- 1 hour ago
Grey's Anatomy Season 22 Episode 15
Category
đ„
Short filmTranscript
00:00within 15 minutes, employ a minimum number of certified specialists, and admit at least
00:061,200 trauma patients a year. Hospitals in big cities pass the test easily, but the farther away
00:14you get. Adam, come up this morning. I know Katie was a tough loss. I'm feeling it too. If you
00:24want
00:24me to find someone else for your assignment today. I'm good, I'm good. I'm going. Hospitals are level
00:29two, three, even four. And sometimes all they can do is transfer people to get the care
00:33they need, and hope they hang on. We shouldn't be doing this, we have to stop. Iris is back
00:43from vacation today. What if she walks in here? Why wouldn't LMP nurse go into a CCU closet?
00:51Um, um, she doesn't deserve to be treated like this. I have to break it off. When are
00:59you going to talk to her? As soon as humanly possible. All right. Uh, we were just looking
01:06for Dawes. Yeah, I don't care. Oh, I actually do need to grab the Corpus kit. I'll see you
01:15around. Okay.
01:24I'm freezing my ex. Still don't care.
01:35Richard. Hey, are you going to change? We're hitting the road in a half an hour. Well,
01:38I'm heading out, but not the email call. Why? Well, my schedule changed. Didn't you see my
01:43email? No. I forgot to hit send. I told Cascade Hill I'd bring them for surgeons. Well, you
01:51will. I got you a backup. Oh, here she comes. Hey. Hey. Hey. Oh, have fun out there. Thanks.
02:01Listen, if you're too busy for this, I can just take the residence. Oh, Richard asked for
02:04a favor. I made time, but I mean, if you don't want me to go. No, no, no. These patients
02:09need
02:09all the help they can get. All right. I love field trips. Are you excited? Not really.
02:17Well, Dr. Hunt said last time he volunteered at Enumclaw, there was a guy that was crushed
02:20by a horse. Cool. If you're not interested in oral medicine, then why did you volunteer?
02:26Oh, I was looking for some peas. Be quiet. Adams. Hi. Are you coming too? No. Hey, I texted
02:33you about Katie. Is he okay? Clearly wouldn't know. Okay. Did you pack up all the supplies?
02:40Yes. All right. Let's go. Oh, I made a playlist. I also brought earbuds. Great. Hi. Planning
02:51a vacation? If all goes well, we're going to take a road trip, see some national parks.
02:57Oh, Yosemite is one of my favorite places on earth. I don't like nature. He's warming up
03:04to the idea. I'm going to go get some food. They say God made teenagers, so it's easier
03:13to let them go. Come on.
03:15Quindurston, 43, with stage 4 hepatocellular carcinoma. He's had chemo and radiation, now presenting
03:20with biliary stenosis. He's scheduled for an ERCP to place a stent, waiting to hear from the
03:24FDA whether we can implant a synthetic lymph node for compassionate use. So there's still
03:29no decision? I'll be following up right after this. Do they know that I'm a single dad? And
03:35if this treatment really could give me more time, there'd be life-changing for Logan.
03:40Unfortunately, they're only looking at the medical facts of the case. You let me worry about the
03:44FDA. In the meantime, Dr. Quang? I'll run pre-op labs for the stent. Good.
03:56Okay. Great. Here we are. Dr. Hunt. So good to see you. Dr. Brader. Come here. Oh. This is Dr.
04:05Altman, Dr. Griffith, Dr. Spencer. This is Dr. Lorna Brader. She is in family medicine. And OB, orthopedic, pediatric,
04:12basically anything that comes in those doors. Keeps things exciting around here. Why don't you put us to work? Absolutely.
04:19We've got a headlock in bed three, abscess in bed two. Everything should be easy to find, but Dr. Hunt
04:24knows his way around. I can take the headlock. Yeah, I'm on it. Okay. All right. Well, we've got some
04:30supplies in the van. I'll go get you. You are a literal lifesaver.
04:33Oh, hang on. Hold on. No supplies. Incoming rig. Let's go. It may not be a big city, but there
04:39is rarely a dull moment.
04:43June Rojas, 23. Fell while rafting the Green River. Trauma to the left arm. Where's Keegan? Title stable. Where's Keegan?
04:50We dress the injury at the scene. You want to take the lead? See what's like to be in charge
04:53here? June, I'm Dr. Hunt. This is Dr. Brader. Dr. Altman. We're going to take care of your arm, okay?
04:58Have they found him? Who's him? Boyfriend. He's not my boyfriend. He's my soulmate. Search and rescue is looking now.
05:03Keegan has to be alive. I have to find him. Take me back out there. June, they're doing everything I
05:08can to find him, but I'm worried about your arm, okay? We're going to get you inside and clean you
05:10up, all right?
05:11Accomplished trauma surgeon with Fred's side manner, like I said. Perfect match for Cascade Health. Are you? Were you offered
05:18a job here?
05:30There's a range of symptoms, and sometimes there aren't symptoms at all. That's why getting screened is important. Dr. Adams?
05:38I got a colonoscopy last year. Yeah, those don't detect prostate cancer.
05:42Prostate cancer screenings typically start with a physical exam or a blood test, but good for you on the colonoscopy.
05:49You want to keep that up?
05:50I'll take one of those for my dad. I'll take two. Black men are more likely to get it at
05:54a younger age. I want to ask your doctor when you turn around 40. Any other questions?
05:58What if I just don't want to know?
06:01Well, that's your prerogative, but it's very treatable if it's caught early.
06:05Oh, excuse me. Um, Adams. Um, where do you think you're going?
06:11Um, we've talked to everybody, so I was going to grab a coffee next door.
06:15Not quite everyone. I think my, uh, Barbara Jones would benefit from some conversation.
06:24No, no, no, no, we have an agreement, okay?
06:26Gives me a clean shave, and I keep my mouth shut about medicine and, you know, church and state.
06:33Fine, I'll give it to him.
06:35No, no, wait, that's not going to do anything. You've got to find an opening to talk to him.
06:39You do remember how to talk, right?
06:55Did you put in Mr. Sack's pre-op orders?
06:57I did.
06:58Okay, maybe I should go review them.
07:01Do you know that cows hate bad weather?
07:03They'll run away from it until they get tired and the storm catches up with them?
07:06Why do you know this?
07:07But buffalo are brave.
07:08There's more.
07:09They run right into the storm, so they get through it fast.
07:12I'm a cow in this analogy?
07:14Dr. Ndugu, run into the storm.
07:16Hey, welcome back.
07:18Thanks, good to be back.
07:19Yeah, um, do you have a minute? Can we talk?
07:24Sure.
07:24Happy birthday, Erin.
07:26You guys are so sweet.
07:27Here you go, birthday girl.
07:29Who planned this?
07:31Come here.
07:32Oh, you guys.
07:36Have a good day.
07:37See you later, Iris.
07:39So, what was it that you wanted to talk about?
07:43Happy birthday.
07:50It's like flour or maldon salt.
07:54Except it took years and millions to make.
07:57Stop touching it.
07:58Okay.
07:59So, we add a liquid dilutant and then deliver percutaneously as close as we can to the tumor.
08:11There we go.
08:13There we go.
08:18Well, damn near perfect.
08:21Can I try?
08:23So, after injection, it'll form a gel.
08:27A tiny blob training an army of immune cells to attack the tumor without chemo side effects.
08:34Well, it's like a secret lymph node.
08:36Or a spy node?
08:39The rebel base on Yavin 4.
08:41They train to destroy the Death Star?
08:44So, we're Jedi's.
08:46The rebel alliance.
08:48Have I taught you nothing?
08:49Here, let me see.
08:50My life could have been very different if this was around when my mom was sick.
08:54You and a lot of people.
08:55Well, let's not get ahead of ourselves.
08:57Still in the testing phase.
08:59Nice approach.
09:02Okay, go prep, Quinn.
09:14Do you know if Lucas has any food allergies?
09:19Lucas Adams?
09:20Yeah, I want to order him some cookies.
09:22Cookies?
09:23Or maybe donuts are better.
09:25I'm just trying to be nice.
09:27Yeah, I was nice to him.
09:28You know what he got me?
09:28Hospice in my living room.
09:29And blamed for something that wasn't my fault.
09:32I don't have to get the cookies.
09:33Everyone says your co-residents are your support system and they'll look out for you.
09:36You know who's actually looking out for you.
09:38Attendings?
09:38You.
09:39And that's it.
09:40As soon as you figure that out, better off you'll be.
09:43Ah, stop, please.
09:45I know, but we need to remove the dressing to check the wound.
09:50Oh, no, I'm sorry, I can't.
09:51Looks like it's adhered to our arm.
09:53We're going to give you some meds.
09:54And we're going to wet the gauze with saline and try again, okay?
09:58We should have tried class more rapids on our own.
10:01We were halfway down before we capsized.
10:03I grabbed a branch of a can.
10:05I'm so sorry.
10:10When we left this morning, I never thought by the end of the day he would be gone.
10:16We don't know anything yet.
10:17Let's just take it one step at a time, okay?
10:22We were called for a consult?
10:24This is Patricia Kim.
10:26She's transferred from OB post-C-section for spontaneous pneumothorax.
10:30She has a persistent air leak in her chest tube.
10:32Your name's Iris, right?
10:34Is that your birthday cake in the third floor break room?
10:37That's me.
10:38Love funfetti.
10:39Happy birthday.
10:40Thanks.
10:41What are you doing to celebrate?
10:44I'm going out tonight with a few friends and, um, this guy that I'm seeing.
10:48The guy you're seeing?
10:50How nice.
10:51Assuming no one needs a triple bypass later.
10:53He's a cardiothoracic surgeon.
10:57Sounds like a keeper.
10:58Can you set up for bedside talc pleuridesis?
11:03And...
11:04Paige, Dr. Ndugu.
11:06Come on, you'll bring your board.
11:08We'll stop at all the best skate parks.
11:12I'll just make the trip take longer.
11:20Did you hear back?
11:23They said no.
11:25They did, Quinn.
11:26I'm so sorry.
11:27Did they give a reason?
11:28No.
11:29They usually don't.
11:30So what now?
11:32We will place the stint as planned,
11:34and then back to the drawing board.
11:37Will I have to start chemo again?
11:38That'll be up to your oncologist.
11:42There's other innovations in the pipeline,
11:45and we will look into every single one of them.
11:49See?
11:50It'll be okay.
11:54I'll take them upstairs for the stint.
12:06How's your pain?
12:08Need more meds?
12:09I'm okay.
12:10Nothing compares to the pain in my heart.
12:12Chest pain?
12:13If Keaton's not in my life,
12:14it's not worth saving.
12:16Well, we're going to try anyway.
12:18Oh.
12:19Well, okay.
12:20She has pulsatile bleeding.
12:21Right.
12:21The radial artery is partially transected.
12:24Let's check collateral circulation.
12:27The ulnar's not going to be enough.
12:28We're going to have to repair it.
12:29Okay, I'm going to place a tourniquet.
12:30Let's hang a liter of LR.
12:31Dr. Hunt, we could use your help over here.
12:33Griffith and Spencer,
12:35take over here now, please.
12:36Okay, I got a male.
12:36It's down to me of the Green River.
12:37He's got multiple lax and abrasions
12:38with severe chemosis on the left abdominal wall.
12:41Airway's secure.
12:41GCS is 15,
12:42and I got a body temp of 96.7.
12:44We put every blanket we had on him on my count.
12:46Ready?
12:46One, two, three, go.
12:49All right, let me get in there.
12:50Okay, we're going to check you out, Mr. Keaton.
12:52Keaton, put up.
12:54Keaton?
12:55Soon?
12:55Hey, whoa.
12:56Oh, my God, you're alive.
12:57No, thanks to you.
12:58You let go of my hand, you crazy bitch.
13:00That's not what happened.
13:01Hey, you're going to pull out your ID.
13:02Please calm down.
13:03He has it wrong.
13:03He needs to know.
13:04He were the hell away from me.
13:05Stay down.
13:08You're right.
13:09There was all moments.
13:16Um, Philip's here.
13:18Philip's head.
13:19Look.
13:20I got it.
13:21Is this like what you do at the hospital?
13:22Well, I'm a surgeon,
13:23so usually I would be the one using the tools.
13:25Don't even think about that.
13:27No one operates on this chair but me.
13:30I'm just here for prostate cancer.
13:32Uh-huh.
13:33Thanks, Richard.
13:37You know, Richard is a good man.
13:39I was happy to volunteer my shop,
13:41and he's going to help a lot of people.
13:45Yeah.
13:46Uh, yeah.
13:47Hey, so have you ever had a prostate exam?
13:52I beg your pardon?
13:53I mean, I could, uh, set up an appointment.
13:55We could...
13:55Save it.
13:56Can you at least read the pamphlet?
13:58No!
13:59And tell Richard I'm not interested.
14:03Well, I know he put you up to this.
14:05You're the boss.
14:08He's not interested.
14:09I knew that.
14:09You got to keep trying.
14:10Well, I've been trying all morning.
14:17Pupil's equal and reactive.
14:19Everything just happened so fast.
14:20Well, I had a lot of time to replay it in my head
14:22while I was drowning in the freezing-ass green river.
14:24Second IV's in.
14:25Let's push warm fluids and four milligrams of morphine.
14:27One large contusion on the left chest
14:29and one on the right arm.
14:30He needs x-rays and a fast exam.
14:31Oh, how much I love you.
14:32You decided to let go of me, okay?
14:34I saw it.
14:35And since you didn't die, you're a debt to me.
14:37You don't mean that.
14:38He is.
14:39Try not to move.
14:40Okay, there's free fluid around the spleen.
14:41We got to get her out of here.
14:42Baby keeps dropping.
14:43Let's push more fluids.
14:44Dr. Brader, do you have a procedure room we could use?
14:46Get down the hall on your way.
14:47Let's go.
14:48No, I want to stay.
14:49They'll bring you back after they wash your arm out.
14:51We need to evacuate him to a level one trauma center ASAP.
14:53He is not stable.
14:54And we'll keep pushing fluids.
14:55Hopefully that'll tighten over until we get the blood.
14:57Spoken like a rural hospital doctor.
14:58Here, I'll call in the transport order.
15:00I'll get him prepped.
15:06How'd it go?
15:07The stent's in place.
15:09So your biliary stenosis symptoms should improve.
15:13If you're looking for Logan, I saw him chatting up a volunteer at the nurse's station.
15:20He's a good kid.
15:21He's going through a lot.
15:23His mother left when he was nine months old.
15:25It's been just the two of us ever since.
15:27My dad and I took a Nashville Parks trip the summer before I went off to college.
15:33When I wanted to go, I was so annoyed that he woke me up at dawn to go fly fish
15:37in creeks
15:38that were cold as hell.
15:39But now, I cherish those memories.
15:43It was our last hurrah before I became my own person.
15:49I wanted that for Logan.
15:51Well, there are other drugs you haven't tried.
15:53We're still looking for other compassionate care and clinical trial options.
15:58What are the odds that Dr. Bailey finds something?
16:01You only need one.
16:05You...
16:06Okay?
16:06Yeah.
16:07I'm just a little dizzy.
16:09Your white counts are pretty high.
16:10You have a fever, man?
16:12Yeah.
16:14Okay, any pain?
16:15A little bit up here.
16:18Oh, ah.
16:19I'm getting blood cultures and taking you up your scans.
16:24Hey, how's it going in here?
16:26We've clamped the chest tube and we are ready to start chemical pleuridesis.
16:30Okay.
16:31Sorry to interrupt.
16:32I have the patient's personal belongings.
16:35Yeah, please.
16:35By all means.
16:38The talc should help sclerose the portal cavity to seal the air leech.
16:44Dr. Ndugu, did you know that it's Iris' birthday?
16:47I did.
16:48Mm-hmm.
16:49She is having dinner tonight with her friends and the guy that she's seen.
16:52I mean, you must know him.
16:54He's a cardiothoracic surgeon?
16:56Uh-huh.
16:58Where are you going for the big celebration?
17:00Uh, I'm going to a sushi place near my apartment.
17:02They have killer omakase.
17:04You know what separates good omakase from bad?
17:07Decisiveness.
17:08You know, actually, the best omakase is about the right timing and order of the food.
17:15That is why I had cake before lunch.
17:19I admire your conviction, maid.
17:21You said that you were going to eat cake, so you ate cake.
17:24All done here.
17:26Enjoy your dinner.
17:27Thanks.
17:28I will.
17:28More quickly, Dr. Michelle Moore, how are you?
17:36Whatever this is, he didn't need it.
17:38He's getting sicker.
17:39He's not going to be able to tolerate more chemo.
17:41We have to try.
17:43He wants to try.
17:46What is the point of all our training if some losers in an office building can tell us what's best
17:51for our patients?
17:52People who don't even know him, do they care at all?
17:55Yes, they do.
17:57How can you say that?
17:58You see what's happening.
18:00Katie Rogers died in my living room.
18:02Look, those losers are career public servants.
18:06People who show up at the office every day, regardless of who's leading the charge, they show up because they
18:12care.
18:12I have to believe that.
18:14I've seen it.
18:14And it's good that they don't know Quinn, because they can be objective.
18:17You cannot put a treatment with an unknown toxicity profile into someone just because they're dying anyway.
18:25That is not medicine.
18:26That is experimentation.
18:28But it already worked on some other patients.
18:30It could buy him some time.
18:32Or it could make things worse.
18:34Four years of schooling does not make you a god.
18:37We need guardrails, just like everybody else.
18:43This belliery tree is still distended with an obstruction.
18:46He has ascending cholangitis.
18:50Okay, let's prep for a percutaneous cholangiogram with a drink.
18:55Yeah.
19:03Hey, hey, hey, it's her birthday.
19:05So I heard.
19:07What do you want me to do?
19:08I want you to break up with her.
19:10Okay, I hate upsetting people.
19:12Oh, my God.
19:13Once at Joe's, I found a fingernail in my onion rings, and I didn't want to tell the story of
19:17her, so I ate around it.
19:18And it wasn't even that guy's birthday.
19:19Okay, some stories don't need to be told.
19:21I just don't want to be a jerk.
19:22Okay, well, the jerky thing is to let Iris think that everything is fine when you have one foot out
19:26the door and your mouth on my mouth.
19:29Yeah, I agree.
19:30I'll do it tomorrow.
19:31All right, you can do whatever you want.
19:35I'm just...
19:36I'm just frustrated.
19:39After months of wanting this,
19:45I can't.
19:47Not on your girlfriend's birthday.
20:00How's he doing?
20:01He's holding up.
20:02Good.
20:03Matter of fact, it's en route.
20:04His repeat H&H dropped by two points.
20:08Owen, what are you doing here?
20:11I'm helping the community that needs it.
20:12That's not what I meant.
20:15Listen, I haven't made any decisions yet.
20:18This hospital shuttered their ORs three years ago.
20:21Because the bean counter decided that it made financial sense.
20:24People didn't stop needing surgery.
20:25They want you to start a regional surgical program,
20:29rotate in specialist,
20:30so that folks can get the care they need closer to home.
20:32You're a trauma surgeon at a level one trauma center.
20:35And I get to build this program from the ground up.
20:38He's about to code.
20:40I'm going to bag him.
20:40I'm going to need an intubation kit.
20:44There you go.
20:45Got it?
20:46Yep.
20:51So who else needs one of these?
20:54Been gone for a while.
20:58Yeah, I just, I just needed some air.
21:02You know, I've known Jones longer than I have my wife.
21:05I'd really appreciate it if you try it again.
21:07He obviously doesn't want to talk.
21:09Yeah, but that doesn't mean he doesn't want to listen.
21:11And I know he's well overdue for screening.
21:13I thought that doctors weren't supposed to pressure their patients.
21:15Well, I just want to make sure he understands the risks and the benefits.
21:18With all due respect, sir,
21:19I was told I'll just be handing out flyers when I volunteer for this.
21:27I, I think you need to go back to the hospital.
21:29Because I don't want a strong arm, one man?
21:31Look, I'm trying to save lives.
21:32I won't need another doctor getting in away.
21:34Look, I understand that it's important.
21:36Not like I do.
21:37Well, I studied the same facts.
21:39I know the same risk factors, the screening process.
21:41But you haven't lived it.
21:46I'm so sorry.
21:47I, I, I didn't know.
21:51You should go back to Grey's Sloan.
21:53I'm sure they could use you there.
21:54Are you sure I can, I can stay?
21:56No, I, I've got this covered.
21:57You go ahead.
22:19I can't see the cords.
22:20You want some quite quick pressure?
22:21Wouldn't hurt.
22:24All right, I'm in.
22:27All right.
22:30Bilateral breath sounds?
22:31His spleen is bleeding out.
22:32That's the most likely explanation.
22:33If he's down to 75?
22:35Okay, how far is the medevac?
22:36I don't know.
22:37If there's 75, he can take one.
22:38He can't wait.
22:39His spleen needs to come out right now.
22:41We're going to need one of those old oars.
22:46Does she need a plastic sponsor?
22:48No.
22:49Even with tissue coverage, she'll have bad scarring.
22:51We'll do our best.
22:52To prevent that.
22:53Brand me.
22:54I deserve a scar.
22:55I was slipping and I let go of my boyfriend to grab another branch.
22:58If that's how you let him go, that's gut instincts or reflex.
23:01Lizard brain.
23:01Darwin.
23:02What did he expect you to do?
23:04Sacrifice yourself so you both died?
23:05No, you did the right thing.
23:07If he can't see that, you were never meant to be.
23:12The tourniquet's been applied for too long.
23:14It's cutting off her blood supply.
23:15Am I losing my arm?
23:15No, no.
23:16But the artery going to your hand is compromised and we need to repair it right now.
23:19Spencer gets 6-0 proline and a castor.
23:21Um, sure.
23:22Any idea where?
23:26I was going to look for her, but shouldn't we get an attending?
23:28June is our patient and she needs a simple primary repair.
23:31And if we don't do it now, she could lose her hand.
23:33Do you want that?
23:34No.
23:34Then get it together and help me.
23:42Hey, I've been looking for you.
23:44You did it.
23:45Way to go.
23:47Hey, you can't do that.
23:49Look, I just need your attention for 60 seconds.
23:54What's wrong?
23:55The stent didn't work.
23:57Your dad's developed an infection called ascending cholangitis.
24:00And the only way to clear it is to place a drain to remove the bio-buildup in the liver.
24:05Okay.
24:05And then he'll feel better after that?
24:11I've been in your shoes.
24:13You know, when you're in and out of the hospital so many times with someone, it feels like the doctors
24:18are saying the same thing over and over again.
24:21It's impossible to tell if it's really serious or just more of the same.
24:28But this time, it's different, Logan.
24:32Your dad probably only has a few weeks to live.
24:36He came in really, really sick.
24:39And he's not getting better.
24:43So if I were you, I'd do everything in my power to spend as much time with him as you
24:50can.
25:06It's been a minute.
25:08Yeah.
25:09Want a little oil on your scalp?
25:11Coconut.
25:12Got it.
25:15I think my nephew took care of you the last time.
25:19Yeah, he sure did.
25:21Look, I know it's been a minute since I've been to see you.
25:24Well, I thought you had left for another shop.
25:26Yeah.
25:28Well, actually, I was home for a while.
25:31I had surgery for prostate cancer.
25:37I'm sorry I didn't know.
25:41Are you doing chemo?
25:42Yeah, it was an option, but I elected to have my prostate removed.
25:46I was nervous, but I did it.
25:49I have no regrets.
25:50Cancer-free.
25:52And I feel great.
25:55Oh, Richard.
25:57No.
25:57Get the screening, Jones.
25:59I'm not saying this as a doctor, but as a survivor.
26:04And as a friend.
26:08If it means that much.
26:09It does.
26:11All right.
26:12Sit back and let me fix what my nephew did to you, because, you know, you're holding up
26:15my schedule.
26:20Hey, can I gut check something with you with the guy thing?
26:23No.
26:24Hey, so, say you had a favorite sandwich shop, and you go and get a sandwich there every
26:27day, and then you find a salad spot...
26:29Okay, I'm not going to do the whole complicated analogies.
26:31Can you just say a dude?
26:32Shh.
26:34Okay.
26:35Fine.
26:36He...
26:38He said he was going to break up with this nurse that he was dating, and he didn't do it.
26:43Okay, he's not into you.
26:44Okay, at least not enough to go through the trouble of breaking up with somebody else.
26:51What is happening?
26:53I'm on these hormones for freezing my eggs.
26:55You have to be gentle with me.
26:57Okay, you should have opened with that.
26:58It's for a birthday.
26:59Does that change anything?
27:00Have you cried like this in front of him?
27:02Well, no.
27:03Definitely don't.
27:06It's still going to be all right, right?
27:10Maybe.
27:11But if he doesn't keep his promise to you, then he's just a spineless wimp.
27:14Oh, not a bad person.
27:15Well, he's got you crying like a teenager, so...
27:17Agree to disagree.
27:18I said, be gentle.
27:31I know it was my idea to start a surgical program here, but I did not mean today.
27:35Have you seen any other options?
27:37Do you even have the right instruments?
27:38I got a chest tube tray.
27:39An 11-blade isn't usually my go-to for an X-lab, but I've operated with less.
27:43I hope no one gives birth today.
27:45We stole every towel and drape from the OB ward.
27:47What about retraction?
27:48Specialty from our military days.
27:50They're not D-vers, but it works.
27:53Systolic is down to 70.
27:55Dr. Brader?
27:58Do it.
28:04I couldn't do that without loops.
28:05I've been wearing glasses since I was two.
28:07Everyone in my family has perfect vision, but my pupils are just gonna...
28:11That's it.
28:11Focus.
28:13Okay.
28:14I'm gonna unclamp the artery.
28:17Three.
28:20No legs.
28:22We did it.
28:23Of course we did.
28:24I'm going to live?
28:25Yes.
28:26And do you remember why?
28:27Because I looked out for myself.
28:29That's right.
28:29You did what you had to do to survive.
28:31Don't let anyone make you feel guilty for it.
28:33I know.
28:34And maybe you're right.
28:35Maybe you were never meant to be.
28:38Just don't want him to hate me.
28:40Where do we go when it all turns gray?
28:44That's good.
28:46My train is in.
28:48Send the samples for culture and sensitivities.
28:55I spoke with Dr. Kuby.
28:57She's going to start Quinn on third-line chemo once the infection clears.
29:02Does she think it might work?
29:04She thinks it's worth trying.
29:05My son hasn't even graduated high school.
29:09Are you sure we shouldn't inject the synthetic lymph node?
29:11It will be against the law to use an unapproved treatment without FDA permission.
29:17Yeah, but the thing works.
29:18Eighty percent of five patients have tumor strengthens six months after getting him.
29:22Those are anecdotal results based on ten patients.
29:25We have no idea if it would work for him.
29:27We could just be giving his body something new to tolerate, and he's already septic.
29:32All right, I have a hernia repair to get to, secure the drain, and bring him back to his room.
29:37We'll image in 24 to 48 hours to make sure the drain worked.
29:41Yeah, I'll let you know when the cultures are back.
29:42Okay.
29:43Okay, fixation device.
29:54All right, it looks like a stage four sick leg.
29:57Dad, I'm not going to need more towels.
29:58Yeah, I got you.
30:00You two really have this down.
30:01I didn't realize you were also a veteran.
30:03She was chief at Medcom in Longstool, Germany.
30:06Don't let the fancy titles fool you.
30:08I also did tours in Afghanistan and Iraq.
30:11Isn't that where you were stationed?
30:12That's where we met.
30:14Oh, you better work fast.
30:16Well, there's too much blood.
30:17I can't visualize the pedicle.
30:18All right, let me try something.
30:19Yeah.
30:23Yeah, I got it.
30:24All right, follow with your hand.
30:25Okay.
30:29Got it.
30:30Clamp.
30:31Another.
30:34Scissors.
30:35All right, cool.
30:36Times two.
30:36Okay, when I'm done with this, I'm going to need sterile towels for the temporary closure.
30:41BP is holding steady and pulse is stabilizing.
30:46I cannot believe you pulled this off.
30:49Well, you both just made my case for starting a surgical rotation here.
31:01Oh, okay.
31:03Well, the helicopter pickup isn't too far.
31:05He's going to be fine.
31:07Are you sure you're okay driving the transport van back?
31:10Yeah, as long as Spencer keeps her playlist to herself.
31:13And Griffith did an excellent repair on June's arm.
31:16Yeah.
31:16I'll set up an outpatient follow-up with plastics.
31:21Oh.
31:22Oh, hey, um, sorry if you couldn't get to more patients, but I'll come back next week.
31:26No need to apologize, but I will look forward to seeing you again.
31:30Yeah.
31:32Okay, I'll keep you updated on his status.
31:35Great.
31:36Drive safe.
31:37Yep.
31:39You're very lucky to have him, but I, uh, really hope he leaves you.
31:48Maybe I shouldn't be so bold about poaching him from your hospital, but you just seem like
31:52someone who loves a challenge as much as he does, and you two clearly have history.
31:56If you put a good word in for us here, I'd appreciate it.
32:01No one's going to make up his own mind.
32:03Good luck filling the position.
32:14Hey, how'd it go today?
32:16Look, I showed Chester Jones how to message his PCP from his portal.
32:20I'm not quite sure what to think of that.
32:23It's one of the best days I've had in a while.
32:25Maybe I saved some lives, and I didn't have to cut anyone over.
32:28Oh, that sounds like a good day.
32:30I saw Adams came back early.
32:32Eh, he wasn't in the right headspace for community outreach.
32:34I'm so sorry.
32:36It wasn't helpful.
32:37Well, actually, he was.
32:39Until today, I was hesitant to tell my own story.
32:42But he reminded me that sometimes people need to hear from other patients just as much as doctors.
32:47Huh.
32:48Yeah.
32:49Well, I'm glad everything worked out.
32:52Wish I could convince him to get a haircut.
32:54Hmm.
33:01Hey.
33:02Where's your dad?
33:04Uh, Dr. Bailey told the nurse just to take him for a scan.
33:06What kind of scan?
33:08I don't know.
33:09I meant, did something happen?
33:10I don't think so.
33:12Oh.
33:14Wait.
33:15Do you think it's bad?
33:16No, no, no.
33:17I think it's fine.
33:25Oh, good.
33:25You're still here.
33:26I have something for you.
33:34What is this?
33:35A few of Katie's things her mom didn't take.
33:37She's only willing to want them.
33:49You can't hate me forever.
33:50Don't be so sure.
33:52Lucas, I'm sorry for your loss.
33:53I, she was your friend.
33:55I could have been more sensitive to that.
33:56Oh, what a relief.
33:57I feel so much better now.
34:00I know you're grieving.
34:01You're looking for explanations and saying things you might not mean.
34:03Who says I don't mean it?
34:05I don't mean it.
34:07I don't mean it.
34:08Leave me alone.
34:15Come on.
34:22Yeah, I thought you were going to wait 24 to 48 hours for Quinn's MRCP.
34:26That is the protocol, but, you know, he's been through so much.
34:30I figured if the drain's not working, better to know now.
34:34Yeah, how's it looking?
34:35Yeah.
34:36The bile's moving.
34:38Hopefully the antibiotic will cool off the cholangitis.
34:42I think we did it.
34:44Great.
34:45So, while I have you, can I ask you about Mr. Elmer's labs?
34:49Wait, did you see that?
34:51There's a fluid collection adjacent to the tumor.
34:55Uh, okay, is it blood or bile leak?
35:00It's not contiguous with the biliary tree.
35:04Uh, oh, I don't like what I'm seeing.
35:08Because he could be bleeding from this tumor.
35:10All right, we need a repeat H&H and coads and, uh, set up an ultrasound.
35:15It's hydrogel.
35:17How?
35:23And how did it get there?
35:26I injected it after you left.
35:29It's, it is his best option.
35:30It was just sitting there in the hospital.
35:32It's his best option for you to commit a crime on my patient in my OR.
35:38Okay, no one has to know.
35:40But, Quinn, Esther, no, you can't put an experimental treatment in someone's body and not tell them.
35:51Okay, okay, I can tell him.
35:54No, no, sir, you have done enough.
36:05No, no, sir, you have done enough.
36:25Hey, can we talk?
36:28Iris is a really nice person.
36:30She doesn't deserve to have her birthday ruined just because I'm impatient.
36:33And the fact that you care is part of what I like about you.
36:36So if you want to wait until tomorrow, it's, it's fine.
36:39But if you're having second thoughts about us, then you just, please, tell me.
36:43I ended it.
36:45You were right.
36:46She deserved the truth, even on her birthday.
36:51Well, how did she take it?
36:55No, it, uh, well, I should stay off the labor and delivery floor for a while.
37:01But I'm single.
37:02Oh?
37:03And I want to take you out.
37:06And then I want to take you home.
37:11Oh, no.
37:12I'm freezing my eggs.
37:14Okay.
37:14I can't have sex because it could cause ovarian torsion.
37:18Just, you know, when the ovaries...
37:19I know what it is.
37:20So I probably shouldn't go home with you.
37:24Let's just do a movie and chill.
37:27I mean, watch an actual movie and actually chill.
37:32I'd like that.
37:33No matter how remote you are or isolated you feel, there's hope.
37:39And help is usually closer than you think.
37:51It's been a day, and I need a drink, and I'm just sitting here so I don't have to sit
37:56next to that guy.
37:59You know what?
38:00That's a lie.
38:01I'm just sitting here because I want to sit here.
38:03And if you don't like it, we can move.
38:07It's not always easy to ask.
38:26But with a little courage, if you look, you'll find what you need.
38:32Thank you for coming out with us.
38:34Oh, yeah.
38:35Wow, it was a good day.
38:39Yeah, well, we removed a spleen with a chest you can.
38:43I have done a lot of crazy things in my career, especially with you, but this was up there.
38:53You're going to take that job?
38:57I turned it down.
38:58You know, it was nice to think about, but the timing's not right.
39:02Oh, thank God. I thought you were going to leave me.
39:04I mean, you know, if ...
39:06I mean, you know, if ...
39:06...
39:07...
Comments