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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,422 --> 00:00:08,010 The classic experiment on pain tolerance is 2 00:00:08,011 --> 00:00:10,150 to submerge your hand in freezing cold water... 3 00:00:10,151 --> 00:00:12,393 - Hi! - ...and see how long you can take it. 4 00:00:12,394 --> 00:00:14,130 All right, troops. Let's get our shoes. 5 00:00:14,155 --> 00:00:15,195 We got five minutes, okay? 6 00:00:16,053 --> 00:00:18,711 Hey. Welcome home. 7 00:00:20,068 --> 00:00:22,704 Sorry, it's just... I'm... I've been up since 4:00 a.m. 8 00:00:22,729 --> 00:00:24,006 I missed you. 9 00:00:26,546 --> 00:00:29,446 Listen, um, while I was away... 10 00:00:30,447 --> 00:00:33,759 - No, I'll... - No, I'll go. You get ready, okay? 11 00:00:34,173 --> 00:00:36,935 You can try to distract yourself by counting slowly 12 00:00:36,936 --> 00:00:38,420 or focusing on your breath. 13 00:00:43,011 --> 00:00:44,943 - Did you sleep? - Sure. 14 00:00:45,053 --> 00:00:46,503 Are you okay? 15 00:00:47,699 --> 00:00:49,009 Give me ten minutes. 16 00:00:49,984 --> 00:00:51,777 You can have 15 if you shower. 17 00:00:51,778 --> 00:00:54,125 Hey, uh, I wanted to head in early and try to get on a good service 18 00:00:54,126 --> 00:00:55,408 before grand rounds. 19 00:00:55,433 --> 00:00:57,837 Molly was discharged last night. She's already back in California. 20 00:00:58,337 --> 00:01:01,960 So Kwan's broken heart trumps me trying to get back into our class? 21 00:01:01,961 --> 00:01:06,329 No, but how many times has he waited for us? 22 00:01:13,191 --> 00:01:15,021 Kwan, you got 13 minutes! 23 00:01:16,931 --> 00:01:18,462 We've got 13 minutes. 24 00:01:18,923 --> 00:01:20,599 But no matter how high you count, 25 00:01:20,662 --> 00:01:22,181 or how deeply you breathe, 26 00:01:22,602 --> 00:01:25,087 that water is still undeniably cold. 27 00:01:25,088 --> 00:01:28,745 I'm gone two days and everything's trash. 28 00:01:28,746 --> 00:01:30,955 Today is not the day for trash. 29 00:01:30,956 --> 00:01:33,889 Oh, I could help if I was on your service. 30 00:01:34,431 --> 00:01:37,133 A world-renowned surgeon is coming here 31 00:01:37,134 --> 00:01:39,480 to see my patient for grand rounds, 32 00:01:39,481 --> 00:01:40,999 I'm buried in paperwork, 33 00:01:41,000 --> 00:01:43,242 and the attendings' lounge is out of oat creamer. 34 00:01:43,267 --> 00:01:44,745 So I don't have time for 35 00:01:44,769 --> 00:01:46,660 whatever this is you're trying to pull. 36 00:01:46,868 --> 00:01:48,973 Well, I-I just don't think I should be on Altman's service. 37 00:01:48,974 --> 00:01:51,665 You know, not-not until I get back in her good graces. 38 00:01:51,666 --> 00:01:53,172 Well, how do you think you're gonna 39 00:01:53,196 --> 00:01:54,702 get there if you never work with her? 40 00:01:54,875 --> 00:01:56,532 Bribery? 41 00:01:57,165 --> 00:02:00,639 Oh. Oh, okay, he's on his way. 42 00:02:01,987 --> 00:02:05,369 Uh, thank you. Mmm. 43 00:02:07,544 --> 00:02:10,379 Perfect. Yes, yeah. Good. Oh, one second. 44 00:02:11,341 --> 00:02:14,093 Good morning. Glad you decided to come. 45 00:02:14,118 --> 00:02:16,874 Well, I thought I'd come and see what all the fuss was about. 46 00:02:16,899 --> 00:02:18,347 Here. Right there. 47 00:02:18,348 --> 00:02:20,833 - Late night? - It was for Maxine and Gino. 48 00:02:21,191 --> 00:02:23,020 In their room next to mine. 49 00:02:23,251 --> 00:02:26,182 She really cycles through boyfriends. What happened to Claude? 50 00:02:26,183 --> 00:02:28,150 - Oh, he died. - I am truly sorry. 51 00:02:28,151 --> 00:02:30,704 No, he made it to his 100th birthday. That was his goal. 52 00:02:30,705 --> 00:02:32,223 You want one? 53 00:02:32,224 --> 00:02:33,595 I'd rather drink gasoline. 54 00:02:33,620 --> 00:02:38,712 Good morning, everyone. I would like to introduce Gabby Mims. 55 00:02:38,713 --> 00:02:39,759 Hello. 56 00:02:39,784 --> 00:02:42,847 Uh, four months ago, Gabby was 57 00:02:42,872 --> 00:02:46,015 diagnosed with pancreatic adenocarcinoma 58 00:02:46,040 --> 00:02:49,999 and began neoadjuvant chemotherapy to shrink the tumor. 59 00:02:50,024 --> 00:02:54,521 But because it encases several critical blood vessels, 60 00:02:54,522 --> 00:02:58,835 it's considered very high-risk and doesn't meet the guidelines 61 00:02:58,836 --> 00:03:00,492 for surgical resection. 62 00:03:00,493 --> 00:03:04,013 That is where today's guest comes in. 63 00:03:04,014 --> 00:03:07,624 He is taking on difficult cases like this 64 00:03:07,649 --> 00:03:11,460 to give patients hope of cancer remission. 65 00:03:11,485 --> 00:03:16,632 So please join me in welcoming one of my surgical heroes, 66 00:03:16,657 --> 00:03:19,274 Dr. Joseph Chase. 67 00:03:28,056 --> 00:03:31,868 - Oh, my God. - You know him? 68 00:03:31,869 --> 00:03:35,157 He got me kicked out of my first residency program. 69 00:03:35,181 --> 00:03:40,181 - Synced and corrected by ChrisKe - -- for www.addic7ed.com -- 70 00:03:42,121 --> 00:03:46,055 No. No, I'm not okay. 71 00:03:46,056 --> 00:03:48,023 No, I can't calm down. So save your breath. 72 00:03:48,403 --> 00:03:50,266 Fine. But maybe you could speed up the freaking out. 73 00:03:50,267 --> 00:03:52,130 - Bailey noticed your seat is empty. - Screw Bailey. 74 00:03:52,131 --> 00:03:54,343 She should name the grand rounds guests in the emails. 75 00:03:54,368 --> 00:03:57,411 Yeah, you think you could've gotten away with skipping grand rounds? 76 00:03:57,521 --> 00:04:00,075 I think we can get away with about 45 seconds. So, go. 77 00:04:00,312 --> 00:04:02,589 He never requested me on his service, 78 00:04:02,590 --> 00:04:05,374 he looked past me in rounds, he never remembered my name. 79 00:04:05,399 --> 00:04:08,424 I learned to handle it. But when he... ...neglected 80 00:04:08,449 --> 00:04:12,660 a Black patient with chronic pancreatitis for weeks, 81 00:04:13,118 --> 00:04:14,601 I tried to ignore it, 82 00:04:14,602 --> 00:04:16,465 but when her symptoms worsened significantly overnight, 83 00:04:16,700 --> 00:04:20,773 I told him I was concerned she wasn't being seen. 84 00:04:21,264 --> 00:04:24,128 He informed me, if I was going to make a habit 85 00:04:24,129 --> 00:04:26,127 out of telling him things he already knew, 86 00:04:26,152 --> 00:04:29,362 I could go be disrespectful at another program. 87 00:04:29,819 --> 00:04:31,441 Which led to... 88 00:04:32,482 --> 00:04:36,001 The scrub room incident. 89 00:04:36,002 --> 00:04:37,866 And during my expulsion review, 90 00:04:39,143 --> 00:04:40,746 he called out my "aggressive 91 00:04:40,771 --> 00:04:43,181 behavior" and my "subpar" surgical skills. 92 00:04:43,182 --> 00:04:44,986 Well, he clearly didn't know you at all. 93 00:04:45,010 --> 00:04:47,806 - Thank you. - Right. Come on. We have to go back in. 94 00:04:47,807 --> 00:04:50,637 I can't watch Bailey fawn over him. 95 00:04:50,638 --> 00:04:54,234 She is who you work for now. You said he never saw you. 96 00:04:54,259 --> 00:04:55,618 Just get through the lecture, lay low, 97 00:04:55,643 --> 00:04:57,851 and then you never have to see him again. 98 00:04:59,868 --> 00:05:01,146 - Okay? - Okay. 99 00:05:06,101 --> 00:05:09,632 Just give me... Just give me another minute. 100 00:05:09,657 --> 00:05:12,728 ...portion of the IVC. 101 00:05:12,729 --> 00:05:15,696 I'll start by placing a mesocaval shunt, 102 00:05:15,697 --> 00:05:20,531 connecting the IVC past the location of the tumor 103 00:05:20,556 --> 00:05:23,221 and rerouting the small intestine outflow. 104 00:05:23,222 --> 00:05:26,735 And that's before I begin the periarterial divestment, 105 00:05:26,760 --> 00:05:29,710 during which I will resect the cancerous tissue 106 00:05:29,711 --> 00:05:32,713 surrounding the vessels, one of which is... 107 00:05:32,714 --> 00:05:34,710 The superior mesenteric artery. 108 00:05:34,735 --> 00:05:38,995 - Good. And it is significant because? - It supplies oxygenated blood 109 00:05:38,996 --> 00:05:41,550 to the pancreatic head, small intestines and parts of the colon. 110 00:05:41,551 --> 00:05:44,476 Your residents are quick on the draw, Dr. Bailey. 111 00:05:44,501 --> 00:05:46,071 Uh, Dr. Chase, 112 00:05:46,072 --> 00:05:48,936 surgical guidelines classify these tumors as inoperable. 113 00:05:48,937 --> 00:05:51,382 How can you ignore the recommendations? 114 00:05:51,407 --> 00:05:53,585 Well, I don't think all patients fall 115 00:05:53,609 --> 00:05:56,081 under the same criteria for resection. 116 00:05:56,082 --> 00:05:57,911 We may find that some actually benefit. 117 00:05:57,912 --> 00:05:59,945 By experimenting on them? 118 00:05:59,970 --> 00:06:02,468 Why don't I let our patient answer that one? 119 00:06:03,366 --> 00:06:04,815 I want to live. 120 00:06:05,299 --> 00:06:10,157 Following the guidelines might give me a few months, maybe a year. 121 00:06:10,614 --> 00:06:13,571 Dr. Chase's surgery could give me much longer. 122 00:06:13,596 --> 00:06:16,768 And his success rate is stellar. 123 00:06:16,793 --> 00:06:19,104 - He's planning to publish... - Soon. 124 00:06:19,105 --> 00:06:23,031 And I wanted to include Gabby, and you and your resident. 125 00:06:23,056 --> 00:06:24,390 Who have you chosen to assist? 126 00:06:24,415 --> 00:06:27,469 Uh, Griffith. Hi, uh, you're scrubbing in. 127 00:06:27,494 --> 00:06:30,009 Uh, and as for everyone else, thank you, you're dismissed. 128 00:06:31,595 --> 00:06:34,292 Okay, you got this. You're Simone Griffith. 129 00:06:34,293 --> 00:06:36,536 You take your excellence and you shove it down his throat. 130 00:06:36,537 --> 00:06:39,148 Uh, this is Dr. Griffith, one of our 131 00:06:39,172 --> 00:06:41,563 program's shining stars. 132 00:06:41,588 --> 00:06:43,073 Oh, I know Dr. Griffith. 133 00:06:43,532 --> 00:06:44,720 You do? 134 00:06:44,745 --> 00:06:47,091 Yes, our paths crossed when I worked in Baltimore. 135 00:06:47,829 --> 00:06:50,243 Good to see you thriving here, Dr. Griffith. 136 00:06:50,268 --> 00:06:53,064 Shall we go show our patient back to her room? 137 00:06:53,434 --> 00:06:54,537 Of course. 138 00:06:54,562 --> 00:06:56,185 Mmm. 139 00:06:58,593 --> 00:07:00,767 Morning. How was the conference? 140 00:07:00,768 --> 00:07:01,976 Educational. 141 00:07:03,357 --> 00:07:05,289 I'm sure Hunt's glad to have you back. 142 00:07:05,290 --> 00:07:07,152 You know, I barely survived with only one toddler. 143 00:07:07,153 --> 00:07:09,810 - I don't know how he managed two... - We have an incoming trauma 144 00:07:09,811 --> 00:07:13,480 and a suspected acute diverticulitis in bed two. 145 00:07:13,505 --> 00:07:14,597 I'm here to help. 146 00:07:14,622 --> 00:07:16,507 Uh, want me to start her on broad spectrum antibiotics? 147 00:07:16,532 --> 00:07:20,027 Only if you know something that I don't. I am waiting on her scans. 148 00:07:20,212 --> 00:07:21,684 Sorry. Just trying to anticipate what you need. 149 00:07:21,685 --> 00:07:24,343 What I need is for you to get her to CT. 150 00:07:24,759 --> 00:07:26,209 Will do, Chief. 151 00:07:28,751 --> 00:07:30,097 - Hey. - Hey. 152 00:07:30,618 --> 00:07:34,735 Hey, so I thought we could go to your favorite Italian place tonight. 153 00:07:34,760 --> 00:07:36,470 Look, I don't want an open marriage. 154 00:07:36,495 --> 00:07:38,444 I almost slept with someone in Oakland, 155 00:07:38,468 --> 00:07:41,658 but I couldn't go through with it. I am so sorry. But I don't want to 156 00:07:41,683 --> 00:07:43,952 be with anybody else. I only want you. 157 00:07:45,937 --> 00:07:47,629 Me too. 158 00:07:48,627 --> 00:07:49,870 - Really? - Yeah. 159 00:07:50,423 --> 00:07:55,235 You know, change was worth a try, but I only want to be with you too. 160 00:07:55,290 --> 00:07:58,224 D... Did you try? 161 00:07:58,757 --> 00:08:02,220 Rig's outside. You want me to do the intake or... 162 00:08:03,367 --> 00:08:04,540 We've got it. 163 00:08:09,733 --> 00:08:12,977 Brendon Browning, 25-year-old male, penetrating injury 164 00:08:12,978 --> 00:08:14,361 to the chest from an ice pick, 165 00:08:14,386 --> 00:08:17,395 50 mics of fentanyl en route. GCS 15, hemodynamically stable. 166 00:08:17,396 --> 00:08:18,361 And I'm in love. 167 00:08:18,392 --> 00:08:20,536 Please don't move. This ice pick is in a very dangerous area. 168 00:08:20,537 --> 00:08:21,650 Is your partner on their way? 169 00:08:21,675 --> 00:08:24,447 Oh, she's not... Uh, we're not together. Yet. 170 00:08:24,714 --> 00:08:25,957 I just met her this morning. 171 00:08:26,549 --> 00:08:29,392 - Okay, let's get him to trauma 1. - We got you, Brendon. 172 00:08:37,674 --> 00:08:39,710 What the hell is happening? 173 00:08:39,711 --> 00:08:44,095 Uh, former patient of mine gave me two tickets to tonight's game 174 00:08:44,120 --> 00:08:46,924 right behind home plate. 175 00:08:46,925 --> 00:08:48,611 - You free? - What's the catch? 176 00:08:48,636 --> 00:08:50,290 - There's no catch. - Mmm. 177 00:08:50,687 --> 00:08:53,793 I... I have Baxter as my intern today, you have Kwan. 178 00:08:53,794 --> 00:08:55,361 If I'm gonna make it to this game on time, 179 00:08:55,386 --> 00:08:58,453 I need somebody who's efficient and can read their own handwriting. 180 00:08:58,454 --> 00:09:01,008 Uh, an intern for behind home plate? 181 00:09:01,909 --> 00:09:03,014 And an Americano. 182 00:09:03,287 --> 00:09:04,822 Yeah. Done. 183 00:09:05,254 --> 00:09:06,783 I didn't have to give you the coffee, did I? 184 00:09:06,808 --> 00:09:08,672 You'll never know. 185 00:09:11,712 --> 00:09:14,406 - Well, you're late. - Uh, sorry. Grand rounds ran long. 186 00:09:14,431 --> 00:09:17,851 Do you know about this Chase technique? It's really interesting. 187 00:09:17,852 --> 00:09:20,140 Well, it's a tragic case, and I hope that works out. 188 00:09:20,165 --> 00:09:22,430 Good job on Ms. Regalski's central line. 189 00:09:22,454 --> 00:09:23,650 You've been practicing. 190 00:09:23,651 --> 00:09:25,480 Well, I'm upping my game. 191 00:09:25,481 --> 00:09:27,655 Trying to change Dr. Fox's mind about my remediation. 192 00:09:27,783 --> 00:09:29,889 A central line's not going to do that. 193 00:09:29,913 --> 00:09:31,106 But the practice doesn't hurt. 194 00:09:31,107 --> 00:09:33,359 Oh, I also signed up to help with admin backlog. 195 00:09:33,384 --> 00:09:35,524 And I'm volunteering at the clinic on Saturdays. 196 00:09:35,525 --> 00:09:37,181 I told you that wasn't happening. 197 00:09:37,182 --> 00:09:39,183 - Actually, you didn't. You said... - I am now. 198 00:09:39,317 --> 00:09:40,594 Let's finish rounds. 199 00:09:42,394 --> 00:09:44,878 There's a small left hemothorax. 200 00:09:44,879 --> 00:09:47,681 Let's do a FAST exam to make sure that the heart isn't involved. 201 00:09:47,706 --> 00:09:50,695 Okay, so where do you... Whoa. Stabbing? 202 00:09:50,720 --> 00:09:52,714 He was holding an ice pick and he slipped. 203 00:09:52,715 --> 00:09:53,759 So, he stabbed himself? 204 00:09:53,784 --> 00:09:55,587 They say people do stupid things when they're in love, 205 00:09:55,612 --> 00:09:57,270 but I didn't get it until today. 206 00:09:57,271 --> 00:09:59,307 He also met the love of his life today. 207 00:09:59,308 --> 00:10:01,648 Ah, neat. Another one of those. 208 00:10:01,689 --> 00:10:03,969 I was working the bar at a corporate brunch event. It's not my scene. 209 00:10:03,994 --> 00:10:05,871 But then I looked up, and there she was. 210 00:10:05,895 --> 00:10:07,694 The girl of my dreams. 211 00:10:07,695 --> 00:10:09,213 FAST exam is negative. 212 00:10:09,214 --> 00:10:11,077 Talking with her was the best 17 minutes of my life. 213 00:10:11,078 --> 00:10:13,398 How much ground could you possibly cover in 17 minutes? 214 00:10:13,423 --> 00:10:15,840 Her trip to Japan, her foster kittens, her bug collection. 215 00:10:15,841 --> 00:10:17,290 Enough to know that she's perfect. 216 00:10:17,291 --> 00:10:19,361 Mrs. Grandy's CT confirms acute diver... 217 00:10:19,362 --> 00:10:21,239 - Wow. Uh, screwdriver? - Ice pick. 218 00:10:21,263 --> 00:10:23,383 He fell in love and slipped onto it. 219 00:10:23,408 --> 00:10:25,316 Warren, focus. Admit Mrs. Grandy, 220 00:10:25,341 --> 00:10:28,020 get her on antibiotics, and meet us in CT. 221 00:10:29,315 --> 00:10:31,386 All right. It looks like it only hit the lung. 222 00:10:31,961 --> 00:10:35,066 Yeah, but I don't like how close it is to the heart. 223 00:10:35,091 --> 00:10:36,561 Millin, get us a CT. 224 00:10:36,586 --> 00:10:38,588 I'll let them know we're on our way. 225 00:10:40,595 --> 00:10:43,247 Jack Moss, 36, sustained a tib-fib fracture over a year ago 226 00:10:43,248 --> 00:10:44,564 due to a motorbike accident. 227 00:10:44,589 --> 00:10:46,871 It resulted in malunion, here for a corrective osteotomy 228 00:10:46,872 --> 00:10:48,390 to realign the bones. 229 00:10:48,391 --> 00:10:50,668 At least I got to see the desert outside Marrakech 230 00:10:50,669 --> 00:10:52,601 before skidding into a textile market. 231 00:10:52,602 --> 00:10:56,502 Says you were scheduled for a surgery six months ago. Did you forget? 232 00:10:56,503 --> 00:10:59,263 My tourist visa came through, and I went to Tanzania instead. 233 00:10:59,264 --> 00:11:00,576 Must be nice. 234 00:11:01,073 --> 00:11:02,247 And how's the pain? 235 00:11:02,866 --> 00:11:05,272 - Barely feel it. - All right. 236 00:11:07,986 --> 00:11:10,484 You barely feel any pain? 237 00:11:10,509 --> 00:11:12,183 I mean, I feel it when I walk, like, 238 00:11:12,207 --> 00:11:14,416 more than a hundred feet. Can you fix it? 239 00:11:17,386 --> 00:11:19,737 You know, Jack, just at first glance, 240 00:11:19,949 --> 00:11:22,059 we may be looking at an amputation. 241 00:11:22,780 --> 00:11:26,405 What? Uh, no, no, no, no. I have another tour next month in Munich. 242 00:11:26,774 --> 00:11:28,259 And then after that, it's Prague. 243 00:11:28,892 --> 00:11:30,908 Uh. I'll tell you what, we'll get a new 244 00:11:30,933 --> 00:11:33,539 round of tests. CT, MRI, everything. 245 00:11:33,540 --> 00:11:35,335 And we'll take it from there. 246 00:11:35,858 --> 00:11:38,779 - Kwan? - You got it. 247 00:11:40,441 --> 00:11:42,765 Okay. 248 00:11:42,790 --> 00:11:45,171 Oh, here he is. I'm gonna ask him. 249 00:11:45,172 --> 00:11:47,795 - I already told you... - Something I can settle for you? 250 00:11:48,175 --> 00:11:51,004 You've done this experimental surgery enough times 251 00:11:51,005 --> 00:11:52,972 to know that my baby girl will be okay, right? 252 00:11:52,973 --> 00:11:55,975 You have to stop calling me that. I'm 38. 253 00:11:55,976 --> 00:11:58,015 And I'm not okay. I have cancer. 254 00:11:58,040 --> 00:12:00,186 If I don't do this, I may never get to see Chicago. 255 00:12:00,187 --> 00:12:02,153 The musical or the city? 256 00:12:02,325 --> 00:12:05,501 The new library on South Chicago. That's what our team calls it. 257 00:12:05,675 --> 00:12:08,090 I'm an architect. It's been my life for four years. 258 00:12:08,091 --> 00:12:09,804 I want to see it finished. 259 00:12:09,829 --> 00:12:11,876 I want to see kids light up at all the books 260 00:12:11,901 --> 00:12:13,820 and old people play chess in the community room. 261 00:12:13,821 --> 00:12:15,650 I thought you wanted to spend more time with me. 262 00:12:15,651 --> 00:12:17,251 You'll be one of the people playing chess. 263 00:12:19,152 --> 00:12:20,931 Promise me she'll be okay. 264 00:12:20,956 --> 00:12:25,798 Well, I'd be lying. Nobody can guarantee that with 100% certainty. 265 00:12:26,040 --> 00:12:27,317 Here's what I can say. 266 00:12:27,318 --> 00:12:29,306 When I walk into that operating room, 267 00:12:29,331 --> 00:12:31,493 I'm gonna pour everything I've learned 268 00:12:31,494 --> 00:12:33,810 from decades of practice and research 269 00:12:33,835 --> 00:12:36,327 into curing your daughter's cancer. 270 00:12:36,352 --> 00:12:39,701 And I won't stop until I've done everything I can for her. 271 00:12:40,499 --> 00:12:42,501 He knows what he's doing, Mom. 272 00:12:43,788 --> 00:12:47,275 I know the odds. I want this. 273 00:12:48,681 --> 00:12:49,736 Good. 274 00:12:49,761 --> 00:12:52,307 Dr. Griffith, will you prep Ms. Mims for surgery? 275 00:12:52,308 --> 00:12:53,220 Of course. 276 00:12:53,245 --> 00:12:56,346 We'll see you soon, Gabby. 277 00:12:56,347 --> 00:12:58,487 - Here you go. - Thank you. 278 00:13:02,361 --> 00:13:03,931 Was it the night that I left? 279 00:13:03,956 --> 00:13:05,697 - When your mom was watching the kids? - Teddy... 280 00:13:05,722 --> 00:13:07,978 Owen, did you have someone over at our house? 281 00:13:07,979 --> 00:13:11,812 - We agreed on rules. No details. - So that's a yes. 282 00:13:11,837 --> 00:13:13,535 I did not bring anyone into our home. 283 00:13:13,536 --> 00:13:15,641 Anyone? Were there multiple people? 284 00:13:15,642 --> 00:13:17,447 No. Why are you accusing me? 285 00:13:17,472 --> 00:13:21,716 We opened our marriage, Teddy. And you also were with someone else. 286 00:13:21,717 --> 00:13:23,898 - How's our young Romeo? - Great. 287 00:13:23,923 --> 00:13:27,133 I know these odds. He is way more into her than she is into him. 288 00:13:27,158 --> 00:13:29,827 - They say every pot has its lid. - Some pots have many lids. 289 00:13:29,828 --> 00:13:31,588 - Says the kettle. - You're mixing metaphors. 290 00:13:31,589 --> 00:13:34,281 - No, I'm not. - Scans. Scans are up. 291 00:13:34,908 --> 00:13:36,903 Well, it's hard to see with all of this artifact, 292 00:13:36,904 --> 00:13:39,516 but it looks like the ice pick is 293 00:13:39,541 --> 00:13:41,954 penetrating the descending aortic arch. 294 00:13:41,979 --> 00:13:44,926 You see that? There is a contained hematoma 295 00:13:44,951 --> 00:13:47,816 that has formed around the entry site. 296 00:13:48,170 --> 00:13:49,619 How is he not bleeding out? 297 00:13:49,745 --> 00:13:52,250 The ice pick is essentially plugging the hole. 298 00:13:52,275 --> 00:13:53,920 So if we move him, and it moves... 299 00:13:54,201 --> 00:13:56,100 He could bleed out and die. 300 00:13:56,256 --> 00:13:58,258 So how do we get him to the OR? 301 00:14:04,000 --> 00:14:05,204 Hmm. Hi. 302 00:14:05,229 --> 00:14:09,695 How's Chase? Did he cure metastatic lung cancer too? 303 00:14:09,696 --> 00:14:12,767 Do you two have history? 304 00:14:12,940 --> 00:14:14,907 Never met him until today. 305 00:14:15,416 --> 00:14:17,235 But I do have history with you. 306 00:14:18,274 --> 00:14:21,606 Now, you asked me to do a consult on Gabby Mims two months ago, 307 00:14:21,631 --> 00:14:24,047 and clearly, you didn't trust my opinion. 308 00:14:24,331 --> 00:14:27,298 I was looking for options. 309 00:14:27,299 --> 00:14:30,474 Chase had one. No, he's breaking new ground. 310 00:14:30,475 --> 00:14:32,167 He's resecting a tumor from a place 311 00:14:32,191 --> 00:14:34,133 where multiple studies have determined 312 00:14:34,134 --> 00:14:35,997 that the risks outweigh the benefit. 313 00:14:35,998 --> 00:14:39,172 I take it you don't approve of his technique. 314 00:14:39,197 --> 00:14:43,360 Yeah. His so-called technique is the same as resecting any other 315 00:14:43,385 --> 00:14:45,782 tumor, just with more arrogance. 316 00:14:46,066 --> 00:14:50,290 And, frankly, I'm surprised you allowed him to use it on Gabby. 317 00:14:50,788 --> 00:14:52,548 I guess she was a good lure. 318 00:14:53,533 --> 00:14:56,983 You think... I used Gabby as surgical bait? 319 00:14:56,984 --> 00:14:59,330 People go to great lengths to meet their heroes. 320 00:14:59,494 --> 00:15:01,842 I know you've admired him from afar for years. 321 00:15:02,369 --> 00:15:05,554 Um, Dr. Chase's methods 322 00:15:05,579 --> 00:15:08,478 could be the future of pancreatic surgery. 323 00:15:08,712 --> 00:15:12,516 We can get on board or we can bury our heads in the sand 324 00:15:12,517 --> 00:15:13,967 and watch our patients die. 325 00:15:14,346 --> 00:15:18,938 You do what you want. I prefer to keep my head above ground. 326 00:15:27,259 --> 00:15:31,413 So if we roll over a paper clip, or someone runs into me, I'll die? 327 00:15:31,438 --> 00:15:33,713 It's not that simple. First, you would start to bleed, 328 00:15:33,714 --> 00:15:35,577 then we would get you into surgery as soon as possible. 329 00:15:35,578 --> 00:15:37,822 - Oh, God. - We will be very careful. 330 00:15:38,133 --> 00:15:39,328 I don't know. 331 00:15:39,353 --> 00:15:40,789 Well, you rode in an ambulance, 332 00:15:40,790 --> 00:15:43,366 and then in an elevator and on a gurney. 333 00:15:43,391 --> 00:15:46,601 Like, those are pretty good odds, and I'm usually a downer. 334 00:15:46,626 --> 00:15:49,798 There's no reason to think that we can't get you to the OR safely. 335 00:15:49,799 --> 00:15:52,579 Yeah, and then you can go be happy with what's her... 336 00:15:52,882 --> 00:15:55,125 - What is her name? - I don't know. 337 00:15:55,978 --> 00:15:59,083 - Why didn't I ask? I-I should have asked. - It was 17 minutes! 338 00:15:59,084 --> 00:16:01,292 Hey, Brendon, we need you to calm down, okay? 339 00:16:01,293 --> 00:16:04,296 And we need you to trust us, okay? Can you do that? 340 00:16:04,716 --> 00:16:06,372 - Okay. - Okay. 341 00:16:07,522 --> 00:16:08,902 It's all right. It's okay. 342 00:16:08,934 --> 00:16:10,726 All right, everybody, move out of the way! 343 00:16:10,751 --> 00:16:14,961 Let's move on my count, okay? I'll set the pace. One, two, three. 344 00:16:14,962 --> 00:16:19,933 Okay. All right. We got you. 345 00:16:20,591 --> 00:16:23,905 Your pre-op labs are all good. You're cleared for surgery. 346 00:16:25,793 --> 00:16:27,726 I can't believe it's finally happening. 347 00:16:28,127 --> 00:16:31,204 So, what do you think of Dr. Chase? Is he as good as everyone says? 348 00:16:35,224 --> 00:16:38,733 He's excellent. I've actually watched him operate before. 349 00:16:38,758 --> 00:16:42,264 I once saw him treat a very complicated mesothelioma with HIPEC, 350 00:16:42,265 --> 00:16:45,594 combination of surgery and hot chemotherapy in the abdomen. 351 00:16:45,619 --> 00:16:47,040 The patient is okay? 352 00:16:47,065 --> 00:16:49,461 Posted a photo with his new grandson a few weeks ago. 353 00:16:55,382 --> 00:16:57,971 I have to do this, Mom. 354 00:16:59,066 --> 00:17:00,868 It's my only chance. 355 00:17:02,872 --> 00:17:05,165 Last time I was in a hospital bed, 356 00:17:05,189 --> 00:17:07,877 I was holding my new baby girl in my arms. 357 00:17:09,547 --> 00:17:12,619 I didn't want to let go of you then, and I don't want to let go now. 358 00:17:13,886 --> 00:17:18,938 What if this the last time... 359 00:17:28,691 --> 00:17:31,763 You've been the best mama I could ever have. 360 00:17:33,621 --> 00:17:37,970 You gave me the courage to think big, dream big... 361 00:17:38,630 --> 00:17:40,252 - believe big. - Believe big. 362 00:17:41,970 --> 00:17:45,456 That's why I'm not afraid to do this. 363 00:17:47,044 --> 00:17:48,736 I love you. 364 00:17:49,633 --> 00:17:52,016 I love you more, baby girl. 365 00:17:54,934 --> 00:17:56,659 Who's ready for surgery? 366 00:18:00,129 --> 00:18:01,302 Okay. 367 00:18:04,168 --> 00:18:05,342 Now I'm ready. 368 00:18:07,411 --> 00:18:09,886 - Let's do this. - All righty. 369 00:18:12,252 --> 00:18:14,770 Hey. Uh, so I dropped off Ms. Schiller's labs 370 00:18:14,771 --> 00:18:17,571 and I submitted Mr. Bohigian's discharge paperwork. 371 00:18:17,596 --> 00:18:21,261 Oh. Good. When I finish with the scans, you can update the charts. 372 00:18:21,640 --> 00:18:24,029 Uh, Chase's surgery is about to start. 373 00:18:24,054 --> 00:18:25,262 Are you scrubbing in? 374 00:18:25,851 --> 00:18:28,687 No, I-I just assumed we'd watch. 375 00:18:28,712 --> 00:18:30,062 I'm not interested in that. 376 00:18:30,063 --> 00:18:31,673 Well, he could make history today. 377 00:18:31,698 --> 00:18:34,540 And you can learn a lot by watching good surgeons, right? 378 00:18:34,897 --> 00:18:36,830 - Come with me. - To the gallery? 379 00:18:37,705 --> 00:18:38,878 Better. 380 00:18:43,490 --> 00:18:46,423 Sorry. Jack saw a scenic photo in radiology 381 00:18:46,424 --> 00:18:48,045 and refused to go back to his room 382 00:18:48,046 --> 00:18:50,206 until I could figure out if it was Banff National Park. 383 00:18:50,467 --> 00:18:51,956 Was it? 384 00:18:51,981 --> 00:18:54,224 Oh, he thinks it is. 385 00:18:54,225 --> 00:18:57,779 - Okay, what do you see? - Well, a bone that's completely healed 386 00:18:57,780 --> 00:18:58,860 but at an angle. 387 00:18:58,885 --> 00:19:01,671 Oh, he's lucky if he gets five feet, let alone a hundred. 388 00:19:01,696 --> 00:19:03,958 Yeah, you can see the vessel is kinked here 389 00:19:03,959 --> 00:19:05,712 in the area of the bone deformity. 390 00:19:05,737 --> 00:19:07,423 He only has one vessel running 391 00:19:07,447 --> 00:19:10,469 off to the foot, barely keeping it alive. Damn. 392 00:19:10,494 --> 00:19:12,621 Hope he took lots of pictures in the Serengeti. 393 00:19:12,622 --> 00:19:14,383 He's not going anywhere besides PT. 394 00:19:16,776 --> 00:19:18,321 It's an amputation, right? 395 00:19:19,043 --> 00:19:21,882 Ooh, could I do it? I always wanted to do one. 396 00:19:21,907 --> 00:19:23,839 Go check on my arthroplasty from last night. 397 00:19:23,840 --> 00:19:25,243 Millin got to do one her first day. 398 00:19:25,267 --> 00:19:28,079 - Interns perform them all the time... - Not hyped-up ones. 399 00:19:28,511 --> 00:19:31,743 Put that crap away. I'm already overloaded with patients. 400 00:19:31,768 --> 00:19:33,563 I don't have time to resuscitate you. 401 00:19:33,588 --> 00:19:35,094 Now go do what I asked. 402 00:19:38,258 --> 00:19:40,166 You're going too fast. 403 00:19:40,167 --> 00:19:42,720 Listen, if you have a problem with my pace, then you lead. 404 00:19:42,721 --> 00:19:44,895 - Is everything okay? - You're doing great. 405 00:19:44,896 --> 00:19:46,172 Almost at the elevator. 406 00:19:46,173 --> 00:19:48,149 - Whoa, whoa! - Hey! No running! 407 00:19:49,298 --> 00:19:50,548 Okay. 408 00:19:50,573 --> 00:19:54,110 So, um, tell us more about the woman you met. What does she do? 409 00:19:54,733 --> 00:19:56,597 She's a graphic designer, I think. 410 00:19:57,598 --> 00:19:59,323 I don't know her name or what she does. 411 00:19:59,324 --> 00:20:02,086 When you get out of here, you'll get a second chance. 412 00:20:02,344 --> 00:20:03,548 But what if I die? 413 00:20:03,573 --> 00:20:05,929 Hey, Millin. Why don't you get out your phone? 414 00:20:05,953 --> 00:20:08,805 - We're gonna find her. - Find her how? 415 00:20:08,830 --> 00:20:11,074 You're the millennial. You tell me. 416 00:20:12,885 --> 00:20:14,645 This never goes well for me. 417 00:20:15,720 --> 00:20:17,548 Can you think of anything unique? 418 00:20:17,549 --> 00:20:21,264 A... A blue streak in her hair? Uh, big glasses? 419 00:20:21,289 --> 00:20:25,086 She has hazel eyes. I think she has a small dimple when she smiles? 420 00:20:25,814 --> 00:20:27,644 Okay, everyone. Nice and slow. 421 00:20:28,781 --> 00:20:31,501 Easy. Okay. 422 00:20:32,641 --> 00:20:35,601 You ready for tonight? Yeah, last night, Boston was down. 423 00:20:35,602 --> 00:20:37,535 They put in Taft as a designated hitter. 424 00:20:37,914 --> 00:20:39,674 Steps up to the plate with the bases loaded 425 00:20:39,675 --> 00:20:42,751 and hits a genius triple to left center. 426 00:20:42,776 --> 00:20:43,973 Unstoppable. 427 00:20:43,998 --> 00:20:46,243 I'm, uh, taking Baxter back. 428 00:20:46,785 --> 00:20:49,339 I've got a sensitive case, and something's up with Kwan. 429 00:20:49,340 --> 00:20:51,272 Um, does tonight's seat go with Baxter? 430 00:20:51,273 --> 00:20:53,804 - Nope. - All right. Take whoever you want. 431 00:20:53,829 --> 00:20:56,587 I do need to see if I can switch the seats to tomorrow. 432 00:20:56,588 --> 00:20:59,107 Oh. No, no, no. I got a... a late CABG tomorrow night. 433 00:20:59,108 --> 00:21:01,706 So... ...put that phone away, please. 434 00:21:01,731 --> 00:21:05,182 My patient's got a severe tib-fib malunion with vascular damage 435 00:21:05,183 --> 00:21:06,469 and critical limb ischemia. 436 00:21:06,494 --> 00:21:12,212 I've-I've either gotta amputate or... bring in a genius designated hitter. 437 00:21:12,752 --> 00:21:14,823 Is he a candidate for a fem-tib bypass? 438 00:21:15,244 --> 00:21:18,764 He's got anatomy distorted below the knee. No. 439 00:21:18,949 --> 00:21:21,485 No, it won't work. When I say "severe," I mean I've never 440 00:21:21,510 --> 00:21:23,728 seen a leg like this in my entire career. 441 00:21:23,760 --> 00:21:25,176 I can bypass anything. 442 00:21:25,386 --> 00:21:26,559 Even this? 443 00:21:27,973 --> 00:21:29,181 - Damn it. - Yeah. 444 00:21:29,828 --> 00:21:33,107 - Not everybody's unstoppable. - No, I can do it. 445 00:21:33,315 --> 00:21:38,087 Which means I won't be sitting behind home plate tonight. 446 00:21:38,492 --> 00:21:39,798 What if I never find her? 447 00:21:39,823 --> 00:21:41,908 - Seattle's not that big. - But it's that not small, either. 448 00:21:41,909 --> 00:21:43,669 And you're young. You'll meet somebody else. 449 00:21:43,670 --> 00:21:45,843 - Uh, maybe you dodged a bullet. - Every nightmare I ever dated 450 00:21:45,844 --> 00:21:48,454 - made a great first impression. - Or she's the love of your life. 451 00:21:48,479 --> 00:21:51,987 I-I'm sorry. Does nobody else find this a little bit creepy? 452 00:21:51,988 --> 00:21:53,782 I'm sure you're great, but stalking is not... 453 00:21:53,783 --> 00:21:55,681 - Have you ever been in love? - This feels inappropriate. 454 00:21:55,682 --> 00:21:57,338 When you're in love, you don't give up. 455 00:21:57,339 --> 00:21:58,832 - Keep looking. - Okay. 456 00:21:58,857 --> 00:22:01,266 Here we go. 457 00:22:03,387 --> 00:22:04,975 Careful. 458 00:22:05,819 --> 00:22:07,510 Easy. 459 00:22:09,508 --> 00:22:10,785 All right, let's turn. 460 00:22:16,519 --> 00:22:17,860 Doing great. 461 00:22:18,196 --> 00:22:20,188 Brendon, does she have a mole on her neck? 462 00:22:20,189 --> 00:22:22,038 - On her right side. Did you find her? - I think so. 463 00:22:22,063 --> 00:22:23,360 You were right about the bugs. 464 00:22:23,385 --> 00:22:27,057 "Elena Ginsburg, member of the Greater Seattle Entomology Club"? 465 00:22:27,058 --> 00:22:30,129 What's entomology? Oh, my God. That's her. 466 00:22:30,130 --> 00:22:31,682 - No, no! - Brendon, don't move! 467 00:22:31,683 --> 00:22:33,858 Okay, run. Let's go! Let's go! 468 00:22:37,547 --> 00:22:39,931 Hey. We need to get him on the OR table right now. 469 00:22:39,932 --> 00:22:41,764 - We need to get in there. - Gown and glove. 470 00:22:41,789 --> 00:22:45,414 Okay, on my count. Ready? One, two, three. 471 00:22:46,007 --> 00:22:48,022 - Betadine. - Yeah, I'm on it. 472 00:22:48,047 --> 00:22:49,941 The ice pick in his aorta moved. 473 00:22:49,942 --> 00:22:51,839 We got him here in less than a minute. We can save him. 474 00:22:51,840 --> 00:22:53,427 Let's go. Let's go! 475 00:22:53,428 --> 00:22:55,499 All right, we're removing the ice pick. 476 00:22:58,951 --> 00:23:00,344 - Scalpel. - How can I help? 477 00:23:00,369 --> 00:23:02,470 You can give us some space. Come on, Brendon. 478 00:23:02,541 --> 00:23:04,716 You made it this far. Stay with me. 479 00:23:06,890 --> 00:23:08,166 That's not it. 480 00:23:08,167 --> 00:23:09,857 Yeah, maybe I should get back to rounds. 481 00:23:09,858 --> 00:23:12,791 Uh, Mr. Vizcaino's wound vac's not gonna check itself. 482 00:23:12,792 --> 00:23:16,133 Uh, we just checked it. You know, you made a very good point. 483 00:23:16,158 --> 00:23:17,360 I did? 484 00:23:17,385 --> 00:23:20,626 Yeah. There is a value to watching great surgical cases. 485 00:23:20,627 --> 00:23:23,147 All right. Ah. Found it. 486 00:23:25,563 --> 00:23:28,186 - What is that? - This, son, is a videotape. 487 00:23:28,563 --> 00:23:30,982 Yeah, I kn-know that. What's on it? 488 00:23:30,983 --> 00:23:32,250 Surgeries. 489 00:23:32,275 --> 00:23:36,538 Look, I'm talking Whipples and Roux-en-Ys and Puestows. 490 00:23:36,563 --> 00:23:40,474 Procedures that require real skill, not that surgical cowboy nonsense. 491 00:23:40,475 --> 00:23:44,516 You wanna watch and learn, you watch this. 492 00:23:45,174 --> 00:23:46,313 How? 493 00:23:52,005 --> 00:23:55,534 I'm almost finished with the first shunt. 494 00:23:55,559 --> 00:24:01,493 Suction. But careful, too aggressive a move could spell disaster. 495 00:24:03,705 --> 00:24:05,008 - This okay? - It's fine. 496 00:24:05,033 --> 00:24:09,434 Dr. Griffith recently did a solo surgery. First in her class. 497 00:24:09,435 --> 00:24:11,608 Wow, congratulations. 498 00:24:11,633 --> 00:24:15,101 - Ever seen a mesocaval shunt before? - No, sir. 499 00:24:15,126 --> 00:24:18,681 Congratulations again. You're about to see one completed. 500 00:24:19,790 --> 00:24:21,066 Oh. Careful with this margin. 501 00:24:21,067 --> 00:24:22,852 - I see it. - Mmm. 502 00:24:22,877 --> 00:24:25,311 And why do we need the shunt? 503 00:24:25,336 --> 00:24:29,626 To bypass the SMV and provide outflow from the intestine 504 00:24:29,627 --> 00:24:31,525 while you resect the tumor... 505 00:24:31,526 --> 00:24:35,642 - That was meant for Griffith. - Yeah. But correct. 506 00:24:35,667 --> 00:24:38,692 You must have been one outstanding student. 507 00:24:39,085 --> 00:24:43,709 I like to think I still am. It helps to have amazing teachers. 508 00:24:43,710 --> 00:24:45,915 Okay. Shunt is done. 509 00:24:45,940 --> 00:24:51,305 Moving on to the periarterial divestment on the SMA. 510 00:24:55,469 --> 00:24:58,110 Just like we planned before, I'll start with the osteotomy. 511 00:24:58,135 --> 00:25:00,450 Can I help you, Dr. Kwan? 512 00:25:00,451 --> 00:25:05,629 - I'm on Dr. Ndugu's service now. - Um, fine. Just stand over there. 513 00:25:07,148 --> 00:25:09,149 I will re-break the bones in your leg, 514 00:25:09,150 --> 00:25:11,772 and I will realign them with plates and screws. 515 00:25:11,773 --> 00:25:13,774 That's when I'll go in and attempt the bypass 516 00:25:13,775 --> 00:25:16,420 - to improve blood flow to the leg. - Okay, great. Let's do it. 517 00:25:16,445 --> 00:25:18,482 I wanna keep my legs so I can keep traveling. 518 00:25:19,677 --> 00:25:21,644 Jack, we won't perform the surgery 519 00:25:21,645 --> 00:25:25,614 unless you agree to stop traveling while you properly heal. 520 00:25:27,375 --> 00:25:30,615 - Okay, well, how long will that take? - Months. If today goes well. 521 00:25:30,640 --> 00:25:32,952 How long does recovery from an amputation take? 522 00:25:34,037 --> 00:25:36,250 - Months. - And if I do nothing? 523 00:25:36,275 --> 00:25:37,936 Without urgent intervention, 524 00:25:37,937 --> 00:25:39,627 the wound on your leg could become infected, 525 00:25:39,628 --> 00:25:40,975 which could lead to sepsis. 526 00:25:47,328 --> 00:25:48,501 Okay. 527 00:25:49,976 --> 00:25:51,633 I want the surgery. 528 00:25:52,643 --> 00:25:54,093 We'll see you in the OR. 529 00:25:58,544 --> 00:26:02,491 Babcock. Fortunately, the tissue's not friable, 530 00:26:02,516 --> 00:26:06,827 so it peels right off the vessel with sharp dissection. 531 00:26:06,852 --> 00:26:08,794 Look at that. 532 00:26:08,795 --> 00:26:11,540 Fundamentally, it's no different than resecting any other tumor. 533 00:26:11,565 --> 00:26:13,633 - There's some bleeding. - Where? 534 00:26:13,657 --> 00:26:15,423 Then suction. 535 00:26:15,906 --> 00:26:18,114 Uh, did the tumor invade the SMA? 536 00:26:18,115 --> 00:26:20,496 It's possible. Yep. 537 00:26:20,497 --> 00:26:23,805 The tumor definitely breached the arterial wall. Clamp. 538 00:26:24,165 --> 00:26:27,537 We need 4-0 prolene. And more suction. 539 00:26:28,071 --> 00:26:31,379 Okay, I'll suture the SMA, and then we'll close. 540 00:26:31,404 --> 00:26:34,072 Close? W-We haven't finished. 541 00:26:34,097 --> 00:26:35,638 If we continue with the procedure, 542 00:26:35,662 --> 00:26:37,412 we're putting her in greater danger. 543 00:26:37,437 --> 00:26:39,813 What about blood supply to the small bowel? 544 00:26:40,103 --> 00:26:43,208 Tell your intern that's out of scope for this procedure. 545 00:26:43,209 --> 00:26:44,868 I am officially done here. 546 00:26:44,893 --> 00:26:47,376 You have successfully completed 547 00:26:47,401 --> 00:26:50,149 all your other cases. Why stop now? 548 00:26:51,286 --> 00:26:57,554 Dr. Chase? Okay, if you stop, will Gabby be a part of your study? 549 00:26:57,579 --> 00:26:59,949 I'm kind of in the middle of something if you haven't noticed... 550 00:26:59,950 --> 00:27:01,951 - Dr. Chase. - Of course not. 551 00:27:02,116 --> 00:27:03,980 Her procedure was incomplete. 552 00:27:04,910 --> 00:27:06,738 So that's how you do it. 553 00:27:06,888 --> 00:27:10,856 I thought it was unparalleled expertise and steady hands. 554 00:27:10,857 --> 00:27:12,616 But it's cutting and running 555 00:27:12,641 --> 00:27:14,377 before there are consequences, at least, for you. 556 00:27:14,378 --> 00:27:16,414 Dr. Bailey, her small bowel's becoming dusky. 557 00:27:16,415 --> 00:27:20,694 Okay. Uh, if we stop, she will die. 558 00:27:20,695 --> 00:27:23,249 I told you, I'm done here. 559 00:27:24,391 --> 00:27:27,735 You're damn right you are. No. I will finish. 560 00:27:27,736 --> 00:27:30,614 Your patient is no longer a candidate for this procedure... 561 00:27:30,639 --> 00:27:33,849 Then by all means, don't let me keep you. There's the door. Use it! 562 00:27:35,158 --> 00:27:38,263 I need a stool, please. 563 00:27:38,264 --> 00:27:40,403 - Right away, doctor. - What do we do now? 564 00:27:40,404 --> 00:27:45,102 Uh, I don't know, but we sure as hell aren't closing. 565 00:27:51,368 --> 00:27:53,281 Just have to put in a few more, 566 00:27:53,282 --> 00:27:55,649 and if the alignment's in check, it's all you. 567 00:27:56,354 --> 00:27:57,767 When was the original fracture? 568 00:27:57,792 --> 00:27:59,220 Eighteen months ago. 569 00:27:59,245 --> 00:28:02,681 He was treated abroad, but he started weight-bearing way too soon. 570 00:28:02,706 --> 00:28:04,742 Nearly lost his leg today, but, hey, 571 00:28:05,017 --> 00:28:06,724 I bet the beer was damn tasty after seeing 572 00:28:06,748 --> 00:28:08,570 the Great Migration in the Serengeti. 573 00:28:08,595 --> 00:28:10,445 What? That's why he risked amputation? 574 00:28:10,470 --> 00:28:11,644 He didn't wanna cancel a trip? 575 00:28:11,645 --> 00:28:14,820 - That's what he said. - He lied to you. Drill. 576 00:28:15,200 --> 00:28:17,512 Jack's brother was an extreme adventurer. 577 00:28:17,513 --> 00:28:19,445 He booked a trip around the world. 578 00:28:19,446 --> 00:28:21,136 Motorcycle tours mostly. 579 00:28:21,137 --> 00:28:23,452 He died unexpectedly two years ago. 580 00:28:23,477 --> 00:28:26,175 Jack quit his job, and he's been spreading his brother's ashes 581 00:28:26,176 --> 00:28:28,937 in every country his brother wanted to see before he died. 582 00:28:29,086 --> 00:28:32,517 He could have avoided all this if he let himself heal physically, but... 583 00:28:32,798 --> 00:28:36,491 spreading his brother's ashes probably healed something, too. 584 00:28:37,399 --> 00:28:39,790 Done. Ndugu, you're up. 585 00:28:39,914 --> 00:28:41,399 All right. Let's hope I didn't 586 00:28:41,423 --> 00:28:43,192 make you do all that work for nothing, huh? 587 00:28:43,193 --> 00:28:45,023 Potts scissors, please. 588 00:28:47,734 --> 00:28:50,495 Okay, watch this now. I'm going to... 589 00:28:51,685 --> 00:28:55,274 Oh, come on here. Come on. 590 00:28:56,759 --> 00:29:00,037 You know, they have places that convert these old tapes. 591 00:29:00,038 --> 00:29:01,280 Oh, to DVDs? 592 00:29:02,937 --> 00:29:04,697 Ah, here we go. All right. 593 00:29:04,698 --> 00:29:08,223 Now I'm going to dissect the lateral peritoneal attachments. 594 00:29:08,248 --> 00:29:11,631 - The Kocher maneuver. - Exactly. Here's the incision... 595 00:29:11,656 --> 00:29:14,855 Uh, are you using your finger to open up the duodenum? 596 00:29:14,880 --> 00:29:18,021 Yeah. Simple and effective. See? That's how I was taught. 597 00:29:18,606 --> 00:29:20,942 Huh. 598 00:29:22,550 --> 00:29:24,485 It's Bailey. It's a 9-1-1. 599 00:29:29,890 --> 00:29:33,722 I can't believe I fell for that man's snake oil. 600 00:29:34,116 --> 00:29:37,119 Did you have any idea when you were in Baltimore? 601 00:29:37,519 --> 00:29:38,688 Where's Chase? 602 00:29:38,713 --> 00:29:41,243 - Uh, you were right. Don't gloat. - About what? 603 00:29:41,268 --> 00:29:44,131 Gabby's tumor grew through the wall of the SMA. 604 00:29:44,156 --> 00:29:48,057 - Chase transected it while resecting. - Then decided to take a break? 605 00:29:48,466 --> 00:29:50,570 Dr. Bailey asked him to leave 606 00:29:50,571 --> 00:29:52,584 after figuring out he's been selective 607 00:29:52,608 --> 00:29:54,402 about the patients in his study. 608 00:29:56,235 --> 00:30:00,507 Well, the artery is shot. He did a nice job on the shunt, though. 609 00:30:00,532 --> 00:30:03,583 Adams, see how he rerouted the SMV to the IVC? 610 00:30:03,584 --> 00:30:05,965 Hey, look, I know this is a teachable moment, 611 00:30:05,966 --> 00:30:07,634 but every minute that goes by increases 612 00:30:07,659 --> 00:30:09,796 the chances of Gabby's bowel necrosing. 613 00:30:09,797 --> 00:30:12,360 And as much as I appreciate the 614 00:30:12,385 --> 00:30:16,355 genius of Chase's rerouting, we need to... 615 00:30:19,011 --> 00:30:20,337 What are you thinking? 616 00:30:20,634 --> 00:30:22,626 What if we used a saphenous 617 00:30:22,651 --> 00:30:25,156 vein graft to reconstruct the SMA? 618 00:30:25,181 --> 00:30:29,748 W-We could restore the blood supply and remove the invaded vessel. 619 00:30:30,266 --> 00:30:31,922 And the whole tumor with it. 620 00:30:31,923 --> 00:30:33,477 You think that's too risky? 621 00:30:33,502 --> 00:30:36,330 Only if you don't have enough hands. Adams, we're scrubbing in. 622 00:30:37,446 --> 00:30:39,619 - Okay. - Okay. Okay. 623 00:30:39,620 --> 00:30:41,277 We got a plan. We got a plan. 624 00:30:47,868 --> 00:30:50,548 There's too much bleeding. Can you see where it's coming from? 625 00:30:50,573 --> 00:30:52,056 How many units has he had? 626 00:30:52,081 --> 00:30:53,323 Four units. 627 00:31:06,127 --> 00:31:09,337 His heart won't restart. Warren, get over here. 628 00:31:11,091 --> 00:31:12,403 Take over compressions. 629 00:31:13,268 --> 00:31:15,665 Come on, Brendon. Come on. 630 00:31:31,573 --> 00:31:33,195 All right, stop compressions. 631 00:31:33,557 --> 00:31:34,731 Let me in there. 632 00:31:36,758 --> 00:31:38,696 All right, charge to 40. Clear. 633 00:31:40,875 --> 00:31:43,501 Charge again. Clear. 634 00:31:45,534 --> 00:31:47,259 It's been too long. 635 00:31:47,485 --> 00:31:49,407 He didn't give up. We can't either. 636 00:31:49,432 --> 00:31:51,071 All right. Charge to 50. Clear. 637 00:31:51,830 --> 00:31:53,244 - Teddy. - Come on. 638 00:31:53,245 --> 00:31:55,593 - Damn it. Let me in there. - Teddy. 639 00:32:01,785 --> 00:32:03,235 Come on. 640 00:32:07,422 --> 00:32:08,733 Teddy. 641 00:32:09,972 --> 00:32:13,407 Teddy! It's over. You've done all you can. 642 00:32:29,309 --> 00:32:32,540 Time of death, 19:24. 643 00:32:49,322 --> 00:32:53,224 - I spoke to Brendon's parents. - It shouldn't have gone like this. 644 00:32:57,312 --> 00:33:00,501 I, uh... I have a lot of paperwork to get through. You should just go. 645 00:33:00,920 --> 00:33:04,717 Teddy. Teddy, we need to talk about this. 646 00:33:04,742 --> 00:33:06,446 Now is not a good time. 647 00:33:09,402 --> 00:33:11,832 So, you're happy to work on our marriage 648 00:33:11,856 --> 00:33:13,665 when it means sleeping with Cass Beckman, 649 00:33:13,690 --> 00:33:15,315 but when I wanna have a difficult conversation... 650 00:33:15,340 --> 00:33:18,023 Oh. I'm sorry, who slept with someone else? Not me. 651 00:33:19,347 --> 00:33:22,522 What did you think was gonna happen when we opened our marriage? 652 00:33:24,404 --> 00:33:26,198 I'm gonna be late. Um... 653 00:33:26,956 --> 00:33:28,268 Don't wait up for me. 654 00:33:45,636 --> 00:33:47,085 She's going to be okay, right? 655 00:33:47,187 --> 00:33:50,086 She needs a lot of rest, but she's doing very well. 656 00:33:50,111 --> 00:33:51,768 Thank you. 657 00:33:56,011 --> 00:33:58,876 You hear that, baby girl? You're gonna be okay. 658 00:34:00,306 --> 00:34:03,743 Thank you so much. Dr. Chase go back to DC? 659 00:34:03,768 --> 00:34:07,712 Uh, I don't know. He was not able to complete the surgery. 660 00:34:07,737 --> 00:34:10,764 But we had other surgeons step in and help, 661 00:34:10,765 --> 00:34:12,974 and we resected the tumor. 662 00:34:13,690 --> 00:34:14,794 You got it all? 663 00:34:15,045 --> 00:34:17,046 - No more tumor? - We did. 664 00:34:17,047 --> 00:34:18,290 I can't believe it. 665 00:34:19,104 --> 00:34:20,739 Dr. Chase taught you his technique? 666 00:34:20,740 --> 00:34:23,640 Dr. Bailey developed her own. 667 00:34:24,264 --> 00:34:25,921 That's what saved Gabby. 668 00:34:27,690 --> 00:34:30,128 I, uh... I'm so grateful. 669 00:34:30,613 --> 00:34:34,299 Thank you for taking care of my baby girl. 670 00:34:34,857 --> 00:34:37,860 You're gonna keep calling me that, a-aren't you? 671 00:34:39,664 --> 00:34:42,237 Forever and ever. 672 00:34:44,046 --> 00:34:45,666 Oh, my God. 673 00:34:46,674 --> 00:34:48,385 Uh, we'll give you some time. 674 00:34:54,843 --> 00:34:56,431 - Griffith. - Hmm? 675 00:34:58,617 --> 00:35:02,096 Uh, he must have been terrible to work for. 676 00:35:03,394 --> 00:35:05,051 I ended up in the right place. 677 00:35:06,922 --> 00:35:08,407 Excellent work today. 678 00:35:22,216 --> 00:35:25,252 Is it still there? My leg? 679 00:35:25,432 --> 00:35:27,979 Dr. Lincoln and Dr. Ndugu will be in soon, 680 00:35:27,980 --> 00:35:31,932 but they were able to realign your bone and reestablish blood flow. 681 00:35:31,957 --> 00:35:34,366 It was pretty amazing. 682 00:35:38,003 --> 00:35:39,695 You probably think I'm an idiot. 683 00:35:40,725 --> 00:35:41,864 I... 684 00:35:43,513 --> 00:35:47,102 think that you were in pain and taking the time to heal. 685 00:35:47,247 --> 00:35:48,939 It sucks, but... 686 00:35:50,498 --> 00:35:52,431 Especially after losing someone. 687 00:35:53,153 --> 00:35:54,947 And now I'm stuck in a bed. 688 00:35:56,146 --> 00:35:57,534 About that. 689 00:35:59,874 --> 00:36:04,843 These are VR goggles. We keep a few of them in our skills lab. 690 00:36:04,844 --> 00:36:06,642 They help us practice procedures. 691 00:36:06,667 --> 00:36:08,226 But I was able to download a program 692 00:36:08,227 --> 00:36:10,954 that allows you to visit spots across the globe. 693 00:36:10,979 --> 00:36:12,541 Uh, virtually, that is. 694 00:36:12,542 --> 00:36:15,545 I thought it would help distract you from being stuck here. 695 00:36:18,320 --> 00:36:19,804 Thank you. 696 00:36:21,084 --> 00:36:22,440 You're welcome. 697 00:36:27,875 --> 00:36:29,187 Dr. Lincoln? 698 00:36:30,925 --> 00:36:32,906 I am sorry about today. 699 00:36:32,907 --> 00:36:34,563 It's no excuse but, 700 00:36:34,564 --> 00:36:39,087 I've been going through something... in my personal life. 701 00:36:39,112 --> 00:36:41,086 I'm impressed you even have a personal life. 702 00:36:41,087 --> 00:36:42,573 When I was an intern, 703 00:36:42,598 --> 00:36:44,879 there was a 32-day stretch where I didn't see the sunlight. 704 00:36:45,644 --> 00:36:47,092 It's probably for the best. 705 00:36:47,093 --> 00:36:49,441 And I'll get a life when I'm an attending. 706 00:36:53,636 --> 00:36:56,295 Hey. What is this? Why are you still in your scrubs? 707 00:36:56,320 --> 00:36:59,185 We can still make it by the third inning if we hurry, but we gotta go. 708 00:36:59,658 --> 00:37:01,729 You didn't take another surgery, did you? 709 00:37:02,689 --> 00:37:04,139 We're still going, right? 710 00:37:05,050 --> 00:37:06,905 Hey, Chief, your post-op notes are done, 711 00:37:06,906 --> 00:37:09,598 and I'll check in the ER for any consults before I go. 712 00:37:09,599 --> 00:37:11,670 No need to announce it. Just get it done. 713 00:37:12,326 --> 00:37:13,327 Okay. 714 00:37:13,646 --> 00:37:15,061 Hey, Chief. 715 00:37:16,295 --> 00:37:19,393 I'm sorry I screwed up during the heat dome, all right? 716 00:37:19,418 --> 00:37:22,300 I wish I could go back in time and do it better, but I can't. 717 00:37:22,301 --> 00:37:26,823 All I can do is play by the rules today. And I am trying really hard. 718 00:37:27,442 --> 00:37:30,893 But if that's not good enough, just... just call it. 719 00:37:31,673 --> 00:37:32,847 Good night. 720 00:37:36,833 --> 00:37:40,849 - I know it's complicated... - Is that Seattle Grace? 721 00:37:40,874 --> 00:37:44,638 It's Midvale General, Adele's favorite soap. 722 00:37:44,663 --> 00:37:47,843 It appears she taped over my esophagectomy. 723 00:37:47,844 --> 00:37:50,467 Uh, that's disappointing. I'm sorry. 724 00:37:50,492 --> 00:37:52,813 Not as sorry as Dr. Lehane's gonna be 725 00:37:52,814 --> 00:37:54,595 when he finds out his wife's pregnant 726 00:37:54,619 --> 00:37:56,772 with his brother's baby. 727 00:37:58,130 --> 00:38:00,338 When I first read Chase's work, 728 00:38:00,339 --> 00:38:03,928 I thought it was too good to be true. 729 00:38:04,170 --> 00:38:05,999 And I still fell for it. 730 00:38:06,000 --> 00:38:11,418 Yeah. People like Chase prey on our optimism and hope. 731 00:38:11,676 --> 00:38:14,783 The indictment's on him, not you. 732 00:38:15,561 --> 00:38:19,794 But I brought him here. 733 00:38:19,819 --> 00:38:22,815 I misled our residents into believing 734 00:38:22,839 --> 00:38:26,295 that these tumors could be resected. 735 00:38:26,296 --> 00:38:29,368 And apparently they can. 736 00:38:30,676 --> 00:38:32,056 You were able to do it. 737 00:38:32,428 --> 00:38:35,069 We were. 738 00:38:51,213 --> 00:38:52,386 Dr. Chase. 739 00:38:53,599 --> 00:38:54,866 Griffith. You need something? 740 00:38:54,891 --> 00:38:57,913 Oh. I can't change Baltimore's decision to terminate you, 741 00:38:57,914 --> 00:38:59,397 so don't bother asking. 742 00:38:59,398 --> 00:39:02,987 I'm not. I'm glad I'm here. I wasn't at first. 743 00:39:02,988 --> 00:39:06,231 I spent a lot of time wondering what I could've done 744 00:39:06,232 --> 00:39:09,373 to make you see what a good surgeon I could be. 745 00:39:09,374 --> 00:39:11,834 But today I realized it wouldn't have mattered. 746 00:39:11,859 --> 00:39:14,655 You don't care about teaching. You don't care about your patients. 747 00:39:15,034 --> 00:39:16,770 You only care about you. 748 00:39:16,795 --> 00:39:20,281 Maybe that gets you published, wins you awards. 749 00:39:20,902 --> 00:39:22,834 But it does not make you a good doctor. 750 00:39:22,835 --> 00:39:26,666 Well, that's... a lot of opinions from an intern 751 00:39:26,667 --> 00:39:29,358 who's only done one surgery on their own. 752 00:39:29,359 --> 00:39:31,560 Here's what you could've done to impress me. 753 00:39:31,585 --> 00:39:34,856 You could've been more specific in your post-op notes. 754 00:39:34,881 --> 00:39:37,262 "Better" doesn't really tell me anything useful. 755 00:39:37,263 --> 00:39:39,541 Could've been more assertive with your patients, 756 00:39:39,542 --> 00:39:42,544 and there was too much slack in your sliding half-knots. 757 00:39:42,545 --> 00:39:44,442 Still is, from what I saw in there today. 758 00:39:44,443 --> 00:39:46,550 Stands to reason, I suppose, 759 00:39:46,575 --> 00:39:50,475 given your mentor who's really no great shakes herself. 760 00:39:50,861 --> 00:39:53,554 Good luck, Dr. Griffith. You need it. 761 00:39:54,391 --> 00:39:58,050 When you're in pain, you can grin and bear it all you want. 762 00:39:58,969 --> 00:40:01,281 You can try to pretend it's not there. 763 00:40:02,081 --> 00:40:05,601 Have you seen this map? We're right behind home plate. 764 00:40:05,602 --> 00:40:06,671 Yeah, yeah. 765 00:40:06,696 --> 00:40:09,434 We get a concession server? 766 00:40:10,747 --> 00:40:14,337 Lincoln was right. I did need a night out. 767 00:40:15,129 --> 00:40:16,358 Glad he could help you out. 768 00:40:16,383 --> 00:40:22,038 I love baseball. You love baseball? Wait, are you for Seattle or Boston? 769 00:40:22,374 --> 00:40:25,411 When we get there, just pretend it's the OR. 770 00:40:25,760 --> 00:40:27,623 Okay? Hey, don't talk. 771 00:40:27,624 --> 00:40:30,211 Okay? Don't talk. 772 00:40:34,355 --> 00:40:36,287 But there's no glory in suffering. 773 00:40:36,288 --> 00:40:39,152 He said my sliding half-knots were sloppy. 774 00:40:39,153 --> 00:40:40,740 His shirt and tie didn't match. 775 00:40:40,741 --> 00:40:42,616 - He insulted Bailey. - No! 776 00:40:43,694 --> 00:40:45,587 Karma will get him. 777 00:40:45,612 --> 00:40:48,615 - Or a malpractice attorney. - Mmm. 778 00:40:49,038 --> 00:40:50,750 Hey, how was your day? 779 00:40:50,751 --> 00:40:53,146 Actually, uh, pretty great. 780 00:40:53,171 --> 00:40:55,153 Dr. Webber said he's gonna talk to Dr. Fox 781 00:40:55,178 --> 00:40:56,963 about letting me back into our class... 782 00:40:56,964 --> 00:40:59,950 Nope, keep your good news to yourself. 783 00:40:59,975 --> 00:41:02,037 - We're moping. - Yeah, this is Mopetown. 784 00:41:02,038 --> 00:41:04,975 Population, two. I'm the mayor. She's the comptroller. 785 00:41:05,000 --> 00:41:06,240 What's a comptroller? 786 00:41:06,265 --> 00:41:08,388 I don't know. I don't care. 787 00:41:08,389 --> 00:41:10,597 I thought you'd be happy for me. 788 00:41:10,598 --> 00:41:16,052 - I am. It's just been a long day. - Yeah, so get on board or get out. 789 00:41:16,288 --> 00:41:20,154 I'm pretty beat. I'll see you upstairs? 790 00:41:20,178 --> 00:41:21,490 Okay. 791 00:41:22,403 --> 00:41:25,854 Okay, will you come with me to, like, a bug society meeting, 792 00:41:25,855 --> 00:41:28,256 so I can tell this girl that my patient died? 793 00:41:28,281 --> 00:41:30,514 No. That's not what a comptroller does. 794 00:41:30,515 --> 00:41:31,860 - What? - Yeah. 795 00:41:31,861 --> 00:41:33,483 - There's no reward. - Sorry. 796 00:41:33,966 --> 00:41:37,153 It doesn't make you wiser. Or stronger. 797 00:41:38,626 --> 00:41:40,421 It doesn't make you immune. 798 00:41:55,446 --> 00:41:56,999 Did you even hesitate? 799 00:41:58,681 --> 00:42:00,060 When you slept with someone else? 800 00:42:00,061 --> 00:42:01,476 - Of course I did. - Hmm. 801 00:42:04,272 --> 00:42:08,553 I love you. Teddy, only you. 802 00:42:09,537 --> 00:42:11,608 That night meant nothing. 803 00:42:16,655 --> 00:42:17,828 Hey. 804 00:42:20,571 --> 00:42:21,744 Teddy, come here. 805 00:42:26,640 --> 00:42:28,261 It's gonna be okay. 806 00:42:28,262 --> 00:42:30,263 Sometimes it makes the pain even worse. 807 00:42:33,270 --> 00:42:38,270 - Synced and corrected by ChrisKe - -- for www.addic7ed.com -- 63656

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