1 00:00:03,222 --> 00:00:06,308 In order to be designated a Level 1 trauma center, 2 00:00:06,333 --> 00:00:08,799 hospitals must meet a variety of requirements. 3 00:00:08,824 --> 00:00:10,122 Ooh! What are you doing? 4 00:00:10,146 --> 00:00:11,533 Get out of the way. I'm almost to the next level. 5 00:00:11,558 --> 00:00:13,010 I am cleaning up Katie's stuff. 6 00:00:13,035 --> 00:00:15,250 Does it have to be right now? I haven't played in days. 7 00:00:15,275 --> 00:00:18,278 Oh, I'm sorry the dying patient got in the way of your video games. 8 00:00:19,789 --> 00:00:22,000 Hey, can you give this to Lucas? 9 00:00:22,751 --> 00:00:24,086 Give it to him yourself. 10 00:00:24,868 --> 00:00:28,205 They must maintain usable ORs within 15 minutes, 11 00:00:28,230 --> 00:00:31,099 employ a minimum number of certified specialists... 12 00:00:31,124 --> 00:00:32,681 No. 13 00:00:32,706 --> 00:00:35,416 and admit at least 1,200 trauma patients a year. 14 00:00:36,885 --> 00:00:39,220 Hospitals in big cities pass the test easily. 15 00:00:40,754 --> 00:00:42,548 But the farther away you get... 16 00:00:42,730 --> 00:00:45,392 Adams? Come on. It's morning. 17 00:00:45,659 --> 00:00:47,119 Mmm. 18 00:00:47,810 --> 00:00:51,469 I know Katie was a tough... loss. I'm feeling it too. 19 00:00:51,494 --> 00:00:54,122 If you want me to find someone else for your assignment... 20 00:00:54,147 --> 00:00:56,233 No, I'm good. I'm good. I'm going. 21 00:00:56,386 --> 00:00:59,276 hospitals are Level 2, 3, even 4, 22 00:00:59,409 --> 00:01:00,968 and sometimes all they can do is 23 00:01:00,992 --> 00:01:02,948 transfer people to get the care they need 24 00:01:02,973 --> 00:01:04,225 and hope they hang on. 25 00:01:06,734 --> 00:01:09,070 We shouldn't be doing this. We have to stop. 26 00:01:09,701 --> 00:01:10,702 Uh-huh. 27 00:01:11,640 --> 00:01:15,477 Iris is back from vacation today. What if she walks in here? 28 00:01:15,502 --> 00:01:18,213 Why would an L&D nurse go into a CCU closet? 29 00:01:21,354 --> 00:01:22,355 Um... 30 00:01:22,801 --> 00:01:26,763 She... Listen. She doesn't deserve to be treated like this. 31 00:01:26,788 --> 00:01:28,414 I have to break it off. 32 00:01:28,658 --> 00:01:30,034 When are you going to talk to her? 33 00:01:30,601 --> 00:01:33,320 - As soon as humanly possible. - Uh-huh. 34 00:01:34,187 --> 00:01:36,815 Uh, we were just looking for... 35 00:01:36,840 --> 00:01:38,750 - Gauze. - Yeah. 36 00:01:38,884 --> 00:01:40,010 I don't care. 37 00:01:42,504 --> 00:01:44,756 Oh, I actually do need to grab a Cordis kit. 38 00:01:44,781 --> 00:01:47,392 - I'll see you at rounds. - Okay. 39 00:01:55,226 --> 00:01:57,919 - I'm freezing my eggs. - Still don't care. 40 00:02:05,234 --> 00:02:07,971 Richard. Hey, are you gonna change? 41 00:02:07,996 --> 00:02:09,756 Uh, we're hitting the road in a half an hour. 42 00:02:09,879 --> 00:02:11,703 Oh, I'm heading out, but not to Enumclaw. 43 00:02:11,983 --> 00:02:13,994 - Why? - Well, my schedule changed. 44 00:02:14,019 --> 00:02:15,145 Didn't you see my email? 45 00:02:15,392 --> 00:02:16,560 - No. - Well, uh, I... 46 00:02:17,064 --> 00:02:19,816 I forgot to hit send. 47 00:02:19,841 --> 00:02:22,677 I told Cascade Hill I'm bringing them four surgeons. 48 00:02:22,819 --> 00:02:25,197 Well-Well, you will. I got you a backup. 49 00:02:25,222 --> 00:02:26,515 Oh, here she comes. 50 00:02:26,765 --> 00:02:28,141 - Hey. - Hey. 51 00:02:28,784 --> 00:02:31,078 - Hey, hi. - Um... 52 00:02:31,161 --> 00:02:32,430 have fun out there. 53 00:02:32,454 --> 00:02:33,789 Thanks. 54 00:02:33,814 --> 00:02:36,141 Listen, if you're too busy for this, I can just take the residents. 55 00:02:36,166 --> 00:02:37,959 Oh, oh, Richard asked for a favor. 56 00:02:37,984 --> 00:02:39,444 I made time, but I... 57 00:02:39,586 --> 00:02:41,522 - I mean, If you don't want me to go... - No, no, no, no. 58 00:02:41,546 --> 00:02:43,465 These patients need all the help they can get. 59 00:02:43,837 --> 00:02:45,005 Right. 60 00:02:46,885 --> 00:02:48,828 I love field trips. 61 00:02:49,012 --> 00:02:50,530 - Are you excited? - Not really. 62 00:02:50,555 --> 00:02:53,016 Well, Dr. Hunt said last time he volunteered at Enumclaw, 63 00:02:53,041 --> 00:02:54,826 there was a guy that was crushed by a horse. 64 00:02:55,062 --> 00:02:56,147 Cool. 65 00:02:56,770 --> 00:02:58,131 If you're not interested in rural medicine, 66 00:02:58,155 --> 00:02:59,869 then why did you volunteer? 67 00:02:59,894 --> 00:03:02,021 I was looking for some peace and quiet. 68 00:03:04,361 --> 00:03:06,279 Adams, hi. Are you coming too? 69 00:03:06,304 --> 00:03:08,723 - No. - Hey, I texted you about Katie... 70 00:03:09,931 --> 00:03:12,478 - Is he okay? - Clearly wouldn't know. 71 00:03:12,635 --> 00:03:15,013 - Okay, did you pack up all the supplies? - Yes. 72 00:03:15,093 --> 00:03:16,933 - All right, let's go. - Oh, I made a playlist. 73 00:03:19,213 --> 00:03:21,049 - I-I also brought earbuds, so... - Great. 74 00:03:23,617 --> 00:03:24,743 Okay. 75 00:03:25,543 --> 00:03:27,462 - Hi. - Planning a vacation? 76 00:03:27,592 --> 00:03:29,766 If all goes well, we're gonna 77 00:03:29,790 --> 00:03:32,389 take a road trip, see some national parks. 78 00:03:32,472 --> 00:03:36,017 Oh, Yosemite is one of my favorite places on Earth. 79 00:03:36,042 --> 00:03:38,176 - Mmm. - I don't like nature. 80 00:03:38,279 --> 00:03:40,531 He's warming up to the idea. 81 00:03:41,572 --> 00:03:43,115 I'm gonna go get some food. 82 00:03:44,853 --> 00:03:46,313 Hmm. 83 00:03:46,338 --> 00:03:50,283 They say God made teenagers so it's easier to let them go. 84 00:03:50,782 --> 00:03:52,826 - Kwan. - Quinn Durston, 43, 85 00:03:52,851 --> 00:03:55,053 - with stage 4 hepatocellular carcinoma. - Mm-hmm. 86 00:03:55,220 --> 00:03:58,498 He's had chemo and radiation. Now presenting with biliary stenosis. 87 00:03:58,523 --> 00:04:00,767 He's scheduled for an ERCP to place a stent. 88 00:04:00,792 --> 00:04:03,061 Waiting to hear from the FDA whether we can implant 89 00:04:03,086 --> 00:04:05,881 a synthetic lymph node for compassionate use. 90 00:04:05,964 --> 00:04:07,466 So there's still no decision? 91 00:04:07,491 --> 00:04:09,838 I'll be following up right after this. 92 00:04:10,802 --> 00:04:12,304 Do they know that I'm a single dad, 93 00:04:12,611 --> 00:04:15,574 and if this treatment really could give me more time, 94 00:04:15,599 --> 00:04:17,184 that'd be life-changing for Logan. 95 00:04:17,267 --> 00:04:18,866 Unfortunately, they're only 96 00:04:18,890 --> 00:04:20,812 looking at the medical facts of the case. 97 00:04:20,955 --> 00:04:22,456 Let me worry about the FDA. 98 00:04:22,481 --> 00:04:23,648 In the meantime, Dr. Kwan? 99 00:04:23,673 --> 00:04:26,759 - I'll run pre-op labs for the stent. - Good. 100 00:04:33,975 --> 00:04:37,214 Okay. Right. Here we are. 101 00:04:37,913 --> 00:04:39,731 Dr. Hunt. So good to see you. 102 00:04:39,755 --> 00:04:40,738 Dr. Braider. 103 00:04:40,763 --> 00:04:42,765 - Come here. - Oh. 104 00:04:43,126 --> 00:04:45,337 This is Dr. Altman, Dr. Griffith, Dr. Spencer. 105 00:04:45,362 --> 00:04:48,273 This is Dr. Lorna Braider. She is in family medicine. 106 00:04:48,298 --> 00:04:51,471 And OB, orthopedic, pediatric, geriatric, 107 00:04:51,496 --> 00:04:53,332 basically anything that comes in those doors. 108 00:04:53,696 --> 00:04:55,364 Keeps things exciting around here. 109 00:04:57,474 --> 00:04:59,326 - Why don't you put us to work? - Absolutely. 110 00:04:59,351 --> 00:05:01,887 We've got a head lac in bed 3, abscess in bed 2. 111 00:05:01,912 --> 00:05:04,915 Everything should be easy to find, but Dr. Hunt knows his way around. 112 00:05:04,940 --> 00:05:06,775 I can take the head lac. 113 00:05:07,330 --> 00:05:08,664 Yeah, I'm on it. 114 00:05:08,854 --> 00:05:11,379 Okay. All right, well, we've got some supplies in the van. 115 00:05:11,404 --> 00:05:13,907 - I'll go get them. - You are a literal lifesaver. 116 00:05:13,932 --> 00:05:16,218 Oh. Hang on. Hold on those supplies. 117 00:05:16,243 --> 00:05:17,828 Incoming rig. Let's go. 118 00:05:18,387 --> 00:05:21,515 May not be a big city, but there is rarely a dull moment. 119 00:05:24,334 --> 00:05:27,212 June Rojas, 23, fell while rafting the Green River. 120 00:05:27,294 --> 00:05:29,532 - Trauma to the left arm. - Where's Keaton? 121 00:05:29,557 --> 00:05:31,358 - Vitals stable. - Where's Keaton? 122 00:05:31,383 --> 00:05:33,444 - We dressed the injury at the scene. - You want to take the lead, 123 00:05:33,468 --> 00:05:35,571 - see what it's like to be in charge here? - June? 124 00:05:35,595 --> 00:05:37,572 I'm Dr. Hunt. This is Dr. Braider and Dr. Altman. 125 00:05:37,597 --> 00:05:38,971 We're gonna take care of your arm, okay? 126 00:05:38,996 --> 00:05:40,049 Have they found him? 127 00:05:40,074 --> 00:05:41,159 - Who's him? - Boyfriend. 128 00:05:41,184 --> 00:05:43,478 He's not my boyfriend. He's my soulmate. 129 00:05:43,503 --> 00:05:45,080 Search and rescue's looking now. 130 00:05:45,105 --> 00:05:47,691 Keaton has to be alive. I have to find him. 131 00:05:47,716 --> 00:05:49,151 Take me back out there. 132 00:05:49,176 --> 00:05:50,390 They're doing everything they can to 133 00:05:50,414 --> 00:05:51,754 find him, but I'm worried about your arm. 134 00:05:51,778 --> 00:05:53,526 We're gonna get you inside and clean you up, all right? 135 00:05:53,551 --> 00:05:55,424 Accomplished trauma surgeon with bedside manner. 136 00:05:55,448 --> 00:05:57,917 Like I said, perfect match for Cascade Hill. 137 00:05:58,738 --> 00:06:01,753 Are you... Were you offered a job here? 138 00:06:04,956 --> 00:06:09,956 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 139 00:06:14,926 --> 00:06:16,823 Hey, there's a range of symptoms, and 140 00:06:16,848 --> 00:06:19,114 sometimes there aren't symptoms at all. 141 00:06:19,139 --> 00:06:21,308 That's why getting screened is important. 142 00:06:21,333 --> 00:06:22,334 Well, Dr. Adams? 143 00:06:23,424 --> 00:06:25,176 I got a colonoscopy last year. 144 00:06:25,346 --> 00:06:27,912 Yeah, those don't detect prostate cancer. 145 00:06:27,937 --> 00:06:29,708 Prostate cancer screenings 146 00:06:29,733 --> 00:06:33,153 typically start with a physical exam or a blood test. 147 00:06:33,178 --> 00:06:35,463 But good for you on the colonoscopy. Keep that up. 148 00:06:35,488 --> 00:06:37,928 - I'll take one of those. For my dad. - Oh, take two. 149 00:06:37,953 --> 00:06:40,510 Black men are more likely to get it at a younger age. 150 00:06:40,691 --> 00:06:43,402 Wanna ask your doctor when you turn around 40. 151 00:06:43,872 --> 00:06:46,207 - Any other questions? - What if I just don't want to know? 152 00:06:48,084 --> 00:06:49,485 Well, that's your prerogative, but 153 00:06:49,509 --> 00:06:51,296 it's very treatable if it's caught early. 154 00:06:51,921 --> 00:06:54,658 Uh, oh, excuse me. Um, Adams. 155 00:06:55,750 --> 00:06:57,502 Um, where do you think you're going? 156 00:06:58,010 --> 00:07:02,015 Uh, we've talked to everybody, so I was gonna grab a coffee next door. 157 00:07:02,040 --> 00:07:03,658 Not quite everyone. 158 00:07:03,839 --> 00:07:09,065 I think my barber, Jones, would benefit from some conversation. 159 00:07:12,051 --> 00:07:13,731 No. No, no, no, we have an agreement, okay? 160 00:07:13,756 --> 00:07:17,268 He gives me a clean shave, and I keep my mouth shut about medicine. 161 00:07:17,781 --> 00:07:18,861 You know, church and state. 162 00:07:21,644 --> 00:07:22,978 Fine, I'll give it to him. 163 00:07:23,003 --> 00:07:24,996 No, wait a minute. That's not gonna do anything. 164 00:07:25,021 --> 00:07:26,772 You gotta find an opening to talk to him. 165 00:07:27,689 --> 00:07:29,635 You do remember how to talk, right? 166 00:07:44,657 --> 00:07:46,431 Did you put in Mr. Saks's pre-op orders? 167 00:07:46,456 --> 00:07:47,613 I did. 168 00:07:47,638 --> 00:07:49,223 Okay, maybe I should go review them. 169 00:07:49,979 --> 00:07:52,982 Do you know that cows hate bad weather? 170 00:07:53,007 --> 00:07:54,626 They'll run away from it until they get tired, 171 00:07:54,651 --> 00:07:56,128 and then the storm catches up with them. 172 00:07:56,152 --> 00:07:58,154 - Why do you know this? - But buffalo are brave. 173 00:07:58,179 --> 00:08:00,306 - There's more. - They run right into the storm, 174 00:08:00,331 --> 00:08:01,925 so they get through it... faster. 175 00:08:01,950 --> 00:08:03,952 - I'm a cow in this analogy? - Mmm. 176 00:08:03,977 --> 00:08:06,188 - Dr. Ndugu. - Run into the storm. 177 00:08:06,689 --> 00:08:09,749 - Hey, welcome back. - Thanks. Good to be back. 178 00:08:09,833 --> 00:08:11,167 Yeah, um... 179 00:08:11,192 --> 00:08:13,628 Do you have a minute? Can we talk? 180 00:08:13,653 --> 00:08:15,647 - Sure. - Happy birthday! 181 00:08:15,672 --> 00:08:17,899 - Happy birthday, Iris. - You guys are so sweet. 182 00:08:17,924 --> 00:08:20,635 - Here you go, birthday girl. - Thank you! 183 00:08:20,660 --> 00:08:22,673 - Who planned this? - Come here. 184 00:08:23,555 --> 00:08:24,764 Oh, you guys. 185 00:08:26,485 --> 00:08:27,909 - Thank you. - Have a good day. 186 00:08:27,934 --> 00:08:30,562 - Bye. Thanks. - See you later, Iris. 187 00:08:31,146 --> 00:08:33,148 So what was it that you wanted to talk about? 188 00:08:34,769 --> 00:08:36,989 Happy birthday. 189 00:08:37,014 --> 00:08:38,224 - Thank you. - Yeah. 190 00:08:39,171 --> 00:08:40,172 Uh-huh. 191 00:08:42,490 --> 00:08:43,491 It's like flour. 192 00:08:44,515 --> 00:08:45,725 Or Maldon salt. 193 00:08:46,322 --> 00:08:49,743 Except it took years and millions to make. Stop touching it. 194 00:08:50,373 --> 00:08:51,374 Okay. 195 00:08:51,399 --> 00:08:55,020 So we add a liquid diluent 196 00:08:55,045 --> 00:09:01,593 and then deliver percutaneously as close as we can to the tumor. 197 00:09:04,601 --> 00:09:06,032 There we go. 198 00:09:11,759 --> 00:09:14,039 Ah. Damn near perfect. 199 00:09:14,064 --> 00:09:16,215 - Can I try? - Mmm. 200 00:09:17,025 --> 00:09:20,403 So, after injection, it'll form a gel. 201 00:09:20,428 --> 00:09:24,415 A tiny blob training an army of immune cells 202 00:09:24,440 --> 00:09:27,952 to attack the tumor without chemo side effects. 203 00:09:28,106 --> 00:09:29,941 Huh, It's like a secret lymph node. 204 00:09:30,574 --> 00:09:32,492 Or... spy node? 205 00:09:33,374 --> 00:09:35,543 The rebel base on Yavin 4. 206 00:09:36,186 --> 00:09:38,730 They trained to destroy the Death Star? 207 00:09:38,755 --> 00:09:40,852 So we're Jedis. 208 00:09:41,305 --> 00:09:43,740 The Rebel Alliance. Have I taught you nothing? 209 00:09:43,765 --> 00:09:45,016 Here, let me see. 210 00:09:45,428 --> 00:09:47,272 My life could have been very different 211 00:09:47,296 --> 00:09:49,009 if this was around when my mom was sick. 212 00:09:49,034 --> 00:09:50,708 You and a lot of people. 213 00:09:50,912 --> 00:09:54,082 But let's not get ahead of ourselves. Still in the testing phase. 214 00:09:54,961 --> 00:09:56,254 Nice approach. 215 00:09:57,520 --> 00:09:58,751 Okay, go prep Quinn. 216 00:10:09,702 --> 00:10:10,912 - Hey. - Hey. 217 00:10:12,831 --> 00:10:14,958 Do you know if Lucas has any food allergies? 218 00:10:15,009 --> 00:10:16,385 Lucas Adams? 219 00:10:16,461 --> 00:10:18,213 Yeah, I want to order him some cookies. 220 00:10:18,453 --> 00:10:20,956 - Cookies? - Or maybe doughnuts are better? 221 00:10:21,965 --> 00:10:23,550 I'm just trying to be nice. 222 00:10:23,575 --> 00:10:25,308 Yeah, I was nice to him. You know what it got me? 223 00:10:25,355 --> 00:10:26,873 Hospice in my living room and 224 00:10:26,898 --> 00:10:28,816 blame for something that wasn't my fault. 225 00:10:28,972 --> 00:10:30,699 - I don't have to get the cookies. - Everyone says 226 00:10:30,723 --> 00:10:31,973 your co-residents are your support 227 00:10:31,998 --> 00:10:33,560 system and they'll look out for you. 228 00:10:33,585 --> 00:10:35,146 You know who's actually looking out for you? 229 00:10:35,171 --> 00:10:36,506 - Attendings? - You. 230 00:10:36,646 --> 00:10:39,190 That's it. Sooner you figure that out, the better off you'll be. 231 00:10:40,650 --> 00:10:43,258 Stop, please. It hurts. 232 00:10:43,283 --> 00:10:46,286 I know, but we need to remove the dressing to check the wound. 233 00:10:47,490 --> 00:10:49,022 No, I'm sorry, I can't. 234 00:10:49,046 --> 00:10:50,577 Looks like it's adhered to her arm. 235 00:10:50,602 --> 00:10:51,895 We're gonna give you some meds, 236 00:10:51,920 --> 00:10:54,590 then we're gonna wet the gauze with saline and try again, okay? 237 00:10:56,338 --> 00:10:58,924 We shouldn't have tried Class IV rapids on our own. 238 00:10:59,522 --> 00:11:01,316 We were halfway down before we capsized. 239 00:11:02,033 --> 00:11:03,845 I grabbed a branch, but Keaton... 240 00:11:03,870 --> 00:11:05,152 I'm so sorry. 241 00:11:09,082 --> 00:11:10,845 When we left this morning, I never thought 242 00:11:10,869 --> 00:11:12,544 by the end of the day he will be gone. 243 00:11:15,101 --> 00:11:16,574 We don't know anything yet. 244 00:11:16,599 --> 00:11:18,855 Let's just take it one step at a time, okay? 245 00:11:22,055 --> 00:11:23,407 We were called for a consult. 246 00:11:24,235 --> 00:11:25,862 This is Patricia Kim. 247 00:11:25,887 --> 00:11:30,175 She's transferred from OB post C-section for spontaneous pneumothorax. 248 00:11:30,200 --> 00:11:32,431 She has a persistent air leak in her chest tube. 249 00:11:32,456 --> 00:11:33,957 Your name's Iris, right? 250 00:11:34,824 --> 00:11:37,322 Is that your birthday cake in the third floor break room? 251 00:11:37,832 --> 00:11:39,537 - That's me. - Love Funfetti. 252 00:11:39,562 --> 00:11:40,981 - Happy birthday. - Thanks. 253 00:11:41,920 --> 00:11:44,255 What are you doing to celebrate? 254 00:11:44,339 --> 00:11:46,447 I'm going out tonight with a few friends 255 00:11:46,472 --> 00:11:48,798 and, um, this guy that I'm seeing. 256 00:11:49,385 --> 00:11:51,596 The guy you're seeing? How nice. 257 00:11:51,621 --> 00:11:54,457 Assuming no one needs a triple bypass later. 258 00:11:54,661 --> 00:11:57,330 He's a cardiothoracic surgeon. 259 00:11:57,894 --> 00:11:59,687 Sounds like a keeper. 260 00:11:59,896 --> 00:12:03,566 Can you set up for bedside talc pleurodesis, and... 261 00:12:05,818 --> 00:12:06,819 page Dr. Ndugu. 262 00:12:07,504 --> 00:12:09,631 Come on. You'll bring your board. 263 00:12:10,187 --> 00:12:12,189 We'll stop at all the best skate parks. 264 00:12:13,758 --> 00:12:15,510 That'll just make the trip take longer. 265 00:12:23,253 --> 00:12:24,671 Did you hear back? 266 00:12:26,369 --> 00:12:27,662 They said no. 267 00:12:27,754 --> 00:12:30,151 They did. Quinn, I'm so sorry. 268 00:12:30,176 --> 00:12:31,319 Did they give a reason? 269 00:12:31,344 --> 00:12:33,221 No. They usually don't. 270 00:12:33,319 --> 00:12:34,696 So what now? 271 00:12:34,872 --> 00:12:37,409 Uh, we will place the stent as planned 272 00:12:37,433 --> 00:12:39,747 and then back to the drawing board. 273 00:12:40,270 --> 00:12:41,871 Will I have to start chemo again? 274 00:12:41,896 --> 00:12:43,981 That'll be up to your oncologist. 275 00:12:45,400 --> 00:12:48,528 There's other innovations in the pipeline, 276 00:12:48,689 --> 00:12:51,817 and we will look into every single one of them. 277 00:12:53,385 --> 00:12:55,220 See? It'll be okay. 278 00:12:58,266 --> 00:13:00,310 I'll take him upstairs for the stent. 279 00:13:11,567 --> 00:13:13,903 How's your pain? You need more meds? 280 00:13:13,928 --> 00:13:16,848 I'm okay. Nothing compares to the pain in my heart. 281 00:13:17,253 --> 00:13:19,284 - Chest pain? - If Keaton's not in my life, 282 00:13:19,309 --> 00:13:20,714 it's not worth saving. 283 00:13:21,320 --> 00:13:22,862 Well, we're gonna try anyway, okay? 284 00:13:23,961 --> 00:13:26,249 - Whoa. Okay. - She has pulsatile bleeding. 285 00:13:26,274 --> 00:13:29,419 Right. The radial artery is partially transected. 286 00:13:29,444 --> 00:13:32,011 Let's check collateral circulation. 287 00:13:32,697 --> 00:13:35,134 The ulnar's not gonna be enough. We're gonna have to repair it. 288 00:13:35,158 --> 00:13:37,177 I'm gonna place a tourniquet. Let's hang a liter of LR. 289 00:13:37,201 --> 00:13:39,454 Dr. Hunt, we could use your help over here. 290 00:13:39,479 --> 00:13:41,764 Griffith and Spencer, take over here now, please. 291 00:13:41,789 --> 00:13:43,684 Okay. I got a male. Found him near the Green River. 292 00:13:43,708 --> 00:13:44,935 He's got multiple lacs and abrasions 293 00:13:44,959 --> 00:13:46,961 with severe ecchymosis on the left abdominal wall. 294 00:13:46,986 --> 00:13:48,698 Airway's secure, GCS is 15, 295 00:13:48,723 --> 00:13:52,050 and I got a body temp of 96.7. We put every blanket we had on him. 296 00:13:52,075 --> 00:13:54,886 On my count. Ready? One, two, three, go. 297 00:13:55,845 --> 00:13:57,033 All right, can we get in there? 298 00:13:57,057 --> 00:14:00,704 - We're gonna check you out, Mister... - Uh, Keaton. Keaton Pathak. 299 00:14:00,786 --> 00:14:01,617 Keaton? 300 00:14:01,642 --> 00:14:03,144 - June? - No, no, no. 301 00:14:03,169 --> 00:14:05,472 - Oh, my God, you're alive! - No thanks to you. 302 00:14:05,497 --> 00:14:07,457 You let go of my hand, you crazy bitch! 303 00:14:07,482 --> 00:14:09,793 - That's not what happened. - You're gonna pull out your IV. 304 00:14:09,817 --> 00:14:12,087 - Please calm down. - He has it wrong. He needs to know. 305 00:14:12,111 --> 00:14:14,113 - Keep her the hell away from me! - Just stay down. 306 00:14:16,128 --> 00:14:17,629 You're right, never a dull moment. 307 00:14:25,339 --> 00:14:28,870 Um, Phillips-head. Phillips-head. 308 00:14:30,046 --> 00:14:32,173 I got it. Is this like what you do at the hospital? 309 00:14:32,198 --> 00:14:35,201 Well, I'm a surgeon, so usually I would be the one using the tools. 310 00:14:35,760 --> 00:14:37,261 Don't even think about that. 311 00:14:37,345 --> 00:14:40,198 No one operates on this chair but me. 312 00:14:40,223 --> 00:14:42,225 I'm just here for prostate cancer. 313 00:14:42,354 --> 00:14:43,814 Uh-huh. Hex wrench. 314 00:14:45,766 --> 00:14:46,850 Thank you. 315 00:14:47,253 --> 00:14:50,333 You know, Richard is a good man. 316 00:14:50,358 --> 00:14:52,284 I was happy to volunteer my shop, and 317 00:14:52,309 --> 00:14:54,729 he's going to help a lot of people. 318 00:14:56,239 --> 00:14:58,370 Yeah. Uh, yeah. 319 00:14:58,811 --> 00:15:01,800 Hey, so have you ever had a prostate exam? 320 00:15:03,417 --> 00:15:04,418 I beg your pardon? 321 00:15:04,443 --> 00:15:06,766 I mean, I could, uh, set up an appointment. We could... 322 00:15:06,791 --> 00:15:08,251 Save it. 323 00:15:08,276 --> 00:15:11,034 - Can you at least read the pamphlet? - No. 324 00:15:11,306 --> 00:15:14,142 And tell Richard I'm not interested. 325 00:15:15,216 --> 00:15:16,843 Well, I know he put you up to this. 326 00:15:16,988 --> 00:15:18,907 You're the boss. 327 00:15:20,346 --> 00:15:22,723 - He's not interested. - I knew that. You gotta keep trying. 328 00:15:22,748 --> 00:15:24,416 Well, I've been trying all morning. 329 00:15:30,064 --> 00:15:31,744 Pupils equal and reactive. 330 00:15:31,769 --> 00:15:33,251 Everything just happened so fast. 331 00:15:33,276 --> 00:15:35,045 I had a lot of time to replay it in my head 332 00:15:35,069 --> 00:15:37,463 while I was drowning in the freezing-ass Green River. 333 00:15:37,488 --> 00:15:39,085 Second IV's in. Let's push warm 334 00:15:39,110 --> 00:15:41,050 fluids and four milligrams of morphine. 335 00:15:41,075 --> 00:15:43,303 One large contusion on the left chest and one on the right arm. 336 00:15:43,327 --> 00:15:45,848 - He needs X-rays and a FAST exam. - You know how much I love you. 337 00:15:45,872 --> 00:15:48,541 And you decided to let go of me, okay? I saw it. 338 00:15:48,566 --> 00:15:51,185 And since you didn't die, you're dead to me. 339 00:15:51,210 --> 00:15:52,561 You don't mean that. Keaton! 340 00:15:52,586 --> 00:15:53,646 - Try not to move. - Okay, 341 00:15:53,671 --> 00:15:55,158 there's free fluid around the spleen. 342 00:15:55,183 --> 00:15:56,190 We gotta get her out of here. 343 00:15:56,215 --> 00:15:58,193 - BP keeps dropping. - Let's push more fluids. 344 00:15:58,217 --> 00:16:00,154 Dr. Braider, do you have a procedure room we could use? 345 00:16:00,178 --> 00:16:02,172 - Down the hall on your right. - Thank you. Let's go. 346 00:16:02,197 --> 00:16:03,698 No, I want to stay. 347 00:16:03,723 --> 00:16:05,850 They'll bring you back after they wash your arm out. 348 00:16:05,875 --> 00:16:07,952 We need to evacuate him to a Level 1 trauma center ASAP. 349 00:16:07,977 --> 00:16:09,872 - He is not stable. - Then we'll keep pushing fluids. 350 00:16:09,896 --> 00:16:12,064 Hopefully that'll tide him over until we get the blood. 351 00:16:12,089 --> 00:16:14,375 Spoken like a rural hospital doctor. I'll call in the transport order. 352 00:16:14,400 --> 00:16:15,818 I'll get him prepped. Thank you. 353 00:16:21,266 --> 00:16:22,267 How'd it go? 354 00:16:22,684 --> 00:16:24,370 Oh, the stent's in place. 355 00:16:25,036 --> 00:16:27,542 So your biliary stenosis symptoms should improve. 356 00:16:28,503 --> 00:16:30,183 If you're looking for Logan, 357 00:16:30,208 --> 00:16:33,085 I saw him chatting up a volunteer at the nurses' station. 358 00:16:35,463 --> 00:16:37,256 He's a good kid. 359 00:16:37,281 --> 00:16:38,532 He's going through a lot. 360 00:16:39,234 --> 00:16:41,569 His mother left when he was nine months old. 361 00:16:41,594 --> 00:16:43,679 It's been just the two of us ever since. 362 00:16:43,763 --> 00:16:46,525 My dad and I took a national parks trip 363 00:16:46,549 --> 00:16:49,310 the summer before I went off to college. 364 00:16:49,452 --> 00:16:50,453 I didn't want to go. 365 00:16:50,478 --> 00:16:52,230 I was annoyed that he woke me up at dawn 366 00:16:52,255 --> 00:16:55,708 to go fly-fish in creeks that were cold as hell, 367 00:16:55,733 --> 00:16:58,611 but now I cherish those memories. 368 00:17:00,458 --> 00:17:03,295 It was our last hurrah before I became my own person. 369 00:17:06,361 --> 00:17:07,904 I wanted that for Logan. 370 00:17:08,788 --> 00:17:10,706 There are other drugs you haven't tried, 371 00:17:10,790 --> 00:17:13,584 and we're still looking for other compassionate care 372 00:17:13,668 --> 00:17:15,378 and clinical trial options. 373 00:17:15,843 --> 00:17:18,487 What are the odds that Dr. Bailey finds something? 374 00:17:19,441 --> 00:17:20,526 You only need one. 375 00:17:23,552 --> 00:17:24,612 - Oof. - Are you okay? 376 00:17:24,637 --> 00:17:27,198 Yeah. Uh, I'm just a little dizzy. 377 00:17:27,223 --> 00:17:31,143 Okay, white counts are pretty high. You have a fever. May I? 378 00:17:31,168 --> 00:17:32,377 Yeah. 379 00:17:33,132 --> 00:17:35,593 - Okay, any pain? - A little bit up here. 380 00:17:37,479 --> 00:17:40,855 Okay. I'm getting blood cultures and taking you up for scans. 381 00:17:43,526 --> 00:17:45,152 Hey, how's it going in here? 382 00:17:45,369 --> 00:17:47,305 We've clamped the chest tube and we 383 00:17:47,330 --> 00:17:49,666 are ready to start chemical pleurodesis. 384 00:17:49,691 --> 00:17:51,193 Okay. All right. 385 00:17:51,218 --> 00:17:54,368 Sorry to interrupt. I have the patient's personal belongings. 386 00:17:54,393 --> 00:17:55,852 Yeah, please, by all means. 387 00:17:58,412 --> 00:18:03,166 The talc should help sclerose the pleural cavity to seal the air leak. 388 00:18:03,968 --> 00:18:06,345 Dr. Ndugu, did you know that it's Iris's birthday? 389 00:18:07,974 --> 00:18:09,433 I did. Mm-hmm. 390 00:18:09,458 --> 00:18:11,275 She is having dinner tonight with her 391 00:18:11,300 --> 00:18:13,019 friends and the guy that she's seeing. 392 00:18:13,044 --> 00:18:16,381 I mean, you must know him. He's a cardiothoracic surgeon. 393 00:18:17,385 --> 00:18:18,594 Uh-huh. 394 00:18:19,303 --> 00:18:21,138 Where are you going for the big celebration? 395 00:18:21,277 --> 00:18:23,529 Uh, I'm going to a sushi place near my apartment. 396 00:18:23,671 --> 00:18:25,339 They have killer omakase. 397 00:18:25,423 --> 00:18:27,717 You know what separates good omakase from bad? 398 00:18:27,882 --> 00:18:28,924 Decisiveness. 399 00:18:29,827 --> 00:18:33,998 You know, actually, the best omakase is about the right timing 400 00:18:34,081 --> 00:18:36,225 and order of the food. 401 00:18:36,414 --> 00:18:39,250 - Hmm. - That is why I had cake before lunch. 402 00:18:41,572 --> 00:18:43,212 I admire your conviction, Meade. 403 00:18:43,237 --> 00:18:46,365 You said that you were going to eat cake, so you ate cake. 404 00:18:46,860 --> 00:18:48,987 All done here. Enjoy your dinner. 405 00:18:49,348 --> 00:18:50,724 Thanks, I will. 406 00:18:50,749 --> 00:18:53,710 Dr. Michelle Ward to L&D. 407 00:18:58,114 --> 00:19:00,786 Whatever this is, he didn't need it. 408 00:19:00,811 --> 00:19:03,480 He's getting sicker. He's not gonna be able to tolerate more chemo. 409 00:19:04,125 --> 00:19:07,122 Well, we have to try. He wants to try. 410 00:19:09,076 --> 00:19:11,120 What is the point of all our training 411 00:19:11,145 --> 00:19:13,925 if... some losers in an office building 412 00:19:13,950 --> 00:19:15,665 can tell us what's best for our patients? 413 00:19:15,690 --> 00:19:17,975 People who don't even know him. Do they care at all? 414 00:19:18,000 --> 00:19:20,586 Yes, they do. 415 00:19:20,611 --> 00:19:21,778 How can you say that? 416 00:19:22,380 --> 00:19:25,675 You see what's happening. Katie Rogers died in my living room. 417 00:19:25,700 --> 00:19:29,668 Look, those losers are career public servants. 418 00:19:30,054 --> 00:19:32,390 People who show up at the office every day 419 00:19:32,415 --> 00:19:34,392 regardless of who's leading the charge. 420 00:19:34,475 --> 00:19:36,519 They show up because they care. 421 00:19:36,602 --> 00:19:39,480 I-I have to believe that. I've seen it. 422 00:19:39,621 --> 00:19:42,528 And it's good that they don't know Quinn 'cause they can be objective. 423 00:19:42,553 --> 00:19:46,445 Look, you cannot put a treatment with an unknown toxicity profile 424 00:19:46,470 --> 00:19:49,965 into someone just because they're dying anyway. 425 00:19:49,990 --> 00:19:53,036 That is not medicine. That is experimentation. 426 00:19:53,061 --> 00:19:55,579 But it already worked on some other patients. 427 00:19:55,722 --> 00:19:59,458 - It could buy him some time. - Or it could make things worse. 428 00:19:59,542 --> 00:20:02,378 Four years of schooling does not make you a god. 429 00:20:03,674 --> 00:20:06,468 We need guardrails, just like everybody else. 430 00:20:06,493 --> 00:20:08,412 Oh. 431 00:20:09,450 --> 00:20:12,321 His biliary tree's still distended with an obstruction? 432 00:20:12,346 --> 00:20:14,181 He has ascending cholangitis. 433 00:20:17,226 --> 00:20:21,439 Okay, let's, uh, prep for a percutaneous cholangiogram with a drain. 434 00:20:21,464 --> 00:20:22,802 Yeah. 435 00:20:29,947 --> 00:20:33,567 - Hey, hey, hey, hey, it's her birthday. - So I heard. 436 00:20:34,660 --> 00:20:37,140 - What do you want me to do? - I want you to break up with her. 437 00:20:37,621 --> 00:20:40,207 - Okay, I-I hate upsetting people. - Oh, my God. 438 00:20:40,291 --> 00:20:42,752 Once at Joe's, I found a fingernail in my onion rings, 439 00:20:42,881 --> 00:20:45,380 and I didn't want to tell the server, so I ate around it, 440 00:20:45,755 --> 00:20:47,315 and it wasn't even that guy's birthday. 441 00:20:47,339 --> 00:20:49,341 Okay, some stories don't need to be told. 442 00:20:49,366 --> 00:20:50,784 I just don't wanna be a jerk. 443 00:20:50,809 --> 00:20:53,863 Well, the jerky thing is to let Iris think that everything is fine 444 00:20:53,888 --> 00:20:56,974 when you have one foot out the door and your mouth on my mouth. 445 00:20:57,197 --> 00:20:59,158 Yeah, I agree. I'll do it tomorrow. 446 00:20:59,852 --> 00:21:03,898 All right, you-you can do whatever you want. 447 00:21:04,035 --> 00:21:07,288 I'm just... I'm just frustrated. 448 00:21:08,065 --> 00:21:11,318 After months of wanting this, 449 00:21:14,533 --> 00:21:15,534 I can't. 450 00:21:16,801 --> 00:21:18,469 Not on your girlfriend's birthday. 451 00:21:31,295 --> 00:21:33,388 - How's he doing? - He's holding up. 452 00:21:33,928 --> 00:21:35,846 - Good. Medevac's en route. - Okay. 453 00:21:35,930 --> 00:21:38,933 - His repeat H&H dropped by two points. - Dr. Braider. 454 00:21:40,290 --> 00:21:41,841 Owen, what are you doing here? 455 00:21:42,980 --> 00:21:45,620 - I'm helping a community that needs it. - That's not what I meant. 456 00:21:47,107 --> 00:21:50,110 Listen, I haven't made any decisions yet. 457 00:21:50,194 --> 00:21:53,021 This hospital shuttered their ORs three years ago. 458 00:21:53,046 --> 00:21:56,133 Because a bean counter decided that it made financial sense. 459 00:21:56,158 --> 00:21:58,178 People didn't stop needing surgery. 460 00:21:58,536 --> 00:22:01,205 They want me to start a regional surgical program, 461 00:22:01,230 --> 00:22:03,069 rotate in specialists so that folks can 462 00:22:03,094 --> 00:22:04,934 get the care they need closer to home. 463 00:22:04,959 --> 00:22:08,328 You're a trauma surgeon at a Level 1 trauma center. 464 00:22:08,353 --> 00:22:10,439 And I get to build this program from the ground up. 465 00:22:11,866 --> 00:22:15,030 - He's about to code. - Bag him. Gonna need an intubation kit. 466 00:22:17,111 --> 00:22:18,112 All right. 467 00:22:18,876 --> 00:22:19,877 - Got it? - Yep. 468 00:22:25,610 --> 00:22:27,111 So who else needs one of these? 469 00:22:27,856 --> 00:22:29,358 You've been gone for a while. 470 00:22:32,652 --> 00:22:34,857 Yeah, I just... I just needed some air. 471 00:22:37,283 --> 00:22:39,865 You know, I've known Jones longer than I have my wife. 472 00:22:39,890 --> 00:22:42,079 I'd really appreciate it if you'd try it again. 473 00:22:42,104 --> 00:22:43,597 He obviously doesn't want to talk. 474 00:22:43,622 --> 00:22:45,791 Yeah, but that doesn't mean he doesn't want to listen. 475 00:22:45,816 --> 00:22:48,123 And I know he's well overdue for a screening. 476 00:22:48,148 --> 00:22:50,689 I thought that doctors weren't supposed to pressure their patients. 477 00:22:50,713 --> 00:22:52,017 Well, I just want to make sure he 478 00:22:52,041 --> 00:22:53,552 understands the risks and the benefits. 479 00:22:53,577 --> 00:22:55,150 With all due respect, sir, 480 00:22:55,175 --> 00:22:56,915 I was told I'll just be handing out 481 00:22:56,939 --> 00:22:58,679 flyers when I volunteered for this. 482 00:23:03,142 --> 00:23:05,352 I-I think you need to go back to the hospital. 483 00:23:05,377 --> 00:23:07,099 Because I don't wanna strong-arm one man? 484 00:23:07,124 --> 00:23:08,206 I'm trying to save lives. 485 00:23:08,230 --> 00:23:10,070 I don't need another doctor getting in the way. 486 00:23:10,095 --> 00:23:12,418 Look, I understand that it's important. 487 00:23:12,443 --> 00:23:15,129 - Not like I do. - Well, I studied the same facts. 488 00:23:15,154 --> 00:23:17,656 I know the same risk factors, the screening process... 489 00:23:17,681 --> 00:23:18,890 But you haven't lived it. 490 00:23:22,453 --> 00:23:26,248 I'm so sorry. I... I-I didn't know. 491 00:23:27,155 --> 00:23:28,448 Yeah. 492 00:23:28,610 --> 00:23:31,437 You should go back to Grey Sloan. I'm sure they could use you there. 493 00:23:31,469 --> 00:23:33,066 Are you sure? I can... I can stay. I... 494 00:23:33,090 --> 00:23:35,289 No, I got this covered. You go ahead. 495 00:23:56,960 --> 00:23:58,122 Can't see the cords. 496 00:23:58,147 --> 00:24:00,407 - You want some cricoid pressure? - Wouldn't hurt. 497 00:24:03,381 --> 00:24:05,163 - All right, I'm in. - Okay. 498 00:24:06,372 --> 00:24:07,373 All right. 499 00:24:08,874 --> 00:24:11,310 - Bilateral breath sounds. - His spleen is bleeding out? 500 00:24:11,335 --> 00:24:14,213 - That's the most likely explanation. - BP's down to 75. 501 00:24:14,296 --> 00:24:16,341 - Okay. How far is the medevac? - I don't know. 502 00:24:16,366 --> 00:24:17,811 If there's heavy fog, it could take longer. 503 00:24:17,841 --> 00:24:19,843 Can't wait. His spleen needs to come out right now. 504 00:24:20,364 --> 00:24:22,325 We're gonna need one of those old ORs. 505 00:24:25,897 --> 00:24:27,663 Does she need a plastics consult? 506 00:24:28,477 --> 00:24:30,038 - No. - Even with tissue coverage, 507 00:24:30,062 --> 00:24:33,273 - she'll have bad scarring. - We'll do our best to prevent that. 508 00:24:33,357 --> 00:24:35,209 Brand me. I deserve a scar. 509 00:24:35,234 --> 00:24:37,796 I was slipping and I let go of my boyfriend to grab another branch. 510 00:24:37,820 --> 00:24:41,173 That's how you let him go? That's gut instincts or reflex. 511 00:24:41,198 --> 00:24:42,633 Lizard brain. Darwin. 512 00:24:42,658 --> 00:24:46,203 What did he expect you to do, sacrifice yourself so you both died? 513 00:24:46,228 --> 00:24:47,721 No, you did the right thing. 514 00:24:47,746 --> 00:24:50,374 If he can't see that, you were never meant to be. 515 00:24:53,038 --> 00:24:54,604 The tourniquet's been applied for too long. 516 00:24:54,628 --> 00:24:56,765 - It's cutting off her blood supply. - Am I losing my arm? 517 00:24:56,790 --> 00:24:58,524 No, no, but the artery going to your hand 518 00:24:58,549 --> 00:25:01,010 is compromised, and we need to repair it right now. 519 00:25:01,035 --> 00:25:04,664 - Spencer, get 6-0 Prolene and a castro. - Um, sure. Any idea where? 520 00:25:07,450 --> 00:25:09,845 I was gonna look for it, but shouldn't we get an attending? 521 00:25:09,870 --> 00:25:12,597 June is our patient, and she needs a simple primary repair. 522 00:25:12,622 --> 00:25:14,832 And if we don't do it now, she could lose her hand. 523 00:25:14,857 --> 00:25:15,941 - Do you want that? - No. 524 00:25:15,966 --> 00:25:17,634 Then get it together and help me. 525 00:25:24,530 --> 00:25:26,532 Hey, I-I've been looking for you. 526 00:25:27,446 --> 00:25:28,990 You did it. Way to go. 527 00:25:30,456 --> 00:25:32,393 Hey... You can't do that. 528 00:25:32,418 --> 00:25:35,004 Look, I just need your attention for 60 seconds. 529 00:25:37,642 --> 00:25:39,978 - What's wrong? - The stent didn't work. 530 00:25:40,732 --> 00:25:44,111 Your dad's developed an infection called ascending cholangitis, 531 00:25:44,136 --> 00:25:46,321 and the only way to clear it is to place a drain 532 00:25:46,346 --> 00:25:48,223 to remove the bile buildup in the liver. 533 00:25:48,338 --> 00:25:50,423 Okay. And then he'll feel better after that? 534 00:25:55,103 --> 00:25:56,729 I've been in your shoes. 535 00:25:56,899 --> 00:25:58,343 You know, when you're in and out of 536 00:25:58,367 --> 00:26:00,218 the hospital so many times with someone, 537 00:26:00,986 --> 00:26:02,893 it feels like the doctors are saying 538 00:26:02,917 --> 00:26:04,823 the same thing over and over again. 539 00:26:05,947 --> 00:26:08,533 It's impossible to tell if it's really serious 540 00:26:09,346 --> 00:26:10,639 or just more of the same. 541 00:26:13,019 --> 00:26:15,141 But this time it's different, Logan. 542 00:26:17,717 --> 00:26:20,094 Your dad probably only has a few weeks to live. 543 00:26:22,049 --> 00:26:26,261 He came in really, really sick, and he's not getting better. 544 00:26:28,597 --> 00:26:29,932 So if I were you, 545 00:26:30,808 --> 00:26:33,376 I'd do everything in my power 546 00:26:34,105 --> 00:26:36,107 to spend as much time with him as you can. 547 00:26:54,086 --> 00:26:56,648 - It's been a minute. - Yeah. 548 00:26:57,751 --> 00:27:00,133 - You want a little oil on your scalp? - Coconut? 549 00:27:00,592 --> 00:27:03,178 You got it. 550 00:27:03,882 --> 00:27:07,219 I think my nephew took care of you the last time. 551 00:27:07,975 --> 00:27:09,059 Yeah, he sure did. 552 00:27:09,930 --> 00:27:13,058 Look, I... I know it's been a minute since I've been to see you. 553 00:27:13,559 --> 00:27:15,561 Well, I thought you had left for another shop. 554 00:27:15,586 --> 00:27:16,587 Nah. 555 00:27:17,312 --> 00:27:19,815 Well, actually, I... I was home for a while. 556 00:27:21,194 --> 00:27:23,279 I had surgery for prostate cancer. 557 00:27:27,614 --> 00:27:28,907 I'm sorry, I didn't know. 558 00:27:30,766 --> 00:27:32,100 Are you doing chemo? 559 00:27:32,125 --> 00:27:36,123 Yeah, it was an option, but I elected to have my prostate removed. 560 00:27:36,701 --> 00:27:37,883 I was nervous, 561 00:27:38,823 --> 00:27:40,575 but I did it. I have no regrets. 562 00:27:41,198 --> 00:27:44,034 I'm cancer-free, and I feel great. 563 00:27:46,232 --> 00:27:49,928 - Oh, Richard. - No. Get the screening, Jones. 564 00:27:50,679 --> 00:27:52,389 I'm not saying this as a doctor. 565 00:27:53,307 --> 00:27:56,977 But as a survivor and as your friend. 566 00:27:59,563 --> 00:28:01,798 - If it means that much. - It does. 567 00:28:02,774 --> 00:28:06,069 All right. Then, sit back and let me fix what my nephew did to you 568 00:28:06,094 --> 00:28:07,891 'cause you're holding up my schedule. 569 00:28:12,034 --> 00:28:14,786 Hey, can I gut check something with you? It's a guy thing. 570 00:28:14,811 --> 00:28:16,346 - No. - Okay, 571 00:28:16,371 --> 00:28:18,348 so say you had a favorite sandwich shop, 572 00:28:18,373 --> 00:28:19,965 and you go and get a sandwich there every 573 00:28:19,989 --> 00:28:21,501 day and then you find a salad spot... 574 00:28:21,526 --> 00:28:23,353 Okay, I'm not gonna do the whole complicated analogy, 575 00:28:23,378 --> 00:28:25,297 so can you just say Ndugu? 576 00:28:26,506 --> 00:28:28,800 Okay, fine. He... 577 00:28:31,261 --> 00:28:33,740 He said he was going to break up with this nurse that he was dating, 578 00:28:33,764 --> 00:28:34,973 and he didn't do it. 579 00:28:36,099 --> 00:28:37,809 Okay, he's not into you. 580 00:28:37,834 --> 00:28:39,786 Okay, at least not enough to go through trouble 581 00:28:39,811 --> 00:28:42,230 of breaking up with somebody else. 582 00:28:44,858 --> 00:28:46,276 What is happening? 583 00:28:46,301 --> 00:28:49,004 I'm on these hormones from freezing my eggs. 584 00:28:49,029 --> 00:28:50,739 So you have to be gentle with me. 585 00:28:50,772 --> 00:28:52,792 - Okay, you should've opened with that. - It's her birthday. 586 00:28:52,817 --> 00:28:54,444 Does that change anything? 587 00:28:54,576 --> 00:28:56,012 Have you cried like this in front of him? 588 00:28:56,095 --> 00:28:58,180 - Well, no. - Definitely don't. 589 00:29:00,315 --> 00:29:03,443 But it-it's still going to-to be all right, right? 590 00:29:03,779 --> 00:29:05,197 Maybe. 591 00:29:05,504 --> 00:29:06,813 But if he doesn't keep his promise to 592 00:29:06,838 --> 00:29:09,049 you, then he's just a spineless wimp. 593 00:29:09,132 --> 00:29:10,300 Ugh. He's not a bad person. 594 00:29:10,325 --> 00:29:13,317 Well, he's got you crying like a teenager, so agree to disagree. 595 00:29:13,342 --> 00:29:15,258 I said be gentle. 596 00:29:26,984 --> 00:29:29,544 I know it was my idea to start a surgical program here, 597 00:29:29,569 --> 00:29:31,071 but I did not mean today. 598 00:29:31,096 --> 00:29:32,598 Do you see any other options? 599 00:29:32,623 --> 00:29:34,952 - Do you even have the right instruments? - I got a chest tube tray. 600 00:29:34,977 --> 00:29:37,995 And 11 blade isn't usually my go-to for an ex-lap, 601 00:29:38,020 --> 00:29:39,346 but I've operated with less. 602 00:29:39,371 --> 00:29:40,780 I hope no one gives birth today. 603 00:29:40,805 --> 00:29:43,725 We stole every towel and drape from the OB ward. 604 00:29:43,750 --> 00:29:44,894 What about retraction? 605 00:29:44,918 --> 00:29:47,045 Uh, specialty from our military days. 606 00:29:47,168 --> 00:29:49,288 They're not Deavers, but it works. 607 00:29:49,982 --> 00:29:51,400 Systolic is down to 70. 608 00:29:51,425 --> 00:29:52,426 Okay, Dr. Braider. 609 00:29:55,327 --> 00:29:56,494 Do it. 610 00:30:01,095 --> 00:30:02,815 I couldn't do that without loupes. 611 00:30:02,840 --> 00:30:04,759 I've been wearing glasses since I was two. 612 00:30:04,938 --> 00:30:06,196 Everyone in my family has perfect 613 00:30:06,220 --> 00:30:07,875 vision, but my pupils are just kind of... 614 00:30:07,899 --> 00:30:09,640 Spencer, focus. 615 00:30:10,569 --> 00:30:13,530 All right. I'm just gonna unclamp the artery. 616 00:30:18,676 --> 00:30:20,929 No leaks. We did it. 617 00:30:20,954 --> 00:30:22,164 Of course we did. 618 00:30:22,726 --> 00:30:25,229 - I'm going to live? - Yes, and do you remember why? 619 00:30:25,792 --> 00:30:27,645 - Because I looked out for myself. - That's right. 620 00:30:27,669 --> 00:30:29,855 You did what you had to do to survive. 621 00:30:29,880 --> 00:30:32,340 Don't let anyone make you feel guilty for it. 622 00:30:32,365 --> 00:30:35,868 I know. And maybe you're right. Maybe we were never meant to be. 623 00:30:36,659 --> 00:30:38,495 I just don't want him to hate me. 624 00:30:45,228 --> 00:30:47,896 All right, drain is in. 625 00:30:47,920 --> 00:30:51,109 Send the samples for culture and sensitivities. 626 00:30:55,280 --> 00:30:56,907 I spoke with Dr. Kuby. 627 00:30:56,990 --> 00:31:00,535 She's going to start Quinn on third line chemo 628 00:31:00,619 --> 00:31:02,579 once the infection clears. 629 00:31:02,662 --> 00:31:05,749 - Does she think it might work? - She thinks it's worth trying. 630 00:31:05,832 --> 00:31:07,959 His son hasn't even graduated high school. 631 00:31:09,419 --> 00:31:12,047 Are you sure we shouldn't inject the synthetic lymph node? 632 00:31:12,072 --> 00:31:15,765 It would be against the law to use an unapproved treatment 633 00:31:15,790 --> 00:31:17,569 without FDA permission. 634 00:31:17,594 --> 00:31:19,012 Okay, but the thing works. 635 00:31:19,037 --> 00:31:21,173 Eighty percent of patients had tumor 636 00:31:21,198 --> 00:31:23,333 shrinkage six months after getting it. 637 00:31:23,358 --> 00:31:26,453 Those are anecdotal results based on ten patients. 638 00:31:26,478 --> 00:31:28,605 We have no idea if it would work for him. 639 00:31:28,630 --> 00:31:31,195 We could just be giving his body something 640 00:31:31,220 --> 00:31:34,236 new to tolerate when he's already septic. 641 00:31:34,261 --> 00:31:36,505 All right, I have a hernia repair to get to. 642 00:31:36,530 --> 00:31:39,116 Secure the drain, and bring him back to his room. 643 00:31:39,141 --> 00:31:42,936 We'll image in 24 to 48 hours to make sure the drain worked. 644 00:31:42,961 --> 00:31:45,380 Okay, I'll let you know when the cultures are back. 645 00:31:45,635 --> 00:31:46,803 Okay, fixation device. 646 00:31:57,438 --> 00:32:00,627 All right, I see it. Looks like a stage 4 splenic lac. 647 00:32:00,652 --> 00:32:03,113 - I'm gonna need more towels. - Yeah, I got you. 648 00:32:03,189 --> 00:32:04,955 You two really have this down. 649 00:32:04,980 --> 00:32:07,018 I didn't realize you were also a veteran. 650 00:32:07,160 --> 00:32:10,288 She was chief at MEDCOM in Landstuhl, Germany. 651 00:32:10,313 --> 00:32:12,429 Don't let the fancy titles fool you. 652 00:32:12,454 --> 00:32:14,569 I also did tours in Afghanistan and Iraq. 653 00:32:14,594 --> 00:32:17,597 - Isn't that where you were stationed? - That's where we met. 654 00:32:17,737 --> 00:32:20,115 Oh. You better work fast. 655 00:32:20,140 --> 00:32:22,717 There's too much blood. I can't visualize the pedicle. 656 00:32:22,742 --> 00:32:24,742 - All right, let me try something. - Yeah. 657 00:32:27,664 --> 00:32:29,725 Yeah, I got it. All right, follow with your hand. 658 00:32:29,749 --> 00:32:31,126 Okay. 659 00:32:33,691 --> 00:32:35,401 Got it. Clamp. 660 00:32:36,284 --> 00:32:37,285 Another. 661 00:32:39,593 --> 00:32:41,695 Scissors. Oh-vicryl. Times two. 662 00:32:41,720 --> 00:32:43,054 Okay, when I'm done with this, 663 00:32:43,079 --> 00:32:45,729 I'm gonna need sterile towels for the temporary closure. 664 00:32:46,683 --> 00:32:50,187 BP is holding steady and pulse is stabilizing. 665 00:32:51,917 --> 00:32:54,002 I cannot believe you pulled this off. 666 00:32:55,233 --> 00:32:57,140 Well, you both just made my case for 667 00:32:57,164 --> 00:32:59,070 starting a surgical rotation here. 668 00:33:10,156 --> 00:33:11,157 Okay. 669 00:33:11,635 --> 00:33:14,627 Well, the helicopter pickup isn't too far. He's gonna be fine. 670 00:33:15,437 --> 00:33:18,971 Are you sure you're okay driving the transport van back? 671 00:33:18,996 --> 00:33:22,010 Yeah, as long as Spencer keeps her playlist to herself. 672 00:33:22,093 --> 00:33:25,472 And Griffith did an excellent repair on June's arm. 673 00:33:25,547 --> 00:33:28,091 I'll set up an outpatient follow-up with plastics. 674 00:33:31,269 --> 00:33:33,897 Oh, hey. Um, I'm sorry we couldn't get to more patients, 675 00:33:33,922 --> 00:33:35,424 but I'll come back next week. 676 00:33:35,449 --> 00:33:36,666 No need to apologize, 677 00:33:36,691 --> 00:33:39,152 but I will look forward to seeing you again. 678 00:33:41,488 --> 00:33:45,116 Okay. I'll keep you updated on his status. 679 00:33:45,141 --> 00:33:46,142 Great. 680 00:33:46,237 --> 00:33:48,031 - Drive safe. - Okay, yeah. 681 00:33:49,057 --> 00:33:50,976 You're very lucky to have him. 682 00:33:51,461 --> 00:33:55,465 But I really hope he leaves you. 683 00:33:58,505 --> 00:34:01,145 Maybe I shouldn't be so bold about poaching him from your hospital, 684 00:34:01,170 --> 00:34:02,941 but you just seem like someone who 685 00:34:02,966 --> 00:34:05,008 loves a challenge as much as he does, 686 00:34:05,033 --> 00:34:06,662 and you two clearly have history. 687 00:34:06,687 --> 00:34:10,733 If you'd put a good word in for us here, I'd appreciate it. 688 00:34:12,044 --> 00:34:13,921 Owen's gonna make up his own mind. 689 00:34:14,958 --> 00:34:16,793 Good luck filling the position. 690 00:34:26,283 --> 00:34:27,563 Hey, how'd it go today? 691 00:34:27,588 --> 00:34:32,214 Oh, I showed Chester Jones how to message his PCP from his portal. 692 00:34:32,394 --> 00:34:35,183 Um... ... I'm not quite sure what to think of that. 693 00:34:35,208 --> 00:34:37,310 It's one of the best days I've had in a while. 694 00:34:37,335 --> 00:34:40,755 Maybe I saved some lives, and I didn't have to cut anyone open. 695 00:34:40,839 --> 00:34:42,424 Well, that sounds like a good day. 696 00:34:42,449 --> 00:34:44,576 I saw Adams came back early. 697 00:34:44,718 --> 00:34:47,637 Yeah, he wasn't in the right headspace for community outreach. 698 00:34:47,662 --> 00:34:50,448 I'm so sorry he wasn't helpful. 699 00:34:50,473 --> 00:34:52,183 Well, actually, he was. 700 00:34:52,208 --> 00:34:55,002 Until today, I was hesitant to tell my own story. 701 00:34:55,027 --> 00:34:56,744 But he reminded me that sometimes 702 00:34:56,769 --> 00:34:58,773 people need to hear from other patients 703 00:34:58,798 --> 00:35:01,084 - just as much as doctors. - Hmm. 704 00:35:01,109 --> 00:35:02,569 Yeah. 705 00:35:03,111 --> 00:35:05,871 Well, I'm glad everything worked out. 706 00:35:05,896 --> 00:35:07,890 I wish I could convince him to get a haircut. 707 00:35:15,040 --> 00:35:16,041 Hey. 708 00:35:16,770 --> 00:35:17,771 Wh-Where's your dad? 709 00:35:18,209 --> 00:35:20,604 Uh, Dr. Bailey told the nurses to take him for a scan. 710 00:35:20,667 --> 00:35:22,251 What... kind of scan? 711 00:35:22,653 --> 00:35:25,425 - I don't know. - I meant did something happen? 712 00:35:25,450 --> 00:35:27,489 - I don't think so. - Oh. 713 00:35:28,903 --> 00:35:31,197 Wait, wait. Do you think it's bad? 714 00:35:31,222 --> 00:35:33,224 No, no, no, I think it's fine. 715 00:35:40,288 --> 00:35:43,083 Oh, good. You're still here. I have something for you. 716 00:35:50,283 --> 00:35:51,200 What is this? 717 00:35:51,225 --> 00:35:53,135 A few of Katie's things her mom didn't take. 718 00:35:53,160 --> 00:35:54,578 Just thought you might want them. 719 00:36:05,799 --> 00:36:08,301 - You can't hate me forever. - Don't be so sure. 720 00:36:08,968 --> 00:36:11,221 Lucas, I'm sorry for your loss. I... 721 00:36:11,304 --> 00:36:13,532 She was your friend. I could've been more sensitive to that. 722 00:36:13,657 --> 00:36:15,993 What a relief. I feel so much better now. 723 00:36:17,326 --> 00:36:18,411 I know you're grieving. 724 00:36:18,436 --> 00:36:21,082 You're looking for explanations and saying things you might not mean. 725 00:36:21,106 --> 00:36:22,816 Who says I don't mean it? 726 00:36:26,225 --> 00:36:27,727 Leave me alone. 727 00:36:40,625 --> 00:36:45,255 Hey, I thought you were gonna wait 24 to 48 hours for Quinn's MRCP. 728 00:36:45,280 --> 00:36:48,858 That is the protocol, but you know, he's been through so much. 729 00:36:48,883 --> 00:36:52,721 I figured if the drain's not working, better to know now. 730 00:36:53,163 --> 00:36:54,685 - How's it looking? - Hmm 731 00:36:55,265 --> 00:36:57,350 - The bile's moving. - Hmm. 732 00:36:57,434 --> 00:37:01,521 Hopefully, the antibiotic will cool off the cholangitis. 733 00:37:01,546 --> 00:37:03,674 I think we did it. 734 00:37:04,189 --> 00:37:05,190 Great. 735 00:37:05,215 --> 00:37:09,219 Um, so while I have you, can I ask you about Mr. Elmer's labs? 736 00:37:09,549 --> 00:37:11,009 Do you see that? 737 00:37:11,614 --> 00:37:16,369 There's a fluid collection adjacent to the tumor. What? 738 00:37:16,394 --> 00:37:21,182 Uh... Okay, is it blood? Or a bile leak? 739 00:37:21,277 --> 00:37:25,281 It's not contiguous with the biliary tree. 740 00:37:25,759 --> 00:37:27,647 Uh... Oh. 741 00:37:27,672 --> 00:37:29,454 I don't like what I'm seeing 'cause 742 00:37:29,536 --> 00:37:31,317 he could be bleeding from this tumor. 743 00:37:31,342 --> 00:37:33,529 All right, we need a repeat H&H and, 744 00:37:33,554 --> 00:37:36,639 uh, coags and, uh, set up an ultrasound. 745 00:37:36,664 --> 00:37:38,958 It's hydrogel. 746 00:37:45,685 --> 00:37:47,270 And how did it get there? 747 00:37:48,187 --> 00:37:50,189 I injected it after you left. 748 00:37:51,059 --> 00:37:52,560 It's... it is his best option, 749 00:37:52,585 --> 00:37:54,257 and it was just sitting there in the hospital. 750 00:37:54,282 --> 00:37:59,596 It's his best option for you to commit a crime on my patient 751 00:37:59,621 --> 00:38:00,914 in my OR? 752 00:38:00,939 --> 00:38:02,795 Okay. No one has to know. 753 00:38:02,820 --> 00:38:04,834 What? Quinn has to know. 754 00:38:04,859 --> 00:38:07,235 You can't put an experimental treatment 755 00:38:07,260 --> 00:38:09,573 in someone's body and not tell them. 756 00:38:15,345 --> 00:38:17,764 Okay. Okay... I can tell him. 757 00:38:17,847 --> 00:38:20,058 No, stop. You have done enough. 758 00:38:49,866 --> 00:38:51,785 Hey. Can we talk? 759 00:38:53,666 --> 00:38:55,251 Iris is a really nice person. 760 00:38:55,343 --> 00:38:56,837 She doesn't deserve to have her birthday 761 00:38:56,862 --> 00:38:59,097 ruined just because I'm impatient. 762 00:38:59,180 --> 00:39:02,158 And the fact that you care is part of what I like about you. 763 00:39:02,183 --> 00:39:04,869 So if you wanna wait till tomorrow, it's-it's fine. 764 00:39:04,894 --> 00:39:06,087 But if you're having second thoughts 765 00:39:06,112 --> 00:39:08,314 about us, will you just please tell me? 766 00:39:09,769 --> 00:39:10,770 I ended it. 767 00:39:11,507 --> 00:39:15,553 You were right. She deserved the truth, even on her birthday. 768 00:39:17,615 --> 00:39:21,077 Uh. How did she take it? 769 00:39:21,409 --> 00:39:23,495 Mm-mmm. It... ... uh... 770 00:39:24,372 --> 00:39:28,084 Well, I should stay off the labor and delivery floor for a while, 771 00:39:28,109 --> 00:39:30,028 - but I'm single. - Oh? 772 00:39:30,698 --> 00:39:32,158 And I want to take you out. 773 00:39:33,875 --> 00:39:35,669 Then I want to take you home. 774 00:39:38,790 --> 00:39:40,750 Oh, no. I'm-I'm freezing my eggs. 775 00:39:41,868 --> 00:39:44,329 - Okay? - Well, I can't have sex. 776 00:39:44,354 --> 00:39:45,870 Because it could cause ovarian torsion, 777 00:39:45,894 --> 00:39:47,288 which is, you know, when the ovaries... 778 00:39:47,312 --> 00:39:48,313 I know what it is. 779 00:39:48,396 --> 00:39:52,275 So I probably shouldn't go home with you. 780 00:39:52,981 --> 00:39:54,524 Let's just do a movie and chill. 781 00:39:56,314 --> 00:39:59,526 I mean watch an actual movie and actually chill. 782 00:40:01,342 --> 00:40:02,343 I'd like that. 783 00:40:02,587 --> 00:40:06,341 No matter how remote you are or how isolated you feel, 784 00:40:07,000 --> 00:40:08,001 there's hope. 785 00:40:08,923 --> 00:40:11,282 And help is usually closer than you think. 786 00:40:20,861 --> 00:40:23,070 It's been a day, and I need a drink. 787 00:40:23,095 --> 00:40:25,125 And I'm just sitting here, so I don't 788 00:40:25,149 --> 00:40:27,602 have to sit next to that guy. 789 00:40:30,146 --> 00:40:31,272 You know what, that's a lie. 790 00:40:31,297 --> 00:40:33,591 I'm just sitting here because I wanna sit here, 791 00:40:33,709 --> 00:40:36,545 and if you don't like it, you can move. 792 00:40:38,055 --> 00:40:39,473 It's not always easy to ask. 793 00:40:57,796 --> 00:40:59,589 But with a little courage... 794 00:41:00,969 --> 00:41:03,680 if you look, you'll find what you need. 795 00:41:03,705 --> 00:41:05,582 Thank you for coming with us. 796 00:41:05,607 --> 00:41:07,956 Oh, yeah. Yeah. It was a... 797 00:41:09,956 --> 00:41:11,057 it was a good day. 798 00:41:11,562 --> 00:41:14,649 Well, we removed a spleen with a chest tube kit. 799 00:41:15,925 --> 00:41:19,345 I have done a lot of crazy things in my career, especially with you, 800 00:41:19,370 --> 00:41:22,373 but... this was... this was up there. 801 00:41:25,743 --> 00:41:27,203 You're gonna take that job? 802 00:41:30,131 --> 00:41:31,549 I turned it down. 803 00:41:31,807 --> 00:41:35,436 You know, it was nice to think about, but the timing's not right. 804 00:41:35,461 --> 00:41:37,880 Oh, thank God. I thought you were gonna leave me. 805 00:41:37,905 --> 00:41:42,117 I mean, you know, if... if you had taken that job, 806 00:41:42,142 --> 00:41:45,555 I would've had to find a new chief of trauma 807 00:41:45,580 --> 00:41:49,960 and hire them and train them and just start over. 808 00:41:49,985 --> 00:41:53,125 - Yeah, it would've been a hassle. - Mmm. 809 00:41:53,150 --> 00:41:55,635 Your family, your friends, 810 00:41:55,945 --> 00:41:57,112 your community... 811 00:41:57,137 --> 00:41:59,293 I'm gonna go there once a month though. 812 00:41:59,318 --> 00:42:01,307 - Just to help out. - Oh. Yeah. 813 00:42:02,295 --> 00:42:03,880 We'll figure something out. 814 00:42:06,234 --> 00:42:07,777 lifting you up. 815 00:42:09,566 --> 00:42:14,566 - Synced and corrected by ChrisKe - — for www.addic7ed.com —