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00:43:03
Ellen Pompeo, Justin Chambers, Chandra Wilson
88
There's no shift, contusion, or bleed.
What's the trickiest part of a partial nephrectomy?
U-um... Cauterize cortical bleeder
kep said, "I know the guy who can fix your hands,"
and establish hemostasis before closure.
There's the trapezoid...
But we'd have a base for a proximal phalanx,
we sent blood out for a trauma panel, tox screen,
It's a mild concussion.
It just might end up being the world's slowest amputation,
to avoid post-op fistula.
There is a clot in his catheter. His bladder's about to rupture.
Now close using a running absorbable suture
Which is why you're gonna want to do a wide local excision,
Can you even repair the tendon and the neurovascular bundles?
I need a syringe with some saline and heparin,
Uh, why don't you head up to ped, help him get settled?
Ben: We're approaching the carpal or what's left of them.
Okay, maybe I downplay it a little.
I'll dissect the tumors?
Yeah, she's got a severely displace clavicular fracture
I think he clot his foley.
and some of them are erode by tumor.
They... they reconstruct using bone grafts.
Because I've been accuse of coddling you,
I owe you a drink.
Dr. Grey, the hilum is clamp.
She never bash me to her family.
But I let her in my head. I froze.
And be remind of the best and worst times of my life.
I've flush it five times. I can't get a new one in.
Uh, why don't you head up to peds, help him get settle?
He deserve the best care he can get,
She crap out on a basic surgical principle.
You froze in the O.R., you screw up his post-op care!
I don't see how he survive over there
Should I call upstairs?
I accidentally...
I knew that surgery backwards and forwards.
Yeah, she's got a severely displaced clavicular fracture
traditionally do their first rotation
I could have told you sooner if I had all the information.
You know, you haven't been saying yes to anything lately...
It doesn't burn when I pee anymore.
April: Those nerves are going everywhere.
Thanks for putting our stuff aside, and...
So, uh... Deluca and I are basically not talking.
Obviously. [ Exhales sharply ]
Yeah, it's definitely one of those.
when it feels like everything's coming apart
♪ That is just so typically me ♪
So you don't know a damn thing. You can't possibly understand.
Oh, absolutely, I'm gonna leave,
So I'll go ahead and schedule that C.T.A.
Did a primary repair of the subclavian artery.
We should also evaluate the retroperitoneal space.
As I feared, the biopsy showed precancerous cells in the tumor.
Now close using a running absorbable suture
Bumpy and I go way back.
Her references were impeccable. I checked them myself.
if it wasn't for his deformed hands.
That makes four good carpal bones.
But we'd have a base for a proximal phalanx,
I only see free-floating distal phalanges,
U-um... Cauterize cortical bleeders
from the dorsal surface, and you can show me
You knew this was hopeless.
A nice, but... Sort of adventurous woman.
If she cracks under the pressure of an emergent surgery,
That's doubtful.
You have nothing to be ashamed of... really.
I don't want today to be awkward or uncomfortable.