1 00:00:01,489 --> 00:00:05,170 When patients leave the hospital, they're often taking home a brand new 2 00:00:05,170 --> 00:00:08,470 regimen of medication, physical therapy, and aftercare. 3 00:00:10,550 --> 00:00:12,690 We really should go. 4 00:00:13,180 --> 00:00:14,180 Should we go? 5 00:00:18,600 --> 00:00:24,000 Wait, wait, wait, wait. Damn it. 6 00:00:24,360 --> 00:00:28,000 We used the last condom last night. In our dreams, every patient would do 7 00:00:28,000 --> 00:00:29,300 exactly as they're told. Don't move. 8 00:00:30,300 --> 00:00:32,619 Yes, ma'am. But reality is a different story. 9 00:00:36,360 --> 00:00:40,120 Juan, if you use the last condom by more, you are unemployed. You have no 10 00:00:40,120 --> 00:00:41,120 excuse. 11 00:00:43,360 --> 00:00:44,360 Or it. 12 00:00:44,720 --> 00:00:46,380 Not Kwan. 13 00:00:46,780 --> 00:00:47,840 Nope. Nope. 14 00:00:48,260 --> 00:00:52,720 Can you pass my towel? Yep. Too often, medication costs, memory lapses, and 15 00:00:52,720 --> 00:00:54,880 poor health literacy impede patients' recovery. 16 00:00:56,160 --> 00:00:57,260 You are cautious. 17 00:00:57,600 --> 00:00:58,600 You know that? 18 00:01:05,560 --> 00:01:11,020 What time is it? Uh, set. 19 00:01:11,500 --> 00:01:13,440 But Laura, don't you worry. 20 00:01:18,640 --> 00:01:20,220 You have time. 21 00:01:20,500 --> 00:01:22,460 No, you have time. 22 00:01:22,980 --> 00:01:25,600 I'm a resident and I should have been there an hour ago. 23 00:01:29,380 --> 00:01:32,420 And as their surgeon, there's not a whole lot you can do about it. 24 00:01:36,900 --> 00:01:39,720 In other words, you can lead a horse to water. 25 00:01:40,880 --> 00:01:42,240 Like you can't make a drink. 26 00:01:47,260 --> 00:01:48,260 Wow. 27 00:01:49,240 --> 00:01:51,140 We should be forced to dress up more often. 28 00:01:51,420 --> 00:01:52,440 Have you seen Bubbles? 29 00:01:52,840 --> 00:01:55,020 Nobody can't find him and Luna's stuff. 30 00:01:55,380 --> 00:01:58,740 No, but you want to sneak off to our room for a few minutes? 31 00:01:58,940 --> 00:02:00,380 These things never start on time. 32 00:02:02,660 --> 00:02:04,300 Wait, this is it. Hang on. 33 00:02:05,820 --> 00:02:09,240 No, this is my I almost died box. 34 00:02:09,800 --> 00:02:10,800 Hmm. 35 00:02:11,720 --> 00:02:12,720 I'm fine. 36 00:02:13,420 --> 00:02:17,880 My therapist just said that I should toss anything that reminded me of my 37 00:02:17,880 --> 00:02:20,880 birth trauma, so... I'll take care of it tonight. 38 00:02:21,660 --> 00:02:24,640 You told Joey to pick Pruitt from school, right? 39 00:02:24,920 --> 00:02:26,180 You know I did. 40 00:02:26,580 --> 00:02:29,800 And can you please remind people that I am not chief resident anymore? With 41 00:02:29,800 --> 00:02:33,120 right back and family leave, I gotta put all my focus on classes. 42 00:02:33,500 --> 00:02:35,140 Soon as I register for school. 43 00:02:36,190 --> 00:02:37,550 They just accepted your application. 44 00:02:37,910 --> 00:02:41,570 Yeah, as a last-minute admission, right? Final registrations to date. 45 00:02:43,270 --> 00:02:44,270 Miranda Bailey. 46 00:02:44,490 --> 00:02:48,730 M-D-F-A-C-S-M-P-H. 47 00:02:49,190 --> 00:02:50,330 That's a lot of letters. 48 00:02:50,590 --> 00:02:53,430 I'm unbenched from surgery. I'm getting my master's. 49 00:02:53,650 --> 00:02:55,730 Watch out, world. She's coming for you. 50 00:02:55,970 --> 00:02:58,550 And she is talking about herself in third person. 51 00:02:58,770 --> 00:03:02,130 If only we didn't have to spend all morning at this PR circus. 52 00:03:06,880 --> 00:03:08,260 Good morning, Dr. Bailey. 53 00:03:08,700 --> 00:03:09,100 Thank 54 00:03:09,100 --> 00:03:24,200 you 55 00:03:24,200 --> 00:03:25,200 so much. 56 00:03:26,140 --> 00:03:28,520 Where are you? 57 00:03:31,050 --> 00:03:33,970 I thought you were going to be here half an hour ago. Total gridlock by the 58 00:03:33,970 --> 00:03:34,990 airport. No one's moving. 59 00:03:35,390 --> 00:03:38,370 Catherine told him the surgeon whose name is on the building would be here 60 00:03:38,370 --> 00:03:40,910 for the photo. I know. Tell Catherine I'm sorry. 61 00:03:41,210 --> 00:03:42,250 I'll be there as soon as I can. 62 00:03:47,550 --> 00:03:53,270 All right, who's ready to see Grace Sloan's new crown jewel? Follow me. 63 00:04:00,200 --> 00:04:03,820 Welcome to the Olympic floor. Welcome to paradise. 64 00:04:05,420 --> 00:04:07,520 Oh, my God. 65 00:04:09,660 --> 00:04:10,600 What 66 00:04:10,600 --> 00:04:24,100 is 67 00:04:24,100 --> 00:04:25,100 this? 68 00:04:27,600 --> 00:04:29,000 Oh, my. 69 00:04:35,990 --> 00:04:41,430 With the addition of the Olympic floor, Grace Sloan joins the leading hospitals 70 00:04:41,430 --> 00:04:44,770 in this country by offering a VIP wing. 71 00:04:45,600 --> 00:04:47,080 The Seahawks are going to love this. 72 00:04:48,140 --> 00:04:50,060 Espresso machines, 7 o'clock. 73 00:04:50,280 --> 00:04:54,400 We are very fortunate to have developed our VIP program with Dr. 74 00:04:54,940 --> 00:04:59,240 Seth Norton, CEO of Olympic Region Health. Let's give him a warm welcome. 75 00:05:01,480 --> 00:05:02,480 Thank you. 76 00:05:02,760 --> 00:05:04,740 That guy looks like this floor. Rich. 77 00:05:06,680 --> 00:05:08,080 It's like dogs in their owners. 78 00:05:08,750 --> 00:05:13,650 I guess the food is good. Good morning. I am thrilled to raise the bar on Grace 79 00:05:13,650 --> 00:05:15,410 Loan's already stellar reputation. 80 00:05:15,750 --> 00:05:20,030 Patients will have private suites with high-level security, hotel-quality 81 00:05:20,030 --> 00:05:23,750 bedding, and meals tailored to their health needs by a gourmet chef. 82 00:05:24,010 --> 00:05:27,570 I've been covering for Hunt and Altman, but we have money for a gourmet chef. 83 00:05:28,280 --> 00:05:32,760 I should have asked for a raise. It will no longer be a hospital stay. It will be 84 00:05:32,760 --> 00:05:33,940 a luxury experience. 85 00:05:34,380 --> 00:05:38,140 We should vacation here. But all of these amenities pale in comparison to 86 00:05:38,140 --> 00:05:41,880 the unparalleled access patients will have to the hospital's most important 87 00:05:41,880 --> 00:05:47,660 asset, you. From fast tracking through the ER to 24-7 post-op access, your 88 00:05:47,660 --> 00:05:51,760 patients will not doubt for a single second how much you care about them. All 89 00:05:51,760 --> 00:05:52,780 right, enough talk. 90 00:05:53,080 --> 00:05:55,020 Let's cut the ribbon. Come on, Dr. 91 00:05:55,260 --> 00:05:56,480 Shepard. Join us. 92 00:05:57,480 --> 00:06:00,360 All right, come on. Join us. Join us. Here we go. 93 00:06:04,720 --> 00:06:06,960 Two planes collided on the runway at the airport. 94 00:06:07,260 --> 00:06:08,260 We're about to get slammed. 95 00:06:08,540 --> 00:06:14,700 All right, that's enough celebrating for me. I'll send everyone down. All right, 96 00:06:14,720 --> 00:06:15,720 everyone stay calm. 97 00:06:18,200 --> 00:06:21,370 Hey. Sorry about this morning. I probably should have locked the door. 98 00:06:21,370 --> 00:06:23,490 That's okay. We don't need to talk about it. Juan and I were out playing video 99 00:06:23,490 --> 00:06:26,510 games, so I crashed. Still talking about it. So we're good? I mean, it's nothing 100 00:06:26,510 --> 00:06:27,510 you haven't seen before, right? 101 00:06:27,650 --> 00:06:29,930 This place looks like a dump compared to the new floor. 102 00:06:30,150 --> 00:06:34,010 Took you long enough. Between that dog and pony show and this trauma, the whole 103 00:06:34,010 --> 00:06:40,030 day is thrown off. Most elective classes, I mean, cases, are pushed, so 104 00:06:40,030 --> 00:06:41,130 go where you need it. 105 00:06:41,630 --> 00:06:44,290 Melanne, I saw what happened this morning. 106 00:06:44,870 --> 00:06:47,830 I don't tolerate tardiness in my residency program. 107 00:06:48,270 --> 00:06:49,270 It won't happen again. 108 00:06:56,150 --> 00:06:57,150 Meredith, 109 00:06:57,690 --> 00:06:58,549 you made it. 110 00:06:58,550 --> 00:07:02,230 Just in time for the chaos, I see. Yeah. How mad is Catherine? Why, are you 111 00:07:02,230 --> 00:07:05,570 staying out? Well, he'll probably make up for missing the big unveiling. Hey, 112 00:07:05,590 --> 00:07:06,890 it couldn't hurt. I'll control it. 113 00:07:07,450 --> 00:07:08,450 Hey, 114 00:07:09,370 --> 00:07:10,590 hey, hey! 115 00:07:12,130 --> 00:07:13,130 What do you need? 116 00:07:13,600 --> 00:07:15,920 Do you work here? I've already been here six hours. 117 00:07:16,240 --> 00:07:19,400 Okay, there's a big emergency that's just come in. I have to run upstairs. 118 00:07:19,700 --> 00:07:21,680 I will check on you when I get back, okay? 119 00:07:26,620 --> 00:07:29,200 Hey. It's a good thing you weren't flying in today. 120 00:07:30,260 --> 00:07:31,239 Also, hi. 121 00:07:31,240 --> 00:07:33,680 How was visiting your mom in Wisconsin? 122 00:07:34,100 --> 00:07:35,880 It was my dad in Michigan. 123 00:07:36,120 --> 00:07:37,940 Right, yes. I didn't know that. 124 00:07:39,200 --> 00:07:42,180 What are you doing after work? You want to grab food and talk? 125 00:07:42,890 --> 00:07:45,030 You're kidding, right? You're so mad. 126 00:07:45,970 --> 00:07:49,370 We've been texting. Yeah, we work together. I can't exactly ignore you. 127 00:07:50,190 --> 00:07:54,270 Brie Wong, 31, status post plane crash on the tarmac, GCS 15, vital, stable. 128 00:07:54,590 --> 00:07:57,850 Has facial bruising and one episode of epistaxis, nasal packing inserted. 129 00:07:58,150 --> 00:07:59,910 She also had episodes of intermittent paralysis. 130 00:08:00,170 --> 00:08:01,330 I don't know what happened. 131 00:08:02,210 --> 00:08:05,170 The sound, the crunching metal, scream. 132 00:08:05,550 --> 00:08:06,590 Wait, you were on one of the planes? 133 00:08:06,870 --> 00:08:07,870 I'm the pilot. 134 00:08:08,090 --> 00:08:09,610 Today's my first day of school. 135 00:08:10,220 --> 00:08:11,220 How many passengers? 136 00:08:11,300 --> 00:08:14,820 212, full flight. And that's just one of the planes. Okay, let's go trauma one. 137 00:08:17,100 --> 00:08:20,200 Anyone who's not down here already needs to report to the ER right now. I'll get 138 00:08:20,200 --> 00:08:21,119 the word out. 139 00:08:21,120 --> 00:08:23,600 Hell of a time to be down three surgeons. 140 00:08:28,860 --> 00:08:30,340 My name is Benson. 141 00:08:30,720 --> 00:08:32,080 Je m'appelle Benson. 142 00:08:32,799 --> 00:08:33,840 I am a doctor. 143 00:08:34,900 --> 00:08:37,159 I'm home. 144 00:08:38,440 --> 00:08:44,590 Nope. I'm not House because House can kiss my behind. 145 00:08:45,570 --> 00:08:48,110 Good morning. Happy back to school everyone. 146 00:08:48,350 --> 00:08:53,130 Let's pick up from last week by practicing our names and jobs. 147 00:08:53,390 --> 00:08:54,390 Benson. 148 00:08:55,850 --> 00:08:58,910 Good morning. My name is Benson. 149 00:08:59,110 --> 00:09:05,130 I am self-employed. Ah, you are worker 150 00:09:05,130 --> 00:09:06,630 independent. Great. 151 00:09:07,610 --> 00:09:08,610 Yeah. 152 00:09:14,000 --> 00:09:17,980 Your mother's told me so much about you, Miss Annabelle. 153 00:09:18,480 --> 00:09:19,740 How is your mother? 154 00:09:20,080 --> 00:09:21,080 Stuck in Milan. 155 00:09:21,380 --> 00:09:23,200 She sends her love. Nice. 156 00:09:23,660 --> 00:09:25,560 How do you like our new VIP, Flora? 157 00:09:26,240 --> 00:09:28,240 Almost as nice as Mount Sinai. 158 00:09:28,480 --> 00:09:30,260 Is it okay to examine you, Miss Chase? 159 00:09:31,720 --> 00:09:32,720 Not him. 160 00:09:32,740 --> 00:09:33,880 Of course not. 161 00:09:34,480 --> 00:09:35,480 Dr. Spencer. 162 00:09:40,650 --> 00:09:41,650 Does he bite? 163 00:09:41,930 --> 00:09:45,230 You were diagnosed with gallstones. 164 00:09:45,470 --> 00:09:48,950 I was at a conference in Aspen for my dog rescue and I started feeling pain. 165 00:09:49,190 --> 00:09:51,090 I went to the emergency room. They said I needed surgery. 166 00:09:51,710 --> 00:09:53,850 Any tenderness here? 167 00:09:54,390 --> 00:09:57,050 No, but I want them gone today. 168 00:10:00,510 --> 00:10:04,210 Let's do some labs, and then we'll get an ultrasound, and then we'll take it 169 00:10:04,210 --> 00:10:07,270 from there. Would you like a warm blanket while you're waiting? Could I 170 00:10:07,270 --> 00:10:09,030 get two? I forgot Prince's sweater. 171 00:10:09,270 --> 00:10:10,270 Of course. 172 00:10:13,790 --> 00:10:14,790 Isn't he cute? 173 00:10:16,390 --> 00:10:20,350 What'd I miss? Captain Wong was flying one of the planes in the collision. 174 00:10:20,940 --> 00:10:22,560 Both pupils are equal and reactive. 175 00:10:22,980 --> 00:10:25,380 Excuse me. Nasal packing is fully saturated. 176 00:10:25,580 --> 00:10:28,200 I need to visualize the source to control the hemorrhaging. Squeeze my 177 00:10:28,200 --> 00:10:30,140 fingers. This isn't going to feel very good. I'm sorry. 178 00:10:31,560 --> 00:10:33,080 Yeah, it looks like a little forward fracture. 179 00:10:33,420 --> 00:10:35,900 She has maxillary instability. I'm going to call for a CT max phase. 180 00:10:36,140 --> 00:10:39,660 We were about to touch down when I heard the tower clear another plane for the 181 00:10:39,660 --> 00:10:40,660 intersection departure. 182 00:10:41,160 --> 00:10:44,100 Okay, she's neuro intact now, but there's midline tenderness and 183 00:10:44,100 --> 00:10:47,180 intermittent motor deficits. I need a stat CT head and C spine. 184 00:10:47,460 --> 00:10:50,020 I couldn't go around. It was too late. 185 00:10:51,310 --> 00:10:52,950 I clipped the nose of the other plane. 186 00:10:53,450 --> 00:10:56,410 Okay, I need to check on a patient in the next room. Page me when scans are 187 00:10:56,410 --> 00:10:57,410 up. 188 00:10:57,690 --> 00:11:00,730 No, not so fast. We need to stabilize these facial fractures and stop the 189 00:11:00,730 --> 00:11:01,910 bleeding before she goes anywhere. 190 00:11:02,410 --> 00:11:03,670 Okay, I'll go get an MMF kit. 191 00:11:05,450 --> 00:11:09,810 Okay. Oh, so sorry about all this chaos today. 192 00:11:10,350 --> 00:11:12,590 Reminds me of my med school rotation at L.A. County. 193 00:11:13,160 --> 00:11:16,280 Dr. Gray, I'd like to introduce you to Dr. 194 00:11:16,480 --> 00:11:22,400 Seth Norton, who is the founder-CEO of Olympic Regent Health. We missed you 195 00:11:22,400 --> 00:11:23,400 this morning. 196 00:11:23,540 --> 00:11:25,420 Can't exactly control a mass trauma. 197 00:11:25,660 --> 00:11:29,160 It's a pleasure to finally meet you, sir. Yes. I take it it went well this 198 00:11:29,160 --> 00:11:31,180 morning? I'd be happy to give you a private tour. 199 00:11:31,770 --> 00:11:35,350 Good idea. Hey, why don't you two get to know each other? I'm going to go find 200 00:11:35,350 --> 00:11:38,030 Indugu, give him a piece of my mind about all this mess. 201 00:11:38,890 --> 00:11:42,250 My afternoon's booked, but I could squeeze you in now. I'm pretty busy. 202 00:11:42,630 --> 00:11:44,610 And, you know, I don't really need the sales pitch. 203 00:11:44,950 --> 00:11:46,750 You're not skeptical about a VIP floor? 204 00:11:47,230 --> 00:11:50,890 Well, most private hospitals in big cities have them. They're just trying to 205 00:11:50,890 --> 00:11:52,510 keep up. I love a pragmatist. 206 00:11:54,170 --> 00:11:55,310 Excuse me, I have a patient. 207 00:11:55,590 --> 00:11:57,550 I make an excellent tour guide. I'm here all day. 208 00:11:59,230 --> 00:12:00,870 Hey, where are you going? 209 00:12:01,660 --> 00:12:02,760 To get my mom and dad. 210 00:12:03,400 --> 00:12:05,460 When they realize I still haven't been seen, they're going to be pissed. 211 00:12:05,780 --> 00:12:09,380 Okay. Bryant, let's get him in an exam room and find his parents. 212 00:12:10,260 --> 00:12:12,460 We're going to get you seen. All right. Chef, see you right here. 213 00:12:14,040 --> 00:12:15,240 Hey, Doogoo, heads up. 214 00:12:16,600 --> 00:12:20,280 Supply's out of MandF kits and Dr. Fox is looking for you, so I would hide. 215 00:12:20,580 --> 00:12:24,120 All right. Running the ER is not my job. And check the cart by trauma three, all 216 00:12:24,120 --> 00:12:28,320 right? Okay. Oh, um, I saw you and Millen this morning. 217 00:12:29,200 --> 00:12:30,200 In the elevator? 218 00:12:30,730 --> 00:12:31,730 With the coffee cups? 219 00:12:32,690 --> 00:12:38,370 Okay, I also saw the two of you coming out of an on-call room together about a 220 00:12:38,370 --> 00:12:39,370 month ago. 221 00:12:40,830 --> 00:12:41,990 Promise it's not what you think. 222 00:12:42,350 --> 00:12:43,870 Okay, yeah, fine. 223 00:12:44,330 --> 00:12:48,490 But just in case it is exactly what I think it is, I'm telling you, as a 224 00:12:48,490 --> 00:12:50,930 friend, come clean and get ahead of it. 225 00:12:51,650 --> 00:12:55,680 Okay. Opie sent me down here to help, and now I see why. 226 00:12:56,240 --> 00:12:59,060 Bed two, thank you. Okay, sir, sir. 227 00:12:59,560 --> 00:13:02,720 We are at the hospital to try to calm down. I'm going to help. All right, what 228 00:13:02,720 --> 00:13:06,700 do we got? What do we got? Larry Turner, 44, acute chest pain radiating from the 229 00:13:06,700 --> 00:13:07,559 back dyspnea. 230 00:13:07,560 --> 00:13:11,280 BP 170 over 100, heart rate 112, 93% stats. 231 00:13:11,840 --> 00:13:16,280 I'm so sorry. I'm so sorry. Okay, let's do a chest x-ray, CBC, BMP, troponins, 232 00:13:16,280 --> 00:13:18,040 and an EKG, all right? Let's try to breathe. 233 00:13:19,120 --> 00:13:21,420 It's all my fault. I was the controller in the tower. 234 00:13:21,620 --> 00:13:23,700 I told her they were clear to land. It's all my fault. 235 00:13:24,780 --> 00:13:26,220 Okay, trauma three. Let's go. 236 00:13:29,380 --> 00:13:30,380 Okay, okay. 237 00:13:32,600 --> 00:13:34,180 Hey, should we go to CT first? 238 00:13:34,440 --> 00:13:36,480 Shepard's not going to like this. Yeah, well, Shepard's not here. 239 00:13:37,020 --> 00:13:38,020 Present, Gene CT. 240 00:13:38,569 --> 00:13:41,510 We were worried her facial fractures could compromise her airways, so we're 241 00:13:41,510 --> 00:13:42,510 doing fixation now. 242 00:13:43,130 --> 00:13:46,930 Before seeing if she has a head bleed or serious spinal fractures? We need to get 243 00:13:46,930 --> 00:13:49,030 a full picture of what we're working on. And how do you propose we stop her 244 00:13:49,030 --> 00:13:50,030 facial bleeding in the meantime? 245 00:13:50,130 --> 00:13:52,970 Just repack her, hope for the best? Well, if she has a brain injury, nothing 246 00:13:52,970 --> 00:13:55,570 else matters. Oh, nothing else matters besides neuro. That tracks. 247 00:13:55,870 --> 00:13:58,730 If that is how you feel, then maybe you should have stayed in Wisconsin. 248 00:13:59,170 --> 00:14:00,930 Michigan. Same difference. 249 00:14:05,210 --> 00:14:06,210 You're right. 250 00:14:06,440 --> 00:14:09,140 You clearly have it under control. Do what you want. What? 251 00:14:11,360 --> 00:14:12,900 Okay, let's move her. 252 00:14:18,840 --> 00:14:22,040 There are three ways to ask questions. 253 00:14:22,520 --> 00:14:23,740 Les questions. 254 00:14:25,580 --> 00:14:26,580 Inversion. 255 00:14:29,080 --> 00:14:30,080 Intonation. 256 00:14:30,800 --> 00:14:34,360 Are you feeling okay? 257 00:14:34,740 --> 00:14:35,740 En français. 258 00:14:42,959 --> 00:14:45,260 It's just a headache. 259 00:14:46,740 --> 00:14:49,140 Do you have any other symptoms? 260 00:14:49,460 --> 00:14:55,860 Are you... Okay, I'm a doctor. I can't do medicine in 261 00:14:55,860 --> 00:14:56,860 French. 262 00:15:06,220 --> 00:15:07,220 C'est bizarre. 263 00:15:08,700 --> 00:15:10,780 Touching my hair is painful. 264 00:15:11,700 --> 00:15:12,700 Okay. 265 00:15:12,980 --> 00:15:15,940 Madame, this could be a medical emergency, okay? 266 00:15:16,160 --> 00:15:19,260 You need to go to Grace Sloan Memorial right now. 267 00:15:19,540 --> 00:15:20,539 Non, non. 268 00:15:20,540 --> 00:15:21,620 Ce n'est pas nécessaire. 269 00:15:22,000 --> 00:15:23,940 Class is over. Everyone sign off. 270 00:15:24,520 --> 00:15:25,499 Au revoir. 271 00:15:25,500 --> 00:15:27,380 I will see you at the hospital, okay? 272 00:15:33,140 --> 00:15:37,080 There's an NTSB officer at the desk. He's looking for Larry. This is not a 273 00:15:37,080 --> 00:15:38,220 good time. He asked for my manager. 274 00:15:39,280 --> 00:15:42,560 I'll deal with that in a minute. I've been working in that tower for 11 years. 275 00:15:43,180 --> 00:15:44,320 My record is spotless. 276 00:15:44,580 --> 00:15:47,600 Are the pilots here? Are they alive? We can't disclose that information. 277 00:15:47,820 --> 00:15:49,280 Sorry. My brother is a pilot. 278 00:15:49,660 --> 00:15:53,240 So is my dad. I know how much they depend on us. Films show a widened 279 00:15:53,240 --> 00:15:55,100 mediastinum. How's the EKG? 280 00:15:55,660 --> 00:15:58,540 Normal. We've been understaffed, so I've been working night shifts. I haven't 281 00:15:58,540 --> 00:16:01,120 been sleeping. My neighbor Martha, she called the police to do a welfare check 282 00:16:01,120 --> 00:16:02,220 because she hasn't seen me in so long. 283 00:16:03,180 --> 00:16:05,760 Look, I'm going to step outside. 284 00:16:05,980 --> 00:16:07,000 I can't call your brother. 285 00:16:07,240 --> 00:16:09,380 I had nightmares about this happening. It was so much worse. 286 00:16:10,500 --> 00:16:13,620 We'll order a CT angio chest and abdomen, and we'll set up for an echo. 287 00:16:13,780 --> 00:16:15,220 All right. Take some deep breaths. 288 00:16:15,480 --> 00:16:16,480 You sit back, okay? 289 00:16:18,760 --> 00:16:19,760 Cough. 290 00:16:20,620 --> 00:16:21,620 You first. 291 00:16:24,300 --> 00:16:25,900 You have an umbilical hernia. 292 00:16:26,280 --> 00:16:29,280 I can operate on it today, but I'll need consent from your parents. 293 00:16:29,600 --> 00:16:30,479 Dr. Gray? 294 00:16:30,480 --> 00:16:32,950 Yes. Oh, you must be Charlie's dad. 295 00:16:33,190 --> 00:16:35,470 Not exactly. Social worker, DCYF. 296 00:16:35,830 --> 00:16:36,890 Charlie's a ward of the state. 297 00:16:38,210 --> 00:16:39,410 Got me into your room, didn't it? 298 00:16:40,810 --> 00:16:41,810 He has a hernia. 299 00:16:41,830 --> 00:16:45,010 And I can operate on it, but I need consent. How quick can you get it? 300 00:16:45,250 --> 00:16:47,030 Depends. If I put a rush on it. 301 00:16:47,690 --> 00:16:49,630 No, I'll put a rush on it. Great. 302 00:16:50,110 --> 00:16:51,490 They're going to take it to CT soon. 303 00:16:51,790 --> 00:16:54,930 Thank you. Dr. Riley to cardiology. Dr. Stella Riley. Okay. 304 00:16:57,170 --> 00:16:58,370 Dr. Gray is the best. 305 00:16:59,270 --> 00:17:00,270 All right? 306 00:17:00,460 --> 00:17:01,460 We'll see. 307 00:17:04,780 --> 00:17:07,319 The ultrasound confirms gallstones. 308 00:17:07,900 --> 00:17:12,700 There is no evidence of acute inflammation, and your labs are clear. 309 00:17:12,880 --> 00:17:15,460 So we'd like to schedule surgery for next week. 310 00:17:15,880 --> 00:17:17,060 But I cleared my afternoon. 311 00:17:17,359 --> 00:17:18,839 Did you hear about the plane crash? 312 00:17:19,079 --> 00:17:22,880 Next week, I have our annual fundraising gala for all our top donors. I can't 313 00:17:22,880 --> 00:17:25,160 miss it. I thought this was the VIP floor. 314 00:17:25,420 --> 00:17:28,720 You don't pay first class just to board last. I'll get you in. 315 00:17:29,480 --> 00:17:32,320 And I want Gray or Sloan. 316 00:17:32,600 --> 00:17:37,840 There are also plenty of world-class surgeons. Dr. Gray would be very happy 317 00:17:37,840 --> 00:17:38,940 to do your surgery. 318 00:17:39,260 --> 00:17:40,260 Richard, a word? 319 00:17:44,020 --> 00:17:45,620 It's his first day or something. 320 00:17:47,660 --> 00:17:49,260 I'm a catch, right? 321 00:17:50,560 --> 00:17:52,160 I don't think I should answer that. 322 00:17:52,620 --> 00:17:54,660 I am officially on the market. 323 00:17:55,480 --> 00:17:56,640 Do you have anyone to set me up with? 324 00:17:56,880 --> 00:17:57,819 Oh, I do. 325 00:17:57,820 --> 00:17:59,800 We meet up to skateboard. I'm going to stop you right there. 326 00:18:00,820 --> 00:18:02,280 Is your shoulder still bugging you? 327 00:18:02,880 --> 00:18:04,220 It's just stiff. 328 00:18:04,440 --> 00:18:05,460 The pain's better, though. 329 00:18:06,160 --> 00:18:07,160 How you doing, Bree? 330 00:18:07,560 --> 00:18:12,740 I'm second-guessing everything that I learned in a decade of... Damn it. 331 00:18:14,840 --> 00:18:16,960 She's hypoxic. The bleeding's asphyxiating her. 332 00:18:17,180 --> 00:18:18,180 Wait, wait, wait, wait! 333 00:18:18,270 --> 00:18:21,790 Her CT head is clear, but her C-spine? She has an AO dissociation. There's 334 00:18:21,790 --> 00:18:25,370 nothing holding her head onto her body. The impact from the collision must have 335 00:18:25,370 --> 00:18:28,810 completely severed her alar ligament. I don't remember the last time I saw 336 00:18:28,810 --> 00:18:29,990 internal decapitation. 337 00:18:30,410 --> 00:18:33,810 I do, and it didn't end well. We need to intubate, but we cannot move her C 338 00:18:33,810 --> 00:18:36,770 -spine. Page right, call a code blue and get a crash cart. 339 00:18:36,970 --> 00:18:37,970 Code blue. 340 00:18:40,170 --> 00:18:41,170 Labs are up. 341 00:18:41,430 --> 00:18:42,430 Troponins are elevated. 342 00:18:42,870 --> 00:18:47,050 If only the officer could help with this unruly ER. Okay, wait, wait. Right 343 00:18:47,050 --> 00:18:48,050 there. 344 00:18:50,540 --> 00:18:52,220 Okay, Larry, when was your last physical? 345 00:18:52,860 --> 00:18:56,260 I had to push a couple of times. Did you roll into your back for me? 346 00:18:56,640 --> 00:19:00,360 Your echo is showing a thoracic aortic aneurysm. 347 00:19:00,740 --> 00:19:02,880 It's usually asymptomatic until it starts to expand. 348 00:19:03,200 --> 00:19:06,320 I had pain this morning, but we're already down so many people. It's 349 00:19:06,320 --> 00:19:07,660 comforting. What's happening with CT? 350 00:19:07,920 --> 00:19:09,000 They've been full for the last hour. 351 00:19:09,280 --> 00:19:11,820 Let's go, and I'll make them fit us in. I shouldn't have gone to work. I should 352 00:19:11,820 --> 00:19:12,820 have just gone to the doctor. 353 00:19:12,940 --> 00:19:17,560 But, Larry, Larry, look at me. Hey, you're going to be okay. Just try to 354 00:19:17,560 --> 00:19:18,640 calm down. Let's move. 355 00:19:19,550 --> 00:19:22,750 Let's move. All right. As quickly as possible. I am aware that your brother 356 00:19:22,750 --> 00:19:25,830 is inside. We will connect you as soon as we are able. The room is full of 357 00:19:25,830 --> 00:19:27,730 patients we have not yet seen. Simone. Simone. 358 00:19:28,110 --> 00:19:31,690 Excuse me. Hey, I'm looking for a patient of Zam Sylvie. Last name? 359 00:19:32,650 --> 00:19:33,650 I don't know. 360 00:19:34,150 --> 00:19:35,150 She's French. 361 00:19:35,590 --> 00:19:38,430 I'm sorry you're bored at home, but unless your French teacher was on the 362 00:19:38,430 --> 00:19:41,390 non-stop from Denver, there's absolutely no way I can see her today. Okay, I'm 363 00:19:41,390 --> 00:19:44,510 actually really enjoying unemployment right now, but Madame Sylvie might be 364 00:19:44,510 --> 00:19:45,690 having a stroke. 365 00:19:46,010 --> 00:19:50,790 Now, excuse me, but I was here before her. And I was here beforehand. 366 00:19:50,990 --> 00:19:53,470 Take her in the exam room, do the initial workup. I will be there when I 367 00:19:53,470 --> 00:19:55,610 can. No, we got here at the same time. 368 00:19:55,810 --> 00:19:57,670 I was in front of you. No, that's my job. 369 00:19:58,430 --> 00:20:02,850 For all those people from the planes, they're all hurt. We're focused on you 370 00:20:02,850 --> 00:20:03,850 right now. 371 00:20:13,660 --> 00:20:18,060 This is an emergency room. We are processing patients as fast as we can. 372 00:20:18,220 --> 00:20:21,240 But if we don't help the people with severe injuries first, they could die. 373 00:20:21,400 --> 00:20:23,900 So sit down and we'll be with you when we can. 374 00:20:24,120 --> 00:20:25,120 All right? 375 00:20:25,580 --> 00:20:29,220 I said sit down! 376 00:20:30,140 --> 00:20:31,240 Sit down! 377 00:20:52,520 --> 00:20:54,740 Little me unexpected mother wasn't injured in the collision. 378 00:20:55,000 --> 00:20:56,820 No, I'm just grading the OR for supplies. 379 00:20:57,500 --> 00:20:59,120 Well, damn it, he's coding. 380 00:20:59,660 --> 00:21:03,260 His aneurysm must have ruptured. We need to do a thoracotomy, now. 381 00:21:03,600 --> 00:21:05,940 Here? You got to be serious. He is serious. 382 00:21:06,280 --> 00:21:07,580 All right, turn up the flow and hyperventilate. 383 00:21:07,980 --> 00:21:09,020 You're going to make the incision. 384 00:21:16,260 --> 00:21:17,260 All right. 385 00:21:17,980 --> 00:21:18,980 Here, one more. 386 00:21:28,200 --> 00:21:30,520 Stick your hand in there and feel for the area of rupture. 387 00:21:31,920 --> 00:21:37,760 Okay, I got it. All right, now hold pressure distally and proximally and do 388 00:21:37,760 --> 00:21:38,760 not move. 389 00:21:39,140 --> 00:21:40,140 Jamie. 390 00:21:42,100 --> 00:21:43,100 Oh. 391 00:21:44,000 --> 00:21:47,560 Well, we'll just take the next one down. It's all fine. 392 00:21:49,360 --> 00:21:50,199 All right. 393 00:21:50,200 --> 00:21:53,440 Start cardiac massage with the other hand and don't stop until the OR. 394 00:21:54,860 --> 00:21:55,960 Come on, Larry. 395 00:21:56,280 --> 00:21:57,280 Hang in there. 396 00:22:00,360 --> 00:22:03,240 A little more pressure. This is what I was worried about. What are you doing? 397 00:22:03,300 --> 00:22:06,620 We are trying to intubate, but we can't hyperextend her neck because she has an 398 00:22:06,620 --> 00:22:07,860 ache. Yes, I heard. 399 00:22:11,320 --> 00:22:15,200 I need a scalpel. We got a cracker. I will stabilize the C-spine. You make the 400 00:22:15,200 --> 00:22:17,760 incision. Get a bougie and a six tube ready. 401 00:22:17,980 --> 00:22:20,200 A little pressure here, Shepard. This neck is not going anywhere. 402 00:22:27,000 --> 00:22:28,120 A little more pressure. 403 00:22:31,440 --> 00:22:32,440 And tube. 404 00:22:35,960 --> 00:22:36,960 Okay. 405 00:22:37,240 --> 00:22:38,240 We're in. 406 00:22:45,220 --> 00:22:47,520 All right, bilateral chest rise and color change. 407 00:22:47,820 --> 00:22:51,480 We've got an airway. Great job, everyone. For now, we still need to get 408 00:22:51,480 --> 00:22:54,940 her to the OR without paralyzing her or killing her. We can do this. I will keep 409 00:22:54,940 --> 00:22:58,140 holding her, and we will just move slowly and carefully. Is everybody 410 00:22:58,140 --> 00:23:00,720 ready? Or floor is at capacity. They're going to have to make room. 411 00:23:04,080 --> 00:23:05,520 I can't. I already have a patient. 412 00:23:05,760 --> 00:23:06,760 Well, now you have two. 413 00:23:06,940 --> 00:23:10,660 If the VIP lap coli is so important, have Norton do it himself. You were 414 00:23:10,660 --> 00:23:11,760 specifically requested. 415 00:23:13,140 --> 00:23:14,280 I don't even work here. 416 00:23:14,480 --> 00:23:17,540 Well, Catherine's under a lot of pressure. This is day one of the VIP 417 00:23:17,540 --> 00:23:18,840 floor. It needs to impress. 418 00:23:21,540 --> 00:23:25,500 Well, who would do my hernia? No one. I gave the OR to your lap coli. The 419 00:23:25,500 --> 00:23:27,460 quicker you finish, the quicker you can get to your hernia. 420 00:23:38,730 --> 00:23:39,730 How's it going? 421 00:23:39,750 --> 00:23:44,690 Benson has been very attentive, but I think this is an overreaction. 422 00:23:44,950 --> 00:23:49,130 Physical exam showed very large arteries in the scalp and loud pulses in the 423 00:23:49,130 --> 00:23:50,150 subclavian artery. 424 00:23:50,490 --> 00:23:51,490 Blood work just came in. 425 00:23:52,330 --> 00:23:53,810 You put it under my name? 426 00:23:54,870 --> 00:23:56,590 Shemabel Griffith. 427 00:23:57,390 --> 00:23:59,910 Elevated ESR, platelets, liver enzymes? 428 00:24:00,390 --> 00:24:01,510 Well, you gotta see this. 429 00:24:05,790 --> 00:24:06,790 Halo sign. 430 00:24:08,979 --> 00:24:12,800 Sylvie, you have a condition called giant cell arteritis, which causes 431 00:24:12,800 --> 00:24:14,000 inflammation in the arteries. 432 00:24:15,100 --> 00:24:18,400 Everything just went dark in my left eye. 433 00:24:19,920 --> 00:24:20,920 Okay, 434 00:24:22,500 --> 00:24:24,640 we need to start on IV steroids immediately. 435 00:24:24,960 --> 00:24:26,720 Put in the order. Yes, you can use my name. 436 00:24:27,440 --> 00:24:30,660 That's okay, Sylvie. Just deep breaths for us. Just temporary. Don't worry. 437 00:24:33,870 --> 00:24:38,050 Care to step in and help? Dr. Norton says that VIP patients pay too much to 438 00:24:38,050 --> 00:24:39,050 have interns operate. 439 00:24:39,110 --> 00:24:40,170 It's a teaching hospital. 440 00:24:40,490 --> 00:24:41,970 You want us to tell him that? 441 00:24:42,190 --> 00:24:45,750 No. But I want you to step in here and see what I'm doing. Pay attention. 442 00:24:47,110 --> 00:24:50,590 There's a hundred accident victims downstairs and patients whose surgeries 443 00:24:50,590 --> 00:24:55,770 have been rescheduled. But God forbid a VIP patient waits for lap coli. Money 444 00:24:55,770 --> 00:24:57,430 talks. Spencer Finger. 445 00:25:00,230 --> 00:25:02,130 I've got Charlie Ramos' CT results. 446 00:25:07,639 --> 00:25:08,700 Spencer, you're closing. 447 00:25:08,900 --> 00:25:12,300 Dr. Norton said that... You're more than competent to do this. Right? You're with 448 00:25:12,300 --> 00:25:13,300 me. 449 00:25:16,340 --> 00:25:21,780 I am very sorry to keep you waiting. We should go over these scans. 450 00:25:22,660 --> 00:25:25,460 What happened? He vomited and can't sit up. Okay. 451 00:25:26,120 --> 00:25:29,820 Where the hell were you? I want another doctor. You need to see your stomach. 452 00:25:29,840 --> 00:25:31,000 Your bowel could be incarcerated. 453 00:25:31,400 --> 00:25:34,640 That means it's trapped and it's dying. It's a very serious situation. 454 00:25:35,460 --> 00:25:36,720 Please let me take a look. 455 00:25:44,070 --> 00:25:45,070 Brian. 456 00:25:45,370 --> 00:25:46,370 I'll book an alarm. 457 00:25:46,910 --> 00:25:48,490 Julieta, let's get him cleaned up. 458 00:25:54,970 --> 00:25:57,430 How's it coming in here? Almost done with the C2 pedicle screws. 459 00:25:57,730 --> 00:26:00,670 First day as captain. How do you recover from something like this? 460 00:26:00,910 --> 00:26:04,450 She was acting on the information she was given. This was not her fault. I'm 461 00:26:04,450 --> 00:26:07,470 not saying it was, but people still got hurt. I listened back to the feed. 462 00:26:08,090 --> 00:26:11,250 Well, you can do that. Even if she wanted to stop it, she couldn't. By the 463 00:26:11,250 --> 00:26:14,490 time they cleared the other plane, it was already too late. 464 00:26:15,170 --> 00:26:18,130 Well, at least it wasn't too late for Bree. 465 00:26:19,110 --> 00:26:21,270 Lasker's in. How are the signals? Still look good. 466 00:26:21,810 --> 00:26:24,010 I'm going to stay and monitor her. Do what you need to do. 467 00:26:26,160 --> 00:26:27,180 We should get sterile. 468 00:26:29,320 --> 00:26:32,700 The medication will reduce swelling and prevent further complications. 469 00:26:33,040 --> 00:26:37,540 Thank you so much, Dr. Kwan. I feel so lucky you're my student. 470 00:26:41,200 --> 00:26:44,340 Dr. Weber, can I help you? 471 00:26:44,600 --> 00:26:46,060 Well, I'm just checking on the overflow. 472 00:26:47,120 --> 00:26:48,120 Catch me up. 473 00:26:48,180 --> 00:26:51,360 Oh, I've got it covered. And you're so busy. 474 00:26:51,600 --> 00:26:52,940 Any day now, Griffith. 475 00:26:53,500 --> 00:26:54,500 Right. 476 00:26:54,830 --> 00:26:58,430 Sylvie Bernard, 52, presented with headaches and temporal tenderness with 477 00:26:58,430 --> 00:27:01,330 one episode of left-sided transient vision loss. Her labs are notable for 478 00:27:01,330 --> 00:27:03,730 elevated ESR and CRP. Whoa, whoa, whoa. 479 00:27:03,970 --> 00:27:05,290 You don't need to rush. 480 00:27:05,950 --> 00:27:06,950 Diagnosis? 481 00:27:07,210 --> 00:27:10,310 Bedside ultrasound was consistent with giant cell arteritis. 482 00:27:10,910 --> 00:27:12,250 Sure it isn't a migraine? 483 00:27:12,590 --> 00:27:15,890 A migraine wouldn't have elevated inflammatory markers, and there's no 484 00:27:15,890 --> 00:27:18,510 visual scintillation, no aura. I've started her on high-dose 485 00:27:18,510 --> 00:27:21,630 methylprednisolone, and I'll schedule a rheumatology follow-up and a 486 00:27:21,630 --> 00:27:23,270 confirmatory temporal artery biopsy. 487 00:27:24,879 --> 00:27:26,460 Nice catch, Griffith. 488 00:27:27,300 --> 00:27:29,800 You're in the hands of one of our best and brightest. 489 00:27:33,480 --> 00:27:38,340 Do I want to know? 490 00:27:40,220 --> 00:27:41,220 No. 491 00:27:46,140 --> 00:27:47,140 Hey. 492 00:27:52,060 --> 00:27:54,640 I shouldn't have taken credit. I'll tell Dr. Weber you made the diagnosis. Don't 493 00:27:54,640 --> 00:27:57,840 bother. Why not? If he knows it was you... What, he's going to rehire me? 494 00:27:59,160 --> 00:28:00,820 I don't work here anymore. 495 00:28:01,380 --> 00:28:05,300 And every second that I'm here, it gets harder to accept. I have to move on. 496 00:28:07,080 --> 00:28:08,080 See you at home. 497 00:28:17,820 --> 00:28:18,820 Nicoletti's tonight? 498 00:28:19,300 --> 00:28:20,300 My treat? 499 00:28:20,940 --> 00:28:24,600 Are we celebrating something that I totally forgot about? No, but I just did 500 00:28:24,600 --> 00:28:27,580 a flawless spinal fusion on one of the pilots. 501 00:28:27,880 --> 00:28:32,220 Every time this job starts to feel thankless or routine, something happens 502 00:28:32,220 --> 00:28:33,360 to remind me why we do this. 503 00:28:35,100 --> 00:28:36,980 I get my own garlic bread. 504 00:28:37,600 --> 00:28:38,980 Won't make that mistake twice. 505 00:28:40,860 --> 00:28:41,980 Another consult. 506 00:28:44,280 --> 00:28:45,280 You okay? 507 00:28:45,320 --> 00:28:48,020 You seem a little... Hungry. 508 00:28:48,320 --> 00:28:49,760 So, thanks for that. 509 00:28:51,120 --> 00:28:52,580 Go to your consult. I'll see you later. 510 00:28:58,480 --> 00:29:04,940 All right, Dacron graph, please. 511 00:29:05,900 --> 00:29:09,040 Take peace. All right, Dr. Millen, it is time to finish what you started. 512 00:29:09,300 --> 00:29:11,020 You'll be assisting in the anastomosis. 513 00:29:11,280 --> 00:29:12,460 Happy to, as long as it's in here. 514 00:29:13,140 --> 00:29:14,140 Not a fan of the elevator? 515 00:29:15,600 --> 00:29:18,220 All right, start on the proximal end. Use foraproline. 516 00:29:18,440 --> 00:29:20,660 Indugu, you sure you don't want to do it? No, she's got it. 517 00:29:20,920 --> 00:29:21,920 I'm right here. 518 00:29:22,120 --> 00:29:23,620 Wow, feel this calcification. 519 00:29:24,500 --> 00:29:27,080 Aneurysm or not, he's lucky he hasn't collapsed from an MI. 520 00:29:27,400 --> 00:29:28,400 What a job. 521 00:29:28,520 --> 00:29:29,520 Well, both. 522 00:29:29,560 --> 00:29:33,860 I mean, how do you expect people not to mess up when they're overworked and 523 00:29:33,860 --> 00:29:37,280 underpaid? Just sheer stupidity, if you ask me. 524 00:29:38,300 --> 00:29:39,960 Okay, Fev. Damn it. All right, irrigation. 525 00:29:41,140 --> 00:29:42,360 Melon, start cardiac massage. 526 00:29:43,040 --> 00:29:44,500 Come on now. Come on, Larry. 527 00:29:44,780 --> 00:29:46,780 You made it through the elevator. Don't do this here. 528 00:29:47,300 --> 00:29:48,300 Come on now. 529 00:29:51,980 --> 00:29:52,980 Ah, you're awake. 530 00:29:53,660 --> 00:29:54,660 How are you feeling? 531 00:29:55,080 --> 00:29:56,200 Did you fix the thing? 532 00:29:57,080 --> 00:29:58,080 Surgery went well. 533 00:29:58,500 --> 00:29:59,500 Great. 534 00:29:59,640 --> 00:30:01,020 Then you can go. I'm good. 535 00:30:01,240 --> 00:30:02,500 Can we leave the room, please? 536 00:30:02,860 --> 00:30:04,000 He's only 17. 537 00:30:04,300 --> 00:30:06,100 He'll be 18 in two months. I checked the chart. 538 00:30:07,440 --> 00:30:08,600 I'll update you thoroughly. 539 00:30:18,670 --> 00:30:22,870 Charlie, during surgery, we noticed an abnormal buildup of mucus in your 540 00:30:22,870 --> 00:30:24,290 abdomen. What does that mean? 541 00:30:24,490 --> 00:30:27,730 Well, it could mean a few different things, and I did sense some concerning 542 00:30:27,730 --> 00:30:29,250 nodules to pathology. 543 00:30:29,510 --> 00:30:30,510 Could it be bad? 544 00:30:31,730 --> 00:30:33,790 Like cancer? 545 00:30:34,230 --> 00:30:40,290 Possibly. And if it is, you would need more tests and surgery and possibly 546 00:30:40,290 --> 00:30:41,290 chemotherapy treatment. 547 00:30:42,200 --> 00:30:46,600 You have a foster parent listed in your chart, shall I call her? I've been with 548 00:30:46,600 --> 00:30:47,519 her 13 days. 549 00:30:47,520 --> 00:30:49,160 You need to start all of this ASAP. 550 00:30:49,440 --> 00:30:51,380 And based on today, that'll be in what, six months? 551 00:30:52,580 --> 00:30:57,040 I'm sorry about today. I hate that I let you down. But I'm here now. And if you 552 00:30:57,040 --> 00:30:59,960 agree to let me be your doctor, I promise I will not let you fall through 553 00:30:59,960 --> 00:31:00,960 the cracks. 554 00:31:03,020 --> 00:31:04,020 I want to be alone. 555 00:31:07,280 --> 00:31:08,280 Okay. 556 00:31:09,640 --> 00:31:10,640 We'll be right outside. 557 00:31:16,480 --> 00:31:18,860 Stitches look great. Just repack, and then we'll redress. 558 00:31:19,120 --> 00:31:20,120 You got it, boss. 559 00:31:20,260 --> 00:31:21,260 Signals are dropping. 560 00:31:21,460 --> 00:31:23,840 She's braiding, and now V-fib. 561 00:31:24,280 --> 00:31:25,280 Starting compressions. 562 00:31:25,580 --> 00:31:27,820 The spinal fusion was perfect. Checking the drain. 563 00:31:29,660 --> 00:31:32,460 No, it's not a bleed. Okay, this has got to be spinal cord edema. 564 00:31:32,800 --> 00:31:34,760 Push 20 of steroids and mannitol now. 565 00:31:35,840 --> 00:31:36,840 Push Lido. 566 00:31:38,160 --> 00:31:39,200 Internal paddles. 567 00:31:40,500 --> 00:31:41,500 Charging the 20. 568 00:31:45,210 --> 00:31:47,690 Clear. Okay, how many units has he had? 569 00:31:49,550 --> 00:31:50,870 Okay, charging to 30. 570 00:31:52,990 --> 00:31:53,990 And clear. 571 00:31:55,110 --> 00:31:56,110 Charge to 200. 572 00:31:57,170 --> 00:31:58,170 Clear. 573 00:32:00,710 --> 00:32:02,330 Nothing. Charge again. 574 00:32:05,210 --> 00:32:06,210 Clear. 575 00:32:08,730 --> 00:32:09,730 Still nothing. 576 00:32:09,970 --> 00:32:11,350 Not today, Bree. 577 00:32:22,399 --> 00:32:23,440 Precious coming back up. 578 00:32:38,960 --> 00:32:39,960 Dr. Shepard. 579 00:32:40,880 --> 00:32:42,760 She was just getting started. I'm not giving up. 580 00:32:45,180 --> 00:32:46,019 It's time. 581 00:32:46,020 --> 00:32:47,020 No. 582 00:32:48,060 --> 00:32:49,060 Amelia. 583 00:33:00,780 --> 00:33:01,780 Time of death? 584 00:33:06,360 --> 00:33:07,360 1809. 585 00:33:18,880 --> 00:33:19,880 Hey, 586 00:33:23,960 --> 00:33:26,900 his pressures are miraculously holding. 587 00:33:27,180 --> 00:33:28,720 Pilot didn't make it. 588 00:33:31,080 --> 00:33:32,400 He's never going to forgive himself. 589 00:33:35,680 --> 00:33:36,820 Oh, no. 590 00:33:37,020 --> 00:33:40,560 I missed my registration deadline. 591 00:33:43,220 --> 00:33:50,000 I'm getting a master's in public health, or I was with everything going on today. 592 00:33:50,060 --> 00:33:51,060 I forgot about school. 593 00:33:51,720 --> 00:33:55,400 Well, just call and tell them you were saving someone's life. 594 00:33:56,280 --> 00:33:58,480 No, today has shown me that... 595 00:33:59,240 --> 00:34:01,600 Maybe I should rethink going at all. 596 00:34:01,980 --> 00:34:02,980 Did you miss the deadline? 597 00:34:04,620 --> 00:34:11,239 Full-time surgeon, residency director, the clinic, being a wife, full-time mom. 598 00:34:11,300 --> 00:34:17,179 If I add more, I mean, something other than a deadline will suffer, or someone. 599 00:34:18,620 --> 00:34:22,739 Well, look, Larry made a mistake because he's working in a broken system. 600 00:34:23,159 --> 00:34:24,179 So are we. 601 00:34:24,500 --> 00:34:27,659 I was hoping with a degree I could... 602 00:34:27,929 --> 00:34:28,929 Help? Fix it. 603 00:34:30,409 --> 00:34:31,429 So ask for help. 604 00:34:32,310 --> 00:34:33,310 Delegate something. 605 00:34:33,370 --> 00:34:34,889 You know, let other people step up. 606 00:34:35,590 --> 00:34:36,590 Yeah, you can do this. 607 00:34:36,969 --> 00:34:37,969 We got you. 608 00:34:43,650 --> 00:34:50,270 Why is your shirt always off? 609 00:34:50,630 --> 00:34:53,710 I am rarely in a place where people get dressed. I need boundaries. 610 00:34:55,110 --> 00:34:56,889 Okay, look, I know that... 611 00:34:57,190 --> 00:35:01,010 The time we were drunk was a one-time thing, and you're with Bryant now. Yes, 612 00:35:01,030 --> 00:35:03,690 I'm with Bryant now, so I can't see you in the shower naked. 613 00:35:04,110 --> 00:35:05,570 It's distracting. 614 00:35:07,850 --> 00:35:09,150 I need to move on, you know? 615 00:35:11,270 --> 00:35:12,570 I will keep my clothes on. 616 00:35:12,950 --> 00:35:18,270 It's not only the clothes. I just need a little space. 617 00:35:21,730 --> 00:35:22,730 Understood. 618 00:35:35,129 --> 00:35:39,290 Hey, sorry I couldn't give you a ride. I'm sure I spoke to Larry's brother. 619 00:35:39,670 --> 00:35:41,510 It's probably best we don't travel together. 620 00:35:41,750 --> 00:35:42,750 Less eyes on us. 621 00:35:42,990 --> 00:35:47,090 Yeah, um... Ben knows. 622 00:35:48,270 --> 00:35:52,210 How? I guess he's seen us a couple times. I don't know. I denied it, but he 623 00:35:52,210 --> 00:35:53,490 didn't buy it. Does Bailey know? 624 00:35:54,270 --> 00:35:55,270 I don't think so. 625 00:35:55,510 --> 00:35:56,510 Are you sure? 626 00:35:57,150 --> 00:35:58,149 Pretty sure. 627 00:35:58,150 --> 00:36:02,070 Yeah. She, uh... She made me a residency director. 628 00:36:02,600 --> 00:36:09,260 wait what yeah um she said she needed something off her plate and and she 629 00:36:09,260 --> 00:36:11,680 thought i did a great job teaching you today and she thinks it'd be a great fit 630 00:36:11,680 --> 00:36:12,760 and you accept it 631 00:36:31,850 --> 00:36:33,030 We can still save this. 632 00:36:40,630 --> 00:36:47,370 Sex, sleep inside, sleeping with Cass was a huge mistake. I was sure that you 633 00:36:47,370 --> 00:36:50,210 were getting back with Celine. I was totally shattered. 634 00:36:50,590 --> 00:36:53,250 And how do you think I felt when I came to your door and saw her? 635 00:36:54,990 --> 00:36:57,130 It nearly destroyed me. I had to leave town. 636 00:36:58,130 --> 00:37:00,170 I have a penchant for self-destruction. 637 00:37:00,450 --> 00:37:06,860 Okay. i spent every day since wishing i could take it back because i i've spent 638 00:37:06,860 --> 00:37:12,000 a long time waiting to feel this way like when i'm with you everything's 639 00:37:12,000 --> 00:37:17,380 right everything is exactly where it should be i'm i'm exactly where i should 640 00:37:17,380 --> 00:37:23,760 be you said that you loved me i love you too i'm desperately madly dizzyingly in 641 00:37:23,760 --> 00:37:29,780 love with you so if you're done with me I will learn to accept it. But if 642 00:37:29,780 --> 00:37:34,120 there's any part of you that still feels the way you did, 643 00:37:34,380 --> 00:37:39,620 I'm begging you not to let this die. 644 00:38:01,420 --> 00:38:05,720 It's easy to judge people for their actions, but you don't always know 645 00:38:05,720 --> 00:38:06,520 what's driving them 646 00:38:06,520 --> 00:38:15,940 Don't 647 00:38:15,940 --> 00:38:22,900 talk That's a mega 648 00:38:22,900 --> 00:38:26,820 fireball and locked it in the dungeon makeup, okay, we need another round 649 00:38:27,210 --> 00:38:29,150 Another round. Another round. Another round. 650 00:38:29,510 --> 00:38:32,510 I'm actually kind of tired. No, you just don't want to lose. 651 00:38:32,730 --> 00:38:34,890 It's okay. It gives me time to review my notes for tomorrow. 652 00:38:35,130 --> 00:38:38,790 Sure. Okay, okay. All right, cool. It'll only take me a minute to beat him again 653 00:38:38,790 --> 00:38:39,790 anyway. Really? 654 00:38:40,150 --> 00:38:41,730 Check this out right now. 655 00:38:42,330 --> 00:38:44,810 Bam! I keep letting him get this move off. 656 00:38:45,030 --> 00:38:46,030 That's it. 657 00:38:46,530 --> 00:38:48,330 You don't know what they're born into. 658 00:38:49,650 --> 00:38:51,010 The struggles they've faced. 659 00:39:17,800 --> 00:39:21,240 Sometimes we make rash decisions with no idea why. 660 00:39:23,040 --> 00:39:24,040 Meredith! 661 00:39:24,520 --> 00:39:29,320 Beautiful, isn't it? We were just talking about you. You were so wonderful 662 00:39:29,320 --> 00:39:31,420 today with Annabelle Chase. Thank you. 663 00:39:31,640 --> 00:39:32,640 Well... 664 00:39:32,960 --> 00:39:34,260 Do you still want my opinion? 665 00:39:35,820 --> 00:39:36,820 I don't know. 666 00:39:37,320 --> 00:39:41,120 Do I? Well, I have worked here since I was an intern. And this hospital has 667 00:39:41,120 --> 00:39:45,920 seen a lot of changes. Name changes, financial crises, tragedies. The one 668 00:39:45,920 --> 00:39:51,060 thing that has never changed is our standard of care. It has always been 669 00:39:51,060 --> 00:39:56,000 excellent. It never needed to be tiered. Meredith, if you just keep... Today, I 670 00:39:56,000 --> 00:39:57,160 gave inadequate care. 671 00:39:57,480 --> 00:39:58,640 My patient suffered. 672 00:39:59,310 --> 00:40:03,330 And I lost his trust. And that is not who we are. And it is day one, sir. 673 00:40:03,330 --> 00:40:07,790 Meredith, you might want to know that Dr. Norton is our new chief of surgery. 674 00:40:07,950 --> 00:40:10,170 He's going to be with us every day. 675 00:40:11,290 --> 00:40:12,290 Unlike you. 676 00:40:17,490 --> 00:40:22,850 Oh, excuse me. But often it's fear pulling the strings behind the curtain. 677 00:40:25,210 --> 00:40:26,270 Fear of failure. 678 00:40:26,570 --> 00:40:28,170 Murder. Of being let down. 679 00:40:28,830 --> 00:40:32,990 Or one of my old favorites, Fear of Happiness. You could have told me you 680 00:40:32,990 --> 00:40:37,010 were considering hiring him as chief. He never wanted to be involved in the 681 00:40:37,010 --> 00:40:39,390 search. I didn't think I needed to. 682 00:40:39,590 --> 00:40:41,910 But now I'm second-guessing that decision. 683 00:40:42,170 --> 00:40:46,670 Annabelle's mother donated $100,000 to this hospital. Well, that just makes me 684 00:40:46,670 --> 00:40:50,610 feel dirtier. Grace Sloan has lost a huge amount of funding. 685 00:40:51,020 --> 00:40:52,360 Every hospital has. 686 00:40:52,740 --> 00:40:54,540 No, we're not like all hospitals. 687 00:40:54,960 --> 00:40:59,680 We staff highly sought-after surgeons. We publish groundbreaking research. 688 00:41:00,100 --> 00:41:02,620 Our overhead is massive, Meredith. 689 00:41:02,820 --> 00:41:05,760 If we want to be the same state-of-the-art institute we've always 690 00:41:05,760 --> 00:41:06,760 been, 691 00:41:06,800 --> 00:41:09,440 then we need a plan, and Norton has one. 692 00:41:10,440 --> 00:41:11,840 So you need to get on board. 693 00:41:18,300 --> 00:41:19,960 This will implode. 694 00:41:35,080 --> 00:41:37,540 It's all too easy to be your own worst enemy. 695 00:41:44,860 --> 00:41:45,860 Hey. 696 00:41:49,500 --> 00:41:51,800 My miracle AO patient died. 697 00:41:58,260 --> 00:41:59,740 I quit. 698 00:42:04,940 --> 00:42:07,740 And the damage we inflict can take a lifetime to undo.