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Grey's Anatomy Season 22 Episode 17
Transcript
00:00Isn't that place expensive?
00:01I found a deal online.
00:02And my place is out.
00:04Max has canasta.
00:06You could have found a my place.
00:08I thought we could order in and chill and...
00:12I'd chill, I mean...
00:15I understand.
00:17I'll see you back here at Zero Dark Thirty.
00:23Carl created a rat poison.
00:25From an anticoagulant he discovered while trying,
00:28but failing, to treat sick cows.
00:31Leomycin.
00:34Dectinomycin.
00:34So close.
00:35How is that close?
00:37We both end in my sin.
00:38When is the creak?
00:39Tomorrow.
00:40Do you wanna quiz me?
00:41I would, but I have to finish my plastics fellowship application.
00:45We're gonna be residents forever, aren't we?
00:47Speak for yourself.
00:48I want out of this house so I can get back to a normal schedule.
00:51You know you can't control when the babies are born, right?
00:54Later, a soldier trying to end his life ate Carl's rat poison.
00:58Which, unexpectedly, helped lead to its use as a blood thinner in humans.
01:03Here, give me.
01:04Is this a group activity now?
01:06Not for much longer.
01:08I've got an appointment with Dr. Carpio this afternoon.
01:10You're scheduling your retrieval?
01:11That's the plan.
01:13It's easy.
01:14You'll be in and out of the clinic in a couple hours.
01:16Can't wait.
01:17I'm over feeling bloated and moody.
01:19Oh, you know who else can't wait for this to be over here?
01:20Do not say you.
01:22Happy to be an ally in protecting reproductive futures.
01:27So's Adam's.
01:29Say yes.
01:30We're gonna be late for rounds.
01:32Is he on hormones too?
01:36From multiple failures, the compound warfarin was born.
01:40And it's been used to treat and save millions of people.
01:43Hey.
01:44Hey, how's your mom doing?
01:45Ah, better.
01:47She's progressing through rehab.
01:48Great.
01:49Great.
01:50And Megan?
01:51Surprisingly helpful.
01:52Speaking of help.
01:54Do you mind?
01:54Oh, of course.
01:55Yes.
01:57Okay.
01:59All right.
02:00Coming.
02:03You look nice.
02:04Thanks.
02:06You got a date or something?
02:08No.
02:09Margo Billings is in town.
02:11Oh, you're a mentor from GW.
02:12Yeah.
02:13She lives in Paris now.
02:14Wow.
02:15When was the last time you started?
02:16Hmm.
02:18Years.
02:18But you know what it's like with old friends.
02:20You just pick up right where you left off.
02:23I do.
02:26Anyway, um, have a good time.
02:28Yeah.
02:36Bailey, aren't you supposed to be judging young minds?
02:40I'm going.
02:41I left my tablet last night and had to pick it up.
02:44Any word from the IRB?
02:45No, no.
02:46Well, any day now.
02:47I'm really sorry.
02:49You already apologized and I actually...
02:52No, I don't know what came over me.
02:53No, you were upset about a patient who recently passed away.
02:56I get it.
02:57Still, I let it get the best of me and caused a huge headache for you.
03:04Yeah, don't worry about me.
03:06Your exemplary record speaks for itself.
03:08And hopefully the IRB will see that.
03:18Did he say they know it was me?
03:20No.
03:21But they might figure it out if you keep talking about it.
03:24You need to stand down.
03:25Sorry, I heard that Nurse Elise got interviewed this morning.
03:28I didn't know if she said something.
03:31Wait, did she see you do it?
03:33I don't know.
03:34What do you mean you don't know?
03:36It all happened so fast.
03:37I don't know who saw what.
03:38Okay.
03:39Should I quietly try to find out?
03:41No.
03:42Just...
03:43Look, I'm out today and you're back on patient care.
03:46Just...
03:46Try to lay low.
03:51Yeah.
03:52Okay.
03:58Hi.
04:00Wondering where that sweater went?
04:01It was balled up at the bottom of my bed.
04:04Please don't judge the laundry habits.
04:06Are you avoiding me?
04:10I mean, I know you're figuring things out with your ex, but we can still talk.
04:14I'm not avoiding you.
04:15I have been...
04:16Meredith, this is Tony Wright.
04:19And this is my sister-in-law, Meredith.
04:21So nice to meet you.
04:21I've heard a lot about you.
04:22Same.
04:23It's really nice to meet you.
04:25God.
04:25I should go.
04:30Does she mean it for my kid?
04:31No.
04:33I mean, wouldn't you want to be with me?
04:35I'm smart.
04:36I'm fun.
04:37I'm good with brains.
04:40Why are you applying for a Fox Foundation grant?
04:42To use the FES PET scanner to study estrogen receptors in women's brains.
04:46I sent you like five emails about this.
04:48Did you see this article?
04:50What if we study estrogen receptors in the brain?
04:53This is interesting, right?
04:54Have you read this yet?
04:55I get it.
04:56So, what do you think?
04:56I think that we are studying the link between estrogen and the gut microbiome.
05:00What's just another angle while we wait for the mice?
05:02Let's be patient.
05:03I might be looking for a distraction.
05:05We have plenty of those, and we have limited resources.
05:08So let's stay focused on the mice.
05:09Are you leaving?
05:10Yes, of course I'm leaving.
05:12I said that.
05:12I was coming by to say hello, and then I have to go.
05:14Read your email.
05:18Okay.
05:19Mr. Haynes, I'm Dr. Hunt.
05:21What happened here?
05:22A starburst fell from the sky.
05:25Stabbed me in the heart.
05:26And no, I haven't been smoking dope.
05:28The paramedic said it's part of some mobile from the Aldridge Museum?
05:31It's a Jeffrey Feynman.
05:33One of his early works from the 1980s.
05:35Just fell off and... ow!
05:37There's a trace amount of fluid in the abdomen.
05:39So what's the plan?
05:40Well, he's stable and talking, so we take him to CC and then cut the sculpture out in the oar.
05:44What?
05:44No.
05:45You can't break the starburst.
05:46I'm sure the museum would understand.
05:48No, I don't give a crap about them.
05:50My wife loved this piece.
05:51Please.
05:52You promise me you'll try.
05:54We'll see what we can do, okay?
05:56Okay.
05:57Okay.
05:59It's been a minute.
06:00We're gonna see you soon.
06:01You're seeing me now?
06:02Yeah, I meant in the privacy of your bed.
06:05I'm not the one who's been working the night shit.
06:07I'm off this weekend.
06:09Hey, Bryant.
06:10We're up.
06:10Firefighter injured in a structure fire.
06:12Did they say what station responded?
06:14No, but you can tack along.
06:15Okay, what's the priority for patients with major burns?
06:17Resuscitation.
06:18That was for Dr. Bryant.
06:19He's actually on my service.
06:21What he said.
06:21Aggressive fluid treatment for the first 24 hours.
06:23What have we got?
06:2437-year-old female firefighters sustained second and third degree burns over arms, torso, legs.
06:28Approximately 25% TBSA.
06:30GCS 15 minutes.
06:31Maya?
06:32So, Warren.
06:33What happened?
06:33Three alarm fire fell in the room.
06:35It really hurts.
06:35We have been there.
06:37Okay, we got you.
06:38We got you.
06:38Just hang in there, Bishop.
06:40My probie.
06:41Brett Castro, is he here yet?
06:42Yeah, we'll be on the lookout for him.
06:44Yeah, yeah, tell me.
06:44Tell me I'm gonna be okay.
06:45You're gonna be okay, doctors Wright and Bryant.
06:47We're gonna take good care of you.
06:47You're gonna be there too, right?
06:50Yeah, I'm right here.
06:52No, it's not a problem.
07:02No, no.
07:03No, no.
07:03No, no, no.
07:06No, no.
07:06No, no, no.
07:08No!
07:11No, no!
07:14No, no!
07:14The Wink!
07:22make you come? Richard, Dr. Bailey, Dr. Gray, welcome to the third annual Fox
07:26Foundation Medical Innovation Competition. We're happy to be here. Here are your
07:31score sheets. We have 40 entrants and they're expecting questions, so don't
07:34hold back. 40? We better get started. If you need anything, give me a holler. Go
07:40science!
07:47Use of nanoparticles and tracking inflammatory markers and sepsis, that's
07:50impressive. They've been looking at that for years. It's still impressive.
07:57Well, correct. I'm Dr. Weber. These are Drs. Millen and Mead. So, uh, how are you
08:03feeling? Fine, I was just to cut my arm. Yeah, I see that. Mead? Yeah, I see it too.
08:10I'll grab some sutures. Mead, ABCs. Do you know if my boss is doing okay? It's Maya
08:16Bishop. They're still triaging her. Okay, can I see her? I'm a probie. She fell
08:22trying to help me. The team is still working on her, but if she should have met her, she
08:25should know. Coarse breath sounds, but equal expansion of the lungs. The throat
08:30looks clear. Sats are 98 on two liters. Okay, good, good. Let's go to chest x-ray and
08:34let's stitch up that arm.
08:38Where's the fire? It's, uh, Drickmore Hotel. What? That's terrible. What happened? There's
08:44no telling until forensics gets in there. Fire's spread fast, though. I mean, half the hotel's
08:47gone. Sets for the guests. Yeah, really does. Just finished placing the central line. Good.
08:53Start with Western Protocol. Is Karina on her way? No, no, no, no. Don't call her. I don't
08:58want her freaking out. Well, she will have my hide. Well, she took the kids to see that family
09:02in Italy. Please, just until we figure this out. Okay, can you flex your left foot for
09:06me? I don't think so. Are they looking over here? She's got an open comminuted tibial
09:11fracture. She needs an ORIF. She needs to be resuscitated in the burn ICU. But she's presenting
09:15with nerve damage. If I can get her into an OR, now I might be able to repair it. Okay,
09:20just
09:20try to make it fast. Maya, we need to get you to an OR to work on your leg. What
09:24about the
09:24burns? After they're done, we'll resuscitate you in the ICU, and then we'll debride tomorrow.
09:28All right, let's go. What if we started debriding now? No, she needs aggressive
09:32stabilization first. I can make sure that she'll get that in the OR. She's going there
09:35anyway. Look, I'll excise the dead tissue, and it'll help prevent sepsis. Okay, fine,
09:39but are you sure you're good to do this? She's your friend. Definitely. Okay, Brian, go with
09:44him. Debride as much as you can while they're operating. Do not push it. I'll check in after
09:48my rotational flap. Let's go.
09:56I wish he'd let us cut that thing. It's meaningful to him.
10:00He's in there, barely.
10:02Oh, geez. Morris?
10:05Do you scan? Read normally?
10:07I've got a Starburst in my chest. Normal is relative.
10:11Is it hitting the machine? I don't want to ruin it.
10:14Just hold still, okay? It'll just be a minute.
10:16Tell us about your wife.
10:18Huh. She was a volunteer docent over at the Aldridge. We used to sit under the fine
10:25and mobile, and she'd tell me how he installed it piece by piece. It's just me now, but when
10:31I look at all those Starbursts, I feel they're with me.
10:39Do you think we can save it? Can't we just save him? What if we did bilateral tharchotomies? That way,
10:45we would gain access to control the bleeding as soon as we lift it out.
10:49Okay, we can try it, but if there's a problem, we're breaking that glass.
10:54Then I got to the part where you stapled the aorta, and I thought to myself,
10:58this story is more thrilling than a Tom Plancy novel. And rumor has it, you've done it twice.
11:02Well, you haven't even published the second surgery.
11:05Well, I keep my ear to the ground, especially when it helps me brag about my Star resident.
11:09I still hear your voice pushing me, do more, be better.
11:13I don't think I appreciated it then, but I do now.
11:16I'm glad to hear it, because I am leading the charge on the Dassault Center's new research incubator.
11:21Congratulations. That's fantastic.
11:23We're bringing the world's best surgeons to develop and teach cutting-edge techniques, and you're the first person I'm asking
11:28to join us.
11:28I would love to teach for a few weeks in Paris. Maybe this summer when my kids are out of
11:33school.
11:33I'm not inviting you to visit. I want you to lead the program as our chief innovation officer.
11:41Wow. I don't know. I live here. I have kids. I have a house. I'm chief of surgery.
11:49Bring the family. The public schools are excellent. The center could provide a generous housing stipend.
11:54We all know the U.S. is falling behind on research. Don't fall behind with it.
11:59You're a visionary. This is your chance to lead your peers in pushing the boundaries of medicine.
12:05This is a lot to process.
12:08Okay. Okay. Don't answer now.
12:11But like I've always said, you're capable of more and better.
12:21This has sustainable sensor technology using seaweed.
12:28Is that a problem we need to solve?
12:31It could help with climate change. Address medical waste.
12:35Markers in predicting stillbirth. That's only 3% accuracy.
13:08Well, maybe it could lead to something better.
13:10I'm not sure.
13:38I'm not sure.
13:40You're not sure?
13:40Oh, nothing some bleach and paper towels couldn't fix.
13:43Hey, how's Margo? Is she like Paris?
13:45Yeah. She seems good.
13:47Well, you should go there.
13:49Excuse me?
13:50Well, I'm sure she'd love it if you came to visit and you deserve some time away.
14:00Uh, Dr. Ndugu, I wanted to ask you a question about a patient.
14:03Sir, what's up?
14:04There is no patient. Did you hear what happened to the Drake one?
14:07Yeah. What are the odds, right?
14:08Well, I guess we should be scheduled.
14:11Or were you at my place?
14:12Porter in, get a bottle of wine?
14:14Maybe. I have this firefighter patient I'm taking care of.
14:17Better go back to the ER.
14:23Tibia's set. I'm all done here.
14:26Shepard and Quan, you're up.
14:27All right. Let's repair this nerve. I need 10-0 nylon.
14:30Quan, approximate the edges for me.
14:31On it.
14:32Warren, I know you and Bishop are close. You hanging in there?
14:35Focusing on what's right in front of me.
14:37All right. If you need anything, page me.
14:41Keep going, Bryant. Bleeding just means you hit healthy tissue.
14:44Brow wipe, please.
14:48It's hot as hell in here. I can barely see what I'm doing.
14:50That's just how we keep burn patients from getting hypothermia.
14:53We need a break. No judgment.
14:55I'm fine.
14:57Okay, let's keep going.
15:03Come on, Neil.
15:05You think that's going to help me relax?
15:08I'm hoping it'll stop you from crushing those young people's dreams.
15:12I'm just keeping it real.
15:14I mean, they think that research is about winning competitions and getting kudos from their teachers.
15:21I think they'll learn soon enough that research is hard.
15:23They'll run into roadblocks and they'll have to make compromises.
15:27Has your research hit the wall?
15:28Yes.
15:29I'm at the mercy of a bunch of lab mice.
15:31I used to think that all it took was hard work and perseverance.
15:36And now I'm just jaded and exhausted.
15:41Exhausted?
15:42I used to be Daphne.
15:44I thought I was going to save the world.
15:47I had the audacity to wonder why my teachers weren't more excited to help me do it.
15:53I thought they were just lazy.
15:54I didn't understand.
15:56Now that I am them, I realized they understood too much.
16:02I mean, how are we supposed to encourage the next generation when it just feels insurmountable?
16:12I think we need something stronger.
16:15Huh?
16:20Dammit, I knew that.
16:22I'm so screwed.
16:24Hey.
16:25What are you doing in here?
16:27My badge still works from when I wasn't attending.
16:30Hmm.
16:31No babies today?
16:32OB is more than just delivering babies.
16:34I've got the flashcards to prove it.
16:37The CREOG?
16:37It's tomorrow.
16:39Took the day off to study, which isn't working.
16:42I do not envy you all those multiple choice questions with no nuance.
16:46I always wanted to write in caveats next to my answer on the QE.
16:50I'm sorry.
16:51I don't mean to psych you out.
16:53Just ignore me.
16:53No, no, no, no.
16:54It's not you.
16:55It's just...
16:59I don't know if I want to be an OB anymore.
17:08Such as a good coarse breath sounds bilaterally.
17:12Uh, is Bishop's done surgery?
17:14Yes.
17:14We will update you when we can.
17:16Can I get back to the fire?
17:17She would want me out there.
17:18Oh, I don't think that's a good idea.
17:19It's a three-year-long fire.
17:20That's like, what, a medium-sized one?
17:24How long were you in the structure?
17:25Ten minutes, maybe?
17:26What's happening?
17:27The stats are a bit low.
17:29That's probably going to smoke.
17:30Inhalation.
17:30Turn off this oxygen.
17:31Yeah.
17:33I checked his airway earlier.
17:34It was clear.
17:34Lean folder.
17:37I hear wheezing.
17:38We're going to put you on a nebulizer, and that will help reduce the inflammation in your
17:42lungs, but you are not going anywhere for a while.
17:48When did we go from being people who present at these to people who judge them?
17:54People who are unnecessarily judgmental.
18:00I'm under investigation with the IRB.
18:02For what?
18:03I got carried away with the treatment that the FDA did not approve.
18:08And how's the patient?
18:10Doing quite well.
18:11Well, it sounds like you did the right thing.
18:13Ben doesn't think so.
18:14I'm getting the cold shoulder.
18:16I've been in that situation before.
18:18Are you worried about your job?
18:19Probably should be, but I've been through enough to know that whatever happens, I'll manage.
18:23What are the benefits of experience?
18:25And the drawbacks.
18:28Sometimes it feels easier to not know what you don't know.
18:31Those students have no qualms about their research.
18:34Yeah, except for the one that I tried to give them.
18:36Catherine's making me be here.
18:38It's part of my lab space deal.
18:40Oh, still no federal grant?
18:42But stupid question, I'm going to booze.
18:45Research is full of making compromises.
18:48And so is judging a med student competition.
18:52You want me to go back out there and be encouraging, don't you?
18:55You always were to me.
19:00Hey!
19:01It's easy to be encouraging with the booze.
19:05When I see patients like that, their blood all over the floor, it makes it a lot harder to move
19:13forward.
19:14Do you need more time off?
19:15Well, I'm already behind from maternity leave.
19:17Plus, I have four kids at home.
19:19You just got back.
19:20Give yourself time to acclimate.
19:22What if I never do?
19:23Be a general surgeon.
19:25It's not the worst fallback job.
19:26Yeah, but I'll have been through all of this training for nothing.
19:30Well, sometimes you have to try things that you don't want to figure out the things that you do want.
19:36And you're allowed to change your mind.
19:38That feels selfish.
19:42But to want to be happy?
19:44You have to choose what is best for you.
19:47Yeah, but it's not just me.
19:49I'm never going to get back the time that I could have spent with Link and Luna,
19:52and I'll have put them through all of this just to end up right back in the same place.
19:58I don't think it works that way.
20:00The job will be the same, but you'd be different.
20:03And you'd have more conviction about what you want and why you want it.
20:08Well, it might not be up to me if I don't pass the test.
20:11Well, that would make the decision easier.
20:13I am.
20:14But you have come so far.
20:17You owe it to yourself to know what your options are.
20:21You're probably right.
20:23I've got a little time.
20:24You want some help?
20:25I'm great with mnemonics.
20:29Are you ready?
20:30No tension on the repair?
20:32It looks like we're done here.
20:34I'm going straight to the morgue.
20:36It's cold down there.
20:37All right, Warren, you good?
20:39Yep.
20:39Tell the burn I see you we're finishing and coming up.
20:42Why?
20:43Right told us to get out once Lincoln and Shepard are finished.
20:46What's her urine output?
20:470.2.
20:48That's a little low.
20:49Increased fluid resuscitation by 150 cc.
20:52Well, what are you doing?
20:53If we debride too much, she could get more acidotic.
20:55End up with organ failure.
20:56I know what she said, but Bishop's blood gases are stable and we're almost done.
20:59If we finish, she has less chance of scarring and reconstruction failure.
21:03How close are you to this patient?
21:04I never asked you to stay.
21:10Fine.
21:11I'm in.
21:13All right.
21:14Let's hold on a little longer, Bishop.
21:19Okay, ready for the rib spreader?
21:21All right, I'm in.
21:22Why are we saving this?
21:23Is he really going to sit under it again?
21:25Well, the museum is going to do everything it can to make sure this never happens again.
21:28So why should he change his plans?
21:29Bobby?
21:30It was a nice tradition.
21:31He obviously loved his wife a lot.
21:32He could find someone else.
21:33You know, when my grandma died, my grandpa became the most eligible bachelor in his retirement community.
21:38He had a full head of hair.
21:40I don't know.
21:40When you've been with somebody that long, it's about to let go.
21:43Sorry I'm late.
21:43My doctor's waiting right along.
21:44Where do you want me?
21:45I could use some retraction.
21:51You okay?
21:52Fine.
21:55Heart rate and BP are tanking.
21:57He's about to code.
21:57All right, I can see the pericardium bulging, and it's filled with blood.
22:00The ray is causing cardiac tamponade.
22:02There's no way I can lead you.
22:04We're going to have to remove it now.
22:05Ready?
22:06On my count.
22:06One, two, three.
22:10Go.
22:11It's the angle.
22:12It's curved under the bone.
22:13It won't budge.
22:15Yeah.
22:15It's hollow.
22:16Give me a large hemostat and sterile towels.
22:18What are you doing?
22:19We're going to have to break it.
22:20Pull all the glass again in his chest.
22:22We're going to do our best to avoid it, but at this point, we don't have a choice.
22:25Ready?
22:26All right, careful.
22:27Careful.
22:29Got it.
22:31Here we go.
22:35BP's in the low 70s.
22:40It looks like he's bleeding from the heart.
22:42He's got a nick in the right ventricle.
22:44I need two old proline.
22:45Hold pressure here.
22:46Got it.
22:49BP's increasing.
22:50Heart rate's stabilized.
22:52So much for his sculpture.
22:53Well, he's alive.
22:55I think he'll get over it.
23:02This point on the graph represents the reflection of light in the blood sample in the cubet.
23:05The sensor's in a shoot box to avoid ambient light.
23:07Now, here is the same thing, but with a higher concentration of hemoglobin, which represents more congestion in the flap.
23:14Which we'd normally have to detect from darker bruising.
23:19And you built this yourself?
23:21My roommate and her brother helped their engineers, but I had to learn about algorithms, light absorption, and photodiodes.
23:27And your free time between classes and clerkships.
23:31Honestly, the toughest part is believing that I can do it.
23:34I mean, what do I know?
23:35I'm still in med school, and this is just a passion project.
23:38I'm sure there are plenty of great ideas in this room.
23:40You'd be surprised.
23:43I hope I didn't shake your confidence earlier.
23:46By asking hard questions?
23:47Yeah.
23:47No, that just pushes me to make the next version even better.
23:50I want to contribute to scientific knowledge however I can.
23:53That attitude will serve you well.
23:55Hold on to it for as long as you can.
23:58Thank you, Taffy.
24:02Well, this generation just might save us, as long as we don't disturb them before they get the chance.
24:10Okay, no wheezing.
24:11He has clear breath sounds bilaterally.
24:14Does that mean I'm okay to...
24:15Oh, you can't leave yet.
24:17Dr. Weber, you have a call from the IRB.
24:19They said it's urgent.
24:20Oh, continue treatment?
24:22Mm-hmm.
24:27Looks like the fire is finally contained.
24:30How bad was it?
24:31It's the worst I've seen so far.
24:33It's too bad it seemed like a nice hotel.
24:36Yeah.
24:37Oh, is Bishop out of surgery?
24:40We've repaired her leg, but they're still treating the birds.
24:42Does that mean she'll be okay?
24:44Well, it's hard to say, but she has the best doctors.
24:47Okay, yeah, everybody keeps saying that, but I need to know if she's gonna be all right.
24:50Her and her wife have two kids at home.
24:52If something happens to her, that's my fault.
24:53She told me to wait for them to fully secure the roof.
24:55I thought I could make it across, and I...
24:58She fell trying to rescue me.
24:59You're a firefighter.
25:01If you're not willing to take big risks to save a life, you're not doing it right.
25:07Dr. Kwan?
25:08Word?
25:19Um, I just heard from the IRB.
25:22Oh, um, is the report done?
25:24You know, I know Dr. Bailey's been worried.
25:27From what they say, I would assume you'd be just as concerned.
25:30Of course.
25:32You know, I, uh, she's a mentor.
25:34I know it was you who injected the hydro gel and not her.
25:39Now, I want you to tell me everything that happened, starting from the beginning.
26:02I lied.
26:04I have been avoiding you.
26:06It was pretty obvious.
26:07Really?
26:08I've been told I have a good poker face.
26:12Maybe you can just tell me it's over.
26:14If that's what you've decided.
26:17I haven't, and I realize I owe you an explanation.
26:23I'm trying to make a clear-headed decision.
26:26But when I'm around you,
26:29I'm not so clear-headed.
26:33I'd say that I'm sorry.
26:36But then I'd be the one lying.
26:47What's her core temperature?
26:4896 degrees.
26:49You're trying to heat up again, aren't you?
26:51The more we debride, the colder she gets.
26:53Bump up room temp to 102 degrees.
26:55I went to the ICU.
26:56They said Bishop hadn't arrived.
26:58What the hell are you doing?
26:59Finishing tangential excision?
27:00That was rhetorical.
27:01Put down the weck blades now.
27:02Well, we're almost done.
27:03I don't care.
27:04Too much debridement could kill her.
27:05I'm your attending.
27:05I'm telling you to stop.
27:07Her ABD shows worsening acidosis.
27:09What are her potassium and lactate levels?
27:10Warren, you are too close to this patient.
27:12Five, and lactate is elevated.
27:13Do you want me to push bicarb and insulin?
27:15Bicarb, yes.
27:16Hold off on insulin.
27:17Look, I am not trying to be insubordinate,
27:18but Bishop and I were in the trenches together.
27:21She saved my butt more times than I'd like to admit.
27:23I would never do anything that would put her in more jeopardy.
27:25And you know I was an anesthesiologist before I was a surgeon,
27:28so I know how to keep her safe.
27:29And I know when to quit.
27:34I promise.
27:37Someone gown and glove me?
27:40You're scrubbing in?
27:41The more hands you have, the faster you'll finish.
27:45Let's go.
27:53Oh, there's something in the water
27:59Oh, the ships are sinking in the harbor
28:08Oh, my head is going under
28:15Put the light in my eyes
28:18All I see is darkness
28:20Pick me off the concrete
28:22Better for my heart
28:24Hold me when I'm broken
28:26mungkin
28:39Help me, father, sister, brother
28:48Hell, my head is going under
28:51Put the light in my eyes
28:53And all I see is darkness
28:55Pick me off the concrete
28:57Down for my hardest
28:59Hold me when I'm broken
29:01Oh
29:10Say you'll be my shelter
29:12When my eyes are closing
29:14Breathe into my love
29:16And hold me when I'm broken
29:27Where am I?
29:29Am I alive?
29:30We were able to repair the tear in your heart
29:32You're in the CCU so we can monitor your recovery
29:36Oh, well, that's good
29:37Oh, and what about the sculpture?
29:40Morris, we had to make a choice
29:42It or you
29:43We thought you'd be okay with it
29:47Well, I guess it's good that Janie won't ever know
29:51How long does she pass?
29:52Oh no, she's still alive
29:54She's in memory care over at Hillside Gardens
29:57Oh, about a year now
29:58That's right
30:00She's the one who used to remember everything
30:03It's not just the big stuff
30:05The details
30:07Like the color of the kitchen towel in our first home
30:11Now I have to remember for both of us
30:13I'm holding on to every piece of our life I can
30:17But every day she slits away a little more
30:20You know how hard it is to miss someone
30:24Who's still here?
30:26I can imagine
30:27I just want to tell her I love her
30:29And know if she understands
30:45Oh, hey, man, I'll go get you food
30:49Waiting on someone?
30:52Just needed a drink
31:01Everything okay?
31:05My doctor said I can't do the egg retrieval this month
31:11I'm sorry
31:11She said I could try again, but
31:14It's not promising
31:16You never know
31:17I was never sure I wanted kids
31:19I just never thought
31:23It wouldn't be an option
31:27It might be hard
31:29That doesn't make it impossible
31:30I think it's a sign from the universe
31:32I'd be a terrible mother
31:37Here you go
31:40We should go blame us on the hormones
31:43Come on
31:44I got wings and fries
32:03Hey
32:04Hey, I thought you were picking up the kids tonight
32:06I am
32:06Oh
32:10I need to tell you something
32:11I want to talk to you, too
32:14Is there something wrong?
32:17Margot offered me a job running a global research incubator in Paris
32:22And, uh, I'm considering it
32:27Okay, um, I don't know what to say
32:30Well, I know that I've recently made a lot of decisions for myself that have impacted you
32:36And that I wasn't fully supportive of that job at Enumclaw
32:39And you jumped on my throat
32:39I was gonna turn it down and not even bother you
32:42But I can't stop thinking about it
32:44So I thought it was worth the conversation
32:46Oh, did you?
32:46Or that you just may not be lying
32:48And now I have to be the bad guy to tell you not to go
32:50That's not what's happening
32:51We have kids
32:52Did you forget about them?
32:53Of course not
32:54That's something that we'd have to figure out
32:55I mean, there are other families that...
32:57You know what?
32:57Just do whatever you want
32:58Like you almost do
33:12Hey, I thought maybe you backed out
33:14I know, I was just going to Joe's to pick up some dinner
33:16And then I have to check a wound back
33:19And you're in the streets
33:20Well, if you go in your scrubs, people ask you for medical advice
33:24Are you having second thoughts?
33:26I'm not
33:26Because if you want out
33:27I don't, I don't
33:30Okay, I need to show you something
33:33Okay
33:37Okay, this is a black tourmaline
33:39It is a crystal that protects you by absorbing negative energy
33:43My parents are the kind of people that use crystals, tarot decks, and other metaphysical resources to justify their poor
33:50life choices
33:50And as much as I hate it, some of it's stuck
33:53And when the Trigon Morgue burned down, I just, I thought it was an omen
33:57And it's weird, you can laugh
34:00Look, everyone has weird things
34:03How many crystals do you have in your pocket?
34:07Okay, last week when I didn't know you because I felt sick
34:11I was fine
34:13It was because of your scarf
34:18The blue one?
34:19Yeah
34:19You don't like it?
34:21Right
34:22I have an irrational fear of yarn
34:26Blankets?
34:28Mittens
34:28Listen, you will never see me in a chunky sweater, ever
34:34That's weird
34:35You carry around a protective rock
34:42Hold me up
34:45Hold me up
34:46Hold me up
34:50I thought you were the sun
34:55Hide me in as a mire
34:59So never will
35:18Oh my god
35:19Oh my god
35:20Oh my god
35:21What happened?
35:23Um, let's see
35:24We drank tequila
35:24And then we drank more tequila
35:26And then we, uh
35:27Made a huge mistake
35:28I'm gonna
35:30I'm gonna get out of here
35:31Yeah
35:31And, uh, no one else needs to know about this
35:41Oh my god
35:52Hey there
35:54Yeah
35:57Welcome back
35:58What are you doing?
36:00I just woke up from surgery
36:04I, uh
36:05I promised Karina
36:06Sorry, I called her
36:08Just please don't kill me
36:09I'm guessing you somehow saved my life
36:12So
36:13You're off the hook
36:14Let's just do my job
36:16And your, uh
36:17Your probie has been discharged
36:19He's fine
36:20Shaking up, but
36:21Fine
36:22Oh, uh
36:23Yep
36:23It's Karina
36:24Grateful emoji
36:25Heart emoji
36:27Many more
36:28Heart emojis
36:30Oh, I love her
36:31I was supposed to meet up with him out there next week
36:35How are the kids?
36:37Uh
36:38Liam's walking
36:39He loves
36:41Garbage trucks and kiwis
36:44I found Andrea to hook a bishop
36:46At the perfect angle
36:48Of course she is
36:50The second I saw you
36:52I knew you'd have my back
36:54Once nineteen
36:54Always
36:56Nineteen
36:57Okay
37:02Listen, I'm, uh
37:04I'm going to let you rest
37:08But then we are going to call your wife
37:14Her urine outputs averaging 0.8 meg per keg per hour
37:17No signs of end organ damage
37:19Vital stable
37:20Norman Cousins once said that
37:22Wisdom consists of the anticipation of consequences
37:26Norman Cousins, the peace activist
37:29I don't know
37:30It was on a poster in my high school chem lab
37:32The point is
37:34Today you anticipated the medicine
37:36You focused on patient care
37:38And you didn't let anyone stop you from providing it
37:42Including me
37:44I underestimated you
37:45And I'm down a plastics fellow
37:47Yeah
37:48I'm working on my application
37:49I need someone now
37:51Would you be interested in an integrated plastics fellowship?
37:54Oh, definitely
37:54Uh, how do I apply it?
37:56You say yes
37:57Then you pick up your navy scrubs
37:58And meet me for rounds
38:02Are you okay?
38:04Do you need me to call Nero?
38:05No
38:05No
38:06Um, I, uh
38:07I'm going
38:08I'm
38:08I'm going
38:10Warren
38:11Welcome to the team
38:13Whether in science or life
38:14The road to discovery is rarely a straight line
38:18We take two steps forward
38:20Then fall three steps back
38:24Morning
38:26The innovation competition went well
38:29I've learned a few things myself
38:33Is that the IRB's report?
38:36It is
38:39Obviously
38:41I don't know what it says
38:43But look, I know this, right?
38:46We work in a system
38:48Where you can be forced out for one mistake
38:53But that's not conducive to learning
38:55I know it was Quan
38:58You lied to me
38:59You looked at my face and told me you did it
39:02You're benched from surgery until further notice
39:06We veer off course
39:07I understand
39:08And have to find our way back
39:09The Quan is still learning
39:12So don't go too hard on him while I'm out
39:15That won't be a problem
39:17He's fired
39:22Surprise detours lead us to unexpected places
39:25What's going on?
39:26The warrior bridge collapsed
39:27That's awful
39:28Do we know how?
39:29I don't think they know much yet
39:30Alright, well let's get ready for incoming traumas
39:32Prep blankets
39:33Warm IV fluids
39:35I will page for extra hands
39:38Teddy, I owe you an apology for last night
39:40I had something I wanted to say
39:42And your news kind of threw me
39:44Let's talk when I get in
39:45If I ever get in
39:46There's a ton of traffic on this bridge
39:50Places we never imagined were possible
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