1
00:00:01,543 --> 00:00:03,003
{\an8}She's healing,
and healing fast.
2
00:00:03,086 --> 00:00:04,337
{\an8}That would explain
the influx of new memories.
3
00:00:04,421 --> 00:00:06,047
{\an8}Really hope you're not
rushing this.
4
00:00:06,131 --> 00:00:08,174
{\an8}I assure you, I can do this.
5
00:00:08,216 --> 00:00:09,759
{\an8}Ruth Chen,
this is Cal Ferguson.
6
00:00:09,801 --> 00:00:11,177
{\an8}These are
your co-chief residents.
7
00:00:11,261 --> 00:00:13,513
{\an8}Ben! I heard you were coming.
8
00:00:13,596 --> 00:00:15,181
{\an8}You want to replace Dr. Costa.
9
00:00:15,265 --> 00:00:18,059
{\an8}If I'm coming to Westside,
it'll only be to run surgery.
10
00:00:18,143 --> 00:00:20,854
{\an8}So, now that you're not
working with Dr. Larsen,
11
00:00:20,937 --> 00:00:22,897
{\an8}you figured why not
give cardiology a shot?
12
00:00:22,981 --> 00:00:25,358
{\an8}- I'm happy to better myself.
- I saw you, Jake.
13
00:00:25,442 --> 00:00:27,527
{\an8}I saw how you looked at her
through her window.
14
00:00:27,569 --> 00:00:29,362
{\an8}You just pushed me away.
15
00:00:44,961 --> 00:00:46,296
{\an8}Help!
16
00:00:46,379 --> 00:00:48,256
{\an8}Help!
17
00:00:50,300 --> 00:00:53,094
{\an8}Please, help!
- What happened? Are you hurt?
18
00:00:53,178 --> 00:00:55,638
{\an8}Not me. My family's in there,
you've gotta help them.
19
00:01:24,292 --> 00:01:26,836
{\an8}- Ibuprofen?
- Mm-hmm.
20
00:01:26,878 --> 00:01:28,671
{\an8}I didn't realize
you were a nurse.
21
00:01:28,755 --> 00:01:30,548
{\an8}Funny.
22
00:01:32,634 --> 00:01:34,135
{\an8}And fun.
23
00:01:34,219 --> 00:01:37,347
{\an8}That's a pretty sneaky martini
you make, which is not fair.
24
00:01:37,389 --> 00:01:38,890
{\an8}You want the recipe?
25
00:01:38,932 --> 00:01:41,101
{\an8}Oh, God, no.
26
00:01:41,893 --> 00:01:44,688
{\an8}How about my number?
27
00:01:47,023 --> 00:01:48,858
{\an8}Oh, uh...
28
00:01:48,900 --> 00:01:50,527
{\an8}You're not gonna call me,
are you?
29
00:01:52,320 --> 00:01:54,614
{\an8}I've got a lot
on my plate right now.
30
00:01:55,156 --> 00:01:57,450
{\an8}Can't blame a girl for trying.
31
00:02:04,499 --> 00:02:07,210
{\an8}It's your lucky day, pal.
You're with me again.
32
00:02:07,293 --> 00:02:10,046
{\an8}- Great.
- Call came from on high.
33
00:02:10,088 --> 00:02:13,591
{\an8}Clearly Dr. Matos
sees some potential in you.
34
00:02:13,633 --> 00:02:16,219
{\an8}Ooh. What you working on?
35
00:02:16,302 --> 00:02:18,805
{\an8}Wait...
36
00:02:18,847 --> 00:02:20,473
{\an8}Is that like, Rachel, Rachel?
37
00:02:20,557 --> 00:02:23,059
{\an8}It's new, okay? So I just need
you to keep it to yourself.
38
00:02:23,143 --> 00:02:26,062
{\an8}All right?
- Dude. Cardio code. Of course.
39
00:02:27,731 --> 00:02:29,524
{\an8}Aw, you're nervous!
40
00:02:29,607 --> 00:02:31,651
{\an8}No, that's... that's not
what I said to her.
41
00:02:31,735 --> 00:02:35,572
{\an8}Right. Well, carpe diem.
Let's go, grasshopper.
42
00:02:35,613 --> 00:02:37,657
{\an8}Wait...
43
00:02:37,741 --> 00:02:40,326
{\an8}Does this mean no more Amy?
44
00:02:42,746 --> 00:02:44,748
{\an8}I had a few more
memories last night,
45
00:02:44,831 --> 00:02:46,207
{\an8}but nothing physical,
46
00:02:46,291 --> 00:02:47,542
{\an8}so, don't go running to Michael.
47
00:02:47,584 --> 00:02:49,169
{\an8}He is the head
of your department,
48
00:02:49,252 --> 00:02:50,503
{\an8}and I'm out over my skis
for you,
49
00:02:50,545 --> 00:02:53,548
{\an8}so I will report back to him
as soon as I understand
50
00:02:53,631 --> 00:02:56,051
{\an8}what this is.
So how is this different?
51
00:02:56,134 --> 00:02:58,845
{\an8}They're not painful
or disorienting.
52
00:02:58,887 --> 00:03:03,016
{\an8}Just constant and intrusive,
and the last thing I need
53
00:03:03,058 --> 00:03:05,226
{\an8}when I'm trying
not to look back.
54
00:03:05,310 --> 00:03:08,688
{\an8}All the more reason
to look ahead.
55
00:03:08,772 --> 00:03:11,691
{\an8}- Amy.
- Hey, Ben.
56
00:03:13,443 --> 00:03:15,362
{\an8}So I guess you work here now?
- Looks that way.
57
00:03:15,445 --> 00:03:17,989
{\an8}Double espresso, please.
58
00:03:18,406 --> 00:03:20,283
{\an8}I think Joan would be glad
59
00:03:20,367 --> 00:03:21,785
{\an8}that you're the one
filling her position.
60
00:03:21,826 --> 00:03:24,287
{\an8}Actually, I'm taking over
the department.
61
00:03:24,329 --> 00:03:26,122
{\an8}Does Dr. Costa know that?
62
00:03:26,206 --> 00:03:29,084
{\an8}Yeah, he's pretty burnt out
on the admin stuff,
63
00:03:29,125 --> 00:03:31,336
{\an8}and he was happy
to let that part go.
64
00:03:31,378 --> 00:03:32,879
{\an8}Works out for everyone.
65
00:03:33,880 --> 00:03:35,048
{\an8}You do background
66
00:03:35,090 --> 00:03:38,218
{\an8}on everyone at the conference?
Or just me?
67
00:03:39,594 --> 00:03:43,556
{\an8}Well, I'm glad you're here.
I'm excited to work with you.
68
00:03:43,640 --> 00:03:44,724
{\an8}Same.
69
00:03:47,310 --> 00:03:48,561
{\an8}Department rolling out
70
00:03:48,645 --> 00:03:51,231
{\an8}the red carpet for Ben
on his first day?
71
00:03:52,190 --> 00:03:55,402
{\an8}So, whose team are you on?
72
00:03:55,485 --> 00:03:57,987
{\an8}- It's not dodgeball.
- No. It's not.
73
00:03:58,071 --> 00:03:59,906
{\an8}And I'm asking where you stand.
74
00:03:59,990 --> 00:04:01,783
{\an8}This is ridiculous.
75
00:04:01,866 --> 00:04:04,119
{\an8}'Cause I heard you and grant
got pretty chummy
76
00:04:04,202 --> 00:04:05,537
{\an8}during the contagion.
77
00:04:05,578 --> 00:04:07,872
{\an8}Maybe you knew about the coup
before it happened.
78
00:04:07,914 --> 00:04:09,124
{\an8}- Oh, wow.
- Come on.
79
00:04:09,207 --> 00:04:11,710
{\an8}All I know is
I've been a resident under Costa
80
00:04:11,751 --> 00:04:13,420
{\an8}for four years,
81
00:04:13,461 --> 00:04:14,963
{\an8}and he deserved
better than this.
82
00:04:18,550 --> 00:04:20,927
{\an8}Dr. Fox could use a Xanax.
83
00:04:21,011 --> 00:04:22,846
{\an8}He may not be wrong.
84
00:04:22,929 --> 00:04:26,975
{\an8}Ben is brilliant, but Costa's
the one who hired me.
85
00:04:27,058 --> 00:04:29,686
{\an8}Joan championed you.
86
00:04:29,769 --> 00:04:31,771
{\an8}Costa went along.
And that happened
87
00:04:31,813 --> 00:04:33,773
{\an8}because you are really good.
88
00:04:33,857 --> 00:04:36,109
{\an8}Yeah, I just don't like
the way things went down.
89
00:04:36,151 --> 00:04:38,028
{\an8}I get that.
But you said yourself,
90
00:04:38,111 --> 00:04:40,780
{\an8}Costa can be conservative.
91
00:04:40,822 --> 00:04:43,450
{\an8}I think Ben will be better
for the department.
92
00:04:43,533 --> 00:04:46,036
{\an8}I guess I'll find out
for myself soon enough.
93
00:04:46,077 --> 00:04:47,537
{\an8}Yeah.
94
00:04:50,498 --> 00:04:53,835
{\an8}- Morning.
- Dr. Grant.
95
00:04:53,918 --> 00:04:56,671
{\an8}I figured you'd want
to discuss what happened?
96
00:04:56,755 --> 00:05:00,133
{\an8}As the guy who recommended you
for an opening in surgery,
97
00:05:00,175 --> 00:05:02,469
{\an8}I would've appreciated
a heads up
98
00:05:02,510 --> 00:05:04,637
{\an8}that you were planning
to take it over.
99
00:05:04,721 --> 00:05:07,140
{\an8}Sorry if that put you in
an uncomfortable situation.
100
00:05:07,223 --> 00:05:09,476
{\an8}- It did. And it does.
- I saw the potential
101
00:05:09,559 --> 00:05:11,853
{\an8}in the department,
and this was the only move
102
00:05:11,936 --> 00:05:14,147
{\an8}that made sense for me.
And apparently the board
103
00:05:14,230 --> 00:05:16,066
{\an8}saw an opportunity to upgrade.
104
00:05:16,149 --> 00:05:17,484
{\an8}I don't disagree
with their decision
105
00:05:17,525 --> 00:05:19,486
{\an8}or the direction
you want to take things.
106
00:05:19,569 --> 00:05:22,405
{\an8}But surgery and medicine
have to work together.
107
00:05:22,447 --> 00:05:25,784
{\an8}And I'd be lying if I said
you haven't lost some trust.
108
00:05:26,451 --> 00:05:30,497
{\an8}Well, I hope you'll give me
a chance to earn it back.
109
00:05:30,580 --> 00:05:32,457
{\an8}Dr. Grant?
110
00:05:32,499 --> 00:05:33,750
{\an8}You're needed in surgery.
111
00:05:33,833 --> 00:05:36,670
{\an8}And they want you in the ICU.
- Okay.
112
00:05:36,711 --> 00:05:39,339
{\an8}Teenage son was driving.
ER checked him out.
113
00:05:39,381 --> 00:05:42,342
{\an8}Scraps and a mild concussion.
Mom's got rhabdo,
114
00:05:42,425 --> 00:05:45,011
{\an8}causing renal failure
and a subdural hematoma.
115
00:05:45,095 --> 00:05:47,597
{\an8}12-year-old sister
has a liver lac
116
00:05:47,680 --> 00:05:52,018
{\an8}from the seatbelt,
a pelvic ring fracture, and DIC.
117
00:05:52,102 --> 00:05:54,187
{\an8}They're on their way up.
118
00:05:54,270 --> 00:05:57,607
{\an8}Uh, we should assign the interns
to floor work.
119
00:05:57,691 --> 00:05:58,983
{\an8}They're just gonna get
in the way today.
120
00:05:59,067 --> 00:06:01,486
{\an8}Well, opportunities
don't come when you're ready,
121
00:06:01,528 --> 00:06:03,405
{\an8}they come when they come.
122
00:06:03,488 --> 00:06:05,990
{\an8}I think it's a mistake
but fine.
123
00:06:06,032 --> 00:06:07,534
{\an8}You can have Kyle,
I got Ruth.
124
00:06:07,617 --> 00:06:10,662
{\an8}Try not to break her
on day two.
125
00:06:12,205 --> 00:06:15,208
{\an8}Anthony Evans, 48, MVA.
126
00:06:15,250 --> 00:06:17,877
{\an8}Deer versus auto.
Riding shotgun.
127
00:06:17,919 --> 00:06:20,714
{\an8}FD came to extricate after
he was found impaled
128
00:06:20,755 --> 00:06:24,092
{\an8}on the scene. Wife and daughter
are in the ER.
129
00:06:24,175 --> 00:06:25,885
{\an8}All right, take him to OR 1.
130
00:06:25,927 --> 00:06:28,930
{\an8}Dr. Coleman, call Radiology.
I need a bedside chest film.
131
00:06:29,014 --> 00:06:30,181
{\an8}You got it.
132
00:06:35,687 --> 00:06:37,480
{\an8}Can you tell me what happened?
133
00:06:40,692 --> 00:06:44,904
{\an8}Last night I, I was... I...
134
00:06:47,198 --> 00:06:48,491
{\an8}Dr. Ferguson, can you get
135
00:06:48,533 --> 00:06:50,577
{\an8}Mrs. Evans's latest files, please?
136
00:06:50,660 --> 00:06:52,078
{\an8}Yeah.
137
00:06:52,120 --> 00:06:53,913
{\an8}Uh, Dr. Larsen wants vitals.
138
00:06:53,955 --> 00:06:55,999
{\an8}Hey, I know how hard
this must be,
139
00:06:56,041 --> 00:06:57,792
{\an8}but we are gonna do
everything in our power
140
00:06:57,876 --> 00:06:59,669
{\an8}to help your family.
141
00:06:59,711 --> 00:07:02,380
{\an8}But in order to do that,
I need you to tell me
142
00:07:02,422 --> 00:07:03,757
{\an8}what happened.
143
00:07:03,798 --> 00:07:05,133
{\an8}Um...
144
00:07:05,216 --> 00:07:06,926
{\an8}We went to Mestiizos
145
00:07:07,010 --> 00:07:09,429
{\an8}to celebrate Harper's
middle school graduation.
146
00:07:09,471 --> 00:07:11,598
{\an8}- Mm-hmm.
- My sister can never decide
147
00:07:11,639 --> 00:07:12,891
{\an8}between sushi and Mexican,
148
00:07:12,932 --> 00:07:16,853
{\an8}so she was excited,
'cause you know, it-it's both.
149
00:07:18,438 --> 00:07:21,441
{\an8}After dinner,
we went back to our cabin.
150
00:07:21,483 --> 00:07:24,361
{\an8}I-I begged my parents
to let me drive.
151
00:07:24,402 --> 00:07:27,322
{\an8}My, my mom, she said no way,
'cause I had just
152
00:07:27,405 --> 00:07:29,783
{\an8}gotten my license. But my dad...
153
00:07:29,824 --> 00:07:32,869
{\an8}He said I had to learn
some time.
154
00:07:32,952 --> 00:07:34,371
{\an8}I-I didn't see the deer.
155
00:07:34,412 --> 00:07:35,622
{\an8}Before I knew
what was happening,
156
00:07:35,705 --> 00:07:36,873
{\an8}it crashed through
the windshield.
157
00:07:36,956 --> 00:07:38,458
{\an8}So your dad was in
the passenger seat?
158
00:07:38,541 --> 00:07:40,418
{\an8}Mom and Harper in the back.
159
00:07:40,460 --> 00:07:42,879
{\an8}My airbag went off.
We flipped into a ditch.
160
00:07:46,132 --> 00:07:47,801
{\an8}The deer was kicking
like crazy,
161
00:07:47,884 --> 00:07:50,303
{\an8}it was freaking out,
there was blood everywhere.
162
00:07:50,345 --> 00:07:51,846
{\an8}BP 110 over 73.
163
00:07:51,930 --> 00:07:54,307
{\an8}Heart rate's in the 90s
and she's satting 97.
164
00:07:54,391 --> 00:07:55,684
{\an8}Oh, great.
165
00:07:55,767 --> 00:07:58,478
{\an8}Theo, your mom's vitals
are all normal, okay?
166
00:07:58,561 --> 00:08:00,313
{\an8}Yeah. Th-Thank you.
167
00:08:00,397 --> 00:08:02,065
{\an8}During the accident,
were you knocked out?
168
00:08:02,148 --> 00:08:04,651
{\an8}Not for long. It was still
dark when I came to,
169
00:08:04,693 --> 00:08:06,861
{\an8}but there was no one else awake.
170
00:08:06,945 --> 00:08:10,490
{\an8}I tried to get help,
but there was no cell service.
171
00:08:10,573 --> 00:08:13,368
{\an8}Seatbelt was jammed,
the door was wedged shut.
172
00:08:13,451 --> 00:08:15,328
{\an8}It took so long before
I got out
173
00:08:15,370 --> 00:08:16,663
{\an8}that when I finally got
to the road,
174
00:08:16,705 --> 00:08:18,665
{\an8}there was no one there
for hours.
175
00:08:18,707 --> 00:08:21,042
{\an8}After sunrise,
a few people drove by,
176
00:08:21,126 --> 00:08:24,254
{\an8}but the... I-I know they saw me,
177
00:08:24,337 --> 00:08:26,798
{\an8}but they just kept going--
- It's okay.
178
00:08:26,881 --> 00:08:29,384
{\an8}You're all here now.
- My dad's not here.
179
00:08:29,467 --> 00:08:31,052
{\an8}I don't even know
what's going on with him.
180
00:08:31,136 --> 00:08:33,972
{\an8}He's gonna be in surgery
for a while longer.
181
00:08:34,014 --> 00:08:35,432
{\an8}We're waiting on his latest
lab results.
182
00:08:35,515 --> 00:08:37,017
{\an8}Can you check on them?
183
00:08:37,058 --> 00:08:38,935
{\an8}Okay.
184
00:08:41,855 --> 00:08:44,691
{\an8}Are you in?
If you didn't get a flash,
185
00:08:44,774 --> 00:08:46,359
{\an8}then you're not in the vein.
- Sorry.
186
00:08:46,401 --> 00:08:48,737
{\an8}I've only done IVs
on chicken thighs.
187
00:08:48,820 --> 00:08:51,865
{\an8}Like, from the grocery store?
188
00:08:54,075 --> 00:08:56,369
{\an8}What's wrong with her?
- Her heart rate's rising.
189
00:08:56,411 --> 00:08:58,955
{\an8}It's okay, Theo.
They'll take care of it.
190
00:08:59,873 --> 00:09:01,082
{\an8}Liz.
191
00:09:01,124 --> 00:09:02,333
{\an8}Okay.
192
00:09:02,375 --> 00:09:04,210
{\an8}Harper has a grade 4
liver lac.
193
00:09:04,294 --> 00:09:06,379
{\an8}Dr. Costa wanted
to just monitor,
194
00:09:06,421 --> 00:09:07,881
{\an8}but now BP's getting soft.
195
00:09:07,964 --> 00:09:09,632
{\an8}She's hemodynamically unstable.
196
00:09:09,674 --> 00:09:11,551
{\an8}She needs to go to the OR.
197
00:09:11,634 --> 00:09:13,386
{\an8}Yeah. But DIC puts her
at higher risk
198
00:09:13,428 --> 00:09:14,888
{\an8}for bleeding out mid-surgery.
199
00:09:14,929 --> 00:09:16,806
{\an8}Okay, so go with her
and manage it
200
00:09:16,890 --> 00:09:19,476
{\an8}while they operate on her liver.
It has to happen now.
201
00:09:19,517 --> 00:09:21,811
{\an8}Mm-hmm. Okay. (Julie): All
right.
202
00:09:21,895 --> 00:09:23,271
{\an8}Okay. Okay,
I got this.
203
00:09:27,275 --> 00:09:28,610
{\an8}What's going on?
204
00:09:28,693 --> 00:09:30,278
{\an8}We have to operate
on your sister.
205
00:09:30,362 --> 00:09:32,030
{\an8}What, her too?
206
00:09:32,072 --> 00:09:33,281
{\an8}Will she be okay?
207
00:09:38,578 --> 00:09:40,121
{\an8}Did I miss something?
Is it my fault.
208
00:09:40,163 --> 00:09:41,998
{\an8}No, you did nothing wrong.
209
00:09:43,416 --> 00:09:45,418
{\an8}This can't be happening!
210
00:09:45,460 --> 00:09:47,921
{\an8}Can you start it?
211
00:09:48,004 --> 00:09:49,673
{\an8}Hey, Theo.
212
00:09:51,341 --> 00:09:52,842
{\an8}I know this is scary.
213
00:09:52,926 --> 00:09:56,846
{\an8}You have to save my family.
Please.
214
00:09:58,973 --> 00:10:02,560
{\an8}...
215
00:10:02,644 --> 00:10:07,315
{\an8}Any wound that doesn't heal
in a diabetic patient
216
00:10:07,399 --> 00:10:10,985
{\an8}is osteomyelitis
until proven otherwise.
217
00:10:11,027 --> 00:10:14,030
{\an8}Try to remember, when we come
across these patients,
218
00:10:14,072 --> 00:10:17,617
{\an8}we're not just
treating an infection,
219
00:10:17,659 --> 00:10:19,577
{\an8}we're saving a limb.
220
00:10:20,662 --> 00:10:22,747
{\an8}Thank you.
221
00:10:22,831 --> 00:10:27,919
{\an8}Uh, I think it's time
for Q and A. Any questions?
222
00:10:29,838 --> 00:10:31,214
{\an8}Yes?
223
00:10:31,256 --> 00:10:33,925
{\an8}Yeah, with all due respect,
224
00:10:34,009 --> 00:10:36,928
{\an8}I'd argue surgical intervention
is more effective
225
00:10:36,970 --> 00:10:39,764
{\an8}than non-operative wound
management of diabetic ulcers.
226
00:10:39,848 --> 00:10:42,976
{\an8}The well-worn dichotomy,
surgery versus medicine.
227
00:10:43,018 --> 00:10:45,019
{\an8}It's not about cutting
for the sake of cutting.
228
00:10:45,061 --> 00:10:46,604
{\an8}- Never is.
- Studies have shown
229
00:10:46,688 --> 00:10:49,149
{\an8}that patients who undergo
early surgical debridement
230
00:10:49,190 --> 00:10:52,318
{\an8}have a much higher rate
of remission, so...
231
00:10:52,402 --> 00:10:55,572
{\an8}It was one study. I saw it.
232
00:10:55,613 --> 00:10:58,325
{\an8}And the rate of remission
by patient
233
00:10:58,366 --> 00:11:00,285
{\an8}was anywhere
from 28 to 81 percent,
234
00:11:00,368 --> 00:11:03,621
{\an8}that's hardly consistent enough
to call evidence.
235
00:11:03,663 --> 00:11:06,499
{\an8}I guess Harvard didn't teach you
to read the footnotes,
236
00:11:06,541 --> 00:11:08,960
{\an8}Dr. Grant?
237
00:11:10,879 --> 00:11:12,380
{\an8}I have never seen
anything like this.
238
00:11:12,422 --> 00:11:15,884
{\an8}Neither have I. And I've got
over 25 years on you.
239
00:11:15,967 --> 00:11:17,927
{\an8}And between the blood
and the antlers,
240
00:11:18,011 --> 00:11:20,680
{\an8}I could barely make out
much of the hilum or lungs.
241
00:11:20,722 --> 00:11:22,557
{\an8}- We'll have to go in blind.
- It doesn't help
242
00:11:22,640 --> 00:11:24,476
{\an8}that no one stopped for the kid.
Cost us hours.
243
00:11:24,517 --> 00:11:25,810
{\an8}No one stopped?
244
00:11:27,562 --> 00:11:29,814
{\an8}Dr. Fox. Ready to assist?
- Born ready.
245
00:11:29,856 --> 00:11:32,692
{\an8}Good. We'll start by tying off
any arterial injuries
246
00:11:32,776 --> 00:11:34,361
{\an8}that could be the source
of the bleeding.
247
00:11:34,402 --> 00:11:35,904
{\an8}What about removing
the antlers?
248
00:11:35,987 --> 00:11:37,113
{\an8}That's where Dr. Coleman
comes in.
249
00:11:37,155 --> 00:11:38,823
{\an8}If I'm right,
they're acting like a fish hook.
250
00:11:38,907 --> 00:11:40,700
{\an8}Wrapping around
the pulmonary artery,
251
00:11:40,742 --> 00:11:42,994
{\an8}vein bronchi, which means...
252
00:11:43,078 --> 00:11:45,080
{\an8}If we just pull them out,
could rip out the entire
253
00:11:45,163 --> 00:11:48,124
{\an8}vascular pedicle to his lung,
make it impossible to repair.
254
00:11:48,208 --> 00:11:50,877
{\an8}Exactly. So, no removal
without more data.
255
00:11:50,960 --> 00:11:52,587
{\an8}I need you to track down
any case reports
256
00:11:52,671 --> 00:11:54,047
{\an8}of similar penetrating injures.
257
00:11:54,130 --> 00:11:56,383
{\an8}Every operative solution
you can find.
258
00:11:56,424 --> 00:11:58,009
{\an8}Go. Fast.
259
00:11:58,802 --> 00:12:00,970
{\an8}Scrub in.
- Yeah.
260
00:12:03,264 --> 00:12:05,642
{\an8}He has severe acidosis.
261
00:12:05,683 --> 00:12:07,143
{\an8}Well, given his massive
pulmonary contusions,
262
00:12:07,185 --> 00:12:09,062
{\an8}makes sense his blood gas
is abnormal.
263
00:12:09,104 --> 00:12:11,314
{\an8}It's a mixed acidosis.
The lung trauma alone
264
00:12:11,356 --> 00:12:12,482
{\an8}wouldn't explain it.
265
00:12:12,565 --> 00:12:13,733
{\an8}There's gotta be something else
going on.
266
00:12:13,775 --> 00:12:15,735
{\an8}Guess you gotta
figure it out then.
267
00:12:15,777 --> 00:12:17,445
{\an8}- Excuse me?
- Medicine's your area.
268
00:12:17,529 --> 00:12:22,283
{\an8}Mine is to operate like hell
before he bleeds out. Excuse me.
269
00:12:23,868 --> 00:12:25,370
{\an8}Who said I'm back out there?
270
00:12:28,081 --> 00:12:30,000
{\an8}Serena,
repeat the trauma panel
271
00:12:30,083 --> 00:12:32,377
{\an8}and get a rhotem
to the lab, stat.
272
00:12:32,419 --> 00:12:34,129
{\an8}We need to look
for everything.
273
00:12:36,214 --> 00:12:38,758
{\an8}We're observing Mrs. Evans'
hematoma for now.
274
00:12:38,800 --> 00:12:40,593
{\an8}Kidneys are responding
to IV hydration,
275
00:12:40,677 --> 00:12:43,805
{\an8}but I think I saw PVCs
on the monitor.
276
00:12:43,888 --> 00:12:46,349
{\an8}So, I want a second opinion.
277
00:12:46,391 --> 00:12:49,227
{\an8}Dr. Heller. What is a PVC?
278
00:12:50,395 --> 00:12:51,479
{\an8}Are you kidding me?
279
00:12:51,563 --> 00:12:52,605
{\an8}You're a beginner
in cardiology,
280
00:12:52,689 --> 00:12:54,024
{\an8}so we start at the beginning.
281
00:12:55,400 --> 00:12:58,987
{\an8}It is a premature beat
arising from the ventricle.
282
00:12:59,070 --> 00:13:01,114
{\an8}And how frequently
does this occur?
283
00:13:01,197 --> 00:13:03,908
{\an8}Can we socratically skip
to the solution, please?
284
00:13:03,950 --> 00:13:05,201
{\an8}Mmm.
285
00:13:05,285 --> 00:13:07,620
{\an8}We should check for any
electrolyte abnormalities.
286
00:13:07,662 --> 00:13:09,539
{\an8}Get a 12-lead EKG and an echo.
287
00:13:09,622 --> 00:13:12,000
{\an8}- Correct, young Skywalker.
- Okay, you don't cut that out,
288
00:13:12,083 --> 00:13:13,585
{\an8}I'm gonna break out
my lightsaber,
289
00:13:13,668 --> 00:13:15,045
{\an8}send you on a visit to Obi-Wan.
290
00:13:15,086 --> 00:13:18,506
{\an8}Okay, got it, yeah, sorry sir.
291
00:13:20,091 --> 00:13:23,136
{\an8}Jamie, sponge.
There's a significant
292
00:13:23,178 --> 00:13:24,971
{\an8}amount of bleeding
from the liver.
293
00:13:25,055 --> 00:13:27,557
{\an8}We're gonna need to administer
cryo, fibrinogen,
294
00:13:27,599 --> 00:13:29,684
{\an8}and TXA to get this
under control.
295
00:13:29,726 --> 00:13:31,394
{\an8}Then you operate
on the fracture?
296
00:13:31,436 --> 00:13:33,855
{\an8}No. She can't handle that.
297
00:13:35,023 --> 00:13:38,109
{\an8}He didn't stabilize
the pelvic fracture surgically?
298
00:13:38,193 --> 00:13:39,736
{\an8}Just put a binder on.
Said she's too
299
00:13:39,819 --> 00:13:41,780
{\an8}critically ill already.
300
00:13:41,863 --> 00:13:43,198
{\an8}Too conservative, right?
301
00:13:43,281 --> 00:13:44,824
{\an8}Even with
borderline displacement,
302
00:13:44,908 --> 00:13:45,992
{\an8}he should've operated.
- Mmm.
303
00:13:46,034 --> 00:13:48,745
{\an8}I'd keep an eye
on her hematocrit.
304
00:13:48,828 --> 00:13:49,996
{\an8}Any luck on your end?
305
00:13:50,080 --> 00:13:51,790
{\an8}Turns out antlers
through the chest
306
00:13:51,873 --> 00:13:53,875
{\an8}is a one-in-a-million
kind of situation
307
00:13:53,958 --> 00:13:55,502
{\an8}and I am on the clock here.
308
00:13:55,585 --> 00:13:59,673
{\an8}What is it...
improvise, adapt...?
309
00:13:59,756 --> 00:14:02,676
{\an8}Overcome? That's the marines.
310
00:14:02,759 --> 00:14:04,552
{\an8}Whatever, ranger.
311
00:14:04,636 --> 00:14:05,887
{\an8}Think outside the box.
312
00:14:05,970 --> 00:14:08,473
{\an8}Ben trusts you.
Maybe trust yourself.
313
00:14:10,642 --> 00:14:12,143
{\an8}I'm seeing
some ventricular strain.
314
00:14:12,227 --> 00:14:15,605
{\an8}We're in here now.
No turning back.
315
00:14:16,690 --> 00:14:20,402
{\an8}Keep scrolling, Carin.
Show me the enzymes and lactate.
316
00:14:20,485 --> 00:14:23,488
{\an8}- What are you looking for?
- I'll know when I see it.
317
00:14:24,781 --> 00:14:27,158
{\an8}Okay, this is unusual.
318
00:14:28,410 --> 00:14:29,786
{\an8}Oh, God.
319
00:14:32,455 --> 00:14:34,791
{\an8}Dr. Grant, Dr. Larsen's
on the phone for you.
320
00:14:34,874 --> 00:14:36,835
{\an8}- Now?
- She says it's urgent.
321
00:14:36,918 --> 00:14:38,753
{\an8}Put her on speaker.
322
00:14:38,837 --> 00:14:40,714
{\an8}What is it?
His results came back.
323
00:14:40,755 --> 00:14:43,049
{\an8}Troponins BNP and lactate
are off the charts.
324
00:14:43,133 --> 00:14:45,093
{\an8}You need to stop the surgery.
325
00:14:46,302 --> 00:14:48,304
{\an8}Wha... Where am I?
326
00:14:48,388 --> 00:14:50,098
{\an8}It's okay. It's okay.
327
00:14:50,181 --> 00:14:53,268
{\an8}You're at Westside Hospital
in Minneapolis.
328
00:14:55,937 --> 00:14:59,065
{\an8}My head is killing me.
What happened?
329
00:14:59,107 --> 00:15:02,861
{\an8}You were in an accident.
Your car hit a deer.
330
00:15:04,195 --> 00:15:07,157
{\an8}Careful. Careful.
- Am I okay?
331
00:15:07,198 --> 00:15:08,867
{\an8}This'll sound worse
than it is,
332
00:15:08,908 --> 00:15:11,286
{\an8}but you have a bleed
around your brain. Now--
333
00:15:12,871 --> 00:15:15,040
{\an8}Mom, you're okay!
334
00:15:15,123 --> 00:15:17,542
{\an8}Ah, I'm sorry.
I don't know who you are.
335
00:15:19,336 --> 00:15:20,962
{\an8}I'm your son.
336
00:15:22,255 --> 00:15:23,798
{\an8}Theo.
337
00:15:24,382 --> 00:15:26,551
{\an8}What is he talking about?
338
00:15:26,634 --> 00:15:28,136
{\an8}I-I don't have a son.
339
00:15:31,681 --> 00:15:34,225
{\an8}que?
340
00:15:36,144 --> 00:15:38,646
{\an8}Depends. Can you handle
more of my answers?
341
00:15:38,730 --> 00:15:41,316
{\an8}- Oh, I think so.
- Okay, then.
342
00:15:41,399 --> 00:15:44,361
{\an8}You do background
on everyone at the conference?
343
00:15:44,444 --> 00:15:45,737
{\an8}Or just me?
344
00:15:45,779 --> 00:15:50,200
{\an8}Did you really come up here
to ask me that or eat crow?
345
00:15:51,743 --> 00:15:54,454
{\an8}Both.
346
00:15:55,080 --> 00:15:57,957
{\an8}But I prefer to atone
over a drink.
347
00:16:00,877 --> 00:16:02,170
{\an8}What are you doing?
348
00:16:02,879 --> 00:16:04,798
{\an8}I told you to stop.
- I heard you.
349
00:16:04,881 --> 00:16:06,257
{\an8}The transfusions
we've given him
350
00:16:06,299 --> 00:16:08,635
{\an8}have caused fluid overload.
He's in heart failure.
351
00:16:08,677 --> 00:16:10,428
{\an8}I've controlled all
the bleeders I can visualize,
352
00:16:10,470 --> 00:16:12,722
{\an8}but there could be more
hiding behind the antlers.
353
00:16:12,806 --> 00:16:14,933
{\an8}I'm pretty sure if I stop,
he'll bleed out.
354
00:16:15,016 --> 00:16:16,976
{\an8}If you don't stop,
he's gonna die on your table.
355
00:16:17,060 --> 00:16:19,396
{\an8}I have to fix
the heart failure first.
356
00:16:19,479 --> 00:16:22,941
{\an8}- And how you gonna do that?
- Goal-directed diuresis.
357
00:16:22,982 --> 00:16:24,317
{\an8}He can't handle
single-lung ventilation.
358
00:16:24,401 --> 00:16:26,820
{\an8}Had to put him on VV ECMO.
- I'm aware.
359
00:16:26,861 --> 00:16:29,948
{\an8}All right. I'll get him ready
for you, but if he's not back
360
00:16:29,990 --> 00:16:31,366
{\an8}in my OR in four hours,
361
00:16:31,449 --> 00:16:35,662
{\an8}the circuit will clot,
and he'll die in your ICU.
362
00:16:41,334 --> 00:16:43,670
{\an8}Can you do that?
In four hours?
363
00:16:43,712 --> 00:16:45,296
{\an8}We have no choice.
364
00:16:51,636 --> 00:16:53,054
{\an8}ICU?
365
00:16:53,138 --> 00:16:54,639
{\an8}Your sister should be
waking up soon.
366
00:16:54,681 --> 00:16:57,308
{\an8}Dr. Costa was able to get
her bleeding under control.
367
00:16:58,518 --> 00:17:00,562
{\an8}She looks so small.
368
00:17:00,645 --> 00:17:02,439
{\an8}She's... She's strong.
369
00:17:02,522 --> 00:17:05,525
{\an8}And stable for now.
That's... That's good.
370
00:17:05,608 --> 00:17:07,527
{\an8}Why doesn't my mom know me?
371
00:17:07,610 --> 00:17:09,029
{\an8}It's not just you.
372
00:17:09,112 --> 00:17:11,531
{\an8}She doesn't remember
anyone right--
373
00:17:13,700 --> 00:17:15,535
{\an8}Um...
374
00:17:15,577 --> 00:17:18,413
{\an8}We're not sure yet. Not yet.
375
00:17:18,496 --> 00:17:20,582
{\an8}She's getting...
She's getting a repeat CT.
376
00:17:20,665 --> 00:17:24,836
{\an8}It's a scan of her brain
so they can figure it out.
377
00:17:24,878 --> 00:17:28,298
{\an8}What about my dad?
Is he gonna be okay?
378
00:17:30,508 --> 00:17:32,427
{\an8}Um...
379
00:17:32,510 --> 00:17:35,638
{\an8}we-- we're doing what...
380
00:17:35,680 --> 00:17:37,223
{\an8}What...
381
00:17:37,265 --> 00:17:40,560
{\an8}We're doing everything we can.
For him.
382
00:17:41,895 --> 00:17:43,563
{\an8}Okay?
383
00:17:49,736 --> 00:17:50,945
{\an8}Sorry.
384
00:17:51,029 --> 00:17:53,740
{\an8}Stay here and monitor
Harper's serial crits
385
00:17:53,823 --> 00:17:57,494
{\an8}and drain output. Any changes,
let me know right away.
386
00:18:04,751 --> 00:18:07,003
{\an8}Come on, Harp. Wake up.
387
00:18:07,796 --> 00:18:09,464
{\an8}Can she hear me?
- Probably.
388
00:18:09,547 --> 00:18:12,300
{\an8}The anesthesia just takes
some time to wear off.
389
00:18:12,384 --> 00:18:13,927
{\an8}If you wake up now,
I'll show you
390
00:18:14,010 --> 00:18:15,428
{\an8}how to code in python.
391
00:18:16,388 --> 00:18:18,390
{\an8}She's been bugging me
to teach her.
392
00:18:21,768 --> 00:18:23,645
{\an8}Theo, she needs to rest.
393
00:18:23,686 --> 00:18:25,855
{\an8}I'm gonna take you
to the waiting room, okay?
394
00:18:25,897 --> 00:18:27,190
{\an8}Why? What-What's going on?
395
00:18:27,232 --> 00:18:28,858
{\an8}I just, I need you
to come with me.
396
00:18:28,942 --> 00:18:31,569
{\an8}- I-Is this about my mom?
- No.
397
00:18:31,611 --> 00:18:33,488
{\an8}Well, they took her away
and they won't tell me
398
00:18:33,571 --> 00:18:35,782
{\an8}why she doesn't remember!
- Remember what?
399
00:18:35,824 --> 00:18:38,368
{\an8}Me! She doesn't know who I am.
400
00:18:39,577 --> 00:18:41,871
{\an8}Um, I'm sorry,
I've been treating your father.
401
00:18:41,913 --> 00:18:43,248
{\an8}But I'll get you an update.
402
00:18:43,289 --> 00:18:45,542
{\an8}I need you to go
to the waiting room. Okay?
403
00:18:45,625 --> 00:18:47,043
{\an8}Someone will be by soon.
404
00:18:47,711 --> 00:18:49,504
{\an8}Why did he have to go?
Did something happen?
405
00:18:49,587 --> 00:18:51,464
{\an8}We're bringing his father
up here now.
406
00:18:53,675 --> 00:18:55,051
{\an8}Oh.
407
00:18:55,135 --> 00:18:57,595
{\an8}Oh, my God.
The antler's still in him.
408
00:18:58,430 --> 00:19:00,974
{\an8}We more access.
Get a second line going.
409
00:19:01,016 --> 00:19:03,727
{\an8}He needs Furosemide,
Cefepime, and Vancomycin.
410
00:19:03,768 --> 00:19:06,146
{\an8}- I can get it.
- Julie's got it. Stay back.
411
00:19:07,022 --> 00:19:08,231
{\an8}You paged Cardiology?
412
00:19:08,315 --> 00:19:09,607
{\an8}Yeah,
I need a transesophageal echo
413
00:19:09,691 --> 00:19:11,943
{\an8}to monitor his cardiac function.
- Yeah, no problem.
414
00:19:11,985 --> 00:19:13,737
{\an8}I just need to get
some more dressings.
415
00:19:13,778 --> 00:19:15,155
{\an8}Yeah.
416
00:19:15,238 --> 00:19:18,033
{\an8}Mrs. Evans doesn't remember
what happened.
417
00:19:18,116 --> 00:19:20,994
{\an8}Or recognize Theo
or anyone in her family.
418
00:19:21,036 --> 00:19:22,537
{\an8}Brain bleed
must be getting worse.
419
00:19:22,620 --> 00:19:26,541
{\an8}So we were wrong about it
being stable enough to monitor?
420
00:19:26,624 --> 00:19:28,168
{\an8}No, you weren't wrong.
421
00:19:28,251 --> 00:19:29,919
{\an8}Her hematoma's
getting smaller.
422
00:19:30,003 --> 00:19:32,130
{\an8}Oh, so what's
causing her symptoms?
423
00:19:34,132 --> 00:19:35,175
{\an8}I'm sorry to interrupt.
424
00:19:35,258 --> 00:19:36,843
{\an8}Dr. Hamda, can I have a word, please?
425
00:19:37,761 --> 00:19:39,346
{\an8}EEG? MRI?
426
00:19:39,429 --> 00:19:40,930
{\an8}Yeah, and I'll want to do
427
00:19:40,972 --> 00:19:42,849
{\an8}some more advanced cognitive
testing.
428
00:19:44,559 --> 00:19:46,936
{\an8}- What can I do for you?
- Yeah, I just want to make sure
429
00:19:46,978 --> 00:19:49,606
{\an8}you've been apprised of
the situation with my patient.
430
00:19:49,689 --> 00:19:51,024
{\an8}Your patient?
431
00:19:51,107 --> 00:19:52,400
{\an8}The guy with the antler
in his chest.
432
00:19:52,484 --> 00:19:54,402
{\an8}Anthony Evans. What about him?
433
00:19:54,486 --> 00:19:56,863
{\an8}Dr. Larsen insisted
that I stop mid-surgery
434
00:19:56,946 --> 00:19:59,783
{\an8}so she can find a medical
solution to his heart failure.
435
00:20:00,325 --> 00:20:02,160
{\an8}- And?
- And he was already at risk
436
00:20:02,202 --> 00:20:03,536
{\an8}of dying from impalement.
437
00:20:03,578 --> 00:20:05,330
{\an8}The longer we delay,
she compounds that risk
438
00:20:05,372 --> 00:20:07,624
{\an8}with the likelihood
of ECMO failure and infection.
439
00:20:07,707 --> 00:20:09,584
{\an8}Are you implying
she's not up to the task?
440
00:20:09,626 --> 00:20:11,378
{\an8}Listen, I just checked
on the Evans's status,
441
00:20:11,419 --> 00:20:13,129
{\an8}and they are no closer
to an answer.
442
00:20:13,213 --> 00:20:15,632
{\an8}So maybe you wanna
give her a hand.
443
00:20:17,467 --> 00:20:18,301
{\an8}w is he?
444
00:20:18,343 --> 00:20:20,053
{\an8}Still alive for the moment.
445
00:20:20,136 --> 00:20:21,638
{\an8}Julie, get me updated Is and Os,
446
00:20:21,680 --> 00:20:24,849
{\an8}and his latest ABG and trops.
- On it.
447
00:20:26,184 --> 00:20:28,436
{\an8}I heard about Mrs. Evans.
448
00:20:29,145 --> 00:20:30,271
{\an8}Poor Theo's a mess.
449
00:20:30,355 --> 00:20:31,356
{\an8}He's actually handling it
450
00:20:31,439 --> 00:20:32,524
{\an8}pretty well, considering.
451
00:20:32,607 --> 00:20:35,235
{\an8}Right.
I guess you're an expert.
452
00:20:35,944 --> 00:20:39,322
{\an8}When I woke up from my accident,
I wasn't much fun either.
453
00:20:39,364 --> 00:20:40,949
{\an8}Well,
at least you remembered me.
454
00:20:41,658 --> 00:20:44,202
{\an8}What's your plan here?
- It's a tightrope.
455
00:20:44,244 --> 00:20:46,204
{\an8}We gave him diuretics
to get rid of the excess fluid
456
00:20:46,246 --> 00:20:48,248
{\an8}and then the ECMO
started chugging.
457
00:20:48,331 --> 00:20:50,291
{\an8}Not enough blood flow
to the pump. You drop the RPM?
458
00:20:50,375 --> 00:20:52,377
{\an8}Yeah, I did,
but if that doesn't work,
459
00:20:52,460 --> 00:20:54,087
{\an8}we're gonna have to give him
more fluids
460
00:20:54,129 --> 00:20:55,130
{\an8}and then we're back
at square one.
461
00:20:55,213 --> 00:20:57,007
{\an8}And his clotting's gotten worse.
462
00:20:57,048 --> 00:20:59,009
{\an8}Just as Dr. Grant predicted.
463
00:20:59,050 --> 00:21:00,719
{\an8}- You talked to him?
- I did.
464
00:21:00,802 --> 00:21:02,971
{\an8}He's wary about
what you're attempting.
465
00:21:03,054 --> 00:21:04,222
{\an8}Well, that tracks.
466
00:21:04,305 --> 00:21:06,141
{\an8}Is there something
I should know about you two?
467
00:21:07,308 --> 00:21:09,602
{\an8}What did you sign up for?
468
00:21:11,396 --> 00:21:13,231
{\an8}Did you just have
another memory?
469
00:21:13,273 --> 00:21:15,442
{\an8}I'm managing. I'm fine.
470
00:21:15,483 --> 00:21:19,487
{\an8}We need to regain control
of his fluid status.
471
00:21:25,493 --> 00:21:27,620
{\an8}Don't take it personally.
472
00:21:28,747 --> 00:21:29,873
{\an8}Thought I was doing
pretty well,
473
00:21:29,914 --> 00:21:31,624
{\an8}but suddenly, she's acting
like I'm in the way.
474
00:21:31,708 --> 00:21:34,711
{\an8}Yeah, it gets hard to predict
which version you're gonna get.
475
00:21:34,794 --> 00:21:36,254
{\an8}And today especially.
476
00:21:36,337 --> 00:21:38,798
{\an8}Not sure what you know
about her, but...
477
00:21:38,882 --> 00:21:42,344
{\an8}Oh, we all know. Everything.
478
00:21:42,385 --> 00:21:45,388
{\an8}'Kay, well then,
this should make sense.
479
00:21:45,430 --> 00:21:48,516
{\an8}Car accident?
Woman losing her memory?
480
00:21:48,600 --> 00:21:50,310
{\an8}Family hanging in the balance?
481
00:21:50,352 --> 00:21:52,354
{\an8}- Right.
- But you can't control any
482
00:21:52,437 --> 00:21:54,689
{\an8}of that. All you can do
is just manage you.
483
00:21:54,731 --> 00:21:56,775
{\an8}And try not to wake the beast.
484
00:21:56,858 --> 00:21:58,860
{\an8}Thanks for the consult.
485
00:21:58,943 --> 00:22:00,111
{\an8}Yeah.
486
00:22:00,195 --> 00:22:02,614
{\an8}Jen Evans, coming in.
487
00:22:02,655 --> 00:22:05,992
{\an8}Her face is drooping.
Speech is slurred.
488
00:22:06,076 --> 00:22:07,327
{\an8}She's getting worse.
489
00:22:07,410 --> 00:22:09,704
{\an8}No signs on the imaging,
but it looks like a stroke.
490
00:22:09,788 --> 00:22:11,790
{\an8}I started a low-dose
heparin drip.
491
00:22:11,831 --> 00:22:14,542
{\an8}Hopefully it reverses
the effects and the memory loss.
492
00:22:14,626 --> 00:22:16,711
{\an8}- Theo really wants an update.
- Yeah.
493
00:22:16,795 --> 00:22:18,380
{\an8}Okay.
494
00:22:20,090 --> 00:22:23,385
{\an8}Just, um...
text me the number.
495
00:22:24,803 --> 00:22:26,388
{\an8}Thanks.
496
00:22:30,642 --> 00:22:33,478
{\an8}That was Albert.
My dad's friend.
497
00:22:33,561 --> 00:22:35,438
{\an8}I'm glad you have
someone to talk to.
498
00:22:35,522 --> 00:22:36,898
{\an8}He's trying to find me
a lawyer.
499
00:22:36,940 --> 00:22:38,817
{\an8}- Why would you need a--
- You think I don't know
500
00:22:38,900 --> 00:22:41,194
{\an8}what's going on?
The way you're all acting?
501
00:22:41,236 --> 00:22:43,530
{\an8}My dad's not gonna make it.
502
00:22:43,571 --> 00:22:47,367
{\an8}And my mom... she doesn't even
know who we are.
503
00:22:47,450 --> 00:22:49,285
{\an8}Look, we don't have anyone else.
504
00:22:49,369 --> 00:22:51,329
{\an8}They'll put us in foster care.
They'll separate us!
505
00:22:51,413 --> 00:22:53,123
{\an8}Theo, you're getting
ahead of yourself.
506
00:22:53,206 --> 00:22:54,332
{\an8}Look, don't lie to me.
507
00:22:54,374 --> 00:22:55,959
{\an8}You already sent
your social worker
508
00:22:56,000 --> 00:22:57,585
{\an8}to come talk to me.
509
00:22:57,627 --> 00:22:59,754
{\an8}I'm sorry.
They shouldn't have done that.
510
00:22:59,796 --> 00:23:01,006
{\an8}I don't get it!
511
00:23:01,047 --> 00:23:04,259
{\an8}I'm old enough to drive.
Old enough to kill my parents.
512
00:23:04,342 --> 00:23:07,345
{\an8}But I'm not old enough
to take care of my sister?
513
00:23:11,433 --> 00:23:12,684
{\an8}I-I'm sorry, I just...
514
00:23:12,767 --> 00:23:15,562
{\an8}Hey. It's okay.
515
00:23:17,147 --> 00:23:18,523
{\an8}She didn't want me to drive,
516
00:23:18,565 --> 00:23:22,527
{\an8}but I really thought
I was ready.
517
00:23:24,195 --> 00:23:26,948
{\an8}Uh, Dr. Maitra?
518
00:23:27,032 --> 00:23:27,949
{\an8}What's going on?
519
00:23:27,991 --> 00:23:29,576
{\an8}I know you said to watch
her hematocrit,
520
00:23:29,659 --> 00:23:32,245
{\an8}but Harper's getting tachypneic.
521
00:23:32,287 --> 00:23:33,705
{\an8}I figured I should tell you.
522
00:23:40,253 --> 00:23:42,714
{\an8}- You paged me?
- Respiratory distress.
523
00:23:42,756 --> 00:23:44,632
{\an8}I think it's a fat embolism
from the pelvic fracture.
524
00:23:44,716 --> 00:23:47,344
{\an8}Need an echo to confirm.
- Okay, I got it.
525
00:23:47,802 --> 00:23:49,763
{\an8}Decreasing RPM
and giving volume isn't working.
526
00:23:49,804 --> 00:23:52,348
{\an8}BP's still too low.
- I know that, Michael.
527
00:23:52,390 --> 00:23:53,725
{\an8}Well, d'you think
there's bleeding?
528
00:23:53,767 --> 00:23:56,644
{\an8}- Sorry, I know you're busy.
- Not now, Kyle.
529
00:23:57,812 --> 00:23:59,564
{\an8}Do you have any idea
what you're doing?
530
00:23:59,647 --> 00:24:02,400
{\an8}But we got the labs back.
531
00:24:02,442 --> 00:24:04,486
{\an8}His hemoglobin's 19.
That's high, right?
532
00:24:04,569 --> 00:24:06,321
{\an8}- Very high.
- So he's not bleeding.
533
00:24:06,404 --> 00:24:07,655
{\an8}Doesn't make sense.
534
00:24:09,115 --> 00:24:10,950
{\an8}Stay, Kyle.
535
00:24:12,077 --> 00:24:14,037
{\an8}It's capillary leak syndrome.
536
00:24:14,120 --> 00:24:16,247
{\an8}The hemoglobin's
falsely elevated
537
00:24:16,331 --> 00:24:17,957
{\an8}because his blood vessels
are leaking fluid
538
00:24:18,041 --> 00:24:20,752
{\an8}into his tissues.
It can happen after a trauma.
539
00:24:20,835 --> 00:24:23,129
{\an8}Explains the heart failure
and why nothing we've been doing
540
00:24:23,171 --> 00:24:24,464
{\an8}has worked to raise his BP.
541
00:24:24,547 --> 00:24:26,508
{\an8}What about Hepastarch
to pull the fluid back
542
00:24:26,591 --> 00:24:28,301
{\an8}into his blood vessels?
- His kidneys still won't
543
00:24:28,343 --> 00:24:30,178
{\an8}get rid of the excess fluid
in time.
544
00:24:30,261 --> 00:24:32,639
{\an8}What if we dialyze him
via his ECMO
545
00:24:32,681 --> 00:24:35,016
{\an8}to fix the fluid overload
in the OR?
546
00:24:35,100 --> 00:24:36,226
{\an8}What does that mean?
547
00:24:36,309 --> 00:24:39,270
{\an8}His ECMO is letting us
bypass his lungs.
548
00:24:39,354 --> 00:24:41,147
{\an8}If we hooked up
a dialysis machine to it,
549
00:24:41,189 --> 00:24:42,482
{\an8}we could bypass his kidneys,
550
00:24:42,524 --> 00:24:43,692
{\an8}taking the fluid off faster,
551
00:24:43,775 --> 00:24:45,694
{\an8}but still keeping it controlled.
552
00:24:45,777 --> 00:24:49,656
{\an8}Which would allow Dr. Grant
to proceed with the surgery.
553
00:24:50,573 --> 00:24:52,492
{\an8}No journal articles, not one?
554
00:24:52,534 --> 00:24:53,785
{\an8}All traditional lit
was a bust.
555
00:24:53,868 --> 00:24:55,370
{\an8}There's gotta be something
out there.
556
00:24:55,453 --> 00:24:56,955
{\an8}Good for you
if you can find it.
557
00:24:56,997 --> 00:24:58,748
{\an8}The fact that I couldn't,
got me thinking.
558
00:24:58,790 --> 00:25:00,208
{\an8}Docs who have dealt with this
559
00:25:00,250 --> 00:25:01,584
{\an8}aren't the ones
who write papers.
560
00:25:01,668 --> 00:25:04,295
{\an8}They're the ones with real-life,
hands-on experience.
561
00:25:04,379 --> 00:25:06,673
{\an8}So, I called around
to rural hospitals.
562
00:25:06,715 --> 00:25:08,633
{\an8}Found a similar case
in Grand Marais.
563
00:25:08,717 --> 00:25:09,884
{\an8}Another one in Drummond.
564
00:25:09,968 --> 00:25:11,636
{\an8}Based on what
those surgeons said,
565
00:25:11,720 --> 00:25:13,471
{\an8}I worked out a strategy for us.
566
00:25:13,513 --> 00:25:15,598
{\an8}Keep talking.
567
00:25:15,682 --> 00:25:18,143
{\an8}We need to treat it
like a tumor, not a trauma.
568
00:25:18,226 --> 00:25:20,562
{\an8}Instead of trying to save
the damaged blood vessels
569
00:25:20,645 --> 00:25:23,148
{\an8}by taking out the antler
piece by piece,
570
00:25:23,231 --> 00:25:25,525
{\an8}we should remove the whole
section of the antler,
571
00:25:25,567 --> 00:25:27,777
{\an8}and the penetrated vessels,
and the airway.
572
00:25:27,861 --> 00:25:29,404
{\an8}And then what? Watch him die?
573
00:25:29,446 --> 00:25:31,823
{\an8}Then we take what's left over
from the artery and bronchus,
574
00:25:31,865 --> 00:25:33,241
{\an8}put those two ends
back together.
575
00:25:33,325 --> 00:25:34,534
{\an8}He'll bleed like a stuck pig.
576
00:25:34,617 --> 00:25:36,745
{\an8}Means we gotta move fast.
577
00:25:36,828 --> 00:25:37,787
{\an8}I like it.
578
00:25:37,829 --> 00:25:39,539
{\an8}But it's all moot
if Dr. Larsen can't stabilize
579
00:25:39,622 --> 00:25:42,584
{\an8}the patient for surgery.
She's got an hour. Tops.
580
00:25:42,667 --> 00:25:44,377
{\an8}I already checked in.
Not ready yet.
581
00:25:44,419 --> 00:25:45,920
{\an8}Argh.
582
00:25:46,004 --> 00:25:47,589
{\an8}We've got Harper,
pelvic binder wasn't enough.
583
00:25:47,630 --> 00:25:48,923
{\an8}She needs ORIF.
584
00:25:48,965 --> 00:25:50,842
{\an8}Echo confirmed the fracture's
causing fat emboli.
585
00:25:50,884 --> 00:25:53,386
{\an8}- Should I page Dr. Costa?
- No, I got this.
586
00:25:53,428 --> 00:25:54,721
{\an8}Let's go, Dr. Fox.
587
00:25:54,804 --> 00:25:56,973
{\an8}Tell Dr. Larsen
I'll be ready in 30,
588
00:25:57,057 --> 00:26:00,185
{\an8}so she won't be waiting on me.
Prep OR 2 right now.
589
00:26:05,190 --> 00:26:10,403
{\an8}Mm. Three months.
We were together 26 years.
590
00:26:11,071 --> 00:26:13,531
{\an8}Can't be easy
getting back out there.
591
00:26:13,573 --> 00:26:15,742
{\an8}Who said I'm back out there?
592
00:26:15,825 --> 00:26:17,744
{\an8}Yeah, I'm sure
it's going well for you.
593
00:26:17,786 --> 00:26:19,663
{\an8}Ask me again in an hour.
594
00:26:21,414 --> 00:26:24,334
{\an8}Really? Does that work
on the other women?
595
00:26:24,417 --> 00:26:25,960
{\an8}There are no other women.
596
00:26:26,002 --> 00:26:29,214
{\an8}Um, as far as my ex knows,
at least.
597
00:26:30,673 --> 00:26:33,259
{\an8}No, yeah, our divorce
isn't exactly amicable.
598
00:26:33,343 --> 00:26:34,803
{\an8}So you did something wrong?
599
00:26:34,886 --> 00:26:36,513
{\an8}I did lots of things wrong.
600
00:26:36,554 --> 00:26:39,224
{\an8}But if you're asking
was I unfaithful?
601
00:26:40,600 --> 00:26:42,977
{\an8}No. We just disconnected.
602
00:26:43,061 --> 00:26:44,688
{\an8}Kept it together for the kids,
but once they were
603
00:26:44,729 --> 00:26:47,565
{\an8}out of the house... you know.
604
00:26:47,649 --> 00:26:51,945
{\an8}Well... okay. Your turn.
605
00:26:52,445 --> 00:26:54,280
{\an8}No.
606
00:26:54,364 --> 00:26:56,574
{\an8}No, I didn't sign up for that.
607
00:26:57,492 --> 00:27:00,328
{\an8}What did you sign up for?
608
00:27:01,955 --> 00:27:03,581
{\an8}Fluoro shows excellent
609
00:27:03,623 --> 00:27:05,500
{\an8}alignment and stabilization
of Harper's pelvic ring.
610
00:27:05,583 --> 00:27:08,169
{\an8}- She gonna be okay?
- She will now.
611
00:27:08,253 --> 00:27:11,047
{\an8}So, you would've operated
on the pelvis this morning.
612
00:27:11,131 --> 00:27:12,966
{\an8}After the liver? Yeah.
613
00:27:13,008 --> 00:27:16,553
{\an8}You were wrong.
I am waiting for you.
614
00:27:16,636 --> 00:27:18,847
{\an8}Mr. Evans is ready.
615
00:27:20,223 --> 00:27:21,516
{\an8}Dr. Fox, close up.
616
00:27:21,599 --> 00:27:24,310
{\an8}Dr. Coleman,
suit up and scrub in.
617
00:27:24,394 --> 00:27:26,271
{\an8}- Really?
- It's your plan. Let's go.
618
00:27:26,354 --> 00:27:27,689
{\an8}Pick-ups.
619
00:27:31,151 --> 00:27:32,318
{\an8}Dr. Larsen,
620
00:27:32,402 --> 00:27:33,695
{\an8}I'll need you to keep him stable
621
00:27:33,778 --> 00:27:35,447
{\an8}so I can finish the surgery
this time.
622
00:27:35,530 --> 00:27:36,614
{\an8}Oh, I'll do my part.
623
00:27:36,656 --> 00:27:39,200
{\an8}Curious how you plan
to do yours.
624
00:27:39,284 --> 00:27:41,619
{\an8}Ask Dr. Coleman.
625
00:27:42,912 --> 00:27:44,622
{\an8}We'll follow
sleeve resection guidelines
626
00:27:44,664 --> 00:27:47,208
{\an8}for antler removal
and anastomosis.
627
00:27:47,250 --> 00:27:49,502
{\an8}Pull the whole thing out,
then put the damaged vessels
628
00:27:49,586 --> 00:27:50,628
{\an8}and the bronchi back together.
629
00:27:54,632 --> 00:27:56,134
{\an8}What's happening?
630
00:27:56,176 --> 00:27:58,386
{\an8}She's responding well
to the heparin,
631
00:27:58,428 --> 00:28:00,764
{\an8}but now she's got
102-degree fever.
632
00:28:00,805 --> 00:28:02,932
{\an8}Well, maybe it wasn't
the trauma.
633
00:28:03,016 --> 00:28:05,101
{\an8}Could the stroke have been
caused by an infection?
634
00:28:05,143 --> 00:28:07,312
{\an8}I started her
on broad-spectrum antibiotics
635
00:28:07,395 --> 00:28:09,439
{\an8}just in case.
636
00:28:09,522 --> 00:28:10,815
{\an8}Now she's tachycardic.
637
00:28:10,899 --> 00:28:12,150
{\an8}She needs more fluids.
638
00:28:17,822 --> 00:28:18,990
{\an8}Why is she getting worse?
639
00:28:19,074 --> 00:28:21,826
{\an8}Theo, you can't be here
right now. Liz!
640
00:28:21,910 --> 00:28:23,703
{\an8}Please, help my mom.
641
00:28:23,745 --> 00:28:25,705
{\an8}Yes. Yes, they will.
Theo, they will. Okay?
642
00:28:25,789 --> 00:28:27,582
{\an8}But we gotta go now.
643
00:28:27,624 --> 00:28:29,292
{\an8}C'mon.
644
00:28:30,293 --> 00:28:33,588
{\an8}Got a lot of bleeding here.
What's the fluid status?
645
00:28:33,672 --> 00:28:35,632
{\an8}Ultrafiltration is working.
646
00:28:35,673 --> 00:28:38,009
{\an8}Dr. Coleman, I need you
to ligate that bleeder
647
00:28:38,051 --> 00:28:39,052
{\an8}with an O silk.
648
00:28:40,053 --> 00:28:40,929
{\an8}I'm right here.
649
00:28:41,012 --> 00:28:42,764
{\an8}And you gotta learn sometime.
Let's go.
650
00:28:58,780 --> 00:29:00,448
{\an8}You all right?
651
00:29:02,826 --> 00:29:04,035
{\an8}When I finished med school,
652
00:29:04,119 --> 00:29:06,371
{\an8}they gave me a piece of paper
that said, you know,
653
00:29:06,454 --> 00:29:07,872
{\an8}I'm a doctor.
654
00:29:07,956 --> 00:29:09,541
{\an8}But I don't feel like a doctor.
655
00:29:09,582 --> 00:29:12,794
{\an8}I feel the exact same way
I did a month ago.
656
00:29:13,628 --> 00:29:14,879
{\an8}You helped save
his sister's life.
657
00:29:14,963 --> 00:29:16,131
{\an8}Yeah, but what about his mom?
658
00:29:16,214 --> 00:29:18,008
{\an8}His dad? What're we gonna tell
that poor kid?
659
00:29:18,049 --> 00:29:20,009
{\an8}It's not easy.
But you're gonna need
660
00:29:20,051 --> 00:29:22,345
{\an8}to learn to compartmentalize.
661
00:29:22,429 --> 00:29:25,306
{\an8}Otherwise you're just gonna keep
freezing like you did earlier.
662
00:29:28,101 --> 00:29:32,147
{\an8}I'm gonna get better at this.
I promise.
663
00:29:32,897 --> 00:29:34,107
{\an8}CBC is normal.
664
00:29:34,190 --> 00:29:36,109
{\an8}RVP and blood cultures
all negative.
665
00:29:36,151 --> 00:29:39,154
{\an8}Still, the fever's going up.
It's at 104 now.
666
00:29:39,195 --> 00:29:41,281
{\an8}- This has to be an infection.
- Yeah, but from what?
667
00:29:41,323 --> 00:29:44,284
{\an8}The antibiotics would've treated
all the usual suspects.
668
00:29:45,910 --> 00:29:47,328
{\an8}The deer carcass.
669
00:29:47,412 --> 00:29:50,749
{\an8}It was bleeding everywhere,
she had open wounds.
670
00:29:50,832 --> 00:29:53,335
{\an8}The fever, stroke,
cognitive impairment.
671
00:29:53,376 --> 00:29:57,005
{\an8}It's Brucellosis.
From the infected deer's blood.
672
00:29:57,881 --> 00:30:00,842
{\an8}This is the point
of no return.
673
00:30:00,925 --> 00:30:02,927
{\an8}All right, I got a proximal
and distal control
674
00:30:02,969 --> 00:30:04,929
{\an8}with the clamps.
As soon as this comes out,
675
00:30:05,013 --> 00:30:06,931
{\an8}every millisecond counts.
676
00:30:07,015 --> 00:30:09,100
{\an8}I'll reattach artery
and bronchi as fast as I can.
677
00:30:09,184 --> 00:30:10,894
{\an8}The rest of you,
do whatever you need to do
678
00:30:10,977 --> 00:30:12,645
{\an8}to control the blood
and keep him stable.
679
00:30:12,729 --> 00:30:14,481
{\an8}Understood? Everybody copy?
- Got it.
680
00:30:14,522 --> 00:30:15,732
{\an8}Yeah?
681
00:30:15,815 --> 00:30:18,360
{\an8}All right. We got this.
682
00:30:20,528 --> 00:30:22,530
{\an8}One...
683
00:30:22,572 --> 00:30:24,282
{\an8}Two...
684
00:30:25,408 --> 00:30:26,576
{\an8}Three.
685
00:30:26,660 --> 00:30:28,119
{\an8}Ah!
686
00:30:31,498 --> 00:30:33,041
{\an8}Serena, goggles.
687
00:30:33,708 --> 00:30:34,709
{\an8}TJ, suction.
688
00:30:37,879 --> 00:30:40,256
{\an8}Dr. Grant. Dr. Grant.
689
00:30:41,049 --> 00:30:44,886
{\an8}Ben! There's air in the circuit.
- Get it out. Now.
690
00:30:44,928 --> 00:30:47,430
{\an8}Turn the ventilator
to 100 percent FiO2.
691
00:30:47,972 --> 00:30:51,976
{\an8}Dr. Ferguson,
get me a 60cc syringe.
692
00:30:59,025 --> 00:31:01,403
{\an8}- His oxygen is tanking!
- 'Cause he's not getting any.
693
00:31:01,444 --> 00:31:03,571
{\an8}I just need a few more minutes
to finish reconstructing
694
00:31:03,655 --> 00:31:05,407
{\an8}the pulmonary
artery anastomosis.
695
00:31:08,576 --> 00:31:10,203
{\an8}Can you get the air out?
696
00:31:13,540 --> 00:31:14,416
{\an8}Amy?
697
00:31:16,751 --> 00:31:18,586
{\an8}You got this?
698
00:31:20,755 --> 00:31:22,298
{\an8}So...
699
00:31:23,216 --> 00:31:25,176
{\an8}How do we rate?
700
00:31:26,344 --> 00:31:27,220
{\an8}What do you mean?
701
00:31:27,262 --> 00:31:28,847
{\an8}My hospital
hosted the conference.
702
00:31:28,930 --> 00:31:31,349
{\an8}Need to report back how we did.
703
00:31:32,726 --> 00:31:35,270
{\an8}Ask me again in an hour.
704
00:32:07,344 --> 00:32:09,179
{\an8}You still questioning
my skills?
705
00:32:09,220 --> 00:32:11,473
{\an8}Hey, my focus
was on the patient.
706
00:32:11,556 --> 00:32:12,891
{\an8}And you came through.
707
00:32:12,974 --> 00:32:14,267
{\an8}In the end.
708
00:32:14,309 --> 00:32:16,728
{\an8}That's not an apology.
709
00:32:16,811 --> 00:32:18,897
{\an8}Now, listen.
What we did in there today
710
00:32:18,980 --> 00:32:21,149
{\an8}was impossible on paper.
711
00:32:21,191 --> 00:32:23,234
{\an8}I needed a rockstar
to get it done, and I,
712
00:32:23,318 --> 00:32:26,988
{\an8}I just wasn't sure you were
the same doctor you used to be.
713
00:32:27,072 --> 00:32:30,033
{\an8}Well, now you know.
Just as good as I ever was.
714
00:32:30,116 --> 00:32:31,826
{\an8}With all due respect,
you'd be chief of medicine
715
00:32:31,910 --> 00:32:32,994
{\an8}if that were true.
716
00:32:33,078 --> 00:32:34,913
{\an8}I gotta say,
this is really starting
717
00:32:34,954 --> 00:32:36,539
{\an8}to feel personal.
718
00:32:36,623 --> 00:32:38,583
{\an8}How could it?
719
00:32:38,625 --> 00:32:40,460
{\an8}We barely know each other.
720
00:32:41,461 --> 00:32:45,548
{\an8}I guess nobody told you.
I get memories sometimes.
721
00:32:46,216 --> 00:32:50,011
{\an8}Especially when I'm,
uh, triggered emotionally.
722
00:32:52,764 --> 00:32:55,016
{\an8}Um...
723
00:32:56,017 --> 00:32:58,520
{\an8}I started to text you
the other day,
724
00:32:58,561 --> 00:33:00,689
{\an8}but I wasn't sure when
was the right time to tell you
725
00:33:00,772 --> 00:33:02,857
{\an8}or... or how.
726
00:33:02,941 --> 00:33:05,360
{\an8}Tell me what, exactly?
727
00:33:08,071 --> 00:33:09,572
{\an8}We had, um...
728
00:33:11,408 --> 00:33:12,951
{\an8}a dalliance.
729
00:33:14,244 --> 00:33:16,246
{\an8}- A dalliance?
- After your divorce.
730
00:33:16,329 --> 00:33:19,082
{\an8}It was about four years ago.
On and off.
731
00:33:19,165 --> 00:33:24,379
{\an8}Long distance. And mostly,
we'd meet at conferences.
732
00:33:24,713 --> 00:33:28,341
{\an8}Uh, so nothing serious?
733
00:33:28,425 --> 00:33:31,261
{\an8}No. And you did
a preliminary review
734
00:33:31,302 --> 00:33:34,222
{\an8}of my clinical trials
as a courtesy.
735
00:33:35,306 --> 00:33:38,643
{\an8}I guess you didn't read anything
about that in your emails.
736
00:33:38,727 --> 00:33:40,562
{\an8}It doesn't ring a bell.
737
00:33:42,605 --> 00:33:45,025
{\an8}How did it end? Us?
738
00:33:45,108 --> 00:33:47,652
{\an8}Petered out
with no hard feelings.
739
00:33:49,446 --> 00:33:50,363
{\an8}I should've called
740
00:33:50,405 --> 00:33:52,407
{\an8}after that last night
in New York.
741
00:33:53,992 --> 00:33:56,619
{\an8}So, uh, we're good.
742
00:33:56,703 --> 00:33:57,912
{\an8}Absolutely.
743
00:33:57,996 --> 00:34:01,499
{\an8}And Dr. Heller is a great guy.
I'm happy for you.
744
00:34:02,167 --> 00:34:05,170
{\an8}Yeah. Okay.
745
00:34:06,671 --> 00:34:08,590
{\an8}You were outstanding today.
746
00:34:08,673 --> 00:34:10,508
{\an8}Back at you.
747
00:34:23,813 --> 00:34:25,690
{\an8}Theo?
748
00:34:25,732 --> 00:34:27,025
{\an8}Harpo!
749
00:34:27,108 --> 00:34:28,777
{\an8}That's not my name.
750
00:34:28,818 --> 00:34:32,447
{\an8}It is if I say so.
751
00:34:33,323 --> 00:34:36,534
{\an8}Don't make me laugh. It hurts.
752
00:34:36,576 --> 00:34:39,704
{\an8}Mom, is she okay?
753
00:34:40,997 --> 00:34:42,874
{\an8}Doctors say she will be.
754
00:34:42,957 --> 00:34:46,127
{\an8}- What about Dad?
- He's still in surgery.
755
00:34:46,211 --> 00:34:48,672
{\an8}Actually,
he's out.
756
00:34:48,713 --> 00:34:51,841
{\an8}He's stable and resting
in the recovery room.
757
00:34:53,218 --> 00:34:55,804
{\an8}Now, I'm not really supposed
to do this, but...
758
00:34:55,887 --> 00:34:57,681
{\an8}you wanna go see him?
759
00:34:57,722 --> 00:34:59,307
{\an8}Yeah!
760
00:35:01,643 --> 00:35:03,061
{\an8}I just wanna warn you,
761
00:35:03,103 --> 00:35:06,064
{\an8}surgery can cause swelling, discoloration.
762
00:35:06,106 --> 00:35:08,400
{\an8}Your dad won't
look like himself.
763
00:35:08,441 --> 00:35:09,734
{\an8}I understand.
764
00:35:14,114 --> 00:35:16,157
{\an8}Look what you did today.
765
00:35:16,241 --> 00:35:19,452
{\an8}You fought with everything
you had to get out of that car.
766
00:35:19,494 --> 00:35:21,413
{\an8}To find help,
to save your family.
767
00:35:21,454 --> 00:35:24,249
{\an8}And you did it.
You saved them.
768
00:35:25,208 --> 00:35:28,253
{\an8}You said before
you thought you were ready.
769
00:35:29,671 --> 00:35:33,299
{\an8}Nobody's ever ready for anything
until they do it.
770
00:35:33,383 --> 00:35:38,346
{\an8}But after today, you can
handle whatever's coming.
771
00:36:06,249 --> 00:36:08,293
{\an8}Are you the one who operated?
772
00:36:11,921 --> 00:36:13,465
{\an8}Thank you.
773
00:36:18,136 --> 00:36:20,221
{\an8}You're welcome, my friend.
774
00:36:21,347 --> 00:36:23,099
{\an8}- What am I thanking you for?
- For accepting you
775
00:36:23,141 --> 00:36:25,935
{\an8}into the secret society
of saviors.
776
00:36:25,977 --> 00:36:27,854
{\an8}Surgery loves to steal
all the glory,
777
00:36:27,937 --> 00:36:30,065
{\an8}but we Cardio Kings,
we had a big part
778
00:36:30,148 --> 00:36:31,358
{\an8}in saving that family today.
779
00:36:31,441 --> 00:36:33,985
{\an8}Uh, to be fair,
I think Dr. Grant gets the MVP,
780
00:36:34,027 --> 00:36:36,071
{\an8}but, yeah, we can take
some of the credit.
781
00:36:36,112 --> 00:36:37,572
{\an8}Yeah, we can.
782
00:36:37,655 --> 00:36:40,033
{\an8}People only notice us
when things go wrong.
783
00:36:40,075 --> 00:36:42,577
{\an8}We're basically the FBI.
- You see right there.
784
00:36:42,619 --> 00:36:44,871
{\an8}We almost had a moment,
and you ruined it.
785
00:36:48,583 --> 00:36:51,419
{\an8}Great work today.
786
00:36:51,753 --> 00:36:53,171
{\an8}Yeah, you too.
787
00:36:56,675 --> 00:36:59,636
{\an8}Go home to your
soon-to-be-non-ex-wife and kid,
788
00:36:59,719 --> 00:37:00,762
{\an8}my brave squire.
789
00:37:00,845 --> 00:37:04,682
{\an8}And my pursuit of domestic bliss
shall continue as ever.
790
00:37:13,566 --> 00:37:15,902
{\an8}He wasn't supposed
to know about that.
791
00:37:15,944 --> 00:37:17,404
{\an8}Well, it won't come from me,
792
00:37:17,445 --> 00:37:20,782
{\an8}but it's gonna get out
eventually.
793
00:37:21,366 --> 00:37:24,744
{\an8}And it's not fair for Amy
to be blindsided.
794
00:37:24,786 --> 00:37:26,454
{\an8}Yeah.
795
00:37:28,873 --> 00:37:30,542
{\an8}Dr. Costa.
796
00:37:31,751 --> 00:37:33,378
{\an8}Good work today.
797
00:37:40,343 --> 00:37:42,804
{\an8}When a patient of mine
is in trouble,
798
00:37:42,887 --> 00:37:44,472
{\an8}I expect to be paged.
799
00:37:44,514 --> 00:37:46,307
{\an8}Noted.
800
00:37:53,398 --> 00:37:54,983
{\an8}You didn't mention
the pelvic binder.
801
00:37:55,066 --> 00:37:57,277
{\an8}He understands what happened.
802
00:37:57,318 --> 00:37:59,404
{\an8}No reason to rub it in his face.
803
00:38:03,074 --> 00:38:04,993
{\an8}Heard you killed it today.
804
00:38:05,035 --> 00:38:07,412
{\an8}I don't know about that.
805
00:38:07,495 --> 00:38:09,456
{\an8}You caught the first sign
of emboli.
806
00:38:09,539 --> 00:38:11,124
{\an8}Saved that little girl's life.
807
00:38:11,207 --> 00:38:14,461
{\an8}And you survived Dr. Maitra.
808
00:38:14,502 --> 00:38:15,837
{\an8}Barely.
809
00:38:18,757 --> 00:38:20,383
{\an8}How was Ruth today?
810
00:38:20,467 --> 00:38:22,927
{\an8}She's still intact
and she learned some lessons.
811
00:38:23,011 --> 00:38:25,930
{\an8}So maybe you were right.
- Good.
812
00:38:38,276 --> 00:38:40,195
{\an8}I know what my reputation is.
813
00:38:40,278 --> 00:38:41,696
{\an8}From when I was
Chief of Medicine.
814
00:38:41,780 --> 00:38:45,116
{\an8}And I suspect
some of my behavior today
815
00:38:45,200 --> 00:38:47,410
{\an8}may have reinforced it.
816
00:38:48,286 --> 00:38:50,705
{\an8}Yeah. I mean, you acted like
I was in the way
817
00:38:50,789 --> 00:38:53,458
{\an8}when I'm here to learn
and contribute.
818
00:38:55,877 --> 00:38:57,128
{\an8}Was that too honest?
819
00:38:57,212 --> 00:38:58,088
{\an8}- Uh--
- My folks say
820
00:38:58,129 --> 00:38:59,005
{\an8}I can be that way.
821
00:38:59,089 --> 00:39:01,049
{\an8}No, honesty can be underrated.
822
00:39:03,385 --> 00:39:06,262
{\an8}Well, I saw a lot today, too.
823
00:39:06,304 --> 00:39:09,974
{\an8}I learned a lot.
So, you know, thanks for that.
824
00:39:13,311 --> 00:39:15,814
{\an8}I'm sorry
that I behaved badly.
825
00:39:15,897 --> 00:39:17,774
{\an8}I just want to do well.
826
00:39:19,234 --> 00:39:21,319
{\an8}Doesn't seem like
it was really about me.
827
00:39:27,075 --> 00:39:29,452
{\an8}Well, I'm hearing she hasn't
changed very much.
828
00:39:29,536 --> 00:39:31,538
{\an8}From who?
829
00:39:31,579 --> 00:39:34,165
{\an8}I'm sure you know that
these walls have ears.
830
00:39:34,249 --> 00:39:36,292
{\an8}Apparently she went
toe-to-toe
831
00:39:36,334 --> 00:39:38,753
{\an8}with our new
Chief of Surgery today?
832
00:39:38,795 --> 00:39:42,424
{\an8}They managed to work it out
and save the patient.
833
00:39:42,507 --> 00:39:45,802
{\an8}But, she's not exactly
treading lightly.
834
00:39:45,885 --> 00:39:48,054
{\an8}Well, I don't think
she ever will, Max.
835
00:39:48,096 --> 00:39:50,390
{\an8}Which is why you put some
serious guard rails on her.
836
00:39:50,473 --> 00:39:53,476
{\an8}Around the management of her
TVI, of course.
837
00:39:53,518 --> 00:39:55,729
{\an8}And what's your prognosis
regarding that?
838
00:39:55,770 --> 00:39:57,772
{\an8}Her brain's a wild card.
839
00:39:57,856 --> 00:40:00,483
{\an8}You know, has been ever since
the accident. What is this?
840
00:40:00,567 --> 00:40:03,111
{\an8}You asked to be
Chief of Medicine knowing
841
00:40:03,194 --> 00:40:04,612
{\an8}it meant overseeing her.
842
00:40:05,363 --> 00:40:07,198
{\an8}- Yes.
- And you understand
843
00:40:07,282 --> 00:40:10,577
{\an8}that your success or failure in
that job will depend greatly
844
00:40:10,618 --> 00:40:12,120
{\an8}on how you navigate
the situation.
845
00:40:12,203 --> 00:40:15,040
{\an8}You know, we've had this
conversation a dozen times.
846
00:40:15,081 --> 00:40:16,833
{\an8}We've had this conversation
when you were sitting
847
00:40:16,916 --> 00:40:20,336
{\an8}on this floor. Now you're
running Internal Medicine.
848
00:40:20,378 --> 00:40:21,921
{\an8}And I know what it means
to stake out
849
00:40:22,005 --> 00:40:23,715
{\an8}a new path for yourself.
850
00:40:23,757 --> 00:40:26,801
{\an8}So, if you're thinking of giving
her the kind of leeway
851
00:40:26,885 --> 00:40:28,636
{\an8}you have in the past,
852
00:40:28,678 --> 00:40:30,930
{\an8}everyone knows
the history there.
853
00:40:30,972 --> 00:40:34,351
{\an8}You just said it
yourself, Max. It's history.
854
00:40:34,392 --> 00:40:35,894
{\an8}There's nothing between
us anymore.
855
00:40:35,977 --> 00:40:37,312
{\an8}And everyone also knows,
856
00:40:37,395 --> 00:40:39,439
{\an8}my life would be easier
if she wasn't here.
857
00:40:39,481 --> 00:40:42,359
{\an8}Well, if you want her gone,
just fire her.
858
00:40:42,442 --> 00:40:44,027
{\an8}We'll back you.
859
00:40:44,110 --> 00:40:45,695
{\an8}I won't do that
without cause.
860
00:40:45,737 --> 00:40:47,864
{\an8}But rest assured--
861
00:40:47,947 --> 00:40:49,741
{\an8}...she does anything
to earn my distrust
862
00:40:49,783 --> 00:40:54,537
{\an8}or to jeopardize
this hospital's reputation,
863
00:40:54,579 --> 00:40:56,748
{\an8}I'll be the first one
showing her the door.
864
00:40:58,124 --> 00:41:01,002
{\an8}Well, that's a helluva
thing to say about the woman
865
00:41:01,044 --> 00:41:02,921
{\an8}you once loved.
866
00:41:02,962 --> 00:41:04,506
{\an8}If you mean it.
867
00:41:09,260 --> 00:41:13,431
{\an8}♪ You could say
it's all my fault ♪
868
00:41:13,515 --> 00:41:16,101
{\an8}♪ We just couldn't get along ♪
869
00:41:17,477 --> 00:41:19,229
{\an8}- Go get him.
- Daddy!
870
00:41:21,731 --> 00:41:23,525
{\an8}Oh, what're you doing up
this late?
871
00:41:23,608 --> 00:41:25,777
{\an8}She wouldn't go to sleep
until she saw you.
872
00:41:27,153 --> 00:41:29,447
{\an8}Hi.
- Hey.
873
00:41:32,033 --> 00:41:33,576
{\an8}Come on.
874
00:41:34,369 --> 00:41:36,621
{\an8}Let's go, Princess?
875
00:41:36,705 --> 00:41:39,708
{\an8}- Yeah.
- Okay, go find it.
876
00:41:41,543 --> 00:41:45,547
{\an8}♪ There's nothing left to fix ♪
877
00:41:45,630 --> 00:41:49,300
{\an8}♪ You can say I lost my grip ♪
878
00:41:49,384 --> 00:41:51,469
{\an8}♪ Say whatever feels better ♪
879
00:41:51,553 --> 00:41:55,140
{\an8}♪ Whatever, you can just
say I'm crazy ♪
880
00:41:56,891 --> 00:42:01,646
{\an8}♪ You can say
it's all my fault ♪
881
00:42:01,730 --> 00:42:05,483
{\an8}♪ We just couldn't get along ♪
882
00:42:05,567 --> 00:42:07,736
{\an8}♪ And so you know, I'll say ♪
883
00:42:07,777 --> 00:42:11,948
{\an8}♪ I don't know, but no one's
gonna be asking me ♪
884
00:42:29,591 --> 00:42:33,803
{\an8}♪ You can say
it's all my fault ♪
885
00:42:33,928 --> 00:42:36,848
{\an8}♪ We just couldn't get along ♪
886
00:43:01,539 --> 00:43:04,959
{\an8}difuze