Grey's Anatomy

In college, I was the hungover premed

who fell asleep at her study carrel.

If you're just joining our podcast,

my guests are doctors Teddy Altman

and Winston Ndugu from Grey-Sloan Memorial,

who pioneered the creation of a ventral aorta surgery.

At what point did you think, "We just broke new ground"?

Immediately .

- Really? - Yeah. Once that staple held, I knew.

Sometimes you just have a feeling.

In med school, I was the famous surgeon's daughter.

It wasn't like that for you?

Honestly, there was so much going on that night,

I didn't have time to process it all until later.

Now I'm the famous surgeon.

- So you had doubts? - Oh, yeah.

I was never certain it would work,

but our patient didn't have any other option.

I knew that we had to try.

In medicine, your identity is constantly changing.

It's your job to keep up.

Safe to say it worked out. What's next for you both?

Well, we're still monitoring our patients' progress.

- And? - So far so good.

They sound really good, very competent.

Yeah. I'd come to this hospital.

Well, speaking of...

I made an appointment for you.

We talked about this, Catherine. I don't need another opinion.

I like Dr. Freeman.

I know you do because he goes along with whatever you want.

You don't think doctors should listen to their patients?

I think you need objective advice

from someone whose paycheck you don't sign.

It's just another opinion.

Who am I seeing?

Kaplan.

Laura Kaplan? In Boston?

I thought you made an appointment here.

I sent for my plane.

She landed about an hour ago.

Morning.

-Hey. -Hey.

Hey, nice job on that podcast.

I didn't realize you and Altman came up with that at our wedding.

Yeah, you never know when an idea will strike.

- Mmm. - Go ahead, Dr. Adams.

Uh, yes. Uh, Jo Wilson.

Post-op day seven from emergency C-section and Impella CP placement.

Now post-op day three from a 5.5 placement

through the right axillary artery.

Her heart function continues to recover

with her EF up another five percent,

and I heard she got to meet her babies yesterday.

-How are they doing? -Hmm.

Peyton's off of CPAP but still fragile.

Hattie's bilirubin levels are bad

every time they pause phototherapy.

And you're all headed in the right direction.

That's what matters.

I just...

really want the six of us to finally be together.

Jo, you will never guess

- who Marcus walked out with last night. - -Who?

- Dr. Ndugu. - Hey.

-I didn't know you were doing rounds. -Yeah.

I'll come back later.

What was that?

-What was what? -Did you sleep with my favorite nurse?

-Jo... -Uh, should I leave?

We've just gone out a couple times. That's all.

Well, are you gonna take her out again?

Uh, just... Maybe. It's new and--

And none of our business.

She is the entire department's favorite nurse.

Everybody loves her. Everyone.

- Hormones. - Okay.

Uh, I-I need to check on my next patient. Are you gonna be okay?

-Yeah. -Uh, page me if you need anything.

Good morning.

Traitor.

-Trouble in paradise? -I broke our pact.

-She's bitter. -Then you should break it too.

What, I can just snap my fingers?

Who am I supposed to sleep with?

I ordered an X-ray for Ms. Johnson's left arm.

It was the right arm, wasn't it?

I will fix it.

An intern? Please. I have dignity.

-Don't knock it until you've tried it. -Tried what?

Vegan sloppy joes.

You sleeping with an intern too?

Wait. Who's sleeping with an intern?

I am. Who are you texting?

Nobody.

-Doesn't look like nobody. -Nah, she's just a patient.

Why are you texting a patient?

Yeah, well, Bailey made me drive her an hour to get treatment,

and now she's sending me dumb memes.

-It's nothing. -Wear a condom.

She's a cancer patient.

Hey. Did you see that I admitted Mr. Howard?

You don't have to put your phone down.

-It's fine. -Sorry.

My phone has been blowing up since the podcast dropped.

I listened. You sounded great.

Well, now I've got doctors reaching out about their patients,

and the department chief from Mass General

has asked me to do grand rounds.

Hmm. Sounds rough.

Well, it's not like I'm getting a Nobel Prize.

I mean, MGH asks everyone to guest lecture.

They never asked me, and I went to Harvard.

Anyway, so, Mr. Howard, his EKG shows a conduction block.

-Do you want an echo? -Um, yes. Sorry, I have to take this.

Hi, this is Altman.

Hi, Janet, I'm, uh, Dr. Millin. I hear you're having some leg pain.

Yeah, and some heaviness.

I'm concerned it might be a DVT.

I think she should have an ultrasound.

I assume you want a full work up.

CBC, D-dimer, and a duplex ultrasound?

I'm Jules Millin.

I'm a second-year surgical resident.

You're internal medicine, right?

Oh, no. Oh. I'm not a doctor. Sorry. Yeah.

-Oh, we were role-playing. -Yeah.

The more medical terms, the better it gets.

-Yeah. -So, Hal does his homework.

-So do you have leg pain or is this-- -Oh, no, that's real.

The pain started this morning when we were trying

to squeeze in a quickie before work.

- May I do an exam? - Mm-hmm.

Um, how long did the pain last for?

-Uh, a few hours? -Yeah.

We've been trying to spice things up lately,

so we just wanna make sure we haven't, uh, caused a problem.

Oh, um...

DVTs usually occur with less, um, activity,

but it is better to be safe than sorry, so I will order some tests.

- All right. - And get back to you.

-Okay. Thank you. -Thank you.

Dr. Griffith.

A 38-year-old female with a large mediastinal teratoma

- that has been resistant to chemotherapy.

Presents with progressive shortness of breath,

orthopnea, and angina.

It has to be at least 35 pounds.

And, uh, 27 centimeters for the longest diameter.

The tumor is displacing the heart and great vessels.

The SVC is compressed,

and it's also indenting the right lobe of the liver.

Hmm. How are the lungs?

Compressed with near total collapse

of the mid-right and lower lobes.

Has anyone tried to operate on the thing?

Her name is London

and, yes, there have been two attempts at Seattle Pres.

They had to abort both times because she arrested on the table.

But you believe you would have a different outcome if you tried?

Well, I have removed extremely difficult tumors before,

and this one is benign.

So, if we can successfully remove it, then she resumes a normal life.

Even if you convinced anesthesia,

you could still encounter catastrophic bleeding.

And that is why I'm here at the tumor board,

where people help their colleagues to come up with a plan.

If anyone here thinks this remotely is a possibility, please speak up.

Yes.

It's a tragic case, Dr. Bailey, but...

- It's a lawsuit waiting to happen.

I'll do it with you.

- The alternative is hospice, right?

Dr. Hunt, it just can't be done.

Yeah, well, you don't know what we're capable of.

-Bye. -I knew you'd have an idea.

Yeah, I got nothing.

What?

Well, look who's here.

How was your flight?

- Most quiet I've had in months. - Oh, great.

-Dr. Webber, it's a pleasure. -Hi.

I've heard a lot about you.

All good things.

Catherine's thrilled you joined the team in Boston.

She's thrilled she poached me from Sloan Kettering.

You are at the forefront of urologic oncology, and that lecture that you gave

to the American Urological Association last month

brought the house down.

And she is developing a program that uses AI to study biomarkers.

We just received another grant for it yesterday.

You bet you did.

Now, tell us about my husband's prostate.

Catherine, please.

-If now's not a good time-- -Don't be ridiculous.

Come on, everybody. Sit down.

Have a seat. Come on.

Good news is you caught it early.

Grade group two, a seven Gleason.

Well, he knows all of that. So tell us, what do you suggest?