- 2 hours ago
Grey's Anatomy Season 22 Episode 16
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🎥
Short filmTranscript
00:00You said you were tired.
00:01Yeah, I was too tired to talk.
00:04Uh-huh.
00:06Uh-huh.
00:07Narcotics were sold over the counter.
00:09Teething babies were given serums laced with morphine.
00:12A medicine for strep was made with antifreeze.
00:14Do you think that we should clean up in case your aunt comes home?
00:18Don't worry about it.
00:22I'm a little worried about it.
00:24Are you having a good time?
00:26Yeah.
00:26Yeah.
00:27Yeah.
00:30It's an old stress.
00:32No one was responsible for distinguishing between medicine that healed and medicine that harmed.
00:38I'm your mom.
00:39Hey.
00:39And I love you.
00:40Come here.
00:40I love you.
00:41Bye, Daddy.
00:42Yeah.
00:44Um, this is in the fridge and laundry is in the dryer.
00:47Thanks.
00:47We'll call you in the morning.
00:49I want that one.
00:50Okay.
00:51Look, Mommy.
00:56Right away, I have gone alive.
00:58No one's studied side effects or adverse reactions.
01:03The twins are fed, changed, and asleep.
01:07Did you sing them twinkle, twinkle again?
01:09Highway to hell.
01:10Whatever works.
01:11Thank you for doing that.
01:13You need your rest before your first official day back.
01:18Are you excited?
01:20I am.
01:21Yeah, I mean, it's a lot right now with the kids studying for exams and being a fifth year,
01:26but it's only a few more months, and I got this.
01:30You mean like Wonder Woman?
01:31Can Wonder Woman deliver a baby in under 60 seconds?
01:35Damn.
01:36Oh, no.
01:37Forget Wonder Woman.
01:37Mm-hmm.
01:38Mm-hmm.
01:39Dr. Joe Murcher.
01:41Mm-hmm.
01:41Mm-hmm.
01:42No, no, no, no, no, no, no, no.
01:43All you could do is roll the dice.
01:45You were like this.
01:48Thanks again for letting me crash at your place.
01:51Thank you for, um, you know.
01:55Uh, I would offer to host tonight, but my nephew-slash-roommate is partying and sleeping his way through the
02:02intern quest.
02:03That's great.
02:05Is everything okay?
02:07Uh, my, uh, ex wants to get lunch.
02:13That doesn't sound so bad.
02:16The last time this happened, she tried to stop me from signing divorce papers.
02:21Uh, she wanted to stay together?
02:23She didn't really want it to be her fault.
02:25It, um, it got messy at the end.
02:28Well, you don't have to get lunch.
02:29You can just say no.
02:30I'm overreacting.
02:31She probably just wants to convince me to send Zach to summer camp or something.
02:34It'll be fine.
02:35I'll find you later.
02:36Mm-hmm.
02:57Good morning.
03:04Are there security cameras in here?
03:06I don't think so.
03:10Oh, yeah.
03:11Okay, no kissing in the elevator?
03:13Probably shouldn't be kissing anywhere in my hospital.
03:16What about on-call rooms?
03:17On-call rooms are fine.
03:18They block the door and stagger out entrances and exits.
03:21Yeah, I'd say no flirting in public.
03:22And when I'm on your service, we should be three feet apart and no eye contact.
03:26Won't that be a little weird?
03:27They have professional amount of eye contact.
03:29Okay.
03:32Um, Dr. Ndugu, I will get on pulling Mr. Azeb's chest tooth.
03:37Thank you, Dr. Miller.
03:42Dr. Whiteway to five glass.
03:44Dr. Preston Whiteway to five glass.
03:46Don't even think about it.
03:49I was, uh, just passing by.
03:51Let's see how he was doing.
03:52Don't go anywhere near patients, especially Quinn.
03:56You don't even look in his general direction.
03:59I've already done a week of pre-ops.
04:01Isn't that enough?
04:03You injected a man with a treatment the FDA specifically said not to.
04:08So no.
04:10What can I do to change that?
04:11You can do what I tell you.
04:14Okay.
04:15There are discharge summaries with your name written all over them.
04:19Go.
04:20Hey, when can I put him back on regular service?
04:22Well, when I say so.
04:24Yeah, but we're stretched pretty thin.
04:26Oh, uh, well, let me help.
04:28Uh, here, I can, uh, discharge Quinn Durston myself.
04:32All right?
04:33So take that off your list.
04:34Uh, whatever you say.
04:41Good morning, baby.
04:44Were you with my patient, Quinn?
04:46Well, I consulted on this case earlier this year.
04:49I thought I'd stop by and say hi.
04:50You know, he's a nice guy.
04:51Yeah.
04:53Do you, um, want to fill me in on your secret?
04:56Secret?
04:58Well, judging by how his infection's healing, you work some kind of miracle.
05:02You keep up the good work.
05:07And that's why Joseca Ortizia Dominguez is one of Mexico's unsung heroes of the revolution.
05:12Good morning, you two.
05:14Dr. Wilson, you're back.
05:15It's my first day back.
05:17Sorry for interrupting the history lecture.
05:19She's already got her daughter halfway to a PhD.
05:21Oh, she's a lucky girl to have two professors as parents.
05:24She's our first kid.
05:26I'll lower my expectations on the second or third.
05:27Let's get through this pregnancy first.
05:30So you've got abdominal pain, nausea, vaginal bleeding.
05:33How long have you had the shortness of breath?
05:35Since yesterday.
05:36Uh, at first I thought I might just be the pregnancy.
05:39Okay.
05:40May I?
05:43Okay.
05:50Is, is our baby okay?
05:52Based on your high blood pressure, I am concerned about preeclampsia.
05:57I'd like to get some more labs to be sure.
05:59Is that bad?
05:59Can you fix it?
06:00Should I be scared?
06:01It's okay to be scared.
06:03Just know that I will be by your side every step of the way.
06:06Whatever it is, we will handle it.
06:08Okay.
06:09I'll be back.
06:15Hey, can I ask you something?
06:16Mm-hmm.
06:17You and Owen are divorced.
06:18Do you get lunch?
06:20Not usually.
06:22He's divorced from you.
06:23Do you get lunch?
06:24No.
06:25Should I be worried?
06:27About lunch?
06:27Dr. Shepard, paramedics called.
06:29They're bringing in a co-stroke female, 75.
06:31Uh, hold that thought.
06:32Uh, how far out?
06:33Unloading now.
06:33They picked her up around Lake Union, slurring her words.
06:35Okay.
06:35Notify CT.
06:36The patient is going to need a scan ASAP and make sure the endovascular lab is on standby.
06:41Sure.
06:41Oh, my God.
06:43Oh, my God.
06:4675-year-old female.
06:48Oh, she's been...
06:48Evelyn.
06:49You know her?
06:49Paige Owen Hunt.
06:50Is there a trauma injury?
06:51This is his mother.
07:06Hey, Dr. Kwan.
07:06Hey.
07:07We're starting to think that you've forgotten about us.
07:09No way.
07:10Uh, it's just been really busy.
07:12But I hear you're getting discharged.
07:14Yep.
07:15Uh, we're going to go home, get some rest, and then hit the road.
07:18First stop, Glacier National Park.
07:21You talked Logan into the trip?
07:22He's actually the one that started planning it.
07:25I don't know what happened.
07:25After my surgery, he became a regular John Muir.
07:29I don't know how long those Glaciers will be there, right?
07:32Hey, Mr. Durston.
07:34Uh, Dr. Kwan, I thought you were supposed to be...
07:36No, I was just saying goodbye.
07:37Safe travels.
07:38Dr. Warren, his stats are at 93 on room air, and heart rate is trending to the low 100s.
07:42What does that mean?
07:43Could be nothing, but we can't discharge your dad until we check him out, so set up a chest
07:46x-ray and an EKG.
07:48It's just a few tests.
07:49We'll be out of here soon.
07:49Um, are you going to go with him, Dr. Warren?
07:54Of course.
07:55Yeah.
07:55Uh, I will update you as soon as we know anything.
07:58Cool.
08:01Tonya Orvis, 56, seven months post-heart transplant, and made it with shortness of breath and chest
08:06pain.
08:07It's always good to see you, but I'm sorry you're not feeling well.
08:10No, it's okay.
08:11I never feel well.
08:13Well, hopefully we can get this figured out, and that'll change.
08:15Can you make me a healthy 25-year-old with big boobs and beachy waves?
08:19That's not technically my specialty.
08:22And I think this is just how I'm going to feel.
08:23I'm running on a used engine.
08:25What'd you expect?
08:26It was kind of a miracle.
08:28I mean, I've never had a heart transplant, but I would think you'd feel better than before.
08:33You would think that.
08:35What's that supposed to mean?
08:36You're young, handsome, you have 15 years, some hair loss, and 20 cholesterol points.
08:43Uh, let's just send for a prograph-level CT and a EKG, all right?
08:46We'll be back.
08:47Can't wait.
08:50She is harming, and you'll love her.
08:55Evelyn, it's Teddy.
08:56Owen's on his way down.
08:57Hang in there.
08:58Anything?
08:58DTR is 2+, and equal, bilaterally.
09:00It looks like you had a TIA, which is a mini-string.
09:02I know what it means.
09:04I may be old, but I'm still a nurse.
09:07It's nice to see you, though, dear.
09:09How's that baby of yours?
09:11Five.
09:11I'm full of energy.
09:13Looking as fast as I could.
09:14Are you okay?
09:15Any pain or dizziness?
09:16Oh, Lord, I'm fine.
09:18Just call my regular doctor.
09:20No need to fuss.
09:21She's moving all her extremities.
09:22No more facial drooping or slurring.
09:24It's likely a TIA.
09:25Atrial fibrillation on her EKG.
09:27It's intermittent on the monitor.
09:28Have you had any heart palpitations or felt your heart racing?
09:30I don't think so.
09:31If she needs a head CT and an echo, a carotid duplexes, then she needs to be admitted.
09:36As in now, Owen, watch your tone.
09:39We've already ordered the CT and the echo.
09:41Once those are done, we'll go from there, okay?
09:42I tell radiology that she has a history of a triple A.
09:45Maybe she should be near the front of the light.
09:47They're waiting for her now.
09:56Oh, what's going on?
09:58I told you I would discharge Mr. Durston myself.
10:00Oncology needed the room, and his paperwork was in order, so...
10:03And I was just saying a quick goodbye, and then his stats dropped.
10:06Then you should have paged me.
10:07Where are you taking him?
10:08Radiology.
10:09CT is waiting on us.
10:10Don't worry.
10:11They're doing a good job.
10:11That may be, but they have other things to do.
10:15I will take it from here.
10:17You're taking him to CT?
10:19Yeah, you said it yourself.
10:20We're stretched thin.
10:24You said elevated liver enzymes, low platelets, and high LDH?
10:28We don't speak doctor.
10:30Does that mean I have preeclampsia?
10:31Not exactly.
10:32Your lab results and physical exam indicate something related.
10:36Help syndrome.
10:36Oh, that sounds worse.
10:38It is a rare pregnancy complication of your blood and liver.
10:42So what do we do now?
10:42Give her medication?
10:44What is that?
10:46What's happening?
10:46Your baby is in distress.
10:48Let's get you on your side to see if that helps.
10:51Okay, ready?
10:53Okay, we need some help in here.
10:55Okay, Irene, change your plans.
10:57Best way to take care of you and your baby is to get you to the OR for a C
11:01-section.
11:01What, you're taking care now?
11:03I'm not...
11:03I'm not doing for another six weeks.
11:04Your baby is 34 weeks.
11:06She should be just fine.
11:07We have an amazing NICU team, but we do need to get her out as soon as possible.
11:11Get off this.
11:15You have to make sure both of them are on, okay?
11:17Please.
11:18I'll do everything I can.
11:26Hey, I just did my first A-line without supervision, and the patient is still alive.
11:31Do you want to go out to dinner to celebrate?
11:34I mean, last night was so fun, and the night before that, and twice the night before that.
11:38But don't you ever get hungry?
11:42Sounds great.
11:44Uh, Bailey.
11:46I'll see you tonight.
11:52I thought you were sad.
11:54They found something to make them happy.
11:56Shut up.
11:56Trust me, no judgment here.
11:57You know, like, no one's having, like, a full-on affair with...
12:00Have you heard from your family?
12:01Is your brother doing brother?
12:03I'd rather not get into it.
12:05Oh, that's the medical records office with another dumb question on another dumb discharge summary.
12:11Should I just throw in the towel?
12:12Become a mechanic?
12:13Yes.
12:14You don't even know what's going on.
12:16Just speaking from the heart.
12:24No, they just finished imaging her.
12:29Now, just hold tight, okay?
12:30I gotta go.
12:32So, Megan, she's trying to decide if she needs to get on a plane.
12:36Does she need to get on a plane?
12:37Good news.
12:38Imaging was negative, so there's no active stroke.
12:40But we did see signs of bilateral carotid stenosis, which is not unusual due to her history.
12:45I'm gonna start her on anticoagulants to reduce the risk of further strokes,
12:47and then we're just gonna keep a really close eye on her.
12:50She's in good spirits.
12:51I'll give you an update when she's settled in the room.
12:53Okay.
12:55I, uh, I can cancel my day to help you out with whatever you need.
12:58I mean, your mom, you...
13:00Yeah, you don't need to do that.
13:01Are you sure it is not a problem?
13:03I have it under control.
13:06Okay.
13:07All right.
13:14There she is.
13:15Cut the cord.
13:18Okay.
13:19Sweet girl.
13:21Okay.
13:22Then two more units of blood.
13:23I thought we called for backup.
13:25We did.
13:26Twice.
13:27But where the hell are they?
13:28More traction?
13:29Are you needed hands?
13:30What do we have?
13:30Just delivered the baby via crash C-section.
13:33Looks like help based on her labs.
13:35The baby had prolonged bradycardia, so we had to deliver.
13:37I'll have her first day back.
13:38Uh, how much blood have you given?
13:40Three units.
13:42Any more lap pads?
13:43Send a tag.
13:45Are you gonna help me control the bleeding or not?
13:47Okay.
13:48Take this.
13:49Suction.
13:50More lap pads.
14:03Hey, how was lunch?
14:05Hey, uh, fine.
14:07We talked.
14:08Actually, Celine did most of the talking, which is pretty difficult for her.
14:11About Zachary or...
14:13Um, I mean, you don't have to tell me.
14:15She's your co-parent.
14:16It is not my business.
14:17She wants to get back together.
14:19Oh.
14:19I didn't expect any of the words that came out of her mouth,
14:22and I was gonna wait and talk to you about it tonight,
14:24but I don't want to keep anything from you.
14:27Um, or you...
14:30Do you want to get back together?
14:31No.
14:35I don't know.
14:37I don't think so.
14:39Can we go somewhere?
14:41Talk about this, not in a hallway.
14:42I don't know what there is to talk about.
14:44I've never met Celine, and I've never met Zachary.
14:47I mean, I don't even know how long you guys have been divorced.
14:50Nine months.
14:50That's not long.
14:53You know, and we haven't really defined this thing.
14:56Like, I really don't get that way in.
14:58I'm really not.
14:59I have this really important patient that I need to give all of my attention to right now,
15:03so I'm gonna focus on that.
15:05You just let me know what you decide.
15:15Hey.
15:15Hey, I said I had this under control.
15:17Yeah, and I heard you.
15:18I'm not here to help.
15:19I'm here on a wild goose chase.
15:22Novak Myers wants their hydrogel back since the FDA denied Quinn's request,
15:25but I can't find it, and no one knows where it is.
15:28Have you seen it?
15:29We have a floor full of patients, and you're looking for a vial?
15:33It's worth a half million dollars.
15:34Let it go.
15:35Our drug storage protocol should be airtight.
15:38You think it's an acceptable way to run a hospital?
15:40No, but we're busier than we've been all year,
15:43and you are our chief resident.
15:45You have to do triage,
15:47and if you do it right,
15:49wild goose chase will not make the cut.
15:52Copy that.
15:55Pulmonary embolism in the right lower lobe.
15:57Oh, no.
16:01Damn it.
16:04All right, let's get him on a heptin drip.
16:06He is not going home today.
16:11Still bleeding.
16:12How many units have we used?
16:13Eight so far.
16:14We need more labs.
16:15The tag doesn't look good.
16:16She's too unstable.
16:17We just need to stop the bleeding.
16:18You know, I'm more worried about correcting her acidosis,
16:20and we maxed her out on pressers.
16:21Millen, what's the standard of care for damage control and surgery?
16:23We pack the patient,
16:24and then we resuscitate her with IV fluids
16:26and blood products in the ICU,
16:28and then bring her back to the OR once she's stable.
16:31Okay, good.
16:31Wilson?
16:32No, no, no, no.
16:32Something isn't right.
16:33Is there something wrong with her labs?
16:35No, it's just...
16:36I just have this feeling.
16:37You said yourself, there's a lot of bleeding.
16:39You just cut into her uterus and pulled out a baby.
16:41Of course there's a lot of blood.
16:42Wilson, she's too sick.
16:44If we keep going, we'll lose her.
16:50Okay, let's get her to the ICU.
16:59Such precision.
17:00I can tell you're an excellent surgeon.
17:03Okay, Mom.
17:04Okay.
17:05And it's not that you need anything at all.
17:06You have me paged.
17:07All right?
17:07Bye, Dr. Bryant.
17:08All right.
17:09Okay, let's dial back on flirting with the residents, please.
17:13You're no fun.
17:14You've just had a stroke.
17:15A TIA.
17:16Barely counts.
17:18Are you okay?
17:20I'm fine.
17:22You sound just like your father.
17:24That man kept everything inside until the day he died.
17:28When you were six, there was a week.
17:32He seemed down.
17:35But he insisted he was fine.
17:37Then I ran into Sheila Skeeland at the pharmacy.
17:40You remember her?
17:41Dad's secretary?
17:42She told me one of their co-workers killed over dead in your father's office.
17:51He did CPR for 20 minutes.
17:57I wish he would have told me things.
18:00You feel you would have known him better if he'd let you in?
18:02Oh, I knew exactly who that man was.
18:06Oh, he would have felt better if he'd let it out on a cue.
18:12Oh, cue.
18:14Oh, cue.
18:15Oh, boy.
18:17Oh, boy.
18:18Code stroke.
18:1831-21.
18:19Oh, boy.
18:20It's okay.
18:20Hey, hey, hey, hey.
18:22Oh, boy.
18:22I'm here.
18:23Oh, boy.
18:24Oh, boy.
18:26Oh, boy.
18:26Oh, boy.
18:32Oh, boy.
18:34Just finished my laminectomy.
18:38Have you eaten anything?
18:39Uh, no time.
18:40I'm trying to figure out why my patient is circling the drain.
18:44Want to bounce ideas?
18:46I know slightly more than nothing about differential diagnoses with health.
18:51All her labs point to health syndrome, but after I did the crash C-section, she never stopped bleeding.
18:55Maybe she just needs more time to resuscitate.
18:57You sound like Helm.
18:58She was with me in the OR.
18:59I'm pretty sure she thinks I've lost it.
19:03Is that your patient?
19:04Irene, her wife keeps running back and forth between here and the NICU.
19:12Tell her to take the stairs by the vending machines.
19:15There's fewer people, plus you avoid that chatty nurse.
19:18Can I bring you a sandwich?
19:19No, I'm gonna keep working.
19:22You need to eat.
19:23I need to figure this out.
19:28Are you okay?
19:30I'm just worried about my patient.
19:32I will talk to you later.
19:34Okay.
19:35Okay.
19:47Tonya?
19:50It's Dr. Adams.
19:51I'm in the middle of something.
19:53Is this important?
19:55Uh, yeah.
19:56Yeah, yeah, kinda.
19:58Uh, Dr. Ndugu asked me to take your blood.
20:03Sorry to interrupt your, uh...
20:04I was practicing for when I'm dead.
20:07Okay.
20:08I know there's no skill involved.
20:10I just get panic attacks sometimes.
20:13Pretending I'm dead helps me remember there's nothing to worry about.
20:16I'll be dead.
20:17Yeah, you could live another 15 or 20 years with this heart.
20:21Or I could be hit by a bus tomorrow.
20:24Wait, this isn't even about your heart?
20:25I'm a pragmatist.
20:26Yeah, I don't think that's what that means.
20:28Yeah, whatever it is.
20:29Works for me.
20:30Does it?
20:31You don't know me.
20:32No, but I know that life is mostly a nightmare.
20:35And you can choose to fixate on it and be miserable.
20:38Or you can ignore it and have fun.
20:43I'm in a hospital.
20:44How am I supposed to have a good time?
20:45Uh, well, the gift shop.
20:47It has, uh, these puzzles.
20:48And sometimes the kids from Pease, they like to prank all the front desk.
20:52That's fun.
20:53And Andy, the nurse, single.
20:56Right and mingle.
20:57I'll get right on it.
20:59Well, at least order the pancakes from the cafeteria tomorrow morning.
21:01They're surprisingly good.
21:04Are you done?
21:06Yeah.
21:07Yeah, I am.
21:12What happened?
21:13She started slurring her speech and lost mobility on her left side.
21:16She became uptunded, so we intubated.
21:17Owen, you should not be in here.
21:19I'm not going anywhere.
21:21There.
21:21You see that?
21:22A clot in the first segment of the middle cerebral artery.
21:24We're lucky that you were with her and that you got it right away.
21:27This stroke has a high rate of mortality.
21:29Should we push thombolytics?
21:30Well, she's already on anticoagulation.
21:31Our best bet is to remove it.
21:33Why don't you prep for an endovascular thrombectomy?
21:38I will take care of her like she's my own.
21:41I checked her chart on the way up.
21:43She hasn't updated her advanced directive in over a decade.
21:47Do you know if her wishes would have changed if anything were to happen?
21:50I'm not worried.
21:51It's you.
21:54With the carotids tonight.
21:55Just get in there and do what you need to do.
21:56We need to prepare for that.
21:57We're losing time.
21:59I will call you for the updates.
22:08Helm wanted you to see Irene's latest ABG results.
22:12Her labs are improving.
22:13It's good, right?
22:15Except her hemoglobin is still dropping.
22:17She's still bleeding.
22:18Could it be dilution?
22:20I don't know.
22:23I think it might not be help.
22:26Oh, maybe she just needs more time?
22:29If the bleeding's not coming from her uterus, she may not have time.
22:31So I think that we go back into the OR and we find a source.
22:39Or we could get a scan first.
22:42She's crashing!
22:44Change her plans.
22:45I'm reopening her here.
22:47Hold on.
22:48Let me page healthy.
22:49Whatever you need to do, Irene can't wait.
22:51I need a cut down, Trey!
22:58Trey!
22:59Trey!
22:59Trey!
23:01Trey!
23:01Trey!
23:01Trey!
23:02Uh, you know, you gotta jump a millisecond after it feels like it's a little too late.
23:07Now!
23:09Doctors play video games?
23:10Oh, surgeons have dexterity, bro.
23:13Uh, you have Quinn's results?
23:14Uh, your dad has a pulmonary embolism.
23:17It's a small blood clot in his lungs.
23:19We'll give him medicine to clear it up.
23:21I know, he's had one before.
23:23Um, when is the experimental drug supposed to start working?
23:26There must be some confusion.
23:27Your dad didn't end up getting the experimental drug.
23:29Uh, Dr. Bailey said he did.
23:31Did the FDA or whatever change their mind?
23:34Hmm.
23:36Can you excuse us for a minute?
23:38Yeah.
23:44You know anything about this?
23:46You should talk to Dr. Bailey.
23:48I don't see anything in his chart.
23:50Should I update it?
23:51Just record the P.E.
23:52I'll talk to Dr. Bailey about the oversight.
23:54And you, stay the hell out of this case.
24:07What happened?
24:08Did she throw another clot?
24:13I can't operate on Owen's mom.
24:15If anything happens to her, he will never forgive me.
24:17You can ask someone else to do it.
24:19He'll understand.
24:20If she loses all cognitive function on someone else's table, I'll never forgive myself.
24:27She and my mom are a little alike.
24:29You know, both military nurses and raise kids on their own.
24:33But I had a complicated relationship with my mom.
24:37So having Evelyn as a mother-in-law kind of, it felt like a second chance.
24:43Hmm.
24:44You know what she'd say right now.
24:46Hmm.
24:47Suck it up and get in there.
24:50And she'd be right.
24:52You can do this.
24:58Feel free to say no, but can I go in there with you?
25:02Of course.
25:09What the hell are you doing?
25:11She was about to code.
25:12I had to open her.
25:13She's probably bleeding from the uterine incision.
25:15Or the incision you just created.
25:16She's not.
25:17She's bleeding from somewhere else.
25:20Oh, my God.
25:21The ultrasound.
25:32Holy hell.
25:33Whoa.
25:35There.
25:37She's bleeding from the liver.
25:38She has a hemorrhage from a ruptured liver mass, probably an adenoma.
25:41So the bleeper's coming from the mass all the time?
25:43You were right.
25:45We need to embolize it in the IR suite.
25:47Mellon informed her wife.
25:49Are you two with me?
25:51Let's pack and go.
25:59You know, it's a bad day when I'm having my morning green juice after 3 p.m.
26:04You give Quinn Durstian the experimental hydrogel without the FDA's approval?
26:08No.
26:10Did Quan?
26:13Yeah, that's why he's been doing paperwork all week.
26:15Miranda, you lied to my face.
26:17No, no, no, no.
26:18I'm trying to protect you, right?
26:21Keep you out of it.
26:22Yeah, well, he's my patient, too, now.
26:23We are supposed to report the P.E. to the IRB and the clinical trial sponsor.
26:28This could blow up.
26:29I know that.
26:32Okay, look.
26:34It wasn't you, so you could tell them that Quan...
26:37No, I am not turning Quan in.
26:39Okay, he was just trying to help.
26:41And he had a treatment that could.
26:43How many times have you been on my case about going rogue?
26:45That's just it, right?
26:46We've all done things we shouldn't have, but we're still here.
26:51Look, he's paying for his mistake with notes and orders.
26:56He does need to upend his training.
26:57You could get fined.
26:59Lose your license.
26:59He's way less likely to happen to me than him.
27:04I hope you're right.
27:13Advancing the catheter?
27:14What kind of nurse was Miss Hunt?
27:16She was a scrub nurse in Vietnam.
27:18Tracks?
27:18Yeah, she seems like a hospital coroner who's counting the instruments kind of gal.
27:22Very much so.
27:23All right, push the contrast, fluoro.
27:27Damn it.
27:28The carotid is narrower than it looked on the scans.
27:31Yeah, it looks 100% blocked on the left.
27:33Does that mean you can't get the clot?
27:35I can do it, but if I knock against the wall of the artery,
27:38I could shower blood clots into her brain.
27:40And when will we address the stenosis?
27:42I could do a carotid endarterectomy when she's recovered from the thrombectomy.
27:46Someone get Dr. Hunt on the phone?
27:51How's it going?
27:52Do you have a clear path?
27:53The stenosis is worse than expected.
27:55It's about 95% occluded on the right side, but I can make it work.
27:58So what are you going to do about the stenosis?
28:00Teddy and I just talked it through.
28:01Her brain tissue is too unstable right now.
28:03I could do an endarterectomy in a few weeks.
28:05A few weeks?
28:07She'll have more strokes.
28:08Can we place the stent now?
28:09That would increase her risk of converting to a hemorrhagic stroke.
28:12I think that's a risk we need to take.
28:14Oh, and we've already lost a lot of time.
28:16This is my recommendation.
28:16It's too dangerous.
28:17If she has more strokes, she'll lose even more brain tissue.
28:20And if I place the stent and it becomes hemorrhagic, she could die.
28:22I know my mom, okay?
28:25And she would rather die on that table than to live every day with the risk of a massive
28:29stroke taking away her independence.
28:32I know what I'm asking you to do.
28:33And if anything happens, it's on me, not you.
28:40Okay, I'll do it.
28:43Okay, everybody, we've got to move.
28:44I'm going to perform the thrombectomy and place the stent.
28:47I know I said this was a bad idea before, but we need to forget that.
28:49If we are going to do this, we need to operate as though we cannot fail.
28:53I'm with you.
28:53We got your back.
28:56Aspiration catheter.
29:15Caught in a moment
29:19A door that was closing on me
29:24I didn't notice
29:28Oh, I didn't notice
29:32All of it faded
29:37Shifted and changed
29:41I didn't notice
29:45Wish that I noticed
29:48Oh
30:06Wait now
30:08One more second to turn
30:24I need you to jump in
30:25What the hell happened?
30:26I was just talking to her.
30:27Adams, get in here right now.
30:28Come on
30:28Come on
30:38Okay
30:38Is she?
30:40She's headed to recovery
30:58Hey
31:00What sounds better?
31:01Burgers or tie?
31:02Neither
31:03Neither
31:03I just lost a patient
31:06Seven cardiac death from transplant rejection
31:09Oh
31:10I'm so sorry
31:11Do you want to go back to your place?
31:14I need to get caught up on notes
31:19Don't waste your time
31:20He's using it
31:27We've all been there
31:30It sucks
31:31How's she doing?
31:39Stable
31:39She's tough
31:41And how are you doing?
31:42I'm fine
31:43Apple doesn't fall far from the tree
31:45She says that I'm like my dad
31:46That may be true
31:47But you're also a lot like her
31:50All right, Evelyn
31:52We have started to wean you off sedation
31:55Let's see how you're doing
32:03Let me squeeze my fingers
32:16I thought it worked, LLM
32:22Okay
32:26I'm gonna let her rest
32:28And that won't meet her out sooner
32:29Thank you
32:30Of course
32:30Not just for that
32:32I know I pushed you to take a risk
32:33That you were out for
32:35You were right
32:38It was worth it
33:01It's been a really long day
33:02I almost lost a patient
33:04Can we just
33:13Welcome home
33:14Can I crawl into bed with my shoes on?
33:17As long as you don't mess up the laundry
33:22Did your patient
33:25It wasn't help
33:26It was a ruptured
33:28Hepatic adenoma
33:30We embolized
33:32She's in recovery
33:34That's great
33:35You were right
33:37Yeah
33:40Hey
33:42Listen
33:43You saved a mom
33:44And her baby
33:45And honestly
33:45The other mom too
33:46That family is gonna be just fine
33:50Maybe
33:52Or
33:54Maybe months from now
33:56Irene will still panic
33:57When she feels pain in her side
33:59Or
34:01Feel terrified
34:02When she gets a headache
34:03Or
34:11Paid herself
34:13When she looks at her daughter
34:15And all she can think about
34:17Is the time that she almost died
34:21Is this
34:23Joe
34:25I had no idea
34:26Why didn't you say anything?
34:28I just
34:29Wanted to move on
34:30I didn't want to worry you
34:32I don't really want our girls
34:34No, I know
34:35I know
34:36Of course you do
34:55Hey
34:56Sorry, I don't want to bother you
34:58I just wanted to see how she was doing
34:59Before I left
35:00She's slowly coming off sedation
35:01And
35:03Responding to basic commands
35:04Great
35:07If you need anything
35:08Just
35:08Just let me know
35:10Would you
35:11Want to sit with us
35:12For a little while?
35:14I'm sure she's sick of the sound
35:15Of my voice by now
35:18Yeah
35:19Yeah, sure
35:22I've got some time
35:23Before the nanny has to leave
35:24Yeah
35:28Recommendations
35:29Rules
35:29Guidelines
35:30Ideally
35:32They exist to save you
35:33From unnecessary pain
35:47Have fun
35:50And stay safe
35:51While doing it
36:01Are you
36:02Using me?
36:04What?
36:04Why would you just hate that?
36:06You were gone for three weeks
36:07To take care of your brother
36:08Who's in a coma
36:09Yeah
36:10He hasn't said a word
36:11He just wants to hook up
36:12And I'm not looking for more than that
36:13But I
36:14Care
36:15I want to know
36:16What's going on in your life
36:17I want to
36:18Know you're okay
36:19It's not you
36:20It's just
36:21I'm not ready to
36:22Talk about my brother
36:23To anyone
36:24But when the time comes
36:26You'll be the first person
36:26I've done my trauma
36:27Deal
36:30Deal
36:30Deal
36:37But rules only worked
36:38If you follow them
36:44I wish I'd kissed you
36:47That night
36:49In med school
36:55Did you run here?
36:58Yeah
36:59I uh
37:00I might have looked for you
37:02In like three other places
37:08Don't go back
37:10To Selene
37:12I know it's complicated
37:13You've got Zach
37:14And you've got years of memories
37:16That will always be with you
37:17And it probably seems
37:18Like the easier
37:20Safer option
37:22But that doesn't mean it's better
37:24You had your reasons
37:27For leaving
37:27And they're not going to go away
37:29Just because you decide
37:30To start over
37:33Probably not
37:34And you and I are so new
37:36We don't even know what we are
37:37Yeah
37:38But what I do know
37:39Is we're great together
37:41And we've known each other
37:43And liked each other
37:45Since before you met Selene
37:47That's got to count for us
37:51It counts for a lot
37:53Good
37:55Because this isn't just a crush anymore
37:58No?
38:02Not for me
38:03But sometimes the rules
38:04You've been following
38:06Turn out to be flawed
38:10All bets are off
38:12Dr. Bailey
38:15Warren
38:16Knows
38:17Yeah
38:17You're a few hours too late
38:19Is he going to turn me in?
38:20No
38:21He understands
38:22But
38:23Between you and me
38:24He doesn't want to sleep
38:25On the couch tonight
38:28Look
38:29I know
38:30I went rogue again
38:31And I know
38:32That I should be fired
38:33But
38:33If I haven't already said it
38:35Thank you
38:37It's going to take
38:38A minute
38:39Before I can look at you
38:40Without blinding anger
38:43Dr. Bailey
38:44I
38:46Thank you
38:47Get some rest
38:49So
38:50Sorry
38:51It took me so long
38:52To answer your page
38:53It's been one of those days
38:58Uh
38:58Something wrong?
39:00Spencer came to see me
39:01This afternoon
39:02About
39:03Quinn Durston's
39:04P.E.
39:05She
39:06Never should have bothered you
39:07With that
39:08Uh
39:08I'll make sure
39:10She knows that you're not
39:11On the team
39:12You just consulted
39:13That one time
39:14She knows
39:15She was following protocol
39:16So I could report
39:17The complications
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