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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:04,162 WWW.MY-SUBS.CO 1 00:00:05,330 --> 00:00:08,333 Research suggests that up to 40% of our day 2 00:00:08,368 --> 00:00:10,818 is spent acting out existing habits... 3 00:00:10,853 --> 00:00:13,084 Smells amazing. What are you making? 4 00:00:13,109 --> 00:00:17,131 Celebratory arrabbiata for your last day as a general surgeon. 5 00:00:18,274 --> 00:00:20,242 ... rather than making new decisions. 6 00:00:20,734 --> 00:00:23,831 Mmm. It's so good. The kids are gonna love it. 7 00:00:23,866 --> 00:00:26,144 Mmm. Well, they'll have to love it tomorrow 8 00:00:26,476 --> 00:00:28,629 'cause they've already been fed, bathed and put to bed. 9 00:00:28,798 --> 00:00:30,858 - It's just you and me? - It's just you and me. 10 00:00:33,703 --> 00:00:38,124 From sleep to personal hygiene to diet and exercise. 11 00:00:38,546 --> 00:00:40,538 So this is my curriculum description 12 00:00:40,572 --> 00:00:42,056 of my Bleeding Intervention Program. 13 00:00:42,091 --> 00:00:45,301 I wanna show it to every chief of trauma surgery in the country. 14 00:00:46,198 --> 00:00:47,372 Yeah, it's good. 15 00:00:47,397 --> 00:00:48,578 - Clear. - Mm 16 00:00:50,237 --> 00:00:55,207 So, hey, um, you had a chance to look at the budget, or... 17 00:00:55,359 --> 00:00:57,188 Some of our habits serve us well. 18 00:00:58,141 --> 00:00:59,384 Come here. 19 00:00:59,419 --> 00:01:00,523 Hmm? Oh. 20 00:01:00,933 --> 00:01:02,037 Okay. 21 00:01:02,062 --> 00:01:03,857 Others can be more complicated. 22 00:01:09,596 --> 00:01:11,184 You want to change a habit? 23 00:01:15,572 --> 00:01:18,541 Behavioral scientists suggest starting small. 24 00:01:19,093 --> 00:01:20,301 Incoming. 25 00:01:20,336 --> 00:01:21,786 - Hey. - Hey. 26 00:01:21,820 --> 00:01:25,410 - Do you wanna go grab a bite? - I wish, but I'm waiting on labs. 27 00:01:25,445 --> 00:01:28,309 It'll go faster if you go down there and ask in person. 28 00:01:28,468 --> 00:01:29,883 You have your way, I have mine. 29 00:01:30,486 --> 00:01:32,005 Fair. 30 00:01:32,030 --> 00:01:33,945 I'm gonna go grab something to eat. 31 00:01:34,143 --> 00:01:36,041 - See you tomorrow? - Yeah, definitely. 32 00:01:36,076 --> 00:01:38,289 Make one minor adjustment over time. 33 00:01:38,734 --> 00:01:42,634 Time of death... 20:24. 34 00:01:42,669 --> 00:01:44,117 We're still in a rough patch, 35 00:01:44,142 --> 00:01:47,180 but we talked and we're gonna keep trying. 36 00:01:47,306 --> 00:01:49,101 Well, you know, she is right. 37 00:01:49,126 --> 00:01:51,681 If you go down there yourself, it'll be much faster. 38 00:01:52,858 --> 00:01:55,990 - Great. - It creates a domino effect 39 00:01:56,015 --> 00:01:57,682 that helps us make bigger changes down the line. 40 00:01:57,707 --> 00:02:02,896 Dr. Fox. Uh, what brings you to my little corner of the hospital? 41 00:02:02,930 --> 00:02:05,795 Natasha here is just taking me on a little tour. 42 00:02:05,830 --> 00:02:09,280 I wish I'd known. I would have prepared a presentation. 43 00:02:09,315 --> 00:02:11,352 You don't have to put on a show for me. 44 00:02:11,387 --> 00:02:13,920 I just like to pop in from time to time 45 00:02:13,945 --> 00:02:15,771 and see where my money's going. 46 00:02:15,805 --> 00:02:18,726 Well, uh, if you have any questions, I'm... 47 00:02:18,929 --> 00:02:22,674 Ah. I think I've seen everything I needed to see. 48 00:02:23,451 --> 00:02:24,843 Good night, Dr. Shepherd. 49 00:02:27,954 --> 00:02:30,128 Make a radical change, 50 00:02:30,274 --> 00:02:32,552 and you've set yourself up for failure. 51 00:02:32,577 --> 00:02:35,382 We have a problem. 52 00:02:35,406 --> 00:02:38,035 - Synced and corrected by ChrisKe - -- for www.MY-SUBS.com -- 53 00:02:56,669 --> 00:02:59,257 Well, you are a sight for sore eyes. 54 00:02:59,282 --> 00:03:00,352 - Hi. - Hey. 55 00:03:00,377 --> 00:03:02,137 Oh... 56 00:03:02,162 --> 00:03:04,648 You came all the way back here for one patient? 57 00:03:04,923 --> 00:03:06,960 You are some doctor, Maggie Pierce. 58 00:03:06,994 --> 00:03:08,789 Well, I've been with him for a long time 59 00:03:08,824 --> 00:03:10,377 and he's getting bad news today, 60 00:03:10,833 --> 00:03:12,703 so thought it should come from me. 61 00:03:18,488 --> 00:03:21,792 - Hi. How are you? - Good. 62 00:03:21,817 --> 00:03:24,968 - How was your flight? - Bumpy, and there weren't any snacks. 63 00:03:24,993 --> 00:03:28,109 But I made it here, so I guess it did its job. 64 00:03:29,160 --> 00:03:30,230 Guess it did, yeah. 65 00:03:33,015 --> 00:03:34,932 Well, I gotta prep for a surgery, so... 66 00:03:34,956 --> 00:03:36,312 Of course. 67 00:03:38,298 --> 00:03:40,577 - We'll catch up later. - Yeah, all right. 68 00:03:49,590 --> 00:03:50,971 Dr. Altman. 69 00:03:51,038 --> 00:03:53,362 Yes. Please, uh, come in. Have a seat. 70 00:03:56,250 --> 00:03:57,666 Thanks. 71 00:03:58,112 --> 00:04:00,461 Dr. Adams, we would like to follow up 72 00:04:00,496 --> 00:04:03,119 on the investigation of Sam Sutton's death. 73 00:04:03,231 --> 00:04:06,683 The family has decided to settle with the hospital. 74 00:04:07,471 --> 00:04:11,472 And our GME Council is recommending 75 00:04:11,507 --> 00:04:15,182 that you remediate your intern year. 76 00:04:16,783 --> 00:04:18,292 Wait, I have to start over? 77 00:04:18,729 --> 00:04:21,552 The Council just gave a recommendation. 78 00:04:21,586 --> 00:04:24,037 Catherine Fox will make the final decision. 79 00:04:24,299 --> 00:04:26,706 Her office will be reaching out to set a meeting with you. 80 00:04:27,620 --> 00:04:30,215 Uh, but does this recommendation say 81 00:04:30,250 --> 00:04:31,596 what I should have done instead? 82 00:04:31,631 --> 00:04:33,736 While I had a patient bleeding out 83 00:04:33,771 --> 00:04:35,231 and there was no attending in the room? 84 00:04:35,255 --> 00:04:37,291 That was a unique situation, 85 00:04:37,326 --> 00:04:40,618 and I am sorry that my medical crisis left you alone in the OR. 86 00:04:40,643 --> 00:04:42,089 But after the investigation, 87 00:04:42,124 --> 00:04:44,298 the Council is not confident that you will be ready 88 00:04:44,333 --> 00:04:46,548 to move forward with your surgical training. 89 00:04:46,573 --> 00:04:48,889 I wasn't the only intern who operated on him. 90 00:04:48,924 --> 00:04:51,081 But it was your decision to cut. 91 00:04:51,712 --> 00:04:54,163 Your judgment is in question, not your skills. 92 00:04:58,485 --> 00:05:01,419 Look, I know repeating your intern year 93 00:05:01,453 --> 00:05:03,588 sounds like a big price to pay... 94 00:05:04,287 --> 00:05:05,448 Adams. 95 00:05:05,883 --> 00:05:07,333 Thanks for letting me know. 96 00:05:09,588 --> 00:05:12,188 I'm not giving you my grandmother's banana bread recipe. 97 00:05:12,223 --> 00:05:13,985 - Good morning. - I gave you my car. 98 00:05:14,010 --> 00:05:15,607 Yes, because the judge made you. 99 00:05:15,640 --> 00:05:17,273 All right. Time-out. We need to make this quick. 100 00:05:17,297 --> 00:05:18,688 I have an important surgery to prepare for. 101 00:05:18,712 --> 00:05:20,472 Sorry, Dr. Ndugu. Just give me the recipe. 102 00:05:20,507 --> 00:05:21,657 - Not happening. - Dr. Griffith. 103 00:05:21,681 --> 00:05:23,648 Mason Peterson, 16 years old 104 00:05:23,683 --> 00:05:25,754 with idiopathic pulmonary hypertension. 105 00:05:25,788 --> 00:05:28,120 Admitted for new onset congestive heart failure. 106 00:05:28,145 --> 00:05:29,802 Do you have any big plans for today? 107 00:05:29,827 --> 00:05:32,071 What do you think? Thought I'd run a marathon. 108 00:05:32,628 --> 00:05:35,112 Go for a swim after. Lift some weights. 109 00:05:36,357 --> 00:05:40,940 I think you're gonna need new lungs for all that. 110 00:05:42,604 --> 00:05:44,669 - Did she say... - He's getting new lungs? 111 00:05:44,704 --> 00:05:48,397 And a heart. We just got the call. 112 00:05:48,431 --> 00:05:50,157 Oh, my God. Baby. 113 00:05:50,192 --> 00:05:52,032 I'm gonna go with the team to procure the organs, 114 00:05:52,056 --> 00:05:53,816 and Dr. Ndugu here will get you prepped 115 00:05:53,851 --> 00:05:55,369 for the operating room, okay? 116 00:05:56,209 --> 00:05:57,417 Oh, baby. 117 00:05:59,495 --> 00:06:01,652 Schmitt, who's on my service? 118 00:06:01,686 --> 00:06:03,377 What multiverse are we in? 119 00:06:03,412 --> 00:06:05,172 Adams, you're with me. 120 00:06:05,207 --> 00:06:06,642 Oh, he's actually in the pit. 121 00:06:06,667 --> 00:06:08,037 She doesn't care. 122 00:06:08,072 --> 00:06:10,902 Dr. Pierce. I can't believe you came. 123 00:06:11,420 --> 00:06:12,792 Always. 124 00:06:13,354 --> 00:06:16,667 - Dr. Adams, this is Brady... - Brady Hauser. Forty-two, 125 00:06:16,701 --> 00:06:18,254 had a heart transplant four years ago. 126 00:06:18,289 --> 00:06:20,705 Readmitted last week after an MI IVUS 127 00:06:20,740 --> 00:06:22,862 shows chronic cardiac graft vasculopathy. 128 00:06:22,887 --> 00:06:26,065 He's on IV steroids and antithymocyte globulin. 129 00:06:28,368 --> 00:06:31,095 Uh, I skimmed his chart as fast as I could. 130 00:06:31,129 --> 00:06:32,331 Mm-hmm. 131 00:06:33,436 --> 00:06:35,760 Brady was one of my first patients in Seattle. 132 00:06:36,134 --> 00:06:38,524 And you must be Ian. 133 00:06:38,549 --> 00:06:40,725 I've heard so much about you. I mean, not so much about you. 134 00:06:40,760 --> 00:06:43,083 I don't know your Social Security number or anything like that. 135 00:06:43,107 --> 00:06:45,419 But I know that you're a history teacher and you guys met 136 00:06:45,454 --> 00:06:47,732 when you accidentally picked up his matcha latte 137 00:06:47,767 --> 00:06:49,963 at the coffee shop. Yeah. 138 00:06:50,908 --> 00:06:52,944 - Ian. Right? It's Ian? - Yeah, it's okay. 139 00:06:52,979 --> 00:06:54,946 He knows I'm madly in love with him. 140 00:06:54,981 --> 00:06:57,017 Better be. We just moved in together. 141 00:06:57,052 --> 00:06:59,744 Yeah. I wanna spend as much time together as we can 142 00:06:59,779 --> 00:07:01,056 in case, um... 143 00:07:01,735 --> 00:07:03,185 Don't go there. 144 00:07:05,232 --> 00:07:07,200 So it's bad, right? 145 00:07:07,366 --> 00:07:09,253 I mean, you wouldn't come all the way out here to say hello. 146 00:07:11,687 --> 00:07:14,202 Chronic rejection is causing your heart to fail. 147 00:07:14,227 --> 00:07:16,298 We need to put you back on the transplant list. 148 00:07:19,370 --> 00:07:22,931 We should plant the tulips that you want 149 00:07:22,956 --> 00:07:24,907 and see the Space Needle. You've never done that. 150 00:07:24,942 --> 00:07:26,782 Should we get married? We should get married, right? 151 00:07:26,806 --> 00:07:27,955 - Brady. - No. No, you're right. 152 00:07:27,979 --> 00:07:30,237 That was a terrible proposal. 153 00:07:30,441 --> 00:07:32,305 I take it back. 154 00:07:32,605 --> 00:07:34,676 How long can I make it with this heart? 155 00:07:35,504 --> 00:07:37,920 With medications, a few months. 156 00:07:37,955 --> 00:07:40,267 But Ian is right. Don't go there. 157 00:07:40,302 --> 00:07:41,717 We're gonna talk to UNOS. 158 00:07:43,615 --> 00:07:44,823 Don't lose hope. 159 00:07:50,519 --> 00:07:52,590 I can't find my gloves. 160 00:07:52,624 --> 00:07:54,706 - Oh, uh, buddy, they're in your hands. - Not these ones. 161 00:07:54,730 --> 00:07:56,283 He wants the ones with the stripes 162 00:07:56,318 --> 00:07:58,081 'cause Mia said they're cool. 163 00:07:58,106 --> 00:08:00,782 Well, if Mia said they're cool, go look in your basketball bag. 164 00:08:00,807 --> 00:08:02,324 Is this how you hold a 10 blade? 165 00:08:02,358 --> 00:08:05,206 Keep it at a 45-degree angle. Yeah. And let it glide. 166 00:08:05,465 --> 00:08:07,501 Hold it strong. There you go. 167 00:08:07,536 --> 00:08:09,124 So there's this house 168 00:08:09,158 --> 00:08:10,826 that just came in the market in Chestnut Hill. 169 00:08:10,850 --> 00:08:13,438 It's four bedrooms. It's got a big yard. 170 00:08:13,473 --> 00:08:14,968 I mean, I don't know. We could get a dog. 171 00:08:14,992 --> 00:08:16,683 - Can we? Please. - Don't listen to him. 172 00:08:16,717 --> 00:08:18,271 - How... Did you hear that? - Dog. 173 00:08:18,305 --> 00:08:19,627 The dog's negotiable. What do you think? 174 00:08:19,651 --> 00:08:20,549 Who is that? 175 00:08:20,583 --> 00:08:23,034 - Amelia. - Amelia? 176 00:08:23,059 --> 00:08:25,581 You didn't tell me she was coming. I would have rearranged my day. 177 00:08:26,628 --> 00:08:28,005 You made good time. 178 00:08:28,039 --> 00:08:29,567 How long are you staying? 179 00:08:29,592 --> 00:08:31,836 I brought hard drives, papers, everything. 180 00:08:31,871 --> 00:08:35,150 I couldn't risk leaving them there. Catherine's all over us. 181 00:08:40,950 --> 00:08:43,573 Dorian has requested orange Jell-O. 182 00:08:43,608 --> 00:08:46,162 Turns out he's a Cleveland fan. Yeah! 183 00:08:46,197 --> 00:08:48,371 Well, he passed his swallow study, 184 00:08:48,406 --> 00:08:49,855 so we can finally advance him 185 00:08:49,890 --> 00:08:53,066 from full liquids to a soft food diet. 186 00:08:53,100 --> 00:08:55,065 Look, his white count is elevated again. 187 00:08:55,090 --> 00:08:56,724 It's barely above the normal range. 188 00:08:56,759 --> 00:08:58,185 He doesn't show any signs of wound infection 189 00:08:58,209 --> 00:08:59,693 or peritonitis or nothing. 190 00:08:59,727 --> 00:09:02,489 - How are his CRP and PCT? - Normal. 191 00:09:02,523 --> 00:09:04,249 His progress is remarkable. 192 00:09:04,284 --> 00:09:08,010 Yeah, we should still order additional labs, cultures, 193 00:09:08,035 --> 00:09:10,509 and a chest X-ray just to rule out infection. 194 00:09:10,534 --> 00:09:12,018 I heard about Adams. 195 00:09:12,043 --> 00:09:14,804 Uh... Let me know when the labs are back. 196 00:09:16,089 --> 00:09:18,022 I don't know if Catherine knows about us, 197 00:09:18,056 --> 00:09:20,748 or if she is just sniffing around everyone's labs. 198 00:09:20,783 --> 00:09:22,405 But either way, it is not good. 199 00:09:22,440 --> 00:09:24,235 We need more time. Can you stall? 200 00:09:24,269 --> 00:09:26,513 Catherine has access to the hospital finances, 201 00:09:26,547 --> 00:09:28,929 so if she doesn't know by now it's just a matter of time. 202 00:09:28,963 --> 00:09:30,448 Wait, you didn't cook the books? 203 00:09:30,482 --> 00:09:32,588 I'm funding research, not a mafia hit. 204 00:09:32,622 --> 00:09:34,521 If Catherine pulls the plug, 205 00:09:34,555 --> 00:09:36,361 no one will fund us off of a hunch and some raw data. 206 00:09:36,385 --> 00:09:38,421 We need time to finish analyzing everything. 207 00:09:38,456 --> 00:09:40,527 -All right. How much time do you need? -A few weeks. 208 00:09:40,561 --> 00:09:42,000 A few weeks? You've had months. 209 00:09:42,025 --> 00:09:43,921 We're trying to find a cure for Alzheimer's. 210 00:09:43,961 --> 00:09:45,609 Did you think that was gonna happen in a couple of months? 211 00:09:45,634 --> 00:09:47,454 I mean, this is a cross-sectional observational study 212 00:09:47,479 --> 00:09:48,891 with just the two of us. 213 00:09:48,916 --> 00:09:50,874 We don't have analysts, coordinators, 214 00:09:50,899 --> 00:09:52,108 techs, assistants, nothing. 215 00:09:52,133 --> 00:09:55,047 And this is Catherine Fox. You better find a way to speed it up. 216 00:09:55,072 --> 00:09:57,277 If we powered through and didn't take any breaks, 217 00:09:57,302 --> 00:09:58,993 it would still take four days. 218 00:09:59,262 --> 00:10:02,411 - Who's on your service today? - Kwan and Millin. 219 00:10:02,436 --> 00:10:04,024 Do we trust them? 220 00:10:06,986 --> 00:10:08,919 Oh. Sorry. 221 00:10:09,142 --> 00:10:11,120 I can go somewhere else if you're trying to get some rest. 222 00:10:11,391 --> 00:10:14,112 Brady Hauser's back on the transplant list. 223 00:10:14,459 --> 00:10:15,839 I'm sorry. 224 00:10:18,082 --> 00:10:19,911 I really missed this couch. 225 00:10:19,945 --> 00:10:21,222 It's a great couch. 226 00:10:21,247 --> 00:10:23,387 Do you still have that hideous recliner? 227 00:10:23,504 --> 00:10:25,779 Why do you have to be like that? It's a great chair. 228 00:10:25,957 --> 00:10:28,816 It's definitely a chair. 229 00:10:28,851 --> 00:10:30,577 - Thank you. - You're welcome. 230 00:10:33,730 --> 00:10:37,618 Um, is there any chance you could assist on a heart-lung transplant? 231 00:10:37,653 --> 00:10:38,933 Altman was supposed to do it, 232 00:10:38,958 --> 00:10:40,977 but she got pulled into some chief emergency. 233 00:10:41,001 --> 00:10:42,599 It's an old patient of ours, Mason Peterson. 234 00:10:42,623 --> 00:10:44,332 Oh, my God. 235 00:10:44,357 --> 00:10:46,359 - Mason's getting a new heart and lungs. - Yeah. 236 00:10:46,384 --> 00:10:47,868 That's amazing. 237 00:10:47,893 --> 00:10:50,951 I would love to scrub in. Thank you for asking. 238 00:10:51,108 --> 00:10:53,421 All right. Um... Yeah. I'll put us on the board. 239 00:10:56,095 --> 00:10:59,615 Uh, I'm... I'm sorry that I haven't signed the papers yet. 240 00:10:59,640 --> 00:11:02,781 - I meant to, but... - No, it's okay. It's no rush. 241 00:11:03,019 --> 00:11:05,508 I mean, my lawyers wanted them, like, a month ago, 242 00:11:05,543 --> 00:11:08,354 but I told them, "You'll get them when you get them." 243 00:11:08,379 --> 00:11:10,513 - Well, sure you did. - What's that supposed to mean? 244 00:11:10,965 --> 00:11:13,801 Well, just that, you know, sometimes you can be a little... 245 00:11:13,826 --> 00:11:15,035 Careful now. 246 00:11:15,060 --> 00:11:18,132 Direct. Some might say bossy. 247 00:11:18,157 --> 00:11:21,506 - You said you loved that about me. - Because I didn't wanna have 248 00:11:21,530 --> 00:11:22,900 to sleep on this couch. 249 00:11:24,227 --> 00:11:25,504 I'll see you in the OR. 250 00:11:28,566 --> 00:11:30,637 Are we working on vascular anastomosis today? 251 00:11:30,671 --> 00:11:32,647 I need help with a very important, 252 00:11:32,672 --> 00:11:34,088 highly confidential project. 253 00:11:34,123 --> 00:11:36,056 Nobody can know what you're working on. 254 00:11:36,090 --> 00:11:37,126 Can I trust you? 255 00:11:37,898 --> 00:11:39,508 - Of course. - Absolutely. 256 00:11:39,542 --> 00:11:41,475 These are gut microbiome sequences. 257 00:11:41,510 --> 00:11:43,990 I need you to enter them into the database. 258 00:11:44,015 --> 00:11:47,999 So the very important project is data entry? 259 00:11:48,033 --> 00:11:49,359 Can you handle this? 260 00:11:49,384 --> 00:11:51,593 - Absolutely. - Great. Thank you. 261 00:11:53,140 --> 00:11:54,833 We're just allowed back in the OR 262 00:11:54,868 --> 00:11:57,181 and now we have to code literal crap? 263 00:11:57,215 --> 00:11:58,735 You wanna fight the chief, be my guest. 264 00:11:58,768 --> 00:12:00,156 I'm gonna get to work. 265 00:12:00,701 --> 00:12:02,876 Have you guys seen Adams? He's not answering my texts. 266 00:12:02,910 --> 00:12:04,461 - Haven't seen him. - Nope. 267 00:12:04,486 --> 00:12:06,096 - What are you doing in here? - Give me your spot on 268 00:12:06,120 --> 00:12:07,615 the heart-lung transplant and I'll tell you. 269 00:12:07,639 --> 00:12:08,640 I don't care that much. 270 00:12:09,600 --> 00:12:12,172 What? She said no. 271 00:12:13,640 --> 00:12:15,785 Hey, Link. Link. Link, do you have a minute? 272 00:12:15,820 --> 00:12:19,133 I just got scans back for one of my OB patients. 273 00:12:19,168 --> 00:12:20,797 She's 17 weeks. 274 00:12:20,822 --> 00:12:23,690 Her prenatal ultrasound showed a cystic mass behind the uterus, 275 00:12:23,724 --> 00:12:25,828 but I say we just watch it closely, right? 276 00:12:27,418 --> 00:12:28,758 About ten centimeters. 277 00:12:28,783 --> 00:12:30,640 You see that, Yasuda? A tailgut cyst. 278 00:12:30,665 --> 00:12:33,769 It is benign, but it carries the risk of malignant transformation, 279 00:12:33,803 --> 00:12:37,531 - so I'd recommend removing it. - That makes sense. 280 00:12:37,566 --> 00:12:40,707 But the chances of it becoming malignant are extremely rare, 281 00:12:40,741 --> 00:12:43,434 and she's asymptomatic, so I say we just watch and wait. 282 00:12:43,468 --> 00:12:45,336 - That also makes sense. - Right. 283 00:12:45,361 --> 00:12:47,172 - It's a decent-sized tumor. - It's an incidental finding. 284 00:12:47,196 --> 00:12:49,543 - You asked my opinion. - If we operate, 285 00:12:49,578 --> 00:12:51,373 one misstep, she could lose her pregnancy, 286 00:12:51,407 --> 00:12:53,961 she could lose the function of her leg, her bladder. 287 00:12:53,996 --> 00:12:56,039 And if it becomes malignant, she could die. 288 00:12:57,758 --> 00:12:59,726 But you're right. 289 00:12:59,760 --> 00:13:01,383 Transformation is unlikely, 290 00:13:01,417 --> 00:13:03,316 - so we could watch and wait. - Right. 291 00:13:03,350 --> 00:13:06,284 But watch it carefully. An MRI every two months at least. 292 00:13:06,319 --> 00:13:08,493 Great. Thank you for the consult. 293 00:13:13,464 --> 00:13:14,640 Is everything okay? 294 00:13:15,091 --> 00:13:16,644 Um... 295 00:13:16,669 --> 00:13:18,996 You know how Brady casually dropped marriage? 296 00:13:19,021 --> 00:13:22,473 Funny story. I had already been thinking about that, 297 00:13:22,507 --> 00:13:24,218 and I have my grandpa's ring. 298 00:13:24,243 --> 00:13:26,408 But I didn't know if it would fit, 299 00:13:26,442 --> 00:13:29,648 so I put it on him when he fell asleep, 300 00:13:30,125 --> 00:13:31,562 which was a really bad idea. 301 00:13:41,043 --> 00:13:43,494 His heart failure is causing his hands to swell. 302 00:13:43,645 --> 00:13:45,070 Let's see. 303 00:13:47,495 --> 00:13:48,772 Let's try this. 304 00:14:01,494 --> 00:14:02,564 Thank you. 305 00:14:06,579 --> 00:14:07,994 When are you gonna propose? 306 00:14:08,679 --> 00:14:10,624 Uh, haven't decided yet. 307 00:14:10,659 --> 00:14:12,195 You probably think I'm crazy. 308 00:14:12,220 --> 00:14:15,508 He has congestive heart failure, and I'm planning a wedding. 309 00:14:16,561 --> 00:14:20,859 I think you two love each other a lot. 310 00:14:22,256 --> 00:14:23,924 What's that? What's happening? 311 00:14:23,948 --> 00:14:25,881 - Out of the way. - Oh, my God, Brady. 312 00:14:25,915 --> 00:14:28,262 Code blue. Fourth floor. Cardiac arrhythmia. 313 00:14:28,297 --> 00:14:29,816 Oh, please, help. 314 00:14:29,850 --> 00:14:31,380 Code blue. Fourth floor. Cardiac Care Unit. 315 00:14:31,404 --> 00:14:32,695 Page Dr. Pierce! 316 00:14:34,059 --> 00:14:36,019 - Charge to 180. Clear. - Charged. 317 00:14:36,648 --> 00:14:37,925 Why isn't it working? 318 00:14:37,960 --> 00:14:39,555 Somebody get him out of the ICU. 319 00:14:40,102 --> 00:14:41,827 Two hundred. Clear. 320 00:14:44,511 --> 00:14:45,581 Give him one of epi. 321 00:14:49,109 --> 00:14:51,523 - And charge to 250. Clear. - Charged. 322 00:14:53,078 --> 00:14:54,140 What's happening? 323 00:14:54,165 --> 00:14:56,333 We got a rhythm, but the HemoSphere is showing 324 00:14:56,357 --> 00:14:58,152 his ejection fraction is 15. 325 00:14:58,187 --> 00:15:00,047 All right. We need to get him on ECMO immediately. 326 00:15:00,072 --> 00:15:03,109 Update UNOS. They need to know that he is in critical condition. 327 00:15:04,972 --> 00:15:07,711 - This upload is taking forever. - Shut up. 328 00:15:09,664 --> 00:15:11,970 Is this a group project where I do all of the work and you do none... 329 00:15:11,994 --> 00:15:14,070 This is a group project in which you will do none of the work 330 00:15:14,095 --> 00:15:17,965 because I have written a code that will do the work for us. 331 00:15:17,990 --> 00:15:20,302 It'll even send the file when it's done. 332 00:15:20,327 --> 00:15:22,122 - You know how to write code? - Yeah. 333 00:15:22,147 --> 00:15:25,469 - I taught myself in high school. - And you did this for fun? 334 00:15:25,494 --> 00:15:27,708 No, I did it for survival. 335 00:15:27,733 --> 00:15:30,090 I mean, if I needed a Reiki session, 336 00:15:30,115 --> 00:15:33,463 my parents had me covered, but real-life survival stuff? 337 00:15:33,498 --> 00:15:35,431 I was on my own. So, I learned how to code 338 00:15:35,465 --> 00:15:38,297 so I could rig online sweepstakes. 339 00:15:38,322 --> 00:15:40,048 That's diabolical. 340 00:15:40,073 --> 00:15:42,206 I got a Jacuzzi once, but we had nowhere to put it. 341 00:15:42,231 --> 00:15:44,819 So, now you can enjoy a hot soak if you're ever near 342 00:15:44,854 --> 00:15:47,756 - the spiritual center of the desert. - Unlikely. 343 00:15:49,031 --> 00:15:50,825 Could you optimize my dating apps? 344 00:15:50,860 --> 00:15:52,344 It's kinda like a contest. 345 00:15:52,379 --> 00:15:55,382 I am not writing code so you can get laid. 346 00:15:55,416 --> 00:15:57,349 Too hard? Can't figure it out? 347 00:15:57,384 --> 00:16:00,007 - All right. - Too hard. Give me your phone. 348 00:16:03,252 --> 00:16:05,357 Hey. I'm on my way to assist in the OR, 349 00:16:05,392 --> 00:16:07,118 but I wanna know how your meeting went. 350 00:16:07,152 --> 00:16:08,647 Can't talk right now. Trying to help Dr. Pierce. 351 00:16:08,671 --> 00:16:10,133 Do you wanna come over to the house after work? 352 00:16:10,158 --> 00:16:11,642 You know what's going on? 353 00:16:11,667 --> 00:16:12,955 They're making me repeat intern year 354 00:16:12,980 --> 00:16:14,609 because of what happened with Sam Sutton. 355 00:16:15,367 --> 00:16:17,863 I told the lawyers I wouldn't have operated if you weren't there. 356 00:16:17,887 --> 00:16:19,554 - This is my fault. - No, it's not your fault. 357 00:16:19,578 --> 00:16:21,000 It was my decision. I made the cut. 358 00:16:21,025 --> 00:16:23,242 I will talk to Dr. Fox. I will request a hearing with the board. 359 00:16:23,267 --> 00:16:25,580 - We were all there. We can defend you. - And then what? 360 00:16:26,236 --> 00:16:27,601 Just let it go, Simone. 361 00:16:28,799 --> 00:16:30,767 Could I get the MRN for Ms. Patel? 362 00:16:30,792 --> 00:16:32,297 No. Why? 363 00:16:32,322 --> 00:16:34,155 Dr. Lincoln asked me to schedule her procedure, 364 00:16:34,179 --> 00:16:35,732 so I need to order her pre-op labs. 365 00:16:35,767 --> 00:16:38,045 We decided we weren't doing the surgery. 366 00:16:38,080 --> 00:16:39,357 You were there. 367 00:16:39,500 --> 00:16:40,910 I was, and we did. 368 00:16:40,944 --> 00:16:43,188 But then Lincoln talked to DeLuca about it, 369 00:16:43,223 --> 00:16:45,535 and now the patient decided to remove the cyst. 370 00:16:45,570 --> 00:16:47,039 Why wasn't I told about this? 371 00:16:47,064 --> 00:16:49,422 All due respect, that is way above my pay grade. 372 00:16:49,447 --> 00:16:53,405 And... yours too, apparently. So sorry. My filter's broken today. 373 00:16:53,440 --> 00:16:57,099 - I don't believe this. - So the pre-op labs. Could... 374 00:16:57,663 --> 00:17:00,687 Tell Dr. Lincoln to take his pre-op labs and shove it. 375 00:17:01,723 --> 00:17:04,180 Yeah, I'm not doing that. 376 00:17:04,588 --> 00:17:05,656 Where's Pierce? 377 00:17:05,681 --> 00:17:07,297 She had to put a patient on ECMO. 378 00:17:07,322 --> 00:17:09,222 They're finishing up the organ procurement. 379 00:17:09,726 --> 00:17:11,527 I know he needs a new heart 380 00:17:11,561 --> 00:17:13,736 so he can adapt to the new lungs, 381 00:17:13,770 --> 00:17:15,625 but isn't Mason's heart technically fine for somebody else? 382 00:17:15,650 --> 00:17:17,619 Why won't UNOS accept it as a donor? 383 00:17:18,219 --> 00:17:20,536 Well, it's adapted to Mason's pulmonary hypertension. 384 00:17:20,569 --> 00:17:22,303 So to work for someone else, 385 00:17:22,328 --> 00:17:23,872 it would not only have to be a match 386 00:17:23,897 --> 00:17:27,015 but also have similar physiological conditioning. 387 00:17:29,407 --> 00:17:31,719 Hey, page Schmitt. He can cover for you in the OR. 388 00:17:31,754 --> 00:17:33,867 - I need you to check on something for me. - Okay. 389 00:17:38,692 --> 00:17:40,107 Things seem good here. 390 00:17:40,142 --> 00:17:42,937 The kids look happy, you seem settled. 391 00:17:43,763 --> 00:17:44,764 Yes. 392 00:17:46,078 --> 00:17:48,390 - What are you fishing for? - Nick moved in yet? 393 00:17:48,415 --> 00:17:49,657 No. 394 00:17:49,682 --> 00:17:51,670 Hand me that data-set. 395 00:17:51,705 --> 00:17:54,156 Well, whatever we find in the data, I hope it is strong 396 00:17:54,190 --> 00:17:56,123 so that when we present it to Catherine, 397 00:17:56,158 --> 00:17:58,389 she... can't turn it down. 398 00:17:58,414 --> 00:17:59,851 We're not presenting it to Catherine. 399 00:17:59,885 --> 00:18:01,531 We're sticking to the original plan. 400 00:18:01,556 --> 00:18:03,693 We're publishing an abstract based on our findings. 401 00:18:03,717 --> 00:18:06,005 We've already gone behind her back once. If we do it again... 402 00:18:06,029 --> 00:18:08,031 We can't risk her pulling the plug on us. 403 00:18:08,066 --> 00:18:09,765 We need independent funding. 404 00:18:12,319 --> 00:18:13,424 What if I say no? 405 00:18:15,000 --> 00:18:17,938 Meredith, you might not care about your relationship 406 00:18:17,972 --> 00:18:19,422 with the Fox Foundation, but I do. 407 00:18:19,457 --> 00:18:21,114 They are still funding my other research. 408 00:18:21,148 --> 00:18:22,839 They are the majority stakeholder 409 00:18:22,874 --> 00:18:25,312 at the hospital where I work. 410 00:18:27,198 --> 00:18:29,027 I can't lose my job, Meredith. 411 00:18:29,052 --> 00:18:31,406 No one's talking about that happening. 412 00:18:35,743 --> 00:18:37,430 We are erasing him. 413 00:18:39,025 --> 00:18:40,026 Derek. 414 00:18:41,858 --> 00:18:44,896 And if we are right about this, it makes his work obsolete. 415 00:18:44,930 --> 00:18:46,208 No one is gonna read it. 416 00:18:46,242 --> 00:18:48,624 No one is gonna reference it ever again. 417 00:18:48,658 --> 00:18:50,695 Why are you doing this now? 418 00:18:50,729 --> 00:18:53,742 I thought that I would have more time to process. 419 00:18:53,767 --> 00:18:56,045 And now you're talking about being days away 420 00:18:56,079 --> 00:19:00,662 from his entire contribution to this field just disappearing. 421 00:19:00,687 --> 00:19:02,741 And he would understand that because new discoveries 422 00:19:02,776 --> 00:19:05,428 replace existing theories every single day. 423 00:19:05,453 --> 00:19:07,194 I'm not saying that it's rational, 424 00:19:07,229 --> 00:19:09,103 but it doesn't change the fact that when we do this, 425 00:19:09,127 --> 00:19:11,509 we are burying my brother deeper in the ground. 426 00:19:11,543 --> 00:19:13,935 And I would think that you of all people would understand that. 427 00:19:13,959 --> 00:19:15,609 I do understand that. 428 00:19:15,634 --> 00:19:18,585 I also think I've come too far to throw the towel in. 429 00:19:18,782 --> 00:19:21,267 And I seriously hope you feel the same way. 430 00:19:22,740 --> 00:19:23,810 Okay. 431 00:19:33,754 --> 00:19:37,275 Being on ECMO is not ideal, but it buys us some time. 432 00:19:37,546 --> 00:19:40,892 - Well, can I go sit with him? - Yeah, of course. 433 00:19:43,249 --> 00:19:46,353 I gotta go check on some patients in Chicago and then I'll come back... 434 00:19:46,388 --> 00:19:49,046 - We might have a heart for Brady. - UNOS called with a match? 435 00:19:49,080 --> 00:19:50,840 Dr. Ndugu's preserving the cardiac graft 436 00:19:50,875 --> 00:19:52,394 from a heart-lung transplantation. 437 00:19:52,428 --> 00:19:54,534 The heart is salvageable, and it's a match. 438 00:19:54,568 --> 00:19:57,133 - It was only failing because of pulmon... - Pulmonary hypertension. 439 00:19:57,157 --> 00:19:59,988 Okay. I don't wanna get the boyfriend's hopes up. 440 00:20:00,022 --> 00:20:01,382 This is Mason's heart. 441 00:20:01,407 --> 00:20:03,312 What about screening for infectious diseases? 442 00:20:03,336 --> 00:20:04,751 - All negative. - Valvular function? 443 00:20:04,785 --> 00:20:06,203 Good for transplantation. 444 00:20:06,228 --> 00:20:08,764 You found one? A heart for Brady? 445 00:20:08,789 --> 00:20:10,842 - I have to get back to surgery. - Okay. 446 00:20:10,867 --> 00:20:13,553 There is another transplant patient 447 00:20:13,587 --> 00:20:15,210 whose heart might be a match, 448 00:20:15,244 --> 00:20:16,935 but we don't wanna get ahead of ourselves. 449 00:20:16,970 --> 00:20:18,558 This is not something we do regularly. 450 00:20:18,592 --> 00:20:20,594 A lot of stars have to align for this to work. 451 00:20:20,629 --> 00:20:22,679 But they... they could, right? 452 00:20:25,615 --> 00:20:28,882 Okay. Let me check with UNOS, put eyes on the heart, 453 00:20:29,945 --> 00:20:31,145 and then we'll go from there. 454 00:20:31,940 --> 00:20:32,941 Come on. 455 00:20:35,816 --> 00:20:37,195 - Hey. - What's going on? 456 00:20:37,220 --> 00:20:39,544 I need to talk to you. Chief to former chief. 457 00:20:39,579 --> 00:20:41,236 That doesn't not turn me on. 458 00:20:41,476 --> 00:20:44,032 Okay. So remember when I was promoted 459 00:20:44,066 --> 00:20:46,586 and I wanted to get those shoes that said, "I'm in charge"? 460 00:20:46,620 --> 00:20:48,312 Yeah. The ones that I told you not to buy 461 00:20:48,337 --> 00:20:50,393 'cause we had a mountain of legal debt and you secretly 462 00:20:50,417 --> 00:20:53,006 bought them anyway with our emergency savings. 463 00:20:54,111 --> 00:20:55,250 Ahem. How can I help? 464 00:20:55,284 --> 00:20:57,079 I used discretionary budget 465 00:20:57,114 --> 00:20:59,081 to fund Meredith's Alzheimer's research 466 00:20:59,116 --> 00:21:01,808 after Catherine shut it down, and I think she's onto me. 467 00:21:01,842 --> 00:21:03,140 What made you think that was a good idea? 468 00:21:03,165 --> 00:21:05,804 Because it's a potential cure for Alzheimer's disease. 469 00:21:06,091 --> 00:21:08,058 And it's not like I stole something. 470 00:21:08,083 --> 00:21:10,964 And regardless, Catherine has 30 hospitals. 471 00:21:10,989 --> 00:21:14,961 I didn't think that she would notice one small line item. 472 00:21:16,071 --> 00:21:17,072 Listen... 473 00:21:18,963 --> 00:21:22,242 I didn't wanna keep pestering you 474 00:21:22,277 --> 00:21:25,412 about funding my Bleed Program, so I went to Catherine. 475 00:21:25,437 --> 00:21:27,627 And she said that she'd look into your budget. 476 00:21:27,661 --> 00:21:29,284 You went behind my back? 477 00:21:29,318 --> 00:21:31,803 Owen, I told you I was working on it. 478 00:21:31,838 --> 00:21:34,127 You're accusing me, and you're the one who's misappropriating funds? 479 00:21:34,151 --> 00:21:35,882 Like you have never bent the rules around here. 480 00:21:35,907 --> 00:21:37,878 - I'm trying to help you. - Oh, God. 481 00:21:39,717 --> 00:21:42,331 Okay. Okay. Okay, listen. 482 00:21:42,671 --> 00:21:44,816 Go to Catherine. Tell her the truth. 483 00:21:44,851 --> 00:21:46,680 Better to come clean than to get caught. 484 00:21:46,715 --> 00:21:48,786 She will respect you for doing the hard thing, 485 00:21:48,820 --> 00:21:50,937 and then you can figure it out together. 486 00:21:51,375 --> 00:21:54,240 Okay. I can do that. I can do the hard thing. 487 00:21:54,274 --> 00:21:55,724 - Okay. Yeah. - Thank you. 488 00:21:59,892 --> 00:22:02,361 All right. Aortic anastomosis is complete. 489 00:22:02,386 --> 00:22:05,492 -Let's get this heart beating. Schmitt? -Coming off bypass. 490 00:22:05,527 --> 00:22:07,194 - Where's the heart? - Back table. 491 00:22:07,218 --> 00:22:09,368 Glove me, please. Have you done a domino 492 00:22:09,392 --> 00:22:11,129 - heart transplant before? - No, never. 493 00:22:11,153 --> 00:22:13,131 Sounds like we should all buy lottery tickets today. 494 00:22:13,155 --> 00:22:15,306 If this works, it's huge. But it doesn't change the fact 495 00:22:15,330 --> 00:22:17,375 that I've got four patients on the floor right now 496 00:22:17,400 --> 00:22:19,826 who might not make it through the week. So, yeah, miracles are great, 497 00:22:19,851 --> 00:22:22,509 but we wouldn't need them if more people were organ donors. 498 00:22:22,544 --> 00:22:24,822 Come on, Mason. Come on. Come on. 499 00:22:25,004 --> 00:22:27,041 Starting cardiac massage. 500 00:22:28,815 --> 00:22:29,920 Come on. 501 00:22:31,773 --> 00:22:32,809 Come on, Mason. 502 00:22:35,077 --> 00:22:36,251 Come on. Come on. 503 00:22:39,063 --> 00:22:40,985 - All right. Internal paddles. - Yeah. 504 00:22:41,010 --> 00:22:42,564 How's it looking back there, Pierce? 505 00:22:42,598 --> 00:22:44,231 - The heart is healthy, but... - Clear. 506 00:22:44,255 --> 00:22:46,703 ... the SVC... it's too narrow. 507 00:22:46,858 --> 00:22:47,997 Won't fit. 508 00:22:48,022 --> 00:22:49,783 Can we stent it? 509 00:22:49,808 --> 00:22:51,789 It's a good thought, but it won't be enough. 510 00:22:51,814 --> 00:22:52,850 Clear. 511 00:22:54,992 --> 00:22:56,028 Come on, Mason. 512 00:23:00,237 --> 00:23:01,617 Again. Clear. 513 00:23:06,104 --> 00:23:07,603 It's incredible. 514 00:23:08,358 --> 00:23:10,222 Yeah, never gets old. You good to close? 515 00:23:10,247 --> 00:23:11,534 - Yeah. Go ahead. We got you. - All right. 516 00:23:11,558 --> 00:23:13,010 How's it looking? 517 00:23:13,035 --> 00:23:15,193 So Brady's SVC is scarred from prior surgeries. 518 00:23:15,217 --> 00:23:17,750 We need a bigger diameter to allow for proper blood flow. 519 00:23:17,775 --> 00:23:20,671 We can get a bigger diameter if we excise the fibrotic area. 520 00:23:20,705 --> 00:23:22,213 The scarring's too extensive. 521 00:23:22,238 --> 00:23:23,924 There won't be enough tissue to make it work. 522 00:23:23,949 --> 00:23:25,710 Okay. Then we reconstruct the SVC 523 00:23:25,745 --> 00:23:27,574 with a bovine pericardial patch. 524 00:23:29,800 --> 00:23:32,285 Come on. We've done difficult reconstructions before. 525 00:23:32,310 --> 00:23:34,035 We've even done a partial heart transplant. 526 00:23:34,060 --> 00:23:35,682 We can handle some scar tissue. 527 00:23:37,135 --> 00:23:39,658 All right. I'm gonna need a pair of loops. 528 00:23:40,283 --> 00:23:41,692 What is it that you're looking for? 529 00:23:41,726 --> 00:23:45,109 Do you want, like, casual dating or a relationship or sex? 530 00:23:45,143 --> 00:23:46,869 No one uses apps for relationships. 531 00:23:46,904 --> 00:23:48,871 I met my ex-girlfriend on an app. 532 00:23:48,906 --> 00:23:50,263 Were you looking for a relationship 533 00:23:50,287 --> 00:23:52,047 or were you looking for sex? 534 00:23:52,283 --> 00:23:54,354 What about her? 535 00:23:56,330 --> 00:23:59,447 - She's a financial security analyst. - I don't know what that means. 536 00:23:59,472 --> 00:24:01,608 You are just like every other guy. 537 00:24:01,643 --> 00:24:04,404 - You just want a dumb trophy wife. - Oh, you're jealous. 538 00:24:04,439 --> 00:24:07,135 - You are sorely mistaken. - Oh, really? 539 00:24:07,160 --> 00:24:09,592 Because I'm pretty sure you told me that you loved me. 540 00:24:09,616 --> 00:24:12,274 Okay. That was a moment of weakness. 541 00:24:12,309 --> 00:24:14,069 - That doesn't sound like a denial. - Ooh! 542 00:24:14,103 --> 00:24:17,175 Fine. I have a tiny crush on you. 543 00:24:17,210 --> 00:24:20,282 But you know what? I'm hot, I'm single. I'm a damn doctor. 544 00:24:20,317 --> 00:24:21,559 You're... 545 00:24:21,594 --> 00:24:23,320 You're like a cold. 546 00:24:23,354 --> 00:24:25,425 I have it, I'll get over it 547 00:24:25,450 --> 00:24:27,935 and then it'll be like it never happened. 548 00:24:36,251 --> 00:24:37,942 Hey, what's up? What's going on? 549 00:24:37,967 --> 00:24:40,095 Catherine may have found out about everything, 550 00:24:40,129 --> 00:24:42,960 so we just need to move up the timeline to publish. 551 00:24:42,994 --> 00:24:45,134 I thought you said you and Amelia were careful. 552 00:24:45,169 --> 00:24:46,474 We were very careful, but Catherine 553 00:24:46,498 --> 00:24:47,803 does have access to Teddy's budget, 554 00:24:47,827 --> 00:24:49,967 so we just need to move a lot faster. 555 00:24:50,008 --> 00:24:52,486 If Catherine knows, that's it. It's done. You cannot publish. 556 00:24:52,511 --> 00:24:55,494 I can't afford not to. You're the one who said, "Find a way." 557 00:24:55,519 --> 00:24:57,705 - Yeah, and you got caught. - So what should I do? 558 00:24:57,730 --> 00:24:59,559 Just throw everything I've done away? 559 00:25:00,994 --> 00:25:02,314 Okay. 560 00:25:03,221 --> 00:25:06,130 When you get fired from the Fox Foundation, what happens then? 561 00:25:06,155 --> 00:25:08,078 I will continue the work somewhere else. 562 00:25:08,103 --> 00:25:09,446 You think I'm fine with that? 563 00:25:09,471 --> 00:25:11,782 I mean, you can't expect me to keep uprooting my life. 564 00:25:11,816 --> 00:25:14,163 I... I moved to Seattle. I followed you to Boston. 565 00:25:14,198 --> 00:25:15,658 Now you're back and forth to Seattle. 566 00:25:15,682 --> 00:25:17,438 I'm living in a glorified dorm room. 567 00:25:17,463 --> 00:25:19,237 But I said I wanted to move in with you. 568 00:25:19,272 --> 00:25:21,319 Yeah, months ago. And I don't pay lip service here, okay? 569 00:25:21,343 --> 00:25:23,148 When I say I wanna move in with you, I mean it. 570 00:25:23,172 --> 00:25:24,864 I want family dinners every night 571 00:25:24,898 --> 00:25:27,083 and camping trips with the kids. And I wanna take care of you 572 00:25:27,107 --> 00:25:28,869 when you're sick and lift you up when you're sad. 573 00:25:28,894 --> 00:25:32,010 I mean, my God, you don't get it. I wanna marry you, Meredith. 574 00:25:33,113 --> 00:25:34,682 - You do? - I do. 575 00:25:34,707 --> 00:25:36,679 And you can't even be bothered to ask if I'm on board 576 00:25:36,703 --> 00:25:38,360 before you burn it all to the ground. 577 00:25:57,381 --> 00:25:59,176 I thought we were watching and waiting. 578 00:25:59,211 --> 00:26:01,285 I know, but I had reservations. 579 00:26:01,489 --> 00:26:03,180 So you went over my head to my boss? 580 00:26:03,215 --> 00:26:04,871 I was working with DeLuca on another case. 581 00:26:04,906 --> 00:26:06,632 - I just brought it up. - Not your place. 582 00:26:06,666 --> 00:26:08,530 I brought you in. You should have paged me. 583 00:26:08,565 --> 00:26:10,981 There wasn't time. DeLuca got paged to deliver a baby. 584 00:26:11,006 --> 00:26:12,652 - That's convenient. - It's the truth. 585 00:26:12,677 --> 00:26:15,158 Maybe, but clearly he didn't care what I had to say. 586 00:26:15,192 --> 00:26:17,481 The patient seemed pretty worried about the cyst growing bigger. 587 00:26:17,505 --> 00:26:19,024 I should have been consulted. 588 00:26:19,058 --> 00:26:22,105 Jo, I value your opinion, but... you're a resident. 589 00:26:22,130 --> 00:26:23,815 It was a rare tumor. I wanted to talk with 590 00:26:23,839 --> 00:26:25,523 somebody who had more experience. That's it. 591 00:26:25,547 --> 00:26:26,652 Open. Open. Open. 592 00:26:26,686 --> 00:26:28,481 Can we talk about this later? 593 00:26:28,516 --> 00:26:30,149 - I have patients to check on. - You're an attending. 594 00:26:30,173 --> 00:26:31,723 Just have your resident do it. 595 00:26:34,004 --> 00:26:35,910 This tissue is more dense than I thought. 596 00:26:35,935 --> 00:26:37,242 Can you help me clean out these edges? 597 00:26:37,266 --> 00:26:38,467 I can give you some traction. 598 00:26:38,491 --> 00:26:40,277 If this doesn't work, what happens to Brady? 599 00:26:40,302 --> 00:26:43,013 He stays on ECMO, and we wait for another donor. 600 00:26:43,048 --> 00:26:44,991 - Could take months. - He's got a lot to live for. 601 00:26:45,015 --> 00:26:47,168 I have to believe that he will hang on. 602 00:26:47,673 --> 00:26:49,709 - How's Mason? - He's doing great. 603 00:26:49,871 --> 00:26:52,541 Dr. Schmitt did an excellent job placing the sternal wires. 604 00:26:52,566 --> 00:26:53,583 Can I get a ray tech? 605 00:26:53,607 --> 00:26:55,036 What sutures are you gonna use 606 00:26:55,060 --> 00:26:56,854 to attach the pericardial patch? 607 00:26:56,889 --> 00:26:58,891 - 4-0 GORE-TEX? - Exactly. 608 00:26:58,925 --> 00:27:00,651 Well, unless you're Dr. Pierce. 609 00:27:00,686 --> 00:27:02,688 She uses a 5-0 with the eyelid retractor. 610 00:27:02,722 --> 00:27:04,902 - You remember that. - Oh, I remember. 611 00:27:04,927 --> 00:27:06,057 We don't. 612 00:27:06,082 --> 00:27:08,659 Well, I find that I have more control with a smaller suture, 613 00:27:08,694 --> 00:27:10,363 but it is not the norm. 614 00:27:10,388 --> 00:27:12,125 So I normally don't have a resident assist me 615 00:27:12,150 --> 00:27:13,950 when I'm placing a patch. 616 00:27:13,975 --> 00:27:15,504 I don't wanna teach bad habits. 617 00:27:15,529 --> 00:27:17,220 But sometimes you get an overachiever 618 00:27:17,254 --> 00:27:20,188 who insists on being in the OR with you 619 00:27:20,223 --> 00:27:21,621 and learning all your secrets. 620 00:27:21,646 --> 00:27:24,166 All right. I hit healthy tissue. 621 00:27:24,544 --> 00:27:26,580 All right. Dr. Pierce, what do you think? 622 00:27:27,363 --> 00:27:28,399 I think... 623 00:27:29,363 --> 00:27:31,784 ... we still got it. 624 00:27:32,994 --> 00:27:35,230 - Brady's getting a new heart. - All right. 625 00:27:35,255 --> 00:27:37,464 Let's prep the patient for transplant. 626 00:27:45,164 --> 00:27:47,683 I won a trip to the Bahamas once. 627 00:27:48,750 --> 00:27:50,097 Sounds fun. 628 00:27:50,418 --> 00:27:52,949 Yeah, it was right after my mom got cancer. 629 00:27:53,980 --> 00:27:58,985 I moved back home, and there was this townie bar near her place. 630 00:27:59,020 --> 00:28:02,610 They had this promotion where for every drink you bought, 631 00:28:03,199 --> 00:28:06,582 you got an entry to win a trip for two to the Bahamas. 632 00:28:06,607 --> 00:28:08,926 And I was there more than I care to admit. 633 00:28:08,961 --> 00:28:10,480 Racked up a bunch of entries, 634 00:28:10,514 --> 00:28:13,309 and... I won. 635 00:28:14,656 --> 00:28:19,035 So, you abandoned your mom to go on vacation? 636 00:28:19,153 --> 00:28:20,568 The opposite. 637 00:28:20,593 --> 00:28:21,984 I convinced them to extend the deadline 638 00:28:22,009 --> 00:28:23,434 so I could bring her. 639 00:28:24,149 --> 00:28:25,893 She really wanted to go. 640 00:28:25,918 --> 00:28:27,807 I thought we would go after she got better, 641 00:28:27,842 --> 00:28:31,299 but that is obviously not what happened. 642 00:28:31,324 --> 00:28:34,814 She died, and I needed an escape. 643 00:28:35,004 --> 00:28:38,830 - So my girlfriend and I went instead. - Well, how was it? 644 00:28:38,855 --> 00:28:41,066 She got sun poisoning and I broke my arm. 645 00:28:41,722 --> 00:28:43,552 It sounds like you need a redo. 646 00:28:47,039 --> 00:28:50,042 Uh, we should get out of here before someone tries to come in. 647 00:28:55,041 --> 00:28:56,949 Uh, what I said earlier... 648 00:28:56,974 --> 00:29:00,658 - This Isn't... Like, we aren't... - Uh, no, I... 649 00:29:01,329 --> 00:29:03,464 I just don't think it's the right time... 650 00:29:03,498 --> 00:29:04,982 - Oh, no. - ... to get in a relation... 651 00:29:05,366 --> 00:29:06,673 Stop. 652 00:29:06,846 --> 00:29:08,272 I don't want you to have the satisfaction 653 00:29:08,296 --> 00:29:11,221 of being the one to cut this off. So, I'm good. 654 00:29:12,093 --> 00:29:15,372 - We're... We're good. - Just a cold, right? 655 00:29:15,407 --> 00:29:18,099 Yeah. Yeah, just a cold. 656 00:29:26,728 --> 00:29:28,627 Hey. I'm just headed to the airport. 657 00:29:28,661 --> 00:29:29,973 Had to grab my stuff. 658 00:29:30,007 --> 00:29:31,439 Do you have a minute? 659 00:29:31,464 --> 00:29:35,275 Millin and Kwan just uploaded their last data-set. 660 00:29:40,860 --> 00:29:43,820 - Wait, does that say... - 95% confidence. 661 00:29:46,011 --> 00:29:49,199 There is a definite correlation between gut microbiomes 662 00:29:49,234 --> 00:29:50,752 and Alzheimer's disease progression. 663 00:29:50,787 --> 00:29:53,065 Even before patients have symptoms. 664 00:29:53,099 --> 00:29:55,043 I mean, this might mean that people could be diagnosed 665 00:29:55,067 --> 00:29:56,423 before they're symptomatic. 666 00:29:56,448 --> 00:29:59,328 And if we could alter the gut microbiome, 667 00:29:59,353 --> 00:30:02,010 maybe we could prevent the disease altogether. 668 00:30:02,767 --> 00:30:04,182 Oh, my God. 669 00:30:07,448 --> 00:30:09,139 I thought about Derek. 670 00:30:10,255 --> 00:30:12,360 But mostly I've thought about my mother. 671 00:30:12,707 --> 00:30:15,760 This disease robbed her of her entire identity. 672 00:30:18,758 --> 00:30:20,657 I know how personal it is for you. 673 00:30:22,654 --> 00:30:24,721 I just didn't want the world to forget him. 674 00:30:26,926 --> 00:30:29,135 This is as much your research as it is mine, 675 00:30:29,170 --> 00:30:31,682 so if you don't wanna publish, we can find another way. 676 00:30:33,588 --> 00:30:36,902 I mean, they would want us to push through no matter the cost. 677 00:30:36,936 --> 00:30:38,938 That is how we honor them. 678 00:30:40,194 --> 00:30:42,679 Well, then I guess we have an abstract to write. 679 00:30:44,081 --> 00:30:46,256 Oh, my God. 680 00:30:48,293 --> 00:30:49,690 He did great. 681 00:30:49,715 --> 00:30:51,572 - Can we see him? - He's being transferred 682 00:30:51,606 --> 00:30:53,658 to the CCU now, but once he's settled, you can. 683 00:30:53,683 --> 00:30:55,759 I have to head back into surgery, but we'll check in tomorrow, 684 00:30:55,783 --> 00:30:57,416 and we'll talk about plans for recovery. 685 00:30:57,441 --> 00:30:59,373 What about the person who got his heart? 686 00:30:59,737 --> 00:31:01,237 - Are they okay? - Unfortunately, 687 00:31:01,271 --> 00:31:03,825 we can't share any information about the recipient. 688 00:31:04,447 --> 00:31:06,242 Um, excuse me? 689 00:31:06,455 --> 00:31:10,213 I'm sorry, but did your son donate a heart today? 690 00:31:11,528 --> 00:31:12,760 Yes, he did. 691 00:31:16,378 --> 00:31:17,448 Thank you. 692 00:31:19,948 --> 00:31:20,984 Thank you. 693 00:31:39,972 --> 00:31:41,042 Adams. 694 00:31:41,818 --> 00:31:43,130 Impressive work today. 695 00:31:43,462 --> 00:31:47,041 - It was a rush. - Yeah, we got really lucky. 696 00:31:48,905 --> 00:31:50,044 Yeah. 697 00:31:50,078 --> 00:31:51,217 Do you like it here? 698 00:31:53,081 --> 00:31:55,408 Does anyone like being an intern? 699 00:31:56,346 --> 00:31:58,501 We have a categorical position at the Heart Center. 700 00:31:58,535 --> 00:32:00,503 You would train at the University of Chicago 701 00:32:00,537 --> 00:32:01,952 and do your research with us. 702 00:32:01,987 --> 00:32:03,506 I think you should consider it. 703 00:32:03,821 --> 00:32:05,744 I think you'd do really well there. 704 00:32:09,729 --> 00:32:11,868 I always thought I'd do neuro. 705 00:32:11,893 --> 00:32:13,516 Why? Because you're a Shepherd? 706 00:32:14,003 --> 00:32:16,815 There are worse things than being a neurosurgeon, 707 00:32:18,273 --> 00:32:19,791 but cardio is pretty great. 708 00:32:21,082 --> 00:32:22,360 Just think about it. 709 00:32:28,919 --> 00:32:30,789 I can't believe you remember me 710 00:32:30,814 --> 00:32:32,229 teaching you pericardial patches. 711 00:32:32,254 --> 00:32:33,876 That was, like, a million years ago. 712 00:32:33,901 --> 00:32:35,558 Yeah. Donna Barton. 713 00:32:35,583 --> 00:32:38,192 We did her transplant my second year of residency. 714 00:32:38,880 --> 00:32:41,583 Same complications, same fix, 715 00:32:41,608 --> 00:32:45,111 - but not exactly outside her body. - No. 716 00:32:45,135 --> 00:32:47,479 I remember everything that you taught me. 717 00:32:59,508 --> 00:33:03,926 Oh, my God. Um... I'm... I'm... I'm so sorry. 718 00:33:04,895 --> 00:33:07,274 Yeah, no. It's okay. Um... 719 00:33:07,504 --> 00:33:12,025 You make an amazing save in the OR, and then celebrating after. 720 00:33:12,718 --> 00:33:13,753 It's what we do. 721 00:33:16,043 --> 00:33:17,562 What we did. 722 00:33:18,354 --> 00:33:19,838 Right. 723 00:33:19,873 --> 00:33:21,046 Yeah. 724 00:33:24,741 --> 00:33:29,779 I think it's time... for us to... let go. 725 00:33:34,163 --> 00:33:35,682 I signed 'em. 726 00:33:39,202 --> 00:33:40,825 Yeah. 727 00:33:45,968 --> 00:33:48,488 Until the next miraculous surgery. 728 00:33:50,075 --> 00:33:51,939 Goodbye, Maggie Pierce. 729 00:34:21,209 --> 00:34:23,557 Pierce offered me a position at her hospital. 730 00:34:26,658 --> 00:34:27,694 In Chicago? 731 00:34:30,264 --> 00:34:34,115 Yeah. I'd be a designated cardiothoracic resident. 732 00:34:35,194 --> 00:34:38,389 Working on groundbreaking surgeries like we did today. 733 00:34:39,521 --> 00:34:40,661 Every day. 734 00:34:41,296 --> 00:34:44,264 - Sounds like a great opportunity. - Yeah. 735 00:34:44,979 --> 00:34:46,397 And I'm considering it. 736 00:34:50,964 --> 00:34:55,392 Dorian's repeat labs and scans are all normal. Hmm. 737 00:34:55,417 --> 00:34:59,076 He's been through it more so than most, but he's okay. 738 00:34:59,686 --> 00:35:00,905 He made it. 739 00:35:01,189 --> 00:35:03,459 Okay. Thank you for double-checking. 740 00:35:04,943 --> 00:35:07,360 The ABSITE results come in tomorrow, don't they? 741 00:35:07,394 --> 00:35:11,433 I asked Millin how it went, and her answer was, "I think I finished." 742 00:35:11,467 --> 00:35:14,539 What... I mean, Yasuda said it was easy. 743 00:35:14,574 --> 00:35:17,655 Kwan gave a half groan, half laugh. 744 00:35:17,680 --> 00:35:19,272 I learned not to ask. 745 00:35:19,297 --> 00:35:22,616 I mean, they've come really far in the last few months. 746 00:35:22,651 --> 00:35:25,274 They're finally where I need them to be. 747 00:35:25,740 --> 00:35:27,794 And if any of the rest of them have to start over... 748 00:35:27,828 --> 00:35:31,038 - You've come to care for them. - They're interns. 749 00:35:31,073 --> 00:35:32,799 They're your interns. 750 00:35:33,044 --> 00:35:36,061 There will come a moment when their pain is your pain. 751 00:35:37,377 --> 00:35:39,241 Their success is your success. 752 00:35:40,301 --> 00:35:42,990 Trust me. I get it. 753 00:35:49,436 --> 00:35:50,615 Hey. 754 00:35:50,640 --> 00:35:52,439 Did you finish Lincoln's post-op orders? 755 00:35:52,474 --> 00:35:55,301 - I can't do this anymore. - What? 756 00:35:58,360 --> 00:35:59,740 You're breaking up with me? 757 00:36:00,084 --> 00:36:01,448 Here? 758 00:36:01,473 --> 00:36:04,186 You know, you are one of the most incredible people I've ever known. 759 00:36:04,211 --> 00:36:06,131 - Don't patronize me. - I'm... I'm not. 760 00:36:06,971 --> 00:36:08,662 When I... I first met you, 761 00:36:08,697 --> 00:36:11,155 I was so stressed because I had no money. 762 00:36:11,584 --> 00:36:13,460 I mean, I was working all the time. 763 00:36:13,737 --> 00:36:15,911 I didn't even sleep. I barely ate. 764 00:36:16,698 --> 00:36:20,248 And then one day, I walked into a bar, 765 00:36:20,737 --> 00:36:22,704 and you smiled at me. 766 00:36:23,052 --> 00:36:26,711 And for a moment, everything was okay. 767 00:36:27,996 --> 00:36:29,904 But now you are my boss. 768 00:36:29,951 --> 00:36:32,514 You literally get paid to tell me what to do. 769 00:36:32,539 --> 00:36:35,510 And as much as I wish that I could just put that aside, 770 00:36:37,001 --> 00:36:38,968 I... I don't think that either of us 771 00:36:39,003 --> 00:36:41,005 have strong enough feelings to prioritize 772 00:36:41,039 --> 00:36:43,905 this relationship over everything else. 773 00:36:47,142 --> 00:36:50,987 - So you're choosing work. - Wouldn't you? 774 00:37:02,782 --> 00:37:04,856 I used my discretionary budget 775 00:37:04,891 --> 00:37:07,954 for Meredith Grey's Alzheimer's research project. 776 00:37:08,680 --> 00:37:11,035 There is no excuse for going behind your back. 777 00:37:11,069 --> 00:37:13,140 It was disrespectful, and I am sorry. 778 00:37:13,704 --> 00:37:17,109 Dr. Altman, we all make mistakes at every level, 779 00:37:17,134 --> 00:37:20,649 but not everyone is honest about it. That takes courage. 780 00:37:21,344 --> 00:37:24,255 Tells me you're a woman of great principle. 781 00:37:24,421 --> 00:37:25,906 Thank you. 782 00:37:26,744 --> 00:37:28,435 I knew that you would understand. 783 00:37:30,054 --> 00:37:32,094 I didn't say I understand. 784 00:37:43,723 --> 00:37:46,380 Hey, can I get a beer, please? One for him too. 785 00:37:46,415 --> 00:37:47,727 We're celebrating. 786 00:37:47,761 --> 00:37:49,556 We saved two lives today. 787 00:37:49,837 --> 00:37:51,558 Ah. Yeah, right. 788 00:37:51,593 --> 00:37:53,284 You say that like it happens all the time. 789 00:37:53,524 --> 00:37:55,044 Well, technically, it is our job. 790 00:37:55,079 --> 00:37:56,813 Technically, things don't always go our way. 791 00:37:56,838 --> 00:37:59,937 Unless they do for you. In which case, this beer is also mine. 792 00:38:02,804 --> 00:38:03,840 Cheers. 793 00:38:21,368 --> 00:38:22,813 I'm sorry. 794 00:38:23,283 --> 00:38:25,596 I could have handled everything better today. 795 00:38:28,197 --> 00:38:29,544 I'm sorry too. 796 00:38:30,040 --> 00:38:31,391 Going back to being a resident 797 00:38:31,425 --> 00:38:34,256 is harder than I thought it would be, 798 00:38:34,290 --> 00:38:36,649 and I took it out on you. 799 00:38:37,811 --> 00:38:39,572 The principle of the domino effect 800 00:38:39,606 --> 00:38:41,055 is a double-edge sword... 801 00:38:41,833 --> 00:38:43,732 Then tell me what I can do. 802 00:38:44,873 --> 00:38:48,001 I think that we should keep work and home separate, 803 00:38:48,352 --> 00:38:51,342 and only work together when absolutely necessary. 804 00:38:51,376 --> 00:38:53,620 And just keep it professional. 805 00:38:53,884 --> 00:38:55,449 - Okay. - Okay. 806 00:38:55,474 --> 00:38:59,754 And under this new arrangement, can I do this at work? 807 00:39:00,158 --> 00:39:03,230 That would be highly inappropriate. 808 00:39:03,482 --> 00:39:05,587 - Mm-hmm. - What about this? 809 00:39:06,550 --> 00:39:09,000 ... it can help us build healthy habits, 810 00:39:09,391 --> 00:39:13,028 but it can lead to destructive tendencies as well. 811 00:39:13,053 --> 00:39:15,780 Wait, you... you got on the gurney with him? 812 00:39:15,815 --> 00:39:18,265 - I didn't know what else to do. - Oh, my gosh. 813 00:39:18,300 --> 00:39:20,165 Yeah. 814 00:39:20,617 --> 00:39:22,654 I'm sorry. Maybe it's not that funny. 815 00:39:23,663 --> 00:39:25,078 No, sorry. I, um... 816 00:39:26,701 --> 00:39:28,668 I signed divorce papers today. 817 00:39:32,141 --> 00:39:34,938 Oh, God. 818 00:39:34,963 --> 00:39:36,836 I'm not... I'm... 819 00:39:36,870 --> 00:39:38,399 I'm laughing with you. I'm not laughing at you. 820 00:39:38,423 --> 00:39:40,226 - I'm not laughing. - No, no. 821 00:39:40,251 --> 00:39:42,384 It's just... I just got divorced too. 822 00:39:42,571 --> 00:39:44,188 And we rented doves. 823 00:39:44,222 --> 00:39:45,879 - When you got divorced? - No, no, no, no. 824 00:39:45,914 --> 00:39:47,985 When we got married. 825 00:39:48,019 --> 00:39:50,480 We should have rented 'em for the divorce. That would have been fun. 826 00:39:50,505 --> 00:39:52,784 I even built a tent, though, on the be... on the beach. 827 00:39:52,817 --> 00:39:54,548 Oh, really? We had a live band. 828 00:39:54,573 --> 00:39:56,821 We had custom sand sculptures. 829 00:39:56,856 --> 00:39:59,196 Ew. Why? 830 00:40:00,722 --> 00:40:02,965 Oh, no. 831 00:40:02,990 --> 00:40:04,992 This is gonna suck for a while, isn't it? 832 00:40:05,522 --> 00:40:07,317 Yeah. 833 00:40:10,110 --> 00:40:12,941 One small misstep becomes one bad habit. 834 00:40:17,223 --> 00:40:19,363 Of course, none of us is perfect. 835 00:40:21,025 --> 00:40:23,199 And so much is out of our control. 836 00:40:27,472 --> 00:40:29,891 - Hey. The kids asleep? - Yeah. Yeah. 837 00:40:29,916 --> 00:40:31,423 They were exhausted. 838 00:40:32,328 --> 00:40:33,727 I got your favorite. 839 00:40:36,430 --> 00:40:39,899 - Where are you going? - I'm gonna go sleep in my own bed. 840 00:40:40,173 --> 00:40:43,049 You're right. I'm terrible at being in relationships. 841 00:40:43,074 --> 00:40:44,431 And if it makes you feel any better, 842 00:40:44,455 --> 00:40:46,094 I've always been this way. 843 00:40:46,457 --> 00:40:49,501 You know, it really... it really, really doesn't. 844 00:40:49,526 --> 00:40:51,749 You know you're the most important person in my life 845 00:40:51,773 --> 00:40:53,360 besides my children. 846 00:40:53,395 --> 00:40:55,397 I don't know that I can marry you. 847 00:40:55,431 --> 00:40:58,193 I did that once before. I don't know that I can do that again. 848 00:40:58,227 --> 00:41:00,643 But I know I love you so much. 849 00:41:00,915 --> 00:41:02,749 And I love going to sleep with you, 850 00:41:02,784 --> 00:41:05,096 and waking up and seeing your face. 851 00:41:05,536 --> 00:41:08,918 I can promise to love you forever. 852 00:41:09,442 --> 00:41:12,561 Or... as long as I can remember you. 853 00:41:12,586 --> 00:41:15,141 Mer, I love you too. That's not the issue. You know that. 854 00:41:22,249 --> 00:41:25,375 The issue is that I put work before you, and you're right, I do. 855 00:41:26,009 --> 00:41:27,524 But just right now. 856 00:41:27,879 --> 00:41:29,674 That's not forever. 857 00:41:30,363 --> 00:41:33,266 And if you love me, then you'll support me. 858 00:41:34,001 --> 00:41:36,126 And if you support me, then I can do this. 859 00:41:39,584 --> 00:41:40,862 Are you in? 860 00:41:47,247 --> 00:41:48,678 You should take that. 861 00:41:50,240 --> 00:41:53,144 All you can do is make the best choices available to you... 862 00:41:57,977 --> 00:42:00,209 Teddy. Is everything okay? 863 00:42:00,924 --> 00:42:02,584 Catherine just fired me. 864 00:42:03,074 --> 00:42:05,318 ... and hope they don't come back to bite you. 865 00:42:06,318 --> 00:42:11,318 - Synced and corrected by ChrisKe - -- for www.MY-SUBS.com -- 66940

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