1 00:00:05,000 --> 00:00:08,900 Until recently, Western medicine held that our bodies have only two 2 00:00:08,900 --> 00:00:09,940 circulatory systems. 3 00:00:10,940 --> 00:00:15,660 The cardiovascular, which pumps blood, and the lymphatic, which drains fluids. 4 00:00:17,660 --> 00:00:24,040 But in 2021, scientists discovered that tattoo ink somehow travels from the skin 5 00:00:24,040 --> 00:00:26,180 down into the fascia. Oh, hey! 6 00:00:29,020 --> 00:00:31,960 Why are these so damp? We needed the dryer. You were not home. Yeah, because 7 00:00:31,960 --> 00:00:35,280 I was up late prepping your elective cases for the week. Oh, what was Lucy 8 00:00:35,280 --> 00:00:39,080 Miller's ICP this morning? Oh, I'm not on the floor yet, so... She's also gonna 9 00:00:39,080 --> 00:00:40,080 need a follow-up CT. 10 00:00:40,380 --> 00:00:44,220 Wait, wait, are we rounding now? Just please make sure to read the notes. Um, 11 00:00:44,220 --> 00:00:45,260 okay, last bites and sips. 12 00:00:45,960 --> 00:00:50,000 Mama, could I use the baby spray so I can have a brother? 13 00:00:51,460 --> 00:00:55,360 Yeah, I meant to tell you, uh, Scott asked me where babies come from. Um, you 14 00:00:55,360 --> 00:00:56,259 went with baby spray? 15 00:00:56,260 --> 00:00:58,060 Yeah, yeah, you know, like... Spider-Man. 16 00:00:59,240 --> 00:01:05,900 I was trying to work with what he knows. I'm gonna get ICP. Got it. 17 00:01:06,860 --> 00:01:12,220 This finding suggested a third circulatory system, connecting skin to 18 00:01:12,220 --> 00:01:13,860 the fascia and organs beneath. 19 00:01:14,400 --> 00:01:15,760 Hey, how's your group paper going? 20 00:01:15,980 --> 00:01:19,420 You'd think having more people writing would make it easier. 21 00:01:19,800 --> 00:01:20,800 It's due tomorrow, though, right? 22 00:01:21,240 --> 00:01:23,180 I'm just saying. At least it's over. 23 00:01:23,520 --> 00:01:25,880 Yeah. If only I could finish my part. 24 00:01:27,180 --> 00:01:30,800 Hey, I will take care of that. You just go on and get back to work, okay? You 25 00:01:30,800 --> 00:01:31,800 just call me Dish Daddy. 26 00:01:31,940 --> 00:01:33,240 I most certainly will not. 27 00:01:36,920 --> 00:01:39,660 You know the silverware won't get clean like that. 28 00:01:40,920 --> 00:01:41,798 Yes, it will. 29 00:01:41,800 --> 00:01:44,240 And, you know, I won't stab myself when I go to unload. 30 00:01:45,060 --> 00:01:49,140 Do you do it blindfolded? See, this is why I do the dishes. No, no, move over. 31 00:01:49,520 --> 00:01:51,440 Because, see, look, this needs to be cut. 32 00:01:51,840 --> 00:01:55,820 Like this. Ah, and all those bowls need to come down. It's called the 33 00:01:55,820 --> 00:02:00,280 interstitium. And the function is, well, we're still figuring that out. 34 00:02:00,980 --> 00:02:02,760 Hey, have you seen my trim at all? 35 00:02:03,260 --> 00:02:04,520 Well, I threw it out. 36 00:02:05,120 --> 00:02:07,160 Well, I thought that you weren't in pain anymore. 37 00:02:07,500 --> 00:02:10,820 Well, I just, I get sore after operating sometimes. 38 00:02:11,060 --> 00:02:12,820 And I've got that spinal tumor patient today. 39 00:02:13,489 --> 00:02:16,890 You want to meet up after your meeting? I wasn't planning on sticking around. 40 00:02:17,070 --> 00:02:21,450 It's annoying that I even have to go in at all. When I said I quit, I meant it. 41 00:02:21,690 --> 00:02:26,050 You spent years training. They just want to make sure you're sure. I was sure two 42 00:02:26,050 --> 00:02:26,969 weeks ago. 43 00:02:26,970 --> 00:02:28,690 You know, can you take over? I have to go change. 44 00:02:28,970 --> 00:02:30,990 Yeah. But we know this much. 45 00:02:31,670 --> 00:02:36,410 When it comes to support systems, life is a lot more complicated than we 46 00:02:36,410 --> 00:02:37,410 thought. 47 00:02:44,410 --> 00:02:45,410 Good morning. 48 00:02:45,850 --> 00:02:49,650 I didn't have ginger, so I got you mint and something called Ruivos. 49 00:02:50,330 --> 00:02:53,150 I still don't know how to say it. Thank you. You're welcome. 50 00:02:54,330 --> 00:02:55,950 You sure you shouldn't take the day off? 51 00:02:56,150 --> 00:02:56,629 I'm fine. 52 00:02:56,630 --> 00:02:59,530 A little crampy, but that's to be expected after the close. Okay. 53 00:03:00,230 --> 00:03:02,950 And how are you feeling about that? 54 00:03:03,670 --> 00:03:04,670 I'll be okay. 55 00:03:04,870 --> 00:03:06,030 I know it's the right decision. 56 00:03:06,390 --> 00:03:07,390 Okay. 57 00:03:07,740 --> 00:03:11,620 I can open my own door. I don't know what to tell you. I'm a gentleman, okay? 58 00:03:11,800 --> 00:03:13,120 I'm seeing you later, yes? Yes. 59 00:03:13,460 --> 00:03:14,460 Okay. 60 00:03:16,840 --> 00:03:17,840 What are you doing? 61 00:03:18,280 --> 00:03:19,840 Some people punch punching bags. 62 00:03:20,660 --> 00:03:22,400 I stab suture trainers. 63 00:03:22,700 --> 00:03:28,860 And now, on his first day back from Central Michigan, Benson Kwan! 64 00:03:29,980 --> 00:03:32,820 You should take this. Do you know any apartments for rent? 65 00:03:33,020 --> 00:03:35,060 Not at a retirement home. Then no. 66 00:03:35,850 --> 00:03:36,850 Good morning, everyone. 67 00:03:37,030 --> 00:03:38,030 Good morning. 68 00:03:38,930 --> 00:03:42,070 So for those of you considering subspecialties, it is time to look for 69 00:03:42,070 --> 00:03:42,888 research opportunities. 70 00:03:42,890 --> 00:03:44,870 If you want to be competitive for fellowships, you'll need to line 71 00:03:44,870 --> 00:03:46,450 something up within the next few weeks. 72 00:03:46,650 --> 00:03:49,910 I just posted open positions to the portal. If you have any questions or you 73 00:03:49,910 --> 00:03:51,650 need anything at all, just come find me. 74 00:03:52,430 --> 00:03:53,430 Let's have a good day. 75 00:03:54,890 --> 00:03:56,950 Great. One more thing to do. 76 00:03:57,150 --> 00:03:59,530 Still thinking cardiothoracic? Thinking it's none of your business. 77 00:04:00,750 --> 00:04:02,310 She's just having a bad... Personality? 78 00:04:03,090 --> 00:04:04,090 Yeah. 79 00:04:08,560 --> 00:04:11,640 You want to cancel the weekly chief's meetings? 80 00:04:11,840 --> 00:04:15,920 If you do the math, 14 people in a two-hour meeting. That's 28 man-hours 81 00:04:15,920 --> 00:04:18,079 wasted each week on something that could be an email. 82 00:04:19,279 --> 00:04:21,680 I'll think about it. 83 00:04:22,040 --> 00:04:25,780 Morning. It appears that I'm on your service, Dr. Weber. 84 00:04:27,080 --> 00:04:28,840 Sir? He requested you. 85 00:04:29,870 --> 00:04:33,370 Oh, well, I saw that you had a whip-ball on your schedule. I've been practicing 86 00:04:33,370 --> 00:04:35,530 my hepatic OJ. That won't be necessary. 87 00:04:35,910 --> 00:04:38,410 I've got a VIP patient that needs post-op monitoring. 88 00:04:38,730 --> 00:04:43,410 No problem. I can do that before I scrub in. I don't think you understand. 89 00:04:44,430 --> 00:04:48,690 There is no scrubbing in. You will not set a foot in my OR. 90 00:04:49,030 --> 00:04:54,070 You will monitor my post-op patient on the VIP floor. End of assignment. 91 00:04:56,290 --> 00:04:57,290 Give him time. 92 00:04:57,560 --> 00:04:59,380 Or expensive chocolate works too. 93 00:05:00,840 --> 00:05:05,820 Dr. Shepard, Dr. Adams, meet Pauline Darnold. Please, call me Polly Dart. She 94 00:05:05,820 --> 00:05:08,460 is a Dolly Parton impersonator. You don't say. 95 00:05:08,680 --> 00:05:09,860 What brings you in? 96 00:05:10,280 --> 00:05:12,320 Feels like my head's heavier than my hair. 97 00:05:12,580 --> 00:05:13,580 Can you be more specific? 98 00:05:13,820 --> 00:05:15,780 Worst headache of my life. When did it start? 99 00:05:16,000 --> 00:05:19,360 This morning, during my sound check. A tech company hired me for their 100 00:05:19,360 --> 00:05:20,359 corporate retreat. 101 00:05:20,360 --> 00:05:24,160 It hurt so much, I could barely see, but I'd already cashed the check, so I put 102 00:05:24,160 --> 00:05:27,300 on my lashes, hacked up my boobs, and sang the best I could. 103 00:05:27,600 --> 00:05:31,780 Well, hopefully we can get to the bottom of this and get... Dr. Adams, why don't 104 00:05:31,780 --> 00:05:32,780 you start on the exam? 105 00:05:33,160 --> 00:05:34,160 Why don't I take a look? 106 00:05:34,500 --> 00:05:35,500 All right. 107 00:05:37,220 --> 00:05:38,740 All right, a little slower. 108 00:05:42,000 --> 00:05:43,000 All right. 109 00:05:43,020 --> 00:05:44,020 Pull my finger. 110 00:05:46,520 --> 00:05:48,800 Extraocular muscles are intact. 111 00:05:50,660 --> 00:05:51,660 Symmetric smile. 112 00:05:51,920 --> 00:05:52,920 Puff your cheeks. 113 00:05:53,280 --> 00:05:53,959 Raise your eyebrows. 114 00:05:53,960 --> 00:05:56,300 Any ringing in your ears? Not a peep. Okay. 115 00:05:57,040 --> 00:05:59,340 Cranial nerve seems stable. No facial weakness. 116 00:05:59,740 --> 00:06:02,940 We should rule out a stroke or a bleed. Let's start with a non-contrast head CT. 117 00:06:03,280 --> 00:06:04,400 All right, call the order in. 118 00:06:06,240 --> 00:06:07,240 He's a keeper. 119 00:06:08,840 --> 00:06:11,800 The app says the water purifying kit's arrived yesterday. 120 00:06:12,280 --> 00:06:15,840 Well, there's a village in Sierra Leone who would argue otherwise. So either 121 00:06:15,840 --> 00:06:18,580 I'm... Sorry for interrupting. 122 00:06:18,960 --> 00:06:19,699 Don't be. 123 00:06:19,700 --> 00:06:21,020 We're just talking about work. 124 00:06:21,560 --> 00:06:25,280 Ken started a nonprofit that brings clean drinking water to developing 125 00:06:25,280 --> 00:06:30,160 countries. I'm Jasmine, co-founder of said nonprofit, slash Ken's Ride, slash 126 00:06:30,160 --> 00:06:31,160 ex-wife. 127 00:06:31,200 --> 00:06:32,620 We like to keep things complicated. 128 00:06:33,120 --> 00:06:34,980 Are you taking me to surgery? 129 00:06:35,280 --> 00:06:36,280 Soon. 130 00:06:37,100 --> 00:06:39,340 Griffith, we're on a schedule here. 131 00:06:39,870 --> 00:06:45,190 Ken Nguyen, 37, history of osteosarcoma in the spine at L3, here for a vertebral 132 00:06:45,190 --> 00:06:46,470 resection and spinal reconstruction. 133 00:06:46,770 --> 00:06:50,830 I will replace the cancerous vertebra with a titanium cage filled with bone 134 00:06:50,830 --> 00:06:51,609 graft material. 135 00:06:51,610 --> 00:06:55,310 And then I will cover with paraspinous muscle to make sure that the spinal cord 136 00:06:55,310 --> 00:06:57,850 and implant are protected. How long is the recovery? 137 00:06:58,170 --> 00:07:00,910 When will he be back to his old self? What's that supposed to mean? 138 00:07:01,919 --> 00:07:05,780 It's a normal question. You mean when can I get back to work? I didn't say 139 00:07:05,780 --> 00:07:08,140 that. You didn't have to. All you care about is work. 140 00:07:08,400 --> 00:07:11,880 You're controlling and overbearing. You need to be calm right now, and clearly 141 00:07:11,880 --> 00:07:14,700 I'm an impediment to that. So I'm gonna go answer some emails. 142 00:07:15,480 --> 00:07:16,480 Call me if he croaks. 143 00:07:18,600 --> 00:07:20,700 Should I get him prepped? Yeah, that feels right. 144 00:07:25,670 --> 00:07:28,270 Have you looked at the open research positions yet? 145 00:07:29,030 --> 00:07:32,750 Salomon's studying mitral regurgitation in dogs. I could get paid to pet dogs, 146 00:07:32,990 --> 00:07:34,530 which, frankly, is something I could use. 147 00:07:35,570 --> 00:07:36,509 Something wrong? 148 00:07:36,510 --> 00:07:40,230 Just cramps. You shouldn't still be in this much pain after a medication 149 00:07:40,230 --> 00:07:41,710 abortion. Have you followed up with your OB? 150 00:07:41,910 --> 00:07:45,630 When am I supposed to do that? Hey, are you okay? Fine, yeah. Just a little 151 00:07:45,630 --> 00:07:46,630 discomfort. You sure? 152 00:07:47,450 --> 00:07:50,530 Okay. Well, you missed an epic battle. It's just like, why get a divorce if 153 00:07:50,530 --> 00:07:52,290 you're gonna keep working together? No, Captain! Captain! 154 00:07:53,110 --> 00:07:55,290 I'm good. We need to get our entry room. I'm okay. 155 00:07:55,730 --> 00:07:56,730 Okay. 156 00:07:57,130 --> 00:07:58,130 Let's go in here. 157 00:08:11,000 --> 00:08:15,800 Ms. Bromley in room 1409 needs a bolus of LR. Okay, I'll be in the conference 158 00:08:15,800 --> 00:08:19,380 room if anyone needs me. Dr. Bailey, can I ask you a quick question? Besides that 159 00:08:19,380 --> 00:08:21,140 one? Yeah, it's about the schedule. 160 00:08:21,660 --> 00:08:25,140 Have you ever extended a rotation to cover a request for bereavement leave? 161 00:08:27,480 --> 00:08:29,240 Rarely, but let me see. 162 00:08:30,440 --> 00:08:33,980 Wait, what am I looking at? What happened to my spreadsheet that I gave 163 00:08:33,980 --> 00:08:37,559 you? Oh, a med school friend recommended this app. Residents input their requests 164 00:08:37,559 --> 00:08:39,480 and it optimizes the schedule for everyone. 165 00:08:41,070 --> 00:08:47,550 Well, does this magic app account for, you know, who needs protected time for 166 00:08:47,550 --> 00:08:52,850 research or who's behind on their case logs or whose uncle, coincidentally, 167 00:08:52,870 --> 00:08:56,870 needs to be driven to dialysis whenever the Mariners make the playoffs? 168 00:08:57,230 --> 00:09:02,530 Probably not. Yeah. See, no computer can optimize better than a residency 169 00:09:02,530 --> 00:09:07,150 director who knows her or his residents. Try my spreadsheet. 170 00:09:07,430 --> 00:09:08,430 You'll never go back. 171 00:09:09,440 --> 00:09:10,900 I will take a look. 172 00:09:13,820 --> 00:09:18,360 Here. If you're ever in an accident or suspect you might have been in an 173 00:09:18,360 --> 00:09:19,620 accident, call me. 174 00:09:21,280 --> 00:09:23,220 Hey, you're that lawyer with the ads. 175 00:09:23,480 --> 00:09:28,280 If you're injured and you need a pro called Lloyd Fazio, lawyer. 176 00:09:29,580 --> 00:09:34,040 Guilty. And you are Dr... Quan. I am assigned to you today. 177 00:09:34,680 --> 00:09:35,840 May I take a look at your incision? 178 00:09:36,100 --> 00:09:38,160 I'd love an Arnold Palmer first. 179 00:09:38,480 --> 00:09:41,520 Well, I'm a doctor, but I will check with patient services. 180 00:09:41,800 --> 00:09:44,440 Yesterday, the head doctor up here mixed it for me himself. 181 00:09:45,620 --> 00:09:49,940 I'll see what I can find. First, may I take a look? Fine. Have at it. 182 00:09:50,900 --> 00:09:53,960 So, how are you feeling? Any pain? 183 00:09:54,420 --> 00:09:57,400 Any of the kind that comes with having your stomach cut open. 184 00:10:01,000 --> 00:10:01,939 Don't worry. 185 00:10:01,940 --> 00:10:03,120 I won't sue you. 186 00:10:03,710 --> 00:10:06,530 Fortunately, everything looks good. 187 00:10:06,770 --> 00:10:09,890 Oh, do you have to put that back on? It's so uncomfortable. 188 00:10:10,250 --> 00:10:13,790 It supports recovery. You want it on. Trust me. All right, I will be back. 189 00:10:15,790 --> 00:10:16,790 60-40. 190 00:10:17,330 --> 00:10:20,450 Huh? 60% iced tea, 40% lemonade. 191 00:10:21,250 --> 00:10:22,250 Right. 192 00:10:26,930 --> 00:10:27,970 Oh, it's Lincoln. 193 00:10:28,230 --> 00:10:29,230 You should go. 194 00:10:29,240 --> 00:10:32,820 But what about you? I'm sure. Everything is fine, and no offense, but I don't 195 00:10:32,820 --> 00:10:33,980 want you here for this part anyway. 196 00:10:34,480 --> 00:10:36,760 Sure. Please go. 197 00:10:36,960 --> 00:10:37,980 All right. Thank you. 198 00:10:42,120 --> 00:10:43,120 Okay. 199 00:10:43,860 --> 00:10:44,860 Scoot down. 200 00:10:45,020 --> 00:10:48,380 Do we really have to do this? Make sure that you don't have any residual tissue 201 00:10:48,380 --> 00:10:50,120 making you septic. Yes, we do. 202 00:10:52,480 --> 00:10:54,800 Just kill me, you know? Get over it. 203 00:10:55,380 --> 00:10:56,380 Great touch. 204 00:10:57,440 --> 00:10:58,440 Feel a bit of pressure? 205 00:10:58,760 --> 00:10:59,760 Mm-hmm. 206 00:11:00,380 --> 00:11:01,660 Aren't you on plastics today? 207 00:11:01,880 --> 00:11:05,440 I told them I ate a bad salad and maybe had that diarrhea thing. 208 00:11:06,520 --> 00:11:07,900 Let's see what we have. 209 00:11:09,740 --> 00:11:10,740 What is that? 210 00:11:12,180 --> 00:11:13,180 I don't know. 211 00:11:14,100 --> 00:11:15,100 That's not normal. 212 00:11:15,480 --> 00:11:16,480 We should get OB. 213 00:11:16,600 --> 00:11:18,780 They should figure it out. Just get a textbook. 214 00:11:19,000 --> 00:11:22,180 Please, I don't want more of my co-workers looking inside of me. 215 00:11:23,020 --> 00:11:24,020 Okay. 216 00:11:25,520 --> 00:11:26,520 But don't go anywhere. 217 00:11:34,030 --> 00:11:35,030 How's she doing? 218 00:11:35,430 --> 00:11:38,990 Mad. She did not want to take this wig off. Yeah, I'm looking at the 219 00:11:38,990 --> 00:11:42,250 application for your lab. Where's this past experience? Does that just mean 220 00:11:42,250 --> 00:11:44,790 neuro research or any research? You're applying to my lab? 221 00:11:45,010 --> 00:11:46,010 Yeah. 222 00:11:46,970 --> 00:11:50,970 Is that a problem? I'm just surprised I didn't realize that you were still 223 00:11:50,970 --> 00:11:54,510 thinking about switching to neurosurgery. Yeah, I'm just keeping my 224 00:11:54,510 --> 00:11:55,510 options open here. 225 00:11:55,520 --> 00:11:59,180 It's not like casually scrolling on a dating app. I mean, it's a commitment. I 226 00:11:59,180 --> 00:12:01,220 mean, neurosurgery is incredibly demanding. 227 00:12:01,520 --> 00:12:04,780 You'd be starting over at seven more years, and there's just no room for 228 00:12:04,780 --> 00:12:08,640 error or doubt. You need to have the skill and the desire, or you just can't 229 00:12:08,640 --> 00:12:09,900 make it. Thanks for the TED Talk. 230 00:12:11,140 --> 00:12:13,940 I'm not saying you shouldn't do it. I'm just saying. Wait, is this because I 231 00:12:13,940 --> 00:12:17,180 told you your kid that human beings were made with baby spray? The scans are up. 232 00:12:17,960 --> 00:12:19,480 Sorry, the scans are up. 233 00:12:21,000 --> 00:12:22,000 You see that? 234 00:12:22,330 --> 00:12:24,590 Damn it, grade four AVM. What's the fix? 235 00:12:25,050 --> 00:12:28,650 Endovascular coiling. Yeah, it works for me. Okay, let's get Polly out and give 236 00:12:28,650 --> 00:12:29,650 her the news. 237 00:12:34,330 --> 00:12:35,730 Bryant, you're late. Sorry. 238 00:12:35,970 --> 00:12:36,970 Hand me a basin. 239 00:12:37,270 --> 00:12:38,370 Vertebra is removed. 240 00:12:39,250 --> 00:12:40,270 Let's prep for the cage. 241 00:12:40,810 --> 00:12:41,810 Take this. 242 00:12:42,730 --> 00:12:43,730 Here's a question. 243 00:12:43,950 --> 00:12:45,610 You're putting a scalpel in a dishwasher. 244 00:12:45,870 --> 00:12:47,770 Put it in handle side up or down? 245 00:12:48,090 --> 00:12:49,210 Why am I washing the scalpel? 246 00:12:49,630 --> 00:12:52,010 I have a spine in my hands. Let's cut the chatter. 247 00:13:00,190 --> 00:13:01,190 Something wrong? 248 00:13:04,490 --> 00:13:05,670 I've never seen this before. 249 00:13:08,790 --> 00:13:10,290 Is that more tumor? 250 00:13:11,030 --> 00:13:14,190 It's extended to the vertebral bodies above and below you. You didn't see this 251 00:13:14,190 --> 00:13:14,829 in the scans? 252 00:13:14,830 --> 00:13:17,310 The MRI was last month. It must have spread fast. 253 00:13:17,610 --> 00:13:18,730 Can we just use a larger cage? 254 00:13:19,150 --> 00:13:23,050 We can't replace a defect this large with just a cage. It's too big and it 255 00:13:23,050 --> 00:13:24,990 carries too high a risk of not healing or failure. 256 00:13:26,330 --> 00:13:27,330 What do you want to do? 257 00:13:32,690 --> 00:13:33,690 I don't know yet. 258 00:13:34,530 --> 00:13:37,490 Well, we already did the resection. We can't just close him and send him to the 259 00:13:37,490 --> 00:13:38,830 ICU. You think I don't know that? 260 00:13:39,050 --> 00:13:40,050 Lincoln. 261 00:13:40,650 --> 00:13:41,790 Look, we're not closing. 262 00:13:42,690 --> 00:13:46,290 I just... I just need a damn minute. 263 00:13:56,200 --> 00:13:58,580 I have a tangle of blood vessels in my brain? 264 00:13:58,800 --> 00:14:00,720 Yeah, that's what's causing your headaches. 265 00:14:01,060 --> 00:14:03,520 I'm supposing it doesn't go away with a couple of ibuprofen. 266 00:14:03,880 --> 00:14:04,880 No. 267 00:14:05,080 --> 00:14:09,480 And because it could rupture at any moment, I would urge you to get it fixed 268 00:14:09,480 --> 00:14:12,320 right away. I'm supposed to go to a festival in Nashville tomorrow. 269 00:14:13,020 --> 00:14:14,160 Can I think about it? 270 00:14:14,380 --> 00:14:15,380 Sure. 271 00:14:16,100 --> 00:14:18,360 It's a lot to process if you need a little time. 272 00:14:18,760 --> 00:14:22,620 We can give it to you. Let you consider all the options. But I would strongly 273 00:14:22,620 --> 00:14:24,860 encourage you to make a decision today. 274 00:14:25,100 --> 00:14:26,760 AVMs are impossible to predict. 275 00:14:26,960 --> 00:14:29,920 You could bleed out or have a catastrophic stroke. 276 00:14:30,120 --> 00:14:31,120 You could die. 277 00:14:33,460 --> 00:14:35,280 The three of you would do my surgery? 278 00:14:36,660 --> 00:14:38,420 Today. If you like. 279 00:14:40,020 --> 00:14:41,020 I just might. 280 00:14:41,420 --> 00:14:43,340 Like the Dolly Parton zone. Exactly. 281 00:14:44,360 --> 00:14:45,360 You a Dolly fan? 282 00:14:45,400 --> 00:14:48,500 My mom. She used to make me sing islands in the stream with her karaoke. 283 00:14:49,560 --> 00:14:52,380 You know, it wasn't really appropriate. 284 00:14:53,360 --> 00:14:54,360 Book an hour. Yep. 285 00:15:01,840 --> 00:15:03,720 Hey, do these look the same to you? 286 00:15:04,340 --> 00:15:08,000 I don't know what part of the body I'm looking at. We're in OB. Take a guess. 287 00:15:08,060 --> 00:15:12,680 What are you doing here? My VIP patient wants socks with... Fuzzy grips. So 288 00:15:12,680 --> 00:15:16,300 you're stealing them from pre- and post-partum mothers? So Weber exiled me 289 00:15:16,300 --> 00:15:17,620 to the Olympic floor. 290 00:15:18,380 --> 00:15:20,360 I think he's waiting out to see if I quit. 291 00:15:20,660 --> 00:15:23,740 Hey, what do you know about the new chief? Ivy League, great hair, loves 292 00:15:23,740 --> 00:15:26,600 money, probably has a hobby where he swims in a pool of cash. 293 00:15:26,960 --> 00:15:27,960 Huh. 294 00:15:28,020 --> 00:15:29,340 Well, duty calls. 295 00:15:31,040 --> 00:15:35,880 Oh, uh, Dr. Wilson, thank God. Could I have you look at something for me, 296 00:15:35,900 --> 00:15:39,360 please? I don't work here anymore. You have your Grace Sloan ID badge. 297 00:15:39,950 --> 00:15:43,310 Yeah, I'm about to hand it in. Well, before you do, can you please, please 298 00:15:43,310 --> 00:15:44,310 look? 299 00:15:45,690 --> 00:15:46,710 Is this your patient? 300 00:15:49,190 --> 00:15:50,210 It's Dr. Griffith. 301 00:15:50,610 --> 00:15:53,750 She made me promise not to get anyone to help, but I don't know what to do. 302 00:15:56,710 --> 00:15:59,910 Anesthesia is wondering how much longer you want to keep Kin under. If I knew, 303 00:16:00,070 --> 00:16:01,070 I'd be operating. 304 00:16:01,190 --> 00:16:02,190 Just the messenger. 305 00:16:06,330 --> 00:16:08,850 I keep staring at these screens, hoping for an answer. 306 00:16:10,860 --> 00:16:15,240 And this guy brings safe water to people all around the planet while the rest of 307 00:16:15,240 --> 00:16:18,780 us destroy it. Because of me, he could spend the rest of his life sedated and 308 00:16:18,780 --> 00:16:19,780 flat on his back. 309 00:16:19,880 --> 00:16:22,700 Well, can you use the cage you have and try chemo to shrink the remaining 310 00:16:22,700 --> 00:16:23,860 cancer? It's not a cure. 311 00:16:24,160 --> 00:16:26,500 The cancer could spread even more and then he's no better off. Yeah, and 312 00:16:26,500 --> 00:16:27,820 clearly it's spread fast before. 313 00:16:28,160 --> 00:16:29,160 Exactly. 314 00:16:29,420 --> 00:16:30,420 No good options. 315 00:16:31,560 --> 00:16:32,560 Damn it. 316 00:16:33,130 --> 00:16:37,190 This is why I like plastic. Soft tissue. We can move it around to restore form 317 00:16:37,190 --> 00:16:38,790 and function. Bones aren't skin. 318 00:16:39,070 --> 00:16:41,070 It's harder to get them to do the job of other bones. 319 00:16:41,410 --> 00:16:44,270 Well, don't we do fibula grafts all the time? No, fibula's too small. 320 00:16:44,570 --> 00:16:51,030 You'd need a much bigger bone for a defect that's... Brian, run down and 321 00:16:51,030 --> 00:16:54,470 tell the nurses to bring back a few frozen cadaveric femoral grafts. Hold 322 00:16:54,470 --> 00:16:58,570 it. Isn't a femur too big? Not if I can sculpt it to the size we need. 323 00:17:02,700 --> 00:17:05,940 Her temp is 38 and she's tachycardic. I said get a textbook. 324 00:17:06,220 --> 00:17:08,420 I know. I'm sorry, but I don't speak OB. 325 00:17:08,740 --> 00:17:09,319 Okay, okay. 326 00:17:09,319 --> 00:17:13,119 Dr. Millen showed me your ultrasound. You need to get checked out right away. 327 00:17:13,440 --> 00:17:14,440 What'd you see? 328 00:17:15,740 --> 00:17:22,619 Okay, um... Do you see 329 00:17:22,619 --> 00:17:26,280 this? We call that the snowstorm sign. 330 00:17:26,520 --> 00:17:27,520 What does that mean? 331 00:17:28,170 --> 00:17:29,230 It's a molar pregnancy. 332 00:17:29,610 --> 00:17:34,930 A mass of aberrant cells where a fetus would be. It's rare, but it does happen. 333 00:17:37,410 --> 00:17:38,970 I was never actually pregnant? 334 00:17:40,610 --> 00:17:42,050 Not with a viable pregnancy. 335 00:17:42,470 --> 00:17:47,910 So when I was agonizing over what to do about this baby... No baby? 336 00:17:48,810 --> 00:17:50,090 No. I'm sorry. 337 00:17:54,830 --> 00:17:55,830 What do we do now? 338 00:17:56,730 --> 00:17:57,730 May I feel? 339 00:17:58,060 --> 00:18:04,580 Oh, so the medication that you took, mifeprestone, only targets pregnancy. 340 00:18:04,960 --> 00:18:08,600 But you still have trophoblastic tissue in your uterus, and you're getting 341 00:18:08,600 --> 00:18:09,600 septic. 342 00:18:11,700 --> 00:18:12,820 Okay, ready? 343 00:18:14,600 --> 00:18:16,320 We can remove it. 344 00:18:16,680 --> 00:18:17,680 I could die. 345 00:18:19,180 --> 00:18:21,280 Luckily, we caught it early. 346 00:18:21,840 --> 00:18:25,300 I'm gonna call someone from OB to give you a DNC. 347 00:18:25,520 --> 00:18:26,800 Oh, you can't? You can't do it? 348 00:18:28,550 --> 00:18:32,530 I'm not working today, but Dr. Collins is, and she's very good. 349 00:18:33,650 --> 00:18:37,850 Is there any way you can do it? I don't know, Dr. Collins, but I'm comfortable 350 00:18:37,850 --> 00:18:38,850 with you. 351 00:18:43,450 --> 00:18:44,450 Okay. 352 00:18:44,750 --> 00:18:45,750 Okay. 353 00:18:46,750 --> 00:18:48,190 I'm going to change into my scrubs. 354 00:18:48,830 --> 00:18:50,890 You get her propped. Okay. Thank you. 355 00:18:55,450 --> 00:18:57,730 Sorry, it took me a minute to find a warm blanket. 356 00:18:58,430 --> 00:19:02,330 I miss that day in medical school. I appreciate that, but does this look like 357 00:19:02,330 --> 00:19:03,330 a problem? 358 00:19:05,690 --> 00:19:08,250 I need sterile towels. Peace, Dr. Weber! 359 00:19:14,930 --> 00:19:17,870 Do you all have a favorite Dolly Parton song? 360 00:19:18,670 --> 00:19:19,970 Jolene, obviously. 361 00:19:20,310 --> 00:19:21,790 You don't think there's other good answers? 362 00:19:22,110 --> 00:19:23,430 It's a perfect song. 363 00:19:24,060 --> 00:19:27,960 Make sure you pull back on the syringe as you get close to the artery. 364 00:19:28,260 --> 00:19:29,600 What do you see? Bright red blood. 365 00:19:29,800 --> 00:19:35,320 I'm in. Grab the guide wire at the skin. As soon as the needle comes out, you 366 00:19:35,320 --> 00:19:38,380 don't want to lose it. Yeah, I know. This isn't the first time I've accessed 367 00:19:38,380 --> 00:19:39,980 a femoral artery. Just making sure. 368 00:19:40,340 --> 00:19:42,800 Now nick the skin and place the dilator. Yep. 369 00:19:48,380 --> 00:19:49,400 All right. 370 00:19:50,360 --> 00:19:52,280 All right, insert the sheath. 371 00:19:52,650 --> 00:19:54,890 Make sure not to advance too aggressively. 372 00:19:55,310 --> 00:19:56,310 Do you want to do it? 373 00:19:56,390 --> 00:19:57,289 Keep going. 374 00:19:57,290 --> 00:19:59,730 Some might say 9 to 5 is a pretty perfect song, too. 375 00:20:00,010 --> 00:20:02,430 Isn't that from a movie? Where they kill their overbearing boss? 376 00:20:02,730 --> 00:20:03,850 Huh. Imagine that. 377 00:20:05,990 --> 00:20:08,970 All right. You think you want to be a neurosurgeon? Let's see how far you can 378 00:20:08,970 --> 00:20:09,970 get. 379 00:20:10,270 --> 00:20:13,910 Just follow the femoral artery and take your time. 380 00:20:17,710 --> 00:20:18,710 Flora. 381 00:20:22,620 --> 00:20:24,200 These towels weren't warmed. 382 00:20:24,400 --> 00:20:25,700 Your insides are on the outside. 383 00:20:25,900 --> 00:20:27,440 The towels are the least of your worries. 384 00:20:28,520 --> 00:20:31,800 Quan, do I need to remind you that part of the draught of this floor is that 385 00:20:31,800 --> 00:20:32,399 it's quiet? 386 00:20:32,400 --> 00:20:33,339 Shut the door. 387 00:20:33,340 --> 00:20:34,780 The nurse said that you were screaming. 388 00:20:35,000 --> 00:20:37,200 He removed his binder and his incision de-hissed. 389 00:20:38,060 --> 00:20:39,140 Those things are uncomfortable. 390 00:20:39,640 --> 00:20:42,860 That's what I said. I paid Dr. Weber. Weber's in surgery, so you've got me. 391 00:20:43,040 --> 00:20:44,040 Can I see? 392 00:20:45,160 --> 00:20:48,380 Mr. Fazio, you didn't have to go to all this trouble to get my attention. 393 00:20:48,910 --> 00:20:52,870 don't make me laugh no really don't make him laugh we're gonna have to get you to 394 00:20:52,870 --> 00:20:57,170 the or kwan prep the patient you heard what weber said i'm not supposed to 395 00:20:57,170 --> 00:20:59,930 operate weber is not here get him down there 396 00:20:59,930 --> 00:21:05,830 glad 397 00:21:05,830 --> 00:21:10,850 i caught up with you you have a moment uh actually i was about to i just heard 398 00:21:10,850 --> 00:21:16,450 that you're considering group feedback sessions uh yeah my residency director 399 00:21:16,450 --> 00:21:18,700 did them in there You know, interactive. 400 00:21:19,060 --> 00:21:20,840 I found it useful to learn from peers. 401 00:21:22,160 --> 00:21:28,060 Because personally, I find that doing things in groups can be more difficult 402 00:21:28,060 --> 00:21:29,300 than doing them individually. 403 00:21:29,960 --> 00:21:30,960 Noted. 404 00:21:31,620 --> 00:21:32,620 To be continued. 405 00:21:33,640 --> 00:21:34,640 Mm-hmm. 406 00:21:43,120 --> 00:21:44,380 How you doing? You okay? 407 00:21:45,000 --> 00:21:46,980 Just worried about a patient. 408 00:21:48,720 --> 00:21:51,100 What's going on? Can we not do this, please? 409 00:21:51,980 --> 00:21:52,980 Do what? 410 00:21:53,000 --> 00:21:56,400 This. The thing where I tell you my deepest, darkest feelings and then you 411 00:21:56,400 --> 00:21:58,820 look at me like that. Like you care. 412 00:21:59,040 --> 00:22:02,240 And then I feel like everything's going to be okay when in reality everything's 413 00:22:02,240 --> 00:22:03,240 a nightmare. 414 00:22:03,880 --> 00:22:05,640 I need this elevator to move faster. 415 00:22:08,620 --> 00:22:12,500 I do care about you. Please, don't. 416 00:22:17,160 --> 00:22:18,340 I hope your patients still care. 417 00:22:18,660 --> 00:22:19,660 Me too. 418 00:22:24,280 --> 00:22:28,240 I changed my mind. My favorite song is My Tennessee Mountain Home. 419 00:22:29,220 --> 00:22:30,400 Glad you cleared that up. 420 00:22:32,080 --> 00:22:34,880 How's it going? I'm passing the left internal carotid artery. 421 00:22:35,280 --> 00:22:40,480 Contrast. What do you see? I see the middle cerebral artery. I don't think I 422 00:22:40,480 --> 00:22:41,480 can make this turn. 423 00:22:42,140 --> 00:22:43,140 What are your options? 424 00:22:43,370 --> 00:22:44,930 I can keep advancing the coil. 425 00:22:45,150 --> 00:22:47,590 And risk her stroking out if you damage the vessel. 426 00:22:47,870 --> 00:22:49,490 I could use a more rigid catheter. 427 00:22:49,730 --> 00:22:51,370 Congratulations. Another stroke. Try again. 428 00:22:56,270 --> 00:22:57,270 Dr. 429 00:22:58,110 --> 00:22:59,110 Adams. 430 00:23:00,790 --> 00:23:02,190 Okay, I'll take over from here. 431 00:23:04,870 --> 00:23:09,950 Okay, I'm going to come around through the anterior communicating vessel. 432 00:23:11,390 --> 00:23:14,490 and catheterize the AVM feeder retrograde. 433 00:23:24,570 --> 00:23:25,570 It's too big. 434 00:23:25,910 --> 00:23:29,810 Looks like a perfect fit to me. No, his defect is too big for a dead bone to 435 00:23:29,810 --> 00:23:34,030 heal in it. It might stabilize him for now, but the chances of failure are too 436 00:23:34,030 --> 00:23:35,030 high without a blood supply. 437 00:23:35,230 --> 00:23:36,330 Small form, no function. 438 00:23:36,530 --> 00:23:37,530 Yeah. 439 00:23:38,190 --> 00:23:41,090 It's too bad we can't use a fibula. It's got a great blood supply. 440 00:23:41,290 --> 00:23:42,290 It's Wright's go-to. 441 00:23:42,550 --> 00:23:47,130 What if we could use it? I thought you said it's too small. No, no. What if we 442 00:23:47,130 --> 00:23:50,830 take Ken's fibula and we put it inside the femur to vascularize the graft? 443 00:23:51,110 --> 00:23:52,110 Throw in a little BMP. 444 00:23:54,090 --> 00:23:57,070 A bone in a bone, like an orthopedic turduck. Yeah. 445 00:23:58,810 --> 00:24:03,130 Warren? I mean, it's absurd, but it might work. 446 00:24:19,120 --> 00:24:20,120 Hey, you ready? 447 00:24:20,240 --> 00:24:21,240 Uh, yeah. 448 00:24:21,520 --> 00:24:25,960 I'm just gonna make a call. Can you have anesthesia? Give a second dose of 449 00:24:25,960 --> 00:24:27,200 antibiotics, please. Sure. 450 00:24:31,460 --> 00:24:33,680 Hi, you've reached Atticus Lincoln. Leave a message. 451 00:24:33,880 --> 00:24:34,880 Thanks. 452 00:24:39,680 --> 00:24:41,780 Hey, how can I help you? 453 00:24:42,200 --> 00:24:47,320 Do you want to talk about it, or do you want me to distract you? Distract me. 454 00:24:51,780 --> 00:24:56,460 Okay, this is a good one. I looked into all of the cardiothoracic research 455 00:24:56,460 --> 00:25:00,600 programs, and the one that gives me the best chance of getting a top fellowship 456 00:25:00,600 --> 00:25:02,080 is... A do-goose. 457 00:25:02,820 --> 00:25:03,900 What about the dogs? 458 00:25:04,120 --> 00:25:05,860 I was lying to myself. I'm a cat person. 459 00:25:06,780 --> 00:25:08,520 Simone! How are you feeling? 460 00:25:09,420 --> 00:25:10,399 Morphine's helping. 461 00:25:10,400 --> 00:25:12,080 Okay. It'll be over soon. 462 00:25:12,460 --> 00:25:14,640 Okay, let's have two units of blood ready. 463 00:25:15,960 --> 00:25:17,420 It's just a precaution. 464 00:25:18,740 --> 00:25:20,400 It's been a while since my... 465 00:25:20,620 --> 00:25:26,120 med school ob rotation what are the chances of uterine perforation low less 466 00:25:26,120 --> 00:25:30,580 than one percent molar pregnancy can increase risk slightly but overall it's 467 00:25:30,580 --> 00:25:34,260 very safe and you've done you've done a lot of these tons i'm not worried 468 00:25:34,260 --> 00:25:41,160 okay if you're ready we'll start 469 00:25:41,160 --> 00:25:42,160 sedation 470 00:25:55,660 --> 00:25:58,180 Please don't make me do this. Please. I can't do it. Please don't make me do it. 471 00:25:58,180 --> 00:26:02,800 Please. I can't. I can't. I can't do it. Okay. I can't. I can't. 472 00:26:03,280 --> 00:26:04,860 I can't do it. 473 00:26:08,620 --> 00:26:10,460 The femur's ready for the fibular graft. 474 00:26:12,800 --> 00:26:14,280 All right. 475 00:26:15,140 --> 00:26:16,300 Can I get a brow wipe? 476 00:26:21,260 --> 00:26:22,360 Okay. Take two. 477 00:26:27,879 --> 00:26:28,879 Perfect alignment. 478 00:26:29,200 --> 00:26:30,680 We did it. It's not over yet. 479 00:26:31,340 --> 00:26:34,140 Let's secure the spine and then we can begin the anastomosis. 480 00:26:44,460 --> 00:26:46,780 You know you want to. 481 00:26:54,560 --> 00:26:55,560 Lawyer. 482 00:26:57,470 --> 00:26:58,690 Fascia looks good. 483 00:26:59,450 --> 00:27:03,830 Quant? How about you help me dissect the lateral plane? 484 00:27:04,790 --> 00:27:05,970 Well, I probably shouldn't. 485 00:27:06,170 --> 00:27:07,230 Are you still worried about Weber? 486 00:27:07,430 --> 00:27:10,090 Yeah, he's the chief of the whole system. Yeah, because he's married to 487 00:27:10,090 --> 00:27:13,350 it. This morning, you said you wanted a cut. Are you a surgical resident or not? 488 00:27:16,530 --> 00:27:17,530 Bowie. 489 00:27:21,170 --> 00:27:24,850 All right. Release the external oblique above the fascia. That's it. 490 00:27:25,210 --> 00:27:26,210 That's right. 491 00:27:26,670 --> 00:27:30,990 What the hell is going on? Kwon, I told you no surgeries. 492 00:27:31,210 --> 00:27:32,610 Put that bogey down now. 493 00:27:33,050 --> 00:27:36,470 Dr. Norton, I thought I made myself clear. My resident has been out of 494 00:27:36,470 --> 00:27:39,570 commission for more than a month. He needs time to work his way back into the 495 00:27:39,570 --> 00:27:43,450 OR. Dr. Kwan was there when your VIP patient's bowel eviscerated. He called 496 00:27:43,450 --> 00:27:46,250 for help and applied pressure to keep her from further eviscerating while you 497 00:27:46,250 --> 00:27:49,630 were occupied elsewhere. I'd say he has worked his way back. And by the way, 498 00:27:49,730 --> 00:27:53,270 he's doing an adequate job with this sublay placement, which is about as good 499 00:27:53,270 --> 00:27:56,450 of a compliment as a resident gets from me. I'll take over from here. It won't 500 00:27:56,450 --> 00:28:00,030 be necessary. I'm about ready to close. I see my patients through. You can step 501 00:28:00,030 --> 00:28:01,030 out. 502 00:28:07,120 --> 00:28:10,300 Do you still need me to? Which residents are on general today? 503 00:28:11,120 --> 00:28:14,400 Baxter, Ford, Goodwin. Is Paige Baxter on your way out? 504 00:28:24,340 --> 00:28:25,520 Oh, Dr. Ndugu. 505 00:28:26,520 --> 00:28:27,760 Dr. Dugu? Yes. 506 00:28:28,520 --> 00:28:33,680 So, I was looking at the residency portal. If this is about me doing away 507 00:28:33,680 --> 00:28:35,440 with resident office hours, let me stop you right now. 508 00:28:35,840 --> 00:28:39,120 I will meet with them by appointment, but I don't have time to sit in my 509 00:28:39,120 --> 00:28:43,380 office. Because in addition to doing my own job, I'm covering for Altman, Hunt, 510 00:28:43,540 --> 00:28:44,540 and you. 511 00:28:45,680 --> 00:28:50,460 You have no idea how much this favor I'm doing for you has cost me. So, if you 512 00:28:50,460 --> 00:28:53,500 take issue with how I'm doing things, find someone else to do them. 513 00:28:55,660 --> 00:28:56,880 Did you have something to tell me? 514 00:28:58,280 --> 00:28:59,280 No. 515 00:28:59,420 --> 00:29:03,140 I... Carry on. 516 00:29:07,240 --> 00:29:11,420 I can't do it. Okay, just look at me. I got you. I got you, okay? 517 00:29:14,300 --> 00:29:16,780 I know what it's like to be the doctor on the table. 518 00:29:18,100 --> 00:29:19,160 You know too much. 519 00:29:19,580 --> 00:29:23,440 It's impossible to let go, but I need you to try so that I can be in control 520 00:29:23,440 --> 00:29:26,980 and you can go to sleep. But what if I don't wake up? What if there's a 521 00:29:26,980 --> 00:29:31,380 complication? If there is one, I'll know how to fix it. And if I need help, my 522 00:29:31,380 --> 00:29:32,540 colleagues are right outside. 523 00:29:39,520 --> 00:29:40,520 Okay. 524 00:29:41,400 --> 00:29:42,400 Okay. Okay. 525 00:30:10,260 --> 00:30:11,940 Simone, you need this procedure. 526 00:30:12,400 --> 00:30:13,500 I can't. 527 00:30:15,240 --> 00:30:16,240 Okay. 528 00:30:16,620 --> 00:30:19,820 What if I did it without general anesthesia? Does that make any 529 00:30:19,820 --> 00:30:20,820 difference to you? 530 00:30:22,200 --> 00:30:23,200 I'd be awake. 531 00:30:23,520 --> 00:30:26,980 Is that safe? Well, it's usually more comfortable for patients if they're 532 00:30:26,980 --> 00:30:29,920 asleep, but we could use a local nerve block. 533 00:30:30,140 --> 00:30:32,820 If that's what you want, you'll be awake. You know what's happening the 534 00:30:32,820 --> 00:30:33,820 entire time. 535 00:30:35,820 --> 00:30:37,120 And I'll be with you the whole time. 536 00:30:39,920 --> 00:30:40,920 Yeah. Yeah. 537 00:30:42,440 --> 00:30:43,440 Yeah, I want that. 538 00:30:43,480 --> 00:30:44,480 Okay. 539 00:30:45,660 --> 00:30:49,280 All right, everyone, change of plans. We're going to do a paracervical block. 540 00:30:49,400 --> 00:30:53,040 I need 20 cc's of 1% lidocaine, and I'm going to go scrub. 541 00:30:53,460 --> 00:30:54,460 Thank you. 542 00:30:55,120 --> 00:30:56,120 Okay. 543 00:30:59,380 --> 00:31:00,380 Perfect. Okay. 544 00:31:00,900 --> 00:31:01,900 I'll be awake all day. 545 00:31:05,060 --> 00:31:06,300 The twerker's tricky. 546 00:31:07,260 --> 00:31:09,500 And don't beat yourself up. You set me up to fail. 547 00:31:10,980 --> 00:31:12,780 Well, I gave you an opportunity to try. 548 00:31:13,000 --> 00:31:15,160 Is that how you see it? You're a resident. 549 00:31:15,860 --> 00:31:20,040 I didn't expect you to get it right on your first try. You don't seem to expect 550 00:31:20,040 --> 00:31:21,320 me to do anything right, ever. 551 00:31:22,140 --> 00:31:24,460 That's not true. I think you're very talented. 552 00:31:24,840 --> 00:31:28,220 Yeah, but you don't think I have what it takes to clean up my crap or answer your 553 00:31:28,220 --> 00:31:32,410 kids' questions or do my job or be a neurosurgeon. I didn't say that. The 554 00:31:32,410 --> 00:31:36,270 people who have what it takes to pursue neuro don't keep their options open. 555 00:31:36,410 --> 00:31:40,770 They zero in. They think about it every minute of the day. Derek did. I did. 556 00:31:41,010 --> 00:31:42,090 You're not... Because I'm not you! 557 00:31:42,890 --> 00:31:43,890 Or him! 558 00:31:43,970 --> 00:31:45,810 And maybe I don't want to be, okay? 559 00:31:47,350 --> 00:31:51,670 My way isn't wrong or defective just because it's different from yours. 560 00:31:53,550 --> 00:31:56,650 You know, for someone who claimed she was an underdog growing up, you sure 561 00:31:56,650 --> 00:31:57,650 like to tear people down. 562 00:32:05,230 --> 00:32:09,590 It could be the drugs, but it sounded like you said the cancer has spread, so 563 00:32:09,590 --> 00:32:11,210 I have a leg bone in my spine. 564 00:32:11,470 --> 00:32:16,490 We removed all the cancer, but, um... But, yeah, that's basically what 565 00:32:16,490 --> 00:32:21,390 happened. I'm still here, so... Thank you. We placed an order for physical 566 00:32:21,390 --> 00:32:25,150 therapy. Now it'll take some time and a lot of work, but you should be able to 567 00:32:25,150 --> 00:32:25,769 walk again. 568 00:32:25,770 --> 00:32:29,210 We'll monitor you for a couple more days, keep a close eye on the pain, and 569 00:32:29,210 --> 00:32:32,410 then you can get back to saving the world. Is there anyone else that we 570 00:32:32,410 --> 00:32:33,410 should be speaking with? 571 00:32:33,450 --> 00:32:34,450 No. 572 00:32:34,570 --> 00:32:35,570 It just means fine. 573 00:32:39,250 --> 00:32:40,250 You came back? 574 00:32:40,370 --> 00:32:41,370 I never left. 575 00:32:42,130 --> 00:32:43,130 I know you. 576 00:32:43,510 --> 00:32:47,170 You lash out when you're scared. I forget you're doing it every time until 577 00:32:47,170 --> 00:32:48,190 I remember. 578 00:32:49,950 --> 00:32:52,050 King of the jungle to help you with your strength. 579 00:32:53,990 --> 00:32:55,450 You know I'm allergic to cats. 580 00:32:55,650 --> 00:32:58,050 Just take the dumb stuffed animal and say thank you. 581 00:32:58,270 --> 00:33:00,050 We'll give you some privacy. 582 00:33:01,149 --> 00:33:05,710 Thanks. Can you just say thank you? Is it that hard? Just thank you. How does 583 00:33:05,710 --> 00:33:08,010 clean water come from such a toxic relationship? 584 00:33:08,230 --> 00:33:10,310 No one knows how other people's relationships work. 585 00:33:10,550 --> 00:33:11,550 True, true. 586 00:33:12,350 --> 00:33:15,150 I've got to go handle something, but I'll check on him in an hour or so. 587 00:33:15,290 --> 00:33:16,290 Yeah. 588 00:33:18,410 --> 00:33:19,410 Big win today. 589 00:33:19,630 --> 00:33:20,630 We got lucky. 590 00:33:21,190 --> 00:33:22,910 I should have scanned Ken yesterday. 591 00:33:23,390 --> 00:33:24,490 He was stupid and careless. 592 00:33:24,850 --> 00:33:25,850 We still found the solution. 593 00:33:27,230 --> 00:33:28,970 You know what? Let's grab a beer at Joe's. 594 00:33:32,050 --> 00:33:33,930 No, I gotta catch up on some charts. 595 00:33:37,350 --> 00:33:39,550 How long till I can get back on stage? 596 00:33:40,110 --> 00:33:41,630 Oh, it'll be a few weeks. I'm sorry. 597 00:33:41,950 --> 00:33:43,470 Well, give me time to work on my act. 598 00:33:44,040 --> 00:33:45,040 Always room for improvement. 599 00:33:45,260 --> 00:33:49,460 How do you work on your act? Do you have to perfect all of Dolly's mannerisms? 600 00:33:49,760 --> 00:33:52,760 I did at first, but the reviews were terrible. 601 00:33:53,160 --> 00:33:58,460 Then finally, I realized audiences think they want a good mimic, but what they 602 00:33:58,460 --> 00:34:00,120 really want is a good character. 603 00:34:00,340 --> 00:34:04,840 And that comes from me, knowing who I am and what I bring to the stage. 604 00:34:05,500 --> 00:34:06,500 What do you bring? 605 00:34:06,880 --> 00:34:08,639 I'm a kindergarten teacher with roots. 606 00:34:09,179 --> 00:34:13,960 Mom, I volunteer at the food bank, and I've got killer gams. 607 00:34:14,280 --> 00:34:17,159 When you are recovered, I would love to come and see you perform. 608 00:34:17,400 --> 00:34:20,380 Dr. Adams is going to be in shortly to take your post-op labs. 609 00:34:23,020 --> 00:34:24,020 You did great. 610 00:34:24,520 --> 00:34:28,219 We completely evacuated the mole of pregnancy with minimal bleeding. 611 00:34:28,750 --> 00:34:29,969 Think I can go home soon? 612 00:34:30,170 --> 00:34:33,750 Well, they are going to monitor you overnight, but you should be discharged 613 00:34:33,750 --> 00:34:37,830 in the morning, and I gave them strict instructions. No unwanted guests. 614 00:34:38,270 --> 00:34:39,270 Thank you. 615 00:34:39,550 --> 00:34:45,810 And thanks for letting me stay awake. It meant... It meant more than you know. 616 00:34:46,670 --> 00:34:50,670 My mom had a complication here years ago. 617 00:34:51,030 --> 00:34:55,270 I just... just needed to know what was happening to me. 618 00:34:56,429 --> 00:34:57,430 I get it. 619 00:34:59,850 --> 00:35:01,130 I'm glad it all worked out. 620 00:35:01,830 --> 00:35:03,130 Get some rest. Yeah. 621 00:35:17,850 --> 00:35:19,870 Sorry you didn't get to see the surgery through. 622 00:35:20,430 --> 00:35:21,430 I tried. 623 00:35:21,890 --> 00:35:22,729 It's okay. 624 00:35:22,730 --> 00:35:24,290 His JP output looks good, though. 625 00:35:24,530 --> 00:35:25,530 That's what matters. 626 00:35:25,990 --> 00:35:27,350 Help me with this, will you? 627 00:35:28,970 --> 00:35:31,470 You know, he can't tell that it's warm. He's VIP. 628 00:35:31,790 --> 00:35:35,210 He gets what he wants, even when he's asleep. 629 00:35:35,490 --> 00:35:38,450 Sounds like one of his ads. I'll pitch it to him. You think he'd be more 630 00:35:38,450 --> 00:35:42,490 successful if he spent more time on his cases and less time filming commercials? 631 00:35:42,850 --> 00:35:43,990 You don't think he's successful? 632 00:35:44,850 --> 00:35:48,930 Guy owns a ginormous house in Laurelhurst, plus two boats. 633 00:35:49,130 --> 00:35:56,050 He may be a tacky ambulance chaser with an annoyingly catchy ad, but he 634 00:35:56,050 --> 00:35:57,790 doesn't take a dime unless his client wins. 635 00:35:58,760 --> 00:36:03,360 You know, say what you will about his tactics, but he fights for them and gets 636 00:36:03,360 --> 00:36:04,360 them what they want. 637 00:36:11,540 --> 00:36:14,820 Dr. Burse, it's Atticus Lincoln. 638 00:36:16,540 --> 00:36:23,180 Well, I'm having some pain again, and, yeah, I'm trying to push through, 639 00:36:23,280 --> 00:36:28,080 but... Could you... 640 00:36:28,750 --> 00:36:29,750 Calling a refill? 641 00:36:33,550 --> 00:36:34,650 Hey, Lucas. 642 00:36:35,890 --> 00:36:36,890 Stop. 643 00:36:37,370 --> 00:36:39,030 Just stop walking. 644 00:36:41,710 --> 00:36:42,850 You're not a failure. 645 00:36:43,630 --> 00:36:44,730 Is that an apology? 646 00:36:46,210 --> 00:36:47,990 I was the underdog in my family. 647 00:36:49,910 --> 00:36:50,910 What am I saying? 648 00:36:51,870 --> 00:36:54,330 I don't have to tell you that. You know the stories. 649 00:36:55,330 --> 00:36:57,730 But now I am an accomplished surgeon. 650 00:36:58,570 --> 00:37:02,990 and your mom and your aunts still treat me like I can't get anything right. You 651 00:37:02,990 --> 00:37:03,990 don't deserve that. 652 00:37:04,270 --> 00:37:05,290 It is true. 653 00:37:05,710 --> 00:37:09,370 You don't do things the way I would, but that doesn't mean you wouldn't make an 654 00:37:09,370 --> 00:37:11,210 excellent neurosurgeon. 655 00:37:13,470 --> 00:37:18,230 I want to help you find your path, even if it doesn't end up being mine. 656 00:37:18,810 --> 00:37:20,010 So come work in my lab. 657 00:37:21,310 --> 00:37:24,550 I will be more open-minded, I promise. 658 00:37:27,690 --> 00:37:28,690 I'll think about it. 659 00:37:28,990 --> 00:37:29,990 Okay. 660 00:37:30,610 --> 00:37:31,870 And I'm moving out. 661 00:37:33,490 --> 00:37:34,490 It's time. 662 00:37:49,130 --> 00:37:53,790 Dr. Weber. If you're here to make excuses about what happened, don't 663 00:37:53,790 --> 00:37:54,790 bother. I... 664 00:37:55,160 --> 00:37:58,800 Wasn't planning to. I thought I made myself clear about my expectations for 665 00:37:58,800 --> 00:37:59,419 you today. 666 00:37:59,420 --> 00:38:02,260 You definitely did. Good. You're dismissed for the day. 667 00:38:06,660 --> 00:38:08,920 Quan, I just said you could go. 668 00:38:09,860 --> 00:38:13,060 I know, but the chief said that I... The chief? 669 00:38:14,700 --> 00:38:15,780 Chief Norton. 670 00:38:16,020 --> 00:38:21,320 He said that I could scrub in on his latissimus flat tomorrow and to put my 671 00:38:21,320 --> 00:38:22,320 name under his. 672 00:38:32,040 --> 00:38:33,060 Good night, Dr. Weber. 673 00:38:43,640 --> 00:38:44,640 Hi. 674 00:38:49,120 --> 00:38:50,120 Hi. 675 00:38:51,260 --> 00:38:52,820 Did everything go okay with your patient? 676 00:38:53,060 --> 00:38:54,060 Yeah. 677 00:38:55,120 --> 00:38:56,120 She's doing fine. 678 00:38:58,560 --> 00:39:00,000 Good. I'm glad to hear it. 679 00:39:00,480 --> 00:39:05,540 our lives are full of mysteries you could round a corner and meet your soul 680 00:39:05,540 --> 00:39:12,020 mate or your death i'm home how'd it go well paper 681 00:39:12,020 --> 00:39:18,000 is done plus i got a reminder of what it's like to cram five people into a 682 00:39:18,000 --> 00:39:24,880 studio apartment you at least get some cheap pizza no i did and i'm sorry 683 00:39:24,880 --> 00:39:31,800 about This morning, you have taken on more around here to help me, and I 684 00:39:31,800 --> 00:39:37,660 micromanaged the way you were doing it. Oh, wow. I just stopped. No, look. 685 00:39:38,100 --> 00:39:42,200 Oh, just going back to school is making me feel like I don't know what I'm 686 00:39:42,200 --> 00:39:43,200 doing. 687 00:39:43,640 --> 00:39:49,320 You know, viral disease, trends, descriptive epidemiology. Like, everyone 688 00:39:49,320 --> 00:39:54,120 is speaking another language. I'm just racing to catch up. I think I just... 689 00:39:54,540 --> 00:40:00,460 wanted to feel like i was an expert in something when i should have just said 690 00:40:00,460 --> 00:40:06,880 thank you you're welcome and 691 00:40:06,880 --> 00:40:10,820 i got something for you for me no 692 00:40:10,820 --> 00:40:17,700 children were involved in the loading of this dishwasher 693 00:40:17,700 --> 00:40:21,860 oh then how did you know because i am an expert in you 694 00:40:26,160 --> 00:40:28,720 There's no way to predict what's waiting around the bend. 695 00:40:33,640 --> 00:40:35,160 Your meeting ran late. 696 00:40:38,420 --> 00:40:39,760 The meeting never happened. 697 00:40:40,900 --> 00:40:44,480 I got pulled into a DMC that was more complicated than expected. 698 00:40:45,740 --> 00:40:46,740 Are you okay? 699 00:40:46,840 --> 00:40:47,840 No. 700 00:40:48,920 --> 00:40:49,920 I'm sorry. 701 00:40:50,700 --> 00:40:52,420 You never should have gone into that meeting. 702 00:40:52,700 --> 00:40:58,340 You wouldn't have gotten pulled in. No, it's not that. I'm just... I'm really 703 00:40:58,340 --> 00:40:59,340 good at this. 704 00:41:00,080 --> 00:41:04,020 I'm extremely skilled at these procedures. I listen to my patients. I 705 00:41:04,020 --> 00:41:07,700 treat their heartbreak and their pain. And this field needs every doctor that 706 00:41:07,700 --> 00:41:12,100 they can get. And I love it. I really love what I do. But I can't practice 707 00:41:12,100 --> 00:41:15,260 medicine anymore without reliving something that almost killed me. 708 00:41:16,580 --> 00:41:19,540 Do you think it'll get better with time? I don't know. 709 00:41:25,520 --> 00:41:26,640 I just want to go home. 710 00:41:28,760 --> 00:41:29,960 Yeah, let's get out of here. 711 00:41:32,460 --> 00:41:39,020 All you can do is put one foot in front of the other and lean on what supports 712 00:41:39,020 --> 00:41:40,020 you. 713 00:41:56,080 --> 00:41:57,240 And trust it's there. 714 00:42:00,820 --> 00:42:02,140 Even when you can't see it.