#video #greys anatomy s22e17
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00:05In the 1940s, while stuck in bed with tuberculosis, biochemist, Carl Link, read a book on rodent control.
00:13I promise this story has a point.
00:15I'm officially one week post-egg retrieval, and I got us a room at the Drake Morn.
00:20Wow.
00:22Super sumptuous?
00:23No. No. Isn't that place expensive?
00:26I found a deal online, and my place is out. Max has canasta.
00:31Who could have gone to my place?
00:34I thought we could order in and chill and by chill, I mean...
00:41I understand.
00:43I'll see you back here at Zero Dark Thirty.
00:50Carl created a rat poison from an anticoagulant he discovered while trying, but failing,
00:55to treat sick cows.
00:58Leomycin.
01:00Dactinomycin.
01:01So close.
01:02How is that close?
01:03They both end in my sin.
01:05When is the creag?
01:06Tomorrow.
01:07Do you wanna quiz me?
01:08I would, but I have to finish my plastics fellowship application.
01:12We're gonna be residents forever, aren't we?
01:14Speak for yourself. I want out of this house so I can get back to a normal schedule.
01:19You know you can't control when the babies are born, right?
01:22Later, a soldier trying to end his life ate Carl's rat poison, which, unexpectedly,
01:27helps lead to its use as a blood thinner in humans.
01:31Here, gimme.
01:33Is this a group activity now?
01:35Not for much longer.
01:36I've got an appointment with Dr. Carpio this afternoon.
01:38You're scheduling your retrieval?
01:40That's the plan.
01:42It's easy.
01:43We'll be in and out of the clinic in a couple hours.
01:45Can't wait. I'm over feeling bloated and moody.
01:47Oh, you know who else can't wait for this to be over?
01:49Do not take care.
01:52Happy to be an ally in protecting reproductive futures.
01:56So is Adam's. Say yes.
01:59We're gonna emulate for rounds.
02:02Is he on hormones too?
02:06From multiple failures, the compound warfarin was born,
02:10and has been used to treat and save millions of people.
02:13Hey.
02:14Hey, how's your mom doing?
02:16Ah, better. She's progressing through rehab.
02:19Great. Great. And Megan?
02:21Surprisingly helpful.
02:23Speaking of help, do you mind?
02:25Oh, of course. Yes.
02:27Okay.
02:28Okay.
02:30All right.
02:31Got it. Thank you.
02:34You look nice.
02:36Thanks.
02:38You got a date or something?
02:39Oh, no.
02:41Margo Billings is in town.
02:42Oh, you're a mentor from GW.
02:44Yeah, she lives in Paris now.
02:46Wow. When's the last time you saw her?
02:48Hmm.
02:49Years, but you know what it's like with old friends.
02:52You just pick up right where you left off.
02:55I do.
02:59Anyway, um, have a good time.
03:01Yeah, thank you.
03:03Dr. Hewitt, please. Dr. Laura Hewitt, to peace.
03:09Bailey.
03:10Aren't you supposed to be judging young minds?
03:13I'm going.
03:14I left my tablet last night and had to pick it up.
03:17Any word from the IRB?
03:19Oh, no.
03:20Well, any day now.
03:21I'm really sorry.
03:23You already apologized and I accept.
03:25No, I don't know what came over me.
03:27No, you were upset about a patient who recently passed away.
03:30I get it.
03:31Still, I let it get the best of me and caused a huge headache for you.
03:38Yeah, don't worry about me.
03:41Your exemplary record speaks for itself.
03:43And hopefully the IRB will see that.
03:53Did he say they know it was me?
03:55No.
03:56But they might figure it out if you keep talking about it.
03:59You need to stand down.
04:01Sorry, I heard that Nurse Elise got interviewed this morning.
04:04I didn't know if she said something.
04:06Wait, did she see you do it?
04:08I don't know.
04:10What do you mean you don't know?
04:11It all happened so fast.
04:13I don't know who saw what.
04:14Okay.
04:15Should I quietly try to find out?
04:17No.
04:19Look, I'm out today and you're back on patient care.
04:22Just try to lay low.
04:27Okay.
04:29Okay.
04:35Hi.
04:37Wondered where that sweater went?
04:38It was balled up at the bottom of my bed.
04:41Please don't judge the laundry habits.
04:44Are you avoiding me?
04:48I mean, I know you're figuring things out with your ex, but we can still talk.
04:51I'm not avoiding you.
04:53I have been...
04:53Meredith, this is Tony Wright.
04:57And this is my sister-in-law, Meredith.
04:59So nice to meet you.
04:59I've heard a lot about you.
05:00Same.
05:01It's really nice to meet you.
05:03God.
05:04I should go.
05:08Has she made up a reminder?
05:10No.
05:12I mean, wouldn't you want to be with me?
05:14I'm smart.
05:14I'm fun.
05:16I'm good with brains.
05:19Why are you applying for a Fox Foundation grant?
05:21To use the FVS PET scanner.
05:23To study estrogen receptors in women's brains.
05:26I sent you like five emails about this.
05:28Did you see this article?
05:29What if we study estrogen receptors in the brain?
05:32This is interesting, right?
05:34Have you read this yet?
05:35I get it.
05:36So, what do you think?
05:36I think that we are studying the link between estrogen and the gut microbiome.
05:40What's just another angle while we wait for the mice?
05:42Let's be patient.
05:44I might be looking for a distraction.
05:45We have plenty of those, and we have limited resources.
05:48So, let's stay focused on the mice.
05:50Are you leaving?
05:51Yes, of course I'm leaving.
05:52I said that.
05:53I was coming by to say hello, and then I had to go.
05:55Read your email.
05:59Okay, Mr. Haynes, I'm Dr. Hunt.
06:02What happened here?
06:03A starburst fell from the sky.
06:06Stabbed me in the heart.
06:07And no, I haven't been smoking dope.
06:09The paramedic said it's part of some mobile from the Aldridge Museum?
06:13It's a Jeffrey Feynman.
06:15One of his early works from the 1980s.
06:17Just fell off and pow.
06:19There's a trace amount of fluid in the abdomen.
06:21So, what's the plan?
06:22Well, he's stable and talking, so we take him to the CT and then cut the sculpture out in the
06:26oar.
06:26What?
06:27No.
06:27You can't break the starburst.
06:29I'm sure the museum would understand.
06:31No, don't give a crap about them.
06:32My wife loved this piece.
06:34Please.
06:35You promise me you'll try.
06:37We'll see what we can do, okay?
06:39Okay.
06:40Okay.
06:42It's been a minute.
06:43We're gonna see you soon.
06:44You're seeing me now?
06:45Yeah, I meant in the privacy of your bed.
06:48I'm not the one who's been working the night shit.
06:51I'm off this weekend.
06:52Hey, Bryant.
06:53We're up.
06:54Firefighter injured in a structure fire.
06:56Did they say what station responded?
06:57No, but you can tack along.
06:59Okay, what's the priority for patients with major burns?
07:01Resuscitation.
07:02That was for Dr. Bryant.
07:03He's actually on my service.
07:05What he said.
07:06Aggressive fluid treatment for the first 24 hours.
07:08What have we got?
07:0837-year-old female firefighter sustained second and third degree burns over arms, torso, legs.
07:13Approximately 25% TBSA.
07:15GCS 15.
07:16My arm?
07:17So, Warren.
07:17Okay, what happened?
07:18Three alarm fire.
07:19I fell through the roof.
07:20It really hurts.
07:20We have been there.
07:21Okay, we got you.
07:22We got you.
07:23Just hang in there, Bishop.
07:25My probie.
07:26Brett Castro, is he here yet?
07:28Yeah, we'll be on the lookout for her.
07:29Yeah.
07:29Tell me.
07:30Tell me when I get me okay.
07:31You're gonna be okay, Dr. Wright and Bryant.
07:32We're gonna take good care of you.
07:33You're gonna be there too, right?
07:34Really?
07:36No.
07:36Yeah.
07:37I'm right here.
07:38Ugh.
07:57Bailey.
07:58I didn't know you'd be here.
08:00Why not?
08:00I love supporting med student inventors.
08:04Look at them.
08:05All young and shiny and optimistic.
08:08Did Catherine make you come?
08:10Richard.
08:10Dr. Bailey.
08:12Dr. Gray.
08:13Welcome to the third annual Fox Foundation Medical Innovation Competition.
08:16We're happy to be here.
08:18Here are your score sheets.
08:19We have 40 entrants and they're expecting questions, so don't hold back.
08:2340?
08:24We better get started.
08:25If you need anything, give me a holler.
08:27Okay.
08:27Go science.
08:35Use of nanoparticles and tracking inflammatory markers and sepsis.
08:39That's impressive.
08:39They've been looking at that for years.
08:42It's still impressive.
08:46Oh, great.
08:48I'm Dr. Weber.
08:49These are Drs. Millen and Mead.
08:51So, uh, how are you feeling?
08:53Fine.
08:54I just cut my arm.
08:55Yeah, I see that.
08:56Mead?
08:57Yeah, I see it too.
08:59I'll grab some sutures.
09:02Meet ABCs.
09:03Sorry, ma'am.
09:04Do you know if my boss is doing okay?
09:05It's Maya Bishop?
09:07They're still triaging her.
09:08Weapon?
09:10Oh, can I see her?
09:11I'm a probie.
09:12She fell trying to help me.
09:13The team is still working on her, but if she's her mentor, she should know.
09:17Coarse breath sounds, but equal expansion of the lungs.
09:20The throat looks clear.
09:21Sats are 98 on two liters.
09:23Okay, good, good.
09:23Let's get a chest x-ray and let's stitch up that arm.
09:29Where's the fire?
09:29It's, uh, Drakemore Hotel.
09:31What?
09:33That's terrible.
09:34What happened?
09:35There's no telling until forensics gets in there.
09:37The fire's spread fast, though.
09:38I mean, half the hotel's gone.
09:40Sucks for the guests.
09:42Yeah, it really does.
09:43Just finished placing the central line.
09:45Good. Start with Western Protocol.
09:47Is Karina on her way?
09:48No.
09:49No, no, no. Don't call her.
09:50I don't want her freaking out.
09:51Well, she will have my hide.
09:52She took the kids to see that family in Italy.
09:55Please, just until we figure this out.
09:57Okay, can you flex your left foot for me?
10:00I don't think so.
10:01How's it looking over here?
10:02She's got an open, comminuted tibial fracture.
10:04She needs an ORIF.
10:05She needs to be resuscitated in the burn ICU.
10:07But she's presenting with nerve damage.
10:09If I can get her into an OR, now I might be able to repair it.
10:12Okay, just try to make it fast.
10:15Maya, we need to get you to an OR to work on your leg.
10:17What about the burns?
10:18After they're done, we'll resuscitate you in the ICU,
10:20and then we'll debride tomorrow.
10:21All right, let's go.
10:23What if we started debriding now?
10:25No, she needs aggressive stabilization first.
10:27I can make sure that she'll get that in the OR.
10:28She's going there anyway.
10:29I'll excise the dead tissue, and it'll help prevent sepsis.
10:33Okay, fine, but are you sure you're good to do this?
10:34She's your friend.
10:35Definitely.
10:37Okay, Brian, go with him.
10:38Debride as much as you can while they're operating.
10:40Do not push it.
10:41I'll check in after my rotational flap.
10:45Let's go.
10:51I wish he'd let us cut that thing.
10:53It's meaningful to him.
10:55He's in there, barely.
10:58Okay.
10:59Morris?
11:00Do you scan?
11:01Read normally?
11:02I've got a Starburst in my chest.
11:05Normal is relative.
11:07Is it hitting the machine?
11:08I don't want to ruin it.
11:10No, just hold still, okay?
11:11It'll just be a minute.
11:12Um, tell us about your wife.
11:16She was a volunteer docent over at the Aldrich.
11:20We used to sit under the Feynman Mobile,
11:22and she'd tell me how he installed it piece by piece.
11:26It's just me now, but when I look at all those Starbursts,
11:30I feel they're with me.
11:34Okay.
11:36Do you think we can save it?
11:37Can't we just save him?
11:39What if we did bilateral tharchonomies?
11:41That way we would gain access to control the bleeding as soon as we lift it out.
11:46Okay, we can try it, but if there's a problem, we're breaking that glass.
11:52Then I got to the part where you stapled the aorta, and I thought to myself,
11:56this story is more thrilling than a Tom Clancy novel.
11:58And rumor has it you've done it twice.
12:00Well, you haven't even published the second surgery.
12:03Well, I keep my ear to the ground, especially when it helps me brag about my star resident.
12:08I still hear your voice pushing me, do more, be better.
12:12I don't think I appreciated it then, but I do now.
12:15Well, I'm glad to hear it, because I am leading the charge on the Dassault Center's new research incubator.
12:19Congratulations, that's fantastic.
12:22We're bringing the world's best surgeons to develop and teach cutting-edge techniques,
12:26and you're the first person I'm asking to join us.
12:28I would love to teach for a few weeks in Paris.
12:31Maybe this summer when my kids are out of school.
12:33I'm not inviting you to visit.
12:36I want you to lead the program as our chief innovation officer.
12:41Wow, I don't know. I live here. I have kids. I have a house. I'm chief of surgery.
12:49Bring the family. The public schools are excellent.
12:52The center could provide a generous housing stipend.
12:54We all know the U.S. is falling behind on research.
12:58Don't fall behind with it.
13:00You're a visionary.
13:01This is your chance to lead your peers in pushing the boundaries of medicine.
13:07This is a lot to process.
13:10Okay. Okay, don't answer now.
13:13But like I've always said, they're capable of more and better.
13:23It was a sustainable sensor technology using seaweed.
13:30Um, is that a problem we need to solve?
13:32Could help with climate change.
13:35Address medical waste.
13:38Markers in predicting stillbirth.
13:40That's only 3% accuracy.
13:44Well, maybe it could lead to something better.
13:48Uh, you want to tell us about your project?
13:51Daphne Park, fourth year at UW.
13:53The number one reason free flap transfers fail is the clot in the vein.
13:57And because it's harder to see purple bruising on darker skin,
14:00black patients are three times more likely to experience flap failure.
14:03It's basically bouncing light waves off skin to detect venous congestion.
14:06This is inspired.
14:08Does it notify the team if something's wrong?
14:10I haven't gotten there yet. Right now it just detects.
14:13Does it have false positives?
14:15I'm not sure.
14:17You're not sure?
14:18I've only tested it on a few people.
14:20But if I win the seed money, I plan to generate real data.
14:24Well, I mean, do you really expect to win if we don't know if the device works?
14:28You know, we should keep it moving.
14:30Thank you so much, Daphne.
14:31Well, I have some more questions.
14:33Right, which is why we are leaving.
14:37Hey, heads up, you're gonna get a call from the Aldridge Museum's legal department.
14:41Does this have to do with Allison's field trip?
14:43A patient impaled with a sculpture. What happened to Allison?
14:46Oh, nothing. Some bleach and paper towels couldn't mix.
14:49Hey, how's Margo? She like Paris?
14:52Yeah, she seems good.
14:54You should go there.
14:56Excuse me?
14:57Well, I'm sure she'd love you if you came to visit and you deserve some time away.
15:07Uh, Dr. Ndugu, I wanted to ask you a question about a patient.
15:10Sir, what's up?
15:11There is no patient. Did you hear what happened to the Drakemore?
15:14Yeah, what are the odds, right?
15:16Well, I guess we should reschedule.
15:18Or we could go to my place, order in, get a bottle of wine.
15:22Maybe. I have this firefighter patient I'm taking care of.
15:25I gotta go back to the ER.
15:27Dr. Harris to the ER. Dr. Jamie Harris to the ER.
15:31Tibia's set. I'm all done here. Shepard and Quan, you're up.
15:35Alright, let's repair this nerve. I need 10-0 nylon. Quan, approximate the edges for me.
15:40On it.
15:41Warren, I know you and Bishop are close. You hanging in there?
15:44Focusing on what's right in front of me.
15:46Alright. If you need anything, page me.
15:50Keep going, Bryant. Bleeding just means you hit healthy tissue.
15:54Brow wipe, please.
15:57It's hot as hell in here. I can barely see what I'm doing.
16:00That's just how we keep burn patients from getting hypothermia.
16:03Need a break, no judgment.
16:05I'm fine.
16:06Okay, let's keep going.
16:13Come on.
16:15You think that's gonna help me relax?
16:18I'm hoping it'll stop you from crushing those young people's dreams.
16:22I'm just keeping it real.
16:24I mean, they think that research is about winning competitions and getting kudos from their teachers.
16:32I think they'll learn soon enough that research is hard.
16:35They'll run into roadblocks and they'll have to make compromises.
16:38Has your research hit the wall?
16:40Yes.
16:40I'm at the mercy of a bunch of lab mice.
16:43I used to think that all it took was hard work and perseverance.
16:48And now I'm just...
16:51Jaded and exhausted?
16:53Exhausted.
16:54I used to be Daphne.
16:56I thought I was gonna save the world.
17:00Had the audacity to wonder why my teachers weren't more excited to help me do it.
17:05Thought they were just lazy.
17:07Didn't understand.
17:09Now that I am them, I realized they understood too much.
17:15I mean, how are we supposed to encourage the next generation when it just feels...
17:22insurmountable?
17:26I think we need something stronger.
17:29Huh?
17:30What?
17:34Damn it.
17:35I knew that.
17:36I'm so screwed.
17:38Hey.
17:39What are you doing in here?
17:41My badge still works from when I wasn't attending.
17:44Hmm.
17:45No babies today?
17:47OB is more than just delivering babies.
17:49I've got the flashcards to prove it.
17:51The CREOG?
17:52It's tomorrow.
17:54Took the day off to study, which...
17:56isn't working.
17:58I do not envy you.
17:59All those multiple choice questions with no nuance.
18:01I always wanted to write in caveats next to my answer on the QE.
18:06I'm sorry.
18:07I don't mean to psych you out.
18:08Just ignore me.
18:09No, no, no.
18:10It's not you.
18:11It's just...
18:15I don't know if I want to be an OB anymore.
18:25So just look good.
18:26Coarse breath sounds bilaterally.
18:29Uh...
18:30Is Bishop's done surgery?
18:31Yes.
18:31We will update you when we can.
18:33Can I get back to the fire?
18:34She would want me out there.
18:35Oh, I don't think that's a good idea.
18:36It's a three alarm fire.
18:37That's like...
18:38What?
18:38A medium-sized one?
18:41How long were you in the structure?
18:43Ten minutes, maybe?
18:44What's happening?
18:45The stats are a bit low.
18:46That's probably from me.
18:46I'm gonna smoke inhalation.
18:48Turn off this oxygen.
18:49Yeah.
18:50I checked his airway earlier.
18:52It was clear.
18:52Lane Fuller.
18:55I hear wheezing.
18:56We're going to put you on a nebulizer,
18:58and that will help reduce the inflammation in your lungs,
19:00but you are not going anywhere.
19:02Not for a while.
19:07When did we go from being people who present at these
19:11to people who judge them?
19:13People who are unnecessarily judgmental.
19:19I'm under investigation with the IRB.
19:22For what?
19:23I got carried away with the treatment
19:26that the FDA did not approve.
19:28And how's the patient?
19:29Doing quite well.
19:31Well, it sounds like you did the right thing.
19:32Ben doesn't think so.
19:34I'm getting the cold shoulder.
19:36I've been in that situation before.
19:37Are you worried about your job?
19:39Probably should be, but I've been through enough
19:41to know that whatever happens, I'll manage.
19:44What are the benefits of experience?
19:45And the drawbacks.
19:49Sometimes it feels easier to not know what you don't know.
19:52Those students have no qualms about their research.
19:54Yeah, except for the ones I tried to give them.
19:57Catherine's making me be here.
19:59It's part of my lab space deal.
20:01Oh, still no federal grant?
20:04But stupid question. I blame the booze.
20:06Research is full of making compromises.
20:09And so is judging a med student competition.
20:14You want me to go back out there and be encouraging, don't you?
20:17You always were to me.
20:19I did.
20:22Hey! It's easy to be encouraging with the booze.
20:24You'll manage.
20:28When I see patients like that, their blood all over the floor,
20:33it makes it a lot harder to move forward.
20:37Do you need more time off?
20:38Well, I'm already behind from maternity leave.
20:40Plus, I have four kids at home.
20:42I mean, you just got back. Give yourself time to acclimate.
20:45What if I never do?
20:46Be a general surgeon.
20:48It's not the worst fallback job.
20:50Yeah, but I've been through all of this training for nothing.
20:53Well, sometimes you have to try things that you don't want
20:57to figure out the things that you do want.
21:00And you're allowed to change your mind.
21:02That feels... selfish.
21:06But to... to want to be happy?
21:08You have to choose what is best for you.
21:11Yeah, but it's not just me.
21:13I'm never going to get back the time that I could have spent
21:15with Link and Luna,
21:16and I'll have put them through all of this,
21:19just end up right back in the same place.
21:23I don't think it works that way.
21:25The job will be the same, but you'd be different.
21:28I mean, you'd have more conviction about what you want
21:30and why you want it.
21:33Well, it might not be up to me if I don't pass the test.
21:37Well, that would make the decision easier.
21:39I am.
21:40But you have come so far.
21:43You owe it to yourself to know what your options are.
21:47You're probably right.
21:49I've got a little time.
21:50You want some help?
21:51I'm great with mnemonics.
21:54Okay.
21:55Are you ready?
21:57No tension on the repair?
21:59It looks like we're done here.
22:01I'm going straight to the morgue.
22:03It's cold down there.
22:04All right, Warren, you good?
22:06Yep.
22:06Tell the Brent ICU we're finishing and coming up.
22:09Why?
22:10Ryan told us to get out once Lincoln and Shepard are finished.
22:13What's her urine output?
22:150.2.
22:16That's a little low.
22:17Increased fluid resuscitation by 150 cc's.
22:19What are you doing?
22:20If we debride too much, she could get more acidotic.
22:23End up with organ failure.
22:24There could be...
22:24Yeah, I know what she said, but Bishop's blood gases are stable and we're almost done.
22:27If we finish, she has less chance of scarring and reconstruction failure.
22:31How close are you to this patient?
22:32I never asked you to stay.
22:38Fine.
22:39I'm in.
22:42All right.
22:43Let's hold on a little longer, Bishop.
22:48Okay, ready for the rib spreader?
22:50All right, I'm in.
22:51Why are we saving this?
22:52Is he really going to sit under it again?
22:54Well, the museum is going to do everything it can to make sure this never happens again.
22:57So why should he change his plans?
22:59Bobby?
22:59It is a nice tradition.
23:00He obviously loved his wife a lot.
23:02He could find someone else.
23:03You know, when my grandma died, my grandpa became the most eligible bachelor in his retirement community.
23:09He had a full head of hair.
23:10I don't know.
23:11When you've been with somebody that long, it's hard to let go.
23:13Sorry I'm late.
23:14My doctor's appointment ran along.
23:15Where do you want me?
23:15I could use some retraction.
23:22You okay?
23:23Fine.
23:26Heart rate and BP are tanking.
23:28He's about to code.
23:29All right, I can see the pericardium bulging and it's filled with blood.
23:31The ray is causing cardiac tamponade.
23:33There's no way I can reach it.
23:35We're going to have to remove it now.
23:37Ready?
23:37On my count.
23:38One, two, three.
23:42Nope.
23:43It's the angle.
23:44It's curved under the bone.
23:45It won't budge.
23:46Yeah.
23:47It's hollow.
23:48Give me a large hemostat and sterile towels.
23:51What are you doing?
23:51We're going to have to break it.
23:53Pull on the glass gate in his chest.
23:54We're going to do our best to avoid it, but at this point, we don't have a choice.
23:58Ready?
23:59All right, careful.
24:00Careful.
24:02Got it.
24:03Here we go.
24:08BP's in the low 70s.
24:13All right, looks like he's bleeding from the heart.
24:15He's got a nick in the right ventricle.
24:17I need two old proline.
24:19Hold pressure here.
24:19Got it.
24:23BP's increasing.
24:24Heart rate's stabilizing.
24:26So much for his sculpture.
24:27Well, he's alive.
24:29I think he'll get over it.
24:36This point on the graph represents the reflection of light from the blood sample in the cuvette.
24:40The sensor's in a shoot box to avoid ambient light.
24:42Now, here is the same thing, but with a higher concentration of hemoglobin,
24:47which represents more congestion in the flap.
24:49Which we'd normally have to detect from darker bruising.
24:54And you built this yourself?
24:56My roommate and her brother helped their engineers,
24:58but I had to learn about algorithms, light absorption, and photodiodes.
25:02And your free time between classes and clerkships.
25:07Honestly, the toughest part is believing that I can do it.
25:10I mean, what do I know? I'm still in med school.
25:12And this is just a passion project.
25:14I'm sure there are plenty of great ideas in this room.
25:16You'd be surprised.
25:19I hope I didn't shake your confidence earlier.
25:22By asking hard questions?
25:23Yeah.
25:24No, that just pushes me to make the next version even better.
25:26I want to contribute to scientific knowledge however I can.
25:30That attitude will serve you well.
25:32Hold on to it for as long as you can.
25:35Thank you, Daphne.
25:39Well, this generation just might save us.
25:41As long as we don't discharge them before they get the chance.
25:48Okay, no wheezing. He has clear breath sounds bilaterally.
25:52Does that mean I'm okay to...
25:53Oh, you can't leave yet.
25:55Dr. Webber, you have a call from the IRB.
25:57They said it's urgent.
25:59Um, continued treatment?
26:00Mm-hmm.
26:06Looks like the fire is finally contained.
26:08How bad was it?
26:10It's the worst I've seen so far.
26:12It's too bad it seemed like a nice hotel.
26:15Yeah.
26:16Oh, is Bishop out of surgery?
26:18Oh, we've repaired her leg, but they're still debating the birds.
26:22Does that mean she'll be okay?
26:23Well, it's hard to say, but she has the best doctors.
26:27Okay, yeah, everybody keeps saying that.
26:28But I need to know she's gonna be all right.
26:30Her and her wife have two kids at home.
26:31If something happens to her, that's my fault.
26:33She told me to wait for them to fully secure the roof,
26:35and I thought I could make it across, and I...
26:38She fell trying to rescue me.
26:40You're a firefighter.
26:42If you're not willing to take big risks to save a life,
26:45you're not doing it right.
26:47Dr. Kwon.
26:49Word.
26:59Um, I just heard from the IRB.
27:03Oh, um, is the report done?
27:06You know, I know Dr. Bailey's been worried.
27:08From what they say, I would assume you'd be just as concerned.
27:12Of course.
27:13You know, I, uh, she's a mentor, and...
27:16I know it was you who injected the hydro gel and not her.
27:21Now, I want you to tell me everything that happened.
27:25Starting from the beginning.
27:30Dr. Mandelbaum to L&D.
27:33Dr. Rachel Mandelbaum to L&D.
27:35Dr. Rachel Mandelbaum to L&D.
27:36Dr. Rachel Mandelbaum to L&D.
27:45I lied.
27:47I have been avoiding you.
27:49That was pretty obvious.
27:51Really?
27:52I've been told I have a good poker face.
27:56Maybe you can just tell me it's over.
27:58Maybe that's what you've decided.
28:01I haven't.
28:02And I realize I owe you an explanation.
28:07I'm trying to make a clear-headed decision.
28:11But when I'm around you, I'm not so clear-headed.
28:18I'd say that I'm sorry.
28:21But then I'd be the one lying.
28:32What's her core temperature?
28:3496 degrees.
28:35You're turning the heat up again, aren't you?
28:37The more we debride, the colder she gets.
28:39Bump up room temp to 102 degrees.
28:41I went to the ICU.
28:42They said Bishop hadn't arrived.
28:44What the hell are you doing?
28:45Finishing tangential excision.
28:46That was rhetorical.
28:47Put down the Weck blades now.
28:48But we're almost done.
28:49I don't care.
28:50Too much debridement could kill her.
28:51I'm your attending.
28:52I'm telling you to stop.
28:53Her ABG shows worsening acidosis.
28:55What are her potassium and lactate levels?
28:57Warren, you are too close to this patient.
28:58Five, and lactate is elevated.
29:00Do you want me to push bicarb and insulin?
29:02Bicarb, yes.
29:03Hold off on insulin.
29:04Look, I am not trying to be insubordinate,
29:06but Bishop and I were in the trenches together.
29:08She saved my butt more times than I'd like to admit.
29:10I would never do anything that would put her in more jeopardy.
29:13And you know I was an anesthesiologist before I was a surgeon.
29:15So I know how to keep her safe.
29:17And I know when to quit.
29:22I promise.
29:25Someone gown and glove me?
29:28You're scribbing in?
29:29The more hands you have, the faster you'll finish.
29:33Let's go.
29:41Oh, there's something in the water.
29:48Oh, the ships are sinking in the harbor.
29:57Oh.
29:59Oh.
30:02Oh.
30:03Hell, my head is going under.
30:06Put the light in my eyes.
30:08All I see is darkness.
30:10Pick me off the concrete.
30:12When I fall, my heart is holding me when I'm broken.
30:25Oh.
30:30Oh.
30:32Oh.
30:32Oh.
30:32Oh.
30:34Oh.
30:36Oh.
30:39Oh.
30:41Oh.
30:43Put the light in my eyes
30:45When all I see is darkness
30:47Pick me off the concrete
30:49Where I fall my heart is
30:51Hold me when I'm broken
31:02Say you'll be my shelter
31:05When my eyes are closing
31:07Breathe into my lungs
31:09And hold me when I'm broken
31:21Where am I?
31:23Am I alive?
31:24We were able to repair the tear in your heart
31:26We were in the CCU so we could monitor
31:28Your recovery
31:29Oh, well that's good
31:31Oh, and what about the sculpture?
31:35Morris, we had to make a choice
31:36It or you
31:37We thought you'd be okay with it
31:41Well, I guess
31:42It's good that Janie won't ever know
31:46How long ago does she pass?
31:48Oh no, she's still alive
31:49She's in memory care over at Hillside Gardens
31:52Oh
31:52About a year now
31:54I'm sorry
31:55She's the one who used to remember everything
31:59She's the one who used to remember everything
31:59It's not just the big stuff
32:00The details
32:03Like the color of the kitchen towel in our first home
32:06Now I have to remember for both of us
32:09I'm holding on to every piece of our life I can
32:12But every day she slips away a little more
32:16You know how hard it is to miss someone
32:20Who's still here
32:23I can imagine
32:24I just want to tell her I love her
32:26And know she understands
32:42Oh, hey, man
32:43I'll go get your food
32:47Waiting on someone?
32:49Just needed a drink
33:00Everything okay?
33:04My doctor said I can't do the egg retrieval this month
33:10I'm sorry
33:10She said I could try again, but
33:13It's not promising
33:15You never know
33:16I was never sure I wanted kids
33:18I just never thought
33:22It wouldn't be an option
33:26It might be hard
33:28That doesn't make it impossible
33:30I think it's a sign from the universe
33:31I'd be a terrible mother
33:37Here you go
33:40Wish you could blame us on the hormones
33:43Come on
33:45I got wings and fries
34:04Hey
34:05Hey, I thought you were picking up the kids tonight
34:07I am
34:08Oh
34:11I need to tell you something
34:13I want to talk to you too
34:15Is there something wrong?
34:19Margot offered me a job running a global research incubator in Paris
34:24And, uh
34:26I'm considering it
34:29Okay, um
34:30I don't know what to say
34:33Well, I know that I've recently made a lot of decisions for myself that have impacted you
34:38And that I wasn't fully supportive at that job at Enumclaw
34:42And you jumped at my throat
34:43I was going to turn it down and not even bother you
34:45But I can't stop thinking about it
34:47So I thought it was worth the conversation
34:49Oh, did you?
34:50Or have you just made up your mind
34:51And now I have to be the bad guy to tell you not to go?
34:53That's not what's happening
34:55We have kids
34:55Did you forget about them?
34:57Of course not
34:58That's something that we'd have to figure out
34:59I mean, there are other families that
35:01You know what?
35:01Just do whatever you want
35:02Like you almost do
35:03Oh, and
35:16Hey
35:17I thought maybe you backed out
35:19I know
35:19I was just going to Joe's to pick up some dinner
35:21And then I have to check a wound back
35:24But you're in streets
35:25Well, if you go in in your scrubs
35:27People ask you for medical advice
35:30Are you having second thoughts?
35:31I'm not
35:31Because if you want out
35:32I don't, I don't
35:36Okay, I need to show you something
35:39Okay
35:43Okay, this is a black tourmaline
35:45It is a crystal that protects you by absorbing negative energy
35:49My parents are the kind of people that use crystals
35:52And tarot decks
35:53And other metaphysical resources to justify their poor life choices
35:57And as much as I hate it
35:59Some of it stuck
36:00And when the drink more burned down
36:03I just, I thought it was an omen
36:04And it's weird
36:06You can laugh
36:08Look, everyone has weird things
36:10How many crystals do you have in your pocket?
36:15Okay, last week when
36:17I didn't hug you because I felt sick
36:19I was fine
36:21It's because of your scarf
36:26It's because of your scarf
36:26The blue one?
36:27Yeah
36:27You don't like it?
36:29Right
36:30I have an irrational fear of yarn
36:35Blankets?
36:36Mm-hmm
36:36Mittens
36:37Listen, you will never see me in a chunky sweater ever
36:43That's weird
36:44You carry around a protective rock
36:51Who we are
37:00I thought you were the sun
37:05I knew you wasn't wanted
37:09So we're not new
37:29Oh my god
37:30Oh my god
37:31Oh my god
37:32What happened?
37:34Um, let's see
37:35We drank tequila
37:36And then we drank more tequila
37:37And then we, uh
37:38Made a huge mistake
37:39I'm gonna
37:41I'm gonna get out of here
37:43Yeah
37:43And, uh, no one else needs to know about this
37:53Oh my god
37:58Dr. Loud to Croctology
38:00Dr. Fred Loud to Croctology
38:05Hey there
38:07Yeah
38:10Welcome back
38:11What are you doing?
38:13I just woke up from surgery
38:17I, uh, I promised Karina
38:20Sorry, I called her
38:22Just please don't kill me
38:23I'm guessing you somehow saved my life
38:26So
38:27You're off the hook
38:28It's just doing my job
38:30And your, uh, your probie has been discharged
38:33He's fine
38:34Shaking up, but
38:35Fine
38:36Oh, uh, yep
38:38It's Karina
38:39Grateful emoji
38:40Heart emoji
38:41Many more
38:43Heart emojis
38:44I love her
38:46I was supposed to meet up with them out there next week
38:49How are the kids?
38:52Uh, Liam's walking
38:55I mean, he loves garbage trucks and Kiwis
39:00And Andrea DeLuca Bishop is a perfect angel
39:03Of course she is
39:06The second I saw you, I knew you'd have my back
39:09Once 19, always 19
39:13Okay
39:19Listen, I'm, uh, I'm going to let you rest
39:25But then we are going to call your wife
39:31Her urine outputs averaging 0.8 meg per keg per hour
39:35No signs of end organ damage
39:36Vital stable
39:38Norman Cousins once said that wisdom consists of the anticipation of consequences
39:43Norman Cousins, the peace activist
39:46I don't know
39:47It was on a poster in my high school chem lab
39:50The point is
39:52Today you anticipated the medicine
39:54You focused on patient care
39:56And you didn't let anyone stop you from providing it
40:00Including me
40:02I underestimated you
40:03And I'm down a plastics fellow
40:05Yeah, I'm working on my application
40:08I need someone now
40:09Would you be interested in an integrated plastics fellowship?
40:13Oh, definitely
40:13Uh, how do I apply it?
40:15You say yes
40:16Then you pick up your navy scrubs and meet me for rounds
40:22Are you okay?
40:23Do you need me to call Nero?
40:24No, no
40:25Um, I, uh, I'm going
40:27I'm, I'm, I'm going
40:29Warren
40:31Welcome to the team
40:32Whether in science or life
40:34The road to discovery is rarely a straight line
40:37We take two steps forward
40:40Then fall three steps back
40:44Morning
40:45Uh, the innovation competition
40:48Went well
40:50I've learned a few things myself
40:54Is that the IRB's report?
40:57It is
41:00Obviously
41:03I, I don't know what it says
41:05But look
41:06I, I know this, right
41:07We work in a system
41:09Where you can be forced out
41:11For one
41:13Mistake
41:15But that's not conducive to learning
41:17I know it was Quan
41:20Who lied to me
41:22You looked at my face
41:23And told me you did
41:25You're benched from surgery until further notice
41:28We veer off course
41:29I understand
41:30And have to find our way back
41:33Look, Quan is still learning
41:35So don't go too hard on him while I'm out
41:38Well, that won't be a problem
41:40He's fired
41:46Surprise detours lead us to unexpected places
41:48What's going on?
41:50The Royer Bridge collapsed
41:51That's awful, do we know how?
41:52I don't think they know much yet
41:54All right, well, let's get ready for incoming traumas
41:56Prep blankets
41:57Warm IV fluids
41:59I will page for extra hands
42:03Teddy, I owe you an apology for last night
42:05I had something I wanted to say
42:06And your news kind of threw me
42:08Let's talk when I get in
42:09If I ever get in
42:11There's a ton of traffic on this bridge
42:15Places we never imagined were possible
42:17Everything is available
42:47And I'll be fine
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