1 00:00:05,714 --> 00:00:08,860 If you think choosing a college major is hard, 2 00:00:08,884 --> 00:00:11,571 wait until you have to choose your medical specialty. 3 00:00:11,595 --> 00:00:13,865 How late were you up researching treatments 4 00:00:13,889 --> 00:00:15,033 for that patient? 5 00:00:15,057 --> 00:00:17,160 Late. You need sleep. 6 00:00:17,184 --> 00:00:18,453 I'll get right on that. 7 00:00:18,477 --> 00:00:20,497 You have no idea how many e-mails you get 8 00:00:20,521 --> 00:00:23,666 until you come back from a three-month sabbatical. 9 00:00:23,690 --> 00:00:25,335 "Delete all." Wait. 10 00:00:25,359 --> 00:00:27,086 What if some of those are important? 11 00:00:27,110 --> 00:00:29,047 I'm practicing healthy boundaries. 12 00:00:29,071 --> 00:00:30,632 If they need me, they can pick up the phone. 13 00:00:33,242 --> 00:00:35,261 It's not just what medicine you'll practice. 14 00:00:35,285 --> 00:00:37,055 It's your whole life. 15 00:00:37,079 --> 00:00:39,390 Should I pull the drains on Mr. Sherwood before we round? 16 00:00:39,414 --> 00:00:40,975 No. Adams can do that. 17 00:00:40,999 --> 00:00:44,604 Um, Toni Wright is down a resident, 18 00:00:44,628 --> 00:00:47,774 so I took the liberty of moving you to her service. 19 00:00:47,798 --> 00:00:49,651 I hope that's okay. 20 00:00:49,675 --> 00:00:51,402 Dr. Toni Wright? Yeah. 21 00:00:51,426 --> 00:00:53,071 NIH grant recipient 22 00:00:53,095 --> 00:00:55,448 for research on myofibroblasts for wound healing, 23 00:00:55,472 --> 00:00:58,117 pioneer in lymph edema Dr. Toni Wright? 24 00:00:58,141 --> 00:01:00,078 Yes. Okay. Yeah. 25 00:01:00,102 --> 00:01:01,579 I may have read up on her. 26 00:01:01,603 --> 00:01:02,997 Play it cool. 27 00:01:03,021 --> 00:01:04,164 Yeah, yeah. I got to go prep. 28 00:01:04,188 --> 00:01:05,500 Uh, Ben Warren... Hey, hey, hey. 29 00:01:05,524 --> 00:01:08,461 Come on. I was... Look. I was born cool. 30 00:01:08,485 --> 00:01:09,486 Yeah. Okay. 31 00:01:10,737 --> 00:01:11,923 Oh, my God. 32 00:01:11,947 --> 00:01:14,676 I'm playing. I'm playing. 33 00:01:15,909 --> 00:01:17,595 Who you'll work with, 34 00:01:17,619 --> 00:01:19,222 whether you'll be home in time for dinner 35 00:01:19,246 --> 00:01:20,932 or never see your kids. 36 00:01:20,956 --> 00:01:23,268 I love how they think we have time to go to the doctor. 37 00:01:23,292 --> 00:01:25,186 Last year, I had a dental student 38 00:01:25,210 --> 00:01:27,689 pull one of my teeth in the cath lab. 39 00:01:27,713 --> 00:01:29,565 Have you considered egg freezing? 40 00:01:29,589 --> 00:01:32,193 Have I considered giving myself a series of shots 41 00:01:32,217 --> 00:01:33,486 and screwing up my hormones 42 00:01:33,510 --> 00:01:35,405 and then going through an uncomfortable procedure 43 00:01:35,429 --> 00:01:38,116 and then paying forever to store my eggs in a freezer 44 00:01:38,140 --> 00:01:39,784 on the chance that I might want kids? 45 00:01:39,808 --> 00:01:41,143 You could've just said no. 46 00:01:42,728 --> 00:01:45,623 I might do it. I want to keep my options open. 47 00:01:45,647 --> 00:01:48,376 Why do they need to know when your mom had her first period? 48 00:01:48,400 --> 00:01:52,130 Oh. I hope they don't, 'cause I have no idea and no way to ask. 49 00:01:52,154 --> 00:01:54,173 Ooh. Smoothies. 50 00:01:54,197 --> 00:01:58,327 The choice is yours, and so are the consequences. 51 00:01:59,536 --> 00:02:00,513 Hey. 52 00:02:00,537 --> 00:02:02,039 Hey. 53 00:02:03,957 --> 00:02:06,811 Hey. So my lawyer wanted to check in. 54 00:02:06,835 --> 00:02:09,021 They still haven't received any papers to sign. 55 00:02:09,045 --> 00:02:11,399 Yeah. I still have them. 56 00:02:11,423 --> 00:02:13,443 Your lawyer mentioned wanting to file 57 00:02:13,467 --> 00:02:15,445 before the end of the month. 58 00:02:15,469 --> 00:02:17,989 I-I just... I've been slammed with work. 59 00:02:18,013 --> 00:02:19,532 If we don't do it soon, they're gonna make us pay 60 00:02:19,556 --> 00:02:21,367 additional retainers. 61 00:02:21,391 --> 00:02:23,453 I am aware. I'm... I'm sorry. I-I have a consult. 62 00:02:23,477 --> 00:02:25,496 But I-I will get to them as soon as I can. 63 00:02:25,520 --> 00:02:27,790 Dr. Morales to the ICU. 64 00:02:27,814 --> 00:02:30,108 Dr. Martha Morales to the ICU. 65 00:02:31,151 --> 00:02:33,421 Dr. Wright. Hey. 66 00:02:33,445 --> 00:02:35,548 Ben Warren. Thrilled to be on your service. Nice to meet you. 67 00:02:35,572 --> 00:02:37,508 Benson, back on my service again? 68 00:02:37,532 --> 00:02:39,594 Yeah. Can't get enough. And people call me Blue. 69 00:02:39,618 --> 00:02:41,638 After the Joni Mitchell album? 70 00:02:41,662 --> 00:02:43,806 No. Oh. Well, that's too bad. 71 00:02:43,830 --> 00:02:45,350 It's one of the all-time greats. 72 00:02:45,374 --> 00:02:47,560 I applied to three colleges in California 73 00:02:47,584 --> 00:02:50,063 solely because I thought it'd be cool to sing that line 74 00:02:50,087 --> 00:02:52,357 about coming home there and literally mean it. 75 00:02:52,381 --> 00:02:54,150 Do either of you play guitar? 76 00:02:54,174 --> 00:02:55,985 Um, not really. A little. 77 00:02:56,009 --> 00:02:58,988 Well... Enh. 78 00:02:59,012 --> 00:03:01,658 Listen. Um, feel free to push me. 79 00:03:01,682 --> 00:03:03,534 You know, I like to work hard, 80 00:03:03,558 --> 00:03:04,869 and I'm actually applying for a plastics fellowship. 81 00:03:04,893 --> 00:03:06,937 Good for you. 82 00:03:08,230 --> 00:03:10,667 You should've told her you play guitar. 83 00:03:12,901 --> 00:03:14,379 Five minutes to answer a page. 84 00:03:14,403 --> 00:03:16,255 Patient could've died in that time. 85 00:03:16,279 --> 00:03:18,049 Did somebody die? That's irrelevant. 86 00:03:21,159 --> 00:03:22,929 Okay. What have we got? Randall Lutton, 62. 87 00:03:22,953 --> 00:03:24,806 He has scrotal swelling and severe pain 88 00:03:24,830 --> 00:03:26,432 after blunt trauma. 89 00:03:26,456 --> 00:03:29,102 BP is slightly elevated. Gave 2 of morphine en route. 90 00:03:29,126 --> 00:03:31,687 Oh, God. It hurts like hell. 91 00:03:31,711 --> 00:03:33,648 Okay. We're gonna get you more inside, okay? 92 00:03:33,672 --> 00:03:35,942 Got up to use the bathroom in the middle of the night 93 00:03:35,966 --> 00:03:37,443 and walked right into the dresser. 94 00:03:37,467 --> 00:03:39,404 I'm gonna need an ultrasound and some gel. 95 00:03:39,428 --> 00:03:40,738 Are you a doctor? 96 00:03:40,762 --> 00:03:43,282 Urologist. No need to comment on the irony. 97 00:03:43,306 --> 00:03:45,493 Okay. Let's get him in trauma one. 98 00:03:48,937 --> 00:03:51,040 Hey, Corban. 99 00:03:51,064 --> 00:03:53,000 Just double-checking you're getting your IV antibiotics 100 00:03:53,024 --> 00:03:54,836 before rounds with Dr. Altman. 101 00:03:54,860 --> 00:03:58,297 Um, do you think you could slip me the staff Wi-Fi password? 102 00:03:58,321 --> 00:04:00,633 I know. The guest Wi-Fi is spotty. 103 00:04:00,657 --> 00:04:03,219 But ours is used for things like imaging and staff messaging, 104 00:04:03,243 --> 00:04:04,554 so they're pretty strict about it. 105 00:04:04,578 --> 00:04:06,180 Could you make an exception? 106 00:04:06,204 --> 00:04:07,974 I just... I really want to see my cousin get married 107 00:04:07,998 --> 00:04:09,183 in Big Sur today. 108 00:04:09,207 --> 00:04:10,810 Second cousin. Second marriage. 109 00:04:10,834 --> 00:04:12,419 And he's not that great. 110 00:04:17,632 --> 00:04:19,317 You didn't get it from me. 111 00:04:19,341 --> 00:04:21,279 Thank you. 112 00:04:21,303 --> 00:04:24,365 Somehow I am always in the hospital 113 00:04:24,389 --> 00:04:26,242 for my friends' and family's big life events. 114 00:04:26,266 --> 00:04:29,287 This is his second aortic graft to get infected in a year. 115 00:04:29,311 --> 00:04:31,205 No offense to Dr. Altman, 116 00:04:31,229 --> 00:04:34,292 but if this one doesn't take, we need a second opinion. 117 00:04:34,316 --> 00:04:36,794 Well, Dr. Altman's extremely skilled. 118 00:04:36,818 --> 00:04:39,130 She's even kind of famous now. She invented a new surgery. 119 00:04:39,154 --> 00:04:40,923 Yeah. But, like, a difficult one? 120 00:04:40,947 --> 00:04:43,301 Don't look at me like that. 121 00:04:43,325 --> 00:04:45,678 I already know I'm becoming Mom. 122 00:04:45,702 --> 00:04:48,514 The surgery is incredibly complicated. 123 00:04:48,538 --> 00:04:50,123 She's on a podcast. You can look it up. 124 00:04:51,374 --> 00:04:53,227 Told you. I just have bad luck. 125 00:04:53,251 --> 00:04:55,438 Well, hopefully the new TEVAR gives your aorta a break 126 00:04:55,462 --> 00:04:57,565 so the antibiotics can do their job. 127 00:04:57,589 --> 00:04:59,942 That's what you said last time. 128 00:04:59,966 --> 00:05:02,612 I'll be back soon. 129 00:05:02,636 --> 00:05:05,072 Dr. Maile Tanigawa to the ER. 130 00:05:07,098 --> 00:05:09,035 Welcome back, Dr. Shepherd. 131 00:05:09,059 --> 00:05:11,370 Have you met our new plastics attending, Dr. Toni Wright? 132 00:05:11,394 --> 00:05:13,623 Relatively new. Nice to meet you. 133 00:05:13,647 --> 00:05:15,458 We should get started. It's a LeFort fracture. 134 00:05:15,482 --> 00:05:17,794 I'm sure there will be questions. 135 00:05:17,818 --> 00:05:19,128 Did you see that? 136 00:05:19,152 --> 00:05:21,672 Uh, yes. Uh, yeah. I don't know. 137 00:05:21,696 --> 00:05:24,050 I don't think she remembers me. Should she? 138 00:05:24,074 --> 00:05:26,260 Well, we went to med school together. 139 00:05:26,284 --> 00:05:28,471 We were in the same study group. She hated me. 140 00:05:28,495 --> 00:05:30,255 Well, maybe it's better she doesn't remember. 141 00:05:33,083 --> 00:05:34,477 Teresa Daniels, 49. 142 00:05:34,501 --> 00:05:37,230 Post-op day five from a hemicraniectomy 143 00:05:37,254 --> 00:05:41,067 for subdural hematoma after auto versus pedestrian. 144 00:05:41,091 --> 00:05:43,027 Concomitant LeFort 1 fractures. 145 00:05:43,051 --> 00:05:44,987 Please say you're fixing my mom's face today. 146 00:05:45,011 --> 00:05:46,697 That's up to Dr. Shepherd. 147 00:05:46,721 --> 00:05:48,616 She'll tell us if your mom's head bleed is healed enough 148 00:05:48,640 --> 00:05:50,868 for us to proceed. I'll do a neuro exam on her now 149 00:05:50,892 --> 00:05:52,912 and make sure the EVD is working. 150 00:05:52,936 --> 00:05:55,373 So, uh, what are you studying? 151 00:05:55,397 --> 00:05:57,124 Data science. 152 00:05:57,148 --> 00:05:59,460 I was gonna major in it, but the intro course is hard. 153 00:05:59,484 --> 00:06:01,879 I'm a freshman at UC Davis. 154 00:06:01,903 --> 00:06:04,257 Do you have a study group? 155 00:06:04,281 --> 00:06:06,133 I haven't found the right people. 156 00:06:06,157 --> 00:06:08,052 It does make a big difference. 157 00:06:08,076 --> 00:06:10,054 My mom says to stick with it. 158 00:06:10,078 --> 00:06:12,056 I was complaining to her about it on the phone 159 00:06:12,080 --> 00:06:15,142 when she got hit by that idiot driver. 160 00:06:15,166 --> 00:06:17,478 That's awful. I'm so sorry. 161 00:06:17,502 --> 00:06:19,272 She'll be happy to see you when she wakes up. 162 00:06:19,296 --> 00:06:21,148 ICP is 12, and subdural is stable. 163 00:06:21,172 --> 00:06:22,650 Great. 164 00:06:22,674 --> 00:06:24,610 So we're good to go. 165 00:06:24,634 --> 00:06:26,874 Let's order a CT max/face before bringing her to the O.R. 166 00:06:32,934 --> 00:06:34,954 Hey. Sorry I'm late. 167 00:06:34,978 --> 00:06:37,564 How was Cousin Frank's wedding? Were you able to stream it? 168 00:06:39,107 --> 00:06:40,585 Still no contractions? 169 00:06:40,609 --> 00:06:42,110 Don't jinx it. 170 00:06:43,862 --> 00:06:45,506 Dr. Meade? 171 00:06:45,530 --> 00:06:48,134 Corban Gregory, 28-year-old male. 172 00:06:48,158 --> 00:06:50,970 Status post coarctation repair when he was 2. 173 00:06:50,994 --> 00:06:52,888 He subsequently had two graft repairs. 174 00:06:52,912 --> 00:06:54,140 Both became infected. 175 00:06:54,164 --> 00:06:56,392 Has now developed a pseudoaneurysm 176 00:06:56,416 --> 00:06:57,935 and is here today for his second TEVAR. 177 00:06:57,959 --> 00:07:00,479 You made somebody a new aorta? 178 00:07:00,503 --> 00:07:04,150 He's stalking you online. I told him it was weird. 179 00:07:04,174 --> 00:07:07,427 And it said that the patient had two repeat graft infections too. 180 00:07:08,678 --> 00:07:11,198 Can I get this? A TEVAR is still a solution for you. 181 00:07:11,222 --> 00:07:13,200 It's less invasive and less risky. 182 00:07:13,224 --> 00:07:15,453 For me or for you? 183 00:07:15,477 --> 00:07:17,538 Corban, the patient that you're reading about 184 00:07:17,562 --> 00:07:19,498 was much sicker... 185 00:07:19,522 --> 00:07:22,835 I don't want another band-aid if there's a permanent fix. 186 00:07:22,859 --> 00:07:24,337 I don't want to diminish what you're going through, but... 187 00:07:24,361 --> 00:07:26,339 You think you know what I'm going through? 188 00:07:26,363 --> 00:07:28,215 My favorite thing is running, 189 00:07:28,239 --> 00:07:30,384 but I can't remember the last time I had a runner's high. 190 00:07:30,408 --> 00:07:32,970 I won't be able to lift my baby nephew. 191 00:07:32,994 --> 00:07:35,139 I can't travel. I can't visit my friends. 192 00:07:35,163 --> 00:07:36,307 I have spent more time in the CCU 193 00:07:36,331 --> 00:07:38,017 than my own house in the last year. 194 00:07:38,041 --> 00:07:40,936 Is that not sick enough for you? 195 00:07:40,960 --> 00:07:42,104 You just don't care? 196 00:07:42,128 --> 00:07:43,439 That's not true. 197 00:07:43,463 --> 00:07:44,857 Then why won't you fix me? 198 00:07:44,881 --> 00:07:47,026 I wish there was an easy fix. 199 00:07:47,050 --> 00:07:48,843 Just get out. 200 00:07:49,928 --> 00:07:51,113 Get out! 201 00:07:51,137 --> 00:07:52,406 Okay. 202 00:08:12,409 --> 00:08:15,388 It's a larger patient load than usual, 203 00:08:15,412 --> 00:08:16,889 but with two of you... Adams, please tell me 204 00:08:16,913 --> 00:08:18,474 that you were at the benefits fair 205 00:08:18,498 --> 00:08:20,476 or rounding or anything but late. 206 00:08:20,500 --> 00:08:22,520 Sorry. I was on the phone with Boise General. 207 00:08:22,544 --> 00:08:25,064 They don't have Katie Rogers' immunotherapy either. 208 00:08:25,088 --> 00:08:27,525 The government cut off funding. You're not gonna find it. 209 00:08:27,549 --> 00:08:29,694 Okay. What about cytoreduction surgery with HIPEC? 210 00:08:29,718 --> 00:08:31,278 What about it? 211 00:08:31,302 --> 00:08:33,447 Well, could Katie be a candidate for it? 212 00:08:33,471 --> 00:08:36,283 I e-mailed you the case report. Mm. Okay. No. 213 00:08:36,307 --> 00:08:38,535 I appreciate your initiative, and I will look at it. 214 00:08:38,559 --> 00:08:40,830 But right now, I need you to focus on patients 215 00:08:40,854 --> 00:08:43,749 that are currently admitted to the hospital. 216 00:08:43,773 --> 00:08:48,254 We're down two residents due to illness and a family wedding. 217 00:08:48,278 --> 00:08:52,550 So I need you and Spencer to get started on the floor, okay? 218 00:08:52,574 --> 00:08:55,720 Ms. Hayes needs a Dobhoff tube for tube feeds. 219 00:08:55,744 --> 00:09:00,182 Oh! Well, I've never inserted an NG tube on a real person. 220 00:09:00,206 --> 00:09:01,892 Or a fake one, so... 221 00:09:01,916 --> 00:09:04,311 Well, um, Adams will help you. 222 00:09:04,335 --> 00:09:05,771 Don't forget to check your e-mail. 223 00:09:05,795 --> 00:09:07,046 I... 224 00:09:08,923 --> 00:09:10,776 Just keep taking deep breaths. 225 00:09:10,800 --> 00:09:12,820 New pain medication should kick in any second. 226 00:09:12,844 --> 00:09:15,364 Can I take a look? Yeah. 227 00:09:15,388 --> 00:09:17,575 Wow. 228 00:09:17,599 --> 00:09:19,994 That looks painful. 229 00:09:20,018 --> 00:09:22,204 Last I checked, it measured 20 centimeters. 230 00:09:22,228 --> 00:09:24,623 I suspect a bleeding testicular artery. 231 00:09:24,647 --> 00:09:26,959 Do you see anything? Uh, it looks like it's expanding. 232 00:09:26,983 --> 00:09:29,754 Let's get an ultrasound and page urology. 233 00:09:29,778 --> 00:09:32,423 Was the dresser sharp? I do see a couple small lesions. 234 00:09:32,447 --> 00:09:34,175 Uh, must have just snagged a drawer pull. 235 00:09:34,199 --> 00:09:35,968 Ah. Okay. 236 00:09:35,992 --> 00:09:38,345 Let's get him some more fluids and a full set of labs. 237 00:09:39,788 --> 00:09:42,141 Okay. Well, the testicles are intact. 238 00:09:42,165 --> 00:09:43,517 And they're in the correct position. 239 00:09:43,541 --> 00:09:46,687 But I do see some free fluid in the scrotum. 240 00:09:46,711 --> 00:09:49,315 Oh, my God, Randall! 241 00:09:49,339 --> 00:09:50,733 Is it his heart? 242 00:09:50,757 --> 00:09:52,401 Uh, no. My heart's just fine. 243 00:09:52,425 --> 00:09:53,903 Doctors, this is my wife, Kimmy. 244 00:09:53,927 --> 00:09:55,279 Hi. Hi. 245 00:09:57,597 --> 00:09:59,200 Is that one of your... 246 00:09:59,224 --> 00:10:01,744 Yeah. I walked into the dresser. 247 00:10:01,768 --> 00:10:04,246 Probably just a hematoma. 248 00:10:04,270 --> 00:10:05,790 Is this gonna jack your fertility? 249 00:10:05,814 --> 00:10:07,416 I ovulate next week. 250 00:10:07,440 --> 00:10:09,168 We're going to give you some privacy. 251 00:10:12,570 --> 00:10:14,965 Dr. Marcozzi, dial Radiology. 252 00:10:14,989 --> 00:10:16,509 Oh. 253 00:10:16,533 --> 00:10:20,137 You've been back three hours, and you've already requested 254 00:10:20,161 --> 00:10:21,889 a new 3-D microscope with AR tech. 255 00:10:21,913 --> 00:10:23,349 Why are you reading e-mails 256 00:10:23,373 --> 00:10:25,226 when you are supposed to be on leave? 257 00:10:25,250 --> 00:10:26,560 Catherine finally left the house. 258 00:10:26,584 --> 00:10:28,312 If that woman makes me take one more nap, 259 00:10:28,336 --> 00:10:29,563 I'm gonna lose my mind. 260 00:10:29,587 --> 00:10:31,023 Um... 261 00:10:31,047 --> 00:10:33,734 When did you hire Toni Wright? 262 00:10:33,758 --> 00:10:36,362 A few months ago. I'm surprised we got her. 263 00:10:36,386 --> 00:10:38,614 Jackson says she's the go-to for facial reconstruction. 264 00:10:38,638 --> 00:10:41,867 Jackson is the go-to for facial reconstruction. 265 00:10:41,891 --> 00:10:43,911 Is there a problem? 266 00:10:43,935 --> 00:10:45,871 I j... I just spent the last few months 267 00:10:45,895 --> 00:10:46,872 getting to a really good place. 268 00:10:46,896 --> 00:10:48,707 I took Scout camping. 269 00:10:48,731 --> 00:10:50,584 I went to the grocery store during normal hours. 270 00:10:50,608 --> 00:10:51,877 I slept. 271 00:10:51,901 --> 00:10:53,963 You need to get to the point. 272 00:10:53,987 --> 00:10:57,383 Wright and I have a history in that... 273 00:10:57,407 --> 00:11:01,220 in that historically, she... pushes my buttons. 274 00:11:01,244 --> 00:11:02,471 If I hired people 275 00:11:02,495 --> 00:11:04,431 based on whose buttons they push, 276 00:11:04,455 --> 00:11:06,851 no one could work at this damn hospital. 277 00:11:06,875 --> 00:11:09,395 And your request for a microscope is denied. 278 00:11:20,430 --> 00:11:22,700 You know, I, uh, I read that you won 279 00:11:22,724 --> 00:11:25,310 the Goldstein Award for excellence in teaching. 280 00:11:26,102 --> 00:11:27,079 Hmm? 281 00:11:27,103 --> 00:11:29,689 Um... No. 282 00:11:37,697 --> 00:11:41,844 So, you know, you must be an excellent teacher. 283 00:11:41,868 --> 00:11:43,494 That's the name of the award. 284 00:11:45,872 --> 00:11:49,125 She is all set. Okay. 285 00:11:56,507 --> 00:11:58,885 Yep. 286 00:12:00,094 --> 00:12:03,699 Well, her nasofrontal and ZF sutures are broken. 287 00:12:03,723 --> 00:12:05,200 Good. What else? 288 00:12:05,224 --> 00:12:07,369 Her zygomatic arch is comminuted. 289 00:12:07,393 --> 00:12:09,330 And it's a LeFort 3, not a LeFort 1. 290 00:12:09,354 --> 00:12:11,081 And this just got a lot more complicated. 291 00:12:11,105 --> 00:12:12,374 Yeah. 292 00:12:12,398 --> 00:12:13,876 Should I call the O.R., 293 00:12:13,900 --> 00:12:15,252 let them know that we're gonna push the surgery? 294 00:12:15,276 --> 00:12:16,837 Her daughter's gonna be crushed. 295 00:12:16,861 --> 00:12:18,130 No. We're not pushing anything. 296 00:12:18,154 --> 00:12:19,965 Every day that she's intubated, 297 00:12:19,989 --> 00:12:22,092 it makes it tougher for her to recover. 298 00:12:22,116 --> 00:12:26,454 We're just gonna have to come up with a new plan quickly. 299 00:12:28,206 --> 00:12:30,100 Dr. Traversa to Radiology. 300 00:12:30,124 --> 00:12:31,602 Dr. Valentina Traversa to Radiology. 301 00:12:31,626 --> 00:12:32,937 Is he asleep? 302 00:12:32,961 --> 00:12:35,272 Just resting. 303 00:12:35,296 --> 00:12:37,316 Did you get my scans back? 304 00:12:37,340 --> 00:12:40,510 Everything looks stable, so you're all set for the TEVAR. 305 00:12:41,511 --> 00:12:42,553 Corban. 306 00:12:43,972 --> 00:12:46,325 He was hoping you'd say that he got worse 307 00:12:46,349 --> 00:12:49,662 so he could get that new... aorta business. 308 00:12:49,686 --> 00:12:51,163 The TEVAR really might work. 309 00:12:51,187 --> 00:12:53,248 A new aorta would definitely work. 310 00:12:53,272 --> 00:12:54,458 If you survive it. 311 00:12:57,318 --> 00:12:59,171 I want to talk to the other guy. 312 00:12:59,195 --> 00:13:01,799 The doctor that did the new surgery with Dr. Altman. 313 00:13:01,823 --> 00:13:04,718 Doctor Ndugu. He could give me a second opinion, right? 314 00:13:04,742 --> 00:13:06,887 Dr. Altman should be in shortly. 315 00:13:06,911 --> 00:13:08,389 You can ask her any questions or... I'm asking for Ndugu. 316 00:13:08,413 --> 00:13:10,224 This is my life. 317 00:13:10,248 --> 00:13:12,518 I'm not gonna ask permission to hear about all my options. 318 00:13:12,542 --> 00:13:13,710 Would you? 319 00:13:14,335 --> 00:13:17,046 Just give me 10 minutes with him, please. 320 00:13:18,631 --> 00:13:19,900 I'll talk to him. No promises. 321 00:13:22,385 --> 00:13:24,613 Catherine. I didn't know you were here today. 322 00:13:24,637 --> 00:13:27,074 Ooh. I had to get out of that house. 323 00:13:27,098 --> 00:13:30,077 For 10 days, I've been taking care of my husband. 324 00:13:30,101 --> 00:13:31,996 I don't know how these nurses do it. 325 00:13:32,020 --> 00:13:33,914 All right. Where's my consult? 326 00:13:33,938 --> 00:13:35,249 Randall? 327 00:13:35,273 --> 00:13:38,085 Randall, what are you doing here? 328 00:13:38,109 --> 00:13:39,753 Good to see you. 329 00:13:39,777 --> 00:13:41,922 Oh. We missed you at the last AUA conference. 330 00:13:41,946 --> 00:13:44,591 We were on our honeymoon. Oh, that's right. 331 00:13:44,615 --> 00:13:46,844 So, what... what brings you in? 332 00:13:46,868 --> 00:13:49,722 Uh, you... you have more important things to do. 333 00:13:49,746 --> 00:13:51,598 I can see a resident. 334 00:13:51,622 --> 00:13:54,143 Nonsense. I am here. Dr. Hunt, what do we got? 335 00:13:54,167 --> 00:13:57,187 Blunt trauma. Now experiencing severe scrotal swelling. 336 00:13:57,211 --> 00:13:59,648 It's the size of a coconut. 337 00:13:59,672 --> 00:14:01,775 Thank you, Dr. Millin, for that wonderful assessment. 338 00:14:01,799 --> 00:14:03,402 Randall, may I? 339 00:14:03,426 --> 00:14:05,279 Uh... 340 00:14:05,303 --> 00:14:06,655 You don't have to be here for this. 341 00:14:06,679 --> 00:14:08,490 Why don't you just go eat? 342 00:14:08,514 --> 00:14:10,075 I'm sure you're starving after Pilat... ees. 343 00:14:10,099 --> 00:14:12,745 I am not leaving your side. 344 00:14:12,769 --> 00:14:14,038 How does it look? 345 00:14:14,062 --> 00:14:15,664 Well, for a blunt trauma, 346 00:14:15,688 --> 00:14:18,917 it doesn't seem to follow the typical injury pattern. 347 00:14:18,941 --> 00:14:20,586 Will this mess up his sperm count? 348 00:14:20,610 --> 00:14:22,212 Yes, it will. 349 00:14:22,236 --> 00:14:25,340 From walking into a dresser? How is it this bad? 350 00:14:25,364 --> 00:14:28,260 I'll let Dr. Lutton answer that. 351 00:14:30,953 --> 00:14:33,456 I didn't walk into anything. 352 00:14:34,290 --> 00:14:37,603 Okay. Please don't hate me. 353 00:14:37,627 --> 00:14:40,064 I gave myself a vasectomy last night. 354 00:14:40,088 --> 00:14:42,066 Oh. 355 00:14:42,090 --> 00:14:43,841 While I was at book club? 356 00:14:45,259 --> 00:14:47,321 What the hell? I will page Psych. 357 00:14:47,345 --> 00:14:49,055 Mm-hmm. Yeah. 358 00:14:56,771 --> 00:14:58,582 Keep swallowing. 359 00:14:58,606 --> 00:15:01,293 It pushes the tube down your esophagus to your intestine. 360 00:15:01,317 --> 00:15:02,961 Okay. 361 00:15:02,985 --> 00:15:04,880 Does that look right? Yeah. 362 00:15:04,904 --> 00:15:07,174 Keep going until you hit the mark we measured on the tube. 363 00:15:07,198 --> 00:15:08,926 Are you sure you know what you're doing? 364 00:15:08,950 --> 00:15:10,511 Uh... 365 00:15:10,535 --> 00:15:12,304 She does. Keep sipping. 366 00:15:12,328 --> 00:15:14,431 Chin down. Is that mine? 367 00:15:14,455 --> 00:15:16,308 My cat-sitter's supposed to be calling. 368 00:15:16,332 --> 00:15:17,559 Excuse me. 369 00:15:17,583 --> 00:15:18,977 Hi. It's Dr. Adams. 370 00:15:19,001 --> 00:15:20,479 Uh, yeah. 371 00:15:20,503 --> 00:15:22,523 Uh, actually, I'm with a patient right now. 372 00:15:22,547 --> 00:15:24,400 Can I call you back? 373 00:15:26,801 --> 00:15:29,113 Okay. I'm done. 374 00:15:29,137 --> 00:15:30,364 Ah. All right. Looks good. 375 00:15:30,388 --> 00:15:32,032 All right, pull out the stylet, 376 00:15:32,056 --> 00:15:33,826 secure the tube and start trickle tube feeds. 377 00:15:33,850 --> 00:15:35,994 Then we got to do research for Dr. Bailey. 378 00:15:36,018 --> 00:15:38,038 She didn't mention anything about research. 379 00:15:38,062 --> 00:15:40,207 It's for her patient. Oh. Well, she's in luck. 380 00:15:40,231 --> 00:15:42,292 I'm really good at research. 381 00:15:42,316 --> 00:15:44,503 In med school, I presented a poster... 382 00:15:44,527 --> 00:15:46,964 Great. Finish up here, and I'm gonna get started. 383 00:15:46,988 --> 00:15:48,924 Where are you going? 384 00:15:48,948 --> 00:15:50,592 I'll text you. 385 00:15:50,616 --> 00:15:52,594 I'll text him. 386 00:15:56,205 --> 00:15:58,892 Hey. How's it going with Wright? 387 00:15:58,916 --> 00:16:01,145 I have no idea. 388 00:16:01,169 --> 00:16:02,771 Did you change services? 389 00:16:02,795 --> 00:16:05,858 No. I-I'm just getting zero vibe. 390 00:16:05,882 --> 00:16:08,193 Because you're overvibing? 391 00:16:08,217 --> 00:16:10,195 No. No, no, no, no. Okay. I've been cool. 392 00:16:10,219 --> 00:16:12,489 No excessive praise, no impulsive moves. 393 00:16:12,513 --> 00:16:14,724 Well, just give it time. 394 00:16:15,725 --> 00:16:17,453 Hey, if it makes you feel better, 395 00:16:17,477 --> 00:16:21,039 I hear your residency director is very impressed. 396 00:16:21,063 --> 00:16:23,292 It does. 397 00:16:23,316 --> 00:16:25,252 What were you even thinking? Psych is on their way. 398 00:16:25,276 --> 00:16:27,087 That man doesn't need a psychiatrist. 399 00:16:27,111 --> 00:16:29,089 He needs a marriage counselor. 400 00:16:29,113 --> 00:16:31,133 You think he was successful doing it on himself? 401 00:16:31,157 --> 00:16:33,093 We'll find out. 402 00:16:33,117 --> 00:16:35,637 I got to get him in the O.R. and evacuate that hematoma. 403 00:16:35,661 --> 00:16:37,389 Can I scrub in? 404 00:16:37,413 --> 00:16:39,433 I've never operated on a DIY vasectomy before. 405 00:16:39,457 --> 00:16:41,310 It'll be my second. Wait. 406 00:16:41,334 --> 00:16:43,353 You know somebody else who tried to do their own vasectomy? 407 00:16:43,377 --> 00:16:45,981 Another urologist. Said he was embarrassed. 408 00:16:46,005 --> 00:16:47,774 I don't know why these boys 409 00:16:47,798 --> 00:16:49,985 don't just pick up the phone and call me. 410 00:16:50,009 --> 00:16:52,488 It's just a hollow tube filled with sperm. 411 00:16:52,512 --> 00:16:54,281 In fact, if you ever want one... 412 00:16:54,305 --> 00:16:56,408 I'm good down here. Go scrub in. 413 00:16:56,432 --> 00:16:57,868 Uh, wait. 414 00:16:57,892 --> 00:17:00,621 Let's let Kimmy get in another few rounds, 415 00:17:00,645 --> 00:17:02,772 then go prep him. 416 00:17:05,483 --> 00:17:07,710 I can't even count how many fractures she has. 417 00:17:07,734 --> 00:17:09,504 Yeah. The number doesn't matter. 418 00:17:09,528 --> 00:17:11,547 Okay. So h-how do we plate her zygomatic arch? 419 00:17:11,571 --> 00:17:13,717 It's like tempered glass. 420 00:17:13,741 --> 00:17:15,636 There's nothing solid to screw into. 421 00:17:15,660 --> 00:17:17,387 Warren, any ideas? 422 00:17:17,411 --> 00:17:20,306 Uh, create a scaffold of cadaveric bone paste and BMP. 423 00:17:20,330 --> 00:17:22,309 You've studied this. 424 00:17:22,333 --> 00:17:24,520 I saw it once, years ago. 425 00:17:24,544 --> 00:17:27,064 I-I was an anesthesiologist before I went into surgery. 426 00:17:27,088 --> 00:17:28,690 Mm. 427 00:17:28,714 --> 00:17:30,651 Interesting. Okay. 428 00:17:30,675 --> 00:17:33,070 So our first step is gonna be to wire her jaw 429 00:17:33,094 --> 00:17:35,322 with her bite in the proper place. 430 00:17:35,346 --> 00:17:37,699 We won't be able to have her orally intubated for anesthesia. 431 00:17:37,723 --> 00:17:40,494 Warren, trach or submental intubation? 432 00:17:40,518 --> 00:17:42,412 Oh, trach. It's a straight shot into the airway. 433 00:17:42,436 --> 00:17:44,456 Less risky than going through the chin into the mouth. 434 00:17:44,480 --> 00:17:46,291 Spoken like an anesthesiologist. 435 00:17:46,315 --> 00:17:47,709 A plastic surgeon thinks it'll take her three months 436 00:17:47,733 --> 00:17:49,086 to heal from a trach. 437 00:17:49,110 --> 00:17:51,672 A submental incision will heal in a week. 438 00:17:51,696 --> 00:17:55,032 Kwan, what are the steps of a submental intubation? 439 00:17:56,742 --> 00:17:59,287 You make an incision under the chin, and... 440 00:18:00,705 --> 00:18:02,474 Honestly, I don't know. 441 00:18:02,498 --> 00:18:03,934 Of course not. You're a gen-surge resident. 442 00:18:03,958 --> 00:18:06,061 You'll learn today. Cool. 443 00:18:06,085 --> 00:18:08,754 It is. Take a look at this. 444 00:18:10,923 --> 00:18:12,901 So we would create a large segment of aorta 445 00:18:12,925 --> 00:18:14,403 with a synthetic graft, 446 00:18:14,427 --> 00:18:17,698 rerouting it from your chest to your abdomen. 447 00:18:17,722 --> 00:18:19,366 And then we would staple off the infected piece here 448 00:18:19,390 --> 00:18:21,159 and remove it at a later time. 449 00:18:21,183 --> 00:18:22,786 So then no more TEVAR procedures? 450 00:18:22,810 --> 00:18:25,706 If the surgery is successful, yes, that's the idea. 451 00:18:25,730 --> 00:18:27,499 And you really think this could be a success for me? 452 00:18:27,523 --> 00:18:29,376 I would need to further study your case 453 00:18:29,400 --> 00:18:31,503 before I could answer that, so shoot me his latest imaging. 454 00:18:31,527 --> 00:18:34,006 And I want to do another echo before we... 455 00:18:34,030 --> 00:18:36,383 Dr. Ndugu? Excuse me. May I have a word, please? 456 00:18:36,407 --> 00:18:39,136 Sure. Yeah. Excuse us. 457 00:18:46,208 --> 00:18:47,728 Someone talk fast. 458 00:18:47,752 --> 00:18:49,354 Corban asked for a second... Not you. 459 00:18:49,378 --> 00:18:52,274 You're talking to my patient behind my back 460 00:18:52,298 --> 00:18:54,818 about a procedure that I've already said no to. 461 00:18:54,842 --> 00:18:55,819 Okay. I assumed you were aware. 462 00:18:55,843 --> 00:18:57,154 Don't do that. 463 00:18:57,178 --> 00:18:58,947 Don't put it on the resident 464 00:18:58,971 --> 00:19:00,824 to have the uncomfortable conversation with her attending. 465 00:19:00,848 --> 00:19:02,868 Your patient asked if he was a good candidate 466 00:19:02,892 --> 00:19:04,953 for a ventral aorta. 467 00:19:04,977 --> 00:19:07,497 I simply explained what it was. No. You got his hopes up. 468 00:19:07,521 --> 00:19:10,000 And if you had come to me first, I would have explained 469 00:19:10,024 --> 00:19:12,669 that unlike Nora, Corban has major scarring 470 00:19:12,693 --> 00:19:15,047 from a previous esophageal reconstruction. 471 00:19:15,071 --> 00:19:17,966 He is a bad candidate for it. How do we know who's a good candidate? 472 00:19:17,990 --> 00:19:21,637 We've done this once. And that might be all we ever do if we kill Corban with it. 473 00:19:21,661 --> 00:19:24,264 Nora hasn't even hit the six-month mark. 474 00:19:24,288 --> 00:19:26,725 We need more time to see how she does. 475 00:19:26,749 --> 00:19:28,769 Okay. All right. 476 00:19:30,503 --> 00:19:31,730 Dr. Altman, I'm sorry. I wasn't sure... 477 00:19:31,754 --> 00:19:34,399 How did Corban even know about the ventral aorta 478 00:19:34,423 --> 00:19:35,901 in the first place? 479 00:19:35,925 --> 00:19:39,011 If you shut me out again, you are off this case. 480 00:19:45,309 --> 00:19:47,663 I'm her boss. 481 00:19:47,687 --> 00:19:50,123 Uh, didn't she make you chief... while she was chief? 482 00:19:50,147 --> 00:19:52,417 Okay. Well, so what? Now I owe her? 483 00:19:52,441 --> 00:19:54,461 If I made someone chief 484 00:19:54,485 --> 00:19:57,464 and they gave my patient a second opinion behind my back, 485 00:19:57,488 --> 00:20:00,217 I would blow my stack too. Yeah, yeah. 486 00:20:00,241 --> 00:20:02,886 That... That part was bad. But I'm not wrong. 487 00:20:02,910 --> 00:20:05,889 This surgery could cure all kinds of aortic disease. 488 00:20:05,913 --> 00:20:07,599 You know? 489 00:20:07,623 --> 00:20:11,478 Hey, Toni Wright just gave me the cold shoulder again. 490 00:20:11,502 --> 00:20:13,355 It's okay. I was pretty much done. 491 00:20:13,379 --> 00:20:15,857 Okay, she can do a super micro surgery 492 00:20:15,881 --> 00:20:17,401 in a 30x magnified field, 493 00:20:17,425 --> 00:20:19,403 but she can't say hi to me? 494 00:20:19,427 --> 00:20:20,654 A-Amelia, don't... 495 00:20:20,678 --> 00:20:23,240 J... I can't watch this. 496 00:20:23,264 --> 00:20:24,616 Nope. 497 00:20:24,640 --> 00:20:25,659 Hi! 498 00:20:25,683 --> 00:20:27,285 Hi. 499 00:20:27,309 --> 00:20:30,664 We went to med school together. You hated me. 500 00:20:30,688 --> 00:20:34,000 No. I-I didn't hate you. 501 00:20:34,024 --> 00:20:36,253 So you do remember me? 502 00:20:36,277 --> 00:20:39,047 Yeah. 503 00:20:39,071 --> 00:20:41,675 ♪ My time to shine, like a summer day ♪ 504 00:20:41,699 --> 00:20:43,718 I should've thought this through. 505 00:20:43,742 --> 00:20:46,596 I don't really know what happens next. 506 00:20:46,620 --> 00:20:48,807 Why did you think I hated you? 507 00:20:48,831 --> 00:20:50,559 You ran out of your own birthday party 508 00:20:50,583 --> 00:20:52,227 when I showed up uninvited. 509 00:20:52,251 --> 00:20:54,396 Oh, my God. You changed study groups 510 00:20:54,420 --> 00:20:57,232 and actively avoided me in labs. 511 00:20:57,256 --> 00:20:58,775 Because I liked you. 512 00:20:58,799 --> 00:21:00,652 What? 513 00:21:00,676 --> 00:21:03,530 I tried to kiss you in the Mission during orientation. 514 00:21:03,554 --> 00:21:07,284 You were drunk. I th... I thought you stumbled into... 515 00:21:07,308 --> 00:21:08,535 into me. 516 00:21:08,559 --> 00:21:11,788 No. I had a huge crush on you. 517 00:21:11,812 --> 00:21:14,458 I mean, I thought you were queer, but then I wasn't sure, 518 00:21:14,482 --> 00:21:17,335 so I didn't want to get burned, so I kept my distance. 519 00:21:17,359 --> 00:21:19,463 But you have nothing to worry about. 520 00:21:19,487 --> 00:21:21,548 This is all way in the past. 521 00:21:21,572 --> 00:21:23,842 And, um, frankly, you're not my type. 522 00:21:25,993 --> 00:21:27,637 My O.R. is ready. 523 00:21:30,122 --> 00:21:33,727 For some reason, I froze when I saw you earlier. 524 00:21:33,751 --> 00:21:35,085 I'm glad we cleared the air. 525 00:21:37,630 --> 00:21:39,566 I'm pretty sure Altman hates me. 526 00:21:39,590 --> 00:21:41,985 Yeah. If he didn't kick you off the case, it's probably fine. 527 00:21:42,009 --> 00:21:43,653 Let's talk about something else. 528 00:21:43,677 --> 00:21:46,156 Uh, my patient tried to give himself a vasectomy. 529 00:21:46,180 --> 00:21:48,200 Wow. We will always have jobs. 530 00:21:48,224 --> 00:21:50,076 Everyone thinks they can do anything themselves 531 00:21:50,100 --> 00:21:52,913 if they watch enough videos on social media. 532 00:21:52,937 --> 00:21:54,790 He's a board-certified urologist. 533 00:21:54,814 --> 00:21:56,416 You know, that actually seems doable 534 00:21:56,440 --> 00:21:58,084 with some Lidocaine and a mirror. 535 00:21:58,108 --> 00:22:00,337 O.R.'s ready. 536 00:22:00,361 --> 00:22:01,922 I'm out. 537 00:22:01,946 --> 00:22:03,423 ♪ Everything comin' up ♪ 538 00:22:03,447 --> 00:22:04,883 ♪ I'm in bloom ♪ 539 00:22:04,907 --> 00:22:06,676 How come women in their 20s 540 00:22:06,700 --> 00:22:08,595 have to shell out big bucks to preserve their fertility 541 00:22:08,619 --> 00:22:11,389 but men in their 60s are so worried about pregnancy, 542 00:22:11,413 --> 00:22:13,225 they are giving themselves vasectomies? 543 00:22:13,249 --> 00:22:15,727 Evolution failed us. 544 00:22:15,751 --> 00:22:17,521 Do it with me. 545 00:22:17,545 --> 00:22:19,856 Our future and less-fertile selves will thank us. 546 00:22:19,880 --> 00:22:21,900 So we can both be hormonal at the same time? 547 00:22:21,924 --> 00:22:25,028 It's a hard pass. But I will do your shots. 548 00:22:25,052 --> 00:22:27,656 I am very good at giving injections. 549 00:22:27,680 --> 00:22:29,723 Don't ask why. 550 00:22:35,855 --> 00:22:38,625 You can have the other half of my sandwich if you're hungry. 551 00:22:38,649 --> 00:22:40,418 I brought it from home. Yeah. I'm good. 552 00:22:40,442 --> 00:22:43,255 Did you e-mail me the results for the immunotherapy study 553 00:22:43,279 --> 00:22:45,257 from San Francisco? 554 00:22:45,281 --> 00:22:48,093 I included it in the Chicago study... at the bottom. Okay. 555 00:22:48,117 --> 00:22:50,011 I like to cook. Do you? 556 00:22:50,035 --> 00:22:52,180 It makes me happy, following directions and... 557 00:22:52,204 --> 00:22:54,140 I wonder if we could file 558 00:22:54,164 --> 00:22:56,768 a compassionate-use application for her meds. 559 00:22:56,792 --> 00:22:59,271 Or maybe we could get it off label, 560 00:22:59,295 --> 00:23:00,963 directly from the manufacturer. 561 00:23:02,131 --> 00:23:05,902 Why is this particular patient's research so important? 562 00:23:05,926 --> 00:23:08,947 I-I just meant weren't there others in the trial? 563 00:23:08,971 --> 00:23:10,991 What about them? Look. 564 00:23:11,015 --> 00:23:12,742 I-I care about all the patients. I do. 565 00:23:12,766 --> 00:23:14,327 I just... 566 00:23:14,351 --> 00:23:16,121 Katie... 567 00:23:16,145 --> 00:23:18,331 She's in her late 20s, just like us. 568 00:23:18,355 --> 00:23:21,626 She feels like a classmate. Or more like a friend. 569 00:23:21,650 --> 00:23:24,796 We've just spent a lot of time together, 570 00:23:24,820 --> 00:23:26,905 so she is now kind of a friend. 571 00:23:27,865 --> 00:23:29,301 I get it. 572 00:23:29,325 --> 00:23:31,052 It's like when you meet someone 573 00:23:31,076 --> 00:23:34,306 and you feel like you've already met them before. 574 00:23:34,330 --> 00:23:38,018 Like... they're supposed to be in your life. 575 00:23:41,879 --> 00:23:43,940 Oh, no. It's... It's Wendy. 576 00:23:49,011 --> 00:23:50,930 Hey. May I come in? 577 00:23:56,560 --> 00:23:59,331 She wanted me to apologize. Unbelievable. 578 00:23:59,355 --> 00:24:02,292 It's okay. Can we have a minute? 579 00:24:02,316 --> 00:24:03,359 Sure. 580 00:24:04,443 --> 00:24:06,963 Don't say anything stupid. 581 00:24:06,987 --> 00:24:10,342 You're stressing me and the baby out enough. 582 00:24:12,826 --> 00:24:14,929 If you want Dr. Ndugu to replace your aorta, 583 00:24:14,953 --> 00:24:16,556 I won't stand in your way, 584 00:24:16,580 --> 00:24:18,374 but I do need you to hear me out first. 585 00:24:19,541 --> 00:24:20,727 Okay. Talk. 586 00:24:20,751 --> 00:24:22,419 Okay. 587 00:24:25,589 --> 00:24:27,442 We have done this once, 588 00:24:27,466 --> 00:24:30,737 on a person with very, very different anatomy, 589 00:24:30,761 --> 00:24:33,615 who could have a complication at any moment. 590 00:24:33,639 --> 00:24:36,660 So it's not just a risk. It's a complete unknown. 591 00:24:36,684 --> 00:24:38,787 There is no way to know what will happen 592 00:24:38,811 --> 00:24:40,705 if we staple your aorta shut. 593 00:24:40,729 --> 00:24:43,416 And it's irreversible. 594 00:24:43,440 --> 00:24:47,504 If the staples don't hold and you hemorrhage, you'll die. 595 00:24:49,530 --> 00:24:51,383 I don't want to do this surgery on you 596 00:24:51,407 --> 00:24:54,177 because I want you to be able to meet your nephew 597 00:24:54,201 --> 00:24:56,721 and see your sister become a mom and go running again 598 00:24:56,745 --> 00:24:58,932 and visit your friends. 599 00:24:58,956 --> 00:25:02,310 And I know the idea of going through this again 600 00:25:02,334 --> 00:25:06,022 is infuriating, but at least... 601 00:25:06,046 --> 00:25:08,483 at least you'll still be alive. 602 00:25:16,223 --> 00:25:18,493 I'll give you more time. 603 00:25:24,606 --> 00:25:26,584 Thanks. 604 00:25:33,240 --> 00:25:35,927 Nice. You didn't skive at all. 605 00:25:35,951 --> 00:25:38,847 And now I will lift the scalp flap... 606 00:25:38,871 --> 00:25:42,225 to expose the face. 607 00:25:42,249 --> 00:25:44,811 Hold up. What have you got there? A beaver blade. 608 00:25:44,835 --> 00:25:46,896 What, are you trying to keep us here all day? 609 00:25:46,920 --> 00:25:48,732 Plastic surgeons use this to make delicate incisions. 610 00:25:48,756 --> 00:25:51,025 Yeah, sure, if we're working on a cleft lip 611 00:25:51,049 --> 00:25:53,153 or somewhere where every millimeter counts. 612 00:25:53,177 --> 00:25:55,345 The scalp's robust. Get him the 15 blade. 613 00:26:02,728 --> 00:26:04,730 Make sure to stay in the same plane. 614 00:26:05,731 --> 00:26:07,191 Good. 615 00:26:08,484 --> 00:26:10,253 Oh. There's some fluid. 616 00:26:17,576 --> 00:26:19,554 Get me a specimen tube. 617 00:26:24,958 --> 00:26:26,144 Paper towel. 618 00:26:34,176 --> 00:26:36,112 It's a halo sign. Damn it. She's leaking CSF. 619 00:26:36,136 --> 00:26:37,489 We need neuro now. 620 00:26:46,271 --> 00:26:49,167 What happened? She was fine. I started the trickle feeds, 621 00:26:49,191 --> 00:26:50,668 and her sats dropped. What's wrong? 622 00:26:50,692 --> 00:26:52,670 Hold on. We're gonna find out. Just don't move. 623 00:26:54,363 --> 00:26:55,882 The tube is in her lung. 624 00:26:55,906 --> 00:26:57,050 Wait. You didn't see that on the X-ray? 625 00:26:57,074 --> 00:26:59,093 What X-ray? Let me see. 626 00:26:59,117 --> 00:27:00,762 Look, you have to get an X-ray after you insert a Dobhoff, 627 00:27:00,786 --> 00:27:03,264 most importantly, before you start feeds. 628 00:27:03,288 --> 00:27:04,766 Okay. Let's pull it out. Quickly, now! 629 00:27:04,790 --> 00:27:06,559 I'm... I'm s-sorry. This was my first one. 630 00:27:06,583 --> 00:27:09,395 I-I didn't know. It's okay. And we can fix this. 631 00:27:09,419 --> 00:27:11,564 Uh, prepare for a bronchoscopy to suction the feeds out. 632 00:27:11,588 --> 00:27:12,649 Okay. 633 00:27:18,428 --> 00:27:20,013 Suction. 634 00:27:22,474 --> 00:27:25,578 Is it... Is it weird operating on your friend's scrotum? 635 00:27:25,602 --> 00:27:27,038 My dear. 636 00:27:27,062 --> 00:27:29,332 You've seen one testicle, you've seen 'em all. 637 00:27:29,356 --> 00:27:31,543 But ask me if I think the man has a screw loose. 638 00:27:31,567 --> 00:27:33,086 Ooh! Mm. 639 00:27:33,110 --> 00:27:34,587 He must really not want kids. 640 00:27:34,611 --> 00:27:36,506 Of course not. He's a grandfather. 641 00:27:36,530 --> 00:27:38,258 That's when all the fun starts. 642 00:27:38,282 --> 00:27:40,677 Raising a child is hard. 643 00:27:40,701 --> 00:27:43,555 This coming from the chairwoman of a national hospital system. 644 00:27:43,579 --> 00:27:45,390 I don't know how you did it. Me neither. 645 00:27:45,414 --> 00:27:47,058 But I will tell you this. 646 00:27:47,082 --> 00:27:49,477 As proud as I am of all my accomplishments, 647 00:27:49,501 --> 00:27:53,356 the best job I've ever had was being Jackson's mom. 648 00:27:53,380 --> 00:27:55,233 And the biggest surprise. 649 00:27:55,257 --> 00:27:57,443 I didn't think I wanted to be a parent. 650 00:27:57,467 --> 00:28:00,780 I... I just never had that pull. 651 00:28:00,804 --> 00:28:04,450 But life is full of surprises. 652 00:28:04,474 --> 00:28:06,327 Yeah. Just ask Kimmy. Oh. 653 00:28:06,351 --> 00:28:09,163 She better make sure that lawyer is looking over that prenup. 654 00:28:09,187 --> 00:28:11,875 Okay. Let us finish this vasectomy in the right way. 655 00:28:11,899 --> 00:28:14,669 I've palpated the vas deferens and isolated it. 656 00:28:14,693 --> 00:28:16,713 Now what is next? 657 00:28:16,737 --> 00:28:19,507 Exteriorize, ligate both ends, then divide and send to path. 658 00:28:19,531 --> 00:28:21,217 Mm-hmm. 659 00:28:21,241 --> 00:28:22,951 After you. 660 00:28:23,911 --> 00:28:27,348 Um, 4-0 Vicryl. 661 00:28:31,210 --> 00:28:34,522 -All right. What happened? -She has a CSF leak. 662 00:28:34,546 --> 00:28:36,566 Okay. Show me where the fluid's coming from. 663 00:28:36,590 --> 00:28:38,318 Do you think it's from the cranial base? 664 00:28:38,342 --> 00:28:39,986 I can't see. Let's light it up. 665 00:28:40,010 --> 00:28:41,696 Dilute fluorescein, please. 666 00:28:41,720 --> 00:28:43,823 Inject it into the EVD and clamp it. 667 00:28:43,847 --> 00:28:45,742 Injecting now. 668 00:28:45,766 --> 00:28:47,994 All right. Now we wait. 669 00:28:48,018 --> 00:28:49,954 -Lights, please. -For what? 670 00:28:49,978 --> 00:28:53,666 The drain is in her ventricle, which is filled with CSF. 671 00:28:53,690 --> 00:28:55,877 If this is a leak, we should see... 672 00:28:55,901 --> 00:28:57,629 Yeah, the fluorescence 673 00:28:57,653 --> 00:28:59,631 is coming from the location of the dural tear. 674 00:28:59,655 --> 00:29:01,591 Is it weird that I think that's beautiful? 675 00:29:01,615 --> 00:29:03,468 Not at all. 676 00:29:03,492 --> 00:29:05,619 All right. Let's sew this up. 5-0 nylon. 677 00:29:06,703 --> 00:29:10,642 Actually, the dura is friable. It's not gonna hold a stitch. 678 00:29:10,666 --> 00:29:13,853 And the pericranium is too scarred to harvest for a patch. 679 00:29:13,877 --> 00:29:15,855 Want some fascia lata? I think that might be our only option. 680 00:29:15,879 --> 00:29:18,483 Prep the thigh. Not the only option. 681 00:29:18,507 --> 00:29:20,652 Instead of another incision, I can harvest fascia 682 00:29:20,676 --> 00:29:22,362 from the existing field. 683 00:29:22,386 --> 00:29:24,238 You think it'll have enough bite to hold the dura? 684 00:29:24,262 --> 00:29:26,032 Give me three minutes. I'll show you. Mm-hmm. 685 00:29:26,056 --> 00:29:27,450 Scalpel. 686 00:29:34,606 --> 00:29:37,585 Okay, Mom. What... Whatever. 687 00:29:37,609 --> 00:29:40,505 I'll let you know when I know what he's decided. 688 00:29:40,529 --> 00:29:41,989 Hey. Everything okay? 689 00:29:43,365 --> 00:29:44,926 Everything's fine. 690 00:29:44,950 --> 00:29:47,262 I'm just... a terrible person. 691 00:29:47,286 --> 00:29:48,888 I have a hard time believing that. 692 00:29:48,912 --> 00:29:50,723 You're spending your third trimester 693 00:29:50,747 --> 00:29:52,558 with your brother in the CCU. 694 00:29:52,582 --> 00:29:54,727 My mom's a wreck 695 00:29:54,751 --> 00:29:57,522 because her son is having another big surgery 696 00:29:57,546 --> 00:29:59,774 while she's recovering from pneumonia. 697 00:29:59,798 --> 00:30:02,235 And I just yelled at her because she didn't have an opinion 698 00:30:02,259 --> 00:30:04,404 on the paint color of the nursery. 699 00:30:04,428 --> 00:30:07,848 You want your mom's help. It doesn't make you terrible. 700 00:30:09,141 --> 00:30:10,785 I'm just overwhelmed. 701 00:30:10,809 --> 00:30:13,454 Yeah. Of course you are. There's a lot going on. 702 00:30:13,478 --> 00:30:15,373 It's so stupid. 703 00:30:15,397 --> 00:30:18,817 I am 36 years old. I'm about to have a kid. 704 00:30:20,819 --> 00:30:23,071 But I still just want my mom. 705 00:30:24,364 --> 00:30:26,551 I know the feeling. 706 00:30:28,994 --> 00:30:31,014 I should call her and apologize. 707 00:30:31,038 --> 00:30:33,016 I'll see you up there. 708 00:30:37,127 --> 00:30:38,896 ♪ Soft eyes ♪ 709 00:30:38,920 --> 00:30:41,631 ♪ Set warmth in me ♪ 710 00:30:42,758 --> 00:30:45,320 ♪ Show me stillness ♪ 711 00:30:45,344 --> 00:30:46,988 ♪ Patiently ♪ 712 00:30:47,012 --> 00:30:49,240 Corban made his decision. He wants a TEVAR. 713 00:30:49,264 --> 00:30:51,183 Right. 714 00:30:52,392 --> 00:30:54,662 I'd page someone else, but we're down residents today. 715 00:30:54,686 --> 00:30:56,831 I'm good. 716 00:30:56,855 --> 00:30:59,125 Do you need a minute? Not at all. I'll go prep him. 717 00:30:59,149 --> 00:31:00,626 Okay. 718 00:31:00,650 --> 00:31:03,070 ♪ Keep holding me ♪ 719 00:31:04,321 --> 00:31:05,923 Dr. Bailey, I am so sorry. 720 00:31:05,947 --> 00:31:07,383 I take full responsibility. 721 00:31:07,407 --> 00:31:09,343 I should've told Spencer to check the KUB 722 00:31:09,367 --> 00:31:11,512 before starting feeds. Yeah. Damn right. 723 00:31:11,536 --> 00:31:13,222 And you better have a good reason you didn't. 724 00:31:13,246 --> 00:31:15,308 Yeah. A pharmaceutical company called 725 00:31:15,332 --> 00:31:17,226 with a lead on Katie's infusion, so I just wanted... 726 00:31:17,250 --> 00:31:20,271 No. The... The last time I checked, I asked you 727 00:31:20,295 --> 00:31:22,815 to focus on your patients admitted in the hospital. 728 00:31:22,839 --> 00:31:24,108 I only picked up long enough 729 00:31:24,132 --> 00:31:25,485 to let them know that I was serious. 730 00:31:25,509 --> 00:31:27,028 Wendy could've died of chemical pneumonitis 731 00:31:27,052 --> 00:31:29,238 or pneumonia. She didn't. 732 00:31:29,262 --> 00:31:31,908 And Katie could die if we don't fight for her. I know. 733 00:31:31,932 --> 00:31:34,702 I am fighting for her too. Are you? 734 00:31:34,726 --> 00:31:36,537 'Cause what options have you found? 735 00:31:36,561 --> 00:31:37,872 What research have you done? 736 00:31:37,896 --> 00:31:39,457 Have you exhausted your contact list? 737 00:31:39,481 --> 00:31:41,709 Because it feels like you've given up. 738 00:31:41,733 --> 00:31:47,048 Oh, so... you think after Katie sobbed in my arms, 739 00:31:47,072 --> 00:31:50,635 I shrugged and said, "Good luck"? 740 00:31:50,659 --> 00:31:52,887 That I gave her a goody bag and sent her on her way? 741 00:31:52,911 --> 00:31:54,263 She's dying, okay? We... 742 00:31:54,287 --> 00:31:57,600 And I think about it every single day. 743 00:31:57,624 --> 00:32:01,562 And I also think about my 65-year-old 744 00:32:01,586 --> 00:32:04,524 with decompensated cirrhosis who's treatment-resistant 745 00:32:04,548 --> 00:32:06,317 and... and the 17-year-old 746 00:32:06,341 --> 00:32:08,319 that's septic and I can't figure out why. 747 00:32:08,343 --> 00:32:10,571 Don't forget about John Doe in the ICU, 748 00:32:10,595 --> 00:32:14,117 whose abdomen I had to leave open. 749 00:32:14,141 --> 00:32:16,536 Yeah. He's also keeping me up at night. 750 00:32:16,560 --> 00:32:20,331 And now I guess you can add Wendy to my list. 751 00:32:20,355 --> 00:32:22,375 See, I haven't given up on Katie, 752 00:32:22,399 --> 00:32:25,920 but I also haven't given up on the rest of my patients. 753 00:32:25,944 --> 00:32:29,489 And that is where you and I are different. 754 00:32:30,740 --> 00:32:32,343 Get it together. 755 00:32:48,925 --> 00:32:50,486 Dr. Brooks to Oncology. 756 00:32:50,510 --> 00:32:52,071 Dr. Brooks to Oncology. 757 00:32:52,095 --> 00:32:53,072 Hi. 758 00:32:53,096 --> 00:32:54,740 Randall did great. 759 00:32:54,764 --> 00:32:56,534 He is recovering now, 760 00:32:56,558 --> 00:32:58,578 and they will call you when he's ready for visitors. 761 00:32:58,602 --> 00:33:00,371 Is it bad if I don't answer? 762 00:33:00,395 --> 00:33:02,606 No one would hold it against you. 763 00:33:03,648 --> 00:33:06,169 I really do love him. 764 00:33:06,193 --> 00:33:07,819 That's what makes this hurt so much. 765 00:33:09,196 --> 00:33:13,384 I mean, it's his body, and he can do whatever he wants. 766 00:33:13,408 --> 00:33:16,470 But if I want to stay married to him, 767 00:33:16,494 --> 00:33:18,890 I don't get a say in whether I have a baby. 768 00:33:18,914 --> 00:33:21,225 Well, you could always ask him to reverse it. 769 00:33:21,249 --> 00:33:23,352 What's the point? 770 00:33:23,376 --> 00:33:25,771 He obviously doesn't want to have kids with me. 771 00:33:25,795 --> 00:33:28,566 Uh... 772 00:33:28,590 --> 00:33:30,258 Well, can you get a puppy? 773 00:33:32,093 --> 00:33:33,613 I'm allergic. 774 00:33:33,637 --> 00:33:35,698 That's unfortunate. 775 00:33:40,894 --> 00:33:41,871 Hey. 776 00:33:41,895 --> 00:33:43,164 Hey. 777 00:33:43,188 --> 00:33:45,249 I did Corban's TEVAR. He did great. 778 00:33:45,273 --> 00:33:47,627 His numbers are improving. 779 00:33:47,651 --> 00:33:49,420 Okay. 780 00:33:49,444 --> 00:33:54,550 Look. I'm... I'm sorry if I came across as harsh earlier. 781 00:33:54,574 --> 00:33:56,510 I-I still maintain 782 00:33:56,534 --> 00:33:59,805 that the ventral aorta wasn't the right call for this patient. 783 00:33:59,829 --> 00:34:02,141 What about the next one? 784 00:34:02,165 --> 00:34:04,518 You were more than happy to talk about this surgery 785 00:34:04,542 --> 00:34:08,146 on podcasts, publish abstracts, present it. 786 00:34:08,170 --> 00:34:10,191 You were the one who came up with it. 787 00:34:10,215 --> 00:34:11,776 What's the point if you never do it again? 788 00:34:11,800 --> 00:34:14,695 It's a "break the glass in case of emergency" surgery. 789 00:34:14,719 --> 00:34:16,739 But does it have to be? 790 00:34:16,763 --> 00:34:19,700 Think of the number of people suffering from aortic disease 791 00:34:19,724 --> 00:34:21,410 with no options. 792 00:34:21,434 --> 00:34:23,079 We might have something that could help them. 793 00:34:23,103 --> 00:34:24,372 Why don't you want to use it? 794 00:34:24,396 --> 00:34:26,082 ♪ ...again ♪ 795 00:34:26,106 --> 00:34:28,459 ♪ Chasing a thread ♪ 796 00:34:33,280 --> 00:34:35,883 She looks terrible. 797 00:34:35,907 --> 00:34:39,262 She'll look more like herself when the swelling goes down. 798 00:34:39,286 --> 00:34:40,805 And we'll keep monitoring her brain function 799 00:34:40,829 --> 00:34:42,265 to see what's intact. 800 00:34:42,289 --> 00:34:43,807 Her intracranial pressure is stable, 801 00:34:43,831 --> 00:34:45,518 and she's not re-leaking any fluid from her nose. 802 00:34:45,542 --> 00:34:47,019 That's good. 803 00:34:48,545 --> 00:34:50,690 I think I have to drop out of school. 804 00:34:50,714 --> 00:34:52,858 I can't leave her like this. 805 00:34:52,882 --> 00:34:56,570 It's always been me and her. 806 00:34:56,594 --> 00:34:59,156 Have you thought about contacting the school? 807 00:34:59,180 --> 00:35:02,952 Maybe take a leave of absence or do your coursework remotely. 808 00:35:02,976 --> 00:35:04,412 You think they'd do that? 809 00:35:04,436 --> 00:35:05,913 Yeah. You've worked really hard. 810 00:35:05,937 --> 00:35:07,623 And if you stop now, 811 00:35:07,647 --> 00:35:09,333 then it's gonna be a lot harder to start back up again. 812 00:35:09,357 --> 00:35:11,794 Never hurts to ask. 813 00:35:11,818 --> 00:35:14,338 ♪ Creating all these stories up in my head, oh, no ♪ 814 00:35:14,362 --> 00:35:16,674 Um, excuse me. 815 00:35:16,698 --> 00:35:18,175 ♪ Again ♪ 816 00:35:18,199 --> 00:35:19,510 Uh, Dr. Wright. 817 00:35:19,534 --> 00:35:21,512 Um, I ordered Teresa's post-op imaging, 818 00:35:21,536 --> 00:35:23,180 but it probably won't happen overnight, 819 00:35:23,204 --> 00:35:25,016 so I'll make sure it's done for first thing tomorrow. 820 00:35:25,040 --> 00:35:26,249 Good. Thank you. 821 00:35:27,459 --> 00:35:31,022 All due respect, uh... I don't want to be just good. 822 00:35:31,046 --> 00:35:32,857 I want you to see me as excellent. 823 00:35:32,881 --> 00:35:35,026 So I'm asking... What would that take? 824 00:35:35,050 --> 00:35:36,986 Tell me what you need me to do, and I will do it. 825 00:35:37,010 --> 00:35:38,821 There's your problem. 826 00:35:38,845 --> 00:35:41,032 That I'm not anticipating you well enough? 827 00:35:41,056 --> 00:35:42,950 You're trying to anticipate me 828 00:35:42,974 --> 00:35:45,244 when you should be trying to anticipate the medicine. 829 00:35:45,268 --> 00:35:47,079 Look. Over the years, I've found 830 00:35:47,103 --> 00:35:49,040 that the most successful residents 831 00:35:49,064 --> 00:35:51,500 focus on patient care and surgical technique. 832 00:35:51,524 --> 00:35:53,586 Mm-hmm. They're confident in who they are, 833 00:35:53,610 --> 00:35:56,172 which translates into them being confident in what they do. 834 00:35:56,196 --> 00:35:59,925 And that is what leads to excellence in plastics. 835 00:35:59,949 --> 00:36:02,428 I didn't see that from you today. 836 00:36:02,452 --> 00:36:04,472 Maybe next time. 837 00:36:04,496 --> 00:36:07,933 ♪ I can keep a promise but I can't pretend, oh, no ♪ 838 00:36:07,957 --> 00:36:11,937 ♪ Here I go again ♪ 839 00:36:11,961 --> 00:36:14,422 ♪ Chasing a thread ♪ 840 00:36:15,840 --> 00:36:19,195 Did you update, uh, Ms. Cahill's outputs for Baxter? 841 00:36:19,219 --> 00:36:21,137 He's on tonight. 842 00:36:22,889 --> 00:36:25,058 You okay? Super. 843 00:36:26,309 --> 00:36:28,329 Look. Bailey was mad at me, not you. 844 00:36:28,353 --> 00:36:30,706 And she was way out of line... Bailey? 845 00:36:30,730 --> 00:36:32,249 Bailey wasn't the problem. 846 00:36:34,484 --> 00:36:36,253 Spencer... I thought you were gonna apologize to me. 847 00:36:36,277 --> 00:36:38,047 For what? 848 00:36:38,071 --> 00:36:39,423 Look, you might have taken the heat 849 00:36:39,447 --> 00:36:40,883 because you're the second-year, 850 00:36:40,907 --> 00:36:42,635 but I fed the tube into Wendy's lungs. 851 00:36:42,659 --> 00:36:44,679 And if you had told me to get a KUB, 852 00:36:44,703 --> 00:36:47,223 I would've taken a damn X-ray and not initiated feeds. 853 00:36:47,247 --> 00:36:48,891 Okay. But we managed it. She's fine. 854 00:36:48,915 --> 00:36:50,976 She had food in her lungs! 855 00:36:54,963 --> 00:36:57,191 Oh. Okay. Thank you. 856 00:36:57,215 --> 00:36:58,258 Thank you. 857 00:37:00,927 --> 00:37:03,155 I wasn't cool. 858 00:37:03,179 --> 00:37:05,032 Oh, you're being hard on yourself. 859 00:37:05,056 --> 00:37:07,451 Oh, she said in no uncertain terms 860 00:37:07,475 --> 00:37:10,871 that she did not see excellence in me today. 861 00:37:10,895 --> 00:37:12,915 I'm sorry. 862 00:37:12,939 --> 00:37:14,875 You know what makes it worse? She wasn't even mean about it. 863 00:37:14,899 --> 00:37:16,794 She just said it like it was a fact. 864 00:37:16,818 --> 00:37:19,755 Ah. You think it's a fact? 865 00:37:19,779 --> 00:37:21,507 Oh, no, no, no. 866 00:37:21,531 --> 00:37:23,676 I was thinking about how I yelled at Adams. 867 00:37:23,700 --> 00:37:25,219 Ah. What'd he do now? 868 00:37:25,243 --> 00:37:28,681 Well, his concern for one patient 869 00:37:28,705 --> 00:37:31,100 got in the way of his care for other patients. 870 00:37:31,124 --> 00:37:33,352 Katie Rogers. Yeah. 871 00:37:33,376 --> 00:37:37,148 I mean, truth is, if she was our only patient, 872 00:37:37,172 --> 00:37:39,316 his dedication would be admirable. 873 00:37:39,340 --> 00:37:41,485 Mm. I hope I wasn't too hard on him. 874 00:37:41,509 --> 00:37:44,196 Um, I guess we got to have thick skin 875 00:37:44,220 --> 00:37:46,365 if we're gonna do this thing. 876 00:37:46,389 --> 00:37:47,742 Want to go home? 877 00:37:47,766 --> 00:37:49,201 Let's go home. 878 00:37:56,483 --> 00:37:58,627 Hey. 879 00:37:58,651 --> 00:38:00,195 Everything okay? 880 00:38:03,656 --> 00:38:05,283 I haven't signed the papers yet. 881 00:38:08,369 --> 00:38:11,599 But getting a divorce was your idea. 882 00:38:11,623 --> 00:38:12,641 I know. 883 00:38:12,665 --> 00:38:14,042 I know. 884 00:38:15,251 --> 00:38:16,771 Are you having second thoughts? 885 00:38:16,795 --> 00:38:18,046 No. 886 00:38:20,089 --> 00:38:23,068 I keep taking the papers out to sign, and then I don't do it, 887 00:38:23,092 --> 00:38:25,029 and now they're just sitting in my bag 888 00:38:25,053 --> 00:38:27,096 with crumbs and crayon marks on them. 889 00:38:30,058 --> 00:38:31,577 Just because it was my idea 890 00:38:31,601 --> 00:38:33,394 doesn't mean that I'm not scared. 891 00:38:35,688 --> 00:38:38,250 What are you scared of? I don't know. 892 00:38:38,274 --> 00:38:41,236 That everything will just explode and... and fall apart. 893 00:38:42,445 --> 00:38:44,465 But hasn't that happened already? 894 00:38:55,083 --> 00:38:56,852 Y-You don't have to do them right now. 895 00:38:56,876 --> 00:38:59,188 I mean, I'll... I'll take out another retainer. 896 00:38:59,212 --> 00:39:02,173 We don't have to rush this. I have to do it sometime. 897 00:39:02,966 --> 00:39:04,008 Okay. 898 00:39:10,890 --> 00:39:12,618 My sixth-grade teacher said, 899 00:39:12,642 --> 00:39:15,996 "Your actions plus your choices equals your life." 900 00:39:16,020 --> 00:39:17,831 This is mostly true. 901 00:39:17,855 --> 00:39:21,502 I can do a whole vasectomy start to finish. 902 00:39:21,526 --> 00:39:22,878 It's pretty straightforward. 903 00:39:22,902 --> 00:39:24,880 Why are you looking at me? 904 00:39:27,365 --> 00:39:29,635 You change your mind? Yeah. 905 00:39:29,659 --> 00:39:31,512 Today, looking at questions about my mom 906 00:39:31,536 --> 00:39:33,847 and thinking about being a mom just brought up 907 00:39:33,871 --> 00:39:36,183 a lot of old feelings I don't have time to deal with. 908 00:39:36,207 --> 00:39:38,435 I need to focus on work. 909 00:39:38,459 --> 00:39:41,063 Well... what if I did it with you? 910 00:39:41,087 --> 00:39:42,731 I don't have to be here for this, right? 911 00:39:42,755 --> 00:39:44,316 No. No. 912 00:39:44,340 --> 00:39:46,318 I thought you didn't want kids. 913 00:39:46,342 --> 00:39:47,778 I don't think I do. 914 00:39:47,802 --> 00:39:50,906 But I also don't want to wake up one day 915 00:39:50,930 --> 00:39:52,700 and my eggs are all shriveled and dusty 916 00:39:52,724 --> 00:39:56,787 and realize that I do and it's too late. 917 00:39:56,811 --> 00:39:58,747 And then if we... if we do it together, 918 00:39:58,771 --> 00:40:03,151 I-I could be there for you if you think about your mom. 919 00:40:04,110 --> 00:40:05,629 You'd do that? Yeah. Yeah. 920 00:40:05,653 --> 00:40:07,339 And then I can tell you about my mom, 921 00:40:07,363 --> 00:40:10,551 which would make you feel better. 922 00:40:10,575 --> 00:40:12,678 Fertility friends? 923 00:40:12,702 --> 00:40:14,847 Don't call it that. 924 00:40:14,871 --> 00:40:17,474 ♪ Open us up, we all bleed the same ♪ 925 00:40:17,498 --> 00:40:18,475 No. 926 00:40:18,499 --> 00:40:20,769 No. 927 00:40:20,793 --> 00:40:23,063 But what it doesn't account for is luck. What is going on? 928 00:40:23,087 --> 00:40:24,857 Leticia, you have to wait outside. Someone tell me what's going on! 929 00:40:24,881 --> 00:40:26,108 Get her out, please. 930 00:40:26,132 --> 00:40:27,568 It's gonna be okay. No. 931 00:40:27,592 --> 00:40:29,445 It's gonna be okay. What happened? 932 00:40:29,469 --> 00:40:31,405 I got him back after one round of epi, 933 00:40:31,429 --> 00:40:32,781 but he's still hypotensive with a narrow pulse pressure. 934 00:40:32,805 --> 00:40:34,700 Did you get an X-ray? Right here. 935 00:40:34,724 --> 00:40:36,577 Good work. 936 00:40:36,601 --> 00:40:39,288 Mediastinal widening. The leak is expanding. 937 00:40:39,312 --> 00:40:41,832 Page Altman. We need to get him back to the angio suite. 938 00:40:41,856 --> 00:40:44,960 ♪ Look I'm here ♪ 939 00:40:44,984 --> 00:40:48,714 ♪ Look I'm here ♪ Let's move. 940 00:40:48,738 --> 00:40:51,783 Sometimes we encounter unexpected twists of fate. 941 00:40:52,742 --> 00:40:54,428 Hey. Hey. 942 00:40:54,452 --> 00:40:56,013 ♪ It's time ♪ 943 00:40:56,037 --> 00:40:57,932 Thanks for today. 944 00:40:57,956 --> 00:41:01,185 You're the only neurosurgeon that's ever responded to my page 945 00:41:01,209 --> 00:41:03,145 in under an hour. Oh. 946 00:41:03,169 --> 00:41:06,607 Well, it was my first day back, so I didn't have a lot going on. 947 00:41:06,631 --> 00:41:10,861 Um, not... not to say that I'm not always prompt. 948 00:41:10,885 --> 00:41:13,947 Right. Need me again, I will come just as fast. 949 00:41:13,971 --> 00:41:15,765 Okay. 950 00:41:16,516 --> 00:41:17,952 Uh... 951 00:41:17,976 --> 00:41:20,537 I-I made it weird. No. 952 00:41:20,561 --> 00:41:22,956 I swear to you, the crush is all in the past. 953 00:41:22,980 --> 00:41:24,917 I've had many crushes since then. 954 00:41:24,941 --> 00:41:26,418 Succeeded at several. 955 00:41:26,442 --> 00:41:29,112 Changed programs when others have failed. 956 00:41:30,321 --> 00:41:31,882 You used to laugh more. 957 00:41:31,906 --> 00:41:33,801 ♪ ...making an enemy ♪ 958 00:41:33,825 --> 00:41:36,720 ♪ See there is beauty in thinking differently ♪ 959 00:41:36,744 --> 00:41:39,181 I also had a crush on you. 960 00:41:39,205 --> 00:41:42,226 I mean, I didn't understand what I was feeling, 961 00:41:42,250 --> 00:41:44,460 but, you know, I wish I had known. 962 00:41:45,878 --> 00:41:48,399 Sorry. That... That is... It's... 963 00:41:48,423 --> 00:41:50,985 I'm not hitting on you in the attendings' lounge. 964 00:41:51,009 --> 00:41:53,404 Right. This is work. 965 00:41:53,428 --> 00:41:56,573 Do you want to... go somewhere, 966 00:41:56,597 --> 00:41:57,700 get a coffee? 967 00:41:58,850 --> 00:42:01,578 ♪ Look I'm here ♪ 968 00:42:01,602 --> 00:42:04,081 And the best things in life fall out of thin air. 969 00:42:06,107 --> 00:42:10,879 ♪ Look I'm here ♪ 970 00:42:10,903 --> 00:42:13,382 ♪ Look I'm here ♪ 971 00:42:13,406 --> 00:42:15,300 ♪ Together... ♪ ♪ Look I'm here ♪ 972 00:42:15,324 --> 00:42:17,201 All you have to do is catch it. 973 00:42:22,623 --> 00:42:24,685 McSteamy, right? 974 00:42:24,709 --> 00:42:25,811 Mark Sloan. 975 00:42:25,835 --> 00:42:28,731 Oh. This is awkward. 976 00:42:28,755 --> 00:42:30,858 We're the dirty mistresses. 977 00:42:30,882 --> 00:42:32,484 I suppose we are. 978 00:42:32,508 --> 00:42:34,236 I'll show you the Sloan method. 979 00:42:34,260 --> 00:42:36,071 How many nurses have you slept with this week? 980 00:42:36,095 --> 00:42:38,449 That's not a problem, man. That's an adventure. 981 00:42:38,473 --> 00:42:40,117 The Plastics Posse. 982 00:42:40,141 --> 00:42:41,827 Kicking surgical ass and taking names. 983 00:42:41,851 --> 00:42:43,704 The Plastics Posse? 984 00:42:43,728 --> 00:42:45,456 People don't come to me to fix what's on the outside. 985 00:42:45,480 --> 00:42:47,332 They come to me to fix what's on the inside. 986 00:42:47,356 --> 00:42:49,626 If that means giving someone a straighter nose 987 00:42:49,650 --> 00:42:52,546 or a bigger breast, if that helps a person get by, 988 00:42:52,570 --> 00:42:55,758 I don't run, I don't hide, I don't take space. 989 00:42:55,782 --> 00:42:57,009 I'm a dad. 990 00:42:57,033 --> 00:42:59,386 We're parents. Of a baby. 991 00:42:59,410 --> 00:43:01,138 Why are you telling me to give it time 992 00:43:01,162 --> 00:43:04,141 when there's no guarantee that time is gonna be there? 993 00:43:04,165 --> 00:43:07,561 If you love someone, you tell them, 994 00:43:07,585 --> 00:43:09,938 even if you're scared that it's not the right thing. 995 00:43:09,962 --> 00:43:14,109 Even if you're scared that it'll burn your life to the ground, 996 00:43:14,133 --> 00:43:16,195 you say it and you say it loud. 997 00:43:20,014 --> 00:43:21,950 Don't waste one single minute. 998 00:43:21,974 --> 00:43:26,979 ♪ Would you lie with me and just forget the world ♪