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- [Siren wailing]
- [woman on radio] Incoming,
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car versus motorcycle. Carjumpedthe rails, hit the cyclist head on.
3
00:00:07,741 --> 00:00:10,141
37 year-old male,unconscious and unresponsive
4
00:00:10,176 --> 00:00:12,770
with an idioventricular rhythm.Obvious head trauma,
5
00:00:12,812 --> 00:00:14,973
brain matter evident on the scene,15 minutes out.
6
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You heard 'em.
Somebody page Shepherd. Let's move!
7
00:00:18,051 --> 00:00:20,178
- [Woman] Got it.
- We're on trauma rotation.
8
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So it's our job
to take point and assess
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00:00:22,555 --> 00:00:24,455
each medical emergency as it comes in.
10
00:00:24,491 --> 00:00:27,949
- [Woman] Let's get X-ray in here!
- [Man] Retractor.
11
00:00:27,994 --> 00:00:30,724
- Talk to me, Grey.
- [Meredith] Peripheral IV's blown,
12
00:00:30,764 --> 00:00:32,197
- pressure's plummeting.
- [Cristina] Running a code
13
00:00:32,232 --> 00:00:34,757
can be chaotic.Sometimes the best thing you can do
14
00:00:34,801 --> 00:00:37,531
is know when to get out of the way.
15
00:00:37,570 --> 00:00:40,232
- [Man] Someone page Dr. Shepherd!
- V-tach!
16
00:00:41,274 --> 00:00:45,233
- [Owen] No pulse. Push one of epi.
- Starting compressions!
17
00:00:45,278 --> 00:00:49,271
- Give me those paddles!
- [Woman]... are wide open.
18
00:00:50,784 --> 00:00:53,878
I was paged down to assess
the patient's head trauma.
19
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When they stabilize him,
I'll go in, I'll do my stuff.
20
00:00:56,489 --> 00:00:59,356
- Let's see what we have.
- [Meredith] Got a rhythm.
21
00:00:59,392 --> 00:01:02,088
[Woman speaking]
22
00:01:03,763 --> 00:01:06,129
That's it. He's basically brain dead.
23
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Um, excuse me one second.
24
00:01:08,668 --> 00:01:10,101
[Derek]
25
00:01:14,507 --> 00:01:16,134
We're still gonna
have to cross match him.
26
00:01:16,176 --> 00:01:18,201
- Yeah, of course.
- [Mark] Hey.
27
00:01:18,244 --> 00:01:20,178
Hey, look at this.
Blood type's a match,
28
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skin's a match.
Age, size, gender, all matching.
29
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- We got our guy.
- We got our guy?
30
00:01:27,854 --> 00:01:29,879
We got our guy.
31
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You picked a good night
to start filming.
32
00:01:31,424 --> 00:01:33,915
- Yeah.
- This is gonna be fun.
33
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[Man] We just got a call from Dr. Sloan.
He said to hurry over,
34
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- so we got out of bed and came in.
- [Woman] Right in.
35
00:01:39,599 --> 00:01:44,400
I was in such a hurry, I forgot my
shoes. Look, I still got my slippers on.
36
00:01:44,437 --> 00:01:47,201
Ha! We've been waiting
for this for so long.
37
00:01:47,240 --> 00:01:50,038
Today's the day.
Today is my transplant day.
38
00:01:50,076 --> 00:01:54,809
- Yay, Transplant Day!
- I'm gonna get me some arms.
39
00:01:54,848 --> 00:01:56,577
[Theme music plays]
40
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[Narrator] Seattle GraceMercy West Hospital.
41
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Home to some of the finest, mostinfluential doctors in the country.
42
00:02:02,755 --> 00:02:05,280
Several months ago,a gunman roamed these halls,
43
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leaving 11 people deadand even more injured.
44
00:02:07,794 --> 00:02:11,230
Today, we visit the survivors,their patients, their triumphs
45
00:02:11,264 --> 00:02:16,930
and their disappointments. This is
Seattle Medical: Road to Recovery.
46
00:02:18,705 --> 00:02:21,469
[Richard] Things have changedsince the shooting, sure.
47
00:02:21,508 --> 00:02:25,740
For one thing, over the last month,
we have installed a number
48
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of new, uh, security measures.
49
00:02:28,715 --> 00:02:31,912
We're trying to make it safer
for the hospital,
50
00:02:31,951 --> 00:02:34,749
the doctors and the patients.
51
00:02:34,787 --> 00:02:35,879
- [Lexie] Come on!
- So, what...
52
00:02:35,922 --> 00:02:38,083
We go through this every morning.
It's me. I swear.
53
00:02:38,124 --> 00:02:41,457
I just... I have a different hair color,
that's all. It's... Chief!
54
00:02:41,494 --> 00:02:45,954
Chief, would you please... Would you
come tell them that I'm me? Please?
55
00:02:45,999 --> 00:02:47,694
Um...
56
00:02:47,734 --> 00:02:51,830
- Excuse me. What's going on?
- I just... Every day.
57
00:02:51,871 --> 00:02:54,772
[Laughs] Uh, we are
fourth-year surgical residents.
58
00:02:54,807 --> 00:02:57,833
And, uh, we're friends. Good friends.
59
00:02:59,112 --> 00:03:03,776
It's pretty impossible to work this
closely and not become good friends.
60
00:03:03,816 --> 00:03:07,149
[Woman] Can we call Respiratory
to get a vent down here?
61
00:03:08,321 --> 00:03:10,050
He's tachycardic and hypotensive.
62
00:03:10,089 --> 00:03:12,853
Decreased breath sounds on the left.
Let's get a chest tube.
63
00:03:13,860 --> 00:03:16,192
- His blood pressure's dropping.
- Let's make sure...
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[Cristina] Sure, going through somethinglike that, it's brought us closer.
65
00:03:19,999 --> 00:03:21,830
Not that we weren't close before.
66
00:03:21,868 --> 00:03:24,735
I mean, ask anyone. We're close.
67
00:03:24,771 --> 00:03:27,399
Dr. Yang and my wife
sometimes have sleepovers.
68
00:03:27,440 --> 00:03:29,704
In my bed, with me in it.
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00:03:29,742 --> 00:03:32,802
[Cristina] So, yeah. Yes.It's brought us closer for sure.
70
00:03:32,845 --> 00:03:35,336
- He needs a thoracotomy.
- Right, right.
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00:03:35,381 --> 00:03:37,110
- Yes, please.
- [Man] I'll work the OR.
72
00:03:37,150 --> 00:03:38,879
[Cristina] Where's that ABG?
73
00:03:42,021 --> 00:03:43,716
Sterile drape.
74
00:03:43,756 --> 00:03:47,021
- Here. Take over compressions. Great.
- I'll get it.
75
00:03:47,727 --> 00:03:51,561
[Alex] It's, uh, 7 am.I've been here two hours.
76
00:03:52,699 --> 00:03:54,633
My interns, they got here before that.
77
00:03:54,667 --> 00:03:58,831
They check on the patients and report
to me before I check on the patients,
78
00:03:58,871 --> 00:04:01,806
report to my attending. Lily!
I told you already.
79
00:04:01,841 --> 00:04:04,241
- [Pop music plays]
- Turn it down or put in the headphones.
80
00:04:04,277 --> 00:04:06,211
The rest of us don't have Bieber fever.
81
00:04:06,246 --> 00:04:10,046
- Whatever that is.
- [Turns music down]
82
00:04:10,083 --> 00:04:12,779
How have I changed since the shooting?
83
00:04:12,819 --> 00:04:15,287
Um...
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00:04:15,321 --> 00:04:18,017
I don't know.
85
00:04:18,057 --> 00:04:19,957
Oh, I got this.
86
00:04:24,597 --> 00:04:30,035
Today, I'm going back to Seattle Grace
for my colostomy reversal.
87
00:04:30,069 --> 00:04:33,436
Oh. Babe, did we remember
my robe and my fuzzy socks?
88
00:04:33,473 --> 00:04:37,739
Yes and yes.
If by "we," you mean me.
89
00:04:37,777 --> 00:04:39,768
- Because you forgot.
- [Laughs]
90
00:04:39,812 --> 00:04:43,475
[Mary] I was supposed to getthis surgery months ago but,
91
00:04:43,516 --> 00:04:47,282
well, the shooting happened instead.
92
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- You have the parking ticket?
- Yeah, in my pocket.
93
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[Mary] I haven't been backto the hospital since that day.
94
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I don't know how itwill feel to be back.
95
00:05:01,601 --> 00:05:05,628
That's right, it's Portman.P- O-R-T-M-A-N.
96
00:05:05,672 --> 00:05:08,004
And can you tell me where
I can get this validated?
97
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- [Woman] I'll take care of it.
- Thanks.
98
00:05:10,810 --> 00:05:12,437
[Mary sighs]
99
00:05:13,813 --> 00:05:16,281
[Mary] Hey, Dr. B.
100
00:05:16,316 --> 00:05:18,443
Oh! [laughs]
101
00:05:18,484 --> 00:05:23,478
Yeah, I don't generally make it
a habit to hug my patients.
102
00:05:23,523 --> 00:05:26,287
[Arizona] Yeah, well, when youget paged 911, you don't walk.
103
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You never walk.
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- OK, talk.
- [Rapid beeping]
105
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OK.
106
00:05:45,278 --> 00:05:48,247
God, I can't get past the obstruction.
Damn it. How long?
107
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- Five minutes.
- Damn it!
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00:05:51,584 --> 00:05:53,484
Yes. Yes, do it now.
109
00:06:04,030 --> 00:06:05,463
[Rapid beeping]
110
00:06:05,498 --> 00:06:08,194
[Siren wailing]
111
00:06:13,373 --> 00:06:15,841
[Arizona] No, no, no. Lily,
Lily, I know, I know this is scary.
112
00:06:15,875 --> 00:06:18,844
You stopped breathing.
And so we had to take you to the OR
113
00:06:18,878 --> 00:06:21,540
and put a tube in your neck
to help get you air. No, no.
114
00:06:21,581 --> 00:06:25,210
You can't talk, OK? But we called your
mom at work, and she's on her way.
115
00:06:25,251 --> 00:06:28,084
Lily was admitted with
respiratory distress last night.
116
00:06:28,121 --> 00:06:30,681
She has a growth on her windpipe.
117
00:06:30,723 --> 00:06:33,021
It's benign, except
for there's nothing benign
118
00:06:33,059 --> 00:06:34,583
about something that's
blocking your airway.
119
00:06:34,627 --> 00:06:36,424
She's had surgeries
to remove it in the past,
120
00:06:36,462 --> 00:06:38,089
but it's aggressive.
It keeps recurring,
121
00:06:38,131 --> 00:06:41,066
and, obviously, it's gotten worse.
122
00:06:41,100 --> 00:06:43,398
- Much worse.
- [Alex] This is the nurse's button.
123
00:06:43,436 --> 00:06:46,030
If you need anything, you push it.
I mean, push it a lot.
124
00:06:46,072 --> 00:06:50,202
Don't worry about being annoying.
Push it till they come in here.
125
00:06:53,212 --> 00:06:56,375
It's OK. It's all right. Here.
126
00:07:00,319 --> 00:07:02,549
Not too loud, OK?
127
00:07:02,588 --> 00:07:05,887
[Alex] It happens more than you'd think,having to do a procedure on a kid
128
00:07:05,925 --> 00:07:09,088
with no parents around. Someof these kids are in here for weeks.
129
00:07:09,128 --> 00:07:12,291
Their parents usually
can't take off that much work.
130
00:07:12,331 --> 00:07:14,390
But, I mean, we try to help out.
131
00:07:14,434 --> 00:07:18,234
We have these beds, we call them parent
cots, for the parents to sleep in.
132
00:07:18,271 --> 00:07:20,899
But a lot of these kids
spend a lot of time alone.
133
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Just works out that way.
Doesn't mean they're bad parents,
134
00:07:24,010 --> 00:07:26,444
they're just busy parents.
135
00:07:27,480 --> 00:07:31,041
I found out last night that he...
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...had been in an accident.
137
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Just before the phone rang,
I had this sinking feeling.
138
00:07:41,828 --> 00:07:43,796
Motorcycles.
139
00:07:45,198 --> 00:07:48,258
[Sobbing] Donor cycles.
Isn't that what they call them?
140
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They called me in here becauseeven though Sam is a donor,
141
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they need special consentfor something like this.
142
00:07:57,310 --> 00:08:01,337
I know Sam would want to donate
whatever he could so, of course, yes.
143
00:08:01,380 --> 00:08:04,907
They can...
They can take his arms.
144
00:08:05,585 --> 00:08:08,315
Absolutely.
I have no problem with that.
145
00:08:10,957 --> 00:08:16,759
Although... it's hard.
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The thought of somebody else...
[sobs] holding his hand.
147
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See that? That could be a problem.
148
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What if we try a bypass instead?
149
00:08:30,977 --> 00:08:33,775
[Mark] Derek and I? We go way back.
150
00:08:33,813 --> 00:08:37,305
We grew up together,we went to med school together.
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He's... he's kinda like my better half.
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Not the better-looking half,
mind you. [chuckles]
153
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So when I heard he got shot...
154
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Every day we give
bad news to patients.
155
00:08:58,638 --> 00:09:02,039
We tell them their
loved ones are hurt,
156
00:09:02,074 --> 00:09:05,202
or dying, or dead.
157
00:09:09,215 --> 00:09:13,174
And for the first time in my life,
I understood what that feels like.
158
00:09:15,855 --> 00:09:17,482
Feels like... [bleeped out]
159
00:09:17,523 --> 00:09:19,423
No, no. You're thinking
like a nerve guy.
160
00:09:19,458 --> 00:09:21,358
- I am a nerve guy.
- It goes blood supply, then nerves.
161
00:09:21,394 --> 00:09:23,385
Actually, it's tendons,
then blood supply, then nerves.
162
00:09:23,429 --> 00:09:25,761
Um, hello? What about the bones?
163
00:09:25,798 --> 00:09:28,562
[Mark] That's certainly something
to take into consideration...
164
00:09:28,601 --> 00:09:34,164
Um, we estimate the surgery will take
anywhere from 15 to 20 hours.
165
00:09:34,206 --> 00:09:39,041
We'll have two ORs going at once.
There'll be five teams of surgeons.
166
00:09:39,078 --> 00:09:41,876
One team for each arm, and then a fifth
just to harvest veins from the leg.
167
00:09:41,914 --> 00:09:45,213
You know there's only been one
successful bilateral arm transplant
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- in the country. In the world.
- In the world.
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I wouldn't go so far as calling us
medical titans, but...
170
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- [Owen] We are.
- [Mark] Not the first time
171
00:09:51,991 --> 00:09:53,015
I've been called a titan.
172
00:09:53,059 --> 00:09:56,392
- [Laughter]
- Uh, right now I am prepping
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the donor body to extract
antibodies from his blood.
174
00:10:00,666 --> 00:10:02,156
This is all in preparation for later,
175
00:10:02,201 --> 00:10:06,399
when we'll remove, uh,
bone marrow from the donor.
176
00:10:06,439 --> 00:10:10,398
And then we'll infuse the marrow
into Zack to reduce the chances
177
00:10:10,443 --> 00:10:14,675
of his body rejecting the arms,
which is huge.
178
00:10:14,714 --> 00:10:16,614
More than huge. [laughs]
179
00:10:16,649 --> 00:10:19,914
I mean, I'm no medical Titan,
but... [laughs]
180
00:10:19,952 --> 00:10:23,080
...still, it's pretty damn cool.
181
00:10:23,122 --> 00:10:27,491
Uh, yeah, Zack lost his arms four years
ago. It was an accident at work.
182
00:10:27,526 --> 00:10:31,326
He is... uh, he was a logger.
183
00:10:31,364 --> 00:10:33,798
So it could have gone either way.
I mean,
184
00:10:33,833 --> 00:10:36,768
this thing could have come
between us, or it could have
185
00:10:36,802 --> 00:10:38,269
brought us closer together.
186
00:10:38,304 --> 00:10:43,367
And for us, I think
it's brought us closer.
187
00:10:43,409 --> 00:10:45,309
Literally. I have to wipe his...
[bleeped out] for him.
188
00:10:45,344 --> 00:10:47,312
- [Laughter]
- OK, really?
189
00:10:47,346 --> 00:10:49,507
That's what you want to talk about
in front of everyone right now?
190
00:10:49,548 --> 00:10:51,675
- I do.
- I'm sorry.
191
00:10:51,717 --> 00:10:54,185
I'd cover my face,
but I don't have any hands.
192
00:10:54,220 --> 00:10:56,745
[Laughter]
193
00:10:57,556 --> 00:11:00,423
[Bailey] You been good
since I last saw you?
194
00:11:00,459 --> 00:11:02,359
[Mary] Busy.
195
00:11:02,395 --> 00:11:04,795
Bill and I left town
right after the shooting,
196
00:11:04,830 --> 00:11:08,163
and pretty much never looked back.
197
00:11:08,200 --> 00:11:11,499
So far, we've been to Paris,
198
00:11:11,537 --> 00:11:16,133
Morocco, Alaska,
a cruise through the Baltic.
199
00:11:16,175 --> 00:11:18,837
- What?
- Blew through our savings, but,
200
00:11:18,878 --> 00:11:22,609
- hey, life is short, right?
- Sure is.
201
00:11:25,017 --> 00:11:29,716
Is there anything I'm looking forward
to once my surgery is done?
202
00:11:31,557 --> 00:11:33,684
Babies.
203
00:11:33,726 --> 00:11:36,194
Lots and lots of babies. [laughs]
204
00:11:36,228 --> 00:11:39,129
Deep breath. Another.
205
00:11:39,165 --> 00:11:41,656
- [Alarm blares]
- [PA] Enter security access code.
206
00:11:41,701 --> 00:11:42,998
[Mary]
207
00:11:43,035 --> 00:11:45,003
[Bailey]
208
00:11:46,772 --> 00:11:49,969
- [Mary] You're sure?
- [Bailey] I'm sure. I'm sure. I'm sure.
209
00:11:50,009 --> 00:11:53,342
- I'm sure.
- [PA] Enter security...
210
00:11:53,379 --> 00:11:56,371
There are some kinks
with the new security system.
211
00:11:56,415 --> 00:12:01,409
But there are always kinks
when something... new.
212
00:12:01,454 --> 00:12:04,048
- [Alarm stops]
- But we're working them out.
213
00:12:04,090 --> 00:12:05,421
[Cristina] We got this, um,
214
00:12:05,458 --> 00:12:08,484
new state-of-the-art like,lockdown system...
215
00:12:08,527 --> 00:12:12,657
[Meredith] To isolate different areas ofthe hospital in case of an emergency.
216
00:12:12,698 --> 00:12:16,634
'Cause, um, supposedly,
the last emergency, there were
217
00:12:16,669 --> 00:12:18,830
some people wandering around.
218
00:12:20,639 --> 00:12:24,735
Even with the kinks, I think people
feel safer, which is important.
219
00:12:24,777 --> 00:12:27,644
- [Knocking]
- [Door opens]
220
00:12:27,680 --> 00:12:30,513
Uh, sorry to interrupt, chief.
I just... I got your page,
221
00:12:30,549 --> 00:12:33,712
- but, hey, I can come back.
- [Richard] Oh, nonsense.
222
00:12:33,753 --> 00:12:38,190
Congratulations. I just heard the big
news, and I am so proud of you.
223
00:12:38,224 --> 00:12:42,718
- Ah...
- Uh, our very own Dr. Robbins here
224
00:12:42,762 --> 00:12:46,425
has been awarded the prestigious
Carter Madison Grant.
225
00:12:46,465 --> 00:12:48,558
[Arizona] Yeah, I haven'ttold that many people yet.
226
00:12:48,601 --> 00:12:51,866
A Carter Madison Grant? Nobody
wins those. I mean, nobody normal.
227
00:12:51,904 --> 00:12:55,362
Just those brainy scientist types
who are from Germany and Sweden.
228
00:12:55,407 --> 00:12:59,707
- Oh, my God! You won! Are you kidding?
- Nope. She is not kidding.
229
00:12:59,745 --> 00:13:01,940
- Come here!
- Oh, thank you.
230
00:13:01,981 --> 00:13:04,279
[Arizona] No, I didn't applyfor the grant because of the shooting.
231
00:13:04,316 --> 00:13:08,446
There are major gaps in the care
of children in developing countries.
232
00:13:08,487 --> 00:13:11,888
Global health initiatives exist
for things like malaria,
233
00:13:11,924 --> 00:13:15,792
uh, infectious diseases, immunizations,
but not for pediatric surgery.
234
00:13:15,828 --> 00:13:19,229
With this grant,
I could start to change that.
235
00:13:19,265 --> 00:13:21,392
Well, I applied
for this thing two years ago.
236
00:13:21,433 --> 00:13:23,765
I was a completely different person.
237
00:13:23,803 --> 00:13:27,933
I was new here, um, a surgical fellow,
238
00:13:27,973 --> 00:13:29,600
single. [laughs]
239
00:13:29,642 --> 00:13:33,305
But now I have people here,important people.
240
00:13:33,345 --> 00:13:36,803
Which complicates things.
241
00:13:36,849 --> 00:13:41,786
But this is bigger than me.This is the opportunity of a lifetime.
242
00:13:42,822 --> 00:13:45,416
So, yeah.
243
00:13:45,457 --> 00:13:48,324
Of course I'm accepting the grant.
244
00:13:48,360 --> 00:13:51,989
That just means I'm
[sighs] moving to Africa.
245
00:13:54,333 --> 00:13:56,028
[Narrator] Coming up on Seattle Medical.
246
00:13:56,068 --> 00:13:57,365
[Teddy] How long has he been coding?
247
00:13:57,403 --> 00:13:59,428
[Lexie] Dr. Torres? Have you seen this?
248
00:13:59,471 --> 00:14:02,133
[Gasps] Oh, no! Oh, no, no, no!
249
00:14:02,174 --> 00:14:04,768
[April] Something like thiscould ruin everything.
250
00:14:07,813 --> 00:14:10,873
I mean, not just anyone
is a good arm donation candidate.
251
00:14:10,916 --> 00:14:12,508
Not every candidate wants donated arms.
252
00:14:12,551 --> 00:14:16,817
Most amputee patients opt
to continue using prosthetics.
253
00:14:18,224 --> 00:14:19,657
Think about it.
254
00:14:19,692 --> 00:14:23,458
We're attaching two cadaver arms
to another living person's body.
255
00:14:23,495 --> 00:14:26,328
That's the kind of thing that could
really mess with someone's head.
256
00:14:26,365 --> 00:14:29,334
Not to mention the rehabilitation time.
Recovery from something like this?
257
00:14:29,368 --> 00:14:32,667
- It takes years.
- The screening process is extensive.
258
00:14:32,705 --> 00:14:37,039
We have to ensure that the recipient
is stable, mentally and physically,
259
00:14:37,076 --> 00:14:40,443
determined, patient... very patient.
260
00:14:40,479 --> 00:14:43,471
And that's all before you
can begin looking for an arm.
261
00:14:43,515 --> 00:14:47,815
In this case, we've been looking forarms for Zachary for over two years.
262
00:14:47,853 --> 00:14:49,013
It's been a long time coming.
263
00:14:49,054 --> 00:14:51,386
- Um, Dr. Torres?
- Hm?
264
00:14:51,423 --> 00:14:56,417
Uh, you've probably seen this,
but have you seen this?
265
00:14:56,462 --> 00:14:58,521
[Sighs]
266
00:14:58,564 --> 00:15:03,058
[Gasps] Oh, my God, no.
267
00:15:03,102 --> 00:15:07,266
Oh, no, no, no, no.
OK, um, page Sloan. Right now.
268
00:15:07,306 --> 00:15:09,274
[April] A tattoo?
269
00:15:09,308 --> 00:15:13,404
It's just so unfair that something
like this could ruin everything.
270
00:15:14,747 --> 00:15:16,544
[Jackson] Hi. Is it true?
271
00:15:16,582 --> 00:15:20,518
You guys are scrubbing in
on the double arm transplant?
272
00:15:20,552 --> 00:15:21,644
[Laughs]
273
00:15:25,124 --> 00:15:27,285
- [Lexie] What's wrong with you?
- Nothing.
274
00:15:27,326 --> 00:15:29,886
What's wrong with you?
275
00:15:29,929 --> 00:15:32,762
Oh, no, yeah, it's a very
real concern, actually.
276
00:15:32,798 --> 00:15:35,596
The patient could
easily reject the arms,
277
00:15:35,634 --> 00:15:40,571
not just physically, but emotionally.
The first ever hand transplant recipient
278
00:15:40,606 --> 00:15:42,699
ultimately asked
to have the hand removed.
279
00:15:42,741 --> 00:15:45,869
He said he couldn't connect to it,
that it felt like dead weight
280
00:15:45,911 --> 00:15:49,347
sewn onto his body. That the hand
wasn't, and never would be, his.
281
00:15:49,381 --> 00:15:52,077
Imagine looking at a tattoo of your
donor's wife's name every day
282
00:15:52,117 --> 00:15:54,551
to remind you that
these aren't your arms.
283
00:15:54,586 --> 00:15:58,852
You're making me nervous. What's wrong?
Is there a problem with the arms?
284
00:15:58,891 --> 00:16:00,859
[Woman] Oh, God.
There's a problem with the arms.
285
00:16:00,893 --> 00:16:04,090
Well... maybe.
286
00:16:05,564 --> 00:16:06,895
[Callie] Um...
287
00:16:08,133 --> 00:16:10,431
There's a tattoo on one of the arms,
288
00:16:10,469 --> 00:16:12,198
of the name Nicole.
289
00:16:19,778 --> 00:16:22,269
- I love the name Nicole.
- Me, too. I love it.
290
00:16:22,314 --> 00:16:24,782
- Couldn't love it more.
- I say we rename our dog Nicole.
291
00:16:24,817 --> 00:16:27,786
I'm gonna name myself Nicole.
[Laughs] Change my name.
292
00:16:27,820 --> 00:16:32,951
If it means I can still get those arms,
Nicole is my new favorite name.
293
00:16:34,960 --> 00:16:37,758
Yeah, [laughs]
I was not expecting that.
294
00:16:37,796 --> 00:16:42,199
He got that tattoo exactly
one year after we met.
295
00:16:42,234 --> 00:16:45,829
He took me to the tattoo shop and told
me he was gonna get this tattoo
296
00:16:45,871 --> 00:16:50,001
to show me just how much he loved me,
which is when I'm pretty sure
297
00:16:50,042 --> 00:16:53,443
I called him an idiot,
or something worse.
298
00:16:54,279 --> 00:16:57,646
You don't declare your lovefor someone by getting a tattoo.
299
00:16:57,683 --> 00:17:03,519
You do normal things, like plan
a nice date, or write a poem or, hell,
300
00:17:03,555 --> 00:17:06,649
drop down on one knee and propose.
301
00:17:06,692 --> 00:17:10,526
You don't brand yourself
with another person's name.
302
00:17:13,799 --> 00:17:16,165
[Sobbing] Which is when Sam said, "OK."
303
00:17:16,201 --> 00:17:21,366
And he got down on one knee,
pulled out a ring and proposed.
304
00:17:21,407 --> 00:17:23,671
On the spot.
305
00:17:23,709 --> 00:17:27,839
After that, every time, even if
we were fighting or I was mad at him
306
00:17:27,880 --> 00:17:32,613
'cause he forgot to take
the garbage cans out or...
307
00:17:34,720 --> 00:17:38,554
I'd catch a glimpse of that tattoo
and I'd remember:
308
00:17:38,590 --> 00:17:41,525
This guy loves me.
309
00:17:41,560 --> 00:17:45,394
Even if the garbage is gonna
smell up the yard for a week.
310
00:17:46,565 --> 00:17:48,362
He loves me.
311
00:17:52,337 --> 00:17:54,168
Loved me.
312
00:17:55,140 --> 00:17:57,734
[Alex] I don't even like kids.
313
00:17:57,776 --> 00:17:59,573
Come on.
314
00:18:01,313 --> 00:18:03,474
[Groaning]
315
00:18:11,123 --> 00:18:13,751
[Alex] Pediatric surgery hasnothing to do with liking kids.
316
00:18:15,727 --> 00:18:20,289
All right, Lily. I need you to stay
still, OK, or you'll mess up the test.
317
00:18:20,332 --> 00:18:24,598
I'm gonna be right over there in that
booth. And that's how it goes.
318
00:18:26,205 --> 00:18:30,699
[Sighs] Lily, you can't have
this in the machine, OK?
319
00:18:30,742 --> 00:18:33,302
- [Whimpers]
- I'm sorry.
320
00:18:35,380 --> 00:18:39,282
Hey, look, guys, why don't you
back off for a little while, OK?
321
00:18:39,318 --> 00:18:42,481
Hey, it's gonna be OK.
322
00:18:42,521 --> 00:18:43,681
[Machine clacking]
323
00:18:43,722 --> 00:18:45,917
[Alex] You go into Pedsbecause it's elite,
324
00:18:45,958 --> 00:18:48,654
hardcore, the best of the best.
325
00:18:51,263 --> 00:18:55,859
[Humming, singing]
326
00:19:00,706 --> 00:19:04,938
[Alex] Did you know that there are only38 pediatric surgery fellowship spots
327
00:19:04,977 --> 00:19:07,411
in the country? The country.
328
00:19:07,446 --> 00:19:11,542
I mean, uh, to compare,
cardiothoracic has 120.
329
00:19:11,583 --> 00:19:14,108
Pediatric surgeryis the elite of the elite.
330
00:19:14,153 --> 00:19:19,455
So yeah, I'd consider specializingin pediatric surgery. For sure.
331
00:19:19,491 --> 00:19:23,154
But not because of the kids. [laughs]
Definitely not because of the kids.
332
00:19:23,195 --> 00:19:26,289
[Singing]
333
00:19:27,332 --> 00:19:29,391
- [Man] Airway is clear.
- [Meredith] The truth is
334
00:19:29,434 --> 00:19:32,028
that it's actually a good thing
335
00:19:32,070 --> 00:19:36,097
that the shooting happened hereinstead of somewhere else,
336
00:19:36,141 --> 00:19:38,837
because we are better equippedto handle trauma.
337
00:19:38,877 --> 00:19:41,141
We see trauma every day.It's ourjob.
338
00:19:41,180 --> 00:19:44,240
- [Meredith] We got a stab wound there.
- Yeah, I got it.
339
00:19:44,283 --> 00:19:47,980
- [Man] My monitor.
- [Meredith] Oh, wow.
340
00:19:48,020 --> 00:19:51,615
- Uh, he needs surgery.
- [Meredith] OK. Let's pack it,
341
00:19:51,657 --> 00:19:55,388
- stabilize him and get him upstairs.
- [Cristina] Right. Um...
342
00:19:55,427 --> 00:19:57,088
There's another
incoming trauma on his way in.
343
00:19:57,129 --> 00:20:00,030
So I'm just gonna
stay down here and handle that.
344
00:20:00,065 --> 00:20:02,533
[Cristina] Yeah, I mean,trauma is a part of ourjob.
345
00:20:02,568 --> 00:20:06,664
So improvising and thinking on our feet,
that's what we're trained to do.
346
00:20:06,705 --> 00:20:09,037
No, it's not strange Dr. Yang
isn't coming with me.
347
00:20:09,074 --> 00:20:12,043
I was available, so I'll take this guy.
348
00:20:12,077 --> 00:20:14,477
She'll take the next one.It's first come, first serve.
349
00:20:14,513 --> 00:20:16,606
Everyone wants to get in that OR.
350
00:20:17,416 --> 00:20:20,408
We're surgeons. We live to cut.It's who we are.
351
00:20:40,973 --> 00:20:43,874
It's not too late, you know.
We could move up our next trip.
352
00:20:43,909 --> 00:20:47,174
Skip outta here and then
just catch a plane tonight.
353
00:20:47,212 --> 00:20:50,306
You've been fine this long without the
surgery, you'll be fine a little longer.
354
00:20:50,349 --> 00:20:52,909
[Bailey] Colostomy reversalis a very basic surgery.
355
00:20:52,951 --> 00:20:57,650
On a typical day,
I might do two or three in a row.
356
00:20:57,689 --> 00:21:01,785
Uh, this was the surgery I was supposed
to perform on Mary that day, the day...
357
00:21:03,929 --> 00:21:06,193
That, um...
358
00:21:06,231 --> 00:21:10,133
Anyway... Um, medically speaking,
359
00:21:10,168 --> 00:21:15,105
she was getting a little stoma prolapse
and some electrolyte imbalances,
360
00:21:15,140 --> 00:21:17,938
so it's good that we're
doing the surgery now.
361
00:21:17,976 --> 00:21:20,536
It's good to get it over with.
362
00:21:20,579 --> 00:21:25,676
So we just got Lily's labs back,
and I'm taking them to Dr. Robbins.
363
00:21:25,717 --> 00:21:27,014
They don't, uh...
364
00:21:28,420 --> 00:21:30,285
- At least you could be happy.
- Well, I thought we were happy!
365
00:21:30,322 --> 00:21:33,018
- [Arizona clears throat]
- Uh, should I come back?
366
00:21:33,058 --> 00:21:35,026
No, whatever. We're done, anyway.
367
00:21:37,229 --> 00:21:39,697
Uh, you have Lily's results?
368
00:21:39,731 --> 00:21:43,929
Well, it's her decision, obviously.
[Laughs] It's an incredible opportunity.
369
00:21:43,969 --> 00:21:47,666
I mean, you don't just,
uh, turn down a Carter Madison Grant.
370
00:21:47,706 --> 00:21:52,200
Nobody turns down a Carter
Madison Grant. I... I know that.
371
00:21:52,244 --> 00:21:54,474
I understand that, I do.
372
00:21:54,513 --> 00:21:57,209
I mean, if the situation
were reversed...
373
00:21:58,283 --> 00:22:00,012
[sighs]
374
00:22:02,020 --> 00:22:05,421
Actually, no. You know what? No.
375
00:22:05,457 --> 00:22:08,324
If the situation were reversed,
I would turn the thing down.
376
00:22:08,360 --> 00:22:12,126
I wouldn't even consider moving
to another continent right now.
377
00:22:13,965 --> 00:22:15,762
But I'm not her.
378
00:22:15,801 --> 00:22:20,033
So, uh, like I said,
it's an incredible opportunity.
379
00:22:24,176 --> 00:22:26,576
[Callie] Hope you've got
that bone saw ready,
380
00:22:26,611 --> 00:22:30,069
'cause I am really in the mood
to cut off some arms.
381
00:22:30,415 --> 00:22:33,407
[Arizona] Unfortunately,
because of her prior surgeries,
382
00:22:33,452 --> 00:22:36,683
Lily has fistulas that make removing her
tumor that much more difficult.
383
00:22:36,722 --> 00:22:40,180
The tumor is now so large that
it's impinging on her airway
384
00:22:40,225 --> 00:22:45,356
and esophagus. Removing
the tumor would mean removing
385
00:22:45,397 --> 00:22:49,993
Lily's entire trachea, which means
Lily wouldn't be able to breathe.
386
00:22:50,035 --> 00:22:51,866
- At all.
- [Alex] The other thing
387
00:22:51,903 --> 00:22:55,896
that's changed for me most
since the shooting is that now
388
00:22:55,941 --> 00:22:59,968
I feel like there's always
something that we can do.
389
00:23:00,679 --> 00:23:03,512
'Cause I should've died.I was shot point-blank.
390
00:23:03,548 --> 00:23:07,507
So, uh, there's always
something that we can do.
391
00:23:07,552 --> 00:23:12,387
[Sobbing] So you're saying
that if you operate,
392
00:23:12,424 --> 00:23:16,827
it's a death sentence.
And if you don't operate,
393
00:23:16,862 --> 00:23:19,387
it's a death sentence.
394
00:23:32,377 --> 00:23:35,869
So, in a few minutes, we'll be ready
to completely detach the arms
395
00:23:35,914 --> 00:23:39,247
- from the donor.
- Why use zigzag incisions?
396
00:23:39,284 --> 00:23:42,549
- [April] To get maximum exposure.
- Good. See what I'm doing here?
397
00:23:42,587 --> 00:23:45,681
I'm tagging each vessel, artery and vein
398
00:23:45,724 --> 00:23:49,251
so we know exactly how to
hook them up to the recipient.
399
00:23:49,294 --> 00:23:51,387
It's kind of like the back of your TV.
400
00:23:51,430 --> 00:23:53,728
You need to know
which connection goes where
401
00:23:53,765 --> 00:23:56,996
or you wind up with sound
and no picture,
402
00:23:57,035 --> 00:23:59,094
or picture and no sound. [laughs]
403
00:24:04,543 --> 00:24:06,807
[Saw whirring]
404
00:24:09,948 --> 00:24:11,779
[Callie] The minute we removethe arms from the donor,
405
00:24:11,817 --> 00:24:15,048
the tissue starts to die.So we have to work fast, really fast.
406
00:24:15,086 --> 00:24:18,112
We have a very limited windowto complete this part of the surgery.
407
00:24:19,157 --> 00:24:20,852
[Owen]
408
00:24:30,268 --> 00:24:31,292
OK.
409
00:24:31,336 --> 00:24:33,167
OK, let's get started.
410
00:24:34,973 --> 00:24:38,170
You don't understand. I was sent
to get coffee for Dr. Sloan
411
00:24:38,210 --> 00:24:40,405
because he needs his caffeine.
Right now.
412
00:24:40,445 --> 00:24:44,575
To get through the most amazing surgery
that is happening right now in OR 2.
413
00:24:44,616 --> 00:24:47,642
So I'm pretty sure it's not OK to be
late for the making of medical history,
414
00:24:47,686 --> 00:24:50,086
so you need to let me through,
OK, to get to that surgery,
415
00:24:50,121 --> 00:24:54,581
to get Dr. Sloan his caffeine,
to witness medical history being made.
416
00:24:54,626 --> 00:24:58,687
- I... My ID is valid, I promise!
- [Man] Let me take a look.
417
00:25:01,833 --> 00:25:05,030
She swiped it a couple of times
and it didn't go through.
418
00:25:05,070 --> 00:25:07,334
- [Man] Go!
- [Alarm blaring]
419
00:25:07,372 --> 00:25:11,570
- [PA] Enter security access code.
- [Man] Hey! Hey!
420
00:25:11,610 --> 00:25:14,340
- [Alarm blaring]
- [Man] It's yours now.
421
00:25:14,379 --> 00:25:16,643
[Jackson]
422
00:25:17,716 --> 00:25:19,877
Nurse! Come here!
423
00:25:21,253 --> 00:25:22,277
Call maintenance!
424
00:25:23,188 --> 00:25:26,316
[Nurse] Dr. Avery,
Dr. Avery, your patient!
425
00:25:26,358 --> 00:25:28,656
[PA] Enter security access code.
426
00:25:28,693 --> 00:25:30,251
[Coughing]
427
00:25:33,532 --> 00:25:38,231
- Enter security access code.
- [Nurse] Dr. Avery, hold on! Dr. Avery!
428
00:25:38,270 --> 00:25:39,532
[PA] Enter security...
429
00:25:41,339 --> 00:25:43,330
[April] So we're about nine hours in.
430
00:25:43,375 --> 00:25:47,402
Dr. Torres has finished attachingthe donor arm bones to the recipient
431
00:25:47,445 --> 00:25:50,539
with titanium plates and screws,and now they are beginning
432
00:25:50,582 --> 00:25:52,675
to attach the tendons.
433
00:25:52,717 --> 00:25:54,207
[Mark]
434
00:25:54,252 --> 00:25:55,617
[Owen] I'm on it.
435
00:25:55,654 --> 00:25:57,519
[Derek]
436
00:25:57,556 --> 00:25:59,183
[Callie]
437
00:26:00,859 --> 00:26:01,985
[Derek]
438
00:26:02,027 --> 00:26:03,426
[April] Look that that!
439
00:26:04,563 --> 00:26:07,657
- Where have you been?
- [Lexie sighs]
440
00:26:07,699 --> 00:26:10,031
[Derek] How's getting shot changed me?
441
00:26:10,068 --> 00:26:15,404
Um, I don't think I lovemy job any more or any less.
442
00:26:15,440 --> 00:26:18,534
Um, I don't think, um...
443
00:26:18,577 --> 00:26:20,067
... I'm a better doctor, or worse.
444
00:26:20,111 --> 00:26:24,013
Uh, if anything,
it's made me grateful...
445
00:26:24,049 --> 00:26:27,075
...to be here. So, yeah,
getting shot has changed me
446
00:26:27,118 --> 00:26:30,144
in the sense that I feel lucky.
447
00:26:31,723 --> 00:26:34,021
[Mark] We've reconnected
the arteries and veins.
448
00:26:34,059 --> 00:26:37,893
But we need to check the
circulation before we continue.
449
00:26:37,929 --> 00:26:39,624
[Derek] What we're gonna do now
is release the tourniquets,
450
00:26:39,664 --> 00:26:40,858
one arm at a time,
451
00:26:40,899 --> 00:26:44,164
and then look to see
if the blood flows into vessels.
452
00:26:44,202 --> 00:26:47,330
- [Callie] OK. Moment of truth.
- [Mark] Releasing the tourniquet.
453
00:26:57,415 --> 00:26:59,110
- [Callie] Arm's pinking up!
- [Derek] Good.
454
00:26:59,150 --> 00:27:01,175
[Applause]
455
00:27:08,727 --> 00:27:10,922
[Mark]
456
00:27:10,962 --> 00:27:14,295
The commute's tough.
We've been coming here
457
00:27:14,332 --> 00:27:16,994
since Lily's tumor
got diagnosed three years ago.
458
00:27:17,769 --> 00:27:20,431
It's just the two of us,just Lily and I.
459
00:27:20,472 --> 00:27:23,908
We live over three hours away,so it makes it difficult for me
460
00:27:23,942 --> 00:27:27,173
to come more than twice a weekand weekends.
461
00:27:27,212 --> 00:27:31,012
I hate leaving her for that long,
462
00:27:31,049 --> 00:27:33,745
but I just want what's best for her.
463
00:27:33,785 --> 00:27:36,117
I want her to live.
464
00:27:36,154 --> 00:27:39,123
Dr. Robbins came to me and she said
there might be something they could do
465
00:27:39,157 --> 00:27:42,991
for Lily after all,
something experimental.
466
00:27:44,295 --> 00:27:47,093
Um, that's why you come
to a place like this, you know?
467
00:27:47,132 --> 00:27:50,898
Because even if it is a commute,
three hours on the road,
468
00:27:50,935 --> 00:27:54,496
it's nothing if it'll save Lily's life.
469
00:27:54,539 --> 00:27:57,133
[Arizona] We've completed a stent
to temporarily help Lily breathe,
470
00:27:57,175 --> 00:27:59,302
and now we're gonna
remove part of her twelfth rib.
471
00:28:00,311 --> 00:28:02,074
[Richard]
472
00:28:02,113 --> 00:28:04,673
[Alex]
473
00:28:04,716 --> 00:28:06,946
[Richard]
474
00:28:06,985 --> 00:28:09,044
[Alex]
475
00:28:09,087 --> 00:28:13,421
See? It's just one more example
of how our doctors here rise.
476
00:28:13,458 --> 00:28:16,188
First, a Carter Madison Grant winner,
477
00:28:16,227 --> 00:28:20,994
and now, cutting-edge
regenerative medicine.
478
00:28:21,032 --> 00:28:25,196
[Arizona] Well, there's no artificialreplacement for a trachea. We know that.
479
00:28:25,236 --> 00:28:27,796
Then I remembered a studyand I thought, "Well,
480
00:28:27,839 --> 00:28:29,704
what if it isn't artificial?"
481
00:28:29,741 --> 00:28:33,040
We're gonna use some of Lily's own cells
to manufacture her a new trachea.
482
00:28:33,078 --> 00:28:37,515
Grow it in the lab. Remove the damaged
organ, replace it with a newer model.
483
00:28:37,549 --> 00:28:41,383
Outstanding. Absolutely
outstanding, Dr. Robbins.
484
00:28:41,419 --> 00:28:44,013
Let me in there. Move. Avery, Avery!
485
00:28:44,055 --> 00:28:47,923
Avery, look I was waiting in radiation.
How's the patient?
486
00:28:47,959 --> 00:28:50,757
Damn it!
How long has he been coding?
487
00:28:50,795 --> 00:28:52,524
[Jackson]
488
00:28:52,564 --> 00:28:55,362
Avery, you're gonna break his ribs.
489
00:28:55,400 --> 00:28:57,391
[Jackson]
490
00:28:59,003 --> 00:29:00,095
OK, OK.
491
00:29:01,773 --> 00:29:03,001
OK. OK.
492
00:29:03,041 --> 00:29:05,669
The new security system?
Yeah, I'm not a fan.
493
00:29:05,710 --> 00:29:09,441
Compressions only last for so long.
So you call whoever you need to call,
494
00:29:09,481 --> 00:29:11,415
you override whatever
you need to override,
495
00:29:11,449 --> 00:29:13,212
and you open the... [bleeped out] door
496
00:29:13,251 --> 00:29:15,685
before I report you
for the wrongful death of a patient!
497
00:29:15,720 --> 00:29:21,317
Avery. Avery, it's OK.
Just hang in there, OK?
498
00:29:21,359 --> 00:29:22,587
Avery...
499
00:29:24,629 --> 00:29:28,497
You can stop now.
Someone else can take over.
500
00:29:28,533 --> 00:29:32,264
[Voice fading] Avery, look at me.
Look at me. You can stop now.
501
00:29:32,303 --> 00:29:34,999
Avery, Avery. It's OK, it's OK.
502
00:29:43,081 --> 00:29:47,711
[Jackson] It's been, uh...hard since the shooting.
503
00:29:50,822 --> 00:29:54,588
I, uh... I lost some friends that day.
504
00:29:59,798 --> 00:30:02,733
[Woman] You learn to thinkabout things differently.
505
00:30:03,802 --> 00:30:07,363
Like, um, buttoning a button.
You can't do that,
506
00:30:07,405 --> 00:30:12,399
you know, even with the hooks,
so... you know, I just buy Zack t-shirts
507
00:30:12,443 --> 00:30:14,468
and hoodies.
508
00:30:14,512 --> 00:30:19,347
He can usually get those on by himself,
by using his hooks and his feet.
509
00:30:20,351 --> 00:30:23,377
I help him bathe in the morning,
510
00:30:23,421 --> 00:30:28,290
and brush his teeth and shave.
511
00:30:28,326 --> 00:30:32,695
It took me a long time to get
the hang of that. [laughs]
512
00:30:32,730 --> 00:30:35,631
But it's all in the wrist, I've learned.
513
00:30:38,303 --> 00:30:41,466
[Sighs] And it's late.
514
00:30:42,640 --> 00:30:45,541
I thought I would
have an update by now.
515
00:30:47,045 --> 00:30:49,809
So, what's the big deal?
You'll visit her, she'll visit you.
516
00:30:49,848 --> 00:30:52,578
- It's just a plane ride.
- Can we not talk about this right now?
517
00:30:52,617 --> 00:30:54,141
[Owen] Arm's getting cyanotic.
518
00:30:54,185 --> 00:30:56,517
[Mark] The vessel attachments
are all good.
519
00:30:56,554 --> 00:30:58,021
[Derek]
520
00:31:01,226 --> 00:31:02,750
[Callie] Picture.
We got picture and no sound.
521
00:31:02,794 --> 00:31:03,818
[Mark] Excuse me?
522
00:31:03,862 --> 00:31:06,296
[Callie] Move over. Just move over.
523
00:31:24,916 --> 00:31:26,713
Any update?
524
00:31:28,753 --> 00:31:31,779
- What? Just tell me.
- Um...
525
00:31:31,823 --> 00:31:36,590
There was a possible
complication with one of the arms.
526
00:31:36,628 --> 00:31:38,687
Complication?
527
00:31:38,730 --> 00:31:44,100
There's a clot and they're trying
to restore blood flow, but...
528
00:31:45,737 --> 00:31:47,796
He could lose it, couldn't he?
529
00:31:55,046 --> 00:31:57,571
One arm is better than none, right?
530
00:32:02,654 --> 00:32:05,248
- [Derek] Do you need help?
- [Mark] I could retract that for you.
531
00:32:05,290 --> 00:32:07,019
- You want me to patch that?
- [Callie] Gimme a second.
532
00:32:07,058 --> 00:32:09,526
- Are you sure you don't want me...
- Give me a second!
533
00:32:09,560 --> 00:32:12,085
I know what I'm doing. I just
need a second. Everybody shut up.
534
00:32:21,606 --> 00:32:24,370
[Callie] OK. All right. There.
Picture and sound.
535
00:32:24,409 --> 00:32:26,172
I think.
536
00:32:39,958 --> 00:32:43,223
[Indistinct chatter]
537
00:32:43,261 --> 00:32:44,626
[Callie]
538
00:32:49,834 --> 00:32:53,770
- [Derek] That's good. Nicely done.
- [Mark] Perfect.
539
00:32:53,805 --> 00:32:57,070
[Alex] Basically, we break the cartilagedown to a cellular level
540
00:32:57,108 --> 00:32:58,905
and turn it into a protein liquid.
541
00:32:58,943 --> 00:33:02,106
We build a scaffoldingto hold the liquid.
542
00:33:02,146 --> 00:33:04,842
And we cook it in an incubatorto let it grow.
543
00:33:04,882 --> 00:33:08,318
This is the incubator. We're
gonna grow the trachea in here first.
544
00:33:08,353 --> 00:33:12,414
Then, once it's big enough, we're
gonna insert it into Lily's abdomen
545
00:33:12,457 --> 00:33:14,755
till it gets stronger.
It'll be there a few months.
546
00:33:14,792 --> 00:33:18,023
Then we'll take that new trachea
and replace her old one.
547
00:33:18,062 --> 00:33:22,362
Some might say that a shooting
would set people back,
548
00:33:22,400 --> 00:33:25,028
then you look at residents
like Dr. Karev,
549
00:33:25,069 --> 00:33:30,336
and attendings like Dr. Robbins,
and you see their innovative thinking,
550
00:33:30,375 --> 00:33:36,177
their resilience. You see them
becoming reinvested in medicine.
551
00:33:38,983 --> 00:33:41,076
It's inspiring, isn't it?
552
00:33:45,390 --> 00:33:49,019
[Bailey] I've mobilized
the two intestinal segments,
553
00:33:49,060 --> 00:33:52,757
and I've stapled, and...
554
00:33:54,499 --> 00:33:56,694
...that's it. Textbook.
555
00:33:56,734 --> 00:33:59,532
In and out in an hour.
556
00:34:02,673 --> 00:34:04,732
Time to close.
557
00:34:08,713 --> 00:34:12,740
It went well. Mary's being
wheeled into recovery right now.
558
00:34:12,784 --> 00:34:16,379
- So it's over?
- It's over.
559
00:34:16,421 --> 00:34:18,651
Oh, God.
560
00:34:19,424 --> 00:34:20,550
- Oh, thank you.
- Oh!
561
00:34:20,591 --> 00:34:22,320
Thank you.
562
00:34:23,761 --> 00:34:26,195
Thank you.
563
00:34:26,230 --> 00:34:27,959
- [Gasps]
- Oh!
564
00:34:27,999 --> 00:34:32,163
[Bailey] This is one surgeryI am happy to have finished.
565
00:34:32,203 --> 00:34:34,831
Tonight?
566
00:34:34,872 --> 00:34:37,500
I may very well take the night off.
567
00:34:37,542 --> 00:34:43,503
Go out. Maybe have a drink.
[Laughs] Who knows?
568
00:34:43,548 --> 00:34:45,448
[Sighs]
569
00:34:46,184 --> 00:34:49,051
Oh! Gentlemen and lady,
we gave a man arms today.
570
00:34:49,087 --> 00:34:50,918
- All right.
- I think of it more as I gave
571
00:34:50,955 --> 00:34:52,616
a man arms today,
the rest of you just helped.
572
00:34:52,657 --> 00:34:54,716
Another round for everybody
but my friend here.
573
00:34:54,759 --> 00:34:56,420
That's a nice shirt, by the way.
Where'd you get that?
574
00:34:56,461 --> 00:34:58,656
- The special Titan store?
- You saw the way she saved
575
00:34:58,696 --> 00:35:00,459
that arm today?
You wanna hear something funny?
576
00:35:00,498 --> 00:35:03,729
She hooked up my TV, I'm still only
getting sound out of one speaker.
577
00:35:03,768 --> 00:35:06,931
[Laughter]
578
00:35:06,971 --> 00:35:10,065
[Alex] So I'll have to irrigate thetrachea with this protein mixture
579
00:35:10,108 --> 00:35:12,736
a few times a day every day
for the next few weeks.
580
00:35:14,345 --> 00:35:16,973
Which means I'll pretty muchbe living in this hospital
581
00:35:17,014 --> 00:35:18,811
to make sure it gets done right.
582
00:35:20,451 --> 00:35:23,818
That's my priority,is to make sure this trachea grows.
583
00:35:24,922 --> 00:35:27,254
And it's my focus.
584
00:35:27,291 --> 00:35:32,251
I'll basically be eating, breathing andsleeping trachea for the next month.
585
00:35:32,296 --> 00:35:35,026
Do people treat me differently now,
after the shooting?
586
00:35:35,066 --> 00:35:39,765
Uh, well... Um, I mean, yeah.
You're here filming me, so...
587
00:35:39,804 --> 00:35:42,773
I mean, people like to say what
I did was heroic, but it wasn't.
588
00:35:42,807 --> 00:35:47,107
It was just a thing I had to do.
I think people like to have a hero.
589
00:35:47,145 --> 00:35:50,774
[Stammers] And it
makes them feel better,
590
00:35:50,815 --> 00:35:54,911
to think that there in the
middle of all that horror,
591
00:35:54,952 --> 00:35:59,116
that there's someone special
working medical miracles.
592
00:35:59,157 --> 00:36:03,992
But... I...
593
00:36:04,028 --> 00:36:07,486
I mean, I don't have
super surgical powers.
594
00:36:07,532 --> 00:36:09,500
I mean, I'm... I did what...
595
00:36:09,534 --> 00:36:12,367
Cristina is a hero.
596
00:36:12,403 --> 00:36:14,496
Especially to me.
597
00:36:14,539 --> 00:36:17,736
The truth is, is most surgeons
598
00:36:17,775 --> 00:36:21,040
could not have done
what she did that day.
599
00:36:21,078 --> 00:36:23,342
- If you had seen...
- Stop it.
600
00:36:26,484 --> 00:36:28,543
- If you had seen...
- Stop. Please, just can you...
601
00:36:28,586 --> 00:36:30,554
Can you just stop this?
602
00:36:35,993 --> 00:36:37,858
Can we cut?
603
00:36:44,735 --> 00:36:47,135
[Richard] Just doing
a little construction.
604
00:36:47,171 --> 00:36:50,163
Things are always
evolving around here.
605
00:36:50,208 --> 00:36:54,076
For the better.
Always for the better.
606
00:36:54,111 --> 00:36:57,137
- [Man] Whoa! Hey!
- [Crashing]
607
00:36:57,181 --> 00:36:59,581
- How'd you let that happen?
- I don't know.
608
00:36:59,617 --> 00:37:02,211
- You get it cleaned up.
- You guys all right?
609
00:37:02,253 --> 00:37:03,277
Hey, let me give you a hand.
610
00:37:04,956 --> 00:37:08,483
Yeah, he already has some feeling
at the tops of his new arms. Look.
611
00:37:08,526 --> 00:37:11,552
Ow! Watch this.
612
00:37:15,266 --> 00:37:16,494
Not bad, huh?
613
00:37:18,469 --> 00:37:20,460
Look, right there.
614
00:37:20,504 --> 00:37:24,338
You can barely even see a scar where
they put the tube in last month.
615
00:37:24,375 --> 00:37:28,539
And now I'm back today to get my
new trachea sewn into my belly.
616
00:37:28,579 --> 00:37:31,207
Dr. Karev calls me
the human incubator.
617
00:37:31,249 --> 00:37:35,686
He's been sending me photos
from the lab of my new trachea.
618
00:37:37,488 --> 00:37:39,683
See? Look at that right there.
619
00:37:41,259 --> 00:37:43,955
It's really grown.
620
00:37:43,995 --> 00:37:46,429
See, right there...
621
00:37:46,464 --> 00:37:48,864
I always figured
I'd grow up to be a rock star,
622
00:37:50,201 --> 00:37:53,432
but I might consider
being a doctor now, too.
623
00:37:53,471 --> 00:37:57,032
I mean, Dr. Karev is pretty cool.
624
00:37:57,074 --> 00:38:00,771
Check it out. Home-grown trachea.
625
00:38:04,015 --> 00:38:09,453
Whatever you do, just don't screw around
and mess up my trachea, OK?
626
00:38:09,487 --> 00:38:13,389
I mean it. I know you think you're
a rock star, but no mosh pits
627
00:38:13,424 --> 00:38:17,588
or crowd surfing. I mean,
Lilith Fair is OK, but...
628
00:38:17,628 --> 00:38:22,088
No drinking or drugs
or smoking or driving drunk
629
00:38:22,133 --> 00:38:24,795
or giving your number out
to guys you don't know.
630
00:38:24,835 --> 00:38:25,995
Um...
631
00:38:26,604 --> 00:38:30,335
- You get that I'm nine?
- [Chuckles]
632
00:38:30,374 --> 00:38:32,842
[Soft music playing]
633
00:38:47,325 --> 00:38:49,316
[Arizona] Well, I reallycan't believe it. [laughs]
634
00:38:49,360 --> 00:38:52,261
The big move to Africais really just around the corner.
635
00:38:52,296 --> 00:38:54,992
Yes, I would say things
are better between us now.
636
00:38:55,032 --> 00:38:59,196
And yes, we worked it out,
even with Arizona moving to Africa.
637
00:38:59,236 --> 00:39:02,501
The fix was, uh, pretty simple,
actually. I'm going with her.
638
00:39:10,715 --> 00:39:13,878
[Clears throat]
Got you some new flowers. Um...
639
00:39:13,918 --> 00:39:17,376
Yellow ones today, um,
don't ask me what kind.
640
00:39:17,421 --> 00:39:19,889
I have no idea.
641
00:39:28,799 --> 00:39:31,199
They're, uh... they're pretty, though.
642
00:39:31,969 --> 00:39:33,937
Just like you.
643
00:39:36,907 --> 00:39:42,504
It's rare, but sometimes patients
do not wake up from surgery.
644
00:39:42,546 --> 00:39:44,639
With every surgery, there is a risk.
645
00:39:44,682 --> 00:39:48,174
In this case, the post operative CT
646
00:39:48,219 --> 00:39:51,677
showed no sign
of stroke, no acute bleed.
647
00:39:51,722 --> 00:39:54,953
We've run PET scans, MRls,
648
00:39:54,992 --> 00:39:57,290
tried fluids, pressors.
649
00:39:57,328 --> 00:40:02,163
Basically, that's what I have to
go and talk to Bill about today.
650
00:40:02,199 --> 00:40:05,191
Mary has been in a coma
since her surgery.
651
00:40:05,236 --> 00:40:07,864
There's no sign of brain activity,
652
00:40:07,905 --> 00:40:11,932
and now she's septic.
Her organs are failing.
653
00:40:12,676 --> 00:40:14,837
Best-case scenario...
654
00:40:15,679 --> 00:40:19,115
...um, she'd regain some function
655
00:40:19,150 --> 00:40:23,086
and wakes up with extreme deficits,
mentally and physically.
656
00:40:23,120 --> 00:40:28,581
But the chance of her
waking up at this point...
657
00:40:33,164 --> 00:40:38,033
It's hard. To imagine someone
surviving a crazy gunman,
658
00:40:38,068 --> 00:40:40,764
and then not to survive
such a simple surgery.
659
00:40:40,805 --> 00:40:45,174
[Bailey] I have to goand tell Bill that it's time.
660
00:40:48,846 --> 00:40:51,178
He has a decision to make.
661
00:41:17,308 --> 00:41:18,969
Hi.
662
00:41:22,913 --> 00:41:27,077
We went through the scariest thing a
person can go through, and we survived.
663
00:41:27,618 --> 00:41:30,519
So now, every day is just a gift.
664
00:41:31,288 --> 00:41:33,313
And we're all just blessed.
665
00:41:35,493 --> 00:41:37,461
Blessed to be here,
666
00:41:37,495 --> 00:41:39,429
blessed to be doing what we do best,
667
00:41:39,463 --> 00:41:42,023
which is saving lives.
668
00:41:44,268 --> 00:41:45,758
Every day.
669
00:41:49,540 --> 00:41:52,134
One life at a time.
670
00:41:54,512 --> 00:41:56,844
We're healed,
671
00:41:56,881 --> 00:42:00,817
so we can continue healing others.
672
00:42:00,851 --> 00:42:05,185
[Man] Is there any one thing
you'll take away from all of this?
673
00:42:11,262 --> 00:42:13,594
Being a hero has its price.
57241
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