[GREY] Years ago, a New York physician discovered a gene mutation
that causes congenital insensitivity to pain...
Have you seen my charger? I thought I left it on the table.
or CIP.
I don't remember. Sorry.
[SIGHS] I will find it.
Coffee will help.
[SIGHS]
Sorry.
I'll make more. [CHUCKLES]
But you're kinda... out.
It's an extremely rare condition that blocks people from feeling pain.
Important meeting. Gotta go.
It sounds good in theory, but pain is important.
It tells the body
when it's in danger, and helps keep it alive.
[GASPS] Oh... Oh, I'm so sorry I'm late.
I s-see your appointment went well.
X-rays show the bone's healed, so Link cleared me.
The brace is off, and I am fully back. [LAUGHS]
- Now, you... you know I'm careful. - [BAILEY STAMMERS]
I just can't keep feeling like I'm letting
the station down by not pulling my weight.
- You... You're back. - I'm back!
- You're back. - [CHUCKLES, KISSES]
- Gotta run. - N...
Put your hand in fire, get burned, and you learn not to do it again.
- [SIGHS, MOUTHING WORDS] - Or put another way... living hurts.
Were you aware when you intubated Maxine Anderson that she was DNI?
Maxine didn't wanna die on a ventilator.
- But I knew if I can get in through... - Yes or no, Dr. Kwan?
Ms. Anderson didn't wanna die. I-I could see it in her eyes.
Could you see the giant orange DNI sticker on her chart?
Max... M-Ms. Anderson... She's not suing Dr. Kwan or the hospital.
You're listed as Ms. Anderson's medical proxy. Why is that?
It was her choice. Why does it matter?
[INTERVIEWER 1] Because her son has launched an inquiry into it.
Let's return to the other night.
Where were you when Dr. Altman collapsed?
OR 1. We rushed Sam Sutton in
because his chest tube was putting out liters of blood.
But you left Mr. Sutton to attend to Dr. Altman.
Dr. Altman is our Chief of Surgery.
And Dr. Adams was with Mr. Sutton.
Don't you mean Dr. Adams was opening Mr. Sutton?
Sam was dying.
He didn't have minutes. He had seconds.
According to whom? You are a...
You're a first-year resident, correct? An intern.
I know what a dying patient's vitals look like.
And what might those be?
The patient hardly had a blood pressure reading,
high heart rate.
He was definitely bleeding out.
And you believed you and Dr. Adams could save him?
- It all happened really fast. - [INTERVIEWER 2] Dr. Griffith,
if you were in the OR by yourself without Dr. Adams,
would you still have opened up the patient?
- [PANTING] Hey. - Hey.
I already did that twice.
Can you evict family?
Lucas is just crashing at my place, and it's not ideal.
He's into all my stuff. His stuff...
Every time I turn around, there's more.
I mean, I know I am not the easiest person to live with, but...
- But you do pick up after yourself. Mmm. - Is it so hard?
- We already did that. - It's slow.
Oh. Maybe it just doesn't like you.
- I'm gonna take the stairs. - Mmm. Okay.
[KWAN] How was your interview?
- Mine was pretty brutal. - Don't talk to me.
Lawyers are paid to make you feel badly, Kwan.
Shake it off. Just focus on the work. Here.
Everyone's making progress.
One more chest tube, and I am out of this dungeon.
Dr. Bailey, given that we're close to finishing our logs,
would it make sense to focus on that instead of wherever we're going?
It would make sense for you to trust
that anything I ask of you will make you a better doctor.
There she is.
Oh. Dr. Bailey, just in time.
- Shall we begin? - [BAILEY] Yes.
Take a seat and learn something.
- Synced and corrected by ChrisKe - -- for www.addic7ed.com --
Meet Vida Madera, 26 years old, 30 weeks pregnant
with a history of vision loss.
[BAILEY] Dr. Wilson and I met Vida through the clinic
when she learned she was pregnant after suffering two miscarriages.
Two weeks ago, an ultrasound revealed
a vein of Galen malformation in the fetus's brain.
- I'm... I'm sorry. Uh, may I? - Yeah, of course.
Okay. Uh, who can tell me what a VOGM is?
A rare arteriovenous fistula.
An artery in the brain connects to the vein directly,
causing dysregulated blood flow into the defect.
Correct. And in utero, the baby is typically sheltered
by mom and the placenta, but then
after delivery and the cord is clamped,
what happens? Yes.
The baby's heart and lungs become overwhelmed
with a massive overflow of blood.
Which can lead to heart failure, seizures, and possibly death.
Standard procedure has been embolization after delivery,
but many babies do not survive.
And if they do, the child often has major brain injury.
So that's when I called Dr. Robbins.
So a few months ago, I started a clinical trial
with a team of interventional neuroradiologists
in which we operate on the baby's brain,
before delivery.
In-utero brain surgery. Sick.
Ugh. I hate babies.
Technically a fetus.
What did I say about talking to me?
- Yes. - How many times has this been done?
[CLICKS TONGUE] Oh, um, let me think, uh...
None.
So who wants to make history?
Morning, Dr. Webber. [EXHALES SHARPLY]
Dr. Ndugu, do you have a minute?
Oh, no, I have a TAVR... two, actually.
We still haven't filled Maggie's spot.
That's what I wanted to talk to you about. I have a solution.
You coming back right now is not the solution.
You don't know what I was gonna say.
But you're not wrong.
Altman, it's been barely four weeks
since your surgery.
But I have been practicing in the skills lab.
I am strong, and I am more than ready.
To return to your desk, not to the OR. All right?
It's about stamina not skills.
[EXHALES SHARPLY] "Stamina." Please.
[BAILEY] Come on in.
Quite a crowd you've brought, Dr. Bailey.
So we have, uh, Dr. Shepherd, Dr. Wilson,
world-renowned fetal surgeon Dr. Robbins,
- and the surgical interns. - Hey.
- [WILSON] Hi, Vida. - Hi.
Dr. Robbins, we have been Internet-stalking you,
and you are truly incredible.
We just read about the work you did with twin-to-twin transfusions.
Yeah. Well, my field has come a long way.
And thank you. Dr. Griffith.
Vida Madera, 26, history of vision impairment, hear...
[VIDA] Dr. Robbins.
W-We really appreciate you coming all this way,
but I've given it some thought, and... I'm so sorry.
- Hey, what are you talking about? - I've changed my mind.
I-I can't have the surgery.
'Cause it's never been done before?
Because I can't lose this baby.
Well, I-I assure you, Vida, that's exactly what we're trying to avoid.
Do you know how many blind and low-vision mothers have
social services called on them for no reason other than their sight?
When this became a successful, viable pregnancy,
I knew that I was going to have to fight to protect this baby.
So the idea of a giant needle being stuck into her brain
before I've even had the chance to hold her myself, I... I can't.
We've gone through so much to get to this point. I just can't risk it.
And Dr. Shepherd... She did say that the baby would have a chance.
It is an extremely small chance, Vida.
And in that case,
the baby would likely have... significant neurological injuries.
But there's still a chance. So I'm going with that.
World-class or not, Dr. Robbins,
I'm saying no. No surgery.
[MOUTHING WORDS]
[SIGHS] Here's the file. Here.
- Excuse me? - Yeah.
- Hi. - Hi.
Sorry to bother, but, um,
I'm waiting for Dr. Millin.
They said they sent out a page.
I'm sure Dr. Millin will be down soon.
Can I help you? I'm also a doctor.
I'll wait... for Dr. Millin.
Oh, uh...
- Dr. Hunt. Hi. - Yeah?
So as soon as I place a chest tube, I'm back in the OR.
So anything that I can do to make that happen...
Ms. Timms in bed three needs a rectal disimpaction.
And if she gets an accidental chest tube, I'll know who to blame. Okay?
[ELEVATOR DINGS]
Hey, somebody paged me?
Oh, yeah. That guy was looking for you.
- Do I know him? - I don't keep a log of who you know.
[SCOFFS]
[SIGHS] Hi.
I heard you were looking for me.
I'm Dr. Millin.
Uh, no, you're not.
- Joshy, my guy. - Dr. Millin.
Hey. Uh.
Guess what. There's another Dr. Millin.
Hmm. He is not a doctor.
But she is my sister.
[SIGHS]
Vida has asked to be discharged.
We can't let her leave. She's just scared.
And when were you going to tell me
that my patient would be the very first in this clinical trial?
It's a trial. Someone has to go first,
- and Vida's a perfect candidate. - [PHONE BEEPS]
The fetal malformation is just wide enough to justify the risk,
and there's no evidence of brain damage so...
And the parents have to be completely on board. So this is done.
I have a patient to see. Robbins,
sorry this didn't work out, but it was good to see you.
Travel safely home.
If you don't do this surgery, that baby will not survive.
It is a statistical miracle that she is still a viable candidate.
And if Vida changes her mind in the future,
then... it might be too late.
I know. I'm disappointed too.
But... my hands are tied.
So... [EXHALES SHARPLY] I'm sorry.
[ANNOUNCER ON PA] Dr. Man to labor and delivery. Dr. Man...
- [GROANING] - Dorian. Dorian, it's okay.
- You're gonna rip out your A-line. - [BAILEY] What's happening?
- Oh, when did he wake up? - A few minutes ago.
His vitals look okay, but he's weak, he's disoriented and combative.
- Don't touch me. [GRUNTS] - Dorian. Dorian.
I'm Dr. Ndugu. Now, this is Dr. Bailey, Schmitt, and Kwan.
You're at Grey-Sloan Memorial in the ICU.
We need you to stop fighting us. Okay?
Just try to relax. Give him a second.
[BAILEY STAMMERS] Dorian. Dorian.
Hi. Do you remember what happened to you?
Uh. I remember two guys, maybe a gun.
Okay. Kwan, make sure and alert the police that he's awake.
- Okay. - Do my parents know I'm here?
Yes. And they've been here sitting by your side almost every day.
- [SUCKS TEETH, GROANS] Was I shot? - Yes.
Technically, you died,
and then we opened up your chest and your heart started to beat again.
Doctors Bailey and Ndugu repaired
your chest and your abdominal injuries,
removed some of your bowels and spleen...
Okay. That's enough, Kwan, for now.
- I'm due in the OR. - Yes.
His white blood count is high, and his heart rate has been increasing.
We need to do an infection workup.
Kwan, run a nutrition panel and fix his A-line. Okay?
I have 200 emails, and you page me 911 to what, exactly?
A mock OR.
I've helped dozens of athletes get back after injury,
and not one has gotten back on the field without playing a scrimmage first.
Uh, you'll operate, and I'll assist.
And I'll be your anesthesiologist,
your scrub nurse, circulating nurse.
Your patient is a 65-year-old male with a history of tobacco use,
here for a four-vessel CABG.
My patient is a 30-pound lump of plastic.
[BEEPING]
Oh, no. He's gone into cardiac arrest.
What? Should I push some meds?
- Push epi. - You're losing him.
[BEEPING CONTINUES]
Push epi.
[ON PA] Dr. Nelson to dermatology.
Dr. Charlotte Nelson to dermatology.
Hey, uh, what did the lawyers ask you?
Same as everyone else. "What happened that night?"
Yeah. W-What did you say?
Oh, I need to check on Bailey's post-ops.
Uh...
You took my car this morning.
- You said I could borrow it. - Not without asking me first.
- Well, I left you a note. - Under which pile of stuff?
Would this be a bad time to let you know that I'm on your service?
- You have got to be kidding me. - I'll go round on your patients.
[ON PA] Dr. Reynolds to pediatrics. Dr. Ethel Reynolds...
- [SIGHS] - Intern woes?
Yeah, something like that.
The, um, fetal embolization is canceled.
- Mom got spooked. - Well, it's a spooky surgery.
Not only are you inserting a needle,
but multiple metal coils into their tiny, tiny baby's brain.
Well, this is the best shot that baby has.
Doesn't make it any less terrifying.
[GRUNTS]
- Okay. - All right.
Why do you have to invade my workplace with your mess?
Joshy is not a mess. He's a human being, and a subscriber.
Oh, God. Are you still making those dumb videos?
I heal people, just like you.
- You are an influencer. - A wellness influencer.
You went on one yoga retreat and dated a Pilates instructor.
That does not make you a doctor.
It's branding, like Dr. Dre or Dr. Seuss.
They don't wear scrubs and tell people what to eat.
Hey, Dr. Millin?
- Yes. - That's me.
Um. Kind of hurting here.
- Okay. Is the pain getting worse? - Yeah.
- It's like I told the doc in my DM... - [MILLIN SIGHS]
it started as an ingrown hair or something on my back,
but... now it's swelled up.
I can't see. Is it bad?
[GROANS] That, um...
That one's gonna be all you, Dr. Millin.
Mm-hmm.
- Thank you so much. - There you go.
[VIDA'S PARTNER] Dr. Robbins. Stop, please.
You can't leave.
I can't do the surgery
without consent or your trust.
You have mine, and, uh, I think you'll have Vida's.
She just needs a minute.
Two weeks ago, we were debating the cost of crib sheets, and...
[EXHALES] today, well, we're here.
Look, our baby can't die.
If she dies, Vida won't survive that,
so please, just keep prepping and planning what you need to do.
But whatever happens, Dr. Robbins, just don't leave.
[ON PA] Dr... call Oncology 2622.
- Hi. Could you help me with something? - Ooh, is it a chest tube?
- No. - Oh. Then no, thanks.
I'm trying to drain this giant abscess,
and nothing is coming out.
Just call an attending.
- Hunt's around. - I'd really rather not.
- You did know that guy. - I didn't.
I know the guy he's with.
An ex-boyfriend? Someone you ghosted?
Ew. No, it's my brother.
And he is... nothing but trouble.
He thinks he's a doctor, and I would rather not involve anyone else
on a day when we've already been interviewed by hospital lawyers. So...
- Okay, I'm in. - Thank you, thank you, thank you.
But I get to ask him as many questions about your childhood as I want.
I...
Dorian's prelim culture came back negative,
except for the sample from the subclavian central line.
Yeah. Well, he needs access.
DC the infected line and get a new one on the opposite side.
Have you placed a subclavian line before?
- Two. - Well, time to make it three.
[CLICKS TONGUE] Now would be nice.
[EXHALES] I've never done one without supervision.
Are you sure you don't want me to wait for you?
It's a central line, Kwan. You've seen it. You've done it.
Just trust your instincts.
Okay. Once the baby's in position, I'll inject the paralytic,
then we'll start the clock with the goal
of finishing under 20 minutes. Why?
Rookies, I'm asking you.
Uh, more time means more stress on the baby.
And the mom. She'll be awake the entire time.
A prolonged procedure also puts stress on the pregnancy.
So there's no room for error. None.
Are you going to be pacing in the OR?
Because if so, please remind me to dis-invite you.
Okay. We're through the skull.
What are these, exactly?
Phantom skulls. They approximate different
possible densities of fetal skulls.
If this were the real thing, blood would come through the needle,
but until then, everything is hypothetical.
But it's not.
You're practicing on a 3D printed bone simulation.
- How is that even close to the real thing? - Griffith...
And why are we practicing at all
if the patient hasn't agreed to the surgery?
Uh, shouldn't we be in there talking to Vida,
explaining the consequences of not going through with the surgery?
We don't convince anyone of anything. That's not what we do.
Okay. Then should we be recommending this procedure at all?
Okay. Both you and Griffith, out.
Wait.
He's not wrong.
Well, I mean, he... he's kind of wrong.
But... what I mean is,
is anyone good with a 3D printer?
So, what was Millin like as a kid?
- Kind of the same. - Smart, cool, weirdly good skin?
I was gonna say mean.
Hey, Joshy.
You'll need to hydrate after this. Okay?
Our bodies are 60% water. Go back to the source, amigo.
- Thanks, Dr. Millin. - Of course.
All right, I'm going to make another incision.
You'll feel some pressure, and then hopefully you'll feel better.
Hmm.
- [JOSHY GROANS] - Nothing?
I swear I made a deep enough incision.
- We have to call Hunt. - I'd really rather not.
And I'd really rather not get in trouble
for doing something without an attending
after already being in trouble for something I didn't do.
I'd really rather not die,
so can someone please call whoever Hunt is?
- I'm doing it. - [JOSHY SIGHS]
Hey.
You listen carefully.
My boss is probably gonna come,
and I don't want you embarrassing me with your "Dr. Millin" crap.
Okay. You are going to wait outside.
And don't talk to anyone. Don't move.
I'd say don't think, but you've already got that covered.
You are going to stay where I can see you,
or, so help me God,
I will hire a bot farm to drag you on
every message board on the Internet.
Got it?
- [SCOFFS] - Great.
Shepherd was annoyed with me, not you.
[GRIFFITH] This morning,
the lawyers asked if I would have opened
Sam up if you hadn't asked me to,
and I said no.
So you threw me under the bus.
- I defended myself. I just... - By slitting my throat.
You told me to tell them the truth, so I did.
We didn't get a chance to align our stories because you...
walked away.
Where are you even living, Lucas?
- Lucas. - We have to focus on work, remember?
So what does the spleen do, exactly?
[SCOFFS] Hell if I know.
How many times was I shot?
Come on. Just tell me.
There were three bullets.
One... hit your lung, and two went through your abdomen.
So, how long do I have to stay here?
[SIGHS] We'll know more once we can confirm
that you're getting adequate nutrients
despite how much bowel was removed.
It's important for healing.
[INHALES, GROANS]
- The left side of my chest... it hurts. - [MONITOR BEEPS]
I need oxygen.
- [NURSE] On it. - [GASPS]
- Is this normal? - Page Dr. Schmitt.
Come on, come on. It's okay. Breathe. Breathe.
It's okay. It's okay.
Hi, Vida.
I'm still not ready to make any decision.
But... And you don't have to.
My colleague, Dr. Herman, likes to...
Well, if you've read about me, then you've most certainly read about her.
She also has low vision,
and when we discuss a surgery, she likes to walk through it.
So... before you leave, I'd like to discuss the surgery
and walk you through it the way that I walk through it with her.
[WHISPERS] Okay.
So this is a 3D printed model
of your daughter's ultrasound this morning.
And... this is an MRI of your baby's brain.
We're going to position her facing downwards
so that we can access and enter her head here.
We're gonna insert the catheter
and then deploy the coils into the malformation.
I know that it's hard...
when you can't hope based on what others have done before you.
And it's one thing to have faith for yourself,
but to have it for someone else, to...
to have it for your child...
[SIGHS] And no matter how many times I tell you...
that I know exactly what I'm doing, you're still gonna be scared.
And I know that it's painful,
but this pain... this pain has purpose.
This pain could have life on the other side of it.
What happened?
[KWAN] I inserted the line, then he went into distress.
The X-ray shows that he dropped a lung. He needs a chest tube.
- So why are you just standing there? - I was waiting for you.
Am I dying? Is this it?
It's a complication that unfortunately can happen,
but you're gonna be okay.
Dr. Kwan is gonna insert a chest tube to re-inflate the lung.
[DORIAN GRUNTS, GROANS]
Keep going.
[GROANING]
I can't. You should do it.
[GROANING]
- [GASPS] - That's good.
[EXHALES]
I can breathe.
[SIGHS]
- [HUNT SIGHS] Hey. What do we got? - This is Joshy.
He came in with a four-by-four centimeter abscess.
We started the I and D, but made the incision here, and there's no pus.
Mmm. Yeah, I see the problem. It's likely loculated and deeper. Okay.
Palpate around the perimeter.
Okay. You made a good first incision,
but you need to use your finger to get to the correct pocket.
Okay. Now, as you palpate, it's... you're gonna feel pressure.
- [JOSHY GROANS] - You feel that?
- Yeah. - Okay. Good. Uh, scalpel.
- [SQUELCHING] - [YASUDA] All right. Let's get this here.
Now, cut deeper.
- [YASUDA] Wait one second. - [MILLIN] Okay.
- [BOTH] Ooh! - Oh, my God. Yes!
[GAGS]
Yeah. Unfortunately, you never forget that smell.
- [SIGHS] - [HUNT] You okay there, Joshy?
[WHIMPERING] Never felt better.
- Thank God for Dr. Millin. - [HUNT] Nice work. Okay.
Let's wash out the wound, pack it with iodine gauze,
and set him up with home health for dressing changes.
Whoa! I need a gurney!
Does anybody know who this guy is?
Really? I think this is the same
model that I practiced on 20 years ago.
Are you ready or not for phase two? Fine motor skills?
You need to do an anastomosis with this perfect saphenous vein graft.
[GROANS]
- We can stop if you need to, you know. - No, I'm good.
This patient needs a bypass, and I am going to give him one.
Potts scissors. Right. Um.
- No. - Um.
- Ugh. - [SIGHS] You're no BokHee.
- Neither are you. - [DOOR OPENS]
[NDUGU] Am I interrupting?
Dr. Ndugu.
I have been standing for multiple hours.
I have performed CPR, and I've cracked a chest,
and now I am operating on a heart.
I can assure you that I have stamina.
Well, that's great. But you're not cleared.
- I feel... fine. - Yeah, you feel fine today.
We both know recovery for open-heart surgery is a month minimum.
If you came back early and something happened to a patient,
I wouldn't be able to live with myself, and neither would you.
- I'll take her to the OR. - Dr. Webber.
I've been with her all day. I know what she can do.
I'll observe her work, and then I'll sign off on her return.
If he signs off, then I do too.
And then after that, I'm gonna need
labs on the Turner kid in room 1343.
- And make sure that... - You stole my intern?
- Your surgery was canceled. - It's back on.
Okay. Well, if interns aren't allowed in the OR anyway,
I could really use him on my post-ops.
- Yeah, I could use the hours in peds. - Prep Vida.
Right now. He's occupied.
Clearly.
[ON PA] Dr. Faraji to the SICU. Dr. Faraji...
- I'm gonna prep Vida. - Great. See you in the OR.
- I won't be there. - I'll see Dr. Griffith?
- No, interns aren't allowed in the OR. - Says who?
[BAILEY] Wha...
You...
- This used to be an office. - Never.
It doesn't matter. What matters is... What happened, Bailey?
- Vida consented. - No, no, no, no. Not to Vida, to you.
You once put an HIV virus in a kid
because you read two papers that said it might cure his SCID.
Okay. It-It-It... Had it ever been done before? No.
But you did it anyways because otherwise the kid might have died.
- [STAMMERING] Okay, Robbins... - [SHUSHES] I'm still going. Okay?
You got an award for teaching, which is not surprising,
because you raised surgeons like Cristina Yang and Meredith Grey.
And you were finally recognized for that.
So can you imagine how excited I was to come back here
and to stand next to you and to teach? But...
interns are not even allowed in the OR?
- [STAMMERS] - I mean... What... Bailey.
[SIGHS]
We might fix a baby's brain inside a womb.
That is magic.
And I don't know... I don't know
what the interns did to get themselves banned.
And I'm sure that it was awful.
But... if you don't let them see the magic,
then how will they be motivated to get back in?
[CLICKS TONGUE]
[ALTMAN] I can't remember the last time
I was this excited for a VATS procedure.
Maybe my first, but some of the excitement was terror.
My attending stood over me... [MUFFLED] the entire time,
but I held it together, and the procedure went fine.
I never think that nerves are a bad thing.
[NORMAL] Ready?
- [WILSON] Spinal's been administered. - [SHEPHERD] Great. Thank you.
Hi, Vida. It's Dr. Robbins.
Okay. I want to ask you one more time if you're sure,
because you can still say no.
You are the one that's in control.
Yeah.
Yeah, I'm sure.
I'm ready.
Save my baby.
[ROBBINS SIGHS]
[BAILEY] Okay. Up against the wall. All of you.
[ROBBINS] Okay. Let's do this.
Ultrasound, please.
Dim the lights.
All right, baby girl.
Here we go.
[ROBBINS] Okay, keep going.
We need the back of the baby's head facing the mom's belly.
- [WILSON] I'm doing the best I can. - [PHONE VIBRATES]
- She's being stubborn. - Schmitt. Gotta go.
Doesn't Bailey outrank him?
[KWAN] It's been 20 minutes of this.
[ROBBINS] Maybe try the other direction.
[DOOR OPENS]
- [PHONE RINGING] - [YASUDA SOFTLY] It's you.
[SIGHS] If that phone belongs to one of you,
take it in this room, 'cause it's the last time you'll be in it.
[ADAMS] It isn't mine.
[YASUDA] If we weren't fired this morning, we are now.
- [GRIFFITH] Turn it off. - I'm trying.
- It's Doug. [SIGHS] - [DOOR OPENS]
[WILSON] We're close. I almost have the head in position.
[ROBBINS] There. There.
Okay, Wilson, hold her there.
Injecting the paralytic and anesthetic into the baby's thigh.
[WILSON] Needle is in.
[ROBBINS] Okay.
There she is.
She's still.
- Dr. Shepherd. - [SHEPHERD] Start the clock.
Eighteen gauge, please.
Every second puts the mother and baby in more danger,
so let's make them count.
- What is your problem? - I woke up alone.
- I was in surgery. - Okay. Calm down, Julie Jules.
- Dr. Millin. - You're my sister.
- I don't make you call me that. - You're not a doctor.
I have spent every dollar
and every ounce of my energy to achieve that title.
I have fought, sweat and scraped my way through mess,
and I am done with anyone who tries to take that away from me.
- Do you hear me? - [HUNT] Millin.
- What? - Yes?
He didn't say doctor. He just said Millin.
Dr. Millin can't treat you because she's your sister.
We have strict rules about family treating family.
But I assume you know that, being a health care professional and all.
Listen, I know it can be hard to take advice from family,
so I'm gonna say this to you.
Misleading others in their health
and wellness is questionable at best.
And as you saw today, it can have severe consequences.
So I recommend you find other ways to influence people.
And I hope you're proud that you're related
to an excellent physician.
Now, you're free to go, okay?
- Do you want a juice for the road? - Mmm.
[BAILEY] Okay, it's been 14 minutes.
[SHEPHERD] We're going as fast as we can.
We need about three more coils.
Stop, Shepherd.
Stop right now.
Okay. I'm gonna speak quietly and calmly,
and I would like for everyone else to do the same.
The baby is moving slightly,
and I'm gonna administer another round of paralytics.
- [WILSON] We're mid-coil. - Yeah.
If the baby is moving when we're inserting the coils,
we risk putting them in the wrong place.
Can we shift the ultrasound, so we can visualize the baby's thigh?
Very, very carefully, because there's a needle sticking out
- the back of this baby's head. - Robbins.
[ROBBINS] Bailey, I need you to trust me.
All right. Calm down, baby girl. Calm down.
There. Okay.
Here we go.
[WILSON] How much more time does this buy us?
[ROBBINS] It doesn't. This is just tiding us over.
We have five minutes. Okay, she's still.
Show me her heart.
[BEATING]
It's strong. Back to her brain.
Dr. Shepherd, you need to...
- Move fast. - Yeah.
- Hey. - Hmm.
How was the VATS?
Well, Beckman's doing it.
I've been away from the OR about three weeks... [SMACKS LIPS]
and I thought today was the day.
But when I started to glove and gown,
I saw the patient.
I smelled the room and heard the monitors.
I used to be able to take a break from the OR.
And no matter how long I was out,
it would immediately come right back to me.
But today...
I didn't feel it come back.
It's still there.
You were watching me all day, but I was also watching you.
You had my back today. You always do.
So let me do the same for you. Trust me.
If I ever believe that you do not belong in there,
I will tell you.
[SHEPHERD] Okay. All coils deployed.
Removing the needle now.
[ROBBINS] Can you load the pre-op ultrasound, please?
[WILSON] Oh, my God.
[GASPS] It's gone.
It's not gone.
It's repaired.
Dr. Bailey.
[WHIMPERING] Magic.
[WHIMPERS]
[ROBBINS] Great work, Dr. Shepherd.
[SCOFFS]
Uh, I restarted his trickle feeds.
His parents have been updated, and they're on their way.
Thanks.
I saw Maxine...
in my head. I...
Dorian was struggling to breathe,
and I could only see Maxine.
[STAMMERS] You met with the lawyers this morning, didn't you?
You'll keep seeing Maxine.
That's just how it is.
The memorable complications,
the ones that we think will affect our entire careers.
They follow you whether it's a good or bad outcome.
Soon, it...
- it'll start to dull, though. - Will it go away?
No. But I'm not sure we want it to.
Vida, it's still early, but the procedure went well.
And so far, your baby's doing great.
Her cardiac output is, uh, decreasing, and it looks promising.
[CHUCKLES]
Oh, my gosh. Thank you so much.
Um. So, what now? We just wait?
No, we'll follow closely with imaging.
And after you give birth,
we will take the baby to the NICU, likely for a month.
- A whole month? - We need to be extra careful.
And then we'll continue to monitor
you and the baby for the next two years.
- We'll... We'll be in it together. - [CHUCKLES]
[VIDA] Gosh.
Dr. Bailey.
Yeah... Uh... Yes, I'm-I'm here.
- [CHUCKLES] - Thank you.
Thank you for the clinic, for following up with me,
- for introducing us to Dr. Robbins... - [BAILEY CHUCKLES]
for everything.
- Thank you. - You are welcome.
Mmm.
[WHISPERS] Crisps. C-3.
- Doug seems... - Don't say nice or charming, please.
I was gonna say spoiled.
Infuriating.
I may be projecting my own brother issues.
Do you know how many times
I have had to bail him out?
I always hated it when my mom would say,
"It's the big sister's job to watch after the younger kids."
No, I mean out of jail.
Always for dumb stuff like trespassing and vandalism.
And you know, it's the same thing with my parents.
- Mmm. - Something goes wrong, call Jules.
And the dumbest part is that I answer... every time.
You know, Maxine's more family to me than them.
And the lawyer said that her son doesn't want me
to be her medical proxy anymore.
You know, honestly, he should be grateful.
If it weren't for our mistakes,
his mom could still be on a vent or dead.
That is a terrible thing to say.
Well, we might all be named in lawsuits anyway.
Okay, but why you?
You didn't even do anything wrong that night.
This is what I keep saying.
Finally.
Are my keys back there?
Adams texted me that they were at the desk.
Okay. Yeah, I'm gonna kill him.
Would you page Adams and tell him the chief of neuro needs a word?
Wow. You really have it out for that intern.
You really sneak up on people.
Did he make a mistake on one of your patients?
He's my nephew, and he's crashing at my place, and he's a slob.
- Also, he has my car keys. - Mmm. You need a ride home?
Uh. No, thanks.
Well, cut him some slack.
I mean, his aunt just performed groundbreaking surgery,
and he can't even enter labs correctly.
- He messed up your labs? - Hmm. Horribly.
We were all interns once.
Congrats on your surgery.
It still smells the same in here.
[SCOFFS] You said you'd make history, and you did.
We did.
Uh, look, the interns killed a patient
by opening his chest without an attending being in the room.
So, I sidelined them.
They have to complete procedure logs with all the basics
before being allowed back in the OR.
- They're almost finished. - Mmm.
You know, going back to the basics
won't stop them from making mistakes.
They're interns. [CHUCKLES]
- Tiny surgeons. - Mmm.
But... you know this. [CHUCKLES] So I...
Okay, last month, Ben broke his arm on duty.
- Oh. I... - No, no, he was fine,
but he could only man the desk or drive the trucks.
And then today, the brace came off.
So, now he'll be right back to the calls and...
- Danger. - Yes.
- [ROBBINS] Ugh. - [WHIMPERS] Yes.
It's so hard letting them out of our sight.
[INHALES]
But you have to trust in things you can't see.
Sometimes you just gotta trust... [SIGHS]
that it'll be okay.
Yeah, that, um, isn't exactly easy for me. It's...
Yeah, fair.
So, are you gonna let 'em back in the OR?
- Hell no. - Bailey.
[STAMMERS] They didn't even appreciate the magic.
Okay.
- There she is. - What?
[GREY] As long as you're hurting, you're living. We know this.
- Goodness. - [ROBBINS] I missed you.
- [LAUGHS] - Pain is an excellent teacher.
I did it.
I completed my log.
I'm going to the OR.
[SINGING] I beat all you people.
Let me see that.
You got lucky.
Or I work hard and I'm a good doctor,
unlike the rest of you, who gravitate toward malpractice.
Are you rounding on Vida in the morning or am I?
Whatever.
If you don't wanna talk to me, fine,
- but can you at least be civil? - I didn't say anything.
Okay, could you two please not?
[BAILEY] I could say the same to all of you.
Now, I gave you the opportunity
to watch medical history be made today,
and all you care about is which one of you is doing what procedure,
how many or whose fault it is.
Everything in that OR today happened
because some of the best surgeons put their heads together.
They communicated. They anticipated.
You wanna get back in the OR? You need to learn to work together.
So, here's the new rule.
Nobody operates until every procedure card is completed.
- But I just finished mine. - Good for you.
You can help your colleagues finish theirs.
Great.
And life is full of sayings that remind us of its upsides.
Growing pains. Labor pains.
- Hey. - [ADAMS] Hi.
Happy tears.
So good it hurts.
I, uh... I bought more coffee.
Pain warns us.
It protects us.
Intern year is hard.
- I remember. - [CHUCKLES]
Yeah, really?
Did you almost flame out in your first few months?
If I'm being honest, yes.
Did you alienate all your friends?
Well, when I wasn't sober. Definitely.
Did you have to live in your family's shadow?
Wonder if you ever live up to those expectations?
Your uncle Derek was a legend.
Well, you have no idea what it was like working here with him.
I meant you.
Come here.
And most of all,
pain makes us appreciate life's pleasures.
Cherish good company, good health.
What if I'm not cut out for this?
You'll find something else to do, and the family legacy dies with me.
But I think you'll be fine.
Savor the moments after the hurting,
when you're all better, pain-free.
You're gonna watch with me?
Well, you're kinda on my bed.
At least for a while.
- Synced and corrected by ChrisKe - -- for www.addic7ed.com --