:26,184 [ Laughing ] 822 00:32:26,185 --> 00:32:28,324 [Laughing] That poor wife! 823 00:32:28,325 --> 00:32:31,224 She was covered! Covered in blood. 824 00:32:31,225 --> 00:32:32,501 It was... 825 00:32:32,502 --> 00:32:33,951 [ Both laughing ] 826 00:32:33,952 --> 00:32:36,539 This is terrible! Ohh! 827 00:32:36,540 --> 00:32:38,886 I can still feel it in my socks. 828 00:32:38,887 --> 00:32:41,131 [ Both laughing ] 829 00:32:43,754 --> 00:32:45,134 Ohh! 830 00:32:45,135 --> 00:32:47,310 Ohh... 831 00:32:49,588 --> 00:32:52,038 Owen, we don't have to schedule sex. 832 00:32:52,039 --> 00:32:54,040 Well, technically, it's now our homework, 833 00:32:54,041 --> 00:32:57,665 and I have always been a straight-A student, so... 834 00:32:59,460 --> 00:33:00,978 We're gonna get through this. 835 00:33:00,979 --> 00:33:03,290 We have gotten through a lot worse. 836 00:33:03,291 --> 00:33:05,603 I'm not sure if you're talking about Iraq or the kids. 837 00:33:05,604 --> 00:33:07,087 [ Both chuckle ] 838 00:33:07,088 --> 00:33:10,435 Teddy... can I take you on a date? 839 00:33:10,436 --> 00:33:12,473 Somewhere that's not Joe's. 840 00:33:13,819 --> 00:33:15,993 I'd really like that. 841 00:33:15,994 --> 00:33:19,755 ♪ 842 00:33:19,756 --> 00:33:22,068 [ Thunder rumbles ] 843 00:33:22,069 --> 00:33:23,518 [ Zayne moans ] 844 00:33:24,830 --> 00:33:26,141 Is it over? 845 00:33:26,142 --> 00:33:28,833 Oh, yes. Your surgery went very well. 846 00:33:28,834 --> 00:33:30,800 - How do you feel? - Really tired. 847 00:33:30,801 --> 00:33:32,319 Blue: The paid meds are still working. 848 00:33:32,320 --> 00:33:35,736 So, is this Zayne Johnson? 849 00:33:35,737 --> 00:33:37,600 Zayne: Either these pain meds are really strong, 850 00:33:37,601 --> 00:33:39,016 or you're not Dr. Lincoln. 851 00:33:39,017 --> 00:33:41,984 I'm Dr. Webber. I have some good news. 852 00:33:41,985 --> 00:33:45,263 There's a possibility you could get sickle-cell gene therapy. 853 00:33:45,264 --> 00:33:47,058 What? H-How? 854 00:33:47,059 --> 00:33:49,129 We're doing it pro bono? 855 00:33:49,130 --> 00:33:51,994 No, my partners and I at Balcom heard your story, 856 00:33:51,995 --> 00:33:53,685 and we'd like to open a discussion 857 00:33:53,686 --> 00:33:56,034 about how you can apply for a grant we have. 858 00:33:57,414 --> 00:34:00,347 I can't believe this. Thank you. 859 00:34:00,348 --> 00:34:04,179 Thank your advocates. They really made an impression. 860 00:34:04,180 --> 00:34:06,181 Okay. We're talking about that later. 861 00:34:06,182 --> 00:34:08,700 Richard: If you get to go-ahead, we need to get you started soon. 862 00:34:08,701 --> 00:34:10,530 This whole process could take almost a year. 863 00:34:10,531 --> 00:34:13,084 - A year? - Well, sometimes as soon as eight months. 864 00:34:13,085 --> 00:34:16,294 You'll get blood transfusions, then you'll stay in the hospital 865 00:34:16,295 --> 00:34:17,709 to collect your stem cells. 866 00:34:17,710 --> 00:34:20,643 And after gene therapy, you'll be given chemo 867 00:34:20,644 --> 00:34:22,852 and kept in isolation for about a month 868 00:34:22,853 --> 00:34:24,785 until your immune system recovers. 869 00:34:24,786 --> 00:34:26,097 ♪ At night 870 00:34:26,098 --> 00:34:28,686 I don't think I could do that. 871 00:34:28,687 --> 00:34:32,897 My son has special needs, and I can't afford a caretaker 872 00:34:32,898 --> 00:34:35,175 or to be away from him for that long. 873 00:34:35,176 --> 00:34:38,076 ♪ Just past nine 874 00:34:39,422 --> 00:34:41,457 Okay. Um... Well, you think about it, 875 00:34:41,458 --> 00:34:44,115 and, um, maybe you'll figure something out. 876 00:34:44,116 --> 00:34:51,123 ♪ Shoulders get heavy when mothers cry ♪ 877 00:34:54,471 --> 00:34:56,679 The system still sucks. 878 00:34:56,680 --> 00:34:59,648 Yeah, if only there was something we could do about it. 879 00:34:59,649 --> 00:35:02,064 ♪ ...turns the light 880 00:35:02,065 --> 00:35:03,203 [ Monitor beeping ] 881 00:35:03,204 --> 00:35:04,239 [ Thunder rumbles ] 882 00:35:04,240 --> 00:35:06,793 ♪ And we used to fly 883 00:35:06,794 --> 00:35:09,899 ♪ Hm, hm, hm, hm, hm 884 00:35:09,900 --> 00:35:12,557 ♪ Hm-hm, hm 885 00:35:12,558 --> 00:35:14,801 ♪ 886 00:35:14,802 --> 00:35:17,114 Monica: She's still in critical condition, 887 00:35:17,115 --> 00:35:18,598 but she should be okay. 888 00:35:18,599 --> 00:35:20,082 And-- And her leg? 889 00:35:20,083 --> 00:35:21,394 We were able to save it. 890 00:35:21,395 --> 00:35:22,774 She'll likely need more surgery, 891 00:35:22,775 --> 00:35:24,397 but hopefully with some physical therapy, 892 00:35:24,398 --> 00:35:25,605 she'll regain function. 893 00:35:25,606 --> 00:35:26,847 Thank you. Thank you. 894 00:35:26,848 --> 00:35:28,090 Thank you. Thank you, Doctors. 895 00:35:28,091 --> 00:35:29,781 Dr. Adams will take you in. 896 00:35:29,782 --> 00:35:33,337 ♪ And unlike your dad, I hope you cry ♪ 897 00:35:33,338 --> 00:35:35,028 ♪ 898 00:35:35,029 --> 00:35:37,237 [ Sighs ] 899 00:35:37,238 --> 00:35:40,137 Do you think peds was your calling? 900 00:35:40,138 --> 00:35:42,069 You know I applied for the fellowship. 901 00:35:42,070 --> 00:35:43,243 I don't mean your interest. 902 00:35:43,244 --> 00:35:44,796 I've heard all about your interest. 903 00:35:44,797 --> 00:35:47,730 I mean, do you truly believe 904 00:35:47,731 --> 00:35:49,422 that it's what you're meant to do? 905 00:35:49,423 --> 00:35:51,078 [ Sighs ] 906 00:35:51,079 --> 00:35:54,289 When I was a kid, I was obsessed with helicopters, 907 00:35:54,290 --> 00:35:55,980 so for my fifth birthday, 908 00:35:55,981 --> 00:35:58,846 my mom splurged on an aerial tour of Seattle. 909 00:35:59,847 --> 00:36:01,503 Got to take pictures with the pilot, 910 00:36:01,504 --> 00:36:04,161 put on the cool headphones. 911 00:36:04,162 --> 00:36:07,026 Then we got up in the air, and I freaked out. 912 00:36:08,200 --> 00:36:10,339 I rode the entire trip with my eyes closed. 913 00:36:10,340 --> 00:36:12,169 ♪ 914 00:36:12,170 --> 00:36:14,861 That was my only helicopter ride until today. 915 00:36:14,862 --> 00:36:16,966 ♪ And your heart... 916 00:36:16,967 --> 00:36:20,004 I pretended to nap the whole way to Friday Harbor, 917 00:36:20,005 --> 00:36:23,697 but on the way back, when she started to deteriorate, 918 00:36:23,698 --> 00:36:27,149 all I could think about was Ofelia. 919 00:36:27,150 --> 00:36:29,151 Even when we were going down in the storm, 920 00:36:29,152 --> 00:36:31,395 I only wanted to keep her safe. 921 00:36:31,396 --> 00:36:35,019 I know peds is my calling... 922 00:36:35,020 --> 00:36:38,541 but I don't know how to prove that to everyone else. 923 00:36:39,542 --> 00:36:41,853 Well, I've never been more certain 924 00:36:41,854 --> 00:36:44,028 that a resident belongs in peds. 925 00:36:44,029 --> 00:36:45,581 ♪ That I believe 926 00:36:45,582 --> 00:36:46,617 [ Exhales sharply ] 927 00:36:46,618 --> 00:36:48,378 I want to help. 928 00:36:49,552 --> 00:36:50,862 I think that ship has sailed. 929 00:36:50,863 --> 00:36:52,657 Hm. For now. 930 00:36:52,658 --> 00:36:54,280 But I have a lot of friends 931 00:36:54,281 --> 00:36:56,213 who got their fellowship after doing research. 932 00:36:56,214 --> 00:36:58,870 And I have a colleague in Texas 933 00:36:58,871 --> 00:37:01,218 who's looking for help with a clinical trial. 934 00:37:01,219 --> 00:37:03,393 You interested? 935 00:37:05,913 --> 00:37:07,707 Sure. Great. 936 00:37:07,708 --> 00:37:11,090 'Cause I already told him you'd call him to schedule something. 937 00:37:12,264 --> 00:37:14,092 You know more than you think, Schmitt. 938 00:37:14,093 --> 00:37:16,060 Trust yourself. 939 00:37:16,061 --> 00:37:22,757 ♪ 940 00:37:24,759 --> 00:37:26,346 Check on Mr. Riley? 941 00:37:26,347 --> 00:37:27,899 Yeah, he's stable for now. 942 00:37:27,900 --> 00:37:29,729 I asked the nurse to let us know if anything changes. 943 00:37:29,730 --> 00:37:32,559 Alright. Thanks. If it does, I'll handle it. 944 00:37:32,560 --> 00:37:35,044 Not because you can't.[ Both chuckle ] 945 00:37:35,045 --> 00:37:36,529 I'll just be across the street at Joe's, so... 946 00:37:36,530 --> 00:37:38,358 Are you meeting folks? 947 00:37:38,359 --> 00:37:40,740 No. Just, uh, grabbing some dinner. 948 00:37:40,741 --> 00:37:43,087 Maybe watch the game. 949 00:37:43,088 --> 00:37:44,916 I like the noise. 950 00:37:44,917 --> 00:37:46,401 You ready? 951 00:37:46,402 --> 00:37:48,575 I just told Tuck to put the casserole in the oven 952 00:37:48,576 --> 00:37:52,096 and Pru to clean up her Play-Doh. 953 00:37:52,097 --> 00:37:54,719 Actually, I think I'm gonna head over 954 00:37:54,720 --> 00:37:56,100 to Joe's with Ndugu. 955 00:37:56,101 --> 00:37:58,102 Oh, I don't want to go to Joe's. 956 00:37:58,103 --> 00:38:00,069 Well, it's a good thing you weren't invited. 957 00:38:00,070 --> 00:38:01,588 Have a nice time. 958 00:38:01,589 --> 00:38:04,384 I'll see you at home.[ Chuckles ] 959 00:38:04,385 --> 00:38:06,110 Meredith: The old saying goes... 960 00:38:06,111 --> 00:38:08,733 fake it till you make it. 961 00:38:08,734 --> 00:38:11,598 Because sometimes pretending you have confidence 962 00:38:11,599 --> 00:38:13,566 helps you find the real thing. 963 00:38:13,567 --> 00:38:15,154 Okay. 964 00:38:17,467 --> 00:38:21,436 You can go home. I can stay and monitor Ofelia. 965 00:38:21,437 --> 00:38:23,403 Are you still avoiding that guy? 966 00:38:23,404 --> 00:38:25,612 Just because we shared a near-death experience 967 00:38:25,613 --> 00:38:27,131 doesn't mean I have to answer you. 968 00:38:27,132 --> 00:38:29,616 Sure, but he's following us. 969 00:38:29,617 --> 00:38:32,792 - Oh, God. - Hey, Levi. Hi. Can we talk? 970 00:38:32,793 --> 00:38:35,139 I know about Ryan. 971 00:38:35,140 --> 00:38:36,589 Okay. 972 00:38:36,590 --> 00:38:38,901 I thought what we had was real, 973 00:38:38,902 --> 00:38:40,247 something deep. 974 00:38:40,248 --> 00:38:41,697 I'm sorry I didn't say anything. 975 00:38:41,698 --> 00:38:43,596 I'm sure you are. 976 00:38:43,597 --> 00:38:45,770 It's hard to know when to tell people 977 00:38:45,771 --> 00:38:47,427 about your dead husband. 978 00:38:47,428 --> 00:38:49,153 What? 979 00:38:49,154 --> 00:38:50,982 Oh, I d-- I didn't realize. 980 00:38:50,983 --> 00:38:52,329 I'm so sorry. 981 00:38:52,330 --> 00:38:54,331 It'll be four years this summer. 982 00:38:54,332 --> 00:38:56,781 Um, I just haven't done a lot of dating since then, 983 00:38:56,782 --> 00:38:58,127 so this is all new to me. 984 00:38:58,128 --> 00:38:59,819 Yeah, yeah. 985 00:38:59,820 --> 00:39:01,476 Wait. Did you think I was cheating? 986 00:39:01,477 --> 00:39:02,994 No! No. 987 00:39:02,995 --> 00:39:05,100 I m-- I mean, may-- maybe a little bit. 988 00:39:05,101 --> 00:39:07,516 [ Chuckles ] 989 00:39:07,517 --> 00:39:10,071 I think what we have is real. 990 00:39:11,245 --> 00:39:13,142 Okay? You're kind of the best thing 991 00:39:13,143 --> 00:39:15,698 that's happened to me in a really long time. 992 00:39:17,355 --> 00:39:19,390 When it doesn't work, 993 00:39:19,391 --> 00:39:21,358 when life doesn't give us second chances 994 00:39:21,359 --> 00:39:23,705 or dress rehearsals... 995 00:39:23,706 --> 00:39:26,224 you can walk away... 996 00:39:26,225 --> 00:39:28,503 or you can go all-in. 997 00:39:28,504 --> 00:39:32,161 Hey. Ofelia's vascular checks look good. 998 00:39:32,162 --> 00:39:33,887 Mm. Nice. 999 00:39:33,888 --> 00:39:35,337 Yeah. 1000 00:39:35,338 --> 00:39:37,374 Thanks for your help today. 1001 00:39:37,375 --> 00:39:39,376 I just did a neuro exam. 1002 00:39:39,377 --> 00:39:42,689 No, I was freaking out, and you calmed me down. 1003 00:39:42,690 --> 00:39:44,208 [Chuckling] Oh. 1004 00:39:44,209 --> 00:39:45,658 I'm being genuine! 1005 00:39:45,659 --> 00:39:47,798 No, I-- It's not you. It's the irony... 1006 00:39:47,799 --> 00:39:49,420 that you would see if you knew me better. 1007 00:39:49,421 --> 00:39:50,525 [ Chuckles ] 1008 00:39:50,526 --> 00:39:52,665 Listen. The thing with Ndugu... 1009 00:39:52,666 --> 00:39:55,288 It's just casual. We were just going through something similar. 1010 00:39:55,289 --> 00:39:58,222 You don't owe me an explanation. Really. 1011 00:39:58,223 --> 00:39:59,844 You and I are good. 1012 00:39:59,845 --> 00:40:01,398 Good night. 1013 00:40:01,399 --> 00:40:03,884 We tell ourselves we don't care. 1014 00:40:04,919 --> 00:40:06,679 Hey! Hey. 1015 00:40:06,680 --> 00:40:07,887 ♪ Sometimes it's gotta fade before it shines ♪ 1016 00:40:07,888 --> 00:40:10,234 Ultrasound showed two strong heartbeats. 1017 00:40:10,235 --> 00:40:11,408 Equal fluid level. 1018 00:40:11,409 --> 00:40:12,995 DeLuca saw nothing to worry about. 1019 00:40:12,996 --> 00:40:14,825 ♪ When your heartbeat stops 1020 00:40:14,826 --> 00:40:16,067 Great. 1021 00:40:16,068 --> 00:40:17,897 ♪ And the world won't spin 1022 00:40:17,898 --> 00:40:19,933 I'm sorry. 1023 00:40:19,934 --> 00:40:24,317 I was so freaked out over one baby, and now it's... 1024 00:40:24,318 --> 00:40:26,423 And I'm exhausted. You know, I worked 1025 00:40:26,424 --> 00:40:28,217 20 hours straight last week. 1026 00:40:28,218 --> 00:40:31,462 I delivered eight babies with no caffeine. 1027 00:40:31,463 --> 00:40:33,706 I told you you should rest after that. 1028 00:40:33,707 --> 00:40:35,708 Are you mad at me? 1029 00:40:35,709 --> 00:40:37,813 ♪ Oh, could the story end 1030 00:40:37,814 --> 00:40:42,128 You... locked me out of your car this morning. 1031 00:40:42,129 --> 00:40:44,475 You kicked me out of the ultrasound appointment. 1032 00:40:44,476 --> 00:40:46,891 I didn't kick you out. I... 1033 00:40:46,892 --> 00:40:49,998 I was overwhelmed and hormonal. 1034 00:40:49,999 --> 00:40:51,793 This is a high-risk pregnancy! 1035 00:40:51,794 --> 00:40:54,761 The odds of making it full term with two healthy babies?! 1036 00:40:54,762 --> 00:40:56,280 I'm scared! 1037 00:40:56,281 --> 00:40:58,282 Yeah, and you think I'm just worried about cars? 1038 00:40:58,283 --> 00:41:00,284 No, I d-- I'm scared out of my mind! 1039 00:41:00,285 --> 00:41:03,563 I'm scared for them. I'm scared about you. 1040 00:41:03,564 --> 00:41:05,772 ♪ Every outcome we envision ♪ 1041 00:41:05,773 --> 00:41:08,154 We're supposed to be partners. 1042 00:41:08,155 --> 00:41:11,468 If we're falling apart just thinking about having twins, 1043 00:41:11,469 --> 00:41:13,262 what's gonna happen when we actually have them? 1044 00:41:13,263 --> 00:41:16,300 ♪ Fall before you fly 1045 00:41:16,301 --> 00:41:18,129 [ Exhales heavily ] 1046 00:41:18,130 --> 00:41:21,443 ♪ Sometimes it's gotta fade before it shines ♪ 1047 00:41:21,444 --> 00:41:24,411 We can try to hide our doubts and fears. 1048 00:41:24,412 --> 00:41:25,965 ♪ When your heartbeat stops 1049 00:41:25,966 --> 00:41:28,001 ♪ Ooh-ooh 1050 00:41:28,002 --> 00:41:29,520 ♪ And the world won't spin 1051 00:41:29,521 --> 00:41:31,384 ♪ Ooh-ooh 1052 00:41:31,385 --> 00:41:33,282 ♪ When your time is gone 1053 00:41:33,283 --> 00:41:34,905 ♪ Ooh-ooh 1054 00:41:34,906 --> 00:41:37,148 ♪ Don't know where it went [ Chuckles ] 1055 00:41:37,149 --> 00:41:39,185 ♪ Ooh-ooh 1056 00:41:39,186 --> 00:41:41,014 ♪ Ohh, ohh 1057 00:41:41,015 --> 00:41:43,638 Or we can accept the unknown... 1058 00:41:43,639 --> 00:41:45,536 What's this? 1059 00:41:45,537 --> 00:41:46,951 ...and dive in. 1060 00:41:46,952 --> 00:41:50,610 ♪ Where we begin, whoa-oh 1061 00:41:50,611 --> 00:41:52,163 ♪ Where we begin 1062 00:41:52,164 --> 00:41:54,338 ♪ Ohh-ohh 1063 00:41:54,339 --> 00:41:55,995 ♪ Where we begin 1064 00:41:55,996 --> 00:41:58,307 ♪ Ohh-ohh 1065 00:41:58,308 --> 00:42:03,037 I've had... an extremely long day. 1066 00:42:04,832 --> 00:42:06,833 I just wanted to end it with you. 1067 00:42:06,834 --> 00:42:08,594 And a real meal. 1068 00:42:08,595 --> 00:42:10,285 Mm-hmm. 1069 00:42:10,286 --> 00:42:11,355 Are you hungry? 1070 00:42:11,356 --> 00:42:12,529 Starving. 1071 00:42:12,530 --> 00:42:14,841 [ Both laugh ] 1072 00:42:14,842 --> 00:42:16,325 ♪ We can start again 1073 00:42:16,326 --> 00:42:18,293 The real thing is better anyway. 1074 00:42:18,294 --> 00:42:21,090 ♪ We begin 1075 00:42:31,238 --> 00:42:44,734 ♪ 1076 00:42:46,425 --> 00:42:53,432 ♪