"Large cappuccino,double shot, dry,add soy milk,with one sugar." "Thank you." "So,a lotof recoveries today?" "A guy in county,early 60s -- marginal." "Yeah,I heard about him." "And a suicidein southern ohio." "Some possiblebronchial issues." "We're just waitingon some test results." "I slept eight hourslast night for the first timesince I've been in pittsburgh." "I woke up this morning.I read my paper." "I walked outof my apartment and felt likeI actually lived here." "That's good." "I want totake you out tonight." "Out?" "On a date." "Okay." "Okay." "I'd like that." "That's good." "Should we talkabout your divorce?" "No." "I made reservations,so I'll pick you up at 8:00." ""As we are so wonderfullydone with each other," ""we can walk into our separatesleep on floors of music, where the milk-white cloakof childhood lies."" "Nneth patchen --n --I love him." "Should I continue?" "Please." ""Oh,my love,my golden lark, my soft,long doll."" ""My soft,long doll."" "Good morning,miss bishop." "Uh,both miss bishops." "So,what's going on here?" "Oh,um,dr." "Grant cameand spoke with them last night" " about movingto hospice care." " Of couse" " Mary singletary,you have a call on line 1." " Excuse me." "We're still hoping,but if we can't turn back -- you know,I haven't conferredwith dr." "Grant yet." "Oh,well,we found a nice placein shadyside -- a hospice." "I know I'm going to die." "Shadyside --they're really good there." "Are you okay?" "Fine." "Well,it's loosening upa little bit." "I don't know...about that." "Hey,this is an amazing idea,stephen." "You did thisall by yourself?" "My friends at --at school." "Well,you have dreamt up a wayto make the lungs behave like they're still in the bodywhile we transport them." "This is incredible.Really,this could really work." "They've already figured out howto transport hearts and kidneys over long distances,but lungs " "I mean,this could really work." " Dr. Grant." " I'll be with youin a minute." " The tricky part is keeping the - dr." "Grant." "What is it,mary?" " Dr. Jonas." " Yeah." "I need you to take care of all of my patientsand surgeries today." "I'm transferringall of my calls to you." "My biggest concernis stephen chandler." "Keep a close watch." "Dr. Grant,can we discuss margo bishop?" "The short listis on my desk." "Mary can help youdecipher my notes." "Janet,what's going on here?" "The paramedicsare working on him." "He signed a dnr." "They're noteven supposed to be here." "Did you call him?" "Tripp,bart doesn't want this." "Mom,I want youto pack up some stuff for dad and meet usat the hospital." "I'm gonna ride with himin the ambulance." "I'll come to the hospital.We can figure it out from there." "There nothing*****" "This is between my mother,my father,and myself." "Tripp,he signeda "do not resuscitate."" "Nate,this is not your hospital, and my fatheris not your patient." "This is the last thingbart wants." "Tripp doesn't understandthe nature of this disease." "Bart is not coming back." "Nate,this is familywe're talking about now." "Heartland Season 1 Episode 08" "Sync:" "ÏûÉùÄä¼£" "Nathaniel's upset." "I did not know what to do when tripp called the paramedics." "See,tripp has never felt close enough to bart." "When he got home a few days ago, bart wasn't lucid." "Tripp just wants bart to be aware that he's here." "You know,he needs to say his goodbyes." "Oh." "Oh,I feel badly." "I just picked up the phone and called nathaniel." "I didn't even think about it." "It's who bart would want me to call." "And then there's tripp." "What do you want?" "I just want to help my son through this." " Kate." " Hey,tripp." "So good of you to come." "I'm so sorry about bart." "Are you okay?" "Good of you to come." "I'll speak with nathaniel." "Thanks." "All right.Now you feel okay?" "That poem that you were reading to mrs." "Bishop is that hers?" "Like hers,but no." "Ah." "It's just one of her favorites." "Listen,I'm worried about the move." "I'm worried that margo's gonna die in transport." "It's multivisceral surgery." "You've done this before?" "The last timewas 22 hours straight." "That's from donor recovery to the last stitchof an anastomosis." "22 hours?" "Organ recovery aloneis five hours." "Then you have to take outthe recipient's organs one at a time --the stomach, duodenum,spleen,pancreas,intestines,and liver." "We were 10 hours into it before we evendid the first transplant." "I knew that thiswas a giant procedure,but -- people were cryingin there, and I'm not talking aboutthe patient or his family." "Hi." "Morning." "Morning." "Morning." "So,uh,how's it usually workedwith the other fellows?" "Their term ends." "They meet with nathanieland bart, and thenthey usually leave." "They leave?" "Yeah,most of the time." "But the good news is,once you leave here, everybody wants you." "Yeah,but I don'twant to leave here." "I'm surprisedyou want to stay." " Why?" " Why?" "I don't have tolike it here." "It's about beingat the best place in the world." "Do you like it here?" "It's not about me." "Do you want me to leave?" "It doesn't matterwhat I want." "Well,it matters to me." "And mary?" "Mary was one night." "We're just friends.We're fine now." "Does mary feel that -- hi." "Hey." "Hi." "That's what I'm talking about,simon." "I don't want anotherhospital relationship." "People always get hurt." "I hope you stay,okay, but there's nothing I can doabout what they decide." "Dr. Jonas,can I have a minute?" "What is it?" "Well,my fellowship is upnext week." "And I've been toldthere's only one spot." "So I was hoping we coulddiscuss the possibility -- vancouver,dr." "Grant is off today." "I have to go down,check out the charts, and go over dr." "Grant'sshort list." "Okay,stephen chandler." ""Stephen chandler,A.A.C."" " "A.A.C." --It means "at any cost."" " Okay." "Margo bishop." "Margo bishop." "Unos offered hera donor this morning." "They did?" "59,county general.Right there." "What's "L.I.G."?" ""Let it go."" ""Let it go"?" "How is she?" "No one was reading." "Sweetheart." ""As we are so... we are so wonderfully done."" "Excuse me?" "Would you like tohear it again?" "think I packed it." "We found a donorfor margo." "But dr." "Grant said -- no,we're confidentthat we can make it work." "I don't understand." "A donor's available." "Dr. Grant was very clearabout her." "The donor was a match." "He was very clear about usingso many organs on a patient with such a low chanceof survival." "You can't have itboth ways." "Excuse me?" "Well,if you please everyone,you please no one." "Yes,but dr." "Grant is -- if you want my supportto bring you on to staff," "I think you should thinkabout following my lead instead of worryingabout a guy who doesn't rememberyour first name." "Well,I'll prep miss bishop." "Good." "Why is margo bishopstill here?" "We founda suitable donor." "Found?" "The donor was offered10 minutes before I left." "I passed." "I know." "We discussed it.She wants the transplant." "We transplant her,she willinfect,reject,and die." "Well,there's that possibility." "There's another possibilitythat she will get her life back." "She's prone to infection.The organs are marginal." "You put me in charge,dr." "Grant." "I asked you to -- when I'm in charge, this is my hospital,so I'll do as I see fit." "It is not your hospital." "It is when you put mein charge." "Hey,you two." "Margo bishop will diethe moment you open her up." "Oh,come on.You don't know that." "I do,and you should,too." "And the only reason you don'tis that you have a fraction of the experienceof other doctors." "I have 15 years." "Of being shelteredby the very best, of being covered by the besttransplant doctors in the world." "I worked with them." "you*****" "You cannot tell methat the surgical procedures that I performedare not my own.you****" "I can tell youthat time and again," "I've had to bail you outwhen you got in over your head." "Nathaniel,you need to comewith me." "Now." "I know.I was hard on him." "Nathaniel,come here." "Come here." "Talk to me." "Tripp jacobsnever grew up." "It wasn't entirelyhis fault." "Bart and janetdidn't exactly help." "I can't let him go againstbart's wishes." "It's their family,nathaniel." "Go pack your kit." " What?" " Pack your surgical kit." "There's a donor30 miles south of columbus for stephen chandler." "I saw the chart." "The bronch doesn't look goodon paper, and the lungsmay be too far-gone." "Well,let's take a chance on it." "Kate -- there's nothing moreyou can do for bart." "You shouldn't be hereright now." "So let's you and meget in the car,take a ride." "We'll come back later." "Katie -- let's just get out of herefor the day." "The drive,the recovery of the lungs, and the returnwill take 10 hours." "He keeps coughing.He can't catch his breath." "We won't be able to begin stephen's prepuntil we see the lungs." "Stephen,in the interim,we'll have to intubate you." "N-no." "He doesn't want thatever again." "You have no idea " "I understandhow uncomfortable it is." "Tube." "Throat." "If we ventilate you, you stand a much better chance,stephen." "Mr. Chandler,your son'sdecreasing lung function is compromising his heart." "If we don't ventilate him,his heart may fail." "I know.I know how hard this is." "We don't knowif the lungs are good." "Once he's on the vent,can you take him off again?" "He needs a transplant." "These are the risksthat come with that." "We've got to do it,stephen." "Mary,keep me updatedon stephen chandler's condition." "Dr. Jonas,you know my orders." "Sure." "That was absolutelythe worst wedding party ever." "I wasn't that late." "I had to talk to the wife of that insane surgeonfrom georgetown." "What was her name?" "Claudette dubois." "And her husbandquoting socrates." "He was a rhodes scholar." "He was a bore,and you were two hours late." "I was in surgery." "Poor bart,giving yet another speech at yet another oneof tripp's many weddings." "Mm-hmm.Bart always loved him." "No matter how strangehis relationship with tripp was." "Bart,after he hired me, every night,7:00,packed his bag and went home." "Janet used to say to me," ""wait till nathanielhas his own staff to abuse."" "I'm sorry." "No." "No,you're right." "Not the right dayfor it." "look out there." "Look at all that life." "you got your liver,your spleen,your pancreas." "So,how do they look?" "Pretty good,hmm?" "Small intestine,stomach,spleen,duodenum." "So they're good?" "Marginal." "Hey,this is the right move." "That donor in about an hour isn't worth anything to anybodyexcept for our patient." "She and her motherhave agreed to proceed." "Can we do thiswithout dr." "Grant?" "We don't needhis permission." "Can we physicallydo this?" "I mean,there are so many organsto transplant in there." "Look,she is gonna dieing hospice." "If she dies on that table,at least she went with a fight." "I'm just saying..." "I'm good.Let's do this." "All right!" "Let's do this." "Kidney,liver,pancreas." "Stomach,intestine,spleen.Oh,my." "How's it going?" "Blood work looks fine.Medical history is trickier." "Why?" "The parents weren'tvery close to their child." "They neversaw the suicide coming." "But we're good to go." "Not yet.They want to speak to a doctor." "Why?" "They want to know exactlywhat will happen to their son." "Me?" "You're here." "It's really remarkable." "If you agree to donate,we remove your son's organs, drive them backto pittsburgh, where my patientis waiting right now." "My patient --he's a young kid." "Cystic fibrosis.He can't breathe." "He's never reallybeen able to breathe." "In any event... we remove my patient'sdiseased lungs, and we replace themwith your son'S." "There's a moment... when you first placethose new lungs insidea sick person's body and those perfectnew lungs inflate." "It's really more amazingthan watching a heart beating." "It's like a birth --that breath." "It's the thing of life,you know." "Breath." "Giving someonethe ability to breathe." "Thatoes it.Let's lift it out." "All right." "You got it?" "Yeah." "Okay.Are we all clamped off?" "Once we get the old liver out,we have an hour before we have to get the newliver in and functioning." "Okay." "This is where the actualtransplant begins." "Come on.This is where the fun begins." "We're just getting started,people." "We're justgetting started." "Dr. Grant'son the phone." "Tell him we're busy." "This is the second timehe's called." "He wants to knowwhat you're doing." "Hey,dr." "Grant." "We just took the liver out,so we're already committed." "How's the patient doing?" "She's good." "You don't have to explain it.What's done is done." "Make sureyou have the liver functioning before you move onto the intestines." "The other recovery teamnever arrived." "Fine." "Yeah,give it about10 minutes to make sure." "Otherwise,you riskwasting all the other organs." "Okay" "What is it?" "It's jonas." "He went aheadwith the multivisceral." "Do you need to get back?" "No." "I can waitfor another recovery team." "We're here.We can do it ourselves." "You want me to recoverthe lungs with you?" "Why not?" "I haven't done thatin years." "Why not?" "good." "Hey,the liver is working.You see that?" "It's producing bile." "Okay." "Simon,how are you doingwith the intestines?" "We're justgetting started here." "I'll take it from here." "You just did the liver." "Yeah,I know,but I feel strong." "Dr. Jonas,you just did the whole liver." "I thinkI'm good to go here." "I'm not sayingthat you're not." "Go ahead." "Take a seat.Take a break." "I thinkI'll stick with you." "Take a break.You're gonna need it later." " All righty.You okay?" " Uh-huh." "How's the bronch?" "Not infected.Looks good." "Good thing we came." "Ready to cross-clamp." "Ice is ready." "Suctioning." "Do we have,uh -- blood?" "In the lymph nodes as well." "Pressure looks good.Fusing well." "Ready to take them out?" "Mm-hmm." "How we doing,dr." "Jonas?" "I need some water." "It's coming." " Here you go,dr." "Jonas." " Mmm." "Thank you." "Okay." "Deviki clamp." "Duval,duval." "Yeah." "Duval clamp." "She's bleeding." "Well,clearly." "No,the suturesaren't holding." "Okay,that's justone of the smaller vessels." "No,no." "She's leaking fromone of the anastomosis sites." "Suction,suction." "Suction.Suction. I can't see." "I can.It's right there." "I have it." "I have it." "Dr. Jonas.It's not the ileo." "Blood pressure?" "60 over 40,dropping." "Damn it.I really think it's the ileo." "It's the gastric-gastricconnection." "Dr. Jonas?" "You're exhausted.I'm gonna step in." "Coming around." "Heart rate's up.I have it." "Dr. Jonas?" "It's under the stomach." "We need to get upunder the stomach right in here." "There it is,right there.Dr. Jonas,please step back." "Hold that just like that.Got it." "I can see it.I just can't quite... give me your finger." " Put it right there.You feel that?" " Yeah" "Great." "Excuse me,dr." "Jonas." "There it is.It is the gastric-gastric." "Just hang on to that thingone more second." "We're almost there." "Here you go.Let's have a clamp here,please." "Great,let's have a 5-0 pro leadon the needle holder,please." "The artery is so porous.I need a smaller needle." "There you go.You got it." "Yeah.Yeah,I think I have it." "Heart rate's steady.Good blood flow." "I think that's got it." "Good." "Pressure's up." "I thinkwe're out of the woods." "Okay.Removing the clamp." "Sutures are holding." "That was fun." "Fun?" "Performing a recoverywith you." "It's beena very long time." "You were excellent." "Am I wrong about bart?" "You know what he wants." "I could have pushedso much harder." "For the reduction,for doing a transplant." "Bart more than anyone knowswhat it would be like to try." "He made a choice to spendhis remaining time well." "We could go backand make one last push." "You don'treally mean that." "Well,shouldn't I bedoing something?" "You are.Right now you are." "Jonas." " What?" " You like him?" "He asked me to dinner." "I wasn't talking about dinner.I meant as a surgeon." "Oh." "I do." "I thinkhe is a very good surgeon." "And as a dinner date?" "You can tell methe truth." "I don't know." "I acceptedhis invitation." "Okay." "Thanksfor bringing me along." "Yeah,of course." "I'm very grateful,kate." "I know you don't have todo this anymore." " Do what?" " Take care of me." " Nathaniel - but..." "I needed it today,so... thank you." "Put this in thereright away,please." "Dr. Grant." "Vancouver." "She's doing well.We did well." "Good.Where's dr." "Jonas?" "He was overseeing.He went up to post-op." "You got vaughn's?" "Do you need some help?" "Are you out of your mind?" "You just did 12 hoursof major surgery." " I'm not tired." " Go get some rest." " Dr. Grant,I'm not tired." " Simon,we're done." "What are you gonna doabout bart?" "I don't know." " Tripp - ...is his son." "You are more his sonthan tripp." "I'm his student,his friend,his colleague." "But I'm not his son." "All right." "I just don't want to do anythingto hurt janet is all." "But I can'T..." "let bart remain like that." "I promised him." "I promised." " Hey,dr." "Jonas." " Hey." "Dr. Jonas,I heard everything went well." "It sounds likeyou did a good job." "She's in recovery." "Well,let's just hopeit all works out." "So,how was ohio?" "Good." "Yeah?" "Yeah." "It went well." ""It went well."" "I heard you hada hell of a night." "Oh,yeah." "Rain check...on the dinner?" "Yeah." " Are you all right?" " Why?" "Just tired?" "Yeah,just --just tired." "hey.That was incredible." "The way you handledthat complication " "I've never seen a fellowdo that." "It was beautiful." "Yeah?" "Thanks." "Hey,I'm almost done roundingif you want to go out -- a drink?" "Yeah,that would be nice." "Great." "I've got a code in room 123!" "Code 1-2-3!" "I'll go tell her mother." "Do you always playat 3:00 in the morning?" "So...dr." "Grantscheduled my final review." "We're,uh --we're good,right?" "I mean,after today,you saidthat we were good,so..." "I gave you my word." "Good,'cause,I mean,you know, dr." "Grant's onlyever basically seen me screw up, so I,you know,after today,I feel like I really showed my way arounda difficult procedure." "Yeah,and it was noted." "I mean,I know that the outcome -- it's been noted." "After the outcome,I " "I know thatwhat I'm asking for -- vancouver,we lost a patient today." "So I get it.I get it,okay?" "I get thatyou're more concerned with keeping your job herethan anything else." "Did I do somethingto piss you off?" "Other than askingfor a reward after we justlost a patient,no." "That patient -- she would havedied on that table." "Be careful." "If I hadn't have stepped in,she would have died." "What you did in therewasn't anything anyone elsehadn't done before." "Would you ratherI just let her die on the table?" "Thrown up my handsand acted like" "I was as lostas you were in there?" "You made me a promise,tom." "I know what I did." "I just want to make..." "I just want to make sureyou intend to keep it." "Yeah?" "Okay,yes.Go ahead." "Say it." "Bart's herein the hospital." "He doesn'thave much time left." "Well,I'm sorry." "I need to be with himright now." "I need to make surethat everything's all right." "Okay,uh..." "I'll --I'll follow your orders." "You just,uh,tell mehow you want things to be run." "You can handle thingsthe way you see fit." "Are you sure about that?" "That's what you're hereto do,right?" "Yeah." "Dr. Grant." "About vancouver,uh... he's worth keeping around, if,you know,you want my input." "Of course I do." "Two creams,two sugars." "Thank you." "I thought if we couldn'tgo to dinner... yeah,we can haveanother cup of coffee." "Nice." "Another cup of coffee." "He's not ready to go." "Tripp,he made the decisionto go a long time ago." "You didn't see the fearing his eyes." "You didn't hear him gaspingfor breath." "It's what happens.He,of all people,knows that." "He is not ready to go." "He's past saving." "His lungs are permanentlyscarred,tripp." "He choseto skip the transplant and is now past survivingthat surgery." "All he is nowis a man on a pump." "And you and I both knowthat your father is far greater, far more dignifiedthan that." "Tripp,bart loves you so very much." "He took so much pridein not taking out all of his rageand his ambition on you." "He wanted to shield youfrom all of that." "He took it out on youinstead." "Yes,he did.I got all of those great gifts." "I don't knowhow to do this." "He didn't teach mehow to do this." "I can't tell youwhat to do." "He's your father." "But,tripp,you have to take care of him the way he took careof you." "He needs you to be strongfor him now,tripp." "It's time,honey." "It's time to let him go." "You rememberstephen chandler, that kidwith the cystic fibrosis?" "He's turned outso beautifully -- graduate degree in engineeringfrom carnegie mellon." "He came up with this ideaof a new way to transport lungs." "It's remarkable." "Really." "Somethingwe could actually make." "We gave him new lungslast night." "Bought him some timeto do the things he wants to do." "Bought him some time." "Are you ready,bart?" "I love you,bart." "Thank you...for being... for being... for being." "Do you mind a visit?" "Oh,I'm --I'm just working." "He's ready." "You can startthe morphine drip." "He won't haveany anxieties now." "I promise." ""As we are so wonderfullydone with each other..."" ""...we can walkinto our separate sleep" ""on floors of music where the milk-white cloakof childhood lies."" "Hey,buddy." "Mr. And mrs." "Chandler,he's awake." ""Oh,my love,my golden lark," ""my soft,long doll," ""your lips have splashed my dullhouse with print of flowers." ""My hands are crooked where they've spilledover your dear curving."" "Stephen,I'm gonna take youoff the ventilator now." "Okay." "This is gonna feel a littlestrange for a moment there." "Try to take it easy,okay?" "These are new lungs." "Okay,now I want youto take in the air." "It is gonna feel so goodto take in all that air." ""It is good to be wearyfrom that brilliant work."" ""It is being god to feelyour breathing under me."" ""A water glass on the bureaufills with morning."" ""Don't let anyone into wake us.""