1 00:00:07,248 --> 00:00:09,595 Until recently, Western medicine held 2 00:00:09,733 --> 00:00:12,391 that our bodies have only two circulatory systems. 3 00:00:13,703 --> 00:00:18,052 The cardiovascular, which pumps blood, and the lymphatic, which drains fluids. 4 00:00:20,503 --> 00:00:22,332 But in 2021, 5 00:00:22,470 --> 00:00:25,887 scientists discovered that tattoo ink somehow travels from the skin 6 00:00:26,026 --> 00:00:27,889 - down into the fascia. - Oh. 7 00:00:28,511 --> 00:00:30,064 Hey. 8 00:00:31,031 --> 00:00:32,170 Why are they still damp? 9 00:00:32,308 --> 00:00:33,964 Well, we needed the dryer. You were not home. 10 00:00:34,103 --> 00:00:36,622 Yeah, because I was up late prepping your elective cases for the week. 11 00:00:36,760 --> 00:00:38,486 What was Lucy Miller's ICP this morning? 12 00:00:38,624 --> 00:00:42,180 - I'm not on the floor yet, so-- - She's also going to need a follow-up CT. 13 00:00:42,318 --> 00:00:44,044 Wait, wait, are we rounding now? 14 00:00:44,182 --> 00:00:45,769 Just, please, will you try to read the notes? 15 00:00:45,907 --> 00:00:47,599 Um, okay, last bites and sips. 16 00:00:47,737 --> 00:00:49,256 - Mama... - Mm-hmm? 17 00:00:49,394 --> 00:00:52,259 Can Daddy use the baby spray on you so I can have a brother? 18 00:00:53,467 --> 00:00:56,884 Yeah, I meant to tell you, uh, this guy asked me where babies come from. 19 00:00:57,022 --> 00:00:58,713 - And you went with baby spray? - Yeah, yeah. 20 00:00:58,851 --> 00:01:00,129 You know, like Spider-Man. 21 00:01:02,683 --> 00:01:05,444 Yeah, I was trying to work with, uh, what he knows. 22 00:01:05,582 --> 00:01:08,309 - I... I'm gonna... ICP? Got it. - Mm-hmm. 23 00:01:09,483 --> 00:01:13,003 This finding suggested a third circulatory system 24 00:01:13,142 --> 00:01:16,317 connecting the skin to the fascia and organs beneath. 25 00:01:16,455 --> 00:01:18,008 Hey, how's your group paper going? 26 00:01:18,147 --> 00:01:21,702 You'd think having more people writing would make it easier. 27 00:01:21,840 --> 00:01:25,257 It's due tomorrow though, right? I'm just saying, at least it's over. 28 00:01:25,395 --> 00:01:27,915 Mmm. If only I could finish my part. 29 00:01:29,089 --> 00:01:30,849 Hey, hey. I will take care of that. - I-- 30 00:01:30,987 --> 00:01:32,678 You just go on and get back to work, okay? 31 00:01:32,816 --> 00:01:35,785 - You just call me Dish Daddy. - I most certainly will not. 32 00:01:38,753 --> 00:01:41,618 What... you know that silverware won't get clean like that? 33 00:01:42,550 --> 00:01:46,658 Uh, yes, it will, and I won't stab myself when I go to unload it. 34 00:01:46,796 --> 00:01:50,627 But... Do you do it blindfolded? See, this is why I do the dishes. 35 00:01:50,765 --> 00:01:55,045 No, move over, but see, look, this needs to be up like this, up. 36 00:01:55,184 --> 00:01:57,047 And all those bowls need to come down. 37 00:01:57,186 --> 00:01:58,877 It's called the interstitium, 38 00:01:59,015 --> 00:02:02,639 and the function is, well, we're still figuring that out. 39 00:02:03,192 --> 00:02:05,297 Hey, have you seen my tramadol? 40 00:02:05,435 --> 00:02:06,471 Well, I threw it out. 41 00:02:07,403 --> 00:02:09,267 Well, I thought that you weren't in pain anymore. 42 00:02:09,405 --> 00:02:13,029 Well, I just... I get sore after operating sometimes, 43 00:02:13,167 --> 00:02:15,204 and I've got that spinal tumor patient today. 44 00:02:15,342 --> 00:02:17,137 - Okay. - You wanna meet up after your meeting? 45 00:02:17,275 --> 00:02:19,069 I wasn't planning on sticking around. 46 00:02:19,208 --> 00:02:21,313 It's annoying that I even have to go in at all. 47 00:02:21,451 --> 00:02:23,557 When I said I quit, I meant it. 48 00:02:23,695 --> 00:02:25,075 You spent years training. 49 00:02:25,214 --> 00:02:27,008 They just want to make sure you're sure. - 50 00:02:27,147 --> 00:02:30,011 I was sure two weeks ago. You know, can you take over? 51 00:02:30,150 --> 00:02:31,151 - I have to go change. - Yeah. 52 00:02:31,944 --> 00:02:33,222 - Okay. - But we know this much: 53 00:02:33,912 --> 00:02:35,534 When it comes to support systems, 54 00:02:36,156 --> 00:02:38,813 life is a lot more complicated than we thought. 55 00:02:46,752 --> 00:02:48,513 Good morning. 56 00:02:48,651 --> 00:02:51,757 They didn't have ginger, so I got you mint and something called "rooibose" 57 00:02:51,895 --> 00:02:54,035 or "roo-ee..." I still don't know how to say it. 58 00:02:54,174 --> 00:02:55,554 - Thank you. - You're welcome. 59 00:02:56,486 --> 00:02:58,350 You sure you shouldn't take the day off? 60 00:02:58,488 --> 00:03:01,111 I'm fine. A little crampy, but that's to be expected after the pills, you know. 61 00:03:01,250 --> 00:03:06,945 Okay. And how are you feeling about the-- - I'm okay. I'll be okay. 62 00:03:07,083 --> 00:03:09,568 I know it was the right decision. - Okay. 63 00:03:09,706 --> 00:03:11,777 - There you go. - I can open my own door. 64 00:03:11,915 --> 00:03:13,572 I don't know what to tell you. I'm a gentleman, okay. 65 00:03:13,710 --> 00:03:15,229 - I'm seeing you later, yes? - Yes. 66 00:03:15,367 --> 00:03:16,368 Okay. 67 00:03:18,922 --> 00:03:20,200 What are you doing? 68 00:03:20,821 --> 00:03:24,480 Some people punch punching bags, I stab suture trainers. 69 00:03:24,618 --> 00:03:31,590 And now, on his first day back from Central Michigan, Benson Kwan. 70 00:03:32,212 --> 00:03:33,730 - You should take this. - Mm-hmm. 71 00:03:33,868 --> 00:03:36,319 Do you know any apartments for rent not at a retirement home? 72 00:03:36,457 --> 00:03:37,631 Then no. 73 00:03:37,769 --> 00:03:40,012 Good morning, everyone. Good morning. 74 00:03:40,944 --> 00:03:43,119 Uh, so for those of you considering sub specialties, 75 00:03:43,257 --> 00:03:44,638 it is time to look for research opportunities. 76 00:03:44,776 --> 00:03:46,433 If you want to be competitive for fellowships, 77 00:03:46,571 --> 00:03:48,607 you'll need to line something up within the next few weeks. 78 00:03:48,745 --> 00:03:50,782 I just posted open positions to the portal. 79 00:03:50,920 --> 00:03:53,612 If you have any questions or you need anything at all, just come find me. 80 00:03:54,544 --> 00:03:55,994 Let's have a good day. 81 00:03:57,064 --> 00:03:58,962 Great. One more thing to do. 82 00:03:59,100 --> 00:04:01,620 - Still thinking cardiothoracic? - I'm thinking it's none of your business. 83 00:04:02,690 --> 00:04:05,728 - She's just having a bad-- - Personality? Yeah. 84 00:04:11,043 --> 00:04:13,874 You want to cancel the weekly chiefs' meetings? 85 00:04:14,012 --> 00:04:16,704 If you do the math, 14 people in a two-hour meeting, 86 00:04:16,842 --> 00:04:20,260 that's 28 man hours wasted each week on something that could be an email. 87 00:04:21,468 --> 00:04:23,987 - I'll, uh, I'll think about it. - Okay. 88 00:04:24,125 --> 00:04:27,991 Morning. It appears that I'm on your service, Dr. Webber. 89 00:04:29,510 --> 00:04:31,685 - Sir. - He requested you. 90 00:04:32,272 --> 00:04:34,550 Oh. Well, I saw that you had a Whipple on your schedule. 91 00:04:34,688 --> 00:04:36,552 I've been practicing my hepatico-J technique at home and-- 92 00:04:36,690 --> 00:04:37,967 Uh, that won't be necessary. 93 00:04:38,105 --> 00:04:40,659 I've got a VIP patient that needs post-op monitoring. 94 00:04:40,797 --> 00:04:44,318 No problem. I-I can... I can do that before I scrub in. 95 00:04:44,456 --> 00:04:46,113 I don't think you understand. 96 00:04:46,769 --> 00:04:48,529 There is no scrubbing in. 97 00:04:48,667 --> 00:04:51,187 You will not set a foot in my OR. 98 00:04:51,325 --> 00:04:55,122 You will monitor my post-op patient on the VIP floor. 99 00:04:55,260 --> 00:04:56,537 End of assignment. 100 00:04:58,608 --> 00:05:01,646 Give him time, or expensive chocolate works too. 101 00:05:03,164 --> 00:05:06,098 Dr. Shepherd, Dr. Adams, meet Pauline Darnold. 102 00:05:06,236 --> 00:05:07,617 Please call me Polly Dart. 103 00:05:07,755 --> 00:05:10,689 She is a Dolly Parton impersonator. - You don't say. 104 00:05:10,827 --> 00:05:12,208 Uh, what brings you in? 105 00:05:12,346 --> 00:05:14,590 Oh. It feels like my head's heavier than my hair. 106 00:05:14,728 --> 00:05:16,626 - Can you be more specific? - Worst headache of my life. 107 00:05:16,764 --> 00:05:19,698 - When did it start? - This morning during my sound check. 108 00:05:19,836 --> 00:05:22,183 A tech company hired me for their corporate retreat. 109 00:05:22,322 --> 00:05:25,359 It hurt so much I could barely see, but I'd already cashed the check 110 00:05:25,497 --> 00:05:27,775 so I put on my lashes, hiked up my boobs, 111 00:05:27,913 --> 00:05:29,570 and sang the best I could. 112 00:05:29,708 --> 00:05:31,676 Well, hopefully, we can get to the bottom of this 113 00:05:31,814 --> 00:05:33,056 and get you some relief. 114 00:05:33,194 --> 00:05:35,024 Dr. Adams, why don't you start on the exam? 115 00:05:35,162 --> 00:05:37,060 Mind if I take a look? All right. 116 00:05:39,580 --> 00:05:41,202 All right, a little slower. 117 00:05:44,309 --> 00:05:46,311 All right, follow my finger. 118 00:05:48,175 --> 00:05:51,730 Extraocular muscles are intact. - Mm-hmm. 119 00:05:52,559 --> 00:05:54,181 Symmetric smile. 120 00:05:54,319 --> 00:05:57,011 Puff your cheeks. Raise your eyebrows. Any ringing in your ears? 121 00:05:57,149 --> 00:05:58,737 - Not a peep. - Okay. 122 00:05:58,875 --> 00:06:01,706 Uh, cranial nerve seems stable, no facial weakness 123 00:06:01,844 --> 00:06:03,535 which rules out a stroke or a bleed. 124 00:06:03,673 --> 00:06:06,435 Let's start with a non-contrast head CT. - All right, call the order in. 125 00:06:06,573 --> 00:06:07,574 Okay. 126 00:06:08,333 --> 00:06:09,541 He's a keeper. 127 00:06:11,198 --> 00:06:14,063 The app says the water purifying kits arrived yesterday. 128 00:06:14,201 --> 00:06:17,273 Well, there's a village in Sierra Leone who would argue otherwise. 129 00:06:17,411 --> 00:06:18,861 - Will you-- - So either I'm... 130 00:06:19,448 --> 00:06:21,760 - Sorry for interrupting. - Don't be. 131 00:06:21,898 --> 00:06:23,244 We're just talking about work. 132 00:06:23,383 --> 00:06:26,627 Ken started a nonprofit that brings clean drinking water 133 00:06:26,765 --> 00:06:28,318 to developing countries. 134 00:06:28,457 --> 00:06:32,978 I'm Jasmine, cofounder of said nonprofit/Ken's ride/ex-wife. 135 00:06:33,116 --> 00:06:34,911 We like to keep things complicated. 136 00:06:35,049 --> 00:06:38,087 - Are you taking me to surgery? - Soon. 137 00:06:39,226 --> 00:06:41,711 Griffith. We're on a schedule here. 138 00:06:41,849 --> 00:06:46,613 Ken Nguyen, 37, history of osteosarcoma in the spine at L3, 139 00:06:46,751 --> 00:06:48,442 here for a vertebral resection and spinal reconstruction. 140 00:06:48,580 --> 00:06:50,927 I will replace the cancerous vertebrae 141 00:06:51,065 --> 00:06:53,378 with a titanium cage filled with bone graft material. 142 00:06:53,516 --> 00:06:55,691 And then I will cover it with paraspinous muscle 143 00:06:55,829 --> 00:06:58,832 to make sure that the spinal cord and implant are protected. 144 00:06:58,970 --> 00:07:01,662 How long is the recovery? When will he be back to his old self? 145 00:07:01,800 --> 00:07:03,457 What's that supposed to mean? 146 00:07:03,975 --> 00:07:05,355 It's a normal question. 147 00:07:05,494 --> 00:07:06,978 You mean, when can I get back to work? 148 00:07:07,116 --> 00:07:09,083 - I didn't say that. - You didn't have to. 149 00:07:09,221 --> 00:07:12,293 All you care about is work. You're controlling and overbearing and-- 150 00:07:12,432 --> 00:07:15,435 Okay, you need to be calm right now, and clearly I'm an impediment to that. 151 00:07:15,573 --> 00:07:18,748 So I'm gonna go answer some emails. Call me if he croaks. 152 00:07:20,750 --> 00:07:23,235 - Should I get him prepped? - Yeah, feels right. 153 00:07:27,930 --> 00:07:29,138 Have you looked 154 00:07:29,276 --> 00:07:30,760 at the open research positions yet? - Mm-mmm. 155 00:07:30,898 --> 00:07:33,142 Saliman's studying mitral regurgitation in dogs. 156 00:07:33,280 --> 00:07:34,971 I could get paid to pet dogs, 157 00:07:35,109 --> 00:07:37,180 which frankly, is something I could use. 158 00:07:37,767 --> 00:07:39,493 - Something wrong? - It's just cramps. 159 00:07:39,631 --> 00:07:42,634 You shouldn't still be in this much pain after a medication abortion. 160 00:07:42,772 --> 00:07:45,050 Have you followed up with your OB? - When am I supposed to do that? 161 00:07:45,188 --> 00:07:46,604 Hey, uh, are you okay? 162 00:07:46,742 --> 00:07:48,537 Fine, yeah, just a little discomfort. - You're sure? 163 00:07:48,675 --> 00:07:51,056 - Mm-hmm. - Okay. Well, you missed an epic battle. 164 00:07:51,194 --> 00:07:53,334 It's just like, why get a divorce if you're gonna keep working together? 165 00:07:53,473 --> 00:07:54,715 - Does it-- - Oh, catch her, catch her. 166 00:07:54,853 --> 00:07:55,923 - Oh. Simone. - I'm... I'm good. 167 00:07:56,061 --> 00:07:57,546 - We need to get her to a room. - I'm okay. 168 00:07:57,684 --> 00:07:58,685 Come on, okay. 169 00:07:59,202 --> 00:08:00,687 Let's go in here. 170 00:08:16,012 --> 00:08:19,637 Ms. Bromley in room 1409 needs a bolus of LR, okay. 171 00:08:19,775 --> 00:08:21,742 I'll be in the conference room if anyone needs me. 172 00:08:21,880 --> 00:08:23,468 Uh, Dr. Bailey, can I ask you a quick question? 173 00:08:23,606 --> 00:08:26,126 - Besides that one? - Yeah, it's about the schedule. 174 00:08:26,264 --> 00:08:30,337 Um, have you ever extended a rotation to cover a request for bereavement leave? 175 00:08:32,201 --> 00:08:34,237 Rarely, uh, but let me see. 176 00:08:35,135 --> 00:08:36,619 Wait, what am I looking at? 177 00:08:36,757 --> 00:08:39,277 What... what happened to my spreadsheet that I gave you? 178 00:08:39,415 --> 00:08:40,865 Oh, uh, a med school friend recommended this app. 179 00:08:41,003 --> 00:08:42,314 Residents input their requests, 180 00:08:42,452 --> 00:08:44,558 and it optimizes the schedule for everyone. 181 00:08:44,696 --> 00:08:45,732 Mmm. 182 00:08:45,870 --> 00:08:50,288 Well, does this magic app account for, 183 00:08:50,426 --> 00:08:52,808 you know, who needs protected time for research, 184 00:08:52,946 --> 00:08:55,431 or who's behind on their case logs, 185 00:08:55,569 --> 00:08:59,815 or whose uncle, coincidentally, needs to be driven to dialysis 186 00:08:59,953 --> 00:09:01,713 whenever the Mariners make the play-offs? 187 00:09:01,851 --> 00:09:03,439 - Probably not. - Yeah. 188 00:09:03,577 --> 00:09:07,823 See, no computer can optimize better than a residency director 189 00:09:07,961 --> 00:09:10,791 who knows her or his residents. 190 00:09:10,929 --> 00:09:13,449 Try my spreadsheet. You'll never go back. 191 00:09:14,623 --> 00:09:16,245 I will take a look. 192 00:09:18,903 --> 00:09:21,319 Here. If you're ever in an accident 193 00:09:21,457 --> 00:09:24,460 or suspect you might have been in an accident, call me. 194 00:09:26,289 --> 00:09:28,050 Hey, you're that lawyer with the ads. 195 00:09:28,637 --> 00:09:33,400 "If you're injured and you need a pro called Lloyd Fazio, lawyer." 196 00:09:33,538 --> 00:09:36,955 Guilty. And you are Dr... 197 00:09:37,093 --> 00:09:40,925 Kwan. I am assigned to you today. May I take a look at your incision? 198 00:09:41,063 --> 00:09:42,927 I'd love an Arnold Palmer first. 199 00:09:43,652 --> 00:09:46,344 Well, I'm a doctor, but I will check with patient services. 200 00:09:46,482 --> 00:09:49,416 Yesterday, the head doctor up here mixed it for me himself. 201 00:09:50,624 --> 00:09:51,591 I'll see what I can find. 202 00:09:51,729 --> 00:09:53,282 But first, may I take a look? 203 00:09:53,420 --> 00:09:55,249 - Fine, have at it. - All right. 204 00:09:56,009 --> 00:09:57,769 So how are you feeling? 205 00:09:57,907 --> 00:09:59,288 Any pain? 206 00:09:59,426 --> 00:10:02,360 Only the kind that comes with having your stomach cut open. 207 00:10:05,950 --> 00:10:08,159 Don't worry, I won't sue you. 208 00:10:08,297 --> 00:10:11,472 Fortunately, everything looks good. 209 00:10:11,611 --> 00:10:14,855 Do you have to put that back on? It's so uncomfortable. 210 00:10:14,993 --> 00:10:17,237 It supports recovery. You want it on. Trust me. 211 00:10:17,375 --> 00:10:19,308 All right, I will be back. 212 00:10:20,585 --> 00:10:22,622 - Sixty-forty. - What? 213 00:10:22,760 --> 00:10:25,314 60% iced tea, 40% lemonade. 214 00:10:26,142 --> 00:10:27,178 Right. 215 00:10:31,941 --> 00:10:32,873 Oh, it's Lincoln. 216 00:10:33,011 --> 00:10:34,703 - You should go. - But what about you? 217 00:10:34,841 --> 00:10:36,463 I'm sure everything is fine, 218 00:10:36,601 --> 00:10:39,017 and no offense, but I don't want you here for this part anyway. 219 00:10:39,155 --> 00:10:41,468 - You sure? - Please just go. 220 00:10:41,606 --> 00:10:43,332 - All right. - Thank you. 221 00:10:46,404 --> 00:10:48,613 Okay. 222 00:10:48,751 --> 00:10:51,167 - Scoot down. - Do we really have to do this? 223 00:10:51,305 --> 00:10:53,894 Make sure that you don't have any residual tissue making you septic? 224 00:10:54,032 --> 00:10:55,033 Yes, we do. 225 00:10:57,484 --> 00:10:58,796 Just kill me, you know. 226 00:10:58,934 --> 00:11:00,107 Get over it. 227 00:11:00,245 --> 00:11:01,626 Light touch, 228 00:11:01,764 --> 00:11:03,870 and you'll feel a bit of pressure. - Mm-hmm. 229 00:11:05,147 --> 00:11:06,700 Aren't you in plastics today? 230 00:11:06,838 --> 00:11:10,462 I told them I ate a bad salad and maybe had that diarrhea thing. 231 00:11:10,600 --> 00:11:13,742 Let's see what we have. 232 00:11:14,812 --> 00:11:15,882 What is that? 233 00:11:16,848 --> 00:11:18,022 I don't know. 234 00:11:18,160 --> 00:11:20,403 It's not normal. 235 00:11:20,541 --> 00:11:21,888 - We should get OB. - No. 236 00:11:22,026 --> 00:11:23,579 We can figure it out. Just get a textbook. 237 00:11:23,717 --> 00:11:27,065 Please, I don't want more of my coworkers looking inside of me. 238 00:11:27,825 --> 00:11:30,103 Okay. 239 00:11:30,241 --> 00:11:31,656 Don't go anywhere. 240 00:11:38,905 --> 00:11:40,216 How's she doing? 241 00:11:40,354 --> 00:11:42,632 Mad. She did not want to take this wig off. 242 00:11:42,771 --> 00:11:44,876 Yeah, I'm looking at the application for your lab. 243 00:11:45,014 --> 00:11:46,326 Where it says past experience, 244 00:11:46,464 --> 00:11:48,569 does that just mean neuro research or any research? 245 00:11:48,708 --> 00:11:50,571 - You're applying to my lab? - Yeah. 246 00:11:51,572 --> 00:11:53,885 - Uh, is... is that a problem? - I'm just surprised. 247 00:11:54,023 --> 00:11:55,853 I didn't.. I didn't realize that you were still thinking 248 00:11:55,991 --> 00:11:57,337 about switching to neurosurgery. 249 00:11:57,475 --> 00:12:00,029 Yeah, I'm just keeping my options open, yeah? 250 00:12:00,167 --> 00:12:03,136 You know, it's not like casually scrolling on a dating app. 251 00:12:03,274 --> 00:12:06,104 It's a commitment. I mean, neurosurgery is incredibly demanding. 252 00:12:06,242 --> 00:12:08,072 You'd be starting over at seven more years, 253 00:12:08,210 --> 00:12:10,315 and there's just no room for error or doubt. 254 00:12:10,453 --> 00:12:13,594 You need to have the skill and the desire, or you just can't make it. 255 00:12:13,733 --> 00:12:15,769 Thanks for the TED Talk. 256 00:12:15,907 --> 00:12:17,702 I'm not saying you shouldn't do it. I'm just, I'm just saying-- 257 00:12:17,840 --> 00:12:19,566 Wait, is this because I told your kid 258 00:12:19,704 --> 00:12:21,188 that human beings were made with baby spray? 259 00:12:21,326 --> 00:12:22,431 The scans are up! 260 00:12:22,569 --> 00:12:24,398 Sorry, uh, the scans are up. 261 00:12:25,952 --> 00:12:28,333 - You see that? - Damn it, grade-four AVM. 262 00:12:28,471 --> 00:12:30,957 - What's the fix? - Endovascular coiling. 263 00:12:31,095 --> 00:12:34,408 That works for me. Okay, let's get Polly out and give her the news. 264 00:12:38,999 --> 00:12:40,621 - Bryant, you're late. - Sorry. 265 00:12:40,760 --> 00:12:44,039 Hand me a basin. Vertebra is removed. 266 00:12:44,177 --> 00:12:45,592 Let's prep for the cage. 267 00:12:45,730 --> 00:12:46,800 Take this. 268 00:12:47,525 --> 00:12:48,837 Hey, here's a question: 269 00:12:48,975 --> 00:12:50,459 If you're putting a scalpel in the dishwasher, 270 00:12:50,597 --> 00:12:52,633 would you put it in handle side up or down? 271 00:12:52,772 --> 00:12:54,221 Why am I washing the scalpel? 272 00:12:54,359 --> 00:12:56,983 I have a spine in my hands. Let's cut the chatter. 273 00:13:05,060 --> 00:13:06,164 Something wrong? 274 00:13:09,478 --> 00:13:11,066 I've never seen this before. 275 00:13:13,793 --> 00:13:15,380 Is that more tumor? 276 00:13:15,898 --> 00:13:18,176 Well, it's extended to the vertebral bodies above and below. 277 00:13:18,314 --> 00:13:19,453 You didn't see this in the scans? 278 00:13:19,591 --> 00:13:21,041 The MRI was last month. 279 00:13:21,179 --> 00:13:23,837 - It must've spread fast. - Well, can't we just use a larger cage? 280 00:13:23,975 --> 00:13:26,806 We can't replace a defect this large with just a cage. 281 00:13:26,944 --> 00:13:30,119 It's too big and it carries too high a risk of not healing or failure. 282 00:13:31,224 --> 00:13:32,225 What do you want to do? 283 00:13:37,644 --> 00:13:38,679 I-I don't know yet. 284 00:13:39,232 --> 00:13:40,716 Well, we already did the resection. 285 00:13:40,854 --> 00:13:42,511 We can't just close him and send him to the ICU-- 286 00:13:42,649 --> 00:13:44,478 You think I don't know that? - Lincoln. 287 00:13:45,790 --> 00:13:51,520 Look, we're not closing. I just, um... I just need a damn minute. 288 00:14:03,497 --> 00:14:05,845 I have a tangle of blood vessels in my brain? 289 00:14:05,983 --> 00:14:07,950 Yeah, that's what's causing your headaches. 290 00:14:08,088 --> 00:14:10,884 I'm supposing it doesn't go away with a couple of ibuprofen. 291 00:14:11,022 --> 00:14:12,058 No. 292 00:14:12,575 --> 00:14:14,923 And because it could rupture at any moment, 293 00:14:15,061 --> 00:14:17,097 I would urge you to get it fixed right away. 294 00:14:17,235 --> 00:14:20,307 I'm supposed to go to a festival in Nashville tomorrow. 295 00:14:20,445 --> 00:14:22,171 - Can I think about it? - Sure. 296 00:14:23,552 --> 00:14:24,760 Uh, it's a lot to process. 297 00:14:24,898 --> 00:14:26,693 If you need a little time, we can give it to you, 298 00:14:26,831 --> 00:14:28,315 let you consider all the options. 299 00:14:28,453 --> 00:14:32,112 But I would strongly encourage you to make a decision today. 300 00:14:32,250 --> 00:14:34,287 AVMs are impossible to predict. 301 00:14:34,425 --> 00:14:37,255 You could bleed out or have a catastrophic stroke. 302 00:14:37,393 --> 00:14:38,670 You could die. 303 00:14:41,052 --> 00:14:42,882 The three of you would do my surgery? 304 00:14:44,124 --> 00:14:46,092 Today, if you like. 305 00:14:47,714 --> 00:14:49,060 I just might. 306 00:14:49,198 --> 00:14:52,581 - Like the Dolly Parton song. - Exactly. You a Dolly fan? 307 00:14:52,719 --> 00:14:55,308 My mom, she used to make me sing "Islands in the Stream" with her 308 00:14:55,446 --> 00:14:56,930 at karaoke at the... 309 00:14:57,931 --> 00:15:00,071 You know, it-it wasn't really appropriate. 310 00:15:00,209 --> 00:15:02,073 - Book an OR. Mm-hmm. - Yep. 311 00:15:09,356 --> 00:15:11,496 Hey, hey, do these look the same to you? - Huh? 312 00:15:11,634 --> 00:15:13,809 Uh, I don't know what part of the body I'm looking at. 313 00:15:13,947 --> 00:15:16,639 We're in OB. Take a guess. What are you doing here? 314 00:15:16,777 --> 00:15:19,642 My VIP patient wants socks with fuzzy grips. 315 00:15:19,780 --> 00:15:22,300 So you're stealing them from pre and postpartum mothers? 316 00:15:22,438 --> 00:15:25,855 No, Webber exiled me to the Olympic Floor. 317 00:15:25,994 --> 00:15:27,823 I think he's waiting it out to see if I quit. 318 00:15:27,961 --> 00:15:29,618 Hey, what do you know about the new chief? 319 00:15:29,756 --> 00:15:32,310 Ivy League, great hair, loves money. - 320 00:15:32,448 --> 00:15:34,485 Probably has a hobby where he swims in a pool of cash. 321 00:15:34,623 --> 00:15:37,488 Uh... well, duty calls. 322 00:15:38,351 --> 00:15:41,871 Oh, uh, Dr. Wilson, thank God. 323 00:15:42,010 --> 00:15:43,943 Um, could I have you look at something for me, please? 324 00:15:44,081 --> 00:15:45,289 I don't work here anymore. 325 00:15:45,427 --> 00:15:47,291 But you have your Grey Sloan ID badge. 326 00:15:47,429 --> 00:15:48,637 Yeah, I'm about to hand it in. 327 00:15:48,775 --> 00:15:51,329 Well, before you do, can you please, please look? 328 00:15:53,090 --> 00:15:54,160 Is this your patient? 329 00:15:54,298 --> 00:15:55,437 It... 330 00:15:56,645 --> 00:15:59,475 It's Dr. Griffith. She made me promise not to get anyone to help, 331 00:15:59,613 --> 00:16:01,650 and I don't know what to do. 332 00:16:04,480 --> 00:16:06,517 Anesthesia's wondering how much longer you wanna keep Ken under. 333 00:16:06,655 --> 00:16:10,038 If I knew, I'd be operating. - Just the messenger. 334 00:16:14,076 --> 00:16:16,734 I keep staring at these screens hoping for an answer. 335 00:16:18,391 --> 00:16:21,981 You know, this guy brings safe water to people all around the planet 336 00:16:22,119 --> 00:16:23,499 while the rest of us destroy it. 337 00:16:23,637 --> 00:16:25,846 Because of me, he could spend the rest of his life sedated 338 00:16:25,985 --> 00:16:27,469 and flat on his back. 339 00:16:27,607 --> 00:16:29,195 Well, can you use the cage you have and try chemo 340 00:16:29,333 --> 00:16:31,714 to shrink the remaining cancer? - That's not a cure. 341 00:16:31,852 --> 00:16:33,854 The cancer could spread even more and then he's no better off. 342 00:16:33,993 --> 00:16:36,133 Yeah, clearly, it's spread fast before. - Exactly. 343 00:16:36,996 --> 00:16:38,342 No good options. 344 00:16:39,067 --> 00:16:40,378 Damn it. 345 00:16:40,516 --> 00:16:42,760 And this is why I like plastics. Soft tissue. 346 00:16:42,898 --> 00:16:45,038 We can move it around to restore form and function. 347 00:16:45,176 --> 00:16:46,522 Bones aren't skin. 348 00:16:46,660 --> 00:16:48,800 It's harder to get them to do the job of other bones. 349 00:16:48,938 --> 00:16:50,423 Well, don't we do fibula grafts all the time? 350 00:16:50,561 --> 00:16:51,803 A fibula's too small. 351 00:16:51,941 --> 00:16:54,599 You'd need a much bigger bone for a defect this... 352 00:16:57,188 --> 00:16:58,672 Bryant, run down and tell the nurses 353 00:16:58,810 --> 00:17:01,468 to bring back a few frozen cadaveric femoral grafts. 354 00:17:01,606 --> 00:17:03,436 - On it. - Isn't a femur too big? 355 00:17:03,574 --> 00:17:05,921 Not if I can sculpt it to the size we need. 356 00:17:10,167 --> 00:17:12,203 Her temp is 38 and she's tachycardiac. 357 00:17:12,341 --> 00:17:13,756 - I said get a textbook. - I know. 358 00:17:13,894 --> 00:17:16,828 I'm sorry, but I don't speak OB. And-- - Okay, okay. 359 00:17:16,966 --> 00:17:20,453 Dr. Millin showed me your ultrasound. You need to get checked out right away. 360 00:17:20,591 --> 00:17:21,868 What'd you see? 361 00:17:23,214 --> 00:17:25,803 - Okay, um... - Sorry. 362 00:17:29,427 --> 00:17:30,670 - Do you see this? - Mm-hmm. 363 00:17:30,808 --> 00:17:33,914 We call that "The snowstorm sign." 364 00:17:34,053 --> 00:17:35,088 What does that mean? 365 00:17:35,606 --> 00:17:37,090 It's a molar pregnancy. 366 00:17:37,228 --> 00:17:40,404 A mass of aberrant cells where a fetus would be. 367 00:17:40,542 --> 00:17:42,751 It's rare, but it does happen. 368 00:17:45,133 --> 00:17:46,996 I was never actually pregnant? 369 00:17:48,032 --> 00:17:49,792 Not with a viable pregnancy. 370 00:17:49,930 --> 00:17:53,072 So when I was agonizing over what to do about this baby... 371 00:17:54,763 --> 00:17:55,833 No baby? 372 00:17:55,971 --> 00:17:57,904 No. I'm sorry. 373 00:18:02,391 --> 00:18:03,565 What do we do now? 374 00:18:04,290 --> 00:18:06,706 - May I feel? Okay. - Mm-hmm. 375 00:18:06,844 --> 00:18:12,332 So, the medication that you took, mifepristone, only targets pregnancy. 376 00:18:12,470 --> 00:18:15,163 But you still have trophoblastic tissue in your uterus 377 00:18:15,301 --> 00:18:16,957 and you're getting septic. 378 00:18:19,098 --> 00:18:20,927 Okay. Ready? 379 00:18:22,377 --> 00:18:24,172 If we don't remove it... 380 00:18:24,310 --> 00:18:26,553 I could die. 381 00:18:26,691 --> 00:18:28,762 Luckily, we've caught it early. 382 00:18:29,418 --> 00:18:32,663 I'm gonna call someone from OB to give you a DandC. 383 00:18:32,801 --> 00:18:34,423 Oh, you can't... you can't do it? 384 00:18:36,115 --> 00:18:39,635 I'm not working today, but Dr. Collins is, and she's very good. 385 00:18:39,773 --> 00:18:42,190 Is there any way you can do it? 386 00:18:42,328 --> 00:18:46,125 I don't know, Dr. Collins, but I'm comfortable with you. 387 00:18:50,819 --> 00:18:52,786 Okay. Okay. 388 00:18:54,271 --> 00:18:55,582 I'm gonna change into my scrubs. 389 00:18:56,135 --> 00:18:57,653 - You get her prepped. - Okay. 390 00:18:57,791 --> 00:18:58,896 Thank you. 391 00:19:03,003 --> 00:19:05,558 S-Sorry, it took me a minute to find a warm blanket. 392 00:19:05,696 --> 00:19:07,974 I missed that day in medical school. - I appreciate that. 393 00:19:08,112 --> 00:19:10,666 But does this look like a problem? 394 00:19:13,324 --> 00:19:14,567 I need sterile towels. 395 00:19:14,705 --> 00:19:16,051 Page Dr. Webber! 396 00:19:24,542 --> 00:19:27,856 Do you all have a favorite Dolly Parton song? 397 00:19:27,994 --> 00:19:29,409 "Jolene," obviously. 398 00:19:29,547 --> 00:19:30,997 What, you don't think there's other good answers? 399 00:19:31,135 --> 00:19:33,241 It's a perfect song. 400 00:19:33,379 --> 00:19:37,348 Make sure you pull back on the syringe as you get close to the artery. 401 00:19:37,486 --> 00:19:39,419 - What do you see? - Bright red blood. I'm in. 402 00:19:39,557 --> 00:19:44,252 Grab the guide wire at the skin as soon as the needle comes out. 403 00:19:44,390 --> 00:19:45,943 - You don't want to lose it. - Yeah, I know. 404 00:19:46,081 --> 00:19:48,221 This isn't the first time I've accessed a femoral artery. 405 00:19:48,359 --> 00:19:49,809 Just making sure. 406 00:19:49,947 --> 00:19:52,329 Now nick the skin and place the dilator. - Yep. 407 00:19:57,955 --> 00:19:58,990 All right. 408 00:20:00,060 --> 00:20:04,341 All right, insert the sheath. Make sure not to advance too aggressively. 409 00:20:04,479 --> 00:20:06,412 - Do you want to do it? - Keep going. 410 00:20:06,550 --> 00:20:09,035 Some might say "9 to 5" is a pretty perfect song too. 411 00:20:09,173 --> 00:20:11,727 Isn't that from a movie where they kill their overbearing boss? 412 00:20:11,865 --> 00:20:13,315 Huh. Imagine that. 413 00:20:15,455 --> 00:20:17,319 All right. You think you wanna be a neurosurgeon? 414 00:20:17,457 --> 00:20:19,114 Let's see how far you can get. 415 00:20:20,080 --> 00:20:23,394 Just follow the femoral artery and take your time. 416 00:20:26,915 --> 00:20:28,123 Fluoro. 417 00:20:31,954 --> 00:20:33,646 These towels weren't warmed. 418 00:20:33,784 --> 00:20:36,959 Your insides are on the outside. The towels are the least of your worries. 419 00:20:37,822 --> 00:20:39,548 Kwan, do I need to remind you 420 00:20:39,686 --> 00:20:42,551 that part of the draw to this floor is that it's quiet? Shut the door. 421 00:20:42,689 --> 00:20:44,070 The nurse said that you were screaming. 422 00:20:44,208 --> 00:20:46,624 He removed his binder and his incision dehisced. 423 00:20:47,315 --> 00:20:48,592 Those things are uncomfortable. 424 00:20:48,730 --> 00:20:50,421 - That's what I said. - I paged Dr. Webber. 425 00:20:50,559 --> 00:20:53,252 Webber's in surgery, so you've got me. Can I see? 426 00:20:54,287 --> 00:20:57,842 Mr. Fazio, you didn't have to go to all this trouble to get my attention. 427 00:20:57,980 --> 00:21:01,087 - Don't make me laugh. - No, really, don't make him laugh. 428 00:21:01,225 --> 00:21:03,641 We're gonna have to get you to the OR. Kwan, prep the patient. 429 00:21:03,779 --> 00:21:06,541 You heard what Webber said. I'm not supposed to operate. 430 00:21:06,679 --> 00:21:09,268 Webber's not here. Get him down there. 431 00:21:14,583 --> 00:21:18,000 Ndugu. Glad I caught up with you. You have a moment? 432 00:21:18,138 --> 00:21:19,588 Uh, actually, I was about to-- 433 00:21:19,726 --> 00:21:23,834 I just heard that you're considering group feedback sessions. 434 00:21:23,972 --> 00:21:28,459 Uh, yeah, my residency director did them and they're, you know, interactive. 435 00:21:28,597 --> 00:21:30,496 I found it useful to learn from peers. 436 00:21:30,634 --> 00:21:32,705 Ah. 437 00:21:32,843 --> 00:21:36,191 'Cause personally, I find that doing things in groups 438 00:21:36,329 --> 00:21:38,573 can be more difficult than doing them individually. 439 00:21:38,711 --> 00:21:40,713 Noted. 440 00:21:40,851 --> 00:21:41,852 To be continued. 441 00:21:42,922 --> 00:21:43,957 Mm-hmm. 442 00:21:52,380 --> 00:21:54,243 Uh, how you doing? You okay? 443 00:21:54,382 --> 00:21:56,660 Just worried about a patient. 444 00:21:58,178 --> 00:22:00,698 - What's going on? - Can we not do this, please? 445 00:22:01,458 --> 00:22:03,045 - Do what? - This. 446 00:22:03,183 --> 00:22:05,254 The thing where I tell you my deepest, darkest feelings, 447 00:22:05,393 --> 00:22:08,223 and then you look at... you look at me like that, like you care, 448 00:22:08,361 --> 00:22:10,121 and then I feel like everything's going to be okay 449 00:22:10,259 --> 00:22:13,366 when in reality everything's a nightmare. 450 00:22:13,504 --> 00:22:15,541 I need this elevator to move faster. 451 00:22:18,026 --> 00:22:19,890 I do care about you-- 452 00:22:20,028 --> 00:22:21,995 Please don't. 453 00:22:26,414 --> 00:22:27,725 I hope your patient's okay. 454 00:22:27,863 --> 00:22:29,140 Me too. 455 00:22:33,662 --> 00:22:34,905 I changed my mind. 456 00:22:35,043 --> 00:22:37,873 My favorite song is "My Tennessee Mountain Home." 457 00:22:38,667 --> 00:22:40,220 Glad you cleared that up. 458 00:22:41,083 --> 00:22:42,602 How's it going? 459 00:22:42,740 --> 00:22:44,535 I'm passing the left internal carotid artery... 460 00:22:44,673 --> 00:22:45,778 - Contrast. - What do you see? 461 00:22:45,916 --> 00:22:48,401 I see the middle cerebral artery. 462 00:22:48,539 --> 00:22:50,679 I don't... I don't think I can make this turn. 463 00:22:51,577 --> 00:22:52,681 What are your options? 464 00:22:52,819 --> 00:22:54,407 Uh, I could keep advancing the coil... 465 00:22:54,545 --> 00:22:56,961 And risk her stroking out if you damage the vessel. 466 00:22:57,099 --> 00:22:58,515 I could use a more rigid catheter. 467 00:22:58,653 --> 00:23:00,931 Congratulations, another stroke. Try again. 468 00:23:05,314 --> 00:23:06,523 Uh... 469 00:23:07,109 --> 00:23:08,317 Dr. Adams? 470 00:23:09,974 --> 00:23:11,907 Okay, I'll take over from here. 471 00:23:14,220 --> 00:23:16,049 Okay, I'm gonna come around 472 00:23:16,187 --> 00:23:20,053 through the anterior communicating vessel 473 00:23:20,191 --> 00:23:24,333 and catheterize the AVM feeder retrograde. 474 00:23:33,929 --> 00:23:36,138 - It's too big. - Looks like a perfect fit to me. 475 00:23:36,276 --> 00:23:39,176 No, his defect is too big for a dead bone to heal in it. 476 00:23:39,314 --> 00:23:41,212 It might stabilize him for now, 477 00:23:41,350 --> 00:23:44,319 but the chances of failure are too high without a blood supply. 478 00:23:44,457 --> 00:23:46,459 So all form no function. - Yeah. 479 00:23:47,460 --> 00:23:50,705 It's too bad we can't use a fibula. It's got a great blood supply. 480 00:23:50,843 --> 00:23:53,086 - It's Wright's to go-to. - What if we could use it? 481 00:23:53,224 --> 00:23:55,019 I thought you said it's too small. - No, no, what... 482 00:23:55,951 --> 00:23:58,885 What if we take Ken's fibula and we put it inside the femur 483 00:23:59,023 --> 00:24:01,819 to vascularize the graft, throw in a little BMP. 484 00:24:03,649 --> 00:24:05,858 A bone in a bone like an orthopedic turducken. 485 00:24:05,996 --> 00:24:07,273 - Yeah. - Yes. 486 00:24:07,929 --> 00:24:09,275 Warren? 487 00:24:09,413 --> 00:24:12,312 Well, I mean, it's absurd, but it might work. 488 00:24:16,178 --> 00:24:17,456 Okay. 489 00:24:28,536 --> 00:24:30,710 - Hey, is she ready? - Uh, yeah. 490 00:24:30,848 --> 00:24:32,505 Um, I'm just gonna make a call. 491 00:24:32,643 --> 00:24:35,922 Can you have, um, anesthesia give a second dose of antibiotics, please? 492 00:24:36,060 --> 00:24:37,096 Sure. 493 00:24:40,996 --> 00:24:43,965 Hi, you've reached Atticus Lincoln. Leave a message. Thanks. 494 00:24:49,142 --> 00:24:51,524 Okay, how can I help you? 495 00:24:51,662 --> 00:24:54,320 Do you want to talk about it or... 496 00:24:55,010 --> 00:24:56,840 do you want me to distract you? - Distract me. 497 00:24:56,978 --> 00:24:58,048 Okay. 498 00:25:00,671 --> 00:25:02,535 Okay, this is a good one. 499 00:25:02,673 --> 00:25:06,505 I looked into all of the cardiothoracic research programs, 500 00:25:06,643 --> 00:25:11,648 and the one that gives me the best chance of getting a top fellowship is Ndugu's. 501 00:25:11,786 --> 00:25:14,167 What about the dogs? - I was lying to myself. 502 00:25:14,305 --> 00:25:15,341 I'm a cat person. 503 00:25:15,928 --> 00:25:18,378 Simone, how are you feeling? 504 00:25:18,517 --> 00:25:19,690 The morphine's helping. 505 00:25:19,828 --> 00:25:21,416 Okay, it'll be over soon. 506 00:25:21,554 --> 00:25:23,901 Okay, let's have two units of blood ready. 507 00:25:25,282 --> 00:25:26,870 It's just a precaution. 508 00:25:28,216 --> 00:25:31,426 It's been a while since my med school OB rotation. 509 00:25:31,564 --> 00:25:33,635 What are the chances of uterine perforation? 510 00:25:33,773 --> 00:25:36,396 Low. Less than 1%. 511 00:25:36,535 --> 00:25:38,571 Molar pregnancy can increase risk slightly, 512 00:25:38,709 --> 00:25:40,573 but overall, it's very safe. 513 00:25:40,711 --> 00:25:43,956 And you've done a lot of these? - Tons. I'm not worried. 514 00:25:46,545 --> 00:25:49,064 Hmm. Okay. 515 00:25:49,202 --> 00:25:51,101 If you're ready, we'll start sedation. 516 00:26:02,284 --> 00:26:04,770 No, take it off! Take it off! I'm sorry. I can't. I can't do this. 517 00:26:04,908 --> 00:26:07,048 Please don't make me do this. I can't do it. Please don't make me do it. 518 00:26:07,186 --> 00:26:10,430 Please, I can't, I can't. I can't do it. 519 00:26:10,569 --> 00:26:12,571 - Okay. Okay. - I can't, I can't. 520 00:26:13,295 --> 00:26:15,643 I can't do it. 521 00:26:20,130 --> 00:26:21,959 Femur's ready for the fibular graft. 522 00:26:26,550 --> 00:26:27,793 Can I get a brow wipe? 523 00:26:32,452 --> 00:26:33,833 Okay. Take two. 524 00:26:38,217 --> 00:26:40,737 Perfect alignment. - You did it. 525 00:26:40,875 --> 00:26:41,910 It's not over yet. 526 00:26:42,670 --> 00:26:45,949 Let's secure the spine, and then we can begin the anastomosis. 527 00:26:57,063 --> 00:26:58,064 You know you want to. 528 00:27:05,658 --> 00:27:07,591 - Lawyer. - Lawyer. 529 00:27:07,729 --> 00:27:10,042 All right, fascia looks good. 530 00:27:10,801 --> 00:27:15,288 Kwan, how about you help me dissect the lateral plane. 531 00:27:16,082 --> 00:27:17,359 Well, I probably shouldn't. 532 00:27:17,497 --> 00:27:18,740 Are you still worried about Webber? 533 00:27:18,878 --> 00:27:20,155 Yeah, he's the chief of the whole system. 534 00:27:20,293 --> 00:27:22,123 Yeah, because he's married to it. 535 00:27:22,261 --> 00:27:25,298 This morning you said you wanted to cut. Are you a surgical resident or not? 536 00:27:27,335 --> 00:27:28,681 Bovie. 537 00:27:32,720 --> 00:27:35,895 All right, release the external oblique above the fascia. That's it. 538 00:27:36,551 --> 00:27:37,759 That's right. 539 00:27:37,897 --> 00:27:39,692 What the hell is going on? 540 00:27:39,830 --> 00:27:44,145 Kwan, I told you no surgeries. Put that bovie down now. 541 00:27:44,283 --> 00:27:46,009 Dr. Norton. I thought I made myself clear. 542 00:27:46,147 --> 00:27:48,597 My resident has been out of commission for more than a month. 543 00:27:48,736 --> 00:27:50,979 He needs time to work his way back into the OR. 544 00:27:51,117 --> 00:27:53,982 Dr. Kwan was there when your VIP patient's bowel eviscerated. 545 00:27:54,120 --> 00:27:56,951 He called for help and applied pressure to keep it from further eviscerating 546 00:27:57,089 --> 00:27:59,885 while you were occupied elsewhere. I'd say he has worked his way back. 547 00:28:00,023 --> 00:28:03,371 And by the way, he's doing an adequate job with this sublay placement, 548 00:28:03,509 --> 00:28:06,132 which is about as good of a compliment as a resident gets from me. 549 00:28:06,270 --> 00:28:08,203 I'll take over from here. - Won't be necessary. 550 00:28:08,341 --> 00:28:10,412 - I'm about ready to close. - I see my patients through. 551 00:28:10,550 --> 00:28:11,655 You can step out. 552 00:28:17,903 --> 00:28:19,559 Uh, do you still need me to-- 553 00:28:19,698 --> 00:28:22,252 Which residents are on general today? 554 00:28:22,390 --> 00:28:23,909 Baxter, Ford, Goodwin-- 555 00:28:24,047 --> 00:28:25,565 Page Baxter on your way out. 556 00:28:35,921 --> 00:28:39,165 - Oh, Dr. Ndugu. Dr. Ndugu? - Yes? 557 00:28:39,303 --> 00:28:42,721 Yeah, so I was looking at the residency portal, and I-- 558 00:28:42,859 --> 00:28:45,620 Okay, if this is about me doing away with resident office hours, 559 00:28:45,758 --> 00:28:47,622 - let me stop you right now. - I... 560 00:28:47,760 --> 00:28:50,832 I will meet with them by appointment, but I don't have time to sit in my office, 561 00:28:50,970 --> 00:28:55,906 because in addition to doing my own job, I'm covering for Altman, Hunt, and you. 562 00:28:57,011 --> 00:29:00,808 You, you have no idea how much this favor I'm doing for you has cost me. 563 00:29:00,946 --> 00:29:03,431 So if you take issue with how I'm doing things, 564 00:29:03,569 --> 00:29:05,053 find someone else to do them. 565 00:29:06,917 --> 00:29:08,643 Did you have something to tell me? 566 00:29:09,575 --> 00:29:12,302 No, I...... I was... 567 00:29:13,717 --> 00:29:14,753 Carry on. 568 00:29:18,757 --> 00:29:20,966 - I can't do it. - Okay, just look at me. 569 00:29:21,104 --> 00:29:25,487 All right? I got you. I got you, okay? 570 00:29:25,625 --> 00:29:28,249 I know what it's like to be the doctor on the table. 571 00:29:29,388 --> 00:29:30,630 You know too much. 572 00:29:30,769 --> 00:29:33,081 It's impossible to let go, but I need you to try 573 00:29:33,219 --> 00:29:35,808 so that I can be in control and you can go to sleep. 574 00:29:35,946 --> 00:29:37,120 But what if I don't wake up? 575 00:29:37,258 --> 00:29:39,018 What if there's a complication? 576 00:29:39,156 --> 00:29:41,331 If there is one, I'll know how to fix it, 577 00:29:41,469 --> 00:29:44,299 and if I need help, my colleagues are right outside. 578 00:29:50,650 --> 00:29:51,790 Okay. 579 00:29:52,480 --> 00:29:53,964 - Okay? - Okay. 580 00:29:58,175 --> 00:29:59,314 Okay. 581 00:30:12,534 --> 00:30:14,536 - No, I can't, sorry. - Okay. 582 00:30:14,674 --> 00:30:15,675 Okay. 583 00:30:15,814 --> 00:30:16,953 I'm sorry. 584 00:30:17,091 --> 00:30:18,540 - I can't. - Okay. 585 00:30:20,819 --> 00:30:23,338 Simone, you need this procedure. 586 00:30:23,476 --> 00:30:25,133 I can't. I can't. 587 00:30:26,583 --> 00:30:29,862 Okay. What if I did it without general anesthesia? 588 00:30:30,000 --> 00:30:31,864 Does that make any difference to you? 589 00:30:33,521 --> 00:30:35,557 - I'd be awake? - Is that safe? 590 00:30:35,695 --> 00:30:38,560 It's usually more comfortable for patients if they're asleep, 591 00:30:38,698 --> 00:30:42,081 but we could use a local nerve block if that's what you want. 592 00:30:42,219 --> 00:30:45,084 You'll be awake and know what's happening the entire time. 593 00:30:46,948 --> 00:30:48,501 And I'll be with you the whole time. 594 00:30:50,400 --> 00:30:52,540 - Yeah. - Yeah? 595 00:30:52,678 --> 00:30:54,300 Yeah. Yeah, I want that. 596 00:30:54,438 --> 00:30:55,854 Okay. 597 00:30:56,924 --> 00:30:58,649 All right, everyone, change of plans. 598 00:30:58,787 --> 00:31:00,548 We're going to do a paracervical block. 599 00:31:00,686 --> 00:31:03,551 I need 20 cc's of 1% lidocaine. 600 00:31:03,689 --> 00:31:05,415 - I'm gonna go scrub. - Thank you. 601 00:31:06,036 --> 00:31:07,348 Okay. 602 00:31:10,558 --> 00:31:11,939 - All right. - Okay. 603 00:31:12,077 --> 00:31:13,250 You'll be awake the whole time. 604 00:31:16,391 --> 00:31:19,498 The torquer's tricky. Don't beat yourself up. 605 00:31:19,636 --> 00:31:21,224 You set me up to fail. 606 00:31:22,225 --> 00:31:24,123 Well, I gave you an opportunity to try. 607 00:31:24,261 --> 00:31:25,400 Is that how you see it? 608 00:31:25,538 --> 00:31:27,126 You're a resident. 609 00:31:27,264 --> 00:31:29,991 I didn't expect you to get it right on your first try. 610 00:31:30,129 --> 00:31:32,649 Yeah, you don't seem to expect me to do anything right, ever. 611 00:31:33,443 --> 00:31:35,790 That's not true. I think you're very talented. 612 00:31:35,928 --> 00:31:38,586 Yeah, but you don't think I have what it takes to clean up my crap, 613 00:31:38,724 --> 00:31:41,934 or-or answer your kid's questions, or do my job, or be a neurosurgeon. 614 00:31:42,072 --> 00:31:45,455 I didn't say that. The people who have what it takes to pursue neuro 615 00:31:45,593 --> 00:31:48,458 don't keep their options open. They zero in. 616 00:31:48,596 --> 00:31:50,632 They think about it every minute of the day. 617 00:31:50,770 --> 00:31:52,600 Derek did. I did. You're not-- 618 00:31:52,738 --> 00:31:55,258 Because I'm not you. Or him. 619 00:31:55,396 --> 00:31:57,639 And maybe I don't want to be, okay? 620 00:31:58,744 --> 00:32:03,335 My way isn't wrong or defective just because it's different from yours. 621 00:32:04,992 --> 00:32:07,477 You know, for someone who claims she was an underdog growing up, 622 00:32:07,615 --> 00:32:09,410 you sure like to tear people down. 623 00:32:18,626 --> 00:32:19,938 It could be the drugs, 624 00:32:20,076 --> 00:32:22,595 but it sounded like you said the cancer has spread, 625 00:32:22,733 --> 00:32:24,839 so I have a leg bone in my spine. 626 00:32:24,977 --> 00:32:28,222 We removed all the cancer, but, um... 627 00:32:28,360 --> 00:32:29,982 Well, yeah, that's basically what happened. 628 00:32:30,120 --> 00:32:33,572 I'm still here, so, thank you. 629 00:32:33,710 --> 00:32:35,229 I placed an order for physical therapy. 630 00:32:35,367 --> 00:32:37,265 Now it'll take some time and a lot of work, 631 00:32:37,403 --> 00:32:38,957 but you should be able to walk again. 632 00:32:39,095 --> 00:32:40,820 And we'll monitor you for a couple more days 633 00:32:40,959 --> 00:32:42,132 and keep a close eye on the pain, 634 00:32:42,270 --> 00:32:44,514 and then you can get back to saving the world. 635 00:32:44,652 --> 00:32:46,550 Is there anyone else that we should be speaking with? 636 00:32:46,688 --> 00:32:48,690 No. Just me's fine. 637 00:32:52,453 --> 00:32:55,490 - You came back? - I never left. 638 00:32:55,628 --> 00:32:58,217 I know you. You lash out when you're scared. 639 00:32:58,355 --> 00:33:02,118 I forget you're doing it every time until I remember. 640 00:33:03,326 --> 00:33:05,362 King of the jungle to help you with your strength. 641 00:33:07,330 --> 00:33:08,676 You know I'm allergic to cats? 642 00:33:08,814 --> 00:33:11,368 Just take the dumb stuffed animal and say thank you. 643 00:33:11,506 --> 00:33:13,681 We--We'll give you some privacy. 644 00:33:13,819 --> 00:33:15,200 - Yeah. - Uh, thanks. 645 00:33:15,338 --> 00:33:16,718 - What am I supposed to do? - Can't you just say thank you? 646 00:33:16,856 --> 00:33:18,548 Is it that hard? Just, "Thank you." - Come on. 647 00:33:18,686 --> 00:33:21,378 How does clean water come from such a toxic relationship? 648 00:33:21,516 --> 00:33:23,656 No one knows how other people's relationships work. 649 00:33:23,794 --> 00:33:25,589 - True, true. - Okay. 650 00:33:25,727 --> 00:33:28,558 I've got to go handle something, but, uh, I'll check on him in an hour or so. 651 00:33:28,696 --> 00:33:29,731 Yeah. 652 00:33:31,699 --> 00:33:32,596 It's a big win today. 653 00:33:32,734 --> 00:33:34,288 We got lucky. 654 00:33:34,426 --> 00:33:36,531 I should have scanned Ken yesterday. 655 00:33:36,669 --> 00:33:37,946 I was stupid and careless. 656 00:33:38,085 --> 00:33:40,397 You still found a solution. 657 00:33:40,535 --> 00:33:42,123 You know, let's, uh, let's grab a beer at Joe's. 658 00:33:44,574 --> 00:33:47,542 Uh, no. I got to catch up on some charts. 659 00:33:50,683 --> 00:33:53,100 How long till I can get back on stage? 660 00:33:53,238 --> 00:33:55,274 Oh, it'll be a few weeks. I'm sorry. 661 00:33:55,412 --> 00:33:58,622 It'll give me time to work on my act. Always room for improvement. 662 00:33:58,760 --> 00:33:59,968 How do you work on your act? 663 00:34:00,107 --> 00:34:02,937 Do you have to perfect all of Dolly's mannerisms? 664 00:34:03,075 --> 00:34:06,596 I did at first, but the reviews were terrible. 665 00:34:06,734 --> 00:34:11,118 Then finally, I realized audiences think they want a good mimic 666 00:34:11,256 --> 00:34:13,534 but what they really want is a good character. 667 00:34:13,672 --> 00:34:15,260 And that comes from me, 668 00:34:15,398 --> 00:34:18,228 knowing who I am and what I bring to the stage. 669 00:34:18,884 --> 00:34:20,058 What do you bring? 670 00:34:20,196 --> 00:34:23,268 I'm a kindergarten teacher with roots, a mom, 671 00:34:23,406 --> 00:34:27,375 I volunteer at the food bank, and I've got killer gams. 672 00:34:27,513 --> 00:34:30,482 When you are recovered, I would love to come and see you perform. 673 00:34:30,620 --> 00:34:34,072 Now Dr. Adams is gonna to be in shortly to take your post-op labs. 674 00:34:36,557 --> 00:34:38,076 You did great. 675 00:34:38,214 --> 00:34:42,080 We completely evacuated the molar pregnancy with minimal bleeding. 676 00:34:42,218 --> 00:34:43,391 Think I can go home soon? 677 00:34:43,529 --> 00:34:45,807 Well, they are going to monitor you overnight, 678 00:34:45,945 --> 00:34:47,982 but you should be discharged in the morning. 679 00:34:48,120 --> 00:34:51,330 And I gave them strict instructions, no unwanted guests. 680 00:34:51,468 --> 00:34:52,504 Thank you. 681 00:34:53,125 --> 00:34:55,990 And thanks for letting me stay awake. 682 00:34:56,128 --> 00:34:59,614 It meant... it meant more than you know. 683 00:35:00,236 --> 00:35:03,998 My mom had a complication here years ago. 684 00:35:04,619 --> 00:35:05,655 I just... 685 00:35:06,311 --> 00:35:09,072 just needed to know what was happening to me. 686 00:35:09,935 --> 00:35:11,109 I get it. 687 00:35:13,283 --> 00:35:15,113 I'm glad it all worked out. 688 00:35:15,251 --> 00:35:16,735 - Get some rest. - Yeah. 689 00:35:31,198 --> 00:35:33,890 Sorry you didn't get to see the surgery through. 690 00:35:34,028 --> 00:35:35,892 - I tried. - It's okay. 691 00:35:36,030 --> 00:35:38,688 His JP output looks good though. - Ah, that's what matters. 692 00:35:39,309 --> 00:35:41,104 Hey, help me with this, will you? 693 00:35:42,347 --> 00:35:44,797 You know he can't tell that it's warm. - He's VIP. 694 00:35:44,935 --> 00:35:48,525 He gets what he wants even when he's asleep. 695 00:35:48,663 --> 00:35:50,734 Sounds like one of his ads. - I'll pitch it to him. 696 00:35:50,872 --> 00:35:54,082 You think he'd be more successful if he spent more time on his cases 697 00:35:54,221 --> 00:35:56,015 and less time filming commercials? 698 00:35:56,154 --> 00:35:57,534 You don't think he's successful? 699 00:35:58,363 --> 00:36:02,090 The guy owns a ginormous house in Laurelhurst, plus two boats. 700 00:36:02,229 --> 00:36:07,924 He may be a tacky ambulance chaser with an annoyingly catchy ad, 701 00:36:08,062 --> 00:36:11,307 but he doesn't take a dime unless his client wins. 702 00:36:11,997 --> 00:36:15,207 You know, say what you will about his tactics but he fights for them. 703 00:36:16,208 --> 00:36:17,899 And gets them what they want. 704 00:36:25,424 --> 00:36:28,565 Dr. Berse, it's Atticus Lincoln. 705 00:36:30,084 --> 00:36:32,086 Well, I'm, uh... 706 00:36:32,224 --> 00:36:35,089 I'm having some pain again and, uh... 707 00:36:35,227 --> 00:36:37,747 Yeah, I'm trying to push through, but, uh... 708 00:36:40,198 --> 00:36:41,544 Could you... 709 00:36:42,061 --> 00:36:43,408 call in a refill? 710 00:36:47,170 --> 00:36:48,516 Hey, Lucas. 711 00:36:49,345 --> 00:36:50,622 Stop. 712 00:36:50,760 --> 00:36:53,038 Just stop walking. 713 00:36:55,074 --> 00:36:56,559 You're not a failure. 714 00:36:57,111 --> 00:36:58,561 Is that an apology? 715 00:36:59,734 --> 00:37:01,391 I was the underdog in my family. 716 00:37:03,462 --> 00:37:04,705 What am I saying? 717 00:37:05,706 --> 00:37:08,295 I don't have to tell you that, you know the stories. 718 00:37:08,916 --> 00:37:11,367 But now I am an accomplished surgeon. 719 00:37:12,057 --> 00:37:15,957 And your mom and your aunts still treat me like I can't get anything right. 720 00:37:16,095 --> 00:37:17,235 You don't deserve that. 721 00:37:17,787 --> 00:37:21,239 It is true. You don't do things the way I would. 722 00:37:21,377 --> 00:37:24,897 But that doesn't mean you wouldn't make an excellent neurosurgeon. 723 00:37:26,968 --> 00:37:29,108 I want to help you find your path. 724 00:37:29,937 --> 00:37:31,766 Even if it doesn't end up being mine. 725 00:37:31,904 --> 00:37:33,665 So come work in my lab. 726 00:37:34,562 --> 00:37:37,979 I will be more open-minded, I promise. 727 00:37:40,948 --> 00:37:43,053 - I'll think about it. - Okay. 728 00:37:44,020 --> 00:37:45,470 And I'm moving out. 729 00:37:47,023 --> 00:37:48,266 It's time. 730 00:38:02,659 --> 00:38:04,385 Dr. Webber. 731 00:38:04,523 --> 00:38:07,146 Look, if you're here to make excuses about what happened, don't bother. 732 00:38:07,285 --> 00:38:09,148 I wasn't planning to. 733 00:38:09,287 --> 00:38:12,738 I thought I made myself clear about my expectations for you today. 734 00:38:12,876 --> 00:38:15,431 - Yeah, you definitely did. - Good. You're dismissed for the day. 735 00:38:20,125 --> 00:38:22,783 Kwan, I just said you could go. 736 00:38:23,439 --> 00:38:26,269 I know, but the Chief said that-- - The Chief... 737 00:38:27,063 --> 00:38:29,548 - The Chief? - Chief Norton. 738 00:38:29,686 --> 00:38:32,896 He said that I could scrub in on his latissimus flap tomorrow 739 00:38:33,034 --> 00:38:35,692 and to put my name under his. 740 00:38:45,323 --> 00:38:47,083 Good night, Dr. Webber. 741 00:38:47,221 --> 00:38:50,258 ♪ Ripple through The sound waves♪ 742 00:38:50,397 --> 00:38:55,091 ♪ Time will go And time will change♪ 743 00:38:55,229 --> 00:38:59,337 ♪ Simple But so hard to say...♪ 744 00:39:00,648 --> 00:39:01,649 Hi. 745 00:39:02,478 --> 00:39:03,513 Hi. 746 00:39:04,790 --> 00:39:07,275 Everything go okay with your patient? - Yeah. 747 00:39:08,035 --> 00:39:09,070 She's doing fine. 748 00:39:12,039 --> 00:39:13,523 Good. I'm glad to hear it. 749 00:39:13,661 --> 00:39:15,870 Our lives are full of mysteries. 750 00:39:16,664 --> 00:39:20,496 You could round a corner and meet your soul mate or your death. 751 00:39:21,669 --> 00:39:23,878 - I'm home. - How'd it go? 752 00:39:24,016 --> 00:39:26,709 Well, the paper is done. 753 00:39:26,847 --> 00:39:28,918 Plus, I got a reminder of what it's like 754 00:39:29,056 --> 00:39:32,404 to cram five people into a studio apartment. 755 00:39:32,542 --> 00:39:34,579 Did you at least get some cheap pizza? - You know, I did. 756 00:39:37,133 --> 00:39:39,929 And I'm sorry about this morning. 757 00:39:40,067 --> 00:39:44,243 You have taken on more around here to help me, 758 00:39:44,382 --> 00:39:48,282 and I micromanaged the way you were doing it. 759 00:39:48,420 --> 00:39:51,389 - Whoa. - I just... Stop. No, look, 760 00:39:51,527 --> 00:39:56,359 oh, just going back to school is making me feel like I don't know what I'm doing. 761 00:39:57,429 --> 00:40:00,156 You know, viral disease trends, 762 00:40:00,294 --> 00:40:03,642 descriptive epidemiology, like everyone's speaking another language. 763 00:40:03,780 --> 00:40:06,334 I'm just racing to catch up. 764 00:40:06,473 --> 00:40:11,478 I think I just wanted to feel like I was an expert at something. 765 00:40:12,548 --> 00:40:14,791 When I should have just said thank you. 766 00:40:16,586 --> 00:40:17,553 You're welcome. 767 00:40:17,691 --> 00:40:19,693 Mmm. 768 00:40:20,866 --> 00:40:22,937 And I got something for you. 769 00:40:23,075 --> 00:40:24,387 - For me? - Mm-hmm. 770 00:40:27,252 --> 00:40:28,840 Bam. 771 00:40:28,978 --> 00:40:31,256 No children were involved in the loading of this dishwasher. 772 00:40:31,394 --> 00:40:32,844 Well then, how did you know-- 773 00:40:32,982 --> 00:40:35,985 Because I am an expert in you, Miranda Bailey. 774 00:40:36,123 --> 00:40:39,126 Expert in me. 775 00:40:39,678 --> 00:40:42,025 There's no way to predict what's waiting around the bend. 776 00:40:46,961 --> 00:40:48,480 Your meeting ran late? 777 00:40:52,001 --> 00:40:53,623 The meeting never happened. 778 00:40:54,590 --> 00:40:58,559 I got pulled into a DandC that was more complicated than expected. 779 00:40:59,457 --> 00:41:01,079 - Are you okay? - No. 780 00:41:02,494 --> 00:41:06,049 I'm sorry. You never should have gone into that meeting. 781 00:41:06,187 --> 00:41:09,225 You wouldn't have gotten pulled in-- - No, it's not that. I'm just... 782 00:41:10,675 --> 00:41:12,642 I'm really good at this. 783 00:41:13,401 --> 00:41:15,714 I'm extremely skilled at these procedures. 784 00:41:15,852 --> 00:41:19,062 I listen to my patients, I treat their heartbreak and their pain. 785 00:41:19,200 --> 00:41:22,065 And this field needs every doctor that they can get and I love it. 786 00:41:22,203 --> 00:41:26,035 I really love what I do, but I can't practice medicine anymore 787 00:41:26,173 --> 00:41:28,796 without reliving something that almost killed me. 788 00:41:30,004 --> 00:41:33,491 Do you think it'll get better with time? - I don't know. 789 00:41:38,875 --> 00:41:40,498 I just want to go home. 790 00:41:42,154 --> 00:41:43,811 Yeah, let's get out of here. 791 00:41:47,574 --> 00:41:50,369 All you can do is put one foot in front of the other 792 00:41:51,163 --> 00:41:52,820 and lean on what supports you. 793 00:42:09,112 --> 00:42:11,080 And trust it's there... 794 00:42:14,221 --> 00:42:16,223 even when you can't see it.