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Grey's Anatomy Season 22 Episode 1
Transcript
00:00...monisher sedation, respiratory and heart rate, blood pressure.
00:06Let it go! Let it go!
00:08Come on, hustle, hustle, hustle!
00:20First assist, suctions and returns, helping with every suture and staple.
00:33A scrub tech organizes and hands over surgical tools, saving valuable seconds and blood spilled.
00:45And circulating nurses document the case, keeping track of who touches the patient, what's used and when.
00:59Help! Help us! We need some help in here! Help! Somebody help us!
01:09Every member of the team shares responsibility in the patient's survival.
01:16If someone's not there, you're in trouble.
01:32Don't sit still for one...
01:34The elevator is about to shut down. This department exits through the east stairwell.
01:38Sir, sir.
01:39Okay, everybody stay calm. That's the generators kicking in.
01:41People keep your phones on for updated evacuation alerts.
01:44Has anyone gotten through to the 6th floor?
01:45Don't go ever!
01:46What?
01:47It's the acetylene tank. It wasn't empty. It was leaking gas the entire time.
01:51All personnel take your way to...
01:52I need to speak to that fire chief right now.
01:54You're going nowhere but downstairs so we can evaluate that.
01:57We don't have time. I need to lock this hospital down again.
02:00Do it on the way.
02:01All patients on the 3rd floor and above will be moved to a secure area.
02:05We need full cooperation from everyone.
02:08Do not leave the marked safe zone.
02:10Seattle Fire is working quickly to assess the structural integrity of the north side of the building.
02:15If we remain calm, our patients will.
02:20We're evacuating the CCU. That includes Nora Young.
02:23She's too critical to stay here, so I want to transfer her to Seattle Press.
02:26Teddy.
02:27I'll head upstairs.
02:28That woman was my patient's mother.
02:30We don't know that it's related.
02:31If Dylan's outcome had been better, if I had been better...
02:34Amelia.
02:35Put me somewhere. I can help. I will evacuate patients, triage, whatever you need.
02:38Please.
02:38Okay, Richard has sustained a headlack. He is heading down to the ER. He will need a neuroevaluation.
02:44Here you go. Thank you.
02:46Hi, Nick. It's me.
02:47Listen, something happened at the hospital and you're going to hear about it on the news, but just know that
02:50I'm okay.
02:52I love you.
02:52Can't let you in. The ER is completely cold. Fire department's orders.
02:55Okay. Well, I'm Meredith Gray and I work here.
02:57Badge, please.
02:58I've worked here for a really long time. I am a surgeon.
03:02My name is on the building. Meredith Gray.
03:04Badge, please.
03:05Can you just call Teddy Altman or Richard Weber?
03:07Is your phone broken?
03:10There's people out here that are injured.
03:11Fire department says...
03:12Where are they supposed to go?
03:13Some transfers are going to Seattle Press. Otherwise, we need to wait for beds to clear.
03:16What if they don't have that kind of time?
03:18Fire department says...
03:19Yes, you've said it. I understand.
03:24Are you... Do you all work here?
03:25In eight hours you do, yeah.
03:26We just finished our intern orientation.
03:28We want to help, but the guy won't let us in until we are officially activated.
03:33Oh, good. Somebody who knows what she's doing.
03:35Okay, follow me.
03:36Yes.
03:36The rest of you try to find gurneys.
03:38Uh, where are the gurneys?
03:39There's a difference between where it comes.
03:40Not the time.
03:45It's locked.
03:45What?
03:51Give me that, I'd be full.
03:53What? You mean for a baby or something?
03:55Okay.
03:56Stand back.
03:58Oh!
04:08Tonex open.
04:10Come on, guys.
04:12Go ahead.
04:13Patients need to be evacuated from the OR.
04:15Stretchers are over here.
04:16We go in in teams of four.
04:17If anybody gets lightheaded or has shortness of breath, say something immediately.
04:21Hunt, Hunt, have you seen Miranda?
04:23Normally she texts me when she's heading to surgery, but maybe she got pulled into something.
04:25By the time I got off here, SFD had already started moving people.
04:27Well, I heard the bus was in OR, too.
04:29Was anyone in there?
04:30We can check the OR schedule.
04:31I'm not going anywhere until I find her.
04:33Keep the whole line steady and secure about doors.
04:37Give her a hand.
04:40Ben.
04:48You okay?
04:49You okay?
04:50I'm okay, but Lincoln is not.
04:53Remember that power and infrastructure?
04:57What could happen?
05:00I understand you.
05:02I'm not.
05:06Okay.
05:08Joe.
05:08Joe was going home.
05:09She went home, right?
05:10She wasn't in the building.
05:11I saw her leave.
05:12She's safe.
05:12You want me to call her?
05:13No.
05:13She's well enough.
05:14She wants to come here.
05:15It's not safe.
05:16Blood pressure and the babies.
05:18We'll call her when we have to.
05:19Obvious more trauma to the chest.
05:21The solid's in the high 90s.
05:22Heart rate's been hovering in the 110s.
05:23Okay.
05:24Link?
05:25Link, does it hurt more on one side?
05:27It's pretty excruciating across the board, but I can't feel my right arm, so it's dark there.
05:31Joe, Ben.
05:32Okay.
05:34Okay.
05:35Yeah.
05:36We'll go stop.
05:37We need to stop.
05:38Why was that?
05:41Somebody say something.
05:43I think the piece of the ceiling is penetrating below your clavicle.
05:46You gotta get it out.
05:47Please, you gotta get it out.
05:49Stay in the middle.
05:51Please, you gotta get it out.
05:52Please, please, you gotta get it out.
05:52Try not to panic, okay?
05:55What's up, Ivy?
05:59No kidding.
06:01Help!
06:02Hello!
06:05Okay, so you're having trouble breathing?
06:06No, no, I just, I think part of my pelvis is shattered.
06:09I'm more worried about Parker.
06:14Your patient needs you.
06:15Go.
06:19Okay, no burns.
06:21No shrapnel injuries.
06:22That power is vital.
06:23We're holding steady for now.
06:25There's no bleeding at the port sites.
06:28Yeah!
06:28We're coming here to help!
06:31Help!
06:34Oh, just tanking.
06:35We need a...
06:38How are we going to keep Parker alive if we don't have anesthesia?
06:40I can't panic.
06:42Not yet.
06:50Tell me there's news.
06:52Fire chief said he doesn't know the extent of the fire or the damage for how long until
06:55it's contained.
06:56Fatalities?
06:57At least one.
06:58A patient on the OR floor.
07:00I will now.
07:02Call the family myself.
07:03Of course.
07:04How are you feeling?
07:05I keep telling everyone I'm fine.
07:07There's no sign of TDI or concussion on physical exam, but we should still scan you to rule
07:11out intracranial bleeding.
07:12It can manifest up to 10 hours after the impact.
07:14Well, look, I'll take my chances, okay?
07:15Where do you think you're going?
07:16This hospital is on fire.
07:18And you think you're going to put it out?
07:20You can manage this from here.
07:22She's right.
07:23The scan will only take a few minutes.
07:25Please keep your phone on.
07:26I will call you with any updates.
07:27Dr. Alvin?
07:29Where do you need me?
07:30Help Kwan upstairs with evacuations.
07:32I've got to call Jackson.
07:33If you get out of that bed, they'll be held to pay Richard Weber.
07:41Hey, I had to sneak in through the maintenance entrance.
07:44Are you okay?
07:45It's just a scratch.
07:47Have you seen Link?
07:48He's not answering his phone.
07:49He was heading into surgery and...
07:53Where is he?
07:55He's on the OR floor.
07:57They're bringing him down as fast as they can.
07:59He's with Hunt and Bailey.
08:02All right, Mr. Rake's standing by taking the Seattle press.
08:05Oh, my God.
08:06You didn't want to tell these guys I need more morphine.
08:08It's on the way.
08:09Oh, we need that blood.
08:11Come on.
08:11Here, here, here.
08:12You think it's a plagiarian injury?
08:13No, tell me what else.
08:14We need to extricate it before we assess it.
08:15We need to give the blood and fluid a chance to work.
08:17We can get off this floor ASAP.
08:19We don't know if it's structurally stable.
08:20This piece could be tamponizing something.
08:22If you remove it too quickly, he can bleed out.
08:23Yes.
08:24BP's still unstable.
08:25He's not responding to blood alone.
08:26Hunt's right.
08:27We're running out of time.
08:27Okay, okay.
08:28Good.
08:29Okay.
08:29Ready?
08:31Okay, on my count.
08:33Okay?
08:33One, two, three.
08:37We need a clamp.
08:38All right, go, go, go, go, go, go.
08:41Give me your hand up.
08:44All right, all right.
08:46You see what I'm using?
08:49Yep, got it.
08:50If I'm going to Seattle, Chris, we better start moving.
08:55Best, the elevator's out.
08:58You take the stairs.
09:05Talk to me.
09:07I'm only getting breath sounds on the right-hand side.
09:09Maybe a left pneumothorax?
09:11Okay, are there any signs of blunt trauma?
09:12Um, I don't see anything.
09:14Then I'm betting the ET tube got pushed further into his bronchus with the blast.
09:18Uh, if you try repositioning it?
09:19Okay, yeah.
09:20Just keep bagging and pull the tube back slowly and then listen.
09:27Okay.
09:35I have bilateral breath sounds.
09:37I need those two stats improving.
09:39Nice work, Mellon.
09:40How's your pain?
09:41Oh, I can barely feel it.
09:43We need to get you out of here.
09:44We need to get Parker out of here before his anesthesia wears off.
09:46We need to get you both out of here.
09:47What is taking so long?
09:49They're working on it.
09:50For now, we need to get his incisions closed up.
09:52And by we, I mean you.
10:07Hey, Altman's told me to help.
10:09I'm glad you're not dead.
10:11Nora Young, Altman, and Ndugu built her new aorta out of nothing two hours ago.
10:15Her maps need to be above 65 and below 80 for the entire transport.
10:20Well, obviously they don't.
10:20Too low, she dies.
10:22Too high, her new aorta blows.
10:24And she dies.
10:25Fun.
10:26Hey, have you seen Simone?
10:28She's not answering my texts.
10:29Not since the locker room.
10:31Also, I haven't seen Mellon.
10:32So, are you and Simone back together?
10:34Yeah.
10:36Yep.
10:37Great.
10:38Good for you.
10:40She's a bit tacky.
10:42Let's give her another bulls before we move.
10:48I'm sure she's fine.
10:55Are we clear?
10:56Yes.
10:56Okay.
10:59Let's start with the left side.
11:01Okay.
11:02Dr. Gray told me to find Griffith.
11:05Let me to Griffith.
11:06It's Dr. Griffith.
11:09Doc.
11:10Okay.
11:12When was her top nailing that last night?
11:13Go.
11:14Go.
11:14Assess the woman in bed three.
11:15Okay.
11:17Baseball cap.
11:17I need a Doppler.
11:19Right.
11:20Doppler.
11:22Right here.
11:24Hey, I think maybe you can just ask me for stuff from now on.
11:28Why is that?
11:29Well, I just...
11:31I mean...
11:36Go see.
11:36Go see.
11:37Go see.
11:41Sorry.
11:42Right.
11:42Okay.
11:43Interns.
11:43Everyone over here.
11:45Quickly, please.
11:47Okay.
11:48Listen up.
11:49Okay.
11:49I'm not asking anyone to perform a whipple.
11:51Put patients in beds.
11:53Take down information.
11:54It's basic triage.
11:55You've all matched with Grace Lone for a reason.
11:57Show me why.
11:58Do we have any questions?
12:00Um...
12:01Hi.
12:02Hi.
12:02Um...
12:03I'm Danny.
12:03Danny Spencer.
12:04Dr. Spencer.
12:05Right.
12:06Right.
12:07Um...
12:07What if you have a patient who sustained blunt trauma to the abdomen?
12:12And is now experiencing some delayed pain.
12:15Which patient is that?
12:16The...
12:17Whoa.
12:18Oh.
12:19Let's get her out of bed.
12:21He's dead.
12:22Come on.
12:23Let's move.
12:23Let's move.
12:24Get him out.
12:25Get him out.
12:27Careful.
12:28Watch his lines.
12:30Have you picked up names for the girls?
12:32Joe told you before me, didn't you?
12:34Yeah.
12:35Uh...
12:35No.
12:36You're friends or girls?
12:37Yeah.
12:37Congratulations.
12:38Oh, those girls are going to have you wrapped around their little baby things before you beat them.
12:41I can't wait.
12:43Okay, stop, stop.
12:44We need to stop.
12:45Okay.
12:47Uh...
12:48Okay, so we need a plan B.
12:50We just need to keep moving.
12:51And I just need you to look at all the blood on the damn stairs.
12:55I think he's really going to make it to Seattle, Prince.
12:57Well, the CCU is one floor down.
12:59We could operate there.
12:59They evacuated me.
13:01I'm waiting for a better idea.
13:03Go!
13:04Go!
13:06Go!
13:06Go!
13:06Go!
13:07Go!
13:07Go!
13:08Go!
13:08Go!
13:11Go!
13:11I'm going to clip my heels one more time.
13:12Norris Pump will get to Seattle Press before she does.
13:14She's the Chief's Miracle Patient.
13:16I'm not trying to kill her.
13:20Uh, tube's still in.
13:22Nothing's out of place.
13:23Okay, the screen says high volume.
13:25What do you know about ventilators?
13:26What do you know about ventilators?
13:27Okay, uh, the pressure control has a set inspiratory pressure, right?
13:31Yeah, but tidal volume can vary.
13:33Okay, maybe we switch the setting to volume control?
13:35Oh, or maybe we just call a resident from anesthesia.
13:38Screw it.
13:46How did you know that would work?
13:48I didn't.
13:51Let's go.
13:56There's some bruising on the right flank.
13:58She said a gurney slammed into her.
14:00Not here on the sixth floor.
14:02It happened during the blast or explosion or whatever that was.
14:05You didn't tell anyone about it?
14:06Um, technically I wasn't supposed to be up there.
14:13Look, I wanted a selfie in an OR.
14:18Um, we finished onboarding and I just wanted to take a picture and show it to my dad because he's
14:23so proud of me.
14:24He's ironed my white coat like three times for tomorrow.
14:28I can still start tomorrow, right?
14:30Well, we have to make sure the hospital's still standing first.
14:33Right.
14:35Ultrasound?
14:35Uh, can I do it?
14:36Just for, you know, learning purposes.
14:41Not unless you're gonna go in vaginally.
14:43This is normally a reproductive clinic.
14:46This is beyond humiliating.
14:47Well, half the battle of intern year is standing out from the rest of your class.
14:51So, you're ahead of the game.
14:54Okay, ready?
14:55Hey, tell me what you see.
14:58Take your time.
14:59Go slow.
15:00Yeah.
15:01There's some free fluid in Morrison's pouch.
15:04Yeah, but nowhere else.
15:05She seems stable.
15:06Okay.
15:07As soon as we have access to the hospital, she will need a scam.
15:09Until then, keep a very close eye on her.
15:12Welcome to Chrysler.
15:24Okay, I've completed the peri-umbilical incision.
15:26Now what?
15:28Now you close the lateral port sites.
15:30Okay.
15:31He's getting more hypotensive and tachycardic.
15:33Oh, God, is he waking up?
15:34Is he distended?
15:36Ow.
15:38Okay.
15:39He might be bleeding internally.
15:41But he wasn't bleeding from the incisions.
15:43But the move from the blast could have nixed something.
15:46It could have been building slowly.
15:50You're going to have to open him up.
15:53Absolutely not.
15:53We're running out of anesthesia.
15:54Yeah, that's why you have to move fast.
15:56I haven't done a solar procedure on an adult, let alone a six-year-old.
16:00Millen, we always do this.
16:02You always panic spiral, and I always snap you out of it,
16:05and we really don't have time for that right now.
16:06So unless you want to see that sweet little boy die,
16:10I suggest you open him up right now.
16:17Come.
16:18Let's go.
16:29Keep the second trauma bay open.
16:31We may have to reroute more post-op criticals.
16:34Should I transfer Dylan Gatlin?
16:35This wasn't her fault, and I don't want her to become the headline in this.
16:38All right, well, we can try,
16:40but the sale of press has already taken 15 of our CCU patients.
16:43I hear that they're triaging patients in the hallways.
16:46Did we confirm if we lost any more patients on the hour floor?
16:49I can't share that information with you right now.
16:52Richard's scan came back negative.
16:53There's no clinical change.
16:54That's a good thing.
16:55I'll take that, and I'm still waiting to hear about Link's status.
16:59Link?
17:00What happened to Link?
17:07Trauma, too, needs to be transferred to Seattle Press
17:10so we can see if they need some help.
17:12I thought you said your wife said you couldn't get out of bed.
17:16Do you see my wife?
17:18Uh-uh.
17:21Bailey?
17:22Hi.
17:23Before you say anything,
17:25I sound way worse than I am.
17:27Where are you? I want to find you.
17:28That's not safe.
17:30If anybody lets you up here,
17:33I want to take them out.
17:35Or maybe start a rumor or something.
17:37I don't know.
17:38I know dirty stuff.
17:41I love you.
17:42I love you.
17:43I love our kids.
17:46I feel pretty damn stupid.
17:48It took me so long to get my club together to tell you that.
17:52Just tell me when you come down here.
17:55Yeah.
17:59Bailey, we need to keep moving.
18:01We will.
18:03Hey, it's going to be okay, but, um...
18:06But just in case,
18:07my password book is in a second.
18:09I'm at the door of my dad.
18:10What?
18:10And I'll get a dog.
18:12Link, what are you doing?
18:13It'll drive me a little crazy
18:14because I keep telling the scout,
18:15no, we're getting a damn dog.
18:17Can you stop?
18:18I can't find a little big pause
18:20because, uh,
18:23because big pause means
18:25this big dog.
18:28It's protection.
18:31Oh, my God.
18:33Link?
18:34Okay.
18:34Dr. Marshall, I'm closing.
18:36Bailey?
18:37Bailey?
18:38Someone tell me what's happening.
18:40Link?
18:41Link?
18:43Link?
18:45Link?
18:46Link?
18:47Link?
18:47Link?
18:47Link?
18:50Link?
18:51Hey, this is the last unit.
18:54You remember I had your shock?
18:55Something else is going on.
18:56Maybe his rib fractures
18:57caused a lung injury.
18:58Could be a tension pneumo as well.
18:59Yeah, let's decompress him.
19:00You got a 14-gauge angel cap in there?
19:02Yeah, I gotcha.
19:03Okay, I'll hold his arm.
19:04Okay.
19:15Do you all want to make me dinner?
19:23There's a weak pulse.
19:25Yeah, but he's still really hypotensive.
19:26He needs his chest, too.
19:27Let's get him to CC you right now.
19:28I'll stabilize the angel cap in
19:29so we run his legs.
19:30All right.
19:31I'll help at the head.
19:34Ready?
19:35One, two, three.
19:39I can't find where the bleed is coming from.
19:42I'm going to have to tell the mother of this kid
19:44that I killed her child.
19:45Come on, Millen, focus.
19:47I think it's coming from the misentery,
19:48but I'm not sure.
19:49Okay, clamp it, and then look around
19:51for bleeding in another area.
19:52Okay.
19:53All right.
19:54Okay.
19:56Clamp is in place.
19:57You know, I had my first solo surgery on a kid
19:59when I was a second year like you.
20:01My attending just handed me a scalpel
20:04and left to take a nap in the OR next door.
20:06Please tell me that the story has a happy ending.
20:08The patient's name was Demetrius.
20:10He was four years old,
20:13and he loves Spider-Man.
20:14I mean, he asked me to surgically implant webs into his wrists.
20:19That was a surgery?
20:20No, no, it was a bowel resection.
20:23Poor guy had an obstruction, but he did great.
20:27And I did great.
20:31I was so terrified, I almost passed out.
20:34But then I got to tell his parents he was okay.
20:40There is nothing better than the hug you get from a grateful mom.
20:46I mean, that makes you feel like a superhero.
20:51Bleeding stopped.
20:54Spitals are improving.
20:56What stitch do I use to legging?
20:59What do you think?
21:01Um, 3-0 silk.
21:05See?
21:05You don't even need me.
21:11I'm going to 140 over 90.
21:14It's still a little high.
21:16Just keep taking deep breaths.
21:19We've only been married 36 hours.
21:24Link's tux is still on the bathroom floor.
21:27His parents were just here.
21:31His parents.
21:34Do I call them?
21:36What do I even say?
21:38We see miracles here every day.
21:41If I haven't given up hope yet, then neither should you.
21:44He's the only family that I have.
21:48Well, you know that's not true.
21:56Remember, quotes he got me.
21:58What we did was wrong.
21:59I didn't know what would have ever happened if I had known...
22:01You were my boss?
22:02What?
22:03Say it louder.
22:05I'm really tired.
22:07Intern here gets better, right?
22:09Like, it's just like a really bad first day.
22:11Well, no one has a good first day.
22:13Well, she really hypotensive.
22:14I can see that.
22:15I'm what?
22:17She's decompensating?
22:20What happened?
22:21BP's dropped to 70s over 40s.
22:22Heart rate's 130.
22:23Up in the low 100s before...
22:25Oh.
22:25Abdomen is more distended.
22:27Bruising around the flank.
22:28And now belly button.
22:29What do we call this?
22:30Great turn of sun and call in sun.
22:31They can indicate retroperitoneal bleeding.
22:34Excellent deduction, Dr. Spencer.
22:35We're going to intubate you and prep you for an X-lab.
22:38Okay.
22:38So, you mean I get to go to the OR?
22:40Something like that.
22:40Yeah.
22:41I need an intubation kit and a surgical tray.
22:43You want to do it here in the clinic?
22:44Do you want to kill an intern on your first day?
22:46Not this one?
22:47Then get me a surgical.
22:48Let's try.
22:56Simone's helping other patients, I'm sure.
22:58Just like us.
22:59How'd you know we broke up?
23:01What?
23:02Did she tell you last night?
23:03Was she upset or...?
23:06We'll go down.
23:08I don't know what's wrong.
23:09Do we increase her sedation trip?
23:10You don't want her pressure to drop too low?
23:12I think we should risk it.
23:13Do it.
23:14Me?
23:15Me?
23:15It's your idea.
23:16I don't know how to do it.
23:17The nurse normally does it.
23:18So, what makes you think that I know how to do it?
23:21Oh, she's waking up.
23:22No, no, no, no.
23:23Should we exhibit?
23:24I mean, worst case scenario is that we re-intubate?
23:27No, no, no, no.
23:27Worst case scenario is that she rips her chest open from coughing and bleeds out.
23:35Okay, chest tube is in.
23:37All right, dissect a little farther.
23:39I'm trying.
23:40The man has so much muscle.
23:43Okay, there.
23:44Oh, my God.
23:45What's his status?
23:47Penetrating trauma to the chest.
23:48Injuries of clavin vessels, multiple rib factors with pneumothorax, sustained cardiac arrest,
23:52resuscitated with CPR, and eight units of blood.
23:55If we needed all the hands, we could get.
23:57He's a neck.
23:58He needs to be scanned.
23:59We need to rule out a brain bleed.
24:01BP's taken.
24:02Pushing FB.
24:02No, he needs blood.
24:03Okay, we know.
24:04Okay, then do something.
24:05Somebody get her out of here right now.
24:07No, I'm fine.
24:07No, no, no.
24:08I think he's got sick.
24:09No, it's fine.
24:09I'm fine.
24:10I'm okay.
24:10Calm down.
24:11I'm okay.
24:11I'm okay.
24:11Calm down.
24:12It's okay.
24:13I'm calm.
24:13No, I'm fine.
24:14Do not catch me.
24:15Please, please.
24:16Amelia, please.
24:17Go.
24:18I need to be in there, please.
24:20I want to help.
24:28I need retraction.
24:30Oh, we don't have a book, Walter.
24:31We don't need one.
24:33Dr. Bryant?
24:34Yes?
24:34Grab one of those towels and come over here.
24:36You put your hands where mine are.
24:39Hell of a way to start intern year.
24:41I don't mind being a human retraction.
24:43I meant for her.
24:44Well, she'll learn what it feels like to be a patient.
24:46It takes some interns years to learn bedside manner.
24:49Okay.
24:49Don't put too much pressure.
24:51Okay.
24:51But don't let her bowels slip out.
24:53That's the dopest thing I've ever seen.
24:54Griffith, what's next?
24:56In an OR, I'd use a bovie to carefully divide the white line of Tolt.
24:59Once in the retroperitoneum, I'd isolate the IVC.
25:01I'm in.
25:04You dissected the retroperitoneum with your fingers?
25:07It's the one tool we always have.
25:09Oh, my God.
25:10Got it.
25:11No, all right.
25:12That is the dopest thing you've ever seen.
25:13Okay, let's ligate the lumbar and close her up as soon as we can.
25:18Okay, we got to pull the tube out.
25:20It's the only way to keep her alive.
25:21Yeah, I thought that once about a patient, and it almost cost me my residency.
25:24I've already seen her die once.
25:26I'm not going to watch it again.
25:33All right.
25:38Don't do it, don't do it.
25:40Good breath sounds.
25:42Shake her incision for bleeding.
25:45It's all right.
25:52Hi, Nora.
25:54It's Dr. Kwan.
25:56I know.
25:56I heard you guys the whole time.
26:01Why are we in the hallway?
26:05We'll catch you up on the way.
26:07All right, Graft is in.
26:14He's still hypotensive.
26:15I can't see no more bleeding.
26:16And there's minimal blood in the pleural back.
26:17Why isn't he stabilizing?
26:18I made the wrong call.
26:19I should have taken a new saddle press.
26:20No, we didn't lose him on the stairwell.
26:22We're not going to lose him here.
26:24Don't think about what we didn't do or should have done.
26:26Think about what we can do.
26:29Okay, let's do a thoracotomy and check the chest cavity for injuries.
26:32With minimal blood in the pleural back, there's no indication.
26:35We should resuscitate him, take him to Seattle Press for a full exploration.
26:38He might not make it.
26:39He certainly won't if we cut his chest open.
26:41It is textbook trauma to the chest, rib fractures, hemothorax.
26:44You do it thoracotomy.
26:44In a controlled environment, this is too risky.
26:47Look, I have driven a rig from here to Seattle Press at least a hundred times.
26:51Ben.
26:51With lights and sirens and God on your side.
26:54Minimum eight minutes.
26:55Now, the link is bleeding out from somewhere.
26:56You really want to risk eight minutes?
27:02Chest, it was clogged.
27:03He's bleeding out into his chest.
27:05Do you still want to pack him?
27:07Okay.
27:07All right.
27:08Where's the scalpel?
27:09I've got it.
27:10Here we go.
27:12Got it.
27:12Here we go.
27:13Let's go.
27:15Okay.
27:16The bleeding stopped?
27:18The ligating worked?
27:19Try not to sound so surprised next time.
27:23Okay, so now, irrigate and pack it with a wet sterile towel as a temporary closure.
27:29And then what?
27:31Well, then we wait for them to get us the hell out of here.
27:34And we hope everybody else is okay.
27:37I, uh, I, uh, hate babies.
27:43Birth and their dependency and tiny little organs that are possible to suture.
27:53Parker, I'm not really a big fan of kids either, but, you know, Parker, you might have broken through to
28:03me.
28:04You know, might be my, my Demetrius.
28:10Dr. Beltran?
28:16Dr. Beltran?
28:18No.
28:19No.
28:19No, no, no, no, no, no, no, no, no, no, no.
28:23No.
28:26Okay.
28:27Tim.
28:27Okay.
28:28Dr. Beltran, you need to open your eyes.
28:30Okay?
28:31Wake up.
28:33I need to wake up you.
28:34We need you to wake up.
28:35Come on.
28:36Come on.
28:44I lost my dad when I was a kid.
28:48That's been the defining fact of my life.
28:51You're just this, like, unrelenting absence.
29:01I don't want that for a scout.
29:04I'm Joe.
29:07My dad and dad have wrecked my mom.
29:10Probably forever.
29:14I'll pull through.
29:18It'll be nothing.
29:19It'll be my fault.
29:22And I will never forgive myself.
29:36Anything?
29:37Go look.
29:40Okay.
29:41Okay.
29:42Okay, come on, come on.
29:43Come on.
29:44There.
29:44Yep.
29:45There.
29:46Costal artery.
29:48Yeah, long leg.
29:50You and your other.
29:54All right, stay for it.
29:56You're fine.
29:58See you.
30:04Stand back!
30:05Coming in!
30:16You're too late.
30:18He's gone.
30:19He's gone.
30:33So we were finally able to get him into the scanner.
30:35He repaired for the lung.
30:36And the subclavian is holding it apart from the chest wall.
30:39There are no other injuries.
30:40But Joe, this could be a tough road ahead.
30:44He has lost a lot of blood.
31:01I love you.
31:04I love you.
31:05I love you so much.
31:06I haven't seen anyone pull through like that in a long time.
31:09That man did not want to leave you.
31:12He's been my best friend for 20 years.
31:15He means everything to me.
31:17So thank you.
31:18Thank you so much.
31:20So you have a half an hour, and then you need to get a blood pressure check.
31:23Really?
31:24I'm fine.
31:25Dr. Weber's orders.
31:31Okay.
31:32So tickets CBC and co-eds in an hour.
31:34Warren.
31:36I'll see you at home.
31:41I'm sorry.
31:42I wasn't trying to question you.
31:42I was going to say, now, Bowen on the Thoracotomy was the right move.
31:46We would have never made it to Seattle Press, and Link would have died.
31:55I used to be a lot like you.
31:57I used to take risks and make decisions based on instinct.
32:02I didn't second guess everything, but now I'm a suit, and I've become more cautious, and I shouldn't put that
32:07on you.
32:10Tomorrow, I am going to call the ACGME, and I'm going to tell them that you're going to finish your
32:13residency at Graceloan.
32:18Oh.
32:20You won't regret it.
32:21But if I say that we're closed to trauma...
32:24Got it, Chief.
32:27Yes.
32:29Sorry.
32:30Sorry.
32:31Parker is stable.
32:33We will need to bring him back for permanent closure, but until then, you can see him in the queue.
32:37Oh, thank you so much.
32:41Paul, you have a very tough little boy.
32:46Millen.
32:48Millen.
32:52Hey.
32:54I heard you were with Beltran.
32:59You okay?
33:02Okay.
33:18No, no, Millen.
33:21Oh, son is gone.
33:26Oh, son is gone.
33:31oh no are you in pain i was really hoping this was just a bad dream
33:37your toilet lumbar vein we repaired it you're gonna be okay i am never going to lift this down
33:47if you or me would you transfer programs being a surgeon is hard i mean you're gonna have days
33:51where you feel like everything you do is a mistake that won't change no matter where you are
33:55so you've you've worked here for a long time long enough to know that if you stay it's worth it
34:01even without the ors the ors don't make you a surgeon the teachers and the patients do
34:08thank you dr dr gray as in like you're you're married gray i am still doesn't seem to get
34:17me in the building but
34:43why are you still here your shift doesn't start for another hour
34:45i don't know i thought i'd shower if you cleaned up no no no what no smiling no flirting none
34:54of
34:56that we are strangers who met for the first time today yeah first start no problem
35:04after you stranger after you
35:19hey do you want to go home sleep for three days and then eat greasy food i don't think
35:26we should get back together i guess we said a lot of things to each other the other night
35:31i took them back because we almost died in a hostage situation that's not real life i think
35:36we just both need to take some time focus on work if we find a way back to each other
35:39well
36:00when something's been in your life for a long time you can often forget it's there whether it's a person
36:06or a place sometimes you can take it for granted
36:11hey thank you for last night that link is stable so i'm gonna pick up scout and
36:18not let him go for hours i'm gonna text still in gatlin's latest labs over to beltran and then i
36:26am gone
36:27what
36:30is that link
36:33what happened
36:34beltran
36:37monica
36:38she
36:41she was trapped on the oar
36:45no
36:48she didn't make it
36:54monica's dead
36:55you never consider that you won't walk in that door again or hear that voice
37:02nora
37:03on her way to seattle press
37:04sats our strong incision looks great she looks like a different person already after that surgery
37:09thanks con
37:13hospital's been cleared of security threats and has been deemed
37:16structurally sound
37:19they need me in a press briefing
37:22can we ever be where we were
37:24best friends
37:27i don't know
37:29i don't know if i know who i am anymore
37:36i'll check on the kids in the room
37:38i'll check on the kids in the room
37:39i'll have a pro talk
37:43yet it happens every day
37:47people experience unexpected loss
37:59and as impossible as it may seem
38:05don't give up
38:10engineering says this floor might not be usable for weeks
38:16i know you said you missed the oar and that you stay for subjects but
38:22yes
38:23i'm here
38:24whatever you need
38:28what are we gonna do here
38:34what we always do
38:36we're gonna rape out
38:38you have to believe
38:40you'll find hope again
38:48i work with the cops and i see the world a little differently
38:51i know you guys aren't sold on my theory hopefully this should clear things up
38:54is this what the inside of your mind looks like
38:56not even close
38:57high potential
38:57all new tuesday 10 8 mountain on ctv stream next day on craig
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