1 00:00:09,507 --> 00:00:11,587 I'm Dr. Browne. 2 00:00:11,611 --> 00:00:13,155 I'll be performing your surgery today. 3 00:00:13,179 --> 00:00:14,623 I'm Dr. Browne. I'll be performing your surgery today. 4 00:00:16,682 --> 00:00:17,759 Dr. Browne... 5 00:00:19,085 --> 00:00:20,930 I'll be performing your surgery today. 6 00:00:22,388 --> 00:00:24,086 It's a very simple procedure. 7 00:00:24,923 --> 00:00:26,634 It's a straightforward procedure. 8 00:00:31,263 --> 00:00:32,741 It was a successful surgery. 9 00:00:41,774 --> 00:00:43,685 The surgery was a success. 10 00:00:45,444 --> 00:00:47,756 We expect a full recovery. 11 00:00:50,783 --> 00:00:53,896 I expect a full recovery. 12 00:00:53,920 --> 00:00:55,155 Baby. 13 00:00:56,389 --> 00:00:57,390 Where do you want this? 14 00:00:59,191 --> 00:01:00,268 Uh, thanks, Mom. 15 00:01:00,292 --> 00:01:01,436 Uh, put it by my bag. 16 00:01:01,460 --> 00:01:02,796 I'll have the hospital lab run it. 17 00:01:13,204 --> 00:01:16,216 Nausea and severe abdominal pain after eating. 18 00:01:16,240 --> 00:01:18,187 This patient could need a lap chole. 19 00:01:18,231 --> 00:01:20,456 That would be an ideal first surgery. 20 00:01:20,480 --> 00:01:22,257 Let's not get ahead of ourselves. 21 00:01:22,281 --> 00:01:23,983 She may just need an antacid. 22 00:01:26,003 --> 00:01:27,046 Hi, Michelle. 23 00:01:27,070 --> 00:01:28,850 I understand your mother is on her way in. 24 00:01:28,874 --> 00:01:31,498 - I'm Dr. Browne. - And I'm Dr. Shaun Murphy. 25 00:01:31,522 --> 00:01:33,167 You need to fix my sister. 26 00:01:33,191 --> 00:01:34,670 What's your name? 27 00:01:34,694 --> 00:01:36,837 - Tisha. - Hi, Tisha. 28 00:01:36,861 --> 00:01:38,173 Well, that is exactly why we're here... 29 00:01:38,197 --> 00:01:39,707 To help your sister. 30 00:01:39,731 --> 00:01:40,792 Foster sister. 31 00:01:41,900 --> 00:01:43,045 When did the pain start? 32 00:01:43,069 --> 00:01:44,344 About an hour ago. 33 00:01:44,368 --> 00:01:45,858 It was on the bus. 34 00:01:45,882 --> 00:01:49,842 My sister rides with me every day to school and back. 35 00:01:49,866 --> 00:01:52,771 My brother and I used to live on a bus. 36 00:01:52,795 --> 00:01:53,954 Cool. 37 00:01:53,978 --> 00:01:55,189 Have you felt like this before? 38 00:01:55,213 --> 00:01:56,725 A few times. 39 00:01:58,850 --> 00:02:00,227 Ow. 40 00:02:00,251 --> 00:02:02,492 She has extreme upper-right quadrant tenderness. 41 00:02:02,516 --> 00:02:05,558 That's consistent with cholecystitis. 42 00:02:05,582 --> 00:02:09,378 As is her fever and elevated white count. 43 00:02:09,402 --> 00:02:12,373 Your gallbladder probably needs to be removed. 44 00:02:13,930 --> 00:02:15,531 You must be excited, Claire. 45 00:02:15,555 --> 00:02:17,924 This is going to be your first surgery. 46 00:02:20,705 --> 00:02:22,251 Has your urine changed color? 47 00:02:22,751 --> 00:02:24,127 Gotten darker? 48 00:02:25,677 --> 00:02:33,678 Synced & corrected by -robtor- www.addic7ed.com 49 00:02:35,840 --> 00:02:39,121 I hear Dr. Browne might have landed her first lap chole. 50 00:02:39,146 --> 00:02:41,457 It's not exactly a straightforward case. 51 00:02:41,482 --> 00:02:43,160 The duct is massively dilated, 52 00:02:43,185 --> 00:02:45,729 the wall's inflamed, this scarring... 53 00:02:45,754 --> 00:02:47,900 It's gonna limit visibility. 54 00:02:48,067 --> 00:02:49,411 Well, the thickness of the gallbladder wall 55 00:02:49,435 --> 00:02:50,809 does pose a challenge. 56 00:02:51,736 --> 00:02:52,864 What do you think? 57 00:02:53,154 --> 00:02:55,050 It's not her decision. 58 00:02:55,074 --> 00:02:56,493 It's mine, as the attending. 59 00:02:57,703 --> 00:02:59,788 Doesn't mean she shouldn't offer her opinion. 60 00:03:03,830 --> 00:03:07,509 I think that, um, Dr. Melendez is right. 61 00:03:07,534 --> 00:03:09,512 With the limited visibility, I shouldn't be... 62 00:03:09,537 --> 00:03:12,561 Only with a laparoscopic cholecystectomy. 63 00:03:12,586 --> 00:03:14,813 Which I don't think we should do. 64 00:03:15,559 --> 00:03:17,970 An open procedure would provide a clearer view 65 00:03:17,994 --> 00:03:19,638 of the gallbladder and the surrounding anatomy 66 00:03:19,662 --> 00:03:21,297 despite the inflammation. 67 00:03:28,971 --> 00:03:31,083 Carly and I went on another date last night. 68 00:03:31,107 --> 00:03:32,150 Mm. What did you do? 69 00:03:32,174 --> 00:03:33,553 Dinner, movie... 70 00:03:33,577 --> 00:03:35,922 We walked 12 minutes to a deli 71 00:03:35,946 --> 00:03:37,701 and had some food and talked. 72 00:03:38,381 --> 00:03:39,691 Where are we going? 73 00:03:39,715 --> 00:03:42,195 Andrews is starting an open chole. 74 00:03:42,219 --> 00:03:43,328 Sounds like it's going well with you and Carly. 75 00:03:43,352 --> 00:03:44,429 Oh, yes. 76 00:03:44,453 --> 00:03:47,299 She answered all of my questions. 77 00:03:47,323 --> 00:03:48,633 How many did you ask? 78 00:03:48,657 --> 00:03:51,840 83, although some had multiple parts. 79 00:03:53,162 --> 00:03:54,974 "Do you want to have children? 80 00:03:54,998 --> 00:03:56,843 If yes, how many and when?" 81 00:03:56,867 --> 00:03:58,411 "Where do you plan to raise them? 82 00:03:58,435 --> 00:04:01,079 In what religious tradition?" 83 00:04:01,103 --> 00:04:03,349 Those are pretty intense. 84 00:04:03,373 --> 00:04:06,786 They're good questions, Claire, about important topics. 85 00:04:06,810 --> 00:04:09,655 Early on, people usually stick with lighter stuff... 86 00:04:09,679 --> 00:04:12,058 Favorite movies, bands, hometowns. 87 00:04:12,082 --> 00:04:12,992 Small talk. 88 00:04:15,751 --> 00:04:18,355 Put some LAPs in the upper-right quadrant. 89 00:04:19,946 --> 00:04:21,533 Here's the Bovie, Dr. Andrews. 90 00:04:21,557 --> 00:04:23,706 Isn't the point of dating 91 00:04:23,730 --> 00:04:26,806 to gather information to determine compatibility? 92 00:04:26,830 --> 00:04:28,475 Retract the omentum. 93 00:04:28,499 --> 00:04:30,176 Sure. 94 00:04:30,200 --> 00:04:32,621 Isn't that best achieved 95 00:04:32,645 --> 00:04:35,480 by finding out what's important to the other person? 96 00:04:35,504 --> 00:04:37,387 Hemostats. 97 00:04:37,388 --> 00:04:39,000 It's a... It's a process, Shaun, 98 00:04:39,024 --> 00:04:40,133 like peeling an onion. 99 00:04:40,157 --> 00:04:42,003 People are more comfortable 100 00:04:42,027 --> 00:04:44,070 revealing their layers gradually, 101 00:04:44,094 --> 00:04:45,811 as opposed to getting sliced right down the middle. 102 00:04:46,565 --> 00:04:48,042 I heard Dr. Lim selected you 103 00:04:48,066 --> 00:04:50,109 for the first lead. 104 00:04:50,133 --> 00:04:52,145 I'm guessing you drew a cholecystectomy. 105 00:04:52,169 --> 00:04:53,448 Sponge on a stick. 106 00:04:53,472 --> 00:04:54,849 What's your approach to dissecting... 107 00:04:54,873 --> 00:04:55,984 Retrograde or antegrade? 108 00:04:56,008 --> 00:04:57,318 Antegrade. 109 00:04:57,342 --> 00:04:58,919 Once I've located the porta hepatis. 110 00:04:58,943 --> 00:05:01,722 I think Carly was comfortable. 111 00:05:01,746 --> 00:05:03,024 Why does it matter 112 00:05:03,048 --> 00:05:05,292 what kind of questions are asked when? 113 00:05:05,316 --> 00:05:07,227 Aren't the answers what's important? 114 00:05:07,251 --> 00:05:08,695 - I'm sure you're right. - Yes. 115 00:05:08,719 --> 00:05:10,864 What is the plan for the next date? 116 00:05:10,888 --> 00:05:12,500 Hmm. 117 00:05:12,524 --> 00:05:15,669 We didn't make another date. 118 00:05:15,693 --> 00:05:17,705 Then I grasp gallbladder fundus 119 00:05:17,729 --> 00:05:19,340 - and elevate it which way? - S-Superiorly. 120 00:05:19,364 --> 00:05:20,907 Is that significant? 121 00:05:20,931 --> 00:05:22,302 No follow-up date? 122 00:05:22,326 --> 00:05:23,678 Not necessarily. 123 00:05:23,702 --> 00:05:24,945 How did the night end? 124 00:05:24,969 --> 00:05:26,065 Good-night kiss? 125 00:05:26,089 --> 00:05:28,349 I've exposed the triangle of Calot 126 00:05:28,373 --> 00:05:30,851 and ligated the cystic duct and artery. 127 00:05:30,875 --> 00:05:32,387 What is the risk at this juncture? 128 00:05:32,411 --> 00:05:34,465 - Lacerating the liver during dissection. - Correct. 129 00:05:34,489 --> 00:05:35,775 We didn't kiss. 130 00:05:35,799 --> 00:05:37,582 Ironically, a complication 131 00:05:37,606 --> 00:05:39,926 which I've inadvertently just demonstrated. 132 00:05:39,950 --> 00:05:41,128 Hold direct pressure. 133 00:05:41,152 --> 00:05:42,363 I need better exposure. 134 00:05:42,387 --> 00:05:44,799 I sliced instead of peeled. 135 00:05:44,823 --> 00:05:45,933 You are familiar with the Pringle procedure, 136 00:05:45,957 --> 00:05:47,301 Dr. Browne? 137 00:05:47,325 --> 00:05:48,301 Yes, although I've never... 138 00:05:48,325 --> 00:05:49,570 Clamp down the portal triad 139 00:05:49,594 --> 00:05:51,604 with an atraumatic hemostat clamp, 140 00:05:51,628 --> 00:05:53,603 then use a number 2 catgut suture. 141 00:06:08,380 --> 00:06:11,325 Shaun, just go to her and explain. 142 00:06:11,349 --> 00:06:13,960 If what I said made her uncomfortable, 143 00:06:13,984 --> 00:06:16,363 then saying more could make her more uncomfortable. 144 00:06:16,387 --> 00:06:18,862 I sliced instead of peeled. 145 00:06:19,323 --> 00:06:20,934 After Michelle's surgery, 146 00:06:20,958 --> 00:06:23,003 I will go and talk to Carly. 147 00:06:23,027 --> 00:06:25,440 Good. 148 00:06:30,202 --> 00:06:32,847 You can talk to her soon. 149 00:06:32,871 --> 00:06:34,481 OR 2 had a cancellation. 150 00:06:34,505 --> 00:06:37,088 Your surgery is in 45 minutes. 151 00:06:40,344 --> 00:06:41,522 Hi, I'm Dr. Browne. 152 00:06:41,546 --> 00:06:43,123 I will be performing Michelle's surgery. 153 00:06:46,684 --> 00:06:48,328 I will be removing her gallbladder. 154 00:06:48,352 --> 00:06:50,563 It is a simple procedure. 155 00:06:50,587 --> 00:06:51,899 We're gonna make sure your daughter 156 00:06:51,923 --> 00:06:53,192 is well taken care of. 157 00:06:54,993 --> 00:06:56,470 Ow! 158 00:06:56,494 --> 00:06:58,672 Sir, we need to decapitate it. 159 00:06:58,696 --> 00:07:00,690 No, don't. I'm begging you. 160 00:07:00,714 --> 00:07:01,808 Don't. 161 00:07:01,832 --> 00:07:03,100 Please. 162 00:07:03,835 --> 00:07:05,179 I can't get an image. 163 00:07:05,203 --> 00:07:06,246 How did that... 164 00:07:06,270 --> 00:07:07,681 I-Is that a swordfish? 165 00:07:07,705 --> 00:07:09,616 With that dorsal fin? It's a marlin. 166 00:07:09,640 --> 00:07:11,184 I hooked him with a naked ballyhoo. 167 00:07:11,208 --> 00:07:12,986 Battled me for over an hour. 168 00:07:13,010 --> 00:07:15,788 Suddenly, he just leapt out of the water. He came right at me. 169 00:07:15,813 --> 00:07:17,457 Save the story for the bar, Quint. 170 00:07:17,481 --> 00:07:18,991 Right now, we need to cut the damn thing in half. 171 00:07:19,015 --> 00:07:20,794 No. 40-plus years 172 00:07:20,818 --> 00:07:22,162 I've been chasing a fish like this. 173 00:07:22,186 --> 00:07:23,797 You can't just behead him! 174 00:07:23,821 --> 00:07:25,331 Can't leave his nose in your leg, either. 175 00:07:25,355 --> 00:07:26,721 His bill. 176 00:07:27,659 --> 00:07:31,304 Can't you just pull him out gently? 177 00:07:31,328 --> 00:07:32,506 I'll sign a waiver. 178 00:07:32,530 --> 00:07:34,006 The pull-out method never works. 179 00:07:34,030 --> 00:07:36,909 If any of your blood vessels are damaged, it gets messy. 180 00:07:36,933 --> 00:07:38,546 Congrats. I hear your surgery is on the schedule. 181 00:07:38,570 --> 00:07:40,080 How's his distal pulse? 182 00:07:40,104 --> 00:07:41,248 A little thready, but still there. 183 00:07:41,272 --> 00:07:42,450 We need to get him to an MRI. 184 00:07:42,474 --> 00:07:44,364 I'm not going anywhere without Franklin. 185 00:07:46,577 --> 00:07:48,022 I named him after my father. 186 00:07:48,046 --> 00:07:49,828 You and Franklin both won't fit. 187 00:07:50,448 --> 00:07:51,924 Aah! Oh! Oh! 188 00:07:51,948 --> 00:07:54,460 How? You said he was dead! I didn't take a pulse. 189 00:07:54,484 --> 00:07:55,595 Go get something to kill it. 190 00:07:55,619 --> 00:07:57,530 - No, it's dead! - It's moving! 191 00:07:57,554 --> 00:07:58,832 It's a postmortem response. 192 00:07:58,856 --> 00:08:00,601 You guys are doctors. Don't people do this? 193 00:08:00,625 --> 00:08:01,627 - No! - No! 194 00:08:07,731 --> 00:08:09,190 I'll help you review at lunch. 195 00:08:09,214 --> 00:08:11,212 Surgery's in 20 minutes. 196 00:08:11,236 --> 00:08:13,080 - Good luck. - You, too. 197 00:08:24,750 --> 00:08:27,460 I want to... 198 00:08:27,484 --> 00:08:28,561 No, no, I haven't looked. 199 00:08:28,585 --> 00:08:31,866 I want to be... 200 00:08:31,890 --> 00:08:32,933 Great. ...great... 201 00:08:32,957 --> 00:08:34,068 Okay. 202 00:08:34,092 --> 00:08:35,468 - ...or nothing. - Nothing. 203 00:08:35,492 --> 00:08:38,627 Got it. I'll be back as soon as I can. 204 00:08:40,564 --> 00:08:42,476 Hi. You must be Michelle's mother. 205 00:08:42,500 --> 00:08:43,977 I'm Dr. Browne. I'll be... 206 00:08:44,001 --> 00:08:45,512 Yeah. How long will she have to stay in here? 207 00:08:45,536 --> 00:08:47,115 Hospitals make me nervous. 208 00:08:47,139 --> 00:08:49,415 Three days to a week, depending on... 209 00:08:49,439 --> 00:08:51,919 Well, she's gonna miss a lot of school. 210 00:08:51,943 --> 00:08:54,454 And she watches Tisha and her brothers in the afternoon. 211 00:08:54,478 --> 00:08:56,658 Your daughter has a serious infection in her gallbladder. 212 00:08:56,682 --> 00:08:58,391 She's been experiencing symptoms 213 00:08:58,415 --> 00:09:00,361 on and off for a while now. 214 00:09:00,385 --> 00:09:02,025 She never told me that. 215 00:09:02,786 --> 00:09:04,694 Why didn't you tell me that? 216 00:09:05,323 --> 00:09:06,666 - Mama... - My point is, 217 00:09:06,690 --> 00:09:08,602 she's been ill for a while, 218 00:09:08,626 --> 00:09:10,103 so her recovery may take... 219 00:09:10,127 --> 00:09:12,305 Mom. 220 00:09:12,329 --> 00:09:13,674 Mom? 221 00:09:13,698 --> 00:09:16,677 P-Please, my... my chest hurts. 222 00:09:16,701 --> 00:09:18,178 What's wrong? 223 00:09:18,202 --> 00:09:19,347 Her oxygen levels are dropping. She's tachycardic. 224 00:09:19,371 --> 00:09:21,338 I need a chest CT, stat. 225 00:09:26,498 --> 00:09:27,827 You had a blood clot 226 00:09:27,851 --> 00:09:29,636 in the artery that feeds your lungs. 227 00:09:29,660 --> 00:09:31,159 It's called a pulmonary embolism. 228 00:09:31,160 --> 00:09:32,639 This medicine broke it up. 229 00:09:32,663 --> 00:09:34,035 How could that happen? 230 00:09:34,059 --> 00:09:35,061 According to our scan, 231 00:09:35,085 --> 00:09:36,842 it was part of a larger clot in your leg 232 00:09:36,866 --> 00:09:38,211 that broke off and traveled there. 233 00:09:38,235 --> 00:09:41,113 As for why the larger one formed, 234 00:09:41,137 --> 00:09:43,748 when I asked you if you were taking birth control pills, 235 00:09:43,772 --> 00:09:45,417 you said no. 236 00:09:45,441 --> 00:09:46,528 Was that the truth? 237 00:09:47,666 --> 00:09:49,739 You asked me in front of Tisha. 238 00:09:50,201 --> 00:09:52,546 I'm doing it with my boyfriend, and I don't want babies, 239 00:09:52,570 --> 00:09:54,114 so I'm taking birth control pills. 240 00:09:54,138 --> 00:09:55,283 How long have you been taking them? 241 00:09:55,307 --> 00:09:57,223 I don't know. A year? 242 00:09:57,247 --> 00:09:59,854 I'm prescribing condoms for your boyfriend. 243 00:10:00,208 --> 00:10:02,757 You need to go off the pill to prevent further clots. 244 00:10:02,781 --> 00:10:06,461 Dr. Browne is gonna place an IVC filter via your femoral vein, 245 00:10:06,485 --> 00:10:08,221 in case other parts of the clot break off. 246 00:10:08,245 --> 00:10:10,093 Your gallbladder surgery's gonna have to wait till tomorrow. 247 00:10:11,322 --> 00:10:12,357 What are you doing? 248 00:10:13,959 --> 00:10:15,804 This is where the catheter goes in. 249 00:10:26,839 --> 00:10:29,084 How did you get these scars? 250 00:10:29,108 --> 00:10:31,518 I cut myself climbing a fence. 251 00:10:38,604 --> 00:10:40,014 Those scars... 252 00:10:42,207 --> 00:10:45,019 They're straight, in a row, 253 00:10:45,190 --> 00:10:46,421 all the same length. 254 00:10:48,661 --> 00:10:50,508 I don't believe you got them from a fence. 255 00:10:52,216 --> 00:10:54,186 I don't care what you believe. 256 00:11:00,339 --> 00:11:01,978 Kids who cut, 257 00:11:02,575 --> 00:11:06,520 most of them are really sad, 258 00:11:06,544 --> 00:11:08,397 in a lot of pain, 259 00:11:08,421 --> 00:11:10,191 and they say cutting makes them feel better. 260 00:11:10,215 --> 00:11:11,517 Is that how it is with you? 261 00:11:12,909 --> 00:11:14,429 I don't want to talk about it. 262 00:11:17,456 --> 00:11:18,790 Okay. 263 00:11:40,879 --> 00:11:42,423 My life sucks, okay? 264 00:11:42,894 --> 00:11:44,591 Tell me how. 265 00:11:44,615 --> 00:11:45,813 Why? 266 00:11:46,819 --> 00:11:48,316 It won't change anything. 267 00:11:50,288 --> 00:11:53,029 Talking might make you feel better, 268 00:11:54,325 --> 00:11:55,961 and maybe I can help. 269 00:11:57,963 --> 00:12:00,828 I live in a foster home, but I'm not a foster kid. 270 00:12:01,366 --> 00:12:03,669 I'm a whole mother, but I've never had a baby. 271 00:12:06,305 --> 00:12:08,510 My mom brought three kids in our home, 272 00:12:08,534 --> 00:12:10,852 and now it's my job to take care of them... 273 00:12:10,876 --> 00:12:13,100 Make breakfast, get the kids dressed, 274 00:12:13,124 --> 00:12:14,540 take them to school, go to school, 275 00:12:14,564 --> 00:12:16,557 pick them up, dinner, homework, laundry. 276 00:12:16,581 --> 00:12:17,549 Repeat. 277 00:12:18,716 --> 00:12:20,261 I barely ever leave the house 278 00:12:20,285 --> 00:12:22,194 without a kid attached to me. 279 00:12:22,218 --> 00:12:24,398 Can you help me with that? 280 00:12:27,059 --> 00:12:28,869 Michelle wouldn't hurt herself on purpose. 281 00:12:28,893 --> 00:12:31,482 Michelle is unhappy. She feels pressure 282 00:12:31,506 --> 00:12:33,175 to look after her foster siblings, 283 00:12:33,199 --> 00:12:34,276 help out at home... 284 00:12:34,300 --> 00:12:35,697 Yeah, her home life is fine. 285 00:12:37,103 --> 00:12:38,647 I'll talk to her. 286 00:12:38,671 --> 00:12:41,724 It might be helpful to have her speak with a psychiatrist. 287 00:12:41,773 --> 00:12:43,051 My daughter is not crazy. 288 00:12:43,075 --> 00:12:44,819 We... We don't do psychiatrists. You know that. 289 00:12:44,843 --> 00:12:46,086 That needs to change. 290 00:12:46,110 --> 00:12:47,689 When are you doing her surgery? 291 00:12:47,713 --> 00:12:48,976 - Tomorrow. - Thank you. 292 00:12:50,748 --> 00:12:52,218 I will speak to my daughter. 293 00:12:56,887 --> 00:12:58,261 Don't. 294 00:12:58,676 --> 00:13:01,097 It's your job to fix her gallbladder, not her life. 295 00:13:02,094 --> 00:13:03,771 It's your first surgery. 296 00:13:03,795 --> 00:13:04,764 Don't get distracted. 297 00:13:18,343 --> 00:13:19,650 Have you talked to Carly? 298 00:13:21,113 --> 00:13:22,157 No. 299 00:13:24,002 --> 00:13:26,279 Blood pressure is 62/31. 300 00:13:26,303 --> 00:13:27,995 Your patient is in cardiac arrest. 301 00:13:28,019 --> 00:13:29,129 I know. 302 00:13:30,406 --> 00:13:33,667 You're practicing the Pringle maneuver 303 00:13:33,691 --> 00:13:35,302 in the event of a liver bleed? 304 00:13:35,326 --> 00:13:36,944 Yes. 305 00:13:39,564 --> 00:13:41,676 - That was better. - Thanks. 306 00:13:41,700 --> 00:13:43,478 Now you can talk to Carly. 307 00:13:43,502 --> 00:13:45,016 I need to practice. 308 00:13:48,574 --> 00:13:51,252 Dr. Lim says 309 00:13:51,276 --> 00:13:54,855 getting away from things every now and again, 310 00:13:54,879 --> 00:13:57,325 having balance in our lives 311 00:13:57,349 --> 00:14:00,782 can be just as important to our performance as practice. 312 00:14:00,806 --> 00:14:04,298 Maybe you should get some balance by talking to Carly. 313 00:14:04,322 --> 00:14:05,365 I don't know. 314 00:14:07,192 --> 00:14:09,170 I'm nervous about my surgery, Shaun. 315 00:14:09,194 --> 00:14:10,905 Practice will make me less nervous. 316 00:14:10,929 --> 00:14:12,964 That will improve my performance. 317 00:14:15,445 --> 00:14:16,381 Okay. 318 00:14:19,037 --> 00:14:20,381 Okay. 319 00:14:21,506 --> 00:14:24,384 You should also practice not causing a liver bleed. 320 00:14:24,408 --> 00:14:26,265 Planning on it. 321 00:14:27,012 --> 00:14:32,060 Also, how you will recover if you cut the portal vein. 322 00:14:32,084 --> 00:14:34,273 That's potentially fatal. 323 00:14:34,920 --> 00:14:37,798 Or if you perforate the small bowel, 324 00:14:37,822 --> 00:14:39,966 which could cause sepsis, leading to death. 325 00:14:39,990 --> 00:14:42,570 Or if you cut the common bile duct, 326 00:14:42,594 --> 00:14:43,937 - which would cause... - I'm gonna go talk to Carly. 327 00:14:43,961 --> 00:14:45,572 - Right now? - Right now. 328 00:14:45,596 --> 00:14:47,709 - Aren't you still nervous? - Nope, all better. 329 00:14:51,203 --> 00:14:52,619 What blade for the Kocher? 330 00:14:52,643 --> 00:14:54,048 What? 331 00:14:54,072 --> 00:14:56,685 Incision for the chole... what blade? 332 00:14:56,709 --> 00:14:57,964 Uh... 333 00:15:00,057 --> 00:15:01,559 - 10. - Mm-hmm. 334 00:15:03,305 --> 00:15:05,893 No, they won't both fit in the MRI. 335 00:15:05,917 --> 00:15:08,530 Fish Boy doesn't buy it. 336 00:15:08,554 --> 00:15:10,017 Location of the incision. 337 00:15:12,291 --> 00:15:13,767 Why are you trying to help me? 338 00:15:13,791 --> 00:15:15,704 Lim picked you for the first surgery. 339 00:15:15,728 --> 00:15:17,571 Everyone knows that makes you 340 00:15:17,595 --> 00:15:19,272 the front-runner for Chief Resident. 341 00:15:19,296 --> 00:15:20,766 This is me sucking up. 342 00:15:22,901 --> 00:15:24,211 I've never been big on pretense... 343 00:15:28,440 --> 00:15:29,817 Are you okay? 344 00:15:29,841 --> 00:15:30,918 What the hell just happened? 345 00:15:32,710 --> 00:15:34,254 The marlin must have had metal in his body... 346 00:15:34,278 --> 00:15:35,422 Lures and stuff. 347 00:15:35,446 --> 00:15:37,591 I think a license plate flew by me. 348 00:15:37,615 --> 00:15:39,261 Franklin! 349 00:15:39,285 --> 00:15:40,628 Oh, no! 350 00:15:40,652 --> 00:15:41,729 Franklin! 351 00:15:44,322 --> 00:15:46,166 Oh, it's okay. 352 00:15:46,190 --> 00:15:47,267 Franklin's okay. 353 00:15:47,291 --> 00:15:49,348 It all came out one side. 354 00:15:50,495 --> 00:15:52,018 It won't show when I mount him. 355 00:15:53,632 --> 00:15:54,975 Well, thank goodness for small miracles. 356 00:15:54,999 --> 00:15:56,076 - Ooh. - Oh! 357 00:15:56,100 --> 00:15:57,210 Ow! 358 00:15:57,234 --> 00:15:57,936 Oh! Ah! 359 00:16:02,907 --> 00:16:04,051 I've got his femoral. 360 00:16:04,075 --> 00:16:05,118 Call the OR. We're coming. 361 00:16:15,353 --> 00:16:17,098 Hang on, Dr. Browne. 362 00:16:17,122 --> 00:16:18,565 Just need to make an incision 363 00:16:18,589 --> 00:16:21,670 above and below the arterial injury site. 364 00:16:21,694 --> 00:16:23,772 We need to clamp the femoral proximal to the bleed 365 00:16:23,796 --> 00:16:25,540 without clipping the femoral nerve. 366 00:16:25,564 --> 00:16:28,276 Got it. I feel the nerve right above my index finger. 367 00:16:28,300 --> 00:16:29,643 One down. 368 00:16:29,667 --> 00:16:31,105 My hand is starting to cramp. 369 00:16:31,129 --> 00:16:32,846 Lean over this way a little bit. Rotate your wrist. 370 00:16:32,870 --> 00:16:35,282 Just a little bit more. 371 00:16:37,341 --> 00:16:38,652 Let's see if that holds. 372 00:16:49,687 --> 00:16:51,532 Go get cleaned up. We'll take it from here. 373 00:17:01,166 --> 00:17:03,109 I wanted to check the patient's bloodwork. 374 00:17:03,133 --> 00:17:05,112 He's negative for HIV, Hep B and C. 375 00:17:05,136 --> 00:17:07,038 You don't need prophylactic meds. 376 00:17:09,908 --> 00:17:12,848 I'm nervous about my surgery. 377 00:17:13,612 --> 00:17:15,113 You'll be fine. 378 00:17:16,573 --> 00:17:18,062 And don't ever say that again. 379 00:17:19,217 --> 00:17:20,565 Why? 380 00:17:21,142 --> 00:17:23,298 Weren't you nervous before your first lead? 381 00:17:23,322 --> 00:17:24,666 If I was, 382 00:17:24,690 --> 00:17:26,487 I didn't volunteer that to the Chief of Surgery... 383 00:17:27,092 --> 00:17:28,676 Or anyone. 384 00:17:28,700 --> 00:17:30,338 We're women, we're not white, 385 00:17:30,362 --> 00:17:31,564 and we're surgeons. 386 00:17:31,588 --> 00:17:34,430 Unicorns consider us a fabled species. 387 00:17:34,454 --> 00:17:36,902 We don't get the luxury of public insecurity. 388 00:17:38,476 --> 00:17:41,555 I will aspire to repressed stoicism in the future. 389 00:17:41,580 --> 00:17:43,857 We don't need to be insecure, 390 00:17:43,882 --> 00:17:45,560 because every step of the way, 391 00:17:45,585 --> 00:17:47,854 we've had to be twice as good as everybody else. 392 00:17:49,014 --> 00:17:50,491 Suck it up. 393 00:17:50,515 --> 00:17:52,426 You got this. 394 00:18:38,498 --> 00:18:42,078 Don't forget we have our session with Dr. Donovan today. 395 00:18:42,102 --> 00:18:43,303 I won't. 396 00:18:51,244 --> 00:18:53,289 - Your patient. - Mm-hmm. 397 00:18:53,313 --> 00:18:54,700 What are they like? 398 00:18:55,181 --> 00:18:57,592 Man, woman, young, old? 399 00:18:57,616 --> 00:18:59,330 Woman. 400 00:19:00,386 --> 00:19:02,291 Girl, actually. 401 00:19:02,961 --> 00:19:07,733 She's tough, smart... really sad. 402 00:19:09,448 --> 00:19:11,918 Her mom has her taking care of three foster kids. 403 00:19:14,901 --> 00:19:17,056 At least you were only stuck looking after me. 404 00:19:22,342 --> 00:19:23,519 How old? 405 00:19:23,543 --> 00:19:25,455 14. 406 00:19:25,479 --> 00:19:29,157 Although she acts a lot older. 407 00:19:29,181 --> 00:19:30,986 She's been having sex for almost a year. 408 00:19:32,419 --> 00:19:34,865 Well, you were about that age when you were with Wayne. 409 00:19:36,023 --> 00:19:38,333 - I didn't have sex with Wayne. - What? 410 00:19:38,357 --> 00:19:40,035 He was in love with you, 411 00:19:40,059 --> 00:19:42,075 always sniffing around our place. 412 00:19:42,099 --> 00:19:43,639 Maybe. He didn't get any. 413 00:19:43,663 --> 00:19:44,740 So, who? 414 00:19:44,764 --> 00:19:46,641 Junior prom guy... Derek. 415 00:19:46,665 --> 00:19:47,976 Der... No. 416 00:19:49,311 --> 00:19:52,115 I didn't lose my virginity 417 00:19:52,139 --> 00:19:54,984 until sophomore year of college. 418 00:19:55,008 --> 00:19:56,819 What were you hoping for, a proposal? 419 00:19:56,843 --> 00:19:57,844 No. 420 00:19:59,679 --> 00:20:01,415 I wanted it to be special. 421 00:20:04,617 --> 00:20:07,163 Oh, good for you. 422 00:20:07,187 --> 00:20:08,364 I mean, I wouldn't have held out... 423 00:20:08,388 --> 00:20:09,799 - No. - ...but good for you. 424 00:20:09,823 --> 00:20:12,486 I thought for sure you and Wayne were doing it. 425 00:20:14,427 --> 00:20:16,038 You were okay with that? 426 00:20:16,062 --> 00:20:17,907 You were so serious. 427 00:20:17,931 --> 00:20:19,707 So restrained. 428 00:20:19,731 --> 00:20:22,037 We talked about birth control. 429 00:20:22,061 --> 00:20:23,846 I figured, "Good for her. 430 00:20:23,870 --> 00:20:26,500 She's finally relaxing, having some fun." 431 00:20:30,081 --> 00:20:33,404 Well, I was so restrained and serious 432 00:20:33,429 --> 00:20:35,676 'cause I never knew when you were gonna fall apart. 433 00:20:41,054 --> 00:20:42,264 Got to get to work. 434 00:20:52,121 --> 00:20:54,230 I'll be back before Michelle goes into surgery. 435 00:20:54,254 --> 00:20:55,733 Have you had a chance to talk to her 436 00:20:55,757 --> 00:20:57,544 about her cutting? 437 00:20:57,568 --> 00:21:00,683 Oh, yeah, some fool friend of hers gave her the idea. 438 00:21:00,707 --> 00:21:02,941 She's not unhappy. It's just peer pressure. 439 00:21:02,965 --> 00:21:04,643 She sounded unhappy to me. 440 00:21:04,667 --> 00:21:07,313 She's upset I didn't let her go hang out with her friends. 441 00:21:07,337 --> 00:21:09,082 It's typical teen drama. 442 00:21:09,106 --> 00:21:10,749 She promised me she's done cutting. 443 00:21:10,773 --> 00:21:12,617 Self-harming behavior doesn't just stop. 444 00:21:12,641 --> 00:21:14,921 - Michelle might need... - Dr. Browne. 445 00:21:14,945 --> 00:21:16,454 My daughter needs to have surgery 446 00:21:16,478 --> 00:21:17,713 and get out of this hospital. 447 00:21:31,660 --> 00:21:33,538 You didn't tell your mom the truth 448 00:21:33,562 --> 00:21:36,315 about why you cut yourself, 449 00:21:36,339 --> 00:21:37,876 about how unhappy you are. 450 00:21:37,900 --> 00:21:39,412 I tried. 451 00:21:39,436 --> 00:21:40,741 She didn't want to hear it, 452 00:21:40,766 --> 00:21:43,114 just said that things aren't always gonna go my way 453 00:21:43,138 --> 00:21:45,217 and I need to be more responsible. 454 00:21:45,241 --> 00:21:46,944 Like I'm not already. 455 00:22:00,322 --> 00:22:03,201 Growing up, I had to take care of my mom. 456 00:22:03,225 --> 00:22:04,403 What was wrong with her? 457 00:22:04,427 --> 00:22:06,037 She's mentally ill. 458 00:22:06,061 --> 00:22:07,605 Bipolar disorder 459 00:22:07,629 --> 00:22:10,409 and a drinking problem, pills. 460 00:22:10,433 --> 00:22:11,643 When things were bad, 461 00:22:11,667 --> 00:22:14,680 she'd forget to buy groceries 462 00:22:14,704 --> 00:22:18,049 or clean the trailer or pick me up. 463 00:22:18,073 --> 00:22:22,087 Or she'd spend all our rent on something stupid. 464 00:22:22,111 --> 00:22:24,589 And I thought 465 00:22:24,613 --> 00:22:27,893 if I could make her life easy enough... 466 00:22:27,917 --> 00:22:31,262 If I cooked and cleaned and got good grades... 467 00:22:31,286 --> 00:22:33,332 Then she'd get better. 468 00:22:33,356 --> 00:22:35,267 But she never did. 469 00:22:35,291 --> 00:22:37,870 And for the longest time, 470 00:22:37,894 --> 00:22:40,038 I thought it was my fault she was sick. 471 00:22:40,062 --> 00:22:42,941 And I probably still would 472 00:22:42,965 --> 00:22:45,678 if a psychiatrist hadn't refused to believe me 473 00:22:45,702 --> 00:22:48,605 when I said I was fine. 474 00:22:50,473 --> 00:22:52,084 You've been to a psychiatrist? 475 00:22:55,426 --> 00:22:58,485 But you're, like, a fancy surgeon. 476 00:23:03,643 --> 00:23:05,931 I could have a therapist come by and see you 477 00:23:05,955 --> 00:23:07,165 before your surgery. 478 00:23:18,968 --> 00:23:20,479 Okay. 479 00:23:37,186 --> 00:23:38,701 He should be getting better. 480 00:23:38,725 --> 00:23:41,099 It's got to be an infection from the marlin. 481 00:23:41,123 --> 00:23:43,768 Aeromonas or mycobacterium marinum. 482 00:23:43,792 --> 00:23:45,770 Would've responded to the antibiotics. 483 00:23:45,794 --> 00:23:48,202 Guys, I'm trying to focus. 484 00:23:48,831 --> 00:23:52,262 What if he has an underlying autoimmune disorder? 485 00:23:52,286 --> 00:23:53,979 It could've been triggered by the surgery 486 00:23:54,003 --> 00:23:56,114 or even the initial fish stabbing. 487 00:23:56,138 --> 00:23:58,383 It would explain why the leg ulcerations are progressing 488 00:23:58,407 --> 00:23:59,652 despite good arterial flow. 489 00:23:59,676 --> 00:24:02,019 We could see if he responds to steroids. 490 00:24:02,043 --> 00:24:04,489 Which could kill him if it is an infection. 491 00:24:09,019 --> 00:24:11,088 But we could run an ANA, see if he's positive. 492 00:24:12,355 --> 00:24:13,798 What about a parasite? 493 00:24:13,822 --> 00:24:16,535 Rhinosporidium seeberi or a gill worm. 494 00:24:16,559 --> 00:24:18,304 Have you talked to Carly? 495 00:24:18,328 --> 00:24:19,771 Sorry. 496 00:24:19,795 --> 00:24:21,606 I got sidetracked by a marlin. 497 00:24:36,045 --> 00:24:37,322 Come in. 498 00:24:37,346 --> 00:24:39,659 You wanted to see me? 499 00:24:39,683 --> 00:24:41,993 Ms. Reynolds tells me that you went against her wishes 500 00:24:42,017 --> 00:24:44,049 and had her daughter speak with a psychiatrist. 501 00:24:44,980 --> 00:24:49,084 Uh, Michelle asked to see a therapist. 502 00:24:49,109 --> 00:24:51,306 Only after you talked her into it. 503 00:24:51,867 --> 00:24:53,512 I'm gonna report you to the medical board. 504 00:24:53,537 --> 00:24:54,613 You had no right... 505 00:24:54,638 --> 00:24:56,750 Dr. Browne, were you concerned 506 00:24:56,775 --> 00:24:58,210 that Michelle might be a serious danger to herself? 507 00:24:59,234 --> 00:25:00,428 Yes. 508 00:25:00,453 --> 00:25:02,064 In that case, the consult was required. 509 00:25:02,579 --> 00:25:03,849 That said, 510 00:25:03,873 --> 00:25:06,739 Dr. Browne's failure to inform you was inappropriate. 511 00:25:07,377 --> 00:25:08,820 You're off the case. 512 00:25:08,844 --> 00:25:11,356 Dr. Melendez will perform the surgery. 513 00:25:19,489 --> 00:25:20,892 How are you doing? 514 00:25:21,925 --> 00:25:23,369 Claire? 515 00:25:23,393 --> 00:25:25,038 I understand today's a big day for you. 516 00:25:25,062 --> 00:25:26,938 Your first surgery. 517 00:25:26,962 --> 00:25:27,907 We don't need to talk about that. 518 00:25:27,931 --> 00:25:30,510 Hmm, I think we do. 519 00:25:30,534 --> 00:25:32,677 You've been taking care of your mother for a long time. 520 00:25:32,701 --> 00:25:35,476 That's a pattern you both need to break out of. 521 00:25:38,008 --> 00:25:39,551 I know I haven't always been there for you, 522 00:25:39,575 --> 00:25:41,388 and I just... I... 523 00:25:41,412 --> 00:25:42,731 I'm trying to change that. 524 00:25:42,755 --> 00:25:44,124 I know, Mom. 525 00:25:44,148 --> 00:25:45,291 I'm good. Everything is fine. 526 00:25:45,315 --> 00:25:46,870 And your first surgery? 527 00:25:46,894 --> 00:25:48,528 Is that this afternoon? 528 00:25:48,552 --> 00:25:49,615 It's... 529 00:25:51,454 --> 00:25:52,733 Actually, it's not. 530 00:25:52,757 --> 00:25:54,234 Um... 531 00:25:55,558 --> 00:25:57,302 I arranged a psych consult 532 00:25:57,326 --> 00:25:59,372 without the mother's permission, 533 00:25:59,396 --> 00:26:01,273 so I got thrown off the case. 534 00:26:01,297 --> 00:26:02,775 How could the hospital allow that? 535 00:26:02,799 --> 00:26:03,909 What is wrong with them? 536 00:26:03,933 --> 00:26:05,278 After how hard you've worked, I just... 537 00:26:05,302 --> 00:26:07,746 It's okay, Mom. They kind of had to. 538 00:26:07,770 --> 00:26:09,166 That must be a big disappointment... 539 00:26:09,190 --> 00:26:10,240 It is. 540 00:26:13,844 --> 00:26:15,479 Anything else, Claire? 541 00:26:18,082 --> 00:26:21,063 I'm upset, humiliated, 542 00:26:22,286 --> 00:26:25,564 so, so mad at my patient's mother 543 00:26:25,588 --> 00:26:27,000 for not taking care of her daughter. 544 00:26:30,427 --> 00:26:32,605 And I... I'm relieved. 545 00:26:32,629 --> 00:26:35,308 I'm so, so relieved to have that weight off of me, 546 00:26:35,332 --> 00:26:36,976 and that makes me feel like a fraud. 547 00:26:37,000 --> 00:26:38,109 Don't you say that. 548 00:26:38,133 --> 00:26:39,545 How can I be so scared 549 00:26:39,569 --> 00:26:42,514 to do something I've wanted for so long? 550 00:26:42,538 --> 00:26:45,546 Because things that matter are scary. 551 00:26:46,677 --> 00:26:49,522 That's how I feel about coming here, 552 00:26:49,546 --> 00:26:52,886 talking about my life and our relationship. 553 00:26:53,851 --> 00:26:55,389 What if I can't fix it? 554 00:26:57,153 --> 00:26:58,430 What if I can't make up 555 00:26:58,454 --> 00:27:00,769 for all the times I've let you down? 556 00:27:02,325 --> 00:27:03,527 And then I think... 557 00:27:06,196 --> 00:27:08,407 ..."Just be like Claire." 558 00:27:12,435 --> 00:27:16,182 Because nothing stops you... ever. 559 00:27:16,206 --> 00:27:17,683 You see what you want, 560 00:27:17,707 --> 00:27:20,153 and you go after it with everything you've got. 561 00:27:22,046 --> 00:27:23,346 You are an inspiration. 562 00:27:26,016 --> 00:27:27,793 You're my inspiration. 563 00:27:40,796 --> 00:27:42,141 Carly? 564 00:27:42,165 --> 00:27:43,542 Hi. Do you have a second? 565 00:27:43,566 --> 00:27:45,078 OR 2 is waiting to learn 566 00:27:45,102 --> 00:27:47,080 the patient's mass wasn't cancerous so they can close. 567 00:27:47,104 --> 00:27:48,013 I can come back after. 568 00:27:48,037 --> 00:27:49,080 I'll be at the cafe? 569 00:27:49,104 --> 00:27:50,716 - Mm-hmm. - Okay. 570 00:27:50,740 --> 00:27:53,386 Anesthesiology, line 271. 571 00:27:53,410 --> 00:27:56,455 Anesthesiology, call line 271. 572 00:28:01,384 --> 00:28:02,829 Cancer. 573 00:28:02,853 --> 00:28:04,598 The marlin guy has cancer. 574 00:28:04,622 --> 00:28:06,565 CT chest, abdomen, and pelvis showed no masses. 575 00:28:06,589 --> 00:28:08,103 It's in his leg. 576 00:28:08,127 --> 00:28:10,035 It explains progressive ulcerations 577 00:28:10,059 --> 00:28:11,503 despite good arterial flow. 578 00:28:11,527 --> 00:28:13,505 And why the antibiotics aren't working. 579 00:28:13,529 --> 00:28:15,385 We'll send a tissue sample from the ulcerated area. 580 00:28:17,534 --> 00:28:20,307 And when I'm Chief Resident, I'll remember this. 581 00:28:24,275 --> 00:28:25,251 There's a problem with Michelle. 582 00:28:25,275 --> 00:28:26,485 I'm not doing it! 583 00:28:26,509 --> 00:28:27,919 You need to calm down. 584 00:28:27,943 --> 00:28:29,522 You don't get to tell me what to do! 585 00:28:29,546 --> 00:28:31,057 I want Dr. Browne! 586 00:28:31,081 --> 00:28:32,425 Michelle? What's going on? 587 00:28:32,449 --> 00:28:34,560 I want you to do my surgery. 588 00:28:34,584 --> 00:28:36,228 I want her, Mama, not somebody else. 589 00:28:36,252 --> 00:28:38,263 Dr. Melendez is gonna do your surgery. 590 00:28:38,287 --> 00:28:39,398 He is a great doctor. 591 00:28:39,422 --> 00:28:40,599 He's not you. 592 00:28:40,623 --> 00:28:41,900 Y-You care about me. 593 00:28:41,924 --> 00:28:44,036 Everybody here cares about you, Michelle. 594 00:28:44,060 --> 00:28:46,173 Now, please sit down. You could rupture your gallbladder. 595 00:28:46,197 --> 00:28:48,308 I-I-I don't want to get better. 596 00:28:48,332 --> 00:28:50,148 - Don't say that. - It's the truth! 597 00:28:50,172 --> 00:28:51,944 Michelle, you need this surgery. 598 00:28:51,968 --> 00:28:54,440 That is all that matters... not whether I do it. 599 00:28:57,106 --> 00:28:58,685 I'm gonna be there. 600 00:28:58,709 --> 00:29:00,119 I will be watching from the gallery 601 00:29:00,143 --> 00:29:01,515 the whole time. 602 00:29:03,913 --> 00:29:06,926 You just... You need... You need to sit down. 603 00:29:20,497 --> 00:29:22,077 The kid okay? 604 00:29:23,533 --> 00:29:25,411 I had to pull you off. 605 00:29:25,435 --> 00:29:27,714 If you made even the tiniest misstep during surgery, 606 00:29:27,738 --> 00:29:29,835 that mom would go from threat to lawsuit. 607 00:29:32,910 --> 00:29:34,954 Is Patricia okay with me watching from the gallery? 608 00:29:34,978 --> 00:29:36,046 No. 609 00:29:37,980 --> 00:29:39,761 You can't remove her gallbladder from the gallery. 610 00:29:41,040 --> 00:29:42,118 What? 611 00:29:42,143 --> 00:29:43,629 You're doing Michelle's surgery. 612 00:29:44,307 --> 00:29:46,038 How'd you get the mom to change her mind? 613 00:29:46,062 --> 00:29:49,368 I explained that, given Dr. Browne's commitment to her daughter, 614 00:29:49,392 --> 00:29:51,605 she's the perfect choice to lead the surgery. 615 00:29:51,629 --> 00:29:53,497 Especially with me over her shoulder the whole time. 616 00:29:56,799 --> 00:29:58,343 Thank you for fighting for me. 617 00:29:58,367 --> 00:29:59,662 That's what bosses do. 618 00:29:59,686 --> 00:30:00,982 Let's go. 619 00:30:11,014 --> 00:30:13,493 - You stood me up. - Sorry about that. 620 00:30:13,517 --> 00:30:15,049 What's up? 621 00:30:15,073 --> 00:30:17,696 Shaun's a little worried he may have freaked you out 622 00:30:17,720 --> 00:30:20,399 with his... questionnaire the other night. 623 00:30:20,423 --> 00:30:22,034 Oh, I thought it was cool. 624 00:30:22,058 --> 00:30:23,784 Small talk bores the hell out of me. 625 00:30:23,808 --> 00:30:25,170 Well, then, great. 626 00:30:25,194 --> 00:30:26,433 I'll tell him. 627 00:30:26,976 --> 00:30:29,454 Shaun got worried about that all on his own? 628 00:30:29,479 --> 00:30:31,396 That doesn't seem like him. 629 00:30:32,169 --> 00:30:33,812 I may have mentioned 630 00:30:33,836 --> 00:30:36,515 that people don't usually ask deeply personal questions 631 00:30:36,539 --> 00:30:38,069 on an early date. 632 00:30:39,843 --> 00:30:41,654 Claire, I like you, 633 00:30:41,678 --> 00:30:43,156 but we don't really know each other. 634 00:30:43,742 --> 00:30:45,058 And yet you decided 635 00:30:45,082 --> 00:30:47,392 how I was going to react to Shaun's questions, 636 00:30:47,416 --> 00:30:49,795 which isn't your business. 637 00:30:49,819 --> 00:30:51,031 And you were wrong... 638 00:30:51,055 --> 00:30:53,866 Totally, totally wrong. 639 00:30:53,890 --> 00:30:56,369 Shaun and I don't need you or anyone else 640 00:30:56,393 --> 00:30:59,257 to run interference on our relationship. 641 00:30:59,829 --> 00:31:00,897 Butt out. 642 00:32:00,011 --> 00:32:02,057 Is everybody ready for a Time Out? 643 00:32:04,316 --> 00:32:07,075 Dr. Claire Browne, lead surgeon. 644 00:32:07,405 --> 00:32:09,250 Dr. Neil Melendez, attending surgeon. 645 00:32:09,488 --> 00:32:12,367 Dr. Shaun Murphy, assisting. 646 00:32:12,392 --> 00:32:15,471 Dr. Jan Lancaster, anesthesia. 647 00:32:15,496 --> 00:32:17,541 Donna Petringa, scrub nurse. 648 00:32:17,566 --> 00:32:20,211 Shani Walden, circulating nurse. 649 00:32:20,366 --> 00:32:22,188 Patient is Michelle Reynolds. 650 00:32:22,212 --> 00:32:24,759 We will be performing an open cholecystectomy. 651 00:32:24,783 --> 00:32:27,616 All tools I need are confirmed to be present. 652 00:32:27,640 --> 00:32:30,010 Estimated blood loss, 100 cc. 653 00:32:30,034 --> 00:32:32,588 Patient will go to the ICU after surgery. 654 00:32:32,612 --> 00:32:34,436 Is everybody in agreement? 655 00:32:36,482 --> 00:32:38,815 Dr. Murphy, have you ChloraPrepped the site? 656 00:32:39,184 --> 00:32:40,286 I have. 657 00:32:41,586 --> 00:32:42,697 10 blade. 658 00:33:13,018 --> 00:33:13,928 Sponge. 659 00:33:21,661 --> 00:33:23,672 Top layer of abdominal muscle is exposed. 660 00:33:23,696 --> 00:33:25,006 I'll need a Bovie to cut through. 661 00:33:42,481 --> 00:33:44,193 Nice work, Dr. Browne. 662 00:33:47,586 --> 00:33:48,897 Bookwalter Retractor. 663 00:33:56,394 --> 00:33:57,624 I see the liver, 664 00:33:57,648 --> 00:34:00,010 and I need to better expose the inferior surface. 665 00:34:00,034 --> 00:34:02,148 Retract the duodenum inferiorly, please. 666 00:34:05,972 --> 00:34:08,050 Gallbladder exposed. 667 00:34:17,615 --> 00:34:18,985 Dr. Browne? 668 00:34:21,185 --> 00:34:23,699 There is more scarring than the imaging suggested. 669 00:34:24,124 --> 00:34:25,492 True. 670 00:34:29,874 --> 00:34:31,252 Talk through your approach. 671 00:34:33,997 --> 00:34:38,277 I... grasp the gallbladder fundus forward 672 00:34:38,302 --> 00:34:40,715 and use a right-angle clamp in my suction 673 00:34:40,740 --> 00:34:43,384 to develop a plane around the gallbladder. 674 00:34:43,575 --> 00:34:44,709 Kelly clamp, 675 00:34:44,734 --> 00:34:46,244 a right-angle clamp, and suction. 676 00:35:07,393 --> 00:35:10,838 That was elegant use of the Kelly clamp. 677 00:35:16,242 --> 00:35:18,287 I see the cystic duct 678 00:35:18,311 --> 00:35:20,722 and, behind it, the cystic artery. 679 00:35:20,746 --> 00:35:22,865 I need my first assist to confirm 680 00:35:22,889 --> 00:35:24,742 that I have identified the common bile duct 681 00:35:24,766 --> 00:35:25,977 and it is out of the way. 682 00:35:26,001 --> 00:35:28,997 Yes. Cutting the duct would be... 683 00:35:29,021 --> 00:35:30,361 Very, very bad. 684 00:35:31,290 --> 00:35:33,948 Move the gallbladder cranially a little bit. 685 00:35:34,961 --> 00:35:36,305 Titanium clip applier. 686 00:35:53,304 --> 00:35:54,881 You sure you have a clear view? 687 00:35:58,583 --> 00:35:59,752 Making the cut. 688 00:36:25,311 --> 00:36:26,555 She's hemorrhaging. 689 00:36:30,782 --> 00:36:32,260 I can't see the source of the bleeding. 690 00:36:38,767 --> 00:36:40,605 MAP is 45 and dropping. 691 00:36:52,346 --> 00:36:53,783 What do you think is happening? 692 00:36:56,852 --> 00:36:58,015 Most likely, 693 00:36:58,039 --> 00:37:01,534 my scissors' tip nicked the right hepatic artery. 694 00:37:01,558 --> 00:37:02,900 It happens. 695 00:37:02,924 --> 00:37:04,080 It's happened to me. 696 00:37:07,252 --> 00:37:09,965 I need to clamp the common hepatic artery, 697 00:37:09,989 --> 00:37:11,299 repair the arterial wall 698 00:37:11,323 --> 00:37:13,067 with running 6-0 Prolene sutures. 699 00:37:13,091 --> 00:37:14,902 That's what I would do. 700 00:38:04,609 --> 00:38:06,520 Hey, hey, hey. Slow down. Slow down. 701 00:38:06,544 --> 00:38:08,056 No running. No running. 702 00:38:09,482 --> 00:38:11,458 Dr. Browne, how's my daughter? 703 00:38:11,482 --> 00:38:12,960 The surgery was a success, 704 00:38:12,984 --> 00:38:14,529 and we expect a full recovery. 705 00:38:16,448 --> 00:38:18,571 I wanna see her! 706 00:38:19,658 --> 00:38:21,235 Is that okay? 707 00:38:21,259 --> 00:38:22,761 - Yay! - Okay. 708 00:38:28,567 --> 00:38:30,636 Michelle says she wants to be a doctor. 709 00:38:33,138 --> 00:38:35,073 She would be a great one. 710 00:38:37,176 --> 00:38:40,593 Uh, that therapist Michelle talked to... 711 00:38:42,222 --> 00:38:44,524 ...could I get her card? 712 00:38:49,955 --> 00:38:52,257 - Hi, baby. - Hey. 713 00:39:06,105 --> 00:39:07,549 Okay. 714 00:39:09,207 --> 00:39:11,143 Three, two, one. 715 00:39:16,114 --> 00:39:17,858 You were right. 716 00:39:17,882 --> 00:39:19,895 He had angiosarcoma of the leg. 717 00:39:19,919 --> 00:39:22,563 Had to amputate, but the margins were clean. 718 00:39:22,587 --> 00:39:24,165 - Hmm. - What happened to the... 719 00:39:24,189 --> 00:39:25,388 Franklin! 720 00:39:25,957 --> 00:39:28,904 Oh! 721 00:39:31,531 --> 00:39:34,901 Franklin, you amazing fish! 722 00:39:35,868 --> 00:39:37,413 You saved my life. 723 00:39:37,437 --> 00:39:39,114 Come on, bring him... bring him here. 724 00:39:39,138 --> 00:39:40,782 Bring him... Bring him in. 725 00:39:40,806 --> 00:39:41,916 Oh. 726 00:39:49,147 --> 00:39:50,391 Thank you, guys. 727 00:39:50,415 --> 00:39:53,161 Group hug. 728 00:39:58,857 --> 00:40:00,601 Do you prefer to work in a team 729 00:40:00,625 --> 00:40:04,005 or do you prefer to lead or follow command? 730 00:40:04,029 --> 00:40:06,940 Team... and to lead. 731 00:40:10,835 --> 00:40:13,148 What machine or appliance in your house 732 00:40:13,172 --> 00:40:14,916 aggravates you the most? 733 00:40:14,940 --> 00:40:16,022 The dishwasher. 734 00:40:22,013 --> 00:40:23,682 Hey, I'm just leaving. 735 00:40:24,850 --> 00:40:26,628 Who is this? 736 00:40:45,638 --> 00:40:48,650 ? From the greatest height ? 737 00:40:53,578 --> 00:40:56,424 ? Slow motion life ? 738 00:41:01,098 --> 00:41:07,601 ? You know I'd pay to leave these tears behind ? 739 00:41:07,625 --> 00:41:09,737 ? But it's fine ? 740 00:41:09,761 --> 00:41:12,306 ? I know we're all the same ? 741 00:41:18,036 --> 00:41:20,482 ? Slow motion pain ? 742 00:41:25,743 --> 00:41:31,092 ? Now it's all blood in the open ? 743 00:41:31,116 --> 00:41:34,895 ? But we're not scared ? 744 00:41:34,919 --> 00:41:36,697 Message received 745 00:41:36,721 --> 00:41:40,902 at 5:30 p.m. from Mom. 746 00:41:42,148 --> 00:41:44,328 Hey, baby, I got your text. 747 00:41:44,352 --> 00:41:46,674 See, I knew it was just a temporary setback. 748 00:41:46,698 --> 00:41:48,076 We're gonna celebrate. 749 00:41:48,100 --> 00:41:49,444 I made dinner. 750 00:41:49,468 --> 00:41:51,112 And I'm gonna go get some dessert. 751 00:41:51,136 --> 00:41:52,581 I'll see you soon. 752 00:41:52,605 --> 00:41:54,516 I'm so proud of you, baby. 753 00:41:54,540 --> 00:41:56,717 ? Slow motion life ? 754 00:42:02,647 --> 00:42:05,293 ? Slow motion life ?