She has the heart of a man half her age.
We got to decompress this cranial bleed
before she crashes again. She's bradycardic.
Her pulse pressure's widening.
After what we went through to give her a new heart,
we can't let her die of a TBI.
You're damn right she's not.
I'll relieve the pressure myself.
This heart has to live.
Elevate the dural flap.
- Bipolar cautery or clip? - Clip.
利奥 把纱布拿开 我看不到了
Leo, move. Move the cottonoid. I can't see.
Okay, if anyone else here is a neurosurgeon who played
18 holes and shot a 68-- 4 under, bitches--
那欢迎你来指导 否则的话 我能行
you're welcome to advise me, otherwise, I got this.
抱歉 利奥 她是我们以前的病人
Apologies, Leo, she's a former patient of ours.
Oh, my God.
This is her.
And I thought it was an urban legend.
This is the woman who has the dextrocardiac heart
- you guys stole... - Okay, yeah, you know what--
it was a miscommunication.
It almost cost you both your careers.
How many surgeons get to participate in a dextrocardiac transplant?
It's surgical porn!
And it won't look bad on the resume.
You still think you're transferring to Cleveland?
They have one of the strongest cardiothoracic programs in the country.
And it's just a coincidence
Dr. Shane's transferring there as well.
-他要去吗 -得了吧 亚历克丝
- Is he? - Alex, please.
What does he think about it?
He's giving me a referral that'll get me into the program,
as soon as I get the guts to tell him I applied.
I never had you pegged as the trailing-girlfriend type.
Our relationship is professional.
- He's my mentor. - Mm-hmm.
Who you happen to be shagging.
I am not shagging him.
I didn't say I didn't try.
Joy Tanner's coding.
- Donor heart's here. - Okay.
Hi, I'm Edina McIntyre,
Chief Operating Officer here at St. Matthew's.
Thank you so much for coming.
I know that this is a very difficult time for you,
but if you'll follow me,
we can go over the donation forms in my office.
Where's the dextrocardiac heart?
The family just went up to finish the paperwork.
I'll let you know when--
Glove up, come on.
-不是吧 现在吗 -对
- Really, now? - Yeah.
They're signing the papers, let's go.
亚历克丝 这样不妥 我们该...
I don't know, Alex, I think maybe we should--
Hey, slouchy, little help here.
我们没时间浪费了 米莉森特 走吧
We don't have a minute to waste, Millicent. Let's go.
All right, here we go.
All right, if you want to, y-you go ahead.
I'll just--I--I think-I'm gonna go tell Dr. Shane.
I'll harvest solo.
麦金太尔医生 抱歉打扰 麦金太尔医生
Oh, Dr. McIntyre, excuse me, Dr. McIntyre, sorry.
Do you know if the family's decided
to sign the donor papers yet?
Who are you?
Oh, uh, I'm Dr. Silvano;
Dr. Shane's waiting for the heart for the transplant--
The family is still talking about what they want to do--why?
Spit it out, freshman.
We've done everything we can. Let's call it.
Push another round of steroids.
Your patient is brain-dead, Dr. Panttiere.
She's not coming out of the coma.
You want to take her off life support?
She wants you to say "Bye-bye."
Look at the contraction of the atria.
The beautiful peak, the perfect sinus rhythm.
There's no next of kin.
I'll take her off life support.
It's a young heart.
I'm not following.
We keep her on life support and regift.
Harvest the transplant.
You want to transplant this heart into someone else?
This heart is a one-in-ten-thousand miracle.
We could cath her, make sure the coronaries are clean.
A biopsy would rule out any trace of rejection.
You want to re-transplant this heart?
Oh, God, they're both on board.
Okay, so am I.
We don't have much time to see if there's even
another living soul out there who needs a heart like this.
Then we start looking.
I just went to your school to pick you up.
- I walked home. - You--
Uh, I--I think she's prepping for a--
a dextrocardiac transplant right about now.
With a bicaval anastamosis?
Yeah, yeah, if that's the right anatomic approach.
So you're not feeling so hot, huh?
好吧 听着 不如我...
All right, well, listen, how about I, uh,
I make you some soup, huh?
I have lice.
Okay, well how about we go, we get you some pediculicide
and some disinfectant, does that sound fun?
Come on. Hop down.
Hop down, big guy.
Lice isn't that bad.
Oh, you look good. Okay, wanna get the door?
Okay, when we get to Lancaster make sure we have CBC...
- It's not in there. - Chem-12.
iPad 心电图 爽口片
iPad, 12-lead EKG, breath strips.
- It might be in my bag. - Check the patient's...
-快 走吧 -就检查患者肾功能
- Come on, let's go. - renal function as soon as you get there.
I can't leave without them.
Mr. Gonzalez is a perfect match, right?
- He's the right height. - Weight.
I always carry a stash of motion sickness pills,
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