1 00:00:03,212 --> 00:00:06,298 In order to be designated a Level 1 trauma center, 2 00:00:06,381 --> 00:00:08,926 hospitals must meet a variety of requirements. 3 00:00:09,009 --> 00:00:11,345 Ooh! What are you doing? Get out of the way. I'm almost to the next level. 4 00:00:11,428 --> 00:00:13,096 I am cleaning up Katie's stuff. 5 00:00:13,180 --> 00:00:15,182 Does it have to be right now? I haven't played in days. 6 00:00:15,265 --> 00:00:18,268 Oh, I'm sorry the dying patient got in the way of your video games. 7 00:00:19,686 --> 00:00:21,897 Hey, can you give this to Lucas? 8 00:00:23,023 --> 00:00:24,358 Give it to him yourself. 9 00:00:24,858 --> 00:00:28,195 They must maintain usable ORs within 15 minutes, 10 00:00:28,278 --> 00:00:31,031 employ a minimum number of certified specialists... 11 00:00:31,114 --> 00:00:32,783 No. 12 00:00:32,866 --> 00:00:35,327 ...and admit at least 1,200 trauma patients a year. 13 00:00:36,954 --> 00:00:39,289 Hospitals in big cities pass the test easily. 14 00:00:40,582 --> 00:00:42,376 But the farther away you get... 15 00:00:42,876 --> 00:00:45,170 Adams? Come on. It's morning. 16 00:00:45,712 --> 00:00:47,172 Mmm. 17 00:00:47,839 --> 00:00:51,343 I know Katie was a tough loss. I'm feeling it too. 18 00:00:51,426 --> 00:00:54,054 If you want me to find someone else for your assignment... 19 00:00:54,137 --> 00:00:56,223 No, I'm good. I'm good. I'm going. 20 00:00:56,306 --> 00:00:59,351 ...hospitals are Level 2, 3, even 4, 21 00:00:59,434 --> 00:01:02,938 and sometimes all they can do is transfer people to get the care they need 22 00:01:03,021 --> 00:01:04,273 and hope they hang on. 23 00:01:06,733 --> 00:01:09,069 We shouldn't be doing this. We have to stop. 24 00:01:09,653 --> 00:01:10,654 Uh-huh. 25 00:01:11,572 --> 00:01:15,409 Iris is back from vacation today. What if she walks in here? 26 00:01:15,492 --> 00:01:18,203 Why would an L&D nurse go into a CCU closet? 27 00:01:21,290 --> 00:01:22,291 Um... 28 00:01:22,791 --> 00:01:26,753 She... Listen. She doesn't deserve to be treated like this. 29 00:01:26,837 --> 00:01:28,463 I have to break it off. 30 00:01:28,547 --> 00:01:29,923 When are you going to talk to her? 31 00:01:30,591 --> 00:01:32,593 As soon as humanly possible. 32 00:01:34,177 --> 00:01:36,805 Uh, we were just looking for... 33 00:01:36,888 --> 00:01:38,682 - Gauze. - Yeah. 34 00:01:38,765 --> 00:01:39,891 I don't care. 35 00:01:42,436 --> 00:01:44,688 Oh, I actually do need to grab a Cordis kit. 36 00:01:44,771 --> 00:01:46,189 I'll see you at rounds. 37 00:01:46,273 --> 00:01:47,441 Okay. 38 00:01:47,524 --> 00:01:50,110 ♪ Till it's mine ♪ 39 00:01:50,193 --> 00:01:51,528 ♪ Till it's mine ♪ 40 00:01:55,282 --> 00:01:56,283 I'm freezing my eggs. 41 00:01:56,366 --> 00:01:57,909 Sill don't care. 42 00:02:05,042 --> 00:02:07,961 Richard. Hey, are you gonna change? 43 00:02:08,045 --> 00:02:09,755 Uh, we're hitting the road in a half an hour. 44 00:02:09,838 --> 00:02:11,506 Oh, I'm heading out, but not to Enumclaw. 45 00:02:12,090 --> 00:02:13,925 - Why? - Well, my schedule changed. 46 00:02:14,009 --> 00:02:15,135 Didn't you see my email? 47 00:02:15,218 --> 00:02:16,386 - No. - Well, uh, I... 48 00:02:17,054 --> 00:02:19,806 I forgot to hit send. 49 00:02:19,890 --> 00:02:22,726 I told Cascade Hill I'm bringing them four surgeons. 50 00:02:22,809 --> 00:02:25,187 Well-Well, you will. I got you a backup. 51 00:02:25,270 --> 00:02:26,563 Oh, here she comes. 52 00:02:26,647 --> 00:02:28,023 - Hey. - Hey. 53 00:02:28,774 --> 00:02:31,068 - Hey, hi. - Um... 54 00:02:31,151 --> 00:02:32,361 ...have fun out there. 55 00:02:32,444 --> 00:02:33,779 Thanks. 56 00:02:33,862 --> 00:02:36,073 Listen, if you're too busy for this, I can just take the residents. 57 00:02:36,156 --> 00:02:37,949 Oh, oh, Richard asked for a favor. 58 00:02:38,033 --> 00:02:39,493 I made time, but I... 59 00:02:39,576 --> 00:02:41,453 - I mean, If you don't want me to go-- - No, no, no, no. 60 00:02:41,536 --> 00:02:43,455 These patients need all the help they can get. 61 00:02:43,538 --> 00:02:44,706 Right. 62 00:02:46,875 --> 00:02:48,919 I love field trips. 63 00:02:49,002 --> 00:02:50,462 - Are you excited? - Not really. 64 00:02:50,545 --> 00:02:53,006 Well, Dr. Hunt said last time he volunteered at Enumclaw, 65 00:02:53,090 --> 00:02:54,758 there was a guy that was crushed by a horse. 66 00:02:54,841 --> 00:02:55,926 Cool. 67 00:02:56,760 --> 00:02:59,763 If you're not interested in rural medicine, then why did you volunteer? 68 00:02:59,846 --> 00:03:01,973 I was looking for some peace and quiet. 69 00:03:04,351 --> 00:03:06,269 Adams, hi. Are you coming too? 70 00:03:06,353 --> 00:03:08,772 - No. - Hey, I texted you about Katie... 71 00:03:10,023 --> 00:03:11,400 Is he okay? 72 00:03:11,483 --> 00:03:12,484 Clearly wouldn't know. 73 00:03:12,567 --> 00:03:14,945 - Okay, did you pack up all the supplies? - Yes. 74 00:03:15,028 --> 00:03:16,863 - All right, let's go. - Oh, I made a playlist. 75 00:03:19,282 --> 00:03:21,118 - I-I also brought earbuds, so. - Great. 76 00:03:23,537 --> 00:03:24,663 Okay. 77 00:03:25,580 --> 00:03:27,499 - Hi. - Planning a vacation? 78 00:03:27,582 --> 00:03:32,379 If all goes well, we're gonna take a road trip, see some national parks. 79 00:03:32,462 --> 00:03:36,007 Oh, Yosemite is one of my favorite places on Earth. 80 00:03:36,091 --> 00:03:37,968 - Mmm. - I don't like nature. 81 00:03:38,051 --> 00:03:40,303 He's warming up to the idea. 82 00:03:41,430 --> 00:03:42,973 I'm gonna go get some food. 83 00:03:44,891 --> 00:03:46,351 Hmm. 84 00:03:46,435 --> 00:03:49,896 They say God made teenagers so it's easier to let them go. 85 00:03:50,772 --> 00:03:52,816 - Kwan. - Quinn Durston, 43, 86 00:03:52,899 --> 00:03:54,985 - with stage 4 hepatocellular carcinoma. - Mm-hmm. 87 00:03:55,068 --> 00:03:58,488 He's had chemo and radiation. Now presenting with biliary stenosis. 88 00:03:58,572 --> 00:04:00,699 He's scheduled for an ERCP to place a stent. 89 00:04:00,782 --> 00:04:02,993 Waiting to hear from the FDA whether we can implant 90 00:04:03,076 --> 00:04:05,871 a synthetic lymph node for compassionate use. 91 00:04:05,954 --> 00:04:07,456 So there's still no decision? 92 00:04:07,539 --> 00:04:09,541 I'll be following up right after this. 93 00:04:10,792 --> 00:04:12,294 Do they know that I'm a single dad, 94 00:04:12,377 --> 00:04:15,505 and if this treatment really could give me more time, 95 00:04:15,589 --> 00:04:17,174 that'd be life-changing for Logan. 96 00:04:17,257 --> 00:04:20,802 Unfortunately, they're only looking at the medical facts of the case. 97 00:04:20,886 --> 00:04:22,387 Let me worry about the FDA. 98 00:04:22,471 --> 00:04:23,638 In the meantime, Dr. Kwan? 99 00:04:23,722 --> 00:04:26,433 - I'll run pre-op labs for the stent. - Good. 100 00:04:33,982 --> 00:04:37,068 Okay. [sighs] Right. Here we are. 101 00:04:37,903 --> 00:04:40,530 - Dr. Hunt. [chuckles] So good to see you. - Dr. Braider. 102 00:04:40,614 --> 00:04:42,616 - Come here. - Oh. 103 00:04:43,116 --> 00:04:45,327 This is Dr. Altman, Dr. Griffith, Dr. Spencer. 104 00:04:45,410 --> 00:04:48,205 This is Dr. Lorna Braider. She is in family medicine. 105 00:04:48,288 --> 00:04:51,583 And OB, orthopedic, pediatric, geriatric, 106 00:04:51,666 --> 00:04:53,502 basically anything that comes in those doors. 107 00:04:53,585 --> 00:04:55,253 Keeps things exciting around here. 108 00:04:57,464 --> 00:04:59,257 - Why don't you put us to work? - Absolutely. 109 00:04:59,341 --> 00:05:01,760 We've got a head lac in bed 3, abscess in bed 2. 110 00:05:01,843 --> 00:05:04,846 Everything should be easy to find, but Dr. Hunt knows his way around. 111 00:05:04,930 --> 00:05:06,765 I can take the head lac. 112 00:05:07,516 --> 00:05:08,850 Yeah, I'm on it. 113 00:05:08,934 --> 00:05:11,311 Okay. All right, well, we've got some supplies in the van. 114 00:05:11,394 --> 00:05:13,897 - I'll go get them. - You are a literal lifesaver. 115 00:05:13,980 --> 00:05:16,149 Oh. Hang on. Hold on those supplies. 116 00:05:16,233 --> 00:05:17,818 Incoming rig. Let's go. 117 00:05:18,318 --> 00:05:21,446 May not be a big city, but there is rarely a dull moment. 118 00:05:24,324 --> 00:05:27,202 June Rojas, 23, fell while rafting the Green River. 119 00:05:27,285 --> 00:05:29,037 - Trauma to the left arm. - Where's Keaton? 120 00:05:29,120 --> 00:05:30,872 - Vitals stable. - Where's Keaton? 121 00:05:31,373 --> 00:05:33,375 - We dressed the injury at the scene. - You want to take the lead, 122 00:05:33,458 --> 00:05:35,502 - see what it's like to be in charge here? - June? 123 00:05:35,585 --> 00:05:37,504 I'm Dr. Hunt. This is Dr. Braider and Dr. Altman. 124 00:05:37,587 --> 00:05:39,923 - We're gonna take care of your arm, okay? - Have they found him? 125 00:05:40,006 --> 00:05:41,091 - Who's him? - Boyfriend. 126 00:05:41,174 --> 00:05:43,468 He's not my boyfriend. He's my soulmate. 127 00:05:43,552 --> 00:05:45,011 Search and rescue's looking now. 128 00:05:45,095 --> 00:05:47,681 Keaton has to be alive. I have to find him. 129 00:05:47,764 --> 00:05:49,182 Take me back out there. 130 00:05:49,266 --> 00:05:51,685 They're doing everything they can to find him, but I'm worried about your arm. 131 00:05:51,768 --> 00:05:53,603 We're gonna get you inside and clean you up, all right? 132 00:05:53,687 --> 00:05:55,355 Accomplished trauma surgeon with bedside manner. 133 00:05:55,438 --> 00:05:57,774 Like I said, perfect match for Cascade Hill. 134 00:05:58,775 --> 00:06:01,486 Are you-- Were you offered a job here? 135 00:06:14,916 --> 00:06:19,045 Hey, there's a range of symptoms, and sometimes there aren't symptoms at all. 136 00:06:19,129 --> 00:06:21,298 {\an8}That's why getting screened is important. 137 00:06:21,381 --> 00:06:22,382 {\an8}Well, Dr. Adams? 138 00:06:23,508 --> 00:06:25,260 {\an8}I got a colonoscopy last year. 139 00:06:25,343 --> 00:06:28,054 {\an8}Yeah, those don't detect prostate cancer. 140 00:06:28,138 --> 00:06:29,639 {\an8}Prostate cancer screenings 141 00:06:29,723 --> 00:06:33,143 {\an8}typically start with a physical exam or a blood test. 142 00:06:33,226 --> 00:06:35,395 {\an8}But good for you on the colonoscopy. Keep that up. 143 00:06:35,478 --> 00:06:37,898 {\an8}- I'll take one of those. For my dad. - Oh, take two. 144 00:06:37,981 --> 00:06:40,442 {\an8}Black men are more likely to get it at a younger age. 145 00:06:40,525 --> 00:06:43,236 {\an8}Wanna ask your doctor when you turn around 40. 146 00:06:43,862 --> 00:06:46,197 {\an8}- Any other questions? - What if I just don't want to know? 147 00:06:48,074 --> 00:06:51,286 {\an8}Well, that's your prerogative, but it's very treatable if it's caught early. 148 00:06:51,911 --> 00:06:53,622 {\an8}Uh, oh, excuse me. 149 00:06:53,705 --> 00:06:54,706 {\an8}Um, Adams. 150 00:06:55,498 --> 00:06:57,250 {\an8}Um, where do you think you're going? 151 00:06:58,126 --> 00:07:02,005 {\an8}Uh, we've talked to everybody, so I was gonna grab a coffee next door. 152 00:07:02,088 --> 00:07:03,590 {\an8}Not quite everyone. 153 00:07:03,673 --> 00:07:09,220 {\an8}I think my barber, Jones, would benefit from some conversation. 154 00:07:12,057 --> 00:07:13,725 {\an8}No. No, no, no, we have an agreement, okay? 155 00:07:13,808 --> 00:07:17,187 {\an8}He gives me a clean shave, and I keep my mouth shut about medicine. 156 00:07:17,771 --> 00:07:18,772 {\an8}You know, church and state. 157 00:07:21,650 --> 00:07:22,984 {\an8}Fine, I'll give it to him. 158 00:07:23,068 --> 00:07:24,986 {\an8}No, wait a minute. That's not gonna do anything. 159 00:07:25,070 --> 00:07:26,821 {\an8}You gotta find an opening to talk to him. 160 00:07:27,781 --> 00:07:29,491 {\an8}You do remember how to talk, right? 161 00:07:44,589 --> 00:07:47,467 {\an8}- Did you put in Mr. Saks's pre-op orders? - I did. 162 00:07:47,550 --> 00:07:49,135 {\an8}Okay, maybe I should go review them. 163 00:07:49,969 --> 00:07:52,972 {\an8}Do you know that cows hate bad weather? 164 00:07:53,056 --> 00:07:54,557 {\an8}They'll run away from it until they get tired, 165 00:07:54,641 --> 00:07:56,059 {\an8}and then the storm catches up with them. 166 00:07:56,142 --> 00:07:58,144 {\an8}- Why do you know this? - But buffalo are brave. 167 00:07:58,228 --> 00:08:00,355 {\an8}- There's more. - They run right into the storm, 168 00:08:00,438 --> 00:08:01,856 {\an8}so they get through it faster. 169 00:08:01,940 --> 00:08:03,942 {\an8}- I'm a cow in this analogy? - Mmm. 170 00:08:04,025 --> 00:08:06,236 {\an8}- Dr. Ndugu. - Run into the storm. 171 00:08:06,820 --> 00:08:08,238 {\an8}Hey, welcome back. 172 00:08:08,321 --> 00:08:09,739 {\an8}Thanks. Good to be back. 173 00:08:09,823 --> 00:08:11,157 {\an8}Yeah, um... 174 00:08:11,241 --> 00:08:13,618 {\an8}Do you have a minute? Can we talk? 175 00:08:13,702 --> 00:08:15,578 {\an8}- Sure. - Happy birthday! 176 00:08:15,662 --> 00:08:17,831 {\an8}- Happy birthday, Iris. - You guys are so sweet. 177 00:08:17,914 --> 00:08:20,625 {\an8}- Here you go, birthday girl. - Thank you! 178 00:08:20,709 --> 00:08:22,836 {\an8}- Who planned this? - Come here. 179 00:08:23,545 --> 00:08:24,754 {\an8}Oh, you guys. 180 00:08:26,297 --> 00:08:27,841 {\an8}- Thank you. - Have a good day. 181 00:08:27,924 --> 00:08:30,552 {\an8}- Bye. Thanks. - See you later, Iris. 182 00:08:31,136 --> 00:08:33,138 {\an8}So what was it that you wanted to talk about? 183 00:08:34,806 --> 00:08:36,808 {\an8}Happy birthday. 184 00:08:36,891 --> 00:08:38,101 {\an8}- Thank you. - Yeah. 185 00:08:38,935 --> 00:08:39,936 {\an8}Uh-huh. 186 00:08:42,480 --> 00:08:43,481 {\an8}It's like flour. 187 00:08:44,482 --> 00:08:45,692 {\an8}Or Maldon salt. 188 00:08:46,359 --> 00:08:49,446 {\an8}Except it took years and millions to make. Stop touching it. 189 00:08:50,363 --> 00:08:51,364 {\an8}Okay. 190 00:08:51,448 --> 00:08:54,951 {\an8}So we add a liquid diluent 191 00:08:55,035 --> 00:09:01,583 {\an8}and then deliver percutaneously as close as we can to the tumor. 192 00:09:04,669 --> 00:09:05,754 {\an8}There we go. 193 00:09:11,426 --> 00:09:13,970 {\an8}Ah. Damn near perfect. 194 00:09:14,054 --> 00:09:15,096 {\an8}Can I try? 195 00:09:15,180 --> 00:09:16,264 {\an8}Mmm. 196 00:09:17,015 --> 00:09:20,393 {\an8}So, after injection, it'll form a gel. 197 00:09:20,477 --> 00:09:24,564 {\an8}A tiny blob training an army of immune cells 198 00:09:24,647 --> 00:09:27,942 {\an8}to attack the tumor without chemo side effects. 199 00:09:28,026 --> 00:09:29,861 {\an8}Huh, It's like a secret lymph node. 200 00:09:30,612 --> 00:09:32,530 {\an8}Or spy node? 201 00:09:33,364 --> 00:09:35,533 {\an8}The rebel base on Yavin 4. 202 00:09:36,117 --> 00:09:38,661 {\an8}They trained to destroy the Death Star? 203 00:09:38,745 --> 00:09:40,997 {\an8}So we're Jedis. 204 00:09:41,081 --> 00:09:43,500 {\an8}The Rebel Alliance. Have I taught you nothing? 205 00:09:43,583 --> 00:09:44,834 {\an8}Here, let me see. 206 00:09:45,418 --> 00:09:49,130 {\an8}My life could have been very different if this was around when my mom was sick. 207 00:09:49,214 --> 00:09:50,757 {\an8}You and a lot of people. 208 00:09:50,840 --> 00:09:54,010 {\an8}But let's not get ahead of ourselves. Still in the testing phase. 209 00:09:55,053 --> 00:09:56,346 {\an8}Nice approach. 210 00:09:57,597 --> 00:09:58,640 {\an8}Okay, go prep Quinn. 211 00:10:09,692 --> 00:10:10,902 {\an8}- Hey. - Hey. 212 00:10:12,821 --> 00:10:14,948 {\an8}Do you know if Lucas has any food allergies? 213 00:10:15,031 --> 00:10:16,407 {\an8}Lucas Adams? 214 00:10:16,491 --> 00:10:18,243 {\an8}Yeah, I want to order him some cookies. 215 00:10:18,326 --> 00:10:20,829 {\an8}- Cookies? - Or maybe doughnuts are better? 216 00:10:21,955 --> 00:10:23,540 {\an8}I'm just trying to be nice. 217 00:10:23,623 --> 00:10:25,500 {\an8}Yeah, I was nice to him. You know what it got me? 218 00:10:25,583 --> 00:10:28,878 {\an8}Hospice in my living room and blame for something that wasn't my fault. 219 00:10:28,962 --> 00:10:30,630 {\an8}- I don't have to get the cookies. - Everyone says 220 00:10:30,713 --> 00:10:33,550 {\an8}your coresidents are your support system and they'll look out for you. 221 00:10:33,633 --> 00:10:35,135 {\an8}You know who's actually looking out for you? 222 00:10:35,218 --> 00:10:36,553 {\an8}- Attendings? - You. 223 00:10:36,636 --> 00:10:39,180 {\an8}That's it. Sooner you figure that out, the better off you'll be. 224 00:10:40,640 --> 00:10:43,143 {\an8}Stop, please. It hurts. 225 00:10:43,226 --> 00:10:46,229 {\an8}I know, but we need to remove the dressing to check the wound. 226 00:10:47,480 --> 00:10:50,567 - No, I'm sorry, I can't. - Looks like it's adhered to her arm. 227 00:10:50,650 --> 00:10:51,943 We're gonna give you some meds, 228 00:10:52,026 --> 00:10:54,696 then we're gonna wet the gauze with saline and try again, okay? 229 00:10:56,281 --> 00:10:58,867 We shouldn't have tried Class IV rapids on our own. 230 00:10:59,450 --> 00:11:01,244 We were halfway down before we capsized. 231 00:11:02,078 --> 00:11:05,081 - I grabbed a branch, but Keaton... - I'm so sorry. 232 00:11:09,127 --> 00:11:12,589 When we left this morning, I never thought by the end of the day he will be gone. 233 00:11:15,091 --> 00:11:18,720 We don't know anything yet. Let's just take it one step at a time, okay? 234 00:11:22,140 --> 00:11:23,391 We were called for a consult. 235 00:11:24,225 --> 00:11:25,852 This is Patricia Kim. 236 00:11:25,935 --> 00:11:30,106 She's transferred from OB post C-section for spontaneous pneumothorax. 237 00:11:30,190 --> 00:11:32,650 She has a persistent air leak in her chest tube. 238 00:11:32,734 --> 00:11:34,235 Your name's Iris, right? 239 00:11:34,861 --> 00:11:37,238 Is that your birthday cake in the third floor break room? 240 00:11:37,822 --> 00:11:39,407 - That's me. - Love Funfetti. 241 00:11:39,490 --> 00:11:40,909 - Happy birthday. - Thanks. 242 00:11:41,910 --> 00:11:44,245 What are you doing to celebrate? 243 00:11:44,329 --> 00:11:48,541 I'm going out tonight with a few friends and, um, this guy that I'm seeing. 244 00:11:49,375 --> 00:11:51,586 The guy you're seeing? How nice. 245 00:11:51,669 --> 00:11:54,505 Assuming no one needs a triple bypass later. 246 00:11:54,589 --> 00:11:57,258 He's a cardiothoracic surgeon. 247 00:11:57,884 --> 00:11:59,677 Sounds like a keeper. 248 00:11:59,761 --> 00:12:03,431 Can you set up for bedside talc pleurodesis, and... 249 00:12:05,808 --> 00:12:06,809 page Dr. Ndugu. 250 00:12:06,893 --> 00:12:09,020 Come on. You'll bring your board. 251 00:12:10,146 --> 00:12:12,148 We'll stop at all the best skate parks. 252 00:12:13,733 --> 00:12:15,485 That'll just make the trip take longer. 253 00:12:23,243 --> 00:12:24,661 Did you hear back? 254 00:12:26,454 --> 00:12:27,747 They said no. 255 00:12:27,830 --> 00:12:30,083 They did. Quinn, I'm so sorry. 256 00:12:30,166 --> 00:12:31,251 Did they give a reason? 257 00:12:31,334 --> 00:12:33,211 No. They usually don't. 258 00:12:33,294 --> 00:12:34,671 So what now? 259 00:12:35,255 --> 00:12:39,509 Uh, we will place the stent as planned and then back to the drawing board. 260 00:12:40,260 --> 00:12:41,803 Will I have to start chemo again? 261 00:12:41,886 --> 00:12:43,846 That'll be up to your oncologist. 262 00:12:45,390 --> 00:12:48,518 There's other innovations in the pipeline, 263 00:12:48,601 --> 00:12:51,729 and we will look into every single one of them. 264 00:12:53,398 --> 00:12:55,233 See? It'll be okay. 265 00:12:58,319 --> 00:13:00,363 I'll take him upstairs for the stent. 266 00:13:11,499 --> 00:13:13,835 How's your pain? You need more meds? 267 00:13:13,918 --> 00:13:16,838 I'm okay. Nothing compares to the pain in my heart. 268 00:13:16,921 --> 00:13:19,215 - Chest pain? - If Keaton's not in my life, 269 00:13:19,299 --> 00:13:20,466 it's not worth saving. 270 00:13:21,342 --> 00:13:23,428 Well, we're gonna try anyway, okay? 271 00:13:24,053 --> 00:13:26,180 - Whoa. Okay. - She has pulsatile bleeding. 272 00:13:26,264 --> 00:13:29,350 Right. The radial artery is partially transected. 273 00:13:29,434 --> 00:13:31,644 Let's check collateral circulation. 274 00:13:32,687 --> 00:13:35,064 The ulnar's not gonna be enough. We're gonna have to repair it. 275 00:13:35,148 --> 00:13:37,108 I'm gonna place a tourniquet. Let's hang a liter of LR. 276 00:13:37,191 --> 00:13:39,444 Dr. Hunt, we could use your help over here. 277 00:13:39,527 --> 00:13:41,696 Griffith and Spencer, take over here now, please. 278 00:13:41,779 --> 00:13:43,614 Okay. I got a male. Found him near the Green River. 279 00:13:43,698 --> 00:13:44,866 He's got multiple lacs and abrasions 280 00:13:44,949 --> 00:13:46,951 with severe ecchymosis on the left abdominal wall. 281 00:13:47,035 --> 00:13:48,745 Airway's secure, GCS is 15, 282 00:13:48,828 --> 00:13:52,040 and I got a body temp of 96.7. We put every blanket we had on him. 283 00:13:52,123 --> 00:13:54,751 On my count. Ready? One, two, three, go. 284 00:13:55,835 --> 00:13:58,629 - All right, can we get in there? - We're gonna check you out, Mister... 285 00:13:58,713 --> 00:14:01,549 - Uh, Keaton. Keaton Pathak. - Keaton? 286 00:14:01,632 --> 00:14:03,134 - June? - No, no, no. 287 00:14:03,217 --> 00:14:05,344 - Oh, my God, you're alive! - No thanks to you. 288 00:14:05,428 --> 00:14:07,388 You let go of my hand, you crazy bitch! 289 00:14:07,472 --> 00:14:09,724 - That's not what happened. - You're gonna pull out your IV. 290 00:14:09,807 --> 00:14:12,018 - Please calm down. - He has it wrong. He needs to know. 291 00:14:12,101 --> 00:14:14,103 - Keep her the hell away from me! - Just stay down. 292 00:14:16,064 --> 00:14:17,565 You're right, never a dull moment. 293 00:14:25,615 --> 00:14:28,826 Um, Phillips-head. Phillips-head. 294 00:14:30,036 --> 00:14:32,163 I got it. Is this like what you do at the hospital? 295 00:14:32,246 --> 00:14:35,249 Well, I'm a surgeon, so usually I would be the one using the tools. 296 00:14:35,750 --> 00:14:37,251 Don't even think about that. 297 00:14:37,335 --> 00:14:40,129 No one operates on this chair but me. 298 00:14:40,213 --> 00:14:42,215 I'm just here for prostate cancer. 299 00:14:42,298 --> 00:14:43,758 Uh-huh. Hex wrench. 300 00:14:45,468 --> 00:14:46,552 Thank you. 301 00:14:47,303 --> 00:14:50,264 You know, Richard is a good man. 302 00:14:50,348 --> 00:14:54,435 I was happy to volunteer my shop, and he's going to help a lot of people. 303 00:14:56,229 --> 00:14:57,980 Yeah. Uh, yeah. 304 00:14:59,107 --> 00:15:01,692 Hey, so have you ever had a prostate exam? 305 00:15:03,486 --> 00:15:04,487 I beg your pardon? 306 00:15:04,570 --> 00:15:06,697 I mean, I could, uh, set up an appointment. We could-- 307 00:15:06,781 --> 00:15:08,241 Save it. 308 00:15:08,324 --> 00:15:10,618 - Can you at least read the pamphlet? - No. 309 00:15:11,202 --> 00:15:14,038 And tell Richard I'm not interested. 310 00:15:15,206 --> 00:15:16,833 Well, I know he put you up to this. 311 00:15:16,916 --> 00:15:18,835 You're the boss. 312 00:15:20,336 --> 00:15:22,713 - He's not interested. - I knew that. You gotta keep trying. 313 00:15:22,797 --> 00:15:24,465 Well, I've been trying all morning. 314 00:15:30,054 --> 00:15:31,639 Pupils equal and reactive. 315 00:15:31,722 --> 00:15:33,182 Everything just happened so fast. 316 00:15:33,266 --> 00:15:34,976 I had a lot of time to replay it in my head 317 00:15:35,059 --> 00:15:37,395 while I was drowning in the freezing-ass Green River. 318 00:15:37,478 --> 00:15:40,982 Second IV's in. Let's push warm fluids and four milligrams of morphine. 319 00:15:41,065 --> 00:15:43,234 One large contusion on the left chest and one on the right arm. 320 00:15:43,317 --> 00:15:45,778 - He needs X-rays and a FAST exam. - You know how much I love you. 321 00:15:45,862 --> 00:15:48,531 And you decided to let go of me, okay? I saw it. 322 00:15:48,614 --> 00:15:51,117 And since you didn't die, you're dead to me. 323 00:15:51,200 --> 00:15:52,493 You don't mean that. Keaton! 324 00:15:52,577 --> 00:15:53,578 - Try not to move. - Okay, 325 00:15:53,661 --> 00:15:56,122 - there's free fluid around the spleen. - We gotta get her out of here. 326 00:15:56,205 --> 00:15:58,124 - BP keeps dropping. - Let's push more fluids. 327 00:15:58,207 --> 00:16:00,084 Dr. Braider, do you have a procedure room we could use? 328 00:16:00,168 --> 00:16:02,044 - Down the hall on your right. - Thank you. Let's go. 329 00:16:02,128 --> 00:16:03,629 No, I want to stay. 330 00:16:03,713 --> 00:16:05,840 They'll bring you back after they wash your arm out. 331 00:16:05,923 --> 00:16:07,884 We need to evacuate him to a Level 1 trauma center ASAP. 332 00:16:07,967 --> 00:16:09,802 - He is not stable. - Then we'll keep pushing fluids. 333 00:16:09,886 --> 00:16:12,054 Hopefully that'll tide him over until we get the blood. 334 00:16:12,138 --> 00:16:14,307 Spoken like a rural hospital doctor. I'll call in the transport order. 335 00:16:14,390 --> 00:16:15,808 I'll get him prepped. Thank you. 336 00:16:21,397 --> 00:16:22,398 How'd it go? 337 00:16:22,940 --> 00:16:24,358 Oh, the stent's in place. 338 00:16:25,026 --> 00:16:27,403 So your biliary stenosis symptoms should improve. 339 00:16:28,529 --> 00:16:30,114 If you're looking for Logan, 340 00:16:30,198 --> 00:16:33,075 I saw him chatting up a volunteer at the nurses' station. 341 00:16:35,453 --> 00:16:37,246 He's a good kid. 342 00:16:37,330 --> 00:16:38,581 He's going through a lot. 343 00:16:39,165 --> 00:16:41,500 His mother left when he was nine months old. 344 00:16:41,584 --> 00:16:43,669 It's been just the two of us ever since. 345 00:16:43,753 --> 00:16:49,300 My dad and I took a national parks trip the summer before I went off to college. 346 00:16:49,383 --> 00:16:50,384 I didn't want to go. 347 00:16:50,468 --> 00:16:52,220 I was annoyed that he woke me up at dawn 348 00:16:52,303 --> 00:16:55,640 to go fly-fish in creeks that were cold as hell, 349 00:16:55,723 --> 00:16:58,601 but now I cherish those memories. 350 00:17:00,394 --> 00:17:03,231 It was our last hurrah before I became my own person. 351 00:17:06,484 --> 00:17:08,027 I wanted that for Logan. 352 00:17:08,778 --> 00:17:10,696 There are other drugs you haven't tried, 353 00:17:10,780 --> 00:17:13,574 and we're still looking for other compassionate care 354 00:17:13,658 --> 00:17:15,368 and clinical trial options. 355 00:17:15,451 --> 00:17:18,329 What are the odds that Dr. Bailey finds something? 356 00:17:19,580 --> 00:17:20,665 You only need one. 357 00:17:23,542 --> 00:17:24,543 - Oof. - Are you okay? 358 00:17:24,627 --> 00:17:27,129 Yeah. Uh, I'm just a little dizzy. 359 00:17:27,213 --> 00:17:31,133 Okay, white counts are pretty high. You have a fever. May I? 360 00:17:31,217 --> 00:17:32,426 Yeah. 361 00:17:33,052 --> 00:17:35,513 - Okay, any pain? - A little bit up here. 362 00:17:37,598 --> 00:17:40,726 Okay. I'm getting blood cultures and taking you up for scans. 363 00:17:43,688 --> 00:17:45,314 Hey, how's it going in here? 364 00:17:45,398 --> 00:17:49,694 We've clamped the chest tube and we are ready to start chemical pleurodesis. 365 00:17:49,777 --> 00:17:51,279 Okay. All right. 366 00:17:51,362 --> 00:17:54,198 Sorry to interrupt. I have the patient's personal belongings. 367 00:17:54,282 --> 00:17:55,741 Yeah, please, by all means. 368 00:17:58,286 --> 00:18:03,040 The talc should help sclerose the pleural cavity to seal the air leak. 369 00:18:03,958 --> 00:18:06,335 Dr. Ndugu, did you know that it's Iris's birthday? 370 00:18:08,004 --> 00:18:09,463 I did. Mm-hmm. 371 00:18:09,547 --> 00:18:13,009 She is having dinner tonight with her friends and the guy that she's seeing. 372 00:18:13,092 --> 00:18:16,429 I mean, you must know him. He's a cardiothoracic surgeon. 373 00:18:17,430 --> 00:18:18,639 Uh-huh. 374 00:18:19,348 --> 00:18:21,183 Where are you going for the big celebration? 375 00:18:21,267 --> 00:18:23,519 Uh, I'm going to a sushi place near my apartment. 376 00:18:23,603 --> 00:18:25,271 They have killer omakase. 377 00:18:25,354 --> 00:18:27,648 You know what separates good omakase from bad? 378 00:18:27,732 --> 00:18:28,774 Decisiveness. 379 00:18:29,817 --> 00:18:33,988 You know, actually, the best omakase is about the right timing 380 00:18:34,071 --> 00:18:36,157 and order of the food. 381 00:18:36,240 --> 00:18:39,076 - Hmm. - That is why I had cake before lunch. 382 00:18:41,329 --> 00:18:42,955 I admire your conviction, Meade. 383 00:18:43,039 --> 00:18:46,167 You said that you were going to eat cake, so you ate cake. 384 00:18:46,959 --> 00:18:49,086 All done here. Enjoy your dinner. 385 00:18:49,170 --> 00:18:50,546 Thanks, I will. 386 00:18:50,630 --> 00:18:53,591 Dr. Michelle Ward to L&D. 387 00:18:58,429 --> 00:19:00,640 Whatever this is, he didn't need it. 388 00:19:00,723 --> 00:19:03,392 He's getting sicker. He's not gonna be able to tolerate more chemo. 389 00:19:04,185 --> 00:19:07,063 Well, we have to try. He wants to try. 390 00:19:09,106 --> 00:19:11,150 What is the point of all our training 391 00:19:11,233 --> 00:19:15,655 if some losers in an office building can tell us what's best for our patients? 392 00:19:15,738 --> 00:19:17,907 People who don't even know him. Do they care at all? 393 00:19:17,990 --> 00:19:20,576 Yes, they do. 394 00:19:20,660 --> 00:19:21,827 How can you say that? 395 00:19:22,370 --> 00:19:25,665 You see what's happening. Katie Rogers died in my living room. 396 00:19:25,748 --> 00:19:29,377 Look, those losers are career public servants. 397 00:19:30,044 --> 00:19:32,380 People who show up at the office every day 398 00:19:32,463 --> 00:19:34,382 regardless of who's leading the charge. 399 00:19:34,465 --> 00:19:36,509 They show up because they care. 400 00:19:36,592 --> 00:19:39,470 I-I have to believe that. I've seen it. 401 00:19:39,553 --> 00:19:42,640 And it's good that they don't know Quinn 'cause they can be objective. 402 00:19:42,723 --> 00:19:46,435 Look, you cannot put a treatment with an unknown toxicity profile 403 00:19:46,519 --> 00:19:49,897 into someone just because they're dying anyway. 404 00:19:49,980 --> 00:19:53,150 That is not medicine. That is experimentation. 405 00:19:53,234 --> 00:19:55,569 But it already worked on some other patients. 406 00:19:55,653 --> 00:19:57,029 It could buy him some time. 407 00:19:57,113 --> 00:19:59,448 Or it could make things worse. 408 00:19:59,532 --> 00:20:02,368 Four years of schooling does not make you a god. 409 00:20:03,703 --> 00:20:06,497 We need guardrails, just like everybody else. 410 00:20:06,580 --> 00:20:08,499 Oh. 411 00:20:09,208 --> 00:20:12,253 His biliary tree's still distended with an obstruction? 412 00:20:12,336 --> 00:20:14,171 He has ascending cholangitis. 413 00:20:17,216 --> 00:20:21,429 Okay, let's, uh, prep for a percutaneous cholangiogram with a drain. 414 00:20:21,512 --> 00:20:23,180 Yeah. 415 00:20:29,937 --> 00:20:32,314 Hey, hey, hey, hey, it's her birthday. 416 00:20:32,398 --> 00:20:33,399 So I heard. 417 00:20:34,650 --> 00:20:37,027 - What do you want me to do? - I want you to break up with her. 418 00:20:37,611 --> 00:20:40,197 - Okay, I-I hate upsetting people. - Oh, my God. 419 00:20:40,281 --> 00:20:42,742 Once at Joe's, I found a fingernail in my onion rings, 420 00:20:42,825 --> 00:20:45,161 and I didn't want to tell the server, so I ate around it, 421 00:20:45,745 --> 00:20:47,246 and it wasn't even that guy's birthday. 422 00:20:47,329 --> 00:20:49,331 Okay, some stories don't need to be told. 423 00:20:49,415 --> 00:20:50,833 I just don't wanna be a jerk. 424 00:20:50,916 --> 00:20:53,794 Well, the jerky thing is to let Iris think that everything is fine 425 00:20:53,878 --> 00:20:56,964 when you have one foot out the door and your mouth on my mouth. 426 00:20:57,047 --> 00:20:59,008 Yeah, I agree. I'll do it tomorrow. 427 00:20:59,842 --> 00:21:03,888 All right, you-you can do whatever you want. 428 00:21:03,971 --> 00:21:07,224 I'm just... I'm just frustrated. 429 00:21:08,142 --> 00:21:11,395 After months of wanting this, 430 00:21:14,523 --> 00:21:15,524 I can't. 431 00:21:16,776 --> 00:21:18,444 Not on your girlfriend's birthday. 432 00:21:31,332 --> 00:21:32,333 How's he doing? 433 00:21:32,416 --> 00:21:33,417 He's holding up. 434 00:21:33,918 --> 00:21:35,836 - Good. Medevac's en route. - Okay. 435 00:21:35,920 --> 00:21:38,923 - His repeat H&H dropped by two points. - Dr. Braider. 436 00:21:40,382 --> 00:21:41,842 Owen, what are you doing here? 437 00:21:43,010 --> 00:21:45,596 - I'm helping a community that needs it. - That's not what I meant. 438 00:21:47,097 --> 00:21:50,100 Listen, I haven't made any decisions yet. 439 00:21:50,184 --> 00:21:52,895 This hospital shuttered their ORs three years ago. 440 00:21:52,978 --> 00:21:56,065 Because a bean counter decided that it made financial sense. 441 00:21:56,148 --> 00:21:57,942 People didn't stop needing surgery. 442 00:21:58,526 --> 00:22:01,195 They want me to start a regional surgical program, 443 00:22:01,278 --> 00:22:04,865 rotate in specialists so that folks can get the care they need closer to home. 444 00:22:04,949 --> 00:22:08,202 You're a trauma surgeon at a Level 1 trauma center. 445 00:22:08,285 --> 00:22:10,371 And I get to build this program from the ground up. 446 00:22:11,914 --> 00:22:14,750 - He's about to code. - Bag him. Gonna need an intubation kit. 447 00:22:17,086 --> 00:22:18,087 All right. 448 00:22:18,921 --> 00:22:19,922 - Got it? - Yep. 449 00:22:25,553 --> 00:22:27,054 So who else needs one of these? 450 00:22:27,721 --> 00:22:29,223 You've been gone for a while. 451 00:22:32,893 --> 00:22:34,812 Yeah, I just... I just needed some air. 452 00:22:37,273 --> 00:22:40,067 You know, I've known Jones longer than I have my wife. 453 00:22:40,150 --> 00:22:42,069 I'd really appreciate it if you'd try it again. 454 00:22:42,152 --> 00:22:43,529 He obviously doesn't want to talk. 455 00:22:43,612 --> 00:22:45,781 Yeah, but that doesn't mean he doesn't want to listen. 456 00:22:45,865 --> 00:22:48,325 And I know he's well overdue for a screening. 457 00:22:48,409 --> 00:22:50,619 I thought that doctors weren't supposed to pressure their patients. 458 00:22:50,703 --> 00:22:53,664 Well, I just want to make sure he understands the risks and the benefits. 459 00:22:53,747 --> 00:22:55,082 With all due respect, sir, 460 00:22:55,165 --> 00:22:58,669 I was told I'll just be handing out flyers when I volunteered for this. 461 00:23:03,132 --> 00:23:05,342 I-I think you need to go back to the hospital. 462 00:23:05,426 --> 00:23:08,137 - Because I don't wanna strong-arm one man? - I'm trying to save lives. 463 00:23:08,220 --> 00:23:10,014 I don't need another doctor getting in the way. 464 00:23:10,097 --> 00:23:12,349 Look, I understand that it's important. 465 00:23:12,433 --> 00:23:15,060 - Not like I do. - Well, I studied the same facts. 466 00:23:15,144 --> 00:23:17,646 I know the same risk factors, the screening process... 467 00:23:17,730 --> 00:23:18,939 But you haven't lived it. 468 00:23:22,443 --> 00:23:26,238 I'm so sorry. I... I-I didn't know. 469 00:23:27,364 --> 00:23:28,657 Yeah. 470 00:23:28,741 --> 00:23:31,368 You should go back to Grey Sloan. I'm sure they could use you there. 471 00:23:31,452 --> 00:23:34,246 - Are you sure? I can... I can stay. I... - No, I got this covered. 472 00:23:34,330 --> 00:23:35,331 You go ahead. 473 00:23:57,144 --> 00:23:59,271 - Can't see the cords. - You want some cricoid pressure? 474 00:23:59,355 --> 00:24:00,397 Wouldn't hurt. 475 00:24:03,567 --> 00:24:04,944 - All right, I'm in. - Okay. 476 00:24:06,362 --> 00:24:07,363 All right. 477 00:24:08,864 --> 00:24:11,241 - Bilateral breath sounds. - His spleen is bleeding out? 478 00:24:11,325 --> 00:24:14,203 - That's the most likely explanation. - BP's down to 75. 479 00:24:14,286 --> 00:24:16,038 - Okay. How far is the medevac? - I don't know. 480 00:24:16,121 --> 00:24:17,748 If there's heavy fog, it could take longer. 481 00:24:17,831 --> 00:24:19,833 Can't wait. His spleen needs to come out right now. 482 00:24:20,417 --> 00:24:22,378 We're gonna need one of those old ORs. 483 00:24:25,965 --> 00:24:27,549 Does she need a plastics consult? 484 00:24:28,467 --> 00:24:29,969 - No. - Even with tissue coverage, 485 00:24:30,052 --> 00:24:33,263 - she'll have bad scarring. - We'll do our best to prevent that. 486 00:24:33,347 --> 00:24:35,140 Brand me. I deserve a scar. 487 00:24:35,224 --> 00:24:37,726 I was slipping and I let go of my boyfriend to grab another branch. 488 00:24:37,810 --> 00:24:41,105 That's how you let him go? That's gut instincts or reflex. 489 00:24:41,188 --> 00:24:42,564 Lizard brain. Darwin. 490 00:24:42,648 --> 00:24:46,193 What did he expect you to do, sacrifice yourself so you both died? 491 00:24:46,276 --> 00:24:47,653 No, you did the right thing. 492 00:24:47,736 --> 00:24:50,364 If he can't see that, you were never meant to be. 493 00:24:52,950 --> 00:24:54,535 The tourniquet's been applied for too long. 494 00:24:54,618 --> 00:24:56,912 - It's cutting off her blood supply. - Am I losing my arm? 495 00:24:56,996 --> 00:24:58,455 No, no, but the artery going to your hand 496 00:24:58,539 --> 00:25:00,833 is compromised, and we need to repair it right now. 497 00:25:00,916 --> 00:25:04,545 - Spencer, get 6-0 Prolene and a castro. - Um, sure. Any idea where? 498 00:25:07,464 --> 00:25:09,800 I was gonna look for it, but shouldn't we get an attending? 499 00:25:09,883 --> 00:25:12,469 June is our patient, and she needs a simple primary repair. 500 00:25:12,553 --> 00:25:14,763 And if we don't do it now, she could lose her hand. 501 00:25:14,847 --> 00:25:15,931 - Do you want that? - No. 502 00:25:16,015 --> 00:25:17,683 Then get it together and help me. 503 00:25:24,481 --> 00:25:26,483 Hey, I-I've been looking for you. 504 00:25:27,484 --> 00:25:29,028 You did it. Way to go. 505 00:25:30,446 --> 00:25:32,239 Hey... You can't do that. 506 00:25:32,322 --> 00:25:34,908 Look, I just need your attention for 60 seconds. 507 00:25:37,703 --> 00:25:40,039 - What's wrong? - The stent didn't work. 508 00:25:40,664 --> 00:25:44,043 Your dad's developed an infection called ascending cholangitis, 509 00:25:44,126 --> 00:25:46,253 and the only way to clear it is to place a drain 510 00:25:46,336 --> 00:25:48,213 to remove the bile buildup in the liver. 511 00:25:48,297 --> 00:25:50,382 Okay. And then he'll feel better after that? 512 00:25:55,179 --> 00:25:56,805 I've been in your shoes. 513 00:25:56,889 --> 00:26:00,100 You know, when you're in and out of the hospital so many times with someone, 514 00:26:00,976 --> 00:26:04,813 it feels like the doctors are saying the same thing over and over again. 515 00:26:05,898 --> 00:26:08,484 It's impossible to tell if it's really serious 516 00:26:09,485 --> 00:26:10,778 or just more of the same. 517 00:26:13,072 --> 00:26:15,074 But this time it's different, Logan. 518 00:26:17,785 --> 00:26:20,162 Your dad probably only has a few weeks to live. 519 00:26:22,039 --> 00:26:26,251 He came in really, really sick, and he's not getting better. 520 00:26:28,587 --> 00:26:29,922 So if I were you, 521 00:26:30,798 --> 00:26:33,217 I'd do everything in my power 522 00:26:34,134 --> 00:26:36,136 to spend as much time with him as you can. 523 00:26:54,404 --> 00:26:55,614 It's been a minute. 524 00:26:55,697 --> 00:26:56,782 Yeah. 525 00:26:57,741 --> 00:26:59,868 - You want a little oil on your scalp? - Coconut? 526 00:27:00,536 --> 00:27:03,122 You got it. 527 00:27:03,872 --> 00:27:07,209 I think my nephew took care of you the last time. 528 00:27:07,918 --> 00:27:09,002 Yeah, he sure did. 529 00:27:09,920 --> 00:27:13,048 Look, I... I know it's been a minute since I've been to see you. 530 00:27:13,549 --> 00:27:15,551 Well, I thought you had left for another shop. 531 00:27:15,634 --> 00:27:16,635 Nah. 532 00:27:17,302 --> 00:27:19,805 Well, actually, I... I was home for a while. 533 00:27:21,223 --> 00:27:23,308 I had surgery for prostate cancer. 534 00:27:27,604 --> 00:27:28,897 I'm sorry, I didn't know. 535 00:27:30,858 --> 00:27:32,192 Are you doing chemo? 536 00:27:32,276 --> 00:27:36,113 Yeah, it was an option, but I elected to have my prostate removed. 537 00:27:36,738 --> 00:27:37,739 I was nervous, 538 00:27:38,782 --> 00:27:40,534 but I did it. I have no regrets. 539 00:27:41,118 --> 00:27:43,954 I'm cancer-free, and I feel great. 540 00:27:46,164 --> 00:27:47,374 Oh, Richard. 541 00:27:47,457 --> 00:27:49,918 No. Get the screening, Jones. 542 00:27:50,669 --> 00:27:52,379 I'm not saying this as a doctor. 543 00:27:53,297 --> 00:27:56,967 But as a survivor and as your friend. 544 00:27:59,553 --> 00:28:00,762 If it means that much. 545 00:28:00,846 --> 00:28:01,847 It does. 546 00:28:02,764 --> 00:28:06,059 All right. then, sit back and let me fix what my nephew did to you 547 00:28:06,143 --> 00:28:08,061 'cause you're holding up my schedule. 548 00:28:12,024 --> 00:28:14,776 Hey, can I gut check something with you? It's a guy thing. 549 00:28:15,277 --> 00:28:16,278 - No. - Okay, 550 00:28:16,361 --> 00:28:18,280 so say you had a favorite sandwich shop, 551 00:28:18,363 --> 00:28:21,491 and you go and get a sandwich there every day and then you find a salad spot-- 552 00:28:21,575 --> 00:28:23,285 Okay, I'm not gonna do the whole complicated analogy, 553 00:28:23,368 --> 00:28:25,287 so can you just say Ndugu? 554 00:28:26,496 --> 00:28:28,790 Okay, fine. He... 555 00:28:31,251 --> 00:28:33,670 He said he was going to break up with this nurse that he was dating, 556 00:28:33,754 --> 00:28:34,963 and he didn't do it. 557 00:28:36,089 --> 00:28:37,799 Okay, he's not into you. 558 00:28:37,883 --> 00:28:39,718 Okay, at least not enough to go through trouble 559 00:28:39,801 --> 00:28:42,220 of breaking up with somebody else. 560 00:28:44,848 --> 00:28:46,266 What is happening? 561 00:28:46,350 --> 00:28:48,936 I'm on these hormones from freezing my eggs. 562 00:28:49,019 --> 00:28:50,729 So you have to be gentle with me. 563 00:28:50,812 --> 00:28:52,773 - Okay, you should've opened with that. - It's her birthday. 564 00:28:52,856 --> 00:28:54,483 Does that change anything? 565 00:28:54,566 --> 00:28:55,943 Have you cried like this in front of him? 566 00:28:56,026 --> 00:28:58,111 - Well, no. - Definitely don't. 567 00:29:00,364 --> 00:29:03,492 But it-it's still going to-to be all right, right? 568 00:29:03,992 --> 00:29:05,410 Maybe. 569 00:29:05,494 --> 00:29:09,039 But if he doesn't keep his promise to you, then he's just a spineless wimp. 570 00:29:09,122 --> 00:29:10,290 Ugh. He's not a bad person. 571 00:29:10,374 --> 00:29:13,210 Well, he's got you crying like a teenager, so agree to disagree. 572 00:29:13,293 --> 00:29:14,795 I said be gentle. 573 00:29:26,974 --> 00:29:29,518 I know it was my idea to start a surgical program here, 574 00:29:29,601 --> 00:29:31,103 but I did not mean today. 575 00:29:31,186 --> 00:29:32,688 Do you see any other options? 576 00:29:32,771 --> 00:29:34,982 - Do you even have the right instruments? - I got a chest tube tray. 577 00:29:35,065 --> 00:29:37,985 And 11 blade isn't usually my go-to for an ex-lap, 578 00:29:38,068 --> 00:29:39,277 but I've operated with less. 579 00:29:39,361 --> 00:29:40,654 I hope no one gives birth today. 580 00:29:40,737 --> 00:29:43,657 We stole every towel and drape from the OB ward. 581 00:29:43,740 --> 00:29:44,825 What about retraction? 582 00:29:44,908 --> 00:29:47,035 Uh, specialty from our military days. 583 00:29:47,119 --> 00:29:49,204 They're not Deavers, but it works. 584 00:29:49,913 --> 00:29:51,331 Systolic is down to 70. 585 00:29:51,415 --> 00:29:52,416 Okay, Dr. Braider. 586 00:29:55,419 --> 00:29:56,586 Do it. 587 00:30:01,133 --> 00:30:02,843 I couldn't do that without loupes. 588 00:30:02,926 --> 00:30:04,845 I've been wearing glasses since I was two. 589 00:30:04,928 --> 00:30:07,806 Everyone in my family has perfect vision, but my pupils are just kind of-- 590 00:30:07,889 --> 00:30:09,474 Spencer, focus. 591 00:30:10,559 --> 00:30:13,520 All right. I'm just gonna unclamp the artery. 592 00:30:13,603 --> 00:30:15,856 ♪ But I still breathe ♪ 593 00:30:18,608 --> 00:30:20,861 No leaks. We did it. 594 00:30:20,944 --> 00:30:22,154 Of course we did. 595 00:30:22,779 --> 00:30:25,282 - I'm going to live? - Yes, and do you remember why? 596 00:30:25,782 --> 00:30:27,576 - Because I looked out for myself. - That's right. 597 00:30:27,659 --> 00:30:29,786 You did what you had to do to survive. 598 00:30:29,870 --> 00:30:32,330 Don't let anyone make you feel guilty for it. 599 00:30:32,414 --> 00:30:35,917 I know. And maybe you're right. Maybe we were never meant to be. 600 00:30:36,626 --> 00:30:38,462 I just don't want him to hate me. 601 00:30:40,047 --> 00:30:41,798 ♪ Where do we go? ♪ 602 00:30:41,882 --> 00:30:45,135 ♪ When it all turns grey ♪ 603 00:30:45,218 --> 00:30:51,099 All right, drain is in. Send the samples for culture and sensitivities. 604 00:30:55,270 --> 00:30:56,897 I spoke with Dr. Kuby. 605 00:30:56,980 --> 00:31:00,525 She's going to start Quinn on third line chemo 606 00:31:00,609 --> 00:31:02,569 once the infection clears. 607 00:31:02,652 --> 00:31:05,739 - Does she think it might work? - She thinks it's worth trying. 608 00:31:05,822 --> 00:31:07,949 His son hasn't even graduated high school. 609 00:31:09,409 --> 00:31:12,037 Are you sure we shouldn't inject the synthetic lymph node? 610 00:31:12,120 --> 00:31:15,832 It would be against the law to use an unapproved treatment 611 00:31:15,916 --> 00:31:17,501 without FDA permission. 612 00:31:17,584 --> 00:31:19,002 Okay, but the thing works. 613 00:31:19,086 --> 00:31:23,381 Eighty percent of patients had tumor shrinkage six months after getting it. 614 00:31:23,465 --> 00:31:26,384 Those are anecdotal results based on ten patients. 615 00:31:26,468 --> 00:31:28,595 We have no idea if it would work for him. 616 00:31:28,678 --> 00:31:34,226 We could just be giving his body something new to tolerate when he's already septic. 617 00:31:34,309 --> 00:31:36,436 All right, I have a hernia repair to get to. 618 00:31:36,520 --> 00:31:39,106 Secure the drain, and bring him back to his room. 619 00:31:39,189 --> 00:31:42,984 We'll image in 24 to 48 hours to make sure the drain worked. 620 00:31:43,068 --> 00:31:45,487 Okay, I'll let you know when the cultures are back. 621 00:31:45,570 --> 00:31:46,738 Okay, fixation device. 622 00:31:57,499 --> 00:32:00,669 All right, I see it. Looks like a stage 4 splenic lac. 623 00:32:00,752 --> 00:32:03,213 - I'm gonna need more towels. - Yeah, I got you. 624 00:32:03,296 --> 00:32:07,008 You two really have this down. I didn't realize you were also a veteran. 625 00:32:07,092 --> 00:32:10,220 She was chief at MEDCOM in Landstuhl, Germany. 626 00:32:10,303 --> 00:32:14,558 Don't let the fancy titles fool you. I also did tours in Afghanistan and Iraq. 627 00:32:14,641 --> 00:32:17,644 - Isn't that where you were stationed? - That's where we met. 628 00:32:17,727 --> 00:32:20,105 Oh. You better work fast. 629 00:32:20,188 --> 00:32:22,649 There's too much blood. I can't visualize the pedicle. 630 00:32:22,732 --> 00:32:24,693 - All right, let me try something. - Yeah. 631 00:32:27,654 --> 00:32:29,656 Yeah, I got it. All right, follow with your hand. 632 00:32:29,739 --> 00:32:31,116 Okay. 633 00:32:33,869 --> 00:32:35,579 Got it. Clamp. 634 00:32:36,204 --> 00:32:37,205 Another. 635 00:32:39,583 --> 00:32:41,626 Scissors. Oh-vicryl. Times two. 636 00:32:41,710 --> 00:32:43,044 Okay, when I'm done with this, 637 00:32:43,128 --> 00:32:45,547 I'm gonna need sterile towels for the temporary closure. 638 00:32:46,673 --> 00:32:50,177 BP is holding steady and pulse is stabilizing. 639 00:32:51,845 --> 00:32:53,930 I cannot believe you pulled this off. 640 00:32:55,223 --> 00:32:59,060 Well, you both just made my case for starting a surgical rotation here. 641 00:33:10,280 --> 00:33:11,281 Okay. 642 00:33:11,781 --> 00:33:15,285 Well, the helicopter pickup isn't too far. He's gonna be fine. 643 00:33:15,368 --> 00:33:19,122 Are you sure you're okay driving the transport van back? 644 00:33:19,206 --> 00:33:22,000 Yeah, as long as Spencer keeps her playlist to herself. 645 00:33:22,083 --> 00:33:25,462 And Griffith did an excellent repair on June's arm. 646 00:33:25,545 --> 00:33:28,089 I'll set up an outpatient follow-up with plastics. 647 00:33:31,259 --> 00:33:33,887 Oh, hey. Um, I'm sorry we couldn't get to more patients, 648 00:33:33,970 --> 00:33:35,472 but I'll come back next week. 649 00:33:35,555 --> 00:33:36,598 No need to apologize, 650 00:33:36,681 --> 00:33:39,142 but I will look forward to seeing you again. 651 00:33:41,478 --> 00:33:45,106 Okay. I'll keep you updated on his status. 652 00:33:45,190 --> 00:33:46,191 Great. 653 00:33:46,274 --> 00:33:48,068 - Drive safe. - Okay, yeah. 654 00:33:49,110 --> 00:33:51,029 You're very lucky to have him. 655 00:33:51,529 --> 00:33:55,533 But I really hope he leaves you. 656 00:33:58,495 --> 00:34:01,122 Maybe I shouldn't be so bold about poaching him from your hospital, 657 00:34:01,206 --> 00:34:05,043 but you just seem like someone who loves a challenge as much as he does, 658 00:34:05,126 --> 00:34:06,461 and you two clearly have history. 659 00:34:06,544 --> 00:34:10,590 If you'd put a good word in for us here, I'd appreciate it. 660 00:34:12,175 --> 00:34:14,052 Owen's gonna make up his own mind. 661 00:34:14,886 --> 00:34:16,721 Good luck filling the position. 662 00:34:26,273 --> 00:34:27,524 Hey, how'd it go today? 663 00:34:27,607 --> 00:34:32,028 Oh, I showed Chester Jones how to message his PCP from his portal. 664 00:34:32,612 --> 00:34:35,240 Um... [chuckles] ...I'm not quite sure what to think of that. 665 00:34:35,323 --> 00:34:37,242 It's one of the best days I've had in a while. 666 00:34:37,325 --> 00:34:40,745 Maybe I saved some lives, and I didn't have to cut anyone open. 667 00:34:40,829 --> 00:34:42,414 Well, that sounds like a good day. 668 00:34:42,497 --> 00:34:44,624 I saw Adams came back early. 669 00:34:44,708 --> 00:34:47,627 Yeah, he wasn't in the right headspace for community outreach. 670 00:34:47,711 --> 00:34:50,380 I'm so sorry he wasn't helpful. 671 00:34:50,463 --> 00:34:52,173 Well, actually, he was. 672 00:34:52,257 --> 00:34:55,051 Until today, I was hesitant to tell my own story. 673 00:34:55,135 --> 00:34:58,763 But he reminded me that sometimes people need to hear from other patients 674 00:34:58,847 --> 00:35:01,016 - just as much as doctors. - Hmm. 675 00:35:01,099 --> 00:35:02,559 Yeah. 676 00:35:03,101 --> 00:35:06,062 Well, I'm glad everything worked out. 677 00:35:06,146 --> 00:35:07,939 I wish I could convince him to get a haircut. 678 00:35:15,030 --> 00:35:16,031 Hey. 679 00:35:16,823 --> 00:35:17,824 Wh-Where's your dad? 680 00:35:18,325 --> 00:35:20,535 Uh, Dr. Bailey told the nurses to take him for a scan. 681 00:35:20,619 --> 00:35:22,203 What kind of scan? 682 00:35:22,912 --> 00:35:25,415 - I don't know. - I meant did something happen? 683 00:35:25,498 --> 00:35:27,292 - I don't think so. - Oh. 684 00:35:28,835 --> 00:35:31,129 Wait, wait. Do you think it's bad? 685 00:35:31,212 --> 00:35:33,214 No, no, no, I think it's fine. 686 00:35:40,388 --> 00:35:43,183 Oh, good. You're still here. I have something for you. 687 00:35:50,273 --> 00:35:51,274 What is this? 688 00:35:51,358 --> 00:35:52,942 A few of Katie's things her mom didn't take. 689 00:35:53,026 --> 00:35:54,444 Just thought you might want them. 690 00:36:05,789 --> 00:36:08,291 - You can't hate me forever. - Don't be so sure. 691 00:36:08,958 --> 00:36:11,211 Lucas, I'm sorry for your loss. I... 692 00:36:11,294 --> 00:36:13,463 She was your friend. I could've been more sensitive to that. 693 00:36:13,546 --> 00:36:15,882 What a relief. I feel so much better now. 694 00:36:17,258 --> 00:36:18,343 I know you're grieving. 695 00:36:18,426 --> 00:36:21,012 You're looking for explanations and saying things you might not mean. 696 00:36:21,096 --> 00:36:22,806 Who says I don't mean it? 697 00:36:26,434 --> 00:36:27,936 Leave me alone. 698 00:36:40,615 --> 00:36:45,245 Hey, I thought you were gonna wait 24 to 48 hours for Quinn's MRCP. 699 00:36:45,328 --> 00:36:48,790 That is the protocol, but you know, he's been through so much. 700 00:36:48,873 --> 00:36:52,711 I figured if the drain's not working, better to know now. 701 00:36:53,294 --> 00:36:54,379 How's it looking? 702 00:36:55,255 --> 00:36:57,340 - The bile's moving. - Hmm. 703 00:36:57,424 --> 00:37:01,511 Hopefully, the antibiotic will cool off the cholangitis. 704 00:37:01,594 --> 00:37:03,722 I think we did it. 705 00:37:04,305 --> 00:37:05,306 Great. 706 00:37:05,390 --> 00:37:09,394 Um, so while I have you, can I ask you about Mr. Elmer's labs? 707 00:37:09,477 --> 00:37:10,937 Do you see that? 708 00:37:11,604 --> 00:37:16,359 There's a fluid collection adjacent to the tumor. What? 709 00:37:16,443 --> 00:37:21,114 Uh... Okay, is it blood? Or a bile leak? 710 00:37:21,197 --> 00:37:25,201 It's not contiguous with the biliary tree. 711 00:37:25,827 --> 00:37:27,579 Uh... Oh. 712 00:37:27,662 --> 00:37:31,249 I don't like what I'm seeing 'cause he could be bleeding from this tumor. 713 00:37:31,332 --> 00:37:36,629 All right, we need a repeat H&H and, uh, coags and, uh, set up an ultrasound. 714 00:37:36,713 --> 00:37:39,007 It's hydrogel. 715 00:37:45,722 --> 00:37:47,307 And how did it get there? 716 00:37:48,224 --> 00:37:50,226 I injected it after you left. 717 00:37:51,019 --> 00:37:52,520 It's... it is his best option, 718 00:37:52,604 --> 00:37:54,189 and it was just sitting there in the hospital. 719 00:37:54,272 --> 00:37:59,527 It's his best option for you to commit a crime on my patient 720 00:37:59,611 --> 00:38:00,904 in my OR? 721 00:38:00,987 --> 00:38:02,864 Okay. No one has to know. 722 00:38:02,947 --> 00:38:04,824 What? Quinn has to know. 723 00:38:04,908 --> 00:38:09,621 You can't put an experimental treatment in someone's body and not tell them. 724 00:38:15,335 --> 00:38:17,754 Okay. Okay... [stammers] ...I can tell him. 725 00:38:17,837 --> 00:38:20,048 No, stop. You have done enough. 726 00:38:49,911 --> 00:38:51,830 Hey. Can we talk? 727 00:38:53,665 --> 00:38:55,250 Iris is a really nice person. 728 00:38:55,333 --> 00:38:59,087 She doesn't deserve to have her birthday ruined just because I'm impatient. 729 00:38:59,170 --> 00:39:02,090 And the fact that you care is part of what I like about you. 730 00:39:02,173 --> 00:39:04,801 So if you wanna wait till tomorrow, it's-it's fine. 731 00:39:04,884 --> 00:39:08,304 But if you're having second thoughts about us, will you just please tell me? 732 00:39:09,681 --> 00:39:10,682 I ended it. 733 00:39:11,599 --> 00:39:15,645 You were right. She deserved the truth, even on her birthday. 734 00:39:17,605 --> 00:39:21,067 Uh. How did she take it? 735 00:39:21,150 --> 00:39:23,236 Mm-mmm. It... [sucks teeth] ...uh... 736 00:39:24,362 --> 00:39:28,074 Well, I should stay off the labor and delivery floor for a while, 737 00:39:28,157 --> 00:39:30,076 - but I'm single. - Oh? 738 00:39:30,743 --> 00:39:32,203 And I want to take you out. 739 00:39:33,913 --> 00:39:35,707 Then I want to take you home. 740 00:39:38,835 --> 00:39:40,795 Oh, no. I'm-I'm freezing my eggs. 741 00:39:41,921 --> 00:39:44,382 - Okay? - Well, I can't have sex. 742 00:39:44,465 --> 00:39:47,218 Because it could cause ovarian torsion, which is, you know, when the ovaries-- 743 00:39:47,302 --> 00:39:48,303 I know what it is. 744 00:39:48,386 --> 00:39:52,265 So I probably shouldn't go home with you. 745 00:39:52,932 --> 00:39:54,475 Let's just do a movie and chill. 746 00:39:56,352 --> 00:39:59,564 I mean watch an actual movie and actually chill. 747 00:40:01,274 --> 00:40:02,275 I'd like that. 748 00:40:02,358 --> 00:40:06,112 No matter how remote you are or how isolated you feel, 749 00:40:07,030 --> 00:40:08,031 there's hope. 750 00:40:09,365 --> 00:40:11,784 And help is usually closer than you think. 751 00:40:11,868 --> 00:40:14,954 ♪ Time, time, is it over yet? ♪ 752 00:40:15,038 --> 00:40:19,000 ♪ Till you wanna keep me But then there's nothing left ♪ 753 00:40:20,793 --> 00:40:22,879 It's been a day, and I need a drink. 754 00:40:22,962 --> 00:40:27,592 And I'm just sitting here, so I don't have to sit next to that guy. 755 00:40:30,136 --> 00:40:31,262 You know what, that's a lie. 756 00:40:31,346 --> 00:40:33,640 I'm just sitting here because I wanna sit here, 757 00:40:33,723 --> 00:40:36,559 and if you don't like it, you can move. 758 00:40:38,061 --> 00:40:39,479 It's not always easy to ask. 759 00:40:41,814 --> 00:40:45,818 ♪ Oh oh oh oh oh ♪ 760 00:40:57,497 --> 00:40:59,290 But with a little courage... 761 00:41:00,959 --> 00:41:03,670 if you look, you'll find what you need. 762 00:41:03,753 --> 00:41:05,630 Thank you for coming with us. 763 00:41:05,713 --> 00:41:07,715 Oh, yeah. Yeah. It was a... 764 00:41:10,009 --> 00:41:11,052 it was a good day. 765 00:41:11,552 --> 00:41:14,639 Well, we removed a spleen with a chest tube kit. 766 00:41:15,974 --> 00:41:19,394 I have done a lot of crazy things in my career, especially with you, 767 00:41:19,477 --> 00:41:22,480 but this was... this was up there. 768 00:41:25,858 --> 00:41:27,318 You're gonna take that job? 769 00:41:30,238 --> 00:41:31,656 I turned it down. 770 00:41:31,739 --> 00:41:35,368 You know, it was nice to think about, but the timing's not right. 771 00:41:35,451 --> 00:41:37,870 Oh, thank God. I thought you were gonna leave me. 772 00:41:37,954 --> 00:41:42,166 I mean, you know, if... if you had taken that job, 773 00:41:42,250 --> 00:41:45,545 I would've had to find a new chief of trauma 774 00:41:45,628 --> 00:41:50,008 and hire them and train them and just start over. 775 00:41:50,091 --> 00:41:52,427 Yeah, it would've been a hassle. 776 00:41:52,969 --> 00:41:55,096 Your family, your friends, 777 00:41:56,014 --> 00:41:57,181 your community... 778 00:41:57,265 --> 00:41:59,225 I'm gonna go there once a month though. 779 00:41:59,308 --> 00:42:01,060 - Just to help out. - Oh. Yeah. 780 00:42:02,395 --> 00:42:03,980 We'll figure something out. 781 00:42:06,357 --> 00:42:07,900 ...lifting you up.