# Start End Original Translated
1 00:00:02,469 00:00:05,563 According to this man's family, he was not a smoker. According to this man's family, he was not a smoker.
2 00:00:05,639 00:00:08,437 But the truth is, he smoked two packs a day But the truth is, he smoked two packs a day
3 00:00:08,508 00:00:10,032 in his car for 20 years in his car for 20 years
4 00:00:10,110 00:00:12,101 while his wife and children slept. while his wife and children slept.
5 00:00:12,179 00:00:15,239 Sometimes, the patient's shame is the elephant in the room. Sometimes, the patient's shame is the elephant in the room.
6 00:00:15,315 00:00:16,782 They try to hide it from us. They try to hide it from us.
7 00:00:16,850 00:00:19,717 But you can't hide from a surgeon, because the body doesn't lie. But you can't hide from a surgeon, because the body doesn't lie.
8 00:00:19,786 00:00:22,755 The truth is right here, for everyone to see. The truth is right here, for everyone to see.
9 00:00:22,823 00:00:26,224 And it doesn't need to say a single word. And it doesn't need to say a single word.
10 00:00:29,396 00:00:33,492 So, uh, DeLuca and I are basically not talking. So, uh, DeLuca and I are basically not talking.
11 00:00:35,735 00:00:37,362 Just like you two. Just like you two.
12 00:00:37,437 00:00:38,995 Only different. Only different.
13 00:00:39,072 00:00:40,630 Obviously. (EXHALES SHARPLY) Obviously. (EXHALES SHARPLY)
14 00:00:40,740 00:00:42,207 (CLEARS THROAT) (CLEARS THROAT)
15 00:00:44,511 00:00:48,447 Yeah, I mean, we say "hi," but, uh, there's no talking. Yeah, I mean, we say "hi," but, uh, there's no talking.
16 00:00:48,515 00:00:51,678 I mean, even after the amazing sex. I mean, even after the amazing sex.
17 00:00:53,253 00:00:55,312 Once you've had that, Once you've had that,
18 00:00:55,388 00:00:58,323 you would think it would be easier to have a conversation. you would think it would be easier to have a conversation.
19 00:01:05,632 00:01:07,190 So... So...
20 00:01:07,267 00:01:09,861 That woman starts today, the resident from Dillard. That woman starts today, the resident from Dillard.
21 00:01:09,936 00:01:11,961 Do you want to talk about that? Do you want to talk about that?
22 00:01:12,038 00:01:13,733 'Cause you should. 'Cause you should.
23 00:01:18,011 00:01:19,876 It doesn't burn when I pee anymore. It doesn't burn when I pee anymore.
24 00:01:22,282 00:01:23,874 (ELEVATOR BELL DINGS) (ELEVATOR BELL DINGS)
25 00:01:26,799 00:01:30,799 Ripped & Corrected By mstoll Ripped & Corrected By mstoll
26 00:01:36,029 00:01:37,792 It's your first day. How... How do you... It's your first day. How... How do you...
27 00:01:37,864 00:01:39,229 It's okay. It's okay.
28 00:01:40,333 00:01:43,131 - You don't have to do that. - (ELEVATOR BELL DINGS) - You don't have to do that. - (ELEVATOR BELL DINGS)
29 00:01:48,074 00:01:49,268 (ELEVATOR BELL DINGS) (ELEVATOR BELL DINGS)
30 00:01:53,580 00:01:54,569 Hi. Hi.
31 00:01:54,648 00:01:57,378 Can you guys tell me how to find out whose service I'm on? Can you guys tell me how to find out whose service I'm on?
32 00:01:58,385 00:01:59,750 I mean, which attending? I mean, which attending?
33 00:01:59,819 00:02:01,343 You should ask her. You should ask her.
34 00:02:01,421 00:02:04,083 I'm probably not qualified to answer that. I'm probably not qualified to answer that.
35 00:02:04,991 00:02:06,959 Just check your e-mail. Just check your e-mail.
36 00:02:08,995 00:02:10,428 Thank you. Thank you.
37 00:02:10,497 00:02:14,297 As you know, transfer residents traditionally do their first rotation As you know, transfer residents traditionally do their first rotation
38 00:02:14,367 00:02:16,460 with the Chief of General Surgery, which is you, with the Chief of General Surgery, which is you,
39 00:02:16,536 00:02:19,300 and, as you also know, our newest transfer, and, as you also know, our newest transfer,
40 00:02:19,372 00:02:22,637 Penelope Blake, is starting today. Penelope Blake, is starting today.
41 00:02:22,709 00:02:26,839 So, you understand how this could have happened... So, you understand how this could have happened...
42 00:02:26,913 00:02:28,073 What is "this"? What is "this"?
43 00:02:29,049 00:02:30,676 Dr. Blake is on your service. Dr. Blake is on your service.
44 00:02:30,750 00:02:35,187 However, um, Dr. Webber has offered to take over. However, um, Dr. Webber has offered to take over.
45 00:02:35,255 00:02:37,416 Or I can. You just say the word. Or I can. You just say the word.
46 00:02:37,490 00:02:39,048 I'll take Blake. I'll take Blake.
47 00:02:39,125 00:02:40,183 You don't have to. You don't have to.
48 00:02:40,260 00:02:42,490 I'm Chief of General. It's the job. I'm Chief of General. It's the job.
49 00:02:42,996 00:02:44,361 You sure? You sure?
50 00:02:44,431 00:02:46,626 Of course. I'll do it. Of course. I'll do it.
51 00:02:47,434 00:02:48,423 Uh... Uh...
52 00:02:58,244 00:03:00,269 Uh, sir... Sir, you can't park there. Uh, sir... Sir, you can't park there.
53 00:03:00,347 00:03:02,281 Oh, no, I'm not parking. I'm just stopping for a sec. Oh, no, I'm not parking. I'm just stopping for a sec.
54 00:03:02,349 00:03:03,338 No, this is for patients only. No, this is for patients only.
55 00:03:03,416 00:03:04,713 Yeah, yeah, I got a patient. No worries. Yeah, yeah, I got a patient. No worries.
56 00:03:06,419 00:03:08,444 (SIGHS) All righty. (SIGHS) All righty.
57 00:03:09,522 00:03:11,615 Well, we're a little late, but we're here. Well, we're a little late, but we're here.
58 00:03:13,293 00:03:14,521 You ready for this? You ready for this?
59 00:03:14,594 00:03:15,583 Yeah. Yeah.
60 00:03:16,096 00:03:17,461 JACKSON: Did this case a year ago. JACKSON: Did this case a year ago.
61 00:03:17,530 00:03:19,327 Looks amazing. And we're doing something Looks amazing. And we're doing something
62 00:03:19,399 00:03:21,094 - like this again today? - Yeah. - like this again today? - Yeah.
63 00:03:21,167 00:03:24,364 April's bringing in a kid from Jordan with Ollier's disease. April's bringing in a kid from Jordan with Ollier's disease.
64 00:03:24,437 00:03:26,428 You can see, these are the enchondromas. You can see, these are the enchondromas.
65 00:03:26,506 00:03:27,734 Cartilaginous tumors. Cartilaginous tumors.
66 00:03:27,807 00:03:28,899 They grow from the growth plates, right? They grow from the growth plates, right?
67 00:03:28,975 00:03:29,999 Exactly. Exactly.
68 00:03:30,076 00:03:32,544 Which is why you're gonna want to do a wide local excision, Which is why you're gonna want to do a wide local excision,
69 00:03:32,612 00:03:35,206 expose the bone so I can get in there and reconstruct the hand. expose the bone so I can get in there and reconstruct the hand.
70 00:03:35,281 00:03:38,045 Wait, wait, wait, wait. I will? Wait, wait, wait, wait. I will?
71 00:03:38,118 00:03:39,676 I'll dissect the tumors? I'll dissect the tumors?
72 00:03:39,753 00:03:41,152 I thought so. I thought so.
73 00:03:41,221 00:03:42,620 If you're up for it. If you're up for it.
74 00:03:42,689 00:03:44,657 (CHUCKLES) Hell yes, I am. (CHUCKLES) Hell yes, I am.
75 00:03:44,724 00:03:46,919 APRIL: Are you ready? They're on their way up. APRIL: Are you ready? They're on their way up.
76 00:03:46,993 00:03:49,257 Uh, why don't you head up to peds, help him get settled? Uh, why don't you head up to peds, help him get settled?
77 00:03:49,329 00:03:50,455 Yeah. Yeah.
78 00:03:55,035 00:03:56,559 Thank you for doing this. Thank you for doing this.
79 00:03:56,636 00:03:59,298 Listen, it's a great case. And it's just a resection. Listen, it's a great case. And it's just a resection.
80 00:03:59,372 00:04:00,930 He's such a sweet kid. He's such a sweet kid.
81 00:04:01,007 00:04:02,565 He's an amazing kid. He's an amazing kid.
82 00:04:02,642 00:04:07,079 He's been through hell in Jordan, and he just never gives up. He's been through hell in Jordan, and he just never gives up.
83 00:04:07,147 00:04:08,876 Since he lost his family, he's been living at the hospital, Since he lost his family, he's been living at the hospital,
84 00:04:08,948 00:04:10,677 and we just give him all these odd jobs to do and... and we just give him all these odd jobs to do and...
85 00:04:10,750 00:04:14,117 April, you can stop selling him, okay? It's happening. April, you can stop selling him, okay? It's happening.
86 00:04:14,187 00:04:16,018 We are doing it, so... We are doing it, so...
87 00:04:17,123 00:04:19,557 Good. Just... I just... Good. Just... I just...
88 00:04:19,626 00:04:22,459 Thanks for putting our stuff aside, and... Thanks for putting our stuff aside, and...
89 00:04:22,529 00:04:23,996 (CLEARS THROAT) Let's go see him. (CLEARS THROAT) Let's go see him.
90 00:04:35,275 00:04:36,367 Yes. Yes.
91 00:04:36,876 00:04:38,343 I am... I am...
92 00:04:38,411 00:04:40,902 I understand I'm on your service today. I understand I'm on your service today.
93 00:04:40,980 00:04:42,447 That's right. That's right.
94 00:04:43,316 00:04:44,840 Dr. Grey, I just want to say, Dr. Grey, I just want to say,
95 00:04:44,918 00:04:47,614 I don't want today to be awkward or uncomfortable. I don't want today to be awkward or uncomfortable.
96 00:04:47,687 00:04:50,087 So don't make it awkward or uncomfortable like this, right now. So don't make it awkward or uncomfortable like this, right now.
97 00:04:50,156 00:04:51,589 (PAGER BEEPS) (PAGER BEEPS)
98 00:04:51,991 00:04:53,652 If there's anything that I... If there's anything that I...
99 00:04:53,726 00:04:55,819 Consult in the pit. We're walking. Consult in the pit. We're walking.
100 00:05:01,267 00:05:03,963 Robert Matthews, 30s, fell down two flights of stairs. Robert Matthews, 30s, fell down two flights of stairs.
101 00:05:04,037 00:05:05,197 Possible LOC. Possible LOC.
102 00:05:05,271 00:05:06,568 He's been complaining of abdominal pain. He's been complaining of abdominal pain.
103 00:05:06,639 00:05:08,607 I can arrange for a head CT or page neuro. I can arrange for a head CT or page neuro.
104 00:05:08,675 00:05:10,734 All I need is an ultrasound. All I need is an ultrasound.
105 00:05:14,447 00:05:15,539 - No! - Oh! - No! - Oh!
106 00:05:15,615 00:05:17,105 - Whoa, whoa! Calm down. - Okay. - Whoa, whoa! Calm down. - Okay.
107 00:05:17,183 00:05:19,117 No, I... I have to go! No, I... I have to go!
108 00:05:19,185 00:05:20,413 Okay. Okay.
109 00:05:20,487 00:05:22,352 - (GRUNTING) - Relax! - (GRUNTING) - Relax!
110 00:05:22,422 00:05:25,289 I did something bad, really bad and I... I did something bad, really bad and I...
111 00:05:26,526 00:05:27,584 Where am I? Where am I?
112 00:05:27,660 00:05:28,649 How'd I get here? How'd I get here?
113 00:05:28,728 00:05:30,161 Relax. You fell down some stairs. Relax. You fell down some stairs.
114 00:05:30,230 00:05:32,494 I was trying to get up to the choir loft. I was trying to get up to the choir loft.
115 00:05:32,565 00:05:33,827 Choir loft? Choir loft?
116 00:05:33,900 00:05:36,061 I'm the pastor at First Lutheran, and I had... I'm the pastor at First Lutheran, and I had...
117 00:05:36,136 00:05:37,728 There was an accident. There was an accident.
118 00:05:37,804 00:05:39,328 I accidentally... I accidentally...
119 00:05:39,405 00:05:40,736 Oh, God. I have to go! Oh, God. I have to go!
120 00:05:40,807 00:05:41,796 Hey. Hey.
121 00:05:41,875 00:05:43,274 Okay, listen, Robert, you have to calm down, Okay, listen, Robert, you have to calm down,
122 00:05:43,343 00:05:45,140 or you're gonna make this worse, okay? or you're gonna make this worse, okay?
123 00:05:45,211 00:05:46,838 It's not okay! It's not okay!
124 00:05:46,913 00:05:48,175 I sent it to everyone. I sent it to everyone.
125 00:05:48,248 00:05:49,408 Sent what? Sent what?
126 00:05:49,482 00:05:51,143 The church bulletin. The church bulletin.
127 00:05:51,217 00:05:54,050 I went to attach the video of the youth volleyball game, and... I went to attach the video of the youth volleyball game, and...
128 00:05:55,188 00:05:57,418 I've been seeing someone. A woman. I've been seeing someone. A woman.
129 00:05:57,490 00:06:00,653 A nice, but sort of adventurous woman. A nice, but sort of adventurous woman.
130 00:06:00,727 00:06:02,024 But nice and... But nice and...
131 00:06:02,095 00:06:03,119 Okay, now you lost me. Okay, now you lost me.
132 00:06:04,297 00:06:05,764 I attached the wrong video. I attached the wrong video.
133 00:06:06,533 00:06:07,522 (GASPS) (GASPS)
134 00:06:09,536 00:06:11,595 You sent a sex tape? You sent a sex tape?
135 00:06:11,671 00:06:13,104 To my entire congregation. To my entire congregation.
136 00:06:13,773 00:06:15,297 Oh, good God! Oh, good God!
137 00:06:15,775 00:06:18,073 Yeah, can we not talk about him right now? Yeah, can we not talk about him right now?
138 00:06:18,978 00:06:23,506 I rode on a bus, a train, a plane, three cars, and a helicopter. I rode on a bus, a train, a plane, three cars, and a helicopter.
139 00:06:23,583 00:06:24,948 APRIL: That's amazing! APRIL: That's amazing!
140 00:06:25,218 00:06:28,210 Um, Kamal, I want you to meet Dr. Avery. Um, Kamal, I want you to meet Dr. Avery.
141 00:06:28,288 00:06:30,222 - He's gonna perform your operation. - Hi. - He's gonna perform your operation. - Hi.
142 00:06:30,290 00:06:32,258 You are the guy? You are the guy?
143 00:06:32,325 00:06:33,349 (CHUCKLES) (CHUCKLES)
144 00:06:33,426 00:06:35,121 "The guy"? Um... "The guy"? Um...
145 00:06:35,195 00:06:37,390 There she is! The machine! There she is! The machine!
146 00:06:37,463 00:06:38,862 Nathan! Nathan!
147 00:06:38,932 00:06:41,162 - Hey. (CHUCKLES) - Oh, man! Hey! - Hey. (CHUCKLES) - Oh, man! Hey!
148 00:06:41,234 00:06:43,759 Thank you, thank you, thank you for bringing him here. Thank you, thank you, thank you for bringing him here.
149 00:06:43,836 00:06:44,962 Hey, come on. Of course. Hey, come on. Of course.
150 00:06:45,038 00:06:47,836 Nathan and I worked together on my last tour. Nathan and I worked together on my last tour.
151 00:06:47,907 00:06:51,240 - Dr. Riggs, this is Jackson. Dr. Avery. - Oh. - Dr. Riggs, this is Jackson. Dr. Avery. - Oh.
152 00:06:51,311 00:06:52,608 Yeah, Nathan Riggs. Hey. Yeah, Nathan Riggs. Hey.
153 00:06:52,679 00:06:53,839 Hey. Trauma surgeon? Hey. Trauma surgeon?
154 00:06:53,913 00:06:57,314 Cardiothoracic, but over there, it's pretty much all trauma, you know? Cardiothoracic, but over there, it's pretty much all trauma, you know?
155 00:06:57,383 00:06:59,408 Sure. Sure, yeah. Sure. Sure, yeah.
156 00:06:59,485 00:07:01,715 Dr. Riggs! He is the guy! Dr. Riggs! He is the guy!
157 00:07:01,788 00:07:02,777 (LAUGHS) (LAUGHS)
158 00:07:02,855 00:07:04,117 What is "the guy"? What is "the guy"?
159 00:07:04,190 00:07:05,623 The first time we met Kamal, The first time we met Kamal,
160 00:07:05,692 00:07:07,683 Keps said, "I know the guy who can fix your hands." Keps said, "I know the guy who can fix your hands."
161 00:07:07,760 00:07:09,489 So ever since, he's been talking about meeting "the guy." So ever since, he's been talking about meeting "the guy."
162 00:07:09,562 00:07:12,690 Well, Kamal, let's take a look, huh? Well, Kamal, let's take a look, huh?
163 00:07:12,899 00:07:14,958 (BREATHES DEEPLY) (BREATHES DEEPLY)
164 00:07:20,707 00:07:21,696 Oh. Oh.
165 00:07:23,977 00:07:26,502 Okay. Let's get this guy up here. Okay. Let's get this guy up here.
166 00:07:26,579 00:07:28,877 All right. Look at this. All right. Look at this.
167 00:07:32,318 00:07:33,649 Okay. Okay.
168 00:07:38,424 00:07:39,618 Uh-huh. Uh-huh.
169 00:07:42,662 00:07:44,323 You can fix them? You can fix them?
170 00:07:48,801 00:07:49,995 That's the plan. That's the plan.
171 00:07:53,706 00:07:55,606 You never told me it was this advanced. You never told me it was this advanced.
172 00:07:55,675 00:07:57,336 Those tumors are massive. Those tumors are massive.
173 00:07:57,410 00:07:58,502 Okay, maybe I downplayed it a little. Okay, maybe I downplayed it a little.
174 00:07:58,578 00:07:59,909 You downplayed it? This looks impossible! You downplayed it? This looks impossible!
175 00:07:59,979 00:08:02,209 I don't understand. You sent him the scans, right? I don't understand. You sent him the scans, right?
176 00:08:02,282 00:08:03,681 Didn't you see the scans? Didn't you see the scans?
177 00:08:05,018 00:08:07,543 She told me the scans were lost in Jordan. She told me the scans were lost in Jordan.
178 00:08:07,620 00:08:08,814 I didn't want him to see the scans. I didn't want him to see the scans.
179 00:08:08,888 00:08:10,981 - Wait. What? - Keps, what the hell? - Wait. What? - Keps, what the hell?
180 00:08:11,057 00:08:12,354 You lied! You lied!
181 00:08:12,425 00:08:13,983 If you had seen the scans, you might have said no, If you had seen the scans, you might have said no,
182 00:08:14,060 00:08:16,790 and I wanted you to meet that little boy. and I wanted you to meet that little boy.
183 00:08:16,863 00:08:18,330 And he's here now. And he's here now.
184 00:08:18,398 00:08:19,695 So how do we help him? So how do we help him?
185 00:08:33,746 00:08:35,179 Hey. So, Blake's on Meredith's service? Hey. So, Blake's on Meredith's service?
186 00:08:35,248 00:08:36,272 Uh, looks like it. Uh, looks like it.
187 00:08:36,349 00:08:37,543 - She gonna be all right? - I don't know. - She gonna be all right? - I don't know.
188 00:08:37,617 00:08:38,709 We haven't spoken since the party. We haven't spoken since the party.
189 00:08:38,785 00:08:40,082 She feels like I'm on Meredith's side. She feels like I'm on Meredith's side.
190 00:08:40,153 00:08:41,313 And I am, you know? And I am, you know?
191 00:08:41,387 00:08:42,820 But it doesn't mean I'm not on Penny's side, too. But it doesn't mean I'm not on Penny's side, too.
192 00:08:42,889 00:08:45,551 And now Meredith's not even talking to me, so win-win! And now Meredith's not even talking to me, so win-win!
193 00:08:45,625 00:08:46,683 (CHUCKLES) (CHUCKLES)
194 00:08:46,759 00:08:48,090 ROBERT: Oh, God. ROBERT: Oh, God.
195 00:08:48,661 00:08:50,595 Seventy-eight new messages? Seventy-eight new messages?
196 00:08:51,230 00:08:52,458 (GRUNTS) (GRUNTS)
197 00:08:52,799 00:08:54,266 They know. They know.
198 00:08:54,667 00:08:56,294 They all know. They all know.
199 00:08:58,237 00:09:00,205 What's your assessment? What's your assessment?
200 00:09:00,273 00:09:01,604 - Well, I think... - Not you. Blake. - Well, I think... - Not you. Blake.
201 00:09:02,709 00:09:04,540 Ultrasound showed fluid in Morison's pouch. Ultrasound showed fluid in Morison's pouch.
202 00:09:04,610 00:09:05,975 We should get an abdominal CT. We should get an abdominal CT.
203 00:09:06,045 00:09:07,945 And what are we looking for on the CT? And what are we looking for on the CT?
204 00:09:08,014 00:09:10,346 We need to rule out bleeding from the liver or the spleen. We need to rule out bleeding from the liver or the spleen.
205 00:09:10,416 00:09:12,475 We should also evaluate the retroperitoneal space. We should also evaluate the retroperitoneal space.
206 00:09:12,552 00:09:15,282 If there's active bleeding on the CT, we set him up for an ex-lap. If there's active bleeding on the CT, we set him up for an ex-lap.
207 00:09:15,355 00:09:16,754 Are you forgetting anything? Are you forgetting anything?
208 00:09:17,557 00:09:19,115 Uh, we cleared his C-spine, Uh, we cleared his C-spine,
209 00:09:19,192 00:09:22,753 we sent blood out for a trauma panel, tox screen, alcohol levels. we sent blood out for a trauma panel, tox screen, alcohol levels.
210 00:09:23,896 00:09:25,124 And? And?
211 00:09:26,699 00:09:29,065 - And, uh... - Order a type and crossmatch. - And, uh... - Order a type and crossmatch.
212 00:09:29,168 00:09:30,760 Oh. Of course. Oh. Of course.
213 00:09:30,837 00:09:32,668 Obviously. I... I skipped that. Obviously. I... I skipped that.
214 00:09:32,739 00:09:34,297 Okay, well, let's not skip steps. Okay, well, let's not skip steps.
215 00:09:34,374 00:09:36,069 We're a Level I Trauma Center. We're a Level I Trauma Center.
216 00:09:36,142 00:09:37,609 I need to know what Dillard taught you. I need to know what Dillard taught you.
217 00:09:37,677 00:09:40,510 Let's fill him with fluids and prep him for a CT. Let's fill him with fluids and prep him for a CT.
218 00:09:40,913 00:09:42,540 (CURTAIN RATTLES) (CURTAIN RATTLES)
219 00:09:44,283 00:09:45,716 I didn't lie. I... I didn't lie. I...
220 00:09:45,785 00:09:47,377 You bent the truth a bit. You bent the truth a bit.
221 00:09:47,453 00:09:48,920 Until it broke. Until it broke.
222 00:09:48,988 00:09:50,717 - It was a good lie. - (SCOFFS) - It was a good lie. - (SCOFFS)
223 00:09:50,790 00:09:52,724 Okay, it was a bad lie, but for a good reason. Okay, it was a bad lie, but for a good reason.
224 00:09:52,792 00:09:54,623 You know, you haven't been saying yes to anything lately, You know, you haven't been saying yes to anything lately,
225 00:09:54,694 00:09:55,888 not when it comes from me. not when it comes from me.
226 00:09:55,962 00:09:57,657 Look at the scans, April. Look at the scans, April.
227 00:09:57,730 00:10:00,392 Okay, these areas are pure cartilage, right? Okay, these areas are pure cartilage, right?
228 00:10:00,466 00:10:02,661 They probably destroyed any bone that was in their path. They probably destroyed any bone that was in their path.
229 00:10:02,735 00:10:03,793 Guys, we don't even know Guys, we don't even know
230 00:10:03,870 00:10:05,735 there's anything resembling hands underneath these things. there's anything resembling hands underneath these things.
231 00:10:05,805 00:10:07,830 Can you even repair the tendons and the neurovascular bundles? Can you even repair the tendons and the neurovascular bundles?
232 00:10:07,907 00:10:08,931 That's doubtful. That's doubtful.
233 00:10:09,008 00:10:10,873 Well, Hopkins and Case Western did similar cases. Well, Hopkins and Case Western did similar cases.
234 00:10:10,943 00:10:12,467 They reconstructed using bone grafts. They reconstructed using bone grafts.
235 00:10:12,545 00:10:15,105 Oh, so have I, and you know those cases are nothing compared to Kamal's. Oh, so have I, and you know those cases are nothing compared to Kamal's.
236 00:10:15,181 00:10:16,978 - April, he's saying no. - (SIGHS) - April, he's saying no. - (SIGHS)
237 00:10:17,049 00:10:19,017 Look, we'll just keep looking until we find someone. Look, we'll just keep looking until we find someone.
238 00:10:19,085 00:10:21,986 And they will all say the exact same thing. And they will all say the exact same thing.
239 00:10:23,456 00:10:24,582 Thanks. Thanks.
240 00:10:24,657 00:10:26,522 Thanks for taking the time. Thanks for taking the time.
241 00:10:29,195 00:10:30,492 Look, I'm not saying no. Look, I'm not saying no.
242 00:10:31,397 00:10:34,230 I'm saying I will do some biopsies I'm saying I will do some biopsies
243 00:10:34,300 00:10:36,564 so that we can all get a full picture so that we can all get a full picture
244 00:10:36,636 00:10:39,161 - of what it is we're dealing with here. - (SIGHS) - of what it is we're dealing with here. - (SIGHS)
245 00:10:39,238 00:10:40,865 - Thank you. - (SIGHS) - Thank you. - (SIGHS)
246 00:10:44,544 00:10:47,945 I heard there was a bad driver in the house. I heard there was a bad driver in the house.
247 00:10:48,014 00:10:49,504 (CHUCKLING) Uncle Richard! (CHUCKLING) Uncle Richard!
248 00:10:49,582 00:10:51,174 (LAUGHTER) (LAUGHTER)
249 00:10:52,752 00:10:55,084 Man, you look bald. Man, you look bald.
250 00:10:55,154 00:10:56,815 (CHUCKLING) And you look old. (CHUCKLING) And you look old.
251 00:10:56,889 00:10:57,981 (BOTH LAUGH) (BOTH LAUGH)
252 00:10:58,057 00:10:59,251 "Uncle Richard"? "Uncle Richard"?
253 00:10:59,325 00:11:02,419 Yeah, Adele and I knew Paul and his late wife, Lois, Yeah, Adele and I knew Paul and his late wife, Lois,
254 00:11:02,495 00:11:03,723 before we got married. before we got married.
255 00:11:03,796 00:11:05,093 Bumpy and I go way back. Bumpy and I go way back.
256 00:11:05,898 00:11:07,490 "Bumpy"? Why "Bumpy"? "Bumpy"? Why "Bumpy"?
257 00:11:07,567 00:11:09,228 Uh... Hey. Uh... Hey.
258 00:11:09,302 00:11:10,894 Morning, Angela. (CHUCKLES) Morning, Angela. (CHUCKLES)
259 00:11:11,504 00:11:12,528 Uh... Uh...
260 00:11:12,605 00:11:14,300 Tell me about the accident. Tell me about the accident.
261 00:11:14,373 00:11:15,704 How did it happen? How did it happen?
262 00:11:15,775 00:11:19,176 All I know is I pressed the brake, but the damn car kept going. All I know is I pressed the brake, but the damn car kept going.
263 00:11:19,245 00:11:21,577 Right into a tree. (GASPS) Right into a tree. (GASPS)
264 00:11:21,647 00:11:24,673 Yeah, she's got a severely displaced clavicular fracture Yeah, she's got a severely displaced clavicular fracture
265 00:11:24,750 00:11:27,446 and a weak pulse in her right arm. and a weak pulse in her right arm.
266 00:11:27,520 00:11:28,885 How about Paul? How about Paul?
267 00:11:28,955 00:11:30,752 I'll be fine. Angela got the worst of it. I'll be fine. Angela got the worst of it.
268 00:11:30,823 00:11:32,848 Still, I want to work you up, too, just to be safe. Still, I want to work you up, too, just to be safe.
269 00:11:32,925 00:11:34,950 So I'll go ahead and schedule that CTA. So I'll go ahead and schedule that CTA.
270 00:11:35,027 00:11:36,551 That sound good to you, Bumpy? That sound good to you, Bumpy?
271 00:11:36,629 00:11:38,494 That'll be quite enough of that. That'll be quite enough of that.
272 00:11:38,564 00:11:39,826 Sorry. Sorry.
273 00:11:39,899 00:11:41,389 Dr. Bumpy. Dr. Bumpy.
274 00:11:41,467 00:11:42,957 (BOTH LAUGH) (BOTH LAUGH)
275 00:11:49,275 00:11:50,936 MEREDITH: Tell me what you see. MEREDITH: Tell me what you see.
276 00:11:51,010 00:11:52,443 PENNY: Retroperitoneal fluid. PENNY: Retroperitoneal fluid.
277 00:11:52,879 00:11:55,040 Around what? Be specific. Around what? Be specific.
278 00:11:58,784 00:12:00,046 The right kidney. The right kidney.
279 00:12:00,119 00:12:03,748 It's a grade IV injury with an active extravasation. It's a grade IV injury with an active extravasation.
280 00:12:03,823 00:12:06,018 We are gonna need to do an ex-lap. We are gonna need to do an ex-lap.
281 00:12:06,626 00:12:08,218 Should I call upstairs? Should I call upstairs?
282 00:12:09,161 00:12:10,685 What do we have? What do we have?
283 00:12:10,763 00:12:14,096 Uh, patient came in with a head lac, GCS of 14, Uh, patient came in with a head lac, GCS of 14,
284 00:12:14,166 00:12:15,531 loss of consciousness at the scene... loss of consciousness at the scene...
285 00:12:15,601 00:12:18,798 Can you clear the head CT so we can take him up for an ex-lap? Can you clear the head CT so we can take him up for an ex-lap?
286 00:12:18,871 00:12:21,863 There's no shift, contusion, or bleed. There's no shift, contusion, or bleed.
287 00:12:21,941 00:12:23,272 It's a mild concussion. It's a mild concussion.
288 00:12:23,342 00:12:25,936 I'll do a quick exam, but he's cleared for surgery. I'll do a quick exam, but he's cleared for surgery.
289 00:12:26,012 00:12:28,344 Is this the pastor who gave his congregation Is this the pastor who gave his congregation
290 00:12:28,414 00:12:30,473 a, uh, special blessing? a, uh, special blessing?
291 00:12:31,083 00:12:32,448 Word travels fast. Word travels fast.
292 00:12:32,518 00:12:33,644 All around the hospital. All around the hospital.
293 00:12:33,719 00:12:36,347 Yeah, I bet the pews will be full on Sunday. Yeah, I bet the pews will be full on Sunday.
294 00:12:41,460 00:12:43,360 Monitor for any neuro deficits. Monitor for any neuro deficits.
295 00:12:43,429 00:12:45,897 I will do another check, post-op. I will do another check, post-op.
296 00:12:45,965 00:12:47,489 Blake, get him ready for transport. Blake, get him ready for transport.
297 00:12:47,567 00:12:49,330 Edwards, show her where it is. Edwards, show her where it is.
298 00:13:01,113 00:13:03,604 It's not enough to have her here in the same building. It's not enough to have her here in the same building.
299 00:13:03,683 00:13:05,617 You invited her on your service, too? You invited her on your service, too?
300 00:13:05,685 00:13:07,778 I am trying to rise above. I am trying to rise above.
301 00:13:07,853 00:13:09,514 And you should, too. And you should, too.
302 00:13:09,589 00:13:12,251 No, you should have ended it that night. No, you should have ended it that night.
303 00:13:13,159 00:13:14,285 (SIGHS) (SIGHS)
304 00:13:15,127 00:13:16,492 Forget it. Forget it.
305 00:13:17,196 00:13:18,959 It was better when we weren't talking. It was better when we weren't talking.
306 00:13:24,036 00:13:27,733 As I feared, the biopsy showed precancerous cells in the tumor. As I feared, the biopsy showed precancerous cells in the tumor.
307 00:13:27,807 00:13:28,796 Both sides. Both sides.
308 00:13:28,874 00:13:29,966 (SIGHS) (SIGHS)
309 00:13:30,042 00:13:31,669 Okay. Then we need to get in there ASAP... Okay. Then we need to get in there ASAP...
310 00:13:31,744 00:13:34,645 April, listen, there is no clear way to excise all the tumor. April, listen, there is no clear way to excise all the tumor.
311 00:13:35,348 00:13:38,943 So I have to recommend amputation. So I have to recommend amputation.
312 00:13:39,018 00:13:40,713 Of both hands. Of both hands.
313 00:13:40,786 00:13:41,844 No. No.
314 00:13:41,921 00:13:44,014 It is his best shot before it progresses to cancer. It is his best shot before it progresses to cancer.
315 00:13:44,090 00:13:46,558 No. I brought him to you to save his hands. No. I brought him to you to save his hands.
316 00:13:46,626 00:13:48,218 This is how we save his life. This is how we save his life.
317 00:13:48,294 00:13:49,727 Well, I don't know. Well, I don't know.
318 00:13:49,795 00:13:51,285 I don't see how he survives over there I don't see how he survives over there
319 00:13:51,364 00:13:53,059 with no hands and no one to take care of him. with no hands and no one to take care of him.
320 00:13:53,132 00:13:54,861 I understand. I'm sorry. I understand. I'm sorry.
321 00:13:54,934 00:13:56,799 I could have told you sooner if I had all the information. I could have told you sooner if I had all the information.
322 00:13:56,869 00:13:58,131 You mean you could have given up sooner. You mean you could have given up sooner.
323 00:13:58,204 00:14:00,195 Yes, you're right, because there's nothing to be done. Yes, you're right, because there's nothing to be done.
324 00:14:00,272 00:14:01,364 You could try! You could try!
325 00:14:01,440 00:14:02,532 You could make an effort You could make an effort
326 00:14:02,608 00:14:04,508 instead of just giving up and walking away! instead of just giving up and walking away!
327 00:14:04,577 00:14:05,874 And you don't think I want to? And you don't think I want to?
328 00:14:05,945 00:14:07,071 All right, we're not doing this. All right, we're not doing this.
329 00:14:07,146 00:14:09,046 Could you leave us alone for a second, please? Could you leave us alone for a second, please?
330 00:14:09,115 00:14:10,173 Oh, absolutely, I'm gonna leave, Oh, absolutely, I'm gonna leave,
331 00:14:10,249 00:14:12,217 and I'm gonna take Kamal with me, all right? and I'm gonna take Kamal with me, all right?
332 00:14:12,284 00:14:14,548 'Cause this isn't about you two! Okay? 'Cause this isn't about you two! Okay?
333 00:14:14,620 00:14:17,646 This is about a little boy who had to see his family murdered, This is about a little boy who had to see his family murdered,
334 00:14:17,723 00:14:19,156 who saw his home burned to the ground, who saw his home burned to the ground,
335 00:14:19,225 00:14:20,817 who would've been taken as a child soldier who would've been taken as a child soldier
336 00:14:20,893 00:14:23,157 if it wasn't for his deformed hands. if it wasn't for his deformed hands.
337 00:14:23,229 00:14:26,790 All right, he doesn't have the time for you guys to be working out your crap! All right, he doesn't have the time for you guys to be working out your crap!
338 00:14:26,866 00:14:30,097 He deserves the best care he can get, and I'm gonna make sure he finds it. He deserves the best care he can get, and I'm gonna make sure he finds it.
339 00:14:31,937 00:14:34,201 Why'd you even bring him to me? Why'd you even bring him to me?
340 00:14:34,273 00:14:36,241 You saw the scans. You're a good surgeon. You saw the scans. You're a good surgeon.
341 00:14:36,308 00:14:37,434 You knew this was hopeless. You knew this was hopeless.
342 00:14:37,510 00:14:39,000 I wasn't hopeless. I wasn't hopeless.
343 00:14:39,078 00:14:40,943 I don't know why you are. I don't know why you are.
344 00:14:41,013 00:14:43,709 Because there's nothing here to save. Because there's nothing here to save.
345 00:14:44,550 00:14:45,812 (SIGHS) (SIGHS)
346 00:14:52,591 00:14:56,027 MEREDITH: What's the trickiest part of a partial nephrectomy? MEREDITH: What's the trickiest part of a partial nephrectomy?
347 00:14:56,095 00:14:57,119 DELUCA: Well, I think it's essential that... DELUCA: Well, I think it's essential that...
348 00:14:57,196 00:14:58,561 MEREDITH: Not you. Blake. MEREDITH: Not you. Blake.
349 00:14:58,631 00:15:01,532 Mobilizing the colon quickly to get adequate exposure of the kidney. Mobilizing the colon quickly to get adequate exposure of the kidney.
350 00:15:01,600 00:15:02,658 By your third year, By your third year,
351 00:15:02,735 00:15:03,997 you should know this surgery inside and out. you should know this surgery inside and out.
352 00:15:04,070 00:15:05,230 - I do. - Okay. - I do. - Okay.
353 00:15:05,304 00:15:07,067 So you are gonna walk me through this. So you are gonna walk me through this.
354 00:15:07,139 00:15:08,197 Your hands are my hands, Your hands are my hands,
355 00:15:08,274 00:15:10,003 and my hands do not like making mistakes. and my hands do not like making mistakes.
356 00:15:10,076 00:15:11,236 Are you ready? Are you ready?
357 00:15:11,310 00:15:12,743 I am. Yes, I'm ready. I am. Yes, I'm ready.
358 00:15:12,812 00:15:14,370 With what? Because I have nothing in my hands. With what? Because I have nothing in my hands.
359 00:15:14,447 00:15:15,641 Right. Uh, 10 blade. Right. Uh, 10 blade.
360 00:15:15,715 00:15:17,046 10 blade. 10 blade.
361 00:15:19,285 00:15:23,278 MAGGIE: CTA results showed an injury to an artery in Angela's chest. MAGGIE: CTA results showed an injury to an artery in Angela's chest.
362 00:15:23,355 00:15:25,152 She's on her way to pre-op now. She's on her way to pre-op now.
363 00:15:25,224 00:15:27,784 She doesn't want you to worry, and neither do I. She doesn't want you to worry, and neither do I.
364 00:15:27,860 00:15:29,691 (SIGHS) You sound just like Bumpy. (SIGHS) You sound just like Bumpy.
365 00:15:29,762 00:15:32,856 You have to tell me why you call him "Bumpy." You have to tell me why you call him "Bumpy."
366 00:15:32,932 00:15:35,196 (LAUGHS) Well, that's 'cause, (LAUGHS) Well, that's 'cause,
367 00:15:35,267 00:15:37,064 back in the day, when we were in college... back in the day, when we were in college...
368 00:15:37,136 00:15:39,331 Got your results back. Got your results back.
369 00:15:39,739 00:15:41,138 Oh, you hurt your foot? Oh, you hurt your foot?
370 00:15:41,207 00:15:42,231 No, no, it's fine. No, no, it's fine.
371 00:15:42,308 00:15:44,776 It's pins and needles, is all. It's pins and needles, is all.
372 00:15:44,844 00:15:47,142 It's... It's, uh... It's just a little numb. It's... It's, uh... It's just a little numb.
373 00:15:47,213 00:15:48,441 It'll go away. It'll go away.
374 00:15:48,514 00:15:51,278 I don't think it will, not by itself. I don't think it will, not by itself.
375 00:15:52,151 00:15:55,314 Your labs show elevated hemoglobin A1 c levels. Your labs show elevated hemoglobin A1 c levels.
376 00:15:55,387 00:15:57,651 And your blood glucose level is very high. And your blood glucose level is very high.
377 00:15:57,723 00:15:58,883 You're diabetic. You're diabetic.
378 00:15:59,558 00:16:01,219 But you already knew that. But you already knew that.
379 00:16:01,293 00:16:04,660 Listen, Bumpy, I've been taking better care of myself. Listen, Bumpy, I've been taking better care of myself.
380 00:16:04,730 00:16:06,823 Angela doesn't know, and... And I want us to keep it that way. Angela doesn't know, and... And I want us to keep it that way.
381 00:16:06,899 00:16:08,389 That pain in your foot? That pain in your foot?
382 00:16:08,467 00:16:09,934 It's a symptom, Paul. It's a symptom, Paul.
383 00:16:10,002 00:16:11,560 It's called diabetic nerve pain. It's called diabetic nerve pain.
384 00:16:12,404 00:16:14,497 It could be the reason you crashed your car. It could be the reason you crashed your car.
385 00:16:16,075 00:16:18,202 Are you saying I put my baby in the hospital? Are you saying I put my baby in the hospital?
386 00:16:18,277 00:16:20,336 No. It was an accident. No. It was an accident.
387 00:16:20,412 00:16:22,039 She loves you. She'll understand. She loves you. She'll understand.
388 00:16:22,114 00:16:24,912 - Just tell her... - Do you have any children, Richard? - Just tell her... - Do you have any children, Richard?
389 00:16:28,788 00:16:30,016 Do you? Do you?
390 00:16:30,956 00:16:32,184 No. No, I don't. No. No, I don't.
391 00:16:32,258 00:16:35,352 So you don't know a damn thing. You can't possibly understand. So you don't know a damn thing. You can't possibly understand.
392 00:16:35,427 00:16:39,693 Please, just... Just take care of my little girl, and leave me be. Please, just... Just take care of my little girl, and leave me be.
393 00:16:39,765 00:16:42,962 I'll let you know as soon as Angela's out of surgery. I'll let you know as soon as Angela's out of surgery.
394 00:16:52,912 00:16:54,846 And now Jackson wants to amputate. And now Jackson wants to amputate.
395 00:16:54,914 00:16:57,439 He won't even try. He said it was hopeless. He won't even try. He said it was hopeless.
396 00:16:57,516 00:17:00,485 He... He asked me why I even brought Kamal to him. He... He asked me why I even brought Kamal to him.
397 00:17:00,619 00:17:02,484 - (CHUCKLES) - What? - (CHUCKLES) - What?
398 00:17:02,555 00:17:04,546 Well? Why did you? Well? Why did you?
399 00:17:04,623 00:17:07,251 I mean, the scans were so bad, you had to lie about them. I mean, the scans were so bad, you had to lie about them.
400 00:17:07,326 00:17:10,295 You lied about a little boy, April. You lied about a little boy, April.
401 00:17:10,362 00:17:12,762 I'm... What... What are you saying? I'm... What... What are you saying?
402 00:17:13,799 00:17:15,027 (SIGHS) (SIGHS)
403 00:17:15,201 00:17:16,896 Nothing. I'm sorry. Nothing. I'm sorry.
404 00:17:17,803 00:17:18,895 (STUTTERS) (STUTTERS)
405 00:17:20,439 00:17:22,168 I'm saying, I know what it's like I'm saying, I know what it's like
406 00:17:22,241 00:17:24,072 when it feels like everything's coming apart when it feels like everything's coming apart
407 00:17:24,143 00:17:27,203 and you need something to pull it together. and you need something to pull it together.
408 00:17:28,848 00:17:30,110 I just... I just...
409 00:17:31,584 00:17:32,812 I know. I know.
410 00:17:36,622 00:17:37,987 Are you sure? Are you sure?
411 00:17:39,124 00:17:42,025 Well, maybe you can show them to Rogers. Well, maybe you can show them to Rogers.
412 00:17:42,094 00:17:43,994 Yeah, I'd appreciate it. Yeah, I'd appreciate it.
413 00:17:44,063 00:17:46,793 All right, call me back. Thanks, Charlie. All right, call me back. Thanks, Charlie.
414 00:17:48,400 00:17:49,560 Riggs? Riggs?
415 00:17:54,173 00:17:55,299 Hunt. Hunt.
416 00:17:55,374 00:17:57,205 What are you doing here? What are you doing here?
417 00:17:57,276 00:17:58,834 April Kepner and I met in Jordan. April Kepner and I met in Jordan.
418 00:17:58,911 00:18:00,640 I've been working with the relief effort in Afghanistan. I've been working with the relief effort in Afghanistan.
419 00:18:00,713 00:18:02,908 Yeah, yeah, yeah. What are you doing here? Yeah, yeah, yeah. What are you doing here?
420 00:18:03,549 00:18:05,039 We have a patient with Ollier's disease. We have a patient with Ollier's disease.
421 00:18:05,117 00:18:06,414 Brought him in to your hand guy. Brought him in to your hand guy.
422 00:18:06,485 00:18:07,611 And then you're leaving. And then you're leaving.
423 00:18:07,686 00:18:09,119 Yeah, well, maybe a little sooner than I... Yeah, well, maybe a little sooner than I...
424 00:18:09,188 00:18:11,816 I'm not asking you, Riggs. I'm telling you. I'm not asking you, Riggs. I'm telling you.
425 00:18:14,660 00:18:16,287 Nice catching up. Nice catching up.
426 00:18:17,897 00:18:19,262 PENNY: Incise Gerota's fascia. PENNY: Incise Gerota's fascia.
427 00:18:19,331 00:18:21,629 Now identify and debride devitalized tissue. Now identify and debride devitalized tissue.
428 00:18:21,700 00:18:22,792 MEREDITH: Go on. MEREDITH: Go on.
429 00:18:23,535 00:18:24,661 Um... Um...
430 00:18:24,737 00:18:28,468 Cauterize cortical bleeders and establish hemostasis before closure. Cauterize cortical bleeders and establish hemostasis before closure.
431 00:18:28,540 00:18:30,735 Now close using a running absorbable suture Now close using a running absorbable suture
432 00:18:30,809 00:18:32,242 to avoid post-op fistulas. to avoid post-op fistulas.
433 00:18:32,311 00:18:34,745 You can even reinforce using an absorbable mesh. You can even reinforce using an absorbable mesh.
434 00:18:34,813 00:18:37,475 Well, that's thinking ahead. I like that. Well, that's thinking ahead. I like that.
435 00:18:37,549 00:18:38,743 Dr. Grey. Dr. Blake. Dr. Grey. Dr. Blake.
436 00:18:38,817 00:18:41,581 I thought I'd stop in to see how the first day was going. I thought I'd stop in to see how the first day was going.
437 00:18:41,654 00:18:43,747 Thank you, sir. It's been... Thank you, sir. It's been...
438 00:18:43,822 00:18:45,983 Blake has been dictating my surgical steps. Blake has been dictating my surgical steps.
439 00:18:46,058 00:18:48,219 - Great. How's she doing? - Not too well. - Great. How's she doing? - Not too well.
440 00:18:48,294 00:18:49,921 If I had done what she just suggested, If I had done what she just suggested,
441 00:18:49,995 00:18:53,158 the patient would have major renal cortex bleeding. the patient would have major renal cortex bleeding.
442 00:18:53,232 00:18:54,529 What did you miss? What did you miss?
443 00:18:54,600 00:18:56,534 I... What? I... What?
444 00:18:56,602 00:18:59,867 What did I do that you missed? What did I do that you missed?
445 00:18:59,939 00:19:02,237 Uh, debride, hemostasis, close... Uh, debride, hemostasis, close...
446 00:19:02,308 00:19:04,037 Come on. Figure it out. Come on. Figure it out.
447 00:19:04,109 00:19:06,441 I was watching you. I didn't see. I was watching you. I didn't see.
448 00:19:06,512 00:19:08,503 DeLuca, can you fill in the blanks? DeLuca, can you fill in the blanks?
449 00:19:08,814 00:19:12,375 Um, Dr. Blake didn't tell you to clamp the hilum. Um, Dr. Blake didn't tell you to clamp the hilum.
450 00:19:12,451 00:19:14,146 Dr. Grey, the hilum is clamped. Dr. Grey, the hilum is clamped.
451 00:19:14,219 00:19:16,847 It is, sir, because I clamped it on my own. It is, sir, because I clamped it on my own.
452 00:19:16,922 00:19:20,949 I didn't skip a step, and therefore, the patient did not hemorrhage and die. I didn't skip a step, and therefore, the patient did not hemorrhage and die.
453 00:19:21,026 00:19:23,085 Blake, hand your suction to DeLuca. Blake, hand your suction to DeLuca.
454 00:19:23,162 00:19:25,187 Dr. Grey, I know this procedure. Dr. Grey, I know this procedure.
455 00:19:25,264 00:19:27,027 You would've killed the patient, Blake. You would've killed the patient, Blake.
456 00:19:27,099 00:19:29,590 If your hands had been my hands on this patient, If your hands had been my hands on this patient,
457 00:19:29,668 00:19:30,760 he'd be dead. he'd be dead.
458 00:19:30,836 00:19:31,825 It's that simple. It's that simple.
459 00:19:31,904 00:19:33,030 Step away from the table. Step away from the table.
460 00:19:39,178 00:19:40,873 (SUCTION) (SUCTION)
461 00:19:57,162 00:19:58,356 What's wrong? What's wrong?
462 00:19:58,430 00:20:00,057 Dr. Grey is what's wrong. Dr. Grey is what's wrong.
463 00:20:01,133 00:20:02,191 I'm new. I'm new.
464 00:20:02,267 00:20:04,064 And attendings are hard on residents. And attendings are hard on residents.
465 00:20:04,136 00:20:05,694 I know that. It's how we learn. I know that. It's how we learn.
466 00:20:05,771 00:20:08,638 And she should be hard on me. She should be grilling me. And she should be hard on me. She should be grilling me.
467 00:20:08,707 00:20:11,301 And I should be able to handle it. And I should be able to handle it.
468 00:20:11,377 00:20:14,369 But I let her in my head. I froze. But I let her in my head. I froze.
469 00:20:14,446 00:20:17,244 I knew that surgery backwards and forwards. I knew that surgery backwards and forwards.
470 00:20:17,316 00:20:18,647 Hey, I can talk to her. Hey, I can talk to her.
471 00:20:18,717 00:20:20,184 No. Don't. No. Don't.
472 00:20:20,819 00:20:22,582 I'm sorry. I just... I'm sorry. I just...
473 00:20:23,022 00:20:24,990 I will figure this out. I will figure this out.
474 00:20:25,491 00:20:27,322 It's not your problem. It's not your problem.
475 00:20:37,369 00:20:40,736 I sent the biopsies, the scans to three other guys. I sent the biopsies, the scans to three other guys.
476 00:20:40,806 00:20:42,273 Any luck? Any luck?
477 00:20:42,341 00:20:43,330 No. No.
478 00:20:43,409 00:20:45,434 Well, I'd like to have been wrong. Well, I'd like to have been wrong.
479 00:20:47,613 00:20:49,979 Hey, look, I'm sorry you got pulled into this, man. Hey, look, I'm sorry you got pulled into this, man.
480 00:20:50,049 00:20:51,038 April can be... April can be...
481 00:20:51,116 00:20:52,913 No, look, I know. No, look, I know.
482 00:20:52,985 00:20:54,316 She's the machine. She's the machine.
483 00:20:55,154 00:20:56,849 She's the what? She's the what?
484 00:20:56,922 00:20:59,789 Oh, that's what we call her over there, "The machine." Oh, that's what we call her over there, "The machine."
485 00:20:59,858 00:21:02,019 It never slows down, never lets it get to her. It never slows down, never lets it get to her.
486 00:21:02,094 00:21:04,255 Just makes everyone else want to work harder. Just makes everyone else want to work harder.
487 00:21:05,197 00:21:08,325 When she decides on something, nothing's gonna stop her. When she decides on something, nothing's gonna stop her.
488 00:21:08,400 00:21:11,268 (CHUCKLES) You can't call that one off. (CHUCKLES) You can't call that one off.
489 00:21:11,337 00:21:12,668 No, that's true. No, that's true.
490 00:21:13,506 00:21:15,303 Thing is, she's usually right. Thing is, she's usually right.
491 00:21:20,213 00:21:22,044 (INDISTINCT) (INDISTINCT)
492 00:21:24,184 00:21:26,414 Go find out what Callie Torres is doing right now. Go find out what Callie Torres is doing right now.
493 00:21:34,394 00:21:36,555 Oh. Angela's surgery is over? Oh. Angela's surgery is over?
494 00:21:36,629 00:21:38,187 How... How'd it go? How... How'd it go?
495 00:21:38,264 00:21:40,425 Did a primary repair of the subclavian artery. Did a primary repair of the subclavian artery.
496 00:21:40,500 00:21:41,489 It went very well. It went very well.
497 00:21:41,568 00:21:43,035 You can tell your friend she's fine. You can tell your friend she's fine.
498 00:21:43,103 00:21:45,901 Maggie, uh, about Paul. Maggie, uh, about Paul.
499 00:21:45,972 00:21:48,736 You know, what he said about my not having children... You know, what he said about my not having children...
500 00:21:48,808 00:21:50,400 Paul knew me with Adele, my wife... Paul knew me with Adele, my wife...
501 00:21:50,477 00:21:53,412 I know. I know. It's... It's awkward. Awful. I know. I know. It's... It's awkward. Awful.
502 00:21:53,480 00:21:55,539 No, you don't have to say another word. I get it. No, you don't have to say another word. I get it.
503 00:21:55,615 00:21:56,707 Okay. Okay.
504 00:21:56,783 00:21:57,807 I just wanted to make sure... I just wanted to make sure...
505 00:21:57,884 00:21:59,146 Don't Don't
506 00:21:59,919 00:22:01,944 say another word. say another word.
507 00:22:03,990 00:22:05,321 - Are you... - No. - Are you... - No.
508 00:22:05,391 00:22:07,689 No, no. Of course not. This is, um... This is allergies. No, no. Of course not. This is, um... This is allergies.
509 00:22:07,760 00:22:08,784 Allergies? Allergies?
510 00:22:08,862 00:22:10,921 Can we please pretend that it's allergies? Can we please pretend that it's allergies?
511 00:22:10,997 00:22:12,624 Maggie, if I did something... Maggie, if I did something...
512 00:22:12,699 00:22:13,996 No, no. God, no. No, no. God, no.
513 00:22:14,067 00:22:16,001 You... You cheated on your wife. You... You cheated on your wife.
514 00:22:16,069 00:22:18,060 Why should you admit that to your friend? Why should you admit that to your friend?
515 00:22:19,339 00:22:21,034 Who would that help? Who would that help?
516 00:22:21,107 00:22:23,007 Not you, not him. Not you, not him.
517 00:22:23,743 00:22:25,335 And, you know, you don't owe me anything. And, you know, you don't owe me anything.
518 00:22:25,411 00:22:26,605 You and I, we're not... You and I, we're not...
519 00:22:27,113 00:22:28,740 I don't know what we are. I don't know what we are.
520 00:22:28,815 00:22:30,077 That's just the thing. That's just the thing.
521 00:22:30,150 00:22:32,141 I don't exactly know how to address you... I don't exactly know how to address you...
522 00:22:32,218 00:22:33,617 - Yeah, you don't have to. - But... - Yeah, you don't have to. - But...
523 00:22:33,686 00:22:35,017 It's fine. It's fine.
524 00:22:35,421 00:22:38,083 You have nothing to be ashamed of. Really. You have nothing to be ashamed of. Really.
525 00:22:38,525 00:22:39,685 But... But...
526 00:22:43,429 00:22:45,829 (VOICE BREAKING) So, they would just be gone? (VOICE BREAKING) So, they would just be gone?
527 00:22:46,432 00:22:47,956 Both of them? Both of them?
528 00:22:49,569 00:22:54,632 We would have to amputate them right about here, at the wrist. We would have to amputate them right about here, at the wrist.
529 00:22:54,707 00:22:56,072 You see? You see?
530 00:22:57,110 00:22:58,839 On both sides. On both sides.
531 00:23:01,114 00:23:02,877 Will I still carry things? Will I still carry things?
532 00:23:04,651 00:23:06,141 Well, let's talk about that, buddy. Well, let's talk about that, buddy.
533 00:23:13,293 00:23:15,124 You'll be here when I'm done? You'll be here when I'm done?
534 00:23:15,195 00:23:17,095 (SIGHS) Yes. I promise. (SIGHS) Yes. I promise.
535 00:23:17,630 00:23:19,393 You sure about this? You sure about this?
536 00:23:19,465 00:23:21,524 Nope. Not even a little bit. Nope. Not even a little bit.
537 00:23:21,601 00:23:23,728 We'll have a soda waiting for you, okay? We'll have a soda waiting for you, okay?
538 00:23:27,740 00:23:30,300 (INHALES SHARPLY) Okay. (INHALES SHARPLY) Okay.
539 00:23:32,612 00:23:33,772 God. God.
540 00:23:34,914 00:23:36,677 All right, guys, how we doing this? All right, guys, how we doing this?
541 00:23:36,749 00:23:37,841 Doing what? Doing what?
542 00:23:37,917 00:23:39,179 I figure we'll just debulk the tumor I figure we'll just debulk the tumor
543 00:23:39,252 00:23:40,810 from the dorsal surface, and you can show me from the dorsal surface, and you can show me
544 00:23:40,887 00:23:43,014 what, if any, usable bone we can find. what, if any, usable bone we can find.
545 00:23:43,089 00:23:44,556 There's been a change of plans. There's been a change of plans.
546 00:23:44,624 00:23:45,921 Yeah, judging by the scans, Yeah, judging by the scans,
547 00:23:45,992 00:23:48,119 - I'm not sure there's anything at all. - I know. - I'm not sure there's anything at all. - I know.
548 00:23:48,194 00:23:50,424 It just might end up being the world's slowest amputation, It just might end up being the world's slowest amputation,
549 00:23:50,496 00:23:52,896 - but can't hurt to try. - Mmm-hmm. - but can't hurt to try. - Mmm-hmm.
550 00:23:56,202 00:23:58,295 But you told Kamal that he wouldn't... But you told Kamal that he wouldn't...
551 00:23:58,371 00:23:59,668 We lied. We lied.
552 00:24:01,174 00:24:03,574 We had to. Didn't want to get his hopes up again. We had to. Didn't want to get his hopes up again.
553 00:24:03,643 00:24:05,668 - He's gonna try? - Mmm-hmm. - He's gonna try? - Mmm-hmm.
554 00:24:07,981 00:24:09,744 You lied! To me! You lied! To me!
555 00:24:09,816 00:24:11,750 It was a good lie. Come on. It was a good lie. It was a good lie. Come on. It was a good lie.
556 00:24:11,818 00:24:13,046 (LAUGHS) (LAUGHS)
557 00:24:13,419 00:24:15,444 Oh, my God. Oh, my God.
558 00:24:17,457 00:24:19,118 He's gonna try. He's gonna try.
559 00:24:22,128 00:24:23,595 We need to talk. We need to talk.
560 00:24:23,663 00:24:25,028 What's wrong? What's wrong?
561 00:24:25,098 00:24:27,566 I thought you were stepping up, putting Blake on your service, I thought you were stepping up, putting Blake on your service,
562 00:24:27,634 00:24:30,228 but what I saw in that OR wasn't teaching. but what I saw in that OR wasn't teaching.
563 00:24:30,303 00:24:32,362 She crapped out on a basic surgical principle. She crapped out on a basic surgical principle.
564 00:24:32,438 00:24:33,996 You were hazing her. You were hazing her.
565 00:24:34,073 00:24:37,099 If she cracks under the pressure of an emergent surgery, If she cracks under the pressure of an emergent surgery,
566 00:24:37,176 00:24:39,235 she does not belong in this program. she does not belong in this program.
567 00:24:39,312 00:24:41,371 Blake was at the top of her class at Dillard. Blake was at the top of her class at Dillard.
568 00:24:41,447 00:24:44,644 Her references were impeccable. I checked them myself. Her references were impeccable. I checked them myself.
569 00:24:45,852 00:24:47,649 You checked? You checked?
570 00:24:47,720 00:24:50,382 So you knew where she was from? So you knew where she was from?
571 00:24:50,456 00:24:52,788 You checked her case record? You checked her case record?
572 00:24:52,859 00:24:54,383 Her losses? Her losses?
573 00:24:57,196 00:25:00,359 - Did you know that she... - She was an excellent candidate. - Did you know that she... - She was an excellent candidate.
574 00:25:00,433 00:25:03,368 You were the only reason not to hire her. You were the only reason not to hire her.
575 00:25:04,971 00:25:07,769 And you didn't find that reason enough? And you didn't find that reason enough?
576 00:25:19,752 00:25:22,277 Your labs are within normal limits. Your labs are within normal limits.
577 00:25:23,956 00:25:25,514 That's good news. That's good news.
578 00:25:25,591 00:25:27,786 I'm on every website. I'm on every website.
579 00:25:27,860 00:25:29,760 Got an e-mail from our bishop. Got an e-mail from our bishop.
580 00:25:29,829 00:25:31,194 I'm fired. I'm fired.
581 00:25:32,365 00:25:35,857 Someone's threatening to bring me up on charges as a sexual predator. Someone's threatening to bring me up on charges as a sexual predator.
582 00:25:37,270 00:25:38,669 I'm done. I'm done.
583 00:25:39,972 00:25:41,769 We're supposed to be a community. We're supposed to be a community.
584 00:25:41,841 00:25:44,674 I make one simple mistake, and they destroyed me. I make one simple mistake, and they destroyed me.
585 00:25:44,744 00:25:46,177 Put it away. Put it away.
586 00:25:47,146 00:25:48,545 My mother saw it. My mother saw it.
587 00:25:49,415 00:25:51,110 Her friends won't talk to her. Her friends won't talk to her.
588 00:25:52,919 00:25:55,149 Everybody's trying to figure out who the woman is, Everybody's trying to figure out who the woman is,
589 00:25:55,221 00:25:56,620 as if it's any of their business. as if it's any of their business.
590 00:25:57,423 00:25:59,516 Thank the Lord, she's okay. Thank the Lord, she's okay.
591 00:26:00,326 00:26:02,385 At least her life isn't over, too. At least her life isn't over, too.
592 00:26:03,596 00:26:04,790 Nothing is over. Nothing is over.
593 00:26:04,864 00:26:07,526 It's different for us, the clergy. It's different for us, the clergy.
594 00:26:08,835 00:26:12,100 People put their trust in us, their faith. People put their trust in us, their faith.
595 00:26:13,973 00:26:16,840 We break that trust, it stays broken. We break that trust, it stays broken.
596 00:26:16,909 00:26:18,467 I can't believe that. I can't believe that.
597 00:26:18,578 00:26:19,670 (SCOFFS) (SCOFFS)
598 00:26:19,746 00:26:21,577 You know who you are. You know who you are.
599 00:26:22,115 00:26:24,345 You can stand up to them and have faith in that, You can stand up to them and have faith in that,
600 00:26:24,417 00:26:26,317 have faith in yourself. have faith in yourself.
601 00:26:28,054 00:26:30,318 I have to believe that. I have to believe that.
602 00:26:30,390 00:26:32,688 They say he doesn't give you more than you can handle. They say he doesn't give you more than you can handle.
603 00:26:32,925 00:26:36,520 (CHUCKLES) You say that, actually. (CHUCKLES) You say that, actually.
604 00:26:37,330 00:26:38,695 Yes, I do. Yes, I do.
605 00:26:38,765 00:26:40,255 (INHALES SHARPLY) (INHALES SHARPLY)
606 00:26:41,067 00:26:43,001 - Ow. - (MONITOR BEEPING RAPIDLY) - Ow. - (MONITOR BEEPING RAPIDLY)
607 00:26:43,202 00:26:44,260 Are you okay? Are you okay?
608 00:26:44,337 00:26:45,827 My stomach. My stomach.
609 00:26:54,680 00:26:56,341 - Nurse! - Coming! - Nurse! - Coming!
610 00:26:57,884 00:27:00,444 There is a clot in his catheter. His bladder's about to rupture. There is a clot in his catheter. His bladder's about to rupture.
611 00:27:00,520 00:27:02,488 I need a syringe with some saline and heparin, I need a syringe with some saline and heparin,
612 00:27:02,555 00:27:03,920 and page Dr. Grey, now! and page Dr. Grey, now!
613 00:27:03,990 00:27:05,355 Right away. Right away.
614 00:27:05,425 00:27:06,949 (BREATHING HEAVILY) (BREATHING HEAVILY)
615 00:27:08,094 00:27:09,459 You're okay. You're okay.
616 00:27:09,529 00:27:11,963 APRIL: Those nerves are going everywhere. APRIL: Those nerves are going everywhere.
617 00:27:12,031 00:27:14,363 How do you build something from that? How do you build something from that?
618 00:27:14,434 00:27:15,662 (SIGHS) (SIGHS)
619 00:27:17,136 00:27:20,697 Well, for what it's worth, I think you were right about him. Well, for what it's worth, I think you were right about him.
620 00:27:20,773 00:27:22,638 He's good. He's good.
621 00:27:22,708 00:27:23,970 APRIL: I know. APRIL: I know.
622 00:27:24,911 00:27:26,708 He's talking about divorce. He's talking about divorce.
623 00:27:27,914 00:27:30,644 Well, you kind of saw that coming, though, right? Well, you kind of saw that coming, though, right?
624 00:27:30,716 00:27:32,843 I mean, he said, "Don't go." You went. I mean, he said, "Don't go." You went.
625 00:27:32,919 00:27:34,250 On some level... On some level...
626 00:27:34,320 00:27:36,845 It's not gonna happen. It's not what I want. It's not gonna happen. It's not what I want.
627 00:27:36,923 00:27:39,084 I don't believe it's what he wants. I don't believe it's what he wants.
628 00:27:39,759 00:27:42,785 (SIGHS) I know it's not what God wants from me. (SIGHS) I know it's not what God wants from me.
629 00:27:44,764 00:27:47,324 We're looking at a kid who's lost his family, We're looking at a kid who's lost his family,
630 00:27:48,167 00:27:49,600 his home. his home.
631 00:27:49,669 00:27:52,035 Might even lose his hands now. Might even lose his hands now.
632 00:27:52,705 00:27:54,536 Maybe God has more on his mind Maybe God has more on his mind
633 00:27:54,607 00:27:57,599 than judging whether you get a divorce or not. than judging whether you get a divorce or not.
634 00:27:59,078 00:28:01,273 Don't you think he has bigger fish to fry? Don't you think he has bigger fish to fry?
635 00:28:03,983 00:28:06,383 JACKSON: I've got about 60% of bone structure over here. JACKSON: I've got about 60% of bone structure over here.
636 00:28:06,452 00:28:07,919 How's it going over there? How's it going over there?
637 00:28:07,987 00:28:11,514 CALLIE: (GROANS) I only see free-floating distal phalanges, CALLIE: (GROANS) I only see free-floating distal phalanges,
638 00:28:11,591 00:28:13,991 and some of them are eroded by tumor. and some of them are eroded by tumor.
639 00:28:14,460 00:28:16,792 BENJAMIN: We're approaching the carpals or what's left of them. BENJAMIN: We're approaching the carpals or what's left of them.
640 00:28:17,363 00:28:19,354 JACKSON: I'm looking for metacarpals over here. JACKSON: I'm looking for metacarpals over here.
641 00:28:19,432 00:28:21,297 Do you see any viable bone at all? Do you see any viable bone at all?
642 00:28:21,367 00:28:22,629 Well... No. Well... No.
643 00:28:23,236 00:28:24,863 - Damn it! - JACKSON: What? What is it? Tell me. - Damn it! - JACKSON: What? What is it? Tell me.
644 00:28:24,937 00:28:28,202 CALLIE: Jackson, I'm sorry. I'm just... (SIGHS) CALLIE: Jackson, I'm sorry. I'm just... (SIGHS)
645 00:28:28,274 00:28:29,673 There's nothing here. I... There's nothing here. I...
646 00:28:29,742 00:28:31,801 No, no, no. Wait. Just wait one second. No, no, no. Wait. Just wait one second.
647 00:28:31,878 00:28:33,505 Well, no. There's no bone to work with. Well, no. There's no bone to work with.
648 00:28:33,579 00:28:35,479 I mean, look at it. Look right here. I mean, look at it. Look right here.
649 00:28:35,548 00:28:37,140 There's fingers, and then there's nothing. There's fingers, and then there's nothing.
650 00:28:37,216 00:28:38,877 - I don't... - Come on. Come on. - I don't... - Come on. Come on.
651 00:28:38,951 00:28:40,714 - Jackson, I think... - Just wait, okay? - Jackson, I think... - Just wait, okay?
652 00:28:40,786 00:28:42,549 I think that you were right. I think that you were right.
653 00:28:42,622 00:28:44,852 I don't want to be right, though. I just... I don't want to be right, though. I just...
654 00:28:44,924 00:28:46,619 Let's keep going, please, okay? Let's keep going, please, okay?
655 00:28:46,692 00:28:48,216 Yeah, of course. Yeah, of course.
656 00:28:48,294 00:28:49,784 (MOTOR WHIRRING) (MOTOR WHIRRING)
657 00:28:50,796 00:28:52,161 Put that down! Put that down!
658 00:28:52,265 00:28:54,062 - (WHIRRING STOPS) - We are working here! - (WHIRRING STOPS) - We are working here!
659 00:28:54,133 00:28:55,760 We're gonna keep going until we are sure We're gonna keep going until we are sure
660 00:28:55,835 00:28:56,859 that there is nothing left. that there is nothing left.
661 00:28:56,936 00:28:59,336 Now, do not pick that up again unless I tell you to. Now, do not pick that up again unless I tell you to.
662 00:29:00,740 00:29:01,968 (SIGHS) (SIGHS)
663 00:29:02,475 00:29:04,238 - CALLIE: Jackson? - I'm sorry. I was just... - CALLIE: Jackson? - I'm sorry. I was just...
664 00:29:04,310 00:29:06,278 No, no, no, Jackson, look right here. Look. No, no, no, Jackson, look right here. Look.
665 00:29:06,345 00:29:08,245 I found something. I found lunate bone. I found something. I found lunate bone.
666 00:29:08,314 00:29:10,475 This is good lunate bone. This is good lunate bone.
667 00:29:12,919 00:29:14,079 What happened? What happened?
668 00:29:14,153 00:29:15,552 I think he clotted his Foley. I think he clotted his Foley.
669 00:29:15,621 00:29:18,920 I've flushed it five times. I can't get a new one in. I've flushed it five times. I can't get a new one in.
670 00:29:19,792 00:29:21,760 He's hypotensive. He's hypotensive.
671 00:29:21,827 00:29:24,625 Get me a 50 cc with a 14-gauge needle. Get me a 50 cc with a 14-gauge needle.
672 00:29:24,697 00:29:26,221 - You got it. - How did this happen? - You got it. - How did this happen?
673 00:29:26,299 00:29:27,664 I was doing a post-op check, I was doing a post-op check,
674 00:29:27,733 00:29:29,667 and I saw that there was blood in his bag. and I saw that there was blood in his bag.
675 00:29:29,735 00:29:31,600 How long did it take for you to notice? How long did it take for you to notice?
676 00:29:31,671 00:29:33,161 I don't... Uh, we were talking... I don't... Uh, we were talking...
677 00:29:33,239 00:29:34,934 You realize if he goes into renal failure, You realize if he goes into renal failure,
678 00:29:35,007 00:29:37,032 this will undo everything we did in the OR today. this will undo everything we did in the OR today.
679 00:29:37,109 00:29:39,043 Dr. Grey, I didn't miss this. I caught it. Dr. Grey, I didn't miss this. I caught it.
680 00:29:39,111 00:29:40,339 It shouldn't have happened! It shouldn't have happened!
681 00:29:40,413 00:29:43,211 You froze in the OR, you screwed up his post-op care! You froze in the OR, you screwed up his post-op care!
682 00:29:43,282 00:29:47,013 Is there any part of this job that you can handle, Blake? Is there any part of this job that you can handle, Blake?
683 00:29:47,653 00:29:48,779 I... I...
684 00:29:51,157 00:29:52,715 Get out. You're not touching this patient. Get out. You're not touching this patient.
685 00:29:52,792 00:29:54,657 You're off my service. You're off my service.
686 00:29:54,727 00:29:55,716 Get out! Get out!
687 00:29:56,295 00:29:57,353 Now! Now!
688 00:30:01,000 00:30:03,491 CALLIE: All right. The hamate bone's intact. CALLIE: All right. The hamate bone's intact.
689 00:30:04,704 00:30:06,672 There's the trapezoid. There's the trapezoid.
690 00:30:07,740 00:30:09,173 And... And...
691 00:30:09,241 00:30:10,469 There's the scaphoid. There's the scaphoid.
692 00:30:10,543 00:30:12,568 That makes four good carpal bones. That makes four good carpal bones.
693 00:30:12,645 00:30:13,907 Which is not much. Which is not much.
694 00:30:13,980 00:30:15,641 And almost no metacarpal. And almost no metacarpal.
695 00:30:15,715 00:30:18,149 But we'd have a base for a proximal phalanx, But we'd have a base for a proximal phalanx,
696 00:30:18,217 00:30:19,309 so that might regenerate. so that might regenerate.
697 00:30:19,385 00:30:20,647 He is young, so... He is young, so...
698 00:30:20,720 00:30:23,883 Maybe we could sculpt the bone and graft the gap in between? Maybe we could sculpt the bone and graft the gap in between?
699 00:30:23,956 00:30:25,719 We could wire them with rib grafts. We could wire them with rib grafts.
700 00:30:25,791 00:30:27,986 I mean, then I could actually make something out of that. I mean, then I could actually make something out of that.
701 00:30:28,294 00:30:31,923 (GASPS) Yes! Look! Look! That's a fifth metacarpal head! (GASPS) Yes! Look! Look! That's a fifth metacarpal head!
702 00:30:31,998 00:30:33,898 Look! Right there! (CHUCKLES) Look! Right there! (CHUCKLES)
703 00:30:33,966 00:30:35,126 - That's a hand. - That is what we needed. - That's a hand. - That is what we needed.
704 00:30:35,201 00:30:37,169 - Under there, that's... - That is a hand! - Under there, that's... - That is a hand!
705 00:30:37,236 00:30:38,794 - We got a hand, people! - (LAUGHTER) - We got a hand, people! - (LAUGHTER)
706 00:30:38,871 00:30:40,566 (CHEERS AND APPLAUSE) (CHEERS AND APPLAUSE)
707 00:30:48,214 00:30:49,476 Whew! Whew!
708 00:30:49,615 00:30:51,276 Oh, my God! Oh, my God!
709 00:30:52,284 00:30:53,273 Whew! Whew!
710 00:30:54,320 00:30:56,254 I can't friggin' believe it. I can't friggin' believe it.
711 00:30:56,956 00:30:58,150 I did. I did.
712 00:30:59,458 00:31:00,652 (CHUCKLES) (CHUCKLES)
713 00:31:03,663 00:31:05,654 She is going to be fine. She is going to be fine.
714 00:31:12,405 00:31:13,599 And you should talk to her. And you should talk to her.
715 00:31:13,673 00:31:16,801 I don't even know if I can look her in the eye now, I don't even know if I can look her in the eye now,
716 00:31:16,876 00:31:18,810 let alone talk to her. let alone talk to her.
717 00:31:23,449 00:31:25,747 Thirty years ago, I had an affair. Thirty years ago, I had an affair.
718 00:31:27,420 00:31:29,320 I cheated on Adele. I cheated on Adele.
719 00:31:29,388 00:31:30,753 And I had a daughter. And I had a daughter.
720 00:31:30,823 00:31:32,916 I have a daughter. I have a daughter.
721 00:31:34,193 00:31:37,321 Adele never told Lois or anyone about the affair. Adele never told Lois or anyone about the affair.
722 00:31:37,396 00:31:39,523 She never bashed me to her family. She never bashed me to her family.
723 00:31:40,499 00:31:44,959 She lived with that pain and embarrassment for years, alone. She lived with that pain and embarrassment for years, alone.
724 00:31:45,671 00:31:49,004 She protected me, and I'm ashamed of that. She protected me, and I'm ashamed of that.
725 00:31:49,909 00:31:51,137 It was a mess. It was a mess.
726 00:31:51,811 00:31:53,403 I made a mess. I made a mess.
727 00:31:54,213 00:31:57,478 And for as much pain as I caused and felt, And for as much pain as I caused and felt,
728 00:31:57,550 00:32:01,486 I would have never believed that anything good would have come of it. I would have never believed that anything good would have come of it.
729 00:32:02,054 00:32:03,419 But it did. But it did.
730 00:32:04,356 00:32:05,755 She did. She did.
731 00:32:07,259 00:32:11,059 And I am very proud to know her. And I am very proud to know her.
732 00:32:21,040 00:32:22,302 (SIGHING) (SIGHING)
733 00:32:25,778 00:32:27,678 You were right. She doesn't belong here. You were right. She doesn't belong here.
734 00:32:27,747 00:32:29,180 She almost killed a patient. She almost killed a patient.
735 00:32:29,248 00:32:31,614 She can't be trusted, not in the OR, not with patients. She can't be trusted, not in the OR, not with patients.
736 00:32:31,684 00:32:33,652 She's just dangerous. She's just dangerous.
737 00:32:37,490 00:32:38,787 Say it again. Say it again.
738 00:32:38,858 00:32:40,018 What? What?
739 00:32:41,527 00:32:43,085 I was right. I was right.
740 00:32:43,162 00:32:46,859 I tried to rise above because it's the right thing to do. I tried to rise above because it's the right thing to do.
741 00:32:48,501 00:32:51,493 But she has made mistake after mistake, But she has made mistake after mistake,
742 00:32:51,570 00:32:53,731 and she just is impossible. and she just is impossible.
743 00:32:54,607 00:32:56,734 - (WOMAN CLEARS THROAT) - (TOILET FLUSHES) - (WOMAN CLEARS THROAT) - (TOILET FLUSHES)
744 00:32:56,809 00:32:58,208 (DOOR OPENS) (DOOR OPENS)
745 00:33:00,846 00:33:02,279 (WATER RUNNING) (WATER RUNNING)
746 00:33:02,948 00:33:05,416 I'm sorry. It's the truth. I'm sorry. It's the truth.
747 00:33:05,484 00:33:08,851 She is working at a hospital that is above her skill level. She is working at a hospital that is above her skill level.
748 00:33:08,921 00:33:10,912 I have tried to teach her all day. I have tried to teach her all day.
749 00:33:10,990 00:33:12,287 I have tried. I have tried.
750 00:33:12,358 00:33:14,417 Oh, please. You're being a bully. Oh, please. You're being a bully.
751 00:33:14,493 00:33:15,926 And you've gone out of your way to make her... And you've gone out of your way to make her...
752 00:33:15,995 00:33:18,225 You don't teach by shoving someone else's face in the dirt. You don't teach by shoving someone else's face in the dirt.
753 00:33:18,297 00:33:19,321 That's not teaching. That's not teaching.
754 00:33:19,398 00:33:22,424 That's just being mean and small. That's just being mean and small.
755 00:33:46,192 00:33:47,523 Leave me alone. Leave me alone.
756 00:33:49,261 00:33:50,387 Since when do you pray? Since when do you pray?
757 00:33:50,462 00:33:51,986 I'm not. I'm not.
758 00:33:52,064 00:33:54,362 Or talk to God or whatever. Or talk to God or whatever.
759 00:33:54,433 00:33:56,424 I'm not talking to God. I'm not talking to God.
760 00:33:56,502 00:33:58,470 Well, you talk to tequila. Well, you talk to tequila.
761 00:33:58,537 00:34:00,528 I'm talking to Derek. I'm talking to Derek.
762 00:34:01,407 00:34:02,396 Oh. Oh.
763 00:34:03,242 00:34:04,675 Okay, I'll go. Okay, I'll go.
764 00:34:04,743 00:34:06,301 I'm trying. I'm trying.
765 00:34:06,378 00:34:10,280 I've tried to rise, I've tried to teach her, but I just I've tried to rise, I've tried to teach her, but I just
766 00:34:10,382 00:34:13,510 (INHALES DEEPLY) don't think I can. (INHALES DEEPLY) don't think I can.
767 00:34:15,521 00:34:17,045 I thought he might know I thought he might know
768 00:34:18,724 00:34:21,215 what I'm supposed to do with her, what I'm supposed to do with her,
769 00:34:21,293 00:34:23,090 why she's here. why she's here.
770 00:34:24,129 00:34:26,461 I thought maybe he could tell me. I thought maybe he could tell me.
771 00:34:27,633 00:34:29,726 So, I'm just gonna sit here and So, I'm just gonna sit here and
772 00:34:31,103 00:34:34,470 wait for some divine intervention or whatever. wait for some divine intervention or whatever.
773 00:34:40,246 00:34:41,645 (PATS BACK) (PATS BACK)
774 00:35:05,504 00:35:06,596 (CHUCKLES) (CHUCKLES)
775 00:35:08,340 00:35:10,900 They look like hands. They look like hands.
776 00:35:10,976 00:35:12,136 They are. They are.
777 00:35:13,445 00:35:15,208 They're your hands, bud. They're your hands, bud.
778 00:35:17,683 00:35:19,446 - They're real hands! - NATHAN: Yeah! - They're real hands! - NATHAN: Yeah!
779 00:35:19,518 00:35:20,746 (LAUGHTER) (LAUGHTER)
780 00:35:23,856 00:35:25,585 I can hold a ball. I can hold a ball.
781 00:35:25,658 00:35:26,750 JACKSON: Yeah. JACKSON: Yeah.
782 00:35:26,825 00:35:29,726 Take a little bit of time, a few more surgeries, but yes. Take a little bit of time, a few more surgeries, but yes.
783 00:35:31,030 00:35:33,624 - What did we tell you? He's the guy. - (CHUCKLES) - What did we tell you? He's the guy. - (CHUCKLES)
784 00:35:35,734 00:35:37,793 You are the guy. You are the guy.
785 00:35:37,870 00:35:40,168 Oh! Ah. Oh! Ah.
786 00:35:40,239 00:35:41,638 (LAUGHTER) (LAUGHTER)
787 00:35:44,176 00:35:45,165 (WHIMPERS) (WHIMPERS)
788 00:35:47,179 00:35:48,510 (CHUCKLES) (CHUCKLES)
789 00:35:53,585 00:35:55,746 He never did tell me why they call you "Bumpy." He never did tell me why they call you "Bumpy."
790 00:35:56,922 00:35:58,253 (CHUCKLES) (CHUCKLES)
791 00:35:59,291 00:36:03,091 There was a dance called the bump, before your time, There was a dance called the bump, before your time,
792 00:36:03,162 00:36:04,789 and I excelled at it. and I excelled at it.
793 00:36:04,863 00:36:06,228 (BOTH LAUGH) (BOTH LAUGH)
794 00:36:09,101 00:36:11,126 You didn't tell him it was me. You didn't tell him it was me.
795 00:36:12,404 00:36:16,101 Well, I feel, if you want to tell people, that's your decision, not mine. Well, I feel, if you want to tell people, that's your decision, not mine.
796 00:36:16,175 00:36:19,406 I'm sorry. I'm still trying to figure this out. I'm sorry. I'm still trying to figure this out.
797 00:36:19,478 00:36:20,775 Okay. Okay.
798 00:36:20,846 00:36:22,780 But for the record, But for the record,
799 00:36:23,582 00:36:25,777 I'd be fine with it if you did. I'd be fine with it if you did.
800 00:36:26,251 00:36:27,650 Very fine. Very fine.
801 00:36:29,822 00:36:31,050 Noted. Noted.
802 00:36:36,662 00:36:38,926 (MID-TEMPO FUNKY MUSIC PLAYS) (MID-TEMPO FUNKY MUSIC PLAYS)
803 00:36:40,099 00:36:41,589 (SNAPPING FINGERS) (SNAPPING FINGERS)
804 00:36:43,769 00:36:45,100 (CHUCKLES) (CHUCKLES)
805 00:36:45,804 00:36:46,964 Yeah. Yeah.
806 00:36:49,008 00:36:50,168 April. April.
807 00:36:52,811 00:36:56,713 I, uh... I never said thanks for bringing Kamal. I, uh... I never said thanks for bringing Kamal.
808 00:36:56,782 00:36:59,114 I'm so sorry for lying, but... I'm so sorry for lying, but...
809 00:36:59,184 00:37:02,119 God, you have no idea what you did for that little boy. God, you have no idea what you did for that little boy.
810 00:37:02,187 00:37:03,711 No, no, no. You did it. No, no, no. You did it.
811 00:37:03,789 00:37:05,120 I mean, you brought him. I mean, you brought him.
812 00:37:06,859 00:37:08,986 'Cause I knew you could do it. 'Cause I knew you could do it.
813 00:37:10,596 00:37:11,756 Okay. Okay.
814 00:37:11,830 00:37:13,195 We did it. We did it.
815 00:37:13,699 00:37:16,133 Just, thank you. Just, thank you.
816 00:37:46,131 00:37:47,826 - Do you want to go... - NATHAN: Hey. - Do you want to go... - NATHAN: Hey.
817 00:37:48,434 00:37:49,924 You ready? You ready?
818 00:37:52,337 00:37:53,702 Um, Nathan's leaving tomorrow, Um, Nathan's leaving tomorrow,
819 00:37:53,772 00:37:55,706 so Bailey was gonna take us out for drinks. so Bailey was gonna take us out for drinks.
820 00:37:55,774 00:37:57,207 She wanted to hear war stories. She wanted to hear war stories.
821 00:37:57,276 00:37:58,265 Yeah. Yeah.
822 00:37:58,343 00:38:00,504 Um, but I could just tell them that I don't have to go. Um, but I could just tell them that I don't have to go.
823 00:38:00,579 00:38:02,945 Oh, no, no. Come on. You guys go celebrate. Oh, no, no. Come on. You guys go celebrate.
824 00:38:03,015 00:38:04,448 - Well, come with us. - Yeah, come on. - Well, come with us. - Yeah, come on.
825 00:38:04,516 00:38:05,949 I owe you a drink. I owe you a drink.
826 00:38:07,052 00:38:08,679 Another time. Another time.
827 00:38:08,754 00:38:10,619 Really, you guys have fun. Really, you guys have fun.
828 00:38:24,503 00:38:26,664 I didn't want Blake here. I fought it. I didn't want Blake here. I fought it.
829 00:38:26,738 00:38:28,137 Then why did you hire her? Then why did you hire her?
830 00:38:28,207 00:38:29,970 Because I've been accused of coddling you, Because I've been accused of coddling you,
831 00:38:30,042 00:38:31,703 and I didn't want to do that. and I didn't want to do that.
832 00:38:31,777 00:38:33,972 I didn't think you'd want me to. I didn't think you'd want me to.
833 00:38:34,046 00:38:35,206 That was one reason. That was one reason.
834 00:38:37,850 00:38:39,408 I didn't want you here, either. I didn't want you here, either.
835 00:38:40,619 00:38:42,109 When you were accepted to this program, When you were accepted to this program,
836 00:38:42,187 00:38:44,815 I didn't know how I was gonna look at you every day I didn't know how I was gonna look at you every day
837 00:38:44,890 00:38:48,326 and be reminded of the best and worst times of my life. and be reminded of the best and worst times of my life.
838 00:38:49,361 00:38:52,353 And you walked in, the spitting image of your mother. And you walked in, the spitting image of your mother.
839 00:38:53,132 00:38:54,997 Talented, smart. Talented, smart.
840 00:38:55,067 00:38:57,627 Here, every day. Here, every day.
841 00:38:59,104 00:39:02,005 And I decided that wasn't fair to you. And I decided that wasn't fair to you.
842 00:39:02,074 00:39:04,804 I decided to put aside my personal feelings to... I decided to put aside my personal feelings to...
843 00:39:04,877 00:39:06,310 Rise above. Rise above.
844 00:39:07,679 00:39:09,909 And I'm glad I did that. And I'm glad I did that.
845 00:39:10,482 00:39:11,881 Every day. Every day.
846 00:39:13,585 00:39:15,212 He would have said the same thing. He would have said the same thing.
847 00:39:15,287 00:39:17,778 Derek. He probably would have even liked her. Derek. He probably would have even liked her.
848 00:39:18,857 00:39:20,051 (SIGHS) (SIGHS)
849 00:39:24,296 00:39:26,389 Excuse me. I'm looking for a patient. Excuse me. I'm looking for a patient.
850 00:39:26,465 00:39:27,955 Robert Matthews? Robert Matthews?
851 00:39:28,033 00:39:29,193 Are you his family? Are you his family?
852 00:39:29,268 00:39:31,736 No, I'm... Uh, we work together. No, I'm... Uh, we work together.
853 00:39:31,803 00:39:32,895 Or worked together. Or worked together.
854 00:39:32,971 00:39:35,030 I'm the choir director at our church. I'm the choir director at our church.
855 00:39:35,507 00:39:37,236 Oh. You're the... Oh. You're the...
856 00:39:37,309 00:39:39,869 Oh. God. You saw it. Oh. God. You saw it.
857 00:39:39,945 00:39:40,969 (CLEARS THROAT) (CLEARS THROAT)
858 00:39:41,046 00:39:42,604 Well, I mean, of course you saw it. Well, I mean, of course you saw it.
859 00:39:42,681 00:39:44,273 All of America saw it. All of America saw it.
860 00:39:44,349 00:39:45,816 Look, he doesn't deserve this. Look, he doesn't deserve this.
861 00:39:45,884 00:39:48,182 It's not fair that he's all of these amazing things, It's not fair that he's all of these amazing things,
862 00:39:48,253 00:39:49,584 and this one mistake and this one mistake
863 00:39:49,655 00:39:51,452 is all anybody's even gonna think about him. is all anybody's even gonna think about him.
864 00:39:52,891 00:39:54,916 Look, can I see him, please? Look, can I see him, please?
865 00:39:54,993 00:39:58,861 I want him to know that, you know, he's got me, at least. I want him to know that, you know, he's got me, at least.
866 00:40:06,405 00:40:09,568 MEREDITH: They say shame controls every aspect of human behavior. MEREDITH: They say shame controls every aspect of human behavior.
867 00:40:14,746 00:40:17,271 It's about who we believe we are. It's about who we believe we are.
868 00:40:17,449 00:40:18,575 (SIGHS) (SIGHS)
869 00:40:22,487 00:40:23,920 This was a mistake. This was a mistake.
870 00:40:23,989 00:40:24,978 (SIGHS) (SIGHS)
871 00:40:25,090 00:40:26,557 I don't think I can do this. I don't think I can do this.
872 00:40:26,625 00:40:28,855 I don't think that I want to do this. I don't think that I want to do this.
873 00:40:29,995 00:40:32,293 I kind of went off on Grey about you. I kind of went off on Grey about you.
874 00:40:32,364 00:40:34,389 Callie, why? Callie, why?
875 00:40:35,133 00:40:37,328 Why are you making this harder? Why are you making this harder?
876 00:40:37,402 00:40:39,632 I did what I should've done at the party. I did what I should've done at the party.
877 00:40:44,343 00:40:45,742 Callie, I get it. Callie, I get it.
878 00:40:47,112 00:40:48,875 They're your friends. They're your friends.
879 00:40:48,947 00:40:50,175 He was... He was...
880 00:40:50,249 00:40:51,648 You're a surgeon. You're a surgeon.
881 00:40:51,717 00:40:53,548 We make mistakes. We make mistakes.
882 00:40:55,654 00:40:57,212 We need to be forgiven. We need to be forgiven.
883 00:41:00,025 00:41:01,617 I will if you will. I will if you will.
884 00:41:03,528 00:41:05,928 And... (SIGHS) And... (SIGHS)
885 00:41:07,699 00:41:09,291 (VOICE BREAKING) I'm here. (VOICE BREAKING) I'm here.
886 00:41:10,569 00:41:11,729 If... If...
887 00:41:12,871 00:41:14,270 If you are. If you are.
888 00:41:16,308 00:41:17,502 I'm here, too. I'm here, too.
889 00:41:20,112 00:41:24,276 MEREDITH: But in the end, you can't hide, and the body doesn't lie. MEREDITH: But in the end, you can't hide, and the body doesn't lie.
890 00:41:28,520 00:41:31,546 The truth is right there for the world to see. The truth is right there for the world to see.
891 00:41:31,623 00:41:34,057 - (CELL PHONE CHIMING) - (CHUCKLES) - (CELL PHONE CHIMING) - (CHUCKLES)
892 00:41:40,198 00:41:41,597 It's Grey. It's Grey.
893 00:41:42,434 00:41:44,629 - She wants me all week. - Hmm. - She wants me all week. - Hmm.
894 00:41:45,971 00:41:47,563 She still wants to work with me? She still wants to work with me?
895 00:41:49,308 00:41:51,936 - Or she still wants to ruin you. - (LAUGHS) - Or she still wants to ruin you. - (LAUGHS)
896 00:41:52,644 00:41:53,736 Yeah. Yeah.
897 00:41:53,812 00:41:56,007 Yeah, it's definitely one of those. Yeah, it's definitely one of those.
898 00:41:57,916 00:41:59,076 Come on. Come on.
899 00:42:00,585 00:42:03,884 MEREDITH: Our shame can choke us, kill us. MEREDITH: Our shame can choke us, kill us.
900 00:42:05,991 00:42:08,255 It can rot us from the inside It can rot us from the inside
901 00:42:10,062 00:42:12,121 if we decide to let it. if we decide to let it.
902 00:42:15,567 00:42:16,966 Don't let that happen to you. Don't let that happen to you.
903 00:42:18,800 00:42:22,800 Ripped & Corrected By mstoll Ripped & Corrected By mstoll