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00:13Surgeons are the biggest hypocrites.
00:16We tell our patients to rest as we work 100-hour weeks.
00:20You don't want to be late.
00:22You're on my service today.
00:24I think I've been servicing you since last night.
00:28Want me to start?
00:35We tell residents to have good bedside manner.
00:39Then we yell at them for the smallest mistakes.
00:42You follow instructions well.
00:44Well, I aim to please.
00:49And that's why breakfast is on me.
00:53I'm starving.
00:56This feels mildly transactional.
00:57But I'm not a post.
01:01Aren't you a vegetarian?
01:03Vegan, actually.
01:04Why?
01:05You just ordered carnitas.
01:08That was for a co-worker.
01:11At 2 a.m.?
01:13You're not the only one who eats breakfast.
01:20We tell our kids to chase their dreams as we constantly question our life choices.
01:29The answer is still no.
01:31I consult on your patients.
01:34When was the last time I referred you a patient?
01:37What is a substitute for vanilla?
01:39Are you doing a crossword?
01:40I'm baking.
01:41Okay, you need to go back to work.
01:44Patient's name is Emma.
01:45She's five months pregnant with severe headaches.
01:47Now, I read your emails.
01:49So, what do you think?
01:50Well, it could be anything.
01:51It could be migraine, CVST.
01:54It's hard to say without imaging.
01:56Uh, do you think I could use honey?
01:59One second.
01:59There's someone at the door.
02:04There's someone at the door.
02:05What?
02:06So, will you do her scans?
02:09I am on sabbatical.
02:10Why are you here?
02:12Because you cannot say no to this face.
02:17Oh.
02:19No.
02:20Come on.
02:21Emma's waiting for us at Grey's Lone.
02:23Go.
02:23Get dressed.
02:24Come on.
02:25We love fixing everyone's problems.
02:29But don't ask us to solve our own.
02:32Big night and morning.
02:34There was a very hot shower.
02:36Our house is nailing it right now.
02:38Gross.
02:39Who knew Kwame with a girlfriend would be more annoying than Kwame without one?
02:42Okay, she's not my girlfriend.
02:43Oh, Mohanty, you're trying to dump you?
02:44No, but we're just not exclusive.
02:47You're both seeing other people?
02:48He's not.
02:49He told me you weren't.
02:50He thinks Mohanty might be.
02:51Okay, you are not allowed to ride in the car with me anymore.
02:54Yeah, well, I'm exclusively seeing patients.
02:57You on cardio today?
03:00Cardio wants nothing to do with me, which is fine.
03:03I'd invite you to Han's ambulance ride along, but it is a party of one.
03:08Which is also what it's like for you when Mohanty's seeing other people.
03:14Hilarious.
03:15Yes.
03:17Did you ever tell her?
03:18No, we waited for you.
03:20We don't get to do this nearly enough.
03:21Come on.
03:23Stop questioning it and take the job in Paris.
03:25Oh, we'll talk Tuesday.
03:27Bye-bye.
03:27Oh, my gosh.
03:28My client is great, but very stubborn.
03:29I think I know the type.
03:31Katie, this is Dr. Warren.
03:33He and Dr. Adams will be taking care of you while I'm out today.
03:37But before I go, we have some news.
03:40So we got your scans.
03:43Your primary tumor reduced by 30%.
03:49The treatment is working?
03:51It appears that way.
03:52Your CEA and CA19-9 have decreased dramatically as well.
03:57Oh, my God.
03:58I'm sorry.
03:59I don't know what to say.
04:00I mean, I know that you said that you would find a way, but I didn't know that you actually
04:03could.
04:04Never doubt her abilities.
04:05And you're the husband, aren't you?
04:07I am.
04:08What did she say about me?
04:10She is a professional couples therapist.
04:14She gives good advice.
04:16But as a pro, you know, just...
04:19So I need to head out, but you are in good hands.
04:23I am glad you're feeling better.
04:32Seriously, what did she say about me?
04:36Hey, I've got good news and bad news.
04:39Which would you like first?
04:40Bad.
04:42Patient wins.
04:44So the bad news is no more hospital breakfast for you.
04:49Because I'm being discharged?
04:52Yes.
04:52Your EF is normalized and your dyspnea has resolved, so you'll continue PT and surveillance echoes, but you're ready.
04:59I get to sleep in a normal bed and eat normal food.
05:05For everything.
05:06Oh, yeah, man.
05:07Happy to help.
05:08Nursing be in soon, all right?
05:11Come here.
05:14Okay.
05:17Are you sure you're okay with me seeing patients today?
05:20Yeah.
05:21You've been waiting to get back into the OR for months, and I'm going to spend the day with the
05:25girls in the NICU anyway.
05:28I get to come home.
05:33You get to come home.
05:35Good morning.
05:36Huh?
05:36Are you okay?
05:37Have a headache or something?
05:38It's preventative.
05:39I get motion sickness.
05:40Oh, would it help if you sat up front?
05:42Mm-hmm.
05:43Nope.
05:44I want to experience the ride-along, like one of my residents, so I can accurately assess its merits.
05:49Oh, I thought you were optimistic about the ride-along program when I suggested it.
05:53I kind of thought this was just a formality.
05:54Yeah, well, money's tight, and everybody has ideas for innovative rotations.
06:00Is there something I can do to move the needle?
06:02Send you some studies of other hospital programs?
06:05No, let's just see what the day brings.
06:06Okay.
06:08Welcome to Gray Sloan.
06:10Thanks for having us.
06:11We were just meeting Dr. Kwan.
06:12I don't have any first responder experience, so this will be great.
06:17Well, meet Jackie and Greg.
06:19They will be showing us how to triage and stabilize in the field and how they transfer patients to the
06:23hospital.
06:23For everyone's safety, please wait for our instructions and then follow them closely.
06:28After you?
06:28Okay.
06:30Watch your step.
06:33There'll be no telling what the day will bring.
06:37Except waiting.
06:38There's always waiting.
06:40Which brings us to your first lesson.
06:42Arguably the most important.
06:45Who knows how to play speed?
06:51Off to a great start.
06:54Mrs. Tucker in bed five has been discharged, and I hear there's another empty bed in the on-call room.
06:59How can you think about that right now?
07:01I think about it a lot.
07:02You just changed a wound back on a 92-year-old man.
07:05Yeah, and it reminded me that life is short.
07:08Okay, well, we have to keep it professional here.
07:10We're dealing with people's lives.
07:11It's serious.
07:14Hey.
07:15Hey, what happened?
07:16I slipped on baby oil.
07:18I got busted in my hip.
07:19Okay, let's get you to a bed.
07:21This way.
07:24Yes, work is very, very serious.
07:38You good?
07:39Yeah, I thought I'd feel weirder after being gone for so long, but it feels like I was just here.
07:44Yeah, that never goes away.
07:45Uh, Dr. Montgomery, Dr. Sephardt, I didn't know you were back.
07:49I'm not back.
07:50Well, I'm on Scott all day today, so if either of you needs a resident...
07:53Hey, it's just a consult, Mellon.
07:55Emma, this is Dr. Sephardt, who I've been wanting you to see.
07:58Emma and I met on the road.
08:00She's from Clark County, Idaho.
08:02Dr. M's my birth control hookup.
08:04Or was.
08:05I finally gave in to my husband.
08:07He's wanted a baby for years.
08:09Well, it's very nice to meet you.
08:11Tell me about your headaches.
08:13Uh, they've been constant for two months.
08:15My husband has had to take care of all of our animals.
08:18Animals?
08:18We run an animal sanctuary.
08:20Cows, horses, goats, alpacas.
08:23I always thought fur babies were enough, but now that I'm pregnant with a human baby, I'm pretty attached to
08:29her, too.
08:30And all the cute onesies I can't stop buying.
08:33Any numbness, tingling, or weakness?
08:36Squeeze my fingers?
08:37Uh, no, but the pain's gotten worse.
08:40Okay.
08:40Tell me when you see my fingers.
08:42I've seen my OB and been to the ER.
08:45Everyone says it's hormones.
08:47I see them now.
08:49Is that good?
08:52Millen, I need a stat MRI head without contrast and a wheelchair.
08:57What's happening?
08:58You've lost your peripheral vision.
09:00What does that mean?
09:01It means we need imaging to see what's going on.
09:03Okay.
09:08Speed!
09:08Are you kidding?
09:11So, Jackie, on an average day, how many calls for EMT services do you get?
09:15There isn't a typical day.
09:16Some days you're on the go, and others you're clobbering your partner at cards.
09:19Oh, I'm winning this round.
09:21But you do agree that ride-alongs help educate hospital staff on first responders' roles,
09:26and the more they know, the better the communication, and that improves patient care.
09:29Sure.
09:29If they're paying attention.
09:31Go.
09:35I'm married to a former first responder.
09:37I know there's a lot of hurry-up-and-wait.
09:40Yeah.
09:41Dispatch to ambulance 22.
09:43Injuries after a fall on the football field at Seattle West Community College.
09:46425 Castle Rock Road.
09:48Here we go.
09:49Finally.
09:52What do we got?
09:53This is Jeff, 28.
09:55Pain in his right hip.
09:56Can't bear weight.
09:57Looks like a posterior hip dislocation due to the place-
09:59Man versus baby oil.
10:00Fell off a pole.
10:02Jeff is a male erotic movement professional.
10:06Oh, no, stripper's fine.
10:08Okay.
10:08Mind if I take a look?
10:10All right.
10:11So where do you strip?
10:14Hot Temptations.
10:16I started last month working the early bird special.
10:19Money's not great, but it's good practice.
10:21Hopefully soon.
10:22Ah!
10:23I'll get to be dancing nights and weekends.
10:25That's where you make it rain.
10:26We'll get you back on that stage in no time, Dr. Griffith and Dr. Bryant.
10:30We'll make you comfortable, and we'll get that hip back in place.
10:34Oh, should I have Paige, Dr. Young?
10:35No need.
10:36Altman cleared me for surgery yesterday.
10:38Oh, that's an impressive dislocation for your first one back.
10:40Yeah.
10:41Can't believe you got that pole dancing.
10:43This will mean nothing to you, but that hip looks like Bo Jackson in the 91 playoffs.
10:46For the Bengals game.
10:47Yeah, he was never the same after that.
10:49Could have been a league legend.
10:51Yeah, well, he is in my house.
10:52My dad, ultimate Raiders fan.
10:53Get Jeff sedated for the reduction, and we'll Paige you when he's ready.
10:56Okay.
10:57Hey.
10:59Why did you do that?
11:01We were having a moment.
11:02In the words of John Wooden, nothing will work unless you do.
11:11What's the little Natalia's?
11:13Oh, it's the restaurant for Seattle's top-drink New York cheesecake.
11:17I'm at a reservation for next month.
11:19Am I being too hopeful?
11:20Should I not celebrate?
11:21I think you got scammed by advertising.
11:23I know the restaurant with the best cheesecake.
11:25Oh, when's the last time you went to a restaurant?
11:27Yeah, right.
11:28You don't get to vote.
11:29Well, I'm just saying, if you're going to celebrate, you should go bigger.
11:32Get the best New York cheesecake in New York.
11:34Yeah?
11:34Well, let me go pack.
11:35All right.
11:36The original Junior is in Brooklyn.
11:37You know, for a doctor, you have pretty bad judgment.
11:40I can't go to New York.
11:42Why not?
11:44Because I have my treatment?
11:46Oh, it's just one weekend.
11:48You'll be back in this room in no time.
11:50Look, what would you tell your clients if they were sitting in that chair?
11:56I can't believe I'm actually considering this.
11:59But shouldn't we ask Dr. Bailey first?
12:02Ask after you book the flight.
12:04And she can't say no.
12:06Okay.
12:06Okay.
12:18We got a call about a football injury?
12:20Cheerleading, actually.
12:21We usually practice in the gym with padded mats, but we got to get out in the field sometime.
12:25That makes sense.
12:27Okay.
12:28What happened?
12:29We were practicing backflip rewinds and...
12:31And butterfingers dropped me.
12:32You kicked your leg on the toss.
12:34Frickin' knocked me out.
12:35You were out for two seconds.
12:36You've been a suck-ass fodder all season.
12:38Should I do a primary survey on her?
12:40I'm gonna fly on the wall.
12:41Wait for Jackie's instructions.
12:44She's not doing anything.
12:45Juan, get over here and help me, triage.
12:49When you arrive, you first assess for scene safety.
12:53All right, let me have a look.
12:55What's your name?
12:57Rosie.
12:57The drugs should take effect soon.
12:59So how did you get into stripping?
13:02It was my college major.
13:06I'm kidding.
13:07I was bagging groceries and I started stripping on the side to pay for my student loans.
13:13Turns out it was everything I ever wanted in a job.
13:16The flexible hours, I was on my feet, and I get to make a lot of people happy.
13:21Well, aside from the flexible hours, it doesn't sound all that different from surgery.
13:24How do you do surgery?
13:26How we doing over here?
13:27Good.
13:29Hey, when do the drugs start to kick in?
13:31He's ready.
13:33Okay, Jeff, I'm gonna pull your hip back into its socket.
13:36You shouldn't feel any pain, just some pressure.
13:38Bryant, will you secure his hips?
13:40Yep.
13:42Hey, you've got a deep squat.
13:44You could be a stripper.
13:48I will consider it.
13:50All right.
13:51There's so much baby oil.
13:53I can't get a grip.
13:55He's like an eel.
13:56Griffith, some towels, please.
13:59Okay.
14:00All right.
14:01You ready, Jeff?
14:02One, two, three.
14:06Oh!
14:07You said there'd be no pain.
14:09Oh, oh, oh.
14:11Yeah, I'm sorry.
14:12I think it's pinching your sciatic nerve.
14:13Are you okay?
14:14Yeah, I'm fine.
14:15Let's get a CT so we can find out what's wrong.
14:17I'll go grab it.
14:26It's like a coffin in here.
14:28What?
14:29Where are the headphones?
14:30She doesn't have headphones.
14:31The music will distract her.
14:32Well, the scan's almost over.
14:34I'll go and get her some headphones.
14:39You're doing great, Emmett.
14:40You know, close your eyes.
14:41It helps.
14:44Did not expect either of you in here.
14:47Is this Montgomery's doing?
14:48They may have called in a favor.
14:50Just for today.
14:51Okay.
14:51Well, nice work.
14:52I hope it sticks.
14:53It's good to see you both.
14:55Oh.
14:56The scans are already up.
15:00Is that a pituitary abnormal?
15:02She must have had this tumor for a while,
15:03and then she got pregnant,
15:04and the hormones made the tumor grow.
15:07Dr. Montgomery, I open my eyes.
15:09Ah, that's okay.
15:11We're going to get you out of the coffin soon.
15:13That's not the problem.
15:14I can't see anything.
15:16My vision, I think it's all gone.
15:19Okay, the tumor just ruptured.
15:20Let's get her out of there.
15:21I will page Roberts.
15:22Roberts, are you going to make me spend four hours
15:24in an OR with that old blowhard?
15:26Well, I agreed to consult, not to operate.
15:28Well, that was before I knew Emma needed surgery.
15:30I am on sabbatical!
15:32Jake!
15:32Jake's leaving me.
15:35I don't want to talk about it.
15:36I don't want you to ask any questions about it.
15:38All I want is for Emma to get the best care possible,
15:41and that's you.
15:47I will get my privileges reinstated.
15:53Oh, can you see what's blocking the reduction?
15:55That bone fragment.
15:57Posterior wall acetabular fracture.
15:59Any nerve or vascular damage?
16:00Not yet, but the longer we wait, the higher is risk.
16:02Book an OR.
16:03Okay.
16:03I checked the OR board on my way here.
16:05There's a wait list, but I'm tight with the front desk,
16:07so we'll get him in today.
16:09Do what you got to do.
16:10Right.
16:13What?
16:13Just surprised you could see the board
16:15with your head so far up Lincoln's.
16:17Well, like you've never tried to get in good with attendings
16:18while you were an intern?
16:19I didn't have to.
16:20My skills spoke for themselves.
16:23What kind of skills are we talking about?
16:25Is your brain just alternating between sex and surgery all day?
16:28I think it's a healthy balance.
16:29Go sweet talk the front desk.
16:30Okay.
16:32I don't have five to ten business dates.
16:35I need the glider today.
16:38He just hung up on me.
16:40What's going on?
16:41Okay, um, Dr. Cosleywell just told me
16:44that the girls are doing really well.
16:45They haven't needed the billiard lights
16:46or supplemental oxygen, Peyton's ASD is closing.
16:49And that's a problem because?
16:51They're being discharged today.
16:56Our whole family's officially out of the hospital.
16:59Yes, but we haven't finished the nursery.
17:01I haven't hired a night nurse.
17:02I'm scheduled to be done painting this weekend.
17:04I thought we liked Samantha.
17:05Well, she kept referencing true crime documentaries.
17:08We like true crime documentaries.
17:10Didn't seem like she was sympathizing with the victims.
17:12I see your point.
17:13Um, I have to get to surgery,
17:15but, hey, it is going to be okay.
17:18I promise.
17:22Is it?
17:26Melinda, before you scrub,
17:27would you go in and help them set up the scope?
17:29Absolutely.
17:34What happened with Jake?
17:37Emma's in her second trimester,
17:39so her physiology is different than most patients.
17:41Yeah, I'm not a resident.
17:43What about Henry?
17:43Is he okay?
17:44Okay.
17:45And anesthesia can be challenged,
17:47and we need to make sure both the mother and baby are safe.
17:52All right, you used your personal life
17:54to manipulate me into doing a surgery.
17:56You've got to tell me what the hell's going on.
17:58Jake's done supporting my work on the PRT
18:00and wants me to come home.
18:01Happy?
18:03Addison.
18:04Emma's waiting.
18:09Kwan, say your findings out loud like you would in a trauma room.
18:12Okay, neck is non-tender.
18:13Ow.
18:14My ribs got to be broken.
18:16Should I be headed to a hospital?
18:17Let us finish triaging, okay?
18:18I feel okay.
18:19Help Rosie.
18:20We took her vitals.
18:21She's stable.
18:21We need to finish your neuro exam.
18:23Pupils are equal and reactive.
18:25I'm on my side.
18:26I can't breathe.
18:28If she's talking, she's breathing.
18:29If she dies, she will haunt me from the grave.
18:31I heard that.
18:32Rosie and other teens here.
18:33They'll take you to the hospital.
18:35Kwan, grab that backboard.
18:37Okay.
18:42He's teasing.
18:43Okay, let's get him on his side.
18:45Okay.
18:47Okay, okay.
18:48You're okay.
18:49You're all right.
18:50Hey, so if one of Bailey's patients wanted to take a trip during her immunotherapy regimen,
18:56I may have convinced Katie to book a flight to New York.
18:59How much crap will I be in?
19:01Come look at this email.
19:04We write to inform you that we have made the decision to discontinue the IM90 protocol.
19:12Wait, wait, wait.
19:13This is Katie's trial.
19:15She's literally getting an infusion right now.
19:17It might be the last one.
19:19Okay, what are we going to do?
19:21Nothing.
19:22Until we talk to Dr. Bailey.
19:30Give him five megs of midazolam.
19:32Does anyone know if he has a history of seizures?
19:34I've never heard anything, and I've known him since kindergarten.
19:37Is he okay?
19:37We're figuring it out.
19:39Okay, yes, bring the board.
19:42Kwan, you call it.
19:43Yep.
19:43Okay, here we go.
19:44One, two, three.
19:48Left pupils blown.
19:49Looks like a brain bleed.
19:50Kwan?
19:51In the hospital, I would page a neurosurgeon.
19:53In the field?
19:53We could drill a burr hole to relieve the pressure.
19:56I saw an I.O. gun in the ambulance.
19:58We're not drilling into his brain if we can get him to a hospital.
20:00We'll send him with them and follow up when we get back to Grace Sloan.
20:02Not to make this about me, but...
20:04We'll take you ourselves.
20:06One, two, three.
20:06Okay.
20:08Keep it steady.
20:15Hey, you paged?
20:17Yeah.
20:18Midtown or West Village?
20:19Oh, you're already looking at hotels.
20:22I got my flight.
20:24Wait, did Dr. Bailey find out?
20:26No.
20:27Uh, no.
20:28No, I just...
20:30Wow, you, uh, you move quickly.
20:32I haven't let myself look forward to anything in so long.
20:36I forgot how good it feels.
20:37I even emailed my boss to discuss seeing clients in person again.
20:41Hey, look, you should probably not rush...
20:43Relax.
20:44I'm not gonna start tomorrow.
20:48Don't be sad.
20:50I'll come and visit when I'm feeling better.
20:56They-they need me for a consult.
20:57Wait.
20:59Midtown or West Village?
21:01Uh, the village.
21:07Approaching the skull base?
21:09I bet Emma's husband's feeling real guilty right about now.
21:11What'd he do?
21:12She didn't want a baby.
21:13This was all him.
21:14My dad didn't want kids.
21:16That didn't work out so great for him.
21:17Yeah, well, Emma's on an operating table with a camera and a curette up her nose,
21:20so I don't think it worked out very great for her either.
21:23Um, your mom changed your dad's mind?
21:26Uh, no.
21:27She secretly stopped taking her birth control and then hid the pregnancy until she was too
21:31far along to terminate.
21:33Me and my dad got over it after he smoked a couple of joints.
21:35Then they went on to have my brother, and they do regret that one.
21:39Emma said she's happy about the baby now.
21:41What else is she gonna say?
21:42She's five months pregnant.
21:44That seemed genuine.
21:45All right, I'm removing the bone.
21:47I'm in the cellar now.
21:48Keep the camera closed.
21:48Successful marriages thrive on compromises, not demands.
21:55She's hypotensive.
21:56Push fluids?
22:01More traction, please.
22:02Got it.
22:05You know, I never really thought of stripping as a sport, but I guess it ticks all the boxes.
22:10It's definitely athletic and apparently dangerous.
22:15Either you play any sports?
22:16Oh, yeah.
22:16Basketball, football, baseball, a little bit of tennis.
22:19I was a competitive figure skater.
22:21Seriously?
22:21Like, with the jumps and stuff?
22:23Were you any good?
22:24My last competition, I won silver in the free skate.
22:26Well, skating is intense.
22:29Some of the worst injuries I've ever seen.
22:32You know what?
22:33It's not gonna budge.
22:33Let's, uh, let's stop and we'll put in a distractor and we'll try again.
22:43O2's a little low.
22:44Take a couple of deep breaths.
22:48I hope Tim's okay.
22:49I know he's a decent spotter.
22:51I was just scared of Cammie.
22:52Is that some kind of a stunt?
22:54Cammie Lim.
22:55She's been on the squad for two months.
22:57She's my backup and throws round-off doublebacks like they're nothing.
23:00Well, there's gotta be more than being squad than that round-off thing.
23:03Round-off doubleback?
23:04Do you know how hard that is?
23:06Now I'm out and they're gonna realize she's ten times better.
23:09I get it.
23:11You're worried that they'll want her instead.
23:13But you're there for a reason.
23:14And when you come out of this, you'll remind everyone why that spot is yours.
23:19You're right.
23:19I'm a flyer.
23:21Hey, I'm in the ambulance.
23:22What's up?
23:24Canceled?
23:25What?
23:25Did it say why?
23:28I can't breathe.
23:29Okay, she's desatting.
23:30Uh, I gotta call you back.
23:32Okay.
23:33Yeah.
23:34Decreased breath sounds on the left.
23:35She needs a needle decompression.
23:36Yeah.
23:37Wait, here in a moving rig?
23:38We do it all the time.
23:39Me?
23:40Is your ride alone?
23:53Sorry about that.
23:54No more turns for a while.
23:56Let's make this quick.
23:59Okay, her stats aren't improving.
24:00Let me try.
24:01Okay.
24:08The needle decompression is not working.
24:09She's still retaining air in there.
24:11Should I put it in a chest tube?
24:12Do that at the hospital.
24:13We're at least ten minutes out.
24:15This is field medicine.
24:16The priority is to buy her time and get her to Grace Sloan.
24:19No.
24:20What do you mean, no?
24:20No, the longer we wait, the more oxygen she loses, the greater the chance of her developing
24:25a tension pneumo and rapidly decompensating.
24:30No.
24:30I don't want to take that chance with this young woman.
24:32Not today.
24:34Give me a scalpel.
24:35Bailey, what are you doing?
24:36I will do a finger thoracostomy.
24:40Awesome.
24:41That is not the priority.
24:43This is a rig, not a trauma room.
24:45Kwan, stop.
24:45Kwan, give me the damn scalpel.
24:50She's the residency director.
25:05BP still soft?
25:06Hang another bag of IV fluids.
25:08Fluids aren't doing anything.
25:10It's got to be the anesthesia.
25:11We need to counteract the vasodilation push and pressers.
25:14Something is not adding up.
25:15Are you seeing anything on your end?
25:19Baby's D-cells are getting worse.
25:20We need to act now.
25:21I am thinking.
25:22Well, we don't have time for that.
25:23Push more pressers.
25:24Wait.
25:25I understand that she's your patient and you are worried, but I am the one who was in
25:28her brain.
25:29Then do something!
25:33Could it be from the bleeding?
25:35She has not lost enough blood to cause this big of a hemodynamic change.
25:40But the hematoma was pressing against her pituitary.
25:45It's disrupting the ACTH pathway.
25:47She's in acute adrenal crisis.
25:49Push 100 milligrams of IV hydrocortisone.
25:56Blood pressure's coming back up.
25:59Baby's heart rate's improving, too.
26:01Page someone from OB to watch the fetal monitor.
26:04Dr. Montgomery needs a minute.
26:08Are you kicking me out of the OR?
26:12What if the baby needs to be delivered?
26:14OB, you will handle it.
26:26Let's finish what we started.
26:28Suction.
26:37Now that the fragment's out, it should reduce easily, right?
26:42Wait, what was that?
26:44Did it move?
26:45Well, it should.
26:50We're getting nowhere.
26:52So the Shands pin gives you more control of the femoral head, right?
26:57Yeah.
26:58Yeah.
26:59I've never seen that before.
27:00Could I try?
27:03Sure.
27:04Yeah, let's trade.
27:10Okay, make sure the knee's at a 90-degree angle.
27:12Yep.
27:20Finally.
27:21As long as I'm here, would it be cool if I put the plate on, too?
27:24Great idea.
27:25It's a good teaching case.
27:27I'll guide you through it.
27:28Can I have a K-wire?
27:29Please?
27:31Okay.
27:32Right around there.
27:33Looking good.
27:36Addison?
27:38Hey.
27:38Where are you?
27:40Grace Sloan.
27:41I've got a patient with Amelia.
27:43How's your surgery?
27:44I'm sorry I'm late in calling.
27:46Well, I know you're busy.
27:48I'm doing fine.
27:49That's good.
27:49Good to hear.
27:52Hattie, what's going on?
27:54I'm just calling to check on you.
27:56You're in the supply closet on the sixth floor.
27:58I know my hospital.
28:01I don't know.
28:01I am somehow turning everyone who once supported me into an enemy.
28:10Amelia kicked me out of the O.R.
28:13Kicked you out?
28:14Why?
28:16I may have raised my voice in a surgery that I pressured her to do.
28:22I mean, it's not as bad as it sounds.
28:24Did you apologize?
28:26No.
28:27There's nothing to apologize for.
28:30Look, in AA, we say the first step is often the hardest.
28:34It's when we admit how powerless we are.
28:36The same applies to relationships.
28:38The first step is letting go of your pride, and then reaching out to the other person.
28:44And then the rest will fall into place.
28:51You always know what to say.
28:54Sometimes I start talking and see what comes out.
28:58Thank you, Richard.
29:00You take care of yourself.
29:02You too.
29:13All right, what do we got?
29:14Rosie Lang, 19 years old, GCS 15, after a six-foot fall heart rate is in the high 90s.
29:19Status post, needle decompression, and finger thoracostomy.
29:22You?
29:23A BP stable, but she needs a chest tube right now.
29:26Okay, let's get her to trauma one.
29:28Her sats were low, but she was stable enough to make it here.
29:31She needed a decompression.
29:32Not in the ambulance.
29:34Well, you don't know how long she had.
29:35If her condition worsened, we were right there to fix it.
29:37I'm trying to give these residents a better understanding of the constraints around pre-hospital medicine.
29:42You completely contradicted that.
29:43Well, I'm not going to do nothing if I can save a patient.
29:46And if this ride-along teaches otherwise, then I don't want it anywhere near my residence.
30:00The dislocation was worse than we initially expected, but we were able to repair your hip.
30:06Thank you so much.
30:07You're going to have to stay off of it for a while, but with regular use and PT, you should
30:12regain full function.
30:13Regular use should be easy at hot temptations.
30:16No, maybe it's a sign I'm not meant to strip.
30:18No.
30:20Hey, don't let one setback derail your dream, okay?
30:25You heal, recover, and practice your ass off, because you belong on that stage.
30:36That pole, that is yours for the taking.
30:40You grab it tight, and make it rain.
30:48You're right.
30:49This was a sign.
30:50But the sign doesn't say, stop grinding.
30:54It says, grind a little slower.
30:59Mm-mm.
31:02Maybe you shouldn't, because you...
31:10You dug deep for that one, huh?
31:12I've given a lot of pep talks to sad athletes, but that was my first stripper speech.
31:16You did great.
31:18Well, so did you.
31:20You really stepped up.
31:26Why'd you have to shark my spot?
31:27You know I was trying to get in with Lincoln.
31:29Your spot?
31:29Yeah, I pulled the strings to get us an OR, and if not for me, you wouldn't have been there
31:33at all.
31:34You think you're the only one who has a hookup at the front desk?
31:36Well, I still put in the works.
31:37It doesn't matter.
31:38I'm your boss.
31:39Everything is mine until I give it to you, and it's not just because I can.
31:43I know things you don't.
31:44There were dynamics in that OR you were oblivious to, because you were trying to impress an attending.
31:49And if you can't handle that, I don't think we should be hooking up anymore.
31:53Yes.
31:59Tell me you got someone on the damn phone.
32:02We called ten other trial sites.
32:04They all got the same email, same explanation.
32:06Yeah, the trial no longer aligns with the center's priorities.
32:10Which means the government revoked the damn funding.
32:15Yeah.
32:17Sorry, Miranda.
32:21Does she know?
32:23No.
32:32I mean, yeah, that is growth, okay?
32:35I am proud of both of you, so I will see you next week.
32:39Yes, in person.
32:41Okay.
32:42Bye-bye.
32:43Are you working again?
32:45Yeah, well, it turns out I actually enjoy what I do, and now that my tumors are shrinking,
32:50I can do it a little longer.
32:51Or maybe even travel.
33:00Please tell me that face is not about me.
33:04Please tell me that you had a bad day with another patient.
33:10So, your clinical trial lost its funding and has been canceled.
33:19But I just had an infusion.
33:23Yes, and as of now, that is the last one.
33:27Look, I am at a loss, too.
33:30I am so sorry.
33:32But look, no, no.
33:33Right now, right now, your trajectory is positive, and I promise you that I will do everything
33:40in my power to keep it that way.
33:45Okay, so, if I stop taking the medicine, does that mean that the tumors will come back?
33:59I don't know.
34:04I am sorry.
34:05I am so sorry.
34:08Okay.
34:18Okay, okay, okay.
34:20Come on, come on, come on.
34:49Come on, come on, come on, come on, come on.
34:51Come on, come on.
34:52On his face out there was priceless.
34:54Oh, uh, I'll catch you later.
34:56Hey, want to get food and then head back to your place?
35:00Who is that?
35:01Colin, nurse in plastics.
35:04We built a nose from a rib today.
35:07Is, uh, Colin a burrito guy or...
35:10I don't know.
35:11Haven't asked.
35:12Why?
35:13I'm not seeing other people.
35:16I'm not seeing anyone else either.
35:17So, what about the carnitas?
35:21Carnitas have been over for a few weeks.
35:25Oh.
35:26Okay.
35:28So, maybe you and I just...
35:30Keep it a two-person meal?
35:32Are we really going to keep speaking in food?
35:35Food is my love language.
35:49No one told me you were here.
35:50She said Emma seems hemostatic.
35:52No CSF leak.
35:54No, no.
35:54She's going to be fine.
35:58You know, Jake used to be in it with me.
36:00He used to call me every morning when I was on the road and give me these pep talks.
36:04Tell me how brave I was for doing work no one else would do.
36:10Mm-hmm.
36:12He'd send me these care packages with birth control pills.
36:16You know, talk through difficult cases with me.
36:20He was on my side.
36:25But now he hardly calls.
36:27And when he does, he complains about traffic on the 405.
36:31You know, or Henry's school.
36:33Or me.
36:36Because he wants you home?
36:39He says when I'm home, I'm barely there.
36:42You know, and he's...
36:43He's right.
36:44I'm not a good partner.
36:45I forgot an anniversary.
36:47I forgot a birthday.
36:48I am not the woman he married anymore.
36:57But nothing is what it used to be.
37:02I don't even recognize science anymore.
37:05No.
37:05Nobody does.
37:06All I know is that I can't stomach sitting on the sidelines and watching people die.
37:11So I'm going to choose work.
37:13And if that blows apart my life, then...
37:14I think if he's asking you to choose, something's probably already fundamentally broken.
37:27I am sorry if I rushed you back into an OR.
37:34No, I'm not.
37:36We saved Emma.
37:39And I was able to do that because of my time away.
37:42If I had just kept powering through, I don't know where I would be right now.
37:47God.
37:49I am a dumpster fire.
37:55For once, it's not me.
38:06Look like you just worked a double shift at Jimmy's and you have to study for an O-Chem final.
38:10If only.
38:13Are you still freaking out?
38:15A little.
38:16But I got a few names of some nurses' aides who are looking for part-time nanny work, so...
38:21It's a start.
38:23Baby steps.
38:26Pun intended.
38:27Yeah.
38:28We're like leaning into those dad jokes.
38:30I got four kids now.
38:31Yeah.
38:33How'd your surgery go?
38:34The patient's doing well.
38:37I know we were going to stagger our family leave, but what if I just took it now?
38:41Really?
38:43We've both been through so much, and like you said, we've got more kids than we know what to do
38:47with.
38:52Did you hear that, girls?
38:54Daddy's coming home with us.
38:57Daddy's coming home with us.
39:03If you're looking for an update on Rosie, she's stable.
39:07Yeah, I saw that.
39:09And so is Tim.
39:11I have a patient with advanced gastric cancer who's in a clinical trial that was canceled today.
39:21Was the trial working?
39:22It was.
39:25It gets worse.
39:26I treated this patient's grandmother for gastric cancer when I was a resident.
39:32She didn't make it.
39:35Katie's poor mother might lose a parent and a child to the same disease, same doctor.
39:43It's genetics, Bailey, and it's not you.
39:48I was overzealous today with Rosie.
39:52I think I needed to feel like I could save her right then and there, but that's a me problem.
40:00Now, I approved your program for a six-month trial, Perry.
40:05Wait, you did?
40:06Yeah, I mean, it fulfilled all of my criteria and then some.
40:11Most of all, it'll teach our residents to handle circumstances beyond their control.
40:17Thank you, Bailey.
40:20I mean, you've got to admit that finger thoracostomy was a thing of beauty.
40:28I cannot argue with you there.
40:34Sometimes hypocrisy catches up to us.
40:38That's when things get interesting.
40:42Hmm.
40:45Hmm.
40:51What do you think?
40:54Hmm.
40:59Fine, I'll go back to work.
41:01I want to like them.
41:02They're really, really bad.
41:06Will you stay the course?
41:08I didn't have vanilla.
41:09Keep on keeping on?
41:11Business as usual?
41:14May I come in?
41:19Talk fast.
41:20Yeah.
41:20Uh, I want to apologize.
41:23You know, you were right.
41:24I need to respect you and respect that when we're at work.
41:27You're my boss.
41:30Yeah, no problem.
41:32There's one more thing.
41:35Have a seat.
41:40What are you doing?
41:53I'll find powerful women very, very, very sexy.
41:55Now watch this shoulder.
42:00Left shoulder.
42:02Woo!
42:12Or take your own advice.
42:14And change for the better.
42:44Just do it
42:59Just do it
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