1 00:00:02,525 --> 00:00:04,293 You said that you wanted to leave the house. 2 00:00:04,426 --> 00:00:06,695 On average, the fastest your heart should beat per minute 3 00:00:06,830 --> 00:00:08,965 is 220 minus your age. 4 00:00:09,598 --> 00:00:11,700 Yeah, but what about your feelings for me? 5 00:00:11,835 --> 00:00:13,669 Why is this guy still in Seattle? 6 00:00:13,804 --> 00:00:17,373 Well, he won't leave without her, and she wants to wait him out. 7 00:00:17,506 --> 00:00:19,276 What do you want to do? 8 00:00:19,408 --> 00:00:21,912 Well, I want to deck the guy, but I'm not as patient as she is. 9 00:00:22,745 --> 00:00:23,947 Are those Molly's scans? 10 00:00:24,080 --> 00:00:25,514 Gotta be on my game. 11 00:00:25,648 --> 00:00:27,416 After flying solo, there's nowhere to go but down. 12 00:00:28,317 --> 00:00:31,188 I'm assisting on your girlfriend's surgery. You want me to slack off? 13 00:00:31,320 --> 00:00:32,688 -Carry on. -Yeah. 14 00:00:33,455 --> 00:00:35,491 But, ideally, vigorous exercise 15 00:00:35,624 --> 00:00:39,296 is between 70 and 85% of your maximum heart rate. 16 00:00:42,431 --> 00:00:45,302 Did you pack Allison's blanket? Your mom says it's not in the bag. 17 00:00:45,434 --> 00:00:46,970 - It's in the backpack. - Oh. 18 00:00:47,838 --> 00:00:50,307 What are you gonna do with the whole house to yourself? 19 00:00:50,439 --> 00:00:52,608 Well, with any luck, sleep. 20 00:00:52,741 --> 00:00:55,644 I'm jealous. The conference agenda is jam-packed. 21 00:00:55,778 --> 00:00:57,546 Well, you should skip something, 22 00:00:57,680 --> 00:01:00,083 you know, get a massage or do something else for yourself. 23 00:01:00,217 --> 00:01:02,384 Exceeding your maximum heart rate can result in 24 00:01:02,518 --> 00:01:05,554 - dizziness, chest pain, or even fainting. 25 00:01:05,688 --> 00:01:07,523 -Okay. Okay. -Yeah. 26 00:01:07,656 --> 00:01:09,491 -You got that? -Yeah. Here. 27 00:01:10,626 --> 00:01:12,394 Okay. 28 00:01:12,528 --> 00:01:15,431 You two have fun. You know, what happens in Vegas stays in Vegas. 29 00:01:15,564 --> 00:01:17,868 -We're going to Oakland. -That too. 30 00:01:18,367 --> 00:01:19,368 Bye. 31 00:01:20,036 --> 00:01:23,874 So listen to your body and don't push your limits. 32 00:01:27,409 --> 00:01:29,045 Hey, I didn't know you were here. 33 00:01:29,179 --> 00:01:31,413 I'm helping Dr. Webber with one of my old patients. 34 00:01:31,547 --> 00:01:33,549 Is it weird, you're kind of like my boss now? 35 00:01:33,682 --> 00:01:36,253 No. I invested in her and Meredith's Alzheimer's research. 36 00:01:36,385 --> 00:01:38,188 I'm a silent partner. That's it. 37 00:01:38,321 --> 00:01:40,389 Are you going to Boston? Because I'll take Griffith on my service. 38 00:01:40,522 --> 00:01:42,758 He's salty because she's been helping me prep 39 00:01:42,893 --> 00:01:44,693 for an experimental procedure all week. 40 00:01:44,828 --> 00:01:46,796 I needed our best intern for the case. 41 00:01:46,930 --> 00:01:48,764 -Griffith's someone to watch, huh? -Yeah. 42 00:01:48,899 --> 00:01:50,967 -How's Adams doing? -Well, he's with us today. You tell me. 43 00:01:51,101 --> 00:01:52,735 -Okay. -If your schedule changes, I-- 44 00:01:52,869 --> 00:01:53,904 She's still mine. 45 00:01:57,539 --> 00:02:00,776 Do you know how lucky you are you don't have to worry about vaginal tears? 46 00:02:00,911 --> 00:02:02,812 And good morning to you too. 47 00:02:02,946 --> 00:02:05,048 I just sewed a third-degree tear encroaching on the sphincter, 48 00:02:05,181 --> 00:02:08,784 and that's after the mom labored for 24 hours with a nine-pound baby. 49 00:02:08,919 --> 00:02:11,754 You know, men have their share of... Yeah, that sounds awful. 50 00:02:11,888 --> 00:02:15,424 Oh, Wilson, hey. While you were in LandD, Mrs. Badgley started bleeding. 51 00:02:15,557 --> 00:02:19,796 Okay, well, I will tell Kincade she needs to move her myomectomy to this morning. 52 00:02:19,930 --> 00:02:21,831 Oh. Already on it. 53 00:02:21,965 --> 00:02:23,632 I-I figured you three wouldn't want to be on your feet for a long surge. 54 00:02:23,766 --> 00:02:25,869 Dr. Kincade already approved it, so we're set. 55 00:02:27,436 --> 00:02:32,175 Um, did Jo Wilson just let a guy who calls surgery a "surge" shark her? 56 00:02:32,309 --> 00:02:34,443 -He saved my babies. -Oh. Come on. 57 00:02:34,576 --> 00:02:36,846 That's all I can think about when I see his overachieving, stupid prodigy face, 58 00:02:36,980 --> 00:02:38,982 and if you tell anyone that, I will punch you. 59 00:02:39,782 --> 00:02:43,420 Hey, not for you. Have you exported your cases into the spreadsheet yet? 60 00:02:43,552 --> 00:02:45,121 What spreadsheet? 61 00:02:45,621 --> 00:02:50,827 Uh, our case logs for our meeting with Bailey at the end of the year. Sorry. 62 00:02:50,961 --> 00:02:52,528 It's fine. 63 00:02:52,661 --> 00:02:54,530 Well, if it's any consolation, I'll be able to help you 64 00:02:54,663 --> 00:02:57,000 -with your case logs next year. -Thanks. 65 00:02:57,968 --> 00:03:00,103 -Uh, good morning. -Good morning. What... What's this? 66 00:03:00,236 --> 00:03:03,840 It's a thank-you for saying you would help me get my first solo surgery. 67 00:03:03,974 --> 00:03:06,142 - I promise I won't let you down. 68 00:03:06,276 --> 00:03:11,081 All right, lesson number one: always under-promise and over-deliver. Yeah? 69 00:03:13,950 --> 00:03:15,852 Hey, Nora. 70 00:03:15,986 --> 00:03:19,521 -Hi, I just got your text. -Sorry for bugging you. This is... 71 00:03:19,655 --> 00:03:22,959 Liz. Hi, can we make this quick? I have a high school reunion to pull off. 72 00:03:23,093 --> 00:03:25,862 I'll do my best. Follow me. Um, how far along are you? 73 00:03:25,996 --> 00:03:27,364 Uh, 19 weeks. 74 00:03:27,496 --> 00:03:29,032 It's been an easy pregnancy until a couple days ago. 75 00:03:29,165 --> 00:03:31,868 I started to have indigestion, shortness of breath, 76 00:03:32,002 --> 00:03:33,535 some pressure in my chest. 77 00:03:33,669 --> 00:03:35,905 -Um, I have an OB appointment next week. -Okay. 78 00:03:36,039 --> 00:03:39,409 She has preexisting mitral valve prolapse, so I kidnapped her here. 79 00:03:39,541 --> 00:03:42,479 Yeah, I have to be at this reunion tonight. I'm the committee chair. 80 00:03:42,611 --> 00:03:45,882 Liz runs a tight ship. She got the boosters to repaint the gym. 81 00:03:46,016 --> 00:03:48,684 Finally. There's no way that '70s paint wasn't full of lead. 82 00:03:50,120 --> 00:03:51,787 I was a senior when you were a freshman. 83 00:03:52,688 --> 00:03:54,424 -Owen Hunt. -Megan Hunt's brother. 84 00:03:54,556 --> 00:03:55,557 Megan has a brother? 85 00:03:57,060 --> 00:03:59,262 Okay, I'm gonna page cardio and OB. 86 00:03:59,396 --> 00:04:03,266 While we wait, I'm gonna run some labs and an EKG. 87 00:04:03,400 --> 00:04:05,001 -Sound good? -I'm pregnant. 88 00:04:05,135 --> 00:04:07,203 - Only snacks and baths sound good. 89 00:04:07,337 --> 00:04:09,571 Thank you, and it's good to see you again. 90 00:04:09,705 --> 00:04:10,907 Yeah. 91 00:04:11,041 --> 00:04:12,475 Allan Lewis, 50, 92 00:04:12,608 --> 00:04:14,777 developed PTLD after his third kidney transplant, 93 00:04:14,911 --> 00:04:18,747 had eight rounds of rituximab to reduce the tumor burden in his retroperitoneum. 94 00:04:18,882 --> 00:04:22,419 Here to debulk the residual tumor before resuming chemo 95 00:04:22,551 --> 00:04:24,854 and to alleviate the bowel obstruction symptoms. 96 00:04:24,988 --> 00:04:26,923 Not the kidney's fault. Don't blame the kidney. 97 00:04:27,057 --> 00:04:28,690 No one's blaming anyone. 98 00:04:28,825 --> 00:04:31,627 That's right. PTLD is a real complication caused by... 99 00:04:31,760 --> 00:04:34,431 A weakened immune system that triggers the Epstein-Barr virus. 100 00:04:34,563 --> 00:04:38,068 Of course, Allan is in the less than 1% of all people who get this. 101 00:04:38,201 --> 00:04:39,936 Now it feels like you're blaming me. 102 00:04:40,070 --> 00:04:42,939 Okay. Shelby is Allan's sister and the donor of his third kidney. 103 00:04:43,073 --> 00:04:45,875 I wouldn't have asked if I weren't such a hard match. 104 00:04:46,009 --> 00:04:48,111 My other two organ donors came through UNOS. 105 00:04:48,244 --> 00:04:49,979 Which donor drove you to chemo? 106 00:04:50,113 --> 00:04:54,250 Oh. The one who "inherited" Mom's 1969 Mercedes convertible. 107 00:04:54,384 --> 00:04:56,618 I took care of her all those years. Where were you? 108 00:04:56,752 --> 00:04:58,021 Working in Singapore. 109 00:04:58,620 --> 00:05:00,323 She came through for me when I needed a kidney, 110 00:05:00,457 --> 00:05:02,459 but there was a time when Shelbs and I weren't speaking. 111 00:05:02,591 --> 00:05:04,461 -They don't need to know this. -Look, okay, it's my medical history. 112 00:05:04,593 --> 00:05:07,596 Okay, let's get some new scans and we'll go from there, shall we? 113 00:05:07,729 --> 00:05:08,932 -Mm-hmm. -Bye. 114 00:05:16,539 --> 00:05:18,475 Cass, I didn't know you'd be here. 115 00:05:18,607 --> 00:05:19,943 Oh. Teddy, hi. 116 00:05:20,410 --> 00:05:22,812 -I will catch up with you later? -Sure. 117 00:05:24,613 --> 00:05:25,949 Friend of yours? 118 00:05:26,082 --> 00:05:28,485 We sometimes plan to attend the same conferences, 119 00:05:28,617 --> 00:05:33,823 balance the snoozefest panels with extracurricular activities. 120 00:05:33,957 --> 00:05:35,024 Oh. 121 00:05:35,158 --> 00:05:37,093 Is David here? 122 00:05:37,227 --> 00:05:40,864 I believe he's covering his chief's cases while she's at a conference. 123 00:05:40,997 --> 00:05:42,165 Right. 124 00:05:42,298 --> 00:05:43,266 What about Owen? 125 00:05:43,399 --> 00:05:46,970 -No. Nope. Just me. -Oh. 126 00:05:47,103 --> 00:05:48,670 Altman. 127 00:05:48,805 --> 00:05:51,374 -Oh, okay. Can you help me? Please. -Oh, yeah. Yeah. What-- 128 00:05:51,508 --> 00:05:53,243 -Hi. -Hi. 129 00:05:57,447 --> 00:05:58,848 Griffith, present. 130 00:05:58,982 --> 00:06:01,117 Molly Tran, 33, experiencing grand mal seizures. 131 00:06:01,251 --> 00:06:03,719 Currently refractory to anti-epileptic medication. 132 00:06:03,853 --> 00:06:06,623 Here for placement of DBS to suppress seizure activity. 133 00:06:06,755 --> 00:06:11,194 We'll make a small hole in your skull to implant the device in your brain, 134 00:06:11,327 --> 00:06:13,863 then place the pulse generator under your collarbone. 135 00:06:13,997 --> 00:06:16,065 It's like a pacemaker for your brain. 136 00:06:16,199 --> 00:06:18,201 And what about getting my memory back? 137 00:06:18,334 --> 00:06:19,969 Let's take it one step at a time. 138 00:06:20,103 --> 00:06:23,206 Once we place the DBS, I will put a grid on your brain 139 00:06:23,339 --> 00:06:25,408 and then stimulate each section one by one, 140 00:06:25,542 --> 00:06:29,412 but we're only doing that because I will already be in that part of your brain. 141 00:06:29,546 --> 00:06:33,550 It's never been proven to retrieve memories lost to retrograde amnesia. 142 00:06:33,682 --> 00:06:35,751 Will the extra stimulation induce seizures? 143 00:06:35,885 --> 00:06:39,389 It's possible, but my hope is that the device will prevent that. 144 00:06:39,522 --> 00:06:44,693 Are you sure you want to do this? What did your parents say about it? 145 00:06:45,295 --> 00:06:49,365 Um, they were nervous until I sent them Dr. Shepherd's bio. 146 00:06:49,499 --> 00:06:51,034 Hmm. 147 00:06:51,467 --> 00:06:52,569 I want my memories. 148 00:06:53,702 --> 00:06:56,239 I just didn't realize so many people would be watching. 149 00:06:56,372 --> 00:06:57,907 It's a big case. 150 00:06:59,842 --> 00:07:01,211 Excuse me. 151 00:07:01,710 --> 00:07:05,181 All right, so you can see the device will be implanted in the crown. 152 00:07:05,315 --> 00:07:07,517 It's one thing to show up at my house, but to come to hospital-- 153 00:07:07,650 --> 00:07:10,353 -Hey. Back off. -She doesn't wanna talk to you. 154 00:07:10,486 --> 00:07:12,455 Look, I don't wanna talk to her. 155 00:07:12,589 --> 00:07:15,258 I need to talk to you. Molly hasn't told you everything you need to know. 156 00:07:29,005 --> 00:07:31,975 But when I did the test run in the auditorium, 157 00:07:32,108 --> 00:07:34,611 the slides looked like they were in a fun house mirror. 158 00:07:34,743 --> 00:07:36,546 Well, they must be formatted to the wrong size. 159 00:07:36,679 --> 00:07:39,082 -Right. -That's what Ron, that AV guy, says, 160 00:07:39,215 --> 00:07:42,485 and apparently the only way to fix it is to redo the whole damn thing. 161 00:07:42,619 --> 00:07:44,153 Well, how long did the first one take? 162 00:07:44,287 --> 00:07:46,889 No idea. I paid Tuck to do it. 163 00:07:47,023 --> 00:07:50,793 Dr. Bailey is presenting on her program training OB-GYN residents 164 00:07:50,927 --> 00:07:52,428 from states with abortion bans. 165 00:07:52,562 --> 00:07:54,763 So important. Now more than ever. 166 00:07:54,897 --> 00:07:58,968 Well, how am I supposed to inspire other hospitals to start programs like ours 167 00:07:59,102 --> 00:08:00,470 if they can't read my slides? 168 00:08:00,603 --> 00:08:02,805 Well, Cass is actually amazing at slideshows. 169 00:08:02,939 --> 00:08:06,976 Sorry, I don't know why I said "actually." She's just... She's amazing. 170 00:08:07,110 --> 00:08:11,447 -Uh, can you work fast? -For this cause, it would be my honor. 171 00:08:11,814 --> 00:08:13,283 -Thank you. Thank you. -Oh, thank you. 172 00:08:14,550 --> 00:08:16,452 All right, are you ready? 173 00:08:16,586 --> 00:08:21,491 Yes, aligning the MRI and CT images to create a 3-D representation of the brain. 174 00:08:22,458 --> 00:08:25,461 -Which approach would you suggest? -Transfrontal. 175 00:08:26,429 --> 00:08:28,665 Good thought. We are gonna go with frontal temporal. 176 00:08:28,798 --> 00:08:30,133 Uh. 177 00:08:30,266 --> 00:08:32,535 -Target? -Oh, that area of gliosis on the MRI. 178 00:08:32,669 --> 00:08:37,307 All right, divide it into three separate targets, so I have options. 179 00:08:38,274 --> 00:08:41,611 What if we trigger a seizure and have to put her in a barb coma? 180 00:08:41,744 --> 00:08:43,946 Isn't the whole procedure a wash? 181 00:08:44,080 --> 00:08:46,115 I don't let myself think like that. 182 00:08:47,250 --> 00:08:49,319 Yeah. 183 00:08:49,452 --> 00:08:51,421 You really are the one to watch, huh? 184 00:08:52,755 --> 00:08:55,158 Just been lucky. Get on amazing cases. 185 00:08:55,658 --> 00:08:59,195 Don't do that. You're a woman surgeon. 186 00:08:59,996 --> 00:09:02,465 There are enough people out there who want to dismiss you. 187 00:09:02,598 --> 00:09:04,367 Don't be one of them. 188 00:09:05,835 --> 00:09:07,203 Now, our patient will be awake. 189 00:09:07,970 --> 00:09:11,908 So it is crucial that you follow my lead, keep your voice neutral. 190 00:09:12,041 --> 00:09:16,179 As far as Molly is concerned, everything is fine. 191 00:09:16,713 --> 00:09:18,014 -No problem. -Mmm. 192 00:09:18,548 --> 00:09:20,717 Your labs are normal. Same with your EKG and echo, 193 00:09:20,850 --> 00:09:22,385 and your mitral valve looks stable. 194 00:09:22,518 --> 00:09:24,987 Great. See? Told you, just regular old pregnancy. 195 00:09:25,121 --> 00:09:27,323 So, can I get back to reunion planning now? 196 00:09:27,457 --> 00:09:30,560 While your symptoms are common, they are new for you, 197 00:09:30,693 --> 00:09:31,994 and we would like to run a few more tests. 198 00:09:32,128 --> 00:09:34,097 Okay, fine. Um, where's my phone? 199 00:09:34,230 --> 00:09:35,898 Do you have someone we should call? 200 00:09:36,032 --> 00:09:38,368 Uh, nope. Just a second-in-command 201 00:09:38,501 --> 00:09:40,436 who can't alphabetize name tags to save his life. 202 00:09:40,570 --> 00:09:43,906 Come on, Bobby. M comes before O. 203 00:09:44,040 --> 00:09:47,009 Liz is having this baby on her own. She's my personal hero. 204 00:09:47,143 --> 00:09:49,011 It wasn't always the plan, 205 00:09:49,145 --> 00:09:51,581 but I've been on at least one date with every age-appropriate bachelor 206 00:09:51,714 --> 00:09:54,517 in the greater Seattle area, and some not so age-appropriate. 207 00:09:54,650 --> 00:09:57,920 But none of them were the one, and I'm not getting any younger, 208 00:09:58,054 --> 00:09:59,422 so I'm going it alone. 209 00:10:01,657 --> 00:10:04,227 Liz, how long have you had that lump on your neck? 210 00:10:05,027 --> 00:10:07,430 -What lump? -May I? 211 00:10:07,563 --> 00:10:09,265 Millin, can you grab the ultrasound? Thank you. 212 00:10:14,904 --> 00:10:16,639 She's about to go to the OR. Make it quick. 213 00:10:16,773 --> 00:10:18,941 You can't let her do the experimental part of surgery. 214 00:10:19,075 --> 00:10:20,943 I respect her decision. 215 00:10:21,077 --> 00:10:22,578 Because if she gets her memories back, it absolves you of what you did? 216 00:10:22,712 --> 00:10:24,213 You don't know what you're talking about. 217 00:10:24,347 --> 00:10:25,915 When the accident happened, 218 00:10:26,048 --> 00:10:27,550 she tried everything she could to get her memories back. 219 00:10:27,683 --> 00:10:29,952 Psychotherapy, hypnotherapy, Vietnamese herbs. 220 00:10:30,086 --> 00:10:32,255 Her parents said that she spent everything she had, 221 00:10:32,388 --> 00:10:34,290 and when none of it worked, she spiraled. 222 00:10:34,424 --> 00:10:38,060 Not eating, not sleeping. They finally talked her into getting help. 223 00:10:38,461 --> 00:10:39,996 She never told me any of this. 224 00:10:40,129 --> 00:10:42,432 Okay, and why would she? You think she wants you to know? 225 00:10:43,366 --> 00:10:46,669 Look, I love her, and I wanna be able to live with myself 226 00:10:46,804 --> 00:10:48,971 - if anything bad happened to her. 227 00:10:49,105 --> 00:10:52,810 Coming to Seattle, the sudden breakup, the experimental brain surgery 228 00:10:52,942 --> 00:10:54,410 just to get her memories back. It... 229 00:10:54,544 --> 00:10:57,246 It just feels like the on-ramp to another crash. 230 00:10:58,114 --> 00:11:02,552 She picked me. Get over it. 231 00:11:15,298 --> 00:11:17,200 Hey. 232 00:11:17,333 --> 00:11:19,135 There's pens and extra card stock in the bag under the welcome table. 233 00:11:19,268 --> 00:11:22,271 No, under the welcome table. Call if you need anything. 234 00:11:22,405 --> 00:11:23,706 -Great. -Thanks. 235 00:11:23,841 --> 00:11:26,342 - Oh, my God. - Hey, you okay? 236 00:11:26,476 --> 00:11:29,947 Just Bobby, our class secretary who doesn't know how to CC people, 237 00:11:30,079 --> 00:11:31,347 is now the one in charge. 238 00:11:31,481 --> 00:11:33,516 It's like a designated survivor situation. 239 00:11:33,649 --> 00:11:36,285 Well, if no one took this seriously, there would be no reunions 240 00:11:36,419 --> 00:11:38,621 and no one would reconnect with old friends, 241 00:11:38,754 --> 00:11:42,658 - and I guess life would just go on. 242 00:11:43,593 --> 00:11:46,329 Reconnecting can be... can be pretty great. 243 00:11:46,462 --> 00:11:47,530 Mm-hmm. 244 00:11:48,097 --> 00:11:50,533 Uh, so far so good with Liz, by the way. 245 00:11:52,502 --> 00:11:55,171 Should I have taken Liz somewhere else? 246 00:11:56,172 --> 00:11:58,140 Why? 247 00:11:58,274 --> 00:12:00,176 Well, the last time I saw you, you didn't want to be a part of my care team. 248 00:12:00,309 --> 00:12:03,446 And now we're sharing a bench. 249 00:12:04,013 --> 00:12:07,985 Well, you know... You brought in a friend for medical care, 250 00:12:08,117 --> 00:12:14,123 so this is... this is an above-board bench-sharing situation. 251 00:12:14,624 --> 00:12:16,392 In that case, can you sit a little longer? 252 00:12:16,526 --> 00:12:20,162 It's just hitting me that my friend might be sick. 253 00:12:20,296 --> 00:12:21,531 Sure. 254 00:12:25,635 --> 00:12:30,373 There's the two native kidneys, the two nonfunctioning transplanted kidneys. 255 00:12:31,140 --> 00:12:33,109 That's the working one right there. 256 00:12:33,242 --> 00:12:35,846 Have you ever seen a scan of five kidneys inside of one patient before? 257 00:12:35,979 --> 00:12:38,080 -Is that the mass? -Yeah, that's it right there. 258 00:12:38,214 --> 00:12:40,716 Is it kinking the vasculature of the working kidney? 259 00:12:40,851 --> 00:12:43,553 No, it's close, but fortunately, no. 260 00:12:43,686 --> 00:12:45,221 Yeah, we should debulk enough 261 00:12:45,354 --> 00:12:47,089 that the chemo has a shot at killing the remaining cells. 262 00:12:47,223 --> 00:12:48,926 Should we remove the native kidney? 263 00:12:49,058 --> 00:12:51,193 I could help with the retroperitoneal lymph node dissection. 264 00:12:51,327 --> 00:12:54,430 Mmm. It's not necessary. We still have good access to the paracaval lymph nodes 265 00:12:54,564 --> 00:12:57,066 but good to know you're thinking ahead. Book us an OR. 266 00:12:57,533 --> 00:12:59,903 That was pretty bold to ask to do 267 00:13:00,037 --> 00:13:02,071 a nephrectomy and a lymph node dissection. 268 00:13:02,204 --> 00:13:03,706 You never know if you don't ask. 269 00:13:04,908 --> 00:13:08,845 -Can you do his pre-op paperwork? -Nope, but good try. 270 00:13:12,181 --> 00:13:15,551 Poor Liz. She worked so hard on her reunion, 271 00:13:15,685 --> 00:13:18,287 and now some bumbling wannabe gets to be there for the big moment. 272 00:13:18,421 --> 00:13:20,122 -Probably just trying to help. -Is he? 273 00:13:20,256 --> 00:13:22,124 Is he? Or is he a man who is threatened by a woman in power 274 00:13:22,258 --> 00:13:24,795 and he's stealing it in the name of generosity? 275 00:13:24,928 --> 00:13:26,629 For the record, I'm a feminist. 276 00:13:26,762 --> 00:13:29,665 This morning, my co-resident stole my surgery 277 00:13:29,800 --> 00:13:31,334 so that I didn't have to "be on my feet." 278 00:13:31,467 --> 00:13:35,137 -Did you punch him? -No, he saved my babies. 279 00:13:35,271 --> 00:13:37,173 Well, he didn't save my babies. What's his name? 280 00:13:37,306 --> 00:13:38,574 Scans are up. 281 00:13:41,812 --> 00:13:44,413 Oh. That's not something you see every day. 282 00:13:44,815 --> 00:13:46,248 Is it cancer? 283 00:13:46,382 --> 00:13:48,484 No. Your thyroid, larynx and lymph nodes are all fine. 284 00:13:48,618 --> 00:13:52,455 It appears you have a rare condition called achalasia with megaesophagus, 285 00:13:52,588 --> 00:13:55,458 -which is aggravated by your pregnancy. -Which means? 286 00:13:55,591 --> 00:14:00,463 You have a fair amount of undigested food sitting in your esophagus. 287 00:14:00,596 --> 00:14:02,833 Um, how long has it been there? 288 00:14:02,966 --> 00:14:06,369 It's hard to tell without knowing how much you eat in one sitting. 289 00:14:06,502 --> 00:14:08,337 I had fish tacos yesterday. 290 00:14:08,471 --> 00:14:12,475 Ugh, stupid Bobby gave me a strawberry smoothie for breakfast. 291 00:14:12,608 --> 00:14:14,477 It's all right. Don't worry. We're gonna run a scope down there 292 00:14:14,610 --> 00:14:16,345 -and clean it all out, okay? -Yeah. 293 00:14:17,814 --> 00:14:19,315 Oh. 294 00:14:26,689 --> 00:14:28,357 - Yeah. Yeah. - Yeah, bit nervous, but... 295 00:14:28,491 --> 00:14:30,526 Your vitals are strong. Hey, going to OR one. 296 00:14:30,660 --> 00:14:33,529 You know, the next time I see you, I-I could have all my memories back. 297 00:14:33,663 --> 00:14:36,532 You know, the odds of this working are almost impossible. 298 00:14:36,666 --> 00:14:38,802 I just want to make sure you'll be okay if it doesn't. 299 00:14:38,935 --> 00:14:41,470 There must be other experimental treatments, right? 300 00:14:41,604 --> 00:14:44,340 If this one doesn't work, I mean, we'll try another one. 301 00:14:46,009 --> 00:14:47,710 Dave came to the hospital. 302 00:14:48,344 --> 00:14:49,378 Oh. Uh. 303 00:14:49,512 --> 00:14:50,881 Well, what did he say? 304 00:14:54,117 --> 00:14:56,485 He just wanted to make sure that you'll be okay. 305 00:14:57,020 --> 00:14:58,121 I am. 306 00:14:59,355 --> 00:15:00,356 I will be. 307 00:15:01,190 --> 00:15:04,360 -You'll be here when I get out, right? -Of course. 308 00:15:07,229 --> 00:15:08,397 Okay. 309 00:15:09,565 --> 00:15:11,168 - Okay. - Yeah. 310 00:15:14,670 --> 00:15:16,505 Okay. Don't let Shepherd push it in there. 311 00:15:16,639 --> 00:15:19,442 We've seen her go overboard, especially with difficult cases. 312 00:15:19,575 --> 00:15:21,277 You know I can't control that. 313 00:15:21,410 --> 00:15:24,313 You're on top right now. You have more influence than you think. 314 00:15:26,248 --> 00:15:27,416 I got you. 315 00:15:37,094 --> 00:15:38,394 Oh, there you are. 316 00:15:38,527 --> 00:15:40,130 I was starting to get flashbacks to that party 317 00:15:40,262 --> 00:15:42,231 where you ditched me to make out with Scott Jonas. 318 00:15:42,364 --> 00:15:45,401 - We just... We got some air. - Tell me that lump's benign. 319 00:15:45,902 --> 00:15:49,106 -As benign as chicken pot pie. -Oh, thank God. What is it? 320 00:15:49,238 --> 00:15:50,874 Chicken pot pie. 321 00:15:51,007 --> 00:15:53,609 Yeah, that was yesterday's lunch. My throat's full of food. 322 00:15:54,211 --> 00:15:55,979 What? How? 323 00:15:56,113 --> 00:15:57,814 The sphincter connecting her stomach and her esophagus won't relax, 324 00:15:57,948 --> 00:15:59,248 so food's getting stuck. 325 00:15:59,381 --> 00:16:00,917 Is this gonna be for the rest of my pregnancy? 326 00:16:01,051 --> 00:16:03,053 No, we can remove the food with a scope 327 00:16:03,186 --> 00:16:04,955 and then inject Botox into the lower sphincter. 328 00:16:05,088 --> 00:16:07,057 So it looks young and wrinkle-free? 329 00:16:07,190 --> 00:16:10,559 No, so it relaxes and food can get into your stomach. 330 00:16:10,693 --> 00:16:12,394 Okay, so this is gonna take a while. 331 00:16:12,528 --> 00:16:15,264 Will you please make sure that someone steams the tablecloths? 332 00:16:15,397 --> 00:16:17,167 -I'm on it. -A nurse will get you prepped, okay? 333 00:16:17,299 --> 00:16:19,568 -Thank you. -Okay. I gotta go back to work. Okay. 334 00:16:19,936 --> 00:16:23,140 Brush up on your EGDs in the skills lab. 335 00:16:23,272 --> 00:16:25,641 I thought we had Mr. Oden's CABG today. 336 00:16:25,775 --> 00:16:29,146 I am doing Mr. Oden's CABG. You were gonna brush up on your EGDs 337 00:16:29,278 --> 00:16:31,313 so you can do Liz's esophageal disimpaction. 338 00:16:32,249 --> 00:16:33,549 I'll go practice. 339 00:16:34,450 --> 00:16:36,418 Can you just cut and paste? 340 00:16:36,552 --> 00:16:39,688 The graphics, yes, but not the text. Will you read me those bullet points? 341 00:16:39,823 --> 00:16:41,958 Oh, sure. Um, okay. 342 00:16:42,092 --> 00:16:45,661 "All trainees come from the more than one-third of US counties 343 00:16:45,796 --> 00:16:48,664 that are maternity care deserts with no OB providers, 344 00:16:48,799 --> 00:16:50,499 hospitals, or birth centers." 345 00:16:50,633 --> 00:16:52,169 That's bleak. 346 00:16:52,301 --> 00:16:54,670 Didn't you win a Catherine Fox Award for your program? 347 00:16:54,805 --> 00:16:57,373 I did. Felt like an accomplishment then. 348 00:16:57,506 --> 00:17:01,777 Now, feels like I'm trying to bail water with a thimble. 349 00:17:01,912 --> 00:17:04,780 I get it, but programs like yours are a beacon of hope. 350 00:17:06,016 --> 00:17:07,683 Thank you. 351 00:17:07,818 --> 00:17:12,354 Now let's just make sure your presentation is as great as you are. 352 00:17:12,488 --> 00:17:16,026 Next bullet, please. Teddy. 353 00:17:16,159 --> 00:17:19,328 Oh. Yeah. Oh, sorry. Uh, "following Dobbs"... 354 00:17:22,631 --> 00:17:25,202 DBS is in place. How are you doing, Molly? 355 00:17:25,334 --> 00:17:28,972 Pretty well, considering my head's basically in an Erector Set. 356 00:17:29,105 --> 00:17:31,074 Are you feeling more discomfort? 357 00:17:31,208 --> 00:17:35,477 I don't feel a thing, but I can hear tools clinking and things buzzing. 358 00:17:35,611 --> 00:17:37,247 - Are we almost there? - Yes. 359 00:17:37,379 --> 00:17:40,217 Griffith, we are ready to connect to the stimulation panel. 360 00:17:40,349 --> 00:17:42,718 -And that should stop the seizures? -It should. 361 00:17:42,853 --> 00:17:46,388 Wow. Wait, that's incredible. Thank you. 362 00:17:46,522 --> 00:17:48,225 And are you starting with the memory part too now? 363 00:17:48,357 --> 00:17:50,994 -In a minute. -Dr. Shepherd, I see epileptiform waves. 364 00:17:51,127 --> 00:17:53,330 All right, adjust the frequency. 365 00:17:55,065 --> 00:17:57,067 - They're improving. - Okay. 366 00:17:57,200 --> 00:18:02,671 All right, Molly, now it is time to place the grid for memory retrieval. 367 00:18:04,341 --> 00:18:06,609 I'd nod, but, um, I can't move my head. 368 00:18:06,742 --> 00:18:08,410 Grid, please. 369 00:18:13,549 --> 00:18:15,085 Here we go. 370 00:18:16,385 --> 00:18:18,188 It's not that bad. 371 00:18:18,321 --> 00:18:20,422 You were just moaning like a dead animal. Let him check you out. 372 00:18:20,556 --> 00:18:24,861 Urine output's low. Hang on. Let me take a quick look with the ultrasound. 373 00:18:25,829 --> 00:18:29,232 Are you wearing perfume? 'Cause it smells like feet. 374 00:18:29,366 --> 00:18:31,634 Remember when I gave you a kidney and you promised to be nicer? 375 00:18:31,767 --> 00:18:36,405 This is how all of our fights end now. Do you have a sister? 376 00:18:36,538 --> 00:18:39,109 -I have four. -Oof. I thought one was a lot. 377 00:18:39,242 --> 00:18:40,709 Kidney. 378 00:18:40,844 --> 00:18:42,946 I learned early on that I'm better off not fighting back. 379 00:18:43,079 --> 00:18:44,915 Oh, look at you now. You're a surgeon. 380 00:18:45,048 --> 00:18:47,284 See what happens when you learn how to go with the flow? To adapt? 381 00:18:47,416 --> 00:18:51,254 I'm the senior VP of human resources at a giant tech company. 382 00:18:51,388 --> 00:18:54,291 - Kidney. - It only works when I do it. 383 00:18:54,423 --> 00:18:55,892 No. My kidney. It really hurts. 384 00:18:56,026 --> 00:18:57,260 Damn it, we need to move. 385 00:18:57,394 --> 00:18:59,229 -What's happening? -Am I dying? 386 00:18:59,362 --> 00:19:01,331 Allan's kidney's thrombosed. A clot's cutting off his blood supply. 387 00:19:01,463 --> 00:19:04,067 If we don't get him to surgery right now, he could lose it. 388 00:19:04,935 --> 00:19:07,103 Tell Webber and Marsh to meet me in the OR. 389 00:19:07,603 --> 00:19:10,206 Okay, breathe. 390 00:19:14,777 --> 00:19:15,946 I did it. 391 00:19:16,712 --> 00:19:19,082 -You... You... You did it? -Uh-huh. 392 00:19:19,215 --> 00:19:20,449 Thank you. 393 00:19:20,582 --> 00:19:22,185 Uh... You were right. She's amazing. 394 00:19:22,319 --> 00:19:24,620 She's also very hungry. Would you hand me those chips? 395 00:19:24,753 --> 00:19:28,291 - Uh, you can have whatever you want. 396 00:19:28,425 --> 00:19:30,260 -Thank you. -Uh, I'll be right back. 397 00:19:30,393 --> 00:19:31,828 -Okay. -'Kay. 398 00:19:33,096 --> 00:19:35,031 Well, you saved the day. 399 00:19:35,165 --> 00:19:40,804 Well, this saved me from having to go to my boss's panel on change management. 400 00:19:41,570 --> 00:19:44,573 Where is her thumb drive? 401 00:19:47,210 --> 00:19:49,678 Do you wanna skip the afternoon lectures? 402 00:19:50,646 --> 00:19:54,184 Well, we clearly have seen Bailey's presentation. 403 00:19:54,985 --> 00:19:58,754 -I'm supposed to meet up with Phil later. -So meet up with me instead. 404 00:19:59,655 --> 00:20:02,292 You said to let you know when I have figured it out, 405 00:20:02,425 --> 00:20:05,128 and I have figured it out. 406 00:20:10,967 --> 00:20:14,037 You are all set. 407 00:20:14,170 --> 00:20:15,305 Oh. 408 00:20:15,939 --> 00:20:19,708 Um... Would you keep it until we get there? 409 00:20:19,843 --> 00:20:22,812 My luck today, I'd drop it down the elevator shaft. 410 00:20:24,214 --> 00:20:26,216 Y... You are coming, right? 411 00:20:26,349 --> 00:20:30,387 Oh, I've been having stress dreams all week about showing up to an empty room. 412 00:20:30,786 --> 00:20:31,888 - Yeah. - Wouldn't miss it. 413 00:20:32,022 --> 00:20:33,789 - Okay. Here. - Mm-hmm. 414 00:20:34,190 --> 00:20:38,361 Okay, the renal artery is tortuous. IR never would've worked. 415 00:20:38,862 --> 00:20:40,662 Agreed. Fogarty catheter. 416 00:20:41,131 --> 00:20:42,564 Will the kidney be okay? 417 00:20:42,698 --> 00:20:45,135 I don't know, but it's got a shot thanks to you. 418 00:20:47,636 --> 00:20:50,874 The embolectomy is complete. - Heparin. Thank you. 419 00:20:52,242 --> 00:20:54,144 - Now what? - -We wait for it to pink up, 420 00:20:54,277 --> 00:20:56,012 then we go after the tumor. 421 00:20:56,846 --> 00:20:59,581 - Okay. - Nothing's happening. 422 00:21:05,221 --> 00:21:07,257 It's still ischemic. 423 00:21:07,390 --> 00:21:10,427 Yeah, the clot caused too much damage. The kidney's dead. 424 00:21:10,894 --> 00:21:12,862 -Let's prep for a nephrectomy. -Yeah. 425 00:21:12,996 --> 00:21:15,532 But he has to be in remission before he can go back on the transplant list. 426 00:21:15,664 --> 00:21:18,201 -That could take months. -It's our only option at this point. 427 00:21:18,334 --> 00:21:20,203 He got lucky three times. Maybe it'll happen again. 428 00:21:20,336 --> 00:21:24,007 So that's it? You just tell him good luck and send him on his way. 429 00:21:24,573 --> 00:21:26,943 Well, what if we give it more time? Try papaverine? 430 00:21:27,077 --> 00:21:28,912 You know that's not gonna work. 431 00:21:29,879 --> 00:21:32,382 Adams, you want to suture ligate this vessel? 432 00:21:34,417 --> 00:21:36,419 You found the clot. You want it or not? 433 00:21:40,756 --> 00:21:41,958 0 silk. 434 00:21:44,861 --> 00:21:48,498 Okay, nice and easy. Good. 435 00:21:50,133 --> 00:21:54,337 Oh, Mr. Oden's in the ICU. We did his CABG off-pump. 436 00:21:54,471 --> 00:21:57,606 It's actually really exciting. You should review the surgical tape. 437 00:21:59,042 --> 00:22:02,912 Wilson, quick update. Ms. Badgley had a massive uterine hemorrhage mid-surge-- 438 00:22:03,046 --> 00:22:05,248 You did a hysterectomy? On my patient? 439 00:22:05,381 --> 00:22:09,618 Technically, Kincade's patient. But yep. Good luck with your, um... 440 00:22:10,253 --> 00:22:12,688 -Esophageal disimpaction. -Mm-hmm. 441 00:22:12,822 --> 00:22:14,524 I'm gonna tear him limb from limb. 442 00:22:14,656 --> 00:22:16,758 Millin, you are flying through this. 443 00:22:16,893 --> 00:22:19,295 At the rate you're going, we'll be out of here in 15 minutes. 444 00:22:19,429 --> 00:22:21,598 My parents never sent me to summer camp. 445 00:22:21,730 --> 00:22:23,833 They just dropped me off at the arcade every day, 446 00:22:23,967 --> 00:22:26,302 and I played the claw machine for six hours straight. 447 00:22:26,436 --> 00:22:27,604 You know how to work those? 448 00:22:27,736 --> 00:22:29,472 -Mm-hmm. -What have you won? 449 00:22:30,273 --> 00:22:31,740 Strawberries and fish tacos. 450 00:22:34,344 --> 00:22:35,612 Stimulate S-5. 451 00:22:36,980 --> 00:22:40,183 - Molly, remember, if you see anything, 452 00:22:40,316 --> 00:22:44,020 no matter how faint the image, just let me know. 453 00:22:44,154 --> 00:22:45,522 Nothing yet. 454 00:22:45,654 --> 00:22:49,025 All right. Let's increase the frequency to 180 hertz. 455 00:22:50,759 --> 00:22:53,695 If it gets uncomfortable, let me know and I can stop. 456 00:22:55,198 --> 00:22:58,501 Okay. Let's bump it up to 200 Hz. 457 00:23:01,638 --> 00:23:03,573 Dr. Shepherd, she's starting to get D waves again. 458 00:23:03,705 --> 00:23:08,677 Sporadic episodes. We still have time before a potential seizure. W-5. 459 00:23:10,613 --> 00:23:14,551 Decrease the amplitude to two millivolts. 460 00:23:15,185 --> 00:23:16,319 How you doing, Molly? 461 00:23:16,785 --> 00:23:18,821 Still fine. Just... just waiting. 462 00:23:18,955 --> 00:23:21,491 The waves are increasing in frequency and amplitude. 463 00:23:21,624 --> 00:23:24,360 I'm keeping my eye on it. X-5. 464 00:23:27,964 --> 00:23:29,265 - I'm stopping. - Griffith, 465 00:23:29,399 --> 00:23:31,700 you will press that button if I tell you to. 466 00:23:33,403 --> 00:23:35,038 -Y-5. -She's going to seize. 467 00:23:35,171 --> 00:23:37,507 -If we have to put her in a coma, she-- -Dr. Griffith, 468 00:23:37,640 --> 00:23:40,343 I need you to trust me or get out of my OR. 469 00:23:40,910 --> 00:23:42,478 I see something. 470 00:23:48,851 --> 00:23:50,653 Can you tell me what you see? 471 00:23:51,720 --> 00:23:55,258 I'm outside. I'm walking near a lake. 472 00:23:56,092 --> 00:23:58,428 I see... I see mountains. 473 00:23:58,561 --> 00:24:00,762 It's, it's beautiful here. 474 00:24:02,731 --> 00:24:04,467 Wait, wait, it's all gone. 475 00:24:04,601 --> 00:24:06,035 Because I stopped stimulating. 476 00:24:06,169 --> 00:24:10,540 That was absolutely amazing. Is it time to close? 477 00:24:11,174 --> 00:24:14,410 That's not why I stopped. Hand me the control panel. 478 00:24:16,079 --> 00:24:19,949 We need to verify that the stimulation is provoking the memory. 479 00:24:20,083 --> 00:24:22,151 Her seizure activity is becoming more unstable. 480 00:24:22,285 --> 00:24:24,721 Restarting. See anything now? 481 00:24:24,854 --> 00:24:27,390 I'm still at the same place and... 482 00:24:29,592 --> 00:24:31,261 there's someone else here. 483 00:24:31,861 --> 00:24:34,130 -A man. -Do you know who it is? 484 00:24:34,264 --> 00:24:38,234 No, he's too far ahead, but he's wearing a red jacket. 485 00:24:39,102 --> 00:24:40,903 I think we're here together. 486 00:24:41,604 --> 00:24:43,172 Wait, did you stop again? 487 00:24:43,306 --> 00:24:44,607 I did. 488 00:24:44,741 --> 00:24:46,876 All right. 489 00:24:47,377 --> 00:24:48,845 How about now? 490 00:24:48,978 --> 00:24:53,149 I'm still here. I'm-I'm taking something out of my pocket. 491 00:24:53,283 --> 00:24:56,052 It's, uh... it's a map. 492 00:24:56,586 --> 00:25:02,292 It says, "The Beehive Basin Trail." It's Big Sky. 493 00:25:03,393 --> 00:25:07,497 All right, we are going to reduce the frequency back to 140 hertz 494 00:25:07,630 --> 00:25:13,002 and one millivolt, terminating the stimulation and removing the grid. 495 00:25:13,136 --> 00:25:15,338 Wait, no, no. Wait, why are you stopping please? 496 00:25:15,471 --> 00:25:18,508 We can't risk more seizure activity, but, Molly, you did great. 497 00:25:19,108 --> 00:25:21,978 -Would you like me to close? -I've got it. 498 00:25:25,114 --> 00:25:27,950 The EGD went well. We were able to clear your esophagus 499 00:25:28,084 --> 00:25:29,786 and administer the Botox to relax your sphincter. 500 00:25:29,919 --> 00:25:32,021 And once we confirm everything's going down okay, 501 00:25:32,155 --> 00:25:33,623 you'll be good to eat whatever you want. 502 00:25:33,756 --> 00:25:35,658 Just need to take it easy for a couple of days. 503 00:25:35,793 --> 00:25:38,394 -I'll take it easy after the reunion. -No, wait, you need to rest. 504 00:25:38,528 --> 00:25:40,997 Otherwise, you'll wind up back here in a week. 505 00:25:41,130 --> 00:25:45,702 Two years of hard work, and Bobby's about to undo it all in two hours? 506 00:25:45,835 --> 00:25:49,172 Well, why doesn't Nora go? Make sure he doesn't mess things up. 507 00:25:49,305 --> 00:25:51,341 -Okay, you need to fire him. -We don't pay him. 508 00:25:51,474 --> 00:25:54,777 Look, we can't just let Bobby have what he wants because he means well. 509 00:25:54,911 --> 00:25:58,114 You need to go down there and tell him that he is out. 510 00:25:59,482 --> 00:26:03,920 Well, um, the good news is we were able to debulk a lot of the mass. 511 00:26:04,053 --> 00:26:07,156 So there is bad news... again. 512 00:26:07,290 --> 00:26:13,363 Yes, so we couldn't revive your working kidney, so we had to remove it. 513 00:26:13,996 --> 00:26:17,734 Back to dialysis. More hours of my life wasted. 514 00:26:17,867 --> 00:26:20,436 Once you're in remission, we can put you back on the transplant list again. 515 00:26:20,570 --> 00:26:24,741 I've already had three. I'm a hard match. I won't find another. 516 00:26:26,042 --> 00:26:27,377 You never know. 517 00:26:27,877 --> 00:26:29,712 Before my first transplant, 518 00:26:29,847 --> 00:26:33,750 I made a bucket list of all the things I wanted to do before I died, 519 00:26:33,883 --> 00:26:36,018 you know, like climb the Great Wall 520 00:26:36,152 --> 00:26:37,420 or drive on the Autobahn. 521 00:26:37,553 --> 00:26:38,955 Oh, see the Rockettes. 522 00:26:39,088 --> 00:26:42,458 I mean, I thought I'd be lucky to do half. 523 00:26:42,592 --> 00:26:47,230 I did all of 'em. Organ donors gave me a second chance on life, 524 00:26:47,363 --> 00:26:50,466 and then a third and a fourth. 525 00:26:50,600 --> 00:26:53,403 And I'm happy with what I did with them. 526 00:26:53,536 --> 00:26:58,441 So, if this is it... this is it. 527 00:27:03,946 --> 00:27:04,981 Or you could call Gary. 528 00:27:05,114 --> 00:27:06,549 We're not calling Gary. 529 00:27:06,682 --> 00:27:08,785 -Wait. Gary is... -Our brother. 530 00:27:08,918 --> 00:27:10,286 Well, I'll be damned. 531 00:27:10,420 --> 00:27:11,822 I'd rather live the rest of my life in a box. 532 00:27:11,954 --> 00:27:13,423 By box do you mean coffin? 533 00:27:13,556 --> 00:27:15,425 It'd be better than calling Gary! 534 00:27:19,061 --> 00:27:22,465 She loved Big Sky. We went a couple of times. 535 00:27:22,598 --> 00:27:24,667 I can't believe she actually remembered something. 536 00:27:24,802 --> 00:27:26,804 All the way down to your red jacket. 537 00:27:29,238 --> 00:27:30,706 I'll check on her in a bit. 538 00:27:38,247 --> 00:27:41,384 -Hey. How are you feeling? -Hmm. 539 00:27:44,420 --> 00:27:47,056 Tired. 540 00:27:49,058 --> 00:27:50,828 Hey. They said I had a memory. 541 00:27:56,432 --> 00:28:00,636 I just wish my brain could hold on to them when it's not being stimulated. 542 00:28:04,106 --> 00:28:06,676 Does, uh, Dave have a red jacket? 543 00:28:07,610 --> 00:28:09,412 He has a lot of jackets. 544 00:28:10,246 --> 00:28:12,181 Did you ever go to Big Sky with him? 545 00:28:13,483 --> 00:28:15,151 A couple of times. Why? 546 00:28:17,921 --> 00:28:19,422 Is that what I remembered? 547 00:28:24,494 --> 00:28:26,930 But that was a memory from after the accident. 548 00:28:29,031 --> 00:28:32,836 You don't need to remember anything for us to have a future together. 549 00:28:33,436 --> 00:28:35,705 You know, it's all in my brain. 550 00:28:35,839 --> 00:28:40,009 It's all in there. We just have to find a way to unlock it. 551 00:28:40,142 --> 00:28:41,879 Hey, maybe there's a clinical trial. 552 00:28:42,011 --> 00:28:43,646 No, you... No, no, no, no, 553 00:28:43,779 --> 00:28:45,949 you don't let people dig into your brain when you're healthy. 554 00:28:46,516 --> 00:28:47,717 I'm worried about you. 555 00:28:47,851 --> 00:28:50,052 The worst has already happened. 556 00:28:52,188 --> 00:28:56,659 - I lost my life. - No, you didn't. You're here. 557 00:29:02,665 --> 00:29:06,369 You should rest. We can talk about this later. 558 00:29:12,542 --> 00:29:15,846 - Okay. All right. Thank you. - Hey. 559 00:29:16,379 --> 00:29:18,114 So Liz is being discharged. 560 00:29:18,247 --> 00:29:20,550 She is. But she needs to rest, 561 00:29:20,683 --> 00:29:24,186 so she's sending me to go make sure this reunion doesn't fall apart. 562 00:29:24,320 --> 00:29:25,488 Mmm. 563 00:29:25,923 --> 00:29:28,424 I wish Megan wasn't chaperoning your nephew's camping trip. 564 00:29:28,558 --> 00:29:34,597 Yeah. I can go with you if you want. I'd love to see the new paint in the gym. 565 00:29:35,665 --> 00:29:37,901 Seriously? Teddy won't mind? 566 00:29:39,569 --> 00:29:41,737 We've agreed to... 567 00:29:42,572 --> 00:29:44,875 We've agreed that we could see other people. 568 00:29:45,508 --> 00:29:47,577 -Oh. -Yeah. 569 00:29:50,013 --> 00:29:51,614 Okay. 570 00:29:51,747 --> 00:29:55,117 So I'll go home, and I'll change and come pick you up. 571 00:29:55,251 --> 00:29:56,586 I'll text you my address. 572 00:29:57,186 --> 00:29:58,754 -Okay. -Yeah. 573 00:30:07,630 --> 00:30:11,434 So, the program is a 16-week rotation, 574 00:30:11,567 --> 00:30:14,770 but we operate on a rolling basis. 575 00:30:15,538 --> 00:30:18,341 The trainees request start dates, 576 00:30:18,474 --> 00:30:21,644 based on where it fits within their home curriculum. 577 00:30:21,777 --> 00:30:24,246 So at any given time, 578 00:30:24,380 --> 00:30:29,685 we have 20 to 30 trainees from 13 different states, 579 00:30:29,820 --> 00:30:31,989 but still that's not nearly enough 580 00:30:32,121 --> 00:30:35,291 to address patient demands across the country. 581 00:30:36,960 --> 00:30:38,761 You know, somebody recently said 582 00:30:38,895 --> 00:30:43,800 that programs like this are a beacon of hope in a dark time. 583 00:30:43,934 --> 00:30:49,840 Well, I hope that you will join me in lighting the way. Thank you. 584 00:31:51,500 --> 00:31:55,337 -Are you okay? -Yeah. Yeah. 585 00:31:55,471 --> 00:31:58,541 -Are you sure? -Yeah, yeah, yeah. I'm good. 586 00:31:58,674 --> 00:32:00,043 I'm good. Come here. 587 00:32:05,381 --> 00:32:07,017 Wait. Wait. Um... 588 00:32:07,150 --> 00:32:08,885 I'm sorry, it's just dumb. 589 00:32:09,019 --> 00:32:11,220 It's not you. It's just I, um... 590 00:32:12,722 --> 00:32:15,524 I feel like I'm cheating on my husband. 591 00:32:16,726 --> 00:32:19,595 Is this what it felt like when you first opened your marriage? 592 00:32:22,498 --> 00:32:24,567 Our marriage was suffocating us. 593 00:32:25,534 --> 00:32:28,972 Being with someone else... 594 00:32:29,106 --> 00:32:31,574 ...felt like finally breathing fresh air. 595 00:32:40,716 --> 00:32:43,854 You really are amazing. 596 00:32:44,687 --> 00:32:45,688 So I'm told. 597 00:32:46,255 --> 00:32:51,895 But this... this... is not gonna fix my marriage. 598 00:32:53,629 --> 00:32:56,365 -I'm so sorry. -Me too. 599 00:32:58,034 --> 00:32:59,268 It's okay. 600 00:33:06,609 --> 00:33:12,983 I checked on Liz, and a smoothie went down and is in her stomach safe and sound. 601 00:33:13,116 --> 00:33:16,485 You handled that disimpaction like an experienced surgeon. 602 00:33:16,619 --> 00:33:17,988 You didn't need a surgeon for that. 603 00:33:18,121 --> 00:33:20,589 Any teenager in an arcade could've figured it out. 604 00:33:20,723 --> 00:33:22,959 Maybe just take the compliment. 605 00:33:23,626 --> 00:33:24,961 Where are you going? 606 00:33:25,594 --> 00:33:27,496 To update Liz's chart. 607 00:33:27,630 --> 00:33:30,366 Oh, you thought today was just about learning to disimpact an esophagus? 608 00:33:30,499 --> 00:33:32,002 What else would it be about? 609 00:33:32,135 --> 00:33:34,938 Your first transesophageal echocardiogram. 610 00:33:35,571 --> 00:33:37,306 -Really? -Yeah, come on up. 611 00:33:44,613 --> 00:33:47,483 -So you... You want me to... -Find the heart. 612 00:33:47,951 --> 00:33:49,685 It's just like the EGD, okay? 613 00:33:49,820 --> 00:33:52,989 Insert the scope, flat side facing the floor of the mouth. 614 00:33:53,824 --> 00:33:56,358 Good, slowly feed it down the esophagus. 615 00:33:56,492 --> 00:33:59,930 Good, good. Now adjust the angle. 616 00:34:01,031 --> 00:34:07,369 There. I-I might be biased, but every time I see that, it feels like the first time. 617 00:34:07,503 --> 00:34:08,872 It's incredible. 618 00:34:23,519 --> 00:34:24,587 Her EEG looks stable. 619 00:34:24,720 --> 00:34:26,122 Mm-hmm. 620 00:34:28,657 --> 00:34:30,293 I'm sorry for challenging you. 621 00:34:31,194 --> 00:34:32,628 Kwan was in your head. 622 00:34:33,029 --> 00:34:34,064 Yes. 623 00:34:34,197 --> 00:34:36,199 Your star may be on the rise, 624 00:34:37,566 --> 00:34:42,839 but that is not the same as having years of experience with hundreds of patients. 625 00:34:42,973 --> 00:34:46,575 Whatever you know about the patient's family, their loved ones, 626 00:34:46,709 --> 00:34:50,412 you keep it out of my OR or you do not step foot inside it. 627 00:34:50,546 --> 00:34:51,915 It won't happen again. 628 00:34:52,048 --> 00:34:56,719 Okay. Now get started on a write-up for grand rounds. 629 00:34:56,853 --> 00:34:59,022 You're gonna present this at grand rounds. 630 00:34:59,521 --> 00:35:03,425 We are. Congratulations. 631 00:35:09,732 --> 00:35:11,334 Wilson, hey, about that surge. 632 00:35:11,467 --> 00:35:15,071 No. Marcus, I am grateful to you for saving my pregnancy, 633 00:35:15,205 --> 00:35:17,807 but that does not mean that you get to walk all over me. 634 00:35:17,941 --> 00:35:19,475 -I'm sorry? -I'm not your patient. 635 00:35:19,608 --> 00:35:20,776 I'm your colleague. 636 00:35:20,911 --> 00:35:22,444 Sharking my surgeries doesn't help me. 637 00:35:22,578 --> 00:35:24,613 It undermines my authority and limits my training. 638 00:35:24,747 --> 00:35:26,983 -I was just trying to help. -Don't flatter yourself. 639 00:35:27,117 --> 00:35:30,153 -I can advocate for myself. -I'm sorry. 640 00:35:30,287 --> 00:35:34,024 And it's "surgery," not "surge." 641 00:35:38,761 --> 00:35:41,597 This some sort of OB showdown? 642 00:35:43,266 --> 00:35:46,468 The three of us decided it was time for a little talk. 643 00:35:46,602 --> 00:35:48,604 Well, he earned it. 644 00:35:49,471 --> 00:35:50,941 Do you want to go for a burger? 645 00:35:51,274 --> 00:35:53,910 As long as I don't have to talk about vaginal tears. 646 00:35:54,476 --> 00:35:57,047 - Okay. - Good deal. 647 00:36:02,152 --> 00:36:06,089 -I love those crackers. -Yeah. You never let me throw them away 648 00:36:06,222 --> 00:36:08,457 when we got soup from our neighborhood deli. 649 00:36:08,959 --> 00:36:10,459 What kind of soup? 650 00:36:10,592 --> 00:36:13,263 You liked their Manhattan clam chowder. 651 00:36:17,466 --> 00:36:19,635 -I called your parents. -What? 652 00:36:20,469 --> 00:36:22,272 -Why? -I was worried. 653 00:36:22,405 --> 00:36:25,976 And then I found out that they had no idea about your surgery 654 00:36:26,109 --> 00:36:29,846 -or that we're back together. -Well, I didn't want them to freak out. 655 00:36:29,980 --> 00:36:32,816 Okay, but you lied to me about it. 656 00:36:33,950 --> 00:36:36,652 I think you know you're on a slippery slope. 657 00:36:36,785 --> 00:36:38,554 This isn't like last time. 658 00:36:38,687 --> 00:36:41,992 Yeah, which you also didn't tell me about. I found out from Dave. 659 00:36:42,125 --> 00:36:44,294 Okay, look, I am so close to remembering. 660 00:36:44,427 --> 00:36:47,596 No one with retrograde amnesia has ever gotten their memories back. 661 00:36:48,630 --> 00:36:50,066 What makes you think you're different? 662 00:36:50,200 --> 00:36:54,137 I don't know. But that day that I saw you in the ER, 663 00:36:54,270 --> 00:36:55,972 I mean, that was the first time 664 00:36:56,106 --> 00:36:59,541 I felt like a piece of my old life was trying to resurface. 665 00:36:59,675 --> 00:37:03,046 I do. I wanna remember my grandparents 666 00:37:03,179 --> 00:37:08,184 and-and family vacations and my college graduation. 667 00:37:09,518 --> 00:37:10,920 I don't feel whole. 668 00:37:11,054 --> 00:37:13,156 I want to. 669 00:37:14,357 --> 00:37:15,458 I need to. 670 00:37:15,859 --> 00:37:19,661 Because I don't know what will happen if I don't. 671 00:37:21,231 --> 00:37:23,033 Are you only with me 672 00:37:24,034 --> 00:37:27,237 because you think it might help get your memory back? 673 00:37:31,374 --> 00:37:33,877 I, um... 674 00:37:35,045 --> 00:37:36,880 I don't know. 675 00:37:43,719 --> 00:37:44,921 -Hey, um... -Yeah. 676 00:37:45,055 --> 00:37:46,856 ...so I reviewed Allan's post-op labs. 677 00:37:46,990 --> 00:37:49,025 -Everything looks good. -Great, thank you. 678 00:37:49,159 --> 00:37:51,795 And great catch with the thrombosis. He could have gone septic and died. 679 00:37:51,928 --> 00:37:55,098 Yeah, I don't understand why he won't just call his brother. 680 00:37:55,231 --> 00:37:56,765 He'd have a kidney tomorrow. 681 00:37:56,900 --> 00:37:59,668 Yeah, sometimes people are their own biggest obstacles. 682 00:38:00,437 --> 00:38:03,772 Hey, uh, do you think I need to repeat intern year? 683 00:38:03,907 --> 00:38:07,609 You said that all internships should be longer, but they're not. 684 00:38:07,743 --> 00:38:09,946 The rest of my class is already moving on. 685 00:38:10,080 --> 00:38:12,581 If I have to remediate, that'll go on my record. 686 00:38:12,714 --> 00:38:16,119 Competitive specialties and fellowships will be off the table. 687 00:38:16,252 --> 00:38:18,587 My surgical skills are as good as my classmates, 688 00:38:18,720 --> 00:38:20,457 but my career is going to suffer 689 00:38:20,589 --> 00:38:23,126 because I tried to save a patient who was going to die anyway. 690 00:38:23,259 --> 00:38:25,929 You're right, but that's up to Catherine Fox. 691 00:38:26,563 --> 00:38:28,298 Do you think I can change her mind? 692 00:38:28,431 --> 00:38:32,402 I'm not sure, but I know someone who might. 693 00:38:33,303 --> 00:38:37,807 So, if you have any suggestions on how I could approach her 694 00:38:37,941 --> 00:38:40,977 or what to say, I'd really appreciate it. 695 00:38:41,111 --> 00:38:44,080 You want advice on how to persuade my wife? 696 00:38:44,214 --> 00:38:46,249 Yes, sir. 697 00:38:50,453 --> 00:38:54,623 Couple of years ago, I surprised her with a trip to the Maldives. 698 00:38:55,125 --> 00:38:58,361 Booked one of those bungalows that's over the water, 699 00:38:58,495 --> 00:39:02,298 a five-star restaurant, sunset yacht cruises. 700 00:39:02,432 --> 00:39:04,167 It sounds really nice. 701 00:39:04,300 --> 00:39:09,771 Oh, it was paradise. You know what she said the best part was? 702 00:39:10,306 --> 00:39:11,773 Yeah, I don't-- 703 00:39:11,908 --> 00:39:13,843 It was a little coffee pot in our room 704 00:39:14,611 --> 00:39:17,646 that was stocked with Seattle roaster coffee. 705 00:39:18,448 --> 00:39:20,917 Said she never found anything better. 706 00:39:21,918 --> 00:39:23,153 You understand what I'm saying? 707 00:39:23,953 --> 00:39:26,688 You could've saved a lot of money and gone to the café next door? 708 00:39:26,823 --> 00:39:31,895 No. I'm saying that once she makes up her mind about something, 709 00:39:32,028 --> 00:39:35,465 she needs a really good reason for her to change it. 710 00:39:36,166 --> 00:39:37,467 And you don't have it. 711 00:39:37,834 --> 00:39:39,035 Sorry. 712 00:39:39,169 --> 00:39:40,870 When you want something badly, 713 00:39:41,004 --> 00:39:44,207 it's hard to know if or when to throw in the towel. 714 00:39:44,874 --> 00:39:47,210 A glass of the house white, and his next drink is on me. 715 00:39:47,343 --> 00:39:49,579 I'm presenting at grand rounds! 716 00:39:49,711 --> 00:39:52,148 It's over. Me and Molly. 717 00:39:52,282 --> 00:39:55,151 I'm so sorry. Was it Dave? 718 00:39:56,319 --> 00:39:59,989 Hey. It took me longer to get out of there than I thought it would. 719 00:40:00,789 --> 00:40:02,392 -Did someone die? -Blue and Molly broke up. 720 00:40:02,525 --> 00:40:05,028 Oh, sorry. Did she go back to Dave? 721 00:40:05,161 --> 00:40:09,731 I just did my first transesophageal echocardiogram. 722 00:40:09,866 --> 00:40:11,334 Read the room, Millin. 723 00:40:11,467 --> 00:40:13,203 Blue and Molly broke up. Don't ask about Dave. 724 00:40:13,336 --> 00:40:15,905 -Who's Dave? -Can you not talk about me in front of me? 725 00:40:16,039 --> 00:40:17,574 Nobody wants to talk about you. 726 00:40:17,706 --> 00:40:20,043 Could I just get a rum and coke and whatever he wants? 727 00:40:20,176 --> 00:40:21,611 Hey, hey, what about me? 728 00:40:21,743 --> 00:40:23,745 I'll buy you a drink when you and Griffith break up. 729 00:40:24,713 --> 00:40:26,249 So, never. 730 00:40:26,382 --> 00:40:28,585 -Hey, can I get... -Shh, shh, shh. 731 00:40:33,489 --> 00:40:35,391 So we push the limits. 732 00:40:35,825 --> 00:40:40,430 Hoping if we put in a little more time, more effort, maybe it'll all work out. 733 00:40:40,563 --> 00:40:43,366 You're not a margherita flatbread with a side salad. 734 00:40:45,767 --> 00:40:49,606 Um, Ben, Teddy's here. Yeah, I'll call you later. 735 00:40:51,241 --> 00:40:55,445 Uh, did you want, uh, mini red, mini white? The mini bourbon's mine. 736 00:40:55,578 --> 00:40:58,281 Uh, mini gin and tonic. 737 00:40:58,414 --> 00:41:03,519 Ah, only if you, uh, want it served in a giant glass. 738 00:41:05,855 --> 00:41:07,023 Okay. 739 00:41:08,024 --> 00:41:10,493 Uh, congratulations on your presentation. 740 00:41:10,627 --> 00:41:12,295 Thanks. 741 00:41:13,762 --> 00:41:17,934 Uh, I didn't see you and Beckman after. 742 00:41:18,067 --> 00:41:20,937 Oh. Yeah, we, uh... we left and ended up-- 743 00:41:21,070 --> 00:41:25,441 You know, I don't need to know. I work with both your husbands. 744 00:41:26,775 --> 00:41:29,746 We ended up going to the environmental health panel. 745 00:41:30,480 --> 00:41:31,814 That's not what I expected. 746 00:41:31,948 --> 00:41:33,283 Honestly... 747 00:41:35,551 --> 00:41:36,886 me neither. 748 00:41:38,488 --> 00:41:39,788 -Cheers. -Ah. 749 00:41:42,091 --> 00:41:47,263 Take it right out of the... Okay. Get you some pretzels. 750 00:41:47,630 --> 00:41:48,798 Uh... 751 00:41:57,340 --> 00:41:59,809 Or you could crash and burn. 752 00:42:00,810 --> 00:42:03,279 Taking everything you love down with you. 753 00:42:15,158 --> 00:42:17,193 But you won't know until you try.