1 00:00:01,030 --> 00:00:06,190 Somewhere around 1600 BC, surgeons invented sutures made of sheep and horse 2 00:00:06,190 --> 00:00:11,510 intestines. They were called catgut and used almost exclusively until the 1970s. 3 00:00:11,690 --> 00:00:12,690 Oh, you Batman? 4 00:00:12,890 --> 00:00:16,230 What time is it? It's early. I just thought I'd get a jump on orders and 5 00:00:16,230 --> 00:00:19,910 notes. We have all day for that. Yeah, but I was hoping that if I get it done 6 00:00:19,910 --> 00:00:22,590 another way early, I can get in on the surgery. You know, I haven't been in the 7 00:00:22,590 --> 00:00:23,369 OR in days. 8 00:00:23,370 --> 00:00:25,370 Too tired for sympathy. Good luck. 9 00:00:25,750 --> 00:00:26,750 All right. 10 00:00:27,370 --> 00:00:28,650 Catgut was unpredictable. 11 00:00:29,440 --> 00:00:32,640 It often dissolved at random and caused allergic reactions. 12 00:00:34,280 --> 00:00:35,280 Yeah? Hi. 13 00:00:36,120 --> 00:00:40,260 Sorry to bother you. I was looking over my research proposal and I think there's 14 00:00:40,260 --> 00:00:45,280 a typo in your notes. It just says mid. Did you mean midterm or... Not a typo. 15 00:00:45,500 --> 00:00:46,880 I think your idea is mid. 16 00:00:47,500 --> 00:00:48,500 Middle of the road. 17 00:00:49,000 --> 00:00:50,000 Mediocre. 18 00:00:51,240 --> 00:00:55,660 You don't think colon cancer outcomes in metropolitan areas is compelling? 19 00:00:55,940 --> 00:00:57,580 I think it's too broad and it's been done to death. 20 00:00:59,650 --> 00:01:00,650 It's mid. 21 00:01:01,550 --> 00:01:03,730 Well, thanks for your feedback. 22 00:01:06,730 --> 00:01:12,530 Meanwhile, in a chemistry lab somewhere, scientists tried to invent a permanent 23 00:01:12,530 --> 00:01:13,530 polymer. 24 00:01:14,030 --> 00:01:15,670 But it kept degrading. 25 00:01:19,570 --> 00:01:20,690 Have you been here before? 26 00:01:20,950 --> 00:01:22,630 No. Same. 27 00:01:24,810 --> 00:01:26,390 I hope it's not a sob fest. 28 00:01:27,850 --> 00:01:29,190 Cry enough at home by myself. 29 00:01:34,050 --> 00:01:36,510 Surgeons saw this failure and found an opportunity. 30 00:01:37,610 --> 00:01:38,610 Dissolvable stitches. 31 00:01:39,630 --> 00:01:41,450 The answer was there all along. 32 00:01:41,970 --> 00:01:43,730 We just had to know where to look. 33 00:01:43,970 --> 00:01:47,810 My patient is asking if a triathlon is considered strenuous exercise. 34 00:01:48,390 --> 00:01:49,390 I'd say so. 35 00:01:50,610 --> 00:01:51,610 This is weird. 36 00:01:52,030 --> 00:01:54,350 My neuroendoscopy was rescheduled. 37 00:01:54,850 --> 00:01:57,210 Could be a glitch in the system. 38 00:01:58,060 --> 00:02:03,200 No, my biopsy and craniotomy were also moved. I'm completely clear on Friday. 39 00:02:03,220 --> 00:02:04,039 I'm calling IT. 40 00:02:04,040 --> 00:02:05,040 Don't do that. 41 00:02:05,080 --> 00:02:09,620 Right. I'll call scheduling. It was me. Since the stars aligned in our exes 42 00:02:09,620 --> 00:02:13,360 miraculously had our kids at the same time, I booked us a weekend on Whidbey 43 00:02:13,360 --> 00:02:14,360 Island. 44 00:02:15,060 --> 00:02:17,020 You had my schedule cleared? Yeah. 45 00:02:17,280 --> 00:02:19,960 We can just relax and spend time together. 46 00:02:20,400 --> 00:02:22,220 Are those patients okay with that? 47 00:02:22,700 --> 00:02:25,260 The fellows handling them? He seemed happy to help. 48 00:02:32,049 --> 00:02:33,070 I saw that. 49 00:02:33,350 --> 00:02:35,610 How are you? You need to stop. 50 00:02:36,970 --> 00:02:39,470 Stop because you don't want to talk about it? Or stop because you are fully 51 00:02:39,470 --> 00:02:43,130 healed? No more abdominal pain or fever? I'm good. Just focused on work. 52 00:02:43,330 --> 00:02:44,289 What are you studying? 53 00:02:44,290 --> 00:02:47,570 I have to master the latest epilepsy guidelines before eight. 54 00:02:48,310 --> 00:02:50,450 You already have a spot in Shepard's lab? 55 00:02:50,670 --> 00:02:52,550 Never does it much. She's launching a new study. 56 00:02:53,370 --> 00:02:55,870 Anybody could apply. Just stay off the Olympic floor. That's mine. 57 00:02:56,170 --> 00:02:57,550 Can't call dibs on a floor. 58 00:02:57,870 --> 00:03:00,810 Yeah, I don't have to. I'm Norton's guy. I have a full floor of patients. 59 00:03:01,170 --> 00:03:03,930 Can't say who it is, but one of them is in the NBA. 60 00:03:04,230 --> 00:03:07,510 Good morning. All right, the deadline for research positions is coming up. So 61 00:03:07,510 --> 00:03:11,390 if you have not applied for one, do not wait. All right, I get to work. 62 00:03:12,710 --> 00:03:15,590 Hey, you didn't show up to Beckman's info session. 63 00:03:15,810 --> 00:03:17,210 I told him you'd be perfect for his lab. 64 00:03:17,430 --> 00:03:18,430 I didn't ask you to do that. 65 00:03:18,810 --> 00:03:20,690 No big deal. I don't need your help. 66 00:03:21,520 --> 00:03:24,760 Dr. Patrick to Peds. Dr. Jacob Patrick to Peds. 67 00:03:25,200 --> 00:03:27,100 Did you hear that? She's so out of line. 68 00:03:27,580 --> 00:03:30,600 Sounds like he was doing his job. Now I need you to stop. 69 00:03:34,900 --> 00:03:37,180 Still feels like I'm checking into a hotel. 70 00:03:39,720 --> 00:03:40,720 Where's all the equipment? 71 00:03:40,920 --> 00:03:41,839 It's hidden. 72 00:03:41,840 --> 00:03:44,100 It's more calming that way. 73 00:03:44,640 --> 00:03:47,820 How's it going to be if someone codes and you have to go hunting for a 74 00:03:47,820 --> 00:03:50,480 defibrillator? I have enough problems up here without your two cents. 75 00:03:50,820 --> 00:03:55,780 I thought Dr. Fancy Pants was working financial miracles up here. He's golfing 76 00:03:55,780 --> 00:03:57,320 today. I call that a miracle. 77 00:03:59,260 --> 00:04:00,380 Lillian Kemp, 808. 78 00:04:00,780 --> 00:04:03,340 Kwan's your resident. Make sure he doesn't do anything illegal. 79 00:04:06,360 --> 00:04:08,880 Hey, I saw you have a total cranium vault tomorrow. 80 00:04:09,180 --> 00:04:10,820 Do you use the Melbourne method for that? 81 00:04:12,220 --> 00:04:13,220 Yep. 82 00:04:14,739 --> 00:04:16,519 Cool. Dr. Warren, you're late. 83 00:04:16,720 --> 00:04:19,680 Sorry, sorry. I had drop-off this morning, and the streets were closed 84 00:04:19,680 --> 00:04:21,779 because of the sockeye salmon run. I don't need to know why. I just need my 85 00:04:21,779 --> 00:04:22,699 cases covered. 86 00:04:22,700 --> 00:04:26,740 They are, 100%. And the 3D model for tomorrow's craniosynostosis case? Oh, 87 00:04:26,760 --> 00:04:27,760 it's pretty much done. 88 00:04:28,460 --> 00:04:32,360 Good. I rely on my fellow like I rely on my right hand, which is, in fact, my 89 00:04:32,360 --> 00:04:33,360 dominant hand. 90 00:04:33,380 --> 00:04:35,600 I eased you in. Now I need you to level up. 91 00:04:36,840 --> 00:04:37,840 Roger that. 92 00:04:39,960 --> 00:04:42,320 Consent this morning's patients and make sure all the wound backs are changed in 93 00:04:42,320 --> 00:04:44,000 the SICU. I thought you said you had everything covered. 94 00:04:44,260 --> 00:04:47,800 It will be, if we both get to work. I gotta go build a 3D model. Okay, wait, 95 00:04:47,860 --> 00:04:50,200 hey, um, do you think you could get me in on that surgery tomorrow? 96 00:04:50,780 --> 00:04:54,220 Did you hear, Dr. Wright? At this rate, I'll be lucky if I'm still on it. 97 00:04:54,840 --> 00:04:56,020 Thanks. Okay. 98 00:04:59,000 --> 00:05:03,320 Tracy, I'm Dr. Lincoln, this is Dr. Millen. Looks like we've got a couple of 99 00:05:03,320 --> 00:05:05,320 salmon runners on our hands. What gave it away? 100 00:05:05,740 --> 00:05:10,460 Her hat fell off and I spent all day, uh... I spent a whole day making them. 101 00:05:10,580 --> 00:05:12,060 Which no one asked you to do. 102 00:05:12,680 --> 00:05:16,460 I got trampled when I went back to get it. Swimming upstream? 103 00:05:16,700 --> 00:05:17,359 That's brave. 104 00:05:17,360 --> 00:05:18,360 Try stupid. 105 00:05:18,780 --> 00:05:19,780 May I? Yeah. 106 00:05:21,760 --> 00:05:25,880 That's what I get for trying to get my sister up. We could have done literally 107 00:05:25,880 --> 00:05:30,040 anything else. But no, she wanted to run a freaking 10K and honor a fish. She 108 00:05:30,040 --> 00:05:33,040 needs a full trauma panel, chest and left tibia x-rays. She has chest wall 109 00:05:33,040 --> 00:05:33,839 trauma, so. 110 00:05:33,840 --> 00:05:36,820 A full cardiac assessment. I will page cardio. 111 00:05:37,140 --> 00:05:38,140 I'm on it. 112 00:05:38,300 --> 00:05:42,240 Lillian Kemp, re-admitted for recurrent episodes of severe epigastric pain 113 00:05:42,240 --> 00:05:46,200 associated with intractable nausea and vomiting. Medicine asked for surgical 114 00:05:46,200 --> 00:05:50,200 consult after extensive workup didn't reveal etiology of symptoms. 115 00:05:50,440 --> 00:05:54,600 I have been here so many times this month, I pretty much moved in. 116 00:05:54,900 --> 00:05:58,420 And we'd like to get her out, so anything you can do to speed this along 117 00:05:58,420 --> 00:05:59,540 would be greatly appreciated. 118 00:05:59,860 --> 00:06:03,720 We will do everything we can to get to the bottom of her symptoms. Well, I'm 119 00:06:03,720 --> 00:06:04,720 sorry. 120 00:06:05,150 --> 00:06:08,310 Everything you can. We're not leaving here until we have answers. 121 00:06:08,730 --> 00:06:11,150 But that is my hope as well. 122 00:06:11,430 --> 00:06:12,430 Your hope? 123 00:06:12,590 --> 00:06:13,710 Aren't you the doctor? 124 00:06:13,970 --> 00:06:14,970 Khadijah. 125 00:06:15,190 --> 00:06:18,690 I'm sorry. My children don't handle stress well. 126 00:06:18,970 --> 00:06:23,030 Mom, we are paying good money for you to be here. It is okay to have a certain 127 00:06:23,030 --> 00:06:24,070 level of expectations. 128 00:06:24,910 --> 00:06:29,050 And we will meet them. We just need a little more time to review your chart. 129 00:06:33,320 --> 00:06:34,600 Are they all that demanding? 130 00:06:35,180 --> 00:06:37,340 Send up a bagel platter. That should do it. 131 00:06:37,780 --> 00:06:38,780 He just got here. 132 00:06:38,900 --> 00:06:39,900 Transport's bringing him up now. 133 00:06:40,100 --> 00:06:41,320 Have you reached the transferring physician? 134 00:06:41,600 --> 00:06:44,900 Yes. Patient's name is Miguel Velasco. Eight-year-old, otherwise healthy male. 135 00:06:45,120 --> 00:06:48,560 Transferred after minor head trauma during soccer practice this morning. No 136 00:06:48,560 --> 00:06:50,360 LOC, but mild headache, nausea. 137 00:06:51,040 --> 00:06:53,480 Parsons General has sent us a couple of these since their neuro department 138 00:06:53,480 --> 00:06:54,620 closed. Any guesses? 139 00:06:54,940 --> 00:06:57,300 Most likely a concussion. Textbook. How should we proceed? 140 00:06:57,640 --> 00:07:00,320 Admit for OBS, but no advanced imaging is indicated. 141 00:07:00,540 --> 00:07:01,540 Discharge in the morning. 142 00:07:01,800 --> 00:07:02,799 Limit screens. 143 00:07:02,800 --> 00:07:05,060 Manage pain with acetaminophen and light physical activity. 144 00:07:05,340 --> 00:07:07,720 Sounds like a plan. I'm going to round in the ICU. Let me know if anything 145 00:07:07,720 --> 00:07:09,960 changes. Make it stop! 146 00:07:10,440 --> 00:07:11,440 Make it stop! 147 00:07:11,800 --> 00:07:13,020 Dr. Griffiths. Help my son! 148 00:07:13,380 --> 00:07:16,760 All right, let's get him on his side and give him one milligram of chlorazepam. 149 00:07:16,980 --> 00:07:17,980 God! 150 00:07:28,650 --> 00:07:32,030 If you support this, I'm sure we can find funds for that highway project. 151 00:07:33,370 --> 00:07:34,710 Okay. Talk soon. 152 00:07:35,910 --> 00:07:37,770 There's no medical leave in my line of work. 153 00:07:38,010 --> 00:07:41,590 Grant is Chief of Staff for State Representative Mallard. We're trying to 154 00:07:41,590 --> 00:07:43,590 get more funding for after-school programs. 155 00:07:43,890 --> 00:07:46,410 You have my vote. I got a seven-year-old who needs to stay busy. 156 00:07:46,630 --> 00:07:50,650 Bryant? Grant DeVere, a 34-year-old male, post-op day one from a right 157 00:07:50,650 --> 00:07:53,990 fibular osteocutaneous free flap following an MVC. Strong arterial 158 00:07:53,990 --> 00:07:56,110 signals with no signs of venous congestion. 159 00:07:56,570 --> 00:07:57,570 Mind if I take a look? 160 00:07:59,849 --> 00:08:01,050 So is your funding going to pass? 161 00:08:01,290 --> 00:08:03,590 I need four more votes and they're holding up for leverage. 162 00:08:04,370 --> 00:08:05,370 Yeah. 163 00:08:08,390 --> 00:08:09,390 You're healing nicely. 164 00:08:09,850 --> 00:08:11,150 You want me to do that? Yeah. 165 00:08:11,470 --> 00:08:14,510 So I'm going to be in surgery most of the day, but Dr. Warren and Dr. Bryant 166 00:08:14,510 --> 00:08:15,510 are going to hold down the board. 167 00:08:18,350 --> 00:08:20,730 Hey, uh, you want me to assist in your deep? 168 00:08:21,510 --> 00:08:23,350 Did you do everything else I asked you to? 169 00:08:23,730 --> 00:08:24,730 Well, no. 170 00:08:25,070 --> 00:08:27,910 Um, so, no. Yeah. 171 00:08:28,270 --> 00:08:29,270 You're learning, Warren. 172 00:08:30,170 --> 00:08:31,690 Hi, Maggie. I'm Dr. Shepherd. 173 00:08:31,910 --> 00:08:33,230 This is Dr. Griffith. 174 00:08:33,750 --> 00:08:34,750 You had a seizure. 175 00:08:34,830 --> 00:08:39,150 Do you know what that is? It's kind of like when the brain's electrical signals 176 00:08:39,150 --> 00:08:40,150 get mixed up. 177 00:08:40,350 --> 00:08:41,669 Is it going to happen again? 178 00:08:41,990 --> 00:08:45,010 We're not sure yet, but we are going to take good care of you. 179 00:08:46,650 --> 00:08:47,650 Bright light, okay? 180 00:08:51,290 --> 00:08:52,450 Pupils are equal and reactive. 181 00:08:53,670 --> 00:08:55,530 Am I right? Would you squeeze my fingers? 182 00:08:57,120 --> 00:08:58,440 Has he ever had a seizure before? 183 00:08:58,720 --> 00:08:59,720 No, never. 184 00:08:59,820 --> 00:09:00,840 Is this from his fall? 185 00:09:01,260 --> 00:09:02,260 It's possible. 186 00:09:02,660 --> 00:09:06,260 He just started soccer. We went to Italy a few months ago, and it sparked an 187 00:09:06,260 --> 00:09:08,980 interest. We saw a UV game in Hualo. 188 00:09:09,300 --> 00:09:13,120 He was chasing the ball at practice, and then he fell and landed right on his 189 00:09:13,120 --> 00:09:15,260 head. I knew soccer was a bad idea. 190 00:09:15,520 --> 00:09:18,580 You did the right thing bringing him in. We are going to check him out. Why don't 191 00:09:18,580 --> 00:09:22,580 you order a CBC, a CMP, COAG panel, and get him up to CT? Already on it. 192 00:09:26,390 --> 00:09:27,390 What do you see? 193 00:09:27,650 --> 00:09:30,410 Left segmented culminated tibial fractures. What's that? 194 00:09:30,870 --> 00:09:33,630 She has multiple fracture fragments of the tibia. Multiple? 195 00:09:33,990 --> 00:09:35,290 I don't know where she is. 196 00:09:36,090 --> 00:09:37,090 Indeed you are. 197 00:09:37,510 --> 00:09:38,510 Millen, what's the fix? 198 00:09:38,770 --> 00:09:42,170 I put her in an X-fix and then she'll need an RIF once the swelling goes down. 199 00:09:42,650 --> 00:09:43,650 All right, what do we got? 200 00:09:43,850 --> 00:09:46,470 We got another hot doctor is what we got. 201 00:09:46,710 --> 00:09:51,590 We've also got morphine on board. Are you single? Because my sister is 202 00:09:51,590 --> 00:09:56,090 divorced and she is ready to mingle. I'm sorry. She's very pushy and 203 00:09:56,090 --> 00:09:57,210 inappropriate. It's okay. 204 00:09:58,030 --> 00:10:00,130 Well, if it's okay, are you single? 205 00:10:00,370 --> 00:10:01,370 Uh, yeah. 206 00:10:01,530 --> 00:10:02,530 Run. 207 00:10:03,050 --> 00:10:05,250 Single and inappropriate. Enough. 208 00:10:05,850 --> 00:10:09,570 Tracy. Can someone get me up to speed here? Tracy was trampled at the Sockeye 209 00:10:09,570 --> 00:10:12,850 Salmon Run. In addition to her extremity fractures, she also has a non-displaced 210 00:10:12,850 --> 00:10:16,310 sternal fracture and is complaining of shortness of breath. Okay. Chest X-ray 211 00:10:16,310 --> 00:10:19,790 is negative for pneumo. EKG has some nonspecific T-wave changes. 212 00:10:20,150 --> 00:10:23,570 Initial troponins are mildly elevated, but I see no reason to delay treating 213 00:10:23,570 --> 00:10:26,310 her legs. So let's get her to CT, and then we'll just keep an eye on things. 214 00:10:26,470 --> 00:10:27,850 Great. Get her ready for the X-fix. 215 00:10:29,970 --> 00:10:33,810 Do you mind paging me when the CT and next set of troponins come back? 216 00:10:34,030 --> 00:10:38,450 Nope. No, you don't mind or no? Tracy, let's get you upstairs. 217 00:10:44,610 --> 00:10:47,870 CBC and CMP are normal. 218 00:10:48,110 --> 00:10:52,270 There's nothing remarkable on the CT or ultrasound. 219 00:10:54,170 --> 00:11:00,590 Biopsy from the endoscopy. Look, show only mild chronic gastritis. She's had 220 00:11:00,590 --> 00:11:01,590 every test, twice. 221 00:11:02,930 --> 00:11:03,930 You want a latte? 222 00:11:04,750 --> 00:11:05,870 I want a latte. 223 00:11:07,410 --> 00:11:09,730 Are they good? 224 00:11:09,950 --> 00:11:11,950 It's like a $2,000 machine. 225 00:11:12,990 --> 00:11:14,830 You're already making one. 226 00:11:17,270 --> 00:11:18,270 How's it going? 227 00:11:19,030 --> 00:11:22,630 See, I still don't get the maroon scrubs. 228 00:11:22,910 --> 00:11:23,910 Them are low. 229 00:11:24,150 --> 00:11:28,090 Oh, got to have high fashion to treat rich people? How's it going with the 230 00:11:28,090 --> 00:11:29,090 patient? 231 00:11:29,170 --> 00:11:31,210 I'm psyching myself up. 232 00:11:31,780 --> 00:11:36,000 Lillian's kids are going to have my head when I tell them we've still come up 233 00:11:36,000 --> 00:11:37,020 empty. Really? 234 00:11:37,580 --> 00:11:41,900 Nothing? I'm going to refer to GI for a second opinion. 235 00:11:42,120 --> 00:11:43,960 Well, I know you did the best that you could. 236 00:11:44,220 --> 00:11:45,220 They'll understand. 237 00:11:47,400 --> 00:11:48,560 Your latte? 238 00:11:55,480 --> 00:11:57,740 I'm starting to see the appeal. 239 00:11:58,780 --> 00:11:59,780 Let's go to battle. 240 00:12:00,020 --> 00:12:01,020 Yeah. 241 00:12:03,060 --> 00:12:08,260 Okay. She's still not hitting her milestones, and they're not saying that 242 00:12:08,260 --> 00:12:13,320 it's because of what happened, but how could it not be? I'm so sorry. I can't. 243 00:12:13,320 --> 00:12:14,800 Could somebody else go? Of course. 244 00:12:18,580 --> 00:12:20,040 Would you like to share your story? 245 00:12:21,500 --> 00:12:25,820 Oh, um... Yeah, I guess... I guess I could try. 246 00:12:26,400 --> 00:12:29,160 It was, um... three years ago. 247 00:12:29,460 --> 00:12:30,460 I'm just... 248 00:12:31,230 --> 00:12:38,030 All happened so fast and... Sorry, are there walnuts in these? 249 00:12:38,830 --> 00:12:39,830 I'm allergic. 250 00:12:40,410 --> 00:12:41,410 Do you have a neppy pen? 251 00:12:41,630 --> 00:12:44,010 Not on me, so I should probably go home and get it. 252 00:12:44,430 --> 00:12:47,730 Wait, no, I'm a doctor. I can take you down to the ER. That's very generous, 253 00:12:47,790 --> 00:12:50,130 but no, it's not necessary. It's better safe than sorry. 254 00:12:51,830 --> 00:12:52,970 Go, go, go. 255 00:13:01,930 --> 00:13:03,970 Hey, have you seen Shepard? I see you for a consult. 256 00:13:04,210 --> 00:13:05,210 Okay. 257 00:13:07,410 --> 00:13:08,410 Are you okay? 258 00:13:09,350 --> 00:13:11,750 Fine. Look, I know something's wrong. 259 00:13:12,190 --> 00:13:15,350 You never miss work and you're out for three days. And this morning you look 260 00:13:15,350 --> 00:13:16,550 like you're in pain. I said I'm fine. 261 00:13:16,770 --> 00:13:19,870 I don't need you checking on me. Yeah, but if you need anything... I don't need 262 00:13:19,870 --> 00:13:22,810 anything. I'm handling it. Look, would you just let me be there for you? 263 00:13:23,990 --> 00:13:26,710 Look, you don't have to tell me everything. You don't. But if you want 264 00:13:26,710 --> 00:13:29,430 to talk... I don't. And I don't want to talk about it with you. 265 00:13:31,050 --> 00:13:33,990 Oh, my God, is that a... Some giant cyst on his parietal lobe. 266 00:13:34,670 --> 00:13:35,670 Paging Shepard. 267 00:13:42,370 --> 00:13:43,370 You're giving up? 268 00:13:43,690 --> 00:13:45,590 Well, what are we paying you for, the nicer pillows? 269 00:13:46,010 --> 00:13:48,130 Amari, calm down. 270 00:13:48,450 --> 00:13:51,490 They just gave us the same speech that we heard five times from the doctors on 271 00:13:51,490 --> 00:13:54,010 the regular floor. Except those times were free. 272 00:13:54,210 --> 00:13:55,210 Well, not exactly. 273 00:13:57,130 --> 00:13:58,410 We're really sorry. 274 00:13:58,850 --> 00:14:00,110 I told you they don't care about Mom. 275 00:14:00,700 --> 00:14:02,500 All they care about is if the check clears. 276 00:14:02,700 --> 00:14:07,500 Okay, if all that we cared about was money, then we would put your mom 277 00:14:07,500 --> 00:14:11,780 through a battery of costly, unnecessary tests. Is that what you want? 278 00:14:12,200 --> 00:14:15,800 Just because you can afford this room doesn't mean that you are exempt from 279 00:14:15,800 --> 00:14:17,000 treating people with respect. 280 00:14:18,200 --> 00:14:19,320 We are not rich. 281 00:14:20,720 --> 00:14:21,740 I'm a paralegal. 282 00:14:22,520 --> 00:14:23,640 He's an electrician. 283 00:14:24,020 --> 00:14:26,020 We pooled our savings to get this room. 284 00:14:28,380 --> 00:14:29,460 She can't eat. 285 00:14:30,480 --> 00:14:31,720 She can't walk to the bathroom. 286 00:14:32,220 --> 00:14:35,360 We just wanted to make sure we put everything that we have into helping 287 00:14:35,360 --> 00:14:36,360 her. 288 00:14:37,200 --> 00:14:38,200 I'm sorry. 289 00:14:39,480 --> 00:14:43,820 Just, unfortunately, your mom's symptoms are hard to pin down, no matter what 290 00:14:43,820 --> 00:14:48,260 floor you're on. But we're referring you to the best GI we know, and you will 291 00:14:48,260 --> 00:14:49,480 absolutely be seen this week. 292 00:14:50,040 --> 00:14:51,660 Hopefully that's worth the price of admission. 293 00:14:53,480 --> 00:14:54,480 It's better than nothing. 294 00:14:55,000 --> 00:14:59,660 Dr. Kwan will... Get you ready for discharge and just follow up after you 295 00:14:59,660 --> 00:15:00,660 see the GI. 296 00:15:03,820 --> 00:15:04,900 Finished checking Grant's flap? 297 00:15:05,100 --> 00:15:05,699 Looks good. 298 00:15:05,700 --> 00:15:09,120 Something wrong? I forgot my daughter has early dismissal today and I can't 299 00:15:09,120 --> 00:15:12,980 find anybody to pick her up. I absolutely loved early dismissal. What? 300 00:15:13,040 --> 00:15:15,080 I used to hang out with friends at the pizza buffet. 301 00:15:15,800 --> 00:15:17,440 But I can see how in your case it's stressful. 302 00:15:17,760 --> 00:15:19,820 Yeah, she's been sitting in the school office for an hour. 303 00:15:20,180 --> 00:15:22,820 Well, why don't you go get her? Mike was all over me this morning for being late. 304 00:15:22,900 --> 00:15:23,900 I can't leave. 305 00:15:24,200 --> 00:15:25,780 Okay, well, I can do it. 306 00:15:26,370 --> 00:15:27,590 Yeah, my wife would kill me. 307 00:15:28,850 --> 00:15:31,950 So then just go, you know? I feel like Mike's gonna be in surgery for at least 308 00:15:31,950 --> 00:15:33,690 another hour. I can cover till then. 309 00:15:34,650 --> 00:15:36,010 Okay. Okay. 310 00:15:36,210 --> 00:15:37,210 Yeah, listen. 311 00:15:37,450 --> 00:15:40,210 Just stick to flap checks and change your wound vaccine to stick to you. 312 00:15:40,810 --> 00:15:44,710 Flap checks. If anything happens, call me. I'm all over it, okay? Go. 313 00:15:48,039 --> 00:15:50,760 Arachnoid cysts often go undetected because they're small. 314 00:15:51,320 --> 00:15:54,940 Migue's is very large, and it is putting pressure on his brain. 315 00:15:55,200 --> 00:15:58,440 That's what caused the dizziness and seizure, not the fall at soccer? Most 316 00:15:58,440 --> 00:16:02,760 likely. Once we remove it, his symptoms should stop. We've booked an OR, and we 317 00:16:02,760 --> 00:16:03,760 can get him up there soon. 318 00:16:03,920 --> 00:16:05,500 You want to do the surgery now? 319 00:16:05,920 --> 00:16:08,340 Don't you need more tests or time to prepare? 320 00:16:08,560 --> 00:16:11,980 I know it feels really sudden and scary, but I've done this many times before, 321 00:16:12,240 --> 00:16:15,560 and we should remove the cyst before it ruptures. It's his best option. 322 00:16:18,060 --> 00:16:20,080 Please, be careful with him. 323 00:16:21,940 --> 00:16:24,580 All right, get him prepped. I will see you upstairs. 324 00:16:25,300 --> 00:16:26,300 Me too. 325 00:16:26,440 --> 00:16:28,840 Oh, what about my research? 326 00:16:29,520 --> 00:16:31,120 I'll work late to make up for it. 327 00:16:31,680 --> 00:16:33,460 Okay, as long as it's done. 328 00:16:35,920 --> 00:16:37,520 You're following me into the OR? 329 00:16:38,560 --> 00:16:39,560 It's a cool case. 330 00:16:42,939 --> 00:16:45,720 I need to put you on a break hold. Thanks for waiting. How can I help you? 331 00:16:45,820 --> 00:16:49,300 I have a pregnant woman who might be having a possible allergic reaction. I'm 332 00:16:49,300 --> 00:16:53,120 feeling fine, really. It looks like bed five is open. Can we take that? I think 333 00:16:53,120 --> 00:16:54,119 I'm just going to go home. 334 00:16:54,120 --> 00:16:56,580 You should really get checked. I'm not allergic to walnuts. 335 00:16:57,580 --> 00:17:01,340 I lied. I actually love walnuts. I just said that to get out of sharing and 336 00:17:01,340 --> 00:17:05,119 group. Of course, now I'm in an ER, which is bringing back everything. 337 00:17:05,680 --> 00:17:09,660 I was trying hard not to remember. My heart is racing, is it? Wow. 338 00:17:10,240 --> 00:17:12,680 Is it hot in here? Okay, okay, let's get some fresh air. 339 00:17:12,960 --> 00:17:13,960 Okay. 340 00:17:14,780 --> 00:17:15,780 Nope. 341 00:17:16,220 --> 00:17:17,240 Thank you. No. 342 00:17:18,200 --> 00:17:23,020 What are the odds that the biopsy for celiac was a false negative? 343 00:17:23,520 --> 00:17:28,280 I imagine not zero, but I've never seen it. I thought you were just charging 344 00:17:28,280 --> 00:17:29,280 Lillian. 345 00:17:30,080 --> 00:17:35,320 They have spent almost every dollar they have to get here, so I don't want to 346 00:17:35,320 --> 00:17:36,340 just send them home. 347 00:17:36,680 --> 00:17:38,060 I'm sure you did the best you could. 348 00:17:39,130 --> 00:17:42,230 See, stop saying that, because I don't know that I did. 349 00:17:42,770 --> 00:17:47,130 I mean, do I not have more tricks up my sleeve? I should be able to figure this 350 00:17:47,130 --> 00:17:49,470 out. I am not mid. 351 00:17:49,750 --> 00:17:50,830 You didn't say you were. 352 00:17:51,850 --> 00:17:52,850 What's mid? 353 00:17:54,090 --> 00:17:55,090 Mediocre. 354 00:17:56,830 --> 00:17:57,950 According to my TA. 355 00:17:58,230 --> 00:18:03,210 Well, that's just rude. You know, every research idea I have is old news. 356 00:18:04,040 --> 00:18:09,520 Well, everyone in my program works half as much as I do and finishes twice as 357 00:18:09,520 --> 00:18:14,700 fast. And now I can't even figure out what's wrong with my own damn patient. 358 00:18:20,600 --> 00:18:22,340 Aren't you going to pump me up? 359 00:18:22,560 --> 00:18:24,240 Give me some kind of pep talk? 360 00:18:25,260 --> 00:18:29,480 I know how it feels to put your blood, sweat, and tears into something that did 361 00:18:29,480 --> 00:18:30,880 not work out the way you expected. 362 00:18:37,070 --> 00:18:38,070 You want a latte? 363 00:18:38,590 --> 00:18:39,590 I love one. 364 00:18:40,490 --> 00:18:42,910 Little tighter. 365 00:18:43,950 --> 00:18:45,730 There. Look at you. 366 00:18:46,010 --> 00:18:47,710 You're in a medieval torture device. 367 00:18:48,070 --> 00:18:49,810 Because I was trying to help you. 368 00:18:50,190 --> 00:18:51,390 You're so stubborn. 369 00:18:52,090 --> 00:18:54,290 I don't know why I bother. 370 00:18:55,390 --> 00:18:57,050 Tracy, are you feeling okay? 371 00:18:57,250 --> 00:18:58,530 Ultrasound? BP's soft. 372 00:18:58,990 --> 00:19:00,310 Tracy? Take deep breaths. 373 00:19:00,570 --> 00:19:01,570 Tracy? 374 00:19:01,920 --> 00:19:03,120 Hi, I'm with Tracy Pearson. 375 00:19:03,660 --> 00:19:06,260 She's dyspneic and systolic, so in the mid-80s. 376 00:19:06,980 --> 00:19:08,360 What's happening? Why can't she breathe? 377 00:19:08,640 --> 00:19:10,560 Ultrasound shows hypokinesis in the anterior segment. 378 00:19:11,360 --> 00:19:12,360 You're going to be okay. 379 00:19:12,920 --> 00:19:13,920 Dr. 380 00:19:14,060 --> 00:19:16,620 Ndugu wants us to take her down to the cath lab. Ndugu, the heart surgeon? 381 00:19:16,960 --> 00:19:20,760 What's happening? You said her chest CT was clear. It is, but Tracy's heart is 382 00:19:20,760 --> 00:19:23,420 having trouble contracting. But she's going to be okay, right? We don't know, 383 00:19:23,440 --> 00:19:24,440 which is why we have to go. 384 00:19:25,900 --> 00:19:26,900 Oh, my God, Tracy! 385 00:19:27,020 --> 00:19:28,680 Okay, BP is dropping. 386 00:19:30,160 --> 00:19:31,160 Paul's toxin's 80. 387 00:19:31,180 --> 00:19:32,180 Get an intubation kit. 388 00:19:32,440 --> 00:19:35,660 Code blue, third floor. Tracy! Code blue, third floor. 389 00:19:36,140 --> 00:19:37,420 Code blue. Tracy! 390 00:19:37,660 --> 00:19:38,660 Code blue. 391 00:19:42,280 --> 00:19:43,700 Uncle Clint texted. 392 00:19:44,160 --> 00:19:47,640 He wants to know how you're feeling and if they've diagnosed you with too much 393 00:19:47,640 --> 00:19:48,439 sugar yet. 394 00:19:48,440 --> 00:19:50,560 You tell him to mind his damn business. 395 00:19:50,860 --> 00:19:53,440 Swear the man is losing his mind along with his vision. 396 00:19:53,640 --> 00:19:57,240 He's not wrong to wonder. Started with vomiting, same as you. Is this your 397 00:19:57,240 --> 00:19:58,240 brother? 398 00:19:58,500 --> 00:20:00,520 Pain in my behind is what he is. 399 00:20:00,780 --> 00:20:04,300 Not as bad as Aunt Cece. Yeah, my sister's trying to heal me with food. 400 00:20:05,180 --> 00:20:08,620 Ironic, since the woman has stomach ulcers. Well, food can aggravate ulcers, 401 00:20:08,700 --> 00:20:11,920 but it doesn't cause them. All I'm saying is she's a nail technician. 402 00:20:12,420 --> 00:20:14,120 What does she know about nutrition? 403 00:20:16,300 --> 00:20:17,300 Amelia. 404 00:20:19,240 --> 00:20:20,520 Hey, you stressed? 405 00:20:21,100 --> 00:20:22,100 How'd you guess? 406 00:20:22,220 --> 00:20:25,680 Well, you're unlocked. I snagged us a 90-minute couples massage for Saturday, 407 00:20:25,700 --> 00:20:27,780 and they come to the room, so we don't... You didn't want to check with 408 00:20:27,780 --> 00:20:29,900 me first to see if I like massages? 409 00:20:31,020 --> 00:20:33,780 Uh, do you? I like 50 minutes. 410 00:20:34,060 --> 00:20:38,960 I... After that, I get a little bored, and I don't like couples massages. I 411 00:20:38,960 --> 00:20:39,960 think they're weird. 412 00:20:40,700 --> 00:20:46,200 Also, I don't like canceling surgeries unless it's an emergency, which you 413 00:20:46,200 --> 00:20:49,620 would have known if you had asked me first. I'm sorry. I thought that 414 00:20:49,620 --> 00:20:51,200 surprising you was romantic. 415 00:20:52,040 --> 00:20:53,400 Do you want me to cancel it? 416 00:20:54,940 --> 00:20:59,500 I don't know. I... I have to operate on an eight-year-old. 417 00:21:03,720 --> 00:21:05,000 All right, you have ephemeral access? 418 00:21:05,400 --> 00:21:06,400 With Ivis on standby. 419 00:21:07,640 --> 00:21:09,180 All right, guide catheter. 420 00:21:10,800 --> 00:21:13,620 Advancing to the left main coronary. 421 00:21:14,200 --> 00:21:15,200 Heparin, please. 422 00:21:15,240 --> 00:21:16,720 Go ahead and shoot the angio. Mm-hmm. 423 00:21:19,220 --> 00:21:21,340 Is that a proximal LAD dissection? 424 00:21:21,950 --> 00:21:22,970 What's this, thrombus? 425 00:21:24,090 --> 00:21:26,250 Unfortunately, yeah. Let's prepare to place a stent. 426 00:21:26,710 --> 00:21:28,070 I got this. You can go if you want. 427 00:21:28,310 --> 00:21:29,310 I want to help. 428 00:21:31,410 --> 00:21:32,410 Okay. Dead wire. 429 00:21:34,090 --> 00:21:39,890 So that's how you showed me how... What in God's... You're gonna mess up that 430 00:21:39,890 --> 00:21:41,590 carpet! Okay, hear me out. All right? 431 00:21:41,830 --> 00:21:44,490 Lillian's sister, Aunt Cece, has recurrent kidney stones. 432 00:21:45,080 --> 00:21:49,080 and stomach ulcers her brother has vision loss and low blood sugar and 433 00:21:49,080 --> 00:21:52,880 cousin bobby has got chronic diarrhea and eats antacids like they're candy 434 00:21:52,880 --> 00:21:57,580 this might be genetic bingo and it appears to go beyond gi symptoms too 435 00:21:57,580 --> 00:22:04,420 kidney stones ulcers reflux vision loss i 436 00:22:04,420 --> 00:22:05,420 wonder if it's men 437 00:22:06,220 --> 00:22:10,820 Multiple endocrine neoplasia. It causes tumors in the parathyroid glands. 438 00:22:11,060 --> 00:22:12,820 And the adrenals. It's pretty rare. 439 00:22:13,200 --> 00:22:17,180 Yeah, but I've seen it enough to know that it tracks. Quan, okay, order 440 00:22:17,180 --> 00:22:21,060 genetic testing and let's get a PET scan, see if there are tumors. 441 00:22:21,420 --> 00:22:23,540 PET scans can take weeks to schedule. 442 00:22:26,140 --> 00:22:27,140 She's VIP. 443 00:22:27,780 --> 00:22:28,860 Get her in today. 444 00:22:29,140 --> 00:22:30,140 All right. 445 00:22:33,040 --> 00:22:34,580 Craniotomy complete, Basin. 446 00:22:35,990 --> 00:22:38,870 Scalpel. I can't believe the Parsons thought this was a concussion. 447 00:22:39,070 --> 00:22:40,510 Heard the whole hospital might shut down. 448 00:22:41,310 --> 00:22:43,390 Neurosurgery is the third department to be eliminated. 449 00:22:43,610 --> 00:22:46,090 If the whole hospital closes, does that mean we absorb overflow? 450 00:22:46,430 --> 00:22:47,470 Well, have to. 451 00:22:47,690 --> 00:22:53,050 But in the meantime, these misdiagnoses are a problem. This entire day blew up 452 00:22:53,050 --> 00:22:55,530 because Parsons told me that Migue had a concussion. 453 00:22:55,810 --> 00:22:57,350 All right, incision to the dura complete. 454 00:22:57,650 --> 00:22:58,650 What are next steps? 455 00:22:59,050 --> 00:23:02,310 Get an ultrasound, aspirate the cysts, perform the cystectomy. Correct. 456 00:23:02,750 --> 00:23:03,750 Ultrasound and needle. 457 00:23:08,800 --> 00:23:09,980 Hmm? Hang on. 458 00:23:11,200 --> 00:23:13,860 It looks like there's something moving inside the cyst. 459 00:23:14,360 --> 00:23:15,360 What the hell is that? 460 00:23:16,320 --> 00:23:17,880 It looks like a daughter cyst. 461 00:23:18,460 --> 00:23:19,920 Arachnoid cysts can have daughters. 462 00:23:20,520 --> 00:23:21,820 It's not an arachnoid cyst. 463 00:23:22,900 --> 00:23:23,900 It's a parasite. 464 00:23:29,080 --> 00:23:32,800 I think a call from the head of the largest neighborhood watching his 465 00:23:32,800 --> 00:23:34,360 district could win him over. 466 00:23:34,600 --> 00:23:35,940 Hey, sorry, but are you in pain? 467 00:23:36,940 --> 00:23:38,200 Yeah. Well, you'll do it. 468 00:23:38,680 --> 00:23:39,680 Okay. Great. 469 00:23:42,600 --> 00:23:43,740 Let me know how it goes. 470 00:23:44,180 --> 00:23:45,180 Talk soon. 471 00:23:48,240 --> 00:23:49,240 Okay. 472 00:23:50,120 --> 00:23:51,760 Have you ever read The Art of Persuasion? 473 00:23:52,760 --> 00:23:57,110 So my dad... Gave me a copy when I was about nine or ten, and I used it to 474 00:23:57,110 --> 00:23:59,090 convince him to buy season passes for the Hornets. 475 00:24:00,330 --> 00:24:03,970 Okay, this flap is swollen, but we do have healthy arterial flow. Should I be 476 00:24:03,970 --> 00:24:06,750 worried? No, no, this can happen. I'm just going to check with our fellow to 477 00:24:06,750 --> 00:24:07,750 make sure. Okay. 478 00:24:10,870 --> 00:24:12,550 Come on, come on, come on. 479 00:24:30,410 --> 00:24:35,490 Two seconds in the ER with the smell of disinfectant and the awful lighting and 480 00:24:35,490 --> 00:24:37,350 I'm just right back to that night. 481 00:24:37,770 --> 00:24:38,770 Were you induced? 482 00:24:40,350 --> 00:24:42,390 One minute I was having dinner with my husband. 483 00:24:43,070 --> 00:24:46,670 Next I knew an OB was elbows deep in my uterus. 484 00:24:47,010 --> 00:24:49,710 My C-section was done by a heart surgeon. 485 00:24:50,830 --> 00:24:54,070 I thought heart surgeons operated on hearts. 486 00:24:54,310 --> 00:24:55,310 He did that too. 487 00:24:59,920 --> 00:25:05,100 The OB's phone kept ringing, and she was slicing me open over and over. 488 00:25:06,560 --> 00:25:07,920 You want to know what the ringtone was? 489 00:25:08,500 --> 00:25:10,440 Hit me, baby, one more time. 490 00:25:14,720 --> 00:25:18,780 Now, every time I hear my favorite middle school dance song, I just have a 491 00:25:18,780 --> 00:25:19,900 full-blown panic attack. 492 00:25:20,940 --> 00:25:22,760 I remember random things, too. 493 00:25:24,560 --> 00:25:27,280 The fake flowers in my hospital room. 494 00:25:29,960 --> 00:25:32,840 Borderly's necklace jangling as she rushed me down the hall. 495 00:25:33,360 --> 00:25:34,360 Monitor beeping. 496 00:25:36,580 --> 00:25:37,920 It was my worst nightmare. 497 00:25:40,020 --> 00:25:44,300 I didn't know if my babies were going to make it. I didn't know if I was going to 498 00:25:44,300 --> 00:25:45,300 make it. 499 00:25:47,580 --> 00:25:52,360 I've been around medicine my entire adult life, but that monitor. 500 00:25:53,680 --> 00:25:56,380 I can hear it when I take a shower. 501 00:25:56,660 --> 00:25:57,920 I can hear it. 502 00:25:58,140 --> 00:26:02,400 When I pick up my kids, I hear it when I'm sleeping. 503 00:26:03,200 --> 00:26:05,740 I just hear it everywhere. 504 00:26:07,540 --> 00:26:13,760 I quit my job because I knew that I would hear it forever. And I just, 505 00:26:13,840 --> 00:26:17,740 I don't know how to live with that. 506 00:26:22,720 --> 00:26:24,720 All right, deploying the stint. 507 00:26:26,670 --> 00:26:27,830 He's drawing the balloon. 508 00:26:29,150 --> 00:26:30,450 Prepare to shoot another angel. 509 00:26:33,570 --> 00:26:34,850 Beautiful. Hear that, Tracy? 510 00:26:35,210 --> 00:26:36,770 You're going to live to run another race. 511 00:26:37,030 --> 00:26:38,030 Nice thinking on your feet. 512 00:26:38,610 --> 00:26:39,790 You've got the instincts. 513 00:26:39,990 --> 00:26:42,270 I mean, you really should talk to Beckman about research. 514 00:26:42,530 --> 00:26:46,250 Well, assuming cardiothoracic is still what you want. 515 00:26:48,630 --> 00:26:49,630 She's in VTAC? 516 00:26:50,370 --> 00:26:51,370 Okay, all right. 517 00:26:51,510 --> 00:26:52,329 No pulse. 518 00:26:52,330 --> 00:26:53,330 Charge at 150. 519 00:26:54,490 --> 00:26:55,490 All right, clear. 520 00:26:57,130 --> 00:26:58,130 Come on. 521 00:26:59,590 --> 00:27:00,590 Okay. Yep. 522 00:27:01,190 --> 00:27:02,190 Floral. 523 00:27:04,470 --> 00:27:06,130 All right. Dissection could have extended. 524 00:27:06,470 --> 00:27:08,330 There. Push pressers. 525 00:27:08,530 --> 00:27:10,210 I mean, can you reopen it with another stent? 526 00:27:11,170 --> 00:27:13,630 I can try, but it's already propagated in other vessels. 527 00:27:15,350 --> 00:27:16,350 Come on, JC. 528 00:27:16,490 --> 00:27:17,490 Come on. 529 00:27:19,570 --> 00:27:20,910 What do you see? 530 00:27:21,210 --> 00:27:24,270 There is a small collection of blood under the flap, which is likely what's 531 00:27:24,270 --> 00:27:25,270 causing your pain. 532 00:27:25,740 --> 00:27:28,300 Dr. Wright's still in surgery. She asked for you to wait. Okay. 533 00:27:28,800 --> 00:27:33,440 Um... Can you tell her that his flap is compromised? The tissue has limited 534 00:27:33,440 --> 00:27:36,740 perfusion. I think it's pressure from a hematoma underneath the flap. Then he 535 00:27:36,740 --> 00:27:39,620 doesn't have time to wait. Yeah, I know that. Thank you. You know I can hear 536 00:27:39,620 --> 00:27:40,259 you, right? 537 00:27:40,260 --> 00:27:44,680 Yeah. Yeah. Um, everything is fine. Everything is okay. We just need a 538 00:27:44,680 --> 00:27:47,200 minute to then figure out a plan. 539 00:27:47,460 --> 00:27:48,520 Can we get Dr. Warren? 540 00:27:48,720 --> 00:27:51,140 He's not available at the moment, so... 541 00:27:53,550 --> 00:27:56,290 Get me a staple remover and maybe some leeches, please. Leeches? 542 00:27:56,610 --> 00:28:00,590 No, maybe. If you're going to put leeches on me, I'd rather you be sure. 543 00:28:00,670 --> 00:28:01,770 I'm sure. I'm sure. 544 00:28:02,390 --> 00:28:05,070 Okay. Now let's just do this before it's too late. 545 00:28:09,450 --> 00:28:14,530 Thank you. I am so sorry. I just dumped all over you. 546 00:28:14,730 --> 00:28:17,090 I'm one Britney Spears song away from complete ruin. 547 00:28:20,430 --> 00:28:22,010 I know I'm lucky. 548 00:28:22,720 --> 00:28:24,920 I survived, and my child is healthy. 549 00:28:25,680 --> 00:28:28,260 Even though you both survived, it doesn't mean that you don't need to 550 00:28:28,260 --> 00:28:29,260 grieve. 551 00:28:31,260 --> 00:28:33,080 I actually thought this time would be easier. 552 00:28:34,500 --> 00:28:38,100 The pregnancy's been physically smooth, but inside? 553 00:28:41,880 --> 00:28:43,280 I don't know how I'm going to do this. 554 00:28:43,500 --> 00:28:44,500 You will. 555 00:28:44,760 --> 00:28:48,680 You'll put one foot in front of the other, and you'll do it because you love 556 00:28:48,680 --> 00:28:49,680 that baby. 557 00:28:51,120 --> 00:28:52,360 I don't know if that's enough. 558 00:28:55,160 --> 00:28:59,820 If you need anything, or you just need a talk, I'm going to give you my number. 559 00:29:00,760 --> 00:29:02,960 Thanks. I'll give you mine, too. Okay. 560 00:29:04,280 --> 00:29:06,260 You're clearly just as messed up as I am. 561 00:29:06,540 --> 00:29:07,540 You cried twice. 562 00:29:10,300 --> 00:29:16,780 I know you have mixed feelings about Kwan, but, you know, few residents would 563 00:29:16,780 --> 00:29:19,760 take such a thorough history. They just want to cut. 564 00:29:20,090 --> 00:29:21,230 Who says I have mixed feelings? 565 00:29:21,630 --> 00:29:25,410 Aren't you mad at Norton? Just direct your contempt towards him. Well, trust 566 00:29:25,410 --> 00:29:26,550 me, he's getting it too. 567 00:29:27,850 --> 00:29:30,670 Is that what you're feeling mid about? 568 00:29:31,090 --> 00:29:36,290 I'd like to think I'm a good judge of character, but I fell asleep on the job 569 00:29:36,290 --> 00:29:37,289 on this one. 570 00:29:37,290 --> 00:29:41,790 He's dismantling the institution that I've spent my entire career building. 571 00:29:42,070 --> 00:29:43,070 Well, you the boss. 572 00:29:43,310 --> 00:29:45,110 Fire? I wish it was that easy. 573 00:29:45,810 --> 00:29:46,810 Catherine loves him. 574 00:29:50,390 --> 00:29:51,870 Oh, my God. 575 00:29:52,210 --> 00:29:54,810 Tumor, right on the duodenum. 576 00:29:55,050 --> 00:29:56,230 Who's mid now? 577 00:30:04,210 --> 00:30:05,330 You doing okay? 578 00:30:05,750 --> 00:30:06,830 Surprisingly, yes. 579 00:30:07,030 --> 00:30:10,470 I guess working with politicians prepared me for these little guys. 580 00:30:12,090 --> 00:30:14,090 Uh... Oh, my God. 581 00:30:14,370 --> 00:30:15,470 I got the votes. 582 00:30:16,450 --> 00:30:20,750 Art of persuasion, huh? Art of favors. I said we'd support his own initiative, so 583 00:30:20,750 --> 00:30:21,830 Royce would support us. 584 00:30:22,090 --> 00:30:23,090 He's a yes. 585 00:30:23,550 --> 00:30:24,549 What happened? 586 00:30:24,550 --> 00:30:27,950 Why didn't you call me? I tried to. The flap lost signal. I had to do something. 587 00:30:28,510 --> 00:30:31,090 Sorry. I got held up in the OR. 588 00:30:31,450 --> 00:30:32,890 Oh, compartment syndrome? 589 00:30:33,270 --> 00:30:35,290 Yeah. It came on fast. 590 00:30:36,170 --> 00:30:37,390 Caller's coming back. 591 00:30:37,650 --> 00:30:38,710 Good call, Warren. 592 00:30:40,320 --> 00:30:44,020 Yeah. Look, I actually wasn't sure about the leeches. He wasn't sure about the 593 00:30:44,020 --> 00:30:46,840 leeches at first, but he knew that we had to act as soon as he saw that the 594 00:30:46,840 --> 00:30:48,700 leg was dusky, and that's what we did. 595 00:30:49,400 --> 00:30:50,400 It's a great save. 596 00:30:50,720 --> 00:30:53,740 Grant, unfortunately, you're not going to be able to be on your phone. We need 597 00:30:53,740 --> 00:30:56,380 to get you to the OR so we can wash out and repair your flat. 598 00:30:56,740 --> 00:30:58,400 Warren, let's go scrub. 599 00:30:59,540 --> 00:31:01,040 Do you want me to get him prepped? That'd be great. 600 00:31:01,960 --> 00:31:02,960 Thank you. 601 00:31:10,040 --> 00:31:14,060 Never seen a hydrodissection. They're not common. I saw one during my 602 00:31:14,060 --> 00:31:17,240 fellowship, but I've never actually done one. You sure now's the time to try? We 603 00:31:17,240 --> 00:31:21,500 obviously can't leave it. And we can't aspirate. The parasite secretes toxins 604 00:31:21,500 --> 00:31:25,840 into the hydrated fluid. If any of it leaks into his brain, he could go into 605 00:31:25,840 --> 00:31:28,520 anaphylactic shock. And even if he doesn't, he'd be on medication for the 606 00:31:28,520 --> 00:31:32,120 rest of his life. Just to make sure that the parasites don't come back, we have 607 00:31:32,120 --> 00:31:33,120 to remove the cyst intact. 608 00:31:33,340 --> 00:31:34,780 By forcing it out with saline. 609 00:31:35,100 --> 00:31:36,019 That's hope. 610 00:31:36,020 --> 00:31:37,019 All right. 611 00:31:37,020 --> 00:31:38,020 Starting irrigation. 612 00:31:42,020 --> 00:31:43,020 More irrigation? 613 00:31:44,240 --> 00:31:45,480 Could the saline pop it? 614 00:31:45,980 --> 00:31:47,540 Trying not to think about that? 615 00:31:48,920 --> 00:31:50,560 Okay, just a little more. 616 00:31:51,460 --> 00:31:52,460 Come on. 617 00:31:53,200 --> 00:31:54,360 Just a little more. 618 00:31:55,800 --> 00:31:56,800 Come on. 619 00:31:57,480 --> 00:31:58,480 There. 620 00:32:00,080 --> 00:32:02,120 That might be the coolest thing I've ever seen. 621 00:32:03,060 --> 00:32:04,180 Now can we pop it? 622 00:32:05,800 --> 00:32:06,800 I'll send it back. 623 00:32:13,149 --> 00:32:14,410 Millen? Hey, wait up. 624 00:32:14,770 --> 00:32:16,310 Millen. Millen. 625 00:32:16,530 --> 00:32:17,530 Hey, hey, hey. 626 00:32:18,330 --> 00:32:20,270 Are you okay? We lost a patient. 627 00:32:23,050 --> 00:32:25,450 This wasn't on us. Her heart was too injured to recover. 628 00:32:26,610 --> 00:32:27,910 It's not about fault. 629 00:32:28,830 --> 00:32:30,010 A person died. 630 00:32:30,590 --> 00:32:31,590 No. 631 00:32:33,230 --> 00:32:35,870 And we did everything that we could do to prevent it. 632 00:32:37,650 --> 00:32:38,690 It wasn't enough. 633 00:32:48,979 --> 00:32:53,260 We'll monitor him for a week or two, and then he'll be on anti-parasite 634 00:32:53,260 --> 00:32:57,180 medication. But, yeah, he'll be okay. How did he get a parasite? 635 00:32:57,500 --> 00:33:00,500 Well, this kind of parasite isn't found in the U.S., and even then, they're 636 00:33:00,500 --> 00:33:01,500 very, very rare. 637 00:33:03,540 --> 00:33:04,900 Are they found in Italy? 638 00:33:05,240 --> 00:33:06,240 It can be. 639 00:33:06,440 --> 00:33:08,940 Oh, my God. 640 00:33:09,630 --> 00:33:10,810 This is my fault. 641 00:33:11,010 --> 00:33:13,750 You don't know how he got it. You cannot blame yourself. 642 00:33:14,910 --> 00:33:18,990 He's always begging to come with me when I travel for work. 643 00:33:19,190 --> 00:33:21,230 I finally caved with Italy. 644 00:33:21,770 --> 00:33:26,570 I wanted to introduce him to Juventus and the Egyptian Museum and Gelato. 645 00:33:28,030 --> 00:33:29,770 I'm never taking him anywhere again. 646 00:33:30,010 --> 00:33:31,190 You wanted to spend time with him. 647 00:33:31,730 --> 00:33:34,770 It sounds like you made some wonderful memories. 648 00:33:37,110 --> 00:33:38,530 I need it on a consult. 649 00:33:39,020 --> 00:33:40,380 Would you call me when he wakes up? Yes. 650 00:33:43,180 --> 00:33:47,760 Why didn't the tumor show up in any of the scans she had before? 651 00:33:48,020 --> 00:33:51,860 Well, we did a specialized scan. It's only indicated if you have certain 652 00:33:51,860 --> 00:33:52,860 genetic diseases. 653 00:33:53,140 --> 00:33:54,220 So she has it? 654 00:33:54,520 --> 00:33:58,020 Men? We still have to wait for the results, but the tumor is specifically 655 00:33:58,020 --> 00:34:02,580 in line with men 1. Well, you figured it out. I can't believe it. There's a name 656 00:34:02,580 --> 00:34:03,580 for what I have. 657 00:34:04,190 --> 00:34:07,710 Let's not get too excited. You also have a tumor in your intestine. 658 00:34:08,030 --> 00:34:13,070 Ah, but we know how to treat that. Yes, we'd like to schedule you for surgery as 659 00:34:13,070 --> 00:34:16,590 soon as possible. That should alleviate symptoms. 660 00:34:17,730 --> 00:34:22,630 Thank you both for getting me this VIP service. 661 00:34:23,050 --> 00:34:25,550 You were right. It was worth every penny. 662 00:34:26,230 --> 00:34:28,909 Well, you're lucky to have a tight-knit family that looks out for each other. 663 00:34:29,469 --> 00:34:30,469 Yeah. 664 00:34:31,719 --> 00:34:34,520 Now, do I get to keep these sheets, or do they have to stay here? 665 00:34:34,800 --> 00:34:36,580 Oh, my gosh, Mom. 666 00:34:41,840 --> 00:34:42,280 How 667 00:34:42,280 --> 00:34:52,659 is 668 00:34:52,659 --> 00:34:57,020 she? One of Tracy's coronary arteries was damaged during the accident. 669 00:34:57,320 --> 00:35:00,520 We took her to surgery and tried to repair it. 670 00:35:01,320 --> 00:35:04,380 But she sustained massive heart damage. 671 00:35:06,120 --> 00:35:07,740 Tracy died. 672 00:35:08,740 --> 00:35:10,000 I'm so sorry. 673 00:35:10,720 --> 00:35:12,260 We were fighting. 674 00:35:12,500 --> 00:35:14,260 We did everything we could. 675 00:35:14,500 --> 00:35:15,500 No. 676 00:35:17,240 --> 00:35:19,700 No. She can't be. 677 00:35:20,100 --> 00:35:21,820 You have to get her back. 678 00:35:22,240 --> 00:35:23,480 You have to get her back. 679 00:35:24,640 --> 00:35:28,140 Get her back. Get her back. No. 680 00:35:31,529 --> 00:35:34,970 Finished dressing changes for all of Wright's post-ops. Oh, how'd it go? Did 681 00:35:34,970 --> 00:35:35,928 you save Grant's flat? 682 00:35:35,930 --> 00:35:38,490 Oh, we did. We did, largely thanks to your help. That's awesome. 683 00:35:39,490 --> 00:35:41,150 You're going through my progress notes. 684 00:35:41,750 --> 00:35:45,630 Actually, Wright wants to recommend me for this fellow position on the 685 00:35:45,630 --> 00:35:47,570 Washington Association of Plastic Surgeons board. 686 00:35:47,790 --> 00:35:49,890 I'm just, you know, looking at the job description. 687 00:35:50,150 --> 00:35:51,830 Congratulations, man. That's awesome. Thank you. 688 00:35:52,450 --> 00:35:53,530 Hey, um... 689 00:35:53,960 --> 00:35:55,820 Do you need help preparing for that total cranial vault tomorrow? 690 00:35:56,300 --> 00:36:01,540 No, no, no. I'm good. I'm good. But I do have some orders that need placing, some 691 00:36:01,540 --> 00:36:04,800 womb vacs that need checking. Oh, and Mrs. 692 00:36:05,080 --> 00:36:06,520 Galugian in 4135. 693 00:36:06,880 --> 00:36:09,280 She needs to be ambulated. Right. So it's like that. 694 00:36:10,640 --> 00:36:14,280 I'm sorry. It's just I cover for you, and I get you back in good with right, 695 00:36:14,360 --> 00:36:16,060 and you won't even consider getting me on the case. 696 00:36:16,400 --> 00:36:18,600 You covered for me? 697 00:36:18,880 --> 00:36:19,880 Yeah. Oh. 698 00:36:20,200 --> 00:36:23,500 Like the time I covered for you when you ordered therapeutic heparin instead of 699 00:36:23,500 --> 00:36:27,300 prophylaxis? Or the time that you forgot to change the dressing on that post-op 700 00:36:27,300 --> 00:36:28,300 patient? 701 00:36:28,700 --> 00:36:34,040 See, we look out for each other because it's the right thing to do, not because 702 00:36:34,040 --> 00:36:35,200 we expect anything in return. 703 00:36:35,700 --> 00:36:37,680 So I'm going to go prep for tomorrow. 704 00:36:44,480 --> 00:36:48,560 Dr. Wilson to cardiology. Dr. Lenny Wilson to cardiology. 705 00:36:49,509 --> 00:36:50,509 Thought you went home. 706 00:36:50,570 --> 00:36:51,570 Oh, I live here now. 707 00:36:52,010 --> 00:36:55,650 Yeah. I need to move out of my house place before we murder each other. 708 00:36:57,510 --> 00:37:02,510 I did go through a thing, but I'm afraid if I start talking about it, I won't be 709 00:37:02,510 --> 00:37:07,530 able to come back, and I just... I really need to focus on work right now. 710 00:37:08,050 --> 00:37:09,050 Okay. 711 00:37:10,990 --> 00:37:13,870 If you need a place to stay, you could move in with us. 712 00:37:16,810 --> 00:37:20,090 So you don't want to talk to me, but you'll live with me? Just saying. 713 00:37:20,770 --> 00:37:21,770 Empty room in the house. 714 00:37:22,670 --> 00:37:23,670 What about Brian? 715 00:37:23,690 --> 00:37:24,730 I'm sure I'll be cool with it. 716 00:37:26,530 --> 00:37:27,530 Good night. 717 00:37:27,630 --> 00:37:28,630 Good night. 718 00:37:37,570 --> 00:37:38,650 Oh, you're heading out? 719 00:37:38,890 --> 00:37:40,270 Uh, switching gears. 720 00:37:40,550 --> 00:37:44,570 I'm... Going to work on my research project for a while. Oh, you have an 721 00:37:44,570 --> 00:37:45,710 idea? I do. 722 00:37:47,150 --> 00:37:52,190 My TA still doesn't love it, but I don't care what she thinks. I know it's 723 00:37:52,190 --> 00:37:54,390 worthwhile. What is it? 724 00:37:54,690 --> 00:38:00,670 So Lillian spent six months trying to get a diagnosis, but it wasn't until she 725 00:38:00,670 --> 00:38:04,410 was on the VIP floor that we found one, and I just want to know why. 726 00:38:04,750 --> 00:38:08,510 I mean, was it the extra time we gave her? 727 00:38:08,880 --> 00:38:14,620 Or access to outpatient testing. Since when did you care so much about the VIP 728 00:38:14,620 --> 00:38:21,620 wing? I don't, but I want to use the results to get better care for everyone, 729 00:38:21,720 --> 00:38:24,040 regardless of whether they can afford VIP service. 730 00:38:24,800 --> 00:38:26,160 Oh, that sounds great. 731 00:38:26,400 --> 00:38:27,400 Yes. 732 00:38:27,690 --> 00:38:31,230 So, I reached out to Norton, and we're having dinner tomorrow. 733 00:38:31,450 --> 00:38:34,690 Well, now, why do you want to talk to him? Look, I know you don't like him, 734 00:38:34,710 --> 00:38:36,490 but he might be on to something. 735 00:38:36,730 --> 00:38:38,130 I really don't think so. 736 00:38:38,350 --> 00:38:39,930 Let's see what the data says. 737 00:38:40,290 --> 00:38:41,290 Bailey. 738 00:38:43,470 --> 00:38:44,470 Hey. 739 00:38:50,370 --> 00:38:51,370 Hey. 740 00:38:52,190 --> 00:38:53,390 How'd your surgery go? 741 00:38:54,230 --> 00:38:55,230 Unexpectedly. 742 00:38:55,620 --> 00:38:58,940 Kid's brain cyst turned out to be a parasite. 743 00:38:59,660 --> 00:39:00,760 He's gonna be okay, though. 744 00:39:02,100 --> 00:39:06,320 I don't like surprises in the OR or at home. Okay. 745 00:39:07,240 --> 00:39:08,240 I used to. 746 00:39:09,420 --> 00:39:15,640 But being able to plan for what's ahead helps me stay sober. 747 00:39:17,560 --> 00:39:20,460 Look, I'm... I'm really sorry. 748 00:39:20,960 --> 00:39:22,400 I wasn't... 749 00:39:22,800 --> 00:39:27,440 I'm thinking, I mean, I was, but it was about getting away from work and kids 750 00:39:27,440 --> 00:39:30,940 and having space for us. 751 00:39:31,580 --> 00:39:37,280 It's been a long time since I wanted that with someone. 752 00:39:37,660 --> 00:39:42,880 I mean, I should have just told you. I forgot that, you know, nothing I've told 753 00:39:42,880 --> 00:39:44,480 you so far has freaked you out. 754 00:39:45,580 --> 00:39:46,580 It's true. 755 00:39:48,900 --> 00:39:51,840 I'm going to cancel the hotel. No, don't. 756 00:39:52,650 --> 00:39:57,370 And the thing is, Whidbey Island, it's not a surprise anymore. 757 00:39:59,190 --> 00:40:01,910 So, you want to go? I've never been. 758 00:40:02,570 --> 00:40:06,430 And I would really like to spend the weekend with you, alone. 759 00:40:06,870 --> 00:40:09,670 But could you send me the itinerary in advance? 760 00:40:10,330 --> 00:40:11,330 Oh. 761 00:40:12,150 --> 00:40:13,630 We're never leaving the room. 762 00:40:14,670 --> 00:40:19,410 On a good day, life feels like an endless string of opportunities. 763 00:40:21,220 --> 00:40:22,220 You're still here? 764 00:40:23,460 --> 00:40:24,460 Mm-hmm. 765 00:40:25,380 --> 00:40:26,380 Everything okay? 766 00:40:28,520 --> 00:40:29,680 Long story. 767 00:40:32,180 --> 00:40:33,920 Come on, you gotta give me more than that. 768 00:40:35,120 --> 00:40:36,960 It was actually a good day. 769 00:40:39,160 --> 00:40:43,060 You have no idea how happy I am to hear that. 770 00:40:45,620 --> 00:40:47,480 I'll tell you everything over dinner. 771 00:40:49,900 --> 00:40:53,260 On a bad day, all we see is problems. 772 00:40:54,880 --> 00:40:56,620 Sometimes the solutions are obvious. 773 00:40:58,420 --> 00:40:59,880 I'm working. Make an appointment. 774 00:41:00,800 --> 00:41:03,280 I know it's your job, but it's confusing. 775 00:41:04,020 --> 00:41:05,760 Is this about Beckman? 776 00:41:06,000 --> 00:41:07,000 I miss you. 777 00:41:07,920 --> 00:41:12,180 And if this were different, I would make a clean break, and I would get over you, 778 00:41:12,240 --> 00:41:13,240 and I would move on. 779 00:41:13,320 --> 00:41:14,320 But I can't. 780 00:41:16,300 --> 00:41:22,360 So when you go out of your way to help me, it's confusing because I don't know 781 00:41:22,360 --> 00:41:25,340 if you're doing it because you're the new residency director or if it's 782 00:41:25,340 --> 00:41:32,300 because... And you seem to be 783 00:41:32,300 --> 00:41:35,320 doing fine, which is great for you. 784 00:41:39,060 --> 00:41:40,160 I should go. 785 00:41:41,440 --> 00:41:45,480 Hey, I'm not... I'm not fine. 786 00:41:47,760 --> 00:41:52,500 You're not I I miss you, too 787 00:41:52,500 --> 00:42:08,120 But 788 00:42:08,120 --> 00:42:14,200 a lot of the time 789 00:42:14,200 --> 00:42:16,340 you have to dig down deep 790 00:42:18,280 --> 00:42:19,300 Find the hidden truth. 791 00:42:19,900 --> 00:42:20,900 Taking a break? 792 00:42:21,720 --> 00:42:27,760 Uh, I caught up on all my notes, and Mrs. Kemp is resting up for her surgery 793 00:42:27,760 --> 00:42:29,260 tomorrow, so, yeah. 794 00:42:29,560 --> 00:42:30,560 Good. 795 00:42:31,100 --> 00:42:32,300 You should rest up, too. 796 00:42:32,960 --> 00:42:35,720 Assuming you'll be scrubbing in with Dr. 797 00:42:35,920 --> 00:42:36,920 Bailey? 798 00:42:37,800 --> 00:42:38,800 I will. 799 00:42:39,020 --> 00:42:40,020 Thank you. 800 00:42:41,340 --> 00:42:42,340 Nice work today. 801 00:42:46,800 --> 00:42:47,800 That's it. 802 00:42:57,990 --> 00:42:58,990 Crescent. Dad? 803 00:42:59,350 --> 00:43:02,050 Just know, you may not like what you see.