1 00:00:03,901 --> 00:00:05,309 When the risk of a procedure 2 00:00:05,333 --> 00:00:07,242 is greater than the possible benefit, 3 00:00:07,726 --> 00:00:09,176 we watch and wait. 4 00:00:10,157 --> 00:00:11,848 If the symptoms progress 5 00:00:11,986 --> 00:00:13,367 - Good morning. - Good morning. 6 00:00:13,392 --> 00:00:15,256 Then we pick up a scalpel. 7 00:00:22,859 --> 00:00:24,792 Who's that? We're in the middle of nowhere. 8 00:00:24,817 --> 00:00:27,648 Probably some camper who forgot toilet paper. 9 00:00:27,673 --> 00:00:29,917 - I'll be right back. Okay. Coming. 10 00:00:33,606 --> 00:00:34,642 Okay. 11 00:00:36,082 --> 00:00:37,428 - Hey, 12 00:00:37,453 --> 00:00:40,140 the kids wanted to bring you the pancakes that they made. 13 00:00:40,597 --> 00:00:42,116 Whoa, whoa, whoa. 14 00:00:43,072 --> 00:00:46,006 - Who are you? - Where are your clothes? 15 00:00:48,678 --> 00:00:50,162 You should have called first. 16 00:00:52,017 --> 00:00:53,294 Okay, you know what? 17 00:00:53,319 --> 00:00:55,754 Uh, we-we gotta go, or we're gonna be late. 18 00:00:55,779 --> 00:00:57,587 Um, all right, come on. Say goodbye to Daddy. 19 00:00:57,612 --> 00:00:59,073 - Bye, guys. - You should leave your ringer on. 20 00:00:59,098 --> 00:01:00,306 Yeah. 21 00:01:06,806 --> 00:01:09,602 - I'm so sorry. - No. She was just surprised. 22 00:01:09,897 --> 00:01:13,521 Listen, why don't you just relax, and I'll go get us some coffee, okay? 23 00:01:13,546 --> 00:01:14,582 Okay. 24 00:01:15,180 --> 00:01:16,523 Sounds easy, 25 00:01:16,548 --> 00:01:20,089 but doing nothing is one of the hardest things a surgeon has to do. 26 00:01:23,222 --> 00:01:27,071 We're trained to act, to remove, to fix. 27 00:01:27,096 --> 00:01:28,960 Restraint isn't in our DNA. 28 00:01:28,985 --> 00:01:30,435 Babies look good. 29 00:01:30,573 --> 00:01:33,828 - And the cerclages are still in place. - That's good. 30 00:01:34,130 --> 00:01:35,680 Good would be my water breaking seven 31 00:01:35,704 --> 00:01:37,210 weeks from now when I'm full term. 32 00:01:37,235 --> 00:01:39,428 - You might make it all the way. 33 00:01:39,453 --> 00:01:42,594 It's possible. Babies are healthy. There's no sign of infection. 34 00:01:42,633 --> 00:01:45,243 Now. If I deliver early, they're at risk of sepsis, 35 00:01:45,268 --> 00:01:48,685 have underdeveloped lungs, have trouble feeding as 36 00:01:48,834 --> 00:01:51,526 It's a choose-your-own-adventure newborn hellscape. 37 00:01:53,147 --> 00:01:56,164 But you're right. I could make it seven weeks. 38 00:01:56,447 --> 00:01:57,483 Yeah. 39 00:01:59,375 --> 00:02:01,337 - You okay? - I'm having shortness of breath. 40 00:02:01,362 --> 00:02:04,409 - Can you page cardiology? - What do you What do you think it is? 41 00:02:04,434 --> 00:02:06,515 Do you think it's a heart thing or a lung thing? 42 00:02:06,540 --> 00:02:08,002 Do you have any pain? Is it sharp, dull? 43 00:02:08,027 --> 00:02:09,147 It's probably nothing. 44 00:02:09,172 --> 00:02:12,279 I just want to practice what I preach, get it all checked out. 45 00:02:12,304 --> 00:02:15,055 - Okay. I'll call upstairs. - Okay. 46 00:02:17,781 --> 00:02:20,750 In the end, all you can do is hope for the best. 47 00:02:21,451 --> 00:02:23,172 And trust you're making the right call. 48 00:02:25,148 --> 00:02:28,360 Meade? Where Where do you think you're going? 49 00:02:28,907 --> 00:02:31,919 Miranda. Webber canceled the surgical lecture series. 50 00:02:31,944 --> 00:02:34,853 - I assumed you knew. - Well, do I look like I knew? 51 00:02:34,878 --> 00:02:37,398 - Not Not particularly. 52 00:02:37,536 --> 00:02:41,170 Well, who cancels someone else's lecture and doesn't tell them? 53 00:02:41,195 --> 00:02:42,531 Well, maybe he forgot. 54 00:02:43,232 --> 00:02:47,270 Did he forget that I am the residency director? 55 00:02:48,180 --> 00:02:50,386 No. Ever since he took over as chief, 56 00:02:50,411 --> 00:02:54,839 he's been making changes to my program without consulting me. 57 00:02:54,864 --> 00:02:58,178 Like there's no rhyme or reason to how I do things here. 58 00:02:58,203 --> 00:03:00,377 - I'm just the messenger. 59 00:03:01,400 --> 00:03:02,849 How's this for a message? 60 00:03:03,472 --> 00:03:04,472 I've had it. 61 00:03:08,592 --> 00:03:09,592 Yeah. 62 00:03:12,468 --> 00:03:14,169 Did you see Dr. Webber's email? 63 00:03:14,194 --> 00:03:17,586 How are we supposed to increase our cases by ten percent? 64 00:03:17,611 --> 00:03:19,889 Where are we supposed to find all these extra cases? 65 00:03:20,027 --> 00:03:22,004 You seem calm. You're not behind? 66 00:03:22,029 --> 00:03:23,410 I'm trying to finish this, 67 00:03:23,435 --> 00:03:25,042 because in five minutes, I'll never have free time again. 68 00:03:25,066 --> 00:03:27,034 I didn't know you knit. Cool. 69 00:03:27,552 --> 00:03:30,046 - It's crochet. - You two back together? 70 00:03:30,071 --> 00:03:32,767 - Uh, I-I am not with anyone right now. - We made a pact. 71 00:03:32,792 --> 00:03:35,899 We are focusing on ourselves and hobbies. 72 00:03:36,306 --> 00:03:37,652 Is that a bowel movement? 73 00:03:39,163 --> 00:03:40,198 It's a spleen. 74 00:03:44,741 --> 00:03:46,541 Dr. Leone, call the blood bank. 75 00:03:46,573 --> 00:03:48,342 Dr. Leone, call the blood bank. 76 00:03:57,769 --> 00:04:01,077 - Oh, my God. 77 00:04:01,102 --> 00:04:02,483 Someone call 9-1-1. 78 00:04:04,589 --> 00:04:08,075 Help! I need help. 79 00:04:08,538 --> 00:04:09,953 Help. 80 00:04:10,146 --> 00:04:13,114 - Help's here. Where are you? - Down here. 81 00:04:17,143 --> 00:04:21,287 - What's your name? 82 00:04:21,673 --> 00:04:22,846 Maisie. 83 00:04:22,871 --> 00:04:25,279 Maisie, I'm Owen. I am a doctor. 84 00:04:25,304 --> 00:04:28,450 I am calling 911, and we're gonna get you out of there. 85 00:04:28,475 --> 00:04:29,683 - All right? - Okay. 86 00:04:29,805 --> 00:04:31,220 - Okay. 87 00:04:32,189 --> 00:04:34,436 911, what's your emergency? 88 00:04:34,740 --> 00:04:39,740 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 89 00:04:42,110 --> 00:04:43,584 Make sure none of this is yours. 90 00:04:43,609 --> 00:04:45,678 It's getting donated at the end of the day. 91 00:04:46,916 --> 00:04:49,505 Ooh. This is a good one. 92 00:04:49,530 --> 00:04:51,118 Oh. I've been looking for that. 93 00:04:51,323 --> 00:04:53,290 Hey, how was your trip? 94 00:04:53,315 --> 00:04:55,317 Uh, I was in the south of France 95 00:04:55,342 --> 00:04:57,513 but I had to study and take my oral boards, 96 00:04:57,538 --> 00:04:58,988 so kinda canceled each other out. 97 00:04:59,644 --> 00:05:01,898 I, uh, put in the orders to replace Mr. Litton's electrolytes. 98 00:05:01,922 --> 00:05:02,834 Thank you. 99 00:05:02,859 --> 00:05:05,581 No prob. Um, if he needs a chest tube, can I do it? 100 00:05:05,606 --> 00:05:06,641 No. 101 00:05:10,275 --> 00:05:12,686 Bryant's on your service? Stay strong. 102 00:05:13,006 --> 00:05:15,319 - Trust me, not gonna be a problem. - Mm-hmm. 103 00:05:16,419 --> 00:05:18,259 Yeah, hi, I have a three-vehicle pileup incoming, 104 00:05:18,283 --> 00:05:20,043 and one is a bus with at least 30 passengers. 105 00:05:20,068 --> 00:05:21,662 Oh, finally some good news. 106 00:05:23,574 --> 00:05:25,023 For our-our case logs, 107 00:05:25,337 --> 00:05:28,271 I mean, I'm sorry that there was a car accident. 108 00:05:29,851 --> 00:05:33,045 Have I said welcome back yet? No? 109 00:05:37,554 --> 00:05:39,954 - We got them, Dr. Hunt. - Okay, I'll see you at the hospital. 110 00:05:42,169 --> 00:05:43,860 - Hey. - Thanks for coming. 111 00:05:44,111 --> 00:05:47,356 A car blew a tire, then hit another car which then hit a bus, 112 00:05:47,381 --> 00:05:49,107 and the bus hit a cyclist. 113 00:05:49,143 --> 00:05:51,432 I knew you were close by since you showed up unannounced this morning. 114 00:05:52,926 --> 00:05:55,123 I don't want to talk about this here. Where do you need me? 115 00:05:55,147 --> 00:05:56,705 Under the bus. 116 00:05:56,730 --> 00:05:59,335 SFD's concerned that we might need to amputate the cyclist's leg 117 00:05:59,359 --> 00:06:00,721 to get her out of there. 118 00:06:00,746 --> 00:06:02,643 A paramedic could assist, but I'd much rather have a surgeon. 119 00:06:02,668 --> 00:06:04,925 - Owen, is that you? - I'm right here. This is Maisie. 120 00:06:04,950 --> 00:06:07,550 She has pain in her left leg and pelvis, and she has some bleeding, 121 00:06:07,575 --> 00:06:09,792 but I can't reach her, so I have no idea where it's coming from. 122 00:06:09,817 --> 00:06:11,060 Right. 123 00:06:11,085 --> 00:06:13,557 Hi, Maisie. I'm Teddy. I'm a doctor too. 124 00:06:13,582 --> 00:06:15,177 - Are they getting close? - They're evacuating the bus 125 00:06:15,202 --> 00:06:17,249 and there's one more patient to come out of one of the cars, 126 00:06:17,273 --> 00:06:18,533 and then we're gonna get you out, okay? 127 00:06:18,558 --> 00:06:21,415 Maisie, is there anyone that you want us to call while we wait? 128 00:06:24,204 --> 00:06:27,172 I was gonna say that you can call my boyfriend, but I remembered that 129 00:06:27,763 --> 00:06:29,972 - he's not my boyfriend anymore. - I'm sorry. 130 00:06:30,192 --> 00:06:31,889 We got into a stupid fight because he 131 00:06:31,913 --> 00:06:33,609 didn't want to go on a stupid cruise 132 00:06:33,634 --> 00:06:36,879 for my parents' anniversary, which is perfectly reasonable. 133 00:06:36,904 --> 00:06:39,201 You know how cold it is in October in Alaska? 134 00:06:39,226 --> 00:06:40,607 I can imagine. 135 00:06:40,632 --> 00:06:42,832 I wanted to take it back, but he won't pick up my calls. 136 00:06:44,438 --> 00:06:46,796 Maybe if you tell him I'm trapped under a bus, he'll pick up. 137 00:06:46,820 --> 00:06:48,546 First, we are gonna get you out of here, 138 00:06:48,715 --> 00:06:50,924 and then we can call your boyfriend, okay? 139 00:06:52,109 --> 00:06:55,043 - Okay. - [MAISIE SNIFFLES, GRUNTS] 140 00:06:57,140 --> 00:07:01,006 Were you going to tell me that you canceled my lecture series? 141 00:07:01,097 --> 00:07:02,858 Oh, I I thought I did. 142 00:07:02,948 --> 00:07:06,174 Yeah, I got here at 5:45 143 00:07:06,199 --> 00:07:09,473 to print handouts and set up the conference room for fun. 144 00:07:09,498 --> 00:07:10,740 - Oh. 145 00:07:10,765 --> 00:07:13,442 My mistake, you know, with all the construction 146 00:07:13,467 --> 00:07:15,400 and the residents who are behind in their cases, 147 00:07:15,425 --> 00:07:17,135 it was all-hands-on-deck situation. 148 00:07:17,160 --> 00:07:20,197 With all due respect, this is not your deck. 149 00:07:20,868 --> 00:07:21,869 Hey, come on. 150 00:07:22,925 --> 00:07:24,133 - Oh. - Whoa. 151 00:07:26,835 --> 00:07:29,346 - Oh, my God. - Aaron! 152 00:07:29,371 --> 00:07:31,736 He's autistic, he's nonspeaking and sustained a head lac. 153 00:07:31,761 --> 00:07:34,108 - The patient is his aide. - Oh. Go after him! 154 00:07:34,133 --> 00:07:36,408 Glen Kelly, 53, GCS 3T, 155 00:07:36,433 --> 00:07:38,778 MVC with a city bus at high speed, restrained driver. 156 00:07:38,803 --> 00:07:41,539 Unknown past medical history, intubated on the scene. 157 00:07:41,564 --> 00:07:43,444 - How long did you administer CPR? - Ten minutes. 158 00:07:43,469 --> 00:07:44,502 Doesn't look good. 159 00:07:44,527 --> 00:07:47,439 Well, not if I can help it. Let's take him to trauma three. 160 00:07:52,290 --> 00:07:55,121 - Maisie, how you doing? - It's cold under here. 161 00:07:55,146 --> 00:07:57,861 I can't catch my breath. 162 00:07:58,625 --> 00:08:00,593 She's losing a lot of blood from her leg. 163 00:08:00,618 --> 00:08:02,171 They're working on the second car. 164 00:08:02,196 --> 00:08:04,523 All right, stay with me, Maisie. Hang on. 165 00:08:04,547 --> 00:08:06,627 Where are they with stabilizing the bus? 166 00:08:08,877 --> 00:08:11,120 - What are you doing? - I can't control internal bleeding, 167 00:08:11,145 --> 00:08:13,442 but I can try and stop the blood from pouring out of her leg. 168 00:08:13,467 --> 00:08:15,642 - Dr. Hunt, they can't get an airway. - Go. I got this. 169 00:08:15,667 --> 00:08:17,669 - Okay. - Ma'am, you can't go under there. 170 00:08:17,694 --> 00:08:20,198 It's Doctor, and she needs a tourniquet on her leg, now. 171 00:08:20,223 --> 00:08:22,028 All right, I'm just gonna put this on you 172 00:08:22,053 --> 00:08:25,263 and then I gotta get this tourniquet on you, okay? 173 00:08:25,288 --> 00:08:28,118 - Okay. Deep breaths. 174 00:08:28,142 --> 00:08:29,765 You good? Teddy. 175 00:08:30,795 --> 00:08:32,797 Teddy, we still haven't stabilized the bus. 176 00:08:32,935 --> 00:08:34,972 You called me here. I'm gonna do my job. 177 00:08:34,997 --> 00:08:37,077 - Is it time? Are they getting me out? - Not yet. 178 00:08:37,102 --> 00:08:40,334 I need to work on your leg. I need to tighten this to stop 179 00:08:40,359 --> 00:08:42,491 - the bleeding. Okay, here we go. 180 00:08:42,516 --> 00:08:44,844 I know, I know it hurts. Keep breathing. 181 00:08:44,869 --> 00:08:46,778 We're gonna get you some medicine for the pain... 182 00:08:46,802 --> 00:08:48,262 Teddy, they need you to move right now. 183 00:08:48,286 --> 00:08:49,502 Just give me a minute. 184 00:08:49,527 --> 00:08:51,195 Are you going back out? 185 00:08:51,220 --> 00:08:52,853 - Teddy! - I'm gonna stay right here with you. 186 00:08:52,877 --> 00:08:54,988 - Keep breathing. 187 00:08:55,012 --> 00:08:57,048 Come on, Maisie. Stay with me. Come on. 188 00:08:58,089 --> 00:08:59,262 Dr. Adams? 189 00:08:59,287 --> 00:09:01,688 Hi, I'm Dani Spencer. I'm your intern. 190 00:09:01,826 --> 00:09:04,001 It's my first day. Well, actually, it's my second day. 191 00:09:04,026 --> 00:09:05,744 My first day, Meredith Grey gave me an 192 00:09:05,768 --> 00:09:07,719 ex-lap in the reproductive health clinic. 193 00:09:09,419 --> 00:09:11,533 So, here I am. 194 00:09:12,311 --> 00:09:14,831 - How caffeinated are you? - Oh, I don't drink coffee. 195 00:09:15,123 --> 00:09:17,083 Good morning. A patient's flap went down. 196 00:09:17,108 --> 00:09:19,628 I'm taking him to the OR to try and salvage it. 197 00:09:19,653 --> 00:09:21,013 - I need... - Can I get in on that? 198 00:09:21,038 --> 00:09:23,952 No, I need someone to keep up with my dressing changes. 199 00:09:23,977 --> 00:09:25,962 How about you get in on that? 200 00:09:26,652 --> 00:09:27,791 Yep. 201 00:09:29,569 --> 00:09:30,915 - Come. 202 00:09:32,054 --> 00:09:35,057 - I heard you have a TRAM flap. - I already have an assist. 203 00:09:35,440 --> 00:09:38,179 No, you... you owe me and you know it. 204 00:09:39,224 --> 00:09:42,004 You had diarrhea. That's not on me. 205 00:09:42,029 --> 00:09:44,662 I got you face time in front of Jackson Avery, 206 00:09:44,687 --> 00:09:47,138 and if you get that job in Boston, I should be getting 10%. 207 00:09:48,612 --> 00:09:50,372 I just told Adams no. 208 00:09:50,397 --> 00:09:52,912 If I give it to you just because you asked, what will people think? 209 00:09:52,937 --> 00:09:54,320 I don't care what people think. 210 00:09:57,458 --> 00:10:01,842 Frank Nelson, room 3256. He has a bad sacral decub ulcer. 211 00:10:01,867 --> 00:10:03,440 No one's been able to get a wound vac on it. 212 00:10:03,464 --> 00:10:04,914 - It's too close to the anus. - Ouch. 213 00:10:04,982 --> 00:10:07,098 The only option left is to give him an ostomy 214 00:10:07,123 --> 00:10:08,427 and hope that rerouting his bowels keeps 215 00:10:08,451 --> 00:10:09,800 the ulcer clean long enough to heal. 216 00:10:09,825 --> 00:10:14,002 But he's in his 80s and he's a vasculopath with high surgical risk. 217 00:10:14,081 --> 00:10:18,188 So if you can place the wound vac, I'll let you assist in the surgery. 218 00:10:18,795 --> 00:10:19,796 Consider it done. 219 00:10:24,760 --> 00:10:26,555 Hey, hey, how we doing in here? 220 00:10:26,580 --> 00:10:29,431 You called the chief of cardiothoracic surgery? 221 00:10:29,456 --> 00:10:30,733 - He's a friend. 222 00:10:30,758 --> 00:10:33,381 [SIGHS, WHISPERS] I told you to page cardiology. 223 00:10:34,470 --> 00:10:37,473 Hi, I'm Winston Ndugu. Chief of cardiothoracic surgery. 224 00:10:37,498 --> 00:10:39,579 Nice to meet you. Iris, chief of this room. 225 00:10:39,604 --> 00:10:42,494 - [WILSON, LINCOLN WHISPERING] - I told you 226 00:10:42,858 --> 00:10:46,413 - Deep breaths. 227 00:10:46,438 --> 00:10:47,888 I hate everybody. 228 00:10:47,913 --> 00:10:49,640 That's not true. You love me. 229 00:10:49,665 --> 00:10:52,979 I didn't page the chief of cardiothoracic surgery without telling you. 230 00:10:53,159 --> 00:10:54,885 - Mmm. - I know better. 231 00:10:54,910 --> 00:10:55,740 Okay if I take a listen? I hear 232 00:10:55,764 --> 00:10:56,839 you're having some shortness of breath. 233 00:10:56,864 --> 00:10:58,874 Yeah, it's nothing concerning. 234 00:10:58,899 --> 00:11:02,213 It's just standard third trimester labored breathing. 235 00:11:02,238 --> 00:11:04,155 I'm sure you're right, but as you know, 236 00:11:04,180 --> 00:11:05,430 there's a lot of overlap between 237 00:11:05,454 --> 00:11:07,020 pregnancy symptoms and cardiac symptoms, 238 00:11:07,045 --> 00:11:09,187 so I just want to get an EKG just to be safe. 239 00:11:09,212 --> 00:11:10,954 - Yeah, whatever you need. - Okay. 240 00:11:12,278 --> 00:11:13,658 Okay, I'll be back to do the EKG. 241 00:11:17,859 --> 00:11:20,033 It's gonna be fine. You'll see. 242 00:11:20,058 --> 00:11:22,095 At least we're meeting our deductible this year. 243 00:11:25,646 --> 00:11:27,351 The tube is in. There's a lot of blood. 244 00:11:27,376 --> 00:11:29,492 - Another push of Epi. - Resuming compressions. 245 00:11:29,516 --> 00:11:30,793 Dr. Webber. 246 00:11:30,931 --> 00:11:32,806 I've got an unstable patient, nowhere to put him. 247 00:11:32,830 --> 00:11:35,729 Have Griffith and Bryant found their patient yet? We've got his aide. 248 00:11:35,754 --> 00:11:38,189 - Not that I've heard of. - I'll be right back. 249 00:11:38,214 --> 00:11:39,871 How long do we keep at it? 250 00:11:39,896 --> 00:11:42,304 At this point, he's only coming back with a miracle, 251 00:11:42,329 --> 00:11:44,468 and that is not in our control. 252 00:11:45,083 --> 00:11:47,258 Okay, time for a pulse check. Stop compressions. 253 00:11:57,862 --> 00:11:59,587 Hey, Meade call it. 254 00:12:01,960 --> 00:12:04,929 - Time of death, 8:24... - What in God's name... 255 00:12:05,818 --> 00:12:08,372 - I was gone for a minute. - She told me to do it. 256 00:12:08,417 --> 00:12:11,097 - We've done multiple rounds of CPR... - That doesn't mean it's over. 257 00:12:11,122 --> 00:12:13,121 Restart compressions right now! 258 00:12:13,146 --> 00:12:14,768 Wait, so he's not dead? 259 00:12:16,684 --> 00:12:19,265 This was a blunt traumatic injury. 260 00:12:19,290 --> 00:12:21,775 He's had CPR, bilateral chest tubes. 261 00:12:21,800 --> 00:12:25,183 What, we're just gonna keep resuscitating him indefinitely? 262 00:12:25,464 --> 00:12:26,499 Should we open his chest? 263 00:12:28,285 --> 00:12:29,804 Get a thoracotomy tray. 264 00:12:31,706 --> 00:12:33,812 Not everyone wants to give up. 265 00:12:40,769 --> 00:12:41,805 That's him. 266 00:12:42,843 --> 00:12:44,014 Okay. 267 00:12:46,333 --> 00:12:48,956 I'll talk to him. You stay here. I don't want to overwhelm him. 268 00:12:49,882 --> 00:12:52,988 - Aaron. - I... I don't know. 269 00:12:53,013 --> 00:12:54,413 I don't wanna... I don't wanna know. 270 00:12:54,438 --> 00:12:55,922 - I'm Dr. Griffith. I'm here to help. - I don't know. 271 00:12:55,947 --> 00:12:57,303 I don't know. I don't know. 272 00:12:57,328 --> 00:12:58,674 I don't know. I don't want to... 273 00:12:58,968 --> 00:13:01,515 I see you have a cut on your forehead. We can fix it for you. 274 00:13:01,539 --> 00:13:02,965 We just have to go inside the hospital. 275 00:13:02,989 --> 00:13:05,267 No, no, no, no, no, no, no, no. 276 00:13:05,292 --> 00:13:06,787 - We don't have to go right now. - No, no, no. 277 00:13:06,812 --> 00:13:10,312 - You want me to sit with you? - No, no, no, no, no. 278 00:13:10,593 --> 00:13:15,336 - I'll give you some space. - No, no, no, no, no, no, no. 279 00:13:16,319 --> 00:13:19,426 - Yeah, you got this. - Let's just give him a minute. 280 00:13:20,551 --> 00:13:22,311 No, no, no, no. 281 00:13:25,082 --> 00:13:27,084 Mr. Nelson, I am Dr. Kwan. 282 00:13:27,109 --> 00:13:28,955 - How are you doing today? - Peachy. 283 00:13:29,093 --> 00:13:31,199 I'd like to take a look at your wound if that's okay. 284 00:13:31,224 --> 00:13:33,053 I've got nothing better to do. 285 00:13:34,312 --> 00:13:37,515 I took a look at your chart, so you've been here a while. 286 00:13:38,724 --> 00:13:43,763 First I fell down the stairs, then I got pneumonia and a DVT. 287 00:13:43,788 --> 00:13:47,491 Now this ulcer won't heal. I wish you people would just let me die. 288 00:13:47,516 --> 00:13:50,036 You're not dying. We just need to place a wound vac. 289 00:13:50,174 --> 00:13:53,048 No, I'm done. Give me the ostomy. 290 00:13:53,073 --> 00:13:56,214 With your medical issues, if we can avoid another surgery... 291 00:13:56,239 --> 00:13:57,516 I don't wanna hear it. 292 00:13:57,880 --> 00:14:01,298 I'm sick and tired of you bleeding heart do-gooders 293 00:14:01,323 --> 00:14:03,095 and your positive attitudes. 294 00:14:03,120 --> 00:14:04,845 I want to be left alone. 295 00:14:10,608 --> 00:14:12,516 - I'm not doing this for you. - You're not? 296 00:14:12,541 --> 00:14:16,175 Dr. Mohanty said if I can get this wound vac on you, 297 00:14:16,200 --> 00:14:18,478 she'd let me into a surgery that I haven't seen before. 298 00:14:18,859 --> 00:14:22,491 All this so you can be second fiddle in a surgery? 299 00:14:22,516 --> 00:14:25,287 More like fourth fiddle but... yeah. 300 00:14:25,312 --> 00:14:27,837 You're not like the others. 301 00:14:27,861 --> 00:14:30,386 You're a selfish dirtbag just like me. 302 00:14:31,297 --> 00:14:34,748 - I wouldn't characterize myself as... - Okay, you can try. 303 00:14:36,491 --> 00:14:38,942 Okay, I'll go find someone to assist me. 304 00:14:41,062 --> 00:14:43,813 - I'm really tired. - Take deep breaths for me. 305 00:14:43,952 --> 00:14:47,541 - If only Sam had answered my calls. - I know the feeling. 306 00:14:47,679 --> 00:14:49,819 I'm so sick of fighting about everything. 307 00:14:49,844 --> 00:14:51,886 But he's he's still the only person 308 00:14:51,910 --> 00:14:53,951 I want right now. 309 00:14:54,289 --> 00:14:55,808 Can we call him? 310 00:14:56,654 --> 00:14:57,734 - Oh, my God! - Teddy. 311 00:14:57,758 --> 00:14:59,277 - Teddy! 312 00:15:03,686 --> 00:15:05,515 Teddy, are you okay? You hurt? Teddy. 313 00:15:06,181 --> 00:15:08,363 - We're fine. What happened? - The cribbing shifted. 314 00:15:08,388 --> 00:15:10,425 We need to reinforce it so we can get them out of there. 315 00:15:10,449 --> 00:15:11,369 What is taking so long? 316 00:15:11,393 --> 00:15:13,433 We're almost ready to inflate the bag. 317 00:15:14,465 --> 00:15:16,432 Maisie. Maisie. 318 00:15:16,570 --> 00:15:18,745 Damn it. She lost consciousness. 319 00:15:18,883 --> 00:15:22,542 - Okay, let's get an intubation kit. - We need to get her out now. 320 00:15:22,680 --> 00:15:23,957 Let's go. Let's go. 321 00:15:24,095 --> 00:15:25,717 Come on, Maisie. Stay with us. 322 00:15:29,641 --> 00:15:32,678 We found this at the nurses' station. I think it's his. 323 00:15:32,703 --> 00:15:34,119 Okay. Thank you. 324 00:15:34,347 --> 00:15:36,625 We need to wash out that lac and assess how deep it is. 325 00:15:36,650 --> 00:15:38,134 How do you plan on getting him inside? 326 00:15:39,013 --> 00:15:40,403 I'll go get supplies. 327 00:15:40,428 --> 00:15:42,268 We can clean him up and figure out next steps here. 328 00:15:42,293 --> 00:15:44,736 Okay, cool. Wait, wait, what about me? What should I do? 329 00:15:45,038 --> 00:15:46,523 Make sure he doesn't go anywhere. 330 00:15:48,566 --> 00:15:51,189 "Make sure he doesn't go anywhere." Okay. All right. 331 00:15:52,964 --> 00:15:54,103 This yours? 332 00:15:54,539 --> 00:15:57,611 - It's a good-looking bag, man. 333 00:16:01,901 --> 00:16:03,523 Where is Glen? 334 00:16:03,551 --> 00:16:07,394 Uh, Glen is in our emergency room. Doctors are helping him. 335 00:16:08,519 --> 00:16:10,210 You, uh You want to go inside? 336 00:16:10,235 --> 00:16:12,644 - Mm-mmm. Mm-mmm. Mm-mmm. Mm-mmm. - Okay. All good. 337 00:16:14,076 --> 00:16:15,975 Have you had bad experiences at hospitals? 338 00:16:18,306 --> 00:16:20,401 - Yes. - Yeah. 339 00:16:20,772 --> 00:16:21,981 Yeah, me too. 340 00:16:23,327 --> 00:16:25,018 You know, my brother has epilepsy, 341 00:16:25,043 --> 00:16:29,101 and, uh, spent a lot of time in the hospital as a kid. 342 00:16:31,244 --> 00:16:32,348 I hated it. 343 00:16:34,242 --> 00:16:35,243 So I understand. 344 00:16:39,273 --> 00:16:40,698 - You ball? - Mmm. 345 00:16:40,723 --> 00:16:42,139 You ball for real? 346 00:16:42,164 --> 00:16:44,062 - Let me see. May I? - Mmm. 347 00:16:44,313 --> 00:16:47,558 Okay, okay, let's see here. Let's see if I still got it, you know. 348 00:16:48,262 --> 00:16:50,122 All right, one, two. 349 00:16:50,147 --> 00:16:52,484 - Okay, a little crossover. 350 00:16:53,046 --> 00:16:54,565 Ooh. Ooh. Ooh. 351 00:16:54,687 --> 00:16:55,895 Between the legs. 352 00:16:56,225 --> 00:16:57,640 Jump shot. 353 00:16:57,665 --> 00:17:00,778 Okay, let's go. You wanna play for real, let's do it. 354 00:17:00,916 --> 00:17:03,781 Oh. Okay. Okay, jump shot, jump shot. 355 00:17:04,816 --> 00:17:06,128 And he makes it! 356 00:17:08,475 --> 00:17:11,478 I know I've got a good ass, but nobody ogle. 357 00:17:11,503 --> 00:17:13,436 Gross, gross, gross. 358 00:17:14,033 --> 00:17:17,277 - [WHIRRING, BEEPING] 359 00:17:17,695 --> 00:17:20,566 - There's still an air leak. - Okay, let's do it again. 360 00:17:20,591 --> 00:17:22,558 You have other patients, right? 361 00:17:22,583 --> 00:17:25,690 I can't lay here all day while you try and win a prize. 362 00:17:26,003 --> 00:17:29,282 - I want to watch Judge Judy in peace. 363 00:17:29,358 --> 00:17:30,715 I don't know what he's talking about. 364 00:17:30,739 --> 00:17:32,603 You said if you got this on me, 365 00:17:32,854 --> 00:17:34,718 Dr. Mohanty would hand you a surgery. 366 00:17:34,743 --> 00:17:36,917 Okay, it's a little more nuanced than that. 367 00:17:37,056 --> 00:17:38,825 You know, I'd love to hear more, 368 00:17:38,850 --> 00:17:42,095 but, uh, I think the ER needs some extra hands, 369 00:17:42,120 --> 00:17:45,434 so I'm gonna go help out of the goodness of my heart. 370 00:17:47,730 --> 00:17:49,639 - You're up. - Uh, technically, I'm with Dr. Adams. 371 00:17:49,664 --> 00:17:51,079 - Come over here. - Okay. 372 00:17:53,255 --> 00:17:55,291 You're getting paged a lot. 373 00:17:55,453 --> 00:17:56,453 Oh, God. 374 00:17:56,478 --> 00:17:58,066 - Oh! 375 00:17:58,330 --> 00:17:59,814 Well, you got your wish. 376 00:17:59,906 --> 00:18:01,545 I was just paged to the emergency room. 377 00:18:01,569 --> 00:18:04,945 - You're leaving? - You can watch your TV in peace. 378 00:18:05,640 --> 00:18:06,641 Clean up. 379 00:18:07,914 --> 00:18:09,295 - [DOOR OPENS, CLOSES] - Ow. 380 00:18:09,320 --> 00:18:11,651 - Sorry. - You think he'll come back? 381 00:18:11,761 --> 00:18:14,557 - Uh, I don't know. - You can try if you want. 382 00:18:14,625 --> 00:18:16,627 Uh, it's not really a one-person job. 383 00:18:17,096 --> 00:18:19,443 That's okay. 384 00:18:19,565 --> 00:18:21,429 An ostomy doesn't scare me. 385 00:18:24,482 --> 00:18:26,864 Not like I go anywhere these days. 386 00:18:30,560 --> 00:18:32,079 Keep massaging the heart. 387 00:18:34,453 --> 00:18:36,179 - You want to switch out? - I'm fine. 388 00:18:37,029 --> 00:18:39,031 Meade, inject epi. 389 00:18:40,476 --> 00:18:41,819 No, into the myocardium. 390 00:18:41,844 --> 00:18:43,922 If you have a direct route for the drug, you take it. 391 00:18:43,947 --> 00:18:45,052 Heart it is. 392 00:18:46,953 --> 00:18:48,974 Insert the needle into the ventricle. 393 00:18:48,999 --> 00:18:51,623 Not my hand. Ventricle. 394 00:18:57,171 --> 00:18:58,265 Come on, Glen. 395 00:18:58,963 --> 00:19:01,552 How much longer are we going to put him through this? 396 00:19:05,972 --> 00:19:09,398 - [MILLIN, MEADE LAUGH] 397 00:19:11,511 --> 00:19:12,512 We did it. 398 00:19:13,577 --> 00:19:14,751 - No. - Sorry. 399 00:19:15,844 --> 00:19:19,158 Okay let's not just stand here. Let's get him to the OR. 400 00:19:21,712 --> 00:19:23,103 Here, let me help out with that. 401 00:19:23,127 --> 00:19:25,405 I got it. 402 00:19:26,889 --> 00:19:28,622 Hey, can you go 403 00:19:28,646 --> 00:19:30,686 to the gift shop and get me some socks? 404 00:19:30,711 --> 00:19:32,390 My feet are freezing. 405 00:19:32,900 --> 00:19:34,108 You're wearing socks. 406 00:19:34,207 --> 00:19:37,210 Well, ankle socks. They're not very warm. 407 00:19:37,348 --> 00:19:39,730 You're really gonna argue with your pregnant wife? 408 00:19:41,870 --> 00:19:44,252 - Any socks? - The purple fuzzy ones 409 00:19:44,277 --> 00:19:45,538 with the grippy bottoms. 410 00:19:45,563 --> 00:19:48,187 They're by the register, not the slippers. 411 00:19:48,438 --> 00:19:49,542 I'll be right back. 412 00:19:49,567 --> 00:19:51,673 - I have my phone if you need me. - Okay. 413 00:19:52,639 --> 00:19:54,839 You really know your way around that gift shop. 414 00:19:54,930 --> 00:19:56,794 My patients love socks. 415 00:19:57,230 --> 00:20:00,509 There's a lot of metal stirrups in OB. 416 00:20:01,200 --> 00:20:04,168 You are so calm. 417 00:20:05,083 --> 00:20:06,464 On the outside. 418 00:20:07,827 --> 00:20:09,898 On the inside, I'm a train wreck. 419 00:20:10,485 --> 00:20:12,038 Don't put on a show for my benefit. 420 00:20:12,063 --> 00:20:13,704 I'm trying to stay calm for Link. 421 00:20:13,729 --> 00:20:16,145 I've seen a lot of partners in his position. 422 00:20:16,170 --> 00:20:19,814 I don't want him to be scared when there's nothing that he can do. 423 00:20:19,839 --> 00:20:21,325 But I bet he'd rather be scared than 424 00:20:21,349 --> 00:20:23,049 know that you're suffering without him. 425 00:20:23,187 --> 00:20:24,740 Stay in your lane, Warren. 426 00:20:24,878 --> 00:20:26,432 - Okay. 427 00:20:26,515 --> 00:20:28,620 Trust me, we got you. 428 00:20:28,813 --> 00:20:32,127 On my way in here, I ran into eight nurses reading the twins' strips 429 00:20:32,288 --> 00:20:33,462 at the nurses' station. 430 00:20:36,890 --> 00:20:39,944 - How does it look? - You don't want me to read this. 431 00:20:40,446 --> 00:20:43,000 But whatever it says, you're the toughest person I know. 432 00:20:43,025 --> 00:20:45,614 - You're gonna get through this. - Yeah. 433 00:20:47,019 --> 00:20:48,780 Pull the 12-lead, please. 434 00:20:51,353 --> 00:20:53,319 Page Dr. Ndugu. 911. 435 00:21:03,952 --> 00:21:05,954 - You know what this is? - No. 436 00:21:06,205 --> 00:21:08,069 So you don't know how long this is gonna take? 437 00:21:08,094 --> 00:21:09,416 You have somewhere more important to be? 438 00:21:09,440 --> 00:21:11,097 I'm just trying to get on a TRAM flap. 439 00:21:11,348 --> 00:21:13,005 Well, I'm not in France right now, 440 00:21:13,030 --> 00:21:15,757 but five minutes ago, I had my hands in a bloody abdominal cavity. 441 00:21:15,782 --> 00:21:18,631 - You can't have it all. 442 00:21:22,039 --> 00:21:25,180 Maisie Lawrence, 27, pinned under a bus, intubated in the field, 443 00:21:25,205 --> 00:21:27,606 crush injury to the abdomen, left leg laceration. 444 00:21:27,631 --> 00:21:28,814 We placed a tourniquet. 445 00:21:28,839 --> 00:21:30,219 She needs blood, imaging and an OR. 446 00:21:30,358 --> 00:21:31,878 I'll let you three take over from here. 447 00:21:31,903 --> 00:21:32,938 All right, let's go. 448 00:21:38,637 --> 00:21:41,157 Hey, are you, uh are you trying to get away from me? 449 00:21:41,334 --> 00:21:44,347 I have patients to see, and Maisie doesn't need two trauma surgeons. 450 00:21:44,372 --> 00:21:46,110 Is this about what happened this morning? 451 00:21:48,397 --> 00:21:50,317 Let's just do our jobs and forget about it, okay? 452 00:21:52,380 --> 00:21:53,657 Dr. Adams? 453 00:21:53,701 --> 00:21:56,186 Did you finish putting in Ms. Lewis's orders? 454 00:21:56,211 --> 00:21:57,211 Yeah. 455 00:21:57,236 --> 00:21:59,168 Can you help me with something? 456 00:21:59,425 --> 00:22:01,427 I know that you're trying to increase your cases, 457 00:22:01,452 --> 00:22:03,538 but Dr. Kwan was just paged to meet a rig, 458 00:22:03,563 --> 00:22:06,221 and we were so close to getting that wound vac on Frank. 459 00:22:06,246 --> 00:22:07,680 Not my patient, not my problem. 460 00:22:07,705 --> 00:22:09,189 They're gonna give him an ostomy, 461 00:22:09,328 --> 00:22:11,502 and he's old and has a bunch of comorbidities. 462 00:22:11,640 --> 00:22:14,515 Did Dr. Kwan promise you a spot on Mohanty's TRAM flap? 463 00:22:14,540 --> 00:22:17,370 - No. No, I swear. - I thought you didn't like Frank. 464 00:22:18,129 --> 00:22:21,719 Is he a gross old man who makes me vaguely uncomfortable? Yes. 465 00:22:21,857 --> 00:22:25,930 But he is also a person who deserves the best care we can provide. 466 00:22:26,091 --> 00:22:29,716 Dr. Adams, I took an oath to help the sick. 467 00:22:29,741 --> 00:22:33,123 What kind of a doctor am I if I break my promise on day one? 468 00:22:36,417 --> 00:22:39,074 Okay, let's go put a wound vac on Frank. 469 00:22:42,450 --> 00:22:45,660 - Uh How did you... - Because I'm clutch. Right here, bud. 470 00:22:46,862 --> 00:22:49,968 Let me set this over here for you. 471 00:22:52,543 --> 00:22:54,200 All right, this way. 472 00:22:55,831 --> 00:22:56,936 Good? 473 00:23:00,005 --> 00:23:03,042 - All right, let's see. I'm gonna... - Mm-mmm. 474 00:23:04,126 --> 00:23:06,611 - I'm gonna just... 475 00:23:10,085 --> 00:23:12,743 Foul on the play, dude, okay? You gotta work with me. 476 00:23:14,634 --> 00:23:17,119 No. Thank you. 477 00:23:17,144 --> 00:23:19,511 - Yeah, real clutch. - Well, what do you expect, okay? 478 00:23:19,536 --> 00:23:21,016 I'm poking at him right above his eye. 479 00:23:21,202 --> 00:23:23,860 As long as he can see my hands coming, he's gonna move. 480 00:23:23,885 --> 00:23:25,749 What if he can't see your hands? 481 00:23:26,301 --> 00:23:29,649 Great idea. Let me just grab my invisibility cloak, and then 482 00:23:30,857 --> 00:23:32,756 Wasn't that bad of a joke. 483 00:23:34,585 --> 00:23:36,242 Giving up, going on vacation? 484 00:23:39,348 --> 00:23:41,360 We need to look at the cut on your forehead. 485 00:23:41,385 --> 00:23:43,007 Do you want to wear this? 486 00:23:43,145 --> 00:23:45,941 Then you can keep playing your game while we clean it up. 487 00:23:49,165 --> 00:23:50,201 Mmm. 488 00:23:59,161 --> 00:24:00,369 Nice. 489 00:24:00,394 --> 00:24:02,595 Yeah, don't strain your neck looking up to me. 490 00:24:13,359 --> 00:24:14,913 Somebody please say something. 491 00:24:15,488 --> 00:24:17,663 Well, the good news is we have options. 492 00:24:17,688 --> 00:24:19,248 I come bearing gifts. 493 00:24:22,457 --> 00:24:25,736 - What happened? Did something change? - You might want to sit down. 494 00:24:27,374 --> 00:24:29,480 I don't want to sit down. What's wrong? 495 00:24:30,186 --> 00:24:32,982 Winston was about to give me the results of my echo. 496 00:24:34,751 --> 00:24:35,787 Is she okay? 497 00:24:37,303 --> 00:24:39,650 You have peripartum cardiomyopathy. 498 00:24:40,394 --> 00:24:42,914 Your heart muscle is weakening and getting bigger. 499 00:24:47,403 --> 00:24:49,750 Well, how do we treat it? Do we have to deliver the babies? 500 00:24:50,005 --> 00:24:52,156 We can start with medication, but if that doesn't work, 501 00:24:52,180 --> 00:24:54,078 then we will need to deliver the babies, 502 00:24:54,216 --> 00:24:58,506 or place a pump called an Impella, and it sits within the ventricle 503 00:24:58,531 --> 00:25:01,785 and it gives continuous flow to support the heart's function, 504 00:25:01,810 --> 00:25:03,191 giving you a chance to recover, 505 00:25:03,216 --> 00:25:06,081 which will also allow more time for the babies to develop. 506 00:25:13,467 --> 00:25:15,642 So what do you want to do? 507 00:25:19,552 --> 00:25:21,243 The babies need as... 508 00:25:21,381 --> 00:25:24,488 need as much time as they can get, so I'll do the pump, 509 00:25:24,555 --> 00:25:26,177 if it comes to that. 510 00:25:26,386 --> 00:25:28,812 But the medication could work. 511 00:25:28,837 --> 00:25:30,908 - It could work, yes. It could. - Okay. 512 00:25:31,046 --> 00:25:33,714 I have a consult and then I will check back in, okay? 513 00:25:33,994 --> 00:25:36,134 Let's start her on Dobutamine and place an A-line. 514 00:25:42,564 --> 00:25:45,035 - Oh. You forgot your tablet. - Hey, no 515 00:25:45,060 --> 00:25:46,980 - I think it was already... - I'll be right back. 516 00:25:47,769 --> 00:25:48,770 Okay. 517 00:25:51,513 --> 00:25:52,514 Okay. 518 00:25:55,139 --> 00:25:57,250 Hey, I'm trying to stay calm, so she 519 00:25:57,274 --> 00:25:59,385 stays calm, but be honest with me. 520 00:26:00,386 --> 00:26:01,870 How scared should I be? 521 00:26:04,506 --> 00:26:06,266 Her heart is failing. 522 00:26:11,231 --> 00:26:14,617 - Why? Why is this happening? - No one knows why. 523 00:26:14,642 --> 00:26:17,999 If it's genetic or the hemodynamic shifts of a twin pregnancy. 524 00:26:18,024 --> 00:26:21,131 But we're on top of it, and we have options at this point. 525 00:26:21,382 --> 00:26:23,027 You... you got to watch her like a hawk. 526 00:26:23,051 --> 00:26:24,796 An echo every 30 minutes if you have to. 527 00:26:24,821 --> 00:26:27,181 I was just telling Warren that he's exclusively on Jo today. 528 00:26:27,206 --> 00:26:29,795 She will have 100% of my attention. 529 00:26:32,625 --> 00:26:34,938 Listen, man, I know that it's difficult, 530 00:26:35,076 --> 00:26:37,837 but we can only take it one step at a time right now. 531 00:26:37,975 --> 00:26:40,081 Anxiety could only make it worse for Jo. 532 00:26:43,740 --> 00:26:45,465 - Okay. - Okay. 533 00:26:49,642 --> 00:26:52,714 Dr. Webber, Dr. Freeman's been trying to get a hold of you. 534 00:26:52,852 --> 00:26:54,509 Scott Freeman, the urologist? 535 00:26:54,647 --> 00:26:56,313 Uh, we have the same patient. 536 00:26:56,338 --> 00:27:00,411 - Uh, it must be urgent. - Oh. Then go, go. We have enough hands. 537 00:27:02,341 --> 00:27:06,091 Hey, look, I know we disagreed earlier, but I'm in this now. 538 00:27:06,116 --> 00:27:07,393 That's not it. I'm... 539 00:27:07,418 --> 00:27:10,318 Then go. Handle your emergency and let me do my job. 540 00:27:12,313 --> 00:27:13,694 He's tanking. 541 00:27:13,942 --> 00:27:17,497 Go. We've got this. Come on, let's get him to the OR now. 542 00:27:29,613 --> 00:27:31,901 I have zero faith in you. 543 00:27:31,926 --> 00:27:34,031 - Yeah, thanks, Frank. 544 00:27:34,169 --> 00:27:36,630 Can I try? 'Cause I learned a couple of things from Dr. Kwan. 545 00:27:36,655 --> 00:27:39,658 No, I want to do this fast so I can get into an actual OR. 546 00:27:40,426 --> 00:27:44,041 - So you're Dr. Spencer and you're Dr... - Adams. 547 00:27:44,140 --> 00:27:46,764 - A-D-A-M-S? - Yep. 548 00:27:46,789 --> 00:27:49,194 I'm gonna sue you people when all this is over. 549 00:27:49,219 --> 00:27:52,636 You're gonna want to include Kwan in that. K-W-A-N. 550 00:27:53,119 --> 00:27:54,971 What if you move it a little to the right 551 00:27:54,995 --> 00:27:56,847 and then lay it down from the bottom up? 552 00:27:56,985 --> 00:27:58,534 No. Not like that. 553 00:27:58,559 --> 00:28:00,447 Stop telling me how to do something you don't know how to do. 554 00:28:00,471 --> 00:28:01,783 You're barely a doctor. 555 00:28:03,773 --> 00:28:04,843 Sorry. 556 00:28:09,170 --> 00:28:11,897 - Zero faith, you said. - It worked? 557 00:28:12,735 --> 00:28:15,392 I'll take the ostomy off the board. 558 00:28:17,346 --> 00:28:22,455 I might leave her out of the lawsuit. She's a good kid. 559 00:28:23,801 --> 00:28:25,181 You sure we can't just suture it? 560 00:28:25,287 --> 00:28:27,462 It's superficial. He just needs some Dermabond. 561 00:28:27,608 --> 00:28:29,714 Okay. Hey, bud. 562 00:28:31,123 --> 00:28:33,608 So I'm gonna close up your cut, but it may sting a little bit. 563 00:28:33,633 --> 00:28:36,595 So if you need a break at any time, you just give me one of these, 564 00:28:36,620 --> 00:28:38,208 I'll stop right away, okay? 565 00:28:39,890 --> 00:28:41,547 - Okay. - Okay, good. 566 00:28:46,828 --> 00:28:47,967 You won again? 567 00:28:48,113 --> 00:28:50,288 - What's your secret? 568 00:28:52,186 --> 00:28:54,274 I'm not telling you. 569 00:28:54,298 --> 00:28:56,665 - Ouch, that hurts. 570 00:28:57,494 --> 00:28:59,634 I'll tell her. 571 00:29:00,497 --> 00:29:02,637 Oh, so you hate me now? 572 00:29:03,347 --> 00:29:06,177 - No, he just likes me more. 573 00:29:06,202 --> 00:29:08,860 They need a chest tube in trauma three. You go. I'll finish up here. 574 00:29:08,885 --> 00:29:10,878 No, it's okay. I'd rather stay. 575 00:29:10,903 --> 00:29:12,854 You know I said chest tube, right? 576 00:29:12,879 --> 00:29:14,229 Yeah, I heard you. 577 00:29:14,254 --> 00:29:15,724 It's just that if he's not gonna tell 578 00:29:15,748 --> 00:29:18,370 me his secrets, I gotta keep a close eye. 579 00:29:21,853 --> 00:29:23,917 - Page me if you need anything. - Will do. 580 00:29:28,396 --> 00:29:29,886 We're starting with an ex-lap 581 00:29:29,910 --> 00:29:31,399 and a vascular repair to the left leg. 582 00:29:31,424 --> 00:29:33,979 I'll take the ex-lap. Helm, you take the lead on the leg. 583 00:29:34,004 --> 00:29:36,141 - Welcome back. - Feels like I never left. 584 00:29:48,994 --> 00:29:52,894 Some force greater than us wants to keep this man alive today. 585 00:29:52,919 --> 00:29:55,715 Let's do our best not to get in the way. 586 00:30:07,166 --> 00:30:08,719 - Got it. - Okay. 587 00:30:09,521 --> 00:30:11,129 Now, stapler. 588 00:30:11,154 --> 00:30:12,155 Yeah. 589 00:30:12,833 --> 00:30:14,179 Right in. 590 00:30:14,527 --> 00:30:16,667 - Uh, here? - Good, good, good. 591 00:30:18,666 --> 00:30:20,979 - Metz. - Ready for the specimen. 592 00:30:22,284 --> 00:30:23,630 Okay. That it? 593 00:30:24,546 --> 00:30:26,134 Good, good, good. 594 00:30:41,046 --> 00:30:42,185 I need loupes. 595 00:30:43,896 --> 00:30:45,680 - I need more lap pads. - How's the leg? 596 00:30:45,705 --> 00:30:47,856 It's a good thing you got a tourniquet on in the field. 597 00:30:47,880 --> 00:30:49,986 There's a huge defect in the femoral. 598 00:30:51,726 --> 00:30:53,901 Send a TEG and hang another unit. 599 00:30:54,892 --> 00:30:56,583 More lap pads. 600 00:30:57,195 --> 00:30:58,231 Okay. 601 00:31:03,559 --> 00:31:07,046 Please, her name is Maisie. The police said that she is here. 602 00:31:07,071 --> 00:31:10,542 All of her family lives out of state. I am the only one that she has. 603 00:31:10,567 --> 00:31:13,121 - Excuse me. Are you Sam? - Yeah, I... 604 00:31:13,570 --> 00:31:16,504 Are you one of Maisie's doctors? Is she okay? 605 00:31:16,529 --> 00:31:19,473 She is here, but I-I can't disclose any more information. 606 00:31:19,498 --> 00:31:20,879 I'm-I'm so sorry. 607 00:31:23,675 --> 00:31:25,618 I never should have walked out of that door. 608 00:31:25,642 --> 00:31:28,541 I'm sorry. 609 00:31:31,156 --> 00:31:34,124 Here, um Why don't you sit down? 610 00:31:38,335 --> 00:31:39,336 Talk to us. 611 00:31:40,381 --> 00:31:43,531 My BP is dropping. My O2 sat's at 85. 612 00:31:43,556 --> 00:31:45,602 - Don't panic. We got you. 613 00:31:45,627 --> 00:31:47,146 Deep long breaths, okay? 614 00:31:47,221 --> 00:31:49,223 There's decreased cardiac contractility. 615 00:31:49,248 --> 00:31:51,268 All right, Jo, we're gonna place the Impella, 616 00:31:51,293 --> 00:31:52,535 so we're gonna take you to the cath 617 00:31:52,559 --> 00:31:53,800 lab while you're still stable, okay? 618 00:31:53,825 --> 00:31:56,682 - Luna's puppy is missing... 619 00:31:56,707 --> 00:31:58,375 - Did her EF drop? - It's too low. 620 00:31:58,399 --> 00:31:59,883 She's gonna need the heart pump. 621 00:32:00,134 --> 00:32:02,136 It's gonna be okay. It's gonna be okay. 622 00:32:02,161 --> 00:32:04,163 Winston's done this hundreds of times. 623 00:32:04,188 --> 00:32:06,469 I won't, but I could do it with my eyes closed. All right? 624 00:32:06,494 --> 00:32:08,496 And I'll be right here waiting for you, okay? 625 00:32:08,652 --> 00:32:10,240 I love you. Do you hear me? 626 00:32:10,354 --> 00:32:12,356 Do you hear me? I love you so much. 627 00:32:13,448 --> 00:32:16,088 This won't take long. We'll let you know when she's done, all right? 628 00:32:19,990 --> 00:32:21,163 Clear! 629 00:32:33,088 --> 00:32:34,287 Hey. 630 00:32:34,312 --> 00:32:36,827 I did a thoracotomy today, on my own, and brought the patient back 631 00:32:36,851 --> 00:32:38,266 - with cardiac massage. - Nice. 632 00:32:38,291 --> 00:32:40,209 - He arrived DOA, but... - I don't mean to cut you off, 633 00:32:40,234 --> 00:32:41,487 - but I really gotta... - Oh, no, no. Go. 634 00:32:41,511 --> 00:32:42,905 I do want to hear though. 635 00:32:42,930 --> 00:32:44,348 I'm going to have a drink at Joe's 636 00:32:44,372 --> 00:32:46,181 tonight to celebrate if you want to join. 637 00:32:46,205 --> 00:32:48,138 - I'll see you there. - Okay. 638 00:32:55,628 --> 00:32:58,148 Adams, impressive work on that wound vac. 639 00:32:58,173 --> 00:33:00,815 You did what a fellow and two plastics residents couldn't. 640 00:33:00,840 --> 00:33:03,326 What can I say? I guess I really want in on that TRAM flap. 641 00:33:04,568 --> 00:33:05,811 Don't be late. 642 00:33:05,980 --> 00:33:07,119 Dr. Mohanty. 643 00:33:09,121 --> 00:33:12,344 Dr. Spencer was instrumental in placing the wound vac. 644 00:33:12,424 --> 00:33:14,150 Can she, uh, scrub in too? 645 00:33:14,899 --> 00:33:16,971 Sure. See you up there. 646 00:33:19,894 --> 00:33:21,344 You didn't have to do that. 647 00:33:21,369 --> 00:33:23,286 I know I didn't really help, so 648 00:33:23,311 --> 00:33:24,864 You got me in the room. 649 00:33:27,143 --> 00:33:30,939 When I was an intern, I hated when senior residents would dismiss me. 650 00:33:31,078 --> 00:33:35,220 Now I know they were just in a rush and everybody is scared of messing up. 651 00:33:35,245 --> 00:33:36,798 It's not personal. 652 00:33:37,827 --> 00:33:39,794 But it's also not a good excuse either. 653 00:33:41,122 --> 00:33:43,021 Make sure to review his imaging before we start. 654 00:33:47,542 --> 00:33:49,475 Well, what was your snack today? 655 00:33:49,613 --> 00:33:51,926 Oh, yeah? Yum. 656 00:33:52,720 --> 00:33:54,411 Oh, hang on, Daddy's here. 657 00:33:55,102 --> 00:33:56,965 - Want to say good night? It's Allison. - Yeah. 658 00:33:56,990 --> 00:33:59,164 Hey. Hey, Allie, how was your day? 659 00:33:59,865 --> 00:34:02,799 No, no, no more naked ladies. 660 00:34:02,937 --> 00:34:04,939 No, we're gonna talk about that tomorrow, yeah. 661 00:34:05,842 --> 00:34:07,499 Okay, I love you. Good night. 662 00:34:09,457 --> 00:34:10,769 Hey, I'll be home before 663 00:34:11,672 --> 00:34:13,915 - And she hung up. 664 00:34:16,628 --> 00:34:18,548 Listen, Maisie is in the ICU. 665 00:34:18,573 --> 00:34:20,851 We saved her leg, but we had to keep her open, 666 00:34:20,989 --> 00:34:22,309 so we're doing a washout tomorrow. 667 00:34:22,479 --> 00:34:23,480 Good. 668 00:34:29,308 --> 00:34:32,656 Okay. I'm ready. Let me have it. 669 00:34:35,038 --> 00:34:37,774 All day I have stopped myself from picking a fight with you, 670 00:34:37,799 --> 00:34:40,216 and now you are literally asking for it. 671 00:34:40,354 --> 00:34:42,563 I don't want to. I am so sick of fighting. 672 00:34:43,598 --> 00:34:45,117 And the truth is, I have no business 673 00:34:45,142 --> 00:34:47,455 having feelings about who you're sleeping with. 674 00:34:48,032 --> 00:34:49,654 But still, it it was 675 00:34:51,330 --> 00:34:53,815 It was hard seeing you with someone else. 676 00:34:55,306 --> 00:34:58,274 Especially someone who you have a history with. 677 00:35:00,542 --> 00:35:02,371 I don't love seeing you with Cass either. 678 00:35:03,549 --> 00:35:04,560 Fair. 679 00:35:04,585 --> 00:35:06,880 This morning... when you were under 680 00:35:06,905 --> 00:35:10,625 that bus, I was I was worried. 681 00:35:10,763 --> 00:35:11,833 I... 682 00:35:12,349 --> 00:35:16,077 I was thinking... maybe we're rushing all of this. 683 00:35:21,429 --> 00:35:23,466 Don't you wish that we could just... 684 00:35:24,398 --> 00:35:26,331 fast-forward to where we have it all figured out. 685 00:35:28,712 --> 00:35:30,794 And miss the look on your face this morning? 686 00:35:30,818 --> 00:35:33,786 - Yeah, that would have been great. 687 00:35:37,319 --> 00:35:42,152 I don't think we're rushing it. It's... it's complicated. 688 00:35:46,316 --> 00:35:47,766 But we'll figure it out. 689 00:35:49,758 --> 00:35:50,793 Yeah. 690 00:35:53,220 --> 00:35:54,911 - Good night. - Good night. 691 00:36:04,896 --> 00:36:06,304 We'll get access through the femoral, 692 00:36:06,328 --> 00:36:07,657 feed it up to the left ventricle, 693 00:36:07,682 --> 00:36:10,108 check our placement under fluoro, secure it in place, 694 00:36:10,133 --> 00:36:11,238 and then we're out of here. 695 00:36:11,263 --> 00:36:13,180 - What now? 696 00:36:13,318 --> 00:36:15,976 I'm not getting any fetal heart tones on baby A. 697 00:36:16,001 --> 00:36:18,521 - Her cardiac reserve is collapsing. - No tones on baby B. 698 00:36:18,659 --> 00:36:20,281 Is Jo stable enough for a section? 699 00:36:20,306 --> 00:36:23,771 - At the moment, yes. Page OB. - We just did. 700 00:36:26,323 --> 00:36:27,950 I can't stand here just doing nothing. 701 00:36:27,974 --> 00:36:29,602 I'm gonna go see if I can find someone. 702 00:36:36,263 --> 00:36:39,335 Mr. Dominguez in bed four is ready for discharge. 703 00:36:39,417 --> 00:36:40,866 I'll go check on him. 704 00:36:41,013 --> 00:36:42,291 You did good today. 705 00:36:43,856 --> 00:36:45,755 - What was that? 706 00:36:45,893 --> 00:36:47,343 - You heard me. 707 00:36:47,935 --> 00:36:51,381 Mmm. A compliment from Dr. Griffith. I didn't think you had it in you. 708 00:36:51,406 --> 00:36:53,669 You prioritized a patient over a procedure. 709 00:36:53,694 --> 00:36:55,074 Not everyone would. 710 00:36:55,220 --> 00:36:56,255 Thank you. 711 00:36:59,147 --> 00:37:02,412 - We should grab a drink later. - That wasn't an opening. 712 00:37:02,841 --> 00:37:07,811 I was giving you constructive feedback in a professional setting. 713 00:37:09,123 --> 00:37:12,333 - We're in a supply closet. 714 00:37:16,001 --> 00:37:17,865 I should go check on Mr. Dominguez. 715 00:37:17,890 --> 00:37:19,961 Or you could stay here. 716 00:37:20,764 --> 00:37:21,868 With me. 717 00:37:27,453 --> 00:37:28,454 I can't. 718 00:37:30,386 --> 00:37:32,802 All good. 719 00:37:33,766 --> 00:37:35,561 I'll see you. 720 00:37:48,266 --> 00:37:49,997 Adams got the surgery. 721 00:37:50,667 --> 00:37:51,875 I got a trauma. 722 00:37:52,718 --> 00:37:53,926 You can't have it all. 723 00:37:53,951 --> 00:37:56,328 Besides, there'll be more. 724 00:37:57,413 --> 00:38:00,071 - You sound awfully sure about that. - I know myself. 725 00:38:00,096 --> 00:38:01,965 If I want something bad enough, I'll 726 00:38:01,989 --> 00:38:03,858 do everything in my power to get it. 727 00:38:03,949 --> 00:38:06,469 And what you want is a TRAM flap. 728 00:38:07,716 --> 00:38:08,924 Yep. 729 00:38:10,216 --> 00:38:11,769 Is that all you want? 730 00:38:26,062 --> 00:38:28,789 The hardest thing about waiting is knowing when to stop. 731 00:38:29,824 --> 00:38:31,550 Instinct may tell you one thing, 732 00:38:32,379 --> 00:38:34,519 and experience tells you another. 733 00:38:35,382 --> 00:38:36,417 Nora? 734 00:38:36,523 --> 00:38:38,939 Hey, what are you what are you doing here? 735 00:38:41,055 --> 00:38:42,195 You okay? 736 00:38:44,049 --> 00:38:45,464 I can't do this. 737 00:38:46,122 --> 00:38:49,256 Do w-what, us? 738 00:38:49,465 --> 00:38:54,193 If this is about this morning, Teddy and I, we talked, and she's okay. 739 00:38:54,987 --> 00:38:56,126 And I'm not. 740 00:38:58,681 --> 00:38:59,958 Teddy's more than my surgeon. 741 00:38:59,983 --> 00:39:03,262 She saved my life with a procedure she invented. 742 00:39:03,513 --> 00:39:05,393 If I get a cold, I can't just go to urgent care. 743 00:39:05,446 --> 00:39:07,359 I have to call Teddy because she's 744 00:39:07,383 --> 00:39:09,588 the only one who understands my body. 745 00:39:11,038 --> 00:39:12,522 I text her when I have a fever. 746 00:39:12,547 --> 00:39:15,240 I call her when I want to take an ibuprofen. I 747 00:39:18,217 --> 00:39:19,966 You're trying to divorce yourself from 748 00:39:19,990 --> 00:39:21,738 her, but I'm getting more entangled. 749 00:39:22,946 --> 00:39:24,362 I see. 750 00:39:24,500 --> 00:39:27,054 I want to believe that we can make it work too, but I just 751 00:39:28,366 --> 00:39:29,919 I don't... I don't see how. 752 00:39:32,542 --> 00:39:36,201 We found ourselves together a second time. 753 00:39:36,339 --> 00:39:37,927 Maybe we'll get a third. 754 00:39:40,722 --> 00:39:41,723 Yeah. 755 00:39:47,222 --> 00:39:48,983 All you can do is pay attention. 756 00:39:50,681 --> 00:39:55,686 Glen's out of surgery. He's hanging on. 757 00:39:57,912 --> 00:40:00,812 You were right to push. 758 00:40:01,137 --> 00:40:02,439 I'm glad to hear it. 759 00:40:04,471 --> 00:40:06,265 This may not be the time, 760 00:40:06,290 --> 00:40:10,728 but I want to talk to you about reinstating my lecture series. 761 00:40:10,753 --> 00:40:14,041 Now I know you have your reasons for canceling it, 762 00:40:14,066 --> 00:40:17,622 but I had my reasons for starting it. 763 00:40:17,760 --> 00:40:22,558 My reasoning may not stand. I've been a little distracted. 764 00:40:24,037 --> 00:40:26,212 Dr. Freeman and I don't share a patient. 765 00:40:28,025 --> 00:40:29,199 I am the patient. 766 00:40:30,672 --> 00:40:31,742 What? 767 00:40:31,912 --> 00:40:36,330 He gave me my biopsy results. 768 00:40:37,472 --> 00:40:38,645 I have cancer. 769 00:40:45,599 --> 00:40:47,799 - Where's OB? - On the other side of the hospital 770 00:40:47,824 --> 00:40:49,930 and have multiple emergent deliveries right now. 771 00:40:50,758 --> 00:40:52,460 - What are you doing? - We have to deliver these babies. 772 00:40:52,484 --> 00:40:56,049 We? Look, I haven't done a C-section since med school. 773 00:40:56,074 --> 00:40:57,696 You know where the uterus is? 774 00:40:58,250 --> 00:41:00,908 - Yes, I-I-I do. - Then you can do this. 775 00:41:01,261 --> 00:41:03,781 And hope that when the time finally comes 776 00:41:03,806 --> 00:41:04,979 Now. 777 00:41:17,475 --> 00:41:19,994 Okay. All right. Stay with me, Wilson. 778 00:41:20,132 --> 00:41:22,065 Come on. Stay with me. 779 00:41:22,090 --> 00:41:23,333 you'll be ready. 780 00:41:27,879 --> 00:41:32,879 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 781 00:41:35,054 --> 00:41:39,196 One in eight men will be diagnosed with prostate cancer in their lifetime. 782 00:41:39,943 --> 00:41:42,463 For Black men, the risk is even higher. 783 00:41:43,181 --> 00:41:46,149 Fortunately, prostate cancer is highly treatable, 784 00:41:46,411 --> 00:41:48,828 but early detection is the key. 785 00:41:48,935 --> 00:41:52,248 And sometimes there are no noticeable symptoms. 786 00:41:52,953 --> 00:41:55,384 For years, I've worked with Black Health Matters 787 00:41:55,409 --> 00:41:58,688 to urge men to get screened regularly, 788 00:41:58,826 --> 00:42:00,483 starting with a simple blood test. 789 00:42:01,346 --> 00:42:06,524 Today, I'm living proof that early detection works. 790 00:42:07,469 --> 00:42:11,162 If you're Black or prostate cancer runs in your family, 791 00:42:11,316 --> 00:42:15,009 talk to your doctor about getting screened starting at age 40. 792 00:42:15,116 --> 00:42:18,603 To learn more, go to blackhealthmatters.com.