Saving Hope

Count, please. Set to ten times.

30... 150...

- 160. - Good, that's it. Mark and cut.

So did I hear whispers about, uh,

you and Charlie breaking up?

Are you trying to rattle me? 'Cause I am focusing on

whether or not her breast cancer has spread.

They're keeping it professional at work.

Oh, I'll take that as true.

160. (beeping stops)

Cautery and tonsil clamp.

Okay, well...

I respect that. (grunts)

So he broke up with you?

No.

It wasn't that definitive.

Oh.

Good. Now, to keep the lines clean,

just put your hand here, pinch the other hand,

and pinch, pull down...

You can tug. It's strong.

Okay. All done?

Pinch and pull down.

Is there anything else I can get you, Emilia?

Uh, yeah, is there any way you can get someone

to fix my TV?

Does she look like a concierge?

Dr. Reid, let's go.

I'll see what I can do.

- What about this patient? - You got the pathology report?

Mm-hmm.

Nottingham...

That's a modification of S.B.R. cancer grading, right?

So Nottingham 7 is a high score.

Considering the Nottingham scale

only goes to 9, I'd say so.

Why wasn't this picked up in earlier mammograms?

Um, she hadn't had one in a few years.

Wow, this woman is in serious denial.

Why is that?

A 2.5 centimeter tumor in the lower pole?

If she takes a bath or puts on a bra,

she would have felt it.

Perhaps she did.

Perhaps she thought it was benign tissue.

Not at her age.

And what age is that? 16? 75?

Do you have to make everything a test?

Okay.

See the relationship between the stroma and the lobules.

They're almost equal, which means she's not producing milk.

So she's menopausal.

Clever girl. So what's your recommendation?

A t2 triple negative tumor with a Nottingham 7 grade...

has to come out fast, as I'm sure you've told her.

I didn't, but you just did.

Dana...

Turns out wearing a white coat doesn't make me immune.

You're kind of young for a hip implant, aren't you?

Too old to dance...

but just old enough to qualify for the endura-hip.

- How's my star patient? - Joel!

You made it.

- I did. - Uh, Danny, get a picture of me

- and the world's best hip surgeon. - I'm just here for moral support.

Get your butt over here.

Yeah, go on. Go.

- Come on, come on... - Okay, I'm not dancing.

Mm-hmm. Mm.

Mm-hmm.

Blake, any idea when this campaign is gonna launch?

I doubt we'd be paying you for an endorsement if F.D.A.

and health Canada approval wasn't imminent. (chuckles)

- Mm. - All right.

Mm-hmm. (grunts)

- Oh, I'm so sorry. Did I dip you too low? - Oh, no. No, it's okay.

It's a little achy lately. It's just...

Probably the flu, Karl. (chuckles)

Honey, I'm Karl. Joel's the pretty one.

Hi, Karl. Mm.

This morning she called me "Jasper."

That's her dog's name.

How about when you're done here,

you swing by the hospital. Let me, uh...

give you the once-over?

- Okay. - Okay?

Yeah.

Danny... take a picture of us.

Okay, here's what's gonna happen.

But you don't know what's gonna happen.

No one does.

- What is it? What's wrong? - What?

What's the real problem?

- There isn't a problem. - Then let her do her job.

- I'm waiting for her. - No, you're complaining.

You know what? I'm gonna have to reschedule.

Dana, what the hell is going on?

I'm afraid of needles.

- Good range of motion. - Well, it's not gonna get me back on stage,

but, uh, I'll be happy with climbing windows.

Honey, you mean climb the stairs.

That's what I said.

You should check his hearing.

Well, the hip seems fine. Um...

- Yeah. - I would just like to get some imaging

and take some blood, just to rule out infection.

- Okay. - Um, take a seat for me.

There is the tumor,

and there are the tiny radioactive seeds... (exhales deeply)

kind of like laying down a path of bread crumbs.

Okay, I've got to get back to work.

- Um... - Here.

A lot of patients like to keep this.

Do they?

It reminds them of who their enemy is.

Hopefully, this will lead your surgeon

- straight to the tumor. - Okay, let's go.

Who is your surgeon, by the way?

You are.

Dana, I've only done about 2 dozen lumpectomies.

They were all under your supervision.

Now, Dave Rothbarts at the general...

he's the king of oncoplastics.

- Actually, I am. - (sighs) Yes.

But you can hardly do surgery on yourself.

With you acting as my hands, doing exactly what I say,

I think I can.

There are other surgeons. Why me?

Because I trained you,

and you're fearless with a blade.

So I'll know I get a clean cut and good margins.

Okay. Maybe with enough time and preparation, I can...

I booked the O.R. for Thursday. You've got 48 hours.

Blake. (sighs)

What are you doing here?

Ever since I sold you on the endura-hip,

we never seem to find the time to just hang out.

And so I thought that maybe... we could do dinner.

You really shouldn't be looking at those.

I really shouldn't have slept with you either,

but I did, and it was fun.

Besides, Paulina waived her privacy rights

when she signed on to do the implant trial.

And I don't see any signs of loosening or early wear.

Yeah, those femoral and acetabular components seem fine.

Yeah.

Hey.

Code blue to the coffee kiosk.

We-we were heading home.

She wa... she was tired and wanted a coffee.

- Then she just dropped. - Okay, okay. Step back, Charlie.

- Yeah. - I got this.

- (Karl) Can you tell me what's going on? - Okay, ready?

- Do fore and aft. - Here we go.

Okay, starting the first cycle of compressions.

Let's get her to the E.R. We'll tube her

When we get the crash cart. No rushing, steady pace. (gurney clacks)

Let's go! Let's go! (wheels clacking)

That's my life going away.

Yes, it is.

We gave her the full resus.

Sorry, man.

I was just dancing with her.

- What happened? - That's what I wanna know.

She's 40 years old.

How could this have happened?

- We all want answers, Karl. - (Joel) Absolutely.

That's why we need you to consent to an autopsy.

What are you, starting a fire?

My hands are cold. I want to warm them.

- Okay. I'm gonna touch you now. - Mm-hmm.

I don't need a play-by-play.

I like to tell my patients in advance.

Just relax.

- Oh, hmm. - What?

That's a large mass.

Am I squeezing too hard?

No male doctor would ever ask me that.

You make being considerate sound unprofessional.

Your attention should be on the tumor,

- not on the patient. - (sighs) The tumor is part of the patient.

All done.

I want to thank you for having such faith in me.

Never thank anyone for what you got by your own talent.

Wow. Using a compliment to criticize...

I didn't think it could be done.

Okay, I'd like to get an M.R.I.

Waste of money.

I've had more than enough imaging.

Well, I don't want any surprises

that might affect your oncological management,

or your reconstructive plan. So... (pen clicks)

- What's that? - A standard surgical consent form.

Satisfied?

Dana... that's where I sign.

You sign for the patient.

Thank you.