Grey's Anatomy Season 21 Episode 4
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00:00Before we operate, we place drapes over our patient, exposing only the area where we'll
00:12be working. They not only help us focus on what we need to see, but they keep the field
00:20clean and minimize debris getting in the way. Incoming, and I don't have a lot of time.
00:25You want to use one of our other three bathrooms to vomit?
00:29Feel decent for the first time in the week, so don't jinx it. Oh, and don't forget we have
00:32our first OB appointment today. I thought that was after work. It is. So what's the rush?
00:37Well, the kids are still asleep, my charts are done, and I've got just enough time for a quick shower.
00:45How quick? If it's too quick, I'll kill you.
00:50Drapes are specialized to fit the needs of various surgeries.
00:55The challenge comes when there's a complication under the drain.
00:59Oh, and we switch to a new EMR now? You select the medication on top and then scroll all the
01:04way down to enter the dosage. Makes no sense. Medication up top, dosage on the bottom. Got it.
01:08You only allowed two pairs of scrobes now. It's all automated.
01:12Miranda, I've been a resident before. I'll be okay.
01:15You're not nervous?
01:15I feel great. It's like coming home. Dr. Bailey, welcome back.
01:19Oh, welcome back to the both of you. Oh, Warren, do you know Dr. Ndougal?
01:24Are you kidding? I tore up the dance floor at his wedding. My moves are basically a move. I was like...
01:28How's Catherine?
01:30Oh, I'm feeling better every day, especially now that we know the biofuel is also negative.
01:34Thank God. She wants to throw a party. Caviar and champagne are not the kind you get from
01:38the irregular grocery store.
01:39I'd expect no less. I'll send her our best.
01:42Well, then.
01:44This means stop talking.
01:46What?
01:47And Dougal and Pierce are getting a divorce.
01:49Oh.
01:50When the body's draped, we can't see something going pale or a leg turning blue.
01:55I refuse to be late on Bailey's first day back.
01:58So that's it, the guy who took a 20-minute shower. So that's the guy who doesn't live there?
02:01Hey, there was a fistfight on my bus. I thought I was going to be late.
02:05Hey, where's your sister? We want to meet your mini Mika.
02:08We're late, and we're not alike at all.
02:12When we can't see the whole body, we might miss a telltale sign something's gone wrong.
02:22Sorry. I left my phone on the plane, then the line for the bathroom was really long,
02:27and then Dumbledore missed the freeway exit.
02:30My rideshare driver looked just like him. I couldn't see it.
02:33Yep, not alike at all.
02:35That's Lucas, a.k.a. Skywalker.
02:37Simone, Blue, and Jules.
02:40Hi.
02:42This is my youngest sister, Chloe.
02:44I have cancer.
02:47Don't be late for Bailey.
02:49We'll see you later.
02:53Come here.
02:54It's going to be okay.
02:57Dr. Weber is the best.
02:59We'll figure this out.
03:02Come on.
03:04Come on.
03:07Here is the overnight roster list.
03:09You need to follow up on Ms. Boardman's CT,
03:12and there are two roll-out Abby consults in the ER waiting for ultrasounds.
03:16Good morning to you two.
03:17Not all of us just spent two weeks in Paris.
03:20Clearly.
03:22This is nothing like a cafe crumb.
03:24Will you just take this so I can go home and faceplant under my pillow?
03:28Morning.
03:28Good morning.
03:30I mean, and hi.
03:31Hey.
03:31This is James, the hospital chaplain.
03:37Enchanté.
03:39Taryn.
03:40Do you work nice?
03:42I work when I'm needed.
03:44Is that from the coffee cart?
03:45Oh, no.
03:46I drink French now.
03:47It's Le Gâteau Joli down the street.
03:49Okay.
03:51I could use some coffee.
03:54Would you want to go for a walk?
03:55Oui?
03:56Oh, that's French for yes.
04:00Nice to meet you.
04:02Welcome back.
04:06So, Bailey's her husband's boss?
04:09Is that loud?
04:10One of your aunts is head of the neurodepartment.
04:11Your other aunt's name is in the building?
04:13Karen hired him before she left.
04:14Everyone says he's impressive.
04:15Bring it.
04:16You all slow me down.
04:17Oh, my God.
04:17He's not your competition.
04:18He has a fourth year on the trial basis until the ACGME approves him to stay.
04:21There's a finite number of people who can fit around the operating table.
04:25Everyone is my competition, including Mr. Dr. Bailey.
04:28It's Warren, actually.
04:30Ben Warren.
04:32Looking forward to working with you again, Dr. Kwan.
04:34See, you've met Dr. Warren.
04:36Yes, he is my husband.
04:37No, he will not be getting special treatment.
04:40As for the rest of you, any bad habits you picked up while I was gone, lose them.
04:45You have four months left in your intern year.
04:48I want you sprinting to that finish line.
04:51Understood?
04:52All right.
04:52Helm has your assignments.
04:54Any problems, she'll be happy to hear about it.
04:57Get to work.
04:58Okay, Griffith is with Ndugu.
05:01Ndugu, Warren, and Kwan to the pit.
05:03Adams and Millen with me.
05:04Oh, 100 unread emails after operating all night.
05:17Why do I like this job again?
05:19Were you in the OR?
05:20Yeah.
05:20Nasty bus accident in the airport.
05:22I was called in around four kids or my mom's.
05:24Oh, no.
05:25Why didn't you call me?
05:26I didn't want her to disturb you while you were in surgery.
05:28Look at me.
05:28It's wrong.
05:29I had muffins and bagels delivered to the house because you've been on the morning routine
05:32so often I wanted to take care of breakfast for you.
05:34You should have said something.
05:35It was supposed to be a surprise.
05:37Do you think that your mom could go over there and grab them?
05:39I am in back-to-back meetings and Richard wants the quarterly budget report before it
05:42goes to the board.
05:43Sounds like you need a break.
05:44That is the opposite of what I need.
05:46Trust me, I had your job.
05:47You have to pace yourself.
05:49This job is very different than the job you had 10 years ago, but thanks for the tip.
05:54I'm just trying to help.
05:56I have to go fire an anesthesiologist.
06:01You said we'd be saving lives.
06:03I said you'd be helping to save lives.
06:06You are contributing to one of the most memorable experiences in a medical student's education,
06:11providing the opportunity to learn human anatomy while developing their own understanding
06:15of what it means to be human.
06:17Are those...
06:18I hate this already.
06:19Cadavers for Anders Simmons Med School Anatomy Lab.
06:22We scan them so students have images to help them diagnose how their cadavers died during
06:27their anatomy class dissection.
06:29Good luck.
06:30You're not helping?
06:31C'est pas la meravoir.
06:33I'm pretty sure that means we're screwed.
06:47Dr. Ndugu, am I getting out of here today?
06:51This pneumonia is taking up all my field time.
06:53I'm supposed to be out blocking a halftime shell.
06:56Mr. Raleigh is a high school band director.
06:58You win the state championship three times in a row?
07:00Oh, come on.
07:01I'll take the fourth one away from me.
07:04Well, we'll make this quick so you can get back to it, all right?
07:07Dr. Griffith?
07:08Darren Riley.
07:0955, history of smoking and pulmonary fibrosis.
07:12Admitted for multi-drug-resistant gram-negative pneumonia.
07:14Currently on seven liters nasal cannula and exhaustive.
07:17Oh, there's music in the voice.
07:19You sing?
07:20No, but I marched in high school.
07:22Birds of a feather.
07:24Which instrument?
07:25Trombone.
07:25Form a bone player and a doctor.
07:28That's not bad.
07:30It's not.
07:31Sats are low despite the nasal cannula.
07:33Okay.
07:34Let's put them on high flow and then get them to CT.
07:36Dr. Griffith's going to take you for some scans.
07:38More scans.
07:39We're doing everything we can to get you out of here, okay?
07:43Stay close.
07:44No local family in this last ABG came back.
07:46Borderline.
07:47I reviewed your scans of radiology.
07:54There is some suspicious appearing lymph nodes.
07:58It's likely stage 3B rectal cancer due to...
08:01Wait, 3B?
08:02I thought it was 2A.
08:03Mimi, can you just stop moving?
08:06Sorry.
08:09Okay.
08:10What happens next?
08:11Chemotherapy, radiation?
08:13Correct.
08:14Surgery's a possibility depending on the tumor's response.
08:16Will I lose my hair?
08:18It's possible.
08:20What other side effects are there?
08:21No, it varies from patient to patient.
08:24Radiation often causes impaired ovarian function.
08:27There's nausea and fatigue and changes in mood and weight are common, too.
08:32I won't be able to have kids.
08:35We'll have you talk to an OBGYN about your options.
08:39Do you have any other questions, Betty?
08:42How long does Kilo your sister have?
08:44Why are you just guessing?
08:45Why is he now coming?
08:46Why are you surviving me?
08:49Because you're a distant Catholic virus.
08:50Come in.
09:04Wait, so you went from Wyoming to Raleigh to St. Louis to Seattle?
09:05There are a bunch of places in between.
09:07I did the whole global nomad thing before Divinity School.
09:10I've only ever lived here.
09:12You travel, right?
09:14Well, I used to visit my grandparents in Illinois.
09:18But then how did you end up becoming a chaplain?
09:20I grew up in Wyoming.
09:22Two devout Episcopal parents.
09:24I love them, but it was complicated.
09:28Was it like a hard coming out thing?
09:31No, not really.
09:34I'm an only child.
09:36And I always felt this pressure to be their everything.
09:38And, you know, I needed space.
09:43So I left home, never looked back, and then they died.
09:48I'm so sorry.
09:50Yeah, I wish I had a more noble reason for becoming a chaplain.
09:53But the truth is I only really found my faith again because of grief, guilt.
09:59Sometimes you have to help yourself in order to help others.
10:03It's very poetic.
10:04That's my mother.
10:06She's a whole other conversation.
10:08No, I have time.
10:11Want to get lunch?
10:14Yeah.
10:18They told us to come into trauma one.
10:22Warren.
10:23Nice to see you back this side of the ambulance bay.
10:25You back full time?
10:26On a trial basis for now, but don't go easy.
10:28I'm just another resident.
10:29Well, why don't you warm up with some sutures?
10:32We have a small thigh lack in bed three.
10:34I'll just give her some Lido and Kwan.
10:36You can help them out.
10:39After you.
10:43Ms. Dunn.
10:45I'm Dr. Warren, and this is Dr. Kwan.
10:46Judith is fine.
10:48Not Judy.
10:49Judy is my mother, and she talks to her plants.
10:51Judith it is.
10:52So it says here you have a cut on your thigh.
10:54All right, let's take a look.
10:55Roll over, please.
10:56Okay.
10:56Okay.
10:56It's my own dumb fault.
11:07Six-inch stilettos of tequila don't mix.
11:11What was the occasion?
11:13The tequila was for my friend's birthday.
11:15The heels were from a new peach.
11:17I got a BBL two months ago.
11:20A Brazilian butt lift.
11:22Oh, we're familiar.
11:26Careful, doctor.
11:28All that drool could stain your white coat.
11:30No, no, no.
11:30It's not what you think.
11:33I grabbed the wrong sutures.
11:34Can you grab me a four?
11:36On a crown?
11:39I was just getting a better suture for your cut.
11:41How are you feeling?
11:41You need more Lido again?
11:43I don't feel the cut anymore, but it's my hip that's killing me.
11:47From the fall?
11:47I finally feel well enough to take this booty out for a spin,
11:50and now my hip's hurting like house.
11:51It's probably just bruising, but we'll get some labs and x-rays just to be safe.
11:54Can you grab the labs, and I'll take care of the x-rays?
11:57You got it, boss.
12:04Oh, why is it that everybody who donates their body to science weighs like 800 pounds?
12:09They don't.
12:10They just can't change their center of gravity like a lot of people.
12:12They're literally dead weight.
12:14Okay, can you hold your shut up more?
12:15I am.
12:15He's saggy.
12:16I don't think he cares.
12:20Well, the good news is we only have 29 left of these.
12:24What's the bad news?
12:29He's on feet first.
12:30Griffin, how busy are you?
12:47I'm almost done in putting orders for Dr. Ndugu,
12:49and then I should start rounds in about 20 minutes.
12:52Oh, just enough time to run to the pit.
12:54You need something there?
12:55There are a couple of patients on Dr. Hunt's service.
12:59Can you check on them for me?
13:00You need me to add someone to my roster list?
13:02Oh, no, no.
13:03Just see how things are going.
13:06Like check and see if the patients are satisfied with their care here?
13:10You don't need to say anything to them.
13:12Just discreetly observe.
13:16See how the patients are doing.
13:19See how the doctors are doing.
13:23Got it.
13:25And then I should circle back with you after.
13:28Took the words right out of my mouth.
13:34We typically recommend hormone replacement therapy
13:37for the loss of estrogen production and fertility.
13:41So that would allow me to have kids later if I want.
13:43Well, there's no guarantees.
13:45But if you want to increase your chances,
13:47many patients opt to retrieve and freeze their eggs.
13:50What do you think?
13:51Uh, it'll take at least a month to do a round of egg retrieval.
13:55That's if your body responds to the hormones correctly.
13:58The cancer could spread to a later stage during that time.
14:01There are other options, right?
14:03At this time, egg freezing is the most effective and common.
14:07Okay.
14:07Well, find something else.
14:09Look at other colorectal cancer cases.
14:10Meet with your department.
14:11Yes, you don't.
14:12There has to be a way.
14:13It's okay, Mimi.
14:15I'm not sure I really want kids anyway.
14:16Okay.
14:17Warren, nice to see you back.
14:23What do we got?
14:24A 34-year-old female, history of type 2 diabetes,
14:27tripped and fell into her left thigh three days ago,
14:29sustained a thigh laceration,
14:31but has pain with weight bearing that's getting more severe.
14:34Myra Labs.
14:35Still waiting.
14:36I just called to put a rush on him.
14:37You think it's a hip joint infusion?
14:39I couldn't tell you this is a lateral hip.
14:41I need an AP view.
14:42I don't know what happened.
14:43I ordered an X-ray series.
14:46The system is a little funky.
14:47You got to go to the drop-down to order the AP view.
14:50Hip joint infusions are difficult to see on X-rays.
14:53A CT scan would give better visibility.
14:55Quan's right.
14:56Pay just when you've got it.
14:59You want me to show you how?
15:00No, I got it.
15:01I got it.
15:01I got it.
15:02I got it.
15:03Are you okay?
15:14Chloe's cancer is more advanced than we thought.
15:16I'm so sorry.
15:17Weber asked Dr. Sugihara to see her.
15:20Chief of Oncology, that's good.
15:21It's terrible.
15:22She has to start chemo and radiation right away,
15:24which means she doesn't have time to protect her fertility.
15:27Does she want kids?
15:29She's 22.
15:30She doesn't know what she wants for breakfast tomorrow.
15:34She's the eighth out of eight sisters.
15:38She spent her whole life getting dragged to our practices,
15:41our recitals.
15:42She only ever had hand-me-downs.
15:44Always had to watch us on the roller coasters
15:46because she wasn't tall enough.
15:48Now that she's finally out of our shadows
15:50and starting to live her own life.
15:51This.
15:54The future should be wide open,
15:56not limited by an awful disease.
15:59Well, at least she'll still be alive.
16:02What is that supposed to mean?
16:04Nothing.
16:04I'm just trying to look on the bright side.
16:07My sister has cancer.
16:08There is no bright side.
16:09But you wouldn't get that, would you?
16:11Because you don't have sisters.
16:12You have one brother who thinks celery juice changes lives
16:15and you don't even like him.
16:17So please don't pretend to understand what this feels like.
16:19You never will.
16:21No, no way.
16:33You're living in complete fantasy.
16:34You asked my opinion.
16:35Well, I wasn't expecting it to be wrong.
16:37I am a man of science.
16:39I don't know what else to tell you.
16:40The Millennium Falcon can go faster than light.
16:42It has hyperdrive.
16:43That thing breaks down more often than my mom's old Fort Taurus.
16:46It made the Kessel Run in under 12 parsecs.
16:49The Kessel Run tests navigation,
16:51not speed.
16:52The Enterprise is exponentially faster.
16:54How do you figure?
16:55Warp 1 is the speed of light.
16:57Even the original Enterprise went up to Warp 5.
16:59Who are you?
17:00So you would rather be the captain of the Enterprise
17:02than Han Solo?
17:04Obviously.
17:05Do you want to go back to my place?
17:06Obviously.
17:06Obviously.
17:07Hey, hey, hey, hey, hey.
17:34Hey, I thought you were on cardio today.
17:37I am.
17:37I had to run downstairs for something.
17:39Well, I'm glad I got to see you.
17:48Hi.
17:55Can I ask you a hypothetical question?
17:56Yeah.
17:57If you were asked to review a colleague's performance
18:00and they made an inconsequential mistake,
18:02would you mention it?
18:04Are we getting peer-reviewed?
18:06No, more of an informal observation.
18:09Will we get in trouble?
18:10I don't think so.
18:11Okay, so, uh, nothing major went wrong and there are no consequences?
18:17I think you answered my question.
18:21How's your project with Helm? Is it something fun? Deathly boring?
18:26Definitely the latter.
18:34Your sister went outside to get some air and call your parents.
18:40Oh, colorectal cancer and fertility studies.
18:45Just educating myself?
18:47I know you want things to be better for Chloe.
18:49She's my sister.
18:50And you're also a surgeon.
18:52We like to believe we can solve everyone's problems.
18:55I really thought there'd be other options, but Wilson's right.
19:00You know, I've seen a lot of cancer patients in my career.
19:08And no matter the type or stage, the treatment process, it's grueling.
19:14Some people say the side effects of it are just as horrible as the cancer itself.
19:19Everyone has the same questions.
19:21And they reckon with the same concerns.
19:23Cancer is universal that way.
19:26It's universal.
19:28What if I can find a precedent for protecting fertility when treating other cancers?
19:32Then I'd be willing to bet it's relevant to colorectal cancer too.
19:43Off you.
19:44John.
19:45Ben Warren.
19:46Oh my God.
19:47You miss me.
19:48I miss you.
19:49It's great to be back.
19:50I just gave someone a heparin drip instead of purple laxics.
19:52How do I stop it?
19:53Oh, yeah.
19:54The new EMR system is confusing.
19:56Okay.
19:57Type in the patient's MRN there.
19:58And then you are going to click here.
20:00Okay.
20:01Here.
20:02You're done.
20:03Okay.
20:04I had three careers.
20:06You think I'd remember that the first day is always rough?
20:08I don't get better.
20:09Quan is laughing at me and he's only been a doctor eight months.
20:12You'll be fine.
20:13You've given off fighting fires.
20:15I went from splicing intestines to delivering babies and I still have no idea what day it is
20:20and I'm a constant mess.
20:22Yeah?
20:23What's new in your love?
20:24Can you keep this secret?
20:26Yeah.
20:27You sure?
20:28Are you okay?
20:29I need your help.
20:31Okay.
20:32Hey.
20:33Turkey burgers in the cafeteria.
20:38Listen.
20:39I think earlier I might have...
20:41Insinuated that you know the job better than me.
20:44You're lucky I'm hungry.
20:45Hey, do you ever get a butt lift?
20:47No.
20:48No, no, no, no, no.
20:49I'm not suggesting you are perfect, but there's a woman in the ER.
20:54She just had one and I don't get it.
20:57What don't you get?
20:58Well, it's a surgery with risks and why?
21:00So you can wear different clothes?
21:01Wait.
21:02You think that this woman underwent anesthesia, had surgeons cut into her glutes, suck fat
21:07from her belly and put it back in her butt just so that she could wear different clothes?
21:12I mean, what else was she doing for me?
21:15Yeah.
21:16Let me break it down for you.
21:17The world that you live in where you do a good job and you get rewarded for it, that is not the world that women live in.
21:22In our world, you can be smarter, you can work harder, but the prettier person who has a more desirable body most always gets ahead
21:31because the people who decide that are almost always men.
21:35So before we rush to judge the woman for being so desperate that she underwent surgery to change her body,
21:41maybe we should think about how our culture prioritizes the wrong things and think about how we can change that.
21:47I was just asking.
21:49And I was just answering.
21:51Sorry, I have to take this.
21:53Thank you for the burger.
21:54Yeah, no, I want to review that.
21:57I never thought I'd say this, but I am missing Pearl.
22:00Is that your partner or your friend?
22:02My booty pillow.
22:03These cheeks could use a good cushion.
22:05Are you in more pain?
22:07A little.
22:08Well, the scans will be quick, so just try to sit still.
22:11I know what you're thinking.
22:13Trust me, my family gave me grief for getting surgery, too.
22:16But for 30 years, no one blinked an eye at me.
22:19I was a sidekick with a pancake butt.
22:22But then overnight, I became the star.
22:26I never felt more empowered in my own skin.
22:29Forget the jobs that work from home and the movies on the couch.
22:33I'm planning on taking this beauty all across town.
22:37Look, our lives are in.
22:39White count is $18,000.
22:42That can't be right.
22:43Are you sure you're looking at the right value?
22:45Yeah, more than familiar with our lapisole system.
22:47If you want to rerun them, I'll let Dr. Hood know.
22:49These numbers are off the charts.
22:52Scans are out.
22:55Did you see that?
22:56Extensive signs of infection into the muscles along the fascia planes.
23:00Are we done?
23:02Judith, I'm going to have to check your hip again.
23:04May I?
23:05Yeah.
23:07Is that?
23:08Necrotizing fasciitis.
23:11Someone help me with this, Kearney.
23:12What's going on? What's happening?
23:13You have a fast-looking soft tissue infection, but don't worry.
23:15Work faster.
23:16You should pay the attention to book an OR right now.
23:19On my count.
23:20One, two, three.
23:21One, two, three.
23:26I like that painting.
23:28You get to wake up to the sunrise even when it's raining.
23:33How about you're going to say, even in the middle of the day?
23:35Mmm, that too.
23:38I, um, I got it at an Italian restaurant.
23:46Is it Nicoletti's?
23:49And that was a little cafe in Cortona, Italy.
23:54I was going through a rough time, so I booked a red-eye to Florence.
23:58And I told myself I would visit every art museum between there and Vatican City.
24:02I strained my neck, gazing at Michelangelo's work in the Sistine Chapel.
24:09And, uh, I don't know, when I saw that sunrise, it lifted something up in me.
24:17So, I asked the restaurant owner.
24:21Didn't even tell it to me.
24:23You know, sometimes you just feel a strong connection.
24:29I do.
24:32Page me as soon as his ABG gets back.
24:48Dr. Ndugu's asking.
24:53Dr. Griffith?
24:54So, how was everything with the patient in the ER? Things seem smooth?
25:02Everything appeared in control. I don't think you have anything to worry about on the case.
25:08But you think, or you know?
25:11Are we talking about Big Booty Judy? Right?
25:13Look, um, it's not that I don't think he will succeed.
25:21Um, I also want to make sure that he has an objective experience.
25:26Make the same treatment as everyone.
25:29And if I go down there, my appearance in the room takes away that objectivity.
25:35I can spare another five minutes.
25:43So, you'd move my ovaries into my abdomen?
25:46We'd move them up and attach them to the abdominal wall so they're out of the field of radiation.
25:51Has this been done before?
25:52Ovarian transposition is often used to help preserve the fertility of cervical cancer patients, but there's no reason it couldn't apply to your case.
26:03I'll be able to have kids later?
26:05There is a 50 to 80% success rate.
26:08That's better than zero.
26:10And if we can preserve your ovarian function, then you likely will not need hormone replacements.
26:16This is great. Thank you so much.
26:19Thank you, sister. She's the one who thought of it.
26:20Can we do this today?
26:22That way I can start treatment sooner, finish my last semester before my scholarship runs out.
26:27I should totally do this right now, right? I mean, just get it done?
26:30I'm gonna call mom and dad first, but yes, you want Dr. Webber and Dr. Wilson to be the ones to do it.
26:35And you can be in the operating room with me?
26:38I can't, Chloe. Family's not allowed.
26:42Oh, right.
26:44Hey, think of it like one of your cross-country races.
26:47It'll be over before you know it.
26:49And I will be as close as I can be, okay?
26:51Okay.
26:52Okay.
26:53Okay.
26:54Okay.
26:55Let's do it.
27:02Do you always eat when you're scanning patients?
27:05Well, I mean, technically he's not a patient.
27:07And he's in a bag.
27:09And dead.
27:10Are you Suda's sister is getting surgery?
27:17Is it an emergency?
27:18It doesn't seem like it.
27:19They're waiting for an OR to open.
27:23What's going on between you two?
27:25Nothing.
27:28Is that her?
27:29No, it's Maxine.
27:31She's getting any falls for dinner.
27:32Yeah, Suda is not texting me.
27:34She basically accused me of having no empathy.
27:38No, her sister has cancer.
27:40She's of stress.
27:41Well, you know what's not going to make her sister get better?
27:44Being mean to me.
27:46Really?
27:48You can't hear me.
27:49Heart rates in the 140 systolics are on the 100.
27:54We broadened IV antibiotics and started low dose norepi.
27:57Judith, we're taking you up to the OR to remove the infected tissue and stop it spreading, okay?
28:01Are you going to take my butt?
28:02The infection seems to have spread to your glute, but we won't know until we get to the OR.
28:05No, I want a second opinion.
28:06There's no time for another opinion.
28:08You have to trust us.
28:09I don't understand.
28:10I just fell on the sidewalk.
28:11The bacteria must have gotten through the cut on your thigh.
28:13It's rare, but it happens.
28:15Do you know what it's like to be invisible?
28:17Well, if there were any other option, we would tell you.
28:19I promise, Judith.
28:20Judith?
28:21Judith?
28:22Judith?
28:23Damn it, she's septic.
28:24Come on.
28:25Come on.
28:26Come on.
28:27Let's go.
28:28Let's move.
28:31Mr. Roddy, hold on.
28:32I got you.
28:33I need a hand in here.
28:34Griffith!
28:35He started crashing a minute ago.
28:36I need to intubate.
28:37Push 30 of Atomidate.
28:38150 of sucks.
28:39On it.
28:40Where is Griffith?
28:41I got the intubation tray.
28:42All right.
28:43Let's get you some air.
28:44Here we go.
28:45All right.
28:46Come on.
28:47Come on.
28:48Damn it.
28:49Help!
28:50Help!
28:51Get in here!
28:54I need you to apply fricoid pressure.
28:55There.
28:56Higher.
28:57There.
28:58Right there.
28:59Right there.
29:00There we go.
29:01I'm in.
29:02All right.
29:03Come on.
29:04His stats aren't improving.
29:06We need to get him on ECMO before the hypoxemia puts too much stress on his heart and
29:09the codes.
29:10I need an ECMO machine right now.
29:23What happened?
29:24He was intubated, but he wasn't oxygenating.
29:26You'd know that if you were monitoring like I asked.
29:28I'm sorry.
29:29I ran down to the emergency.
29:30I don't want to hear it.
29:31Wait outside.
29:32Helen, get the tube ready.
29:33Okay.
29:34I hit a pocket of fluid suction.
29:35Whoa!
29:36Oh, she's going to be devastated when she wakes up and it's all gone.
29:50Well, at least she'll still be here.
29:51If we can work fast enough, I'm going to need another set of hands.
29:53Warren, you ready to get in here?
29:54Sure.
29:55Scalpel.
29:56Good.
29:57Quick and intentional.
29:58I can help if you need to keep up with the suction.
30:01Actually, I could use a hand in here.
30:02Kwon, you want to help break up some of this tissue?
30:03Yeah.
30:04Well, I see healthy tissue.
30:05Yep.
30:06There it is.
30:07Bleeding edges.
30:08Nice work, boss.
30:09Moving on to the superior aspect of the thigh.
30:25Last one.
30:27Do you remember your med school cadaver?
30:28Yeah, 68 year old female, lungs full of meds.
30:32We assume she was a smoker.
30:33A 68-year-old female, lungs full of mints.
30:36We assumed she was a smoker.
30:39Named her Marge and decided she was a trucker.
30:42Mine was my grandma.
30:44Wait, you dissected your grandmother?
30:47What?
30:48God, no, no, no.
30:49My dad's mom died before I was born,
30:52and then my mom really hated her,
30:54so I kind of grew up without a grandma,
30:57but we had been dissecting our cadaver for weeks
31:02before we finally took the towel off her face,
31:04and I remember looking at her and thinking,
31:06she could be my grandma,
31:08and I just hoped that she didn't feel alone.
31:13I hoped she felt that she was surrounded by people
31:16who truly appreciated her.
31:18I, um, I never thought about it that way.
31:22Yeah.
31:23And then we cut open her neck and her head and finished the...
31:26Um, could you transfer the scans to the CDs?
31:32By yourself.
31:32Is there something I really need to do?
31:35Yeah.
31:36Yeah.
31:36Okay.
31:47Hey, any, uh, news from the pit?
31:51How is he?
31:52He's on ECMO and stable,
31:54but I don't know if he'll ever breathe on his own again.
31:56So sorry.
31:57What were you doing in the ER when my patients are up here?
32:00Please explain that to me.
32:01Oh, uh, why don't we take a breath?
32:03I'm breathing just fine.
32:05I was checking on a patient for a colleague.
32:07In the ER?
32:08Dr. Ndugu.
32:09Dr. Bailey, hold on.
32:10If I can't trust you to follow simple instructions,
32:12I can't have you on my service.
32:14Dr. Ndugu, I need a word.
32:15Because I'm...
32:16In private.
32:18I love you.
32:28Bye.
32:41Bye.
32:42Bye.
32:42Bye.
32:42Bye.
32:43Bye.
32:43Bye.
32:44Bye.
32:44We're about to start the anesthesia. Are you ready?
32:48Okay.
32:49Wait, um, excuse me.
32:51Is it all right if I...
32:56Hi, I'm Jules. We met this morning on one of the interns.
32:59I know how you are.
33:14Hey, I asked Griffith to check on the patient in the emergency room.
33:41I didn't realize that your patient was borderline critical.
33:45She knew. She should have said no.
33:48I'm her boss, right? It's not her fault.
33:52Why did you send her downstairs? You're not working there today.
33:56I don't know. First day back in a while, I wanted to see how things were going. That's all.
34:06Okay. Take it from the guy who married and then divorced his boss.
34:10Get out of your husband's way.
34:12I beg your pardon?
34:14I'm saying at home, you need to be a team. At work, let it be his own person.
34:24I'm sorry. I'm sorry. I'm sorry. I'm sorry.
34:26The appointment was at five, right?
34:28I know. I just got so busy with patients, I completely forgot.
34:30You don't have to apologize. To look, I had to leave.
34:33You're going to see the baby.
34:35Just reschedule.
34:37Wait. Come with me.
34:43Judith?
34:44How are you feeling?
34:46You really have to ask.
34:48You should be feeling better soon. We were able to remove the infected tissue.
34:51Yeah, we'll keep you in the ICU for a few more days to wash out the wound and make sure there's no more necrotic tissue.
34:57Okay. Trauma. Quan, come with me. Check in the cultures and we'll see you downstairs.
35:00Judith, I will come check on you soon, okay?
35:10I know it feels like you're going back to an old version of yourself, but I've learned when it feels like you're losing ground, you're still moving forward.
35:18Everything you've learned, everything you've experienced, it all comes with you.
35:22I can tell you what's not coming with me. $8,000 I spent on my butt.
35:28No, but on the confidence you gained to have the lift, we didn't take any of that.
35:34Are you saying I have big butt energy?
35:37I'm saying all is not lost.
35:40But if down the road you decide you want reconstruction, I know a great plastic surgeon in Boston.
35:46Now you're talking.
35:49Get some rest.
35:50She's doing well.
36:04There were no complications.
36:05And Dr. Weber says she should be able to go home soon.
36:09I'm sorry for what I said earlier.
36:12Sometimes I can be such a...
36:14Thank you for sitting with her.
36:17You have no idea how much that meant to her.
36:22How much it meant to me.
36:24Well, I knew you couldn't do it, so...
36:27I didn't want her to be alone.
36:29Thank you for everything.
36:40Oh, I was glad to help.
36:43Oh, it's not easy to watch someone you love fight cancer.
36:47There'll be days you feel like your heart's being ripped to pieces.
36:51Remember to take care of yourself, too.
36:53Hey, you still haven't finished uploading all the scans.
37:14Yeah, I know.
37:15Adams, they have this covered.
37:16Hey, hey, show some respect.
37:20These people donated their bodies so that future doctors could learn how to help others live longer, healthier lives.
37:26Okay, sir.
37:29I wanted to help.
37:38Hey, aren't you supposed to be getting the kids?
37:40Yeah, well, I thought we could grab a bite first.
37:43Oh, I can either eat with you or feed the kids, but I don't have time for both.
37:49Do you not feel this?
37:51Feel what?
37:51Ever since we got rehired, we haven't had a single meal alone together.
37:55We haven't had a conversation that wasn't about surgery or the kids' schedules in almost three weeks.
38:00Well, work has been busy, but, you know, we'll get back on track eventually.
38:05It's just...
38:06It feels like we're not connecting, you know?
38:09It feels like there's something eating away at this relationship, and I know I stepped in it more than once today.
38:15No, it's...
38:16It's not just you.
38:19I feel it, too.
38:20When a patient codes in surgery, the first thing we do is remove their drape.
38:27We need to see if there's something we missed.
38:29Is this a mistake?
38:37Me being your boss?
38:39Would you not, my boss?
38:41Ben, can you take out the garbage?
38:43Ben, kill that spider!
38:45Ben, why haven't you changed the light in the refrigerator at all?
38:48Oh, don't be cute.
38:49You know what I mean.
38:52We're professionals.
38:53I'm not worried.
38:54Okay, but if it ever gets uncomfortable for you...
39:00I will let you know.
39:02I promise.
39:08Let's get home so I can get some sleep.
39:11I have pre-rounds before sunrise.
39:14Welcome back, Dr. Warren.
39:16Much like in surgery, sometimes in life we lose sight of the bigger picture.
39:21I'm just trying to make sense of that.
39:28How are you feeling?
39:29Tired.
39:31I kind of want a donut.
39:33Go back to sleep.
39:35You need rest.
39:36You need me.
39:37We will get donuts.
39:39Thanks for her reason.
39:43I didn't do anything.
39:45I couldn't even be in your surgery, remember?
39:47I meant as my sister.
39:48I'm just going to close your eyes.
40:09Hi.
40:09Hey.
40:10We brought things.
40:11But I don't know how to say you.
40:13Good.
40:14She's already asking about snacks.
40:17Not your ex.
40:18Yeah.
40:19Let you both sleep.
40:21Thanks.
40:22Uh, for all the stuff.
40:26We also took all of your shifts for the next week so you can spend time with Chloe.
40:33Thank you, guys.
40:34When we're stressed or worried, it can be hard to see the things that are going well.
40:44And when we're floating on cloud nine, it's just as easy to miss red flags.
41:12Expanding our perspective can give us a better, more accurate view of ourselves and the world.
41:20I don't see anything.
41:21Do you?
41:22Just my intestines.
41:24Stop moving it around.
41:27I don't.
41:28I still don't see anything.
41:31Wait.
41:32Is that?
41:33Yeah.
41:34There's our baby.
41:36And there's the heartbeat.
41:37You don't see it, do you?
41:42I see it right there.
41:46Oh, and also there.
41:51Oh, my God.
41:53Twins.
41:59It may end.