"Uh, the patients are here For the domino transplant." "Right." "I wanted to ask you, If it's an appropriate time " "I've been working With mrs." "Hoepfinger," "And i was hoping You'd allow me" "To be her lead surgeon During the domino transplant." "This isn't An isolated procedure." "I'm gonna be monitoring All six surgeries" "And performing one myself." "Isn't your First-quarter review" "Scheduled for later This afternoon?" "Uh, yes, As a matter of fact, it is." "Good." "We can discuss this When we discuss your progress." "Morning, ladies." "The donors and the recipients For the transplant are here." "Oh, we're coming." "Dinner tonight, mary?" "I made reservations." "Can't wait." "You're having dinner With dr." "Grant?" "Yes." "At christopher's, Of all places." "Excuse me." "It's my 10-year anniversary At st." "Jude's," "And he wants to celebrate." "You didn't now?" "No." "It's a thing he does For the nursing staff." "It's kind of his way Of apologizing" "For being an absolute ass For 10 years." "Oh, so i have to Wait 10 years" "To get him to actually take me Out to dinner." "So, your wife's coming In tonight?" "Yeah, we hired a realtor, so She'll start looking tomorrow." "I'd be happy to take her To lunch or around the city." "Oh, yeah." "That sounds great." "You know, i was beginning To think you were making her up." "I'm not...making her up." "Well, like i said, i'd be happy To take her to lunch." "That's good." "Morning, everybody." "Morning.morning. Morning.morning." "Welcome to st." "Jude's." "First off, we all want to thank The kidney donors" "For their amazing generosity Of spirit and for their bravery." "This is a great opportunity" "For us all to get to know One another a little" "And for the families to, Of course, finally meet." "Would you introduce yourselves?" "Um, hello." "I'm henrietta lewis." "And i'm hank." "Hello." "Wen chan." "My name is hui chan." "I'm wanda hoepfinger, And this is my husband, richard." "We've found it useful for both The donors and the recipients," "As well as the medical staff, To pair off the couples" "As they will be in surgery, So..." "Mr. Hoepfinger, will you please Sit with mr." "Chan?" "Mr. Hoepfinger is donating To mr." "Chan." "It's like A bad '70s key party." "What's a key party?" "I'll tell you later." "Okay." "Mrs. Chan, will you please sit With mrs." "Lewis?" "Mrs. Chan is donating To mrs." "Lewis." "Finally, mr." "Lewis, Sit with mrs." "Hoepfinger." "Mr. Lewis is giving his To mrs." "Hoepfinger." "Sorry." "If you'd all turn your attention" "To the powerpoint diagram On the screen," "We can discuss the workings Of tomorrow's procedure." "Dr. Grant?" "Thank you." "Okay, let's get started." "This is a highly complicated Procedure." "It demands extraordinary Attention" "To every distinct detail." "=ææàãðü×öä"×é=- ·­òëð£¶ô:imvp E±¼äöá£ºuranusêø"¤ììê¹" "Recipient table one, Mrs. Hoepfinger." "Recipient table two, Mr. Chan." "Recipient table three, Mrs. Lewis." "Okay, and you'll have Recovered kidneys" "From mr." "Lewis, mr." "Hoepfinger, And mrs." "Chan." "You're putting the whole week's Pancreas schedule" "In the crapper." "We're changing the world one day At a time, dr." "Lyons." "There will be six surgical teams Working simultaneously " "One per recovery, One per recipient." "We'll be placing all three Donors under anesthesia" "At the exact same time," "Making sure that each recovery Is carefully monitored." "Our donors will begin sedation At 10:26." "They will all be given 10 mg Of propofol." "Except mr." "Lewis." "He'll be given 20 mg Due to his larger size." "And who's getting His kidney?" "My mrs." "Hoepfinger." "[ chuckles ] Your mrs." "Hoepfinger?" "We've gotten very close." "Ohh, so, vancouver, You like them big, huh?" "More to love." "Moving along." "So, once the donors Are all sedated," "We will begin the..." "How are you?" "No different Than last night." "Last night You were pretty good." "I was real good." "...barring any complications With anesthesiology." "Barring any complications, The incisions are made at 10:47." "Left port for the camera, Right for operating." "The extraction incisions Are umbilical." "Except for mrs." "Hoepfinger," "Who will have A super-pubic incision." "On the remote chance that she Will ever wear a bikini." "You want to be her lead surgeon, And this is the way you act?" "Sorry." "He's just blowing off Some steam." "It's fine to do that In here," "But when you laugh In front of the patients," "You destroy the entire fabric Of their trust." "I know." "Do you?" "Dr. Grant, again, I'm sorry." "Mrs. Hoepfinger in a bikini Is kind of funny." "That's my girlfriend You're talking about there." "How does mr." "Hoepfinger feel About your relationship?" "Well, i'm sure He likes vancouver more" "Than he likes the 6'5" black man Who is giving his wife...a kidney." "Excuse me." "Hey, baby." "I thought you were gonna be here A little bit later." "My plane got in early, So..." "Oh, okay." "Hi." "Simon griffith, First-year fellow." "You can call him Vancouver." "Oh, is that a nickname?" "Not really." "But you prefer it?" "Mmm, not really." "You want to take A look around?" "Hi." "Hello." "Oh, i'm sorry." "Kate armstrong, This is my wife, terea." "Kate." "I've heard a lot about you." "Oh, i've heard a lot About you." "It's so nice To finally meet you." "It is." "So, what neighborhoods Are you looking in?" "Excuse me?" "For houses." "Where are you looking?" "Oh, i'm just gonna Drive around today" "And see what i see." "Oh, great." "Well, how about that tour?" "You want to..." "Okay." "All right, excuse us." "I knew we'd never make it To ireland." "I knew it, but i couldn't Tell him to stop hoping." "We stopped in new york To see my brother," "And he couldn't catch His breath." "Why didn't you call me?" "He didn't want me to." "But he knows He can't do much more now." "You think He'll let me operate?" "I don't know." "He keeps changing his mind." "But i thought It would be best" "If you would talk to him About that." "Okay." "Hey." "You look like hell." "You should talk." "Let me help you Catch your breath." "Yep." "All right." "Deep breath, inhale." "All right." "Exhale." "All the way out." "Again." "Breathe in as deep as you can." "All right, exhale." "Let it out." "Let it out." "Any better?" "Didn't know I'd be this afraid." "What can i do?" "Didn't know It'd be like this." "I could admit you today." "It's not too late To put you on the list." "I don't know what to do." "Don't know." "Why don't you let me Help you, bart?" "I don't know." "Okay, so this is how The room aignment's gonna go." "Mrs. Chan is gonna be In room one..." "There's only one bed In this room." "We're bringing Another one in." "Because we were told That there would be two beds," "That we would recover In the same room." "There will be." "Two beds." "Mr. Hoepfinger, you and Your wife will be in room two." "My wife said i was staying In the holiday inn." "Yes, After you've recovered." "You'll be here For the first three days." "Excuse me." "I don't feel very good." "We'll take your temperature In a minute." "We need to go get some more Blood work done now at the lab." "Are they all That bizarre before?" "Some." "Some are really calm, Like unnaturally calm." "I couldn't do What you do." "I prefer my patients Unconscious." "You know what, though?" "I think that..." "I don't know." "I think It's kind of romantic." "A kidney transplant?" "The way it works." "The domino effect." "I mean, a person Volunteers their kidney" "To somebody that they love Because they need it," "And then if they find out That they don't match," "Instead of just giving up," "That person offers their kidney To the entire world." "And then they wait." "And then this happens." "I mean, when somebody does that, This is what happens." "Chans or hoepfingers?" "Lewises." "Hoepfingers are next door." "So, uh, 10 years At st." "Jude, huh?" "I know." "I'm ancient." "Nah, you're younger Than i am." "How old are you, anyway?" "31." "How old are you?" "I am so not telling you." "Hi, simon." "I didn't say hello?" "I'm gonna go get ready For my very important dinner." "Dr. Grant's taking her out For her 10th anniversary here." "She doesn't want to go." "Oh." "So, 31, huh?" "Yeah." "Better start getting that Retirement portfolio together." "Yeah, i have a 401(k), Some investments." "I was pretty smart After college." "Simon, I was just kidding." "Oh." "You know, um," "Whenever there's a bunch Of people in the room," "You always have Something funny to say," "But when it's just me and you..." "I guess -- When it's just both of us " "Yeah." "Oh." "Simon, um..." "What are you thinking?" "That i like you." "I-i kind of thought You liked me, too." "But, i -- Um, we work together." "I enjoy your company, But..." "But what?" "But i'm not available." "Please don't tell dr." "Grant." "Oh, god, i hate this." "What?" "I hate being the nurse That's screwing the boss." "It makes everybody Look at me" "Like i'm either desperate Or dangerous." "Well, so, leave him." "I fell in love With him." "All right?" "I mean, i'm not the kind Of person that just does this." "Do you think That he loves you, too?" "I don't know." "But i know this isn't Gonna happen...between us." "I do know that." "Ms. Armstrong?" "Hey, mrs." "Chan." "I heard mr." "Lewis was running A temperature." "Oh, it's very low." "But even less than one degree Above normal, isn't " "Mrs. Chan, this isn't something You need to worry about." "But the risk To the recipient " "Only exists if the elevated Temperature in the donor" "Is due to an infection." "But i read " "Mrs. Chan, we've got everything Under control." "I think you should go to Your room and relax." "Got a big day tomorrow." "Everything okay?" "Mrs. Chan is worried About mr." "Lewis' temp." "Ah, and you're worried About mrs." "Chan?" "I am, a little." "Have you heard from bart?" "Yes." "Is he having a good time?" "I didn't ask." "You know, it's hoepfinger We should be concerned about." "Hoepfinger's fine." "He's just nervous." "Mrs. Chan is on the verge." "Hey." "Hey." "Dr. Grant?" "Hi." "Uh...would you be offended If we didn't go out tonight?" "No, not at all." "You don't want to go out?" "I do, i just -- I don't feel up to it." "Are you sick?" "No." "Look, i just don't feel Like celebrating, okay?" "Okay." "We won't go then." "Really?" "Mm-hmm." "Okay, bye." "Hi, dr." "Grant." "Hi...you." "I came here To look at houses." "I got on the plane..." "And then somewhere over kansas, I just realized that this " "You know, it's just A little different out here." "Why did you take the job?" "How could i not?" "Head surgeon, the salary, It allows us to do so " ""us"?" "You did this for us?" "Of course." "Of course." "Tom, tell the truth." "Truth is, terea..." "I don't know." "I think you do." "I think you knew the minute You took the job here." "I knew, too." "I didn't stop you, And, uh, i knew, too." "Okay." "Hi." "Hey." "Hey, hey." "Kate, This is my wife, terea." "Terea, yeah, i know." "We've already done this part." "Well, I should actually be..." "It was nice To meet you again." "You, too." "Okay." "Is this an okay time?" "My quarterly review is scheduled For now." "Come on in." "First off, I want to apologize" "For being inappropriate Today." "Sit down." "So, how am i doing?" "I can see you're beginning to be Very comfortable around here." "Yeah, i'm getting Used to it." "Yeah." "Your people skills could use Some work." "Okay." "I like your confidence," "Though i worry that you may Overreafrom time to time." "Okay." "I'm not saying that you're not A very talented surgeon." "You're just in a bit of a rush To become a great one." "Okay." "What was it like When you were a fellow?" "Difficult." "Dr. Jacobs " "Was an incredibly demanding Chief of staff," "And he put me through Absolute hell." "Yeah, But you were working" "For the greatest Transplant surgeon in the world." "That's why i'm here." "I mean, That's why we're all here." "For dr." "Jacobs?" "For all of it." "Dr. Jacobs, you -- st." "Jude's Is the world's finest," "And i'm just trying To live up to that." "Now, i've already been working With the hoepfingers." "Let me be your lead surgeon." "Vancouver, i -- What else are you gonna do?" "Get one of the gut guys From general surgery?" "I may be a fellow, but i'm a lot Better than they are." "Thanks for coming in For your review." "Keep up the good work." "Hey." "So, we're all set For tomorrow." "Great." "You okay?" "Why?" "You look a little upset." "You know what?" "I'm great." "And you know why i'm great?" "Why?" "Because i am totally Getting into" "This whole national "mary's 10th-year" holiday." "Oh, i see." "Mary-palooza." "A very mary 10-year." "Shut up." "Do you -- do you want to go Get a drink?" "What about your date With the chief?" "You don't have to If you don't want to." "You know what?" "A drink sounds about perfect." "Good." "What are you doing?" "Working." "Shouldn't you Be getting ready" "If you're gonna make Your dinner?" "Mary canceled, so..." "Oh." "How was Simon's review today?" "He's your average fellow." "Right." "Don't you think?" "You still have That reservation, right?" "No, actually, i canceled." "Oh, right." "Well." "You could make an effort Every once in a while" "Instead of sitting In your office every night" "Waiting for me To come to you." "It makes me feel like You don't really care, you know?" "Nathaniel." "Never mind." "Simon: i made a mistake coming To st." "Jude's." "You know, people told me That he was impossible." "I should've listened." "Mary: he's a great surgeon, Simon." "Yes, he's a great surgeon." "Mm-hmm." "He just doesn't want anybody Else to be a great surgeon." "Thank you." "I thought that canadians Only drank beer." "You are forgetting Canadian whiskey." "Excuse me, and whiskey." "And this very special Canadian tequila." "Happy 10 years, mary." "Oh, my god." "Can i tell you Something stupid?" "Sure." "I kissed jessica." "Oh." "Today." "Oh." "In one Of the recovery rooms." "On the day That you're asking the boss" "To take over One of the domino recipients." "Yes, i said It was something stupid." "Yeah." "What -- What did she do?" "Basically, she told me That i was out of my league." "Is that what you think?" "I think i'm gonna have another One of these canadian tequilas." "You?" "Yeah." "Yeah." "Okay, looks good to me." "Thank you." "Hey." "I thought you'd be House-hunting." "Oh, well, i, uh, Have a big procedure tomorrow," "Got a lot of paperwork, So..." "What are you still Doing here?" "Donor hand-holding." "Ah, domino donors." "Yeah." "Hoepfingers?" "Nope." "Oh." "What?" "Are you ever going to give me Your wife's phone number?" "My wife wants to leave me." "Oh, i'm sorry." "I just -- i don't -- I don't know what to do." "Do you want her to leave?" "Sometimes, yes, And then there's other times" "When, you know, There's kids and houses and..." "We've built a life together, So it's..." "It is the hardest thing." "And i wish i could tell you It was easier." "Yeah." "How are you doing?" "At first," "I couldn't imagine a life Without nathaniel." "But now that I'm on the other side," "I'm better." "Getting better." "Good night, Kate armstrong." "Good night." "Hey." "Uh, can i sit down?" "It's the meeting room." "Listen, last night, When you kissed me " "I was out of line." "What you said was true." "And the talking And the flirting..." "I did want you to." "I...just...needed you To do that" "'Cause i never would have, And then you did, and..." "I want you to know " "I slept with mary Last night." "Wow." "Yeah." "Wow." "Big day." "Morning." "Hi, dr." "Grant." "Hi." "The procedure's off." "What?" "Why?" "One of our donors walked out In the middle of the night." "Who was it?" "Kate: mrs." "Chan." "Well, did you try To talk to her?" "We don't know Where she is." "Simon: uh, can't we call The police?" "She's not a car, simon." "It's not like she's got lojack." "Still, If we can find her -- She's out." "We've contacted unos and Accessed st." "Jude's database," "But so far, Nothing's come back." "Excuse me?" "I'll do it." "I'll be the donor For the domino transplant." "If i'm a match, I want to do it." "You have your anesthesiogy And cardio evals," "Tissue types, ct scan, And you " "When did you do All of this?" "I've been thinking about it For over a year." "I just kind of took care Of all the pieces." "Did you know about it?" "We'd discussed it, Yeah." "And you're comfortable With signing off?" "I am." "I believe mary's doing This for the right reasons." "Is she a match for chan?" "No, but we're crossmatching With a few others." "How many?" "Don't know yet." "Could be more than five." "I see." "Kate, would you excuse us For a minute?" "Of course." "See you." "You're against this." "I didn't say that." "Then you think i'm nuts." "I think you might be Caught up in the moment." "So what if i am caught up In the moment?" "What difference Does that make?" "I'm trying To give you an out." "I don't want an out." "I..." "Dr. Grant, i've always been Moved by the donors." "I believe In what they do." "I promised myself That if i ever had the chance," "I would do my part." "Mary, i need you here." "Pam can cover for me." "I'll be back full time In two weeks." "You okay?" "Why?" "It's just a kidney, Right?" "It's not like i'm gonna die Or anything." "No, of course not." "Okay." "Hey." "You sure you're okay?" "Bart:" "Remember that congressman?" "What was his name?" "John evers." "John evers, right." "Altoona." "Remember what happened To him?" "He had i.p.f. Just like you, We transplanted him." "The disease came back." "He lived For six more months." "Nate..." "I've made my choice." "You said, Just yesterday " "Yesterday, i was..." "Terrified." "And today?" "Just scared." "Bart, we can " "Do you remember" "We told him he should see as Much of his family as possible?" "I was with him The morning he went " "Wife was right At his bedside, kids." "I remember." "He was home, nate." "Home." "I want you to set up My hospice here." "Look -- No." "I want you to set it up." "Janet shouldn't have to be Dealing with this stuff." "I want you to do This last thing," "And i want you to see it Through for me." "Okay?" "I'd like to introduce everyone To the pavels," "The noahs." "The farbockers," "And say welcome back To the hoepfingers, the lewises," "Mr. Chan, and, of course, You all know mary." "This is gonna be A new record." "I know." "Hopkins did five." "That's very exciting." "So, here we are again." "I've made up a new list Of surgical teams." "Most of us are On the same patients," "But the big change is that Dr. Griffith will be taking lead" "On mrs." "Hoepfinger." "Dr. Griffith, you'll use sue And tony for anesthesiology." "Okay." "And, uh, take jessica As your scrub nurse." "I'm sure she'd like that." "Okay, then." "Tomorrow morning, first thing," "We'll begin the sedation of All six donors at the same time." "Once they're sedated," "The recovery teams will move Into the o.r.s one through six." "How we doing?" "Ah." "Not exactly the week I was expecting to me having." "Yeah, i know." "New world record." "I wasn't talking About the surgeries, simon." "I hope this doesn't have Anything to do with last night." "What?" "This." "Oh, god, no." "Good." "Why would you think that?" "I didn't." "I just " "One thing has nothing to do With the other, really." "Really." "Okay." "Okay." "How do you feel..." "About last night?" "I feel that it's awesome, what you're doing For these people." "Oh." "Six-way domino transplant, I mean," "It's the first In the world." "And now you're one Of the lead surgeons." "Yeah." "Well, um..." "You get some rest." "I'll come check back In a while." "Okay." "Okay." "Jessica: hey." "Don't blow her off Like that." "Like what?" "Just now." "She was hoping You actually gave a crap." "I do." "Well, then stop acting like A typical surgeon." "Okay, you're the one that said Nothing was gonna happen." "You said You weren't interested." "You could've given me a day To think about it." "Now you've made things Complicated." "What, by sleeping With the chief of staff?" "Screw you." "I'm just saying," "I don't blame you for that, So don't blame me for mary." "How you doing?" "Janet's a little upset." "Yeah." "Not exactly happy With the new decor." "Right." "So, i've, uh..." "I signed all the..." "The forms," "The "do not resuscitate" And hospice stuff." "Okay." "Now, listen." "Make sure these folks don't do Anything stupid." "My heart stops," "You make sure they don't put me On one of those..." "Damn ventilators." "Counting on you, nate." "Make sure nobody..." "Does something heroic." "So, the camera is gonna go Into the " "Abdominal port." "Right, and then the lower And the upper renal pulse " "Will be retracted." "You're a little high." "Yeah." "They gave me the valium already." "I'm just kind of waiting For the big stuff now." "So, my renal artery, It gets dissected." "I don't really want to talk About this." "Do you?" "No, you're right." "Hey, are we okay?" "It just..." "It's been a little funny." "How?" "I know you kind of like simon." "No." "And i know that simon Kind of likes you." "What did he say to you?" "He told me That he kissed you," "And that you said That you didn't like him," "But you do like him, Don't you?" "No." "I don't." "It's been a long time Since i've scrubbed in." "Are you okay?" "Yeah, why?" "You're not talking To anyone." "No, i'm fine." "Did you see bart?" "It's not bart." "I'm just concentrating." "We're doing six surgeries At the same time." "Simon: standing by." "Suction." "You're giving her Too much fluid." "Man: make sure The level stays steady." "She's all right." "You can't give her That much fluid." "It's fine." "Vancouver, Listen to jessica." "Excuse me?" "She's been in a hundred Of these." "You've been in two." "Listen to what She's telling you." "Dr. Grant, This is my patient." "A 6-0 proline on a needle Holder, please." "6-0 proline On a needle holder." "You're going to overload her" "And run the risk Of congestive heart failure." "It's at The appropriate level." "Step out." "What?" "Step out." "Step out!" "All right, Get her fluid levels down." "Let's get her back Under control." "Gauze, please." "Hey." "Yeah." "He's been in a mood." "You know, I didn't do anything wrong," "And i didn't do anything To deserve that." "Well, It's just one procedure." "It's a new world record." "There will be plenty more, Trust me." "There will be Plenty more." "A new world record." "Hastings is splitting the bill For a party on the floor." "There will be beer, wine, And wings." "Hastings says It's required." "Ah." "Come on." "I'll buy you about 12 beers." "Come on." "It's required." "Booyah." "All right, cheers." "Kate: here's to great work In there." "To world records." "Vancouver, come here." "It's history, nonetheless, And you were part of it." "When i was a fellow," "The crap that bart Put me through was " "I appreciate you Passing that on to me." "You're angry With me, huh?" "Mrs. Hoepfinger's heart rate Was elevated." "You could've put her At risk." "I've performed dozens Of abdominal procedures." "I know how to maintain The fluid levels." "Jessica was correct In pointing out " "You allowed the word of a scrub Nurse to override my orders." "Ifthat the opinion of a -- ...is better than mine --scrub nurse?" "I'd be careful with that, Vancouver." "I just want to know Where i stand." "That nurse knows more about Transplant surgery than you do." "You know what?" "Shove it up your ass." "Is this your way Of quitting?" "Why do you call me vancouver?" "Why do you think?" "It's no different than when you Call a terminal patient mister." "So when you kill My career," "You won't have to feel bad About the way you treated me." "You won't have to look at me Like i'm a human being." "That wasn't fair of us." "What?" "Today, in the operating room." "We both picked on him." "He was giving her too much -- You assigned me to him because You sense something, right?" "No." "I saw something." "Right." "You shouldn't be With either of us." "We're all the same." "Guy like me, Guy like simon..." "We're all the same." "We're all just drunk." "Is that what it is?" "What do you mean by that?" "You're drunk, nathaniel." "The rest of us Are waiting to see" "Which one of us Will drive you home." "* i drew a picture of you" "You know, i should've just Married a musician" "Or a basketball player." "Oh, yep." "At least there'd be some kind Of vicarious thrill That would rub off." "With you surgeons, It's just, uh..." "Nothing, silence, Travel...waiting." "For some big angry Pain in the ass" "To come home complaining About his day of saving lives." "I'm sorry About your wife, tom." "Why won't you talk To me about it?" "I don't want to." "Tom, you need a friend At a time like this." "You need a friend." "Yeah, well, kate, I don't want a friend." "Okay?" "Nate." "Forgot my whiskey." "I should go." "No, no." "Not on my account." "I'm..." "I should go." "Hey." "I'm sorry." "No, no, no." "You..." "You have every right, you know?" "You have every right." "What is going on With you?" "Bart came home yesterday." "He didn't make it To ireland." "How bad is it?" "He signed The hospice forms." "He just wants Palliative care." "I'm sorry." "He's not gonna last Much longer." "Let me drive you home." "No, no." "I'm fine." "I'm fine." "Okay." "Well, we can stay here, Have some coffee." "I think I'd like to be alone." "Nate, i'm happy to drive you home." "I need to be alone,kate." "I'm so sorry About bart." "Good night, katie." "Night." "* that's how i knew this story Would break my heart *" "* that's how i knew this story Would break my heart * * when you wrote it" "We did a six-way domino Today, bart." "New record." "Beat hopkins." "You should've been there To see it." "Six-way domino transplant."