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Grey's Anatomy Season 21 Episode 5

#Grey'sAnatomy
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Transcript
00:00I'm pregnant with twins.
00:04Hey, I can see you. Can we talk?
00:07We brought you tea.
00:08Oh, I can't hear you.
00:10Ask him if it's caffeinated.
00:12Fine, we'll get coffee from the cart.
00:14Look, I know this is a lot, but we'll figure it out.
00:16We're gonna get a night nurse.
00:18My mom can move in for a while.
00:20Where are we going?
00:22What other entrance?
00:24Even if you've done hundreds of kidney resections or heart transplants,
00:26you've never resected this kidney or transplanted this heart.
00:30Past experience usually helps,
00:32but for unique cases, you fake it first.
00:34No, sorry.
00:36Ben, who are those for?
00:38I'm going to put them in the fridge.
00:40It's time to come back here.
00:41Hope you've made time for an EKG after consuming 400 milligrams of caffeine.
00:44I have taken two of you suited shifts this week.
00:46Sam, she and her sister really appreciate it.
00:49Not enough to share her mom's cookies she sent her.
00:51I'm just glad that Chloe seems to be recovering.
00:54Excuse me, have you registered to vote?
00:56Already registered.
00:57Yeah, me too.
00:58Same.
00:59Not my thing.
01:00You rehearse on replicas for hours on end,
01:02and hopefully when the real patient is on the table,
01:04you know what you're doing.
01:06Lots of people put sex on the calendar.
01:08When you're juggling too busy schedules,
01:10it's perfectly normal to schedule intimacy.
01:13You schedule a haircut.
01:15I do not want to have to schedule sex with my wife.
01:18Why do you think this bothers you?
01:20It feels like she's not trying to fix anything.
01:23You know, we are hemorrhaging, and she's just reaching for a band-aid.
01:26So if I don't want to fix our problems the same way that you do,
01:29that means that I'm not trying?
01:30No, no, no.
01:31Unfortunately, we have to stop for today,
01:32but I want you to see this through.
01:34Have scheduled sex this week, and see how it feels.
01:37It might not be what you think for either of you.
01:40Well, I guess I'll see you at 10 o'clock tomorrow night.
01:45Um, would this be a bad time to tell you that I have to reschedule?
01:55Hey, haven't seen you in a while.
01:57I know, yeah, sorry, it's been busy.
02:00I didn't mean to give this to you.
02:02Oh.
02:03Yeah, I left it in my place, so...
02:06Yeah.
02:07Oh.
02:08Mm-hmm.
02:09Yeah, I guess you have been really busy because this is not mine.
02:12You sure?
02:15Yeah.
02:16It's a really nice color, though.
02:18She has good taste.
02:19Oh, my God.
02:20I'm so sorry.
02:22Hey, you needed a consult?
02:24Uh, I have a patient coming in from Friday Harbor with a head injury.
02:28Uh, the local hospital is sending in the scans.
02:31Should I come back?
02:32No.
02:33I was just leaving.
02:34I'm gonna go.
02:36Have the nurses page me when the scans are in.
02:43Schmidt is with Dr. Beltran today, so I've got your assignments.
02:47Let's do a lineup.
02:49A lineup.
02:50It's something we did at the fire station to get the day started right.
02:53Discipline.
02:54Organization.
02:55Or you can stay exactly where you are.
02:56That works, too.
02:57So, uh, you suit us out on PTO today, but, Adams, you're with Schmidt on Beltran's service.
03:02Millen, you're with me, and Ndugu.
03:04Griffith with Lincoln.
03:06Um, uh, you forgot someone.
03:09And you've forgotten your dictations.
03:10There are over a hundred incomplete records with your name on it.
03:13Have fun staring at a computer all day playing catch-up.
03:17Quarterly to 60s.
03:19Any available quarterly to 60s.
03:21Are you lurking?
03:24Okay.
03:26Your evaluation forms were sent out today.
03:29I know.
03:30Ndugu will be the first one who will officially assess me.
03:32You know?
03:33How do you know?
03:35Um, you left your laptop open on the kitchen counter today.
03:38Hey, hey, hey.
03:39You lurk.
03:40I snow broke it.
03:41Just, just, just be yourself.
03:44I've never been to Friday Harbor.
03:46I went on a field trip in seventh grade.
03:48We picked apples.
03:50Hey, today you are picking up Ophelia Lopez.
03:53She's ten years old.
03:54She fell off a moving tractor.
03:55Her vitals are stable, but she's got a bad leg injury and a TBI, so she needs a higher level of care than her community hospital can provide.
04:01I would go myself, but I've got a full patient roster.
04:03I don't mind getting out of the hospital.
04:05It's a nice drive.
04:06I'm sure it is, but you're taking a helicopter.
04:08Nice.
04:09Taking an ambulance would be more cost efficient, more environmentally friendly, and it's not up in the sky.
04:15Update me when you arrive.
04:16Morning, Mr. Riley.
04:21Oh, no.
04:22Left.
04:23Right, left.
04:24The other left, Kenneth.
04:26Instructions go in.
04:28Windy, and I'm the other with this kid.
04:31The instructions go in, one in, out the other with this kid.
04:35Maybe he's missing his director, huh?
04:36He's missing something, all right?
04:38Go ahead.
04:40Darren Riley, 55, presented with antibiotic-resistant pneumonia
04:43with a concern for a rapidly progressing necrotizing infection.
04:46Was intubated but couldn't oxygenate despite maximal ventilation settings.
04:50Placed on VV ECMO and was extubated last night.
04:53Mr. Riley's x-ray from this morning, left lungs completely whited out.
04:56I'm a CT with contrast.
04:58Mr. Riley, I'm going to change your candle addressing.
05:00Well, I can take care of that as soon as I place this order.
05:02We'll just meet you in radiology.
05:03That's not necessary.
05:04I want to help with transport anyway.
05:06Oh, we can handle that.
05:07Moving a patient on VECMO can be tricky, so I'd like to be there for it.
05:11Okay.
05:12Uh, great.
05:14All risks and benefits were explained,
05:16and patient agreed to sign informed consent.
05:19Hey, are you okay?
05:21Yeah, yeah.
05:21Good, must have slept funny.
05:25The patient was taken to an operating room and placed...
05:30Hey, are you sure you're okay?
05:32I could take a look if you want.
05:37Someone give me a gurney!
05:38Mr. Wheeler, how are you feeling?
05:53But it's a fiddle.
05:55Think I'm about ready to go home?
05:56Not quite yet.
05:57I saw some fluid building around your heart on this morning's echo.
06:00It's a common complication after heart surgery.
06:03We might have to do a procedure to drain it,
06:04in which case we'd have to keep you a little bit longer.
06:06Oh, no.
06:07I can't stay longer.
06:08I have to be home next week.
06:09It's my 40th wedding anniversary.
06:11Congratulations.
06:12That's a big milestone.
06:13Hey, why don't we watch it and see if it resolves in its own
06:16before we jump into a new procedure?
06:18Macy and I got engaged when we were 19.
06:20She wanted this big church wedding, but our parents didn't approve,
06:25so we eloped at City Hall.
06:27You know how that goes.
06:29We want to get married in the park, but we wound up doing it in a bar.
06:32Every year we recreate our wedding dinner.
06:34Hot dogs from the cart in the corner.
06:36You know, we should go to Joel's for our anniversary.
06:39It's the only place we ever go.
06:41Look, I want to run another set of coags, and we will take it from there.
06:44Get her flowers on your way home.
06:48Works every time.
06:50Thanks for the tip.
06:51Yeah.
06:54Thanks for making the trip.
06:55She's got severe left lower extremity trauma,
06:57extensive soft tissue damage as well as vascular injury,
07:00suffered some head trauma with multiple contusions and lacerations.
07:04Hi.
07:04Hi.
07:06Her respirations look a bit labored.
07:08Her sats were in the 80s when she arrived.
07:10The oxygens helped.
07:10So you didn't intubate?
07:11Our only ventilator's in use, and we don't have the resources
07:14to manually bag her if we did RSI.
07:16Okay.
07:16We rush her heat as soon as we cool.
07:18This doctor say you'll be able to help her more.
07:21We're at Levy, all right?
07:22She loves to play in the fields.
07:24I'm Dr. Schmidt.
07:25This is Dr. Adams.
07:26We'll have a better idea once we examine her, okay?
07:28Okay.
07:29We temporize with a splint and tourniquet.
07:31Schemia time's about 45 minutes.
07:34Um.
07:36Hi.
07:38I'm Levi.
07:39Your name's Ophelia, right?
07:42My friend Lucas and I are going to help make you feel better, okay?
07:46Okay.
07:49Okay, this is my number.
07:52We're going to get to Gracelone before you,
07:53so once you get there, give me a call.
07:55Wait, we can't go with you?
07:57I'm so sorry.
07:58There's not enough room in the helicopter.
08:00But I promise we'll take excellent care of her, okay?
08:03Okay.
08:03Okay.
08:04Okay.
08:04Okay.
08:11We're going to have to amputate the leg if we don't get back fast.
08:31So let's need to be for transport ASAP.
08:33Okay.
08:34Back to the helicopter.
08:41Dr. Kwan, aren't you supposed to?
08:44Look, I know I'm behind on charts, and when I'm behind, it becomes your problem, and you don't like problems.
08:48Is that Zane from custodial staff?
08:51Yeah, he collapsed with a severe abdominal and hip pain.
08:54Mr. Johnson, I see you took that whole rack down with you.
08:57You okay?
08:57Pain started way before that rack fell.
08:59I've been managing the fine for months now.
09:01All right, well, I need to get you to the ER and get you checked out.
09:03Hospital rooms.
09:04I'll just take something once my shift ends.
09:05Let me save you the trouble.
09:06You can fight her on this, but you will lose.
09:09We all do.
09:10Can you make it quick?
09:11I will make it thorough.
09:13Come on, let's go.
09:14You too, Kwan.
09:19Doctor should be in soon.
09:21Okay.
09:22We are never going to fit four car seats in either of our cars.
09:27Are we going to forget a minivan?
09:29You know what's transporting those babies right now?
09:32Me.
09:33Every horrible pregnancy symptom, double it.
09:36Twice the reflex, the weight gain, the exhaustion.
09:39And then after all that, I'm going to return to work,
09:41delivering other people's babies, taking care of not one, but two newborns.
09:45But sure, by all means, you go test drive minivans.
09:50How can I help?
09:51I wish I could tell you, but all the energy that used to go to my brain
09:54is now being diverted to my uterus.
09:55You know what?
09:56I really need this to not take a long time.
09:58I have a patient who is 29 weeks, and she's about to deliver triplets.
10:01Three babies.
10:03Hmm?
10:04Could be worse.
10:06You want three?
10:10Consult in the ER.
10:12Let's go.
10:13I'm going to stay for the ultrasound.
10:15It's going to show the same as it did yesterday.
10:17And then you're going to smile and say, we've got this.
10:19And right now, I really, I frankly don't, really don't need that.
10:32Did you play?
10:34Marching band?
10:35No.
10:36Cool.
10:37Me neither.
10:39Oh, I didn't do sports.
10:41But it's band.
10:43Do they wear uniforms?
10:45Then I didn't do it.
10:48Well, damn it.
10:50His lung is completely liquefied from all the necrotic tissue.
10:54What's your recommendation?
10:55Chest tube and change the antibiotics.
10:58Oh, the chest tube won't drain this, and the antibiotics aren't penetrating.
11:01So, we'll need to completely remove the source.
11:04The source is his lung.
11:07Book an OR.
11:08I'm going to get him off the table.
11:10Don't you want us to get him?
11:13Does he normally have to do everything himself?
11:15Well, he let me sell a patch graph angioplasty once.
11:19Maybe it's you.
11:20When you say it's not your thing, you don't mean, like, you never vote, right?
11:29Like, it's a recent thing.
11:32What about in 2016?
11:35What do we got?
11:36St. Johnson, 32.
11:38Diffuse pain greatest in his abdomen and right hip after a supply rack fell on him.
11:43We're still working on his history.
11:44Do you take any medication?
11:45How much room do you have on that thing?
11:47I take folic acid, hydroxyurea, ibuprofen, and tramadol as needed.
11:52You have a sickle cell.
11:53Yeah, and I know about the new gene therapy that cures it.
11:56But my insurance won't cover it, and I don't have $3 million laying around, so I still got it.
12:00FDA approves a cure, and nobody can afford to get it.
12:03If I had 3 million, I wouldn't want to spend it on treatments.
12:05I'd buy a boat and sail around the world.
12:08I was kind of in the middle of another patient upstairs.
12:11Yeah, I brought you hip at that hip.
12:13The articular surface is completely destroyed.
12:17Griffith, take him upstairs for an MRI.
12:19And we should also get an abdominal seat.
12:21No, no, no.
12:21That won't take long, okay?
12:23If there's anything you need, you let these interns know.
12:26Don't be shy.
12:28Oh.
12:32He made a bit of breathing fog.
12:34I'm trying to scare us out of it.
12:36Think about puppies, gravity blankets, wizards and adventure.
12:39Well, either somebody died, or you're ghosting someone.
12:46I am ignoring a mistake, and don't look at my phone.
12:49Is it the guy from the hallway?
12:51What's the one?
12:52Does he hate dogs?
12:52Put the toilet paper out wrong?
12:54Does he not know how to cook a real meal?
12:56Do you?
12:57I'm just saying, just because it's a bad match doesn't mean it's a mistake.
13:00You're right.
13:01It wasn't a mistake.
13:02It was a giant failure.
13:03Her blood pressure fight might be herniating.
13:11Her pupils aren't blown.
13:13Actually, they're pinpoint.
13:15Her heart rate's in the 50s.
13:17Hey, hey, we got you.
13:20Okay, we got you.
13:21We got you.
13:23She's diaphoretic, radiocardic.
13:27Her eyes are tearing up.
13:29We'll keep having a suction.
13:30Her parents said that she likes playing in the fields, right?
13:33The farm probably uses pesticides.
13:34You're thinking organophosphate poisoning?
13:36Yeah, let's get her on atropine.
13:37Okay.
13:38Oh, she's teasing.
13:40Oh, Paul.
13:43Damn it, the tourniquet.
13:46Did it go loose?
13:47No, the clasp is broken.
13:49We have to stop this bleeding, holding pressure.
13:51Okay, I got her leg.
13:52Find the atropine.
13:58Hey, Aurelio's labs are back.
14:01Okay, great.
14:03Can I get an ultrasound and a pericardiocentesis kit?
14:07I just need to finish reviewing these scans.
14:09Teddy, it's still a small infusion.
14:11He's coagulopathic.
14:12I mean, we can either do the pericardiocentesis now,
14:14or we can wait until he crashes in the middle of the night and do it then.
14:17We don't know that's going to happen.
14:19Didn't you accuse me of, what was it,
14:20putting a Band-Aid on a hemorrhage this morning?
14:23What does that have to do with this?
14:25I am trying to face this problem head on,
14:27and that doesn't seem to be good enough either.
14:29I mean, forget about my years of experience treating pericardial effusions.
14:32I was just getting a cup of tea.
14:36Oh, well, we were just discussing a patient.
14:41Look, I can give it another hour,
14:42but then we're going to need another set of scans and a repeat echo.
14:46Oh, you should try the Moroccan mint.
14:54It's very refreshing.
15:00What about local elections, state propositions, or public surveys?
15:06I can send those straight to spam.
15:08Griffith, what are we looking at?
15:10Studying his abdominal CT.
15:11His hip MRI is about to come up.
15:13You can relax, Zane.
15:14Pretend you're in that $3 million boat.
15:17That's not relaxing.
15:18I get seasick.
15:19You want to sail around the world?
15:20No, but my son does.
15:22I'd do anything for him.
15:23Is that his spleen?
15:25It's so small.
15:26Pretty much non-functional at this point.
15:28Also, those are iron deposits in his liver.
15:31Should we take care of his gallstones, too?
15:32The gallbladder wall's not acutely inflamed.
15:36The sickle cells basically ravaged his body, including...
15:39His hip, which you all would have seen if you noticed his MRI was up.
15:42He's got subchondral collapse and flattening of the femoral head.
15:44We're going to have to replace the whole joint.
15:46Oh, he's not going to like that.
15:47Well, he doesn't have a choice.
15:48He wants to stop this joint from completely degenerating.
15:51Hey, did you get the films from a transfer patient?
15:58Schmidt and Adams are worried about the leg.
16:00My fellow will need to take it.
16:03Hey, I took a look at Ophelia's scans.
16:06Minor subdual.
16:07No swelling, no shift.
16:08I'm not terribly worried, but I will reevaluate when they land.
16:10Their ETA is 25 minutes.
16:12Okay, I'm going to check on a patient.
16:13Text me if they get here sooner.
16:14Hey, about earlier, it wasn't exactly what it looked like.
16:18Uh, none of my business.
16:20Okay.
16:22The tourniquet's completely broken.
16:24I can't get into a hole tight enough.
16:25I'm going to need another one.
16:26Looks like there's an injury to a superficial femoral artery.
16:29Here, there's another tourniquet in this bag.
16:31Hold as much pressure as you can.
16:32Got it.
16:34Here.
16:36All right.
16:40Once we get a signal, we need to update Beltran.
16:42Got it.
16:48Damn it.
16:49It's basically beyond repair.
16:51She's going to need an amputation.
16:53We have IV tubing.
16:56What if we make a temporary shunt?
16:57See if we can reconnect the femoral artery with the tubing.
17:01Look, the pilot is rerouting.
17:03It's going to take us a lot longer to get back.
17:05The tourniquet's been on for almost two hours.
17:07The lead looks ischemic.
17:08If we do nothing, she'll lose it.
17:12Okay, yeah, I'm in.
17:17Okay.
17:21So, if you take my lung, I'll be rid of this thing here.
17:27Unfortunately, due to your smoking history,
17:30your other lung won't be able to oxygenate your body well enough by itself.
17:33You'd have to stay on ECMO until we can get you a lung transplant.
17:37Any chance that happens before the North Pack band review?
17:41We don't know.
17:42It could be tomorrow.
17:43It could be weeks from now.
17:45There will be other performances.
17:47I was thinking about my alto sax.
17:50First instrument I ever picked up.
17:53Thing was nearly bigger than me.
17:56Once I got the hang of it, I fell in love.
18:00I haven't been able to play in weeks.
18:02What if I can't have a play again?
18:11Or worse?
18:14What if I can't teach a band some more than just my job?
18:22It's my life.
18:23Well, music and teaching, it's in your bones.
18:29Losing a lung won't change that.
18:32Just might need a little extra practice after surgery, that's all.
18:38Let's get you prepped.
18:39Mr. Johnson, Dr. Bailey and Dr. Lincoln would like to talk to you.
18:49I have to finish work so I can get home for dinner with my son.
18:53Your scans show something called vascular necrosis in your hip.
18:57I'm making an appointment to come back.
18:59My son needs extra attention, and my sister's had him all day.
19:01Your pain is only going to get worse.
19:03The sickle cells in the joint cut off the blood supply to the bone,
19:06which is causing it to die.
19:08But we can replace the joint today, and your insurance covers it.
19:12And then I won't feel pain?
19:13Well, we can at least help put the pain in your hip.
19:15So instead of curing my pain,
19:17they're going to let every joint and organ in my body deteriorate,
19:21and then they'll pay to fix it.
19:22I know.
19:23It doesn't make sense, and the system sucks.
19:27Maybe I shouldn't say that, but I've been through this before.
19:31I know the frustration of trying to fight a system
19:34that doesn't care if you suffer, even if you live or die.
19:37They only see you as a code or a cost or some number in a sea of numbers.
19:43The system couldn't care less about you.
19:45But if you care about yourself, you should get the surgery.
19:50Think about your son.
19:53If he weren't able to walk or continue to do your job,
19:57it would be a lot harder to take care of him.
20:01I'll go tell Dr. Lincoln.
20:16Don't bother.
20:17I'll do it.
20:17Oh, I'm about to meet with Balcon Medical.
20:28You know, I've always had a great relationship with Ethan Chin.
20:32So if there's anything the hospital needs, I'm your man.
20:34Oh, Ethan is retired.
20:36Oh, good for him.
20:38Yeah, the new CFO's Erica decides she is great,
20:41but her husband, Naravs, also very prominent on the board,
20:45and he only hears what he wants to hear, which is himself.
20:48Sounds like a communication issue.
20:50And he often overlooks how hard I am trying to make everything work,
20:55and then he insinuates that I only care about what is best for me,
20:59regardless of what anyone else wants.
21:01You mean what's best for the hospital.
21:03This isn't about Balcon, is it?
21:08So, you want advice or a pep talk?
21:12Is there one that's less irritating than the other?
21:15You've already been through a war together.
21:17You can do this.
21:18That's the least irritating one?
21:20Tissue's very fibrotic, melon suction.
21:26Got it.
21:27My mom really wanted me to learn an instrument.
21:29Then my fourth grade class got sent home with recorders.
21:32My brother and I were learning the accordion for a few months.
21:34Didn't stick with it?
21:35Our teacher didn't want to be paid in lemons from our yard.
21:39I'm at the Highland.
21:40You need more retraction?
21:41That'd be great.
21:42Harrington, please.
21:45Oh.
21:47You hold that right there, Warren.
21:50Thank you, Boki.
21:53With all due respect, I may be on a trial basis,
21:56but I'm coming in as a fourth-year resident.
21:58I'm perfectly capable of retracting and prepping patients for transport
22:00and moving them to the CT.
22:02Hell, I'm capable of a lot more than that.
22:04All right, specimen.
22:09There we go.
22:20How's he doing?
22:23Feels like this could have been a much less extensive surgery years ago.
22:26Well, seeking treatment when you have sickle cell is a minefield of stigmas and misunderstandings.
22:33That's not on Zane.
22:34Kwan, careful with the drill.
22:36This bone is like stone.
22:39Yep, I'll take over.
22:41Oh, then let him give it another try.
22:43Go again.
22:44Easy this time.
22:44Yeah, put the drill down.
22:52If he doesn't try again, he won't learn.
22:55We're not doing second chances right now.
22:57This man is in constant agonizing pain, and I'm just talking literal physical pain,
23:02not the hell of suffering in silence because nobody cares or believes in him.
23:06It's the only way he can get by, even though it causes more pain and more suffering.
23:10Damn it!
23:11Someone get me a new drill bit.
23:16Are you done?
23:21Yeah.
23:22Whatever you're going through, go through it on your own time.
23:26We are taking care of Zane right now.
23:28I cannot take care of you, too.
23:30Suction, please.
23:47Adam, suction.
23:48I'm trying.
23:49Just have one more tie.
23:52Oh, my God.
23:55Whoa.
23:56Let's do this fast.
24:01All right.
24:01Okay.
24:04Ah, damn it.
24:05Can't get it to stay.
24:07Can you hold it, please?
24:08Yeah.
24:14Okay.
24:17Okay.
24:19I think that's it.
24:21Okay, turn the kick coming off.
24:23It's holding.
24:31It will be dead.
24:35Oh, what's happening?
24:37I don't know.
24:37I can't see anything.
24:38I can't get around this door.
24:40I've got an intention to mark it.
24:42Stay laughing.
24:42Uh-uh.
24:43Macy.
24:53Macy.
24:53How long has he been like this?
24:5515 minutes.
24:55Muffled heart sounds.
24:56Low BP, JVD.
24:59Cardiac tamponade.
25:00This is why I wanted to do the procedure earlier.
25:02He wasn't this symptomatic.
25:03All right.
25:03We're going to need to reopen him and relieve the pressure.
25:05We're doing a needle aspiration.
25:06Bedside.
25:07We're already prepped.
25:07It's much more controllable in the OR.
25:09I mean, it's white.
25:10There's blood seeping out of his incision already.
25:11We don't have time.
25:12Scalpel.
25:13I'm not here, Darren.
25:15No!
25:20I need to cross guard.
25:21Prepare for open cardiac massage.
25:24Someone get her out of here, please.
25:26No!
25:28I feel so much better now.
25:32He's alive!
25:34His vitals have stabilized.
25:36We need to get him to the OR now.
25:37What's happening?
25:38My husband's okay?
25:39It was a buildup of pressure from fluid and blood,
25:41but it was around the heart, not the heart itself.
25:43We're going to know more when we get him in there,
25:44but we need to move fast.
25:46Let's go!
25:46Let's go!
25:47Let's go!
25:47Let's go!
25:50What would you do with $3 million?
25:52On the voter registration drives?
25:54How do you think the system gets fixed?
25:57Well, it's my gain.
25:58It's spending on yourself.
25:59I'd hire an at-home nurse so my granny wouldn't have to live in a facility,
26:03pay off my loans, start a maternal health non-profit.
26:06Boring.
26:09Let me guess.
26:10You'd buy an obnoxious car.
26:12Well, for starters, I'd get my own place and I'd have to live with you fools anymore.
26:15I'd travel and, yes, buy an obnoxious car.
26:19But if I had a curable disease, you'd be damn sure I'd spend every penny to heal myself.
26:23What's crazy is he works at a hospital,
26:26and he can't even get the treatment he needs covered.
26:28And he'd probably be a great candidate for it.
26:31It's out there.
26:32It's available.
26:32We have everything we need to cure his sickle cell.
26:36Everything except the money.
26:42What do you mean we beat them here?
26:44It's a three-hour drive.
26:45When the weather is bad, they often reroute to get around the storm.
26:48And how much longer until they arrive?
26:50Is Ophelia still okay?
26:52This doesn't necessarily mean anything,
26:54but at the moment, we've lost contact with them.
26:58I'm calling Dr. Schmidt and Dr. Adams.
27:00We will also keep trying them until we get through.
27:03We trusted your team with our daughter.
27:06They promised to take care of our baby.
27:09I know that this is terrifying.
27:10We are closely monitoring the situation.
27:12Dr. Beltran has a whole staff that is prepared to treat Ophelia as soon as she arrives.
27:19Come on, let's go take a seat.
27:20Give me at me.
27:20Oh, Kwan Griffith.
27:34Yeah, yeah, sorry to bother you, but this is important.
27:37It's about a patient, and it's urgent.
27:39Can you page another attending?
27:40We need you or Dr. Altman, but she's heading to emergent surgery.
27:43Our patient has sickle cell disease, and there's a new gene therapy that could cure him.
27:48But it's expensive, and his insurance won't cover it.
27:50We know the hospital can't treat everyone pro bono, but this man works here.
27:54He walks the same halls as us and eats the same cafeteria food.
27:57How can we look him in the eye knowing we're not going to help him
28:00just because some idiot suit in an insurance office says we can't?
28:10Doctors, these are some of our partners from Balcom Medical.
28:15These are two of our surgical interns, who I believe have rounds.
28:20We do.
28:21Thank you for your time.
28:25His chest tubes are putting out minimal fluid, and he's stable on ECMO.
28:30Yeah, he knew he was sick for a while, but he's been trying to work through it.
28:42He said if he's going to drop, he'd rather do it around people than at home by himself.
28:47And all I've done since he showed up here is give him bad news,
28:50and he's had to take it all on by himself.
28:53He doesn't have any family, and his students can't visit.
28:57So, my personal interest in providing Mr. Riley's care
29:01has nothing to do with anyone's capability.
29:05I just don't want him to feel alone.
29:09So, um, you know what I'm going to put in the post-op labs?
29:12Of course.
29:13Okay.
29:13Warren, start to wean him off sedation,
29:16and, um, extubate him when you think he's ready.
29:20You got it.
29:21Breathe out again
29:23Clouds hanging over my shoulder
29:29Anything new, sir?
29:34It's just my increased blood pressure.
29:37I should have connected with an ambulance when they made it down.
29:40If they made it down.
29:44Hello?
29:45This is Grace Sloan Memorial.
29:47Is there anyone there?
29:48Come in.
29:48Come in.
29:48Come in.
29:50I sent them.
29:55I specifically sent Schmidt in my place.
29:58I sent your nephew.
29:59If something happens, I'm going to have to call Schmidt's family
30:01and tell them that I put him on that helicopter.
30:03And your family...
30:05I'm really sorry.
30:09I just had to go to the worst-case scenario in my head,
30:11and it's really hard not to
30:12when they're flying right now
30:14over water and other things that could spell disaster.
30:17Oh, I've experienced enough that I always go to the worst-case scenario.
30:23And sometimes you've just got to accept the situation at face value
30:27So you keep moving forward.
30:33Somebody took me off
30:35Hello?
30:36Hello?
30:36Come on.
31:06Play and hide and seek.
31:12Can you tell me before I break down, break down again?
31:32His heart exploded and now he's completely fine.
31:36That poor woman.
31:43He was covered.
31:45Covered in blood.
31:49This is terrible.
31:51I can still feel it in my socks.
31:54Oh, and we don't have to schedule sex.
32:07Well, technically it's now our homework and I have always been a straight-A student, so...
32:14We're going to get through this.
32:16We have gotten through a lot worse.
32:19I'm not sure if you're talking about Iraq with kids.
32:22Teddy, can I take you on a date?
32:26Some of those not chose.
32:29I'd really like that.
32:30Is it over?
32:41Uh, yes.
32:42Your surgery went very well.
32:44How do you feel?
32:45Really tired.
32:46Payments are still working.
32:47So, is this Zane Johnson?
32:51Now, these payments are really strong, but you're not Dr. Lincoln.
32:54I'm Dr. Weber.
32:56I have some good news.
32:57There's a possibility you could get sickle cell gene therapy.
33:00What?
33:01How?
33:02We're doing it pro bono?
33:04No.
33:04My partners and I at Valcom heard your story, and we'd like to open a discussion about
33:09how you could apply for a grant we have.
33:12I can't believe this.
33:15Thank you, advocates.
33:17They really made an impression.
33:19Okay, we'll be talking about that later.
33:21If you get the go-ahead, we need to get you started soon.
33:24This whole process could take almost a year.
33:26A year?
33:27Well, sometimes as soon as eight months.
33:28You'll get blood transfusions, then you'll stay in the hospital to collect your stem cells,
33:33and after gene therapy, you'll be given chemo and kept in isolation for about a month
33:38until your immune system recovers.
33:41I don't think I could do that.
33:44My son has special needs, and I can't afford a caretaker to be away from him for that long.
33:54Okay, well, you think about it, and maybe you'll figure something out.
34:03The system still sucks.
34:12Yeah, if only there was something we could do about it.
34:15We used to fly.
34:19We used to fly.
34:21She's still in critical condition, but she should be okay.
34:34And her leg?
34:35We were able to save it.
34:36She'll likely need more surgery, but hopefully with some physical therapy, she'll regain function.
34:42Thank you, doctors.
34:43Dr. Adams, I'll take you in.
34:46Do you think pizza is your calling?
34:55You know I applied for the fellowship.
34:57I don't mean your interest.
34:58I've heard all about your interest.
35:00I mean, do you truly believe that it's what you're meant to do?
35:04When I was a kid, I was obsessed with helicopters.
35:10So for my fifth birthday, my mom splurged on an aerial tour of Seattle.
35:15Got to take pictures with the pilot, put on the cool headphones.
35:19Then we got up in the air, and I freaked out.
35:23I rode the entire trip with my eyes closed.
35:25That was my only helicopter ride until today.
35:31I pretended to nap the whole way of Friday Harbor.
35:35But on the way back, once she started to deteriorate, all I could think about was Ophelia.
35:42Even when we were going down in the storm, I only wanted to keep her safe.
35:46I know pizza's my calling.
35:48But I don't know how to prove that to everyone else.
35:54Well, I've never been more certain that a resident belongs in Pete's.
36:01I want to help.
36:04Think that ship has sailed?
36:06For now.
36:08But I have a lot of friends who got their fellowship after doing research.
36:12And I have a colleague in Texas who's looking for help with the clinical trial.
36:17Are you interested?
36:18Sure.
36:22Great, because I already told him you'd call him to schedule something.
36:27You know more than you think, Schmidt.
36:29Trust yourself.
36:40Check on Mr. Riley?
36:41Yeah, he's stable for now.
36:43I asked the nurse to let us know if anything changes.
36:45All right, thanks.
36:46Well, if it does, I'll handle it.
36:47Not because you can't.
36:50I'll just be across the street at Joe's.
36:52Are you meeting folks?
36:53No, just grab me some dinner.
36:56Maybe you watch the game.
36:58I like the noise.
37:00Are you ready?
37:01I just told Tuck to put the casserole in the oven and prove to clean up her Play-Doh.
37:08Actually, I think I'm going to head over to Joe's with Ndugu.
37:11Oh, I'll go to Joe's.
37:13Well, it's a good thing you weren't invited.
37:15Have a nice time.
37:16I'll see you at home.
37:18The old saying goes, fake it till you make it.
37:24Because sometimes pretending you have confidence helps you find the real thing.
37:28You can go home.
37:34I can stay a monitor, Ophelia.
37:36Are you still avoiding that guy?
37:38Just because we shared a near-death experience doesn't mean I have to answer you.
37:42Sure, but he's following us.
37:44Hey, Levi.
37:46Hi, can we talk?
37:48I know about Ryan.
37:51Okay.
37:51I thought what we had was real.
37:54Something deep.
37:55I'm sorry I didn't say anything.
37:57I'm sure you are.
37:59It's hard to know when to tell people about your dead husband.
38:03What?
38:04Oh, I didn't realize.
38:06I'm so sorry.
38:07It'll be four years this summer.
38:10I just haven't done a lot of dating since then, so this is all new to me.
38:13Yeah, yeah.
38:15Wait, did you think I was cheating?
38:16No.
38:18No, I mean, maybe a little bit.
38:22I think what we have is real.
38:26Okay?
38:27You're kind of the best thing that's happened to me in a really long time.
38:32When it doesn't work,
38:34when life doesn't give us second chances or dress rehearsals,
38:38you can walk away,
38:41or you can go all in.
38:42Hey.
38:46Ophelia's vascular checks look good.
38:47Oh, nice.
38:50Thanks for your help today.
38:52I just did a neuro exam.
38:54No, I was freaking out,
38:56and you calmed me down.
38:57No.
38:59I'm being genuine.
39:00No, I...
39:01It's not you.
39:02It's the irony that you would see if you knew me better.
39:05Listen, the thing with Ndugu,
39:07it's just casual.
39:09We're just going through something similar.
39:10You don't owe me an explanation.
39:12Really.
39:12You and I are good.
39:15Good night.
39:16We tell ourselves we don't care.
39:20Hey.
39:21Hey.
39:23Ultrasound show two strong heartbeats,
39:25equal fluid level,
39:26dilucosol,
39:27nothing to worry about.
39:30Great.
39:30I'm sorry.
39:35I was so freaked out over one baby,
39:38and now it's...
39:39And I'm exhausted.
39:41You know, I worked 20 hours straight last week.
39:43I delivered eight babies with no caffeine.
39:47Told you she pressed after that.
39:49Are you mad at me?
39:50You locked me out of your car this morning.
39:57And you kicked me out of the ultrasound.
39:59I didn't kick you out.
40:01I...
40:01I was overwhelmed.
40:04And hormonal.
40:05This is a high-risk pregnancy.
40:07The odds of making it full term with two healthy babies...
40:10I'm scared.
40:11Yeah, and you think I'm just worried about cars?
40:13No, I...
40:14I'm scared out of my mind.
40:15I'm scared for them.
40:17I'm scared about you.
40:20We're supposed to be partners.
40:23We're falling apart and just thinking about having twins.
40:27What's going to happen when we actually have them?
40:33We can try to hide our doubts and fears.
40:39When your heartbeat stops
40:41And the world won't spin
40:45When your time is gone
40:48Or we can accept the unknown
40:58What's this?
41:01And die there
41:02I've had an extremely long day
41:18And I just wanted to end it with you
41:21And a real meal
41:23Are you hungry?
41:26We can't wait until you get out of your way
41:28We can't wait until you get out of your way
41:30We can't wait until you get out of your way
41:31We can't wait until you get out of your way
41:31We can't wait until you get out of your way
41:32We can't wait until you get out of your way
41:33We can't wait until you get out of your way
41:33We can't wait until you get out of your way
41:34We can't wait until you get out of your way
41:35We can't wait until you get out of your way
41:36We can't wait until you get out of your way
41:36We can't wait until you get out of your way
41:37We can't wait until you get out of your way
41:38We can't wait until you get out of your way
41:39We can't wait until you get out of your way
41:40We can't wait until you get out of your way
41:41We can't wait until you get out of your way