- 7 hours ago
Greys Anatomy S22E16 SYNCOPY
Category
đŸ“º
TVTranscript
00:04Before the 20th century, drug safety studies were not required.
00:11Wait, did you come straight from the airport?
00:14How was your flight and how's your brother?
00:16I'm sorry, I'm super tired. Can we talk later?
00:19Yeah.
00:24I thought you said you were tired.
00:26Yeah? Too tired to talk.
00:29Uh-huh.
00:31Uh-huh.
00:33Narcotics were sold over the counter.
00:35Teething babies were given serums laced with morphine.
00:37A medicine for strep was made with antifreeze.
00:40Do you think that we should clean up in case your aunt comes home?
00:44Don't worry about it.
00:48I'm a little worried about it.
00:51Are you having a good time?
00:52Yeah.
00:53Yeah.
00:57So don't stress.
00:58No one was responsible for distinguishing between medicine that healed and medicine that harmed.
01:05If I'm with mom, okay? And I love you.
01:07Come here.
01:07I love you. Bye, daddy.
01:09Yeah.
01:11Um, this is in the fridge and laundry's in the dryer.
01:14Thanks.
01:15We'll call you in the morning.
01:16I want that one.
01:18Okay.
01:22Look, mommy.
01:24Right where you have gone.
01:25No one studied side effects or adverse reactions.
01:31Twins are fed, changed, and asleep.
01:35Did you sing them Twinkle Twinkle again?
01:37Highway to hell.
01:38Whatever works.
01:40Thank you for doing that.
01:41You need your rest before your first official day back.
01:47Are you excited?
01:49I am.
01:50Yeah, I mean, it's a lot right now with the kids studying for exams and being a fifth year,
01:55but it's only a few more months, and I got this.
01:59You're like Wonder Woman.
02:01Can Wonder Woman deliver a baby in under 60 seconds?
02:05Oh, damn.
02:06Oh, no.
02:06Forget one woman.
02:09Dr. Joe Wilson.
02:11Uh-huh.
02:11Uh-huh.
02:12No, no, no, no, no, no, no, no.
02:14All you could do is roll the dice.
02:16You were like this.
02:18Thanks again for letting me crash at your place.
02:21Thank you for, um, you know.
02:26I would offer to host tonight, but my nephew slash roommate is partying and sleeping his way through the intern
02:33class.
02:34That's great.
02:37Is everything okay?
02:39Uh, my, uh, ex wants to get lunch.
02:44That doesn't sound so bad.
02:48The last time this happened, she tried to stop me from signing divorce papers.
02:53Uh, she wanted to stay together?
02:55She didn't really want it to be her fault.
02:58It, um, it got messy at the end.
03:01Well, you don't have to get lunch.
03:02You can just say no.
03:03I'm overreacting.
03:04She probably just wants to convince me to send Zach to summer camp or something.
03:07It'll be fine.
03:08Uh, I'll find you later.
03:32Good morning.
03:38Are there security cameras in here?
03:40I don't think so.
03:45Yeah, okay, no kissing in the elevator?
03:48Probably shouldn't be kissing anywhere in the hospital.
03:50What about on-call rooms?
03:52On-call rooms are fine.
03:53We block the door and stagger our entrances and exits.
03:56Yeah, I'd say no flirting in public.
03:58And when I'm on your service, we should be three feet apart and no eye contact.
04:01Won't that be a little weird?
04:02They have professional amount of eye contact.
04:05Okay.
04:06Yeah.
04:06Okay.
04:07Okay.
04:08Um, Dr. Ndugu, I will get on pulling Mr. Azeb's chest tube.
04:12Thank you, Dr. Millen.
04:18Dr. Whiteway to 5-Less.
04:20Dr. Preston Whiteway to 5-Less.
04:23Don't even think about it.
04:25I was, um, I was just passing by.
04:28I wanted to see how he was doing.
04:29You don't go anywhere near patients.
04:32Especially Quinn.
04:33You don't even look in his general direction.
04:36I've already done a week of pre-ops.
04:39Isn't that enough?
04:40You injected a man with a treatment the FDA specifically said not to.
04:45So, no.
04:47What can I do to change that?
04:49You can do what I tell you.
04:52Okay.
04:53There are discharge summaries with your name written all over them.
04:57Go.
04:58Hey, um, when can I put him back on regular service?
05:01Well, I'd say so.
05:03Yeah, but we're stretched pretty thin.
05:04Oh, uh, well, let me help.
05:06Uh, here, I can, uh, discharge Quinn Durston myself.
05:11All right?
05:12So take that off your list.
05:13Uh, whatever you say.
05:16Dr. Burkhardt to ortho.
05:18Dr. Kim Burkhardt to ortho.
05:20Good morning, baby.
05:24Were you with my patient, Quinn?
05:26Well, I consulted on this case earlier this year.
05:28I thought I'd stop by and say hi.
05:30He was a nice guy.
05:31Yeah.
05:32Do you, um, want to fill me in on your secret?
05:37Secret?
05:38Well, judging by how his infection's healing, you worked some kind of miracle.
05:42Keep up the good work.
05:44Dr. Pica to the O.R.
05:46Dr. Pica to the O.R.
05:48And that's why Josepo Ortizia Dominguez is one of Mexico's unsung heroes of the revolution.
05:53Good morning, you two.
05:55Dr. Wilson, you're back.
05:56It's my first day back.
05:58Sorry for interrupting the history lecture.
06:00She's already got her daughter halfway to a Ph.D.
06:03Oh, she's a lucky girl to have two professors as parents.
06:06She's our first kid.
06:07I'll lower my expectations on the second or third.
06:09Let's get through this pregnancy first.
06:11So, you've got abdominal pain, nausea, vaginal bleeding.
06:15How long have you had the shortness of breath?
06:17Since yesterday.
06:18At first, I thought I might just be the pregnancy.
06:21Okay.
06:22May I?
06:25Okay.
06:26Okay.
06:27Okay.
06:28Okay.
06:33Is our baby okay?
06:35Based on your high blood pressure, I am concerned about preeclampsia.
06:40I'd like to get some more labs to be sure.
06:42Is that bad?
06:43Can you fix it?
06:43Should I be scared?
06:44It's okay to be scared.
06:46Just know that I will be by your side every step of the way.
06:50Whatever it is, we will handle it.
06:52Okay.
06:53I'll be back.
06:59Hey, can I ask you something?
07:01Mm-hmm.
07:01You and Owen are divorced.
07:03Do you get lunch?
07:05Not usually.
07:06He's divorced from you.
07:08Do you get lunch?
07:09No.
07:10Should I be worried about lunch?
07:12Dr. Shepard, paramedics called.
07:14They're bringing in a code stroke.
07:15Female, 75.
07:16Hold that thought.
07:17How far out?
07:18Unloading now.
07:18They picked her up around Lake Union, slurring her words.
07:20Okay.
07:21Notify CT.
07:21The patient is going to need a scan ASAP and make sure the endovascular lab is on standby.
07:26Okay.
07:27Oh, my God.
07:28Oh, my God.
07:3275-year-old female.
07:33Oh, she's been...
07:34Evelyn.
07:34You know her?
07:35Paige Owen Hunt.
07:36Is there a trauma injury?
07:37This is his mother.
07:39Oh, my God.
07:52Hey, Dr. Kwan.
07:53Hey.
07:54I was starting to think that you'd forgotten about us.
07:56No way.
07:57Uh, it's just been really busy.
07:59But I hear you're getting discharged.
08:01Yep.
08:02Uh, we're gonna go home, get some rest, and then hit the road.
08:05First stop, Glacier National Park.
08:08You talk Logan into the trip?
08:10He's actually the one that started planning it.
08:12I don't know what happened.
08:13After my surgery, he became a regular John Muir.
08:17We'll notice how long those glaciers will be there, right?
08:20Hey, Mr. Durston.
08:22Uh, Dr. Kwan, I thought you were supposed to be...
08:24No, I was just saying goodbye.
08:25Safe travels.
08:26Dr. Warren, his stats are at 93 on room air, and heart rate is trending to the low 100s.
08:31What does that mean?
08:31Could be nothing, but we can't discharge your dad until we check him out, so set up a chest
08:35x-ray and an EKG.
08:36It's just a few tests.
08:37We'll be out of here soon.
08:39Um, are you gonna go with him, Dr. Kwan?
08:43Of course.
08:44Yeah.
08:44Uh, I will update you as soon as we know anything.
08:47Cool.
08:50Tonya Orvis, 56, seven months post-heart transplant, and made it with shortness of breath and chest
08:56pain.
08:57It's always good to see you, but I'm sorry you're not feeling well.
09:00No, it's okay.
09:01I never feel well.
09:03Well, hopefully we can get this figured out and that'll change.
09:05Can you make me a healthy 25-year-old with big boobs and beachy waves?
09:10That's not technically my specialty.
09:12And I think this is just how I'm gonna feel.
09:14I'm running on a used engine.
09:15What'd you expect?
09:17It's kind of a miracle.
09:18I mean, I've never had a heart transplant, but I would think you'd feel better than before.
09:24You would think that.
09:26What's that supposed to mean?
09:27You're young, handsome.
09:30You have 15 years, some hair loss, and 20 cholesterol points.
09:34Uh, let's send for a prograph level, a CT, and an EKG, all right?
09:38We'll be back.
09:39Can't wait.
09:42She is charming, and you'll love her.
09:47Evelyn, it's Teddy.
09:48Owen's on his way down.
09:49Hang in there.
09:50Anything?
09:51DTR is two plus, and equal, bilaterally.
09:52It looks like you had a TIA, which is a mini stroke.
09:55I know what it means.
09:56I may be old, but I'm still a nurse.
10:00It's nice to see you, though, dear.
10:02How's that baby of yours?
10:03Five, and full of energy.
10:06I was kidding as fast as I could.
10:07Are you okay?
10:08Any pain or dizziness?
10:09Oh, Lord, I'm fine.
10:11Just call my regular doctor.
10:13No need to fuss.
10:14She's moving all her extremities.
10:16No more facial drooping or slurring.
10:18It's likely a TIA.
10:19Atrial fibrillation on her EKG.
10:20It's intermittent on the monitor.
10:22Have you had any heart palpitations or felt your heart racing?
10:24I don't think so.
10:25Okay, she needs a head CT, an echo, carotid duplexes,
10:28and she needs to be admitted.
10:30As in now.
10:31Owen, watch your tone.
10:33We've already ordered the CT and the echo.
10:36Once those are done, we'll go from there, okay?
10:37Tell radiology that she has a history of a triple A.
10:40She should be near the front of the line.
10:41They're waiting for her now.
10:46Dr. Melker, to P.
10:47Dr. Mandy Melker, to P.
10:51Oh, what's going on?
10:53I told you I would discharge Mr. Durston myself.
10:56Oncology needed the room, and his paperwork was in order.
10:58And I was just saying a quick goodbye, and then his sats dropped.
11:02Then you should have paged me.
11:03Were you taking him?
11:04Radiology.
11:05CT is waiting on us.
11:06Don't worry.
11:07They're doing a good job.
11:08That may be, but they have other things to do.
11:11I will take it from here.
11:14You're taking him to CT.
11:15Yeah, you said it yourself.
11:17We're stretched thin.
11:21You said elevated liver enzymes, low platelets, and high LDH?
11:25We don't speak doctor.
11:27Does that mean I have preeclampsia?
11:28Not exactly.
11:29Your lab results and physical exam indicate something related.
11:33Help syndrome.
11:34Oh, that sounds worse.
11:36It is a rare pregnancy complication of your blood and liver.
11:39So what do we do now?
11:40Give her medication?
11:42What is that?
11:43What's happening?
11:44Your baby is in distress.
11:46Let's get you on your side to see if that helps.
11:49Okay, ready?
11:51Okay, we need some help in here.
11:53Okay, Irene, change your plans.
11:55Best way to take care of you and your baby is to get you to the OR for a C
11:59-section.
12:00You're taking her now?
12:01I'm not, I'm not due for another six weeks.
12:03Your baby is 34 weeks.
12:05She should be just fine.
12:06We have an amazing NICU team, but we do need to get her out as soon as possible.
12:10Get off this.
12:14You have to make sure both of them are okay.
12:17Please, I'll do everything I can.
12:26Hey, I just did my first A-line without supervision, and the patient is still alive.
12:31Do you want to go out to dinner to celebrate?
12:34I mean, last night was so fun, and the night before that, and twice the night before that.
12:39But don't you ever get hungry?
12:42Sounds great.
12:45Uh, Bailey, I'll see you tonight.
12:53I thought you were sad.
12:55They found something to make them happy.
12:57Lock it up.
12:57Trust me, no judgment here.
12:59You know, like, Millen's having, like, a full-on affair with...
13:02Have you heard from your family?
13:03Is your brother doing better?
13:04I'd rather not get into it.
13:06Uh, that's the medical records office with another dumb question on another dumb discharge summary.
13:12Should I just throw in the towel?
13:14Become a mechanic?
13:15Yes.
13:17You don't even know what's going on.
13:18Just speaking from the heart.
13:29No, no, they just finished imaging her.
13:31No, just hold tight, okay?
13:33I gotta go.
13:36Megan, she's trying to decide if she needs to get on a plane.
13:39Does she need to get on a plane?
13:40Good news.
13:41Imaging was negative, so there's no active stroke.
13:43But we did see signs of bilateral carotid stenosis, which is not unusual due to her history.
13:48I'm gonna start her on anticoagulants to reduce risk of further strokes, and then we're just gonna keep a really
13:53close eye on her.
13:54She's in good spirits.
13:55I'll give you an update when she's settled in the room.
13:57Okay.
13:59I, uh, I can cancel my day to help you out with whatever you need.
14:02I mean, your mom, you...
14:04Yeah, you don't need to do that.
14:06Are you sure it is not a problem?
14:07Yeah, I have it under control.
14:11Okay.
14:12All right.
14:12Dr. Bush to the NICU.
14:14Dr. Justin Bush to the NICU.
14:19There she is.
14:20Cut the cord.
14:23Okay.
14:24Sweet girl.
14:26Okay.
14:27Any two more units of blood?
14:29I thought we called for backup.
14:31We did.
14:32Twice.
14:33But where the hell are they?
14:34More traction?
14:35Heard you needed hands.
14:36What do we have?
14:36Just delivered the baby via crash C-section.
14:39Looks like help based on her labs.
14:41The baby had prolonged bradycardia, so he had to deliver.
14:44Hell of a first day back.
14:45Uh, how much blood have you given?
14:47Three units.
14:48Any more lap pads?
14:50Send a tag.
14:51Are you gonna help me control the bleeding or not?
14:54Okay, take this.
14:56Suction.
14:57More lap pads.
14:59Okay.
15:00Okay.
15:00Okay.
15:03Okay.
15:11Hey, how was lunch?
15:13Hey, uh, fine.
15:14We talked.
15:15Actually, Celine did most of the talking, which is pretty difficult for her.
15:19About Zachary or...
15:21Um, I mean, you don't have to tell me.
15:24She's your co-parent.
15:24It is not my business.
15:26She wants to get back together.
15:27Oh.
15:28I didn't expect any of the words that came out of her mouth,
15:31and I was gonna wait and talk to you about it tonight,
15:33but I don't want to keep anything from you.
15:36Uh, well, are you...
15:39Do you want to get back together?
15:40No.
15:44I don't know.
15:46I don't think so.
15:49Can we go somewhere?
15:50Talk about this, not in the hallway.
15:52I don't know what there is to talk about.
15:54I've never met Celine, and I've never met Zachary.
15:57I mean, I don't even know how long you guys have been divorced.
15:59Nine months.
16:00That's not long.
16:03You know, and we haven't really defined this thing.
16:06Like, I really don't get the way in.
16:08I'm really good.
16:09I have this really important patient
16:11that I need to give all of my attention to right now,
16:13so I'm gonna focus on that.
16:16You just let me know what you decide.
16:17Decide.
16:26Hey.
16:26Hey, I said I had this under control.
16:29Yeah, and I heard you.
16:30I'm not here to help.
16:30I'm here on a wild goose chase.
16:33Novak Myers wants their hydrogel back
16:35since the FDA denied Quinn's request,
16:37but I can't find it, and no one knows where it is.
16:40Have you seen it?
16:41We have a floor full of patients,
16:43and you're looking for a vial?
16:45It's worth a half million dollars.
16:47Let it go.
16:48Our drug storage protocol should be airtight.
16:50You think this is an acceptable way to run a hospital?
16:52No, but look, we're busier than we've been all year,
16:56and you are our chief resident.
16:58You have to do triage,
17:00and if you do it right,
17:02wild goose chase will not make the cut.
17:05Copy that.
17:08Pulmonary embolism in the right lower lobe.
17:11Oh, no.
17:15Damn it.
17:17All right, let's get him on a heparin drip.
17:20He is not going home today.
17:25Still bleeding.
17:26How many units have we used?
17:27Eight so far.
17:28We need more laps.
17:29The tag doesn't look good.
17:30She's too unstable.
17:31We just need to stop the bleeding.
17:32I'm more worried about correcting her acidosis,
17:34and we maxed her out on pressers.
17:35Millen, what's the standard of care
17:37for damage control and surgery?
17:38We pack the patient,
17:39and then we resuscitate her with IV fluids
17:41and blood products in the ICU,
17:43and then bring her back to the OR once she's stable.
17:45Okay, good.
17:46Wilson?
17:47No, no, no, no.
17:47Something isn't right.
17:48Was there something wrong with her labs?
17:50No, it's just...
17:51I just have this feeling.
17:53You said it yourself.
17:53There's a lot of bleeding.
17:54You just cut into her uterus and pulled out a baby.
17:56Of course there's a lot of blood.
17:57Wilson, she's too sick.
17:59If we keep going, we will lose her.
18:06Okay, let's get her to the ICU.
18:08Okay.
18:15Such precision.
18:17I can tell you're an excellent surgeon.
18:19Okay, Mom.
18:20Okay.
18:21Miss Hunt, you need anything at all.
18:22You have me paged.
18:23All right?
18:24Bye, Dr. Bryant.
18:26Okay, let's dial back on flirting with the residents, please.
18:30You're no fun.
18:31You just had a stroke.
18:32A TIA barely counts.
18:35Are you okay?
18:38I'm fine.
18:39Oh.
18:40You sound just like your father.
18:42That man kept everything inside until the day he died.
18:46When you were six, there was a week where he seemed down.
18:53But he insisted he was fine.
18:56Then I ran into Sheila Skeeland at the pharmacy.
18:59You remember her?
19:00Dad's secretary?
19:02She told me one of their co-workers killed over dead in your father's office.
19:10He did CPR for 20 minutes.
19:16I wish he would have told me things.
19:19You feel you would have known him better if he'd let you in?
19:22Oh, I knew exactly who that man was.
19:26No.
19:27He would have felt better if he'd let it out on a cue.
19:33Cue.
19:34Mom.
19:35Boy.
19:36Boy.
19:37Coach stroke.
19:38Coach stroke from 3121.
19:40Mom's okay.
19:41Boy.
19:41Hey, hey, hey, hey.
19:42Boy.
19:43I'm here.
19:43Okay, Shepard.
19:45Boy.
19:47Boy.
19:50Dr. Viola to the psych ward.
19:52Dr. Margaret Viola to the psych ward.
19:55Just finished my laminectomy.
19:59Have you eaten anything?
20:01Uh, no time.
20:02I'm trying to figure out why my patient is circling the drain.
20:05You want to bounce ideas?
20:08I know slightly more than nothing about differential diagnoses with help.
20:13All her labs point to help syndrome, but after I did the crash C-section, she never stopped bleeding.
20:17Maybe she just needs more time to resuscitate.
20:19You sound like Helm.
20:20She was with me in the OR.
20:22I'm pretty sure she thinks I've lost it.
20:25Is that your patient?
20:27Irene.
20:28Her wife keeps running back and forth between here and the NICU.
20:35Tell her to take the stairs by the vending machines.
20:38There's fewer people, plus you avoid that chatty nurse.
20:41Can I bring you a sandwich?
20:43No, I'm going to keep working.
20:46You need to eat.
20:47I need to figure this out.
20:52Are you okay?
20:54I'm just worried about my patient.
20:56I will talk to you later.
20:59Okay.
21:00Okay.
21:07Dr. Anasi to ortho.
21:09Dr. Ali Anasi to ortho.
21:12Tanya?
21:15It's Dr. Adams.
21:16I'm in the middle of something.
21:18Is this important?
21:20Yeah.
21:22Yeah, kind of.
21:26Dr. Andugu asked me to take your blood.
21:28Sorry to interrupt your...
21:29I was practicing for when I'm dead.
21:33Okay.
21:34I know there's no skill involved.
21:36I just get panic attacks sometimes.
21:39Pretending I'm dead helps me remember there's nothing to worry about.
21:42I'll be dead.
21:43Yeah, you could live another 15 or 20 years with this heart.
21:47Or I could be hit by a bus tomorrow.
21:50Wait, this isn't even about your heart?
21:52I'm a pragmatist.
21:53Yeah, I don't think that's what that means.
21:55Yeah, whatever it is.
21:56Works for me.
21:57Does it?
21:58You don't know me.
21:59No, but I know that life is mostly a nightmare.
22:02And you can choose to fixate on it and be miserable.
22:06Or you can ignore it and have fun.
22:10I'm in a hospital.
22:11How am I supposed to have a good time?
22:13Well, the gift shop, it has these puzzles.
22:16And sometimes the kids from Peas, they like to prank all the front desks.
22:20That's fun.
22:21And Andy, the nurse, single.
22:25Right and mingle.
22:26I'll get right on it.
22:27Well, at least order the pancakes from the cafeteria tomorrow morning.
22:30They're surprisingly good.
22:33Are you done?
22:35Yeah.
22:36Yeah, I am.
22:41What happened?
22:42She started slurring her speech and lost mobility in her left side.
22:45She became uptunded, so he intubated.
22:47Owen, you should not be in here.
22:48I'm not going anywhere.
22:50There.
22:51You see that?
22:51A clot in the first segment of the middle cerebral artery.
22:54We're lucky that you were with her and that you got it right away.
22:56This stroke has a high rate of mortality.
22:59Should we push thombolytics?
23:00Well, she's already on anticoagulation.
23:01Our best bet is to remove it.
23:03Why don't you prep for an endovascular thrombectomy?
23:09I will take care of her like she's my own.
23:12I checked her chart on the way up.
23:14She hasn't updated her advanced directive in over a decade.
23:17Do you know if her wishes would have changed if anything were to happen?
23:21I'm not worried.
23:22It's you.
23:25With the carotid stonosis.
23:26Just get in there and do what you need to do.
23:27We need to prepare for the work.
23:28We're losing time!
23:30I will call you with updates.
23:40Helm wanted you to see Irene's latest ABG results.
23:44Her labs are improving.
23:45It's good, right?
23:47Except her hemoglobin is still dropping.
23:49She's still bleeding.
23:51Could it be delusional?
23:52I don't know.
23:54I think it might not be help.
23:59Oh, maybe she just needs more time?
24:02If the bleeding's not coming from her uterus, she may not have time.
24:04So I...
24:06I think that we go back into the OR and we find the source.
24:12Or we could get a scan first.
24:16She's crashing!
24:18Change her plans.
24:19I'm reopening her here.
24:20Uh, hold on.
24:22Let me...
24:22Paige, help.
24:23Do whatever you need to do, but Irene can't wait.
24:25I need a cut down, Trey!
24:33Trey!
24:33Trey!
24:34Trey!
24:34Trey!
24:35Trey!
24:36Uh, you know, you gotta jump a millisecond after it feels like it's a little too late.
24:42Now!
24:44Doctors play video games?
24:45Oh, surgeons have dexterity, bro.
24:48Uh, you have Quings results?
24:50Uh, your dad has a pulmonary embolism.
24:52It's a small blood clot in his lungs.
24:54We'll give him medicine to clear it up.
24:56I know.
24:57He's had one before.
24:58Um, when is the experimental drug supposed to start working?
25:02There must be some confusion.
25:03Your dad didn't end up getting the experimental drug.
25:05Uh, uh, Dr. Bailey said he did.
25:07The FDA or whatever changed their mind.
25:11Hmm.
25:12Can you excuse us for a minute?
25:15Yeah.
25:21You know anything about this?
25:23You should talk to Dr. Bailey.
25:25I don't see anything in his chart.
25:27Should I update it?
25:28Just record the P.E.
25:29I'll talk to Dr. Bailey about the oversight,
25:31and you, stay the hell out of this case.
25:45What happened?
25:46Did she throw another clot?
25:51I can't operate on anyone's mom.
25:53If anything happens to her, he will never forgive me.
25:56You can ask someone else to do it.
25:57He'll understand.
25:59If she loses all cognitive function on someone else's table,
26:02I'll never forgive myself.
26:06She and my mom are a little alike.
26:08You know, both military nurses and raised kids on their own.
26:12But I had a complicated relationship with my mom.
26:17So having Evelyn as a mother-in-law kind of...
26:21It felt like a second chance.
26:22Hmm.
26:24You know what she'd say right now?
26:26Hmm.
26:27Suck it up and get in there.
26:29I know.
26:30And she'd be right.
26:32You can do this.
26:38Feel free to say no, but can I go in there with you?
26:42Of course.
26:50What the hell are you doing?
26:52She was about to code.
26:53I had to open her.
26:54She's probably bleeding from the uterine incision.
26:56Or the incision you just created.
26:58She's not.
26:58She's bleeding from somewhere else.
27:02Oh, my God.
27:03Ultrasound.
27:14Holy hell.
27:15Whoa.
27:18There.
27:19She's bleeding from the liver.
27:20She has a hemorrhage from a ruptured liver mass,
27:23probably an adenoma.
27:24So the bleed was coming from the mass the whole time?
27:26You were right.
27:27We need to embolize it in the IR suite.
27:30Mellon informed her wife.
27:32Are you two with me?
27:34Let's pack and go.
27:43You know it's a bad day when I'm having my morning green juice after 3 p.m.
27:47Did you give Quinn Durstian the experimental hydrogel without the FDA's approval?
27:52No.
27:54Did Kwan?
27:57Yeah, that's why he's been doing paperwork all week.
27:59Miranda, you lied to my face.
28:01No, no, no, no.
28:03I'm trying to protect you, right?
28:05Keep you out of it.
28:06Yeah, well, he's my patient, too, now.
28:08We are supposed to report the P.E. to the IRB and the clinical trial sponsor.
28:13This could blow up.
28:14I don't know that.
28:18Okay, look.
28:19It wasn't you, so you could tell them that Kwan...
28:22No, I am not turning Kwan in.
28:25Okay?
28:25He was just trying to help, and we had a treatment that could.
28:28How many times you've been on my case about going rogue?
28:31That's just it, right?
28:32We've all done things we shouldn't have, but we're still here.
28:37Look, he's paying for his mistake with notes and orders.
28:42He doesn't need to upend his training.
28:44You could get fined.
28:45Lose your license.
28:46It's way less likely to happen to me than him.
28:50I hope you're right.
28:58All right.
29:00Advancing the catheter?
29:02What kind of nurse was Ms. Hunt?
29:03She was a scrub nurse in Vietnam.
29:05Tracks?
29:06Yeah, she seems like a hospital coroner's count-the-instruments kind of gal.
29:10Very much so.
29:10All right, push the contrast, fluoro.
29:15Damn it.
29:16The carotid is narrower than it looked on the scans.
29:19Yeah, it looks 100% blocked on the left.
29:21Does that mean you can't get the clot?
29:23I can do it, but if I knock against the wall of the artery,
29:27I could shower blood clots into her brain.
29:29And when will we address the stenosis?
29:31I could do a carotid endarterectomy
29:33when she's recovered from the thrombectomy.
29:35Someone get Dr. Hunt on the phone?
29:40How's it going?
29:41Do you have a clear path?
29:42The stenosis is worse than expected.
29:44It's about 95% occluded on the right side,
29:46but I can make it work.
29:48So what are you going to do about the stenosis?
29:49Teddy and I just talked it through.
29:51Her brain tissue is too unstable right now.
29:53I could do an endarterectomy in a few weeks.
29:55A few weeks?
29:57She'll have more strokes.
29:58It can be placed a stent now.
29:59That would increase her risk of converting to a hemorrhagic stroke.
30:02I think that's a risk we need to take.
30:05Oh, and we've already lost a lot of time.
30:06This is my recommendation.
30:07It's too dangerous.
30:08If she has more strokes, she will lose even more brain tissue.
30:10And if I place the stent and it becomes hemorrhagic,
30:12she could die.
30:13I know my mom, okay?
30:16And she would rather die on that table
30:18than to live every day with the risk of a massive stroke
30:20taking away her independence.
30:23Mina, I know what I'm asking you to do.
30:25And if anything happens, it's on me, not you.
30:32Okay, I'll do it.
30:34Okay, everybody, we've got to move.
30:36I'm going to perform the thrombectomy and place the stent.
30:39I know I said this was a bad idea before,
30:41but we need to forget that.
30:42If we are going to do this,
30:43we need to operate as though we cannot fail.
30:45I'm with you.
30:45We got your back.
30:49Aspiration catheter.
31:09Caught in a moment
31:13A door that was closing on me
31:16I didn't notice
31:21Oh, I didn't notice
31:26All of it fading
31:31Shifting and changing
31:35I didn't notice
31:40Wish that I noticed
32:02Wait now
32:04One more second to touch
32:21I need you to jump in.
32:22What the hell happened?
32:23I was just talking to her.
32:24Adams, get in here right now.
32:25Come on.
32:25Okay.
32:37Is she...
32:37She's headed to recovery
32:55She's headed to recovery
32:56Hey!
32:58What sounds better?
33:00Burgers or Thai?
33:02Neither.
33:02I just lost a patient
33:05Southern cardiac death
33:07from transplant rejection
33:08Oh
33:09I'm so sorry
33:11Do you want to go back to your place?
33:13I need to get caught up on notes
33:18Don't waste your time
33:19He's using it
33:28We've all been there
33:30It sucks
33:37How's she doing?
33:39Oh, stable
33:39She's tough
33:41And how are you doing?
33:42I'm fine
33:44Apple doesn't fall far from the tree
33:46She says that I'm like my dad
33:47That may be true
33:48But you're also a lot like her
33:51All right, Evelyn
33:53We have started to wean you off sedation
33:56Let's see how you're doing
34:05Okay, please squeeze my fingers
34:19I can't work, Evelyn
34:29I'm gonna let her rest
34:30And then we'll wean her out some more
34:32Thank you
34:33Of course
34:33Not just for that
34:35I know I pushed you to take a risk
34:36that you weren't
34:37helpful with
34:38You were right
34:41It was worth it
35:06It's been a really long day
35:07I almost lost a patient
35:08Can we just
35:18Welcome home
35:19Can I crawl into bed
35:21with my shoes on?
35:23As long as you don't
35:24mess up the laundry
35:28Did your patient
35:29It wasn't help
35:32It was a ruptured
35:34hepatic adenoma
35:36We embolized
35:38She's in recovery
35:40That's great
35:41You were right
35:44Yeah
35:47Hey
35:49Listen, you saved a mom
35:50And her baby
35:52And honestly, the other mom too
35:53That family is gonna be just fine
35:57Maybe
35:59Or
36:02Maybe months from now
36:03Irene will still panic
36:05When she feels pain on her side
36:07Or
36:08Feel terrified
36:09When she gets a headache
36:11Or
36:19Hate herself
36:21When she looks at her daughter
36:23And all she can think about
36:25Is the time that she almost died
36:29Is this
36:31Joe
36:34I had no idea
36:35Why didn't you say anything?
36:37I just
36:38Wanted to move on
36:39I didn't want to worry you
36:42You really want our girls
36:43No, I know
36:45I know
36:46I wish you too
37:05Hey
37:07Sorry, I don't want to bother you
37:08I just wanted to see how she was doing
37:10Before I left
37:10She's slowly coming off sedation
37:12And
37:13Responding to basic commands
37:15Great
37:18If you need anything
37:19Just
37:19Just let me know
37:22Would you
37:22Want to sit with us
37:24For a little while?
37:25I'm sure she's sick
37:26Of the sound of my voice by now
37:30Yeah
37:30Yeah, sure
37:33I've got some time
37:34Before the nanny has to leave
37:36Yeah
37:40Recommendations
37:41Rules
37:42Guidelines
37:43Ideally
37:44They exist
37:45To save you
37:45From unnecessary pain
37:50If it's fallen out of place
37:58If it's breaking from
38:02Have fun
38:02And stay safe while doing it
38:06Stumble to the warm light
38:10Come on
38:11Can you hold tight
38:14Are you using me?
38:17What?
38:18Why did you say that?
38:20You were gone for three weeks
38:21To take care of your brother
38:22Who's in a coma
38:23Yeah
38:24You haven't said a word
38:25You just want to hook up
38:26And I'm not looking for more than that
38:28But I
38:29Care
38:29I want to know
38:30What's going on in your life
38:31I want to
38:32Know you're okay
38:34It's not you
38:35It's just
38:35I'm not ready to
38:36Talk about my brother
38:37To anyone
38:39But when the time comes
38:40You'll be the first person
38:41End up in my trauma
38:43Deal?
38:45Deal
38:52But rules only work
38:54If you follow them
39:00I wish I'd kissed you
39:03That night
39:05In med school
39:11Did you run here?
39:14Yeah
39:16I uh
39:16I might have looked for you
39:18In like uh
39:19Three other places
39:25Don't go back
39:27To Celine
39:28I know it's complicated
39:31You've got Zach
39:32And you've got years of memories
39:33That will always be with you
39:34And it probably seems
39:36Like the easier
39:37Safer option
39:39But that doesn't mean it's better
39:42You had your reasons
39:44For leaving
39:45And they're not gonna go away
39:47Just because you decide
39:48To start over
39:51Probably not
39:52And you and I
39:53Are so new
39:54We don't even know what we are
39:55Yeah
39:57But what I do know
39:58Is we're great together
40:00And we've known each other
40:01And liked each other
40:03Since before you met Celine
40:06That's gotta count for something
40:10It counts for a lot
40:12Good
40:14Because this isn't just a crush anymore
40:17No?
40:21Not for me
40:23And sometimes the rules
40:24You've been following
40:26Turn out to be flawed
40:30All bets are off
40:32Dr. Bailey
40:36Warren knows
40:37Yeah, you're a few hours too late
40:39Is he gonna turn me in?
40:41No
40:42He understands
40:43But
40:44In between you and me
40:45He doesn't want to sleep
40:46On the couch tonight
40:49Look, I know
40:51I went rogue again
40:52And I know that
40:53I should be fired
40:54But
40:54If I haven't already said it
40:56Thank you
40:58It's gonna take
40:59A minute
41:00Before I can look at you
41:02Without blinding anger
41:05Dr. Bailey?
41:07I
41:08Thank you
41:09Just get some rest
41:12So sorry
41:13It took me so long
41:14To answer your page
41:15It's been one of those days
41:20Uh, something wrong?
41:22Spencer came to see me this afternoon
41:25About Quinn Durston's P.E.
41:28She never should have bothered you with that
41:31Uh, I'll make sure she knows
41:33That you're not on the team
41:35You just consulted that one time
41:37Well, she knows
41:38She was following protocol
41:40So I could report the complications
41:42To the IRB and the FDA
41:44Since Quinn was given an experimental treatment
41:47Okay, I can explain
41:50I hope so
41:51The Institutional Review Board
41:53Will want every detail
41:55They're launching an investigation
41:57You're completely on your own
42:14Okay, how are you on your own
42:44Go find it
42:441
42:447
42:44We'll be back.
Comments