1 00:00:01,469 --> 00:00:05,150 When patients leave the hospital, they're often taking home a brand new 2 00:00:05,150 --> 00:00:08,470 regimen of medication, physical therapy, and aftercare. 3 00:00:10,610 --> 00:00:12,670 We really should go. 4 00:00:13,200 --> 00:00:14,200 Should we go? 5 00:00:18,680 --> 00:00:23,980 Wait, wait, wait. Damn it. 6 00:00:24,340 --> 00:00:27,980 We used the last condom last night. In our dreams, every patient would do 7 00:00:27,980 --> 00:00:29,280 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 --> 00:00:40,100 Juan, if you use the last condom by more, you are unemployed. You have no 10 00:00:40,100 --> 00:00:41,100 excuse to... 11 00:00:43,450 --> 00:00:46,310 Orin. Not Quan. 12 00:00:46,770 --> 00:00:47,810 Nope. Nope. 13 00:00:48,250 --> 00:00:52,690 Can you pass my towel? Yep. Too often, medication costs, memory lapses, and 14 00:00:52,690 --> 00:00:54,870 poor health literacy impede patients' recovery. 15 00:00:56,150 --> 00:00:57,270 You are cautious. 16 00:00:57,570 --> 00:00:58,570 You know that? 17 00:01:05,570 --> 00:01:09,970 What time is it? 18 00:01:10,210 --> 00:01:11,210 Uh, set. 19 00:01:11,480 --> 00:01:13,460 Laura, don't you worry. 20 00:01:18,560 --> 00:01:20,200 You have time. 21 00:01:20,480 --> 00:01:22,440 No, you have time. 22 00:01:22,980 --> 00:01:25,560 I'm a resident and I should have been there an hour ago. 23 00:01:29,320 --> 00:01:32,400 And as their surgeon, there's not a whole lot you can do about it. 24 00:01:36,840 --> 00:01:39,680 In other words, you can lead a horse to water. 25 00:01:40,899 --> 00:01:42,220 Like you can't make a drink. 26 00:01:47,260 --> 00:01:48,260 Wow. 27 00:01:49,260 --> 00:01:51,120 We should be forced to dress up more often. 28 00:01:51,400 --> 00:01:52,420 Have you seen Bubbles? 29 00:01:52,860 --> 00:01:55,000 Nobody can't find him in Luna's stuff. 30 00:01:55,360 --> 00:01:58,720 No, but you want to sneak off to our room for a few minutes? 31 00:01:58,960 --> 00:02:00,340 These things never start on time. 32 00:02:02,680 --> 00:02:04,280 Wait, this is it. Hang on. 33 00:02:05,840 --> 00:02:09,220 No, this is my I almost died box. 34 00:02:09,750 --> 00:02:10,750 Hmm. 35 00:02:11,710 --> 00:02:12,710 I'm fine. 36 00:02:13,390 --> 00:02:17,870 My therapist just said that I should toss anything that reminded me of my 37 00:02:17,870 --> 00:02:20,850 birth trauma, so... I'll take care of it tonight. 38 00:02:21,530 --> 00:02:24,610 Okay. You told Joey to pick Pruitt from school, right? 39 00:02:24,870 --> 00:02:26,170 You know I did. 40 00:02:26,590 --> 00:02:29,790 And can you please remind people that I am not chief resident anymore? With 41 00:02:29,790 --> 00:02:33,110 right back and family leave, I gotta put all my focus on classes. 42 00:02:33,470 --> 00:02:35,130 Soon as I register for school. 43 00:02:36,140 --> 00:02:37,560 They just accepted your application. 44 00:02:37,840 --> 00:02:41,560 Yeah, as a last-minute admission, right? Final registrations to date. 45 00:02:43,240 --> 00:02:44,240 Miranda Bailey. 46 00:02:44,480 --> 00:02:48,700 M-D-F-A-C-S-M-P-H. 47 00:02:49,180 --> 00:02:50,320 That's a lot of letters. 48 00:02:50,560 --> 00:02:53,420 I'm unbenched from surgery. I'm getting my master's. 49 00:02:53,620 --> 00:02:55,700 Watch out, world. She's coming for you. 50 00:02:55,920 --> 00:02:58,520 And she is talking about herself in third person. 51 00:02:58,740 --> 00:03:02,120 If only we didn't have to spend all morning at this PR circus. 52 00:03:06,730 --> 00:03:08,250 Good morning, Dr. Bailey. 53 00:03:08,670 --> 00:03:09,970 Doogoo. Millen. 54 00:03:23,230 --> 00:03:24,570 Thank you so much. 55 00:03:26,070 --> 00:03:28,430 Where are you? 56 00:03:31,070 --> 00:03:32,790 I thought you were going to be here half an hour ago. 57 00:03:32,990 --> 00:03:34,970 Total gridlock by the airport. No one's moving. 58 00:03:35,310 --> 00:03:38,350 Catherine told them the surgeon whose name is on the building would be here 59 00:03:38,350 --> 00:03:40,910 for the photo. I know. Tell Catherine I'm sorry. 60 00:03:41,190 --> 00:03:42,250 I'll be there as soon as I can. 61 00:03:47,510 --> 00:03:53,250 All right, who's ready to see Grace Sloan's new crown jewel? Follow me. 62 00:03:55,190 --> 00:03:59,050 Love until I see the future on the other side. 63 00:04:00,410 --> 00:04:03,790 Welcome. Welcome to the Olympic floor. Welcome to paradise. 64 00:04:05,970 --> 00:04:07,530 Oh my God. 65 00:04:27,760 --> 00:04:29,480 Oh my goodness. 66 00:04:36,560 --> 00:04:41,420 With the addition of the Olympic floor, Grace Sloan joins the leading hospitals 67 00:04:41,420 --> 00:04:44,780 in this country by offering a VIP wing. 68 00:04:45,140 --> 00:04:47,040 The Seahawks are going to love this. 69 00:04:47,940 --> 00:04:53,320 Espresso machines, 7 o'clock. We are very fortunate to have developed our VIP 70 00:04:53,320 --> 00:04:54,400 program with Dr. 71 00:04:54,920 --> 00:04:59,220 Seth Norton, CEO of Olympic Region Health. Let's give him a warm welcome. 72 00:05:01,260 --> 00:05:02,260 Thank you. 73 00:05:02,800 --> 00:05:05,380 That guy looks like this floor. What, slick? Rich. 74 00:05:06,600 --> 00:05:08,060 It's like dogs in their owners. 75 00:05:08,520 --> 00:05:13,640 At least the food is good. Good morning. I am thrilled to raise the bar on Grace 76 00:05:13,640 --> 00:05:15,360 Sloan's already stellar reputation. 77 00:05:15,760 --> 00:05:20,000 Patients will have private suites with high-level security, hotel-quality 78 00:05:20,000 --> 00:05:23,700 bedding, and meals tailored to their health needs by a gourmet chef. 79 00:05:24,000 --> 00:05:27,540 I've been covering for Hunt and Altman, but we have money for a gourmet chef. 80 00:05:28,220 --> 00:05:32,740 I should have asked for a raise. It will no longer be a hospital stay. It will be 81 00:05:32,740 --> 00:05:33,940 a luxury experience. 82 00:05:34,340 --> 00:05:38,120 We should vacation here. But all of these amenities pale in comparison to 83 00:05:38,120 --> 00:05:41,860 the unparalleled access patients will have to the hospital's most important 84 00:05:41,860 --> 00:05:47,620 asset, you. From fast tracking through the ER to 24-7 post-op access, your 85 00:05:47,620 --> 00:05:51,280 patients will not doubt for a single second how much you care about them. 86 00:05:51,480 --> 00:05:52,760 All right, enough talk. 87 00:05:53,020 --> 00:05:56,460 Let's cut the ribbon. Come on, Dr. Shepard. Join us. 88 00:05:57,740 --> 00:06:00,340 All right, come on. Join us. Join us. Here we go. 89 00:06:04,780 --> 00:06:06,940 Two planes collided on the runway at the airport. 90 00:06:07,240 --> 00:06:08,240 We're about to get slammed. 91 00:06:08,600 --> 00:06:14,680 All right, that's enough celebrating for me. I'll send everyone down. All right, 92 00:06:14,700 --> 00:06:15,700 everyone stay calm. 93 00:06:18,260 --> 00:06:21,340 Hey, sorry about this morning. I probably should have locked the door. 94 00:06:21,340 --> 00:06:25,340 That's okay. We don't need to talk about it. So we're good? 95 00:06:25,820 --> 00:06:27,320 I mean, it's nothing I haven't seen before, right? 96 00:06:27,560 --> 00:06:31,080 This place looks like a dump compared to the new floor. Took you long enough. 97 00:06:31,200 --> 00:06:35,020 Between that dog and pony show and this trauma, the whole day is thrown off. 98 00:06:35,120 --> 00:06:41,100 Most elective classes, I mean, cases, are pushed, so go where you need it. 99 00:06:41,620 --> 00:06:44,300 Mellon, I saw what happened this morning. 100 00:06:44,840 --> 00:06:47,840 I don't tolerate tardiness in my residency program. 101 00:06:48,180 --> 00:06:49,180 It won't happen again. 102 00:06:56,360 --> 00:06:57,360 Meredith, 103 00:06:57,660 --> 00:06:58,519 you made it. 104 00:06:58,520 --> 00:07:02,200 Just in time for the chaos, I see. Yeah. How mad is Catherine? Why, are you 105 00:07:02,200 --> 00:07:05,020 staying out? Well, she'll probably make up for missing the big unveiling. 106 00:07:05,240 --> 00:07:06,860 Yeah, it couldn't hurt. I'll control it. 107 00:07:07,480 --> 00:07:08,480 Hey, 108 00:07:09,360 --> 00:07:10,660 hey, hey! 109 00:07:12,140 --> 00:07:13,140 What do you need? 110 00:07:13,420 --> 00:07:15,880 Do you work here? I've already been here six hours. 111 00:07:16,260 --> 00:07:19,380 Okay, there's a big emergency that's just come in. I have to run upstairs. 112 00:07:19,700 --> 00:07:21,620 I will check on you when I get back, okay? 113 00:07:27,760 --> 00:07:33,100 it's a good thing you weren't flying in today also hi how was uh visiting your 114 00:07:33,100 --> 00:07:38,660 mom in wisconsin uh it was my dad in michigan right yes i didn't know that um 115 00:07:38,660 --> 00:07:43,500 what are you doing after work you want to grab food and talk you're kidding 116 00:07:43,500 --> 00:07:48,420 right you're still mad we've been texting yeah we work together i can't 117 00:07:48,420 --> 00:07:49,420 exactly ignore you 118 00:07:50,180 --> 00:07:54,340 Bree Wong, 31, status post plane crash on the tarmac, GCS 15, vitals, stable. 119 00:07:54,560 --> 00:07:56,700 Has facial bruising and one episode of epistaxis. 120 00:07:56,980 --> 00:07:57,980 Nasal packing inserted. 121 00:07:58,140 --> 00:07:59,900 She also had episodes of intermittent paralysis. 122 00:08:00,240 --> 00:08:01,300 I don't know what happened. 123 00:08:02,200 --> 00:08:05,140 The sound, the crunching metal, scream. 124 00:08:05,540 --> 00:08:06,560 Wait, you were on one of the planes? 125 00:08:06,820 --> 00:08:07,820 I'm the pilot. 126 00:08:08,080 --> 00:08:09,860 Today's my first day as captain. 127 00:08:10,360 --> 00:08:11,259 How many passengers? 128 00:08:11,260 --> 00:08:14,820 212, full flight, and that's just one of the planes. Okay, let's go trauma one. 129 00:08:17,130 --> 00:08:20,170 Anyone who's not down here already needs to report to the ER right now. I'll get 130 00:08:20,170 --> 00:08:20,989 the word out. 131 00:08:20,990 --> 00:08:23,610 Hell of a time to be down three surgeons. 132 00:08:28,770 --> 00:08:30,310 My name is Benson. 133 00:08:30,630 --> 00:08:32,070 Je m'appelle Benson. 134 00:08:32,650 --> 00:08:33,789 I am a doctor. 135 00:08:34,750 --> 00:08:37,130 Je suis maison. 136 00:08:38,309 --> 00:08:44,570 Nope. Je ne suis pas maison because maison can kiss my derriere. 137 00:08:45,710 --> 00:08:46,710 Bonjour. 138 00:08:47,910 --> 00:08:53,870 Let's pick up from last week by practicing our names and jobs. Benson. 139 00:09:01,850 --> 00:09:02,850 Yeah, 140 00:09:08,390 --> 00:09:09,390 please. 141 00:09:10,250 --> 00:09:11,250 Super. 142 00:09:14,190 --> 00:09:17,930 Your mother's told me so much about you, Miss Annabelle. 143 00:09:18,430 --> 00:09:19,710 How is your mother? 144 00:09:20,030 --> 00:09:21,030 Stuck in Milan. 145 00:09:21,370 --> 00:09:23,190 She sends her love. Nice. 146 00:09:23,590 --> 00:09:25,550 How do you like our new VIP, Flora? 147 00:09:26,190 --> 00:09:30,230 Almost as nice as Mount Sinai. Is it okay to examine you, Miss Chase? 148 00:09:31,670 --> 00:09:32,669 Not him. 149 00:09:32,670 --> 00:09:33,850 Of course not. 150 00:09:34,410 --> 00:09:35,410 Dr. Spencer. 151 00:09:39,370 --> 00:09:41,510 Does he bite? 152 00:09:42,970 --> 00:09:45,210 You were diagnosed with gallstones. 153 00:09:45,450 --> 00:09:48,930 I was at a conference in Aspen for my dog rescue, and I started feeling pain. 154 00:09:49,110 --> 00:09:51,050 I went to the emergency room. They said I needed surgery. 155 00:09:51,870 --> 00:09:53,830 Any tenderness here? 156 00:09:54,470 --> 00:09:57,030 No, but I want them gone today. 157 00:09:58,890 --> 00:10:03,990 Um, let's do some labs, and then we'll get an ultrasound, and then we'll take 158 00:10:03,990 --> 00:10:07,290 it from there. Would you like a warm blanket while you're waiting? Could I 159 00:10:07,290 --> 00:10:09,010 get two? I forgot Prince's sweater. 160 00:10:09,250 --> 00:10:10,250 Of course. 161 00:10:10,390 --> 00:10:11,530 Of course. 162 00:10:13,840 --> 00:10:14,840 Isn't he cute? 163 00:10:14,980 --> 00:10:15,980 Hello. 164 00:10:17,740 --> 00:10:20,320 What'd I miss? Captain Wong was flying one of the planes in the collision. 165 00:10:20,760 --> 00:10:22,500 Both pupils are equal and reactive. 166 00:10:23,000 --> 00:10:23,819 Excuse me. 167 00:10:23,820 --> 00:10:27,300 Nasal packing is fully saturated. I need to visualize the source to control the 168 00:10:27,300 --> 00:10:28,400 hemorrhaging. Squeeze my fingers. 169 00:10:28,680 --> 00:10:30,120 This isn't going to feel very good. I'm sorry. 170 00:10:31,600 --> 00:10:33,120 Yeah, it looks like a little forehead fracture. 171 00:10:33,380 --> 00:10:35,920 She has maxillary instability. I'm going to call for a CT max phase. 172 00:10:40,940 --> 00:10:44,080 Okay, she's neuro-intact now, but there's midline tenderness and 173 00:10:44,080 --> 00:10:48,460 intermittent motor deficits. I need a STAT CT head and C-spine. I couldn't go 174 00:10:48,460 --> 00:10:50,020 around. It was too late. 175 00:10:50,620 --> 00:10:52,920 My weight clipped the nose of the other plane. 176 00:10:53,400 --> 00:10:56,380 Okay, I need to check on a patient in the next room. Page me when scans are 177 00:10:56,380 --> 00:10:57,380 up. 178 00:10:57,620 --> 00:11:00,740 No, not so fast. We need to stabilize these facial fractures and stop the 179 00:11:00,740 --> 00:11:01,880 bleeding before she goes anywhere. 180 00:11:02,300 --> 00:11:03,680 Okay, I'll go get an MMF kit. 181 00:11:05,400 --> 00:11:08,440 Okay. Oh, so sorry about all this. 182 00:11:08,920 --> 00:11:14,800 chaos today reminds me of my med school rotation at la county dr brave i'd like 183 00:11:14,800 --> 00:11:20,360 to introduce you to dr seth norton who is the founder ceo of olympic region 184 00:11:20,360 --> 00:11:26,200 health we missed you this morning can't exactly control a mass trauma it's a 185 00:11:26,200 --> 00:11:29,960 pleasure to finally meet you sir yes i take it it went well this morning i'd be 186 00:11:29,960 --> 00:11:34,250 happy to give you a private tour Good idea. Hey, why don't you two get to know 187 00:11:34,250 --> 00:11:37,450 each other? I'm going to go find Indugu, give him a piece of my mind about all 188 00:11:37,450 --> 00:11:38,450 this mess. 189 00:11:38,870 --> 00:11:40,930 My afternoon's booked, but I could squeeze you in now. 190 00:11:41,130 --> 00:11:42,210 I'm pretty busy. 191 00:11:42,590 --> 00:11:44,610 And, you know, I don't really need the sales pitch. 192 00:11:44,930 --> 00:11:46,750 You're not skeptical about a VIP floor? 193 00:11:47,210 --> 00:11:50,870 Well, most private hospitals in big cities have them. They're just trying to 194 00:11:50,870 --> 00:11:52,490 keep up. I love a pragmatist. 195 00:11:54,150 --> 00:11:55,310 Excuse me, I have a patient. 196 00:11:55,570 --> 00:11:57,530 I make an excellent tour guide. I'm here all day. 197 00:11:59,210 --> 00:12:00,850 Hey, where are you going? 198 00:12:01,560 --> 00:12:05,060 To get my mom and dad when they realize I still haven't been seen they're gonna 199 00:12:05,060 --> 00:12:05,659 be pissed. 200 00:12:05,660 --> 00:12:10,620 Okay, Bryant Let's get him in an exam room and find his parents We're gonna 201 00:12:10,620 --> 00:12:17,140 get you seen. All right, so I see right here Hey dude heads up Supplies out of 202 00:12:17,140 --> 00:12:21,500 MNF kids and dr. Fox is looking for you. So I would hide All right one in the ER 203 00:12:21,500 --> 00:12:24,420 is not my job and check the cart by trauma 3. All right, okay. 204 00:12:24,620 --> 00:12:29,840 Oh, um, I Saw you in middle of this morning in the elevator 205 00:12:30,740 --> 00:12:31,740 With the coffee cups? 206 00:12:32,720 --> 00:12:38,360 Okay, I also saw the two of you coming out of an on-call room together about a 207 00:12:38,360 --> 00:12:39,360 month ago. 208 00:12:40,860 --> 00:12:41,960 Promise it's not what you think. 209 00:12:42,220 --> 00:12:43,199 Huh, okay. 210 00:12:43,200 --> 00:12:44,200 Yeah, fine. 211 00:12:44,340 --> 00:12:48,440 But just in case it is exactly what I think it is, I'm telling you, as a 212 00:12:48,440 --> 00:12:50,880 friend, come clean and get ahead of it. 213 00:12:51,660 --> 00:12:55,640 Okay. Wolfie sent me down here to help, and now I see why. 214 00:12:56,180 --> 00:12:57,880 Bed two. Thank you. Yep. 215 00:12:58,160 --> 00:13:02,240 Okay, sir, sir, who are at the hospital, try to calm down. I'm going to help. All 216 00:13:02,240 --> 00:13:03,400 right, what do we got? What do we got? 217 00:13:03,600 --> 00:13:08,320 Larry Turner, 44, acute chest pain radiating from the back dyspnea, BP 170 218 00:13:08,320 --> 00:13:11,280 over 100, heart rate 112, 93% stats. 219 00:13:11,500 --> 00:13:16,240 I'm so sorry. I'm so sorry. Okay, let's do a chest X-ray, CBC, BMP, troponins, 220 00:13:16,240 --> 00:13:18,020 and an EKG, all right? Let's try to breathe. 221 00:13:19,060 --> 00:13:22,660 It's all my fault. I was the controller in the tower. I told her they were clear 222 00:13:22,660 --> 00:13:23,680 to land. It's all my fault. 223 00:13:24,700 --> 00:13:26,200 Okay, trauma three, let's go. 224 00:13:29,360 --> 00:13:30,360 Okay, okay. 225 00:13:32,380 --> 00:13:34,160 Hey, Sherry, should I go to CT first? 226 00:13:34,380 --> 00:13:36,460 Shepard's not gonna like this. Yeah, well, Shepard's not here. 227 00:13:36,840 --> 00:13:37,840 Why isn't she in CT? 228 00:13:38,520 --> 00:13:41,480 We were worried her facial fractures could compromise her airways, so we're 229 00:13:41,480 --> 00:13:42,480 doing fixation now. 230 00:13:43,160 --> 00:13:46,920 Before seeing if she has a head bleed or serious spinal fractures? We need to get 231 00:13:46,920 --> 00:13:49,000 a full picture of what we're working on. And how do you propose we stop her 232 00:13:49,000 --> 00:13:50,000 facial bleeding in the meantime? 233 00:13:50,120 --> 00:13:52,940 Just repack her, hope for the best? Well, if she has a brain injury, nothing 234 00:13:52,940 --> 00:13:55,540 else matters. Oh, nothing else matters besides neuro. That tracks. 235 00:13:55,820 --> 00:13:58,700 If that is how you feel, then maybe you should have stayed in Wisconsin. 236 00:13:59,160 --> 00:14:00,160 Michigan. 237 00:14:00,200 --> 00:14:01,200 Same difference. 238 00:14:05,200 --> 00:14:06,200 You're right. 239 00:14:06,480 --> 00:14:09,120 You clearly have it under control. Do what you want. What? 240 00:14:11,660 --> 00:14:12,900 Okay. Let's move her. 241 00:14:18,780 --> 00:14:22,020 There are three ways to ask questions. 242 00:14:24,260 --> 00:14:24,940 Are 243 00:14:24,940 --> 00:14:33,760 you 244 00:14:33,760 --> 00:14:34,760 feeling okay? 245 00:14:45,840 --> 00:14:49,040 Do you have any other symptoms? 246 00:14:49,400 --> 00:14:55,840 Are you... Okay, I'm a doctor. I can't do medicine in 247 00:14:55,840 --> 00:14:56,840 French. 248 00:15:12,410 --> 00:15:15,930 Okay. Madame, this could be a medical emergency, okay? 249 00:15:16,170 --> 00:15:19,250 You need to go to Grace Sloan Memorial right now. 250 00:15:19,530 --> 00:15:20,489 No, no. 251 00:15:20,490 --> 00:15:21,590 Ce n'est pas nécessaire. 252 00:15:21,970 --> 00:15:23,930 Class is over. Everyone sign off. 253 00:15:24,510 --> 00:15:25,469 Au revoir. 254 00:15:25,470 --> 00:15:27,350 I will see you at the hospital, okay? 255 00:15:33,170 --> 00:15:37,050 There's an NTSB officer at the desk. He's looking for Larry. This is not a 256 00:15:37,050 --> 00:15:38,210 good time. He asked for my manager. 257 00:15:39,250 --> 00:15:42,550 I'll deal with that in a minute. I've been working in that tower for 11 years. 258 00:15:43,170 --> 00:15:44,310 My record is spotless. 259 00:15:44,570 --> 00:15:48,050 Are the pilots here? Are they alive? We can't disclose that information. Sorry. 260 00:15:48,230 --> 00:15:49,230 My brother is a pilot. 261 00:15:49,650 --> 00:15:53,230 So is my dad. I know how much they depend on us. Films show a widened 262 00:15:53,230 --> 00:15:55,070 mediastinum. How's the EKG? 263 00:15:55,350 --> 00:15:56,349 Uh, normal. 264 00:15:56,350 --> 00:15:58,610 We've been understaffed, so I've been working night shifts. I haven't been 265 00:15:58,610 --> 00:16:01,210 sleeping. My neighbor Martha, she called the police to do a welfare check because 266 00:16:01,210 --> 00:16:02,210 she hasn't seen me in so long. 267 00:16:03,250 --> 00:16:05,710 Look, I'm gonna step outside. 268 00:16:05,930 --> 00:16:06,970 I can't call your brother. 269 00:16:07,190 --> 00:16:09,370 I've heard nightmares about this happening. It was so much worse. 270 00:16:10,050 --> 00:16:13,590 Go. We'll order a CT angio chest and abdomen, and we'll set up for an echo. 271 00:16:13,750 --> 00:16:15,210 All right. Hey, take some deep breaths. 272 00:16:15,430 --> 00:16:16,610 You sit back here, okay? 273 00:16:20,680 --> 00:16:21,680 You first. 274 00:16:24,380 --> 00:16:25,880 You have an umbilical hernia. 275 00:16:26,340 --> 00:16:29,260 I can operate on it today, but I'll need consent from your parents. 276 00:16:29,580 --> 00:16:30,559 Dr. Gray? 277 00:16:30,560 --> 00:16:32,860 Yes. Oh, you must be Charlie's dad. 278 00:16:33,100 --> 00:16:35,400 Not exactly. Social worker, DCYF. 279 00:16:35,740 --> 00:16:36,860 Charlie's a ward of the state. 280 00:16:38,160 --> 00:16:39,380 Got me into your room, didn't it? 281 00:16:40,780 --> 00:16:44,620 He has a hernia, and I can operate on it, but I need consent. How quick can 282 00:16:44,620 --> 00:16:45,199 you get it? 283 00:16:45,200 --> 00:16:49,600 Depends. If I put a rush on it... No, I'll put a rush on it. Great. 284 00:16:50,120 --> 00:16:53,660 They're going to take you to CT soon. Thank you. Dr. Riley to cardiology. Dr. 285 00:16:53,780 --> 00:16:55,160 Stella Riley to... Okay. 286 00:16:57,000 --> 00:16:58,360 Dr. Gray is the best. 287 00:16:59,120 --> 00:17:00,120 All right? 288 00:17:00,340 --> 00:17:01,340 We'll see. 289 00:17:04,740 --> 00:17:07,280 The ultrasound confirms gallstones. 290 00:17:07,880 --> 00:17:13,140 There is no evidence of acute inflammation, and the labs are clear. So 291 00:17:13,140 --> 00:17:15,420 we'd like to schedule surgery for next week. 292 00:17:15,900 --> 00:17:17,040 But I cleared my afternoon. 293 00:17:17,300 --> 00:17:18,800 Did you hear about the plane crash? 294 00:17:19,040 --> 00:17:22,859 Next week, I have our annual fundraising gala for all our top donors. I can't 295 00:17:22,859 --> 00:17:25,140 miss it. I thought this was the VIP floor. 296 00:17:25,380 --> 00:17:27,720 You don't pay first class just to board last. 297 00:17:27,920 --> 00:17:28,920 I'll get you in. 298 00:17:29,060 --> 00:17:32,300 And I want Gray or Sloan. 299 00:17:32,660 --> 00:17:37,780 There are also plenty of world-class surgeons. Dr. Gray would be very happy 300 00:17:37,780 --> 00:17:38,900 to do your surgery. 301 00:17:39,320 --> 00:17:40,320 Richard, a word? 302 00:17:44,330 --> 00:17:45,690 It's his first day or something. 303 00:17:47,750 --> 00:17:49,230 I'm a catch, right? 304 00:17:50,610 --> 00:17:52,150 I don't think I should answer that. 305 00:17:52,650 --> 00:17:54,670 I am officially on the market. 306 00:17:55,150 --> 00:17:56,610 Do you have anyone to set me up with? 307 00:17:56,910 --> 00:17:59,790 Oh, I do. We meet up to skateboard. I'm going to stop you right there. 308 00:18:00,730 --> 00:18:02,250 Is your shoulder still bugging you? 309 00:18:02,790 --> 00:18:04,190 It's just stiff. 310 00:18:04,410 --> 00:18:05,430 The pain's better, though. 311 00:18:06,050 --> 00:18:07,050 How you doing, Bree? 312 00:18:07,470 --> 00:18:12,710 I'm second-guessing everything that I learned in a decade of... Damn it. 313 00:18:15,060 --> 00:18:17,600 She's hypoxic. The bleeding's asphyxiating her. Wait, wait, wait, 314 00:18:17,640 --> 00:18:21,560 wait! Her CT head is clear, but her C-spine? She has an AO dissociation. 315 00:18:21,600 --> 00:18:23,200 There's nothing holding her head onto her body. 316 00:18:23,420 --> 00:18:27,580 The impact from the collision must have completely severed her alar ligament. I 317 00:18:27,580 --> 00:18:30,000 don't remember the last time I saw internal decapitation. 318 00:18:30,380 --> 00:18:33,740 I do, and it didn't end well. We need to intubate, but we cannot move her C 319 00:18:33,740 --> 00:18:36,720 -spine. Page right, call a code blue, and get a crash cart. 320 00:18:36,940 --> 00:18:37,940 Code blue. 321 00:18:40,240 --> 00:18:41,240 Labs are up. 322 00:18:41,400 --> 00:18:42,400 Troponins are elevated. 323 00:18:42,800 --> 00:18:46,020 If only the officer could help with this unruly ER. 324 00:18:46,300 --> 00:18:47,300 Okay, wait, wait. Right there. 325 00:18:50,420 --> 00:18:52,160 Okay, Larry, when was your last physical? 326 00:18:52,720 --> 00:18:56,260 Uh, I had to push a couple of times. Did you roll into your back for me? 327 00:18:56,520 --> 00:19:00,400 Your echo is showing a thoracic aortic aneurysm. 328 00:19:00,660 --> 00:19:02,860 It's usually asymptomatic until it starts to expand. 329 00:19:03,800 --> 00:19:06,500 Pain this morning, but we're already down so many people. It's comforting. 330 00:19:06,800 --> 00:19:07,800 What's happening with CT? 331 00:19:07,880 --> 00:19:09,000 They've been full for the last hour. 332 00:19:09,240 --> 00:19:11,800 Let's go, and I'll make them fit us in. I shouldn't have gone to work. I should 333 00:19:11,800 --> 00:19:12,800 have just gone to the doctor. 334 00:19:13,000 --> 00:19:17,520 But, Larry, Larry, look at me. Hey, you're going to be okay. Just try to 335 00:19:17,520 --> 00:19:18,259 calm down. 336 00:19:18,260 --> 00:19:19,260 Let's move. 337 00:19:19,520 --> 00:19:22,720 Let's move. All right. As quickly as possible, I am aware that your brother 338 00:19:22,720 --> 00:19:25,800 is inside. We will connect you as soon as we are able. The room is full of 339 00:19:25,800 --> 00:19:27,060 patients we have not yet seen. 340 00:19:27,260 --> 00:19:28,119 Simone, Simone. 341 00:19:28,120 --> 00:19:31,660 Excuse me. Hey, I'm looking for a patient of Zam Sylvie. Last name? 342 00:19:32,570 --> 00:19:33,570 I don't know. 343 00:19:34,050 --> 00:19:35,050 She's French. 344 00:19:35,470 --> 00:19:38,410 I'm sorry you're bored at home, but unless your French teacher was on the 345 00:19:38,410 --> 00:19:41,590 nonstop from Denver, there's absolutely no way I can see her today. I'm actually 346 00:19:41,590 --> 00:19:45,110 really enjoying unemployment right now, but Madame Sylvie might be having a 347 00:19:45,110 --> 00:19:46,110 stroke. 348 00:19:46,580 --> 00:19:51,260 Now, excuse me, but I was here before her. And I was here before him. Take her 349 00:19:51,260 --> 00:19:54,000 in the exam room, do the initial workup. I will be there when I can. No, we got 350 00:19:54,000 --> 00:19:57,640 here at the same time. I was in front of you. No, that's my job. 351 00:19:58,720 --> 00:20:02,640 For all these people from the flames, they're all hurt. Well, it's on you 352 00:20:02,640 --> 00:20:03,640 right now. 353 00:20:04,780 --> 00:20:05,780 Security! 354 00:20:06,860 --> 00:20:07,860 Security! 355 00:20:08,980 --> 00:20:09,980 Hey, 356 00:20:10,780 --> 00:20:12,400 hey, whoa, hey, hey, stop. 357 00:20:12,820 --> 00:20:13,820 Everyone stop. 358 00:20:14,180 --> 00:20:15,400 This is an emergency room. 359 00:20:15,790 --> 00:20:18,050 We are processing patients as fast as we can. 360 00:20:18,310 --> 00:20:21,230 But if we don't help the people with severe injuries first, they could die. 361 00:20:21,450 --> 00:20:23,850 So sit down, and we'll be with you when we can. 362 00:20:24,170 --> 00:20:25,170 All right? 363 00:20:52,490 --> 00:20:54,710 Tell me Unexpected Mother wasn't injured in the collision. 364 00:20:54,970 --> 00:20:56,770 No, I'm just grading the OR for supplies. 365 00:20:57,330 --> 00:20:59,090 Well, damn it, he's coding. 366 00:20:59,630 --> 00:21:03,230 His aneurysm must have ruptured. We need to do a thoracotomy, now. 367 00:21:03,570 --> 00:21:05,950 Here? You gotta be serious. He is serious. 368 00:21:06,290 --> 00:21:07,590 All right, turn up the flow and hyperventilate. 369 00:21:07,950 --> 00:21:08,990 You're gonna make the incision. 370 00:21:28,240 --> 00:21:30,520 Stick your hand in there and feel for the area of rupture. 371 00:21:31,880 --> 00:21:37,740 Okay, I got it. All right, now hold pressure distally and proximally and do 372 00:21:37,740 --> 00:21:38,740 not move. 373 00:21:39,180 --> 00:21:40,180 Jamie. 374 00:21:42,160 --> 00:21:43,160 Oh. 375 00:21:44,020 --> 00:21:46,540 Well, we'll just take the next one down. 376 00:21:46,820 --> 00:21:47,820 It's all fine. 377 00:21:49,400 --> 00:21:50,219 All right. 378 00:21:50,220 --> 00:21:53,440 Start cardiac massage with the other hand and don't stop until the OR. 379 00:22:00,330 --> 00:22:03,230 A little more pressure. This is what I was worried about. What are you doing? 380 00:22:03,270 --> 00:22:06,570 We are trying to intubate, but we can't hyperextend her neck because she has an 381 00:22:06,570 --> 00:22:07,570 ache. I heard. 382 00:22:11,210 --> 00:22:15,190 I need a scalpel. We got a criker. I will stabilize the C-spine. You make the 383 00:22:15,190 --> 00:22:17,750 incision. Get a bougie and a six tube ready. 384 00:22:17,970 --> 00:22:20,170 A little pressure here, Shepard. This neck is not going anywhere. 385 00:22:26,950 --> 00:22:28,110 A little more pressure. 386 00:22:31,400 --> 00:22:32,400 And tube. 387 00:22:35,880 --> 00:22:36,880 Okay. 388 00:22:37,180 --> 00:22:38,180 We're in. 389 00:22:45,140 --> 00:22:47,500 All right, bilateral chest rise and color change. 390 00:22:47,780 --> 00:22:51,440 We've got an airway. Great job, everyone. For now, we still need to get 391 00:22:51,440 --> 00:22:54,900 her to the OR without paralyzing her or killing her. We can do this. I will keep 392 00:22:54,900 --> 00:22:58,120 holding her, and we will just move slowly and carefully. Is everybody 393 00:22:58,120 --> 00:23:00,700 ready? Or floor is at capacity. They're going to have to make room. 394 00:23:04,050 --> 00:23:05,490 I can't. I already have a patient. 395 00:23:05,750 --> 00:23:06,750 Well, now you have two. 396 00:23:06,910 --> 00:23:10,630 If the VIP lab coli is so important, have Norton do it himself. You were 397 00:23:10,630 --> 00:23:11,710 specifically requested. 398 00:23:13,110 --> 00:23:14,250 I don't even work here. 399 00:23:14,450 --> 00:23:17,510 Well, Catherine's under a lot of pressure. This is day one of the VIP 400 00:23:17,510 --> 00:23:18,810 floor. It needs to impress. 401 00:23:21,510 --> 00:23:25,470 Well, who would do my hernia? No one. I gave the OR to your lab coli. The 402 00:23:25,470 --> 00:23:27,430 quicker you finish, the quicker you can get to your hernia. 403 00:23:38,830 --> 00:23:39,669 How's it going? 404 00:23:39,670 --> 00:23:44,670 Benson has been very attentive, but I think this is an overreaction. 405 00:23:44,950 --> 00:23:49,110 Physical exam showed very large arteries in the scalp and loud pulses in the 406 00:23:49,110 --> 00:23:50,130 subclavian artery. 407 00:23:50,470 --> 00:23:51,470 Blood work just came in. 408 00:23:52,310 --> 00:23:53,810 You put it under my name? 409 00:23:54,850 --> 00:23:56,570 Shemabel Griffith. 410 00:23:57,370 --> 00:23:59,890 Elevated ESR, platelets, liver enzymes? 411 00:24:00,410 --> 00:24:01,510 Well, you gotta see this. 412 00:24:05,770 --> 00:24:06,770 Halo sign. 413 00:24:09,039 --> 00:24:12,760 Sylvie, you have a condition called giant cell arteritis, which causes 414 00:24:12,760 --> 00:24:13,980 inflammation in the arteries. 415 00:24:15,120 --> 00:24:18,420 Everything just went dark in my left eye. 416 00:24:19,120 --> 00:24:20,120 Okay, 417 00:24:22,480 --> 00:24:24,620 we need to start on IV steroids immediately. 418 00:24:24,940 --> 00:24:26,700 Put in the order. Yes, you can use my name. 419 00:24:27,400 --> 00:24:30,660 That's okay, Sylvie. Just deep breaths for us. Just temporary. Don't worry. 420 00:24:33,820 --> 00:24:35,060 Care to step in and help? 421 00:24:35,320 --> 00:24:38,840 Dr. Norton says that VIP patients pay too much to have interns operate. 422 00:24:39,080 --> 00:24:40,140 It's a teaching hospital. 423 00:24:40,480 --> 00:24:41,940 You want us to tell him that? 424 00:24:42,160 --> 00:24:45,740 No. But I want you to step in here and see what I'm doing. Pay attention. 425 00:24:47,080 --> 00:24:50,580 There's a hundred accident victims downstairs and patients whose surgeries 426 00:24:50,580 --> 00:24:55,720 have been rescheduled. But God forbid a VIP patient waits for lap coli. Money 427 00:24:55,720 --> 00:24:57,400 talks. Spencer Finger. 428 00:25:00,200 --> 00:25:02,080 I've got Charlie Ramos' CT results. 429 00:25:07,540 --> 00:25:08,680 Spencer, you're closing. 430 00:25:08,900 --> 00:25:12,280 Dr. Norton said that... You're more than competent to do this. Right? You're with 431 00:25:12,280 --> 00:25:13,280 me. 432 00:25:16,280 --> 00:25:21,740 I am very sorry to keep you waiting. We should go over these schemes. 433 00:25:22,600 --> 00:25:25,440 What happened? He vomited and can't sit up. Okay. 434 00:25:26,080 --> 00:25:29,800 Where the hell were you? I want another doctor. You need to see your stomach. 435 00:25:29,820 --> 00:25:31,000 Your bowel could be incarcerated. 436 00:25:31,380 --> 00:25:34,600 That means it's trapped and it's dying. It's a very serious situation. 437 00:25:35,400 --> 00:25:36,700 Please let me take a look. 438 00:25:44,070 --> 00:25:45,070 Brian. 439 00:25:45,350 --> 00:25:46,350 I'll book an alarm. 440 00:25:46,930 --> 00:25:48,470 Julieta, let's get him cleaned up. 441 00:25:54,950 --> 00:25:57,410 How's it coming in here? Almost done with the C2 pedicle screws. 442 00:25:57,730 --> 00:26:00,630 First day as captain. How do you recover from something like this? 443 00:26:00,870 --> 00:26:04,450 She was acting on the information she was given. This was not her fault. I'm 444 00:26:04,450 --> 00:26:07,450 not saying it was, but people still got hurt. I listened back to the feed. 445 00:26:08,070 --> 00:26:11,230 Well, you can do that. Even if she wanted to stop it, she couldn't. By the 446 00:26:11,230 --> 00:26:14,470 time they cleared the other plane, it was already too late. 447 00:26:15,150 --> 00:26:18,090 Well, at least it wasn't too late for Bree. 448 00:26:18,850 --> 00:26:20,350 Last cruise in. How are the signals? 449 00:26:20,570 --> 00:26:21,570 Still look good. 450 00:26:21,790 --> 00:26:23,990 I'm going to stay and monitor her. Do what you need to do. 451 00:26:26,120 --> 00:26:27,160 We should get sterile. 452 00:26:29,280 --> 00:26:32,720 The medication will reduce swelling and prevent further complications. 453 00:26:33,020 --> 00:26:37,500 Thank you so much, Dr. Kwan. I feel so lucky you're my student. 454 00:26:41,160 --> 00:26:44,300 Dr. Weber, can I help you? 455 00:26:44,580 --> 00:26:46,020 Well, I'm just checking on the overflow. 456 00:26:47,080 --> 00:26:48,080 Catch me up. 457 00:26:48,160 --> 00:26:51,260 Oh, I've got it covered. And you're so busy. 458 00:26:51,620 --> 00:26:52,900 Any day now, Griffith. 459 00:26:53,480 --> 00:26:54,480 Right. 460 00:26:54,810 --> 00:26:58,410 Sylvie Bernard, 52, presented with headaches and temporal tenderness with 461 00:26:58,410 --> 00:27:01,310 one episode of left-sided transient vision loss. Her labs are notable for 462 00:27:01,310 --> 00:27:03,710 elevated ESR and CRP. Whoa, whoa, whoa. 463 00:27:03,930 --> 00:27:05,270 You don't need to rush. 464 00:27:05,930 --> 00:27:06,930 Diagnosis? 465 00:27:07,190 --> 00:27:10,310 Bedside ultrasound was consistent with giant cell arteritis. 466 00:27:10,870 --> 00:27:12,230 Sure it isn't a migraine? 467 00:27:12,630 --> 00:27:15,870 A migraine wouldn't have elevated inflammatory markers, and there's no 468 00:27:15,870 --> 00:27:18,490 visual scintillation, no aura. I've started her on high-dose 469 00:27:18,490 --> 00:27:21,610 methylprednisolone, and I'll schedule a rheumatology follow-up and a 470 00:27:21,610 --> 00:27:23,250 confirmatory temporal artery biopsy. 471 00:27:24,890 --> 00:27:26,470 Nice catch, Griffith. 472 00:27:27,330 --> 00:27:29,770 You're in the hands of one of our best and brightest. 473 00:27:33,390 --> 00:27:38,310 Do I want to know? 474 00:27:40,250 --> 00:27:41,250 No. 475 00:27:46,150 --> 00:27:47,150 Hey. 476 00:27:52,030 --> 00:27:54,590 I shouldn't have taken credit. I'll tell Dr. Weber you made the diagnosis. Don't 477 00:27:54,590 --> 00:27:57,810 bother. Why not? If he knows it was you... What, he's going to rehire me? 478 00:27:59,130 --> 00:28:00,810 I don't work here anymore. 479 00:28:01,430 --> 00:28:05,290 Every second that I'm here, it gets harder to accept. I have to move on. 480 00:28:07,050 --> 00:28:08,050 See you at home. 481 00:28:17,810 --> 00:28:18,810 Nicoletti's tonight? 482 00:28:19,270 --> 00:28:20,270 My treat? 483 00:28:20,970 --> 00:28:24,570 Are we celebrating something that I totally forgot about? No, but I just did 484 00:28:24,570 --> 00:28:27,610 a flawless spinal fusion on one of the pilots. 485 00:28:27,850 --> 00:28:32,190 Every time this job starts to feel thankless or routine, something happens 486 00:28:32,190 --> 00:28:33,310 to remind me why we do this. 487 00:28:35,070 --> 00:28:36,950 I get my own garlic bread. 488 00:28:37,590 --> 00:28:38,930 Won't make that mistake twice. 489 00:28:40,850 --> 00:28:41,950 Another consult. 490 00:28:44,270 --> 00:28:45,270 You okay? 491 00:28:45,310 --> 00:28:48,010 You seem a little... Hungry. 492 00:28:48,330 --> 00:28:49,730 So, thanks for that. 493 00:28:51,500 --> 00:28:52,540 Get your consult. I'll see you later. 494 00:28:58,240 --> 00:29:04,900 All right, Dacron graph, please. 495 00:29:05,880 --> 00:29:06,659 Take these. 496 00:29:06,660 --> 00:29:09,060 All right, Dr. Millen, it is time to finish what you started. 497 00:29:09,280 --> 00:29:11,000 You'll be assisting in the anastomosis. 498 00:29:11,260 --> 00:29:12,440 Happy to, as long as it's in here. 499 00:29:13,100 --> 00:29:14,140 I'm not a fan of the elevator. 500 00:29:16,000 --> 00:29:19,280 All right, start on the proximal end. Use fluoroprolene. Indugu, you sure you 501 00:29:19,280 --> 00:29:20,640 don't want to do it? No, she's got it. 502 00:29:20,920 --> 00:29:21,920 I'm right here. 503 00:29:22,100 --> 00:29:23,600 Wow, feel this calcification. 504 00:29:24,480 --> 00:29:27,060 Aneurysm or not, he's lucky he hasn't collapsed from an MI. 505 00:29:27,380 --> 00:29:28,380 What a job. 506 00:29:28,500 --> 00:29:29,500 Well, both. 507 00:29:29,540 --> 00:29:33,840 I mean, how do you expect people not to mess up when they're overworked and 508 00:29:33,840 --> 00:29:37,260 underpaid? Just sheer stupidity, if you ask me. 509 00:29:38,280 --> 00:29:39,940 Hey, Fev. Damn it. All right, irrigation? 510 00:29:41,120 --> 00:29:42,340 Melon, start cardiac massage. 511 00:29:43,020 --> 00:29:44,480 Come on now. Come on, Larry. 512 00:29:44,760 --> 00:29:46,760 You made it through the elevator. Don't do this here. 513 00:29:47,260 --> 00:29:48,260 Come on now. 514 00:29:52,270 --> 00:29:53,270 You're awake. 515 00:29:53,610 --> 00:29:54,610 How are you feeling? 516 00:29:55,070 --> 00:29:56,190 Did you fix the thing? 517 00:29:57,050 --> 00:29:58,050 Surgery went well. 518 00:29:58,510 --> 00:30:02,490 Great. Then you can go. I'm good. Can we leave the room, please? 519 00:30:02,830 --> 00:30:04,010 He's only 17. 520 00:30:04,290 --> 00:30:06,070 He'll be 18 in two months. I checked the chart. 521 00:30:07,410 --> 00:30:08,570 I'll update you thoroughly. 522 00:30:18,670 --> 00:30:22,850 Charlie, during surgery, we noticed an abnormal buildup of mucus in your 523 00:30:22,850 --> 00:30:24,270 abdomen. What does that mean? 524 00:30:24,470 --> 00:30:27,690 Well, it could mean a few different things, and I did sense some concerning 525 00:30:27,690 --> 00:30:29,230 nodules to pathology. 526 00:30:29,510 --> 00:30:30,510 Could it be bad? 527 00:30:31,830 --> 00:30:33,810 Like... cancer? 528 00:30:34,210 --> 00:30:40,250 Possibly. And if it is, you would need more tests and surgery and possibly 529 00:30:40,250 --> 00:30:41,250 chemotherapy treatment. 530 00:30:42,140 --> 00:30:46,560 You have a foster parent listed in your chart, shall I call her? I've been with 531 00:30:46,560 --> 00:30:47,519 her 13 days. 532 00:30:47,520 --> 00:30:49,140 You need to start all of this ASAP. 533 00:30:49,420 --> 00:30:51,360 And based on today, that'll be in what, six months? 534 00:30:52,560 --> 00:30:56,280 I'm sorry about today. I hate that I let you down. But I'm here now. 535 00:30:56,480 --> 00:30:59,580 And if you agree to let me be your doctor, I promise I will not let you 536 00:30:59,580 --> 00:31:00,580 fall through the cracks. 537 00:31:03,020 --> 00:31:04,020 I want to be alone. 538 00:31:07,260 --> 00:31:08,260 Okay. 539 00:31:09,620 --> 00:31:10,620 We'll be right outside. 540 00:31:16,460 --> 00:31:18,840 Stitches look great. Just repack, and then we'll redress. 541 00:31:19,080 --> 00:31:20,080 You got it, boss. 542 00:31:20,240 --> 00:31:21,240 Signals are dropping. 543 00:31:21,440 --> 00:31:23,820 She's braiding, and now V-fib. 544 00:31:24,240 --> 00:31:25,240 Starting compressions. 545 00:31:25,540 --> 00:31:27,780 The spinal fusion was perfect. Checking the drain. 546 00:31:29,640 --> 00:31:32,440 No, it's not a bleed. Okay, this has got to be spinal cord edema. 547 00:31:32,760 --> 00:31:34,740 Push 20 of steroids and mannitol now. 548 00:31:35,860 --> 00:31:36,860 Push Lido. 549 00:31:38,180 --> 00:31:39,180 Internal paddle. 550 00:31:40,480 --> 00:31:41,480 Charging the 20. 551 00:31:45,050 --> 00:31:47,670 Clear. Okay, how many units has he had? 552 00:31:49,450 --> 00:31:50,850 Okay, charging to 30. 553 00:31:52,910 --> 00:31:53,910 And clear. 554 00:31:55,010 --> 00:31:56,010 Charge to 200. 555 00:31:57,070 --> 00:31:58,070 Clear. 556 00:32:00,610 --> 00:32:02,310 Nothing. Charge again. 557 00:32:05,090 --> 00:32:06,090 Clear. 558 00:32:08,610 --> 00:32:09,610 Still nothing. 559 00:32:10,520 --> 00:32:11,520 Not today, Bree. 560 00:32:22,300 --> 00:32:23,400 Pressure's coming back up. 561 00:32:39,040 --> 00:32:40,040 Dr. Shepard. 562 00:32:40,840 --> 00:32:42,740 She was just getting started. I'm not giving up. 563 00:32:45,160 --> 00:32:46,019 It's time. 564 00:32:46,020 --> 00:32:47,020 No. 565 00:32:48,080 --> 00:32:49,080 Amelia. 566 00:33:00,540 --> 00:33:01,540 Time of death. 567 00:33:06,720 --> 00:33:07,720 1809. 568 00:33:21,639 --> 00:33:22,639 Hey, 569 00:33:23,900 --> 00:33:26,840 his pressures are miraculously holding. 570 00:33:27,120 --> 00:33:28,720 Pilot didn't make it. 571 00:33:29,540 --> 00:33:32,380 Oh, man. He's never going to forgive himself. 572 00:33:35,360 --> 00:33:36,780 Oh, no. 573 00:33:37,020 --> 00:33:40,520 I missed my registration deadline. 574 00:33:42,060 --> 00:33:43,060 I'm... 575 00:33:44,350 --> 00:33:49,970 I'm getting a master's in public health, or I was with everything going on today. 576 00:33:50,050 --> 00:33:51,070 I forgot about school. 577 00:33:51,630 --> 00:33:55,390 Well, just call and tell them you were saving someone's life. 578 00:33:56,310 --> 00:34:01,590 No, today has shown me that maybe I should rethink going at all. 579 00:34:02,030 --> 00:34:03,030 Did you miss the deadline? 580 00:34:04,590 --> 00:34:08,630 Full-time surgeon, residency director of the clinic. 581 00:34:09,320 --> 00:34:14,760 Being a wife, full-time mom, if I add more, I mean, something other than a 582 00:34:14,760 --> 00:34:17,100 deadline will suffer, or someone. 583 00:34:18,679 --> 00:34:22,699 Well, look, Larry made a mistake because he's working in a broken system. 584 00:34:23,199 --> 00:34:24,199 So are we. 585 00:34:24,699 --> 00:34:28,920 Yes, I was hoping with a degree I could help fix it. 586 00:34:30,340 --> 00:34:31,400 So ask for help. 587 00:34:32,239 --> 00:34:33,239 Delegate something. 588 00:34:33,260 --> 00:34:34,860 You know, let other people step up. 589 00:34:35,520 --> 00:34:36,520 Yeah, you can do this. 590 00:34:36,880 --> 00:34:37,880 We got you. 591 00:34:48,730 --> 00:34:52,949 Why is your shirt always off? I am rarely in a place where people get to 592 00:34:52,949 --> 00:34:53,949 us. I need boundaries. 593 00:34:55,090 --> 00:35:00,070 Okay, look, I know that the time we were drunk was a one-time thing, and you're 594 00:35:00,070 --> 00:35:03,470 with Bryant now. Yes, I'm with Bryant now, so I can't see you in the shower 595 00:35:03,470 --> 00:35:05,590 naked. It's distracting. 596 00:35:07,770 --> 00:35:09,150 I need to move on, you know? 597 00:35:11,210 --> 00:35:12,550 I will keep my clothes on. 598 00:35:12,910 --> 00:35:16,090 It's not only the clothes, it's... 599 00:35:17,290 --> 00:35:18,430 Just need a little space. 600 00:35:21,730 --> 00:35:22,730 Understood. 601 00:35:34,470 --> 00:35:39,150 Hey, sorry I couldn't give you a ride. I need to make sure I spoke to Larry's 602 00:35:39,150 --> 00:35:41,510 brother. It's probably best we don't travel together. 603 00:35:41,730 --> 00:35:42,730 Less eyes on us. 604 00:35:42,950 --> 00:35:44,050 Yeah, um... 605 00:35:46,350 --> 00:35:47,350 Ben knows. 606 00:35:48,190 --> 00:35:52,370 How? Guess he's seen us a couple times. I don't know. I denied it, but he didn't 607 00:35:52,370 --> 00:35:53,470 buy it. Does Bailey know? 608 00:35:54,230 --> 00:35:55,230 I don't think so. 609 00:35:55,470 --> 00:35:56,470 Are you sure? 610 00:35:57,150 --> 00:35:58,149 Pretty sure. 611 00:35:58,150 --> 00:36:02,090 Yeah. She, uh... She made me a residency director. 612 00:36:02,490 --> 00:36:03,328 Wait, what? 613 00:36:03,330 --> 00:36:09,450 Yeah, um... She said... She needed something off her plate, and she thought 614 00:36:09,450 --> 00:36:12,110 I did a great job teaching her today, and she thinks it'd be a great fit. And 615 00:36:12,110 --> 00:36:13,110 you accept it? 616 00:36:31,850 --> 00:36:33,010 We can still save this. 617 00:36:40,630 --> 00:36:47,370 Sex, sleep inside, sleeping with Cass was a huge mistake. I was sure that you 618 00:36:47,370 --> 00:36:50,210 were getting back with Celine. I was totally shattered. 619 00:36:50,570 --> 00:36:53,230 And how do you think I felt when I came to your door and saw her? 620 00:36:54,990 --> 00:36:57,110 It nearly destroyed me. I had to leave town. 621 00:36:58,110 --> 00:37:00,150 I have a penchant for self-destruction. 622 00:37:00,390 --> 00:37:06,840 Okay. i spent every day since wishing i could take it back because i i've spent 623 00:37:06,840 --> 00:37:11,960 a long time waiting to feel this way like when i'm with you everything's 624 00:37:11,960 --> 00:37:17,360 right everything is exactly where it should be i'm i'm exactly where i should 625 00:37:17,360 --> 00:37:23,740 be you said that you loved me i love you too i'm desperately madly dizzyingly in 626 00:37:23,740 --> 00:37:30,520 love with you so if you're done with me i will learn to accept it but if there's 627 00:37:30,760 --> 00:37:34,120 Any part of you that still feels the way you did. 628 00:37:37,740 --> 00:37:39,600 I'm begging you not to let this die. 629 00:38:01,420 --> 00:38:05,700 It's easy to judge people for their actions, but you don't always know 630 00:38:05,700 --> 00:38:06,500 what's driving them 631 00:38:06,500 --> 00:38:13,980 That's 632 00:38:13,980 --> 00:38:22,780 a 633 00:38:22,780 --> 00:38:24,920 mega fireball and locked it in the dungeon makeup. 634 00:38:25,200 --> 00:38:29,080 Yeah, we need another round Another round. Another round. Another round. 635 00:38:29,500 --> 00:38:33,540 I'm actually kind of tired. No, you just don't want to lose. It's okay. It gives 636 00:38:33,540 --> 00:38:34,900 me time to review my notes for tomorrow. 637 00:38:35,120 --> 00:38:38,760 Sure. Okay, okay. All right, cool. It'll only take me a minute to beat him again 638 00:38:38,760 --> 00:38:39,760 anyway. Really? 639 00:38:40,140 --> 00:38:41,700 Check this out right now. 640 00:38:42,320 --> 00:38:45,320 Bam! I keep letting him get this move off. That's it. 641 00:38:46,520 --> 00:38:48,320 You don't know what they're born into. 642 00:38:49,640 --> 00:38:50,980 The struggles they've faced. 643 00:39:17,970 --> 00:39:21,230 Sometimes we make rash decisions with no idea why. 644 00:39:23,090 --> 00:39:24,090 Meredith! 645 00:39:24,610 --> 00:39:29,310 Beautiful, isn't it? We were just talking about you. You were so wonderful 646 00:39:29,310 --> 00:39:31,410 today with Annabelle Chase. Thank you. 647 00:39:31,650 --> 00:39:34,230 Well, do you still want my opinion? 648 00:39:35,759 --> 00:39:36,759 I don't know. 649 00:39:37,300 --> 00:39:39,980 Do I? Well, I have worked here since I was an intern. 650 00:39:40,200 --> 00:39:43,980 And this hospital has seen a lot of changes. Name changes, financial crises, 651 00:39:44,280 --> 00:39:50,340 tragedies. The one thing that has never changed is our standard of care. It has 652 00:39:50,340 --> 00:39:51,440 always been excellent. 653 00:39:51,760 --> 00:39:56,260 It never needed to be tiered. Meredith, if you just keep... Today, I gave 654 00:39:56,260 --> 00:39:57,260 inadequate care. 655 00:39:57,460 --> 00:39:58,620 My patient suffered. 656 00:39:59,160 --> 00:40:03,520 And I lost his trust. And that is not who we are. And it is day one. Meredith, 657 00:40:03,660 --> 00:40:08,300 you might want to know that Dr. Norton is our new chief of surgery. He's going 658 00:40:08,300 --> 00:40:10,140 to be with us every day. 659 00:40:11,240 --> 00:40:12,240 Unlike you. 660 00:40:17,460 --> 00:40:22,820 Oh, excuse me. But often it's fear pulling the strings behind the curtain. 661 00:40:25,180 --> 00:40:26,220 Fear of failure. 662 00:40:26,520 --> 00:40:28,120 Murder. Of being let down. 663 00:40:28,800 --> 00:40:32,960 Or one of my old favorites, Fear of Happiness. You could have told me you 664 00:40:32,960 --> 00:40:35,360 were considering hiring him as chief. 665 00:40:35,600 --> 00:40:39,940 He never wanted to be involved in the search. I didn't think I needed to. But 666 00:40:39,940 --> 00:40:41,900 now I'm second-guessing that decision. 667 00:40:42,140 --> 00:40:46,640 Annabelle's mother donated $100,000 to this hospital. Well, that just makes me 668 00:40:46,640 --> 00:40:47,640 feel dirtier. 669 00:40:47,660 --> 00:40:50,600 Grace Sloan has lost a huge amount of funding. 670 00:40:51,000 --> 00:40:52,320 Every hospital has. 671 00:40:52,680 --> 00:40:54,520 No, we're not like all hospitals. 672 00:40:54,920 --> 00:40:59,640 We staff highly sought-after surgeons. We publish groundbreaking research. 673 00:41:00,060 --> 00:41:02,600 Our overhead is massive, Meredith. 674 00:41:02,800 --> 00:41:05,740 If we want to be the same state-of-the-art institute we've always 675 00:41:05,740 --> 00:41:09,400 been, then we need a plan, and Norton has one. 676 00:41:10,400 --> 00:41:11,780 So you need to get on board. 677 00:41:18,320 --> 00:41:19,940 This will implode. 678 00:41:35,090 --> 00:41:37,550 It's all too easy to be your own worst enemy. 679 00:41:44,890 --> 00:41:45,890 Hey. 680 00:41:49,550 --> 00:41:51,790 My miracle AO patient died. 681 00:41:57,370 --> 00:41:59,690 I quit. 682 00:42:04,940 --> 00:42:07,700 And the damage we inflict can take a lifetime to undo.