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1
00:00:03,403 --> 00:00:06,930
[Richard] I've seen a lot of surgeryresidents come and go in my time.
2
00:00:07,007 --> 00:00:10,670
And they're all addicted...to surgery.
3
00:00:10,710 --> 00:00:16,615
It comes before food, before sleep.It becomes the most important thing.
4
00:00:16,683 --> 00:00:20,175
- What?
- Nothing.
5
00:00:20,220 --> 00:00:23,986
- Well, go away.
- You look nice.
6
00:00:24,024 --> 00:00:26,925
[scoffs] Go away!
7
00:00:26,993 --> 00:00:29,018
[Richard] The only thing.
8
00:00:30,430 --> 00:00:34,093
What they don't know,is that living on that high...
9
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...can eat them alive.
10
00:00:37,404 --> 00:00:39,565
- l can't do it. [gags]
- Of course you can.
11
00:00:39,606 --> 00:00:41,733
- l'm gonna hurl again.
- OK, please don't,
12
00:00:41,775 --> 00:00:43,675
'cause l just got the last puke
out of your hair.
13
00:00:43,710 --> 00:00:46,372
Why do l have to do this?
l'm not a public speaker.
14
00:00:46,413 --> 00:00:48,244
lt's not my thing.
l hate Derek Shepherd.
15
00:00:48,314 --> 00:00:50,043
All you have to do is talk about
being a great surgeon.
16
00:00:50,116 --> 00:00:54,553
To a giant room full of people.
From a giant stage.
17
00:00:54,587 --> 00:00:56,680
Oh, God, with a microphone.
18
00:00:57,190 --> 00:01:02,184
[Richard] Some make it through,
they come out on the other side.
19
00:01:03,563 --> 00:01:08,227
They survive with their sanity intact.
20
00:01:10,570 --> 00:01:16,338
They become better doctors
and stronger people.
21
00:01:18,078 --> 00:01:19,409
l didn't.
22
00:01:20,914 --> 00:01:23,109
l broke.
23
00:01:23,149 --> 00:01:28,052
l didn't kill anybody...
and l give thanks for that every day.
24
00:01:29,489 --> 00:01:31,354
But l hurt people.
25
00:01:32,625 --> 00:01:35,025
And scared the hell out of myself.
26
00:01:37,163 --> 00:01:40,428
l'm 45 days sober today.
27
00:01:41,034 --> 00:01:46,563
l am Richard, and l am a grateful
and recovering alcoholic.
28
00:01:47,107 --> 00:01:49,871
[applause]
29
00:01:55,782 --> 00:01:58,774
l was told, if l went to rehab,
my job would be waiting for me.
30
00:01:58,818 --> 00:02:01,753
[Derek] Pending board approval.
l'm sorry, Richard.
31
00:02:02,388 --> 00:02:05,255
You know what?
Maybe they'll reassess in a few months.
32
00:02:05,859 --> 00:02:08,885
l'm authorized to offer you a position
as an attending general surgeon.
33
00:02:12,065 --> 00:02:15,296
- You want me to come work under you?
- Yes. That's the stipulation.
34
00:02:16,069 --> 00:02:19,470
Thank you for the offer, but no.
l'll figure something else out.
35
00:02:23,776 --> 00:02:27,177
Richard. lt's lecture day,
and l have an open spot.
36
00:02:27,213 --> 00:02:30,182
Lecture day? You brought that back?
37
00:02:30,216 --> 00:02:32,548
l understand if you don't
want to come back.
38
00:02:32,585 --> 00:02:35,986
But if you're really leaving this place,
don't leave the way you did.
39
00:02:36,556 --> 00:02:38,046
Give one last lecture.
40
00:02:39,192 --> 00:02:42,184
[distant siren]
41
00:02:44,130 --> 00:02:46,690
[indistinct chatter]
42
00:02:46,733 --> 00:02:48,496
- [Derek] Good morning.
- [crowd murmurs]
43
00:02:48,535 --> 00:02:50,059
[Derek] Good morning, everybody.
44
00:02:50,103 --> 00:02:53,470
Good morning. l'm excited.
45
00:02:54,073 --> 00:02:55,233
Are you excited?
46
00:02:57,677 --> 00:03:01,306
This is a teaching hospital.
We learn a lot by doing.
47
00:03:01,347 --> 00:03:06,011
But we can also learn... we should also
learn from other people's experiences.
48
00:03:07,086 --> 00:03:12,649
Their losses will save you losses.
Their mistakes will save you mistakes.
49
00:03:13,226 --> 00:03:15,524
Their victories will inspire yours.
50
00:03:15,562 --> 00:03:18,224
Let's pay close attention.
This is gonna be good.
51
00:03:18,264 --> 00:03:20,323
Dr. Miranda Bailey.
52
00:03:20,366 --> 00:03:22,766
[applause]
53
00:03:27,507 --> 00:03:29,941
- Good morning, everyone.
- [audience] Morning.
54
00:03:33,846 --> 00:03:36,576
- Ow!
- [Bailey] 'Morning, Dr. Yang.
55
00:03:36,616 --> 00:03:38,049
- What the...?
- [laughter]
56
00:03:38,084 --> 00:03:40,211
lf l have to stand here,
you have to listen.
57
00:03:40,253 --> 00:03:44,212
Eyes forward. Answer a question right,
you get a chocolate.
58
00:03:44,257 --> 00:03:48,956
Doze off, you get beaned in the face.
Ask Dr. Yang. My aim is exceptional.
59
00:03:50,797 --> 00:03:55,791
2003. l'm three days
into my intern year.
60
00:03:56,536 --> 00:03:57,628
Anyone?
61
00:03:57,670 --> 00:04:00,764
Alicia Tatum, status
post-oophorectomy three months ago
62
00:04:00,807 --> 00:04:03,742
now presents with fever
and non-focal abdominal pain.
63
00:04:03,776 --> 00:04:05,471
OK, what does her workup show?
64
00:04:05,511 --> 00:04:08,207
[Bailey murmuring] Multiple stones
and wall thickening.
65
00:04:08,248 --> 00:04:09,272
Excuse me?
66
00:04:09,315 --> 00:04:11,977
Multiple gallbladder stones
and wall thickening.
67
00:04:12,018 --> 00:04:14,316
Would you recommend we do it open
or laparoscopically?
68
00:04:14,354 --> 00:04:17,289
- [Bailey] Laparascopically.
- [Richard] Uh...
69
00:04:17,323 --> 00:04:20,451
Who said that? Who said that?
70
00:04:23,296 --> 00:04:24,820
Sir.
71
00:04:26,933 --> 00:04:31,097
- You've had a pretty rough go of it?
- Nothing helps the pain.
72
00:04:31,137 --> 00:04:33,901
l've seen more doctors
than l can count.
73
00:04:33,973 --> 00:04:37,670
- Hopefully we'll be the last. Eight.
- [all laugh]
74
00:04:37,710 --> 00:04:40,474
We're gonna get to
the bottom of this, OK?
75
00:04:42,148 --> 00:04:44,013
Let's prep her for surgery.
76
00:04:47,720 --> 00:04:49,244
You.
77
00:04:50,657 --> 00:04:51,681
Uh...
78
00:04:51,724 --> 00:04:54,921
- Mandy.
- Mandy? That's what you're going with?
79
00:04:54,961 --> 00:04:57,953
Boy, your parents wanted you
to work for it, huh?
80
00:04:57,997 --> 00:05:00,488
Draw some blood and take her
for her pre-op X-ray.
81
00:05:00,533 --> 00:05:04,299
- [stammers] l was wondering...
- Blood draw is too much for you?
82
00:05:04,337 --> 00:05:08,933
- No, l can draw blood, l just wanted...
- You don't have wants or needs.
83
00:05:09,008 --> 00:05:11,875
You're an intern,
the bottom of the surgical food chain.
84
00:05:12,378 --> 00:05:14,573
l'm a resident.
l've been here three years,
85
00:05:14,647 --> 00:05:17,673
you've been here three days.
Do the math. Draw her blood.
86
00:05:19,185 --> 00:05:20,948
[Meredith] ls she shaking?
87
00:05:20,987 --> 00:05:22,215
Hm?
88
00:05:22,255 --> 00:05:24,951
She's definitely shaking.
89
00:05:24,991 --> 00:05:27,289
- [Callie] OK.
- [Cristina] She's doing her pee dance.
90
00:05:27,327 --> 00:05:31,195
- She does it when she has to pee.
- OK, well, is she gonna pee right now?
91
00:05:31,230 --> 00:05:32,254
[Cristina] Hm...
92
00:05:33,433 --> 00:05:36,869
- [audience laughing]
- Oh, no, that's not the right...
93
00:05:40,873 --> 00:05:42,966
- [audience gasps, groans]
- [Callie] OK.
94
00:05:44,277 --> 00:05:47,576
Beautiful. Um...
95
00:05:47,613 --> 00:05:49,740
[murmuring] ln my third year
as a resident, l was...
96
00:05:49,782 --> 00:05:51,409
[man] Can't hear you!
97
00:05:53,219 --> 00:05:57,656
ln my third year as a resident,
l was presented with a patient
98
00:05:57,724 --> 00:06:00,716
- named Sunder...
- [audience murmuring]
99
00:06:00,760 --> 00:06:04,093
...Atluri, a 28-year-old grad...
100
00:06:06,899 --> 00:06:08,764
...student from lndia.
101
00:06:12,238 --> 00:06:16,470
- Hey, l'm from ortho, l was paged?
- You were paged by me.
102
00:06:16,542 --> 00:06:19,238
Alex Karev, you have to
put me on this case.
103
00:06:19,278 --> 00:06:23,510
Here's a news flash, overly enthusiastic
intern guy, l don't have to do anything.
104
00:06:23,583 --> 00:06:26,518
- Come on, you seem like a cool person.
- You don't know me.
105
00:06:26,552 --> 00:06:29,521
You look like a cool person.
l need cool cases.
106
00:06:29,589 --> 00:06:32,990
Ever since the elevator thing
and heart guy, it's just...
107
00:06:33,659 --> 00:06:34,819
Wait, that was you?
108
00:06:35,762 --> 00:06:39,858
- You're the heart in the elevator guy?
- Sure, let's go with that.
109
00:06:43,102 --> 00:06:44,535
You're not at all how l pictured you.
110
00:06:44,604 --> 00:06:46,970
- What's that supposed to mean?
- l heard the story.
111
00:06:47,006 --> 00:06:49,531
The heart in the elevator.
lt was basically Rudy, you know?
112
00:06:49,609 --> 00:06:52,373
Dorky guy makes good.
But you're not dorky. You're hot.
113
00:06:52,445 --> 00:06:55,039
Maybe l was dorky
before l saved the cop in the elevator.
114
00:06:55,114 --> 00:06:58,675
Maybe my unbelievable skill under
pressure transformed me completely.
115
00:06:58,718 --> 00:07:01,516
- Hm. Did it?
- Does that turn you on?
116
00:07:05,625 --> 00:07:07,388
No, but this does.
117
00:07:15,201 --> 00:07:17,101
[whispering]
118
00:07:19,639 --> 00:07:21,937
[crowd murmuring]
119
00:07:25,812 --> 00:07:27,109
Um... [clears throat]
120
00:07:27,146 --> 00:07:28,704
Good... good morning.
121
00:07:30,716 --> 00:07:32,377
Once upon a time...
122
00:07:33,152 --> 00:07:36,246
...long before l was chief of surgery...
123
00:07:37,056 --> 00:07:40,321
...even before l was an attending,
124
00:07:40,359 --> 00:07:42,850
l was a resident,
right here at Seattle Grace.
125
00:07:43,329 --> 00:07:44,990
Just like you.
126
00:07:45,031 --> 00:07:48,694
You learn from everything
in your residency.
127
00:07:48,734 --> 00:07:53,262
The patients, the nurses,
the attendings.
128
00:07:54,507 --> 00:07:58,500
But you don't realize how much
you learn from each other.
129
00:07:59,846 --> 00:08:03,247
[Richard] 1982. You all were in diapers.
130
00:08:03,316 --> 00:08:06,217
- [man] Give me the chart on 231 4.
- [woman] Yes, doctor.
131
00:08:06,252 --> 00:08:09,050
So, Dr. Russell,
l hear you shot a 7 4 last week.
132
00:08:09,088 --> 00:08:11,181
You should come to my club
when you have a day off.
133
00:08:11,224 --> 00:08:13,692
l used to play there with your father.
We'll see if you measure up.
134
00:08:13,726 --> 00:08:16,524
- Oh, l'd love to, sir.
- Do we get any path back yet?
135
00:08:16,562 --> 00:08:18,393
Nothing's grown out of the cultures.
136
00:08:18,431 --> 00:08:20,797
l checked them this morning, sir.
l went to the lab myself.
137
00:08:20,833 --> 00:08:25,429
- So, Dr. Russell, is he still febrile?
- [woman] Where is it?!
138
00:08:25,471 --> 00:08:27,803
Where's that damn crash cart?!
139
00:08:27,840 --> 00:08:30,809
l was checking his wound when he
went into SVT with respiratory distress.
140
00:08:30,877 --> 00:08:32,674
l can cardiovert him out of it.
Charge the paddles to 1 00.
141
00:08:32,712 --> 00:08:34,873
Charge paddles?
What's going on here?
142
00:08:34,914 --> 00:08:36,472
He's here for a hernia surgery!
143
00:08:36,549 --> 00:08:38,813
- What's happening?
- This is no job for a nurse.
144
00:08:38,885 --> 00:08:42,343
- l'll take it from here.
- You know l'm not a nurse. Back off.
145
00:08:42,388 --> 00:08:45,118
- [electrical charging]
- [woman] Clear!
146
00:08:50,563 --> 00:08:52,394
[Richard] Dr. Ellis Grey.
147
00:08:53,399 --> 00:08:58,166
Two-time-Harper-Avery-Award-winner
and my colleague on this case.
148
00:08:59,405 --> 00:09:01,339
A case that changed my life.
149
00:09:03,009 --> 00:09:04,169
Look around.
150
00:09:06,078 --> 00:09:11,448
The biggest influences in your life
are sitting next to you right now.
151
00:09:16,589 --> 00:09:19,524
- This is gonna get more interesting.
- Yeah.
152
00:09:26,365 --> 00:09:31,462
The late Dr. Ellis Grey
was known as a groundbreaker...
153
00:09:31,504 --> 00:09:32,835
...a lion.
154
00:09:32,905 --> 00:09:36,864
She was the best this hospital
or most hospitals have ever seen.
155
00:09:36,943 --> 00:09:41,573
But back then,
she was known as ''sugar''...
156
00:09:41,614 --> 00:09:43,411
...or ''nurse''...
157
00:09:43,449 --> 00:09:45,849
...or nothing at all.
158
00:09:48,421 --> 00:09:51,390
This man came in for a simple
hernia repair, and he's getting sicker
159
00:09:51,424 --> 00:09:54,951
instead of better. You people
better figure out why, and fast.
160
00:09:57,797 --> 00:10:00,095
[indistinct chatter]
161
00:10:01,801 --> 00:10:02,927
[chuckles]
162
00:10:02,969 --> 00:10:06,405
- Guess it's just you and me, kid.
- Surprise, surprise.
163
00:10:06,439 --> 00:10:08,498
- [Callie] Oh, crap!
- [laughter]
164
00:10:08,541 --> 00:10:11,601
[moaning] Come on. Oh, come on.
165
00:10:11,644 --> 00:10:14,204
- Come on.
- [Avery snores] Oh!
166
00:10:14,947 --> 00:10:17,177
- [Callie] Come on, come on, come on.
- Just talk!
167
00:10:17,216 --> 00:10:21,243
- Hm?
- Just tell us what happened.
168
00:10:24,190 --> 00:10:25,555
OK.
169
00:10:32,164 --> 00:10:34,632
There was, uh, this patient.
170
00:10:36,002 --> 00:10:38,368
He wanted to get his club foot fixed.
171
00:10:41,073 --> 00:10:42,836
But l had a different idea.
172
00:10:44,176 --> 00:10:46,167
You told him he could walk?
173
00:10:47,013 --> 00:10:51,575
Yes. l was in the Peace Corps! l've seen
polio, l've studied the procedures.
174
00:10:51,651 --> 00:10:52,879
- You're privileged.
- Sir?
175
00:10:52,952 --> 00:10:54,681
Your application, l remember it.
176
00:10:54,720 --> 00:10:58,383
l'm saying you grew up privileged
and that privilege made you arrogant.
177
00:10:58,424 --> 00:11:02,155
And arrogance in an unseasoned
surgeon is a very dangerous thing.
178
00:11:02,194 --> 00:11:05,891
Sir, l didn't make this promise lightly.
l can do this.
179
00:11:08,000 --> 00:11:12,061
Did you promise him you'll try,
or did you promise him he'll walk?
180
00:11:17,176 --> 00:11:18,438
Arrogant.
181
00:11:20,012 --> 00:11:21,536
Arrogant.
182
00:11:23,816 --> 00:11:27,912
All right, Dr. Torres.
You'll live and die on this.
183
00:11:27,953 --> 00:11:30,285
This is your career at Seattle Grace.
184
00:11:31,257 --> 00:11:32,884
[Ellis] He's such an ass!
185
00:11:32,925 --> 00:11:35,416
Dr. Gracie didn't like
your infectious process idea,
186
00:11:35,494 --> 00:11:37,689
but l think that's what
it's got to be, right?
187
00:11:37,730 --> 00:11:39,925
Gracie wouldn't know his ass
from his finger.
188
00:11:39,999 --> 00:11:41,364
ls ''ass'' the word of the day?
189
00:11:41,400 --> 00:11:44,460
There was mild hemolysis on his CBC.
190
00:11:44,537 --> 00:11:47,529
Anemia? Rhabdo?
Was there any hematuria?
191
00:11:47,573 --> 00:11:49,564
No, but there was some yeast
in his urine.
192
00:11:49,608 --> 00:11:53,237
A contaminant. Maybe the hemolysis
was just a bad blood draw?
193
00:11:53,279 --> 00:11:54,610
Every day?
194
00:11:55,214 --> 00:11:56,579
That doesn't seem right.
195
00:12:02,755 --> 00:12:05,246
This hemolysis thing is a red herring.
196
00:12:05,291 --> 00:12:07,486
l feel it in my bones
that we're going down the wrong road.
197
00:12:07,560 --> 00:12:09,926
You're right. l feel it in my bones too.
198
00:12:09,962 --> 00:12:11,759
Get your mind out of the gutter.
199
00:12:11,797 --> 00:12:14,732
How can l do that
when l'm tearing your clothes off?
200
00:12:15,301 --> 00:12:20,170
Think of the possibilities
for post-op fever: wind, wound, water.
201
00:12:21,140 --> 00:12:25,509
Water! The yeast.
l think l got it!
202
00:12:27,847 --> 00:12:31,374
[Bailey] Single most important stepin the treatment process.
203
00:12:31,417 --> 00:12:33,612
- Anyone?
- Physical exam.
204
00:12:34,186 --> 00:12:37,883
- No. No chocolate for you.
- Lab and radiology evaluation.
205
00:12:37,923 --> 00:12:40,983
Oh! Come on, people,
now you're embarrassing me.
206
00:12:41,026 --> 00:12:43,551
- Patient history.
- Thank you! Catch!
207
00:12:48,000 --> 00:12:52,494
[Richard] There isn't much inflammation,
but there are a lot of gallstones.
208
00:12:52,538 --> 00:12:54,665
Dr. Baylow, what causes gallstones?
209
00:12:54,707 --> 00:12:58,507
- High fat diets are a huge contributor.
- Yes, fatty foods and...?
210
00:12:58,544 --> 00:12:59,670
[Bailey] She's vegan.
211
00:13:00,679 --> 00:13:03,045
- [Richard] Who's talking?
- [Baylow] l'm sorry, sir.
212
00:13:03,115 --> 00:13:05,481
- Keep it down or get out of the OR.
- [Bailey] She's vegan.
213
00:13:05,518 --> 00:13:07,179
- [Richard] She is?
- [Bailey] Yeah.
214
00:13:07,253 --> 00:13:11,713
She has had severe reflux
most of her life until she discovered,
215
00:13:11,791 --> 00:13:14,225
when she was 1 5,
that a vegan diet helped.
216
00:13:14,293 --> 00:13:16,659
Her ex-boyfriend,
who broke up with her
217
00:13:16,695 --> 00:13:19,823
after her last surgery,
was a vegan chef.
218
00:13:20,599 --> 00:13:23,727
Well, that's quite a history
you have there, doctor.
219
00:13:24,203 --> 00:13:27,172
Dr. Baylow, your intern
is doing a hell of a job.
220
00:13:30,643 --> 00:13:32,304
[Bailey] Uh...
221
00:13:38,450 --> 00:13:41,248
Listen, you little moppet,
you hang me out to dry like that
222
00:13:41,320 --> 00:13:43,220
in front of the chief again,
l will end you.
223
00:13:43,255 --> 00:13:46,656
Your career, your future, your life.
Do we understand each other?
224
00:13:46,992 --> 00:13:50,393
lf it were up to me, you'd be doing
scut until your hair turns grey.
225
00:13:50,429 --> 00:13:53,057
[laughs] Oh, wait a minute.
lt is up to me!
226
00:13:53,098 --> 00:13:54,326
[Bailey grunts]
227
00:13:55,701 --> 00:14:00,968
We're not allowed to beat you with
sticks, so we punish you with scut.
228
00:14:01,006 --> 00:14:02,803
[laughter]
229
00:14:02,842 --> 00:14:05,777
We do it today, and they did it
back in my day.
230
00:14:05,845 --> 00:14:09,440
- Dr. Grey and l did mountains of scut.
- Mm-hm.
231
00:14:09,481 --> 00:14:13,941
Testing tissue samples was boring,
but it's how we found out
232
00:14:14,019 --> 00:14:17,250
our patient had a fungus
called cryptococcus.
233
00:14:17,323 --> 00:14:19,587
[young Richard] Have you traveled
recently to a tropical country?
234
00:14:19,625 --> 00:14:21,718
Like Taiwan? Or Argentina?
235
00:14:21,760 --> 00:14:24,388
No. l've never even been
out of this country.
236
00:14:24,430 --> 00:14:27,593
Do you live near a bird aviary?
Or are you around a lot of pigeons?
237
00:14:27,633 --> 00:14:29,567
[laughs]
238
00:14:29,602 --> 00:14:32,537
- No.
- What kind of questions are these?
239
00:14:33,038 --> 00:14:35,063
[Richard] We asked hisgirlfriend to step out...
240
00:14:37,209 --> 00:14:41,475
...because we knew we were gonna have to
ask some pretty uncomfortable questions.
241
00:14:42,781 --> 00:14:46,945
We suspected he might have GRlD.
Does anyone know what GRlD is?
242
00:14:51,090 --> 00:14:53,183
- AlDS.
- That's right.
243
00:14:53,259 --> 00:14:58,094
- But in 1 982 it was known as...
- Gay-related immune deficiency?!
244
00:14:58,130 --> 00:15:01,293
You think l have sex with men?
Are you out of your minds?
245
00:15:01,367 --> 00:15:02,629
What kind of doctors are you?
246
00:15:02,668 --> 00:15:04,431
- You're sick!
- Sir, just calm down.
247
00:15:04,470 --> 00:15:06,665
We're not passing any judgment.
They're standard questions.
248
00:15:06,739 --> 00:15:10,266
- Get this thing out of my arm!
- Sir, get back into bed.
249
00:15:10,309 --> 00:15:13,107
- You still need the antibiotics
- l'll get the antibiotics elsewhere.
250
00:15:13,145 --> 00:15:16,171
From real doctors.
l did not come here to be insulted.
251
00:15:16,248 --> 00:15:18,773
And don't think l won't talk
to your superiors about this.
252
00:15:26,125 --> 00:15:28,593
This was early 1 982.
253
00:15:28,627 --> 00:15:32,893
We hadn't seen a case
in Washington State. Ever.
254
00:15:32,932 --> 00:15:35,662
San Francisco only had five cases.
255
00:15:35,734 --> 00:15:39,795
We didn't know what it was, and because
it was isolated to the gay community,
256
00:15:39,838 --> 00:15:41,499
the government wasn't funding research.
257
00:15:41,540 --> 00:15:46,000
Does anyone know when the HlV
retrovirus was finally discovered?
258
00:15:46,078 --> 00:15:49,275
Uh, 1 983, but there wasn't
a test for it until '85.
259
00:15:49,315 --> 00:15:54,309
That's right. lt was so new even our
attending didn't know how to handle it.
260
00:15:55,020 --> 00:15:58,456
GRlD? You accused a patient
in my hospital of having a disease
261
00:15:58,490 --> 00:16:00,583
that hasn't even been proven to exist.
What were you thinking?
262
00:16:00,659 --> 00:16:02,388
That patient wasn't even a gay!
263
00:16:02,461 --> 00:16:05,988
He's threatening to sue
us for slander. Good job.
264
00:16:06,532 --> 00:16:10,366
You're on probation.
Both of you.
265
00:16:14,073 --> 00:16:17,167
- [slurping]
- [laughter]
266
00:16:20,813 --> 00:16:21,837
[suction]
267
00:16:21,880 --> 00:16:24,849
[man] Patient's getting harder
to ventilate. Did you hear me?
268
00:16:24,883 --> 00:16:27,852
- [Callie] l heard you! Shush.
- Did you shush me? Don't shush me.
269
00:16:27,886 --> 00:16:30,912
- You need to start to wrap up.
- [Callie] Wrap up? l just got started!
270
00:16:30,990 --> 00:16:32,218
[Alex] We've been working
for eight hours.
271
00:16:32,257 --> 00:16:34,054
[Callie] l'm trying to be meticulous,
272
00:16:34,126 --> 00:16:36,788
make sure l'm getting good compression.
l think it's gonna work.
273
00:16:36,862 --> 00:16:38,659
- l'm pretty sure.
- [Alex] ''Pretty sure?''
274
00:16:38,697 --> 00:16:39,721
[rapid beeping]
275
00:16:39,765 --> 00:16:43,030
[man] He's got pericarditis and lung
disease. He's getting unstable.
276
00:16:43,068 --> 00:16:44,558
[rapid beeping]
277
00:16:49,375 --> 00:16:53,835
Dude. Do you want him to walk,
or do you want him to keep breathing?
278
00:16:54,713 --> 00:16:57,409
Successes or failures,
which teaches you more?
279
00:16:57,483 --> 00:16:58,882
[Avery] Failures!
280
00:16:58,917 --> 00:17:01,385
Yeah, but that was a gimme,
don't get too cocky.
281
00:17:01,420 --> 00:17:05,914
The patient was discharged,
and a month later she was back in the ER
282
00:17:05,958 --> 00:17:07,050
in the middle of the night.
283
00:17:07,092 --> 00:17:11,085
Right lower quadrant pain, fever,
vomiting... Symptoms consistent with...?
284
00:17:11,163 --> 00:17:13,188
- Appendicitis!
- [laughs]
285
00:17:13,232 --> 00:17:18,295
You get a chocolate 'cause that's
what l thought, but don't eat it yet.
286
00:17:18,570 --> 00:17:20,037
Pay attention.
287
00:17:20,072 --> 00:17:23,371
[Bailey] I diagnosed Aliciawith appendicitis,
288
00:17:23,409 --> 00:17:29,143
and Dr. Webber decided that appywas going to be my first solo surgery.
289
00:17:30,082 --> 00:17:32,050
[Richard] Mobilize the cecum.
290
00:17:32,084 --> 00:17:34,609
There you go.
291
00:17:34,653 --> 00:17:37,816
- Not bad, Dr. Bailey.
- [Bailey] Thank you, sir.
292
00:17:37,890 --> 00:17:39,949
[Richard] l'm glad you decided to come
to Seattle Grace.
293
00:17:39,992 --> 00:17:43,621
You were a strong applicant.
People are excited to have you here.
294
00:17:53,772 --> 00:17:57,230
Surgery's a shark tank.
Sharks have teeth.
295
00:17:57,276 --> 00:18:01,508
Make sure you're a shark too.
And not a minnow.
296
00:18:01,580 --> 00:18:04,515
[Bailey] Sir, are you
referring to my height?
297
00:18:04,583 --> 00:18:08,110
[Richard] No, l'm not.
God made you short.
298
00:18:08,487 --> 00:18:09,818
Who made you quiet?
299
00:18:12,057 --> 00:18:13,581
[Richard] Um...
300
00:18:14,660 --> 00:18:17,652
That, unfortunately,
is a perfectly healthy appendix.
301
00:18:17,729 --> 00:18:19,993
- [Bailey] What?
- No infection. No inflammation.
302
00:18:20,065 --> 00:18:22,863
The whole lower right quadrant
looks good.
303
00:18:24,269 --> 00:18:28,899
- [Bailey] Sir, l'm... l'm so sorry.
- Shake it off, shake it off.
304
00:18:28,974 --> 00:18:32,341
lf you never get a negative appy,
you're not doing enough appys.
305
00:18:32,411 --> 00:18:34,208
That's just part of the process.
306
00:18:35,681 --> 00:18:39,242
All right. Let's take it out,
and we'll get ready to close.
307
00:18:39,284 --> 00:18:41,218
[Bailey sighs]
308
00:18:42,988 --> 00:18:46,515
l didn't want to close,
but we had to.
309
00:18:47,259 --> 00:18:49,727
So...
310
00:18:49,795 --> 00:18:54,357
We took the patient
to surgery again and...
311
00:18:55,334 --> 00:18:57,165
Wait, no...
312
00:18:59,238 --> 00:19:00,432
Hang on.
313
00:19:02,141 --> 00:19:03,699
[whispers] You were there. Help her.
314
00:19:06,044 --> 00:19:08,706
That's when we saw the dude
do the thing with his foot.
315
00:19:09,214 --> 00:19:10,579
You know.
316
00:19:11,517 --> 00:19:14,543
The surgery was more difficult
than l anticipated.
317
00:19:15,220 --> 00:19:20,248
l was able to do the tendon release,
but your lungs and heart
318
00:19:20,325 --> 00:19:22,919
weren't able to withstand any
more time under anesthesia,
319
00:19:22,995 --> 00:19:26,260
so l couldn't do any more than that.
320
00:19:27,332 --> 00:19:31,792
l understand.
When do we start again?
321
00:19:33,238 --> 00:19:34,967
Sunder, l'm saying l...
322
00:19:35,841 --> 00:19:37,433
l think we don't.
323
00:19:39,044 --> 00:19:40,944
Well...
324
00:19:41,013 --> 00:19:43,607
Now, l don't understand.
325
00:19:49,388 --> 00:19:53,347
Look at this. Look at my foot.
326
00:19:53,392 --> 00:19:55,087
Watch it.
327
00:19:56,028 --> 00:19:57,620
[laughs]
328
00:19:58,697 --> 00:20:00,756
You did that for me.
329
00:20:01,900 --> 00:20:05,233
Since l was seven,
l have never been able to do that.
330
00:20:08,707 --> 00:20:10,538
l've always been different.
331
00:20:12,377 --> 00:20:14,311
l've always been stared at.
332
00:20:16,548 --> 00:20:19,073
l want to walk.
333
00:20:19,585 --> 00:20:22,110
l want to stand straight up.
334
00:20:24,923 --> 00:20:27,016
l believe you can do the rest.
335
00:20:28,427 --> 00:20:29,917
Please.
336
00:20:32,531 --> 00:20:34,260
Please try.
337
00:20:37,135 --> 00:20:39,535
[Richard] No surgeon likesgiving up on a patient.
338
00:20:39,605 --> 00:20:43,336
Dr. Grey and l liked it
even less than most.
339
00:20:43,675 --> 00:20:47,736
But when a patient refuses treatment,
you're done.
340
00:20:48,780 --> 00:20:50,304
l mean, we were done.
341
00:20:52,117 --> 00:20:53,778
That's what we thought, anyhow.
342
00:20:55,921 --> 00:20:57,786
[woman] l put in the NG tube, doctor.
343
00:20:57,823 --> 00:20:59,120
OK.
344
00:21:00,792 --> 00:21:03,590
Dr. Grey. Looking beautiful as usual.
345
00:21:03,629 --> 00:21:07,087
Flattery will get you to an on-call room
in five minutes or less.
346
00:21:07,132 --> 00:21:11,000
- You're on.
- [girl] Mommy! Mommy, look!
347
00:21:15,073 --> 00:21:17,268
That's supposed to be for her birthday.
348
00:21:17,309 --> 00:21:19,607
She was crying. She misses you.
349
00:21:20,912 --> 00:21:22,174
And l got desperate.
350
00:21:23,448 --> 00:21:26,713
- Richard.
- Thatcher. How are you?
351
00:21:29,554 --> 00:21:32,114
l only have a few seconds.
Show me your doll.
352
00:21:32,157 --> 00:21:35,490
[man over PA] Dr. Grey, Dr. Webber,stat to Emergency.
353
00:21:35,527 --> 00:21:38,155
- l gotta go, Thatch.
- [girl] Mommy, don't go!
354
00:21:38,196 --> 00:21:40,596
Take her. Thatcher, l have to go!
355
00:21:40,632 --> 00:21:43,294
- Meredith.
- Mommy, no!
356
00:21:44,236 --> 00:21:47,865
Mommy? Don't go.
357
00:21:47,939 --> 00:21:50,874
[man over PA] Dr. Grey,Dr. Webber, stat to the ER.
358
00:21:56,882 --> 00:21:58,645
[Gracie] Kaposi's sarcoma.
359
00:21:58,684 --> 00:22:01,312
Your GRlD patient
from a few months back.
360
00:22:02,487 --> 00:22:04,045
Handle it!
361
00:22:18,370 --> 00:22:23,569
l'm sorry l... You were right,
you were right about everything.
362
00:22:24,710 --> 00:22:25,870
Please.
363
00:22:27,079 --> 00:22:29,570
Please.
364
00:22:29,648 --> 00:22:31,878
Help me.
365
00:22:37,456 --> 00:22:39,924
A healthy appendix.
366
00:22:39,958 --> 00:22:45,021
The third surgery for this patient
with unrelenting abdominal pain,
367
00:22:45,063 --> 00:22:49,557
- fatigue and muscle pain. Now what?
- Test for zebras, uncommon diseases.
368
00:22:49,601 --> 00:22:52,365
- [Bailey] OK.
- Do an ANA for lupus.
369
00:22:52,404 --> 00:22:54,736
- Lupus, yeah.
- What about lead? You test for lead?
370
00:22:54,806 --> 00:22:59,243
Good, good.
See, sometimes it's not easy.
371
00:22:59,311 --> 00:23:04,339
Sometimes you have to be your patient's
advocate and push to get things done.
372
00:23:07,519 --> 00:23:09,612
Excuse me, uh, Dr. Baylow,
373
00:23:09,688 --> 00:23:13,385
Alicia Tatum is being discharged with
nothing but a note for a psych consult?
374
00:23:13,425 --> 00:23:16,053
She's sniffing around for pain meds.
She's depressed.
375
00:23:16,094 --> 00:23:20,588
Well, yeah, months of severe
untreated pain can be... depressing.
376
00:23:20,665 --> 00:23:22,633
- OK, smarty pants.
- l just thought maybe
377
00:23:22,701 --> 00:23:27,536
we could test for lupus or lead
poisoning or even hemochromatosis...
378
00:23:27,572 --> 00:23:30,439
We're not ordering
thousands of dollars in tests
379
00:23:30,509 --> 00:23:33,307
for something that could be cured
with a big dose of Prozac.
380
00:23:33,378 --> 00:23:35,608
- [Bailey] But...
- What are we doing with Alicia Tatum?
381
00:23:35,680 --> 00:23:37,443
Turfing her to psych for depression.
382
00:23:37,516 --> 00:23:41,247
Cut her open three times and didn't cure
her pain. Wouldn't you be depressed?
383
00:23:41,286 --> 00:23:44,449
Of course. Before she goes
l thought we could test for lupus
384
00:23:44,489 --> 00:23:46,980
or lead poisoning
or maybe hemochromatosis.
385
00:23:47,058 --> 00:23:49,549
Hemochromatosis?
Now you're thinking.
386
00:23:49,594 --> 00:23:51,960
Good work.
387
00:23:52,030 --> 00:23:54,658
[Ellis] Oh, my God, l think
that's an intussusception.
388
00:23:55,066 --> 00:23:56,931
l've never seen one before
in an adult.
389
00:23:56,968 --> 00:24:00,233
Well, l suppose we'd handle it
the same way as with a kid, right?
390
00:24:00,272 --> 00:24:02,832
Dr. Gracie? What would you do
in this situation?
391
00:24:02,908 --> 00:24:05,274
Quite frankly, nothing.
l wouldn't operate.
392
00:24:07,379 --> 00:24:10,837
This patient's a lost cause.
He's got GRlD.
393
00:24:11,383 --> 00:24:14,045
lt's called AlDS now.
394
00:24:14,719 --> 00:24:19,179
AlDS. No one knows what's causing it
or how it spreads.
395
00:24:19,257 --> 00:24:22,192
You want me to risk the health
of my staff, my own life, for a guy
396
00:24:22,260 --> 00:24:26,424
with a death sentence? No. l'm not doing
it. l recommend you don't do it either.
397
00:24:27,065 --> 00:24:30,330
We took an oath.
We're supposed to be healers.
398
00:24:31,470 --> 00:24:34,701
Ten years ago you wouldn't even have
been allowed in this program.
399
00:24:34,773 --> 00:24:37,367
Don't you dare tell me
what kind of oath we take.
400
00:24:42,280 --> 00:24:44,180
[Callie] We'd hit a wall.
401
00:24:44,649 --> 00:24:46,344
And, um...
402
00:24:46,384 --> 00:24:49,512
We planned a number of procedures.
403
00:24:49,588 --> 00:24:52,318
But, um, uh, then...
404
00:24:52,357 --> 00:24:54,791
Then l gave you that rousing pep talk.
405
00:24:54,826 --> 00:24:55,918
[laughter]
406
00:24:55,961 --> 00:24:58,953
You know what? He totally did.
407
00:24:58,997 --> 00:25:02,694
What if l had quit in the elevator?
What if l had frozen?
408
00:25:02,734 --> 00:25:04,702
l had every reason to freeze,
l'm an intern.
409
00:25:04,769 --> 00:25:06,202
l never had my hand in a heart before.
410
00:25:06,271 --> 00:25:09,672
No reason for me to think l'm not gonna
do anything but kill that cop faster.
411
00:25:09,708 --> 00:25:11,335
- But you didn't.
- No. l didn't.
412
00:25:11,376 --> 00:25:14,971
l cut him open, l cross clamped
the aorta, stuck my finger in the hole
413
00:25:15,013 --> 00:25:16,480
and l stopped the bleeding.
414
00:25:17,182 --> 00:25:19,548
lt was seamless. l was perfect.
415
00:25:19,618 --> 00:25:22,553
So pretend there's a blackout,
you're stuck in an elevator,
416
00:25:22,587 --> 00:25:25,920
and your guy's bleeding out. What are
you gonna do? Are you gonna just quit?
417
00:25:25,991 --> 00:25:29,358
What was the result? Did she test
positive for hemochromatosis?
418
00:25:29,394 --> 00:25:31,521
- [Bailey] Nope.
- What about Lyme disease?
419
00:25:31,563 --> 00:25:36,057
Lyme disease, negative.
Celiac disease, negative.
420
00:25:36,101 --> 00:25:38,228
Every test l could think of, negative.
421
00:25:38,303 --> 00:25:41,397
So l did what l've told you
all to do when you get stuck.
422
00:25:41,473 --> 00:25:44,340
l went to the library,
and l hit the books.
423
00:25:45,210 --> 00:25:46,734
l hit 'em hard.
424
00:25:47,546 --> 00:25:52,574
[slurring] l was raised to be polite,
you know. Don't raise your voice.
425
00:25:52,651 --> 00:25:57,247
Have respect for people higher
on the pecking order,
426
00:25:57,322 --> 00:26:01,588
be generous to those below...
l was not raised to be a shark!
427
00:26:01,660 --> 00:26:04,925
Does that make me a minnow?
Am l a minnow?
428
00:26:04,996 --> 00:26:07,897
- [bartender] l really don't know.
- [sobbing] l'm a minnow.
429
00:26:08,833 --> 00:26:14,533
And not because of my height.
Because l'm a minnow on the inside.
430
00:26:18,176 --> 00:26:21,304
This is a sad state of affairs, Joe.
431
00:26:21,346 --> 00:26:23,837
[rock music plays]
432
00:26:25,684 --> 00:26:30,849
[Richard] Hell, we weren't noble. We
were just more arrogant than the rest.
433
00:26:31,690 --> 00:26:33,555
And had more to prove.
434
00:26:33,925 --> 00:26:37,452
[young Richard] Your CT showed that your
bowel has twisted in on itself,
435
00:26:37,529 --> 00:26:40,054
probably because of Kaposi's lesions
in your abdomen.
436
00:26:40,098 --> 00:26:43,363
[Ellis] lt's a pretty rare problem
but we can take care of it with surgery.
437
00:26:45,036 --> 00:26:47,027
Will Dr. Gracie be doing the surgery?
438
00:26:48,573 --> 00:26:50,768
[young Richard] l'm afraid
you're stuck with us.
439
00:26:54,779 --> 00:26:56,644
[man] He's scared, isn't he?
440
00:26:58,883 --> 00:27:01,249
Just like them, outside.
441
00:27:02,787 --> 00:27:04,414
l can see them...
442
00:27:05,890 --> 00:27:08,950
...pointing, mumbling, staring.
443
00:27:08,994 --> 00:27:10,655
[Ellis] Screw them.
444
00:27:17,535 --> 00:27:21,164
l don't blame them... for being scared.
445
00:27:24,242 --> 00:27:26,142
l'm scared too.
446
00:27:27,912 --> 00:27:33,942
l used to be scared that people
would find out that l was gay, and...
447
00:27:36,755 --> 00:27:39,952
[sobbing] Now l can't
even hide it anymore.
448
00:27:41,926 --> 00:27:43,951
[continues sobbing]
449
00:27:45,497 --> 00:27:47,795
l'm a leper...
450
00:27:47,832 --> 00:27:52,166
...an outcast, an untouchable.
451
00:27:53,438 --> 00:27:55,235
No one will look at me.
452
00:27:58,143 --> 00:28:00,668
No... No one will touch me.
453
00:28:03,481 --> 00:28:07,315
And l want to hate everyone
for treating me this way.
454
00:28:08,286 --> 00:28:10,811
But how... how can l hate them
455
00:28:10,855 --> 00:28:13,688
for being scared when l'm
the one that's been living a lie?
456
00:28:13,725 --> 00:28:16,626
[sniffling, sobbing]
457
00:28:17,562 --> 00:28:21,498
[Ellis] This is your chance
to change that. Have this surgery.
458
00:28:21,533 --> 00:28:24,502
- Let us operate.
- [man] What's the point?
459
00:28:25,637 --> 00:28:27,366
No one recovers from this.
460
00:28:30,108 --> 00:28:31,200
No one lives.
461
00:28:31,242 --> 00:28:33,904
[young Richard] For all you know, there
could be a cure for this thing tomorrow,
462
00:28:33,945 --> 00:28:35,674
or next week.
463
00:28:35,714 --> 00:28:37,944
Let us operate.
464
00:28:41,886 --> 00:28:45,720
[Callie] We spent days trying to make
things right, trying to figure out
465
00:28:45,757 --> 00:28:47,019
the best strategy.
466
00:28:47,058 --> 00:28:49,424
So we researched.
467
00:28:49,494 --> 00:28:54,193
And, uh, practiced and practiced and...
468
00:28:54,232 --> 00:28:55,756
...eventually, we were ready.
469
00:28:55,834 --> 00:28:58,632
- [Callie] Retract the rectus femoris.
- [Alex] What about the nerve?
470
00:28:59,871 --> 00:29:02,431
[man] BP just dropped, and he's
tachycardic! Torsades on the monitor!
471
00:29:02,507 --> 00:29:04,031
[Callie] Oh, my God.
Pericardial tamponade?
472
00:29:04,075 --> 00:29:05,099
[Alex] Sounds like.
473
00:29:05,176 --> 00:29:08,634
[Callie] Damn it.
OK, nobody panic. Page cardio.
474
00:29:08,713 --> 00:29:12,046
Alex, we need to do
a subxiphoid pericardiotomy
475
00:29:12,083 --> 00:29:13,744
to drain the blood squeezing the heart.
476
00:29:13,785 --> 00:29:15,810
lt's a version of what you did
in the elevator.
477
00:29:15,887 --> 00:29:19,254
- So get a scalpel...
- [Alex] l can't.
478
00:29:19,290 --> 00:29:22,487
[Callie] What do you mean, you can't?
You already did. Take the scalpel.
479
00:29:22,560 --> 00:29:25,222
- [Alex] l can't.
- The patient is crashing, Karev!
480
00:29:25,263 --> 00:29:27,788
- Do the elevator thing!
- l can't! l've never done this!
481
00:29:27,866 --> 00:29:31,233
lt wasn't me! l'm not the heart
in the elevator guy! lt was O'Malley!
482
00:29:37,075 --> 00:29:38,872
[Callie] OK.
483
00:29:38,910 --> 00:29:40,377
OK.
484
00:29:40,411 --> 00:29:43,073
No. This is fine. We're fine.
485
00:29:43,114 --> 00:29:46,481
- And you. You're doing this.
- [Alex] But l haven't...
486
00:29:46,518 --> 00:29:49,954
[Callie] Because you haven't doesn't
mean you can't. Take the scalpel!
487
00:29:58,730 --> 00:30:01,528
[Alex] OK. Uh...
488
00:30:02,567 --> 00:30:05,764
Make a six-centimeter-long incision...
489
00:30:06,404 --> 00:30:10,135
...over the xiphisternal junction.
490
00:30:10,608 --> 00:30:11,768
[Callie] Good.
491
00:30:13,945 --> 00:30:16,038
[Richard] We knew whatwe were doing was risky.
492
00:30:16,080 --> 00:30:18,810
These days, we know
that AlDS transmission
493
00:30:18,883 --> 00:30:22,546
requires the exchanges of bodily fluids.
But back then, we had no idea.
494
00:30:22,587 --> 00:30:26,580
Can you get it get it from casual
contact? From the air? From surgery?
495
00:30:27,625 --> 00:30:28,956
No idea.
496
00:30:30,795 --> 00:30:33,355
[young Richard] Poor guy,
living a lie for so long.
497
00:30:33,398 --> 00:30:35,161
[Ellis] Yeah. Shame.
498
00:30:37,435 --> 00:30:38,925
[young Richard] We're living a lie too.
499
00:30:40,171 --> 00:30:41,729
- [Ellis] What?
- We shouldn't be doing
500
00:30:41,773 --> 00:30:44,264
- what we're doing. We have to stop.
- [Ellis] No.
501
00:30:44,309 --> 00:30:47,904
We're not the lie.
Our marriages are the lie.
502
00:30:48,513 --> 00:30:53,007
This, us... this is what's right.
503
00:30:55,286 --> 00:30:59,313
We should leave them, Richard. You leave
Adele and l'll leave Thatcher.
504
00:30:59,390 --> 00:31:02,655
[young Richard] l can't.
You have a daughter. l can't.
505
00:31:03,261 --> 00:31:04,819
And neither can you.
506
00:31:07,131 --> 00:31:09,759
You don't have to go in there,
l can do this alone.
507
00:31:09,801 --> 00:31:13,100
- You have Meredith to think about.
- You're just like the rest of them.
508
00:31:13,137 --> 00:31:15,833
You have a different skin color,
but you're just like them.
509
00:31:15,874 --> 00:31:18,775
- Ellis...
- l gave birth to a child, Richard.
510
00:31:18,810 --> 00:31:21,176
That makes me a mother,
it doesn't make me inept,
511
00:31:21,246 --> 00:31:25,148
it doesn't make me less of a woman,
it doesn't make me less of a surgeon.
512
00:31:25,183 --> 00:31:27,617
No matter how much everyone wants it to.
513
00:31:33,858 --> 00:31:38,852
All my research didn't help.
Dr. Baylow sent the patient home.
514
00:31:38,897 --> 00:31:42,697
So l thought she'd won. l thought
maybe l wasn't cut out for this game.
515
00:31:42,767 --> 00:31:44,894
But a couple months later...
516
00:31:46,638 --> 00:31:48,105
Alicia?
517
00:31:49,007 --> 00:31:51,805
- Thank God, a familiar face.
- What happened?
518
00:31:51,843 --> 00:31:54,038
The pain got really bad.
519
00:31:54,612 --> 00:31:57,911
They said maybe
l have some sort of obstruction
520
00:31:57,982 --> 00:32:00,974
or something from the other surgeries.
They want to go back in
521
00:32:01,019 --> 00:32:03,214
and take another look.
522
00:32:06,190 --> 00:32:09,648
Mandy, l don't think
l can take it anymore.
523
00:32:09,694 --> 00:32:13,323
Please tell me
this surgery's gonna help.
524
00:32:13,364 --> 00:32:14,956
They're gonna find something, right?
525
00:32:20,405 --> 00:32:21,429
Oh!
526
00:32:21,472 --> 00:32:26,535
Don't touch her! l know you're here
to take her to the OR but...
527
00:32:26,878 --> 00:32:28,106
Don't touch her.
528
00:32:29,380 --> 00:32:33,009
So you canceled your resident's
surgery. lsn't that a little bold?
529
00:32:33,051 --> 00:32:36,919
She was worried about adhesions, right?
Gimme candy!
530
00:32:36,988 --> 00:32:38,819
- [laughter]
- No adhesions. No candy.
531
00:32:38,890 --> 00:32:41,757
And it wasn't bold, Grey, it was stupid.
532
00:32:41,793 --> 00:32:45,695
But in this case,
it was also necessary.
533
00:32:47,632 --> 00:32:50,533
Where do you get off canceling
my surgery?
534
00:32:50,568 --> 00:32:52,468
- When l...
- You work for me, got that?
535
00:32:52,537 --> 00:32:56,200
You listen to what l have to say.
Are you at all familiar
536
00:32:56,240 --> 00:32:59,732
with what surgeons do,
Dr. Bailey? We cut.
537
00:32:59,777 --> 00:33:01,642
Yeah, rebook Ms. Tatum for surgery.
538
00:33:01,713 --> 00:33:06,707
Dr. Baylow, you wanted to go
in and explore her obstruction?
539
00:33:06,751 --> 00:33:08,981
She doesn't have any signs of adhesions!
540
00:33:09,053 --> 00:33:11,214
Just because she's had
previous surgeries
541
00:33:11,255 --> 00:33:14,383
doesn't mean you shouldn't
actually look for another cause.
542
00:33:14,425 --> 00:33:18,987
She has a pseudo-obstruction
that can be resolved with an NG tube.
543
00:33:19,063 --> 00:33:23,466
And if you'd looked further and,
l don't know, talked to your patient,
544
00:33:23,534 --> 00:33:26,401
you would have discovered
that, along with abdominal pain,
545
00:33:26,437 --> 00:33:30,271
she also had weakness, palpitations,
numbness, skin changes,
546
00:33:30,308 --> 00:33:33,937
and her urine is intermittently dark.
Ringing any bells yet?
547
00:33:35,413 --> 00:33:39,110
Your patient, who's been sliced
nine ways to Sunday,
548
00:33:39,150 --> 00:33:42,642
has porphyria.
lf you had diagnosed it earlier,
549
00:33:42,720 --> 00:33:45,689
she could have avoided
getting her ovaries taken out.
550
00:33:45,757 --> 00:33:50,023
And her gallbladder.
And yes, yes, l took out her appendix.
551
00:33:50,094 --> 00:33:53,621
l, too, am at fault for not looking
at the whole person.
552
00:33:53,664 --> 00:33:57,657
But you know the difference between
you and me? l learned something from it.
553
00:33:57,735 --> 00:34:01,193
l learned when not to cut.
l learned to listen to my patient.
554
00:34:01,272 --> 00:34:04,332
How could you have not learned
in three years
555
00:34:04,409 --> 00:34:07,003
- what it took me three months to learn?
- [Richard] Dr. Bailey.
556
00:34:07,078 --> 00:34:10,980
And the reason l had her chart was
because you ignored my pages
557
00:34:11,015 --> 00:34:13,347
and she needs to get
started on hemin right away.
558
00:34:13,418 --> 00:34:17,286
You put it in her lV.
You give it daily for four days...
559
00:34:17,321 --> 00:34:19,346
- Dr. Bailey...
- The patient gets better.
560
00:34:19,390 --> 00:34:23,383
The patient doesn't get prodded,
probed, scoped or cut open
561
00:34:23,461 --> 00:34:26,055
like a Thanksgiving turkey,
you supercilious fool!
562
00:34:26,130 --> 00:34:27,256
Dr. Bailey!
563
00:34:29,133 --> 00:34:32,569
My office. Now!
564
00:34:40,478 --> 00:34:44,005
We did a series of shorter surgeries
so his lungs and heart
565
00:34:44,048 --> 00:34:47,142
could withstand the anesthesia.
lt was grueling for the patient
566
00:34:47,185 --> 00:34:50,052
- but worth it in the end.
- Show them the X-rays.
567
00:34:50,088 --> 00:34:52,249
Oh, yeah, so cool.
568
00:34:52,290 --> 00:34:53,655
OK. Um...
569
00:34:54,659 --> 00:34:57,184
These are the before.
570
00:34:58,329 --> 00:35:01,628
And these are the after.
571
00:35:01,666 --> 00:35:03,759
- [crowd murmuring]
- [applause]
572
00:35:03,801 --> 00:35:05,098
Wow, yeah.
573
00:35:09,207 --> 00:35:11,698
[laughs]
574
00:35:11,742 --> 00:35:14,404
Yeah, it was... lt was amazing.
575
00:35:14,479 --> 00:35:17,277
l mean, after the final surgery,
we were just...
576
00:35:17,748 --> 00:35:22,082
We celebrated that night.
Man, did we ever celebrate.
577
00:35:30,795 --> 00:35:34,788
- Mm! Wait, cone of silence.
- Yeah, yeah, yeah. Whatever.
578
00:35:36,801 --> 00:35:39,429
[whistling, cheering]
579
00:35:43,541 --> 00:35:46,476
[Bailey] I knew I was in big trouble.
580
00:35:47,512 --> 00:35:50,276
lt is my job to make sure
that my residents
581
00:35:50,314 --> 00:35:52,441
are supported
and treated with respect.
582
00:35:52,517 --> 00:35:56,317
- Of course, and l am so sorry...
- You have said enough for one day.
583
00:35:56,721 --> 00:35:59,986
- Sorry.
- lt's my job.
584
00:36:00,558 --> 00:36:04,585
So we're gonna sit here with you
wearing that terrified look on your face
585
00:36:04,629 --> 00:36:08,497
for a respectable amount of time,
so Dr. Baylow and her friends
586
00:36:08,566 --> 00:36:11,626
can assume you've had your behind
handed to you on a platter.
587
00:36:17,575 --> 00:36:19,907
You're gonna make a hell
of a surgeon, Dr. Bailey.
588
00:36:22,513 --> 00:36:24,003
Lose the smile.
589
00:36:24,749 --> 00:36:27,775
The patient survived the surgery,
but eight months later
590
00:36:27,818 --> 00:36:30,116
he came back with PCP pneumonia.
591
00:36:34,058 --> 00:36:36,117
He died a week later.
592
00:36:37,728 --> 00:36:39,662
Dr. Grey and l, well...
593
00:36:40,031 --> 00:36:43,091
Well, um, l won't speak for her.
594
00:36:43,434 --> 00:36:46,995
But l lost the sense
that l was a superhero.
595
00:36:48,339 --> 00:36:52,605
And l really started to think
of how dangerous it all was.
596
00:36:54,312 --> 00:36:57,145
lt changes you. This work.
597
00:36:58,416 --> 00:37:01,647
Your patients. Your colleagues.
598
00:37:02,086 --> 00:37:03,678
You change each other.
599
00:37:05,289 --> 00:37:08,019
You don't ever think
you'll lose your way...
600
00:37:09,460 --> 00:37:12,361
...but what happens in this hospital...
601
00:37:14,699 --> 00:37:16,758
...just remember why you came here.
602
00:37:18,936 --> 00:37:21,666
You said it the day you graduated
from med school.
603
00:37:22,907 --> 00:37:24,670
You took the physician's oath.
604
00:37:25,977 --> 00:37:27,467
Remember it.
605
00:37:28,446 --> 00:37:31,847
Tape it to your locker.
To your bathroom mirror.
606
00:37:33,985 --> 00:37:36,510
'Cause it is too easy to lose your way.
607
00:37:45,997 --> 00:37:51,230
l solemnly pledge to consecrate
my life to the service of humanity.
608
00:37:54,238 --> 00:37:56,433
l will give to my teachers...
609
00:37:57,508 --> 00:38:00,477
...the respect and gratitude
that is their due.
610
00:38:01,846 --> 00:38:04,314
l will practice my profession...
611
00:38:05,082 --> 00:38:07,949
...with conscience and dignity.
612
00:38:09,987 --> 00:38:14,720
The health of my patients will be
my number one consideration.
613
00:38:16,193 --> 00:38:19,754
l will respect the secrets
that are confided in me...
614
00:38:21,098 --> 00:38:23,566
...even after my patient has died.
615
00:38:25,936 --> 00:38:30,032
[Richard] I will maintain by allthe means in my power...
616
00:38:32,076 --> 00:38:36,410
...the honor and the noble traditionsof the medical profession.
617
00:38:43,387 --> 00:38:47,084
My colleagues will bemy sisters and brothers.
618
00:38:50,061 --> 00:38:52,552
[inaudible]
619
00:38:54,832 --> 00:38:58,825
[Richard] I will not permitconsiderations of age,
620
00:38:58,903 --> 00:39:02,703
disease or disability, creed...
621
00:39:03,207 --> 00:39:06,608
- [labored breathing]
- [Richard]...ethnic origin, gender...
622
00:39:07,745 --> 00:39:11,772
...race, political affiliation...
623
00:39:12,883 --> 00:39:17,286
...nationality, sexual orientation...
624
00:39:18,556 --> 00:39:21,047
...social standing...
625
00:39:23,327 --> 00:39:27,525
...or any other factorto intervene between my duty...
626
00:39:32,036 --> 00:39:33,697
...and my patient.
627
00:39:35,072 --> 00:39:37,563
[flatline tone]
628
00:39:40,678 --> 00:39:44,045
l will maintain the utmost
respect for human life.
629
00:39:44,849 --> 00:39:48,216
l will not use my medical knowledge
to violate human rights
630
00:39:48,285 --> 00:39:49,980
and civil liberties...
631
00:39:50,621 --> 00:39:52,179
...even under threat.
632
00:39:53,124 --> 00:39:57,254
l make these promises
solemnly, freely...
633
00:39:58,529 --> 00:40:00,360
...and upon my honor.
634
00:40:28,359 --> 00:40:31,260
[crowd shouting, whistling]
635
00:40:35,332 --> 00:40:37,357
[thunder crashes]
636
00:40:42,206 --> 00:40:44,504
[Derek sighs]
637
00:40:48,546 --> 00:40:50,377
[Derek] The job offer still stands.
638
00:40:51,248 --> 00:40:53,842
Think about it... and let me know.
639
00:41:02,827 --> 00:41:04,795
We'll see.
640
00:41:04,829 --> 00:41:07,229
[thunder rumbles]
641
00:41:11,836 --> 00:41:13,360
To Philip.
642
00:41:14,205 --> 00:41:15,604
May he rest in peace.
643
00:41:16,574 --> 00:41:20,635
You can't toast a dead lrishman
with a soda pop, Richard.
644
00:41:20,711 --> 00:41:25,478
- Get this man a vodka, Frankie.
- [Frankie] Oh, yeah. Coming right up.
645
00:41:25,549 --> 00:41:27,346
You know l can't stand
the taste of that stuff.
646
00:41:27,418 --> 00:41:28,976
lt's time to learn.
647
00:41:30,054 --> 00:41:34,013
You're a grown-up, Richard.
lt's time to act like it.
648
00:41:41,232 --> 00:41:42,699
l can't leave her, Ellis.
649
00:41:45,903 --> 00:41:47,461
l can't.
650
00:41:49,306 --> 00:41:50,864
We'll see.
53740
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