Boston Med (2010) s01e06 Episode Script
Episode 6
Previously on Boston Med I may not be the marrying kind.
1,000 miles searching for something to say Boston, home to three of the greatest hospitals, these are the stories of the men and women who work in them.
I have never seen a guy more nervous than you on rounds.
Are you asking me out in front of this camera? Does anyone feel a pulse? You're everything I want I'll never give up been through this before and it can get rough you can push me away I can do it again need you to know you're everything that I want 42-year-old male, unconscious and unresponsive with respiration due to a fall.
When he does wake up occasionally he's combative and defiant.
We'll be waiting for your arrival, mass general out.
When a patient is being brought in you're going through all the steps while you're running to the e.
D.
If you lose control then patient loses any chance of making it.
Patrick Coleman, he's 42.
He fell 15 feet down the ladder when 911 was called.
What's your name? Patrick, do you what day it is? Give me a day of the week, Patrick.
Friday.
Friday, nice job.
Airways intact.
His blood pressure is low.
Can we get some blood? Yeah.
At first glance, Patrick might look okay because he's still talking, but his blood pressure is low and all this can change in a second if he's got an ongoing internal bleed.
Does this hurt? Yeah.
Yeah? We got belly tenderness.
Patrick, does anything else hurt? My back.
Can I lay on my side or something? On my side? No, you can't.
You can't move at all.
We're going to have to put a tube in your penis.
Why? Because we need to find out how much you're peeing.
Go ahead and pee.
He's bleeding, I don't know where.
Most likely, it's a liver injury and a kidney injury because he's peeing blood.
It's pretty dangerous.
Probably about 15 to 20 minutes is your window.
Come on.
Why is this thing not willing to move? In medicine you can never guarantee certain outcomes.
We're getting an incoming transport from new england medical center of a newborn baby who was born with a defect in the formation of his heart.
Some of the vessels which bring back blood from the lungs actually inserted into the wrong place in the heart.
Here we go, here we go, baby doll.
I gave birth 22 hours ago, and I'm in my third hospital.
I just want it to be over with.
It's devastating seeing him all wired up and not being able to pick him up.
Everything was fine, making all those phone calls.
He's 100% healthy baby boy.
And then an hour later, the doc, "you can't see him, you know, we think there's a problem.
" And it's just like, well, he was fine two minutes ago.
My name is Dr.
chin.
I think I talked to you before.
Yes, yes.
How are you? Good.
It's nice to meet you.
You look fantastic for just having a baby.
Congratulations.
Thank you.
It's nice to meet you.
So his situation has been stable, so that's good news.
Is that a good thing? Yes, absolutely.
Good.
But he still is right now in critical condition, so we're going to do some more blood test and more x-rays and get some more answers.
So you guys will be the first to know once we get some more information about what's going on with Michael, okay? And because it was caught so early I think we know exactly how to support him in the meantime until we figure out what kind of surgical corrections he needs.
So take a deep breath, everything's going to be fine.
We'll know a lot more within an hour or two, okay? Okay, thank you.
We've given him four units of blood.
His blood pressure is still low.
How did this happen, guys? He fell 15 feet off a ladder.
He's bleeding.
We don't know where.
He's just bleeding to death.
We'll find out where he's bleeding from.
His chances of dying in the hospital are about 50%.
Can I have a knife, please? You don't have all that much time to fix these things.
It comes down to the hands, your mind and trying to figure out within the next five minutes.
So if you can't figure it out, you know the game is over.
Big bleed there.
He's got multiple cracks in the liver.
We're just going to pack the liver and stop the bleeding from there.
Sometime they live, and sometime they don't.
How much blood have we given him? 15 or 16 units.
A lot more than his blood going, actually.
The blood bags are just piling up, and his blood pressure is still low.
We've controlled the bleeding of the liver, we got to figure out other places where he's bleeding.
There's something bleeding in here.
He'll need to get a pelvic X-ray.
X-ray.
You see the fracture? Right behind this.
Yeah, guys, his lips are blue.
His pressure is too low.
We're going to take the dressing down and repack him.
Yeah, yeah, yeah, yeah.
He's trying to die on us now.
Hey, handsome, it's your mom.
Baby Michael's oxygen level is now dangerously low, and it's clear to us that we need to connect the corrections between his heart and lungs immediately.
Last I knew, we had to wait another four weeks for surgery, and then I get a phone call today saying his echo came back a little congested and we have to bump the surgery up to the next 24 hours, so I'm kind of shocked right now.
Scared, nervous, sick.
Ugh, it's hard.
Michael sort of continually drawing the short straw.
I'm not sure why but he can't seem to get a break here, but at least by doing this and getting his surgery over with, he could start getting better, start growing and put all this behind him a little bit.
You have a pretty good sense of what's going on? 24 hours.
Yeah.
I'm scared all of a sudden.
I was wishing for it to be bumped up, but I'm just so nervous now.
I know, I think clearly he's just not tolerating us like we hoped he would, you know, it's like we're saying he keeps drawing the short straw so you know what I mean.
Yeah, yeah.
I just hope he doesn't draw the short straw during surgery.
Well, I think he's used up his bad luck.
I hope so.
I think he's used up his bad luck, so yeah, I think he'll do fine tomorrow.
I hope so.
See you tomorrow.
You okay? Yeah, just scared.
Don't be, all right? I have faith in you.
Okay.
Ugh, oh God.
Everybody gets grounded by something, and they feel an obligation to something.
And so right now my number one obligation is to work.
Oh, God.
And everybody kind of fits in around that.
Hey, babe, not looking good.
I'll call you later, sorry.
The one thing about Jeff is that he is incredibly loyal.
So this is basically what it's like to live and date an ob/gyn resident.
A lot of time by yourself, it's great.
Anyone else would tell me to take a hike, which is what he should do most of the time.
Oh, I know, it's just been a disaster today.
But it's been so busy, I forgot that we were going to do that.
Sorry, baby.
Hey, friend, how we doing? Good.
Ms.
Carrington-price is 22 years old, and she's had one Ba before and she's going to have another one.
It's very cute, she's got her mom and baby's dad here.
When he comes and he's on the way out I will be in the other room.
I won't be in here.
I'm going to pass out.
I don't believe you.
I want to see it.
When he's clean and ready to go in my arms that's when I'll take the picture.
Well, normally if the dad tries to be like, "oh, I'm just going to, like, chill outside," or whatever, we're like, "no.
You got her pregnant, you could help hold her leg while she "pushes because we can't do all the work for you.
" Hey, you showed up right on time.
We're fully in.
He's coming.
Yup, he's coming, he's coming.
He's almost out.
It hurts.
Yeah, I know, you got to push it out.
Push it.
There we go.
He's mad.
He's pissed.
That's my boy.
That's my boy.
Let's see, hold him up.
He's really cute.
Yeah, he's super cute.
Just feel like I had him.
I'm exhausted.
The only thing you're going to have is this men.
Wait till they reverse the stages and men start having babies.
I don't care because I would be the last man to ever have a baby.
I can't wait.
You'll be the first if I have to impregnate you my damn self.
You'll be the first.
Oh, you're so special.
Wow, the most beautiful thing I ever seen in my life.
Dude, you have like the cleanest, crispest coats.
Image is important.
You look like a slime bag in that thing.
Take it to the dry cleaners.
Don't be afraid to put a little starch, seriously.
I'll huff and I'll puff.
I'm taking a week off.
All right, will you guys eat with me please, I'm starving.
Where do you guys want to go? I'm on call so I can't it's not like I could go out and have a beer with you guys, so what do you want to do? Uh it's got to be somewhere here so who are you talking to? Andrea? Andrea.
Hi, honey, listen he's got nothing to say.
He's on call, he can't leave.
I'm going to the course, and he'll see all of sugarbaker's patients, thank you.
Hey, can we go, please? I need to eat.
Dude, don't do that man, that's rude.
Come on.
God.
Dibardino, he's a very motivated, very talented, very driven and very aggressive, very compulsive sort of guy.
But he makes a very good surgeon.
I'm operating with Larry Cohn today, so we are on our way to see Natalie Kadis.
She is a young woman who needs her aortic valve replaced, and she also has an aneurysm, an enlargement of her aorta, and that may also be replaced as well.
So it's a serious condition and needs to be addressed immediately.
Did they say what time they thought? They said at least about another hour.
You'll be all right.
Hi, how are you? Natalie, we haven't formally met, but my name is Dr.
dibardino.
I'm one of Dr.
Cohn's chief residents.
Hi.
Nice to meet you.
Nice to meet you.
It's not a straightforward aortic valve replacement.
In our hands we would quote you up front, 1% to 2% risk of something bad happening, but we have a lot of experience here, as you know, and Dr.
Cohn certainly has been doing it for years, so he's the guy you want.
I have two kids so try to get me out alive if you can, if you can work on that.
We're going to work on that real, real hard.
All right, thanks.
I'm getting nervous as it's getting closer, just about not waking up, just the whole thing.
Bye.
Good luck.
You'll be all right.
She's young, she's got two young children at home, and this is a big deal for her.
She needs we have to get this right.
His blood pressure is still too low.
We got the liver under control now.
He's bleeding from the pelvis.
This, I need six or seven lab pads.
Four on this side, tight pack it.
There you go.
Keep them coming.
You got to control the bleeding for this patient to have any chance whatsoever to live.
How much blood have we given him so far? A lot.
It's a lot.
He's going to need more.
He's lost his blood volume many times over.
It's crazy.
We're pouring blood in, he's pouring blood out.
Pack it all along the rim.
It looks pretty good.
It looks good.
Bleeding has slowed down, but he's very unstable.
The patients that do live are the ones where all the stars line up.
Everything has to go perfect.
We've plugged up the ruptured arteries with gel and packed the aemd with a lot of lab pads.
For the time being the bleedings seems to have stopped, and if he stays stable he'll have a fighting chance.
I mean, this is a fairly tricky operation.
Natalie needs her aortic valve replaced, but we're also going to replace the first part of her ascending aorta.
She's got a great family, and we don't want to let her down today.
We're going to connect her to the bypass machine here.
Heparin's in? This looks good.
We'll get our lining here, and we'll all be set for Dr.
Cohn to come down, so, so far so good.
What's going on, double-d? Hey, Professor, I think we're good to go.
Go.
All right.
Dr.
Cohn is one of my very favorite people to scope with because every time I operate with him he makes me better.
Okay, the heart is arrested.
Maybe you have this stuck somewhere.
I can't feel it.
Pull it over, get this out of the way.
We put this in wrong.
Pull toward you.
Wait a minute, wait a minute.
This is no good because this is all getting screwed up because you haven't done that right.
You're doing the same thing.
You don't understand what I'm telling you.
How's that, sir? Pull this over.
Don't use your forceps.
Pull this over with the forceps.
Did you get it? Yes, sir.
I don't I hope so.
She's on bypass, her aorta's wide open, we're not playing a round of golf.
That's not the time to have a discussion or a gentlemanly chat.
Don't push it toward me.
No, you're going behind it.
No, no, no, no, no.
Grab your sticks and go where you want.
No, you don't have it.
Get this.
Pick it out, stretch it down.
His expectation is perfection, and nobody's ever going to do it well enough.
Dibardino, you have five seconds to find that right suture.
This is it? Yeah.
I don't know where you learned this grab technique because it sucks.
Okay, we want to defibrillate please.
Nice.
Okay, I'm going to drop out for a minute.
You have to do that so that being with the highest quality knowing that you won't tolerate anything less than the highest quality because that's what wins the game.
Good to see you, everything went well.
Oh, great.
Thank you.
She's just getting closed up now.
At about 6:30 you could go see her.
Oh, that would be great.
So her aorta's been replaced.
Her valve's been replaced, and everything looks great.
So this is a total success.
Dr.
Cohn is going to have you do it his way every time.
This is a guy who has been doing heart surgery five years longer than I have been alive.
All right.
I love him.
I love the guy.
Today's the day.
He's having surgery in 1 hour and 55 minutes.
Michael's veins that come from the lungs back to the heart, that connection was never made.
So what we have to do is an operation to bring his pulmonary veins to the left side of his heart.
The hard part for him afterward, he's going to have pulmonary hypertension.
He's going to have high blood pressure in the lungs for a few days.
Hi, how are you? Ready? What's his first name? Michael.
Michael.
Hi, Michael.
I'm just going to scoop you up like that.
Hi.
Bye, baby.
You'll be just fine.
See you soon.
All right.
By far the hardest thing I've ever had to do.
Your job is to protect your child, and it's out of your hands right now and that's the hardest thing for a parent.
It's just an amazing feeling that I never want to have to go through again, so.
You okay? Ugh, God.
We get the sickest pregnancies in the world at the Brigham and women's.
You're in impossible situations all the time.
You're home life kind of goes to crap, but you're either going to do this job or you're not.
And if you're going to do it, you kind of have to be irreplaceable.
Hi, this is Rachel, I'm one of the ob/gyn residents.
I just want to call and let you guys know about a patient.
She's actually a 40-year-old lady, and she got transferred here from an outside hospital.
I'm six months pregnant, and I was bleeding today.
No, she's not bleeding right now, but you know those people could just open up completely.
What is the name of the thing I have, honey? Placenta previa.
I have placenta previa.
The placenta is completely draped over her cervix.
So if the baby were to be born it would be born through it's own placenta and basically bleed her and the baby to death.
And it can happen within a matter of minutes.
We kind of consider it to be an unstable situation.
How long am I going to have to stay here, do you think, in the hospital? Until you deliver.
What do you mean? If you went into labor and tried and your baby tried to deliver yourself at home you could bleed to death.
So most woman with placenta previa so what, am I going to stay in the hospital until I have the baby? Yes.
Are you serious? Well, we wouldn't do anything against your will.
I mean, we wouldn't make you a prisoner here, but it would be our medical recommendation that it's not safe for you.
I know it stinks.
I don't know.
Let's just play it by ear right now.
I don't think you have to make a decision tonight.
All right.
Thank you for all the info, doctor.
No, you're welcome.
It's my pleasure.
I'm sorry you're here.
So the cases are done for the day so I'm busting out for the day like a fugitive.
Jeff, honey, we got to go.
So you should probably text Randal and just let him know that we're going to be a little late.
Jeff and I are going to go look at houses with my dad.
My dad is here for financial, structural advice.
He's an engineer, so that's nice to have.
We gave Randal a list of 20 homes, and he said he picked out six or seven of the ones he thinks will be the best for us.
You're being kind of miffy this morning, honey.
What? You are.
I want her to be happy, and I want him to be happy.
I like Jeff.
You have such cool taste.
It's not terrible.
That can be your closet.
She's dedicated to her task, and he will have to put up with quite a bit.
That door does not work.
Don't break it.
You break it you buy it, right? I don't think she would feel bad if I said she was high-maintenance.
This one's cute, but it's one bedroom.
We'd kill each other.
Michael is doing great.
Sleeping comfortably.
Breathing tube in, putting I.
V.
Lines in.
It was hard to, you know, kiss him, and I'm not going to say good-bye before surgery, but I have a lot of faith so he's going to make it through this.
The heart's arrested so we are where we want to be.
We've identified everything, and we'll start looking to do the repair here.
Surgery is going well on bypass at 4:59 P.
M.
Vital signs are stable.
Let's open the back up and put a six-oh at the top and at the bottom.
Michael is doing great, starting to attach confluence now, no problems, very stable.
What size are the venous cables? Let me have two 14s please.
He's starting to wean off bypass, just called for repeat echo now.
So that's good they're almost done.
You see that? The heart beating, we always like to see that in the end no question.
The aorta is pretty dark.
Can you see the repair at all, Maria? I haven't seen the flow from the chamber into the right atrium yet.
Okay.
It's not coming out of the aorta, guys.
Says, "everything is going okay.
"His heart and lungs didn't like coming off bypass.
" First complication.
He doesn't like coming off life support.
So they're going to keep him on it for another 24 hours.
That's just Michael continuing to not catch a break.
Oh man, oh man.
Hey, guys.
How you doing? You doing okay, daddy? Okay, well, you know the story so he's got the pulmonary hypertension is the problem.
But in general when this happens, if we get a good repair, which we did, all we have to do is let the lungs rest.
Well, thank you for what you've done.
Well, I'll tell you, you've got a beautiful boy, and he's going to be a beautiful boy too when he gets home, too.
Okay? All right.
I'm going to check on Patrick Coleman.
The last time we saw him we were trying to save him from all the bleeding and internal injuries.
Let's see how he's doing today.
I was going up the ladder, I don't remember coming down.
So I'm very lucky.
Oh, yeah, you did well.
You did amazing.
Can't walk yet, but now rehab starts.
You have to get your strength back and then get back on your feet and sort of get back with life.
Yeah.
Thank you very much.
Not at all.
That's what we do.
I feel lucky.
I didn't choose where I was going or what doctor I was getting.
He did it, though, he did it.
He should not be on the heart-lung machine that he's been on for so long.
There's a problem that they don't know what it is.
About three weeks ago baby Michael was operated on by Dr.
Myers, who repaired Michael's heart defects.
Since then Michael has not been thriving.
He's still dependent on the heart-lung bypass machine, and he's struggling on that support.
So today Michael has been brought to the cath lab where the cardiologist could take a really good look at his heart and see if anything else is wrong.
There's something really, really unusual.
It looks like the left atrium is connected to the main pulmonary atrium.
This is so weird.
I just want to think this through.
Can you page Dr.
Myers? When the cardiologist looked at Michael's heart scan they realized the connection between his heart and his lungs was still wrong.
Hi, Jeff, Michiel's wondering if you could come up and look at a picture.
Thanks.
I'll see you in a minute.
Jeff's on his way.
Let me see the left atrium again.
It looks to me like the Venus pulmonary is connected to the rpa.
Not to the rpa.
To the npa? To the npa.
I don't know where the rpa is.
It makes absolutely no sense whatsoever.
Is there anyway that the pulmonary venous conference could be connected to the right pulmonary atrium? Dr.
Myers came up to us to tell us, "listen, guys, I'm really sorry, but I made a mistake.
" I've already explained to the patient that we can't solve the world's problems today.
So, yeah.
Oh God, is this a problem that has been for a month and then all of a sudden it just became urgent at 2:00 A.
M.
? Pretty much.
I tried to do the, "how come you've been feeling like this for a month and at 2:00 A.
M.
Is when you thought to deal with "this.
" This is such horse what happens at 2:00 A.
M.
on a Friday that you're vaginal discharge just became stat.
I think we all know the answer to that.
I think Rachel Clark has a black cloud.
It's part of that, like, superstition, like you kind of have bad luck, like if anything could go wrong it will go wrong.
Maybe you guys are taking all the bad luck.
I'm sure there's plenty to go around.
I'll call you to tell you how bad it is.
I think I'll have an idea.
Going to go grab a ginger ale.
Kelly looks like she's having a good night.
Let's send her a page.
42-year-old.
You should make them like 47.
Okay.
No way.
47-year-old, quadriplegic, morbid obesity, turrets syndrome, need help with the pelvic exam.
Yeah right, this is Rachel.
Two-step.
It's hard to interact with people outside of medicine, which is why our relationships fall apart.
I found the person who I thought I was going to be with forever.
It's over because I wasn't there enough, and it got too hard for her.
Now that I'm single it's very easy to have this job.
This is a very nice lady who is coming for her second c-section, and it should be pretty straightforward.
I'm a little nervous, I mean, not as nervous as the first time.
This is our second baby here.
It's a boy.
His name will be Adam.
Starting at 10:38.
Baby boy.
It's indescribable, you know.
It's like the first cry the tears are coming out of its eyes.
It's kind of a funny thing to say people will be like, "oh, what did you do today?" "Oh, I went to work.
" "What did you do?" "I brought life into the world.
" Adam, welcome to Boston.
Can we just go to into 617 with Cohn's patients? So we're on our way to see Natalie Kadis, a young mother with two kids who just had her ascending aorta replaced and her aortic valve replaced two days ago.
Hey, doc.
Good to see you.
Hey, good to see you.
It's hard to breathe.
It feels like someone's stepping on my chest.
This is the hardest day, but it does get better everyday.
I go into every patient's room and its like day one, two, three, four, and it's like clockwork.
Third day's better, fourth day's better.
I could almost chart up the way you'll feel.
You're on the right course.
All right, we'll see you tomorrow.
It makes me feel confident that the pain will go away.
She looks good.
Rounding on patients like her are as much fun as being in the operating room doing the operation itself.
This definitely counts as a win.
She's going to have a great life with her kids.
I don't worry about what people are going to think about me being gay.
I don't necessarily tell my patients.
It's none of their business.
Right, I don't tell my patients.
Unless they're really cool or gay themselves.
At first I think I had to there's a disappointment if your child isn't who you thought or who you expathed to be.
Who is the girl you broke up with because I never met her? Very messy.
I just came out to my parents.
I was on nights, working on nights all the time.
Totally out of the blue.
She cheated on me.
That's it right there.
Done.
That's it.
He's once again on the operating table.
When Dr.
Myers came up to us admitting that he made a mistake, you know what, we really respected him for that.
That took a lot of guts to have to run he ran right up to us as soon as he found out.
Granted, there were a lot of complications because of the error, you know, he wouldn't have been on that bypass machine and he wouldn't have been on that respirator.
He wouldn't have had about eight draining tubes in his chest, but everybody's human.
People make mistakes.
We went back and revised Michael's original operation.
Just the connections weren't right so we went back and redid it.
So what we'll do is let him get better the next couple of days.
Hey, he did good.
So he did great.
You know tonight's going to be a big night.
The first 48 hours, but went through all the organs and they look good.
Okay, ma? Okay, we'll see you guys later.
What was the original mistake? Originally, we just didn't have things hooked up the way we wanted them hooked up, so now we do.
Sucks that I have to go back and operate on somebody, but I think he'll do well, and I feel like he won't have any complications.
You know, I expect him to be running around as a 2-year-old, 3-year-old and do what 2-year-olds, 3-year-olds, 4-year-olds do and then as a teenager doing what teenagers do.
You'll be home in no time, my little baby.
Airports are sites of maximal stress impact for me because I'm always worried that I'm going to be late.
I need home.
I need to go home.
I need to go where there's grass and there's trees and everybody has a southern accent and my mom will make dinner for me, which is what I need.
We made it.
If this guy tries to cut us, we're all going to die.
I'm going to kill this good job, baby.
Don't even start, at least I can drive.
You've had your driving privileges, like, revoked, and it's really a gyp.
Rachel likes being in control situations, and when you're simply in the passenger seat you have no control.
I don't think Rachel likes that very much.
Everybody fights about something.
Some people fight about, like money.
Some people fight about politics.
We fight about driving.
Out of all the things you're going to fight about in the whole scheme of life it's really not a whole big deal.
You win.
You drive.
Rachel Marie.
Rachel, sweetie.
We both miss Rachel.
We miss talking to her, and we miss seeing her.
We miss touching her.
Jeff is very loving.
He cares about my daughter.
I have no question whatsoever that he loves her.
A very funny story about Jeff breathing.
He has allergies, so I feel like I'm sleeping with Darth Vader and so I had to get ear plugs or I can't sleep anywhere.
Saturday, I was like, "I'm going to hook you up to a sleep apnea tank or you're going to have to start mouth breathing.
" I don't know what to do.
Ain't that right, pumpkin? That's right.
Jeff has hung in there with her, and maybe he's had a lot more tolerance with her than a lot of folks would.
For me, it was critical to marry somebody that's in medicine.
Katherine is on rounds this week, which means I don't get to see her at all.
The only thing worse than having one of us as a cardiac thoracic resident is having her as an intern.
It's like the worst possible scenario.
Hi.
Are you okay? No.
Oh, why? I hate this so much if I start talking about I think I might start crying.
Aw.
So I guess maybe I'll see you tomorrow then for a second? Well, I'm on consults this whole week, so I'm not in the O.
R.
So Wednesday night, I'll be coming home and you'll be home.
Yes.
Okay.
Well, that's not so bad.
Okay, I got to go.
She's probably the only person that I could've married and that would have married me.
I guess I got lucky.
Hey.
Hey, honey.
Oh yeah.
You're hair looks nice.
Thanks.
I had it cut today so I didn't sleep, but I got a haircut.
She was very special to me from the very beginning.
When was the last time I saw you? Saturday? Saturday? Even though I know, I understand what he's doing, I still get mad sometimes.
It's also hard being, like, the first year of marriage and having the stress of your intern year and then having the stress of not seeing each other.
It won't always be this bad.
We're headed to our favorite hangout with me and my good college friends.
It's called stanza dei sigari, the best cigar bar in the country I'll say.
What's happening? What's going on? Rachel is on rotation right now, and she has to write a lot of notes.
So she doesn't have to stay at the hospital a lot.
She could come home and right them on home on her computer.
But she has, like, a computer from 1982 and it got a virus.
And all I'm saying, I got blamed for it.
There's no proof for it.
So now you're buying a place? We're looking to buy a place.
We're at that stage right now, and the one thing to solve it is to purchase property together even though neither of us can afford it.
That's okay.
She's worth it, right? Eh.
Today is the day.
We're taking Mikey home.
In the beginning they told me my son was going to have brain damage, and he wasn't going to be able to see and have mobility problems, and he proved them completely wrong.
Be goo finally get home.
I could pop right now.
I'm just so happy, I'm so thrilled.
I feel like I just gave birth.
Are you ready to go? Are you ride to going in the car seat for the first time? Thank you so much.
I'm so glad.
So am I.
So am I.
Thank you.
That's just my job.
Bye.
In baby Michael's situation, things did go wrong despite the fact that I'm sure the parents were very disappointed, I think they understood that mistakes are made.
Fortunately, things turned out well for Michael.
See you.
Dr.
Myers, I could only guess how difficult it is for him now, but it must be very, very hard for him.
Bye.
We still have a lot of respect for Dr.
Myers.
He was very honest with us, and he fixed him.
We did it.
He did it.
I'm in my new place.
Jeff and I broke up.
We both basically decided that it wasn't clear what anybody kind of wanted and there were some things that weren't working for either one of us in our relationship.
I think some of the key issues were that Jeff was always very indulgent of me.
It wasn't lost on me that there was no way I was meeting Jeff's needs.
If you love someone you don't want to subject them to the fact that you're being a jerk.
It was hard, but it was the right thing to do, and I think it's always easier to do a hard thing if you know it's the right thing.
I'm getting back into the game.
I kind of like somebody.
We met on match.
Com.
She's from Texas, too, and I think that's really important.
She better come.
If she ditches me that is not cool.
All right, darling, where are you? Ugh, I hope she comes.
Hey, lady, I just had to tell you that everybody wants to meet you so I hope you are still able to come.
That's weird.
It just cut me off.
Where is she? Next clear the hall.
I've decided to look at the online dating sites.
Brain like a rock surgeon, body like a rock star.
We don't think it's broke.
We have to get to the street level.
Communication is nonexistent.
I want to get out of the hospital.
1,000 miles searching for something to say Boston, home to three of the greatest hospitals, these are the stories of the men and women who work in them.
I have never seen a guy more nervous than you on rounds.
Are you asking me out in front of this camera? Does anyone feel a pulse? You're everything I want I'll never give up been through this before and it can get rough you can push me away I can do it again need you to know you're everything that I want 42-year-old male, unconscious and unresponsive with respiration due to a fall.
When he does wake up occasionally he's combative and defiant.
We'll be waiting for your arrival, mass general out.
When a patient is being brought in you're going through all the steps while you're running to the e.
D.
If you lose control then patient loses any chance of making it.
Patrick Coleman, he's 42.
He fell 15 feet down the ladder when 911 was called.
What's your name? Patrick, do you what day it is? Give me a day of the week, Patrick.
Friday.
Friday, nice job.
Airways intact.
His blood pressure is low.
Can we get some blood? Yeah.
At first glance, Patrick might look okay because he's still talking, but his blood pressure is low and all this can change in a second if he's got an ongoing internal bleed.
Does this hurt? Yeah.
Yeah? We got belly tenderness.
Patrick, does anything else hurt? My back.
Can I lay on my side or something? On my side? No, you can't.
You can't move at all.
We're going to have to put a tube in your penis.
Why? Because we need to find out how much you're peeing.
Go ahead and pee.
He's bleeding, I don't know where.
Most likely, it's a liver injury and a kidney injury because he's peeing blood.
It's pretty dangerous.
Probably about 15 to 20 minutes is your window.
Come on.
Why is this thing not willing to move? In medicine you can never guarantee certain outcomes.
We're getting an incoming transport from new england medical center of a newborn baby who was born with a defect in the formation of his heart.
Some of the vessels which bring back blood from the lungs actually inserted into the wrong place in the heart.
Here we go, here we go, baby doll.
I gave birth 22 hours ago, and I'm in my third hospital.
I just want it to be over with.
It's devastating seeing him all wired up and not being able to pick him up.
Everything was fine, making all those phone calls.
He's 100% healthy baby boy.
And then an hour later, the doc, "you can't see him, you know, we think there's a problem.
" And it's just like, well, he was fine two minutes ago.
My name is Dr.
chin.
I think I talked to you before.
Yes, yes.
How are you? Good.
It's nice to meet you.
You look fantastic for just having a baby.
Congratulations.
Thank you.
It's nice to meet you.
So his situation has been stable, so that's good news.
Is that a good thing? Yes, absolutely.
Good.
But he still is right now in critical condition, so we're going to do some more blood test and more x-rays and get some more answers.
So you guys will be the first to know once we get some more information about what's going on with Michael, okay? And because it was caught so early I think we know exactly how to support him in the meantime until we figure out what kind of surgical corrections he needs.
So take a deep breath, everything's going to be fine.
We'll know a lot more within an hour or two, okay? Okay, thank you.
We've given him four units of blood.
His blood pressure is still low.
How did this happen, guys? He fell 15 feet off a ladder.
He's bleeding.
We don't know where.
He's just bleeding to death.
We'll find out where he's bleeding from.
His chances of dying in the hospital are about 50%.
Can I have a knife, please? You don't have all that much time to fix these things.
It comes down to the hands, your mind and trying to figure out within the next five minutes.
So if you can't figure it out, you know the game is over.
Big bleed there.
He's got multiple cracks in the liver.
We're just going to pack the liver and stop the bleeding from there.
Sometime they live, and sometime they don't.
How much blood have we given him? 15 or 16 units.
A lot more than his blood going, actually.
The blood bags are just piling up, and his blood pressure is still low.
We've controlled the bleeding of the liver, we got to figure out other places where he's bleeding.
There's something bleeding in here.
He'll need to get a pelvic X-ray.
X-ray.
You see the fracture? Right behind this.
Yeah, guys, his lips are blue.
His pressure is too low.
We're going to take the dressing down and repack him.
Yeah, yeah, yeah, yeah.
He's trying to die on us now.
Hey, handsome, it's your mom.
Baby Michael's oxygen level is now dangerously low, and it's clear to us that we need to connect the corrections between his heart and lungs immediately.
Last I knew, we had to wait another four weeks for surgery, and then I get a phone call today saying his echo came back a little congested and we have to bump the surgery up to the next 24 hours, so I'm kind of shocked right now.
Scared, nervous, sick.
Ugh, it's hard.
Michael sort of continually drawing the short straw.
I'm not sure why but he can't seem to get a break here, but at least by doing this and getting his surgery over with, he could start getting better, start growing and put all this behind him a little bit.
You have a pretty good sense of what's going on? 24 hours.
Yeah.
I'm scared all of a sudden.
I was wishing for it to be bumped up, but I'm just so nervous now.
I know, I think clearly he's just not tolerating us like we hoped he would, you know, it's like we're saying he keeps drawing the short straw so you know what I mean.
Yeah, yeah.
I just hope he doesn't draw the short straw during surgery.
Well, I think he's used up his bad luck.
I hope so.
I think he's used up his bad luck, so yeah, I think he'll do fine tomorrow.
I hope so.
See you tomorrow.
You okay? Yeah, just scared.
Don't be, all right? I have faith in you.
Okay.
Ugh, oh God.
Everybody gets grounded by something, and they feel an obligation to something.
And so right now my number one obligation is to work.
Oh, God.
And everybody kind of fits in around that.
Hey, babe, not looking good.
I'll call you later, sorry.
The one thing about Jeff is that he is incredibly loyal.
So this is basically what it's like to live and date an ob/gyn resident.
A lot of time by yourself, it's great.
Anyone else would tell me to take a hike, which is what he should do most of the time.
Oh, I know, it's just been a disaster today.
But it's been so busy, I forgot that we were going to do that.
Sorry, baby.
Hey, friend, how we doing? Good.
Ms.
Carrington-price is 22 years old, and she's had one Ba before and she's going to have another one.
It's very cute, she's got her mom and baby's dad here.
When he comes and he's on the way out I will be in the other room.
I won't be in here.
I'm going to pass out.
I don't believe you.
I want to see it.
When he's clean and ready to go in my arms that's when I'll take the picture.
Well, normally if the dad tries to be like, "oh, I'm just going to, like, chill outside," or whatever, we're like, "no.
You got her pregnant, you could help hold her leg while she "pushes because we can't do all the work for you.
" Hey, you showed up right on time.
We're fully in.
He's coming.
Yup, he's coming, he's coming.
He's almost out.
It hurts.
Yeah, I know, you got to push it out.
Push it.
There we go.
He's mad.
He's pissed.
That's my boy.
That's my boy.
Let's see, hold him up.
He's really cute.
Yeah, he's super cute.
Just feel like I had him.
I'm exhausted.
The only thing you're going to have is this men.
Wait till they reverse the stages and men start having babies.
I don't care because I would be the last man to ever have a baby.
I can't wait.
You'll be the first if I have to impregnate you my damn self.
You'll be the first.
Oh, you're so special.
Wow, the most beautiful thing I ever seen in my life.
Dude, you have like the cleanest, crispest coats.
Image is important.
You look like a slime bag in that thing.
Take it to the dry cleaners.
Don't be afraid to put a little starch, seriously.
I'll huff and I'll puff.
I'm taking a week off.
All right, will you guys eat with me please, I'm starving.
Where do you guys want to go? I'm on call so I can't it's not like I could go out and have a beer with you guys, so what do you want to do? Uh it's got to be somewhere here so who are you talking to? Andrea? Andrea.
Hi, honey, listen he's got nothing to say.
He's on call, he can't leave.
I'm going to the course, and he'll see all of sugarbaker's patients, thank you.
Hey, can we go, please? I need to eat.
Dude, don't do that man, that's rude.
Come on.
God.
Dibardino, he's a very motivated, very talented, very driven and very aggressive, very compulsive sort of guy.
But he makes a very good surgeon.
I'm operating with Larry Cohn today, so we are on our way to see Natalie Kadis.
She is a young woman who needs her aortic valve replaced, and she also has an aneurysm, an enlargement of her aorta, and that may also be replaced as well.
So it's a serious condition and needs to be addressed immediately.
Did they say what time they thought? They said at least about another hour.
You'll be all right.
Hi, how are you? Natalie, we haven't formally met, but my name is Dr.
dibardino.
I'm one of Dr.
Cohn's chief residents.
Hi.
Nice to meet you.
Nice to meet you.
It's not a straightforward aortic valve replacement.
In our hands we would quote you up front, 1% to 2% risk of something bad happening, but we have a lot of experience here, as you know, and Dr.
Cohn certainly has been doing it for years, so he's the guy you want.
I have two kids so try to get me out alive if you can, if you can work on that.
We're going to work on that real, real hard.
All right, thanks.
I'm getting nervous as it's getting closer, just about not waking up, just the whole thing.
Bye.
Good luck.
You'll be all right.
She's young, she's got two young children at home, and this is a big deal for her.
She needs we have to get this right.
His blood pressure is still too low.
We got the liver under control now.
He's bleeding from the pelvis.
This, I need six or seven lab pads.
Four on this side, tight pack it.
There you go.
Keep them coming.
You got to control the bleeding for this patient to have any chance whatsoever to live.
How much blood have we given him so far? A lot.
It's a lot.
He's going to need more.
He's lost his blood volume many times over.
It's crazy.
We're pouring blood in, he's pouring blood out.
Pack it all along the rim.
It looks pretty good.
It looks good.
Bleeding has slowed down, but he's very unstable.
The patients that do live are the ones where all the stars line up.
Everything has to go perfect.
We've plugged up the ruptured arteries with gel and packed the aemd with a lot of lab pads.
For the time being the bleedings seems to have stopped, and if he stays stable he'll have a fighting chance.
I mean, this is a fairly tricky operation.
Natalie needs her aortic valve replaced, but we're also going to replace the first part of her ascending aorta.
She's got a great family, and we don't want to let her down today.
We're going to connect her to the bypass machine here.
Heparin's in? This looks good.
We'll get our lining here, and we'll all be set for Dr.
Cohn to come down, so, so far so good.
What's going on, double-d? Hey, Professor, I think we're good to go.
Go.
All right.
Dr.
Cohn is one of my very favorite people to scope with because every time I operate with him he makes me better.
Okay, the heart is arrested.
Maybe you have this stuck somewhere.
I can't feel it.
Pull it over, get this out of the way.
We put this in wrong.
Pull toward you.
Wait a minute, wait a minute.
This is no good because this is all getting screwed up because you haven't done that right.
You're doing the same thing.
You don't understand what I'm telling you.
How's that, sir? Pull this over.
Don't use your forceps.
Pull this over with the forceps.
Did you get it? Yes, sir.
I don't I hope so.
She's on bypass, her aorta's wide open, we're not playing a round of golf.
That's not the time to have a discussion or a gentlemanly chat.
Don't push it toward me.
No, you're going behind it.
No, no, no, no, no.
Grab your sticks and go where you want.
No, you don't have it.
Get this.
Pick it out, stretch it down.
His expectation is perfection, and nobody's ever going to do it well enough.
Dibardino, you have five seconds to find that right suture.
This is it? Yeah.
I don't know where you learned this grab technique because it sucks.
Okay, we want to defibrillate please.
Nice.
Okay, I'm going to drop out for a minute.
You have to do that so that being with the highest quality knowing that you won't tolerate anything less than the highest quality because that's what wins the game.
Good to see you, everything went well.
Oh, great.
Thank you.
She's just getting closed up now.
At about 6:30 you could go see her.
Oh, that would be great.
So her aorta's been replaced.
Her valve's been replaced, and everything looks great.
So this is a total success.
Dr.
Cohn is going to have you do it his way every time.
This is a guy who has been doing heart surgery five years longer than I have been alive.
All right.
I love him.
I love the guy.
Today's the day.
He's having surgery in 1 hour and 55 minutes.
Michael's veins that come from the lungs back to the heart, that connection was never made.
So what we have to do is an operation to bring his pulmonary veins to the left side of his heart.
The hard part for him afterward, he's going to have pulmonary hypertension.
He's going to have high blood pressure in the lungs for a few days.
Hi, how are you? Ready? What's his first name? Michael.
Michael.
Hi, Michael.
I'm just going to scoop you up like that.
Hi.
Bye, baby.
You'll be just fine.
See you soon.
All right.
By far the hardest thing I've ever had to do.
Your job is to protect your child, and it's out of your hands right now and that's the hardest thing for a parent.
It's just an amazing feeling that I never want to have to go through again, so.
You okay? Ugh, God.
We get the sickest pregnancies in the world at the Brigham and women's.
You're in impossible situations all the time.
You're home life kind of goes to crap, but you're either going to do this job or you're not.
And if you're going to do it, you kind of have to be irreplaceable.
Hi, this is Rachel, I'm one of the ob/gyn residents.
I just want to call and let you guys know about a patient.
She's actually a 40-year-old lady, and she got transferred here from an outside hospital.
I'm six months pregnant, and I was bleeding today.
No, she's not bleeding right now, but you know those people could just open up completely.
What is the name of the thing I have, honey? Placenta previa.
I have placenta previa.
The placenta is completely draped over her cervix.
So if the baby were to be born it would be born through it's own placenta and basically bleed her and the baby to death.
And it can happen within a matter of minutes.
We kind of consider it to be an unstable situation.
How long am I going to have to stay here, do you think, in the hospital? Until you deliver.
What do you mean? If you went into labor and tried and your baby tried to deliver yourself at home you could bleed to death.
So most woman with placenta previa so what, am I going to stay in the hospital until I have the baby? Yes.
Are you serious? Well, we wouldn't do anything against your will.
I mean, we wouldn't make you a prisoner here, but it would be our medical recommendation that it's not safe for you.
I know it stinks.
I don't know.
Let's just play it by ear right now.
I don't think you have to make a decision tonight.
All right.
Thank you for all the info, doctor.
No, you're welcome.
It's my pleasure.
I'm sorry you're here.
So the cases are done for the day so I'm busting out for the day like a fugitive.
Jeff, honey, we got to go.
So you should probably text Randal and just let him know that we're going to be a little late.
Jeff and I are going to go look at houses with my dad.
My dad is here for financial, structural advice.
He's an engineer, so that's nice to have.
We gave Randal a list of 20 homes, and he said he picked out six or seven of the ones he thinks will be the best for us.
You're being kind of miffy this morning, honey.
What? You are.
I want her to be happy, and I want him to be happy.
I like Jeff.
You have such cool taste.
It's not terrible.
That can be your closet.
She's dedicated to her task, and he will have to put up with quite a bit.
That door does not work.
Don't break it.
You break it you buy it, right? I don't think she would feel bad if I said she was high-maintenance.
This one's cute, but it's one bedroom.
We'd kill each other.
Michael is doing great.
Sleeping comfortably.
Breathing tube in, putting I.
V.
Lines in.
It was hard to, you know, kiss him, and I'm not going to say good-bye before surgery, but I have a lot of faith so he's going to make it through this.
The heart's arrested so we are where we want to be.
We've identified everything, and we'll start looking to do the repair here.
Surgery is going well on bypass at 4:59 P.
M.
Vital signs are stable.
Let's open the back up and put a six-oh at the top and at the bottom.
Michael is doing great, starting to attach confluence now, no problems, very stable.
What size are the venous cables? Let me have two 14s please.
He's starting to wean off bypass, just called for repeat echo now.
So that's good they're almost done.
You see that? The heart beating, we always like to see that in the end no question.
The aorta is pretty dark.
Can you see the repair at all, Maria? I haven't seen the flow from the chamber into the right atrium yet.
Okay.
It's not coming out of the aorta, guys.
Says, "everything is going okay.
"His heart and lungs didn't like coming off bypass.
" First complication.
He doesn't like coming off life support.
So they're going to keep him on it for another 24 hours.
That's just Michael continuing to not catch a break.
Oh man, oh man.
Hey, guys.
How you doing? You doing okay, daddy? Okay, well, you know the story so he's got the pulmonary hypertension is the problem.
But in general when this happens, if we get a good repair, which we did, all we have to do is let the lungs rest.
Well, thank you for what you've done.
Well, I'll tell you, you've got a beautiful boy, and he's going to be a beautiful boy too when he gets home, too.
Okay? All right.
I'm going to check on Patrick Coleman.
The last time we saw him we were trying to save him from all the bleeding and internal injuries.
Let's see how he's doing today.
I was going up the ladder, I don't remember coming down.
So I'm very lucky.
Oh, yeah, you did well.
You did amazing.
Can't walk yet, but now rehab starts.
You have to get your strength back and then get back on your feet and sort of get back with life.
Yeah.
Thank you very much.
Not at all.
That's what we do.
I feel lucky.
I didn't choose where I was going or what doctor I was getting.
He did it, though, he did it.
He should not be on the heart-lung machine that he's been on for so long.
There's a problem that they don't know what it is.
About three weeks ago baby Michael was operated on by Dr.
Myers, who repaired Michael's heart defects.
Since then Michael has not been thriving.
He's still dependent on the heart-lung bypass machine, and he's struggling on that support.
So today Michael has been brought to the cath lab where the cardiologist could take a really good look at his heart and see if anything else is wrong.
There's something really, really unusual.
It looks like the left atrium is connected to the main pulmonary atrium.
This is so weird.
I just want to think this through.
Can you page Dr.
Myers? When the cardiologist looked at Michael's heart scan they realized the connection between his heart and his lungs was still wrong.
Hi, Jeff, Michiel's wondering if you could come up and look at a picture.
Thanks.
I'll see you in a minute.
Jeff's on his way.
Let me see the left atrium again.
It looks to me like the Venus pulmonary is connected to the rpa.
Not to the rpa.
To the npa? To the npa.
I don't know where the rpa is.
It makes absolutely no sense whatsoever.
Is there anyway that the pulmonary venous conference could be connected to the right pulmonary atrium? Dr.
Myers came up to us to tell us, "listen, guys, I'm really sorry, but I made a mistake.
" I've already explained to the patient that we can't solve the world's problems today.
So, yeah.
Oh God, is this a problem that has been for a month and then all of a sudden it just became urgent at 2:00 A.
M.
? Pretty much.
I tried to do the, "how come you've been feeling like this for a month and at 2:00 A.
M.
Is when you thought to deal with "this.
" This is such horse what happens at 2:00 A.
M.
on a Friday that you're vaginal discharge just became stat.
I think we all know the answer to that.
I think Rachel Clark has a black cloud.
It's part of that, like, superstition, like you kind of have bad luck, like if anything could go wrong it will go wrong.
Maybe you guys are taking all the bad luck.
I'm sure there's plenty to go around.
I'll call you to tell you how bad it is.
I think I'll have an idea.
Going to go grab a ginger ale.
Kelly looks like she's having a good night.
Let's send her a page.
42-year-old.
You should make them like 47.
Okay.
No way.
47-year-old, quadriplegic, morbid obesity, turrets syndrome, need help with the pelvic exam.
Yeah right, this is Rachel.
Two-step.
It's hard to interact with people outside of medicine, which is why our relationships fall apart.
I found the person who I thought I was going to be with forever.
It's over because I wasn't there enough, and it got too hard for her.
Now that I'm single it's very easy to have this job.
This is a very nice lady who is coming for her second c-section, and it should be pretty straightforward.
I'm a little nervous, I mean, not as nervous as the first time.
This is our second baby here.
It's a boy.
His name will be Adam.
Starting at 10:38.
Baby boy.
It's indescribable, you know.
It's like the first cry the tears are coming out of its eyes.
It's kind of a funny thing to say people will be like, "oh, what did you do today?" "Oh, I went to work.
" "What did you do?" "I brought life into the world.
" Adam, welcome to Boston.
Can we just go to into 617 with Cohn's patients? So we're on our way to see Natalie Kadis, a young mother with two kids who just had her ascending aorta replaced and her aortic valve replaced two days ago.
Hey, doc.
Good to see you.
Hey, good to see you.
It's hard to breathe.
It feels like someone's stepping on my chest.
This is the hardest day, but it does get better everyday.
I go into every patient's room and its like day one, two, three, four, and it's like clockwork.
Third day's better, fourth day's better.
I could almost chart up the way you'll feel.
You're on the right course.
All right, we'll see you tomorrow.
It makes me feel confident that the pain will go away.
She looks good.
Rounding on patients like her are as much fun as being in the operating room doing the operation itself.
This definitely counts as a win.
She's going to have a great life with her kids.
I don't worry about what people are going to think about me being gay.
I don't necessarily tell my patients.
It's none of their business.
Right, I don't tell my patients.
Unless they're really cool or gay themselves.
At first I think I had to there's a disappointment if your child isn't who you thought or who you expathed to be.
Who is the girl you broke up with because I never met her? Very messy.
I just came out to my parents.
I was on nights, working on nights all the time.
Totally out of the blue.
She cheated on me.
That's it right there.
Done.
That's it.
He's once again on the operating table.
When Dr.
Myers came up to us admitting that he made a mistake, you know what, we really respected him for that.
That took a lot of guts to have to run he ran right up to us as soon as he found out.
Granted, there were a lot of complications because of the error, you know, he wouldn't have been on that bypass machine and he wouldn't have been on that respirator.
He wouldn't have had about eight draining tubes in his chest, but everybody's human.
People make mistakes.
We went back and revised Michael's original operation.
Just the connections weren't right so we went back and redid it.
So what we'll do is let him get better the next couple of days.
Hey, he did good.
So he did great.
You know tonight's going to be a big night.
The first 48 hours, but went through all the organs and they look good.
Okay, ma? Okay, we'll see you guys later.
What was the original mistake? Originally, we just didn't have things hooked up the way we wanted them hooked up, so now we do.
Sucks that I have to go back and operate on somebody, but I think he'll do well, and I feel like he won't have any complications.
You know, I expect him to be running around as a 2-year-old, 3-year-old and do what 2-year-olds, 3-year-olds, 4-year-olds do and then as a teenager doing what teenagers do.
You'll be home in no time, my little baby.
Airports are sites of maximal stress impact for me because I'm always worried that I'm going to be late.
I need home.
I need to go home.
I need to go where there's grass and there's trees and everybody has a southern accent and my mom will make dinner for me, which is what I need.
We made it.
If this guy tries to cut us, we're all going to die.
I'm going to kill this good job, baby.
Don't even start, at least I can drive.
You've had your driving privileges, like, revoked, and it's really a gyp.
Rachel likes being in control situations, and when you're simply in the passenger seat you have no control.
I don't think Rachel likes that very much.
Everybody fights about something.
Some people fight about, like money.
Some people fight about politics.
We fight about driving.
Out of all the things you're going to fight about in the whole scheme of life it's really not a whole big deal.
You win.
You drive.
Rachel Marie.
Rachel, sweetie.
We both miss Rachel.
We miss talking to her, and we miss seeing her.
We miss touching her.
Jeff is very loving.
He cares about my daughter.
I have no question whatsoever that he loves her.
A very funny story about Jeff breathing.
He has allergies, so I feel like I'm sleeping with Darth Vader and so I had to get ear plugs or I can't sleep anywhere.
Saturday, I was like, "I'm going to hook you up to a sleep apnea tank or you're going to have to start mouth breathing.
" I don't know what to do.
Ain't that right, pumpkin? That's right.
Jeff has hung in there with her, and maybe he's had a lot more tolerance with her than a lot of folks would.
For me, it was critical to marry somebody that's in medicine.
Katherine is on rounds this week, which means I don't get to see her at all.
The only thing worse than having one of us as a cardiac thoracic resident is having her as an intern.
It's like the worst possible scenario.
Hi.
Are you okay? No.
Oh, why? I hate this so much if I start talking about I think I might start crying.
Aw.
So I guess maybe I'll see you tomorrow then for a second? Well, I'm on consults this whole week, so I'm not in the O.
R.
So Wednesday night, I'll be coming home and you'll be home.
Yes.
Okay.
Well, that's not so bad.
Okay, I got to go.
She's probably the only person that I could've married and that would have married me.
I guess I got lucky.
Hey.
Hey, honey.
Oh yeah.
You're hair looks nice.
Thanks.
I had it cut today so I didn't sleep, but I got a haircut.
She was very special to me from the very beginning.
When was the last time I saw you? Saturday? Saturday? Even though I know, I understand what he's doing, I still get mad sometimes.
It's also hard being, like, the first year of marriage and having the stress of your intern year and then having the stress of not seeing each other.
It won't always be this bad.
We're headed to our favorite hangout with me and my good college friends.
It's called stanza dei sigari, the best cigar bar in the country I'll say.
What's happening? What's going on? Rachel is on rotation right now, and she has to write a lot of notes.
So she doesn't have to stay at the hospital a lot.
She could come home and right them on home on her computer.
But she has, like, a computer from 1982 and it got a virus.
And all I'm saying, I got blamed for it.
There's no proof for it.
So now you're buying a place? We're looking to buy a place.
We're at that stage right now, and the one thing to solve it is to purchase property together even though neither of us can afford it.
That's okay.
She's worth it, right? Eh.
Today is the day.
We're taking Mikey home.
In the beginning they told me my son was going to have brain damage, and he wasn't going to be able to see and have mobility problems, and he proved them completely wrong.
Be goo finally get home.
I could pop right now.
I'm just so happy, I'm so thrilled.
I feel like I just gave birth.
Are you ready to go? Are you ride to going in the car seat for the first time? Thank you so much.
I'm so glad.
So am I.
So am I.
Thank you.
That's just my job.
Bye.
In baby Michael's situation, things did go wrong despite the fact that I'm sure the parents were very disappointed, I think they understood that mistakes are made.
Fortunately, things turned out well for Michael.
See you.
Dr.
Myers, I could only guess how difficult it is for him now, but it must be very, very hard for him.
Bye.
We still have a lot of respect for Dr.
Myers.
He was very honest with us, and he fixed him.
We did it.
He did it.
I'm in my new place.
Jeff and I broke up.
We both basically decided that it wasn't clear what anybody kind of wanted and there were some things that weren't working for either one of us in our relationship.
I think some of the key issues were that Jeff was always very indulgent of me.
It wasn't lost on me that there was no way I was meeting Jeff's needs.
If you love someone you don't want to subject them to the fact that you're being a jerk.
It was hard, but it was the right thing to do, and I think it's always easier to do a hard thing if you know it's the right thing.
I'm getting back into the game.
I kind of like somebody.
We met on match.
Com.
She's from Texas, too, and I think that's really important.
She better come.
If she ditches me that is not cool.
All right, darling, where are you? Ugh, I hope she comes.
Hey, lady, I just had to tell you that everybody wants to meet you so I hope you are still able to come.
That's weird.
It just cut me off.
Where is she? Next clear the hall.
I've decided to look at the online dating sites.
Brain like a rock surgeon, body like a rock star.
We don't think it's broke.
We have to get to the street level.
Communication is nonexistent.
I want to get out of the hospital.