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1
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[Meredith] In order to geta good diagnosis...
2
00:00:05,672 --> 00:00:07,299
[thunder rumbling]
3
00:00:11,177 --> 00:00:14,704
...doctors have to constantlychange their perspective.
4
00:00:18,818 --> 00:00:21,787
We start by gettingthe patient's point of view...
5
00:00:24,491 --> 00:00:27,824
...though they often don'thave a clue what's going on.
6
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[thunder rumbles]
7
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So we look at the patientfrom every possible angle.
8
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We rule things out,we uncover new information,
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trying to get to what's actually wrong.
10
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We're asked for second opinions,
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hoping we'll see somethingothers might have missed.
12
00:00:54,387 --> 00:00:57,618
- [tires screech]
- [sirens blaring]
13
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For the patient,
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00:00:59,826 --> 00:01:04,058
a fresh perspective can meanthe difference between living and dying.
15
00:01:05,331 --> 00:01:07,060
For the doctor,
16
00:01:07,100 --> 00:01:10,399
it can mean picking a fightwith everyone who got there before you.
17
00:01:10,437 --> 00:01:12,962
- Someone's getting fired.
- Stop it.
18
00:01:13,039 --> 00:01:15,269
- She wasn't even my patient.
- What?
19
00:01:15,341 --> 00:01:18,708
- Nothing.
- How long is this gonna take?
20
00:01:18,745 --> 00:01:20,906
- Why? You need to make a phone call?
- [muffled laugh]
21
00:01:20,947 --> 00:01:22,141
[thunder rumbles]
22
00:01:24,184 --> 00:01:25,617
[indistinct yelling]
23
00:01:25,652 --> 00:01:27,313
[Owen] Hey, hey, hey, hey, hey.
24
00:01:31,357 --> 00:01:33,382
- [Richard] That's enough!
- Are you kidding me?
25
00:01:33,426 --> 00:01:35,087
[Richard] l said enough!
26
00:01:37,163 --> 00:01:38,926
What happened here tonight,
27
00:01:38,965 --> 00:01:41,490
what happened to that patient
was inexcusable!
28
00:01:42,802 --> 00:01:46,260
We're gonna be here until
l find out who is responsible for it.
29
00:01:46,306 --> 00:01:49,639
So, until then, you'll sit down, you'll
shut up and you'll wait to be called.
30
00:01:51,311 --> 00:01:53,279
[indistinct sighing]
31
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- Hunt.
- [thundering]
32
00:01:59,786 --> 00:02:03,313
- l'm not going down for this.
- Someone is.
33
00:02:09,129 --> 00:02:11,996
- [door shuts]
- [thunderclap]
34
00:02:16,636 --> 00:02:19,730
Dr. Hunt, you know Larry Jennings
from our board.
35
00:02:19,806 --> 00:02:22,832
- This is our in-house counsel.
- We're trying to get in front...
36
00:02:22,909 --> 00:02:26,003
[Richard] Uh, l need you to give me
the lay of the land of your ER tonight.
37
00:02:26,079 --> 00:02:29,105
- From the beginning.
- We were slammed with a mass casualty,
38
00:02:29,149 --> 00:02:32,846
a hotel fire. A half-dozen burn victims,
a penetrating chest wound,
39
00:02:32,886 --> 00:02:36,845
- a firefighter with multiple traumas.
- What doctors were working?
40
00:02:36,923 --> 00:02:39,016
[Owen] Yang, Grey, Karev, Adamson,
41
00:02:39,058 --> 00:02:43,495
that big kid whose name l don't know,
Kepner, Avery and Torres.
42
00:02:43,530 --> 00:02:46,328
Who was on the patient in question,
the one who died?
43
00:02:48,301 --> 00:02:53,170
- Everyone. Everyone was everywhere.
- All right, who got the chart first?
44
00:02:55,909 --> 00:02:57,638
Dr. Yang.
45
00:02:57,677 --> 00:03:02,478
lt wasn't my patient. l had it for two
seconds, and then l was called outside.
46
00:03:02,515 --> 00:03:06,679
- Start from the beginning.
- l was paged to the ER.
47
00:03:08,221 --> 00:03:12,988
[Cristina sighs] l'm putting myself
in a timeout before l kill someone.
48
00:03:13,092 --> 00:03:16,584
Seen Bailey? She was supposed to sign
my discharge papers after her appy.
49
00:03:16,663 --> 00:03:19,826
Oh, good. Go home, get better
and come back. 'Cause l need you.
50
00:03:19,899 --> 00:03:22,561
- Are the Mercy West people bad?
- They're everywhere.
51
00:03:22,602 --> 00:03:25,571
There are more of them than us,
and they're kicking our asses.
52
00:03:25,605 --> 00:03:29,234
[sighs] l miss lzzie.
We need more us's, so get back here!
53
00:03:29,275 --> 00:03:32,108
l have to be discharged.
Wanna forge Bailey's signature?
54
00:03:32,145 --> 00:03:36,013
No, that will get me fired. Ooh!
Ask one of the new ones to do it.
55
00:03:36,049 --> 00:03:38,381
- Get them fired.
- [pager beeping]
56
00:03:39,886 --> 00:03:43,322
- Timeout's over.
- Well, send Bailey!
57
00:03:43,923 --> 00:03:46,414
Try to keep the burn unit
and trauma rooms clear!
58
00:03:46,459 --> 00:03:49,053
Call Respiratory.
We need ventilators on standby!
59
00:03:49,128 --> 00:03:52,393
We got a burn victim and her kid.
Take your pick. Hey...
60
00:03:53,433 --> 00:03:55,560
- Yang, come with me.
- [Reed] Oh, we can help!
61
00:03:55,635 --> 00:03:57,227
Oh, great. Here, take these.
62
00:03:57,303 --> 00:03:59,965
- [Cristina] l handed it off.
- To who? Who did you hand it to?
63
00:04:10,483 --> 00:04:12,007
l have no idea.
64
00:04:12,919 --> 00:04:15,251
- l got her chart.
- Yang, come with me.
65
00:04:15,321 --> 00:04:19,655
- We can help.
- Great. Here, take these.
66
00:04:21,027 --> 00:04:24,326
Sucks. Yang's turfing us the crap cases
67
00:04:24,364 --> 00:04:26,628
while she runs outside
for the good ones.
68
00:04:26,666 --> 00:04:28,395
[sirens sounding in the distance]
69
00:04:30,236 --> 00:04:32,966
- Uh, Cathy Becker?
- Yes, hi.
70
00:04:33,006 --> 00:04:36,567
And you must be Danny. l'm Dr. Adamson.
Can you come this way with me?
71
00:04:36,643 --> 00:04:39,840
- Thanks. Come on.
- [whispers] All right.
72
00:04:40,280 --> 00:04:44,478
We were driving up to Vancouver to visit
my husband. He's up there for work.
73
00:04:44,517 --> 00:04:49,147
The rain wouldn't let up, so we thought,
''Hey, why don't we stop for the night.''
74
00:04:49,188 --> 00:04:53,249
Bet you wish you'd kept driving, huh?
Can you lean forward
75
00:04:53,293 --> 00:04:55,989
- and take a deep breath?
- [inhales]
76
00:04:56,029 --> 00:04:58,156
- [exhales]
- l'm glad you made it out.
77
00:04:58,231 --> 00:05:00,825
- Thank God we were on the first floor.
- [Danny] l was scared.
78
00:05:00,900 --> 00:05:04,563
- My mom getted burned.
- [Cathy] Mommy's all right, baby.
79
00:05:04,604 --> 00:05:07,072
You're safe. Everybody is all right, OK?
80
00:05:07,106 --> 00:05:09,370
Everybody's safe now.
Can you say ''ah'' for me?
81
00:05:09,409 --> 00:05:11,741
- Ah.
- Very good.
82
00:05:14,414 --> 00:05:18,942
- See? One for them.
- [April] And one for us.
83
00:05:19,018 --> 00:05:22,215
- Stop being so paranoid.
- They hate us, April.
84
00:05:22,255 --> 00:05:25,190
Doesn't matter how good we are.
We'll fail. They were here first
85
00:05:25,224 --> 00:05:27,249
and they rule the school
and they hate us.
86
00:05:27,293 --> 00:05:29,955
l'm not gonna let them turn me
into someone they can hate.
87
00:05:29,996 --> 00:05:33,830
- l'm easy to like.
- Actually, it takes a while.
88
00:05:33,900 --> 00:05:36,562
- l hated you at first.
- Just shut up.
89
00:05:36,602 --> 00:05:38,866
- Sorry.
- [sighs]
90
00:05:38,905 --> 00:05:42,534
OK, your lungs sound good,
your vitals are great.
91
00:05:42,575 --> 00:05:44,304
Um, open up, please?
92
00:05:44,377 --> 00:05:45,537
Oh, my God!
93
00:05:50,316 --> 00:05:53,649
- Charley got a good one.
- See? We win.
94
00:05:55,621 --> 00:05:57,179
OK, um...
95
00:05:57,256 --> 00:05:59,554
You look good.
Burns on your chest are minor,
96
00:05:59,592 --> 00:06:02,789
but the one on your calf might be
third degree, so what l'm gonna do...
97
00:06:02,829 --> 00:06:04,888
Uh, hang on. Dr. Sloan?
98
00:06:04,964 --> 00:06:08,161
l'm gonna have the
plastic surgeon take a look, OK?
99
00:06:09,535 --> 00:06:11,628
l just did her initial exam.
100
00:06:11,704 --> 00:06:14,332
She was a burn patient
and she wasn't surgical.
101
00:06:14,407 --> 00:06:16,170
There was nothing more for me to do.
102
00:06:16,242 --> 00:06:19,507
- [Richard] At that point, you went...?
- l went to go help Dr. Bailey.
103
00:06:21,914 --> 00:06:24,041
[all gasping]
104
00:06:24,083 --> 00:06:26,381
Uh! What did l just say?!
105
00:06:27,487 --> 00:06:29,182
[April] l got it!
106
00:06:29,255 --> 00:06:32,952
- Dr. Bailey really needed some help.
- [thunder rumbling]
107
00:06:32,992 --> 00:06:34,016
[sighs]
108
00:06:37,063 --> 00:06:41,363
- [thundering]
- He fainted.
109
00:06:41,434 --> 00:06:43,129
- He fainted?
- [Bailey] He fainted.
110
00:06:43,169 --> 00:06:45,694
- [Richard] From what?
- Better have a brain tumor,
111
00:06:45,738 --> 00:06:47,228
'cause that's unacceptable.
112
00:06:47,273 --> 00:06:51,073
- [thundering]
- There was a blood drive today.
113
00:06:53,513 --> 00:06:55,447
[Jackson] This place is a freakin' maze.
114
00:06:55,481 --> 00:06:58,644
- l've gotten lost 1 1 times, no joke.
- l lost a patient.
115
00:06:58,684 --> 00:07:00,311
That's bad, dude. How'd he die?
116
00:07:00,353 --> 00:07:03,447
No, l lost her. Parked her in a hallway,
went to get her labs,
117
00:07:03,489 --> 00:07:06,686
couldn't find the hallway.
No one would help me.
118
00:07:06,759 --> 00:07:10,855
Yeah, don't even ask for help. These
Seattle Grace people are kinda douchey.
119
00:07:17,770 --> 00:07:19,795
- [Charles] Case in point.
- Douche.
120
00:07:19,839 --> 00:07:22,603
- [laughs]
- [pagers beeping]
121
00:07:23,843 --> 00:07:26,209
lt's the ER. Mass Casualty.
122
00:07:28,514 --> 00:07:30,311
Hey, l need to, uh...
123
00:07:30,349 --> 00:07:33,341
Emergency! l'm a surgeon! Hello!
124
00:07:33,386 --> 00:07:36,446
Apparently, he grabbed
the fire axe out of the case
125
00:07:36,489 --> 00:07:39,014
- and tried to run downstairs with it.
- Mom was right.
126
00:07:39,091 --> 00:07:41,150
No running on the stairs.
127
00:07:44,063 --> 00:07:46,588
[Bailey] OK, on my count:
one, two, three.
128
00:07:47,800 --> 00:07:51,793
OK, l want a CBC, chem panel
and make sure there's an OR ready.
129
00:07:51,838 --> 00:07:53,567
Wait, wait. Just stop.
130
00:07:53,673 --> 00:07:56,267
Uh, l need to see what l'm looking at.
131
00:07:56,309 --> 00:07:59,039
- Do you have steady hands?
- Yes, ma'am, in college l...
132
00:07:59,111 --> 00:08:02,774
l don't want your life story.
l need both hands on this handle.
133
00:08:02,815 --> 00:08:05,283
Do not push the axe in,
134
00:08:05,318 --> 00:08:07,582
do not pull the axe out,
135
00:08:07,620 --> 00:08:10,851
- do not move, understand?
- Yep.
136
00:08:11,991 --> 00:08:13,185
OK...
137
00:08:13,226 --> 00:08:16,024
ln retrospect,
l should have had a cookie.
138
00:08:18,664 --> 00:08:20,393
- [Bailey] Wha...?
- [all] Whoa.
139
00:08:25,071 --> 00:08:29,007
Stupid. Stupid, stupid, stupid, stupid.
140
00:08:29,041 --> 00:08:31,236
- [all] Whoa.
- What did l just say?!
141
00:08:31,277 --> 00:08:33,302
- [April] l got it!
- [Bailey whispers] OK.
142
00:08:33,346 --> 00:08:36,838
Apply pressure. OK, come with me.
143
00:08:38,551 --> 00:08:40,018
[groans]
144
00:08:40,720 --> 00:08:44,212
Hey, Karev! Clean that up.
145
00:08:45,591 --> 00:08:47,525
[grunts]
146
00:08:49,395 --> 00:08:50,692
[sighs]
147
00:08:50,930 --> 00:08:53,228
- That was the last you saw the patient?
- Yes.
148
00:08:53,266 --> 00:08:57,134
- With Dr. Sloan, who treated her burn.
- No, he didn't. l treated her burn.
149
00:08:57,203 --> 00:09:01,503
- You did? Where was Sloan?
- Uh, Karev! Clean that up.
150
00:09:01,574 --> 00:09:05,806
OK. Ready? One, two, three, four,
l declare a thumb war, go!
151
00:09:05,845 --> 00:09:11,078
l'd say this is deep second-degree.
Start cleaning while l finish debriding.
152
00:09:11,817 --> 00:09:12,875
[gasps]
153
00:09:12,919 --> 00:09:16,582
- [Danny] Does it hurt?
- A little bit, sweetie, but it's OK.
154
00:09:16,656 --> 00:09:20,888
The doctors are making it all better.
Now, you gotta watch or l'll getcha...
155
00:09:22,261 --> 00:09:24,126
[Arizona] Dr. Sloan? Need you.
156
00:09:24,196 --> 00:09:27,427
Finish debriding, cover the wound
with silver sulfadiazine,
157
00:09:27,466 --> 00:09:31,027
- then loose gauze, loose, not tight.
- l got it.
158
00:09:31,871 --> 00:09:35,329
Evan Lang, 1 6, second and third degree
burns over 60 percent of his body.
159
00:09:35,408 --> 00:09:38,844
Hey, Grey, come when you're done,
we need hands!
160
00:09:40,112 --> 00:09:42,080
[shuddering]
161
00:09:44,917 --> 00:09:47,385
So Robbins was rushing you?
You felt rushed?
162
00:09:47,420 --> 00:09:49,513
No, l didn't rush. l took my time.
163
00:09:52,592 --> 00:09:55,755
[screaming]
164
00:09:55,795 --> 00:09:59,128
- Oh.
- Sorry, l know it hurts.
165
00:09:59,165 --> 00:10:03,602
- [groaning]
- No. No, l'm fine.
166
00:10:05,171 --> 00:10:06,934
l'm just fine.
167
00:10:07,173 --> 00:10:08,902
[man wailing]
168
00:10:09,775 --> 00:10:12,209
[Lexie] And then l joined
Dr. Sloan and Dr. Robbins.
169
00:10:13,713 --> 00:10:15,704
OK. This is all set.
170
00:10:16,315 --> 00:10:18,078
l'm sorry! Sorry!
171
00:10:18,117 --> 00:10:20,642
- [Callie] Are you free? l need a hand.
- l'll be right there.
172
00:10:20,720 --> 00:10:23,985
[Arizona] lt's OK, you're OK.
We're gonna examine you
173
00:10:24,056 --> 00:10:26,752
and then we'll get you warmed up again,
OK, Evan?
174
00:10:26,792 --> 00:10:28,521
[Evan groaning]
175
00:10:30,129 --> 00:10:32,620
[whispers] My dad? Where's my dad?
176
00:10:32,665 --> 00:10:35,099
You give me his name
and we'll find him, OK?
177
00:10:35,167 --> 00:10:36,930
He's gotta be looking for you, too.
178
00:10:40,873 --> 00:10:43,603
Here. For the smell.
179
00:10:45,044 --> 00:10:50,209
Listen, burns like this
are really... difficult.
180
00:10:50,282 --> 00:10:51,977
- You don't really...
- [Evan yells]
181
00:10:52,018 --> 00:10:54,384
Want to switch with someone?
Karev or somebody?
182
00:10:54,420 --> 00:10:57,184
- You think l can't handle this?
- No. No, l...
183
00:10:57,223 --> 00:11:00,488
'Cause l can. l'm good. l'm here.
184
00:11:00,526 --> 00:11:02,858
You stayed with the patient
in the trauma room.
185
00:11:02,895 --> 00:11:05,693
l... Yeah, l did.
186
00:11:05,731 --> 00:11:08,529
- And who was with Mrs. Becker?
- [Lexie] Reed Adamson.
187
00:11:08,567 --> 00:11:12,230
- OK, this is all set.
- No, l was never with Mrs. Becker.
188
00:11:12,271 --> 00:11:16,105
l was with her little boy.
l had just finished with him, actually.
189
00:11:17,076 --> 00:11:18,737
l'm sorry! Sorry!
190
00:11:18,778 --> 00:11:21,110
- You free? l need a hand.
- l'll be right there.
191
00:11:23,416 --> 00:11:26,351
So, good news, big guy. You are fine.
192
00:11:26,419 --> 00:11:29,718
His pulse-ox looks good,
everything looks good.
193
00:11:29,789 --> 00:11:32,257
- He's totally fine.
- [sighs] Thank you.
194
00:11:33,592 --> 00:11:36,720
Uh, hey, can he stay in here with me,
just until his dad comes?
195
00:11:36,762 --> 00:11:38,855
No problem. lt's a full house anyway.
196
00:11:40,900 --> 00:11:42,299
So l went to help Dr. Torres.
197
00:11:42,368 --> 00:11:46,361
Roy Macinaw, 56-year-old firefighter,
fell three stories from a ladder.
198
00:11:46,439 --> 00:11:50,000
Looks like a hip and femur fracture,
maybe radius, too. He's waking up.
199
00:11:50,042 --> 00:11:55,912
What happened? l had him...
l... l... l got to the window...
200
00:11:55,948 --> 00:11:58,439
[Owen] Roy, you fell from the ladder.
lt was a bad fall,
201
00:11:58,484 --> 00:12:01,612
but we'll fix you up. Give him ten
of morphine and get him admitted.
202
00:12:01,687 --> 00:12:03,712
Where's the kid? l had him.
203
00:12:03,756 --> 00:12:06,088
- He was going after a kid?
- [Owen] Shepherd!
204
00:12:06,158 --> 00:12:07,819
- Yeah.
- [Owen] He has uneven pupils.
205
00:12:07,860 --> 00:12:10,920
Abdomen's rigid.
He's gonna need an ultrasound.
206
00:12:10,963 --> 00:12:12,954
Yeah, he needs a head CT, too.
207
00:12:13,099 --> 00:12:15,192
- Page me.
- He needs everything.
208
00:12:15,234 --> 00:12:16,565
Take him now, let's go.
209
00:12:16,602 --> 00:12:18,729
[Richard] And you left the ER
at that point?
210
00:12:18,771 --> 00:12:20,170
l took him to X-ray, yes.
211
00:12:20,239 --> 00:12:22,673
Did you hear Mrs. Becker
say anything about pain?
212
00:12:22,742 --> 00:12:25,108
- No.
- [Jackson] The nurse did.
213
00:12:25,144 --> 00:12:27,203
He said she was in a lot of pain.
214
00:12:27,246 --> 00:12:29,373
Whose patient is Bed One?
Cathy Becker?
215
00:12:29,415 --> 00:12:32,282
- [both] Not mine.
- She's complaining of pain.
216
00:12:32,318 --> 00:12:33,842
[sighs]
217
00:12:33,886 --> 00:12:36,855
At this point, who was
in charge of Mrs. Becker's care?
218
00:12:36,889 --> 00:12:39,585
- Whose patient was she?
- l was never on her.
219
00:12:39,625 --> 00:12:42,423
- l was in the OR with Dr. Bailey.
- [stammers] l'm not... l don't...
220
00:12:42,461 --> 00:12:44,258
- Not mine.
- No idea.
221
00:12:44,330 --> 00:12:47,128
- Did you order pain meds?
- No, Yang did.
222
00:12:49,034 --> 00:12:53,027
Next time l saw her, she was...
she was dying.
223
00:12:56,275 --> 00:12:58,470
[gasping]
224
00:13:04,016 --> 00:13:08,919
- [thundering]
- When you saw her, she was dying?
225
00:13:08,954 --> 00:13:12,253
No, she wasn't dying.
She said she had some pain.
226
00:13:12,324 --> 00:13:14,485
[male nurse] Whose patient is Bed One?
Cathy Becker?
227
00:13:14,527 --> 00:13:17,758
- [both] Not mine.
- She's complaining of pain.
228
00:13:21,267 --> 00:13:23,292
- Hey, Karev, you got Bed One?
- No.
229
00:13:23,335 --> 00:13:25,200
Your initials are on the chart.
230
00:13:26,639 --> 00:13:29,506
- [Richard] So you checked with Karev?
- l tried to. He was on the phone.
231
00:13:29,542 --> 00:13:32,739
l never even seen that patient.
l was stitching up Nosedive.
232
00:13:32,812 --> 00:13:36,771
- [Richard] Nosedive?
- What's-his-name. Dude that fainted.
233
00:13:36,816 --> 00:13:40,650
- Dr. Percy.
- [laughs] Nosedive. That's gonna stick.
234
00:13:40,719 --> 00:13:45,213
- So you were with Dr. Percy.
- He was supposed to be.
235
00:13:45,825 --> 00:13:47,486
- Karev, you have Bed One?
- No.
236
00:13:47,526 --> 00:13:49,551
[Cristina] Your initials
are on the chart.
237
00:13:50,629 --> 00:13:52,597
[Alex] lz, l'm done.
238
00:13:52,665 --> 00:13:55,498
l'm done leaving you messages,
l'm done talking to your mom
239
00:13:55,568 --> 00:13:59,629
- who's probably lying to me.
- Are you gonna help me with this?
240
00:13:59,672 --> 00:14:04,405
Listen, it's been a week, lz, and
l don't know if you're alive or dead.
241
00:14:04,443 --> 00:14:06,377
So if l don't hear from you by tonight,
242
00:14:06,445 --> 00:14:10,677
l am calling the police
and reporting you as a missing person.
243
00:14:20,593 --> 00:14:25,621
- So who gave her the morphine?
- No idea. l never even saw her!
244
00:14:25,664 --> 00:14:28,599
l ordered it. l did.
245
00:14:28,634 --> 00:14:30,966
Your initials are on the chart.
246
00:14:31,937 --> 00:14:35,338
[Jackson] How long do l have to work
here before they insert a bug up my ass?
247
00:14:35,407 --> 00:14:37,705
You guys are all so cranky.
248
00:14:38,410 --> 00:14:43,541
Dr. Avery seemed uncomfortable
consulting on a patient that wasn't his,
249
00:14:43,582 --> 00:14:46,176
so l checked with the patient
and asked about her pain.
250
00:14:46,252 --> 00:14:49,415
She said it was localized to her
chest burns so l checked her chart
251
00:14:49,455 --> 00:14:51,514
for any allergies or drug interactions
252
00:14:51,590 --> 00:14:54,115
and saw she had silver sulfadiazine,
253
00:14:54,159 --> 00:14:57,390
and one gram of cefazolin
and 800 of ibuprofen.
254
00:14:57,429 --> 00:15:00,956
- So l ordered two of morphine.
- You memorized her chart?
255
00:15:01,000 --> 00:15:03,594
l checked it three times
'cause she wasn't my patient.
256
00:15:03,669 --> 00:15:05,864
So you ordered morphine.
Did you follow up?
257
00:15:07,039 --> 00:15:09,337
Uh, no, my patient
had come back from CT.
258
00:15:09,441 --> 00:15:11,534
All right, people! Listen up!
259
00:15:11,577 --> 00:15:14,705
The burn unit and the lCU are full.
All patients are staying here
260
00:15:14,747 --> 00:15:18,012
- until some beds open up.
- Let's keep the trauma rooms clear
261
00:15:18,050 --> 00:15:20,985
- for the burn cases, please.
- Head CT was fine,
262
00:15:21,020 --> 00:15:23,488
abdominal scans show liver lac
and kidney hematoma.
263
00:15:23,522 --> 00:15:25,547
l'll go check on an OR.
Page me when he's stable.
264
00:15:25,591 --> 00:15:28,583
- Uh-huh.
- [Evan screaming]
265
00:15:29,028 --> 00:15:30,086
That's him.
266
00:15:30,162 --> 00:15:32,653
The kid. The kid in the window.
267
00:15:32,698 --> 00:15:34,495
ls he dying?
268
00:15:34,533 --> 00:15:36,933
l don't know what he's here for.
269
00:15:36,969 --> 00:15:38,834
He's fine, he's being taken care of.
270
00:15:38,871 --> 00:15:41,237
- You saved his life.
- Oh, no!
271
00:15:41,307 --> 00:15:44,470
No... l killed him.
272
00:15:46,278 --> 00:15:48,143
[woman counsel] Can l ask something?
273
00:15:48,213 --> 00:15:51,580
You say the patient asked for meds
for pains in her chest?
274
00:15:51,617 --> 00:15:55,610
- No, on her chest, she had burns.
- All right. Thank you, Dr. Yang.
275
00:15:55,654 --> 00:15:59,215
Are you saying she had chest pains?
l ordered the wrong medication?
276
00:15:59,291 --> 00:16:02,192
lt's hard to say. The next entry
on her chart was Dr. Grey
277
00:16:02,261 --> 00:16:05,128
- putting in a chest tube...
- Thank you, Dr. Yang.
278
00:16:05,197 --> 00:16:07,461
- Meredith?
- No, Lexie.
279
00:16:07,533 --> 00:16:11,435
- l thought Lexie was on the burned kid.
- Thank you, Dr. Yang!
280
00:16:11,503 --> 00:16:15,837
l was. l was supposed to be with
the burned ki... with Evan Lang.
281
00:16:15,874 --> 00:16:18,399
[Evan shuddering]
282
00:16:18,444 --> 00:16:21,777
All right, people! Listen up!
The burn unit and the lCU are full.
283
00:16:21,814 --> 00:16:24,078
All patients stay here
until some beds open up.
284
00:16:24,116 --> 00:16:27,916
Let's keep the trauma rooms clear
for burn cases, please.
285
00:16:27,953 --> 00:16:29,750
[Evan sobs]
286
00:16:29,788 --> 00:16:31,915
- l can't get a pulse on the doppler.
- OK.
287
00:16:31,957 --> 00:16:35,324
Evan, l have to do an escharotomy.
l have to cut into the burned skin
288
00:16:35,361 --> 00:16:38,455
- to restore circulation to your arm.
- Did you find my dad?
289
00:16:38,497 --> 00:16:41,796
[Arizona] l'll ask again in a sec, OK?
Push another 25 of fentanyl.
290
00:16:41,834 --> 00:16:44,632
Evan, you're gonna
talk to me, all right?
291
00:16:44,703 --> 00:16:46,603
You're in town looking at a college?
292
00:16:46,638 --> 00:16:49,038
[Evan] l got a scholarship to Cornish.
293
00:16:49,108 --> 00:16:54,205
l'm not sure l can
take the rain. [screaming]
294
00:16:58,217 --> 00:16:59,479
No! No!
295
00:16:59,518 --> 00:17:03,386
l'm sorry, l'm sorry. l know.
You're OK, pal. You're gonna be OK.
296
00:17:03,422 --> 00:17:06,289
That's what l thought at first, too.
About the rain.
297
00:17:06,325 --> 00:17:10,386
Dr. Grey, you grew up here, right?
You get used to the rain...
298
00:17:11,830 --> 00:17:13,764
- [whispers] Lexie!
- [sobs]
299
00:17:14,533 --> 00:17:17,434
Dr. Grey, step out.
Come back when you've got it together.
300
00:17:17,469 --> 00:17:19,096
Go.
301
00:17:22,241 --> 00:17:23,799
[gasping]
302
00:17:28,180 --> 00:17:30,774
- She can't breathe.
- lt's OK. l'm OK.
303
00:17:30,849 --> 00:17:32,783
My mom. She can't breathe.
304
00:17:40,225 --> 00:17:41,351
[gasps]
305
00:17:41,393 --> 00:17:44,760
- lt was a pneumothorax.
- What's that?
306
00:17:44,797 --> 00:17:47,265
Her lung collapsed.
307
00:17:49,301 --> 00:17:51,929
[Lexie] One, two, three.
308
00:17:51,970 --> 00:17:54,495
Danny! Don't let him see me die.
309
00:17:54,573 --> 00:17:56,973
You're not gonna die, l promise.
310
00:17:57,042 --> 00:18:00,034
- One, two, three.
- [Richard] You got the chest tube in?
311
00:18:00,079 --> 00:18:02,343
- No, l was getting there...
- [Richard] Did you go in below
312
00:18:02,381 --> 00:18:05,350
the fifth intercostal?
You could have punctured her diaphragm.
313
00:18:05,384 --> 00:18:07,375
- l know, l lost count.
- Why?!
314
00:18:07,419 --> 00:18:10,718
- ...three, four, five...
- [grunts]
315
00:18:11,990 --> 00:18:13,981
[gasping]
316
00:18:18,330 --> 00:18:20,230
[Richard] Did you get
the chest tube in?!
317
00:18:20,265 --> 00:18:21,596
l did. l did!
318
00:18:21,633 --> 00:18:24,761
- l just...
- She did, she just missed a step.
319
00:18:24,803 --> 00:18:27,795
One, two, three, four...
320
00:18:29,141 --> 00:18:30,608
[gasping]
321
00:18:32,811 --> 00:18:36,577
- Why did you do that?!
- l had to. She was running out of time.
322
00:18:36,648 --> 00:18:39,640
Tension pneumothorax.
Relieve pressure so she doesn't croak
323
00:18:39,685 --> 00:18:42,176
before you put the chest tube in.
324
00:18:42,221 --> 00:18:45,019
- You want me to do it?
- No. l can do it. l got it.
325
00:18:46,658 --> 00:18:50,924
- Three, four, five.
- [Richard] And did she have it?
326
00:18:50,963 --> 00:18:53,659
Yeah, l watched.
She was a little distracted, but...
327
00:18:53,699 --> 00:18:54,927
You were distracted?
328
00:18:54,967 --> 00:18:57,868
- What were you...?
- Dr. Yang was making a toddler cry!
329
00:18:57,903 --> 00:19:01,464
- Stop! What the hell are you doing?
- [crying]
330
00:19:02,040 --> 00:19:03,337
[scoffs]
331
00:19:04,776 --> 00:19:07,870
Let me just say, for the record,
that it was no toddler.
332
00:19:07,913 --> 00:19:10,279
- He was, like, five if he was a day.
- [Richard] Yang...
333
00:19:10,349 --> 00:19:12,715
- You would have yelled at him!
- Why was he there?
334
00:19:12,751 --> 00:19:15,151
l don't know how.
The patient was coding...
335
00:19:15,187 --> 00:19:17,781
- The patient was coding?
- Coags are stable.
336
00:19:17,823 --> 00:19:20,724
[Owen] Good. OR's ready.
Let's take him up. Yang, you're with me.
337
00:19:20,759 --> 00:19:23,523
Torres, Adamson, call you
when we're ready for the femur.
338
00:19:23,595 --> 00:19:26,758
Your whole crew's in the waiting room.
They'll see you after.
339
00:19:26,798 --> 00:19:29,961
- They're saying you're a hero.
- Tell him l'm sorry.
340
00:19:30,002 --> 00:19:32,630
Tell him l'm so sorry.
341
00:19:32,671 --> 00:19:35,196
- Who's he talking about?
- The kid in Trauma Two.
342
00:19:35,240 --> 00:19:38,300
- Roy, he's fine.
- l almost had him.
343
00:19:38,343 --> 00:19:42,074
l was at the window.
l could feel his fingers in my hand.
344
00:19:42,114 --> 00:19:44,082
l went to pull him out and...
345
00:19:44,149 --> 00:19:47,448
l missed the step.
One stupid mistake...
346
00:19:47,519 --> 00:19:50,352
- You fell, Roy. lt was an accident.
- He was burning!
347
00:19:51,924 --> 00:19:54,688
- And l... [breathing rapidly]
- [monitor beeping rapidly]
348
00:19:54,726 --> 00:19:57,524
- V-tach! No pulse!
- [Owen] Start CPR, bag him,
349
00:19:57,563 --> 00:20:00,088
- push one of epi!
- Charging to 200!
350
00:20:00,132 --> 00:20:01,759
- [crash cart whirring]
- [thuds]
351
00:20:01,800 --> 00:20:03,324
[grunts]
352
00:20:03,368 --> 00:20:07,896
- [monitor beeps slowly]
- Or that works, too.
353
00:20:09,141 --> 00:20:10,870
Thanks. Had it.
354
00:20:14,479 --> 00:20:18,176
- Stop! What the hell are you doing?
- [crying]
355
00:20:19,651 --> 00:20:22,381
- [Richard] Who was watching that kid?
- That's what l said!
356
00:20:22,421 --> 00:20:25,822
- Hey. Who is watching this kid?
- l took the kid.
357
00:20:25,857 --> 00:20:27,256
He was with me.
358
00:20:27,326 --> 00:20:30,591
But l can't watch him,
l'm supposed to be in Trauma Two.
359
00:20:31,463 --> 00:20:32,828
[Evan screaming]
360
00:20:41,240 --> 00:20:43,765
All right, l got him. l'll take him.
361
00:20:44,843 --> 00:20:46,276
Come on.
362
00:20:47,646 --> 00:20:50,308
- [Richard] You left his mother alone.
- [Lexie] She was stable.
363
00:20:50,349 --> 00:20:53,580
- l was supposed to be with the boy.
- His mother had a collapsed lung.
364
00:20:53,619 --> 00:20:56,452
Not that boy, l was supposed
to be with the other boy.
365
00:20:56,521 --> 00:20:58,455
Want something to eat for dinner?
366
00:20:58,490 --> 00:21:00,958
- What the hell are you doing?
- l have to sit with him
367
00:21:00,993 --> 00:21:03,154
until his dad comes.
l left him alone and...
368
00:21:03,228 --> 00:21:05,992
You left him! Come here.
369
00:21:06,031 --> 00:21:08,761
Hey, can you sit with him
until his dad comes? Thanks.
370
00:21:11,937 --> 00:21:14,428
You left him alone.
When were you planning to...?
371
00:21:14,473 --> 00:21:18,307
- l'm sorry, l feel like...
- No. You don't get to feel anything!
372
00:21:18,377 --> 00:21:22,245
Because he's feeling everything!
His every nerve is exposed and raw
373
00:21:22,281 --> 00:21:24,977
and we have to make him feel worse
before he feels better.
374
00:21:25,083 --> 00:21:27,711
So if you're having feelings,
you shut them down.
375
00:21:27,786 --> 00:21:30,186
You shut them down
and talk to him about his future
376
00:21:30,222 --> 00:21:33,714
and remind him that he has one, past
all his pain. And if you can't do that,
377
00:21:33,759 --> 00:21:37,627
if you can't do your job, then find
someone who can and send them to me.
378
00:21:39,698 --> 00:21:41,598
[Richard] Did you see Mrs. Becker again?
379
00:21:41,633 --> 00:21:42,657
No.
380
00:21:42,701 --> 00:21:45,067
[Richard] Did you see Karev
perform a cricothyrotomy?
381
00:21:45,137 --> 00:21:48,038
- l wasn't there.
- l was right there. l saw it.
382
00:21:48,106 --> 00:21:50,939
...then find someone who can
and send them to me.
383
00:21:53,211 --> 00:21:55,873
Have you seen Karev?
He didn't finish my stitches.
384
00:21:55,914 --> 00:21:58,439
No, l don't...
385
00:22:02,154 --> 00:22:03,849
Doctor?! She's not breathing.
386
00:22:03,889 --> 00:22:06,824
Move. Get me a seven-ET tube.
387
00:22:12,497 --> 00:22:15,591
Aah! Crap.
She's completely closed off.
388
00:22:15,667 --> 00:22:18,397
- l can't see her cords.
- You can't intubate a patient?
389
00:22:18,470 --> 00:22:21,132
Of course l can. l just...
l was having trouble.
390
00:22:21,173 --> 00:22:24,040
Her airway was closed off.
l couldn't tube her either.
391
00:22:25,477 --> 00:22:27,411
What's going on?
392
00:22:28,947 --> 00:22:32,144
There's too much swelling in the airway.
Get me a smaller tube, a 6-0.
393
00:22:32,184 --> 00:22:33,481
[woman] 6-0, here you go.
394
00:22:36,488 --> 00:22:38,422
- Damn it!
- [Alex] Move!
395
00:22:38,490 --> 00:22:41,653
- [Larry] Did Karev try to intubate?
- First Charles tried to tube her,
396
00:22:41,693 --> 00:22:44,355
then Reed came to help,
then Karev performed the crike.
397
00:22:44,396 --> 00:22:46,864
- [Richard] l thought you didn't see it.
- l did.
398
00:22:46,898 --> 00:22:49,492
- And you didn't try and help?
- [thunder rumbles]
399
00:22:50,035 --> 00:22:54,131
[Reed] Too much swelling in the airway.
Get me a smaller tube, a 6-0!
400
00:22:54,172 --> 00:22:55,503
[woman] 6-0, here you go.
401
00:22:57,042 --> 00:22:59,340
[Alex] Move! She needs a crike!
402
00:23:08,120 --> 00:23:09,815
My patient needed me.
403
00:23:11,189 --> 00:23:12,952
[Evan shuddering, groaning]
404
00:23:12,991 --> 00:23:15,551
[Lexie] OK. Here's the thing
about the rain.
405
00:23:15,594 --> 00:23:18,825
lt usually just drizzles.
lt's not like tonight.
406
00:23:18,864 --> 00:23:21,128
But when it stops,
407
00:23:21,166 --> 00:23:24,727
everything is super green
and it's beautiful
408
00:23:24,770 --> 00:23:28,900
and it smells like trees.
You know that smell?
409
00:23:36,047 --> 00:23:38,038
Dr. Karev seemed
to have it under control.
410
00:23:38,116 --> 00:23:41,483
- Karev seemed totally out of control.
- Move! She needs a crike.
411
00:23:41,520 --> 00:23:45,547
- Give me an Ambu bag.
- [Reed] He was pale, shaky.
412
00:23:45,624 --> 00:23:47,558
Just really unsteady.
413
00:23:47,592 --> 00:23:50,026
She's got no landmarks.
l was hoping that...
414
00:23:50,095 --> 00:23:53,531
What are you...?
You're going in blind?
415
00:23:58,036 --> 00:24:00,561
Hit the carotid. Hit the carotid.
416
00:24:00,605 --> 00:24:03,733
He kept saying something
about hitting her carotid.
417
00:24:20,692 --> 00:24:22,922
[Richard] Did you give blood today,
Dr. Karev?
418
00:24:22,961 --> 00:24:24,292
What?
419
00:24:24,396 --> 00:24:28,298
[Richard] You've been described
as looking pale, shaky and unsteady.
420
00:24:28,366 --> 00:24:31,733
We already had one doctor pass out
after giving blood. l'm asking...
421
00:24:31,770 --> 00:24:36,469
We all give blood. Avery gave blood,
Yang gave blood, Grey gave blood.
422
00:24:36,508 --> 00:24:40,638
l give blood every two months. Because
some dumbass didn't eat a cookie...
423
00:24:40,679 --> 00:24:43,842
l'm asking if you gave blood today,
Dr. Karev.
424
00:24:50,355 --> 00:24:52,152
No.
425
00:24:52,190 --> 00:24:55,318
And you haven't heard
from her since then?
426
00:24:58,163 --> 00:25:00,757
You'll tell me if she calls?
427
00:25:01,566 --> 00:25:03,363
Right.
428
00:25:03,468 --> 00:25:05,368
l know, Robbie.
429
00:25:05,403 --> 00:25:07,234
- Thanks.
- [Jackson] Don't even ask for help.
430
00:25:07,272 --> 00:25:09,467
These Seattle Grace people
are kinda douchey.
431
00:25:14,479 --> 00:25:17,380
- Case in point.
- Douche.
432
00:25:17,415 --> 00:25:19,110
[pagers beeping]
433
00:25:20,185 --> 00:25:23,586
Wait, wait. Don't stick me. l gotta go.
434
00:25:23,655 --> 00:25:24,747
Sorry.
435
00:25:26,157 --> 00:25:29,217
- [Richard] So what was the problem?
- There was no problem.
436
00:25:29,294 --> 00:25:33,230
There was a problem. l came back from
seeing the firefighter up to surgery.
437
00:25:36,501 --> 00:25:39,834
Hey, my guys would like
to line the hall for Roy
438
00:25:39,871 --> 00:25:42,431
when he comes out of surgery,
make a show of support.
439
00:25:42,541 --> 00:25:47,001
- He's 35 years on the job, so...
- That's great.
440
00:25:47,078 --> 00:25:48,238
Excuse me.
441
00:25:49,014 --> 00:25:52,415
And there was a problem
and Charles waved me over to help.
442
00:25:52,450 --> 00:25:54,850
l wasn't waving at Reed,
l was waving at Karev.
443
00:25:54,886 --> 00:25:57,320
- But he wouldn't get off the phone!
- He what?
444
00:25:57,389 --> 00:26:01,587
Crap, she's closed off.
l can't see her cords.
445
00:26:01,626 --> 00:26:02,923
...so we can talk.
446
00:26:03,995 --> 00:26:07,089
- l hung up the phone.
- What the hell was so important?
447
00:26:07,132 --> 00:26:09,862
l hung up the phone,
l came over and l criked her.
448
00:26:09,935 --> 00:26:12,665
After a doctor got there first.
A patient was dying.
449
00:26:12,704 --> 00:26:15,332
- Look, l hung up the phone!
- [thundering]
450
00:26:16,241 --> 00:26:19,369
Ow! Yeah, that's good and tight, there.
451
00:26:19,411 --> 00:26:21,379
- Ow!
- [cell phone rings]
452
00:26:27,452 --> 00:26:28,749
Hello? lzzie?
453
00:26:28,787 --> 00:26:30,414
lz.
454
00:26:31,356 --> 00:26:32,550
Uh...
455
00:26:34,693 --> 00:26:36,285
Hello, lz?
456
00:26:37,228 --> 00:26:39,389
- Hey!
- [Alex] Where are you? Are you OK?
457
00:26:39,431 --> 00:26:43,959
- l know, your mom said she didn't...
- [Arizona] You left him alone!
458
00:26:44,002 --> 00:26:46,493
- When were you planning...?
- [Lexie] Sorry. l feel like...
459
00:26:46,538 --> 00:26:51,475
[Alex] l'm asking you to wait, please.
No, l got... Just wait!
460
00:26:52,210 --> 00:26:56,112
lz. Just come home
and we can talk about it.
461
00:26:56,147 --> 00:26:57,978
[Charles] Move.
Get me a seven-ET tube.
462
00:26:58,016 --> 00:26:59,745
What does that mean?
463
00:26:59,784 --> 00:27:02,582
- [man] Coming through.
- You're not coming back yet?
464
00:27:02,621 --> 00:27:04,282
Or you're not coming back?
465
00:27:05,657 --> 00:27:07,352
Just... Wait, wait.
466
00:27:08,526 --> 00:27:11,086
- [Reed] What's going on?
- [sighs]
467
00:27:11,129 --> 00:27:12,596
lz, just give me a number.
468
00:27:12,664 --> 00:27:16,100
Give me a number and l'll call you back.
Give me a number so...
469
00:27:16,167 --> 00:27:18,135
l have to... Just give me a number!
470
00:27:18,169 --> 00:27:20,364
Give me a smaller tube, a 6-0.
471
00:27:21,072 --> 00:27:22,471
l... wait.
472
00:27:23,108 --> 00:27:24,507
- lzzie, just...
- Damn it.
473
00:27:26,845 --> 00:27:31,043
- Move! She needs a crike.
- Ambu bag.
474
00:27:31,149 --> 00:27:34,710
She's got no landmarks, l was hoping...
475
00:27:34,753 --> 00:27:37,722
What are you...?
You're going in blind?
476
00:27:41,026 --> 00:27:43,722
Don't hit the carotid,
don't hit the carotid,
477
00:27:43,795 --> 00:27:46,855
don't hit the carotid,
don't hit the carotid.
478
00:27:56,775 --> 00:27:59,107
Got it. Start ventilating.
479
00:28:08,787 --> 00:28:09,913
[exhales]
480
00:28:09,954 --> 00:28:13,788
- [thundering]
- l got there in time. l did the crike.
481
00:28:16,661 --> 00:28:18,720
l got off the phone.
482
00:28:23,468 --> 00:28:26,562
- l stayed with her after that.
- [Richard] You had her under control.
483
00:28:26,604 --> 00:28:28,071
[Alex] lt was a good crike.
484
00:28:28,106 --> 00:28:32,099
She was stable. Then, out of nowhere,
we started to lose her.
485
00:28:32,210 --> 00:28:35,179
She's got pulmonary edema.
Switch to jet ventilation.
486
00:28:35,213 --> 00:28:39,809
Get a CBC, lytes, ABG.
Just shotgun her, get everything.
487
00:28:39,851 --> 00:28:42,843
She had ARDS, BP was dropping,
we started fluids.
488
00:28:42,921 --> 00:28:46,152
- She was sinking fast.
- Trauma One's clear. Move her.
489
00:28:46,224 --> 00:28:48,692
- What happened? Why is she...?
- [Alex] l don't know!
490
00:28:48,760 --> 00:28:50,921
Hey! Can you give me a hand?
491
00:28:54,666 --> 00:28:56,634
Somebody page Hunt
and get me those labs!
492
00:28:56,735 --> 00:28:59,226
l got her labs. l was shocked.
493
00:29:00,472 --> 00:29:02,963
You're AK, right? April Kepner?
494
00:29:03,007 --> 00:29:05,407
Uh... No, no. This is Alex Karev.
495
00:29:06,411 --> 00:29:08,709
Wait a second... What the hell?
496
00:29:08,747 --> 00:29:11,739
Her carbon monoxide level was 28
and she was spiraling down.
497
00:29:11,783 --> 00:29:13,250
[monitor beeping rapidly]
498
00:29:13,785 --> 00:29:17,312
BP's 69 over 32.
Pulse is 1 58.
499
00:29:17,889 --> 00:29:21,120
We're already
filling her with fluids. Yeah.
500
00:29:21,159 --> 00:29:24,356
She was acidotic.
We pushed bicarb.
501
00:29:24,429 --> 00:29:26,021
They needed more hands.
502
00:29:26,097 --> 00:29:28,361
Keep her on 1 00 percent oxygen.
No, do not,
503
00:29:28,433 --> 00:29:32,426
not until she's more stable. Cristina,
scrub out, go see if you can help. Go!
504
00:29:33,538 --> 00:29:36,371
There was so much swelling,
we couldn't find good veins,
505
00:29:36,407 --> 00:29:37,931
we had to start a central line.
506
00:29:39,310 --> 00:29:42,746
We can't use a hyperbaric chamber
until she's stable.
507
00:29:42,781 --> 00:29:46,410
Her CK level is over 75,000.
She's got fulminant rhabdo.
508
00:29:46,484 --> 00:29:49,942
Everything was failing:
the kidneys, liver, lungs.
509
00:29:50,021 --> 00:29:53,957
- Her chart was like a phone book now.
- She's in SVT. Push 6 of adenosine.
510
00:29:54,025 --> 00:29:56,425
Systolic's in the 70s.
Start dopamine, 5 mikes.
511
00:29:56,461 --> 00:29:58,019
She was coding when l got there.
512
00:29:58,062 --> 00:30:00,826
- [monitor blaring]
- What the hell?!
513
00:30:00,865 --> 00:30:03,732
- She's in V-fib!
- OK, starting manual ventilation.
514
00:30:07,272 --> 00:30:09,137
[Jackson] Charging to 200.
515
00:30:11,810 --> 00:30:13,209
- [Alex] Clear!
- [beeps]
516
00:30:13,244 --> 00:30:15,974
- [thuds]
- [monitor blaring]
517
00:30:16,981 --> 00:30:18,039
Three hundred!
518
00:30:18,116 --> 00:30:20,550
- Clear!
- [thuds]
519
00:30:22,020 --> 00:30:23,647
[Reed] Oh, there's blood... Wait!
520
00:30:23,688 --> 00:30:25,815
She started bleeding out.
521
00:30:25,857 --> 00:30:28,849
She's got blood in her crike tube.
She's got blood in the tube!
522
00:30:28,893 --> 00:30:30,861
[monitor beeping rapidly]
523
00:30:32,197 --> 00:30:34,427
[thunder rumbling]
524
00:30:36,401 --> 00:30:37,527
Oh, my God.
525
00:30:45,443 --> 00:30:46,876
l know what happened.
526
00:30:49,180 --> 00:30:50,875
l know why she died.
527
00:30:54,552 --> 00:30:56,986
- [Reed] No, it's fine!
- [Alex] Get an amp of bicarb.
528
00:30:57,021 --> 00:30:59,854
- Push one of epi.
- [Reed] What about calcium?
529
00:31:00,525 --> 00:31:02,925
[Cristina] Get two more units...
Bring some FFP.
530
00:31:02,961 --> 00:31:04,758
[Charles] Where's all
this blood coming from?
531
00:31:04,796 --> 00:31:06,127
DlC. Organs are shutting down.
532
00:31:06,164 --> 00:31:07,893
- [April] No, no!
- She's bleeding out!
533
00:31:07,932 --> 00:31:10,093
- [Derek] Just stop!
- [indistinct yelling]
534
00:31:10,134 --> 00:31:13,399
Stop! Everybody, stop!
lt's over! You've lost her.
535
00:31:13,438 --> 00:31:16,464
- [flatline]
- Somebody call it.
536
00:31:21,746 --> 00:31:23,441
Well, whose patient is she?
537
00:31:26,751 --> 00:31:28,912
Whose patient is this?
538
00:31:48,139 --> 00:31:51,506
l'm sorry. l am so, so sorry.
539
00:31:51,542 --> 00:31:53,032
Dr. Kepner?
540
00:32:00,018 --> 00:32:02,213
What did you tell them?
What did you say?
541
00:32:10,929 --> 00:32:12,988
[thundering]
542
00:32:18,102 --> 00:32:19,899
[Richard] l don't know you.
543
00:32:19,938 --> 00:32:23,396
But Dr. Adamson just spent
20 minutes in that chair
544
00:32:23,474 --> 00:32:25,840
telling me what an
excellent doctor you are.
545
00:32:25,877 --> 00:32:29,210
Your school records,
your evaluations from Mercy West,
546
00:32:29,247 --> 00:32:33,980
all say the same thing.
And l believe it.
547
00:32:34,018 --> 00:32:36,077
l believe you're good.
548
00:32:36,154 --> 00:32:38,884
- Dr. Webber, l don't...
- So you should be able to tell me
549
00:32:38,923 --> 00:32:41,585
what would have caused
Cathy Becker to bleed out
550
00:32:41,626 --> 00:32:44,823
and die from multi-system organ failure.
551
00:32:46,397 --> 00:32:50,697
She had DlC. Burns can cause
massive tissue injury.
552
00:32:50,735 --> 00:32:52,965
[Richard] The burn
was cleaned and dressed.
553
00:32:53,004 --> 00:32:55,564
There must have been more damage.
She had a collapsed lung.
554
00:32:56,174 --> 00:32:57,698
- [gasps]
- [Richard] That's right.
555
00:32:57,742 --> 00:32:59,767
She needed a chest tube.
556
00:33:02,347 --> 00:33:04,747
But why would her lungs have failed?
557
00:33:06,084 --> 00:33:10,180
She went into respiratory distress.
They said they criked her.
558
00:33:13,057 --> 00:33:14,285
l wasn't there for this.
559
00:33:14,325 --> 00:33:16,555
Why would she need a crike?
Why not intubate?
560
00:33:16,594 --> 00:33:18,061
Her airway was too swollen.
561
00:33:18,096 --> 00:33:21,463
[Richard] What would cause that kind
of inflammation in her throat?
562
00:33:21,499 --> 00:33:24,468
Soot? Smoke inhalation?
563
00:33:24,502 --> 00:33:26,970
[Richard] How did
Mrs. Becker's throat look?
564
00:33:31,642 --> 00:33:33,735
She wasn't hoarse.
She wasn't coughing...
565
00:33:33,811 --> 00:33:37,008
- [Richard] How did it look?
- Her breath sounds were good, she...
566
00:33:37,048 --> 00:33:39,107
[Richard] What l'm asking you...
567
00:33:41,019 --> 00:33:43,249
...what it looked like.
568
00:33:44,088 --> 00:33:46,181
[thundering]
569
00:33:54,732 --> 00:33:58,168
OK, your lungs sound good
and your vitals are great.
570
00:33:58,202 --> 00:34:01,694
- Open up, please?
- Oh, my God!
571
00:34:18,322 --> 00:34:22,122
OK, um... You look good. These burns
on your chest are pretty minor,
572
00:34:22,193 --> 00:34:25,219
but the one on your calf
might be third degree.
573
00:34:25,263 --> 00:34:27,254
[Richard] You never looked.
574
00:34:29,434 --> 00:34:31,561
You didn't look in her throat,
575
00:34:31,636 --> 00:34:34,833
because if you had,
you would have seen soot
576
00:34:34,872 --> 00:34:38,035
and you would have
intubated immediately.
577
00:34:38,076 --> 00:34:39,976
And none of this would have happened.
578
00:34:40,044 --> 00:34:42,478
- That's... lt... l got distracted...
- [Richard] l know.
579
00:34:42,547 --> 00:34:44,310
- lt was insane.
- [Richard] l know.
580
00:34:44,348 --> 00:34:47,146
lt was a simple mistake.
581
00:34:48,286 --> 00:34:50,277
And the circumstances you were under...
582
00:34:50,321 --> 00:34:51,720
[Larry clears throat]
583
00:35:01,032 --> 00:35:04,331
[sighs] l'm sorry, Dr. Kepner.
584
00:35:04,368 --> 00:35:07,201
- l missed one step. l...
- [Richard] No.
585
00:35:09,140 --> 00:35:11,700
And look what it's led to.
586
00:35:12,844 --> 00:35:15,142
[monitor beeping]
587
00:35:18,549 --> 00:35:19,573
- [gasps]
- [cries]
588
00:35:19,617 --> 00:35:21,915
[monitor beeping rapidly]
589
00:35:21,953 --> 00:35:23,284
[thundering]
590
00:35:23,321 --> 00:35:27,587
- [Cristina] She's bleeding out.
- Just stop. Stop! Everybody, stop!
591
00:35:27,625 --> 00:35:30,185
- lt's over. You've lost her.
- [flatline]
592
00:35:33,631 --> 00:35:35,394
Well, whose patient is she?
593
00:35:38,336 --> 00:35:40,395
Whose patient is this?
594
00:35:44,942 --> 00:35:47,410
Time of death is 1 2:45am.
595
00:35:59,490 --> 00:36:02,118
[flatline]
596
00:36:06,564 --> 00:36:08,259
You're fired.
597
00:36:31,923 --> 00:36:34,289
[inaudible]
598
00:36:45,836 --> 00:36:48,566
[sirens sounding]
599
00:36:57,715 --> 00:37:00,707
Oh, my God, Danny! Oh, my God.
600
00:37:01,519 --> 00:37:03,544
[laughs] Oh.
601
00:37:04,021 --> 00:37:05,386
You're OK.
602
00:37:06,591 --> 00:37:09,560
Where's Mommy, pal?
Let's go find Mommy. Huh?
603
00:37:10,294 --> 00:37:13,730
[Meredith] When we're headed toward anoutcome that's too horrible to face...
604
00:37:13,764 --> 00:37:15,629
[thunder rumbling]
605
00:37:17,468 --> 00:37:20,403
...that's when we go lookingfor a second opinion.
606
00:37:22,907 --> 00:37:25,273
lt's not the doctors, Richard.
607
00:37:27,278 --> 00:37:29,303
They're all good doctors.
608
00:37:29,347 --> 00:37:30,746
l know that.
609
00:37:34,252 --> 00:37:35,913
What do you think this was for?
610
00:37:36,954 --> 00:37:42,290
For Jennings, it was about legal,
but this was for me.
611
00:37:43,694 --> 00:37:46,720
l needed to know
who finally was responsible.
612
00:37:49,500 --> 00:37:51,661
At least l was able to do that.
613
00:37:55,172 --> 00:37:58,505
- [sighs heavily]
- [thunderclap]
614
00:38:03,114 --> 00:38:07,016
- Say it, Derek.
- Maybe it's not one doctor.
615
00:38:08,519 --> 00:38:11,147
Maybe it's too many doctors,
616
00:38:11,222 --> 00:38:14,487
who don't know each other
and who don't trust each other.
617
00:38:18,229 --> 00:38:22,632
When l got to that room, it was chaos.
618
00:38:23,801 --> 00:38:27,168
Because that's the system now. Chaos.
619
00:38:28,839 --> 00:38:33,742
That has been the system that
has been in place since this merger.
620
00:38:35,112 --> 00:38:36,704
Your system.
621
00:38:40,685 --> 00:38:43,449
l'm saying you should look again
at who's responsible.
622
00:38:51,162 --> 00:38:52,789
[Meredith] And sometimes...
623
00:38:59,337 --> 00:39:02,670
...the answer we getjust confirms our worst fears.
624
00:39:10,948 --> 00:39:13,576
- [elevator dings]
- But sometimes...
625
00:39:17,555 --> 00:39:20,422
...it can shed new light on the problem.
626
00:39:24,095 --> 00:39:26,689
Make you see it in a whole new way.
627
00:39:36,040 --> 00:39:37,769
ls she gone? Did she leave?
628
00:39:40,845 --> 00:39:45,248
She was good.
She was a better doctor than l am.
629
00:39:46,584 --> 00:39:49,576
Just please shut up.
630
00:39:51,489 --> 00:39:54,686
- Hey. You talk to April?
- No, l haven't.
631
00:39:58,095 --> 00:39:59,255
What?
632
00:39:59,296 --> 00:40:02,629
l'm just waiting to see
if you're gonna try to hit me again.
633
00:40:02,666 --> 00:40:07,228
- l'm sorry. l was just...
- Forget it. Rough night, right?
634
00:40:08,939 --> 00:40:11,703
So April missed the airway?
That's so stupid.
635
00:40:11,776 --> 00:40:15,268
- [Lexie] ''Airway first.''
- That's med school 1 01 , right?
636
00:40:15,312 --> 00:40:16,472
lt's pretty basic.
637
00:40:16,514 --> 00:40:21,611
lt was one second! She got distracted
and she made a mistake.
638
00:40:21,652 --> 00:40:24,485
- That we all nearly got fired for.
- Nosedive's got a point.
639
00:40:24,522 --> 00:40:26,490
- Thank you... What?
- We nearly got fired
640
00:40:26,524 --> 00:40:29,254
for trying to fix what she
screwed up in the first place.
641
00:40:29,293 --> 00:40:31,022
Because that's our job!
642
00:40:32,129 --> 00:40:34,563
You didn't make any mistakes today?
643
00:40:35,266 --> 00:40:39,430
You've been distracted for the week.
Who knows what you screwed up.
644
00:40:39,503 --> 00:40:42,472
But our patients didn't die,
that's why we didn't get caught.
645
00:40:42,506 --> 00:40:44,667
lt could have happened to any one of us.
646
00:40:44,708 --> 00:40:47,142
[Meredith] After all the opinionshave been heard...
647
00:40:49,046 --> 00:40:51,571
...and every point of viewhas been considered...
648
00:40:51,649 --> 00:40:53,276
Here she comes.
649
00:40:59,757 --> 00:41:01,987
...you finally find...
650
00:41:02,993 --> 00:41:05,826
- ...what you were after.
- April.
651
00:41:08,732 --> 00:41:10,222
The truth.
652
00:41:25,282 --> 00:41:27,614
But the truth isn't where it ends.
653
00:41:29,153 --> 00:41:33,419
Thank God. l was beginning to think
you went home and left me here to rot.
654
00:41:35,759 --> 00:41:37,784
- Go home.
- That's it?
655
00:41:39,663 --> 00:41:41,290
- Ready to go?
- Very.
656
00:41:41,332 --> 00:41:43,800
l've been waiting for Bailey all night.
657
00:41:47,705 --> 00:41:49,900
[Meredith] That's justwhere you begin again.
658
00:41:52,877 --> 00:41:55,243
- You OK?
- Yeah.
659
00:41:56,881 --> 00:41:58,815
Let's go home.
660
00:42:03,487 --> 00:42:05,114
[thundering]
661
00:42:06,891 --> 00:42:08,620
What happened today?
662
00:42:09,593 --> 00:42:12,391
[Meredith] With a wholenew set of questions.
54098
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