Boston Med (2010) s01e01 Episode Script
Pilot
This is mass general.
Go ahead.
Police officer shot during a robbery attempt.
Something's wrong with the baby's heart.
We're going into the unknown here.
Boston--home to three of America's greatest hospitals-- Mass general, the brigham and children's.
These are the stories Of the men and women who work in them.
I've never seen a guy piss off more nurses than you on rounds.
Oh, really? Are you asking me out in front of this camera? Code blue, e.
D.
Code team.
Can anyone feel a pulse? I got nothing.
this is mass general.
Go ahead.
27-year-old male.
Unknown if he was hit by a car.
He's got facial trauma.
Access in both arms.
This guy was heavily intoxicated.
He was found down.
So we don't know if he has a bleed in his brain.
Uh, we don't really know what's going on.
Um, our main concern is to protect his airway.
Traumas are really nerve-racking for me.
One, two, three.
Sorry.
Sorry.
How old is he? 27.
I don't even know how I got into this residency program.
I don't have, like, an Ivy league background or anything.
Try to relax.
it's all right.
It's okay.
What's your name, buddy? What do you want to do for airway? Go ahead and intubate him.
You have suction nearby? Angela, ? I have suction.
I see the cords.
Hand me the tube, please.
You're doing fine.
Make sure you see it going through the cords.
Did you see it go through? I-I just want to see if I c see the cords again.
I could see them.
I can definitely see the cords.
People say I'm too nice all the time.
People run over me whenever-- I-if I let them.
Would you like me to go ahead and intubate him? Yeah.
I'm the attending anesthesiologist.
Yes, thank you, thank you, thank you.
Okay.
Great.
Okay, do you have, uh, like, the, uh, End-tidal co2 detector? yep.
I didn't get it the first pass, but, you know, The patient's stable.
I deserve another chance.
You happy with your breath sounds? It's my job to take care of the patient And the patient's airway.
It's not my job to teach the resident.
This was a trauma that I was Supposed to be in charge of, so I feel like This intubation was just kinda taken away fm me.
I would've given Pina another turn And then if Pina had difficulty, I would've then performed the intubation myself.
I'm never gonna get over this, Monique.
Never.
It's gonna haunt me forever.
It's not cockiness.
It's confidence.
The more experience you have, The ss likely you should be to make mistakes.
Morning.
go morning.
It's, uh, 6:30.
It's, um, we're a little-- We're getting a little-- started a little bit late.
We usually round between 6: A 6:30.
Late.
Ten minutes.
It's always good when you, yourself, show up late, To call everyone else out on being late.
If I had the choice between getting on a plane tonight And flying to Bermuda for a week, All expenses paid, and doing a transplant, I would go to the hospital and do the transplant.
That's how much I love it.
You ready for a little qua- Mr.
Energy.
It's, uh, Friday morning.
Big meeting--quality assurance.
This is where we, uh Talk about all the bad things that Dibar did.
Basically talk about all the things that Jon didn't take care of as administrative chief resident.
Going up.
If you've ever spent five minutes with Dibar, You know that, um, the only way to really calm him down Would be to give him, you know, a tranquilizer, Because he's got so much energy.
So this is a very big day for The cardiothoracic service.
Now we're gonna do a heart and two lungs, um, All from the same donor In three separate operating rooms, um, simultaneously.
My name is Daniel Dibardino, and today I'll be giving The gift of life via lung.
My siamese twin arrives in street clothes.
So listen, um, this kinda sucks that you had to come in today.
The gift of life via lung.
My siamese twin arrives in street clothes.
No, it's okay.
Yore gonna do one recipient.
Yeah.
So--and I want to split the - Sounds good.
It--it never ceases to be awesome.
I mean, a transplant is just one of those things That would h-- we do a lot here, But no matter how many you do, .
Yeah.
We have both our recipients today that are gonna split The single lungs from the same donor.
They're both in the emergency room.
First wee gonna meet Mary white.
Uh, she is a lady with a progressive, Degenerative lung disease.
Hi, there.
Hi.
It's a pleasure to meet you.
Yes, it's nice to meet you, to I apologize.
This is our first meeting-- I've waited a long time.
I know you have.
I know.
I appreciate that.
You've got a firm handshake.
You're ready, aren't y I am so ready.
It's a nice, beautiful, healthy pink lung.
well, you know, uh, it-- We--we haven't had a chance to look at it yet.
Oh, okay.
Okay.
That's one of my jobs today is, I'm gonna go take a look.
I feel in very safe hands.
I really do.
Well, we're gonna work real hard to make sure That this--that this works as best as it can, all right? Thank you.
All right.
I'll see you later, okay? Thank you.
All right.
You sure will.
They're all so sweet.
By the time they get to this point, they're just-- I mean, I can't imagine what that's like.
They're all just waiting around for a phone call, you know? And it's, like, unbelievable.
you look wonderful.
Yeah? You look wonderful.
I look ready? You do.
A beautiful day to get new lungs.
Yeah.
Absolutely.
I never thought it was gonna happen, you know? So Maureen bishop has severe emphysema, And she's been waiting like five years for a lung transplant.
Hey, Dr.
D's back.
Dr.
D.
We're just getting ready to leave in a few minutes.
You're gonna take me with you? No, you are not coming.
You're staying here.
Okay.
The timing is a little up in the air with these things.
Ok.
That's all right.
Don't worry about it.
Get on that plane.
I-- Get on that plane.
We are--we'll be j-- very shortly.
Plane, boss.
We--we're gonna be on that plane, I promise ya.
That's Dr.
D.
And he's going to harvest my lung.
There's another patient here waiting for the other one.
Here we go.
Did I tell you about the psych fellow? I told you about the--the guy That I thought that was, like, so cute.
I ran into him again today.
Oh, you told me.
And what happened? Nothing.
I was just, like You just set that up.
Oh, you stared at him.
No, I didn't stare at him.
I said something dumb, and, like, ran away.
Ronak and I, this is our last time rking together.
We're the patepatel duo.
Everyone says it's like the "smith" of India.
Definitely no prospects.
Not even looking.
My parents--it used to be very important to them That I marry someone that's Indian.
Now they're just, like, "for the love of God, just get married.
" They don't even care.
I'd think they would be, like, happy.
Like, I have a job.
Like, I'll be able to support myself.
I'll be able to support them.
That was fine.
You've met that goal once you got into med school.
It's like, "okay, she's successful.
Check box.
" Now it's like, "marriage, check.
" My cousin's wife took me to go meet this guy that, like, Was reading my fortune.
He's like "she'll get married by October.
" and I went like, "there's no way.
What are you talking about? My boards are in October.
" Something really unfortunate happened to somebody, uh, You know, a couple hundred miles away, And u have an opportunity to-- To turn that into three patients Having their lives changed within a 12-hour span, And it's just incredible.
We got the call at about 9:30 this morning.
I've never come this far before, So hopefully it's the.
It feels like the real deal.
I was out this morning when she actually got the call.
An uh, she had called me and was unable to get me, um-- We were on our third date.
Tell the truth.
We were on our third de.
And this was where Mary decided to bring me So her mom could come down and get a lung transplant.
Yep.
Mm-hmm.
The best third date I've ever been on.
Mary Ann's one of the best people I've ever--I've ever known.
Even though she is my wife, I still think she's the b-- best person I've ever known.
And she was a widow at age 35.
And she brought up four kids by herself.
I went to get a root canal, And she happened to be working there, And she gave me her telephone number.
And that was the beginning.
All right.
Let's go.
Your helicopter going? Always a plane for transplant.
Does it have to be a female or a male? Does it matter-- no, it makes no difference.
Women probably have stronger lungs.
We love you, Dr.
D.
So I'm gonna go, uh, on the harvest, And one of the cardiac surgery attendings as well And we're gonna take, um, all of the organs at once.
How you doing? Fine.
I'm Daniel Dibardino from cardiothoracic.
I remember you.
Nice to see you again.
The fate of three people Rests on Daniel Dibardino? This is mass general.
Go ahead.
We've got a police officer shot ding a robbery attempt.
Shot in the right jaw.
Also a gunshot wound to his right wrist.
Awaiting your arrival.
Mass general out.
A police officer was stopping a burglary And got shot in his face.
If the bullet trajectory is towards the brain, Then it's gonna be a lot more serious Than if it's across the face.
One, two, three.
Three.
32-year-old male, Police officer, robbery attempt, Was shot, what they appear to be two times, One in the right wrist, Which appears to be a through and through, And, uh, just under the right side of his lower jaw.
He got shot here, too.
the left pinkie, basically.
Blood loss estimation was about 300 c.
C.
's by e.
M.
S.
Pain right now is about a seven out of ten.
Breath sounds are full and equal bilaterally.
His airway is intact.
Okay, thanks.
He has a palpable femoral pulse.
You're doing all right, buddy.
It looks like the hands went up Just to protect himself.
You know, he got shot here then shot again.
You know, come here, come across here.
Lucky.
You know, it's a matter of inches or centimeters.
Can you go down with him? I'll stay up here.
It's okay.
Uh-huh.
Yeah, I'm gonna stay here.
There was a robbery of a 71-year-old taxi driver.
My husband was just the first on the scene to respond.
He was ambushed.
I just can't picture my life Without my husband.
A stabbing.
All right.
Get the chest tube stuff ready to go.
I don't think I look like I'm in my 30s yet.
Like, some people don't even think I'm a doctor.
All I know--it's some guy with a stab wound To the left side of his chest.
There is this one patient that I had.
To the was, like, 22.
Is chest.
And he's, like, "oh, hey, sweetheart, come back.
" I was like, "I'm old enough to breast-feed you.
"like, stop calling me 'sweetheart'.
I introduced myself to you as a doctor twice.
" Oh, God.
I was so annoyed.
Put your arms across your chest.
35-year-old male.
He has a stab wound-- Single stab wound to his left side of his chest Around t-8, between t-8 and t-9.
All right, anyone see anything down there? Bleeding? Look at his neck.
Slow up.
Look--okay, roll him back.
His achea's midline.
He's saying he can't breathe.
Okay.
Okay.
All right.
Can we get the chest tube setup ready to go? We're getting a sat in the mid-90s.
It's going up.
Try to feel right down to the ribs, spread hard, Then track right over the rib on the top of it.
He's got a 1-centimeter stab wound.
Yeah, there's another hole, but it's--it's under a rib.
Okay, so someone else is taking care of that dressing? ¿que paso? Uh-huh.
I'm a barber.
I was at work.
I was there with my wife.
Who does he think stabbed him? Señor, pero, quien lo apuñuló usted? She did.
We were arguing.
I guess him and his wife were at a barber shop Earlier that day, and they were arguing about something.
Did you hear what happened? She stabbed him with a kitchen knife.
I'm not laughing.
I'm really not, but that's really-- no, it's not funny.
Don't mess with your woman.
That's all I gotta say.
we've got our recipients Back at the brigham that are waiting on news from us To see what these lungs look like.
We're just a bit worried about the, u integrity of the lungs.
We're just gonna see what they're like.
There is nothing more frustrating Than a dry donor run.
To have to come back and tell those people That you don't have anything for them is just terrible.
I'm waiting now To hear from one of my surgeons That the donor lung is acceptable for me.
'cause they--they could cancel out at any time, So they say, and it has happened.
We're just hoping against hope That it'll go all the way.
Trying to keep all the emotions in check.
Um, freaking out a little bit on the inside, definitely.
Just really anxious to just get that it's a go.
I hate propeller plane Oh, God.
This is the lung team-- yeah, of course it is.
Cardiac I hate propeller planes Because they're louder and they move around a lot more.
This journey was a long journey.
I'm gonna--I'm gonna fight to stand up and breathe again, You know, and walk.
If something goes wrong, you fight.
I have the will to live.
Don't let anything go wrong.
Not on this end.
Yeah, hi.
It's Dr.
De Moya.
I need to book a case.
A police officer was involved in a burglary.
He got shot.
Don't know.
We're gonna t a cat-scan to make sure that there's No fragments or anything that went up into his brain.
Then we'll get him to the operating room.
This is the bullet here.
there's no impact on the brain.
No fragment that went up there.
I'm .
De Moya.
I'm one of the trauma surgeons here.
Doctor.
Hi, very nice to meet you.
My wife Jane.
Hi, nice to meet you.
Has anybody talked to you about what his injuries are yet? Just brushed over it.
He's got a bullet lodged in the bottom of his jaw.
Okay.
It came down just underneath his cheekbone And then hit his jaw.
Okay.
It's a pretty bad fracture.
So we're here for our two lungs.
Hopefully our donor's okay.
But we won't know till we get there.
Actually, we won't know until we get in the operating room.
Jon Daniel.
I work with Dr.
Camp and the whole crew here.
Hi Dr.
Daniel.
Who are these lovely ladies-- Charlie's angels--over here? These are my ya-ya sisters.
Oh, the ya-ya sisters.
Oh, okay.
And then there's some traveling pants involved, too, Or something and then-- no, that's a different story.
These are my 30-year-old friends.
Really? Only so many of us can come in at a time.
So we're still waiting to hear more information.
Jon niel.
Hi.
Hey, jon.
How are you? Nice to meet you.
Good to meet you.
Who's this man with the strong handshake? That's right.
This is the man with the magic words.
And this is your famous bride here.
This is the famous bride, yes, yeah.
Great.
We still need more information from the other end About the--the quality of the lungs.
So they're still gathering all that data for us.
Mm-hmm.
We'll let you know as we move along.
Thanks for getting dressed up for us today, too.
That's awesome.
This is a new Hampshire tuxedo.
Oh, that's right.
Are you the person we're gonna Yeah, I'm gonna help you out.
We'll go this way.
Oh, good.
So we're gonna take a close look at both lungs.
And then, uh, lastly, we'll open the chest And actually feel, uh, what they look like.
And so, um, everybody, uh, back home is, uh, waiting.
A lot of these donors are my age.
It's--it's awful.
We're going to speak with the family of a patient Who's a policeman that was shot in the face, Um, and came in overnight.
The plan for today is to do the repair of his mandible.
I just want you to see what we're gonna be doing.
So the number one thing is to restore function of his jaws, yeah.
'cause that's how u eat, that's how you talk.
The bullet went through this way And then the bullet's lodged down here.
But the first step is, we're gonna remove the bullet.
Yeah.
okay.
And then the second step is to get the mandible, Or the lower jaw, in one piece.
Okay.
The way we'll do that is, we'll make a neck incision Yeah.
Down to the bone, And then put a reconstruction plate across it.
All right.
The incision does put the nerve That gives the lower branch movement at risk.
Okay? Mm-hmm.
It's just hard.
You okay? I know.
It's hard.
I know.
And trust me, I don't think anyone should be having This conversation with me.
But so many things went in his favor.
Yeah.
He could be dead.
That's what the doctor told us.
It was millimeters, and he could be gone, And this could be a funeral.
How--how can you hurt An entire family For $50? We're gonna roll both patients back in, But we're not gonna put 'em to sleep Till we get more information.
So we're waiting to get more information back About the lungs.
And as soon as ty give us the word, We'll move both patients back into the operating room.
Okay.
Let's just come up in here.
Hey, Dr.
McNamee, here's our gas cooking.
These lungs look good.
4-0-1-- that's what we're talking about.
All right.
That is fantastic.
Dibar.
Hey, the good word is good word.
So we're good to go.
Sounds good.
So let's, uh, go ahead and have them move the patients back.
We'll take good care of her, okay? Thank you.
Hey, I love you.
It's gonna happen the way it supposed to happen, okay? Yeah, yeah, I'm sure.
I love you, honey.
I love you, too.
I love you so much.
We'll be--I'll be here when you get out.
I'll be right here.
I felt kinda lousy in the past couple of weeks, And I was afraid I wouldn't make it to get a donor.
But God bless you, donor, whoever you are.
Oh, my.
Hey, l.
B.
K.
, it's Maria.
Poor Phil and his family.
I mean, he left just to go do his job.
And to end up shot in both wrists And then get shot in the face on top of that is heartbreaking.
Police officers are volunteering.
So there's a police officer here every, uh, for 24 hours.
Last night we had a-a hallway full of police officers.
And it's pretty much been like that the whole time.
We appreciate every single one of 'em.
Just a show of solidarity for Phil, his family And for the Framingham police department.
It makes it bearable.
Well, you take care of your own.
The plan for today Is to do the definitive repair of his mandible.
It was shattered.
So take those pieces, align them, And plate it in place So he'll be able to open and close his mouth.
We're doing the right side.
Yeah.
And the bullet should be in that area.
my husband went to the courthouse, 'cause they're arraigning the people that did this.
I'd have gone to court If it wasn't that he was being operated on today, 'cause I want to look at them.
I want to see why.
What makes them so different that they-- They would do something so horrendous? It went very well.
They're locked up.
And they'll be locked up until they have the trial, And then they'll be locked up after that, too.
Could you imagine how that poor family felt When they got the call at, like, 3:00 in the morning? We're gonna work towards the bottom of the incision So that we're even farther away Protecting our nerve? Protecting our nerve.
Stay low for me.
Soouee, I keep stepping the wound down this way.
The biggest risk is really the nervs.
So if you push the one segment-- no, no, no, back.
You're scaring me.
Oh, don't do that.
Never do that.
You just never know What's gonna happen.
It's been tough.
I'm looking forward to just hearing his voice again.
I want to go home D I want to take my husband home.
Bye, everyone.
Bye.
How you doing, Chris? You the with me? Yep.
We've been waiting a long time, huh so we're gonna proceed.
We have both patients getting into the rooms.
They're gonna go ahead and induce 'em with anesthesia And put 'em to sleep, and we're gonna get started.
We just have to do a few last-minute things, Uh, with the heart and lungs to be able to actually Put the clamp on the aorta, Which is the time of death, if you will.
And this is the point now where I just want to get these lungs And get the hell out of here.
It's time to go.
Another team's gonna take the heart, And then we'll go in and take our lungs.
The heart's gotta come first because it's in the way Of a lot of the things we have to get at to take the lungs out.
All right.
Heart's out.
My turn.
Heart's out.
Gentle ventilation for the time being.
the lungs look beautiful.
Man, these lungs look good.
Wow.
I need you guys to sign All right, so that went very well.
We're happy.
We have two lungs that are together right now.
We're gonna take 'em back to the brigham.
Going to the brigham.
Dibar.
Yeah, we have both patients in the room.
We're getting in the ambulance now.
Um, so 15 minutes on the ground, 1 hour in the air, And 15 minutes on the ground.
So we'll be walking through the door in an hour and a half.
If the pilot's flying slowly, Just, you know, n-nudge him on the shoulder.
All right.
Lights and sirens, right? No, really.
No, we're not kidding.
This is a pair of human lungs.
Yeah.
They are absolutely, like, waiting on us.
So we gotta get there.
We have no guarantee that either one of these lungs Is actually gonna work.
I know that's a terrible thing to say After all the work we've done, but, you know, Until these things are in the patient, they're working, There's still a lot that can go wrong.
Yeah, it's just really busy.
Just calling consults left and right And putting in orders And trying to do procedures.
I feel like I'm someone That has to continuously work on my confidence.
That's one of those things-- If you show a little bit of weakness, People will, like, prey upon that.
So you have to really hold your own.
Code blue.
E.
D.
Code team.
Main pike, z building, exit 7.
On two.
p.
Code team, dialysis unit.
What is it? Dialysis unit code.
Uh, yeah, that's very good.
Um, one milligram of epi, one of atropine.
Where'd my tube go? Where's our e.
S It's easier to do crowd control in the emergency department 'cause it's kinda like your turf.
So when I step out of the emergency department, It's much harder.
And a syringe.
Can you get me an l.
M.
A.
From, uh Can we get another epi and atropine? Who's drawing meds? There are like 50,000 people that knew the patient That showed up at this code.
It was a disaster.
All right.
Hand me the tube.
Hand me the tube.
I need the-- the first thing we noticed is that Sorry.
Hold the tube again.
I lost the She started seizing, right? Right.
It looked like she was seizing.
If you can't intubate her, it's better to ventilate.
I-I never got the tube through.
O when I first got here, obviously, she's obese.
And they were saying that she was difficult to ventilate.
So where is anesthesia? We don't get attending coverage, no.
I don't know h-- I understand.
But I had asked for anesthesia the minute-- When we criticize residents, It's part of the teaching process.
That is a very important, uh, thing for the resident, To be able to accept criticism.
Of course, it's a personal thing, because, I mean, You are criticizing a particular resident For a particular episode.
No, I understand.
It's tough when all you have thought about your whole life Is becoming a doctor and, you know, Getting through medical school and, like, you know, You're faced with the possibility Of maybe it's not gonna happen.
I can't--I just-- I don't even-- I have nothing left in me.
All right.
We're holding compressions.
Anyone feel a pulse? no pulse without compressions.
Once a patient is coding, Generally, outcome is not very good.
I-if someone's, like, dying in front of your eyes, And you can't bring 'em back, You always tend to blame yourself a little bit about it.
Who's pushing meds? In the codes, there's always something you can do better.
Does she have a pulse? Okay, we'll call it.
minutes-- We'll call it.
Anks, everyone.
all right.
Thank you.
been there This is literally One of the two worst days of residency for me.
I got some feedback from the attendings that were there.
It wasn't a good situation.
I was focusing on the airway, And when I'm focused on the airway, It sounded like someone was taking orders I understand that-- And when I said orders, People disagreed with what I saying, so But the thing is I understand, which is why I asked for anesthesia when I got there, Because they were, like, "she needs to be intubated.
" She, as the leader of the team, Got involved in the intubation, which was very difficult.
And so she didn't have, You know, free capacity to actually tell everybody else What to do.
I don't think it would've made any difference In--in this patient's course.
I'm as critical if not more critical of myself As anybody out there.
I will make it.
hmm? I said, "I will make it.
" And I will go home and fall asleep.
You will definitely make it, and you're doing a great job.
Um-- and I think I love working with you.
Likewise.
I've had a couple of mentors he That, like, just never doubted me, Never for a second.
That, like, jum And I owe them.
One of my mentors in medical school I think He helped me get through a re-- a lot of tough times A lot of days where I didn't think I could make it.
I don't know specifically what happened.
I-I do know that he took his own life After, um, after one of the graduations.
Let's--let's round the whole way and then we'll prioritize.
Right.
Okay.
Okay.
When you're in a place like this, where, like, A lot of times, people doubt you Or think you're not smart enough It's nice to know that literally, like, One--like, the smartest guy I ever knew Thought that I'd do just fine.
We're on a-a-a clock.
We have to get the-these lungs, Um, back and get them in in the next four hours.
Dr.
McNamee and I will, uh, take these lungs out, Split them so that they're ready to be implanted And get each of them to their respective recipient.
They're en route, so we're gonna start scrub in, And as soon they get here, We can staple out the lung and be ready.
I'm here, uh, waiting for Uh, my wife Mary Ann.
If anything ever happened to her, I'd just be totally lost.
I know, 'cause, uh I say we're together a lot.
We're together almost 24 hours a day.
Uh, Maureen bishop-- Re for a left single-lung transplant.
What an emotional day.
Wow.
This is really happening.
What you don't want to have happen is To come back with, um, an organ And have the recipient team not ready.
That's the worst.
Thank you.
thanks a lot.
All right.
It's straight to the O.
R.
Aww.
Look who's here! All right.
You'll take care of that? Let's go see how they're doing next door.
Aww.
The man, the myth, the legend-- Drd-gorgeous-bardino.
We've been waiting all night to do this transplant.
You guys have been rewing around.
give me a sharp fork.
Both surgeons are ready for us, so that's great.
We're totally good to go.
We got it, yeah.
"a little girl wants the four-leaf clover "she put into a glass frame placed alongside Officer Phil Hurton's hospital bed.
" And here it is.
It's just more support That we just weren't expecting.
Um But it still-- it means just as much, Even though we don't know who this person is.
Ooh.
Look at that.
The bullet just sat on his airway.
When I saw how close he came to life and death, It sort of makes you just sit there and go "wow.
" Couple of millimeters more, and he wouldn't be here.
Police has to take the bullet, 'cause it's evidence.
Just reading, uh, the comments That we got from Facebook.
Um, everyone's praying for us and Wow.
I really don't know how we're gonna be able to thank you guys.
Broken mandible.
Broken mandible.
This is like a jigsaw puzzle now.
Do you have that plating system? Yes.
Let's try it in.
I think it goes in right-- just like that.
I agree.
We want everything be perfect, And I think we got it within a millimeter.
I think that looks wonderful.
Thanks, everyone.
That went really well.
The surgery went very well.
His facial nerve should be intact.
Okay.
Inch by inch, life's a cinch.
right, right.
His facial nerves should be intact.
Yard by yard, it's very hard.
So this morning went great.
This afternoon will go even better, And then hopefully-- and every day will be just that much better.
Yeah, and hopefully, you'll take him home by Monday or Tuesday.
Okay.
Thank you so much.
Thank you.
You're very welcome.
Are you okay? Oh, yeah.
thank you.
.
He's already been through the hard par I know.
It's all over, that.
Now you can cry.
I'm gonna start crying.
what's that? I'm gonna start crying.
Whenever people cry, then I start crying, you know? So they are bringing the goods for to the table.
We're gonna split this exactly in half So that we end up with two good lungs, which-- One of which will go in this room, And the other of which will beng to the other room.
A harken, please.
That is one unhealthy lung.
yes.
This is what emphysema looks like when it's really bad.
And feels like rice krispies.
All right.
Hang on one second.
Okay, good.
Take it out.
There you go.
oh, here we go.
All right, so the diseased lungs Have been removed from both patients, And now we're gonna implant the new ones.
I have it.
I am in.
Go ahead and drop it in the hole.
We've got one connection to do, and then it'll be History.
I feel like a married couple.
Dibar's finishing all my sentences and everything.
It's just Well, the risks involved in the surgery Are that she might not wake up.
If, you know, things go wrong And, you know, I lose my mom--that's huge.
We can just hope.
That's all we can do, really, yeah.
The real test is when we inflate these lungs And see if they work.
If the lungs don't work, We could be in real trouble here.
For more on the doctors of "boston med," Go to uh, we're very pleased so far.
Everything's going well.
And we have Dr.
McDreamy Dibardino.
All right, so this is the moment of truth.
Will the lungs inflate? Everybody loves to see the lung inflate again, 'cause it's really cool and pink.
All right.
Inflating.
Yep.
Nice.
You never get sick of looking at that.
It's a beautiful lung.
Me likey.
Me, too.
You guys got a race going with the room next door? Did they inflate across the hall? they're about to.
God, they're slow.
Ooh, wow.
That's a problem.
That's weird.
We reinflated already.
We're just about to reinflate that's fine.
That's weird.
To inflate the lung now.
Here comes the new lung.
It is a nice pink lung.
It really is the culmination Of everything we've done tonight.
can we call the families to let 'em know Both patients have lugs that are working? Actually, kip, I consented both these families.
I can go talk to 'em.
All right.
If that bullet had just gone through soft tissue Yeah.
Something had to take that energy.
It would keep going.
Yeah, it would've ended up And I think it would've gone right through-- Probably right through the trachea and Yeah.
Killed him there.
I feel very, very lucky that it turned out the way did.
I got hit in both hands.
Mm.
This one's, uh Stitched up.
And this one's actually fractured.
It's not something you think about happening.
When it did, it was a shock.
But the guys I work with are great, And they took care of me right away.
I can't imagine what it would've felt like for him.
I have a job to do, and, uh Yes, he does.
I can't wait to get back out there.
So both e families are up in the I.
C.
U.
On 11-c.
Hi, folks.
hi.
Hey, I'm sorry to wake you up, But I figured you might want to, uh, hear some news.
We put two sets of lungs in in both rooms.
They're both working fine.
They're inflated.
They're sewn in.
Everything looks fine.
Went smooth as butter, right? Smooth as glass.
See, I told ya! We'll be upstairs.
We'll see you guys upstairs in a little bit.
Thanks, Dr.
D.
Thank you.
We knew you could do it.
Hey, folks.
How are you? So, um, she's doing great.
She did it? Yeah.
Great.
Yeah, she's doing great.
It doesn't look like There's any problems at all with the lung at all.
You guys must be tired.
Uh, well, we're--we're-- we're not-- We're not tired yet.
We still got some fight left in us.
Oh, good.
Mary.
hi, folks.
Hey, we're all done.
Excellent.
Everything went really, really well.
Fantastic.
Yeah.
Overjoyed right now.
Just absolutely overjoyed and grateful.
Just so grateful.
My mom has a whole new opportunity.
I think after this, she owes me date number four no matter what.
Wait, something's backwards here.
The attending is closing.
The, uh, the resident is getting the hugs from the family.
All right.
Everyone's informed.
Everyone's happy.
There were tears of joy.
Thank you.
Thank you, jon.
Thank you.
Thank you.
Hey, Dan, let's go in here and make fun of McNamee And, uh, shah prashant.
Is this the same transplant? So we can ha the, uh, the double sarcastic brothers, Uh, make their, uh Yeah, I was just trying to figure out If this is the same transplant or not.
I was just trying to figure out If you guys started a third lung that we didn't know about.
I didn't know if there was Some time warp continuum issue in here.
All right, we better leave before he gets pissed.
You know, imagine going home at the end of the day the joy.
And knowing that I mean, the joy that we have.
You saved two lives here today.
Dibardino, you have to wake up.
We have to round.
Oh! Don't even think about it.
He's like a cat.
I can breathe in some fresh air for the first time in 15 years.
Life is good.
You know, what more? It's--it's It's just amazing.
Now you know I can't leave here without my sunglasses.
Yeah, it's a beautiful day.
It's a beautiful day out here.
Gotta put the sunglasses on.
Okay.
Here we go.
Whoo! Whoo all right.
We're ready.
Bye, everyone.
Bye! Take care.
I don't want no standing ovation now.
Here we go.
Yay! Thank you, all.
Ten days ago, I was dying, literally dying, And here I am going home.
A brand-new lung, a brand-new life Just so exciting.
It's so exciting.
Good-bye, hospital.
Oh! It--it was the worst eight days of my entire life.
And I'm glad it's over.
Well, I mean, we have some-- Some healing and stuff we need deal with, But he's coming home, and that's all that matters.
What happened was a life-changing event.
I'm very happy to be here right now.
Don't take things for granted.
Things that you don't think about Can be over quickly.
Thank you very much, guys.
I'm not gonna be able to go back to work right away.
The injuries are just too extensive To get right back to work.
But hopefully, if I, uh You know, In two or three months, I can be back out there.
Gorgeous.
Look at this.
It's nice out here.
I like coming out here sometimes.
That's right.
Yeah.
When do all the Harvard medical students Come out in their bikinisike coming out and tan? Never.
Right.
Never.
Yeah? All right, well, I guess we should go do some.
Yeah.
Next on 18-year-old asthmatic in cardiac arrest.
I am bustin' outta here.
It's the sweet life of a resident.
That's the tumor.
I want 65.
Daddy's doing his best job to try to make it here.
Something's wrong with the baby's heart.
We have never made this diagnosis.
I don't want to get too close to him In case he doesn't make it.
Go ahead.
Police officer shot during a robbery attempt.
Something's wrong with the baby's heart.
We're going into the unknown here.
Boston--home to three of America's greatest hospitals-- Mass general, the brigham and children's.
These are the stories Of the men and women who work in them.
I've never seen a guy piss off more nurses than you on rounds.
Oh, really? Are you asking me out in front of this camera? Code blue, e.
D.
Code team.
Can anyone feel a pulse? I got nothing.
this is mass general.
Go ahead.
27-year-old male.
Unknown if he was hit by a car.
He's got facial trauma.
Access in both arms.
This guy was heavily intoxicated.
He was found down.
So we don't know if he has a bleed in his brain.
Uh, we don't really know what's going on.
Um, our main concern is to protect his airway.
Traumas are really nerve-racking for me.
One, two, three.
Sorry.
Sorry.
How old is he? 27.
I don't even know how I got into this residency program.
I don't have, like, an Ivy league background or anything.
Try to relax.
it's all right.
It's okay.
What's your name, buddy? What do you want to do for airway? Go ahead and intubate him.
You have suction nearby? Angela, ? I have suction.
I see the cords.
Hand me the tube, please.
You're doing fine.
Make sure you see it going through the cords.
Did you see it go through? I-I just want to see if I c see the cords again.
I could see them.
I can definitely see the cords.
People say I'm too nice all the time.
People run over me whenever-- I-if I let them.
Would you like me to go ahead and intubate him? Yeah.
I'm the attending anesthesiologist.
Yes, thank you, thank you, thank you.
Okay.
Great.
Okay, do you have, uh, like, the, uh, End-tidal co2 detector? yep.
I didn't get it the first pass, but, you know, The patient's stable.
I deserve another chance.
You happy with your breath sounds? It's my job to take care of the patient And the patient's airway.
It's not my job to teach the resident.
This was a trauma that I was Supposed to be in charge of, so I feel like This intubation was just kinda taken away fm me.
I would've given Pina another turn And then if Pina had difficulty, I would've then performed the intubation myself.
I'm never gonna get over this, Monique.
Never.
It's gonna haunt me forever.
It's not cockiness.
It's confidence.
The more experience you have, The ss likely you should be to make mistakes.
Morning.
go morning.
It's, uh, 6:30.
It's, um, we're a little-- We're getting a little-- started a little bit late.
We usually round between 6: A 6:30.
Late.
Ten minutes.
It's always good when you, yourself, show up late, To call everyone else out on being late.
If I had the choice between getting on a plane tonight And flying to Bermuda for a week, All expenses paid, and doing a transplant, I would go to the hospital and do the transplant.
That's how much I love it.
You ready for a little qua- Mr.
Energy.
It's, uh, Friday morning.
Big meeting--quality assurance.
This is where we, uh Talk about all the bad things that Dibar did.
Basically talk about all the things that Jon didn't take care of as administrative chief resident.
Going up.
If you've ever spent five minutes with Dibar, You know that, um, the only way to really calm him down Would be to give him, you know, a tranquilizer, Because he's got so much energy.
So this is a very big day for The cardiothoracic service.
Now we're gonna do a heart and two lungs, um, All from the same donor In three separate operating rooms, um, simultaneously.
My name is Daniel Dibardino, and today I'll be giving The gift of life via lung.
My siamese twin arrives in street clothes.
So listen, um, this kinda sucks that you had to come in today.
The gift of life via lung.
My siamese twin arrives in street clothes.
No, it's okay.
Yore gonna do one recipient.
Yeah.
So--and I want to split the - Sounds good.
It--it never ceases to be awesome.
I mean, a transplant is just one of those things That would h-- we do a lot here, But no matter how many you do, .
Yeah.
We have both our recipients today that are gonna split The single lungs from the same donor.
They're both in the emergency room.
First wee gonna meet Mary white.
Uh, she is a lady with a progressive, Degenerative lung disease.
Hi, there.
Hi.
It's a pleasure to meet you.
Yes, it's nice to meet you, to I apologize.
This is our first meeting-- I've waited a long time.
I know you have.
I know.
I appreciate that.
You've got a firm handshake.
You're ready, aren't y I am so ready.
It's a nice, beautiful, healthy pink lung.
well, you know, uh, it-- We--we haven't had a chance to look at it yet.
Oh, okay.
Okay.
That's one of my jobs today is, I'm gonna go take a look.
I feel in very safe hands.
I really do.
Well, we're gonna work real hard to make sure That this--that this works as best as it can, all right? Thank you.
All right.
I'll see you later, okay? Thank you.
All right.
You sure will.
They're all so sweet.
By the time they get to this point, they're just-- I mean, I can't imagine what that's like.
They're all just waiting around for a phone call, you know? And it's, like, unbelievable.
you look wonderful.
Yeah? You look wonderful.
I look ready? You do.
A beautiful day to get new lungs.
Yeah.
Absolutely.
I never thought it was gonna happen, you know? So Maureen bishop has severe emphysema, And she's been waiting like five years for a lung transplant.
Hey, Dr.
D's back.
Dr.
D.
We're just getting ready to leave in a few minutes.
You're gonna take me with you? No, you are not coming.
You're staying here.
Okay.
The timing is a little up in the air with these things.
Ok.
That's all right.
Don't worry about it.
Get on that plane.
I-- Get on that plane.
We are--we'll be j-- very shortly.
Plane, boss.
We--we're gonna be on that plane, I promise ya.
That's Dr.
D.
And he's going to harvest my lung.
There's another patient here waiting for the other one.
Here we go.
Did I tell you about the psych fellow? I told you about the--the guy That I thought that was, like, so cute.
I ran into him again today.
Oh, you told me.
And what happened? Nothing.
I was just, like You just set that up.
Oh, you stared at him.
No, I didn't stare at him.
I said something dumb, and, like, ran away.
Ronak and I, this is our last time rking together.
We're the patepatel duo.
Everyone says it's like the "smith" of India.
Definitely no prospects.
Not even looking.
My parents--it used to be very important to them That I marry someone that's Indian.
Now they're just, like, "for the love of God, just get married.
" They don't even care.
I'd think they would be, like, happy.
Like, I have a job.
Like, I'll be able to support myself.
I'll be able to support them.
That was fine.
You've met that goal once you got into med school.
It's like, "okay, she's successful.
Check box.
" Now it's like, "marriage, check.
" My cousin's wife took me to go meet this guy that, like, Was reading my fortune.
He's like "she'll get married by October.
" and I went like, "there's no way.
What are you talking about? My boards are in October.
" Something really unfortunate happened to somebody, uh, You know, a couple hundred miles away, And u have an opportunity to-- To turn that into three patients Having their lives changed within a 12-hour span, And it's just incredible.
We got the call at about 9:30 this morning.
I've never come this far before, So hopefully it's the.
It feels like the real deal.
I was out this morning when she actually got the call.
An uh, she had called me and was unable to get me, um-- We were on our third date.
Tell the truth.
We were on our third de.
And this was where Mary decided to bring me So her mom could come down and get a lung transplant.
Yep.
Mm-hmm.
The best third date I've ever been on.
Mary Ann's one of the best people I've ever--I've ever known.
Even though she is my wife, I still think she's the b-- best person I've ever known.
And she was a widow at age 35.
And she brought up four kids by herself.
I went to get a root canal, And she happened to be working there, And she gave me her telephone number.
And that was the beginning.
All right.
Let's go.
Your helicopter going? Always a plane for transplant.
Does it have to be a female or a male? Does it matter-- no, it makes no difference.
Women probably have stronger lungs.
We love you, Dr.
D.
So I'm gonna go, uh, on the harvest, And one of the cardiac surgery attendings as well And we're gonna take, um, all of the organs at once.
How you doing? Fine.
I'm Daniel Dibardino from cardiothoracic.
I remember you.
Nice to see you again.
The fate of three people Rests on Daniel Dibardino? This is mass general.
Go ahead.
We've got a police officer shot ding a robbery attempt.
Shot in the right jaw.
Also a gunshot wound to his right wrist.
Awaiting your arrival.
Mass general out.
A police officer was stopping a burglary And got shot in his face.
If the bullet trajectory is towards the brain, Then it's gonna be a lot more serious Than if it's across the face.
One, two, three.
Three.
32-year-old male, Police officer, robbery attempt, Was shot, what they appear to be two times, One in the right wrist, Which appears to be a through and through, And, uh, just under the right side of his lower jaw.
He got shot here, too.
the left pinkie, basically.
Blood loss estimation was about 300 c.
C.
's by e.
M.
S.
Pain right now is about a seven out of ten.
Breath sounds are full and equal bilaterally.
His airway is intact.
Okay, thanks.
He has a palpable femoral pulse.
You're doing all right, buddy.
It looks like the hands went up Just to protect himself.
You know, he got shot here then shot again.
You know, come here, come across here.
Lucky.
You know, it's a matter of inches or centimeters.
Can you go down with him? I'll stay up here.
It's okay.
Uh-huh.
Yeah, I'm gonna stay here.
There was a robbery of a 71-year-old taxi driver.
My husband was just the first on the scene to respond.
He was ambushed.
I just can't picture my life Without my husband.
A stabbing.
All right.
Get the chest tube stuff ready to go.
I don't think I look like I'm in my 30s yet.
Like, some people don't even think I'm a doctor.
All I know--it's some guy with a stab wound To the left side of his chest.
There is this one patient that I had.
To the was, like, 22.
Is chest.
And he's, like, "oh, hey, sweetheart, come back.
" I was like, "I'm old enough to breast-feed you.
"like, stop calling me 'sweetheart'.
I introduced myself to you as a doctor twice.
" Oh, God.
I was so annoyed.
Put your arms across your chest.
35-year-old male.
He has a stab wound-- Single stab wound to his left side of his chest Around t-8, between t-8 and t-9.
All right, anyone see anything down there? Bleeding? Look at his neck.
Slow up.
Look--okay, roll him back.
His achea's midline.
He's saying he can't breathe.
Okay.
Okay.
All right.
Can we get the chest tube setup ready to go? We're getting a sat in the mid-90s.
It's going up.
Try to feel right down to the ribs, spread hard, Then track right over the rib on the top of it.
He's got a 1-centimeter stab wound.
Yeah, there's another hole, but it's--it's under a rib.
Okay, so someone else is taking care of that dressing? ¿que paso? Uh-huh.
I'm a barber.
I was at work.
I was there with my wife.
Who does he think stabbed him? Señor, pero, quien lo apuñuló usted? She did.
We were arguing.
I guess him and his wife were at a barber shop Earlier that day, and they were arguing about something.
Did you hear what happened? She stabbed him with a kitchen knife.
I'm not laughing.
I'm really not, but that's really-- no, it's not funny.
Don't mess with your woman.
That's all I gotta say.
we've got our recipients Back at the brigham that are waiting on news from us To see what these lungs look like.
We're just a bit worried about the, u integrity of the lungs.
We're just gonna see what they're like.
There is nothing more frustrating Than a dry donor run.
To have to come back and tell those people That you don't have anything for them is just terrible.
I'm waiting now To hear from one of my surgeons That the donor lung is acceptable for me.
'cause they--they could cancel out at any time, So they say, and it has happened.
We're just hoping against hope That it'll go all the way.
Trying to keep all the emotions in check.
Um, freaking out a little bit on the inside, definitely.
Just really anxious to just get that it's a go.
I hate propeller plane Oh, God.
This is the lung team-- yeah, of course it is.
Cardiac I hate propeller planes Because they're louder and they move around a lot more.
This journey was a long journey.
I'm gonna--I'm gonna fight to stand up and breathe again, You know, and walk.
If something goes wrong, you fight.
I have the will to live.
Don't let anything go wrong.
Not on this end.
Yeah, hi.
It's Dr.
De Moya.
I need to book a case.
A police officer was involved in a burglary.
He got shot.
Don't know.
We're gonna t a cat-scan to make sure that there's No fragments or anything that went up into his brain.
Then we'll get him to the operating room.
This is the bullet here.
there's no impact on the brain.
No fragment that went up there.
I'm .
De Moya.
I'm one of the trauma surgeons here.
Doctor.
Hi, very nice to meet you.
My wife Jane.
Hi, nice to meet you.
Has anybody talked to you about what his injuries are yet? Just brushed over it.
He's got a bullet lodged in the bottom of his jaw.
Okay.
It came down just underneath his cheekbone And then hit his jaw.
Okay.
It's a pretty bad fracture.
So we're here for our two lungs.
Hopefully our donor's okay.
But we won't know till we get there.
Actually, we won't know until we get in the operating room.
Jon Daniel.
I work with Dr.
Camp and the whole crew here.
Hi Dr.
Daniel.
Who are these lovely ladies-- Charlie's angels--over here? These are my ya-ya sisters.
Oh, the ya-ya sisters.
Oh, okay.
And then there's some traveling pants involved, too, Or something and then-- no, that's a different story.
These are my 30-year-old friends.
Really? Only so many of us can come in at a time.
So we're still waiting to hear more information.
Jon niel.
Hi.
Hey, jon.
How are you? Nice to meet you.
Good to meet you.
Who's this man with the strong handshake? That's right.
This is the man with the magic words.
And this is your famous bride here.
This is the famous bride, yes, yeah.
Great.
We still need more information from the other end About the--the quality of the lungs.
So they're still gathering all that data for us.
Mm-hmm.
We'll let you know as we move along.
Thanks for getting dressed up for us today, too.
That's awesome.
This is a new Hampshire tuxedo.
Oh, that's right.
Are you the person we're gonna Yeah, I'm gonna help you out.
We'll go this way.
Oh, good.
So we're gonna take a close look at both lungs.
And then, uh, lastly, we'll open the chest And actually feel, uh, what they look like.
And so, um, everybody, uh, back home is, uh, waiting.
A lot of these donors are my age.
It's--it's awful.
We're going to speak with the family of a patient Who's a policeman that was shot in the face, Um, and came in overnight.
The plan for today is to do the repair of his mandible.
I just want you to see what we're gonna be doing.
So the number one thing is to restore function of his jaws, yeah.
'cause that's how u eat, that's how you talk.
The bullet went through this way And then the bullet's lodged down here.
But the first step is, we're gonna remove the bullet.
Yeah.
okay.
And then the second step is to get the mandible, Or the lower jaw, in one piece.
Okay.
The way we'll do that is, we'll make a neck incision Yeah.
Down to the bone, And then put a reconstruction plate across it.
All right.
The incision does put the nerve That gives the lower branch movement at risk.
Okay? Mm-hmm.
It's just hard.
You okay? I know.
It's hard.
I know.
And trust me, I don't think anyone should be having This conversation with me.
But so many things went in his favor.
Yeah.
He could be dead.
That's what the doctor told us.
It was millimeters, and he could be gone, And this could be a funeral.
How--how can you hurt An entire family For $50? We're gonna roll both patients back in, But we're not gonna put 'em to sleep Till we get more information.
So we're waiting to get more information back About the lungs.
And as soon as ty give us the word, We'll move both patients back into the operating room.
Okay.
Let's just come up in here.
Hey, Dr.
McNamee, here's our gas cooking.
These lungs look good.
4-0-1-- that's what we're talking about.
All right.
That is fantastic.
Dibar.
Hey, the good word is good word.
So we're good to go.
Sounds good.
So let's, uh, go ahead and have them move the patients back.
We'll take good care of her, okay? Thank you.
Hey, I love you.
It's gonna happen the way it supposed to happen, okay? Yeah, yeah, I'm sure.
I love you, honey.
I love you, too.
I love you so much.
We'll be--I'll be here when you get out.
I'll be right here.
I felt kinda lousy in the past couple of weeks, And I was afraid I wouldn't make it to get a donor.
But God bless you, donor, whoever you are.
Oh, my.
Hey, l.
B.
K.
, it's Maria.
Poor Phil and his family.
I mean, he left just to go do his job.
And to end up shot in both wrists And then get shot in the face on top of that is heartbreaking.
Police officers are volunteering.
So there's a police officer here every, uh, for 24 hours.
Last night we had a-a hallway full of police officers.
And it's pretty much been like that the whole time.
We appreciate every single one of 'em.
Just a show of solidarity for Phil, his family And for the Framingham police department.
It makes it bearable.
Well, you take care of your own.
The plan for today Is to do the definitive repair of his mandible.
It was shattered.
So take those pieces, align them, And plate it in place So he'll be able to open and close his mouth.
We're doing the right side.
Yeah.
And the bullet should be in that area.
my husband went to the courthouse, 'cause they're arraigning the people that did this.
I'd have gone to court If it wasn't that he was being operated on today, 'cause I want to look at them.
I want to see why.
What makes them so different that they-- They would do something so horrendous? It went very well.
They're locked up.
And they'll be locked up until they have the trial, And then they'll be locked up after that, too.
Could you imagine how that poor family felt When they got the call at, like, 3:00 in the morning? We're gonna work towards the bottom of the incision So that we're even farther away Protecting our nerve? Protecting our nerve.
Stay low for me.
Soouee, I keep stepping the wound down this way.
The biggest risk is really the nervs.
So if you push the one segment-- no, no, no, back.
You're scaring me.
Oh, don't do that.
Never do that.
You just never know What's gonna happen.
It's been tough.
I'm looking forward to just hearing his voice again.
I want to go home D I want to take my husband home.
Bye, everyone.
Bye.
How you doing, Chris? You the with me? Yep.
We've been waiting a long time, huh so we're gonna proceed.
We have both patients getting into the rooms.
They're gonna go ahead and induce 'em with anesthesia And put 'em to sleep, and we're gonna get started.
We just have to do a few last-minute things, Uh, with the heart and lungs to be able to actually Put the clamp on the aorta, Which is the time of death, if you will.
And this is the point now where I just want to get these lungs And get the hell out of here.
It's time to go.
Another team's gonna take the heart, And then we'll go in and take our lungs.
The heart's gotta come first because it's in the way Of a lot of the things we have to get at to take the lungs out.
All right.
Heart's out.
My turn.
Heart's out.
Gentle ventilation for the time being.
the lungs look beautiful.
Man, these lungs look good.
Wow.
I need you guys to sign All right, so that went very well.
We're happy.
We have two lungs that are together right now.
We're gonna take 'em back to the brigham.
Going to the brigham.
Dibar.
Yeah, we have both patients in the room.
We're getting in the ambulance now.
Um, so 15 minutes on the ground, 1 hour in the air, And 15 minutes on the ground.
So we'll be walking through the door in an hour and a half.
If the pilot's flying slowly, Just, you know, n-nudge him on the shoulder.
All right.
Lights and sirens, right? No, really.
No, we're not kidding.
This is a pair of human lungs.
Yeah.
They are absolutely, like, waiting on us.
So we gotta get there.
We have no guarantee that either one of these lungs Is actually gonna work.
I know that's a terrible thing to say After all the work we've done, but, you know, Until these things are in the patient, they're working, There's still a lot that can go wrong.
Yeah, it's just really busy.
Just calling consults left and right And putting in orders And trying to do procedures.
I feel like I'm someone That has to continuously work on my confidence.
That's one of those things-- If you show a little bit of weakness, People will, like, prey upon that.
So you have to really hold your own.
Code blue.
E.
D.
Code team.
Main pike, z building, exit 7.
On two.
p.
Code team, dialysis unit.
What is it? Dialysis unit code.
Uh, yeah, that's very good.
Um, one milligram of epi, one of atropine.
Where'd my tube go? Where's our e.
S It's easier to do crowd control in the emergency department 'cause it's kinda like your turf.
So when I step out of the emergency department, It's much harder.
And a syringe.
Can you get me an l.
M.
A.
From, uh Can we get another epi and atropine? Who's drawing meds? There are like 50,000 people that knew the patient That showed up at this code.
It was a disaster.
All right.
Hand me the tube.
Hand me the tube.
I need the-- the first thing we noticed is that Sorry.
Hold the tube again.
I lost the She started seizing, right? Right.
It looked like she was seizing.
If you can't intubate her, it's better to ventilate.
I-I never got the tube through.
O when I first got here, obviously, she's obese.
And they were saying that she was difficult to ventilate.
So where is anesthesia? We don't get attending coverage, no.
I don't know h-- I understand.
But I had asked for anesthesia the minute-- When we criticize residents, It's part of the teaching process.
That is a very important, uh, thing for the resident, To be able to accept criticism.
Of course, it's a personal thing, because, I mean, You are criticizing a particular resident For a particular episode.
No, I understand.
It's tough when all you have thought about your whole life Is becoming a doctor and, you know, Getting through medical school and, like, you know, You're faced with the possibility Of maybe it's not gonna happen.
I can't--I just-- I don't even-- I have nothing left in me.
All right.
We're holding compressions.
Anyone feel a pulse? no pulse without compressions.
Once a patient is coding, Generally, outcome is not very good.
I-if someone's, like, dying in front of your eyes, And you can't bring 'em back, You always tend to blame yourself a little bit about it.
Who's pushing meds? In the codes, there's always something you can do better.
Does she have a pulse? Okay, we'll call it.
minutes-- We'll call it.
Anks, everyone.
all right.
Thank you.
been there This is literally One of the two worst days of residency for me.
I got some feedback from the attendings that were there.
It wasn't a good situation.
I was focusing on the airway, And when I'm focused on the airway, It sounded like someone was taking orders I understand that-- And when I said orders, People disagreed with what I saying, so But the thing is I understand, which is why I asked for anesthesia when I got there, Because they were, like, "she needs to be intubated.
" She, as the leader of the team, Got involved in the intubation, which was very difficult.
And so she didn't have, You know, free capacity to actually tell everybody else What to do.
I don't think it would've made any difference In--in this patient's course.
I'm as critical if not more critical of myself As anybody out there.
I will make it.
hmm? I said, "I will make it.
" And I will go home and fall asleep.
You will definitely make it, and you're doing a great job.
Um-- and I think I love working with you.
Likewise.
I've had a couple of mentors he That, like, just never doubted me, Never for a second.
That, like, jum And I owe them.
One of my mentors in medical school I think He helped me get through a re-- a lot of tough times A lot of days where I didn't think I could make it.
I don't know specifically what happened.
I-I do know that he took his own life After, um, after one of the graduations.
Let's--let's round the whole way and then we'll prioritize.
Right.
Okay.
Okay.
When you're in a place like this, where, like, A lot of times, people doubt you Or think you're not smart enough It's nice to know that literally, like, One--like, the smartest guy I ever knew Thought that I'd do just fine.
We're on a-a-a clock.
We have to get the-these lungs, Um, back and get them in in the next four hours.
Dr.
McNamee and I will, uh, take these lungs out, Split them so that they're ready to be implanted And get each of them to their respective recipient.
They're en route, so we're gonna start scrub in, And as soon they get here, We can staple out the lung and be ready.
I'm here, uh, waiting for Uh, my wife Mary Ann.
If anything ever happened to her, I'd just be totally lost.
I know, 'cause, uh I say we're together a lot.
We're together almost 24 hours a day.
Uh, Maureen bishop-- Re for a left single-lung transplant.
What an emotional day.
Wow.
This is really happening.
What you don't want to have happen is To come back with, um, an organ And have the recipient team not ready.
That's the worst.
Thank you.
thanks a lot.
All right.
It's straight to the O.
R.
Aww.
Look who's here! All right.
You'll take care of that? Let's go see how they're doing next door.
Aww.
The man, the myth, the legend-- Drd-gorgeous-bardino.
We've been waiting all night to do this transplant.
You guys have been rewing around.
give me a sharp fork.
Both surgeons are ready for us, so that's great.
We're totally good to go.
We got it, yeah.
"a little girl wants the four-leaf clover "she put into a glass frame placed alongside Officer Phil Hurton's hospital bed.
" And here it is.
It's just more support That we just weren't expecting.
Um But it still-- it means just as much, Even though we don't know who this person is.
Ooh.
Look at that.
The bullet just sat on his airway.
When I saw how close he came to life and death, It sort of makes you just sit there and go "wow.
" Couple of millimeters more, and he wouldn't be here.
Police has to take the bullet, 'cause it's evidence.
Just reading, uh, the comments That we got from Facebook.
Um, everyone's praying for us and Wow.
I really don't know how we're gonna be able to thank you guys.
Broken mandible.
Broken mandible.
This is like a jigsaw puzzle now.
Do you have that plating system? Yes.
Let's try it in.
I think it goes in right-- just like that.
I agree.
We want everything be perfect, And I think we got it within a millimeter.
I think that looks wonderful.
Thanks, everyone.
That went really well.
The surgery went very well.
His facial nerve should be intact.
Okay.
Inch by inch, life's a cinch.
right, right.
His facial nerves should be intact.
Yard by yard, it's very hard.
So this morning went great.
This afternoon will go even better, And then hopefully-- and every day will be just that much better.
Yeah, and hopefully, you'll take him home by Monday or Tuesday.
Okay.
Thank you so much.
Thank you.
You're very welcome.
Are you okay? Oh, yeah.
thank you.
.
He's already been through the hard par I know.
It's all over, that.
Now you can cry.
I'm gonna start crying.
what's that? I'm gonna start crying.
Whenever people cry, then I start crying, you know? So they are bringing the goods for to the table.
We're gonna split this exactly in half So that we end up with two good lungs, which-- One of which will go in this room, And the other of which will beng to the other room.
A harken, please.
That is one unhealthy lung.
yes.
This is what emphysema looks like when it's really bad.
And feels like rice krispies.
All right.
Hang on one second.
Okay, good.
Take it out.
There you go.
oh, here we go.
All right, so the diseased lungs Have been removed from both patients, And now we're gonna implant the new ones.
I have it.
I am in.
Go ahead and drop it in the hole.
We've got one connection to do, and then it'll be History.
I feel like a married couple.
Dibar's finishing all my sentences and everything.
It's just Well, the risks involved in the surgery Are that she might not wake up.
If, you know, things go wrong And, you know, I lose my mom--that's huge.
We can just hope.
That's all we can do, really, yeah.
The real test is when we inflate these lungs And see if they work.
If the lungs don't work, We could be in real trouble here.
For more on the doctors of "boston med," Go to uh, we're very pleased so far.
Everything's going well.
And we have Dr.
McDreamy Dibardino.
All right, so this is the moment of truth.
Will the lungs inflate? Everybody loves to see the lung inflate again, 'cause it's really cool and pink.
All right.
Inflating.
Yep.
Nice.
You never get sick of looking at that.
It's a beautiful lung.
Me likey.
Me, too.
You guys got a race going with the room next door? Did they inflate across the hall? they're about to.
God, they're slow.
Ooh, wow.
That's a problem.
That's weird.
We reinflated already.
We're just about to reinflate that's fine.
That's weird.
To inflate the lung now.
Here comes the new lung.
It is a nice pink lung.
It really is the culmination Of everything we've done tonight.
can we call the families to let 'em know Both patients have lugs that are working? Actually, kip, I consented both these families.
I can go talk to 'em.
All right.
If that bullet had just gone through soft tissue Yeah.
Something had to take that energy.
It would keep going.
Yeah, it would've ended up And I think it would've gone right through-- Probably right through the trachea and Yeah.
Killed him there.
I feel very, very lucky that it turned out the way did.
I got hit in both hands.
Mm.
This one's, uh Stitched up.
And this one's actually fractured.
It's not something you think about happening.
When it did, it was a shock.
But the guys I work with are great, And they took care of me right away.
I can't imagine what it would've felt like for him.
I have a job to do, and, uh Yes, he does.
I can't wait to get back out there.
So both e families are up in the I.
C.
U.
On 11-c.
Hi, folks.
hi.
Hey, I'm sorry to wake you up, But I figured you might want to, uh, hear some news.
We put two sets of lungs in in both rooms.
They're both working fine.
They're inflated.
They're sewn in.
Everything looks fine.
Went smooth as butter, right? Smooth as glass.
See, I told ya! We'll be upstairs.
We'll see you guys upstairs in a little bit.
Thanks, Dr.
D.
Thank you.
We knew you could do it.
Hey, folks.
How are you? So, um, she's doing great.
She did it? Yeah.
Great.
Yeah, she's doing great.
It doesn't look like There's any problems at all with the lung at all.
You guys must be tired.
Uh, well, we're--we're-- we're not-- We're not tired yet.
We still got some fight left in us.
Oh, good.
Mary.
hi, folks.
Hey, we're all done.
Excellent.
Everything went really, really well.
Fantastic.
Yeah.
Overjoyed right now.
Just absolutely overjoyed and grateful.
Just so grateful.
My mom has a whole new opportunity.
I think after this, she owes me date number four no matter what.
Wait, something's backwards here.
The attending is closing.
The, uh, the resident is getting the hugs from the family.
All right.
Everyone's informed.
Everyone's happy.
There were tears of joy.
Thank you.
Thank you, jon.
Thank you.
Thank you.
Hey, Dan, let's go in here and make fun of McNamee And, uh, shah prashant.
Is this the same transplant? So we can ha the, uh, the double sarcastic brothers, Uh, make their, uh Yeah, I was just trying to figure out If this is the same transplant or not.
I was just trying to figure out If you guys started a third lung that we didn't know about.
I didn't know if there was Some time warp continuum issue in here.
All right, we better leave before he gets pissed.
You know, imagine going home at the end of the day the joy.
And knowing that I mean, the joy that we have.
You saved two lives here today.
Dibardino, you have to wake up.
We have to round.
Oh! Don't even think about it.
He's like a cat.
I can breathe in some fresh air for the first time in 15 years.
Life is good.
You know, what more? It's--it's It's just amazing.
Now you know I can't leave here without my sunglasses.
Yeah, it's a beautiful day.
It's a beautiful day out here.
Gotta put the sunglasses on.
Okay.
Here we go.
Whoo! Whoo all right.
We're ready.
Bye, everyone.
Bye! Take care.
I don't want no standing ovation now.
Here we go.
Yay! Thank you, all.
Ten days ago, I was dying, literally dying, And here I am going home.
A brand-new lung, a brand-new life Just so exciting.
It's so exciting.
Good-bye, hospital.
Oh! It--it was the worst eight days of my entire life.
And I'm glad it's over.
Well, I mean, we have some-- Some healing and stuff we need deal with, But he's coming home, and that's all that matters.
What happened was a life-changing event.
I'm very happy to be here right now.
Don't take things for granted.
Things that you don't think about Can be over quickly.
Thank you very much, guys.
I'm not gonna be able to go back to work right away.
The injuries are just too extensive To get right back to work.
But hopefully, if I, uh You know, In two or three months, I can be back out there.
Gorgeous.
Look at this.
It's nice out here.
I like coming out here sometimes.
That's right.
Yeah.
When do all the Harvard medical students Come out in their bikinisike coming out and tan? Never.
Right.
Never.
Yeah? All right, well, I guess we should go do some.
Yeah.
Next on 18-year-old asthmatic in cardiac arrest.
I am bustin' outta here.
It's the sweet life of a resident.
That's the tumor.
I want 65.
Daddy's doing his best job to try to make it here.
Something's wrong with the baby's heart.
We have never made this diagnosis.
I don't want to get too close to him In case he doesn't make it.