1 00:00:05,265 --> 00:00:08,893 In the 1940s, while stuck in bed with tuberculosis, 2 00:00:08,894 --> 00:00:13,189 biochemist Karl Link read a book on rodent control. 3 00:00:13,595 --> 00:00:15,191 I promise this story has a point. 4 00:00:15,192 --> 00:00:17,485 I'm officially one week post-egg retrieval, 5 00:00:17,486 --> 00:00:19,487 and I got us a room at the Drakemore. 6 00:00:19,878 --> 00:00:21,421 Wow. 7 00:00:22,282 --> 00:00:23,282 Too presumptuous? 8 00:00:23,283 --> 00:00:26,369 No. No. Isn't that place expensive? 9 00:00:26,542 --> 00:00:31,213 I found a deal online. And my place is out. Max has canasta. 10 00:00:31,541 --> 00:00:33,377 We could've gone to my place. 11 00:00:34,253 --> 00:00:39,132 I thought we could order in, and chill, and... By chill, I mean... 12 00:00:41,257 --> 00:00:42,258 I understand. 13 00:00:43,673 --> 00:00:45,634 Well, I'll see you back here at zero dark thirty. 14 00:00:50,176 --> 00:00:53,938 Karl created a rat poison from an anticoagulant he'd discovered 15 00:00:53,939 --> 00:00:57,358 while trying but failing to treat sick cows. 16 00:00:57,359 --> 00:01:02,071 "Bleomycin." Dactinomycin. So close. 17 00:01:02,072 --> 00:01:05,241 - How is that close? - They both end in "-mycin." 18 00:01:05,242 --> 00:01:07,535 - When is the CREOG? - Tomorrow. 19 00:01:07,536 --> 00:01:08,703 Do you wanna quiz me? 20 00:01:08,704 --> 00:01:12,165 I would, but I have to finish my plastics fellowship application. 21 00:01:12,749 --> 00:01:14,750 We're gonna be residents forever, aren't we? 22 00:01:14,751 --> 00:01:15,835 Speak for yourself. 23 00:01:15,836 --> 00:01:18,879 I want out of this house so I can get back to a normal schedule. 24 00:01:18,880 --> 00:01:20,590 You know you can't control when the babies are born, right? 25 00:01:20,591 --> 00:01:22,008 Hmm. 26 00:01:22,009 --> 00:01:25,993 Later, a soldier trying to end his life ate Karl's rat poison, 27 00:01:26,221 --> 00:01:28,274 which, unexpectedly, helped lead to 28 00:01:28,298 --> 00:01:30,350 its use as a blood thinner in humans. 29 00:01:30,980 --> 00:01:32,232 Here, give me. 30 00:01:33,353 --> 00:01:36,522 - Is this a... group activity now? - Not for much longer. 31 00:01:36,523 --> 00:01:38,733 I've got an appointment with Dr. Carpio this afternoon. 32 00:01:38,734 --> 00:01:41,111 - You're scheduling your retrieval? - That's the plan. 33 00:01:42,279 --> 00:01:43,279 It's easy. 34 00:01:43,280 --> 00:01:45,197 You'll be in and out of the clinic in a couple of hours. 35 00:01:45,198 --> 00:01:47,575 I can't wait. I'm over feeling bloated and moody. 36 00:01:47,576 --> 00:01:49,410 Oh, you know who else can't wait for this to be over? 37 00:01:49,411 --> 00:01:50,829 - Do not say it. - You dare? 38 00:01:52,080 --> 00:01:56,667 Happy to be an ally in protecting reproductive futures. 39 00:01:56,668 --> 00:01:59,211 So is Adams. Say yes. 40 00:01:59,290 --> 00:02:00,542 We're gonna be late for rounds. 41 00:02:02,481 --> 00:02:05,067 Is he on hormones too? Okay. 42 00:02:06,219 --> 00:02:10,639 From multiple failures, the compound warfarin was born, 43 00:02:10,640 --> 00:02:13,768 and it's been used to treat and save millions of people. 44 00:02:13,769 --> 00:02:16,270 - Hey. - Hey. How's your mom doing? 45 00:02:16,271 --> 00:02:18,856 Ah, better. She's progressing through rehab. 46 00:02:18,857 --> 00:02:21,317 Great. Great. And Megan? 47 00:02:21,318 --> 00:02:23,110 Surprisingly helpful. 48 00:02:23,111 --> 00:02:25,154 Speaking of help, do you mind? 49 00:02:25,155 --> 00:02:27,073 - Oh, of course. Yeah. - Thanks. 50 00:02:27,074 --> 00:02:28,158 Okay. 51 00:02:28,825 --> 00:02:31,702 Okay. All right. 52 00:02:31,703 --> 00:02:33,205 Got it? Thank you. 53 00:02:34,498 --> 00:02:36,916 - You look nice. - Thanks. 54 00:02:36,917 --> 00:02:38,542 Um... 55 00:02:38,543 --> 00:02:40,878 - You going on a date or something? - Oh, no. 56 00:02:40,879 --> 00:02:44,006 - Margot Billings is in town. - Oh. Your mentor from GW? 57 00:02:44,007 --> 00:02:46,717 - Yeah, she... she lives in Paris now. - Wow. 58 00:02:46,803 --> 00:02:49,014 - When was the last time you saw her? - Hmm. 59 00:02:49,429 --> 00:02:52,223 Years, but you know what it's like with old friends. 60 00:02:52,224 --> 00:02:55,017 You just pick up right where you left off. 61 00:02:55,018 --> 00:02:56,395 I do. 62 00:02:59,189 --> 00:03:00,856 Anyway, um, have a good time. 63 00:03:00,857 --> 00:03:02,317 - Yeah, thank you. - Mmm. 64 00:03:03,151 --> 00:03:06,238 Dr. Hewer to Peds. Dr. Laura Hewer to Peds. 65 00:03:07,906 --> 00:03:08,907 Thank you. 66 00:03:09,689 --> 00:03:12,910 Bailey, aren't you supposed to be judging young minds? 67 00:03:12,911 --> 00:03:13,994 I'm going. 68 00:03:13,995 --> 00:03:17,039 I had left my tablet last night and had to pick it up. 69 00:03:17,040 --> 00:03:19,083 Any word from the IRB? 70 00:03:19,084 --> 00:03:20,918 Uh, no. Well, any day now. 71 00:03:20,919 --> 00:03:23,421 I'm really sorry. 72 00:03:23,422 --> 00:03:25,631 You already apologized, and I accepted. 73 00:03:25,632 --> 00:03:27,216 No, I don't know what came over me. 74 00:03:27,217 --> 00:03:31,012 No, you were upset about a patient who recently passed away. I get it. 75 00:03:31,847 --> 00:03:35,599 Still, I let it get the best of me 76 00:03:35,600 --> 00:03:38,853 and caused a huge headache for you. 77 00:03:38,854 --> 00:03:40,521 Yeah, don't worry about me. 78 00:03:40,522 --> 00:03:42,762 Your exemplary record speaks for itself, 79 00:03:42,786 --> 00:03:45,026 and, hopefully, the IRB will see that. 80 00:03:53,869 --> 00:03:56,412 - Did he say they know it was me? - No. 81 00:03:56,413 --> 00:03:59,457 But they might figure it out if you keep talking about it. 82 00:03:59,458 --> 00:04:00,916 You need to stand down. 83 00:04:00,917 --> 00:04:03,752 Sorry, I heard that Nurse Elise got interviewed this morning. 84 00:04:03,753 --> 00:04:05,589 I didn't know if she said something. 85 00:04:06,923 --> 00:04:09,550 - Wait, did she see you do it? - I don't know. 86 00:04:10,138 --> 00:04:11,635 What do you mean you don't know? 87 00:04:11,636 --> 00:04:14,013 It all happened so fast. I-I don't know who saw what. 88 00:04:15,505 --> 00:04:17,391 Okay, should I quietly try to find out? 89 00:04:17,392 --> 00:04:19,477 No! 90 00:04:19,502 --> 00:04:22,313 Look, I'm out today, and you're back on patient care. 91 00:04:22,314 --> 00:04:25,191 Just... ... try to lay low. 92 00:04:28,069 --> 00:04:29,780 Okay. Okay. 93 00:04:31,656 --> 00:04:33,864 Dr. Sykes, call the NICU. 94 00:04:33,888 --> 00:04:35,868 Dr. Jennifer Sykes, call the NICU. 95 00:04:35,869 --> 00:04:36,952 Hi. 96 00:04:36,953 --> 00:04:39,038 Wondered where that sweater went. 97 00:04:39,039 --> 00:04:41,040 It was balled up at the bottom of my bed. 98 00:04:41,041 --> 00:04:43,751 Please don't judge the laundry habits. 99 00:04:44,080 --> 00:04:45,748 Are you avoiding me? 100 00:04:48,049 --> 00:04:49,508 I mean, I know you're figuring things 101 00:04:49,533 --> 00:04:51,844 out with your ex, but we can still talk. 102 00:04:51,869 --> 00:04:53,928 I'm-I'm not avoiding you. I have been... 103 00:04:53,929 --> 00:04:57,549 Uh, Meredith, uh, this is Toni Wright. Ah. 104 00:04:57,574 --> 00:04:58,808 - This is my sister-in-law, Meredith. - Hi. 105 00:04:58,809 --> 00:05:00,697 So nice to meet you. I've heard a lot about you. 106 00:05:00,722 --> 00:05:03,182 Same. Uh, it's really nice to meet you. 107 00:05:03,563 --> 00:05:05,753 God. I should go. 108 00:05:08,734 --> 00:05:10,569 - Has she made up her mind yet? - No. 109 00:05:12,653 --> 00:05:14,199 I mean, wouldn't you wanna be with me? 110 00:05:14,224 --> 00:05:17,465 I'm smart. I'm fun. I'm good with brains. 111 00:05:19,371 --> 00:05:21,372 Why are you applying for a Fox Foundation grant? 112 00:05:21,373 --> 00:05:23,795 To use the FES-PET scanner to study 113 00:05:23,820 --> 00:05:25,584 estrogen receptors in women's brains. 114 00:05:25,585 --> 00:05:27,879 I sent you, like, five emails about this. 115 00:05:28,505 --> 00:05:29,505 "Did you see this article? 116 00:05:29,506 --> 00:05:32,383 What if we study estrogen receptors in the brain? 117 00:05:32,758 --> 00:05:35,053 This is interesting, right? Have you read this yet?" 118 00:05:35,078 --> 00:05:36,595 - I get it. - So, what do you think? 119 00:05:36,596 --> 00:05:38,417 I think that we are studying the link 120 00:05:38,441 --> 00:05:40,516 between estrogen and the gut microbiome. 121 00:05:40,517 --> 00:05:42,476 Well, it's just another angle while we wait for the mice. 122 00:05:42,477 --> 00:05:43,727 Let's be patient. 123 00:05:43,728 --> 00:05:45,896 I might be looking for a distraction. 124 00:05:45,897 --> 00:05:48,566 We have plenty of those, and we have limited resources, 125 00:05:48,567 --> 00:05:51,151 - so let's stay focused on the mice. - Are you leaving? 126 00:05:51,152 --> 00:05:52,778 Yes, of course I'm leaving. 127 00:05:52,779 --> 00:05:54,561 I said that I was coming by to say hello 128 00:05:54,585 --> 00:05:56,366 and then I had to go. Read your email. 129 00:05:59,345 --> 00:06:03,723 Okay. Mr. Haynes, I'm Dr. Hunt. What happened here? 130 00:06:03,748 --> 00:06:07,334 A starburst fell from the sky, stabbed me in the heart. 131 00:06:07,335 --> 00:06:09,545 And, no, I haven't been smoking dope. 132 00:06:09,546 --> 00:06:13,132 The paramedics said it's part of some mobile from the Aldridge Museum. 133 00:06:13,133 --> 00:06:17,553 It's a Jeffrey Feinman. One of his early works from the 1980s. 134 00:06:17,554 --> 00:06:19,597 Just fell off and pow. 135 00:06:19,598 --> 00:06:21,181 There's a trace amount of fluid in the abdomen. 136 00:06:21,182 --> 00:06:23,517 - Mmm. So, what's the plan? - Well, he's stable and talking, 137 00:06:23,518 --> 00:06:26,979 so we take him to CT and then cut the sculpture out in the OR. 138 00:06:26,980 --> 00:06:29,273 What? No, you... you can't break the starburst. 139 00:06:29,274 --> 00:06:30,858 I'm sure the museum would understand. 140 00:06:30,859 --> 00:06:32,443 No, I don't give a crap about them. 141 00:06:32,444 --> 00:06:34,153 My wife loved this piece. 142 00:06:34,154 --> 00:06:37,281 Please. You promise me you'll try. 143 00:06:37,282 --> 00:06:38,908 We'll see what we can do, okay? 144 00:06:38,909 --> 00:06:39,993 Okay. 145 00:06:40,475 --> 00:06:41,685 Okay. 146 00:06:42,829 --> 00:06:44,705 It's been a minute. Am I gonna see you soon? 147 00:06:44,706 --> 00:06:45,663 You're seeing me now. 148 00:06:45,687 --> 00:06:47,751 Yeah, I meant in the privacy of your bed. 149 00:06:48,348 --> 00:06:50,725 I'm not the one who's been working the night shift. 150 00:06:51,116 --> 00:06:52,341 I'm off this weekend. 151 00:06:52,797 --> 00:06:56,216 Hey, Bryant. We're up. Firefighter injured in a structure fire. 152 00:06:56,217 --> 00:06:57,843 Did they say what station responded? 153 00:06:57,844 --> 00:06:58,969 No, but you can tag along. 154 00:06:58,970 --> 00:07:01,347 Okay, what's the priority for patients with major burns? 155 00:07:01,348 --> 00:07:02,681 Resuscitation. 156 00:07:02,682 --> 00:07:04,808 That was for Dr. Bryant, who's actually on my service. 157 00:07:04,809 --> 00:07:05,676 Uh, what he said. 158 00:07:05,701 --> 00:07:07,853 Um, aggressive fluid treatment for the first 24 hours. 159 00:07:07,854 --> 00:07:09,980 - What have we got? - 37-year-old female firefighter 160 00:07:09,981 --> 00:07:12,900 sustained second- and third-degree burns over arms, torso, legs, 161 00:07:12,901 --> 00:07:16,320 approximately 25% TBSA, GCS 15. 162 00:07:16,321 --> 00:07:17,571 - Maya? - Warren. 163 00:07:17,572 --> 00:07:18,336 What happened? 164 00:07:18,360 --> 00:07:19,865 Three-alarm fire. I fell through a roof. 165 00:07:19,866 --> 00:07:21,784 - It really hurts. - Yeah, been there. 166 00:07:21,785 --> 00:07:24,912 Okay, we got you. We got you. Hang in there, Bishop. 167 00:07:24,913 --> 00:07:27,748 My probie. Brett Castro. Is he here yet? 168 00:07:27,749 --> 00:07:29,166 We'll be on the lookout for him. 169 00:07:29,167 --> 00:07:30,597 Yeah. Tell me... Tell me I'm gonna be okay. 170 00:07:30,621 --> 00:07:31,502 You're gonna be okay. 171 00:07:31,503 --> 00:07:33,295 Doctors Wright and Bryant are gonna take good care of you. 172 00:07:33,296 --> 00:07:36,298 You're gonna be there too, right? 173 00:07:36,299 --> 00:07:37,675 Yeah, I'm right here. 174 00:07:39,622 --> 00:07:44,622 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 175 00:07:56,759 --> 00:07:59,988 Bailey. I didn't know you'd be here. 176 00:07:59,989 --> 00:08:04,493 Why not? I love supporting med student inventors. 177 00:08:04,494 --> 00:08:08,330 Look at them. All young and shiny and optimistic. 178 00:08:08,331 --> 00:08:10,874 - Did Catherine make you come? - Richard. 179 00:08:10,875 --> 00:08:12,876 Dr. Bailey, Dr. Grey, 180 00:08:12,877 --> 00:08:14,494 welcome to the third annual Fox 181 00:08:14,518 --> 00:08:16,714 Foundation Medical Innovation Competition. 182 00:08:16,715 --> 00:08:19,800 - We're happy to be here. - Here are your scoresheets. 183 00:08:19,801 --> 00:08:21,927 We have 40 entrants, and they're expecting questions, 184 00:08:21,928 --> 00:08:23,095 so don't hold back. 185 00:08:23,096 --> 00:08:25,681 - Forty? - We better get started. 186 00:08:25,682 --> 00:08:27,474 If you need anything, give me a holler. 187 00:08:27,475 --> 00:08:28,935 - Okay. - Go science. 188 00:08:35,567 --> 00:08:38,819 Use of nanoparticles in tracking inflammatory markers in sepsis. 189 00:08:38,820 --> 00:08:39,704 That's impressive. 190 00:08:39,805 --> 00:08:41,983 They've been looking at that for years. 191 00:08:42,313 --> 00:08:43,911 It's still impressive. 192 00:08:46,828 --> 00:08:50,661 Well, Brett. I'm Dr. Webber. These are Doctors Millin and Meade. 193 00:08:51,541 --> 00:08:53,126 So, uh, how you feeling? 194 00:08:53,752 --> 00:08:55,335 Fine. I just, uh, cut my arm. 195 00:08:55,336 --> 00:08:58,465 - Yeah, I see that. Meade? - Yeah, I see it too. 196 00:08:59,799 --> 00:09:01,368 I'll grab some sutures. 197 00:09:01,676 --> 00:09:03,928 - Meade, ABCs. - Right. Sorry. Um... 198 00:09:04,181 --> 00:09:06,638 Do you know if my boss is doing okay? It's Maya Bishop. 199 00:09:06,818 --> 00:09:09,321 - They're still triaging her. - Open. 200 00:09:10,226 --> 00:09:13,020 Well, can-can I see her? I'm her probie. She fell trying to help me. 201 00:09:13,021 --> 00:09:14,289 The team is still working on her, 202 00:09:14,313 --> 00:09:16,021 but if she's your mentor, she should know. 203 00:09:17,091 --> 00:09:20,527 Coarse breath sounds, but equal expansion of the lungs. 204 00:09:20,528 --> 00:09:22,613 Throat looks clear. Sats are 98 on two liters. 205 00:09:22,614 --> 00:09:23,697 Okay, good, good. 206 00:09:23,698 --> 00:09:25,657 Let's get a chest X-ray, and let's stitch up that arm. 207 00:09:25,658 --> 00:09:26,743 Okay. 208 00:09:28,620 --> 00:09:31,580 - Where was the fire? - The Drakemore Hotel. 209 00:09:31,581 --> 00:09:35,417 What? That's terrible. What happened? 210 00:09:35,418 --> 00:09:37,489 There's no telling until forensics gets in there. 211 00:09:37,514 --> 00:09:39,754 Fire spread fast, though. I mean, half the hotel is gone. 212 00:09:40,423 --> 00:09:43,383 - Sucks for the guests. - Yeah, really does. 213 00:09:43,384 --> 00:09:44,808 Just finished placing the central line. 214 00:09:44,832 --> 00:09:46,637 Good. Start with Western protocol. 215 00:09:47,722 --> 00:09:49,890 - Is Carina on her way? - No. No, no, no, don't call her. 216 00:09:49,891 --> 00:09:51,183 I don't want her freaking out. 217 00:09:51,184 --> 00:09:52,893 What? She'll have my hide. 218 00:09:52,894 --> 00:09:55,078 She took the kids to see family in Italy. 219 00:09:55,102 --> 00:09:57,231 Please, just until we figure this out. 220 00:09:57,388 --> 00:09:59,431 Okay, can you flex your left foot for me? 221 00:09:59,984 --> 00:10:02,236 - I don't think so. - How's it looking over here? 222 00:10:02,237 --> 00:10:04,029 She's got an open comminuted tibial fracture. 223 00:10:04,030 --> 00:10:05,322 She needs an ORIF. 224 00:10:05,323 --> 00:10:07,491 She needs to be resuscitated in the burn ICU. 225 00:10:07,492 --> 00:10:08,958 But she's presenting with nerve damage. 226 00:10:08,983 --> 00:10:11,830 If I can get her into an OR now, I might be able to repair it. 227 00:10:12,741 --> 00:10:14,415 Okay, just try to make it fast. 228 00:10:15,083 --> 00:10:17,459 Maya, we need to get you to an OR to work on your leg. 229 00:10:17,460 --> 00:10:18,544 What about the burns? 230 00:10:18,545 --> 00:10:20,504 After they're done, we'll resuscitate you in the ICU, 231 00:10:20,505 --> 00:10:21,880 and then we'll debride tomorrow. 232 00:10:21,881 --> 00:10:24,967 - All right, let's go. - What if we start debriding now? 233 00:10:24,968 --> 00:10:26,510 No, she needs aggressive stabilization first. 234 00:10:26,511 --> 00:10:28,137 I can make sure that she'll get that in the OR. 235 00:10:28,138 --> 00:10:29,513 She's going there, anyway. 236 00:10:29,514 --> 00:10:32,724 Look, I'll excise the dead tissue, and it'll help prevent sepsis. 237 00:10:32,725 --> 00:10:34,434 Okay, fine, but are you sure you're good to do this? 238 00:10:34,435 --> 00:10:36,271 - She's your friend. - Definitely. 239 00:10:36,896 --> 00:10:38,367 Okay, Bryant, go with him. 240 00:10:38,391 --> 00:10:40,357 Debride as much as you can while they're operating. 241 00:10:40,358 --> 00:10:43,443 Do not push it. I'll check in after my rotational flap. 242 00:10:45,378 --> 00:10:46,379 Let's go. 243 00:10:51,786 --> 00:10:53,214 I wish he'd let us cut that thing. 244 00:10:53,238 --> 00:10:54,666 It's meaningful to him. 245 00:10:55,620 --> 00:10:57,038 He's in there, barely. 246 00:10:57,917 --> 00:10:58,918 Okay. 247 00:10:59,419 --> 00:11:02,296 Morris, I'm gonna do your scan. Breathe normally. 248 00:11:02,297 --> 00:11:07,082 I've got a starburst in my chest. Normal is relative. 249 00:11:07,468 --> 00:11:09,761 Is it hitting the machine? I... I don't wanna ruin it. 250 00:11:09,762 --> 00:11:11,346 No, just hold still, okay? 251 00:11:11,347 --> 00:11:14,601 It will just be a minute. Um, tell us about your wife. 252 00:11:16,811 --> 00:11:20,230 She was a volunteer docent over at the Aldridge. 253 00:11:20,231 --> 00:11:23,192 We used to sit under the Feinman mobile, 254 00:11:23,193 --> 00:11:26,695 and she'd tell me how he installed it piece by piece. 255 00:11:26,696 --> 00:11:30,532 It's just me now, but when I look at all those starbursts, 256 00:11:30,533 --> 00:11:32,117 I feel her with me. 257 00:11:34,204 --> 00:11:35,205 Okay. 258 00:11:36,289 --> 00:11:37,372 Do you think we can save it? 259 00:11:37,506 --> 00:11:38,841 Can't we just save him? 260 00:11:39,334 --> 00:11:41,710 What if we did bilateral thoracotomies? 261 00:11:41,711 --> 00:11:44,087 That way we would gain access to control the bleeding 262 00:11:44,088 --> 00:11:45,505 as soon as we lift it out. 263 00:11:45,506 --> 00:11:47,549 Okay, we can try it. 264 00:11:47,550 --> 00:11:49,847 But if there's a problem, we're breaking that glass. 265 00:11:52,555 --> 00:11:54,723 Then I got to the part where you stapled the aorta, 266 00:11:54,724 --> 00:11:57,226 and I thought to myself, this story is more thrilling 267 00:11:57,227 --> 00:11:58,477 than a Tom Clancy novel. 268 00:11:58,478 --> 00:12:00,854 And rumor has it, you've done it twice. 269 00:12:00,855 --> 00:12:03,315 We haven't even published the second surgery. 270 00:12:03,316 --> 00:12:05,234 Well, I keep my ear to the ground, 271 00:12:05,235 --> 00:12:07,778 especially when it helps me brag about my star resident. 272 00:12:07,779 --> 00:12:11,734 I still hear your voice pushing me. "Do more. Be better." 273 00:12:12,200 --> 00:12:14,993 I don't think I appreciated it then, but I do now. 274 00:12:14,994 --> 00:12:17,621 I'm glad to hear it because I am leading the charge 275 00:12:17,622 --> 00:12:19,706 on the Dusseault Center's new research incubator. 276 00:12:20,105 --> 00:12:22,251 Congratulations. That's fantastic. 277 00:12:22,252 --> 00:12:24,002 We're bringing the world's best surgeons 278 00:12:24,003 --> 00:12:25,921 to develop and teach cutting-edge techniques, 279 00:12:25,922 --> 00:12:28,382 and you're the first person I'm asking to join us. 280 00:12:28,383 --> 00:12:30,884 I would love to teach for a few weeks in Paris. 281 00:12:31,025 --> 00:12:33,360 Maybe this summer when my kids are out of school. 282 00:12:33,385 --> 00:12:35,679 I'm not inviting you to visit. 283 00:12:36,242 --> 00:12:39,286 I want you to lead the program as our chief innovation officer. 284 00:12:41,562 --> 00:12:43,855 Wow. I... ... I don't know. 285 00:12:43,856 --> 00:12:46,541 I... I live here. I have kids. 286 00:12:46,566 --> 00:12:49,611 I-I have a house. I'm-I'm chief of surgery. 287 00:12:49,612 --> 00:12:51,822 Bring the family. The public schools are excellent. 288 00:12:51,823 --> 00:12:54,648 The center could provide a generous housing stipend. 289 00:12:55,159 --> 00:12:58,374 We all know the US is falling behind on research. 290 00:12:58,399 --> 00:12:59,567 Don't fall behind with it. 291 00:13:00,665 --> 00:13:01,748 You're a visionary. 292 00:13:01,749 --> 00:13:03,802 This is your chance to lead your peers 293 00:13:03,827 --> 00:13:05,879 in pushing the boundaries of medicine. 294 00:13:07,458 --> 00:13:10,097 This is a lot to process. 295 00:13:10,258 --> 00:13:13,218 Okay. Okay, don't answer now. 296 00:13:13,219 --> 00:13:18,349 But like I've always said, you're capable of more... and better. 297 00:13:24,589 --> 00:13:29,553 This has sustainable sensor technology using seaweed? 298 00:13:30,611 --> 00:13:32,601 Um, is that a problem we need to solve? 299 00:13:33,406 --> 00:13:38,201 Could help with climate change. Address medical waste. Mmm... 300 00:13:38,202 --> 00:13:40,997 Markers in predicting stillbirth. That's... 301 00:13:41,706 --> 00:13:43,730 Only 3% accuracy? 302 00:13:44,434 --> 00:13:46,910 Well, maybe it could lead to something better. 303 00:13:48,880 --> 00:13:51,840 Uh, you want to tell us about your project, uh... 304 00:13:51,841 --> 00:13:53,633 Daphne Park, fourth year at U-Dub. 305 00:13:53,634 --> 00:13:55,886 The number one reason free flap transfers fail is 306 00:13:55,887 --> 00:13:57,054 a clot in the vein. 307 00:13:57,055 --> 00:13:59,639 And because it's harder to see purple bruising on darker skin, 308 00:13:59,640 --> 00:14:03,143 Black patients are three times more likely to experience flap failure. 309 00:14:03,168 --> 00:14:06,438 It's basically bouncing light waves off skin to detect venous congestion. 310 00:14:06,439 --> 00:14:08,065 This is inspired. 311 00:14:08,066 --> 00:14:10,180 Does it notify the team if something's wrong? 312 00:14:10,205 --> 00:14:13,166 I haven't gotten there yet. Right now, it just detects. 313 00:14:13,446 --> 00:14:16,490 - Does it have false positives? - I'm not sure. 314 00:14:16,491 --> 00:14:18,241 You... you're not sure? 315 00:14:18,242 --> 00:14:20,577 I've only tested it on a few people, 316 00:14:20,578 --> 00:14:23,500 but if I win the seed money, I plan to generate real data. 317 00:14:24,248 --> 00:14:26,583 I mean, do you really expect to win 318 00:14:26,584 --> 00:14:28,418 if we don't know if the device works? 319 00:14:28,629 --> 00:14:31,630 You know, we should keep it moving. Thank you so much, Daphne. 320 00:14:31,631 --> 00:14:33,382 I have some more questions. 321 00:14:33,406 --> 00:14:35,300 Great, which is why we are leaving. 322 00:14:37,762 --> 00:14:39,513 Hey, heads up, you're gonna get a call 323 00:14:39,514 --> 00:14:41,556 from the Aldridge Museum's legal department. 324 00:14:41,557 --> 00:14:43,517 Does this have to do with Allison's field trip? 325 00:14:43,518 --> 00:14:46,520 A patient impaled with a sculpture. What happened to Allison? 326 00:14:46,521 --> 00:14:49,373 Oh. Nothing some bleach and paper towels couldn't fix. 327 00:14:49,398 --> 00:14:51,359 Hey, how's Margot? She like Paris? 328 00:14:52,110 --> 00:14:53,819 Yeah, she... she seems good. 329 00:14:53,820 --> 00:14:55,404 Hmm. You should go there. 330 00:14:56,197 --> 00:14:57,739 - Excuse me? - Well, I'm sure she'd love it 331 00:14:57,740 --> 00:14:59,908 if you came to visit, and you deserve some time away. 332 00:15:07,166 --> 00:15:10,293 Uh, Dr. Ndugu, I wanted to ask you a question about a patient. 333 00:15:10,294 --> 00:15:11,379 Sure, what's up? 334 00:15:11,921 --> 00:15:14,381 There is no patient. Did you hear what happened to the Drakemore? 335 00:15:14,382 --> 00:15:16,160 Yeah, what are the odds, right? 336 00:15:16,185 --> 00:15:18,103 Well, I guess we should reschedule? 337 00:15:18,636 --> 00:15:21,930 Or we can go to my place, order in, get a bottle of wine. 338 00:15:21,931 --> 00:15:25,267 Maybe. I have this firefighter patient I'm taking care of. 339 00:15:25,268 --> 00:15:26,935 I've gotta go back to the ER. 340 00:15:26,936 --> 00:15:30,731 Dr. Harris to the ER. Dr. Phoebe Harris to the ER. 341 00:15:31,607 --> 00:15:33,692 Tibia's set. I'm all done here. 342 00:15:34,070 --> 00:15:35,318 Shepherd and Kwan, you're up. 343 00:15:35,319 --> 00:15:38,238 All right, let's repair this nerve. I need 10-0 nylon. 344 00:15:38,239 --> 00:15:40,240 Kwan, approximate the edges for me. 345 00:15:40,241 --> 00:15:41,491 On it. 346 00:15:41,492 --> 00:15:42,959 Warren, I know you and Bishop are close. 347 00:15:42,984 --> 00:15:43,994 You hanging in there? 348 00:15:43,995 --> 00:15:45,996 Focusing on what's right in front of me. 349 00:15:45,997 --> 00:15:48,958 All right. If you need anything, page me. 350 00:15:50,694 --> 00:15:52,037 Keep going, Bryant. 351 00:15:52,202 --> 00:15:53,903 Bleeding means you hit healthy tissue. 352 00:15:53,928 --> 00:15:55,263 Brow wipe, please. 353 00:15:56,257 --> 00:15:57,257 Thank you. 354 00:15:57,258 --> 00:15:59,926 It's hot as hell in here. I can barely see what I'm doing. 355 00:15:59,927 --> 00:16:01,437 That's just how we keep burn 356 00:16:01,461 --> 00:16:02,929 patients from getting hypothermia. 357 00:16:03,101 --> 00:16:05,187 You need a break, no judgment. 358 00:16:05,683 --> 00:16:06,808 I'm fine. 359 00:16:06,809 --> 00:16:08,352 Then let's keep going. 360 00:16:14,025 --> 00:16:16,026 Chamomile. 361 00:16:16,027 --> 00:16:17,987 You think that's gonna help me relax? 362 00:16:18,904 --> 00:16:22,449 I'm hoping it'll stop you from crushing those young people's dreams. 363 00:16:23,159 --> 00:16:24,409 I'm just keeping it real. 364 00:16:24,410 --> 00:16:28,121 I mean, they think that research is about winning competitions 365 00:16:28,122 --> 00:16:30,359 and getting kudos from their teachers. 366 00:16:32,168 --> 00:16:34,873 I think they'll learn soon enough that research is hard. 367 00:16:34,898 --> 00:16:38,173 They'll run into roadblocks, and they'll have to make compromises. 368 00:16:38,174 --> 00:16:40,258 What? Has your research hit the wall? 369 00:16:40,259 --> 00:16:42,762 Yes, I'm at the mercy of a bunch of lab mice. 370 00:16:43,687 --> 00:16:48,492 I used to think that all it took was hard work and perseverance. 371 00:16:48,517 --> 00:16:52,604 - And now I'm just... - Jaded and exhausted? 372 00:16:52,605 --> 00:16:57,150 Exhausted. I mean, I used to be Daphne. 373 00:16:57,151 --> 00:17:00,153 I thought I was gonna save the world. 374 00:17:00,154 --> 00:17:02,155 Had the audacity to wonder 375 00:17:02,156 --> 00:17:05,659 why my teachers weren't more excited to help me do it. 376 00:17:05,660 --> 00:17:08,788 I thought they were just lazy, didn't understand. 377 00:17:09,219 --> 00:17:15,023 Now that I am them, I realize they understood too much. 378 00:17:15,670 --> 00:17:18,546 I mean, how are we supposed to encourage the next generation 379 00:17:18,547 --> 00:17:20,132 when it just feels... 380 00:17:21,093 --> 00:17:22,928 insurmountable? 381 00:17:27,098 --> 00:17:29,099 I think we need something stronger. 382 00:17:29,100 --> 00:17:31,018 Hmm? 383 00:17:35,022 --> 00:17:37,005 - Damn it, I knew that. 384 00:17:37,030 --> 00:17:38,508 I'm so screwed. 385 00:17:38,679 --> 00:17:41,653 Hey. What are you doing in here? 386 00:17:41,654 --> 00:17:44,406 My badge still works from when I was an attending. 387 00:17:44,407 --> 00:17:46,866 Hmm. No babies today? 388 00:17:46,867 --> 00:17:49,200 OB is more than just delivering babies. 389 00:17:49,224 --> 00:17:51,807 I've got the flashcards to prove it. 390 00:17:51,832 --> 00:17:53,792 - The CREOG? - It's tomorrow. 391 00:17:54,542 --> 00:17:57,836 Took the day off to study, which isn't working. 392 00:17:57,837 --> 00:17:59,004 I do not envy you. 393 00:17:59,005 --> 00:18:01,673 All those multiple choice questions with no nuance. 394 00:18:01,674 --> 00:18:05,011 I always wanted to write in caveats next to my answer on the QE. 395 00:18:06,596 --> 00:18:09,514 I'm sorry. I... I don't mean to psych you out. Just ignore me. 396 00:18:09,515 --> 00:18:11,766 No, no, no. It's not you, it's just... 397 00:18:15,228 --> 00:18:17,035 I don't know if I want to be an OB anymore. 398 00:18:24,989 --> 00:18:26,281 Sutures look good. 399 00:18:26,313 --> 00:18:28,088 Coarse breath sounds bilaterally. 400 00:18:29,577 --> 00:18:31,115 Uh, is Bishop still in surgery? 401 00:18:31,139 --> 00:18:33,246 Yes, we will update you when we can. 402 00:18:33,247 --> 00:18:35,290 Can I get back to the fire? She'd want me out there. 403 00:18:35,291 --> 00:18:36,259 I don't think that's a good idea. 404 00:18:36,283 --> 00:18:37,250 It's a three-alarm fire. 405 00:18:37,251 --> 00:18:41,804 That's like, what, a medium-size one? 406 00:18:41,829 --> 00:18:43,474 How long were you in the structure? 407 00:18:43,498 --> 00:18:46,245 - Ten minutes maybe. What's happening? - His sats are a bit low. 408 00:18:46,269 --> 00:18:47,927 It's probably from the smoke inhalation. 409 00:18:47,928 --> 00:18:49,764 - Turn up his oxygen. - Yeah. 410 00:18:50,473 --> 00:18:52,474 I checked his airway earlier. It was clear. 411 00:18:52,475 --> 00:18:55,101 Lean forward. 412 00:18:55,102 --> 00:18:56,353 I hear wheezing. 413 00:18:56,354 --> 00:18:58,480 We're going to put you on a nebulizer, 414 00:18:58,481 --> 00:19:00,607 and that will help reduce the inflammation in your lungs, 415 00:19:00,608 --> 00:19:02,692 but you are not going anywhere. 416 00:19:02,693 --> 00:19:04,362 - Not for a while. - Okay. 417 00:19:07,740 --> 00:19:11,743 When did we go from being people who present at these to... 418 00:19:11,744 --> 00:19:12,994 People who judge them? 419 00:19:13,315 --> 00:19:16,602 People who are unnecessarily judgmental. 420 00:19:19,710 --> 00:19:21,882 I'm under investigation with the IRB. 421 00:19:21,907 --> 00:19:23,213 For what? 422 00:19:23,214 --> 00:19:27,801 I got carried away with a treatment that the FDA did not approve. 423 00:19:27,802 --> 00:19:29,095 And how's the patient? 424 00:19:29,595 --> 00:19:31,054 Doing quite well. 425 00:19:31,055 --> 00:19:32,597 Well, it sounds like you did the right thing. 426 00:19:32,727 --> 00:19:35,892 Ben doesn't think so. I'm getting the cold shoulder. 427 00:19:35,893 --> 00:19:37,560 I've been in that situation before. 428 00:19:37,561 --> 00:19:40,271 - Are you worried about your job? - Probably should be. 429 00:19:40,272 --> 00:19:41,991 But I've been through enough to know 430 00:19:42,015 --> 00:19:43,733 that whatever happens, I'll manage. 431 00:19:43,734 --> 00:19:45,747 One of the benefits of experience. 432 00:19:45,772 --> 00:19:47,232 And the drawbacks. 433 00:19:49,490 --> 00:19:52,152 Sometimes it feels easier to not know what you don't know. 434 00:19:52,177 --> 00:19:54,536 Those students have no qualms about their research. 435 00:19:54,537 --> 00:19:57,038 Yeah, except for the ones I tried to give them. 436 00:19:57,039 --> 00:20:00,887 Catherine's making me be here. It's part of my lab space deal. 437 00:20:00,912 --> 00:20:04,337 Oh. Still no federal grant? But... 438 00:20:04,338 --> 00:20:07,257 Stupid question. I blame the booze. 439 00:20:07,258 --> 00:20:09,430 Research is full of making compromises. 440 00:20:10,010 --> 00:20:12,346 And so is judging a med student competition. 441 00:20:14,306 --> 00:20:17,392 You want me to go back out there and be encouraging, don't you? 442 00:20:17,393 --> 00:20:19,854 - You always were to me. - Yeah. 443 00:20:22,189 --> 00:20:24,190 Hey! It's easy to be encouraging with the booze. 444 00:20:24,191 --> 00:20:25,943 - You'll manage. Let's go. - Ah. 445 00:20:28,112 --> 00:20:33,074 When I see patients like that, their blood all over the floor, 446 00:20:33,075 --> 00:20:36,786 it makes it... a lot harder to move forward. 447 00:20:36,787 --> 00:20:38,288 Do you need more time off? 448 00:20:38,289 --> 00:20:40,165 Well, I'm already behind from maternity leave. 449 00:20:40,166 --> 00:20:41,916 Plus, I have four kids at home. 450 00:20:41,917 --> 00:20:45,128 I mean, you just got back. Give yourself time to acclimate. 451 00:20:45,153 --> 00:20:46,796 What if I never do? 452 00:20:46,797 --> 00:20:50,341 Be a general surgeon. It's not the worst fallback job. 453 00:20:50,342 --> 00:20:51,610 Yeah, but I'll have been 454 00:20:51,634 --> 00:20:53,262 through all of this training for nothing. 455 00:20:53,971 --> 00:20:55,764 Well, sometimes you have to try things 456 00:20:55,765 --> 00:21:00,101 that you don't want to figure out the things that you do want, 457 00:21:00,102 --> 00:21:02,812 and you're allowed to change your mind. 458 00:21:02,813 --> 00:21:05,566 That feels... selfish. 459 00:21:06,332 --> 00:21:08,570 What, to... to want to be happy? 460 00:21:09,069 --> 00:21:11,571 You have to choose what is best for you. 461 00:21:11,572 --> 00:21:13,528 Yeah, but it's not just me. 462 00:21:13,553 --> 00:21:15,658 I'm never gonna get back the time that I could've spent 463 00:21:15,659 --> 00:21:19,204 with Link and Luna, and I'll have put them through all of this 464 00:21:19,205 --> 00:21:21,832 just to end up right back in the same place. 465 00:21:23,072 --> 00:21:24,573 I don't think it works that way. 466 00:21:25,169 --> 00:21:28,309 The job will be the same, but you'd be different, 467 00:21:28,631 --> 00:21:30,475 and you'd have more conviction about 468 00:21:30,499 --> 00:21:32,343 what you want and why you want it. 469 00:21:33,427 --> 00:21:37,472 Well, it might not be up to me if I don't pass the test. 470 00:21:37,473 --> 00:21:40,517 - That would make the decision easier. - Yeah. 471 00:21:40,518 --> 00:21:43,228 But you have come so far. 472 00:21:43,229 --> 00:21:45,898 You owe it to yourself to know what your options are. 473 00:21:47,316 --> 00:21:49,150 You're probably right. 474 00:21:49,151 --> 00:21:51,528 I've got a little time. You want some help? 475 00:21:51,529 --> 00:21:52,988 I'm great with mnemonics. 476 00:21:54,372 --> 00:21:56,749 - Are you ready? - Okay. 477 00:21:57,660 --> 00:22:00,829 No tension on the repair. It looks like we're done here. 478 00:22:00,830 --> 00:22:04,374 I'm going straight to the morgue. It's cold down there. 479 00:22:04,375 --> 00:22:06,835 - All right, Warren, you good? - Yep. 480 00:22:06,836 --> 00:22:09,212 Tell the burn ICU we're finishing and coming up. 481 00:22:09,213 --> 00:22:11,438 - Why? - Wright told us to get out 482 00:22:11,463 --> 00:22:13,424 once Lincoln and Shepherd were finished. 483 00:22:13,425 --> 00:22:15,093 What's her urine output? 484 00:22:15,094 --> 00:22:16,177 Point 2. 485 00:22:16,178 --> 00:22:19,305 That's a little low. Increase fluid resuscitation by 150 ccs. 486 00:22:19,306 --> 00:22:20,890 Whoa, whoa, whoa. What are you doing? 487 00:22:20,891 --> 00:22:22,976 If-If we debride too much, she could get more acidotic, 488 00:22:22,977 --> 00:22:24,235 end up with organ failure. There could be... 489 00:22:24,260 --> 00:22:26,479 I know what she said, but Bishop's blood gases are stable, 490 00:22:26,480 --> 00:22:27,564 and we're almost done. 491 00:22:27,565 --> 00:22:29,315 If we finish, she has less chance of scarring 492 00:22:29,316 --> 00:22:30,693 and reconstruction failure. 493 00:22:31,277 --> 00:22:32,861 How close are you to this patient? 494 00:22:32,862 --> 00:22:34,655 I never asked you to stay. 495 00:22:38,742 --> 00:22:40,452 Fine... ... I'm in. 496 00:22:42,227 --> 00:22:43,472 All right. 497 00:22:43,684 --> 00:22:45,269 Just hold on a little longer, Bishop. 498 00:22:48,335 --> 00:22:50,003 Okay. Ready for the rib spreader. 499 00:22:50,004 --> 00:22:51,254 All right, I'm in. 500 00:22:51,255 --> 00:22:53,798 Why are we saving this? Is he really gonna sit under it again? 501 00:22:53,799 --> 00:22:56,009 The museum is gonna do everything it can to make sure 502 00:22:56,010 --> 00:22:57,468 to make sure this never happens again. 503 00:22:57,469 --> 00:22:59,554 So why should he change his plans? Bovie. 504 00:22:59,555 --> 00:23:01,806 It's a nice tradition. He obviously loved his wife a lot. 505 00:23:01,807 --> 00:23:03,057 He could find someone else. 506 00:23:03,058 --> 00:23:05,737 When my grandma died, my grandpa became the most eligible 507 00:23:05,761 --> 00:23:07,354 bachelor in his retirement community. 508 00:23:08,814 --> 00:23:10,815 - He had a full head of hair. - I don't know. 509 00:23:10,816 --> 00:23:13,318 When you've been with somebody that long, it's hard to let go. 510 00:23:13,319 --> 00:23:15,570 Sorry I'm late. My doctor's appointment ran long. 511 00:23:15,571 --> 00:23:18,011 - Where do you want me? - I could use some retraction. 512 00:23:22,328 --> 00:23:24,371 - You okay? - Fine. 513 00:23:26,516 --> 00:23:28,791 Heart rate and BP are tanking. He's about to code. 514 00:23:28,792 --> 00:23:30,710 All right, I can see the pericardium bulging, 515 00:23:30,711 --> 00:23:32,045 and it's filled with blood. 516 00:23:32,046 --> 00:23:34,965 The ray is causing cardiac tamponade. There's no way I can reach it. 517 00:23:35,799 --> 00:23:36,966 We're gonna have to remove it now. 518 00:23:37,084 --> 00:23:40,713 Ready? On my count. One, two, three. 519 00:23:42,222 --> 00:23:44,223 No, it's-it's-it's the angle. 520 00:23:44,224 --> 00:23:45,904 It's curved under the bone, it won't budge. 521 00:23:46,769 --> 00:23:48,269 Yeah. And it's hollow. 522 00:23:48,270 --> 00:23:50,605 Give me a large hemostat and sterile towels. 523 00:23:50,606 --> 00:23:51,523 What are you doing? 524 00:23:51,547 --> 00:23:52,774 We're gonna have to break it. 525 00:23:52,775 --> 00:23:54,275 Won't the glass get in his chest? 526 00:23:54,276 --> 00:23:55,583 We're gonna do our best to avoid it, 527 00:23:55,608 --> 00:23:57,499 but at this point, we don't have a choice. 528 00:23:58,155 --> 00:24:01,033 - Ready? - All right. Careful, careful. 529 00:24:02,326 --> 00:24:03,626 Got it. 530 00:24:03,651 --> 00:24:04,903 Here we go. 531 00:24:08,374 --> 00:24:11,085 BP's in the low 70s. 532 00:24:13,963 --> 00:24:15,813 All right, looks like he's bleeding from the heart. 533 00:24:15,838 --> 00:24:18,800 He's got a nick in the right ventricle. I need 2-0 Prolene. 534 00:24:18,801 --> 00:24:20,511 - Hold pressure here. - Got it. 535 00:24:22,930 --> 00:24:24,347 BP's increasing. 536 00:24:24,348 --> 00:24:26,099 Heart rate's stabilizing. 537 00:24:26,100 --> 00:24:27,475 So much for his sculpture. 538 00:24:27,476 --> 00:24:30,720 Well, he's alive. I think he'll get over it. 539 00:24:36,364 --> 00:24:38,569 This point on the graph represents the reflection of light 540 00:24:38,570 --> 00:24:39,904 from the blood sample in the cuvette. 541 00:24:40,106 --> 00:24:42,281 The sensor's in a shoebox to avoid ambient light. 542 00:24:42,747 --> 00:24:46,411 Now, here is the same thing, but with a higher concentration 543 00:24:46,412 --> 00:24:49,539 of hemoglobin, which represents more congestion in the flap. 544 00:24:49,700 --> 00:24:52,959 Which we'd normally have to detect from darker bruising. 545 00:24:52,960 --> 00:24:54,752 Mm-hmm. 546 00:24:54,753 --> 00:24:57,714 - And you built this yourself? - My roommate and her brother helped. 547 00:24:57,715 --> 00:25:00,925 They're engineers, but I had to learn about algorithms, 548 00:25:00,926 --> 00:25:02,802 light absorption and photo diodes. 549 00:25:02,803 --> 00:25:05,977 In your free time between classes and clerkships. 550 00:25:06,724 --> 00:25:09,934 Honestly, the toughest part is believing that I can do it. 551 00:25:10,481 --> 00:25:13,021 I mean, what do I know? I'm still in med school. 552 00:25:13,022 --> 00:25:14,605 And this is just a passion project. 553 00:25:14,606 --> 00:25:16,774 I'm sure there are plenty of great ideas in this room. 554 00:25:16,775 --> 00:25:18,270 You'd be surprised. 555 00:25:19,528 --> 00:25:22,447 I hope I didn't shake your confidence earlier. 556 00:25:22,448 --> 00:25:24,073 - By asking hard questions? - Yeah. 557 00:25:24,321 --> 00:25:26,826 No, that just pushes me to make the next version even better. 558 00:25:27,225 --> 00:25:29,769 I want to contribute to scientific knowledge however I can. 559 00:25:30,659 --> 00:25:32,236 That attitude will serve you well. 560 00:25:32,432 --> 00:25:34,251 Hold on to it for as long as you can. 561 00:25:35,127 --> 00:25:37,129 - Thank you, Daphne. - Thank you. 562 00:25:39,381 --> 00:25:41,591 Well, this generation just might save us. 563 00:25:41,592 --> 00:25:44,344 As long as we don't discourage them before they get the chance. 564 00:25:48,265 --> 00:25:51,226 Okay, no wheezing. He has clear breath sounds bilaterally. 565 00:25:51,841 --> 00:25:54,854 - Does that mean I'm okay to... - Oh. You can't leave yet. 566 00:25:55,161 --> 00:25:58,524 Dr. Webber, you have a call from the IRB. They said it's urgent. 567 00:25:58,844 --> 00:26:01,597 - Oh. Continue treatment. - Mm-hmm. 568 00:26:06,408 --> 00:26:08,242 Looks like the fire's finally contained. 569 00:26:08,555 --> 00:26:09,869 How bad was it? 570 00:26:10,049 --> 00:26:11,741 It's the worst I've seen so far. 571 00:26:12,085 --> 00:26:14,416 It's too bad. It seemed like a nice hotel. 572 00:26:15,304 --> 00:26:16,305 Yep. 573 00:26:16,960 --> 00:26:18,753 Oh, is Bishop out of surgery? 574 00:26:18,754 --> 00:26:21,923 Uh, we've repaired her leg, but they're still debriding the burns. 575 00:26:21,924 --> 00:26:23,466 Does that mean she'll be okay? 576 00:26:23,841 --> 00:26:26,928 Um, well, it's hard to say, but she has the best doctors... 577 00:26:26,929 --> 00:26:28,513 Okay, yeah, everybody keeps saying that, 578 00:26:28,514 --> 00:26:30,171 but I need to know she's gonna be all right. 579 00:26:30,196 --> 00:26:31,516 Her and her wife have two kids at home. 580 00:26:31,517 --> 00:26:33,518 If something happens to her, that's my fault. 581 00:26:33,519 --> 00:26:35,394 She told me to wait for them to fully secure the roof. 582 00:26:35,395 --> 00:26:37,272 I-I thought I could make it across, and I... 583 00:26:38,414 --> 00:26:39,789 She fell trying to rescue me. 584 00:26:40,111 --> 00:26:41,487 You're a firefighter. 585 00:26:41,985 --> 00:26:44,570 If you're not willing to take big risks to save a life, 586 00:26:44,914 --> 00:26:46,040 you're not doing it right. 587 00:26:47,444 --> 00:26:49,988 Dr. Kwan, a word? 588 00:26:59,382 --> 00:27:02,719 Um... I just heard from the IRB. 589 00:27:03,757 --> 00:27:05,891 Oh, um, is the report done? 590 00:27:06,218 --> 00:27:08,511 You know, I know Dr. Bailey's been worried. 591 00:27:08,512 --> 00:27:11,181 From what they say, I would assume you'd be just as concerned. 592 00:27:12,057 --> 00:27:16,727 Of course, you know, I, uh... She's a mentor and... 593 00:27:16,728 --> 00:27:20,059 I know it was you who injected the hydrogel and not her. 594 00:27:21,704 --> 00:27:24,286 Now, I want you to tell me everything that happened... 595 00:27:24,963 --> 00:27:26,881 starting from the beginning. 596 00:27:30,617 --> 00:27:35,163 Dr. Mendelbaum to L&D. Dr. Rachel Mendelbaum to L&D. 597 00:27:45,441 --> 00:27:46,442 I lied. 598 00:27:48,135 --> 00:27:50,928 - I have been avoiding you. - It was pretty obvious. 599 00:27:50,929 --> 00:27:54,525 Really? I've been told I have a good poker face. 600 00:27:56,310 --> 00:27:59,938 I mean, you can just tell me it's over if that's what you've decided. 601 00:28:01,510 --> 00:28:04,970 I haven't, and I realize I owe you an explanation. 602 00:28:07,696 --> 00:28:10,115 I'm trying to make a clearheaded decision, 603 00:28:11,033 --> 00:28:12,951 but when I'm around you... 604 00:28:14,620 --> 00:28:15,829 I'm not so clearheaded. 605 00:28:18,052 --> 00:28:19,554 Well, I'd say that I'm sorry... 606 00:28:20,764 --> 00:28:23,084 but then I'd be the one lying. 607 00:28:32,846 --> 00:28:35,204 - What's her core temperature? - 96 degrees. 608 00:28:35,229 --> 00:28:37,058 You're turning the heat up again, aren't you? 609 00:28:37,059 --> 00:28:38,935 The more we debride, the colder she gets. 610 00:28:38,936 --> 00:28:40,854 Bump up room temp to a 102 degrees. 611 00:28:41,480 --> 00:28:43,564 I went to the ICU. They said Bishop hadn't arrived. 612 00:28:43,565 --> 00:28:44,982 What the hell are you doing? 613 00:28:44,983 --> 00:28:46,901 - Finishing tangential excision. - That was rhetorical. 614 00:28:46,902 --> 00:28:48,486 Put down the weck blades now. 615 00:28:48,487 --> 00:28:50,071 - We're almost done. - I don't care. 616 00:28:50,072 --> 00:28:51,405 Too much debridement could kill her. 617 00:28:51,406 --> 00:28:53,356 I'm your attending. I am telling you to stop. 618 00:28:53,381 --> 00:28:55,493 Her ABG shows worsening acidosis. 619 00:28:55,494 --> 00:28:56,953 What are her potassium and lactate levels? 620 00:28:56,954 --> 00:28:58,746 Warren, you are too close to this patient. 621 00:28:58,747 --> 00:29:00,403 Five and lactate is elevated. 622 00:29:00,427 --> 00:29:02,083 Do you want me to push bicarb and insulin? 623 00:29:02,084 --> 00:29:04,043 Bicarb, yes. Hold off on insulin. 624 00:29:04,044 --> 00:29:06,045 I'm not trying to be insubordinate, 625 00:29:06,046 --> 00:29:08,130 but Bishop and I were in the trenches together. 626 00:29:08,131 --> 00:29:10,049 She saved my butt more times than I'd like to admit. 627 00:29:10,050 --> 00:29:13,052 I would never do anything that would put her in more jeopardy. 628 00:29:13,053 --> 00:29:15,721 And you know I was an anesthesiologist before I was a surgeon, 629 00:29:15,722 --> 00:29:18,475 so I know how to keep her safe. And... 630 00:29:19,393 --> 00:29:20,394 I know when to quit. 631 00:29:22,121 --> 00:29:23,206 I promise. 632 00:29:25,648 --> 00:29:27,066 Someone gown and glove me. 633 00:29:27,943 --> 00:29:29,360 You... you're scrubbing in? 634 00:29:29,361 --> 00:29:31,862 The more hands you have, the faster you'll finish. 635 00:29:33,265 --> 00:29:34,516 Let's go. 636 00:31:21,306 --> 00:31:24,433 Where am I? Am I alive? 637 00:31:24,434 --> 00:31:26,477 We were able to repair the tear in your heart. 638 00:31:26,478 --> 00:31:29,688 You're in the CCU so we can monitor your recovery. 639 00:31:29,689 --> 00:31:31,524 Oh, well, that's good. 640 00:31:31,525 --> 00:31:33,142 Oh. And what about the sculpture? 641 00:31:34,778 --> 00:31:37,988 Um, Morris, we had to make a choice, it or you. 642 00:31:37,989 --> 00:31:39,991 We thought you'd be okay with it. 643 00:31:41,609 --> 00:31:44,696 Well, I guess it's good that Janie won't ever know. 644 00:31:46,248 --> 00:31:47,834 How long ago did she pass? 645 00:31:47,859 --> 00:31:49,375 Oh, no, she's still alive. 646 00:31:49,376 --> 00:31:52,211 She's in memory care over at Hillside Gardens. 647 00:31:52,360 --> 00:31:54,194 - Oh. - About a year now. 648 00:31:54,515 --> 00:31:55,600 I'm sorry. 649 00:31:55,841 --> 00:31:59,385 She's the one who used to remember everything. 650 00:31:59,386 --> 00:32:02,596 And not just the big stuff, the details, 651 00:32:02,972 --> 00:32:06,753 l-like the color of the kitchen towel in our first home. 652 00:32:07,167 --> 00:32:09,335 Now I have to remember for both of us. 653 00:32:10,188 --> 00:32:12,949 I'm holding on to every piece of our life I can, 654 00:32:13,455 --> 00:32:16,291 while every day, she slips away a little more. 655 00:32:16,987 --> 00:32:21,950 You know how hard it is to miss someone who's still here? 656 00:32:23,046 --> 00:32:24,253 I can imagine. 657 00:32:24,277 --> 00:32:26,328 I just wanna tell her I love her 658 00:32:26,454 --> 00:32:28,873 and know she understands. 659 00:32:42,831 --> 00:32:44,958 Oh, hey, man. I'll go get your food. 660 00:32:47,355 --> 00:32:48,439 Waiting on someone? 661 00:32:49,939 --> 00:32:50,982 Just needed a drink. 662 00:33:00,011 --> 00:33:01,012 Everything okay? 663 00:33:04,276 --> 00:33:07,535 My doctor said I can't do the egg retrieval this month. 664 00:33:09,331 --> 00:33:10,456 Yeah. I'm sorry. 665 00:33:10,457 --> 00:33:12,542 She said I could try again, but... 666 00:33:13,767 --> 00:33:14,935 it's not promising. 667 00:33:16,058 --> 00:33:17,058 You never know. 668 00:33:17,309 --> 00:33:19,770 I was never sure I wanted kids. I just never thought... 669 00:33:22,761 --> 00:33:24,554 it wouldn't be an option. 670 00:33:26,723 --> 00:33:30,226 Yeah, it might be hard. That doesn't make it impossible. 671 00:33:30,378 --> 00:33:31,675 I think it's a sign from the universe 672 00:33:31,700 --> 00:33:33,148 I'd be a terrible mother. 673 00:33:33,803 --> 00:33:34,804 Yeah. 674 00:33:37,321 --> 00:33:38,364 Here you go. 675 00:33:40,390 --> 00:33:42,267 I wish I could blame this on the hormones. 676 00:33:43,747 --> 00:33:44,747 Come on. 677 00:33:44,990 --> 00:33:46,950 I got wings and fries. 678 00:34:03,077 --> 00:34:05,453 Hey. 679 00:34:05,595 --> 00:34:07,805 Hey. I thought you were picking up the kids tonight. 680 00:34:07,806 --> 00:34:09,454 - I am. - Oh. 681 00:34:10,522 --> 00:34:12,983 I need to tell you something. 682 00:34:13,681 --> 00:34:15,099 I wanna to talk to you too. 683 00:34:16,191 --> 00:34:17,192 Is something wrong? 684 00:34:19,442 --> 00:34:24,363 Margot offered me a job running a global research incubator in Paris, 685 00:34:24,364 --> 00:34:28,492 and, uh, I'm considering it. 686 00:34:29,869 --> 00:34:33,455 Okay, um, I don't know what to say. 687 00:34:33,456 --> 00:34:37,293 Well, I know that I've recently made a lot of decisions for myself 688 00:34:37,294 --> 00:34:38,627 that have impacted you, 689 00:34:38,628 --> 00:34:41,880 and that I wasn't fully supportive of that job in Enumclaw and... 690 00:34:41,881 --> 00:34:43,507 You jumped down my throat. 691 00:34:43,508 --> 00:34:45,509 I was gonna turn it down and not even bother you, 692 00:34:45,510 --> 00:34:47,500 but I can't stop thinking about it, so 693 00:34:47,524 --> 00:34:49,513 I thought it was worth a conversation. 694 00:34:49,514 --> 00:34:51,640 Oh, did you? Or have you just made up your mind, 695 00:34:51,641 --> 00:34:54,101 and now I have to be the bad guy to tell you not to go? 696 00:34:54,102 --> 00:34:56,020 - That's not what's happening. - We have kids. 697 00:34:56,021 --> 00:34:57,896 - Did you forget about them? - Of course not. 698 00:34:57,897 --> 00:34:59,732 I... That's something that we'd have to figure out. 699 00:34:59,733 --> 00:35:01,692 - I mean, there are other families that... - You know what? 700 00:35:01,693 --> 00:35:03,527 Just do whatever you want like you always do. 701 00:35:03,528 --> 00:35:04,903 Owen... 702 00:35:16,583 --> 00:35:19,209 Hey. I thought maybe you'd backed out. 703 00:35:19,210 --> 00:35:21,545 No, I was just going to Joe's to pick up some dinner, 704 00:35:21,546 --> 00:35:23,922 and then I have to check a wound vac. 705 00:35:24,079 --> 00:35:25,382 But you're in streets. 706 00:35:25,546 --> 00:35:29,008 Well, if you go in in your scrubs, people ask you for medical advice. 707 00:35:30,305 --> 00:35:31,972 - You having second thoughts? - I'm not... 708 00:35:31,973 --> 00:35:34,351 - If you want out, then... - I don't. I don't. 709 00:35:36,102 --> 00:35:38,813 Okay, I need to show you something. Um... 710 00:35:39,356 --> 00:35:40,356 Okay. 711 00:35:43,622 --> 00:35:45,486 Okay, this is a black tourmaline. 712 00:35:45,487 --> 00:35:48,698 It is a crystal that protects you by absorbing negative energy. 713 00:35:49,532 --> 00:35:53,285 My parents are the kind of people that use crystals and tarot decks 714 00:35:53,286 --> 00:35:57,582 and other metaphysical resources to justify their poor life choices. 715 00:35:58,032 --> 00:36:00,501 And as much as I hate it, some of it stuck, 716 00:36:00,502 --> 00:36:02,820 and when the Drakemore burned down, 717 00:36:02,845 --> 00:36:06,340 I just... I thought it was an omen, and it's... it's weird. 718 00:36:06,341 --> 00:36:07,425 You can laugh. It's... 719 00:36:07,967 --> 00:36:10,844 Well, look, everyone has weird things. 720 00:36:10,993 --> 00:36:12,954 How many crystals do you have in your pocket? 721 00:36:15,432 --> 00:36:20,884 Okay, last week when I didn't hug you because I felt sick, I was fine. 722 00:36:22,190 --> 00:36:23,566 It was because of your scarf. 723 00:36:26,569 --> 00:36:28,153 - The blue one? - Yeah. 724 00:36:28,154 --> 00:36:29,906 You don't like it or... 725 00:36:31,141 --> 00:36:33,394 I have an irrational fear of yarn. 726 00:36:35,036 --> 00:36:36,745 - Blankets? - Mm-hmm. 727 00:36:36,746 --> 00:36:37,830 Mittens? 728 00:36:37,831 --> 00:36:41,458 Listen, you will never see me in a chunky sweater ever. 729 00:36:43,712 --> 00:36:45,087 That's weird. 730 00:36:45,088 --> 00:36:47,482 You carry around a protective rock. 731 00:37:29,724 --> 00:37:32,142 Oh, my God. Oh, my God. Oh, my God. 732 00:37:32,460 --> 00:37:34,094 What happened? 733 00:37:34,095 --> 00:37:37,765 Um... Let's see. We drank tequila, and then we drank more tequila. 734 00:37:37,766 --> 00:37:39,683 - Then, we, uh... - Made a huge mistake. 735 00:37:39,684 --> 00:37:43,145 I'm gonna... I'm gonna get out of here. 736 00:37:43,146 --> 00:37:46,190 - Yep. - And, uh, no one else 737 00:37:46,191 --> 00:37:47,274 needs to know about this. 738 00:37:52,811 --> 00:37:55,866 - Oh, my God. 739 00:37:58,578 --> 00:38:04,250 Dr. Lao to Proctology. Dr. Fred Lao to Proctology. 740 00:38:05,293 --> 00:38:08,254 Hey there. Yeah. 741 00:38:10,574 --> 00:38:11,658 Welcome back. 742 00:38:11,878 --> 00:38:16,094 What are you doing? I just woke up from surgery. 743 00:38:18,025 --> 00:38:20,433 I, uh... I promised Carina. 744 00:38:20,965 --> 00:38:23,259 Sorry, I called her. Just please don't kill me. 745 00:38:23,949 --> 00:38:28,541 I'm guessing you somehow saved my life, so you're off the hook. 746 00:38:28,683 --> 00:38:30,060 I was just doing my job. 747 00:38:31,069 --> 00:38:33,321 And your, uh... your probie has been discharged. 748 00:38:33,729 --> 00:38:36,424 He's fine. Shaken up, but fine. 749 00:38:36,449 --> 00:38:37,783 Oh, uh... 750 00:38:37,784 --> 00:38:39,243 Yep, it's Carina. 751 00:38:39,244 --> 00:38:42,204 Grateful emoji, heart emoji. 752 00:38:42,267 --> 00:38:44,519 Many more heart emojis. 753 00:38:45,299 --> 00:38:46,342 Tell her I love her. 754 00:38:46,959 --> 00:38:49,628 I was supposed to meet up with them out there next week. 755 00:38:50,421 --> 00:38:51,755 You know, how are the kids? 756 00:38:51,780 --> 00:38:53,407 Uh... 757 00:38:53,967 --> 00:38:55,368 Liam's walking. 758 00:38:55,393 --> 00:38:58,846 He loves garbage trucks and kiwis. 759 00:39:00,557 --> 00:39:03,518 And Andrea DeLuca-Bishop is a perfect angel. 760 00:39:04,018 --> 00:39:05,645 Uh, of course she is. 761 00:39:06,643 --> 00:39:09,104 The second I saw you, I knew you'd have my back. 762 00:39:10,066 --> 00:39:12,919 - Once 19, always 19. - 19. 763 00:39:12,944 --> 00:39:14,570 Oh, okay. 764 00:39:15,572 --> 00:39:17,866 Um... 765 00:39:19,190 --> 00:39:23,257 Listen, I'm, uh... I'm going to let you rest. 766 00:39:25,331 --> 00:39:26,874 But then we are gonna call your wife. 767 00:39:31,573 --> 00:39:35,173 Her urine output's averaging 0.8 meg per keg per hour. 768 00:39:35,252 --> 00:39:37,838 No signs of end organ damage. Vitals stable. 769 00:39:38,595 --> 00:39:39,636 Norman Cousins once said 770 00:39:39,637 --> 00:39:43,908 that wisdom consists of the anticipation of consequences. 771 00:39:44,179 --> 00:39:47,728 - Norman Cousins, the peace activist? - I don't know. 772 00:39:47,729 --> 00:39:50,023 It was on a poster in my high school chem lab. 773 00:39:50,048 --> 00:39:54,094 The point is, today, you anticipated the medicine. 774 00:39:54,777 --> 00:39:56,733 You focused on patient care, 775 00:39:56,758 --> 00:39:59,490 and you didn't let anyone stop you from providing it. 776 00:40:00,470 --> 00:40:01,471 Including me. 777 00:40:02,486 --> 00:40:03,986 I underestimated you. 778 00:40:04,120 --> 00:40:05,996 And I'm down a plastics fellow. 779 00:40:06,199 --> 00:40:09,202 - Yeah, I'm working on my application. - I need someone now. 780 00:40:09,918 --> 00:40:12,836 Would you be interested in an integrated plastics fellowship? 781 00:40:12,837 --> 00:40:15,466 Oh, definitely. Uh, how-how do I apply? 782 00:40:15,491 --> 00:40:16,465 You say yes. 783 00:40:16,466 --> 00:40:19,010 Then you pick up your navy scrubs and meet me for rounds. 784 00:40:22,366 --> 00:40:24,389 Are you okay? Do you need me to call neuro? 785 00:40:24,390 --> 00:40:28,352 No, no. I, uh... I'm going. I'm... 786 00:40:29,687 --> 00:40:32,773 Warren. Welcome to the team. 787 00:40:32,774 --> 00:40:34,505 Whether in science or life... 788 00:40:34,530 --> 00:40:35,359 Yeah. 789 00:40:35,360 --> 00:40:37,778 the road to discovery is rarely a straight line. 790 00:40:38,947 --> 00:40:42,616 We take two steps forward, then fall three steps back. 791 00:40:44,835 --> 00:40:45,919 Morning. 792 00:40:46,508 --> 00:40:50,469 Um, the innovation competition went well. 793 00:40:50,494 --> 00:40:53,039 I learned a few things myself. 794 00:40:54,629 --> 00:40:56,880 Is that the IRB's report? 795 00:40:57,100 --> 00:40:58,435 It is. Mmm. 796 00:41:00,290 --> 00:41:01,291 Obviously... 797 00:41:03,304 --> 00:41:05,222 I don't know what it says, 798 00:41:05,686 --> 00:41:07,683 but look, I-I know this, right? 799 00:41:07,684 --> 00:41:11,687 We work in a system where you can be forced out 800 00:41:11,688 --> 00:41:14,565 for one... mistake, 801 00:41:15,566 --> 00:41:18,945 - but that's not conducive to learning. - I know it was Kwan. 802 00:41:20,655 --> 00:41:22,073 You lied to me. 803 00:41:22,615 --> 00:41:24,826 You looked at my face and told me you did it. 804 00:41:25,608 --> 00:41:28,863 You're benched from surgery until further notice. 805 00:41:28,888 --> 00:41:30,056 We veer off course... 806 00:41:30,081 --> 00:41:31,164 I understand. 807 00:41:31,165 --> 00:41:32,792 and have to find our way back. 808 00:41:33,501 --> 00:41:35,763 Look, Kwan is still learning, so 809 00:41:35,787 --> 00:41:38,547 don't go too hard on him while I'm out. 810 00:41:38,548 --> 00:41:39,966 That won't be a problem. 811 00:41:40,562 --> 00:41:41,813 He's fired. 812 00:41:46,222 --> 00:41:49,016 Surprise detours lead us to unexpected places. 813 00:41:49,017 --> 00:41:51,476 - What's going on? - The Royer Bridge collapsed. 814 00:41:51,477 --> 00:41:52,823 That's awful. Do we know how? 815 00:41:52,847 --> 00:41:54,229 I don't think they know much yet. 816 00:41:54,230 --> 00:41:56,523 All right, well, let's get ready for incoming traumas, 817 00:41:56,524 --> 00:41:59,067 prep blankets, warm IV fluids. 818 00:41:59,068 --> 00:42:00,987 I will page for extra hands. 819 00:42:02,947 --> 00:42:05,449 Teddy, I owe you an apology for last night. 820 00:42:05,450 --> 00:42:08,660 I had something I wanted to say and your news kind of threw me. 821 00:42:08,661 --> 00:42:10,871 Let's talk when I get in, if I ever get in. 822 00:42:11,280 --> 00:42:12,956 There's a ton of traffic on this bridge. 823 00:42:15,073 --> 00:42:17,315 Places we never imagined were possible. 824 00:42:18,207 --> 00:42:23,207 - Synced and corrected by ChrisKe - — for www.addic7ed.com —