- 7 weeks ago
Category
🎥
Short filmTranscript
00:01When the risk of a procedure is greater than the possible benefit, we watch and wait.
00:09If the symptoms progress...
00:11Good morning. Good morning.
00:12Then we pick up a scalpel.
00:21Who's that? We're in the middle of nowhere.
00:23Probably a simple camper roof. We've got toilet paper.
00:26I'll be right back.
00:27Okay, it's coming!
00:30Okay.
00:35Okay.
00:36Hey, the kids wanted to bring you the pancakes that they made.
00:39Whoa, whoa, whoa, whoa, whoa, uh...
00:42Who are you? Where are your clothes?
00:47You should go first.
00:51Okay, you know what? We gotta go. We're gonna be late.
00:55All right, come on. Say good-bye, Daddy.
00:56Bye, guys. Bye.
00:57You should leave here right now.
00:58Yeah.
01:06I'm so sorry.
01:07No, no. She was just surprised.
01:09Listen, why don't you just relax and I'll go get us some coffee, okay?
01:13Okay.
01:14Sounds easy.
01:15But doing nothing is one of the hardest things a surgeon has to do.
01:22We're trained to act. To remove. To fix.
01:26Restraint isn't in our DNA.
01:28Babies look good.
01:29Mr. Cloud's is still in place.
01:31It's good.
01:32Good would be my water breaking seven weeks from now when I'm full term.
01:37We might make it all the way.
01:38It's possible. Babies are healthy. There's no sign of infection.
01:41Now, but if I deliver early, they're at risk of sepsis, have underdeveloped lungs, have trouble feeding.
01:47Choose your own adventure, newborn.
01:49Hellscape.
01:52But you're right. I could make it seven weeks.
01:55Yeah.
01:58You okay?
01:59I'm having shortness of breath. Can you help me page cardiology?
02:02What do you think it is? Do you think it's a heart thing? Or a lung thing?
02:05Do you have any pain? Is it sharp? Dull?
02:07It's probably nothing. I just want to practice what I preach. Get it all checked out.
02:11Okay.
02:12Okay.
02:13I'll call upstairs.
02:17In the end, all you can do is hope for the best.
02:20And trust you're making the right call.
02:24Meade?
02:25What? Where do you think you're going?
02:27Miranda, Webber canceled the surgical lecture series. I assumed you knew.
02:32Do I look like I knew?
02:34Uh, not particularly.
02:36Well, who cancels someone else's lecture and doesn't tell them?
02:40Well, maybe he forgot.
02:42Did he forget that I am the residency director?
02:47No, ever since he took over as chief, he's been making changes to my program without consulting me.
02:54Like, there's no rhyme or reason how I do things here.
02:57I'm just the messenger.
03:00How's this for a message?
03:02I've had it.
03:07Yeah.
03:08Did you see Dr. Webber's email? How are we supposed to increase our cases by 10%?
03:16Where are we supposed to find all these extra cases?
03:19You seem calm. You're not behind?
03:21I'm trying to finish this, because in five minutes I'll never have free time again.
03:24I didn't know you did.
03:25Cool.
03:27It's crochet!
03:28You two back together?
03:29No, I am not with anyone right now.
03:31We made a pact.
03:32We are focusing on ourselves and hobbies.
03:35Is that a bowel movement?
03:38It's a spleen.
03:39It's a spleen.
03:44Dr. Leone, hot blood bag.
03:46Dr. Leone, hot blood bag.
03:48Contact your uh-
03:50Jane!
03:54Help!
03:56Help!
04:02Help!
04:03Help!
04:06Help! Help! Help!
04:09Help's here. Where are you?
04:11Down here.
04:19Okay, what's your name?
04:21Maisie.
04:22Maisie, I'm Owen. I am a doctor.
04:24I am calling 9-1-1.
04:26And we're gonna get you out of there, all right?
04:28Okay.
04:319-1-1, what's your emergency?
04:36Make sure none of this is yours.
04:42It's getting donated at the end of the day.
04:46Ooh, this is a good one.
04:48Oh, I've been looking for that.
04:50Hey, how was your trip?
04:52Uh, I was in the south of France.
04:54But I had to study and take my oral board,
04:56so kind of cancel each other out.
04:58I put in the order to replace Mr. Lytton's electrolytes.
05:02No problem. Um, if he needs a chest tube, can I do it?
05:04No.
05:05No problem.
05:09Brian's on your service.
05:11Stay strong.
05:12Trust me, not gonna be a problem.
05:14Mm-hmm.
05:15Yeah, hi.
05:16I have a three-vehicle pileup incoming,
05:17and one is a bus with at least 30 passengers.
05:19Oh, that's some good news.
05:22For our case logs...
05:24I mean, I'm sorry that there was a car accident.
05:29Have I said welcome back yet?
05:31No?
05:35We got them, Dr. Hunt.
05:37Okay, I'll see you at the hospital.
05:41Hey.
05:42Thanks for coming.
05:43Car blew a tire, then hit another car,
05:45which then hit a bus, and the bus hit a cyclist.
05:48I knew you were close by since you showed up unannounced this morning.
05:51I don't want to talk about this here.
05:53Where do you need me?
05:54Under the bus.
05:55SFD's concerned that we might need to amputate the cyclist's leg to get her out of there.
05:59A paramedic could assist, but I'd much rather have a surgeon.
06:01Owen, is that you?
06:02I'm right here.
06:03This is Maisie.
06:04She has pain on her left leg and pelvis, and she has some bleeding, but I can't reach her, so I have no idea where it's coming from.
06:08All right.
06:09Hi, Maisie.
06:10I'm Teddy.
06:11I'm a doctor, too.
06:12Am I getting close?
06:13We're evacuating the bus, and there's one more patient to come out of one of the cars, and then we're gonna get you out, okay?
06:17Maisie, is there anyone that you want us to call while we wait?
06:20I was gonna say that you can call my boyfriend, but I remembered that it's not my boyfriend anymore.
06:28I'm sorry.
06:29He got into a stupid fight because he didn't want to go on to a stupid cruise for my parents' anniversary, which is perfectly reasonable.
06:35You know how cold it is in October in Alaska?
06:38I can imagine.
06:39I wanted to take it back, but he won't pick up my calls.
06:43Maybe if you tell him I'm trapped under a bus, we'll pick up.
06:46First, we are gonna get you out of here, and then we can call your boyfriend, okay?
06:49Okay.
06:56Were you going to tell me that you canceled my lecture series?
07:00Oh, I thought I did.
07:02Yeah, I got here at 5.45 to print handouts and set up the conference room for fun.
07:08Oh, this is my mistake.
07:10I mean, you know, with all the construction and the residents were behind in the cases, it was all hands-on-deck situation.
07:16With all due respect, this is not your deck.
07:19Hey, come on.
07:21Oh.
07:25Oh, my God.
07:27Aaron.
07:28He's autistic, he's non-speaking, and sustained a headlack.
07:30The patient's his age.
07:31Oh, we go after him.
07:33Glenn Kelly 53, GCS 3T, NBC with a city bus at high speed, restrained driver, unknown past medical history, intubated on the scene.
07:40How long did you administer CPR?
07:41Ten minutes.
07:42Doesn't look good.
07:43Well, now if I can help him, let's take him to trauma three.
07:47I can't control internal bleeding, but I can try and stop the blood from pouring out of her leg.
07:48Dr. Hunt, they can't get an airway.
07:49Go, I got this.
07:50Okay.
07:51Ma'am, you can't go under there.
07:52It's doctor, and she needs a tourniquet on her leg now.
07:53Right.
07:54I'm just gonna put this on you, and then I gotta get this tourniquet on her leg to her arm.
07:59Right.
08:00Go.
08:01I gotta get this.
08:02Hang on.
08:03Where are they?
08:04They're stabilizing the bus.
08:07What are you doing?
08:08I can't control internal bleeding, but I can try and stop the blood from pouring out
08:12of her leg.
08:13Dr. Hunt, they can't get an airway.
08:14Go.
08:15I got this.
08:16Okay.
08:17Man, you can't go into that.
08:18It's doctor, and she needs a tourniquet on her leg now.
08:19All right, I'm just gonna put this on you, and then I gotta get this tourniquet on you,
08:22okay?
08:23Okay.
08:24Deep breaths.
08:25Okay.
08:26You good?
08:27Teddy.
08:28Teddy!
08:29They still haven't stabilized the bus.
08:31You called me here.
08:32I'm gonna do my job.
08:33Is it time?
08:34Are they getting me up?
08:35Not yet.
08:36I need to move on your leg.
08:37I need to tighten this to stop the bleeding, okay?
08:40Here we go.
08:41I know.
08:42I know it hurts.
08:43I know.
08:44Keep breathing.
08:45We're gonna get you some medicine for the pain soon.
08:46Teddy.
08:47You're gonna move right now.
08:48Just give me a minute.
08:49Are you going back out?
08:50Teddy.
08:51No.
08:52I'm gonna stay right here with you.
08:53Keep breathing.
08:54Come on, Maisie.
08:55Stay with me.
08:56Come on.
08:57Dr. Adams?
08:58Hi.
08:59I'm Danny Spencer.
09:00I'm your intern.
09:01It's my first day.
09:02Well, actually, it's my second day, my first day.
09:04Meredith Gray gave me an XLAP in the Reproductive Health Clinic.
09:07So, here I am.
09:10How caffeinated are you?
09:12Oh, I don't drink coffee.
09:14Good morning.
09:15A patient's flap went down.
09:16I'm taking him to the OR to try and salvage it.
09:18Can I get in on that?
09:19No.
09:20I need someone to keep up with my dressing changes.
09:23How about you get in on that?
09:26Yeah.
09:28Come.
09:31I heard you had a tramplot.
09:32I already have an assist.
09:34No.
09:35You owe me and you know it.
09:38You had diarrhea.
09:39That's not on me.
09:41No, I got you FaceTime in front of Jackson Avery.
09:43And if you get that job in Boston, I should be getting 10%.
09:46I just told Adams no.
09:49If I give it to you just because you asked, what will people think?
09:52I don't care what people think.
09:56Frank Nelson, room 3256.
09:59He has a bad sacral decoub ulcer.
10:01No one's been able to get a wound back on it.
10:02It's too close to the anus.
10:03Ouch.
10:04The only option left is to give him an ostomy and hope that rerouting his bowels
10:07keeps the ulcer clean long enough to heal.
10:09But he's in his 80s and he's a vasculopath with high surgical risk.
10:13So, if you can place the wound back, I'll let you assist in the surgery.
10:18Consider it done.
10:24Hey, hey, how we doing in here?
10:25You called the chief of cardiothoracic surgery?
10:28He's a friend.
10:30I told you to page cardiology.
10:33Hi, I'm Winston Ndugo, chief of cardiothoracic surgery.
10:36Nice to meet you, Iris, chief of this room.
10:39This is really...
10:40I told you.
10:43Deep breaths.
10:46I hate everybody.
10:47That's not true.
10:48You love me.
10:49I didn't page the chief of cardiothoracic surgery without telling you.
10:53I know better.
10:54Okay, if I take a listen, I hear you're having some shortness of breath.
10:56Yeah, it's nothing concerning.
10:58It's just standard third trimester labored breathing.
11:01I'm sure you're right, but as you know, there's a lot of overlap between
11:04pregnancy symptoms and cardiac symptoms.
11:06So, I just want to get an EKG just to be safe.
11:08Yeah, whatever you need.
11:09Okay.
11:10Okay, I'll be back to do the EKG.
11:16It's gonna be fine.
11:17Yeah.
11:18You'll see.
11:19At least we were meeting our deductible this year.
11:20The tube is in.
11:21It's a lot of blood.
11:22Another push of epi.
11:23Resuming compressions.
11:24Dr. Weber.
11:25I've got an unstable patient.
11:26I know where to put him.
11:27Have Griffith and Bryant found their patient yet?
11:28We've got his aid.
11:29Not that I've heard of.
11:30I'll be right back.
11:31How long do we keep at it?
11:32At this point, he's only coming back with a miracle, and that is not in our control.
11:37Okay, time for a pulse check.
11:38Stop compressions.
11:39Hey, Mead.
11:40Call it.
11:41Time of death.
11:42What in God's name?
11:43I was gone for a minute.
11:44She told me to do it.
11:45We've done multiple rounds of-
11:46That doesn't mean it's over.
11:47Restart compressions right now.
11:48Wait.
11:49So he's not dead?
11:50No.
11:51No.
11:52No.
11:53No.
11:54No.
11:55No.
11:56No.
11:57No.
11:58No.
11:59No.
12:00No.
12:01No.
12:02No.
12:03No.
12:04No.
12:05No.
12:06No.
12:07No.
12:08No.
12:09No.
12:10No.
12:11No.
12:12No.
12:13He's not dead?
12:14Hey, this was a blunt, traumatic injury.
12:17He's had CPR.
12:18Bilateral chest tubes.
12:19He's just going to keep resuscitating him indefinitely?
12:23Should we open his chest?
12:25Get a thoracotomy, Trey.
12:28Not everyone wants to give up.
12:31That's him.
12:39That's him.
12:45I'll talk to him. You stay here. I don't want to overwhelm him.
12:49Aaron.
12:50I don't know. I don't want to know.
12:52I'm Dr. Griffith. I'm here to help.
12:54I don't know. I don't know. I don't know. I don't want to know.
12:57Well, I see you have a cut on your forehead. We can fix it for you.
13:00We just have to go inside the hospital.
13:01No, no, no, no, no, no, no, no, no, no, no, no, no.
13:04You know, we don't have to go right now.
13:05No, no, no.
13:06You want me to sit with you?
13:07No, no, no, no. No, no, no. No, no, no, no, no, no, no, no.
13:11No, no, no, no, no, no, no, no, no, no, no.
13:15Yeah, you got this.
13:16Let's just give him a minute.
13:20No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no.
13:24Mr. Nelson. Hi, I'm Dr. Kwan. How are you doing today?
13:27Teach.
13:28I'd like to take a look at your wound, if that's okay?
13:30I've got nothing better to do.
13:33I took a look at your chart. So you've been here a while.
13:36a while. First I fell down the stairs, then I got pneumonia and a DVT. Now this
13:43ulcer won't heal. I wish you people would just let me die. You're not dying. We just
13:48need to place a wound vac. No, I'm done. Give me diostomy. With your medical
13:53issues, if we can avoid another surgery. I don't want to hear it. I'm sick and tired of you
13:58bleeding-hard do-gooders and your positive attitudes. Who want to be left alone?
14:09I'm not doing this for you. You're not? Dr. Mahonti said if I can get this wound vac
14:14on you, she led me into a surgery that I haven't seen before. All this so you can
14:19be second fiddle in a surgery? More like fourth fiddle, but yeah. You're not like
14:25the others. You're a selfish dirtbag just like me. I wouldn't characterize myself as...
14:31Okay, you can try. Okay, I'll go find someone to assist me.
14:40I'm really tired. Take deep breaths for me.
14:43Holy Sam answered my fault. I know the feeling. I'm so sick of fighting about
14:48everything, but he's... he's still the only person I want right now.
14:53Can we call him?
14:56Teddy! Teddy!
15:02Teddy, are you okay? You hurt! Teddy!
15:05We're fine. What happened? The cribbing shifted. We need to reinforce this so we can get them the hell out of there. What is taking so long?
15:10We're almost ready to inflate the bags.
15:13Maisie. Maisie. Damn it. She lost consciousness. Okay, let's get an intubation kit. We need to get her out right now.
15:21Let's go! Let's go! Come on, Daisy. Stay with us.
15:28We found this at the nurse's station. I think it's his. Okay, thank you. We need to wash out that
15:34lag and assess how deep it is. How do you plan on getting him inside?
15:36I'll go get supplies. We can clean him up, figure out next steps here. Okay, cool.
15:42What about me? What should I do? Make sure he doesn't go anywhere.
15:47Make sure he doesn't go anywhere. Okay. All right.
15:52This yours? It's a good looking bag, man.
16:01Where is Glenn? Uh, Glenn is in our emergency room. Doctors are helping him.
16:07You, uh, you want to go inside?
16:10Okay. All good. Have you had bad experiences at hospitals?
16:17Yes. Yeah. Yeah, me too.
16:22You know, my brother passed epilepsy and, uh, spent a lot of time in the hospital as a kid.
16:27I hated it. I hated it.
16:33So I understand.
16:38You ball? You ball for real? Let me see. May I?
16:43Okay. Okay. Let's see here. Let's see here. Let's see if I still got it, you know.
16:47All right. One, two. Okay. A little crossover.
16:53Between the legs. Jump shot.
16:55Okay. Let's go.
16:57Let's go.
16:58You want to play for real? Let's do it.
17:00Okay. Okay. Jump shot. Jump shot.
17:03And he makes it.
17:07I know I've got a good ass, but nobody I'll go.
17:10Gross. Gross. Gross.
17:12This is still an air leak.
17:18Okay. Let's do it again.
17:19You have other patients, right? I can't lay here all day while you try and win a prize.
17:25I want to watch Judge Judy in peace.
17:28I don't know what he's talking about.
17:29You said if you got this on me, Dr. Mahonte would hand you a surgery.
17:33Okay. It's a little more nuanced than that.
17:36You know, I'd love to hear more, but, uh, I think the ER needs some extra hands.
17:41So I'm going to go help out of the goodness of my heart.
17:46You're up.
17:47Uh, technically I'm with Dr. Adams.
17:48Come over here.
17:49Okay.
17:52You're getting paged a lot.
17:54Oh, God.
17:55Oh.
17:57Well, you got your wish.
17:58I was just paced to the emergency room.
18:00You're leaving?
18:01You can watch your TV in peace.
18:04Clean up.
18:07Ow.
18:08Sorry.
18:09You think you'll come back?
18:10Uh, I don't know.
18:11You can try if you want.
18:12Uh, it's not really a one-person job.
18:16That's okay.
18:18An ostomy doesn't scare me.
18:20Not like I go anywhere these days.
18:29Keep massaging the heart.
18:33You want to switch out?
18:34I'm fine.
18:36Mead, inject epi.
18:37No, into the myocardium.
18:41If you have a direct route for the droid, you take it.
18:43Part of this.
18:46Insert the needle into the ventricle.
18:48Not my hand.
18:49The ventricle.
18:50Come on, Glenn.
18:58How much longer are we going to put him through this?
19:00We did it.
19:12No.
19:13Yeah, sorry.
19:14Okay, let's not just stand here.
19:16Let's get him to the OR.
19:20Here, let me help out with that.
19:21I got it.
19:25Hey, can you go to the gift shop and get me some socks?
19:29My feet are freezing.
19:31You're wearing socks?
19:34Ankle socks.
19:35They're not very warm.
19:36You really going to argue with your pregnant wife?
19:41Any socks?
19:42The purple fuzzy ones with the grippy bottoms.
19:44They're by the register, not the slippers.
19:47I will be right back.
19:48I have my phone if you need me.
19:51You really know your way around that gift shop.
19:54My patients love socks.
19:56There's a lot of metal stirrups in OB.
20:01You are so calm.
20:04On the outside.
20:06On the inside of a train wreck.
20:09Don't put on a show for my benefit.
20:10I'm trying to stay calm for Link.
20:12I've seen a lot of partners in his position.
20:15I don't want him to be scared when there's nothing that he can do.
20:18But I bet he'd rather be scared than know that you're suffering without him.
20:22Stay in your lane, Mort.
20:24Okay.
20:25Trust me.
20:27We got you.
20:28I'm on my way in here.
20:28I ran into eight nurses reading the twins' strips at the nurse's station.
20:35How's it look?
20:37Oh, you don't want me to read this.
20:39But whatever it says, you're the toughest person I know.
20:42You're going to get through this.
20:43Yeah.
20:46Pull the toilet lead, please.
20:48Pays Dr. Ndugu, 911.
21:02You know what this is?
21:04No.
21:05So you don't know how long this is going to take?
21:07Do you have somewhere more important to be?
21:08I'm just trying to get on a tramp lap.
21:10Well, I'm not in France right now, but five minutes ago,
21:12I had my hands in a bloody abdominal cavity.
21:14You can't have it all.
21:18I'll let you three take over from here.
21:21All right, let's go.
21:22Hey, I'll be right there, okay?
21:24Hey, are you, are you trying to get away from me?
21:26I have patients to see, and Maisie doesn't need two trauma surgeons.
21:31Is this about what happened this morning?
21:44Let's just do our jobs and forget about it, okay?
21:49Dr. Adams?
21:53Did you finish putting in Ms. Lewis's orders?
21:55Yeah.
21:56Can you help me with something?
21:58I know that you're trying to increase your cases,
22:00but Dr. Kwan was just paged to me to break,
22:02and we were so close to getting that wound vac on Frank.
22:05Not my patient, not my problem.
22:06They're going to give him an ostomy, and he's old and has a bunch of comorbidities.
22:10Did Dr. Kwan promise you a spot on Mahonte's tram flap?
22:13No, no, I swear.
22:15I thought you didn't like Frank.
22:17Is he a gross old man who makes me vaguely uncomfortable?
22:19Yes, but he is also a person who deserves the best care we can provide.
22:25Dr. Adams, I took an oath to help the sick.
22:28What kind of a doctor am I if I break my promise on day one?
22:35All right, let's go put a wound vac on Frank.
22:41Uh, how did you...
22:42Because I'm clutch.
22:43Right here, bud.
22:45I'm going to set the soap here for you.
22:51All right, this way.
22:55Good?
22:59All right, let's see.
23:00I'm going to...
23:03Just grab...
23:09It's out on the play, dude, okay?
23:10You got to work with me.
23:13No.
23:15Yeah, real quick.
23:16Well, what do you expect, okay?
23:18I'm poking at him right above his eye.
23:20As long as he can see my hands coming, he's going to move.
23:22What if he can't see your hands?
23:25Great idea.
23:25Let me just grab my invisibility cloak and then...
23:28Wasn't that bad of a joke.
23:33Giving up, going on vacation.
23:38We need to look at the cut on your forehead.
23:40Do you want to wear this?
23:42Then you can keep playing your game while we clean it up.
23:58Nice.
23:58Nice.
23:59Yeah, don't string your neck looking up to me.
24:12Somebody please say something.
24:14All the good news is we have options.
24:16I come bearing gifts.
24:21What happened?
24:22Did something change?
24:23You might want to sit down.
24:26I don't want to sit down.
24:27What's wrong?
24:29Winston was about to give me the results of my echo.
24:33Is she okay?
24:34You have peripartum cardiomyopathy.
24:39Your heart muscle is weakening and getting bigger.
24:46How do we treat it?
24:47Do we have to deliver the babies?
24:48Well, we can start with medication.
24:50But if that doesn't work, then we will need to deliver the babies
24:53or place a pump called an impella and it sits within the ventricle
24:57and it gives continuous flow to support the heart's function,
25:00giving it a chance to recover,
25:02which will also allow more time for the babies to develop.
25:13So what do you want to do?
25:18The babies need as much time as they can get,
25:21so I'll do the pump if it comes to that.
25:25But the medication could work.
25:27It could work.
25:28Yes, it could.
25:30I have a consult and then I will check back in, okay?
25:32Let's start her on dibutamine and place an AY.
25:34Oh, you forgot your tablet.
25:42I know.
25:43I think I was already here.
25:44I'll be right back.
25:46Okay.
25:50Okay.
25:51I'm trying to stay calm so she stays calm, but be honest with me.
25:59How scared should I be?
26:04Her heart is failing.
26:04What?
26:05Why is this happening?
26:11Why is this happening?
26:12No one knows why.
26:13If it's genetic or the hemodynamic shifts of a twin pregnancy.
26:17But we're on top of it and we have options at this point.
26:19And you gotta watch like a hawk and echo every 30 minutes if you have to.
26:23Just telling Warren he's exclusively on Joe today.
26:26She will have 100% of my attention.
26:31Listen man, I know that it's difficult, but we can only take it one step at a time right now.
26:36And anxiety can only make it worse for Joe.
26:42Okay.
26:43Okay.
26:48Dr. Weber, Dr. Freeman's been trying to get a hold of you.
26:51Scott Freeman, the urologist?
26:53Uh, we have the same patient. It must be urgent.
26:56Oh, well then go, go. We have enough hands.
27:01Hey, look, I know we disagreed earlier, but I'm in this now.
27:05That's not it.
27:06Then go. Handle your emergency and let me do my job.
27:11He's tanking.
27:13Go. We've got this.
27:14Come on, let's get him to the OR now.
27:28I have zero faith in you.
27:30Yeah, thanks Frank.
27:33Can I try?
27:34Because I learned a couple of things from Dr. Quan.
27:35No, I want to do this fast so I can get into an actual OR.
27:39So you're Dr. Spencer and you're Dr.
27:42Adams.
27:43A-D-A-M-S?
27:44Yep.
27:45I'm going to sue you people when all this is over.
27:48You're going to want to include Quan in that?
27:50K-W-A-N.
27:52What if you move it a little bit to the right and then lay it down from the bottom up?
27:55No, no, no, not like that.
27:57Just stop telling me how to do something you don't know how to do, okay?
27:59You're barely a doctor.
28:02Sorry.
28:08Zero faith, you said.
28:09It works?
28:11I'll take the ostomy off the board.
28:16I might leave her out of the lawsuit.
28:20She's a good kid.
28:22You sure we can't just suture it?
28:24It's superficial.
28:25He just needs some Dermabomb.
28:26Okay.
28:27Hey, bud.
28:30So I'm going to close up your cut, but it may sting a little bit.
28:32So if you need to break at any time, you just give me one of these.
28:35I'll stop right away, okay?
28:36Okay.
28:38Okay.
28:39Okay, good.
28:45Do you want again?
28:48What's your secret?
28:51I'm not telling you.
28:53Ouch, that hurts.
28:56I'll tell her.
28:59Oh, so you hate me now?
29:02No, he just likes me more.
29:03They need a chest tube in Trauma 3.
29:06You go.
29:07I'll finish up here.
29:08No, it's okay.
29:08I'd rather stay.
29:09You know, I said chest tube, right?
29:12Yeah, I heard you.
29:12It's just that if he's not going to tell me his secrets,
29:14I gotta keep a closer eye.
29:20Page me if you need anything.
29:22Will do.
29:27I'm starting with an x-lap and a vascular repair to the left leg.
29:30I'll take the x-lap, helm,
29:31you take the lead on the leg, and welcome back.
29:33Feels like I never left.
29:48Some force greater than us wants to keep this man alive today.
29:52Let's do our best not to get in the way.
29:54Okay.
30:06Got it?
30:06Okay.
30:08Now.
30:08Stay with me?
30:10Yeah.
30:11Right in.
30:13Uh, come here?
30:14Good, good, good.
30:17Mets?
30:18Ready for the specimen.
30:20Okay, is that it?
30:23Good, good, good.
30:40I need loops.
30:42I need more lap pads.
30:44How's the leg?
30:44It's a good thing you got a tourniquet on in the field.
30:46There's a huge defect in the femur.
30:50Send a tag and hang another unit.
30:54What about that?
30:56Okay.
31:02Police.
31:03Her name is Maisie.
31:04The police said that she is here.
31:06All of her family lives out of state.
31:07I am the only one that she has.
31:09Excuse me, are you Sam?
31:11Yeah.
31:12Are you one of Macy's doctors?
31:14Is she okay?
31:15She is here, but I can't disclose any more information.
31:18I'm so sorry.
31:22I never should have walked out of that door.
31:26I'm sorry.
31:30Here, it's okay.
31:31Why don't you sit in?
31:33Tell it to us.
31:39My BP is dropping.
31:40My O2 set's at 85.
31:42Don't.
31:42Don't panic.
31:44Deep long breaths, okay?
31:46Please decrease cardiac contractility.
31:48All right, Jill.
31:48We're going to place the impella.
31:50So we're going to take you to the cath lab while you're still stable, okay?
31:52Alert Luna's puppy is missing.
31:55Did her EF drop?
31:56It's too low.
31:57She's going to need the heart pump.
31:59It's going to be okay.
32:00It's going to be okay.
32:01Winston's done this hundreds of times.
32:03I won't, but I can do it with my eyes closed, all right?
32:05And I'll be right here waiting for you, okay?
32:07I love you.
32:08Can you hear me?
32:09Do you hear me?
32:10I love you so much.
32:12This won't take long.
32:13We'll let you know what she's done, all right?
32:19Clear this!
32:31Hey, I did a thror economy today on my own and brought the patient back with cardiac massage.
32:36All right.
32:37He arrived DOA.
32:38I'm going to cut you off.
32:38I really get it.
32:39Oh, no, no, no, no, go.
32:40Okay, I do want to hear though.
32:41I'm going to have a drink at Joe's tonight.
32:43Celebrate if you want to join.
32:45I'll see you there.
32:45Okay.
32:54Adams, impressive work on that wound back.
32:57You did what a fellow and two plastics residents couldn't.
32:59What can I say?
33:00I guess I really want in on that tram flat.
33:03Don't be late.
33:05Dr. Mahonti.
33:08Dr. Spencer was instrumental in placing the wound back.
33:11Can she, uh, scrub in too?
33:14Sure.
33:15See you up there.
33:18You didn't have to do that.
33:20I know it didn't really help, so.
33:22You got me in the room.
33:23But when I was an intern, I hated when senior residents would dismiss me.
33:30Now I know they were just in a rush, and everybody is scared of messing up.
33:34It's not personal.
33:36And it's also not a good excuse, either.
33:40Make sure to review his image in before we start.
33:46Well, what was your snack today?
33:48Oh, yeah?
33:49Yum.
33:51Oh, hang on.
33:52Daddy's here.
33:54Want to say goodnight?
33:54It's Allison.
33:55Yeah, um, hey.
33:56Hey, Allie.
33:57How was your day?
33:58No, no, no more naked ladies.
34:02No, we're going to talk about that tomorrow.
34:03Yeah.
34:04Okay, I love you.
34:06Goodnight.
34:08Hey, I'll be home before...
34:10And she hung up.
34:11Listen, Maisie is in the ICU.
34:17We saved her leg, but we had to keep her open, so we're doing a washout tomorrow.
34:21Good.
34:28Okay.
34:30I'm ready.
34:30Let me have it.
34:34All day, I have stopped myself from picking a fight with you, and now you are literally asking for it.
34:39I don't want to.
34:39I am so sick of fighting.
34:42And the truth is, I have no business having feelings about who you're sleeping with.
34:47But still, it was...
34:50It was hard seeing you with someone else.
34:54Especially someone who you have a history with.
34:58Yeah.
34:59I don't love seeing you with Cass either.
35:02Fair.
35:03This morning when...
35:04When you were under that bus, I was...
35:07I was worried.
35:09And I...
35:11I was thinking...
35:13Maybe are we washing all of this?
35:20Don't you wish that we could just...
35:23Fast forward to where we have it all figured out?
35:25You missed the look on your face this morning?
35:29Yeah, that would have been great.
35:36I don't think we're rushing it.
35:37It's...
35:40It's complicated.
35:45But we'll figure it out.
35:48Yeah.
35:49Good night.
35:53Good night.
36:04We'll get access through the femoral, feed it up to the left ventricle, check our placement under fluoro, secure it in place, and then we're out of here.
36:11What now?
36:12I'm not getting any fetal heart tones on baby A.
36:14Her cardiac reserve is collapsing.
36:16No tones on baby B.
36:17Is Joe stable enough for a section?
36:19At the moment, yes.
36:20Page OB.
36:21We just did.
36:25Yeah, I can't stand here just doing nothing.
36:26I'm gonna go see if I can find someone.
36:35Mr. Dominguez in bed four is ready for discharge.
36:38I'll go check on him.
36:40Did good today.
36:42What was that?
36:44You heard me.
36:47Hmm, a compliment from Dr. Griffith.
36:49I didn't think he had it in you.
36:50You prioritized a patient over a procedure.
36:52Not everyone would.
36:58We should grab a drink later.
36:59That wasn't an opening.
37:01I was giving you constructive feedback in a professional setting.
37:08We're in a supply closet.
37:12I should go check on Mr. Dominguez.
37:16Or you could stay here.
37:19With me.
37:20I can't.
37:31All good.
37:31I'll see you.
37:33Adam's got the surgery.
37:49I got a trauma.
37:50You know, you can't have it all.
37:53Besides, there'll be more.
37:56You sound awfully sure about that.
37:57I know myself.
37:59If I want something bad enough, I'll do everything in my power to get it.
38:03And what you want is a tramp flop.
38:07Yup.
38:07Is that all you want?
38:25The hardest thing about waiting is knowing when to stop.
38:27Instinct may tell you one thing.
38:31And experience tells you another.
38:34Nora?
38:35Hey, what are you, what are you doing here?
38:40You okay?
38:43I can't do this.
38:44I can't do this.
38:46Do you, what, us?
38:48Listen, if this is about this morning, Teddy and I, we talked.
38:51And she's okay.
38:54I'm not.
38:57Teddy's more than my surgeon.
38:59She saved my life.
39:00With the procedure she invented.
39:02If I get a cold, I can't just go to urgent care.
39:04I have to call Teddy.
39:06Because she's the only one who understands my body.
39:09I text her when I have a fever.
39:11I call her when I want to take an ibuprofen.
39:17You're trying to divorce yourself from her, but I'm getting more entangled.
39:22I see.
39:22I want to believe that we can make it work too, but I just...
39:27I don't, I don't see how.
39:31We found ourselves together a second time.
39:35Maybe we'll get a third.
39:39Yeah.
39:46All you can do is pay attention.
39:49Glenn's out of surgery.
39:53Hanging on.
39:57You were right to push.
40:00I'm glad here.
40:00Hey, this may not be the time, but I want to talk to you about reinstating my lecture series.
40:09Now, I know you have your reasons for cancelling it, but I had my reasons for starting it.
40:16My reasoning may not stand.
40:20I've been a little distracted.
40:23Dr. Freeman and I don't share a patient.
40:27I am the patient.
40:29What?
40:31He gave me my biopsy results.
40:36I have cash.
40:44Where's Obie?
40:45We're on the other side of the hospital and have multiple emergent deliveries right now.
40:49What are you doing?
40:50We have to deliver these babies.
40:51We?
40:53I haven't done a c-section since med school.
40:55You know where the uterus is?
40:57Yes, I do.
40:58I know.
40:58Then you can do this.
41:00And hope that when the time finally comes...
41:02Now!
41:17All right.
41:17Stay with me, Wilson.
41:20Stay with me.
41:21You'll be ready.
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41:38For Black men, the risk is even higher.
41:42Fortunately, prostate cancer is highly treatable, but early detection is the key.
41:48And sometimes, there are no noticeable symptoms.
41:52For years, I've worked with Black Health Matters to urge men to get screened regularly,
41:57starting with a simple blood test.
42:00Today, I'm living proof that early detection works.
42:06If you're Black or prostate cancer runs in your family,
42:10talk to your doctor about getting screened starting at age 40.
42:14To learn more, go to blackhealthmatters.com.
42:26All right, already we'll all float on.
42:37Even if the days get heavy,
42:39we'll all float on.
42:45Already we'll all float on.
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