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Greys Anatomy - Season 22 - Episode 16: Feel It Still
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00:06Before the 20th century, drug safety studies were not required.
00:11Uh, uh, what, did you come straight from the airport?
00:16How was your flight and how's your brother?
00:18I'm sorry, I'm super tired.
00:20Can we talk later?
00:20Yeah.
00:26I thought you said you were tired.
00:28Yeah.
00:29Well, too tired to talk.
00:31Uh-huh.
00:32Uh-huh.
00:34Narcotics were sold over the counter.
00:37Teething babies were given serums laced with morphine.
00:39A medicine for strep was made with antifreeze.
00:42Do you think that we should clean up in case your aunt comes home?
00:46Don't worry about it.
00:50I'm a little worried about it.
00:53Are you having a good time?
00:54Yeah.
00:55Yeah.
00:58So don't stress.
01:00No one was responsible for distinguishing between medicine that healed and medicine that harmed.
01:07If I'm a mom, okay?
01:08And I love you.
01:09Come here.
01:09I love you.
01:10Bye, daddy.
01:11Yeah.
01:13Um, pizza's in the fridge and laundry's in the dryer.
01:16Thanks.
01:17We'll call you in the morning.
01:18I want that one.
01:20Okay.
01:24Look, mommy.
01:26All right, what do you have to go on?
01:27No one's studied side effects or adverse reactions.
01:33Twins are fed, changed, and asleep.
01:37Did you sing them twinkle, twinkle again?
01:39Highway to hell.
01:40Whatever works.
01:41Thank you for doing that.
01:43You need your rest before your first official day back.
01:49Are you excited?
01:50I am.
01:52Yeah, I mean, it's a lot right now with the kids studying for exams and being a fifth year,
01:57but it's only a few more months, and I got this.
02:01You're like Wonder Woman.
02:02Can Wonder Woman deliver a baby in under 60 seconds?
02:07Damn.
02:08No, forget Wonder Woman.
02:15All you could do is roll the dice.
02:20Thanks again for letting me crash at your place.
02:23Thank you for, um, you know.
02:28I would offer to host tonight, but my nephew slash roommate is partying and sleeping his way through the intern
02:35class.
02:36That's great.
02:39Is everything okay?
02:41Uh, my, uh, ex wants to get lunch.
02:46That doesn't sound so bad.
02:50The last time this happened, she tried to stop me from signing divorce papers.
02:55Uh, she wanted to stay together?
02:57She didn't really want it to be her fault.
03:00It, um, it got messy at the end.
03:03Well, you don't have to get lunch.
03:04You can just say no.
03:04I'm overreacting.
03:06She probably just wants to convince me to send Zach to summer camp or something.
03:09It'll be fine.
03:10Uh, I'll find you later.
03:11Mm-hmm.
03:33Good morning.
03:40Are there security cameras in here?
03:42I don't think so.
03:46Oh.
03:47Yeah, okay.
03:48No kissing in the elevator.
03:50Probably shouldn't be kissing anywhere in the hospital.
03:52What about on-call rooms?
03:53On-call rooms are fine.
03:55We block the door and stagger our entrances and exits.
03:58Yeah, I'd say no flirting in public.
04:00And when I'm on your service, we should be three feet apart and no eye contact.
04:03Won't that be a little weird?
04:04They have professional amount of eye contact.
04:07Okay.
04:07Yeah.
04:08Okay.
04:10Um, Dr. Ndugu, I will get on pulling Mr. Azeb's chest tube.
04:14Thank you, Dr. Millen.
04:20Dr. Whiteway to five-class, Dr. Preston Whiteway to five-class.
04:25Don't even think about it.
04:27I was, um, I was just passing by.
04:30I wanted to see how he was doing.
04:31You don't go anywhere near patients, especially Quinn.
04:35You don't even look in his general direction.
04:38I've already done a week of pre-ops.
04:41Isn't that enough?
04:42You injected a man with a treatment the FDA specifically said not to.
04:47So, no.
04:49What can I do to change that?
04:51You can do what I tell you.
04:53Okay.
04:55There are discharge summaries with your name written all over them.
04:59Go.
05:00Hey, when can I put him back on regular service?
05:03When I say so.
05:05Yeah, but we're stretched pretty thin.
05:06Oh, uh, well, let me help.
05:08Uh, here, I can, uh, discharge Quinn Durston myself, all right?
05:14So, take that off your list.
05:15Uh, whatever you say.
05:18Dr. Burkhardt to ortho.
05:20Dr. Kim Burkhardt to ortho.
05:22Good morning, baby.
05:26Were you with my patient, Quinn?
05:28Well, I consulted on his case earlier this year.
05:30I thought I'd stop by and say hi.
05:32He was a nice guy.
05:33Yeah.
05:34So, you, um, want to fill me in on your secret?
05:38Secret?
05:40Well, judging by how his infection's healing, you work some kind of miracle.
05:44Keep up the good work.
05:46Dr. Pico to the OR.
05:48Dr. Pico to the OR.
05:49And that's why Josepo Ortizia Dominguez is one of Mexico's unsung heroes of the revolution.
05:55Good morning, you two.
05:57Dr. Wilson, you're back.
05:59It's my first day back.
06:00Sorry for interrupting the history lecture.
06:03She's already got her daughter halfway to a PhD.
06:05Oh, she's a lucky girl to have two professors as parents.
06:08She's our first kid.
06:09I'll lower my expectations on a second or third.
06:11Let's get through this pregnancy first.
06:13So, you've got abdominal pain, nausea, vaginal bleeding.
06:17How long have you had the shortness of breath?
06:19Since yesterday.
06:20At first, I thought I might just be the pregnancy.
06:23Okay.
06:24May I?
06:25Mm-hmm.
06:35Is our baby okay?
06:37Based on your high blood pressure, I am concerned about preeclampsia.
06:42I'd like to get some more labs to be sure.
06:44Is that bad?
06:44Can you fix it?
06:45Should I be scared?
06:47It's okay to be scared.
06:48Just know that I will be by your side every step of the way.
06:51Whatever it is, we will handle it.
06:53Okay.
06:54I'll be back.
07:01Hey, can I ask you something?
07:02Mm-hmm?
07:03You and Owen are divorced.
07:04Do you get lunch?
07:06Not usually.
07:08He's divorced from you.
07:09Do you get lunch?
07:11No.
07:12Should I be worried about lunch?
07:14Dr. Shepard, paramedics called.
07:16They're bringing in a code stroke.
07:17Female, 75.
07:17Uh, hold that thought.
07:19Uh, how far out?
07:19Unloading now.
07:20They picked her up around Lake Union, slurring her words.
07:22Okay, notify CT.
07:23The patient is going to need a scan ASAP and make sure the endovascular lab is on standby.
07:28Okay.
07:29Oh, my God.
07:30Oh, my God.
07:3475-year-old female.
07:35She's been...
07:36Evelyn.
07:36You know her?
07:37Paige Owen Hunt.
07:38Is there a trauma injury?
07:39This is his mother.
07:41Oh, my God.
07:47Oh, my God.
07:57Hey, Dr. Kwan.
07:58Hey.
07:59I was starting to think that you'd forgotten about us.
08:01No way.
08:02Uh, it's just been really busy.
08:04But I hear you're getting discharged.
08:06Yep.
08:07Uh, we're going to go home, get some rest, and then hit the road.
08:10First stop, Glacier National Park.
08:13You talk Logan into the trip?
08:15He's actually the one that started planning it.
08:17I don't know what happened.
08:18After my surgery, he became a regular John Muir.
08:22Who knows how long those Glaciers will be there, right?
08:25Hey, Mr. Durston.
08:27Uh, Dr. Kwan, I thought you were supposed to be...
08:29No, I was just saying goodbye.
08:30Safe travels.
08:31Dr. Warren, his stats are at 93 on room air, and heart rate is trending to the low 100s.
08:35What does that mean?
08:36Could be nothing, but we can't discharge your dad until we check him out, so set up a chest
08:40x-ray and an EKG.
08:41It's just a few tests.
08:42We'll be out of here soon.
08:43Um, are you going to go with him, Dr. Kwan?
08:48Of course.
08:49Yeah.
08:49Uh, I will update you as soon as we know anything.
08:52Cool.
08:55Tonya Orvis, 56, seven months post-heart transplant, and made it with shortness of breath and chest
09:01pain.
09:02It's always good to see you, but I'm sorry you're not feeling well.
09:05No, it's okay.
09:06I never feel well.
09:08Well, hopefully we can get this figured out and that'll change.
09:10Can you make me a healthy 25-year-old with big boobs and beachy waves?
09:15That's not technically my specialty.
09:17And I think this is just how I'm going to feel.
09:19I'm running on a used engine.
09:20What'd you expect?
09:22It was kind of a miracle.
09:23I mean, I've never had a heart transplant, but I would think you'd feel better than before.
09:29You would think that.
09:31What's that supposed to mean?
09:32You're young, handsome.
09:35You have 15 years, some hair loss, and 20 cholesterol points.
09:39Uh, let's send for a prograph level, a CT, and an EKG, all right?
09:43We'll be back.
09:44Can't wait.
09:47She is charming, and you'll love her.
09:52Evelyn, it's Teddy.
09:53Owen's on his way down.
09:54Hang in there.
09:55Anything?
09:56DTRS 2+, and equal, bilaterally.
09:57It looks like you had a TIA, which is a mini stroke.
10:00I know what it means.
10:01I may be old, but I'm still a nurse.
10:05It's nice to see you, though, dear.
10:07How's that baby of yours?
10:08Five.
10:09And full of energy.
10:10I'm looking as fast as I could.
10:12Are you okay?
10:13Any pain or dizziness?
10:14Oh, Lord, I'm fine.
10:16Just call my regular doctor.
10:18No need to fuss.
10:19She's moving all her extremities.
10:21No more facial drooping or slurring.
10:22It's likely a TIA.
10:24Atrial fibrillation on her EKG.
10:25It's intermittent on the monitor.
10:26Have you had any heart palpitations or felt your heart racing?
10:29I don't think so.
10:30Okay, she needs a head CT and an echo carotid duplexes, and she needs to be admitted.
10:35As in now.
10:36Owen, what's your tone?
10:38We've already ordered the CT and the echo.
10:40Once those are done, we'll go from there, okay?
10:42Tell radiology that she has a history of a triple A.
10:45She should be near the front of the line.
10:46They're waiting for her now.
10:56Oh, what's going on?
10:58I told you I would discharge Mr. Durston myself.
11:00Oncology needed the room, and his paperwork was in order, so...
11:03And I was just saying a quick goodbye, and then his sats dropped.
11:06Then you should have paged me.
11:08Where are you taking him?
11:09Radiology.
11:10CT is waiting on us.
11:11Don't worry, they're doing a good job.
11:13That may be, but they have other things to do.
11:16I will take it from here.
11:18You're taking him to CT.
11:20Yeah, you said it yourself.
11:22We're stretched thin.
11:26You said elevated liver enzymes, low platelets, and high LDH?
11:30Oh, we don't speak doctor.
11:32Does that mean I have preeclampsia?
11:33Not exactly.
11:34Your lab results and physical exam indicate something related.
11:38Help syndrome.
11:39Oh, that sounds worse.
11:41It is a rare pregnancy complication of your blood and liver.
11:44So what do we do now?
11:45Give her medication?
11:47What is that?
11:48What's happening?
11:49Your baby is in distress.
11:51Let's get you on your side to see if that helps.
11:54Okay, ready?
11:56Okay, we need some help in here.
11:58Okay, Irene, change your plans.
12:00The best way to take care of you and your baby is to get you to the OR for a
12:04C-section.
12:05You're taking her now?
12:06I'm not, I'm not due for another six weeks.
12:08Your baby is 34 weeks.
12:10She should be just fine.
12:11We have an amazing NICU team, but we do need to get her out as soon as possible.
12:15You got this.
12:16I'm not.
12:19You have to make sure both of them are okay, please.
12:22I'll do everything I can.
12:24Okay.
12:33Hey, I just did my first A-line without supervision, and the patient is still alive.
12:38Do you want to go out to dinner to celebrate?
12:42I mean, last night was so fun, and the night before that, and twice the night before that.
12:46But don't you ever get hungry?
12:50Sounds great.
12:52Uh, Bailey.
12:55I'll see you tonight.
13:01I thought you were sad.
13:03You found something to make him happy.
13:05Shut up.
13:05Trust me, no judgment here.
13:06You know, like, Millen's having, like, a full-on affair with...
13:09Have you heard from your family?
13:10Is your brother doing better?
13:12I'd rather not get into it.
13:14Oh, that's a medical records office with another dumb question on another dumb discharge summary.
13:20Should I just throw in the towel?
13:22Become a mechanic?
13:23Yes.
13:24You don't even know what's going on.
13:26Just speaking from the heart.
13:36No, they just finished imaging her.
13:39No, just hold tight, okay?
13:41I gotta go.
13:43Megan, she's trying to decide if she needs to get on a plane.
13:46Does she need to get on a plane?
13:48Good news.
13:49Imaging was negative, so there's no active stroke.
13:51But we did see signs of bilateral carotid stenosis, which is not unusual due to her history.
13:55I'm gonna start her on anticoagulants to reduce risk of further strokes,
13:59and then we're just gonna keep a really close eye on her.
14:01She's in good spirits.
14:02I'll give you an update when she's settled in the room.
14:04Okay.
14:06I, uh, I can cancel my day to help you out with whatever you need.
14:10I mean, your mom, you...
14:12Yeah, you don't need to do that.
14:13Are you sure it is not a problem?
14:15I have it under control.
14:18Okay.
14:19All right.
14:20Dr. Bush to the new cue.
14:21Dr. Justin Bush to the new cue.
14:27There she is.
14:28Cut the cord.
14:31Okay.
14:32Sweet girl.
14:34Okay.
14:35Then two more units of blood.
14:36I thought we called for backup.
14:38We did.
14:39Twice.
14:40But where the hell are they?
14:41More traction?
14:42Are you needed hands?
14:43What do we have?
14:44Just delivered the baby via crash C-section.
14:46Looks like help based on her labs.
14:48The baby had prolonged bradycardia, so we had to deliver.
14:51How about the first day back?
14:52Uh, how much blood have you given?
14:54Three units.
14:56Any more lap pads?
14:57Send a tag.
14:59Are you going to help me control the bleeding or not?
15:02Okay.
15:02Take this.
15:04Conduction.
15:05More lap pads.
15:18Hey.
15:19How was lunch?
15:20Hey.
15:21Uh, fine.
15:22We talked.
15:23Actually, Celine did most of the talking, which is pretty difficult for her.
15:27About Zachary or...
15:29Um...
15:29I mean, you don't have to tell me.
15:31She's your co-parent.
15:32It is not my business.
15:33She wants to get back together.
15:35Oh.
15:35I didn't expect any of the words that came out of her mouth,
15:38and I was going to wait and talk to you about it tonight,
15:40but I don't want to keep anything from you.
15:44Uh...
15:45Or you...
15:46Do you want to get back together?
15:48No.
15:52I don't know.
15:54I don't think so.
15:56Can we go somewhere?
15:58Talk about this not in a hallway.
16:00I don't know what there is to talk about.
16:01I've never met Celine, and I've never met Zachary.
16:05I mean, I don't even know how long you guys have been divorced.
16:07Nine months.
16:08That's not long.
16:11You know, and we haven't really defined this thing.
16:13Like, I really don't get that way in, Amelia.
16:17I have this really important patient
16:19that I need to give all of my attention to right now,
16:21so I'm going to focus on that.
16:23You just let me know what you decide.
16:34Hey.
16:34Hey, I said I had those under control.
16:36Yeah, and I heard you.
16:37I'm not here to help.
16:38I'm here on a wild goose chase.
16:41Novak Myers wants their hydrogel back
16:43since the FDA denied Quinn's request,
16:44but I can't find it, and no one knows where it is.
16:47Have you seen it?
16:49We have a floor full of patients,
16:51and you're looking for a vial?
16:52It's worth a half million dollars.
16:54Let it go.
16:55Our drug storage protocol should be airtight.
16:58You think it's an acceptable way to run a hospital?
17:00No, but look, we're busier
17:02than we've been all year,
17:03and you are our chief resident.
17:05You have to do triage,
17:08and if you do it right,
17:10wild goose chase will not make the cut.
17:12Copy that.
17:16Pulmonary embolism in the right lower lobe.
17:19Oh, no.
17:22Damn it.
17:25All right, let's get him on a heparin trip.
17:28He is not going home today.
17:32Still waiting.
17:33How many units have we used?
17:35Eight so far.
17:36We need more labs.
17:36The tag doesn't look good.
17:38She's too unstable.
17:38We just need to stop the bleeding.
17:40No, I'm more worried about correcting her acidosis,
17:42and we maxed her out on pressers.
17:43Millen, what's the standard of care
17:44for damage control and surgery?
17:46We pack the patient,
17:47and then we resuscitate her with IV fluids
17:49and blood products in the ICU,
17:51and then bring her back to the OR once she's stable.
17:53Okay, good.
17:54Wilson?
17:54No, no, no, no.
17:55Something isn't right.
17:56Was there something wrong with her labs?
17:57No, it's just...
17:59I just have this feeling.
18:00You said it yourself.
18:01There's a lot of bleeding.
18:02You just cut into her uterus
18:03and pulled out a baby.
18:04Of course there's a lot of blood.
18:05Wilson, she's too sick.
18:07If we keep going, we will lose her.
18:13Okay, let's get her to the ICU.
18:16Okay.
18:23Such precision.
18:24I can tell you're an excellent surgeon.
18:27Okay, Mom.
18:28Okay.
18:29Miss Hunt, you need anything at all.
18:30You have me paged.
18:31All right?
18:32Bye, Dr. Bryant.
18:33Bye.
18:34Okay, let's dial back on flirting with the residents, please.
18:37You're no fun.
18:38You just had a stroke.
18:40A TIA.
18:41Barely counts.
18:43Are you okay?
18:45You're fine.
18:46No.
18:47You sound just like your father.
18:50That man kept everything inside until the day he died.
18:54When you were six, there was a week where he seemed down.
19:00But he insisted he was fine.
19:03Then I ran into Sheila Skeeland at the pharmacy.
19:06You remember her?
19:07Dad's secretary?
19:08She told me one of their co-workers killed over dead in your father's office.
19:18He did CPR for 20 minutes.
19:24I wish he would have told me things.
19:27You feel you would have known him better if he'd let you in?
19:29No.
19:30I knew exactly who that man was.
19:34No.
19:35He would have felt better if he'd let it out on a cue.
19:39He would have felt better if he'd let it out on a cue.
19:45Code stroke.
19:46Code stroke from 3121.
19:48Mom's okay.
19:48Hey, hey, hey, hey.
19:50I'm here.
19:51Okay, Shepard.
20:05Just finished my laminectomy.
20:09Have you eaten anything?
20:11Uh, no time.
20:12I'm trying to figure out why my patient is circling the drain.
20:15Wanna bounce ideas?
20:18I know slightly more than nothing about differential diagnoses with help.
20:23All her labs point to help syndrome, but after I did the crash C-section, she never stopped bleeding.
20:27Maybe she just needs more time to resuscitate.
20:29You sound like Helm.
20:30She was with me in the OR.
20:32I'm pretty sure she thinks I've lost it.
20:35Is that your patient?
20:37Irene, her wife keeps running back and forth between here and the NICU.
20:45Tell her to take the stairs by the vending machines.
20:48There's fewer people, plus you avoid that chatty nurse.
20:51Can I bring you a sandwich?
20:53Nope, I'm gonna keep working.
20:56Need to eat?
20:57I need to figure this out.
21:02Are you okay?
21:04I'm just worried about my patient.
21:06I will talk to you later.
21:09Okay.
21:09Okay.
21:22Tanya?
21:25It's Dr. Adams.
21:26I'm in the middle of something.
21:28Is this important?
21:30Uh, yeah.
21:32Yeah, kind of.
21:36Dr. Andugu asked me to take your blood.
21:38Sorry to interrupt your, uh...
21:40I was practicing for when I'm dead.
21:43Okay.
21:44I know there's no skill involved.
21:46I just get panic attacks sometimes.
21:49Pretending I'm dead helps me remember there's nothing to worry about.
21:52I'll be dead.
21:53Yeah, I think you live another 15 or 20 years with this heart.
21:57Or I could be hit by a bus tomorrow.
22:00Wait, this isn't even about your heart?
22:02I'm a pragmatist.
22:03Yeah, I don't think that's what that means.
22:05Yeah, whatever it is.
22:06Works for me.
22:07Does it?
22:08You don't know me.
22:09No, but I know that life is mostly a nightmare.
22:13And you can choose to fixate on it and be miserable.
22:16Or you can ignore it and have fun.
22:20I'm in a hospital.
22:21How am I supposed to have a good time?
22:23Uh, well, the gift shop.
22:24It has, uh, these puzzles.
22:26And sometimes the kids from Pease, they like to crank all the front desk.
22:30That's fun.
22:31And Andy, the nurse, single.
22:34Right and mingle.
22:36I'll get right on it.
22:37Well, at least order the pancakes from the cafeteria tomorrow morning.
22:40They're surprisingly good.
22:43Are you done?
22:45Yeah.
22:46Yeah, I am.
22:51What happened?
22:52She started slurring her speech and lost mobility in her left side.
22:55She became uptunded, so he intubated.
22:57Owen, you should not be in here.
22:58I'm not going anywhere.
23:00There.
23:01You see that?
23:01A clot in the first segment of the middle cerebral artery.
23:04We're lucky that you were with her and that you got it right away.
23:06This stroke has a high rate of mortality.
23:09Should we push thombolytics?
23:10Well, she's already on anticoagulation.
23:11Our best bet is to remove it.
23:13Why don't you prep for an endovascular thrombectomy?
23:19I will take care of her like she's my own.
23:21I checked her chart on the way up.
23:24She hasn't updated her advanced directive in over a decade.
23:27Do you know if her wishes would have changed if anything were to happen?
23:31I'm not worried.
23:32It's you.
23:35With the carotid stenosis.
23:36Just get in there and do what you need to do.
23:37We need to prepare for that.
23:38We're losing time!
23:40I will call you with updates.
23:50Helm wanted you to see Irene's latest ABG results.
23:54Her labs are improving.
23:55It's good, right?
23:57Except her hemoglobin is still dropping.
23:59She's still bleeding.
24:00Could it be dilution?
24:02I don't know.
24:04I think it might not be help.
24:09Maybe she just needs more time?
24:12If the bleeding's not coming from her uterus, she may not have time.
24:14So I...
24:16I think that we go back into the OR and we find the source.
24:22Or we could get a scan first.
24:26She's crashing!
24:28Change her plans.
24:29I'm reopening her here.
24:30Uh, hold on.
24:32Let me...
24:32Paige, help.
24:33Do whatever you need to do, but Irene can't wait.
24:35I need a cut down, Trey!
24:47You know, you gotta jump a millisecond after it feels like it's a little too late.
24:52Now!
24:54Doctors play video games?
24:55Oh, surgeons have dexterity, bro.
24:58Uh, you have Queen's results?
25:00Uh, your dad has a pulmonary embolism.
25:02It's a small blood clot in his lungs.
25:04We'll give him medicine to clear it up.
25:06I-I know.
25:07He's had one before.
25:08Um, when is the experimental drug supposed to start working?
25:12There must be some confusion.
25:13Your dad didn't end up getting the experimental drug.
25:16Uh, Dr. Bailey said he did.
25:17The FDA or whatever changed their mind.
25:21Hmm.
25:23Can you excuse us for a minute?
25:25Yeah.
25:31You know anything about this?
25:33You should talk to Dr. Bailey.
25:35I don't see anything in his chart.
25:37Should I update it?
25:38Just record the P.E.
25:39I'll talk to Dr. Bailey about the oversight, and you stay the hell out of this case.
25:58What happened?
25:59Did she throw another clot?
26:04I can't operate on Owen's mom.
26:06If anything happens to her, he will never forgive me.
26:08You can ask someone else to do it.
26:10He'll understand.
26:12If she loses all cognitive function on someone else's table, I'll never forgive myself.
26:19She and my mom are a lot alike.
26:20You know, both military nurses and raised kids on their own.
26:25But I had a complicated relationship with my mom.
26:29So, having Evelyn as a mother-in-law kind of, you know, felt like a second chance.
26:35Hmm.
26:36You know what she'd say right now.
26:38Hmm.
26:40Suck it up and get in there.
26:42And she'd be right.
26:45You can do this.
26:51Feel free to say no, but can I go in there with you?
26:55Of course.
27:03What the hell are you doing?
27:04She was about to code.
27:06I had to open her.
27:07She's probably bleeding from the uterine incision.
27:09Or the incision you just created.
27:11She's not.
27:11She's bleeding from somewhere else.
27:14Oh my god.
27:15Ultrasound.
27:27Holy hell.
27:28Whoa.
27:30There.
27:32She's bleeding from the liver.
27:33She has a hemorrhage from a ruptured liver mass, probably an adenoma.
27:36So the bleed was coming from the mass all the time?
27:39You were right.
27:40We need to embolize it in the IR suite.
27:43Millen informed her wife.
27:45Are you two with me?
27:46Let's pack and go.
27:55You know, it's a bad day when I'm having my morning green juice after 3 p.m.
28:00Did you give Quinn Durstian the experimental hydrogel without the FDA's approval?
28:05No.
28:07Did Kwan?
28:10Yeah, that's why he's been doing paperwork all week.
28:12Miranda, you lied to my face.
28:14No, no, no, no.
28:15I'm trying to protect you, right?
28:18Keep you out of it.
28:19Yeah, well, he's my patient too now.
28:21We are supposed to report the P.E. to the IRB and the clinical trial sponsor.
28:25This could blow up.
28:27I know that.
28:30Okay, look.
28:32It wasn't you, so you could tell them that Kwan...
28:35No, I am not turning Kwan in.
28:37Okay, he was just trying to help, and we had a treatment that could.
28:41How many times have you been on my case about going rogue?
28:44That's just it, right?
28:45We've all done things we shouldn't have, but we're still here.
28:50Look, he's paying for his mistake with notes and orders.
28:54He doesn't need to upend his training.
28:57You could get fined.
28:58Lose your license.
28:59It's way less likely to happen to me than him.
29:03I hope you're right.
29:13Advancing the catheter.
29:14What kind of nurse was Ms. Hunt?
29:16She was a scrub nurse in Vietnam.
29:18Tracks?
29:19Yeah, she seems like a hospital coroner who's counting the instruments kind of gal.
29:22Very much so.
29:23All right, push the contrast, fluoro.
29:28Damn it.
29:29The carotid is narrower than it looked on the scans.
29:32Yeah, it looks 100% blocked on the left.
29:34Does that mean you can't get the clot?
29:36I can do it, but if I knock against the wall of the artery, I could shower blood clots into
29:41her brain.
29:42When will we adjust the stenosis?
29:43I could do a carotid endarterectomy when she's recovered from the thrombectomy.
29:48Someone get Dr. Hunt on the phone?
29:53How's it going?
29:54Do you have a clear path?
29:55The stenosis is worse than expected.
29:57It's about 95% occluded on the right side, but I can make it work.
30:01So what are you going to do about the stenosis?
30:02Teddy and I just talked it through.
30:03Her brain tissue is too unstable right now.
30:06I could do an endarterectomy in a few weeks.
30:08A few weeks?
30:09She'll have more strokes.
30:10It can be placed a stent now.
30:12That would increase her risk of converting to a hemorrhagic stroke.
30:15I think that's a risk we need to take.
30:17Oh, and we've already lost a lot of time.
30:19This is my recommendation.
30:20It's too dangerous.
30:21If she has more strokes, she will lose even more brain tissue.
30:23And if I place the stent and it becomes hemorrhagic, she could die.
30:26I know my mom.
30:27Okay?
30:29And she would rather die on that table than to live every day with the risk of a massive stroke
30:33taking away her independence.
30:36I mean, I know what I'm asking you to do.
30:37And if anything happens, it's on me, not you.
30:44Okay, I'll do it.
30:47Okay, everybody, we've got to move.
30:49I'm going to perform the thrombectomy and place the stent.
30:52I know I said this was a bad idea before, but we need to forget that.
30:54If we are going to do this, we need to operate as though we cannot fail.
30:58I'm with you.
30:58We got your back.
31:01Aspiration catheter.
31:21Caught in a moment
31:26A door that was closing on me
31:30I didn't notice
31:35Oh, I didn't notice
31:39All of it fading
31:44Shifting and changing
31:48I didn't notice
31:53Wish that I noticed
32:15Wait now
32:17Wait now
32:18One more second to touch
32:34I need you to jump in.
32:35What the hell happened?
32:36I was just talking to her.
32:37Adams, get in here right now.
32:38Come on.
32:38Okay.
32:49Is she...
32:50She's headed to recovery.
33:11Hey!
33:13What sounds better, burgers or Thai?
33:16Neither.
33:17I just lost a patient.
33:20Seven cardiac death from transplant rejection.
33:23Oh.
33:24I'm so sorry.
33:26Do you want to go back to your place?
33:28I need to get caught up on notes.
33:33Don't waste your time.
33:35He's using you.
33:42We've all been there.
33:45It sucks.
33:52How's she doing?
33:54Oh, stable.
33:55She's tough.
33:56Is that how you do it?
33:57I'm fine.
33:59Apple doesn't fall far from the tree.
34:01She says that I'm like my dad.
34:03That may be true, but you're also a lot like her.
34:06All right, Evelyn.
34:08We have started to wean you off sedation.
34:11Let's see how you're doing.
34:15I'm fine.
34:19Okay.
34:20Will you squeeze my fingers?
34:22Flying burns, striking heavy on.
34:26They are leading me home.
34:34I can't work, Evelyn.
34:40Okay.
34:44I'm gonna let her rest, and then we'll wean her out some more.
34:48Of course.
34:48Not just for that.
34:50I know I pushed you to take a risk that you weren't comfortable with.
34:53You were right.
34:56It was worth it.
35:21It's been a really long day.
35:22I almost lost a patient, and we just...
35:32Welcome home.
35:34Can I crawl into bed with my shoes on?
35:37As long as you don't mess up the laundry.
35:43Did your patient, uh...
35:45It wasn't help.
35:47It was a ruptured hepatic adenoma.
35:51Re-embolize.
35:53She's in recovery.
35:55That's great.
35:56You were right.
35:59Yeah.
36:02Hey.
36:04Listen, you saved a mom and her baby, and honestly, the other mom, too.
36:08That family is gonna be just fine.
36:11All right.
36:12Maybe.
36:15Or...
36:17Maybe months from now, Irene will still panic when she feels pain on her side, or...
36:23Feel terrified when she gets a headache, or...
36:34...hate herself when she looks at her daughter, and all she can think about is the time that she almost
36:42died.
36:45Is this...
36:46...Jo?
36:49I had no idea.
36:50Why didn't you say anything?
36:51I just...
36:52...wanted to move on.
36:54I didn't want to worry you.
36:57You really want our girls.
36:59No, I know.
37:00I know.
37:01Of course you do.
37:03Oh.
37:20Hey.
37:22Sorry, I...
37:22I don't want to bother you.
37:23I just wanted to see how she was doing before I left.
37:25She's slowly coming off sedation and...
37:28...responding to basic commands.
37:30Great.
37:33If you need anything, just...
37:34Just let me know.
37:37Would you...
37:38...want to sit with us for a little while?
37:40I'm sure she's sick of the sound of my voice by now.
37:45Yeah, yeah, sure.
37:48I've got some time before the nanny has to leave.
37:51Yeah.
37:55Recommendations, rules, guidelines.
37:58Ideally, they exist to save you from unnecessary pain.
38:05If it's falling out of place.
38:13If it's breaking from...
38:17Have fun.
38:18And stay safe while doing it.
38:29Are you using me?
38:32What?
38:33Why did you just hate that?
38:35You were gone for three weeks to take care of your brother, who's in a coma.
38:39Yeah?
38:39You haven't said a word.
38:40You just want to hook up.
38:41And I'm not looking for more than that.
38:43But I...
38:44...care.
38:44I want to know what's going on in your life.
38:46I want to...
38:47...know you're okay.
38:49It's not you.
38:50It's just...
38:51I'm not ready to...
38:51...talk about my brother to anyone.
38:54But when the time comes, you'll be the first person I've done my trauma on.
38:58Deal?
39:00Deal.
39:07But rules only work if you follow them.
39:15I wish I'd kissed you.
39:18That night.
39:20In med school.
39:26Did you run here?
39:29Yeah.
39:31I, uh...
39:32I might have looked for you in, like, three other places.
39:40Don't go back...
39:42...to Selene.
39:44I know it's complicated.
39:46You've got Zach, and you've got years of memories that will always be with you,
39:49and it probably seems like the easier, safer option.
39:54But that doesn't mean it's better.
39:57You had your reasons...
39:59...for leaving, and they're not going to go away just because you decide to start over.
40:06Probably not.
40:07And you and I are so new, we don't even know what we are.
40:10Yeah.
40:12But what I do know is we're great together, and we've known each other and liked each other since before
40:19you met Selene.
40:21That's got to count for something.
40:25It counts for a lot.
40:27Good.
40:29Because this isn't just a crush anymore.
40:32No?
40:36Not for me.
40:38And sometimes the rules you've been following turn out to be flawed.
40:45All bets are off.
40:47Dr. Bailey...
40:50Warren knows.
40:52Yeah, you're a few hours too late.
40:54Is he going to turn me in?
40:56No.
40:57He understands, but...
40:59...in between you and me, he doesn't want to sleep on the couch tonight.
41:05Look, I know I went rogue again, and I know that I should be fired.
41:09But if I haven't already said it, thank you.
41:13It's going to take a minute before I can look at you without blinding anger.
41:20Dr. Bailey?
41:22I...
41:24Just get some rest.
41:26So sorry it took me so long to answer your page.
41:30It's been one of those days.
41:35Uh, something wrong?
41:37Spencer came to see me this afternoon about Quinn Durston's P.E.
41:43She never should have bothered you with that.
41:46Uh, I'll make sure she knows that you're not on the team.
41:50You just consulted that one time.
41:52Well, she knows.
41:53She was following protocol, so I could report the complications to the IRB and the FDA.
41:59Since Quinn was given an experimental treatment...
42:03Okay, I can explain.
42:05I hope so.
42:06The Institutional Review Board will want every detail.
42:10They're launching an investigation.
42:13You're completely on your own.
42:15Okay.
42:26Good job.
42:31Thanks,zus.
42:31Bye.
42:32Bye.
42:33Bye.
42:38Hope you're sitting here.
42:38Bye.
42:39Bye.
42:39Bye.
42:42Bye.
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