- 4 hours ago
Grey's Anatomy Season 22 Episode 15
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TVTranscript
00:01In order to be designated a level one trauma center, hospitals must meet a variety of requirements.
00:07Whoa, whoa, whoa, what are you doing? Get out of the way. I'm almost to the next level.
00:10I am cleaning up Katie's stuff.
00:11Does it have to be right now? I haven't played in days.
00:13Oh, I'm sorry. The dying patient got in the way of your video games.
00:18Hey, can you give this to Lucas?
00:21Give it to him yourself.
00:23They must maintain usable ORs within 15 minutes,
00:26employ a minimum number of certified specialists,
00:31and admit at least 1,200 trauma patients a year.
00:35Hospitals in big cities pass the test easily.
00:39But the farther away you get...
00:41Adams. What? This morning.
00:44I know Katie was a tough loss. I'm feeling it too.
00:50If you want me to find someone else for your assignment today...
00:52Yeah, I'm good. I'm good. I'm going.
00:55Hospitals are level two, three, even four.
00:57And sometimes all they can do is transfer people to get the care they need.
01:01And hope they hang on.
01:05We shouldn't be doing this. We have to stop.
01:08Uh-huh.
01:10Iris is back from vacation today. What if she walks in here?
01:13Why would an LNG nurse go into a CCU closet?
01:19I...
01:20Um...
01:22Listen, she doesn't deserve to be treated like this. I have to break it off.
01:27When are you going to talk to her?
01:28As soon as humanly possible.
01:31Alright?
01:32Uh...
01:33We were just looking for...
01:35Gauze!
01:36Yeah. I don't care.
01:41Oh, I actually do need to grab a Corvus kit. I'll see you around.
01:44Okay.
01:53I'm freezing my eggs. Still don't care.
01:57Oh, and I'm running, running.
02:00Oh, oh, and I'm running, running.
02:04Richard.
02:05Hey, are you going to change?
02:06We're hitting the road in half an hour.
02:08Well, I'm heading out, but not the email call.
02:11Why?
02:11Well, my schedule changed. Didn't you see my email?
02:14No.
02:14Well, I...
02:16I forgot to hit send.
02:18I told Cascade Hill I'd bring them four surgeons.
02:21Well, you will. I got you a backup.
02:24Oh, here she comes.
02:25Hey.
02:27Hey, hi.
02:29Oh, have fun, Arthur.
02:31Thanks.
02:32Listen, if you're too busy for this, I can just take the residence.
02:34Oh, Richard asked for a favor. I made time, but...
02:37I mean, if you don't want me to go, I...
02:39No, no, no. These patients need all the help they can get.
02:45I love field trips.
02:47Are you excited?
02:48Not really.
02:49Well, Dr. Hunt said last time he volunteered at Enumclaw,
02:51there was a guy that was crushed by a horse.
02:53Cool.
02:55If you're not interested in rural medicine, then why did you volunteer?
02:58Oh, I was looking for some peace.
03:00Be quiet.
03:02Adams!
03:03Hi. Are you coming too?
03:05No.
03:05Hey, I texted you about Katie.
03:08Is he okay?
03:10Clearly wouldn't know.
03:11Okay. Did you pack up all the supplies?
03:13Yes.
03:13All right, let's go.
03:14Oh, I made a playlist.
03:17I also brought earbuds.
03:19Great.
03:24Hi.
03:25Planning a vacation?
03:26If all goes well, we're gonna take a road trip, see some national parks.
03:31Oh, Yosemite is one of my favorite places on Earth.
03:34Let's see.
03:35I don't like nature.
03:37He's warming up to the idea.
03:40I'm gonna go get some food.
03:45They say God made teenagers so it's easier to let them go.
03:49Come on.
04:04So there's still no decision?
04:06I'll be following up right after this.
04:09Do they know that I'm a single dad?
04:11And if this treatment really could give me more time, that'd be life-changing for Logan.
04:16Unfortunately, they're only looking at the medical facts of the case.
04:19Let me worry about the FDA.
04:21In the meantime, Dr. Kwan?
04:22I'll run pre-op labs for the scent.
04:23Good.
04:32Okay.
04:33All right.
04:35Here we are.
04:36Dr. Hunt.
04:37So good to see you.
04:38Dr. Brader.
04:39Come here.
04:40Oh.
04:41This is Dr. Altman, Dr. Griffith, Dr. Spencer.
04:44This is Dr. Lorna Brader.
04:45She is in family medicine.
04:47And OB, orthopedic, pediatric, geriatric, basically anything that comes in those doors.
04:52Keeps things exciting around here.
04:55Why don't you put us to work?
04:57Absolutely.
04:58We've got a headlock in bed three, abscess in bed two.
05:00Everything should be easy to find, but Dr. Hunt knows his way around.
05:03I can take the headlock.
05:05Yeah, I'm on it.
05:07Okay.
05:08All right.
05:08Well, we've got some supplies in the band.
05:10I'll go get them.
05:10You are a literal lifesaver.
05:12Huh.
05:12Oh, hang on.
05:13Hold on.
05:14The supplies incoming rig.
05:15Let's go.
05:16May not be a big city, but there is rarely a dull moment.
05:23June Rojas, 23.
05:24Fell while rafting the Green River.
05:26Trauma to the left arm.
05:27Where's Keaton?
05:27Title stable.
05:28Where's Keaton?
05:30Redress the injury at the scene.
05:31You want to take the lead?
05:32See what it's like to be in charge here?
05:33June, I'm Dr. Hunt.
05:34This is Dr. Brader.
05:35I'm Dr. Altman.
05:36We're going to take care of your arm, okay?
05:38Have they found him?
05:38Who's him?
05:39Boyfriend.
05:39He's not my boyfriend.
05:41He's my soulmate.
05:42Search and rescues looking now.
05:43Keaton has to be alive.
05:45I have to find him.
05:46Take me back out there.
05:47June, they're doing everything they can to find him, but I'm worried about your arm, okay?
05:50We're going to get you inside and clean you up, all right?
05:52Accomplished Trauma Surgeon with Bedside Manor, like I said, perfect match for Cascade Hill.
05:57Are you?
05:58Were you offered a job here?
06:11There's a range of symptoms and sometimes there aren't symptoms at all.
06:16That's why getting screened is important.
06:18Dr. Adams?
06:20I got a colonoscopy last year.
06:22Yeah, those don't detect prostate cancer.
06:24Prostate cancer screenings typically start with a physical exam or a blood test.
06:30But good for you on a colonoscopy.
06:31You want to keep that up?
06:32I'll take one of those for my dad.
06:34I'll take two.
06:35Black men are more likely to get it at a younger age.
06:37I want to ask your doctor when you turn around 40.
06:40Any other questions?
06:41What if I just don't want to know?
06:45Well, that's your prerogative, but it's very treatable if it's caught early.
06:48Oh, excuse me.
06:50Um, Adams.
06:52Um, where do you think you're going?
06:54Um, we've talked to everybody, so I was going to grab a coffee next door.
06:59Not quite everyone.
07:00I think my, uh, Barbara Jones would benefit from some conversation.
07:08No, no, no, no, we have an agreement.
07:10Okay?
07:11Gives me a clean shave and I keep my mouth shut about medicine, you know, church and state.
07:18Fine, I'll give it to him.
07:20No, no, wait, that's not going to do anything.
07:21You got to find an opening to talk to him.
07:24You do remember how to talk, right?
07:41Did you put in Mr. Sacks pre-op orders?
07:43I did.
07:44Okay, maybe I should go review them.
07:46Do you know that cows hate bad weather?
07:50They'll run away from it until they get tired and then the storm catches up with them?
07:53Why do you know this?
07:54But buffalo are brave.
07:55There's more.
07:56They run right into the storm so they get through it faster.
07:59I'm a cow in this analogy?
08:00Hmm.
08:01Dr. Ndubu run into the storm.
08:03Hey, welcome back.
08:05Thanks.
08:05Good to be back.
08:06Yeah, um, do you have a minute?
08:09Can we talk?
08:11Sure.
08:11Happy birthday, Iris.
08:14Happy birthday, Iris.
08:14You guys are so sweet.
08:15Here you go, birthday girl.
08:17Who planned this?
08:18Come here.
08:20Hi, you guys.
08:24Have a good day.
08:25See you later, Iris.
08:27So, what was it that you wanted to talk about?
08:31Happy birthday.
08:34Yeah.
08:36Uh-huh.
08:39It's like flour or molten salt.
08:43Except it took years and millions to make. Stop touching it.
08:46Okay.
08:48Okay.
08:48So, we add a liquid dilutant and then deliver percutaneously as close as we can to the tumor.
09:01There we go.
09:08Well, damn near perfect.
09:11Can I try?
09:12Yeah.
09:14So, after injection, it'll form a gel.
09:17A tiny blob training an army of immune cells to attack the tumor without chemo side effects.
09:24Well, it's like a secret lymph node.
09:27Or a spy node?
09:30The rebel base on Yavin 4.
09:33They trained to destroy the Death Star.
09:35So, we're Jedi's.
09:38The rebel alliance.
09:39Have I taught you nothing?
09:40Yeah.
09:41Let me see.
09:42My life could have been very different if this was around when my mom was sick.
09:46You and a lot of people.
09:47Well, let's not get ahead of ourselves.
09:49Still in the testing phase.
09:51Nice approach.
09:54Okay, go prep Quinn.
10:06Hey.
10:07Hey.
10:09Do you know if Lucas has any food allergies?
10:12Lucas Adams?
10:13Yeah, I want to order him some cookies.
10:15Cookies?
10:16Or maybe donuts are better.
10:18I'm just trying to be nice.
10:20Yeah, I was nice to him.
10:21You know what he got me?
10:22Hospice in my living room.
10:23And blame for something that wasn't my fault.
10:25I don't have to get the cookies.
10:27Everyone says your co-residents are your support system and they'll look out for you.
10:30You know who's actually looking out for you.
10:32Attendings?
10:33You.
10:33That's it.
10:34Sooner you figure that out, better off you'll be.
10:37Ah, stop, please.
10:39It hurts.
10:40I know, but we need to remove the dressing to check the wound.
10:44Ah, no.
10:45I'm sorry.
10:45I can't.
10:46It looks like it's adhered to our arm.
10:47We're going to give you some meds.
10:48And we're going to wet the gauze with saline and try again, okay?
10:53We shouldn't have tried Clasper Rapids on our own.
10:56We were halfway down before we capsized.
10:59I grabbed a branch, but Keaton...
11:00I'm so sorry.
11:05When we left this morning, I never thought by the end of the day he would be gone.
11:11We don't know anything yet.
11:13Let's just take it one step at a time, okay?
11:18We were called for a consult?
11:21This is Patricia Kim.
11:23She's transferred from OB post C-section for spontaneous pneumothorax.
11:27She has a persistent air leak in her chest tube.
11:29Your name's Iris, right?
11:31Is that your birthday cake in the third floor break room?
11:34That's me.
11:35Love Funfetti.
11:36Happy birthday.
11:37Thanks.
11:38What are you doing to celebrate?
11:41I'm going out tonight with a few friends.
11:43And, um, this guy that I'm seeing.
11:46The guy you're seeing?
11:47How nice.
11:48Assuming no one needs a triple bypass later.
11:51He's a cardiothoracic surgeon.
11:55Sounds like a keeper.
11:56Can you set up for bedside talc pleuridesis?
12:01And...
12:02Paige, Dr. Ndugu.
12:04Come on, you'll bring your board.
12:07We'll stop at all the best skate parks.
12:10I'll just make the trip take longer.
12:20Did you hear back?
12:23They said no.
12:24They did, Quinn. I'm so sorry.
12:27Did they give a reason?
12:28No.
12:29They usually don't.
12:30So what now?
12:31Uh, we will place the stent as planned and then back to the drawing board.
12:37Will I have to start chemo again?
12:38That'll be up to your oncologist.
12:42There's other innovations in the pipeline and we will look into every single one of them.
12:50See?
12:51It'll be okay.
12:55I'll take them upstairs for the stent.
13:04Dr. Caspert, the PACU. Dr. Pamian Caspert, the PACU.
13:08How's your pain?
13:09Any more meds?
13:11I'm okay.
13:12Nothing compares to the pain in my heart.
13:14Chest pain?
13:15If Keaton's not in my life, it's not worth saving.
13:18Well, we're going to try anyway.
13:20Oh.
13:21Well, okay.
13:22I think she has pulsatile bleeding.
13:23The radial artery is partially transected.
13:26Let's check collateral circulation.
13:29The ulnar's not going to be enough.
13:31We're going to have to repair it.
13:32Okay, I'm going to place a tourniquet.
13:33Let's hang a liter of LR.
13:34Dr. Hunt, we could use your help over here.
13:36Griffith and Spencer, take over here now, please.
13:38Hey, I got a male.
13:39Found him in the Green River.
13:40He's got multiple lacs and abrasions with severe chemosis on the left abdominal wall.
13:44Airways secure.
13:44GCS is 15 and I got a body temp of 96.7.
13:47We put every blanket we had on him on my count.
13:49Ready?
13:50One, two, three, go.
13:52All right, let me get in there.
13:54Okay, we're going to check you out, Mr. Keaton.
13:56Uh, Keaton.
13:58Keaton?
13:58Keaton?
13:59Hey, whoa.
14:00Oh, my God, you're alive.
14:01No, thanks to you.
14:02You let go of my hand, you crazy bitch.
14:04That's not what happened.
14:05Hey, you're going to pull out your IV.
14:07Please calm down.
14:07He has it wrong.
14:08He needs to know.
14:08Just keep her the hell away from me.
14:10Stay down.
14:11No.
14:13You were right.
14:13Never was all moments.
14:20Um, Phillip's head.
14:23Phillip's head.
14:24Phillip.
14:25I got it.
14:26Is this like what you do at the hospital?
14:28I'm a surgeon, so usually I would be the one using the tools.
14:31Don't even think about that.
14:32No one operates on this chair but me.
14:35I'm just here for prostate cancer.
14:37Uh-huh.
14:38Thanks, Rich.
14:43You know, Richard is a good man.
14:45I was happy to volunteer my shop and he's going to help a lot of people.
14:51Yeah.
14:52Uh, yeah.
14:54Hey, so have you ever had a prostate exam?
14:58I beg your pardon?
14:59I mean, I could, uh, set up an appointment.
15:02We could.
15:02Save it.
15:03Can you at least read the pamphlet?
15:05No.
15:06And tell Richard I'm not interested.
15:10Well, I know he put you up to this.
15:13You're the boss.
15:15He's not interested.
15:16I knew that.
15:17You gotta keep trying.
15:18Well, I've been trying all morning.
15:25Pupils equal and reactive.
15:27Everything just happened so fast.
15:29Well, I had a lot of time to replay it in my head while I was drowning in the freezing
15:32-ass
15:32Green River.
15:33Second IV's in.
15:33Let's push warm fluids and four milligrams of morphine.
15:36One large contusion on the left chest and one on the right arm.
15:38He needs x-rays and a fast exam.
15:40You know how much I love you.
15:41You decided to let go of me, okay?
15:43I saw it.
15:44And since you didn't die, you're dead to me.
15:46You don't mean that.
15:47Keaton!
15:48Try not to move.
15:49Okay, there's free fluid around the spleen.
15:51We gotta get her out of here.
15:51Baby keeps dropping.
15:52Let's push more fluids.
15:53Dr. Brader, do you have a procedure room we could use?
15:55Get down the hall on your right.
15:57Let's go.
15:57No! I wanna stay!
15:59They'll bring you back after they wash your arm out.
16:01We need to evacuate until a level one trauma center ASAP.
16:03He is not stable.
16:04We'll keep pushing fluids.
16:05Hopefully that'll tighten over until we get the blood.
16:07Spoken like a rural hospital doctor.
16:08I'll call in the transport order.
16:10I'll get him prepped.
16:16How'd it go?
16:18The stent's in place.
16:20So your biliary stenosis symptoms should improve.
16:24If you're looking for Logan, I saw him chatting up a volunteer at the nurse's station.
16:31He's a good kid.
16:32He's going through a lot.
16:34His mother left when he was nine months old.
16:36It's been just the two of us ever since.
16:39My dad and I took a National Parks trip the summer before I went off to college.
16:44When I wanted to go, I was so annoyed that he woke me up at dawn to go fly fish
16:49in creeks that were cold as hell.
16:51But now, I cherish those memories.
16:55It was our last hurrah before I became my own person.
17:01I wanted that for Logan.
17:04There are other drugs you haven't tried.
17:06And we're still looking for other compassionate care and clinical trial options.
17:11What are the odds that Dr. Bailey finds something?
17:14You only need one.
17:18You okay?
17:20Yeah.
17:21I'm just a little dizzy.
17:22Your white counts are pretty high.
17:24You have a fever, man?
17:26Yeah.
17:28Okay.
17:28Any pain?
17:29A little bit up here.
17:33I'm getting blood cultures and taking you up your scans.
17:38Hey, how's it going in here?
17:40We've clamped the chest tube and we are ready to start chemical pleuridesis.
17:45Okay.
17:46Sorry to interrupt.
17:47I have the patient's personal belongings.
17:49Yeah, please.
17:50By all means.
17:53The talc should help sclerose the pleural cavity to seal the air leak.
17:59Dr. Nduku, did you know that it's Iris' birthday?
18:03I did.
18:03Mm-hmm.
18:05She is having dinner tonight with her friends and the guy that she's seeing.
18:08I mean, you must know him.
18:10He's a cardiothoracic surgeon?
18:12Uh-huh.
18:14Where are you going for the big celebration?
18:16I'm going to a sushi place near my apartment.
18:19They have killer omakase.
18:20You know what separates good omakase from bad?
18:23Decisiveness.
18:25You know, actually, the best omakase is about the right timing and order of the food.
18:31That is why I had cake before lunch.
18:36I admire your conviction, Maid.
18:38You said that you were going to eat cake.
18:40So you ate cake.
18:42All done here.
18:43Enjoy your dinner.
18:44Okay.
18:45Thanks.
18:45I will.
18:47Dr. Michelle Ward to L&D.
18:54Whatever this is, he didn't need it.
18:56He's getting sicker.
18:57He's not going to be able to tolerate more chemo.
18:59Well, we have to try.
19:01He wants to try.
19:04What is the point of all our training if some losers in an office building can tell us what's best
19:10for our patients?
19:11People who don't even know him, do they care at all?
19:14Yes, they do.
19:16How can you say that?
19:17You see what's happening.
19:19Katie Rogers died in my living room.
19:21Look, those losers are career public servants.
19:25People who show up at the office every day, regardless of who's leading the charge.
19:30They show up because they care.
19:32I have to believe that.
19:34I've seen it.
19:35And it's good that they don't know Quinn because they can be objective.
19:37Look, you cannot put a treatment with an unknown toxicity profile into someone just because they're dying anyway.
19:45That is not medicine.
19:46That is experimentation.
19:48But it already worked on some other patients.
19:50It could buy him some time.
19:52Or it could make things worse.
19:55Four years of schooling does not make you a god.
19:58We need guardrails.
20:00Just like everybody else.
20:02Oh.
20:04This biliary tree still distended with an obstruction.
20:07He has ascending cholangitis.
20:10Ah.
20:12Okay, let's prep for a percutaneous cholangiogram with a dream.
20:17Yeah.
20:25Hey, hey, hey.
20:26It's her birthday.
20:27So I heard.
20:30What do you want me to do?
20:31I want you to break up with her.
20:33Okay, I hate upsetting people.
20:35Oh, my God.
20:35Once at Joe's, I found a fingernail and my onion rings, and I didn't want to tell the server, so
20:40I ate around it.
20:41And it wasn't even that guy's birthday.
20:42Okay, some stories don't need to be told.
20:45Yeah, I just don't want to be a jerk.
20:46Okay, well, the jerky thing is to let Iris think that everything is fine when you have one foot out
20:50the door and your mouth on my mouth.
20:52Yeah, I agree.
20:53I'll do it tomorrow.
20:55Alright, you can do whatever you want.
20:59I'm just...
21:01I'm just frustrated.
21:03After months of wanting this,
21:09I can't.
21:12Not on your girlfriend's birthday.
21:25How's he doing?
21:26He's holding up.
21:27Good.
21:28Middle effects on root.
21:29Okay.
21:30His repeat H&H dropped by two points.
21:34Oh, and what are you doing here?
21:36I'm helping the community that needs it.
21:38That's not what I meant.
21:41Listen, I haven't made any decisions yet.
21:44This hospital shuttered their ORs three years ago.
21:47Because the bean counter decided that it made financial sense.
21:50People didn't stop needing surgery.
21:52They want me to start a regional surgical program, rotate in specialist, so that folks can get the care they
21:57need closer to home.
21:59You're a trauma surgeon at a level one trauma center.
22:02And I get to build this program from the ground up.
22:06He's about to code.
22:07Let's bag him.
22:07We're gonna need an intubation kit.
22:11Alright, here we go.
22:12You got it?
22:13Yep.
22:19So, who else needs one of these?
22:21Been gone for a while.
22:26Yeah, I just, I just needed some here.
22:31You know, I've known Jones longer than I have my wife.
22:33I'd really appreciate it if you tried again.
22:36He obviously doesn't want to talk.
22:37Yeah, but that doesn't mean he doesn't want to listen.
22:39And I know he's well overdue for screening.
22:41I thought that doctors weren't supposed to pressure their patients.
22:44Well, I just want to make sure he understands the risks and the benefits.
22:47With all due respect, sir, I was told I'll just be handing out flyers when I volunteered for this.
22:57I, I think you need to go back to the hospital.
22:59Because I don't want a strong arm one man.
23:01Look, I'm trying to save lives.
23:02I don't need another doctor getting in the way.
23:04Look, I understand that it's important.
23:06And not like I do.
23:07Well, I studied the same facts.
23:09I know the same risk factors, the screening process.
23:11But you haven't lived it.
23:16I'm so sorry.
23:17I, I, I didn't know.
23:22You should go back to Grey's Sloan.
23:24I'm sure they could use you there.
23:25Are you sure? I can, I can stay.
23:26No, I, I've got this covered.
23:28You go ahead.
23:50I can't see the cords.
23:52You want some cricoid pressure?
23:53Wouldn't hurt.
23:57All right, I'm in.
23:58Okay.
24:03Bilateral breath sounds.
24:04His spleen is bleeding out.
24:05That's the most likely explanation.
24:06If he's down to 75.
24:08Okay.
24:08How far is the medevac?
24:09I don't know.
24:10If there's heavy fog it could take long.
24:11He can't wait.
24:12His spleen needs to come out right now.
24:14We're going to need one of those old oars.
24:19Does she need a plastics consult?
24:22Nope.
24:23Even with tissue coverage, she'll have bad scarring.
24:25We'll do our best to prevent that.
24:27Brand me.
24:28I deserve a scar.
24:29I was slipping and I let go of my boyfriend to grab another branch.
24:31If that's how you let him go, that's gut instincts or reflex.
24:35Lizard brain.
24:36Darwin.
24:36What did he expect you to do?
24:38Sacrifice yourself so you both died?
24:40No.
24:40You did the right thing.
24:41If he can't see that, you were never meant to be.
24:47The tourniquet's been applied for too long.
24:48It's cutting off her blood supply.
24:50Am I losing my arm?
24:50No, no.
24:51But the artery going to your hand is compromised and we need to repair it right now.
24:54Spencer gets 6-0 proline and a castro.
24:56Um, sure.
24:57Any idea where?
25:01I was gonna look for her, but shouldn't we get an attending?
25:03June is our patient and she needs a simple primary repair.
25:06And if we don't do it now, she could lose her hand.
25:08Do you want that?
25:09No.
25:10Then get it together and help me.
25:18Hey.
25:19I've been looking for you.
25:21You did it.
25:22Way to go.
25:24Hey!
25:25You can't do that.
25:26Look, I just need your attention for 60 seconds.
25:31What's wrong?
25:32The stent didn't work.
25:34Your dad's developed an infection called ascending cholangitis.
25:37And the only way to clear it is to place a drain to remove the bio buildup in the liver.
25:42Okay.
25:42And then he'll feel better after that?
25:49I've been in your shoes.
25:50You know, when you're in and out of the hospital so many times with someone, it feels like the doctors
25:56are saying the same thing over and over again.
25:59It's impossible to tell if it's really serious or just more of the same.
26:06But this time it's different, Logan.
26:11Your dad probably only has a few weeks to live.
26:15He came in really, really sick.
26:18And he's not getting better.
26:22So if I were you, I'd do everything in my power to spend as much time with him as you
26:29can.
26:46It's been a minute.
26:48Yeah.
26:50Want a little oil on your scalp?
26:51Coconut?
26:52Got it.
26:56I think my nephew took care of you the last time.
27:00Yeah, he sure did.
27:02Look, I know it's been a minute since I've been to see you.
27:05Well, I thought you had left for another shop.
27:08Yeah.
27:09Well, actually, I was home for a while.
27:13I had surgery for prostate cancer.
27:19I'm sorry I didn't know.
27:23Are you doing chemo?
27:24Yeah, it was an option.
27:25But I elected to have my prostate removed.
27:28I was nervous, but I did it.
27:31I have no regrets.
27:33Cancer free.
27:35And I feel great.
27:38Oh, Richard.
27:39No.
27:40Get the screening, Jones.
27:42I'm not saying this as a doctor.
27:45But as a survivor.
27:48And as your friend.
27:51If it means that much.
27:53It does.
27:55All right.
27:55Sit back.
27:56And let me fix what my nephew did to you, cousin.
27:58You're holding up my schedule.
28:04Hey, can I gut check something with you?
28:06It's a guy thing.
28:07No.
28:08Okay, so say you had a favorite sandwich shop.
28:10And you go and get a sandwich there every day.
28:12And then you find a salad spot.
28:13Okay, I'm not going to do the whole complicated analogies.
28:15Can you just say and do?
28:17Shh.
28:18Okay.
28:20Fine.
28:21He...
28:23He said he was going to break up with this nurse that he was dating.
28:25And he didn't do it.
28:28Okay, he's not into you.
28:30Okay, at least not enough to go through the trouble of breaking up with somebody else.
28:37What is happening?
28:38I'm on these hormones for freezing my eggs.
28:41You have to be gentle with me.
28:43Okay, you should have opened with that.
28:44It's her birthday.
28:45Does that change anything?
28:47Have you cried like this in front of him?
28:48I don't know.
28:49Definitely don't.
28:53It's still going to be all right, right?
28:56Maybe.
28:57But if he doesn't keep his promise to you, then he's just a spineless wimp.
29:01Ugh, he's not a bad person.
29:02Well, he's got you crying like a teenager, so agree to disagree.
29:05I said, be gentle.
29:19I know it was my idea to start a surgical program here, but I did not mean today.
29:23Have you seen any other options?
29:25Do you even have the right instruments?
29:26You got a chest tube tray.
29:27An 11 blade isn't usually my go-to for an X lab, but I've operated with less.
29:31I hope no one gives birth today.
29:33We stole every towel and drape from the OB ward.
29:36What about retraction?
29:37Uh, specialty from our military days.
29:39They're not deavers, but it works.
29:42Systolic is down to 70.
29:43Okay, Dr. Breder.
29:47Do it.
29:53I couldn't do that without loops.
29:54I've been wearing glasses since I was two.
29:57Everyone in my family has perfect vision, but my pupils are just gonna-
30:01Focus.
30:04Unclamp the artery.
30:07Three.
30:11No leaks.
30:12We did it.
30:13Of course we did.
30:15I'm going to live?
30:16Yes, and do you remember why?
30:18Because I looked out for myself?
30:19That's right.
30:20You did what you had to do to survive.
30:22Don't let anyone make you feel guilty for it.
30:24I know.
30:25And maybe you're right.
30:26Maybe you were never meant to be.
30:28I just don't want him to hate me.
30:31Where do we go?
30:34When it all turns gray.
30:37My drain is in.
30:40Send the samples for culture and sensitivities.
30:47I spoke with Dr. Kuby.
30:49She's going to start Quinn on third-line chemo once the infection clears.
30:55Does she think it might work?
30:56She thinks it's worth trying.
30:57Her son hasn't even graduated high school.
31:01Are you sure we shouldn't inject a synthetic lymph node?
31:04It would be against the law to use an unapproved treatment without FDA permission.
31:10Okay, but the thing works.
31:1180% of patients have tumor shrinkage six months after getting it.
31:15Those are anecdotal results based on ten patients.
31:18We have no idea if it would work for him.
31:21We could just be giving his body something new to tolerate when he's already septic.
31:26All right, I have a hernia repair to get to secure the drain and bring him back to his room.
31:31We'll image in 24 to 48 hours to make sure the drain worked.
31:35Okay, I'll let you know when the cultures are back.
31:37Okay.
31:38Okay, fixation device.
31:49All right, it looks like a stage four sick leg.
31:52Damn it, I'm gonna need more towels.
31:53Yeah, I got you.
31:55You two really have this down.
31:56I didn't realize you were also a veteran.
31:59She was chief at MedCom in Landstuhl, Germany.
32:02Don't let the fancy titles fool you.
32:04I also did tours in Afghanistan and Iraq.
32:06Isn't that where you were stationed?
32:08That's where we met.
32:10Oh, you better work fast.
32:12Oh, there's too much blood.
32:13I can't visualize the pedicle.
32:14All right, let me try something.
32:15Yeah.
32:19Yeah, I got it.
32:20All right, follow with your hand.
32:21Okay.
32:25Got it.
32:26Clamp.
32:28Another.
32:31Scissors.
32:32All right, cool.
32:32Times two.
32:33Okay, when I'm done with this, I'm gonna need sterile towels for the temporary closure.
32:38BP is holding steady and pulse is stabilizing.
32:43I cannot believe you pulled this off.
32:47Well, you both just made my case for starting a surgical rotation here.
32:59Oh, okay.
33:01Well, the helicopter pickup isn't too far.
33:03He's gonna be fine.
33:05Are you sure you're okay driving the transport van back?
33:09Yeah, as long as Spencer keeps her playlist to herself.
33:12And Griffith did an excellent repair on June's arm.
33:15Yeah.
33:15I'll set up an outpatient follow-up with plastics.
33:17Thanks.
33:20Oh.
33:21Oh, hey.
33:22Sorry, we couldn't get some more patients, but I'll come back next week.
33:25No need to apologize, but I will look forward to seeing you again.
33:30Yeah.
33:31Okay, I'll keep you updated on his status.
33:35Great.
33:36Drive sync.
33:37Yep.
33:39You're very lucky to have him, but I really hope he leaves you.
33:48Maybe I shouldn't be so bold about poaching him from your hospital, but you just seem like someone who loves
33:53a challenge as much as he does, and you two clearly have history.
33:56If you put a good word in for us here, I'd appreciate it.
34:02Owen's gonna make up his own mind.
34:05Good luck filling the position.
34:16Hey, how'd it go today?
34:18I showed Chester Jones how to message his PCP from his portal.
34:22I'm not quite sure what to think of that.
34:25It's one of the best days I've had in a while.
34:27Oh.
34:28Maybe I saved some lives and I didn't have to cut anyone open.
34:30Oh, that sounds like a good day.
34:32I saw Adams came back early.
34:34Eh, he wasn't in the right head space for community outreach.
34:37Oh, I'm so sorry.
34:39It wasn't helpful.
34:40Well, actually, he was.
34:42Until today, I was hesitant to tell my own story, but he reminded me that sometimes people need to hear
34:47from other patients just as much as doctors.
34:50Huh.
34:51Yeah.
34:53Well, I'm glad everything worked out.
34:56Wish I could convince him to get a haircut.
35:05Hey.
35:07Where's your dad?
35:08Uh, Dr. Bailey told the nurses to take him for a scan.
35:11What kind of scan?
35:12I don't know.
35:13I meant, did something happen?
35:15I don't think so.
35:17Oh.
35:19Wait.
35:20Do you think it's bad?
35:21No, no, no.
35:22I think it's fine.
35:30Oh, good.
35:31You're still here.
35:31I have something for you.
35:40What is this?
35:41A few of Katie's things her mom didn't take.
35:43Just thought you might want them.
35:55You can't hit me forever.
35:56Don't be so sure.
35:58Lucas, I'm sorry for your loss.
36:00I...
36:01She was your friend.
36:02I could have been more sensitive to that.
36:03I want a relief.
36:04I feel so much better now.
36:07I know you're grieving.
36:08You're looking for explanations and saying things you might not mean.
36:11Who says I don't mean it?
36:16Leave me alone.
36:23Come on.
36:25Come on.
36:30Hey, I thought you were going to wait 24 to 48 hours for Quinn's MRCP.
36:34That is the protocol.
36:36But, you know, he's been through so much.
36:38I figured if the drain's not working, better to know now.
36:43Yeah.
36:43How's it looking?
36:44Yeah.
36:45The bile's moving.
36:46Hmm.
36:47Hopefully the antibiotic will cool off the cholangitis.
36:51I think we did it.
36:54Great.
36:54Um, so while I have you here, can I ask you about Mr. Elmer's labs?
36:59Wait, do you see that?
37:01There's a fluid collection.
37:04Huh?
37:04Adjacent to the tumor.
37:06What?
37:06Uh, okay, is it blood or bile leak?
37:11It's not contiguous with the biliary tree.
37:15Uh, oh, I don't like what I'm seeing.
37:19Cause he could be bleeding from this tumor.
37:20All right, we need a repeat H&H and coags and set up an ultrasound.
37:26It's hydrogel.
37:35And how did it get there?
37:37I injected it after you left.
37:40It is his best option.
37:42It was just sitting there in the hospital.
37:44It's his best option for you to commit a crime on my patient in my OR.
37:50Okay, no one has to know.
37:53When has to know?
37:54You can't put an experimental treatment in someone's body and not tell them.
37:58Oh.
38:04Okay.
38:05Okay.
38:05I can tell him.
38:07No, sir.
38:08You have done enough.
38:19Okay.
38:21No.
38:24I can't.
38:26Oh.
38:27Oh.
38:29Oh.
38:30Oh.
38:39hey can we talk
38:43iris is a really nice person she doesn't serve to have her birthday ruined just because i'm
38:47impatient the fact that you care is part of what i like about you so if you want to wait
38:52until
38:52tomorrow it's it's fine but if you're having second thoughts about us you just please tell me
38:58i ended it you were right she deserved the truth even on her birthday
39:08how did she take it it uh well i should stay off the labor and delivery floor for a while
39:17but i'm single oh and i want to take you out and then i want to take you home
39:27oh no i'm freezing my eggs okay i can't have sex because it could cause ovarian torsion which is
39:35you know when the ovaries i know what it is so i probably shouldn't go home with you
39:42let's just do a movie and chill
39:45i mean watch an actual movie and actually chill
39:50i'd like that no matter how remote you are or isolated you feel
39:56there's hope and help is usually closer than you think
40:10it's been a day and i need a drink and i'm just sitting here so i don't have to sit
40:15next to that
40:16guy
40:19you know what that's a lie i'm just sitting here because i want to sit here
40:22and if you don't like it you can move it's not always easy to ask
40:46but with a little courage if you look you'll find what you need thank you for coming out with us
40:54oh yeah yeah it was uh
40:58it was a good day
40:59yeah well we removed a spleen with a chest you can
41:04i have done a lot of crazy things in my career especially with you but
41:09this was this was up there
41:14you're gonna take that job
41:19i turned it down
41:20you know it was nice to think about but the timing's not right
41:24oh thank god i thought you were gonna leave me
41:26i mean you know if if you had taken that job i would have had to find a new chief
41:33of trauma
41:34and hire them and train them and just start over
41:39yeah that would have been a hassle
41:42your family
41:42your friends
41:44your community
41:45i am gonna go there once a month though
41:48just to help out
41:49yeah
41:51we'll figure something out
41:55lifting you up
42:03you
42:08you
42:09you
42:09you
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