WEBVTT

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[upbeat music playing]

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[Meredith] As doctors,
we rely heavily on data

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to treat our patients and minimize risk.

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So when there is no data,

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any move can be extremely scary.

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What are you doing here this early?

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Getting stood up. You?

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Couldn't sleep.

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Enjoy.

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[Meredith] We have to solely
practice medicine on a hunch,

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relying on instincts and hope.

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Sometimes, it does not go our way.

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Hey, why do you drive
slower than my grandma?

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I drive the speed limit.
If you need to whine, maybe find a bus.

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Maybe we should leave earlier then.

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Maybe someone should stop
staring at themselves in the mirror.

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Like, all the time.

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[Simone chuckles]

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Why are you hiding?

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I want to scrub in on one more surgery

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before Altman fires me
for moonlighting at Joe's.

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She's not gonna fire you,
Helm took a stand for you.

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I didn't ask her to.
I have no idea what she said.

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She doesn't even know what she said,
she was in a rage blackout.

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What makes her think
she can speak for me at all?

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Okay. Go. Go, go, go.

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[elevator dings]

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[Meredith] Sometimes, it does.

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Before there was a cure for diabetes,

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scientists followed their instincts

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and gave sick children an experimental
extract called insulin.

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As terrifying as it was, that risk

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-has now saved millions of lives.
-[elevator dings]

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Ladies first.

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Oh, I'm good.

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[Meredith] But even if your hunch
is strong,

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before taking the leap,
some part of you always worries.

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"What if I'm about to make
a huge mistake?"

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Okay, great. Yeah, we'll see you then.
Thank you.

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Okay, Luna's first auditory-verbal
therapy is on the books.

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I just have to reschedule her audiologist,

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find her a speech therapist,
get caught up on notes,

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and deliver a baby.

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Can I help with anything?

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Um, you want to deliver a baby?

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I was kinda hoping
for one of the other jobs.

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It's okay, I got it. Thank you.

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-[Owen] Hey.
-[Jo] Hey.

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Can you do a consult in the ICU?

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Sure. I've got about
20 minutes before my next consult.

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Well, you're gonna want
to reschedule that.

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[woman speaking over P.A.]

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Hey, about this morning, I got a ride
into work with my roommates--

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Don't care.

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Okay.

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Well, I--I thought you'd yell at me
or something.

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Yeah, I don't care about the excuse,
I care that you did not show up.

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Right.

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So, I'm about to tell you
a bunch of things I need you to do today

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so I highly suggest you write it down.

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Round on my post-ops,
then check with pathology

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to see if Mr. Kane's biopsy results
are back in.

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After that, I need you to review
tomorrow’s patients’ PT/INRs,

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tell me if anything looks off.

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And then Sarah Hawkins in bed seven,

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when her blood sugar stabilizes,
turn off her insulin drip.

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-Got it.
-And input these notes into the charts.

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Okay? And, Adams...

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I hardly yell.

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Okay, the patient in bed three
can go home.

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Just follow up in the clinic in two weeks.

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Dr. Kwan!

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I haven’t had a chance to say
thank you

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for stopping that patient
when he came after me.

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Oh, no, it was nothing.

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It was not nothing.
It was very much something,

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and I am grateful, so, thank you.

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[woman speaking over P.A.]

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Maxine?

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Oh. [chuckles]

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Call me Max. Maxine makes me
feel like a grandmother.

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Which I am, of course,
but no need to broadcast the fact.

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-Are you looking for Jules?
-No.

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And don’t you dare call her down here.
I don’t want to worry her.

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-Well, is everything all right?
-Well,

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I woke up feeling a bit dizzy.

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I'm sure it's nothing, but at my age,
better safe than sorry.

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Oh, let's take a look. Come with me.

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Don't I need to check in?

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Oh, no, no. You are VIP.

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-Come on.
-[chuckling] Oh, finally!

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[both chuckling]

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Right over here.

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-[Bailey] I'm sorry. Sorry.
-What's with the emergency meeting?

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We have an intern problem.

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Is this about Yasuda working at Joe’s?

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Because from what I understand,
it was only a couple weeks, and it’s over.

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Yasuda was working at Joe's?

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-[Nick] Yes.
-I thought Helm worked at Joe's.

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And Yasuda.

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[Bailey] Why does any surgeon
work at Joe's?

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Because the system is broken.

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And according to these, they have to.

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What is this?

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[Teddy] It's the intern surveys
of the program.

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I asked Schmitt to hand them out,
and these are the results.

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"The lockers are from 1955."

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"Need low fat oat milk in the cafeteria."

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"More hypoallergenic pillows
in the on call room."

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This isn't a spa, Altman.
I wouldn’t put much stock in these.

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Yeah, I didn't. Until I read this one.

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Uh, here we go:

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"Our salary doesn't even equal
the average cost of living in Seattle."

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Well, that can't be right.

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It is. They included research.

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The patient was in a wingsuit accident
in Sun Valley, Idaho.

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Wingsuit? Like skydiving?

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More like BASE jumping.

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He slammed into a granite wall
at high velocity.

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I’d question his personal choices,
but people like that keep me in business.

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Any major head injuries?

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Miraculously, no.
He was initially stabilized,

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had washouts and was splinted
at Boise General,

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but they didn’t have
the resources to do the rest.

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What'd he break? Femur? Tibia?
Humerus? Pelvis?

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Yes. [clears throat]

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Don't worry.

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Feels worse than it looks.

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So. You and Jules, huh?

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She’s quite the catch.

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It's not like that. We're just friends.

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Friends with... What do they
call it now, "benefits"?

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She told you that?

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You know us girls. We spill the tea.

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Ms. Anderson, it's good
and not good to see you again.

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You're feeling a little woozy?

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It's not bad, really,
but after the last go-around,

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-I don’t want to take any chances.
-Okay.

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-She's a bit tachy. BP is slightly low.
-[Levi] Okay, um...

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Here, open your mouth for me.

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Yeah, you’re a little dehydrated.

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So as long as you’re here
we’ll just run a few tests,

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make sure nothing else is going on.

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Because I'm a VIP.

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[Levi] Exactly. [chuckles]

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Let's run a CBC, CMP, urinalysis,
and give a bolus of IV fluids.

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I'll come back and check on you
in a little bit.

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If you need anything,
Dr. Kwan’s your guy.

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Okay.

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So, what else has Jules told you?

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Nope. I can't tell you.

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-But you just said--
-Sorry.

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What did she call it?

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It's girl code.

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Sam Sutton, 44.

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Wingsuit versus
boulder 24 hours ago.

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GCS 15, no evidence of TBI.

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Has a left sided pneumothorax

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with a chest tube placed
at the other hospital...

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Sustained multiple fractures
to all four extremities,

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ribs, as well as stable spinal fractures.

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Sam, this is Dr. Lincoln.
He is Chief of Orthopedic Surgery.

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-Do you mind if I take a look?
-[Sam] Please.

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All right, have we ordered CT Angio
on all four extremities,

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-check for blood flow?
-Dr. Hunt did this morning.

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All right. Okay.

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[hisses]

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[Sam grunts]

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Yeah, I can wait to remove the dressings
until we're in the O.R.

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Is it annoying if I say
you're extremely lucky?

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Say it. He has, like, 50 times.

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You tried to glide through a two-meter
hole in the side of a mountain.

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Oh, you could've been right there with me.

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Kwame was my co-pilot
in the Air Force.

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And now we're wingsuit buddies.

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Wait, you mean a literal wingman?

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Except I prefer to go around
the giant rocks.

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How's it look?

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You think I'll be back to BASE jumping
in a month or two?

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-Uh...
-Kidding. I know I’m lucky to be here.

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But I did promise my nephew I’d teach him
how to ride his bike this summer.

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I'd like to make good on that.
What do you think?

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Um, I’ll take a closer look
at your scans and x-rays,

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but I gotta be straight with you,
the damage is extensive.

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If anyone can help, Sam,
Dr. Lincoln can. He is the best.

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I'll do everything I can.

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-Hey, Doc?
-Yeah?

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Can I ask you something real quick?

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[Link] Of course.

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He's the surgeon
who operated on the Tank.

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Should we get a second opinion?

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Dr. Lincoln is an exceptional surgeon
with a stellar record.

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And the best of us can have a bad day.

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[Kwame] Hmm.

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Every time Sam's mind
takes him to a dark place,

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it's his body that ends up saving him.

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Marathons, martial arts,
diving off cliffs.

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He needs his limbs.
And I need him to live.

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So... don't have a bad day.

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I will do my best.

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And... my best is pretty damn good.

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Page me when those scans are up, please.

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Yeah.

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Oh, um, Adams gave me these...

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these notes that you scribbled with like,
wedding stuff?

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I spilled a little bit
of kombucha on them,

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so if you wanna,
you can text me and when you...

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I'm... I'm your new maid of honor now.

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Did he not tell you?

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He did not.

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Okay, well...

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Nothing to worry about.

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I am not going to do the blood thing.

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In fact, I am not going to do...

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anything.

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Unless you text me.

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FYI, I’m partial to cat emojis.

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Hey, do you think they're gonna be
in there for a long time?

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According to the O.R. schedule,

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they all cleared their electives
for the morning.

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But it only takes five minutes
to fire someone, so who knows?

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I just can't read Marsh's handwriting--

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Do you know what this says?

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I'm about to lose two jobs this week,
I really don't feel the need to help you.

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How about for a liver transplant
recipient on the 5th floor?

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-[Mika] I can't read that.
-Huh.

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I don't remember assigning
either of you to the service

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that takes care of patients
in the hallway.

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Okay. Okay, but... how good are you
at reading Marsh’s handwriting?

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Check pro-graph level and stop Protonix.

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[Lucas] Thanks.

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[woman speaking over P.A.]

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How many bones did he actually break?

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I've counted 75 so far.

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He's got comminuted fractures
in all the long bones.

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Plus the rib
and spinous process fractures, too.

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[sighs] Yeah, we don’t have to worry about
those for now. They’ll heal on their own.

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It's incredible that his spine
is still intact.

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[Jules] Nothing's where
it's supposed to be.

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-It’s like...
-[Link] He's a jigsaw puzzle.

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A broken one, obviously,
but we can put him back together,

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one surgery at a time.

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Wait, you're...
You're gonna do this in stages?

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Well, we’ll need to reconstruct
his right femur first,

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using cadaver bone
to fill in this defect here.

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Once that's done, we'll wash out

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and fix the left extremity
since it's already open.

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Then, we’ll go in the next day
and fix the left femur.

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And tib fib.

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And the right extremity in digits

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can wait for last
since they're stable for now.

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Uh, why not fix all four extremities
at once?

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I mean, isn’t there risk of sepsis
from the open wounds if we wait?

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Well, if you... If you put him under for
an extremely long period of time,

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you're looking at a high risk
for anesthesia complications,

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bleeding, clots...

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Life over limb.

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Exactly.

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If the bone and tissue loss
is too severe,

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we may have to amputate.

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No. No way. I'm not doing that.

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You're not doing... what?

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I don't want one of my legs or arms
to die while waiting in line.

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Well, no, I'm not saying that
that will happen,

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I'm saying it could happen.

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I wouldn’t be doing my job if I didn’t put
all the risks on the table for you.

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Trust me, this is the safer option.

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Compared to what?

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Is there another option?

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We could do all the repairs at once.
But it is a much longer surgery.

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Which I strongly do not recommend
due to the possible complications--

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But waiting also has its downsides.

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Muscle death from such a severe injury

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could lead to potentially
fatal consequences

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or you could get sepsis
from the open wounds.

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Those are also heavy complications.

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-Yes, but we would--
-I was trained to assess major risk

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and take them anyway.

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So let's do this. All or nothing.

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Wow, I think they’re starting
Dr. Lincoln’s wingsuit surgery soon.

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Uh-huh.

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Mentioning it in case you thought
maybe I could go up there for a bit.

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-No.
-To observe?

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For my education.
There's like 91 broken bones.

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It's cool. But still no.

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Ms. Anderson. I’m afraid your urinalysis
came back positive for a	UTI.

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But I always pee after sex!

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And that’s good. But you can also get
a UTI from dehydration,

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especially as we get older.

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I drink all the time! Tea, mint juleps...

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Those are diuretics.
They cause dehydration.

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Yeah. I know. I'm just kidding.

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Yeah, I admit I could be
more diligent about water.

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Well, we’re going to put you on an oral
antibiotic and some more IV fluids, okay?

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Dr. Kwan will be nearby
if you need anything.

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[Blue sighs]

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[woman speaking over P.A.]

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Don't be mad at Adams.

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No, I'm not.

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I probably shouldn't have asked him.

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You definitely shouldn't have.

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I just wanted to go through it
with a friend who knows me.

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I know you.

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Unless you meant a friend who's had their
tongue in your mouth

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because I could be convinced.

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Okay, quick. What's your sign?

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-Taurus.
-Oh, that tracks.

13:46.617 --> 13:48.577
-Film or TV?
-[Simone] Sleep.

13:48.994 --> 13:51.372
-Fair. What's your favorite crystal?
-What are you doing?

13:51.455 --> 13:52.748
Getting to know you.

13:52.832 --> 13:53.833
[Sam] How's it going?

13:54.333 --> 13:56.710
Anybody have a funny joke?
A good story?

13:57.419 --> 13:59.171
It's just a little while longer.

13:59.255 --> 14:01.715
We're making sure that there's
blood flow in your extremities.

14:02.967 --> 14:04.677
[Sam] Since I have a minute, listen.

14:04.760 --> 14:06.637
I’m worried about Kwame.

14:07.638 --> 14:09.431
He's my ride or die, and...

14:10.099 --> 14:11.767
my... my guy.

14:12.560 --> 14:15.980
So I'm gonna give you his wife's number,
and if I die,

14:16.063 --> 14:17.857
I need you to call her.

14:18.732 --> 14:21.610
If I die, I need you to make sure
that she comes to pick him up

14:21.694 --> 14:22.903
because he will be a wreck

14:22.987 --> 14:25.114
and he won't be able
to drive himself safely.

14:25.197 --> 14:27.533
and he's too proud to call her himself.

14:29.076 --> 14:30.077
Can you do that for me?

14:32.288 --> 14:33.622
I'll take the number.

14:33.706 --> 14:35.749
But hopefully we won't have to use it.

14:37.585 --> 14:38.878
How's it look?

14:38.961 --> 14:42.965
CT angio shows areas of diminished
blood flow all over the place.

14:43.507 --> 14:45.551
I’m still trying
to wrap my head around it.

14:45.634 --> 14:47.887
We need to get him in an O.R.
as soon as possible.

14:48.554 --> 14:49.555
[scoffs]

14:49.889 --> 14:51.098
I had a plan.

14:51.599 --> 14:52.600
Staged surgeries.

14:52.683 --> 14:55.144
Then you tell him
we could do it all at once.

14:55.227 --> 14:58.731
-It's what he wants.
-He wants to live, Hunt.

14:59.607 --> 15:02.192
Staged surgeries is how he lives!

15:02.276 --> 15:03.777
One manageable piece at a time.

15:03.861 --> 15:06.614
If he loses his limbs,
if he can't jump...

15:07.990 --> 15:11.660
In the Army, I was trained to run
on adrenaline, risk and terror.

15:11.744 --> 15:13.203
When I got home...

15:13.287 --> 15:16.373
War makes you alive and dead, Link.

15:16.457 --> 15:20.044
And regular life gets dull really fast
when you come home from that.

15:20.794 --> 15:23.422
The thrill of being a trauma surgeon's
the only thing that saved me.

15:24.256 --> 15:28.469
Sam is not a daredevil.
He is a veteran coping with trauma.

15:28.552 --> 15:30.346
And even if he can never jump again,

15:30.429 --> 15:32.514
he needs the hope that
there is something out there

15:32.598 --> 15:34.850
that can make him feel
more alive than dead.

15:39.188 --> 15:40.898
-Get out.
-What?

15:40.981 --> 15:43.651
You're not an orthopedic surgeon,
so get out.

15:43.734 --> 15:46.111
Are you refusing to do the surgery?
Because the longer that we wait--

15:46.195 --> 15:49.239
No, I’m refusing to waste more time
talking to you

15:49.323 --> 15:51.241
when I need to figure out
how to do the damn thing.

15:51.992 --> 15:53.077
[sighs]

15:53.243 --> 15:57.456
I will call you when I need you,
but respectfully, Hunt, get out.

16:02.211 --> 16:03.212
[exhales sharply]

16:12.096 --> 16:15.724
My first idea was to appeal
to Catherine and the foundation.

16:15.808 --> 16:18.227
Well, resident salaries
are government-funded,

16:18.310 --> 16:21.438
and they always have been,
and money may be tight,

16:21.522 --> 16:24.024
but when you’re in training,
you don’t need a fancy car.

16:24.566 --> 16:27.152
-I mean, you eat a lot of canned soup.
-Grilled cheese.

16:27.236 --> 16:28.904
-Pasta.
-Cereal.

16:28.988 --> 16:30.531
[Richard] See? I mean, we all did it.

16:30.614 --> 16:34.243
And besides, the hospital covers
a residents’ malpractice insurance,

16:34.326 --> 16:38.497
they have free parking,
meal stipend of up to...

16:38.580 --> 16:39.748
$15 a day.

16:39.832 --> 16:43.377
Where can you get
three meals a day for $15?

16:43.460 --> 16:44.670
-Cereal.
-Pasta.

16:44.753 --> 16:46.422
-Okay, neither one of you are helping.
-[device beeps]

16:46.505 --> 16:49.133
Oh, shoot. I got a 911 in the ICU.
Gotta go.

16:50.843 --> 16:53.762
I’ll tell you another benefit they had
that we never got.

16:53.846 --> 16:58.934
The hospital pays the residents to have
four weeks paid vacation a year.

16:59.018 --> 17:00.019
[scoffs]

17:01.103 --> 17:03.313
Yeah, that started when I was coming up.

17:04.148 --> 17:08.861
My great aunt died and I asked for a week
to go help my mom.

17:09.445 --> 17:11.155
-And did you?
-When I asked,

17:11.238 --> 17:16.493
my attending asked me
if I knew why we were called residents.

17:17.494 --> 17:19.413
Because we live in the hospital.

17:19.997 --> 17:21.123
Did you go to the funeral?

17:21.206 --> 17:22.458
I did not.

17:22.541 --> 17:25.127
Hmm. Did I know the attending
at that time?

17:25.210 --> 17:26.879
It was you.

17:32.926 --> 17:34.553
But the one that got away?

17:34.636 --> 17:38.265
[chuckles] That was Marshall.
We met in pre-law.

17:39.058 --> 17:40.267
You were a lawyer?

17:40.350 --> 17:44.521
Oh, heavens no, but a lot of good-looking
young men wanted to be.

17:45.230 --> 17:49.485
No, I... I preferred the literature
classes I took on the side.

17:49.568 --> 17:51.862
So, I wound up teaching
Austen and Miller.

17:53.030 --> 17:55.115
Marshall, though?

17:55.199 --> 17:57.409
He had a fire in his belly.

17:58.327 --> 18:02.623
Confident and strong
and so handsome.

18:02.873 --> 18:03.874
[chuckles]

18:03.957 --> 18:06.126
I never told him how I felt, though.

18:07.252 --> 18:08.253
Why not?

18:09.588 --> 18:12.091
I was waiting...

18:12.174 --> 18:15.260
for him to come and sweep me off my feet.

18:16.095 --> 18:18.472
Too many romance novels, I suppose.

18:19.098 --> 18:21.350
Some days I still kick myself.

18:21.600 --> 18:23.352
-[woman] Coming through!
-[man] Trauma two.

18:23.435 --> 18:24.770
[man] I need two units of blood.

18:24.853 --> 18:26.021
-[Max] Oh.
-[woman] Check his pulse.

18:26.105 --> 18:27.397
How exciting.

18:27.940 --> 18:28.941
[man] How's his airway?

18:29.024 --> 18:31.026
Go. Go on.

18:31.485 --> 18:32.820
I'll be fine.

18:32.903 --> 18:34.029
-Are you sure?
-[woman] He's bleeding out.

18:34.113 --> 18:36.615
Yes. Come back and tell me all about it.

18:36.698 --> 18:37.783
-[woman] Please move faster...
-Okay,

18:37.866 --> 18:39.159
I'll come right back
and check on you.

18:39.701 --> 18:41.203
[indistinct chatter]

18:44.248 --> 18:45.999
Why am I quicker
to answer a page than you?

18:46.083 --> 18:47.084
[Lucas] I just saw it, what happened?

18:47.167 --> 18:48.961
You failed to follow my directions,
that’s what happened.

18:49.044 --> 18:50.254
I told you to check her blood sugar

18:50.337 --> 18:51.880
so you would know when
to turn off the insulin drip.

18:51.964 --> 18:53.257
Crap. I just hadn't gotten to her yet--

18:53.340 --> 18:54.758
Yeah, I asked you to do that hours ago,

18:54.842 --> 18:57.052
and because you didn’t,
she went into hypoglycemic shock.

18:57.136 --> 18:58.303
Is she okay?

18:58.387 --> 18:59.763
For now!

18:59.847 --> 19:02.724
-Dr. Marsh, I swear, I was just--
-No. I don't want excuses.

19:02.808 --> 19:04.768
I don't want 'em.
I want effort, I want change.

19:04.852 --> 19:06.145
I offered to help you.

19:06.228 --> 19:08.188
I sat with you and I gave you advice
on how to improve,

19:08.272 --> 19:10.691
I’ve rooted for you
because I know you can.

19:11.191 --> 19:13.443
So when you continue to be
distracted and late,

19:13.527 --> 19:14.528
and make careless mistakes--

19:14.611 --> 19:16.321
-I'm trying.
-Try harder!

19:20.868 --> 19:23.704
If you want me on your side,
then you need to grow up.

19:23.787 --> 19:25.205
So get your meds right.

19:26.081 --> 19:27.166
My meds?

19:28.250 --> 19:31.170
You’re clearly struggling
with your ADHD, so fix it.

19:31.461 --> 19:33.964
Or you risk losing your career
before it’s even started.

19:44.516 --> 19:47.728
Two of my co-residents
were pregnant when I came up.

19:47.811 --> 19:50.105
My chief told me if I could
“kept my legs together,”

19:50.189 --> 19:52.983
I would be asked to scrub in
at least five times a week.

19:54.109 --> 19:56.028
Oh, remember Davidson from vascular?

19:56.111 --> 19:57.821
-Oh... [laughs]
-[laughs]

19:57.905 --> 20:01.408
He once asked if I had been
a good girl that year.

20:01.491 --> 20:05.204
And if I had, I should ask Santa
for some surgical skills.

20:05.287 --> 20:07.080
-No!
-Gross.

20:07.164 --> 20:11.293
At my intern orientation,
a senior resident played a video

20:11.376 --> 20:14.338
of the people running with the bulls
in Pamplona.

20:14.421 --> 20:16.757
And even on the grainy film,

20:16.840 --> 20:20.260
you could see three people
get gored by bulls.

20:20.344 --> 20:24.348
He said, "This is what your internship
is gonna be.

20:24.431 --> 20:27.351
Every day, you're gonna wake up,
you're gonna start to run

20:27.434 --> 20:29.061
and hope you don't anger
one of the bulls."

20:29.144 --> 20:30.562
We are not bulls!

20:30.646 --> 20:33.398
These are horrible stories
and they probably don’t even account for

20:33.482 --> 20:35.609
half of what we experienced.

20:35.692 --> 20:39.488
Yes, there is something to be said
for-- for family and tradition,

20:39.571 --> 20:42.115
and adversity making people stronger,

20:42.199 --> 20:45.619
but if our interns are experiencing
an ounce of the abuse

20:45.702 --> 20:48.330
-that we suffered, we--
-I yelled at Yasuda.

20:48.830 --> 20:51.500
Uh, she dropped a retractor,
and I kicked her out of the O.R.

20:51.583 --> 20:52.668
and off my service.

20:52.751 --> 20:53.961
You had a lot going on.

20:54.044 --> 20:55.879
[groans] Doesn't make it okay.

20:55.963 --> 20:57.756
[Teddy] It doesn't, and that's why
we have to do something.

20:57.839 --> 20:59.633
Um, excuse me for a minute.

21:03.095 --> 21:04.680
Hi.

21:04.763 --> 21:06.139
Hi, you okay?

21:08.058 --> 21:09.351
Hey, have you seen Dr. Marsh?

21:09.434 --> 21:10.602
No.

21:11.561 --> 21:12.896
Do I have ADHD?

21:13.563 --> 21:15.065
Yeah, I see it.

21:16.024 --> 21:19.611
I forgot to turn off an insulin drip and
a patient went into hypoglycemic shock.

21:20.445 --> 21:21.989
And you still work here?

21:22.447 --> 21:24.783
Do you know how many classmates
I’ve served fries to

21:24.866 --> 21:26.868
while wearing a paper hat?
A lot.

21:26.952 --> 21:28.745
It wasn’t fun, but I did it.

21:28.829 --> 21:30.497
Because I was
determined to be a surgeon.

21:30.580 --> 21:32.416
And now I have made it all the way here,

21:32.499 --> 21:35.127
and half the surgical chiefs
are meeting about me

21:35.210 --> 21:36.628
because I took a second job
to make ends meet.

21:36.712 --> 21:37.796
But you...

21:38.171 --> 21:40.465
You almost killed someone,
but it doesn’t matter

21:40.549 --> 21:42.843
because you’re related
to surgical legends.

21:53.228 --> 21:54.730
[knock on door]

21:56.898 --> 22:00.235
You're gonna be working on this patient
until you retire.

22:01.028 --> 22:03.488
I heard, 91.

22:04.281 --> 22:08.618
Oh, 93. I just found two more
hairline fractures in his pelvis.

22:08.994 --> 22:10.912
Everyone's talking about it.

22:11.330 --> 22:12.372
Great.

22:12.456 --> 22:14.875
Hunt said you're gonna repair
all four limbs at once.

22:14.958 --> 22:16.626
Yeah, I really wish Hunt would shut up.

22:18.211 --> 22:21.715
I’m the one who has to plan
a potentially 19-hour surgery.

22:21.798 --> 22:23.008
I’m the one who has
to consider the risks

22:23.091 --> 22:25.844
of putting a patient under anesthesia
for that amount of time.

22:25.927 --> 22:27.846
I have to plan
for every possible catastrophe,

22:27.929 --> 22:29.306
stroke, PE, heart attack,

22:29.389 --> 22:32.017
and 50 other complications
screaming through my head.

22:33.018 --> 22:37.606
And you'll be the one who would lose
a patient like you lost Jermaine Talbott.

22:37.689 --> 22:41.068
And then you would've lost the Tank,
and this guy with everybody watching.

22:42.027 --> 22:44.237
It's not an unlikely scenario.

22:44.821 --> 22:48.450
Okay. But in the scenario
where everything goes well,

22:48.533 --> 22:49.701
what do you need?

22:51.370 --> 22:53.080
To grow an extra pair of arms?

22:53.580 --> 22:54.873
Or three.

22:56.833 --> 23:01.254
Two teams. One to help me reduce
and repair the fractures in one extremity,

23:01.338 --> 23:03.382
and one to position the next extremity
ahead of time

23:03.465 --> 23:05.258
and begin the wash-out process.

23:05.342 --> 23:09.471
Plus our best person to perform
vascular anastomoses and rotational flaps.

23:09.554 --> 23:12.891
Not to mention, someone to help me
place the osteoarticular grafts

23:12.974 --> 23:14.893
and a full anesthesia team
to take care of

23:14.976 --> 23:16.770
the resuscitation process
throughout the whole thing.

23:16.853 --> 23:18.188
It's at least six surgeons.

23:19.648 --> 23:20.982
Well, you got one more.

23:22.609 --> 23:24.277
I thought you had to deliver a baby.

23:24.361 --> 23:27.489
I did. Mae Ashley.
Six pounds, eight ounces.

23:27.572 --> 23:28.990
She is beautiful.

23:29.074 --> 23:31.451
Okay. Who else do you need?

23:31.535 --> 23:33.787
["Moving On" by Foreign Air plays]

24:07.028 --> 24:08.029
They're still talking?

24:08.113 --> 24:10.449
Yeah. Lincoln says it's important
to plan the work--

24:10.532 --> 24:12.576
So you can work the plan.
Yeah, I’ve heard it before.

24:12.659 --> 24:14.578
I know that you're worried.

24:15.370 --> 24:19.040
And I’m guessing it’s related to
that football player, Jermaine Talbott?

24:19.749 --> 24:23.628
And you're thinking
whether another long surgery

24:23.712 --> 24:26.089
on a guy who’s supposedly
in good shape could go south.

24:26.173 --> 24:30.010
And I’m guessing you’re wondering if
Lincoln is the right guy for the job.

24:30.886 --> 24:33.472
I... You're not wrong.

24:34.222 --> 24:35.682
I know you better than you think.

24:36.391 --> 24:40.228
And if it helps, my last ortho surgery
was an amputation...

24:40.729 --> 24:42.314
and I think you know

24:42.397 --> 24:44.691
that I’m really hoping
I won’t have to do that again. [chuckles]

24:53.325 --> 24:55.660
You were assigned to the E.R.

24:55.744 --> 24:57.162
-I know.
-You know

24:57.245 --> 24:58.997
and yet your patient was
wandering the halls.

24:59.080 --> 25:00.415
I know and it won't happen again.

25:00.499 --> 25:02.209
You're lucky I owe you one.

25:02.292 --> 25:04.711
Dr. Kwan. Welcome back.

25:04.794 --> 25:06.588
Max, I'm so sorry I was gone for so long.

25:06.671 --> 25:09.466
Even though you were expressly
told not to leave.

25:10.050 --> 25:13.094
Oh, don't be silly.
I had a terrific time.

25:13.720 --> 25:16.473
I even ran into one of my favorite people.

25:17.724 --> 25:21.686
Benson, this is my grandson, Hugh.

25:21.770 --> 25:23.563
He's a doctor, too.

25:24.022 --> 25:27.359
Ms. Anderson, I'm Dr. Schmitt, remember?

25:27.442 --> 25:32.030
Hugh, tell them about the time
that you helped save that man’s life

25:32.113 --> 25:33.240
on the airplane.

25:33.740 --> 25:35.408
When he choked on...

25:35.492 --> 25:37.160
What was it, a grape?

25:37.786 --> 25:38.870
I'll tell them.

25:40.038 --> 25:41.498
Let's put her on telemetry,

25:41.581 --> 25:44.042
get blood cultures and start her
on broad-spectrum antibiotics.

25:44.125 --> 25:47.212
She’s more hypotensive and tachy,
she’s definitely septic.

25:47.295 --> 25:49.464
Admit her to the ICU right now.

25:49.548 --> 25:52.801
-Is she...?
-She has delirium from the UTI.

25:56.346 --> 25:58.640
So your labs are looking good.

25:58.723 --> 26:00.267
You’re ready for takeoff.

26:01.059 --> 26:03.228
To the O.R. I'm sorry.

26:03.311 --> 26:04.437
Me, too.

26:04.521 --> 26:07.941
You’re giving Kwame stiff competition
in the dad joke category.

26:08.024 --> 26:09.818
Hey. My kids think I'm hilarious.

26:09.901 --> 26:11.194
-[Sam] Mm-hmm. [chuckles]
-[phone rings]

26:11.278 --> 26:13.863
I'm getting paged to the ICU. It's 911.

26:13.947 --> 26:15.282
Go. I've got this.

26:17.742 --> 26:18.827
How many kids do you have?

26:18.910 --> 26:20.704
Three, and one on the way.

26:20.787 --> 26:22.247
They love their Uncle Sam.

26:22.330 --> 26:25.375
And I have pitched
the name Sam every time.

26:25.458 --> 26:28.712
Maybe if I don’t make it out of this
surgery, you and Kelly will finally do it.

26:28.795 --> 26:30.922
Ah, don't say that. You're gonna make it.

26:31.006 --> 26:32.173
I plan to.

26:33.300 --> 26:36.511
But I’ve been lucky enough
to have a life full of adventure,

26:36.595 --> 26:38.763
and if this is where that luck ends--

26:38.847 --> 26:41.850
Hi. Griffith, can you check to see
if the O.R. is ready?

26:41.933 --> 26:42.976
And we will take him up.

26:43.059 --> 26:44.311
-[Simone] Absolutely.
-[Jo] Thank you.

26:44.394 --> 26:45.437
Hi.

26:47.314 --> 26:49.608
Excuse me. Who are you?

26:49.691 --> 26:53.737
Oh, I am Dr. Wilson.
I am one of your surgeons.

26:53.820 --> 26:55.113
It's nice to meet you, Sam.

26:55.196 --> 26:56.781
This may come across as forward,

26:56.865 --> 26:59.492
but I might be dying
in the next 18 hours,

26:59.576 --> 27:01.202
so I’m gonna ask, are you single?

27:02.162 --> 27:04.623
Remember, I might be dying,
so if you’re not,

27:04.706 --> 27:05.749
you could lie.

27:07.334 --> 27:08.418
I'm single.

27:08.501 --> 27:11.671
Great. Now I have
something to live for.

27:11.755 --> 27:13.423
-[laughs]
-[Sam chuckles]

27:17.802 --> 27:20.305
-[indistinct chatter]
-[Mika] Excuse me.

27:20.388 --> 27:22.390
Hi. Sorry to interrupt.

27:22.474 --> 27:24.100
It's okay. You've got good timing.

27:24.184 --> 27:26.686
-We were just talking about you--
-I have made mistakes.

27:26.770 --> 27:28.355
I accept that responsibility.

27:28.438 --> 27:31.816
I accept that there will be consequences
when I don’t do things right.

27:31.900 --> 27:34.235
But right now, it feels like
the biggest mistake that I have made

27:34.319 --> 27:36.071
is not having enough money to work here.

27:36.154 --> 27:37.739
I wasn't born with a silver spoon.

27:37.822 --> 27:40.367
I don't have the family pedigree
to fall back on.

27:40.450 --> 27:41.826
And my student loans are real

27:41.910 --> 27:43.620
and the risk of my parents
losing their home,

27:43.703 --> 27:46.456
if I can't make my loan payments
is also real.

27:46.539 --> 27:49.751
And what? The promise of an
attending salary ten years down the line,

27:49.834 --> 27:51.461
that doesn't do anything for me right now.

27:52.087 --> 27:54.547
I think you all know that
I bust my ass for this program.

27:54.631 --> 27:58.593
And I will continue to devote myself
to becoming an excellent surgeon.

27:58.677 --> 28:01.930
But that devotion has to include
working a second job.

28:02.013 --> 28:04.474
Well, actually, it doesn't--

28:04.557 --> 28:05.892
I quit.

28:05.975 --> 28:07.936
You can’t fire me
because I quit.

28:09.729 --> 28:10.855
You're not getting fired.

28:12.399 --> 28:13.566
You’re getting a grant.

28:14.150 --> 28:18.238
We are starting an emergency relief fund
for any resident that might need it.

28:18.321 --> 28:21.866
It's not gonna pay off all of your loans,
but it will help make ends meet.

28:21.950 --> 28:24.911
And we would like for you
to be the first recipient.

28:24.994 --> 28:26.246
Unless you've quit.

28:28.039 --> 28:31.835
No. No, I don’t quit.
I rescind my quitting.

28:33.253 --> 28:34.337
Thank you.

28:34.421 --> 28:36.589
You have no idea
how much that means to me.

28:36.673 --> 28:38.007
[mellow music playing]

28:38.091 --> 28:39.759
Well, we kind of do.

28:40.468 --> 28:42.804
Sometimes we just need reminders.

28:44.305 --> 28:45.432
Yeah.

28:50.145 --> 28:52.480
I got to prep for surgery,
but I got your page, what--

28:54.149 --> 28:55.150
Max?

28:57.694 --> 28:58.778
What the hell happened?

29:03.658 --> 29:05.201
The cadaver graft's ready?

29:06.119 --> 29:07.912
Thawed and prepped.
Sam is ready, too.

29:08.580 --> 29:09.581
[exhales sharply]

29:09.914 --> 29:11.583
Dr. Lincoln,

29:12.792 --> 29:14.169
are you sure this is the right plan?

29:14.252 --> 29:16.921
There are so many risks and when
we operated on Jermaine Talbott--

29:17.005 --> 29:18.506
Griffith, we all know what happened.

29:19.174 --> 29:21.551
I’m sure Dr. Lincoln’s replayed
that surgery in his mind

29:21.634 --> 29:22.802
hundreds of times.

29:22.886 --> 29:25.722
That was a complication that could have
happened to anyone, at any time.

29:25.805 --> 29:29.392
He doesn’t need an intern questioning
his skills, professionalism or his plan.

29:29.476 --> 29:31.144
Except it's not my plan, Hunt, it's yours.

29:31.227 --> 29:33.271
-Dr. Hunt, what I meant was--
-Griffith!

29:33.354 --> 29:35.774
If you don't share my confidence
in Dr. Lincoln,

29:35.857 --> 29:37.901
I suggest you keep it to yourself.

29:43.573 --> 29:46.618
-I'm sorry, I did not at all mean to--
-Don't be sorry.

29:47.118 --> 29:49.913
Jermaine’s surgery haunts me,
so I can't imagine what it's done to you.

29:49.996 --> 29:51.706
The procedure went perfectly,

29:51.790 --> 29:53.875
a post-op clot was the last thing
on anyone’s mind,

29:53.958 --> 29:56.127
but none of that makes it
any better for him or his mom.

29:57.337 --> 29:58.713
But I need you focused.

29:59.506 --> 30:02.509
I need your head clear,
I need you with this patient today.

30:02.592 --> 30:04.552
Because this is what Sam wants.

30:06.054 --> 30:07.180
And we're his best shot.

30:11.976 --> 30:14.521
Millin’s out.
Bailey sent me in to cover her.

30:15.271 --> 30:18.566
Your... one last surgery?

30:18.650 --> 30:19.692
Screw that.

30:19.776 --> 30:20.944
I’m just getting started.

30:31.246 --> 30:33.248
Full house. You could have sold tickets.

30:33.998 --> 30:34.999
[Jo giggles]

30:35.250 --> 30:36.751
All right. We're ready.

30:37.585 --> 30:41.464
Okay, everyone, this is Sam Sutton.
He's a veteran and a hero.

30:41.548 --> 30:44.801
And we thank him for his service
by keeping him alive today.

30:45.760 --> 30:46.845
Let's do this.

30:47.470 --> 30:48.680
All or nothing.

30:55.854 --> 30:58.773
This will be a very long, complex surgery.

30:58.857 --> 31:01.067
You will get hungry, you will get tired,

31:01.150 --> 31:03.111
your feet will hurt,
and when that happens,

31:03.820 --> 31:05.613
I want you to think about Sam.

31:06.531 --> 31:08.324
Because there is no margin for error.

31:09.367 --> 31:10.785
We will get through this,

31:10.869 --> 31:13.037
because we will get Sam through this.

31:17.000 --> 31:18.167
All or nothing.

31:30.305 --> 31:31.639
I'm Maxine's contact.

31:31.723 --> 31:33.391
Why didn't you call me
when she got here?

31:33.474 --> 31:34.934
She said not to.

31:35.351 --> 31:36.853
She came to the emergency room

31:36.936 --> 31:39.856
and you didn’t think to notify
her emergency contact?

31:39.939 --> 31:42.567
She was fine when she came in.
Just dizzy.

31:42.650 --> 31:44.861
We ran tests,
we started treating her infection.

31:44.944 --> 31:46.487
I got her everything she needed.

31:46.571 --> 31:47.780
Clearly.

31:49.198 --> 31:51.409
And then she apparently
left her bed, and...

31:52.619 --> 31:55.455
What do you mean she “left”?
Where were you?

31:55.538 --> 31:57.123
She told me I could go.

31:57.206 --> 31:59.375
She said you could go
so you just took off?

31:59.459 --> 32:02.295
Is she the patient or the doctor?
I mean--

32:03.046 --> 32:06.215
And what, were you stealing another
surgery or flirting with that nurse?

32:06.299 --> 32:07.425
What is this really about?

32:09.093 --> 32:12.555
This is about an 81-year-old woman
who is now septic and delirious

32:12.639 --> 32:14.140
because you didn’t do your job!

32:15.975 --> 32:17.226
I've got it from here.

32:24.609 --> 32:28.655
I’m not typically one to judge,
but who was the first fool that said,

32:28.738 --> 32:32.367
“Maybe if I put on a squirrel suit,
I’ll make it to the other side”?

32:32.450 --> 32:33.993
Franz Reichelt.
He attempted to jump

32:34.077 --> 32:35.954
from the Eiffel Tower
in a wingsuit in 1912.

32:37.872 --> 32:41.334
I was really into aviation
when I was a kid, so I know...

32:41.960 --> 32:43.294
weird stuff.

32:43.878 --> 32:45.880
Did Franz make his landing?

32:46.422 --> 32:48.299
Hit the ground head first.

32:50.468 --> 32:51.469
Oh.

32:51.678 --> 32:53.346
[soul music playing]

35:15.446 --> 35:17.240
-Sam?
-He's out of surgery.

35:18.533 --> 35:21.077
-You did it?
-Well, it's not over yet--

35:21.160 --> 35:22.370
He did.

35:22.453 --> 35:25.039
Dr. Lincoln was able
to save all of his limbs.

35:25.123 --> 35:26.707
I’m not sure there's another surgeon
who could have.

35:28.209 --> 35:30.128
Sam is lucky for multiple reasons,

35:30.211 --> 35:32.213
and one of them is that
he was brought here.

35:32.296 --> 35:35.466
He’s stable for now.
I’ll monitor him closely,

35:35.550 --> 35:37.009
but he still has a long road ahead of him.

35:37.093 --> 35:41.180
We can’t say when,
but we think with extensive PT,

35:41.931 --> 35:44.183
he will be able to walk again
and use his fingers fully.

35:44.976 --> 35:46.269
He will.

35:46.352 --> 35:47.895
Sam, he's...

35:48.437 --> 35:50.481
he’s sorta the friend
who defies expectations.

35:51.566 --> 35:53.860
Well, we'll get him back to his
room soon so you can go see him.

35:55.153 --> 35:56.404
-Thank you.
-Of course.

35:58.114 --> 35:59.907
Congratulations, Link. You pulled it off.

35:59.991 --> 36:02.451
If you ever put me in that
position again in front of a patient,

36:03.202 --> 36:04.662
we'll have a problem.

36:08.249 --> 36:09.542
-And, Hunt...
-Hmm?

36:10.585 --> 36:11.878
thank you for your service.

36:12.461 --> 36:13.629
[scoffs]

36:20.511 --> 36:22.054
[woman speaking over P.A.]

36:23.389 --> 36:25.766
Yasuda.
Can I talk to you for a minute?

36:25.850 --> 36:26.851
[sighs]

36:27.518 --> 36:31.105
Dr. Shepherd, I am very grateful for
the grant money and for not being fired.

36:31.189 --> 36:34.233
But I just finished a very long,
very gnarly surgery.

36:34.317 --> 36:36.152
And I’m really not in
the headspace to process

36:36.235 --> 36:37.320
whatever mistake
you’re going to say I’ve made.

36:37.403 --> 36:39.113
You haven’t made a mistake.
I have.

36:40.448 --> 36:41.866
I overreacted the other day,

36:41.949 --> 36:44.535
when I kicked you off my service.
It had nothing to do with you.

36:44.619 --> 36:46.537
You did not deserve it.

36:46.621 --> 36:50.499
And I am a person who believes
in accountability, so I apologize.

36:50.583 --> 36:52.126
I'm sorry, too.

36:52.710 --> 36:53.920
For what?

36:54.670 --> 36:55.796
Nothing.

36:56.839 --> 36:58.341
You make me nervous. I--

36:58.716 --> 37:00.551
I meant apology accepted.

37:08.976 --> 37:10.811
[siren wailing in background]

37:14.065 --> 37:15.316
Adams. You okay?

37:17.068 --> 37:18.110
Fine.

37:27.245 --> 37:28.788
Listen, you deserved that.

37:28.871 --> 37:31.749
But I should not
have called you out on your ADHD.

37:31.832 --> 37:33.125
I'm sorry about that.

37:33.793 --> 37:35.920
Yeah. That kind of threw me off.

37:37.255 --> 37:38.881
You've never had your meds adjusted?

37:38.965 --> 37:42.343
I don't have meds.
I don’t have ADHD or...

37:42.426 --> 37:43.552
I...

37:44.345 --> 37:45.888
I don’t have a diagnosis.

37:45.972 --> 37:46.973
Oh.

37:47.056 --> 37:49.100
But I’ve been reading up on it and...

37:51.102 --> 37:53.521
And things are starting
to come into focus a little bit?

37:55.773 --> 37:59.193
I’m your program director.
I'm gonna notice some things.

38:00.319 --> 38:03.864
Lack of attention to details,
hyper focus,

38:04.448 --> 38:07.034
poor organizational	skills,

38:07.451 --> 38:10.705
improved performance when
complicated tasks are broken down.

38:10.788 --> 38:12.957
Adams, the signs, they're all there.

38:15.710 --> 38:17.586
Or maybe it just takes one to know one.

38:19.630 --> 38:20.756
Yeah.

38:21.549 --> 38:23.009
Look, when I was diagnosed in college,

38:23.092 --> 38:25.261
I thought my chances of becoming
a surgeon were over.

38:25.344 --> 38:28.222
But I went, I got the help I needed,

38:28.306 --> 38:31.142
and now it’s just something I manage
like any other part of my life.

38:31.892 --> 38:33.102
I...

38:33.894 --> 38:35.980
I always thought
I was just the black sheep

38:36.063 --> 38:38.357
of this program, my family...

38:39.692 --> 38:42.486
I-- I never thought that
I might be neurodivergent.

38:43.446 --> 38:45.323
Yeah, but typical is just so boring.

38:45.406 --> 38:46.699
[chuckles]

38:49.869 --> 38:51.120
So, what happens now?

38:51.746 --> 38:54.123
Yeah, you go get checked out,
and take it from there.

38:55.041 --> 38:56.125
Easy.

39:05.885 --> 39:07.762
Dr. Lincoln.
I was just coming to check on his--

39:07.845 --> 39:10.473
His H&H and electrolytes
are holding steady.

39:10.556 --> 39:14.977
But... I'm gonna stay by his side,
just in case.

39:15.061 --> 39:18.356
Understood. That's a relief.

39:18.898 --> 39:20.524
Excellent work today, Griffith.

39:22.568 --> 39:24.195
You too, Dr. Lincoln.

39:24.695 --> 39:26.364
[mellow music playing]

39:27.239 --> 39:28.616
[exhales sharply]

39:30.368 --> 39:31.535
Hey.

39:32.328 --> 39:35.623
You told me you would be here.
Thought you could use a boost.

39:35.706 --> 39:39.251
Yeah, I'm just realizing
how tired I am.

39:39.794 --> 39:41.504
Those are both for me, right?

39:41.587 --> 39:42.588
[Jo giggles]

39:43.005 --> 39:45.174
You should go and rest.

39:46.300 --> 39:48.969
[sighs] I'm fine. I'll stay.

39:49.053 --> 39:50.429
Okay.

39:51.263 --> 39:53.349
Want some company?
Until he wakes up?

39:53.432 --> 39:54.683
I'd like that.

39:55.184 --> 39:56.310
Okay.

39:59.730 --> 40:01.065
Oh, my goodness.

40:01.857 --> 40:03.401
[Meredith] The experimental drug.

40:03.484 --> 40:06.487
The impossible dream.
The fork in the road.

40:08.114 --> 40:11.951
We face dozens of choices every day
and have to weigh our options.

40:29.760 --> 40:31.846
Sometimes you fail utterly.

40:34.348 --> 40:35.391
Dr. Webber.

40:36.684 --> 40:37.810
What can I get you?

40:38.018 --> 40:39.019
[Richard] Um...

40:40.521 --> 40:41.522
I didn't listen.

40:43.023 --> 40:46.277
I came here a couple months ago
to ask you to come back.

40:46.360 --> 40:49.071
And when you shared with me
how difficult that was,

40:49.738 --> 40:50.906
I didn’t listen.

40:51.657 --> 40:52.658
But...

40:53.951 --> 40:55.119
I'm listening now.

40:56.787 --> 40:59.999
What would it take to bring you back?

41:03.043 --> 41:05.963
[Meredith] But to move forward,
you have to take the leap of faith...

41:09.049 --> 41:10.134
Winston!

41:11.218 --> 41:13.429
I’m done for the day.
Do you need a consult, or can it wait?

41:13.512 --> 41:15.431
-It's not a consult.
-Okay, great. We'll talk tomorrow.

41:16.557 --> 41:18.767
But it is something
that I want to say now.

41:20.519 --> 41:22.188
I owe you an apology.

41:22.897 --> 41:25.566
I blamed you for Maggie leaving,

41:25.649 --> 41:28.652
even though I knew that the truth
was complicated and painful

41:28.736 --> 41:31.280
and frankly, none of my business.

41:32.281 --> 41:34.366
But I took out my pain
and sadness on you,

41:34.450 --> 41:38.370
which has been happening a lot lately,

41:39.413 --> 41:43.292
You may be comforted to know
that this is just one stop on the...

41:44.001 --> 41:46.003
Amelia Shepherd apology tour.

41:46.795 --> 41:48.797
But even so, you are a good man, Winston.

41:48.881 --> 41:50.382
And marriage isn’t easy.

41:51.717 --> 41:52.760
I was wrong...

41:53.594 --> 41:54.720
and I’m sorry.

42:01.477 --> 42:02.478
[sighs]

42:04.563 --> 42:07.316
[Meredith] You'll never know
where you will land.
