1 00:00:04,810 --> 00:00:08,910 until recently western medicine held that our bodies have only two 2 00:00:08,910 --> 00:00:14,590 circulatory systems the cardiovascular which pumps blood and the lymphatic 3 00:00:14,590 --> 00:00:21,570 which drains fluids but in 2021 scientists discovered 4 00:00:21,570 --> 00:00:25,270 that tattoo ink somehow travels from the skin down into the fascia 5 00:00:28,900 --> 00:00:32,000 Why are these so damp? We needed the dryer. You were not home. Yeah, because 6 00:00:32,000 --> 00:00:35,320 I was up late prepping your elective cases for the week. Oh, what was Lucy 7 00:00:35,320 --> 00:00:39,040 Miller's ICP this morning? Oh, I'm not on the floor yet, so... She's also going 8 00:00:39,040 --> 00:00:40,040 to need a follow-up CT. 9 00:00:40,400 --> 00:00:43,800 Wait, are we rounding now? Just please make sure to read the notes. 10 00:00:44,000 --> 00:00:45,300 Okay, last bites and sips. 11 00:00:45,980 --> 00:00:52,280 Mama, could I use the baby spray so I can have a proper... Yeah, I meant to 12 00:00:52,280 --> 00:00:56,020 tell you, Scott asked me where babies come from. And you went with baby spray? 13 00:00:56,300 --> 00:00:57,300 Yeah, you know, like... 14 00:00:57,470 --> 00:00:58,470 Spider-Man. 15 00:00:59,230 --> 00:01:05,930 I was trying to work with what he knows. I'm going to get ICP. Got it. 16 00:01:06,830 --> 00:01:12,230 This finding suggested a third circulatory system, connecting skin to 17 00:01:12,230 --> 00:01:13,870 the fascia and organs beneath. 18 00:01:14,390 --> 00:01:18,690 Hey, how's your group paper going? You'd think having more people writing would 19 00:01:18,690 --> 00:01:19,690 make it easier. 20 00:01:19,750 --> 00:01:20,750 It's due tomorrow, though, right? 21 00:01:21,270 --> 00:01:23,190 I'm just saying. At least it's over. 22 00:01:23,650 --> 00:01:25,890 If only I could finish my part. 23 00:01:27,220 --> 00:01:30,440 Hey, I will take care of that. You can just go on and get back to work, okay? 24 00:01:30,580 --> 00:01:31,700 You can just call me Dish Daddy. 25 00:01:31,960 --> 00:01:33,260 I most certainly will not. 26 00:01:36,680 --> 00:01:39,680 You know, the silverware won't get clean like that. 27 00:01:40,940 --> 00:01:41,798 Yes, it will. 28 00:01:41,800 --> 00:01:44,260 And, you know, I won't stab myself when I go to unload. 29 00:01:45,080 --> 00:01:49,160 Do you do it blindfolded? See, this is why I do the dishes. No, no, move over. 30 00:01:49,540 --> 00:01:51,480 Because, hey, look, this needs to be hot. 31 00:01:51,840 --> 00:01:52,619 Like this. 32 00:01:52,620 --> 00:01:57,160 Ah, and all those bowls need to come down. It's called the interstitium, and 33 00:01:57,160 --> 00:02:00,260 the function is... Well, we're still figuring that out. 34 00:02:00,980 --> 00:02:02,780 Hey, have you seen my trim at all? 35 00:02:03,300 --> 00:02:04,540 Well, I threw it out. 36 00:02:05,140 --> 00:02:07,200 Well, I thought that you weren't in pain anymore. 37 00:02:07,540 --> 00:02:08,540 Well, I just... 38 00:02:08,600 --> 00:02:12,520 I get sore after operating sometimes, and I've got that spinal tumor patient 39 00:02:12,520 --> 00:02:16,440 today. You want to meet up after your meeting? I wasn't planning on sticking 40 00:02:16,440 --> 00:02:20,860 around. It's annoying that I even have to go in at all. When I said I quit, I 41 00:02:20,860 --> 00:02:25,240 meant it. You spent years training. They just want to make sure you're sure. I 42 00:02:25,240 --> 00:02:26,740 was sure two weeks ago. 43 00:02:27,000 --> 00:02:28,700 You know, can you take over? I have to go change. 44 00:02:28,980 --> 00:02:31,040 Yeah. But we know this much. 45 00:02:31,700 --> 00:02:36,420 When it comes to support systems, life is a lot more complicated than we 46 00:02:36,420 --> 00:02:37,420 thought. 47 00:02:44,430 --> 00:02:45,430 Good morning. 48 00:02:45,890 --> 00:02:49,670 I didn't have ginger, so I got you mint and something called Ruivos. 49 00:02:50,630 --> 00:02:53,170 I still don't know how to say it. Thank you. You're welcome. 50 00:02:54,410 --> 00:02:55,950 I'm sure you shouldn't take the day off. 51 00:02:56,170 --> 00:02:56,649 I'm fine. 52 00:02:56,650 --> 00:02:59,530 A little crampy, but that's to be expected after the pills. Okay. 53 00:03:00,270 --> 00:03:02,930 And how are you feeling? I'm okay. 54 00:03:03,730 --> 00:03:04,730 I'll be okay. 55 00:03:04,910 --> 00:03:06,050 I know it's the right decision. 56 00:03:06,430 --> 00:03:07,430 Okay. 57 00:03:07,780 --> 00:03:11,640 I can open my own door. I don't know what to tell you. I'm a gentleman, okay? 58 00:03:11,800 --> 00:03:13,180 I'm seeing you later, yes? Yes. 59 00:03:13,460 --> 00:03:14,460 Okay. 60 00:03:16,880 --> 00:03:17,880 What are you doing? 61 00:03:18,320 --> 00:03:19,860 Some people punch punching bags. 62 00:03:20,700 --> 00:03:22,400 I stab suture trainers. 63 00:03:22,720 --> 00:03:29,220 And now, on his first day back from Central Michigan, Vincent Guagna. 64 00:03:30,200 --> 00:03:34,060 You should take this. Do you know any apartments for rent? Not at a retirement 65 00:03:34,060 --> 00:03:35,080 home. Then no. 66 00:03:35,870 --> 00:03:36,870 Good morning, everyone. 67 00:03:37,030 --> 00:03:38,030 Good morning. 68 00:03:38,970 --> 00:03:42,090 So for those of you considering subspecialties, it is time to look for 69 00:03:42,090 --> 00:03:42,909 research opportunities. 70 00:03:42,910 --> 00:03:44,910 If you want to be competitive for fellowships, you'll need to line 71 00:03:44,910 --> 00:03:46,450 something up within the next few weeks. 72 00:03:46,650 --> 00:03:49,950 I just posted open positions to the portal. If you have any questions or you 73 00:03:49,950 --> 00:03:51,670 need anything at all, just come find me. 74 00:03:52,450 --> 00:03:53,450 Let's have a good day. 75 00:03:54,910 --> 00:03:58,950 Great. One more thing to do. Still thinking cardiothoracic? Thinking it's 76 00:03:58,950 --> 00:03:59,950 none of your business. 77 00:04:00,750 --> 00:04:02,370 She's just having a bad... Personality? 78 00:04:03,190 --> 00:04:04,190 Yeah. 79 00:04:08,560 --> 00:04:13,660 You want to cancel the weekly chief's meetings? If you do the math, 14 people 80 00:04:13,660 --> 00:04:17,279 in a two-hour meeting, that's 28 man-hours wasted each week on something 81 00:04:17,279 --> 00:04:18,279 that could be an email. 82 00:04:19,260 --> 00:04:21,720 I'll think about it. 83 00:04:22,000 --> 00:04:25,800 Morning. It appears that I'm on your service, Dr. Weber. 84 00:04:27,060 --> 00:04:28,860 Sir? He requested you. 85 00:04:29,930 --> 00:04:33,390 Oh, well, I saw that you had a whip ball on your schedule. I've been practicing 86 00:04:33,390 --> 00:04:35,550 my hepatic OJ. That won't be necessary. 87 00:04:35,890 --> 00:04:38,430 I've got a VIP patient and needs post-op monitoring. 88 00:04:38,690 --> 00:04:43,410 No problem. I can do that before I scrub in. I don't think you understand. 89 00:04:44,450 --> 00:04:48,710 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 00:04:56,330 --> 00:04:57,330 Give him time. 92 00:04:57,710 --> 00:04:59,410 or expensive chocolate works too. 93 00:05:00,770 --> 00:05:05,810 Dr. Shepard, Dr. Adams, meet Pauline Darnold. Please call me Polly Dart. She 94 00:05:05,810 --> 00:05:08,390 is a Dolly Parton impersonator. She don't say. 95 00:05:08,670 --> 00:05:09,870 What brings you in? 96 00:05:10,460 --> 00:05:12,340 Feels like my head's heavier than my hair. 97 00:05:12,580 --> 00:05:13,600 Can you be more specific? 98 00:05:13,840 --> 00:05:17,360 Worst headache of my life. When did it start? This morning, during my sound 99 00:05:17,360 --> 00:05:20,060 check. A tech company hired me for their corporate retreat. 100 00:05:20,380 --> 00:05:24,180 It hurt so much, I could barely see, but I'd already cashed the check. So I put 101 00:05:24,180 --> 00:05:27,340 on my lashes, hacked up my boobs, and sang the best I could. 102 00:05:27,620 --> 00:05:30,960 Well, hopefully we can get to the bottom of this and get you some relief. Dr. 103 00:05:31,060 --> 00:05:32,780 Adams, why don't you start on the exam? 104 00:05:33,300 --> 00:05:34,300 Why don't I take a look? 105 00:05:34,600 --> 00:05:35,600 All right. 106 00:05:37,380 --> 00:05:38,720 All right, a little slower. 107 00:05:42,160 --> 00:05:43,099 All right. 108 00:05:43,100 --> 00:05:44,100 Pull on my finger. 109 00:05:46,620 --> 00:05:48,760 Extraocular muscles are intact. 110 00:05:50,740 --> 00:05:51,740 Symmetric smile. 111 00:05:51,940 --> 00:05:52,940 Pump your cheeks. 112 00:05:53,040 --> 00:05:54,019 Raise your eyebrows. 113 00:05:54,020 --> 00:05:55,020 Any ringing in your ears? 114 00:05:55,220 --> 00:05:56,320 Not a peep. Yeah. 115 00:05:57,120 --> 00:05:59,360 Cranial nerve seems stable. No facial weakness. 116 00:05:59,700 --> 00:06:02,940 We should rule out a stroke or a bleed. Let's start with a non-contrast head CT. 117 00:06:03,340 --> 00:06:04,420 All right. Call the order in. 118 00:06:06,300 --> 00:06:07,300 He's a keeper. 119 00:06:08,940 --> 00:06:11,840 The app says the water purifying kits arrived yesterday. 120 00:06:12,260 --> 00:06:15,860 Well, there's a village in Sierra Leone who would argue otherwise. So either 121 00:06:15,860 --> 00:06:18,640 I'm... Sorry for interrupting. 122 00:06:18,940 --> 00:06:21,040 Don't be. We're just talking about work. 123 00:06:21,380 --> 00:06:25,320 Ken started a non-profit that brings clean drinking water to developing 124 00:06:25,320 --> 00:06:29,860 countries. I'm Jasmine, co-founder of said non-profit, slash Ken Miseride, 125 00:06:29,940 --> 00:06:30,940 slash ex-wife. 126 00:06:31,200 --> 00:06:32,620 We like to keep things complicated. 127 00:06:33,080 --> 00:06:35,020 Are you taking me to surgery? 128 00:06:35,260 --> 00:06:36,260 Soon. 129 00:06:37,100 --> 00:06:39,370 Griffith. We're on a schedule here. 130 00:06:39,790 --> 00:06:45,210 Ken Nguyen, 37, history of osteosarcoma in the spine at L3, here for a vertebral 131 00:06:45,210 --> 00:06:46,410 resection and spinal reconstruction. 132 00:06:46,770 --> 00:06:50,850 I will replace the cancerous vertebra with a titanium cage filled with bone 133 00:06:50,850 --> 00:06:51,649 graft material. 134 00:06:51,650 --> 00:06:55,330 And then I will cover with paraspinous muscle to make sure that the spinal cord 135 00:06:55,330 --> 00:06:57,870 and implant are protected. How long is the recovery? 136 00:06:58,170 --> 00:07:00,930 When will he be back to his old self? That's not supposed to mean. 137 00:07:01,960 --> 00:07:03,160 It's a normal question. 138 00:07:03,380 --> 00:07:07,240 You mean when can I get back to work? I didn't say that. You didn't have to. All 139 00:07:07,240 --> 00:07:08,240 you care about is work. 140 00:07:08,440 --> 00:07:11,900 You're controlling and overbearing. You need to be calm right now, and clearly 141 00:07:11,900 --> 00:07:14,720 I'm an impediment to that. So I'm going to go answer some emails. 142 00:07:15,520 --> 00:07:16,520 Call me if he croaks. 143 00:07:18,640 --> 00:07:19,720 Should I get him prepped? 144 00:07:19,940 --> 00:07:20,940 Yeah, that feels right. 145 00:07:26,030 --> 00:07:28,310 Have you looked at the open research positions yet? 146 00:07:28,970 --> 00:07:32,790 Salomon's studying mitral regurgitation in dogs. I could get paid to pet dogs, 147 00:07:33,030 --> 00:07:34,550 which, frankly, is something I could use. 148 00:07:35,490 --> 00:07:36,490 Something wrong? 149 00:07:37,070 --> 00:07:40,670 Cramps? You shouldn't still be in this much pain after a medication abortion. 150 00:07:40,890 --> 00:07:41,890 Have you followed up with your OB? 151 00:07:41,970 --> 00:07:44,370 When am I supposed to do that? Hey, are you okay? 152 00:07:44,590 --> 00:07:46,010 Fine, yeah. Just a little discomfort. 153 00:07:46,250 --> 00:07:46,849 You sure? 154 00:07:46,850 --> 00:07:49,850 Yeah. Okay. Well, you missed an epic battle. It's just like, why get a 155 00:07:49,850 --> 00:07:51,510 divorce if you're going to keep working together? 156 00:07:51,730 --> 00:07:52,730 Don't catch her, Patrick! 157 00:07:53,150 --> 00:07:55,290 I'm going to get her into her room. I'm okay. 158 00:07:55,750 --> 00:07:56,750 Okay. 159 00:07:57,150 --> 00:07:58,150 Let's go in here. 160 00:08:11,190 --> 00:08:15,830 Ms. Bromley in room 1409 needs a bolus of LR. Okay, I'll be in the conference 161 00:08:15,830 --> 00:08:19,390 room if anyone needs me. Dr. Bailey, can I ask you a quick question? Besides that 162 00:08:19,390 --> 00:08:21,150 one? Yeah, it's about the schedule. 163 00:08:21,710 --> 00:08:25,170 Have you ever extended a rotation to cover a request for bereavement leave? 164 00:08:27,530 --> 00:08:29,250 Rarely, but let me see. 165 00:08:30,510 --> 00:08:34,010 Wait, what am I looking at? What happened to my spreadsheet that I gave 166 00:08:34,010 --> 00:08:37,570 you? Oh, a med school friend recommended this app. Residents input their requests 167 00:08:37,570 --> 00:08:39,510 and it optimizes the schedule for everyone. 168 00:08:41,100 --> 00:08:47,580 Well, does this magic app account for, you know, who needs protected time for 169 00:08:47,580 --> 00:08:53,640 research or who's behind on their case logs or whose uncle coincidentally needs 170 00:08:53,640 --> 00:08:56,900 to be driven to dialysis whenever the Mariners make the playoffs? 171 00:08:57,240 --> 00:09:02,520 Probably not. Yeah. See, no computer can optimize better than a residency 172 00:09:02,520 --> 00:09:07,180 director who knows her or his residents. Try my spreadsheet. 173 00:09:07,440 --> 00:09:08,440 You'll never go back. 174 00:09:09,500 --> 00:09:10,900 I will take a look. 175 00:09:13,920 --> 00:09:18,380 Here. If you're ever in an accident or suspect you might have been in an 176 00:09:18,380 --> 00:09:19,640 accident, call me. 177 00:09:21,340 --> 00:09:23,240 Hey, you're that lawyer with the ads. 178 00:09:23,540 --> 00:09:28,300 If you're injured and you need a pro called Lloyd Fazio, lawyer. 179 00:09:29,660 --> 00:09:31,900 Guilty. And you are Dr. 180 00:09:32,200 --> 00:09:34,060 Kwan. I am assigned to you today. 181 00:09:34,420 --> 00:09:35,840 May I take a look at your incision? 182 00:09:36,160 --> 00:09:38,160 I'd love an Arnold Palmer first. 183 00:09:38,810 --> 00:09:41,550 Well, I'm a doctor, but I will check with patient services. 184 00:09:41,790 --> 00:09:44,490 Yesterday, the head doctor up here mixed it for me himself. 185 00:09:45,650 --> 00:09:49,950 I'll see what I can find. First, may I take a look? Fine. Have at it. 186 00:09:50,770 --> 00:09:53,990 So, how are you feeling? Any pain? 187 00:09:54,450 --> 00:09:57,410 I mean, the kind that comes with having your stomach cut open. 188 00:10:01,030 --> 00:10:01,989 Don't worry. 189 00:10:01,990 --> 00:10:03,150 I won't sue you. 190 00:10:03,570 --> 00:10:06,550 Fortunately, everything looks good. 191 00:10:07,000 --> 00:10:09,920 Oh, do you have to put that back on? It's so uncomfortable. 192 00:10:10,260 --> 00:10:13,800 It supports recovery. You want it on. Trust me. All right, I will be back. 193 00:10:15,920 --> 00:10:16,920 60-40. 194 00:10:17,440 --> 00:10:20,460 Huh? 60% iced tea, 40% lemonade. 195 00:10:21,340 --> 00:10:22,340 Right. 196 00:10:25,080 --> 00:10:26,080 Oh, 197 00:10:27,540 --> 00:10:28,239 it's Lincoln. 198 00:10:28,240 --> 00:10:29,179 You should go. 199 00:10:29,180 --> 00:10:32,840 But what about you? I'm sure. Everything is fine, and no offense, but I don't 200 00:10:32,840 --> 00:10:34,020 want you here for this part anyway. 201 00:10:34,540 --> 00:10:35,540 Sure. Please. 202 00:10:36,740 --> 00:10:38,000 Go. Thank you. 203 00:10:42,080 --> 00:10:43,080 Okay. 204 00:10:43,840 --> 00:10:44,840 Scoot down. 205 00:10:44,980 --> 00:10:48,380 Do we really have to do this? Make sure that you don't have any residual tissue 206 00:10:48,380 --> 00:10:50,140 making you septic. Yes, we do. 207 00:10:52,480 --> 00:10:54,820 Just kill me, you know? I'm over it. 208 00:10:55,380 --> 00:10:58,200 Great touch and a little bit of pressure. 209 00:11:00,400 --> 00:11:04,480 Aren't you on plastics today? I told them I ate a bad salad and maybe had 210 00:11:04,480 --> 00:11:05,480 that diarrhea thing. 211 00:11:06,580 --> 00:11:07,940 Let's see what we have. 212 00:11:09,800 --> 00:11:10,800 What is that? 213 00:11:12,240 --> 00:11:13,240 I don't know. 214 00:11:14,180 --> 00:11:15,180 It's not normal. 215 00:11:15,540 --> 00:11:16,540 We should get OB. 216 00:11:16,620 --> 00:11:18,800 We can figure it out. Just get a textbook. 217 00:11:19,100 --> 00:11:22,200 Please, I don't want more of my co-workers looking inside of me. 218 00:11:23,100 --> 00:11:24,100 Okay. 219 00:11:25,580 --> 00:11:26,580 But don't go anywhere. 220 00:11:34,060 --> 00:11:35,060 How's she doing? 221 00:11:35,580 --> 00:11:39,000 Mad. She did not want to take this wig off. Yeah, I'm looking at the 222 00:11:39,000 --> 00:11:42,260 application for your lab. Where's this past experience? Does that just mean 223 00:11:42,260 --> 00:11:45,220 neuro research or any research? You're applying to my lab? Yeah. 224 00:11:46,980 --> 00:11:51,000 Is that a problem? I'm just surprised I didn't realize that you were still 225 00:11:51,000 --> 00:11:54,520 thinking about switching to neurosurgery. Yeah, I'm just keeping my 226 00:11:54,520 --> 00:11:55,520 options open here. 227 00:11:55,530 --> 00:11:58,930 It's not like casually scrolling on a dating app. It's a commitment. 228 00:11:59,150 --> 00:12:01,210 I mean, neurosurgery is incredibly demanding. 229 00:12:01,530 --> 00:12:04,810 You'd be starting over at seven more years, and there's just no room for 230 00:12:04,810 --> 00:12:08,650 error or doubt. You need to have the skill and the desire, or you just can't 231 00:12:08,650 --> 00:12:09,890 make it. Thanks for the TED Talk. 232 00:12:11,150 --> 00:12:13,950 I'm not saying you shouldn't do it. I'm just saying. Wait, is this because I 233 00:12:13,950 --> 00:12:17,190 told your kid that human beings were made with baby spray? The scans are up. 234 00:12:17,970 --> 00:12:19,510 Sorry, the scans are up. 235 00:12:21,050 --> 00:12:22,050 You see that? 236 00:12:22,430 --> 00:12:24,550 Damn it, grade four AVM. What's the fix? 237 00:12:25,140 --> 00:12:28,660 Endovascular coiling. Yeah, it works for me. Okay, let's get Polly out and give 238 00:12:28,660 --> 00:12:29,660 her the news. 239 00:12:34,420 --> 00:12:35,780 Bryant, you're late. Sorry. 240 00:12:36,020 --> 00:12:37,020 Hand me a basin. 241 00:12:37,380 --> 00:12:38,380 Vertebra is removed. 242 00:12:39,300 --> 00:12:40,320 Let's prep for the cage. 243 00:12:40,880 --> 00:12:41,880 Take this. 244 00:12:42,800 --> 00:12:43,800 Here's a question. 245 00:12:44,020 --> 00:12:45,620 You're putting a scalpel in a dishwasher. 246 00:12:45,900 --> 00:12:47,820 Put it in handle side up or down? 247 00:12:48,100 --> 00:12:49,260 Why am I washing the scalpel? 248 00:12:49,520 --> 00:12:52,000 I have a spine in my hands. Let's cut the chatter. 249 00:13:04,680 --> 00:13:05,680 I've never seen this before. 250 00:13:08,840 --> 00:13:10,300 Is that more tumor? 251 00:13:11,080 --> 00:13:14,200 It's extended to the vertebral bodies above and below you. You didn't see this 252 00:13:14,200 --> 00:13:14,859 in the scans? 253 00:13:14,860 --> 00:13:16,020 It was last month. 254 00:13:16,220 --> 00:13:17,220 It must have spread fast. 255 00:13:17,620 --> 00:13:18,740 Can we just use a larger cage? 256 00:13:19,100 --> 00:13:23,040 We can't replace a defect this large with just a cage. It's too big and it 257 00:13:23,040 --> 00:13:24,980 carries too high a risk of not healing or failure. 258 00:13:26,320 --> 00:13:27,320 What do you want to do? 259 00:13:32,640 --> 00:13:33,660 I don't know yet. 260 00:13:34,570 --> 00:13:37,510 Well, we already did the resection. We can't just close him and send him to the 261 00:13:37,510 --> 00:13:39,310 ICU. You think I don't know that? LinkedIn. 262 00:13:40,610 --> 00:13:41,830 Look, we're not closing. 263 00:13:42,690 --> 00:13:46,310 I just... I just need a damn minute. 264 00:13:55,990 --> 00:13:59,070 I have a tangle of blood vessels in my brain? Yeah. 265 00:13:59,290 --> 00:14:00,730 It's what's causing your headaches. 266 00:14:01,030 --> 00:14:03,510 I'm supposing it doesn't go away with a couple of ibuprofen. 267 00:14:03,940 --> 00:14:04,940 No. 268 00:14:05,100 --> 00:14:09,500 And because it could rupture at any moment, I would urge you to get it fixed 269 00:14:09,500 --> 00:14:12,340 right away. I'm supposed to go to a festival in Nashville tomorrow. 270 00:14:13,060 --> 00:14:14,740 Can I think about it? Sure. 271 00:14:16,140 --> 00:14:17,140 It's a lot to process. 272 00:14:17,320 --> 00:14:20,380 If you need a little time, we can give it to you. Let you consider all the 273 00:14:20,380 --> 00:14:24,880 options. But I would strongly encourage you to make a decision today. 274 00:14:25,200 --> 00:14:29,380 AVMs are impossible to predict. You could bleed out or have a catastrophic 275 00:14:29,380 --> 00:14:30,840 stroke. You could die. 276 00:14:33,740 --> 00:14:35,320 The three of you would do my surgery? 277 00:14:36,840 --> 00:14:38,460 Today. If you like. 278 00:14:40,100 --> 00:14:41,100 I just might. 279 00:14:41,500 --> 00:14:43,360 Like the Dolly Parton song. Exactly. 280 00:14:44,220 --> 00:14:45,220 You a Dolly fan? 281 00:14:45,400 --> 00:14:48,520 My mom. She used to make me sing Islands in the Stream with her karaoke. 282 00:14:49,620 --> 00:14:52,380 You know, it wasn't really appropriate. 283 00:14:53,320 --> 00:14:54,320 Book an hour. Yep. 284 00:15:01,900 --> 00:15:03,720 Hey, do these look the same to you? 285 00:15:04,260 --> 00:15:08,020 I don't know what part of the body I'm looking at. We're in OB. Take a guess. 286 00:15:08,100 --> 00:15:12,340 What are you doing here? My VIP patient wants socks with fuzzy grips. 287 00:15:12,560 --> 00:15:16,620 So you're stealing them from pre- and post-partum mothers? Weber exiled me to 288 00:15:16,620 --> 00:15:17,620 the Olympic floor. 289 00:15:18,400 --> 00:15:20,380 I think he's waiting out to see if I quit. 290 00:15:20,660 --> 00:15:22,100 Hey, what do you know about the new chief? 291 00:15:22,340 --> 00:15:26,060 Ivy League, great hair, loves money, probably has a hobby where he swims in a 292 00:15:26,060 --> 00:15:26,979 pool of cash. 293 00:15:26,980 --> 00:15:27,980 Huh. 294 00:15:28,040 --> 00:15:29,360 Well, duty calls. 295 00:15:31,189 --> 00:15:35,910 Oh, uh, Dr. Wilson, thank God. Um, could I have you look at something for me, 296 00:15:35,930 --> 00:15:37,910 please? I don't work here anymore. 297 00:15:38,110 --> 00:15:39,390 You have your Grace Sloan ID badge. 298 00:15:39,930 --> 00:15:43,330 Yeah, I'm about to hand it in. Well, before you do, can you please, please 299 00:15:43,330 --> 00:15:44,330 look? 300 00:15:45,690 --> 00:15:46,710 Is this your patient? 301 00:15:49,130 --> 00:15:50,150 It's Dr. Griffin. 302 00:15:50,630 --> 00:15:53,750 She made me promise not to get anyone to help, and I don't know what to do. 303 00:15:56,600 --> 00:15:59,920 Anastasia is wondering how much longer you want to keep Kin under. If I knew, 304 00:16:00,100 --> 00:16:01,100 I'd be operating. 305 00:16:01,300 --> 00:16:02,300 Just the messenger. 306 00:16:06,260 --> 00:16:08,880 I keep staring at these screens, hoping for an answer. 307 00:16:10,780 --> 00:16:15,260 And this guy brings safe water to people all around the planet while the rest of 308 00:16:15,260 --> 00:16:16,260 us destroy it. 309 00:16:16,320 --> 00:16:19,360 Because of me, he could spend the rest of his life sedated and flat on his 310 00:16:19,360 --> 00:16:22,520 back. Well, can you use the cage you have and try chemo to shrink the 311 00:16:22,520 --> 00:16:23,900 remaining cancer? It's not a cure. 312 00:16:24,180 --> 00:16:26,520 The cancer could spread even more and then he's no better off. Yeah, and 313 00:16:26,520 --> 00:16:27,840 clearly it's spread fast before. 314 00:16:28,180 --> 00:16:29,180 Exactly. 315 00:16:29,500 --> 00:16:30,500 No good options. 316 00:16:31,620 --> 00:16:32,620 Damn it. 317 00:16:33,180 --> 00:16:37,220 This is why I like plastic. Soft tissue. We can move it around to restore form 318 00:16:37,220 --> 00:16:38,800 and function. Bones aren't skin. 319 00:16:39,080 --> 00:16:41,080 It's harder to get them to do the job of other bones. 320 00:16:41,580 --> 00:16:44,300 Well, don't we do fibula grafts all the time? No, fibula's too small. 321 00:16:44,600 --> 00:16:51,040 You'd need a much bigger bone for a defect that's... Brian, run down and 322 00:16:51,040 --> 00:16:54,500 tell the nurses to bring back a few frozen cadaveric femoral grafts. Hold 323 00:16:54,500 --> 00:16:58,600 on. Isn't a femur too big? Not if I can sculpt it to the size we need. 324 00:17:02,600 --> 00:17:05,960 Her temp is 38, and she's tachycardic. I said get a textbook. 325 00:17:06,240 --> 00:17:08,500 I know. I'm sorry, but I don't speak OB. 326 00:17:08,800 --> 00:17:09,659 Okay, okay. 327 00:17:09,660 --> 00:17:13,140 Dr. Millen showed me your ultrasound. You need to get checked out right away. 328 00:17:13,440 --> 00:17:14,440 What'd you see? 329 00:17:15,660 --> 00:17:16,660 Okay. 330 00:17:18,040 --> 00:17:23,040 Do you see this? 331 00:17:23,400 --> 00:17:26,300 We call that the snowstorm sign. 332 00:17:26,520 --> 00:17:27,520 What does that mean? 333 00:17:27,980 --> 00:17:29,240 It's a molar pregnancy. 334 00:17:29,580 --> 00:17:34,960 A mass of aberrant cells where a fetus would be. It's rare, but it does happen. 335 00:17:37,380 --> 00:17:39,000 I was never actually pregnant? 336 00:17:40,620 --> 00:17:42,120 Not with a viable pregnancy. 337 00:17:42,420 --> 00:17:47,920 So when I was agonizing over what to do about this baby... No baby? 338 00:17:48,840 --> 00:17:50,120 No. I'm sorry. 339 00:17:54,800 --> 00:17:55,820 What do we do now? 340 00:17:56,700 --> 00:17:57,700 May I feel? 341 00:17:58,320 --> 00:18:04,580 So the medication that you took, mifeprestone, only targets pregnancy. 342 00:18:04,960 --> 00:18:08,640 But you still have trophoblastic tissue in your uterus, and you're getting 343 00:18:08,640 --> 00:18:09,640 septic. 344 00:18:11,980 --> 00:18:12,980 Okay, ready? 345 00:18:14,780 --> 00:18:16,340 We need to remove it. 346 00:18:16,860 --> 00:18:17,860 I could die. 347 00:18:19,500 --> 00:18:21,260 Luckily, we caught it early. 348 00:18:22,020 --> 00:18:25,320 I'm going to call someone from OB to give you a DNC. 349 00:18:25,520 --> 00:18:26,820 Oh, you can't do it? 350 00:18:28,500 --> 00:18:32,540 I'm not working today, but Dr. Collins is, and she's very good. 351 00:18:33,580 --> 00:18:37,900 Is there any way you can do it? I don't know, Dr. Collins, but I'm comfortable 352 00:18:37,900 --> 00:18:38,900 with you. 353 00:18:44,340 --> 00:18:45,340 Okay. Okay. 354 00:18:46,780 --> 00:18:48,280 I'm going to change into my scrubs. 355 00:18:48,820 --> 00:18:50,920 You get her propped. Okay. Thank you. 356 00:18:55,380 --> 00:18:57,760 Sorry, it took me a minute to find a warm blanket. 357 00:18:58,200 --> 00:19:02,360 I missed that day in medical school. I appreciate that, but does this look like 358 00:19:02,360 --> 00:19:03,360 a problem? 359 00:19:05,860 --> 00:19:07,860 I need sterile towels. Hey, Dr. 360 00:19:08,120 --> 00:19:09,120 Weber! 361 00:19:15,110 --> 00:19:17,890 Do you all have a favorite Dolly Parton song? 362 00:19:18,730 --> 00:19:19,990 Jolene, obviously. 363 00:19:20,330 --> 00:19:21,790 You don't think there's other good answers? 364 00:19:22,130 --> 00:19:23,450 It's a perfect song. 365 00:19:24,030 --> 00:19:27,950 Make sure you pull back on the syringe as you get close to the artery. 366 00:19:28,230 --> 00:19:29,049 What do you see? 367 00:19:29,050 --> 00:19:29,809 Bright red blood. 368 00:19:29,810 --> 00:19:35,350 I'm in. Grab the guide wire at the skin. As soon as the needle comes out, you 369 00:19:35,350 --> 00:19:38,390 don't want to lose it. Yeah, I know. This isn't the first time I've accessed 370 00:19:38,390 --> 00:19:39,329 a film artery. 371 00:19:39,330 --> 00:19:40,330 Just making sure. 372 00:19:40,370 --> 00:19:42,810 Now nick the skin and place the dilator. Yep. 373 00:19:49,070 --> 00:19:50,070 All right. 374 00:19:50,430 --> 00:19:55,530 All right. Insert the sheath. Make sure not to advance too aggressively. Do you 375 00:19:55,530 --> 00:19:56,389 want to do it? 376 00:19:56,390 --> 00:19:57,289 Keep going. 377 00:19:57,290 --> 00:19:59,750 Some might say 9 to 5 is a pretty perfect song, too. 378 00:20:00,030 --> 00:20:02,450 Not from a movie. Or they killed their overbearing boss. 379 00:20:02,750 --> 00:20:03,850 Huh. Imagine that. 380 00:20:05,990 --> 00:20:08,950 All right. You think you want to be a neurosurgeon? Let's see how far you can 381 00:20:08,950 --> 00:20:09,950 get. 382 00:20:10,250 --> 00:20:13,930 Just follow the femoral artery and take your time. 383 00:20:17,670 --> 00:20:18,670 Laura. 384 00:20:22,610 --> 00:20:24,230 These towels weren't warmed. 385 00:20:24,430 --> 00:20:25,730 Your insides are on the outside. 386 00:20:25,950 --> 00:20:27,470 The towels are the leaf of your worries. 387 00:20:28,530 --> 00:20:31,830 Quan, do I need to remind you that part of the draught of this floor is that 388 00:20:31,830 --> 00:20:33,030 it's quiet? Shut the door. 389 00:20:33,370 --> 00:20:34,810 The nurse said that you were screaming. 390 00:20:35,030 --> 00:20:37,230 He removed his binder and his incision de-hissed. 391 00:20:38,090 --> 00:20:39,150 Those things are uncomfortable. 392 00:20:39,650 --> 00:20:42,870 That's what I said. I paid Dr. Weber. Weber's in surgery, so you've got me. 393 00:20:43,070 --> 00:20:44,070 Can I see? 394 00:20:45,190 --> 00:20:48,410 Mr. Fazio, you didn't have to go to all this trouble to get my attention. 395 00:20:48,890 --> 00:20:52,470 Don't make me laugh. No, really, don't make him laugh. We're going to have to 396 00:20:52,470 --> 00:20:53,470 get you to the OR. 397 00:20:53,510 --> 00:20:54,510 Kwan, prep the patient. 398 00:20:54,690 --> 00:20:57,410 You heard what Weber said. I'm not supposed to operate. 399 00:20:57,650 --> 00:20:59,870 Weber is not here. Get him down there. 400 00:21:05,250 --> 00:21:08,570 And Dugu, glad I caught up with you. You have a moment? 401 00:21:08,970 --> 00:21:13,270 Actually, I was about to... I just heard that you're considering group feedback 402 00:21:13,270 --> 00:21:14,270 sessions. 403 00:21:14,690 --> 00:21:17,670 Yeah, my residency director did them, and they're... 404 00:21:17,980 --> 00:21:18,980 You know, interactive. 405 00:21:19,080 --> 00:21:20,840 I found it useful to learn from peers. 406 00:21:22,220 --> 00:21:28,060 Because personally, I find that doing things in groups can be more difficult 407 00:21:28,060 --> 00:21:29,300 than doing them individually. 408 00:21:29,980 --> 00:21:30,980 Noted. 409 00:21:31,640 --> 00:21:32,640 To be continued. 410 00:21:33,560 --> 00:21:34,560 Mm-hmm. 411 00:21:42,960 --> 00:21:44,400 How you doing? You okay? 412 00:21:45,040 --> 00:21:46,980 Just worried about a patient. 413 00:21:49,000 --> 00:21:51,120 What's going on? Can we not do this, please? 414 00:21:52,000 --> 00:21:52,979 Do what? 415 00:21:52,980 --> 00:21:56,420 This. The thing where I tell you my deepest, darkest feelings and then you 416 00:21:56,420 --> 00:21:58,820 look at me like that. Like you care. 417 00:21:59,060 --> 00:22:02,240 And then I feel like everything's going to be okay when in reality everything's 418 00:22:02,240 --> 00:22:03,240 a nightmare. 419 00:22:03,900 --> 00:22:05,640 I need this elevator to move faster. 420 00:22:08,620 --> 00:22:12,500 I do care about you. Please, don't. 421 00:22:16,860 --> 00:22:18,360 I hope your patient's still okay. 422 00:22:18,910 --> 00:22:19,910 Me too. 423 00:22:24,310 --> 00:22:28,270 I changed my mind. My favorite song is My Tennessee Mountain Home. 424 00:22:29,250 --> 00:22:30,430 Glad you cleared that up. 425 00:22:32,110 --> 00:22:34,890 How's it going? I'm passing the left internal carotid artery. 426 00:22:35,310 --> 00:22:40,490 Contrast. What do you see? I see the middle cerebral artery. I don't think I 427 00:22:40,490 --> 00:22:41,490 can make this turn. 428 00:22:42,170 --> 00:22:43,170 What are your options? 429 00:22:43,390 --> 00:22:44,950 I can keep advancing the coil. 430 00:22:45,150 --> 00:22:47,630 And risk her stroking out if you damage the vessel. 431 00:22:47,870 --> 00:22:49,530 I could use a more rigid catheter. 432 00:22:49,770 --> 00:22:51,390 Congratulations. Another stroke. Try again. 433 00:22:57,470 --> 00:22:58,470 Dr. Adams. 434 00:23:00,830 --> 00:23:02,230 Okay. I'll take over from here. 435 00:23:04,910 --> 00:23:09,990 Okay. I'm going to come around through the anterior communicating vessel. 436 00:23:11,299 --> 00:23:14,480 And catheterize the AVM feeder retrograde. 437 00:23:24,560 --> 00:23:25,560 It's too big. 438 00:23:25,900 --> 00:23:29,820 Looks like a perfect fit to me. No, his defect is too big for a dead bone to 439 00:23:29,820 --> 00:23:34,040 heal in it. It might stabilize him for now, but the chances of failure are too 440 00:23:34,040 --> 00:23:35,040 high without a blood supply. 441 00:23:35,260 --> 00:23:36,360 Small form, no function. 442 00:23:36,560 --> 00:23:37,560 Yeah. 443 00:23:38,090 --> 00:23:41,090 It's too bad we can't use a fibula. It's got a great blood supply. 444 00:23:41,310 --> 00:23:42,310 It's Wright's go-to. 445 00:23:42,570 --> 00:23:47,150 What if we could use it? I thought you said it's too small. No, no. What if we 446 00:23:47,150 --> 00:23:50,850 take Ken's fibula and we put it inside the femur to vascularize the graft? 447 00:23:51,110 --> 00:23:52,110 Throw in a little BMP. 448 00:23:54,090 --> 00:23:57,110 A bone in a bone, like an orthopedic turduck. Yeah. 449 00:23:58,850 --> 00:24:03,150 Warren? I mean, it's absurd, but it might work. 450 00:24:19,440 --> 00:24:20,319 Hey, you ready? 451 00:24:20,320 --> 00:24:21,320 Uh, yeah. 452 00:24:21,540 --> 00:24:26,000 I'm just gonna make a call. Can you have anesthesia? Give us a second dose of 453 00:24:26,000 --> 00:24:27,160 antibiotics, please. Sure. 454 00:24:31,480 --> 00:24:33,680 Hi, you've reached Atticus Lincoln. Leave a message. 455 00:24:33,900 --> 00:24:34,900 Thanks. 456 00:24:39,700 --> 00:24:41,820 Hey, how can I help you? 457 00:24:42,220 --> 00:24:47,340 Do you want to talk about it, or do you want me to distract you? Distract me. 458 00:24:51,810 --> 00:24:56,490 Okay, this is a good one. I looked into all of the cardiothoracic research 459 00:24:56,490 --> 00:25:00,610 programs, and the one that gives me the best chance of getting a top fellowship 460 00:25:00,610 --> 00:25:01,910 is a goose. 461 00:25:02,830 --> 00:25:05,870 What about the dogs? I was lying to myself I'm a cat person. 462 00:25:06,830 --> 00:25:08,530 Simone, how are you feeling? 463 00:25:09,430 --> 00:25:10,429 Morphine's helping. 464 00:25:10,430 --> 00:25:12,110 Okay, it'll be over soon. 465 00:25:12,430 --> 00:25:14,670 Okay, let's have two units of blood ready. 466 00:25:15,970 --> 00:25:17,470 It's just a precaution. 467 00:25:18,770 --> 00:25:20,390 It's been a while since my... 468 00:25:20,640 --> 00:25:21,920 Med school OB rotation. 469 00:25:22,180 --> 00:25:24,500 What are the chances of uterine perforation? 470 00:25:24,780 --> 00:25:30,660 Low. Less than 1%. Molar pregnancy can increase risk slightly, but overall it's 471 00:25:30,660 --> 00:25:31,459 very safe. 472 00:25:31,460 --> 00:25:33,340 And you've done a lot of these? Tons. 473 00:25:33,540 --> 00:25:34,540 I'm not worried. 474 00:25:38,800 --> 00:25:41,720 Okay. If you're ready, we'll start sedation. 475 00:25:55,690 --> 00:25:58,190 Please don't make me do this. Please. I can't do it. Please don't make me do it. 476 00:25:58,190 --> 00:26:02,790 Please. I can't. I can't. I can't do it. I can't. I can't. 477 00:26:03,150 --> 00:26:04,870 I can't do it. 478 00:26:08,570 --> 00:26:10,490 The femur's ready for the figular graft. 479 00:26:14,030 --> 00:26:16,310 Can I get a brow wipe? 480 00:26:21,190 --> 00:26:22,390 Okay. Take two. 481 00:26:27,929 --> 00:26:28,929 Perfect alignment. 482 00:26:29,210 --> 00:26:30,690 We did it. That's not over yet. 483 00:26:31,390 --> 00:26:34,150 Let's secure the spine and then we can begin the anastomosis. 484 00:26:44,530 --> 00:26:46,810 You know you want to. 485 00:26:54,610 --> 00:26:55,610 Lawyer. 486 00:26:56,310 --> 00:26:57,310 All right. 487 00:26:57,470 --> 00:26:58,730 Fascia looks good. 488 00:26:59,470 --> 00:27:03,850 Quant? How about you help me dissect the lateral plane? 489 00:27:04,790 --> 00:27:07,250 Well, I probably shouldn't. Are you still worried about Weber? 490 00:27:07,450 --> 00:27:10,110 Yeah, he's the chief of the whole system. Yeah, because he's married to 491 00:27:10,110 --> 00:27:13,370 it. This morning you said you wanted a cut. Are you a surgical resident or not? 492 00:27:16,550 --> 00:27:17,550 Bowie. 493 00:27:21,170 --> 00:27:24,870 All right. Release the external oblique above the fascia. That's it. 494 00:27:25,230 --> 00:27:26,230 That's right. 495 00:27:26,730 --> 00:27:31,010 What the hell is going on? Kwon, I told you no surgeries. 496 00:27:31,230 --> 00:27:32,630 Put that bogey down now. 497 00:27:33,120 --> 00:27:36,500 Dr. Norton, I thought I made myself clear. My resident has been out of 498 00:27:36,500 --> 00:27:39,600 commission for more than a month. He needs time to work his way back into the 499 00:27:39,600 --> 00:27:43,480 OR. Dr. Kwan was there when your VIP patient's bowel eviscerated. He called 500 00:27:43,480 --> 00:27:46,380 for help and applied pressure to keep it from further eviscerating while you were 501 00:27:46,380 --> 00:27:49,660 occupied elsewhere. I'd say he has worked his way back. And by the way, 502 00:27:49,760 --> 00:27:53,300 he's doing an adequate job with this sublay placement, which is about as good 503 00:27:53,300 --> 00:27:56,480 of a compliment as a resident gets from me. I'll take over from here. It won't 504 00:27:56,480 --> 00:28:00,060 be necessary. I'm about ready to close. I see my patients through. You can step 505 00:28:00,060 --> 00:28:01,060 out. 506 00:28:07,530 --> 00:28:10,330 Do you still need me to? Which residents are on general today? 507 00:28:11,230 --> 00:28:14,450 Baxter, Ford, Goodwin. You have Paige Baxter on your way out. 508 00:28:24,500 --> 00:28:25,540 Oh, Dr. Ndugu. 509 00:28:25,960 --> 00:28:27,160 Dr. Ndugu? 510 00:28:27,400 --> 00:28:28,400 Yes. 511 00:28:28,540 --> 00:28:33,520 So, I was looking at the residency portal. Okay. If this is about me doing 512 00:28:33,520 --> 00:28:35,460 away with resident office hours, let me stop you right now. 513 00:28:35,860 --> 00:28:39,140 I will meet with them by appointment, but I don't have time to sit in my 514 00:28:39,140 --> 00:28:43,400 office. Because in addition to doing my own job, I'm covering for Altman, Hunt, 515 00:28:43,560 --> 00:28:44,560 and you. 516 00:28:45,700 --> 00:28:50,480 You have no idea how much this favor I'm doing for you has cost me. So, if you 517 00:28:50,480 --> 00:28:53,540 take issue with how I'm doing things, find someone else to do them. 518 00:28:55,680 --> 00:28:56,900 Did you have something to tell me? 519 00:28:58,300 --> 00:28:59,300 No. 520 00:28:59,460 --> 00:29:03,160 I... Carry on. 521 00:29:07,280 --> 00:29:14,000 I can't do it. Okay, just look at me. I got you. I got you. I know 522 00:29:14,000 --> 00:29:16,800 what it's like to be the doctor on the table. 523 00:29:18,120 --> 00:29:19,180 You know too much. 524 00:29:19,630 --> 00:29:23,430 It's impossible to let go, but I need you to try so that I can be in control 525 00:29:23,430 --> 00:29:26,990 and you can go to sleep. But what if I don't wake up? What if there's a 526 00:29:26,990 --> 00:29:31,390 complication? If there is one, I'll know how to fix it. And if I need help, my 527 00:29:31,390 --> 00:29:32,570 colleagues are right outside. 528 00:29:39,530 --> 00:29:40,530 Okay. 529 00:29:41,430 --> 00:29:42,430 Okay. Okay. 530 00:30:10,250 --> 00:30:11,990 Simone, you need this procedure. 531 00:30:13,230 --> 00:30:14,230 Okay. 532 00:30:16,570 --> 00:30:19,850 What if I did it without general anesthesia? Does that make any 533 00:30:19,850 --> 00:30:20,850 difference to you? 534 00:30:22,210 --> 00:30:23,230 I'd be awake. 535 00:30:23,510 --> 00:30:26,990 Is that safe? Well, it's usually more comfortable for patients if they're 536 00:30:26,990 --> 00:30:29,950 asleep, but we could use a local nerve block. 537 00:30:30,170 --> 00:30:32,830 If that's what you want, you'll be awake. You know what's happening the 538 00:30:32,830 --> 00:30:33,830 entire time. 539 00:30:35,830 --> 00:30:37,130 And I'll be with you the whole time. 540 00:30:39,879 --> 00:30:40,879 Yeah. Yeah. 541 00:30:42,460 --> 00:30:43,860 Yeah, I want that. Okay. 542 00:30:45,600 --> 00:30:49,280 All right, everyone, change your plans. We're going to do a paracervical block. 543 00:30:49,420 --> 00:30:53,060 I need 20 cc's of 1% lidocaine, and I'm going to go scrub. 544 00:30:53,420 --> 00:30:54,420 Thank you. 545 00:30:55,060 --> 00:30:56,060 Okay. 546 00:30:59,340 --> 00:31:00,340 Perfect. Okay. 547 00:31:00,900 --> 00:31:01,900 You'll be like, hold on. 548 00:31:05,040 --> 00:31:06,320 The twerker's tricky. 549 00:31:07,300 --> 00:31:09,540 And don't beat yourself up. You set me up to fail. 550 00:31:11,020 --> 00:31:12,820 Well, I gave you an opportunity to try. 551 00:31:13,040 --> 00:31:15,160 Is that how you see it? You're a resident. 552 00:31:15,900 --> 00:31:18,820 I didn't expect you to get it right on your first try. 553 00:31:19,020 --> 00:31:21,360 You don't seem to expect me to do anything right, ever. 554 00:31:22,180 --> 00:31:24,480 That's not true. I think you're very talented. 555 00:31:24,880 --> 00:31:28,240 Yeah, but you don't think I have what it takes to clean up my crap or answer your 556 00:31:28,240 --> 00:31:32,420 kids' questions or do my job or be a neurosurgeon. I didn't... say that the 557 00:31:32,420 --> 00:31:36,640 people who have what it takes to pursue neuro don't keep their options open they 558 00:31:36,640 --> 00:31:41,320 zero in they think about it every minute of the day derek did i did you're not 559 00:31:41,320 --> 00:31:48,020 because i'm not you or him and maybe i don't want to be okay my way 560 00:31:48,020 --> 00:31:54,280 isn't wrong or defective just because it's different from yours you know for 561 00:31:54,280 --> 00:31:57,380 someone who claims she was an underdog growing up you sure like to tear people 562 00:31:57,380 --> 00:31:58,380 down 563 00:32:05,420 --> 00:32:09,600 It could be the drugs, but it sounded like you said the cancer has spread, so 564 00:32:09,600 --> 00:32:11,220 I have a leg bone in my spine. 565 00:32:11,640 --> 00:32:14,640 We removed all the cancer, but yeah, 566 00:32:15,640 --> 00:32:20,880 that's basically what happened. I'm still here, so thank you. We placed an 567 00:32:20,880 --> 00:32:24,600 order for physical therapy. Now it'll take some time and a lot of work, but 568 00:32:24,600 --> 00:32:25,600 you should be able to walk again. 569 00:32:25,800 --> 00:32:29,240 We'll monitor you for a couple more days, keep a close eye on the pain, and 570 00:32:29,240 --> 00:32:32,440 then you can get back to saving the world. Is there anyone else that we 571 00:32:32,440 --> 00:32:33,439 should be speaking with? 572 00:32:33,440 --> 00:32:34,440 No. 573 00:32:34,649 --> 00:32:35,649 Just to be fine. 574 00:32:39,270 --> 00:32:40,270 You came back? 575 00:32:40,370 --> 00:32:41,370 I never left. 576 00:32:42,130 --> 00:32:43,130 I know you. 577 00:32:43,530 --> 00:32:47,190 You lash out when you're scared. I forget you're doing it every time until 578 00:32:47,190 --> 00:32:48,210 I remember. 579 00:32:49,990 --> 00:32:52,050 King of the jungle to help you with your strength. 580 00:32:54,030 --> 00:32:55,450 You know I'm allergic to cats. 581 00:32:55,650 --> 00:32:58,070 Just take the dumb stuffed animal and say thank you. 582 00:32:58,290 --> 00:33:00,050 We'll give you some privacy. 583 00:33:01,779 --> 00:33:04,100 Can you just say thank you? Is it that hard? 584 00:33:04,300 --> 00:33:08,540 Just thank you. How does clean water come from such a toxic relationship? No 585 00:33:08,540 --> 00:33:10,320 one knows how other people's relationships work. 586 00:33:10,560 --> 00:33:11,560 True, true. 587 00:33:12,340 --> 00:33:15,160 I've got to go handle something, but I'll check on him in an hour or so. 588 00:33:15,300 --> 00:33:16,300 Yeah. 589 00:33:18,320 --> 00:33:19,320 It's a big wind today. 590 00:33:19,640 --> 00:33:20,640 We got lucky. 591 00:33:21,260 --> 00:33:22,940 I should have scanned Ken yesterday. 592 00:33:23,380 --> 00:33:24,520 He was stupid and careless. 593 00:33:24,860 --> 00:33:25,860 We still found the solution. 594 00:33:27,260 --> 00:33:28,980 You know what? Let's grab a beer at Joe's. 595 00:33:32,000 --> 00:33:33,960 No, I gotta catch up on some charts. 596 00:33:37,300 --> 00:33:39,580 How long till I can get back on stage? 597 00:33:40,100 --> 00:33:41,640 Oh, it'll be a few weeks. I'm sorry. 598 00:33:42,000 --> 00:33:43,480 Well, give me time to work on my act. 599 00:33:43,820 --> 00:33:45,020 Always room for improvement. 600 00:33:45,240 --> 00:33:49,480 How do you work on your act? Do you have to perfect all of Dolly's mannerisms? 601 00:33:49,760 --> 00:33:52,660 I did at first, but the reviews were terrible. 602 00:33:53,560 --> 00:33:58,480 Then finally, I realized audiences think they want a good mimic, but what they 603 00:33:58,480 --> 00:34:03,560 really want is a good character. And that comes from me, knowing who I am and 604 00:34:03,560 --> 00:34:04,880 what I bring to the stage. 605 00:34:05,500 --> 00:34:06,500 What do you bring? 606 00:34:06,640 --> 00:34:08,679 I'm a kindergarten teacher with roots. 607 00:34:09,139 --> 00:34:13,920 Mom, I volunteer at the food bank, and I've got killer gams. 608 00:34:14,260 --> 00:34:17,159 When you are recovered, I would love to come and see you perform. 609 00:34:17,420 --> 00:34:20,400 Dr. Adams is going to be in shortly to take your post-op labs. 610 00:34:23,120 --> 00:34:24,120 You did great. 611 00:34:24,420 --> 00:34:28,300 We completely evacuated the mole of pregnancy with minimal bleeding. 612 00:34:28,620 --> 00:34:32,980 Think I can go home soon? Well, they are going to monitor you overnight, but you 613 00:34:32,980 --> 00:34:37,020 should be discharged in the morning, and I gave them strict instructions, no 614 00:34:37,020 --> 00:34:38,020 unwanted guests. 615 00:34:38,159 --> 00:34:39,159 Thank you. 616 00:34:39,460 --> 00:34:45,820 And thanks for letting me stay awake. It meant more than you know. 617 00:34:46,580 --> 00:34:50,699 My mom had a complication here years ago. 618 00:34:50,940 --> 00:34:52,080 I just... 619 00:34:52,909 --> 00:34:55,270 Just needed to know what was happening to me. 620 00:34:56,530 --> 00:34:57,530 I get it. 621 00:34:59,890 --> 00:35:01,150 I'm glad it all worked out. 622 00:35:01,890 --> 00:35:03,150 Get some rest. Yeah. 623 00:35:17,910 --> 00:35:19,910 Sorry you didn't get to see the surgery through. 624 00:35:20,430 --> 00:35:21,430 I tried. 625 00:35:21,960 --> 00:35:24,320 It's okay. His JP output looks good, though. 626 00:35:24,540 --> 00:35:25,540 That's what matters. 627 00:35:26,000 --> 00:35:27,380 Help me with this, will you? 628 00:35:29,000 --> 00:35:31,480 You know he can't tell that it's warm. He's VIP. 629 00:35:31,860 --> 00:35:35,200 He gets what he wants, even when he's asleep. 630 00:35:35,500 --> 00:35:38,460 Sounds like one of his ads. I'll pitch it to him. You think he'd be more 631 00:35:38,460 --> 00:35:42,480 successful if he spent more time on his cases and less time filming commercials? 632 00:35:42,880 --> 00:35:44,000 You don't think he's successful? 633 00:35:44,900 --> 00:35:50,000 Guy owns a ginormous house in Laurelhurst, plus two boats. He may be 634 00:35:50,000 --> 00:35:56,370 a... tacky ambulance chaser with an annoyingly catchy ad, but he doesn't 635 00:35:56,370 --> 00:35:57,870 take a dime unless his client wins. 636 00:35:58,730 --> 00:36:03,650 Say what you will about his tactics, but he fights for them and gets them what 637 00:36:03,650 --> 00:36:04,650 they want. 638 00:36:11,910 --> 00:36:14,870 Dr. Burse, it's Atticus Lincoln. 639 00:36:16,530 --> 00:36:18,450 Well, I'm, uh... 640 00:36:18,970 --> 00:36:21,590 I'm having some pain again, and yeah, 641 00:36:22,310 --> 00:36:29,310 I'm trying to push through, but could you call in 642 00:36:29,310 --> 00:36:30,310 a refill? 643 00:36:33,590 --> 00:36:36,410 Hey, Lucas, stop. 644 00:36:37,370 --> 00:36:39,090 Just stop walking. 645 00:36:41,730 --> 00:36:42,870 You're not a failure. 646 00:36:43,670 --> 00:36:44,770 Is that an apology? 647 00:36:46,210 --> 00:36:48,010 I was the underdog in my family. 648 00:36:50,090 --> 00:36:51,090 What am I saying? 649 00:36:51,990 --> 00:36:54,370 I don't have to tell you that. You know the stories. 650 00:36:55,470 --> 00:36:57,750 But now I am an accomplished surgeon. 651 00:36:58,530 --> 00:37:03,030 And your mom and your aunts still treat me like I can't get anything right. You 652 00:37:03,030 --> 00:37:04,030 don't deserve that. 653 00:37:04,350 --> 00:37:05,350 It is true. 654 00:37:05,750 --> 00:37:09,390 You don't do things the way I would. But that doesn't mean you wouldn't make an 655 00:37:09,390 --> 00:37:11,190 excellent neurosurgeon. 656 00:37:13,490 --> 00:37:18,230 I want to help you find your path, even if it doesn't end up being mine. 657 00:37:18,900 --> 00:37:20,040 So come work in my lab. 658 00:37:21,380 --> 00:37:24,580 I will be more open-minded, I promise. 659 00:37:27,600 --> 00:37:28,600 I'll think about it. 660 00:37:29,220 --> 00:37:30,220 Okay. 661 00:37:30,780 --> 00:37:31,880 And I'm moving out. 662 00:37:33,680 --> 00:37:34,680 It's time. 663 00:37:49,320 --> 00:37:53,820 Dr. Weber, look, if you're here to make excuses about what happened, don't 664 00:37:53,820 --> 00:37:57,900 bother. I wasn't planning to. I thought I made myself clear about my 665 00:37:57,900 --> 00:37:59,200 expectations for you today. 666 00:37:59,480 --> 00:38:02,280 You definitely did. Good. You're dismissed for the day. 667 00:38:06,700 --> 00:38:08,960 Quan, I just said you could go. 668 00:38:09,880 --> 00:38:13,300 I know, but the chief said that I... The chief? 669 00:38:14,680 --> 00:38:15,820 Chief Norton. 670 00:38:16,350 --> 00:38:21,370 He said that I could scrub in on his latissimus flat tomorrow and to put my 671 00:38:21,370 --> 00:38:22,370 name under his. 672 00:38:31,790 --> 00:38:33,090 Good night, Dr. Weber. 673 00:38:47,120 --> 00:38:48,120 Hi. 674 00:38:49,000 --> 00:38:50,000 Hi. 675 00:38:51,160 --> 00:38:52,840 Did everything go okay with your patient? 676 00:38:53,060 --> 00:38:54,060 Yeah. 677 00:38:55,000 --> 00:38:56,000 She's doing fine. 678 00:38:58,440 --> 00:39:02,200 Good. I'm glad to hear it. Our lives are full of mysteries. 679 00:39:03,000 --> 00:39:06,800 You could round a corner and meet your soulmate or your death. 680 00:39:08,340 --> 00:39:09,340 I'm home. 681 00:39:09,640 --> 00:39:10,578 How'd it go? 682 00:39:10,580 --> 00:39:13,060 Well, paper is done. 683 00:39:13,690 --> 00:39:18,350 Plus, I got a reminder of what it's like to cram five people into a studio 684 00:39:18,350 --> 00:39:20,350 apartment. You at least get some cheap pizza? 685 00:39:20,550 --> 00:39:21,550 No, I did. 686 00:39:23,830 --> 00:39:30,610 And I'm sorry about this morning. You have taken on more around here to help 687 00:39:30,610 --> 00:39:35,050 me, and I micromanaged the way you were doing it. 688 00:39:35,310 --> 00:39:37,690 Oh. I just stopped. No, look. 689 00:39:38,070 --> 00:39:42,210 Oh, just going back to school is making me feel like I don't know what I'm 690 00:39:42,210 --> 00:39:43,210 doing. 691 00:39:43,660 --> 00:39:49,340 You know, viral disease, trends, descriptive epidemiology. Like, everyone 692 00:39:49,340 --> 00:39:54,060 is speaking another language. I'm just racing to catch up. I think I just 693 00:39:54,060 --> 00:40:00,500 wanted to feel like I was an expert in something when I should have just said, 694 00:40:00,560 --> 00:40:01,560 thank you. 695 00:40:03,380 --> 00:40:04,380 You're welcome. 696 00:40:06,260 --> 00:40:10,920 And I got something for you. For me? Mm-hmm. 697 00:40:13,930 --> 00:40:17,690 Man no children were involved in the loading of this dishwasher. 698 00:40:17,990 --> 00:40:21,850 Oh, then how did you know because I am an expert in you? 699 00:40:26,150 --> 00:40:31,130 There's no way to predict what's waiting around the bend Your 700 00:40:31,130 --> 00:40:36,930 meeting ran late The 701 00:40:36,930 --> 00:40:39,710 meeting never happened 702 00:40:41,070 --> 00:40:44,510 I got pulled into a DNC that was more complicated than expected. 703 00:40:45,850 --> 00:40:46,848 Are you okay? 704 00:40:46,850 --> 00:40:47,850 No. 705 00:40:49,030 --> 00:40:50,030 I'm sorry. 706 00:40:50,610 --> 00:40:52,430 You never should have gone into that meeting. 707 00:40:52,690 --> 00:40:58,370 You would have gotten pulled in. No, it's not that. I'm just... I'm really 708 00:40:58,370 --> 00:40:59,370 good at this. 709 00:41:00,120 --> 00:41:04,040 I'm extremely skilled at these procedures. I listen to my patients. I 710 00:41:04,040 --> 00:41:07,700 treat their heartbreak and their pain. And this field needs every doctor that 711 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 712 00:41:12,100 --> 00:41:15,280 medicine anymore without reliving something that almost killed me. 713 00:41:16,520 --> 00:41:19,500 Do you think it'll get better with time? I don't know. 714 00:41:25,280 --> 00:41:26,620 I just want to go home. 715 00:41:28,780 --> 00:41:29,980 Yeah, let's get out of here. 716 00:41:32,720 --> 00:41:39,060 All you can do is put one foot in front of the other and lean on what supports 717 00:41:39,060 --> 00:41:40,060 you. 718 00:41:47,260 --> 00:41:48,260 And trust it's there. 719 00:42:00,940 --> 00:42:02,160 Even when you can't see it.