1 00:00:01,009 --> 00:00:06,170 Somewhere around 1600 BC, surgeons invented sutures made of sheep and horse 2 00:00:06,170 --> 00:00:11,490 intestines. They were called catgut and used almost exclusively until the 1970s. 3 00:00:11,590 --> 00:00:12,590 Oh, you Batman? 4 00:00:12,850 --> 00:00:13,850 What time is it? 5 00:00:13,990 --> 00:00:16,450 It's early. I just thought I'd get a jump on orders and notes. 6 00:00:16,710 --> 00:00:20,050 We have all day for that. Yeah, but I was hoping that if I get it done another 7 00:00:20,050 --> 00:00:23,130 way early, I can get in on the surgery. And I haven't been in the OR in days. 8 00:00:23,350 --> 00:00:25,350 Too tired for sympathy, good luck. 9 00:00:25,730 --> 00:00:26,730 All right. 10 00:00:27,330 --> 00:00:28,610 Catgut was unpredictable. 11 00:00:29,420 --> 00:00:32,640 It often dissolved at random and caused allergic reactions. 12 00:00:34,300 --> 00:00:35,300 Yeah? Hi. 13 00:00:35,480 --> 00:00:39,880 Um, I... Sorry to bother you. I was looking over my research proposal and I 14 00:00:39,880 --> 00:00:43,920 think there's a typo in your notes. It just says mid. Did you mean midterm 15 00:00:43,920 --> 00:00:45,260 or... Not a typo. 16 00:00:45,500 --> 00:00:46,820 I think your idea is mid. 17 00:00:47,520 --> 00:00:48,520 Middle of the road. 18 00:00:49,020 --> 00:00:50,020 Mediocre. 19 00:00:51,260 --> 00:00:55,600 You don't think colon cancer outcomes in metropolitan areas is compelling? 20 00:00:55,900 --> 00:00:57,560 I think it's too broad and it's been done to death. 21 00:00:59,630 --> 00:01:00,630 It's mid. 22 00:01:01,530 --> 00:01:03,710 Well, thanks for your feedback. 23 00:01:06,710 --> 00:01:12,510 Meanwhile, in a chemistry lab somewhere, scientists tried to invent a permanent 24 00:01:12,510 --> 00:01:13,510 polymer. 25 00:01:14,010 --> 00:01:15,650 But it kept degrading. 26 00:01:19,550 --> 00:01:20,670 Have you been here before? 27 00:01:20,950 --> 00:01:22,610 No. Same. 28 00:01:24,790 --> 00:01:26,370 I hope it's not a sob fest. 29 00:01:27,820 --> 00:01:29,200 Cry enough at home by myself. 30 00:01:34,020 --> 00:01:36,480 Surgeons saw this failure and found an opportunity. 31 00:01:37,580 --> 00:01:38,580 Dissolvable stitches. 32 00:01:39,600 --> 00:01:41,440 The answer was there all along. 33 00:01:41,880 --> 00:01:43,700 We just had to know where to look. 34 00:01:43,940 --> 00:01:47,800 My patient is asking if a triathlon is considered strenuous exercise. 35 00:01:48,340 --> 00:01:49,340 I'd say so. 36 00:01:50,560 --> 00:01:51,560 This is weird. 37 00:01:52,000 --> 00:01:54,320 My neuroendoscopy was rescheduled. 38 00:01:54,600 --> 00:01:57,180 Could be a glitch in the system. 39 00:01:58,030 --> 00:02:03,190 No, my biopsy and craniotomy were also moved. I'm completely clear on Friday. 40 00:02:03,210 --> 00:02:03,969 I'm calling IT. 41 00:02:03,970 --> 00:02:04,970 Uh, don't do that. 42 00:02:05,050 --> 00:02:09,590 Right. I'll call scheduling. It was me. Since the stars aligned in our exes 43 00:02:09,590 --> 00:02:13,330 miraculously had our kids at the same time, I booked us a weekend on Whidbey 44 00:02:13,330 --> 00:02:14,330 Island. 45 00:02:15,010 --> 00:02:16,510 You had my schedule cleared? 46 00:02:16,750 --> 00:02:19,950 Yeah. We can just relax and spend time together. 47 00:02:20,350 --> 00:02:22,190 Are those patients okay with that? 48 00:02:22,670 --> 00:02:25,250 The fellow's handling them. He seems happy to help. 49 00:02:32,170 --> 00:02:33,170 I saw that. 50 00:02:33,330 --> 00:02:35,590 How are you? You need to stop. 51 00:02:36,950 --> 00:02:39,450 Stop because you don't want to talk about it? Or stop because you are fully 52 00:02:39,450 --> 00:02:43,090 healed? No more abdominal pain or fever? I'm good. Just focused on work. 53 00:02:43,310 --> 00:02:44,249 What are you studying? 54 00:02:44,250 --> 00:02:47,550 I have to master the latest epilepsy guidelines before eight. 55 00:02:48,290 --> 00:02:50,410 You already have a spot in Shepard's lab? 56 00:02:50,650 --> 00:02:52,550 Never doesn't much. She's launching a new study. 57 00:02:53,339 --> 00:02:55,860 Anybody could apply. Just stay off the Olympic floor. That's mine. 58 00:02:56,140 --> 00:02:57,540 Can't call dibs on a floor. 59 00:02:57,880 --> 00:03:00,800 Yeah, I don't have to. I'm Norton's guy. I have a full floor of patients. 60 00:03:01,140 --> 00:03:03,920 Can't say who it is, but one of them is in the NBA. 61 00:03:04,220 --> 00:03:07,480 Good morning. All right, the deadline for research positions is coming up. So 62 00:03:07,480 --> 00:03:11,380 if you have not applied for one, do not wait. All right, I get to work. 63 00:03:12,700 --> 00:03:15,560 Hey, you didn't show up to Beckman's info session. 64 00:03:15,780 --> 00:03:17,200 I told him you'd be perfect for his lab. 65 00:03:17,420 --> 00:03:18,420 I didn't ask you to do that. 66 00:03:18,780 --> 00:03:20,680 No big deal. I don't need your help. 67 00:03:21,500 --> 00:03:24,780 Dr. Patrick to Peds. Dr. Jacob Patrick to Peds. 68 00:03:25,160 --> 00:03:27,080 Did you hear that? So out of line. 69 00:03:27,520 --> 00:03:30,560 Sounds like he was doing his job. Now I need you to stop. 70 00:03:34,860 --> 00:03:37,160 Still feels like I'm checking into a hotel. 71 00:03:39,680 --> 00:03:40,680 Where's all the equipment? 72 00:03:40,900 --> 00:03:41,799 It's hidden. 73 00:03:41,800 --> 00:03:44,080 It's more calming that way. 74 00:03:44,630 --> 00:03:47,810 How's it gonna be if someone codes and you have to go hunting for a 75 00:03:47,810 --> 00:03:50,470 defibrillator? I have enough problems up here without your two cents. 76 00:03:50,730 --> 00:03:55,750 I thought Dr. Fancy Pants was working financial miracles up here. He's golfing 77 00:03:55,750 --> 00:03:57,310 today. I call that a miracle. 78 00:03:59,230 --> 00:04:00,510 Lillian, camp 808. 79 00:04:00,770 --> 00:04:03,370 Quan's your resident. Make sure he doesn't do anything illegal. 80 00:04:06,350 --> 00:04:08,870 Hey, I saw you have a total cranium vault tomorrow. 81 00:04:09,170 --> 00:04:10,790 Do you use the Melbourne method for that? 82 00:04:12,170 --> 00:04:13,170 Yep. 83 00:04:14,269 --> 00:04:18,970 Cool. Dr. Warren, you're late. Sorry, sorry. I had drop-off this morning, and 84 00:04:18,970 --> 00:04:21,089 the streets were closed because of the sockeye salmon run. I don't need to know 85 00:04:21,089 --> 00:04:22,450 why. I just need my cases covered. 86 00:04:22,670 --> 00:04:26,730 They are, 100%. And the 3D model for tomorrow's craniosynostosis case? Oh, 87 00:04:26,730 --> 00:04:27,730 it's pretty much done. 88 00:04:28,430 --> 00:04:32,330 Good. I rely on my fellow like I rely on my right hand, which is, in fact, my 89 00:04:32,330 --> 00:04:33,330 dominant hand. 90 00:04:33,350 --> 00:04:35,590 I eased you in. Now I need you to level up. 91 00:04:36,830 --> 00:04:37,830 Roger that. 92 00:04:39,960 --> 00:04:42,300 Consent this morning's patients and make sure all the wound backs are changed in 93 00:04:42,300 --> 00:04:43,960 the SICU. I thought you said you had everything covered. 94 00:04:44,240 --> 00:04:47,780 It will be, if we both get to work. I gotta go build a 3D model. Okay, wait, 95 00:04:47,860 --> 00:04:50,180 hey, um, do you think you could get me in on that surgery tomorrow? 96 00:04:50,800 --> 00:04:52,120 Did you hear, Dr. Wright? 97 00:04:52,440 --> 00:04:54,180 At this rate, I'll be lucky if I'm still on it. 98 00:04:54,860 --> 00:04:56,020 Thanks. Okay. 99 00:04:59,040 --> 00:05:03,300 Tracy, I'm Dr. Lincoln, this is Dr. Millen. Looks like we've got a couple of 100 00:05:03,300 --> 00:05:05,300 salmon runners on our hands. What gave it away? 101 00:05:05,760 --> 00:05:10,440 Her hat fell off and I spent all day, uh... I spent a whole day making them. 102 00:05:10,480 --> 00:05:12,040 Which no one asked you to do. 103 00:05:12,640 --> 00:05:16,420 I got trampled when I went back to get it. Swimming upstream? 104 00:05:16,660 --> 00:05:17,359 That's brave. 105 00:05:17,360 --> 00:05:18,360 Try stupid. 106 00:05:18,760 --> 00:05:19,760 May I? Yeah. 107 00:05:21,740 --> 00:05:25,400 That's what I get for trying to get my sister out the house. We could have done 108 00:05:25,400 --> 00:05:29,360 literally anything else, but no. She wanted to run a freaking 10K and honor a 109 00:05:29,360 --> 00:05:32,660 fish. She needs a full trauma panel, chest and left tibia x-rays. She has 110 00:05:32,660 --> 00:05:36,780 chest wall trauma, so... A full cardiac assessment. I will... Page cardio. 111 00:05:37,120 --> 00:05:38,120 I'm on it. 112 00:05:38,200 --> 00:05:42,240 Lillian Kemp, readmitted for recurrent episodes of severe epigastric pain 113 00:05:42,240 --> 00:05:46,160 associated with intractable nausea and vomiting. Medicine asked for surgical 114 00:05:46,160 --> 00:05:50,180 consult after extensive workup didn't reveal etiology of symptoms. 115 00:05:50,400 --> 00:05:54,580 I have been here so many times this month, I pretty much moved in. 116 00:05:54,880 --> 00:05:58,400 And we'd like to get her out, so anything you can do to speed this along 117 00:05:58,400 --> 00:05:59,520 would be greatly appreciated. 118 00:05:59,860 --> 00:06:03,700 We will do everything we can to get to the bottom of her symptoms. Well, I'm 119 00:06:03,700 --> 00:06:04,700 sorry. 120 00:06:05,159 --> 00:06:08,280 everything you can. We're not leaving here until we have answers. 121 00:06:08,720 --> 00:06:11,120 But that is my hope as well. 122 00:06:11,420 --> 00:06:12,420 Your hope? 123 00:06:12,620 --> 00:06:13,680 Aren't you the doctor? 124 00:06:15,180 --> 00:06:20,080 I'm sorry. My children don't handle stress well. Mom, we are paying good 125 00:06:20,080 --> 00:06:24,040 money for you to be here. It is okay to have a certain level of expectations. 126 00:06:24,940 --> 00:06:29,040 And we will meet them. We just need a little more time to review your chart. 127 00:06:33,310 --> 00:06:34,570 Are they all that demanding? 128 00:06:35,190 --> 00:06:37,330 Send up a bagel platter. That should do it. 129 00:06:37,770 --> 00:06:38,770 He just got here. 130 00:06:38,890 --> 00:06:41,290 Transport's bringing him up now. Have you reached the transferring physician? 131 00:06:41,610 --> 00:06:44,890 Yes. Patient's name is Miguel Velasco. Eight-year-old, otherwise healthy male. 132 00:06:45,110 --> 00:06:48,550 Transferred after minor head trauma during soccer practice this morning. No 133 00:06:48,550 --> 00:06:50,330 LOC, but mild headache, nausea. 134 00:06:51,050 --> 00:06:53,470 Parsons General has sent us a couple of these since their neuro department 135 00:06:53,470 --> 00:06:54,570 closed. Any guesses? 136 00:06:54,910 --> 00:06:57,270 Most likely a concussion. Textbook. How should we proceed? 137 00:06:57,570 --> 00:07:00,310 Admit for obs, but... No advanced imaging is indicated. 138 00:07:00,530 --> 00:07:01,530 Discharge in the morning. 139 00:07:01,850 --> 00:07:02,769 Limit screens. 140 00:07:02,770 --> 00:07:05,070 Manage pain with acetaminophen and light physical activity. 141 00:07:05,290 --> 00:07:07,690 Sounds like a plan. I'm going to round in the ICU. Let me know if anything 142 00:07:07,690 --> 00:07:09,890 changes. Make it stop! 143 00:07:10,450 --> 00:07:12,030 Make it stop! Dr. 144 00:07:12,250 --> 00:07:13,250 Griffiths. Help my son! 145 00:07:13,370 --> 00:07:16,850 All right, let's get him on his side and give him one milligram of chlorazepam. 146 00:07:28,750 --> 00:07:31,990 If you support this, I'm sure we can find funds for that highway project. 147 00:07:33,350 --> 00:07:34,710 Okay. Talk soon. 148 00:07:35,890 --> 00:07:37,750 There's no medical leave in my line of work. 149 00:07:37,970 --> 00:07:41,570 Grant is chief of staff for State Representative Mallard. We're trying to 150 00:07:41,570 --> 00:07:43,570 get more funding for after-school programs. 151 00:07:43,870 --> 00:07:46,390 You have my vote. I got a seven-year-old who needs to stay busy. 152 00:07:46,630 --> 00:07:50,630 Bryant? Grant DeVere, a 34-year-old male, post-op day one from a right 153 00:07:50,630 --> 00:07:53,970 fibular osteocutaneous free flap following an MVC. Strong arterial 154 00:07:53,970 --> 00:07:56,070 signals with no signs of venous congestion. 155 00:07:56,570 --> 00:07:57,570 Mind if I take a look? 156 00:07:59,850 --> 00:08:01,030 So is your funding going to pass? 157 00:08:01,250 --> 00:08:03,570 I need four more votes, and they're holding up for leverage. 158 00:08:03,970 --> 00:08:04,970 Hmm. 159 00:08:07,210 --> 00:08:08,210 Yeah. 160 00:08:08,390 --> 00:08:09,390 You're healing nicely. 161 00:08:09,870 --> 00:08:11,150 You want me to do that? Yeah. 162 00:08:11,470 --> 00:08:14,490 So I'm going to be in surgery most of the day, but Dr. Warren and Dr. Bryant 163 00:08:14,490 --> 00:08:15,490 are going to hold down the board. 164 00:08:18,350 --> 00:08:20,710 Hey, uh, you want me to assist in your deep? 165 00:08:21,490 --> 00:08:23,330 Did you do everything else I asked you to? 166 00:08:23,710 --> 00:08:24,710 Well, no. 167 00:08:25,050 --> 00:08:27,890 Um, so, no. Yeah. 168 00:08:28,300 --> 00:08:29,300 You're learning, Warren. 169 00:08:30,160 --> 00:08:31,660 Hi, Maggie. I'm Dr. Shepherd. 170 00:08:31,880 --> 00:08:33,200 This is Dr. Griffith. 171 00:08:33,720 --> 00:08:34,720 You had a seizure. 172 00:08:34,820 --> 00:08:39,159 Do you know what that is? It's kind of like when the brain's electrical signals 173 00:08:39,159 --> 00:08:40,159 get mixed up. 174 00:08:40,320 --> 00:08:41,659 Is it going to happen again? 175 00:08:42,000 --> 00:08:44,980 We're not sure yet, but we are going to take good care of you. 176 00:08:46,620 --> 00:08:47,620 Bright light, okay? 177 00:08:51,260 --> 00:08:52,420 Pupils are equal and reactive. 178 00:08:53,640 --> 00:08:55,520 Am I right? Would you squeeze my fingers? 179 00:08:57,130 --> 00:08:58,410 Has he ever had a seizure before? 180 00:08:58,710 --> 00:08:59,710 No, never. 181 00:08:59,790 --> 00:09:00,830 Is this from his fall? 182 00:09:01,230 --> 00:09:02,230 It's possible. 183 00:09:02,650 --> 00:09:06,230 He just started soccer. We went to Italy a few months ago, and it sparked an 184 00:09:06,230 --> 00:09:08,890 interest. We saw a Juve game in Etiwado. 185 00:09:09,290 --> 00:09:13,110 He was chasing the ball at practice, and then he fell and landed right on his 186 00:09:13,110 --> 00:09:15,250 head. I knew soccer was a bad idea. 187 00:09:15,510 --> 00:09:18,570 You did the right thing bringing him in. We are going to check him out. Why don't 188 00:09:18,570 --> 00:09:22,550 you order a CBC, a CMP, COAG panel, and get him up to CT? Already on it. 189 00:09:26,320 --> 00:09:27,320 What do you see? 190 00:09:27,600 --> 00:09:30,420 Left-segmented comminuted tibial fractures. What's that? 191 00:09:30,820 --> 00:09:33,640 She has multiple fracture fragments of the tibia. Multiple? 192 00:09:34,000 --> 00:09:35,280 I don't know where she is. 193 00:09:36,040 --> 00:09:37,040 Indeed you are. 194 00:09:37,460 --> 00:09:38,460 Millen, what's the fix? 195 00:09:38,740 --> 00:09:42,140 Put her in an X-fix, and then she'll need an RIF once the swelling goes down. 196 00:09:42,600 --> 00:09:43,600 All right, what do we got? 197 00:09:43,680 --> 00:09:46,400 We got another hot doctor is what we got. 198 00:09:46,720 --> 00:09:48,700 We've also got morphine on board. 199 00:09:49,240 --> 00:09:54,500 Are you single? Because my sister is divorced and she is ready to mingle. I'm 200 00:09:54,500 --> 00:09:56,400 sorry. She's very pushy and inappropriate. 201 00:09:56,880 --> 00:09:57,880 It's okay. 202 00:09:58,000 --> 00:10:00,080 Well, if it's okay, are you single? 203 00:10:00,360 --> 00:10:01,360 Uh, yeah. 204 00:10:01,520 --> 00:10:02,520 Run. 205 00:10:03,040 --> 00:10:05,320 Single and inappropriate. Enough. 206 00:10:05,840 --> 00:10:09,560 Tracy. Can someone get me up to speed here? Tracy was trampled at the Sockeye 207 00:10:09,560 --> 00:10:12,820 Salmon Run. In addition to her extremity fractures, she also has a non-displaced 208 00:10:12,820 --> 00:10:14,820 sternal fracture and is complaining of shortness of breath. 209 00:10:15,040 --> 00:10:19,440 Okay. Chest X-ray is negative for pneumo. EKG has some nonspecific T-wave 210 00:10:19,440 --> 00:10:23,320 changes. Initial troponins are mildly elevated, but I see no reason to delay 211 00:10:23,320 --> 00:10:26,160 treating her legs. So let's get her to CT, and then we'll just keep an eye on 212 00:10:26,160 --> 00:10:27,840 things. Great. Get her ready for the X-Fix. 213 00:10:29,600 --> 00:10:33,800 Uh, would you mind paging me when the CT and next set of troponins come back? 214 00:10:34,020 --> 00:10:36,570 Nope. No, you don't mind, or no? 215 00:10:36,790 --> 00:10:38,390 Tracy, let's get you upstairs. 216 00:10:44,610 --> 00:10:51,190 CBC and CMP are normal. There's nothing remarkable on the CT or 217 00:10:51,190 --> 00:10:57,490 ultrasound. Um, biopsy from the endoscopy, look, show 218 00:10:57,490 --> 00:11:01,390 only mild chronic gastritis. She's had every test, twice. 219 00:11:02,930 --> 00:11:03,930 You want a latte? 220 00:11:04,720 --> 00:11:05,860 I don't want a latte. 221 00:11:07,320 --> 00:11:11,940 Are they good? It's like a $2,000 machine. 222 00:11:12,960 --> 00:11:14,800 You're already making one. 223 00:11:17,220 --> 00:11:18,220 How's it going? 224 00:11:19,000 --> 00:11:22,620 See, I still don't get the maroon scrubs. 225 00:11:22,820 --> 00:11:23,820 Them are low. 226 00:11:24,140 --> 00:11:28,080 Oh, gotta have high fashion to treat rich people? How's it going with the 227 00:11:28,080 --> 00:11:29,080 patient? 228 00:11:29,430 --> 00:11:31,210 I'm psyching myself up. 229 00:11:31,750 --> 00:11:35,990 Lillian's kids are gonna have my head when I tell them we've still come up 230 00:11:35,990 --> 00:11:37,030 empty. Really? 231 00:11:37,570 --> 00:11:41,870 Nothing? I'm gonna refer to G.I. for a second opinion. 232 00:11:42,090 --> 00:11:43,950 Well, I know you did the best that you could. 233 00:11:44,210 --> 00:11:45,210 They'll understand. 234 00:11:47,370 --> 00:11:48,570 Your latte? 235 00:11:55,430 --> 00:11:58,310 I'm starting to see the appeal. Mm-hmm. 236 00:11:58,910 --> 00:11:59,910 Let's go to battle. 237 00:11:59,990 --> 00:12:00,990 Yeah. 238 00:12:01,370 --> 00:12:02,370 Okay. 239 00:12:03,490 --> 00:12:08,570 She's still not hitting her milestones, and they're not saying that it's because 240 00:12:08,570 --> 00:12:13,390 of what happened, but how could it not be? I'm so sorry. I can't. Could 241 00:12:13,390 --> 00:12:14,770 somebody else go? Of course. 242 00:12:18,530 --> 00:12:20,030 Would you like to share your story? 243 00:12:21,450 --> 00:12:25,810 Oh, um... Yeah, I guess... I guess I could try. 244 00:12:26,370 --> 00:12:27,790 It was, um... 245 00:12:28,300 --> 00:12:29,300 Three years ago. 246 00:12:29,420 --> 00:12:33,040 It just... all happened so fast. 247 00:12:34,500 --> 00:12:38,000 And... Sorry, are there walnuts in these? 248 00:12:38,800 --> 00:12:39,800 I'm allergic. 249 00:12:40,400 --> 00:12:41,400 Do you have a nebby pen? 250 00:12:41,580 --> 00:12:43,980 Not on me, so I should probably go home and get it. 251 00:12:44,400 --> 00:12:47,700 Wait, no, I'm a doctor. I can take you down to the ER. That's very generous, 252 00:12:47,760 --> 00:12:50,100 but no, it's not necessary. It's better safe than sorry. 253 00:12:51,780 --> 00:12:52,940 Go, go, go. 254 00:13:01,960 --> 00:13:04,400 Hey, have you seen Shepard? I see you for a consult. Okay. 255 00:13:07,380 --> 00:13:08,380 Are you okay? 256 00:13:09,340 --> 00:13:11,720 Fine. I know something's wrong. 257 00:13:12,180 --> 00:13:15,320 You never miss work, and you're out for three days, and this morning you look 258 00:13:15,320 --> 00:13:16,520 like you're in pain. I said I'm fine. 259 00:13:16,740 --> 00:13:19,840 I don't need you checking on me. Yeah, but if you need anything... I don't need 260 00:13:19,840 --> 00:13:20,940 anything. I'm handling it. 261 00:13:21,160 --> 00:13:22,780 But would you just let me be there for you? 262 00:13:23,980 --> 00:13:26,780 Like, you don't have to tell me everything you don't, but if you want to 263 00:13:26,780 --> 00:13:29,420 talk... I don't, and I don't want to talk about it with you. 264 00:13:31,040 --> 00:13:33,980 Oh, my God, is that a... A giant cyst on his parietal lobe. 265 00:13:34,660 --> 00:13:35,660 Paging Shepard. 266 00:13:42,380 --> 00:13:43,380 You're giving up? 267 00:13:43,660 --> 00:13:45,560 Well, what are we paying you for, the nicer pillows? 268 00:13:46,000 --> 00:13:48,120 Amari, calm down. 269 00:13:48,440 --> 00:13:51,480 They just gave us the same speech that we heard five times from the doctors on 270 00:13:51,480 --> 00:13:54,880 the regular floor. Except those times were free. Well, not exactly. 271 00:13:57,140 --> 00:13:58,400 We're really sorry. 272 00:13:58,760 --> 00:14:00,100 I told you they don't care about Mom. 273 00:14:00,680 --> 00:14:02,480 All they care about is if the check clears. 274 00:14:02,720 --> 00:14:07,460 Okay, if all that we cared about was money, then we would put your mom 275 00:14:07,460 --> 00:14:11,760 through a battery of costly, unnecessary tests. Is that what you want? 276 00:14:12,140 --> 00:14:15,780 Just because you can afford this room doesn't mean that you are exempt from 277 00:14:15,780 --> 00:14:16,980 treating people with respect. 278 00:14:18,160 --> 00:14:19,320 We are not rich. 279 00:14:20,600 --> 00:14:21,720 I'm a paralegal. 280 00:14:22,440 --> 00:14:23,640 He's an electrician. 281 00:14:23,960 --> 00:14:26,020 We pooled our savings to get this room. 282 00:14:28,300 --> 00:14:29,440 She can't eat. 283 00:14:30,430 --> 00:14:31,690 She can't walk to the bathroom. 284 00:14:32,250 --> 00:14:35,330 We just wanted to make sure we put everything that we have into helping 285 00:14:35,330 --> 00:14:36,330 her. 286 00:14:37,210 --> 00:14:38,210 I'm sorry. 287 00:14:39,450 --> 00:14:43,790 Just, unfortunately, your mom's symptoms are hard to pin down, no matter what 288 00:14:43,790 --> 00:14:48,230 floor you're on. But we're referring you to the best GI we know, and you will 289 00:14:48,230 --> 00:14:49,450 absolutely be seen this week. 290 00:14:50,090 --> 00:14:51,630 Hopefully that's worth the price of admission. 291 00:14:53,490 --> 00:14:54,490 It's better than nothing. 292 00:14:55,160 --> 00:14:59,640 Dr. Quan will get you ready for discharge and just follow up after you 293 00:14:59,640 --> 00:15:00,640 see the GI. 294 00:15:03,720 --> 00:15:04,900 Finished checking Grant's flap? 295 00:15:05,120 --> 00:15:08,820 Looks good. Something wrong? I forgot my daughter has early dismissal today and I 296 00:15:08,820 --> 00:15:12,960 can't find anybody to pick her up. I absolutely loved early dismissal. What? 297 00:15:13,040 --> 00:15:15,060 I used to hang out with friends at the pizza buffet. 298 00:15:15,780 --> 00:15:17,440 But I can see how in your case it's stressful. 299 00:15:17,740 --> 00:15:19,800 Yeah, she's been sitting in the school office for an hour. 300 00:15:20,160 --> 00:15:22,800 Well, why don't you go get her? Mike was all over me this morning for being late. 301 00:15:22,860 --> 00:15:23,860 I can't leave. 302 00:15:24,180 --> 00:15:25,780 Okay, well I can do it. 303 00:15:26,320 --> 00:15:27,540 Yeah, my wife would kill me. 304 00:15:28,840 --> 00:15:31,760 So then just go, you know? I feel like Brian's going to be in surgery for at 305 00:15:31,760 --> 00:15:33,680 least another hour. I can cover until then. 306 00:15:34,640 --> 00:15:35,980 Okay. Okay. 307 00:15:36,200 --> 00:15:37,200 Yeah, listen. 308 00:15:37,420 --> 00:15:40,120 Just take the flap checks and change your wound vaccine to sit you. 309 00:15:40,800 --> 00:15:44,720 Flap checks? If anything happens, call me. I'm all over it, okay? Go. 310 00:15:48,080 --> 00:15:50,700 Arachnoid cysts often go undetected because they're small. 311 00:15:51,290 --> 00:15:54,930 Miguez is very large, and it is putting pressure on his brain. 312 00:15:55,130 --> 00:15:58,410 That's what caused the dizziness and seizure, not the fall at soccer. Most 313 00:15:58,410 --> 00:16:02,730 likely. Once we remove it, his symptoms should stop. We've booked an OR, and we 314 00:16:02,730 --> 00:16:03,730 can get him up there soon. 315 00:16:03,830 --> 00:16:05,490 You want to do the surgery now? 316 00:16:05,890 --> 00:16:08,310 Don't you need more tests or time to prepare? 317 00:16:08,550 --> 00:16:11,950 I know it feels really sudden and scary, but I've done this many times before, 318 00:16:12,210 --> 00:16:15,550 and we should remove the cyst before it ruptures. It's his best option. 319 00:16:17,150 --> 00:16:20,010 Please, be careful with him. 320 00:16:22,020 --> 00:16:24,600 All right, get him prepped. I will see you upstairs. 321 00:16:25,280 --> 00:16:26,280 Oh, me too. 322 00:16:26,520 --> 00:16:28,820 Oh, um, what about my research? 323 00:16:29,580 --> 00:16:31,120 I'll work late to make up for it. 324 00:16:31,740 --> 00:16:33,440 Okay, as long as it's done. 325 00:16:35,980 --> 00:16:37,500 You're following me into the OR? 326 00:16:38,620 --> 00:16:39,620 It's a cool case. 327 00:16:42,910 --> 00:16:45,690 I need to put you on a break hold. Thanks for waiting. How can I help you? 328 00:16:45,790 --> 00:16:49,290 I have a pregnant woman who might be having a possible allergic reaction. I'm 329 00:16:49,290 --> 00:16:53,110 feeling fine, really. It looks like bed five is open. Can we take that? I think 330 00:16:53,110 --> 00:16:54,109 I'm just going to go home. 331 00:16:54,110 --> 00:16:56,570 No, you should really get checked. I'm not allergic to walnuts. 332 00:16:57,550 --> 00:17:01,310 I lied. I actually love walnuts. I just said that to get out of sharing and 333 00:17:01,310 --> 00:17:05,089 group. Of course, now I'm in an ER, which is bringing back everything. 334 00:17:05,650 --> 00:17:07,510 I was trying hard not to remember. 335 00:17:07,730 --> 00:17:09,630 My heart is racing, is it? Wow. 336 00:17:10,240 --> 00:17:12,660 Is it hot in here? Okay, okay, let's get some fresh air. 337 00:17:12,940 --> 00:17:13,940 Okay. 338 00:17:14,760 --> 00:17:15,760 Nope. 339 00:17:16,200 --> 00:17:17,220 Thank you. No. 340 00:17:18,140 --> 00:17:23,000 What are the odds that the biopsy for celiac was a false negative? 341 00:17:23,500 --> 00:17:28,260 I imagine not zero, but I've never seen it. I thought you were just charging 342 00:17:28,260 --> 00:17:29,260 Lillian. 343 00:17:30,060 --> 00:17:35,300 They have spent almost every dollar they have to get here, so I don't want to 344 00:17:35,300 --> 00:17:36,340 just send them home. 345 00:17:36,660 --> 00:17:38,040 I'm sure you did the best you could. 346 00:17:39,150 --> 00:17:42,230 See, stop saying that, because I don't know that I did. 347 00:17:42,770 --> 00:17:47,090 I mean, do I not have more tricks up my sleeve? I should be able to figure this 348 00:17:47,090 --> 00:17:49,450 out. I am not mid. 349 00:17:49,710 --> 00:17:50,810 You didn't say you were. 350 00:17:51,830 --> 00:17:52,830 What's mid? 351 00:17:54,070 --> 00:17:55,070 Mediocre. 352 00:17:56,810 --> 00:17:57,930 According to my TA. 353 00:17:58,190 --> 00:18:03,190 Well, that's just rude. You know, every research idea I have is old news. 354 00:18:04,030 --> 00:18:09,490 Well, everyone in my program works half as much as I do and finishes twice as 355 00:18:09,490 --> 00:18:14,710 fast. And now I can't even figure out what's wrong with my own damn patient. 356 00:18:20,550 --> 00:18:22,310 Aren't you gonna, you know, pump me up? 357 00:18:22,550 --> 00:18:24,230 Give me some kind of pep talk? 358 00:18:25,250 --> 00:18:29,490 I know how it feels to put your blood, sweat, and tears into something that did 359 00:18:29,490 --> 00:18:30,870 not work out the way you expected. 360 00:18:37,320 --> 00:18:38,320 You want a latte? 361 00:18:38,460 --> 00:18:39,460 I'd love one. 362 00:18:41,540 --> 00:18:42,900 Little tighter. 363 00:18:43,820 --> 00:18:47,680 There. Look at you. You're in a medieval torture device. 364 00:18:48,020 --> 00:18:49,780 I was trying to help you. 365 00:18:50,060 --> 00:18:51,360 You're so stubborn. 366 00:18:51,940 --> 00:18:54,240 I don't know why I bother. 367 00:18:55,550 --> 00:18:57,050 Tracy, are you feeling okay? 368 00:18:57,370 --> 00:18:58,370 Ultrasound? BP soft. 369 00:18:59,050 --> 00:19:00,270 Tracy? Take deep breaths. 370 00:19:00,690 --> 00:19:01,690 Tracy? 371 00:19:01,710 --> 00:19:03,090 Hi, I'm with Tracy Pearson. 372 00:19:03,630 --> 00:19:06,210 She's dyspneic and systolic, so in the mid-80s. 373 00:19:06,930 --> 00:19:08,310 What's happening? Why can't she breathe? 374 00:19:08,610 --> 00:19:10,510 Ultrasound shows hyperkinesis in the anterior segment. 375 00:19:11,310 --> 00:19:12,310 You're gonna be okay. Okay. 376 00:19:13,610 --> 00:19:16,590 Dr. Ndugu wants us to take her down to the cath lab. Ndugu, the heart surgeon? 377 00:19:16,930 --> 00:19:20,730 What's happening? You said her chest CT was clear. It is, but Tracy's heart is 378 00:19:20,730 --> 00:19:23,390 having trouble contracting. But she's gonna be okay, right? We don't know, 379 00:19:23,390 --> 00:19:24,390 which is why we have to go. 380 00:19:25,710 --> 00:19:26,710 Oh my god, Tracy! 381 00:19:26,890 --> 00:19:28,650 Okay, BP is dropping. 382 00:19:29,930 --> 00:19:30,950 Paul's toxin's 80. 383 00:19:31,190 --> 00:19:32,190 Get an intubation kit. 384 00:19:32,370 --> 00:19:35,610 Code blue, third floor. Code blue, third floor. 385 00:19:36,130 --> 00:19:37,970 Code blue. Code blue. 386 00:19:41,510 --> 00:19:43,670 Uncle Clint texted. 387 00:19:44,070 --> 00:19:47,610 He wants to know how you're feeling and if they've diagnosed you with too much 388 00:19:47,610 --> 00:19:48,509 sugar yet. 389 00:19:48,510 --> 00:19:50,550 You're telling him to mind his damn business. 390 00:19:50,830 --> 00:19:54,530 Swear the man is losing his mind along with his vision. He's not wrong to 391 00:19:54,530 --> 00:19:56,430 wonder. Started with vomiting, same as you. 392 00:19:56,630 --> 00:19:57,630 Is this your brother? 393 00:19:58,350 --> 00:20:00,490 Pain in my behind is what he is. 394 00:20:00,710 --> 00:20:04,310 Not as bad as Aunt Cece. Yeah, my sister's trying to heal me with food. 395 00:20:05,050 --> 00:20:07,010 Ironic since the woman has stomach ulcers. 396 00:20:07,210 --> 00:20:10,990 Well, food can aggravate ulcers, but it doesn't cause them. All I'm saying is 397 00:20:10,990 --> 00:20:11,990 she's a nail technician. 398 00:20:12,330 --> 00:20:14,150 What does she know about nutrition? 399 00:20:15,850 --> 00:20:16,850 Ugh. 400 00:20:17,780 --> 00:20:18,780 Amelia. 401 00:20:19,140 --> 00:20:20,500 Hey. You stressed? 402 00:20:20,980 --> 00:20:21,979 How'd you guess? 403 00:20:21,980 --> 00:20:25,660 Well, you're unlocked. I snagged us a 90-minute couples massage for Saturday, 404 00:20:25,660 --> 00:20:27,740 and they come to the room, so we don't... You didn't want to check with 405 00:20:27,740 --> 00:20:28,439 me first? 406 00:20:28,440 --> 00:20:29,860 To see if I like massages? 407 00:20:31,100 --> 00:20:33,740 Uh, do you? I like 50 minutes. 408 00:20:34,020 --> 00:20:38,960 I... After that, I get a little bored. And I don't like couples massages. I 409 00:20:38,960 --> 00:20:39,960 think they're weird. 410 00:20:41,080 --> 00:20:42,080 Also... 411 00:20:42,990 --> 00:20:46,470 I don't like canceling surgeries unless it's an emergency, which you would have 412 00:20:46,470 --> 00:20:50,890 known if you had asked me first. I'm sorry. I thought that surprising you was 413 00:20:50,890 --> 00:20:51,890 romantic. 414 00:20:51,950 --> 00:20:53,390 Do you want me to cancel it? 415 00:20:54,830 --> 00:20:59,470 I don't know. I... I have to operate on an eight-year-old. 416 00:21:02,750 --> 00:21:04,990 All right, you have femoral access? 417 00:21:05,390 --> 00:21:06,390 We have Ivis on standby. 418 00:21:07,570 --> 00:21:09,170 All right, guide catheter. 419 00:21:10,690 --> 00:21:11,730 Advancing to the left. 420 00:21:12,940 --> 00:21:13,940 Main coronary. 421 00:21:14,180 --> 00:21:15,180 Heparin, please. 422 00:21:15,220 --> 00:21:16,720 Go ahead and shoot the angio. Mm-hmm. 423 00:21:19,240 --> 00:21:23,000 Is that a proximal LAD dissection with a thrombus? 424 00:21:24,080 --> 00:21:26,200 Unfortunately, yeah. Let's prepare to place a stent. 425 00:21:26,680 --> 00:21:28,040 I got this. You can go if you want. 426 00:21:28,260 --> 00:21:29,260 I want to help. 427 00:21:31,400 --> 00:21:32,400 Okay. Guide wire. 428 00:21:34,080 --> 00:21:39,500 So there, that's how you showed me how... What in God's... You're gonna 429 00:21:39,500 --> 00:21:41,000 mess up that carpet! Okay, hear me out. 430 00:21:41,340 --> 00:21:45,480 All right. Lillian's sister, Aunt Cece, has recurrent kidney stones and stomach 431 00:21:45,480 --> 00:21:48,380 ulcers. Her brother has vision loss and low blood sugar. 432 00:21:48,620 --> 00:21:52,520 And cousin Bobby has got chronic diarrhea and eats antacids like they're 433 00:21:52,520 --> 00:21:53,740 candy. This might be genetic. 434 00:21:54,160 --> 00:21:57,560 Bingo. And it appears to go beyond GI symptoms, too. 435 00:21:57,820 --> 00:22:02,060 Kidney stones, ulcers, reflux, vision loss. 436 00:22:03,840 --> 00:22:05,360 I wonder if it's men. 437 00:22:06,160 --> 00:22:10,800 Multiple endocrine neoplasia. It causes tumors in the parathyroid glands. 438 00:22:11,020 --> 00:22:12,800 And the adrenals. It's pretty rare. 439 00:22:13,160 --> 00:22:17,140 Yeah, but I've seen it enough to know that it tracks. Quan, okay, order 440 00:22:17,140 --> 00:22:21,080 genetic testing and let's get a PET scan, see if they're tumors. 441 00:22:21,420 --> 00:22:23,500 PET scans can take weeks to schedule. 442 00:22:26,100 --> 00:22:27,100 She's VIP. 443 00:22:27,760 --> 00:22:28,800 Get her in today. 444 00:22:29,120 --> 00:22:30,120 All right. 445 00:22:32,980 --> 00:22:34,540 Craniotomy complete, Basin. 446 00:22:35,920 --> 00:22:38,860 Scalpel. I can't believe the Parsons thought this was a concussion. 447 00:22:39,060 --> 00:22:40,500 Heard the whole hospital might shut down. 448 00:22:41,260 --> 00:22:43,360 Neurosurgery is the third department to be eliminated. 449 00:22:43,580 --> 00:22:46,080 If the whole hospital closes, does that mean we absorb overflow? 450 00:22:46,420 --> 00:22:47,460 Oh, we'll have to. 451 00:22:47,680 --> 00:22:53,020 But in the meantime, these misdiagnoses are a problem. This entire day blew up 452 00:22:53,020 --> 00:22:55,500 because Parsons told me that Migue had a concussion. 453 00:22:55,740 --> 00:22:57,360 All right, incision to the dura complete. 454 00:22:57,640 --> 00:22:58,640 What are next steps? 455 00:22:58,960 --> 00:23:02,300 Get an ultrasound, aspirate the cysts, perform the cystectomy. Correct. 456 00:23:02,680 --> 00:23:03,680 Ultrasound and needle. 457 00:23:08,800 --> 00:23:09,960 Hmm? Hang on. 458 00:23:11,200 --> 00:23:13,840 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 --> 00:23:17,860 It looks like a daughter cyst. 461 00:23:18,460 --> 00:23:19,900 Arachnoid cysts can have daughters. 462 00:23:20,520 --> 00:23:21,800 It's not an arachnoid cyst. 463 00:23:22,900 --> 00:23:23,900 It's a parasite. 464 00:23:29,150 --> 00:23:32,790 I think a call from the head of the largest neighborhood watching his 465 00:23:32,790 --> 00:23:34,330 district could win him over. 466 00:23:34,570 --> 00:23:35,930 Hey, sorry, but are you in pain? 467 00:23:36,890 --> 00:23:38,190 Yeah. Well, you'll do it. 468 00:23:38,610 --> 00:23:39,610 Okay. Great. 469 00:23:42,530 --> 00:23:43,730 Let me know how it goes. 470 00:23:44,110 --> 00:23:45,110 Talk soon. 471 00:23:48,190 --> 00:23:49,190 Okay. 472 00:23:50,050 --> 00:23:51,730 Have you ever read The Art of Persuasion? 473 00:23:52,710 --> 00:23:57,300 So my dad... Gave me a copy when I was about 9 or 10, and I used it to convince 474 00:23:57,300 --> 00:23:59,060 him to buy season passes for the Hornets. 475 00:24:00,280 --> 00:24:03,260 Okay, this flap is swollen, but we do have healthy arterial flow. 476 00:24:03,460 --> 00:24:06,440 Should I be worried? No, no, this can happen. I'm just going to check with our 477 00:24:06,440 --> 00:24:07,440 fellow to make sure. Okay. 478 00:24:10,860 --> 00:24:12,520 Come on, come on, come on. 479 00:24:30,480 --> 00:24:35,480 Two seconds in the ER with the smell of disinfectant and the awful lighting and 480 00:24:35,480 --> 00:24:37,360 I'm just right back to that night. 481 00:24:37,720 --> 00:24:38,760 Were you induced? 482 00:24:40,320 --> 00:24:42,380 One minute I was having dinner with my husband. 483 00:24:43,040 --> 00:24:46,660 Next I knew an OB was elbows deep in my uterus. 484 00:24:46,980 --> 00:24:49,700 My C-section was done by a heart surgeon. 485 00:24:50,780 --> 00:24:54,060 I thought heart surgeons operated on hearts. 486 00:24:54,280 --> 00:24:55,300 He did that too. 487 00:24:59,920 --> 00:25:05,060 The OB's phone kept ringing, and she was slicing me open over and over. 488 00:25:06,520 --> 00:25:07,920 You want to know what the ringtone was? 489 00:25:08,200 --> 00:25:08,799 Mm-hmm. 490 00:25:08,800 --> 00:25:10,460 Hit me, baby, one more time. 491 00:25:14,680 --> 00:25:18,760 Now, every time I hear my favorite middle school dance song, I just have a 492 00:25:18,760 --> 00:25:19,880 full-blown panic attack. 493 00:25:20,920 --> 00:25:22,740 I remember random things, too. 494 00:25:23,600 --> 00:25:27,260 The fake flowers in my hospital room. 495 00:25:28,080 --> 00:25:29,080 The... 496 00:25:29,900 --> 00:25:32,820 Borderly's necklace jangling as she rushed me down the hall. 497 00:25:33,320 --> 00:25:34,320 Monitor beeping. 498 00:25:36,500 --> 00:25:37,880 It was my worst nightmare. 499 00:25:39,960 --> 00:25:44,280 I didn't know if my babies were going to make it. I didn't know if I was going to 500 00:25:44,280 --> 00:25:45,280 make it. 501 00:25:47,500 --> 00:25:52,340 I've been around medicine my entire adult life, but that monitor. 502 00:25:53,620 --> 00:25:56,360 I can hear it when I take a shower. 503 00:25:56,600 --> 00:25:57,900 I can hear it. 504 00:25:58,110 --> 00:26:02,370 When I pick up my kids, I hear it when I'm sleeping. 505 00:26:03,150 --> 00:26:05,730 I just hear it everywhere. 506 00:26:07,490 --> 00:26:13,910 I quit my job because I knew that I would hear it forever, and I just... 507 00:26:13,910 --> 00:26:17,710 I don't know how to live with that. 508 00:26:22,690 --> 00:26:24,710 All right, deploying the stint. 509 00:26:26,670 --> 00:26:27,830 That's drawing the balloon. 510 00:26:29,130 --> 00:26:30,410 Prepare to shoot another angel. 511 00:26:33,530 --> 00:26:34,830 Beautiful. Hear that, Tracy? 512 00:26:35,190 --> 00:26:36,750 You're going to live to run another race. 513 00:26:37,010 --> 00:26:38,010 Nice thinking on your feet. 514 00:26:38,590 --> 00:26:39,750 You've got the instincts. 515 00:26:39,950 --> 00:26:42,270 I mean, you really should talk to Beckman about research. 516 00:26:42,510 --> 00:26:46,230 Well, assuming cardiothoracic is still what you want. 517 00:26:48,610 --> 00:26:49,610 She's in VTAC? 518 00:26:50,350 --> 00:26:51,350 Okay, all right. 519 00:26:51,470 --> 00:26:52,309 No pulse. 520 00:26:52,310 --> 00:26:53,310 Charge at 150. 521 00:26:54,450 --> 00:26:55,450 All right, clear. 522 00:26:59,939 --> 00:27:00,939 Yep. 523 00:27:01,160 --> 00:27:02,160 Floral. 524 00:27:04,460 --> 00:27:06,100 All right. Dissection could have extended. 525 00:27:06,460 --> 00:27:08,300 There. Push pressers. 526 00:27:08,580 --> 00:27:10,180 I mean, can you reopen it with another stent? 527 00:27:11,140 --> 00:27:13,620 I can try, but it's already propagated in other vessels. 528 00:27:15,340 --> 00:27:16,880 Come on, Jay-Z. Come on. 529 00:27:19,520 --> 00:27:20,900 What do you see? 530 00:27:21,240 --> 00:27:24,260 There is a small collection of blood under the flap, which is likely what's 531 00:27:24,260 --> 00:27:25,260 causing your pain. 532 00:27:25,600 --> 00:27:28,320 Dr. Wright's still in surgery. She asked for you to wait. Okay. 533 00:27:30,290 --> 00:27:33,410 Can you tell her that his flap is compromised? The tissue has limited 534 00:27:33,410 --> 00:27:36,710 perfusion. I think it's pressure from a hematoma underneath the flap. Then he 535 00:27:36,710 --> 00:27:39,590 doesn't have time to wait. Yeah, I know that. Thank you. You know I can hear 536 00:27:39,590 --> 00:27:40,229 you, right? 537 00:27:40,230 --> 00:27:44,650 Yeah, yeah. Um, everything is fine. Everything is okay. We just need a 538 00:27:44,650 --> 00:27:47,190 minute to then figure out a plan. 539 00:27:47,390 --> 00:27:48,490 Can we get Dr. Warren? 540 00:27:48,690 --> 00:27:51,090 He's not available at the moment, so... 541 00:27:53,550 --> 00:27:56,270 Get me a staple remover and maybe some leeches, please. Leeches? 542 00:27:56,590 --> 00:27:57,870 No, maybe. 543 00:27:58,070 --> 00:28:01,550 If you're going to put leeches on me, I'd rather you be sure. I'm sure. I'm 544 00:28:01,550 --> 00:28:02,790 sure. Okay. 545 00:28:03,230 --> 00:28:05,050 Now let's just do this before it's too late. 546 00:28:09,430 --> 00:28:14,510 Thank you. I am so sorry. I just dumped all over you. 547 00:28:14,710 --> 00:28:17,070 I'm one Britney Spears song away from complete ruin. 548 00:28:20,850 --> 00:28:21,990 I know I'm lucky. 549 00:28:22,700 --> 00:28:24,900 I survived, and my child is healthy. 550 00:28:25,620 --> 00:28:28,240 Even though you both survived, it doesn't mean that you don't need to 551 00:28:28,240 --> 00:28:29,240 grieve. 552 00:28:31,200 --> 00:28:33,060 I actually thought this time would be easier. 553 00:28:34,420 --> 00:28:38,740 And the pregnancy's been physically smooth, but inside... 554 00:28:38,740 --> 00:28:43,260 I don't know how I'm going to do this. 555 00:28:43,480 --> 00:28:44,480 You will. 556 00:28:44,740 --> 00:28:48,660 You'll put one foot in front of the other, and you'll do it because you love 557 00:28:48,660 --> 00:28:49,660 that baby. 558 00:28:51,210 --> 00:28:52,350 I don't know if that's enough. 559 00:28:55,110 --> 00:28:59,790 If you need anything, or you just need a talk, I'm going to give you my number. 560 00:29:00,830 --> 00:29:02,930 Thanks. I'll give you mine, too. Okay. 561 00:29:04,250 --> 00:29:06,230 You're clearly just as messed up as I am. 562 00:29:06,510 --> 00:29:07,510 You cried twice. 563 00:29:10,270 --> 00:29:16,750 I know you have mixed feelings about Kwan, but, you know, few residents would 564 00:29:16,750 --> 00:29:19,730 take such a thorough history. They just want to cut. 565 00:29:20,040 --> 00:29:21,240 Who says I have mixed feelings? 566 00:29:21,600 --> 00:29:25,400 Aren't you mad at Norton? Just direct your contempt towards him. Well, trust 567 00:29:25,400 --> 00:29:26,520 me, he's getting it too. 568 00:29:27,820 --> 00:29:30,620 Well, is that what you're feeling mid about? 569 00:29:31,100 --> 00:29:36,280 I'd like to think I'm a good judge of character, but I fell asleep on the job 570 00:29:36,280 --> 00:29:37,259 on this one. 571 00:29:37,260 --> 00:29:41,760 He's dismantling the institution that I've spent my entire career building. 572 00:29:42,040 --> 00:29:43,040 Well, you the boss. 573 00:29:43,280 --> 00:29:45,080 Fire? I wish it was that easy. 574 00:29:45,760 --> 00:29:46,780 Catherine loves him. 575 00:29:50,330 --> 00:29:51,850 Oh, my God. 576 00:29:52,170 --> 00:29:54,790 Tumor, right on the duodenum. 577 00:29:55,050 --> 00:29:56,190 Who's mid now? 578 00:30:04,210 --> 00:30:05,310 You doing okay? 579 00:30:05,750 --> 00:30:06,810 Surprisingly, yes. 580 00:30:07,030 --> 00:30:10,450 I guess working with politicians prepared me for these little guys. 581 00:30:12,070 --> 00:30:14,070 Uh... Oh, my God. 582 00:30:14,370 --> 00:30:15,450 I got the votes. 583 00:30:16,420 --> 00:30:20,740 Art of persuasion, huh? Art of favors. I said we'd support his own initiative, so 584 00:30:20,740 --> 00:30:21,780 Royce would support us. 585 00:30:22,060 --> 00:30:23,060 He's a yes. 586 00:30:23,520 --> 00:30:24,520 What happened? 587 00:30:24,540 --> 00:30:27,940 Why didn't you call me? I tried to. The flap lost signal. I had to do something. 588 00:30:28,400 --> 00:30:31,060 Sorry. I got held up in the OR. 589 00:30:31,420 --> 00:30:32,880 Oh, compartment syndrome? 590 00:30:33,260 --> 00:30:35,660 Yeah. It came on fast. Yeah. 591 00:30:36,140 --> 00:30:37,380 Caller's coming back. 592 00:30:37,640 --> 00:30:38,680 Good call, Warren. 593 00:30:39,770 --> 00:30:43,990 Yeah. Look, I actually wasn't sure about the leeches. He wasn't sure about the 594 00:30:43,990 --> 00:30:46,810 leeches at first, but he knew that we had to act as soon as he saw that the 595 00:30:46,810 --> 00:30:48,690 leg was dusky, and that's what we did. 596 00:30:49,370 --> 00:30:50,370 It's a great save. 597 00:30:50,750 --> 00:30:53,730 Grant, unfortunately, you're not going to be able to be on your phone. We need 598 00:30:53,730 --> 00:30:56,370 to get you to the OR so we can wash out and repair your flat. 599 00:30:56,750 --> 00:30:58,370 Warren, let's go scrub. 600 00:30:59,510 --> 00:31:01,030 Do you want me to get him prepped? That'd be great. 601 00:31:01,930 --> 00:31:02,930 Thank you. 602 00:31:10,050 --> 00:31:14,030 Never seen a hydrodissection. They're not common. I saw one during my 603 00:31:14,030 --> 00:31:17,190 fellowship, but I've never actually done one. You sure now's the time to try? We 604 00:31:17,190 --> 00:31:21,490 obviously can't leave it. And we can't aspirate. The parasite secretes toxins 605 00:31:21,490 --> 00:31:25,830 into the hydrated fluid. If any of it leaks into his brain, he could go into 606 00:31:25,830 --> 00:31:28,490 anaphylactic shock. And even if he doesn't, he'd be on medication for the 607 00:31:28,490 --> 00:31:32,110 rest of his life. Just to make sure that the parasites don't come back, we have 608 00:31:32,110 --> 00:31:33,110 to remove the cyst intact. 609 00:31:33,310 --> 00:31:34,770 By forcing it out with saline. 610 00:31:35,090 --> 00:31:35,969 That's hope. 611 00:31:35,970 --> 00:31:36,970 All right. 612 00:31:36,990 --> 00:31:37,990 Starting irrigation. 613 00:31:38,150 --> 00:31:39,150 Okay. 614 00:31:42,000 --> 00:31:43,000 More irrigation? 615 00:31:44,180 --> 00:31:45,460 Could the saline pop it? 616 00:31:45,980 --> 00:31:47,520 Trying not to think about that? 617 00:31:48,900 --> 00:31:50,540 Okay, just a little more. 618 00:31:51,440 --> 00:31:52,440 Come on. 619 00:31:53,160 --> 00:31:54,340 Just a little more. 620 00:31:55,780 --> 00:31:56,780 Come on. 621 00:31:57,460 --> 00:31:58,460 There. 622 00:32:00,060 --> 00:32:02,080 That might be the coolest thing I've ever seen. 623 00:32:03,080 --> 00:32:04,160 Now can we pop it? 624 00:32:05,780 --> 00:32:06,780 I'll send it back. 625 00:32:13,070 --> 00:32:14,390 Millen? Hey, wait up. 626 00:32:14,670 --> 00:32:15,670 Millen. 627 00:32:16,050 --> 00:32:17,250 Millen. Hey, hey, hey. 628 00:32:18,270 --> 00:32:20,250 Are you okay? We lost a patient. 629 00:32:22,970 --> 00:32:25,430 This wasn't on us. Her heart was too injured to recover. 630 00:32:26,430 --> 00:32:27,890 It's not about fault. 631 00:32:28,750 --> 00:32:30,010 A person died. 632 00:32:30,510 --> 00:32:31,510 I know. 633 00:32:33,170 --> 00:32:35,850 And we did everything that we could do to prevent it. 634 00:32:37,590 --> 00:32:38,650 It wasn't enough. 635 00:32:49,000 --> 00:32:53,240 We'll monitor him for a week or two, and then he'll be on anti-parasite 636 00:32:53,240 --> 00:32:57,160 medication. But, yeah, he'll be okay. How did he get a parasite? 637 00:32:57,480 --> 00:33:00,440 Well, this kind of parasite isn't found in the U.S., and even then, they're 638 00:33:00,440 --> 00:33:01,440 very, very rare. 639 00:33:03,500 --> 00:33:04,880 Are they found in Italy? 640 00:33:05,220 --> 00:33:06,220 It can be. 641 00:33:06,500 --> 00:33:08,920 Oh, my God. 642 00:33:09,580 --> 00:33:10,780 This is my fault. 643 00:33:10,980 --> 00:33:13,720 You don't know how he got it. You cannot blame yourself. 644 00:33:14,880 --> 00:33:18,960 He's always begging to come with me when I travel for work. 645 00:33:19,180 --> 00:33:21,200 I finally caved with Italy. 646 00:33:21,740 --> 00:33:26,560 I wanted to introduce him to Juventus and the Egyptian Museum and gelato. 647 00:33:28,000 --> 00:33:29,760 I'm never taking him anywhere again. 648 00:33:29,980 --> 00:33:31,160 You wanted to spend time with him. 649 00:33:31,700 --> 00:33:34,760 It sounds like you made some wonderful memories. 650 00:33:37,080 --> 00:33:38,520 I need it on a consult. 651 00:33:39,020 --> 00:33:40,360 Would you call me when he wakes up? Yes. 652 00:33:43,140 --> 00:33:47,740 Why didn't the tumor show up in any of the scans she had before? 653 00:33:48,000 --> 00:33:51,840 Well, we did a specialized scan. It's only indicated if you have certain 654 00:33:51,840 --> 00:33:52,840 genetic diseases. 655 00:33:53,160 --> 00:33:54,200 So she has it? 656 00:33:54,480 --> 00:33:58,000 Men? We still have to wait for the results, but the tumor is specifically 657 00:33:58,000 --> 00:34:02,560 in line with men 1. Well, you figured it out. I can't believe it. There's a name 658 00:34:02,560 --> 00:34:03,560 for what I have. 659 00:34:04,250 --> 00:34:07,690 Let's not get too excited. You also have a tumor in your intestine. 660 00:34:08,030 --> 00:34:13,050 Ah, but we know how to treat that. Yes, we'd like to schedule you for surgery as 661 00:34:13,050 --> 00:34:19,949 soon as possible. That should alleviate some... Thank you both for 662 00:34:19,949 --> 00:34:22,610 getting me this VIP service. 663 00:34:23,010 --> 00:34:25,530 You were right. It was worth every penny. 664 00:34:25,929 --> 00:34:28,889 Well, you're lucky to have a tight-knit family that looks out for each other. 665 00:34:29,389 --> 00:34:30,389 Yeah. 666 00:34:31,690 --> 00:34:34,489 Now, do I get to keep these sheets, or do they have to stay here? 667 00:34:35,449 --> 00:34:36,550 Oh, my gosh, Mom. 668 00:34:41,889 --> 00:34:42,290 How 669 00:34:42,290 --> 00:34:52,630 is 670 00:34:52,630 --> 00:34:57,010 she? One of Tracy's coronary arteries was damaged during the accident. 671 00:34:57,350 --> 00:35:00,510 We took her to surgery and tried to repair it. 672 00:35:01,290 --> 00:35:04,370 But she sustained massive heart damage. 673 00:35:06,050 --> 00:35:07,710 Tracy died. 674 00:35:08,670 --> 00:35:09,990 I'm so sorry. 675 00:35:10,650 --> 00:35:14,230 But we were fighting. We did everything we could. 676 00:35:14,490 --> 00:35:15,490 No. 677 00:35:17,110 --> 00:35:19,670 No. She can't be. 678 00:35:31,630 --> 00:35:34,950 Finished dressing changes for all of Wright's post-ops. Oh, how'd it go? Did 679 00:35:34,950 --> 00:35:35,888 you save Grant's flat? 680 00:35:35,890 --> 00:35:38,490 Oh, we did. We did, largely thanks to your help. That's awesome. 681 00:35:39,470 --> 00:35:41,090 You're going through my progress notes. 682 00:35:41,670 --> 00:35:45,610 Actually, Wright wants to recommend me for this fellow position on the 683 00:35:45,610 --> 00:35:47,530 Washington Association of Plastic Surgeons board. 684 00:35:47,750 --> 00:35:49,870 I'm just, you know, looking at the job description. 685 00:35:50,130 --> 00:35:51,810 Congratulations, man. That's awesome. Thank you. 686 00:35:52,430 --> 00:35:55,770 Hey, do you need help preparing for that total cranial vault tomorrow? 687 00:35:56,270 --> 00:35:57,510 No, no, no. I'm good. 688 00:35:57,790 --> 00:36:02,810 I'm good. But I do have some orders that need placing, some womb vacs that need 689 00:36:02,810 --> 00:36:04,770 checking. Oh, and Mrs. 690 00:36:05,030 --> 00:36:06,490 Galugian in 4135. 691 00:36:06,810 --> 00:36:07,970 She needs to be ambulated. 692 00:36:08,190 --> 00:36:09,270 Right. So it's like that. 693 00:36:10,610 --> 00:36:14,270 I'm sorry. It's just I cover for you, and I get you back in good with right, 694 00:36:14,350 --> 00:36:16,030 and you won't even consider getting me on the case. 695 00:36:16,370 --> 00:36:18,590 You covered for me? 696 00:36:18,850 --> 00:36:19,850 Yeah. Oh. 697 00:36:20,030 --> 00:36:23,510 Like the time I covered for you when you ordered therapeutic heparin instead of 698 00:36:23,510 --> 00:36:25,790 prophylaxis? Or the time that you forgot to... 699 00:36:26,000 --> 00:36:27,580 change the dressing on that post-op patient. 700 00:36:28,720 --> 00:36:34,020 See, we look out for each other because it's the right thing to do, not because 701 00:36:34,020 --> 00:36:35,180 we expect anything in return. 702 00:36:35,760 --> 00:36:37,680 So I'm going to go prep for tomorrow. 703 00:36:46,160 --> 00:36:50,220 Thought you went home? 704 00:36:50,620 --> 00:36:51,620 Oh, I live here now. 705 00:36:51,960 --> 00:36:55,640 Yeah. I need to move out of my house place before we murder each other. 706 00:36:57,500 --> 00:37:02,500 I did go through a thing, but I'm afraid if I start talking about it, I won't be 707 00:37:02,500 --> 00:37:07,500 able to come back, and I just... I really need to focus on work right now. 708 00:37:08,020 --> 00:37:09,020 Okay. 709 00:37:11,160 --> 00:37:13,860 If you need a place to stay, you could move in with us. 710 00:37:16,760 --> 00:37:20,100 So you don't want to talk to me, but you'll live with me? Just saying. 711 00:37:20,800 --> 00:37:21,800 Empty room in the house. 712 00:37:22,580 --> 00:37:23,580 What about Brian? 713 00:37:23,660 --> 00:37:24,720 I'm sure I'll be cool with it. 714 00:37:26,500 --> 00:37:27,500 Good night. 715 00:37:27,580 --> 00:37:28,580 Good night. 716 00:37:37,600 --> 00:37:38,640 Oh, you're heading out? 717 00:37:38,880 --> 00:37:44,280 Uh, switching gears. I'm gonna work on my research project for a while. Oh, you 718 00:37:44,280 --> 00:37:44,999 have an idea? 719 00:37:45,000 --> 00:37:45,919 I do. 720 00:37:45,920 --> 00:37:51,850 Um, my TA... Still doesn't love it, but I don't care what she thinks. I know 721 00:37:51,850 --> 00:37:52,850 it's worthwhile. 722 00:37:52,990 --> 00:37:54,370 Oh, what is it? 723 00:37:54,590 --> 00:38:00,490 Well, so Lillian spent six months trying to get a diagnosis, but it wasn't until 724 00:38:00,490 --> 00:38:04,430 she was on the VIP floor that we found one, and I just want to know why. 725 00:38:04,750 --> 00:38:11,470 I mean, was it the extra time we gave her or the access to outpatient 726 00:38:11,470 --> 00:38:15,050 testing? Since when did you care so much about the VIP wing? 727 00:38:15,370 --> 00:38:17,210 I don't, but... 728 00:38:17,520 --> 00:38:22,560 I want to use the results to get better care for everyone, regardless of whether 729 00:38:22,560 --> 00:38:24,020 they can afford VIP service. 730 00:38:24,940 --> 00:38:26,080 Oh, that sounds good. 731 00:38:26,320 --> 00:38:27,320 Yes. 732 00:38:27,380 --> 00:38:31,220 So I reached out to Norton, and we're having dinner tomorrow. 733 00:38:31,440 --> 00:38:34,660 Well, now, why do you want to talk to him? Look, I know you don't like him, 734 00:38:34,700 --> 00:38:36,400 but he might be on to something. 735 00:38:36,720 --> 00:38:39,900 I really don't think so. Let's see what the data says. 736 00:38:40,260 --> 00:38:41,260 Bailey. 737 00:38:41,300 --> 00:38:42,920 Dr. Radesky to the ER. 738 00:38:43,160 --> 00:38:45,320 Dr. Gordial Radesky to the ER. 739 00:38:49,070 --> 00:38:50,770 Hey. Hey. 740 00:38:52,070 --> 00:38:53,370 How'd your surgery go? 741 00:38:54,230 --> 00:38:55,230 Unexpectedly. 742 00:38:55,590 --> 00:38:58,950 Kid's brain cyst turned out to be a parasite. 743 00:38:59,610 --> 00:39:00,730 He's gonna be okay, though. 744 00:39:02,090 --> 00:39:03,410 I don't like surprises. 745 00:39:03,990 --> 00:39:06,310 In the OR or at home. Okay. 746 00:39:07,230 --> 00:39:08,230 I used to. 747 00:39:09,390 --> 00:39:15,610 But being able to plan for what's ahead helps me stay sober. 748 00:39:17,530 --> 00:39:18,530 Look, I'm... 749 00:39:19,400 --> 00:39:20,440 I'm really sorry. 750 00:39:20,920 --> 00:39:26,840 I wasn't thinking. I mean, I was, but it was about getting away from work and 751 00:39:26,840 --> 00:39:30,900 kids and having space for us. 752 00:39:31,560 --> 00:39:37,260 It's been a long time since I wanted that with someone. 753 00:39:37,640 --> 00:39:42,000 I mean, I should have just told you. I mean, I've forgotten that, you know, 754 00:39:42,020 --> 00:39:44,460 nothing I've told you so far has freaked you out. 755 00:39:45,540 --> 00:39:46,540 It's true. 756 00:39:48,970 --> 00:39:50,990 I'm going to cancel the hotel. 757 00:39:51,210 --> 00:39:52,210 No, don't. 758 00:39:52,350 --> 00:39:57,350 And the thing is, Whidbey Island, it's not a surprise anymore. 759 00:39:59,170 --> 00:40:00,910 So, you want to go? 760 00:40:01,150 --> 00:40:02,150 I've never been. 761 00:40:02,570 --> 00:40:06,390 And I would really like to spend the weekend with you alone. 762 00:40:06,830 --> 00:40:09,650 But could you send me the itinerary in advance? 763 00:40:10,410 --> 00:40:11,410 Oh. 764 00:40:12,130 --> 00:40:13,650 We're never leaving the room. 765 00:40:14,770 --> 00:40:16,250 On a good day. 766 00:40:17,050 --> 00:40:19,510 Life feels like an endless string of opportunities. 767 00:40:21,050 --> 00:40:22,050 You're still here? 768 00:40:23,250 --> 00:40:24,250 Mm-hmm. 769 00:40:25,230 --> 00:40:26,230 Everything okay? 770 00:40:28,350 --> 00:40:29,710 Long story. 771 00:40:31,530 --> 00:40:33,910 Come on, you gotta give me more than that. 772 00:40:34,990 --> 00:40:36,970 It was actually a good day. 773 00:40:39,030 --> 00:40:43,070 You have no idea how happy I am to hear that. 774 00:40:45,800 --> 00:40:47,460 I'll tell you everything over dinner. 775 00:40:49,800 --> 00:40:53,240 On a bad day, all we see is problems. 776 00:40:54,840 --> 00:40:56,620 Sometimes the solutions are obvious. 777 00:40:58,400 --> 00:40:59,880 I'm working. Make an appointment. 778 00:41:00,780 --> 00:41:03,260 I know it's your job, but it's confusing. 779 00:41:04,000 --> 00:41:05,720 Is this about Beckman? 780 00:41:05,980 --> 00:41:06,980 I miss you. 781 00:41:07,880 --> 00:41:12,140 And if this were different, I would make a clean break, and I would get over you, 782 00:41:12,220 --> 00:41:13,220 and I would move on. 783 00:41:13,300 --> 00:41:14,300 But I can't. 784 00:41:16,270 --> 00:41:22,330 So when you go out of your way to help me, it's confusing because I don't know 785 00:41:22,330 --> 00:41:25,310 if you're doing it because you're the new residency director or if it's 786 00:41:25,310 --> 00:41:32,290 because... And you seem to be 787 00:41:32,290 --> 00:41:35,310 doing fine, which is great for you. 788 00:41:39,030 --> 00:41:40,130 I should go. 789 00:41:41,410 --> 00:41:45,450 Hey, I'm not... I'm not fine. 790 00:41:47,720 --> 00:41:52,480 You're not I I miss you, too 791 00:41:52,480 --> 00:42:08,160 But 792 00:42:08,160 --> 00:42:14,160 a lot of the time 793 00:42:14,160 --> 00:42:16,320 you have to dig down deep 794 00:42:18,320 --> 00:42:19,320 Find the hidden truth. 795 00:42:19,880 --> 00:42:20,880 Taking a break? 796 00:42:21,740 --> 00:42:27,740 Uh, I caught up on all my notes, and Mrs. Kemp is resting up for her surgery 797 00:42:27,740 --> 00:42:29,240 tomorrow, so, yeah. 798 00:42:29,560 --> 00:42:30,560 Good. 799 00:42:31,080 --> 00:42:32,280 You should rest up, too. 800 00:42:32,960 --> 00:42:36,060 Assuming you'll be scrubbing in with Dr. Bailey? 801 00:42:37,800 --> 00:42:38,800 I will. 802 00:42:39,020 --> 00:42:40,020 Thank you. 803 00:42:41,320 --> 00:42:42,320 Nice work today. 804 00:42:46,820 --> 00:42:47,820 That's it. 805 00:42:57,980 --> 00:42:58,980 Henson? Dad? 806 00:42:59,340 --> 00:43:02,040 Just know, you may not like what you see.