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Grey's Anatomy Season 21 Episode 13

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Transcript
00:00Nowhere to go but down.
00:02I'm assisting on your girlfriend's surgery. You want me to slack off?
00:05Carry on.
00:06Yeah.
00:07But ideally, vigorous exercise is between 70 and 85% of your maximum heart rate.
00:16Could you pack Allison's blanket? Your mom says it's not in the back.
00:19It's in the backpack.
00:20Oh.
00:21What are you gonna do with the whole house to yourself?
00:24Well, then you look. Sleep.
00:26I'm jealous. The conference agenda is jam-packed.
00:29You should skip something, you know, get a massage or do something else for yourself.
00:34Exceeding your maximum heart rate can result in dizziness, chest pain or even fainting.
00:39Okay.
00:40Okay. You got that?
00:42Yeah, I got it.
00:44Okay. You two have fun. You know, what happens in Vegas stays in Vegas.
00:49We're going to Oakland.
00:50That too.
00:51Bye.
00:53So listen to your body and don't push your limits.
00:59Hey.
01:00I didn't know you were here.
01:02I'm helping Dr. Webber with one of my old patients.
01:05A little weird. You're kind of like my boss now.
01:06I know.
01:07I invested in her and Meredith's Alzheimer's research.
01:09I'm a silent partner. That's it.
01:11Are you going to Boston? Because I'll take Griffith on my service.
01:14He's salty because she's been helping me prep for an experimental procedure all week.
01:18I needed our best intern for the case.
01:20Griffith's the one to watch, huh?
01:21Yeah.
01:22How's Adams doing?
01:23He's with us today, you tell me.
01:24Okay.
01:25The schedule changes.
01:26He's still mine.
01:27Do you know how lucky you are you don't have to worry about vaginal tears?
01:34And good morning to you too.
01:35I just saw the third degree tear encroaching on the sphincter.
01:38And that's after the mom labored for 24 hours with a nine pound baby.
01:42You know, men have their share of, yeah, that sounds awful.
01:45Oh, Wilson. Hey.
01:46While you were in L&D, Mrs. Badgley started bleeding.
01:48Okay.
01:49Well, I will tell Kincaid she needs to move her my emectomy to this morning.
01:52Already on it.
01:53I figured you three wouldn't want to be on your feet for a long surge.
01:56Dr. Kincaid already proved it, so we're set.
01:59Um, did Joe Wilson just let a guy who calls surgery a surge shirk her?
02:05He saved my babies.
02:06Oh.
02:07That's all I can think about when I see his overachieving stupid progeny face.
02:10And if you tell anyone that, I will punch you.
02:12Hey, not for you.
02:14Have you exported your cases into the spreadsheet yet?
02:17What spreadsheets?
02:18Uh, our case logs for our meeting with Bailey at the end of the year.
02:23Sorry.
02:24That's fine.
02:25Well, if it's any consolation, I'll be able to help you with your case logs next year.
02:29Thanks.
02:30Uh, good morning.
02:32Good morning.
02:33What, what's this?
02:34It's a, thank you for saying you would help me get my first solo surgery.
02:37I promise I won't let you down.
02:39All right.
02:40Lesson number one, always under promise and over deliver.
02:44Yeah.
02:49Hey, Nora.
02:50Hi.
02:51I just got your texts.
02:52Sorry for bugging you.
02:53This is Liz.
02:54Hi.
02:55This quick.
02:56I have a high school reunion to pull off.
02:57I'll do my best.
02:58Pull on me.
02:59Um, how far along are you?
03:00Uh, 19 weeks.
03:01It's been an easy pregnancy until a couple of days ago.
03:03I started to have indigestion, shortness of breath, some pressure in my chest.
03:07Um, I have an OB appointment next week.
03:09Okay.
03:10She has pre-existing mitral valve pull up, so I kidnapped her here.
03:13Yeah.
03:14I have to be at this reunion tonight.
03:15I'm the committee chair.
03:16Liz runs a tight ship.
03:17She got the boosters to repaint the gym.
03:19Finally, there's no way that Sydney's pain wasn't full of lead.
03:23I was a senior when you were a freshman.
03:26Owen Hunt?
03:27Megan Hunt's brother.
03:28Megan has a brother?
03:30Okay.
03:31I'm going to page cardio and OB.
03:33While we wait, I'm going to run some labs and an EKG.
03:37Sound good?
03:38I'm pregnant.
03:39Only snacks and baths sound good.
03:42And it's good to see you again.
03:45Alan Lewis, 50, develops PTLD after his third kidney transplant.
03:48Had eight rounds of rituximab to reduce the tumor burden in seretroperitoneum.
03:52Here to debulk the residual tumor before resuming chemo and to alleviate the bowel obstruction symptoms.
03:58Not the kidney's fault.
03:59Don't blame the kidney.
04:00No one's blaming anyone.
04:02That's right.
04:03PTLD is a real complication caused by...
04:05A weakened immune system that triggers the Epstein-Barr virus.
04:08Of course, Alan is in the less than 1% of all people who get those.
04:11Now it feels like you're blaming me.
04:13Okay.
04:14Shelby is Alan's sister and the donor of his third kidney.
04:17I wouldn't have asked if I weren't such a hard match.
04:19My other two organ donors came through UNOS.
04:21Which donor drove you to chemo?
04:23Oh, the one who inherited mom's 1969 Mercedes convertible.
04:28I took care of her all those years. Where were you?
04:30Working in Singapore.
04:32She came through for me when I needed a kidney,
04:34but there was a time when Shelbs and I weren't speaking.
04:36They don't need to know that.
04:37Okay, it's my medical history.
04:38Okay, let's get some new scans and we'll go from there, shall we?
04:40Okay.
04:41Yeah.
04:42Bye.
04:50Cass, I didn't know you'd be here.
04:52Oh, Teddy, hi.
04:53I will catch up with you later.
04:56Sure.
04:57Friend of yours?
04:59We sometimes plan to attend the same conferences, balance the NewsFest panels with extracurricular activities.
05:07Oh.
05:09Is David here?
05:10I believe he's covering his chief's cases while she's at a conference.
05:14Right.
05:15What about Owen?
05:16No.
05:17Nope.
05:18Just me.
05:19Oh.
05:20Altman!
05:21Oh, okay.
05:22Can you help me?
05:23Please.
05:24Hi.
05:25Hi.
05:26Griffin.
05:27Present.
05:28Molly Tran, 33, experiencing grand mal seizures, currently refractory to anti-epileptic medication,
05:37here for placement of DBS to suppress seizure activity.
05:40We'll make a small hole in your skull to implant the device in your brain, then place the pulse generator under your collarbone.
05:47It's like a pacemaker for your brain.
05:49What about getting my memory back?
05:51Let's take it one step at a time.
05:53Once we place the DBS, I will put a grid on your brain and then stimulate each section one by one.
05:59But we're only doing that because I will already be in that part of your brain.
06:03It's never been proven to retrieve memories lost to retrograde amnesia.
06:07Will the extra stimulation induce seizures?
06:09It's possible.
06:10But my hope is that the device will prevent that.
06:13Are you sure you want to do this?
06:16What did your parents say about it?
06:18Um, they were nervous until I sent them Dr. Shepard's bio.
06:24I want my memories.
06:27I just didn't realize so many people would be watching.
06:30It's a big case.
06:33Excuse me.
06:35All right.
06:36So you can see the device will be placed in the crown.
06:39It's one thing to show up in my house, but to go into the hospital...
06:41Back off!
06:42He doesn't want to talk to you.
06:44Look, I don't want to talk to her.
06:45I need to talk to you.
06:46Molly hasn't told you everything you need to know.
07:00But when I did the test run in the auditorium, the slides looked like they were in a funhouse mirror.
07:06Well, they must be formatted to the wrong size.
07:08Right.
07:09That's what Ron, that AV guy says.
07:11And apparently the only way to fix it is to redo the whole damn thing.
07:14Well, how long did the first one take?
07:16No idea.
07:17I paid Tuck to do it.
07:18Dr. Bailey is presenting on her program, training OB-GYN residents from states with abortion vans.
07:23So important now more than ever.
07:25Yeah, well, how am I supposed to inspire other hospitals to start programs like ours if they can't read my slides?
07:31Well, Kaz is actually amazing at slideshows.
07:34Sorry, I don't know why I said actually.
07:36She's just amazing.
07:38Uh, can you work fast?
07:41For this cause, it would be my honor.
07:44Okay, let's try.
07:45All right, are you ready?
07:47Yes.
07:48Aligning the MRI and CT images to create a 3D representation of the brain.
07:52Which approach would you suggest?
07:55Transfrontal.
07:56Good thought.
07:57We are going to go with frontal temporal.
08:00Oh.
08:01Target?
08:02Oh, that area of gliosis on the MRI.
08:04All right, divide it into three separate targets so I have options.
08:09What if we trigger a seizure and have to put her in a barb coma? Isn't the whole procedure a wash?
08:15I don't let myself think like that.
08:18Yeah.
08:20You really are the one to watch, huh?
08:24Just been lucky.
08:25Get on amazing cases.
08:27Don't do that.
08:29You're a woman surgeon.
08:31There are enough people out there who want to dismiss you.
08:34Don't be one of them.
08:37Now, our patient will be awake.
08:39So it is crucial that you follow my lead.
08:42Keep your voice neutral.
08:44As far as Molly is concerned, everything is fine.
08:48No problem.
08:49Your labs are normal.
08:51Same with your EKG and echo.
08:52And your mitral valve looks stable.
08:54Great.
08:55See?
08:56Told you.
08:57Just regular old pregnancy.
08:58So can I get back to reunion planning now?
08:59While your symptoms are common, they are new for you.
09:02We would like to run a few more tests.
09:03Okay.
09:04Fine.
09:05Where's my phone?
09:06Do you have someone we should call?
09:07Uh, nope.
09:08Just a second in command who can't alphabetize name tags to save his life.
09:12Oh, come on, Bobby.
09:13Um, comes before O.
09:15Liz is having this baby on her own.
09:17She's my personal hero.
09:18It wasn't always the plan, but I've been on at least one date with every age-appropriate bachelor in the greater Seattle area.
09:24And some not so age-appropriate.
09:26But none of them were the one, and I'm not getting any younger, so I'm going it alone.
09:31Liz, how long have you had that lump on your neck?
09:36What lump?
09:37May I?
09:38Millen, can you grab the ultrasound?
09:41She's about to go to the OR and make it quick.
09:42You can't let her do the experimental part of the surgery.
09:43I respect her decision.
09:44Because if she gets her memories back, it absolves you of what you did?
09:45You don't know what you're talking about.
09:46When the accident happened, she tried everything she could to get her memories back.
09:59Psychotherapy, hypnotherapy, Vietnamese herbs.
10:01Her parents said that she spent everything she had, and when none of it worked, she spiraled.
10:05Not eating, not sleeping.
10:07They finally talked her into getting help.
10:09She never told me any of this.
10:11And why would she?
10:12You think she wants you to know?
10:14Look, I love her.
10:16And I wouldn't be able to live with myself if anything bad happened to her.
10:20Coming to Seattle, the sudden breakup, the experimental brain surgeries to get her memories back, it just feels like the on-ramp to another crash.
10:29She picked me.
10:31Get over it.
10:33There's pens and extra card stock in the bag under the welcome table.
10:50No, under the welcome table.
10:52Call if you need anything.
10:54Great.
10:55Thanks.
10:56Oh, boy.
10:57Hey, you okay?
10:58This Bobby, our class secretary, who doesn't know how to CC people, is now the one in charge.
11:02It's like a designated survivor situation.
11:05Well, if no one took this seriously, there would be no reunions, and no one would reconnect with old friends, and I guess life would just go on.
11:15Reconnecting can be pretty great.
11:18Mm-hmm.
11:20So far, so good with Liz, by the way.
11:23Should I have taken Liz somewhere else?
11:27Why?
11:28It's just the last time I saw you, you didn't want to be a part of my care team, and now we're sharing a bench.
11:35Well, you know, you brought in a friend for medical care, so this is, this is an above-board bench-sharing situation.
11:45In that case, can you sit a little longer?
11:48It's just hitting me that my friend might be sick.
11:52Sure.
11:57Okay, there's the two native kidneys, the two non-functioning transplanted kidneys.
12:02That's the working one right there.
12:04Have you ever seen a scan of five kidneys beside a one patient before?
12:07Is that the mass?
12:08Yeah.
12:09I see it right there.
12:10Is it kinking the vasculature of the working kidney?
12:12No, it's close, but fortunately, no.
12:14Yeah, we should debulk enough that the chemo is a shot at killing the remaining cells.
12:18Should we remove the native kidney?
12:20I could help with the retroperitoneal lymph node dissection.
12:22That's not necessary.
12:23We still have good access to the pericaval lymph nodes, but good to know you're thinking ahead.
12:27What goes in OR?
12:28I was pretty bold to ask to do an ephrectomy and a lymph node dissection.
12:33You never know if you don't ask.
12:35Can you do his pre-op paperwork?
12:38Nope, but good try.
12:43Poor Liz.
12:44She worked so hard on her reunion and now some bumbling wannabe gets to be there for the big moment.
12:49I was just trying to help.
12:51Is he, is he, or is he a man who is threatened by women in power and he's stealing it in the name of generosity?
12:56For the record, I am a feminist.
12:58This morning, my co-resident stole my surgery so that I didn't have to be on my feet.
13:03Did you punch him?
13:04No.
13:05He saved my babies.
13:07Well, I didn't save my babies.
13:08What's his name?
13:09Scans are up.
13:13Well, that's not something you see every day.
13:16Is it cancer?
13:17Nope.
13:18Your thyroid, larynx, and lymph nodes are all fine.
13:20It appears you have a rare condition called achalasia with megaesophagus,
13:24which is aggravated by your pregnancy.
13:26Which means you have a fair amount of undigested food sitting in your esophagus.
13:32Um, how long has it been there?
13:34It's hard to tell without knowing how much you eat in one sitting.
13:38I had fish tacos yesterday.
13:40Stupid Bobby gave me a strawberry smoothie for breakfast.
13:43It's all right, don't worry.
13:44We're gonna run a scope down there and clean it all out, okay?
13:47Yeah.
13:48Oh!
13:55Good.
13:56Yeah.
13:57Yeah.
13:58Get nervous, but your vitals are strong.
13:59Hey, go into OR1.
14:00You know, the next time I see you, I could have all my memories back.
14:03You know, the odds of this working are almost impossible.
14:06I just wanna make sure you'll be okay if he doesn't.
14:08There must be other experimental treatments.
14:10Right?
14:11If this one doesn't work, I mean, we'll try another one.
14:15Dave came to the hospital?
14:17No.
14:18Uh, well, what did he say?
14:23I just wanted to make sure that you'll be okay.
14:26I am.
14:27I will be.
14:30You'll be here when I get out, right?
14:32Of course.
14:36Okay.
14:37Okay.
14:39Okay.
14:44Don't let Shepard push it in there.
14:46We've seen her go overboard, especially with difficult cases.
14:48You know I can't control that.
14:50You're on top right now.
14:51You have more influence than you think.
14:55I gotcha.
14:57I gotcha.
15:06Oh, there you are.
15:07I was starting to get flashbacks to that party
15:09where you ditched me to make out with Scott Jonas.
15:11I just...
15:12We got some air.
15:13Tell me that lump's benign.
15:14As benign as chicken pot pie.
15:16Oh, thank God.
15:17What is it?
15:18Chicken pot pie.
15:19Yeah, that was yesterday's lunch.
15:20My throat's full of food.
15:22What?
15:23How?
15:24The sphincter connecting her stomach and her esophagus won't relax,
15:26so food's getting stuck.
15:27Is this gonna be for the rest of my pregnancy?
15:29No.
15:30We can remove the food with a scope and then inject Botox into the lower sphincter.
15:34So it looks young and wrinkle-free?
15:36No.
15:37So it relaxes and food can get into your stomach.
15:39Okay.
15:40So this is gonna take a while.
15:41Will you please make sure that someone steams the tablecloths?
15:44I'm on it.
15:45A nurse will get you prepped, okay?
15:47Okay.
15:48I'm gonna go back to work.
15:49Okay.
15:50Brush up on your EGDs in the skills lab.
15:52I thought we had Mr. Odin's cabbage today?
15:55I am doing Mr. Odin's cabbage.
15:56You are gonna brush up on your EGDs so you can do Liz's esophageal disimpaction.
16:00I'll go practice.
16:03Can you just cut and paste?
16:05The graphics, yes, but not the text.
16:07Can you read me those bullet points?
16:09Oh, sure.
16:10Um, okay.
16:11All trainees come from the more than one-third of U.S. counties that are maternity care deserts
16:16with no OB providers, hospitals, or birth centers.
16:19That was bleak.
16:21Didn't you win a Kathryn Fox award for your program?
16:24I did.
16:25Felt like an accomplishment then.
16:27Now, it feels like I'm trying to bail water with a thimble.
16:31I get it, but programs like yours are a beacon of hope.
16:36Now, let's just make sure your presentation is as great as you are next.
16:42Bullet, please.
16:44Teddy?
16:45Oh, yeah.
16:46Sorry.
16:47Following Dobbs.
16:51DBS is in place.
16:53How you doing, Molly?
16:54Pretty well, considering my head's basically in an erector set.
16:57Are you feeling more discomfort?
16:59I don't feel a thing, but I can hear tools clinking and things buzzing.
17:04Are we almost there?
17:05Yes.
17:06Griffith, we are ready to connect to a stimulation panel.
17:09And this should stop the seizures?
17:11It should.
17:12That's incredible.
17:15And are you starting with the memory part, too, now?
17:17In a minute.
17:18Dr. Shepard, I see a leptiform waves.
17:20All right.
17:21Adjust the frequency.
17:22They're breathing.
17:23Okay.
17:24All right, Molly.
17:25Now it is time to place the grid for memory retrieval.
17:29I'd nod, but I can't move my head.
17:31Grid, please.
17:32Here we go.
17:33Here we go.
17:34Shh.
17:35It's not that bad.
17:36You were just moaning like a dead animal.
17:37Let him check you out.
17:38Urine output's low.
17:39Hang on.
17:40Let me take a quick look with the ultrasound.
17:42God, are you wearing perfume?
17:43It smells like feet.
17:44Remember when I gave you a kidney and you promised to be nicer?
17:45This is how all of our fights end now.
17:46Do you have a sister?
17:47I have four.
17:48Oof.
17:49I thought one was a lot.
17:50Kidney.
17:51I learned early on that I'm better off not fighting back.
17:52Well, look at you now.
17:53You're a surgeon.
17:54See what happens when you learn how to go with the flow to adapt.
17:55I'm the senior VP of human resources at a giant tech company.
17:56Kidney.
17:57It only works when I do it.
17:58No.
17:59My kidney really hurts.
18:00Now.
18:01I'm not sure what happens when you're married.
18:02I'm not sure what happens.
18:03But you're not sure what happens.
18:04I'm not sure what happens when you're married.
18:05I'm not sure what happens.
18:06I'm not sure what happens when you're married.
18:07I'm not sure what happens.
18:08Are you wearing perfume?
18:09It smells like feet.
18:10Remember when I gave you a kidney and you promised to be nicer?
18:11This is how all of our fights end now.
18:12Do you have a sister?
18:13I have four.
18:14Oof.
18:15I thought one was a lot.
18:16Kidney.
18:17I learned early on that I'm better off not fighting back.
18:18Well, look at you now.
18:19giant tech company. Kidney. It only works when I do it. No, my kidney, it really hurts. Damn it,
18:25we need to move. Well, what's happening? Alan's kidney's thrombose. Claude's cutting off his
18:30blood supply. If we don't get him to surgery right now, he could lose it. Tell Weber and
18:34Mars to meet me in the OR. Okay, great. I did it. You did it? Uh-huh. Thank you. You were right.
18:47She's amazing. She's also very hungry. Would you give me those chips? Uh, you can have whatever
18:54you want. Thank you. Uh, I'll be right back. Okay. Well, you saved the day. No, this saved
19:02me from having to go to my boss's panel on change management. Where is her thumb drive?
19:10Do you want to skip the afternoon lectures? Well, we clearly have seen Bailey's presentation.
19:21I'm supposed to meet up with Phil later. So meet up with me instead. You said to let you
19:27know when I have figured it out and I have figured it out. You are all set. Oh, um, would
19:44you keep it until we get there? My luck today, I'd drop it down the elevator shaft. You are
19:51coming, right? Oh, I've been having stress dreams all week about showing up to an empty
19:56room. Yeah. Wouldn't miss it. Okay. Okay. The renal artery is tortuous. IR never would
20:04have worked. Agreed. Forgot a catheter? Will the kidney be okay? I don't know. I just got
20:09a shot. Thanks to you. My imbelectomy is complete. Had to run. Thank you. Now what? Wait for it
20:19to pink up. Then we go up to the tumor. Okay. Nothing's happening.
20:31Still ischemic. Yeah. The clock goes too much damage. The kidney's dead. Let's prep for a
20:38nephrectomy. Yep. But he has to be in remission before he can go back on the transplant list.
20:42That could take months. Well, it's our only option at this point. He got lucky three times.
20:46Maybe it'll happen again. So that's it? You just tell him good luck and send him on his
20:49way. Well, what if we give him more talent? Yeah, the attractive password. You know,
20:54that's not going to work. Adams, you want to suture ligate this vessel?
21:00You found the cloud. You want it or not?
21:07Oh, so.
21:11Okay. Nice and easy.
21:13Good.
21:16Well, Mr. Odin's in the ICU. We did his cabbage off pump. It's actually really exciting. You
21:22should review the surgical tape.
21:25Wilson, quick update. Ms. Badgley had a massive uterine hemorrhage mid-surge, so I...
21:29You did a hysterectomy? On my patient?
21:32Technically, Kincaid's patient, but yeah. Good luck with your, um...
21:36esophageal disimpaction. I'm going to tear him limb from limb.
21:41Dylan, you are flying through this. At the rate you're going, we'll be out of here in 15 minutes.
21:45My parents never sent me to summer camp. They just dropped me off at the arcade every day,
21:50and I played the clone machine for six hours straight.
21:53You know how to work those?
21:54Mm-hmm.
21:55What have you won?
21:56Strawberries and fish tacos.
21:57Stimulate S5.
22:03Molly, remember, if you see anything, no matter how faint the image, just let me know.
22:10Nothing yet.
22:11All right. Let's increase the frequency to 180 hertz.
22:16If it gets uncomfortable, let me know, and I can stop.
22:21Okay. Let's bump it up to 200 hertz.
22:24Mr. Shepard, she's starting to get D-waves again.
22:30Sporadic episodes. We still have time before a potential seizure.
22:34Let me have five.
22:37Decrease the amplitude to two millivolts.
22:41How you doing, Molly?
22:43Still fine. Just... just waiting.
22:45Waves are increasing in frequency and amplitude.
22:48I'm keeping my eye on it.
22:49X5.
22:50X5.
22:54I'm stopping.
22:55Griffith, you will press that button if I tell you to.
22:59Wi-Fi.
23:00She's going to seize it. We have to put her in a coma.
23:02She'll never go down to Griffith.
23:04I need you to trust me or get out of my OR.
23:07I see something.
23:13Can you tell me what you see?
23:15I'm outside.
23:16I'm walking near a lake.
23:20I see... I see mountains.
23:23It's beautiful here.
23:26Wait. Wait. It's all gone.
23:29Because I stopped stimulating.
23:30It's absolutely amazing.
23:33It's time to close.
23:35That's not why I stopped.
23:37Hand me the control panel.
23:37We need to verify that the stimulation
23:42is provoking the memory.
23:44Our seizure activity is becoming more unstable.
23:46Are you starting?
23:48See anything now?
23:49I'm still at the same place, and...
23:52there's someone else here.
23:56A man.
23:57Do you know who it is?
23:58No. He's too far ahead,
24:00but he's wearing a red jacket.
24:03I think we're here together.
24:06Wait. Did you stop again?
24:07I did.
24:08All right.
24:11How about now?
24:12I'm still here.
24:15I'm taking something out of my pocket.
24:17It's a...
24:18It's a map.
24:20It says...
24:22the Beehive Basin Trail.
24:25It's big sky.
24:27All right.
24:28We are going to reduce the frequency
24:30back to 140 hertz
24:31and one millivolt,
24:34terminating the simulation
24:35and removing the grid.
24:37Wait, no.
24:38No, wait.
24:38Why are you stopping, please?
24:39We can't risk more seizure activity,
24:41but Molly, you did great.
24:43Would you like me to close?
24:45I've got it.
24:45The EGD went well.
24:50We were able to clear your esophagus
24:51and administer the Botox
24:53to relax your sphincter.
24:54And once we confirm
24:55everything's going down okay,
24:56you'll be good to eat
24:56whatever you want.
24:57Just need to take it easy
24:58for a couple of days.
24:59I'll take it easy
25:00after the reunion.
25:01No, wait.
25:01You need to rest.
25:03Otherwise,
25:03you'll wind up back here
25:04in a week.
25:05Two years of hard work
25:07and Bobby's about
25:08to undo it all
25:08in two hours?
25:10Why doesn't Nora go?
25:11Make sure he doesn't
25:12mess things up.
25:13Okay, you need to fire him.
25:14We don't pay him.
25:15We can't just let Bobby
25:16have what he wants
25:17because he means well.
25:19You need to go down there
25:20and tell him
25:21that he is out.
25:23Well,
25:24good news is
25:25we were able
25:26to debulk
25:27a lot of the mass.
25:28So there is bad news
25:29again.
25:31Yes.
25:31So we couldn't revive
25:33your working kidney.
25:35So we had to remove it.
25:37Back to dialysis.
25:40More hours of my life
25:41wasted.
25:42Once you're in remission,
25:43we can put you back
25:43on the transplant list again.
25:44I've already had three.
25:46I'm a hard match.
25:47I won't find another.
25:50You never know.
25:52Before my first transplant,
25:54I made a bucket list
25:55of all the things
25:56I wanted to do
25:56before I died.
25:58You know,
25:58like climb the Great Wall
25:59or drive on the Autobahn.
26:01Oh, see the Rockettes?
26:04I mean,
26:04I thought I'd be lucky
26:05to do half.
26:06I did all of them.
26:09Organ donors gave me
26:10a second chance on life
26:11and then a third
26:12and a fourth.
26:15And I'm happy
26:16with what I did with them.
26:18So if this is it,
26:20this is it.
26:27Or you could call Gary.
26:29We're not calling Gary.
26:31Gary is...
26:32Our brother.
26:33I love you, too.
26:34I would rather live
26:34the rest of my life
26:35in a box.
26:36By box,
26:36do you mean, Corbin?
26:37It'd be better
26:38than calling Gary.
26:43She loved Big Sky.
26:45We went a couple of times.
26:46I can't believe
26:47she actually remembered something.
26:49All the way down
26:49to your red jacket.
26:50I'll check on her in a bit.
27:02Hey.
27:03How are you feeling?
27:04you're tired.
27:06I just wish my brain
27:21could hold on to them
27:22when it's not being stimulated.
27:24Does Dave have a red jacket?
27:31He has a lot of jackets.
27:34Did you ever go to Big Sky with him?
27:37A couple of times.
27:38Why?
27:41Is that what I remembered?
27:42Yeah, but that was a memory
27:49from after the accident.
27:53You don't need to remember anything
27:55for us to have a future together.
27:57You don't.
27:58It's all in my brain.
28:01It's all in there.
28:02We just have to find a way
28:03to unlock it.
28:04I mean, maybe there's
28:05a clinical trial.
28:06No, you...
28:06No, no, no.
28:07You don't let people
28:08dig into your brain
28:09when you're healthier.
28:11I'm worried about you.
28:12The worst has already happened.
28:16I lost my life.
28:18No, you didn't.
28:19You're here.
28:26Okay, you should rest.
28:27We can talk about this later.
28:36Okay.
28:37All right.
28:39Hey.
28:39So, Liz is being distressed.
28:42She is.
28:43But she needs to rest,
28:45so she's sending me to go
28:46make sure this ring
28:47and it doesn't fall apart.
28:48Hmm.
28:49I wish Megan wasn't shot
28:51for owning your nephew's
28:52camping trip.
28:53Yeah.
28:54I can go with you,
28:55if you want.
28:56I'd love to see
28:57the new pain in the gym.
28:59Seriously?
29:00Teddy won't mind.
29:03We've agreed to...
29:06We've agreed that
29:07we can see other people.
29:09Oh.
29:10Yeah.
29:14Okay.
29:15So I'll go home
29:16and I'll change
29:17and come pick you up?
29:19I'll text you my address.
29:21Okay.
29:21Yeah.
29:22Yeah.
29:22Yeah.
29:22Yeah.
29:22Yeah.
29:22Yeah.
29:23Yeah.
29:24Yeah.
29:24Yeah.
29:24Yeah.
29:24Yeah.
29:24Yeah.
29:24Yeah.
29:24Yeah.
29:25Yeah.
29:26Yeah.
29:26Yeah.
29:26Yeah.
29:30So the program
29:32is a 16-week rotation,
29:36but we operate
29:37on a rolling basis.
29:39The trainees request
29:41start dates
29:42based on where it fits
29:43within their home curriculum.
29:45So at any given time,
29:48we have 20 to 30 trainees
29:51from 13 different states,
29:53but still that's not
29:55nearly enough
29:56to address the patient
29:57demands across the country.
30:00You know, somebody
30:01recently said that
30:02programs like this
30:04are a beacon of hope
30:06in a dark time.
30:07Well, I hope that you
30:09will join me
30:09in lighting the way.
31:11are you okay yeah yeah are you sure yeah yeah yeah i'm good i'm good come here
31:20wait wait um i'm sorry it's just um it's not you it's just i um
31:32i feel like i'm cheating on my husband is this what it felt like when you first opened your
31:40marriage our marriage was suffocating us being with someone else felt like finally breathing
31:52fresh air
31:52you really are amazing
32:04so you don't but this this is not gonna fix my marriage
32:12i'm so sorry me too
32:17i uh checked on liz and uh smoothie went down and is in her stomach safe and sound you handled
32:35that disimpaction like an experienced surgeon you didn't need a surgeon for that any teenager
32:40in an arcade could have figured it out maybe just take the compliment where you going
32:45to update liz's chart oh you thought today was just about learning to disimpact an esophagus
32:51what else would it be about your first trans esophageo let go cardiogram
32:56really yeah come on up
33:00so you you want me to find the heart it's just like the egd okay insert the scope flat side facing
33:13the floor of the mouth good slowly feed it down the esophagus good good now adjust the angle
33:21there now i might be biased but every time i see that it feels like the first time it's incredible
33:29her eeg look stable
33:46i'm sorry for challenging you
33:51kwan within your head
33:53yes your star may be on the rise
33:57but that is not the same as having years of experience with hundreds of patients
34:04whatever you know about the patient's family their loved ones
34:08you keep it out of my or or you do not step foot inside it
34:12won't happen again
34:13okay
34:13now get started on a write-up for grand rounds
34:18you're gonna present this at grand rounds
34:20and we are
34:21congratulations
34:24wilson hey about that surge
34:32nope
34:33marcus
34:34i am grateful to you for saving my pregnancy but that does not mean that you get to walk all over me
34:39i'm sorry
34:40i'm not your patient
34:41i'm your colleague
34:42shocking my surgeries doesn't help me it undermines my authority and limits my training
34:46i was just trying to help
34:47don't flatter yourself
34:48i can advocate for myself
34:50i'm sorry
34:51and it's surgery
34:53not surge
34:55there's some sort of ob showdown
35:02the three of us decided it was time for a little talk
35:08you earned it
35:09do you want to go for a burger
35:12as long as i don't have to talk about vaginal tears
35:15okay
35:16good deal
35:17i love those crackers
35:25yeah
35:26you never let me throw them away when we got soup from our neighborhood deli
35:29what kind of soup
35:32you like their manhattan clam chowder
35:34i called your parents
35:39what
35:40why
35:42i was worried
35:43and then i found out that they had no idea about your surgery or that
35:48we're back together
35:49well i didn't want them to freak out
35:51okay
35:51but
35:52you lied to me about it
35:54i think you know you're on a slippery slope
35:57this isn't like last time
36:00yeah
36:00which you also didn't tell me about
36:02i found out from dave
36:03okay look
36:04i am so close to remembering
36:05no one with retrograde amnesia has ever gotten their memories back
36:08what makes you think you're different
36:11i don't know
36:12but that day that i saw you in the er
36:15i mean that was the first time i felt like a piece of my old life was trying to resurface
36:20i do
36:22i want to remember my
36:23my grandparents
36:24and
36:25and
36:26family vacations
36:27and
36:27and my college graduation
36:29i don't feel whole
36:32i want to
36:33i need to
36:36because
36:37i don't know what will happen if i don't
36:40are you only with me
36:44because you think it might help get your memory back
36:48i
36:53i don't know
36:57hey
37:05yeah
37:06um
37:06so i reviewed alan's post-op labs
37:08yeah
37:08everything looks good
37:09great thank you
37:10and great catch with the thrombosis
37:12he could have gone septic and died
37:13yeah i don't understand why he won't just call his brother
37:16you'd have a kidney tomorrow
37:18yeah
37:18sometimes people are their own biggest obstacles
37:20hey uh
37:22do you think i need to repeat intern year
37:25you said that all internships should be longer but they're not
37:29the rest of my class is already moving on
37:31if i have to remediate
37:33that'll go on my record
37:34competitive specialties and fellowships will be off the table
37:37my surgical skills are as good as my classmates
37:40but my career is going to suffer because i tried to save a patient who was going to die
37:44anyway
37:44you're right
37:45but that's up to katherine fox
37:47do you think i can change her mind
37:49i'm not sure
37:51but i know someone who might
37:53so if you have any suggestions on how i could approach her or uh what to say i'd really appreciate it
38:02you want advice on how to persuade my wife
38:05yes sir
38:07a couple years ago i surprised her with a trip to the maldives
38:16booked one of those bungalows that's over the water
38:19five-star restaurant sunset yacht cruises
38:23it sounds really nice
38:25i was paradise
38:26you know what she said
38:29the best part was
38:30yeah i don't know
38:33it was a little coffee pot in our room
38:35that was stocked with seattle roaster coffee
38:38says she never found anything better
38:41do you understand what i'm saying
38:44you could have saved a lot of money and gone to the cafe next door
38:48no i'm saying that once she makes up her mind about something
38:52she needs a really good reason for her to change it
38:56and you don't have it
38:58sorry
38:59when you want something badly
39:01it's hard to know if or when to throw in the towel
39:05a glass of the house white and his next drink is on me
39:08i'm presenting at grand rounds
39:10it's over
39:11me and molly
39:13i'm so sorry
39:15was it dave
39:16hey it took me longer to get out of there than i thought it would
39:20did someone die
39:23blue and molly broke up
39:24oh sorry
39:24did she go back to dave
39:26i just did my first
39:29transesophageal echocardiogram
39:31read the rules
39:32lula blue and molly broke up
39:33don't ask about dave
39:34who's dave
39:35can you not talk about me in front of me
39:37nobody wants to talk about you
39:38could i at least get a rum and coke and
39:40whatever he wants
39:41hey hey what about me
39:42i'll buy you a drink when you and griffith break up
39:45so never
39:46hey can i
39:48so we push the limits
39:57hoping if we put in a little more time
39:59more effort
40:00maybe it'll all work out
40:02you're not a margarita flatbread with side salad
40:04um ben teddy's here
40:09yeah i'll call you later
40:10uh what do you want uh mini red mini white the mini bourbon's mine
40:16uh mini gin and tonic
40:19uh only if you uh want it served in a giant glass
40:24it's your creation
40:27congratulations on your presentation
40:31thanks
40:32uh i didn't see you and beckman after
40:39oh yeah we uh we left and ended up
40:42you know i don't need to know
40:44i work with you