Grey's Anatomy Season 21 Episode 12
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00:00I thought we need more patient data.
00:02Ellis broke the drawer.
00:04We just moved in.
00:05I didn't mean to.
00:06Okay, I can fix it.
00:07Make sure you triple proofread.
00:09If Pitney's judging, he points out every typo passive-aggressively.
00:13Did Nick tell you he won a Blaisdell Grant four years ago?
00:16You did?
00:17Yeah, the judges are tough, the competition's tougher.
00:19You fire questions at each other in the final round.
00:21Okay, I am regretting not studying on the plane.
00:24A 373% increase in Alzheimer's diagnosis among 30 to 44-year-olds.
00:29Yeah, we had a 41-year-old patient.
00:32University professor.
00:33You should put in your presentation.
00:34Your patients are fire compared to these slides.
00:36Not as fire as getting there on time.
00:38We should go.
00:39Oh, yeah.
00:40Love you.
00:41Good luck.
00:43If you had a cold in the late 1800s,
00:45your doctor would prescribe heroin as a cop suppressant.
00:48If you had schizophrenia in the 1930s,
00:51your doctor would perform a lobotomy.
00:54But despite the increase in knowledge and research,
00:57doctors still aren't perfect.
01:00So now that we're engaged,
01:02the real question is,
01:05DJ or cover band?
01:07Cover bands are so cheesy.
01:09I was kind of hoping that we would have a really small wedding.
01:12Small, like 50 guests?
01:15No, like you, me, the kids, and a witness.
01:24We have to invite my parents.
01:26Oh.
01:27What about Schmidt?
01:28Don't you want him there?
01:29No, it's not that.
01:30I just, I, you know, already done the huge wedding.
01:35I just, I don't want to make it a big deal.
01:39So you just want to go down to the courthouse and sign the paperwork?
01:44I've done that too.
01:45Even today, your doctor is not likely to offer pain relief for an IUD placement,
01:50even though it can be more agonizing than a vasectomy.
01:53We expect doctors to not make mistakes.
01:56But the history of medicine is a history of flawed judgment.
02:00Don't open your eyes.
02:01Nope.
02:02And I present to you, Molly and Blue, The Greatest Bites.
02:07What is this?
02:09Okay.
02:10Here we have the third date, garlic sirloin, that led us to our very first time, you know what?
02:17And a six month anniversary trip to San Francisco, crab cakes, and the I love you bacon fried rice.
02:26And how did you have the time to do all of this?
02:29Well, here we go. I thought it'd be a fun way for you to relive a little of your past.
02:34Well, the taste, smells.
02:41Yeah, they're not going to make me remember.
02:43Well, experimental surgery might not either, but this is a lot less risky, so why not try?
02:51Well, I guess, Dave again?
02:53Look, I turned down his marriage proposal.
02:55I mean, it's hard to just cut someone out of your life like that.
02:59I'm late for pre-rounds.
03:02You should go.
03:12Never liked her.
03:13Shouldn't we like our therapist?
03:15Who says I don't?
03:17She clearly doesn't know who we are.
03:20Do we?
03:21I mean, isn't that why we see her?
03:29She told us to try an unconventional marriage.
03:32Because we told her that sometimes we are attracted to other people, so she's trying to help us solve the issue.
03:37Oh, so you want an open marriage and to sleep with other people?
03:39I didn't say that.
03:40You're not denying it.
03:41Owen, Owen, I am in love with you.
03:44But if we continue like this, I don't want to lose you.
03:50So we both feel stifled and stuck.
03:52I'm stifled and stuck.
03:53I want to change this, but it doesn't feel like you do.
03:57Oh, my grandma asked where you were last night.
04:05Well, she asked about Linus, but I'm pretty sure that meant you.
04:09Are they?
04:11Us.
04:12A year ago.
04:13They're here for interviews.
04:15They look so rested.
04:16We'll be in charge of Ben's and...
04:18Oh, Mr. Adams.
04:20No, that's...
04:22Oh, no.
04:23No, no, no, no, no.
04:25You know someone?
04:26Uh, the woman in the purple sweater.
04:29We might have gone out last night, and I maybe might have slept at her hotel.
04:35What's she doing here?
04:37We didn't talk details.
04:39Who's the kid?
04:40I don't know.
04:41But he wasn't there when she was doing things to my neck there.
04:44Yes, we've got prospective interns visiting today.
04:47And, yes, that means that you...
04:50You are about to be second years.
04:52So act like it.
04:53Stop standing around.
04:55I want you to take some initiative.
04:57Make me look good, understand?
04:59Where the hell's Quan?
05:00I'm here.
05:01I'm here.
05:02I'm here.
05:03Late and sloppy.
05:05You're on scut.
05:13Adams.
05:14I'm Melissa Walker, 52, presented to the ED three days ago with abdominal pain, nausea, fatigue, ultrasound reveal, gallstones.
05:23She is now post-op day two from LAP Coley.
05:26LFTs are all normal.
05:27That's the video I wanted to watch!
05:29No, that was dumb.
05:30Mom!
05:31Okay.
05:32Uh, Janina, can you take them to get something to eat?
05:35Oh, wait.
05:36Can we get something from the gift shop, too?
05:37Sure.
05:38Under $20.
05:39Oh, are you in pain?
05:40Oh, I'm trying to keep it in for my girls.
05:41I mean, I know they may look like they only care about the phone.
05:56Ever since I've been in the hospital, they're terrified that they're going to wake up one day without me.
06:00Oh, I understand.
06:02Oh, I don't know.
06:03Okay.
06:04I thought the surgery was supposed to take away the pain.
06:08Yeah.
06:09Uh, unfortunately, it's probably inflammation from the procedure, but Dr. Adams will order a CT just to make sure.
06:17Okay?
06:18Okay.
06:19Anna, how are you doing?
06:22Starving.
06:23How long till we get this show on the road?
06:25Her INR is a bit high.
06:27I'm sorry.
06:28We should push your hernia repair to tomorrow just to be safe.
06:32I'd like to see your labs at a normal range.
06:34Does that mean I can eat?
06:36I'll get you a menu.
06:38Okay.
06:39Mmm.
06:40Was closely linked to the discovery of amyloid beta, oligomers, and plaques.
06:46With the correlation to Alzheimer's confirmed.
06:48Our next steps are how and why.
06:51Our proposal will significantly expand our current data on the microbiota of the descendants of people with Alzheimer's.
06:58Is there a problem?
07:04More of a question about the veracity of your research.
07:08We have data to support everything.
07:10That's not our concern.
07:11Another team presented something similar this morning, except there's several steps ahead.
07:16That's impossible.
07:17That's impossible.
07:18Who was that?
07:23Where is he?
07:25Ray.
07:27Shepard.
07:29This is a surprise.
07:31Welcome to my lab where visits are by appointment only.
07:37Tuesday mornings are good?
07:38No.
07:39Meet my vassal, Tommy.
07:40I prefer protege.
07:41You're Tom and Tommy?
07:43Let me give a name to Vincenzo.
07:44I needed something I could remember.
07:47I'm glad you're here.
07:48I owe you a thank you note and this saves me a stamp.
07:51That abstract you published was a gripping read.
07:54Gripping enough to present for a blazedale grant?
07:56Oh, no, no, no.
07:57It was just a starting point.
07:58You made it public so anyone could use it, right?
08:00We weren't specifically thinking about you, Tom.
08:02And yet I'm the only one who seems to have made a groundbreaking discovery.
08:06Unless you've also used antibiotics in mice to trigger a significant decrease in Alzheimer's
08:13markers.
08:14No.
08:15No.
08:16Chin's up.
08:17Only one of us needs to find a cure.
08:19Right.
08:20Please.
08:21Please.
08:31Girls are at your brother's?
08:32He was in town.
08:33Because Vegas won't let him back.
08:34The last time he babysat, he used a credit card you gave him to...
08:37Hi, Dr. Wilson.
08:39Mr. and Mrs. Kotwani.
08:41I expected to see you two weeks ago.
08:43So did we.
08:44But this little guy's as forgetful about dates as his father.
08:47I apologize three times for leaving them at home.
08:50I've been eating dry dates to induce labor naturally.
08:53We've tried acupuncture, sex, long walks.
08:57Fast progression.
08:58Okay, well, you are 14 days overdue, so we will need to induce medically.
09:03Can't those drugs cause complications?
09:05You've reached the point where you can have complications if you don't deliver.
09:08I wish we could keep trying.
09:10Well, we need to run some tests, but maybe you'll go into labor before that.
09:14AJ Engstrom returns to the admin desk.
09:17AJ Engstrom returns to the admin desk.
09:19Her name's Vivi.
09:20We've been talking, but when I get home, I'm going to ask her to be my girlfriend.
09:25Jules?
09:29You two know each other?
09:30We met last night.
09:33Oh.
09:35Convenient.
09:36I'm getting a vibe.
09:41Like when my homie Edgar hooked up with Elena Alvarez, and then he got all weird around her.
09:46How about we let the doctors talk?
09:48Great idea, Millen.
09:49Yeah, right.
09:50Carlos Navarro, 16.
09:51History of Pectus Excavatum.
09:53Presents for the Modified Nuss Procedure to Raise the Sternum.
09:56No past surgical history.
09:58I'm going to do a quick exam, Carlos, all right?
10:01Any shortness of breath?
10:03Mm-mm.
10:04So, is Carlos your son?
10:07Well, I'm his patient advocate.
10:09I work with Foster Youth in Texas.
10:11When my caseworker finally proved my surgery, Adriana called Dr. Beltran.
10:16They used to be married.
10:18Yeah.
10:19Which is not relevant to your case.
10:21Ndugu, how are we looking?
10:22Asymptomatic.
10:23His echo was normal.
10:24Heart style's great.
10:25Great.
10:26That means we can move forward.
10:27Do you remember how this works?
10:28Yeah, you place a curved metal bar under my ribcage and then flip it over to expand my chest.
10:34And if he's not going to be able to resist me with my new pecs.
10:37No.
10:38Right on the first part.
10:39Can't help you on the second part.
10:40Millen is going to get you prepped for surgery, okay?
10:43Millen?
10:44Yeah, right.
10:45Right what she said.
10:46See you soon.
10:47These mice have a family history of beta amyloid plaque.
10:58Now, thanks to your abstract, we know that changes in the gut microbiome can lead to.
11:03Which of my students knows the answer?
11:05An inflammatory response in the microglia?
11:07Bingo.
11:08You're slowing the buzzer today, Shepard.
11:09Not your student anymore.
11:11Of course, microglia are crucial to the formation of beta amyloid plaques.
11:16So, I thought, what if we use antibiotics to change their microbiome?
11:21To see if it led to a reduction in plaque.
11:23It did.
11:24By twofold.
11:28Why do you even need grant money?
11:30You have the Fox Foundation.
11:31Research funding is like sex with me.
11:33You can never have enough.
11:34If I'd had breakfast, it'd be coming back up right now.
11:37Who wouldn't want a Blaisdell grant?
11:39It's not just about the money, it's about prestige.
11:41Notice.
11:42You parlay that in the speaking engagements, a book deal.
11:46And maybe you could cure Alzheimer's.
11:48Well, sure.
11:49But when my work changes the face of medicine, everybody wins.
11:54Even you, Dr. Gray.
11:56Oh, I see you're keeping busy.
12:09Does this mean you're feeling better?
12:11It means I'm a procrastinator and Bianca's school plays in a week.
12:15I hope I'm out of here to see it.
12:17Who's she playing?
12:18A hot hors d'oeuvre in Beauty and the Beast.
12:21I think she's secretly hoping the feather duster gets sick so she can step in.
12:26Oh, okay.
12:27Your CT results were normal.
12:30We will give you something for the pain, but hopefully it will subside as your body heals.
12:36Okay?
12:37Order repeat LFTs.
12:38Now we're talking.
12:40Two pieces of banana cake.
12:43Huh?
12:44You want one?
12:45I wish.
12:46I'm allergic to bananas ever since menopause hit.
12:49Yeah, well, allergies can start at any time.
12:52Did you develop any others when you started menopause?
12:55A few.
12:56Some cheeses, nuts, plus the standard symptoms.
13:00Hot flashes, night sweats, stomach pain.
13:05But I guess that was the gallbladder.
13:08Well, I ordered more pain meds.
13:10We'll see if that does the trick.
13:12I've read something about amines producing excess serotonin in people with carcinoid syndrome.
13:23Bananas, cheeses, nuts, they're all high in amines.
13:26You think my patient has a one million cancer?
13:29Should you get a PET scan?
13:31Yeah, Bailey asked me to.
13:33Anna's surgery got pushed.
13:35Do you mind if I do it?
13:37Uh, knock yourself out.
13:39If you're working on my patients, Mr. Follett needs a rectal exam.
13:43That's gonna be all you.
13:44Hey, where are Carlos' pre-op webs?
13:48Well, I haven't put in the order yet and do the hub meet and discharge Miles Aina.
13:52Okay, well, do you want to tell him that you're delaying his surgery or should I?
13:55I will put the order in ASAP.
13:57Hey, thank you for taking Carlos' case.
14:02The favor means a lot.
14:03You know I'm not doing it for you.
14:09Can someone turn up the heat in Carlos' room?
14:11He says it's cold as balls.
14:13It's his words, not mine.
14:14He didn't tell me your ex worked here.
14:16I didn't know you worked here.
14:17He didn't say that you were in town for a patient.
14:19You know my whole life story?
14:22Just be chill.
14:23Monica's cool with it.
14:24Cool?
14:25Or she doesn't know?
14:26She knows.
14:33Hey, I examined your patient with pulmonary valstenosis and she's cleared for surgery.
14:37Hey.
14:38Whoa.
14:39Look at that rock.
14:40Did you get engaged?
14:41Yes.
14:42Congratulations.
14:43We did great.
14:46Is there a date?
14:47Uh, no.
14:48We're having a little, um, debate about the wedding.
14:51Oh, well, if yours doesn't kill your priest, you're one up on me and Owen.
14:55Hmm.
14:56Well, you guys don't set the bar very high.
14:59Okay.
15:00Ready for your patos?
15:01Oh!
15:02You said you locked the door.
15:03You said it didn't have a lock.
15:04Sorry, we were just trying to induce.
15:06Oh, God!
15:07Oh, God!
15:08Oh, God!
15:09Oh, God!
15:10Oh, oh!
15:13Is this the guy who fell upstairs?
15:16Ah!
15:17I think I broke my ass.
15:18Ow!
15:19He's got pain near the tailbone after falling off his wife and the hospital bed.
15:23They were trying to induce labor.
15:25Naturally.
15:26She said she'd divorce me if I didn't.
15:28Anand, Dr. Hunt, is going to help you.
15:30I'm going back to Shruti.
15:31She just went on the Pitocin Drift.
15:33Okay, but this really hurts.
15:34Ah!
15:35On a scale of one to ten, it's like a forty-seven!
15:36That is oddly specific.
15:37And not something you should tell your wife while she is in labor.
15:40Okay.
15:41Ah!
15:42Ah!
15:43Ah!
15:44Ah!
15:45Ah!
15:46Ah!
15:47Ah!
15:48Ah!
15:49Ah!
15:50Ah!
15:51Hey!
15:52What do you know about bananas and menopause?
15:54Doesn't matter.
15:55Nothing matters.
15:56Whatever it is, it can't be that bad.
15:58My one-night stand is Peltran's ex-wife.
16:01How did you manage that?
16:02I saw a hot woman in a bar.
16:03She's doing a patient from Texas.
16:04So, she'll be out of here soon.
16:05I'm on Peltran's service.
16:06And she knows.
16:07Well, what is that bad?
16:08What do I do?
16:09Get off the case.
16:10Ah!
16:11He's got my resources, and now he's going to get my grant funding.
16:12Sir, you're upset he's using your work to compete against you.
16:14No.
16:15I'm upset his research is good.
16:16Yeah.
16:17Let me...
16:18Tom Karasik has been doing this for five minutes.
16:19And he's actually moving the needle.
16:20Yeah.
16:21That's what money does.
16:22And he wants more of it.
16:23But he doesn't care about Alzheimer's.
16:24He might as well be researching genetically modified tomatoes.
16:25Well, they are actually studying those to see if they fight cancer.
16:26You know what I mean.
16:27You know what I mean.
16:28You know what I mean.
16:29You know what I mean.
16:30You know what I mean.
16:31You know what I mean.
16:32You know what I mean.
16:33You know what I mean.
16:34I mean it's a game to him.
16:35He's never had to search for a grandmother who's gone missing, or taking car keys away from
16:45a dad, or looking into the eyes of a mother who's alive, but not there.
16:47That's something you really need to ask.
16:48You're actually moving the needle.
16:49Yeah.
16:50That's what money does.
16:51And he wants more of it.
16:52But he doesn't care about Alzheimer's.
16:53He might as well be researching genetically modified tomatoes.
16:54Well they are actually studying those to see if they fight cancer.
16:55You know what I mean.
16:56I do know what you mean.
16:57I mean, it's a game to him.
16:58He's never had to search for a grandmother who's gone missing.
16:59Or taken car keys away from a dad.
17:02not there. Well, that's something you have that he does not. Passion. I think the Blaisdell
17:07Grant judges care about passion. You said Karasik's got the advantage right now, so
17:11all you can do is make a case for yourself. That's all you can do. Might be your last
17:15shot. You paged? Yeah. Possible broken coccyx. He is swelling and bruising at the base of
17:23the spine. I'm just ordering the x-rays. I don't even need a boy. Anand's wife is being
17:27induced upstairs. Congratulations. Whatever. I have two teenage daughters. Do you know how
17:32long it's been since I've changed a diaper? I got a lot more options now. My house has
17:37been chaos for 17 years. I've been counting the days till an emptiness since my youngest
17:40started high school. In my mind, Shruti and I were spending next summer in Cinque Terre drinking
17:44Prosecco and eating pesto. But Shruti suddenly wanted a boy, so now I've got a broken ass.
17:48I still don't see how those things are related. You don't want to.
17:53I had my first interview with an intern candidate. Very impressive. Oh, no, it's a strong group.
18:01One of them interned at the World Health Organization. Dr. Bailey, can I show you something?
18:05Hmm? I overheard Melissa Walker talking about her symptoms. They seem to be in line with carcinoid
18:10syndrome, so I took her for a PET scan and sent some labs. Who asked you to take her for a PET scan?
18:16No one, but I was taking it. Dr. Griffith, you're on my service. You can't go running scans on whatever
18:22pages you want to just because. Melissa has a neuroendocrine tumor.
18:27One and a half centimeters on the appendix. I'll be damned. There's also a small spot on the liver.
18:33Well, I thought her symptoms were menopause. Yeah, so did I. Well, it makes sense. The tumor is
18:38secreting hormones into the bloodstream. She needs an api and a liver biopsy. Can Adams take over your
18:45service? Yeah, I suppose so. All right. Then, Griffith, book an OR for you and whoever you want to assist.
18:52To assist you. You found it. You take it out. Uh, solo surgery? If you don't think you're ready.
19:00Oh, no, I can do it. Thank you. All right. See you in the operating room.
19:03Oh, man. Hey, congratulations.
19:17Well, Carlos's pre-op labs came back normal, which honestly, as the intern on this case,
19:22you should be telling me. Dr. Beltran, I swear, I had no idea. If you want me off the case,
19:28I completely understand. Talk me through the NUS procedure.
19:33Now would be good.
19:38Uh, get the rachoscopic access and perform cryoablation on the intercostal nerves.
19:44And then? Lateral incisions either side of the chest, and then you pass the tunneling bar under
19:49the sternum. You're prepped. You're with me. Unless you want off this case. No, no, no.
19:56I'll see you in the OR. Okay.
19:57Okay.
20:03I don't have time to wait in lines.
20:12Uh, hey, have you ever read about grit stimulations to recall memories? It's only ever been done
20:18successfully on animal models. It sounds cool. Or risky and dangerous and not proven to work yet.
20:23Molly wants it. I really need to eat something before surgery.
20:26Yeah. You never held a retractor on an empty stomach?
20:28She's not holding a retractor. Bailey is letting me take a lead on an appy.
20:32But you're getting a solo surgery? I hate you.
20:34You hate me or you love me because Bailey said I could pick an intern to go in with me.
20:38Beltran's not going to release me from our service.
20:40So she doesn't know you slept with her ex.
20:43You what?
20:45So, it's an appy. What about you? Technically, she's your patient.
20:48Um, I still have a bunch of HMPs to do for Weber, but I know you'll do great.
20:53Well, looks like it's just you and me.
20:56Fine, let's go.
20:56So, she's operating on your patient.
21:06Would you sleep with the gun?
21:11Okay, you are eight centimeters dilated. It's almost ready to push.
21:16Where is that clumsy jerk?
21:18If you mean your husband, he is waiting on a CT.
21:21They want to scan his pelvis and his spine to make sure he doesn't have an occult fracture.
21:27Oh, this is your first, right?
21:29Um, well, my daughter's adopted, but this is my first time caring.
21:35When I told my husband I was pregnant with our first, he was so happy he cried.
21:40This time, he barely looked up from his phone and said he'd get the crib out of the garage.
21:44Here, let me make you more comfortable, okay?
21:46I know we've been through this twice before, but our son hasn't.
21:50I want him to know that he's special to us.
21:52But now, his dad is probably going to miss his birth.
21:56I had to remind him about that crib at least 10 times.
21:59Crap, I forgot to remind him about the car seat.
22:02Where's my phone?
22:02Oh.
22:03Uh, okay.
22:04Okay, here, here, here.
22:08Shruti.
22:08Did you install the car seat?
22:10Oh my god, are you in labor?
22:11What does it look like?
22:13So I did it.
22:14I induced you.
22:14My sex inducer.
22:15But Pitocin induced me.
22:18Tell me that you remembered to take the car seat out of your trunk and actually install it.
22:22Of course I did.
22:23Take a breath.
22:24You've got this.
22:25I love you.
22:27You're right.
22:27Thanks.
22:28I love you.
22:31I forgot the car seat.
22:32Take me to the parking lot.
22:33You shouldn't ignore a possible fracture.
22:34Are you married?
22:35Because my wife means the world to me and I just want her to be happy.
22:37So can you please take me back to my car?
22:39Uh.
22:44Identify the right colon.
22:45Follow the tinea coli along the cecum to locate the appendix.
22:48Use the grasper to clutch the tip and hold it up towards the lower right abdomen.
22:52Would you talk to Molly as a doctor?
22:55I don't think she understands that no one knows how to precisely target where lost memories are and
22:59her surgery is scheduled with Shepard in two days.
23:01Okay.
23:02You cannot do this.
23:04How do we tell Molly?
23:05No.
23:06I mean, you cannot do this.
23:09I am about to perform my first solo surgery.
23:12Just an appy.
23:13It's my appy from start to finish for the first time.
23:18Melissa has two scared daughters.
23:19If anything happens to her, it is on me.
23:22So be my assist or get out.
23:26Also, instead of talking to me about Molly's surgery, try talking to Molly.
23:30Okay, are we ready?
23:34Scalpel.
23:36Okay, we're ready to start getting thoracoscopic access.
23:48Let's drop the lung.
23:49I met Carlos when he was 12 and he had a crush on Vivi back then.
23:52Till hasn't realized that she's been waiting for him to make the first move.
23:55Okay, are we ready?
23:56Sats look good with one lung ventilation.
23:58Okay.
23:59Molly, get the varus needle.
24:01All right, so because the lung is down, the heart may have moved from where it normally...
24:04Needle's in.
24:07Oh, damn it.
24:08He's bleeding.
24:08Why is he bleeding?
24:09Because you may have punctured his heart.
24:11I did what?
24:12We need to page Dr. Ndugu.
24:13Okay, Millen, I need you to breathe.
24:14Someone page Dr. Ndugu right now!
24:21All right, you know what?
24:22It's still loose.
24:22Here, I'll hold it down.
24:24You pull.
24:25Why is this all so hard?
24:27I think it's a test.
24:28Survival of the fittest.
24:29Yeah.
24:30Hey, have you ever done anything you didn't want to in order to help your marriage?
24:34Like what?
24:35Also, not married.
24:37Really?
24:38I mean, something kind of unconventional.
24:40Did Joe talk to you?
24:42Why would Joe talk to me?
24:43Because we just got engaged and I want a conventional wedding.
24:45She doesn't...
24:47Oh, this is...
24:48This is about you.
24:49Oh, uh, well, you know, I'm always open to things, you know?
24:53Relationships are about give and take.
24:55That's what I learned from my parents.
24:56Uh-huh.
24:58So, uh, how long did they be married?
25:00Not as long as they've been divorced.
25:03First marriage, everything's my way or the highway.
25:05Uh, but now they let a lot of things slide.
25:08Their second marriage seems to be going a lot better.
25:10Well, take it from someone who's on his third.
25:12It's a lot of hard work.
25:15Congratulations, by the way.
25:16I'm sure you'd be very happy.
25:23All right, what happened?
25:24I screwed up and I punctured his heart.
25:26For all we know, I could have torn a hole right through it.
25:28Vitals are stable for now.
25:31Where are you going?
25:32Get back in here and help fix this.
25:34Let me see the size of the needle.
25:38Okay, how does that compare to a 16-gauge?
25:41It's about the same and we use those to do cardiac injections.
25:45So what's your recommendation?
25:46Uh, do a pericardial window and then place the drain so that it can heal itself?
25:51Correct. We will take care of this and then you can help Dr. Beltran finish the NUS procedure.
25:55If Dr. Beltran still wants me.
25:57If you ask me one more time if I want you on this case, I'm going to lose my mind.
26:01Focus and stay in lockstep. Are you ready?
26:03Okay, good.
26:05We'll see what's going on.
26:21Vitals are going.
26:22So far, so good. I was just about to check on Mrs. Beltran.
26:27Oh, you can, uh, you can wait a minute.
26:32My first solo surgery was monumental.
26:36I called my friends and my family.
26:39If memory serves, I even bought a new pair of shoes for the occasion.
26:43Now I can't tell you if it was a cholecystectomy or a hernia repair.
26:48First one's always a big deal. Then so was the second, 10, 100.
26:54You got your whole career ahead of you. Don't beat yourself up over one loss surgery.
26:59Oh!
27:07First Ender loop is on.
27:09Ready for the next one?
27:11Not so scary, right? The muscle memory is a powerful thing.
27:15I wouldn't know.
27:17With that attitude, you never will.
27:21Here.
27:22The resonance of the world outside.
27:27I'm a ghost motor.
27:31Uh, it's caught in the port. I need a new one.
27:41It's just still slipping. My hands aren't big enough.
27:44Do you think you have smaller hands than me?
27:46No.
27:47Try again.
27:47I'm going again.
27:53You know this. You've seen it done a million times.
28:02Almost there.
28:06Got it.
28:08Scissors.
28:15Separating the appendix from the cecum.
28:20Window pouch, please.
28:22Let's get it to pass.
28:39Well done.
28:41Yeah, Melissa should be recovered in time to see her daughter's school play.
28:45Before we close, we would like to acknowledge the 55 million people living with Alzheimer's disease.
28:53We feel passionately about this work because of them.
28:56And a Blaisdell grant would not only help us continue the next phase of our research,
29:00but you would be contributing significantly to our relentless pursuit of a cure.
29:06We're happy to take any questions.
29:07Okay.
29:10Are you proposing to test a hypothesis you've already confirmed?
29:14No.
29:16I have a, can I, yeah, uh, theatrics aside, this sounds like the study your abstract was based on.
29:23That involved 175 patients. We would recruit thousands in order to identify specific bacterial strains.
29:29Yeah, uh, like I said, more of the same.
29:32So, can you talk about the people you'll enroll in the study?
29:35Ages, ethnicities, geographic locations?
29:37Sophomore games at the Park Marsh.
29:39Look, if you want to make this personal, let me tell you about Paul, John, George, and Ringo.
29:46The Beatles.
29:49Not Beatles, mice. I've also got Jermaine, Tito, Jackie, Marlon, and Michael.
29:54We're taking Alzheimer's research to a new level.
29:58That's right.
30:00Theatrics aside, what about the female mice?
30:04Excuse me?
30:05Alzheimer's affects twice as many women as it does men.
30:09So, are you only studying male mice?
30:11Of course. You put a few female mice in a cage and pretty soon you have a whole social hierarchy.
30:16The young ones are taking care of the oldest and they experience anxiety and stress,
30:19sometimes resulting in hair loss and their hormone cycles create fluctuations in behavior
30:24that can render the whole experiment useless.
30:27Your inexperience in neurology research is showing great.
30:30Anyone in this field of study knows female mice are problematic, right?
30:37So, you're not studying female mice because their reproductive systems mess with your results?
30:48Catch on quick.
30:50That's pathetic and the most asinine excuse for sexism I've ever heard.
30:54No wonder no one's ever cured Alzheimer's.
30:57The men who have spent decades trying to do it have ignored the patients who need it the most.
31:01And what's worst of all is no one in this room seems interested in changing any of it.
31:06How can we let this happen knowing it directly affects us?
31:09Well, thank you all for your time.
31:33Dr. Binder to three west. Dr. Binder to three west.
31:36How's he doing?
31:38Stable. Post-op labs look good.
31:44Oh, hey.
31:48Did it work?
31:49It did. Thanks to Dr. Beltran.
31:53Thank you. I'm going to be able to go to pool parties. The beach?
31:58You can go with Vivi. That's her name, right? The girl you like?
32:05Yeah. She's okay. But now that I've got this in her body, I should play the field, right?
32:12No. No, when you find someone you can't stop thinking about and they make you feel things you've
32:18never felt before and you have a chance to be with her, you should call her. Do you hear me?
32:23Should I go after her?
32:34Millen.
32:36I'm sorry. I'm sorry. If that was out of line, I'm sorry that I punctured that kid's heart and I'm
32:40sorry that I didn't strap a patient onto the old heart table properly. Okay. I'm not sure about that
32:44last one, but complications happen. You're an intern. You're going to make mistakes. Hell, I still do.
32:50I slept with Adriana because I'm going through a breakup. I don't care. I mean, I'm not thrilled,
32:57but you know what? Honestly, the less we talk about it, the better. But I am your attending and I do
33:02care about your surgical training. And today, when it mattered most, you froze and you got in your own
33:07way. And I know this because I've been there. So no matter how hard it is, you cannot bring your
33:13personal life into the OR. In particular, mine. Okay? Yeah. Yeah.
33:31Are you ready for a visitor?
33:32Oh, we both are. You want to hold him? Yeah. Congratulations.
33:47What? I'm your dad. I broke my butt for you.
33:54In about five years, you'll find that hilarious.
34:02I'm so glad we did this.
34:03I think everybody needs to be.
34:07Hi. Hey.
34:09Where's mom?
34:12So once we get the results of your liver biopsy back, we will work to ensure
34:17you have the best treatment plan. But your surgery went beautifully.
34:24I'm bored.
34:26Why did I tell you about using that word?
34:28You don't want to hear it.
34:30Are we going home?
34:31Your mom needs a little more rest. She could go home soon.
34:35Can we sleep over?
34:36Is that okay?
34:38If you want, but you have to let your mom get some rest.
34:41Can you do that?
34:42You promise.
34:43We'll send up some games from the pizza bar.
34:45Thanks.
34:50Well done.
34:52You made me look good.
34:55Dr. Bailey, thank you.
35:04So, how did surgery go?
35:07Oh, it was okay. It was...
35:11I can't lie, it was the coolest 30 minutes of my life.
35:15You deserve it.
35:18Jules and I are going to get a drink. Do you want to come?
35:21Uh, uh, no. I still have to do a handoff for next shift, but, um, you should go.
35:25Okay.
35:27See you later.
35:28Yeah.
35:43Now, Shruti.
35:43You're doing better when the dads are harder than the moms.
35:54I don't need a big wedding.
35:56I don't need the band or the slideshow with photos or giant cake.
36:04You're thinking about cake.
36:05I am.
36:06Yeah.
36:06But the point is...
36:10I just want to be married to you. I don't care about the rest.
36:14I do.
36:14I want the wedding.
36:19I thought that I didn't because, well, I've already done it before, but I've never done it with you.
36:27I want to.
36:35I can't wait to marry you.
36:36Really unimaginable.
36:42I think I insulted Lucas.
36:45He will be fine.
36:47You flew solo in OR today.
36:50You know, I think that we should stop worrying about relationships and just
36:54focus on our careers, which is why I have decided to wear and love sex for a while.
36:59Yeah, I'm not doing that.
37:11Someone told me that I need to put my head down and focus on work.
37:14I'm off the clock.
37:16I'm looking for a mentor.
37:17I'll do your progress notes.
37:19I'll do your rounds.
37:19I will do anything you want me to.
37:25I'm asking you, by the way.
37:29I'll meet you for rounds at 7 a.m.
37:33Great.
37:37You know who told her to focus on work?
37:39Me.
37:39And then she asked you to be her mentor?
37:42Well, I think she's terrified of you, actually.
37:44Wow.
37:44I can lower that.
37:45I'm sorry.
38:00I realized today I'm not coming off as supportive, and I am.
38:04I'm behind you 100% with whatever treatment you choose, and I think I'm just, well, I'm scared.
38:14I'm sorry, too.
38:25Hey.
38:25What's he doing here?
38:30Beneath the white coats and fancy titles.
38:34Medicine is just humans treating humans.
38:40I don't want us to feel stuck.
38:43And I think I didn't want to admit it because I had this idea of what our lives should be,
38:46and everything that therapist said seems opposite to that, which is...
38:50kind of terrifying.
38:51Yeah.
38:57Maybe it doesn't have to be.
39:04I'm willing to try something new, if you are.
39:08Sometimes it just takes me a minute to get there.
39:11And it's a little weird picturing you flirting with somebody else.
39:18I am a terrible flirt.
39:29Okay.
39:31If we actually open this...
39:33I don't want to know any details.
39:35Agreed.
39:37And we check in regularly.
39:42And we stay safe.
39:46And our marriage comes first.
39:49No serious relationships or feelings.
39:59We're really doing this.
40:01The most brilliant surgeons have made questionable choices.
40:17No one gets it right all the time.
40:18So, as a doctor, what do you do?
40:23There's only one choice.
40:26Find your team.
40:27Work shoulder to shoulder.
40:30Let them help you when you falter.
40:32Tom Karasik won the grant.
40:33I don't want no space between our eyes.
40:39Can't stop seeing his smug face.
40:42I don't want no space.
40:44I don't know science.
40:45We're such a male-dominated world, even with rodents.
40:48Ellis Gray knew.
40:49Amelia.
40:51She told me about it her whole life.
40:53Now I can't stop seeing her moaning face.
40:57What if Amelia and I did Karasik's experiment with female mice?
41:00Hmm?
41:02Okay.
41:04We'll fund it.
41:04I will.
41:06I mean, I know we just bought this house, but I have some savings.
41:10And I said this is personal, and it is.
41:16What do you think?
41:19Well, see, I think it's a great idea.
41:23How do I become an investor?
41:25Well, I can't let you do that, because we don't know if it'll work.
41:28Look, I'm gonna bet on anybody.
41:32It's you.
41:34Let them push you to make you better.