1 00:00:04,037 --> 00:00:07,876 Until the 17th century, scientists thought blood was a one-way street. 2 00:00:08,008 --> 00:00:11,345 Corban's labs are in. His white count's 22. 3 00:00:11,478 --> 00:00:13,581 - And his acidosis is getting worse. 4 00:00:13,715 --> 00:00:14,749 He's septic. 5 00:00:15,482 --> 00:00:17,117 All he wanted was to meet his nephew. 6 00:00:18,085 --> 00:00:19,954 Should we consider comfort care measures? 7 00:00:21,188 --> 00:00:24,526 No. Page Ndugu, and tell the OR desk 8 00:00:24,659 --> 00:00:27,729 that I want the same team from Nora Young's ventral aorta surgery. 9 00:00:27,862 --> 00:00:29,697 You're doing the ventral aortic reconstruction? 10 00:00:29,831 --> 00:00:33,333 Between his sepsis and the bleeding, it's our only option, 11 00:00:33,467 --> 00:00:36,704 assuming that I can get the consent from his sister. 12 00:00:37,170 --> 00:00:38,740 You want me to talk to her? 13 00:00:38,873 --> 00:00:41,208 I was the one who convinced him to do the TEVAR. It should be me. 14 00:00:41,341 --> 00:00:43,645 They believed blood was produced by the liver 15 00:00:43,778 --> 00:00:46,548 and consumed like food by the body's tissues. 16 00:00:47,214 --> 00:00:50,752 Until British physician William Harvey published a treatise 17 00:00:50,885 --> 00:00:53,521 so explosive, it was banned in England. 18 00:00:53,655 --> 00:00:56,925 I spent a lot of time imagining this in med school 19 00:00:57,057 --> 00:00:59,594 instead of studying microbiology. 20 00:00:59,727 --> 00:01:01,094 Mmm. Does the real thing measure up? 21 00:01:01,228 --> 00:01:03,063 I wouldn't want to inflate your ego. 22 00:01:04,264 --> 00:01:05,567 Well... 23 00:01:06,034 --> 00:01:09,604 ...I'm a neurosurgeon, so that ship has sailed. 24 00:01:12,874 --> 00:01:13,908 Hey. 25 00:01:14,441 --> 00:01:17,411 This is gonna sound crazy, but, um... 26 00:01:19,112 --> 00:01:22,282 Do you wanna, like, go on a proper date? 27 00:01:23,317 --> 00:01:24,953 Get dinner tomorrow night? 28 00:01:25,085 --> 00:01:28,121 Yeah, I'd love to, but I have my s-- 29 00:01:28,255 --> 00:01:29,757 Um... 30 00:01:29,891 --> 00:01:33,427 My sunrise hiking club, uh, in the morning. 31 00:01:33,561 --> 00:01:35,228 You hike? 32 00:01:35,362 --> 00:01:38,231 I just started, you know, there's nothing like fresh air in the morning. 33 00:01:38,733 --> 00:01:40,300 Right. Um... 34 00:01:42,369 --> 00:01:45,640 I should go. I should probably change before rounds. 35 00:01:45,773 --> 00:01:49,109 He posited that blood was part of a circulatory system 36 00:01:49,242 --> 00:01:52,245 continuously pumped through the body and recycled by the heart. 37 00:01:55,883 --> 00:01:59,621 In other words, when it comes to blood, what goes around comes around. 38 00:01:59,754 --> 00:02:02,857 Ooh. No. Okay. Why... Why do you have to leave so early? 39 00:02:02,991 --> 00:02:05,292 I have to prep for a sternal reconstruction. 40 00:02:05,425 --> 00:02:07,629 Dr. Wright wants to work with me more before she'll write me 41 00:02:07,762 --> 00:02:10,765 a letter of recommendation for that attending position in Boston. 42 00:02:10,898 --> 00:02:12,232 You're still on this Boston thing? 43 00:02:12,366 --> 00:02:14,468 -What do they have that we don't? -My parents. 44 00:02:14,602 --> 00:02:16,203 -Nieces and nephews. -Mm-hmm. 45 00:02:16,336 --> 00:02:19,040 -Cream pie. -Oh, I forgot about the pie. 46 00:02:19,172 --> 00:02:21,141 Mmm. 47 00:02:23,645 --> 00:02:26,681 -Uh, did you forget how to knock? -The door was open. 48 00:02:26,814 --> 00:02:29,851 Millin, you're on my service today. Thought you'd be at work by now. 49 00:02:29,984 --> 00:02:32,553 -I'll be in time for rounds. -I expect you to bring your A game. 50 00:02:32,687 --> 00:02:33,688 It's an important case. 51 00:02:33,821 --> 00:02:35,023 I always do. 52 00:02:36,124 --> 00:02:38,559 -I'll see you both later. -Yeah. 53 00:02:40,394 --> 00:02:42,162 - Simone! - Would it kill you to be nice? 54 00:02:42,295 --> 00:02:44,231 She is trying to tell me what to do before I've had coffee. 55 00:02:44,364 --> 00:02:47,101 Where is Simone? We're supposed to be going over fertility stuff on the way in. 56 00:02:47,234 --> 00:02:49,537 -Fertility stuff? -Yeah, we're freezing our eggs. 57 00:02:49,671 --> 00:02:52,940 Well, I mean, I am. I can't speak for her. 58 00:02:53,074 --> 00:02:54,542 Pretty sure you just did. 59 00:02:54,676 --> 00:02:57,111 Look, Simone never made it back last night. Critical patient. 60 00:02:57,244 --> 00:03:00,114 - Oh, then can I get a ride? - Oh, me too. Please? 61 00:03:00,247 --> 00:03:02,349 Do I look like a soccer mom to you? 62 00:03:12,593 --> 00:03:14,929 -She is texting me. -I didn't say anything. 63 00:03:15,063 --> 00:03:16,296 Look. 64 00:03:16,831 --> 00:03:18,766 I muted her. Focusing on my other patients, 65 00:03:18,900 --> 00:03:20,902 like you told me to. 66 00:03:21,035 --> 00:03:23,004 You must have really handed it to him. 67 00:03:23,137 --> 00:03:25,006 I gave him constructive feedback. 68 00:03:25,139 --> 00:03:27,508 At least he knows where he stands. It's the same with me and Dr. Wright. 69 00:03:27,642 --> 00:03:29,577 I know what I need to improve on. 70 00:03:29,711 --> 00:03:33,413 See, he thinks that I don't care, but I've been searching high and low 71 00:03:33,548 --> 00:03:35,850 for more infusion treatments for Katie. 72 00:03:35,983 --> 00:03:37,185 Any luck? 73 00:03:37,350 --> 00:03:40,287 Just a bunch of unanswered emails and dead ends. 74 00:03:41,122 --> 00:03:45,059 Sugihara wants to put her on her prior immunotherapy regimen. 75 00:03:45,193 --> 00:03:47,494 - That was... Yeah. - Well, I'm sorry. 76 00:03:48,162 --> 00:03:50,064 Hey, what's on your schedule today? 77 00:03:50,198 --> 00:03:54,234 Um, consults, meetings, residency admin. 78 00:03:54,902 --> 00:03:56,704 -Push 'em. -Hmm? 79 00:03:56,838 --> 00:03:59,107 Dr. Goldberg is out sick today and he needs somebody to take his procedures. 80 00:04:00,407 --> 00:04:01,943 Oh, come on. 81 00:04:03,343 --> 00:04:04,411 Save some lives with me. 82 00:04:06,413 --> 00:04:08,750 Let's save some lives. 83 00:04:08,883 --> 00:04:11,119 Luna and Hattie are still napping. 84 00:04:11,284 --> 00:04:13,955 Uh, the baby monitor's on the coffee table. 85 00:04:14,088 --> 00:04:15,757 All right, you already mentioned that. 86 00:04:15,890 --> 00:04:19,560 Um, extra diapers are upstairs in the linen closet, 87 00:04:19,694 --> 00:04:23,263 and the... the... the pediatrician's number is on the fridge. 88 00:04:23,396 --> 00:04:25,233 -We're not going to Siberia. -I know that. 89 00:04:25,365 --> 00:04:28,035 And we need to find a dresser big enough for the twins today. 90 00:04:28,169 --> 00:04:30,571 I've been fasting in anticipation for the Swedish meatballs, 91 00:04:30,705 --> 00:04:32,073 so I would love to get there 92 00:04:32,206 --> 00:04:34,441 - before I go into a hypoglycemic coma. 93 00:04:34,575 --> 00:04:37,578 If you have any issues at all, please don't hesitate to call. 94 00:04:37,712 --> 00:04:39,147 Will do. 95 00:04:39,279 --> 00:04:40,581 Okay. 96 00:04:44,051 --> 00:04:45,853 I think you're supposed to hand over the baby now. 97 00:04:45,987 --> 00:04:50,124 Oh, yeah. Okay. Okay, okay. 98 00:04:50,792 --> 00:04:53,161 Don't wake your sisters up. 99 00:04:55,029 --> 00:04:56,831 Is it weird that we're... 100 00:04:56,964 --> 00:05:01,002 ...handing our babies over to someone else for the first time and all I feel is-- 101 00:05:01,135 --> 00:05:03,805 -Unbridled joy? -Mm-hmm. 102 00:05:06,473 --> 00:05:09,309 No. There might be a leak at my rental property. 103 00:05:10,211 --> 00:05:11,879 Where I lived before I moved in here with you. 104 00:05:12,013 --> 00:05:15,650 Oh! Wow, I always forget that you own that dump. 105 00:05:15,783 --> 00:05:18,318 I installed a water sensor when the last tenants moved out, 106 00:05:18,451 --> 00:05:22,256 -and I should probably check on this. -Well, just call a plumber. 107 00:05:22,389 --> 00:05:24,192 Oh, no, they'll charge an arm and a leg just for showing up. 108 00:05:24,324 --> 00:05:26,260 -It won't take long to fix. -Okay, I'll come. 109 00:05:28,696 --> 00:05:30,497 Are you sure you really wanna hang out at that dump? 110 00:05:30,631 --> 00:05:32,633 Yeah, I'll just, um, sit in the car. 111 00:05:32,767 --> 00:05:34,434 First day of freedom. 112 00:05:36,838 --> 00:05:39,073 Hey, so I haven't gotten to officially welcome you back yet. 113 00:05:39,207 --> 00:05:40,208 You go somewhere tropical? 114 00:05:40,340 --> 00:05:42,475 No, do Chicago or Boston count? 115 00:05:42,610 --> 00:05:44,745 Now, sabbatical looks good on you. 116 00:05:45,813 --> 00:05:47,347 What have we got? 117 00:05:47,480 --> 00:05:50,051 42-year-old male, head trauma after colliding with a glass door. 118 00:05:51,853 --> 00:05:54,655 GCS 15. No LOC. Presented with epistaxis and a small forehead lac. 119 00:05:54,789 --> 00:05:56,324 BP is 130 over 80. 120 00:05:56,456 --> 00:05:57,692 Nasal bandage was applied at the scene. 121 00:05:57,825 --> 00:05:59,227 Okay, sir, welcome to Grey Sloan. 122 00:05:59,359 --> 00:06:00,628 - I'm Dr. Hunt. - This is Dr. Shepherd. 123 00:06:00,761 --> 00:06:01,963 Yeah, yeah, do you have a safe? 124 00:06:02,096 --> 00:06:03,831 -What are you doing? -Sorry, I'm, uh... I'm done. 125 00:06:03,965 --> 00:06:07,168 Only my little brother could get hospitalized running into a door. 126 00:06:07,301 --> 00:06:08,870 It happens more than you think. 127 00:06:09,003 --> 00:06:11,906 We were brunching with my work buds. Finally got this VP promotion. 128 00:06:12,039 --> 00:06:15,042 Hey, I... I don't know what happened. I must have blacked out when I won the... 129 00:06:15,176 --> 00:06:16,409 Won what? 130 00:06:16,544 --> 00:06:18,212 Won biggest loser? 131 00:06:18,346 --> 00:06:20,715 We've got a possible head trauma here. 132 00:06:20,848 --> 00:06:22,250 What's that? 133 00:06:23,551 --> 00:06:26,921 It's a lottery ticket. It says he won two million dollars. 134 00:06:27,955 --> 00:06:30,958 What? You won two million dollars? 135 00:06:31,959 --> 00:06:33,527 Oh. He's out! 136 00:06:33,661 --> 00:06:34,729 Trauma 3 is free. Let's move! 137 00:06:35,663 --> 00:06:37,164 Hey, hey, hands off. 138 00:06:37,665 --> 00:06:38,699 Okay. 139 00:06:38,833 --> 00:06:40,001 Hey. 140 00:06:40,134 --> 00:06:41,769 Griffith said you're doing the ventral aorta. 141 00:06:41,903 --> 00:06:44,071 I said she must've misheard. 142 00:06:44,205 --> 00:06:45,973 Yeah, first, I need to come up with a plan 143 00:06:46,107 --> 00:06:48,976 to present to Leticia, who is understandably skeptical. 144 00:06:49,110 --> 00:06:50,578 Wait, you said the TEVAR went well. 145 00:06:50,711 --> 00:06:51,746 Well, it did. 146 00:06:51,879 --> 00:06:53,480 And then he coded. 147 00:06:53,614 --> 00:06:56,083 His pseudoaneurysm degenerated. 148 00:06:56,717 --> 00:06:58,119 How badly? 149 00:06:58,252 --> 00:07:00,755 The aorta is unsalvageable. 150 00:07:05,458 --> 00:07:07,295 Break glass in case of emergency. 151 00:07:07,427 --> 00:07:09,330 The TEVAR could've worked. I had to try. 152 00:07:09,462 --> 00:07:12,099 We should have done this yesterday when he was more stable. 153 00:07:12,233 --> 00:07:14,001 We don't have time for hindsight. 154 00:07:14,135 --> 00:07:16,971 That's on you. You were so afraid to try this surgery again 155 00:07:17,104 --> 00:07:18,239 that you wasted his best shot. 156 00:07:18,372 --> 00:07:20,341 Nora was just as bad, if not worse. 157 00:07:20,473 --> 00:07:22,376 That was a miracle. You said it yourself, 158 00:07:22,510 --> 00:07:25,313 "If this doesn't work on Corban, that's it. We'll never try this surgery again." 159 00:07:25,445 --> 00:07:27,114 Now you've made that almost certain here. 160 00:07:27,248 --> 00:07:29,684 What, do you want me to apologize and say that I was wrong? 161 00:07:29,817 --> 00:07:32,920 I made the right call with the information that I had at the time, 162 00:07:33,054 --> 00:07:34,588 and it was a bad outcome. 163 00:07:34,722 --> 00:07:36,489 And now Corban is dying. 164 00:07:36,624 --> 00:07:40,995 So either you can help me come up with a plan to save him or stop wasting my time. 165 00:08:00,614 --> 00:08:02,216 Dr. Millin. 166 00:08:02,350 --> 00:08:04,218 - Mr. Hill didn't wanna start without you. - Oh. 167 00:08:04,352 --> 00:08:06,287 I was starting to think you abandoned me. 168 00:08:06,420 --> 00:08:08,055 No, I was just finishing a chest tube. 169 00:08:08,189 --> 00:08:10,624 I would never abandon my favorite patient or his better half. 170 00:08:10,758 --> 00:08:13,294 Oh, I bet you say that to all the old fogies. 171 00:08:13,427 --> 00:08:15,830 - I didn't realize you all knew each other. 172 00:08:15,963 --> 00:08:19,066 I scrubbed in on Scott's CABG with Dr. Beckman a couple months ago. 173 00:08:19,200 --> 00:08:21,535 Then, by all means, take it away. 174 00:08:21,669 --> 00:08:25,806 Scott Hill, 73, status post-CABG complicated by osteomyelitis. 175 00:08:25,940 --> 00:08:29,176 Now status post multiple debridements to the sternum and costal cartilage, 176 00:08:29,310 --> 00:08:31,712 resulting in a 12-by-10-centimeter wound. 177 00:08:31,846 --> 00:08:33,614 Today we are starting his reconstruction. 178 00:08:33,748 --> 00:08:37,351 I thought the CABG would help me be more active in retirement. 179 00:08:37,485 --> 00:08:40,821 We're in our "world-traveler era," as the kids say. 180 00:08:40,955 --> 00:08:42,456 Love that for you guys. 181 00:08:42,590 --> 00:08:45,026 We did have to cancel our safari in Tanzania. 182 00:08:45,159 --> 00:08:48,729 Fortunately, the tour company let us reschedule. 183 00:08:48,863 --> 00:08:51,232 She did what you told her to do, Dr. Millin. 184 00:08:51,365 --> 00:08:52,767 What? You sweet-talked them and then cried? 185 00:08:52,900 --> 00:08:55,504 Mm-hmm. The tears did them in. 186 00:08:55,636 --> 00:08:59,673 Well, that, or describing this gaping hole in my chest. 187 00:08:59,807 --> 00:09:01,976 We're gonna try and close that up today, okay? 188 00:09:02,109 --> 00:09:06,013 Millin, Mohanty, take him for a repeat CT to confirm our surgical plan. 189 00:09:06,580 --> 00:09:08,949 - You got the full refund, right? -Yes, the full refund. 190 00:09:09,083 --> 00:09:11,318 I told you it works every time, every time. 191 00:09:11,452 --> 00:09:13,854 - I was crying and crying. 192 00:09:13,988 --> 00:09:18,592 Can't believe he won two mil. It's almost as much as I loaned the poor bastard. 193 00:09:18,726 --> 00:09:19,994 You should wait outside. 194 00:09:20,127 --> 00:09:21,662 Okay, let's get ready for rapid sequence intubation. 195 00:09:21,796 --> 00:09:24,198 I love his broke ass, but he's a sad, bottomless money pit, 196 00:09:24,331 --> 00:09:25,866 you know what I'm saying? 197 00:09:26,000 --> 00:09:28,436 Whoa, whoa, hold the paralytic. He's waking up. Shepherd. 198 00:09:28,569 --> 00:09:31,238 Hey, look right here. 199 00:09:31,372 --> 00:09:34,008 Okay, do you know your name and where you are? 200 00:09:34,141 --> 00:09:36,477 Jeremy. I'm... I'm in the hospital. 201 00:09:36,610 --> 00:09:38,312 Hey, I'm right here with you, bro. 202 00:09:38,446 --> 00:09:41,015 -Anything of note happen today, Jeremy? -Uh... 203 00:09:41,148 --> 00:09:42,850 Yeah, my boy got paid, y'all. 204 00:09:42,983 --> 00:09:45,520 Okay, let's do a FAST exam and get that bleeding under control. 205 00:09:45,653 --> 00:09:47,888 I wanna get a head CT right away. 206 00:09:48,355 --> 00:09:50,391 -No, I can hold on to that. -No, I think he's got it. 207 00:09:50,525 --> 00:09:52,626 His sweat might melt off the numbers, bro. 208 00:09:52,760 --> 00:09:54,161 Okay, I'm not seeing any free fluid. 209 00:09:54,295 --> 00:09:55,896 Yeah, we need to get him upstairs. 210 00:09:56,030 --> 00:09:57,765 We'll update you when we can. Can you please leave the room, sir? 211 00:09:57,898 --> 00:09:59,100 Please. Thank you so much. 212 00:09:59,233 --> 00:10:00,434 Goodbye. Thank you. 213 00:10:01,469 --> 00:10:03,938 Thank you, Bryant. Let's get him up to CT. 214 00:10:05,706 --> 00:10:08,175 I gave your sex friend a ride to work this morning. 215 00:10:08,309 --> 00:10:09,743 You're welcome. 216 00:10:09,877 --> 00:10:11,445 -I hope you were normal. -Griffith, you have that? 217 00:10:11,580 --> 00:10:13,814 I was. Yeah, we got it. 218 00:10:13,948 --> 00:10:16,183 Wish I could say the same for Millin. 219 00:10:16,317 --> 00:10:18,419 Oh, crap, I was supposed to meet her. 220 00:10:18,553 --> 00:10:20,187 But you didn't. 221 00:10:20,321 --> 00:10:22,423 And now Bryant may or may not think that you're trying to have a baby. 222 00:10:22,557 --> 00:10:23,757 What? 223 00:10:23,891 --> 00:10:25,092 I'm just a messenger. 224 00:10:25,893 --> 00:10:27,596 We will dissect away 225 00:10:27,728 --> 00:10:30,965 the part of Corban's reconstructed esophagus that's behind the sternum, 226 00:10:31,098 --> 00:10:32,967 and that should give us the access that we need. 227 00:10:33,100 --> 00:10:35,636 -It should? -It's hard for us to know, 228 00:10:35,769 --> 00:10:37,938 given Corban's scar tissue. 229 00:10:38,439 --> 00:10:40,274 He wanted the surgery yesterday. 230 00:10:40,407 --> 00:10:41,442 You talked him out of it. 231 00:10:41,576 --> 00:10:44,111 It was an unnecessary risk then. 232 00:10:44,245 --> 00:10:45,279 And now? 233 00:10:45,813 --> 00:10:48,149 His aorta is too damaged. 234 00:10:48,282 --> 00:10:49,850 It has to come out. 235 00:10:56,023 --> 00:10:57,291 What do you think? 236 00:11:01,162 --> 00:11:02,396 I know it's scary. 237 00:11:03,664 --> 00:11:07,001 But this surgery is Corban's only chance of survival. 238 00:11:07,134 --> 00:11:13,307 And Dr. Altman and Dr. Ndugu are the only surgeons who can and have done it. 239 00:11:13,440 --> 00:11:15,544 Yeah, after they drew it on a napkin. 240 00:11:16,076 --> 00:11:18,412 If it helps, I assisted on the first one. 241 00:11:18,547 --> 00:11:20,649 I've seen it save someone's life. 242 00:11:23,184 --> 00:11:26,720 If I say yes and he dies, I... 243 00:11:26,854 --> 00:11:29,690 He will die for sure if you say no. 244 00:11:35,329 --> 00:11:37,464 Yeah. 245 00:11:38,165 --> 00:11:39,400 Do it. 246 00:11:43,337 --> 00:11:45,239 Please don't make me regret it. 247 00:11:48,108 --> 00:11:51,111 Did you check Scott for scars at possible donor sites? 248 00:11:51,245 --> 00:11:56,551 Lots of moles, but no sign of scarring on the arms, back, abdomen or legs. 249 00:11:56,685 --> 00:11:58,285 Did you measure the depth of his wound? 250 00:11:59,119 --> 00:12:01,889 Same as when I staffed it with you, 4 centimeters. 251 00:12:02,990 --> 00:12:04,091 How's it looking, team? 252 00:12:05,059 --> 00:12:09,263 The internal mammary arteries must have been sacrificed in the debridements. 253 00:12:09,396 --> 00:12:12,567 There's no local blood supply to plug a flap into, 254 00:12:12,701 --> 00:12:15,803 but we could connect it with the axilla or lateral chest. 255 00:12:15,936 --> 00:12:18,573 What about tunneling omentum from the abdomen? 256 00:12:19,574 --> 00:12:21,710 It's interesting. Mohanty, thoughts? 257 00:12:23,277 --> 00:12:24,912 It's a nice idea in theory, 258 00:12:25,045 --> 00:12:28,482 but a free flap offers thicker soft-tissue coverage over the heart, 259 00:12:28,617 --> 00:12:30,384 and it looks so much better. 260 00:12:30,518 --> 00:12:33,087 Well, Scott doesn't care how it looks. He just wants to go on safari. 261 00:12:33,220 --> 00:12:35,523 He'll care when he sees it, trust me. 262 00:12:35,657 --> 00:12:38,492 Maybe, but that's if he survives a ten-hour surgery. 263 00:12:38,627 --> 00:12:40,695 I mean, omentum must be less. 264 00:12:40,828 --> 00:12:42,796 And it comes with a built-in blood supply. 265 00:12:42,930 --> 00:12:46,601 This is lifelong coverage. It's what I would want on my chest. 266 00:12:46,735 --> 00:12:48,168 Sometimes... 267 00:12:48,302 --> 00:12:50,437 - ...the correct approach just takes longer. - -Yeah. 268 00:12:50,904 --> 00:12:54,475 Okay, if Scott were a 20-year-old bodybuilder, we'd do the free flap, 269 00:12:54,609 --> 00:12:56,110 but omentum is the right call. 270 00:12:56,243 --> 00:12:57,646 - Way to jump in, Millin. - Thanks. 271 00:12:57,778 --> 00:13:00,481 -I'll page general surgery. -That's the spirit. 272 00:13:03,350 --> 00:13:04,451 What's your problem? 273 00:13:04,586 --> 00:13:06,353 I don't have one now that we're doing omentum. 274 00:13:06,487 --> 00:13:09,189 You're a second year. I'm a fellow. We're not even running the same race. 275 00:13:12,727 --> 00:13:16,263 Hey, Nardi just fed Hattie, and now Peyton's down. 276 00:13:16,397 --> 00:13:18,799 I gotta pee. Ooh. How's it going? 277 00:13:18,932 --> 00:13:20,635 The pipe is completely corroded. 278 00:13:20,769 --> 00:13:22,336 Why don't you take the car and you go without me? 279 00:13:22,469 --> 00:13:26,840 God, your place is an explosion of linoleum and wood paneling. 280 00:13:26,974 --> 00:13:28,108 Yeah, well, you've been here before. 281 00:13:28,242 --> 00:13:30,110 Who thought popcorn ceilings were a good idea? 282 00:13:30,244 --> 00:13:31,979 -Hmm. -No wonder your tenants fled. 283 00:13:32,112 --> 00:13:33,648 Wow. 284 00:13:34,148 --> 00:13:36,450 -Isn't it crazy they left this? -Oh. 285 00:13:36,984 --> 00:13:38,620 What's with all the packages? 286 00:13:38,753 --> 00:13:40,854 Oh, I, uh, ordered a few things that got delivered here by mistake. 287 00:13:40,988 --> 00:13:42,122 Uh-huh. 288 00:13:47,361 --> 00:13:48,462 Um... 289 00:13:49,664 --> 00:13:52,833 Have you been spending time here? 290 00:13:54,101 --> 00:13:55,969 Only when I have to check on something. 291 00:13:56,671 --> 00:13:57,806 Okay. 292 00:13:58,773 --> 00:14:00,274 When was the last time? 293 00:14:00,874 --> 00:14:02,544 Ah... 294 00:14:02,677 --> 00:14:03,645 Tuesday? 295 00:14:03,778 --> 00:14:05,613 When you went to get diapers 296 00:14:05,747 --> 00:14:08,616 and you left me with screaming twins for two hours? 297 00:14:08,750 --> 00:14:11,653 I did stop here briefly. 298 00:14:11,786 --> 00:14:17,592 I had to check on the mailbox, and then I just needed a little time to decompress. 299 00:14:17,726 --> 00:14:18,926 Oh, yeah? 300 00:14:20,027 --> 00:14:21,830 You really need to stop talking right now. 301 00:14:22,797 --> 00:14:24,198 - Jo. - You know what? 302 00:14:24,331 --> 00:14:26,668 You wanna decompress? You want a little space? 303 00:14:27,134 --> 00:14:28,068 Be my guest. 304 00:14:28,202 --> 00:14:29,838 Jo. 305 00:14:35,510 --> 00:14:37,679 Well, you made that chole look easy. 306 00:14:37,812 --> 00:14:39,748 I can't believe how quickly you got the critical views. 307 00:14:39,880 --> 00:14:41,549 Yeah. 308 00:14:43,551 --> 00:14:45,185 You still thinking about Katie? 309 00:14:46,253 --> 00:14:48,222 I just feel like I failed her. 310 00:14:48,355 --> 00:14:49,423 Mm-mmm, mm-mmm. 311 00:14:49,557 --> 00:14:51,392 The federal government failed her. 312 00:14:51,526 --> 00:14:54,395 Saving her life doesn't align with their priorities. 313 00:14:54,529 --> 00:14:56,263 But I'm her doctor... 314 00:14:56,397 --> 00:14:58,533 ...and I'm supposed to figure it out. 315 00:14:58,666 --> 00:15:01,368 "Consult request for a sternal reconstruction... 316 00:15:02,202 --> 00:15:03,571 for Dr. Wright." 317 00:15:04,539 --> 00:15:05,807 Wright? Uh... 318 00:15:08,075 --> 00:15:11,044 You know, if you're not feeling up to it, I'm sure they can find somebody else. 319 00:15:13,480 --> 00:15:16,383 You know, I can't help Katie, but I can help you get in with Wright. 320 00:15:16,518 --> 00:15:20,588 - Let's show Plastics what you're made of. 321 00:15:22,456 --> 00:15:24,091 Put your hands down for me. Thank you. 322 00:15:24,224 --> 00:15:26,093 Would you go out with someone who has kids? 323 00:15:27,094 --> 00:15:29,463 -Are you trying to set me up? -Just answer the question. 324 00:15:29,597 --> 00:15:31,098 -No, thanks. -Hmm. 325 00:15:31,231 --> 00:15:32,700 -Hey. -You have kids. 326 00:15:32,834 --> 00:15:34,134 Mm-hmm. 327 00:15:34,268 --> 00:15:35,936 When do you tell people that you're seeing about them? 328 00:15:36,069 --> 00:15:38,338 Uh, only person I've dated so far already knew about them. 329 00:15:38,472 --> 00:15:40,240 You two are useless. 330 00:15:40,374 --> 00:15:42,409 I told him security could hold on to his ticket, but he won't let go of it. 331 00:15:42,544 --> 00:15:43,578 Would you? 332 00:15:44,411 --> 00:15:45,780 All right, Jeremy, hold still. 333 00:15:45,914 --> 00:15:50,552 Okay. Hey, while it's just us, I'm sorry about my brother. 334 00:15:52,252 --> 00:15:54,421 -No need. He's fine. -He's a jerk. 335 00:15:54,556 --> 00:15:56,658 I'd tell him off for you, but he's been keeping me afloat 336 00:15:56,791 --> 00:15:59,326 since I lost my job, and I don't want him to cut me off. 337 00:15:59,460 --> 00:16:00,595 Didn't you just win the lottery? 338 00:16:01,596 --> 00:16:03,898 Yeah, I guess I did. 339 00:16:04,031 --> 00:16:07,167 He has a small contusion on the left temporal lobe. 340 00:16:07,301 --> 00:16:08,670 -Bryant. -Monitor him for any change 341 00:16:08,803 --> 00:16:10,971 in clinical status and give prophylactic Keppra. 342 00:16:11,104 --> 00:16:13,006 I'll let you take it from here. Okay. 343 00:16:16,945 --> 00:16:19,814 It's time. You can go to the waiting room. 344 00:16:22,416 --> 00:16:23,651 Can he hear me? 345 00:16:23,785 --> 00:16:26,654 -He's heavily sedated. -But it can't hurt to try. 346 00:16:37,699 --> 00:16:38,967 Hi. 347 00:16:42,102 --> 00:16:44,539 I hope my son is just like you. 348 00:16:46,508 --> 00:16:48,610 We've decided to name him Corban. 349 00:16:49,176 --> 00:16:54,883 And if you don't want us to, make it through surgery and tell me yourself. 350 00:16:59,119 --> 00:17:00,320 Love you. 351 00:17:04,091 --> 00:17:07,361 -The second that you know anything... -I will come and tell you. 352 00:17:07,862 --> 00:17:09,597 Okay. 353 00:17:16,169 --> 00:17:18,171 Can you come out so I can explain? 354 00:17:21,943 --> 00:17:23,645 How long has this been going on? 355 00:17:23,778 --> 00:17:26,179 I don't know. A few months. 356 00:17:26,313 --> 00:17:27,949 What about your tenants? 357 00:17:29,551 --> 00:17:31,553 I told you they moved out. 358 00:17:31,686 --> 00:17:35,322 A few months ago? My God, this is worse than I thought! 359 00:17:35,455 --> 00:17:37,759 You've been cheating on me with your house. 360 00:17:37,892 --> 00:17:39,561 It's platonic, I swear. 361 00:17:40,193 --> 00:17:43,397 Look, it's not like I was coming here when you were in the hospital with the girls. 362 00:17:43,531 --> 00:17:45,700 Oh, how thoughtful of you. 363 00:17:45,833 --> 00:17:50,103 We can't fit any of this stuff at our place, and music is how I relax. 364 00:17:50,237 --> 00:17:52,339 Cry in the shower like a normal person. 365 00:17:52,874 --> 00:17:56,476 You know what? I'll go shopping and you can stay here and jam. 366 00:17:56,611 --> 00:17:59,379 Fine. I've got a new reverb pedal I can try out. 367 00:17:59,514 --> 00:18:00,582 Great. 368 00:18:03,518 --> 00:18:04,852 I'll call the plumber. 369 00:18:04,986 --> 00:18:06,253 No, I can fix it myself. 370 00:18:06,386 --> 00:18:08,188 No, you've lost that privilege. 371 00:18:16,064 --> 00:18:17,632 I thought I saw signs of life in here. 372 00:18:17,765 --> 00:18:19,534 Well, I'm not back to work until next week. 373 00:18:19,667 --> 00:18:20,935 I'm just grabbing a few things. 374 00:18:21,069 --> 00:18:22,604 Aren't you supposed to be resting? 375 00:18:22,737 --> 00:18:26,074 I'll rest when I'm dead, which I'm not unless Catherine finds me. 376 00:18:26,206 --> 00:18:28,676 Well, I won't tell. 377 00:18:28,810 --> 00:18:31,445 Oh, um, tell Altman good luck for me. 378 00:18:32,479 --> 00:18:35,148 The ventral aorta? I assumed you knew they're doing it again. 379 00:18:37,885 --> 00:18:41,288 Richard, Teddy and I, we just signed divorce papers. 380 00:18:41,421 --> 00:18:43,423 I'm sorry to hear that. 381 00:18:43,558 --> 00:18:45,292 Honestly, I'm not sure how we ended up here. 382 00:18:45,425 --> 00:18:47,260 Well, sometimes things just don't work out. 383 00:18:47,394 --> 00:18:48,963 More often than not in my case. 384 00:18:49,097 --> 00:18:50,598 Oh, you'll get back on your feet. 385 00:18:50,732 --> 00:18:52,834 I'd stay for the surgery, but Catherine's at the dentist. 386 00:18:52,967 --> 00:18:56,104 If I'm not back before she is, there'll be hell to pay. 387 00:18:56,236 --> 00:18:57,739 You should go. 388 00:18:57,872 --> 00:18:59,941 Yeah, I'll see if I have time. It was good to see you, Richard. 389 00:19:02,577 --> 00:19:03,611 Oh. 390 00:19:04,478 --> 00:19:05,780 Someone order a general surgeon? 391 00:19:05,913 --> 00:19:07,949 -Oh, Dr. Bailey, thanks for joining. -Mm-hmm. Mm-hmm. 392 00:19:08,082 --> 00:19:09,517 Dr. Warren, good to see you again. 393 00:19:09,651 --> 00:19:12,319 At your service, or rather on your service. 394 00:19:12,452 --> 00:19:14,221 -Her service actually. -Okay. 395 00:19:14,354 --> 00:19:15,489 So, I took a look 396 00:19:15,623 --> 00:19:17,224 -at your patient's scans... -Uh-huh. 397 00:19:17,357 --> 00:19:21,194 ...and, you know, it should be relatively straightforward as long as 398 00:19:21,328 --> 00:19:25,833 the right gastroepiploic vessel is enough to supply the omentum. 399 00:19:25,967 --> 00:19:26,934 Looks sufficient to me. 400 00:19:27,068 --> 00:19:28,468 -We'll see you in the OR? -Mm-hmm. 401 00:19:28,603 --> 00:19:30,237 We're gonna harvest that omentum like you've never seen. 402 00:19:30,370 --> 00:19:31,471 Okay. 403 00:19:33,141 --> 00:19:34,609 I panicked. 404 00:19:34,742 --> 00:19:37,845 Oh, this is gonna be harder than I thought. 405 00:19:42,249 --> 00:19:43,818 Oh, Kwan was right. 406 00:19:43,951 --> 00:19:46,154 You are in the supply closet. Why are you in the supply closet? 407 00:19:46,319 --> 00:19:47,588 We're doing another ventral aorta. 408 00:19:47,722 --> 00:19:49,222 I heard. Big day. 409 00:19:49,356 --> 00:19:50,558 Can you watch the kids for me tonight? 410 00:19:50,692 --> 00:19:53,795 Of course. I just wanted to say good luck. 411 00:19:53,928 --> 00:19:56,731 What if we can't do it again? What if Nora was just an anomaly? 412 00:19:56,864 --> 00:19:58,633 There was a lot of skill involved. 413 00:19:58,766 --> 00:20:01,836 If this doesn't work out, then Corban never meets his nephew, and I'm a fraud. 414 00:20:01,969 --> 00:20:04,438 When you're backed into a corner, that is when you rise. 415 00:20:04,572 --> 00:20:06,107 I've seen it in war zones. 416 00:20:06,239 --> 00:20:08,142 I've seen it in the OR. I see it with our kids. 417 00:20:08,275 --> 00:20:09,877 Don't put more pressure on me right now. 418 00:20:10,011 --> 00:20:12,212 I am just saying you can do this. You're just in your head. 419 00:20:12,345 --> 00:20:14,582 -You need to take a breath-- -Don't tell me what I need. 420 00:20:14,716 --> 00:20:17,785 That's not your job anymore. And frankly, it was infuriating when it was. 421 00:20:20,320 --> 00:20:21,756 Okay. Well, I'll, um... 422 00:20:22,389 --> 00:20:23,558 I'll get the kids from school. 423 00:20:24,158 --> 00:20:26,326 And, uh, good luck. 424 00:20:35,670 --> 00:20:39,707 That was excellent technique with the dermatome, Dr. Mohanty. 425 00:20:40,340 --> 00:20:42,110 Wanna do the honors with the mesher? 426 00:20:42,242 --> 00:20:44,045 Absolutely. Thank you. 427 00:20:50,051 --> 00:20:51,652 Mm-hmm. 428 00:20:51,786 --> 00:20:53,588 Um, pull the omentum through for me. 429 00:20:54,354 --> 00:20:57,424 Okay, no twisting on its pedicle, 430 00:20:57,558 --> 00:21:01,929 and the main vascular arcade remains intact. 431 00:21:02,063 --> 00:21:04,132 - Well done, Dr. Warren. - Thank you. 432 00:21:04,264 --> 00:21:06,299 You're one of our best and brightest. 433 00:21:06,433 --> 00:21:10,470 I'd hate to lose you to Plastics, but I know that's where your heart is, 434 00:21:10,605 --> 00:21:14,742 especially with your interest in burn patients and experience as a firefighter. 435 00:21:14,876 --> 00:21:17,410 Firefighter and an anesthesiologist, 436 00:21:17,545 --> 00:21:18,780 how many lives have you had? 437 00:21:18,913 --> 00:21:20,413 I'd like to think they all led me here. 438 00:21:20,548 --> 00:21:22,984 Well, that should do it for me. 439 00:21:23,117 --> 00:21:26,521 Thanks to Dr. Warren's dissection, your flap should cover everything you need. 440 00:21:26,654 --> 00:21:28,823 Hey, do you call him Dr. Warren at home too? 441 00:21:31,959 --> 00:21:34,162 Okay, that looks great. 442 00:21:34,294 --> 00:21:36,130 - Now, we just need to finish the inset... 443 00:21:36,264 --> 00:21:38,465 - ...and get the graft on. - This is OR 2. 444 00:21:38,599 --> 00:21:42,170 Dr. Wright, they're asking for you on an urgent burn case in the pit. 445 00:21:44,038 --> 00:21:45,640 Warren, wanna join me? 446 00:21:46,808 --> 00:21:47,975 -I'd love to. -Great. 447 00:21:48,475 --> 00:21:50,812 Dr. Mohanty, you and Millin here good to finish up? 448 00:21:51,746 --> 00:21:52,880 Of course. 449 00:21:58,085 --> 00:22:02,322 Come on now, y'all can't keep him here. We gotta go pop some bottles, celebrate. 450 00:22:02,455 --> 00:22:03,624 On him for once. 451 00:22:03,758 --> 00:22:05,827 Yeah, no. Sorry, doctor's orders. 452 00:22:06,459 --> 00:22:09,362 All right, let's talk dollars and cents. Of course you're gonna hit me back 453 00:22:09,496 --> 00:22:10,998 for the car and the back rent, right? 454 00:22:11,132 --> 00:22:12,934 Millionaire. You're a millionaire, you're a millionaire... 455 00:22:13,067 --> 00:22:15,536 Okay, why don't we table this until after your brother's out of the hospital? 456 00:22:15,670 --> 00:22:17,939 -Yeah. -Doc, J Dog would be facedown 457 00:22:18,072 --> 00:22:19,339 in a ditch if it wasn't for me. 458 00:22:19,472 --> 00:22:20,942 You know, I've hated that nickname since I was eight. 459 00:22:21,075 --> 00:22:23,311 Well, I've hated picking up your tab for the last 12 months, 460 00:22:23,443 --> 00:22:24,712 but that's what brothers are for, right? 461 00:22:24,846 --> 00:22:26,647 Hey, if you don't wanna do it, I will. 462 00:22:26,781 --> 00:22:28,716 -We got a problem here? -Uh, that depends. 463 00:22:28,850 --> 00:22:31,152 - Are you going to keep being a total-- - You should go. 464 00:22:32,253 --> 00:22:33,321 Him or me? 465 00:22:33,486 --> 00:22:35,455 Bryant, out. Now. 466 00:22:39,327 --> 00:22:40,595 I'm sorry about that. 467 00:22:40,728 --> 00:22:42,495 Yeah, that's... 468 00:22:44,265 --> 00:22:45,333 -What's happening? -All right. 469 00:22:45,465 --> 00:22:47,500 -He's seizing. -Adams, help roll him. 470 00:22:47,635 --> 00:22:49,971 We need some diazepam and alert CT. 471 00:22:53,841 --> 00:22:56,777 Oh. Hey, what you heard this morning isn't true. 472 00:22:56,911 --> 00:22:59,379 -Okay. -I'm not actively trying to have a baby. 473 00:22:59,513 --> 00:23:02,550 I'm just freezing my eggs in case I want one someday. 474 00:23:02,683 --> 00:23:04,185 -Got it. -Which I might not want one. 475 00:23:04,318 --> 00:23:06,220 -Just an insurance policy. -Congrats. Also, none of my business. 476 00:23:06,354 --> 00:23:10,224 Oh, I just didn't want you to think I was withholding some critical information-- 477 00:23:10,358 --> 00:23:11,826 -I don't. Yeah. Yeah. -Great. 478 00:23:11,959 --> 00:23:13,594 Because what we're doing right now doesn't have to stop. 479 00:23:13,728 --> 00:23:15,596 I mean, there might be a few days here and there where we shouldn't... 480 00:23:15,730 --> 00:23:17,565 -Mm-hmm. Yeah. -You know, but, overall, we can keep 481 00:23:17,698 --> 00:23:19,533 -doing the thing that-- -Understood, but, uh, right now, 482 00:23:19,667 --> 00:23:22,803 I'm trying to do my job, and I'm mostly failing, so I really can't talk. 483 00:23:22,937 --> 00:23:24,639 Oh, how-how about a drink at Joe's later? 484 00:23:24,772 --> 00:23:25,973 If they ever let me leave, sure. 485 00:23:26,107 --> 00:23:27,141 Okay. 486 00:23:27,275 --> 00:23:29,710 Yeah. Okay, so... 487 00:23:29,844 --> 00:23:31,746 Oh, sorry. Yeah. 488 00:23:33,648 --> 00:23:34,682 Okay. 489 00:23:40,755 --> 00:23:43,456 - I can, uh, cut the sutures for you. - -I've got it. 490 00:23:44,091 --> 00:23:46,193 - I really don't mind. - I said no. 491 00:23:48,729 --> 00:23:51,866 Should I call for another resident since you clearly don't want me to help you? 492 00:23:51,999 --> 00:23:55,503 Not if your idea of helping is making me look ridiculous in front of our attending. 493 00:23:55,636 --> 00:23:57,405 You told me to be on my A game. 494 00:23:57,538 --> 00:23:59,607 So that I can impress Dr. Wright. 495 00:23:59,740 --> 00:24:03,911 I applied for an attending position at the Fox Flagship in Boston. 496 00:24:04,045 --> 00:24:07,915 It's perfect. Great benefits, grant money, close to my family. 497 00:24:08,049 --> 00:24:11,619 And I needed her recommendation, which I was supposed to lock down today. 498 00:24:11,752 --> 00:24:15,089 If you wanted me to make you look good, you should have said so. 499 00:24:15,756 --> 00:24:17,425 - Right. - I'm serious. 500 00:24:19,627 --> 00:24:21,562 I'll keep that in mind for next time. 501 00:24:26,734 --> 00:24:28,536 Can I get in on those lower inset sutures? 502 00:24:28,669 --> 00:24:30,671 Nope. Too close to the pedicle. 503 00:24:31,339 --> 00:24:33,941 I know that we have disagreed on Corban's care, 504 00:24:34,909 --> 00:24:37,912 but I need to know that you are fully on board 505 00:24:38,045 --> 00:24:39,947 with the surgery and with me. 506 00:24:40,081 --> 00:24:42,016 I was on board with the surgery yesterday. 507 00:24:42,149 --> 00:24:43,684 - Still am. - And me? 508 00:24:43,818 --> 00:24:46,220 - I'm a professional. - -That's not what I'm asking. 509 00:24:46,887 --> 00:24:49,657 It's not just that you made the wrong call. 510 00:24:49,790 --> 00:24:51,125 You flat out dismissed my opinion. 511 00:24:51,258 --> 00:24:53,094 I didn't. I considered it fully. 512 00:24:53,227 --> 00:24:54,962 Did you? 'Cause if you'd set your ego aside, 513 00:24:55,096 --> 00:24:56,931 we may not be in this mess. 514 00:24:57,064 --> 00:25:00,368 Or Corban would already be dead, and then that would be on both of us. 515 00:25:00,500 --> 00:25:03,704 If something goes wrong in there, I need to know you hear me. 516 00:25:05,139 --> 00:25:06,173 I will. 517 00:25:06,807 --> 00:25:07,875 You have my word. 518 00:25:09,744 --> 00:25:13,080 - Then I have your back. - -Let's go build an aorta. 519 00:25:20,788 --> 00:25:21,856 Where is this guy? 520 00:25:24,492 --> 00:25:26,227 - Hmm. - What are you doing? 521 00:25:26,360 --> 00:25:29,330 I just thought I'd see what all the fuss is about. 522 00:25:29,463 --> 00:25:30,831 Yeah, that's my Martin. 523 00:25:32,233 --> 00:25:33,934 -Mm-hmm. -So, be careful. 524 00:25:34,068 --> 00:25:37,304 This song is called... ..."This Is What Betrayal Feels Like." 525 00:25:41,342 --> 00:25:43,778 Okay, I get your point. Can we put it back now? 526 00:25:43,911 --> 00:25:47,248 Not until you apologize. 527 00:25:50,584 --> 00:25:52,553 You know what? No. 528 00:25:52,686 --> 00:25:54,388 What is wrong with me grabbing a few minutes 529 00:25:54,523 --> 00:25:57,526 of alone time, so I can be better for you and the kids? 530 00:25:57,658 --> 00:26:00,394 I had a heart pump keeping me alive 531 00:26:00,529 --> 00:26:03,631 after delivering two other bodies out of my body. 532 00:26:03,764 --> 00:26:07,334 I can't breastfeed, which I know is okay, but I still feel horrible about, 533 00:26:07,468 --> 00:26:10,838 and hormones have turned me into someone that I would avoid on the OB floor. 534 00:26:10,971 --> 00:26:12,673 I am not okay! 535 00:26:13,207 --> 00:26:14,708 I am not me. 536 00:26:14,842 --> 00:26:17,778 I am a hideous shell of my former self, 537 00:26:17,912 --> 00:26:19,713 -and you don't see it... -No. 538 00:26:19,847 --> 00:26:24,585 ...because you're off in the man cave, which is actually an entire crappy house. 539 00:26:27,388 --> 00:26:28,689 Plumber's here. 540 00:26:36,363 --> 00:26:38,232 Here's a list of discharge summaries. 541 00:26:38,365 --> 00:26:39,767 Stay away from Jeremy and don't leave 542 00:26:39,900 --> 00:26:41,368 -until you get them done. -You punishing me? 543 00:26:41,503 --> 00:26:43,104 -You were out of line. -That dude was walking all over 544 00:26:43,237 --> 00:26:44,573 -our patient, man. -It doesn't matter. 545 00:26:44,705 --> 00:26:46,307 It's not our job to get involved, and if you do it again, 546 00:26:46,440 --> 00:26:49,009 -I'll have to tell Bailey. -Got it. So don't treat the whole person, 547 00:26:49,143 --> 00:26:50,579 just be a robot checking boxes. 548 00:26:50,711 --> 00:26:52,480 Yeah. That's not what I said. 549 00:26:52,613 --> 00:26:54,081 I'd love to stay and chat, but I've got a whole bunch of discharge summaries 550 00:26:54,215 --> 00:26:56,083 I need to go through. Thanks for the lesson, boss. 551 00:27:01,789 --> 00:27:05,092 Thank you. I thought that Brent took it. 552 00:27:05,226 --> 00:27:07,428 You have a condition called SIADH. 553 00:27:07,562 --> 00:27:09,598 It can happen after a head trauma. 554 00:27:09,730 --> 00:27:10,998 Usually resolves on its own. 555 00:27:11,132 --> 00:27:12,500 Low sodium levels caused the seizure. 556 00:27:12,633 --> 00:27:14,635 You'll need IV fluids and medication to correct it. 557 00:27:14,768 --> 00:27:16,270 - Okay, thank you. 558 00:27:16,403 --> 00:27:18,339 Boom. 559 00:27:18,472 --> 00:27:20,174 Don't ever say I never did anything for you. 560 00:27:20,307 --> 00:27:22,309 And I, um, also called Mom. 561 00:27:23,644 --> 00:27:25,746 - Man get... Stop! - You should let Jeremy rest. 562 00:27:25,880 --> 00:27:29,450 No, I've been wanting to say this to him for a long time. 563 00:27:30,251 --> 00:27:32,219 I hate you. I mean, I love you. 564 00:27:32,353 --> 00:27:34,188 You're my brother, and I wouldn't have been able to get through 565 00:27:34,321 --> 00:27:36,625 this last year without you, but when you're mean about it, 566 00:27:36,757 --> 00:27:37,825 it makes me hate you. 567 00:27:37,958 --> 00:27:39,960 -We were just having fun. -It's not fun. 568 00:27:40,094 --> 00:27:41,996 -Not for me. -Maybe we just take a breather. 569 00:27:42,830 --> 00:27:45,266 I... I just always thought it rolled off your back. 570 00:27:46,834 --> 00:27:47,801 I'll lay off. 571 00:27:47,935 --> 00:27:49,904 Really? That's it? 572 00:27:50,037 --> 00:27:52,039 Yeah, I'm not a monster. 573 00:27:53,874 --> 00:27:57,044 I guess I should have said something years ago. 574 00:27:58,279 --> 00:27:59,713 I'm gonna put in your orders. 575 00:28:00,981 --> 00:28:03,083 You still gonna pay me back for the rent though? 576 00:28:05,686 --> 00:28:08,222 This scar tissue is cemented in. 577 00:28:08,355 --> 00:28:10,592 - Worse than Nora's? - By a mile. 578 00:28:10,724 --> 00:28:12,326 You know what else is different this time? 579 00:28:12,459 --> 00:28:15,129 - Blood flow? -All those people watching up there. 580 00:28:17,464 --> 00:28:19,033 Stay focused. 581 00:28:19,166 --> 00:28:21,503 I don't know if we're gonna be able to get through all this. 582 00:28:23,971 --> 00:28:25,072 Altman. 583 00:28:27,808 --> 00:28:29,810 If we give up now, he'll die. 584 00:28:32,980 --> 00:28:35,517 - All right, um, 15 blade. - -What are you-- 585 00:28:35,650 --> 00:28:38,052 Using these scissors is like blunt dissection. It isn't working. 586 00:28:38,185 --> 00:28:39,920 I'm gonna try working layer by layer, 587 00:28:40,054 --> 00:28:43,257 see if I can find the correct surgical plane to orient myself. 588 00:28:45,993 --> 00:28:48,996 Okay. I'm with you. Thank you, BokHee. 589 00:28:58,707 --> 00:29:01,175 Guess who aced his burn consult? 590 00:29:01,308 --> 00:29:02,843 Okay, tell me everything. 591 00:29:03,310 --> 00:29:05,946 Well, thanks to my days as a firefighter... 592 00:29:06,080 --> 00:29:08,148 - Okay. - ...I knew to mix and put a laxative 593 00:29:08,282 --> 00:29:09,483 on the burn. 594 00:29:09,618 --> 00:29:11,118 Yeah, the polyethylene glycol binds to the phenol 595 00:29:11,252 --> 00:29:13,921 to stop the chemical burn from getting worse. 596 00:29:14,054 --> 00:29:17,091 -Impressive. -And that is what Dr. Wright said. 597 00:29:17,224 --> 00:29:18,325 Aw. 598 00:29:18,459 --> 00:29:21,061 -Thank you for talking me up. -Someone had to. 599 00:29:21,195 --> 00:29:22,830 You weren't doing yourself any favors. 600 00:29:25,232 --> 00:29:27,768 - Okay, what can I do to help you? - -Oh. 601 00:29:27,901 --> 00:29:31,105 Yeah. Call more hospitals about Katie's immunotherapy? 602 00:29:31,238 --> 00:29:34,208 Handle bedtime so, you know, you can look into more options? 603 00:29:34,341 --> 00:29:37,311 Yeah, I don't need any of those things, but, no, I appreciate the sentiment. 604 00:29:37,444 --> 00:29:39,246 Hold on. 605 00:29:47,955 --> 00:29:49,156 How's my favorite patient? 606 00:29:49,957 --> 00:29:51,593 Well, nurse gave him 607 00:29:51,726 --> 00:29:53,794 -some pretty strong pain meds. -Uh-huh. 608 00:29:53,927 --> 00:29:55,597 So, he's a little loopy. 609 00:29:55,730 --> 00:29:57,464 Love of my life over there. 610 00:29:57,599 --> 00:30:00,602 I love her more than I love elephants. 611 00:30:01,736 --> 00:30:02,970 Is something wrong? 612 00:30:03,103 --> 00:30:05,139 Uh, the flap is dark and swollen. 613 00:30:05,272 --> 00:30:06,608 I'm going to take a listen. 614 00:30:11,011 --> 00:30:12,647 -Damn it. -What's happened? 615 00:30:12,781 --> 00:30:14,549 -Everything okay? -There's no signal. 616 00:30:19,887 --> 00:30:21,855 I'll call the OR and page Dr. Wright. Get him ready. 617 00:30:21,989 --> 00:30:23,490 He needs to go to surgery again? 618 00:30:23,625 --> 00:30:25,125 Well, there's no blood flow to his flap 619 00:30:25,259 --> 00:30:28,162 so we need to get him to the OR to see what's happening ASAP. 620 00:30:28,295 --> 00:30:31,165 Don't go visit the zebras without me. 621 00:30:31,298 --> 00:30:32,333 Excuse me. 622 00:30:36,003 --> 00:30:37,371 All right, graft is completed. 623 00:30:37,505 --> 00:30:39,039 It's time. 624 00:30:39,173 --> 00:30:41,342 All right, let's rapid pace the heart. 625 00:30:43,712 --> 00:30:44,912 All right, clamp's off. 626 00:30:45,045 --> 00:30:46,815 GIA stapler. 627 00:30:48,750 --> 00:30:49,684 All right. 628 00:30:49,818 --> 00:30:51,352 Ready to staple off the aorta? 629 00:30:56,524 --> 00:30:59,661 Staple line is well approximated, looks intact. 630 00:31:02,963 --> 00:31:04,298 We did it. 631 00:31:08,837 --> 00:31:10,437 All right, let's take him off bypass. 632 00:31:11,472 --> 00:31:12,540 Clamps. 633 00:31:22,483 --> 00:31:23,984 It's amazing. 634 00:31:24,118 --> 00:31:26,353 All right, I am gonna go update Leticia. 635 00:31:26,487 --> 00:31:28,590 - You good? All right. - Yep, ready to close. 636 00:31:30,592 --> 00:31:32,960 - Whoa, whoa, whoa. Ndugu! - Oh, my God! 637 00:31:33,093 --> 00:31:35,229 Damn it! All right, get me a gown and gloves. 638 00:31:35,362 --> 00:31:37,064 All right, I've got pressure on the defect. 639 00:31:37,197 --> 00:31:39,233 Griffith, get in here and suction around my hand. 640 00:31:43,070 --> 00:31:44,405 Come on. 641 00:31:46,273 --> 00:31:47,709 All right, there. 642 00:31:47,842 --> 00:31:50,277 A small defect on the leading edge of the staple line. 643 00:31:50,411 --> 00:31:52,212 We didn't fire the staples all the way across. 644 00:31:52,346 --> 00:31:53,848 Okay, put him back on bypass. 645 00:31:54,682 --> 00:31:56,551 - Clamp on. - All right, I'm here. 646 00:31:56,684 --> 00:31:58,252 - Okay, put your hand in here. - -Yeah. 647 00:31:58,385 --> 00:32:00,755 Suction. Hang on, Corban. 648 00:32:00,889 --> 00:32:02,590 Hang on. 649 00:32:07,961 --> 00:32:10,097 Katie Rogers, 27, stage-four gastric cancer. 650 00:32:10,230 --> 00:32:11,265 I already know that part. 651 00:32:11,398 --> 00:32:13,333 Short of breath. Satting 89%. 652 00:32:13,467 --> 00:32:15,670 -Abdomen's distended. -Dr. Bailey. 653 00:32:15,804 --> 00:32:17,070 I can't breathe. 654 00:32:17,204 --> 00:32:18,138 No, no. It's okay. 655 00:32:18,272 --> 00:32:19,473 We've got you. 656 00:32:19,607 --> 00:32:22,276 Well, don't just stand there. Let's move. 657 00:32:40,628 --> 00:32:44,031 There's a stitch tied down over the pedicle cutting off its blood supply. 658 00:32:46,099 --> 00:32:47,201 Nothing? 659 00:32:47,334 --> 00:32:49,002 This is a serious mistake. 660 00:32:49,136 --> 00:32:53,741 Warren and I left you to complete the inset and place the skin graft. 661 00:32:53,875 --> 00:32:57,010 I expected it to be done not only successfully, but perfectly. 662 00:33:01,749 --> 00:33:03,551 The flap looked viable when we left the OR. 663 00:33:03,685 --> 00:33:05,854 We didn't see anything restrictive over the pedicle. 664 00:33:05,986 --> 00:33:08,021 Save it. I don't have time for excuses. 665 00:33:09,757 --> 00:33:12,493 Our patient now has no tissue coverage over his wound 666 00:33:12,627 --> 00:33:16,063 and will most likely need many surgeries he might not survive. 667 00:33:19,166 --> 00:33:20,635 Just go. 668 00:33:21,335 --> 00:33:24,204 I'll clean up the wound and get the wound vac back on myself. 669 00:33:33,715 --> 00:33:35,717 Almost finished closing this gap. 670 00:33:35,850 --> 00:33:37,752 All right, last stitch. 671 00:33:43,791 --> 00:33:45,325 And right there. 672 00:33:46,628 --> 00:33:48,028 - Done. - Are we sure 673 00:33:48,161 --> 00:33:49,597 the closure is going to be adequate? 674 00:33:49,731 --> 00:33:51,666 Will the suture hold? - After watching 675 00:33:51,799 --> 00:33:53,902 so much of Corban's blood volume spray all over this OR, 676 00:33:54,034 --> 00:33:56,571 I am not sure of anything. 677 00:33:57,170 --> 00:34:01,208 But I watched Ndugu tie these sutures, and they look great. 678 00:34:03,011 --> 00:34:05,947 So, let's take him off bypass. 679 00:34:08,883 --> 00:34:10,752 All right. Clamp's off. 680 00:34:19,159 --> 00:34:20,160 We have a rhythm. 681 00:34:20,828 --> 00:34:22,095 The pressures are coming up. 682 00:34:24,732 --> 00:34:25,700 All right. 683 00:34:25,833 --> 00:34:27,234 Altman, we did it. 684 00:34:30,038 --> 00:34:31,071 Altman. 685 00:34:33,206 --> 00:34:34,174 We did it. 686 00:34:36,844 --> 00:34:37,845 Well done, everyone. 687 00:34:39,914 --> 00:34:41,616 All right. Let's prep to close. 688 00:34:46,420 --> 00:34:49,891 $400 and he has to come back tomorrow with a part. 689 00:34:50,024 --> 00:34:52,225 Should've fixed it yourself. 690 00:34:57,097 --> 00:34:59,601 You know, I'm sorry for hiding all this from you. 691 00:34:59,734 --> 00:35:02,503 I guess I was afraid that you'd be madder if you knew. 692 00:35:05,940 --> 00:35:11,579 Honestly, I'm more jealous than mad. 693 00:35:12,947 --> 00:35:14,582 See, you need a place like this too. 694 00:35:14,716 --> 00:35:16,918 You need someplace you can go for peace and quiet. 695 00:35:17,417 --> 00:35:19,319 A woman cave. 696 00:35:19,988 --> 00:35:23,858 -I feel guilty even thinking about it. -Why? 697 00:35:23,992 --> 00:35:25,593 The patriarchy. 698 00:35:27,227 --> 00:35:29,329 Mm-hmm. 699 00:35:29,463 --> 00:35:30,632 You know, if we're gonna get through this, 700 00:35:30,765 --> 00:35:32,800 we have both got to take care of ourselves. 701 00:35:32,934 --> 00:35:35,903 -What would I even do in my-- -She shed? 702 00:35:38,539 --> 00:35:40,008 -Dame den? -Mm-mmm. 703 00:35:40,140 --> 00:35:42,076 Okay, I'll stop. 704 00:35:44,545 --> 00:35:45,546 Lady lair. 705 00:35:50,918 --> 00:35:52,887 You could take guitar lessons. 706 00:35:53,021 --> 00:35:56,390 - Yeah, but I'm already a musical genius. 707 00:36:09,302 --> 00:36:10,872 Honey, you look like you've seen a ghost. 708 00:36:11,005 --> 00:36:12,140 Yeah. 709 00:36:12,907 --> 00:36:18,046 The ghost of an omental flap that died at the hands of negligent residents. 710 00:36:18,880 --> 00:36:19,947 You've got a lot going on. 711 00:36:20,081 --> 00:36:21,348 We can chat tomorrow. 712 00:36:21,481 --> 00:36:24,085 -I... -No, no. It's fine. Everything's fine. 713 00:36:24,217 --> 00:36:26,054 It's all... It's all fine. 714 00:36:27,789 --> 00:36:28,856 What's up? 715 00:36:30,357 --> 00:36:31,491 Um... 716 00:36:32,694 --> 00:36:34,562 I have a son, Scout. 717 00:36:34,696 --> 00:36:36,731 He's five. He's adorable. 718 00:36:36,864 --> 00:36:40,868 He splits his time between his dad and me, and I have him tonight. 719 00:36:41,002 --> 00:36:43,805 And that is why I couldn't hang. 720 00:36:44,337 --> 00:36:46,306 You were nervous to tell me about a cute kid? 721 00:36:46,440 --> 00:36:51,813 It was kind of a deal-breaker in my last relationship and that kind of broke me. 722 00:36:51,946 --> 00:36:53,948 And if it is a deal-breaker for you too, 723 00:36:54,082 --> 00:36:57,752 I totally get it... But I would rather know before starting something. 724 00:36:58,385 --> 00:36:59,854 That would make me a hypocrite. 725 00:37:02,156 --> 00:37:03,390 So... 726 00:37:05,258 --> 00:37:07,128 -This is Zachary. He's seven. -Oh, my... 727 00:37:07,260 --> 00:37:12,567 Obsessed with trash compactors and, uh, synthesizers from '80s pop songs. 728 00:37:13,568 --> 00:37:15,368 -Are you... -Single mom? Mm-hmm. 729 00:37:15,503 --> 00:37:16,838 Uh, my sister lives with me. 730 00:37:16,971 --> 00:37:20,373 She watches him when I reconnect with an old crush. 731 00:37:21,175 --> 00:37:23,276 Which happens all the time? 732 00:37:24,679 --> 00:37:25,646 Not really. 733 00:37:29,416 --> 00:37:30,450 Rain check? 734 00:37:34,222 --> 00:37:35,223 Rain check. 735 00:37:46,366 --> 00:37:49,469 His pressures are holding without much inotropic support. 736 00:37:50,370 --> 00:37:51,706 -That's great news. -Yeah. 737 00:37:53,207 --> 00:37:56,978 Do you think that we will ever do this surgery without major complications? 738 00:37:58,146 --> 00:38:00,313 Third time's a charm. 739 00:38:01,949 --> 00:38:03,017 Somehow, I doubt it. 740 00:38:06,587 --> 00:38:08,388 We're a team on this. 741 00:38:08,523 --> 00:38:11,592 If we stay one, we could save way more patients than just Nora and Corban. 742 00:38:14,595 --> 00:38:16,463 - You've been here for two days. - Yeah. 743 00:38:16,597 --> 00:38:18,933 You should go home, and I'll keep an eye on him. 744 00:38:19,066 --> 00:38:20,101 Thanks. 745 00:38:29,644 --> 00:38:34,282 Poor thing. Must've had liters of fluid in her abdomen pushing up on her lungs. 746 00:38:34,414 --> 00:38:36,050 Okay, so we'll need to do a paracentesis 747 00:38:36,184 --> 00:38:37,819 if you can get me set up for that. 748 00:38:38,318 --> 00:38:40,555 Adams. Adams. 749 00:38:40,688 --> 00:38:42,657 She called and texted. 750 00:38:42,790 --> 00:38:45,693 And I didn't respond because I was too busy following your rules. 751 00:38:45,827 --> 00:38:48,095 This would have happened regardless. 752 00:38:48,229 --> 00:38:49,329 No, she trusted me. 753 00:38:49,462 --> 00:38:52,133 And she was scared and alone and... 754 00:38:53,500 --> 00:38:55,002 I wasn't there. 755 00:38:57,705 --> 00:39:01,309 I think you need to take a break from this case. 756 00:39:01,441 --> 00:39:02,777 No, no, no. I... 757 00:39:02,910 --> 00:39:04,344 -I will do whatever you need. I just need... -No, no. 758 00:39:04,477 --> 00:39:06,080 It's not a punishment. I just... I... 759 00:39:06,614 --> 00:39:09,150 I think you need to step back. 760 00:39:26,167 --> 00:39:28,135 Breaking new ground is never easy. 761 00:39:32,173 --> 00:39:33,674 -Yo. -Hey. 762 00:39:33,808 --> 00:39:37,011 I just did the ventral aorta with Altman and Ndugu. 763 00:39:37,144 --> 00:39:38,746 It was freaking epic. 764 00:39:38,880 --> 00:39:40,380 -It was historic. -That's cool. 765 00:39:40,514 --> 00:39:43,084 - I'm proud of you. - Something happen today or... 766 00:39:44,352 --> 00:39:46,654 -My patient won the lottery. -By having you as their doctor? 767 00:39:46,787 --> 00:39:49,156 No, no. He literally won the lottery, two million dollars. 768 00:39:49,290 --> 00:39:50,892 Mmm. Did not see that coming. 769 00:39:54,295 --> 00:39:55,763 I'm going out of town for a minute. 770 00:39:56,797 --> 00:39:59,667 -Is everything okay? -My brother's epilepsy's gotten worse. 771 00:40:00,835 --> 00:40:01,936 And he's in a coma. 772 00:40:03,104 --> 00:40:04,138 I'm sorry. 773 00:40:05,039 --> 00:40:06,707 You want to talk about it? 774 00:40:06,841 --> 00:40:10,443 No, no, no, I just didn't want you wondering where your lap dances went. 775 00:40:10,578 --> 00:40:12,780 Well, I mean, you sure? I've been told 776 00:40:12,914 --> 00:40:14,315 -I'm a pretty good listener. -I said I'm good. 777 00:40:14,447 --> 00:40:15,950 You have to pull the rug out from under people. 778 00:40:16,083 --> 00:40:17,051 Have a good night. 779 00:40:17,184 --> 00:40:18,920 Shatter their reality. 780 00:40:19,053 --> 00:40:21,454 Ask more questions than you answer. 781 00:40:21,589 --> 00:40:24,258 It takes what Dr. Harvey called a love of truth. 782 00:40:25,026 --> 00:40:27,128 And a whole lot of intestinal fortitude. 783 00:40:29,830 --> 00:40:32,934 Thank you for not saying anything. You didn't have to do that. 784 00:40:33,067 --> 00:40:36,737 Look, I could tell that the Boston job is really important to you. 785 00:40:37,705 --> 00:40:38,739 It is. 786 00:40:40,074 --> 00:40:42,109 There will probably be an MandM soon. 787 00:40:42,243 --> 00:40:45,445 I'll email you my op note and photos from the OR. 788 00:40:45,579 --> 00:40:47,480 They'll want to review post-op imaging too. 789 00:40:47,615 --> 00:40:48,816 Well, should I be worried? 790 00:40:52,420 --> 00:40:54,922 The MandM will suck, but we'll be fine. 791 00:40:55,723 --> 00:40:57,258 Get some sleep. 792 00:41:01,762 --> 00:41:03,431 But it also requires faith. 793 00:41:04,497 --> 00:41:06,834 That the world won't come crashing down around you. 794 00:41:06,968 --> 00:41:08,636 That you won't be burned at the stake. 795 00:41:10,638 --> 00:41:11,973 How'd it go? 796 00:41:12,106 --> 00:41:15,676 Oh, well, it wasn't smooth sailing but our patient's stable. 797 00:41:15,810 --> 00:41:16,844 That's great. 798 00:41:18,245 --> 00:41:22,350 So, uh, Allison wanted to fall asleep with the lamp on, 799 00:41:22,482 --> 00:41:24,852 so just make sure to turn it off before you go to bed. 800 00:41:25,953 --> 00:41:27,021 Thank you for pinch-hitting. 801 00:41:27,154 --> 00:41:29,056 I... I really appreciate it. 802 00:41:29,657 --> 00:41:31,959 Always happy to get more time with the kids. 803 00:41:32,593 --> 00:41:34,628 I'm sorry I bit your head off earlier. 804 00:41:34,762 --> 00:41:37,631 You did nothing wrong. I was just in a panic spiral, 805 00:41:37,765 --> 00:41:39,300 and I couldn't see it. 806 00:41:40,167 --> 00:41:41,635 Well, I stand by it. 807 00:41:41,769 --> 00:41:43,571 You are at your best when you're backed up against the wall. 808 00:41:43,704 --> 00:41:46,407 A little mean sometimes. 809 00:41:46,540 --> 00:41:47,575 But brilliant. 810 00:41:48,943 --> 00:41:51,312 You are never gonna stop believing in me, are you? 811 00:41:54,181 --> 00:41:55,149 Why would I? 812 00:42:02,423 --> 00:42:05,092 And that this new reality is going to be better. 813 00:42:13,234 --> 00:42:16,871 Or at least truer than the one that came before.