- 14 hours ago
Grey's Anatomy Season 22 Episode 4
Category
🎥
Short filmTranscript
00:00We'll take the carpooling.
00:05This week has been great. I mean, really, really great.
00:10But I work with your husband.
00:12Is it going to be weird if we show up together?
00:14No.
00:15People carpool for all kinds of reasons.
00:22It is better for the internet.
00:28Play inducing a hypothermic state.
00:31The surgical team created a window of several minutes
00:33to close a hole in the heart of a five-year-old girl.
00:36The predominant preparator should be in the medium row.
00:40He's still got it.
00:41You want eggs?
00:44I'm not hungry.
00:45I have to tell my patient she's stage four.
00:48I'm sorry.
00:49Want to talk about it?
00:51No.
00:53Want pancakes?
00:56Yes.
01:00And one surgery changed the entire course of human history.
01:04You here late last night?
01:06Max and Irvin had an engagement party.
01:08Losing bingo and I lost both.
01:10Wait, Max, you just getting married?
01:11Yes, and I am a bridesmaid.
01:14I have to choose my dress today,
01:16so if anybody wants to weigh in...
01:18Hell yeah, I'll be too busy working with Jackson Avery.
01:20Wait, you're scrubbing in on the deep flight reconstruction?
01:23I've been asking to be on that for a week now.
01:25Well, if it helps,
01:26it comes with a plastics fellow who rage hates me.
01:30That does help.
01:31But as they watched her tiny heart,
01:33desperate for it to beat again,
01:35it could have gone either way.
01:37All they could do is hope.
01:39You don't have to wait with me.
01:40I'm just here for the chair.
01:42Take it.
01:43I am over recovery.
01:45Yeah, but don't forget P.T. and a lot more rest.
01:48Tell that to my kids.
01:50Hey, look who it is.
01:52Morning.
01:54Hi.
01:57Uh...
01:58Are you, are you, uh...
01:59Officially discharged.
02:01Congratulations.
02:04Hi.
02:04Cass, Beckman.
02:06I remember.
02:07It's nice to see you.
02:08Likewise.
02:08I guess.
02:09Yeah.
02:10We're going to the risk management class.
02:13Yeah.
02:13That's why we carpooled.
02:15Mm-hmm.
02:15Well, you know, we should get going.
02:17Gotta get those CME hours in.
02:19Well, um, enjoy being home, Link.
02:21Hmm.
02:25Didn't realize you lived close to the Beckmans.
02:28Yeah.
02:28That's true we do.
02:30Did Ann Schroeder's colleague get, uh, rescheduled?
02:33Uh, we did that yesterday.
02:35Well, I should say Quan did most of it.
02:37He did a good job.
02:38Patient did well also.
02:39Teresa Gomez's hernia repaired.
02:41Well, now that OR2 is back, we can fit her in on Wednesday?
02:45Well, she'll be happy.
02:46Okay.
02:49You know, I want you to know how grateful I am that you're back here.
02:54I mean, between the surgeries and the teachings.
02:56Happy to do it.
02:58I know you are.
03:00But thanks.
03:05You've gotta be kidding me.
03:07Well, is everything okay?
03:14Our water bill doubled this month.
03:15Irvin likes long showers.
03:17Have you suggested he and Maxine shower together?
03:21Move in with us.
03:23Hey, Ryan, we split utilities.
03:24You want me to live with you?
03:25Thanks, but no.
03:26Alright, step it up.
03:27A patient from an equestrian accident just came in.
03:29Now, a horse can inflict severe injuries on a person.
03:33Jonah Nolan.
03:34Yeah?
03:34I hear you fell off your horse during the competition.
03:37Me and Vince are warming up together.
03:38Vince, is your horse?
03:39Uh, no, it's me.
03:40My horse caught a fence and went down.
03:42Jonah was right behind me.
03:43Gash just hit on Mojo's bridle.
03:45Mojo's his horse.
03:46Alright, can you take a look?
03:48Yeah.
03:48And what about you?
03:49Are you feeling okay?
03:50Just a little sore.
03:51I'm gonna finish competing, Vince Jonah's okay.
03:53You should still get checked out.
03:54I mean, falling off a horse can do serious damage.
03:56They're powerful animals.
03:57No, Carrot's very gentle.
04:01That's the horse you fell off?
04:04Uh, let me guess.
04:05The other one is Mojo?
04:07Yeah.
04:08I think Oz are both okay.
04:10Yeah.
04:11Um, okay.
04:12Well, uh, it looks like it's just lacerations and abrasions.
04:15So, you're gonna be fine.
04:17I'm feeling a little dizzy.
04:18Oh.
04:19Oh.
04:19Well, um, Nolan.
04:21Let's, uh, request a neuro consult.
04:23Just to be safe.
04:24Okay?
04:25I'll close him and clean him up.
04:27Thanks.
04:28Um, your slash starts in 20 minutes.
04:30Do you think we can make it back by then?
04:32I'm gonna say nay.
04:35Remember when Avery gets to the venous anastomosis?
04:38He likes to use an anastomotic coupler.
04:40You've mentioned it twice.
04:42I applied for an attending position in his department in Boston after this fellowship.
04:46You and probably a hundred others.
04:48My parents live near there, and they could really use my help, so this is my chance to impress him.
04:53I won't let you screw this up.
04:55Happy to work with you again, too.
04:58Oh?
04:59Did you invite the whole hospital?
05:00We don't get to see a lot of deep flaps.
05:02The patient's cool with it, though.
05:04Good morning.
05:04Who can walk me through a Millard repair on a cleft lip?
05:07Use a curvilinear incision with the rotation flap from the medial lip element and the advancement flap from the lateral
05:12element.
05:13That's correct.
05:13Dr, um...
05:14Mohanty.
05:15Kavita Mohanty.
05:16Plastics fellow.
05:17And a fellow.
05:18Perfect.
05:19I got a five-year-old in OR4 who's gonna be very lucky to have you.
05:21I'm sorry.
05:22I ran into Dr. Camden in the lounge, and he needs an assist.
05:24So, enjoy.
05:25Everybody else.
05:26You're with me.
05:26Let's go.
05:34Morning, Perry.
05:35Good morning.
05:36I see you've brought the surgical army.
05:39Well, they'll mostly observe.
05:40Well, the more the merrier.
05:42And you must be the infamous Dr. Avery.
05:44Well, I understand you're the one with the reputation.
05:46Training firefighters is very impressive.
05:47Oh, not officially.
05:49A few of them take my Psycho Warrior spin class.
05:51She's being modest.
05:52Half the department's only in shape because she kicks their butts.
05:55Okay.
05:55Well, please don't kick mine.
05:56All right, Warren, you wanna do the honors?
05:58Yeah.
05:58Perionical, 50.
06:00With past medical history of ERPR, positive invasive lobular carcinoma of the left breast.
06:05Status, post bilateral mastectomy, completed chemotherapy and radiation, disease in remission.
06:10Here today for a deep inferior epigastric perforator flap for breast reconstruction.
06:16Sorry.
06:17I'm just very happy to hear those words.
06:19Well, so are we.
06:20Do you know how this is all gonna work?
06:22I was kinda hoping you did.
06:23Fair enough.
06:24All right, well, we will begin by removing pieces of your skin, fat, and blood vessels from your lower abdomen
06:29here.
06:30Transplanting those up into your chest.
06:32Who can tell me where we connect the flap?
06:34You connect it to the internal memory?
06:35That's correct.
06:37Not all plastic surgeons do this. You're in very good hands.
06:39He's right.
06:40You ready?
06:42For a new rack and a tummy tuck in one surgery?
06:45Bring it on.
06:46All right.
06:46We'll get you started with some new scans right away.
06:53Dr. Gray.
06:54Dr. Gray.
06:55Morning.
06:56You like Karasik published his Alzheimer's results?
06:59Technically, that was the Journal of American Medicine.
07:01It's good to see you, by the way.
07:03He only studied male mice.
07:05I did the same experiment with female mice, and when I gave them antibiotics, there was no decrease in Alzheimer's.
07:11May I don't start with me, please?
07:12So now, because he's gone public, people will assume that what's true for male mice is true for all mice.
07:17This is exactly the kind of thinking that I'm trying to change.
07:20Yet, your lab is apparently completely unused, and you haven't published anything.
07:24Why is that, Meredith?
07:26That's a cop-out.
07:27Okay, so then why don't you explain it to me?
07:28Why is it that antibiotics don't work on female mice?
07:31I'm still working on my hypothesis. I don't know yet.
07:33Maybe instead of hiding out here all summer, you could be figuring this out.
07:36I have a surgery. Have a nice day.
07:50So you...
07:54So you race hobby horses?
07:57Well, not just race.
07:58Um, show jumping, hunter-jumper, results.
08:02Piaf.
08:05Passage.
08:07You on the team?
08:09It's an individual sport.
08:10Pretty niche.
08:11Mostly girls.
08:12A lot of the competitions, uh, Vince and I were like the only guys, so...
08:15Eventually, we became friends.
08:17Uh, Nero is on their way.
08:19We were busy with another patient.
08:20Did you tell them there's a championship trophy on the line?
08:23I did not.
08:24I'll be fine.
08:24You should go back before Evie wins first in dressage.
08:27She'll be insufferable.
08:28No, it's not that.
08:29It's my chest.
08:33Oh, my God!
08:34Oh, we need some help!
08:38How can I be stage four?
08:40My scans.
08:41I thought the tumors were shrinking.
08:43Yeah, right.
08:44And fortunately, sometimes...
08:47Tumors learn how to evade chemotherapy.
08:51Okay, well...
08:52If my cancer wants to fight...
08:55I'll fight harder.
08:58So...
08:58What now?
09:01Well, first things first.
09:02Um, you have to recover from your splenectomy.
09:06And then we will start a new chemo regimen.
09:09Great.
09:10Really wasn't a fan of the old one.
09:12And we'll also look into clinical trials.
09:15There's a lot of new, promising therapies out there.
09:18We just have to find the right one.
09:21Okay.
09:22Sounds good to me.
09:28I haven't seen anyone visit.
09:30Have you told friends, family that you're in the hospital?
09:33If I tell them, they'll get upset.
09:35And then I'll get upset and I just need to fight.
09:40Oh.
09:42Well, I don't know your mom.
09:44But I am a mom.
09:46And we...
09:48are really good at fighting, too.
09:53Once we know more, I will tell her.
09:58I promise.
10:02All right.
10:03I'll be back.
10:12I need your full attention on Katie Rogers.
10:15I thought we were just advancing her diet.
10:17We're full of fluids, right?
10:18No.
10:19She needs a clinical trial.
10:21Um, and I don't have time to search a database today.
10:25So, I need you to find options.
10:28See what's active and then call around to see what's in the pipeline.
10:33Okay.
10:33I was going to observe Dr. Avery's surgery, but I can carve out some time after.
10:38Mead will check on her every half hour.
10:39You can carve out some time for our patient with metastatic cancer.
10:44Well, how generous are you?
10:46Uh, you keep telling me to teach.
10:48And you told all of us to study Dr. Avery's deep flap.
10:50Katie is giving this her all, so we need to give our all.
10:54Do you think taking a break and watching a surgery is giving it your all, Dr. Adams?
11:01Uh...
11:01I'll skip it.
11:03Leave no stone unturned.
11:15I can put it's taking so long.
11:17All right?
11:17Abe's going to want those scans to evaluate perforators.
11:20You worked with him before?
11:21Yeah.
11:22Yeah, I can read and anticipate him pretty well.
11:24Yeah.
11:25Used to be part of his, uh, his plastics posse.
11:28I don't know what that is, but I want in.
11:31You interested in plastics?
11:33Uh, don't have the extra three years.
11:35Too many things on my plate right now.
11:37Just...
11:37Yeah, I just, uh, enjoy every case that I can do.
11:39Oh, the scans are in.
11:43How do you anticipate Avery's going to feel about his deep flap patient having an inguinal hernia?
11:51There he is.
11:52Hey.
11:53I read, uh, Karasic's article.
11:56Bold.
11:57Yeah, his study yielded interesting results.
11:59Yeah.
11:59I meant bold on your part.
12:02So I've been told.
12:03Hey, are you, are you busy?
12:04I've got a patient CT showing a red-sided inguinal hernia.
12:07Is it reducible?
12:08Uh, it is.
12:09Yeah, simple.
12:10Fat-containing.
12:11Hoping you could do it.
12:12I wish I could, but I'm in budget meetings all day.
12:15Okay.
12:15Anybody else?
12:17Um...
12:17Good luck.
12:18Don't...
12:19Hey!
12:20No.
12:21It's for a patient.
12:22Call Tom Karasic.
12:24She's a breast cancer survivor, man.
12:26Right?
12:26And she's got a hernia.
12:27As long as she has that hernia, I can't give her the breast reconstruction that she needs.
12:30I can come back another time and I can do the flat, but she needs a repair done, like, ideally
12:33today.
12:34Call someone else.
12:36She's had a year from hell.
12:37Today was supposed to be her first step back.
12:39She deserves the best, and you can help her a lot better than I can.
12:41Please.
12:44Send me the scans.
12:49What happened?
12:50He was complaining of increasing chest pain, and now he requires four liters nasal cannula.
12:54I'm supposed to take Golden Dressage.
12:56Where's Karen?
12:57What...
12:58What are you doing here?
12:58One of Joe's patients went into premature labor.
13:00She's upstairs checking on her.
13:02I didn't want to wait in the car.
13:03You need a consult?
13:04You can't consult.
13:05You can't even work yet.
13:06I haven't approved it.
13:07All right.
13:08His vitals are stable.
13:08I was going to check his spine.
13:09Let's go.
13:11Let me know if anywhere hurts.
13:14Can't you just give me a mess for the pain so I can go back to competing?
13:17Like they do in the Olympics.
13:18What's the competition?
13:19Not the Olympics.
13:21Washington Hobby Horse okay.
13:22Well, I work with professional athletes, and I wouldn't advise it.
13:25Ow.
13:26Okay.
13:26Around T4.
13:28No step off.
13:30Let's take that x-ray.
13:32Or, you know, whatever Hunt wants.
13:35All right.
13:36Clear for x-ray.
13:40Yeah, ribs four to six are fractured on the left side.
13:43Some haziness.
13:44Probably a lung contusion.
13:45No one asked you.
13:46Maybe you should.
13:47The guy said he worked with pro athletes.
13:49We need to scan you to get a better idea of what's going on, okay?
13:51Well, then can we come?
13:52This is my last shot of state before college, and if I'm going to have a chance of competing,
13:56I want the best.
13:58Guess I'm back.
14:03Sorry to pay you all the seminars.
14:05Oh, please.
14:05I've never been closer to napping in public.
14:07Well, the patient's complaining of chest pain.
14:09She asked for Ndugu, but your name's also under charge.
14:11Okay, great.
14:17Nora, hey.
14:19What's going on?
14:21Um, I woke up with some chest pain, and I thought it might go away, but it hasn't, and I'm
14:26really freaked out.
14:27Okay.
14:28Uh, is it sharp, or does it feel like pressure?
14:31It's more like a dull ache.
14:33Okay.
14:34Let's work you up.
14:40The reconstruction is off?
14:41Postponed.
14:42Dr. Gray will repair the hernia today, and then once you're healed up, I'll come right back and do the
14:46flat.
14:46Can't you just do both today?
14:47It's a much longer and more complicated procedure.
14:49You will recover quicker if we do them separately.
14:52Depends on how you define recover.
14:55Cool.
14:59What do you mean?
15:00I'm not ashamed of how I look, but at work, I am surrounded by mirrors.
15:05And when I see my reflection, it is a constant reminder of all the pain and waiting and exhaustion of
15:12not knowing if I'd live.
15:16I won't be fully recovered until I can look in the mirror and see me, not my cancer.
15:25We understand, but...
15:27We'll do both surgeries today.
15:29Will we?
15:29She'll go under anesthesia once, which is not a bad idea considering all her body has been through.
15:34But that is much more time under anesthesia, and I'm concerned about the post-operative pain.
15:39I will gladly take on the risk if it means waking up tomorrow and feeling like myself again.
15:48I'll pray.
15:55Hey, you hear about the fellows that kicked off the D-flap?
15:58How would I hear that?
15:59Guess who gets a scrubbing on the D-flap and a hernia repair now?
16:02I'm gonna go with Warren.
16:03You still gotta come check it out?
16:05Bailey put me on research while she's in the OR.
16:07Well, so she demoted you back to an intern?
16:10Trax.
16:11That's her, I gotta go.
16:13You would want to live with me, right?
16:16I do live with you?
16:17I don't have like a smell or a weird habit.
16:19Am I allowed to?
16:21What is this about?
16:22I asked Jules to move in with us.
16:23Without asking me?
16:24You yelled at me when I did that.
16:26Doesn't matter, she said no.
16:28That doesn't let you off the hook.
16:29Why wouldn't she want to live with me?
16:30I'm a good roommate.
16:31Maybe she doesn't want to live with me.
16:33No, she specifically said live with you, meaning me.
16:35Then she took a hard pass.
16:37Hmm.
16:38What?
16:38Wait, I'm not done freaking out.
16:41Maybe the two of you just aren't as close as you thought.
16:54Hey, you need something?
16:56Yeah, I just had a question for Dr. Bailey.
16:58Well, she's in surgery.
17:00You can try me.
17:02Do you think I'll be healed enough to start my new chemotherapy before I'm discharged?
17:06It'll be more like three weeks.
17:08A month with no treatments.
17:10Well, we want to give your body time to heal after surgery.
17:13But Dr. Bailey and Dr. Sugihara will meet later to talk next steps and I'll be looking at clinical trials.
17:18You're in charge of finding clinical trials.
17:22Is that a problem?
17:25I thought we were okay.
17:26Well, when you were checking my incision, that was one thing, but clinical trials have serious ramifications for me and
17:33I don't know anything about you.
17:36What do you want to know?
17:37Where did you go to medical school?
17:39Cornell.
17:41Did you get good grades?
17:42I'm a surgeon, so yeah.
17:44Did you ever kill anybody?
17:45By accident.
17:46I mean, if you murdered someone, I'd rather not know.
17:49Look, we could do this all day, but it's in your best interest if I'm researching therapies, so I'll be
17:53out there.
17:54And if you need something other than my social security number, give me a shot.
18:04All right, what do we got?
18:05Uh, x-rays shows a hemothorax and some broken ribs.
18:09And what's the mechanism?
18:10Hobby horse injury.
18:12Hey, didn't I just sign off on your discharge papers?
18:15Yeah, don't ask.
18:17Okay.
18:18Uh, hobby horse, like a stick horse?
18:21No, you can't call it stick horses for children. Hobby horsing is far more sophisticated.
18:25There's a whole league, apparently, and you cannot call it stick horses.
18:28Very offensive.
18:31I looked it up in the elevator.
18:34Okay, uh, just a little longer, Vince.
18:37Guess I'm missing the barrel race.
18:39I know it sounds weird.
18:41No, no.
18:42Seems fun.
18:43Mm-hmm.
18:43Most people don't get it, but that's what's cool about it.
18:46Being part of a community that loves something and doesn't care what anybody else thinks, but...
18:50I'm going to college in Colorado, and there's no hobby horse than there.
18:53So, pretty soon, I hope I won't be part of anything.
18:56Just be a guy who fell off a big horse and...
19:00Mrs. Stalk's in the 60s.
19:01His sats are tanking.
19:02He's got a coat.
19:03Okay, let's get a chest tube tray.
19:04I'm prepared to intubate right now.
19:05I'll notify the OR.
19:12Getting ready to secure the mesh to the shelving edge.
19:14Dr. Kwan, hold attention on my suture.
19:16Okay.
19:17How's that?
19:18Good.
19:21I am scrubbed and ready.
19:22Hope you're happy.
19:23Last time I checked, I was doing you a favor.
19:25You're welcome.
19:25You encouraged her to take a bigger risk.
19:28No, I listened to her.
19:29There's a difference.
19:29With all due respect, I spend the majority of my clinic hours listening to female patients.
19:34Oh.
19:34Do a lot of deep flaps?
19:36Paramount.
19:37Let me guess.
19:37Not as many as you'd expect.
19:39Well, no, because most people don't know that the law requires insurance companies
19:42to cover breast reconstruction after cancer.
19:44Yet somehow everyone knows you can get a vasectomy.
19:47You see a pattern here, Dr. Avery?
19:49I see several, Dr. Gray.
19:50You made your point.
19:51Too bad he can't publish that.
19:57I'm done here, Dr. Kwan.
19:59You can close the fascia.
20:05So this should just take a few minutes.
20:07Try to hold still.
20:08I'm not going anywhere.
20:10And then I'd like to review your daily routine, your diet, just to make sure that you're
20:13not inadvertently putting any strain on the repair.
20:21Hey.
20:22We're on a break.
20:24Do you want to grab a bite after this?
20:26Uh, um, now's not a good time.
20:28Are you okay?
20:29Yeah, I just, I have a really complicated patient.
20:33Well, I'm happy to bounce some ideas around.
20:35Want me to consult?
20:36Or just support?
20:38You know what?
20:39Um, the scan should be coming up soon.
20:41You should probably go.
20:43Is this because we ran into Owen earlier?
20:45No.
20:46Are you sure?
20:47Because you seemed fine at the hotel.
20:49More than fine.
20:50And now?
20:51And now I am treating an extremely risky patient who requires my full attention and I'm not
20:56in a hotel bed.
20:56I am at work.
21:00Well, then I will leave you to it.
21:02Okay.
21:08He has a lower lobe injury.
21:10You'll see in multiple lacerations of his lung.
21:11I'll do a wedger section.
21:12How much do you have to take?
21:14Can someone Paige Wilson see how much longer she's going to be?
21:17You know, I had a hobby horse when I was a kid.
21:19Scared the crap out of me.
21:21I couldn't sleep unless it was facing the wall.
21:23You know, I wasn't going to say anything.
21:24It's weird, right?
21:25That's a bunch of people jumping around on toy animals.
21:27There's a website where you can customize your horse's head.
21:31Enough.
21:32I'm not here, Judge.
21:33We're here to fix it.
21:34If you can't just focus on the job, then you should go.
21:36This kid loves his sport.
21:36After today, he might not be able to do it anymore.
21:38Haven't you ever loved something and lost it?
21:39Let's show some respect.
21:41I'm sorry.
21:43Need a session?
21:49This is lining up perfectly.
21:52Dr. Warren, why don't you go ahead and grab that clamp?
21:56Beautiful.
21:57Very nice.
21:58Is there something you need, Dr. Mahonti?
22:00I'm done with the Millard repair.
22:02Thought I'd see if you need more hands here.
22:03No, we're good, but thank you.
22:06Understood.
22:06Warren, when I'm done with the arterial anastomosis,
22:09you want to give me a hand with the venous coupling?
22:11Absolutely.
22:13Dr. Agree, may I be excused?
22:15I'm really not feeling well.
22:17You were fine ten seconds ago.
22:19I think I might have had questionable leftovers for lunch.
22:24I might come out of old vans.
22:25No need to elaborate, Dr. Kwan.
22:28Mahonti looks like it's your lucky day.
22:32All goes further.
22:33Okay.
22:37Dr. Avery just finished the microvascular anastomosis and made it look easy.
22:42It's insane.
22:43Made it?
22:44Yeah.
22:44Go somewhere else.
22:45Oh.
22:46Okay.
22:50You need something?
22:52Yes.
22:53What is PD-L1?
22:55Program cell death ligand.
22:57It's a protein that helps your cells more effectively kill cancer cells.
23:01Okay.
23:01And CTLA-4?
23:03It's an immune checkpoint inhibitor.
23:05Another mechanism that clinical trials are exploring for treating cancers like yours.
23:09Why?
23:10Yeah, no.
23:10I'm searching clinical trials.
23:12It's all fairly overwhelming.
23:14Yeah.
23:14Most of the possible side effects aren't that bad.
23:16May cause dry mouth nausea or death.
23:20Yeah, death seems pretty bad.
23:22Yeah, that's just lawyers making sure nobody gets sued.
23:25Oh.
23:25That doesn't make me feel any better.
23:27Oh.
23:28Ouch.
23:30You okay?
23:31No.
23:31My leg hurts.
23:32I'm not used to being on my feet.
23:34Yeah.
23:34Let me take a look.
23:38Ow.
23:39Ow.
23:39Ow.
23:40Stop.
23:40Please.
23:41Grab a wheelchair.
23:42Right away, Dr. Adams.
23:43Wait.
23:43No.
23:43What's going on?
23:44What's happening?
23:45I think you have a blood clot.
23:46Let's get you back to your room.
23:47We need to ultrasound your leg ASAP.
23:51Dr. Brasington to the ER.
23:53Dr. Eden Brasington to the ER.
23:55Dr. Eden Brasington to the ER.
23:55Sorry.
23:55I know that you said no screens with a concussion.
23:57I just wanted to watch Vince in last year's puissance.
24:04Whoa.
24:05How high is that bar?
24:06Four feet.
24:07They raise it after every round.
24:09That's pretty impressive.
24:10It's not even his best event.
24:13People don't realize how much strength and precision it actually takes.
24:18When I would tell the other kids, they would just laugh, so I stopped talking about it.
24:22I would just say that my mom wouldn't let me go to the movies instead of saying that I had
24:25practice.
24:27But then I met Vince.
24:28I didn't have to lie anymore.
24:30Everything changed.
24:32He got me.
24:36I'll put this away.
24:37No, actually, Nero, clear to you.
24:38You can go.
24:39Really?
24:40We might make it back for Hunter Jumper.
24:41That's Vince's best event.
24:43He's gonna be so sorry.
24:44Actually, Vince can't go.
24:45He's in surgery.
24:46For real?
24:46I can't say more because of privacy laws, but it shouldn't be more.
24:49Oh, you can't see him yet, but I'll let you know when he's out.
24:51I have to make it back to the competition.
24:53I finally have a shot at winning Hunter Jumper.
24:55Your friend is in surgery.
24:56Vince would want me to go.
24:58Can you shut the curtain so I can change?
25:03What is wrong with people?
25:10Hey, am I interrupting?
25:12My five-year-old lost a tooth.
25:14Cute.
25:15Well, it's because his brother knocked him off his swing, but it's still cute.
25:19It's fine.
25:19That makes two of you.
25:21I'm okay.
25:21All your tests came back clear.
25:23Oh, my God.
25:24Okay.
25:26So the pain is, I'm guessing, indigestion, so I'm going to put you on an N-acid?
25:31I can't believe I bothered you with this.
25:33No, it's okay.
25:34I am still your doctor.
25:36You know, I used to be one of those moms who would put a handwritten note in her kids' lunches
25:40every day.
25:41And since the divorce, and then the surgery, I'm lucky if I can get them to school on time, in
25:48clothes that they didn't also wear to bed.
25:50I can't seem to get myself to the right place at the right time anymore, and I'm sorry I dragged
25:54you into it.
25:55I get it more than you know.
26:01Owen and I are looking at yours.
26:05I'm so sorry.
26:06I didn't know.
26:07Are you okay?
26:07It's taking some getting used to.
26:11If I had anything-
26:12No, it was all us.
26:14It's okay.
26:15I mean, it will be okay.
26:18We're not there yet.
26:19I definitely have a long way to go, but I'm just, I'm just hoping that we both have a chance
26:25to find what makes us happy.
26:31Yep, there it is. A small clot in the distal popliteal vein.
26:35Does that mean I'm gonna have like a stroke or something?
26:37Well, we still need to scan you to make sure you don't have one in your lung, but looks like
26:41we caught it early.
26:42I'll put in an order for heparin drip, and then I'll update Dr. Bailey.
26:49It's always something.
26:51Cancer, unfortunately, makes your blood more prone to clots.
26:57I haven't told any of my friends that I'm here.
27:00They wouldn't get it.
27:02Their biggest problems are passive-aggressive co-workers and where to get drinks on a Thursday night.
27:08I'm not mad. I want that too.
27:11I want to hang out in wine bars, go to Europe, watch my friends get married and have kids.
27:19And, um, this might sound really dumb, but I really want to try a slice of New York cheesecake.
27:29Well, I'm from New York.
27:32I could help you with that.
27:35Mostly I just want to fight.
27:37There's nothing I can do except sit here and think about my cancer cells multiplying until I die.
27:45And I really don't want to die.
28:02All right, let's prep for the venous anastomosis, please.
28:06And we need the hockey stick?
28:08Already got it.
28:09I like the teamwork.
28:10Well, Haji, why don't you do the venous coupling? You ever done one before?
28:13Of course.
28:16Wait, look at the other flap. Does it look like it's turning blue?
28:21It looks like congestion in the venous outflow.
28:23Well, what do we do? The flap's not viable without good outflow.
28:26And we don't have any options in terms of the reconstruction.
28:28Was there bleeding when Gray repaired the hernia?
28:30All right.
28:31So she probably sacrificed a superficial epigastric vein.
28:34Carrie's probably superficial dominant, so the vein's too short.
28:37That would explain the decreased outflow to the flap.
28:39All right, how are we going to resolve this?
28:40It's too short to connect to the retrograde IMV, so a cephalic turndown would give the buildup of blood a
28:45place to go.
28:46Very good.
28:47So we will begin by isolating the cephalic vein.
28:49I'll do the turndown, and then we can get back to work on the other flap.
28:53Nice work.
28:53Welcome to the plastics, Posse Monty.
29:00I asked Millen to update me on Vince's recovery tomorrow. I hope you don't mind.
29:04Sure.
29:04Yeah.
29:05Kinda got a soft spot for the guy.
29:07I really wanted to compete in the National Marble Tournament when I was a kid.
29:11Crushed me when I lost my lucky hazer.
29:15You okay?
29:16I'm fine.
29:21Joe told me about you and Teddy.
29:24If you ever want to talk...
29:25About what?
29:26Like, you're gonna help me process the end of my marriage, get over the loss of my wife and my
29:29best friend,
29:30and you say, what, you can relate because you lost a marble once?
29:34I'm just here to support.
29:35I shouldn't be here at all.
29:47Well, unless that mouse needs an appendectomy, this is not official hospital business.
29:52How's Perry?
29:53She's great.
29:54I mean, I did have to perform an entire cephalic turndown, thanks to you, but...
29:58Me?
29:59Oh, the superficial epigastric.
30:01Sorry.
30:02No, it's fine.
30:03It's pretty standard during the army repair.
30:05I should've expected it, honestly.
30:06Look, I am sorry, Mayor.
30:08You were right.
30:09It was the right move.
30:11Perry is super happy.
30:12And after all she's been through with chemo and hormone therapy and radiation, she deserves it.
30:17She does.
30:23It's the estrogen, you know.
30:24You and Perry have estrogen, yes.
30:27No, the difference between the male and female mice.
30:29Why the antibiotic affects one and not the other.
30:32How do you figure that?
30:33I don't know that yet.
30:34I have to revise the study and measure the hormone levels.
30:38Okay.
30:39Anyway.
30:40You wanna ride back to Boston?
30:47Sure.
30:48I have to go take care of something first.
30:53Hey.
30:54How'd I do?
30:56We were able to stop bleeding in your chest.
30:58You're going to be fine.
30:59What about the broken ribs?
31:01Do I need a cast or something?
31:03This is gonna take some time to heal.
31:05No more hobby horsing for a while, okay?
31:10It's okay.
31:11I probably outgrew it a while ago.
31:13I'll still miss it in college.
31:15And Jonah.
31:16I think you're trying ultimate frisbee.
31:18Huh.
31:19Sounds like fun.
31:21Theater.
31:22College newspaper.
31:24I'm looking forward to trying something new.
31:28It's a good attitude.
31:31Your mom and dad are in the waiting area.
31:32I'll go tell them that you're up, okay?
31:39Hey, I found a clinical trial for Katie.
31:42A new immunotherapy targeting checkpoint inhibitors.
31:45Oh, that could be promising.
31:47Now read the fine prep tonight.
31:49Her right leg was swollen earlier, so I got an ultrasound and showed a DVT.
31:54But no PE on the CT, so I started her on a heparin drip.
31:58It's gonna be an uphill battle.
32:00I'd like to see her case through, if that's okay.
32:03Um, that might mean missing more big surgeries.
32:07Facing more paperwork duty.
32:09More me.
32:11Um, that's okay.
32:12I, um, I think I need more experience in surgical oncology.
32:18Well, I'll let everyone know.
32:34Your hand's unstable.
32:37You just made me kill my patient.
32:41How'd the surgery go?
32:43Perry's got new breasts, and I was inducted into Avery's plastic spalsy.
32:49For whatever that's worth.
32:51Oh, wow.
32:51Sounds like you impressed.
32:54What did you eat for lunch?
32:55Chips.
32:57Chips.
32:57You got food poisoning from chips?
33:00Chips and a sandwich.
33:04Uh, a vending machine sandwich.
33:08The vending machines have sandwiches?
33:10They shouldn't.
33:13Well, thank you.
33:17I now know to stay away from the sandwiches.
33:23The trick with microstructuring is finding something to stabilize your hand.
33:38Uh, could you please tell your hobby horse patient that his friend wants to see him?
33:42I would, but his supposed friend ditched him to go back to the competition.
33:46Okay.
33:47Why don't you want to live with me?
33:50What?
33:50I'm neat, considerate, responsible.
33:52I'm catch.
33:53Plus, I thought we were friends.
33:55Oh, uh, I'm a really hard sleeper.
33:58Do you know what that means?
34:00Uh, every morning I wake up to three alarms on my phone at full volume.
34:05I have a vintage clock radio across the room as a backup.
34:10I've not only been kicked out by roommates, but I've lost friends over it.
34:14And the only reason that it works with Max is because she can't hear anything without her hearing aids in.
34:19It's not that I don't want to live with you.
34:22It's just, historically, I haven't had a lot of friends.
34:28And I don't want to risk that with you.
34:33You want to come over and watch Trash TV today?
34:36I miss watching High Noon for the 18th time with Max and Irvin.
34:40Hell yes.
34:42Hey.
34:43Hey, um, can we talk?
34:45Can't.
34:46Apparently I'm only capable of pillow talk.
34:48Okay, that was dessert.
34:49Listen, I am really sorry about earlier.
34:52You were pretty harsh.
34:53I know.
34:53And I lied.
34:54Running into Owen this morning, it rattled me.
34:56And then I had this particular patient come back in who I have saved multiple times.
35:00Cindy!
35:00It's fine.
35:01No, it's not.
35:02Listen, when I was stationed in Iraq, there was once this competition that they held for the most precise hospital
35:08corners.
35:08And bedsheet corners.
35:09Guess who won first place?
35:11If I had my way, I would run my whole life like a tight ship.
35:17Order and stability and having control.
35:19Give me comfort.
35:21Always have.
35:22But right now, I am as far away from that in my personal life and at work than I have
35:28ever been.
35:30But when you and I are alone, I forget what a mess everything is.
35:37Yes.
35:38And I think I'm scared being out of our bubble will take that away.
35:43It could.
35:45Or it could give you more space to claim as your own.
35:51I like that.
35:54It might take me a little while to get there, so I'll understand if you have to move on.
35:59I would, but I think I need to see those tight bedsheet corners.
36:09Maybe we can find an empty patient room.
36:12Oh.
36:13I was thinking I'd just go to your hotel.
36:18When you encounter a new beginning, there's no announcement on a loudspeaker.
36:24Blank and you could miss it.
36:27I ran into Jackson.
36:28He said you excelled today.
36:30Well, actually, he said you kicked ass, but I interpreted.
36:33Oh, it was an amazing case.
36:34You know, I had everything I love about surgery.
36:37Abdominal tissue and microvascular surgery.
36:40Challenging anatomy, teamwork, meaningful outcome for our patient.
36:43Yeah, beaming.
36:45Look, aren't I always a bright light?
36:48So why aren't you doing a plastic specialty?
36:52It's three more years of residency.
36:54Three years of you doing a lion's share of work at home.
36:57Well, three years would be worth every second if plastics lights you up like this.
37:03Really?
37:04What, you need it ready?
37:07Yes.
37:08Oh.
37:12You know, sometimes I feel like you understand me before I do.
37:18But you know what else would really light me up?
37:21What?
37:21Give me 15 minutes to change and I'll take you home and show you.
37:28Or worse, ignore it.
37:30Hey.
37:31I didn't see any more patients.
37:33I'm just waiting for Joe.
37:34I owe you an apology.
37:37I've been feeling lost and that's not on you.
37:42You might actually be the only person who's asked how I'm doing, so.
37:48We've all been there.
37:50And hey, I'm around if you want to talk.
37:53Grab a beer.
37:55But not right now because Joe's pulling the car around and she wants ice cream.
38:01Yeah, don't let me stop you.
38:03Take a look.
38:05Take a look.
38:08Hey stranger.
38:09Nora?
38:10Nora, what are you, what are you doing here?
38:11Do you-
38:12I had chest pain.
38:13Turns out I have plain old indigestion like everyone else.
38:17So you're, I mean, you're good.
38:20Just trying to figure out this whole new normal.
38:23I talked to Teddy, it sounds like you're doing the same thing.
38:26Yeah, you know, taking it one day at a time.
38:28Yeah.
38:33Would you, I mean, do you, do you want to talk and get a coffee or?
38:36I don't think that's a good idea.
38:38I mean, if I have coffee now, I won't sleep for two days.
38:42Dinner?
38:44That would be, that'd be really great.
38:47Yeah.
38:49New beginnings can be scary.
38:53But they can also be deeply fulfilling.
38:57I think it's made a breakthrough in my research.
38:59Oh, that's wonderful.
39:01And I know I said I would stay a while, but the longer I stay here, the longer it is
39:05until I get to the root of Alzheimer's disease.
39:07There are too many people counting on me, so I think it's time I go back to Boston.
39:13What are you doing?
39:15I'm finishing rescheduling your patients.
39:19The second I read Karasik's article, I knew it'd be only a matter of time before you decided to go
39:24back.
39:25Then you should.
39:28You want me at it?
39:29You're in hell.
39:31So let go, and dive in.
39:39Welcome to Masters of Canada!
39:42Bigger challenges.
39:44Boiler dishes.
39:45Your shrimp is raw.
39:46Stronger competition.
39:47The winner is...
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