- 2 days ago
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-bag 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.
01:18You 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.
01:26Which, unexpectedly, helps 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.
01:56What's those atoms?
01:58Say 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.
02:14Hey.
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 on 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?
02:49Years, 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. Hua, to peace. Dr. Laura Hua, to peace.
03:10Bailey, aren'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. Well, 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.
03:39Yeah, don't worry about me.
03:40Your 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.
04:15Should 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.
04:52I'm not avoiding you.
04:53I have been.
04:54Meredith, 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 her mind yet?
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.
05:46We have plenty of those.
05:47And 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.
06:00Mr. 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
06:26ore.
06:26What? No.
06:27You can't break the starburst.
06:29I'm sure the museum would understand.
06:31No, I 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, Brian.
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.
06:59What'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.
07:06Um, aggressive 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.
07:16Maya?
07:17Oh, Warren.
07:17Okay.
07:18What happened?
07:18Three alarm fire I fell through.
07:20It really hurts.
07:21We have been there.
07:22Okay.
07:22We got you.
07:22We got you.
07:23Just hang in there, Bishop.
07:24Yeah.
07:25My probie.
07:26Brett Castro, is he here yet?
07:28Yeah.
07:28We'll be on the lookout for her.
07:29Yeah.
07:29Hey, tell me.
07:30Tell me I'm gonna be okay.
07:31You're gonna be okay, doctors Wright and Bryant.
07:32We're gonna take good care of you.
07:33You're gonna be there too, right?
07:36Yeah.
07:37I'm right here.
07:37Keeping good care.
07:50We all are two.
07:54We'll be there.
07:55We'll be there.
07:56We'll beلى-
08:01MaVat-
08:03Student inventors look at them all young and shiny and optimistic the catherine make you come richard
08:10dr bailey dr gray welcome to the third annual fox foundation medical innovation competition
08:16we're happy to be here here are your score sheets we have 40 entrants and they're expecting questions
08:22so don't hold back 40 we better get started you need anything give me a holler go science
08:35use of nanoparticles and tracking inflammatory markers and sepsis that's impressive
08:39they've been looking at that for years it's still impressive
08:46well right i'm dr weber these are doctors millen and mead so uh how are you feeling fine i just
08:54cut my arm yeah i see that meat yeah i see it too i'll grab some sutures need abcs
09:03sorry do you know if my boss is doing okay it's my bishop they're still triaging her weapon
09:10oh can i see her i'm a probie she fell trying to help me the team is still working on
09:14her but if
09:14she should have met her she should know coarse breath sounds but equal expansion of the lungs
09:20though it looks clear sats are 98 on two liters okay good good let's get a chest x-ray and
09:25let's
09:25stitch up that arm where's the fire it's uh drickmore hotel what that's terrible what happened
09:35there's no telling until forensics gets in there fire spread fast though i mean half the hotel's gone
09:40sucks for the guests yeah really does just finished placing the central line good start with western
09:46protocol is karina on her way no no no don't call her i don't want her freaking out what she
09:51will
09:51have my hide no she took the kids to see that family in italy please just until we figure this
09:56out
09:57okay can you flex your left foot for me i don't think so how's it looking over here she's got
10:02an
10:02open comminuted tibial fracture she needs an orif she needs to be resuscitated in the burn icu but
10:07she's presenting with nerve damage if i can get her into an or now i might be able to repair
10:11it
10:12okay just try to make it fast maya we need to get you to an or to work on your
10:17leg what about the
10:18burns after they're done we'll resuscitate you in the icu and then we'll debride tomorrow all right
10:22let's go what if we started to breeding now no she needs aggressive stabilization first i can make
10:27sure that she'll get that in the or she's going there anyway i'll excise a dead tissue and it'll help
10:32prevent sepsis okay fine but are you sure you're good to do this she's your friend definitely okay brian
10:37go with him to breed as much as you can while they're operating do not push it i'll check in
10:42after my rotational flop let's go
10:51i wish he'd let us cut that thing it's meaningful to him he's in there barely okay morris do you
11:00scan
11:01breathe normally i've got a starburst in my chest normal is relative is it hitting the machine i don't
11:09want to ruin it no just hold still okay it'll just be a minute um tell us about your wife
11:16she was a volunteer docent over at the aldridge we used to sit under the fine and mobile and
11:23she'd tell me how he installed it piece by piece it's just me now but when i look at all
11:29those stoppers
11:30i feel they're with me
11:36do you think we can save it can't we just save him what if we did bilateral tharchotomies that way
11:42we
11:42would gain access to control the bleeding as soon as we lift it out okay we can try it but
11:47if there's a
11:48problem with breaking that glass then i got to the part where you stapled the aorta and i thought to
11:55myself this story is more thrilling than a tom clancy novel and rumor has it you've done it twice
12:00well you haven't even published the second surgery well i keep my ear to the ground especially when it
12:06helps me brag about my star resident i still hear your voice pushing me do more be better
12:12i don't think i appreciate it then but i do now i'm glad to hear it because i am leading
12:17the charge on
12:18the diso center's new research incubator congratulations that's fantastic we're bringing
12:22the world's best surgeons to develop and teach cutting-edge techniques and you're the first
12:26person i'm asking to join us i would love to teach for a few weeks in paris maybe this summer
12:32when my
12:32kids are out of school i'm not inviting you to visit i want you to leave the program as our
12:38chief
12:38innovation officer wow i i don't i don't know i i live here i have kids i i have a
12:48house i'm chief
12:49of surgery bring the family the public schools are excellent the center could provide a generous
12:53housing stipend we all know the u.s is falling behind on research don't fall behind with it
13:00you're a visionary this is your chance to lead your peers and pushing the boundaries of medicine
13:07this is a lot to process okay okay don't answer now but like i've always said you're capable of more
13:16and better
13:18it was as sustainable sensor technology using seaweed um is that a problem we need to solve
13:33could help with climate change address medical waste markers in predicting stillbirth that's
13:41only three percent accuracy well maybe it could lead to something better
13:48uh you want to tell us about your project uh daphne park fourth year at uw the number one reason
13:54free flap transfers fail is the clot in the vein and because it's harder to see purple bruising on
13:59darker skin black patients are three times more likely to experience flap failure it's basically
14:04bouncing light waves off skin to detect venous congestion this is inspired does it notify the team if
14:09something's wrong i haven't gotten there yet right now it just detects does it have false positives
14:15i'm not sure you're not sure i've only tested it on a few people but if i win the seed
14:21money
14:22i plan to generate real data well i mean do you really expect to win if we don't know if
14:27the device
14:28works you know we should keep it moving thank you so much daphne well i have some more questions
14:32right which is why we are leaving hey heads up you're gonna get a call from the aldridge museum's
14:41legal department does this have to do with allison's field trip a patient impaled with a sculpture
14:45what happened to allison oh nothing some bleach and paper towels couldn't fix hey how's margo she
14:50like paris yeah she she seems good you should go there excuse me well i'm sure she'd love it if
14:58you came to visit and you deserve some time away uh dr unduga i wanted to ask you a question
15:09about a
15:09patient sir what's up there is no patient did you hear what happened to the drake more yeah what are
15:15the odds right well i guess we should be scheduled or we go to my place order in get a
15:21bottle of wine
15:22maybe i have this firefighter patient i'm taking care of gotta go back to the er
15:31tibia's set i'm all done here shepard and kwan you're up all right let's repair this nerve i need
15:3710-0 nylon kwan approximate the edges for me on it warren i know you and bishop are close you
15:43hanging
15:43in there focusing on what's right in front of me all right if you need anything page me
15:50keep going bryant bleeding just means you hit healthy tissue brow white please thank you
15:57it's hot as hell in here i can barely see what i'm doing that's just how we keep burn patients
16:01from getting hypothermia we need a break no judgment i'm fine hey let's keep going
16:15chamomile you think that's gonna help me relax i'm hoping it'll stop you from crushing those
16:21young people's dreams i'm just keeping it real i mean they think that research is about winning
16:27competitions and getting kudos from their teachers i think they'll learn soon enough that research is
16:34hard they'll run into roadblocks and they'll have to make compromises well has your research hit the
16:39wall yes i'm at the mercy of a bunch of lab mice i used to think that all it took
16:46was hard work and
16:47perseverance and now i'm just jaded and exhausted exhausted and i used to be daphne i thought i was
16:57gonna save the world and had the audacity to wonder why my teachers weren't more excited to help me do
17:05it
17:05thought they were just lazy didn't understand now 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 insurmountable
17:26i think we need something stronger huh
17:34damn it i knew that i'm so screwed hey what are you doing in here my badge still works from
17:43when i
17:43wasn't attending hmm no babies today obi is more than just delivering babies i've got the flashcards to
17:51prove it the creog it's tomorrow took the day off to study which isn't working i do not envy you
17:59all those multiple choice questions with no nuance i always wanted to write in caveats next to my answer
18:04on the qe i'm sorry i don't mean to psych you out just ignore me no no it's not you
18:11it's just
18:15i don't know if i want to be an obi anymore
18:25so just look good coarse breath sounds bilaterally
18:29uh is bishop stone surgery yes we will update you when we can can i get back to the fire
18:34she would
18:34want me out there oh i don't think that's a good idea it's a three alarm fire that's like a
18:38medium-sized
18:39one how long were you in the structure 10 minutes maybe what's happening the sats are a bit low
18:46that's probably going to smoke inhalation turn up his oxygen yeah i checked his airway earlier it was
18:52clear lane poller i hear wheezing we're going to put you on a nebulizer and that will help reduce the
18:59inflammation in your lungs but you are not going anywhere for a while
19:07when did we go from being people who present at these to people who judge them people who are
19:14unnecessarily judgmental
19:19i'm under investigation with the irb for what i got carried away with the treatment that the fda did not
19:27approve and how's the patient doing quite well well well it sounds like you did the right thing ben
19:33doesn't think so i'm getting the cold shoulder i've been in that situation before are you worried
19:38about your job probably should be but i've been through enough to know that whatever happens i'll
19:43manage one of the benefits of experience and the drawbacks
19:49sometimes it feels easier to not know what you don't know those students have no qualms about their
19:54research yeah except for the ones i tried to give them katherine's making me be here it's part of
20:00my lab space deal oh still no federal grant but stupid question i blame the booze research is full
20:08of making compromises and so is judging a med student competition you want me to go back out there and
20:15be
20:16encouraging don't you you always were to me i did hey it's easy to be encouraging with the booze you'll
20:24manage
20:27when i see patients like that their blood all over the floor it makes it
20:34a lot harder to move forward do you need more time off well i'm already behind from maternity leave
20:40plus i have four kids at home i mean you just got back give yourself time to acclimate what if
20:45i
20:45never do be a general surgeon it's not the worst fallback job yeah but i've been through all of this
20:52training for nothing well sometimes you have to try things that you don't want to figure out the
20:59things that you do want and you're allowed to change your mind that feels selfish but to to want to
21:07be
21:08happy you have to choose what is best for you yeah but it's not just me i'm never going to
21:14get back
21:14the time that i could have spent with link and luna and i'll have put them through all of this
21:19just end
21:20up right back in the same place i don't think it works that way the job will be the same
21:26but you'd be
21:27different and you'd have more conviction about what you want and why you want it well it might not be
21:35up
21:35to me if i don't pass the test well that would make the decision easier i am but you have
21:41come
21:41so far you owe it to yourself to know what your options are you're probably right i've got a little
21:50time you want some help i'm great with mnemonics are you ready no tension on the repair it looks like
21:59we're done here oh i'm going straight to the morgue it's cold down there all right warren you
22:05good yep tell the burn i see you we're finishing and coming up why right told us to get out
22:11once
22:11thinking and shepherd are finished what's her urine output 0.2 it's a little low increased food
22:18resuscitation by 150 cc's well what are you doing if we debride too much she could get more acidotic
22:23end up with organ failure there could be i know what she said but vicious blood gases are stable and
22:27we're
22:27almost done if we finish she has less chance of scarring and reconstruction failure how close
22:32are you to this patient i never asked you to stay fine i'm in all right let's hold on a
22:44little longer
22:44bishop okay ready for the rib spreader all right i'm in why are we saving this is he really going
22:53to
22:53sit under it again well the museum is going to do everything it can to make sure this never happens
22:57again so why should he change his plans bobe it was a nice tradition he obviously loved his wife a
23:02lot he could find someone else you know when my grandma died my grandpa became the most eligible
23:05bachelor in his retirement community he had a full head of hair i don't know when you've been with
23:11somebody that long it's hard to let go sorry i'm late my doctor's appointment ran long where do you want
23:15me uh i could use some retraction you okay fine heart rate and vp are tanking he's about to code
23:28all right i can see the pericardium bulging and it's filled with blood the ray is causing cardiac tampa
23:33now there's no way i can reach it we're gonna have to remove it now ready on my count one
23:38two three
23:42no it's it's it's the angle it's curved under the bone it won't budge yeah it's hollow give me a
23:49large hemostat and sterile towels what are you doing we're gonna have to break it pull on the glass
23:53getting his chest we're gonna do our best to avoid it but at this point we don't have a choice
23:57ready
23:59all right careful careful got it here we go
24:08bp's in the low 70s
24:09all right looks like he's bleeding from the heart he's got a nick in the right ventricle i need two
24:18old proline hold pressure here got it
24:22the bp's increasing heart rate's stabilizing so much for his sculpture well he's alive i think he'll get
24:36over this point on the graph represents the reflection of light from the blood sample in the
24:39cuvette the sensors in a shoot box to avoid ambient light now here is the same thing but with a
24:45higher
24:45concentration of hemoglobin which represents more congestion in the flap which we'd normally have to
24:51detect from darker bruising and you built this yourself my roommate and her brother helped their
24:58engineers but i had to learn about algorithms light absorption and photodiodes and your free time
25:03between classes and clerkships honestly the toughest part is believing that i can do it i mean what do i
25:11know i'm still in med school and this is just a passion project i'm sure there are plenty of great
25:16ideas in this room you'd be surprised i hope i didn't shake your confidence earlier by asking hard
25:23questions no that just pushes me to make the next version even better i want to contribute to
25:28scientific knowledge however i can that attitude will serve you well hold on to it for as long as you
25:34can thank you to have me thank you
25:39well this generation just might save us as long as we don't discharge them before they get the chance
25:48okay no wheezing he has clear breath sounds bilaterally does that mean i'm okay to you can't leave
25:54yeah dr weber you have a call from the irb they said it's urgent um continue treatment
26:06looks like the fire is finally contained how bad was it it's the worst i've seen so far
26:12it's too bad it seemed like a nice hotel yeah oh is bishop out of surgery oh we've repaired her
26:20leg
26:20but they're still debating the burns does that mean she'll be okay well it's hard to say but she has
26:26the best doctors okay yeah everybody keeps saying that but i need to know she's gonna be all right
26:30her and her wife have two kids at home if something happens to her that's my fault she told me
26:34to wait
26:34for them to fully secure the roof i thought i could make it across and she fell trying to rescue
26:39me
26:39you're a firefighter if you're not willing to take big risks to save a life
26:45you're not doing it right dr kwan ward
27:00um i just heard from the irb
27:03oh um is the report done you know i know dr bailey's been worried from what they say i would
27:09assume
27:09you'd be just as concerned of course you know i uh she's a mentor i know it was you who
27:17injected the
27:18hydro gel and not her now i want you to tell me everything that happened starting from the beginning
27:55dr rachel mandelbaum
27:56maybe you can just tell me it's over if that's what you've decided
28:01i haven't and 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 but then i'd be the one lying
28:33what's her core temperature 96 degrees you're turning the heat up again aren't you
28:36the more we debride the colder she gets bump up room temp to 102 degrees
28:41i went to the icu they said bishop hadn't arrived what the hell are you doing finishing tangential
28:46excision that was rhetorical put down the weck blades now we're almost done i don't care too
28:50much to breathe and could kill her i'm your attending i'm telling you to stop her abg shows
28:54worsening acidosis what are her potassium and lactate levels warren you are too close to this
28:58patient five and lactate is elevated do you want me to push bicarb and insulin bicarb yes hold off on
29:03insulin i am not trying to be insubordinate but bishop and i were in the trenches together she saved
29:08my butt more times than i'd like to admit i would never do anything that would put her in more
29:12jeopardy and you know i was an anesthesiologist before i was a surgeon so i know how to keep her
29:17safe
29:17and i know when to quit i promise
29:25someone gown and glove me you're scribbling in the more hands you have the faster you'll finish
29:33let's go
29:40oh
29:43there's something in the water
29:48oh
29:51the ships are sinking in the harbor
29:57oh
30:03help my head is going under put the light in my eyes
30:08all i see is
30:46pick me off the concrete
30:49when 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
31:26you're in the ccu so we can monitor your recovery
31:29oh well that's good
31:31oh and what about the sculpture
31:34uh morris 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 janey 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
31:59it's not just the big stuff
32:01the details
32:03like the color of the kitchen towel in our first home
32:07now i have to remember for both of us
32:09i'm holding on to every piece of our life i can
32:13but 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 i'll go get you 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
33:17i was never sure i wanted kids i just never thought
33:22it wouldn't be an option
33:26yeah it might be hard
33:28that doesn't make it impossible
33:30i think it's a sign from the universe i'd be a terrible mother
33:37here you go
33:40wish you could blend us on the hormones
33:43come on i got wings and fries
34:04hey
34:05hey
34:06hey 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
34:16there's something wrong
34:19margot offered me a job running a global research incubator in paris and 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 and
34:39not i wasn't fully supportive of that job and enumclaw and jumped on my throat
34:43i was gonna turn it down and not even bother you but i can't stop thinking about it so i
34:47thought it
34:48was worth the conversation oh did you or have you just made up your mind and now i have to
34:52be the
34:52bad guy to tell you not to go that's not what's happening we have kids did you forget about them
34:57of course not that's something that we'd have to figure out i mean there are other families
35:01you know what just do whatever you want like you always do oh and
35:17hey i thought maybe you backed out i know i was just going to joe's to pick up some dinner
35:21and then
35:22i have to check a wound back you're in streets well if you go in in your scrubs people ask
35:27you
35:28for medical advice are you having second thoughts i'm not because if you want out i don't i don't
35:36okay i need to show you something okay
35:43okay this is a black tourmaline it is a crystal that protects you by absorbing negative energy
35:49my parents are the kind of people that use crystals and tarot decks and other metaphysical
35:54resources to justify their poor life choices and as much as i hate it some of it stuck and
36:01when the drake morgue burned down i just i thought it was an omen and it's it's weird you can
36:06laugh
36:08look everyone has weird things how many crystals do you have in your pocket
36:15okay last week when i didn't know you because i felt sick i was fine it's because of your scarf
36:26the blue one yeah you don't like it right i have an irrational fear of yarn
36:36blankets mittens listen you will never see me in a chunky sweater ever
36:43that's weird that's weird you carry around a protective rock
37:00but like that's weird you have to use the cards that you can find out
37:06and you can't find out
37:09nice
37:10i just
37:10we're
37:10going to
37:10love you
37:12love you
37:12love you
37:14love you
37:14love you
37:15love you
37:15love you
37:29Oh, my God. Oh, my God. Oh, my God.
37:33What happened?
37:34Let's see. We drank tequila, and then we drank more tequila.
37:38And then we made a huge mistake.
37:39I'm gonna... I'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, Croptology.
38:00Dr. Fred Loud, Croptology.
38:05Hey, there.
38:07Yeah.
38:10Welcome back.
38:11What are you doing?
38:13I just woke up from surgery.
38:18I, uh, I promised Karina.
38:20Sorry, I called her. Just please don't kill me.
38:23I'm guessing you somehow saved my life, so you're off the hook.
38:28I was just doing my job.
38:30And your, uh, your probie has been discharged.
38:33He's fine. Shaken up, but fine.
38:36Oh, uh, yep. It's Karina.
38:39Oh, uh, yep. It's Karina.
38:39Grateful emoji. Heart emoji.
38:42Many more heart emojis.
38:45Tell her I love her.
38:46I was supposed to meet up with them out there next week.
38:49You know, how are the kids?
38:52Uh, Liam's walking.
38:55He loves garbage trucks and kiwis.
39:00And Andrea had to look a bishop as a perfect angel.
39:03Uh, of course she is.
39:06The second I saw you, I knew you'd have my back.
39:09Once 19, always 19.
39:13Yeah.
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.
39:37Vital stable.
39:38Norman Cousins once said that wisdom consists of the anticipation of consequences.
39:44Norman Cousins, the peace activist.
39:46I don't know.
39:48It was on a poster in my high school chem lab.
39:50The point is, today you anticipated the medicine.
39:54You focused on patient care and you didn't let anyone stop you from providing it.
40:00Including me.
40:02I underestimated you.
40:04And I'm down a plastics fellow.
40:06Yeah.
40:06I'm working on my application.
40:08I need someone now.
40:09Would you be interested in an integrated plastics fellowship?
40:12Oh, definitely.
40:14Uh, 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.
40:25No.
40:25Um, I, uh, I'm going.
40:28I'm, I'm, I'm going.
40:30Warren.
40:31Welcome to the team.
40:33Whether in science or life, the road to discovery is rarely a straight line.
40:38We take two steps forward, we take two steps forward, then fall three steps back.
40:44Morning.
40:46Uh, the innovation competition went well.
40:50I've learned a few things myself.
40:52Uh, is that the IRB's report?
40:57It is.
41:02Obviously, I don't know what it says, but look, I know this, right?
41:08We work in a system where you can be forced out for one mistake, but that's not conducive to learning.
41:17I know it was Quan.
41:20He lied to me.
41:22He looked at my face and told me you did it.
41:25You're benched from surgery until further notice.
41:29We veer off course.
41:30I understand.
41:31And have to find our way back.
41:33Look, Quan is still learning, so 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.
41:49What's going on?
41:50The Royer Bridge collapsed.
41:51That's awful.
41:52Do we know how?
41:52I don't think they know much yet.
41:54All right, well, let's get ready for incoming traumas, prep blankets, warm 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 and your news kind of threw me.
42:08Let's talk when I get in, if I ever get in.
42:11There's a ton of traffic on this bridge.
42:15Places we never imagined were possible.
42:42We don't know.
42:42Let's take us back.
42:59We'll see you later.
43:05ilima
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