1 00:00:02,369 --> 00:00:05,038 [Grey] When my mother was diagnosed with Alzheimer's disease, 2 00:00:05,172 --> 00:00:08,141 her cousin said she must've gotten it because she didn't take fish oil. 3 00:00:08,275 --> 00:00:13,146 I picked up everything on the list, except they ran out of Dijon, 4 00:00:13,280 --> 00:00:18,653 so I got whole grain instead, which... Yeah, I know... is inferior, but... 5 00:00:18,786 --> 00:00:19,787 [♪ "Wish You Well" playing] 6 00:00:19,921 --> 00:00:21,589 -Who are you? -[Wilson] Hey. 7 00:00:21,723 --> 00:00:23,725 Hey, you're, uh, back early. 8 00:00:23,858 --> 00:00:27,027 Yeah, I decided to do the groceries first and pick up your car after. Who's this? 9 00:00:27,160 --> 00:00:32,065 That's Elroy, the contractor I hired to babyproof for us. 10 00:00:32,199 --> 00:00:33,233 These stairs aren't safe. 11 00:00:34,002 --> 00:00:35,035 Naked sides. 12 00:00:35,870 --> 00:00:36,905 Don't worry. 13 00:00:37,437 --> 00:00:38,806 -I can fix them. -[Wilson] Okay. 14 00:00:38,940 --> 00:00:40,207 I told you I was gonna do that. 15 00:00:40,340 --> 00:00:42,342 Yeah, back when Scout and Luna were babies, 16 00:00:42,476 --> 00:00:44,211 and now we have two more babies. 17 00:00:44,913 --> 00:00:46,146 -[scoffs] -[phone chimes] 18 00:00:47,481 --> 00:00:50,484 My patient with a myoelectric prosthesis was just brought into the ER. 19 00:00:50,618 --> 00:00:52,020 Mountain bike accident. 20 00:00:53,021 --> 00:00:55,122 -I should go. -Wait, wait, wait. What about my car? 21 00:00:56,558 --> 00:00:57,892 Ask Elroy. 22 00:00:59,827 --> 00:01:01,796 [Grey] Her neighbor thought it was because my mother, 23 00:01:01,930 --> 00:01:05,567 a world renowned surgeon, didn't do enough crossword puzzles. 24 00:01:06,166 --> 00:01:08,201 ♪ Just where I'm gonna go ♪ 25 00:01:10,203 --> 00:01:11,305 [Kwan moans] 26 00:01:13,541 --> 00:01:15,910 Is this your way of thanking me for the coffee? 27 00:01:16,044 --> 00:01:18,613 I'm stressed about the MandM. 28 00:01:18,746 --> 00:01:20,380 Well, I am ready to help. 29 00:01:21,248 --> 00:01:23,818 ♪ Under the pressure They say I'm gonna break ♪ 30 00:01:23,952 --> 00:01:24,919 [grunts] 31 00:01:25,053 --> 00:01:26,921 [phone buzzing] 32 00:01:28,556 --> 00:01:30,390 [groans] Shepherd. I'm on her service. 33 00:01:30,525 --> 00:01:32,192 ♪ Out here trying To get something worth having ♪ 34 00:01:32,326 --> 00:01:34,094 ♪ Ain't gonna happen here ♪ 35 00:01:34,227 --> 00:01:35,863 You better go. 36 00:01:35,997 --> 00:01:40,501 I'll ask her if I can sneak away to come watch, but if not, good luck. 37 00:01:41,268 --> 00:01:42,937 [Grey] I told them to shove it. 38 00:01:43,071 --> 00:01:46,440 They always want to cast blame, something to fear and avoid. 39 00:01:47,542 --> 00:01:49,077 But the only thing to blame... 40 00:01:50,310 --> 00:01:51,345 is everything. 41 00:01:52,981 --> 00:01:55,415 [stammers, gasps] Bless you. Oh. 42 00:01:55,550 --> 00:01:58,251 You left out the door so early, I figured you needed a pick-me-up. 43 00:01:58,385 --> 00:02:00,688 Well, I thought keeping busy would take my mind off things, 44 00:02:00,822 --> 00:02:03,925 but it just means I'm tired and hangry. 45 00:02:04,058 --> 00:02:05,593 Yeah. How's Katie doing? 46 00:02:06,360 --> 00:02:08,128 [sighs] I'm waiting for her labs, 47 00:02:08,261 --> 00:02:14,002 but I'm guessing she has carcinomatosis and a partial obstruction. 48 00:02:14,134 --> 00:02:16,804 -Well, how often are they draining her? -Twice a day. 49 00:02:16,938 --> 00:02:19,641 [groans] Okay, well, listen, if there's anything I can do, just let me know-- 50 00:02:19,774 --> 00:02:20,808 [Webber] Warren. 51 00:02:21,743 --> 00:02:23,811 -You're with me. -[sighs] 52 00:02:23,945 --> 00:02:26,714 Okay, go. I'm okay. [giggles] 53 00:02:26,848 --> 00:02:29,449 -Dr. Bailey. [chuckles] -Welcome back. 54 00:02:30,084 --> 00:02:33,153 First day back in the OR. How's it feel? 55 00:02:33,286 --> 00:02:35,590 Well, I'm working with my chief resident. 56 00:02:35,723 --> 00:02:40,128 I have an MandM later today, and the cafeteria is serving shepherd's pie. 57 00:02:40,260 --> 00:02:41,361 Feels like Christmas. 58 00:02:42,530 --> 00:02:44,032 Well, wait till you see our first consult. 59 00:02:44,164 --> 00:02:45,499 [Webber] Good morning. 60 00:02:45,633 --> 00:02:48,636 Oh, Russell, this is Dr. Webber and Dr. Warren. 61 00:02:48,770 --> 00:02:50,337 -These are the headliners. -[both chuckle] 62 00:02:50,470 --> 00:02:52,172 Russell's a community theater director. 63 00:02:52,305 --> 00:02:54,008 Right now, he's putting up a production of Hamlet. 64 00:02:54,142 --> 00:02:56,878 "When sorrows come, they come not single spies"... 65 00:02:57,011 --> 00:02:58,713 ..."but in battalions." 66 00:02:58,846 --> 00:03:01,314 -Yes, okay. [laughing] -Yeah. [laughs] 67 00:03:01,448 --> 00:03:04,752 You would demote my Claudius to an understudy. 68 00:03:04,886 --> 00:03:06,319 -Hamlet's my favorite Shakespeare. -Mmm. 69 00:03:06,453 --> 00:03:08,956 -Um, Dr. Meade? -Much Ado About Nothing. 70 00:03:09,691 --> 00:03:11,224 He wants you to present the case. 71 00:03:11,959 --> 00:03:13,094 Right. Sorry, um... 72 00:03:14,095 --> 00:03:17,031 "Russell West, 34, with history of beta thalassemia 73 00:03:17,165 --> 00:03:19,801 with blood transfusions every three months for anemia. 74 00:03:19,934 --> 00:03:23,004 Admitted for splenic sequestration crisis two weeks ago." 75 00:03:23,137 --> 00:03:25,707 His abdomen has been getting increasingly distended. 76 00:03:25,840 --> 00:03:28,208 Uh, we're consulting today for a splenectomy. 77 00:03:28,341 --> 00:03:30,945 I thought I was just gaining a little weight... [chuckles] 78 00:03:31,079 --> 00:03:33,548 ...but then my stomach just kept getting bigger and bigger. 79 00:03:33,681 --> 00:03:35,215 -Can I take a look? -Yeah. 80 00:03:35,348 --> 00:03:36,617 I'll call for an ultrasound. 81 00:03:36,751 --> 00:03:38,251 Oh, let's go old school while we wait. 82 00:03:38,385 --> 00:03:40,188 When was the last time you did percussion? 83 00:03:40,320 --> 00:03:42,289 Uh... [chuckles] 84 00:03:44,726 --> 00:03:47,028 All right, you hear that? It's hollow. That's his lung. 85 00:03:47,562 --> 00:03:51,766 Here. That's dull. That's the spleen from here... 86 00:03:54,001 --> 00:03:55,670 to here. 87 00:03:56,604 --> 00:03:59,207 Your spleen extends from the left upper quadrant 88 00:03:59,339 --> 00:04:01,109 all the way to the right lower quadrant. 89 00:04:01,241 --> 00:04:02,944 It's taking up your entire abdomen. 90 00:04:03,077 --> 00:04:04,712 This needs to come out immediately. 91 00:04:04,846 --> 00:04:07,414 I'm in the middle of tech week. I can't... 92 00:04:07,949 --> 00:04:09,717 Won't it just shrink on its own? 93 00:04:09,851 --> 00:04:13,020 It's unlikely in a case this severe. Plus, you'd run the risk of rupturing it. 94 00:04:13,154 --> 00:04:14,254 Okay, that sounds bad. 95 00:04:14,387 --> 00:04:16,858 Yeah, really bad. Instant death. 96 00:04:16,991 --> 00:04:18,793 [Warren clears throat] 97 00:04:18,926 --> 00:04:20,962 You... You want to take care of this sooner rather than later. 98 00:04:21,095 --> 00:04:24,832 Dr. Meade can take you for a CT scan so we can plan a surgical approach. 99 00:04:24,966 --> 00:04:27,101 Yeah, could he do it instead? 100 00:04:27,235 --> 00:04:28,736 [stammers] I'll go with you. 101 00:04:28,870 --> 00:04:29,904 Yeah. 102 00:04:32,206 --> 00:04:34,642 -Well? -It's better than Christmas. 103 00:04:34,776 --> 00:04:36,043 [laughing] 104 00:04:36,177 --> 00:04:37,310 [softly] ...had been compromised. 105 00:04:37,444 --> 00:04:40,748 We then used 4-0 VICRYL sutures to inset the-- 106 00:04:40,882 --> 00:04:42,282 Are you reciting your presentation? 107 00:04:43,050 --> 00:04:46,386 You know how when you lie, your cheeks get flushed and your voice gets all high? 108 00:04:47,021 --> 00:04:49,857 You do both of those things, and so do I when I give presentations, 109 00:04:49,991 --> 00:04:54,028 and I also sweat and sometimes faint. 110 00:05:02,203 --> 00:05:03,971 [Ndugu sighs] 111 00:05:05,273 --> 00:05:07,708 -Interesting case? -Your sternal reconstruction patient. 112 00:05:07,842 --> 00:05:08,876 Scott Hill? 113 00:05:09,342 --> 00:05:11,145 Beckman's out. Someone has to check on him. 114 00:05:11,279 --> 00:05:14,916 Well, Dr. Wright is supposed to be attempting another flap tomorrow. 115 00:05:15,850 --> 00:05:16,818 Hope it takes. 116 00:05:16,951 --> 00:05:18,686 [elevator dings] 117 00:05:18,820 --> 00:05:20,154 See you at the MandM. 118 00:05:23,423 --> 00:05:24,992 It'll be fine. 119 00:05:25,126 --> 00:05:28,229 I've successfully avoided him after lying to help his patient. 120 00:05:28,361 --> 00:05:31,498 Oh, that was weeks ago. He's probably forgotten. 121 00:05:33,333 --> 00:05:35,036 You truly are a terrible liar. 122 00:05:38,306 --> 00:05:40,675 Sorry for interrupting your parental leave. 123 00:05:40,808 --> 00:05:42,310 Was Jo annoyed? 124 00:05:42,442 --> 00:05:44,212 Yeah, but not because of that. 125 00:05:44,946 --> 00:05:46,346 Oh, here they are. 126 00:05:47,281 --> 00:05:50,284 Okay, "Jon Ellison, 40. Status post-mountain biking accident. 127 00:05:50,417 --> 00:05:52,086 No LOC or signs of head trauma. 128 00:05:52,220 --> 00:05:55,323 He has bruising on his chest, and X-rays show multiple rib fractures. 129 00:05:55,455 --> 00:05:57,558 He had targeted muscle reinnervation surgery 130 00:05:57,692 --> 00:05:59,594 a few months ago for an advanced arm prosthesis"-- 131 00:05:59,727 --> 00:06:00,695 I know. I did it. 132 00:06:00,828 --> 00:06:02,495 After I amputated his arm. 133 00:06:02,630 --> 00:06:03,731 Jon. 134 00:06:03,865 --> 00:06:04,866 Pauline. 135 00:06:05,432 --> 00:06:06,366 What happened? 136 00:06:06,499 --> 00:06:08,135 I was training at Tiger Mountain. 137 00:06:08,269 --> 00:06:09,637 The hand just let go. 138 00:06:09,770 --> 00:06:11,339 I lost my balance and fell. 139 00:06:11,471 --> 00:06:12,907 He crashed straight into a boulder. 140 00:06:13,473 --> 00:06:17,011 -Tell 'em about the last time. -Yeah, it did the same thing last month. 141 00:06:17,144 --> 00:06:20,748 I sideswiped a tree and almost missed qualifying for the World Championships. 142 00:06:20,882 --> 00:06:22,950 -When's the competition? -Three months. 143 00:06:23,084 --> 00:06:25,753 I can still compete though, right? I'm up for sponsorships. 144 00:06:25,887 --> 00:06:27,454 The nerve we rerouted to your upper arm 145 00:06:27,588 --> 00:06:30,124 should be sending precise signals to your hand. 146 00:06:30,258 --> 00:06:31,826 We'll get some scans. We'll check it out. 147 00:06:31,959 --> 00:06:33,761 Kwan, call CT. Let 'em know we're coming. 148 00:06:33,895 --> 00:06:34,929 Yeah. 149 00:06:38,666 --> 00:06:39,901 What are we playing? 150 00:06:40,034 --> 00:06:41,202 Five-card stud. 151 00:06:41,335 --> 00:06:43,571 -You play? -Uh, not anymore. 152 00:06:44,471 --> 00:06:47,241 But I ran a weekly poker night in med school. 153 00:06:47,375 --> 00:06:49,744 -Were you any good? -Graduated debt-free. 154 00:06:49,877 --> 00:06:52,013 [chuckles, coughs] 155 00:06:52,146 --> 00:06:53,281 How are you feeling today? 156 00:06:53,413 --> 00:06:55,049 They drained another liter this morning. 157 00:06:55,182 --> 00:06:58,319 She's still nauseous. We asked for ice chips 30 minutes ago. 158 00:06:58,485 --> 00:07:01,656 Oh, it must have gotten lost in the morning handoff. 159 00:07:01,789 --> 00:07:04,759 -I'll get them myself. -Can you grab some for my mom too? 160 00:07:04,892 --> 00:07:07,695 -She needs to chill. -You see how she treats me? 161 00:07:07,828 --> 00:07:09,462 [Bailey, mother chuckle] 162 00:07:12,867 --> 00:07:15,236 Uh, I'll... I'll get you those ice chips. 163 00:07:18,539 --> 00:07:19,807 How bad? 164 00:07:20,374 --> 00:07:22,543 [sighs] Katie's creatinine is elevated, albumin low. 165 00:07:22,677 --> 00:07:27,048 Her AST, ALT, and INR are through the roof. 166 00:07:27,915 --> 00:07:30,051 She's in multiple organ failure. 167 00:07:30,184 --> 00:07:32,753 The TPN is too hard on her liver. 168 00:07:33,254 --> 00:07:35,089 It's the only thing giving her nutrition. 169 00:07:39,260 --> 00:07:41,128 Call palliative care. 170 00:08:00,848 --> 00:08:02,283 [sighs] I thought I was late. 171 00:08:02,883 --> 00:08:05,619 Bailey does not need another reason to yell at me. 172 00:08:05,753 --> 00:08:07,355 -Hey, how's Katie? -Yes. 173 00:08:08,756 --> 00:08:13,160 Her INR is getting worse. She needs two more units of FFP. Correct. 174 00:08:14,261 --> 00:08:15,629 -Thank you. -[phone beeps] 175 00:08:15,763 --> 00:08:18,099 Katie? What, is her liver failing? 176 00:08:18,632 --> 00:08:20,001 What did the repeat scans show? 177 00:08:24,372 --> 00:08:26,741 [sighs] She doesn't know yet. We're gonna tell her after the MandM. 178 00:08:26,874 --> 00:08:27,842 I wanna be there. 179 00:08:27,975 --> 00:08:30,378 You are not part of her care team. 180 00:08:30,511 --> 00:08:32,546 Do I need to write you a reminder? 181 00:08:34,382 --> 00:08:36,817 Hi. Good morning, everyone. 182 00:08:36,951 --> 00:08:38,719 Are we ready to begin? 183 00:08:38,853 --> 00:08:41,122 -Dr. Millin? -Yes. 184 00:08:46,861 --> 00:08:50,664 Uh, Scott Hill, age 73, presented four months ago 185 00:08:50,798 --> 00:08:53,034 with shortness of breath and chest pain. 186 00:08:54,435 --> 00:08:58,205 See what I told you? The spleen has taken over the entire abdomen. 187 00:08:58,339 --> 00:09:00,608 It has sequestered so much of his blood supply. 188 00:09:00,741 --> 00:09:03,310 I mean, how would you even mobilize that? 189 00:09:04,513 --> 00:09:05,746 You tell me. 190 00:09:06,480 --> 00:09:07,848 Uh, well, um... 191 00:09:07,982 --> 00:09:11,218 If it were a smaller spleen, I would enter the lesser sac, 192 00:09:11,352 --> 00:09:13,921 take down attachments, and medially rotate it 193 00:09:14,055 --> 00:09:17,091 to access the pedicle, but this... 194 00:09:17,224 --> 00:09:18,926 Yeah, I have no clue. 195 00:09:19,060 --> 00:09:20,895 Plus, once we're in there, one nick to the organ 196 00:09:21,028 --> 00:09:22,363 and Russell could bleed out in seconds. 197 00:09:24,698 --> 00:09:26,400 When I was a resident, 198 00:09:26,535 --> 00:09:30,438 I scrubbed in on a liver teratoma I thought was impossible to resect. 199 00:09:31,005 --> 00:09:32,840 But I had an attending, Dr. Rathbone, 200 00:09:32,973 --> 00:09:37,711 who did a total vascular exclusion of the liver to create a bloodless field. 201 00:09:37,845 --> 00:09:41,382 It was brilliant, and it taught me to always keep an open mind. 202 00:09:42,083 --> 00:09:45,119 I saved a piece of that tumor in a jar for years after. 203 00:09:45,986 --> 00:09:49,356 Maybe after this you can, uh, save a piece of Russell's spleen, huh? 204 00:09:49,490 --> 00:09:51,692 [scoffs] Do I have to? 205 00:09:53,094 --> 00:09:55,129 Okay, let's take a page from Rathbone's playbook. 206 00:09:55,262 --> 00:09:58,567 Let's call IR, have them embolize the splenic artery, 207 00:09:58,699 --> 00:10:00,234 then we'll open him up and see what we got. 208 00:10:00,367 --> 00:10:02,403 Uh, what about the MandM? We're already late. 209 00:10:02,537 --> 00:10:04,805 No, MandMs happen every week. 210 00:10:06,040 --> 00:10:08,142 But a spleen like this? 211 00:10:08,709 --> 00:10:10,778 It happens once in a lifetime. 212 00:10:10,911 --> 00:10:15,850 We then used interrupted 4-0 VICRYL sutures to inset the omental flap. 213 00:10:15,983 --> 00:10:18,185 You can see the healthy flap here. 214 00:10:18,319 --> 00:10:23,090 Did his pre-op scans show any sign for concern about pedicle tension? 215 00:10:23,224 --> 00:10:25,527 No, the team agreed that the distance 216 00:10:25,659 --> 00:10:28,597 between the epigastrium and the superior sternum was acceptable. 217 00:10:28,729 --> 00:10:30,931 And at this point, "the team" was... 218 00:10:31,065 --> 00:10:32,633 Me and Dr. Mohanty. 219 00:10:32,766 --> 00:10:34,869 You had finished harvesting the omentum, 220 00:10:35,002 --> 00:10:37,805 and Dr. Wright and Dr. Warren were needed on another case. 221 00:10:37,938 --> 00:10:42,476 So, the, uh, the changes in the flap's appearance progressed rapidly post-op. 222 00:10:42,611 --> 00:10:46,247 As you can see here, uh, it is dark and swollen. 223 00:10:46,380 --> 00:10:48,015 Did you check Doppler flow after inset? 224 00:10:48,149 --> 00:10:51,185 -Yes, there was biphasic signal. -And which one of you did that? 225 00:10:52,587 --> 00:10:55,689 Well, we can both confirm that there was a signal. 226 00:10:55,823 --> 00:10:58,192 When we realized there was no blood flow to the flap-- 227 00:10:58,325 --> 00:11:02,196 I'm sorry, so the two of you both heard the signal? 228 00:11:02,329 --> 00:11:04,533 Were roles clearly defined during the inset? 229 00:11:04,665 --> 00:11:06,367 -I believe so. -You believe so? 230 00:11:07,334 --> 00:11:09,870 Who placed the stitch causing tension around the pedicle? 231 00:11:11,939 --> 00:11:16,177 Look, this patient, my patient, hasn't left the hospital in weeks 232 00:11:16,310 --> 00:11:20,748 due to a gaping hole in his chest, which I believed we had fixed. 233 00:11:21,482 --> 00:11:23,784 He's still here because of someone's negligence 234 00:11:23,918 --> 00:11:26,153 and it sure as hell isn't mine, so... 235 00:11:27,721 --> 00:11:29,390 who placed the stitch? 236 00:11:32,826 --> 00:11:33,861 That's on me. 237 00:11:35,029 --> 00:11:37,231 I should have watched my resident more carefully. 238 00:11:37,364 --> 00:11:39,900 I take full responsibility as her supervisor. 239 00:11:48,842 --> 00:11:50,244 [phone buzzes] 240 00:11:55,449 --> 00:11:57,384 He is all set. 241 00:11:58,520 --> 00:12:01,188 Would either of you mind if I catch the last part of the MandM? 242 00:12:01,322 --> 00:12:02,923 -Start the scan, Kwan. -We do. 243 00:12:03,057 --> 00:12:04,659 [phone buzzes] 244 00:12:07,228 --> 00:12:08,996 -Everything okay? -I'm a handy person. 245 00:12:09,797 --> 00:12:11,700 Did I miss the first part of this conversation? 246 00:12:11,832 --> 00:12:15,369 Jo's getting an estimate from a contractor to babyproof our place, 247 00:12:15,503 --> 00:12:18,005 even though I told her I can do it. I want to do it. 248 00:12:19,173 --> 00:12:20,609 Are you sure you still need me here? 249 00:12:20,741 --> 00:12:22,376 The babies can't even roll over on their own. 250 00:12:22,510 --> 00:12:23,744 They're nowhere close to crawling. 251 00:12:23,877 --> 00:12:26,347 We have a minute before the stairs are an actual risk. 252 00:12:26,480 --> 00:12:29,083 So, you'll just wait till Scout and Luna are teenagers? 253 00:12:30,451 --> 00:12:32,119 -Kwan? -Yes, all right, 254 00:12:32,253 --> 00:12:35,456 three right-sided rib fractures. He has a small pneumothorax. 255 00:12:35,590 --> 00:12:38,792 He probably doesn't need a chest tube, but the muscle in the TMR looks good. 256 00:12:38,926 --> 00:12:40,794 All right, admit him for observation 257 00:12:40,928 --> 00:12:43,264 and then just do a follow-up X-ray with him later today. 258 00:12:43,964 --> 00:12:46,000 I'm sorry you had to come in for rib fractures, 259 00:12:46,133 --> 00:12:48,570 but maybe now you can go home and babyproof. 260 00:12:48,703 --> 00:12:50,938 We should still check the signals to his bionic arm. 261 00:12:51,071 --> 00:12:53,608 I mean, there's no hematoma or bleeding around the nerves in the TMR. 262 00:12:53,742 --> 00:12:54,842 The signals should be fine. 263 00:12:54,975 --> 00:12:56,310 Yeah, but he's still falling off his bike. 264 00:12:57,411 --> 00:13:00,582 Kwan, get Jon back to his room and set up for EMG testing. 265 00:13:00,715 --> 00:13:02,283 -Yeah. -[Shepherd] Mm-hmm. 266 00:13:04,251 --> 00:13:07,988 When a pedicle passes through narrow tunnels, we're essentially working blind. 267 00:13:08,122 --> 00:13:11,760 Uh, Dr. Millin, when you placed the stitch, did you use a lot of tension? 268 00:13:11,892 --> 00:13:13,628 Excuse me? 269 00:13:13,762 --> 00:13:16,363 I asked if you used a lot of tension when you placed the stitch. 270 00:13:16,497 --> 00:13:17,998 I-I didn't place the stitch. 271 00:13:19,199 --> 00:13:22,704 Dr. Mohanty, did you or did you not allow Dr. Millin to place the stitch? 272 00:13:22,836 --> 00:13:25,005 She specifically asked to do some of the suturing-- 273 00:13:25,139 --> 00:13:28,242 And you said no. Th-This is a huge miscommunication. 274 00:13:28,375 --> 00:13:29,977 [stutters] Are you saying she's lying? 275 00:13:30,911 --> 00:13:31,979 I didn't say that. 276 00:13:32,112 --> 00:13:34,048 But you are denying that it was you. 277 00:13:34,181 --> 00:13:37,117 If you're both saying you didn't place the suture, 278 00:13:37,251 --> 00:13:38,620 one of you is not telling the truth. 279 00:13:39,186 --> 00:13:42,489 I only closed the abdomen. I wasn't anywhere near the pedicle. 280 00:13:42,624 --> 00:13:46,293 Dr. Millin, admitting your mistakes is an important part to learning. 281 00:13:46,427 --> 00:13:50,665 If you can't own up to them, we've got a much more serious problem. 282 00:13:58,105 --> 00:13:59,139 What the hell was that? 283 00:13:59,973 --> 00:14:01,909 -Dr. Millin. -You placed that stitch, and you know it. 284 00:14:02,042 --> 00:14:03,377 Can we talk about this, please? 285 00:14:03,511 --> 00:14:06,815 Oh, I'm sorry. Do you not want to get dragged in public? 286 00:14:06,947 --> 00:14:08,683 Sometimes MandMs go south. 287 00:14:08,817 --> 00:14:10,217 Everyone knows this. 288 00:14:10,351 --> 00:14:11,820 Is that supposed to be an apology? 289 00:14:11,985 --> 00:14:13,020 You're a resident. 290 00:14:13,153 --> 00:14:14,855 Residents are supposed to make mistakes. 291 00:14:14,988 --> 00:14:16,890 Well, I didn't screw up. 292 00:14:17,024 --> 00:14:19,927 You lied, and I got scorched for it. 293 00:14:20,060 --> 00:14:21,696 I have patients to see. 294 00:14:23,430 --> 00:14:24,498 [breathing heavily] 295 00:14:25,966 --> 00:14:28,703 Okay, let me know if you feel any discomfort. 296 00:14:28,837 --> 00:14:30,070 I'm used to it. 297 00:14:30,204 --> 00:14:32,306 Okay, Jon, I want you to imagine your phantom limb 298 00:14:32,439 --> 00:14:34,241 and start opening and closing your hand. 299 00:14:34,375 --> 00:14:36,511 -[swishing] -[Pauline] That's a good sign, right? 300 00:14:36,644 --> 00:14:38,580 Yeah, the muscles are receiving signal. 301 00:14:38,713 --> 00:14:39,913 It's a really good sign. 302 00:14:40,047 --> 00:14:41,716 And how's the prosthesis treating you otherwise? 303 00:14:41,850 --> 00:14:45,754 If I was wearing it, I'd give you a thumbs up or the middle finger. 304 00:14:45,919 --> 00:14:47,254 Depends on my mood. 305 00:14:47,388 --> 00:14:49,524 Oh, he's painted the baby's room and started cooking again. 306 00:14:49,657 --> 00:14:51,191 It's changed his life at home. 307 00:14:51,325 --> 00:14:55,496 I just can't do the one thing I was really hoping for. 308 00:14:55,630 --> 00:14:57,732 Well, your signals are good. 309 00:14:57,866 --> 00:15:00,234 The TMR is not the problem. 310 00:15:00,367 --> 00:15:03,605 Jon, when you ride, do you experience a high level of stress? 311 00:15:03,738 --> 00:15:08,242 He's dodging trees and jumping rocks and trying not to fall off the trail. 312 00:15:08,375 --> 00:15:09,844 I actually find it relaxing. 313 00:15:09,977 --> 00:15:12,547 Right, but you're still encountering unexpected obstacles 314 00:15:12,680 --> 00:15:16,684 and changes in terrain that could cause a reflexive reaction 315 00:15:16,818 --> 00:15:18,952 in the muscles that send signal that could potentially 316 00:15:19,086 --> 00:15:20,588 make your hand do things you don't intend. 317 00:15:20,722 --> 00:15:22,757 -Like let go of the bike? -Exactly. 318 00:15:22,891 --> 00:15:25,959 [scoffs] Mountain biking's all about dealing with the unexpected. 319 00:15:26,093 --> 00:15:28,395 If I can't do that, I can't ride, 320 00:15:28,530 --> 00:15:31,365 and that means no sponsorships, no prize money. 321 00:15:31,498 --> 00:15:32,801 -Jon-- -And without that money, 322 00:15:32,933 --> 00:15:34,636 we can't afford repairs to my gear, 323 00:15:34,769 --> 00:15:36,738 my training time, part of our mortgage. 324 00:15:36,871 --> 00:15:39,541 I've been working for months to qualify for this race. 325 00:15:39,674 --> 00:15:41,341 Now you're telling me I could lose it all? 326 00:15:41,475 --> 00:15:44,111 If you're getting more exercise, your muscles are getting stronger, 327 00:15:44,244 --> 00:15:47,615 they might be sending a stronger signal than the prosthesis needs. 328 00:15:47,749 --> 00:15:50,484 Let's take a look at that, and we'll go from there. 329 00:15:50,618 --> 00:15:51,653 [sighs] 330 00:15:59,426 --> 00:16:00,562 [door opens] 331 00:16:01,228 --> 00:16:03,096 Curtis. Up for a visit? 332 00:16:03,230 --> 00:16:04,498 [chuckles] 333 00:16:05,098 --> 00:16:06,634 From the chief? 334 00:16:07,167 --> 00:16:08,670 Anytime. 335 00:16:10,103 --> 00:16:11,840 -How are you? -[sighs] 336 00:16:11,972 --> 00:16:15,142 I told the nurses I was cancer-roommates with Richard Webber. 337 00:16:15,275 --> 00:16:17,645 -Suddenly I got extra pillows. -[chuckles] 338 00:16:17,779 --> 00:16:19,346 And unlimited applesauce. 339 00:16:19,480 --> 00:16:21,415 What's a fancy title for? [chuckles] 340 00:16:22,584 --> 00:16:24,384 You just missed my wife and kids. 341 00:16:26,019 --> 00:16:27,454 Really wish you would've met them. 342 00:16:27,589 --> 00:16:29,122 -Yeah, I would've loved that too. -Yeah. 343 00:16:29,256 --> 00:16:30,457 How old are your kids? 344 00:16:30,592 --> 00:16:31,726 Trevor's eight. 345 00:16:31,860 --> 00:16:33,327 -He's my bookworm. -[chuckles] 346 00:16:33,460 --> 00:16:35,864 And, uh, Amani's five. 347 00:16:35,996 --> 00:16:39,734 She's already running around on her bike like a bat out of hell. [laughs] 348 00:16:39,868 --> 00:16:42,169 -She'll be trouble. -[chuckles] 349 00:16:43,938 --> 00:16:46,139 Now, that's the hardest part of all this. 350 00:16:47,441 --> 00:16:48,475 It's, uh... 351 00:16:49,644 --> 00:16:51,613 leaving them behind. 352 00:16:52,647 --> 00:16:54,081 [notification chimes] 353 00:17:00,254 --> 00:17:01,523 Look, I'd... 354 00:17:01,656 --> 00:17:04,124 I'd love to stay, Curtis, but I'm needed in surgery. 355 00:17:04,859 --> 00:17:07,227 Thank you for stopping by, Dr. Webber. 356 00:17:08,997 --> 00:17:10,364 Just Richard. 357 00:17:23,878 --> 00:17:25,078 How long does she have? 358 00:17:25,212 --> 00:17:27,916 If I give you an answer, it... 359 00:17:28,048 --> 00:17:29,884 it's just my best guess. 360 00:17:30,018 --> 00:17:31,719 But I have more energy today. 361 00:17:31,853 --> 00:17:33,855 We removed the NG tube. 362 00:17:33,988 --> 00:17:36,089 I ate a Popsicle without throwing up. 363 00:17:36,223 --> 00:17:38,425 Yeah, it's common to have good days. 364 00:17:38,560 --> 00:17:42,095 Our focus now is on keeping you comfortable 365 00:17:42,229 --> 00:17:46,034 so you can have as many good days as possible. 366 00:17:46,166 --> 00:17:49,069 And if you do in-hospital hospice, we can manage your symptoms 367 00:17:49,202 --> 00:17:50,872 and pain here for as long as you need. 368 00:17:51,005 --> 00:17:52,674 No, I-I need to go home. 369 00:17:54,542 --> 00:17:56,476 I need to... to sleep in my own bed. 370 00:17:56,611 --> 00:18:02,617 I need to eat my own food, and maybe if we work with the PT, I'll improve. 371 00:18:02,750 --> 00:18:04,418 Then that's what we'll do. 372 00:18:06,020 --> 00:18:07,287 We... 373 00:18:07,421 --> 00:18:10,390 We can arrange home health and PT, 374 00:18:10,525 --> 00:18:13,126 but you'd only have someone a couple of hours a week, 375 00:18:13,260 --> 00:18:14,662 and you need more support. 376 00:18:15,262 --> 00:18:19,366 If you do in-home hospice care, well, they'll send you someone 24/7, 377 00:18:19,499 --> 00:18:22,402 but it could take a week to get started. 378 00:18:22,537 --> 00:18:24,706 I need to get out of here now. 379 00:18:24,839 --> 00:18:26,239 I need to get better. 380 00:18:26,373 --> 00:18:29,010 I'll take care of her until everything's arranged. 381 00:18:29,142 --> 00:18:34,015 She needs a hospital bed, an oxygen concentrator, a Hoyer lift-- 382 00:18:34,147 --> 00:18:35,617 I'll figure it out. 383 00:18:37,018 --> 00:18:38,553 I did it with my mom. 384 00:18:42,456 --> 00:18:45,192 If you do this, Katie will be leaving 385 00:18:45,325 --> 00:18:47,260 against medical advice. 386 00:18:47,394 --> 00:18:51,599 The insurance won't cover everything she needs at home if she does that. 387 00:18:52,634 --> 00:18:56,436 I've done everything you've asked. 388 00:18:58,271 --> 00:19:03,343 Every scan, every test, every infusion, and here I am. 389 00:19:05,278 --> 00:19:09,617 You... You don't know if I'm dying. 390 00:19:09,751 --> 00:19:11,418 You don't know anything. 391 00:19:12,053 --> 00:19:13,121 If I go home... 392 00:19:15,155 --> 00:19:16,356 I'll get better. 393 00:19:17,759 --> 00:19:19,127 You'll see. 394 00:19:22,797 --> 00:19:23,865 [stammers] 395 00:19:25,232 --> 00:19:29,169 Okay. Then I will talk with social work, 396 00:19:29,302 --> 00:19:30,838 and we'll start the process. 397 00:19:36,644 --> 00:19:38,980 Bailey, are you sure AMA is the right move for Katie? 398 00:19:39,113 --> 00:19:41,314 I most certainly am not. 399 00:19:42,249 --> 00:19:44,552 Look, don't-don't make any moves yet. 400 00:19:44,686 --> 00:19:48,188 I know someone she might listen to. 401 00:19:54,996 --> 00:19:56,130 Hey, I'm still here. 402 00:19:56,263 --> 00:19:57,464 Did you read the estimate? 403 00:19:57,598 --> 00:19:59,366 I've been with my patient. 404 00:19:59,499 --> 00:20:01,669 Well, in order to fully babyproof the balcony, 405 00:20:01,803 --> 00:20:03,504 we have to put up a higher enclosure 406 00:20:03,638 --> 00:20:06,607 which costs more than I can say without throwing up. 407 00:20:06,741 --> 00:20:08,509 I told you I... I could do it. 408 00:20:08,643 --> 00:20:11,311 You know, I'm not even sure the HOA will allow it, so what do you want to do? 409 00:20:11,445 --> 00:20:12,814 Now you want my opinion? 410 00:20:12,947 --> 00:20:15,049 You really wanna get into it again? 411 00:20:15,183 --> 00:20:18,452 -Look, I'm sorry. I should go. -Same. 412 00:20:19,687 --> 00:20:20,722 [sighs] 413 00:20:21,321 --> 00:20:22,924 -You gotta go? -No, it's fine. Let's continue. 414 00:20:23,057 --> 00:20:24,192 Okay. 415 00:20:24,324 --> 00:20:26,326 Okay, this should test the grip. 416 00:20:27,394 --> 00:20:28,830 Mm-hmm. 417 00:20:28,963 --> 00:20:31,431 Hmm. And now finger rolls. 418 00:20:33,835 --> 00:20:37,572 It's working well within normal EMG signals, 419 00:20:37,705 --> 00:20:40,240 and he says it works fine when he's not biking, so... 420 00:20:40,373 --> 00:20:42,577 -It's the stress. -Yeah. [sighs] 421 00:20:43,177 --> 00:20:45,213 He's done with competitive racing. 422 00:20:48,750 --> 00:20:49,984 That was lunch. 423 00:20:50,585 --> 00:20:52,053 My life is over. 424 00:20:52,186 --> 00:20:54,922 Are your organs failing from stage-four gastric cancer? 425 00:20:55,056 --> 00:20:56,591 It'll work out. 426 00:20:56,724 --> 00:20:58,425 I've been there. 427 00:20:58,559 --> 00:21:00,762 -You got kicked out of your last program. -Still worked out. I'm here. 428 00:21:03,598 --> 00:21:06,801 Hey, your girlfriend is not only a sloppy surgeon, she's a liar. 429 00:21:07,735 --> 00:21:09,336 The MandM did not go well. 430 00:21:09,469 --> 00:21:12,106 She blamed me for her crappy suture that killed our patient's flap, 431 00:21:12,240 --> 00:21:14,374 and now none of the attendings will even look at me. 432 00:21:14,509 --> 00:21:16,944 Kavita is not a liar. Both her parents are doctors. 433 00:21:17,078 --> 00:21:19,247 And that makes her immune to being a horrible person? 434 00:21:19,379 --> 00:21:21,082 Hey, wait, she's not a horrible person. 435 00:21:21,215 --> 00:21:25,253 No, you told me to be nice to her, and I was, and look where that got me. 436 00:21:25,385 --> 00:21:26,821 Thrown under the freaking bus. 437 00:21:28,256 --> 00:21:29,924 -You love the bus. -Kwan. 438 00:21:31,859 --> 00:21:33,094 This isn't a joke. 439 00:21:33,227 --> 00:21:34,929 Hey! This is my career! 440 00:21:35,763 --> 00:21:38,866 And you know what makes it worse, is that you're automatically taking her side. 441 00:21:40,635 --> 00:21:42,103 Oh... Some friend you are. 442 00:21:43,070 --> 00:21:46,607 -Where are you going? -To... To fix this. 443 00:21:51,478 --> 00:21:52,713 [Adams] Hey. 444 00:21:53,181 --> 00:21:54,447 [mouthing] Thank you. 445 00:21:58,085 --> 00:22:01,622 [chuckles] Anna Karenina? This is what you want to read right now? 446 00:22:01,756 --> 00:22:03,456 It's pretty depressing. 447 00:22:03,591 --> 00:22:07,128 Well, I'm making my way through a list of a hundred books you should read. 448 00:22:07,261 --> 00:22:09,030 Yeah, I've read these. You can skip them. 449 00:22:09,163 --> 00:22:11,331 You've read all 100 books? 450 00:22:11,464 --> 00:22:14,769 Uh, Moby Dick, a bunch of men yelling on a boat. 451 00:22:14,902 --> 00:22:16,469 Oh, and there's a whale. 452 00:22:16,604 --> 00:22:19,707 Uh, War and Peace, a lot of war, a little peace. 453 00:22:19,841 --> 00:22:22,409 -[chuckles] -That's two off your list. 454 00:22:25,780 --> 00:22:27,081 Let's get out of here. 455 00:22:27,215 --> 00:22:28,983 Let's go look at the houseboats. 456 00:22:29,116 --> 00:22:30,318 [Adams sighs] 457 00:22:31,919 --> 00:22:32,987 We can't just leave. 458 00:22:33,988 --> 00:22:36,257 -You're a patient. -Didn't stop you before. 459 00:22:36,724 --> 00:22:39,193 -And you were my doctor then. -Yeah, it's not that simple. 460 00:22:39,327 --> 00:22:40,728 You can't walk. 461 00:22:40,862 --> 00:22:42,864 We'd need portable oxygen. 462 00:22:42,997 --> 00:22:44,799 I can walk. Just give me your hand. 463 00:22:44,932 --> 00:22:46,334 Look, Katie, we just... 464 00:22:46,466 --> 00:22:48,368 Can... Can you get my bag? 465 00:22:48,502 --> 00:22:50,838 I can't. I don't even know if I can get you in my car. 466 00:22:50,972 --> 00:22:53,207 [groans, sighs] 467 00:22:53,341 --> 00:22:55,943 [whispering] Okay. It's okay. It's okay, it's okay. I got you. 468 00:22:57,211 --> 00:22:59,180 This is it for me, isn't it? 469 00:23:00,982 --> 00:23:02,984 I really wanted to go home. 470 00:23:03,117 --> 00:23:04,819 I'm so sorry. 471 00:23:10,758 --> 00:23:11,959 [Webber] Okay. 472 00:23:12,093 --> 00:23:13,527 Going through the fascia. 473 00:23:16,030 --> 00:23:17,531 -[sighs] Metz. -[Warren] You know, 474 00:23:17,665 --> 00:23:19,432 Meade here has been doing some research. 475 00:23:19,567 --> 00:23:23,971 Fact, the largest spleen ever recorded, 26 pounds and 17 inches. [chuckles] 476 00:23:24,105 --> 00:23:26,941 And based on our estimates, this one could beat it, sir. 477 00:23:27,074 --> 00:23:28,976 You ready to make history, Dr. Webber? 478 00:23:32,580 --> 00:23:36,617 Oh. [chuckles] Oh, my God. That is... 479 00:23:36,751 --> 00:23:38,552 -Nothing but spleen. -[Warren chuckling] 480 00:23:38,686 --> 00:23:41,155 Look, I don't want to hear another word about records 481 00:23:41,289 --> 00:23:43,724 or history until Russell is on his way to post-op. 482 00:23:43,858 --> 00:23:46,193 Okay, our focus should be on this patient, on this surgery. 483 00:23:46,327 --> 00:23:47,929 -Understood? -Loud and clear, boss. 484 00:23:48,062 --> 00:23:50,463 We've got a lot of work ahead of us. And I need full visualization. 485 00:23:50,598 --> 00:23:52,199 Titan. 486 00:23:52,333 --> 00:23:53,968 Okay. 487 00:23:54,101 --> 00:23:55,937 [Warren] All right, here we go. 488 00:24:00,107 --> 00:24:03,711 She'll stay here until her in-home hospice is set up. 489 00:24:03,844 --> 00:24:05,212 Okay. 490 00:24:05,346 --> 00:24:07,114 The social worker's on her way to get the process started. 491 00:24:07,248 --> 00:24:09,283 Did you mention we're hoping they can rush this? 492 00:24:09,417 --> 00:24:11,686 Yeah, and I might have dropped your name. 493 00:24:12,153 --> 00:24:14,322 [sighs] All right, we'll see if it helps. 494 00:24:16,324 --> 00:24:17,391 Oh. 495 00:24:18,726 --> 00:24:19,760 So, what? 496 00:24:19,894 --> 00:24:21,429 Now you bring in the doctors 497 00:24:21,562 --> 00:24:24,065 with the sad smiles and quiet voices 498 00:24:24,198 --> 00:24:26,901 pretending to know what it's like to die before you're supposed to? 499 00:24:28,269 --> 00:24:33,074 Our team will do everything to make her more comfortable. 500 00:24:33,207 --> 00:24:38,512 They'll also move her into a room with more natural light, fewer machines. 501 00:24:39,046 --> 00:24:41,215 And the chaplain will come too, right? 502 00:24:41,916 --> 00:24:47,221 You had this same conversation 15 years ago about my mother. 503 00:24:47,855 --> 00:24:51,692 And now you have the gall to have it again about my daughter. 504 00:24:52,159 --> 00:24:53,527 She was doing better! 505 00:24:53,661 --> 00:24:54,929 I know. 506 00:24:55,563 --> 00:24:56,897 I am so sorry. 507 00:24:57,031 --> 00:24:58,733 Stop saying you're sorry! 508 00:25:00,434 --> 00:25:02,069 If this was one of your babies, 509 00:25:02,937 --> 00:25:05,840 and their life-saving medication was discontinued 510 00:25:05,973 --> 00:25:08,876 and you had to watch the life drain from their bodies, what would you do? 511 00:25:09,677 --> 00:25:12,880 I would fight. 512 00:25:13,014 --> 00:25:14,482 But you didn't, did you? 513 00:25:15,783 --> 00:25:17,651 Not for my baby. 514 00:25:33,067 --> 00:25:34,235 Dr. Bailey. 515 00:25:50,484 --> 00:25:51,585 [object clinks] 516 00:25:53,522 --> 00:25:54,622 Whoa! 517 00:25:54,755 --> 00:25:57,091 Come in, make yourself at home. What is this? 518 00:25:57,224 --> 00:25:59,560 I borrowed a few things from Dr. Salley. 519 00:25:59,693 --> 00:26:03,397 I wanted to see if adjusting the grip on a body-powered prosthesis helps. 520 00:26:04,198 --> 00:26:05,800 Jon talked you into finding another solution? 521 00:26:05,933 --> 00:26:08,169 I couldn't tell him that he can't use the robotic one. 522 00:26:08,302 --> 00:26:09,504 -Link. -After his car accident, 523 00:26:09,637 --> 00:26:11,705 he went really dark when he couldn't ride. 524 00:26:11,839 --> 00:26:15,242 I don't want him or Pauline to have to repeat that. 525 00:26:16,343 --> 00:26:17,578 [sighs] 526 00:26:20,714 --> 00:26:22,116 Damn it, why can't I do this? 527 00:26:22,249 --> 00:26:24,418 Last time I checked, you're not a prosthetist. 528 00:26:25,219 --> 00:26:28,355 I have reconstructed fingers. I've replanted amputated hands. 529 00:26:28,489 --> 00:26:30,658 I've replaced every joint you can name. 530 00:26:30,791 --> 00:26:32,093 I fix things. 531 00:26:32,226 --> 00:26:33,761 It's what I do. 532 00:26:33,894 --> 00:26:39,133 Sounds like you're trying to fix things at home in my lab. 533 00:26:39,266 --> 00:26:42,571 My shoulder's still... bugging me. 534 00:26:42,703 --> 00:26:45,639 You had a major injury, and that's gonna take time. 535 00:26:45,773 --> 00:26:48,442 I know. I just I... [sighs] 536 00:26:48,577 --> 00:26:50,778 ...I felt pain the last time I was in the OR. 537 00:26:50,911 --> 00:26:53,582 It's also why I'm behind on babyproofing. 538 00:26:53,714 --> 00:26:55,584 What does Jo think? 539 00:26:55,716 --> 00:26:56,750 You haven't told her. 540 00:26:56,884 --> 00:26:58,119 She's got her own stuff. 541 00:26:58,919 --> 00:27:02,456 I-I thought I was gonna be back to normal by the time the twins came. 542 00:27:02,591 --> 00:27:05,326 Instead, I'm just icing my shoulder 543 00:27:05,459 --> 00:27:09,564 and hoping nobody face-plants off the stairs. 544 00:27:10,931 --> 00:27:12,567 [sighs] 545 00:27:12,700 --> 00:27:15,936 You are very handy, and you can fix a lot of things. 546 00:27:16,070 --> 00:27:17,938 But sometimes when you let go of expectations, 547 00:27:18,072 --> 00:27:20,474 you open yourself up to other possibilities. 548 00:27:23,844 --> 00:27:24,979 Yeah, you're right. 549 00:27:25,112 --> 00:27:26,447 -Does that mean I get my lab back? -Soon. 550 00:27:26,581 --> 00:27:27,648 [Shepherd] Mm-hmm. 551 00:27:28,916 --> 00:27:30,585 You just gave me an idea. 552 00:27:31,385 --> 00:27:32,720 [door opens] 553 00:27:33,287 --> 00:27:34,655 Hey, I got your text. 554 00:27:34,788 --> 00:27:36,323 I'm sorry I missed the MandM. 555 00:27:36,457 --> 00:27:37,858 That's old news. 556 00:27:37,992 --> 00:27:41,462 Wright said that Jackson Avery called to check my references. 557 00:27:41,596 --> 00:27:43,197 -That's huge. -[chuckles] 558 00:27:43,664 --> 00:27:44,665 Boston's in the bag. 559 00:27:44,798 --> 00:27:46,233 It gets even better. 560 00:27:46,734 --> 00:27:49,370 Apparently, she told him that Grey Sloan wouldn't give me up without a fight. 561 00:27:49,504 --> 00:27:50,905 So you could stay here? 562 00:27:51,038 --> 00:27:54,675 I don't have any formal offers yet, but as long as 563 00:27:54,808 --> 00:27:58,345 I don't majorly screw anything up, I'm gonna have options. 564 00:28:01,015 --> 00:28:01,982 Wow, um. 565 00:28:02,116 --> 00:28:03,484 Can I ask you something? 566 00:28:04,852 --> 00:28:09,256 Would stitching over the pedicle in an omentum be a major screwup? 567 00:28:09,390 --> 00:28:10,891 Why do you ask? 568 00:28:12,993 --> 00:28:16,063 Did you blame Jules for your suture in the MandM? 569 00:28:17,464 --> 00:28:21,570 I've been in school, or residency, or fellowship my entire life. 570 00:28:21,702 --> 00:28:24,038 I'm so close to it finally paying off. 571 00:28:24,905 --> 00:28:26,373 So you did lie. 572 00:28:26,508 --> 00:28:29,310 Surgery's cutthroat, especially plastics. 573 00:28:29,443 --> 00:28:31,979 Don't tell me you've never told a small mistruth to get what you needed. 574 00:28:32,112 --> 00:28:33,814 Yeah, but this is more than just a little white lie. 575 00:28:33,948 --> 00:28:35,950 Every MandM feels like the end of the world 576 00:28:36,083 --> 00:28:38,352 when you're a resident, but you get past them. 577 00:28:38,485 --> 00:28:40,287 No one will even remember this case tomorrow. 578 00:28:40,421 --> 00:28:43,090 And I'll figure something out to help Millin. 579 00:28:43,224 --> 00:28:46,727 If I take an attending job here, I can help her even more. 580 00:28:47,861 --> 00:28:49,396 Yeah, I guess that makes sense. 581 00:28:51,232 --> 00:28:54,802 So you're actually considering Grey Sloan over Boston? 582 00:28:54,935 --> 00:28:55,970 Maybe. 583 00:28:56,904 --> 00:29:00,074 As much as I love Boston, Seattle's also... 584 00:29:01,643 --> 00:29:02,743 growing on me. 585 00:29:03,410 --> 00:29:04,613 [Kwan chuckles] 586 00:29:06,880 --> 00:29:09,316 [groans] Sixteen inches. So close. 587 00:29:09,450 --> 00:29:10,951 Well, it's still pretty damn big. 588 00:29:11,085 --> 00:29:12,987 Hey, hey, stand next to it for scale. 589 00:29:14,421 --> 00:29:16,625 -Oh, uh, shouldn't it be Dr. Webber? -Yeah. 590 00:29:16,757 --> 00:29:18,025 Hey, what about it, Chief? 591 00:29:18,158 --> 00:29:19,960 You, uh... You want a picture with the mega spleen? 592 00:29:20,094 --> 00:29:21,563 Yeah, no pictures for me. 593 00:29:21,696 --> 00:29:23,297 We should weigh it. 594 00:29:23,430 --> 00:29:24,633 I mean, it's not the biggest ever, but it might be the heaviest. 595 00:29:24,765 --> 00:29:26,300 Come on, here we go. 596 00:29:27,334 --> 00:29:28,703 -Got it? You know what? -I got it. 597 00:29:28,836 --> 00:29:30,237 Hold on, let me... let me help you. 598 00:29:30,371 --> 00:29:31,405 You can just put it... 599 00:29:33,340 --> 00:29:35,610 Oh, that's a damn shame. 600 00:29:36,611 --> 00:29:39,813 It... it looks even bigger on the floor. [chuckles] 601 00:29:40,881 --> 00:29:41,815 Hey, you know what? 602 00:29:41,949 --> 00:29:43,984 -Get down, get down. -Okay. 603 00:29:45,386 --> 00:29:46,554 -Yeah, yeah. -No, no, no. 604 00:29:46,688 --> 00:29:48,322 Look, that's enough. 605 00:29:48,455 --> 00:29:52,026 Now no more pictures, or jokes, or talking about bragging rights. 606 00:29:52,159 --> 00:29:54,828 Today was not a success of medicine, it was a failure. 607 00:29:55,764 --> 00:29:57,599 You think Russell wanted it to get that bad? 608 00:29:57,732 --> 00:29:59,668 It's a miracle it didn't kill him. 609 00:30:00,301 --> 00:30:01,503 You should be ashamed. 610 00:30:02,970 --> 00:30:04,506 I know I am. 611 00:30:05,806 --> 00:30:07,575 Clean this mess up. 612 00:30:10,110 --> 00:30:12,813 [Meade whispers] Yeah, of course. Got ya. 613 00:30:23,658 --> 00:30:27,629 No, I-I replay the steps in my head every night. 614 00:30:27,762 --> 00:30:30,064 Could I have operated earlier? 615 00:30:30,197 --> 00:30:32,667 Could I have pushed oncology harder? 616 00:30:32,801 --> 00:30:37,438 Could I have filed more appeals with the drug manufacturer? 617 00:30:39,206 --> 00:30:40,608 No, you did everything you could. 618 00:30:41,543 --> 00:30:44,813 I did everything I could 15 years ago for Katie's grandmother. 619 00:30:45,714 --> 00:30:48,048 But immunotherapies didn't exist then. 620 00:30:48,182 --> 00:30:51,820 She died from actual cancer, but Katie... 621 00:30:53,588 --> 00:30:57,559 No, Katie's dying from bureaucratic stupidity. 622 00:30:58,693 --> 00:31:01,228 Just years of hard work, 623 00:31:01,362 --> 00:31:03,832 finally developed a medicine that was working, 624 00:31:03,964 --> 00:31:10,871 and instead of helping people access it, our government is dismantling science. 625 00:31:11,740 --> 00:31:13,842 Just like that, clinical trial gone. 626 00:31:13,974 --> 00:31:15,777 And not just Katie, or cancer, 627 00:31:15,909 --> 00:31:21,850 it's maternal health, diabetes prevention, substance abuse programs. 628 00:31:23,283 --> 00:31:26,855 Space exploration is even on the damn chopping block. 629 00:31:26,987 --> 00:31:30,257 Just decades of groundbreaking work... 630 00:31:32,025 --> 00:31:38,232 without even a single thought to its cost in human lives. 631 00:31:40,535 --> 00:31:43,137 I can't even give Katie a chance to spend 632 00:31:43,270 --> 00:31:46,641 her last moments outside of these hospital walls. 633 00:31:47,408 --> 00:31:52,246 [stammers] Well, we're setting her up with in-home hospice care and she'll... 634 00:31:53,213 --> 00:31:56,818 It'll be a miracle if she makes it that long. 635 00:31:56,950 --> 00:31:58,419 [♪ "Finifugal" playing] 636 00:31:59,186 --> 00:32:00,889 ♪ Stay ♪ 637 00:32:02,456 --> 00:32:05,159 ♪ And I will... ♪ 638 00:32:06,393 --> 00:32:08,630 -Hey, I spoke to Kavita-- -Now's not a good time. 639 00:32:10,164 --> 00:32:11,900 Uh, Dr. Wright. 640 00:32:12,567 --> 00:32:14,268 How is Scott doing? 641 00:32:14,401 --> 00:32:16,771 His heart's had minimal tissue coverage for two weeks. 642 00:32:16,905 --> 00:32:18,172 He's not great. 643 00:32:20,207 --> 00:32:21,241 Can I help you? 644 00:32:22,342 --> 00:32:26,781 I have worked really hard to build a good reputation for myself here, 645 00:32:26,915 --> 00:32:30,117 and I-I can't stand by and watch it all go down the drain. 646 00:32:31,586 --> 00:32:35,155 Dr. Mohanty lied in the MandM. I didn't stitch over the pedicle. 647 00:32:35,289 --> 00:32:37,391 I wanted to sew around the pedicle, but she wouldn't let me. 648 00:32:37,525 --> 00:32:42,463 And I don't know why she lied, but I promise you it wasn't me. 649 00:32:43,898 --> 00:32:45,600 That's quite the sob story you've got there. 650 00:32:45,733 --> 00:32:47,468 I'm setting the record straight. 651 00:32:47,602 --> 00:32:49,604 Look, hospitals are high school. Emotions are high. 652 00:32:49,737 --> 00:32:54,509 Status matters. People are competitive, and desperate, and insecure. 653 00:32:55,543 --> 00:32:58,445 I need my surgeons to be mature, to rise above, 654 00:32:58,580 --> 00:33:00,548 to not get sucked into the drama and the politics. 655 00:33:00,682 --> 00:33:02,015 Did you have a good outcome or a bad one? 656 00:33:02,149 --> 00:33:04,017 -That's all I care about. -Understood. 657 00:33:04,151 --> 00:33:07,622 I will make sure that Scott has his labs in the morning. 658 00:33:07,755 --> 00:33:09,624 You're not on his surgery anymore. 659 00:33:09,757 --> 00:33:12,359 Hey, Kwan, have you ever done a sternal reconstruction? 660 00:33:13,293 --> 00:33:14,328 [Kwan] No. 661 00:33:14,963 --> 00:33:16,196 You will tomorrow. 662 00:33:16,330 --> 00:33:19,634 Come with me, and I'll give you my notes on the case. 663 00:33:32,881 --> 00:33:34,348 Did you figure it out? 664 00:33:34,481 --> 00:33:37,752 Making the bionic hand work for competitive mountain biking? 665 00:33:38,520 --> 00:33:40,387 -No. -So that's it. 666 00:33:40,522 --> 00:33:41,556 I'm done. 667 00:33:42,757 --> 00:33:44,291 Not necessarily. 668 00:33:44,424 --> 00:33:46,426 I've come up with another option. 669 00:33:46,561 --> 00:33:49,096 Now, this is just a prototype, but the idea is 670 00:33:49,229 --> 00:33:51,833 that instead of your bionic hand gripping the handlebar, 671 00:33:51,966 --> 00:33:53,835 we build an attachment to the bike 672 00:33:53,968 --> 00:33:57,170 and a terminal device that you'd wear only while biking. 673 00:33:58,973 --> 00:34:00,173 Keep talking. 674 00:34:00,307 --> 00:34:04,177 We'd make a custom, activity-specific prosthetic 675 00:34:04,812 --> 00:34:07,582 that would snap into the bike attachment. 676 00:34:07,715 --> 00:34:11,819 And it'd be built so you could snap quickly out of the receiver for safety. 677 00:34:11,953 --> 00:34:15,690 If you like it, we could find a prosthetist to collaborate with 678 00:34:15,823 --> 00:34:18,225 and maybe even a sponsor will help cover the costs. 679 00:34:20,028 --> 00:34:21,596 This is, uh... 680 00:34:22,697 --> 00:34:24,532 This is amazing. 681 00:34:25,600 --> 00:34:27,134 [chuckling] You made this. How? 682 00:34:27,267 --> 00:34:30,638 No, no, this was all Dr. Lincoln. I know nothing about bikes. 683 00:34:30,772 --> 00:34:33,206 Man, thank you. 684 00:34:34,742 --> 00:34:36,343 I don't know what I would have done if I-- 685 00:34:36,476 --> 00:34:37,779 You're welcome. 686 00:34:40,180 --> 00:34:44,953 ♪ I wanna know what happens underneath ♪ 687 00:34:45,085 --> 00:34:46,521 Should I not ask? 688 00:34:46,988 --> 00:34:49,222 Dr. Wright said that I was being dramatic, 689 00:34:49,356 --> 00:34:51,091 and she doesn't want to work with me anymore. 690 00:34:52,026 --> 00:34:53,795 I'm sorry, I know the truth. 691 00:34:53,928 --> 00:34:55,897 I don't think you're being dramatic. 692 00:34:56,030 --> 00:34:57,932 Everyone who knows and loves you feels the same. 693 00:34:58,465 --> 00:34:59,934 I'm not so sure. 694 00:35:01,101 --> 00:35:02,469 Hey, hey, I need a favor. 695 00:35:02,604 --> 00:35:03,838 It's about Katie. 696 00:35:03,972 --> 00:35:05,773 You know I can't disclose her medical information, 697 00:35:05,907 --> 00:35:07,609 but nice job getting her to stick around. 698 00:35:07,742 --> 00:35:09,777 What if we took her to your place? 699 00:35:09,911 --> 00:35:11,746 To what, die at my house? 700 00:35:12,446 --> 00:35:14,114 You want her to die at my house. 701 00:35:14,247 --> 00:35:16,450 Well, okay, technically it's my Aunt Meredith's house. 702 00:35:16,584 --> 00:35:17,986 -All right? -She's gonna go to her own home next week. 703 00:35:18,118 --> 00:35:19,954 She doesn't have that long. 704 00:35:21,689 --> 00:35:23,256 You sure this is a good idea? 705 00:35:23,390 --> 00:35:24,759 She's dying. 706 00:35:25,660 --> 00:35:28,161 I'll ask for time off so I can take care of her myself. 707 00:35:28,295 --> 00:35:29,864 No. 708 00:35:29,998 --> 00:35:31,866 We'll take shifts. 709 00:35:32,734 --> 00:35:33,968 Thank you. 710 00:35:35,402 --> 00:35:36,604 Count Kwan in too. 711 00:35:36,738 --> 00:35:39,406 He owes me for putting up with Mohanty. 712 00:35:42,644 --> 00:35:43,745 [knocks on door] 713 00:35:46,413 --> 00:35:48,181 Hey, uh, Chief, look, um... 714 00:35:49,884 --> 00:35:51,552 I just wanted to apologize. 715 00:35:51,686 --> 00:35:56,156 I-I got excited about a flashy case and I-I let things get out of hand. 716 00:35:56,791 --> 00:36:00,160 A few weeks ago, a case like that would've made my year. 717 00:36:00,293 --> 00:36:02,496 A spleen the size of a sandbag? 718 00:36:02,630 --> 00:36:04,532 I'd have taken photos too. 719 00:36:04,666 --> 00:36:06,701 But I'm feeling different now. 720 00:36:06,834 --> 00:36:08,636 Bad different? 721 00:36:08,770 --> 00:36:12,707 You know, I tried to push it down and return to work like nothing happened. 722 00:36:12,840 --> 00:36:17,310 These days, the patients that I can't stop thinking about 723 00:36:17,444 --> 00:36:19,446 are the ones we couldn't get to in time. 724 00:36:20,682 --> 00:36:23,885 And instead of addressing the problem, 725 00:36:24,018 --> 00:36:29,189 we're patting ourselves on the back for removing a massive spleen. 726 00:36:29,322 --> 00:36:32,392 Look, having a perspective shift after cancer... 727 00:36:32,527 --> 00:36:34,361 it's... it's natural. 728 00:36:34,494 --> 00:36:35,930 I mean, I've been there. 729 00:36:36,064 --> 00:36:37,732 But what if I can't unsee this? 730 00:36:37,865 --> 00:36:39,133 Would that be so bad? 731 00:36:39,867 --> 00:36:43,004 -Maybe it's time to start a new chapter. -Spoken like a younger man. 732 00:36:43,671 --> 00:36:48,408 You know, I'm, um, just a guy who has a lot of experience starting over. 733 00:36:49,811 --> 00:36:52,212 Look, I'm gonna go check on our patient. 734 00:36:54,582 --> 00:36:56,517 It really was quite a spleen, though, wasn't it? 735 00:36:56,651 --> 00:36:57,685 Lord have mercy. [chuckles] 736 00:36:59,319 --> 00:37:03,691 ♪ Gonna follow the moon Till I'm home again ♪ 737 00:37:03,825 --> 00:37:07,394 Okay, monitor her pain and oxygen requirements and page me 738 00:37:07,528 --> 00:37:09,530 if we need to take more fluid off of her abdomen. 739 00:37:09,664 --> 00:37:12,667 Hey, Dr. Bailey, can we run something by you? 740 00:37:13,300 --> 00:37:15,670 Why do I feel like I'm not gonna like this? 741 00:37:15,803 --> 00:37:19,372 Uh, well, uh, Griffith offered to take Katie to her home. 742 00:37:19,507 --> 00:37:22,242 We all know there's a good chance she won't make it to her own home 743 00:37:22,375 --> 00:37:24,078 if she waits for hospice to be set up. 744 00:37:24,545 --> 00:37:26,814 All she wants is to not die in a hospital. 745 00:37:26,948 --> 00:37:28,583 Yeah. What do you think? 746 00:37:28,716 --> 00:37:33,420 [sighs] I think you two have lost your ever-loving minds. 747 00:37:33,554 --> 00:37:35,990 Katie is not a stray cat to take in. 748 00:37:36,124 --> 00:37:37,658 She needs 24/7 care. 749 00:37:37,792 --> 00:37:39,594 Adams, Kwan, and I would take shifts. 750 00:37:39,727 --> 00:37:41,796 Yeah, and... and her mom can stay in their spare bedroom. 751 00:37:41,929 --> 00:37:43,765 -[Griffith grunts] -[whispering] Sorry. 752 00:37:43,898 --> 00:37:45,499 What about pain management? 753 00:37:45,633 --> 00:37:47,769 We can get her scripts filled and administer them at the house. 754 00:37:47,902 --> 00:37:49,737 Yeah, and I can drain her abdomen when needed. 755 00:37:49,871 --> 00:37:51,438 Look, it's literally her dying wish. 756 00:37:51,572 --> 00:37:52,874 [stutters] I hear you. 757 00:37:54,108 --> 00:37:58,613 But as her surgeon and a leader in this hospital, I... I cannot advise it. 758 00:37:59,080 --> 00:38:03,117 Okay, she would need a... a hospital bed, an oxygen concentrator. 759 00:38:03,251 --> 00:38:04,652 Are you writing this down? 760 00:38:04,786 --> 00:38:06,286 -Oh. -Yeah. 761 00:38:07,822 --> 00:38:09,489 [siren wailing] 762 00:38:16,531 --> 00:38:20,001 Finally, I was about to go to Saigon Palace by myself. 763 00:38:20,134 --> 00:38:23,303 Yeah, I was looking over Dr. Wright's notes for the sternal reconstruction. 764 00:38:23,436 --> 00:38:25,573 I heard you were joining the case. 765 00:38:25,706 --> 00:38:27,275 I'll fill you in over pho. 766 00:38:27,909 --> 00:38:29,110 I can't do it. 767 00:38:29,243 --> 00:38:31,712 Banh mi. Whatever. I'm starving. Let's go. 768 00:38:31,846 --> 00:38:36,117 I told Wright to find another resident for the procedure tomorrow. 769 00:38:36,951 --> 00:38:39,220 -Why? -Jules is my friend. 770 00:38:40,755 --> 00:38:42,890 Turns out you and I aren't as alike as we thought. 771 00:38:44,491 --> 00:38:47,427 I already told Wright that I was committed to assist Altman tomorrow. 772 00:38:49,496 --> 00:38:50,798 You didn't tell her about me? 773 00:38:51,833 --> 00:38:54,101 I was going to give you a chance to do it yourself. 774 00:38:59,540 --> 00:39:01,075 I hope you get the job in Boston. 775 00:39:04,545 --> 00:39:08,049 [Grey] We often place blame because it's easier than taking responsibility. 776 00:39:08,649 --> 00:39:11,418 If you always look outward, you never have to turn inward. 777 00:39:11,552 --> 00:39:13,054 Seriously? 778 00:39:13,921 --> 00:39:15,923 -I get to leave? -Yeah. 779 00:39:16,057 --> 00:39:19,894 We arranged medical transport, and Dr. Griffith 780 00:39:20,027 --> 00:39:22,196 is working to get you discharged right now. 781 00:39:22,330 --> 00:39:25,032 I'll stock the fridge, cook meals, whatever I need to do. 782 00:39:25,166 --> 00:39:26,466 No. That... That's not necessary. 783 00:39:26,601 --> 00:39:29,337 We, uh... We want to help. 784 00:39:31,672 --> 00:39:32,707 [Katie] Thank you. 785 00:39:33,674 --> 00:39:36,277 None of this would have happened without you. 786 00:39:38,679 --> 00:39:41,883 [Grey] But progress only comes when you shine the light on yourself. 787 00:39:47,221 --> 00:39:49,590 Didn't I fold all this laundry earlier? 788 00:39:49,724 --> 00:39:52,059 Hattie spit up everywhere, so did Peyton. 789 00:39:52,193 --> 00:39:54,161 Luna got the ketchup bottle and... 790 00:39:54,295 --> 00:39:56,396 You know what? I don't want to talk about it. 791 00:39:59,399 --> 00:40:01,434 My shoulder still hurts. 792 00:40:03,671 --> 00:40:06,140 I was hoping it'd get better, and I'd go back to work 793 00:40:08,009 --> 00:40:10,578 and build the safest staircase ever to exist, 794 00:40:10,711 --> 00:40:13,547 but obviously, that hasn't happened. 795 00:40:13,681 --> 00:40:17,417 Well, you don't have to fix everything yourself. 796 00:40:17,551 --> 00:40:19,387 Yeah, I've realized that. 797 00:40:20,154 --> 00:40:22,757 But you might have to go back to work eventually 798 00:40:22,890 --> 00:40:24,926 so we can afford to pay Elroy to do it. 799 00:40:25,059 --> 00:40:27,295 [chortles] 800 00:40:27,427 --> 00:40:29,130 [Wilson chuckles] 801 00:40:30,164 --> 00:40:31,232 -I was wondering... -Mm-hmm. 802 00:40:31,365 --> 00:40:35,236 ...what if Elroy didn't actually fix this place? 803 00:40:36,771 --> 00:40:39,740 We've really pushed our luck already with these stairs, 804 00:40:39,874 --> 00:40:43,344 the-the fireplace, the balcony, the glass doors. 805 00:40:43,476 --> 00:40:45,112 What if he fixed my rental instead? 806 00:40:45,246 --> 00:40:48,448 -You want us to move into the man cave? -[chuckles] 807 00:40:49,083 --> 00:40:53,220 It's in a great neighborhood, and it would be way easier to babyproof. 808 00:40:54,889 --> 00:40:57,558 This place just has so many memories. 809 00:40:57,692 --> 00:41:01,329 You know, movie nights on this couch, 810 00:41:01,461 --> 00:41:03,698 the Nicoletti's take-out dinners on that table. 811 00:41:03,831 --> 00:41:06,300 You proposed to me, right there. 812 00:41:08,736 --> 00:41:11,973 -Yeah. -Guess we'll have to make new memories. 813 00:41:16,310 --> 00:41:17,645 We will. 814 00:41:28,456 --> 00:41:29,657 [Grey] What do you think? 815 00:41:30,658 --> 00:41:31,926 How do you feel? 816 00:41:32,059 --> 00:41:33,327 Millin. 817 00:41:34,095 --> 00:41:35,495 What are you doing here? 818 00:41:35,629 --> 00:41:37,965 Uh, your front driver's side tire is looking a little low. 819 00:41:38,099 --> 00:41:39,667 You're checking my tires? 820 00:41:40,500 --> 00:41:43,537 Today sucked in a lot of ways, 821 00:41:43,671 --> 00:41:46,974 but the worst part is that it confirmed what you think about me. 822 00:41:47,108 --> 00:41:48,676 -Millin-- -And I know that I've disappointed you. 823 00:41:48,809 --> 00:41:51,445 And you're not wrong, I haven't always been honest with you. 824 00:41:51,579 --> 00:41:54,148 Like, sometimes when I'm too tired, I don't dictate your op notes, 825 00:41:54,281 --> 00:41:55,683 I make my interns do it. 826 00:41:55,816 --> 00:41:58,152 And I know where you keep your secret stash of protein bars 827 00:41:58,285 --> 00:41:59,787 at the nurses' station, 828 00:41:59,920 --> 00:42:02,723 and I'll sneak one if I don't have time to get to the cafeteria. 829 00:42:06,394 --> 00:42:09,263 And I coached your patient behind your back 830 00:42:09,397 --> 00:42:11,198 to get around his insurance, 831 00:42:11,332 --> 00:42:14,168 so you would have to operate on him that day. 832 00:42:16,370 --> 00:42:17,506 He was in pain. 833 00:42:18,339 --> 00:42:22,309 I didn't know what else to do, so I lied, but I didn't lie today. 834 00:42:22,443 --> 00:42:25,146 I didn't sew over Scott's pedicle, 835 00:42:25,279 --> 00:42:29,984 and I wasn't trying to frame Mohanty or not take responsibility. 836 00:42:30,117 --> 00:42:33,487 I just didn't do it, and I need you to know that. 837 00:42:33,621 --> 00:42:35,589 It's not my department. I'm not the one you need to convince. 838 00:42:35,723 --> 00:42:38,392 I don't care what anyone else thinks. 839 00:42:45,666 --> 00:42:47,435 I believe you. 840 00:42:52,306 --> 00:42:54,041 I'll, uh... I'll see you tomorrow. 841 00:42:56,143 --> 00:42:57,578 [Grey] Ask the questions, 842 00:42:58,712 --> 00:43:00,381 and the answers might surprise you.