"♪ a thousand miles, searching" "For something to say ♪" "Boston, home to three of" "America's greatest hospitals." "These are the stories of the men" "And women who work in them." "I have never seen this guy... are you asking me out in" "Front of this camera?" "Does anyone feel a pulse?" "♪ you're everything that I want," "I'll never give up ♪" "♪ you can push me away ♪" "♪ you're everything that I" "Want ♪" "the trauma coming in is a" "Male." "He was involved in a" "Work-related accident." "He may have internal bleeding." "See you in room two on your" "Arrival." "I need to catch my breath, I" "Like ran from the O.R." "The patient sustained a trauma" "To his chest and abdomen and my" "Chief resident just called me," "He's actually coding." "They're doing chest" "Compressions, CPR." "If we can bring him back, he'll" "Be urgently taken to the" "Operating room, we'll have to" "Wait and see." "Here he is." "I've always been in the front" "Lines." "I was an EMT, I was a" "Firefighter, and I'm in the army" "Reserve, the medical corps." "Found by ems awake, alert," "Oriented, complaining of chest," "Abdominal, and pelvic pain," "Developed a slight an in" "Particular rhythm with our" "Pulses." "Any bleeding that you see?" "Throughout his abdomen but no" "Other obvious bleeding." "See if there's a pulse." "Is there a pulse?" "No pulse." "Continue CPR?" "Blood." "Can we get blood?" "I put myself through college" "And medical school." "My loans are almost up to" "$300,000." "First unit of blood is going" "In." "Continue CPR." "I would do it again in a" "Second." "I would volunteer to do this." "Stop and see what the rhythm" "Is." "Okay, if we can hold" "Compressions please." "Hold compressions." "Do we have a pulse?" "I don't feel a pulse." "No pulse." "Okay, resume compressions." "We open his chest to try to" "Give him the best chance of" "Getting him down to the" "Operating room." "All the way down, all the way" "Down." "His chances of survival are" "Very poor right now." "But we gotta give him that" "Chance." "I'm wondering how fast I can get" "Into his belly." "I'm thinking like three minutes." "Clear the hallways please!" "I don't think anybody really" "Knows what it is to be a surgeon" "Until they actually get there." "I think I was kind of lucky that" "I found something that I liked" "And now that I do it, I'm even" "Luckier that I still like it." "Hello, sir." "Hello." "How are you?" "I'm good, how are you?" "Nervous." "Nervous, I don't blame you." "I hear you have a hernia, is" "That true?" "Yes, sir, it is." "A patient comes to see me in" "The office, I walk in the room." "I have about 20 or 30 seconds to" "Reassure that patient that I'm" "Actually a half decent guy and" "That I know what I'm doing." "Good to see you again." "Sorry to see you." "I understand that." "You coming in for a different" "Body part?" "You don't want to make a habit" "Of it because if you come in for" "Different body parts all the" "Time, you'll be out of body" "Parts." "That first impression is a big" "Deal because you as the patient" "Is gonna lie down on a table and" "Let me take a knife to you." "So I hear you have a hernia is" "That true?" "Oh, it's very true." "Yeah, how long you think" "You've had a hernia?" "Four months maybe." "Four months." "We're in the right hand well, I omisoow cf" "Hern that's a good start." "I googled you!" "You googled me?" "I Google, I ws1o" "I've been an attending surgeon" "For 12 years, I think, and I" "Have done almost 12,000 cases." "I'm here for an umbilical biopsy." "My arm." "Gallstones." "Pain on my lower right side." "Inguinal hernia." "Chronic pain in my abdomen." "Gallstones." "I'm not sure." "I'm really waiting for him to" "Tell me what he's gonna do." "It's going to get better, I" "Swear!" "We're going to see Tom Alden" "He's a 58-year-old retired" "Firefighter and he has a colon" "Cancer." "Hi, I'm Dave." "Hi Dave, Tom." "It's nice to meet you." "Good to meet you." "Okay, so you had some pain" "Which caused the cat scan, is" "That it" "I had some acute pain and" "That lead to the colonoscopy," "Which I should have had a long" "Time ago." "I know all about it." "When I turned 50, my primary" "Physician said you better get a" "Colonoscopy, which I should have" "Had done and I never did." "I just pushed it aside you know" "For one reason or another." "I wasn't real anxious to do it," "Not just because I just didn't" "Take the time." "The good news here is that if" "You have to have a cancer, colon" "Cancer is not a bad one to have" "If we catch it early." "The treatment for it is surgery" "And we want to take out the" "Section of the colon that has" "The tumor." "We want to put you back together" "And hopefully find that we don't" "Even need to do anything like" "Chemotherapy at all." "I'm a former firefighter and" "For 28 and a half years I was" "Breathing some pretty bad smoke." "I figured well, someday I might" "Just get cancer, ya know?" "All right, we're going down." "My patient is practically" "Dying in front of me." "He needs an operation at this" "Very moment, that's his only" "Chance." "The heart's beating, there's" "No pulse without compression but" "There's a pulse with" "Compression." "All right." "Hi, how are you?" "I am actually in charge today." "Let's get this going." "One, two, three." "Prep him, from here to here," "Chin to knee." "Being a trauma surgeon is" "Demanding." "The time commitment is a little" "Bit insane." "I don't have time to sleep, I" "Haven't slept in a couple of" "Days." "Go, pack." "Pack, pack, keep packing." "More, more." "You have to have a pretty strong" "Personality to be in surgery." "Can I have the knife?" "We can't fix everything and I" "Know that, but I would love to" "Be able to fix everybody." "We need to find out where the" "Bleeding is and stop it because" "His bowel is like to shreds" "Actually right here." "So we have to plant that off." "He ripped his small intestine in" "Half and all the veins and" "Arteries feeding his intestine" "Were basically shredded." "Let's get some packs." "I'm just gonna put some packs" "Over there." "They have done absolutely" "Everything like textbook, like" "Her ward measures." "I mean, it's like a well-oiled" "Machine if this guy's got any" "Chance." "We're fibrillating, can I get" "Some electricity please." "All right are we hooked up to" "The defribillator?" "Charge to ten." "I'm ready to call the guy." "Let's do it." "All right, no more blood" "Products." "No more?" "We're gonna have to call it." "He's got no heart rhythm." "We just couldn't save him." "All right, thanks, everybody." "Every time you see this" "Happen, it doesn't get easier." "It gets easier to put it aside" "Or put it away and kind of like" "Mask it." "But it still doesn't get easier." "We got a 4-year-old little" "Girl whose got blood in her" "Brain or a stroke." "Her name is Caitlyn Macphee." "Is she in any pain?" "No, I gave her some" "Medication that takes away that" "Pain." "Oh, God." "I'm scared." "She's got blood in her brain and" "They don't know why." "This little girl has gone" "Through a lot." "She went into renal failure late" "November." "She's on dialysis at home and" "She was doing really well and" "This afternoon she took a nap" "And woke up and couldn't feel" "The right side of her body." "So, me and my husband rushed" "Here, and what do ya know she's" "Got blood in her brain." "Okay." "The elevator is broken so" "Unfortunately we have to get" "Onto street level and then go" "Across." "Okay." "Is this the only way to get to" "The E.R.?" "Yep." "Does this ever happen?" "The elevators not work?" "No." "Well, this is the Macphee" "Way, yeah, the harder way." "Save my baby please." "canbardouchegetonthat" "Case?" "Bardouche gotta earn that" "Case." "I'm addicted, I can't help it." "This is how I relax myself" "Mentally." "Otherwise I would take it out on" "Some poor unsuspecting intern." "I would get in trouble." "They would send me back to" "Sensitivity training class" "Again." "It's all about culture." "They remember feeling horrible" "As an intern, they remember" "Getting torn by their chief" "Residents and now they feel it's" "Their job to do it to us." "All right, you're in." "It's gallbladder fellowship." "You're letting him do a" "Gallbladder?" "He's my gallbladder fellow." "Not my gallbladder." "I wouldn't let you do my" "Gallbladder." "Tell me a little bit about" "What happened over the past" "Couple of nights." "I started feeling some" "Soreness in my stomach and then" "I went... two in the morning I" "Woke up in terrible pain." "Okay." "And I haven't slept since." "Mr. Fung had some imaging" "That revealed that his" "Gallbladder may have been" "Acutely infected and inflamed" "And so he's on the add-on" "Schedule for the O.R. Today to" "Have that removed" "Laparoscopically." "I've been on a morphine trip" "For awhile, which is good." "It's making you feel pretty" "Good?" "Much better, yeah." "I'm actually really looking" "Forward to it." "He's has a lot on the line here" "In addition to this person's" "Gallbladder." "Instead of buying you one" "Beer at the mission, I'll buy" "You two beers." "I need like a steak from" "Morton's." "That's what I need." "My bet with Andrew is to see" "If he could remove the" "Gallbladder so cleanly that bile" "Doesn't leak from the" "Gallbladder, which will force us" "To use the device called the" "Suction irrigator." "No, no, no, trust me I got" "This gallbladder operation." "It's game on." "pleasesavemy babygirl." "I just accepted dialysis." "Now she's got blood in her" "Brain." "Caitlyn Macphee, she's 4" "Years old." "Today around 6:00 P.M. She" "Started complaining of a" "Headache on the left side, right" "Side of weakness, was brought" "Into the hospital by her" "Parents." "We're gonna make sure that" "All her vital signs and" "Everything are okay." "Most likely depending on what we" "See on the ct scan, we're gonna" "Repeat the ct scan to see if the" "Bleeding's changed at all." "Okay." "And we'll have the" "Neurosurgeons come down and look" "At her also." "They're the doctors that" "Specialize in that area and" "She'll probably go up to the" "Intensive care unit." "Okay." "There's only so much room" "Inside your head, if you have" "Some blood occupying that space," "You end up pushing against parts" "Of the brain so that they don't" "Do what they're supposed to do." "That's in fact what's happened" "To her." "That's why she's not moving her" "Right arm they way that she's" "Supposed to." "She's moving her left arm" "Spontaneously and her right and" "Left leg." "She's doing just fine, mom." "She's moving around a bit," "That's perfectly fine." "We want to see if she's able to" "Move, that's actually helpful" "For us." "How we doing, okay?" "Be my brave girl, okay?" "Be my brave girl." "As soon as the neurological" "Assessment is done we're gonna" "Go across the hall to the cat" "Scanner to see if there's been" "Any change to her bleed, okay?" "We're gonna take some" "Pictures of your head, okay?" "When you're doing a shift in" "The emergency department, you" "You definitely go home and give" "Your kids a big hug." "The good news is most of the" "Things we see, kids get better." "We're about to take" "Somebody's gallbladder out." "Allow me to introduce myself," "I'm Flavio." "I'm the chief resident." "My team is my chief resident," "Flavio, and my intern on the" "Service, Andrew, also known as" "Bardouche to the team." "What's the deal?" "Amy, would you like to inform" "Flavio of our arrangements?" "When I used to do" "Gallbladders as a young" "Resident, my attending used to" "Put a little incentive." "If they did have to bring out" "The suction irrigator then they" "Would buy like taco bell, right?" "So young Andrew here says that" "He doesn't think that he's going" "To need to do that." "Eye" "So I said okay, if you don't" "Think that you're gonna have to" "Take out the suction irrigator" "Then I will personally get food" "On their website and order steak" "For the team." "Wow." "She's taking me out for" "Steak." "He does talk a lot of smack," "But we'll see how he does on" "This case." "This is as good as it gets." "You have a great team, a case" "That you love to do, I mean," "This is, this is what it's all" "About." "Incision, 6:55." "Oh, geez." "This one's pretty hot." "There's a lot of inflammation, a" "Lot of water in the wall, which" "Should make the laparoscopic" "Approach a bit more challenging." "This is pretty tough." "Can you introduce Andrew to" "His hands?" "I've never used this" "Instrument before!" "Do you want me to just tee it" "Up for him?" "Flavio... what is this tee ball?" "Flavio has two objectives." "To eat steak and to make my life" "Hell." "Andrew, it's my job to train" "You." "You start internship and they" "Tear you down, until you almost" "Feel completely naked." "I mean, that's their goal is to" "Make you a completely different" "Person." "If you can make it through" "Internship, if you can make it" "Through residency and" "Fellowship." "I mean those are the people you" "Want operating on you, the" "People that were able to" "Withstand that." "Now, here's the question you" "Have to ask yourself, is there" "Any chance this could be the" "Common bile duct?" "No." "Why is that?" "Here's the gallbladder and" "This is the duct going right to" "It, going nowhere else." "So it's not double-backing" "Into the liver." "Do it." "Okay, twist it and then go up." "Uh, words of defeat." "So Andrew lost the bet." "The wall of the gallbladder was" "So inflamed that it started" "Leaking some bile." "We're gonna irrigate." "Are you sure that he needs a" "Wash?" "Yes." "Good job, bardouche." "I'll take a corona." "Hold onto the side ports." "I think we were able to get" "The gallbladder down safely," "That's the most important thing." "Um, and I think the patient will" "Be fine." "He can go home tomorrow, no" "Problems." "I'm very proud of you." "I thought you were gonna suck a" "Lot more than you were." "Make it look pretty." "Will do." "My chief was just as hard on" "Me as I was on him and I think" "It's my duty to do that, but I" "Think in the end he's going to" "Develop into a good surgeon." "Ugh, this is painful." "It's the first time I've been" "In the hospital." "I'm a little nervous about it." "Hey." "How you doing?" "I'm good, how're you doing?" "I'm good, I'm good I'm all" "Warmed up." "We're primed?" "We're primed." "Mr. Alden is a good example of" "The indestructible American male" "Who is living his life and doing" "All the things he wants to do" "And feels like there's nothing" "Wrong." "And all of a sudden he was" "Confronted with the fact that he" "Had a colon cancer." "That's a nice one." "Look at that." "Judy came into my life when I" "Wasn't doing too well." "I had a divorce after 38 years" "Of being married and it was" "Very, very difficult." "Extremely difficult." "This island is a great place" "To heal." "When I came down with this" "Illness, Judy was right on top" "Of it." "I kind of knew that there was" "Something serious before" "Anything came back." "I just had a feeling." "I don't know why, but I just" "Did." "But I didn't say anything I" "Didn't want to be alarming." "They wanted to get it done." "The worst thing about something" "Is leading up to it." "They say you got a malignant" "Tumor and it's not spreading, so" "They say." "You really don't know until you" "Get in there, do ya, really?" "nicedeepbreaths,okay?" "Give me a deep, deep, deep," "Deep, deep breath in." "How ya feeling, Tom?" "Tom is now asleep." "Mr. Alden is confronted with" "Cancer." "That's tough to take for all of" "Us and Mr. Alden in particular." "Can you give me a little reverse" "T?" "Because he's a strong" "Firefighter, he spends time" "Working out." "Okay, let's open the stapler." "Then something happens that" "Makes you think you're a little" "More destructible than maybe you" "Thought you were." "Okay, so the tumor looks to be" "Right there." "Okay, let's make a little hole" "Right there." "I met Tom last August and we" "Just hit it off." "All we do is laugh all the time." "He's a gentleman, he's just" "Wonderful." "I finally find the right man," "And I'm hoping he's not gonna" "Leave the earth, you know?" "Tie those." "Okay, so the reason that we do" "Colonoscopies is to pick up" "Colon tumors." "And you'll be able to see quite" "Easily the difference in this" "Flat mucosa versus this cancer." "So the next step in his" "Treatment is to wait for the" "Pathologist to look at it under" "The microscope, tell us if it" "Went through the wall of the" "Colon, take a look at the lymph" "Nodes and see if there's any" "Tumor in the lymph nodes." "His chance of survival is gonna" "Depend on the results of those" "Tests." "She's talking and not on" "Machines." "She looks ten times better than" "When she came in." "She's smiling, she's playing." "She's had a bleed in the brain," "The bleeding has stopped and" "Some of the blood has gone down" "Which is she is starting to get" "Some of her functions back." "She's a fighter though." "Hi, daddy." "How you doing?" "Good." "Good." "Daddy, I can't see you like" "This." "Daddy." "Caitlyn is getting an MRI of" "Her abdomen." "She's been having upper left" "Quadrant pain, so they're trying" "To figure out what's causing it." "She thinks that we're gonna" "Do sedation, but we're not." "We're just doing tube in and" "Then fluid." "Okay." "Because of the type of test" "That she's having done, she is" "Definitely going to be" "Intubated, so just to let you" "Know." "Are you serious?" "Why?" "Because we have to give her" "Some fluid for the test." "They didn't tell me that" "Though, when the" "Anesthesiologist came they said" "They were gonna give her iv" "Fluids." "So we're gonna go through" "This all over again?" "They shouldn't have told me" "One thing and then when I come" "Down here they tell me another" "Thing, 'cause that just isn't" "Cool." "She's gonna be miserable" "Again." "I don't want anything done" "Until I speak with the" "Anesthesiologist and know" "Exactly what's happening to my" "Child." "The mom is very, very upset." "Apparently whoever went and" "Prepared them for anesthesia on" "Friday told her that she wasn't" "Going to be intubated." "Drama, drama at children's." "I'm on my way now to see one" "Of my patients that I'm taking" "To the O.R. Today." "He's fine." "You can hold him." "He loves being held." "He's adorable, look." "She's a 21-year-old who had a" "Cesarean section ten days ago." "Unfortunately, she developed a" "Severe infection." "My stitches had given out so" "When I was in the bathroom I" "Just started bleeding all over" "The floor." "Today I'm going to do my best" "To make sure it's all cleaned" "Out so that she could go home" "And take care of her baby." "Aw, another baby." "I'm certain that if I had more" "Time I would go out and meet" "People and you know, fall in" "Love and get married and have" "Children." "I have decided not to just look" "At the online dating sites that" "I'm registered to, that I'm" "Going to actually do something" "About it and go on a date." "I know how men think." "I know what they want." "Lucas is one of my best" "Friends." "Do you want like a stable" "Relationship?" "God no, why would I want" "Something like that?" "Are you serious?" "No." "I mean, come on yes, of course" "But like..." "I was with somebody for like a" "Long time." "We were engaged and" "We had the wedding all planned" "And I caught him cheating on me," "So I broke off the wedding." "All right, so headline..." "Something that like a guy would" "Look at it and be like, "hmm," "Let's see what this girl has."" "brain like a, you know," "Trauma surgeon, body like a rock" "Star." "Okay." "Wanna be my groupie?" "Wanna be my groupie?" "Yeah, let's put that." "Wanna hook up in my call" "Room?" "Oh, come on, you can't put" "That!" "Need an anatomy lesson?" "You don't want that?" "All right, this is a bad" "Idea." "That's awesome." "I'm definitely back to my old" "Self." "I'm not looking to marry anybody" "Right now." "I just want to start off dating." "Nobody prepared us for this" "Before." "She's gonna wake up with a" "Tube in her throat." "She's gonna be traumatized" "All over again." "Nobody even told us." "I think she's upset because" "She just feels confused and that" "Whoever consented her for" "Anesthesia probably said the" "Wrong things." "So you can imagine having a" "Child as sick as her child is" "And then all of a sudden" "Expecting one thing and then you" "Know ten minutes before we're" "Ready to do the scan you have a" "Whole different picture." "I'm sorry, I'm still paying" "Hundreds and hundreds of" "Thousands of dollars for this." "Hey, how are you?" "I'm bill sparks." "Hi." "I'm one of the attending" "Anesthesiologists." "I apologize for the confusion" "Today, but Caitlyn was put on" "The schedule in order to take a" "Look at a specific area of the" "Abdomen to try and identify what" "Is causing her pain." "In order to get good pictures," "She can't breathe." "We stop her breathing during" "Periods of the scan." "We weren't even told that." "People should've come talk to" "Us, you know, we could've had" "Time to research." "We just sit around the room and" "Get nothing done, but the kid's" "In pain." "We get down her 20 minutes" "Before the procedure and we get" "Like hit with like a blow of" "Information." "The communication is" "Nonexistent in this hospital," "And I don't understand that." "I really... it's bad." "You've got four or five" "Different modules within the" "Hospital trying to come up with" "A plan and it just didn't get" "Communicated well." "There's no reason for you not to" "Know what's going on with" "Caitlyn." "It's not fair to caitlyn." "It's not fair to you, but at the" "End of the day, the next few" "Days, either today or the next" "Few days, we'll be doing a" "Study." "I'm gonna let you guys talk" "About it." "If it was more of a" "Life-threatening situation I" "Would say you know what we" "Really need to go." "We're not there, she's fine," "She's stable, and she's got some" "Pain issues." "You know, just want to make sure" "That you're comfortable with" "Everything." "Okay, thank you very much." "Okay." "We gotta go through it at" "Some point, whether we go" "Through it now or three days" "From now." "We might as well get it over" "With." "theyweretryingtofigure" "Out what was wrong with her." "They were trying to make her" "Well, but now it's like they" "Don't even know what to do" "Anymore." "It's just like "why am I here?"" "Caitlyn's been in the" "Hospital for six weeks." "The next step is to get her" "Home." "So we've done all the studies," "We're not gonna do anything new." "Her pain is under control." "Everything is moving in the" "Right direction." "Mom has learned how to do" "Dialysis at home so the kid" "Can get the treatment she needs." "Dr. Harmon thinks she would" "Benefit from extra dialysis." "That was something that people" "Are feeling pretty intense about" "Right now." "I know she needs the" "Dialysis, a minimum of ten" "Hours, but to get her on for 12 hours now is gonna be even" "More challenging." "She's gonna get dialysis" "Everyday, she gonna get a dozen" "Medications, she's gonna get" "Some injections, she's gonna get" "Physical therapy." "Think about yourself." "How would you handle all these" "Things?" "So this is a very daunting task." "I'm responsible for so" "Freaking much... dialysis," "Rehab, doctor's appointments." "I set the machine up, I get the" "Doctor's appointments, I haven't" "Seen my son in a month, I can" "Barely get her on for ten hours," "They don't even know if this is" "Gonna work, but my life's gonna" "Get turned upside down." "It's a huge, huge, huge" "Undertaking, but if there's one" "Person on this planet that could" "Do it, it is you, because you" "Are fantastic when it comes to" "Taking care of your daughter." "It's like, I can't breathe" "And I'm trying to hold it" "Together because it's not her" "Fault." "The anger is very real and" "Very valid." "When you're sitting there," "There's not much you can do as a" "Caregiver besides just trying to" "Absorb a little bit of it and to" "Not to take it personally in" "Any way, shape or form and to" "Hope that it in some way helps" "Her move forward." "It's very, very normal to" "Feel like you do." "You do so much and you do it" "Well." "You do it very well so that is" "Why you are going to be able to" "Handle bringing her home and" "Doing it again." "I just want to get out of" "This hospital." "Hello?" "Yo." "Yo, what's up?" "Can you cover me tonight?" "What's going on?" "I got a date." "You got a date?" "Don't sound so surprised." "Why do you sound so surprised?" "All right, let's find a cab." "I am going out with somebody I" "Met last week." "Tonight will be our first real" "Date." "Would you like to get up and" "Dance tonight?" "No." "Maybe after my beer I will." "I took one lesson." "Did you really?" "How'd it go?" "Not very well." "No?" "Did I tell you that I got" "Commission today?" "You didn't." "Commission is what?" "A Captain in the army" "Reserve." "You weren't busy enough?" "No, I mean I know right?" "'cause I just thought that the" "One day or two days that I have" "Off during the month that I" "Should be doing something" "Productive." "But that's awesome." "He used to be in the marines," "So he's very supportive." "We just automatically have" "Something in common." "I'm attracted to him." "We'll see where it goes." "If your operations go well," "The patients should look even on" "The first post update, kind of" "Like they hadn't had an" "Operation." "How ya feeling?" "I felt very, very weak." "That's why I'm sleeping." "I'm extremely weak." "Still a big operation" "Yesterday." "Right." "It's possible you could sneak" "Home tomorrow night, we'll see" "How you do." "Really?" "Yeah, that way you won't have" "To sleep in our bed tomorrow" "Night." "You ever sleep on a hose bed" "On a fire truck?" "No, it doesn't sound good." "It's worse than this." "All right, looking good." "Hang in there and we'll see you," "All right?" "Okay." "So Tom is doing really well." "Everything for him now hinges on" "That pathology report." "If the cancer has spread to the" "Lymph nodes, his tumor is gonna" "Much harder to beat." "There she is." "What you got?" "It's just some magazines." "Magazines?" "This is who I remind her of." "If that doesn't work for you," "It's probably closer to the guy" "On the back." "This guy." "Gray hair, slight paunch, little" "Cool dude you know what I mean?" "You look way better." "Rosie, huh?" "Your cheeks are Rosie." "You look good last night, but" "You look even more tremendous" "Today." "♪ you're going think of me ♪" "I haven't like sat down since" "Like 6:00 this morning." "I don't even know what time it" "Is right now." "My mom referred to me a couple" "Of times as hurricane Amy" "Because the wake I leave behind" "Me of men." "How did you know we just got" "Home?" "I wanted to let you know that" "My date went great." "And I only talked about blood" "And necrotising infections once" "So it was cool, so I kind of" "Reminded myself to shut up." "So you think you got a good" "One?" "Yeah, I think so." "Yeah." "IknowI'mgoingtoforget" "Something big." "The question is, what am I going" "To forget?" "This is crazy, right?" "I just got out of work and I" "Really haven't packed." "So Egypt, my parents both came" "Here from Egypt." "I want to go back and sorta" "Figure out where I came from." "I'm paying the price now because" "I'm post call, haven't slept in" "About 30 hours and I feel like a" "Complete ass." "But it's all going to be worth" "It because I got ten hours to" "Sleep on Egypt air." "I'm so thrilled right now." "I'm on my way to the airport and" "Before you know it I'll be in" "Cairo." "At least for a week, I'll be in" "Paradise." "So we just got the results" "Back on Mr. Alden, and" "Unfortunately, he has three to" "Fourteen nodes positive for" "Cancer and because of that he's" "Gonna need chemotherapy." "I was thinking of going out" "This way in a golf club." "You'll undo all your" "Stitches, and your jeans will" "Cut into the incision." "I'll ask the doctor's advice." "So this isn't the best news," "And it's definitely not the news" "That he wanted to hear." "Hey, guys." "Hey." "How are you?" "So the pathology report is" "Back and this cancer did not go" "All the way through the wall," "Which is good news." "But 3 of the 14 nodes were" "Positive." "Yeah." "For tumor." "Okay?" "Uh-huh." "So what that means is that it" "Spread into those lymph nodes," "Right near the tumor all right?" "Hopefully we got that out." "It does translate though into" "Most likely needing" "Chemotherapy." "Really?" "Wow, okay." "Obviously nobody wants to" "Hear that." "No." "Nor do I want to tell you" "That." "But I think you have to look at" "How this thing has gone, you" "Know, you had an operation." "The operation went really well." "You're doing really well and you" "Jumped the first hurdle and the" "Tumor is out." "And now what we need to do is do" "The second hurdle, which is do" "The belt and the suspenders," "Make sure our pants don't fall" "Down, right?" "You know, I really like being a" "Surgeon, I help a lot of people," "I have fun doing it, but" "Ultimately the thing that will" "Make me stop is the" "Complications, is the problems," "Is the bad outcomes as" "Ultimately that will drive me" "Crazy." "This sucks." "I just arrived in Cairo after" "A 12-hour flight." "Karem is my cousin and we've" "Gotten pretty close and neither" "Of us speak Arabic, so we're" "Totally screwed." "You're not allowed to spoil us." "For the first time, we met two" "Of my female cousins on my mom's" "Side." "That's cause you guys speak" "The language and you don't." "We're gonna need your help" "Negotiating." "Uh, they're fake Rolex watches." "You like this one?" "How much?" "This is for 25." "$180." "$180 is too much, what can" "You do?" "It's too much." "You know what, I'll give you" "$100 for it." "No, I can't." "Okay." "All right, well, it's a nice" "Watch, but... you know what, $150 for you." "You know, I don't even really" "Need a watch." "I don't even need a watch." "It's not a big deal." "I'll give you $100 for it." "$125." "All right, I'll give you the" "$125, just adjust it." "No problem." "I'm the new owner of a fake" "Rolex." "Let me see." "I don't ever remember meeting" "You guys?" "Did I meet you, too?" "No, no." "When you're a surgical" "Resident, people are dying." "It makes you think you know I'm" "Running out of time to know my" "Family." "You're supposed to be a" "Doctor." "I am a doctor." "I'm not supposed to be but..." "So you guys are spoiling me by" "Giving me a hard time?" "Iwantto go home!" "I'm sorry I had to shoot you" "Down for the... for the date you" "Wanted to go on." "I just don't think it's a good" "Idea." "We are colleagues." "Wait, wake up." "You're dreaming again." "Wake up." "I didn't realize that I had" "This much stuff until I started" "Packing this morning." "Where are you gonna put me?" "Where are we gonna put you?" "We're leaving you here." "You're going right on top." "You're the best present." "I'm excited that I can have" "My freedom again, but it's gonna" "Be a lot of responsibility to" "Watch her." "It's definitely gonna be a" "Challenge to go home." "I think she's gonna get" "A lot better." "Children are very resilient." "Bye, honey bunny!" "Bye, caitlyn." "Oh, where's the kid, that's" "Important." "The goal is trying to get her" "Right side moving again." "She's made good progress." "I tell you honey, you're" "Gonna sleep all the way home, I" "Guarantee it." "I'm sure her mother and" "Her father are going to figure" "Out how to do this." "It just needs to get done." "Hi, munchie!" "I am involved in the most" "Important part of someone's" "Life, their entire life." "I do my best to make the" "Outcomes perfect, you can't" "Always do it, but you try." "You got the biggest one of" "The day." "Nice job." "All the way in." "Judy, I'll rake and you'll" "Plant." "Okay." "How's that?" "My yard was just waiting for" "Tom to arrive." "I'm just gonna rake it back." "Okay." "I feel great." "I do, I feel fantastic." "Dr. Berger caught it just in" "Time, and I've been off of chemo" "For five months." "Before Easter I asked Judy to" "Marry me." "So we're going to be married in" "The fall if not sooner." "Before, I was thinking death." "Now I'm thinking living." "Now what am I going to do for" "The rest of my life? nextonBostonmed ... keeping someone else alive." "What else could there be in" "Terms of a legacy?" "They want to take and she" "Went like this." "I saw the patient within an" "Hour after his accident." "Center of the face is all" "Gone." "We're going to perform only the" "Second face transplant, ever." "We're getting close." "It's absolutely amazing." "He has a perfect oval face." "Congratulations." "Thank you." "He has not seen himself yet." "Here's a mirror."