1 00:00:06,440 --> 00:00:09,511 When I was growing up, the dominant school of parenting 2 00:00:09,644 --> 00:00:13,447 could be summed up in one sentence, "Because I said so." 3 00:00:19,119 --> 00:00:21,656 Now we know that fearing your parents leads to diminished 4 00:00:21,789 --> 00:00:25,392 self-confidence and a stronger need for external validation. 5 00:00:25,527 --> 00:00:27,562 Hey, I need to ask you something. 6 00:00:28,061 --> 00:00:30,030 - What is the weird thing that, uh, 7 00:00:30,163 --> 00:00:31,733 -Bailey likes to put in her green juice? -Mm-mmm. 8 00:00:31,866 --> 00:00:34,167 Is it arugula or... 9 00:00:34,301 --> 00:00:36,403 What is going on with you? 10 00:00:36,538 --> 00:00:37,939 It's like the third time you've... 11 00:00:38,071 --> 00:00:39,941 Wait, you're not... 12 00:00:42,710 --> 00:00:43,912 You and Bryant? 13 00:00:44,979 --> 00:00:47,414 - Adams? - I don't know. 14 00:00:47,549 --> 00:00:49,416 You don't know who. 15 00:00:49,551 --> 00:00:52,352 Whereas authoritative, responsive parenting encourages 16 00:00:52,486 --> 00:00:55,322 gray-matter growth and synaptic connections. 17 00:00:55,455 --> 00:00:57,090 How are the costumes coming? 18 00:00:57,224 --> 00:00:59,894 Well, I've delivered a breech baby 19 00:01:00,028 --> 00:01:02,362 through an opening the size of a grapefruit, 20 00:01:02,496 --> 00:01:05,767 but I can't thread this stupid machine. 21 00:01:06,668 --> 00:01:08,402 Maybe it's time to call in a professional? 22 00:01:09,169 --> 00:01:11,539 I'm a stay-at-home mom. I am the professional. 23 00:01:12,406 --> 00:01:14,542 It's just you've been going nonstop since you quit. 24 00:01:15,175 --> 00:01:17,144 But you got this. 25 00:01:17,277 --> 00:01:19,413 -You can do anything. -Yeah. 26 00:01:19,547 --> 00:01:23,283 This type of parenting centers on addressing the thoughts and fears 27 00:01:23,417 --> 00:01:26,219 underneath a child's behavior. It's a lot of work. 28 00:01:27,321 --> 00:01:28,957 Scout's favorite color is orange? 29 00:01:29,089 --> 00:01:30,457 Yes. 30 00:01:30,592 --> 00:01:33,460 When you say he likes beetles, is that the bug or the band? 31 00:01:33,595 --> 00:01:35,228 There's not gonna be a pop quiz. 32 00:01:35,362 --> 00:01:37,765 I know. I just want him to like me. 33 00:01:37,899 --> 00:01:41,101 He's five. He loves burps and hates pants. 34 00:01:41,234 --> 00:01:43,504 There's no logic. You can't take it personally. 35 00:01:43,638 --> 00:01:45,974 -I can burp on command. -You see? He's gonna love you. 36 00:01:46,106 --> 00:01:48,810 And what's your reward for all of this hard work? 37 00:01:48,943 --> 00:01:51,613 Bad behavior, back talking and stress. 38 00:01:51,746 --> 00:01:54,015 Gray matter doesn't develop overnight. 39 00:01:54,147 --> 00:01:56,551 But the data shows that if we stay the course, 40 00:01:56,684 --> 00:01:58,853 one day our kids will soar. 41 00:01:58,987 --> 00:02:01,388 The consent forms for Charlie Ramos, have they come in? 42 00:02:01,522 --> 00:02:03,290 Because I have called the judge's office twice. 43 00:02:04,124 --> 00:02:06,761 You, uh, remember Dr. Norton? 44 00:02:06,894 --> 00:02:08,328 Hi. 45 00:02:08,462 --> 00:02:10,364 - I'll come back. - Wait a second, Grey. 46 00:02:10,497 --> 00:02:13,501 Richard and I were just talking and we could really use your expertise 47 00:02:13,635 --> 00:02:14,602 on the VIP floor. 48 00:02:14,736 --> 00:02:15,837 You know I don't live here. 49 00:02:15,970 --> 00:02:17,972 Stay in Boston. Come for the occasional case. 50 00:02:18,106 --> 00:02:23,077 We're finding that what most VIP patients want are VIP surgeons. 51 00:02:23,210 --> 00:02:25,079 A Fox Award winner's a big draw. 52 00:02:25,212 --> 00:02:26,279 I'm not interested. 53 00:02:26,413 --> 00:02:28,049 Uh, M-Meredith, wait. 54 00:02:28,181 --> 00:02:31,218 Uh, what-what if she could upgrade a few patients to VIPs each year? 55 00:02:31,351 --> 00:02:32,285 Pro bono. 56 00:02:32,419 --> 00:02:33,688 Well, I don't see why not. 57 00:02:34,321 --> 00:02:35,422 Grey? 58 00:02:36,958 --> 00:02:40,528 Okay, I need to sign a reduction for Charlie Ramos today. 59 00:02:40,662 --> 00:02:42,830 -Is that possible? -I'll have Spencer move him right now. 60 00:02:42,964 --> 00:02:45,198 -Does this mean you'll consider it? -One thing at a time. 61 00:02:50,638 --> 00:02:53,007 - Good morning. - Oh, thank you. 62 00:02:53,141 --> 00:02:54,374 No problem. 63 00:02:56,276 --> 00:02:57,512 You feeling okay? 64 00:02:57,645 --> 00:02:59,647 Oh, yeah, fine. Ah, I need to talk to Jules. Sorry. 65 00:02:59,781 --> 00:03:01,883 - All right. - Excuse me. 66 00:03:02,950 --> 00:03:05,853 Hey. So my aunt's gonna be out of town next week 67 00:03:05,987 --> 00:03:08,355 -if you wanna come over and, uh-- -No. 68 00:03:09,389 --> 00:03:11,159 Good morning, everyone. 69 00:03:11,291 --> 00:03:15,228 Um, as you may have heard, Dr. Bailey appointed me interim residency director. 70 00:03:15,362 --> 00:03:18,733 So I got some big shoes to fill, but I will do my best. 71 00:03:18,866 --> 00:03:21,268 All right. Anybody have any questions for me? 72 00:03:25,540 --> 00:03:27,542 Okay, well, you know where to find me if you do. 73 00:03:27,675 --> 00:03:29,544 Let's have a great day, everybody. 74 00:03:31,846 --> 00:03:34,347 Uh, Millin. A word? 75 00:03:34,481 --> 00:03:35,983 I'll text you. 76 00:03:38,853 --> 00:03:42,255 I just wanted to check in and see how you're feeling about all this. 77 00:03:42,824 --> 00:03:43,758 I'm good. 78 00:03:43,891 --> 00:03:46,060 And we're both consenting adults, 79 00:03:46,194 --> 00:03:49,097 and our relationship started before you became my direct boss, 80 00:03:49,229 --> 00:03:51,699 so it's a nonissue. 81 00:03:51,833 --> 00:03:54,035 - Good. Yeah, I, uh... - I think so too. 82 00:03:55,069 --> 00:03:57,404 Dr. Millin, uh, you gonna join us for rounds today? 83 00:03:57,538 --> 00:03:58,773 I'm on my way. 84 00:04:03,077 --> 00:04:06,848 -I know what you're gonna say. -You don't, because I'm staying out of it. 85 00:04:06,981 --> 00:04:07,949 This? 86 00:04:08,082 --> 00:04:10,785 This is the face of neutrality. 87 00:04:11,853 --> 00:04:12,920 Neutral. 88 00:04:13,054 --> 00:04:15,623 Good, because we are... It's under control. 89 00:04:16,691 --> 00:04:18,760 -Seriously, we-we're, uh-- -Neutral. 90 00:04:24,832 --> 00:04:26,667 Hi, can we bug you for a minute? 91 00:04:26,801 --> 00:04:28,069 Like no is an option? 92 00:04:28,202 --> 00:04:29,269 We'll be quick. 93 00:04:30,437 --> 00:04:34,008 This is Dr. Webber, Dr. Adams, and you know Dr. Spencer. 94 00:04:34,142 --> 00:04:36,778 We pulled some strings to get you on the VIP floor. 95 00:04:36,911 --> 00:04:39,080 I hope you're enjoying the amenities. 96 00:04:39,213 --> 00:04:40,447 Same crap, different blanket. 97 00:04:41,149 --> 00:04:42,950 How are we doing on those consent forms? 98 00:04:43,084 --> 00:04:44,317 They just came through. 99 00:04:44,451 --> 00:04:47,755 -Great. Then let's get started. -Charlie Ramos, 17, 100 00:04:47,889 --> 00:04:50,224 post-op day seven from umbilical hernia repair, 101 00:04:50,357 --> 00:04:51,626 and post-op day four 102 00:04:51,759 --> 00:04:54,128 - from a diagnostic laparoscopic-- 103 00:04:55,229 --> 00:04:58,099 Sorry, it's one of my other VIP patients. 104 00:04:58,633 --> 00:05:00,635 She can wait. 105 00:05:00,768 --> 00:05:03,738 Charlie has a history of pseudomyxoma peritonei. 106 00:05:03,871 --> 00:05:07,141 It's a rare condition where mucus-producing tumors spread into-- 107 00:05:07,275 --> 00:05:08,441 I know all this. 108 00:05:08,976 --> 00:05:11,679 Right. Cytoreduction surgery today followed by HIPEC. 109 00:05:11,813 --> 00:05:12,814 Do you have a Switch up here? 110 00:05:12,947 --> 00:05:14,949 We do not, unfortunately. 111 00:05:15,082 --> 00:05:16,684 And this is supposed to be VIP? 112 00:05:17,384 --> 00:05:18,485 He makes a great point. 113 00:05:18,619 --> 00:05:20,054 We should get some games up here. 114 00:05:20,188 --> 00:05:22,422 I'll make sure to tell the chief about your complaint. 115 00:05:23,057 --> 00:05:25,593 Let's send a type and cross and replete his electrolytes. 116 00:05:25,726 --> 00:05:26,761 We'll get ready to do this. 117 00:05:26,894 --> 00:05:28,129 Yeah. 118 00:05:29,096 --> 00:05:31,566 Hey, uh, you want me to handle his pre-op paperwork? 119 00:05:31,699 --> 00:05:33,634 -I know you're slammed with all the-- -I got it. 120 00:05:36,336 --> 00:05:37,370 She hates you. 121 00:05:38,773 --> 00:05:40,141 Dr. Bryant, present. 122 00:05:40,274 --> 00:05:42,677 Patricia Roth, 63, with a history of Crohn's disease 123 00:05:42,810 --> 00:05:46,180 and esophageal cancer requiring radiation and reconstruction with a gastric conduit. 124 00:05:46,314 --> 00:05:49,283 Presented with difficulty swallowing and coughing after eating. 125 00:05:49,416 --> 00:05:51,752 Imaging confirmed a tracheoesophageal fistula. 126 00:05:51,886 --> 00:05:54,222 We attempted stenting, but it was unsuccessful. 127 00:05:54,354 --> 00:05:57,457 And a GJ tube has been placed with IR and plans are for discharge today. 128 00:05:58,025 --> 00:06:00,528 I thought we were going back to the, uh... the drawing board. 129 00:06:00,661 --> 00:06:02,395 Unfortunately, we are out of options. 130 00:06:02,530 --> 00:06:03,831 But you always have ideas. 131 00:06:03,965 --> 00:06:06,701 You removed my tumor when nobody else would touch it. 132 00:06:06,834 --> 00:06:09,136 The tissue in your neck is too damaged from the radiation, 133 00:06:09,270 --> 00:06:12,073 and the bowel we'd use for reconstruction is affected by the Crohn's. 134 00:06:12,206 --> 00:06:13,541 But she can't eat. 135 00:06:13,674 --> 00:06:15,743 She's getting her nutrition through a tube. 136 00:06:15,877 --> 00:06:18,378 We will do everything we can to make you more comfortable. 137 00:06:18,512 --> 00:06:23,351 It's never occurred to me how much I find comfort in-in-in food. 138 00:06:23,483 --> 00:06:25,786 Ice cream after a heartbreak. 139 00:06:25,920 --> 00:06:28,421 Soup when I'm sick. 140 00:06:28,556 --> 00:06:30,892 And now I've gotten some of the worst news in my life, 141 00:06:31,025 --> 00:06:32,927 and I can't eat anything. 142 00:06:33,493 --> 00:06:35,897 Can you put pinot grigio in my tube? 143 00:06:40,534 --> 00:06:42,937 Can you give us a minute? 144 00:06:43,571 --> 00:06:44,538 Of course. 145 00:06:49,010 --> 00:06:51,012 - That was brutal. - Yeah. 146 00:06:51,145 --> 00:06:53,547 But she's resilient, you know? She'll adapt. 147 00:06:53,681 --> 00:06:56,449 And she gets to be there for her husband and grandkids. 148 00:06:56,584 --> 00:06:58,886 Well, a partial loss still isn't a win. 149 00:07:03,224 --> 00:07:05,492 And this would have... 150 00:07:06,594 --> 00:07:08,296 Hi, thanks for meeting me. 151 00:07:08,428 --> 00:07:10,865 Uh, no, thanks for meeting me here. 152 00:07:10,998 --> 00:07:14,168 I've got about an hour before... ...my next class. 153 00:07:14,302 --> 00:07:15,636 So, how are you doing? 154 00:07:15,770 --> 00:07:18,205 Any luck looking into other residency programs? 155 00:07:18,339 --> 00:07:20,641 Um, I've called everywhere, 156 00:07:20,775 --> 00:07:23,911 and it seems that no one wants a fired second-year resident. 157 00:07:24,045 --> 00:07:25,746 Well, then you have to wait until the match. 158 00:07:25,880 --> 00:07:28,249 - I'm considering family medicine. 159 00:07:28,983 --> 00:07:32,186 You know, there's always a need, and I could start tomorrow if I wanted. 160 00:07:32,320 --> 00:07:34,822 If you're looking for my blessing, you're not getting it. 161 00:07:34,956 --> 00:07:36,524 It's a waste of your surgical talents. 162 00:07:36,657 --> 00:07:38,292 What the hell? 163 00:07:38,426 --> 00:07:40,962 - I guess things could be worse. 164 00:07:41,095 --> 00:07:45,733 Alcohol and underdeveloped frontal lobes, that's a dangerous combination. 165 00:07:48,769 --> 00:07:50,604 Oh, my-- Come on, come on, come on. 166 00:07:53,007 --> 00:07:54,075 All right, let's back up. 167 00:07:54,208 --> 00:07:55,710 -Back up. Back up. -Excuse me, excuse me. 168 00:07:55,843 --> 00:07:57,411 Hey. Just call 911. 169 00:07:57,979 --> 00:07:59,780 Hey. 170 00:08:00,648 --> 00:08:02,950 Hey, give me some damn scissors. 171 00:08:03,084 --> 00:08:04,986 Okay, no, no, no, no, don't move your head there. 172 00:08:15,663 --> 00:08:17,331 Scout is out back 173 00:08:17,465 --> 00:08:18,532 with Nardi and the kids. 174 00:08:18,666 --> 00:08:20,167 They are making bubbles. 175 00:08:20,301 --> 00:08:21,836 Are you sewing? 176 00:08:22,570 --> 00:08:25,673 Trying to, but the, uh, bottom thread won't catch. 177 00:08:25,806 --> 00:08:26,907 Oh, let me take a look. 178 00:08:27,041 --> 00:08:28,609 What? You know how to use a sewing machine? 179 00:08:28,743 --> 00:08:30,344 My mom was a home ec teacher. 180 00:08:30,478 --> 00:08:32,947 If you ever want a shoddy apron, I'm your gal. 181 00:08:33,848 --> 00:08:34,982 Okay. 182 00:08:35,883 --> 00:08:37,318 -Yeah. -Yeah, see that? 183 00:08:37,451 --> 00:08:39,020 Mm-hmm. 184 00:08:39,153 --> 00:08:41,889 Done. Your bobbin thread was too short. Now, you should be good. 185 00:08:42,023 --> 00:08:43,657 -That was it? -Yeah. 186 00:08:43,791 --> 00:08:46,027 I've been troubleshooting for over an hour. 187 00:08:46,160 --> 00:08:48,662 Wait, uh, do you know how to sew a zipper? 188 00:08:48,796 --> 00:08:49,730 Um... 189 00:08:49,864 --> 00:08:51,098 Oh, um... 190 00:08:51,832 --> 00:08:54,135 -W-We have a few minutes. -Okay. 191 00:08:54,268 --> 00:08:56,137 - Okay. - Yeah. 192 00:08:56,270 --> 00:09:00,207 All right, so the first thing you need to know about zippers is, uh, they suck. 193 00:09:00,341 --> 00:09:01,675 Mm-hmm. 194 00:09:06,714 --> 00:09:09,016 Oh! Gentlemen, hold on to your hats. 195 00:09:09,150 --> 00:09:10,551 What is this? 196 00:09:10,684 --> 00:09:13,587 A case study on an anterolateral thigh free flap 197 00:09:13,721 --> 00:09:15,556 to salvage a section of the esophagus. 198 00:09:16,424 --> 00:09:18,659 -How'd you find this? -I have my ways. 199 00:09:19,794 --> 00:09:22,630 They rolled the flap into a tube to replace the necrotic section 200 00:09:22,763 --> 00:09:24,298 of the reconstructed esophagus. 201 00:09:24,432 --> 00:09:29,070 So if we use the vessels outside the radiated area, it could work. 202 00:09:29,703 --> 00:09:31,238 Well, it sounds great in theory, 203 00:09:31,372 --> 00:09:34,108 but if the new flap fails, she could be worse off. 204 00:09:34,241 --> 00:09:36,377 Tube feeds for life, spit fistula. 205 00:09:36,511 --> 00:09:38,913 And not to mention the flap would be taken from her thigh. 206 00:09:39,046 --> 00:09:42,683 Okay, but if it does work, she gets her life back. 207 00:09:42,817 --> 00:09:44,285 She'll be able to eat. 208 00:09:45,119 --> 00:09:48,255 You're not even gonna tell her about it? She might think it's worth the risk. 209 00:09:49,323 --> 00:09:51,759 If anything can work, it's this. 210 00:09:53,194 --> 00:09:54,462 Let's talk to her. 211 00:09:57,264 --> 00:09:59,366 Can I be an author on the paper when you publish? 212 00:09:59,500 --> 00:10:02,136 -If this works, you can be first author. -Oh. 213 00:10:13,114 --> 00:10:14,648 Page ortho. 214 00:10:14,782 --> 00:10:19,019 Tripp McBride, 18, fell down multiple stairs wrapped in plastic wrap. 215 00:10:19,153 --> 00:10:20,955 - What? - -Long story, doesn't matter. 216 00:10:23,357 --> 00:10:25,192 - Okay. - Thank you. 217 00:10:25,326 --> 00:10:26,927 All right, let me know when you're set. 218 00:10:27,061 --> 00:10:29,296 - And set. - On my count, one, two, three. 219 00:10:31,298 --> 00:10:35,469 Okay, they gave him a liter en route and systolics have been in the 110s. 220 00:10:35,604 --> 00:10:37,738 Heart rate in the low 100s. 221 00:10:37,872 --> 00:10:40,307 Okay. Right leg is shortened and externally rotated. 222 00:10:40,808 --> 00:10:43,110 -Clear breath sounds bilaterally. -Okay, I'll do a FAST exam. 223 00:10:43,244 --> 00:10:45,479 No, you won't. You're all done here. 224 00:10:45,614 --> 00:10:47,516 Right. Um, I got carried away. 225 00:10:47,648 --> 00:10:49,116 -Yeah. -Good luck. 226 00:10:49,250 --> 00:10:51,452 Hey, no, don't go far, 'cause I wanna continue our conversation. 227 00:10:51,586 --> 00:10:54,155 Lower abdominal tenderness. 228 00:10:54,755 --> 00:10:56,490 Uh... 229 00:10:56,625 --> 00:10:57,825 FAST is negative. 230 00:10:57,958 --> 00:11:00,261 My dad's gonna be so mad. 231 00:11:00,761 --> 00:11:02,163 I'm-I'm a legacy, fourth generation, 232 00:11:02,296 --> 00:11:04,899 and I can't even make it through pledge week. 233 00:11:05,032 --> 00:11:07,334 I'm sure he'll be glad you're okay. 234 00:11:07,468 --> 00:11:09,604 -What do we got? -Fraternity hazing mishap. 235 00:11:10,204 --> 00:11:12,740 Hip is flexed, externally rotated and shortened. 236 00:11:17,077 --> 00:11:19,346 Let me take a look. 237 00:11:19,480 --> 00:11:22,483 Got an acetabular fracture and femoral dislocation. 238 00:11:22,617 --> 00:11:23,951 You don't see that everyday. 239 00:11:24,485 --> 00:11:27,021 Okay, we're gonna take you up to CT for a better look. 240 00:11:27,154 --> 00:11:29,356 I-If any of the guys come... 241 00:11:29,490 --> 00:11:31,626 ...can you make it sound like-like I was tough? 242 00:11:31,759 --> 00:11:34,762 Like, don't tell them I cried in the ambulance, please. 243 00:11:34,895 --> 00:11:37,666 Yeah. I'm not telling them anything if I can help it. 244 00:11:38,265 --> 00:11:40,367 All right, let's get him upstairs. 245 00:11:45,773 --> 00:11:48,909 Hi. Okay, I'm gonna sit you up, okay? 246 00:11:49,043 --> 00:11:50,744 You can slow down. Nobody's going anywhere. 247 00:11:50,878 --> 00:11:52,581 Can we not make this a teaching moment? 248 00:11:52,713 --> 00:11:55,149 I've got, like, 50 things to do in the next two minutes. 249 00:11:55,282 --> 00:11:57,218 -Yeah, we're all busy. -Yeah, looks like it. 250 00:11:57,818 --> 00:11:59,253 -What the hell? -Oh. 251 00:11:59,386 --> 00:12:01,556 Sorry, we just need labs before we take you back for surgery. 252 00:12:01,690 --> 00:12:03,658 No, you're not sticking me with any needles. 253 00:12:03,791 --> 00:12:06,595 It's okay. It'll be quick. Some people like to close their eyes. 254 00:12:06,727 --> 00:12:08,095 I said don't touch me! 255 00:12:08,229 --> 00:12:10,264 Get away from me! Get out, all of you! 256 00:12:10,864 --> 00:12:12,733 Okay, okay, get out. Adams, you too. Go. 257 00:12:14,201 --> 00:12:15,537 What are you still doing here? Go! 258 00:12:15,670 --> 00:12:17,238 It's okay. It's over. 259 00:12:17,371 --> 00:12:20,307 Don't tell me it's okay. You don't know anything about me! 260 00:12:28,516 --> 00:12:29,618 Slow, deep breaths. 261 00:12:29,750 --> 00:12:31,586 In and out. 262 00:12:31,720 --> 00:12:33,187 I know how to breathe. 263 00:12:33,320 --> 00:12:34,689 There. 264 00:12:42,162 --> 00:12:43,197 So, you're a gamer? 265 00:12:44,365 --> 00:12:45,332 Sometimes. 266 00:12:45,466 --> 00:12:46,668 What do you play? 267 00:12:46,800 --> 00:12:49,069 Anything that makes me feel like I'm somewhere else. 268 00:12:51,238 --> 00:12:53,007 Do you wanna tell me what happened? 269 00:12:55,142 --> 00:12:56,645 It wasn't a big deal. 270 00:12:59,046 --> 00:13:01,949 The doc just grabbed me out of nowhere and I-I freaked out. 271 00:13:02,082 --> 00:13:03,117 It felt... 272 00:13:07,388 --> 00:13:08,822 You just can't grab people like that. 273 00:13:10,692 --> 00:13:14,161 I understand. And I'm sorry, she should have talked to you first. 274 00:13:15,896 --> 00:13:17,998 Unfortunately, we do need the blood work. 275 00:13:18,132 --> 00:13:19,933 How about if I walk you through it? 276 00:13:21,636 --> 00:13:22,671 Whatever. 277 00:13:23,304 --> 00:13:24,972 They haven't replaced your electrolytes yet, 278 00:13:25,105 --> 00:13:28,409 so I do have to put that order in, and then we can start the blood work. 279 00:13:28,543 --> 00:13:29,511 But you're gonna do it, right? 280 00:13:29,644 --> 00:13:30,712 Of course. 281 00:13:33,615 --> 00:13:35,517 It'll be a piece of cake. 282 00:13:38,952 --> 00:13:39,987 Dr. Bailey, 283 00:13:40,854 --> 00:13:42,856 glad you came in today. Do you have a minute? 284 00:13:42,990 --> 00:13:45,125 Um, I'm, uh, with a patient. Can I find you later? 285 00:13:45,259 --> 00:13:46,728 Dedication equals 286 00:13:46,860 --> 00:13:48,395 high patient satisfaction. 287 00:13:48,530 --> 00:13:49,664 - As you were. - Okay. 288 00:13:49,798 --> 00:13:51,432 Uh... 289 00:13:51,566 --> 00:13:53,133 Tripp, what are you doing in there? 290 00:13:53,267 --> 00:13:55,869 I-I'm luging. For initiation. 291 00:13:56,003 --> 00:14:00,441 Um, stop moving. You can luge, uh, after the scan is done. 292 00:14:01,975 --> 00:14:05,979 - He and I go to the same university. 293 00:14:06,914 --> 00:14:08,683 Norton's trying to recruit you too? 294 00:14:08,817 --> 00:14:10,084 Oh, yeah, that man is relentless. 295 00:14:10,217 --> 00:14:12,019 I don't even know how he found me. 296 00:14:12,152 --> 00:14:13,320 I took the day off. 297 00:14:13,454 --> 00:14:14,988 I was meeting with Kwan, 298 00:14:15,122 --> 00:14:18,859 and then this genius... ...flew down a flight of stairs. 299 00:14:18,992 --> 00:14:20,427 How is Kwan? Did he find a new job? 300 00:14:20,562 --> 00:14:22,496 No luck yet. 301 00:14:22,630 --> 00:14:25,734 He broke the rules, so it's hard to get around that. 302 00:14:27,234 --> 00:14:28,703 Hmm. 303 00:14:28,837 --> 00:14:30,705 Is the femoral head in... 304 00:14:30,839 --> 00:14:32,873 His rectum. Yes, it is. 305 00:14:33,006 --> 00:14:36,176 I went back to school to broaden my horizons. 306 00:14:36,811 --> 00:14:38,212 Mission accomplished. 307 00:14:38,345 --> 00:14:40,715 Well, we're gonna have to reduce the femur, 308 00:14:40,849 --> 00:14:43,083 repair the rectum, and plate the pelvis. 309 00:14:43,217 --> 00:14:44,385 We? 310 00:14:44,519 --> 00:14:46,120 He's your classmate. 311 00:14:46,688 --> 00:14:48,790 - Don't you wanna see this through? 312 00:14:50,525 --> 00:14:54,194 You wanna create an esophagus from my leg? 313 00:14:54,328 --> 00:14:55,697 Yeah, well, your-your thigh. 314 00:14:55,830 --> 00:14:57,699 It's a novel approach. 315 00:14:57,832 --> 00:15:01,435 It has worked for other patients, though that doesn't guarantee it'll work for you. 316 00:15:01,569 --> 00:15:04,204 So, what do you think? 317 00:15:04,338 --> 00:15:07,408 I'm worried this is another situation where I get my hopes up, 318 00:15:08,008 --> 00:15:09,778 only to be disappointed. 319 00:15:10,678 --> 00:15:13,414 We know that you've been through so much already, 320 00:15:14,081 --> 00:15:17,685 but this could dramatically improve the quality of your life. 321 00:15:18,520 --> 00:15:22,824 What if it fails and then we're having the same conversation we had this morning? 322 00:15:22,956 --> 00:15:26,026 We might. Or it works, and this nightmare is over. 323 00:15:26,160 --> 00:15:29,062 But listen, only you can decide if the risk is worth it. 324 00:15:31,533 --> 00:15:32,734 Hey, honey. 325 00:15:33,367 --> 00:15:35,570 I know we've had a lot of bad luck these last few years, 326 00:15:35,703 --> 00:15:39,072 but sometimes things work out. We got married two weeks after we met. 327 00:15:39,206 --> 00:15:41,609 - Everyone thought we'd lost our minds. 328 00:15:41,743 --> 00:15:43,277 But look at us... 329 00:15:44,411 --> 00:15:48,048 You've been my wife for 36 years. 330 00:15:48,182 --> 00:15:50,050 Take another chance with me. 331 00:15:54,154 --> 00:15:56,123 How do I say no to that? 332 00:15:58,760 --> 00:16:00,294 Okay. 333 00:16:00,427 --> 00:16:02,262 Let's try it. 334 00:16:02,396 --> 00:16:03,997 Okay. All right, Millin, book the room. 335 00:16:05,199 --> 00:16:06,500 All right. 336 00:16:11,573 --> 00:16:13,508 Hey, how much longer do you think Bailey's gonna be? 337 00:16:13,641 --> 00:16:15,342 -I don't want Webber to see me. -A while. 338 00:16:15,476 --> 00:16:18,078 Tripp's femur ended up in his rectum. 339 00:16:18,813 --> 00:16:20,682 Huh. 340 00:16:20,815 --> 00:16:22,784 Normally when you pull stuff out of butts, it's because people put them in there. 341 00:16:22,917 --> 00:16:24,117 Yeah. 342 00:16:26,320 --> 00:16:28,155 Do you think I should be a family medicine doctor? 343 00:16:28,288 --> 00:16:30,123 I don't know. Do you think I should have this baby? 344 00:16:30,257 --> 00:16:31,325 You're thinking about keeping it? 345 00:16:31,458 --> 00:16:33,293 I just always wanted to be a mom. 346 00:16:34,261 --> 00:16:37,197 Yeah, but now you wanna have a baby? You work, like, 80 hours a week. 347 00:16:37,331 --> 00:16:39,132 Well, there's a day care in the hospital. I don't know. 348 00:16:39,266 --> 00:16:41,603 Okay, well, what are you, like, six-weeks pregnant? 349 00:16:41,736 --> 00:16:43,638 I mean, you probably have time to think about it. 350 00:16:43,771 --> 00:16:44,939 Yeah. 351 00:16:45,874 --> 00:16:46,941 You're pregnant? 352 00:16:52,680 --> 00:16:53,715 I'm sorry. 353 00:17:03,457 --> 00:17:05,827 - Don't tug. Just guide. - Okay. 354 00:17:07,127 --> 00:17:08,730 Oh. The mac and cheese. 355 00:17:08,863 --> 00:17:10,063 And you're making dinner, too? 356 00:17:10,665 --> 00:17:11,766 For tomorrow night. 357 00:17:11,900 --> 00:17:13,333 Now that I'm not a resident, 358 00:17:13,467 --> 00:17:15,770 I have all this time to take care of the kids and the house. 359 00:17:15,904 --> 00:17:17,805 It is a full-time job. 360 00:17:17,939 --> 00:17:20,307 There's nothing harder than being a stay-at-home parent, 361 00:17:20,440 --> 00:17:22,911 and I know this goes without saying, but this is coming from a neurosurgeon. 362 00:17:23,043 --> 00:17:25,379 I'm getting the hang of it. I'm in a rhythm with the laundry, 363 00:17:25,513 --> 00:17:28,448 the closets are organized, the calendar's up to date. 364 00:17:28,583 --> 00:17:31,819 I aspire to be a mom who judges as opposed to one who is judged, but... 365 00:17:33,086 --> 00:17:34,321 -Okay, stop. -Yeah. 366 00:17:34,454 --> 00:17:35,823 Stop right there. 367 00:17:37,457 --> 00:17:38,458 Now back it up. 368 00:17:39,527 --> 00:17:41,194 - Like this, right? - Mm-hmm. 369 00:17:41,663 --> 00:17:42,897 - Perfect. - All right. 370 00:17:44,666 --> 00:17:45,800 Mmm. 371 00:17:46,400 --> 00:17:48,002 Okay, and this. 372 00:17:48,135 --> 00:17:49,737 And then... 373 00:17:50,337 --> 00:17:51,338 Okay. 374 00:17:53,975 --> 00:17:55,543 It looks like roadkill. 375 00:17:55,677 --> 00:17:56,911 No, it's like a... 376 00:17:57,045 --> 00:18:00,080 It's like a really cute, um, skunk. 377 00:18:00,213 --> 00:18:02,382 What? It's supposed to be a raccoon. 378 00:18:02,517 --> 00:18:04,284 -Yeah. Yeah. -Very similar animals. 379 00:18:05,218 --> 00:18:06,754 Is something burning? 380 00:18:06,888 --> 00:18:09,456 - Oh, my God, the mac and cheese. - Yeah. No, I-I got it. 381 00:18:09,591 --> 00:18:11,458 You know what? It is okay. We can fix this. 382 00:18:11,593 --> 00:18:13,460 Okay, you know what? This is such a stupid idea! 383 00:18:13,595 --> 00:18:15,964 Thank you so much, but you guys can go. Thank you. 384 00:18:22,904 --> 00:18:23,972 Wes. 385 00:18:26,173 --> 00:18:27,675 I'm so sorry you found out like that. 386 00:18:27,809 --> 00:18:28,910 Were you gonna tell me? 387 00:18:30,477 --> 00:18:34,314 I'm not sure if you're, um... 388 00:18:35,550 --> 00:18:37,284 We weren't exclusive when it happened. 389 00:18:40,922 --> 00:18:42,090 Got it. 390 00:18:42,222 --> 00:18:44,324 I mean, it-it-it could be yours. I mean, uh... 391 00:18:49,129 --> 00:18:52,900 If it is, do you have feelings about it? 392 00:18:56,470 --> 00:18:57,772 Do you wanna keep it? 393 00:18:59,306 --> 00:19:02,209 It's not a simple decision. I-I have ovarian insufficiency, 394 00:19:02,342 --> 00:19:05,580 so the fact that this happened at all is a miracle. 395 00:19:06,614 --> 00:19:09,017 -And it could be my only chance to-- -Yeah, yeah. It's just... 396 00:19:09,149 --> 00:19:11,052 I don't know if you can speak another language. 397 00:19:11,619 --> 00:19:15,222 You know, I haven't even met your dad, and we're having a conversation... 398 00:19:15,355 --> 00:19:16,791 about a baby. 399 00:19:17,592 --> 00:19:20,460 Well, if I decide to keep it, you can be as involved as you want, and we can do-- 400 00:19:20,595 --> 00:19:22,162 What? No, no. 401 00:19:22,664 --> 00:19:25,800 No, I don't do things halfway, especially not with a kid. 402 00:19:25,933 --> 00:19:27,035 Okay, so let's talk about it. 403 00:19:27,167 --> 00:19:28,703 I don't know what to say. 404 00:19:28,836 --> 00:19:30,638 I don't know what to say, Simone. 405 00:19:31,839 --> 00:19:33,141 I'm an intern. 406 00:19:34,042 --> 00:19:36,978 You know, I worked my ass off to be here. I've done everything by the book-- 407 00:19:37,111 --> 00:19:39,047 You think it's different for me? I didn't plan this, Wes. 408 00:19:39,179 --> 00:19:40,447 You asked me how I felt. 409 00:19:41,983 --> 00:19:43,283 You're right. I did. 410 00:19:45,352 --> 00:19:47,220 I have to prep a patient for the OR. 411 00:19:51,726 --> 00:19:55,362 And after we've placed the flap, then we confirm blood flow and close. 412 00:19:55,495 --> 00:19:57,397 Hey. My apologies, I had to follow up on a patient. 413 00:19:57,532 --> 00:20:00,835 We were just finishing up. Uh, could you make sure the consents are complete? 414 00:20:00,968 --> 00:20:02,003 Mm-hmm. 415 00:20:02,503 --> 00:20:03,538 Yeah. 416 00:20:05,173 --> 00:20:08,876 Oh, uh, Millin, could you make sure the room has that small retractor I like? 417 00:20:09,010 --> 00:20:10,144 Well, I can do that. 418 00:20:10,678 --> 00:20:12,580 Uh, you can check the chest tube output for Gonzalez. 419 00:20:12,714 --> 00:20:15,083 Hey, if this is about me being late, it won't happen again. 420 00:20:15,215 --> 00:20:17,885 No, you're an intern, and this is a surgery we've never done before 421 00:20:18,019 --> 00:20:19,954 on a patient who's already been through the wringer. 422 00:20:20,088 --> 00:20:21,956 -I need everything to be perfect. -Understood. 423 00:20:26,861 --> 00:20:28,596 You... You see what you're doing, right? 424 00:20:29,630 --> 00:20:32,399 No, I don't... I don't know what this is, but it doesn't feel neutral. 425 00:20:32,533 --> 00:20:33,901 You-You-You're favoring Millin. 426 00:20:34,035 --> 00:20:36,104 It's not favoritism to want the job done well. 427 00:20:36,236 --> 00:20:38,606 Why do you think that Millin would do any better than Bryant, 428 00:20:38,740 --> 00:20:41,241 -who's actually on your service? -She's a second-year. 429 00:20:41,374 --> 00:20:45,012 Is that why, or is it because she's your girlfriend? 430 00:20:45,146 --> 00:20:46,614 You're married to Miranda Bailey. 431 00:20:46,748 --> 00:20:49,382 But I was in a different department when we got together. 432 00:20:49,517 --> 00:20:52,086 All right, all I can tell you is that Bryant was late, 433 00:20:52,754 --> 00:20:54,956 and Jules walked through the whole operation with us. 434 00:20:55,089 --> 00:20:56,224 You mean Dr. Millin. 435 00:20:58,226 --> 00:20:59,259 Just be careful. 436 00:21:12,240 --> 00:21:14,274 You're not going to believe this case. 437 00:21:14,407 --> 00:21:16,077 Oh, I helped bring it in. 438 00:21:16,844 --> 00:21:17,779 With Dr. Bailey? 439 00:21:17,912 --> 00:21:19,147 You know her well? 440 00:21:20,648 --> 00:21:22,449 -Professionally. -Oh. 441 00:21:22,950 --> 00:21:26,453 I'm, uh, trying to get her to join my team if you got any ideas. 442 00:21:27,889 --> 00:21:30,423 She likes green juice. 443 00:21:30,558 --> 00:21:32,994 I think I'm gonna need something a little more convincing than juice. 444 00:21:33,127 --> 00:21:34,461 You also a general surgeon? 445 00:21:34,595 --> 00:21:35,663 I... 446 00:21:37,397 --> 00:21:38,933 haven't decided on a specialty. 447 00:21:39,066 --> 00:21:40,968 You know, this is a great place to figure it out. 448 00:21:41,102 --> 00:21:42,837 Everyone's at the top of their field. 449 00:21:44,471 --> 00:21:45,506 Yep. 450 00:21:46,140 --> 00:21:48,643 All right, a little more retraction. 451 00:21:49,277 --> 00:21:50,477 Sponge stick. 452 00:21:53,781 --> 00:21:55,850 Who covers themselves in plastic wrap 453 00:21:55,983 --> 00:21:58,986 and baby oil and slides downstairs in public? 454 00:21:59,120 --> 00:22:01,689 I'm choosing to believe he's a smart kid 455 00:22:01,823 --> 00:22:03,323 who made one stupid mistake. 456 00:22:03,456 --> 00:22:05,392 Hopefully, his one stupid mistake doesn't have 457 00:22:05,526 --> 00:22:07,528 - lifelong repercussions. - Hmm. 458 00:22:07,662 --> 00:22:08,663 Okay, ready when you are. 459 00:22:08,796 --> 00:22:09,831 All right. 460 00:22:12,465 --> 00:22:14,268 Ah. 461 00:22:14,401 --> 00:22:16,270 Oh, something's bleeding. 462 00:22:16,403 --> 00:22:17,772 Where is it coming from? 463 00:22:17,905 --> 00:22:19,406 You tell me. 464 00:22:19,941 --> 00:22:22,076 I can't see. I need more suction. 465 00:22:24,779 --> 00:22:26,547 Dr. Bailey, do you wanna switch with me? 466 00:22:26,681 --> 00:22:30,318 No, you got this. Think of the anatomy. Where are we? 467 00:22:31,652 --> 00:22:33,054 I need lap pads. 468 00:22:38,226 --> 00:22:39,560 Deploy the stapler. 469 00:22:42,563 --> 00:22:44,799 Good. 470 00:22:46,033 --> 00:22:47,802 Can I step out to check on a patient? 471 00:22:48,435 --> 00:22:51,906 It's my other VIP patient, and she's very particular about things, 472 00:22:52,039 --> 00:22:54,842 ice cubes, pillowcases, how she berates me. 473 00:22:54,976 --> 00:22:56,744 Norton's VIP patient can wait. 474 00:22:56,878 --> 00:22:58,079 Dr. Norton is a fine surgeon. 475 00:22:58,212 --> 00:22:59,847 If you like the one nose job he gives people. 476 00:22:59,981 --> 00:23:02,216 Hiring one doctor you don't like doesn't change who we are. 477 00:23:02,350 --> 00:23:04,218 We still provide excellent patient care 478 00:23:04,352 --> 00:23:06,754 and a first-class education for our residents. 479 00:23:06,888 --> 00:23:08,890 If you disagree, you don't have to be here. 480 00:23:10,324 --> 00:23:11,893 We've got peaked T waves and widening QRS. 481 00:23:12,026 --> 00:23:14,427 - He's going to V-fib. - -Let's protect the field. 482 00:23:16,063 --> 00:23:17,932 Start CPR. Go. 483 00:23:19,533 --> 00:23:20,500 Charge to 120. 484 00:23:22,169 --> 00:23:24,538 Clear. 485 00:23:25,172 --> 00:23:26,741 Come on, Charlie. 486 00:23:35,316 --> 00:23:38,219 Charge to 200. 487 00:23:38,352 --> 00:23:40,321 Clear. 488 00:23:40,487 --> 00:23:42,422 Are his blood gases back? 489 00:23:42,556 --> 00:23:44,592 Potassium is 8.1. 490 00:23:46,327 --> 00:23:48,262 Charge again. 491 00:23:48,396 --> 00:23:50,398 Clear. 492 00:23:52,499 --> 00:23:54,434 All right. Let's push calcium gluconate 493 00:23:54,568 --> 00:23:55,937 and start insulin with dextrose. 494 00:23:56,070 --> 00:23:58,139 I only ordered one bag of potassium. 495 00:23:58,272 --> 00:23:59,439 How is it 8.1? 496 00:24:00,308 --> 00:24:02,543 I may have ordered him another bag. 497 00:24:03,044 --> 00:24:05,046 - May have? -I gave the nurse a verbal order, 498 00:24:05,179 --> 00:24:07,148 and then I was gonna chart it later, but I was running around. 499 00:24:07,281 --> 00:24:08,481 I'm-I'm so sorry. 500 00:24:10,584 --> 00:24:12,853 Dr. Spencer, it's the VIP floor. You got another page from Ms. Conley. 501 00:24:12,987 --> 00:24:14,322 Please tell them that I can't. 502 00:24:14,454 --> 00:24:16,157 You can go. You've done enough here. Go. 503 00:24:21,963 --> 00:24:23,463 No, it was. 504 00:24:23,597 --> 00:24:24,966 -This is, like, burnt all the way. -This is unsalvageable now. 505 00:24:25,099 --> 00:24:27,034 I'm so sorry. 506 00:24:27,168 --> 00:24:30,137 I thought I could just scrape off the top, but I've made, yeah, an even bigger mess. 507 00:24:30,271 --> 00:24:32,540 No, I'm sorry, I ruined your whole day. 508 00:24:32,673 --> 00:24:34,642 The ferryboats were probably a terrible idea. 509 00:24:34,775 --> 00:24:38,346 He would've had fun for five minutes, and then he'd have been bored. 510 00:24:38,879 --> 00:24:40,281 It would've been an epic fail. 511 00:24:42,283 --> 00:24:44,952 It is okay. 512 00:24:45,086 --> 00:24:48,322 You can just order a box of mac and cheese for delivery, 513 00:24:48,456 --> 00:24:50,191 and it'll be done in 20 minutes. 514 00:24:50,324 --> 00:24:54,662 I'm trying so hard to make up for all the time we lost 515 00:24:54,795 --> 00:24:58,032 after the twins were born, but the truth is I don't know what I'm doing. 516 00:24:58,165 --> 00:24:59,834 You can't get it right all the time. 517 00:25:00,368 --> 00:25:01,635 My washer's broken. 518 00:25:01,769 --> 00:25:04,138 Zach's been out of clean underwear for over a week, 519 00:25:04,271 --> 00:25:05,940 and at first, I just turned them inside out, 520 00:25:06,073 --> 00:25:08,442 and then I bought him men's compression shorts in the hospital gift shop, 521 00:25:08,576 --> 00:25:10,111 and he's been wearing them like boxers. 522 00:25:10,244 --> 00:25:12,380 - You get a pass. You're working moms. 523 00:25:12,513 --> 00:25:15,016 A pass for what? Perfection? 524 00:25:15,549 --> 00:25:17,918 Some impossible ideal of motherhood? 525 00:25:18,052 --> 00:25:19,353 That's not real. 526 00:25:19,487 --> 00:25:22,990 It's a social construct that is made to sell cleaning products 527 00:25:23,124 --> 00:25:25,126 and make us feel bad about ourselves. 528 00:25:25,259 --> 00:25:28,696 All we can do is our best, and sometimes that means we're doing great, 529 00:25:28,829 --> 00:25:33,100 and sometimes it means we are drowning, but it's always good enough. 530 00:25:35,636 --> 00:25:36,971 I probably could be doing better. 531 00:25:40,441 --> 00:25:41,842 I wish they would put photos 532 00:25:41,976 --> 00:25:44,078 of tracheoesophageal fistulas on cigarette packs 533 00:25:44,211 --> 00:25:47,014 so people have to see the risks before they light up. 534 00:25:47,148 --> 00:25:48,949 You'd have loved my mom. 535 00:25:49,083 --> 00:25:50,418 Was she anti-smoking? 536 00:25:50,551 --> 00:25:52,586 Uh, she was pro scare-the-crap-out-of-people. 537 00:25:52,720 --> 00:25:54,822 When our neighbor got into an accident on his motorcycle, 538 00:25:54,955 --> 00:25:57,892 my mom took me and my sisters to the hospital to see him 539 00:25:58,025 --> 00:26:00,061 so we would be afraid to get on a bike. 540 00:26:00,194 --> 00:26:02,363 - Did it work? - -Nope, but she won in the end. 541 00:26:02,496 --> 00:26:05,633 I had to clean up my act when I got married and, you know, became a dad. 542 00:26:07,134 --> 00:26:08,169 Yeah. 543 00:26:09,070 --> 00:26:10,838 Should I, uh, update Patricia's husband? 544 00:26:10,971 --> 00:26:12,706 - Yeah, go ahead. - Yeah. 545 00:26:16,010 --> 00:26:18,245 - We got a bleeder. Right angle. 546 00:26:18,379 --> 00:26:20,047 A 2-0 silk on a passer to Millin. 547 00:26:20,181 --> 00:26:21,482 I got it. Go. 548 00:26:31,792 --> 00:26:33,327 That doesn't look like a square knot. 549 00:26:33,461 --> 00:26:35,196 - Give her another. - It is a square knot. 550 00:26:35,329 --> 00:26:38,032 Not definitively, which means it could slip, and she could bleed. 551 00:26:38,165 --> 00:26:39,200 Try again. 552 00:26:44,338 --> 00:26:46,774 - Okay, now, you got an air knot. - -It's fine. 553 00:26:46,907 --> 00:26:49,443 - I'll just cinch it down. - -Is the goal fine or perfect? 554 00:26:49,578 --> 00:26:51,745 Hold the right angle. Tie. 555 00:26:59,053 --> 00:27:01,155 And that is how you do a square knot. 556 00:27:01,956 --> 00:27:03,657 - Understood. - Scissors? 557 00:27:08,162 --> 00:27:10,164 Released the capsule and reduced the head. 558 00:27:10,297 --> 00:27:11,832 - How's it going? - I've got distal control. 559 00:27:11,966 --> 00:27:13,602 - More suction. - Mmm. 560 00:27:15,302 --> 00:27:18,607 Oh, there it is. A tear in the iliac vein. 561 00:27:18,739 --> 00:27:20,141 What's your plan? 562 00:27:20,274 --> 00:27:22,977 The edges look clean, and it's a small defect. 563 00:27:23,110 --> 00:27:24,078 Primary repair? 564 00:27:24,211 --> 00:27:25,346 Works for me. 565 00:27:25,479 --> 00:27:27,516 4-0 Prolene for Dr. Griffith. 566 00:27:27,648 --> 00:27:29,483 I-I-I've never done one of these. 567 00:27:29,618 --> 00:27:30,851 Have you seen one? 568 00:27:30,985 --> 00:27:32,153 - Yes. - Time to do one. 569 00:27:32,286 --> 00:27:33,721 Mm-hmm. 570 00:27:34,288 --> 00:27:37,158 That's my friend under the mask. She is beaming with pride. 571 00:27:37,291 --> 00:27:41,128 I used to get excited about doing complex surgeries as a plastics resident. 572 00:27:42,062 --> 00:27:43,964 Now I almost strictly do cosmetics. 573 00:27:44,098 --> 00:27:45,199 More lucrative? 574 00:27:45,332 --> 00:27:46,867 Less stress, you know. 575 00:27:47,001 --> 00:27:50,204 Patients are healthy, and complications are few and far between. 576 00:27:50,771 --> 00:27:52,706 What, you don't wanna see sick patients? 577 00:27:52,840 --> 00:27:55,442 Oh, I mean, I'll do it, but it's not my preference. 578 00:27:56,010 --> 00:27:58,445 If I was starting over, dermatology. 579 00:27:59,413 --> 00:28:00,549 Yeah, but it's not as surgical. 580 00:28:00,681 --> 00:28:02,716 Exactly. Hours are better, 581 00:28:02,850 --> 00:28:04,385 money's great, you know. 582 00:28:04,519 --> 00:28:06,588 You're less likely to kill someone freezing a mole. 583 00:28:07,388 --> 00:28:10,691 Chief Norton. They're asking for you on the Olympic Floor. 584 00:28:11,458 --> 00:28:12,493 Be right there. 585 00:28:13,494 --> 00:28:15,362 All right. Duty calls. 586 00:28:15,963 --> 00:28:18,299 Hey. Dermatology. Think about it. 587 00:28:26,040 --> 00:28:27,408 How's Charlie? 588 00:28:27,542 --> 00:28:30,545 -Um, he's back in recovery. -He-He-He didn't code again? 589 00:28:30,679 --> 00:28:32,514 -No. No, he didn't. -Oh, thank God. 590 00:28:33,013 --> 00:28:34,748 I am so sorry. 591 00:28:34,882 --> 00:28:38,018 Now you know, even if you're busy, everything needs to be documented, okay? 592 00:28:38,152 --> 00:28:42,189 Dr. Spencer, Ms. Conley needs ice chips. She's been waiting for nearly 20 minutes. 593 00:28:42,323 --> 00:28:44,258 There were complications with Charlie Ramos. 594 00:28:44,391 --> 00:28:46,528 -I just wanted to check in-- -That can wait. She's VIP. 595 00:28:46,661 --> 00:28:50,197 Her husband is the CEO of an aerodynamics firm. Top priority. 596 00:28:50,331 --> 00:28:54,034 But, uh, Charlie Ramos is VIP. He's just pro bono. 597 00:28:54,168 --> 00:28:55,736 I understand, Richard, but you know how it is. 598 00:28:55,869 --> 00:28:58,205 -People expect to get what they pay for. -Of course. 599 00:28:58,339 --> 00:29:00,074 -It won't happen again. -Please. 600 00:29:04,713 --> 00:29:07,114 Okay, updated Mr. Roth. 601 00:29:08,449 --> 00:29:11,085 Hey. If you were taking a bite for the first time in months, 602 00:29:11,218 --> 00:29:12,886 -what would it be? -Bacon and eggs. 603 00:29:13,020 --> 00:29:14,955 - Oatmeal. - Seriously? 604 00:29:15,089 --> 00:29:17,391 Are you criticizing my choice of food now too? 605 00:29:19,728 --> 00:29:23,130 All right. We're ready to start the final closure. Doppler. 606 00:29:29,003 --> 00:29:30,137 No signal? 607 00:29:30,271 --> 00:29:31,740 The flap is congested and swelling, 608 00:29:31,872 --> 00:29:33,575 but there's a good signal in the artery, 609 00:29:33,708 --> 00:29:35,710 which means there isn't good outflow in the vein. 610 00:29:35,843 --> 00:29:37,311 - Think it's a clot? - Must be. 611 00:29:37,444 --> 00:29:40,414 - Call Dr. Metzner. 911. Scissors. - Copy that, Dr. Warren. 612 00:29:40,548 --> 00:29:43,518 Heparinized saline. Come on, Patricia. You got this. 613 00:29:46,387 --> 00:29:47,656 Anything? 614 00:29:47,821 --> 00:29:49,456 Not yet. Still congested. Another flush. 615 00:29:52,627 --> 00:29:53,894 - Still nothing. - Damn it. 616 00:29:54,028 --> 00:29:55,829 Let's try papaverine to relax the vessels. 617 00:29:57,331 --> 00:29:59,768 Come on. We're losing it. Where's Metzner? 618 00:30:00,735 --> 00:30:03,837 - Dr. Ndugu. - Let him go. Another flush. Now! 619 00:30:05,105 --> 00:30:07,274 Come on, Patricia. Come on. 620 00:30:18,620 --> 00:30:21,221 Kwan. Oh, I am so sorry. 621 00:30:21,355 --> 00:30:23,123 The day, it-it-it got away from me. 622 00:30:23,257 --> 00:30:25,694 We will talk, okay? I promise you. 623 00:30:26,360 --> 00:30:29,330 Whenever. Yeah, I'm not busy. 624 00:30:29,830 --> 00:30:31,265 Have a good night. 625 00:30:34,636 --> 00:30:35,670 Hmm. 626 00:30:36,437 --> 00:30:39,873 Uh, I'm assuming that you all are here for Tripp McBride? 627 00:30:40,007 --> 00:30:41,375 Is he gonna be okay? 628 00:30:41,509 --> 00:30:43,377 Uh, well, you're not family. 629 00:30:43,511 --> 00:30:48,382 So, all I can say is your friend had a pretty big surgery. 630 00:30:48,516 --> 00:30:53,120 It'll be a while before he recovers, but he should be okay. 631 00:30:53,688 --> 00:30:55,590 I mean, can we reject him now, 632 00:30:55,724 --> 00:30:57,391 or do we have to wait till the end of the week? 633 00:30:58,859 --> 00:31:00,662 Uh, you better not be laughing. 634 00:31:00,795 --> 00:31:04,865 Right now, your friend could have died today trying to get into your stupid club, 635 00:31:04,998 --> 00:31:08,536 which, Lord, help him, is his lifelong dream. 636 00:31:09,704 --> 00:31:11,205 And if you don't give him a second chance 637 00:31:11,338 --> 00:31:13,907 after making a dumb mistake, then... 638 00:31:14,041 --> 00:31:19,880 ...well, it just makes you small-minded and shortsighted and mean. 639 00:31:20,715 --> 00:31:23,384 Everybody deserves a second chance. 640 00:31:25,452 --> 00:31:27,221 Well, maybe not you. 641 00:31:34,161 --> 00:31:36,430 Hey. You kicked ass in the OR. 642 00:31:36,564 --> 00:31:38,232 It felt so good. 643 00:31:39,299 --> 00:31:41,068 You'll get back there somehow. 644 00:31:41,536 --> 00:31:43,203 I got a 520 on my MCAT. 645 00:31:43,337 --> 00:31:46,073 I scored in the 83rd percentile on the ABSITE. 646 00:31:46,206 --> 00:31:48,208 I am the smartest person in my family. 647 00:31:48,342 --> 00:31:50,545 -Is that a high bar? -We're not attendings. 648 00:31:50,678 --> 00:31:52,680 We should be allowed to make mistakes 649 00:31:52,814 --> 00:31:56,116 without getting our asses handed to us in front of an entire operating room. 650 00:31:56,250 --> 00:31:57,918 We're still learning. 651 00:31:58,853 --> 00:32:01,121 -Rough day? -I don't wanna talk about it. 652 00:32:03,591 --> 00:32:05,894 Max is getting an earful tonight. 653 00:32:06,026 --> 00:32:07,261 Yeah. 654 00:32:09,697 --> 00:32:10,765 I'll see you at home. 655 00:32:13,568 --> 00:32:16,069 -Excuse me. Where's the elevator? -Uh, you're close. 656 00:32:16,203 --> 00:32:18,439 It's just down the hallway. 657 00:32:18,573 --> 00:32:20,608 She's beautiful. 658 00:32:20,742 --> 00:32:22,644 She's exhausted. 659 00:32:22,777 --> 00:32:24,646 We spent ten hours in the emergency room. 660 00:32:25,212 --> 00:32:27,481 And after all that, just an ear infection. 661 00:32:27,615 --> 00:32:28,917 You must be exhausted too. 662 00:32:29,049 --> 00:32:31,952 I'm okay. It's all a gift. 663 00:32:32,085 --> 00:32:34,188 Even the long days. 664 00:32:34,789 --> 00:32:36,190 -Thank you. -Yeah, yeah, yeah. 665 00:32:36,323 --> 00:32:41,596 - It's okay. Oh. You're okay. 666 00:32:41,729 --> 00:32:43,964 Yeah. You're okay. 667 00:32:44,097 --> 00:32:45,199 Yeah. 668 00:32:45,900 --> 00:32:48,503 We were unable to reestablish blood flow 669 00:32:48,636 --> 00:32:51,104 and the flap became unsalvageable. 670 00:32:51,840 --> 00:32:53,173 Surgery didn't work? 671 00:32:54,542 --> 00:32:56,176 We tried everything. 672 00:32:58,813 --> 00:33:03,551 So, you had to make that hole in her neck to drain the saliva? 673 00:33:04,619 --> 00:33:07,354 We did. I'm sorry we didn't get the outcome we hoped for. 674 00:33:07,488 --> 00:33:10,190 I shouldn't have convinced her to do the surgery. 675 00:33:10,324 --> 00:33:12,426 You can't beat yourself up for hoping. 676 00:33:12,560 --> 00:33:17,498 I should have listened to you. I'm so sorry... 677 00:33:22,937 --> 00:33:24,371 -How's he doing? -Hi. 678 00:33:24,939 --> 00:33:27,174 He was waking up a minute ago. 679 00:33:30,845 --> 00:33:31,980 There he is. 680 00:33:32,112 --> 00:33:33,681 You gave us a scare. 681 00:33:33,815 --> 00:33:35,315 I did? 682 00:33:36,049 --> 00:33:40,220 Your heart stopped during surgery, but we brought you back. 683 00:33:40,788 --> 00:33:42,724 The rest of it went very smoothly. 684 00:33:43,357 --> 00:33:45,560 We removed all the visible cancer. 685 00:33:46,159 --> 00:33:48,730 As soon as you're healed, we'll start you on chemo 686 00:33:48,863 --> 00:33:51,231 to target any cells that were left behind. 687 00:33:51,365 --> 00:33:53,968 So Dr. Webber is going to take very good care of you. 688 00:33:54,101 --> 00:33:58,338 I have to jump on a plane, but I can be back in half a day if you need me. 689 00:33:59,039 --> 00:34:00,073 You're leaving? 690 00:34:00,207 --> 00:34:01,709 I have to go home. 691 00:34:02,342 --> 00:34:03,511 Where's that? 692 00:34:03,645 --> 00:34:05,013 Boston. 693 00:34:07,147 --> 00:34:09,483 You flew across the country for my surgery? 694 00:34:10,284 --> 00:34:11,686 Of course I did. 695 00:34:11,819 --> 00:34:13,420 You're my VIP. 696 00:34:15,355 --> 00:34:16,423 And... 697 00:34:21,896 --> 00:34:23,865 I stole it from peds. 698 00:34:23,998 --> 00:34:25,299 When you're feeling better. 699 00:34:29,336 --> 00:34:30,470 I'm gonna see you very soon. 700 00:34:35,142 --> 00:34:37,679 You might be right. 701 00:34:38,211 --> 00:34:41,081 -We could have a problem with Dr. Norton. -Oh. 702 00:34:41,816 --> 00:34:43,283 What are you gonna do about it? 703 00:34:43,851 --> 00:34:45,053 I wish I knew. 704 00:34:54,094 --> 00:34:55,964 -Uh, Chief. Can I have a minute? -Uh, 705 00:34:56,096 --> 00:34:58,566 -I'm actually in the middle of something-- -No, no. It'll be quick. 706 00:34:58,700 --> 00:35:02,269 I-I can't sleep at night because I'm replaying surgeries in my head, 707 00:35:02,402 --> 00:35:04,973 and I practice knots in the air while I'm waiting in line. 708 00:35:05,105 --> 00:35:06,340 And no shade to dermatology, 709 00:35:06,473 --> 00:35:08,710 but I don't wanna freeze moles for the rest of my life. 710 00:35:10,177 --> 00:35:14,147 I was fired for making a mistake. 711 00:35:15,182 --> 00:35:17,384 And I learned the lesson. 712 00:35:17,919 --> 00:35:20,021 So if I get a second chance, I won't do it again. 713 00:35:20,153 --> 00:35:21,823 Great. You start on Monday. 714 00:35:23,725 --> 00:35:24,792 Really? 715 00:35:25,627 --> 00:35:27,061 That worked? 716 00:35:27,194 --> 00:35:29,496 You had some good points but no. No, it wasn't enough. 717 00:35:30,632 --> 00:35:33,367 Now, Dr. Bailey's speech, that was a winner. 718 00:35:35,737 --> 00:35:36,838 Welcome back. 719 00:35:36,971 --> 00:35:38,305 Oh. 720 00:35:49,817 --> 00:35:51,819 Hey. Whatever it is I did... 721 00:35:51,953 --> 00:35:55,657 ...or didn't do, I'm sorry. 722 00:35:55,790 --> 00:35:58,492 No. Why are you here now? 723 00:35:59,192 --> 00:36:01,194 Why couldn't you have come, like, two beers ago? 724 00:36:01,328 --> 00:36:03,698 Sorry. Uh, does it matter? 725 00:36:03,831 --> 00:36:07,035 Yes, yes, it matters because now I am a little bit drunk, 726 00:36:07,167 --> 00:36:09,369 and I'm going to say the thing that I don't want to say. 727 00:36:09,504 --> 00:36:10,638 Okay. 728 00:36:10,772 --> 00:36:12,205 You made me like you. 729 00:36:12,339 --> 00:36:14,976 You led me on when you just wanted things to be casual, 730 00:36:15,109 --> 00:36:16,944 which I would have been fine with if you had just said 731 00:36:17,078 --> 00:36:18,646 that that's what you wanted, but you didn't. 732 00:36:18,780 --> 00:36:21,849 You made me like you, and now I gave a patient too much potassium, 733 00:36:21,983 --> 00:36:24,384 and I think I mixed up my laundry with my roommates 734 00:36:24,519 --> 00:36:26,386 because I'm pretty sure I'm wearing her bra right now. 735 00:36:26,521 --> 00:36:27,922 Um-- 736 00:36:28,056 --> 00:36:30,290 - Don't laugh. It's not funny. - No, I... 737 00:36:30,858 --> 00:36:32,259 It's not. I... 738 00:36:32,392 --> 00:36:35,063 Look, I didn't mean to lead you on. 739 00:36:35,863 --> 00:36:38,398 Things between us are... 740 00:36:38,533 --> 00:36:40,835 It's-It's-It's not just casual. 741 00:36:42,202 --> 00:36:43,571 Dani, I like you. 742 00:36:44,672 --> 00:36:45,707 And, um... 743 00:36:49,476 --> 00:36:54,182 when you're sober, I'm gonna ask you out, okay? For real. 744 00:36:58,086 --> 00:36:59,721 Fine. 745 00:36:59,854 --> 00:37:03,758 But you have to take me to a restaurant with at least two-dollar signs. 746 00:37:03,891 --> 00:37:04,926 Not one. 747 00:37:06,194 --> 00:37:07,227 Two. 748 00:37:15,368 --> 00:37:17,205 Simone, hey. 749 00:37:18,072 --> 00:37:19,173 Uh. 750 00:37:19,741 --> 00:37:21,843 Sorry I lost my cool earlier. 751 00:37:22,744 --> 00:37:24,812 It's a pretty big bomb to drop on you. 752 00:37:24,946 --> 00:37:27,215 Yeah, but that wasn't right, and I know that. 753 00:37:27,347 --> 00:37:28,916 I should have asked you how you were feeling, 754 00:37:29,050 --> 00:37:30,250 and then I should have listened. 755 00:37:31,886 --> 00:37:35,623 I know this is a lot to handle right now, but I care about you. 756 00:37:38,126 --> 00:37:39,160 I'm not walking away. 757 00:37:44,665 --> 00:37:46,601 Parenthood, partnership, career. 758 00:37:46,734 --> 00:37:50,571 Often, the most meaningful things in life are also the most challenging. 759 00:37:51,706 --> 00:37:53,908 Kids deserve to be a hundred percent wanted. 760 00:37:54,041 --> 00:37:55,408 Mm-hmm. 761 00:37:57,578 --> 00:38:01,249 And right now, more than anything, I wanna be a surgeon. 762 00:38:04,317 --> 00:38:09,991 Which might mean I never carry a baby. 763 00:38:12,894 --> 00:38:15,295 But there are other ways to have a family, and... 764 00:38:16,964 --> 00:38:18,633 when the time is right, I'll... 765 00:38:20,467 --> 00:38:21,636 I'll figure it out. 766 00:38:22,737 --> 00:38:23,838 Yeah. 767 00:38:24,639 --> 00:38:26,073 It's okay. You can be relieved. 768 00:38:26,607 --> 00:38:27,642 I'm not. 769 00:38:28,910 --> 00:38:30,077 It's complicated. 770 00:38:30,211 --> 00:38:33,648 I know it's heavy for where we are right now. 771 00:38:36,784 --> 00:38:37,819 I'm wherever you are. 772 00:38:45,392 --> 00:38:48,262 It's all but guaranteed you'll be tempted to give up. 773 00:38:48,996 --> 00:38:50,330 Hey. 774 00:38:51,331 --> 00:38:52,365 Are you ready? 775 00:38:54,068 --> 00:38:55,102 Okay. 776 00:38:55,937 --> 00:38:58,673 I mean, it's incredible. 777 00:38:58,806 --> 00:38:59,874 What is it? 778 00:39:01,309 --> 00:39:02,243 A dog? 779 00:39:02,375 --> 00:39:04,045 You are sweating so hard right now. 780 00:39:04,178 --> 00:39:05,478 I really don't wanna get this wrong. 781 00:39:05,613 --> 00:39:08,216 -It's a raccoon. -I almost guessed raccoon! 782 00:39:08,348 --> 00:39:10,051 You are such a liar. 783 00:39:10,184 --> 00:39:13,554 I also almost guessed squirrel and rat, but raccoon was definitely on the list. 784 00:39:14,354 --> 00:39:15,690 You were right. 785 00:39:15,823 --> 00:39:18,726 I should have never signed up to make costumes. 786 00:39:20,761 --> 00:39:23,731 -I'm sorry it didn't work out. -It's okay. 787 00:39:24,265 --> 00:39:28,636 I found this amazing seamstress named Nancy, and she is going to help me out. 788 00:39:28,769 --> 00:39:30,071 -That's great. -Yeah. 789 00:39:30,204 --> 00:39:32,439 -And now you don't have to sew all night. -Mm-hmm. 790 00:39:32,573 --> 00:39:34,008 You get to hang out with me. 791 00:39:36,210 --> 00:39:37,545 Are you sure it's not a possum? 792 00:39:37,678 --> 00:39:39,379 Are you serious? I told you what it is. Stop guessing. 793 00:39:39,513 --> 00:39:42,016 But the reward comes when you push through, 794 00:39:42,149 --> 00:39:44,819 when you work hard and stay the course. 795 00:39:44,952 --> 00:39:47,688 How'd he go down? - He's amped. 796 00:39:48,189 --> 00:39:51,025 Hopefully, he falls asleep before midnight. 797 00:39:51,158 --> 00:39:52,593 I'm sorry. 798 00:39:52,727 --> 00:39:55,162 I knew I shouldn't do my T. rex impression before bed, 799 00:39:55,296 --> 00:39:57,331 but I really wanted to seal the deal. 800 00:39:57,464 --> 00:39:58,900 Well, it worked. 801 00:39:59,033 --> 00:40:01,269 He asked if my friend could play after school tomorrow. 802 00:40:02,570 --> 00:40:05,940 I have to reschedule a free flap, but, yeah, I can play. 803 00:40:06,073 --> 00:40:07,108 All right. 804 00:40:09,076 --> 00:40:11,579 Sorry our day got derailed. 805 00:40:11,712 --> 00:40:12,914 Are you kidding? 806 00:40:13,514 --> 00:40:17,618 I got to spend the whole day with you. 807 00:40:18,152 --> 00:40:19,353 It was perfect. 808 00:40:20,721 --> 00:40:22,089 Mmm. 809 00:40:28,763 --> 00:40:32,233 If you fall off track, hopefully, you can find your way back. 810 00:40:32,366 --> 00:40:33,901 Come to teach me square knots? 811 00:40:37,271 --> 00:40:38,306 I'm sorry. 812 00:40:38,438 --> 00:40:39,807 I should have backed off. 813 00:40:39,941 --> 00:40:40,975 You embarrassed me. 814 00:40:41,876 --> 00:40:44,745 Warren called me out for favoring you. 815 00:40:45,445 --> 00:40:46,614 Is he right? 816 00:40:48,082 --> 00:40:50,284 I don't know. 817 00:40:51,118 --> 00:40:53,654 -That's not an answer. -It's the truth. 818 00:40:54,422 --> 00:40:59,727 Listen, you're great at your job, but I also wanna help you in your career. 819 00:40:59,860 --> 00:41:01,461 Probably more than any other resident. 820 00:41:01,595 --> 00:41:03,463 I don't want you to treat me any different. 821 00:41:03,597 --> 00:41:05,132 It goes both ways, right? 822 00:41:05,266 --> 00:41:07,001 Would you have argued with me in the OR if we weren't together? 823 00:41:07,134 --> 00:41:09,370 Arguing is not the same as preferential treatment. 824 00:41:09,503 --> 00:41:11,439 No, arguing is preferential treatment. 825 00:41:11,939 --> 00:41:13,140 You're a second-year resident. 826 00:41:13,274 --> 00:41:14,508 If we weren't in a relationship, 827 00:41:14,642 --> 00:41:16,544 you wouldn't be important enough to argue with. 828 00:41:20,081 --> 00:41:21,515 Okay, I-I'm... 829 00:41:22,482 --> 00:41:23,517 That's not... 830 00:41:24,919 --> 00:41:26,954 I'm sorry, okay? I'm... 831 00:41:29,423 --> 00:41:30,691 This is what I was afraid of. 832 00:41:33,627 --> 00:41:35,796 This was never gonna work, was it? 833 00:41:37,865 --> 00:41:39,467 I really wanted it to. 834 00:41:41,936 --> 00:41:42,970 Me too. 835 00:41:48,709 --> 00:41:50,878 But sometimes, all you can do is cut your losses 836 00:41:51,012 --> 00:41:52,613 and hope everything works out.