1
00:00:01,529 --> 00:00:03,309
She's a love bug.
2
00:00:03,310 --> 00:00:05,801
Have you ever had the
starring role in a play...
3
00:00:05,802 --> 00:00:07,188
A solo in a recital?
4
00:00:07,189 --> 00:00:08,685
Okay, she's gonna take her
first steps any minute.
5
00:00:08,686 --> 00:00:09,213
I can feel it.
6
00:00:09,214 --> 00:00:10,311
All eyes on you...
7
00:00:10,312 --> 00:00:12,185
Okay, so I am gonna give you the giraffe,
8
00:00:12,186 --> 00:00:13,025
and maybe she'll walk to you.
9
00:00:13,026 --> 00:00:14,560
Well, she's not gonna do it on cue.
10
00:00:14,561 --> 00:00:16,017
She's gonna surprise us, right?
11
00:00:16,018 --> 00:00:17,908
You gonna surprise us? Here you go.
12
00:00:17,909 --> 00:00:20,006
Waiting for you to do...
what they came to see...
13
00:00:21,037 --> 00:00:22,404
- Oh! Hi. Yeah, daddy.
- She's gonna take her first steps
14
00:00:22,405 --> 00:00:23,117
while she's in day care,
15
00:00:23,118 --> 00:00:24,272
- and then I'm gonna kill myself.
- No, she won't.
16
00:00:24,273 --> 00:00:25,999
You're not gonna do that,
right, Zo? Zo, come to daddy.
17
00:00:26,000 --> 00:00:27,149
Come to daddy.
18
00:00:27,366 --> 00:00:30,083
Come on. Come get the giraffe.
19
00:00:30,084 --> 00:00:32,312
You're just the cutest
kid on the entire planet.
20
00:00:32,313 --> 00:00:33,041
Why is that?
21
00:00:33,042 --> 00:00:34,102
She's perfect.
22
00:00:34,103 --> 00:00:34,689
Okay.
23
00:00:34,690 --> 00:00:37,681
Feeling the incredible
pressure to perform.
24
00:00:38,710 --> 00:00:40,996
There was a time when
they used to call operating rooms
25
00:00:40,997 --> 00:00:42,677
an operating theater.
26
00:00:46,139 --> 00:00:47,835
It still feels like one.
27
00:00:51,246 --> 00:00:53,725
Scores of people get ready for the show.
28
00:00:54,438 --> 00:00:56,101
The sets are arranged.
29
00:00:58,034 --> 00:00:59,725
There are costumes...
30
00:01:02,830 --> 00:01:04,237
masks...
31
00:01:06,117 --> 00:01:07,572
props.
32
00:01:09,132 --> 00:01:11,243
Everything has to be rehearsed...
33
00:01:13,100 --> 00:01:14,371
choreographed...
34
00:01:14,372 --> 00:01:16,452
All leading to the moment
35
00:01:16,641 --> 00:01:18,433
when the curtain goes up.
36
00:01:19,005 --> 00:01:21,166
You know what they say
about Carnegie Hall?
37
00:01:21,174 --> 00:01:22,642
There's only one way to get there.
38
00:01:22,643 --> 00:01:24,868
Practice, practice, practice
39
00:01:24,869 --> 00:01:26,437
until it is perfect, people.
40
00:01:26,438 --> 00:01:29,035
This is a long, complex procedure
41
00:01:29,036 --> 00:01:29,869
with many parts.
42
00:01:33,795 --> 00:01:35,705
Team leaders, let's get in place.
43
00:01:35,706 --> 00:01:37,197
All right, green team over here, please.
44
00:01:37,198 --> 00:01:37,704
Let's go, red.
45
00:01:37,705 --> 00:01:40,360
We've offered this family
every pro bono dollar,
46
00:01:40,361 --> 00:01:43,569
every surgical hand,
every resource this hospital has.
47
00:01:43,570 --> 00:01:46,994
So I'm asking you for every
resource that you have.
48
00:01:47,350 --> 00:01:50,710
Be sharp, be present, be focused.
49
00:01:50,815 --> 00:01:53,485
Dr. Robbins has been
caring for these children
50
00:01:53,486 --> 00:01:55,173
since the day they were born.
51
00:01:55,174 --> 00:01:57,721
They will each get a new life today.
52
00:01:57,722 --> 00:02:01,914
Our actions will decide what
kind of lives they will be.
53
00:02:08,473 --> 00:02:09,450
Let's begin.
54
00:02:13,406 --> 00:02:15,140
I thought I had Dr. Knox.
55
00:02:15,141 --> 00:02:17,082
You know what I love about you?
Your warmth.
56
00:02:17,083 --> 00:02:18,984
You were doing the conjoined twins.
57
00:02:18,985 --> 00:02:21,593
- Well, now Knox is doing the conjoined twins.
- Uh-huh.
58
00:02:21,664 --> 00:02:23,093
Uh, we're not talking about it.
59
00:02:23,094 --> 00:02:24,742
Oh, of course we're talking about it.
60
00:02:25,382 --> 00:02:27,501
It is a crazy idea
61
00:02:27,502 --> 00:02:29,776
that I am not talking about
62
00:02:29,777 --> 00:02:31,982
- because it's crazy.
- It's not crazy.
63
00:02:31,983 --> 00:02:33,071
We'd sleep in one bed,
64
00:02:33,072 --> 00:02:35,183
we would have breakfast at the same table,
65
00:02:35,184 --> 00:02:36,860
we'd have one electric
bill instead of two.
66
00:02:36,861 --> 00:02:38,890
Oh, that's why you want
me to move in with you,
67
00:02:38,891 --> 00:02:40,361
so we could save on the electricity?
68
00:02:40,362 --> 00:02:41,881
Yeah, it's the responsible thing to do...
69
00:02:42,258 --> 00:02:42,959
for the planet.
70
00:02:42,960 --> 00:02:45,645
I am not moving in with you.
71
00:02:45,646 --> 00:02:47,659
It w-what, look, we've been together,
what, two weeks?
72
00:02:47,660 --> 00:02:50,333
Two weeks and nine months,
before the pause.
73
00:02:50,358 --> 00:02:51,652
And I want to hit play again,
74
00:02:51,653 --> 00:02:52,409
right where we left off.
75
00:02:52,410 --> 00:02:53,946
I don't want to start at the beginning.
76
00:02:54,885 --> 00:02:56,247
Because it's good for the planet?
77
00:02:56,248 --> 00:02:57,608
And I have a better TV.
78
00:02:57,670 --> 00:02:58,889
Look, come on now. Admit it.
79
00:02:58,890 --> 00:03:01,225
You-you want to live with me.
80
00:03:01,597 --> 00:03:03,021
You love me.
81
00:03:04,766 --> 00:03:06,414
I want...
82
00:03:08,261 --> 00:03:09,878
Knox back.
83
00:03:10,106 --> 00:03:11,386
Mm.
84
00:03:12,025 --> 00:03:13,845
Flaps are inset and viable.
85
00:03:13,846 --> 00:03:15,997
We are looking at at least 18 hours,
86
00:03:15,998 --> 00:03:17,765
so come and go if you need to,
87
00:03:17,766 --> 00:03:19,205
hydrate, eat,
88
00:03:19,206 --> 00:03:22,560
but be here at least 30 minutes
before your procedures.
89
00:03:22,561 --> 00:03:24,320
All right. Next up, general surgery.
90
00:03:24,321 --> 00:03:25,224
First we need to establish
91
00:03:25,225 --> 00:03:27,033
each baby's blood supply
to the shared colon.
92
00:03:27,034 --> 00:03:28,216
Then we separate the colon,
93
00:03:28,217 --> 00:03:29,283
making the first incision...
94
00:03:29,284 --> 00:03:30,687
I will make the first incision.
95
00:03:30,688 --> 00:03:32,082
We'll separate the colon.
96
00:03:32,478 --> 00:03:34,751
Okay, and now I'm checking
the displaced kidneys...
97
00:03:34,752 --> 00:03:36,553
To make sure they're
intact and functioning.
98
00:03:36,554 --> 00:03:37,163
Uh, that's implied.
99
00:03:37,164 --> 00:03:39,328
I don't care. Say it.
100
00:03:39,329 --> 00:03:40,636
Checking the kidneys to make sure
101
00:03:40,637 --> 00:03:41,612
they're intact and functioning.
102
00:03:41,613 --> 00:03:43,429
Man, she's wound up tight.
103
00:03:43,430 --> 00:03:44,696
Thought you were off work today.
104
00:03:44,697 --> 00:03:46,892
I won't see another one
of these in my lifetime.
105
00:03:46,893 --> 00:03:48,568
- Okay, you need to tie that off better, though.
- You're doing the flip, right,
106
00:03:48,568 --> 00:03:50,057
- Karev, with Robbins?
- Uh-uh.
107
00:03:50,057 --> 00:03:52,049
The flip's a critical part. You ready?
108
00:03:52,050 --> 00:03:53,949
- Yes, sir.
- You forgot to cauterize.
109
00:03:53,950 --> 00:03:55,582
- You want this baby to bleed out?
- Do I...
110
00:03:55,583 --> 00:03:57,197
- No, I...
- Yeah, I should think not.
111
00:03:57,198 --> 00:03:58,996
Look, I know this procedure is her baby,
112
00:03:58,997 --> 00:04:00,821
but she keeps nitpicking everybody,
113
00:04:00,822 --> 00:04:02,569
she'll destroy their confidence.
114
00:04:02,570 --> 00:04:04,857
- Don't let her do that to you.
- Oh, no, sir.
115
00:04:04,858 --> 00:04:06,728
Good, because if this flip goes wrong,
116
00:04:06,729 --> 00:04:08,122
she's gonna blame you.
117
00:04:08,482 --> 00:04:10,938
It'll go on your record,
and-and boards coming up...
118
00:04:10,939 --> 00:04:12,334
it's not gonna look good.
119
00:04:12,335 --> 00:04:13,993
- Did you check the pelvis?
- I-I...
120
00:04:13,994 --> 00:04:15,277
Glad it's not me.
121
00:04:15,278 --> 00:04:16,794
Okay, it's time to flip them.
122
00:04:16,795 --> 00:04:18,154
Karev, you're up.
123
00:04:27,750 --> 00:04:28,778
Ready?
124
00:04:31,146 --> 00:04:32,345
Yeah.
125
00:04:32,449 --> 00:04:34,316
And why is the flip so important?
126
00:04:34,317 --> 00:04:36,200
It just gets very tricky.
127
00:04:36,201 --> 00:04:37,584
They have open incisions,
128
00:04:37,585 --> 00:04:38,910
so they have to stay sterile,
129
00:04:38,911 --> 00:04:40,981
and we have to make sure
that they stay intubated
130
00:04:40,982 --> 00:04:42,369
- and monitored.
- Okay.
131
00:04:42,370 --> 00:04:44,295
And we also have to keep
all their I.V.s and wires
132
00:04:44,296 --> 00:04:47,158
from getting tangled and
intertwined in the process.
133
00:04:47,444 --> 00:04:48,648
You know, I...
134
00:04:48,649 --> 00:04:50,089
Imagine, um,
135
00:04:50,090 --> 00:04:51,949
changing the battery of your car
136
00:04:51,950 --> 00:04:53,838
while speeding down the freeway.
137
00:04:54,970 --> 00:04:57,800
Except it's not a car or a battery.
138
00:04:57,801 --> 00:04:59,370
I mean, they're your babies.
139
00:04:59,675 --> 00:05:01,624
So... it's a bad analogy. I'm sorry.
140
00:05:01,625 --> 00:05:03,033
No, that's the first thing you've said
141
00:05:03,034 --> 00:05:04,569
that I've totally understood.
142
00:05:05,526 --> 00:05:08,374
But if the flip goes wrong, then...
143
00:05:08,558 --> 00:05:10,100
everything after that is...
144
00:05:10,101 --> 00:05:11,190
is hosed.
145
00:05:12,606 --> 00:05:16,097
Well, the doctors have planned
and rehearsed this for weeks.
146
00:05:16,098 --> 00:05:17,355
I mean, they've got it down.
147
00:05:17,356 --> 00:05:19,481
Karev, you rushed it.
You're like two steps ahead of me.
148
00:05:19,482 --> 00:05:20,373
No, you over me.
149
00:05:20,374 --> 00:05:21,697
Yours over mine, everything's fine.
150
00:05:21,698 --> 00:05:23,251
Mine over yours, babies in the morgue.
151
00:05:23,252 --> 00:05:23,852
That's how it works.
152
00:05:23,853 --> 00:05:24,894
That's your pneumonic device?
153
00:05:24,895 --> 00:05:26,708
Great. Now Brandi's wounds are exposed,
154
00:05:26,709 --> 00:05:29,121
and little Andi's gone without
oxygen for a whole minute.
155
00:05:29,122 --> 00:05:30,420
Okay, I... can we start over?
156
00:05:30,421 --> 00:05:31,909
No, there's no time.
157
00:05:31,910 --> 00:05:33,274
Let's just finish this practice
158
00:05:33,275 --> 00:05:34,876
and try the flip again. Next.
159
00:05:34,877 --> 00:05:36,353
- Neuro.
- Ortho.
160
00:05:36,754 --> 00:05:38,688
Okay, we will access and separate
161
00:05:38,689 --> 00:05:40,203
the conjoined spinal canal.
162
00:05:40,204 --> 00:05:41,900
Separate the bony elements of the spine.
163
00:05:41,901 --> 00:05:43,056
Well, that was a train wreck.
164
00:05:43,057 --> 00:05:44,293
You nearly killed both dolls.
165
00:05:44,294 --> 00:05:45,253
Look, I have it. I know it.
166
00:05:45,254 --> 00:05:47,125
If only freakin' Robbins
would trust me to do it.
167
00:05:47,126 --> 00:05:47,868
Doll killer.
168
00:05:47,869 --> 00:05:49,790
Meredith Grey. Okay, come with me.
169
00:05:49,791 --> 00:05:51,325
O.R. two. Right away.
170
00:05:55,786 --> 00:05:58,377
Okay, I am gonna tell you
something about my personal life.
171
00:05:58,377 --> 00:05:58,925
Really?
172
00:05:58,925 --> 00:06:01,314
Okay, um, my personal life
is none of your business.
173
00:06:01,315 --> 00:06:02,888
The fact that I know things
about your personal life
174
00:06:02,889 --> 00:06:05,125
is one of the great
sadnesses of my existence.
175
00:06:05,126 --> 00:06:05,885
Sorry about that.
176
00:06:05,886 --> 00:06:07,403
And the fact that you're
going to know about mine
177
00:06:07,404 --> 00:06:08,737
is exponentially worse,
178
00:06:08,738 --> 00:06:10,632
but I don't see how we get around it.
179
00:06:10,754 --> 00:06:11,301
Okay.
180
00:06:11,302 --> 00:06:13,600
We're about to operate with Dr. Warren.
181
00:06:13,601 --> 00:06:15,889
He and I are... involved.
182
00:06:15,890 --> 00:06:17,376
Everybody knows that.
183
00:06:17,377 --> 00:06:18,537
Can you not pretend?
184
00:06:18,538 --> 00:06:21,005
Oh, oh. You and Dr. Warren? Wow.
185
00:06:21,006 --> 00:06:24,217
Uh, he is going to try and
discuss personal matters
186
00:06:24,218 --> 00:06:25,125
in the O.R. today,
187
00:06:25,126 --> 00:06:26,616
- and I don't want that to happen.
- Okay.
188
00:06:26,617 --> 00:06:29,089
Okay, so I'm going to teach you a lot.
189
00:06:29,090 --> 00:06:31,576
And you are gonna ask questions... a lot.
190
00:06:31,577 --> 00:06:33,587
And if he gets a personal
word in edgewise,
191
00:06:33,588 --> 00:06:36,078
I want you to forget which is
the business end of a scalpel
192
00:06:36,079 --> 00:06:36,900
real quick
193
00:06:36,901 --> 00:06:38,933
and ask for help.
194
00:06:39,167 --> 00:06:40,656
Okay, but let me get this straight.
195
00:06:40,657 --> 00:06:43,428
You pulled me out of
a once-in-a-lifetime surgery
196
00:06:43,429 --> 00:06:45,643
to be a buffer between
you and your boyfriend?
197
00:06:45,644 --> 00:06:47,418
Oh, don't use that kind
of language with me.
198
00:06:50,889 --> 00:06:52,618
Spinal separation complete.
199
00:06:53,089 --> 00:06:54,738
I have to go. Teddy.
200
00:06:55,046 --> 00:06:55,961
It's been two weeks now.
201
00:06:55,962 --> 00:06:57,672
You need a break, and she does, too.
202
00:06:57,673 --> 00:06:58,860
I gotta go.
203
00:06:59,118 --> 00:07:00,712
Okay, I am now prepared
204
00:07:00,713 --> 00:07:02,323
to separate them completely.
205
00:07:02,324 --> 00:07:03,933
Wait. Hold on. What about complications?
206
00:07:03,934 --> 00:07:05,421
I mean, what if there's
a double hemivertebra
207
00:07:05,422 --> 00:07:06,212
or a tethered cord?
208
00:07:06,213 --> 00:07:08,105
We will cross that bridge
when we come to it.
209
00:07:08,106 --> 00:07:09,465
- We're done here.
- I-I'm sorry.
210
00:07:09,466 --> 00:07:10,497
What if we're standing
on that bridge right now?
211
00:07:10,498 --> 00:07:11,901
Dr. Robbins, I said...
212
00:07:11,902 --> 00:07:12,472
No, no, no, no.
213
00:07:12,473 --> 00:07:13,589
We haven't even separated them yet.
214
00:07:13,590 --> 00:07:15,064
We haven't gone through
the post-separation surgeries.
215
00:07:15,065 --> 00:07:17,219
- Dr. Robbins, stop.
- There's so much m...
216
00:07:17,220 --> 00:07:18,739
We're done practicing.
217
00:07:18,795 --> 00:07:22,187
We have practiced our parts
not only here in this O.R.,
218
00:07:22,346 --> 00:07:24,356
but in the shower, on your drive to work.
219
00:07:24,357 --> 00:07:25,509
We are ready.
220
00:07:25,822 --> 00:07:27,646
We know what to do.
221
00:07:28,162 --> 00:07:29,538
Now we just have to do it.
222
00:07:44,798 --> 00:07:46,898
Ladies and gentlemen, present to you
223
00:07:46,899 --> 00:07:49,385
Andi and Brandi Edwards.
224
00:07:49,386 --> 00:07:51,205
Let's give them new lives,
225
00:07:51,206 --> 00:07:52,261
shall we?
226
00:07:57,578 --> 00:07:58,746
It's showtime.
227
00:08:16,457 --> 00:08:18,032
Raising the skin flap. Avery, you there?
228
00:08:18,033 --> 00:08:19,504
- One step ahead of you.
- You want to race?
229
00:08:19,505 --> 00:08:20,712
No, no, no. No racing.
230
00:08:20,713 --> 00:08:21,917
That was fun last night.
231
00:08:21,918 --> 00:08:23,481
Did you and Mer have a good time?
232
00:08:23,482 --> 00:08:25,533
- I know Julia had a good time.
- Yeah, we did.
233
00:08:25,534 --> 00:08:27,085
You got enough length there for coverage?
234
00:08:27,086 --> 00:08:29,025
Yeah, I'm dissecting from
the base to the midline.
235
00:08:29,026 --> 00:08:30,706
Did Mer say anything about Julia?
236
00:08:30,707 --> 00:08:32,100
- She liked her.
- Jackson, slow down.
237
00:08:32,101 --> 00:08:33,452
And Zola like Julia, too?
238
00:08:33,453 --> 00:08:34,955
Yes, she did. Everybody liked Julia.
239
00:08:34,956 --> 00:08:36,381
Anybody else here meet Julia?
240
00:08:36,738 --> 00:08:37,429
Did you like her?
241
00:08:37,430 --> 00:08:38,580
Show of hands if you liked her.
242
00:08:38,581 --> 00:08:40,022
Ah, you did? You did?
243
00:08:40,497 --> 00:08:42,001
I think I'll update the parents.
244
00:08:45,097 --> 00:08:46,482
Hunt, they're clearly racing.
245
00:08:46,483 --> 00:08:48,196
- No racing.
- We're not racing.
246
00:08:48,197 --> 00:08:49,932
We have been rehearsing this for months,
247
00:08:49,933 --> 00:08:50,865
and now they're gonna
jeopardize the patient because...
248
00:08:50,866 --> 00:08:52,865
Robbins, you take care of your team.
249
00:08:52,866 --> 00:08:53,959
I'll look at the big picture.
250
00:08:53,960 --> 00:08:55,271
- Done.
- I win.
251
00:08:55,722 --> 00:08:57,885
And by that, we mean ready
for the colon resection.
252
00:08:57,886 --> 00:08:59,486
- Cafeteria?
- Race you there.
253
00:08:59,710 --> 00:09:01,918
General surgery teams, let's go.
254
00:09:04,041 --> 00:09:05,447
Is that enough lap pads?
255
00:09:05,448 --> 00:09:06,960
A little more is not gonna hurt.
256
00:09:06,961 --> 00:09:08,352
They'll help mobilize it.
257
00:09:08,353 --> 00:09:09,177
How's Zola doing?
258
00:09:09,178 --> 00:09:10,365
Oh, she's great. Thanks.
259
00:09:10,366 --> 00:09:12,125
She's about a minute away from walking.
260
00:09:12,126 --> 00:09:13,104
That's great.
261
00:09:13,105 --> 00:09:14,853
A-and she's in the day care downstairs?
262
00:09:14,854 --> 00:09:16,818
She is, yeah. She really likes it.
263
00:09:16,819 --> 00:09:19,107
Must be nice, having
the whole family in the building.
264
00:09:19,108 --> 00:09:19,752
Yeah.
265
00:09:19,753 --> 00:09:20,491
It's a win-win.
266
00:09:20,492 --> 00:09:22,766
You love Dr. Shepherd, and he loves you,
267
00:09:22,767 --> 00:09:23,825
and you see each other at work,
268
00:09:23,826 --> 00:09:25,964
and then you see each other at home.
269
00:09:25,965 --> 00:09:27,334
Just more of a good thing.
270
00:09:27,335 --> 00:09:29,167
Dr. Bailey, is that
the spleen right there?
271
00:09:29,168 --> 00:09:31,208
That is the spleen.
272
00:09:31,209 --> 00:09:32,838
So are we gonna take out the whole thing?
273
00:09:32,839 --> 00:09:35,259
We will. We will take it right out.
274
00:09:35,260 --> 00:09:37,517
So how many suture ligatures
you think we'll need to do
275
00:09:37,518 --> 00:09:38,695
for the splenic vessels?
276
00:09:38,696 --> 00:09:40,073
Oh, could be two,
277
00:09:40,074 --> 00:09:41,448
could be three.
278
00:09:41,449 --> 00:09:43,892
I'll, uh, see if two does it.
279
00:09:43,893 --> 00:09:45,927
But I may have to throw in a third.
280
00:09:45,928 --> 00:09:46,989
This is good stuff.
281
00:09:46,990 --> 00:09:48,432
I'm glad I skipped the conjoined twins.
282
00:09:48,433 --> 00:09:49,966
There's beauty in the basics.
283
00:09:49,967 --> 00:09:51,930
There's beauty in sharing a bowl of cereal
284
00:09:51,931 --> 00:09:52,456
with a woman that...
285
00:09:52,457 --> 00:09:54,068
I can't remember how to do a stick tie.
286
00:09:54,069 --> 00:09:55,817
No shame in that.
287
00:09:55,818 --> 00:09:57,732
There's no stupid questions.
288
00:09:57,733 --> 00:09:58,934
You sure about that?
289
00:10:03,134 --> 00:10:04,367
Dr. Altman.
290
00:10:04,847 --> 00:10:05,700
Dr. Yang.
291
00:10:05,701 --> 00:10:06,388
You paged me?
292
00:10:06,389 --> 00:10:08,276
Oh, I didn't realize Cristina was...
293
00:10:08,277 --> 00:10:09,853
Do you want me to step aside so she can...
294
00:10:09,854 --> 00:10:11,749
- No.
- But you paged her.
295
00:10:11,750 --> 00:10:12,995
It's no problem, really. I don't mind.
296
00:10:12,996 --> 00:10:15,209
I can go peek in on
the progress of the conjoined twins
297
00:10:15,210 --> 00:10:17,306
- If you'd rather have...
- Stay put, Kepner.
298
00:10:18,085 --> 00:10:19,143
Yang.
299
00:10:19,291 --> 00:10:19,993
From the beginning?
300
00:10:19,994 --> 00:10:21,036
Yes.
301
00:10:21,746 --> 00:10:23,797
Vitals were stable after receiving L.R.
302
00:10:23,798 --> 00:10:24,945
and packed cells.
303
00:10:24,946 --> 00:10:26,880
The bronch was already placed
when I entered the O.R.
304
00:10:26,881 --> 00:10:28,699
so I proceeded with the laser endoscopy
305
00:10:28,700 --> 00:10:30,326
using the c-o-2 laser.
306
00:10:30,327 --> 00:10:31,558
Step by step.
307
00:10:31,625 --> 00:10:34,908
I had good visualization of
the tumor almost immediately.
308
00:10:34,909 --> 00:10:37,361
About 80% of the tumor had been vaporized
309
00:10:37,362 --> 00:10:38,308
when the bleeding began.
310
00:10:38,309 --> 00:10:40,217
He had clots, which
were blocking my scope.
311
00:10:40,218 --> 00:10:42,612
I passed a brush through
the scope to clear the field.
312
00:10:42,613 --> 00:10:45,375
However, Henry's
hemorrhaging was so severe...
313
00:10:45,376 --> 00:10:46,848
Suction, Kepner.
314
00:10:48,413 --> 00:10:50,254
Kepner, suction.
315
00:10:54,698 --> 00:10:55,819
Yang?
316
00:10:56,134 --> 00:10:57,908
Henry's hemorrhaging was so severe
317
00:10:57,909 --> 00:10:59,940
that the brush did not solve the problem.
318
00:10:59,941 --> 00:11:01,789
SATs dropped to 88.
319
00:11:01,790 --> 00:11:03,870
Blood was coming out of the E.T. tube.
320
00:11:03,881 --> 00:11:06,342
At that point, Dr. Webber
exercised his judgment
321
00:11:06,343 --> 00:11:07,520
and stepped in.
322
00:11:07,521 --> 00:11:10,273
We cracked his chest and
tried to get to the source.
323
00:11:10,394 --> 00:11:11,969
Henry became bradycardic
324
00:11:11,970 --> 00:11:13,379
so we pushed atropine.
325
00:11:13,915 --> 00:11:15,112
Then I realized,
326
00:11:15,113 --> 00:11:17,537
the tumor had eroded through
the pulmonary artery.
327
00:11:17,538 --> 00:11:18,793
He flatlined.
328
00:11:18,794 --> 00:11:21,848
We did A.C.L.S.
protocol and got sinus brady.
329
00:11:21,849 --> 00:11:24,490
We pushed high-dose epi.
He flatlined again.
330
00:11:24,501 --> 00:11:26,197
We did more compressions.
331
00:11:26,238 --> 00:11:27,729
We continued in this manner
332
00:11:27,730 --> 00:11:30,274
until Dr. Webber and I both agreed
333
00:11:30,478 --> 00:11:33,277
that since he already lost more
than half his blood volume,
334
00:11:33,278 --> 00:11:34,862
his heart could not restart.
335
00:11:34,958 --> 00:11:37,419
We called time of death... 8:52 P.M.
336
00:11:42,126 --> 00:11:43,342
Again.
337
00:11:44,554 --> 00:11:46,169
When I entered the O.R.
338
00:11:46,766 --> 00:11:48,357
Henry's vitals had been stable.
339
00:11:48,358 --> 00:11:50,268
He had received L.R. and packed cells.
340
00:11:50,269 --> 00:11:51,297
The bronch was already placed
341
00:11:51,298 --> 00:11:53,442
so I proceed with the laser endoscopy.
342
00:11:53,589 --> 00:11:57,968
And then thanks to the unhealthy
level of comfort she felt
343
00:11:57,969 --> 00:11:59,516
working for her husband,
344
00:11:59,517 --> 00:12:01,401
she took some liberties
with the clinical trial
345
00:12:01,402 --> 00:12:03,909
and now neither of
their careers will ever be the same.
346
00:12:03,910 --> 00:12:04,980
You know, I would love to go back
347
00:12:04,981 --> 00:12:06,641
to dividing the gastrocolic ligament,
348
00:12:06,642 --> 00:12:08,457
but I'm not sure I remember how to...
349
00:12:08,458 --> 00:12:10,989
Figure it out. Look, all I'm saying is,
350
00:12:10,990 --> 00:12:14,037
it'd be nice to maintain some boundaries
351
00:12:14,038 --> 00:12:16,264
so a person's life doesn't fall to pieces
352
00:12:16,265 --> 00:12:16,976
like Dr. Grey's here.
353
00:12:16,977 --> 00:12:18,774
For the record, my life
is pretty great right now.
354
00:12:18,775 --> 00:12:20,636
You hush. No one's
interested in your life.
355
00:12:20,637 --> 00:12:22,437
- Dr. Grey.
- Please ask me about a spleen.
356
00:12:22,438 --> 00:12:24,424
Who's the last person you see
before you fall asleep at night?
357
00:12:24,425 --> 00:12:26,525
Or a pancreas. I've got
a very good view of it.
358
00:12:26,526 --> 00:12:28,073
It's tan and lobulated...
359
00:12:28,074 --> 00:12:29,245
Answer the question.
360
00:12:29,246 --> 00:12:31,621
The last person you see
before you fall asleep
361
00:12:31,622 --> 00:12:33,061
at night.
362
00:12:34,369 --> 00:12:35,197
Derek Shepherd.
363
00:12:35,198 --> 00:12:36,557
Must be nice,
364
00:12:36,930 --> 00:12:38,161
all I'm sayin'.
365
00:12:38,675 --> 00:12:40,003
Zero silk.
366
00:12:40,004 --> 00:12:41,411
Thank god.
367
00:12:42,937 --> 00:12:44,989
They're separating the colon right now.
368
00:12:44,990 --> 00:12:46,945
Making sure that they each
have good blood supply.
369
00:12:46,946 --> 00:12:48,261
Have they done the flip thing yet?
370
00:12:48,262 --> 00:12:49,302
That's next.
371
00:12:50,286 --> 00:12:51,881
Um, I gotta get outta here.
372
00:12:51,882 --> 00:12:53,194
Is there a bar around here?
373
00:12:53,693 --> 00:12:56,253
Um... yeah. Across the street.
374
00:12:58,626 --> 00:13:00,069
He's not a total drunk
375
00:13:00,070 --> 00:13:01,612
if that's what you're thinking.
376
00:13:01,613 --> 00:13:02,766
He has a job.
377
00:13:03,140 --> 00:13:05,125
It's a good one, with benefits.
378
00:13:05,126 --> 00:13:06,588
Seriously, Gretchen, I-I-I wasn't...
379
00:13:06,589 --> 00:13:08,221
No, I know what you were thinking.
380
00:13:08,588 --> 00:13:10,077
It's what everybody thinks.
381
00:13:10,674 --> 00:13:11,932
That we accidentally got pregnant
382
00:13:11,933 --> 00:13:14,430
and now we're stuck with
the kids we can't take care of.
383
00:13:15,182 --> 00:13:17,209
You're probably placing bets in the O.R.
384
00:13:17,210 --> 00:13:19,467
of how long we'll stay together
385
00:13:19,468 --> 00:13:22,330
or whose mother is gonna
end up raising the girls.
386
00:13:22,578 --> 00:13:24,962
Well, you can tell everyone in that room
387
00:13:25,215 --> 00:13:26,101
that they're wrong.
388
00:13:26,102 --> 00:13:29,159
We love each other,
and we wanted these babies.
389
00:13:29,203 --> 00:13:30,113
We're staying together,
390
00:13:30,114 --> 00:13:31,543
and we will do whatever we need to do
391
00:13:31,544 --> 00:13:33,081
to make sure that they're okay...
392
00:13:33,576 --> 00:13:34,945
Including accepting
393
00:13:34,946 --> 00:13:36,418
the hospital's charity,
394
00:13:37,617 --> 00:13:40,160
even if I have to sit
around with judgy doctors.
395
00:13:40,246 --> 00:13:41,797
I wasn't judging you.
396
00:13:42,185 --> 00:13:44,026
Really. I-I just...
397
00:13:44,122 --> 00:13:45,401
I was thinking
398
00:13:45,801 --> 00:13:47,355
how lucky you are
399
00:13:47,431 --> 00:13:49,317
to be with somebody that you love.
400
00:13:51,030 --> 00:13:53,565
Looks like Andi has the bulk of
the blood supply to the colon.
401
00:13:53,566 --> 00:13:54,684
So we'll give her all the colon then?
402
00:13:54,685 --> 00:13:56,193
And leave Brandi with an ileosotomy?
403
00:13:56,194 --> 00:13:58,301
I don't think so.
I'll do an ileoproctostomy.
404
00:13:58,302 --> 00:13:59,614
Maybe they should just
share so we don't have to...
405
00:13:59,615 --> 00:14:00,980
No. We'll do it my way.
406
00:14:00,981 --> 00:14:02,741
Check the function of
the blood supply to the kidney.
407
00:14:02,742 --> 00:14:03,685
Flip's coming up,
408
00:14:03,686 --> 00:14:06,998
and I don't want a repeat
of this morning's rehearsal.
409
00:14:09,100 --> 00:14:10,464
That's what I want to talk to you about.
410
00:14:10,465 --> 00:14:12,097
I'm a little nervous about it.
411
00:14:12,098 --> 00:14:13,581
We practiced that flip before,
412
00:14:13,582 --> 00:14:14,648
and it turned out great.
413
00:14:14,649 --> 00:14:15,650
And today...
414
00:14:15,676 --> 00:14:17,516
Robbins doesn't trust anybody today.
415
00:14:17,590 --> 00:14:18,924
Get to your point, Karev.
416
00:14:18,925 --> 00:14:20,420
I just don't want to screw this up.
417
00:14:20,421 --> 00:14:21,613
We gotta be the perfect team.
418
00:14:21,614 --> 00:14:23,589
And you're not comfortable
doing it with her?
419
00:14:23,590 --> 00:14:25,164
She's making everybody uncomfortable.
420
00:14:25,165 --> 00:14:26,801
I get it. You don't need
to say another word.
421
00:14:26,802 --> 00:14:28,992
Who wants to replace Karev on the flip?
422
00:14:28,993 --> 00:14:30,299
No, that's not what I meant.
423
00:14:30,300 --> 00:14:32,052
Uh, I'll do it. Sir.
424
00:14:32,053 --> 00:14:33,094
Mm.
425
00:14:39,278 --> 00:14:40,590
You sure you can do this?
426
00:14:40,625 --> 00:14:42,993
Disconnect and cap subclavian I.V.s,
427
00:14:42,994 --> 00:14:45,224
anesthesiologist holds the E.T. tube,
428
00:14:45,225 --> 00:14:46,609
designated circulators
429
00:14:46,610 --> 00:14:48,280
and the techs hold the monitors.
430
00:14:48,281 --> 00:14:49,205
Yours over mine, babies...
431
00:14:49,206 --> 00:14:50,717
Don't. Don't.
432
00:14:50,718 --> 00:14:52,253
Why aren't you doing the flip?
433
00:14:52,554 --> 00:14:53,960
Webber snaked it from me.
434
00:14:53,961 --> 00:14:56,004
Webber? But he hasn't practiced.
435
00:14:56,005 --> 00:14:57,539
You've been practicing this for two weeks.
436
00:14:57,540 --> 00:14:58,734
Yeah, tell him that.
437
00:14:58,735 --> 00:15:00,908
I told the parents that you've practiced.
438
00:15:00,909 --> 00:15:03,283
I told them that you had
this thing down cold.
439
00:15:03,284 --> 00:15:04,771
Okay, one...
440
00:15:05,006 --> 00:15:06,129
two...
441
00:15:06,130 --> 00:15:07,154
three.
442
00:15:10,260 --> 00:15:12,566
Easy, easy, easy.
443
00:15:12,923 --> 00:15:14,433
I hope he drops her.
444
00:15:14,434 --> 00:15:16,476
How's he gonna like it when
one twin's pushing her sister
445
00:15:16,477 --> 00:15:18,254
in a wheelchair the rest of their lives?
446
00:15:20,073 --> 00:15:21,072
I'm just pissed at Webber.
447
00:15:21,073 --> 00:15:22,890
You're just... a monster.
448
00:15:22,891 --> 00:15:24,171
And we're done.
449
00:15:24,545 --> 00:15:26,337
- Whoo-hoo!
- All right!
450
00:15:26,877 --> 00:15:28,910
Oh, good. Okay.
451
00:15:29,349 --> 00:15:31,238
- Nice work.
- Well done.
452
00:15:31,420 --> 00:15:32,505
All right!
453
00:15:32,826 --> 00:15:33,834
Right?
454
00:15:34,094 --> 00:15:35,136
He flatlined again.
455
00:15:35,137 --> 00:15:36,667
Then Dr. Webber and I decided
456
00:15:36,668 --> 00:15:38,593
that without any blood left to circulate,
457
00:15:38,594 --> 00:15:39,777
his heart would not restart,
458
00:15:39,778 --> 00:15:42,274
so we called time of death at 8:52 P.M.
459
00:15:42,724 --> 00:15:44,318
Tell me about the tumor.
460
00:15:45,453 --> 00:15:47,838
The tumor had eroded through
the pulmonary artery.
461
00:15:49,582 --> 00:15:50,685
Okay.
462
00:15:53,242 --> 00:15:54,253
How do you know?
463
00:15:54,254 --> 00:15:54,923
Know what?
464
00:15:54,924 --> 00:15:56,361
When you say that the tumor
465
00:15:56,362 --> 00:15:59,006
eroded into the pulmonary artery,
466
00:15:59,430 --> 00:16:00,069
how do you know?
467
00:16:00,070 --> 00:16:01,283
There was a hole in the artery.
468
00:16:01,284 --> 00:16:03,354
- Did you actually see the artery?
- I felt it.
469
00:16:03,355 --> 00:16:04,825
You just blindly felt it?
470
00:16:06,193 --> 00:16:07,725
It wasn't a blind feel.
471
00:16:07,726 --> 00:16:08,908
I knew what I was doing.
472
00:16:08,909 --> 00:16:10,573
I traced it with my fingers.
473
00:16:14,133 --> 00:16:16,295
- Uh-huh.
- It was the posterior segmental artery.
474
00:16:16,296 --> 00:16:17,301
I'm sure of it.
475
00:16:17,302 --> 00:16:18,870
How can you be sure?
476
00:16:18,970 --> 00:16:20,554
You never got a visual.
477
00:16:21,418 --> 00:16:23,705
I-I followed the tracheal bifurcation.
478
00:16:23,706 --> 00:16:25,924
It came directly off
the main pulmonary artery.
479
00:16:25,925 --> 00:16:28,873
Okay, Kepner, let's get a few
of these lymph nodes for biopsy
480
00:16:28,874 --> 00:16:30,353
and then get ready to close.
481
00:16:33,313 --> 00:16:35,459
I didn't call it without being sure.
482
00:16:37,860 --> 00:16:39,314
From the top, Yang.
483
00:16:43,725 --> 00:16:47,528
Um, his vitals were stable
after receiving fluids.
484
00:16:47,529 --> 00:16:49,324
He was under anesthesia,
485
00:16:49,325 --> 00:16:51,589
and the bronch was placed
when I entered the O.R.
486
00:16:51,590 --> 00:16:54,629
so I proceeded with the laser endoscopy
487
00:16:54,746 --> 00:16:56,649
using the c-o-2 laser.
488
00:16:59,739 --> 00:17:01,716
Dr. Bailey, op notes done.
489
00:17:01,717 --> 00:17:02,877
Do you mind if I run out for a minute
490
00:17:02,878 --> 00:17:03,857
until the next patient's ready?
491
00:17:03,858 --> 00:17:05,170
He's gonna be here 30 minutes from now.
492
00:17:05,171 --> 00:17:06,809
I know. I can get out and
make it back in that time.
493
00:17:06,810 --> 00:17:08,925
You're going to try and get a sandwich
494
00:17:08,926 --> 00:17:11,979
then I'm going to get the sad
story 40 minutes from now
495
00:17:11,980 --> 00:17:13,660
about how long the line
was in the cafeteria.
496
00:17:13,661 --> 00:17:16,576
He's a nice man. You could do
without me for half an hour.
497
00:17:16,586 --> 00:17:18,936
- Dr. Grey.
- He won't bite.
498
00:17:19,526 --> 00:17:21,366
For god sake.
499
00:17:23,726 --> 00:17:25,853
You can run, but you can't hide.
500
00:17:28,606 --> 00:17:31,401
- Look, what we have is good.
- Mm-hmm.
501
00:17:31,402 --> 00:17:34,356
Now why on Earth do you want to rush it
502
00:17:34,357 --> 00:17:36,108
and-and complicate it
503
00:17:36,109 --> 00:17:37,822
and-and quite possibly destroy it?
504
00:17:37,823 --> 00:17:39,373
Because we're not kids anymore.
505
00:17:39,633 --> 00:17:42,189
B-because my life is happening now,
506
00:17:42,190 --> 00:17:43,956
not ten years from now or five
507
00:17:43,957 --> 00:17:45,582
or a respectable 14 months,
508
00:17:45,583 --> 00:17:47,272
but right now.
509
00:17:47,273 --> 00:17:48,681
And I want to share it,
510
00:17:48,682 --> 00:17:51,266
every day, every morning, every evening,
511
00:17:51,267 --> 00:17:52,780
a-and if that's not what you want,
512
00:17:52,781 --> 00:17:54,369
then I guess we're just
not right for each other.
513
00:17:54,370 --> 00:17:56,508
Now look, we just got back
together two weeks ago.
514
00:17:56,509 --> 00:17:57,577
I-I can't...
515
00:17:57,578 --> 00:17:59,781
Well, I guess I just got my answer.
516
00:18:02,138 --> 00:18:04,362
Hey, come o... it's been two weeks.
517
00:18:10,161 --> 00:18:12,948
Excuse me. Excuse me. Excuse me.
518
00:18:15,205 --> 00:18:17,830
Okay. Look at this face.
519
00:18:18,393 --> 00:18:20,600
Seriously, look at this face.
520
00:18:20,601 --> 00:18:21,856
Yeah, yeah, yeah, super cute.
521
00:18:21,857 --> 00:18:23,569
They're in the spinal cord now.
522
00:18:23,874 --> 00:18:25,277
Bailey spent the last two hours
523
00:18:25,278 --> 00:18:26,553
telling me how crappy my life is,
524
00:18:26,554 --> 00:18:28,170
but look at this face.
525
00:18:28,554 --> 00:18:30,146
Oh, Zola, look. There's your daddy.
526
00:18:30,147 --> 00:18:32,573
He's about to repair a myelomeningocele.
527
00:18:32,574 --> 00:18:33,970
Can you say myelomeningocele?
528
00:18:33,971 --> 00:18:35,506
- What an ass.
- Hey, language.
529
00:18:35,507 --> 00:18:36,364
Baby here.
530
00:18:36,365 --> 00:18:37,755
He pretends he's all gentle and sad
531
00:18:37,756 --> 00:18:40,489
with the Alzie wife at home,
dispensing zen wisdom
532
00:18:40,490 --> 00:18:42,800
from his half century of being a surgeon.
533
00:18:42,801 --> 00:18:44,027
Well, guess what.
534
00:18:44,028 --> 00:18:45,389
Yoda down there...
535
00:18:45,404 --> 00:18:46,955
biggest shark of 'em all.
536
00:18:47,066 --> 00:18:49,017
The guy is dangerous and mean.
537
00:18:49,450 --> 00:18:51,069
I think what Teddy's doing is mean.
538
00:18:51,070 --> 00:18:51,904
It's fine.
539
00:18:51,905 --> 00:18:54,497
No, it's horrible.
It's-it's horrible and...
540
00:18:54,498 --> 00:18:55,669
You know what else is horrible?
541
00:18:55,670 --> 00:18:56,604
Having a dead husband.
542
00:18:56,605 --> 00:18:58,536
No, you know what? You don't know, okay?
543
00:18:58,537 --> 00:18:59,409
It's not right.
544
00:18:59,410 --> 00:19:01,009
Teddy's O.R., it's like...
545
00:19:01,121 --> 00:19:02,546
it's like a morgue.
546
00:19:02,679 --> 00:19:04,630
Well, Altman's husband
died on Yang's table.
547
00:19:04,631 --> 00:19:06,077
Payback's a bitch.
548
00:19:06,078 --> 00:19:08,430
Oh, will you just shut up? It's fine.
549
00:19:08,536 --> 00:19:09,768
I can handle it.
550
00:19:10,294 --> 00:19:11,589
Well, it has been two weeks of this.
551
00:19:11,590 --> 00:19:12,902
It must be getting to you.
552
00:19:13,317 --> 00:19:15,710
No more than it did yesterday
or the day before that
553
00:19:15,711 --> 00:19:16,536
or the day before that.
554
00:19:16,537 --> 00:19:18,921
It's fine. I'm... I can handle it.
555
00:19:18,967 --> 00:19:21,511
Damn it. Spinal dermoid cyst.
556
00:19:21,546 --> 00:19:22,983
It's all tangled up in the spinal root.
557
00:19:22,984 --> 00:19:24,232
Yeah, there's a lot of scarring in there.
558
00:19:24,233 --> 00:19:25,129
I don't see a clean approach.
559
00:19:25,130 --> 00:19:26,405
Well, no, well, you have to take it out
560
00:19:26,406 --> 00:19:27,718
because the cyst could become malignant.
561
00:19:27,719 --> 00:19:29,110
Yes, we're aware. Thank you.
562
00:19:29,111 --> 00:19:32,073
Maybe if I can come in
from an angle... like this,
563
00:19:32,074 --> 00:19:34,433
but then we risk
the contents spilling out...
564
00:19:34,434 --> 00:19:36,412
Which could cause a chemical meningitis.
565
00:19:36,413 --> 00:19:38,334
Dr. Robbins, we've got this.
566
00:19:39,006 --> 00:19:40,740
Okay, what if we stretch
the nerve root here?
567
00:19:40,741 --> 00:19:42,416
Well, that might paralyze Brandi.
568
00:19:42,417 --> 00:19:44,657
Yes, Brandi might end up paralyzed.
569
00:19:44,957 --> 00:19:46,846
Yeah, no one understands
that better than we do,
570
00:19:46,847 --> 00:19:49,045
which is why we will be
making this decision, okay?
571
00:19:49,046 --> 00:19:50,443
Us. Not you.
572
00:19:50,444 --> 00:19:52,718
Us. You all right with that?
573
00:19:53,378 --> 00:19:54,554
Just make sure... you.
574
00:19:54,555 --> 00:19:55,737
I...
575
00:19:57,630 --> 00:19:58,827
Yes, I'm okay with that.
576
00:19:58,828 --> 00:20:01,461
No more talking from anyone in this O.R.
577
00:20:01,462 --> 00:20:03,411
We need complete silence from now on.
578
00:20:07,302 --> 00:20:08,310
Hey.
579
00:20:08,487 --> 00:20:10,069
I was in the shop downstairs,
580
00:20:10,070 --> 00:20:11,627
and I figured, you know,
581
00:20:11,628 --> 00:20:13,217
now there's gonna be two of 'em,
582
00:20:13,218 --> 00:20:15,510
- they're gonna need their own clothes.
- Ohh.
583
00:20:15,511 --> 00:20:18,204
So I figured Brandi
could be the punk first
584
00:20:18,278 --> 00:20:19,285
and then we could make 'em switch
585
00:20:19,286 --> 00:20:20,774
and see which one wears 'em better.
586
00:20:23,262 --> 00:20:24,593
I love you.
587
00:20:24,594 --> 00:20:25,826
I love you, too.
588
00:20:39,470 --> 00:20:40,216
Oh!
589
00:20:40,217 --> 00:20:42,713
Uh, they're, uh,
about to separate the girls,
590
00:20:43,031 --> 00:20:44,726
which is so...
591
00:20:45,434 --> 00:20:46,273
cool.
592
00:20:46,274 --> 00:20:47,522
It...
593
00:20:51,754 --> 00:20:53,530
Okay, we're ready for the final cut.
594
00:21:04,578 --> 00:21:07,378
All right. Separation complete.
595
00:21:08,477 --> 00:21:09,231
No, no, no, no, no.
596
00:21:09,231 --> 00:21:10,125
Not yet, not yet.
597
00:21:10,125 --> 00:21:11,473
We still need to check
on the motor function.
598
00:21:11,473 --> 00:21:12,823
Let's do...
599
00:21:13,296 --> 00:21:16,534
2 milliamps of stimulation
on Andi first, please.
600
00:21:20,676 --> 00:21:21,745
All right.
601
00:21:21,745 --> 00:21:23,057
All right. Let's try Brandi now.
602
00:21:23,057 --> 00:21:24,615
2 milliamps of stimulation.
603
00:21:31,664 --> 00:21:33,353
Let's go up to 3 milliamps, please.
604
00:21:42,355 --> 00:21:44,347
Come on, Brandi. Just give
us some kind of movement.
605
00:21:44,347 --> 00:21:45,533
Anything.
606
00:21:53,585 --> 00:21:56,077
All right. Let's go to 4
milliamps of stimulation.
607
00:22:08,996 --> 00:22:10,907
Hey, there you go.
608
00:22:10,907 --> 00:22:12,400
All right. Good.
609
00:22:15,614 --> 00:22:17,933
Great work, everyone. One step at a time,
610
00:22:17,933 --> 00:22:19,474
by the numbers, like we practiced.
611
00:22:19,474 --> 00:22:20,613
Let's move.
612
00:22:26,144 --> 00:22:28,022
- Okay, count of three. One, two three.
- Two, three.
613
00:22:28,022 --> 00:22:29,429
Gently, gently.
614
00:22:29,429 --> 00:22:30,479
Nicely done.
615
00:22:35,159 --> 00:22:36,818
We've still got a hell
of a long way to go.
616
00:22:36,818 --> 00:22:38,325
I'll be checking in on you both.
617
00:22:44,049 --> 00:22:45,661
How's it going in here, Sloan?
618
00:22:45,661 --> 00:22:49,070
The flap is well-vascularized,
has good cap refill,
619
00:22:49,070 --> 00:22:51,418
and is covering the defect perfectly.
620
00:22:51,418 --> 00:22:52,770
I nailed it.
621
00:22:53,070 --> 00:22:54,624
Did Avery nail his?
622
00:22:59,534 --> 00:23:00,520
What's going on, Avery?
623
00:23:00,520 --> 00:23:01,844
You should've finished your flap by now.
624
00:23:01,844 --> 00:23:03,573
Yet I haven't even started.
625
00:23:03,573 --> 00:23:05,897
Why don't you give me
a call when you're ready?
626
00:23:06,033 --> 00:23:07,843
Her kidney's completely necrotic.
627
00:23:08,836 --> 00:23:09,377
V-tach.
628
00:23:09,377 --> 00:23:11,115
Okay, push 30 milligrams of calcium.
629
00:23:11,115 --> 00:23:12,787
She's already showing
signs of renal failure.
630
00:23:12,787 --> 00:23:13,837
Her kidney was fine earlier.
631
00:23:13,837 --> 00:23:15,288
Maybe something caused an
arterial spasm while we
632
00:23:15,288 --> 00:23:16,858
were checking the function
of the blood supply.
633
00:23:16,858 --> 00:23:18,726
I don't know, but at this point,
I don't think it's salvageable.
634
00:23:18,726 --> 00:23:21,231
She hasn't had any urine output
since she's been in this O.R.
635
00:23:21,514 --> 00:23:22,466
How did it happen?
636
00:23:22,466 --> 00:23:24,434
Sometimes complications can arise.
637
00:23:24,434 --> 00:23:26,209
I didn't even want this.
638
00:23:26,209 --> 00:23:27,957
I mean, you people,
639
00:23:27,957 --> 00:23:30,421
you doctors talked us into this.
640
00:23:30,421 --> 00:23:32,362
You promised us that you could do this.
641
00:23:32,362 --> 00:23:33,504
So what are you saying, Dr. Grey?
642
00:23:33,504 --> 00:23:34,924
She's saying
643
00:23:34,924 --> 00:23:36,814
that our perfectly healthy daughter
644
00:23:36,814 --> 00:23:38,842
started the day sharing three kidneys
645
00:23:38,842 --> 00:23:41,397
and now she only has one
which isn't even working...
646
00:23:42,060 --> 00:23:44,396
which basically means, she has none.
647
00:23:44,962 --> 00:23:46,560
That's what she's telling you.
648
00:23:46,560 --> 00:23:47,604
Can they fix it?
649
00:23:48,576 --> 00:23:50,612
Is she... is Brandi gonna be okay?
650
00:23:51,406 --> 00:23:53,262
We don't know yet.
651
00:23:53,283 --> 00:23:55,305
We're just gonna have to wait and see.
652
00:24:02,109 --> 00:24:04,665
17-year-old male with
multiple G.S.W. to the chest.
653
00:24:04,665 --> 00:24:06,067
We're bringing him straight from the E.R.
654
00:24:06,067 --> 00:24:07,684
so we don't have a lot of time, people.
655
00:24:07,684 --> 00:24:08,667
Let's get him on the table.
656
00:24:08,667 --> 00:24:10,171
Dr. Yang, are you scrubbing in this time?
657
00:24:10,171 --> 00:24:11,213
No.
658
00:24:11,213 --> 00:24:13,014
All right. On my count. One, two...
659
00:24:13,014 --> 00:24:14,144
three.
660
00:24:14,716 --> 00:24:15,802
Let's move, Kepner.
661
00:24:29,186 --> 00:24:30,181
Yang.
662
00:24:31,538 --> 00:24:32,337
Vitals were stable...
663
00:24:32,337 --> 00:24:34,276
after receiving L.R. and packed cells.
664
00:24:34,276 --> 00:24:36,594
The bronch was already placed
when I entered into the O.R.
665
00:24:36,594 --> 00:24:38,804
so I proceeded with the laser endoscopy.
666
00:24:41,143 --> 00:24:42,444
How was your lunch, Dr. Grey?
667
00:24:42,444 --> 00:24:45,261
Oh, it was fine. Actually, no line at all.
668
00:24:45,261 --> 00:24:47,093
I was able to get my sandwich,
669
00:24:47,093 --> 00:24:49,186
find my daughter, see my husband,
670
00:24:49,186 --> 00:24:50,827
go watch the groundbreaking surgery.
671
00:24:50,827 --> 00:24:52,654
That's going on right next door.
672
00:24:52,654 --> 00:24:55,943
And still get back in time to do my work.
673
00:24:55,943 --> 00:24:58,146
Sounds like you have it all, Dr. Grey.
674
00:24:58,146 --> 00:24:59,825
I do, actually. I have it all.
675
00:24:59,825 --> 00:25:00,976
I've heard enough about the lunch.
676
00:25:00,976 --> 00:25:02,327
I don't see any more perforations.
677
00:25:02,327 --> 00:25:03,807
I'm gonna start closing.
678
00:25:03,807 --> 00:25:05,793
Oh, I'd say we should grab
a drink and celebrate,
679
00:25:05,793 --> 00:25:08,294
but I know you don't have
room in your life for joy.
680
00:25:10,438 --> 00:25:12,369
Is it a crime
681
00:25:12,369 --> 00:25:14,221
that I like to focus
682
00:25:14,221 --> 00:25:15,689
when I'm in the workplace?
683
00:25:15,689 --> 00:25:18,234
If so, my apologies.
684
00:25:18,234 --> 00:25:19,511
I focus.
685
00:25:19,511 --> 00:25:21,904
I focus like a laser.
686
00:25:21,904 --> 00:25:24,544
That's why I don't make mistakes.
687
00:25:24,544 --> 00:25:27,779
That's why my patients survive surgery.
688
00:25:27,779 --> 00:25:31,166
That's why I'm not sloppy or careless...
689
00:25:31,166 --> 00:25:32,203
We're missing a sponge.
690
00:25:32,203 --> 00:25:34,957
Or inconsistent like many
of my colleagues are.
691
00:25:34,957 --> 00:25:37,201
Frankly, like most of my students are.
692
00:25:37,201 --> 00:25:39,205
When you and chatty Cathy over here
693
00:25:39,205 --> 00:25:42,339
we're discussing the magic of lunch,
694
00:25:42,339 --> 00:25:44,631
I was focused enough for both of us.
695
00:25:44,631 --> 00:25:45,911
- Dr. Bailey.
- What?
696
00:25:45,911 --> 00:25:47,767
We're missing a sponge.
697
00:25:50,599 --> 00:25:51,634
Well, count again.
698
00:25:51,634 --> 00:25:55,044
We did. Three times.
We've looked everywhere except...
699
00:25:55,543 --> 00:25:56,867
Except where?
700
00:26:00,217 --> 00:26:01,666
Inside the patient.
701
00:26:06,549 --> 00:26:07,761
Did you clear out the clots?
702
00:26:07,761 --> 00:26:09,205
- Yeah.
- Were there any adhesions?
703
00:26:09,205 --> 00:26:10,138
No, the vessels are clear,
704
00:26:10,138 --> 00:26:11,328
and yet the kidney is-is dead.
705
00:26:11,328 --> 00:26:13,099
What if we tried a bypass graft?
706
00:26:13,099 --> 00:26:14,577
A kidney transplant.
707
00:26:14,577 --> 00:26:16,896
We've got the perfectly
matched donor right next door.
708
00:26:16,896 --> 00:26:18,546
They used to share all
three of those kidneys.
709
00:26:18,546 --> 00:26:20,262
Th-there's be no need
for immunosuppressants
710
00:26:20,262 --> 00:26:21,215
because they're identical twins.
711
00:26:21,215 --> 00:26:22,805
They'd be saving each other.
712
00:26:22,805 --> 00:26:24,283
Okay, Karev. It's your idea.
713
00:26:24,283 --> 00:26:25,413
Make it happen.
714
00:26:32,761 --> 00:26:35,296
The parents wanted to see her
before she went up to PICU.
715
00:26:36,018 --> 00:26:37,322
She looks so weird.
716
00:26:37,322 --> 00:26:38,758
Where's her sister?
717
00:26:42,930 --> 00:26:44,820
I cannot look at her without her sister.
718
00:26:44,820 --> 00:26:46,333
Honey, Brandi's gonna be fine.
719
00:26:46,333 --> 00:26:47,635
She'll be here, too.
720
00:26:48,453 --> 00:26:49,889
They're both gonna be fine.
721
00:26:50,552 --> 00:26:52,130
We need Andi back in the O.R.
722
00:26:52,435 --> 00:26:53,546
What's wrong?
723
00:26:53,546 --> 00:26:54,798
We're gonna do a kidney transplant.
724
00:26:54,798 --> 00:26:55,811
Brandi's kidney failed.
725
00:26:55,811 --> 00:26:57,761
It's straining her other organs,
including her heart.
726
00:26:57,761 --> 00:26:59,701
- No, you can't.
- It's okay. Let them take her.
727
00:26:59,701 --> 00:27:02,417
I can't lose them both.
Please. No. You can't.
728
00:27:14,673 --> 00:27:16,015
How much longer? You need me to scrub in?
729
00:27:16,015 --> 00:27:17,169
Almost there.
730
00:27:17,169 --> 00:27:18,822
Well, can you be almost
there a little faster?
731
00:27:18,822 --> 00:27:20,100
There. Got it.
732
00:27:24,946 --> 00:27:25,984
Thank you.
733
00:27:26,561 --> 00:27:27,950
Open the friggin' door.
734
00:27:33,101 --> 00:27:34,264
Kidney looks healthy. Are you ready?
735
00:27:34,264 --> 00:27:35,811
Yeah. Go ahead and scrub in.
736
00:27:44,481 --> 00:27:45,354
Vitals were stable
737
00:27:45,354 --> 00:27:47,303
after receiving L.R. and packed cells.
738
00:27:47,303 --> 00:27:48,810
The bronchoscope was already in place
739
00:27:48,810 --> 00:27:50,070
when I entered the O.R.
740
00:27:50,070 --> 00:27:52,133
so I started with the laser endoscopy.
741
00:27:52,133 --> 00:27:54,943
I had good visualization of
the tumor almost immediately.
742
00:27:54,943 --> 00:27:55,931
Tell me about the tumor.
743
00:27:55,931 --> 00:27:57,277
It was highly vascularized
744
00:27:57,277 --> 00:27:59,226
and had eroded through
the pulmonary artery.
745
00:27:59,226 --> 00:28:00,153
- How do you know?
- I felt it.
746
00:28:00,153 --> 00:28:02,298
- What did you feel?
- A hole in the pulmonary artery.
747
00:28:02,298 --> 00:28:03,929
- Are you sure that it was the pulmonary artery?
- Yes.
748
00:28:03,929 --> 00:28:05,258
Or did you just blindly feel it?
749
00:28:05,258 --> 00:28:06,924
I knew what I was doing and what I felt.
750
00:28:06,924 --> 00:28:08,643
- You had your hand on it?
- I had my hand on it
751
00:28:08,643 --> 00:28:10,926
- and traced the anatomy.
- Are you 100% sure?
752
00:28:10,926 --> 00:28:12,714
She said she's sure!
753
00:28:13,919 --> 00:28:15,394
Enough! It's enough!
754
00:28:15,394 --> 00:28:17,746
This is enough. You can't keep doing this.
755
00:28:17,746 --> 00:28:19,007
You c... you can't...
756
00:28:20,346 --> 00:28:21,722
He's gone.
757
00:28:22,137 --> 00:28:24,992
Dr. Altman, I-I'm sorry, but he's gone,
758
00:28:24,992 --> 00:28:27,116
and this is not gonna bring him back
759
00:28:27,116 --> 00:28:28,722
so please just stop.
760
00:28:29,891 --> 00:28:31,052
Please.
761
00:28:33,722 --> 00:28:36,078
Are you all right, Dr. Kepner,
762
00:28:36,287 --> 00:28:39,231
or do you need time to gather yourself?
763
00:28:43,254 --> 00:28:44,526
No, I...
764
00:28:46,009 --> 00:28:47,139
No.
765
00:28:48,252 --> 00:28:49,497
Okay, then.
766
00:28:52,714 --> 00:28:54,834
I am 100% sure.
767
00:28:58,597 --> 00:28:59,710
All right.
768
00:29:00,080 --> 00:29:01,266
Henry flatlined.
769
00:29:01,266 --> 00:29:03,237
We did compressions, pushed epi,
770
00:29:03,237 --> 00:29:05,554
got a sinus brady, pushed high-dose epi.
771
00:29:05,554 --> 00:29:06,614
He flatlined again.
772
00:29:06,614 --> 00:29:07,931
We did more compressions.
773
00:29:07,931 --> 00:29:10,606
We continued in this manner
until both Dr. Webber and I
774
00:29:10,606 --> 00:29:12,493
decided that his heart would not start.
775
00:29:12,493 --> 00:29:14,994
We called time of death at 8:52 P.M.
776
00:29:28,177 --> 00:29:30,754
You have every reason to
be pissed with me, Karev.
777
00:29:32,008 --> 00:29:33,318
I played you.
778
00:29:34,353 --> 00:29:35,809
I wanted in on that surgery,
779
00:29:35,809 --> 00:29:37,878
and I looked for the weakest link,
780
00:29:38,481 --> 00:29:39,519
and it was you.
781
00:29:39,519 --> 00:29:40,898
That's all right.
782
00:29:41,091 --> 00:29:42,559
Next time I'll know better.
783
00:29:42,559 --> 00:29:43,897
It's not all right.
784
00:29:44,475 --> 00:29:46,133
That was your moment,
785
00:29:46,133 --> 00:29:47,948
and I took it away from you.
786
00:29:48,349 --> 00:29:51,451
What I did today was... sad.
787
00:29:51,451 --> 00:29:53,159
It was pathetic.
788
00:29:55,428 --> 00:29:57,434
An old man acting out of fear.
789
00:30:03,283 --> 00:30:06,045
You get to a point in your career...
790
00:30:06,716 --> 00:30:08,186
hell, in your life...
791
00:30:09,661 --> 00:30:12,915
when you realize you got more
yesterdays than tomorrows.
792
00:30:14,154 --> 00:30:16,648
And that realization is hard on a man.
793
00:30:18,831 --> 00:30:19,943
But when you get a chance
794
00:30:19,943 --> 00:30:21,817
to get in on something like that...
795
00:30:23,283 --> 00:30:25,181
You fight like a tiger,
796
00:30:26,450 --> 00:30:27,531
all because you think
797
00:30:27,531 --> 00:30:30,615
it'll give you just a little
more time in the game.
798
00:30:32,445 --> 00:30:34,407
I don't think you have
to worry about that.
799
00:30:34,407 --> 00:30:35,443
You kidding?
800
00:30:37,016 --> 00:30:38,532
A year from now,
801
00:30:38,807 --> 00:30:40,683
maybe two if I'm lucky,
802
00:30:41,484 --> 00:30:42,797
they'll stick me in an office
803
00:30:42,797 --> 00:30:45,377
in a part of the hospital
nobody ever goes to.
804
00:30:46,628 --> 00:30:48,004
They'll appoint me
805
00:30:48,004 --> 00:30:49,597
to some do-nothing board
806
00:30:49,597 --> 00:30:52,471
that makes up rules
nobody pays attention to.
807
00:30:54,168 --> 00:30:55,697
They'll let me do a couple of appys a week
808
00:30:55,697 --> 00:30:57,927
so I can still call myself a surgeon.
809
00:31:00,634 --> 00:31:03,076
You reach a certain age,
that's what happens.
810
00:31:06,205 --> 00:31:07,673
It's the order of things.
811
00:31:11,509 --> 00:31:14,079
I can't think of anything
more humiliating.
812
00:31:17,258 --> 00:31:18,462
Can you?
813
00:31:20,092 --> 00:31:21,329
No.
814
00:31:27,050 --> 00:31:29,524
Hey, you want to scrub
in on the transplant?
815
00:31:30,251 --> 00:31:32,139
Robbins just needs one of us.
816
00:31:32,139 --> 00:31:33,245
Go ahead.
817
00:31:33,544 --> 00:31:34,494
Really?
818
00:31:34,947 --> 00:31:37,113
Go on or I'm gonna change my mind.
819
00:31:38,957 --> 00:31:40,414
I-I don't know...
820
00:31:47,336 --> 00:31:48,616
Thanks, Karev.
821
00:31:56,908 --> 00:31:58,618
36.
822
00:31:58,673 --> 00:32:00,263
37.
823
00:32:00,487 --> 00:32:01,781
38.
824
00:32:01,904 --> 00:32:04,607
39. Nope. The X-rays are here.
825
00:32:04,607 --> 00:32:06,249
Oh. Look, keep looking.
826
00:32:06,249 --> 00:32:07,947
Uh, Dr. Bailey, we have to close.
827
00:32:07,947 --> 00:32:09,226
He's been under too long.
828
00:32:09,226 --> 00:32:10,227
You have boards coming up.
829
00:32:10,227 --> 00:32:12,233
Is this really what you
want on your record?
830
00:32:14,576 --> 00:32:16,759
Well, don't just stand
there like a whipped puppy.
831
00:32:16,759 --> 00:32:17,864
Check under the liver again.
832
00:32:17,864 --> 00:32:19,407
It's-it's not under the liver.
833
00:32:19,407 --> 00:32:20,174
Excuse me?
834
00:32:20,174 --> 00:32:22,119
It's not in the patient.
835
00:32:22,615 --> 00:32:25,719
Dr. Grey, I-I thought I
taught you the simple,
836
00:32:25,719 --> 00:32:28,944
reliable rules, like when
you don't find the problem
837
00:32:28,944 --> 00:32:30,821
on your first look, check again.
838
00:32:30,821 --> 00:32:32,698
Double-check, triple-check if you have to.
839
00:32:32,698 --> 00:32:34,609
We don't throw our hands up in my O.R.
840
00:32:34,609 --> 00:32:36,721
when a man's life is at stake.
841
00:32:38,144 --> 00:32:41,734
Dr. Bailey, the sponge is
on the bottom of your shoe.
842
00:32:41,734 --> 00:32:42,856
On the...
843
00:32:43,100 --> 00:32:44,046
Wh...
844
00:32:48,943 --> 00:32:50,185
Focus...
845
00:32:50,307 --> 00:32:51,953
like a laser.
846
00:33:01,078 --> 00:33:02,717
Why aren't we getting any urine?
847
00:33:02,717 --> 00:33:04,541
There's a kink in the vessels.
848
00:33:04,541 --> 00:33:05,923
Papaverine, please.
849
00:33:05,923 --> 00:33:08,026
Hey, why are you doing this and not Karev?
850
00:33:08,026 --> 00:33:09,724
He was the one who
suggested the transplant.
851
00:33:09,724 --> 00:33:11,666
I picked Karev's pocket.
852
00:33:14,480 --> 00:33:15,514
You what?
853
00:33:15,514 --> 00:33:17,852
Twice in one day, Karev?
854
00:33:17,852 --> 00:33:19,514
Honest to god...
855
00:33:19,884 --> 00:33:21,776
it was like taking candy from a baby.
856
00:33:21,776 --> 00:33:22,936
No, that's not right.
857
00:33:22,936 --> 00:33:24,122
It's not fair to the baby.
858
00:33:24,122 --> 00:33:26,912
It was easier than
taking candy from a baby.
859
00:33:26,912 --> 00:33:29,750
At least the baby puts
up a bit of a fight.
860
00:33:30,842 --> 00:33:32,480
Removing clamp.
861
00:33:32,632 --> 00:33:33,548
- Whoo!
- Ahh!
862
00:33:33,548 --> 00:33:35,326
- Yes! Oh, we got it.
- We have urine.
863
00:33:35,326 --> 00:33:37,558
The kidney's working. We did it.
864
00:33:37,558 --> 00:33:39,014
Good job.
865
00:33:40,550 --> 00:33:42,975
Dr. Webber exercised
his judgment and stepped in.
866
00:33:42,975 --> 00:33:44,537
So we cracked his chest
867
00:33:44,537 --> 00:33:45,851
and tried to tamponade the bleeding
868
00:33:45,851 --> 00:33:47,277
and get to the source.
869
00:33:47,655 --> 00:33:48,987
He became bradycardic,
870
00:33:48,987 --> 00:33:50,735
so we pushed atropine.
871
00:33:50,735 --> 00:33:53,064
Um, I then realized
he had lost so much blood
872
00:33:53,064 --> 00:33:53,934
because his...
873
00:33:53,934 --> 00:33:56,961
The tumor had eroded through
the pulmonary artery.
874
00:34:04,224 --> 00:34:05,480
- Right.
- That's when he flatlined.
875
00:34:05,480 --> 00:34:06,348
We did compressions...
876
00:34:06,348 --> 00:34:08,128
Pushed epi, got a sinus brady...
877
00:34:08,128 --> 00:34:09,269
Push high-dose epi...
878
00:34:10,394 --> 00:34:12,266
Which is when he flatlined again.
879
00:34:13,600 --> 00:34:14,760
Yes.
880
00:34:16,680 --> 00:34:18,844
And you and Dr. Webber agreed
881
00:34:18,844 --> 00:34:21,162
that he had lost too much blood...
882
00:34:21,162 --> 00:34:22,150
Yes.
883
00:34:22,362 --> 00:34:25,250
And didn't have enough left to circulate,
884
00:34:25,250 --> 00:34:27,072
so his heart...
885
00:34:27,670 --> 00:34:28,986
would not restart.
886
00:34:28,986 --> 00:34:30,145
Yes.
887
00:34:34,432 --> 00:34:36,514
So you called time of death.
888
00:34:37,512 --> 00:34:39,314
- 8:52 P.M.
- 8:52 P.M.
889
00:34:51,826 --> 00:34:52,956
I'm sorry.
890
00:34:52,956 --> 00:34:54,622
Oh, you don't apologize.
891
00:34:54,622 --> 00:34:57,828
You hear me? You don't blame yourself.
892
00:34:59,621 --> 00:35:02,142
You did every single thing
893
00:35:02,142 --> 00:35:03,718
that I would have done.
894
00:35:04,086 --> 00:35:06,272
You were me in that O.R.
895
00:35:06,631 --> 00:35:08,283
You were good
896
00:35:08,365 --> 00:35:10,080
and you did it right.
897
00:35:10,173 --> 00:35:11,724
He just...
898
00:35:13,674 --> 00:35:15,038
He just...
899
00:35:20,790 --> 00:35:22,904
He just died.
900
00:36:00,829 --> 00:36:03,506
I had a husband and a baby
901
00:36:03,506 --> 00:36:04,930
and I was a surgeon.
902
00:36:04,930 --> 00:36:06,586
I had it all.
903
00:36:06,586 --> 00:36:08,048
And then it all...
904
00:36:08,634 --> 00:36:10,272
turned bad.
905
00:36:10,799 --> 00:36:12,515
So I got divorced.
906
00:36:12,515 --> 00:36:14,787
And then I got back on my feet.
907
00:36:14,787 --> 00:36:16,301
I found you.
908
00:36:17,709 --> 00:36:19,381
And then there was a shooting.
909
00:36:20,959 --> 00:36:23,913
So now I am finally back on my feet
910
00:36:23,913 --> 00:36:25,013
again
911
00:36:25,168 --> 00:36:27,823
and I have you again.
912
00:36:33,919 --> 00:36:35,889
I just don't want it to blow up.
913
00:36:35,889 --> 00:36:38,305
Okay. You-you're scared.
914
00:36:38,305 --> 00:36:39,891
See, all right, now...
915
00:36:39,891 --> 00:36:41,241
I am, too.
916
00:36:41,241 --> 00:36:43,325
Why can't we be scared in the same house?
917
00:36:43,325 --> 00:36:45,617
Well, don't act like it's not complicated.
918
00:36:45,617 --> 00:36:48,599
It's not complicated.
We just take it one step at a time.
919
00:36:48,599 --> 00:36:51,363
Put a toothbrush in my house today.
920
00:36:51,363 --> 00:36:52,954
Tomorrow, maybe a couple pairs of socks.
921
00:36:52,954 --> 00:36:54,575
Then a suitcase on the weekend...
922
00:36:54,575 --> 00:36:56,373
I have a child.
923
00:36:56,373 --> 00:36:58,269
I can't just move in with you.
924
00:36:58,269 --> 00:36:59,500
Wait. You-you have a child?
925
00:36:59,500 --> 00:37:01,034
Whoa. When did... when did that happen?
926
00:37:01,034 --> 00:37:02,641
Oh, stop... you are not a funny man.
927
00:37:02,641 --> 00:37:05,136
I met him. Rick, right?
928
00:37:05,666 --> 00:37:07,884
It was a mistake to even
enter into this conversation.
929
00:37:07,884 --> 00:37:10,848
T. rex versus megalosaurus... who wins?
930
00:37:10,848 --> 00:37:12,153
Well, I have no idea.
931
00:37:12,153 --> 00:37:13,403
You know who does?
932
00:37:13,403 --> 00:37:15,779
I do, and so does Tuck.
933
00:37:15,779 --> 00:37:17,604
Megalosaurus is a tenth of the size.
934
00:37:17,604 --> 00:37:19,540
T. rex eats megalo every time.
935
00:37:19,540 --> 00:37:21,080
But T. rex versus pteranodon, though...
936
00:37:21,080 --> 00:37:21,930
Ben...
937
00:37:21,930 --> 00:37:23,648
Pteranodon can fly. That's an easy win.
938
00:37:23,648 --> 00:37:25,880
Unless you think that's a forfeit.
939
00:37:25,880 --> 00:37:27,347
Yeah, I can do this all day,
940
00:37:27,347 --> 00:37:28,165
and so can Tuck.
941
00:37:28,165 --> 00:37:30,884
You're bored already,
and we've been at it 30 seconds.
942
00:37:31,806 --> 00:37:33,621
I like Tuck.
943
00:37:33,751 --> 00:37:35,075
I like hanging out with Tuck.
944
00:37:35,075 --> 00:37:37,481
I like dinosaurs and transformers
945
00:37:37,481 --> 00:37:40,063
and... I like you.
946
00:37:41,333 --> 00:37:44,715
I... want the whole package.
947
00:37:47,617 --> 00:37:50,118
I know you don't come without Tuck.
948
00:37:51,268 --> 00:37:52,472
I know that.
949
00:37:56,323 --> 00:37:57,774
I know who you are.
950
00:38:10,060 --> 00:38:11,164
So that's it?
951
00:38:12,570 --> 00:38:13,654
Nothing?
952
00:38:17,032 --> 00:38:20,152
My toothbrush is in my locker.
953
00:38:23,698 --> 00:38:25,150
One step at a time.
954
00:38:41,849 --> 00:38:43,327
So that went well today.
955
00:38:43,327 --> 00:38:45,326
Hmm. You were a monster.
956
00:38:45,326 --> 00:38:47,391
No, no, no, no,
I was just... I was amped up.
957
00:38:48,565 --> 00:38:49,131
Okay.
958
00:38:49,131 --> 00:38:50,636
Yeah. I think people found me helpful.
959
00:38:50,636 --> 00:38:52,606
Oh. Mm-hmm. Okay.
960
00:38:52,606 --> 00:38:54,200
Okay. Anyways.
961
00:38:54,790 --> 00:38:55,971
I'm gonna go check on the twins,
962
00:38:55,971 --> 00:38:56,645
then I'm gonna head home.
963
00:38:56,645 --> 00:38:59,203
Hey, could you, um, put
the humidifier on in Sofia's room?
964
00:38:59,203 --> 00:39:00,780
She seemed a little
congested this morning.
965
00:39:00,780 --> 00:39:02,245
- Yeah, I noticed that.
- Yeah, but don't give her anything for it.
966
00:39:02,245 --> 00:39:03,987
- I don't think we're there yet.
- All right.
967
00:39:03,987 --> 00:39:05,455
Oh, and give her the pink blanket
968
00:39:05,455 --> 00:39:06,874
that your friend Terry gave us.
She likes that.
969
00:39:06,874 --> 00:39:09,073
- No, no, she doesn't...
- Uh, yes, she does.
970
00:39:09,279 --> 00:39:10,610
And don't put it on her directly
971
00:39:10,610 --> 00:39:11,693
'cause she'll just fling it off.
972
00:39:11,693 --> 00:39:13,889
Lay it down on top of the sheet,
fuzzy side up.
973
00:39:13,889 --> 00:39:14,852
Uh, excuse me.
974
00:39:14,852 --> 00:39:16,853
This is important. Are you getting this?
975
00:39:16,853 --> 00:39:18,551
Fuzzy side up, not down. Up.
976
00:39:18,551 --> 00:39:20,733
- Not down, up.
- Fine, fine, fine.
977
00:39:20,733 --> 00:39:22,022
- Not down. Up. My way.
- Fine, fine.
978
00:39:22,022 --> 00:39:23,476
- My way.
- Fine, fine, fine.
979
00:39:23,476 --> 00:39:24,704
I was a monster.
980
00:39:25,599 --> 00:39:26,339
Hey, Mike.
981
00:39:26,339 --> 00:39:27,956
Hey.
982
00:39:28,308 --> 00:39:29,403
You mind if I get started?
983
00:39:29,403 --> 00:39:30,337
No, no, no, go ahead, Mike.
984
00:39:30,337 --> 00:39:32,820
We were just leaving.
985
00:39:32,958 --> 00:39:34,529
Hey, I'll come see the babies with you.
986
00:39:35,562 --> 00:39:36,728
Seriously, though,
987
00:39:36,728 --> 00:39:38,132
I'm putting the humidifier on.
988
00:39:44,837 --> 00:39:47,621
If only life was just a dress rehearsal...
989
00:39:50,775 --> 00:39:53,013
and we had time for do-overs.
990
00:39:56,341 --> 00:39:58,267
That's something, isn't it, Karev?
991
00:39:58,267 --> 00:39:59,032
What a surgery.
992
00:39:59,032 --> 00:40:00,824
This is a teaching hospital, okay?
993
00:40:00,824 --> 00:40:02,669
You were the chief for 20 years.
994
00:40:02,669 --> 00:40:04,735
You're supposed to be
teaching your residents,
995
00:40:04,735 --> 00:40:07,353
not stealing surgeries
like some shark fifth year.
996
00:40:07,353 --> 00:40:08,310
It's not cool, okay?
997
00:40:08,310 --> 00:40:09,680
It's not fair.
998
00:40:11,629 --> 00:40:13,963
Oh, I think I taught you something today.
999
00:40:14,175 --> 00:40:17,014
You don't give up a
once-in-a-lifetime surgery,
1000
00:40:17,014 --> 00:40:18,625
not for any reason,
1001
00:40:18,625 --> 00:40:21,106
not for anyone, not ever.
1002
00:40:26,758 --> 00:40:28,185
Watch your back, Karev.
1003
00:40:28,532 --> 00:40:31,293
I may decide to teach
you something tomorrow.
1004
00:40:31,557 --> 00:40:34,159
We'd be able to practice
and practice every moment
1005
00:40:34,159 --> 00:40:35,784
until we got it right.
1006
00:40:38,155 --> 00:40:40,903
God, I wish you could've
been in there with me today.
1007
00:40:42,195 --> 00:40:43,358
Really?
1008
00:40:43,535 --> 00:40:44,600
Me, too.
1009
00:40:45,394 --> 00:40:46,010
Oh!
1010
00:40:46,010 --> 00:40:47,024
- I'm sorry. I wasn't...
- No, no.
1011
00:40:47,024 --> 00:40:49,401
I'm-I'm sorry. I was... hearing things.
1012
00:40:49,401 --> 00:40:51,994
It was... long day.
I'm just gonna... okay.
1013
00:40:52,439 --> 00:40:54,065
Unfortunately...
1014
00:40:54,240 --> 00:40:57,325
every day of our lives
is its own performance.
1015
00:40:57,325 --> 00:40:58,735
She's gonna need rehab,
1016
00:40:58,735 --> 00:41:00,871
but the fact that her
legs are moving already
1017
00:41:00,871 --> 00:41:02,167
is a really good sign.
1018
00:41:02,167 --> 00:41:04,566
Is this a private party
or can anybody join in?
1019
00:41:04,566 --> 00:41:06,349
Here you go. Brandi...
1020
00:41:06,509 --> 00:41:08,045
meet Andi.
1021
00:41:08,045 --> 00:41:10,450
She's the one who's been kicking
you in the ass your whole life.
1022
00:41:10,450 --> 00:41:11,725
Can we, um...
1023
00:41:12,033 --> 00:41:13,770
Is it okay if we touch 'em?
1024
00:41:13,770 --> 00:41:15,230
Of course you can.
1025
00:41:16,458 --> 00:41:18,126
Charley, look at them.
1026
00:41:18,126 --> 00:41:21,804
- They're beautiful.
- Look at them, they're perfect.
1027
00:41:26,607 --> 00:41:29,507
It seems like even when we
get the chance to rehearse
1028
00:41:29,960 --> 00:41:31,293
and prepare...
1029
00:41:31,407 --> 00:41:32,675
and practice...
1030
00:41:33,753 --> 00:41:35,209
Sweetie, you have to go to sleep.
1031
00:41:35,209 --> 00:41:36,768
You have to.
1032
00:41:36,768 --> 00:41:38,822
Just walk her around.
1033
00:41:38,822 --> 00:41:40,594
Oh, I am too tired to walk.
1034
00:41:40,594 --> 00:41:41,613
Ohh.
1035
00:41:44,872 --> 00:41:46,596
- Is that from today?
- Mm-hmm.
1036
00:41:46,596 --> 00:41:47,821
She looks bigger.
1037
00:41:48,409 --> 00:41:49,677
Hey, are you getting bigger?
1038
00:41:49,677 --> 00:41:50,391
Okay, she's gonna take her
first steps any minute.
1039
00:41:50,391 --> 00:41:51,647
- I can feel it.
- She is getting bigger.
1040
00:41:51,647 --> 00:41:53,621
- She looks bigger.
- Mm-hmm.
1041
00:41:53,621 --> 00:41:55,781
Come on. Come get the giraffe.
1042
00:41:55,781 --> 00:41:58,357
You're just the cutest
kid on the entire planet.
1043
00:41:58,357 --> 00:41:59,394
- Why is that?
- Oh!
1044
00:41:59,394 --> 00:42:00,882
- Derek, Derek.
- She's walking.
1045
00:42:00,882 --> 00:42:02,522
- Where's the... oh, where's the camera?
- Come to daddy.
1046
00:42:02,522 --> 00:42:03,850
- Come to daddy.
- Turn it on.
1047
00:42:03,850 --> 00:42:05,292
Hi. Hi, baby.
1048
00:42:05,292 --> 00:42:08,066
- I can't open it. I can't open it.
- Hi, baby Zola. Hi, baby.
1049
00:42:08,066 --> 00:42:09,050
I can't... I can't... I can't do this.
I can't... oh, gosh.
1050
00:42:09,050 --> 00:42:09,938
Turn it on! Turn it on!
1051
00:42:09,938 --> 00:42:12,235
- Right now! Right now!
- I can't get it on! I can't get it on!
1052
00:42:12,235 --> 00:42:13,588
There. Ah! Walk for me.
1053
00:42:13,588 --> 00:42:16,714
We're still never quite ready
for life's grand moments.
1054
00:42:16,714 --> 00:42:19,060
- Hi, baby! Go back.
- Oh, my goodness. Oh, I missed it!
1055
00:42:20,006 --> 00:42:21,622
Good girl!
1056
00:42:21,622 --> 00:42:26,700
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