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  • 6 hours ago
Grey's Anatomy Season 22 Episode 2
Transcript
00:00Mommy, Mommy! When is the carousel going to start?
00:03The carousel never stops turning. We can't get off.
00:06Come on, Mom!
00:07The clock's ticking.
00:09Can you help?
00:11I raised you to be an ordinary...
00:16Mommy!
00:19They prioritized what they could see.
00:21Lacerations, open fractures, and didn't look for hidden injuries like brain trauma or internal bleeding.
00:30Who is she?
00:32Well, she's barely gotten out of bed.
00:34Has she eaten?
00:35Did you make soup?
00:37Who do you think you're talking to?
00:40I'll make the soup.
00:42She isn't sick.
00:44We just need to get her out of the bed.
00:46Yeah, she's grieving.
00:48Veronica died.
00:50Monica, sorry.
00:53May she rest in peace.
00:54It was awful.
00:56But, Amelia, it's a workaholic, and the hospital is her happy place.
00:59We just need to get her back to her routine.
01:02I'm still going to make soup.
01:04Maybe you should go ahead and say hi.
01:07I guess that's a no.
01:09It inspired him to invent the Advanced Trauma Life Support Program.
01:14But ATLS is only the beginning.
01:18Oh, look around you.
01:20Say hello to your competition.
01:22Eight of you will switch to an easier specialty.
01:25Five of you will crack under the pressure.
01:28Two of you will be asked to leave.
01:30This is your starting line.
01:32This is your arena.
01:34This looks like the minor league that came to play.
01:37How well you play, that's up to you.
01:41Should they be wearing hard hats?
01:43Look, I have enough to do without having to laugh at your dad jokes.
01:46Oh, I'm not joking.
01:48I thought you'd be less busy with fewer ORs, fewer problems.
01:52New interns, new problems.
01:54I'm still assigning them to the residents.
01:56I want them to be a good fit.
01:59Oh, you want me to do that for you?
02:00Look, they're fresh and eager.
02:02They'll fit with anybody.
02:03Oh, no, I'm not worried about them.
02:04The ORs will be ready by the time they figure out where the bathrooms are.
02:09It's the second years.
02:11Oh, you're concerned they won't be good teachers.
02:14I'm concerned.
02:15They just lost Beltran.
02:17I'm concerned that yesterday they were interns and today they're supervisors.
02:22That's how the system works.
02:24Did they say my supervisor to you?
02:26They didn't say it was the best system.
02:31What happens after that is all on you.
02:33I thought you got a hotel room.
02:35Oh, a big NBC came in last night.
02:37No, it didn't.
02:38Due to the lack of ORs, they notify me when we have overnight traumas.
02:42Noted.
02:42Well, I don't like hotel rooms.
02:44Since when?
02:45Am I somehow bothering you from an on-call room?
02:47No, it's just not exactly a long-term solution.
02:50I'm aware.
02:51We have rounds on link.
02:53Already saw him.
02:54He's doing well.
02:55Well, I'm still going to see him.
02:58Knock yourself out.
03:04Dr. Martinez to the CCU.
03:06Dr. Luis Hartman to the CCU.
03:11You're not worried about someone stealing your stuff?
03:13It's cup noodles and sweaty gym clothes.
03:16They are welcome to it.
03:17Look.
03:21Oh, it's broken.
03:25Uh, you okay?
03:31Uh, Bailey said you could take some time off.
03:32I'm fine.
03:33Everyone else is here.
03:34You were the only one with Beltran.
03:36I'm fine.
03:37I just need to move my stuff.
03:43I've been trying to call you.
03:45Yeah, I need coffee.
03:46Don't you think we should talk?
03:47Oh, congratulations.
03:50You've made it to your second year.
03:52All right, so you have been emailed your assigned interns, right?
03:56Find them and learn their names.
03:57Unless it is on their birth certificate, a name does not include a number, adjective, or an instrument they have
04:05dropped.
04:06You are no longer at the bottom of the surgical food chain.
04:09You are responsible for teaching them, from running codes to finding the cafeteria.
04:15They will mess up, and when they do, it is on you to fix it.
04:19Due to construction, elective surgeries have been canceled.
04:23Any emergent cases will be directed to outpatient ORs, so pay attention to where you're going.
04:29All right, Dr. Kwan, you are covering the surgical floor.
04:32Millen, Cardio, Griffith, take the pit.
04:35Adams, you get to enjoy the pleasure of my company.
04:38All right, everyone clear?
04:39Okay, I will be keeping my eye on all of you.
04:43If something unexpectedly becomes surgical, you...
04:47Do you like greedy people, Kwan?
04:49I do if they need surgery.
04:51Go find your interns.
04:53Come on.
04:55How's our VIP patient?
04:58He's post-op, day seven, following a thoracotomy, plus subclavian, intercostal, and lung laceration repairs,
05:05and he's doing great according to Altman.
05:07He's rehabbing like a champ, so he'll be out of here in no time.
05:10Maybe it's time to take a break.
05:13Not if I want to hold the twins.
05:14Well, I'm not due tomorrow.
05:16You have time.
05:19Three more cents.
05:20Pulse is strong.
05:21How's your pain?
05:22It's less than before.
05:24Well, I agree with your assessment, and there is no output in front of the chest tube,
05:27so I will come back later and remove it.
05:29Okay?
05:30All right.
05:30But, um, he shouldn't push himself too hard, though, right?
05:33Well, pushing through some pain is a good thing.
05:36So, keep it up.
05:42Sorry we're late.
05:43Someone read the number on the room incorrectly.
05:46Mr. Tapp, meet our newest surgical interns.
05:50Can you tell us about your chest pain?
05:52It's no big deal.
05:54Dad, you were doubled over.
05:55My daughter need more important things to worry about.
05:59Mead, you're up.
06:01Up?
06:02Up.
06:03Up.
06:03Soft-up 65 admitted to the chest pain ops unit to rule out MI.
06:08Chest x-ray shows mediastinal widening.
06:10What does that mean?
06:11Well, it's hard to tell without a scan, but radiology's ready for him now.
06:15But I'm supposed to be at a temple.
06:17He was eager to go to a Cambodian blessing ceremony.
06:21There'll be other ones.
06:22You're in pain.
06:23You need help.
06:24I could take care of myself.
06:26All right.
06:27Well, look.
06:28Since you're here, let's go ahead and get the scan.
06:30All right?
06:30And then we'll go from there.
06:32Okay?
06:32Please, hang tight.
06:35Dr. Andrew, before we go to CT, about last week in the closet, I was in shock and I was
06:40exhausted and if we could just forget about it.
06:44Already done.
06:44Dr. Anderson to radiology.
06:46Dr. Olivia Anderson to radiology.
06:49Dr. Warren is overseeing the pit today.
06:52As a fifth-year resident, he will assure you that although we're short on scheduled cases,
06:57we receive plenty of emergencies.
07:01Welcome.
07:01Welcome.
07:02I was where you are just a few short years ago.
07:05Well, not that short.
07:06I was a firefighter for a bit and before that I was in anesthesiology.
07:09Dr. Warren.
07:10Right.
07:11Bed 4 is being assessed for severe abdominal pain and nausea.
07:14Dibs, well, Baldwin's already got it, but we also just did an intake on an open femur
07:19fracture in Trauma 3.
07:20That was mine.
07:21Is that a possible arm lack in bed states?
07:22So I also told you.
07:23You are not a kid at recess trying to get the best swing.
07:26We do not call Dibs.
07:28Can we get some help out here?
07:29Well, for the last time, this is the emergency department.
07:31All supplies need to go to...
07:32We need a doctor right now.
07:33This thing just went rolling.
07:34What thing?
07:37Ah!
07:39Ah!
07:42Ah!
07:49Dibs.
08:01Your chicken broth was expired or I would have made you soup.
08:04So this isn't quite as comforting, but it does have the cute little marshmallows.
08:11Do you feel like getting out of bed today?
08:13Maybe taking a shower, putting on some clean clothes?
08:18Do you have any clean clothes?
08:19What is happening here?
08:21My washer broke.
08:22I'm waiting on a part.
08:23When is the last time you did laundry?
08:25Um, a couple weeks ago.
08:26I went to your house when nobody was there.
08:28There's a key and a planner still.
08:30You know, I have tenants.
08:31You can't do that.
08:32There are laws about that.
08:33I'm sure that they don't care.
08:36But maybe they have chicken broth.
08:38Let's go.
08:40We can do the laundry.
08:41We can catch up.
08:42You know, my mother always said, clean house, clean mind.
08:45I don't think that's my problem.
08:51Aren't Link's parents bringing Scout back tomorrow?
08:53I think we have to get you up.
08:54And selfishly, I have to get on another plane in 24 hours, and I'd like to spend some time
08:58with my sisters.
08:59And I'm sorry, but you need some clean underwear.
09:02I will buy more.
09:08Come on.
09:09He's a little lower on the right.
09:11Griffith, move around next to Adams.
09:15Gurney, coming in.
09:16Oh, here we go.
09:17Come on, fellas.
09:19Take it easy.
09:21The keys are in my pocket.
09:22There's a button next to the seat to put it in reverse.
09:23It's Patrick, right?
09:24Yes.
09:25Okay, we're leaving this forklift right where it is.
09:27Yeah, even the smallest movement can cause more internal damage.
09:29But you're going to get me off this thing, right?
09:31You think you can cut through this with a 14-inch rescue saw?
09:33I'll go get it.
09:34You're kidding?
09:35You're not going to put it out of me?
09:36We'll remove the metal in your abdomen in the operating room, where we have more control.
09:39I'll grab supplies to stabilize the blade.
09:40I can handle this if you want to check on the other residents.
09:42No, no, get the supplies.
09:43Well, let's try to manage both an installation delivery and electrical inspection.
09:46And I forgot to put the lock on the forklift.
09:48Someone yelled my name.
09:49By the time I turned around, it was too late.
09:50Look, we will do everything to get you out of here.
09:53Do you need extra hands?
09:54Not if everything on your patient list isn't finished.
09:57Okay, Adams, we need a vascular access.
09:59Griffith, get a crash cart and tenomorphic.
10:02Okay, move fast.
10:03I'm not sure how much time we have.
10:07A forklift through a person.
10:09Well, the construction team was using it to lift and transport materials upstairs.
10:12I understand its purpose.
10:15Whoa.
10:17You know that awful moment when you open up a patient's chest after their aorta has ruptured?
10:22You've seen it a hundred times, but it's so much more blood than you ever expected, and you can't see
10:28anything, and you don't even know where to begin.
10:31We're in the bloody cavity.
10:32The metaphor is clear.
10:34But I was...
10:35You know, I should call your wife.
10:36I should file a worker's comp report.
10:39I need to tell the lawyer to just come back here.
10:41I mean, they might as well live here at this point.
10:43Can I make a recommendation?
10:44Don't call your wife?
10:46Go check on the patient.
10:48Right.
10:49Good idea.
10:53Go.
10:53But I don't think this is right.
10:55I think this has to come down, right?
10:57You only put two orders in?
10:59That's less than one per person.
11:01The drop-down menu grew us at first, but I think we're good now.
11:05New plan.
11:06I'm going to finish these, and then we'll round on our patient list.
11:09You're going to be doing running stitches.
11:11On a surgical patient?
11:12On bananas in the skills lab.
11:15There is a man downstairs with a forklift through his gut.
11:19He's going to need surgery, and I want in.
11:22And that can happen if this work isn't finished, and you are slower than molasses, so I'm going to finish
11:27it myself.
11:28Aren't you supposed to be teaching us?
11:29I am.
11:30I am teaching you how to be efficient on getting what you want.
11:34Skills lab.
11:35One floor down.
11:40Hey, guys, guys.
11:41I'm seeing patients, okay?
11:42Who's with me?
11:46Great.
11:46You know what?
11:46More for me.
11:49This is your fault.
11:50I need you to be more specific.
11:52You told Link to push through the pain.
11:53He was rehabbing so hard, he dislodged his IV.
11:56You got to go talk to him.
11:56You won't talk to me.
11:57Bailey has a construction worker who's skewered on a forklift outside, but I will go and check on Link after.
12:02He's like a rabid dog who'd shoot off both his arms, and then you let him off the leash.
12:05He is a surgeon.
12:06He understands what's important for recovery.
12:08Make sure that Link is okay, and I will help Bailey with the trauma.
12:11Look, this is my department.
12:12I have to go anyway, because the incident happened on hospital property.
12:16Hey, well, I'll make sure the trauma two is ready, and then I'll head up there.
12:18I'm going to go to the cafeteria to eat for three.
12:20If he rips open his anastomosis before I get back, you're both dead to me.
12:24Paige, do you need me?
12:25Yep.
12:29So you put in all of your orders, and then you do your notes.
12:31Uh, we all share this tablet?
12:35Go to the nurse's station and ask for more.
12:37Okay.
12:38Go!
12:42Why are the scans?
12:44She'll be up in a minute.
12:49Did you join the live stream for Beltran's memorial service yesterday?
12:53I didn't have time.
12:54Yeah.
12:54I had to change my schedule around to make it.
12:58Yeah, it was hard to see her parents.
13:01Did you know she had an older brother?
13:03It's been a lot for me to process.
13:06What about you?
13:07I'm fine.
13:09So everyone can stop asking, because I'm great.
13:11Unlike Dr. Beltran, I'm alive.
13:13So no, I don't need to talk about it.
13:15I don't need time off.
13:16I don't need help.
13:16You know who does?
13:17Our patient, who has...
13:22Giant mass in his chest.
13:25That's a problem.
13:30Good.
13:32Ah, yeah, yeah.
13:34Intern ordered potassium for the wrong patient.
13:37We haven't hooked up to monitors and almost have access.
13:40I need to get in there.
13:41Carrie, you're not the only one with a task to do.
13:43Done.
13:44How's it going?
13:45Uh, somehow fine so far.
13:47But this was the easy part.
13:49Fluids are going in.
13:50Safety first, huh?
13:51Yeah, safety left the building a long time ago.
13:55Hey.
13:56Hey, if I die...
13:57Uh-huh, uh-huh.
13:58No, no, we're not there yet.
13:59Hey, hey.
14:01Just hang tight.
14:03Want to take some position?
14:05We're ready.
14:06Everyone stand clear.
14:07Locked marks should be airborne.
14:17Stop, stop, stop.
14:19Okay, BP took a dip.
14:21Someone squeeze the fluid in and get blood.
14:24Stan Griffith, start a central line.
14:26We should intubate him now.
14:27It'll save us time when we finally get him off.
14:28We can't keep him in a stable position once he's sedated.
14:31Then we'll do an awake intubation without induction drugs.
14:33We'll have control over his position the entire time.
14:35You want to shove a tube through his nose into his throat while he's awake?
14:39Every second is going to count.
14:40Well, then we'll intubate him fast once we get him off this forklift and sedate him.
14:44I agree with Warren.
14:45We have to control what we can, when we can.
14:47All right, change of plans.
14:49All right.
14:52Is it cancer?
14:54We need to do a biopsy to find out.
14:56But it could be.
14:58Possibly.
14:59Or it could be the result of an infection.
15:01Have you traveled out of the country or spent much time somewhere else?
15:04I don't go anywhere.
15:08He immigrated from Cambodia.
15:09That's a long time ago.
15:11The 70s.
15:11During the genocide.
15:12You were injured.
15:13Mom told me.
15:14Manny, enough!
15:15It's part of your medical history.
15:17You don't have to hide it.
15:18Oh my God, Dad!
15:21Let's secure his airway and then get that biopsy done ASAP.
15:28Another load is in.
15:31What do I think about these red walls?
15:35The teal cabinets?
15:36I feel like the house is screaming at me.
15:39At least they didn't knock down any walls.
15:41You said, let's knock this bitch down.
15:44And I told you that was the tequila talking.
15:46You knocked it down with us.
15:47What was I supposed to do?
15:48She had already busted a hole in it.
15:50Well, the tequila wasn't wrong.
15:53It really does open up the place, don't you think?
15:59Here.
15:59Want to fold some clothes?
16:03Do you remember when we were sister lady chiefs and we were carpooling to work?
16:07And you used to get dressed in the back seat?
16:10I don't think we were on time once.
16:15Where are you going?
16:18Can you just give up on me?
16:20No.
16:20You drop everything when I need you.
16:22If you want to pay me back, just leave me alone.
16:24That is actually, that's what I want.
16:25No, I'm sorry.
16:26I love you, but you're a mess right now.
16:28And when one of us is a mess, the other two come in and help.
16:31Well, that's what we do, whether you like it or not.
16:39What's wrong with you?
16:43Nothing.
16:45Nothing.
16:48I'm pregnant.
16:55I'm sorry.
16:55I have to take this.
16:56Shout if you need me.
16:57This is Altman.
16:59Are you noticing throat feeling, Dom?
17:00Yeah.
17:02I'm ready.
17:02Okay.
17:04I'm not going to sugarcoat it.
17:05This is going to be extremely uncomfortable.
17:08But it'll only last a minute.
17:10Wait, wait, wait, wait, wait, wait.
17:12I don't want to die.
17:14That drink.
17:15I love my life.
17:17I love my job.
17:18I love my team.
17:21We've been together 20 years.
17:23We both have to sit together.
17:25If I die, I have to tell them it wasn't their fault.
17:29It's all I was doing too much.
17:30I mean, it's a mistake.
17:32There's nothing they could have done to say of me.
17:34Badger, I know this is scary,
17:35but the faster we integrate you,
17:36the better our chances of you being able to tell your team yourself.
17:40Hold still.
17:45Doing great.
17:47Almost there.
17:48All right.
17:50I'm in.
17:51Have the sedation ready for as soon as we get them off.
17:55All right.
17:56Let's cut this thing.
18:02All right.
18:12Let's cut this thing.
18:14All right.
18:16Position high.
18:17Three, two, nice and easy.
18:19Nice and easy.
18:20Don't let it move.
18:21Don't let it move.
18:23All right.
18:24Let's get them upstairs, eh, Sam?
18:26All right.
18:26Let's go.
18:27My pleasure.
18:28I'll be back to check on you in another hour, okay?
18:29Okay.
18:30I need a doctor.
18:31I need a doctor.
18:31Dr.
18:33Brian.
18:33Okay.
18:34I have a patient whose AV fistula does not look good.
18:36Can you take a look?
18:36Yeah.
18:37Mr. Fulb, this is Dr. Bryant.
18:39Hello.
18:40Hey, how you doing?
18:40Let's see what's going on, Charlie.
18:43Could you get me some gauze and saline, please?
18:46Do you want to start antibiotics?
18:49That definitely looks angry.
18:51Thinking up a little should lay eyes on it first.
18:53Paige, Dr. Kwan?
18:55Hand me another, please?
18:59Make it stop!
19:00Make it stop!
19:01Sir, sir, I need to hold pressure.
19:03Give me a tourniquet.
19:04I'm going to go.
19:05You mean pour out, probably?
19:06Yes.
19:06Paige, Dr. Kwan.
19:10Who's the father?
19:12Donor number 12715.
19:16Can't believe you didn't tell us.
19:17You guys always talk about how difficult it is to be a single mother.
19:20I was worried you might talk me out of it.
19:22I would talk you out of a man before I'd talk you out of a baby.
19:25Are you going to tell Winston?
19:27I don't know.
19:28We haven't talked in a while.
19:30You just think I've lost my mind.
19:33Maybe.
19:34It's a lot of work.
19:35But I think it's wonderful.
19:36Doesn't mean you won't be up some nights at 2 a.m.
19:39questioning every decision you've ever made.
19:40But this baby will bring you more joy and more hope
19:43than you ever thought possible.
19:55All right.
19:56All done.
19:57What the hell are you doing?
19:58You're supposed to be in the skills lab.
19:59I was...
19:59Good thing he wasn't.
20:01Your patient could have bled out.
20:02My arm was like Mount St. Helens.
20:04I paged you as soon as it happened.
20:06And because it's Dr. Bryant's first day
20:08and he needs supervision,
20:09guess who the nurse has also paged?
20:11Okay, Dr. Bailey.
20:12Fortunately, Ms. Fulb will be just fine.
20:15Look at that figure of eight.
20:18Oh, yeah.
20:18It's very good.
20:19Damn near perfect.
20:21Dr. Bailey is an excellent surgeon.
20:23That was Dr. Bryant.
20:25He's moving off of your service and on to mine.
20:29Baldwin is on his way with his surgical team for Mr. Fulb.
20:32You can go back to writing your notes.
20:35Bryant, come with me.
20:36You are scrubbing in.
20:40After you've changed.
20:48Hey, I'm going to order lunch from that Italian delt.
20:53Link?
20:54My phone's about to die.
20:56My mom's got scouted at the park.
20:58I didn't want to miss any calls.
21:00Well, she can always call me.
21:01Your dad's up.
21:02Can you give me your arm?
21:03You're not going to give me up right now.
21:05Has Owen been in here?
21:06Yeah, he went to get supplies so we could remove the tube.
21:08Okay, well, let me help you.
21:09No, I'm fine.
21:09I need to help back.
21:11No, I'm fine.
21:11Oh, my God.
21:12Link, oh, my God.
21:13Okay, don't move.
21:14You could be hurt.
21:15No, no, no, don't.
21:16Let me help you up.
21:17No, I'll get up myself.
21:18Okay, then let me get someone to help you up.
21:20Dammit, just go.
21:27Okay.
21:30Okay.
21:31Okay.
21:38Can we get suction set up?
21:40Here.
21:41Lap pad?
21:42Can you help me hold the blade?
21:43Yeah.
21:44Okay, everyone, we are a full house, so please be aware of each other, as well as this large
21:49piece of metal protruding from our patient.
21:52We don't have enough working ORs as it is.
21:54All right, Bryant is joining us.
21:57That guy's feeling alive?
21:58We're trying to keep him that way.
21:59Hey, let's reduce the chatter.
22:01Warren, what's the plan?
22:02You may need to extend your incision around the blade.
22:04We'll try to catch all the bleeders as we go, but mainly, we're taking it one step at
22:08a time.
22:09Altman, I'm sure people are looking for you.
22:11We've got it from here.
22:12I'm happy to stay and help.
22:14This room is a zoo.
22:16Get out while you can.
22:20Mm-hmm.
22:23All right.
22:25Ten blades.
22:27Okay, advance two more centimeters.
22:31Good.
22:32All right.
22:33Now, take...
22:34The specimen.
22:38I'll keep place a stat order for Dr. Ndugu, please.
22:41Yes, Dr. Mellon.
22:42Nice job.
22:43I bet you couldn't have done that on your first day.
22:44It would have been easier without all the scar tissue.
22:46He didn't say anything about prior procedures.
22:49Maybe it's just a kid during the Khmer Rouge regime.
22:51You think he doesn't remember a major surgery?
22:52Saying he could be trying to forgive it.
22:57Is he bleeding inside his chest?
22:59Did I hit something?
23:00It's coming from the mask.
23:01We need to open him.
23:02I need a thoracotomy tray.
23:03Do you need a Timberlake?
23:04No one needs help with traction.
23:05See?
23:06You don't even need me.
23:07Dr. Mellon, wake up!
23:09No.
23:10Open your eyes.
23:11Wake up!
23:12Come on!
23:12Mellon!
23:16Mellon!
23:22Unbelievable.
23:23It's liver, kidneys, aorta, IV-C, they're all intact.
23:27The blade missed all of them?
23:28He's one lucky son.
23:29I recommend you do not finish that sentence.
23:32Okay, so it did hit the ascending colon and part of the small bowel.
23:37All right, Griffith, Adams, you two will remove it while Warren and I check for bleeding along the path.
23:44Okay.
23:45On my count, slow and steady.
23:49One, two, three.
23:52You're pulling too fast.
23:53It's tilted.
23:53You're a bull's in the way.
23:54If you don't slow down, we're going to make things worse.
23:56It's barely moving.
23:57We're centimeters from his IV-C.
23:58Stop.
23:59Stop.
23:59Both of you.
24:01Adams, step away from the table.
24:03What?
24:03Your fellow resident has repeatedly asked you to slow down, but you didn't.
24:07The OR is a place for teamwork.
24:09We don't have time for you to set a bad example for the interns or to jeopardize this patient.
24:12Also, your comments to friends have been inappropriate all day, so take a hike.
24:17Now.
24:21Right.
24:22Up here, man.
24:26Okay.
24:32Someone get Dr. Mill in a seat, please.
24:34Yes, doctor.
24:36Like an assistant.
24:37Listen, our patient is counting on you to be at 100%.
24:40And if you're not there...
24:51Uh, clips.
24:54Tray.
24:55Clothes.
24:57That's...
24:58Lap pods.
24:59Ratex.
25:02So sometimes it, um...
25:04Helps me to name things that I see out loud.
25:08To ground you.
25:10I do that, too.
25:12You can keep saying them out loud.
25:15That was...
25:17A dream.
25:18A spleen?
25:19What?
25:20I think...
25:21I think he's got an accessory spleen.
25:25That was the mask?
25:26Yeah.
25:27Looks like the interns aren't the only ones seeing something new today.
25:31Almost there.
25:32Just tilt it a little to the right.
25:34And what happens once we get this thing out?
25:36Griffiths?
25:37We remove the damaged colon, create an ostomy, do a washout clothes.
25:40This should be smooth sailing.
25:43All right.
25:43Looks clear over here.
25:45Warren?
25:46Uh, lost visualization.
25:47Okay, uh, Bryant, come around on this side.
25:49Okay.
25:57How's this?
25:58Oh, yeah.
25:59That's much better.
26:00Much better.
26:01And I'll clear over here, too.
26:03You still have enough room, Dr. Griffiths?
26:04I will make it work.
26:05Let's, uh, let's pull this thing.
26:07Okay.
26:07Ready?
26:08Yep.
26:08And pull.
26:11Oh, easy, easy.
26:15Oh.
26:15Oh, nice work doctors.
26:18Can't need suction.
26:20Huh?
26:28You didn't want to do the surgery.
26:30You were held hostage.
26:32The second time.
26:33If I had said no to the first surgery, none of this would have happened.
26:38You were trying to help.
26:41You're not the villain here.
26:42The hospital exploded.
26:46My friend died.
26:48My son's father almost died.
26:51There is a little girl who is locked in.
26:53She is awake.
26:54Inside her body, she still can't even blink.
26:56She is going to spend the rest of her life in a long-term care facility.
26:59I did that.
27:01I did that.
27:03I understand this mom's desperation.
27:05If somebody did that to Scout, I don't know what to do.
27:13I know I'm the least qualified person to respond to this because my baby is the size of a raspberry,
27:18but if I were that mom, I would not blame you.
27:23You are saying that to make me feel better.
27:26No, I'm saying that because I know that complications can happen for any reason.
27:32And sometimes for no reason at all.
27:35Look, if we could all avoid mistakes, we would all have perfect records.
27:38And I know that I still think about Sabine when I can't sleep at night.
27:48Maybe we should open a wine bar.
27:52No one dies in wine bars.
27:54People can have heart attacks anywhere.
27:56I'm sober.
27:58Right, but you don't have to drink it.
27:59You just have to sell it.
28:06How am I going to raise a person without you two?
28:09Just say the word.
28:10We can be in Chicago by lunch.
28:15How's that?
28:16Keep going.
28:17Yeah.
28:18You're doing great.
28:19You were good.
28:20Yeah, I snapped at my pregnant wife.
28:23Yeah, it wasn't a good look.
28:26You're recovering.
28:28I can barely walk across the room.
28:32You're right.
28:34You're right.
28:35This sucks.
28:35You're scared and you feel like a shovel of man that you used to be.
28:38You feel obligated to pretend like everything's fine.
28:40You know, if you want to patronize me, you can leave too.
28:44Keep going.
28:47What?
28:47Getting your anger out might be just as important as the PT, so keep going.
28:58I hate the way Joe looks at me.
29:00Like I'm a patient.
29:03I've been looked at like that since I was a kid and it makes me resent her.
29:07And resent my body and resent every freaking, beeping monitor that I've been hooked up to.
29:16I'm mad that Monica Beltran didn't make it.
29:20I'm mad that my scrub nurse got hurt.
29:22And I'm mad that my patient died even though all he needed was a knee repair.
29:25And I'm mad that I'm supposed to be happy.
29:31I know how lucky I am.
29:36I know.
29:39Yeah, I came this close
29:44to never meeting my daughters,
29:46to never seeing Scout graduate high school,
29:49to never wait a single on his first date,
29:50never growing old with Joe, you know?
29:54I can handle the physical stuff, but I...
30:00I don't know how to heal from this.
30:11I was just trying to save that guy.
30:13You're an intern.
30:14You're supposed to do what I say.
30:17Rectal disimpaction in room 410.
30:18And when you're done, there is more where that came from.
30:21Great.
30:22Could you try apologizing?
30:23What? I didn't do anything wrong.
30:25What's the hell? I can challenge.
30:26Okay.
30:28What?
30:30How's he doing?
30:31Alive.
30:32Unbelievably.
30:34As soon as I saw him up in that thing,
30:35I didn't think he stood a chance.
30:37A weak intubation may have given him one.
30:40You were right.
30:42I'm sorry if I crossed the line out there,
30:44but the patient was...
30:45Will you be my chief resident?
30:47Seriously?
30:48Look, I can't be in five places all at once
30:52and keep my eye on 20 residents
30:54while also trying to save lives.
30:56Today, eventually, turned out fine.
31:00But what happens when it doesn't?
31:02I have too much on my plate,
31:04and I need help.
31:06Not just any help.
31:08Hey, I need someone who is good with the residents,
31:12who thinks on his feet,
31:15who has my back,
31:17and who isn't afraid to disagree with me.
31:20Well, I can do all of that.
31:23Yeah, don't disagree too much.
31:25Don't trust me. I know.
31:27You removed his spleen?
31:28It was already gone.
31:31Your dad had a condition called intraforastic splenosis.
31:34Basically, tissues from his spleen
31:36landed in his chest and grew.
31:39Tissue could just move to a different part of your body?
31:42It can sometimes, after a traumatic injury.
31:44Dr. Mellon and I removed it,
31:45and that should help with his pain.
31:50He's always had the scars,
31:52but he never told me about the surgery.
31:54Maybe he was trying to protect me,
31:56or maybe he was trying to forget
31:58all the horrible things that he went through.
32:00But he's my dad.
32:01I want to know his story.
32:03That blessing ceremony that he mentioned,
32:05it's actually a workshop
32:06to help Cambodian refugees process their grief.
32:10I'd never convince him to go to therapy,
32:13but he seemed excited about this.
32:16Yeah, community can be important for healing.
32:19Can you take him to the next one?
32:21I hope he'll let me.
32:29Hey.
32:30How pissed off is he?
32:32I'll let him take a couple swings of me.
32:36He's doing okay.
32:37Okay.
32:38He wants to talk to you.
32:41He holds things in too long.
32:43He still doesn't talk much about that day.
32:46Take it easy on him.
32:48Well, I hope that he'll go easy on himself.
32:51I know that he has to put his whole life back together,
32:54but you can only do that one step at a time.
32:57You know?
33:00I'll see you tomorrow.
33:11I'll see you tomorrow.
33:18Where do we're rounding?
33:19Anything interesting?
33:20Nothing as interesting as an impalement.
33:22Sorry you got kicked out.
33:24I didn't see you walking on protest.
33:25You expected me to leave?
33:26Well, you're pretty good at making your own decisions.
33:29What is that supposed to mean?
33:33It means...
33:35It means I admire you.
33:37Do you do what you want despite what people think?
33:41I didn't cheat on you.
33:43We broke up.
33:44You broke up with me.
33:46You said it was over.
33:47I was upset.
33:48I went for a drink.
33:49And you picked up a rando at Joe's.
33:51I...
33:51I didn't plan out this.
33:56That guy?
33:58Seriously?
34:01Millen?
34:019-1-1.
34:09You think she's okay?
34:10We got the same sex as you.
34:14What's going on?
34:15I, uh, I realized that we, um, haven't properly grieved, uh, Dr. Belsheim yet.
34:22You page 9-1-1.
34:24I would really like to do this.
34:25Sure.
34:27Yeah, how do you want to start?
34:28Um, well, first, we each take a candle, um, and then anyone who wants to can say something
34:39they remember about her.
34:49Dr. Beltran literally put her patient's life ahead of her own.
34:54She'll always be remembered.
35:00Out of all the attendings, she yelled at me the least.
35:12She, uh, really liked matcha.
35:20And she was great with kids.
35:27Every time I was with Dr. Beltran, I learned something new.
35:30Sometimes it was a technique or a procedure.
35:35Sometimes it was a life lesson.
35:37I'd be more careful about me bringing home from the bar.
35:41The night of, uh, the explosion, she talked me through a mesenteric repair on a child.
35:50Then she died.
35:55I'm still trying to understand everything I learned in that OR, but I do know this.
36:02I was the last person to have the privilege of learning from Dr. Monica Beltran.
36:11And for that, I am truly grateful.
36:20To be good at assessing traumas, you have to be good at dissociating.
36:28You're not looking at a person on the table.
36:30Me.
36:31You're looking at a protocol.
36:32What are you still doing here?
36:33I had time on my hands, and since you were busy, I called Catherine and filed a worker's comp report.
36:40Thank you, Richard.
36:42That is a big wait-off.
36:44My pleasure.
36:46Do you like being a suit?
36:49Well, it sounds like you don't.
36:51No, I'm grateful for my job.
36:53I am.
36:54It's...
36:55A week ago, I invented a new surgery to create an aorta.
37:00And today, all I have are emails to answer and phone calls to return.
37:04I can't even grieve the people who have died here.
37:08And I don't remember the last time I had dinner with my kids.
37:12The corner office isn't for everybody.
37:15If you need time to figure things out, I'd be happy to fill in for you for a while.
37:21You would do that?
37:22I kind of miss it.
37:25Is it okay if I move some stuff around?
37:28Be my guest.
37:30Thank you, Richard.
37:40Well, you don't have to knock.
37:41I'll steal your office.
37:47What are you doing here?
37:50You back?
37:51You know how when people get sober, sometimes they trade one addiction for another?
37:57I haven't used a vacation day in four years.
38:02You don't want to take a vacation?
38:04I was thinking more like a sabbatical.
38:08Sabbatical?
38:10Where do you want to go?
38:13Where are where my people are?
38:18Sometimes the hardest part of working at trauma is finding yourself on the other side.
38:37Letting yourself feel.
38:45Warn the lives you've lost.
38:49And celebrate the lives you've saved.
38:52They want to go again.
38:53One more time and then we're going to have to hug Maggie goodbye.
39:03We're doing a great job with them.
39:06Hmm.
39:07They have their moments, but overall they're pretty extraordinary.
39:16I just never imagined becoming a mother without my mom.
39:21She'll come up in ways you don't expect.
39:25What about when I need concrete advice in real time?
39:30When you call me.
39:33Even if it's only your own.
39:35Can't reach your love, can't reach your love.
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