Programa de TV: Grey's Anatomy - 21x12
If I learned anything from growing up in a hospital, it's that the standard of care changes over the years.
Our meta-analysis confirms the correlation between the gut microbiome and Alzheimer's.
Let's look at the data.
Wait.
What is this?
I made some changes.
Because all these institutions kept rejecting us.
So if we want to win this grant, I thought we need more patient data.
Ellis broke the drawer!
We just moved in.
I didn't mean to!
It's okay.
I-I can fix it.
Uh, make sure you triple proofread.
If Pitney is judging, he points out every typo passive-aggressively.
Did Nick tell you he won the Blaisdell Grant four years ago?
You did?
Yeah.
The judges are tough.
The competition's tougher.
You fire questions at each other in the final round.
Alright.
I am regretting not studying on the plane.
A 373% increase in Alzheimer's diagnosis among 30 to 44-year-olds?
Yeah, we had a 41-year-old patient.
University professor.
You should put it in your presentation.
Your patients are fire compared to these slides.
Not as fire as getting there on time.
We should go.
Oh.
Yeah.
-Love you.
-Good luck.
Thank you.
If you had a cold in the late 1800s, your doctor would prescribe heroin as a cough suppressant.
If you had schizophrenia in the 1930s, your doctor would perform a lobotomy.
But despite the increase in knowledge and research, doctors still aren't perfect.
So now that we're engaged...
Mm-hmm.
...the real question is...
DJ or cover band?
Cover bands are so cheesy.
I was kind of hoping that we would have a really small wedding.
Small like...
50 guests?
No.
Like, um...
you, me, the kids, and...a witness.
We have to invite my parents.
Oh.
What about Schmitt?
Don't you want him there?
No, it's not that.
I just -- I, you know, have already done the huge wedding.
I just -- I don't want to make it a big deal.
So you just want to go down to the courthouse and sign the paperwork?
I've done that, too.
Even today, your doctor's not likely to offer pain relief for an I.U.D.
placement, even though it can be more agonizing than a vasectomy.
We expect doctors to not make mistakes.
But the history of medicine is a history of flawed judgment.
Don't open your eyes.
Nope.
And...
I present to you... "
Molly and Blue: the greatest bites."
What is this?
Okay.
Here we have the third-date garlic sirloin that led us to our very first time...
You know what.
And the six-month anniversary trip to San Francisco.
Crab cakes.
And the "I love you" bacon fried rice.
And how did you have the time to do all of this?
Well -- Here we go.
I thought it'd be a fun way for you to relive a little of your past.
You know?
The tastes, smells.
You know, they're not gonna make me remember.
Well, experimental surgery might not, either, but this is a lot less risky, so why not try?
Let me guess.
Dave again?
Look.
I turned down his marriage proposal.
I mean, it's hard to just cut someone out of your life like that.
I'm late for pre-rounds.
You should go.
I never liked her.
Shouldn't we like our therapist?
Who says I don't?
She clearly doesn't know who we are.
Do we?
I mean, isn't -- isn't that why we see her?
She told us to try an unconventional marriage.
Because we told her that sometimes we are attracted to other people, so she's trying to help us solve the issue.
Oh, so you want an open marriage and sleep with other people?
I didn't say that!
You're not denying it.
Owen!
Owen!
I am in love with you.
But if we continue like this...
I don't want to lose you.
But we both feel stifled and stuck. "
Stuck."
I want to change this, but it doesn't feel like you do.
Oh, my grandma asked where you were last night.
Well, she asked about Linus, but I'm pretty sure that meant you.
Are they...
Us.
A year ago.
They're here for interviews.
They look so rested.
We'll be in charge of them soon.
Unless you're Adams.
No offense.
Oh, no.
No, no, no, no, no.
Wait.
You know someone?
Uh, the woman in the purple sweater.
We might have gone out last night and I maybe might have slept at her hotel.
What's she doing here?
We didn't talk details.
Who's the kid?
I don't know.
But he wasn't there when she was doing things to my neck -- Yes.
We've got prospective interns visiting today.
And, yes, that means that you -- You are about to be second years, so act like it!
Stop standing around.
I want you to take some initiative.
Make me look good.
Understand?
Where the hell is Kwan?
I'm here!
Here.
I'm here.
Late.
And sloppy.
You're on scut.
Yeah.
You'll be working shoulder to shoulder with the world's most renowned surgeons attending.
Adams!
Melissa Walker, 52, presented to the E.D.
three days ago with abdominal pain, nausea, fatigue.
Ultrasound revealed gallstones.
She is now post-op day two from a lap chole.
LFTs are all normal.
That's the video I wanted to watch!
No, that one's dumb.
-Mom!
-Mom!
Okay.
Jenina, can you take them to get something to eat?
Oh.
Wait.
Can we get something from the gift shop, too?
Sure.
Under $20.
Oh, oh, oh.
Are you in pain?
Mnh.
I'm trying to keep it in for my girls.
I mean, I know they may look like they only care about the phone.
Ever since I've been in the hospital, t-they're terrified that they're gonna wake up one day without me.
Ohh.
I-I understand.
Ohh.
Okay.
I thought the surgery was supposed to take away the pain.
Yeah.
Uh, unfortunately, it's probably inflammation from the procedure, but Dr.
Adams will order a CT just to make sure.
Okay?
Okay.
Hannah, how are you doing?
Starving!
How long till we get this show on the road?
Her INR is a bit high.
I'm sorry.
We should push your hernia repair to tomorrow just to be safe.
I'd like to see your labs at a normal range.
Does that mean I can eat?
I'll get you a menu.
Okay.
...was closely linked to the discovery of amyloid-beta oligomers and plaques.
So with the correlation to Alzheimer's confirmed, our next steps are how and why.
Our proposal will significantly expand our current data on the microbiota of the descendants of people with Alzheimer's.
Is there a problem?
More of a question about the veracity of your research.
W-We have data to support everything.
That's not our concern.
Another team presented something similar this morning, except they're several steps ahead.
That's impossible.
Who was that?
Where is he?
Grey!
Shepherd!
Ohh!
This is a surprise.
Welcome to my lab...
where, uh, ahem, visits are by appointment only.
Tuesday mornings are good.
Oh.
Meet my vassal, Tommy.
I prefer protégé.
You're Tom and Tommy?
Well, my given name is Vincenzo.
I needed something I could remember.
I'm glad you're here.
I owe you a thank-you note, and this saves me a stamp.
That abstract you published was a gripping read.
Gripping enough to present for a Blaisdell Grant?
Oh, no, no, no, no.
It was just a starting point.
You made it public, so anyone could use it, right?
We weren't specifically thinking about you, Tom.
And yet I'm the only one who seems to have made a groundbreaking discovery.
Unless you've also used antibiotics in mice to trigger a significant decrease in Alzheimer's markers.
Hm?
No?
No.
Chins up.
Only one of us needs to find a cure.
Right?
Hm.
The girls are at your brother's?!
He was in town.
Because Vegas won't let him back.
The last time he babysat, he used a credit card you gave him to -- Hi, Dr.
Wilson.
Mr.
and Mrs.
Kotwani.
I expected to see you two weeks ago.
So did we.
But this little guy is as forgetful about dates as his father.
I apologized three times for leaving them at home.
I've been eating dried dates to induce labor naturally.
We've tried acupuncture, sex, long walks.
Passive aggression.
O-Okay, well, um, you are 14 days overdue, so we will need to induce medically.
Can't those drugs cause complications?
You've reached the point where you can have complications if you don't deliver.
I wish we could keep trying.
Well, we need to run some tests, but maybe you'll go into labor before that.
AJ Angstrum, return to the admit desk.
AJ Angstrum, return to the admit desk.
Her name's Vivi.
We've been talking, but when I get home, I'm gonna ask her to be my girlfriend.
Jules?
You two know each other?
We met last night.
Oh.
Convenient.
I'm getting a vibe.
Like -- Like when my homie Edgar hooked up with Elena Alvarez and then he got all weird around her.
How about we let the doctors talk?
Great idea.
Millin?
Yeah.
Right.
Um.
Carlos Navarro, 16.
History of pectus excavatum.
Presents for the modified Nuss procedure to raise the sternum.
No past surgical history.
I'm gonna do a quick exam, Carlos, alright?
Any, uh, shortness of breath?
Mnh-mnh.
So...is Carlos your...son?
I'm his patient advocate.
Ah.
I work with foster youth in Texas.
When my caseworker finally approved my surgery, Adriana called Dr.
Beltran.
They used to be married.
Yeah.
Just not relevant to your case.
-Ndugu, how are we looking?
-Asymptomatic.
His echo was normal.
Heart sounds great.
Great.
That means we can move forward.
Do you remember how this works?
Uh, yeah.
You place a curved metal bar under my rib cage and then flip it over to expand my chest.
And Vivi's not gonna be able to resist me with my new pecs.
Well, right on the first part.
Can't help you on the second part.
Millin is gonna get you prepped for surgery, okay?
Millin?
Yeah.
Right.
Right.
What she said.
See you soon.
These mice have a family history of beta-amyloid plaque.
Now, thanks to your abstract, we know that changes in the gut microbiome can lead to -- Which of my students knows the answer?
An inflammatory response in the microglia?
Bingo!
You're slow on the buzzer today, Shepherd.
Not your student anymore.
Of course, microglia are crucial to the formation of beta-amyloid plaques, so I thought, what if we use antibiotics to change their microbiome?
To see if it led to a reduction in plaque.
It did.
By twofold.
Why do you even need grant money?
You have the Fox Foundation.
Oh, research funding is like sex with me.
You can never have enough.
And if I'd had breakfast, it'd be coming back up right now.
Okay.
Who wouldn't want a Blaisdell Grant?
It's not just about the money.
It's about prestige and notice.
Then you parlay that into speaking engagements, a book deal, and...
And maybe you could cure Alzheimer's.
Well, sure, but when my work changes the face of medicine, everybody wins.
Even you, Dr.
Grey.
Oh.
I see you're keeping busy.
Does this mean you're feeling better?
It means I'm a procrastinator, and Bianca's school play is in a week.
Oh.
I hope I'm out of here to see it.
Who's she playing?
A hot hors d'oeuvre.
In "Beauty and the Beast."
You know, I think she's secretly hoping the feather duster gets sick so she can step in.
Mm-hmm.
Oh.
Okay.
Your CT results were normal, but we will give you something for the pain.
But hopefully it will subside as your body heals, okay?
Um, order repeat LFTs.
Now we're talkin'!
Two pieces of banana cake!
Ooh!
Y-You want one?
Uh, I wish.
I'm allergic to bananas.
Ever since menopause hit.
Yeah, well, allergies can start at any time.
Did you develop any others when you started menopause?
A few.
Some cheeses.
Nuts.
Plus the standard symptoms.
Hot flashes, night sweats, stomach pain.
But I guess that was the gallbladder.
Well, I ordered more pain meds.
We'll see if that does the trick.
Dr.
Isenberg, 4-6-7-3.
Dr.
Isenberg, 4-6-7-3.
I read something about amines producing excess serotonin in people with carcinoid syndrome.
Bananas, cheeses, nuts.
They're all high in amines.
Uh, you think my patient has a one-in-a-million cancer?
S-Should she get a PET scan?
If Bailey asked me to.
Anna's surgery got pushed.
Do you mind if I do it?
Uh, knock yourself out.
If you're working on my patients, Mr.
Follett needs a rectal exam.
Hm.
That's gonna be all you.
Hey.
where are Carlos' pre-op labs?
I haven't put in the order yet.
Ndugu had me discharge Miles Aina.
Okay, well, do you want to tell him that you're delaying his surgery or should I?
I will put the order in A.S.A.P.
Hey.
Thank you for taking Carlos' case.
The favor means a lot.
You know I'm not doing it for you.
Satellite Pharmacy, 2-1-2-7.
Satellite Pharmacy, 2-1-2-7.
Can someone turn up the heat in Carlos' room?
He says it's "cold as balls."
It's his words, not mine.
You didn't tell me your ex worked here.
I didn't know you worked here.
You didn't say that you were in town for a patient.
You want my whole life story?
Just be chill.
Monica's cool with it.
Cool or she doesn't know?
She knows.
Dr.
Sarno, call Oncology, 2-6-2-2.
Hey!
Hey.
I examined your patient with pulmonary valve stenosis, and she's cleared for surgery.
Great.
Whoa!
Look at that rock!
Did you get engaged?
Yes.
Congratulations.
Link did great.
Is there a date?
Uh, no.
We're having a little, um, debate about the wedding.
Oh, well, if yours doesn't kill your priest, you're one up on me and Owen.
Hm!
Well, you guys don't set the bar very high.
Okay.
Ready for your Pitoc-- Ohh!
You said you locked the door!
I said it didn't have a lock!
Sorry!
We were just trying to induce!
Aah!
Oh, God!
Oh!
God!
Oh, God.
Oh, God.
Oh, oh.
Is this the guy who fell upstairs?
Unh!
I think I broke my ass!
Ow!
He's got pain near the tailbone after falling off his wife and the hospital bed.
They were trying to induce labor.
Naturally.
She said she'd divorce me if I didn't!
Anand, Dr.
Hunt is going to help you.
I'm going back to Shruti.
She just went on the Pitocin drip.
Okay, but this really hurts.
Aah!
On a scale of 1 to 10, it's like a 47!
That is oddly specific.
And not something you should tell your wife while she is in labor.
I'm needed upstairs.
Okay.
Dr.
Mousa to the NICU.
Dr.
Jennah Mousa to the NICU.
Ah!
Hey.
What do you know about bananas and menopause?
Doesn't matter.
Nothing matters.
Whatever it is, it can't be that bad.
My one night stand is Beltran's ex-wife.
How did you manage that?
I saw a hot woman in a bar.
She's here with a patient from Texas.
So she'll be out of here soon.
Lay low.
I'm on Beltran's service.
And she knows.
Oh, it is that bad.
What do I do?
Get off the case.
He's got my resources, and now he's going to get my grant funding.
And so you're upset he's using your work to compete against you.
No.
I'm upset his research is good.
Yeah.
I mean, Tom Koracick has been doing this for five minutes, and he's actually moving the needle.
Yeah, that's what money does.
And he wants more of it.
But he doesn't care about Alzheimer's.
He might as well be researching genetically modified tomatoes.
Well, they are actually studying those to see if they fight cancer.
You know what I mean.
I do know what you mean.
I mean, it's a game to him.
He's never had to search for a grandmother who's gone missing or taken car keys away from a dad or look into the eyes of a mother who's alive but not there.
Well, that's something you have that he does not.
Passion.
I don't think the Blaisdell Grant judges care about passion.
You say Koracick's got the advantage right now, so all you can do is make a case for yourself.
That's all you can do.
Might be your last shot.
-You paged?
-Yeah.
Possible broken coccyx.
He has swelling and bruising at the base of the spine.
I'm just ordering the X-rays.
I didn't even need a boy!
Anand's wife is being induced upstairs.
Congratulations.
Whatever.
Aah!
I have two teenage daughters.
Do you know how long it's been since I've changed a diaper?
Aah!
They got a lot more options now.
Ohh!
My house has been chaos for 17 years.
I've been counting the days till an empty nest since my youngest started high school.
In my mind, Shruti and I were spending next summer in Cinque Terre, drinking prosecco and eating pesto, but Shruti suddenly wanted a boy, so now I've got a broken ass.
Aah!
I still don't see how those things are related.
You don't want to.
I had my first interview with an intern candidate.
Very impressive.
Oh no.
It's a strong group.
One of them interned at the World Health Organization.
Dr.
Bailey, can I show you something?
Mm-hmm.
I overheard Melissa Walker talking about her symptoms.
They seem to be in line with carcinoid syndrome, so I took her for a PET scan and sent some labs.
Uh, who asked you to take her for a PET scan?
No one, but I was taking in-- Dr.
Griffith, you're on my service.
You can't go running scans on whatever patients you want to just because -- Melissa has a neuroendocrine tumor.
1.5 centimeters on the appendix.
I'll be damned.
There's also a small spot on the liver.
I thought her symptoms were menopause.
Yeah, so did I.
Well, that makes sense.
The tumor is secreting hormones into the bloodstream.
She needs an appy and a liver biopsy.
Can Adams take over your service?
Yeah, I suppose so.
Alright, then, Griffith, book an O.R.
for you and whoever you want to assist.
To assist...?
You.
You found it.
You take it out.
Uh...solo surgery?
If you don't think you're ready...
Oh, no, I'm r-- I can do it!
Thank you!
Alright.
See you in the operating room.
Yeah.
Hey.
Congratulations.
OT Morell to the 3rd-Floor nurses' station.
OT Morell to the 3rd-Floor nurses' station.
Well, Carlos' pre-op labs came back normal, which, honestly, as the intern on this case, you should be telling me.
Dr.
Beltran, I-I swear.
I had no idea.
If -- If you want me off the case, I completely understand.
Talk me through the Nuss procedure.
Now would be good.
Uh, get thoracoscopic access and perform cryoablation on the intercostal nerves.
And then?
L-Lateral incisions either side of the chest.
And then you pass the tunneling bar under the sternum.
You're prepped.
You're with me.
Unless you want off this case.
No, no, no.
I'll see you in the O.R.
Okay.
Oh!
I don't have time to wait in lines.
Uh, hey, have you ever read about grid stimulations to recall memories?
It's only ever been done successfully on animal models.
Sounds cool.
Or risky and dangerous and not proven to work, yet Molly wants it.
I really need to eat something before surgery.
You never held a retractor on an empty stomach?
She's not holding a retractor.
Bailey is letting me take a lead on an appy.
Wait.
You're getting a solo surgery?
I hate you!
Hm.
You hate me or you love me?
Because Bailey said I could pick an intern to go in with me.
Beltran's not gonna release me from her service.
So she doesn't know you slept with her ex.
What?
What?
So!
It's an appy?
What about you?
Technically, she's your patient.
Um, I still have a bunch of H&Ps to do for Webber, but I know you'll do great.
Well, it looks like it's just you and me.
Fine.
Let's go.
So...she's operating on your patient?
Who'd you sleep with again?
Okay.
You are 8 centimeters dilated.
And it's almost ready to push.
Where is that clumsy jerk?!
If you mean your husband, he is waiting on a CT.
They want to scan his pelvis and his spine to make sure he doesn't have an occult fracture.
This is your first, right?
Um, well, my daughter's adopted, but this is my first time carrying.
When I told my husband I was pregnant with our first, he was so happy, he cried.
This time, he barely looked up from his phone and said he'd get the crib out of the garage.
Here.
Let me make you more comfortable, okay?
I know we've been through this twice before, but our son hasn't.
I want him to know that he's special to us.
But now his dad is probably gonna miss his birth!
I had to remind him about that crib at least 10 times!
And -- Crap!
I forgot to remind him about the car seat!
Where's my phone?!
Oh.
Uh...okay.
Oh.
Here, here, here.
Shruti.
Did you install the car seat?!
Oh, my God!
Are you in labor?!
What does it look like?!
So I did it!
I induced you!
My sex induced her.
The Pitocin induced me.
Tell me that you remembered to take the car seat out of your trunk and actually install it!
Okay.
Of course I did.
Take a breath.
You've got this.
I love you.
You're right.
Thanks.
I love you.
I forgot the car seat.
Take me to the parking lot.
You shouldn't ignore a possible fracture.
Are you married?
Because my wife means the world to me, and I just want her to be happy, so can you please take me back to my car?!
Uh...
Identify the right colon.
Follow the taenia coli along the cecum to locate the appendix.
Use the grasper to clutch the tip and hold it up towards the lower right abdomen.
Could you talk to Molly?
As a doctor?
I don't think she understands that no one knows how to precisely target where lost memories are, and her surgery is scheduled with Shepherd in two days.
Okay.
You cannot do this.
Thank you.
How do we tell Molly?
No.
I mean you cannot do this.
I am about to perform my first solo surgery.
It's just an appy.
It's my appy from start to finish for the first time.
Melissa has two scared daughters.
If anything happens to her, it is on me.
So be my assist or get out.
Also, instead of talking to me about Molly's surgery, try talking to Molly.
Okay.
Are we ready?
Scalpel.
Okay.
We're ready to start getting thoracoscopic access.
Let's drop the lung.
I met Carlos when he was 12, and he had a crush on Vivi back then.
Still hasn't realized that she's been waiting for h to make the first move.
Okay.
Are we ready?
SATs look good with one lung ventilation.
Okay.
Millin, get the Veress needle.
Alright, so, because the lung is down, the heart may have moved from where it normally -- Okay.
Needle's in.
Oh.
Damn it!
He's bleeding.
Why is he bleeding?!
Because you may have punctured his heart.
I did what?!
We need to page Dr.
Ndugu!
Okay, Millin, I need you to breathe.
Someone page Dr.
Ndugu right now!
Alright.
You know what?
It's still loose.
Here.
I'll hold it down.
You pull.
Why is this always so hard?!
I think it's a test.
Survival of the fittest.
Yeah.
Hey...
Have you ever done anything you didn't want to in order to help your marriage?
Like what?
Also -- not married.
Really?
I mean, something kind of unconventional.
Did Jo talk to you?
Why would Jo talk to me?
Because we just got engaged, and I want a conventional wedding, she doesn't.
Oh, this is -- this is about you.
Hm.
Oh.
Uh, well, you know, I'm always open to things.
You know?
Relationships are about give-and-take.
That's what I learned from my parents.
Uh-huh.
So, uh, how long they been married?
Not as long as they've been divorced.
First marriage, everything was "my way or the highway."
Uh, but now they let a lot of things slide.
Their second marriage seems to be going a lot better.
Well, take it from someone who's on his third.
It's a lot of hard work.
Congratulations, by the way.
I'm sure you'll be very happy.
Alright.
What happened?
I screwed up and I punctured his heart.
For all we know, I could have torn a hole right through it.
Vitals are stable for now.
Where are you going?
Get back in here and help fix this.
Let me see the size of the needle.
Okay.
How does that compare to a 16-gauge?
It's about the same.
And we use those to do intracardiac injections.
So what's your recommendation?
Uh, do a pericardial window and then place a drain so that it can heal itself?
Correct.
We will take care of this.
And then you can help Dr.
Beltran finish the Nuss procedure.
If Dr.
Beltran still wants me -- If you ask me one more time if I want you on this case, I'm going to lose my mind.
Focus and stay in lockstep.
Are you ready?
Okay.
Good.
Let's see what's going on.
So how's it going?
So far, so good.
I was just about to check on Mrs.
Balaban.
Oh, you can, uh -- You can wait a minute.
My first solo surgery was monumental.
I called my friends, my family.
If memory serves, I even bought a new pair of shoes for the occasion.
Now I can't tell you if it was a cholecystectomy or a hernia repair.
First one's always a big deal.
Then so is the second.
10th.
100th.
You got your whole career ahead of you.
Don't beat yourself up over one lost surgery.
Ah.
First Endoloop is on.
Ready for the next one.
Not so scary, right?
Muscle memory is a powerful thing.
I wouldn't know.
With that attitude, you never will.
Here.
Thank you.
Now, now, go slow.
Ah.
Uh...
it's caught in the port.
I need a new one.
It's still slipping.
My hands are big enough.
D-Do you think you have smaller hands than me?
No.
Try again.
Going again.
You know this.
You've seen it done a million times.
Almost there.
Got it!
Scissors.
Separating the appendix from the cecum.
Endopouch, please.
Yeah.
Let's get it to path.
Well done.
Yeah.
Melissa should be recovered in time to see her daughter's school play.
Before we close, we would like to acknowledge the 55 million people living with Alzheimer's disease.
We feel passionately about this work because of them.
And a Blaisdell Grant would not only help us continue the next phase of our research, but you'd be contributing significantly to our relentless pursuit of a cure.
We're happy to take any questions.
I got -- Hi.
Hi.
Yeah.
Are you proposing to test a hypothesis you've already confirmed?
No.
No?
I have a -- C-Can I -- Yeah.
Uh, theatrics aside, this sounds like the study your abstract was based on.
That involved 175 patients.
We would recruit thousands in order to identify specific bacterial strains.
Yeah.
Like I said, more of the same, so...
Can you talk about the people you'll enroll in the study?
Ages, ethnicities, geographic locations?
Softball game's at the park, Marsh.
Look, if you want to make this personal, let me tell you about Paul, hm?
John, George, and Ringo.
The Beatles?
Not Beatles.
Mice.
I've also got Jermaine, Tito, Jackie, Marlon, and Michael.
We're taking Alzheimer's research to a new level.
That's right.
Um...
Theatrics aside, what about the female mice?
The -- Excuse me?
Alzheimer's affects twice as many women as it does men.
So are you only studying male mice?
Of course.
You put a few female mice in a cage, and pretty soon you have a whole social hierarchy.
The young ones are taking care of the oldest, and they experience anxiety and stress, sometimes resulting in hair loss.
And their hormone cycles create fluctuations in behavior that can render the whole experiment useless.
Your inexperience in neurology research is showing great.
Anyone in this field of study knows, hm, female mice are problematic...
Right?
So you're not studying female mice because their reproductive systems mess with your results?
You catch on quick.
That's pathetic.
And the most asinine excuse for sexism I've ever heard.
No wonder no one's ever cured Alzheimer's.
The men who have spent decades trying to do it have ignored the patients who need it the most.
And what's worst of all is no one in this room seems interested in changing any of it.
How can we let this happen knowing it directly affects us?
Well, thank you all for your time.
Dr.
Binder to 3-West.
Dr.
Binder to 3-West.
How's he doing?
Stable.
Post-op labs look good.
Oh.
Hey.
Did it work?
It did.
Thanks to Dr.
Beltran.
Thank you.
I'm gonna be able to go to pool parties, the beach.
You can go with Vivi.
T-That's her name, right?
The girl you like?
Yeah, yeah, she's -- she's okay.
Uh, but now that I've got this new body, I should play the field, right?
No.
No.
When you find someone you can't stop thinking about and they make you feel things you've never felt before and you have a chance to be with her, you should call her.
Do you hear me?
Should I go after her?
Millin!
I'm sorry.
I'm sorry if that was out of line.
And I'm sorry that I punctured that kid's heart.
And I'm sorry that I didn't strap a patient onto the O.R.
table properly.
Okay.
I -- I'm not sure about that last one, but complications happen.
You're an intern.
You're gonna make mistakes.
Hell, I still do.
I slept with Adriana because I'm going through a breakup.
I don't care.
I mean, I'm not thrilled, but you know what?
Honestly, the less we talk about it, the better.
But I am your attending and I do care about your surgical training.
And today, when it mattered most, you froze and you got in your own way.
And I know this because I've been there.
So no matter how hard it is, you cannot bring your personal life into the O.R.
In particular, mine.
Okay?
Yeah.
Yeah.
Are you ready for a visitor?
We both are.
You want to hold him?
Yeah.
Congratulations.
Hey, buddy.
I'm your dad!
I broke my butt for you!
In about five years, you'll find that hilarious.
I'm so glad we did this.
Hey.
There's Mom.
So once we get the results of your liver biopsy back, we will work to ensure you have the best treatment plan.
But your surgery went beautifully.
I'm bored.
What did I tell you about using that word?
You don't want to hear it.
Are we going home?
Your mom needs a little more rest.
She can go home soon.
Can we sleep over?
Is that okay?
Um, if you want.
But you have to let your mom get some rest.
Can you do that?
We promise.
-Alright.
-We'll send up some games from the peds floor.
Thanks.
Well done.
You made me look good.
Dr.
Bailey, thank you.
Hm.
So?
How did surgery go?
Oh.
It was okay.
It was...
I can't lie.
It was the coolest 30 minutes of my...life.
You deserve it.
Jules and I are gonna get a drink.
Do you want to come?
Uh, uh, n-- I still have to do hand-off for next shift, but, um, you should go.
Okay.
See you later.
Yeah.
How's Shruti?
Doing better.
The dads are harder than the moms.
I don't need a big wedding.
I don't need the band or the slideshow with photos or a giant cake.
You're thinking about cake.
I am.
Yeah.
But the point is...
I just want to be married to you.
I don't care about the rest.
I do.
I want the wedding.
I thought that I didn't because, well, I've already done it before, but I've never done it with you.
I want to.
Can't wait to marry you!
Truly unimaginable.
I think I insulted Lucas.
He will be fine.
You flew solo in the O.R.
today.
You know, I think that we should stop worrying about relationships and just focus on our careers, which is why I have decided swearing off sex for a while.
Yeah, I'm not doing that.
O...kay.
Okay.
That makes sense.
Someone told me that I need to put my head down and focus on work.
I'
Our meta-analysis confirms the correlation between the gut microbiome and Alzheimer's.
Let's look at the data.
Wait.
What is this?
I made some changes.
Because all these institutions kept rejecting us.
So if we want to win this grant, I thought we need more patient data.
Ellis broke the drawer!
We just moved in.
I didn't mean to!
It's okay.
I-I can fix it.
Uh, make sure you triple proofread.
If Pitney is judging, he points out every typo passive-aggressively.
Did Nick tell you he won the Blaisdell Grant four years ago?
You did?
Yeah.
The judges are tough.
The competition's tougher.
You fire questions at each other in the final round.
Alright.
I am regretting not studying on the plane.
A 373% increase in Alzheimer's diagnosis among 30 to 44-year-olds?
Yeah, we had a 41-year-old patient.
University professor.
You should put it in your presentation.
Your patients are fire compared to these slides.
Not as fire as getting there on time.
We should go.
Oh.
Yeah.
-Love you.
-Good luck.
Thank you.
If you had a cold in the late 1800s, your doctor would prescribe heroin as a cough suppressant.
If you had schizophrenia in the 1930s, your doctor would perform a lobotomy.
But despite the increase in knowledge and research, doctors still aren't perfect.
So now that we're engaged...
Mm-hmm.
...the real question is...
DJ or cover band?
Cover bands are so cheesy.
I was kind of hoping that we would have a really small wedding.
Small like...
50 guests?
No.
Like, um...
you, me, the kids, and...a witness.
We have to invite my parents.
Oh.
What about Schmitt?
Don't you want him there?
No, it's not that.
I just -- I, you know, have already done the huge wedding.
I just -- I don't want to make it a big deal.
So you just want to go down to the courthouse and sign the paperwork?
I've done that, too.
Even today, your doctor's not likely to offer pain relief for an I.U.D.
placement, even though it can be more agonizing than a vasectomy.
We expect doctors to not make mistakes.
But the history of medicine is a history of flawed judgment.
Don't open your eyes.
Nope.
And...
I present to you... "
Molly and Blue: the greatest bites."
What is this?
Okay.
Here we have the third-date garlic sirloin that led us to our very first time...
You know what.
And the six-month anniversary trip to San Francisco.
Crab cakes.
And the "I love you" bacon fried rice.
And how did you have the time to do all of this?
Well -- Here we go.
I thought it'd be a fun way for you to relive a little of your past.
You know?
The tastes, smells.
You know, they're not gonna make me remember.
Well, experimental surgery might not, either, but this is a lot less risky, so why not try?
Let me guess.
Dave again?
Look.
I turned down his marriage proposal.
I mean, it's hard to just cut someone out of your life like that.
I'm late for pre-rounds.
You should go.
I never liked her.
Shouldn't we like our therapist?
Who says I don't?
She clearly doesn't know who we are.
Do we?
I mean, isn't -- isn't that why we see her?
She told us to try an unconventional marriage.
Because we told her that sometimes we are attracted to other people, so she's trying to help us solve the issue.
Oh, so you want an open marriage and sleep with other people?
I didn't say that!
You're not denying it.
Owen!
Owen!
I am in love with you.
But if we continue like this...
I don't want to lose you.
But we both feel stifled and stuck. "
Stuck."
I want to change this, but it doesn't feel like you do.
Oh, my grandma asked where you were last night.
Well, she asked about Linus, but I'm pretty sure that meant you.
Are they...
Us.
A year ago.
They're here for interviews.
They look so rested.
We'll be in charge of them soon.
Unless you're Adams.
No offense.
Oh, no.
No, no, no, no, no.
Wait.
You know someone?
Uh, the woman in the purple sweater.
We might have gone out last night and I maybe might have slept at her hotel.
What's she doing here?
We didn't talk details.
Who's the kid?
I don't know.
But he wasn't there when she was doing things to my neck -- Yes.
We've got prospective interns visiting today.
And, yes, that means that you -- You are about to be second years, so act like it!
Stop standing around.
I want you to take some initiative.
Make me look good.
Understand?
Where the hell is Kwan?
I'm here!
Here.
I'm here.
Late.
And sloppy.
You're on scut.
Yeah.
You'll be working shoulder to shoulder with the world's most renowned surgeons attending.
Adams!
Melissa Walker, 52, presented to the E.D.
three days ago with abdominal pain, nausea, fatigue.
Ultrasound revealed gallstones.
She is now post-op day two from a lap chole.
LFTs are all normal.
That's the video I wanted to watch!
No, that one's dumb.
-Mom!
-Mom!
Okay.
Jenina, can you take them to get something to eat?
Oh.
Wait.
Can we get something from the gift shop, too?
Sure.
Under $20.
Oh, oh, oh.
Are you in pain?
Mnh.
I'm trying to keep it in for my girls.
I mean, I know they may look like they only care about the phone.
Ever since I've been in the hospital, t-they're terrified that they're gonna wake up one day without me.
Ohh.
I-I understand.
Ohh.
Okay.
I thought the surgery was supposed to take away the pain.
Yeah.
Uh, unfortunately, it's probably inflammation from the procedure, but Dr.
Adams will order a CT just to make sure.
Okay?
Okay.
Hannah, how are you doing?
Starving!
How long till we get this show on the road?
Her INR is a bit high.
I'm sorry.
We should push your hernia repair to tomorrow just to be safe.
I'd like to see your labs at a normal range.
Does that mean I can eat?
I'll get you a menu.
Okay.
...was closely linked to the discovery of amyloid-beta oligomers and plaques.
So with the correlation to Alzheimer's confirmed, our next steps are how and why.
Our proposal will significantly expand our current data on the microbiota of the descendants of people with Alzheimer's.
Is there a problem?
More of a question about the veracity of your research.
W-We have data to support everything.
That's not our concern.
Another team presented something similar this morning, except they're several steps ahead.
That's impossible.
Who was that?
Where is he?
Grey!
Shepherd!
Ohh!
This is a surprise.
Welcome to my lab...
where, uh, ahem, visits are by appointment only.
Tuesday mornings are good.
Oh.
Meet my vassal, Tommy.
I prefer protégé.
You're Tom and Tommy?
Well, my given name is Vincenzo.
I needed something I could remember.
I'm glad you're here.
I owe you a thank-you note, and this saves me a stamp.
That abstract you published was a gripping read.
Gripping enough to present for a Blaisdell Grant?
Oh, no, no, no, no.
It was just a starting point.
You made it public, so anyone could use it, right?
We weren't specifically thinking about you, Tom.
And yet I'm the only one who seems to have made a groundbreaking discovery.
Unless you've also used antibiotics in mice to trigger a significant decrease in Alzheimer's markers.
Hm?
No?
No.
Chins up.
Only one of us needs to find a cure.
Right?
Hm.
The girls are at your brother's?!
He was in town.
Because Vegas won't let him back.
The last time he babysat, he used a credit card you gave him to -- Hi, Dr.
Wilson.
Mr.
and Mrs.
Kotwani.
I expected to see you two weeks ago.
So did we.
But this little guy is as forgetful about dates as his father.
I apologized three times for leaving them at home.
I've been eating dried dates to induce labor naturally.
We've tried acupuncture, sex, long walks.
Passive aggression.
O-Okay, well, um, you are 14 days overdue, so we will need to induce medically.
Can't those drugs cause complications?
You've reached the point where you can have complications if you don't deliver.
I wish we could keep trying.
Well, we need to run some tests, but maybe you'll go into labor before that.
AJ Angstrum, return to the admit desk.
AJ Angstrum, return to the admit desk.
Her name's Vivi.
We've been talking, but when I get home, I'm gonna ask her to be my girlfriend.
Jules?
You two know each other?
We met last night.
Oh.
Convenient.
I'm getting a vibe.
Like -- Like when my homie Edgar hooked up with Elena Alvarez and then he got all weird around her.
How about we let the doctors talk?
Great idea.
Millin?
Yeah.
Right.
Um.
Carlos Navarro, 16.
History of pectus excavatum.
Presents for the modified Nuss procedure to raise the sternum.
No past surgical history.
I'm gonna do a quick exam, Carlos, alright?
Any, uh, shortness of breath?
Mnh-mnh.
So...is Carlos your...son?
I'm his patient advocate.
Ah.
I work with foster youth in Texas.
When my caseworker finally approved my surgery, Adriana called Dr.
Beltran.
They used to be married.
Yeah.
Just not relevant to your case.
-Ndugu, how are we looking?
-Asymptomatic.
His echo was normal.
Heart sounds great.
Great.
That means we can move forward.
Do you remember how this works?
Uh, yeah.
You place a curved metal bar under my rib cage and then flip it over to expand my chest.
And Vivi's not gonna be able to resist me with my new pecs.
Well, right on the first part.
Can't help you on the second part.
Millin is gonna get you prepped for surgery, okay?
Millin?
Yeah.
Right.
Right.
What she said.
See you soon.
These mice have a family history of beta-amyloid plaque.
Now, thanks to your abstract, we know that changes in the gut microbiome can lead to -- Which of my students knows the answer?
An inflammatory response in the microglia?
Bingo!
You're slow on the buzzer today, Shepherd.
Not your student anymore.
Of course, microglia are crucial to the formation of beta-amyloid plaques, so I thought, what if we use antibiotics to change their microbiome?
To see if it led to a reduction in plaque.
It did.
By twofold.
Why do you even need grant money?
You have the Fox Foundation.
Oh, research funding is like sex with me.
You can never have enough.
And if I'd had breakfast, it'd be coming back up right now.
Okay.
Who wouldn't want a Blaisdell Grant?
It's not just about the money.
It's about prestige and notice.
Then you parlay that into speaking engagements, a book deal, and...
And maybe you could cure Alzheimer's.
Well, sure, but when my work changes the face of medicine, everybody wins.
Even you, Dr.
Grey.
Oh.
I see you're keeping busy.
Does this mean you're feeling better?
It means I'm a procrastinator, and Bianca's school play is in a week.
Oh.
I hope I'm out of here to see it.
Who's she playing?
A hot hors d'oeuvre.
In "Beauty and the Beast."
You know, I think she's secretly hoping the feather duster gets sick so she can step in.
Mm-hmm.
Oh.
Okay.
Your CT results were normal, but we will give you something for the pain.
But hopefully it will subside as your body heals, okay?
Um, order repeat LFTs.
Now we're talkin'!
Two pieces of banana cake!
Ooh!
Y-You want one?
Uh, I wish.
I'm allergic to bananas.
Ever since menopause hit.
Yeah, well, allergies can start at any time.
Did you develop any others when you started menopause?
A few.
Some cheeses.
Nuts.
Plus the standard symptoms.
Hot flashes, night sweats, stomach pain.
But I guess that was the gallbladder.
Well, I ordered more pain meds.
We'll see if that does the trick.
Dr.
Isenberg, 4-6-7-3.
Dr.
Isenberg, 4-6-7-3.
I read something about amines producing excess serotonin in people with carcinoid syndrome.
Bananas, cheeses, nuts.
They're all high in amines.
Uh, you think my patient has a one-in-a-million cancer?
S-Should she get a PET scan?
If Bailey asked me to.
Anna's surgery got pushed.
Do you mind if I do it?
Uh, knock yourself out.
If you're working on my patients, Mr.
Follett needs a rectal exam.
Hm.
That's gonna be all you.
Hey.
where are Carlos' pre-op labs?
I haven't put in the order yet.
Ndugu had me discharge Miles Aina.
Okay, well, do you want to tell him that you're delaying his surgery or should I?
I will put the order in A.S.A.P.
Hey.
Thank you for taking Carlos' case.
The favor means a lot.
You know I'm not doing it for you.
Satellite Pharmacy, 2-1-2-7.
Satellite Pharmacy, 2-1-2-7.
Can someone turn up the heat in Carlos' room?
He says it's "cold as balls."
It's his words, not mine.
You didn't tell me your ex worked here.
I didn't know you worked here.
You didn't say that you were in town for a patient.
You want my whole life story?
Just be chill.
Monica's cool with it.
Cool or she doesn't know?
She knows.
Dr.
Sarno, call Oncology, 2-6-2-2.
Hey!
Hey.
I examined your patient with pulmonary valve stenosis, and she's cleared for surgery.
Great.
Whoa!
Look at that rock!
Did you get engaged?
Yes.
Congratulations.
Link did great.
Is there a date?
Uh, no.
We're having a little, um, debate about the wedding.
Oh, well, if yours doesn't kill your priest, you're one up on me and Owen.
Hm!
Well, you guys don't set the bar very high.
Okay.
Ready for your Pitoc-- Ohh!
You said you locked the door!
I said it didn't have a lock!
Sorry!
We were just trying to induce!
Aah!
Oh, God!
Oh!
God!
Oh, God.
Oh, God.
Oh, oh.
Is this the guy who fell upstairs?
Unh!
I think I broke my ass!
Ow!
He's got pain near the tailbone after falling off his wife and the hospital bed.
They were trying to induce labor.
Naturally.
She said she'd divorce me if I didn't!
Anand, Dr.
Hunt is going to help you.
I'm going back to Shruti.
She just went on the Pitocin drip.
Okay, but this really hurts.
Aah!
On a scale of 1 to 10, it's like a 47!
That is oddly specific.
And not something you should tell your wife while she is in labor.
I'm needed upstairs.
Okay.
Dr.
Mousa to the NICU.
Dr.
Jennah Mousa to the NICU.
Ah!
Hey.
What do you know about bananas and menopause?
Doesn't matter.
Nothing matters.
Whatever it is, it can't be that bad.
My one night stand is Beltran's ex-wife.
How did you manage that?
I saw a hot woman in a bar.
She's here with a patient from Texas.
So she'll be out of here soon.
Lay low.
I'm on Beltran's service.
And she knows.
Oh, it is that bad.
What do I do?
Get off the case.
He's got my resources, and now he's going to get my grant funding.
And so you're upset he's using your work to compete against you.
No.
I'm upset his research is good.
Yeah.
I mean, Tom Koracick has been doing this for five minutes, and he's actually moving the needle.
Yeah, that's what money does.
And he wants more of it.
But he doesn't care about Alzheimer's.
He might as well be researching genetically modified tomatoes.
Well, they are actually studying those to see if they fight cancer.
You know what I mean.
I do know what you mean.
I mean, it's a game to him.
He's never had to search for a grandmother who's gone missing or taken car keys away from a dad or look into the eyes of a mother who's alive but not there.
Well, that's something you have that he does not.
Passion.
I don't think the Blaisdell Grant judges care about passion.
You say Koracick's got the advantage right now, so all you can do is make a case for yourself.
That's all you can do.
Might be your last shot.
-You paged?
-Yeah.
Possible broken coccyx.
He has swelling and bruising at the base of the spine.
I'm just ordering the X-rays.
I didn't even need a boy!
Anand's wife is being induced upstairs.
Congratulations.
Whatever.
Aah!
I have two teenage daughters.
Do you know how long it's been since I've changed a diaper?
Aah!
They got a lot more options now.
Ohh!
My house has been chaos for 17 years.
I've been counting the days till an empty nest since my youngest started high school.
In my mind, Shruti and I were spending next summer in Cinque Terre, drinking prosecco and eating pesto, but Shruti suddenly wanted a boy, so now I've got a broken ass.
Aah!
I still don't see how those things are related.
You don't want to.
I had my first interview with an intern candidate.
Very impressive.
Oh no.
It's a strong group.
One of them interned at the World Health Organization.
Dr.
Bailey, can I show you something?
Mm-hmm.
I overheard Melissa Walker talking about her symptoms.
They seem to be in line with carcinoid syndrome, so I took her for a PET scan and sent some labs.
Uh, who asked you to take her for a PET scan?
No one, but I was taking in-- Dr.
Griffith, you're on my service.
You can't go running scans on whatever patients you want to just because -- Melissa has a neuroendocrine tumor.
1.5 centimeters on the appendix.
I'll be damned.
There's also a small spot on the liver.
I thought her symptoms were menopause.
Yeah, so did I.
Well, that makes sense.
The tumor is secreting hormones into the bloodstream.
She needs an appy and a liver biopsy.
Can Adams take over your service?
Yeah, I suppose so.
Alright, then, Griffith, book an O.R.
for you and whoever you want to assist.
To assist...?
You.
You found it.
You take it out.
Uh...solo surgery?
If you don't think you're ready...
Oh, no, I'm r-- I can do it!
Thank you!
Alright.
See you in the operating room.
Yeah.
Hey.
Congratulations.
OT Morell to the 3rd-Floor nurses' station.
OT Morell to the 3rd-Floor nurses' station.
Well, Carlos' pre-op labs came back normal, which, honestly, as the intern on this case, you should be telling me.
Dr.
Beltran, I-I swear.
I had no idea.
If -- If you want me off the case, I completely understand.
Talk me through the Nuss procedure.
Now would be good.
Uh, get thoracoscopic access and perform cryoablation on the intercostal nerves.
And then?
L-Lateral incisions either side of the chest.
And then you pass the tunneling bar under the sternum.
You're prepped.
You're with me.
Unless you want off this case.
No, no, no.
I'll see you in the O.R.
Okay.
Oh!
I don't have time to wait in lines.
Uh, hey, have you ever read about grid stimulations to recall memories?
It's only ever been done successfully on animal models.
Sounds cool.
Or risky and dangerous and not proven to work, yet Molly wants it.
I really need to eat something before surgery.
You never held a retractor on an empty stomach?
She's not holding a retractor.
Bailey is letting me take a lead on an appy.
Wait.
You're getting a solo surgery?
I hate you!
Hm.
You hate me or you love me?
Because Bailey said I could pick an intern to go in with me.
Beltran's not gonna release me from her service.
So she doesn't know you slept with her ex.
What?
What?
So!
It's an appy?
What about you?
Technically, she's your patient.
Um, I still have a bunch of H&Ps to do for Webber, but I know you'll do great.
Well, it looks like it's just you and me.
Fine.
Let's go.
So...she's operating on your patient?
Who'd you sleep with again?
Okay.
You are 8 centimeters dilated.
And it's almost ready to push.
Where is that clumsy jerk?!
If you mean your husband, he is waiting on a CT.
They want to scan his pelvis and his spine to make sure he doesn't have an occult fracture.
This is your first, right?
Um, well, my daughter's adopted, but this is my first time carrying.
When I told my husband I was pregnant with our first, he was so happy, he cried.
This time, he barely looked up from his phone and said he'd get the crib out of the garage.
Here.
Let me make you more comfortable, okay?
I know we've been through this twice before, but our son hasn't.
I want him to know that he's special to us.
But now his dad is probably gonna miss his birth!
I had to remind him about that crib at least 10 times!
And -- Crap!
I forgot to remind him about the car seat!
Where's my phone?!
Oh.
Uh...okay.
Oh.
Here, here, here.
Shruti.
Did you install the car seat?!
Oh, my God!
Are you in labor?!
What does it look like?!
So I did it!
I induced you!
My sex induced her.
The Pitocin induced me.
Tell me that you remembered to take the car seat out of your trunk and actually install it!
Okay.
Of course I did.
Take a breath.
You've got this.
I love you.
You're right.
Thanks.
I love you.
I forgot the car seat.
Take me to the parking lot.
You shouldn't ignore a possible fracture.
Are you married?
Because my wife means the world to me, and I just want her to be happy, so can you please take me back to my car?!
Uh...
Identify the right colon.
Follow the taenia coli along the cecum to locate the appendix.
Use the grasper to clutch the tip and hold it up towards the lower right abdomen.
Could you talk to Molly?
As a doctor?
I don't think she understands that no one knows how to precisely target where lost memories are, and her surgery is scheduled with Shepherd in two days.
Okay.
You cannot do this.
Thank you.
How do we tell Molly?
No.
I mean you cannot do this.
I am about to perform my first solo surgery.
It's just an appy.
It's my appy from start to finish for the first time.
Melissa has two scared daughters.
If anything happens to her, it is on me.
So be my assist or get out.
Also, instead of talking to me about Molly's surgery, try talking to Molly.
Okay.
Are we ready?
Scalpel.
Okay.
We're ready to start getting thoracoscopic access.
Let's drop the lung.
I met Carlos when he was 12, and he had a crush on Vivi back then.
Still hasn't realized that she's been waiting for h to make the first move.
Okay.
Are we ready?
SATs look good with one lung ventilation.
Okay.
Millin, get the Veress needle.
Alright, so, because the lung is down, the heart may have moved from where it normally -- Okay.
Needle's in.
Oh.
Damn it!
He's bleeding.
Why is he bleeding?!
Because you may have punctured his heart.
I did what?!
We need to page Dr.
Ndugu!
Okay, Millin, I need you to breathe.
Someone page Dr.
Ndugu right now!
Alright.
You know what?
It's still loose.
Here.
I'll hold it down.
You pull.
Why is this always so hard?!
I think it's a test.
Survival of the fittest.
Yeah.
Hey...
Have you ever done anything you didn't want to in order to help your marriage?
Like what?
Also -- not married.
Really?
I mean, something kind of unconventional.
Did Jo talk to you?
Why would Jo talk to me?
Because we just got engaged, and I want a conventional wedding, she doesn't.
Oh, this is -- this is about you.
Hm.
Oh.
Uh, well, you know, I'm always open to things.
You know?
Relationships are about give-and-take.
That's what I learned from my parents.
Uh-huh.
So, uh, how long they been married?
Not as long as they've been divorced.
First marriage, everything was "my way or the highway."
Uh, but now they let a lot of things slide.
Their second marriage seems to be going a lot better.
Well, take it from someone who's on his third.
It's a lot of hard work.
Congratulations, by the way.
I'm sure you'll be very happy.
Alright.
What happened?
I screwed up and I punctured his heart.
For all we know, I could have torn a hole right through it.
Vitals are stable for now.
Where are you going?
Get back in here and help fix this.
Let me see the size of the needle.
Okay.
How does that compare to a 16-gauge?
It's about the same.
And we use those to do intracardiac injections.
So what's your recommendation?
Uh, do a pericardial window and then place a drain so that it can heal itself?
Correct.
We will take care of this.
And then you can help Dr.
Beltran finish the Nuss procedure.
If Dr.
Beltran still wants me -- If you ask me one more time if I want you on this case, I'm going to lose my mind.
Focus and stay in lockstep.
Are you ready?
Okay.
Good.
Let's see what's going on.
So how's it going?
So far, so good.
I was just about to check on Mrs.
Balaban.
Oh, you can, uh -- You can wait a minute.
My first solo surgery was monumental.
I called my friends, my family.
If memory serves, I even bought a new pair of shoes for the occasion.
Now I can't tell you if it was a cholecystectomy or a hernia repair.
First one's always a big deal.
Then so is the second.
10th.
100th.
You got your whole career ahead of you.
Don't beat yourself up over one lost surgery.
Ah.
First Endoloop is on.
Ready for the next one.
Not so scary, right?
Muscle memory is a powerful thing.
I wouldn't know.
With that attitude, you never will.
Here.
Thank you.
Now, now, go slow.
Ah.
Uh...
it's caught in the port.
I need a new one.
It's still slipping.
My hands are big enough.
D-Do you think you have smaller hands than me?
No.
Try again.
Going again.
You know this.
You've seen it done a million times.
Almost there.
Got it!
Scissors.
Separating the appendix from the cecum.
Endopouch, please.
Yeah.
Let's get it to path.
Well done.
Yeah.
Melissa should be recovered in time to see her daughter's school play.
Before we close, we would like to acknowledge the 55 million people living with Alzheimer's disease.
We feel passionately about this work because of them.
And a Blaisdell Grant would not only help us continue the next phase of our research, but you'd be contributing significantly to our relentless pursuit of a cure.
We're happy to take any questions.
I got -- Hi.
Hi.
Yeah.
Are you proposing to test a hypothesis you've already confirmed?
No.
No?
I have a -- C-Can I -- Yeah.
Uh, theatrics aside, this sounds like the study your abstract was based on.
That involved 175 patients.
We would recruit thousands in order to identify specific bacterial strains.
Yeah.
Like I said, more of the same, so...
Can you talk about the people you'll enroll in the study?
Ages, ethnicities, geographic locations?
Softball game's at the park, Marsh.
Look, if you want to make this personal, let me tell you about Paul, hm?
John, George, and Ringo.
The Beatles?
Not Beatles.
Mice.
I've also got Jermaine, Tito, Jackie, Marlon, and Michael.
We're taking Alzheimer's research to a new level.
That's right.
Um...
Theatrics aside, what about the female mice?
The -- Excuse me?
Alzheimer's affects twice as many women as it does men.
So are you only studying male mice?
Of course.
You put a few female mice in a cage, and pretty soon you have a whole social hierarchy.
The young ones are taking care of the oldest, and they experience anxiety and stress, sometimes resulting in hair loss.
And their hormone cycles create fluctuations in behavior that can render the whole experiment useless.
Your inexperience in neurology research is showing great.
Anyone in this field of study knows, hm, female mice are problematic...
Right?
So you're not studying female mice because their reproductive systems mess with your results?
You catch on quick.
That's pathetic.
And the most asinine excuse for sexism I've ever heard.
No wonder no one's ever cured Alzheimer's.
The men who have spent decades trying to do it have ignored the patients who need it the most.
And what's worst of all is no one in this room seems interested in changing any of it.
How can we let this happen knowing it directly affects us?
Well, thank you all for your time.
Dr.
Binder to 3-West.
Dr.
Binder to 3-West.
How's he doing?
Stable.
Post-op labs look good.
Oh.
Hey.
Did it work?
It did.
Thanks to Dr.
Beltran.
Thank you.
I'm gonna be able to go to pool parties, the beach.
You can go with Vivi.
T-That's her name, right?
The girl you like?
Yeah, yeah, she's -- she's okay.
Uh, but now that I've got this new body, I should play the field, right?
No.
No.
When you find someone you can't stop thinking about and they make you feel things you've never felt before and you have a chance to be with her, you should call her.
Do you hear me?
Should I go after her?
Millin!
I'm sorry.
I'm sorry if that was out of line.
And I'm sorry that I punctured that kid's heart.
And I'm sorry that I didn't strap a patient onto the O.R.
table properly.
Okay.
I -- I'm not sure about that last one, but complications happen.
You're an intern.
You're gonna make mistakes.
Hell, I still do.
I slept with Adriana because I'm going through a breakup.
I don't care.
I mean, I'm not thrilled, but you know what?
Honestly, the less we talk about it, the better.
But I am your attending and I do care about your surgical training.
And today, when it mattered most, you froze and you got in your own way.
And I know this because I've been there.
So no matter how hard it is, you cannot bring your personal life into the O.R.
In particular, mine.
Okay?
Yeah.
Yeah.
Are you ready for a visitor?
We both are.
You want to hold him?
Yeah.
Congratulations.
Hey, buddy.
I'm your dad!
I broke my butt for you!
In about five years, you'll find that hilarious.
I'm so glad we did this.
Hey.
There's Mom.
So once we get the results of your liver biopsy back, we will work to ensure you have the best treatment plan.
But your surgery went beautifully.
I'm bored.
What did I tell you about using that word?
You don't want to hear it.
Are we going home?
Your mom needs a little more rest.
She can go home soon.
Can we sleep over?
Is that okay?
Um, if you want.
But you have to let your mom get some rest.
Can you do that?
We promise.
-Alright.
-We'll send up some games from the peds floor.
Thanks.
Well done.
You made me look good.
Dr.
Bailey, thank you.
Hm.
So?
How did surgery go?
Oh.
It was okay.
It was...
I can't lie.
It was the coolest 30 minutes of my...life.
You deserve it.
Jules and I are gonna get a drink.
Do you want to come?
Uh, uh, n-- I still have to do hand-off for next shift, but, um, you should go.
Okay.
See you later.
Yeah.
How's Shruti?
Doing better.
The dads are harder than the moms.
I don't need a big wedding.
I don't need the band or the slideshow with photos or a giant cake.
You're thinking about cake.
I am.
Yeah.
But the point is...
I just want to be married to you.
I don't care about the rest.
I do.
I want the wedding.
I thought that I didn't because, well, I've already done it before, but I've never done it with you.
I want to.
Can't wait to marry you!
Truly unimaginable.
I think I insulted Lucas.
He will be fine.
You flew solo in the O.R.
today.
You know, I think that we should stop worrying about relationships and just focus on our careers, which is why I have decided swearing off sex for a while.
Yeah, I'm not doing that.
O...kay.
Okay.
That makes sense.
Someone told me that I need to put my head down and focus on work.
I'