1 00:00:01,047 --> 00:00:04,047 Previously on Boston Med... 2 00:00:05,048 --> 00:00:08,048 Sync by n17t01 www.addic7ed.com 3 00:00:13,249 --> 00:00:14,367 I may not be the marrying kind. 4 00:00:19,798 --> 00:00:28,846 ♪ 1,000 miles searching for something to say ♪ 5 00:00:29,213 --> 00:00:36,079 Boston, home to three of the greatest hospitals, these are 6 00:00:36,838 --> 00:00:39,479 the stories of the men and women who work in them. 7 00:00:40,430 --> 00:00:43,247 I have never seen a guy more nervous than you on rounds. 8 00:00:43,487 --> 00:00:46,102 Are you asking me out in front of this camera? 9 00:00:47,013 --> 00:00:48,934 Does anyone feel a pulse? 10 00:00:49,871 --> 00:00:53,871 ♪ You're everything I want I'll never give up ♪ 11 00:00:53,999 --> 00:00:57,823 ♪ been through this before and it can get rough ♪ 12 00:00:57,934 --> 00:01:01,703 ♪ you can push me away I can do it again ♪ 13 00:01:01,814 --> 00:01:08,022 ♪ need you to know you're everything that I want ♪ 14 00:01:20,646 --> 00:01:22,679 42-year-old male, unconscious and unresponsive 15 00:01:22,791 --> 00:01:25,006 with respiration due to a fall. 16 00:01:25,175 --> 00:01:28,398 When he does wake up occasionally he's combative and defiant. 17 00:01:28,538 --> 00:01:30,083 We'll be waiting for your arrival, mass general out. 18 00:01:31,375 --> 00:01:32,942 When a patient is being brought in you're going through 19 00:01:33,055 --> 00:01:34,686 all the steps while you're running to the e.D. 20 00:01:38,022 --> 00:01:41,335 If you lose control then patient loses any chance of making it. 21 00:01:42,095 --> 00:01:44,726 Patrick Coleman, he's 42. 22 00:01:45,207 --> 00:01:48,222 He fell 15 feet down the ladder when 911 was called. 23 00:01:48,431 --> 00:01:49,238 What's your name? 24 00:01:49,727 --> 00:01:51,982 Patrick, do you what day it is? 25 00:01:52,199 --> 00:01:54,799 Give me a day of the week, Patrick. 26 00:01:55,071 --> 00:01:56,551 Friday. 27 00:01:56,839 --> 00:01:57,735 Friday, nice job. 28 00:01:57,839 --> 00:01:58,735 Airways intact. 29 00:01:59,158 --> 00:02:00,142 His blood pressure is low. 30 00:02:00,247 --> 00:02:01,302 Can we get some blood? 31 00:02:01,400 --> 00:02:01,838 Yeah. 32 00:02:01,943 --> 00:02:04,230 At first glance, Patrick might look okay because he's 33 00:02:04,335 --> 00:02:07,567 still talking, but his blood pressure is low and all this can 34 00:02:07,647 --> 00:02:10,087 change in a second if he's got an ongoing internal bleed. 35 00:02:10,213 --> 00:02:11,366 Does this hurt? 36 00:02:11,558 --> 00:02:12,295 Yeah. 37 00:02:12,391 --> 00:02:12,846 Yeah? 38 00:02:12,947 --> 00:02:14,399 We got belly tenderness. 39 00:02:14,518 --> 00:02:16,509 Patrick, does anything else hurt? 40 00:02:16,623 --> 00:02:17,367 My back. 41 00:02:17,495 --> 00:02:19,358 Can I lay on my side or something? 42 00:02:19,463 --> 00:02:21,439 On my side? 43 00:02:21,647 --> 00:02:22,864 No, you can't. 44 00:02:22,991 --> 00:02:24,519 You can't move at all. 45 00:02:25,094 --> 00:02:26,231 We're going to have to put a tube in your penis. 46 00:02:26,328 --> 00:02:26,855 Why? 47 00:02:26,942 --> 00:02:29,255 Because we need to find out how much you're peeing. 48 00:02:29,959 --> 00:02:31,614 Go ahead and pee. 49 00:02:34,126 --> 00:02:38,687 He's bleeding, I don't know where. 50 00:02:38,910 --> 00:02:41,063 Most likely, it's a liver injury and a kidney injury because he's 51 00:02:41,142 --> 00:02:42,430 peeing blood. 52 00:02:43,830 --> 00:02:44,831 It's pretty dangerous. 53 00:02:45,831 --> 00:02:50,182 Probably about 15 to 20 minutes is your window. 54 00:02:51,966 --> 00:02:52,663 Come on. 55 00:02:56,016 --> 00:02:57,615 Why is this thing not willing to move? 56 00:03:00,008 --> 00:03:02,911 In medicine you can never guarantee certain outcomes. 57 00:03:08,088 --> 00:03:09,943 We're getting an incoming transport from new england 58 00:03:10,064 --> 00:03:12,920 medical center of a newborn baby who was born with a defect in 59 00:03:13,032 --> 00:03:14,679 the formation of his heart. 60 00:03:15,080 --> 00:03:17,896 Some of the vessels which bring back blood from the lungs 61 00:03:18,015 --> 00:03:20,815 actually inserted into the wrong place in the heart. 62 00:03:25,768 --> 00:03:27,568 Here we go, here we go, baby doll. 63 00:03:27,879 --> 00:03:33,224 I gave birth 22 hours ago, and I'm in my third hospital. 64 00:03:35,359 --> 00:03:36,776 I just want it to be over with. 65 00:03:38,256 --> 00:03:42,768 It's devastating seeing him all wired up and not being able to 66 00:03:42,873 --> 00:03:43,976 pick him up. 67 00:03:44,431 --> 00:03:46,423 Everything was fine, making all those phone calls. 68 00:03:46,553 --> 00:03:47,976 He's 100% healthy baby boy. 69 00:03:48,094 --> 00:03:52,064 And then an hour later, the doc, "you can't see him, you know, we 70 00:03:52,289 --> 00:03:54,431 think there's a problem." 71 00:03:54,632 --> 00:03:56,648 And it's just like, well, he was fine two minutes ago. 72 00:03:56,793 --> 00:03:58,390 My name is Dr. chin. 73 00:03:58,536 --> 00:03:59,344 I think I talked to you before. 74 00:03:59,464 --> 00:04:00,217 Yes, yes. 75 00:04:00,336 --> 00:04:00,783 How are you? 76 00:04:00,872 --> 00:04:01,327 Good. 77 00:04:01,384 --> 00:04:02,023 It's nice to meet you. 78 00:04:02,128 --> 00:04:03,160 You look fantastic for just having a baby. 79 00:04:03,256 --> 00:04:03,912 Congratulations. 80 00:04:04,015 --> 00:04:04,536 Thank you. 81 00:04:04,616 --> 00:04:05,448 It's nice to meet you. 82 00:04:05,552 --> 00:04:07,953 So his situation has been stable, so that's good news. 83 00:04:08,048 --> 00:04:08,639 Is that a good thing? 84 00:04:08,744 --> 00:04:09,504 Yes, absolutely. 85 00:04:09,608 --> 00:04:10,095 Good. 86 00:04:10,193 --> 00:04:13,089 But he still is right now in critical condition, so we're 87 00:04:13,152 --> 00:04:15,303 going to do some more blood test and more x-rays and get some 88 00:04:15,360 --> 00:04:16,088 more answers. 89 00:04:16,160 --> 00:04:18,568 So you guys will be the first to know once we get some more 90 00:04:18,639 --> 00:04:21,832 information about what's going on with Michael, okay? 91 00:04:21,936 --> 00:04:23,928 And because it was caught so early I think we know exactly 92 00:04:24,015 --> 00:04:25,952 how to support him in the meantime until we figure out 93 00:04:26,040 --> 00:04:28,368 what kind of surgical corrections he needs. 94 00:04:32,536 --> 00:04:34,456 So take a deep breath, everything's going to be fine. 95 00:04:34,537 --> 00:04:37,088 We'll know a lot more within an hour or two, okay? 96 00:04:37,216 --> 00:04:38,655 Okay, thank you. 97 00:04:42,679 --> 00:04:43,841 We've given him four units of blood. 98 00:04:44,055 --> 00:04:45,041 His blood pressure is still low. 99 00:04:45,279 --> 00:04:46,328 How did this happen, guys? 100 00:04:46,456 --> 00:04:49,296 He fell 15 feet off a ladder. 101 00:04:49,456 --> 00:04:50,279 He's bleeding. 102 00:04:50,559 --> 00:04:51,432 We don't know where. 103 00:04:51,519 --> 00:04:53,023 He's just bleeding to death. 104 00:04:53,151 --> 00:04:55,935 We'll find out where he's bleeding from. 105 00:04:58,816 --> 00:05:01,713 His chances of dying in the hospital are about 50%. 106 00:05:01,857 --> 00:05:03,239 Can I have a knife, please? 107 00:05:03,344 --> 00:05:05,952 You don't have all that much time to fix these things. 108 00:05:06,064 --> 00:05:08,720 It comes down to the hands, your mind and trying to figure out 109 00:05:08,824 --> 00:05:09,855 within the next five minutes. 110 00:05:09,960 --> 00:05:12,416 So if you can't figure it out, you know the game is over. 111 00:05:12,633 --> 00:05:14,224 Big bleed there. 112 00:05:14,352 --> 00:05:16,456 He's got multiple cracks in the liver. 113 00:05:16,544 --> 00:05:18,984 We're just going to pack the liver and stop the bleeding from 114 00:05:19,063 --> 00:05:19,584 there. 115 00:05:19,672 --> 00:05:22,048 Sometime they live, and sometime they don't. 116 00:05:22,137 --> 00:05:23,784 How much blood have we given him? 117 00:05:23,880 --> 00:05:25,215 15 or 16 units. 118 00:05:25,312 --> 00:05:26,975 A lot more than his blood going, actually. 119 00:05:27,120 --> 00:05:29,080 The blood bags are just piling up, and his blood 120 00:05:29,192 --> 00:05:30,007 pressure is still low. 121 00:05:30,087 --> 00:05:32,783 We've controlled the bleeding of the liver, we got to figure out 122 00:05:32,840 --> 00:05:34,305 other places where he's bleeding. 123 00:05:34,423 --> 00:05:36,560 There's something bleeding in here. 124 00:05:36,671 --> 00:05:39,288 He'll need to get a pelvic X-ray. 125 00:05:41,152 --> 00:05:41,775 X-ray. 126 00:05:41,984 --> 00:05:43,480 You see the fracture? 127 00:05:44,008 --> 00:05:44,992 Right behind this. 128 00:05:45,136 --> 00:05:47,599 Yeah, guys, his lips are blue. 129 00:05:47,712 --> 00:05:49,113 His pressure is too low. 130 00:05:49,240 --> 00:05:51,015 We're going to take the dressing down and repack him. 131 00:05:51,104 --> 00:05:52,136 Yeah, yeah, yeah, yeah. 132 00:05:53,767 --> 00:05:55,495 He's trying to die on us now. 133 00:06:09,984 --> 00:06:11,223 Hey, handsome, it's your mom. 134 00:06:11,727 --> 00:06:15,008 Baby Michael's oxygen level is now dangerously low, and it's 135 00:06:15,120 --> 00:06:17,111 clear to us that we need to connect the corrections between 136 00:06:17,208 --> 00:06:18,760 his heart and lungs immediately. 137 00:06:21,392 --> 00:06:23,048 Last I knew, we had to wait another four weeks for surgery, 138 00:06:23,144 --> 00:06:29,507 and then I get a phone call today saying his echo came back 139 00:06:29,594 --> 00:06:33,164 a little congested and we have to bump the surgery up to the 140 00:06:33,250 --> 00:06:37,491 next 24 hours, so I'm kind of shocked right now. 141 00:06:37,595 --> 00:06:41,131 Scared, nervous, sick. 142 00:06:43,580 --> 00:06:44,643 Ugh, it's hard. 143 00:06:45,675 --> 00:06:48,155 Michael sort of continually drawing the short straw. 144 00:06:48,299 --> 00:06:50,923 I'm not sure why but he can't seem to get a break here, but at 145 00:06:51,035 --> 00:06:53,955 least by doing this and getting his surgery over with, he could 146 00:06:54,084 --> 00:06:56,955 start getting better, start growing and put all this behind 147 00:06:57,084 --> 00:06:58,108 him a little bit. 148 00:06:58,707 --> 00:07:00,083 You have a pretty good sense of what's going on? 149 00:07:00,187 --> 00:07:01,412 24 hours. 150 00:07:01,571 --> 00:07:02,378 Yeah. 151 00:07:02,651 --> 00:07:04,274 I'm scared all of a sudden. 152 00:07:04,371 --> 00:07:06,915 I was wishing for it to be bumped up, but I'm just so 153 00:07:07,002 --> 00:07:08,042 nervous now. 154 00:07:08,163 --> 00:07:10,307 I know, I think clearly he's just not tolerating us like we 155 00:07:10,404 --> 00:07:13,922 hoped he would, you know, it's like we're saying he keeps 156 00:07:14,050 --> 00:07:16,939 drawing the short straw so you know what I mean. 157 00:07:17,050 --> 00:07:17,748 Yeah, yeah. 158 00:07:17,851 --> 00:07:19,963 I just hope he doesn't draw the short straw during surgery. 159 00:07:20,068 --> 00:07:22,036 Well, I think he's used up his bad luck. 160 00:07:22,138 --> 00:07:22,916 I hope so. 161 00:07:23,010 --> 00:07:26,443 I think he's used up his bad luck, so yeah, I think he'll do 162 00:07:26,524 --> 00:07:27,115 fine tomorrow. 163 00:07:27,203 --> 00:07:28,411 I hope so. 164 00:07:29,260 --> 00:07:30,659 See you tomorrow. 165 00:07:30,748 --> 00:07:31,444 You okay? 166 00:07:31,499 --> 00:07:32,627 Yeah, just scared. 167 00:07:32,930 --> 00:07:34,019 Don't be, all right? 168 00:07:36,036 --> 00:07:37,084 I have faith in you. 169 00:07:37,186 --> 00:07:37,674 Okay. 170 00:07:45,171 --> 00:07:48,931 Ugh, oh God. 171 00:07:49,531 --> 00:07:52,179 Everybody gets grounded by something, and they feel an 172 00:07:52,266 --> 00:07:53,939 obligation to something. 173 00:07:54,116 --> 00:07:57,011 And so right now my number one obligation is to work. 174 00:07:58,555 --> 00:07:59,827 Oh, God. 175 00:08:00,026 --> 00:08:01,250 And everybody kind of fits in 176 00:08:01,355 --> 00:08:02,204 around that. 177 00:08:02,475 --> 00:08:03,610 Hey, babe, not looking good. 178 00:08:03,731 --> 00:08:04,747 I'll call you later, sorry. 179 00:08:06,698 --> 00:08:10,899 The one thing about Jeff is that he is incredibly loyal. 180 00:08:11,036 --> 00:08:14,747 So this is basically what it's like to live and date an 181 00:08:14,907 --> 00:08:16,195 ob/gyn resident. 182 00:08:16,387 --> 00:08:18,259 A lot of time by yourself, it's great. 183 00:08:18,372 --> 00:08:21,027 Anyone else would tell me to take a hike, which is what he 184 00:08:21,124 --> 00:08:22,834 should do most of the time. 185 00:08:22,971 --> 00:08:25,115 Oh, I know, it's just been a disaster today. 186 00:08:25,195 --> 00:08:27,491 But it's been so busy, I forgot that we were going to do that. 187 00:08:30,236 --> 00:08:31,499 Sorry, baby. 188 00:08:33,875 --> 00:08:35,891 Hey, friend, how we doing? 189 00:08:35,995 --> 00:08:36,603 Good. 190 00:08:36,738 --> 00:08:40,075 Ms. Carrington-price is 22 years old, and she's had one 191 00:08:40,171 --> 00:08:42,403 Ba before and she's going to have another one. 192 00:08:42,507 --> 00:08:45,555 It's very cute, she's got her mom and baby's dad here. 193 00:08:45,691 --> 00:08:48,714 When he comes and he's on the way out I will be in the other 194 00:08:48,804 --> 00:08:49,371 room. 195 00:08:49,539 --> 00:08:51,035 I won't be in here. 196 00:08:51,147 --> 00:08:52,323 I'm going to pass out. 197 00:08:52,451 --> 00:08:53,148 I don't believe you. 198 00:08:53,251 --> 00:08:54,827 I want to see it. 199 00:08:54,908 --> 00:08:58,531 When he's clean and ready to go in my arms that's when I'll 200 00:08:58,643 --> 00:08:59,516 take the picture. 201 00:09:01,922 --> 00:09:04,491 Well, normally if the dad tries to be like, "oh, I'm just 202 00:09:04,603 --> 00:09:06,210 going to, like, chill outside," 203 00:09:06,275 --> 00:09:07,083 or whatever, we're like, "no. 204 00:09:07,170 --> 00:09:09,204 You got her pregnant, you could help hold her leg while she 205 00:09:09,283 --> 00:09:11,443 "pushes because we can't do all the work for you." 206 00:09:11,619 --> 00:09:13,251 Hey, you showed up right on time. 207 00:09:13,331 --> 00:09:14,443 We're fully in. 208 00:09:14,554 --> 00:09:15,235 He's coming. 209 00:09:15,315 --> 00:09:16,587 Yup, he's coming, he's coming. 210 00:09:16,709 --> 00:09:17,331 He's almost out. 211 00:09:17,435 --> 00:09:18,459 It hurts. 212 00:09:18,546 --> 00:09:19,755 Yeah, I know, you got to push it out. 213 00:09:19,883 --> 00:09:20,484 Push it. 214 00:09:20,579 --> 00:09:22,834 There we go. 215 00:09:26,731 --> 00:09:28,532 He's mad. 216 00:09:28,635 --> 00:09:29,371 He's pissed. 217 00:09:29,451 --> 00:09:30,732 That's my boy. 218 00:09:30,842 --> 00:09:32,794 That's my boy. 219 00:09:33,267 --> 00:09:34,660 Let's see, hold him up. 220 00:09:34,779 --> 00:09:36,907 He's really cute. 221 00:09:37,411 --> 00:09:39,155 Yeah, he's super cute. 222 00:09:39,699 --> 00:09:40,755 Just feel like I had him. 223 00:09:40,882 --> 00:09:42,354 I'm exhausted. 224 00:09:42,452 --> 00:09:44,347 The only thing you're going to have is this... men. 225 00:09:44,460 --> 00:09:48,683 Wait till they reverse the stages and men start having babies. 226 00:09:48,810 --> 00:09:51,427 I don't care because I would be the last man to ever have a 227 00:09:51,555 --> 00:09:52,219 baby. 228 00:09:52,355 --> 00:09:54,131 I can't wait. 229 00:09:54,284 --> 00:09:55,683 You'll be the first if I have to impregnate you my damn self. 230 00:09:55,899 --> 00:09:58,155 You'll be the first. 231 00:09:59,186 --> 00:09:59,883 Oh, you're so special. 232 00:09:59,979 --> 00:10:03,947 Wow, the most beautiful thing I ever seen in my life. 233 00:10:17,528 --> 00:10:20,055 Dude, you have like the cleanest, crispest coats. 234 00:10:20,159 --> 00:10:20,935 Image is important. 235 00:10:21,016 --> 00:10:22,391 You look like a slime bag in that thing. 236 00:10:22,471 --> 00:10:23,759 Take it to the dry cleaners. 237 00:10:23,839 --> 00:10:25,839 Don't be afraid to put a little starch, seriously. 238 00:10:25,974 --> 00:10:27,383 I'll huff and I'll puff. 239 00:10:29,127 --> 00:10:30,288 I'm taking a week off. 240 00:10:30,400 --> 00:10:33,886 All right, will you guys eat with me please, I'm starving. 241 00:10:33,999 --> 00:10:35,456 Where do you guys want to go? 242 00:10:35,543 --> 00:10:37,839 I'm on call so I can't... it's not like I could go out and have 243 00:10:37,935 --> 00:10:38,959 a beer with you guys, so what do you want to do? 244 00:10:39,127 --> 00:10:41,512 Uh... it's got to be somewhere here so... 245 00:10:41,616 --> 00:10:43,422 who are you talking to? 246 00:10:43,630 --> 00:10:44,463 Andrea? 247 00:10:44,519 --> 00:10:45,391 Andrea. 248 00:10:45,536 --> 00:10:48,079 Hi, honey, listen he's got nothing to say. 249 00:10:48,167 --> 00:10:49,496 He's on call, he can't leave. 250 00:10:49,575 --> 00:10:51,311 I'm going to the course, and he'll see all of sugarbaker's 251 00:10:51,383 --> 00:10:52,166 patients, thank you. 252 00:10:52,280 --> 00:10:53,087 Hey, can we go, please? 253 00:10:53,166 --> 00:10:53,975 I need to eat. 254 00:10:54,168 --> 00:10:55,519 Dude, don't do that man, that's rude. 255 00:10:55,615 --> 00:10:56,488 Come on. 256 00:10:56,559 --> 00:10:57,174 God. 257 00:10:57,279 --> 00:11:00,479 Dibardino, he's a very motivated, very talented, very 258 00:11:00,575 --> 00:11:04,943 driven and very aggressive, very compulsive sort of guy. 259 00:11:05,056 --> 00:11:06,439 But he makes a very good surgeon. 260 00:11:06,543 --> 00:11:09,223 I'm operating with Larry Cohn today, so we are on our way to 261 00:11:09,288 --> 00:11:10,471 see Natalie Kadis. 262 00:11:10,576 --> 00:11:14,215 She is a young woman who needs her aortic valve replaced, and 263 00:11:14,279 --> 00:11:17,615 she also has an aneurysm, an enlargement of her aorta, and 264 00:11:17,671 --> 00:11:19,735 that may also be replaced as well. 265 00:11:19,857 --> 00:11:21,951 So it's a serious condition and needs to be addressed 266 00:11:22,055 --> 00:11:22,703 immediately. 267 00:11:22,824 --> 00:11:25,511 Did they say what time they thought? 268 00:11:25,639 --> 00:11:27,631 They said at least about another hour. 269 00:11:27,759 --> 00:11:28,888 You'll be all right. 270 00:11:29,119 --> 00:11:31,391 Hi, how are you? 271 00:11:31,471 --> 00:11:33,671 Natalie, we haven't formally met, but my name is Dr. dibardino. 272 00:11:33,784 --> 00:11:35,391 I'm one of Dr. Cohn's chief residents. 273 00:11:35,503 --> 00:11:36,183 Hi. 274 00:11:36,239 --> 00:11:36,927 Nice to meet you. 275 00:11:37,031 --> 00:11:37,583 Nice to meet you. 276 00:11:37,647 --> 00:11:39,983 It's not a straightforward aortic valve replacement. 277 00:11:40,071 --> 00:11:43,679 In our hands we would quote you up front, 1% to 2% risk of 278 00:11:43,792 --> 00:11:47,320 something bad happening, but we have a lot of experience here, 279 00:11:47,415 --> 00:11:49,263 as you know, and Dr. Cohn certainly has been doing it for 280 00:11:49,383 --> 00:11:51,103 years, so he's the guy you want. 281 00:11:51,247 --> 00:11:55,775 I have two kids so try to get me out alive if you can, if you 282 00:11:55,863 --> 00:11:56,663 can work on that. 283 00:11:56,775 --> 00:11:58,664 We're going to work on that real, real hard. 284 00:11:58,838 --> 00:11:59,911 All right, thanks. 285 00:12:00,184 --> 00:12:03,983 I'm getting nervous as it's getting closer, just about not 286 00:12:04,071 --> 00:12:06,448 waking up, just the whole thing. 287 00:12:06,976 --> 00:12:07,623 Bye. 288 00:12:08,031 --> 00:12:08,567 Good luck. 289 00:12:09,856 --> 00:12:10,616 You'll be all right. 290 00:12:10,753 --> 00:12:13,214 She's young, she's got two young children at home, and this 291 00:12:13,320 --> 00:12:14,231 is a big deal for her. 292 00:12:14,343 --> 00:12:16,368 She needs... we have to get this right. 293 00:12:20,120 --> 00:12:21,344 His blood pressure is still too low. 294 00:12:21,447 --> 00:12:22,710 We got the liver under control now. 295 00:12:22,798 --> 00:12:24,054 He's bleeding from the pelvis. 296 00:12:28,104 --> 00:12:30,096 This, I need six or seven lab pads. 297 00:12:30,214 --> 00:12:33,584 Four on this side, tight pack it. 298 00:12:33,726 --> 00:12:34,608 There you go. 299 00:12:34,712 --> 00:12:35,350 Keep them coming. 300 00:12:35,423 --> 00:12:37,359 You got to control the bleeding for this patient to have any 301 00:12:37,431 --> 00:12:39,223 chance whatsoever to live. 302 00:12:39,319 --> 00:12:41,168 How much blood have we given him so far? 303 00:12:41,239 --> 00:12:42,023 A lot. 304 00:12:42,126 --> 00:12:42,934 It's a lot. 305 00:12:43,034 --> 00:12:43,846 He's going to need more. 306 00:12:43,945 --> 00:12:46,543 He's lost his blood volume many times over. 307 00:12:46,623 --> 00:12:48,007 It's crazy. 308 00:12:48,111 --> 00:12:50,462 We're pouring blood in, he's pouring blood out. 309 00:12:50,542 --> 00:12:52,887 Pack it all along the rim. 310 00:12:54,695 --> 00:12:55,576 It looks pretty good. 311 00:12:55,679 --> 00:12:56,264 It looks good. 312 00:13:00,456 --> 00:13:03,695 Bleeding has slowed down, but he's very unstable. 313 00:13:03,863 --> 00:13:08,511 The patients that do live are the ones where all the stars 314 00:13:08,607 --> 00:13:09,278 line up. 315 00:13:09,359 --> 00:13:11,231 Everything has to go perfect. 316 00:13:20,832 --> 00:13:24,239 We've plugged up the ruptured arteries with gel and packed the 317 00:13:24,327 --> 00:13:26,055 aemd with a lot of lab pads. 318 00:13:26,183 --> 00:13:29,663 For the time being the bleedings seems to have stopped, and if he 319 00:13:29,735 --> 00:13:32,287 stays stable he'll have a fighting chance. 320 00:13:37,526 --> 00:13:39,453 I mean, this is a fairly tricky operation. 321 00:13:39,567 --> 00:13:42,613 Natalie needs her aortic valve replaced, but we're also going 322 00:13:42,693 --> 00:13:44,333 to replace the first part of her ascending aorta. 323 00:13:44,550 --> 00:13:46,470 She's got a great family, and we don't want to let her down 324 00:13:46,597 --> 00:13:47,110 today. 325 00:13:47,542 --> 00:13:49,030 We're going to connect her to the bypass machine here. 326 00:13:49,198 --> 00:13:50,222 Heparin's in? 327 00:13:50,326 --> 00:13:51,646 This looks good. 328 00:13:51,766 --> 00:13:54,278 We'll get our lining here, and we'll all be set for Dr. Cohn to 329 00:13:54,390 --> 00:13:55,894 come down, so, so far so good. 330 00:13:56,852 --> 00:13:57,859 What's going on, double-d? 331 00:13:57,987 --> 00:14:00,003 Hey, Professor, I think we're good to go. 332 00:14:00,131 --> 00:14:00,643 Go. 333 00:14:00,780 --> 00:14:01,555 All right. 334 00:14:01,747 --> 00:14:03,755 Dr. Cohn is one of my very favorite people to scope with 335 00:14:03,835 --> 00:14:06,387 because every time I operate with him he makes me better. 336 00:14:06,523 --> 00:14:07,947 Okay, the heart is arrested. 337 00:14:08,043 --> 00:14:10,867 Maybe you have this stuck somewhere. 338 00:14:10,987 --> 00:14:11,787 I can't feel it. 339 00:14:11,866 --> 00:14:14,643 Pull it over, get this out of the way. 340 00:14:14,803 --> 00:14:16,227 We put this in wrong. 341 00:14:16,329 --> 00:14:17,715 Pull toward you. 342 00:14:19,034 --> 00:14:21,122 Wait a minute, wait a minute. 343 00:14:21,379 --> 00:14:24,418 This is no good because this is all getting screwed up because 344 00:14:24,516 --> 00:14:25,826 you haven't done that right. 345 00:14:25,964 --> 00:14:26,859 You're doing the same thing. 346 00:14:26,964 --> 00:14:28,923 You don't understand what I'm telling you. 347 00:14:29,028 --> 00:14:29,771 How's that, sir? 348 00:14:29,859 --> 00:14:30,698 Pull this over. 349 00:14:30,804 --> 00:14:32,356 Don't use your forceps. 350 00:14:32,435 --> 00:14:34,027 Pull this over with the forceps. 351 00:14:34,123 --> 00:14:34,851 Did you get it? 352 00:14:34,971 --> 00:14:35,786 Yes, sir. 353 00:14:35,892 --> 00:14:36,763 I don't... I hope so. 354 00:14:36,860 --> 00:14:40,210 She's on bypass, her aorta's wide open, we're not playing a 355 00:14:40,316 --> 00:14:41,140 round of golf. 356 00:14:41,227 --> 00:14:45,538 That's not the time to have a discussion or a gentlemanly chat. 357 00:14:45,636 --> 00:14:46,786 Don't push it toward me. 358 00:14:46,892 --> 00:14:48,299 No, you're going behind it. 359 00:14:48,395 --> 00:14:49,499 No, no, no, no, no. 360 00:14:49,604 --> 00:14:51,418 Grab your sticks and go where you want. 361 00:14:51,498 --> 00:14:52,866 No, you don't have it. 362 00:14:52,972 --> 00:14:53,635 Get this. 363 00:14:53,746 --> 00:14:55,875 Pick it out, stretch it down. 364 00:14:55,980 --> 00:14:58,411 His expectation is perfection, and nobody's ever 365 00:14:58,539 --> 00:14:59,915 going to do it well enough. 366 00:15:00,010 --> 00:15:03,228 Dibardino, you have five seconds to find that right suture. 367 00:15:03,330 --> 00:15:04,138 This is it? 368 00:15:04,228 --> 00:15:04,715 Yeah. 369 00:15:04,795 --> 00:15:06,603 I don't know where you learned this grab technique because it 370 00:15:06,724 --> 00:15:07,547 sucks. 371 00:15:07,667 --> 00:15:09,331 Okay, we want to defibrillate please. 372 00:15:11,155 --> 00:15:11,940 Nice. 373 00:15:12,051 --> 00:15:14,042 Okay, I'm going to drop out for a minute. 374 00:15:14,147 --> 00:15:18,219 You have to do that so that being with the highest quality 375 00:15:18,315 --> 00:15:20,940 knowing that you won't tolerate anything less than the highest 376 00:15:21,011 --> 00:15:23,475 quality because that's what wins the game. 377 00:15:23,747 --> 00:15:25,538 Good to see you, everything went well. 378 00:15:25,634 --> 00:15:26,290 Oh, great. 379 00:15:26,379 --> 00:15:27,019 Thank you. 380 00:15:27,123 --> 00:15:28,099 She's just getting closed up now. 381 00:15:28,163 --> 00:15:29,667 At about 6:30 you could go see her. 382 00:15:29,747 --> 00:15:30,554 Oh, that would be great. 383 00:15:30,659 --> 00:15:31,860 So her aorta's been replaced. 384 00:15:31,938 --> 00:15:33,963 Her valve's been replaced, and everything looks great. 385 00:15:34,083 --> 00:15:35,370 So this is a total success. 386 00:15:35,475 --> 00:15:38,971 Dr. Cohn is going to have you do it his way every time. 387 00:15:39,067 --> 00:15:42,386 This is a guy who has been doing heart surgery five years longer 388 00:15:42,484 --> 00:15:43,602 than I have been alive. 389 00:15:43,699 --> 00:15:44,291 All right. 390 00:15:45,979 --> 00:15:47,162 I love him. 391 00:15:47,259 --> 00:15:47,915 I love the guy. 392 00:15:56,787 --> 00:15:57,499 Today's the day. 393 00:15:58,691 --> 00:16:02,955 He's having surgery in 1 hour and 55 minutes. 394 00:16:05,555 --> 00:16:08,619 Michael's veins that come from the lungs back to the 395 00:16:08,739 --> 00:16:10,706 heart, that connection was never made. 396 00:16:10,875 --> 00:16:13,827 So what we have to do is an operation to bring his pulmonary 397 00:16:13,891 --> 00:16:15,731 veins to the left side of his heart. 398 00:16:15,883 --> 00:16:18,835 The hard part for him afterward, he's going to have pulmonary 399 00:16:18,947 --> 00:16:19,931 hypertension. 400 00:16:20,019 --> 00:16:21,731 He's going to have high blood pressure in the lungs for a few 401 00:16:21,811 --> 00:16:22,435 days. 402 00:16:22,547 --> 00:16:23,524 Hi, how are you? 403 00:16:25,235 --> 00:16:25,939 Ready? 404 00:16:39,267 --> 00:16:40,067 What's his first name? 405 00:16:40,162 --> 00:16:40,603 Michael. 406 00:16:40,715 --> 00:16:41,379 Michael. 407 00:16:41,460 --> 00:16:42,450 Hi, Michael. 408 00:16:42,595 --> 00:16:45,283 I'm just going to scoop you up like that. 409 00:16:47,507 --> 00:16:48,411 Hi. 410 00:16:54,563 --> 00:16:57,867 Bye, baby. 411 00:16:58,002 --> 00:16:58,572 You'll be just fine. 412 00:16:58,683 --> 00:16:59,539 See you soon. 413 00:16:59,715 --> 00:17:01,658 All right. 414 00:17:05,571 --> 00:17:07,171 By far the hardest thing I've ever had to do. 415 00:17:07,275 --> 00:17:13,083 Your job is to protect your child, and it's out of your 416 00:17:13,171 --> 00:17:16,163 hands right now and that's the hardest thing for a parent. 417 00:17:16,740 --> 00:17:20,339 It's just an amazing feeling that I never want to have to go 418 00:17:20,450 --> 00:17:21,436 through again, so. 419 00:17:23,043 --> 00:17:23,988 You okay? 420 00:17:47,250 --> 00:17:48,497 Ugh, God. 421 00:17:51,232 --> 00:17:54,864 We get the sickest pregnancies in the world at the Brigham and 422 00:17:54,968 --> 00:17:55,632 women's. 423 00:17:55,745 --> 00:17:57,848 You're in impossible situations all the time. 424 00:17:57,968 --> 00:18:02,633 You're home life kind of goes to crap, but you're either going to 425 00:18:02,760 --> 00:18:03,945 do this job or you're not. 426 00:18:04,048 --> 00:18:06,169 And if you're going to do it, you kind of have to be 427 00:18:06,272 --> 00:18:07,729 irreplaceable. 428 00:18:07,801 --> 00:18:09,560 Hi, this is Rachel, I'm one of the ob/gyn residents. 429 00:18:09,640 --> 00:18:11,121 I just want to call and let you guys know about a patient. 430 00:18:11,200 --> 00:18:13,009 She's actually a 40-year-old lady, and she got transferred 431 00:18:13,097 --> 00:18:14,546 here from an outside hospital. 432 00:18:14,632 --> 00:18:18,601 I'm six months pregnant, and I was bleeding today. 433 00:18:18,737 --> 00:18:20,952 No, she's not bleeding right now, but you know those people 434 00:18:21,058 --> 00:18:23,561 could just open up completely. 435 00:18:23,664 --> 00:18:25,465 What is the name of the thing I have, honey? 436 00:18:25,562 --> 00:18:26,696 Placenta previa. 437 00:18:26,760 --> 00:18:27,937 I have placenta previa. 438 00:18:28,033 --> 00:18:32,704 The placenta is completely draped over her cervix. 439 00:18:32,785 --> 00:18:35,336 So if the baby were to be born it would be born through it's 440 00:18:35,432 --> 00:18:39,288 own placenta and basically bleed her and the baby to death. 441 00:18:39,353 --> 00:18:40,697 And it can happen within a matter of minutes. 442 00:18:40,785 --> 00:18:43,705 We kind of consider it to be an unstable situation. 443 00:18:43,800 --> 00:18:46,065 How long am I going to have to stay here, do you think, in 444 00:18:46,135 --> 00:18:46,784 the hospital? 445 00:18:46,889 --> 00:18:47,777 Until you deliver. 446 00:18:47,889 --> 00:18:49,016 What do you mean? 447 00:18:49,113 --> 00:18:53,401 If you went into labor and tried ... and your baby tried to 448 00:18:53,497 --> 00:18:56,729 deliver yourself at home you could bleed to death. 449 00:18:56,817 --> 00:19:00,201 So most woman with placenta previa ... so what, am I going to stay 450 00:19:00,296 --> 00:19:01,752 in the hospital until I have the baby? 451 00:19:01,865 --> 00:19:02,481 Yes. 452 00:19:02,552 --> 00:19:03,344 Are you serious? 453 00:19:03,464 --> 00:19:04,840 Well, we wouldn't do anything against your will. 454 00:19:04,928 --> 00:19:07,105 I mean, we wouldn't make you a prisoner here, but it would be 455 00:19:07,201 --> 00:19:10,106 our medical recommendation that it's not safe for you. 456 00:19:10,248 --> 00:19:12,073 I know it stinks. 457 00:19:12,161 --> 00:19:14,160 I don't know. 458 00:19:14,352 --> 00:19:17,218 Let's just play it by ear right now. 459 00:19:17,321 --> 00:19:19,617 I don't think you have to make a decision tonight. 460 00:19:19,697 --> 00:19:21,130 All right. 461 00:19:21,233 --> 00:19:22,224 Thank you for all the info, doctor. 462 00:19:22,295 --> 00:19:23,241 No, you're welcome. 463 00:19:23,322 --> 00:19:24,209 It's my pleasure. 464 00:19:24,264 --> 00:19:25,209 I'm sorry you're here. 465 00:19:27,304 --> 00:19:31,121 So the cases are done for the day so I'm busting out for the 466 00:19:31,216 --> 00:19:32,321 day like a fugitive. 467 00:19:42,592 --> 00:19:43,608 Jeff, honey, we got to go. 468 00:19:44,472 --> 00:19:46,728 So you should probably text Randal and just let him know 469 00:19:46,825 --> 00:19:48,280 that we're going to be a little late. 470 00:19:51,728 --> 00:19:53,928 Jeff and I are going to go look at houses with my dad. 471 00:19:54,625 --> 00:19:58,409 My dad is here for financial, structural advice. 472 00:19:58,505 --> 00:20:00,224 He's an engineer, so that's nice to have. 473 00:20:00,370 --> 00:20:02,545 We gave Randal a list of 20 homes, and he said he picked 474 00:20:02,640 --> 00:20:07,656 out six or seven of the ones he thinks will be the best for us. 475 00:20:07,761 --> 00:20:09,681 You're being kind of miffy this morning, honey. 476 00:20:09,776 --> 00:20:11,744 What? 477 00:20:11,841 --> 00:20:12,528 You are. 478 00:20:12,592 --> 00:20:16,524 I want her to be happy, and I want him to be happy. 479 00:20:16,625 --> 00:20:17,448 I like Jeff. 480 00:20:17,585 --> 00:20:20,041 You have such cool taste. 481 00:20:20,200 --> 00:20:23,016 It's not terrible. 482 00:20:23,130 --> 00:20:24,232 That can be your closet. 483 00:20:24,353 --> 00:20:28,913 She's dedicated to her task, and he will have to put up with 484 00:20:29,016 --> 00:20:29,840 quite a bit. 485 00:20:29,945 --> 00:20:32,584 That door does not work. 486 00:20:32,714 --> 00:20:33,856 Don't break it. 487 00:20:33,952 --> 00:20:35,104 You break it you buy it, right? 488 00:20:35,200 --> 00:20:37,088 I don't think she would feel bad if I said she was 489 00:20:37,152 --> 00:20:38,489 high-maintenance. 490 00:20:38,584 --> 00:20:40,001 This one's cute, but it's one bedroom. 491 00:20:42,169 --> 00:20:43,201 We'd kill each other. 492 00:20:53,456 --> 00:20:54,777 Michael is doing great. 493 00:20:55,065 --> 00:20:56,089 Sleeping comfortably. 494 00:20:56,249 --> 00:20:59,897 Breathing tube in, putting I. V. Lines in. 495 00:21:02,353 --> 00:21:07,057 It was hard to, you know, kiss him, and I'm not going to 496 00:21:07,152 --> 00:21:11,993 say good-bye before surgery, but I have a lot of faith so he's 497 00:21:12,113 --> 00:21:13,992 going to make it through this. 498 00:21:19,713 --> 00:21:22,344 The heart's arrested so we are where we want to be. 499 00:21:22,424 --> 00:21:24,857 We've identified everything, and we'll start looking to do the 500 00:21:24,952 --> 00:21:25,698 repair here. 501 00:21:25,785 --> 00:21:30,176 Surgery is going well on bypass at 4:59 P.M. 502 00:21:30,424 --> 00:21:31,825 Vital signs are stable. 503 00:21:31,945 --> 00:21:35,600 Let's open the back up and put a six-oh at the top and at 504 00:21:35,720 --> 00:21:36,440 the bottom. 505 00:21:36,537 --> 00:21:39,472 Michael is doing great, starting to attach confluence 506 00:21:39,559 --> 00:21:42,272 now, no problems, very stable. 507 00:21:43,826 --> 00:21:45,281 What size are the venous cables? 508 00:21:47,657 --> 00:21:49,458 Let me have two 14s please. 509 00:21:49,529 --> 00:21:54,648 He's starting to wean off bypass, just called for repeat 510 00:21:54,727 --> 00:21:55,648 echo now. 511 00:21:55,745 --> 00:21:57,679 So that's good they're almost done. 512 00:21:57,785 --> 00:21:59,648 You see that? 513 00:21:59,793 --> 00:22:02,905 The heart beating, we always like to see that in the end no 514 00:22:03,033 --> 00:22:03,713 question. 515 00:22:06,874 --> 00:22:08,209 The aorta is pretty dark. 516 00:22:08,451 --> 00:22:10,377 Can you see the repair at all, Maria? 517 00:22:10,538 --> 00:22:13,313 I haven't seen the flow from the chamber into the right 518 00:22:13,385 --> 00:22:14,313 atrium yet. 519 00:22:14,410 --> 00:22:15,313 Okay. 520 00:22:15,433 --> 00:22:16,658 It's not coming out of the aorta, guys. 521 00:22:19,411 --> 00:22:20,331 Says, "everything is going 522 00:22:20,426 --> 00:22:21,297 okay. 523 00:22:21,410 --> 00:22:24,250 "His heart and lungs didn't like coming off bypass." 524 00:22:24,353 --> 00:22:26,154 First complication. 525 00:22:26,945 --> 00:22:28,658 He doesn't like coming off life support. 526 00:22:30,633 --> 00:22:34,482 So they're going to keep him on it for another 24 hours. 527 00:22:36,273 --> 00:22:40,017 That's just Michael continuing to not catch a break. 528 00:22:40,129 --> 00:22:42,666 Oh man, oh man. 529 00:22:52,050 --> 00:22:52,802 Hey, guys. 530 00:22:52,930 --> 00:22:53,650 How you doing? 531 00:22:53,738 --> 00:22:55,049 You doing okay, daddy? 532 00:22:55,154 --> 00:22:58,610 Okay, well, you know the story so he's got the pulmonary 533 00:22:58,714 --> 00:23:00,146 hypertension is the problem. 534 00:23:00,266 --> 00:23:02,730 But in general when this happens, if we get a good 535 00:23:02,857 --> 00:23:06,442 repair, which we did, all we have to do is let the lungs rest. 536 00:23:06,569 --> 00:23:08,705 Well, thank you for what you've done. 537 00:23:08,818 --> 00:23:10,961 Well, I'll tell you, you've got a beautiful boy, and he's 538 00:23:11,058 --> 00:23:12,698 going to be a beautiful boy too when he gets home, too. 539 00:23:12,794 --> 00:23:13,874 Okay? 540 00:23:14,042 --> 00:23:14,474 All right. 541 00:23:25,834 --> 00:23:27,249 I'm going to check on Patrick Coleman. 542 00:23:27,337 --> 00:23:29,504 The last time we saw him we were trying to save him from all the 543 00:23:29,594 --> 00:23:30,961 bleeding and internal injuries. 544 00:23:31,058 --> 00:23:32,561 Let's see how he's doing today. 545 00:23:33,762 --> 00:23:36,809 I was going up the ladder, I don't remember coming down. 546 00:23:36,898 --> 00:23:39,610 So I'm very lucky. 547 00:23:39,706 --> 00:23:41,058 Oh, yeah, you did well. 548 00:23:41,162 --> 00:23:42,322 You did amazing. 549 00:23:42,424 --> 00:23:45,673 Can't walk yet, but ... now rehab starts. 550 00:23:45,762 --> 00:23:47,906 You have to get your strength back and then get back on your 551 00:23:47,994 --> 00:23:51,297 feet and sort of get back with life. 552 00:23:51,410 --> 00:23:51,921 Yeah. 553 00:23:53,513 --> 00:23:54,928 Thank you very much. 554 00:23:55,034 --> 00:23:55,825 Not at all. 555 00:23:55,914 --> 00:23:57,331 That's what we do. 556 00:23:57,442 --> 00:23:58,914 I feel lucky. 557 00:23:59,008 --> 00:24:04,057 I didn't choose where I was going or what doctor I was getting. 558 00:24:04,194 --> 00:24:07,505 He did it, though, he did it. 559 00:24:14,122 --> 00:24:15,898 He should not be on the heart-lung machine that he's 560 00:24:16,009 --> 00:24:17,433 been on for so long. 561 00:24:17,569 --> 00:24:19,666 There's a problem that they don't know what it is. 562 00:24:21,706 --> 00:24:23,889 About three weeks ago baby Michael was operated on by 563 00:24:24,017 --> 00:24:27,017 Dr. Myers, who repaired Michael's heart defects. 564 00:24:27,155 --> 00:24:29,810 Since then Michael has not been thriving. 565 00:24:29,946 --> 00:24:32,561 He's still dependent on the heart-lung bypass machine, and 566 00:24:32,666 --> 00:24:35,746 he's struggling on that support. 567 00:24:37,649 --> 00:24:39,570 So today Michael has been brought to the cath lab where 568 00:24:39,673 --> 00:24:41,466 the cardiologist could take a really good look at his heart 569 00:24:41,561 --> 00:24:43,105 and see if anything else is wrong. 570 00:24:43,203 --> 00:24:45,874 There's something really, really unusual. 571 00:24:45,986 --> 00:24:49,297 It looks like the left atrium is connected to the main pulmonary 572 00:24:49,377 --> 00:24:50,243 atrium. 573 00:24:50,345 --> 00:24:51,601 This is so weird. 574 00:24:51,714 --> 00:24:53,321 I just want to think this through. 575 00:24:53,434 --> 00:24:56,233 Can you page Dr. Myers? 576 00:24:56,330 --> 00:24:58,193 When the cardiologist looked at Michael's heart scan they 577 00:24:58,305 --> 00:25:00,818 realized the connection between his heart and his lungs was 578 00:25:00,922 --> 00:25:01,881 still wrong. 579 00:25:01,995 --> 00:25:04,305 Hi, Jeff, Michiel's wondering if you could come up and look at 580 00:25:04,402 --> 00:25:05,146 a picture. 581 00:25:05,225 --> 00:25:05,793 Thanks. 582 00:25:05,890 --> 00:25:06,827 I'll see you in a minute. 583 00:25:06,945 --> 00:25:08,706 Jeff's on his way. 584 00:25:11,313 --> 00:25:13,274 Let me see the left atrium again. 585 00:25:13,393 --> 00:25:16,569 It looks to me like the Venus pulmonary... 586 00:25:17,322 --> 00:25:21,553 is connected to the rpa. 587 00:25:21,705 --> 00:25:23,114 Not to the rpa. 588 00:25:23,210 --> 00:25:24,449 To the npa? 589 00:25:24,562 --> 00:25:25,345 To the npa. 590 00:25:25,458 --> 00:25:26,529 I don't know where the rpa is. 591 00:25:26,658 --> 00:25:28,874 It makes absolutely no sense whatsoever. 592 00:25:28,978 --> 00:25:32,665 Is there anyway that the pulmonary venous conference 593 00:25:32,754 --> 00:25:35,114 could be connected to the right pulmonary atrium? 594 00:25:39,802 --> 00:25:42,058 Dr. Myers came up to us to tell us, "listen, guys, I'm 595 00:25:42,144 --> 00:25:43,897 really sorry, but I made a mistake." 596 00:26:00,551 --> 00:26:02,143 I've already explained to the patient that we can't solve 597 00:26:02,223 --> 00:26:03,543 the world's problems today. 598 00:26:03,631 --> 00:26:04,663 So, yeah. 599 00:26:04,768 --> 00:26:06,295 Oh God, is this a problem that has been for a month and then 600 00:26:06,391 --> 00:26:07,856 all of a sudden it just became urgent at 2:00 A.M.? 601 00:26:07,959 --> 00:26:08,455 Pretty much. 602 00:26:08,559 --> 00:26:10,047 I tried to do the, "how come you've been feeling like this 603 00:26:10,152 --> 00:26:12,727 for a month and at 2:00 A.M. Is when you thought to deal with 604 00:26:12,807 --> 00:26:13,328 "this." 605 00:26:13,408 --> 00:26:17,536 This is such horse... what happens at 2:00 A.M. on a 606 00:26:17,616 --> 00:26:20,055 Friday that you're vaginal discharge just became stat. 607 00:26:20,159 --> 00:26:21,327 I think we all know the answer to that. 608 00:26:21,431 --> 00:26:23,720 I think Rachel Clark has a black cloud. 609 00:26:23,785 --> 00:26:27,047 It's part of that, like, superstition, like you kind of 610 00:26:27,153 --> 00:26:31,113 have bad luck, like if anything could go wrong it will go wrong. 611 00:26:31,248 --> 00:26:32,760 Maybe you guys are taking all the bad luck. 612 00:26:32,825 --> 00:26:36,112 I'm sure there's plenty to go around. 613 00:26:36,201 --> 00:26:38,136 I'll call you to tell you how bad it is. 614 00:26:38,223 --> 00:26:40,047 I think I'll have an idea. 615 00:26:40,143 --> 00:26:41,967 Going to go grab a ginger ale. 616 00:26:42,071 --> 00:26:44,449 Kelly looks like she's having a good night. 617 00:26:44,544 --> 00:26:46,128 Let's send her a page. 618 00:26:46,216 --> 00:26:49,784 42-year-old. 619 00:26:49,888 --> 00:26:52,232 You should make them like 47. 620 00:26:52,320 --> 00:26:53,200 Okay. 621 00:26:58,135 --> 00:26:59,024 No way. 622 00:26:59,111 --> 00:27:04,488 47-year-old, quadriplegic, morbid obesity, turrets 623 00:27:04,577 --> 00:27:08,240 syndrome, need help with the pelvic exam. 624 00:27:08,343 --> 00:27:09,648 Yeah right, this is Rachel. 625 00:27:12,983 --> 00:27:14,320 Two-step. 626 00:27:15,119 --> 00:27:16,959 It's hard to interact with people outside of medicine, 627 00:27:17,072 --> 00:27:20,312 which is why our relationships fall apart. 628 00:27:20,455 --> 00:27:24,816 I found the person who I thought I was going to be with forever. 629 00:27:24,920 --> 00:27:31,296 It's over because I wasn't there enough, and it got too hard for 630 00:27:31,424 --> 00:27:32,744 her. 631 00:27:35,247 --> 00:27:38,281 Now that I'm single it's very easy to have this job. 632 00:27:38,384 --> 00:27:44,528 This is a very nice lady who is coming for her second c-section, 633 00:27:44,631 --> 00:27:47,879 and it should be pretty straightforward. 634 00:27:48,032 --> 00:27:51,424 I'm a little nervous, I mean, not as nervous as the first time. 635 00:27:51,520 --> 00:27:53,184 This is our second baby here. 636 00:27:53,273 --> 00:27:54,112 It's a boy. 637 00:27:54,207 --> 00:27:55,670 His name will be Adam. 638 00:27:58,160 --> 00:28:00,816 Starting at 10:38. 639 00:28:00,953 --> 00:28:03,792 Baby boy. 640 00:28:12,232 --> 00:28:13,720 It's indescribable, you know. 641 00:28:13,817 --> 00:28:17,609 It's like the first cry the tears are coming out of its eyes. 642 00:28:21,136 --> 00:28:24,112 It's kind of a funny thing to say people will be like, "oh, 643 00:28:24,200 --> 00:28:25,105 what did you do today?" 644 00:28:25,186 --> 00:28:26,088 "Oh, I went to work." 645 00:28:26,160 --> 00:28:26,729 "What did you do?" 646 00:28:26,841 --> 00:28:28,817 "I brought life into the world." 647 00:28:28,904 --> 00:28:30,256 Adam, welcome to Boston. 648 00:28:38,240 --> 00:28:39,818 Can we just go to into 617 with Cohn's patients? 649 00:28:39,952 --> 00:28:43,664 So we're on our way to see Natalie Kadis, a young mother 650 00:28:43,817 --> 00:28:47,904 with two kids who just had her ascending aorta replaced and her 651 00:28:48,008 --> 00:28:49,800 aortic valve replaced two days ago. 652 00:28:49,890 --> 00:28:50,986 Hey, doc. 653 00:28:51,048 --> 00:28:51,881 Good to see you. 654 00:28:52,000 --> 00:28:52,976 Hey, good to see you. 655 00:28:53,049 --> 00:28:54,233 It's hard to breathe. 656 00:28:54,305 --> 00:28:56,001 It feels like someone's stepping on my chest. 657 00:28:56,081 --> 00:28:59,017 This is the hardest day, but it does get better everyday. 658 00:28:59,128 --> 00:29:00,976 I go into every patient's room and its like day one, two, 659 00:29:01,048 --> 00:29:02,641 three, four, and it's like clockwork. 660 00:29:02,784 --> 00:29:04,049 Third day's better, fourth day's better. 661 00:29:04,128 --> 00:29:06,672 I could almost chart up the way you'll feel. 662 00:29:06,778 --> 00:29:08,265 You're on the right course. 663 00:29:10,048 --> 00:29:11,456 All right, we'll see you tomorrow. 664 00:29:11,569 --> 00:29:15,400 It makes me feel confident that the pain will go away. 665 00:29:15,496 --> 00:29:17,033 She looks good. 666 00:29:21,736 --> 00:29:25,049 Rounding on patients like her are as much fun as being in the 667 00:29:25,153 --> 00:29:27,425 operating room doing the operation itself. 668 00:29:27,545 --> 00:29:29,745 This definitely counts as a win. 669 00:29:29,863 --> 00:29:31,448 She's going to have a great life with her kids. 670 00:29:39,225 --> 00:29:41,434 I don't worry about what people are going to think about 671 00:29:41,546 --> 00:29:43,120 me being gay. 672 00:29:43,217 --> 00:29:46,953 I don't necessarily tell my patients. 673 00:29:47,057 --> 00:29:48,545 It's none of their business. 674 00:29:48,633 --> 00:29:49,888 Right, I don't tell my patients. 675 00:29:49,985 --> 00:29:51,849 Unless they're really cool or gay themselves. 676 00:29:51,944 --> 00:30:01,160 At first I think I had to... there's a disappointment if 677 00:30:01,281 --> 00:30:06,872 your child isn't who you thought or who you expathed to be. 678 00:30:06,977 --> 00:30:10,744 Who is the girl you broke up with because I never met her? 679 00:30:10,842 --> 00:30:12,425 Very messy. 680 00:30:12,554 --> 00:30:15,088 I just came out to my parents. 681 00:30:15,217 --> 00:30:18,249 I was on nights, working on nights all the time. 682 00:30:18,336 --> 00:30:20,065 Totally out of the blue. 683 00:30:23,280 --> 00:30:24,752 She cheated on me. 684 00:30:24,945 --> 00:30:26,497 That's it right there. 685 00:30:26,601 --> 00:30:27,649 Done. 686 00:30:27,752 --> 00:30:28,778 That's it. 687 00:30:36,032 --> 00:30:37,849 He's once again on the operating table. 688 00:30:42,841 --> 00:30:44,752 When Dr. Myers came up to us admitting that he made a 689 00:30:44,824 --> 00:30:48,168 mistake, you know what, we really respected him for that. 690 00:30:48,288 --> 00:30:52,496 That took a lot of guts to have to run... he ran right up to us 691 00:30:52,601 --> 00:30:53,865 as soon as he found out. 692 00:31:00,193 --> 00:31:02,016 Granted, there were a lot of complications because of the 693 00:31:02,144 --> 00:31:06,640 error, you know, he wouldn't have been on that bypass machine 694 00:31:06,754 --> 00:31:08,673 and he wouldn't have been on that respirator. 695 00:31:08,768 --> 00:31:15,105 He wouldn't have had about eight draining tubes in his chest, but 696 00:31:15,177 --> 00:31:17,368 everybody's human. 697 00:31:18,961 --> 00:31:20,136 People make mistakes. 698 00:31:22,577 --> 00:31:26,513 We went back and revised Michael's original operation. 699 00:31:26,601 --> 00:31:29,360 Just the connections weren't right so we went back and redid it. 700 00:31:29,497 --> 00:31:33,528 So what we'll do is let him get better the next couple of days. 701 00:31:33,696 --> 00:31:39,264 Hey, he did good. 702 00:31:40,152 --> 00:31:41,225 So he did great. 703 00:31:41,352 --> 00:31:45,065 You know tonight's going to be a big night. 704 00:31:45,208 --> 00:31:48,320 The first 48 hours, but went through all the organs and they 705 00:31:48,416 --> 00:31:49,017 look good. 706 00:31:49,113 --> 00:31:49,873 Okay, ma? 707 00:31:49,969 --> 00:31:51,122 Okay, we'll see you guys later. 708 00:31:51,264 --> 00:31:55,513 What was the original mistake? 709 00:31:55,633 --> 00:32:00,832 Originally, we just didn't have things hooked up the way we 710 00:32:00,905 --> 00:32:02,425 wanted them hooked up, so now we do. 711 00:32:02,512 --> 00:32:07,297 Sucks that I have to go back and operate on somebody, but I think 712 00:32:07,440 --> 00:32:09,345 he'll do well, and I feel like he won't have any complications. 713 00:32:10,777 --> 00:32:14,208 You know, I expect him to be running around as a 2-year-old, 714 00:32:14,304 --> 00:32:15,818 3-year-old and do what 2-year-olds, 3-year-olds, 715 00:32:15,912 --> 00:32:18,089 4-year-olds do and then as a teenager doing what teenagers do. 716 00:32:18,232 --> 00:32:23,144 You'll be home in no time, my little baby. 717 00:32:41,423 --> 00:32:43,653 Airports are sites of maximal stress impact for me 718 00:32:43,758 --> 00:32:45,302 because I'm always worried that I'm going to be late. 719 00:32:46,462 --> 00:32:47,263 I need home. 720 00:32:47,357 --> 00:32:47,919 I need to go home. 721 00:32:48,022 --> 00:32:50,398 I need to go where there's grass and there's trees and everybody 722 00:32:50,493 --> 00:32:55,086 has a southern accent and my mom will make dinner for me, which 723 00:32:55,205 --> 00:32:56,206 is what I need. 724 00:32:59,670 --> 00:33:01,183 We made it. 725 00:33:02,421 --> 00:33:04,366 If this guy tries to cut us, we're all going to die. 726 00:33:04,453 --> 00:33:08,511 I'm going to kill this ... good job, baby. 727 00:33:08,837 --> 00:33:10,454 Don't even start, at least I can drive. 728 00:33:10,581 --> 00:33:12,558 You've had your driving privileges, like, revoked, and 729 00:33:12,639 --> 00:33:13,797 it's really a gyp. 730 00:33:13,887 --> 00:33:17,214 Rachel likes being in control situations, and when you're 731 00:33:17,310 --> 00:33:19,550 simply in the passenger seat you have no control. 732 00:33:19,662 --> 00:33:21,878 I don't think Rachel likes that very much. 733 00:33:21,989 --> 00:33:23,471 Everybody fights about something. 734 00:33:23,566 --> 00:33:25,639 Some people fight about, like money. 735 00:33:25,727 --> 00:33:27,101 Some people fight about politics. 736 00:33:27,198 --> 00:33:28,486 We fight about driving. 737 00:33:28,598 --> 00:33:30,982 Out of all the things you're going to fight about in the 738 00:33:31,094 --> 00:33:33,407 whole scheme of life it's really not a whole big deal. 739 00:33:33,543 --> 00:33:34,878 You win. 740 00:33:34,982 --> 00:33:35,742 You drive. 741 00:33:41,972 --> 00:33:43,236 Rachel Marie. 742 00:33:44,469 --> 00:33:47,644 Rachel, sweetie. 743 00:33:49,412 --> 00:33:50,452 We both miss Rachel. 744 00:33:50,582 --> 00:33:53,252 We miss talking to her, and we miss seeing her. 745 00:33:53,357 --> 00:33:54,619 We miss touching her. 746 00:33:59,484 --> 00:34:01,717 Jeff is very loving. 747 00:34:01,837 --> 00:34:03,476 He cares about my daughter. 748 00:34:03,557 --> 00:34:06,404 I have no question whatsoever that he loves her. 749 00:34:06,500 --> 00:34:08,956 A very funny story about Jeff breathing. 750 00:34:09,093 --> 00:34:12,500 He has allergies, so I feel like I'm sleeping with Darth Vader 751 00:34:12,605 --> 00:34:14,893 and so I had to get ear plugs or I can't sleep anywhere. 752 00:34:14,981 --> 00:34:18,109 Saturday, I was like, "I'm going to hook you up to a sleep apnea 753 00:34:18,190 --> 00:34:20,693 tank or you're going to have to start mouth breathing." 754 00:34:20,788 --> 00:34:21,804 I don't know what to do. 755 00:34:21,908 --> 00:34:23,483 Ain't that right, pumpkin? 756 00:34:23,573 --> 00:34:24,136 That's right. 757 00:34:24,269 --> 00:34:28,293 Jeff has hung in there with her, and maybe he's had a lot 758 00:34:28,388 --> 00:34:30,779 more tolerance with her than a lot of folks would. 759 00:34:35,444 --> 00:34:38,340 For me, it was critical to marry somebody that's in medicine. 760 00:34:40,941 --> 00:34:42,740 Katherine is on rounds this week, which means I don't get to 761 00:34:42,836 --> 00:34:43,652 see her at all. 762 00:34:43,764 --> 00:34:47,149 The only thing worse than having one of us as a cardiac thoracic 763 00:34:47,253 --> 00:34:49,332 resident is having her as an intern. 764 00:34:49,500 --> 00:34:52,164 It's like the worst possible scenario. 765 00:34:53,429 --> 00:34:53,805 Hi. 766 00:34:53,893 --> 00:34:54,652 Are you okay? 767 00:34:54,756 --> 00:34:55,357 No. 768 00:34:55,452 --> 00:34:56,077 Oh, why? 769 00:34:56,164 --> 00:34:58,348 I hate this so much if I start talking about I think I 770 00:34:58,452 --> 00:34:59,870 might start crying. 771 00:34:59,982 --> 00:35:00,720 Aw. 772 00:35:00,814 --> 00:35:04,268 So I guess maybe I'll see you tomorrow then for a second? 773 00:35:04,373 --> 00:35:06,325 Well, I'm on consults this whole week, so I'm not in the O.R. 774 00:35:06,428 --> 00:35:09,317 So Wednesday night, I'll be coming home and you'll be home. 775 00:35:09,444 --> 00:35:10,508 Yes. 776 00:35:10,620 --> 00:35:11,167 Okay. 777 00:35:11,253 --> 00:35:12,564 Well, that's not so bad. 778 00:35:12,676 --> 00:35:14,020 Okay, I got to go. 779 00:35:14,117 --> 00:35:16,221 She's probably the only person that I could've married 780 00:35:16,300 --> 00:35:18,068 and that would have married me. 781 00:35:18,181 --> 00:35:20,572 I guess I got lucky. 782 00:35:25,989 --> 00:35:26,740 Hey. 783 00:35:26,892 --> 00:35:27,692 Hey, honey. 784 00:35:27,806 --> 00:35:28,813 Oh yeah. 785 00:35:28,908 --> 00:35:30,100 You're hair looks nice. 786 00:35:30,213 --> 00:35:30,980 Thanks. 787 00:35:31,092 --> 00:35:34,732 I had it cut today so I didn't sleep, but I got a haircut. 788 00:35:35,748 --> 00:35:38,164 She was very special to me from the very beginning. 789 00:35:38,245 --> 00:35:40,157 When was the last time I saw you? 790 00:35:40,268 --> 00:35:41,611 Saturday? 791 00:35:41,740 --> 00:35:43,172 Saturday? 792 00:35:43,276 --> 00:35:45,676 Even though I know, I understand what he's doing, I still get mad 793 00:35:45,780 --> 00:35:46,860 sometimes. 794 00:35:46,965 --> 00:35:49,245 It's also hard being, like, the first year of marriage and 795 00:35:49,348 --> 00:35:53,549 having the stress of your intern year and then having the stress 796 00:35:53,637 --> 00:35:55,037 of not seeing each other. 797 00:35:55,133 --> 00:35:57,148 It won't always be this bad. 798 00:36:02,405 --> 00:36:06,461 We're headed to our favorite hangout with me and my good 799 00:36:06,564 --> 00:36:08,222 college friends. 800 00:36:08,316 --> 00:36:12,309 It's called stanza dei sigari, the best cigar bar in the 801 00:36:12,429 --> 00:36:13,797 country I'll say. 802 00:36:13,885 --> 00:36:16,428 What's happening? 803 00:36:16,517 --> 00:36:17,013 What's going on? 804 00:36:19,708 --> 00:36:24,317 Rachel is on rotation right now, and she has to write a lot 805 00:36:24,412 --> 00:36:25,076 of notes. 806 00:36:25,173 --> 00:36:27,492 So she doesn't have to stay at the hospital a lot. 807 00:36:27,540 --> 00:36:29,061 She could come home and right them on home on her computer. 808 00:36:29,148 --> 00:36:35,981 But she has, like, a computer from 1982 and it got a virus. 809 00:36:36,245 --> 00:36:39,756 And all I'm saying, I got blamed for it. 810 00:36:39,844 --> 00:36:40,757 There's no proof for it. 811 00:36:40,829 --> 00:36:43,477 So now you're buying a place? 812 00:36:43,597 --> 00:36:45,221 We're looking to buy a place. 813 00:36:45,301 --> 00:36:49,252 We're at that stage right now, and the one thing to solve it is 814 00:36:49,364 --> 00:36:51,988 to purchase property together even though neither of us can 815 00:36:52,076 --> 00:36:52,740 afford it. 816 00:36:52,813 --> 00:36:54,332 That's okay. 817 00:36:54,420 --> 00:36:55,814 She's worth it, right? 818 00:36:58,477 --> 00:36:59,141 Eh. 819 00:37:14,148 --> 00:37:15,324 Today is the day. 820 00:37:15,444 --> 00:37:17,652 We're taking Mikey home. 821 00:37:18,868 --> 00:37:20,940 In the beginning they told me my son was going to have brain 822 00:37:21,035 --> 00:37:24,035 damage, and he wasn't going to be able to see and have mobility 823 00:37:24,108 --> 00:37:26,796 problems, and he proved them completely wrong. 824 00:37:26,876 --> 00:37:28,396 Be goo finally get home. 825 00:37:28,468 --> 00:37:31,020 I could pop right now. 826 00:37:31,100 --> 00:37:32,811 I'm just so happy, I'm so thrilled. 827 00:37:32,908 --> 00:37:34,628 I feel like I just gave birth. 828 00:37:34,725 --> 00:37:36,995 Are you ready to go? 829 00:37:37,092 --> 00:37:40,972 Are you ride to going in the car seat for the first time? 830 00:37:41,060 --> 00:37:42,236 Thank you so much. 831 00:37:42,340 --> 00:37:43,292 I'm so glad. 832 00:37:43,397 --> 00:37:44,312 So am I. 833 00:37:44,405 --> 00:37:45,316 So am I. 834 00:37:45,419 --> 00:37:45,963 Thank you. 835 00:37:46,052 --> 00:37:46,908 That's just my job. 836 00:37:47,013 --> 00:37:47,868 Bye. 837 00:37:47,988 --> 00:37:51,603 In baby Michael's situation, things did go wrong despite the 838 00:37:51,692 --> 00:37:54,444 fact that I'm sure the parents were very disappointed, I think 839 00:37:54,523 --> 00:37:57,684 they understood that mistakes are made. 840 00:37:57,780 --> 00:38:01,940 Fortunately, things turned out well for Michael. 841 00:38:02,036 --> 00:38:02,820 See you. 842 00:38:02,963 --> 00:38:06,348 Dr. Myers, I could only guess how difficult it is for him now, 843 00:38:06,436 --> 00:38:08,257 but it must be very, very hard for him. 844 00:38:08,356 --> 00:38:09,741 Bye. 845 00:38:09,852 --> 00:38:12,124 We still have a lot of respect for Dr. Myers. 846 00:38:12,219 --> 00:38:15,547 He was very honest with us, and he fixed him. 847 00:38:15,660 --> 00:38:17,525 We did it. 848 00:38:17,627 --> 00:38:19,339 He did it. 849 00:38:24,428 --> 00:38:26,184 I'm in my new place. 850 00:38:26,300 --> 00:38:29,180 Jeff and I broke up. 851 00:38:29,317 --> 00:38:32,645 We both basically decided that it wasn't clear what anybody 852 00:38:32,748 --> 00:38:35,884 kind of wanted and there were some things that weren't working 853 00:38:35,972 --> 00:38:38,380 for either one of us in our relationship. 854 00:38:38,516 --> 00:38:41,908 I think some of the key issues were that Jeff was always very 855 00:38:42,003 --> 00:38:44,003 indulgent of me. 856 00:38:46,396 --> 00:38:50,068 It wasn't lost on me that there was no way I was meeting Jeff's 857 00:38:50,149 --> 00:38:50,877 needs. 858 00:38:50,963 --> 00:38:53,740 If you love someone you don't want to subject them to the fact 859 00:38:53,829 --> 00:38:55,077 that you're being a jerk. 860 00:38:55,179 --> 00:38:58,917 It was hard, but it was the right thing to do, and I think 861 00:38:59,003 --> 00:39:01,684 it's always easier to do a hard thing if you know it's the right 862 00:39:01,768 --> 00:39:02,388 thing. 863 00:39:12,635 --> 00:39:14,068 I'm getting back into the game. 864 00:39:14,235 --> 00:39:16,171 I kind of like somebody. 865 00:39:16,300 --> 00:39:19,620 We met on match.Com. 866 00:39:19,772 --> 00:39:24,829 She's from Texas, too, and I think that's really important. 867 00:39:33,988 --> 00:39:35,388 She better come. 868 00:39:38,012 --> 00:39:40,652 If she ditches me that is not cool. 869 00:39:43,268 --> 00:39:45,828 All right, darling, where are you? 870 00:39:46,124 --> 00:39:48,733 Ugh, I hope she comes. 871 00:39:48,892 --> 00:39:53,075 Hey, lady, I just had to tell you that everybody wants to meet 872 00:39:53,180 --> 00:39:56,461 you so I hope you are still able to come. 873 00:39:56,572 --> 00:39:57,830 That's weird. 874 00:39:58,004 --> 00:39:59,461 It just cut me off. 875 00:40:00,940 --> 00:40:02,387 Where is she? 876 00:40:28,740 --> 00:40:30,892 Next... clear the hall. 877 00:40:35,612 --> 00:40:37,572 I've decided to look at the online dating sites. 878 00:40:37,675 --> 00:40:40,324 Brain like a rock surgeon, body like a rock star. 879 00:40:43,795 --> 00:40:44,772 We don't think it's broke. 880 00:40:44,892 --> 00:40:46,285 We have to get to the street level. 881 00:40:46,387 --> 00:40:49,285 Communication is nonexistent. 882 00:40:49,404 --> 00:40:51,492 I want to get out of the hospital.