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00:01When my mother was diagnosed with Alzheimer's disease, her cousin said she must have gotten it because she didn't take
00:06fish oil.
00:07I picked up everything on the list, except they ran out of Dijon, so I got whole grain instead, which
00:15I know is inferior, but...
00:18Who are you?
00:19Hey! Hey, you're back early!
00:23Yeah, I decided to do the groceries first and pick up your car after. Who's this?
00:26That's El Roy, the contractor I hired to baby-proof for us.
00:31These stairs aren't safe. Naked sides. Don't worry. I can fix them.
00:37Alright.
00:38Told you I was gonna do that.
00:39Yeah, back when Scout and Luna were babies and now we have two more babies.
00:46My patient with a mire-electric prosthesis was just brought into the ER in a mountain bike accident.
00:51I should go.
00:53Wait, wait, wait! What about my car?
00:55Ask El Roy.
00:59Her neighbor thought it was because my mother, a world-renowned surgeon, didn't do enough crossword puzzles.
01:12Is this your way of thanking you for the coffee?
01:15I'm stressed about the M&M.
01:17Well, I am ready to help.
01:22Oh!
01:27Shepard, I'm on our service.
01:33You better go.
01:34I'll ask her if I can sneak away to come watch, but if not, good luck.
01:40I told them to shove it.
01:42They always want to cast blame.
01:43Something to fear and avoid.
01:46But the only thing to blame...
01:49Is everything.
01:53Bless you.
01:54Bless you.
01:54You left out the door so early, I figured you needed to pick me up.
01:57Well, I thought keeping busy would take my mind off things, but it just means I'm tired and hangry.
02:03Yeah.
02:03How's Katie doing?
02:05I'm waiting for her labs, but I'm guessing she has carcinomatosis and a partial obstruction.
02:13Well, how often are they draining her?
02:14Twice a day.
02:16Okay, well, listen.
02:17If there's anything I can do, just you know...
02:20You're with me.
02:22Okay, go.
02:23I'm okay.
02:25Dr. Bailey?
02:26Welcome back.
02:27Mm-hmm.
02:29First day back in the OR.
02:30How's it feel?
02:32Well, I'm working with my chief resident.
02:34I have an M&M later today, and the cafeteer is serving shepherd's pie.
02:39Feels like Christmas.
02:41Well, where do you see our first consult?
02:43Good morning.
02:45Russell, this is Dr. Weber and Dr. Warren.
02:47These are the headliners.
02:49Russell's a community theater director.
02:51Right now, he's putting up a production of Hamlet.
02:52When sorrows come, they come not single spies.
02:56But in battalions.
02:58Yes, okay.
03:00You would demote my Claudius to an understudy.
03:03Well, Hamlet's my favorite Shakespeare.
03:06Dr. Meade?
03:07Much ado about nothing.
03:08He wants you to present the case.
03:11Right.
03:12Russell West, 34, with history of beta thalassemia with blood transfusions every three months for anemia.
03:18Admitted for splenic sequestration crisis two weeks ago.
03:22His abdomen has been getting increasingly distended.
03:25We're consulting today for a splenectomy.
03:27I thought I was just gaining a little weight.
03:29But then my stomach just kept getting bigger and bigger.
03:32Can I take a look?
03:34Yeah.
03:34I'll call for an ultrasound.
03:35Oh, let's go old school while we wait.
03:37When's the last time you did percussion?
03:39Uh, you hear that?
03:44It's hollow.
03:45That's his lung.
03:46Here?
03:47That's dull.
03:48That's his spleen.
03:49From here...
03:53To here?
03:55Your spleen extends from the left upper quadrant all the way to the right lower quadrant.
04:00It's taking up your entire abdomen.
04:02This needs to come out immediately.
04:04I-I'm in the middle of tech week.
04:05I can't...
04:06Won't it just shrink on its own?
04:08It's unlikely in the case this severe.
04:10Plus, you run the risk of rupturing it.
04:12Okay, that sounds bad.
04:13Yeah, really bad.
04:14Instant death.
04:17You-you want to take care of this sooner rather than later?
04:20Dr. Mead can take you for a CT scan so we can plan a surgical approach.
04:24Yeah.
04:25Could he do it instead?
04:26Yeah.
04:27I-I'll go with you.
04:27Yeah.
04:31Well?
04:32This is better than Christmas.
04:35I had been compromised within you.
04:37For a vehicle...
04:38For a vehicle...
04:38For a vehicle's to just do.
04:39Inside me...
04:40You reciting your presentation?
04:41You know how when you lie or your cheeks get flushed and your voice gets all high?
04:45You do both of those things.
04:47And so do I when I give presentations.
04:48And I also sweat and sometimes faint.
04:55Dr. Jennifer Ripley?
05:00Dr. Jennifer Ripley.
05:04Interesting case?
05:05Your external reconstruction patient.
05:07Scott Hill?
05:08Beckman's out. Someone has to check on him.
05:10Well, Dr. Wright is supposed to be attempting at another flat tomorrow.
05:14Hope it takes.
05:17See you at the M&M.
05:22it'll be fine successfully avoided him after lying to help his patient oh that was weeks ago
05:29he's probably forgotten you truly are a terrible liar
05:37sorry for interrupting your parental leave was joe annoyed yeah but not because of that
05:43oh here they are okay john ellison 40 status post mountain biking accident no loc or signs
05:50of head trauma he has bruising on his chest and x-rays show multiple rib fractures he had targeted
05:55muscle re-innervation surgery a few months ago for an advanced arm prosthesis i know i did it after i
06:00amputated his arm john pauline what happened i was training at tiger mountain the hand just let go
06:08i lost my balance and fell he crashed straight into a boulder tell him about the last time yeah it
06:14did
06:14the same thing last month as i'd swiped a tree and almost missed qualifying for the world championships
06:20when's the competition three months i can still compete though right i'm up for sponsorships
06:25now the nerve we rerouted to your upper arm should be sending precise signals to your hand
06:29we'll get some scans we'll check it out go on call ct let them know we're coming
06:37what do we play five card stud you play ah not anymore but i ran a weekly poker night in
06:45med school
06:46who are you any good graduated debt free how you feeling today they drained another leader this
06:54morning she's still nauseous we asked for ice chips 30 minutes ago oh i must have gotten lost in the
06:59morning handoff i'll get them myself can you grab some for my mom too she needs to chew you see
07:06how she
07:06treats me
07:11uh i'll get you those ice chips
07:17how bad
07:19katie's creatinine's elevated albumin low her ast alt and inr are through the roof she's a multiple organ
07:28failure the tpn is too hard on her liver that's the only thing giving her nutrition
07:38call palliative care
07:59i thought i was late bailey does not need another reason to yell at me hey how's katie yes
08:07her inr is getting worse she needs two more units of ffp correct thank you katie what is
08:16there is her liver failing what did the repeat scans show
08:23she doesn't know yet we're going to tell her after the m&m i want to be there
08:26you are not part of her care team do i need to write you a reminder
08:34hi good morning everyone are we ready to begin dr millen yes
08:46uh scott hill age 73 presented four months ago with shortness of breath and chest pain
08:53see what i told you the spleen has taken over the entire abdomen it has sequestered so much of his
08:59blood supply i mean how would you even mobilize that you tell me uh well um if it were a
09:08smaller
09:08spleen i would enter the lesser sac you take down attachments immediately rotate it to access the
09:13pedicle but this yeah i have no clue plus once we're in there one nick to the organ and brussel
09:20could
09:20bleed out in seconds when i was a resident i scrubbed in on a liver teratoma i thought was
09:27impossible to resect but i had an attending dr rathbone who did a total vascular exclusion of the
09:34liver to create a bloodless field it was brilliant and it taught me to always keep an open mind
09:40i saved a piece of that tumor in a jar for years after
09:44maybe after this you can save a piece of russell's spleen huh oh do i have to okay let's take
09:52a page
09:53from rathbone's playbook let's call ir have them embolize the splenic artery then we'll open them up
09:58and see what we got uh what about the m m we're already late now m m's happen every week
10:04but a spleen like this what happens once in a lifetime we then used interrupted 4-0 vicryl sutures
10:12to inset the mental flap i can see the healthy flap here did his pre-op scans show any sign
10:20for
10:20concern about pedicle tension no the team agreed that the distance between the epigastrum and the
10:26superior sternum was acceptable and at this point the team was uh me and dr mahanti you had finished
10:32harvesting the omentum and dr wright and dr warren were needed on another case so the uh the changes
10:38in the flaps appearance progressed rapidly post-op as you can see here uh it is dark and swollen did
10:45you check doppler flow after inset yes there was biphasic signal and which one of you did that
10:51we can both confirm that there was a signal when we realized there was no blood flow to the flap
10:57i'm
10:57sorry so the two of you both heard the signal were roles clearly defined during the onset i believe
11:04so you believe so who placed the stitch causing tension around the pedicle look this patient my
11:13patient hasn't left the hospital in weeks due to a gaping hole in his chest which i believed we had
11:19fixed he's still here because of someone's negligence and it sure as hell isn't mine so who placed the stitch
11:31that's on me i should have watched my resident more carefully
11:36i take full responsibility as her supervisor
11:54he is all set would either of you mind if i catch the last part of the m&m start
12:00the scan kwan
12:06everything okay i'm a handy person did i miss the first part of this conversation joe's getting an
12:11estimate from a contractor to baby proof our place even though i told her i can do it i want
12:16to do it
12:18are you sure you still need me here the babies can't even roll over on their own they're nowhere
12:21close to crawling we have a minute before the stairs are an actual risk so you'll just wait till scout
12:27moon are teenagers go on yes all right three right-sided rib fractures he has a small pneumothorax he
12:34probably doesn't need a chest tube but the muscle in the tmr looks good all right admit him for
12:39observation and then just do a follow-up x-ray with him later today well sorry you had to come
12:44in for rib fractures but maybe now you can go home and baby proof you should still check the signals
12:48to his bionic arm i mean there's no hematoma or bleeding around the nerves in the tmr the signal
12:53should be fine yeah but he's still falling off his bike kwan get john back to his room and set
12:58up for emg testing yeah when a pedicle passes through narrow tunnels we're essentially working
13:06blind uh dr millen when you placed the stitch did you use a lot of tension excuse me i asked
13:13if you
13:13used a lot of tension when you placed the stitch i didn't place the stitch dr mahunti did you or
13:19did
13:19you not allow dr millen to place the stitch she specifically asked to do some of the suturing and
13:24you said no that this is a huge miscommunication are you saying she's lying i didn't say that but
13:31you are denying that it was you if you're both saying you didn't place the suture one of you is
13:36not telling the truth i only closed the abdomen i wasn't anywhere near the pedicle dr millen admitting
13:43your mistakes is an important part to learning if you can't own up to them you've got a much more
13:48serious problem
13:56what the hell was that dr millen you place that stitch and you know it can we talk about this
14:02please oh i'm sorry do you not want to get dragged in public sometimes m&ms go south everyone knows
14:09this
14:09is that supposed to be an apology you're a resident residents are supposed to make mistakes i didn't
14:15screw up you lied and i got scorched for it i have patients to see
14:24okay let me know if you feel any discomfort i'm used to it okay john i want you to imagine
14:30your
14:30phantom limb and start opening and closing your hand that's a good sign right yeah the muscles are
14:37receiving signal it's a really good sign how's the prosthesis treating you otherwise if i was
14:41wearing it i'd give you a thumbs up or the middle finger depends on my mood oh he's painted the
14:47baby's
14:47room and started cooking again it's changed his life at home i just can't do the one thing i was
14:53really hoping for well your signals are good the tmr is not the problem john when you ride do you
15:01experience a high level of stress he's dodging trees and jumping rocks and trying not to fall off the
15:06trail i actually find it relaxing right but you're still encountering unexpected obstacles and changes
15:12in terrain that could cause a reflexive reaction in the muscles that send signal that could potentially
15:18make your hand do things you don't intend like let go of the bike exactly mountain biking is all about
15:24dealing with the unexpected if i can't do that i can't ride and that means no sponsorships no prize
15:30money john without that money we can't afford repairs to my gear my training time part of our mortgage
15:35i've been working for months to qualify for this race now you're telling me i could lose it all if
15:40you're getting more exercise your muscles are getting stronger they might be sending a stronger
15:45signal than the prosthesis needs let's take a look at that and we'll go from there
16:00curtis up for a visit from the chief anytime how are you i told the nurses i was cancer roommates
16:13with
16:13richard weber suddenly i got extra pillows and unlimited applesauce what's the fancy title for
16:20i just missed my wife and kids but i wish you'd have met them i would have loved that too
16:28how old are your kids trevor's eight he's my bookworm and uh mondi's five she's already running around on
16:36her bike like a bat out of hell and she'll be trouble now that's the hardest part of all this
16:45so
16:48leaving them behind
16:59look i'd uh i'd love to stay curtis but uh we need it in surgery thank you for stopping by
17:05dr weber
17:07just richard
17:22how long does she have if i give you an answer it's just my best guess but i have more
17:30energy
17:30today we removed the ng tube i need a popsicle without throwing up yeah it's common to have good
17:37days our focus now is on keeping you comfortable so you can have as many good days as possible and
17:45if
17:45you do in hospital hospice we can manage your symptoms and pain here for as long as you need
17:50no i need to go home i need to sleep in my own bed i need to eat my own
17:56food and maybe if we work with
17:59the pt i'll improve then that's what we'll do if we we could arrange home health and pt but
18:09you'd only have someone a couple of hours a week and you need more support if you do in-home
18:15hospice
18:16care well they'll send you someone 24 7 but it could take a week to get started i need to
18:22get out of
18:22here now i need to get better i'll take care of her until everything's arranged if she needs a hospital
18:29bed an oxygen concentrator a hoyer lift i'll figure it out i did it with my mom
18:41if you do this katie will be leaving against medical advice the insurance won't cover everything
18:49she needs at home she does that i've done everything you've asked every scan every test every infusion
19:01and here i am
19:04you don't know if i'm dying you don't know anything if i go home
19:13i'll get better you'll see
19:23okay then i will talk with social work and we'll start the process
19:35hey are you sure ama is the right move for katie i most certainly am not i don't don't make
19:42any
19:42moves yet i know someone she might listen to
19:53hey i'm still here did you read the estimate i've been with my patient well in order to fully
19:59baby proof the balcony we have to put up a higher enclosure which costs more than i can say without
20:04throwing up i told you i i could do it you know i'm not even sure the hoa will allow
20:09it so what do
20:10you want to do now you want my opinion you really want to get into it again i'm sorry i
20:15should go same
20:20you gotta go no it's fine let's continue okay okay this should test the grip
20:25uh-huh and now finger rolls
20:32it's working well within normal emg signals and he says it works fine when he's not biking so
20:39it's the stress yeah he's done with competitive racing
20:47that was lunch my life is over are your organs failing from stage four gastric cancer
20:53that'll work out i've been there you got kicked out of your last program still worked out i'm here
21:02hey your girlfriend is not only a sloppy surgeon she's a liar the m&m did not go well she
21:08blamed me for
21:09her crappy suture that killed our patients flap and now none of the attendings will even look at me
21:13kavita is not a liar both her parents are doctors and that makes her immune to being a horrible person
21:18wait wait she's not a horrible person you told me to be nice to her and i was and look
21:23where that got me
21:24thrown under the freaking bus you love the bus kwan this isn't a joke this is my career
21:34and you know what makes it worse is that you're automatically taking her side oh some friend you
21:40are where are you going to to fix this hey
21:57anna karenina this is what you want to read right now it's pretty depressing oh making my way through
22:03a list 100 books you should read yeah i've read these you can skip them you've read all 100 books
22:10uh moby dick a bunch of men yelling on a boat oh and there's a whale uh war and peace
22:16a lot of war
22:17little peace that's too off your list let's get out of here let's go look at the houseboats
22:30we can't just leave you're a patient i didn't stop you before you were my doctor then yeah it's not
22:37that simple you can't walk we need portable oxygen you can't walk just give me your hand look katie we
22:44just can can you get my back i can't i don't even know if i could get you in my
22:49car
22:52it's okay it's okay it's okay it's okay i got you this isn't for me isn't it
22:59i really wanted to go home i'm so sorry
23:10going through the fascia
23:15matt your mead here has been doing some research in fact the largest spleen ever recorded 26 pounds
23:22and 17 inches and based on our estimates this one could beat it sir you ready to make history dr
23:27weber
23:31oh oh my god that is nothing but spleen look i don't want to hear another word about records or
23:40history until russell is on his later post-op okay our focus should be on this patient on this
23:44surgery you understood loud and clear boss we've got a lot of work ahead of us and i need full
23:48visualization tighten okay all right here we go
23:59she'll stay here until her at-home hospice is set up the social workers on her way to get the
24:05process started did you mention we're hoping they can rush this yeah and i might have dropped your name
24:11i will see if it helps
24:17so what now you bring in the doctors with the sad smiles and quiet voices pretending to know what it's
24:24like to die before you're supposed to our team will do everything to make her more comfortable
24:32they'll also move her into a room with more natural light fewer machines and the chaplain will come too
24:39right you had the same conversation 15 years ago about my mother and now you have the gall to have
24:49it
24:49again about my daughter she was doing better i know i am so sorry stop saying you're sorry
24:57okay if this was one of your babies and their life saving medication was discontinued and you had to
25:05watch the life drain from their bodies what would you do i would fight but you didn't did you not
25:15for my baby
25:31doctor bailey
25:32doctor bailey
25:52whoo come in make yourself at home what is this i borrowed a few things from dr sally i wanted
25:59to see if
26:00adjusting the grip on a body-powered prosthesis helps john talked to you into finding another
26:04solution i couldn't tell him that he can't use the robotic one link after his car accident he went really
26:09dark
26:09when he couldn't ride i don't want him or pauline to have to repeat that
26:19damn it why can't i do this last time i checked you're not a prosthetist
26:23i have reconstructed fingers i've replanted amputated hands i've replaced every joint
26:28you can name i fix things it's what i do sounds like you're trying to fix things at home in
26:37my lab
26:38my shoulder's still bugging me you had a major injury and that's going to take time i know i just
26:45i felt pain the last time i was in the or it's also why i'm behind on baby proofing what
26:53does joe think
26:54you haven't told her she's got her own stuff i i thought i was going to be back to normal
27:00by the
27:00time the twins came instead i'm just icing my shoulder and hoping nobody face plants off the stairs
27:11you are very handy and you can fix a lot of things but sometimes when you let go
27:16expectations you open yourself up to other possibilities yeah you're right does that mean
27:24i get my lab back soon you just gave me an idea hey i got your text i'm sorry i
27:34missed m&m that's
27:36old news right said that jackson avery called to check my references that's huge boston's in the bag
27:43it gets even better apparently she told them that grace loan wouldn't give me up without a fight
27:48so you could stay here i don't have any formal offers yet but as long as i don't majorly screw
27:54anything up i'm gonna have options wow um can i ask you something would stitching over the pedicle in
28:06momentum you made your screw up why do you ask did you blame jules for your suture in the m
28:15&m
28:16i've been in school or residency or fellowship my entire life i'm so close to it finally paying off
28:23so you did lie surgery's cutthroat especially plastics don't tell me you've never told a small
28:29mistruth to get what you needed yeah but it's more than just a little white lie every m&m feels
28:34like the
28:34end of the world when you're a resident but you get past them no one will even remember this case
28:39tomorrow and i'll figure something out to help millen if i take an attending job here i can help her
28:45even more yeah i guess that makes sense so you're actually considering grace loan over boston maybe
28:55as much as i love boston seattle's also growing on me
29:0616 inches so close well it's still pretty damn big hey stay next super scale
29:13oh uh shouldn't it be dr weber yeah hey what about it chief you uh you want a picture with
29:18the mega
29:18spleen yeah no pictures for me we should weigh it i mean it's not the biggest ever but it might
29:23be
29:23the heaviest come on here we go got it hold on let me let me help you hey can you
29:29just put it
29:32oh that's a damn shame it it looks even bigger on the floor hey hey you want get down get
29:41down
29:42all right yeah yeah hey no no no look that's enough now no more pictures or jokes or talking about
29:50bragging rights today was not a success of medicine it was a failure you think russell wanted it to get
29:56that bad it's a miracle that didn't kill him you should be ashamed i know i am clean this mess
30:05up
30:22you know i replay the steps in my head every night could i have operated earlier could i push oncology
30:31harder could i have filed more appeals with the drug manufacturer oh you did everything you could
30:40i did everything i could 15 years ago for katie's grandmother but immunotherapies didn't exist then
30:47she died from actual cancer but katie no katie's dying from bureaucratic stupidity just years of hard
31:00work finally developed a medicine that was working and instead of helping people access it our government
31:06is dismantling science just like that clinical trial god not just katie or cancer maternal health
31:16diabetes prevention substance abuse programs space exploration is even on the damn chopping block just
31:26decades decades of ground breaking work without even a single thought to its cost in human lives
31:39i can't even give katie a chance to spend her last moments outside of these hospital walls
31:46uh well we're setting her out with in-home hospice care and she'll it'll be a miracle if she makes
31:55it that long
32:05hey i spoke to you now's not a good time
32:08uh dr wright how is scott doing well this heart's had minimal tissue coverage for two weeks he's not great
32:19can i help you i have worked really hard to build a good reputation for myself here and i i
32:26can't
32:26stand by and watch it all go down the drain dr mahanti lied in the m&m i didn't stitch
32:33over the
32:34pedicle i wanted to sew around the pedicle but she wouldn't let me and i don't know why she lied
32:38but
32:38i promised you it wasn't me that's quite the soft story you've got there i'm setting the record
32:46straight look hospitals are high school emotions are high status matters people are competitive and
32:51desperate and insecure i need my surgeons to be mature to rise above to not get sucked into the
32:58drama and the politics did you have a good outcome or a bad one that's all i care about i
33:02understood i will
33:03make sure that scott has his labs in the morning you're not on his surgery anymore hey kwan have
33:09you ever done a sternal reconstruction no you will tomorrow come with me and i'll give you my notes on
33:17the
33:31case
33:32did you figure it out making the bionic hand work for competitive mountain biking
33:37no so that's it i'm done not necessarily i've come up with another option now this is just a prototype
33:47but the idea is that instead of your bionic hand gripping the handlebar we built an attachment to
33:52the bike and a terminal device that you'd wear only while biking keep talking we'd make a custom
34:01activity specific prosthetic that would snap into the bike attachment it'd be built so you could snap
34:09quickly out of the receiver for safety if you like it we could find a prosthetist to collaborate with and
34:14maybe even a sponsor will help cover the costs this is uh this is amazing
34:24you made this no no no this is all dr lincoln i know nothing about bikes man thank you
34:34i don't know what i would have done if i'm welcome
34:44should i not ask dr wright said that i was being dramatic and she doesn't want to work with me
34:49anymore i'm sorry i know the truth i don't think you're being dramatic everyone who knows and loves you
34:56feels the same i'm not so sure hey hey i need a favor it's about katie you know i can't
35:03disclose
35:04her medical information but nice job getting her to stick around what if we took her to your place
35:08to what die at my house you want her to die at my house okay technically it's my aunt meredith's
35:15house
35:15she's gonna go to her own home next week she doesn't have that long
35:20be sure this is a good idea she's dying i'll ask for time off so i can take care of
35:27her myself no
35:29we'll take ships thank you count kwan in two he owes me for putting up with johan
35:45hey uh chief um i just want to apologize you know i i got excited about a flashy case and
35:53i let
35:53things get out of hand a few weeks ago a case like that would have made my year a spleen
36:00the size of a
36:00sandbag i had taken photos too but i'm feeling different now that different you know i try to
36:08push it down and return to work like nothing happened these days the patients i can't stop
36:15thinking about all the ones we couldn't get to in time and instead of addressing the problem we're
36:24patting ourselves on the back for removing a massive spleen but having a perspective shift
36:30after cancer it's it's natural i've been there well what if i can't unsee this that'd be so bad
36:38maybe it's time to start a new chapter spoken like a younger man you know i uh just a guy
36:45who has a
36:45lot of experience starting over look i'm gonna go check on our patient
36:53it really was quite a spleen though wasn't it more than mercy
37:01it's time to monitor her pain and oxygen requirements and page me if you need to take
37:07more fluid off of her abdomen hey dr bailey can we remember something by you
37:12why do i feel like i'm not gonna like this uh well uh griffith offered to take katie to her
37:18home we
37:18all know there's a good chance she won't make it to her own home if she waits for hospice to
37:22be set up
37:23all she wants is to not die in a hospital yeah yeah what do you think i think you two
37:30have lost your
37:31ever-loving minds katie is not a stray cat to take in she needs 24 7 care adam's quan and
37:37i would
37:38take shifts yeah and and her mom can stay in their spare bedroom sorry what about pain management we can
37:44get her scripts filled and administer them at the house yeah and i can drain her abdomen when needed
37:48look it's literally her dying wish i hear you but as her surgeon and a leader in this hospital i
37:56i cannot advise it okay she would need a hospital bed an oxygen concentrator are you writing this down
38:04oh yeah
38:16finally i was about to go to saigon palace by myself yeah i was looking over dr wright's nose for
38:21the
38:21sterno reconstruction i heard you were joining the case i'll fill you in over fa i can't do it on
38:28me
38:28whatever i'm starving let's go i told wright to find another resident for the procedure tomorrow
38:36why jules is my friend it turns out you and i aren't as alike as we thought
38:43i already told wright that i was committed to assist ultimate tomorrow
38:48you didn't tell her about me i was going to give you a chance to do it yourself
38:58i hope you get the job in boston
39:03we often place blame because it's easier than taking responsibility
39:07if you always look outward you never have to turn inward seriously i get to leave yeah we arranged
39:16medical transport and dr griffith that's working to get you discharged right now i'll stock the fridge
39:22cook meals whatever i need to do that's not necessary we uh we want to help
39:30thank you none of this would have happened without you
39:37but progress only comes when you shine the light on yourself
39:46didn't i fold all this laundry earlier patty spit up everywhere sort of patent luna got the ketchup
39:52bottle and you know what i don't want to talk about it my shoulder still hurts
40:02i was hoping it'd get better and i'd go back to work and build the safest staircase ever to exist
40:09but
40:10obviously that hasn't happened well you don't have to fix everything yourself yeah i've realized that
40:18but you might have to go back to work eventually so you can afford to pay elroy to do it
40:28i was wondering what if elroy didn't actually fix this place we've really pushed our luck already
40:37with these stairs the the fireplace the balcony the glass doors what if you fixed my rental instead
40:44you want us to move into the man cave it's in a great neighborhood and it would be way easier
40:51to baby
40:52prove this place just has so many memories you know movie nights on its couch the nicoletti's
41:01takeout dinners on that table you proposed to me right there
41:07i guess we'll have to make new memories
41:14we will
41:27what do you think how do you feel
41:32melin what are you doing here
41:33uh your front driver's side tires looking a little low checking my tires
41:39today sucked in a lot of ways but the worst part is that it confirmed what you think about me
41:46and i know
41:46that i've disappointed you and you're not wrong i haven't always been honest with you like sometimes
41:51when i'm too tired i don't dictate your up notes i make my interns do it and i know where
41:55you keep your
41:56secret stash of protein bars at the nurse's station and i'll sneak one if i don't have time to get
42:00to the cafeteria
42:05and i coached your patient behind your back to get around his insurance so you would have to operate on
42:12him that day
42:15he was in pain i didn't know what else to do so i lied but i didn't lie today
42:21i didn't sew over scott's pedicle and i wasn't trying to frame mohanti or not take responsibility
42:29i just didn't do it and i need you to know that it's not my department i'm not the one
42:34you need to
42:34i don't care what anyone else thinks
42:44i believe you
42:51i'll uh i'll see you tomorrow
42:55ask the questions and the answers might surprise you
43:07so
43:18so
43:19so
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