Émission TV: Grey's Anatomy - 21x13
You said that you wanted to leave the house.
On average, the fastest your heart should beat per minute is 220 minus your age.
Yeah, but what about your feelings for me?
Why is this guy still in Seattle?
Well, he won't leave without her, and she wants to wait him out.
What do you want to do?
Well, I want to deck the guy, but I'm not as patient as she is.
Are those Molly's scans?
Gotta be on my game.
After flying solo, there's nowhere to go but down.
I'm assisting on your girlfriend's surgery.
You want me to slack off?
Carry on.
Yeah.
But, ideally, vigorous exercise is between 70 and 85% of your maximum heart rate.
Did you pack Allison's blanket?
Your mom says it's not in the bag.
It's in the backpack.
Oh.
What are you gonna do with the whole house to yourself?
Well, with any luck, sleep.
I'm jealous.
The conference agenda is jam-packed.
Well, you should skip something, you know, get a massage or...
do something else for yourself.
Exceeding your maximum heart rate can result in dizziness, chest pain, or even fainting.
Okay.
Okay.
Yeah.
You got that?
Yeah.
Here.
Okay.
You two have fun.
You know, what happens in Vegas stays in Vegas.
We're going to Oakland.
That too.
Bye.
So listen to your body and don't push your limits.
Hey, I didn't know you were here.
I'm helping Dr.
Webber with one of my old patients.
Is it weird, you're kind of like my boss now?
No.
I invested in her and Meredith's Alzheimer's research.
I'm a silent partner.
That's it.
Are you going to Boston?
Because I'll take Griffith on my service.
He's salty because she's been helping me prep for an experimental procedure all week.
I needed our best intern for the case.
Griffith's someone to watch, huh?
Yeah.
How's Adams doing?
Well, he's with us today.
You tell me.
Okay.
If your schedule changes, I...
She's still mine.
Do you know how lucky you are you don't have to worry about vaginal tears?
And good morning to you too.
I just sewed a third-degree tear encroaching on the sphincter, and that's after the mom labored for 24 hours with a nine-pound baby.
You know, men have their share of...
Yeah, that sounds awful.
Oh, Wilson, hey.
While you were in L&D, Mrs.
Badgley started bleeding.
Okay, well, I will tell Kincade she needs to move her myomectomy to this morning.
Oh.
Already on it.
I-I figured you three wouldn't want to be on your feet for a long surge.
Dr.
Kincade already approved it, so we're set.
Um, did Jo Wilson just let a guy who calls surgery a "surge" shark her?
He saved my babies.
Oh.
Come on.
That's all I can think about when I see his overachieving, stupid prodigy face, and if you tell anyone that, I will punch you.
Hey, not for you.
Have you exported your cases into the spreadsheet yet?
What spreadsheet?
Uh, our case logs for our meeting with Bailey at the end of the year.
Sorry.
It's fine.
Well, if it's any consolation, I'll be able to help you with your case logs next year.
Thanks.
Uh, good morning.
Good morning.
What...
What's this?
It's a thank-you for saying you would help me get my first solo surgery.
I promise I won't let you down.
All right, lesson number one...
always under-promise and over-deliver.
Yeah?
Hey, Nora.
Hi, I just got your text.
Sorry for bugging you.
This is...
Liz.
Hi, can we make this quick?
I have a high school reunion to pull off.
I'll do my best.
Follow me.
Um, how far along are you?
Uh, 19 weeks.
It's been an easy pregnancy until a couple days ago.
I started to have indigestion, shortness of breath, some pressure in my chest.
Um, I have an OB appointment next week.
Okay.
She has preexisting mitral valve prolapse, so I kidnapped her here.
Yeah, I have to be at this reunion tonight.
I'm the committee chair.
Liz runs a tight ship.
She got the boosters to repaint the gym.
Finally.
There's no way that '70s paint wasn't full of lead.
I was a senior when you were a freshman.
Owen Hunt.
Megan Hunt's brother.
Megan has a brother?
Okay, I'm gonna page cardio and OB.
While we wait, I'm gonna run some labs and an EKG.
Sound good?
I'm pregnant.
Only snacks and baths sound good.
Thank you, and it's good to see you again.
Yeah.
Allan Lewis, 50, developed PTLD after his third kidney transplant, had eight rounds of rituximab to reduce the tumor burden in his retroperitoneum.
Here to debulk the residual tumor before resuming chemo and to alleviate the bowel obstruction symptoms.
Not the kidney's fault.
Don't blame the kidney.
No one's blaming anyone.
That's right.
PTLD is a real complication caused by...
A weakened immune system that triggers the Epstein-Barr virus.
Of course, Allan is in the less than 1% of all people who get this.
Now it feels like you're blaming me.
Okay.
Shelby is Allan's sister and the donor of his third kidney.
I wouldn't have asked if I weren't such a hard match.
My other two organ donors came through UNOS.
Which donor drove you to chemo?
Oh.
The one who "inherited" Mom's 1969 Mercedes convertible.
I took care of her all those years.
Where were you?
Working in Singapore.
She came through for me when I needed a kidney, but there was a time when Shelbs and I weren't speaking.
They don't need to know this.
Look, okay, it's my medical history.
Okay, let's get some new scans and we'll go from there, shall we?
Mm-hmm.
Bye.
Cass, I didn't know you'd be here.
Oh.
Teddy, hi.
I will catch up with you later?
Sure.
Friend of yours?
We sometimes plan to attend the same conferences, balance the snoozefest panels with extracurricular activities.
Oh.
Is David here?
I believe he's covering his chief's cases while she's at a conference.
Right.
What about Owen?
No.
Nope.
Just me.
Oh.
Altman.
Oh, okay.
Can you help me?
Please.
Oh, yeah.
Yeah.
What...
Hi.
Hi.
Griffith, present.
Molly Tran, 33, experiencing grand mal seizures.
Currently refractory to anti-epileptic medication.
Here for placement of DBS to suppress seizure activity.
We'll make a small hole in your skull to implant the device in your brain, then place the pulse generator under your collarbone.
It's like a pacemaker for your brain.
And what about getting my memory back?
Let's take it one step at a time.
Once we place the DBS, I will put a grid on your brain and then stimulate each section one by one, but we're only doing that because I will already be in that part of your brain.
It's never been proven to retrieve memories lost to retrograde amnesia.
Will the extra stimulation induce seizures?
It's possible, but my hope is that the device will prevent that.
Are you sure you want to do this?
What did your parents say about it?
Um, they were nervous...
until I sent them Dr.
Shepherd's bio.
Hmm.
I want my memories.
I just didn't realize so many people would be watching.
It's a big case.
Excuse me.
All right, so you can see the device will be implanted in the crown.
It's one thing to show up at my house, but to come to hospital...
Hey.
Back off.
She doesn't wanna talk to you.
Look, I don't wanna talk to her.
I need to talk to you.
Molly hasn't told you everything you need to know.
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- But when I did the test run in the auditorium, the slides looked like they were in a fun house mirror.
Well, they must be formatted to the wrong size.
Right.
That's what Ron, that AV guy, says, and apparently the only way to fix it is to redo the whole damn thing.
Well, how long did the first one take?
No idea.
I paid Tuck to do it.
Dr.
Bailey is presenting on her program training OB-GYN residents from states with abortion bans.
So important.
Now more than ever.
Well, how am I supposed to inspire other hospitals to start programs like ours if they can't read my slides?
Well, Cass is actually amazing at slideshows.
Sorry, I don't know why I said "actually."
She's just...
She's amazing.
Uh, can you work fast?
For this cause, it would be my honor.
Thank you.
Thank you.
Oh, thank you.
All right, are you ready?
Yes, aligning the MRI and CT images to create a 3-D representation of the brain.
Which approach would you suggest?
Transfrontal.
Good thought.
We are gonna go with frontal temporal.
Uh.
Target?
Oh, that area of gliosis on the MRI.
All right, divide it into three separate targets, so I have options.
What if we trigger a seizure and have to put her in a barb coma?
Isn't the whole procedure a wash?
I don't let myself think like that.
Yeah.
You really are the one to watch, huh?
Just been lucky.
Get on amazing cases.
Don't do that.
You're a woman surgeon.
There are enough people out there who want to dismiss you.
Don't be one of them.
Now, our patient will be awake.
So it is crucial that you follow my lead, keep your voice neutral.
As far as Molly is concerned, everything is fine.
No problem.
Mmm.
Your labs are normal.
Same with your EKG and echo, and your mitral valve looks stable.
Great.
See?
Told you, just regular old pregnancy.
So, can I get back to reunion planning now?
While your symptoms are common, they are new for you, and we would like to run a few more tests.
Okay, fine.
Um, where's my phone?
Do you have someone we should call?
Uh, nope.
Just a second-in-command who can't alphabetize name tags to save his life.
Come on, Bobby.
M comes before O.
Liz is having this baby on her own.
She's my personal hero.
It wasn't always the plan, but I've been on at least one date with every age-appropriate bachelor in the greater Seattle area, and some not so age-appropriate.
But none of them were the one, and I'm not getting any younger, so I'm going it alone.
Liz, how long have you had that lump on your neck?
What lump?
May I?
Millin, can you grab the ultrasound?
Thank you.
She's about to go to the OR.
Make it quick.
You can't let her do the experimental part of surgery.
I respect her decision.
Because if she gets her memories back, it absolves you of what you did?
You don't know what you're talking about.
When the accident happened, she tried everything she could to get her memories back.
Psychotherapy, hypnotherapy, Vietnamese herbs.
Her parents said that she spent everything she had, and when none of it worked, she spiraled.
Not eating, not sleeping.
They finally talked her into getting help.
She never told me any of this.
Okay, and why would she?
You think she wants you to know?
Look, I love her, and I wanna be able to live with myself if anything bad happened to her.
Coming to Seattle, the sudden breakup, the experimental brain surgery just to get her memories back.
It...
It just feels like the on-ramp to another crash.
She picked me.
Get over it.
Hey.
There's pens and extra card stock in the bag under the welcome table.
No, under the welcome table.
Call if you need anything.
Great.
Thanks.
Oh, my God.
Hey, you okay?
Just Bobby, our class secretary who doesn't know how to CC people, is now the one in charge.
It's like a...
designated survivor situation.
Well, if no one took this seriously, there would be no reunions and no one would reconnect with old friends, and...
I guess life would just go on.
Reconnecting can be...
can be pretty great.
Mm-hmm.
Uh, so far so good with Liz, by the way.
Should I have taken Liz somewhere else?
Why?
Well, the last time I saw you, you didn't want to be a part of my care team.
And...
now we're sharing a bench.
Well, you know...
You brought in a friend for medical care, so this is...
this is an above-board bench-sharing situation.
In that case, can you sit a little longer?
It's just hitting me that my friend might be sick.
Sure.
There's the two native kidneys, the two nonfunctioning transplanted kidneys.
That's the working one right there.
Have you ever seen a scan of five kidneys inside of one patient before?
Is that the mass?
Yeah, that's it right there.
Is it kinking the vasculature of the working kidney?
No, it's close, but fortunately, no.
Yeah, we should debulk enough that the chemo has a shot at killing the remaining cells.
Should we remove the native kidney?
I could help with the retroperitoneal lymph node dissection.
Mmm.
It's not necessary.
We still have good access to the paracaval lymph nodes but good to know you're thinking ahead.
Book us an OR.
That was pretty bold to ask to do a nephrectomy and a lymph node dissection.
You never know if you don't ask.
Can you do his pre-op paperwork?
Nope, but good try.
Poor Liz.
She worked so hard on her reunion, and now some bumbling wannabe gets to be there for the big moment.
Probably just trying to help.
Is he?
Is he?
Or is he a man who is threatened by a woman in power and he's stealing it in the name of generosity?
For the record, I'm a feminist.
This morning, my co-resident stole my surgery so that I didn't have to "be on my feet."
Did you punch him?
No, he saved my babies.
Well, he didn't save my babies.
What's his name?
Scans are up.
Oh.
That's not something you see every day.
Is it cancer?
No.
Your thyroid, larynx and lymph nodes are all fine.
It appears you have a rare condition called achalasia with megaesophagus, which is aggravated by your pregnancy.
Which means?
You have a fair amount of undigested food sitting in your esophagus.
Um, how long has it been there?
It's hard to tell without knowing how much you eat in one sitting.
I had fish tacos yesterday.
Ugh, stupid Bobby gave me a strawberry smoothie for breakfast.
It's all right.
Don't worry.
We're gonna run a scope down there and clean it all out, okay?
Yeah.
Oh.
Yeah.
Yeah.
Yeah, bit nervous, but...
Your vitals are strong.
Hey, going to OR one.
You know, the next time I see you, I-I could have all my memories back.
You know, the odds of this working are almost impossible.
I just want to make sure you'll be okay if it doesn't.
There must be other experimental treatments, right?
If this one doesn't work, I mean, we'll try another one.
Dave came to the hospital.
Oh.
Uh.
Well, what did he say?
He just wanted to make sure that you'll be okay.
I am.
I will be.
You'll be here when I get out, right?
Of course.
Okay.
Okay.
Yeah.
Okay.
Don't let Shepherd push it in there.
We've seen her go overboard, especially with difficult cases.
You know I can't control that.
You're on top right now.
You have more influence than you think.
I got you.
Oh, there you are.
I was starting to get flashbacks to that party where you ditched me to make out with Scott Jonas.
We just...
We got some air.
Tell me that lump's benign.
As benign as chicken pot pie.
Oh, thank God.
What is it?
Chicken pot pie.
Yeah, that was yesterday's lunch.
My throat's full of food.
What?
How?
The sphincter connecting her stomach and her esophagus won't relax, so food's getting stuck.
Is this gonna be for the rest of my pregnancy?
No, we can remove the food with a scope and then inject Botox into the lower sphincter.
So it looks young and wrinkle-free?
No, so it relaxes and food can get into your stomach.
Okay, so this is gonna take a while.
Will you please make sure that someone steams the tablecloths?
I'm on it.
A nurse will get you prepped, okay?
Thank you.
Okay.
I gotta go back to work.
Okay.
Brush up on your EGDs in the skills lab.
I thought we had Mr.
Oden's CABG today.
I am doing Mr.
Oden's CABG.
You were gonna brush up on your EGDs so you can do Liz's esophageal disimpaction.
I'll go practice.
Can you just cut and paste?
The graphics, yes, but not the text.
Will you read me those bullet points?
Oh, sure.
Um, okay. "
All trainees come from the more than one-third of US counties that are maternity care deserts with no OB providers, hospitals, or birth centers."
That's bleak.
Didn't you win a Catherine Fox Award for your program?
I did.
Felt like an accomplishment then.
Now, feels like I'm trying to bail water with a thimble.
I get it, but programs like yours are a beacon of hope.
Thank you.
Now let's just make sure your presentation is as great as you are.
Next bullet, please.
Teddy.
Oh.
Yeah.
Oh, sorry.
Uh, "following Dobbs"...
DBS is in place.
How are you doing, Molly?
Pretty well, considering my head's basically in an Erector Set.
Are you feeling more discomfort?
I don't feel a thing, but I can hear tools clinking and things buzzing.
Are we almost there?
Yes.
Griffith, we are ready to connect to the stimulation panel.
And that should stop the seizures?
It should.
Wow.
Wait, that's incredible.
Thank you.
And are you starting with the memory part too now?
In a minute.
Dr.
Shepherd, I see epileptiform waves.
All right, adjust the frequency.
They're improving.
Okay.
All right, Molly, now it is time to place the grid for memory retrieval.
I'd nod, but, um, I can't move my head.
Grid, please.
Here we go.
It's not that bad.
You were just moaning like a dead animal.
Let him check you out.
Urine output's low.
Hang on.
Let me take a quick look with the ultrasound.
Are you wearing perfume?
'Cause it smells like feet.
Remember when I gave you a kidney and you promised to be nicer?
This is how all of our fights end now.
Do you have a sister?
I have four.
Oof.
I thought one was a lot.
Kidney.
I learned early on that I'm better off not fighting back.
Oh, look at you now.
You're a surgeon.
See what happens when you learn how to go with the flow?
To adapt?
I'm the senior VP of human resources at a giant tech company.
Kidney.
It only works when I do it.
No.
My kidney.
It really hurts.
Damn it, we need to move.
What's happening?
Am I dying?
Allan's kidney's thrombosed.
A clot's cutting off his blood supply.
If we don't get him to surgery right now, he could lose it.
Tell Webber and Marsh to meet me in the OR.
Okay, breathe.
I did it.
You...
You...
You did it?
Uh-huh.
Thank you.
Uh...
You were right.
She's amazing.
She's also very hungry.
Would you hand me those chips?
Uh, you can have whatever you want.
Thank you.
Uh, I'll be right back.
Okay.
'Kay.
Well, you saved the day.
Well, this saved me from having to go to my boss's panel on change management.
Where is her thumb drive?
Do you wanna skip the afternoon lectures?
Well, we clearly have seen Bailey's presentation.
I'm supposed to meet up with Phil later.
So meet up with me instead.
You said to let you know when I have figured it out, and I have figured it out.
You are all set.
Oh.
Um...
Would you keep it until we get there?
My luck today, I'd drop it down the elevator shaft.
Y...
You are coming, right?
Oh, I've been having stress dreams all week about showing up to an empty room.
Yeah.
Wouldn't miss it.
Okay.
Here.
Mm-hmm.
Okay, the renal artery is tortuous.
IR never would've worked.
Agreed.
Fogarty catheter.
Will the kidney be okay?
I don't know, but it's got a shot thanks to you.
The embolectomy is complete.
Heparin.
Thank you.
Now what?
We wait for it to pink up, then we go after the tumor.
Okay.
Nothing's happening.
It's still ischemic.
Yeah, the clot caused too much damage.
The kidney's dead.
Let's prep for a nephrectomy.
Yeah.
But he has to be in remission before he can go back on the transplant list.
That could take months.
It's our only option at this point.
He got lucky three times.
Maybe it'll happen again.
So that's it?
You just tell him good luck and send him on his way.
Well, what if we give it more time?
Try papaverine?
You know that's not gonna work.
Adams, you want to suture ligate this vessel?
You found the clot.
You want it or not?
0 silk.
Okay, nice and easy.
Good.
Oh, Mr.
Oden's in the ICU.
We did his CABG off-pump.
It's actually really exciting.
You should review the surgical tape.
Wilson, quick update.
Ms.
Badgley had a massive uterine hemorrhage mid-surge...
You did a hysterectomy?
On my patient?
Technically, Kincade's patient.
But yep.
Good luck with your, um...
Esophageal disimpaction.
Mm-hmm.
I'm gonna tear him limb from limb.
Millin, you are flying through this.
At the rate you're going, we'll be out of here in 15 minutes.
My parents never sent me to summer camp.
They just dropped me off at the arcade every day, and I played the claw machine for six hours straight.
You know how to work those?
Mm-hmm.
What have you won?
Strawberries and fish tacos.
Stimulate S-5.
Molly, remember, if you see anything, no matter how faint the image, just let me know.
Nothing yet.
All right.
Let's increase the frequency to 180 hertz.
If it gets uncomfortable, let me know and I can stop.
Okay.
Let's bump it up to 200 Hz.
Dr.
Shepherd, she's starting to get D waves again.
Sporadic episodes.
We still have time before a potential seizure.
W-5.
Decrease the amplitude to two millivolts.
How you doing, Molly?
Still fine.
Just...
just waiting.
The waves are increasing in frequency and amplitude.
I'm keeping my eye on it.
X-5.
I'm stopping.
Griffith, you will press that button if I tell you to.
Y-5.
She's going to seize.
If we have to put her in a coma, she...
Dr.
Griffith, I need you to trust me or get out of my OR.
I see something.
Can you tell me what you see?
I'm outside.
I'm walking near a lake.
I see...
I see mountains.
It's, it's beautiful here.
Wait, wait, it's all gone.
Because I stopped stimulating.
That was absolutely amazing.
Is it time to close?
That's not why I stopped.
Hand me the control panel.
We need to verify that the stimulation is provoking the memory.
Her seizure activity is becoming more unstable.
Restarting.
See anything now?
I'm still at the same place and...
there's someone else here.
A man.
Do you know who it is?
No, he's too far ahead, but he's wearing a red jacket.
I think we're here together.
Wait, did you stop again?
I did.
All right.
How about now?
I'm still here.
I'm-I'm taking something out of my pocket.
It's, uh...
it's a map.
It says, "The Beehive Basin Trail."
It's Big Sky.
All right, we are going to reduce the frequency back to 140 hertz and one millivolt, terminating the stimulation and removing the grid.
Wait, no, no.
Wait, why are you stopping please?
We can't risk more seizure activity, but, Molly, you did great.
Would you like me to close?
I've got it.
The EGD went well.
We were able to clear your esophagus and administer the Botox to relax your sphincter.
And once we confirm everything's going down okay, you'll be good to eat whatever you want.
Just need to take it easy for a couple of days.
I'll take it easy after the reunion.
No, wait, you need to rest.
Otherwise, you'll wind up back here in a week.
Two years of hard work, and Bobby's about to undo it all in two hours?
Well, why doesn't Nora go?
Make sure he doesn't mess things up.
Okay, you need to fire him.
We don't pay him.
Look, we can't just let Bobby have what he wants because he means well.
You need to go down there and tell him that he is out.
Well, um, the good news is we were able to debulk a lot of the mass.
So there is bad news...
again.
Yes, so we couldn't revive your working kidney, so we had to remove it.
Back to dialysis.
More hours of my life wasted.
Once you're in remission, we can put you back on the transplant list again.
I've already had three.
I'm a hard match.
I won't find another.
You never know.
Before my first transplant, I made a bucket list of all the things I wanted to do before I died, you know, like climb the Great Wall or drive on the Autobahn.
Oh, see the Rockettes.
I mean, I thought I'd be lucky to do half.
I did all of 'em.
Organ donors gave me a second chance on life, and then a third and a fourth.
And I'm happy with what I did with them.
So, if this is it...
this is it.
Or you could call Gary.
We're not calling Gary.
Wait.
Gary is...
Our brother.
Well, I'll be damned.
I'd rather live the rest of my life in a box.
By box do you mean coffin?
It'd be better than calling Gary!
She loved Big Sky.
We went a couple of times.
I can't believe she actually remembered something.
All the way down to your red jacket.
I'll check on her in a bit.
Hey.
How are you feeling?
Hmm.
Tired.
Hey.
They said I had a memory.
I just wish my brain could hold on to them when it's not being stimulated.
Does, uh, Dave have a red jacket?
He has a lot of jackets.
Did you ever go to Big Sky with him?
A couple of times.
Why?
Is that what I remembered?
But that was a memory from after the accident.
You don't need to remember anything for us to have a future together.
You know, it's all in my brain.
It's all in there.
We just have to find a way to unlock it.
Hey, maybe there's a clinical trial.
No, you...
No, no, no, no, you don't let people dig into your brain when you're healthy.
I'm worried about you.
The worst has already happened.
I lost my life.
No, you didn't.
You're here.
You should rest.
We can talk about this later.
_ Okay.
All right.
Thank you.
Hey.
So Liz is being discharged.
She is.
But she needs to rest, so she's sending me to go make sure this reunion doesn't fall apart.
Mmm.
I wish Megan wasn't chaperoning your nephew's camping trip.
Yeah.
I can go with you if you want.
I'd love to see the new paint in the gym.
Seriously?
Teddy won't mind?
We've agreed to...
We've agreed that we could see other people.
Oh.
Yeah.
Okay.
So I'll go home, and I'll change and come pick you up.
I'll text you my address.
Okay.
Yeah.
So, the program is a 16-week rotation, but we operate on a rolling basis.
The trainees request start dates, based on where it fits within their home curriculum.
So at any given time, we have 20 to 30 trainees from 13 different states, but still that's not nearly enough to address patient demands across the country.
You know, somebody recently said that programs like this are a beacon of hope in a dark time.
Well, I hope that you will join me in lighting the way.
Thank you.
Are you okay?
Yeah.
Yeah.
Are you sure?
Yeah, yeah, yeah.
I'm good.
I'm good.
Come here.
Wait.
Wait.
Um...
I'm sorry, it's just dumb.
It's not you.
It's just I, um...
I feel like I'm cheating on my husband.
Is this what it felt like when you first opened your marriage?
Our marriage was suffocating us.
Being with someone else...
felt like finally breathing fresh air.
You really are amazing.
So I'm told.
But this...
this...
is not gonna fix my marriage.
I'm so sorry.
Me too.
It's okay.
I checked on Liz, and a smoothie went down and is in her stomach safe and sound.
You handled that disimpaction like an experienced surgeon.
You didn't need a surgeon for that.
Any teenager in an arcade could've figured it out.
Maybe just take the compliment.
Where are you going?
To update Liz's chart.
Oh, you thought today was just about learning to disimpact an esophagus?
What else would it be about?
Your first transesophageal echocardiogram.
Really?
Yeah, come on up.
So you...
You want me to...
Find the heart.
It's just like the EGD, okay?
Insert the scope, flat side facing the floor of the mouth.
Good, slowly feed it down the esophagus.
Good, good.
Now adjust the angle.
There.
I-I might be biased, but every time I see that, it feels like the first time.
It's incredible.
Her EEG looks stable.
Mm-hmm.
I'm sorry for challenging you.
Kwan was in your head.
Yes.
Your star may be on the rise, but that is not the same as having years of experience with hundreds of patients.
Whatever you know about the patient's family, their loved ones, you keep it out of my OR or you do not step foot inside it.
It won't happen again.
Okay.
Now get started on a write-up for grand rounds.
You're gonna present this at grand rounds.
We are.
Congratulations.
Wilson, hey, about that surge.
No.
Marcus, I am grateful to you for saving my pregnancy, but that does not mean that you get to walk all over me.
I'm sorry?
I'm not your patient.
I'm your colleague.
Sharking my surgeries doesn't help me.
It undermines my authority and limits my training.
I was just trying to help.
Don't flatter yourself.
I can advocate for myself.
I'm sorry.
And it's "surgery," not "surge."
This some sort of OB showdown?
The three of us decided it was time for a little talk.
Well, he earned it.
Do you want to go for a burger?
As long as I don't have to talk about vaginal tears.
Okay.
Good deal.
I love those crackers.
Yeah.
You never let me throw them away when we got soup from our neighborhood deli.
What kind of soup?
You liked their Manhattan clam chowder.
I called your parents.
What?
Why?
I was worried.
And then I found out that they had no idea about your surgery or that we're back together.
Well, I didn't want them to freak out.
Okay, but you lied to me about it.
I think you know you're on a slippery slope.
This isn't like last time.
Yeah, which you also didn't tell me about.
I found out from Dave.
Okay, look, I am so close to remembering.
No one with retrograde amnesia has ever gotten their memories back.
What makes you think you're different?
I don't know.
But that day that I saw you in the ER, I mean, that was the first time I felt like a piece of my old life was trying to resurface.
I do.
I wanna remember my grandparents and-and family vacations and my college graduation.
I don't feel whole.
I want to.
I need to.
Because...
I don't know what will happen if I don't.
Are you only with me because you think it might help get your memory back?
I, um...
I don't know.
Hey, um...
Yeah.
So I reviewed Allan's post-op labs.
Everything looks good.
Great, thank you.
And great catch with the thrombosis.
He could have gone septic and died.
Yeah, I don't understand why he won't just call his brother.
He'd have a kidney tomorrow.
Yeah, sometimes people are their own biggest obstacles.
Hey, uh, do you think I need to repeat intern year?
You said that all internships should be longer, but they're not.
The rest of my class is already moving on.
If I have to remediate, that'll go on my record.
Competitive specialties and fellowships will be off the table.
My surgical skills are as good as my classmates, but my career is going to suffer because I tried to save a patient who was going to die anyway.
You're right, but that's up to Catherine Fox.
Do you think I can change her mind?
I'm not sure, but I know someone who might.
So, if you have any suggestions on how I could approach her or what to say, I'd really appreciate it.
You want advice on how to persuade my wife?
Yes, sir.
Couple of years ago, I surprised her with a trip to the Maldives.
Booked one of those bungalows that's over the water, a five-star restaurant, sunset yacht cruises.
It sounds really nice.
Oh, it was paradise.
You know what she said the best part was?
Yeah, I don't...
It was a little coffee pot in our room that was stocked with Seattle roaster coffee.
Said she never found anything better.
You understand what I'm saying?
You could've saved a lot of money and gone to the café next door?
No.
I'm saying that once she makes up her mind about something, she needs a really good reason for her to change it.
And you don't have it.
Sorry.
When you want something badly, it's hard to know if or when to throw in the towel.
A glass of the house white, and his next drink is on me.
I'm presenting at grand rounds!
It's over.
Me and Molly.
I'm so sorry.
Was it Dave?
Hey.
It took me longer to get out of there than I thought it would.
Did someone die?
Blue and Molly broke up.
Oh, sorry.
Did she go back to Dave?
I just did my first transesophageal echocardiogram.
Read the room, Millin.
Blue and Molly broke up.
Don't ask about Dave.
Who's Dave?
Can you not talk about me in front of me?
Nobody wants to talk about you.
Could I just get a rum and coke and whatever he wants?
Hey, hey, what about me?
I'll buy you a drink when you and Griffith break up.
So, never.
Hey, can I get...
Shh, shh, shh.
So we push the limits.
Hoping if we put in a little more time, more effort, maybe it'll all work out.
You're not a margherita flatbread with a side salad.
Um, Ben, Teddy's here.
Yeah, I'll call you later.
Uh, did you want, uh, mini red, mini white?
The mini bourbon's mine.
Uh, mini gin and tonic.
Ah, only if you, uh, want it served in a giant glass.
Okay.
Uh, congratulations on your presentation.
Thanks.
Uh, I didn't see you and Beckman after.
Oh.
Yeah, we, uh...
we left and ended up...
You know, I don't need to know.
I work with both your husbands.
We ended up going to the environmental health panel.
That's not what I expected.
Honestly...
me neither.
Cheers.
Ah.
Take it right out of the...
Okay.
Get you some pretzels.
Uh...
_ Or you could crash and burn.
Taking everything you love down with you.
But you won't know until you try.
Synced and corrected by ChrisKe - -- for www.addic7ed.com --
On average, the fastest your heart should beat per minute is 220 minus your age.
Yeah, but what about your feelings for me?
Why is this guy still in Seattle?
Well, he won't leave without her, and she wants to wait him out.
What do you want to do?
Well, I want to deck the guy, but I'm not as patient as she is.
Are those Molly's scans?
Gotta be on my game.
After flying solo, there's nowhere to go but down.
I'm assisting on your girlfriend's surgery.
You want me to slack off?
Carry on.
Yeah.
But, ideally, vigorous exercise is between 70 and 85% of your maximum heart rate.
Did you pack Allison's blanket?
Your mom says it's not in the bag.
It's in the backpack.
Oh.
What are you gonna do with the whole house to yourself?
Well, with any luck, sleep.
I'm jealous.
The conference agenda is jam-packed.
Well, you should skip something, you know, get a massage or...
do something else for yourself.
Exceeding your maximum heart rate can result in dizziness, chest pain, or even fainting.
Okay.
Okay.
Yeah.
You got that?
Yeah.
Here.
Okay.
You two have fun.
You know, what happens in Vegas stays in Vegas.
We're going to Oakland.
That too.
Bye.
So listen to your body and don't push your limits.
Hey, I didn't know you were here.
I'm helping Dr.
Webber with one of my old patients.
Is it weird, you're kind of like my boss now?
No.
I invested in her and Meredith's Alzheimer's research.
I'm a silent partner.
That's it.
Are you going to Boston?
Because I'll take Griffith on my service.
He's salty because she's been helping me prep for an experimental procedure all week.
I needed our best intern for the case.
Griffith's someone to watch, huh?
Yeah.
How's Adams doing?
Well, he's with us today.
You tell me.
Okay.
If your schedule changes, I...
She's still mine.
Do you know how lucky you are you don't have to worry about vaginal tears?
And good morning to you too.
I just sewed a third-degree tear encroaching on the sphincter, and that's after the mom labored for 24 hours with a nine-pound baby.
You know, men have their share of...
Yeah, that sounds awful.
Oh, Wilson, hey.
While you were in L&D, Mrs.
Badgley started bleeding.
Okay, well, I will tell Kincade she needs to move her myomectomy to this morning.
Oh.
Already on it.
I-I figured you three wouldn't want to be on your feet for a long surge.
Dr.
Kincade already approved it, so we're set.
Um, did Jo Wilson just let a guy who calls surgery a "surge" shark her?
He saved my babies.
Oh.
Come on.
That's all I can think about when I see his overachieving, stupid prodigy face, and if you tell anyone that, I will punch you.
Hey, not for you.
Have you exported your cases into the spreadsheet yet?
What spreadsheet?
Uh, our case logs for our meeting with Bailey at the end of the year.
Sorry.
It's fine.
Well, if it's any consolation, I'll be able to help you with your case logs next year.
Thanks.
Uh, good morning.
Good morning.
What...
What's this?
It's a thank-you for saying you would help me get my first solo surgery.
I promise I won't let you down.
All right, lesson number one...
always under-promise and over-deliver.
Yeah?
Hey, Nora.
Hi, I just got your text.
Sorry for bugging you.
This is...
Liz.
Hi, can we make this quick?
I have a high school reunion to pull off.
I'll do my best.
Follow me.
Um, how far along are you?
Uh, 19 weeks.
It's been an easy pregnancy until a couple days ago.
I started to have indigestion, shortness of breath, some pressure in my chest.
Um, I have an OB appointment next week.
Okay.
She has preexisting mitral valve prolapse, so I kidnapped her here.
Yeah, I have to be at this reunion tonight.
I'm the committee chair.
Liz runs a tight ship.
She got the boosters to repaint the gym.
Finally.
There's no way that '70s paint wasn't full of lead.
I was a senior when you were a freshman.
Owen Hunt.
Megan Hunt's brother.
Megan has a brother?
Okay, I'm gonna page cardio and OB.
While we wait, I'm gonna run some labs and an EKG.
Sound good?
I'm pregnant.
Only snacks and baths sound good.
Thank you, and it's good to see you again.
Yeah.
Allan Lewis, 50, developed PTLD after his third kidney transplant, had eight rounds of rituximab to reduce the tumor burden in his retroperitoneum.
Here to debulk the residual tumor before resuming chemo and to alleviate the bowel obstruction symptoms.
Not the kidney's fault.
Don't blame the kidney.
No one's blaming anyone.
That's right.
PTLD is a real complication caused by...
A weakened immune system that triggers the Epstein-Barr virus.
Of course, Allan is in the less than 1% of all people who get this.
Now it feels like you're blaming me.
Okay.
Shelby is Allan's sister and the donor of his third kidney.
I wouldn't have asked if I weren't such a hard match.
My other two organ donors came through UNOS.
Which donor drove you to chemo?
Oh.
The one who "inherited" Mom's 1969 Mercedes convertible.
I took care of her all those years.
Where were you?
Working in Singapore.
She came through for me when I needed a kidney, but there was a time when Shelbs and I weren't speaking.
They don't need to know this.
Look, okay, it's my medical history.
Okay, let's get some new scans and we'll go from there, shall we?
Mm-hmm.
Bye.
Cass, I didn't know you'd be here.
Oh.
Teddy, hi.
I will catch up with you later?
Sure.
Friend of yours?
We sometimes plan to attend the same conferences, balance the snoozefest panels with extracurricular activities.
Oh.
Is David here?
I believe he's covering his chief's cases while she's at a conference.
Right.
What about Owen?
No.
Nope.
Just me.
Oh.
Altman.
Oh, okay.
Can you help me?
Please.
Oh, yeah.
Yeah.
What...
Hi.
Hi.
Griffith, present.
Molly Tran, 33, experiencing grand mal seizures.
Currently refractory to anti-epileptic medication.
Here for placement of DBS to suppress seizure activity.
We'll make a small hole in your skull to implant the device in your brain, then place the pulse generator under your collarbone.
It's like a pacemaker for your brain.
And what about getting my memory back?
Let's take it one step at a time.
Once we place the DBS, I will put a grid on your brain and then stimulate each section one by one, but we're only doing that because I will already be in that part of your brain.
It's never been proven to retrieve memories lost to retrograde amnesia.
Will the extra stimulation induce seizures?
It's possible, but my hope is that the device will prevent that.
Are you sure you want to do this?
What did your parents say about it?
Um, they were nervous...
until I sent them Dr.
Shepherd's bio.
Hmm.
I want my memories.
I just didn't realize so many people would be watching.
It's a big case.
Excuse me.
All right, so you can see the device will be implanted in the crown.
It's one thing to show up at my house, but to come to hospital...
Hey.
Back off.
She doesn't wanna talk to you.
Look, I don't wanna talk to her.
I need to talk to you.
Molly hasn't told you everything you need to know.
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- But when I did the test run in the auditorium, the slides looked like they were in a fun house mirror.
Well, they must be formatted to the wrong size.
Right.
That's what Ron, that AV guy, says, and apparently the only way to fix it is to redo the whole damn thing.
Well, how long did the first one take?
No idea.
I paid Tuck to do it.
Dr.
Bailey is presenting on her program training OB-GYN residents from states with abortion bans.
So important.
Now more than ever.
Well, how am I supposed to inspire other hospitals to start programs like ours if they can't read my slides?
Well, Cass is actually amazing at slideshows.
Sorry, I don't know why I said "actually."
She's just...
She's amazing.
Uh, can you work fast?
For this cause, it would be my honor.
Thank you.
Thank you.
Oh, thank you.
All right, are you ready?
Yes, aligning the MRI and CT images to create a 3-D representation of the brain.
Which approach would you suggest?
Transfrontal.
Good thought.
We are gonna go with frontal temporal.
Uh.
Target?
Oh, that area of gliosis on the MRI.
All right, divide it into three separate targets, so I have options.
What if we trigger a seizure and have to put her in a barb coma?
Isn't the whole procedure a wash?
I don't let myself think like that.
Yeah.
You really are the one to watch, huh?
Just been lucky.
Get on amazing cases.
Don't do that.
You're a woman surgeon.
There are enough people out there who want to dismiss you.
Don't be one of them.
Now, our patient will be awake.
So it is crucial that you follow my lead, keep your voice neutral.
As far as Molly is concerned, everything is fine.
No problem.
Mmm.
Your labs are normal.
Same with your EKG and echo, and your mitral valve looks stable.
Great.
See?
Told you, just regular old pregnancy.
So, can I get back to reunion planning now?
While your symptoms are common, they are new for you, and we would like to run a few more tests.
Okay, fine.
Um, where's my phone?
Do you have someone we should call?
Uh, nope.
Just a second-in-command who can't alphabetize name tags to save his life.
Come on, Bobby.
M comes before O.
Liz is having this baby on her own.
She's my personal hero.
It wasn't always the plan, but I've been on at least one date with every age-appropriate bachelor in the greater Seattle area, and some not so age-appropriate.
But none of them were the one, and I'm not getting any younger, so I'm going it alone.
Liz, how long have you had that lump on your neck?
What lump?
May I?
Millin, can you grab the ultrasound?
Thank you.
She's about to go to the OR.
Make it quick.
You can't let her do the experimental part of surgery.
I respect her decision.
Because if she gets her memories back, it absolves you of what you did?
You don't know what you're talking about.
When the accident happened, she tried everything she could to get her memories back.
Psychotherapy, hypnotherapy, Vietnamese herbs.
Her parents said that she spent everything she had, and when none of it worked, she spiraled.
Not eating, not sleeping.
They finally talked her into getting help.
She never told me any of this.
Okay, and why would she?
You think she wants you to know?
Look, I love her, and I wanna be able to live with myself if anything bad happened to her.
Coming to Seattle, the sudden breakup, the experimental brain surgery just to get her memories back.
It...
It just feels like the on-ramp to another crash.
She picked me.
Get over it.
Hey.
There's pens and extra card stock in the bag under the welcome table.
No, under the welcome table.
Call if you need anything.
Great.
Thanks.
Oh, my God.
Hey, you okay?
Just Bobby, our class secretary who doesn't know how to CC people, is now the one in charge.
It's like a...
designated survivor situation.
Well, if no one took this seriously, there would be no reunions and no one would reconnect with old friends, and...
I guess life would just go on.
Reconnecting can be...
can be pretty great.
Mm-hmm.
Uh, so far so good with Liz, by the way.
Should I have taken Liz somewhere else?
Why?
Well, the last time I saw you, you didn't want to be a part of my care team.
And...
now we're sharing a bench.
Well, you know...
You brought in a friend for medical care, so this is...
this is an above-board bench-sharing situation.
In that case, can you sit a little longer?
It's just hitting me that my friend might be sick.
Sure.
There's the two native kidneys, the two nonfunctioning transplanted kidneys.
That's the working one right there.
Have you ever seen a scan of five kidneys inside of one patient before?
Is that the mass?
Yeah, that's it right there.
Is it kinking the vasculature of the working kidney?
No, it's close, but fortunately, no.
Yeah, we should debulk enough that the chemo has a shot at killing the remaining cells.
Should we remove the native kidney?
I could help with the retroperitoneal lymph node dissection.
Mmm.
It's not necessary.
We still have good access to the paracaval lymph nodes but good to know you're thinking ahead.
Book us an OR.
That was pretty bold to ask to do a nephrectomy and a lymph node dissection.
You never know if you don't ask.
Can you do his pre-op paperwork?
Nope, but good try.
Poor Liz.
She worked so hard on her reunion, and now some bumbling wannabe gets to be there for the big moment.
Probably just trying to help.
Is he?
Is he?
Or is he a man who is threatened by a woman in power and he's stealing it in the name of generosity?
For the record, I'm a feminist.
This morning, my co-resident stole my surgery so that I didn't have to "be on my feet."
Did you punch him?
No, he saved my babies.
Well, he didn't save my babies.
What's his name?
Scans are up.
Oh.
That's not something you see every day.
Is it cancer?
No.
Your thyroid, larynx and lymph nodes are all fine.
It appears you have a rare condition called achalasia with megaesophagus, which is aggravated by your pregnancy.
Which means?
You have a fair amount of undigested food sitting in your esophagus.
Um, how long has it been there?
It's hard to tell without knowing how much you eat in one sitting.
I had fish tacos yesterday.
Ugh, stupid Bobby gave me a strawberry smoothie for breakfast.
It's all right.
Don't worry.
We're gonna run a scope down there and clean it all out, okay?
Yeah.
Oh.
Yeah.
Yeah.
Yeah, bit nervous, but...
Your vitals are strong.
Hey, going to OR one.
You know, the next time I see you, I-I could have all my memories back.
You know, the odds of this working are almost impossible.
I just want to make sure you'll be okay if it doesn't.
There must be other experimental treatments, right?
If this one doesn't work, I mean, we'll try another one.
Dave came to the hospital.
Oh.
Uh.
Well, what did he say?
He just wanted to make sure that you'll be okay.
I am.
I will be.
You'll be here when I get out, right?
Of course.
Okay.
Okay.
Yeah.
Okay.
Don't let Shepherd push it in there.
We've seen her go overboard, especially with difficult cases.
You know I can't control that.
You're on top right now.
You have more influence than you think.
I got you.
Oh, there you are.
I was starting to get flashbacks to that party where you ditched me to make out with Scott Jonas.
We just...
We got some air.
Tell me that lump's benign.
As benign as chicken pot pie.
Oh, thank God.
What is it?
Chicken pot pie.
Yeah, that was yesterday's lunch.
My throat's full of food.
What?
How?
The sphincter connecting her stomach and her esophagus won't relax, so food's getting stuck.
Is this gonna be for the rest of my pregnancy?
No, we can remove the food with a scope and then inject Botox into the lower sphincter.
So it looks young and wrinkle-free?
No, so it relaxes and food can get into your stomach.
Okay, so this is gonna take a while.
Will you please make sure that someone steams the tablecloths?
I'm on it.
A nurse will get you prepped, okay?
Thank you.
Okay.
I gotta go back to work.
Okay.
Brush up on your EGDs in the skills lab.
I thought we had Mr.
Oden's CABG today.
I am doing Mr.
Oden's CABG.
You were gonna brush up on your EGDs so you can do Liz's esophageal disimpaction.
I'll go practice.
Can you just cut and paste?
The graphics, yes, but not the text.
Will you read me those bullet points?
Oh, sure.
Um, okay. "
All trainees come from the more than one-third of US counties that are maternity care deserts with no OB providers, hospitals, or birth centers."
That's bleak.
Didn't you win a Catherine Fox Award for your program?
I did.
Felt like an accomplishment then.
Now, feels like I'm trying to bail water with a thimble.
I get it, but programs like yours are a beacon of hope.
Thank you.
Now let's just make sure your presentation is as great as you are.
Next bullet, please.
Teddy.
Oh.
Yeah.
Oh, sorry.
Uh, "following Dobbs"...
DBS is in place.
How are you doing, Molly?
Pretty well, considering my head's basically in an Erector Set.
Are you feeling more discomfort?
I don't feel a thing, but I can hear tools clinking and things buzzing.
Are we almost there?
Yes.
Griffith, we are ready to connect to the stimulation panel.
And that should stop the seizures?
It should.
Wow.
Wait, that's incredible.
Thank you.
And are you starting with the memory part too now?
In a minute.
Dr.
Shepherd, I see epileptiform waves.
All right, adjust the frequency.
They're improving.
Okay.
All right, Molly, now it is time to place the grid for memory retrieval.
I'd nod, but, um, I can't move my head.
Grid, please.
Here we go.
It's not that bad.
You were just moaning like a dead animal.
Let him check you out.
Urine output's low.
Hang on.
Let me take a quick look with the ultrasound.
Are you wearing perfume?
'Cause it smells like feet.
Remember when I gave you a kidney and you promised to be nicer?
This is how all of our fights end now.
Do you have a sister?
I have four.
Oof.
I thought one was a lot.
Kidney.
I learned early on that I'm better off not fighting back.
Oh, look at you now.
You're a surgeon.
See what happens when you learn how to go with the flow?
To adapt?
I'm the senior VP of human resources at a giant tech company.
Kidney.
It only works when I do it.
No.
My kidney.
It really hurts.
Damn it, we need to move.
What's happening?
Am I dying?
Allan's kidney's thrombosed.
A clot's cutting off his blood supply.
If we don't get him to surgery right now, he could lose it.
Tell Webber and Marsh to meet me in the OR.
Okay, breathe.
I did it.
You...
You...
You did it?
Uh-huh.
Thank you.
Uh...
You were right.
She's amazing.
She's also very hungry.
Would you hand me those chips?
Uh, you can have whatever you want.
Thank you.
Uh, I'll be right back.
Okay.
'Kay.
Well, you saved the day.
Well, this saved me from having to go to my boss's panel on change management.
Where is her thumb drive?
Do you wanna skip the afternoon lectures?
Well, we clearly have seen Bailey's presentation.
I'm supposed to meet up with Phil later.
So meet up with me instead.
You said to let you know when I have figured it out, and I have figured it out.
You are all set.
Oh.
Um...
Would you keep it until we get there?
My luck today, I'd drop it down the elevator shaft.
Y...
You are coming, right?
Oh, I've been having stress dreams all week about showing up to an empty room.
Yeah.
Wouldn't miss it.
Okay.
Here.
Mm-hmm.
Okay, the renal artery is tortuous.
IR never would've worked.
Agreed.
Fogarty catheter.
Will the kidney be okay?
I don't know, but it's got a shot thanks to you.
The embolectomy is complete.
Heparin.
Thank you.
Now what?
We wait for it to pink up, then we go after the tumor.
Okay.
Nothing's happening.
It's still ischemic.
Yeah, the clot caused too much damage.
The kidney's dead.
Let's prep for a nephrectomy.
Yeah.
But he has to be in remission before he can go back on the transplant list.
That could take months.
It's our only option at this point.
He got lucky three times.
Maybe it'll happen again.
So that's it?
You just tell him good luck and send him on his way.
Well, what if we give it more time?
Try papaverine?
You know that's not gonna work.
Adams, you want to suture ligate this vessel?
You found the clot.
You want it or not?
0 silk.
Okay, nice and easy.
Good.
Oh, Mr.
Oden's in the ICU.
We did his CABG off-pump.
It's actually really exciting.
You should review the surgical tape.
Wilson, quick update.
Ms.
Badgley had a massive uterine hemorrhage mid-surge...
You did a hysterectomy?
On my patient?
Technically, Kincade's patient.
But yep.
Good luck with your, um...
Esophageal disimpaction.
Mm-hmm.
I'm gonna tear him limb from limb.
Millin, you are flying through this.
At the rate you're going, we'll be out of here in 15 minutes.
My parents never sent me to summer camp.
They just dropped me off at the arcade every day, and I played the claw machine for six hours straight.
You know how to work those?
Mm-hmm.
What have you won?
Strawberries and fish tacos.
Stimulate S-5.
Molly, remember, if you see anything, no matter how faint the image, just let me know.
Nothing yet.
All right.
Let's increase the frequency to 180 hertz.
If it gets uncomfortable, let me know and I can stop.
Okay.
Let's bump it up to 200 Hz.
Dr.
Shepherd, she's starting to get D waves again.
Sporadic episodes.
We still have time before a potential seizure.
W-5.
Decrease the amplitude to two millivolts.
How you doing, Molly?
Still fine.
Just...
just waiting.
The waves are increasing in frequency and amplitude.
I'm keeping my eye on it.
X-5.
I'm stopping.
Griffith, you will press that button if I tell you to.
Y-5.
She's going to seize.
If we have to put her in a coma, she...
Dr.
Griffith, I need you to trust me or get out of my OR.
I see something.
Can you tell me what you see?
I'm outside.
I'm walking near a lake.
I see...
I see mountains.
It's, it's beautiful here.
Wait, wait, it's all gone.
Because I stopped stimulating.
That was absolutely amazing.
Is it time to close?
That's not why I stopped.
Hand me the control panel.
We need to verify that the stimulation is provoking the memory.
Her seizure activity is becoming more unstable.
Restarting.
See anything now?
I'm still at the same place and...
there's someone else here.
A man.
Do you know who it is?
No, he's too far ahead, but he's wearing a red jacket.
I think we're here together.
Wait, did you stop again?
I did.
All right.
How about now?
I'm still here.
I'm-I'm taking something out of my pocket.
It's, uh...
it's a map.
It says, "The Beehive Basin Trail."
It's Big Sky.
All right, we are going to reduce the frequency back to 140 hertz and one millivolt, terminating the stimulation and removing the grid.
Wait, no, no.
Wait, why are you stopping please?
We can't risk more seizure activity, but, Molly, you did great.
Would you like me to close?
I've got it.
The EGD went well.
We were able to clear your esophagus and administer the Botox to relax your sphincter.
And once we confirm everything's going down okay, you'll be good to eat whatever you want.
Just need to take it easy for a couple of days.
I'll take it easy after the reunion.
No, wait, you need to rest.
Otherwise, you'll wind up back here in a week.
Two years of hard work, and Bobby's about to undo it all in two hours?
Well, why doesn't Nora go?
Make sure he doesn't mess things up.
Okay, you need to fire him.
We don't pay him.
Look, we can't just let Bobby have what he wants because he means well.
You need to go down there and tell him that he is out.
Well, um, the good news is we were able to debulk a lot of the mass.
So there is bad news...
again.
Yes, so we couldn't revive your working kidney, so we had to remove it.
Back to dialysis.
More hours of my life wasted.
Once you're in remission, we can put you back on the transplant list again.
I've already had three.
I'm a hard match.
I won't find another.
You never know.
Before my first transplant, I made a bucket list of all the things I wanted to do before I died, you know, like climb the Great Wall or drive on the Autobahn.
Oh, see the Rockettes.
I mean, I thought I'd be lucky to do half.
I did all of 'em.
Organ donors gave me a second chance on life, and then a third and a fourth.
And I'm happy with what I did with them.
So, if this is it...
this is it.
Or you could call Gary.
We're not calling Gary.
Wait.
Gary is...
Our brother.
Well, I'll be damned.
I'd rather live the rest of my life in a box.
By box do you mean coffin?
It'd be better than calling Gary!
She loved Big Sky.
We went a couple of times.
I can't believe she actually remembered something.
All the way down to your red jacket.
I'll check on her in a bit.
Hey.
How are you feeling?
Hmm.
Tired.
Hey.
They said I had a memory.
I just wish my brain could hold on to them when it's not being stimulated.
Does, uh, Dave have a red jacket?
He has a lot of jackets.
Did you ever go to Big Sky with him?
A couple of times.
Why?
Is that what I remembered?
But that was a memory from after the accident.
You don't need to remember anything for us to have a future together.
You know, it's all in my brain.
It's all in there.
We just have to find a way to unlock it.
Hey, maybe there's a clinical trial.
No, you...
No, no, no, no, you don't let people dig into your brain when you're healthy.
I'm worried about you.
The worst has already happened.
I lost my life.
No, you didn't.
You're here.
You should rest.
We can talk about this later.
_ Okay.
All right.
Thank you.
Hey.
So Liz is being discharged.
She is.
But she needs to rest, so she's sending me to go make sure this reunion doesn't fall apart.
Mmm.
I wish Megan wasn't chaperoning your nephew's camping trip.
Yeah.
I can go with you if you want.
I'd love to see the new paint in the gym.
Seriously?
Teddy won't mind?
We've agreed to...
We've agreed that we could see other people.
Oh.
Yeah.
Okay.
So I'll go home, and I'll change and come pick you up.
I'll text you my address.
Okay.
Yeah.
So, the program is a 16-week rotation, but we operate on a rolling basis.
The trainees request start dates, based on where it fits within their home curriculum.
So at any given time, we have 20 to 30 trainees from 13 different states, but still that's not nearly enough to address patient demands across the country.
You know, somebody recently said that programs like this are a beacon of hope in a dark time.
Well, I hope that you will join me in lighting the way.
Thank you.
Are you okay?
Yeah.
Yeah.
Are you sure?
Yeah, yeah, yeah.
I'm good.
I'm good.
Come here.
Wait.
Wait.
Um...
I'm sorry, it's just dumb.
It's not you.
It's just I, um...
I feel like I'm cheating on my husband.
Is this what it felt like when you first opened your marriage?
Our marriage was suffocating us.
Being with someone else...
felt like finally breathing fresh air.
You really are amazing.
So I'm told.
But this...
this...
is not gonna fix my marriage.
I'm so sorry.
Me too.
It's okay.
I checked on Liz, and a smoothie went down and is in her stomach safe and sound.
You handled that disimpaction like an experienced surgeon.
You didn't need a surgeon for that.
Any teenager in an arcade could've figured it out.
Maybe just take the compliment.
Where are you going?
To update Liz's chart.
Oh, you thought today was just about learning to disimpact an esophagus?
What else would it be about?
Your first transesophageal echocardiogram.
Really?
Yeah, come on up.
So you...
You want me to...
Find the heart.
It's just like the EGD, okay?
Insert the scope, flat side facing the floor of the mouth.
Good, slowly feed it down the esophagus.
Good, good.
Now adjust the angle.
There.
I-I might be biased, but every time I see that, it feels like the first time.
It's incredible.
Her EEG looks stable.
Mm-hmm.
I'm sorry for challenging you.
Kwan was in your head.
Yes.
Your star may be on the rise, but that is not the same as having years of experience with hundreds of patients.
Whatever you know about the patient's family, their loved ones, you keep it out of my OR or you do not step foot inside it.
It won't happen again.
Okay.
Now get started on a write-up for grand rounds.
You're gonna present this at grand rounds.
We are.
Congratulations.
Wilson, hey, about that surge.
No.
Marcus, I am grateful to you for saving my pregnancy, but that does not mean that you get to walk all over me.
I'm sorry?
I'm not your patient.
I'm your colleague.
Sharking my surgeries doesn't help me.
It undermines my authority and limits my training.
I was just trying to help.
Don't flatter yourself.
I can advocate for myself.
I'm sorry.
And it's "surgery," not "surge."
This some sort of OB showdown?
The three of us decided it was time for a little talk.
Well, he earned it.
Do you want to go for a burger?
As long as I don't have to talk about vaginal tears.
Okay.
Good deal.
I love those crackers.
Yeah.
You never let me throw them away when we got soup from our neighborhood deli.
What kind of soup?
You liked their Manhattan clam chowder.
I called your parents.
What?
Why?
I was worried.
And then I found out that they had no idea about your surgery or that we're back together.
Well, I didn't want them to freak out.
Okay, but you lied to me about it.
I think you know you're on a slippery slope.
This isn't like last time.
Yeah, which you also didn't tell me about.
I found out from Dave.
Okay, look, I am so close to remembering.
No one with retrograde amnesia has ever gotten their memories back.
What makes you think you're different?
I don't know.
But that day that I saw you in the ER, I mean, that was the first time I felt like a piece of my old life was trying to resurface.
I do.
I wanna remember my grandparents and-and family vacations and my college graduation.
I don't feel whole.
I want to.
I need to.
Because...
I don't know what will happen if I don't.
Are you only with me because you think it might help get your memory back?
I, um...
I don't know.
Hey, um...
Yeah.
So I reviewed Allan's post-op labs.
Everything looks good.
Great, thank you.
And great catch with the thrombosis.
He could have gone septic and died.
Yeah, I don't understand why he won't just call his brother.
He'd have a kidney tomorrow.
Yeah, sometimes people are their own biggest obstacles.
Hey, uh, do you think I need to repeat intern year?
You said that all internships should be longer, but they're not.
The rest of my class is already moving on.
If I have to remediate, that'll go on my record.
Competitive specialties and fellowships will be off the table.
My surgical skills are as good as my classmates, but my career is going to suffer because I tried to save a patient who was going to die anyway.
You're right, but that's up to Catherine Fox.
Do you think I can change her mind?
I'm not sure, but I know someone who might.
So, if you have any suggestions on how I could approach her or what to say, I'd really appreciate it.
You want advice on how to persuade my wife?
Yes, sir.
Couple of years ago, I surprised her with a trip to the Maldives.
Booked one of those bungalows that's over the water, a five-star restaurant, sunset yacht cruises.
It sounds really nice.
Oh, it was paradise.
You know what she said the best part was?
Yeah, I don't...
It was a little coffee pot in our room that was stocked with Seattle roaster coffee.
Said she never found anything better.
You understand what I'm saying?
You could've saved a lot of money and gone to the café next door?
No.
I'm saying that once she makes up her mind about something, she needs a really good reason for her to change it.
And you don't have it.
Sorry.
When you want something badly, it's hard to know if or when to throw in the towel.
A glass of the house white, and his next drink is on me.
I'm presenting at grand rounds!
It's over.
Me and Molly.
I'm so sorry.
Was it Dave?
Hey.
It took me longer to get out of there than I thought it would.
Did someone die?
Blue and Molly broke up.
Oh, sorry.
Did she go back to Dave?
I just did my first transesophageal echocardiogram.
Read the room, Millin.
Blue and Molly broke up.
Don't ask about Dave.
Who's Dave?
Can you not talk about me in front of me?
Nobody wants to talk about you.
Could I just get a rum and coke and whatever he wants?
Hey, hey, what about me?
I'll buy you a drink when you and Griffith break up.
So, never.
Hey, can I get...
Shh, shh, shh.
So we push the limits.
Hoping if we put in a little more time, more effort, maybe it'll all work out.
You're not a margherita flatbread with a side salad.
Um, Ben, Teddy's here.
Yeah, I'll call you later.
Uh, did you want, uh, mini red, mini white?
The mini bourbon's mine.
Uh, mini gin and tonic.
Ah, only if you, uh, want it served in a giant glass.
Okay.
Uh, congratulations on your presentation.
Thanks.
Uh, I didn't see you and Beckman after.
Oh.
Yeah, we, uh...
we left and ended up...
You know, I don't need to know.
I work with both your husbands.
We ended up going to the environmental health panel.
That's not what I expected.
Honestly...
me neither.
Cheers.
Ah.
Take it right out of the...
Okay.
Get you some pretzels.
Uh...
_ Or you could crash and burn.
Taking everything you love down with you.
But you won't know until you try.
Synced and corrected by ChrisKe - -- for www.addic7ed.com --