1 00:00:06,422 --> 00:00:10,468 Before the 20th century, drug safety studies were not required. 2 00:00:13,496 --> 00:00:16,025 What, did you come straight from the airport? 3 00:00:16,163 --> 00:00:18,545 How was your flight? And how's your brother? 4 00:00:18,570 --> 00:00:20,710 I'm sorry, I'm super tired. Can we talk later? 5 00:00:20,735 --> 00:00:21,770 Yeah. 6 00:00:25,420 --> 00:00:28,457 I thought you said you were tired. 7 00:00:28,752 --> 00:00:30,660 Yeah, too tired to talk. 8 00:00:30,935 --> 00:00:32,937 - Uh-huh. - Mm-hmm. 9 00:00:33,259 --> 00:00:34,570 Uh-huh. 10 00:00:34,595 --> 00:00:36,666 Narcotics were sold over the counter. 11 00:00:36,691 --> 00:00:39,694 Teething babies were given serums laced with morphine. 12 00:00:39,832 --> 00:00:42,249 A medicine for strep was made with antifreeze. 13 00:00:42,387 --> 00:00:45,917 Do you think that we should clean up in case your aunt comes home? 14 00:00:45,942 --> 00:00:47,150 Don't worry about it. 15 00:00:49,417 --> 00:00:51,947 Mmm. I'm a little worried about it. 16 00:00:53,016 --> 00:00:54,719 - Are you having a good time? - Yeah. 17 00:00:54,744 --> 00:00:56,056 Yeah? 18 00:00:58,605 --> 00:01:00,538 So don't stress. 19 00:01:00,563 --> 00:01:02,449 No one was responsible for 20 00:01:02,473 --> 00:01:04,340 distinguishing between medicine that healed 21 00:01:04,478 --> 00:01:05,971 and medicine that harmed. 22 00:01:07,274 --> 00:01:09,448 Have fun with Mom, okay? And I love you. Come here. 23 00:01:09,473 --> 00:01:11,425 - I love you. - Bye, Daddy. 24 00:01:11,450 --> 00:01:12,486 Yeah. 25 00:01:13,245 --> 00:01:16,110 Um... Pizza's in the fridge and laundry's in the dryer. 26 00:01:16,135 --> 00:01:18,294 Thanks. We'll call you in the morning. 27 00:01:18,319 --> 00:01:20,519 - I want that one. - Okay. 28 00:01:24,601 --> 00:01:25,602 Look, Mommy. 29 00:01:26,510 --> 00:01:27,896 All right. 30 00:01:27,921 --> 00:01:30,760 No one studied side effects or adverse reactions. 31 00:01:33,344 --> 00:01:37,486 The twins are fed, changed and asleep. 32 00:01:37,511 --> 00:01:39,191 Did you sing them "Twinkle, Twinkle" again? 33 00:01:39,282 --> 00:01:41,632 - "Highway to Hell." - Whatever works. 34 00:01:42,216 --> 00:01:43,562 Thank you for doing that. 35 00:01:43,587 --> 00:01:46,702 You need your rest before your first official day back. 36 00:01:49,410 --> 00:01:50,825 You excited? 37 00:01:51,076 --> 00:01:54,158 I am. Yeah, I mean, it's a lot right now, 38 00:01:54,183 --> 00:01:57,264 with the kids, studying for exams and being a fifth year, 39 00:01:57,289 --> 00:01:59,774 but it's only a few more months and... 40 00:02:00,750 --> 00:02:02,752 - I got this. - You're like Wonder Woman. 41 00:02:02,777 --> 00:02:06,712 Can Wonder Woman deliver a baby in under 60 seconds? 42 00:02:06,963 --> 00:02:08,206 - Damn. - Yeah. 43 00:02:08,231 --> 00:02:10,018 No, forget Wonder Woman. 44 00:02:11,230 --> 00:02:13,508 - You're Dr. Jo Wilson. - Mm-hmm. 45 00:02:14,651 --> 00:02:15,790 No, no, no, no, no, no. 46 00:02:15,928 --> 00:02:17,585 All you could do was roll the dice. 47 00:02:20,692 --> 00:02:23,394 Thanks again for letting me crash at your place. 48 00:02:23,684 --> 00:02:25,686 Thank you for, um... 49 00:02:26,663 --> 00:02:27,802 You know. 50 00:02:28,394 --> 00:02:30,194 Uh, I would offer to host tonight, 51 00:02:30,219 --> 00:02:33,670 but my... nephew/roommate is partying 52 00:02:33,695 --> 00:02:36,560 and sleeping his way through the intern class. 53 00:02:36,779 --> 00:02:37,780 That's great. 54 00:02:39,382 --> 00:02:40,518 Is everything okay? 55 00:02:41,368 --> 00:02:45,352 Uh... My ex wants to get lunch. 56 00:02:46,769 --> 00:02:48,184 That doesn't sound so bad. 57 00:02:50,209 --> 00:02:52,072 The last time this happened, she tried 58 00:02:52,097 --> 00:02:53,828 to stop me from signing divorce papers. 59 00:02:55,036 --> 00:02:57,071 Wh... Uh... She wanted to stay together? 60 00:02:57,522 --> 00:02:59,780 She didn't really want it to be her fault. 61 00:02:59,804 --> 00:03:02,709 It, uh... it got messy at the end. 62 00:03:02,847 --> 00:03:05,194 Well, you don't have to get lunch. You can just say no. 63 00:03:05,219 --> 00:03:07,404 I'm overreacting. She probably just wants to convince me 64 00:03:07,428 --> 00:03:09,775 to send Zach to summer camp or something. It'll be fine. 65 00:03:10,143 --> 00:03:11,524 - I'll find you later? - Mm-hmm. 66 00:03:12,226 --> 00:03:15,264 Dr. John to the ER. Dr. Christopher John to the ER. 67 00:03:34,688 --> 00:03:36,034 Good morning. 68 00:03:40,234 --> 00:03:41,856 Are there security cameras in here? 69 00:03:42,720 --> 00:03:43,721 I don't think so. 70 00:03:47,123 --> 00:03:49,895 Yeah, okay. No kissing in the elevator. 71 00:03:50,471 --> 00:03:52,622 Probably shouldn't be kissing anywhere in the hospital. 72 00:03:52,646 --> 00:03:53,750 What about on-call rooms? 73 00:03:53,775 --> 00:03:56,245 On-call rooms are fine if we lock the door 74 00:03:56,270 --> 00:03:58,134 and stagger our entrances and exits. 75 00:03:58,159 --> 00:04:00,092 Yeah, I'd say no flirting in public. 76 00:04:00,117 --> 00:04:01,707 And when I'm on your service, we should 77 00:04:01,732 --> 00:04:03,175 be three feet apart and no eye contact. 78 00:04:03,277 --> 00:04:04,608 Won't that be a little weird? 79 00:04:04,633 --> 00:04:06,911 Then a professional amount of eye contact. 80 00:04:06,936 --> 00:04:08,144 Okay. Yeah. 81 00:04:10,077 --> 00:04:14,426 Uh, Dr. Ndugu, I will get on pulling Mr. Azab's chest tube. 82 00:04:14,451 --> 00:04:15,946 Thank you, Dr. Millin. 83 00:04:20,501 --> 00:04:22,345 Dr. Whiteway to front desk. 84 00:04:22,369 --> 00:04:23,987 Dr. Preston Whiteway to front desk. 85 00:04:25,126 --> 00:04:27,128 Don't even think about it. 86 00:04:27,883 --> 00:04:31,315 I was, uh... I was just passing by. Wanted to see how he was doing. 87 00:04:31,340 --> 00:04:35,042 You don't go anywhere near patients, especially Quinn. 88 00:04:35,083 --> 00:04:37,569 Y-You don't even look in his general direction. 89 00:04:38,372 --> 00:04:42,407 Look, I've already done a week of pre-ops. Isn't that enough? 90 00:04:43,006 --> 00:04:45,121 You injected a man with a treatment 91 00:04:45,146 --> 00:04:48,543 the FDA specifically said not to, so no. 92 00:04:49,954 --> 00:04:51,438 What can I do to change that? 93 00:04:51,463 --> 00:04:54,121 - You can do what I tell you. - Okay. 94 00:04:55,217 --> 00:04:58,821 There are discharge summaries with your name written all over them. 95 00:04:58,846 --> 00:04:59,916 - Mm-hmm. - Go. 96 00:05:00,679 --> 00:05:03,337 Hey, um, when can I put him back on regular service? 97 00:05:03,475 --> 00:05:04,821 Mmm. When I say so. 98 00:05:04,846 --> 00:05:06,400 Yeah, but we're stretched pretty thin. 99 00:05:06,651 --> 00:05:09,343 Oh. Well, let me help. Um... 100 00:05:10,448 --> 00:05:13,584 Here, I can, uh, discharge Quinn Durston myself. 101 00:05:13,609 --> 00:05:15,128 All right? So take that off your list. 102 00:05:15,211 --> 00:05:18,663 Um... Whatever you say. 103 00:05:18,972 --> 00:05:22,389 Dr. Burkhart to ortho. Dr. Kim Burkhart to ortho. 104 00:05:22,701 --> 00:05:24,348 Good morning, Bailey. 105 00:05:26,118 --> 00:05:28,303 Were... Were you with my patient, Quinn? 106 00:05:28,328 --> 00:05:30,374 I consulted on his case earlier this year. 107 00:05:30,399 --> 00:05:32,021 I thought I'd stop by and say hi. 108 00:05:32,159 --> 00:05:33,885 - He's a nice guy. - Yeah. 109 00:05:34,989 --> 00:05:38,735 You, um, want to fill me in on your secret? 110 00:05:38,760 --> 00:05:39,959 Secret? 111 00:05:40,625 --> 00:05:42,524 Oh, judging by how his infection's healing, 112 00:05:42,549 --> 00:05:44,171 you worked some kind of miracle. 113 00:05:44,810 --> 00:05:46,432 Keep up the good work. 114 00:05:46,457 --> 00:05:49,564 Dr. Peeka to the OR. Dr. Peeka to the OR. 115 00:05:49,901 --> 00:05:51,702 and that's why Josefa Ortiz de Domínguez 116 00:05:51,726 --> 00:05:54,190 is one of Mexico's unsung heroes 117 00:05:54,215 --> 00:05:55,493 of the revolution. 118 00:05:55,631 --> 00:05:58,574 - Good morning, you two. - Dr. Wilson. You're back. 119 00:05:58,712 --> 00:06:00,473 It's my first day back. 120 00:06:00,498 --> 00:06:02,889 Sorry for interrupting the history lecture. 121 00:06:03,027 --> 00:06:05,305 She's already got our daughter halfway to a PhD. 122 00:06:05,330 --> 00:06:08,308 Oh, she's a lucky girl to have two professors as parents. 123 00:06:08,333 --> 00:06:09,576 She's our first kid. 124 00:06:09,601 --> 00:06:11,406 I'll lower my expectations on the second or third. 125 00:06:11,431 --> 00:06:13,762 Let's get through this pregnancy first. 126 00:06:13,900 --> 00:06:17,559 So you've got abdominal pain, nausea, vaginal bleeding. 127 00:06:17,584 --> 00:06:19,320 How long have you had the shortness of breath? 128 00:06:19,344 --> 00:06:20,380 Since yesterday. 129 00:06:20,863 --> 00:06:23,219 A-at first I thought it might just be the pregnancy. 130 00:06:23,244 --> 00:06:25,730 - Okay. May I? - Mm-hmm. 131 00:06:27,742 --> 00:06:29,398 Okay. 132 00:06:34,979 --> 00:06:36,947 Is... is our baby okay? 133 00:06:37,576 --> 00:06:39,822 Based on your high blood pressure, 134 00:06:39,847 --> 00:06:42,125 I am concerned about preeclampsia. 135 00:06:42,150 --> 00:06:44,102 I'd like to get some more labs to be sure. 136 00:06:44,127 --> 00:06:46,336 - Is that bad? Can you fix it? - Should I be scared? 137 00:06:46,568 --> 00:06:48,570 It's okay to be scared. 138 00:06:48,960 --> 00:06:51,721 Just know that I will be by your side every step of the way, 139 00:06:51,746 --> 00:06:53,422 whatever it is, we will handle it. 140 00:06:53,560 --> 00:06:56,208 - Okay. - I'll be back. 141 00:07:01,593 --> 00:07:03,561 - Hey, can I ask you something? - Mm-hmm. 142 00:07:03,586 --> 00:07:06,677 You and Owen are divorced. Do you get lunch? 143 00:07:06,702 --> 00:07:08,117 Mmm, not usually. 144 00:07:08,842 --> 00:07:10,873 He's divorced from you. Do you get lunch? 145 00:07:11,220 --> 00:07:12,256 No. 146 00:07:12,535 --> 00:07:14,581 - Should I be worried? - About lunch? 147 00:07:14,606 --> 00:07:15,849 Dr. Shepherd? Paramedics called. 148 00:07:15,874 --> 00:07:18,240 They're bringing in a code stroke. Female, 75. 149 00:07:18,265 --> 00:07:20,346 - Uh, hold that thought. How far out? - Unloading now. 150 00:07:20,370 --> 00:07:22,314 They picked her up around Lake Union slurring her words. 151 00:07:22,338 --> 00:07:25,721 Okay, notify CT. The patient is gonna need a scan ASAP. 152 00:07:25,859 --> 00:07:28,275 And make sure the endovascular lab is on standby. 153 00:07:28,413 --> 00:07:29,413 Okay. 154 00:07:29,483 --> 00:07:31,209 Oh, my God. 155 00:07:31,347 --> 00:07:34,039 - Owen, Owen. - Oh, my God. 156 00:07:34,064 --> 00:07:35,820 75-year-old female. She's been asking... 157 00:07:35,845 --> 00:07:36,967 - Evelyn. - You know her? 158 00:07:36,992 --> 00:07:38,950 - Page Owen Hunt. - Is there a trauma injury? 159 00:07:38,975 --> 00:07:40,535 - Owen? - This is his mother. 160 00:07:41,261 --> 00:07:46,261 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 161 00:07:57,615 --> 00:07:59,488 - Hey, Dr. Kwan. - Hey. 162 00:07:59,513 --> 00:08:01,457 I was starting to think that you've forgotten about us. 163 00:08:01,481 --> 00:08:04,069 No way. Uh, it's just been really busy, 164 00:08:04,207 --> 00:08:06,426 but I hear you're getting discharged. 165 00:08:06,564 --> 00:08:10,637 Yep, we're gonna go home, get some rest, and then hit the road. 166 00:08:10,818 --> 00:08:13,027 First stop, Glacier National Park. 167 00:08:13,458 --> 00:08:15,080 You talked Logan into the trip? 168 00:08:15,218 --> 00:08:17,058 He's actually the one that started planning it. 169 00:08:17,497 --> 00:08:19,257 I don't know what happened. After my surgery, 170 00:08:19,282 --> 00:08:21,146 he became a regular John Muir. 171 00:08:22,225 --> 00:08:24,780 Who knows how long those glaciers will be there, right? 172 00:08:25,884 --> 00:08:27,058 Hey, Mr. Durston. 173 00:08:27,083 --> 00:08:29,311 Uh, Dr. Kwan, I thought you were supposed to be... 174 00:08:29,336 --> 00:08:31,382 I-I was just saying goodbye. Safe travels. 175 00:08:31,407 --> 00:08:33,651 Dr. Warren, his sats are at 93 on room air 176 00:08:33,676 --> 00:08:35,850 and heart rate is trending to the low one hundreds. 177 00:08:36,101 --> 00:08:37,596 - What does that mean? - It could be nothing, 178 00:08:37,621 --> 00:08:39,781 but we can't discharge your dad until we check him out, 179 00:08:39,806 --> 00:08:41,394 so set up a chest X-ray and an EKG. 180 00:08:41,612 --> 00:08:43,532 It's just a few tests. We'll be out of here soon. 181 00:08:43,783 --> 00:08:46,579 Um, are you gonna go with him, Dr. Kwan? 182 00:08:48,286 --> 00:08:52,117 Of course. Yeah, uh, I will update you as soon as we know anything. 183 00:08:52,403 --> 00:08:53,681 Cool. 184 00:08:55,648 --> 00:08:59,099 Tonya Orvis, 56, seven months post heart transplant. 185 00:08:59,124 --> 00:09:01,782 Admitted with shortness of breath and chest pain. 186 00:09:02,146 --> 00:09:04,839 It's always good to see you, but I'm sorry you're not feeling well. 187 00:09:04,864 --> 00:09:08,108 It's okay. I never feel well. 188 00:09:08,246 --> 00:09:10,845 Well, hopefully we can get this figured out and that'll change. 189 00:09:10,870 --> 00:09:14,736 Can you make me a healthy 25-year-old with big boobs and beachy waves? 190 00:09:14,875 --> 00:09:17,329 That's not technically my specialty. 191 00:09:17,354 --> 00:09:19,224 Then I think this is just how I'm gonna feel. 192 00:09:19,342 --> 00:09:21,758 I'm running on a used engine. What'd you expect? 193 00:09:22,207 --> 00:09:23,519 It's kind of a miracle. 194 00:09:23,544 --> 00:09:25,919 I mean, I've never had a heart transplant, 195 00:09:25,944 --> 00:09:28,809 but I would think you'd feel better than before. 196 00:09:28,947 --> 00:09:30,819 You would think that. 197 00:09:30,844 --> 00:09:34,894 - What's that supposed to mean? - You're young, handsome. 198 00:09:34,919 --> 00:09:39,440 Give it 15 years, some hair loss and 20 cholesterol points. 199 00:09:39,465 --> 00:09:43,330 Uh, let's send for a Prograf level, CT and an EKG, all right? 200 00:09:43,598 --> 00:09:45,461 - We'll be back. - Can't wait. 201 00:09:47,517 --> 00:09:50,555 - She is... - Charming, and you'll love her. 202 00:09:52,143 --> 00:09:53,808 Evelyn, hey, it's Teddy. 203 00:09:53,832 --> 00:09:55,802 Owen's on his way down. Hang in there. Anything? 204 00:09:55,940 --> 00:09:59,426 - DTRs 2+ and equal bilaterally. - It looks like you had a TIA, 205 00:09:59,451 --> 00:10:01,886 - which is a mini stroke. - I know what it means. 206 00:10:02,024 --> 00:10:03,957 I may be old, but I'm still a nurse. 207 00:10:05,215 --> 00:10:07,064 It's nice to see you though, dear. 208 00:10:07,202 --> 00:10:11,137 - How's that baby of yours? - Five and full of energy. 209 00:10:11,162 --> 00:10:14,648 I came as fast as I could. Are you okay? Any pain or dizziness? 210 00:10:14,688 --> 00:10:16,694 Oh, Lord. I'm fine. 211 00:10:16,832 --> 00:10:19,352 Just call my regular doctor. No need to fuss. 212 00:10:19,377 --> 00:10:21,043 She's moving all her extremities. 213 00:10:21,076 --> 00:10:22,630 No more facial drooping or slurring. 214 00:10:22,655 --> 00:10:24,069 It's likely a TIA. 215 00:10:24,094 --> 00:10:26,818 Atrial fibrillation on her EKG. It's intermittent on the monitor. 216 00:10:26,843 --> 00:10:29,604 Have you had any heart palpitations or felt your heart racing? 217 00:10:29,629 --> 00:10:32,330 - I don't think so. - Okay, she needs a head CT, an echo, 218 00:10:32,355 --> 00:10:34,319 carotid duplexes, and she needs to be admitted. 219 00:10:35,550 --> 00:10:38,578 - As in now. - Owen, watch your tone. 220 00:10:38,603 --> 00:10:40,501 We've already ordered the CT and the echo. 221 00:10:40,526 --> 00:10:42,076 Once those are done, we'll go from there, okay? 222 00:10:42,101 --> 00:10:45,240 Tell radiology that she has a history of a triple-A. 223 00:10:45,265 --> 00:10:46,622 She should be near the front of the line. 224 00:10:46,646 --> 00:10:48,994 - They're waiting for her now. - Okay. 225 00:10:51,249 --> 00:10:54,528 Dr. Velhert to peds. Dr. Mandy Velhert to peds. 226 00:10:56,552 --> 00:10:58,362 What's going on? 227 00:10:58,386 --> 00:11:00,694 I told you I would discharge Mr. Durston myself. 228 00:11:00,719 --> 00:11:03,169 Oncology needed the room and his paperwork was in order, so... 229 00:11:04,027 --> 00:11:07,159 And I was just saying a quick goodbye and then his sats dropped. 230 00:11:07,183 --> 00:11:09,127 Then you should have paged me. Where are you taking him? 231 00:11:09,151 --> 00:11:11,256 Radiology. CT is waiting on us. 232 00:11:11,443 --> 00:11:12,923 Don't worry, they're doing a good job. 233 00:11:12,948 --> 00:11:16,572 That may be, but they have other things to do. 234 00:11:16,597 --> 00:11:17,771 I will take it from here. 235 00:11:19,092 --> 00:11:21,932 - You're taking him to CT? - Yeah, you said it yourself. 236 00:11:21,957 --> 00:11:23,061 We're stretched thin. 237 00:11:26,557 --> 00:11:30,260 You said elevated liver enzymes, low platelets and high LDH? 238 00:11:30,285 --> 00:11:32,080 We don't speak doctor. 239 00:11:32,105 --> 00:11:34,359 Does that mean I have preeclampsia? - Not exactly. 240 00:11:34,383 --> 00:11:38,076 Your lab results and physical exam indicate something related. 241 00:11:38,294 --> 00:11:40,769 - HELLP syndrome. - That sounds worse. 242 00:11:41,252 --> 00:11:44,333 It is a rare pregnancy complication of your blood and liver. 243 00:11:44,358 --> 00:11:46,015 So what do we do now? Give her medication? 244 00:11:47,653 --> 00:11:51,099 - What is that? What's happening? - Your baby is in distress. 245 00:11:51,124 --> 00:11:53,713 Let's get you on your side to see if that helps. 246 00:11:53,738 --> 00:11:56,672 Okay, ready? 247 00:11:56,923 --> 00:12:00,522 Okay, we need some help in here. Okay, Irene, change of plan. 248 00:12:00,547 --> 00:12:02,480 The best way to take care of you and your baby 249 00:12:02,505 --> 00:12:04,906 is to get you to the OR for a C-section. 250 00:12:04,931 --> 00:12:06,449 What... You're taking her now? 251 00:12:06,474 --> 00:12:08,615 I'm not... I'm not due for another six weeks. 252 00:12:08,640 --> 00:12:10,676 Your baby is 34 weeks. She should be just fine. 253 00:12:10,701 --> 00:12:12,788 We have an amazing NICU team, but we do 254 00:12:12,813 --> 00:12:14,561 need to get her out as soon as possible. 255 00:12:15,217 --> 00:12:17,944 - You got this. I love you. - I love you too. 256 00:12:19,924 --> 00:12:22,475 You have to make sure both of them are okay, please. 257 00:12:22,742 --> 00:12:24,054 I'll do everything I can. 258 00:12:33,224 --> 00:12:34,432 Hey. 259 00:12:34,457 --> 00:12:37,362 I just did my first A-line without supervision, 260 00:12:37,387 --> 00:12:38,768 and the patient is still alive. 261 00:12:38,848 --> 00:12:41,252 Do you want to go out to dinner? 262 00:12:41,277 --> 00:12:43,970 To celebrate. I mean, last night was so fun, 263 00:12:43,995 --> 00:12:46,445 and the night before that and twice the night before that. 264 00:12:46,734 --> 00:12:49,185 But don't you ever get hungry? 265 00:12:50,484 --> 00:12:51,554 Sounds great. 266 00:12:52,841 --> 00:12:54,463 Uh... Bailey. 267 00:12:55,309 --> 00:12:56,655 I'll see you tonight. 268 00:13:01,366 --> 00:13:02,540 I thought you were sad. 269 00:13:03,575 --> 00:13:05,535 - He found something to make him happy. - Shut up. 270 00:13:05,560 --> 00:13:06,760 Trust me, no judgment here. 271 00:13:06,785 --> 00:13:09,754 You know, like, Millin's having, like, a full-on affair with... 272 00:13:09,779 --> 00:13:12,171 Have you heard from your family? Is your brother doing better? 273 00:13:12,308 --> 00:13:13,629 I'd rather not get into it. 274 00:13:15,208 --> 00:13:17,797 It's the medical records office with another dumb question 275 00:13:17,822 --> 00:13:19,807 on another dumb discharge summary. 276 00:13:20,432 --> 00:13:23,294 Should I just throw in the towel? Become a mechanic? 277 00:13:23,319 --> 00:13:24,320 Yes. 278 00:13:24,458 --> 00:13:25,908 You don't know what's going on. 279 00:13:26,139 --> 00:13:27,416 Just speaking from the heart. 280 00:13:36,963 --> 00:13:38,965 No, no. They just finished imaging her. 281 00:13:39,177 --> 00:13:42,042 No, just hold tight, okay? I gotta go. 282 00:13:43,167 --> 00:13:46,273 Megan. She's trying to decide if she needs to get on a plane. 283 00:13:46,811 --> 00:13:48,159 Does she need to get on a plane? 284 00:13:48,184 --> 00:13:51,288 Good news, imaging was negative, so there's no active stroke. 285 00:13:51,313 --> 00:13:54,187 But we did see signs of bilateral carotid stenosis, 286 00:13:54,212 --> 00:13:56,155 which is not unusual due to her history. 287 00:13:56,180 --> 00:13:57,726 I'm gonna start her on anticoagulants 288 00:13:57,750 --> 00:13:59,365 to reduce risk of further strokes, 289 00:13:59,390 --> 00:14:01,575 and then we're just gonna keep a really close eye on her. 290 00:14:01,599 --> 00:14:02,768 She's in good spirits. 291 00:14:02,793 --> 00:14:04,741 I'll give you an update once she's settled in the room. 292 00:14:04,766 --> 00:14:05,802 Okay. 293 00:14:06,922 --> 00:14:10,132 I, uh... I can cancel my day to help you out with whatever you need. 294 00:14:10,157 --> 00:14:13,482 - I mean, your mom, you. - Yeah, you don't need to do that. 295 00:14:13,585 --> 00:14:17,244 - Are you sure? It is not a problem. - I-I have it under control. 296 00:14:18,779 --> 00:14:20,401 Okay. Bye. 297 00:14:20,725 --> 00:14:23,285 Dr. Bush to the NICU. Dr. Justin Bush to the NICU. 298 00:14:27,252 --> 00:14:29,323 There she is. Cut the cord. 299 00:14:30,870 --> 00:14:33,769 Okay, sweet girl. 300 00:14:34,701 --> 00:14:36,712 Okay, hang two more units of blood. 301 00:14:36,971 --> 00:14:40,475 - I thought we called for backup. - We did. Twice. 302 00:14:40,500 --> 00:14:42,546 Where the hell are they? More traction. 303 00:14:42,571 --> 00:14:44,582 Heard you needed hands. What do we have? 304 00:14:44,607 --> 00:14:47,620 Just delivered the baby via crash C-section. Looks like HELLP. 305 00:14:47,645 --> 00:14:49,603 Based on her labs, the baby had prolonged 306 00:14:49,627 --> 00:14:51,451 bradycardia, so we had to deliver. 307 00:14:51,476 --> 00:14:53,927 - Hell of a first day back. - How much blood have you given? 308 00:14:54,864 --> 00:14:55,969 Three units. 309 00:14:56,240 --> 00:14:58,873 Need more lap pads. Send a TEG. 310 00:14:58,975 --> 00:15:01,011 Are you gonna help me control the bleeding or not? 311 00:15:01,708 --> 00:15:03,469 Okay, take this. 312 00:15:03,949 --> 00:15:06,641 Suction. More lap pads. 313 00:15:19,045 --> 00:15:22,048 - Hey, how was lunch? - Hey. Uh, fine. 314 00:15:22,438 --> 00:15:24,864 We talked. Actually, Celine did most of the talking, 315 00:15:24,889 --> 00:15:26,995 which is pretty typical for her. 316 00:15:27,133 --> 00:15:28,626 About Zachary or... 317 00:15:28,764 --> 00:15:31,526 - Um... - I mean, you don't have to tell me. 318 00:15:31,551 --> 00:15:33,271 She's your co-parent. It is not my business. 319 00:15:33,311 --> 00:15:35,979 - She wants to get back together. - Oh. 320 00:15:36,004 --> 00:15:38,612 I didn't expect any of the words that came out of her mouth, 321 00:15:38,637 --> 00:15:40,915 and I was going to wait and talk to you about it tonight, 322 00:15:40,940 --> 00:15:43,114 but I don't want to keep anything from you. 323 00:15:43,770 --> 00:15:45,979 Are you... 324 00:15:46,980 --> 00:15:49,051 - Do you want to get back together? - No. 325 00:15:52,813 --> 00:15:54,954 I don't know. I don't think so. 326 00:15:56,921 --> 00:15:58,164 Can we go somewhere? 327 00:15:58,302 --> 00:15:59,864 Talk about this, not in the hallway? 328 00:15:59,889 --> 00:16:01,857 I don't know what there is to talk about. 329 00:16:01,995 --> 00:16:05,180 I've never met Celine, and... I've never met Zachary. 330 00:16:05,205 --> 00:16:07,701 I-I mean, I don't even know how long you guys have been divorced. 331 00:16:07,725 --> 00:16:10,452 - Nine months. - That's not long. 332 00:16:11,048 --> 00:16:14,001 You know, and we haven't really defined this thing, like, 333 00:16:14,026 --> 00:16:17,192 - I-I really don't get to weigh in. - Amelia. 334 00:16:17,217 --> 00:16:19,367 I have this really important patient 335 00:16:19,392 --> 00:16:21,404 that I need to give all of my attention to right now, 336 00:16:21,428 --> 00:16:23,120 so I'm going to focus on that. 337 00:16:23,947 --> 00:16:26,018 You just let me know what you decide. 338 00:16:33,751 --> 00:16:35,166 - Hey. - Hey. 339 00:16:35,191 --> 00:16:37,445 - I said I had this under control. - Yeah, and I heard you. 340 00:16:37,470 --> 00:16:40,769 I'm not here to help. I'm here on a wild goose chase. 341 00:16:41,172 --> 00:16:43,007 Novack-Myers wants their hydrogel back 342 00:16:43,031 --> 00:16:44,730 since the FDA denied Quinn's request, 343 00:16:44,755 --> 00:16:47,765 but I can't find it and no one knows where it is. 344 00:16:47,790 --> 00:16:48,871 Have you seen it? 345 00:16:48,896 --> 00:16:52,676 We have a floor full of patients, and you're looking for a vial? 346 00:16:52,701 --> 00:16:55,748 - It's worth a half million dollars. - Let it go. 347 00:16:55,773 --> 00:16:58,051 Our drug storage protocol should be airtight. 348 00:16:58,076 --> 00:17:00,235 You think this is an acceptable way to run a hospital? 349 00:17:00,260 --> 00:17:03,480 No, but look, we're busier than we've been all year, 350 00:17:03,505 --> 00:17:05,438 and you are our chief resident. 351 00:17:05,463 --> 00:17:08,312 - Yeah, I know, I'm... - You have to do triage, 352 00:17:08,337 --> 00:17:11,590 and if you do it right, wild goose chase will not make the cut. 353 00:17:12,789 --> 00:17:14,170 Copy that. 354 00:17:16,121 --> 00:17:18,226 Pulmonary embolism in the right lower lobe. 355 00:17:18,668 --> 00:17:20,187 Oh, no. 356 00:17:22,623 --> 00:17:23,624 Damn it. 357 00:17:25,387 --> 00:17:27,906 All right, let's get him on a heparin drip. 358 00:17:28,229 --> 00:17:31,370 He is not going home today. 359 00:17:31,395 --> 00:17:33,880 Still bleeding. 360 00:17:34,018 --> 00:17:35,375 How many units have we used? 361 00:17:35,399 --> 00:17:36,997 Eight so far. We need more laps. 362 00:17:37,021 --> 00:17:38,930 The TEG doesn't look good. She's too unstable. 363 00:17:38,954 --> 00:17:40,274 We just need to stop the bleeding. 364 00:17:40,299 --> 00:17:42,070 No, I'm more worried about correcting her acidosis, 365 00:17:42,095 --> 00:17:43,371 and we maxed her out on pressors. 366 00:17:43,396 --> 00:17:46,110 Millin, what's the standard of care for damage control in surgery? 367 00:17:46,134 --> 00:17:49,319 We pack the patient and then we resuscitate her with IV fluids 368 00:17:49,344 --> 00:17:51,597 and blood products in the ICU, 369 00:17:51,622 --> 00:17:53,531 and then bring her back to the OR once she's stable. 370 00:17:53,555 --> 00:17:54,728 Okay, good. Wilson? 371 00:17:54,753 --> 00:17:56,464 No. No, no, no. Something isn't right. 372 00:17:56,489 --> 00:17:57,880 Was there something wrong with her labs? 373 00:17:57,904 --> 00:18:00,606 No, it's just... I just have this feeling. 374 00:18:00,631 --> 00:18:02,471 You said it yourself, there's a lot of bleeding. 375 00:18:02,495 --> 00:18:04,024 You just cut into her uterus and pulled out a baby. 376 00:18:04,048 --> 00:18:05,601 Of course there's a lot of blood. 377 00:18:05,626 --> 00:18:09,020 Wilson, she's too sick. If we keep going, we will lose her. 378 00:18:13,849 --> 00:18:15,609 Okay, let's get her to the ICU. 379 00:18:23,042 --> 00:18:27,253 That's precision. I can tell you're an excellent surgeon. 380 00:18:27,278 --> 00:18:28,495 Okay, Mom. 381 00:18:28,520 --> 00:18:31,224 Okay. Ms. Hunt, you need anything at all, you have me paged. 382 00:18:31,341 --> 00:18:33,653 - All right? Bye. - Bye, Dr. Bryant. 383 00:18:34,458 --> 00:18:37,530 Okay, let's dial back on flirting with the residents, please. 384 00:18:37,555 --> 00:18:38,816 You're no fun. 385 00:18:38,841 --> 00:18:41,154 - You've just had a stroke. - A TIA. 386 00:18:41,827 --> 00:18:43,035 Barely counts. 387 00:18:43,997 --> 00:18:46,410 - Are you okay? - I'm fine. 388 00:18:46,435 --> 00:18:47,712 Oh. 389 00:18:47,963 --> 00:18:50,276 You sound just like your father. 390 00:18:50,347 --> 00:18:53,833 That man kept everything inside until the day he died. 391 00:18:54,650 --> 00:18:55,858 When you were six, 392 00:18:56,618 --> 00:18:59,966 there was a week where he seemed down. 393 00:19:01,340 --> 00:19:03,273 But he insisted he was fine. 394 00:19:04,073 --> 00:19:07,284 Then I ran into Sheila Skeeland at the pharmacy, you remember her? 395 00:19:07,767 --> 00:19:09,148 Dad's secretary? 396 00:19:09,976 --> 00:19:15,796 She told me one of their co-workers had keeled over... dead, 397 00:19:16,362 --> 00:19:18,226 in your father's office. 398 00:19:18,309 --> 00:19:21,795 He did CPR for 20 minutes. 399 00:19:24,611 --> 00:19:26,924 I wish he would have told me things. 400 00:19:27,175 --> 00:19:29,557 You feel you would have known him better if he'd let you in? 401 00:19:29,582 --> 00:19:30,859 Oh. 402 00:19:30,884 --> 00:19:33,266 I knew exactly who that man was. 403 00:19:34,494 --> 00:19:39,153 No, he would have felt better if he'd let it out on a... 404 00:19:42,049 --> 00:19:45,055 - Mom? Mom. Mom. - Owen. Owen. 405 00:19:45,080 --> 00:19:47,876 Code stroke. Code stroke in 3121. 406 00:19:47,901 --> 00:19:49,197 - Mom, it's okay. - Owen. 407 00:19:49,222 --> 00:19:50,913 - Hey, hey, hey. I'm here. - Owen. 408 00:19:50,938 --> 00:19:52,569 - It's okay. - Page Shepherd. 409 00:20:00,496 --> 00:20:02,176 Dr. Viola to the psych ward. 410 00:20:02,201 --> 00:20:04,237 Dr. Margaret Viola to the psych ward. 411 00:20:05,750 --> 00:20:08,062 Just finished my laminectomy. 412 00:20:09,829 --> 00:20:11,875 - Have you eaten anything? - Uh... No time. 413 00:20:11,900 --> 00:20:14,627 I'm trying to figure out why my patient is circling the drain. 414 00:20:15,507 --> 00:20:17,210 You want to bounce ideas? 415 00:20:18,217 --> 00:20:21,039 I know slightly more than nothing about 416 00:20:21,064 --> 00:20:22,928 differential diagnoses with HELLP. 417 00:20:22,953 --> 00:20:24,715 All her labs point to HELLP syndrome, 418 00:20:24,740 --> 00:20:27,433 but after I did the crash C-section, she never stopped bleeding. 419 00:20:27,458 --> 00:20:29,258 Maybe she just needs more time to resuscitate. 420 00:20:29,400 --> 00:20:31,195 You sound like Helm. 421 00:20:31,220 --> 00:20:33,860 She was with me in the OR. I'm pretty sure she thinks I've lost it. 422 00:20:36,062 --> 00:20:38,029 - Is that your patient? - Irene. 423 00:20:38,283 --> 00:20:41,459 Her wife keeps running back and forth between here and the NICU. 424 00:20:42,772 --> 00:20:43,808 Hmm. 425 00:20:45,490 --> 00:20:48,078 Tell her to take the stairs by the vending machines. 426 00:20:48,177 --> 00:20:50,490 There's fewer people, plus you avoid that chatty nurse. 427 00:20:51,664 --> 00:20:53,010 Can I bring you a sandwich? 428 00:20:53,148 --> 00:20:54,632 No, I'm going to keep working. 429 00:20:56,565 --> 00:20:59,810 - You need to eat. - I need to... figure this out. 430 00:21:02,778 --> 00:21:03,814 Are you okay? 431 00:21:04,642 --> 00:21:07,921 I'm just worried about my patient. I will talk to you later. 432 00:21:09,337 --> 00:21:10,407 - Okay. - Okay. 433 00:21:17,483 --> 00:21:21,418 Dr. Anezi to ortho. Dr. Ali Anezi to ortho. 434 00:21:22,281 --> 00:21:23,084 Tonya. 435 00:21:25,214 --> 00:21:28,666 - It's Dr. Adams. - I'm in the middle of something. 436 00:21:28,917 --> 00:21:31,230 - Is this important? - Uh, yeah. 437 00:21:31,368 --> 00:21:32,956 Yeah, kinda. 438 00:21:36,164 --> 00:21:39,823 Dr. Ndugu asked me to take your blood. Sorry to interrupt your, uh... 439 00:21:40,157 --> 00:21:42,435 I was practicing for when I'm dead. 440 00:21:42,991 --> 00:21:44,164 Okay. 441 00:21:44,613 --> 00:21:46,304 I know there's no skill involved, 442 00:21:46,654 --> 00:21:48,829 I just get panic attacks sometimes. 443 00:21:49,238 --> 00:21:52,000 Pretending I'm dead helps me remember there's nothing to worry about. 444 00:21:52,138 --> 00:21:53,622 I'll be dead. 445 00:21:53,647 --> 00:21:56,815 I think you'll live another 15 or 20 years with this heart. 446 00:21:57,971 --> 00:22:00,088 Or I could be hit by a bus tomorrow. 447 00:22:00,706 --> 00:22:02,226 Wait. This isn't even about your heart? 448 00:22:02,251 --> 00:22:03,494 I'm a pragmatist. 449 00:22:03,519 --> 00:22:05,126 Yeah, I don't think that's what that means. 450 00:22:05,151 --> 00:22:07,084 Whatever it is, works for me. 451 00:22:07,109 --> 00:22:08,248 Does it? 452 00:22:08,499 --> 00:22:09,604 You don't know me. 453 00:22:09,742 --> 00:22:12,848 No, but I know that life is mostly a nightmare. 454 00:22:12,873 --> 00:22:16,068 And you can choose to fixate on it and be miserable, 455 00:22:16,093 --> 00:22:18,509 or... you can ignore it, 456 00:22:18,647 --> 00:22:20,477 and have fun. 457 00:22:20,615 --> 00:22:23,238 I'm in a hospital. How am I supposed to have a good time? 458 00:22:23,263 --> 00:22:26,596 Well, the gift shop. It has these puzzles. 459 00:22:26,621 --> 00:22:28,060 And sometimes, the kids from Peds, 460 00:22:28,084 --> 00:22:29,944 they like to prank call the front desk. 461 00:22:29,969 --> 00:22:30,969 So that's fun. 462 00:22:31,117 --> 00:22:33,430 And Andy, the nurse, 463 00:22:34,018 --> 00:22:35,778 single, ready to mingle. 464 00:22:35,940 --> 00:22:37,316 I'll get right on it. 465 00:22:37,341 --> 00:22:40,428 Oh, at least order the pancakes from the cafeteria tomorrow morning. 466 00:22:40,566 --> 00:22:42,452 They're surprisingly good. 467 00:22:43,593 --> 00:22:44,801 Are you done? 468 00:22:45,472 --> 00:22:47,632 Yeah. Yeah, I am. 469 00:22:50,679 --> 00:22:52,681 What happened? 470 00:22:52,706 --> 00:22:55,279 She started slurring her speech and lost mobility in her left side. 471 00:22:55,304 --> 00:22:57,074 She became obtunded, so we intubated. 472 00:22:57,099 --> 00:22:58,379 Owen, you should not be in here. 473 00:22:58,411 --> 00:22:59,792 I'm not going anywhere. 474 00:23:00,482 --> 00:23:01,863 There. Do you see that? 475 00:23:01,888 --> 00:23:04,323 A clot in the first segment of the middle cerebral artery. 476 00:23:04,348 --> 00:23:06,637 We're lucky that you were with her, and that you caught it right away. 477 00:23:06,661 --> 00:23:09,008 This stroke has a high rate of mortality. 478 00:23:09,033 --> 00:23:10,124 Should we push thrombolytics? 479 00:23:10,149 --> 00:23:11,607 Well, she's already on anticoagulation. 480 00:23:11,631 --> 00:23:13,426 Our best bet is to remove it. 481 00:23:13,451 --> 00:23:16,669 Why don't you prep for an endovascular thrombectomy. 482 00:23:19,178 --> 00:23:20,818 I will take care of her like she's my own. 483 00:23:22,055 --> 00:23:23,747 I checked her chart on her way up. 484 00:23:24,333 --> 00:23:27,544 She hasn't updated her advanced directive in over a decade. 485 00:23:27,569 --> 00:23:31,720 Do you know if her wishes would've changed if anything were to happen? 486 00:23:31,745 --> 00:23:33,126 I'm not worried. It's you. 487 00:23:35,379 --> 00:23:36,311 With the carotid stenosis... 488 00:23:36,335 --> 00:23:37,806 Get in there and do what you need to do. 489 00:23:37,830 --> 00:23:40,111 - We need to prepare for the worst... - We're losing time! 490 00:23:40,891 --> 00:23:43,100 I will call you with updates. 491 00:23:50,852 --> 00:23:54,304 Helm wanted you to see Irene's latest ABG results. 492 00:23:54,329 --> 00:23:56,735 Her labs are improving. That's good, right? 493 00:23:57,445 --> 00:23:59,378 Except her hemoglobin is still dropping. 494 00:23:59,403 --> 00:24:00,680 She's still bleeding. 495 00:24:00,705 --> 00:24:02,811 Could it be dilutional? 496 00:24:03,156 --> 00:24:05,261 I don't know. I just... I... 497 00:24:06,445 --> 00:24:08,239 I think it might not be HELLP. 498 00:24:09,704 --> 00:24:12,184 Maybe she just needs more time? 499 00:24:12,209 --> 00:24:13,773 If the bleeding's not coming from her uterus, 500 00:24:13,797 --> 00:24:15,143 she may not have time. So I... 501 00:24:16,970 --> 00:24:20,353 I-I think that we go back into the OR and we find the source. 502 00:24:21,724 --> 00:24:25,175 Or w-we could get a scan first? 503 00:24:26,534 --> 00:24:27,880 She's crashing. 504 00:24:28,467 --> 00:24:30,296 Change of plans. I'm reopening her here. 505 00:24:30,434 --> 00:24:32,954 Uh... Hold on. Let me page Helm. 506 00:24:32,979 --> 00:24:35,069 Do whatever you need to do, but Irene can't wait. 507 00:24:35,094 --> 00:24:37,098 I need a cut down tray! 508 00:24:46,599 --> 00:24:49,463 Uh. You know, you gotta jump 509 00:24:49,488 --> 00:24:52,456 a millisecond after it feels like it's a little too late. Now. 510 00:24:54,320 --> 00:24:55,434 Doctors play video games? 511 00:24:55,459 --> 00:24:57,392 Oh. Surgeons have dexterity, bro. 512 00:24:58,471 --> 00:24:59,990 Uh, do you have Quinn's results? 513 00:25:00,015 --> 00:25:02,579 Uh. Your dad has a pulmonary embolism. 514 00:25:02,604 --> 00:25:04,581 It's a small blood clot in his lungs. 515 00:25:04,606 --> 00:25:06,332 We'll give him medicine to clear it up. 516 00:25:06,357 --> 00:25:08,378 I-I know. He's had one before. 517 00:25:08,645 --> 00:25:11,959 Um, wh-when is the experimental drug supposed to start working? 518 00:25:12,309 --> 00:25:13,690 There must be some confusion. 519 00:25:13,715 --> 00:25:15,799 Your dad didn't end up getting the experimental drug. 520 00:25:15,824 --> 00:25:17,481 Dr. Bailey said he did. 521 00:25:17,619 --> 00:25:19,782 The FDA or whatever changed their mind. 522 00:25:21,047 --> 00:25:22,048 Hmm. 523 00:25:23,048 --> 00:25:25,875 - Can you excuse us for a minute? - Yeah. 524 00:25:30,011 --> 00:25:32,565 You know anything about this? 525 00:25:33,497 --> 00:25:34,774 You should talk to Dr. Bailey. 526 00:25:35,706 --> 00:25:37,950 I don't see anything in his chart. Should I update it? 527 00:25:38,192 --> 00:25:41,678 Just record the PE. I'll talk to Dr. Bailey about the oversight. 528 00:25:41,712 --> 00:25:43,956 And you, stay the hell out of this case. 529 00:25:58,688 --> 00:26:01,450 What happened? Did she throw another clot? 530 00:26:04,795 --> 00:26:06,348 I can't operate on Owen's mom. 531 00:26:06,401 --> 00:26:08,887 If anything happens to her, he will never forgive me. 532 00:26:08,912 --> 00:26:11,796 You can ask someone else to do it, he'll understand. 533 00:26:11,821 --> 00:26:14,582 If she loses all cognitive function on someone else's table, 534 00:26:14,607 --> 00:26:15,781 I'll never forgive myself. 535 00:26:19,336 --> 00:26:20,652 She and my mom are a lot alike. 536 00:26:20,677 --> 00:26:24,336 You know, both military nurses and raised kids on their own. 537 00:26:25,894 --> 00:26:29,553 But I had a... ... a complicated relationship with my mom. 538 00:26:29,808 --> 00:26:32,535 So, having Evelyn as a mother-in-law kinda... 539 00:26:33,912 --> 00:26:35,361 you know, felt like a second chance. 540 00:26:35,386 --> 00:26:36,595 Hmm. 541 00:26:36,846 --> 00:26:38,537 You know what she'd say right now? 542 00:26:38,675 --> 00:26:41,546 "Suck it up and get in there." 543 00:26:43,118 --> 00:26:44,154 And she'd be right. 544 00:26:45,604 --> 00:26:46,743 You can do this. 545 00:26:51,610 --> 00:26:54,164 Feel free to say no, but can I go in there with you? 546 00:26:55,722 --> 00:26:56,723 Of course. 547 00:27:03,495 --> 00:27:04,876 What the hell are you doing? 548 00:27:04,901 --> 00:27:07,075 She was about to code. I had to open her. 549 00:27:07,100 --> 00:27:08,714 She's probably bleeding from the uterine 550 00:27:08,739 --> 00:27:10,743 incision, or the incision you just created. 551 00:27:10,767 --> 00:27:12,631 She's not. She's bleeding from somewhere else. 552 00:27:14,978 --> 00:27:16,441 - Oh, my God. - Ultrasound. 553 00:27:27,438 --> 00:27:29,267 - Holy hell. - Whoa. 554 00:27:30,821 --> 00:27:33,696 There. She's bleeding from the liver. 555 00:27:33,721 --> 00:27:36,733 She has a hemorrhage from a ruptured liver mass, probably an adenoma. 556 00:27:36,758 --> 00:27:38,838 So the bleed was coming from the mass the whole time? 557 00:27:39,300 --> 00:27:40,784 You were right. 558 00:27:40,809 --> 00:27:44,327 We need to embolize it in the IR suite. Millin, inform her wife. 559 00:27:44,352 --> 00:27:46,778 Are you two with me? 560 00:27:46,803 --> 00:27:47,976 Let's pack and go. 561 00:27:56,450 --> 00:27:58,167 You know it's a bad day when I'm having 562 00:27:58,192 --> 00:28:00,619 my morning green juice after 3:00 p.m. 563 00:28:00,644 --> 00:28:02,759 Did you give Quinn Durston the experimental hydrogel 564 00:28:02,784 --> 00:28:04,268 without the FDA's approval? 565 00:28:05,335 --> 00:28:06,370 No. 566 00:28:07,311 --> 00:28:09,106 Did Kwan? 567 00:28:10,240 --> 00:28:12,527 Yeah, that's why he's been doing paperwork all week. 568 00:28:12,552 --> 00:28:14,106 Miranda, you lied to my face. 569 00:28:14,131 --> 00:28:18,169 No, no, no. I'm trying to protect you. Right? 570 00:28:18,194 --> 00:28:20,881 - Keep you out of it. - Yeah, well, he's my patient too now. 571 00:28:20,906 --> 00:28:23,328 We are supposed to report the PE to the 572 00:28:23,352 --> 00:28:25,886 IRB and the clinical trial sponsor... 573 00:28:25,911 --> 00:28:28,944 - This could blow up. - I know that. 574 00:28:30,916 --> 00:28:32,296 Okay, look. 575 00:28:32,321 --> 00:28:34,929 It wasn't you, so you could tell them that Kwan... 576 00:28:34,954 --> 00:28:37,439 No, I'm not turning Kwan in. 577 00:28:37,957 --> 00:28:39,288 Okay, he was... he was just trying to 578 00:28:39,313 --> 00:28:41,754 help, and we had a treatment that could. 579 00:28:41,779 --> 00:28:44,076 How many times you been on my case about going rogue? 580 00:28:44,101 --> 00:28:45,233 That's just it, right? 581 00:28:45,258 --> 00:28:49,150 We've all done things we shouldn't have, but we're still here. 582 00:28:49,175 --> 00:28:51,784 Look, he's paying for his mistake 583 00:28:51,809 --> 00:28:54,974 with notes and-and-and orders. 584 00:28:54,999 --> 00:28:56,848 It doesn't need to upend his training. 585 00:28:56,873 --> 00:28:59,022 You could get fined, lose your license. 586 00:28:59,047 --> 00:29:01,015 It's way less likely to happen to me than him. 587 00:29:03,583 --> 00:29:04,584 I hope you're right. 588 00:29:13,579 --> 00:29:14,798 Advancing the catheter. 589 00:29:14,822 --> 00:29:16,006 What kind of nurse was Ms. Hunt? 590 00:29:16,030 --> 00:29:18,041 She was a scrub nurse in Vietnam. 591 00:29:18,066 --> 00:29:19,136 That tracks. 592 00:29:19,161 --> 00:29:21,251 Yeah, she seems like a hospital corners, 593 00:29:21,276 --> 00:29:23,423 - count the instruments kind of gal. - Very much so. 594 00:29:23,448 --> 00:29:25,865 All right. Push the contrast. Fluoro. 595 00:29:28,421 --> 00:29:31,977 Damn it. The carotid is narrower than it looked on the scans. 596 00:29:32,002 --> 00:29:34,368 Yeah, it looks 100% blocked on the left. 597 00:29:34,393 --> 00:29:36,498 Does that mean you can't get the clot? 598 00:29:36,636 --> 00:29:37,810 I can do it. 599 00:29:37,948 --> 00:29:39,748 But if I knock against the wall of the artery, 600 00:29:39,778 --> 00:29:41,814 I could shower blood clots into her brain. 601 00:29:41,839 --> 00:29:43,791 When will we address the stenosis? 602 00:29:43,816 --> 00:29:45,828 I could do a carotid endarterectomy 603 00:29:45,853 --> 00:29:47,855 when she's recovered from the thrombectomy. 604 00:29:47,993 --> 00:29:49,339 Someone get Dr. Hunt on the phone. 605 00:29:53,377 --> 00:29:55,172 How's it going? Do you have a clear path? 606 00:29:55,310 --> 00:29:57,116 The stenosis is worse than expected. 607 00:29:57,140 --> 00:29:59,496 It's about 95% occluded on the right side. 608 00:29:59,521 --> 00:30:00,971 - But I can make it work. - Okay. 609 00:30:01,109 --> 00:30:02,569 So what are you gonna do about the stenosis? 610 00:30:02,593 --> 00:30:03,847 Teddy and I just talked it through. 611 00:30:03,871 --> 00:30:05,951 Her brain tissue is too unstable right now. 612 00:30:05,976 --> 00:30:07,875 I could do an endarterectomy in a few weeks. 613 00:30:08,127 --> 00:30:10,784 A few weeks? She'll have more strokes. 614 00:30:10,809 --> 00:30:12,396 Can we place the stent now? 615 00:30:12,421 --> 00:30:15,512 That would increase her risk of converting to a hemorrhagic stroke. 616 00:30:15,537 --> 00:30:17,229 I think that's a risk we need to take. 617 00:30:17,850 --> 00:30:19,172 Owen, we've already lost a lot of time. 618 00:30:19,196 --> 00:30:20,996 This is my recommendation. It's too dangerous. 619 00:30:21,060 --> 00:30:23,211 If she has more strokes, she'll lose even more brain tissue. 620 00:30:23,235 --> 00:30:25,915 And if I placed the stent and it becomes hemorrhagic, she could die. 621 00:30:25,962 --> 00:30:27,998 I know my mom, okay? 622 00:30:29,155 --> 00:30:31,045 And she would rather die on that table 623 00:30:31,070 --> 00:30:33,270 than to live every day with the risk of a massive stroke 624 00:30:33,295 --> 00:30:35,159 taking away her independence. 625 00:30:35,903 --> 00:30:37,559 Amelia, I know what I'm asking you to do. 626 00:30:37,899 --> 00:30:40,109 And if anything happens, it's on me, not you. 627 00:30:44,751 --> 00:30:45,752 Okay. I'll do it. 628 00:30:47,638 --> 00:30:49,295 Okay, everybody. We've got to move. 629 00:30:49,433 --> 00:30:51,884 I'm going to perform the thrombectomy and place the stent. 630 00:30:51,909 --> 00:30:54,724 I know I said this was a bad idea before, but we need to forget that. 631 00:30:54,749 --> 00:30:56,509 If we're going to do this, we need to operate 632 00:30:56,534 --> 00:30:57,968 as though we cannot fail. 633 00:30:57,993 --> 00:30:59,626 - I'm with you. - We got your back. 634 00:31:01,345 --> 00:31:02,691 Aspiration catheter. 635 00:32:33,374 --> 00:32:35,273 I need you to jump in. 636 00:32:35,298 --> 00:32:37,103 What the hell happened? I was just talking to her. 637 00:32:37,127 --> 00:32:39,164 - Adams, get in here right now. Come on. - Okay. 638 00:32:49,519 --> 00:32:51,762 - Is she... - She's headed to recovery. 639 00:33:11,604 --> 00:33:12,640 Hey. 640 00:33:14,233 --> 00:33:17,453 - What sounds better, burgers or Thai? - Neither. 641 00:33:17,579 --> 00:33:19,512 I just lost a patient. 642 00:33:21,042 --> 00:33:23,286 Sudden cardiac death from transplant rejection. 643 00:33:23,311 --> 00:33:24,726 Oh. 644 00:33:24,958 --> 00:33:28,583 I'm so sorry. Do you want to go back to your place? 645 00:33:29,196 --> 00:33:31,129 I need to get caught up on notes. 646 00:33:33,746 --> 00:33:36,299 Don't waste your time. He's using you. 647 00:33:43,037 --> 00:33:44,314 We've all been there. 648 00:33:45,371 --> 00:33:46,821 It sucks. 649 00:33:52,375 --> 00:33:53,755 How is she doing? 650 00:33:54,423 --> 00:33:56,080 Stable. She's tough. 651 00:33:56,655 --> 00:33:58,519 - And how are you doing? - I'm fine. 652 00:33:58,770 --> 00:34:00,668 Apple doesn't fall far from the tree. 653 00:34:00,693 --> 00:34:02,592 She says that I'm like my dad. 654 00:34:03,064 --> 00:34:05,308 That may be true, but you're also a lot like her. 655 00:34:06,712 --> 00:34:07,955 All right, Evelyn. 656 00:34:08,305 --> 00:34:11,204 We have started to wean you off sedation. 657 00:34:11,341 --> 00:34:12,756 Let's see how you're doing. 658 00:34:20,688 --> 00:34:22,242 Okay, please squeeze my fingers. 659 00:34:34,900 --> 00:34:36,798 Excellent work, Evelyn. 660 00:34:40,078 --> 00:34:41,286 Okay. 661 00:34:44,806 --> 00:34:47,577 I'll let her rest and then we'll wean her off some more. 662 00:34:47,602 --> 00:34:48,602 - Thank you. - Of course. 663 00:34:48,627 --> 00:34:50,008 Not just for that. 664 00:34:50,214 --> 00:34:52,917 I know I pushed you to take a risk that you weren't comfortable with. 665 00:34:53,426 --> 00:34:54,945 You were right. 666 00:34:56,443 --> 00:34:57,858 It was worth it. 667 00:35:21,326 --> 00:35:23,500 It's been a really long day. I almost lost a patient. 668 00:35:23,525 --> 00:35:24,871 Can we just... 669 00:35:32,992 --> 00:35:34,235 Welcome home. 670 00:35:35,086 --> 00:35:37,296 Can I crawl into bed with my shoes on? 671 00:35:38,294 --> 00:35:40,468 As long as you don't mess up the laundry. 672 00:35:43,417 --> 00:35:44,876 Did your patient, uh... 673 00:35:45,015 --> 00:35:48,190 It wasn't HELLP. 674 00:35:48,215 --> 00:35:50,665 It was a ruptured hepatic adenoma. 675 00:35:52,184 --> 00:35:54,763 We embolized. She's in recovery. 676 00:35:55,475 --> 00:35:57,961 That's great. You were right. 677 00:35:59,295 --> 00:36:00,468 Yeah. 678 00:36:02,367 --> 00:36:03,644 Hey. 679 00:36:04,231 --> 00:36:08,752 Listen, you saved a mom and her baby, and honestly, the other mom too. 680 00:36:08,905 --> 00:36:11,494 That family is going to be just fine. 681 00:36:12,961 --> 00:36:13,997 Maybe. 682 00:36:15,059 --> 00:36:19,980 Or... maybe months from now, Irene will still panic 683 00:36:20,005 --> 00:36:22,833 when she feels pain in her side, or... 684 00:36:24,033 --> 00:36:27,692 feel terrified when she gets a headache, or... 685 00:36:34,537 --> 00:36:38,886 hate herself when she looks at her daughter 686 00:36:39,726 --> 00:36:43,075 and all she can think about is the time that she almost died. 687 00:36:44,340 --> 00:36:45,927 Oh. Is this... 688 00:36:46,813 --> 00:36:47,849 Jo. 689 00:36:49,586 --> 00:36:51,588 I had no idea. Why didn't you say anything? 690 00:36:51,613 --> 00:36:55,652 I just wanted to move on. I didn't want to worry you. 691 00:36:57,042 --> 00:36:58,768 I really love our girls. 692 00:36:58,793 --> 00:37:01,042 Oh, I know. I know. 693 00:37:01,695 --> 00:37:02,937 Of course you do. 694 00:37:20,355 --> 00:37:21,356 Hey. 695 00:37:22,205 --> 00:37:23,699 Sorry, I-I don't want to bother you. 696 00:37:23,724 --> 00:37:25,771 I just wanted to see how she was doing before I left. 697 00:37:25,908 --> 00:37:28,359 She's slowly coming off sedation, 698 00:37:28,423 --> 00:37:30,114 and responding to basic commands. 699 00:37:30,521 --> 00:37:31,522 Great. 700 00:37:33,458 --> 00:37:36,254 If you need anything, just... just let me know. 701 00:37:37,226 --> 00:37:39,800 Would you... want to sit with us for a little while? 702 00:37:40,775 --> 00:37:42,984 I'm sure she's sick of the sound of my voice by now. 703 00:37:45,124 --> 00:37:46,643 Yeah. Yeah, sure. 704 00:37:48,714 --> 00:37:51,234 I've got some time before the nanny has to leave. 705 00:37:51,259 --> 00:37:52,364 Yeah. 706 00:37:55,051 --> 00:37:58,434 Recommendations, rules, guidelines. 707 00:37:58,767 --> 00:38:02,115 Ideally, they exist to save you from unnecessary pain. 708 00:38:17,018 --> 00:38:19,780 Have fun, and stay safe while doing it. 709 00:38:29,548 --> 00:38:31,929 A-Are you using me? 710 00:38:32,870 --> 00:38:35,079 What? Why would you just say that? 711 00:38:35,313 --> 00:38:37,148 You were gone for three weeks to take 712 00:38:37,172 --> 00:38:39,119 care of your brother, who's in a coma. 713 00:38:39,144 --> 00:38:40,490 - Yeah? - You haven't said a word. 714 00:38:40,628 --> 00:38:42,053 You just wanna hook up. 715 00:38:42,078 --> 00:38:45,021 And I'm not looking for more than that, but I... care. 716 00:38:45,046 --> 00:38:46,438 I want to know what's going on in your life. 717 00:38:46,462 --> 00:38:49,396 I want to know... you're okay. 718 00:38:49,421 --> 00:38:51,364 It's not you. It's just I'm not 719 00:38:51,389 --> 00:38:53,814 ready to talk about my brother to anyone. 720 00:38:54,713 --> 00:38:57,992 But when the time comes, you'll be the first person I dump my trauma on. 721 00:38:58,138 --> 00:38:59,173 Deal? 722 00:39:00,045 --> 00:39:01,080 Deal. 723 00:39:08,230 --> 00:39:10,267 But rules only work if you follow them. 724 00:39:14,020 --> 00:39:17,548 I wish I'd kissed you 725 00:39:18,591 --> 00:39:21,456 that night in med school. 726 00:39:27,078 --> 00:39:28,494 Did you run here? 727 00:39:28,519 --> 00:39:30,900 Yeah. 728 00:39:31,237 --> 00:39:35,790 I, uh... I might have looked for you in, like, three other places. 729 00:39:40,792 --> 00:39:43,726 Don't go back... to Celine. 730 00:39:44,191 --> 00:39:45,365 I know it's complicated. 731 00:39:46,211 --> 00:39:48,464 You've got Zach, and you've got years of memories 732 00:39:48,489 --> 00:39:49,879 that will always be with you, 733 00:39:49,904 --> 00:39:54,219 and it probably seems like the easier, safer option. 734 00:39:54,840 --> 00:39:56,359 But that doesn't mean it's better. 735 00:39:57,815 --> 00:40:00,818 You had your reasons for leaving. 736 00:40:00,843 --> 00:40:02,489 And they're not going to go away 737 00:40:02,514 --> 00:40:04,477 just because you decide to start over. 738 00:40:06,086 --> 00:40:07,640 Probably not. 739 00:40:07,888 --> 00:40:10,304 And you and I are so new, we don't even know what we are. 740 00:40:10,442 --> 00:40:12,099 Yeah. 741 00:40:12,237 --> 00:40:14,579 But what I do know is we're great together. 742 00:40:14,938 --> 00:40:17,967 And we've known each other and liked each other 743 00:40:18,933 --> 00:40:20,383 since before you met Celine. 744 00:40:21,708 --> 00:40:23,226 That's got to count for something. 745 00:40:25,578 --> 00:40:26,889 It counts for a lot. 746 00:40:27,393 --> 00:40:28,394 Good. 747 00:40:29,897 --> 00:40:32,141 Because this isn't just a crush anymore. 748 00:40:32,936 --> 00:40:33,972 No? 749 00:40:36,847 --> 00:40:37,883 Not for me. 750 00:40:38,564 --> 00:40:40,876 And sometimes the rules you've been following... 751 00:40:41,704 --> 00:40:43,188 turn out to be flawed. 752 00:40:45,650 --> 00:40:46,823 All bets are off. 753 00:40:47,354 --> 00:40:48,942 Dr. Bailey. 754 00:40:51,069 --> 00:40:52,760 Warren knows. 755 00:40:52,785 --> 00:40:54,461 Yeah, you're a few hours too late. 756 00:40:54,486 --> 00:40:56,592 - Is he going to turn me in? - No. 757 00:40:57,134 --> 00:40:58,722 He understands. But... 758 00:40:59,581 --> 00:41:01,870 And between you and me, he doesn't want to sleep on the couch tonight. 759 00:41:04,663 --> 00:41:07,336 Um... Look, I know I went rogue again, 760 00:41:07,361 --> 00:41:09,545 and I know that I should be fired. 761 00:41:09,570 --> 00:41:12,677 But if I haven't already said it, thank you. 762 00:41:13,919 --> 00:41:17,129 It's going to take a minute before I can look at you 763 00:41:17,154 --> 00:41:19,847 without blinding anger. 764 00:41:20,754 --> 00:41:22,779 Dr. Bailey. 765 00:41:23,308 --> 00:41:24,308 Thank you. 766 00:41:24,412 --> 00:41:26,656 Just get some rest. 767 00:41:27,061 --> 00:41:30,444 So sorry it took me so long to answer your page. 768 00:41:30,613 --> 00:41:32,443 It's been one of those days. 769 00:41:36,045 --> 00:41:37,702 Uh, something wrong? 770 00:41:37,727 --> 00:41:43,061 Spencer came to see me this afternoon about Quinn Durston's PE. 771 00:41:43,086 --> 00:41:47,194 She... ... never should've bothered you with that. Uh... 772 00:41:47,219 --> 00:41:50,147 I'll make sure she knows you're not on the team, 773 00:41:50,172 --> 00:41:52,415 you-you just consulted that one time. 774 00:41:52,440 --> 00:41:54,097 Oh, she knows. 775 00:41:54,122 --> 00:41:57,110 She was following protocol, so I could report the complications 776 00:41:57,135 --> 00:41:59,620 to the IRB and the FDA, 777 00:41:59,781 --> 00:42:02,957 since Quinn was given an experimental treatment. 778 00:42:03,897 --> 00:42:06,796 - Okay, I can explain. - I hope so. 779 00:42:06,821 --> 00:42:10,377 The institutional review board will want every detail. 780 00:42:10,904 --> 00:42:12,768 They're launching an investigation. 781 00:42:13,500 --> 00:42:15,572 You're completely on your own. 782 00:42:18,336 --> 00:42:23,336 - Synced and corrected by ChrisKe - — for www.addic7ed.com —