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1
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[♪ "Lights Out" playing]
2
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[Grey] In the 1940s,
while stuck in bed with tuberculosis,
3
00:00:08,988 --> 00:00:13,201
biochemist Karl Link read a book
on rodent control.
4
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I promise this story has a point.
5
00:00:15,286 --> 00:00:17,497
I'm officially one week
post-egg retrieval,
6
00:00:17,580 --> 00:00:19,499
and I got us a room at the Drakemore.
7
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Wow.
8
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Too presumptuous?
9
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No. No.
[stutters] Isn't that place expensive?
10
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I found a deal online.
And my place is out. Max has canasta.
11
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We could've gone to my place.
12
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I thought we could order in,
and chill, and… By chill, I mean…
13
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I understand.
14
00:00:43,731 --> 00:00:45,692
Well, I'll see you back here
at zero dark thirty.
15
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[Grey] Karl created a rat poison
from an anticoagulant he'd discovered
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while trying but failing
to treat sick cows.
17
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"Bleomycin." Dactinomycin. So close.
18
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- [chuckling] How is that close?
- [sighs] They both end in "-mycin."
19
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- When is the CREOG?
- Tomorrow.
20
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Do you wanna quiz me?
21
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I would, but I have to finish
my plastics fellowship application.
22
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We're gonna be residents forever,
aren't we?
23
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Speak for yourself.
24
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I want out of this house
so I can get back to a normal schedule.
25
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You know you can't control
when the babies are born, right?
26
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Hmm.
27
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[Grey] Later, a soldier trying
to end his life ate Karl's rat poison,
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which, unexpectedly, helped lead
to its use as a blood thinner in humans.
29
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Here, give me.
30
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Is this a group activity now?
31
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Not for much longer.
32
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I've got an appointment
with Dr. Carpio this afternoon.
33
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- You're scheduling your retrieval?
- That's the plan.
34
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It's easy.
35
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You'll be in and out of the clinic
in a couple of hours.
36
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I can't wait.
I'm over feeling bloated and moody.
37
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Oh, you know who else can't wait
for this to be over?
38
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- Do not say it.
- You dare?
39
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Happy to be an ally
in protecting reproductive futures.
40
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So is Adams. Say yes.
41
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We're gonna be late for rounds.
42
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Is he on hormones too? Okay.
43
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[Grey] From multiple failures,
the compound warfarin was born,
44
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and it's been used
to treat and save millions of people.
45
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- Hey.
- Hey. How's your mom doing?
46
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Ah, better.
She's progressing through rehab.
47
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Great. [sighs] Great. And Megan?
48
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Surprisingly helpful.
49
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Speaking of help, do you mind?
50
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- [Hunt] Oh, of course. Yeah.
- [Altman] Thanks.
51
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Okay.
52
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Okay. All right.
53
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Got it? Thank you.
54
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- You look nice.
- Thanks.
55
00:02:37,011 --> 00:02:38,554
Um…
56
00:02:38,638 --> 00:02:40,890
- You going on a date or something?
- Oh, no.
57
00:02:40,973 --> 00:02:44,018
- Margot Billings is in town.
- Oh. Your mentor from GW?
58
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- Yeah, she-she lives in Paris now.
- Wow.
59
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- When was the last time you saw her?
- Hmm.
60
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Years, but you know what it's like
with old friends.
61
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You just pick up right where you left off.
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I do.
63
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- Anyway, um, have a good time.
- [clears throat]
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- Yeah, thank you.
- Mmm.
65
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[PA announcer] Dr. Hewer to Peds.
Dr. Laura Hewer to Peds.
66
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Thank you.
67
00:03:09,836 --> 00:03:12,922
Bailey, aren't you supposed
to be judging young minds?
68
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I'm going.
69
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I had left my tablet last night
and had to pick it up.
70
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Any word from the IRB?
71
00:03:19,178 --> 00:03:20,930
Uh, no. Well, any day now.
72
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I'm really sorry. [sighs]
73
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You already apologized, and I accepted.
74
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No, I don't know what came over me.
75
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No, you were upset about a patient
who recently passed away. I get it.
76
00:03:31,858 --> 00:03:35,611
Still, I let it get the best of me
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and caused a huge headache for you.
78
00:03:38,948 --> 00:03:40,533
Yeah, don't worry about me.
79
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Your exemplary record speaks for itself,
and, hopefully, the IRB will see that.
80
00:03:53,880 --> 00:03:56,424
- Did he say they know it was me?
- No.
81
00:03:56,507 --> 00:03:59,469
But they might figure it out
if you keep talking about it.
82
00:03:59,552 --> 00:04:00,928
- [sighs]
- You need to stand down.
83
00:04:01,012 --> 00:04:03,764
Sorry, I heard that Nurse Elise
got interviewed this morning.
84
00:04:03,848 --> 00:04:05,600
I didn't know if she said something.
85
00:04:06,934 --> 00:04:09,562
- Wait, did she see you do it?
- I don't know.
86
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What do you mean you don't know?
87
00:04:11,731 --> 00:04:14,025
It all happened so fast.
I-I don't know who saw what.
88
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- [sighs]
- Okay, should I quietly try to find out?
89
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No! [stutters, sighs] Look, I'm out today,
and you're back on patient care.
90
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Just… [sighs] …try to lay low.
91
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[Bailey sighs]
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Okay. Okay.
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[PA announcer] Dr. Sykes, call the NICU.
Dr. Jennifer Sykes, call the NICU.
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Hi.
95
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[chuckles] Wondered where
that sweater went.
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It was balled up at the bottom of my bed.
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- [chuckles]
- Please don't judge the laundry habits.
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[Shepherd] Are you avoiding me?
99
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[stutters, sighs]
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I mean, I know you're figuring things out
with your ex, but we can still talk.
101
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I'm-I'm not avoiding you. I have been...
102
00:04:54,023 --> 00:04:56,526
Uh, Meredith, uh, this is Toni Wright.
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- Ah. This is my sister-in-law, Meredith.
- Hi.
104
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So nice to meet you.
I've heard a lot about you.
105
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Same. Uh, it's really nice to meet you.
106
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God. I should go.
107
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[Wright, Shepherd chuckle]
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- Has she made up her mind yet?
- No.
109
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I mean, wouldn't you wanna be with me?
I'm smart. I'm fun. I'm good with brains.
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[sighs]
111
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Why are you applying
for a Fox Foundation grant?
112
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To use the FES-PET scanner to study
estrogen receptors in women's brains.
113
00:05:25,680 --> 00:05:27,890
I sent you, like, five emails about this.
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"Did you see this article?
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What if we study estrogen receptors
in the brain?
116
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This is interesting, right?
Have you read this yet?"
117
00:05:34,856 --> 00:05:36,607
- I get it.
- So, what do you think?
118
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I think that we are studying the link
between estrogen and the gut microbiome.
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Well, it's just another angle
while we wait for the mice.
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Let's be patient.
121
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[sucks teeth] I might be looking
for a distraction.
122
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We have plenty of those,
and we have limited resources,
123
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so let's stay focused on the mice.
124
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Are you leaving?
125
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Yes, of course I'm leaving.
126
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I said that I was coming by to say hello
and then I had to go. Read your email.
127
00:05:59,380 --> 00:06:03,759
Okay. Mr. Haynes, I'm Dr. Hunt.
What happened here?
128
00:06:03,843 --> 00:06:07,346
A starburst fell from the sky,
stabbed me in the heart.
129
00:06:07,430 --> 00:06:09,557
And, no, I haven't been smoking dope.
130
00:06:09,640 --> 00:06:13,144
The paramedics said it's part
of some mobile from the Aldridge Museum.
131
00:06:13,227 --> 00:06:17,565
It's a Jeffrey Feinman.
One of his early works from the 1980s.
132
00:06:17,648 --> 00:06:19,609
Just fell off and pow.
133
00:06:19,692 --> 00:06:21,193
There's a trace amount of fluid
in the abdomen.
134
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- [Hunt] Mmm. So, what's the plan?
- Well, he's stable and talking,
135
00:06:23,613 --> 00:06:26,991
so we take him to CT
and then cut the sculpture out in the OR.
136
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What? No, you…
you can't break the starburst.
137
00:06:29,368 --> 00:06:30,870
I'm sure the museum would understand.
138
00:06:30,953 --> 00:06:32,455
[Morris]
No, I don't give a crap about them.
139
00:06:32,538 --> 00:06:34,165
My wife loved this piece.
140
00:06:34,248 --> 00:06:37,293
Please. You promise me you'll try.
141
00:06:37,376 --> 00:06:38,920
We'll see what we can do, okay?
142
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Okay. [pants]
143
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Okay.
144
00:06:42,840 --> 00:06:44,717
It's been a minute.
Am I gonna see you soon?
145
00:06:44,800 --> 00:06:47,762
- You're seeing me now.
- Yeah, I meant in the privacy of your bed.
146
00:06:48,304 --> 00:06:50,681
I'm not the one
who's been working the night shift.
147
00:06:51,182 --> 00:06:52,224
I'm off this weekend.
148
00:06:52,808 --> 00:06:56,228
Hey, Bryant. We're up.
Firefighter injured in a structure fire.
149
00:06:56,312 --> 00:06:57,855
Did they say what station responded?
150
00:06:57,938 --> 00:06:58,981
No, but you can tag along.
151
00:06:59,065 --> 00:07:01,359
Okay, what's the priority
for patients with major burns?
152
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Resuscitation.
153
00:07:02,777 --> 00:07:04,820
That was for Dr. Bryant,
who's actually on my service.
154
00:07:04,904 --> 00:07:07,865
Uh, what he said. Um, aggressive fluid
treatment for the first 24 hours.
155
00:07:07,948 --> 00:07:09,992
- [Wright] What have we got?
- 37-year-old female firefighter
156
00:07:10,076 --> 00:07:12,912
sustained second- and third-degree burns
over arms, torso, legs,
157
00:07:12,995 --> 00:07:16,332
approximately 25% TBSA, GCS 15.
158
00:07:16,415 --> 00:07:17,583
- [Warren] Maya?
- [groans] Warren.
159
00:07:17,667 --> 00:07:19,877
- [Warren] What happened?
- Three-alarm fire. I fell through a roof.
160
00:07:19,960 --> 00:07:21,796
- It really hurts.
- Yeah, been there.
161
00:07:21,879 --> 00:07:24,924
Okay, we got you. We got you.
Hang in there, Bishop.
162
00:07:25,007 --> 00:07:27,760
[panting] My probie.
Brett Castro. Is he here yet?
163
00:07:27,843 --> 00:07:29,178
We'll be on the lookout for him.
164
00:07:29,261 --> 00:07:31,514
- Yeah. Tell me… Tell me I'm gonna be okay.
- You're gonna be okay.
165
00:07:31,597 --> 00:07:33,307
Doctors Wright and Bryant are
gonna take good care of you.
166
00:07:33,391 --> 00:07:36,310
You're gonna be there too, right?
[panting, groaning]
167
00:07:36,394 --> 00:07:37,687
Yeah, I'm right here.
168
00:07:37,770 --> 00:07:38,813
[groaning]
169
00:07:56,997 --> 00:08:00,000
Bailey. I didn't know you'd be here.
170
00:08:00,084 --> 00:08:04,505
Why not?
I love supporting med student inventors.
171
00:08:04,588 --> 00:08:08,342
Look at them.
All young and shiny and optimistic.
172
00:08:08,426 --> 00:08:10,886
- Did Catherine make you come?
- Richard.
173
00:08:10,970 --> 00:08:12,888
Dr. Bailey, Dr. Grey,
174
00:08:12,972 --> 00:08:16,726
welcome to the third annual Fox Foundation
Medical Innovation Competition.
175
00:08:16,809 --> 00:08:19,812
- We're happy to be here.
- Here are your scoresheets.
176
00:08:19,895 --> 00:08:21,939
We have 40 entrants,
and they're expecting questions,
177
00:08:22,022 --> 00:08:23,107
so don't hold back.
178
00:08:23,190 --> 00:08:25,693
- Forty?
- We better get started.
179
00:08:25,776 --> 00:08:27,486
If you need anything, give me a holler.
180
00:08:27,570 --> 00:08:28,946
- Okay.
- Go science.
181
00:08:35,578 --> 00:08:38,831
Use of nanoparticles in tracking
inflammatory markers in sepsis.
182
00:08:38,914 --> 00:08:41,917
- That's impressive.
- They've been looking at that for years.
183
00:08:42,418 --> 00:08:43,919
It's still impressive.
184
00:08:46,839 --> 00:08:50,551
Well, Brett. I'm Dr. Webber.
These are Doctors Millin and Meade.
185
00:08:51,552 --> 00:08:53,137
So, uh, how you feeling?
186
00:08:53,763 --> 00:08:55,347
Fine. I just, uh, cut my arm.
187
00:08:55,431 --> 00:08:57,058
Yeah, I see that. Meade?
188
00:08:57,141 --> 00:08:58,476
Yeah, I see it too.
189
00:08:59,810 --> 00:09:01,103
I'll grab some sutures.
190
00:09:01,687 --> 00:09:02,688
Meade, ABCs.
191
00:09:02,772 --> 00:09:03,939
Right. Sorry. Um…
192
00:09:04,440 --> 00:09:06,650
Do you know if my boss is doing okay?
It's Maya Bishop.
193
00:09:06,734 --> 00:09:09,153
- They're still triaging her.
- [Meade] Open.
194
00:09:10,237 --> 00:09:13,032
Well, can-can I see her? I'm her probie.
She fell trying to help me.
195
00:09:13,115 --> 00:09:15,659
The team is still working on her,
but if she's your mentor, she should know.
196
00:09:17,328 --> 00:09:20,539
Coarse breath sounds,
but equal expansion of the lungs.
197
00:09:20,623 --> 00:09:22,625
Throat looks clear.
Sats are 98 on two liters.
198
00:09:22,708 --> 00:09:23,709
Okay, good, good.
199
00:09:23,793 --> 00:09:25,669
Let's get a chest X-ray,
and let's stitch up that arm.
200
00:09:25,753 --> 00:09:26,754
Okay.
201
00:09:28,631 --> 00:09:29,924
Where was the fire?
202
00:09:30,007 --> 00:09:31,592
The Drakemore Hotel.
203
00:09:31,675 --> 00:09:35,429
What? That's terrible. What happened?
204
00:09:35,513 --> 00:09:37,640
There's no telling
until forensics gets in there.
205
00:09:37,723 --> 00:09:39,517
Fire spread fast, though.
I mean, half the hotel is gone.
206
00:09:40,434 --> 00:09:41,811
Sucks for the guests.
207
00:09:41,894 --> 00:09:43,395
Yeah, really does.
208
00:09:43,479 --> 00:09:46,649
- Just finished placing the central line.
- Good. Start with Western protocol.
209
00:09:46,732 --> 00:09:47,733
[Maya panting]
210
00:09:47,817 --> 00:09:49,902
- Is Carina on her way?
- No. No, no, no, don't call her.
211
00:09:49,985 --> 00:09:51,195
I don't want her freaking out.
212
00:09:51,278 --> 00:09:52,905
What? She'll have my hide.
213
00:09:52,988 --> 00:09:57,243
She took the kids to see family in Italy.
Please, just until we figure this out.
214
00:09:57,326 --> 00:09:59,286
Okay, can you flex your left foot for me?
215
00:09:59,995 --> 00:10:01,080
I don't think so.
216
00:10:01,163 --> 00:10:02,248
How's it looking over here?
217
00:10:02,331 --> 00:10:04,041
She's got
an open comminuted tibial fracture.
218
00:10:04,125 --> 00:10:05,334
She needs an ORIF.
219
00:10:05,417 --> 00:10:07,503
She needs to be resuscitated
in the burn ICU.
220
00:10:07,586 --> 00:10:09,296
But she's presenting with nerve damage.
221
00:10:09,380 --> 00:10:11,841
If I can get her into an OR now,
I might be able to repair it.
222
00:10:12,925 --> 00:10:14,343
Okay, just try to make it fast.
223
00:10:15,094 --> 00:10:17,471
[Shepherd] Maya, we need to get you
to an OR to work on your leg.
224
00:10:17,555 --> 00:10:18,556
What about the burns?
225
00:10:18,639 --> 00:10:20,516
After they're done,
we'll resuscitate you in the ICU,
226
00:10:20,599 --> 00:10:21,892
and then we'll debride tomorrow.
227
00:10:21,976 --> 00:10:24,979
- [Shepherd] All right, let's go.
- What if we start debriding now?
228
00:10:25,062 --> 00:10:26,522
No, she needs
aggressive stabilization first.
229
00:10:26,605 --> 00:10:28,149
I can make sure
that she'll get that in the OR.
230
00:10:28,232 --> 00:10:29,525
She's going there, anyway.
231
00:10:29,608 --> 00:10:32,736
Look, I'll excise the dead tissue,
and it'll help prevent sepsis.
232
00:10:32,820 --> 00:10:34,446
Okay, fine,
but are you sure you're good to do this?
233
00:10:34,530 --> 00:10:36,282
- She's your friend.
- Definitely.
234
00:10:36,907 --> 00:10:40,369
Okay, Bryant, go with him. Debride as much
as you can while they're operating.
235
00:10:40,452 --> 00:10:43,455
Do not push it.
I'll check in after my rotational flap.
236
00:10:43,539 --> 00:10:44,748
[Maya groans]
237
00:10:45,374 --> 00:10:46,375
Let's go.
238
00:10:51,797 --> 00:10:54,466
- I wish he'd let us cut that thing.
- [chuckles] It's meaningful to him.
239
00:10:55,718 --> 00:10:57,136
He's in there, barely.
240
00:10:57,928 --> 00:10:58,929
[Hunt] Okay.
241
00:10:59,430 --> 00:11:02,308
Morris, I'm gonna do your scan.
Breathe normally.
242
00:11:02,391 --> 00:11:06,854
[chuckles] I've got a starburst
in my chest. Normal is relative.
243
00:11:07,479 --> 00:11:09,773
Is it hitting the machine?
I… I don't wanna ruin it.
244
00:11:09,857 --> 00:11:11,358
No, just hold still, okay?
245
00:11:11,442 --> 00:11:14,612
It will just be a minute.
Um, tell us about your wife.
246
00:11:16,822 --> 00:11:20,242
She was a volunteer docent
over at the Aldridge.
247
00:11:20,326 --> 00:11:23,204
We used to sit under the Feinman mobile,
248
00:11:23,287 --> 00:11:26,707
and she'd tell me how he installed it
piece by piece.
249
00:11:26,790 --> 00:11:30,544
It's just me now,
but when I look at all those starbursts,
250
00:11:30,628 --> 00:11:32,129
I feel her with me.
251
00:11:32,213 --> 00:11:33,380
[machine beeps]
252
00:11:34,215 --> 00:11:35,216
[Hunt] Okay.
253
00:11:36,300 --> 00:11:37,384
Do you think we can save it?
254
00:11:37,468 --> 00:11:38,719
Can't we just save him?
255
00:11:39,345 --> 00:11:41,722
[exhales deeply] What if we did
bilateral thoracotomies?
256
00:11:41,805 --> 00:11:44,099
That way we would gain access
to control the bleeding
257
00:11:44,183 --> 00:11:45,517
as soon as we lift it out.
258
00:11:45,601 --> 00:11:47,561
[sighs] Okay, we can try it.
259
00:11:47,645 --> 00:11:49,521
But if there's a problem,
we're breaking that glass.
260
00:11:52,566 --> 00:11:54,735
Then I got to the part
where you stapled the aorta,
261
00:11:54,818 --> 00:11:57,238
and I thought to myself,
this story is more thrilling
262
00:11:57,321 --> 00:11:58,489
than a Tom Clancy novel.
263
00:11:58,572 --> 00:12:00,866
And rumor has it, you've done it twice.
264
00:12:00,950 --> 00:12:03,327
We haven't even published
the second surgery.
265
00:12:03,410 --> 00:12:05,246
Well, I keep my ear to the ground,
266
00:12:05,329 --> 00:12:07,790
especially when it helps me brag
about my star resident.
267
00:12:07,873 --> 00:12:11,585
I still hear your voice pushing me.
"Do more. Be better."
268
00:12:12,211 --> 00:12:15,005
I don't think I appreciated it then,
but I do now.
269
00:12:15,089 --> 00:12:17,633
I'm glad to hear it
because I am leading the charge
270
00:12:17,716 --> 00:12:19,718
on the Dusseault Center's
new research incubator.
271
00:12:19,802 --> 00:12:22,263
Congratulations. That's fantastic.
272
00:12:22,346 --> 00:12:24,014
We're bringing the world's best surgeons
273
00:12:24,098 --> 00:12:25,933
to develop and teach
cutting-edge techniques,
274
00:12:26,016 --> 00:12:28,394
and you're the first person
I'm asking to join us.
275
00:12:28,477 --> 00:12:30,896
[chuckles] I would love to teach
for a few weeks in Paris.
276
00:12:30,980 --> 00:12:33,232
Maybe this summer
when my kids are out of school.
277
00:12:33,315 --> 00:12:35,526
I'm not inviting you to visit.
278
00:12:36,277 --> 00:12:39,321
I want you to lead the program
as our chief innovation officer.
279
00:12:41,573 --> 00:12:43,867
Wow. I… [stutters] …I don't know.
280
00:12:43,951 --> 00:12:49,623
I… I live here. I have kids. I-I have
a house. I'm-I'm chief of surgery.
281
00:12:49,707 --> 00:12:51,834
Bring the family.
The public schools are excellent.
282
00:12:51,917 --> 00:12:54,545
The center could provide
a generous housing stipend.
283
00:12:55,170 --> 00:12:58,340
We all know the US is
falling behind on research.
284
00:12:58,424 --> 00:12:59,508
Don't fall behind with it.
285
00:13:00,676 --> 00:13:01,760
You're a visionary.
286
00:13:01,844 --> 00:13:05,889
This is your chance to lead your peers
in pushing the boundaries of medicine.
287
00:13:07,391 --> 00:13:09,685
This is a lot to process. [chuckles]
288
00:13:10,269 --> 00:13:13,230
Okay. Okay, don't answer now.
289
00:13:13,314 --> 00:13:18,360
But like I've always said,
you're capable of more and better.
290
00:13:24,491 --> 00:13:29,455
This has sustainable sensor technology
using seaweed?
291
00:13:30,622 --> 00:13:32,541
Um, is that a problem we need to solve?
292
00:13:33,417 --> 00:13:38,213
Could help with climate change.
Address medical waste. Mmm…
293
00:13:38,297 --> 00:13:41,008
Markers in predicting stillbirth. That's…
294
00:13:41,717 --> 00:13:43,427
Only 3% accuracy?
295
00:13:44,344 --> 00:13:46,305
Well, maybe it could lead
to something better.
296
00:13:47,264 --> 00:13:48,265
[Bailey sighs]
297
00:13:48,891 --> 00:13:51,852
Uh, you want to tell us
about your project, uh…
298
00:13:51,935 --> 00:13:53,645
Daphne Park, fourth year at U-Dub.
299
00:13:53,729 --> 00:13:55,898
The number one reason
free flap transfers fail is
300
00:13:55,981 --> 00:13:57,066
a clot in the vein.
301
00:13:57,149 --> 00:13:59,651
And because it's harder
to see purple bruising on darker skin,
302
00:13:59,735 --> 00:14:02,988
Black patients are three times more likely
to experience flap failure.
303
00:14:03,072 --> 00:14:06,450
It's basically bouncing light waves
off skin to detect venous congestion.
304
00:14:06,533 --> 00:14:08,077
This is inspired.
305
00:14:08,160 --> 00:14:09,912
Does it notify the team
if something's wrong?
306
00:14:09,995 --> 00:14:12,873
I haven't gotten there yet.
Right now, it just detects.
307
00:14:13,457 --> 00:14:14,958
Does it have false positives?
308
00:14:15,042 --> 00:14:16,502
I'm not sure.
309
00:14:16,585 --> 00:14:18,253
You-You're not sure?
310
00:14:18,337 --> 00:14:20,589
[Park] I've only tested it
on a few people,
311
00:14:20,672 --> 00:14:23,425
but if I win the seed money,
I plan to generate real data.
312
00:14:24,259 --> 00:14:26,595
[chuckles] I mean,
do you really expect to win
313
00:14:26,678 --> 00:14:28,430
if we don't know if the device works?
314
00:14:28,514 --> 00:14:31,642
You know, we should keep it moving.
Thank you so much, Daphne.
315
00:14:31,725 --> 00:14:35,312
- [stutters] I have some more questions.
- Great, which is why we are leaving.
316
00:14:35,395 --> 00:14:36,396
[elevator bell dings]
317
00:14:37,773 --> 00:14:39,525
Hey, heads up, you're gonna get a call
318
00:14:39,608 --> 00:14:41,568
from the Aldridge Museum's
legal department.
319
00:14:41,652 --> 00:14:43,529
Does this have to do
with Allison's field trip?
320
00:14:43,612 --> 00:14:46,532
A patient impaled with a sculpture.
What happened to Allison?
321
00:14:46,615 --> 00:14:49,284
Oh. Nothing some bleach
and paper towels couldn't fix.
322
00:14:49,368 --> 00:14:51,245
[sighs] Hey, how's Margot? She like Paris?
323
00:14:52,121 --> 00:14:53,831
Yeah, she… she seems good.
324
00:14:53,914 --> 00:14:55,415
Hmm. You should go there.
325
00:14:56,208 --> 00:14:57,751
- Excuse me?
- Well, I'm sure she'd love it
326
00:14:57,835 --> 00:14:59,920
if you came to visit,
and you deserve some time away.
327
00:15:00,003 --> 00:15:01,004
[chuckles]
328
00:15:07,177 --> 00:15:10,305
Uh, Dr. Ndugu, I wanted to ask you
a question about a patient.
329
00:15:10,389 --> 00:15:11,390
Sure, what's up?
330
00:15:11,932 --> 00:15:14,393
There is no patient. Did you hear
what happened to the Drakemore?
331
00:15:14,476 --> 00:15:17,771
- Yeah, what are the odds, right?
- Well, I guess we should reschedule?
332
00:15:18,647 --> 00:15:21,942
Or we can go to my place,
order in, get a bottle of wine.
333
00:15:22,025 --> 00:15:25,279
Maybe. I have this firefighter patient
I'm taking care of.
334
00:15:25,362 --> 00:15:26,947
I've gotta go back to the ER.
335
00:15:27,030 --> 00:15:30,742
[PA announcer] Dr. Harris to the ER.
Dr. Phoebe Harris to the ER.
336
00:15:31,618 --> 00:15:33,704
[Lincoln] Tibia's set. [sighs]
I'm all done here.
337
00:15:33,787 --> 00:15:35,330
Shepherd and Kwan, you're up.
338
00:15:35,414 --> 00:15:38,250
[Shepherd] All right, let's repair
this nerve. I need 10-0 nylon.
339
00:15:38,333 --> 00:15:40,252
Kwan, approximate the edges for me.
340
00:15:40,335 --> 00:15:41,503
[Kwan] On it.
341
00:15:41,587 --> 00:15:44,006
[Lincoln] Warren, I know you and Bishop
are close. You hanging in there?
342
00:15:44,089 --> 00:15:46,008
Focusing on what's right in front of me.
343
00:15:46,091 --> 00:15:48,969
[Lincoln] All right.
If you need anything, page me.
344
00:15:50,846 --> 00:15:53,557
[Warren] Keep going, Bryant. [sighs]
Bleeding means you hit healthy tissue.
345
00:15:53,640 --> 00:15:54,892
[Bryant] Brow wipe, please.
346
00:15:56,268 --> 00:15:57,269
Thank you.
347
00:15:57,352 --> 00:15:59,938
[sighs] It's hot as hell in here.
I can barely see what I'm doing.
348
00:16:00,022 --> 00:16:02,941
[Warren] That's just how we keep
burn patients from getting hypothermia.
349
00:16:03,025 --> 00:16:05,027
You need a break, no judgment.
350
00:16:05,694 --> 00:16:06,820
I'm fine.
351
00:16:06,904 --> 00:16:08,363
Then let's keep going.
352
00:16:14,036 --> 00:16:16,038
- Chamomile.
- [cup thuds]
353
00:16:16,121 --> 00:16:17,998
You think that's gonna help me relax?
354
00:16:19,041 --> 00:16:22,336
I'm hoping it'll stop you
from crushing those young people's dreams.
355
00:16:23,170 --> 00:16:24,421
I'm just keeping it real.
356
00:16:24,504 --> 00:16:28,133
I mean, they think that research is
about winning competitions
357
00:16:28,217 --> 00:16:30,093
and getting kudos from their teachers.
358
00:16:32,179 --> 00:16:34,765
I think they'll learn soon enough
that research is hard.
359
00:16:34,848 --> 00:16:38,185
They'll run into roadblocks,
and they'll have to make compromises.
360
00:16:38,268 --> 00:16:40,270
- [phone chimes]
- What? Has your research hit the wall?
361
00:16:40,354 --> 00:16:42,773
Yes, I'm at the mercy
of a bunch of lab mice.
362
00:16:43,815 --> 00:16:48,528
I used to think that all it took was
hard work and perseverance.
363
00:16:48,612 --> 00:16:50,697
And now I'm just…
364
00:16:50,781 --> 00:16:52,616
Jaded and exhausted?
365
00:16:52,699 --> 00:16:57,162
Exhausted. I mean, I used to be Daphne.
366
00:16:57,246 --> 00:17:00,165
I thought I was gonna save the world.
367
00:17:00,249 --> 00:17:02,167
Had the audacity to wonder
368
00:17:02,251 --> 00:17:05,671
why my teachers weren't more excited
to help me do it.
369
00:17:05,754 --> 00:17:08,799
I thought they were just lazy,
didn't understand.
370
00:17:09,424 --> 00:17:14,972
Now that I am them,
I realize they understood too much.
371
00:17:15,681 --> 00:17:18,558
I mean, how are we supposed
to encourage the next generation
372
00:17:18,642 --> 00:17:20,143
when it just feels…
373
00:17:21,019 --> 00:17:22,854
[sighs] …insurmountable?
374
00:17:24,856 --> 00:17:25,857
[sighs]
375
00:17:27,109 --> 00:17:29,111
I think we need something stronger.
376
00:17:29,194 --> 00:17:31,029
Hmm? [stutters]
377
00:17:35,033 --> 00:17:37,786
[Wilson]
Damn it, I knew that. I'm so screwed.
378
00:17:38,954 --> 00:17:41,665
Hey. What are you doing in here?
379
00:17:41,748 --> 00:17:44,418
My badge still works
from when I was an attending.
380
00:17:44,501 --> 00:17:46,878
Hmm. No babies today?
381
00:17:46,962 --> 00:17:51,508
OB is more than just delivering babies.
I've got the flashcards to prove it.
382
00:17:51,592 --> 00:17:53,468
- The CREOG?
- It's tomorrow.
383
00:17:54,553 --> 00:17:57,848
Took the day off to study,
which isn't working. [sighs]
384
00:17:57,931 --> 00:17:59,016
I do not envy you.
385
00:17:59,099 --> 00:18:01,685
All those multiple choice questions
with no nuance.
386
00:18:01,768 --> 00:18:05,022
I always wanted to write in caveats
next to my answer on the QE.
387
00:18:06,607 --> 00:18:09,526
I'm sorry. I… I don't mean
to psych you out. Just ignore me.
388
00:18:09,610 --> 00:18:11,778
No, no, no. It's not you, it's just…
389
00:18:11,862 --> 00:18:13,113
[water pouring]
390
00:18:15,240 --> 00:18:16,867
I don't know
if I want to be an OB anymore.
391
00:18:25,000 --> 00:18:26,293
Sutures look good.
392
00:18:26,376 --> 00:18:27,794
Coarse breath sounds bilaterally.
393
00:18:29,588 --> 00:18:33,258
- Uh, is Bishop still in surgery?
- Yes, we will update you when we can.
394
00:18:33,342 --> 00:18:35,302
Can I get back to the fire?
She'd want me out there.
395
00:18:35,385 --> 00:18:37,262
- I don't think that's a good idea.
- [coughs] It's a three-alarm fire.
396
00:18:37,346 --> 00:18:41,600
- That's like, what, a medium-size one?
- [coughing]
397
00:18:41,683 --> 00:18:45,395
- How long were you in the structure?
- Ten minutes maybe. What's happening?
398
00:18:45,479 --> 00:18:47,939
- His sats are a bit low.
- It's probably from the smoke inhalation.
399
00:18:48,023 --> 00:18:49,775
- Turn up his oxygen.
- [Meade] Yeah.
400
00:18:50,484 --> 00:18:52,486
I checked his airway earlier.
It was clear.
401
00:18:52,569 --> 00:18:55,113
- Lean forward.
- [Brett coughing]
402
00:18:55,197 --> 00:18:56,365
I hear wheezing.
403
00:18:56,448 --> 00:18:58,492
We're going to put you on a nebulizer,
404
00:18:58,575 --> 00:19:00,619
and that will help reduce
the inflammation in your lungs,
405
00:19:00,702 --> 00:19:02,704
but you are not going anywhere.
406
00:19:02,788 --> 00:19:04,373
- Not for a while.
- [coughing] Okay.
407
00:19:07,751 --> 00:19:11,755
When did we go from being people
who present at these to...
408
00:19:11,838 --> 00:19:13,006
People who judge them?
409
00:19:13,090 --> 00:19:16,927
People who are unnecessarily judgmental.
410
00:19:19,721 --> 00:19:21,765
I'm under investigation with the IRB.
411
00:19:21,848 --> 00:19:23,225
For what?
412
00:19:23,308 --> 00:19:27,813
I got carried away with a treatment
that the FDA did not approve.
413
00:19:27,896 --> 00:19:29,106
And how's the patient?
414
00:19:29,606 --> 00:19:31,066
Doing quite well.
415
00:19:31,149 --> 00:19:32,609
Well, it sounds
like you did the right thing.
416
00:19:32,693 --> 00:19:35,904
Ben doesn't think so.
I'm getting the cold shoulder.
417
00:19:35,987 --> 00:19:37,572
I've been in that situation before.
418
00:19:37,656 --> 00:19:40,283
- Are you worried about your job?
- Probably should be.
419
00:19:40,367 --> 00:19:43,745
But I've been through enough to know
that whatever happens, I'll manage.
420
00:19:43,829 --> 00:19:45,956
One of the benefits of experience.
421
00:19:46,039 --> 00:19:47,416
And the drawbacks.
422
00:19:49,501 --> 00:19:51,962
Sometimes it feels easier
to not know what you don't know.
423
00:19:52,045 --> 00:19:54,548
Those students have no qualms
about their research.
424
00:19:54,631 --> 00:19:57,050
Yeah, except for the ones
I tried to give them.
425
00:19:57,134 --> 00:20:01,221
Catherine's making me be here.
It's part of my lab space deal.
426
00:20:01,304 --> 00:20:04,349
Oh. Still no federal grant? But…
427
00:20:04,433 --> 00:20:07,269
Stupid question. I blame the booze.
428
00:20:07,352 --> 00:20:09,104
Research is full of making compromises.
429
00:20:10,021 --> 00:20:12,357
And so is judging
a med student competition.
430
00:20:14,317 --> 00:20:17,404
You want me to go back out there
and be encouraging, don't you?
431
00:20:17,487 --> 00:20:19,865
- You always were to me.
- Yeah.
432
00:20:22,200 --> 00:20:24,202
[stammers] Hey! It's easy
to be encouraging with the booze.
433
00:20:24,286 --> 00:20:25,954
- You'll manage. Let's go.
- Ah.
434
00:20:28,123 --> 00:20:33,086
When I see patients like that,
their blood all over the floor,
435
00:20:33,170 --> 00:20:36,798
it makes it a lot harder to move forward.
436
00:20:36,882 --> 00:20:38,300
Do you need more time off?
437
00:20:38,383 --> 00:20:40,177
Well, I'm already behind
from maternity leave.
438
00:20:40,260 --> 00:20:41,928
Plus, I have four kids at home.
439
00:20:42,012 --> 00:20:44,973
I mean, you just got back.
Give yourself time to acclimate.
440
00:20:45,056 --> 00:20:46,808
What if I never do?
441
00:20:46,892 --> 00:20:50,353
Be a general surgeon.
It's not the worst fallback job.
442
00:20:50,437 --> 00:20:53,064
[sighs] Yeah, but I'll have been through
all of this training for nothing.
443
00:20:53,982 --> 00:20:55,776
Well, sometimes you have to try things
444
00:20:55,859 --> 00:21:00,113
that you don't want
to figure out the things that you do want,
445
00:21:00,197 --> 00:21:02,824
and you're allowed to change your mind.
446
00:21:02,908 --> 00:21:05,577
That feels… selfish.
447
00:21:06,453 --> 00:21:08,455
What, to… to want to be happy?
448
00:21:09,080 --> 00:21:11,583
You have to choose what is best for you.
449
00:21:11,666 --> 00:21:13,668
Yeah, but it's not just me.
450
00:21:13,752 --> 00:21:15,670
I'm never gonna get back the time
that I could've spent
451
00:21:15,754 --> 00:21:19,216
with Link and Luna,
and I'll have put them through all of this
452
00:21:19,299 --> 00:21:21,843
just to end up
right back in the same place.
453
00:21:23,053 --> 00:21:24,554
I don't think it works that way.
454
00:21:25,180 --> 00:21:28,642
The job will be the same,
but you'd be different,
455
00:21:28,725 --> 00:21:32,354
and you'd have more conviction
about what you want and why you want it.
456
00:21:33,438 --> 00:21:37,484
Well, it might not be up to me
if I don't pass the test.
457
00:21:37,567 --> 00:21:40,529
- That would make the decision easier.
- Yeah. [sighs]
458
00:21:40,612 --> 00:21:43,240
But you have come so far.
459
00:21:43,323 --> 00:21:45,909
You owe it to yourself
to know what your options are.
460
00:21:47,327 --> 00:21:49,162
You're probably right. [sighs]
461
00:21:49,246 --> 00:21:51,540
I've got a little time.
You want some help?
462
00:21:51,623 --> 00:21:52,999
I'm great with mnemonics.
463
00:21:54,251 --> 00:21:56,628
- [chuckles] Are you ready?
- Okay.
464
00:21:57,671 --> 00:22:00,841
[Shepherd] No tension on the repair.
It looks like we're done here.
465
00:22:00,924 --> 00:22:04,386
[Kwan sighs] I'm going straight
to the morgue. It's cold down there.
466
00:22:04,469 --> 00:22:06,847
- [Shepherd] All right, Warren, you good?
- [Warren] Yep. [sighs]
467
00:22:06,930 --> 00:22:09,224
[Bryant] Tell the burn ICU
we're finishing and coming up.
468
00:22:09,307 --> 00:22:10,517
[Warren] Why?
469
00:22:10,600 --> 00:22:13,436
[Bryant] Wright told us to get out
once Lincoln and Shepherd were finished.
470
00:22:13,520 --> 00:22:15,105
[Warren] What's her urine output?
471
00:22:15,188 --> 00:22:16,189
[Knox] Point 2.
472
00:22:16,273 --> 00:22:19,317
[sighs] That's a little low.
Increase fluid resuscitation by 150 ccs.
473
00:22:19,401 --> 00:22:20,902
[Bryant] Whoa, whoa, whoa.
What are you doing?
474
00:22:20,986 --> 00:22:22,988
If-If we debride too much,
she could get more acidotic,
475
00:22:23,071 --> 00:22:24,447
end up with organ failure.
There could be...
476
00:22:24,531 --> 00:22:26,491
I know what she said,
but Bishop's blood gases are stable,
477
00:22:26,575 --> 00:22:27,576
and we're almost done.
478
00:22:27,659 --> 00:22:29,327
If we finish,
she has less chance of scarring
479
00:22:29,411 --> 00:22:30,704
and reconstruction failure.
480
00:22:31,288 --> 00:22:32,873
How close are you to this patient?
481
00:22:32,956 --> 00:22:34,666
I never asked you to stay.
482
00:22:37,460 --> 00:22:38,753
[sighs]
483
00:22:38,837 --> 00:22:40,463
Fine… [clears throat] …I'm in.
484
00:22:42,340 --> 00:22:43,508
All right.
485
00:22:43,592 --> 00:22:45,093
Just hold on a little longer, Bishop.
486
00:22:48,346 --> 00:22:50,015
[Hunt] Okay. Ready for the rib spreader.
487
00:22:50,098 --> 00:22:51,266
[Ndugu] All right, I'm in.
488
00:22:51,349 --> 00:22:53,810
[Adams] Why are we saving this?
Is he really gonna sit under it again?
489
00:22:53,894 --> 00:22:56,021
[Ndugu] The museum is gonna do
everything it can to make sure
490
00:22:56,104 --> 00:22:57,480
to make sure this never happens again.
491
00:22:57,564 --> 00:22:59,566
So why should he change his plans? Bovie.
492
00:22:59,649 --> 00:23:01,818
[Hunt] It's a nice tradition.
He obviously loved his wife a lot.
493
00:23:01,902 --> 00:23:03,069
[Adams] He could find someone else.
494
00:23:03,153 --> 00:23:04,154
When my grandma died,
495
00:23:04,237 --> 00:23:07,365
my grandpa became the most eligible
bachelor in his retirement community.
496
00:23:08,825 --> 00:23:10,827
- He had a full head of hair.
- [Hunt] I don't know.
497
00:23:10,911 --> 00:23:13,330
When you've been with somebody
that long, it's hard to let go.
498
00:23:13,413 --> 00:23:15,582
[Griffith] Sorry I'm late.
My doctor's appointment ran long.
499
00:23:15,665 --> 00:23:17,834
- Where do you want me?
- [Ndugu] I could use some retraction.
500
00:23:22,339 --> 00:23:24,382
- [Adams] You okay?
- [Griffith] Fine.
501
00:23:25,050 --> 00:23:26,217
[monitor beeping]
502
00:23:26,301 --> 00:23:28,803
[Hunt sighs] Heart rate and BP
are tanking. He's about to code.
503
00:23:28,887 --> 00:23:30,722
[Ndugu] All right, I can see
the pericardium bulging,
504
00:23:30,805 --> 00:23:32,057
and it's filled with blood.
505
00:23:32,140 --> 00:23:34,976
The ray is causing cardiac tamponade.
There's no way I can reach it.
506
00:23:35,810 --> 00:23:36,978
We're gonna have to remove it now.
507
00:23:37,062 --> 00:23:40,607
Ready? On my count. One, two, three.
508
00:23:42,233 --> 00:23:44,235
[Ndugu] No, it's-it's-it's the angle.
509
00:23:44,319 --> 00:23:45,820
It's curved under the bone,
it won't budge.
510
00:23:46,780 --> 00:23:48,281
[Hunt] Yeah. And it's hollow.
511
00:23:48,365 --> 00:23:50,617
Give me a large hemostat
and sterile towels.
512
00:23:50,700 --> 00:23:52,786
- [Griffith] What are you doing?
- [Hunt] We're gonna have to break it.
513
00:23:52,869 --> 00:23:54,287
[Adams] Won't the glass get in his chest?
514
00:23:54,371 --> 00:23:55,830
[Hunt] We're gonna do our best
to avoid it,
515
00:23:55,914 --> 00:23:57,457
but at this point, we don't have a choice.
516
00:23:58,166 --> 00:24:01,044
- Ready? [grunts]
- [Ndugu] All right. Careful, careful.
517
00:24:02,337 --> 00:24:03,421
Got it.
518
00:24:03,505 --> 00:24:04,673
[Hunt] Here we go.
519
00:24:08,385 --> 00:24:09,552
[Adams] BP's in the low 70s.
520
00:24:09,636 --> 00:24:11,096
[monitor continues beeping]
521
00:24:13,974 --> 00:24:16,142
[Ndugu] All right, looks like
he's bleeding from the heart.
522
00:24:16,226 --> 00:24:18,812
He's got a nick in the right ventricle.
I need 2-0 Prolene.
523
00:24:18,895 --> 00:24:20,522
- Hold pressure here.
- [Griffith] Got it.
524
00:24:22,941 --> 00:24:24,359
[Adams] BP's increasing.
525
00:24:24,442 --> 00:24:26,111
[Griffith] Heart rate's stabilizing.
526
00:24:26,194 --> 00:24:27,487
[Hunt] So much for his sculpture.
527
00:24:27,570 --> 00:24:30,573
[Ndugu] Well, he's alive.
I think he'll get over it.
528
00:24:36,538 --> 00:24:38,581
[Park] This point on the graph represents
the reflection of light
529
00:24:38,665 --> 00:24:39,916
from the blood sample in the cuvette.
530
00:24:40,000 --> 00:24:42,293
The sensor's in a shoebox
to avoid ambient light.
531
00:24:42,377 --> 00:24:46,423
Now, here is the same thing,
but with a higher concentration
532
00:24:46,506 --> 00:24:49,551
of hemoglobin, which represents
more congestion in the flap.
533
00:24:49,634 --> 00:24:52,971
Which we'd normally have to detect
from darker bruising.
534
00:24:53,054 --> 00:24:54,764
Mm-hmm.
535
00:24:54,848 --> 00:24:56,016
And you built this yourself?
536
00:24:56,099 --> 00:24:57,726
My roommate and her brother helped.
537
00:24:57,809 --> 00:25:00,937
They're engineers,
but I had to learn about algorithms,
538
00:25:01,021 --> 00:25:02,814
light absorption and photo diodes.
539
00:25:02,897 --> 00:25:05,692
In your free time
between classes and clerkships.
540
00:25:06,735 --> 00:25:09,946
Honestly, the toughest part is
believing that I can do it.
541
00:25:10,030 --> 00:25:13,033
I mean, what do I know?
I'm still in med school.
542
00:25:13,116 --> 00:25:14,617
And this is just a passion project.
543
00:25:14,701 --> 00:25:16,786
I'm sure there are plenty
of great ideas in this room.
544
00:25:16,870 --> 00:25:18,621
You'd be surprised.
545
00:25:19,539 --> 00:25:22,459
I hope
I didn't shake your confidence earlier.
546
00:25:22,542 --> 00:25:24,085
- By asking hard questions?
- Yeah.
547
00:25:24,169 --> 00:25:26,838
No, that just pushes me
to make the next version even better.
548
00:25:26,921 --> 00:25:29,382
I want to contribute
to scientific knowledge however I can.
549
00:25:30,592 --> 00:25:34,012
That attitude will serve you well.
Hold on to it for as long as you can.
550
00:25:35,138 --> 00:25:37,140
- Thank you, Daphne.
- Thank you.
551
00:25:39,392 --> 00:25:41,603
Well, this generation just might save us.
552
00:25:41,686 --> 00:25:44,355
As long as we don't discourage them
before they get the chance.
553
00:25:45,148 --> 00:25:47,150
[exhales deeply]
554
00:25:48,276 --> 00:25:51,237
Okay, no wheezing. [sighs]
He has clear breath sounds bilaterally.
555
00:25:52,322 --> 00:25:54,866
- Does that mean I'm okay to...
- Oh. You can't leave yet.
556
00:25:54,949 --> 00:25:58,536
Dr. Webber, you have a call from the IRB.
They said it's urgent.
557
00:25:58,620 --> 00:26:01,289
- Oh. Continue treatment.
- Mm-hmm.
558
00:26:02,165 --> 00:26:03,333
[phone buzzes]
559
00:26:04,292 --> 00:26:05,293
[sighs]
560
00:26:06,419 --> 00:26:08,254
Looks like the fire's finally contained.
561
00:26:08,338 --> 00:26:09,881
How bad was it?
562
00:26:09,964 --> 00:26:13,927
It's the worst I've seen so far.
It's too bad. It seemed like a nice hotel.
563
00:26:15,261 --> 00:26:16,262
- Yep.
- [knocks on door]
564
00:26:16,971 --> 00:26:18,765
Oh, is Bishop out of surgery?
565
00:26:18,848 --> 00:26:21,935
Uh, we've repaired her leg,
but they're still debriding the burns.
566
00:26:22,018 --> 00:26:23,478
Does that mean she'll be okay?
567
00:26:23,561 --> 00:26:26,940
Um, well, it's hard to say,
but she has the best doctors...
568
00:26:27,023 --> 00:26:28,525
[Brett] Okay, yeah,
everybody keeps saying that,
569
00:26:28,608 --> 00:26:30,068
but I need to know
she's gonna be all right.
570
00:26:30,151 --> 00:26:31,528
Her and her wife have two kids at home.
571
00:26:31,611 --> 00:26:33,530
If something happens to her,
that's my fault.
572
00:26:33,613 --> 00:26:35,406
She told me to wait for them
to fully secure the roof.
573
00:26:35,490 --> 00:26:37,283
I-I thought I could make it across, and I…
574
00:26:38,535 --> 00:26:39,911
She fell trying to rescue me.
575
00:26:39,994 --> 00:26:41,287
You're a firefighter.
576
00:26:41,996 --> 00:26:44,582
If you're not willing
to take big risks to save a life,
577
00:26:44,666 --> 00:26:45,708
you're not doing it right.
578
00:26:47,502 --> 00:26:50,046
Dr. Kwan, a word?
579
00:26:59,222 --> 00:27:02,559
Um… I just heard from the IRB.
580
00:27:03,768 --> 00:27:06,229
Oh, um, is the report done?
581
00:27:06,312 --> 00:27:08,523
You know,
I know Dr. Bailey's been worried.
582
00:27:08,606 --> 00:27:11,192
From what they say,
I would assume you'd be just as concerned.
583
00:27:12,068 --> 00:27:16,739
[stutters] Of course, you know, I, uh…
She's a mentor and...
584
00:27:16,823 --> 00:27:19,617
I know it was you
who injected the hydrogel and not her.
585
00:27:21,786 --> 00:27:24,873
Now, I want you
to tell me everything that happened,
586
00:27:24,956 --> 00:27:26,791
starting from the beginning.
587
00:27:27,625 --> 00:27:29,127
[elevator bell dings]
588
00:27:30,628 --> 00:27:35,174
[PA announcer] Dr. Mendelbaum to L&D.
Dr. Rachel Mendelbaum to L&D.
589
00:27:45,351 --> 00:27:46,352
I lied.
590
00:27:48,146 --> 00:27:49,230
I have been avoiding you.
591
00:27:49,314 --> 00:27:50,940
It was pretty obvious.
592
00:27:51,024 --> 00:27:54,402
Really? I've been told
I have a good poker face.
593
00:27:56,321 --> 00:27:59,949
I mean, you can just tell me it's over
if that's what you've decided.
594
00:28:01,701 --> 00:28:04,913
I haven't,
and I realize I owe you an explanation.
595
00:28:07,707 --> 00:28:10,126
I'm trying to make a clearheaded decision,
596
00:28:11,044 --> 00:28:12,962
but when I'm around you…
597
00:28:14,631 --> 00:28:15,840
I'm not so clearheaded.
598
00:28:18,134 --> 00:28:19,636
Well, I'd say that I'm sorry…
599
00:28:20,845 --> 00:28:23,097
- [elevator bell dings]
- …but then I'd be the one lying.
600
00:28:32,857 --> 00:28:34,943
- What's her core temperature?
- 96 degrees.
601
00:28:35,026 --> 00:28:37,070
[Bryant] You're turning the heat up again,
aren't you?
602
00:28:37,153 --> 00:28:38,947
[Warren] The more we debride,
the colder she gets.
603
00:28:39,030 --> 00:28:40,865
Bump up room temp to a 102 degrees.
604
00:28:41,491 --> 00:28:43,576
[Wright] I went to the ICU.
They said Bishop hadn't arrived.
605
00:28:43,660 --> 00:28:44,994
What the hell are you doing?
606
00:28:45,078 --> 00:28:46,913
- Finishing tangential excision.
- [Wright] That was rhetorical.
607
00:28:46,996 --> 00:28:48,498
Put down the weck blades now.
608
00:28:48,581 --> 00:28:50,083
- [Warren] We're almost done.
- [Wright] I don't care.
609
00:28:50,166 --> 00:28:51,417
Too much debridement could kill her.
610
00:28:51,501 --> 00:28:53,211
I'm your attending.
I am telling you to stop.
611
00:28:53,294 --> 00:28:55,505
[Knox] Her ABG shows worsening acidosis.
612
00:28:55,588 --> 00:28:56,965
What are her potassium and lactate levels?
613
00:28:57,048 --> 00:28:58,758
Warren, you are too close to this patient.
614
00:28:58,841 --> 00:29:02,095
[Knox] Five and lactate is elevated.
Do you want me to push bicarb and insulin?
615
00:29:02,178 --> 00:29:04,055
Bicarb, yes. Hold off on insulin.
616
00:29:04,138 --> 00:29:06,057
I'm not trying to be insubordinate,
617
00:29:06,140 --> 00:29:08,142
but Bishop and I were
in the trenches together.
618
00:29:08,226 --> 00:29:10,061
She saved my butt
more times than I'd like to admit.
619
00:29:10,144 --> 00:29:13,064
I would never do anything
that would put her in more jeopardy.
620
00:29:13,147 --> 00:29:15,733
And you know I was an anesthesiologist
before I was a surgeon,
621
00:29:15,817 --> 00:29:17,402
so I know how to keep her safe.
622
00:29:17,485 --> 00:29:18,486
And…
623
00:29:19,404 --> 00:29:20,405
I know when to quit.
624
00:29:21,906 --> 00:29:22,991
I promise.
625
00:29:25,535 --> 00:29:26,953
[Wright] Someone gown and glove me.
626
00:29:27,954 --> 00:29:29,372
You-You're scrubbing in?
627
00:29:29,455 --> 00:29:31,874
[Wright] The more hands you have,
the faster you'll finish.
628
00:29:31,958 --> 00:29:33,042
[♪ pensive music plays]
629
00:29:33,126 --> 00:29:34,293
[Warren] Let's go.
630
00:29:39,799 --> 00:29:40,883
♪ Oh ♪
631
00:29:43,302 --> 00:29:46,472
♪ There's something in the water ♪
632
00:29:49,142 --> 00:29:50,393
♪ Oh ♪
633
00:29:51,728 --> 00:29:55,398
♪ The ships are sinking in the harbor ♪
634
00:29:58,067 --> 00:29:59,235
♪ Oh ♪
635
00:29:59,736 --> 00:30:01,779
♪ Oh ♪
636
00:30:03,072 --> 00:30:06,034
♪ Help, my head is going under ♪
637
00:30:06,117 --> 00:30:08,244
♪ Put the light in my eyes ♪
638
00:30:08,327 --> 00:30:10,038
♪ All is see is darkness ♪
639
00:30:10,121 --> 00:30:12,707
♪ Get me off the concrete ♪
640
00:30:12,790 --> 00:30:14,917
♪ When I fall my hardest ♪
641
00:30:15,001 --> 00:30:17,336
♪ Hold me when I'm broken ♪
642
00:30:26,095 --> 00:30:28,931
♪ Oh, oh-oh ♪
643
00:30:31,142 --> 00:30:33,978
♪ Help me, father, sister, brother ♪
644
00:30:35,063 --> 00:30:38,024
♪ Oh, oh-oh ♪
645
00:30:40,109 --> 00:30:42,862
♪ Help, my head is going under ♪
646
00:30:42,945 --> 00:30:45,198
♪ Put the light in my eyes ♪
647
00:30:45,281 --> 00:30:47,450
♪ All is see is darkness ♪
648
00:30:47,533 --> 00:30:49,702
♪ Get me off the concrete ♪
649
00:30:49,786 --> 00:30:51,913
♪ When I fall my hardest ♪
650
00:30:51,996 --> 00:30:54,248
♪ Hold me when I'm broken ♪
651
00:31:03,007 --> 00:31:05,426
♪ Say you'll be my shelter ♪
652
00:31:05,510 --> 00:31:07,637
♪ When my eyes are closing ♪
653
00:31:07,720 --> 00:31:09,847
♪ Breathe into my lungs ♪
654
00:31:09,931 --> 00:31:11,808
♪ And hold me when I'm broken ♪
655
00:31:21,317 --> 00:31:24,445
Where am I? Am I alive?
656
00:31:24,529 --> 00:31:26,489
We were able
to repair the tear in your heart.
657
00:31:26,572 --> 00:31:29,700
You're in the CCU
so we can monitor your recovery.
658
00:31:29,784 --> 00:31:31,536
Oh, well, that's good.
659
00:31:31,619 --> 00:31:33,037
Oh. And what about the sculpture?
660
00:31:33,121 --> 00:31:34,163
[sighs]
661
00:31:34,789 --> 00:31:38,000
Um, Morris, we had to make a choice,
it or you.
662
00:31:38,084 --> 00:31:40,002
We thought you'd be okay with it.
663
00:31:41,754 --> 00:31:44,841
Well, I guess it's good
that Janie won't ever know.
664
00:31:46,259 --> 00:31:47,593
How long ago did she pass?
665
00:31:47,677 --> 00:31:49,387
Oh, no, she's still alive.
666
00:31:49,470 --> 00:31:52,223
She's in memory care
over at Hillside Gardens.
667
00:31:52,306 --> 00:31:54,058
- Oh.
- About a year now.
668
00:31:54,142 --> 00:31:55,143
I'm sorry.
669
00:31:55,852 --> 00:31:59,397
She's the one who used
to remember everything. [chuckles]
670
00:31:59,480 --> 00:32:02,608
And not just the big stuff, the details,
671
00:32:02,692 --> 00:32:07,280
l-like the color of the kitchen towel
in our first home.
672
00:32:07,363 --> 00:32:09,448
Now I have to remember for both of us.
673
00:32:10,199 --> 00:32:13,536
I'm holding on
to every piece of our life I can,
674
00:32:13,619 --> 00:32:16,372
while every day,
she slips away a little more.
675
00:32:16,998 --> 00:32:21,961
You know how hard it is
to miss someone who's still here?
676
00:32:23,588 --> 00:32:26,340
- I can imagine.
- [Morris] I just wanna tell her I love her
677
00:32:26,424 --> 00:32:28,759
and know she understands.
678
00:32:33,222 --> 00:32:35,600
[♪ upbeat dance playing]
679
00:32:42,648 --> 00:32:44,775
[bartender] Oh, hey, man.
I'll go get your food.
680
00:32:47,445 --> 00:32:48,529
Waiting on someone?
681
00:32:49,989 --> 00:32:51,032
Just needed a drink.
682
00:32:59,749 --> 00:33:00,750
Everything okay?
683
00:33:04,420 --> 00:33:07,340
My doctor said
I can't do the egg retrieval this month.
684
00:33:09,342 --> 00:33:10,468
Yeah. I'm sorry.
685
00:33:10,551 --> 00:33:12,553
She said I could try again, but…
686
00:33:13,763 --> 00:33:14,931
it's not promising.
687
00:33:16,140 --> 00:33:17,141
You never know.
688
00:33:17,225 --> 00:33:19,602
I was never sure I wanted kids.
I just never thought…
689
00:33:22,772 --> 00:33:24,565
it wouldn't be an option. [chuckles]
690
00:33:26,734 --> 00:33:30,238
Yeah, it might be hard.
That doesn't make it impossible.
691
00:33:30,321 --> 00:33:33,157
I think it's a sign from the universe
I'd be a terrible mother. [chuckles]
692
00:33:33,783 --> 00:33:34,784
Yeah.
693
00:33:37,536 --> 00:33:38,579
[bartender] Here you go.
694
00:33:40,331 --> 00:33:42,208
I wish I could blame this on the hormones.
695
00:33:43,876 --> 00:33:44,877
Come on.
696
00:33:44,961 --> 00:33:46,837
I got wings and fries.
697
00:33:51,008 --> 00:33:52,009
[chuckles]
698
00:34:00,893 --> 00:34:02,270
[sirens wailing in distance]
699
00:34:03,229 --> 00:34:05,606
- [sighs]
- [Hunt] Hey.
700
00:34:05,690 --> 00:34:07,817
Hey. I thought you were
picking up the kids tonight.
701
00:34:07,900 --> 00:34:08,985
- [Hunt] I am.
- Oh.
702
00:34:10,486 --> 00:34:12,947
[sighs] I need to tell you something.
703
00:34:13,739 --> 00:34:14,949
I wanna to talk to you too.
704
00:34:16,117 --> 00:34:17,118
Is something wrong?
705
00:34:19,453 --> 00:34:24,375
Margot offered me a job running
a global research incubator in Paris,
706
00:34:24,458 --> 00:34:28,504
and, uh, I'm considering it.
707
00:34:28,587 --> 00:34:29,880
[scoffs]
708
00:34:29,964 --> 00:34:33,467
Okay, um, I don't know what to say.
709
00:34:33,551 --> 00:34:37,305
Well, I know that I've recently made
a lot of decisions for myself
710
00:34:37,388 --> 00:34:38,639
that have impacted you,
711
00:34:38,723 --> 00:34:41,892
and that I wasn't fully supportive
of that job in Enumclaw and...
712
00:34:41,976 --> 00:34:43,519
You jumped down my throat.
713
00:34:43,602 --> 00:34:45,521
I was gonna turn it down
and not even bother you,
714
00:34:45,604 --> 00:34:49,525
but I can't stop thinking about it,
so I thought it was worth a conversation.
715
00:34:49,608 --> 00:34:51,652
Oh, did you?
Or have you just made up your mind,
716
00:34:51,736 --> 00:34:54,113
and now I have to be the bad guy
to tell you not to go?
717
00:34:54,196 --> 00:34:56,032
- That's not what's happening.
- We have kids.
718
00:34:56,115 --> 00:34:57,908
- Did you forget about them?
- Of course not.
719
00:34:57,992 --> 00:34:59,744
I… That's something
that we'd have to figure out.
720
00:34:59,827 --> 00:35:01,704
- I mean, there are other families that...
- You know what?
721
00:35:01,787 --> 00:35:03,539
Just do whatever you want
like you always do.
722
00:35:03,623 --> 00:35:04,915
- Owen…
- [Hunt sighs]
723
00:35:04,999 --> 00:35:06,000
[car beeps]
724
00:35:06,083 --> 00:35:08,085
[♪ "Diluted" playing]
725
00:35:10,921 --> 00:35:13,466
♪ Diesel, calloused palms ♪
726
00:35:14,467 --> 00:35:16,594
♪ Your dark glasses on ♪
727
00:35:16,677 --> 00:35:19,221
Hey. I thought maybe you'd backed out.
728
00:35:19,305 --> 00:35:21,557
No, I was just going
to Joe's to pick up some dinner,
729
00:35:21,641 --> 00:35:23,934
and then I have to check a wound vac.
730
00:35:24,018 --> 00:35:25,394
But you're in streets.
731
00:35:25,478 --> 00:35:28,856
Well, if you go in in your scrubs,
people ask you for medical advice.
732
00:35:30,316 --> 00:35:31,984
- You having second thoughts?
- I'm not...
733
00:35:32,068 --> 00:35:34,362
- [Ndugu] If you want out, then...
- I don't. I don't.
734
00:35:36,113 --> 00:35:38,824
Okay, I need
to show you something. [sighs] Um…
735
00:35:39,617 --> 00:35:40,618
Okay.
736
00:35:40,701 --> 00:35:43,454
♪ Nightmare, tell me I'm not lucid ♪
737
00:35:43,537 --> 00:35:45,498
[sighs] Okay, this is a black tourmaline.
738
00:35:45,581 --> 00:35:48,709
It is a crystal that protects you
by absorbing negative energy.
739
00:35:49,543 --> 00:35:53,297
My parents are the kind of people
that use crystals and tarot decks
740
00:35:53,381 --> 00:35:57,593
and other metaphysical resources
to justify their poor life choices.
741
00:35:58,135 --> 00:36:00,513
And as much as I hate it,
some of it stuck,
742
00:36:00,596 --> 00:36:04,475
and when the Drakemore burned down,
I just… I thought it was an omen,
743
00:36:04,558 --> 00:36:06,352
and it's-it's weird.
744
00:36:06,435 --> 00:36:07,436
You can laugh. It's…
745
00:36:07,978 --> 00:36:10,856
Well, look, everyone has weird things.
746
00:36:10,940 --> 00:36:12,817
How many crystals
do you have in your pocket?
747
00:36:15,569 --> 00:36:20,658
Okay, last week when I didn't hug you
because I felt sick, I was fine.
748
00:36:22,201 --> 00:36:23,577
It was because of your scarf.
749
00:36:26,580 --> 00:36:28,165
- The blue one?
- Yeah.
750
00:36:28,249 --> 00:36:29,917
You don't like it or…
751
00:36:31,293 --> 00:36:33,546
I have an irrational fear of yarn.
752
00:36:35,047 --> 00:36:36,757
- Blankets?
- Mm-hmm.
753
00:36:36,841 --> 00:36:37,842
Mittens?
754
00:36:37,925 --> 00:36:41,470
Listen, you will never see me
in a chunky sweater ever.
755
00:36:41,554 --> 00:36:42,638
[Millin chuckles]
756
00:36:43,723 --> 00:36:45,099
- That's weird.
- [chuckles]
757
00:36:45,182 --> 00:36:47,017
You carry around a protective rock.
758
00:36:51,647 --> 00:36:53,399
♪ Pour me out ♪
759
00:36:53,482 --> 00:36:54,483
[kisses]
760
00:37:00,906 --> 00:37:04,034
♪ I thought you were the sun ♪
761
00:37:05,244 --> 00:37:07,913
♪ I knew you as a martyr ♪
762
00:37:09,498 --> 00:37:11,917
♪ So reverently won ♪
763
00:37:21,260 --> 00:37:22,595
[♪ "Diluted" ends]
764
00:37:29,852 --> 00:37:32,271
Oh, my God. Oh, my God. Oh, my God.
765
00:37:32,354 --> 00:37:34,106
[groans] What happened?
766
00:37:34,190 --> 00:37:37,777
Um… Let's see. We drank tequila,
and then we drank more tequila.
767
00:37:37,860 --> 00:37:39,695
- Then, we, uh…
- Made a huge mistake.
768
00:37:39,779 --> 00:37:43,157
I'm gonna… I'm gonna get out of here.
769
00:37:43,240 --> 00:37:46,202
- Yep.
- And, uh, no one else
770
00:37:46,285 --> 00:37:47,286
needs to know about this.
771
00:37:47,369 --> 00:37:49,914
- [grunts]
- [phone buzzes]
772
00:37:53,793 --> 00:37:54,794
[Griffith] Oh, my God.
773
00:37:56,086 --> 00:37:57,338
[sighs]
774
00:37:58,589 --> 00:38:04,261
[PA announcer] Dr. Lao to Proctology.
Dr. Fred Lao to Proctology.
775
00:38:05,429 --> 00:38:08,390
Hey there. Yeah.
776
00:38:10,726 --> 00:38:11,811
Welcome back.
777
00:38:11,894 --> 00:38:16,106
What are you doing?
I just woke up from surgery.
778
00:38:16,190 --> 00:38:17,358
[phone camera shutter clicks]
779
00:38:18,192 --> 00:38:20,945
I, uh… I promised Carina.
780
00:38:21,028 --> 00:38:23,239
Sorry, I called her.
Just please don't kill me. [chuckles]
781
00:38:24,156 --> 00:38:28,577
I'm guessing you somehow saved my life,
so you're off the hook.
782
00:38:28,661 --> 00:38:29,954
I was just doing my job.
783
00:38:31,080 --> 00:38:33,332
And your, uh…
your probie has been discharged.
784
00:38:33,874 --> 00:38:36,460
He's fine. Shaken up, but fine.
785
00:38:36,544 --> 00:38:37,795
- [phone chimes]
- Oh, uh…
786
00:38:37,878 --> 00:38:39,255
Yep, it's Carina.
787
00:38:39,338 --> 00:38:42,216
Grateful emoji, heart emoji.
788
00:38:42,299 --> 00:38:44,468
Many more heart emojis. [chuckles]
789
00:38:45,427 --> 00:38:46,470
Tell her I love her.
790
00:38:47,096 --> 00:38:49,765
I was supposed to meet up with them
out there next week.
791
00:38:50,432 --> 00:38:51,767
You know, how are the kids?
792
00:38:51,851 --> 00:38:53,394
[gasps] Uh… [chuckles]
793
00:38:53,978 --> 00:38:55,020
Liam's walking.
794
00:38:55,104 --> 00:38:58,858
He loves garbage trucks and kiwis.
795
00:38:58,941 --> 00:39:00,568
[Warren chuckles]
796
00:39:00,651 --> 00:39:03,529
And Andrea DeLuca-Bishop is
a perfect angel.
797
00:39:04,029 --> 00:39:05,656
Uh, of course she is.
798
00:39:06,740 --> 00:39:09,201
The second I saw you,
I knew you'd have my back.
799
00:39:10,077 --> 00:39:12,705
- Once 19, always 19.
- 19.
800
00:39:12,788 --> 00:39:14,331
[Warren] Oh, okay.
801
00:39:15,583 --> 00:39:17,877
- [Maya groans, winces]
- Um…
802
00:39:19,420 --> 00:39:23,048
Listen, I'm, uh…
I'm going to let you rest.
803
00:39:25,342 --> 00:39:26,886
But then we are gonna call your wife.
804
00:39:26,969 --> 00:39:28,095
[chuckles]
805
00:39:29,972 --> 00:39:31,307
[clears throat]
806
00:39:31,390 --> 00:39:35,185
Her urine output's averaging
0.8 meg per keg per hour.
807
00:39:35,269 --> 00:39:37,771
No signs of end organ damage.
Vitals stable.
808
00:39:38,606 --> 00:39:39,648
Norman Cousins once said
809
00:39:39,732 --> 00:39:43,944
that wisdom consists
of the anticipation of consequences.
810
00:39:44,028 --> 00:39:47,740
- Norman Cousins, the peace activist?
- I don't know.
811
00:39:47,823 --> 00:39:49,950
It was on a poster
in my high school chem lab.
812
00:39:50,034 --> 00:39:53,996
The point is,
today, you anticipated the medicine.
813
00:39:54,788 --> 00:39:56,999
You focused on patient care,
814
00:39:57,082 --> 00:39:59,501
and you didn't let anyone stop you
from providing it.
815
00:40:00,419 --> 00:40:01,420
Including me.
816
00:40:02,630 --> 00:40:04,131
I underestimated you.
817
00:40:04,214 --> 00:40:06,008
And I'm down a plastics fellow.
818
00:40:06,091 --> 00:40:09,011
- Yeah, I'm working on my application.
- I need someone now.
819
00:40:09,929 --> 00:40:12,848
Would you be interested
in an integrated plastics fellowship?
820
00:40:12,932 --> 00:40:16,477
- Oh, definitely. Uh, how-how do I apply?
- You say yes.
821
00:40:16,560 --> 00:40:19,021
Then you pick up your navy scrubs
and meet me for rounds.
822
00:40:20,397 --> 00:40:21,941
[stutters, chuckles]
823
00:40:22,566 --> 00:40:24,401
Are you okay?
Do you need me to call neuro?
824
00:40:24,485 --> 00:40:28,364
No, no. [chuckles] I, uh… I'm going. I'm…
825
00:40:28,447 --> 00:40:29,698
[♪ "Something Good" playing]
826
00:40:29,782 --> 00:40:32,785
Warren. Welcome to the team.
827
00:40:32,868 --> 00:40:34,286
[Grey] Whether in science or life…
828
00:40:34,370 --> 00:40:35,371
Yeah.
829
00:40:35,454 --> 00:40:37,790
[Grey] …the road to discovery is
rarely a straight line.
830
00:40:37,873 --> 00:40:38,958
[thuds]
831
00:40:39,041 --> 00:40:42,628
[Grey] We take two steps forward,
then fall three steps back.
832
00:40:42,711 --> 00:40:44,463
[knocks on door]
833
00:40:44,546 --> 00:40:45,547
Morning.
834
00:40:46,590 --> 00:40:50,552
Um, the innovation competition went well.
835
00:40:50,636 --> 00:40:53,097
I learned a few things myself.
836
00:40:54,640 --> 00:40:56,892
Is that the IRB's report?
837
00:40:56,976 --> 00:40:58,227
It is. Mmm.
838
00:41:00,396 --> 00:41:01,397
Obviously…
839
00:41:03,315 --> 00:41:05,234
[stutters] I don't know what it says,
840
00:41:05,317 --> 00:41:07,695
but look, I-I know this, right?
841
00:41:07,778 --> 00:41:11,699
We work in a system
where you can be forced out
842
00:41:11,782 --> 00:41:14,576
for one mistake,
843
00:41:15,577 --> 00:41:17,538
but that's not conducive to learning.
844
00:41:17,621 --> 00:41:18,956
I know it was Kwan.
845
00:41:20,666 --> 00:41:22,084
You lied to me.
846
00:41:22,626 --> 00:41:24,837
You looked at my face
and told me you did it.
847
00:41:26,130 --> 00:41:29,008
You're benched from surgery
until further notice.
848
00:41:29,091 --> 00:41:30,092
[Grey] We veer off course…
849
00:41:30,175 --> 00:41:31,176
I understand.
850
00:41:31,260 --> 00:41:32,803
[Grey] …and have to find our way back.
851
00:41:33,512 --> 00:41:38,559
Look, Kwan is still learning,
so don't go too hard on him while I'm out.
852
00:41:38,642 --> 00:41:39,977
That won't be a problem.
853
00:41:40,644 --> 00:41:41,895
He's fired.
854
00:41:42,563 --> 00:41:45,566
♪ I want something good
Something good ♪
855
00:41:46,233 --> 00:41:49,028
[Grey] Surprise detours lead us
to unexpected places.
856
00:41:49,111 --> 00:41:51,488
- What's going on?
- The Royer Bridge collapsed.
857
00:41:51,572 --> 00:41:54,241
- [Altman] That's awful. Do we know how?
- I don't think they know much yet.
858
00:41:54,324 --> 00:41:56,535
[Altman] All right, well,
let's get ready for incoming traumas,
859
00:41:56,618 --> 00:41:59,079
prep blankets, warm IV fluids.
860
00:41:59,163 --> 00:42:00,998
I will page for extra hands.
861
00:42:02,958 --> 00:42:05,461
[Hunt] Teddy, I owe you an apology
for last night.
862
00:42:05,544 --> 00:42:08,672
I had something I wanted to say
and your news kind of threw me.
863
00:42:08,756 --> 00:42:10,883
Let's talk when I get in,
if I ever get in.
864
00:42:10,966 --> 00:42:12,968
There's a ton of traffic on this bridge.
865
00:42:13,052 --> 00:42:14,887
- [tires screeching]
- [line clicks]
866
00:42:14,970 --> 00:42:17,556
[Grey] Places
we never imagined were possible.
867
00:42:17,639 --> 00:42:19,641
[♪ "Something Good" ends]
69694
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