1 00:00:07,522 --> 00:00:11,528 For most of history, doctors had no way to stop pain. 2 00:00:12,054 --> 00:00:13,159 - Hey. - Hi. 3 00:00:13,184 --> 00:00:14,506 Hi. 4 00:00:14,779 --> 00:00:16,897 I know I said you couldn't have a chocolate croissant, 5 00:00:16,922 --> 00:00:19,122 but they were out of bagels, so you're welcome. 6 00:00:19,147 --> 00:00:20,148 Thank you. 7 00:00:21,259 --> 00:00:22,288 Is everything okay? 8 00:00:22,313 --> 00:00:24,233 Oh, look. Sam's mom is here. 9 00:00:25,518 --> 00:00:27,855 - Have fun at camp. - Yeah, see you later. 10 00:00:28,070 --> 00:00:29,416 What was that about? 11 00:00:29,897 --> 00:00:31,131 He'll tell you when he's ready. 12 00:00:32,111 --> 00:00:33,111 Seriously? 13 00:00:33,143 --> 00:00:34,433 During surgery, 14 00:00:34,458 --> 00:00:38,289 patients felt every cut and stitch until they inevitably passed out. 15 00:00:40,473 --> 00:00:43,501 - What are you doing? - It's my chief resident dance. 16 00:00:43,526 --> 00:00:45,756 Oh, you know, this job is nothing to dance about. 17 00:00:45,781 --> 00:00:48,942 It is when you assign yourself a cutting-edge transplant surgery. 18 00:00:48,967 --> 00:00:50,156 Ah. 19 00:00:50,181 --> 00:00:52,385 Oh, hey. I'm excited to be working with you today. 20 00:00:52,417 --> 00:00:54,297 - It is going to be groundbreaking. - We'll see. 21 00:00:55,428 --> 00:00:56,705 Hey. Good morning. 22 00:00:57,179 --> 00:00:59,561 Hey, looking forward to joining you in the OR today. 23 00:00:59,586 --> 00:01:01,726 Oh, is that why you're so chipper? 24 00:01:01,751 --> 00:01:02,924 For sure. 25 00:01:02,949 --> 00:01:05,040 I just parked in the chief's parking space. 26 00:01:05,065 --> 00:01:07,421 Isn't that the space just next to your old one? 27 00:01:07,446 --> 00:01:10,045 This one doesn't have a dip in the asphalt. 28 00:01:10,070 --> 00:01:12,486 Mm-hmm. It's the perks of being a chief. 29 00:01:12,511 --> 00:01:13,971 They are mighty fine. 30 00:01:13,996 --> 00:01:17,845 Yeah, I've done both those jobs, so I know that chiefing 31 00:01:17,870 --> 00:01:23,132 is mostly scheduling and HR issues and being buried in paperwork. 32 00:01:23,484 --> 00:01:26,130 Um, does the chief resident still have his own desk? 33 00:01:26,155 --> 00:01:27,924 Already got it stocked with snacks. 34 00:01:27,949 --> 00:01:29,749 That's what I'm talking about. 35 00:01:29,774 --> 00:01:31,452 I hit the bulk store and everything. 36 00:01:31,477 --> 00:01:34,514 All a surgeon could do to minimize pain was work faster. 37 00:01:34,887 --> 00:01:36,975 That all changed when the first surgery 38 00:01:37,000 --> 00:01:39,616 was performed using ether as anesthetic. 39 00:01:40,928 --> 00:01:42,261 Morning, benchwarmers. 40 00:01:43,517 --> 00:01:45,553 He's just jealous because he doesn't get to scrub in 41 00:01:45,578 --> 00:01:47,151 on the double lung transplant today. 42 00:01:47,176 --> 00:01:49,764 Au contraire, I am on plastics. 43 00:01:49,789 --> 00:01:51,553 Since when were you interested in that? 44 00:01:51,578 --> 00:01:54,089 Uh, huge scope and range in terms of anatomy, 45 00:01:54,207 --> 00:01:56,968 cutting-edge research opportunities, high demand. 46 00:01:57,768 --> 00:01:59,844 I think plastics might be the one. 47 00:02:00,252 --> 00:02:02,565 I hope you and plastics are very happy together. 48 00:02:02,787 --> 00:02:05,134 Now surgeons faced a new dilemma. 49 00:02:05,159 --> 00:02:07,274 If a patient can't feel pain... 50 00:02:07,299 --> 00:02:08,932 - Excuse me. - ... when do you stop? 51 00:02:08,956 --> 00:02:10,664 Are we assigned a cubby? 52 00:02:11,830 --> 00:02:14,341 - Your first day? - I-I missed the actual first day. 53 00:02:14,592 --> 00:02:17,422 Preplanned vacation for my grandparents' anniversary. 54 00:02:17,541 --> 00:02:19,060 Bold for an autotroph. 55 00:02:21,081 --> 00:02:24,222 Bottom of the food chain. Intern locker room is down the hall. 56 00:02:24,247 --> 00:02:27,388 - Sorry, but I'm not... - Hey, pro-tip... excuses make it worse. 57 00:02:27,580 --> 00:02:29,099 Your resident will thank me. 58 00:02:29,908 --> 00:02:31,392 Oh, really? 59 00:02:31,530 --> 00:02:33,291 Trust me. Who do you have? 60 00:02:34,373 --> 00:02:35,374 Kwan. 61 00:02:36,571 --> 00:02:38,400 Well, I guess I'll have to thank myself. 62 00:02:38,733 --> 00:02:40,355 What'd you say your name was? 63 00:02:40,604 --> 00:02:41,812 Mohanty. 64 00:02:41,965 --> 00:02:43,346 Kavita Mohanty. 65 00:02:43,922 --> 00:02:46,235 Yeah, I don't see you on my roster. 66 00:02:46,949 --> 00:02:48,434 That's because you're on mine. 67 00:02:49,121 --> 00:02:52,164 I'm the new plastics fellow. You're on my service. 68 00:03:02,630 --> 00:03:03,910 Dr. Griffith, hey, uh... 69 00:03:04,391 --> 00:03:07,704 how does an intern get in on this insane double lung transplant? 70 00:03:08,358 --> 00:03:11,637 I don't make the assignments. Talk to Warren. Also, you're late. 71 00:03:11,846 --> 00:03:13,583 But you can put in a good word for me though, right? 72 00:03:13,607 --> 00:03:16,575 No, you don't get to ask me favors. Go make yourself useful. 73 00:03:18,693 --> 00:03:20,940 Wow, what did he do to you? 74 00:03:22,167 --> 00:03:23,862 - We need to make a pact. - Uh-huh? 75 00:03:23,887 --> 00:03:25,831 We're second years. We need to focus. 76 00:03:26,246 --> 00:03:27,523 No sex, no relationships. 77 00:03:28,502 --> 00:03:29,557 You with me? 78 00:03:32,902 --> 00:03:35,559 - You had sex with him. - I... 79 00:03:35,584 --> 00:03:37,138 It was an accident. 80 00:03:37,503 --> 00:03:38,918 How? Did you fall on it? 81 00:03:39,736 --> 00:03:41,920 The logistics don't matter. Are you in? 82 00:03:41,945 --> 00:03:43,665 Oh, I'm not the one sleeping with an intern. 83 00:03:46,812 --> 00:03:48,492 Dr. Padero to the NICU. 84 00:03:48,517 --> 00:03:50,542 - Dr. Christina Padero to the NICU. 85 00:03:50,567 --> 00:03:53,553 Hey. Hey. Do you know anything about cars? 86 00:03:53,578 --> 00:03:55,994 Should I get the extended warranty? 87 00:03:56,132 --> 00:03:58,661 Well, I mean, it depends on the car, your budget, 88 00:03:58,686 --> 00:03:59,966 how long you plan on keeping it. 89 00:03:59,991 --> 00:04:02,759 - My lease is up in 12 hours. - Wow, you cut it close. 90 00:04:02,784 --> 00:04:04,978 We need a bigger car, but I hate negotiating. 91 00:04:05,003 --> 00:04:06,315 I thought Link would be out of the 92 00:04:06,339 --> 00:04:08,084 hospital, and he could handle it, but... 93 00:04:08,109 --> 00:04:11,975 Well, I spent the last year negotiating every penny for this hospital. 94 00:04:12,000 --> 00:04:14,513 You just have to be patient and clear on what your goals are. 95 00:04:14,538 --> 00:04:15,919 Anything is possible. 96 00:04:15,944 --> 00:04:18,573 You know, last month, I got an MRI machine at cost. 97 00:04:19,567 --> 00:04:20,879 Do you want to go with me? 98 00:04:21,009 --> 00:04:23,045 Uh, I have patients, but... 99 00:04:23,376 --> 00:04:26,409 - Hey, you, it's been a minute. - Hi. 100 00:04:26,731 --> 00:04:29,298 - How is everything? - Good, I'm-I'm great. 101 00:04:29,323 --> 00:04:31,936 - What are you doing here? - David left his wallet at home. 102 00:04:31,961 --> 00:04:34,585 - How was your pineapple pizza? - Uh, pizza? 103 00:04:35,060 --> 00:04:37,546 Ran into Owen and the kids last night picking up dinner. 104 00:04:37,571 --> 00:04:40,013 I admit I was a little judgmental when I heard your order. 105 00:04:40,038 --> 00:04:42,937 Oh, yeah, I was working late. Big... big trauma. I just... 106 00:04:43,044 --> 00:04:45,501 I didn't get home before they devoured everything. 107 00:04:45,526 --> 00:04:48,268 Oh. 108 00:04:48,460 --> 00:04:50,013 - Well, hi, we haven't met. - Oh. 109 00:04:50,038 --> 00:04:52,034 - I'm Jo Wilson. - Hi. Cass. 110 00:04:52,059 --> 00:04:55,480 Oh, yeah. Sorry, um... Jo Wilson. Um, Cass, um... Beckman. 111 00:04:55,505 --> 00:04:58,768 Um, she's just an incredible trauma surgeon. 112 00:04:59,022 --> 00:05:00,517 - Thank you. - Uh, she's married to David. 113 00:05:00,541 --> 00:05:02,647 Oh, yeah, I've worked with David. He's great. 114 00:05:02,672 --> 00:05:04,201 Can't remember his wallet to save his life, 115 00:05:04,226 --> 00:05:05,503 but he does an excellent CABG. 116 00:05:06,702 --> 00:05:09,823 Um, this is me. Nice to meet you, Jo. 117 00:05:11,017 --> 00:05:12,725 I'm really glad I ran into you. 118 00:05:15,822 --> 00:05:17,962 So, we'll take your car? 119 00:05:23,392 --> 00:05:26,360 Hey, hey, I hear we're playing musical chairs with some lungs today. 120 00:05:26,385 --> 00:05:28,993 Oh, shoot, I'm sorry, I must have the wrong room. 121 00:05:29,018 --> 00:05:30,298 I'm looking for Ryan Delgadillo. 122 00:05:30,323 --> 00:05:32,134 He's about this high. He loves airplanes. 123 00:05:32,159 --> 00:05:34,506 - It's me. - What? It's you? 124 00:05:34,531 --> 00:05:37,104 You must have grown, like, 6 inches since the last time I saw you. 125 00:05:37,129 --> 00:05:38,874 I'm in kindergarten. 126 00:05:38,899 --> 00:05:41,592 You're in kindergarten? Wow, that's big kid stuff right there. 127 00:05:41,731 --> 00:05:43,500 Uh, you've all met Dr. Ndugu. 128 00:05:43,525 --> 00:05:45,803 He recently pioneered a breakthrough cardio surgery. 129 00:05:45,828 --> 00:05:48,209 - We're lucky to have him. - I'm happy to help. 130 00:05:48,348 --> 00:05:49,979 - Uh, Dr. Griffith? - Ryan Delgadillo. 131 00:05:50,004 --> 00:05:53,431 Age six. Diagnosed with bronchiolitis obliterans at age two. 132 00:05:53,456 --> 00:05:55,248 He's been on ECMO for four weeks. 133 00:05:55,273 --> 00:05:58,678 Today, we will be performing a bilateral lung transplant from living donors. 134 00:05:58,703 --> 00:06:00,912 Each parent is donating one lower lobe. 135 00:06:00,937 --> 00:06:03,802 Transplanted together, they will act as Ryan's new lungs. 136 00:06:04,288 --> 00:06:05,848 You're sure this is the right way to go? 137 00:06:06,055 --> 00:06:08,851 We should wait longer for a pair of lungs from a deceased donor? 138 00:06:08,989 --> 00:06:11,543 - Are you having second thoughts? - About me? No. 139 00:06:11,985 --> 00:06:14,574 I'd give Ry all my lungs... if I could. 140 00:06:20,103 --> 00:06:21,357 - Can we have a moment? - Of course. 141 00:06:21,381 --> 00:06:22,382 We'll be right back. 142 00:06:23,694 --> 00:06:25,265 Okay, and how is this? Is it comfortable? 143 00:06:25,290 --> 00:06:26,233 Yeah. 144 00:06:27,421 --> 00:06:29,778 We just wanna make sure that small pieces of our lungs 145 00:06:29,803 --> 00:06:32,115 are as good as a full set from someone his own size. 146 00:06:32,253 --> 00:06:33,506 It's a valid concern. 147 00:06:33,531 --> 00:06:36,568 Look, getting two lungs from a deceased donor, it's preferable, 148 00:06:37,360 --> 00:06:38,520 but we haven't found a match. 149 00:06:38,545 --> 00:06:40,912 And Ryan's been on ECMO for weeks now, 150 00:06:40,937 --> 00:06:43,664 and the risks of bleeding, blood clotting, organ damage, 151 00:06:43,751 --> 00:06:44,890 they've all quadrupled. 152 00:06:45,083 --> 00:06:46,567 Our window to act is closing. 153 00:06:47,317 --> 00:06:49,798 And, uh... you think it'll work? 154 00:06:49,823 --> 00:06:52,964 Based on the extensive workups we've done on all of you, we do. 155 00:06:53,447 --> 00:06:56,899 Once you sign the consent forms, we can get you prepped for surgery. 156 00:07:11,465 --> 00:07:12,834 Okay, where do you want me? 157 00:07:13,368 --> 00:07:14,473 There is fine. 158 00:07:16,366 --> 00:07:18,592 Hey, which one of these rigs has my patient? 159 00:07:18,617 --> 00:07:19,617 Who's your patient? 160 00:07:19,642 --> 00:07:21,069 - Katie. - Katie Rogers. 161 00:07:21,094 --> 00:07:23,995 Twenty-seven. Auto versus tree. Restrained passenger. 162 00:07:24,020 --> 00:07:26,869 Negative LOC. GCS 15. Moving all extremities. 163 00:07:26,894 --> 00:07:27,964 Minor scrapes and bruises. 164 00:07:27,989 --> 00:07:30,198 Dr. Bailey, can I still do chemo today? 165 00:07:30,223 --> 00:07:31,909 Okay, we need to examine you first. 166 00:07:31,934 --> 00:07:34,281 She also has stage two gastric cancer. 167 00:07:34,306 --> 00:07:36,827 Look, if I can't, can you still operate next month? 168 00:07:36,852 --> 00:07:39,225 One step at a time. Let's get her inside. 169 00:07:39,806 --> 00:07:40,814 - Oh! - Hey, move. 170 00:07:40,839 --> 00:07:42,462 - I'm all good. - Out of the way. 171 00:07:42,487 --> 00:07:44,262 My bag. I need my laptop. 172 00:07:44,287 --> 00:07:46,889 Um, Adams, Bryant, go find it. 173 00:07:47,027 --> 00:07:48,339 You can go in. I got this. 174 00:07:48,364 --> 00:07:49,952 I don't mind taking a look at the rig. 175 00:07:50,203 --> 00:07:53,438 - You're not on a tour. - Did I do something to piss you off? 176 00:07:53,463 --> 00:07:55,889 Yeah, you slept with my girlfriend. 177 00:07:57,071 --> 00:07:58,106 Slept... 178 00:08:00,972 --> 00:08:05,972 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 179 00:08:11,283 --> 00:08:14,597 - Cass Beckman seems nice. - Yeah, she's great. 180 00:08:14,735 --> 00:08:16,775 - What about something like this? - Nah, it's small. 181 00:08:16,841 --> 00:08:18,647 What was the big, big trauma? 182 00:08:18,981 --> 00:08:20,786 I was on call last night. I didn't hear about it. 183 00:08:20,810 --> 00:08:23,237 Oh, it must have been another night. What about the one outside? 184 00:08:23,261 --> 00:08:27,461 Oh, wait! Oh, this is perfect. 185 00:08:27,485 --> 00:08:29,311 This is gonna be way out of your budget. 186 00:08:29,336 --> 00:08:30,834 No, but you have all that negotiating 187 00:08:30,858 --> 00:08:32,314 experience, and you said yourself, 188 00:08:32,339 --> 00:08:34,800 "Anything is possible." Please, don't make me drive a minivan. 189 00:08:34,825 --> 00:08:36,319 Can I help you, ladies? 190 00:08:37,117 --> 00:08:38,705 Can we test-drive this car? 191 00:08:41,787 --> 00:08:43,498 BP's 122 over 68. 192 00:08:43,523 --> 00:08:45,317 Heart rate is sitting in the low hundreds. 193 00:08:45,342 --> 00:08:47,916 - I feel dizzy. - Uh, you might be dehydrated. 194 00:08:47,941 --> 00:08:51,047 Let's hang another bag of fluids and give her something for the pain. 195 00:08:51,072 --> 00:08:52,211 So, what happened? 196 00:08:52,236 --> 00:08:54,912 My rideshare had a chance encounter with a tree. 197 00:08:54,937 --> 00:08:57,409 These injuries don't look as nice as that sounds. 198 00:08:57,434 --> 00:09:00,687 I'm a couples therapist, so I like to put a positive flip on first meetings. 199 00:09:00,712 --> 00:09:02,403 - Ow. - She's... she's tender. 200 00:09:06,037 --> 00:09:08,108 Free fluid in the splenorenal recess. 201 00:09:08,133 --> 00:09:11,067 That doesn't sound like a stop on the road to Cancer-freeville. 202 00:09:11,092 --> 00:09:13,424 - Should I be worried? - What do I always tell you? 203 00:09:13,449 --> 00:09:15,356 "Don't worry until you look worried." 204 00:09:15,381 --> 00:09:17,186 Good. All right, uh, Adams, Bryant, 205 00:09:17,211 --> 00:09:20,525 get her to CT and page me when the scans are up. 206 00:09:20,550 --> 00:09:23,261 Uh, Dr. Bailey, I can take her myself. 207 00:09:23,286 --> 00:09:24,702 Bryant can go with you. 208 00:09:24,727 --> 00:09:26,897 Uh, do I look like his resident? 209 00:09:26,922 --> 00:09:28,322 Yeah, but he'll learn more with you. 210 00:09:28,347 --> 00:09:30,522 Of course he will, but then you won't learn to teach. 211 00:09:34,680 --> 00:09:37,037 Mr. Lee, how are we doing today? 212 00:09:37,655 --> 00:09:41,313 I'm the same as yesterday but... you don't look like Dr. Kayise. 213 00:09:41,435 --> 00:09:43,886 He was pulled into an emergency case. 214 00:09:43,962 --> 00:09:46,491 I'm Dr. Mohanty. This is Dr. Kwan. 215 00:09:46,590 --> 00:09:48,316 We'll be your doctors today. 216 00:09:49,115 --> 00:09:52,248 Ray Lee, 35, presenting after scald injury while hiking... 217 00:09:52,273 --> 00:09:54,766 Technically camping. I just finished Storm King. 218 00:09:55,708 --> 00:09:59,539 Three percent TBSA partial thickness burns affecting left forearm. 219 00:09:59,564 --> 00:10:03,499 Status post-bedside debridement and skin grafts post-op day one. 220 00:10:03,524 --> 00:10:06,228 - Can we take a look? - Be my guest. 221 00:10:07,225 --> 00:10:10,654 Uh, no. Dr. Mohanty is the plastic surgery fellow. 222 00:10:10,679 --> 00:10:13,405 She is very experienced and accomplished. 223 00:10:13,430 --> 00:10:14,570 Sorry about that. 224 00:10:14,595 --> 00:10:17,246 It's an honest mistake. Anyone can make it. 225 00:10:17,553 --> 00:10:19,007 She's so youthful. 226 00:10:19,145 --> 00:10:21,423 In a good way, not that she's old. 227 00:10:21,448 --> 00:10:22,932 I think he gets it. 228 00:10:24,260 --> 00:10:26,228 Let's remove the dressing, shall we? 229 00:10:26,530 --> 00:10:30,568 I'm guessing this makes the last time I make mac and cheese on a camp stove. 230 00:10:30,629 --> 00:10:32,434 This was a cooking accident? 231 00:10:32,459 --> 00:10:35,600 I'm the punch line in those jokes about cooks who can't boil water. 232 00:10:40,467 --> 00:10:42,237 Looks like it's healing appropriately. 233 00:10:42,262 --> 00:10:45,506 Dr. Kwan will redress it for you, and I'll check back in a bit. 234 00:10:47,163 --> 00:10:49,131 I forgot to ask if I can have some crackers. 235 00:10:49,156 --> 00:10:50,156 Can we page her? 236 00:10:50,181 --> 00:10:52,662 Let's not bother her for a snack. 237 00:10:53,386 --> 00:10:55,768 What do you want? Grahams or saltines? 238 00:11:01,443 --> 00:11:04,274 All right. Starting your scans. Hold still. 239 00:11:17,721 --> 00:11:19,747 - I didn't know. - Whatever. 240 00:11:26,527 --> 00:11:29,012 Hello? Is anybody there? 241 00:11:29,252 --> 00:11:31,220 Yeah, we're here. Everything okay? 242 00:11:31,353 --> 00:11:33,357 Yeah. It's just, it's quiet. 243 00:11:33,382 --> 00:11:35,280 Seemed like a bad sign. 244 00:11:36,322 --> 00:11:38,531 Everything's fine. We're just waiting on your scans. 245 00:11:38,556 --> 00:11:42,166 Okay. I'm used to listening to people talk all day. 246 00:11:42,410 --> 00:11:46,414 Cheating husband, wife who resents giving up her career. 247 00:11:46,717 --> 00:11:49,791 You know, it's my job to help people communicate. 248 00:11:50,004 --> 00:11:51,972 Like, in my work, talking is good. 249 00:11:52,169 --> 00:11:54,412 Screaming, crying, it's all fine. 250 00:11:54,437 --> 00:11:56,935 It's only when my clients go silent, 251 00:11:56,959 --> 00:11:59,960 that's when I can't help them. 252 00:12:00,458 --> 00:12:02,046 But I guess that doesn't happen here. 253 00:12:06,441 --> 00:12:07,556 Nope. 254 00:12:13,629 --> 00:12:14,635 - Hey. - Yeah. 255 00:12:14,660 --> 00:12:17,194 Griffith and Millin filled me in. You want me on the dads? 256 00:12:17,219 --> 00:12:20,231 Yeah, Kim's flight got canceled, so now he's stuck in Florida. 257 00:12:20,256 --> 00:12:21,810 Are you okay being my assist? 258 00:12:21,893 --> 00:12:23,856 - Of course, but you owe me. - Okay. Yes. 259 00:12:23,881 --> 00:12:25,330 Does Bailey have a girlfriend? 260 00:12:25,355 --> 00:12:27,392 - I'm not answering that. - Boyfriend? 261 00:12:27,417 --> 00:12:28,707 He asked me not to say anything. 262 00:12:28,731 --> 00:12:30,957 - You want me to break his trust? - I do. Yeah. I'm his mother. 263 00:12:30,981 --> 00:12:32,347 - You're unbelievable. - Okay. 264 00:12:32,372 --> 00:12:33,462 - Hey. - Hi. 265 00:12:33,487 --> 00:12:36,072 Webber and Warren got held up, but we should get started without them. 266 00:12:36,097 --> 00:12:37,068 Okay. What are we looking at? 267 00:12:37,093 --> 00:12:38,260 - Three lungs. - Yeah. 268 00:12:38,285 --> 00:12:41,632 Two healthy, one with extensive mosaic perfusion and air trappings. 269 00:12:41,657 --> 00:12:43,141 Looks like bronchiolitis obliterans. 270 00:12:43,166 --> 00:12:45,843 Technically true. Not the answer I'm looking for. 271 00:12:45,868 --> 00:12:49,147 In this first scan, we have two nonspecific granulomas... 272 00:12:49,172 --> 00:12:51,485 We are looking at a family, okay? 273 00:12:51,956 --> 00:12:54,334 That's who will be on our operating tables today. 274 00:12:54,359 --> 00:12:56,786 And look, I know it goes without saying, but I want it on record. 275 00:12:56,810 --> 00:12:58,445 There is no room for error. None. 276 00:12:58,470 --> 00:13:00,478 One mistake and a whole family suffers. 277 00:13:00,503 --> 00:13:04,887 But if you're this concerned, maybe we should consider holding a beat. 278 00:13:05,522 --> 00:13:08,249 I'm sorry... are you having cold feet? 279 00:13:08,767 --> 00:13:11,075 No, no, but I've always had reservations. 280 00:13:11,100 --> 00:13:13,551 You know as well as I do this is not the standard of care. 281 00:13:13,576 --> 00:13:15,519 - Yeah, Ryan's not a standard case. - Of course not, 282 00:13:15,544 --> 00:13:17,267 but there's a reason that no one does 283 00:13:17,291 --> 00:13:19,014 living-donor lung transplants anymore. 284 00:13:19,039 --> 00:13:21,490 We're talking a much higher mortality rate. 285 00:13:21,515 --> 00:13:24,769 Post-op, Vivek and Steven are at risk for bronchial stump leaks, 286 00:13:24,793 --> 00:13:27,018 - bleeding, diminished lung capacity... - Yeah. 287 00:13:27,043 --> 00:13:29,818 I'm sorry, haven't they been made aware of the risks? 288 00:13:29,843 --> 00:13:32,673 Yes, they have, but I'm concerned that their... 289 00:13:33,588 --> 00:13:36,239 understandable desire to save their son is clouding their judgment... 290 00:13:36,263 --> 00:13:37,678 Yeah, but of course it is. 291 00:13:37,703 --> 00:13:39,508 They can't just sit back and watch their kid die. 292 00:13:39,533 --> 00:13:41,830 What happens if we do this, and he still dies? 293 00:13:42,159 --> 00:13:43,812 Look, I'm... I just wanna make sure that 294 00:13:43,836 --> 00:13:45,489 we're thinking this through. That's all. 295 00:13:45,514 --> 00:13:47,314 I know, but if I knew you weren't all 296 00:13:47,338 --> 00:13:49,138 in, I would have gone to someone else. 297 00:13:49,163 --> 00:13:51,460 You didn't really give me a choice, and you'd be hard-pressed 298 00:13:51,485 --> 00:13:53,010 to find a cardiothoracic surgeon that 299 00:13:53,035 --> 00:13:54,878 can get behind a living lung donation. 300 00:13:54,903 --> 00:13:56,794 Listen, I've been working with Ryan 301 00:13:56,818 --> 00:13:59,045 and his parents for months now, months. 302 00:13:59,070 --> 00:14:01,850 We are out of time. We have to take a swing. That is it. 303 00:14:01,875 --> 00:14:04,844 I'm the one who's been seeing his health decline on ECMO every day, 304 00:14:04,982 --> 00:14:06,690 calling UNOS multiple times. 305 00:14:06,715 --> 00:14:10,174 Hold on, hold on. Let's... We can debate this all day long. 306 00:14:10,652 --> 00:14:14,483 The only people who can really make the decision are Ryan's dads, 307 00:14:14,508 --> 00:14:16,372 so why don't I... 308 00:14:16,830 --> 00:14:18,556 we... go speak to them? 309 00:14:18,581 --> 00:14:20,273 - Okay. - I'm coming too. 310 00:14:20,298 --> 00:14:23,439 No, no, you should stay here, get some air, and I will fill you in. 311 00:14:23,464 --> 00:14:24,776 Okay. 312 00:14:31,881 --> 00:14:33,906 - Switch services with me. - No. 313 00:14:33,931 --> 00:14:36,703 - The plastics fellow hates me. - What did you do? 314 00:14:36,728 --> 00:14:39,385 - Why do you assume I did something? - Because it's you. 315 00:14:39,410 --> 00:14:41,729 Well, I heard your boyfriend's working with your other boyfriend. 316 00:14:41,754 --> 00:14:43,409 You told Kwan before you told me? 317 00:14:43,434 --> 00:14:45,307 - Listen, we live together. - Yeah, yeah, yeah, I knew first. 318 00:14:45,332 --> 00:14:46,409 You should be mad at her. 319 00:14:46,434 --> 00:14:47,932 Hey, switch with me so you don't work together. 320 00:14:47,957 --> 00:14:50,570 - I'm not interested. - I've got my own problems. 321 00:14:56,276 --> 00:14:58,081 - Is it time? - Not quite yet. 322 00:14:58,106 --> 00:15:00,867 This is Dr. Grey. She'll be joining your surgical team. 323 00:15:01,279 --> 00:15:02,971 It's nice to meet both of you. 324 00:15:02,996 --> 00:15:06,344 I know you've been made aware of the risks of your surgeries, 325 00:15:06,940 --> 00:15:08,597 but I'm new to the team, 326 00:15:08,622 --> 00:15:12,231 so I just wanted to make sure that we're all on the same page here. 327 00:15:12,256 --> 00:15:14,948 We're in no matter the risks. That's the page we're on. 328 00:15:15,086 --> 00:15:16,662 Okay, you understand that you'll both 329 00:15:16,686 --> 00:15:18,262 likely have diminished lung capacity 330 00:15:18,287 --> 00:15:19,338 for the rest of your lives? 331 00:15:19,363 --> 00:15:21,413 - I hate exercise. - But you could have bleeding. 332 00:15:21,437 --> 00:15:23,923 You could need more surgeries, develop infections. 333 00:15:23,948 --> 00:15:25,245 We have insurance. 334 00:15:25,270 --> 00:15:27,213 - You could have a stroke. - Nothing that could happen to me 335 00:15:27,238 --> 00:15:28,756 would be worse than losing my son. 336 00:15:30,239 --> 00:15:31,862 Ryan was two when we met. 337 00:15:31,887 --> 00:15:33,407 You can't really explain, 338 00:15:33,431 --> 00:15:35,229 "This is Daddy's boyfriend," to a two-year-old. 339 00:15:35,462 --> 00:15:38,672 I was just a man who was around sometimes and gave him snacks. 340 00:15:40,387 --> 00:15:44,159 But one night the power went out and Ryan panicked 341 00:15:44,184 --> 00:15:48,568 and ran into my arms, and I realized... he trusted me. 342 00:15:49,707 --> 00:15:50,811 He felt safe with me. 343 00:15:51,866 --> 00:15:54,229 I couldn't tell you when it happened or how, but... 344 00:15:56,325 --> 00:15:57,361 I was his dad. 345 00:15:59,337 --> 00:16:01,719 I've felt... helpless watching him suffer. 346 00:16:02,533 --> 00:16:04,940 If I can take that away, you're giving me the greatest gift. 347 00:16:09,140 --> 00:16:10,970 Well, he's lucky to have you both. 348 00:16:10,995 --> 00:16:13,396 I'll let the team know we're good to go. All right? 349 00:16:14,388 --> 00:16:15,424 Okay. 350 00:16:24,161 --> 00:16:26,581 Hey, I need to give you a heads-up. 351 00:16:26,606 --> 00:16:28,279 If it's that I'm working with the boyfriend you cheated on, 352 00:16:28,304 --> 00:16:30,851 - you're too late. - I... I didn't cheat. 353 00:16:30,876 --> 00:16:32,825 We were broken up then and now. 354 00:16:32,850 --> 00:16:34,863 Yeah, well, he's acting like the two of you are married, 355 00:16:34,888 --> 00:16:36,161 and that he walked in on us at the bar. 356 00:16:36,186 --> 00:16:37,556 We agreed that never happened. 357 00:16:37,581 --> 00:16:39,283 Yeah, well, he didn't, and he's pretty pissed 358 00:16:39,308 --> 00:16:40,591 for somebody who you're not with, so... 359 00:16:40,616 --> 00:16:42,497 Wes, it's over. 360 00:16:42,707 --> 00:16:43,777 I swear. 361 00:16:45,037 --> 00:16:47,153 - That guy's a piece of work. - Hey, where are you going? 362 00:16:47,178 --> 00:16:49,456 I'm gonna go tell him I'm done putting up with his crap. 363 00:16:54,889 --> 00:16:56,719 Dr. Reeves to pediatrics. 364 00:16:56,912 --> 00:16:59,018 Dr. Carol Reeves to pediatrics. 365 00:17:04,895 --> 00:17:06,034 - Um... - Oh. 366 00:17:08,099 --> 00:17:11,459 Sorry. I... I didn't mean to creep up on you. 367 00:17:11,484 --> 00:17:13,900 Oh, it's all right. I was getting in the zone. 368 00:17:14,274 --> 00:17:17,174 Do you always blast music before your surgeries? 369 00:17:17,934 --> 00:17:20,005 I used to, yeah. 370 00:17:20,418 --> 00:17:23,161 Now I just kind of save it for the scary ones. 371 00:17:24,524 --> 00:17:25,801 You're nervous? 372 00:17:27,460 --> 00:17:31,084 You know we're doing a living-donor lung transplant today, right? 373 00:17:31,222 --> 00:17:34,156 Yeah, but you built a new aorta. You can do anything. 374 00:17:34,294 --> 00:17:37,401 That was a little luck and a lot of Dr. Altman. 375 00:17:37,964 --> 00:17:39,345 Do you really feel that way? 376 00:17:39,608 --> 00:17:42,024 I know I'm good at my job. I'm not fishing for compliments. 377 00:17:43,781 --> 00:17:47,612 But when you sign on to a risky surgery that you've never done before, 378 00:17:48,964 --> 00:17:50,564 you don't really know if you have what 379 00:17:50,589 --> 00:17:53,106 it takes until you... succeed or fail. 380 00:17:53,865 --> 00:17:56,144 Yeah, I just... I don't want to fail today. 381 00:17:57,213 --> 00:17:58,559 You're a terrible surgeon. 382 00:17:58,767 --> 00:18:01,685 Okay, thank you for that vote of confidence. 383 00:18:01,710 --> 00:18:04,635 - You didn't let me finish. - Do I want to? 384 00:18:04,773 --> 00:18:07,707 You don't have a god complex like every other surgeon. 385 00:18:07,732 --> 00:18:09,044 Myself included. 386 00:18:09,069 --> 00:18:11,900 You know your limits, and you don't push it. 387 00:18:12,539 --> 00:18:16,681 You hit a wall, you go around it. And that's why you won't fail. 388 00:18:17,406 --> 00:18:19,625 You're not in this to prove something. You're... 389 00:18:19,650 --> 00:18:21,755 you're just trying to be a good doctor. 390 00:18:23,776 --> 00:18:26,089 - That did get better. - Mmm. 391 00:18:28,660 --> 00:18:29,661 I hope you're right. 392 00:18:32,218 --> 00:18:35,673 The reality is, is that no one can tell you whether or not to be together. 393 00:18:35,698 --> 00:18:37,493 That is between you two. 394 00:18:38,226 --> 00:18:39,262 Where's your intern? 395 00:18:39,721 --> 00:18:41,337 I don't know. I've paged him twice. 396 00:18:41,982 --> 00:18:44,263 Hey, we need to get straight on something. I never knew... 397 00:18:44,709 --> 00:18:46,686 - There he is. - Okay, yeah, I gotta go. 398 00:18:46,711 --> 00:18:49,576 We will talk in our session next week. All right, buh-bye. 399 00:18:49,601 --> 00:18:52,025 I am so sorry. Client emergency. 400 00:18:52,061 --> 00:18:53,960 Hope they work things out. 401 00:18:53,985 --> 00:18:58,547 Well, honestly, they should call it, but they can't quit one another, so... 402 00:18:58,572 --> 00:19:00,264 How are my scans? 403 00:19:00,898 --> 00:19:02,486 They show bleeding in the spleen. 404 00:19:02,511 --> 00:19:04,271 That was the fluid we saw in the ultrasound. 405 00:19:04,971 --> 00:19:07,836 Is there a spleen Band-Aid for that? 406 00:19:07,861 --> 00:19:10,553 Unfortunately, no, we will have to remove it surgically. 407 00:19:11,771 --> 00:19:15,229 What about chemo? Is this gonna interrupt my treatment schedule, or... 408 00:19:15,254 --> 00:19:16,324 You see my face? 409 00:19:18,812 --> 00:19:20,265 - You're not worried. - No, 410 00:19:20,290 --> 00:19:23,534 but... I will be if you don't let us remove your spleen. 411 00:19:24,345 --> 00:19:27,624 Okay, yeah, I was really hoping chemo and I would work out. 412 00:19:27,649 --> 00:19:30,307 Yeah, me too, but let's take care of this first. 413 00:19:34,726 --> 00:19:36,667 Okay, there's a lot of moving pieces today, 414 00:19:36,692 --> 00:19:38,384 so let's go over the plan one more time. 415 00:19:38,409 --> 00:19:41,584 Ndugu, Griffith and Millin will be here on Team Ryan. 416 00:19:41,609 --> 00:19:43,091 Once they've prepped him for the 417 00:19:43,115 --> 00:19:44,923 grafts, Dr. Grey and I will open Vivek. 418 00:19:45,052 --> 00:19:47,060 As we prep the right lobe, Dr. Webber and 419 00:19:47,084 --> 00:19:49,250 Dr. Warren will procure Steven's left lobe. 420 00:19:49,401 --> 00:19:52,024 We'll all meet back here at the end. Any questions? 421 00:19:53,028 --> 00:19:55,099 - I'm ready. Let's go. - Okay. 422 00:19:55,124 --> 00:19:56,367 Good luck, everybody. 423 00:20:04,702 --> 00:20:06,739 Scalpel. 424 00:20:15,938 --> 00:20:17,940 A virtual personal assistant in the car? 425 00:20:17,964 --> 00:20:20,322 Now, that's a car you can live in. 426 00:20:20,460 --> 00:20:22,955 Stop talking about how much you love this car. 427 00:20:22,980 --> 00:20:24,751 You've got to, like, you know... Just play it cool. 428 00:20:24,775 --> 00:20:28,019 I can do that. I can be cool. Look how cool I'm being right now. 429 00:20:28,467 --> 00:20:30,469 All right, you know what? Let me do the talking. 430 00:20:31,471 --> 00:20:32,884 - Here you are. - Thank you. 431 00:20:33,646 --> 00:20:37,212 Jo, what are you thinking? Ready to move forward? 432 00:20:37,268 --> 00:20:41,340 Definitely. It has everything we need. The three rows are just so... 433 00:20:42,137 --> 00:20:46,081 But there are factors that I'm factoring in. 434 00:20:46,106 --> 00:20:49,213 Let's talk brass tacks. What's your bottom line? 435 00:20:50,490 --> 00:20:54,287 My manager says I can give you a $1,000 credit. 436 00:20:55,325 --> 00:20:56,603 How... 437 00:20:57,868 --> 00:20:59,180 does this look to you? 438 00:21:01,568 --> 00:21:03,954 We both know you can do better than this. 439 00:21:04,261 --> 00:21:06,422 - Jo is a loyal customer. - Very loyal. 440 00:21:06,447 --> 00:21:08,414 I mean, she's about to have twins. 441 00:21:08,439 --> 00:21:10,821 She can't take on this kind of car payment. 442 00:21:10,959 --> 00:21:12,823 I don't know your financial situation, 443 00:21:12,848 --> 00:21:16,645 but... I can tell you, people grossly under-budget for cars. 444 00:21:16,670 --> 00:21:18,327 They think it's just rubber and metal, 445 00:21:18,352 --> 00:21:21,524 and it's not worth the hard-earned money, but this isn't just a car. 446 00:21:21,820 --> 00:21:23,788 This is your children's lives. 447 00:21:24,635 --> 00:21:25,912 It's their memories. 448 00:21:26,121 --> 00:21:27,709 Family road trips. 449 00:21:27,987 --> 00:21:31,439 Neighborhood carpool, driving to soccer games... 450 00:21:31,671 --> 00:21:33,231 Your kids are gonna grow up in this car. 451 00:21:34,534 --> 00:21:37,759 That's worth something, no? 452 00:21:38,663 --> 00:21:41,390 I'm sorry, um... I just... I need a minute. 453 00:21:42,024 --> 00:21:46,201 Uh, she's a surgeon. That's probably a very important call. 454 00:21:46,226 --> 00:21:47,712 I'll be right back. Sorry. 455 00:22:13,943 --> 00:22:15,082 Ugh. 456 00:22:16,196 --> 00:22:17,726 Hey, what's happening? 457 00:22:18,337 --> 00:22:22,202 Is this a negotiating tactic? Wow. You are so good. 458 00:22:22,227 --> 00:22:24,090 We never took a family road trip. 459 00:22:24,115 --> 00:22:25,971 I mean, we wanted to go to Alaska with 460 00:22:25,995 --> 00:22:28,632 the kids, but we just kept pushing it off. 461 00:22:29,811 --> 00:22:33,850 - You could still go. - But not as a whole... family. 462 00:22:37,538 --> 00:22:40,289 - Owen and I are getting a divorce. - Oh, Teddy, I... 463 00:22:42,015 --> 00:22:43,672 I am so sorry. 464 00:22:43,697 --> 00:22:46,046 No, it was my choice, but it's just... 465 00:22:47,556 --> 00:22:49,661 Now the kids will never have that memory. 466 00:22:50,552 --> 00:22:53,989 Instead they're bumping into Cass Beckman 467 00:22:54,014 --> 00:22:55,847 and eating strange pizza without me. 468 00:22:58,066 --> 00:23:01,380 Well, what good are family memories with a miserable mom? 469 00:23:02,657 --> 00:23:04,806 Your kids deserve the best version of you. 470 00:23:04,831 --> 00:23:06,818 But I'm not. I'm n... 471 00:23:06,843 --> 00:23:09,466 I'm not the best version of me. 472 00:23:09,662 --> 00:23:11,589 This morning, I was crying in the shower 473 00:23:11,614 --> 00:23:13,840 just thinking about selling the house and... 474 00:23:14,323 --> 00:23:18,880 and tonight, Owen is gonna be with the kids while I'm in a hotel room 475 00:23:18,905 --> 00:23:24,286 eating room service and watching dumb reality TV. 476 00:23:27,139 --> 00:23:29,900 That doesn't sound so bad. 477 00:23:32,305 --> 00:23:35,550 Well, it kind of loses its luster after three nights in one week. 478 00:23:39,871 --> 00:23:42,287 I've... been divorced. 479 00:23:43,456 --> 00:23:47,011 It's not like... flipping a switch. 480 00:23:47,262 --> 00:23:49,506 It takes time to find your footing. 481 00:23:49,531 --> 00:23:51,430 But when you do, it is so worth it. 482 00:23:52,573 --> 00:23:55,541 I'm happier now than I have ever been. 483 00:23:56,952 --> 00:23:58,922 I don't know what makes me happy anymore. 484 00:23:59,735 --> 00:24:03,014 Well, you don't have to transform your life overnight. 485 00:24:03,775 --> 00:24:05,293 Start small. 486 00:24:05,789 --> 00:24:12,002 Put yourself first for once and then find one tiny moment of joy. 487 00:24:23,151 --> 00:24:25,533 - Any word from Marsh? - Not yet. 488 00:24:26,672 --> 00:24:28,777 You know, you could have held off on scrubbing in. 489 00:24:28,802 --> 00:24:30,932 Yeah, I'd rather get the patient prepped. 490 00:24:30,956 --> 00:24:33,205 Don't want to be the hold up. 491 00:24:33,230 --> 00:24:36,405 See? That him? 492 00:24:36,430 --> 00:24:38,639 Uh, no, that's yours. 493 00:24:39,412 --> 00:24:42,250 Really? Um, do you mind? 494 00:24:46,726 --> 00:24:49,177 "Follett lost her phone. If you need her, text Barnes." 495 00:24:49,202 --> 00:24:50,859 Yeah. 496 00:24:51,000 --> 00:24:53,382 Um... 497 00:24:55,471 --> 00:24:58,472 "Fukushima's great aunt passed. She'd like next weekend off." 498 00:24:58,497 --> 00:25:00,015 Whole weekend for a great aunt? 499 00:25:00,916 --> 00:25:03,056 I mean, I'm sorry for her loss... 500 00:25:04,408 --> 00:25:05,858 You want me to check? 501 00:25:05,883 --> 00:25:07,126 I want you to make it stop. 502 00:25:07,294 --> 00:25:08,537 Well, that I can do. 503 00:25:09,551 --> 00:25:11,208 Silent. 504 00:25:11,233 --> 00:25:13,142 You know that doesn't make the work go away, right? 505 00:25:13,693 --> 00:25:14,851 Chief to chief? 506 00:25:15,013 --> 00:25:17,084 It's called... punting. 507 00:25:29,001 --> 00:25:30,968 Did you do a post-op check on Alex Brokaw? 508 00:25:31,184 --> 00:25:33,886 She's on SBT. She should be ready to wake up soon 509 00:25:33,911 --> 00:25:35,519 and face reality, unlike other people. 510 00:25:35,660 --> 00:25:37,303 What the hell is that supposed to mean? 511 00:25:37,328 --> 00:25:38,269 I talked to Griffith. 512 00:25:38,294 --> 00:25:40,066 She said you guys were over then and now. Her words. 513 00:25:40,091 --> 00:25:41,644 I'm not talking about this with you. 514 00:25:41,669 --> 00:25:43,302 And I'm not gonna let your bruised little ego ruin my career. 515 00:25:43,327 --> 00:25:45,788 I don't need to get in your way. You can ruin it all on your own. 516 00:25:45,813 --> 00:25:46,814 Ready to go? 517 00:25:47,532 --> 00:25:49,431 Katie deserves all our focus. 518 00:26:03,895 --> 00:26:06,180 Is Bailey worried about soccer tryouts? 519 00:26:06,933 --> 00:26:08,279 Is he fighting with a friend? 520 00:26:08,741 --> 00:26:10,432 - Is it guy stuff? - Meredith. 521 00:26:11,503 --> 00:26:12,922 Okay, I'm just asking. 522 00:26:13,527 --> 00:26:15,479 Uh, Ryan is on bypass and he's stable. 523 00:26:15,504 --> 00:26:17,664 Thanks, Dr. Millin. Let us know if there's any changes. 524 00:26:18,611 --> 00:26:22,003 - Okay, here we go. - Okay, scalpel. 525 00:26:22,141 --> 00:26:24,247 We need to move quickly and efficiently. 526 00:26:24,420 --> 00:26:26,387 Wait, he's febrile. 527 00:26:26,989 --> 00:26:28,715 102.1. 528 00:26:28,853 --> 00:26:31,062 What was his white blood cell count from this morning? 529 00:26:31,392 --> 00:26:33,670 - 11.1. - Okay, it's borderline. 530 00:26:33,695 --> 00:26:36,180 We can't remove part of his lung if he's fighting an infection. 531 00:26:36,776 --> 00:26:39,089 Let's reset the probe and recheck his temp, please. 532 00:26:40,504 --> 00:26:42,989 Well, it's not gonna matter if his white count is borderline. 533 00:26:43,014 --> 00:26:44,429 Ryan is running out of time. 534 00:26:44,454 --> 00:26:46,338 Vivek would want us to do everything we can. 535 00:26:46,543 --> 00:26:48,200 Recheck the temp again, please. 536 00:26:48,616 --> 00:26:51,333 Still 102.1. 537 00:26:51,471 --> 00:26:53,094 We should postpone for a few days. 538 00:26:53,119 --> 00:26:55,759 Let's hope Ryan has a few days. Surgery's off. Get him out of here. 539 00:27:06,052 --> 00:27:08,951 - She just needs a minute. - I thought the car was for you. 540 00:27:09,628 --> 00:27:13,821 It is, yeah. It's for me and my kids. 541 00:27:16,329 --> 00:27:17,606 Um... 542 00:27:18,291 --> 00:27:20,293 - Do you have kids? - No. 543 00:27:21,360 --> 00:27:22,823 - Right. - Back to the car. 544 00:27:22,848 --> 00:27:24,368 - I thought you liked it. - I loved it. 545 00:27:24,583 --> 00:27:27,482 I... uh, I think it's fine. 546 00:27:27,507 --> 00:27:29,786 I wish the price was more negotiable, but... 547 00:27:29,811 --> 00:27:32,008 All right, Dan. Can I call you Dan? 548 00:27:32,625 --> 00:27:34,282 Uh, I prefer Daniel. 549 00:27:34,307 --> 00:27:35,831 We are busy people, Dan, and I'm sure 550 00:27:35,855 --> 00:27:37,379 that you've got a lot going on too. 551 00:27:37,404 --> 00:27:38,977 So, let's make this quick. 552 00:27:39,002 --> 00:27:41,358 She wants this car, but she also wants 553 00:27:41,383 --> 00:27:43,489 to be able to pay for college someday for her kids. 554 00:27:43,627 --> 00:27:48,099 So... if you want the sale, we will take the car at MSRP, 555 00:27:48,124 --> 00:27:51,506 no market adjustment fee, no preparation fee, 556 00:27:51,531 --> 00:27:54,552 and, uh, we're declining the extended warranty. 557 00:27:55,200 --> 00:27:58,341 I-I'm only authorized to take the price down $1,500. 558 00:27:58,366 --> 00:28:01,369 An hour ago that was 1,000, so you can see why I'm skeptical. 559 00:28:03,726 --> 00:28:07,384 Like I said, everybody wants this car. 560 00:28:07,409 --> 00:28:09,873 Well, then you're just gonna have to sell it to one of them. 561 00:28:09,898 --> 00:28:12,210 Thank you so much for your time. 562 00:28:12,678 --> 00:28:15,129 Uh, I'm sorry. 563 00:28:15,877 --> 00:28:17,671 - What are you doing? - I am finding my joy. 564 00:28:17,696 --> 00:28:19,180 I-I-I can run the numbers again. 565 00:28:20,181 --> 00:28:22,010 Maybe there's a compromise. 566 00:28:22,594 --> 00:28:24,010 We're listening. 567 00:28:28,199 --> 00:28:29,200 You paged? 568 00:28:30,156 --> 00:28:31,892 Mr. Lee's developed a hematoma. 569 00:28:32,030 --> 00:28:34,998 I need you to book an OR so we can drain and evaluate the skin graft. 570 00:28:35,023 --> 00:28:37,129 - Another surgery? - Dr. Kwan will get you prepped. 571 00:28:37,681 --> 00:28:39,338 Wait, we're taking him now? 572 00:28:39,363 --> 00:28:41,583 We have to control the bleeders ASAP. You have a problem with that? 573 00:28:41,608 --> 00:28:42,712 He just ate lunch. 574 00:28:43,445 --> 00:28:45,551 He's NPO. He can't have anything. 575 00:28:46,690 --> 00:28:48,538 - Who lifted the order? - I did. 576 00:28:48,563 --> 00:28:50,358 His surgery was done. It'd been hours. 577 00:28:50,383 --> 00:28:52,775 He's on warfarin, which made him a risk for are-bleed. 578 00:28:53,019 --> 00:28:54,849 That's why the NPO wasn't lifted. 579 00:28:54,874 --> 00:28:57,299 You'd have known if you'd bothered to ask. 580 00:28:57,736 --> 00:29:00,490 Call anesthesia and see what they're comfortable with. 581 00:29:00,515 --> 00:29:01,896 This could be a long night. 582 00:29:04,881 --> 00:29:06,824 All right, this is the worst-case scenario. 583 00:29:06,848 --> 00:29:08,825 - I know. - I got Ryan off ECMO, 584 00:29:08,850 --> 00:29:10,413 got him intubated, put him on bypass, 585 00:29:10,438 --> 00:29:12,450 and now I got to get him off bypass and back on ECMO? 586 00:29:12,474 --> 00:29:14,210 I told Webber the surgery's off. 587 00:29:14,235 --> 00:29:16,168 Okay. Look, we'll push it a few days. 588 00:29:16,306 --> 00:29:17,972 You suggested it yourself earlier... 589 00:29:18,004 --> 00:29:21,065 That was before we took him off ECMO. Ryan is six years old. 590 00:29:21,479 --> 00:29:24,137 Six. His lungs can't handle the back and forth. He's too small. 591 00:29:26,429 --> 00:29:28,603 What if he could live with one lobe instead of two? 592 00:29:28,628 --> 00:29:32,149 Well, his heart could fail if he only has lung tissue on one side. 593 00:29:32,174 --> 00:29:35,369 Are you thinking we split Steven's right lower lobe into two? 594 00:29:35,394 --> 00:29:37,189 Isn't that what you do with livers? 595 00:29:37,327 --> 00:29:39,570 - This isn't the same. - Yeah, but could you do it? 596 00:29:39,708 --> 00:29:42,850 I mean, is it possible without destroying the remaining lobe segments? 597 00:29:48,232 --> 00:29:50,830 Uh, hold on. Um... 598 00:29:53,067 --> 00:29:56,795 Yeah, well, the ratio would have to be less than 200%. 599 00:30:07,318 --> 00:30:08,595 Yeah, the math checks out. 600 00:30:08,885 --> 00:30:11,060 So, then I should tell Webber the surgery's back on? 601 00:30:11,085 --> 00:30:13,363 No, no. 'Cause that doesn't mean that I can pull it off. 602 00:30:13,388 --> 00:30:16,456 The-the orientation of the vasculature would be reversed. 603 00:30:19,472 --> 00:30:23,062 So, if we split the lobe into two halves, 604 00:30:23,313 --> 00:30:25,453 then the right side would fit into the right side 605 00:30:25,478 --> 00:30:28,792 of his chest cavity without a problem, but for the left, 606 00:30:29,103 --> 00:30:33,624 we would need to invert it to match the anastomosis. 607 00:30:33,715 --> 00:30:34,751 And that could work? 608 00:30:37,387 --> 00:30:38,422 Yeah, that could work. 609 00:30:38,447 --> 00:30:40,020 - Let's try it. - Okay, great. 610 00:30:40,045 --> 00:30:41,391 - Let's go. - Okay. 611 00:30:45,498 --> 00:30:47,328 Dissection looks good. 612 00:30:47,466 --> 00:30:49,054 Her spleen is almost free. 613 00:30:49,982 --> 00:30:51,915 I lost visualization. 614 00:30:52,749 --> 00:30:54,623 You can just tell me when you want me to move it. 615 00:30:54,648 --> 00:30:56,135 That was easier. 616 00:30:56,160 --> 00:30:58,072 Uh, how about walking 617 00:30:58,097 --> 00:31:00,410 your intern through the next steps? 618 00:31:01,351 --> 00:31:05,183 First, we identify the splenic artery in the veins. 619 00:31:05,208 --> 00:31:09,550 Then we clamp and divide them to free up the spleen to send to path. 620 00:31:09,575 --> 00:31:12,440 Then we ligate the vessels. Ready for specimen. 621 00:31:13,598 --> 00:31:15,393 That's your cue to hand me the Metz. 622 00:31:19,360 --> 00:31:20,602 Right. 623 00:31:23,282 --> 00:31:24,455 Okay. 624 00:31:29,912 --> 00:31:32,639 Okay. Make sure you have good hemostasis. 625 00:31:33,429 --> 00:31:34,845 Suction is clogged. 626 00:31:34,870 --> 00:31:36,772 Use some saline to clear the line. 627 00:31:45,144 --> 00:31:48,583 Hang on. Bryant, will you take the spleen 628 00:31:48,608 --> 00:31:51,022 to path and put in a stat order for me? 629 00:31:51,156 --> 00:31:52,640 - Got it. - Mm-hmm. 630 00:31:55,223 --> 00:31:57,191 I'll take that and 2-0 silk, please. 631 00:31:57,216 --> 00:31:59,108 - I'm not done. - You are now. 632 00:32:01,391 --> 00:32:02,772 Take over the retractor. 633 00:34:05,049 --> 00:34:08,190 Good job, everyone. We did it. We saved a family today. 634 00:34:15,329 --> 00:34:18,642 Good hemostasis in the stump. All right. 635 00:34:18,780 --> 00:34:22,577 So let's pack her and check the other quadrants before we close. 636 00:34:23,406 --> 00:34:24,579 Lap pads? 637 00:34:27,479 --> 00:34:32,050 I don't know what is going on with you and Bryant, but it has to stop. 638 00:34:32,075 --> 00:34:35,075 - Dr. Bailey... - What I do know is that you've already 639 00:34:35,100 --> 00:34:37,903 been kicked out of an OR once this month, 640 00:34:37,928 --> 00:34:41,640 and whatever it is has been impacting and affecting patients, 641 00:34:41,665 --> 00:34:45,876 including this poor woman, who sure as hell has been through enough. 642 00:34:45,901 --> 00:34:48,098 I can't have it. Am I clear? 643 00:34:48,123 --> 00:34:50,383 - Yes, but... - Am I clear? 644 00:34:50,408 --> 00:34:51,616 It's Katie's liver. 645 00:34:52,015 --> 00:34:53,706 Do these look like tumors? 646 00:34:58,814 --> 00:35:00,126 Oh, no. 647 00:35:14,195 --> 00:35:15,755 You sure you don't want a ride? 648 00:35:16,072 --> 00:35:17,383 I could use the air. 649 00:35:17,408 --> 00:35:21,163 Well, thank you, again, and it does get better, Teddy. 650 00:35:21,188 --> 00:35:23,845 You just... have to give yourself permission to feel happy again. 651 00:35:29,463 --> 00:35:31,534 Is there anything else I can do for you? 652 00:35:46,762 --> 00:35:47,970 How are you feeling? 653 00:35:49,217 --> 00:35:51,883 Tired. A little weak. 654 00:35:52,064 --> 00:35:54,653 That makes sense. You have an infection. 655 00:35:55,153 --> 00:35:57,879 You spiked a fever in the OR, and we weren't able to take your lobe. 656 00:35:58,017 --> 00:35:59,053 What about Ryan? 657 00:35:59,191 --> 00:36:00,118 He's doing great. 658 00:36:00,143 --> 00:36:03,104 We were able to make two lungs from your husband's one lobe. 659 00:36:03,251 --> 00:36:05,533 - He's gonna be okay? - Mm-hmm. 660 00:36:06,567 --> 00:36:08,742 Thank you. 661 00:36:10,191 --> 00:36:11,572 Thank you for saving my son. 662 00:36:16,312 --> 00:36:18,392 Did you put in an order for the post-op labs? 663 00:36:18,417 --> 00:36:20,034 Yep, for first thing in the morning. 664 00:36:20,508 --> 00:36:21,647 We should get a set now. 665 00:36:21,762 --> 00:36:23,798 Okay. Sorry, I can do that right now. 666 00:36:25,327 --> 00:36:28,847 Look, I only ask 'cause I got it wrong my first time. 667 00:36:36,677 --> 00:36:38,817 Ah. Look who's back. 668 00:36:40,474 --> 00:36:41,691 How'd it go? 669 00:36:41,716 --> 00:36:44,640 Was my spleen okay? Did you tell her it wasn't her, it was me? 670 00:36:44,665 --> 00:36:47,081 The operation went smoothly. 671 00:36:47,722 --> 00:36:49,690 And, um, when can I get back to work? 672 00:36:49,828 --> 00:36:51,908 Well, you've still got to rest for a few days. 673 00:36:51,933 --> 00:36:53,551 Hopefully your clients will understand. 674 00:36:53,575 --> 00:36:54,360 Thank you. 675 00:36:54,384 --> 00:36:55,842 This morning was pretty scary, 676 00:36:55,867 --> 00:36:57,845 and I was kind of freaked out by the whole spleen thing, 677 00:36:57,870 --> 00:37:00,079 but I'm grateful that you guys were able to fix it, 678 00:37:00,104 --> 00:37:03,935 and I can get back to cancer treatment. 679 00:37:05,213 --> 00:37:09,182 Oh, don't worry. I know, it's one day at a time. 680 00:37:15,242 --> 00:37:16,243 What's wrong? 681 00:37:16,787 --> 00:37:17,926 Hmm. 682 00:37:18,279 --> 00:37:21,352 So, while we were operating, 683 00:37:21,377 --> 00:37:27,072 we found areas on your liver that are concerning for metastasis. 684 00:37:27,745 --> 00:37:28,919 The cancer's spreading. 685 00:37:31,249 --> 00:37:35,391 I thought Dr. Sugihara, he said that the chemo was working. 686 00:37:36,944 --> 00:37:38,635 How bad is it? 687 00:37:38,660 --> 00:37:41,491 Well, okay, we won't know until we get the biopsy results, 688 00:37:41,516 --> 00:37:45,209 and we need new scans to re-stage you. 689 00:37:46,753 --> 00:37:48,203 If you had to guess... 690 00:37:51,449 --> 00:37:52,449 Never mind. 691 00:37:52,568 --> 00:37:54,432 I can see it on your face. 692 00:37:55,062 --> 00:37:56,280 You're worried. 693 00:37:57,713 --> 00:38:00,544 It's over, isn't it? 694 00:38:04,152 --> 00:38:05,188 No. 695 00:38:05,615 --> 00:38:08,963 As long as you're still here, nothing's over. 696 00:38:09,717 --> 00:38:11,374 He is right. 697 00:38:12,566 --> 00:38:15,327 Get some rest and we'll talk more tomorrow. 698 00:38:15,352 --> 00:38:16,353 Okay? 699 00:38:30,618 --> 00:38:32,965 Anesthesia said Ray should be ready by 9:30. 700 00:38:33,227 --> 00:38:34,335 Great. 701 00:38:36,175 --> 00:38:37,554 Your noodles look great. 702 00:38:39,006 --> 00:38:41,522 I'm supposed to be on a date at Nicoletti's right now. 703 00:38:44,880 --> 00:38:48,288 Hey, uh, look, I think we got off on the wrong foot. 704 00:38:48,313 --> 00:38:51,087 And I admit it was totally my fault, and I'm sorry. 705 00:38:51,225 --> 00:38:52,870 But aside from the occasional social 706 00:38:52,894 --> 00:38:54,539 faux pas, I'm a pretty great resident. 707 00:38:54,677 --> 00:38:56,974 I'm highly skilled, I'm good at taking direction, 708 00:38:56,999 --> 00:38:59,933 and I'm very interested in a plastic specialty. 709 00:38:59,958 --> 00:39:02,052 Tell me what I need to do to have another 710 00:39:02,076 --> 00:39:04,407 chance to impress you, and I will do it. 711 00:39:04,432 --> 00:39:06,365 - Anything at all. - Stop talking. 712 00:39:10,729 --> 00:39:11,833 Copy that. 713 00:39:17,507 --> 00:39:18,681 I'm in. 714 00:39:19,077 --> 00:39:21,562 - In what? - The-the pact. I'm in. 715 00:39:23,827 --> 00:39:25,415 I thought you didn't need the pact. 716 00:39:25,639 --> 00:39:28,538 Just, you know, being proactive. Can't hurt. 717 00:39:29,228 --> 00:39:30,609 Ryan's off pressors. 718 00:39:30,747 --> 00:39:32,898 We'll be able to wean him off ECMO in the next 48 hours. 719 00:39:32,922 --> 00:39:34,416 - He's doing great. - That's amazing. 720 00:39:34,441 --> 00:39:36,108 Can you do a post-op check on him before you go? 721 00:39:36,132 --> 00:39:37,582 - Of course. - All right. 722 00:39:38,558 --> 00:39:40,318 - Oh, uh, Millin. - Hmm? 723 00:39:40,343 --> 00:39:41,379 Thanks for the pep talk. 724 00:39:42,029 --> 00:39:43,271 Anytime. 725 00:39:46,914 --> 00:39:48,157 What pep talk? 726 00:39:48,893 --> 00:39:49,893 It was nothing. 727 00:39:50,053 --> 00:39:51,365 I'm gonna go check on Ryan. 728 00:39:53,183 --> 00:39:55,669 Anything can be a race against the clock if you let it. 729 00:39:57,016 --> 00:39:59,674 Waiting for a promotion, having a child, 730 00:40:00,376 --> 00:40:02,551 eating the last yogurt in your refrigerator. 731 00:40:03,508 --> 00:40:04,574 Oh. 732 00:40:06,005 --> 00:40:07,213 Hey, you... 733 00:40:08,246 --> 00:40:09,379 You okay? 734 00:40:09,752 --> 00:40:13,997 I think my patient has terminal cancer, and she's 27. 735 00:40:14,847 --> 00:40:17,021 That's tough. I'm sorry. 736 00:40:18,761 --> 00:40:21,221 Um, you gonna be a while. 737 00:40:21,246 --> 00:40:23,869 Looks that way. 738 00:40:25,473 --> 00:40:28,677 I will pick up Pru. Mwah. 739 00:40:30,199 --> 00:40:32,169 - Oh. - T... 740 00:40:32,201 --> 00:40:34,583 Oh, and what brings you here? 741 00:40:34,608 --> 00:40:36,616 Dropping off some items to Warren. 742 00:40:38,356 --> 00:40:40,703 I'll see you at home. 743 00:40:41,931 --> 00:40:44,313 So what are those, intern payroll forms? 744 00:40:44,338 --> 00:40:45,832 Insurance reimbursements. 745 00:40:45,857 --> 00:40:49,136 Aw. The chief resident has to do insurance too? 746 00:40:49,274 --> 00:40:51,794 No. Chief of surgery does. 747 00:40:52,255 --> 00:40:55,456 - Oh. - Is your wife always right? 748 00:40:55,481 --> 00:40:57,926 I find it's always easiest to assume yes. 749 00:40:59,480 --> 00:41:01,793 Sometimes you really are running out of time. 750 00:41:02,883 --> 00:41:05,472 Most of the time, it's all in your head. 751 00:41:05,504 --> 00:41:08,749 - Hey. - Turns out Vivek had a sinus infection. 752 00:41:08,880 --> 00:41:10,442 - He's gonna be okay. - Ah. Good. 753 00:41:11,503 --> 00:41:13,471 Thank you for hanging in there with me today. 754 00:41:13,723 --> 00:41:15,630 You know I don't give up that easily. 755 00:41:15,655 --> 00:41:17,070 That's an understatement. 756 00:41:17,095 --> 00:41:19,455 And I don't need you to tell me what's going on with Bailey. 757 00:41:19,716 --> 00:41:22,119 What is this? Are you trying reverse psychology now? 758 00:41:22,144 --> 00:41:23,870 No, it is not. 759 00:41:23,895 --> 00:41:25,183 I think it's great that my kids trust 760 00:41:25,207 --> 00:41:26,494 you enough to share things with you. 761 00:41:26,518 --> 00:41:28,486 - You know I love those kids. - I know. 762 00:41:28,569 --> 00:41:30,053 - Come on. Let's go home. - Okay. 763 00:41:32,006 --> 00:41:34,250 And when you let go of all that fear... 764 00:42:00,828 --> 00:42:02,347 Where are we going? 765 00:42:06,282 --> 00:42:08,560 the possibilities are infinite. 766 00:42:09,887 --> 00:42:14,887 - Synced and corrected by ChrisKe - — for www.addic7ed.com —