1 00:00:09,507 --> 00:00:11,587 I'm Dr. Browne. 2 00:00:11,611 --> 00:00:13,155 I'll be performing your surgery today. 3 00:00:13,179 --> 00:00:15,299 I'm Dr. Browne. I'll be performing your surgery today. 4 00:00:16,682 --> 00:00:17,759 Dr. Browne... 5 00:00:19,085 --> 00:00:20,930 I'll be performing your surgery today. 6 00:00:22,380 --> 00:00:24,340 It's a very simple procedure. 7 00:00:24,923 --> 00:00:26,634 It's a straightforward procedure. 8 00:00:31,260 --> 00:00:32,900 It was a successful surgery. 9 00:00:41,774 --> 00:00:43,685 The surgery was a success. 10 00:00:45,444 --> 00:00:47,756 We expect a full recovery. 11 00:00:50,783 --> 00:00:53,896 I expect a full recovery. 12 00:00:53,920 --> 00:00:55,320 Baby. 13 00:00:56,380 --> 00:00:58,120 Where do you want this? 14 00:00:59,290 --> 00:01:00,360 Uh, thanks, Mom. 15 00:01:00,390 --> 00:01:01,530 Uh, put it by my bag. 16 00:01:01,560 --> 00:01:02,940 I'll have the hospital lab run it. 17 00:01:13,400 --> 00:01:16,410 Nausea and severe abdominal pain after eating. 18 00:01:16,440 --> 00:01:18,380 This patient could need a lap chole. 19 00:01:18,430 --> 00:01:20,360 That would be an ideal first surgery. 20 00:01:20,380 --> 00:01:22,450 Let's not get ahead of ourselves. 21 00:01:22,480 --> 00:01:24,180 She may just need an antacid. 22 00:01:26,200 --> 00:01:27,240 Hi, Michelle. 23 00:01:27,270 --> 00:01:29,050 I understand your mother is on her way in. 24 00:01:29,070 --> 00:01:31,690 - I'm Dr. Browne. - And I'm Dr. Shaun Murphy. 25 00:01:31,720 --> 00:01:33,660 You need to fix my sister. 26 00:01:33,700 --> 00:01:34,870 What's your name? 27 00:01:34,890 --> 00:01:37,030 - Tisha. - Hi, Tisha. 28 00:01:37,060 --> 00:01:38,660 Well, that is exactly why we're here... 29 00:01:38,690 --> 00:01:39,900 To help your sister. 30 00:01:39,930 --> 00:01:40,990 Foster sister. 31 00:01:42,200 --> 00:01:43,340 When did the pain start? 32 00:01:43,360 --> 00:01:44,640 About an hour ago. 33 00:01:44,660 --> 00:01:46,150 It was on the bus. 34 00:01:46,180 --> 00:01:50,140 My sister rides with me every day to school and back. 35 00:01:50,160 --> 00:01:53,070 My brother and I used to live on a bus. 36 00:01:53,090 --> 00:01:54,250 Cool. 37 00:01:54,270 --> 00:01:55,480 Have you felt like this before? 38 00:01:55,510 --> 00:01:57,020 A few times. 39 00:01:59,150 --> 00:02:00,520 Ow. 40 00:02:00,550 --> 00:02:02,920 She has extreme upper-right quadrant tenderness. 41 00:02:02,940 --> 00:02:05,850 That's consistent with cholecystitis. 42 00:02:05,880 --> 00:02:09,670 As is her fever and elevated white count. 43 00:02:09,700 --> 00:02:12,670 Your gallbladder probably needs to be removed. 44 00:02:14,230 --> 00:02:16,050 You must be excited, Claire. 45 00:02:16,080 --> 00:02:18,220 This is going to be your first surgery. 46 00:02:21,000 --> 00:02:22,550 Has your urine changed color? 47 00:02:23,050 --> 00:02:24,420 Gotten darker? 48 00:02:25,970 --> 00:02:33,970 Synced & corrected by -robtor- www.addic7ed.com 49 00:02:36,140 --> 00:02:39,420 I hear Dr. Browne might have landed her first lap chole. 50 00:02:39,440 --> 00:02:41,750 It's not exactly a straightforward case. 51 00:02:41,780 --> 00:02:43,460 The duct is massively dilated, 52 00:02:43,480 --> 00:02:46,020 the wall's inflamed, this scarring... 53 00:02:46,050 --> 00:02:48,200 It's gonna limit visibility. 54 00:02:48,360 --> 00:02:49,710 Well, the thickness of the gallbladder wall 55 00:02:49,730 --> 00:02:51,100 does pose a challenge. 56 00:02:52,030 --> 00:02:53,160 What do you think? 57 00:02:53,450 --> 00:02:55,350 It's not her decision. 58 00:02:55,370 --> 00:02:56,790 It's mine, as the attending. 59 00:02:58,000 --> 00:03:00,080 Doesn't mean she shouldn't offer her opinion. 60 00:03:04,080 --> 00:03:07,750 I think that, um, Dr. Melendez is right. 61 00:03:07,780 --> 00:03:09,760 With the limited visibility, I shouldn't be... 62 00:03:09,780 --> 00:03:12,810 Only with a laparoscopic cholecystectomy. 63 00:03:12,830 --> 00:03:15,060 Which I don't think we should do. 64 00:03:15,800 --> 00:03:18,220 An open procedure would provide a clearer view 65 00:03:18,240 --> 00:03:19,880 of the gallbladder and the surrounding anatomy 66 00:03:19,910 --> 00:03:21,540 despite the inflammation. 67 00:03:29,220 --> 00:03:31,330 Carly and I went on another date last night. 68 00:03:31,350 --> 00:03:32,680 Mm. What did you do? 69 00:03:32,700 --> 00:03:33,800 Dinner, movie... 70 00:03:33,820 --> 00:03:36,170 We walked 12 minutes to a deli 71 00:03:36,190 --> 00:03:38,420 and had some food and talked. 72 00:03:38,630 --> 00:03:39,940 Where are we going? 73 00:03:39,960 --> 00:03:42,440 Andrews is starting an open chole. 74 00:03:42,460 --> 00:03:43,659 Sounds like it's going well with you and Carly. 75 00:03:43,660 --> 00:03:44,670 Oh, yes. 76 00:03:44,700 --> 00:03:47,540 She answered all of my questions. 77 00:03:47,570 --> 00:03:48,880 How many did you ask? 78 00:03:48,900 --> 00:03:52,090 83, although some had multiple parts. 79 00:03:53,460 --> 00:03:55,270 "Do you want to have children? 80 00:03:55,290 --> 00:03:57,140 If yes, how many and when?" 81 00:03:57,160 --> 00:03:58,710 "Where do you plan to raise them? 82 00:03:58,730 --> 00:04:01,370 In what religious tradition?" 83 00:04:01,400 --> 00:04:03,640 Those are pretty intense. 84 00:04:03,670 --> 00:04:06,980 They're good questions, Claire, about important topics. 85 00:04:07,000 --> 00:04:09,950 Early on, people usually stick with lighter stuff... 86 00:04:09,970 --> 00:04:12,350 Favorite movies, bands, hometowns. 87 00:04:12,380 --> 00:04:13,410 Small talk. 88 00:04:16,050 --> 00:04:18,650 Put some LAPs in the upper-right quadrant. 89 00:04:20,240 --> 00:04:21,830 Here's the Bovie, Dr. Andrews. 90 00:04:21,850 --> 00:04:24,000 Isn't the point of dating 91 00:04:24,030 --> 00:04:27,100 to gather information to determine compatibility? 92 00:04:27,130 --> 00:04:28,770 Retract the omentum. 93 00:04:28,790 --> 00:04:30,470 Sure. 94 00:04:30,500 --> 00:04:32,920 Isn't that best achieved 95 00:04:32,940 --> 00:04:35,780 by finding out what's important to the other person? 96 00:04:35,800 --> 00:04:37,679 Hemostats. 97 00:04:37,680 --> 00:04:39,260 It's a... It's a process, Shaun, 98 00:04:39,280 --> 00:04:40,430 like peeling an onion. 99 00:04:40,450 --> 00:04:42,300 People are more comfortable 100 00:04:42,320 --> 00:04:44,370 revealing their layers gradually, 101 00:04:44,390 --> 00:04:46,390 as opposed to getting sliced right down the middle. 102 00:04:46,860 --> 00:04:48,680 I heard Dr. Lim selected you 103 00:04:48,700 --> 00:04:50,140 for the first lead. 104 00:04:50,430 --> 00:04:52,560 I'm guessing you drew a cholecystectomy. 105 00:04:52,580 --> 00:04:53,740 Sponge on a stick. 106 00:04:53,770 --> 00:04:55,140 What's your approach to dissecting... 107 00:04:55,170 --> 00:04:56,620 Retrograde or antegrade? 108 00:04:56,640 --> 00:04:57,650 Antegrade. 109 00:04:57,660 --> 00:04:59,210 Once I've located the porta hepatis. 110 00:04:59,240 --> 00:05:02,020 I think Carly was comfortable. 111 00:05:02,040 --> 00:05:03,320 Why does it matter 112 00:05:03,340 --> 00:05:05,590 what kind of questions are asked when? 113 00:05:05,610 --> 00:05:07,520 Aren't the answers what's important? 114 00:05:07,550 --> 00:05:08,990 - I'm sure you're right. - Yes. 115 00:05:09,010 --> 00:05:11,160 What is the plan for the next date? 116 00:05:11,180 --> 00:05:12,800 Hmm. 117 00:05:12,820 --> 00:05:15,960 We didn't make another date. 118 00:05:15,990 --> 00:05:18,000 Then I grasp gallbladder fundus 119 00:05:18,020 --> 00:05:19,760 - and elevate it which way? - S-Superiorly. 120 00:05:19,780 --> 00:05:21,440 Is that significant? 121 00:05:21,460 --> 00:05:22,600 No follow-up date? 122 00:05:22,620 --> 00:05:23,970 Not necessarily. 123 00:05:24,000 --> 00:05:25,340 How did the night end? 124 00:05:25,350 --> 00:05:26,360 Good-night kiss? 125 00:05:26,380 --> 00:05:28,640 I've exposed the triangle of Calot 126 00:05:28,670 --> 00:05:31,340 and ligated the cystic duct and artery. 127 00:05:31,360 --> 00:05:32,680 What is the risk at this juncture? 128 00:05:32,710 --> 00:05:34,860 - Lacerating the liver during dissection. - Correct. 129 00:05:34,880 --> 00:05:36,070 We didn't kiss. 130 00:05:36,090 --> 00:05:37,880 Ironically, a complication 131 00:05:37,900 --> 00:05:40,220 which I've inadvertently just demonstrated. 132 00:05:40,250 --> 00:05:41,420 Hold direct pressure. 133 00:05:41,450 --> 00:05:42,660 I need better exposure. 134 00:05:42,680 --> 00:05:45,090 I sliced instead of peeled. 135 00:05:45,120 --> 00:05:46,580 You are familiar with the Pringle procedure, 136 00:05:46,590 --> 00:05:47,600 Dr. Browne? 137 00:05:47,620 --> 00:05:48,840 Yes, although I've never... 138 00:05:48,860 --> 00:05:50,260 Clamp down the portal triad 139 00:05:50,280 --> 00:05:51,900 with an atraumatic hemostat clamp, 140 00:05:51,920 --> 00:05:53,620 then use a number 2 catgut suture. 141 00:06:08,680 --> 00:06:11,620 Shaun, just go to her and explain. 142 00:06:11,640 --> 00:06:14,260 If what I said made her uncomfortable, 143 00:06:14,280 --> 00:06:17,000 then saying more could make her more uncomfortable. 144 00:06:17,020 --> 00:06:19,160 I sliced instead of peeled. 145 00:06:19,620 --> 00:06:21,460 After Michelle's surgery, 146 00:06:21,480 --> 00:06:23,600 I will go and talk to Carly. 147 00:06:23,700 --> 00:06:25,740 Good. 148 00:06:30,500 --> 00:06:33,140 You can talk to her soon. 149 00:06:33,270 --> 00:06:35,000 OR 2 had a cancellation. 150 00:06:35,040 --> 00:06:37,480 Your surgery is in 45 minutes. 151 00:06:40,580 --> 00:06:41,600 Hi, I'm Dr. Browne. 152 00:06:41,620 --> 00:06:43,520 I will be performing Michelle's surgery. 153 00:06:47,080 --> 00:06:48,850 I will be removing her gallbladder. 154 00:06:48,880 --> 00:06:50,960 It is a simple procedure. 155 00:06:50,980 --> 00:06:52,290 We're gonna make sure your daughter 156 00:06:52,320 --> 00:06:53,590 is well taken care of. 157 00:06:55,390 --> 00:06:56,870 Ow! 158 00:06:56,890 --> 00:06:58,880 Sir, we need to decapitate it. 159 00:06:58,900 --> 00:07:01,090 No, don't. I'm begging you. 160 00:07:01,110 --> 00:07:02,200 Don't. 161 00:07:02,230 --> 00:07:03,500 Please. 162 00:07:04,230 --> 00:07:05,570 I can't get an image. 163 00:07:05,600 --> 00:07:06,640 How did that... 164 00:07:06,670 --> 00:07:08,080 I-Is that a swordfish? 165 00:07:08,100 --> 00:07:10,010 With that dorsal fin? It's a marlin. 166 00:07:10,040 --> 00:07:11,580 I hooked him with a naked ballyhoo. 167 00:07:11,600 --> 00:07:13,380 Battled me for over an hour. 168 00:07:13,410 --> 00:07:16,180 Suddenly, he just leapt out of the water. He came right at me. 169 00:07:16,210 --> 00:07:17,700 Save the story for the bar, Quint. 170 00:07:17,720 --> 00:07:19,600 Right now, we need to cut the damn thing in half. 171 00:07:19,620 --> 00:07:21,190 No. 40-plus years 172 00:07:21,210 --> 00:07:22,560 I've been chasing a fish like this. 173 00:07:22,580 --> 00:07:23,880 You can't just behead him! 174 00:07:23,900 --> 00:07:25,730 Can't leave his nose in your leg, either. 175 00:07:25,750 --> 00:07:27,120 His bill. 176 00:07:28,050 --> 00:07:31,860 Can't you just pull him out gently? 177 00:07:31,880 --> 00:07:32,900 I'll sign a waiver. 178 00:07:32,930 --> 00:07:34,400 The pull-out method never works. 179 00:07:34,430 --> 00:07:37,300 If any of your blood vessels are damaged, it gets messy. 180 00:07:37,330 --> 00:07:39,060 Congrats. I hear your surgery is on the schedule. 181 00:07:39,100 --> 00:07:40,480 How's his distal pulse? 182 00:07:40,500 --> 00:07:41,640 A little thready, but still there. 183 00:07:41,670 --> 00:07:42,850 We need to get him to an MRI. 184 00:07:42,870 --> 00:07:44,760 I'm not going anywhere without Franklin. 185 00:07:46,970 --> 00:07:48,420 I named him after my father. 186 00:07:48,440 --> 00:07:50,220 You and Franklin both won't fit. 187 00:07:50,840 --> 00:07:52,320 Aah! Oh! Oh! 188 00:07:52,340 --> 00:07:54,680 - How? You said he was dead! - I didn't take a pulse. 189 00:07:54,700 --> 00:07:55,990 Go get something to kill it. 190 00:07:56,010 --> 00:07:57,930 - No, it's dead! - It's moving! 191 00:07:57,950 --> 00:07:59,380 It's a postmortem response. 192 00:07:59,400 --> 00:08:01,000 You guys are doctors. Don't people do this? 193 00:08:01,020 --> 00:08:02,020 - No! - No! 194 00:08:08,130 --> 00:08:09,590 I'll help you review at lunch. 195 00:08:09,610 --> 00:08:11,610 Surgery's in 20 minutes. 196 00:08:11,630 --> 00:08:13,480 - Good luck. - You, too. 197 00:08:25,150 --> 00:08:27,860 I want to... 198 00:08:27,880 --> 00:08:28,960 No, no, I haven't looked. 199 00:08:28,980 --> 00:08:32,260 I want to be... 200 00:08:32,290 --> 00:08:33,330 - Great. - ...great... 201 00:08:33,350 --> 00:08:34,460 Okay. 202 00:08:34,490 --> 00:08:35,860 - ...or nothing. - Nothing. 203 00:08:35,890 --> 00:08:39,020 Got it. I'll be back as soon as I can. 204 00:08:40,960 --> 00:08:42,870 Hi. You must be Michelle's mother. 205 00:08:42,900 --> 00:08:44,370 I'm Dr. Browne. I'll be... 206 00:08:44,400 --> 00:08:45,910 Yeah. How long will she have to stay in here? 207 00:08:45,930 --> 00:08:47,510 Hospitals make me nervous. 208 00:08:47,530 --> 00:08:49,810 Three days to a week, depending on... 209 00:08:49,830 --> 00:08:52,310 Well, she's gonna miss a lot of school. 210 00:08:52,340 --> 00:08:54,850 And she watches Tisha and her brothers in the afternoon. 211 00:08:54,870 --> 00:08:57,050 Your daughter has a serious infection in her gallbladder. 212 00:08:57,080 --> 00:08:58,790 She's been experiencing symptoms 213 00:08:58,810 --> 00:09:00,760 on and off for a while now. 214 00:09:00,780 --> 00:09:02,420 She never told me that. 215 00:09:03,180 --> 00:09:05,090 Why didn't you tell me that? 216 00:09:05,720 --> 00:09:07,060 - Mama... - My point is, 217 00:09:07,090 --> 00:09:09,000 she's been ill for a while, 218 00:09:09,020 --> 00:09:10,500 so her recovery may take... 219 00:09:10,520 --> 00:09:12,700 Mom. 220 00:09:12,720 --> 00:09:14,070 Mom? 221 00:09:14,090 --> 00:09:17,070 P-Please, my... my chest hurts. 222 00:09:17,100 --> 00:09:18,120 What's wrong? 223 00:09:18,140 --> 00:09:20,120 Her oxygen levels are dropping. She's tachycardic. 224 00:09:20,140 --> 00:09:21,730 I need a chest CT, stat. 225 00:09:28,090 --> 00:09:29,420 You had a blood clot 226 00:09:29,450 --> 00:09:31,230 in the artery that feeds your lungs. 227 00:09:31,260 --> 00:09:32,840 It's called a pulmonary embolism. 228 00:09:32,860 --> 00:09:34,330 This medicine broke it up. 229 00:09:34,360 --> 00:09:35,730 How could that happen? 230 00:09:35,750 --> 00:09:36,760 According to our scan, 231 00:09:36,780 --> 00:09:38,540 it was part of a larger clot in your leg 232 00:09:38,560 --> 00:09:39,910 that broke off and traveled there. 233 00:09:39,930 --> 00:09:42,810 As for why the larger one formed, 234 00:09:42,830 --> 00:09:45,440 when I asked you if you were taking birth control pills, 235 00:09:45,470 --> 00:09:47,110 you said no. 236 00:09:47,140 --> 00:09:48,320 Was that the truth? 237 00:09:49,360 --> 00:09:51,430 You asked me in front of Tisha. 238 00:09:51,900 --> 00:09:54,240 I'm doing it with my boyfriend, and I don't want babies, 239 00:09:54,270 --> 00:09:55,810 so I'm taking birth control pills. 240 00:09:55,830 --> 00:09:57,220 How long have you been taking them? 241 00:09:57,250 --> 00:09:58,920 I don't know. A year? 242 00:09:58,940 --> 00:10:01,550 I'm prescribing condoms for your boyfriend. 243 00:10:01,900 --> 00:10:04,450 You need to go off the pill to prevent further clots. 244 00:10:04,480 --> 00:10:08,160 Dr. Browne is gonna place an IVC filter via your femoral vein, 245 00:10:08,180 --> 00:10:09,920 in case other parts of the clot break off. 246 00:10:09,940 --> 00:10:12,300 Your gallbladder surgery's gonna have to wait till tomorrow. 247 00:10:13,020 --> 00:10:14,380 What are you doing? 248 00:10:15,650 --> 00:10:17,500 This is where the catheter goes in. 249 00:10:28,530 --> 00:10:30,780 How did you get these scars? 250 00:10:30,800 --> 00:10:33,210 I cut myself climbing a fence. 251 00:10:40,300 --> 00:10:42,940 Those scars... 252 00:10:43,900 --> 00:10:46,820 They're straight, in a row, 253 00:10:46,890 --> 00:10:48,480 all the same length. 254 00:10:50,360 --> 00:10:52,200 I don't believe you got them from a fence. 255 00:10:53,910 --> 00:10:55,880 I don't care what you believe. 256 00:11:02,030 --> 00:11:03,670 Kids who cut, 257 00:11:04,270 --> 00:11:08,220 most of them are really sad, 258 00:11:08,240 --> 00:11:10,090 in a lot of pain, 259 00:11:10,120 --> 00:11:11,890 and they say cutting makes them feel better. 260 00:11:11,910 --> 00:11:13,210 Is that how it is with you? 261 00:11:14,600 --> 00:11:16,120 I don't want to talk about it. 262 00:11:19,150 --> 00:11:20,490 Okay. 263 00:11:42,570 --> 00:11:44,120 My life sucks, okay? 264 00:11:44,590 --> 00:11:46,290 Tell me how. 265 00:11:46,310 --> 00:11:47,510 Why? 266 00:11:48,510 --> 00:11:50,010 It won't change anything. 267 00:11:51,980 --> 00:11:54,720 Talking might make you feel better, 268 00:11:56,020 --> 00:11:57,660 and maybe I can help. 269 00:11:59,660 --> 00:12:02,520 I live in a foster home, but I'm not a foster kid. 270 00:12:03,060 --> 00:12:05,980 I'm a whole mother, but I've never had a baby. 271 00:12:08,000 --> 00:12:10,210 My mom brought three kids in our home, 272 00:12:10,230 --> 00:12:12,550 and now it's my job to take care of them... 273 00:12:12,570 --> 00:12:14,800 Make breakfast, get the kids dressed, 274 00:12:14,820 --> 00:12:16,240 take them to school, go to school, 275 00:12:16,260 --> 00:12:18,550 pick them up, dinner, homework, laundry. 276 00:12:18,580 --> 00:12:19,900 Repeat. 277 00:12:20,410 --> 00:12:22,040 I barely ever leave the house 278 00:12:22,050 --> 00:12:23,890 without a kid attached to me. 279 00:12:23,910 --> 00:12:26,090 Can you help me with that? 280 00:12:28,750 --> 00:12:30,560 Michelle wouldn't hurt herself on purpose. 281 00:12:30,590 --> 00:12:33,180 Michelle is unhappy. She feels pressure 282 00:12:33,200 --> 00:12:34,870 to look after her foster siblings, 283 00:12:34,890 --> 00:12:35,970 help out at home... 284 00:12:36,000 --> 00:12:37,390 Yeah, her home life is fine. 285 00:12:38,800 --> 00:12:40,340 I'll talk to her. 286 00:12:40,370 --> 00:12:43,420 It might be helpful to have her speak with a psychiatrist. 287 00:12:43,470 --> 00:12:44,750 My daughter is not crazy. 288 00:12:44,770 --> 00:12:46,510 We... We don't do psychiatrists. You know that. 289 00:12:46,540 --> 00:12:47,780 That needs to change. 290 00:12:47,810 --> 00:12:49,380 When are you doing her surgery? 291 00:12:49,410 --> 00:12:51,020 - Tomorrow. - Thank you. 292 00:12:52,440 --> 00:12:53,910 I will speak to my daughter. 293 00:12:58,580 --> 00:12:59,960 Don't. 294 00:13:00,370 --> 00:13:02,790 It's your job to fix her gallbladder, not her life. 295 00:13:03,790 --> 00:13:05,470 It's your first surgery. 296 00:13:05,490 --> 00:13:06,920 Don't get distracted. 297 00:13:20,040 --> 00:13:21,350 Have you talked to Carly? 298 00:13:22,810 --> 00:13:23,850 No. 299 00:13:25,700 --> 00:13:27,970 Blood pressure is 62/31. 300 00:13:28,000 --> 00:13:29,690 Your patient is in cardiac arrest. 301 00:13:29,710 --> 00:13:30,820 I know. 302 00:13:32,100 --> 00:13:35,360 You're practicing the Pringle maneuver 303 00:13:35,390 --> 00:13:37,000 in the event of a liver bleed? 304 00:13:37,020 --> 00:13:38,640 Yes. 305 00:13:41,260 --> 00:13:43,370 - That was better. - Thanks. 306 00:13:43,400 --> 00:13:45,170 Now you can talk to Carly. 307 00:13:45,200 --> 00:13:46,710 I need to practice. 308 00:13:50,270 --> 00:13:52,950 Dr. Lim says 309 00:13:52,970 --> 00:13:56,550 getting away from things every now and again, 310 00:13:56,570 --> 00:13:59,020 having balance in our lives 311 00:13:59,040 --> 00:14:02,640 can be just as important to our performance as practice. 312 00:14:02,680 --> 00:14:06,080 Maybe you should get some balance by talking to Carly. 313 00:14:06,100 --> 00:14:07,119 I don't know. 314 00:14:08,890 --> 00:14:10,870 I'm nervous about my surgery, Shaun. 315 00:14:10,890 --> 00:14:12,770 Practice will make me less nervous. 316 00:14:12,800 --> 00:14:14,660 That will improve my performance. 317 00:14:16,880 --> 00:14:17,920 Okay. 318 00:14:20,730 --> 00:14:22,080 Okay. 319 00:14:23,200 --> 00:14:26,250 You should also practice not causing a liver bleed. 320 00:14:26,280 --> 00:14:27,960 Planning on it. 321 00:14:28,710 --> 00:14:33,760 Also, how you will recover if you cut the portal vein. 322 00:14:33,780 --> 00:14:35,970 That's potentially fatal. 323 00:14:36,620 --> 00:14:39,490 Or if you perforate the small bowel, 324 00:14:39,520 --> 00:14:41,660 which could cause sepsis, leading to death. 325 00:14:41,690 --> 00:14:44,270 Or if you cut the common bile duct, 326 00:14:44,290 --> 00:14:45,630 - which would cause... - I'm gonna go talk to Carly. 327 00:14:45,660 --> 00:14:47,270 - Right now? - Right now. 328 00:14:47,290 --> 00:14:49,600 - Aren't you still nervous? - Nope, all better. 329 00:14:52,900 --> 00:14:54,310 What blade for the Kocher? 330 00:14:54,340 --> 00:14:55,740 What? 331 00:14:55,770 --> 00:14:58,380 Incision for the chole... what blade? 332 00:14:58,400 --> 00:14:59,660 Uh... 333 00:15:01,750 --> 00:15:03,250 - 10. - Mm-hmm. 334 00:15:05,000 --> 00:15:07,590 No, they won't both fit in the MRI. 335 00:15:07,610 --> 00:15:10,230 Fish Boy doesn't buy it. 336 00:15:10,250 --> 00:15:12,060 Location of the incision. 337 00:15:13,990 --> 00:15:15,460 Why are you trying to help me? 338 00:15:15,490 --> 00:15:17,980 Lim picked you for the first surgery. 339 00:15:18,000 --> 00:15:19,270 Everyone knows that makes you 340 00:15:19,290 --> 00:15:20,970 the front-runner for Chief Resident. 341 00:15:20,990 --> 00:15:22,460 This is me sucking up. 342 00:15:24,600 --> 00:15:25,960 I've never been big on pretense... 343 00:15:30,140 --> 00:15:31,510 Are you okay? 344 00:15:31,540 --> 00:15:32,800 What the hell just happened? 345 00:15:34,210 --> 00:15:35,950 The marlin must have had metal in his body... 346 00:15:35,970 --> 00:15:37,120 Lures and stuff. 347 00:15:37,140 --> 00:15:39,290 I think a license plate flew by me. 348 00:15:39,310 --> 00:15:40,960 Franklin! 349 00:15:40,980 --> 00:15:42,320 Oh, no! 350 00:15:42,350 --> 00:15:43,420 Franklin! 351 00:15:46,020 --> 00:15:47,860 Oh, it's okay. 352 00:15:47,890 --> 00:15:48,960 Franklin's okay. 353 00:15:48,990 --> 00:15:51,040 It all came out one side. 354 00:15:52,190 --> 00:15:53,710 It won't show when I mount him. 355 00:15:55,330 --> 00:15:56,670 Well, thank goodness for small miracles. 356 00:15:56,690 --> 00:15:57,770 - Ooh. - Oh! 357 00:15:57,800 --> 00:15:58,910 Ow! 358 00:15:58,930 --> 00:15:59,950 Oh! Ah! 359 00:16:04,600 --> 00:16:05,750 I've got his femoral. 360 00:16:05,770 --> 00:16:06,810 Call the OR. We're coming. 361 00:16:17,180 --> 00:16:18,790 Hang on, Dr. Browne. 362 00:16:18,820 --> 00:16:20,260 Just need to make an incision 363 00:16:20,280 --> 00:16:23,370 above and below the arterial injury site. 364 00:16:23,390 --> 00:16:25,440 We need to clamp the femoral proximal to the bleed 365 00:16:25,470 --> 00:16:27,540 without clipping the femoral nerve. 366 00:16:27,580 --> 00:16:29,970 Got it. I feel the nerve right above my index finger. 367 00:16:30,000 --> 00:16:31,340 One down. 368 00:16:31,360 --> 00:16:32,800 My hand is starting to cramp. 369 00:16:32,820 --> 00:16:34,540 Lean over this way a little bit. Rotate your wrist. 370 00:16:34,570 --> 00:16:36,980 Just a little bit more. 371 00:16:39,040 --> 00:16:40,540 Let's see if that holds. 372 00:16:51,380 --> 00:16:53,230 Go get cleaned up. We'll take it from here. 373 00:17:02,860 --> 00:17:04,700 I wanted to check the patient's bloodwork. 374 00:17:04,730 --> 00:17:06,810 He's negative for HIV, Hep B and C. 375 00:17:06,830 --> 00:17:08,730 You don't need prophylactic meds. 376 00:17:11,600 --> 00:17:14,540 I'm nervous about my surgery. 377 00:17:15,310 --> 00:17:16,810 You'll be fine. 378 00:17:18,270 --> 00:17:20,140 And don't ever say that again. 379 00:17:20,910 --> 00:17:22,260 Why? 380 00:17:22,840 --> 00:17:24,990 Weren't you nervous before your first lead? 381 00:17:25,020 --> 00:17:26,040 If I was, 382 00:17:26,060 --> 00:17:28,180 I didn't volunteer that to the Chief of Surgery... 383 00:17:28,790 --> 00:17:30,370 Or anyone. 384 00:17:30,400 --> 00:17:32,030 We're women, we're not white, 385 00:17:32,060 --> 00:17:33,260 and we're surgeons. 386 00:17:33,280 --> 00:17:36,130 Unicorns consider us a fabled species. 387 00:17:36,150 --> 00:17:38,860 We don't get the luxury of public insecurity. 388 00:17:40,170 --> 00:17:43,250 I will aspire to repressed stoicism in the future. 389 00:17:43,280 --> 00:17:45,550 We don't need to be insecure, 390 00:17:45,580 --> 00:17:47,260 because every step of the way, 391 00:17:47,280 --> 00:17:49,550 we've had to be twice as good as everybody else. 392 00:17:50,710 --> 00:17:52,190 Suck it up. 393 00:17:52,210 --> 00:17:54,120 You got this. 394 00:18:41,790 --> 00:18:45,370 Don't forget we have our session with Dr. Donovan today. 395 00:18:45,400 --> 00:18:46,860 I won't. 396 00:18:54,540 --> 00:18:56,580 - Your patient. - Mm-hmm. 397 00:18:56,610 --> 00:18:58,000 What are they like? 398 00:18:58,480 --> 00:19:00,890 Man, woman, young, old? 399 00:19:00,910 --> 00:19:02,630 Woman. 400 00:19:03,680 --> 00:19:05,590 Girl, actually. 401 00:19:06,260 --> 00:19:11,500 She's tough, smart... really sad. 402 00:19:12,740 --> 00:19:15,860 Her mom has her taking care of three foster kids. 403 00:19:18,200 --> 00:19:20,350 At least you were only stuck looking after me. 404 00:19:25,640 --> 00:19:26,980 How old? 405 00:19:27,000 --> 00:19:28,750 14. 406 00:19:28,770 --> 00:19:32,450 Although she acts a lot older. 407 00:19:32,480 --> 00:19:34,280 She's been having sex for almost a year. 408 00:19:35,710 --> 00:19:38,160 Well, you were about that age when you were with Wayne. 409 00:19:39,320 --> 00:19:41,630 - I didn't have sex with Wayne. - What? 410 00:19:41,650 --> 00:19:43,330 He was in love with you, 411 00:19:43,350 --> 00:19:45,370 always sniffing around our place. 412 00:19:45,390 --> 00:19:46,930 Maybe. He didn't get any. 413 00:19:46,960 --> 00:19:48,040 So, who? 414 00:19:48,060 --> 00:19:50,040 Junior prom guy... Derek. 415 00:19:50,060 --> 00:19:51,270 Der... No. 416 00:19:52,610 --> 00:19:55,410 I didn't lose my virginity 417 00:19:55,430 --> 00:19:58,200 until sophomore year of college. 418 00:19:58,220 --> 00:20:00,110 What were you hoping for, a proposal? 419 00:20:00,140 --> 00:20:01,760 No. 420 00:20:02,970 --> 00:20:04,710 I wanted it to be special. 421 00:20:07,910 --> 00:20:10,460 Oh, good for you. 422 00:20:10,480 --> 00:20:11,660 I mean, I wouldn't have held out... 423 00:20:11,680 --> 00:20:13,090 - No. - ...but good for you. 424 00:20:13,120 --> 00:20:15,780 I thought for sure you and Wayne were doing it. 425 00:20:17,720 --> 00:20:19,330 You were okay with that? 426 00:20:19,360 --> 00:20:21,200 You were so serious. 427 00:20:21,230 --> 00:20:23,000 So restrained. 428 00:20:23,030 --> 00:20:25,330 We talked about birth control. 429 00:20:25,360 --> 00:20:27,140 I figured, "Good for her. 430 00:20:27,170 --> 00:20:29,800 She's finally relaxing, having some fun." 431 00:20:33,380 --> 00:20:36,700 Well, I was so restrained and serious 432 00:20:36,720 --> 00:20:38,970 'cause I never knew when you were gonna fall apart. 433 00:20:44,350 --> 00:20:45,560 Got to get to work. 434 00:20:55,420 --> 00:20:57,530 I'll be back before Michelle goes into surgery. 435 00:20:57,550 --> 00:20:59,030 Have you had a chance to talk to her 436 00:20:59,050 --> 00:21:00,840 about her cutting? 437 00:21:00,860 --> 00:21:03,980 Oh, yeah, some fool friend of hers gave her the idea. 438 00:21:04,000 --> 00:21:06,240 She's not unhappy. It's just peer pressure. 439 00:21:06,260 --> 00:21:07,940 She sounded unhappy to me. 440 00:21:07,960 --> 00:21:10,610 She's upset I didn't let her go hang out with her friends. 441 00:21:10,630 --> 00:21:12,380 It's typical teen drama. 442 00:21:12,400 --> 00:21:14,040 She promised me she's done cutting. 443 00:21:14,070 --> 00:21:16,140 Self-harming behavior doesn't just stop. 444 00:21:16,180 --> 00:21:18,220 - Michelle might need... - Dr. Browne. 445 00:21:18,240 --> 00:21:19,600 My daughter needs to have surgery 446 00:21:19,630 --> 00:21:21,010 and get out of this hospital. 447 00:21:34,960 --> 00:21:36,830 You didn't tell your mom the truth 448 00:21:36,860 --> 00:21:39,610 about why you cut yourself, 449 00:21:39,630 --> 00:21:41,170 about how unhappy you are. 450 00:21:41,200 --> 00:21:42,710 I tried. 451 00:21:42,730 --> 00:21:44,040 She didn't want to hear it, 452 00:21:44,060 --> 00:21:46,410 just said that things aren't always gonna go my way 453 00:21:46,430 --> 00:21:48,510 and I need to be more responsible. 454 00:21:48,540 --> 00:21:50,240 Like I'm not already. 455 00:22:03,620 --> 00:22:06,500 Growing up, I had to take care of my mom. 456 00:22:06,520 --> 00:22:07,920 What was wrong with her? 457 00:22:07,940 --> 00:22:09,330 She's mentally ill. 458 00:22:09,360 --> 00:22:10,900 Bipolar disorder 459 00:22:10,920 --> 00:22:13,700 and a drinking problem, pills. 460 00:22:13,730 --> 00:22:15,180 When things were bad, 461 00:22:15,200 --> 00:22:17,980 she'd forget to buy groceries 462 00:22:18,000 --> 00:22:21,340 or clean the trailer or pick me up. 463 00:22:21,370 --> 00:22:25,380 Or she'd spend all our rent on something stupid. 464 00:22:25,410 --> 00:22:27,880 And I thought 465 00:22:27,910 --> 00:22:31,190 if I could make her life easy enough... 466 00:22:31,210 --> 00:22:34,560 If I cooked and cleaned and got good grades... 467 00:22:34,580 --> 00:22:36,630 Then she'd get better. 468 00:22:36,650 --> 00:22:38,560 But she never did. 469 00:22:38,590 --> 00:22:41,170 And for the longest time, 470 00:22:41,190 --> 00:22:43,330 I thought it was my fault she was sick. 471 00:22:43,360 --> 00:22:46,240 And I probably still would 472 00:22:46,260 --> 00:22:49,380 if a psychiatrist hadn't refused to believe me 473 00:22:49,420 --> 00:22:51,900 when I said I was fine. 474 00:22:53,770 --> 00:22:55,720 You've been to a psychiatrist? 475 00:22:58,720 --> 00:23:01,780 But you're, like, a fancy surgeon. 476 00:23:06,940 --> 00:23:09,230 I could have a therapist come by and see you 477 00:23:09,250 --> 00:23:10,460 before your surgery. 478 00:23:22,260 --> 00:23:23,770 Okay. 479 00:23:40,480 --> 00:23:42,000 He should be getting better. 480 00:23:42,020 --> 00:23:44,390 It's got to be an infection from the marlin. 481 00:23:44,420 --> 00:23:47,060 Aeromonas or mycobacterium marinum. 482 00:23:47,090 --> 00:23:49,070 Would've responded to the antibiotics. 483 00:23:49,090 --> 00:23:51,500 Guys, I'm trying to focus. 484 00:23:52,130 --> 00:23:55,560 What if he has an underlying autoimmune disorder? 485 00:23:55,580 --> 00:23:57,270 It could've been triggered by the surgery 486 00:23:57,300 --> 00:23:59,410 or even the initial fish stabbing. 487 00:23:59,430 --> 00:24:01,680 It would explain why the leg ulcerations are progressing 488 00:24:01,700 --> 00:24:02,950 despite good arterial flow. 489 00:24:02,970 --> 00:24:05,310 We could see if he responds to steroids. 490 00:24:05,340 --> 00:24:07,780 Which could kill him if it is an infection. 491 00:24:12,310 --> 00:24:14,380 But we could run an ANA, see if he's positive. 492 00:24:15,650 --> 00:24:17,090 What about a parasite? 493 00:24:17,120 --> 00:24:19,830 Rhinosporidium seeberi or a gill worm. 494 00:24:19,850 --> 00:24:21,600 Have you talked to Carly? 495 00:24:21,620 --> 00:24:22,700 Sorry. 496 00:24:22,720 --> 00:24:24,900 I got sidetracked by a marlin. 497 00:24:39,340 --> 00:24:40,620 Come in. 498 00:24:40,640 --> 00:24:42,950 You wanted to see me? 499 00:24:42,980 --> 00:24:45,290 Ms. Reynolds tells me that you went against her wishes 500 00:24:45,310 --> 00:24:47,340 and had her daughter speak with a psychiatrist. 501 00:24:48,200 --> 00:24:52,520 Uh, Michelle asked to see a therapist. 502 00:24:52,540 --> 00:24:54,600 Only after you talked her into it. 503 00:24:55,160 --> 00:24:57,070 I'm gonna report you to the medical board. 504 00:24:57,090 --> 00:24:58,099 You had no right... 505 00:24:58,100 --> 00:25:00,050 Dr. Browne, were you concerned 506 00:25:00,070 --> 00:25:02,070 that Michelle might be a serious danger to herself? 507 00:25:02,530 --> 00:25:03,720 Yes. 508 00:25:03,750 --> 00:25:05,760 In that case, the consult was required. 509 00:25:05,870 --> 00:25:07,140 That said, 510 00:25:07,170 --> 00:25:10,030 Dr. Browne's failure to inform you was inappropriate. 511 00:25:10,670 --> 00:25:12,120 You're off the case. 512 00:25:12,140 --> 00:25:14,650 Dr. Melendez will perform the surgery. 513 00:25:24,380 --> 00:25:25,790 How are you doing? 514 00:25:26,820 --> 00:25:28,260 Claire? 515 00:25:28,290 --> 00:25:29,930 I understand today's a big day for you. 516 00:25:29,960 --> 00:25:31,740 Your first surgery. 517 00:25:31,760 --> 00:25:32,800 We don't need to talk about that. 518 00:25:32,830 --> 00:25:35,180 Hmm, I think we do. 519 00:25:35,330 --> 00:25:37,470 You've been taking care of your mother for a long time. 520 00:25:37,500 --> 00:25:40,270 That's a pattern you both need to break out of. 521 00:25:42,800 --> 00:25:44,470 I know I haven't always been there for you, 522 00:25:44,480 --> 00:25:46,180 and I just... I... 523 00:25:46,210 --> 00:25:47,530 I'm trying to change that. 524 00:25:47,550 --> 00:25:48,920 I know, Mom. 525 00:25:48,940 --> 00:25:50,090 I'm good. Everything is fine. 526 00:25:50,110 --> 00:25:51,670 And your first surgery? 527 00:25:51,690 --> 00:25:53,320 Is that this afternoon? 528 00:25:53,350 --> 00:25:54,410 It's... 529 00:25:56,250 --> 00:25:57,820 Actually, it's not. 530 00:25:57,850 --> 00:25:59,030 Um... 531 00:26:00,350 --> 00:26:02,420 I arranged a psych consult 532 00:26:02,440 --> 00:26:04,170 without the mother's permission, 533 00:26:04,190 --> 00:26:06,070 so I got thrown off the case. 534 00:26:06,090 --> 00:26:07,570 How could the hospital allow that? 535 00:26:07,590 --> 00:26:08,700 What is wrong with them? 536 00:26:08,730 --> 00:26:10,070 After how hard you've worked, I just... 537 00:26:10,100 --> 00:26:12,540 It's okay, Mom. They kind of had to. 538 00:26:12,570 --> 00:26:13,960 That must be a big disappointment... 539 00:26:13,990 --> 00:26:15,040 It is. 540 00:26:18,640 --> 00:26:20,270 Anything else, Claire? 541 00:26:22,880 --> 00:26:25,860 I'm upset, humiliated, 542 00:26:27,080 --> 00:26:30,550 so, so mad at my patient's mother 543 00:26:30,580 --> 00:26:32,020 for not taking care of her daughter. 544 00:26:35,220 --> 00:26:37,400 And I... I'm relieved. 545 00:26:37,420 --> 00:26:40,100 I'm so, so relieved to have that weight off of me, 546 00:26:40,130 --> 00:26:41,770 and that makes me feel like a fraud. 547 00:26:41,800 --> 00:26:42,900 Don't you say that. 548 00:26:42,930 --> 00:26:44,460 How can I be so scared 549 00:26:44,480 --> 00:26:47,310 to do something I've wanted for so long? 550 00:26:47,330 --> 00:26:50,340 Because things that matter are scary. 551 00:26:51,470 --> 00:26:54,320 That's how I feel about coming here, 552 00:26:54,340 --> 00:26:57,680 talking about my life and our relationship. 553 00:26:58,650 --> 00:27:00,180 What if I can't fix it? 554 00:27:01,950 --> 00:27:03,320 What if I can't make up 555 00:27:03,340 --> 00:27:05,560 for all the times I've let you down? 556 00:27:07,120 --> 00:27:08,320 And then I think... 557 00:27:10,990 --> 00:27:13,200 ..."Just be like Claire." 558 00:27:17,230 --> 00:27:20,980 Because nothing stops you... ever. 559 00:27:21,000 --> 00:27:22,480 You see what you want, 560 00:27:22,500 --> 00:27:24,950 and you go after it with everything you've got. 561 00:27:26,840 --> 00:27:28,520 You are an inspiration. 562 00:27:30,810 --> 00:27:32,590 You're my inspiration. 563 00:27:45,590 --> 00:27:46,940 Carly? 564 00:27:46,960 --> 00:27:48,340 Hi. Do you have a second? 565 00:27:48,360 --> 00:27:49,720 OR 2 is waiting to learn 566 00:27:49,740 --> 00:27:52,000 the patient's mass wasn't cancerous so they can close. 567 00:27:52,020 --> 00:27:53,039 I can come back after. 568 00:27:53,040 --> 00:27:54,360 - I'll be at the cafe? - Mm-hmm. 569 00:27:54,380 --> 00:27:55,510 Okay. 570 00:27:55,540 --> 00:27:58,180 Anesthesiology, line 271. 571 00:27:58,210 --> 00:28:01,250 Anesthesiology, call line 271. 572 00:28:06,180 --> 00:28:07,620 Cancer. 573 00:28:07,650 --> 00:28:09,390 The marlin guy has cancer. 574 00:28:09,420 --> 00:28:11,360 CT chest, abdomen, and pelvis showed no masses. 575 00:28:11,380 --> 00:28:12,900 It's in his leg. 576 00:28:12,920 --> 00:28:14,680 It explains progressive ulcerations 577 00:28:14,700 --> 00:28:16,300 despite good arterial flow. 578 00:28:16,320 --> 00:28:18,300 And why the antibiotics aren't working. 579 00:28:18,320 --> 00:28:20,320 We'll send a tissue sample from the ulcerated area. 580 00:28:22,330 --> 00:28:25,100 And when I'm Chief Resident, I'll remember this. 581 00:28:29,070 --> 00:28:30,280 There's a problem with Michelle. 582 00:28:30,300 --> 00:28:31,320 I'm not doing it! 583 00:28:31,340 --> 00:28:32,710 You need to calm down. 584 00:28:32,740 --> 00:28:34,320 You don't get to tell me what to do! 585 00:28:34,340 --> 00:28:35,850 I want Dr. Browne! 586 00:28:35,880 --> 00:28:37,220 Michelle? What's going on? 587 00:28:37,240 --> 00:28:39,360 I want you to do my surgery. 588 00:28:39,380 --> 00:28:41,020 I want her, Mama, not somebody else. 589 00:28:41,050 --> 00:28:43,310 Dr. Melendez is gonna do your surgery. 590 00:28:43,350 --> 00:28:44,380 He is a great doctor. 591 00:28:44,410 --> 00:28:45,419 He's not you. 592 00:28:45,420 --> 00:28:46,700 Y-You care about me. 593 00:28:46,720 --> 00:28:48,830 Everybody here cares about you, Michelle. 594 00:28:48,860 --> 00:28:50,970 Now, please sit down. You could rupture your gallbladder. 595 00:28:50,990 --> 00:28:53,100 I-I-I don't want to get better. 596 00:28:53,130 --> 00:28:54,940 - Don't say that. - It's the truth! 597 00:28:54,970 --> 00:28:56,900 Michelle, you need this surgery. 598 00:28:56,920 --> 00:28:59,540 That is all that matters... not whether I do it. 599 00:29:01,900 --> 00:29:03,480 I'm gonna be there. 600 00:29:03,500 --> 00:29:05,080 I will be watching from the gallery 601 00:29:05,100 --> 00:29:06,400 the whole time. 602 00:29:08,710 --> 00:29:11,720 You just... You need... You need to sit down. 603 00:29:25,290 --> 00:29:26,870 The kid okay? 604 00:29:28,620 --> 00:29:30,210 I had to pull you off. 605 00:29:30,230 --> 00:29:32,510 If you made even the tiniest misstep during surgery, 606 00:29:32,530 --> 00:29:34,630 that mom would go from threat to lawsuit. 607 00:29:37,710 --> 00:29:40,020 Is Patricia okay with me watching from the gallery? 608 00:29:40,040 --> 00:29:41,100 No. 609 00:29:42,780 --> 00:29:44,740 You can't remove her gallbladder from the gallery. 610 00:29:45,840 --> 00:29:46,910 What? 611 00:29:46,940 --> 00:29:48,420 You're doing Michelle's surgery. 612 00:29:49,100 --> 00:29:50,830 How'd you get the mom to change her mind? 613 00:29:50,860 --> 00:29:54,160 I explained that, given Dr. Browne's commitment to her daughter, 614 00:29:54,190 --> 00:29:56,400 she's the perfect choice to lead the surgery. 615 00:29:56,420 --> 00:29:58,880 Especially with me over her shoulder the whole time. 616 00:30:01,590 --> 00:30:03,140 Thank you for fighting for me. 617 00:30:03,160 --> 00:30:04,460 That's what bosses do. 618 00:30:04,480 --> 00:30:05,780 Let's go. 619 00:30:15,810 --> 00:30:18,640 - You stood me up. - Sorry about that. 620 00:30:18,660 --> 00:30:19,840 What's up? 621 00:30:19,870 --> 00:30:22,490 Shaun's a little worried he may have freaked you out 622 00:30:22,520 --> 00:30:25,190 with his... questionnaire the other night. 623 00:30:25,220 --> 00:30:26,830 Oh, I thought it was cool. 624 00:30:26,850 --> 00:30:28,580 Small talk bores the hell out of me. 625 00:30:28,600 --> 00:30:29,970 Well, then, great. 626 00:30:29,990 --> 00:30:31,230 I'll tell him. 627 00:30:31,770 --> 00:30:34,679 Shaun got worried about that all on his own? 628 00:30:34,680 --> 00:30:36,190 That doesn't seem like him. 629 00:30:36,960 --> 00:30:38,400 I may have mentioned 630 00:30:38,420 --> 00:30:41,410 that people don't usually ask deeply personal questions 631 00:30:41,420 --> 00:30:42,860 on an early date. 632 00:30:44,640 --> 00:30:46,450 Claire, I like you, 633 00:30:46,470 --> 00:30:48,220 but we don't really know each other. 634 00:30:48,540 --> 00:30:49,850 And yet you decided 635 00:30:49,880 --> 00:30:52,190 how I was going to react to Shaun's questions, 636 00:30:52,210 --> 00:30:54,590 which isn't your business. 637 00:30:54,610 --> 00:30:56,040 And you were wrong... 638 00:30:56,140 --> 00:30:58,660 Totally, totally wrong. 639 00:30:58,690 --> 00:31:01,160 Shaun and I don't need you or anyone else 640 00:31:01,190 --> 00:31:04,050 to run interference on our relationship. 641 00:31:04,620 --> 00:31:06,200 Butt out. 642 00:32:06,310 --> 00:32:08,350 Is everybody ready for a Time Out? 643 00:32:10,610 --> 00:32:13,370 Dr. Claire Browne, lead surgeon. 644 00:32:13,600 --> 00:32:15,450 Dr. Neil Melendez, attending surgeon. 645 00:32:15,480 --> 00:32:18,560 Dr. Shaun Murphy, assisting. 646 00:32:18,590 --> 00:32:21,670 Dr. Jan Lancaster, anesthesia. 647 00:32:21,690 --> 00:32:23,740 Donna Petringa, scrub nurse. 648 00:32:23,760 --> 00:32:26,410 Shani Walden, circulating nurse. 649 00:32:26,560 --> 00:32:28,520 Patient is Michelle Reynolds. 650 00:32:28,540 --> 00:32:30,950 We will be performing an open cholecystectomy. 651 00:32:30,980 --> 00:32:33,810 All tools I need are confirmed to be present. 652 00:32:33,840 --> 00:32:36,210 Estimated blood loss, 100 cc. 653 00:32:36,230 --> 00:32:38,780 Patient will go to the ICU after surgery. 654 00:32:38,810 --> 00:32:40,630 Is everybody in agreement? 655 00:32:42,680 --> 00:32:45,010 Dr. Murphy, have you ChloraPrepped the site? 656 00:32:45,380 --> 00:32:46,480 I have. 657 00:32:47,780 --> 00:32:48,890 10 blade. 658 00:33:19,070 --> 00:33:20,120 Sponge. 659 00:33:27,340 --> 00:33:29,870 Top layer of abdominal muscle is exposed. 660 00:33:29,890 --> 00:33:31,210 I'll need a Bovie to cut through. 661 00:33:48,680 --> 00:33:50,390 Nice work, Dr. Browne. 662 00:33:53,780 --> 00:33:55,090 Bookwalter Retractor. 663 00:34:02,470 --> 00:34:03,560 I see the liver, 664 00:34:03,580 --> 00:34:06,210 and I need to better expose the inferior surface. 665 00:34:06,230 --> 00:34:08,340 Retract the duodenum inferiorly, please. 666 00:34:12,170 --> 00:34:14,250 Gallbladder exposed. 667 00:34:23,810 --> 00:34:25,180 Dr. Browne? 668 00:34:27,380 --> 00:34:29,890 There is more scarring than the imaging suggested. 669 00:34:30,320 --> 00:34:31,690 True. 670 00:34:36,070 --> 00:34:37,450 Talk through your approach. 671 00:34:40,190 --> 00:34:44,470 I... grasp the gallbladder fundus forward 672 00:34:44,500 --> 00:34:46,910 and use a right-angle clamp in my suction 673 00:34:46,940 --> 00:34:49,580 to develop a plane around the gallbladder. 674 00:34:49,840 --> 00:34:51,040 Kelly clamp, 675 00:34:51,060 --> 00:34:52,440 a right-angle clamp, and suction. 676 00:35:13,590 --> 00:35:17,030 That was elegant use of the Kelly clamp. 677 00:35:22,440 --> 00:35:24,480 I see the cystic duct 678 00:35:24,510 --> 00:35:26,920 and, behind it, the cystic artery. 679 00:35:26,940 --> 00:35:29,060 I need my first assist to confirm 680 00:35:29,080 --> 00:35:30,940 that I have identified the common bile duct 681 00:35:30,960 --> 00:35:32,170 and it is out of the way. 682 00:35:32,200 --> 00:35:35,190 Yes. Cutting the duct would be... 683 00:35:35,220 --> 00:35:36,560 Very, very bad. 684 00:35:37,490 --> 00:35:40,140 Move the gallbladder cranially a little bit. 685 00:35:40,880 --> 00:35:42,500 Titanium clip applier. 686 00:35:59,500 --> 00:36:01,080 You sure you have a clear view? 687 00:36:04,780 --> 00:36:05,950 Making the cut. 688 00:36:31,510 --> 00:36:32,750 She's hemorrhaging. 689 00:36:36,980 --> 00:36:38,540 I can't see the source of the bleeding. 690 00:36:46,260 --> 00:36:48,100 MAP is 45 and dropping. 691 00:36:59,840 --> 00:37:01,280 What do you think is happening? 692 00:37:04,350 --> 00:37:05,510 Most likely, 693 00:37:05,530 --> 00:37:09,030 my scissors' tip nicked the right hepatic artery. 694 00:37:09,050 --> 00:37:10,140 It happens. 695 00:37:10,170 --> 00:37:11,580 It's happened to me. 696 00:37:14,750 --> 00:37:17,460 I need to clamp the common hepatic artery, 697 00:37:17,480 --> 00:37:18,980 repair the arterial wall 698 00:37:19,000 --> 00:37:20,560 with running 6-0 Prolene sutures. 699 00:37:20,590 --> 00:37:22,400 That's what I would do. 700 00:38:12,100 --> 00:38:13,920 Hey, hey, hey. Slow down. Slow down. 701 00:38:13,950 --> 00:38:15,550 No running. No running. 702 00:38:16,980 --> 00:38:18,950 Dr. Browne, how's my daughter? 703 00:38:18,980 --> 00:38:20,600 The surgery was a success, 704 00:38:20,620 --> 00:38:22,180 and we expect a full recovery. 705 00:38:23,940 --> 00:38:26,070 I wanna see her! 706 00:38:27,150 --> 00:38:28,730 Is that okay? 707 00:38:28,750 --> 00:38:30,260 - Yay! - Okay. 708 00:38:36,160 --> 00:38:38,230 Michelle says she wants to be a doctor. 709 00:38:40,730 --> 00:38:42,670 She would be a great one. 710 00:38:44,770 --> 00:38:48,190 Uh, that therapist Michelle talked to... 711 00:38:49,820 --> 00:38:52,120 ...could I get her card? 712 00:38:57,550 --> 00:38:59,850 - Hi, baby. - Hey. 713 00:39:13,300 --> 00:39:15,140 Okay. 714 00:39:16,580 --> 00:39:18,740 Three, two, one. 715 00:39:23,710 --> 00:39:25,450 You were right. 716 00:39:25,480 --> 00:39:27,490 He had angiosarcoma of the leg. 717 00:39:27,510 --> 00:39:30,160 Had to amputate, but the margins were clean. 718 00:39:30,180 --> 00:39:31,920 - Hmm. - What happened to the... 719 00:39:31,940 --> 00:39:32,980 Franklin! 720 00:39:33,550 --> 00:39:36,500 Oh! 721 00:39:39,130 --> 00:39:42,500 Franklin, you amazing fish! 722 00:39:43,460 --> 00:39:45,010 You saved my life. 723 00:39:45,030 --> 00:39:47,120 Come on, bring him... bring him here. 724 00:39:47,140 --> 00:39:48,380 Bring him... Bring him in. 725 00:39:48,400 --> 00:39:49,680 Oh. 726 00:39:56,740 --> 00:39:57,990 Thank you, guys. 727 00:39:58,010 --> 00:40:00,760 Group hug. 728 00:40:06,450 --> 00:40:08,400 Do you prefer to work in a team 729 00:40:08,420 --> 00:40:11,440 or do you prefer to lead or follow command? 730 00:40:11,470 --> 00:40:14,540 Team... and to lead. 731 00:40:18,430 --> 00:40:21,000 What machine or appliance in your house 732 00:40:21,020 --> 00:40:22,510 aggravates you the most? 733 00:40:22,540 --> 00:40:23,620 The dishwasher. 734 00:40:29,610 --> 00:40:31,280 Hey, I'm just leaving. 735 00:40:32,450 --> 00:40:34,220 Who is this? 736 00:41:42,510 --> 00:41:44,290 Message received 737 00:41:44,320 --> 00:41:48,719 at 5:30 p.m. from Mom. 738 00:41:49,730 --> 00:41:51,920 Hey, baby, I got your text. 739 00:41:51,950 --> 00:41:54,520 See, I knew it was just a temporary setback. 740 00:41:54,540 --> 00:41:55,600 We're gonna celebrate. 741 00:41:55,620 --> 00:41:57,040 I made dinner. 742 00:41:57,060 --> 00:41:58,960 And I'm gonna go get some dessert. 743 00:41:58,980 --> 00:42:00,180 I'll see you soon. 744 00:42:00,200 --> 00:42:02,110 I'm so proud of you, baby.