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00:00You
00:03When the risk of a procedure is greater than the possible benefit we watch and wait if the symptoms progress
00:12Then we pick up a scalpel
00:22Who's that we're in the middle of nowhere probably some camper who forgot toilet paper
00:28Okay coming
00:37Hey the kids wanted to bring you the pancakes that they made whoa, whoa, whoa, whoa, whoa
00:42Who are you? Where are you close?
00:48You should go first
00:51Okay, you know what we gotta go or we're gonna be late
00:55Um, all right, come on. Say goodbye to daddy. Bye guys. Bye. You should leave your ringer on
00:59Yeah
01:06I'm so sorry. No, no, she was just surprised
01:09Listen, why don't you just relax and I'll go get some coffee, okay? Okay
01:14It sounds easy
01:15But doing nothing is one of the hardest things a surgeon has to do
01:23We're trained to act to remove to fix
01:27Restraint isn't in our DNA. Babies look good
01:30Mr. Claus is still in place
01:32That's good
01:33Good would be my water breaking seven weeks from now when I'm full term
01:37We might make it all the way. It's possible babies are healthy. There's no sign of infection now
01:43But if I deliver early they're at risk of sepsis have underdeveloped lungs have trouble feeding as it gets
01:48Choose your own adventure newborn. I'll escape
01:52But you're right
01:54I could make it seven weeks
01:56Yeah
01:59You okay? I'm having shortness of breath. Can you help me?
02:02Ph cardiology?
02:03What do you what do you think it is? Do you think it's a heart thing or a lung thing?
02:06Do you have any pain? Is it sharp? Dull?
02:08It's probably nothing. I just want to practice what I preach get it. I'll check down. Okay. Okay
02:13I'll call upstairs
02:17In the end all you can do is hope for the best
02:21And trust you're making the right call
02:25Meade? What where do you think you're going?
02:28Miranda, Weber canceled the surgical lecture series. I assumed you knew
02:32Do I look like I knew?
02:34Uh, not particularly
02:37Well, who cancels someone else's lecture and doesn't tell them?
02:41Well, maybe he forgot
02:43Did 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. I'm just the messenger
03:01How's this for a message? I've had it
03:12Did you see dr. Weber's email? How are we supposed to increase our cases by 10%?
03:17Where are we supposed to find all these extra cases?
03:20You seem calm. You're not behind. I'm trying to finish this because in five minutes. I'll never have free time
03:24again
03:24I didn't know you net cool
03:27It's crochet you two back together. No, I am not with anyone right now. We made a pact
03:32We are focusing on ourselves and hobbies. Is that a bowel movement?
03:38It's a spleen
04:04Help! Help! Help! Help! Help! Help! Help's here. Where are you?
04:12Down here
04:15Okay, what's your name?
04:22Maisie
04:22Maisie, I'm Owen. I am a doctor. I am calling 911 and we're gonna get you out of there. All
04:28right?
04:29Okay
04:41Make sure none of this is yours. It's getting donated at the end of the day
04:47Ooh, this is a good one. Oh, I've been looking for that
04:51Hey, how was your trip? Uh, I was in the south of France
04:55But I had to study and take my oral boards. I'll kind of cancel each other out
04:59I put in the orders to replace mr. Litton's electrolytes. Thank you. No problem. Um, if he needs a chest
05:04tube, can I do it? No
05:10Ryan's on your service. Stay strong. Trust me. Not gonna be a problem. Mm-hmm
05:16Yeah, hi. I have a three-vehicle pileup incoming and one is a bus with at least 30 passengers. Oh,
05:20there's some good news
05:23For our case logs. I mean, I'm sorry that there was a car accident
05:29Have I said welcome back yet? No
05:37We got them doctor. Okay, I'll see the hospital
05:42Thanks for coming car we were tired then hit another car which then hit a bus and the bus hit
05:48a cyclist
05:48I knew you were close by since you showed up unannounced this morning. I
05:53Don't want to talk about this here. Where do you need me under the bus?
05:57SFD's concerned that we might need to amputate the cyclist's leg to get her out of there
06:00A paramedic could assist, but I'd much rather have a surgeon. Owen, is that you? I'm right here. This is
06:04Maisie
06:05She has pain on her left leg and pelvis and she has some bleeding, but I can't reach her so
06:08I have no idea where it's coming from
06:09All right
06:11Hi, Maisie. I'm Teddy. I'm a doctor too. Are they getting close?
06:14We're evacuating the bus and there's one more patient to come out of one of the cars and then we're
06:17gonna get you out, okay?
06:18Maisie, is there anyone that you want us to call while we wait?
06:23I was gonna say that you can call my boyfriend, but I remembered that
06:27It's not my boyfriend anymore. I'm sorry
06:30We got into a stupid fight because he didn't want to go on to a stupid cruise for my parents
06:34anniversary, which is perfectly reasonable
06:36You know how cold it is in October in Alaska? I can imagine. I wanted to take it back, but
06:41he won't pick up my calls
06:44Maybe if you tell them I'm trapped under a bus, I'll pick up
06:46First, we are gonna get you out of here and then we can call your boyfriend, okay?
06:52Okay
06:56Were you going to tell me that you canceled my lecture series?
07:01Oh, I thought I did
07:02Yeah, I got here at 5 45 to print handouts and set up the conference room for fun
07:10This is my mistake. I mean, you know with all the construction and the residents were behind in the cases
07:15It was all hands on deck situation with all due respect. This is not your deck
07:20Hey, come on
07:26Oh my god
07:28Aaron
07:29He's autistic. He's non-speaking and sustained a headlack. The patient's his age. Oh, we go after him
07:33Glenn Kelly 53
07:35GCS 3T NBC with a city bus at high speed restrained driver unknown past medical history intubated on the scene
07:41How long did you administer CPR? 10 minutes. It doesn't look good. Now if I can help it, let's take
07:46him to trauma 3
07:52I
07:52Maisie, how are you doing?
07:53I can't catch my breath
07:58She's losing a lot of blood from her leg
08:00I'm working on the second car
08:02All right, stay with me, Maisie
08:03Hang on
08:04Where are they with stabilizing the bus?
08:07What are you doing?
08:09I can't control internal bleeding, but I can try and stop the blood from pouring out of her leg
08:13Dr. Hunt, they can't get an airway
08:14Go, I got this
08:15Okay
08:16Ma'am, you can't go under there
08:17It's doctor and she needs a tourniquet on her leg now
08:20All right, I'm just gonna put this on you and then I gotta get this tourniquet on you, okay?
08:25Okay
08:26Deep breaths
08:27Okay, you good?
08:29Teddy
08:30Teddy, they still haven't stabilized the bus
08:32You called me here, I'm gonna do my job
08:34Can you tell me?
08:35Are they getting me out?
08:36Not yet, I need to work on your leg
08:38I need to tighten this to stop the bleeding, okay? Here we go
08:41I know
08:42I know it hurts
08:43I know, keep breathing
08:44We're gonna get you some medicine for the pain soon
08:47I need you to move right now
08:48Just give me a minute
08:49Are you going back out?
08:51No, I'm gonna stay right here with you
08:52Keep breathing
08:54Come on Maisie, stay with me, come on
08:58Dr. Adams?
08:59Hi, I'm Dani Spencer, I'm your intern
09:01It's my first day
09:02Well, actually it's my second day, my first day
09:04Meredith Grey gave me an XLAP in the reproductive health clinic
09:09So, here I am
09:12How caffeinated are you?
09:13Oh, I don't drink coffee
09:14Good morning, a patient's flap went down
09:17I'm taking him to the OR to try and salvage it
09:19Can I get in on that?
09:21No, I need someone to keep up with my dressing changes
09:24How about you get in on that?
09:27Yeah
09:29Come
09:31I heard you had a tram flat
09:33I already have an assist
09:36No, you owe me and you know it
09:39You had diarrhea
09:40That's not on me
09:41No, I got your face time in front of Jackson Avery
09:44And if you get that job in Boston, I should be getting 10%
09:48I just told Adams no
09:50If I give it to you just because you asked, what will people think?
09:52I don't care what people think
09:57Frank Nelson, room 3256
09:59He has a bad sacral decoub ulcer
10:01No one's been able to get a wound back on it
10:03It's too close to the anus
10:04Ouch
10:04The only option left is to give him an ostomy
10:06and hope that rerouting his bowels keeps 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
10:25Hey, hey, how we doing in here?
10:26You called the chief of cardiothoracic surgery?
10:29He's a friend
10:31I told you to page cardiology
10:34Hi, I'm Winston Ndugu, chief of cardiothoracic surgery
10:37Nice to meet you, Iris, chief of this room
10:39This is nice
10:39This is really a berode
10:41I told you
10:44Deep 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
11:02I'm sure you're right
11:03But as you know, there's a lot of overlap between pregnancy symptoms and cardiac symptoms
11:07So I just want to get an EKG just to be safe
11:09Yeah, whatever you need
11:10Okay
11:12Okay, I'll be back to do the EKG
11:17It's gonna be fine
11:18Yeah
11:19You'll see
11:19At least we were meeting our deductible this year
11:25The tube is in
11:26It's a lot of blood
11:27Another push of epi
11:28Resuming compressions
11:29Dr. Weber
11:30I've got an disabled patient
11:31Nowhere to put him
11:32Have Griffith and Bryant found their patient yet?
11:34We've got his aid
11:35Not that I've heard of
11:36I'll be right back
11:37How long do we keep at it?
11:39At this point, he's only coming back with a miracle
11:42And that is not in our control
11:44Okay, time for a pulse check
11:46Stop compression
11:57Hey, Mead
11:58Call it
12:01Time of death
12:03What in God's name?
12:05I was gone for a minute
12:07She told me to do it
12:08We've done multiple rounds of sleep
12:09That doesn't mean it's over
12:11Restart compressions right now
12:13Wait, so he's not dead?
12:15Yeah
12:16Hey, this was a blunt traumatic injury
12:19He's had CPR
12:20Bilateral chest tubes
12:21What, he's just gonna keep resuscitating him indefinitely?
12:25Should we open his chest?
12:28Get a thoracotomy tray
12:31Not everyone wants to give up
12:46I'll talk to him
12:47I'll talk to him, you stay here
12:47I don't want to overwhelm him
12:51Aaron
12:51I don't know, I don't want to know
12:54I'm Dr. Griffith, I'm here to help
12:55I don't know, I don't know, I don't know
12:57I don't know, I don't want to
12:59Well, I see you have a cut on your forehead
13:00We can fix it for you
13:01We just have to go inside the hospital
13:02No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no
13:24You know, we don't have to go right now
13:29I'd like to take a look at your wound, if that's okay.
13:31I've got nothing better to do.
13:34I took a look at your chart,
13:36so you've been here a while.
13:38First, I fell down the stairs.
13:40Then I got pneumonia and a DVT.
13:43Now this ulcer won't heal.
13:45I wish you people would just let me die.
13:47You're not dying. We just need to place a wound vac.
13:50No, I'm done. Give me the ostomy.
13:53With your medical issues,
13:54if we can avoid another surgery...
13:56I don't want to hear it.
13:57I'm sick and tired of you bleeding-hard do-gooders
14:01and your positive attitudes.
14:03We want to be left alone.
14:10I'm not doing this for you.
14:11You're not?
14:12Dr. Mahonte said if I can get this wound vac on you,
14:16she'd lead me into a surgery that I haven't seen before.
14:18All this so you can be second fiddle in a surgery?
14:22More like fourth fiddle, but... yeah.
14:25You're not like the others.
14:27You're a selfish dirtbag just like me.
14:30I wouldn't characterize myself as...
14:32Okay, you can try.
14:36Okay, I'll go find someone to assist me.
14:41I'm really tired.
14:42Take deep breaths for me.
14:44I fully see I'm answering my calls.
14:46I know the feeling.
14:47I'm so sick of fighting about everything,
14:49but he's still the only person I want right now.
14:52I can't be calling.
14:56Oh my God!
14:57Teddy!
14:58Teddy!
14:59Teddy!
15:03Teddy, are you okay? Are you hurt?
15:05Teddy!
15:06We're fine. What happened?
15:07The cribbing shifted.
15:08We need to reinforce it so we can get them the hell out of there.
15:10What is taking so long?
15:11We're almost ready to deploy the bags.
15:14Maisie.
15:15Maisie.
15:16Damn it.
15:17She lost consciousness.
15:19Okay, let's get an intubation kit.
15:20We need to get her out right now.
15:22Let's go! Let's go!
15:24Come on, Maisie. Stay with us.
15:29We found this at the nurse's station.
15:31I think it's his.
15:32Okay, thank you.
15:34We need to wash out that lag and assess how deep it is.
15:36How do you plan on getting him inside?
15:39I'll go get supplies.
15:40We can clean him up, figure out next steps here.
15:42Okay, cool.
15:43What about me? What should I do?
15:45Make sure he doesn't go anywhere.
15:48Make sure he doesn't go anywhere.
15:49Okay.
15:50All right.
15:52This yours?
15:55It's a good-looking bag, man.
16:01Where is Glenn?
16:03Uh, Glenn is in our emergency room.
16:06Doctors are helping him.
16:08You, uh, you want to go inside?
16:11Okay. All good.
16:13Have you had bad experiences at hospitals?
16:18Yes.
16:19Yeah.
16:20Yeah, me too.
16:23You know, my brother passed epilepsy and, uh, spent a lot of time in the hospital as a kid.
16:30I hated it.
16:32Mm.
16:33Mm-hmm.
16:34I understand.
16:39You ball?
16:40Mm-hmm.
16:40You ball for real?
16:41Let me see.
16:42May I?
16:44Okay, okay, let's see here.
16:45Let's see here.
16:45Let's see if I still got it, you know.
16:48All right.
16:48One.
16:49Two.
16:50Okay.
16:50A little crossover.
16:54Between your legs.
16:56Jump shot.
16:58Okay, let's go.
16:59You want to play for real?
17:00Let's do it.
17:01Okay.
17:02Okay.
17:02Jump shot.
17:03Jump shot.
17:04And he makes sense!
17:08I know I've got a good ass, but nobody I'll go.
17:11Gross.
17:12Gross.
17:12Gross.
17:16Yeah.
17:17There's still an air leak.
17:19Okay, let's do it again.
17:20You have other patients, right?
17:22I can't lay here all day while you try and win a prize.
17:25I want to watch Judge Judy in peace.
17:29I don't know what he's talking about.
17:30You said if you got this on me, Dr. Mahonte would hand you a surgery.
17:35Okay, it's a little more nuanced than that.
17:37You know, I'd love to hear more, but, uh, I think the ER needs some extra hands,
17:42so I'm gonna go help out of the goodness of my heart.
17:47You're up.
17:48Uh, technically I'm with Dr. Adams.
17:49Come over here.
17:50Okay.
17:53You're getting paged a lot.
17:55Oh, God.
17:57No!
17:58Well, you got your wish.
17:59I was just paged for the emergency room.
18:01You're leaving?
18:02You can watch your TV in peace.
18:05Clean up.
18:08Ow!
18:09Sorry.
18:10You think you'll come back?
18:11Uh, I don't know.
18:12You can try if you want.
18:14Uh, it's not really a one-person job.
18:17That's okay.
18:19An ostomy doesn't scare me.
18:24Not like I go anywhere these days.
18:30Keep massaging the heart.
18:34You want to switch out?
18:35No, I'm fine.
18:37Mead, inject epi.
18:40No, into the myocardium.
18:42If you have a drug route for the drug, you take it.
18:44Hard it is.
18:46Insert the needle into the ventricle.
18:49Not by hand.
18:50Ventricle.
18:56No.
18:57Come on, Glenn.
18:58How much longer are we gonna put him through this?
19:11We did it!
19:13No.
19:14Yeah, sorry.
19:16Let's not just stand here.
19:17Let's get him to the O.R.
19:21Here, let me help out with that.
19:23I got it.
19:26Hey, can you go to the gift shop and get me some socks?
19:30My feet are freezing.
19:32You're wearing socks?
19:34What?
19:34Ankle socks.
19:36They're not very warm.
19:37You really gonna argue with your pregnant wife?
19:42Any socks?
19:43The purple fuzzy ones with the grippy bottoms.
19:45They're by the register, not the slippers.
19:48I-I will be right back.
19:49I have my phone if you need me.
19:52You really know your way around that gift shop.
19:55My patients love socks.
19:57There's a lot of metal stirrups in O.B.
20:02You are so calm.
20:05On the outside.
20:07On the inside of a train wreck.
20:10Don't put on a show for my benefit.
20:11I'm trying to stay calm for Link.
20:13I've seen a lot of partners in his position.
20:16I don't want him to be scared when there's nothing that he can do.
20:19But I bet he'd rather be scared than know that you're suffering without him.
20:23Stay in your lane, Morton.
20:25Okay.
20:26Trust me.
20:27We got you.
20:29On my way in here, I ran into eight nurses reading the twins' strips at the nurses' station.
20:36How's it look?
20:38Oh, you don't want me to read this.
20:40But whatever it says, you're the toughest person I know.
20:42You're gonna get through this.
20:44Yeah.
20:47Pull the 12 lead, please.
20:51Page Dr. Ndugu, 911.
21:03Do you know what this is?
21:05No.
21:06So, you don't know how long this is gonna take?
21:08Do you have somewhere more important to be?
21:09I'm just trying to get on a tramp lap.
21:11Well, I'm not in France right now, but five minutes ago, I had my hands in a bloody abdominal cavity.
21:15You can't have it all.
21:22Maisie Lawrence, 27, 10 number of us.
21:24Intubated in the field.
21:25Crushed injury to the abdomen.
21:26Left leg laceration.
21:27We placed a tourniquet.
21:28She needs blood imaging and an oar.
21:30I'll let you three take over from here.
21:31All right, let's go.
21:35Hey, I'll be right there, okay?
21:38Hey, are you trying to get away from me?
21:40I have patients to see, and Maisie doesn't need two trauma surgeons.
21:44It's just about what happened this morning.
21:48Let's just do our jobs and forget about it, okay?
21:52Dr. Adams?
21:54Did you finish putting in Ms. Lewis's orders?
21:56Yeah.
21:57Can you help me with something?
21:59I know that you're trying to increase your cases, but Dr. Kwan was just paged to meet a break,
22:03and we were so close to getting that wound vac on Friday.
22:06Not my patient, not my problem.
22:07They're gonna give him an ostomy.
22:08And he's old and has a bunch of comorbidities.
22:11Did Dr. Kwan promise you a spot on Mahanti's tram flap?
22:14No.
22:15No, I swear.
22:16I thought you didn't like Frank.
22:18Is he a gross old man who makes me vaguely uncomfortable?
22:20Yes.
22:21But he is also a person who deserves the best care we can provide.
22:26Dr. Adams, I took an oath to help the sick.
22:29What kind of a doctor am I if I break my promise on day one?
22:32Mm-hmm.
22:36Ed, let's go put a wound vac on Frank.
22:42Uh, how did you-
22:43Cause I'm clutch.
22:44Right here, bud.
22:46First set to serve me for you.
22:52All right.
22:53This way.
22:55Good?
22:59All right, let's see.
23:01I'm gonna-
23:02Mm-mm.
23:04I'm gonna just-
23:05Mm-mm-mm-mm-mm-mm-mm.
23:10It's out on the play, dude.
23:11Okay?
23:11You gotta work with me.
23:14No.
23:17Yeah, real quick.
23:17Wh-what do you expect, okay?
23:19I'm poking at him right above his eye.
23:21As long as he can see my hands coming, he's gonna move.
23:23What if he can't see your hands?
23:26Great idea.
23:27Let me just grab my invisibility cloak and then...
23:30Wasn't that bad of a joke.
23:34Giving up, going on vacation.
23:39We need to look at the cut on your forehead.
23:41Do you wanna wear this?
23:43Then you can keep playing your game while we clean it up.
23:49Hmm.
23:59Nice.
24:00Yeah, don't strain your neck, looking up to me.
24:13Somebody please say something.
24:15Well, the good news is we have options.
24:16I come bearing gifts.
24:22What happened? Did something change?
24:24You-you might wanna sit down.
24:27I don't wanna sit down? What's wrong?
24:30Winston was about to give me the results of my echo.
24:34Is she okay?
24:37You have peripartum cardiomyopathy.
24:40Your heart muscle is weakening and getting bigger.
24:47How do we treat it?
24:48Do we have to deliver the babies?
24:50Well, we can start with medication.
24:51But if that doesn't work, then we will need to deliver the babies or place a pump called an impella.
24:56And it sits within the ventricle and it gives continuous flow to support the heart's function, giving it a chance
25:02to recover, which will also allow more time for the babies to develop.
25:14So what do you wanna do?
25:19The babies need as much time as they can get, so I'll do the pump if it comes to that.
25:26But the medication could work.
25:28It could work.
25:29Okay.
25:30It could.
25:30I have a consult and then I will check back in, okay?
25:34Let's start her on the butamine and place an A-line.
25:42Oh, you forgot your tablet.
25:43I know.
25:44I think I was already here.
25:46I'll be right back.
25:47Okay.
25:51Okay.
25:54This is not something wrong.
25:55I'm trying to stay calm so she stays calm, but be honest with me.
26:00How scared should I be?
26:04Her heart is failing.
26:11What?
26:12Why is this happening?
26:13No one knows why.
26:14If it's genetic or the hemodynamic shifts of a twin pregnancy.
26:18But we're on top of it and we have options at this point.
26:21You gotta watch like a hawk and echo every 30 minutes if you have to.
26:25Just telling Warren he's exclusively on Joe today.
26:27She will have 100% of my attention.
26:32Listen men, I know that it's difficult, but we can only take it one step at a time right now.
26:38Anxiety could only make it worse for Joe.
26:43Okay.
26:44Okay.
26:49Dr. Webber, Dr. Freeman's been trying to get a hold of you.
26:53Scott Freeman, the urologist?
26:54We have the same patient and it must be urgent.
26:57Oh, then go. Go. We have enough hands.
27:02Hey, look. I know we disagreed earlier, but I'm in this now.
27:06That's not it.
27:07Then go.
27:08Handle your emergency and let me do my job.
27:12He's tanking.
27:14Go. We've got this. Come on. Let's give him to the aura now.
27:29I have zero faith in you.
27:31Yeah, thanks, Frank.
27:34Can I try? Because I learned a couple of things from Dr. Quan.
27:36No, I want to do this fast so I can get into an actual OR.
27:40So you're Dr. Spencer and you're Dr.
27:42Adams.
27:44A-D-A-M-A's?
27:45Yep.
27:46I'm gonna sue you people when all this is over.
27:49You're gonna want to include Quan in that? K-W-A-N.
27:53What if you move it a little bit to the right and then lay it down from the bottom up?
27:57No, no, no, not like that.
27:58Just stop telling me how to do something you don't know how to do, okay?
28:00You're barely a doctor.
28:03Sorry.
28:09Zero faith, you said.
28:11It worked?
28:12I'll take the ostomy off the board.
28:17I might leave her out of the lawsuit.
28:21She's a good kid.
28:23You sure we can't just suture it?
28:25It's superficial. He just needs some Dermabomb.
28:27Okay.
28:28Hey, bud.
28:30So I'm gonna close up your cut, but it may sting a little bit.
28:33So if you need to break at any time, you just give me one of these.
28:36I'll stop right away, okay?
28:39Okay.
28:40Okay, good.
28:46Do you want again?
28:49What's your secret?
28:52I'm not telling you.
28:54Ouch, that hurts.
28:57I'll tell her.
29:00Oh, so you hate me now?
29:03I just like to be more.
29:06They need a chest tube in Trauma 3.
29:07You go.
29:08I'll finish up here.
29:09No, that's okay.
29:09I'd rather stay.
29:10You know, I said chest tube, right?
29:13Yeah, I heard you.
29:13It's just that if he's not gonna tell me his secrets, I gotta keep a closer eye.
29:21Page me if you need anything.
29:22Will do.
29:28I'm starting with an x-lap and a vascular repair to the left leg.
29:31I'll take the x-lap, helm, you take the lead on the leg, and welcome back.
29:34Feels like I never left.
29:48Some force greater than us wants to keep this man alive today.
29:52Okay?
29:53Let's do our best not to get in the way.
30:06Got it?
30:08Okay.
30:08Okay.
30:09Now.
30:10Safe one?
30:11Yeah.
30:12Right in.
30:14Uh, come here?
30:15Good, good, good.
30:18Betsy, ready for the specimen.
30:22Okay.
30:23Is that it?
30:24Good, good, good.
30:30Good.
30:40I need loops.
30:43Any more lap pads?
30:45How's the leg?
30:45It's a good thing you got a tourniquet on in the field.
30:47There's a huge defect in the femo.
30:51Send a tag and hang another unit.
30:55What about that?
30:57Okay.
31:03Please.
31:04Her name is Maisie.
31:05The police said that she is here.
31:07All of her family lives out of state.
31:08I am the only one that she has.
31:10Excuse me.
31:11Are you saying?
31:12Yeah.
31:13Are you one of Maisie's doctors?
31:15Is she okay?
31:16She is here, but I can't disclose any more information.
31:19I'm so sorry.
31:23I never should have walked out of that door.
31:27I'm sorry.
31:31I'm sorry.
31:31I'm just asleep.
31:32It's okay.
31:33Why don't you sit in?
31:38Tell it to us.
31:40My BP's dropping.
31:42My O2 set's at 85.
31:43I...
31:43Joe.
31:44Don't panic.
31:45Deep long breaths, okay?
31:47Okay.
31:47Please decrease cardiac contractility.
31:49All right, Joe.
31:49We're gonna place the impella.
31:51So we're gonna take you to the cath lab where you're still stable, okay?
31:53Alert Luna's puppy is missing.
31:56Did her EF drop?
31:57It's too low.
31:58She's gonna need the heart pump.
32:00It's gonna be okay.
32:01It's gonna be okay.
32:02Winston's done this hundreds of times.
32:04I won't, but I can do with my eyes closed, all right?
32:06And I'll be right here waiting for you, okay?
32:08I love you.
32:09Do you hear me?
32:10Do you hear me?
32:11I love you so much.
32:13This won't take long.
32:14I'll let you know what she's done, all right?
32:20Clear!
32:23Getting stuck, we can't stop looking back.
32:33Hey!
32:34I did a thruercotomy today on my own and brought the patient back with cardiac massage.
32:37Okay.
32:38He arrived, DOA.
32:39I'm gonna cut you off.
32:39I really get it.
32:40Oh, no, no, no, no, go.
32:41I do wanna hear though.
32:42I'm going to have a drink at Joe's tonight.
32:44Celebrate if you wanna join.
32:46I'll see you there.
32:47Okay.
32:55Okay.
32:56Impressive work on that wound back.
32:58You did what a fellow in two plastics residents couldn't.
33:00What can I say?
33:01I guess I really want in on that tram flap.
33:04Don't be late.
33:06Dr. Mahonte.
33:09Dr. Spencer was instrumental in placing the wound back.
33:12Can she, uh, scrub in too?
33:14Sure.
33:16See you up there.
33:19You didn't have to do that.
33:21I know it didn't really help, so.
33:23You got me in the room.
33:27But when I was an intern, I hated when senior residents would dismiss me.
33:31Now I know they were just in a rush and everybody is scared of messing up.
33:35It's not personal.
33:37And it's also not a good excuse either.
33:41Make sure to review his image in before we start.
33:47Well, what was your snack today?
33:49Oh, yeah?
33:51Yum.
33:52Oh, hang on.
33:53Daddy's here.
33:55Wanna say goodnight?
33:55It's Allison.
33:56Yeah.
33:56Hey.
33:57Hey, Ally.
33:58How was your day?
33:59No.
34:00No more naked ladies.
34:02No.
34:03We're gonna talk about that tomorrow.
34:04Yeah.
34:05Okay.
34:06I love you.
34:07Goodnight.
34:09Hey, I'll be home before...
34:11And she hung up.
34:16Listen, Maisie is in the ICU.
34:18We saved her leg.
34:19But we had to keep her open.
34:20So we're doing a washout tomorrow.
34:22Good.
34:29Okay.
34:31I'm ready.
34:31Let me have it.
34:35All day I have stopped myself from picking a fight with you.
34:37And now you are literally asking for it.
34:39I don't want to.
34:41I am so sick of fighting.
34:43And the truth is, I have no business having feelings about who you're sleeping with.
34:47But still, it was...
34:51It was hard seeing you with someone else.
34:55Especially someone who you have a history with.
34:58Yeah.
35:00I don't love seeing you with Cass either.
35:03Fair.
35:04This morning when...
35:05When you were under that bus, I was...
35:08I was worried.
35:10And I...
35:11I was thinking...
35:14Maybe are we washing all of this?
35:21Don't you wish that we could just...
35:24Fast forward to where we have it all figured out?
35:29You missed the look on your face this morning?
35:30Yeah.
35:30That would have been great.
35:37I don't think we're rushing it.
35:39It's...
35:41It's complicated.
35:46But we'll figure it out.
35:53Good night.
35:54Good night.
36:02Good night.
36:04We'll get access through the femoral, feed it up to the left ventricle, check our placement under fluoro, secure it
36:09in place, and then we're out of here.
36:12What now?
36:13I'm not getting any fetal heart tones on baby A.
36:15Her cardiac reserve is collapsing.
36:17No tones on baby B.
36:18Is Jill stable enough for a section?
36:20At the moment, yes.
36:21Page OB.
36:22We just did.
36:26Yeah, I can't stand here just doing nothing.
36:27I'm gonna go see if I can find someone.
36:36Mr. Dominguez, the bed four is ready for discharge.
36:39I'll go check on him.
36:40You did good today.
36:43What was that?
36:45You heard me.
36:47Hmm.
36:48A compliment from Dr. Griffith.
36:50I didn't think you had it in you.
36:51You prioritized a patient over a procedure.
36:53Not everyone would.
36:58We should grab a drink later.
37:00That wasn't an opening.
37:02I was giving you constructive feedback in a professional setting.
37:08We're in a supply closet.
37:15I should go check on Mr. Dominguez.
37:17Or you could stay here.
37:20With me.
37:27I can't.
37:30All good.
37:33I'll see ya.
37:34I'm gonna do it.
37:38I can't.
37:41I can't.
37:42You can't.
37:43I can't.
37:44I can't.
37:48I'm gonna do it.
37:53I can't.
37:53I'll see you.
37:59I can't.
38:00something bad enough i'll do everything in my power to get it and what you want is a tramp flop
38:09yep is that all you want
38:25the hardest thing about waiting is knowing when to stop
38:29instinct may tell you one thing an experience tells you another
38:35nora hey what are you what are you doing here
38:40you okay
38:43i can't do this
38:47do what us listen if this is about this morning teddy and i we talked and she's okay
38:55i'm not
38:58teddy's more than my surgeon she saved my life
39:01with the procedure she invented if i get a cold i can't just go to urgent care
39:05i have to call teddy because she's the only one who understands my body
39:10i text her when i have a fever i call her when i want to take an ibuprofen
39:18you're trying to divorce yourself from her but i'm getting more entangled
39:23i see i want to believe that we can make it work too but i just
39:28i don't i don't see how
39:32we found ourselves together a second time maybe we'll get a third
39:38when the road is running now can you get back to what you felt
39:47all you can do is pay attention
39:50glenn's out of surgery
39:53he's hanging on
39:55it's all just in your mind
39:57you were right to push
40:00i'm glad to hear it
40:04this may not be the time but i want to talk to you about reinstating my
40:09lecture series now i know you have your reasons for cancelling it but i had my
40:15reasons for starting it my reasoning may not stand i've been a little distracted
40:23dr freeman and i don't share a patient
40:27i am the patient
40:30what
40:32he gave me my biopsy results
40:37i have cancer
40:45where's ob we're on the other side of the hospital and they have multiple emergent deliveries right now
40:49what are you doing we have to deliver these babies we
40:53look i haven't done a c-section since med school you know where the uterus is
40:58yes i i do i'm then you can do this and hope that when the time finally comes
41:03now
41:18stay with me wilson come on stay with me
41:21you'll be ready
41:34one in eight men will be diagnosed with prostate cancer in their lifetime
41:39for black men the risk is even higher
41:43fortunately 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
41:58starting with a simple blood test today i'm living proof that early detection works
42:07if you're black or prostate cancer runs in the family talk to your doctor about getting screened
42:13started starting at age 40. to learn more go to blackhealthmatters.com
42:48we'll see you next week
42:48so
42:48we'll see you next week
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