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[GREY] Years ago, a New York
physician discovered a gene mutation
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that causes congenital
insensitivity to pain...
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00:00:06,767 --> 00:00:09,539
Have you seen my charger? I
thought I left it on the table.
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00:00:09,564 --> 00:00:10,819
or CIP.
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I don't remember. Sorry.
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00:00:12,387 --> 00:00:14,354
[SIGHS] I will find it.
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Coffee will help.
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[SIGHS]
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Sorry.
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I'll make more. [CHUCKLES]
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But you're kinda... out.
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It's an extremely rare condition
that blocks people from feeling pain.
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Important meeting. Gotta go.
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It sounds good in theory,
but pain is important.
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It tells the body
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when it's in danger,
and helps keep it alive.
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[GASPS] Oh... Oh, I'm so sorry I'm late.
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I s-see your appointment went well.
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X-rays show the bone's
healed, so Link cleared me.
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The brace is off, and I
am fully back. [LAUGHS]
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- Now, you... you know I'm careful.
- [BAILEY STAMMERS]
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I just can't keep
feeling like I'm letting
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the station down by
not pulling my weight.
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- You... You're back.
- I'm back!
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- You're back.
- [CHUCKLES, KISSES]
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- Gotta run.
- N...
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Put your hand in fire, get burned,
and you learn not to do it again.
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- [SIGHS, MOUTHING WORDS]
- Or put another way... living hurts.
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Were you aware when you intubated
Maxine Anderson that she was DNI?
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Maxine didn't wanna
die on a ventilator.
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- But I knew if I can get in through...
- Yes or no, Dr. Kwan?
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Ms. Anderson didn't wanna
die. I-I could see it in her eyes.
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Could you see the giant orange
DNI sticker on her chart?
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Max... M-Ms. Anderson... She's
not suing Dr. Kwan or the hospital.
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You're listed as Ms. Anderson's
medical proxy. Why is that?
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It was her choice. Why does it matter?
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[INTERVIEWER 1] Because her son
has launched an inquiry into it.
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Let's return to the other night.
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Where were you when
Dr. Altman collapsed?
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OR 1. We rushed Sam
Sutton in because his
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chest tube was putting
out liters of blood.
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But you left Mr. Sutton
to attend to Dr. Altman.
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Dr. Altman is our Chief of Surgery.
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And Dr. Adams was with Mr. Sutton.
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Don't you mean Dr. Adams
was opening Mr. Sutton?
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Sam was dying.
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He didn't have
minutes. He had seconds.
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According to whom? You are a...
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00:02:04,253 --> 00:02:06,841
You're a first-year
resident, correct? An intern.
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I know what a dying
patient's vitals look like.
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And what might those be?
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The patient hardly had
a blood pressure reading,
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high heart rate.
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He was definitely bleeding out.
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And you believed you and
Dr. Adams could save him?
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- It all happened really fast.
- [INTERVIEWER 2] Dr. Griffith,
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if you were in the OR by
yourself without Dr. Adams,
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would you still have
opened up the patient?
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- [PANTING] Hey.
- Hey.
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I already did that twice.
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Can you evict family?
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Lucas is just crashing at my
place, and it's not ideal.
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He's into all my stuff. His stuff...
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Every time I turn
around, there's more.
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I mean, I know I am not the
easiest person to live with, but...
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- But you do pick up after yourself. Mmm.
- Is it so hard?
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- We already did that.
- It's slow.
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Oh. Maybe it just doesn't like you.
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- I'm gonna take the stairs.
- Mmm. Okay.
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[KWAN] How was your interview?
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- Mine was pretty brutal.
- Don't talk to me.
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Lawyers are paid to make
you feel badly, Kwan.
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Shake it off. Just
focus on the work. Here.
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Everyone's making progress.
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One more chest tube, and
I am out of this dungeon.
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00:03:08,938 --> 00:03:11,319
Dr. Bailey, given that we're
close to finishing our logs,
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would it make sense to focus on that
instead of wherever we're going?
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It would make sense for you to trust
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that anything I ask of you
will make you a better doctor.
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There she is.
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Oh. Dr. Bailey, just in time.
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- Shall we begin?
- [BAILEY] Yes.
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Take a seat and learn something.
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- Synced and corrected by ChrisKe -
-- for www.addic7ed.com --
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Meet Vida Madera, 26 years
old, 30 weeks pregnant
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with a history of vision loss.
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[BAILEY] Dr. Wilson and I
met Vida through the clinic
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when she learned she was pregnant
after suffering two miscarriages.
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Two weeks ago, an ultrasound revealed
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a vein of Galen malformation
in the fetus's brain.
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00:04:02,191 --> 00:04:05,094
- I'm... I'm sorry. Uh, may I?
- Yeah, of course.
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Okay. Uh, who can
tell me what a VOGM is?
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A rare arteriovenous fistula.
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An artery in the brain
connects to the vein directly,
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causing dysregulated
blood flow into the defect.
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Correct. And in utero, the
baby is typically sheltered
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by mom and the placenta, but then
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after delivery and the cord is clamped,
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what happens? Yes.
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The baby's heart and
lungs become overwhelmed
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with a massive overflow of blood.
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Which can lead to heart failure,
seizures, and possibly death.
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Standard procedure has been
embolization after delivery,
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but many babies do not survive.
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And if they do, the child
often has major brain injury.
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So that's when I called Dr. Robbins.
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So a few months ago, I
started a clinical trial
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with a team of interventional
neuroradiologists
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in which we operate
on the baby's brain,
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before delivery.
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In-utero brain surgery. Sick.
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Ugh. I hate babies.
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Technically a fetus.
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What did I say about talking to me?
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- Yes.
- How many times has this been done?
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[CLICKS TONGUE] Oh,
um, let me think, uh...
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None.
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So who wants to make history?
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Morning, Dr. Webber. [EXHALES SHARPLY]
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Dr. Ndugu, do you have a minute?
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Oh, no, I have a TAVR... two, actually.
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00:05:22,244 --> 00:05:23,625
We still haven't filled Maggie's spot.
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That's what I wanted to talk
to you about. I have a solution.
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You coming back right
now is not the solution.
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00:05:28,031 --> 00:05:30,137
You don't know what I was gonna say.
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But you're not wrong.
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Altman, it's been barely four weeks
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since your surgery.
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00:05:34,981 --> 00:05:37,245
But I have been practicing
in the skills lab.
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I am strong, and I am more than ready.
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To return to your desk,
not to the OR. All right?
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It's about stamina not skills.
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[EXHALES SHARPLY] "Stamina." Please.
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00:05:50,524 --> 00:05:51,733
[BAILEY] Come on in.
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00:05:53,314 --> 00:05:55,370
Quite a crowd you've
brought, Dr. Bailey.
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So we have, uh, Dr.
Shepherd, Dr. Wilson,
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00:05:59,067 --> 00:06:02,609
world-renowned fetal
surgeon Dr. Robbins,
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00:06:02,634 --> 00:06:05,186
- and the surgical interns.
- Hey.
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00:06:05,211 --> 00:06:06,625
- [WILSON] Hi, Vida.
- Hi.
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00:06:06,626 --> 00:06:09,179
Dr. Robbins, we have been
Internet-stalking you,
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00:06:09,180 --> 00:06:11,423
and you are truly incredible.
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00:06:11,424 --> 00:06:14,460
We just read about the work you
did with twin-to-twin transfusions.
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Yeah. Well, my field
has come a long way.
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00:06:16,256 --> 00:06:18,569
And thank you. Dr. Griffith.
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Vida Madera, 26, history of
vision impairment, hear...
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[VIDA] Dr. Robbins.
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W-We really appreciate
you coming all this way,
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but I've given it some thought,
and... I'm so sorry.
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- Hey, what are you talking about?
- I've changed my mind.
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I-I can't have the surgery.
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'Cause it's never been done before?
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Because I can't lose this baby.
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Well, I-I assure you, Vida, that's
exactly what we're trying to avoid.
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Do you know how many blind
and low-vision mothers have
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social services called on them for
no reason other than their sight?
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When this became a
successful, viable pregnancy,
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I knew that I was going to have
to fight to protect this baby.
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So the idea of a giant needle
being stuck into her brain
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before I've even had the chance
to hold her myself, I... I can't.
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00:07:03,198 --> 00:07:06,542
We've gone through so much to get
to this point. I just can't risk it.
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00:07:06,729 --> 00:07:10,551
And Dr. Shepherd... She did say
that the baby would have a chance.
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00:07:10,552 --> 00:07:13,105
It is an extremely small chance, Vida.
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And in that case,
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the baby would likely have...
significant neurological injuries.
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But there's still a chance.
So I'm going with that.
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World-class or not, Dr. Robbins,
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I'm saying no. No surgery.
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[MOUTHING WORDS]
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[SIGHS] Here's the file. Here.
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- Excuse me?
- Yeah.
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00:07:36,268 --> 00:07:37,234
- Hi.
- Hi.
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00:07:37,259 --> 00:07:38,367
Sorry to bother, but, um,
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I'm waiting for Dr. Millin.
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They said they sent out a page.
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00:07:41,569 --> 00:07:43,743
I'm sure Dr. Millin
will be down soon.
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00:07:44,634 --> 00:07:47,118
Can I help you? I'm also a doctor.
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I'll wait... for Dr. Millin.
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00:07:53,941 --> 00:07:54,883
Oh, uh...
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00:07:54,908 --> 00:07:56,633
- Dr. Hunt. Hi.
- Yeah?
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00:07:56,634 --> 00:07:58,531
So as soon as I place a chest
tube, I'm back in the OR.
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00:07:58,532 --> 00:08:00,344
So anything that I can
do to make that happen...
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Ms. Timms in bed three
needs a rectal disimpaction.
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00:08:03,088 --> 00:08:06,828
And if she gets an accidental chest
tube, I'll know who to blame. Okay?
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00:08:07,418 --> 00:08:08,626
[ELEVATOR DINGS]
185
00:08:10,302 --> 00:08:11,475
Hey, somebody paged me?
186
00:08:11,476 --> 00:08:13,719
Oh, yeah. That guy was looking for you.
187
00:08:13,720 --> 00:08:16,430
- Do I know him?
- I don't keep a log of who you know.
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[SCOFFS]
189
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[SIGHS] Hi.
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00:08:20,903 --> 00:08:22,594
I heard you were looking for me.
191
00:08:22,744 --> 00:08:24,123
I'm Dr. Millin.
192
00:08:24,357 --> 00:08:26,601
Uh, no, you're not.
193
00:08:27,371 --> 00:08:30,633
- Joshy, my guy.
- Dr. Millin.
194
00:08:30,658 --> 00:08:32,336
Hey. Uh.
195
00:08:32,361 --> 00:08:34,543
Guess what. There's
another Dr. Millin.
196
00:08:34,568 --> 00:08:37,190
Hmm. He is not a doctor.
197
00:08:37,191 --> 00:08:39,757
But she is my sister.
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[SIGHS]
199
00:08:46,297 --> 00:08:49,663
Vida has asked to be discharged.
200
00:08:49,688 --> 00:08:52,102
We can't let her leave.
She's just scared.
201
00:08:52,103 --> 00:08:53,563
And when were you going to tell me
202
00:08:53,588 --> 00:08:56,583
that my patient would be the
very first in this clinical trial?
203
00:08:56,608 --> 00:08:58,734
It's a trial. Someone has to go
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00:08:58,759 --> 00:09:00,687
- first, and Vida's a perfect candidate.
- [PHONE BEEPS]
205
00:09:00,711 --> 00:09:03,442
The fetal malformation is just
wide enough to justify the risk,
206
00:09:03,443 --> 00:09:05,340
and there's no evidence
of brain damage so...
207
00:09:05,341 --> 00:09:08,828
And the parents have to be
completely on board. So this is done.
208
00:09:09,327 --> 00:09:11,577
I have a patient to see. Robbins,
209
00:09:11,602 --> 00:09:14,162
sorry this didn't work out,
but it was good to see you.
210
00:09:14,187 --> 00:09:15,464
Travel safely home.
211
00:09:18,558 --> 00:09:21,435
If you don't do this surgery,
that baby will not survive.
212
00:09:21,460 --> 00:09:25,537
It is a statistical miracle that
she is still a viable candidate.
213
00:09:25,562 --> 00:09:27,568
And if Vida changes
her mind in the future,
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00:09:27,593 --> 00:09:29,352
then... it might be too late.
215
00:09:29,377 --> 00:09:31,231
I know. I'm disappointed too.
216
00:09:31,256 --> 00:09:32,931
But... my hands are tied.
217
00:09:32,956 --> 00:09:35,890
So... [EXHALES SHARPLY] I'm sorry.
218
00:09:37,364 --> 00:09:39,917
[ANNOUNCER ON PA] Dr. Man to
labor and delivery. Dr. Man...
219
00:09:39,942 --> 00:09:41,978
- [GROANING]
- Dorian. Dorian, it's okay.
220
00:09:42,003 --> 00:09:43,797
- You're gonna rip out your A-line.
- [BAILEY] What's happening?
221
00:09:43,822 --> 00:09:45,788
- Oh, when did he wake up?
- A few minutes ago.
222
00:09:45,813 --> 00:09:48,912
His vitals look okay, but he's
weak, he's disoriented and combative.
223
00:09:48,937 --> 00:09:50,834
- Don't touch me. [GRUNTS]
- Dorian. Dorian.
224
00:09:50,859 --> 00:09:53,474
I'm Dr. Ndugu. Now, this is
Dr. Bailey, Schmitt, and Kwan.
225
00:09:53,499 --> 00:09:55,834
You're at Grey-Sloan
Memorial in the ICU.
226
00:09:55,859 --> 00:09:57,549
We need you to stop fighting us. Okay?
227
00:09:57,574 --> 00:09:59,437
Just try to relax. Give him a second.
228
00:09:59,462 --> 00:10:00,773
[BAILEY STAMMERS] Dorian. Dorian.
229
00:10:00,798 --> 00:10:03,165
Hi. Do you remember
what happened to you?
230
00:10:03,477 --> 00:10:08,881
Uh. I remember two guys, maybe a gun.
231
00:10:08,906 --> 00:10:11,342
Okay. Kwan, make sure and alert
the police that he's awake.
232
00:10:11,367 --> 00:10:13,107
- Okay.
- Do my parents know I'm here?
233
00:10:13,132 --> 00:10:15,858
Yes. And they've been here
sitting by your side almost every day.
234
00:10:15,883 --> 00:10:19,922
- [SUCKS TEETH, GROANS] Was I shot?
- Yes.
235
00:10:20,569 --> 00:10:22,328
Technically, you died,
236
00:10:22,353 --> 00:10:25,022
and then we opened up your chest
and your heart started to beat again.
237
00:10:25,202 --> 00:10:26,804
Doctors Bailey and Ndugu repaired
238
00:10:26,829 --> 00:10:28,818
your chest and your abdominal injuries,
239
00:10:28,843 --> 00:10:30,809
removed some of your
bowels and spleen...
240
00:10:30,834 --> 00:10:32,724
Okay. That's enough, Kwan, for now.
241
00:10:32,749 --> 00:10:34,123
- I'm due in the OR.
- Yes.
242
00:10:34,413 --> 00:10:37,927
His white blood count is high, and
his heart rate has been increasing.
243
00:10:37,952 --> 00:10:40,389
We need to do an infection workup.
244
00:10:40,414 --> 00:10:44,544
Kwan, run a nutrition panel
and fix his A-line. Okay?
245
00:10:47,086 --> 00:10:51,921
I have 200 emails, and you
page me 911 to what, exactly?
246
00:10:51,946 --> 00:10:53,885
A mock OR.
247
00:10:53,910 --> 00:10:56,291
I've helped dozens of
athletes get back after injury,
248
00:10:56,316 --> 00:10:59,663
and not one has gotten back on the
field without playing a scrimmage first.
249
00:10:59,688 --> 00:11:01,896
Uh, you'll operate, and I'll assist.
250
00:11:01,921 --> 00:11:04,060
And I'll be your anesthesiologist,
251
00:11:04,085 --> 00:11:06,466
your scrub nurse, circulating nurse.
252
00:11:06,491 --> 00:11:10,865
Your patient is a 65-year-old
male with a history of tobacco use,
253
00:11:10,890 --> 00:11:12,904
here for a four-vessel CABG.
254
00:11:14,241 --> 00:11:17,744
My patient is a
30-pound lump of plastic.
255
00:11:17,769 --> 00:11:19,392
[BEEPING]
256
00:11:20,335 --> 00:11:22,040
Oh, no. He's gone
into cardiac arrest.
257
00:11:22,065 --> 00:11:23,546
What? Should I push some meds?
258
00:11:23,965 --> 00:11:26,139
- Push epi.
- You're losing him.
259
00:11:26,823 --> 00:11:28,134
[BEEPING CONTINUES]
260
00:11:28,612 --> 00:11:30,131
Push epi.
261
00:11:33,030 --> 00:11:34,996
[ON PA] Dr. Nelson to dermatology.
262
00:11:35,021 --> 00:11:37,713
Dr. Charlotte Nelson to dermatology.
263
00:11:39,016 --> 00:11:41,537
Hey, uh, what did the lawyers ask you?
264
00:11:42,205 --> 00:11:44,447
Same as everyone else.
"What happened that night?"
265
00:11:44,780 --> 00:11:46,159
Yeah. W-What did you say?
266
00:11:46,184 --> 00:11:49,072
Oh, I need to check
on Bailey's post-ops.
267
00:11:49,097 --> 00:11:50,453
Uh...
268
00:11:51,538 --> 00:11:53,289
You took my car this morning.
269
00:11:53,314 --> 00:11:55,937
- You said I could borrow it.
- Not without asking me first.
270
00:11:55,962 --> 00:11:59,321
- Well, I left you a note.
- Under which pile of stuff?
271
00:12:00,156 --> 00:12:03,069
Would this be a bad time to let you
know that I'm on your service?
272
00:12:03,662 --> 00:12:06,733
- You have got to be kidding me.
- I'll go round on your patients.
273
00:12:06,758 --> 00:12:09,450
[ON PA] Dr. Reynolds to
pediatrics. Dr. Ethel Reynolds...
274
00:12:09,475 --> 00:12:11,334
- [SIGHS]
- Intern woes?
275
00:12:11,359 --> 00:12:12,756
Yeah, something like that.
276
00:12:12,781 --> 00:12:15,017
The, um, fetal embolization is canceled.
277
00:12:15,042 --> 00:12:17,560
- Mom got spooked.
- Well, it's a spooky surgery.
278
00:12:17,585 --> 00:12:19,241
Not only are you inserting a needle,
279
00:12:19,266 --> 00:12:21,626
but multiple metal coils into
their tiny, tiny baby's brain.
280
00:12:21,651 --> 00:12:23,771
Well, this is the best
shot that baby has.
281
00:12:23,796 --> 00:12:25,833
Doesn't make it any less terrifying.
282
00:12:26,979 --> 00:12:28,013
[GRUNTS]
283
00:12:28,038 --> 00:12:29,108
- Okay.
- All right.
284
00:12:32,694 --> 00:12:35,097
Why do you have to invade
my workplace with your mess?
285
00:12:35,122 --> 00:12:38,624
Joshy is not a mess. He's a
human being, and a subscriber.
286
00:12:38,766 --> 00:12:41,522
Oh, God. Are you still
making those dumb videos?
287
00:12:41,547 --> 00:12:43,322
I heal people, just like you.
288
00:12:44,006 --> 00:12:46,396
- You are an influencer.
- A wellness influencer.
289
00:12:46,941 --> 00:12:49,839
You went on one yoga retreat
and dated a Pilates instructor.
290
00:12:49,864 --> 00:12:52,348
That does not make you a doctor.
291
00:12:52,373 --> 00:12:55,030
It's branding, like
Dr. Dre or Dr. Seuss.
292
00:12:55,055 --> 00:12:57,329
They don't wear scrubs
and tell people what to eat.
293
00:12:57,354 --> 00:12:58,644
Hey, Dr. Millin?
294
00:12:58,669 --> 00:12:59,738
- Yes.
- That's me.
295
00:12:59,763 --> 00:13:02,317
Um. Kind of hurting here.
296
00:13:03,087 --> 00:13:05,226
- Okay. Is the pain getting worse?
- Yeah.
297
00:13:05,251 --> 00:13:08,022
- It's like I told the doc in my DM...
- [MILLIN SIGHS]
298
00:13:08,047 --> 00:13:10,796
it started as an ingrown
hair or something on my back,
299
00:13:10,821 --> 00:13:13,271
but... now it's swelled up.
300
00:13:13,296 --> 00:13:14,918
I can't see. Is it bad?
301
00:13:19,399 --> 00:13:21,357
[GROANS] That, um...
302
00:13:22,473 --> 00:13:25,076
That one's gonna be all you, Dr. Millin.
303
00:13:25,101 --> 00:13:26,171
Mm-hmm.
304
00:13:28,898 --> 00:13:30,623
- Thank you so much.
- There you go.
305
00:13:30,648 --> 00:13:32,995
[VIDA'S PARTNER]
Dr. Robbins. Stop, please.
306
00:13:33,799 --> 00:13:35,163
You can't leave.
307
00:13:35,835 --> 00:13:37,497
I can't do the surgery
308
00:13:37,522 --> 00:13:39,455
without consent or your trust.
309
00:13:41,121 --> 00:13:44,156
You have mine, and, uh, I
think you'll have Vida's.
310
00:13:44,181 --> 00:13:45,642
She just needs a minute.
311
00:13:46,163 --> 00:13:49,247
Two weeks ago, we were debating
the cost of crib sheets, and...
312
00:13:49,272 --> 00:13:52,049
[EXHALES] today, well, we're here.
313
00:13:53,367 --> 00:13:55,680
Look, our baby can't die.
314
00:13:56,670 --> 00:13:59,355
If she dies, Vida won't survive that,
315
00:13:59,380 --> 00:14:02,900
so please, just keep prepping
and planning what you need to do.
316
00:14:02,972 --> 00:14:06,285
But whatever happens, Dr.
Robbins, just don't leave.
317
00:14:09,639 --> 00:14:12,364
[ON PA] Dr... call Oncology 2622.
318
00:14:12,667 --> 00:14:15,164
- Hi. Could you help me with something?
- Ooh, is it a chest tube?
319
00:14:15,189 --> 00:14:16,500
- No.
- Oh. Then no, thanks.
320
00:14:16,525 --> 00:14:17,939
I'm trying to drain
this giant abscess,
321
00:14:17,964 --> 00:14:19,206
and nothing is coming out.
322
00:14:19,231 --> 00:14:20,611
Just call an attending.
323
00:14:20,636 --> 00:14:23,146
- Hunt's around.
- I'd really rather not.
324
00:14:23,643 --> 00:14:26,066
- You did know that guy.
- I didn't.
325
00:14:26,462 --> 00:14:27,945
I know the guy he's with.
326
00:14:27,970 --> 00:14:30,130
An ex-boyfriend? Someone you ghosted?
327
00:14:30,155 --> 00:14:32,026
Ew. No, it's my brother.
328
00:14:32,051 --> 00:14:34,602
And he is... nothing but trouble.
329
00:14:34,627 --> 00:14:37,575
He thinks he's a doctor, and I
would rather not involve anyone else
330
00:14:37,600 --> 00:14:41,189
on a day when we've already been
interviewed by hospital lawyers. So...
331
00:14:41,518 --> 00:14:44,134
- Okay, I'm in.
- Thank you, thank you, thank you.
332
00:14:44,159 --> 00:14:47,590
But I get to ask him as many questions
about your childhood as I want.
333
00:14:47,615 --> 00:14:48,822
I...
334
00:14:48,847 --> 00:14:50,917
Dorian's prelim
culture came back negative,
335
00:14:50,949 --> 00:14:53,226
except for the sample from
the subclavian central line.
336
00:14:53,227 --> 00:14:54,667
Yeah. Well, he needs access.
337
00:14:54,692 --> 00:14:57,713
DC the infected line and get
a new one on the opposite side.
338
00:14:57,714 --> 00:14:59,681
Have you placed a
subclavian line before?
339
00:14:59,682 --> 00:15:02,443
- Two.
- Well, time to make it three.
340
00:15:03,846 --> 00:15:05,986
[CLICKS TONGUE] Now would be nice.
341
00:15:06,950 --> 00:15:09,051
[EXHALES] I've never
done one without supervision.
342
00:15:09,076 --> 00:15:10,712
Are you sure you don't
want me to wait for you?
343
00:15:10,737 --> 00:15:13,936
It's a central line, Kwan.
You've seen it. You've done it.
344
00:15:14,063 --> 00:15:15,617
Just trust your instincts.
345
00:15:18,149 --> 00:15:21,255
Okay. Once the baby's in position,
I'll inject the paralytic,
346
00:15:21,280 --> 00:15:22,624
then we'll start the clock with the goal
347
00:15:22,649 --> 00:15:24,618
of finishing under 20 minutes. Why?
348
00:15:25,625 --> 00:15:26,936
Rookies, I'm asking you.
349
00:15:26,961 --> 00:15:28,893
Uh, more time means
more stress on the baby.
350
00:15:28,918 --> 00:15:32,023
And the mom. She'll
be awake the entire time.
351
00:15:32,170 --> 00:15:35,061
A prolonged procedure also
puts stress on the pregnancy.
352
00:15:35,062 --> 00:15:37,270
So there's no room for error. None.
353
00:15:37,271 --> 00:15:39,203
Are you going to be pacing in the OR?
354
00:15:39,204 --> 00:15:41,624
Because if so, please
remind me to dis-invite you.
355
00:15:41,810 --> 00:15:43,709
Okay. We're through the skull.
356
00:15:44,658 --> 00:15:46,590
What are these, exactly?
357
00:15:46,591 --> 00:15:48,656
Phantom skulls. They approximate different
358
00:15:48,680 --> 00:15:50,622
possible densities of fetal skulls.
359
00:15:50,647 --> 00:15:53,666
If this were the real thing, blood
would come through the needle,
360
00:15:53,667 --> 00:15:55,633
but until then,
everything is hypothetical.
361
00:15:55,634 --> 00:15:56,911
But it's not.
362
00:15:57,878 --> 00:16:01,087
You're practicing on a
3D printed bone simulation.
363
00:16:01,088 --> 00:16:03,436
- How is that even close to the real thing?
- Griffith...
364
00:16:03,461 --> 00:16:04,953
And why are we practicing at all
365
00:16:04,954 --> 00:16:06,817
if the patient hasn't
agreed to the surgery?
366
00:16:06,818 --> 00:16:08,770
Uh, shouldn't we be
in there talking to Vida,
367
00:16:08,795 --> 00:16:11,653
explaining the consequences of
not going through with the surgery?
368
00:16:11,678 --> 00:16:15,038
We don't convince anyone of
anything. That's not what we do.
369
00:16:15,063 --> 00:16:17,769
Okay. Then should we be
recommending this procedure at all?
370
00:16:17,794 --> 00:16:20,038
Okay. Both you and Griffith, out.
371
00:16:22,436 --> 00:16:23,471
Wait.
372
00:16:25,647 --> 00:16:26,890
He's not wrong.
373
00:16:27,770 --> 00:16:29,736
Well, I mean, he... he's kind of wrong.
374
00:16:29,737 --> 00:16:31,843
But... what I mean is,
375
00:16:32,632 --> 00:16:34,427
is anyone good with a 3D printer?
376
00:16:36,917 --> 00:16:40,402
So, what was Millin like as a kid?
377
00:16:40,403 --> 00:16:43,936
- Kind of the same.
- Smart, cool, weirdly good skin?
378
00:16:43,961 --> 00:16:45,376
I was gonna say mean.
379
00:16:46,918 --> 00:16:48,263
Hey, Joshy.
380
00:16:48,538 --> 00:16:50,677
You'll need to
hydrate after this. Okay?
381
00:16:50,702 --> 00:16:54,533
Our bodies are 60% water.
Go back to the source, amigo.
382
00:16:54,558 --> 00:16:56,006
- Thanks, Dr. Millin.
- Of course.
383
00:16:56,031 --> 00:16:58,170
All right, I'm going
to make another incision.
384
00:16:58,195 --> 00:17:02,039
You'll feel some pressure, and
then hopefully you'll feel better.
385
00:17:06,002 --> 00:17:07,244
Hmm.
386
00:17:09,846 --> 00:17:11,030
- [JOSHY GROANS]
- Nothing?
387
00:17:11,455 --> 00:17:13,699
I swear I made a deep enough incision.
388
00:17:14,920 --> 00:17:17,161
- We have to call Hunt.
- I'd really rather not.
389
00:17:17,186 --> 00:17:18,946
And I'd really rather not get in trouble
390
00:17:18,970 --> 00:17:20,925
for doing something without an attending
391
00:17:20,926 --> 00:17:23,303
after already being in trouble
for something I didn't do.
392
00:17:23,328 --> 00:17:24,757
I'd really rather not die,
393
00:17:24,758 --> 00:17:27,139
so can someone please
call whoever Hunt is?
394
00:17:28,041 --> 00:17:30,481
- I'm doing it.
- [JOSHY SIGHS]
395
00:17:36,192 --> 00:17:37,399
Hey.
396
00:17:38,118 --> 00:17:39,431
You listen carefully.
397
00:17:40,248 --> 00:17:42,164
My boss is probably gonna come,
398
00:17:42,189 --> 00:17:46,640
and I don't want you embarrassing
me with your "Dr. Millin" crap.
399
00:17:46,641 --> 00:17:49,150
Okay. You are going to wait outside.
400
00:17:49,175 --> 00:17:53,095
And don't talk to
anyone. Don't move.
401
00:17:53,096 --> 00:17:56,133
I'd say don't think, but
you've already got that covered.
402
00:17:56,134 --> 00:18:00,275
You are going to stay
where I can see you,
403
00:18:00,650 --> 00:18:02,937
or, so help me God,
404
00:18:02,962 --> 00:18:05,096
I will hire a bot farm to drag you on
405
00:18:05,120 --> 00:18:07,314
every message board on the Internet.
406
00:18:07,339 --> 00:18:08,650
Got it?
407
00:18:08,675 --> 00:18:10,988
- [SCOFFS]
- Great.
408
00:18:16,872 --> 00:18:19,564
Shepherd was annoyed with me, not you.
409
00:18:19,963 --> 00:18:21,289
[GRIFFITH] This morning,
410
00:18:22,194 --> 00:18:25,133
the lawyers asked if I would have opened
411
00:18:25,157 --> 00:18:27,603
Sam up if you hadn't asked me to,
412
00:18:27,628 --> 00:18:28,697
and I said no.
413
00:18:28,722 --> 00:18:30,837
So you threw me under the bus.
414
00:18:31,384 --> 00:18:33,704
- I defended myself. I just...
- By slitting my throat.
415
00:18:33,729 --> 00:18:36,973
You told me to tell
them the truth, so I did.
416
00:18:38,593 --> 00:18:40,985
We didn't get a chance to
align our stories because you...
417
00:18:45,212 --> 00:18:46,455
walked away.
418
00:18:49,703 --> 00:18:51,337
Where are you even living, Lucas?
419
00:18:54,592 --> 00:18:57,540
- Lucas.
- We have to focus on work, remember?
420
00:19:05,099 --> 00:19:07,641
So what does the spleen do, exactly?
421
00:19:07,666 --> 00:19:09,875
[SCOFFS] Hell if I know.
422
00:19:11,450 --> 00:19:13,173
How many times was I shot?
423
00:19:13,940 --> 00:19:15,390
Come on. Just tell me.
424
00:19:16,298 --> 00:19:17,610
There were three bullets.
425
00:19:17,635 --> 00:19:21,943
One... hit your lung, and two
went through your abdomen.
426
00:19:21,944 --> 00:19:24,930
So, how long do I have to stay here?
427
00:19:25,102 --> 00:19:26,926
[SIGHS] We'll know
more once we can confirm
428
00:19:26,950 --> 00:19:28,708
that you're getting adequate nutrients
429
00:19:28,709 --> 00:19:30,780
despite how much bowel was removed.
430
00:19:31,282 --> 00:19:32,816
It's important for healing.
431
00:19:32,817 --> 00:19:34,369
[INHALES, GROANS]
432
00:19:34,495 --> 00:19:37,360
- The left side of my chest... it hurts.
- [MONITOR BEEPS]
433
00:19:37,752 --> 00:19:38,787
I need oxygen.
434
00:19:38,788 --> 00:19:39,852
- [NURSE] On it.
- [GASPS]
435
00:19:39,877 --> 00:19:42,204
- Is this normal?
- Page Dr. Schmitt.
436
00:19:42,205 --> 00:19:44,586
Come on, come on. It's
okay. Breathe. Breathe.
437
00:19:44,587 --> 00:19:45,933
It's okay. It's okay.
438
00:19:50,478 --> 00:19:51,540
Hi, Vida.
439
00:19:51,565 --> 00:19:53,882
I'm still not ready
to make any decision.
440
00:19:53,914 --> 00:19:56,123
But... And you don't have to.
441
00:19:58,128 --> 00:20:00,907
My colleague, Dr. Herman, likes to...
442
00:20:01,532 --> 00:20:05,238
Well, if you've read about me, then
you've most certainly read about her.
443
00:20:05,239 --> 00:20:06,826
She also has low vision,
444
00:20:06,827 --> 00:20:09,138
and when we discuss a surgery,
she likes to walk through it.
445
00:20:09,139 --> 00:20:13,108
So... before you leave, I'd
like to discuss the surgery
446
00:20:13,109 --> 00:20:16,071
and walk you through it the way
that I walk through it with her.
447
00:20:17,078 --> 00:20:17,907
[WHISPERS] Okay.
448
00:20:18,227 --> 00:20:21,274
So this is a 3D printed model
449
00:20:21,482 --> 00:20:23,657
of your daughter's
ultrasound this morning.
450
00:20:32,335 --> 00:20:36,060
And... this is an MRI
of your baby's brain.
451
00:20:36,833 --> 00:20:39,651
We're going to position
her facing downwards
452
00:20:39,652 --> 00:20:43,294
so that we can access
and enter her head here.
453
00:20:43,319 --> 00:20:45,527
We're gonna insert the catheter
454
00:20:45,552 --> 00:20:47,935
and then deploy the coils
into the malformation.
455
00:20:54,519 --> 00:20:56,278
I know that it's hard...
456
00:20:56,303 --> 00:20:59,855
when you can't hope based on
what others have done before you.
457
00:20:59,880 --> 00:21:02,951
And it's one thing to
have faith for yourself,
458
00:21:02,952 --> 00:21:05,161
but to have it for someone else, to...
459
00:21:05,961 --> 00:21:07,549
to have it for your child...
460
00:21:09,534 --> 00:21:12,739
[SIGHS] And no matter how
many times I tell you...
461
00:21:13,307 --> 00:21:18,830
that I know exactly what I'm
doing, you're still gonna be scared.
462
00:21:20,003 --> 00:21:21,763
And I know that it's painful,
463
00:21:21,764 --> 00:21:25,250
but this pain... this pain has purpose.
464
00:21:26,009 --> 00:21:30,876
This pain could have life
on the other side of it.
465
00:21:36,848 --> 00:21:37,863
What happened?
466
00:21:37,888 --> 00:21:40,160
[KWAN] I inserted the line,
then he went into distress.
467
00:21:40,161 --> 00:21:42,853
The X-ray shows that he dropped
a lung. He needs a chest tube.
468
00:21:42,854 --> 00:21:45,925
- So why are you just standing there?
- I was waiting for you.
469
00:21:45,926 --> 00:21:48,144
Am I dying? Is this it?
470
00:21:48,169 --> 00:21:50,722
It's a complication that
unfortunately can happen,
471
00:21:50,723 --> 00:21:51,951
but you're gonna be okay.
472
00:21:52,270 --> 00:21:56,481
Dr. Kwan is gonna insert a
chest tube to re-inflate the lung.
473
00:22:05,924 --> 00:22:07,718
[DORIAN GRUNTS, GROANS]
474
00:22:08,041 --> 00:22:09,146
Keep going.
475
00:22:10,986 --> 00:22:12,539
[GROANING]
476
00:22:13,431 --> 00:22:15,571
I can't. You should do it.
477
00:22:20,098 --> 00:22:21,685
[GROANING]
478
00:22:25,910 --> 00:22:27,808
- [GASPS]
- That's good.
479
00:22:28,633 --> 00:22:30,185
[EXHALES]
480
00:22:30,210 --> 00:22:31,280
I can breathe.
481
00:22:34,250 --> 00:22:35,526
[SIGHS]
482
00:22:35,527 --> 00:22:38,770
- [HUNT SIGHS] Hey. What do we got?
- This is Joshy.
483
00:22:38,771 --> 00:22:40,807
He came in with a four-by-four
centimeter abscess.
484
00:22:40,808 --> 00:22:45,329
We started the I and D, but made the
incision here, and there's no pus.
485
00:22:45,330 --> 00:22:48,884
Mmm. Yeah, I see the problem. It's
likely loculated and deeper. Okay.
486
00:22:48,885 --> 00:22:50,196
Palpate around the perimeter.
487
00:22:50,701 --> 00:22:52,508
Okay. You made a good first incision,
488
00:22:52,509 --> 00:22:55,480
but you need to use your finger
to get to the correct pocket.
489
00:22:55,505 --> 00:22:57,893
Okay. Now, as you palpate, it's...
you're gonna feel pressure.
490
00:22:57,894 --> 00:22:59,662
- [JOSHY GROANS]
- You feel that?
491
00:22:59,687 --> 00:23:01,483
- Yeah.
- Okay. Good. Uh, scalpel.
492
00:23:01,484 --> 00:23:03,657
- [SQUELCHING]
- [YASUDA] All right. Let's get this here.
493
00:23:03,658 --> 00:23:05,074
Now, cut deeper.
494
00:23:06,196 --> 00:23:07,955
- [YASUDA] Wait one second.
- [MILLIN] Okay.
495
00:23:07,980 --> 00:23:10,464
- [BOTH] Ooh!
- Oh, my God. Yes!
496
00:23:10,489 --> 00:23:11,869
[GAGS]
497
00:23:11,908 --> 00:23:14,013
Yeah. Unfortunately, you
never forget that smell.
498
00:23:14,014 --> 00:23:15,552
- [SIGHS]
- [HUNT] You okay there, Joshy?
499
00:23:15,577 --> 00:23:17,395
[WHIMPERING] Never felt better.
500
00:23:17,396 --> 00:23:20,364
- Thank God for Dr. Millin.
- [HUNT] Nice work. Okay.
501
00:23:20,365 --> 00:23:22,573
Let's wash out the wound,
pack it with iodine gauze,
502
00:23:22,574 --> 00:23:25,301
and set him up with home
health for dressing changes.
503
00:23:27,278 --> 00:23:29,072
Whoa! I need a gurney!
504
00:23:29,097 --> 00:23:31,064
Does anybody know who this guy is?
505
00:23:36,726 --> 00:23:38,722
Really? I think this is the same
506
00:23:38,747 --> 00:23:40,971
model that I practiced on 20 years ago.
507
00:23:40,972 --> 00:23:44,940
Are you ready or not for
phase two? Fine motor skills?
508
00:23:45,044 --> 00:23:49,773
You need to do an anastomosis with
this perfect saphenous vein graft.
509
00:23:50,414 --> 00:23:51,621
[GROANS]
510
00:23:51,646 --> 00:23:54,091
- We can stop if you need to, you know.
- No, I'm good.
511
00:23:54,499 --> 00:23:57,849
This patient needs a bypass,
and I am going to give him one.
512
00:23:57,850 --> 00:24:01,662
Potts scissors. Right. Um.
513
00:24:02,166 --> 00:24:04,694
- No.
- Um.
514
00:24:04,719 --> 00:24:06,599
- Ugh.
- [SIGHS] You're no BokHee.
515
00:24:08,390 --> 00:24:10,622
- Neither are you.
- [DOOR OPENS]
516
00:24:10,647 --> 00:24:12,234
[NDUGU] Am I interrupting?
517
00:24:12,259 --> 00:24:13,945
Dr. Ndugu.
518
00:24:13,970 --> 00:24:17,248
I have been standing for multiple hours.
519
00:24:17,249 --> 00:24:20,769
I have performed CPR, and
I've cracked a chest,
520
00:24:20,770 --> 00:24:22,978
and now I am operating on a heart.
521
00:24:23,162 --> 00:24:26,591
I can assure you that I have stamina.
522
00:24:27,156 --> 00:24:29,640
Well, that's great.
But you're not cleared.
523
00:24:29,641 --> 00:24:34,265
- I feel... fine.
- Yeah, you feel fine today.
524
00:24:34,266 --> 00:24:37,997
We both know recovery for
open-heart surgery is a month minimum.
525
00:24:38,022 --> 00:24:40,271
If you came back early and
something happened to a patient,
526
00:24:40,272 --> 00:24:42,818
I wouldn't be able to live
with myself, and neither would you.
527
00:24:43,670 --> 00:24:46,787
- I'll take her to the OR.
- Dr. Webber.
528
00:24:46,994 --> 00:24:50,277
I've been with her all day.
I know what she can do.
529
00:24:50,302 --> 00:24:53,216
I'll observe her work, and then
I'll sign off on her return.
530
00:24:54,406 --> 00:24:56,650
If he signs off, then I do too.
531
00:25:01,841 --> 00:25:03,919
And then after that, I'm gonna need
532
00:25:03,943 --> 00:25:06,021
labs on the Turner kid in room 1343.
533
00:25:06,022 --> 00:25:07,958
- And make sure that...
- You stole my intern?
534
00:25:08,300 --> 00:25:10,138
- Your surgery was canceled.
- It's back on.
535
00:25:10,669 --> 00:25:13,379
Okay. Well, if interns aren't
allowed in the OR anyway,
536
00:25:13,404 --> 00:25:14,996
I could really use him on my post-ops.
537
00:25:14,997 --> 00:25:16,958
- Yeah, I could use the hours in peds.
- Prep Vida.
538
00:25:16,983 --> 00:25:19,019
Right now. He's occupied.
539
00:25:20,187 --> 00:25:21,705
Clearly.
540
00:25:22,073 --> 00:25:24,039
[ON PA] Dr. Faraji to
the SICU. Dr. Faraji...
541
00:25:24,040 --> 00:25:26,343
- I'm gonna prep Vida.
- Great. See you in the OR.
542
00:25:26,367 --> 00:25:28,247
- I won't be there.
- I'll see Dr. Griffith?
543
00:25:28,272 --> 00:25:30,758
- No, interns aren't allowed in the OR.
- Says who?
544
00:25:32,830 --> 00:25:33,865
[BAILEY] Wha...
545
00:25:36,720 --> 00:25:37,928
You...
546
00:25:39,846 --> 00:25:41,669
- This used to be an office.
- Never.
547
00:25:42,332 --> 00:25:45,677
It doesn't matter. What matters is...
What happened, Bailey?
548
00:25:46,201 --> 00:25:49,396
- Vida consented.
- No, no, no, no. Not to Vida, to you.
549
00:25:50,032 --> 00:25:53,137
You once put an HIV virus in a kid
550
00:25:53,138 --> 00:25:56,037
because you read two papers
that said it might cure his SCID.
551
00:25:56,038 --> 00:25:58,453
Okay. It-It-It... Had it
ever been done before? No.
552
00:25:58,454 --> 00:26:01,076
But you did it anyways because
otherwise the kid might have died.
553
00:26:01,077 --> 00:26:04,747
- [STAMMERING] Okay, Robbins...
- [SHUSHES] I'm still going. Okay?
554
00:26:05,357 --> 00:26:08,808
You got an award for teaching,
which is not surprising,
555
00:26:08,809 --> 00:26:11,914
because you raised surgeons like
Cristina Yang and Meredith Grey.
556
00:26:11,915 --> 00:26:13,675
And you were finally
recognized for that.
557
00:26:13,676 --> 00:26:17,334
So can you imagine how
excited I was to come back here
558
00:26:17,335 --> 00:26:19,841
and to stand next to
you and to teach? But...
559
00:26:21,732 --> 00:26:25,100
interns are not even allowed in the OR?
560
00:26:25,101 --> 00:26:27,005
- [STAMMERS]
- I mean... What... Bailey.
561
00:26:27,045 --> 00:26:28,083
[SIGHS]
562
00:26:28,108 --> 00:26:33,294
We might fix a baby's
brain inside a womb.
563
00:26:35,048 --> 00:26:36,498
That is magic.
564
00:26:37,838 --> 00:26:39,149
And I don't know... I don't know
565
00:26:39,150 --> 00:26:40,978
what the interns did to
get themselves banned.
566
00:26:40,979 --> 00:26:42,843
And I'm sure that it was awful.
567
00:26:43,671 --> 00:26:48,227
But... if you don't
let them see the magic,
568
00:26:48,228 --> 00:26:51,083
then how will they be
motivated to get back in?
569
00:26:54,320 --> 00:26:55,459
[CLICKS TONGUE]
570
00:26:56,650 --> 00:26:58,340
[ALTMAN] I can't
remember the last time
571
00:26:58,341 --> 00:27:01,387
I was this excited for a VATS procedure.
572
00:27:01,412 --> 00:27:05,623
Maybe my first, but some of
the excitement was terror.
573
00:27:05,624 --> 00:27:09,696
My attending stood over me...
[MUFFLED] ... the entire time,
574
00:27:09,697 --> 00:27:14,392
but I held it together,
and the procedure went fine.
575
00:27:16,325 --> 00:27:19,638
I never think that
nerves are a bad thing.
576
00:27:19,817 --> 00:27:21,163
[NORMAL] Ready?
577
00:27:38,537 --> 00:27:41,646
- [WILSON] Spinal's been administered.
- [SHEPHERD] Great. Thank you.
578
00:27:42,730 --> 00:27:44,731
Hi, Vida. It's Dr. Robbins.
579
00:27:44,943 --> 00:27:47,872
Okay. I want to ask you one
more time if you're sure,
580
00:27:48,685 --> 00:27:50,278
because you can still say no.
581
00:27:50,303 --> 00:27:52,409
You are the one that's in control.
582
00:27:53,009 --> 00:27:54,044
Yeah.
583
00:27:54,594 --> 00:27:55,837
Yeah, I'm sure.
584
00:27:56,181 --> 00:27:57,216
I'm ready.
585
00:27:58,388 --> 00:27:59,769
Save my baby.
586
00:28:03,648 --> 00:28:04,820
[ROBBINS SIGHS]
587
00:28:04,821 --> 00:28:06,859
[BAILEY] Okay. Up against
the wall. All of you.
588
00:28:11,449 --> 00:28:13,321
[ROBBINS] Okay. Let's do this.
589
00:28:13,346 --> 00:28:15,071
Ultrasound, please.
590
00:28:17,506 --> 00:28:19,025
Dim the lights.
591
00:28:22,932 --> 00:28:24,632
All right, baby girl.
592
00:28:24,865 --> 00:28:26,073
Here we go.
593
00:28:30,131 --> 00:28:31,629
[ROBBINS] Okay, keep going.
594
00:28:31,654 --> 00:28:33,685
We need the back of the baby's
head facing the mom's belly.
595
00:28:33,686 --> 00:28:35,894
- [WILSON] I'm doing the best I can.
- [PHONE VIBRATES]
596
00:28:35,895 --> 00:28:38,172
- She's being stubborn.
- Schmitt. Gotta go.
597
00:28:38,173 --> 00:28:39,691
Doesn't Bailey outrank him?
598
00:28:39,692 --> 00:28:41,403
[KWAN] It's been 20 minutes of this.
599
00:28:42,005 --> 00:28:43,695
[ROBBINS] Maybe try the other direction.
600
00:28:43,696 --> 00:28:45,041
[DOOR OPENS]
601
00:28:45,042 --> 00:28:47,319
- [PHONE RINGING]
- [YASUDA SOFTLY] It's you.
602
00:28:47,551 --> 00:28:49,804
[SIGHS] If that phone
belongs to one of you,
603
00:28:49,805 --> 00:28:52,371
take it in this room, 'cause it's
the last time you'll be in it.
604
00:28:52,396 --> 00:28:53,887
[ADAMS] It isn't mine.
605
00:28:53,912 --> 00:28:55,637
[YASUDA] If we weren't
fired this morning, we are now.
606
00:28:55,662 --> 00:28:57,801
- [GRIFFITH] Turn it off.
- I'm trying.
607
00:28:57,848 --> 00:29:01,161
- It's Doug. [SIGHS]
- [DOOR OPENS]
608
00:29:01,238 --> 00:29:03,715
[WILSON] We're close. I
almost have the head in position.
609
00:29:03,716 --> 00:29:04,923
[ROBBINS] There. There.
610
00:29:04,924 --> 00:29:06,528
Okay, Wilson, hold her there.
611
00:29:06,553 --> 00:29:09,764
Injecting the paralytic and
anesthetic into the baby's thigh.
612
00:29:14,994 --> 00:29:16,651
[WILSON] Needle is in.
613
00:29:18,513 --> 00:29:19,756
[ROBBINS] Okay.
614
00:29:21,728 --> 00:29:22,763
There she is.
615
00:29:23,005 --> 00:29:24,317
She's still.
616
00:29:24,677 --> 00:29:27,301
- Dr. Shepherd.
- [SHEPHERD] Start the clock.
617
00:29:27,349 --> 00:29:28,798
Eighteen gauge, please.
618
00:29:28,983 --> 00:29:31,743
Every second puts the mother
and baby in more danger,
619
00:29:31,744 --> 00:29:33,194
so let's make them count.
620
00:29:35,942 --> 00:29:38,474
- What is your problem?
- I woke up alone.
621
00:29:38,475 --> 00:29:41,477
- I was in surgery.
- Okay. Calm down, Julie Jules.
622
00:29:41,478 --> 00:29:45,481
- Dr. Millin.
- You're my sister.
623
00:29:45,482 --> 00:29:47,586
- I don't make you call me that.
- You're not a doctor.
624
00:29:47,587 --> 00:29:50,210
I have spent every dollar
625
00:29:50,211 --> 00:29:53,523
and every ounce of my
energy to achieve that title.
626
00:29:53,524 --> 00:29:57,113
I have fought, sweat and
scraped my way through mess,
627
00:29:57,114 --> 00:30:00,824
and I am done with anyone who
tries to take that away from me.
628
00:30:00,939 --> 00:30:02,681
- Do you hear me?
- [HUNT] Millin.
629
00:30:02,706 --> 00:30:04,155
- What?
- Yes?
630
00:30:04,156 --> 00:30:05,811
He didn't say doctor.
He just said Millin.
631
00:30:05,812 --> 00:30:09,194
Dr. Millin can't treat you
because she's your sister.
632
00:30:09,195 --> 00:30:11,886
We have strict rules about
family treating family.
633
00:30:11,887 --> 00:30:15,635
But I assume you know that, being
a health care professional and all.
634
00:30:15,660 --> 00:30:18,307
Listen, I know it can be hard
to take advice from family,
635
00:30:18,308 --> 00:30:20,059
so I'm gonna say this to you.
636
00:30:20,084 --> 00:30:21,692
Misleading others in their health
637
00:30:21,717 --> 00:30:24,106
and wellness is questionable at best.
638
00:30:24,107 --> 00:30:27,074
And as you saw today, it
can have severe consequences.
639
00:30:27,075 --> 00:30:30,837
So I recommend you find other
ways to influence people.
640
00:30:32,254 --> 00:30:34,660
And I hope you're proud
that you're related
641
00:30:34,685 --> 00:30:36,134
to an excellent physician.
642
00:30:36,738 --> 00:30:40,224
Now, you're free to go, okay?
643
00:30:45,027 --> 00:30:47,795
- Do you want a juice for the road?
- Mmm.
644
00:30:47,820 --> 00:30:49,496
[BAILEY] Okay, it's been 14 minutes.
645
00:30:49,521 --> 00:30:51,310
[SHEPHERD] We're going
as fast as we can.
646
00:30:51,334 --> 00:30:53,239
We need about three more coils.
647
00:30:54,234 --> 00:30:55,719
Stop, Shepherd.
648
00:30:56,899 --> 00:30:58,107
Stop right now.
649
00:31:00,281 --> 00:31:03,179
Okay. I'm gonna
speak quietly and calmly,
650
00:31:03,180 --> 00:31:05,481
and I would like for
everyone else to do the same.
651
00:31:05,738 --> 00:31:07,356
The baby is moving slightly,
652
00:31:07,357 --> 00:31:09,703
and I'm gonna administer
another round of paralytics.
653
00:31:09,704 --> 00:31:11,291
- [WILSON] We're mid-coil.
- Yeah.
654
00:31:11,292 --> 00:31:13,189
If the baby is moving when
we're inserting the coils,
655
00:31:13,190 --> 00:31:14,699
we risk putting them in the wrong place.
656
00:31:14,724 --> 00:31:17,262
Can we shift the ultrasound, so we
can visualize the baby's thigh?
657
00:31:17,263 --> 00:31:19,957
Very, very carefully, because
there's a needle sticking out
658
00:31:19,982 --> 00:31:21,972
- the back of this baby's head.
- Robbins.
659
00:31:21,996 --> 00:31:23,952
[ROBBINS] Bailey, I
need you to trust me.
660
00:31:24,090 --> 00:31:26,567
All right. Calm down, baby girl.
Calm down.
661
00:31:27,571 --> 00:31:28,709
There. Okay.
662
00:31:28,843 --> 00:31:30,012
Here we go.
663
00:31:30,037 --> 00:31:31,676
[WILSON] How much more
time does this buy us?
664
00:31:31,701 --> 00:31:33,468
[ROBBINS] It doesn't.
This is just tiding us over.
665
00:31:33,492 --> 00:31:36,098
We have five minutes. Okay, she's still.
666
00:31:36,123 --> 00:31:37,193
Show me her heart.
667
00:31:38,559 --> 00:31:40,078
[BEATING]
668
00:31:40,251 --> 00:31:43,012
It's strong. Back to her brain.
669
00:31:43,348 --> 00:31:44,703
Dr. Shepherd, you need to...
670
00:31:44,704 --> 00:31:46,120
- Move fast.
- Yeah.
671
00:32:00,712 --> 00:32:01,816
- Hey.
- Hmm.
672
00:32:01,887 --> 00:32:03,439
How was the VATS?
673
00:32:03,464 --> 00:32:05,153
Well, Beckman's doing it.
674
00:32:08,055 --> 00:32:11,754
I've been away from the OR
about three weeks... [SMACKS LIPS]
675
00:32:12,284 --> 00:32:14,457
and I thought today was the day.
676
00:32:14,947 --> 00:32:17,294
But when I started to glove and gown,
677
00:32:18,169 --> 00:32:19,583
I saw the patient.
678
00:32:19,810 --> 00:32:22,407
I smelled the room
and heard the monitors.
679
00:32:22,432 --> 00:32:24,895
I used to be able to
take a break from the OR.
680
00:32:24,920 --> 00:32:27,170
And no matter how long I was out,
681
00:32:27,195 --> 00:32:30,302
it would immediately
come right back to me.
682
00:32:30,472 --> 00:32:31,714
But today...
683
00:32:34,463 --> 00:32:36,085
I didn't feel it come back.
684
00:32:37,518 --> 00:32:38,830
It's still there.
685
00:32:40,181 --> 00:32:43,424
You were watching me all day,
but I was also watching you.
686
00:32:43,542 --> 00:32:46,166
You had my back today. You always do.
687
00:32:47,319 --> 00:32:49,792
So let me do the same for you. Trust me.
688
00:32:49,817 --> 00:32:52,496
If I ever believe that
you do not belong in there,
689
00:32:52,521 --> 00:32:54,109
I will tell you.
690
00:32:59,032 --> 00:33:01,285
[SHEPHERD] Okay. All coils deployed.
691
00:33:01,548 --> 00:33:03,067
Removing the needle now.
692
00:33:05,302 --> 00:33:07,576
[ROBBINS] Can you load the
pre-op ultrasound, please?
693
00:33:12,906 --> 00:33:14,735
[WILSON] Oh, my God.
694
00:33:15,562 --> 00:33:17,944
[GASPS] It's gone.
695
00:33:19,607 --> 00:33:21,126
It's not gone.
696
00:33:22,208 --> 00:33:23,727
It's repaired.
697
00:33:26,594 --> 00:33:28,010
Dr. Bailey.
698
00:33:30,805 --> 00:33:32,014
[WHIMPERING] Magic.
699
00:33:32,594 --> 00:33:33,767
[WHIMPERS]
700
00:33:33,792 --> 00:33:35,276
[ROBBINS] Great work, Dr. Shepherd.
701
00:33:43,643 --> 00:33:44,955
[SCOFFS]
702
00:33:50,971 --> 00:33:52,872
Uh, I restarted his trickle feeds.
703
00:33:52,873 --> 00:33:55,111
His parents have been updated,
and they're on their way.
704
00:33:55,450 --> 00:33:56,728
Thanks.
705
00:33:58,658 --> 00:34:00,111
I saw Maxine...
706
00:34:03,249 --> 00:34:04,439
in my head. I...
707
00:34:05,407 --> 00:34:08,158
Dorian was struggling to breathe,
708
00:34:09,379 --> 00:34:11,349
and I could only see Maxine.
709
00:34:11,389 --> 00:34:15,013
[STAMMERS] You met with the
lawyers this morning, didn't you?
710
00:34:17,155 --> 00:34:18,674
You'll keep seeing Maxine.
711
00:34:19,253 --> 00:34:20,619
That's just how it is.
712
00:34:20,924 --> 00:34:22,322
The memorable complications,
713
00:34:22,347 --> 00:34:26,468
the ones that we think will
affect our entire careers.
714
00:34:26,493 --> 00:34:29,874
They follow you whether
it's a good or bad outcome.
715
00:34:29,961 --> 00:34:31,273
Soon, it...
716
00:34:32,362 --> 00:34:35,398
- it'll start to dull, though.
- Will it go away?
717
00:34:35,423 --> 00:34:39,261
No. But I'm not sure we want it to.
718
00:34:42,923 --> 00:34:46,305
Vida, it's still early,
but the procedure went well.
719
00:34:46,306 --> 00:34:49,369
And so far, your baby's doing great.
720
00:34:49,603 --> 00:34:52,621
Her cardiac output is, uh,
decreasing, and it looks promising.
721
00:34:52,622 --> 00:34:53,485
[CHUCKLES]
722
00:34:53,486 --> 00:34:55,838
Oh, my gosh. Thank you so much.
723
00:34:55,863 --> 00:34:58,016
Um. So, what now? We just wait?
724
00:34:58,041 --> 00:34:59,947
No, we'll follow
closely with imaging.
725
00:35:00,285 --> 00:35:01,906
And after you give birth,
726
00:35:01,907 --> 00:35:05,116
we will take the baby to
the NICU, likely for a month.
727
00:35:05,117 --> 00:35:07,118
- A whole month?
- We need to be extra careful.
728
00:35:07,119 --> 00:35:08,627
And then we'll continue to monitor
729
00:35:08,652 --> 00:35:11,122
you and the baby for the next two years.
730
00:35:11,123 --> 00:35:14,230
- We'll... We'll be in it together.
- [CHUCKLES]
731
00:35:14,886 --> 00:35:16,127
[VIDA] Gosh.
732
00:35:16,128 --> 00:35:17,336
Dr. Bailey.
733
00:35:17,337 --> 00:35:19,486
Yeah... Uh... Yes, I'm-I'm here.
734
00:35:19,511 --> 00:35:21,236
- [CHUCKLES]
- Thank you.
735
00:35:21,385 --> 00:35:25,240
Thank you for the clinic,
for following up with me,
736
00:35:25,241 --> 00:35:28,243
- for introducing us to Dr. Robbins...
- [BAILEY CHUCKLES]
737
00:35:28,244 --> 00:35:29,520
for everything.
738
00:35:29,521 --> 00:35:32,214
- Thank you.
- You are welcome.
739
00:35:34,243 --> 00:35:35,347
Mmm.
740
00:35:35,528 --> 00:35:38,072
[WHISPERS] Crisps. C-3.
741
00:35:39,986 --> 00:35:43,396
- Doug seems...
- Don't say nice or charming, please.
742
00:35:43,397 --> 00:35:45,227
I was gonna say spoiled.
743
00:35:45,432 --> 00:35:46,708
Infuriating.
744
00:35:46,857 --> 00:35:49,236
I may be projecting
my own brother issues.
745
00:35:49,855 --> 00:35:51,200
Do you know how many times
746
00:35:51,280 --> 00:35:53,143
I have had to bail him out?
747
00:35:53,269 --> 00:35:55,097
I always hated it when my mom would say,
748
00:35:55,098 --> 00:35:58,550
"It's the big sister's job to
watch after the younger kids."
749
00:35:59,310 --> 00:36:00,971
No, I mean out of jail.
750
00:36:00,996 --> 00:36:04,797
Always for dumb stuff like
trespassing and vandalism.
751
00:36:04,798 --> 00:36:07,662
And you know, it's the
same thing with my parents.
752
00:36:07,663 --> 00:36:10,182
- Mmm.
- Something goes wrong, call Jules.
753
00:36:11,322 --> 00:36:15,900
And the dumbest part is
that I answer... every time.
754
00:36:16,198 --> 00:36:18,392
You know, Maxine's more
family to me than them.
755
00:36:18,743 --> 00:36:20,838
And the lawyer said that
her son doesn't want me
756
00:36:20,863 --> 00:36:22,642
to be her medical proxy anymore.
757
00:36:22,643 --> 00:36:24,782
You know, honestly,
he should be grateful.
758
00:36:24,783 --> 00:36:26,502
If it weren't for our mistakes, his
759
00:36:26,527 --> 00:36:28,603
mom could still be on a vent or dead.
760
00:36:28,874 --> 00:36:30,323
That is a terrible thing to say.
761
00:36:30,348 --> 00:36:33,400
Well, we might all be
named in lawsuits anyway.
762
00:36:33,723 --> 00:36:34,965
Okay, but why you?
763
00:36:34,966 --> 00:36:36,415
You didn't even do
anything wrong that night.
764
00:36:36,416 --> 00:36:38,625
This is what I keep saying.
765
00:36:39,678 --> 00:36:40,713
Finally.
766
00:36:42,963 --> 00:36:44,630
Are my keys back there?
767
00:36:44,631 --> 00:36:47,841
Adams texted me that
they were at the desk.
768
00:36:48,814 --> 00:36:50,532
Okay. Yeah, I'm gonna kill him.
769
00:36:50,533 --> 00:36:54,365
Would you page Adams and tell him
the chief of neuro needs a word?
770
00:36:55,517 --> 00:36:57,619
Wow. You really have
it out for that intern.
771
00:36:58,150 --> 00:36:59,679
You really sneak up on people.
772
00:36:59,680 --> 00:37:01,283
Did he make a mistake
on one of your patients?
773
00:37:01,308 --> 00:37:04,650
He's my nephew, and he's crashing
at my place, and he's a slob.
774
00:37:05,523 --> 00:37:09,344
- Also, he has my car keys.
- Mmm. You need a ride home?
775
00:37:09,446 --> 00:37:11,897
Uh. No, thanks.
776
00:37:13,037 --> 00:37:14,981
Well, cut him some slack.
777
00:37:15,006 --> 00:37:17,352
I mean, his aunt just performed
groundbreaking surgery,
778
00:37:17,353 --> 00:37:18,836
and he can't even
enter labs correctly.
779
00:37:18,837 --> 00:37:20,799
- He messed up your labs?
- Hmm. Horribly.
780
00:37:20,982 --> 00:37:22,570
We were all interns once.
781
00:37:23,016 --> 00:37:24,569
Congrats on your surgery.
782
00:37:32,126 --> 00:37:33,679
It still smells the same in here.
783
00:37:33,680 --> 00:37:38,287
[SCOFFS] You said you'd
make history, and you did.
784
00:37:38,312 --> 00:37:39,639
We did.
785
00:37:41,194 --> 00:37:44,068
Uh, look, the interns killed a patient
786
00:37:44,069 --> 00:37:47,313
by opening his chest without
an attending being in the room.
787
00:37:47,314 --> 00:37:49,522
So, I sidelined them.
788
00:37:49,523 --> 00:37:53,112
They have to complete procedure
logs with all the basics
789
00:37:53,113 --> 00:37:54,769
before being allowed back in the OR.
790
00:37:54,770 --> 00:37:57,334
- They're almost finished.
- Mmm.
791
00:37:58,670 --> 00:38:00,706
You know, going back to the basics
792
00:38:00,707 --> 00:38:02,985
won't stop them from making mistakes.
793
00:38:03,528 --> 00:38:05,288
They're interns. [CHUCKLES]
794
00:38:05,313 --> 00:38:07,625
- Tiny surgeons.
- Mmm.
795
00:38:08,833 --> 00:38:13,683
But... you know this. [CHUCKLES] So I...
796
00:38:16,447 --> 00:38:19,414
Okay, last month, Ben
broke his arm on duty.
797
00:38:19,415 --> 00:38:21,287
- Oh. I...
- No, no, he was fine,
798
00:38:21,312 --> 00:38:25,695
but he could only man the
desk or drive the trucks.
799
00:38:27,166 --> 00:38:31,169
And then today, the brace came off.
800
00:38:31,194 --> 00:38:34,716
So, now he'll be right
back to the calls and...
801
00:38:34,741 --> 00:38:36,776
- Danger.
- Yes.
802
00:38:36,777 --> 00:38:38,709
- [ROBBINS] Ugh.
- [WHIMPERS] Yes.
803
00:38:38,710 --> 00:38:42,023
It's so hard letting
them out of our sight.
804
00:38:42,024 --> 00:38:43,577
[INHALES]
805
00:38:45,130 --> 00:38:49,582
But you have to trust in
things you can't see.
806
00:38:49,583 --> 00:38:52,944
Sometimes you just
gotta trust... [SIGHS]
807
00:38:52,969 --> 00:38:54,626
that it'll be okay.
808
00:38:56,245 --> 00:39:00,819
Yeah, that, um, isn't
exactly easy for me. It's...
809
00:39:00,844 --> 00:39:02,191
Yeah, fair.
810
00:39:03,848 --> 00:39:06,782
So, are you gonna let
'em back in the OR?
811
00:39:07,567 --> 00:39:10,016
- Hell no.
- Bailey.
812
00:39:10,017 --> 00:39:14,014
[STAMMERS] They didn't
even appreciate the magic.
813
00:39:14,039 --> 00:39:15,297
Okay.
814
00:39:15,298 --> 00:39:17,127
- There she is.
- What?
815
00:39:17,128 --> 00:39:19,301
[GREY] As long as you're hurting,
you're living. We know this.
816
00:39:19,302 --> 00:39:20,682
- Goodness.
- [ROBBINS] I missed you.
817
00:39:20,683 --> 00:39:22,339
- [LAUGHS]
- Pain is an excellent teacher.
818
00:39:22,340 --> 00:39:23,409
I did it.
819
00:39:23,410 --> 00:39:24,583
I completed my log.
820
00:39:24,584 --> 00:39:26,274
I'm going to the OR.
821
00:39:26,275 --> 00:39:29,035
[SINGING] I beat all you people.
822
00:39:29,036 --> 00:39:30,624
Let me see that.
823
00:39:32,375 --> 00:39:33,582
You got lucky.
824
00:39:33,607 --> 00:39:35,939
Or I work hard and I'm a good doctor,
825
00:39:35,940 --> 00:39:38,842
unlike the rest of you, who
gravitate toward malpractice.
826
00:39:39,264 --> 00:39:41,694
Are you rounding on Vida
in the morning or am I?
827
00:39:41,719 --> 00:39:42,996
Whatever.
828
00:39:44,236 --> 00:39:45,788
If you don't wanna talk to me, fine,
829
00:39:45,813 --> 00:39:47,547
- but can you at least be civil?
- I didn't say anything.
830
00:39:47,572 --> 00:39:48,986
Okay, could you two please not?
831
00:39:48,987 --> 00:39:51,542
[BAILEY] I could say
the same to all of you.
832
00:39:53,405 --> 00:39:56,258
Now, I gave you the opportunity to
833
00:39:56,282 --> 00:39:59,552
watch medical history be made today,
834
00:39:59,577 --> 00:40:03,518
and all you care about is which
one of you is doing what procedure,
835
00:40:03,519 --> 00:40:05,556
how many or whose fault it is.
836
00:40:06,586 --> 00:40:09,604
Everything in that OR today happened
837
00:40:09,629 --> 00:40:13,701
because some of the best
surgeons put their heads together.
838
00:40:13,702 --> 00:40:16,661
They communicated. They anticipated.
839
00:40:16,686 --> 00:40:20,466
You wanna get back in the OR? You
need to learn to work together.
840
00:40:20,467 --> 00:40:23,055
So, here's the new rule.
841
00:40:23,056 --> 00:40:27,438
Nobody operates until every
procedure card is completed.
842
00:40:27,439 --> 00:40:29,440
- But I just finished mine.
- Good for you.
843
00:40:29,441 --> 00:40:31,582
You can help your
colleagues finish theirs.
844
00:40:34,518 --> 00:40:35,553
Great.
845
00:40:35,578 --> 00:40:39,313
And life is full of sayings
that remind us of its upsides.
846
00:40:43,990 --> 00:40:46,820
Growing pains. Labor pains.
847
00:40:47,220 --> 00:40:48,967
- Hey.
- [ADAMS] Hi.
848
00:40:50,264 --> 00:40:51,679
Happy tears.
849
00:40:52,344 --> 00:40:54,103
So good it hurts.
850
00:40:54,128 --> 00:40:56,405
I, uh... I bought more coffee.
851
00:40:56,430 --> 00:40:57,915
Pain warns us.
852
00:40:59,446 --> 00:41:00,860
It protects us.
853
00:41:00,885 --> 00:41:02,611
Intern year is hard.
854
00:41:03,559 --> 00:41:05,043
- I remember.
- [CHUCKLES]
855
00:41:05,741 --> 00:41:07,053
Yeah, really?
856
00:41:07,078 --> 00:41:09,662
Did you almost flame out
in your first few months?
857
00:41:09,967 --> 00:41:11,589
If I'm being honest, yes.
858
00:41:11,621 --> 00:41:13,518
Did you alienate all your friends?
859
00:41:13,589 --> 00:41:15,728
Well, when I wasn't
sober. Definitely.
860
00:41:15,729 --> 00:41:17,696
Did you have to live in
your family's shadow?
861
00:41:17,697 --> 00:41:20,077
Wonder if you ever live
up to those expectations?
862
00:41:20,078 --> 00:41:21,866
Your uncle Derek was a legend.
863
00:41:22,256 --> 00:41:24,565
Well, you have no idea what it
was like working here with him.
864
00:41:24,566 --> 00:41:25,808
I meant you.
865
00:41:28,443 --> 00:41:29,272
Come here.
866
00:41:29,297 --> 00:41:30,813
And most of all,
867
00:41:30,838 --> 00:41:33,686
pain makes us appreciate
life's pleasures.
868
00:41:37,423 --> 00:41:40,459
Cherish good company, good health.
869
00:41:40,484 --> 00:41:42,258
What if I'm not cut out for this?
870
00:41:42,371 --> 00:41:46,102
You'll find something else to do,
and the family legacy dies with me.
871
00:41:48,060 --> 00:41:49,566
But I think you'll be fine.
872
00:41:49,591 --> 00:41:51,430
Savor the moments after the hurting,
873
00:41:51,748 --> 00:41:54,232
when you're all better, pain-free.
874
00:41:54,257 --> 00:41:55,569
You're gonna watch with me?
875
00:41:56,198 --> 00:41:57,786
Well, you're kinda on my bed.
876
00:41:59,748 --> 00:42:01,370
At least for a while.
877
00:42:03,690 --> 00:42:08,690
- Synced and corrected by ChrisKe -
-- for www.addic7ed.com --
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