- 2 hours ago
- #realityinsighthub
#
#RealityInsightHub
"If you enjoyed this video and want to support our team by helping us fund our late-night coffee needs, please donate via PayPal! ☕️
A small act – a big impact. Thank you all so much! ❤️"
Donate at: [https://www.paypal.me/ngaxo]
🎞 Please subscribe to our official channel to watch the full movie for free, as soon as possible. ❤️Reality Insight Hub❤️
👉 Official Channel: https://www.dailymotion.com/user/realityinsight
👉 THANK YOU ⭐❤️❤️❤️⭐
Category
😹
FunTranscript
00:02Dr. Ridley.
00:04Oh, they're here.
00:05Heading up now.
00:06OR3 is clear and the blood banks on standby.
00:08Good.
00:08Then we are ready.
00:11Bay 4, breathing in.
00:13Panicrating abdominal wound.
00:14Initial stabilizing surgery on site, but multiple retained torn bodies cannot be removed.
00:19Open wound pack for transport.
00:20How do you do on the flight?
00:21Hypertensive and tacky.
00:22Start a norepi and fluid resource en route.
00:24Conscious?
00:24You're not.
00:25I'm asking for you.
00:27On my count.
00:28Three, two, one.
00:31Two of O'negg.
00:32I want them on the table in half an hour.
00:34Really?
00:36Is that you?
00:37If you miss me this much, you could have just called.
00:42You know I love to make an entrance.
00:44Well, you are here now, Hottie, and I am going to take care of you.
00:57I thought you were coming in later.
00:59Yeah, well, so did I, but I got to review all of Amy's day.
01:04Is she doing the same for yours?
01:05She handed hers in already.
01:06Not that it matters anymore.
01:08Okay, why do you say that?
01:09Don't you think Joan's going to figure out we were the ones who told Jake about her?
01:12She was hazing me yesterday as if she already knew.
01:14I'm pretty sure Jake passed that baton to Amy today, so I'm sure you're on equal footing now.
01:19I heard she's prepping another surgery, and clearly she hasn't invited you to audit.
01:25We did the right thing.
01:27Can't overthink the consequences.
01:31This should hold him for now, but prep the team for massive transfusion protocol.
01:35You're exploded.
01:36We worked medical missions together for 22 years, but why don't you go ahead and say what you need to
01:41say?
01:43Ah, I thought maybe we could step away.
01:47Is your boyfriend hiding out there somewhere to double-team each other?
01:52It's MDS.
01:55Oh, God.
01:56Please, don't.
01:57I was diagnosed a few weeks ago.
02:00It's mostly indolent.
02:02I haven't had a chance to tell Michael yet, so I'd appreciate it if you let me do that.
02:05Yeah, of course.
02:07And before he owes, he came here anyway.
02:09He has Addison's.
02:10He needed a surgeon he could trust.
02:14Does he know that your hand's been shaking?
02:20That happened once, Amy, after a very difficult surgery.
02:23Which this will be.
02:32I'm medicated, and I'm fine.
02:36You could use an extra set of hands to manage his cortisol and electrolyte levels.
02:39Are you offering?
02:41I'll get him started on a TTE.
02:48Thank you, Ray.
02:49Mr. Boyd.
02:50Who are you?
02:51Supposed to be seeing Dr. Ridley.
02:52Dr. Ridley had an emergency, but I can assure you...
02:55And Dr. Humda was supposed to be joining us as well.
02:57Uh, his whereabouts I can't speak to.
02:59But I'm Dr. Miller.
03:01First name?
03:01Uh, Richard.
03:03And you are...
03:04Fiona, Sanders COO.
03:05And my wife.
03:07You're an internist?
03:07Ford certified in oncology as well.
03:09Pulmonary subspecialty.
03:10Where?
03:11St. Edger.
03:11Chief of internal medicine here.
03:13For just two months?
03:14I didn't love the admin.
03:15So, I took a little hiatus, and I came back to work with patients.
03:18Which is what I do love.
03:20Okay.
03:21Continue.
03:22I understand you have a suspicious mass in your right lung.
03:25I get regular full body scans in Palo Alto, but I was here at a conference when the Apollo
03:29DX flagged it.
03:30It's an AI diagnostic program.
03:3217% better than humans at early cancer detection.
03:35It's also far more likely to give you a false positive.
03:38Well, that's the hope, but I won't wait to get home to find out.
03:41Hi, I'm Dr. Coleman.
03:42I'll be assisting...
03:43Uh, yeah.
03:44That's, uh, Theodore Coleman.
03:46He's an intern, Columbia Med School, Army Ranger Medic.
03:49He is highly skilled, very ambitious, and an extremely hard worker.
03:54Are we being interviewed?
03:55Vetted.
03:55It's going to be on him anyway.
03:57Steiner vouches.
03:58Oh, I'm flattered.
03:59Great.
03:59I want the tissue removed and studied, so...
04:02How'd you do that, Dr. Coleman?
04:04Uh, bronchoscopic biopsy in a PET scan.
04:06Is that correct?
04:08It is.
04:08Then let's do that, huh?
04:10It's that.
04:13I want to thank you both for being here today.
04:15The goal is not to judge or to take sides, but to facilitate a productive,
04:19respectful conversation.
04:23I'm so sorry.
04:24It's Max.
04:25Fine, Michael.
04:28I told you I had a personal matter to attend to today.
04:31You also told me Joan would be taking care of Xander Voight.
04:34Well, she has a patient who has a higher priority.
04:36Than a tech tycoon who can fund our entire capital campaign with what he makes while brushing his teeth?
04:42Well, Dr. Miller's on the case.
04:44I hear he's excellent.
04:45Why else would you have hired him back?
04:46Not funny, Michael.
04:47I'll deal with this in a few hours when I get back to the hospital.
04:50Goodbye, Max.
04:52So she took this job and she didn't tell Michael?
04:55No, she was diagnosed after she was offered the job.
04:59And she still hasn't told him?
05:00She's getting her head around it.
05:02And in the meantime, what, you're eating in a bedding, risking a patient?
05:04The patient knows.
05:05And he chose her anyway.
05:07Besides, there's no time to move in.
05:09I don't know.
05:10Something doesn't feel right.
05:11She's working you.
05:13No, she isn't.
05:14You just don't know her the way I do.
05:16Yeah, you don't know her either.
05:17Not in the last eight years.
05:21I'm sorry.
05:23But that's the truth.
05:25And you know you can't justify any of this.
05:33How long has it been like this?
05:34Mom says a week.
05:35They thought it would heal on its own, but...
05:37No, she's too malnourished.
05:39Fighting and goma cut off the food supply.
05:49So I got saline, McPearson.
05:53Please, trade with me.
05:55What's wrong with your case?
05:57Oh, Marcus keeps sending me lumps, bumps, and dumps.
05:59That's what you get for sleeping with him and not calling him back.
06:03Dr. Ridley.
06:03Mm-hmm.
06:04It's your son.
06:05What?
06:06It's...
06:07It's 2 a.m. in Minneapolis.
06:11Ethan?
06:12Hey, what's wrong?
06:15No, no, no.
06:17Uh, forget the pediatrician.
06:18Get to Westside.
06:18Ask for Amy.
06:19Oh, I'll make sure she's waiting for you.
06:27Thank you for doing this.
06:28I'm here for you.
06:30But keeping this a secret won't do you or our patients any favors.
06:33You giving me an ultimatum?
06:35I'm asking you to tell Michael today.
06:38Hey, we both know that this disease will take things from you.
06:42Your legacy shouldn't be one of them.
06:50We'll see you in there.
06:57I can't do dinner.
06:59I'm too tired.
07:03Oh, we're still facing resistance from regulators on the new build.
07:07So find a new country or grease the wheels.
07:09I don't care which.
07:10Look, I gotta go.
07:11But one way or another, I want movement by next week.
07:13Hi.
07:14Mr. Boyd.
07:14Max Garner, CEO of the hospital.
07:16Just wanted to say that we will do everything in our power to give you what you need today.
07:21My test results would be nice.
07:26Unfortunately, my words, the biopsy confirmed you have small cell lung cancer.
07:33Lung cancer?
07:34Yes.
07:34He hasn't smoked a day in his life.
07:36And he's meticulous about his health.
07:38Fiona, we're not going to argue this away.
07:40But I'm sure if you couldn't see the mass, we caught it early, right?
07:44Yes.
07:45But genetic sequencing indicates it's an aggressive variant.
07:50And the PET scan shows micrometastases in your brain, abdomen, and bones.
07:55So it's already spread?
07:57So what now?
07:59Well, we hemo and molecular therapy, but those treatments are very painful.
08:03And even then...
08:04So how long do I have?
08:06Best guess, we can get you four to six months.
08:12Personally, I'd consider palliative care.
08:14I'm getting Dr. Steiner.
08:16We'd be happy to interface with any of your own specialists.
08:19Well, we've already conferred with our chief of oncology, and he agrees with our assessment.
08:23Well, of course he does.
08:24He works in a bureaucracy and can't think out of the box.
08:27I wish we could do more.
08:28We could try CAR-T.
08:31No.
08:31Is CAR-T.
08:33Chimeric antigen receptor T cell therapy.
08:35It reprograms your white cells.
08:37And has absolutely no efficacy on this type of cancer.
08:40I don't think anyone knows that for sure.
08:41There's not enough data.
08:42Steiner is fielding second opinions and wants to teleconference in an hour.
08:45The plane will be ready to take you to Sloan or Hutch or Oxford if we have to.
08:50Wait a minute.
08:50Anything any of those places can do, we can do, and we'll be completely transparent with your team.
08:56Your team is not even on the same page.
08:57We will get there.
08:58I assure you.
09:00Then come back to me with a plan.
09:01Look, if I'm still here, I'm all ears.
09:05One centimeter fragment in segment six.
09:09Two suture repair.
09:12Okay.
09:15Hey, any news?
09:16No.
09:17I'm freaking out.
09:18Listen, I told you this.
09:20Because you're taking longer to get the results, that doesn't mean anything.
09:23I know, I know.
09:23I thought I'd be okay at this, but I am.
09:25Or really not.
09:26Maybe stay away from work today and just try and distract yourself.
09:29Funny you should say that.
09:31Because I'm kind of at the cafe around the corner.
09:34Uh, from the hospital, right?
09:35Look, is there any way you can come down for a minute?
09:37I'm really not handling this well.
09:38Yeah, yeah, be right there.
09:42BP's dropping, 91 over 59.
09:44Amy.
09:45Pushing 100, high to cortisone.
09:47Normal saline, wide open.
09:48What's this, sodium?
09:49It's fine, 134.
09:51It's not me.
09:52You have a bleeder.
09:53My field is clear.
09:54Unless...
09:56Dammit!
09:57Suction!
09:57Well, your CC's lost already.
09:59You're counting?
10:01I can't clear the field fast enough.
10:03Want another climb for a prinkle maneuver?
10:04No time.
10:05I'll do it blind.
10:06If I could, I'll switch your arm in.
10:08I'm in.
10:28if he's rising.
10:32That was amazing.
10:34Piece of cake.
10:55Yeah, yeah, no, we're here with Amy now.
10:57She's checking his lungs.
10:58Stop, stop.
10:59I can't hear anything you're saying.
11:02I said ask Amy to see the tube is right.
11:05Mom.
11:12Albuterol is working, but his oxygen is still low.
11:15If it drops anymore, we're here.
11:17Don't tell me you have to intubate.
11:18Oh, my God, no, we're not there yet.
11:20Let's just try to stay calm.
11:24I never thought I'd say this, but I wish my mother were here.
11:27There's nothing she would do that I'm not already doing.
11:29You think I want her here for medical expertise?
11:32No.
11:34You know, when I have meningitis in college, she'd at least offer to fly home.
11:38Ethan, she's doing the best.
11:40Don't defend her, Amy, all right?
11:41Please.
12:00John?
12:01Yeah?
12:02You okay?
12:04I'm fine.
12:06I just had to splash a little water on my face.
12:10I'll be right out.
12:21Okay, let's bump his methamazole up to 20 and then recheck his TSH.
12:24And can you have Dr. Park give me a call on labs?
12:27Come back on 6-12.
12:28Okay, thanks.
12:30Thanks.
12:32Thanks.
12:41Thanks.
12:43Thanks.
12:44Thanks.
12:47Thanks.
12:48Thanks.
12:50Thanks.
12:51Thanks.
12:53Thanks.
12:56Thanks.
12:58Thanks.
12:59All handled?
13:00Yeah.
13:01I think they can survive without me.
13:03Apparently, I can't.
13:04Hey, it's fine.
13:06Okay?
13:07I'm not going anywhere until the labs come back.
13:10What is this?
13:11This is the Mia treatment.
13:13And you thought this would distract me from my impending doom?
13:16I've seen you around a Sunday.
13:23I want primary custody for as long as I'm breastfeeding.
13:26Absolutely.
13:27I'll take regular visitation rights for the first year.
13:30And after this first period, we'll transition to the 50-50 custody?
13:36Yes.
13:37Agreed.
13:37Now on to assets.
13:39First, the family home.
13:41It's in Michael's name.
13:42I'm prepared to sell it and give Nora half the proceeds.
13:45I can't let you do that, Michael.
13:47Why not?
13:47I know what it means to you.
13:49And what about Katie?
13:50She's fine with it.
13:51I'll reach soon, and I think it's the least I can do.
13:53Oh, God, don't you dare be kind to me right now.
13:58What else would I...
14:02I need to hate you, Michael, and you need to let me.
14:11Hey.
14:11Hey.
14:12How's our patient?
14:13Well, strong vitals, no sign of infection, emptied his drains, hung post-op antibiotics.
14:20Wow, we're going to put our nurses out of business.
14:22Ha, ha.
14:23Post-op, if you just want to sit with him.
14:27That's a hell of a bedside manner you've got there.
14:32You all right?
14:34Amy.
14:35Hey.
14:37I'm good.
14:39I...
14:40I have another patient I should check on, but Hari needs post-op lights and hourly labs.
14:47I'll take care of it.
14:53We talked about this until we had...
14:56I know, until I've had two months of normal EEGs.
14:59I know.
15:00But I've had four clean studies, and I need this memory now.
15:04Look, I know you're going for chief resident, and recovering your medical knowledge is important.
15:07No, it's not that.
15:08When my brain does this, it's because it's trying to tell me something.
15:13My friend needs help, and this memory may be the only way that I can help her.
15:19Any headaches or nosebleeds when I'm pulling the plug?
15:22Of course.
15:24I want to be clear that the treatment protocol that I'm proposing will be painful.
15:28Pain is irrelevant.
15:29Will it work?
15:29I found one successful case.
15:31But as your team will tell you, cancer involves many mutations.
15:34The treatment has to be as unique as the disease.
15:37That is where CAR-T comes in.
15:39We take your own T-cells and re-engineer them to target the specific markers of your illness.
15:44Which antigen will you use?
15:46His cancer cells exhibit a large number of DLL3 surface proteins.
15:49And which viral vector for delivery?
15:51The case I'm referencing used a lentivirus model.
15:54The case he's referencing was so much less aggressive, it shouldn't even be considered a calm.
15:58Mr. Voight's immunoresponse will certainly be catastrophic.
16:01There's a very good chance this treatment will kill you.
16:04By tomorrow.
16:05Or it could add years to his life.
16:07Team, some feedback would be nice.
16:10Give us a memo, please.
16:12I thought you were getting on the same page.
16:13So did I.
16:16Okay, the only other option we can see here is Ludo's team in Zurich.
16:20They have a vaccine model that's had some limited success in mice.
16:24Limited?
16:24And only with mice?
16:25No.
16:25That's out.
16:26What else?
16:27I'm sorry, but there's nothing we can stand behind.
16:29So Dr. Coleman's idea is the best option?
16:31Yes.
16:32Elise?
16:33With more time, we could dig deeper, but...
16:36Big things don't happen overnight in the cancer game.
16:40Okay, so...
16:41We have no choice.
16:43Okay, then.
16:43Let's get the ball rolling with whatever we need to do next.
16:46I'm sorry, but clearly these people on your payroll don't know how to say no to you.
16:51Dr. Miller...
16:51And I gotta say, if you were anyone else, this hospital wouldn't even be considering this course of treatment.
16:56Mr. Voight has an appetite for risk.
16:58An appetite for risk is one thing.
17:00This is trying to kill a lion with a toothpick.
17:08Sometimes we fly too close to the sun, but we get nowhere if we don't try to fly.
17:14Right, Dr. Coleman?
17:17I sincerely hope this works.
17:20But respectfully, I won't be a part of it.
17:34I, uh...
17:35Didn't mean what I said before.
17:37I mean...
17:40I don't want to hate you.
17:41I wouldn't blame you if you did.
17:46I hope that selling the house will be a fresh start for you.
17:52I think you really need that.
17:55Okay, I've drafted an agreement.
17:57Why don't we give it a once-over?
18:03And focus.
18:05Ground yourself in the memory.
18:08Hear.
18:09See.
18:15Okay, let it rip.
18:27So just stay out of it.
18:29What are you not telling me?
18:30It's MDS.
18:32So there's a good chance it'll turn into leukemia?
18:39I have to go.
18:46You can't perform surgery anymore.
18:55Place of ASCAP.
18:57Prepping for temporary human dialysis.
18:59What happened?
19:01BP spike.
19:02Acute renal failure.
19:04But that makes no sense.
19:05Addison should prevent BP spikes.
19:07And his renal function was normal pre-op.
19:10Well, clearly we're missing something.
19:11Cultures, auto-antibodies, and a PAN-CT scan.
19:14That's a good idea.
19:15It was even better when Dr. Matra had it five minutes ago.
19:18Where were you?
19:20I was in TMS.
19:23I love your sense of timing.
19:24I remembered.
19:26You were diagnosed months ago, and the disease certainly wasn't indolent.
19:30So you're off chasing unreliable memories while our patient's life hangs in the balance?
19:34You're going to look me in the eye and tell me that was a false memory?
19:37It was a bad day.
19:39I was emotional, and I'm fine now.
19:41You took this job.
19:43Couldn't handle it.
19:44I am handling it.
19:45Really?
19:46Where did you get this bruise?
19:48And what about the edema in your wrist?
19:49How much prednisone does it take to get you through a shift?
19:52You know what?
19:53Dr. Matra and I will take it from here.
19:58I would never do anything to jeopardize a patient.
20:01And I don't need you to tell me that.
20:25Let me ask you something.
20:28You went up against Dr. Miller.
20:29Was that for my sake, or were you just...
20:32pandering to your CEO?
20:35Come on.
20:36I'll pretend you don't have a lot riding on this, too.
20:38I don't do anything I don't believe in.
20:41Man of conviction.
20:42Guess I'm not surprised.
20:43Four years in Afghanistan.
20:45Took a bullet during that hostage crisis.
20:47Okay, except one of background checks is getting weird.
20:50Honest, too.
20:52Look, this idea is out of the box.
20:55But you push boundaries for a living.
20:57Controversial, but necessary to a society.
21:02Well, I've just...
21:05I've never been in the lab right before.
21:24Dr. Ridley, he has tuberculosis.
21:27I saw some nonspecific areas lighting up on CT.
21:31Figured they were artifact.
21:32But his sed rate was up, so I ordered an ultrasound with Doppler.
21:36And found a cavitus lesion in his hepatic artery.
21:39Add that to his chronic inflammation, milky drain fluid, travel exposure.
21:44Extrapulmonary TB explains it all.
21:46Even the Addison's.
21:47He must have a lesion on his adrenal gland.
21:49And who knows where else?
21:51We need a full...
21:51With contrast and surgery to remove infection.
21:54Good.
21:56I'll take him to radiology.
21:57You can grab a few protein bars, Dr. Maitre.
21:59We're going back in.
22:04Feeling okay?
22:06I feel like crap.
22:08I guess that's what we want, all right?
22:11It means it's working.
22:13Yeah.
22:13Well, your BP's a little low.
22:14I'm going to start your oppressors.
22:18Mr. Boyd?
22:19Mr. Boyd?
22:21Two milligrams IV and rounds of PAMs.
22:23And did you inject the CAR T-cells an hour ago?
22:26Mr. Cytokine storm.
22:27And I premedicated with Benatryl and Mento Penicillum.
22:29Well, it wasn't enough.
22:36Prenez le médicament deux fois par jour, d'accord?
22:39Mais faites bien un beau liolo pour éviter les infections.
22:43C'est très important.
22:45Oui?
22:45Oui, oui.
22:46Au revoir.
22:48What else we got?
22:49Dinner.
22:50Oh, no.
22:51I'm going to eat later.
22:51You can't help them if you can't stand.
22:54Ridley, eat.
23:00Can we talk about the real reason you won't slow down?
23:02Have you had Terry's mind being?
23:07Your grandson's going to be fine.
23:09From everything you said about Amy, he's in the best possible hands.
23:14Not mine, though.
23:15You can't be everywhere.
23:19When Harry and I were first married, I tried to stay put.
23:24Be the doting wife and mother and have a regular...
23:29The truth is I just wasn't cut out for it.
23:36Maybe you were right to never settle down.
23:39Or maybe I just never found a man who could put up with me.
23:45Well, it makes two of us.
23:53Hello.
23:54It's me.
23:56Albuterol and high full oxygen are keeping his numbers in the 80s.
23:59To intubate?
24:00No, he's stabilized.
24:01But they've got an intense recovery ahead of them.
24:04If you could come home, I would.
24:11I'm trying to do my job.
24:12At what cost, Joan?
24:1460 milligrams.
24:16At that rate, you will flame out in weeks.
24:18That's my choice.
24:19Does Javi know what you're doing?
24:20I'm not killing myself, Amy.
24:22I am trying to make the most of the time I have left.
24:26And he would respect that.
24:28Well, what is it you didn't think?
24:30I don't know.
24:31He doesn't know.
24:32He doesn't return my calls.
24:34What?
24:35Wait.
24:35How long have you said that?
24:36You know what?
24:37I think you've dredged up enough bad memories for one day.
24:39And if you'll excuse me, I have a patient who needs me.
24:46What do we got?
24:48Granulomas in the liver, kidney, adrenals, bowel.
24:50They're everywhere.
24:57Tell the on-call surgeons to drop what they're doing and meet us in the O.R.
25:01We're going to need all the hands we can get.
25:03And you, my dear brother, to Almighty God, and entrust you to your Creator.
25:09May you return to Him who made you from the dust of the earth.
25:13May Holy Mary, the angels, and all the saints come to greet you.
25:17I am so sorry, Mrs. Boyd.
25:23I never should have let Him go through with this.
25:28Excuse me.
25:41You care to explain how this went so wrong?
25:45We tried car tea.
25:47I read the report.
25:47I know it was attempted.
25:48I'm wondering how that was allowed to happen.
25:50You'd have to ask the CEO about that.
25:53He was pushing medical decisions.
25:55We could have used you here.
25:59So, what are you proposing now?
26:01I'm thinking IL-6 blockers.
26:04The COVID treatment?
26:05Car tea triggers a similar escape.
26:08And I don't think that the standard protocol will get the inflammation under control.
26:12He's been right all along.
26:16We should follow his lead.
26:22Your patient, your call.
26:26Okay, okay, okay.
26:28Our Thailand trip.
26:29You got booted off the karaoke stage.
26:30Bohemian Rhapsody.
26:31Yes, it's a...
26:36And for the record, it wasn't my performance that people hated.
26:38It was just that that song...
26:51Dayan?
26:54I can't let you do it.
27:07It's negative.
27:09I don't have cancer.
27:10You don't have cancer.
27:23You don't have cancer.
27:25Saddle up, everyone.
27:26For the next 11 hours, we're doing an ex vivo.
27:30So, that's right.
27:32The thing you learned about in med school but never thought you'd actually do.
27:35We're removing every damaged organ, repairing it, and then putting it back where we found it.
27:41We'll run two full operating fields.
27:43My team will be the one removing organs and keeping Javi alive.
27:47That means controlling bleeding, managing perfusion, oxygenating his heart and brain.
27:51Team two is on ex vivo work.
27:55When we pass off an organ, you strip the granulomas and adhesions, repair what you can, then it comes straight
28:02back to us in working order.
28:05Precision is everything.
28:06We lose focus.
28:08We lose an organ.
28:09We lose an organ.
28:10We lose the man.
28:16Let's go.
28:18God, I cannot believe I'm saying that.
28:20All right.
28:20I brought nourishment.
28:22Yeah, great.
28:24Thanks.
28:25Did she just do a rapid order to reconstruct on the fly?
28:29Yeah.
28:30It's unreal.
28:31She's a friggin' rock star.
28:32She's something.
28:33That's for sure.
28:35You wonder why I didn't want to tell you.
28:37Look, the way she's managing everyone?
28:39She's like a maestro.
28:42Okay, so what exactly is her end game here?
28:43Is she just going to keep operating until she drops?
28:45I can't believe what she's doing to herself.
28:47I know that you don't want to go behind her back, but I don't think she's really leaving as many
28:50options here.
28:52Just give me a couple hours.
28:54Till the end of the day.
29:04Ethan, it's Amy.
29:07Uh, give me a call back when you can.
29:10There's something going on with your mom.
29:13Okay, liver's coming out.
29:15Subhepetic space is clear.
29:17Put a retractor in there, Carol.
29:18Sponge.
29:20Okay.
29:24That granuloma's wrapped around the inferior vena cava.
29:27We can clamp, take it out, then reconstruct with Dacron graft?
29:31No, we've made enough compromises today.
29:32I'll dissect it off the wall, leave the vein intact, scalpel.
29:36Uh, isn't it safer to do a graft, one slip, and he could bleed out in seconds?
29:41I know.
29:42I wrote that chapter in your vascular surgery textbook.
29:46Suction, Dr. Matra.
29:48Clamp ready in case it goes south.
30:02Mets.
30:05I'm securing the vena cava now.
30:06Dr. Matra, get that lump out of my hair, please.
30:13You know what they say about me.
30:16Hands of stone.
30:21Hi.
30:22Hi.
30:23You in here, Mom?
30:24I wanted to check on Robbie.
30:26I came as soon as I could.
30:27Well, we both know that's not true.
30:29Okay, okay.
30:30I came as soon as I could responsibly leave.
30:33And why is it you feel a greater sense of responsibility to a group of strangers than your own family?
30:38Robbie was fine.
30:39He didn't need me.
30:40No, I needed you.
30:44You know, for once, I actually let myself believe that you'd be here.
30:47I was on my way.
30:49And then we got the call.
30:51Fighting broke out in sake.
30:52We were inundated.
30:54It's always something.
30:58And what would you have me do?
31:00Let those people die so I can come and hold your hand?
31:03No, you're right.
31:04No, you had to do what you thought was right.
31:05And now I have to do the same.
31:08So, you know, I'm done.
31:11What does that mean?
31:12You're done?
31:12That means I'm just, I'm done.
31:14And at some point I only have myself to blame for letting you disappoint me.
31:23If you can't see, I made the only choice I could, and I didn't raise the man I fought.
31:32You barely raised me at all.
31:50Welcome back.
31:53Must have been a close one.
31:56Turns out, your Addison's wasn't a lint TB.
32:00You had a lesion on your adrenal gland.
32:03Along with 14 others.
32:05But we cleared the damage, and you'll make a full recovery.
32:09But so, so no more Addison's?
32:13No more Addison's.
32:20You saved my life.
32:23I wish there were more I could do for you.
32:25Are you kidding?
32:26That was a career-making surgery you bagged me.
32:29I'm going to live forever in these halls.
32:32So, um, when can I get back out there?
32:37Well, in the last 12 hours, most of your organs have been outside your body.
32:42So, maybe you want to give it a few weeks.
32:45Hey, we go where we're needed, right?
32:49Hmm.
33:11Hi, stranger.
33:12I still got nothing but love for you.
33:15Why?
33:17I still got nothing but love for you.
33:27Yeah, I killed me the more.
33:33Fortunately, you.
33:36Harder than your cancer.
33:37We've retested your blood, and your small cell tumor markers only dropped 3%.
33:42Meaning it didn't make a dent.
33:44Right.
33:47Well, then.
33:48What's next?
33:50We're back where we started.
33:52Chemo and molecular therapy.
33:55So, you're right.
33:56My yes-men almost killed me for nothing.
33:59I'm just glad you're still here.
34:01I'll be dead by the end of the year.
34:03I'm sorry.
34:04But there's plenty you can do with the time you have left.
34:07No, degenerate.
34:08If you can't cure me, I will wait.
34:11Xander, no.
34:12What better time to do it than now?
34:14I'm sorry, what are we talking about?
34:15There's a Swiss cryogenics company that will freeze me until further notice.
34:19When there's a cure for this in 10, 20, 30 years, I'll be first in line.
34:23If they find a way to reverse the freezing process.
34:26We can do it with embryos.
34:29It's only a matter of time, and I won't exactly be in a rush.
34:40She knew who she married, and I still have way too much to do in this world.
34:46The man needs a psych consult.
34:48We should put him on a 72-hour home.
34:49On what grounds?
34:50He's not depressed or pathological.
34:53He's got a God complex.
34:55And I flew too close to the sun.
34:58The CEO's watching.
35:00You got a billionaire setting you up to be a hero.
35:02You got carried away.
35:04You're right.
35:05Sorry.
35:07I know you think I don't have a leg to stand on here.
35:11But what happened was unethical.
35:13And there isn't always going to be someone more senior around to push back.
35:16You're not a rookie anymore, TJ.
35:19Time to start acting like it.
35:28Hey.
35:30Oh, hey.
35:34So, I need to tell you where I was yesterday.
35:38Okay.
35:40Rachel had a mammogram, and they found the mass.
35:44Is she okay?
35:45Yeah, yeah, she's fine.
35:46Now, the biopsy results finally came back negative.
35:48But the past week has been kind of tough, so I just, I wanted to be there for her.
35:54So that's why you left early?
35:56Yeah, yeah, she was spiraling.
35:59And that patient you were with in radiology last week, when you didn't want to talk to her, that was
36:06her?
36:07She asked me not to tell anyone.
36:13When I see the look on your face, clearly I got this all wrong.
36:16No, you were in a tough spot.
36:18I'm just glad she's okay.
36:20Yeah?
36:21Yeah.
36:27Yeah.
36:27Yeah.
36:30Okay.
36:33It was pretty sneaky, you calling Ethan.
36:38Dare I ask how it went?
36:41Well, uh, we have a lot to clean up, but...
36:47So thank you.
36:50There's one thing this year has taught me.
36:53It's that family finds a way to forgive.
36:57Let's hope.
37:00He certainly thinks I have a lot to answer for.
37:07We need to figure out what you're going to do, Joan.
37:10Oh, I know what I'm going to do.
37:15I didn't think it could get any worse than being schooled by Richard Miller and knowing he was...
37:19Try this.
37:20I spent all of last week trying to sideline Dr. Ridley, and the second she asked me to scrub in
37:25for a big operation, I leap at the chance.
37:29So we're hypocrites.
37:31Or maybe we're just doing the best we can in a job that has a lot of gray areas.
37:37Maybe we are.
37:39So?
37:41Want to give our date another shot?
37:44Dinner?
37:45That?
37:47The tagging place on the corner?
37:48Or we could just go to mine.
37:51For dinner?
37:51That too.
38:06Dr. Ridley would like all of internal medicine to report to the office for an all-hands.
38:15Excuse me.
38:19Any idea what this is about?
38:20Uh, no, no idea, but...
38:33Wow.
38:35That was fast.
38:36Am I that scary?
38:37Yes!
38:41Uh, this is, uh, not a conversation I ever wanted to have, so...
38:48Forgive me if I'm not exactly sure where to start.
38:54I know there's been about my health, and I truly appreciate it.
39:00And it turns out it was warranted.
39:04I have MDS.
39:06It's advanced, and it's time for me to accept that...
39:12It's not something I can outrun.
39:16So...
39:20Last night...
39:21Will be my final surgery.
39:32I've spoken to Dr. Hamda, and he has agreed to facilitate a smooth transition.
39:38And never fear.
39:40You will all receive your long-awaited evaluations before I go.
39:46I like to think, um...
39:48That I...
39:49I still have some wisdom...
39:53To impart on the next generation.
39:57Even you, Peter.
40:00So, um...
40:02As my friend reminded me today...
40:06Um...
40:07We go where we're needed.
40:09And right now...
40:11There are more important places for me to be than inside an OR or behind a desk.
40:19Being a doctor...
40:22Has been the privilege of my life.
40:27Being your chief.
40:31More to me than I expected.
40:41All of you.
40:46And I'll see you tomorrow.
40:54Bye.
41:07Bye.
41:09Bye.
41:14Bye.
41:16Bye.
Comments