New Amsterdam Most Pulse-Pounding Surgeries! | MD TV

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[00:00:01]self retractors.

[00:00:03]Is >> that a retractor? How can she even see without loops?

[00:00:06]>> Some people born deaf are more sensitive to light motion in their periphery.

[00:00:11]>> I know she's got a team to back her, but no loops, no colear implant. Not to enable us, but damn.

[00:00:17]>> I think they would agree with you. Do you see this, Helen?

[00:00:21]>> It's Yeah, it's a >> It's incredible.

[00:00:31]pushing lighter >> embarrassing light >> scissors in the basement. We won't need that up on the >> Does Helen seem a little off to you?

[00:00:49]>> We won't need that.

[00:00:50]>> We won't need that. OPA >> tumor isolated. Dr. Goodwin, Dr. Reynolds, >> number four, reverse cutting. Ready for unblock the section.

[00:00:58]>> Here we go.

[00:01:08]>> Time check on those urers.

[00:01:09]>> Clamping now.

[00:01:11]>> Talk to me.

[00:01:13]>> Go.

[00:01:13]>> PTT still within normal range.

[00:01:15]>> All right. Theics are clamped.

[00:01:17]>> PCT is 418. So he is in Dr. >> Reynolds ready to go on a 3ft trip on the right side. Throwback.

[00:01:25]>> Let's do this.

[00:01:27]>> Exploation of liver complete.

[00:01:29]>> Grab your portion.

[00:01:32]>> Collaterals appear heatic.

[00:01:35]>> Two patterns.

[00:01:40]>> Mr. Going on pumped vein patch holding.

[00:01:51]Collect distally in proximity please.

[00:01:54]Scissors on the train.

[00:01:59]Back table ready for reception.

[00:02:01]Excellent.

[00:02:02]>> Organs are fully functioning. Ready to move to O2.

[00:02:05]>> Number one, >> we are Audi 5000.

[00:02:14]>> He's coding.

[00:02:15]>> Ivers push one up EB.

[00:02:16]>> No, you need to push by carb.

[00:02:17]>> Helen, >> he's not going to make it. Push magnesium.

[00:02:20]>> Dr. Sharp.

[00:02:21]>> It's their job to keep the body alive.

[00:02:23]Not yours.

[00:02:24]>> I need a sponge.

[00:02:25]>> You're with me.

[00:02:27]>> Place retractor.

[00:02:30]>> Maintaining.

[00:02:37]>> He's got no pulse. We need a defib.

[00:02:43]>> Battles are charged.

[00:02:46]>> Clear.

[00:02:48]>> No pulse. Go again.

[00:02:51]>> Clear.

[00:02:52]Is that frustrating?

[00:02:54]>> I got a pulse. Normal sinus rhythm.

[00:02:56]>> O2 levels are solid.

[00:03:02]>> What was that about with Helen?

[00:03:04]>> Screen for auditory stimulus.

[00:03:06]>> She know him.

[00:03:07]>> Yeah, they dated when I first got here for a couple of years.

[00:03:10]>> Gaz is ready.

[00:03:11]>> Oh, Dr. Reynolds. Dr. Wilder needs you in R2.

[00:03:16]>> I'm good.

[00:03:19]>> 1.5 lights. maintenance does.

[00:03:22]>> I lost the stomach. Fell apart while I was in the lower esophageal junction. It needs a full reconstruction by the time we reinsert or I'll have to close without it.

[00:03:30]>> Hey, is there a reason you think you might not live without a stomach?

[00:03:35]>> Yes. It's looking like he's not going to have a small intestine.

[00:03:38]>> Additional chilled HTK solution standing by.

[00:03:47]>> SM get a monol on a tapered needle.

[00:03:56]You're getting perforation.

[00:03:57]>> Yeah.

[00:03:58]>> Let me try anchor in this flap.

[00:04:03]>> Damn it.

[00:04:04]>> It's tissue paper.

[00:04:05]>> I still need a stomach.

[00:04:08]>> Then you're going to need to make one.

[00:04:12]>> All right, switching over to plan B. A piggyback juno into position reconstruction. Now, not only is this complicated, but we're going to have to do it twice as fast. So, hands up if you've done it before.

[00:04:23]>> Any thoughts?

[00:04:24]>> Well, the procedure I assisted on was led by Dr. Baptiste. He executed it flawlessly, and I believe he's in the building.

[00:04:34]>> Okay.

[00:04:36]Someone page Dr. Baptist. I need him down here stat.

[00:04:48]Max, I'm sorry.

[00:04:50]>> For what? Anyway, >> you asked about Helen and Gon's past here if you need it.

[00:04:55]>> People don't always want to know what they think they want to know.

[00:04:57]>> I don't know. It's all good.

[00:05:00]>> I'm just uh processing.

[00:05:03]>> Of course, if the situation was more normal, she probably would have said something.

[00:05:05]>> Yeah. Yeah. Yeah. Of course. You know, besides not in high school, it'd be weird if we didn't have a past, right?

[00:05:12]>> I don't know. I mean, you know this guy and all our friends know this guy and I never even heard his name.

[00:05:20]>> I'd give you the edge. All of your organs are in the same room.

[00:05:24]>> It's not about jealousy. No, >> it's like moving into a new house and you discover this basement that you didn't even know was there. On one hand, you know, >> it's exciting. But on the other hand, why didn't the real estate guy tell me about this?

[00:05:38]What's down there?

[00:05:44]autographs.

[00:05:46]You know, >> if you ever look up GM's art, she is pretty far out there. And Helen was always telling us stories about how she helped him do crazy things.

[00:05:56]>> Crazy things like what?

[00:05:57]>> Like stuck in a mural on the side of the tri-state bridge.

[00:06:01]>> That mural?

[00:06:01]>> Mhm.

[00:06:02]>> The one that's over the 50ft drop to nothing.

[00:06:04]>> Yeah. Like someone painted a cliff.

[00:06:08]>> The resection is done. We're coming in.

[00:06:10]while you're scrubbing.

[00:06:11]>> Thank you.

[00:06:13]>> Are you telling me that while Gom was dangling over a river and uh painting in the face of death, Helen was holding the rope?

[00:06:21]>> I'm telling you that Guiam held the rope >> patient.

[00:06:29]Where's that cut down?

[00:06:31]>> Blood in the canals.

[00:06:32]>> Ready to remove the clamps.

[00:06:35]>> Good distal flow. Yeah, confirmed.

[00:06:37]Organs are looking great. He's compensating.

[00:06:45]>> Does that stay loose? Does that mean we're clear?

[00:06:49]>> Yeah, we're clear.

[00:06:50]>> Yes. Well done. Well done, everybody.

[00:06:54]>> Amazing work, people.

[00:06:56]>> Let's close them up, people.

[00:06:58]>> Hey, everyone.

[00:07:00]>> Look up.

[00:07:02]>> 100% on instruments.

[00:07:05]>> How crazy is this? Huh?

[00:07:07]Is that a coal?

[00:07:13]>> No. No.

[00:07:16]>> No.

[00:07:16]>> Blood pressure is dropping.

[00:07:22]>> Is it a clot? Have a heart.

[00:07:24]>> I'm checking blood pressure.

[00:07:26]>> Where's all the blood coming from?

[00:07:27]>> His order just burst and a PT.

[00:07:30]>> We got to move. They'll be dead in minutes. Any 4x4s out? Get a PTG. GG on your way.

[00:08:47]straight into place. His >> blood pressure's dropped. Down to 94 64.

[00:08:51]>> Hang in there, Hugh.

[00:08:52]>> Is that a fence joke?

[00:08:54]>> Just keep talking. Make a list of all the things you're going to do with your husband when you get home.

[00:08:58]>> Scrub the baseboards. Fold the towels.

[00:09:01]Though Eric always says three folds is overkill.

[00:09:05]>> Eric can have an opinion on three folds when he starts doing laundry.

[00:09:08]>> Good point. You have to help me remember to tell him all this if I make it.

[00:09:13]>> You're going to make it. BP dropped 82 over 40. We need to do something now.

[00:09:19]>> Hypothermoma lowers body temperature near freezing and slows metabolism.

[00:09:23]>> Why wasn't I freezing outside?

[00:09:25]>> No, no, no. This will be controlled. I'm afraid it's our only option.

[00:09:28]>> Respectfully disagree.

[00:09:30]>> You bring me some power?

[00:09:32]>> No, but we can do his surgery right now.

[00:09:34]>> What?

[00:09:34]>> We have all the equipment we need here.

[00:09:36]I worked in far worse conditions in Afghanistan.

[00:09:39]>> Dr. Condellario, this is my patient. My O. Your O has decent lighting and electricity. We can save this man. But I'm going to need you to let go.

[00:09:48]>> Literally.

[00:09:49]>> Go ahead with the IV. It'll help.

[00:09:52]>> Right ventricles exposed.

[00:09:54]>> Lungs balance bilateral.

[00:09:55]>> In a traditional surgery, this is where I'd stop the heart from beating.

[00:09:59]>> But we can't do that.

[00:10:00]>> No, we can't.

[00:10:02]>> You've been holding the heart for a long time. Perhaps you've got the rhythm down right.

[00:10:06]>> You want me to time each suture to the relaxation phase?

[00:10:09]>> Exactly.

[00:10:10]>> All right. Keep me updated.

[00:10:16]Time to let go.

[00:10:27]Um, can you slow him down a bit more, Alicia? Give me time to sew.

[00:10:32]>> I'll try.

[00:10:33]>> Cat, I'm going to need a 3 proline on a needle driver.

[00:10:57]You're doing great.

[00:11:01]>> It's not much different, actually. I mean, it is, but never realized how much I relied on machines.

[00:11:10]Doing it old school like this makes me think I might be a better surgeon than I thought.

[00:11:18]>> Oh, no.

[00:11:19]>> Alicia.

[00:11:21]What? What?

[00:11:24]>> Alicia.

[00:11:24]>> Alicia, get a back.

[00:11:29]>> Sir, we need to be able to get through here.

[00:11:33]with you, man. Get off my back.

[00:11:36]>> She's hungry. I tried giving the food, but she wouldn't take it.

[00:11:43]>> She needs her mother.

[00:11:45]>> His heart's racing.

[00:11:46]>> I'm trying.

[00:11:56]>> We need blood. Oh, >> there isn't any. We exhausted the supply earlier tonight. Then find some. We're not losing him.

[00:12:08]>> This is 140. Pulse 97.

[00:12:16]>> Wet rapid pull tip.

[00:12:18]>> You see anything?

[00:12:21]>> Nothing.

[00:12:22]>> We visualized the entire abdomen.

[00:12:24]>> Yeah.

[00:12:25]>> I can't believe we let Dr. Goodwin talk us into this.

[00:12:27]>> He thought a carcinoid tumor fit all our symptoms.

[00:12:32]He was wrong.

[00:12:33]>> Fresh pencil on the tray.

[00:12:36]>> Want to run the bell?

[00:12:38]>> All 23 ft of it.

[00:12:40]>> Yep.

[00:12:43]>> Then you're crazier than he is.

[00:12:45]>> Clear second graduated infusion rate 1 millig per hour.

[00:12:53]>> Valk for retractor standing by.

[00:12:56]>> She is so stubborn. Show me a kid who doesn't think their parents are stubborn.

[00:13:00]>> She's overweight, diabetic, and spends most of her time chain smoking, eating fried foods, and drinking.

[00:13:06]>> And she has no intention of ever changing.

[00:13:08]>> That's problematic.

[00:13:10]>> That's a recipe for disaster.

[00:13:14]>> I'm the only one telling her to stop.

[00:13:17]The rest of her buddies out in Sheep's Head Bay, they all have the same bad habits.

[00:13:22]>> Maybe they all need a little attention.

[00:13:24]>> They need a swift kick in the pants.

[00:13:28]You know, I go out there often as I can prescribe them what they need, but it's just not enough.

[00:13:38]>> Found it.

[00:13:41]>> Yeah. Feel an abnormal nodule right here.

[00:13:44]>> I'm going to cut it out. Send it to pathology.

[00:13:48]>> Is it crazy? I'm happy Dr. Reynolds found a tumor in my mom's bowel.

[00:13:53]>> No, you're not crazy.

[00:13:55]Come with me. You gave me an idea.

[00:14:01]>> This should relieve the pressure building up in Giana's lungs.

[00:14:03]>> I'm through the right atrium. So, is there a reason you keep sending me to do ED consults when Dr. Bloom's on duty?

[00:14:11]>> Well, so looks good.

[00:14:12]>> Do I need a reason?

[00:14:13]>> I get the sense Dr. Bloom thinks you're avoiding her.

[00:14:16]>> That or she has no confidence in my abilities.

[00:14:20]>> She thinks you're an excellent surgeon.

[00:14:21]It's just that uh she and I Can I have >> a bit of a situation >> goes down the line?

[00:14:27]>> Oh, >> no, no, no. Not like that.

[00:14:30]>> Well, whatever it is, may I suggest you start answering your own pages?

[00:14:37]>> Right ventricular pressure is 35.

[00:14:40]>> Checking out.

[00:14:43]>> Draining the fluid didn't work.

[00:14:56]Dr. Diego Morales's right liver lobe has been isolated and extracted.

[00:15:07]>> The donor liver has arrived from transplant recipient AAI.

[00:15:12]Meet me there.

[00:15:29]>> Good news.

[00:15:30]>> Your organ just landed.

[00:15:33]>> I'll be here with you every step of the way.

[00:15:38]>> Shelter.

[00:15:43]as we go.

[00:16:05]>> Go ahead.

[00:16:08]Oh, I miss me this.

[00:16:16]You wait for me only. Scared of the lonely arms surface far below the >> Welcome home, kiddo.

[00:17:00]And maybe, just maybe, Hey, I come home.

[00:17:17]Matt is in recovery.

[00:17:24]Congratulations.

[00:17:27]Your chain is complete.

[00:17:29]>> Our chain.

[00:17:31]Do you know in oncology you get so few wins that it becomes harder and harder to believe that things will ever work out?

[00:17:40]>> Oh, I thought for sure this would not work out, >> but it did.

[00:17:55]>> Welcome back Giana, how is she?

[00:18:09]>> Ask for yourself.

[00:18:16]>> Who is this puppy?

[00:18:19]>> We were able to show up hard enough to do her transplant.

[00:18:22]>> Maybe she kind of alone. Just maybe I'll come home.

[00:18:30]>> Your daughter is a fighter just like Gemini.

[00:18:37]>> She gets it from her mother.

[00:18:41]>> I get it from you, puppy.

[00:18:47]>> Thank you.

[00:18:50]>> Thank you, doctor.

[00:18:54]I only saved one life today.

[00:18:58]You saved six.

[00:19:09]>> Now that was awesome.

[00:19:11]>> Yes, it was.

[00:19:13]>> Hey, you want to have lunch with me and Eevee? Our favorite spot is this place on 23rd where they literally put everything on a donut.

[00:19:24]As tempting as uh that sounds, I think I'm just going to head home and chill.

[00:19:30]>> Chill >> later.

[00:19:38]>> Don't keep her waving.

[00:19:43]97 >> and you feel the P.

[00:19:49]>> You know you are in >> there.

[00:19:53]>> HR normative range >> and see.

[00:19:59]>> There you go.

[00:20:01]>> You okay?

[00:20:03]>> Uh I guess so.

[00:20:05]>> We are collecting the fluid to identify which bacteria is making you so sick.

[00:20:11]Additional help kit is on the tray.

[00:20:13]>> I just came in for a simple sleep study.

[00:20:20]>> And see, >> she's unresponsive.

[00:20:23]>> Heart rate is up to 124.

[00:20:24]>> BP's down to 80 over 40.

[00:20:26]>> He's going to septic shock. Give it to the lab. Hurry.

[00:20:29]>> Clear.

[00:20:33]>> Rapid response. Procedure room number two.

[00:20:41]Got enough light on the keyhole >> passing through the cerebral cortex, >> the center of the infections in the third ventricle. I don't think you'll be able to hit it.

[00:20:51]>> Keep looking at the CT.

[00:20:56]>> Go ahead and remove the trap of the trap >> 4 cm to the lateral ventricle. You're too close.

[00:21:02]>> I can make it. There's the 10.

[00:21:06]>> If you clip that, she'll never walk again. Just imagine that review.

[00:21:12]>> Advancing cordal to the cortical spinal tract.

[00:21:19]You're clear >> and I am into ventricle.

[00:21:31]injecting Celam.

[00:21:40]>> Heart rate and blood pressure are stable.

[00:21:46]>> Check that last.

[00:21:51]>> 43 years ago, I made a decision to be a doctor, to dedicate my life to the service of others.

[00:21:59]It was never about abuse.

[00:22:12]>> And so he really has to be awake for this.

[00:22:18]>> Yeah. Yeah. It it reduces the risk of damaging critical areas that control speech and other skills. You know, you can't have him draw, so singing is the next best thing. Go and >> Very good, Tony. Keep going. Advancing the wire.

[00:22:38]>> The wheels on the bus go.

[00:22:42]>> Pull back.

[00:22:49]>> Let's keep waiting.

[00:22:52]>> You know, you've raised an amazing young man.

[00:22:56]for his 13th birthday. He begged me to take him to the Eitsi.

[00:23:02]What kind of kid begs to go to Eiti?

[00:23:05]But I took him and he marched straight up to the birth of Venus. Studied every detail and he knew what he wanted to be when he grew up.

[00:23:16]But then the wolf appeared and never left.

[00:23:23]I know that potential.

[00:23:26]>> I just I hope the wolf goes away so he can be that man again.