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These are the user uploaded subtitles that are being translated: 1 00:00:04,265 --> 00:00:06,876 I heard you and 2.0 are a match made in heaven. 2 00:00:06,876 --> 00:00:08,660 Well, it's a remarkable advancement. 3 00:00:08,660 --> 00:00:09,966 Need an OR. 4 00:00:09,966 --> 00:00:11,402 2.0 is open. 5 00:00:11,402 --> 00:00:12,925 Better imaging's available. 6 00:00:12,925 --> 00:00:14,014 Emergent trauma is not the time 7 00:00:14,014 --> 00:00:15,276 to play with your fancy toy. 8 00:00:17,321 --> 00:00:21,108 Things haven't been great between Ben and I. 9 00:00:21,108 --> 00:00:23,849 I know it must be hard not having him around. 10 00:00:23,849 --> 00:00:25,068 Ben? 11 00:00:25,068 --> 00:00:27,027 Sorry it took me so long. 12 00:00:29,029 --> 00:00:31,292 I probably shot up, 13 00:00:31,292 --> 00:00:34,512 like, a half dozen times during my first trimester. 14 00:00:34,512 --> 00:00:36,471 Going cold turkey is really hard. 15 00:00:36,471 --> 00:00:39,735 I don't want anyone taking my baby away. 16 00:00:50,137 --> 00:00:52,356 Hello? 17 00:00:52,356 --> 00:00:54,358 Hey. No, no, no, no. 18 00:00:54,358 --> 00:00:55,533 Hey. What did I tell you? 19 00:00:55,533 --> 00:00:57,579 Day or night. Doesn't matter. 20 00:00:57,579 --> 00:00:59,537 What's going on? 21 00:00:59,537 --> 00:01:03,628 You--you're having an urge to use? 22 00:01:03,628 --> 00:01:05,630 Uh-huh. 23 00:01:05,630 --> 00:01:07,328 OK. Can you get yourself to Med? 24 00:01:07,328 --> 00:01:08,807 I can pick you up. 25 00:01:08,807 --> 00:01:10,766 OK, great. 26 00:01:10,766 --> 00:01:13,116 OK. I'll meet you in the ED. 27 00:01:13,116 --> 00:01:14,204 Wow. 28 00:01:14,204 --> 00:01:17,729 So Ben moved back home? 29 00:01:17,729 --> 00:01:18,730 End of last week. 30 00:01:18,730 --> 00:01:21,907 Wow. I'm so glad to hear that. 31 00:01:21,907 --> 00:01:24,997 It was like this huge cloud has just lifted. 32 00:01:24,997 --> 00:01:26,564 I'll bet. 33 00:01:26,564 --> 00:01:28,131 Thanks for being a shoulder throughout all this, Sharon. 34 00:01:28,131 --> 00:01:29,393 Always. 35 00:01:29,393 --> 00:01:31,091 The result of over a decade's worth 36 00:01:31,091 --> 00:01:33,180 of testing and research, 37 00:01:33,180 --> 00:01:34,790 here at Gaffney Chicago Medical Center. 38 00:01:34,790 --> 00:01:36,879 They're doing infomercials for 2.0 now? 39 00:01:36,879 --> 00:01:39,142 Jack Dayton insisted. 40 00:01:39,142 --> 00:01:42,102 But I have a budget meeting to get to, 41 00:01:42,102 --> 00:01:44,626 so enjoy the show. 42 00:01:44,626 --> 00:01:46,018 I will. 43 00:01:46,018 --> 00:01:48,630 Predict complications before they happen, 44 00:01:48,630 --> 00:01:53,504 generate highly accurate imaging in real time. 45 00:01:53,504 --> 00:01:58,335 The OR 2.0 is to surgery what GPS was to travel. 46 00:01:59,641 --> 00:02:00,598 Nitrazine swab. 47 00:02:00,598 --> 00:02:02,600 I've noticed more discharge. 48 00:02:02,600 --> 00:02:05,908 And the baby doesn't seem to be moving around as much. 49 00:02:05,908 --> 00:02:08,345 She usually kicks up a storm. 50 00:02:08,345 --> 00:02:12,001 I told Hannah that she's gonna be a flamenco dancer. 51 00:02:12,001 --> 00:02:14,134 So you two know each other? 52 00:02:14,134 --> 00:02:17,441 Yeah, we go to the same gym. 53 00:02:19,095 --> 00:02:20,749 OK. 54 00:02:20,749 --> 00:02:23,708 So your water broke, Liza. - What? 55 00:02:23,708 --> 00:02:26,233 But I'm not due for, like, another week. 56 00:02:26,233 --> 00:02:27,669 You see this? 57 00:02:27,669 --> 00:02:30,150 When this touches amniotic fluid, it turns blue. 58 00:02:30,150 --> 00:02:33,283 That also explains why you stopped feeling much movement. 59 00:02:33,283 --> 00:02:34,589 After your water breaks, 60 00:02:34,589 --> 00:02:37,331 the baby has less room to wiggle around. 61 00:02:37,331 --> 00:02:40,029 - Is she gonna be OK? - Yes. 62 00:02:40,029 --> 00:02:42,162 This just means we need to get you upstairs 63 00:02:42,162 --> 00:02:44,686 and give you medicine to induce labor. 64 00:02:44,686 --> 00:02:46,340 Can you let L know Liza's coming up 65 00:02:46,340 --> 00:02:47,428 and page Dr. Patchefsky? 66 00:02:47,428 --> 00:02:49,169 - Sure thing. - Thanks. 67 00:02:49,169 --> 00:02:50,735 - Dr. Patchefsky? - Mm-hmm. 68 00:02:50,735 --> 00:02:53,999 No, no, no. I-I want you. 69 00:02:53,999 --> 00:02:55,523 Well, Liza, I'm sorry, 70 00:02:55,523 --> 00:02:58,003 but unfortunately, I need to stay in the ED. 71 00:02:58,003 --> 00:03:01,006 But hey, Dr. Patchefsky's gonna take great care 72 00:03:01,006 --> 00:03:02,747 of you and the baby. 73 00:03:02,747 --> 00:03:05,794 You know me, Hannah. You know my history. 74 00:03:05,794 --> 00:03:09,841 I don't feel comfortable with anybody else. 75 00:03:09,841 --> 00:03:11,191 Please. 76 00:03:11,191 --> 00:03:14,150 I can't do this without you. 77 00:03:14,150 --> 00:03:15,412 OK. 78 00:03:18,372 --> 00:03:20,939 Let me see what I can figure out. 79 00:03:20,939 --> 00:03:23,333 - Dr. Marcel? - Yeah? 80 00:03:23,333 --> 00:03:25,030 There's the movie star. 81 00:03:25,030 --> 00:03:26,336 - Oh, come on now. - Oh! 82 00:03:26,336 --> 00:03:27,859 Can I get your autograph? 83 00:03:27,859 --> 00:03:29,644 - Jack roped me into it. - Sure he did. 84 00:03:29,644 --> 00:03:30,775 Need some help over here! 85 00:03:32,560 --> 00:03:35,127 Hey. What happened? 86 00:03:35,127 --> 00:03:37,391 Rob here, he was working a circular saw, and-- 87 00:03:37,391 --> 00:03:39,131 He was slicing some sheet metal. 88 00:03:39,131 --> 00:03:40,785 He cut himself. - Follow me. 89 00:03:40,785 --> 00:03:42,265 Number three's open. 90 00:03:42,265 --> 00:03:45,094 - How long ago did this happen? - Not exactly sure. 91 00:03:45,094 --> 00:03:47,531 I found Rob by the machine about 20 minutes ago. 92 00:03:47,531 --> 00:03:48,663 He was just lying in a pool 93 00:03:48,663 --> 00:03:50,099 of his own blood. - Let's get him up. 94 00:03:50,099 --> 00:03:51,883 We were working at a job site around the corner. 95 00:03:51,883 --> 00:03:53,711 We just thought it'd be fastest to bring him ourselves. 96 00:03:53,711 --> 00:03:55,147 - OK. Mag? - Yes. Gentlemen. 97 00:03:55,147 --> 00:03:56,540 Why don't I show you where the waiting room is at? 98 00:03:56,540 --> 00:03:58,455 Dr. Marcel will update you as soon as possible. 99 00:03:58,455 --> 00:04:00,544 Wait, wait. What do I do with this? 100 00:04:00,544 --> 00:04:02,894 - Dr. Marcel? - Yeah? 101 00:04:05,419 --> 00:04:06,898 We do the right thing? 102 00:04:06,898 --> 00:04:09,423 Thought you're supposed to put it on ice. 103 00:04:09,423 --> 00:04:11,381 Yes, you did the right thing. 104 00:04:11,381 --> 00:04:13,427 Thank you. 105 00:04:13,427 --> 00:04:14,558 Thank you, gentlemen. 106 00:04:14,558 --> 00:04:16,908 It's OK. I got you, bud. 107 00:04:34,361 --> 00:04:36,145 but I've seen her in the ED throughout her pregnancy 108 00:04:36,145 --> 00:04:37,625 for various complaints. 109 00:04:37,625 --> 00:04:38,974 Doris, room seven. 110 00:04:38,974 --> 00:04:41,150 There's a hypochondriac with a hangnail. 111 00:04:41,150 --> 00:04:42,717 - So get an intern on it? - Yeah, read my mind. 112 00:04:42,717 --> 00:04:45,023 Dr. Hudgins, you're needed in treatment seven. 113 00:04:45,023 --> 00:04:46,503 I'm sorry. You were saying? 114 00:04:46,503 --> 00:04:48,418 My patient, Liza Martin, doesn't have a primary OB. 115 00:04:48,418 --> 00:04:50,246 OK. Yeah, I heard all this. What's the ask? 116 00:04:50,246 --> 00:04:52,117 I'd like to follow her upstairs and deliver her. 117 00:04:52,117 --> 00:04:53,771 You're my only OB in the ED. 118 00:04:53,771 --> 00:04:56,165 I can come back and forth while she's in early labor. 119 00:04:56,165 --> 00:04:57,993 And I'm also just an elevator ride away 120 00:04:57,993 --> 00:04:59,342 in case something urgent comes up. 121 00:04:59,342 --> 00:05:02,998 But I'm Liza's only continuity, so... 122 00:05:02,998 --> 00:05:05,348 You know, she's comfortable with me. 123 00:05:05,348 --> 00:05:07,437 We go back a ways. 124 00:05:07,437 --> 00:05:08,612 Yeah. OK, go ahead. 125 00:05:08,612 --> 00:05:11,354 - Really? - Yeah, just don't dillydally. 126 00:05:11,354 --> 00:05:13,138 Yes, sir. 127 00:05:13,138 --> 00:05:15,227 As you know, we have a seat opening up on the board. 128 00:05:15,227 --> 00:05:18,230 Oh. Did you get a chance to review my nominee? 129 00:05:18,230 --> 00:05:20,363 I sent her CV around. 130 00:05:20,363 --> 00:05:22,365 Sorry. Remind me the candidate's-- 131 00:05:22,365 --> 00:05:23,932 Gloria Jeffers. 132 00:05:23,932 --> 00:05:27,152 She's chaired the fundraising committee for eight years. 133 00:05:27,152 --> 00:05:29,329 She volunteers here regularly. 134 00:05:29,329 --> 00:05:31,635 She brings a lot of donors to Med. 135 00:05:31,635 --> 00:05:34,290 Oh, well, sounds like a strong candidate. 136 00:05:34,290 --> 00:05:35,683 She is. 137 00:05:35,683 --> 00:05:38,033 Now, are you familiar with Dr. George Thomas? 138 00:05:38,033 --> 00:05:39,600 Well, the name rings a bell, 139 00:05:39,600 --> 00:05:42,385 but I'm not placing it right offhand. 140 00:05:42,385 --> 00:05:44,561 Well, George is a close friend, 141 00:05:44,561 --> 00:05:46,041 a renowned urologist, 142 00:05:46,041 --> 00:05:48,130 and a former Wisconsin state legislator. 143 00:05:48,130 --> 00:05:49,697 Now, he's mostly retired 144 00:05:49,697 --> 00:05:52,656 but still lobbies for some biotech companies part-time. 145 00:05:52,656 --> 00:05:54,397 I think that his connections 146 00:05:54,397 --> 00:05:56,704 could be very advantageous for us. 147 00:05:56,704 --> 00:06:02,318 While my nominee is just simply a devoted volunteer? 148 00:06:02,318 --> 00:06:03,580 Look, Sharon, I'm not gonna try 149 00:06:03,580 --> 00:06:04,712 to make you into a turncoat, 150 00:06:04,712 --> 00:06:07,236 but take a lunch with George? 151 00:06:10,108 --> 00:06:13,285 Um, of course. 152 00:06:13,285 --> 00:06:16,114 Just give his information to my assistant, 153 00:06:16,114 --> 00:06:17,768 and we'll get something on the books. 154 00:06:17,768 --> 00:06:19,422 Well, I hope you don't mind, but I already took the liberty 155 00:06:19,422 --> 00:06:20,989 of talking with your assistant, 156 00:06:20,989 --> 00:06:23,513 and it turns out you're free for lunch today. 157 00:06:23,513 --> 00:06:24,775 What are you saying? 158 00:06:24,775 --> 00:06:27,387 And as luck would have it, so is George. 159 00:06:27,387 --> 00:06:28,518 Is that right? 160 00:06:28,518 --> 00:06:30,390 1:00 in the executive dining room? 161 00:06:30,390 --> 00:06:32,348 And I assume you'll be joining us? 162 00:06:32,348 --> 00:06:33,915 Oh, listen, I wish I could, 163 00:06:33,915 --> 00:06:35,699 but I am slammed with meetings today. 164 00:06:35,699 --> 00:06:38,876 I'll be sure to check in afterwards, though. 165 00:06:38,876 --> 00:06:40,356 You know, Sharon, 166 00:06:40,356 --> 00:06:42,576 I really think you two are gonna hit it off. 167 00:06:47,711 --> 00:06:49,017 You just hang in there. 168 00:06:49,017 --> 00:06:50,932 And I'll get you an update soon, OK? 169 00:06:50,932 --> 00:06:53,761 All right. 170 00:06:55,327 --> 00:06:57,417 That was Rob's wife, Louisa. 171 00:06:57,417 --> 00:06:59,462 Was getting her up to speed. 172 00:06:59,462 --> 00:07:01,856 What are the odds that he'll keep his hand? 173 00:07:01,856 --> 00:07:03,466 Not good. 174 00:07:03,466 --> 00:07:06,034 Immediate replantation is impossible. 175 00:07:06,034 --> 00:07:07,514 Too much contamination? 176 00:07:07,514 --> 00:07:10,212 Yeah, well, the proximal stump's 177 00:07:10,212 --> 00:07:12,127 gonna need at least a week of daily debridement 178 00:07:12,127 --> 00:07:13,302 just to get it cleaned up. 179 00:07:13,302 --> 00:07:15,565 Real shame too. - What do you mean? 180 00:07:15,565 --> 00:07:17,306 'Cause the hand's actually in good shape, 181 00:07:17,306 --> 00:07:18,960 all things considered. 182 00:07:18,960 --> 00:07:20,396 I'll bet it's salvageable. 183 00:07:20,396 --> 00:07:22,659 Maximum six hours without blood flow, and... 184 00:07:22,659 --> 00:07:24,444 Hand's gonna die. 185 00:07:24,444 --> 00:07:26,489 Yeah. 186 00:07:26,489 --> 00:07:29,057 But what about putting it on a perfusion pump, 187 00:07:29,057 --> 00:07:31,320 like you would with a heart and lungs? 188 00:07:31,320 --> 00:07:33,322 Well, it's a good thought, but... 189 00:07:33,322 --> 00:07:35,106 that won't buy us more than a day. 190 00:07:35,106 --> 00:07:39,067 If only we could find a way to perfuse the hand long-term. 191 00:07:39,067 --> 00:07:41,504 Well, but like you said, it's a shame. 192 00:07:48,206 --> 00:07:50,165 Jackie, going to treatment four. 193 00:07:50,165 --> 00:07:52,080 Got it. This is Isaac Collins. 194 00:07:52,080 --> 00:07:54,474 53-year-old male. Motor vehicle collision. 195 00:07:54,474 --> 00:07:57,085 Ambulatory at the scene, refused board and collar. 196 00:07:57,085 --> 00:07:59,000 He was rear-ended. - My fault, though. 197 00:07:59,000 --> 00:08:00,349 Facial bruising's from the airbag. 198 00:08:00,349 --> 00:08:02,351 I switched lanes without signaling, 199 00:08:02,351 --> 00:08:04,396 then jammed on the brakes to make a turn. 200 00:08:04,396 --> 00:08:05,876 It was a bonehead move. 201 00:08:05,876 --> 00:08:07,269 Luckily, the other guy's all right. 202 00:08:07,269 --> 00:08:08,531 Glad to hear it. 203 00:08:08,531 --> 00:08:10,533 I'm Dr. Halstead, by the way. Vitals? 204 00:08:10,533 --> 00:08:12,753 Blood pressure's a little high, 150/97. 205 00:08:12,753 --> 00:08:13,928 I'm always hypertensive, 206 00:08:13,928 --> 00:08:16,539 especially when I'm due for dialysis. 207 00:08:16,539 --> 00:08:18,628 I've got end-stage renal disease. 208 00:08:18,628 --> 00:08:20,195 I appreciate you letting me know. 209 00:08:20,195 --> 00:08:22,371 On my count, folks. One, two, three. 210 00:08:23,894 --> 00:08:25,505 Thanks, guys. 211 00:08:27,507 --> 00:08:29,509 I see you've got a fistula. 212 00:08:29,509 --> 00:08:31,511 Yeah, I've been through a few of 'em. 213 00:08:31,511 --> 00:08:33,948 Going on five years of dialysis. 214 00:08:33,948 --> 00:08:36,124 Dr. Cuevas. - Isaac. 215 00:08:36,124 --> 00:08:38,474 Dr. Jones told me the good news. 216 00:08:38,474 --> 00:08:41,695 I was hoping I would see you today, but not in the ED. 217 00:08:41,695 --> 00:08:42,870 What happened? 218 00:08:42,870 --> 00:08:44,959 She's my shrink. 219 00:08:44,959 --> 00:08:47,396 I'm actually not, Isaac. 220 00:08:47,396 --> 00:08:49,093 Do you mind if I disclose to Dr. Halstead 221 00:08:49,093 --> 00:08:50,225 how we know each other? 222 00:08:50,225 --> 00:08:51,400 My wife, Samantha, and I 223 00:08:51,400 --> 00:08:53,750 attend Dr. Cuevas's support group. 224 00:08:53,750 --> 00:08:56,187 For patients and families living with chronic illness. 225 00:08:56,187 --> 00:08:58,015 Which, by tomorrow, won't be us anymore, 226 00:08:58,015 --> 00:09:01,279 which leads me as to why I was driving like a maniac. 227 00:09:02,324 --> 00:09:03,891 I got the call. 228 00:09:03,891 --> 00:09:05,240 I'm getting a new kidney. 229 00:09:05,240 --> 00:09:06,807 Congratulations. 230 00:09:06,807 --> 00:09:08,417 Anyways, you can see I couldn't wait 231 00:09:08,417 --> 00:09:09,679 to get to the hospital fast enough. 232 00:09:09,679 --> 00:09:12,377 But I'm fine. 233 00:09:12,377 --> 00:09:14,554 Like I told the paramedics, nothing feels broken. 234 00:09:14,554 --> 00:09:16,251 Now, when you say nothing feels broken, 235 00:09:16,251 --> 00:09:18,253 anything feel tender? 236 00:09:18,253 --> 00:09:20,603 No, I'm good, really. 237 00:09:20,603 --> 00:09:24,389 You know, Isaac, when I spoke to Dr. Jones, 238 00:09:24,389 --> 00:09:26,391 he said that the organ wouldn't even be here 239 00:09:26,391 --> 00:09:28,742 for several hours. 240 00:09:28,742 --> 00:09:30,265 There's no rush. 241 00:09:30,265 --> 00:09:33,224 Why don't you let Dr. Halstead check you out properly? 242 00:09:34,878 --> 00:09:36,532 Neck and back's a little sore, I guess, 243 00:09:36,532 --> 00:09:39,361 but it's really not that bad. 244 00:09:39,361 --> 00:09:42,320 I just don't want anything to mess up the surgery. 245 00:09:42,320 --> 00:09:45,149 Well, even if you have a sprain or a minor fracture, 246 00:09:45,149 --> 00:09:46,760 it shouldn't postpone the transplant. 247 00:09:46,760 --> 00:09:49,806 But better Dr. Jones and his surgical team know. 248 00:09:49,806 --> 00:09:53,593 That way, they can avoid aggravating any injury further. 249 00:09:53,593 --> 00:09:57,074 All right. Yeah, makes sense. 250 00:09:58,206 --> 00:10:00,469 Let's get a CT of the CTLS spine. 251 00:10:05,300 --> 00:10:07,345 - Sorry I keep you waiting. - Mm. 252 00:10:07,345 --> 00:10:10,087 - I was talking with my friend. - No prob. 253 00:10:10,087 --> 00:10:14,135 Chamomile tea, blueberry muffin, chocolate croissant. 254 00:10:14,135 --> 00:10:18,008 You're very sweet, but I can't eat. 255 00:10:18,008 --> 00:10:19,749 My stomach is in knots. 256 00:10:19,749 --> 00:10:21,142 What's up? 257 00:10:21,142 --> 00:10:24,058 My friend thinks we may be out of work very soon. 258 00:10:24,058 --> 00:10:25,668 What? 259 00:10:25,668 --> 00:10:27,975 Is this about your union's renegotiation 260 00:10:27,975 --> 00:10:29,193 with the hospital? - Yeah. 261 00:10:29,193 --> 00:10:30,412 Well, I knew they were trying to iron out 262 00:10:30,412 --> 00:10:31,805 a new contract, but I mean, honestly, 263 00:10:31,805 --> 00:10:33,633 I haven't been paying that close attention. 264 00:10:33,633 --> 00:10:35,504 She says talks are breaking down, 265 00:10:35,504 --> 00:10:37,201 that neither side will budge, 266 00:10:37,201 --> 00:10:39,682 and the union may ask for a vote. 267 00:10:39,682 --> 00:10:42,380 A strike authorization vote? 268 00:10:42,380 --> 00:10:46,820 If I miss work for weeks, even for days, 269 00:10:46,820 --> 00:10:48,038 this is not good. 270 00:10:48,038 --> 00:10:50,258 I send money home to my parents. 271 00:10:50,258 --> 00:10:51,781 But I mean, even if a vote passes, 272 00:10:51,781 --> 00:10:53,827 that doesn't mean they're gonna strike. 273 00:10:53,827 --> 00:10:55,176 It just gives them more ammunition 274 00:10:55,176 --> 00:10:57,308 when they go back to the table. 275 00:10:57,308 --> 00:11:00,007 These things, you know, tend to take time. 276 00:11:00,007 --> 00:11:02,705 You've got to let it play out. 277 00:11:02,705 --> 00:11:06,404 I'm guessing they're gonna make a deal. 278 00:11:06,404 --> 00:11:09,233 I think it's gonna be OK. 279 00:11:16,632 --> 00:11:20,027 She just started having fetal heart rate decelerations 280 00:11:20,027 --> 00:11:21,985 with tetanic contractions. 281 00:11:21,985 --> 00:11:23,030 I turned down the Pit. 282 00:11:23,030 --> 00:11:25,032 Hannah, it hurts so much. 283 00:11:25,032 --> 00:11:26,555 OK, stop the Pitocin. 284 00:11:26,555 --> 00:11:28,557 Liza, we're gonna see if it's time to push yet, OK? 285 00:11:28,557 --> 00:11:31,473 Can you bend your knees for me? I'm gonna check you out. 286 00:11:32,822 --> 00:11:34,824 OK, you're only about six centimeters dilated. 287 00:11:34,824 --> 00:11:36,260 - What? - We need to get you 288 00:11:36,260 --> 00:11:37,697 onto your hands and knees to let us help you 289 00:11:37,697 --> 00:11:39,046 turn you over, OK? - What's going on? 290 00:11:39,046 --> 00:11:40,395 What's wrong? 291 00:11:40,395 --> 00:11:42,223 Your umbilical cord is being squeezed somewhere. 292 00:11:42,223 --> 00:11:45,617 That's what's causing the baby's heart rate to drop. 293 00:11:45,617 --> 00:11:48,446 Moving positions can help relieve the compression. 294 00:11:50,318 --> 00:11:52,189 I know. I know. 295 00:11:52,189 --> 00:11:53,582 All right. I'm gonna check you out. 296 00:11:54,714 --> 00:11:56,672 Uterus is still rock hard. 297 00:11:56,672 --> 00:11:59,501 Let's give her 0.25 of terbutaline, sub-q. 298 00:11:59,501 --> 00:12:01,633 Liza, you can lie back down now, OK? 299 00:12:01,633 --> 00:12:04,898 Gently. - Gentle. 300 00:12:04,898 --> 00:12:07,291 We're trying a uterine relaxant. 301 00:12:07,291 --> 00:12:08,771 Now, if this doesn't work, 302 00:12:08,771 --> 00:12:10,686 we're gonna need to deliver your baby via C-section. 303 00:12:10,686 --> 00:12:13,167 Let's get an OR ready. - No, I don't want that. 304 00:12:13,167 --> 00:12:14,777 It's OK. Just one step at a time. 305 00:12:14,777 --> 00:12:17,475 Let's first see if this medicine works, OK? 306 00:12:20,261 --> 00:12:23,481 Baby's heart rate's coming up. 307 00:12:23,481 --> 00:12:25,788 That's really good. 308 00:12:30,314 --> 00:12:32,926 Give it about a half hour, and restart the Pitocin slowly. 309 00:12:32,926 --> 00:12:34,841 - Mm-hmm. - But let's keep an OR ready. 310 00:12:34,841 --> 00:12:36,233 If the baby's heart rate drops like that, 311 00:12:36,233 --> 00:12:37,452 I'm doing an emergency C-section. 312 00:12:46,287 --> 00:12:49,159 So you want to surgically attach Rob's hand 313 00:12:49,159 --> 00:12:50,813 to the back of his leg? 314 00:12:50,813 --> 00:12:53,381 It's called ectopic banking. 315 00:12:53,381 --> 00:12:56,906 You see, what the hand needs in order to survive 316 00:12:56,906 --> 00:12:58,342 is adequate blood flow. 317 00:12:58,342 --> 00:13:00,301 And his leg can provide that? 318 00:13:00,301 --> 00:13:03,304 The posterior tibial artery, to be exact. 319 00:13:03,304 --> 00:13:07,395 The PTA, it runs along the back of the lower leg. 320 00:13:07,395 --> 00:13:13,749 So you'd bank my hand on my leg for a week or so? 321 00:13:13,749 --> 00:13:15,403 That's right. 322 00:13:15,403 --> 00:13:16,970 And then you'll reattach it to my arm, right? 323 00:13:16,970 --> 00:13:18,623 More than just reattach it. 324 00:13:18,623 --> 00:13:22,018 Using the OR 2.0, I believe that we can restore 325 00:13:22,018 --> 00:13:24,978 a remarkable amount of function and feeling. 326 00:13:24,978 --> 00:13:26,762 So I can keep working construction? 327 00:13:26,762 --> 00:13:28,068 Yeah. 328 00:13:28,068 --> 00:13:29,330 I gotta be able to feel, 329 00:13:29,330 --> 00:13:31,898 or I'm a liability on a construction site. 330 00:13:31,898 --> 00:13:33,595 Yeah, of course. 331 00:13:33,595 --> 00:13:36,293 OK, so... 332 00:13:36,293 --> 00:13:40,471 Well, 2.0's predictive modeling estimated a... 333 00:13:40,471 --> 00:13:42,952 85% likelihood of regaining some 334 00:13:42,952 --> 00:13:46,173 or more sensation in the hand. 335 00:13:46,173 --> 00:13:48,262 And that's after many, many months 336 00:13:48,262 --> 00:13:51,831 of physical therapy and rehab. 337 00:13:51,831 --> 00:13:54,050 Right, Dr. Marcel? 338 00:13:54,050 --> 00:13:55,704 Maggie's correct. 339 00:13:55,704 --> 00:13:57,880 Yeah, it's gonna be a long road ahead, for sure. 340 00:13:57,880 --> 00:14:01,275 And that's if you decide to go with the surgery. 341 00:14:01,275 --> 00:14:03,494 There's other options, of course. 342 00:14:03,494 --> 00:14:07,194 There's been incredible advancements in prosthetics. 343 00:14:07,194 --> 00:14:10,110 And that's if this banking thing doesn't work? 344 00:14:10,110 --> 00:14:13,765 Then we can talk prosthetics. 345 00:14:13,765 --> 00:14:16,377 But I want to give this a shot. 346 00:14:24,298 --> 00:14:26,691 You've got this, Liza. Keep going. 347 00:14:26,691 --> 00:14:29,303 Why isn't she coming? 348 00:14:29,303 --> 00:14:30,913 Just do the C-section. 349 00:14:30,913 --> 00:14:32,393 - It's too late for that. - Please. 350 00:14:32,393 --> 00:14:35,135 I know you're exhausted, but you've got this, Liza. 351 00:14:35,135 --> 00:14:36,484 So when I count to three, I need you 352 00:14:36,484 --> 00:14:38,486 to give me everything you've got, OK? 353 00:14:38,486 --> 00:14:39,835 This is it. Look at me. 354 00:14:39,835 --> 00:14:42,533 One, two, three. 355 00:14:47,060 --> 00:14:48,975 Yes! Yes! 356 00:14:48,975 --> 00:14:51,542 You did it, Liza! 357 00:14:53,980 --> 00:14:55,372 Is she OK? 358 00:14:55,372 --> 00:14:56,721 Yes. 359 00:15:01,465 --> 00:15:03,119 Oh, hi. 360 00:15:03,119 --> 00:15:05,687 Isn't she beautiful? 361 00:15:05,687 --> 00:15:08,168 She's perfect. 362 00:15:08,168 --> 00:15:10,257 I think she needs something. 363 00:15:10,257 --> 00:15:12,563 Can you check her again? 364 00:15:12,563 --> 00:15:14,609 No, she's fine. 365 00:15:14,609 --> 00:15:15,915 It's OK. 366 00:15:15,915 --> 00:15:18,352 Crying helps the fluid get out of her lungs. 367 00:15:18,352 --> 00:15:20,876 - But she won't stop. - It's OK. 368 00:15:20,876 --> 00:15:23,183 The longer she's on your chest, the more she'll calm down. 369 00:15:23,183 --> 00:15:25,011 Please, just take her. 370 00:15:25,011 --> 00:15:27,143 - It's a really good idea-- - Please just take her! 371 00:15:27,143 --> 00:15:29,580 OK. 372 00:15:31,017 --> 00:15:32,409 Here we go. OK. 373 00:15:36,196 --> 00:15:38,154 I'm sorry. 374 00:15:38,154 --> 00:15:40,983 I'm just--I'm so tired. 375 00:15:40,983 --> 00:15:44,247 Of course. You just ran a marathon. 376 00:15:44,247 --> 00:15:46,336 OK. We'll get the baby up to the nursery 377 00:15:46,336 --> 00:15:48,860 and let you sleep a bit, OK? 378 00:15:48,860 --> 00:15:50,601 It's OK, baby girl. 379 00:15:56,085 --> 00:15:58,131 Just rest, OK? 380 00:16:03,484 --> 00:16:05,268 Got Isaac's CT back. 381 00:16:05,268 --> 00:16:08,054 He's got a compression fracture at L2. 382 00:16:08,054 --> 00:16:10,012 Well, that's unfortunate. 383 00:16:10,012 --> 00:16:12,928 But like you said, it won't delay the transplant, right? 384 00:16:12,928 --> 00:16:14,147 Well, take a look. 385 00:16:14,147 --> 00:16:16,236 I could be wrong, but the bone 386 00:16:16,236 --> 00:16:19,021 around the fracture has a lytic appearance to me. 387 00:16:19,021 --> 00:16:20,544 Do you think Isaac has cancer? 388 00:16:20,544 --> 00:16:22,068 I think there's a possibility. 389 00:16:22,068 --> 00:16:24,722 Lytic lesions are commonly associated with metastases. 390 00:16:24,722 --> 00:16:27,290 And if the bone was already damaged from cancer, 391 00:16:27,290 --> 00:16:29,858 well, even a minor trauma could cause a fracture. 392 00:16:29,858 --> 00:16:32,078 OK, but you're not sure that it's lytic, right? 393 00:16:32,078 --> 00:16:33,557 There's still a chance it could just be 394 00:16:33,557 --> 00:16:35,124 a traumatic compression fracture? 395 00:16:35,124 --> 00:16:36,473 Which is why I want to get an MRI. 396 00:16:36,473 --> 00:16:38,040 It'll show us if there are other lesions 397 00:16:38,040 --> 00:16:39,999 and just give us a better idea 398 00:16:39,999 --> 00:16:42,044 if it's traumatic or pathological. 399 00:16:42,044 --> 00:16:46,092 And if it is pathological, that means a biopsy. 400 00:16:46,092 --> 00:16:49,965 And Isaac is definitely not getting a kidney today. 401 00:16:49,965 --> 00:16:51,314 No. 402 00:16:53,403 --> 00:16:56,798 I wish Samantha was here, his wife. 403 00:16:56,798 --> 00:16:58,104 Where is she? 404 00:16:58,104 --> 00:16:59,322 On a flight to Seattle 405 00:16:59,322 --> 00:17:01,585 for their granddaughter's first birthday. 406 00:17:01,585 --> 00:17:05,502 Isaac got tired of both of them missing out on milestones. 407 00:17:05,502 --> 00:17:09,898 But one time she goes out of town, he gets the call. 408 00:17:09,898 --> 00:17:11,943 You mind delivering the news with me? 409 00:17:11,943 --> 00:17:13,815 In her absence, I think a familiar face 410 00:17:13,815 --> 00:17:16,078 might be comforting. 411 00:17:16,078 --> 00:17:18,515 - Yeah, of course. - All right. 412 00:17:21,257 --> 00:17:23,303 - Hey. - Hey. 413 00:17:23,303 --> 00:17:25,000 You got a second? 414 00:17:25,000 --> 00:17:26,175 Yep. 415 00:17:26,175 --> 00:17:28,482 OK, um... 416 00:17:28,482 --> 00:17:32,529 Is this operation really worth the risk? 417 00:17:32,529 --> 00:17:35,793 If anything compromises blood flow to the hand or the foot, 418 00:17:35,793 --> 00:17:38,753 Rob could develop an infection and become septic. 419 00:17:38,753 --> 00:17:40,581 The 2.0 will be assessing blood flow 420 00:17:40,581 --> 00:17:42,931 every step of the surgery as well as predicting 421 00:17:42,931 --> 00:17:45,760 if perfusion can be maintained post-op. 422 00:17:45,760 --> 00:17:48,632 OK, clearly, you know this technology inside and out, 423 00:17:48,632 --> 00:17:51,940 but it's also never been used for this type of procedure. 424 00:17:51,940 --> 00:17:55,422 So what are you saying? 425 00:17:55,422 --> 00:17:58,033 What, I oversold Rob? 426 00:17:58,033 --> 00:18:02,124 No, but I think that you've got a lot invested in 2.0, 427 00:18:02,124 --> 00:18:04,648 and maybe you feel a certain pressure to use it. 428 00:18:04,648 --> 00:18:06,433 I'm not gonna gamble with a patient's life 429 00:18:06,433 --> 00:18:08,391 just so I can show off my shiny, new toy, Maggie. 430 00:18:08,391 --> 00:18:09,610 Of course not. 431 00:18:09,610 --> 00:18:11,525 I'm just saying that-- - Crockett! 432 00:18:11,525 --> 00:18:12,961 Here's the man I'm looking for. 433 00:18:14,745 --> 00:18:15,833 Anything else? 434 00:18:18,749 --> 00:18:20,795 I didn't mean to chase Nurse Lockwood away. 435 00:18:20,795 --> 00:18:23,450 No, she had to get back to the ED. What's up? 436 00:18:23,450 --> 00:18:25,974 Dr. Song briefed me on the ectopic banking case. 437 00:18:25,974 --> 00:18:27,280 Very impressive. - Yeah. 438 00:18:27,280 --> 00:18:28,933 And my videographer's gonna film it. 439 00:18:28,933 --> 00:18:31,066 We'll want to document it and get as much press as possible. 440 00:18:31,066 --> 00:18:33,373 Jack, I don't want anybody in there taking pictures 441 00:18:33,373 --> 00:18:35,288 while I'm in the middle of a complex surgery. 442 00:18:35,288 --> 00:18:37,812 You won't even know he's there. 443 00:18:41,685 --> 00:18:44,210 I'll keep him out of your way, I promise. 444 00:18:44,210 --> 00:18:45,689 See you in the amphitheater? 445 00:18:45,689 --> 00:18:48,605 - Yeah, right behind you. - OK. 446 00:18:51,217 --> 00:18:55,830 Hey. Hope you're not in any kind of hurry. 447 00:18:55,830 --> 00:18:58,180 Elevators taking their sweet time today. 448 00:18:58,180 --> 00:18:59,573 I am fine. 449 00:18:59,573 --> 00:19:01,879 I'm not exactly anxious to get where I'm going. 450 00:19:01,879 --> 00:19:03,664 Meeting with a friend of Jack's 451 00:19:03,664 --> 00:19:06,754 whose seat on the board is all but assured. 452 00:19:06,754 --> 00:19:08,234 Oh, man, hospital politics. 453 00:19:08,234 --> 00:19:09,757 Yikes. - Mm-hmm. 454 00:19:09,757 --> 00:19:11,454 Speaking of which, what are you hearing 455 00:19:11,454 --> 00:19:13,413 about what's going on with the negotiations 456 00:19:13,413 --> 00:19:15,066 with the custodial workers' union? 457 00:19:15,066 --> 00:19:17,591 Liliana seems to think they're getting all tense. 458 00:19:17,591 --> 00:19:20,289 Between us, I don't foresee a strike. 459 00:19:20,289 --> 00:19:21,725 - That's what I told her. - Yeah. 460 00:19:21,725 --> 00:19:25,425 A strike would wreak havoc on the hospital system. 461 00:19:25,425 --> 00:19:26,991 I gotta say, though, it does make me wonder 462 00:19:26,991 --> 00:19:28,950 why we can't give our lowest paid employees, 463 00:19:28,950 --> 00:19:31,082 I mean, even a 6% raise. 464 00:19:31,082 --> 00:19:34,956 Well, it would be setting a precedent 465 00:19:34,956 --> 00:19:38,438 that we can't afford to make with the other unions, Daniel. 466 00:19:38,438 --> 00:19:42,616 I mean, once we finish with these negotiations, 467 00:19:42,616 --> 00:19:46,315 we go into talks with the nurses' union. 468 00:19:46,315 --> 00:19:48,752 And then, it's the plumbers' union. 469 00:19:48,752 --> 00:19:52,974 I mean, you get the picture, right? 470 00:20:05,421 --> 00:20:09,251 If I had just checked my blind spot, 471 00:20:09,251 --> 00:20:12,428 we wouldn't be talking about an MRI right now. 472 00:20:12,428 --> 00:20:15,170 I'd be upstairs getting prepped for surgery tonight, right? 473 00:20:15,170 --> 00:20:19,261 - And that still might happen. - Yeah, I'm sorry, Isaac. 474 00:20:19,261 --> 00:20:23,091 I could not have predicted the CT would reveal this. 475 00:20:23,091 --> 00:20:25,180 Dr. Halstead, I've waited five hellish years 476 00:20:25,180 --> 00:20:27,835 for a kidney. 477 00:20:27,835 --> 00:20:29,924 I've blown out so many veins, they're running out 478 00:20:29,924 --> 00:20:34,015 of access sites to even deliver my dialysis. 479 00:20:34,015 --> 00:20:36,539 If the fracture looks like it's just from the accident... 480 00:20:36,539 --> 00:20:38,324 Well, that's still a possibility, but-- 481 00:20:38,324 --> 00:20:40,717 Then that's good enough for me. 482 00:20:40,717 --> 00:20:44,504 I'm not gonna fault you for not running any more tests. 483 00:20:44,504 --> 00:20:48,551 And no one else will either. 484 00:20:48,551 --> 00:20:51,685 Please, I'm begging you. 485 00:20:54,514 --> 00:20:56,342 Hey. I thought you delivered your patient. 486 00:20:56,342 --> 00:20:57,517 I did, yes. 487 00:20:57,517 --> 00:20:58,561 Well, why are you still up here? 488 00:20:58,561 --> 00:21:00,563 We need an OB consult in the ED. 489 00:21:00,563 --> 00:21:01,999 OK, I can head back down with you right now. 490 00:21:01,999 --> 00:21:03,218 Just give me one sec to let Liza know. 491 00:21:03,218 --> 00:21:04,524 OK. 492 00:21:09,920 --> 00:21:11,357 Oh, hey. 493 00:21:11,357 --> 00:21:13,054 Where's Liza? 494 00:21:13,054 --> 00:21:16,623 Yeah, she, uh-- she had to use the bathroom. 495 00:21:16,623 --> 00:21:19,321 I'm Mike. I'm her boyfriend. 496 00:21:19,321 --> 00:21:22,150 It's not safe for her to use the restroom alone. 497 00:21:22,150 --> 00:21:23,760 She seemed all right to me. 498 00:21:23,760 --> 00:21:25,458 Hey, Liza, it's Hannah. Are you OK? 499 00:21:25,458 --> 00:21:27,286 - Give her a minute, will you? - Get your hands off of me. 500 00:21:27,286 --> 00:21:28,417 Get your hands off me! 501 00:21:28,417 --> 00:21:31,028 Hey, you heard her! 502 00:21:42,126 --> 00:21:43,693 Liza. 503 00:21:51,701 --> 00:21:54,138 Help me get her back into bed. 504 00:21:54,138 --> 00:21:56,053 OK. Watch your neck. 505 00:21:56,053 --> 00:21:58,708 Support her head. Yeah, we got her. 506 00:22:02,625 --> 00:22:05,236 You have no idea how hard Liza worked to stay sober. 507 00:22:05,236 --> 00:22:06,542 You have no idea. - Well, I don't doubt that. 508 00:22:06,542 --> 00:22:08,022 But we just found her strung out on heroin. 509 00:22:08,022 --> 00:22:09,632 She was overwhelmed and exhausted 510 00:22:09,632 --> 00:22:12,548 after a grueling labor and had a serious lapse of judgment, 511 00:22:12,548 --> 00:22:14,420 but I know that she could get back on track. 512 00:22:14,420 --> 00:22:16,683 Hold it. Wait, you're not actually suggesting 513 00:22:16,683 --> 00:22:18,859 that we send a baby home with that woman? 514 00:22:18,859 --> 00:22:20,251 No, of course not. 515 00:22:20,251 --> 00:22:21,992 I want to find a sober living situation for Liza, 516 00:22:21,992 --> 00:22:23,994 a facility where she could still receive treatment 517 00:22:23,994 --> 00:22:25,213 while still caring for her baby. 518 00:22:25,213 --> 00:22:26,910 You are swerving so far out your lane, 519 00:22:26,910 --> 00:22:30,000 not to mention that you are mandated to report this... 520 00:22:30,000 --> 00:22:31,437 - No, not until-- - To, yes, 521 00:22:31,437 --> 00:22:33,395 the appropriate department. - Not until I figure out 522 00:22:33,395 --> 00:22:35,397 a way to keep Liza and her baby together. 523 00:22:35,397 --> 00:22:37,399 Then you let DCFS take care of it. 524 00:22:37,399 --> 00:22:40,097 They're far better equipped. - What if they can't, huh? 525 00:22:40,097 --> 00:22:41,403 Liza doesn't have family in the area. 526 00:22:41,403 --> 00:22:42,709 Who's gonna take the baby? 527 00:22:42,709 --> 00:22:46,408 Obviously, you care a great deal about her. 528 00:22:46,408 --> 00:22:48,584 Because I am her. I have been her. 529 00:22:48,584 --> 00:22:51,413 And the only reason that I'm standing here right now 530 00:22:51,413 --> 00:22:54,068 is because people didn't give up on me. 531 00:22:54,068 --> 00:22:56,766 So I am not giving up on Liza. 532 00:23:00,074 --> 00:23:02,076 You have till the end of the day. 533 00:23:02,076 --> 00:23:03,425 OK. 534 00:23:10,301 --> 00:23:12,129 Dr. Song, what's the recommendation 535 00:23:12,129 --> 00:23:14,218 for anastomosis? 536 00:23:14,218 --> 00:23:16,003 Any deviations from the plan? 537 00:23:16,003 --> 00:23:17,396 End to end ulnar 538 00:23:17,396 --> 00:23:21,225 to posterior tibial artery anastomosis. 539 00:23:21,225 --> 00:23:23,663 OK. What's the venous drainage? 540 00:23:23,663 --> 00:23:27,101 Anastomose the main dorsal vein to the saphenous vein. 541 00:23:27,101 --> 00:23:28,407 OK, great. 542 00:23:31,932 --> 00:23:35,196 Whoever that belongs to, turn it off right now. 543 00:23:35,196 --> 00:23:37,633 Sorry, that's me. It's my next meeting. 544 00:23:37,633 --> 00:23:40,288 This is Jack Dayton. Great. Well... 545 00:23:40,288 --> 00:23:42,290 Do you mind moving to the right just a hair? 546 00:23:42,290 --> 00:23:43,813 It'll give me a much cleaner shot. 547 00:23:43,813 --> 00:23:46,250 No, that's where he needs to stand. 548 00:23:46,250 --> 00:23:48,078 Let's keep noise down to a minimum 549 00:23:48,078 --> 00:23:50,516 from here on out, folks. 550 00:23:50,516 --> 00:23:52,605 In terms of speed and efficiency, 551 00:23:52,605 --> 00:23:55,259 you're already performing above and beyond 2.0's predictions. 552 00:23:55,259 --> 00:23:57,000 We're on a good trajectory. 553 00:23:57,000 --> 00:23:58,349 All right. 554 00:24:01,962 --> 00:24:05,269 Let's say we forgo the MRI. He gets the transplant. 555 00:24:05,269 --> 00:24:07,315 If it turns out he does have cancer, 556 00:24:07,315 --> 00:24:08,795 the immunosuppressants he'll be on 557 00:24:08,795 --> 00:24:10,753 could interfere with his cancer treatment. 558 00:24:10,753 --> 00:24:13,800 And the treatment itself could destroy his new kidney. 559 00:24:13,800 --> 00:24:15,758 Valid concerns, yes. 560 00:24:15,758 --> 00:24:17,630 But a malignancy of any kind 561 00:24:17,630 --> 00:24:19,501 is a contraindication for transplantation. 562 00:24:19,501 --> 00:24:21,068 He'll be taken off the transplant list. 563 00:24:21,068 --> 00:24:23,897 Right, which is... 564 00:24:23,897 --> 00:24:25,768 All the more reason to look the other way? 565 00:24:30,381 --> 00:24:32,340 I have an ethical and legal obligation 566 00:24:32,340 --> 00:24:33,733 to disclose this finding. 567 00:24:33,733 --> 00:24:35,691 I fail to do that, it could compromise our status 568 00:24:35,691 --> 00:24:37,258 as a high volume transplant center. 569 00:24:37,258 --> 00:24:40,566 I know it's a risk, 570 00:24:40,566 --> 00:24:42,481 but, Will, 571 00:24:42,481 --> 00:24:45,962 this could be Isaac's only shot at a kidney. 572 00:24:45,962 --> 00:24:48,182 I hear you. I know. 573 00:24:48,182 --> 00:24:51,577 But it'd be irresponsible 574 00:24:51,577 --> 00:24:55,189 to let the transplant proceed until we know more. 575 00:24:55,189 --> 00:24:57,234 I'm sorry, Nellie. 576 00:25:04,241 --> 00:25:07,201 What, did Jack steamroll you into having lunch with me? 577 00:25:07,201 --> 00:25:10,552 What? No. No, not at all. 578 00:25:10,552 --> 00:25:13,555 Jack's a good friend, but when he wants something, 579 00:25:13,555 --> 00:25:15,557 he can be like a dog after a bone. 580 00:25:15,557 --> 00:25:17,864 Yeah, well, that has been my impression as well. 581 00:25:17,864 --> 00:25:21,432 Yeah, but in his defense, he's trying to do me a solid 582 00:25:21,432 --> 00:25:22,782 'cause he knows how eager 583 00:25:22,782 --> 00:25:25,349 I want to be a part of Med's board. 584 00:25:25,349 --> 00:25:26,786 Well, I'm curious. 585 00:25:26,786 --> 00:25:31,355 How did a former legislator turned lobbyist become-- 586 00:25:31,355 --> 00:25:32,661 Girl, what did he do, 587 00:25:32,661 --> 00:25:34,402 tell you about my whole side hustle? 588 00:25:34,402 --> 00:25:35,795 Look. 589 00:25:35,795 --> 00:25:37,144 That's what my daughter calls it. 590 00:25:37,144 --> 00:25:39,668 - Mm. - Listen. 591 00:25:39,668 --> 00:25:41,757 I'm not trying to be a part of your board 592 00:25:41,757 --> 00:25:44,717 so I can be a mouthpiece for some special interest groups. 593 00:25:44,717 --> 00:25:47,676 So why do you want to be on the board? 594 00:25:47,676 --> 00:25:51,027 To start with, 595 00:25:51,027 --> 00:25:53,290 I was born in this hospital. 596 00:25:53,290 --> 00:25:56,424 - Get out. You're kidding. - No, ma'am. 597 00:25:56,424 --> 00:25:59,122 I'ma be honest with you, my very first broken arm 598 00:25:59,122 --> 00:26:01,603 was fixed right within these walls. 599 00:26:01,603 --> 00:26:04,780 So this is a homecoming of sorts? 600 00:26:04,780 --> 00:26:10,133 Well, my ex-wife was a professor at UW Milwaukee. 601 00:26:10,133 --> 00:26:12,919 We raised the family there. 602 00:26:12,919 --> 00:26:16,444 But Chicago's home. 603 00:26:16,444 --> 00:26:19,316 And this hospital has always held 604 00:26:19,316 --> 00:26:22,624 a very special place in my heart. 605 00:26:22,624 --> 00:26:25,627 I'd love to be a part of its future. 606 00:26:25,627 --> 00:26:27,237 But I should warn you, 607 00:26:27,237 --> 00:26:29,631 I'm not one of those board members 608 00:26:29,631 --> 00:26:32,460 that's only gonna show up at special fancy parties, 609 00:26:32,460 --> 00:26:34,854 cut a check, and is never heard from again. 610 00:26:34,854 --> 00:26:38,379 Yes, I know that type as well. 611 00:26:38,379 --> 00:26:40,642 I got a lot of time on my hands. 612 00:26:42,688 --> 00:26:46,126 And I also have a lot of ideas. 613 00:26:46,126 --> 00:26:49,782 I'm all ears. 614 00:26:54,830 --> 00:26:57,093 Oh, hey, Hannah. I'm glad I caught you. 615 00:26:57,093 --> 00:26:59,008 Would you mind pointing me to one of your patients? 616 00:26:59,008 --> 00:27:02,403 It's a Liza--sorry. 617 00:27:02,403 --> 00:27:05,188 Um, I think that there's been a mix-up. 618 00:27:05,188 --> 00:27:07,190 I didn't make a call to DCFS. 619 00:27:07,190 --> 00:27:08,670 Well, I actually wasn't told who made the call, 620 00:27:08,670 --> 00:27:10,411 just that an eval was requested. 621 00:27:10,411 --> 00:27:12,152 Oh, well, that's definitely an error. 622 00:27:12,152 --> 00:27:13,849 Oh? OK. 623 00:27:13,849 --> 00:27:15,372 I'm sorry you had to come down. 624 00:27:15,372 --> 00:27:16,678 I'm the treating physician, 625 00:27:16,678 --> 00:27:18,680 and that patient doesn't need an evaluation. 626 00:27:18,680 --> 00:27:19,899 Uh, OK. 627 00:27:19,899 --> 00:27:21,204 Well, in that case, 628 00:27:21,204 --> 00:27:23,163 I guess I'll just head back up to my office. 629 00:27:23,163 --> 00:27:24,425 Yeah. 630 00:27:29,735 --> 00:27:31,606 What were the patient's vitals on intake? 631 00:27:31,606 --> 00:27:33,086 Let me check. 632 00:27:33,086 --> 00:27:34,696 Well, you should have this on the tip of your tongue. 633 00:27:34,696 --> 00:27:36,959 Hey, I told you I was working on it. 634 00:27:36,959 --> 00:27:39,179 You had no right to make that call. 635 00:27:39,179 --> 00:27:40,441 Give us the room, please. 636 00:27:40,441 --> 00:27:43,052 I'll check back later, yeah. 637 00:27:44,967 --> 00:27:48,014 OK, you do not dress me down ever, 638 00:27:48,014 --> 00:27:49,842 and definitely not in front of a resident. 639 00:27:49,842 --> 00:27:53,541 I repeat, you had no right to make that call. 640 00:27:53,541 --> 00:27:54,498 The hell are you talking about? 641 00:27:54,498 --> 00:27:56,239 You called DCFS on Liza. 642 00:27:56,239 --> 00:27:58,198 No, I did not. 643 00:27:58,198 --> 00:28:00,330 Hannah, I'm serious! 644 00:28:00,330 --> 00:28:01,941 Well, then who did? 645 00:28:08,730 --> 00:28:11,472 OK. I'm gonna remove the clamp. 646 00:28:13,082 --> 00:28:15,998 Nice and easy. OK. 647 00:28:17,696 --> 00:28:19,654 Clamp out. 648 00:28:22,396 --> 00:28:24,964 Yeah, the ulnar side's showing some good perfusion. 649 00:28:24,964 --> 00:28:27,270 But yeah, there's not enough circulation 650 00:28:27,270 --> 00:28:29,011 through the palmar arch. 651 00:28:29,011 --> 00:28:31,535 And the radial side's looking dusky to me. 652 00:28:31,535 --> 00:28:34,060 Could we hook in the radial artery to something, 653 00:28:34,060 --> 00:28:35,757 give it independent inflow? 654 00:28:35,757 --> 00:28:38,455 I'll have 2.0 run through the iterations. 655 00:28:42,155 --> 00:28:44,113 It's assessing a number of variables. 656 00:28:44,113 --> 00:28:45,767 It probably just needs a minute. 657 00:28:45,767 --> 00:28:48,291 Not enough information. 658 00:28:48,291 --> 00:28:50,772 Confidence interval is too low. 659 00:28:50,772 --> 00:28:53,122 I think it just needs better mapping of the radial artery 660 00:28:53,122 --> 00:28:54,645 in the palmar arch. 661 00:28:54,645 --> 00:28:57,126 Let me see if I can recalibrate imaging. 662 00:28:59,259 --> 00:29:00,782 Not enough information. 663 00:29:00,782 --> 00:29:04,264 Confidence interval is too low. 664 00:29:04,264 --> 00:29:06,701 Unfortunately, the real-time data is insufficient. 665 00:29:06,701 --> 00:29:11,401 And the pre-op imaging is inadequate. 666 00:29:11,401 --> 00:29:12,620 What other artery am I gonna use 667 00:29:12,620 --> 00:29:13,969 to plug into the radial? 668 00:29:13,969 --> 00:29:15,318 Without adequate blood flow, 669 00:29:15,318 --> 00:29:16,537 the hand's not gonna survive. 670 00:29:16,537 --> 00:29:18,582 I'm afraid 2.0 doesn't have enough data 671 00:29:18,582 --> 00:29:19,888 to offer recommendation. 672 00:29:19,888 --> 00:29:21,934 There's just not enough published literature 673 00:29:21,934 --> 00:29:23,326 to draw from. 674 00:29:25,024 --> 00:29:27,548 So what am I supposed to do here? 675 00:29:27,548 --> 00:29:31,552 Use your best critical judgment. 676 00:29:31,552 --> 00:29:33,989 Oh. 677 00:29:33,989 --> 00:29:37,427 Of course. 678 00:29:37,427 --> 00:29:40,213 I'm not getting the MRI, 679 00:29:40,213 --> 00:29:43,042 not till after the transplant. 680 00:29:43,042 --> 00:29:45,087 How about that? I refuse. 681 00:29:45,087 --> 00:29:47,655 Dr. Jones won't proceed with the surgery 682 00:29:47,655 --> 00:29:49,526 until he sees the results of an MRI. 683 00:29:49,526 --> 00:29:51,354 You had no right to tell him anything. 684 00:29:51,354 --> 00:29:54,357 Isaac, I had an ethical duty 685 00:29:54,357 --> 00:29:55,663 to notify your transplant surgeon-- 686 00:29:55,663 --> 00:29:58,274 I should have just stuck to my story 687 00:29:58,274 --> 00:30:00,233 and told you I felt fine. 688 00:30:00,233 --> 00:30:01,625 Never should have mentioned any pain. 689 00:30:01,625 --> 00:30:03,845 Isaac, I know this is upsetting-- 690 00:30:03,845 --> 00:30:06,848 Just do the damn MRI already! 691 00:30:06,848 --> 00:30:09,503 Get me Dr. Jones! 692 00:30:09,503 --> 00:30:11,026 OK, he'll be here shortly. 693 00:30:11,026 --> 00:30:14,073 I'll put in the order. 694 00:30:23,082 --> 00:30:27,434 So you requested DCFS be called? 695 00:30:30,741 --> 00:30:32,569 Liza, why? 696 00:30:39,620 --> 00:30:43,319 When I held my little girl for the first time, 697 00:30:43,319 --> 00:30:47,846 I could feel her depending on me, 698 00:30:47,846 --> 00:30:51,458 needing me for everything. 699 00:30:53,112 --> 00:30:54,765 I couldn't take it. 700 00:30:54,765 --> 00:30:57,116 I broke. 701 00:30:57,116 --> 00:30:59,553 Liza-- 702 00:30:59,553 --> 00:31:03,296 These last few months have been the hardest of my life. 703 00:31:03,296 --> 00:31:06,429 And it took everything in me to stay sober, 704 00:31:06,429 --> 00:31:11,347 but I did it for her. 705 00:31:11,347 --> 00:31:16,135 And now, I just-- 706 00:31:16,135 --> 00:31:19,965 I can't muscle my way through this. 707 00:31:19,965 --> 00:31:23,490 OK, I've been there. 708 00:31:23,490 --> 00:31:26,275 Every time I got sober for someone else-- 709 00:31:26,275 --> 00:31:27,581 a family member, a partner-- 710 00:31:27,581 --> 00:31:32,107 it lasted a year at the most. 711 00:31:32,107 --> 00:31:36,459 Every time, I'd relapse. 712 00:31:36,459 --> 00:31:40,420 It finally stuck when I got sober for myself. 713 00:32:02,224 --> 00:32:03,399 Care for dessert? 714 00:32:03,399 --> 00:32:05,097 Coffee or espresso? 715 00:32:05,097 --> 00:32:06,141 No, thanks. 716 00:32:06,141 --> 00:32:07,577 None for me. Thank you. 717 00:32:07,577 --> 00:32:11,451 Oh, my goodness. It's almost 3:00. 718 00:32:11,451 --> 00:32:15,020 I really hate to cut this off, but unfortunately... 719 00:32:15,020 --> 00:32:16,760 The place won't run itself. 720 00:32:16,760 --> 00:32:20,155 Not yet, although Jack is working on it. 721 00:32:20,155 --> 00:32:22,810 Yeah, I imagine he would be. 722 00:32:22,810 --> 00:32:26,118 Well, this has been quite a productive conversation. 723 00:32:26,118 --> 00:32:30,949 Well, you know, we can always continue the conversation. 724 00:32:30,949 --> 00:32:33,952 Should you join the board? Thank you. 725 00:32:33,952 --> 00:32:36,258 Is that your more subtle way 726 00:32:36,258 --> 00:32:38,869 of asking if I'm gonna support your nomination? 727 00:32:38,869 --> 00:32:40,132 No, ma'am. 728 00:32:40,132 --> 00:32:43,178 That's my very unsubtle way of asking you 729 00:32:43,178 --> 00:32:46,138 if you'll join me for drinks tonight. 730 00:32:46,138 --> 00:32:48,531 Oh. 731 00:32:48,531 --> 00:32:52,013 Well, that's a very tempting idea, 732 00:32:52,013 --> 00:32:56,191 but, um, I'm gonna have to... 733 00:32:56,191 --> 00:32:58,106 Politely decline. 734 00:32:58,106 --> 00:32:59,716 Politely. 735 00:32:59,716 --> 00:33:03,503 Well, I appreciate you considering it. 736 00:33:03,503 --> 00:33:05,809 I hope the rest of your day goes easy on you. 737 00:33:05,809 --> 00:33:07,898 And the same for you, Dr. Thomas. 738 00:33:07,898 --> 00:33:10,727 Ah, ah. George. 739 00:33:10,727 --> 00:33:12,338 Sharon. 740 00:33:22,696 --> 00:33:24,741 - You're back. - I am. 741 00:33:24,741 --> 00:33:28,049 And I could use your expertise. 742 00:33:28,049 --> 00:33:29,224 Tell me. 743 00:33:29,224 --> 00:33:31,400 How do you calm your nerves 744 00:33:31,400 --> 00:33:34,055 when your heart is beating very fast? 745 00:33:34,055 --> 00:33:37,363 Well, the first thing you do is you sit down. 746 00:33:37,363 --> 00:33:41,410 And, um, just take a couple deep breaths, 747 00:33:41,410 --> 00:33:44,631 and well, tell me what's going on. 748 00:33:44,631 --> 00:33:47,503 I'm nervous because I'm going to speak 749 00:33:47,503 --> 00:33:49,984 with a reporter from "Tribune" tomorrow. 750 00:33:49,984 --> 00:33:54,162 Our union boss, Mr. Wilson, he's meeting me to prepare. 751 00:33:54,162 --> 00:33:56,643 Wow. How did that come about? 752 00:33:56,643 --> 00:33:59,080 You remember my friend I was telling you about 753 00:33:59,080 --> 00:34:01,343 from this morning? - Yeah. 754 00:34:01,343 --> 00:34:04,390 She's, uh, told Mr. Wilson about me. 755 00:34:04,390 --> 00:34:06,696 And he asked me to go on record 756 00:34:06,696 --> 00:34:08,959 for a story the newspaper is writing 757 00:34:08,959 --> 00:34:12,789 about the negotiations, what's at stake for us. 758 00:34:12,789 --> 00:34:14,704 I wonder if that's really the best tactic 759 00:34:14,704 --> 00:34:16,315 for the union to take right now, 760 00:34:16,315 --> 00:34:20,101 to talk to the press while negotiations are still ongoing. 761 00:34:20,101 --> 00:34:22,886 I mean, it could be seen as a bad faith move. 762 00:34:22,886 --> 00:34:25,106 And honestly, Liliana, I would be worried 763 00:34:25,106 --> 00:34:28,022 about possible personal repercussions for you. 764 00:34:28,022 --> 00:34:30,155 Yeah, that's what I thought first too, 765 00:34:30,155 --> 00:34:32,026 that it would fan flames, 766 00:34:32,026 --> 00:34:34,115 cause more harm than good. - Exactly. 767 00:34:34,115 --> 00:34:37,640 But my friend, she tells me Mr. Wilson tells her this: 768 00:34:37,640 --> 00:34:40,295 the hospital is flying in workers 769 00:34:40,295 --> 00:34:42,471 from all over to replace us. 770 00:34:42,471 --> 00:34:43,994 They're flying in scabs? 771 00:34:43,994 --> 00:34:47,650 They're putting them in hotels and everything. 772 00:34:47,650 --> 00:34:50,653 That's why I said I would go on record. 773 00:34:57,051 --> 00:34:58,792 - Hey, Sharon. - Yeah? 774 00:34:58,792 --> 00:35:00,576 George has been blowing up my phone. 775 00:35:00,576 --> 00:35:03,101 He was eager before, but now he's ready 776 00:35:03,101 --> 00:35:04,537 to go to the mat for this board seat. 777 00:35:04,537 --> 00:35:07,757 Well, I will say he's a very appealing candidate. 778 00:35:07,757 --> 00:35:09,455 I still think Gloria Jeffers 779 00:35:09,455 --> 00:35:11,674 would make an exceptional board member, 780 00:35:11,674 --> 00:35:16,070 but I'm glad you brought Dr. Thomas to my attention. 781 00:35:16,070 --> 00:35:18,072 So you'll support his candidacy? 782 00:35:18,072 --> 00:35:20,944 - I won't challenge it. - Mm. 783 00:35:20,944 --> 00:35:24,078 You know, not to gloat, but, um, I told you, didn't I? 784 00:35:24,078 --> 00:35:26,080 Sounds like gloating to me. 785 00:35:34,132 --> 00:35:36,308 Sharon, hospital's negotiating 786 00:35:36,308 --> 00:35:37,787 with scare tactics now? 787 00:35:37,787 --> 00:35:39,224 They're flying in scabs? - Yeah. 788 00:35:39,224 --> 00:35:40,703 I don't like it either, 789 00:35:40,703 --> 00:35:43,750 but it's also a necessary precaution. 790 00:35:43,750 --> 00:35:46,100 Did you know about this when we were talking this morning? 791 00:35:46,100 --> 00:35:47,232 I mean, I thought you told me 792 00:35:47,232 --> 00:35:48,755 that the negotiation was going well. 793 00:35:48,755 --> 00:35:52,150 No, what I said was that I didn't foresee a strike. 794 00:35:52,150 --> 00:35:54,717 But look, we still have to be prepared 795 00:35:54,717 --> 00:35:57,242 for the possibility of a work stoppage, Daniel. 796 00:35:57,242 --> 00:36:01,202 I mean, anything less is negligence. 797 00:36:01,202 --> 00:36:02,421 What I'd say to the board is I'd say, 798 00:36:02,421 --> 00:36:05,119 look, isn't a 6% bump for a custodian 799 00:36:05,119 --> 00:36:06,599 a fraction of what it would be for a nurses? 800 00:36:06,599 --> 00:36:09,602 Daniel, I don't ever tell you how to do your job. 801 00:36:09,602 --> 00:36:11,125 And I'm not telling you how to do yours. 802 00:36:11,125 --> 00:36:12,387 I'm telling you people are scared 803 00:36:12,387 --> 00:36:13,606 'cause they can't afford to miss a paycheck. 804 00:36:13,606 --> 00:36:15,564 Yeah, and that's the last thing I want. 805 00:36:15,564 --> 00:36:18,045 That's why I'm trying to do everything in my power 806 00:36:18,045 --> 00:36:20,265 to avert a strike. 807 00:36:20,265 --> 00:36:22,441 I can't give you all of the details. 808 00:36:22,441 --> 00:36:27,576 I expect you, of all people, to trust that. 809 00:36:34,627 --> 00:36:36,324 Get the MRI back? 810 00:36:36,324 --> 00:36:41,938 Yes, and it showed evidence of a pathological fracture. 811 00:36:41,938 --> 00:36:43,636 When are they doing the biopsy? 812 00:36:43,636 --> 00:36:46,639 Tomorrow morning, but Dr. Jones ordered an SPEP 813 00:36:46,639 --> 00:36:48,641 and a UPEP after he saw the MRI, 814 00:36:48,641 --> 00:36:50,643 and both blood tests came back positive. 815 00:36:52,862 --> 00:36:54,168 Multiple myeloma. 816 00:36:54,168 --> 00:36:57,258 In all likelihood, yes. 817 00:36:57,258 --> 00:36:58,912 Isaac hasn't been told yet. 818 00:36:58,912 --> 00:37:00,435 Dr. Jones wanted to wait 819 00:37:00,435 --> 00:37:03,786 until it was confirmed by the biopsy. 820 00:37:03,786 --> 00:37:08,313 Just this morning, Isaac thought his luck was changing, 821 00:37:08,313 --> 00:37:09,792 he was finally getting a new kidney. 822 00:37:09,792 --> 00:37:11,185 And now, 823 00:37:11,185 --> 00:37:15,102 he's potentially facing a terminal cancer. 824 00:37:15,102 --> 00:37:18,758 Or maybe not. 825 00:37:18,758 --> 00:37:23,545 Maybe, thanks to your diligence, we caught it early. 826 00:37:23,545 --> 00:37:26,331 Maybe that MRI just saved his life. 827 00:37:31,640 --> 00:37:34,295 - Hey. - I spoke to Dr. Song. 828 00:37:34,295 --> 00:37:35,992 She said the surgery went well 829 00:37:35,992 --> 00:37:39,648 and Rob's hand has excellent blood flow and venous return. 830 00:37:39,648 --> 00:37:42,260 Yeah, things are looking all right. 831 00:37:45,350 --> 00:37:47,265 I had a moment in there. 832 00:37:49,658 --> 00:37:53,314 It's like I didn't know how to trust my own judgment, 833 00:37:53,314 --> 00:37:55,925 mostly 'cause I haven't needed to in some time. 834 00:37:55,925 --> 00:37:58,885 I'd just ask 2.0. 835 00:37:58,885 --> 00:38:03,803 That's the price we pay for ease and convenience. 836 00:38:05,892 --> 00:38:08,764 I suppose. 837 00:38:17,773 --> 00:38:19,514 Marilyn has been fostering newborns 838 00:38:19,514 --> 00:38:22,387 for over five years, ever since she retired. 839 00:38:22,387 --> 00:38:25,215 So you have a lot of experience then? 840 00:38:25,215 --> 00:38:27,609 I do. 841 00:38:27,609 --> 00:38:29,742 And, Liza, like we talked about, 842 00:38:29,742 --> 00:38:31,874 the goal is reunification, always, 843 00:38:31,874 --> 00:38:34,747 so soon as you finish the treatment program, 844 00:38:34,747 --> 00:38:37,010 we'll reassess things. 845 00:38:37,010 --> 00:38:38,751 All right. 846 00:38:38,751 --> 00:38:41,101 OK. 847 00:38:41,101 --> 00:38:43,190 Do you have a name picked out? 848 00:38:43,190 --> 00:38:47,760 Yeah, it's Hannah. 849 00:39:03,993 --> 00:39:06,692 Hey, Dr. Song. 850 00:39:06,692 --> 00:39:08,084 Glad I caught you. 851 00:39:08,084 --> 00:39:09,782 I wanted to let you know you can sleep in tomorrow. 852 00:39:09,782 --> 00:39:11,349 What happened to the exploratory lab 853 00:39:11,349 --> 00:39:12,437 we had scheduled for 8:00 a.m.? 854 00:39:12,437 --> 00:39:13,612 Yeah, it's still on the docket. 855 00:39:13,612 --> 00:39:15,440 I just moved it to a normal OR. 856 00:39:15,440 --> 00:39:16,658 If this is about what happened today-- 857 00:39:16,658 --> 00:39:18,007 It's not. I mean, it is, 858 00:39:18,007 --> 00:39:20,183 but not because I lost any confidence in 2.0. 859 00:39:20,183 --> 00:39:21,707 OK. 860 00:39:23,796 --> 00:39:25,841 You ever turn off the GPS while you're driving 861 00:39:25,841 --> 00:39:27,365 just to see if you still know the roads? 862 00:39:27,365 --> 00:39:29,758 No, never. 863 00:39:29,758 --> 00:39:31,499 Fair enough. 864 00:39:31,499 --> 00:39:34,676 Me, I need to do that from time to time. 865 00:39:36,548 --> 00:39:38,419 For my own confidence. 866 00:39:38,419 --> 00:39:39,812 If you change your mind, 867 00:39:39,812 --> 00:39:43,032 it takes a double shot of espresso, and I am up. 868 00:39:43,032 --> 00:39:45,600 Good to know. 869 00:39:45,600 --> 00:39:47,515 - Good night. - Good night. 870 00:39:53,478 --> 00:39:55,044 Daniel, wait. 871 00:39:55,044 --> 00:39:57,003 Oh, no. Oh, no. 872 00:39:57,003 --> 00:39:59,135 No, I didn't want to interrupt. 873 00:39:59,135 --> 00:40:02,443 No. No, no, no, it's OK. Good you're here, actually. 874 00:40:02,443 --> 00:40:04,706 How's the-- how's the prep going? 875 00:40:04,706 --> 00:40:06,839 OK, I think. 876 00:40:06,839 --> 00:40:09,755 Mr. Wilson was asking if I know any doctors at hospital 877 00:40:09,755 --> 00:40:11,887 who would be willing to speak out. 878 00:40:11,887 --> 00:40:13,846 How do you mean? 879 00:40:13,846 --> 00:40:16,109 For newspaper article. 880 00:40:16,109 --> 00:40:19,808 Talk to reporters, share why you support us, our demands. 881 00:40:21,593 --> 00:40:23,203 Because for me, that would be a violation 882 00:40:23,203 --> 00:40:24,465 of my employment contract. 883 00:40:24,465 --> 00:40:26,119 I'm not allowed to-- 884 00:40:26,119 --> 00:40:29,427 to speak the media without talking to the hospital first. 885 00:40:29,427 --> 00:40:32,517 Mr. Wilson said you don't have to go on record. 886 00:40:32,517 --> 00:40:34,519 Um, you would just-- 887 00:40:34,519 --> 00:40:36,346 we'd just say your department. 888 00:40:36,346 --> 00:40:38,218 No names. 889 00:40:38,218 --> 00:40:39,480 Liliana, I would love to help, 890 00:40:39,480 --> 00:40:41,395 but I mean, I just think that people would-- 891 00:40:41,395 --> 00:40:44,267 you know, they'd connect the dots pretty quickly. 892 00:40:44,267 --> 00:40:47,140 Don't you think? 893 00:40:47,140 --> 00:40:49,664 I understand. It's OK. 894 00:40:49,664 --> 00:40:51,492 Really? 895 00:40:51,492 --> 00:40:53,102 You know how much I support you. 896 00:40:53,102 --> 00:40:54,930 You don't have to explain. 897 00:40:57,063 --> 00:40:59,239 I'll, uh, call you later? 898 00:40:59,239 --> 00:41:01,546 Sure. OK. 65878

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