- il y a 7 heures
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07:53Je ne peux pas faire dîner.
07:55Je suis trop tired.
07:59Mais nous sommes encore en face de la résistance des réguliers sur le nouveau build.
08:03Donc, ne viendra pas un nouveau pays ou ne viendra pas à l'intérieur de ce qu'on ne veut
08:06pas.
08:06Je vais aller, mais une fois ou une autre, je veux un mouvement par la semaine prochaine.
08:09Hi, Mr. Voigt, Max Garner, CEO de l'hôpital.
08:12Just wanted to say that we will do everything in our power to give you what you need today.
08:17My test results would be nice.
08:23Unfortunately, I'm going to have to eat my words.
08:25The biopsy confirmed you have small cell lung cancer.
08:30Lung cancer?
08:31Yes.
08:31He hasn't smoked a day in his life.
08:33And he's meticulous about his health.
08:35Fiona, we're not going to argue this away,
08:37but I'm sure if you couldn't see the mass, we caught it early, right?
08:41Yes, but genetic sequencing indicates it's an aggressive variant.
08:47And the PET scan shows micrometastases in your brain, abdomen, and bones.
08:53So it's already spread?
08:55So what now?
08:56Well, we can try chemo and molecular therapy,
08:59but those treatments are very painful.
09:01And even then...
09:02So how long do I have?
09:04Best guess, we can get you four to six months.
09:10Personally, I'd consider palliative care.
09:13I'm getting Dr. Steiner.
09:14We'd be happy to interface with any of your own specialists.
09:17Well, we've already conferred with our chief of oncology,
09:20and he agrees with our assessment.
09:21Well, of course he does.
09:22He works in a bureaucracy and can't think out of the box.
09:25I wish we could do more.
09:26We could try CAR-T.
09:29No, we cannot.
09:30What is CAR-T?
09:32Chimeric antigen receptor T-cell therapy.
09:34It reprograms your white cells.
09:36It has absolutely no efficacy on this type of cancer.
09:39I don't think anyone knows that for sure.
09:40There's not enough data.
09:41Steiner is fielding second opinions
09:43and wants to teleconference in an hour.
09:44The plane will be ready to take you to Sloan or Hutch
09:47or Oxford if we have to.
09:49Wait a minute.
09:49Anything any of those places can do, we can do,
09:52and we'll be completely transparent with your team.
09:55Your team is not even on the same page.
09:57We will get there, I assure you.
09:59Then come back to me with a plan.
10:00Look, if I'm still here, I'm all ears.
10:05One centimeter fragment in segment six.
10:09Two suture repair.
10:15Hey, any news?
10:16No.
10:17I'm freaking out.
10:19Listen, I told you,
10:20just because you're taking longer to get the results,
10:21that doesn't mean anything.
10:23I know, I know.
10:23I thought I'd be okay with this, but I am really not.
10:26Maybe stay away from work today
10:28and just try and distract yourself.
10:29Funny you should say that.
10:31Because I'm kind of at the cafe around the corner.
10:34Uh, from the hospital right now?
10:36Look, is there any way you can come down for a minute?
10:38I'm really not handling this well.
10:40Yeah, yeah, be right there.
10:44BP's dropping, 91 over 59.
10:45Amy.
10:46Pushing 100, high to cortisone.
10:48Normal saline, wide open.
10:49What's this, sodium?
10:50It's fine, 134.
10:52It's not me.
10:53You have a bleeder.
10:54My field is clear, unless...
10:57Damn it.
10:58Suction.
11:01You're counting?
11:02I can't clear the field fast enough.
11:04Want another clamp for a prickle maneuver?
11:06No time.
11:06I'll do it blind.
11:08Microsuture on a needle driver.
11:30BP's rising.
11:34That was amazing.
11:37Piece of cake.
12:00Yeah, yeah, no, we're here with Amy now.
12:02She's checking his lungs.
12:03Stop, stop, I can't, I can't hear anything you're saying.
12:06I said, ask him if he feels who it rocks.
12:10Mom.
12:16So, the albuterol is working, but his oxygen is still low.
12:21If it drops anymore, don't tell me you have to intubate.
12:24Oh my God.
12:25No, we're not there yet.
12:26Let's, let's just try to stay calm.
12:30You know, I never thought I'd say this, but I wish my mother were here.
12:33There's nothing she would do that I'm not already doing.
12:35You think I want her here for medical expertise?
12:38No.
12:40You know, when I had meningitis in college, she at least offered to fly home.
12:44Ethan, she's doing the best.
12:46Don't, don't defend her, Amy.
12:47All right, please.
13:07John?
13:08Yeah, you okay?
13:11I'm fine.
13:13I just had to splash a little water on my face.
13:16I'll be right out.
13:29Okay, let's bump his methamazole up to 20 and then recheck his TSH.
13:33And can you have Dr. Park give me a call on labs, come back on 6-12?
13:36Okay, thanks.
14:05Okay, thanks.
14:08All handled?
14:09Yeah.
14:10I think they can survive without me.
14:12Apparently, I can't.
14:13Hey, it's fine.
14:15Okay?
14:16I'm not going anywhere until the labs come back.
14:18Thank you.
14:19What is this?
14:20This is the Mia treatment.
14:22And you thought this would distract me from my impending doom?
14:25I've seen you around a Sunday.
14:33I want primary custody for as long as I'm breastfeeding.
14:36Absolutely.
14:37I'll take regular visitation rights for the first year.
14:40And after this first period, we'll transition to the 50-50 custody.
14:45Yes?
14:46Agreed.
14:47Now on to assets.
14:49First, the family home.
14:51It's in Michael's name.
14:52I'm prepared to sell it and give Nora half the proceeds.
14:55I can't let you do that, Michael.
14:57Why not?
14:57I know what it means to you.
14:59And what about Katie?
15:00She's fine with it.
15:01She's off to college soon, and I think it's the least I can do.
15:04Oh, God.
15:05Don't you dare be kind to me right now.
15:09What else would I?
15:13I need to hate you, Michael, and you need to let me.
15:22Hey.
15:22Hey.
15:23How's our patient?
15:24Well, strong vitals, no sign of infection, emptied his drains, hung post-op antibiotics.
15:31Wow, we're going to put our nurses out of business.
15:34I can handle post-op if you just want to sit with him.
15:39That's a hell of a bedside manner you've got there.
15:44You all right?
15:45Amy.
15:47Hey.
15:49I'm good.
15:52I have another patient I should check on, but Hottie needs post-op lights and hourly labs.
15:59I'll take care of it.
16:06We talked about this.
16:07I don't want you back in that chair until we have-
16:09I know.
16:09Until I've had two months of normal EEGs.
16:12I know.
16:13But I've had four clean studies, and I need this memory now.
16:17Look, I know you're going for chief resident, and recovering your medical knowledge is important.
16:20No, it's not that.
16:21When my brain does this, it's because it's trying to tell me something.
16:26My friend needs help, and this memory may be the only way that I can help her.
16:32Any headaches or nosebleeds, and I'm pulling the plug?
16:35Of course.
16:37I want to be clear that the treatment protocol that I'm proposing will be risky and painful.
16:42Pain is irrelevant.
16:43Will it work?
16:43I found one successful case, but as your team will tell you, cancer involves many mutations.
16:48The treatment has to be as unique as the disease.
16:51That is where CAR-T comes in.
16:53We take your own T-cells and re-engineer them to target the specific markers of your illness.
16:58Which antigen will you use?
16:59His cancer cells exhibit a large number of DLL3 surface proteins.
17:03And which viral vector for delivery?
17:05The case I'm referencing used a lentivirus model.
17:08The case he's referencing was so much less aggressive, it shouldn't even be considered a comp.
17:12Mr. Voight's immunoresponse will almost certainly be catastrophic.
17:16There's a very good chance this treatment will kill you.
17:19By tomorrow.
17:20Or it could add years to his life.
17:22Team, some feedback would be nice.
17:25Give us a moment, please.
17:27I thought you were getting on the same page.
17:28So did I.
17:31Okay, the only other option we can see here is Ludo's team in Zurich.
17:35They have a vaccine model that's had some limited success in mice.
17:39Limited and only with mice?
17:40No.
17:40That's out.
17:41What else?
17:42I'm sorry, but there's nothing we can stand behind.
17:44So Dr. Coleman's idea is the best option?
17:47It would be, yes.
17:48Elise?
17:49With more time, we could dig deeper, but big things don't happen overnight in the cancer game.
17:55Okay, so we have no choice.
17:59Okay then, let's get the ball rolling with whatever we need to do next.
18:02I'm sorry, but clearly these people on your payroll don't know how to say no to you.
18:07Dr. Miller.
18:07And I gotta say, if you were anyone else, this hospital wouldn't even be considering this course of treatment.
18:12Mr. Voigt has an appetite for risk.
18:14An appetite for risk is one thing.
18:16This is trying to kill a lion with a toothpick.
18:25Sometimes we fly too close to the sun, but we get nowhere if we don't try to fly.
18:31Right, Dr. Coleman?
18:34Well, I sincerely hope this works.
18:37But respectfully, I won't be a part of it.
18:52I, uh, I didn't mean what I said before.
18:57I mean, I don't want to hate you.
19:01I wouldn't blame you if you did.
19:06I hope that selling the house will be a fresh start for you.
19:12I think you really need that.
19:15Okay, I've drafted an agreement.
19:18Why don't we give it a once-over?
19:23And focus.
19:25Ground yourself in the memory.
19:27What can you smell, hear, see?
19:36Okay, let it rip.
19:48So just stay out of it.
19:50Why are you not telling me?
19:51It's, it's home to us.
19:53So there's a good chance it'll turn into leukemia?
20:00What is it, Amy?
20:01I have to go.
20:08You can't perform surgery anymore.
20:18Place a vast cath, prepping for temporary human dialysis.
20:20What happened?
20:22BP spike, acute renal failure.
20:26But that makes no sense.
20:27Addison should prevent BP spikes.
20:29And his renal function was normal pre-op.
20:32Well, clearly we're missing something.
20:34Blood cultures, autoantibodies, and a pan-CT scan.
20:37That's a good idea.
20:38It was even better when Dr. Matra had it five minutes ago.
20:41Where were you?
20:43I was in TMS.
20:45I love your sense of timing.
20:47I remembered.
20:49You were diagnosed months ago, and the disease certainly wasn't indolent.
20:53So you're off chasing unreliable memories while our patient's life hangs in the balance?
20:57You're going to look me in the eye and tell me that was a false memory?
21:00It was a bad day.
21:02I was emotional, and I'm fine now.
21:04You took this job knowing that you couldn't handle it.
21:08I am handling it.
21:09Really?
21:10Where did you get this bruise?
21:11And what about the edema in your wrist?
21:13How much prednisone does it take to get you through a shift?
21:16You know what?
21:17Dr. Matra and I will take it from here.
21:22I would never do anything to jeopardize a patient.
21:25And I don't need you to tell me that.
21:51Let me ask you something.
21:53You went up against Dr. Miller.
21:54Was that for my sake, or were you just pandering to your CEO?
22:00Come on.
22:01Don't pretend you don't have a lot riding on this, too.
22:03I don't do anything I don't believe in.
22:05Man of conviction.
22:07I guess I'm not surprised.
22:08Four years in Afghanistan.
22:10Took a bullet during that hostage crisis.
22:12Okay, you guys got to ease up on a background check.
22:14This is getting weird.
22:16Honest, too, huh?
22:18Look, this idea is out of the box.
22:21But you push boundaries for a living.
22:23Controversial, but necessary to a society.
22:28I've just never been in the lab rat before.
22:54I've never been in the lab rat before.
22:54I saw some nonspecific areas lighting up on CT.
22:58Figured they were artifact.
22:59But his sed rate was up, so I ordered an ultrasound with Doppler.
23:03And found a cavitus lesion in his hepatic artery.
23:06Add that to his chronic inflammation, milky drain fluid, travel exposure.
23:11Extrapulmonary TB explains it all.
23:13Even the Addison's.
23:14He must have a lesion on his adrenal gland.
23:16And who knows where else?
23:17We need a full-body MRI with contrast and surgery to remove infection.
23:22Good.
23:23I'll take him to radiology.
23:25You can grab a few protein bars, Dr. Maitre.
23:27We're going back in.
23:32Feeling okay?
23:34I feel like crap.
23:36I guess that's what we want, all right?
23:39It means it's working.
23:41Yeah.
23:41Well, your BP's a little low.
23:42I'm going to start your oppressors.
23:46Mr. Boyd?
23:47Mr. Boyd?
23:49Two milligrams of iverazepam.
23:51Stat.
23:52When did you inject the CAR T-cells?
23:53An hour ago.
23:55It's a cytokine storm.
23:56But I premedicated with Benatryl and Methopeniculum.
23:58Well, it wasn't enough.
24:18What else we got?
24:20Dinner.
24:21Oh, no.
24:21I'm going to eat later.
24:23You can't help them if you can't stand.
24:25Ridley, eat.
24:32Can we talk about the real reason you won't slow down?
24:34Have you had Terry's mwambi?
24:38Your grandson's going to be fine.
24:41From everything you said about Amy, he's in the best possible hands.
24:45Not mine, though.
24:47You can't be everywhere.
24:51When Harry and I were first married,
24:54I tried to stay put.
24:56Be the doting wife and mother and have a regular nine-to-five.
25:02The truth is, I just wasn't cut out for it.
25:09Maybe you were right to never settle down.
25:12Or maybe I just never found a man who could put up with me.
25:17Well, it makes two of us.
25:26Hello.
25:27It's me.
25:28Albuterol and high-faloxygen are keeping his numbers in the 80s.
25:32So, no need to intubate?
25:34No, he's stabilized.
25:35But they've got an intense recovery ahead of them.
25:38If you could come home, I would.
25:44I'm trying to do my job.
25:46At what cost?
25:47Joan, 60 milligrams.
25:49At that rate, you will flame out in weeks.
25:51That's my choice.
25:52Does Javi know what you're doing?
25:54I'm not killing myself, Amy.
25:56I am trying to make the most of the time I have left.
26:00And he would respect that.
26:02Well, what does Ethan think?
26:04I don't know.
26:06He doesn't know?
26:07He doesn't return my calls.
26:09What?
26:09Wait, how long have things been like that?
26:11You know what?
26:11I think you've dredged up enough bad memories for one day.
26:14And if you'll excuse me, I have a patient who needs me.
26:20What do we got?
26:22Uh, granulomas in the liver, kidney, adrenals, bowel.
26:25They're everywhere.
26:32Tell the on-call surgeons to drop what they're doing.
26:35and meet us in the O.R.
26:36We're going to need all the hands we can get.
26:38I commend you, my dear brother, to Almighty God
26:42and entrust you to your Creator.
26:45May you return to Him who made you from the dust of the earth.
26:49May Holy Mary, the angels, and all the saints come to bring you...
26:53I am so sorry, Mrs. Voight.
26:56May Christ be crucified for you.
26:59I never should have let him go through with this.
27:02May Christ be died.
27:03Excuse me.
27:07May Christ be faithful shepherd.
27:11May you see you with your face to face.
27:14I'll be in my room.
27:15May you enjoy the vision of God.
27:17You care to explain how this went so wrong?
27:22Nous avons essayé CAR-T.
27:23Je lis le report, je sais ce qui a été fait.
27:25Je me demande comment ça peut se passer.
27:26Vous devriez demander le CEO de ça.
27:30Il était poussant des décisions médicales.
27:32Nous pouvons utiliser votre ear.
27:36Donc, qu'est-ce que vous proposez maintenant?
27:38Je pense que IL-6 blockers.
27:41La COVID-treatment ?
27:42CAR-T crée un casque similar à l'inflammatoire.
27:45Et je ne pense pas que le protocole standard
27:48nous devraient l'inflammation sous contrôle.
27:50Il est arrivé tout à l'heure.
27:54Nous devons suivre notre lead.
28:00Votre patient, votre appel.
28:04OK, OK, OK.
28:06On a Thaïlande trip, vous avez été fait de la chanson.
28:08Bohemian Rhapsody.
28:09Oui, c'est-c'est...
28:14Pour le record, ce n'était pas ma performance
28:15que les gens n'ont pas.
28:16C'est juste que la chanson est trop longue.
28:29C'est sûr.
28:30Ils sont égés?
28:33Je ne peux pas laisser que vous faites ça.
28:45Sous-titrage Société Radio-Canada
29:04Saddle up everyone. For the next 11 hours we're doing an ex vivo. That's right. The thing you learned about
29:13in med school but never thought you'd actually do. We're removing every damaged organ, repairing it, and then putting it
29:19back where we found it. We'll run two full operating fields side by side. My team will be the one
29:25removing organs and keeping Javi alive. That means controlling bleeding, managing perfusion, oxygenating his heart and brain.
29:32Team two is on ex vivo work. When we pass off an organ, you strip the granulomas and adhesions, repair
29:41what you can, then it comes straight back to us in working order. Precision is everything. We lose focus. We
29:49lose an organ. We lose an organ. We lose the man.
29:56No mistakes. Let's go.
30:00God, I cannot believe I'm saying this.
30:02All right, I brought nourishments.
30:03See you. Great.
30:04Thank you.
30:05Thanks.
30:07Did she just do a rapid order to reconstruct on the fly?
30:11Yeah. It's unreal.
30:13She's a friggin' rock star.
30:14She's something, that's for sure.
30:17You wonder why I didn't want to tell you.
30:19Look, the way she's managing everyone, she's like a maestro.
30:23Okay, so what exactly is her endgame here? Is she just going to keep operating until she drops?
30:27I can't believe what she's doing to herself.
30:30I know that you don't want to go behind her back, but I don't think she's really leaving as many
30:33options here.
30:35Just give me a couple hours.
30:37Till the end of the day.
30:47Ethan, it's Amy.
30:50Uh, give me a call back when you can.
30:52There's something going on with your mom.
30:55Okay, liver's coming out.
30:58Subhepetic space is clear.
31:00Put a retractor in there, Carol.
31:01Sponge.
31:04Okay.
31:08That granuloma's wrapped around the inferior vena cava.
31:11We can clamp, take it out, then reconstruct with Dacron graft?
31:14No, we've made enough compromises today.
31:16I'll dissect it off the wall, leave the vein intact, Scalpel.
31:20Uh, isn't it safer to do a graft?
31:23One slip and he could bleed out in seconds.
31:25I know.
31:26I wrote that chapter in your vascular surgery textbook.
31:29Suction, Dr. Matra.
31:32Clamp ready in case it goes south.
31:47Meds.
31:49I'm securing the vena cava now.
31:51Dr. Matra, get that lump out of my hair, please.
31:58You know what they say about me.
32:01Hands of stone.
32:08Hi.
32:09Hi.
32:10What are you doing here, Mom?
32:12I wanted to check on Robbie.
32:13I came as soon as I could.
32:15Well, we both know that's not true.
32:17Okay, okay.
32:18I came as soon as I could responsibly leave.
32:21And why is it you feel a greater sense of responsibility to a group of strangers than your own family?
32:26Robbie was fine.
32:27He didn't need...
32:28No, I needed you.
32:32You know, for once I actually let myself believe that you'd be here.
32:35I was on my way.
32:37And then we got the call.
32:39Fighting broke out in sake.
32:40We were inundated.
32:42It's always something, Mom.
32:47And what would you have me do?
32:49Let those people die so I can come and hold your hand?
32:52No, you're right.
32:52No, you had to do what you thought was right.
32:55And now I have to do the same.
32:56So, you know what?
32:58I'm done.
32:59What does that mean?
33:00You're done?
33:01That means I'm just...
33:02I'm done.
33:03Now, at some point, I only have myself to blame for letting you disappoint me.
33:12If you can't see, I made the only choice I could in that moment.
33:16Then I didn't raise the man I thought.
33:22You barely raised me at all.
33:40Welcome back.
33:43Must have been a close one.
33:45Turns out your Addison's was a symptom of indolent TB.
33:51You had a lesion on your adrenal gland.
33:54Along with 14 others.
33:55But we cleared the damage, and you'll make a full recovery.
34:00What's the...
34:01No more Addison's?
34:04No more Addison's.
34:10You saved my life.
34:13I wish there were more I could do for you.
34:16Are you kidding?
34:17That was a career-making surgery.
34:19You begged me.
34:20I'm going to live forever in these halls.
34:25So, um...
34:27When can I get back out there?
34:29Well, in the last 12 hours, most of your organs have been outside your body.
34:34So, maybe you want to give it a few weeks.
34:37Hey, we go where we're needed, right?
34:40And you don't know for the end of it, what a disaster.
34:45I try not to panic.
34:49In the mirror I'm fine, but inside all the glass in me shattered.
34:53You know what kills me the most.
34:55I still got nothing but love for you.
34:58Love for you.
35:00Love for you.
35:02You know what kills me the most.
35:04Hi, stranger.
35:05I still got nothing but love for you.
35:08Love for you.
35:09Love for you.
35:11Love for you.
35:12You know what kills me the most.
35:13I still got nothing but love for you.
35:16Love for you.
35:19Love for you.
35:20Love for you.
35:20Love for you.
35:20Love for you.
35:21Yeah, that kills me the most.
35:26Unfortunately, the CAR-T hit you harder than your cancer.
35:30We've retested your blood and your small cell tumor markers only dropped 3%.
35:36Meaning it didn't make a dent.
35:38Right.
35:40Well then, what's next?
35:43We're back where we started.
35:46Chemo and molecular therapy.
35:48So you're right.
35:49My yes-men almost killed me for nothing.
35:53I'm just glad you're still here.
35:55I'll be dead by the end of the year.
35:57I'm sorry.
35:58But there's plenty you can do with the time you have left.
36:01No, I won't slowly degenerate.
36:03If you can't cure me, I will wait.
36:06Xander, no.
36:07What better time to do it than now?
36:08I'm sorry, what are we talking about?
36:10There's a Swiss cryogenics company that will freeze me until further notice.
36:13When there's a cure for this in 10, 20, 30 years, I'll be first in line.
36:17If they find a way to reverse the freezing process.
36:21We can do it with embryos.
36:23It's only a matter of time and I won't exactly be in a rush.
36:35She knew who she married and I still have way too much to do in this world.
36:41The man needs a psych consult.
36:43We should put him on a 72-hour hold.
36:45On what grounds?
36:46He's not depressed or pathological.
36:48He's got a god complex.
36:51And I flew too close to the sun.
36:54The CEO's watching.
36:55You got a billionaire setting you up to be a hero.
36:58You got carried away.
36:59You're right.
37:01Sorry.
37:03I know you think I don't have a leg to stand on here.
37:06But what happened with Mr. Voight was unethical.
37:09And there isn't always going to be someone more senior around the pushback.
37:13You're not a rookie anymore, TJ.
37:16Time to start acting like it.
37:25Hey.
37:27Oh.
37:28Hey.
37:29So.
37:31I need to tell you where I was yesterday.
37:35Okay.
37:37Rachel had a mammogram and they found a mass.
37:40Oh no.
37:41Is she okay?
37:42Yeah, yeah.
37:43She's fine now.
37:44The biopsy results finally came back negative.
37:46But the past week has been kind of tough.
37:49So I just, I wanted to be there for her.
37:51So that's why you left early?
37:54Yeah.
37:54Yeah.
37:54She was spiraling.
37:57And that patient you were with in radiology last week when you didn't want to talk, that was her?
38:05She asked me not to tell anyone.
38:07And, um, when I see the look on your face and clearly I, I went about this all wrong.
38:15No, you, you were in a tough spot.
38:17I'm, I'm just glad she's okay.
38:18Yeah?
38:20Yeah.
38:25Yeah.
38:26Yeah.
38:28Okay.
38:31It was pretty sneaky.
38:33You calling Ethan.
38:36Dare I ask how it went?
38:39Well, uh, we have a lot to clean up.
38:43but he's here.
38:47So thank you.
38:49There's one thing this year has taught me.
38:52It's that family finds a way to forgive.
38:56Let's hope.
38:59He certainly thinks I have a lot to answer for.
39:06We need to figure out what you're gonna do, Joan.
39:10Oh, I know what I'm gonna do.
39:14I didn't think it could get any worse than being schooled by Richard Miller and knowing he was right.
39:20Try this.
39:21I spent all of last week trying to sideline Dr. Ridley, and the second she asked me to scrub in
39:26for a big operation,
39:28I leap at the chance.
39:30So we're hypocrites?
39:31Or maybe we're just doing the best we can in a job that has a lot of gray areas.
39:38Maybe we are.
39:40So?
39:42Want to give our date another shot?
39:44Dinner?
39:47That Italian place on the corner?
39:49Or we could just go to mine.
39:51For dinner?
39:53That too.
40:07Dr. Ridley would like all of internal medicine to report to the office for an all-hands.
40:16Excuse me.
40:20Any idea what this is about?
40:22Uh, nope.
40:23No idea.
40:24But I guess we'll both find out.
40:36Oh.
40:37That was fast.
40:39Am I that scary?
40:40Yes!
40:44Uh, this is, uh, not a conversation I ever wanted to have, so forgive me if I'm not exactly sure
40:53where to start.
40:56I know there's been concern about my health, and I truly appreciate it.
41:03Uh, it turns out it was warranted.
41:07I have MDS.
41:09It's advanced, and it's time for me to accept that it's not something I can outrun.
41:19So?
41:23Last night will be my final surgery, and next week will be my last as your chief.
41:37I've spoken to Dr. Hamda, and he has agreed to facilitate a smooth transition.
41:42And never fear, you will all receive your long-awaited evaluations before I go.
41:50I like to think, um, that I, I still have some wisdom to impart on the next generation.
42:02Even you, Peter.
42:06So, um, as my friend reminded me today, uh, we go where we're needed.
42:14And right now, there are more important places for me to be than inside an OR or behind a desk.
42:25Being a doctor has been the privilege of my life.
42:33Being your chief has meant more to me than I expected.
42:41Thank you.
42:47All of you.
42:53And I'll see you tomorrow.
43:01I'll see you tomorrow.
43:16I'm coming to you now, I'll see you tomorrow.
43:20You're tomorrow, tomorrow, tomorrow.
43:22I'll see you tomorrow.
43:22Where are you tomorrow?
43:25I'll see you tomorrow.
43:27How you're here to be tomorrow!
43:29Hello and I'll see you tomorrow!
43:30Welcome home!