Doctor, we need to talk.
You need to slow down.
I'm not your protégé, and you're not my mentor.
I'm gonna do this, Jesse.
You're making a decision
before the Credentialing Committee has had a chance to approve...listen.
We're using single cannulation stitches.
No pledgets. You got that?
My patient doesn't have time to wait for the committee to debate this.
You've been planning to do this from the minute
that guy blew his brains out.
I know you, Alex.
You waited until now because you think the committee
won't have time to stop you.
I'm Chief of Surgery, Alex.
There's not a chance in hell I'll approve this.
I'm not asking for your approval.
And as Chief Innovations Officer, I no longer need it.
I suppose that's true now.
I'm ready to do this! Let's move!
Marty, I need you to do something for me.
I need you to tell Maggie what's happening to her sister.
You tell her the operation will take eight hours
and I'll do my best to send someone out there
to let her know how things are going.
Tell her I know what it's like to be sitting in this room,
waiting to hear if everything's okay.
Explain the procedure is called... heterotopic transplant.
Deana's heart will stay inside her.
We'll take Thomas's heart and connect it
on top of Deana's piggyback.
The heart only knows how to beat,
but sometimes it forgets.
Thomas's heart will teach Deana's to remember.
She will have two heartbeats for the rest of her life.
Give it to me, Pants.
No two hearts are alike.
I love it when she does this.
- You're an idiot. - I want you.
every heart is...
How the hell am I supposed to defrost this?
It's sterile. I'm just recycling the air in here.
Let's get his heart where it belongs.
The left pulmonary vein cuff of the recipient is anastomosed
to the donor left atrium behind the interatrial groove.
I need to somehow...
I need to...
I need to compensate here somehow
for the size discrepancy.
They've got to line up.
Pump flows are stable.
You got this, Pants.
Okay, walk me through this.
不需要 我 我能行
I don't need to. I... I got this, just...
No, I mean I'd like to know how it's done.
Walk me through this, Doctor.
I'm gonna take a wedge out
to add some length to the left atrial suture line
so they match perfectly.
The donor aorta needs to be shortened
at the... the origin of the brachiocephalic trunk.
I might need some...
some graft material to bridge the vessels.
They're not beating.
The hearts aren't beating.
The piggyback isn't working.
You've done everything right. It doesn't always work.
It's not over.
-关掉血泵 -收到 正在关
- Take me off pump! - Roger that. Coming off.
What are you doing, Pants?
I need to restart the donor's heart.
The VAD can sustain her for 12 hours.
When you hit two liters of flow, restart the VAD.
Five liters. Four liters.
Coming down to three liters.
Two liters. Restart the VAD.
I'm at one liter.
-体内电极板 50焦耳 -血泵关了
- Internal paddles, 50 joules. - Off pump.
They... they just need time.
They have to figure out how to beat together on their own.
She won't survive another transplant.
Come on, Deana.
Beni, I'm gonna take you for breakfast, okay?
Just as soon as I'm done talking to Dr. Panttiere.
You performed a procedure
the hospital's Privileging Committee hasn't approved yet.
And don't even attempt to apologize.
I didn't intend to.
Performing that procedure was my call to make.
I have never regretted promoting you until today.
You've gone too far this time, Alex.
If your patient dies...
I have six hours to wean her off that VAD.
Well, let's hope it works.
And if it does, you'll have done something remarkable,
And it'll be my job...
as usual to make you look good.
I'll get you on Dr. Oz, "The Today Show,"
"Ellen," Jimmy Fallon.
We'll do a huge publicity campaign promoting the hospital.
If your patient dies,
the committee will fire you on the spot.
I did what was right for my patient.
- And I'll do it again. - I know.
This is who you were when we were interns.
you're a brilliant surgeon,
but let me be clear about something.
If your patient dies because you performed a procedure
the hospital's committee didn't approve,
they won't just fire you.
They'll make sure you never work again,
and I will not be able to protect you this time.
All right, they're gonna introduce you in 15 minutes.
George Clooney showed up.
Your mom is gonna kill me.
I'm not afraid of a commitment.
Which is why I'll spend 36 hours straight
at this hospital.
I-I'll lose sleep over a patient.
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