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00:00:01,301 --> 00:00:03,826
[Up-tempo rock music]
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00:00:03,870 --> 00:00:05,997
[Clock alarm beeps]
3
00:00:15,715 --> 00:00:19,344
[Meredith] Doctors practice deceptionall the time.
4
00:00:20,186 --> 00:00:23,587
We give vague answersto hard questions.
5
00:00:23,656 --> 00:00:26,056
We don't talk about post-op pain.
6
00:00:27,360 --> 00:00:29,487
We say you'll experiencesome discomfort.
7
00:00:29,529 --> 00:00:34,432
John Driscoll. White male, 62.
Alzheimer's diagnosed eight months ago.
8
00:00:34,501 --> 00:00:39,666
Patient number one of
Alzheimer's NGF Clinical Trial.
9
00:00:39,706 --> 00:00:44,939
If you didn't die, we tell youthe surgery went well.
10
00:00:45,011 --> 00:00:49,141
But the placebo has to bethe doctor's greatest deception.
11
00:00:57,323 --> 00:00:59,621
- OK, you're gonna hear a...
- [drill whirring]
12
00:00:59,692 --> 00:01:01,353
...little drilling sound.
13
00:01:03,396 --> 00:01:05,421
[Whirring]
14
00:01:07,634 --> 00:01:08,896
How you doing, John?
15
00:01:08,935 --> 00:01:11,028
- OK.
- Great. You're doing great.
16
00:01:11,071 --> 00:01:12,595
All right. Envelope, please.
17
00:01:12,672 --> 00:01:15,038
Half of our patients, we tell the truth.
18
00:01:15,075 --> 00:01:20,172
The other half, we praythe placebo effect's real.
19
00:01:30,090 --> 00:01:33,116
OK, John,
we're gonna insert the probe now.
20
00:01:33,159 --> 00:01:36,595
And we tell ourselves thatthey'll feel better anyhow,
21
00:01:36,629 --> 00:01:40,725
believing help's on the way,when, in fact...
22
00:01:40,767 --> 00:01:42,462
... we're leaving them to die.
23
00:01:47,574 --> 00:01:52,511
[Sighs] You have to say something.
Words. Make words.
24
00:01:52,579 --> 00:01:54,137
- Holy crap.
- Yup.
25
00:01:54,214 --> 00:01:57,843
- A baby?
- Growing like a weed. In my uterus.
26
00:01:57,917 --> 00:02:00,613
Not like a weed.
27
00:02:02,122 --> 00:02:04,955
Like a mighty oak.
28
00:02:04,991 --> 00:02:06,515
We're gonna be great parents.
29
00:02:06,593 --> 00:02:09,926
- Mark, you don't have to do...
- Are you kidding?
30
00:02:11,331 --> 00:02:13,322
That's my kid in there.
31
00:02:14,267 --> 00:02:16,326
- I'm a dad.
- [Chuckling]
32
00:02:16,402 --> 00:02:17,835
We're parents.
33
00:02:17,904 --> 00:02:20,168
Of a baby.
34
00:02:20,240 --> 00:02:22,367
- OK! You're in.
- Should we get married?
35
00:02:22,442 --> 00:02:25,969
Oh, no. I mean, I'm all
for raising a baby with you, but...
36
00:02:26,012 --> 00:02:27,639
...there's a line.
37
00:02:27,680 --> 00:02:31,776
You're right. That's good. 'Cause I'm
in love with Lexie and it would be...
38
00:02:31,818 --> 00:02:36,812
Oh, my God... Lexie.
What am I gonna tell Lexie?
39
00:02:37,991 --> 00:02:40,391
OK, you think about that.
40
00:02:52,005 --> 00:02:54,405
Are you ready to talk now?
41
00:02:54,474 --> 00:02:56,601
[Arizona sighs]
42
00:02:56,676 --> 00:02:59,201
I want to say some not nice things,
and I want you to listen
43
00:02:59,245 --> 00:03:01,805
without saying our relationship
is over or walking out.
44
00:03:02,782 --> 00:03:04,306
OK.
45
00:03:05,118 --> 00:03:07,484
I'm mad that you
slept with someone else.
46
00:03:07,520 --> 00:03:11,820
And I know that we were broken up,
but still, you slept with someone else.
47
00:03:11,858 --> 00:03:13,792
And I'm even madder that
that person has a penis.
48
00:03:13,860 --> 00:03:16,021
And I know you're bisexual.
I know that, but...
49
00:03:16,062 --> 00:03:17,791
Would you rather I'd slept
with a busty redhead? 'Cause...
50
00:03:17,897 --> 00:03:21,094
You have to give me a chance
to process this, OK? I'm processing!
51
00:03:21,167 --> 00:03:23,692
I didn't plan this.
52
00:03:23,736 --> 00:03:24,896
OK?
53
00:03:26,506 --> 00:03:30,237
I... I didn't plan any of this.
54
00:03:32,078 --> 00:03:35,844
But there's a... mighty oak or whatever
55
00:03:35,882 --> 00:03:41,878
showing up in our lives in about
seven months. So now I have to plan.
56
00:03:43,156 --> 00:03:46,148
And I don't know how long
I can wait for you to process.
57
00:03:46,226 --> 00:03:47,557
But I...
58
00:03:48,761 --> 00:03:54,495
I want you in my plan.
I want you to be a part of my plan.
59
00:03:56,569 --> 00:04:01,563
So... Are you in? Are you out?
60
00:04:01,608 --> 00:04:03,940
Oh, God...
61
00:04:05,878 --> 00:04:08,108
I'm in.
62
00:04:09,415 --> 00:04:12,407
I'm in.
But you have to give me... You...
63
00:04:12,452 --> 00:04:16,718
I'm just... I'm still so mad at you,
64
00:04:16,756 --> 00:04:19,520
so you have to give me a minute.
65
00:04:21,261 --> 00:04:23,092
OK.
66
00:04:27,300 --> 00:04:29,894
[Beeping]
67
00:04:29,936 --> 00:04:33,269
By injecting methylene blue,
it's easier to identify the structures.
68
00:04:33,306 --> 00:04:34,398
What do you see, doctor?
69
00:04:34,440 --> 00:04:38,433
Gall bladder, cystic duct,
common bile duct.
70
00:04:38,478 --> 00:04:41,311
Yes. Misidentification of the anatomy
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00:04:41,347 --> 00:04:45,750
is the main cause
of biliary tree injuries.
72
00:04:45,785 --> 00:04:47,116
Today we're trying
this new technique...
73
00:04:47,153 --> 00:04:48,279
[beeping]
74
00:04:48,321 --> 00:04:52,621
Put those things away, people!
No texting in my OR.
75
00:04:52,659 --> 00:04:54,650
Save that for the drive home.
76
00:04:54,694 --> 00:04:58,061
Um... Actually, we're not texting, sir.
77
00:04:58,131 --> 00:05:00,964
Dr. Bailey's performing
a Toupet procedure right now.
78
00:05:01,000 --> 00:05:05,130
There wasn't enough room in her OR
so we're just following it on Twitter.
79
00:05:05,171 --> 00:05:07,196
Twitter?
80
00:05:08,341 --> 00:05:09,968
What the hell is a Twitter?
81
00:05:10,009 --> 00:05:12,102
I booked the OR,
I read up on the procedure...
82
00:05:12,145 --> 00:05:13,669
I know this thing better
than my own name...
83
00:05:13,780 --> 00:05:16,305
I pre-rounded on the patient
and her pre-op labs are all done...
84
00:05:16,349 --> 00:05:18,408
Quadruple bypasses are exciting, right?
85
00:05:18,484 --> 00:05:22,545
First assist gets to sew all
the grafts onto the heart? Plum job!
86
00:05:22,622 --> 00:05:24,180
- I want it.
- It would be an honor.
87
00:05:24,257 --> 00:05:26,987
I know. You're thinking
whoever does this gets a leg up
88
00:05:27,026 --> 00:05:28,789
in the race for chief resident.
89
00:05:28,828 --> 00:05:31,023
But you wanna know
a good way not to get it?
90
00:05:31,097 --> 00:05:33,463
That's to bug the crap out of me
before my day even starts.
91
00:05:33,499 --> 00:05:34,591
I'm sorry. I'll back off.
92
00:05:34,667 --> 00:05:37,500
Actually, I'll go to the skills lab
and practice my grafts.
93
00:05:37,537 --> 00:05:40,005
And you just let me know if
you need anything at all...
94
00:05:40,039 --> 00:05:42,064
Yang took the chart.
She took the chart? What?
95
00:05:45,378 --> 00:05:48,370
- What did Arizona say?
- Well, she said she's in.
96
00:05:48,414 --> 00:05:50,848
- That's good, right?
- I'm still hedging my bets.
97
00:05:50,883 --> 00:05:52,009
I'm not gonna move back in with her
98
00:05:52,051 --> 00:05:53,882
until I know for sure
she's not gonna bail again.
99
00:05:53,953 --> 00:05:55,580
- Hey, you got dinner plans tonight?
- No.
100
00:05:55,655 --> 00:05:57,350
I'm cooking for you tonight. Your place.
101
00:05:57,390 --> 00:05:59,483
I rocked a lap chole.
102
00:06:03,229 --> 00:06:05,925
- So, when are you gonna tell her?
- Not until after my home-cooked meal.
103
00:06:05,998 --> 00:06:07,727
Mark, you do not have to do this.
104
00:06:07,800 --> 00:06:11,099
I'm giving you a Get Out of
Jail Free card. No hard feelings.
105
00:06:11,170 --> 00:06:13,331
You can be the cool uncle
that hangs out on Sundays.
106
00:06:13,373 --> 00:06:15,034
I'm not the cool uncle. I'm the dad.
107
00:06:15,074 --> 00:06:18,373
You love Lexie, and the last time
a Sloan kid appeared in Seattle,
108
00:06:18,411 --> 00:06:19,901
she dumped you.
Now if you were the cool uncle...
109
00:06:19,946 --> 00:06:23,279
I'm not the cool uncle!
Don't ever say that again!
110
00:06:23,349 --> 00:06:26,716
- OK!
- This is my kid. I want this kid.
111
00:06:26,753 --> 00:06:28,721
- Cool uncle...
- Well, so tell her.
112
00:06:28,755 --> 00:06:31,690
Do not wait until this kid
comes out looking all Sloan-y.
113
00:06:41,667 --> 00:06:46,263
- You didn't say goodbye this morning.
- I had a surgery.
114
00:06:46,339 --> 00:06:47,966
- I didn't want to wake you.
- No.
115
00:06:48,040 --> 00:06:51,999
You were starting your clinical trial
and you feel guilty that I'm not on it,
116
00:06:52,078 --> 00:06:53,477
- so you snuck out.
- You're right.
117
00:06:53,546 --> 00:06:56,913
But I don't feel guilty
and I didn't sneak out.
118
00:06:56,949 --> 00:06:59,474
Patient number two, Daniel Cobb,
admitted and in a room.
119
00:06:59,552 --> 00:07:01,076
His wife has some questions for you.
120
00:07:01,120 --> 00:07:06,752
I... can't believe... He picked you
for this thing instead of me?
121
00:07:06,793 --> 00:07:10,320
Well, Dr. Shepherd didn't wanna
leave anything to chance.
122
00:07:10,396 --> 00:07:12,762
- Now you can both go to hell.
- It was open to all the residents.
123
00:07:12,799 --> 00:07:14,494
Karev just did
a better job of pitching me.
124
00:07:14,567 --> 00:07:18,901
[Yelling] It was open to all
the residents except for one!
125
00:07:19,038 --> 00:07:20,335
[Frustrated yell]
126
00:07:22,742 --> 00:07:25,802
- You having a good day, Daniel?
- Yes, I am, Dr. Shepherd.
127
00:07:25,845 --> 00:07:28,313
Give me that new wonder drug of yours,
I'll be even better.
128
00:07:28,381 --> 00:07:30,781
If it came down to how much I liked
the patient, you'd be a shoo-in.
129
00:07:30,817 --> 00:07:33,479
Now, if Daniel gets the drug,
130
00:07:33,553 --> 00:07:36,283
how soon will he stop
slipping in and out of things?
131
00:07:36,322 --> 00:07:39,291
Well, at this stage we don't know
any more than you do, Mrs. Cobb.
132
00:07:39,325 --> 00:07:40,952
That's why we're gonna do
a two year follow-up.
133
00:07:40,993 --> 00:07:44,394
And the idea that his condition
could be reversed altogether,
134
00:07:44,464 --> 00:07:45,988
is that completely out of the question?
135
00:07:46,032 --> 00:07:50,469
'Cause I just read that when the drug
was used on rats and monkeys
136
00:07:50,503 --> 00:07:53,131
there was some reversal
in tissue damage.
137
00:07:53,172 --> 00:07:55,606
That's rats and monkeys.
It can be different for humans.
138
00:07:55,641 --> 00:07:58,838
Well, I don't want to rule out
a reversal altogether,
139
00:07:58,911 --> 00:08:01,038
but right now we're trying
to stop the progression.
140
00:08:01,113 --> 00:08:04,708
All right, Dr. Karev is gonna
take you down for an MRI later.
141
00:08:04,784 --> 00:08:07,582
So if you have any more
questions today, page him.
142
00:08:07,653 --> 00:08:08,950
[Laughing]
143
00:08:08,988 --> 00:08:11,718
I'm feeling better already, Dr.
Shepherd.
144
00:08:11,791 --> 00:08:13,383
- Here we go!
- Here we go.
145
00:08:14,894 --> 00:08:16,828
A clinical trial's a little different
than a regular surgery.
146
00:08:16,863 --> 00:08:20,026
- You can paint a rosier picture.
- I didn't want to give them false hope.
147
00:08:20,099 --> 00:08:23,227
You didn't give them any hope.
Look, if Mrs. Cobb thinks this is
148
00:08:23,302 --> 00:08:26,294
gonna give her husband a better chance,
she'll be a better caregiver.
149
00:08:26,339 --> 00:08:29,399
And in the end, he has
a better chance of success. OK?
150
00:08:29,475 --> 00:08:30,965
- Yes, sir.
- Good.
151
00:08:33,746 --> 00:08:36,010
- Is that all you're having?
- Yeah, I think so.
152
00:08:36,048 --> 00:08:37,538
[Slurping]
153
00:08:38,818 --> 00:08:41,719
[Beeping]
154
00:08:43,623 --> 00:08:47,423
- Chief, this is my milk shake time.
- Milk shake time is not a thing.
155
00:08:47,493 --> 00:08:50,360
You didn't bother to tell me
that you were broadcasting surgeries.
156
00:08:50,396 --> 00:08:52,523
Oh, I didn't think it'd be a big deal.
157
00:08:52,565 --> 00:08:54,692
Well, it is.
What if something goes wrong?
158
00:08:54,734 --> 00:08:57,931
Look, the patients who want to do it
sign a comprehensive release.
159
00:08:58,004 --> 00:08:59,733
And the nice thing is,
most of them want to do it.
160
00:08:59,805 --> 00:09:01,466
They're excited about being
on the cutting edge.
161
00:09:01,541 --> 00:09:04,009
Until they code on the table
in front of the whole world.
162
00:09:04,043 --> 00:09:06,068
In which case I'd stop tweeting.
163
00:09:06,112 --> 00:09:08,603
In the meantime,
residents from all over the country
164
00:09:08,681 --> 00:09:11,172
get to see a surgeon's
decision-making process.
165
00:09:11,217 --> 00:09:13,811
They get to ask questions live.
It's a great teaching tool.
166
00:09:13,886 --> 00:09:17,253
No, it's lawyer bait.
Shut it down, Dr. Bailey.
167
00:09:17,290 --> 00:09:19,918
Sir, if you understood it,
you'd be on board.
168
00:09:19,959 --> 00:09:22,257
- I understand it fine.
- Uh-huh.
169
00:09:22,295 --> 00:09:25,423
- I understand it, Dr. Bailey.
- If you say so.
170
00:09:25,464 --> 00:09:26,897
I do say so.
171
00:09:29,936 --> 00:09:31,267
Don't give me Bailey-eyes.
172
00:09:32,405 --> 00:09:34,032
[Sighing]
173
00:09:36,509 --> 00:09:40,912
I'll look into this Tweeter thing.
But no promises.
174
00:09:40,947 --> 00:09:43,074
Does this mean I get to tweet
in the meantime?
175
00:09:43,115 --> 00:09:46,084
No, it means
give me a chance to look into it.
176
00:09:46,118 --> 00:09:47,949
[Giggling]
177
00:09:47,987 --> 00:09:50,148
Hi. What's going on?
How's your day going so far?
178
00:09:50,222 --> 00:09:53,419
Good. I've got a CABG later
this morning with Avery and Yang,
179
00:09:53,459 --> 00:09:55,825
who have officially entered
into the rabid dog stage
180
00:09:55,895 --> 00:09:59,353
in the race for chief resident, which
could be a good thing or it could be...
181
00:09:59,465 --> 00:10:00,523
...a bad thing, which...
182
00:10:00,600 --> 00:10:02,761
You really aren't interested
in my day at all, are you?
183
00:10:02,802 --> 00:10:04,463
I might be having Mark Sloan's baby.
184
00:10:04,503 --> 00:10:05,936
Oh, good Lord, he got to you, too?
185
00:10:06,939 --> 00:10:10,841
Callie is pregnant with Mark's kid.
It's while we were... you know.
186
00:10:10,910 --> 00:10:15,574
I love Callie, and Mark, you know,
is human and clearly has good genes
187
00:10:15,615 --> 00:10:18,140
because he's both pretty and smart.
188
00:10:18,184 --> 00:10:20,709
And I want to have a kid,
but with Callie.
189
00:10:20,786 --> 00:10:22,845
I'm not sure that I want to
have Callie's kid with Mark.
190
00:10:22,922 --> 00:10:26,119
Can you say something to me that'll make
me wanna have Callie's kid with Mark?
191
00:10:26,158 --> 00:10:29,150
- Um...
- [pager beeping]
192
00:10:29,195 --> 00:10:30,787
I gotta go.
193
00:10:32,298 --> 00:10:33,356
[Sighs]
194
00:10:34,634 --> 00:10:36,295
What happened?
195
00:10:36,335 --> 00:10:38,530
- I might be miscarrying.
- You're not miscarrying.
196
00:10:38,604 --> 00:10:40,868
- Then it's an ectopic.
- Could it be a blighted ovum?
197
00:10:40,940 --> 00:10:42,373
It's not a molar pregnancy, is it?
198
00:10:42,441 --> 00:10:44,033
Wow. We got a lot
of doctors in the room.
199
00:10:44,110 --> 00:10:45,702
Who the hell are you
and what are your credentials?
200
00:10:45,778 --> 00:10:48,872
Lucy Fields, Harvard MD,
Duke OB-G YN resident,
201
00:10:48,948 --> 00:10:51,712
and now a Maternal-Fetal Medicine
fellow at Seattle Grace Mercy West.
202
00:10:51,784 --> 00:10:55,083
Damn good at my job.
Who the hell are you?
203
00:10:55,154 --> 00:10:56,746
We're related to the...
204
00:10:56,822 --> 00:10:59,052
[stammering]
205
00:10:59,825 --> 00:11:02,157
...situation.
- Lesbian lover, baby daddy.
206
00:11:02,194 --> 00:11:04,526
Ah. And everybody's a little wigged out.
207
00:11:04,563 --> 00:11:07,964
- [Dinging]
- OK. So...
208
00:11:09,435 --> 00:11:11,335
[sighs]
209
00:11:12,538 --> 00:11:14,335
There's your baby.
210
00:11:16,008 --> 00:11:18,670
There's the yolk sac...
211
00:11:18,711 --> 00:11:20,975
Looks good. You're good.
212
00:11:21,013 --> 00:11:23,481
- I'm bleeding...
- It's not uncommon.
213
00:11:23,516 --> 00:11:25,381
Happens in around 30 percent
of all pregnancies.
214
00:11:25,451 --> 00:11:27,681
- It's probably fine.
- I don't see a heartbeat.
215
00:11:27,720 --> 00:11:31,019
- Where's the heartbeat?
- It's probably too early for that.
216
00:11:31,057 --> 00:11:33,548
I'll do blood work, but
I'm pretty sure everything's OK.
217
00:11:33,626 --> 00:11:36,891
Just take it easy for the next few days.
Drink a lot of water.
218
00:11:36,929 --> 00:11:39,864
- No tampons, no intercourse.
- Sing it.
219
00:11:39,899 --> 00:11:42,732
Call me if the bleeding gets worse
or if there's pain.
220
00:11:42,802 --> 00:11:45,032
Otherwise, go live your life.
221
00:11:45,071 --> 00:11:47,505
All of you. While you still can.
222
00:11:51,510 --> 00:11:55,571
Martha Elkin, 75, multivessel coronary
disease confirmed by angiography.
223
00:11:55,648 --> 00:11:57,878
Here this morning
for an off-pump CABG.
224
00:11:57,917 --> 00:12:00,818
That's just doctor speak
for a quadruple bypass.
225
00:12:01,454 --> 00:12:04,287
- Thank you.
- Pre-op labs and X-rays were normal.
226
00:12:04,356 --> 00:12:06,483
OK, you're ready to roll, Martha.
227
00:12:06,559 --> 00:12:08,891
My husband went down for some coffee.
228
00:12:08,928 --> 00:12:12,227
He wanted to know how long
I'd be asleep after the procedure.
229
00:12:12,264 --> 00:12:13,322
Well, Martha, it's hard to tell.
230
00:12:13,399 --> 00:12:16,994
Every patient reacts differently,
but we'll keep him posted.
231
00:12:17,069 --> 00:12:19,537
Most patients wake within 90 minutes.
232
00:12:19,572 --> 00:12:21,597
Oh, that's helpful, dear.
233
00:12:21,640 --> 00:12:25,406
He'll be glad to know that.
We're both so nervous.
234
00:12:25,444 --> 00:12:28,971
Well, some anxiety
is completely normal, but...
235
00:12:29,048 --> 00:12:32,040
...let me reassure you...
236
00:12:32,084 --> 00:12:34,780
...Dr. Altman is an
incredibly talented surgeon.
237
00:12:34,820 --> 00:12:37,152
You're in the very best of hands.
238
00:12:37,223 --> 00:12:41,387
Martha, I'd like to give you
my cellular telephone number.
239
00:12:41,427 --> 00:12:43,759
Now, you or your husband,
if you have any questions,
240
00:12:43,796 --> 00:12:46,128
if he gets a little worried
or wants an update,
241
00:12:46,165 --> 00:12:49,293
then he can call this number. I'll even
make sure to have a nurse answer
242
00:12:49,335 --> 00:12:52,827
- if we're in the OR.
- Oh, you're wonderful.
243
00:12:52,905 --> 00:12:58,502
You all are! This is the finest
patient care that I have ever seen.
244
00:12:58,577 --> 00:13:04,140
- I feel like a VIP.
- Well, it's just what we do.
245
00:13:12,424 --> 00:13:13,891
Hey. How long you gonna be in there?
246
00:13:13,959 --> 00:13:17,952
I've gotta put on a localizing frame.
At least an hour.
247
00:13:17,997 --> 00:13:20,158
- An hour?
- Yeah, give or take.
248
00:13:20,232 --> 00:13:22,666
Dr. Shepherd wants me
to be as thorough as possible.
249
00:13:22,735 --> 00:13:25,670
[Daniel yelling] No! I'm not doing this
without my wife!
250
00:13:25,704 --> 00:13:27,672
- Sir...
- No!
251
00:13:30,142 --> 00:13:32,440
- Mr. Cobb, your wife is right here.
- That's not my wife!
252
00:13:32,478 --> 00:13:35,936
- Mrs. Cobb... Look, it's your wife.
- That's not Victoria.
253
00:13:35,981 --> 00:13:39,144
Daniel... Daniel, Daniel, Daniel...
It's me.
254
00:13:39,185 --> 00:13:43,019
You're not Victoria.
You're not my wife.
255
00:13:43,055 --> 00:13:45,956
You're not Victoria. I want Victoria!
I want my wife!
256
00:13:45,991 --> 00:13:48,255
- It's Allison.
- Get away from me!
257
00:13:49,929 --> 00:13:53,296
- Sir, who is your wife?
- I don't know.
258
00:13:53,332 --> 00:13:54,993
- I don't know.
- Sir...
259
00:13:55,034 --> 00:13:59,334
I told you. It's Victoria.
I want Victoria.
260
00:13:59,371 --> 00:14:00,463
Is she here?
261
00:14:02,942 --> 00:14:06,207
- No.
- Do you know where she is?
262
00:14:07,112 --> 00:14:11,276
- I... I don't know.
- OK. OK. I...
263
00:14:11,350 --> 00:14:13,750
Well, I'm gonna go find
Victoria for you. OK?
264
00:14:13,819 --> 00:14:16,811
I'm gonna go look for her. I'm gonna
find her and bring her to you.
265
00:14:16,856 --> 00:14:21,350
- You sit tight. I'll find Victoria.
- OK... OK.
266
00:14:23,195 --> 00:14:25,254
Do you know who Victoria is?
267
00:14:27,733 --> 00:14:30,327
Victoria is the woman he loves.
268
00:14:40,079 --> 00:14:42,070
They met at the home last year.
269
00:14:42,147 --> 00:14:47,551
One day he asked me to wheel her
towards him and that was it.
270
00:14:47,586 --> 00:14:51,283
I watched him fall in love with her.
271
00:14:51,357 --> 00:14:54,849
- Well, Ben and I watched.
- You're Victoria's husband?
272
00:14:57,596 --> 00:14:59,461
Until she leaves me.
273
00:14:59,531 --> 00:15:02,091
[Scoffs] She's not gonna
leave you, Ben.
274
00:15:02,167 --> 00:15:03,361
We'll see.
275
00:15:04,737 --> 00:15:08,036
Victoria was diagnosed
with vascular dementia.
276
00:15:08,073 --> 00:15:11,270
It's not Alzheimer's,
but it might as well be.
277
00:15:11,343 --> 00:15:17,009
She's like Daniel. When she's lucid,
she knows I'm her husband.
278
00:15:17,516 --> 00:15:21,976
When she's not,
I go from being her husband to...
279
00:15:22,054 --> 00:15:24,682
...somebody that gets to hear
about Daniel all the time.
280
00:15:24,757 --> 00:15:27,624
Daniel can still be in the trial,
can't he?
281
00:15:27,693 --> 00:15:29,854
This doesn't mean he can't do it?
282
00:15:29,929 --> 00:15:33,126
No, he can still do it. The rule
for the study is we need his consent.
283
00:15:33,198 --> 00:15:35,325
Once we have it,
it's OK if he's not always lucid.
284
00:15:35,401 --> 00:15:38,393
You don't have any more openings,
do you?
285
00:15:38,437 --> 00:15:41,133
Unfortunately, the trial is only
for Alzheimer's dementia.
286
00:15:41,206 --> 00:15:42,332
There's no chance?
287
00:15:43,475 --> 00:15:45,136
I'm sorry.
288
00:15:47,146 --> 00:15:49,979
[Victoria and Daniel laughing]
289
00:15:54,954 --> 00:15:57,787
This is seriously jacked-up.
290
00:15:58,757 --> 00:16:01,988
- [Beeping]
- Mayo Clinic says "Good luck".
291
00:16:02,061 --> 00:16:04,621
Cleveland Clinic sent you
a whole bunch of smiley faces.
292
00:16:04,663 --> 00:16:08,394
And there's a resident from Sydney,
Australia joining us for the first time.
293
00:16:08,467 --> 00:16:11,163
- Yay, Sydney.
- Turn it off, Grey. Chief's orders.
294
00:16:11,236 --> 00:16:13,761
But this is Mr. Windsor's
third operation.
295
00:16:13,806 --> 00:16:15,637
Everyone wants to know
how it comes out.
296
00:16:15,674 --> 00:16:18,472
Until I get the OK from the chief, we're
not even gonna tweet the time of day.
297
00:16:18,510 --> 00:16:22,378
It's not like the chief even
reads tweets. It's not like he'll know.
298
00:16:22,448 --> 00:16:24,473
Drop it, Kepner.
299
00:16:26,318 --> 00:16:29,344
I understand. He's the boss.
300
00:16:29,388 --> 00:16:32,221
And I'm sure that he's got his reasons,
301
00:16:32,291 --> 00:16:35,590
but you've also got
3,000 residents out there
302
00:16:35,661 --> 00:16:38,755
who have been by your side
this whole time.
303
00:16:38,831 --> 00:16:42,028
Through a couple of
very difficult, time-consuming,
304
00:16:42,101 --> 00:16:44,160
life-threatening operations.
305
00:16:44,203 --> 00:16:48,503
And now to tell them, "forget it,"
just like that?
306
00:16:48,540 --> 00:16:51,304
It's like...
307
00:16:51,343 --> 00:16:53,675
It's like turning off the TV
when Clarice
308
00:16:53,712 --> 00:16:55,680
is knocking on the door of the house.
309
00:16:55,714 --> 00:16:57,443
It's silencing the lambs!
310
00:16:57,516 --> 00:17:00,314
And the lambs wanna scream, Dr. Bailey.
311
00:17:00,352 --> 00:17:02,217
[Whispering] The lambs wanna scream.
312
00:17:08,894 --> 00:17:13,763
- The man would never know.
- No. No, the man would not.
313
00:17:25,210 --> 00:17:30,045
Wanna know what's really fun and not
at all depressing? Alzheimer's research.
314
00:17:30,082 --> 00:17:31,709
Callie's having my baby.
315
00:17:33,619 --> 00:17:35,450
- What?
- Right?
316
00:17:35,521 --> 00:17:40,618
Best news of my life. At least it
would be, except for the fact
317
00:17:40,692 --> 00:17:44,093
that Lexie wants a baby about
as much as she wants a root canal.
318
00:17:44,163 --> 00:17:47,724
I guess I could tell her
I'm the baby's uncle.
319
00:17:47,766 --> 00:17:50,234
But I don't want to be the cool uncle.
320
00:17:50,269 --> 00:17:52,362
The cool uncle's only cool
until the kid's like nine,
321
00:17:52,404 --> 00:17:53,894
and then the cool uncle's just creepy.
322
00:17:53,939 --> 00:17:56,271
[Sarcastic laughter]
323
00:17:56,341 --> 00:17:58,707
I'm the dad. I want this.
324
00:17:59,411 --> 00:18:01,777
And I want Lexie.
325
00:18:03,582 --> 00:18:06,915
What do I do? You're the man
with the answers. What do you think?
326
00:18:09,254 --> 00:18:11,518
How can Meredith and I try
for months and not have any luck,
327
00:18:11,590 --> 00:18:13,649
and you look at somebody
and a baby appears?
328
00:18:13,725 --> 00:18:15,124
The Sloans are unusually fertile.
329
00:18:15,160 --> 00:18:17,822
You're the classic example
of failing up.
330
00:18:17,896 --> 00:18:20,626
Not exactly the advice
I was looking for.
331
00:18:20,699 --> 00:18:21,825
Well, you got it. Cheers.
332
00:18:21,900 --> 00:18:23,891
[Pager beeping]
333
00:18:28,540 --> 00:18:30,098
- Is she OK?
- Yep.
334
00:18:30,142 --> 00:18:32,406
- Maybe.
- I said yep. Yep is not maybe.
335
00:18:32,444 --> 00:18:34,139
- It's yep.
- She paged us.
336
00:18:34,213 --> 00:18:37,671
I paged you. Callie hasn't left
the exam room since you were last here.
337
00:18:37,749 --> 00:18:40,081
- Two hours ago.
- What if it is a molar pregnancy?
338
00:18:40,119 --> 00:18:42,019
Or fetal demise. Or an infection?
339
00:18:42,087 --> 00:18:44,851
She doesn't seem to want to leave
the exam room until we rule out,
340
00:18:44,923 --> 00:18:46,754
- what, everything?
- Well...
341
00:18:46,792 --> 00:18:48,259
- Callie.
- I'm bleeding!
342
00:18:48,293 --> 00:18:50,557
I don't wanna take
any chances with this baby!
343
00:18:50,629 --> 00:18:54,429
All right, what if we run a culture.
Just in case. Can't hurt, right?
344
00:18:57,269 --> 00:19:01,467
- Sure. Can't hurt.
- Good idea?
345
00:19:08,447 --> 00:19:12,178
He followed me through a snowstorm.
346
00:19:12,217 --> 00:19:15,482
- Sorry?
- In college.
347
00:19:16,788 --> 00:19:21,282
Daniel saw me in the student union
and he followed me to my class
348
00:19:21,326 --> 00:19:27,356
in a snowstorm.
Introduction to French Poetry.
349
00:19:28,200 --> 00:19:32,000
It was in this big lecture hall
and he sat there
350
00:19:32,037 --> 00:19:35,871
for an hour and a half,
twice a week for five months,
351
00:19:35,941 --> 00:19:39,843
just trying to get up the nerve
to meet me.
352
00:19:42,014 --> 00:19:44,244
That was 40 years ago.
353
00:19:48,654 --> 00:19:49,712
Please...
354
00:19:52,024 --> 00:19:54,049
...give my husband the drug.
355
00:19:57,362 --> 00:20:00,092
- Mrs. Cobb...
- You could do it if you wanted to.
356
00:20:00,165 --> 00:20:01,598
You know that you could.
357
00:20:01,667 --> 00:20:05,194
No, I couldn't.
It's completely random.
358
00:20:05,237 --> 00:20:06,829
The computer decides.
359
00:20:06,872 --> 00:20:09,238
We don't even know if he's getting
the drug until we're about to inject it.
360
00:20:09,308 --> 00:20:14,177
Then change it if you need to.
I need my husband back.
361
00:20:14,213 --> 00:20:16,579
I need Daniel back.
362
00:20:17,349 --> 00:20:19,544
I'm sorry, I just...
363
00:20:20,052 --> 00:20:24,580
Even if the drug worked,
it's not gonna reverse things.
364
00:20:24,623 --> 00:20:30,584
But I can live with that.
I can live with what we have right now.
365
00:20:30,896 --> 00:20:33,091
I can live with being a part-time wife.
366
00:20:33,165 --> 00:20:36,931
But I cannot live...
367
00:20:37,002 --> 00:20:40,529
...with losing my husband all the way.
368
00:20:41,707 --> 00:20:43,402
So...
369
00:20:46,111 --> 00:20:48,409
...for God's sake...
370
00:20:51,283 --> 00:20:53,114
...give him the drug.
371
00:20:56,421 --> 00:20:58,013
Please.
372
00:21:04,129 --> 00:21:06,689
Day one and this thing already blows.
373
00:21:06,765 --> 00:21:09,757
We got one guy begging us
to get his wife on the trial.
374
00:21:09,801 --> 00:21:13,259
Then this other guy's wife wants me
to steal the drug for her husband.
375
00:21:13,305 --> 00:21:15,773
Well, you're the one who wanted in
on the trial of the century.
376
00:21:15,807 --> 00:21:20,437
With peds, the problem's right in
front of you: Sick kid, worried parents.
377
00:21:20,479 --> 00:21:23,812
Here, you got a sick parent
who doesn't even know they're sick.
378
00:21:23,882 --> 00:21:27,909
Well, about five years ago,
I was visiting my mother.
379
00:21:27,953 --> 00:21:32,447
And she starts telling me
how she thinks she's got herpes.
380
00:21:32,491 --> 00:21:34,584
And how she doesn't want to go
to the hospital and get checked out
381
00:21:34,626 --> 00:21:36,594
because she's afraid
everybody will know.
382
00:21:36,628 --> 00:21:41,065
So, I realize that she thinks
I'm her best friend from med school,
383
00:21:41,133 --> 00:21:43,465
and it's 35 years ago.
384
00:21:43,502 --> 00:21:48,838
So... I had to just sit there and talk
to my mother about her possible herpes
385
00:21:48,907 --> 00:21:52,604
for two hours.
Two very long hours.
386
00:21:52,644 --> 00:21:54,373
I couldn't cure her Alzheimer's,
387
00:21:54,446 --> 00:21:58,246
but at least I could give her
what she needed in that moment.
388
00:21:58,317 --> 00:22:01,946
- Advice about herpes?
- Advice about herpes.
389
00:22:09,027 --> 00:22:10,858
You may want to put
all that away, Mrs. Elkin.
390
00:22:10,896 --> 00:22:13,160
They're gonna come take you
to the OR any minute.
391
00:22:13,198 --> 00:22:17,794
- I don't think it's such a good idea.
- What? The surgery?
392
00:22:17,836 --> 00:22:23,365
Well, it's risky, isn't it? I mean, it's
a five percent chance of mortality?
393
00:22:23,442 --> 00:22:25,637
Yes, but...
394
00:22:25,677 --> 00:22:30,011
...that's a 95 percent chance
of success. Those are good odds.
395
00:22:30,048 --> 00:22:32,243
I've had such a wonderful life.
396
00:22:33,719 --> 00:22:36,916
My friend, Donna, she had
a big operation like this, and...
397
00:22:37,789 --> 00:22:42,055
...she was never the same. Nursing home.
Couldn't even feed herself.
398
00:22:42,094 --> 00:22:47,532
It was terrible.
The poor kids, it was so hard on them.
399
00:22:48,066 --> 00:22:53,231
Such a burden. I don't want
to do that to my children.
400
00:22:54,706 --> 00:23:00,269
I know it's scary.
And it can go wrong sometimes.
401
00:23:00,345 --> 00:23:06,375
But you could have 20 more years.
You could go to this baby's wedding.
402
00:23:06,518 --> 00:23:09,248
Are you sure you want to give that up?
403
00:23:10,155 --> 00:23:13,886
If you walk out of here right now,
you could have a few months.
404
00:23:13,925 --> 00:23:16,393
Maybe a year.
405
00:23:16,428 --> 00:23:19,363
But you'll always be wondering
when you're gonna go.
406
00:23:20,532 --> 00:23:22,056
And your family...
407
00:23:23,602 --> 00:23:26,935
...they'll always be
watching you, terrified.
408
00:23:31,243 --> 00:23:33,734
Don't give up on yourself.
409
00:23:33,779 --> 00:23:35,406
Let us help you.
410
00:23:38,150 --> 00:23:41,916
- Will you be there?
- Every step of the way.
411
00:23:44,923 --> 00:23:48,757
OK. I'll do it.
412
00:23:50,061 --> 00:23:51,892
You'll be great.
413
00:23:56,601 --> 00:23:59,092
Unbelievable. You think you're
gonna be able to do the grafts
414
00:23:59,137 --> 00:24:00,798
because the patient's requesting you?
415
00:24:00,872 --> 00:24:02,499
Altman doesn't exactly
fall for that kind of crap.
416
00:24:02,574 --> 00:24:04,940
Believe it or not, not everything
I do is about competition.
417
00:24:04,976 --> 00:24:07,467
[Scoffs] Yeah, as if.
418
00:24:10,215 --> 00:24:12,513
- [Pager beeping]
- [Mark groaning]
419
00:24:19,291 --> 00:24:22,158
911 means you're dying!
Somebody has to be dying!
420
00:24:22,194 --> 00:24:24,526
- Well, what if the baby was dying?
- There's nothing wrong with the baby.
421
00:24:24,596 --> 00:24:28,794
Or you. You can't page me in a panic
every time you have a feeling!
422
00:24:28,834 --> 00:24:31,166
Don't yell at me!
423
00:24:31,236 --> 00:24:34,103
I am a hormone casserole.
[Sobbing]
424
00:24:34,139 --> 00:24:37,939
My body is not my own.
And something feels wrong.
425
00:24:39,744 --> 00:24:42,212
- Is it muscular?
- No, it's a feeling in my gut.
426
00:24:42,280 --> 00:24:44,748
- In your uterine gut?
- No, my metaphorical gut!
427
00:24:44,816 --> 00:24:46,716
[Sobbing]
428
00:24:48,854 --> 00:24:50,287
Thanks.
429
00:24:54,326 --> 00:24:58,490
Arizona says she's still in,
but she said that before, and then...
430
00:24:58,530 --> 00:25:00,122
...she left.
431
00:25:01,500 --> 00:25:06,130
I don't think she's going anywhere.
She loves you, Torres.
432
00:25:06,171 --> 00:25:07,900
What about Lexie?
What are you gonna do about her?
433
00:25:07,973 --> 00:25:12,137
She's your soul mate or something,
and she's gonna freak the hell out!
434
00:25:12,177 --> 00:25:13,838
[Yelling] Everything in my life
is always a disaster!
435
00:25:13,879 --> 00:25:15,813
I really don't want this
to be a disaster!
436
00:25:15,847 --> 00:25:19,715
I don't even want to move or breathe.
I don't wanna do nothing!
437
00:25:19,751 --> 00:25:23,687
What if I do something
and it messes this baby up?
438
00:25:27,359 --> 00:25:29,224
[Sobbing]
439
00:25:32,397 --> 00:25:34,729
Martha Elkin's blood pressure
was slightly elevated,
440
00:25:34,799 --> 00:25:37,893
but I let her rest and I retook it and
it's fine, so it should be no problem.
441
00:25:37,969 --> 00:25:39,493
And Tweedle Dum is here, too.
442
00:25:39,538 --> 00:25:42,769
Charts are updated. Have you
decided who's gonna be first assist?
443
00:25:42,841 --> 00:25:45,708
Why would I decide now?
Patient care has never been better.
444
00:25:45,744 --> 00:25:47,575
I mean, once I choose,
445
00:25:47,646 --> 00:25:50,547
one of you is just gonna be skulking
around like a surly teenager.
446
00:25:50,582 --> 00:25:52,777
OK, this should be an easy choice.
447
00:25:52,851 --> 00:25:55,615
I have been practicing these graft
attachments every day for a month.
448
00:25:55,687 --> 00:25:58,247
- Some of us don't need to practice.
- Sure, Yang.
449
00:25:58,290 --> 00:26:00,918
You've got more experience overall,
but these last couple months
450
00:26:00,992 --> 00:26:03,552
you haven't exactly logged
a lot of hours in the OR, have you?
451
00:26:12,504 --> 00:26:13,698
That's not...
452
00:26:15,040 --> 00:26:18,100
You really had to go there?
You're that insecure?
453
00:26:18,176 --> 00:26:19,302
No.
454
00:26:20,579 --> 00:26:22,171
Just that much of an idiot.
455
00:26:22,247 --> 00:26:24,306
[Tapping keys] Damn it.
456
00:26:24,382 --> 00:26:26,111
Can I help you with
something there, Chief?
457
00:26:26,184 --> 00:26:29,153
I'm trying to look at Bailey's teats
on the Internet.
458
00:26:29,220 --> 00:26:32,678
- I think you mean "tweets," sir.
- Whatever.
459
00:26:32,757 --> 00:26:38,252
No, not whatever. It's important
you get that one right. Let me try.
460
00:26:38,296 --> 00:26:41,595
Bailey's putting her surgeries on
the Internet for the whole world to see.
461
00:26:41,633 --> 00:26:44,227
I told her I'd look into it,
but I think it's a terrible idea.
462
00:26:44,269 --> 00:26:46,032
I dunno. Might be
a good way to reach students.
463
00:26:46,104 --> 00:26:49,437
Or it might be Bailey bragging
to the world about Bailey.
464
00:26:49,474 --> 00:26:53,410
This thing isn't designed for medicine.
It's designed for gossip.
465
00:26:53,445 --> 00:26:56,778
For now. But look at GPS.
It was designed for the US military
466
00:26:56,815 --> 00:27:00,683
to keep an eye on foreign troop
movements. Now it's in everyone's car.
467
00:27:00,752 --> 00:27:03,084
You know, you go out.
You never have to get lost again.
468
00:27:03,121 --> 00:27:05,316
Yeah, I don't go out.
469
00:27:05,357 --> 00:27:07,257
Let's save that conversation
for next time.
470
00:27:07,292 --> 00:27:08,953
There you go. Bailey's Twitter page.
471
00:27:08,994 --> 00:27:11,224
Looks like she's tweeting
a surgery right now.
472
00:27:11,296 --> 00:27:12,627
What?!
473
00:27:12,664 --> 00:27:17,192
So that's why we
also had to do a left hemicolectomy.
474
00:27:17,268 --> 00:27:19,327
- [Beeping]
- Um...
475
00:27:20,071 --> 00:27:21,663
Here's a question from...
476
00:27:21,740 --> 00:27:25,437
Dr. Bailey, I specifically told you
not to tweet your surgeries
477
00:27:25,477 --> 00:27:29,971
- until I looked into it.
- I'm sorry, Chief, I misunderstood.
478
00:27:30,015 --> 00:27:33,007
I thought you said I could tweet
until you decided.
479
00:27:33,051 --> 00:27:35,815
Don't play dumb. That's not
what I said and you know it.
480
00:27:35,854 --> 00:27:36,946
Put away that little toy.
481
00:27:36,988 --> 00:27:38,046
[Alarm ringing]
482
00:27:38,123 --> 00:27:41,149
He's hemorrhaging.
The blood's coming from...
483
00:27:41,192 --> 00:27:45,060
- I don't know where it's coming from.
- OK, hold on. Let's see...
484
00:27:47,632 --> 00:27:52,126
Yeah, we've got a pseudoaneurysm
in the splenic artery.
485
00:27:52,170 --> 00:27:54,400
How did that... What happened?
486
00:27:54,472 --> 00:27:57,305
Pancreatic enzymes
are leaking into the abdomen.
487
00:27:57,342 --> 00:28:00,038
They're dissolving
the blood vessels. Clamp.
488
00:28:00,111 --> 00:28:01,305
You need to get the spleen out of there.
489
00:28:01,346 --> 00:28:02,677
I'm already on it. Clamp.
490
00:28:05,850 --> 00:28:07,579
Anyone see any more bleeding?
491
00:28:07,652 --> 00:28:10,348
No, but what's left of
the pancreas is still leaking.
492
00:28:10,388 --> 00:28:12,379
We need to take out that whole thing.
493
00:28:12,457 --> 00:28:14,721
It's one thing to live
with half a pancreas,
494
00:28:14,759 --> 00:28:18,195
but to remove the whole thing...
His life's gonna be hell.
495
00:28:18,229 --> 00:28:19,321
[Beeping]
496
00:28:20,165 --> 00:28:23,328
Grey, put that damn thing away! This is
exactly what I was talking about.
497
00:28:23,368 --> 00:28:24,630
- Grey...
- It's Walter Reed.
498
00:28:24,703 --> 00:28:27,263
They suggest an
islet cell autotransplant?
499
00:28:27,338 --> 00:28:30,034
That's for pancreatitis.
You don't do it with trauma patients.
500
00:28:30,075 --> 00:28:31,372
What is it exactly?
501
00:28:31,409 --> 00:28:34,867
You isolate the cells from the pancreas
and inject them into the liver.
502
00:28:34,913 --> 00:28:39,111
They trick the liver into acting
like a pancreas and making insulin.
503
00:28:39,184 --> 00:28:42,085
Yeah, when it works.
You need an awful lot of cells.
504
00:28:42,153 --> 00:28:44,747
You know, just because
it isn't done for a trauma
505
00:28:44,823 --> 00:28:47,053
- it doesn't mean...
- I know. But even if we wanted to,
506
00:28:47,092 --> 00:28:51,529
we don't have the equipment to extract
cells. You need a Ricordi chamber.
507
00:28:51,596 --> 00:28:53,791
We don't have it, but Northwestern does.
508
00:28:54,899 --> 00:28:56,730
How do you know?
509
00:28:57,535 --> 00:29:00,595
They can get it on a plane and
have the equipment here in six hours.
510
00:29:00,672 --> 00:29:04,438
- It's too late. He's too unstable.
- OK. Hold on.
511
00:29:04,476 --> 00:29:08,071
Denver... Tacoma Methodist.
Yes! They've got it.
512
00:29:08,113 --> 00:29:09,444
Tacoma...
513
00:29:09,481 --> 00:29:12,746
We take out the pancreas. I get
on the helicopter to Tacoma with it.
514
00:29:12,784 --> 00:29:15,252
I'm back in 90 minutes.
You manage in the meantime.
515
00:29:18,456 --> 00:29:20,447
- Let's do it.
- OK. Tell them.
516
00:29:21,893 --> 00:29:25,158
She's wigged out, OK. Now she won't
say anything. I think it's my fault.
517
00:29:25,230 --> 00:29:26,288
What did you do?
518
00:29:26,364 --> 00:29:28,798
We were busting each other's balls,
we both wanted the same surgery,
519
00:29:28,867 --> 00:29:31,995
and I may have said something
about her... flaming out.
520
00:29:32,070 --> 00:29:34,231
[Sobbing]
521
00:29:36,908 --> 00:29:39,775
Hey. Hey.
522
00:29:39,811 --> 00:29:42,439
- I want Owen.
- Go find him!
523
00:29:44,415 --> 00:29:45,643
[Sobbing stops]
524
00:29:48,887 --> 00:29:50,184
What the hell?
525
00:29:53,491 --> 00:29:55,652
He's gonna be running around
for the next hour
526
00:29:55,727 --> 00:29:58,924
while I sew grafts
on a quadruple bypass.
527
00:29:58,963 --> 00:30:02,262
Owen's at the dentist.
He'll be hard to find.
528
00:30:04,002 --> 00:30:07,460
- You are evil.
- He started it.
529
00:30:13,478 --> 00:30:18,506
Now this is the hard-core machine.
Highest resolution there is.
530
00:30:18,550 --> 00:30:19,710
Thank you.
531
00:30:19,784 --> 00:30:22,844
Now, it's almost impossible to find
a heartbeat until the eighth week,
532
00:30:22,921 --> 00:30:24,320
even with this thing.
533
00:30:24,355 --> 00:30:28,348
In fact, I don't even have moms
come in until the eighth week
534
00:30:28,426 --> 00:30:30,860
because they come in,
they don't see a heartbeat
535
00:30:30,895 --> 00:30:34,524
and they freak out and they
camp out on my exam table all day.
536
00:30:34,599 --> 00:30:38,228
But since you've already
camped out here all day,
537
00:30:38,303 --> 00:30:39,702
it can't hurt to have
another look, right?
538
00:30:39,771 --> 00:30:41,830
[Sighs]
539
00:30:43,107 --> 00:30:47,874
- How's he holding up, Dr. Knox?
- PH is good. He's normothermic. Stable.
540
00:30:47,946 --> 00:30:50,915
- [Phone buzzing]
- [Webber sighing]
541
00:30:52,884 --> 00:30:54,852
Um, uh...
542
00:30:54,886 --> 00:30:58,947
A resident at Hopkins wants
to know why they don't normally do
543
00:30:59,023 --> 00:31:02,823
islet cell autotransplantation
in a trauma patient?
544
00:31:03,761 --> 00:31:06,491
But we're not tweeting, so...
545
00:31:09,200 --> 00:31:11,464
Um...
546
00:31:11,536 --> 00:31:14,835
In a trauma, the pancreas
is usually too damaged.
547
00:31:14,873 --> 00:31:18,570
- You can't get enough cells.
- OK.
548
00:31:18,643 --> 00:31:20,873
- [Phone buzzing]
- [Grey sighing]
549
00:31:23,481 --> 00:31:24,539
Um...
550
00:31:24,582 --> 00:31:29,610
I got another question. From Emory.
551
00:31:31,389 --> 00:31:32,447
Go ahead.
552
00:31:32,523 --> 00:31:36,425
Will you use the portal vein to inject
the islet cells into the liver?
553
00:31:38,229 --> 00:31:39,662
Yes, but it's a little tricky.
554
00:31:39,731 --> 00:31:43,690
The portal vein is partially dissolved
because of the enzymes.
555
00:31:43,735 --> 00:31:45,930
Cool! Good answer.
556
00:31:48,006 --> 00:31:50,770
- [Phone buzzing]
- Oh, this is a message for you.
557
00:31:50,842 --> 00:31:56,246
It says, "Hi, Chief Webber.
Dr. Neil Lefkoff. University of Miami.
558
00:31:56,281 --> 00:31:59,273
I was a resident at Seattle Grace
eight years ago.
559
00:31:59,350 --> 00:32:01,750
It's a pleasure to be scrubbing in
with you again, sir".
560
00:32:01,786 --> 00:32:05,813
[Chuckling] Neil? Really?
561
00:32:10,962 --> 00:32:13,021
Well, I'll be...
562
00:32:48,132 --> 00:32:51,829
OK, we've placed the Octopus
Tissue Stabilizer. Now what?
563
00:32:51,903 --> 00:32:54,428
Dissect out the LAD, nick the artery,
564
00:32:54,472 --> 00:32:57,669
put in a shunt and put the graft
in distal to the blockage.
565
00:32:57,709 --> 00:32:59,301
OK, good. Go for it.
566
00:32:59,344 --> 00:33:03,508
Dr. Avery.
Nice of you to finally join us.
567
00:33:05,183 --> 00:33:07,981
And, before we had these machines,
we used to mince up the pancreas
568
00:33:08,019 --> 00:33:12,217
and spin it ourselves. Dr. Ellis Grey
taught me how to do that 20 years ago.
569
00:33:12,290 --> 00:33:14,417
- She would take the...
- OK, slow down, Chief.
570
00:33:14,492 --> 00:33:16,551
I can only do 140 characters at a time.
571
00:33:16,627 --> 00:33:19,255
She had this trick where
after the final washing, she...
572
00:33:19,330 --> 00:33:22,959
Oh, man, what was it?
It was classic Ellis.
573
00:33:23,001 --> 00:33:27,335
What... What was it?
Forget it, put a pin in it.
574
00:33:27,372 --> 00:33:30,830
Anyway, she would take...
We'd put the minced up pancreas...
575
00:33:42,186 --> 00:33:46,646
- Nice. What do we do next?
- Check the flow in the graft.
576
00:33:49,794 --> 00:33:52,729
All right, Mr. Cobb.
Everything is looking good.
577
00:33:52,797 --> 00:33:53,889
[Drill whirring]
578
00:34:00,038 --> 00:34:03,940
- How's he doing?
- Stable. Not acidotic or hypothermic.
579
00:34:04,008 --> 00:34:06,670
- How many cells did you get?
- Three hundred thousand.
580
00:34:06,711 --> 00:34:07,837
Is that enough?
581
00:34:08,346 --> 00:34:11,782
Normally you want about a million,
but it's better than nothing.
582
00:34:14,452 --> 00:34:17,615
- Nothing?
- Just give me a minute.
583
00:34:17,688 --> 00:34:19,246
- This was a bad idea.
- Callie.
584
00:34:19,323 --> 00:34:21,757
That was stupid. She said it's
too early, she can't find it yet.
585
00:34:21,793 --> 00:34:23,886
Doesn't mean a dead baby,
it just means it was really stupid.
586
00:34:23,928 --> 00:34:25,589
Shut up.
587
00:34:33,271 --> 00:34:34,636
There.
588
00:34:34,705 --> 00:34:36,696
[Heartbeat]
589
00:34:38,576 --> 00:34:39,941
Oh, my God.
590
00:34:45,450 --> 00:34:47,475
Oh, my God.
591
00:34:53,224 --> 00:34:56,250
- OK, we're almost there.
- Can I have the envelope?
592
00:35:13,644 --> 00:35:15,771
OK, Daniel,
I'm gonna insert the probe now.
593
00:35:21,819 --> 00:35:23,912
Very good, Mr. Cobb.
594
00:35:29,660 --> 00:35:31,821
- [Rain pouring]
- [Thunder rumbling]
595
00:35:31,896 --> 00:35:34,126
[Groaning]
596
00:35:37,335 --> 00:35:42,602
Honey? Hey, how you feeling?
597
00:35:42,640 --> 00:35:46,337
I'm OK. I've got a slight headache.
598
00:35:53,050 --> 00:35:55,450
Where's my Victoria?
599
00:35:57,955 --> 00:35:59,047
Can I see her?
600
00:36:06,164 --> 00:36:07,529
Oh.
601
00:36:07,565 --> 00:36:10,466
Mrs. Cobb, he just came out of surgery.
602
00:36:10,501 --> 00:36:13,197
Look, this doesn't mean
it's not gonna work.
603
00:36:13,237 --> 00:36:15,296
We won't know that for a while.
604
00:36:15,339 --> 00:36:18,206
When he acts like this,
you just need to tell yourself
605
00:36:18,276 --> 00:36:22,576
this is not your husband.
But he is somebody who needs your help.
606
00:36:22,647 --> 00:36:25,081
So whatever you can give him.
607
00:36:43,801 --> 00:36:45,132
Daniel...
608
00:36:46,537 --> 00:36:48,698
I'm gonna call Victoria...
609
00:36:49,340 --> 00:36:53,436
...and get her here
as soon as I can. OK?
610
00:36:56,581 --> 00:36:57,912
Thank you.
611
00:37:03,688 --> 00:37:04,882
Karev.
612
00:37:07,558 --> 00:37:09,355
I couldn't have done it
any better myself.
613
00:37:09,393 --> 00:37:12,954
You reassured her. You got her
to focus on what was important.
614
00:37:14,165 --> 00:37:16,565
- I'm off the trial.
- What?
615
00:37:16,601 --> 00:37:19,399
It's too depressing. I can't
handle this for the next two years.
616
00:37:19,437 --> 00:37:22,406
- You just handled it.
- No. That was Meredith talking.
617
00:37:22,440 --> 00:37:25,603
She told me what to say.
She's been saving my ass all day.
618
00:37:25,643 --> 00:37:26,735
You need to get over this thing
619
00:37:26,777 --> 00:37:28,472
where you're just
thinking of her as your wife.
620
00:37:28,546 --> 00:37:31,811
Because your wife is the only person
twisted enough to handle this crap.
621
00:37:33,284 --> 00:37:36,378
Oh, that said, I'm in the race
for chief resident.
622
00:37:36,420 --> 00:37:37,785
And so far, I'm kicking ass.
623
00:37:37,822 --> 00:37:41,087
So I'd appreciate it if you mentioned
to Dr. Webber that I prioritized
624
00:37:41,125 --> 00:37:43,525
the patient's needs
over my personal gain.
625
00:37:56,741 --> 00:37:58,265
Take care of her.
626
00:37:58,309 --> 00:38:01,642
[Laughing] Any time, Martha, any time.
627
00:38:04,148 --> 00:38:05,911
Bite me, Yang.
628
00:38:10,221 --> 00:38:14,089
Chief, I just wanted to
update you on Anthony Windsor.
629
00:38:14,125 --> 00:38:16,457
- Anthony?
- Windsor.
630
00:38:16,494 --> 00:38:19,952
- Our pancreas patient.
- Oh, yeah, right, right.
631
00:38:19,997 --> 00:38:23,489
- What's all this?
- This is Ellis Grey's old journals.
632
00:38:23,567 --> 00:38:26,035
I'm trying to find
the answer to a thing...
633
00:38:26,103 --> 00:38:30,199
Well, anyway, the islet cells
have started producing insulin.
634
00:38:30,274 --> 00:38:32,174
It looks like
the transplant's gonna take.
635
00:38:32,209 --> 00:38:36,373
That's great, great.
Excellent work, Dr. Bailey.
636
00:38:38,082 --> 00:38:43,543
OK, sir, I'm doing a robotic
subtotal gastrectomy tomorrow.
637
00:38:43,621 --> 00:38:48,820
- Now, I know you wanted time...
- That's fine. Absolutely. Tweet away.
638
00:38:48,859 --> 00:38:54,820
Yeah! Yes, yes... There it is! OK...
She would add heparin and aprotinin.
639
00:38:54,865 --> 00:38:56,230
Now when you're tweeting tomorrow,
640
00:38:56,300 --> 00:38:59,235
tell everyone that Ellis Grey's trick
was to add those, OK?
641
00:38:59,303 --> 00:39:02,795
- Make sure you tell them that.
- Yes, sir.
642
00:39:05,476 --> 00:39:08,172
- [Laughs]
- [Chuckling]
643
00:39:12,483 --> 00:39:14,451
- [Door opening]
- [Arizona exclaiming]
644
00:39:16,654 --> 00:39:19,316
What are you doing?
Is that one of my boxes?
645
00:39:19,357 --> 00:39:21,518
Don't get up. You rest.
646
00:39:21,559 --> 00:39:23,550
You shouldn't be lifting
any heavy things. I got this.
647
00:39:23,594 --> 00:39:26,062
No, I'll get up if I want to.
Are you moving my stuff back in?
648
00:39:26,130 --> 00:39:29,896
- Callie.
- I haven't said I'm moving back in yet.
649
00:39:29,934 --> 00:39:33,927
I... We're not together. You can
take those back to Mark's place.
650
00:39:34,004 --> 00:39:38,134
Shut up. Just shut up. You don't
get to tell me that we're not together.
651
00:39:38,209 --> 00:39:39,267
We are together.
652
00:39:39,343 --> 00:39:42,244
Because I love you and you love me,
and none of the rest of it matters.
653
00:39:42,313 --> 00:39:45,942
We are together. And if you ever
sleep with anyone else again,
654
00:39:46,016 --> 00:39:47,847
man or woman,
I will kick the crap out of you.
655
00:39:47,885 --> 00:39:50,376
Now you sit your ass back down
there because that's my baby in there,
656
00:39:50,421 --> 00:39:52,082
and I don't want anything
happening to my baby!
657
00:39:55,059 --> 00:39:56,219
Your baby, huh?
658
00:40:00,364 --> 00:40:04,061
Our baby. There was a heartbeat.
659
00:40:05,536 --> 00:40:07,299
And it was...
660
00:40:11,742 --> 00:40:13,767
We're having a baby.
661
00:40:19,250 --> 00:40:21,810
Do I still have to sit down?
Because I'd rather rip your clothes off.
662
00:40:23,320 --> 00:40:25,948
I'll do the ripping. You rest.
663
00:40:28,459 --> 00:40:31,428
[Meredith] Doctors practice deceptionevery day.
664
00:40:32,263 --> 00:40:35,926
On our patients. On their families...
665
00:40:35,966 --> 00:40:38,764
[Lexie] I'm putting in tarragon.
666
00:40:38,803 --> 00:40:40,930
Not that I have any idea
what tarragon tastes like,
667
00:40:40,971 --> 00:40:42,996
but I think when people use tarragon,
668
00:40:43,073 --> 00:40:47,009
it makes them seem like they know
what they're doing. Basil can't do that.
669
00:40:47,077 --> 00:40:49,409
Anybody can sling some basil
around the kitchen.
670
00:40:50,648 --> 00:40:54,482
- Callie's pregnant.
- Oh, my God!
671
00:40:54,552 --> 00:40:57,851
That's great. She loves babies.
672
00:40:57,922 --> 00:41:02,723
Did they do a turkey baster
thing or something? I mean...
673
00:41:02,793 --> 00:41:07,662
Wait a minute. OK, so wait...
Arizona just got back, and they...
674
00:41:07,731 --> 00:41:09,824
...were they doing?
Wait, was this before they?
675
00:41:18,442 --> 00:41:20,842
I saw the heartbeat today.
676
00:41:23,080 --> 00:41:25,310
This is my kid. This is a part of me.
677
00:41:31,489 --> 00:41:33,081
Please, is there any way that we can...
678
00:41:33,157 --> 00:41:35,091
How the hell...
679
00:41:36,126 --> 00:41:40,961
...did you get me
in this position twice?!
680
00:41:40,998 --> 00:41:42,465
It's...
681
00:41:43,467 --> 00:41:44,832
...unbelievable.
682
00:41:46,604 --> 00:41:49,198
You are unbelievable!
683
00:41:52,676 --> 00:41:56,009
[Meredith] But the worst deceptionwe practice is on ourselves.
684
00:42:02,386 --> 00:42:06,379
My next Alzheimer's surgery
is tomorrow at seven.
685
00:42:08,325 --> 00:42:09,952
Put your name on the board.
686
00:42:10,794 --> 00:42:13,592
Which is why sometimesit takes us a while to realize...
687
00:42:15,399 --> 00:42:18,425
... that the truth has beenin front of us the whole time.
57062
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