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Clips from Grey's Anatomy - The Room Where It Happens (S13E13)

"There's this family in Italy"
Grey's Anatomy
"who never slept."
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"They suffered from a genetic disease"
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"that kept them awake for months,"
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"until their bodies just shut down."
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"Even after all these years,"
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"scientists still don't really know why we sleep."
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"We just know we have to sleep."
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"Because without it, we make poor decisions,"
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"we say things we shouldn't."
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"And sometimes we see things that aren't there."
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"What do we got?"
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"MVC with abdominal trauma,"
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"severely hypotensive since he arrived."
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"FAST exam show a fluid in the upper right quadrant,"
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"lots of it."
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"It's gonna be a long night."
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"Don't say that. I haven't slept in 48 hours."
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"Thought I saw you go home earlier."
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"You did. I got off an 18-hour shift"
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"to go home to find Zola, who is boycotting sleep,"
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"and Ellis, who had an earache."
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"By the time I got the last one down,"
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"I got the call. Where were you?"
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"- Uh, four-hour lysis of adhesions. - Ugh."
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"Then a triple-A ruptured in the ICU."
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"Pierce and I had to do a balloon catheter bedside"
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"before we rush him to the O.R."
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"- Oh, that sounds... - Then a GSW to the abdomen"
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"that Edwards caught... a duodenal repair."
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"Wa... How long have you been here?"
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"What day is it?"
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"Scalpel."
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"How do you know when you're too tired to operate?"
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"Right about when you make your first mistake."
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"I hate that answer."
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"You don't. You just keep going."
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"Don't love that one, either."
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"Okay, um, Edwards, grab a hemostat to lift."
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"Dividing the fascia."
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"Okay, Edwards, get lap pads in here."
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"Get in there."
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"We got massive bleeding here."
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"Okay, we're gonna need a bookwalter now."
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"Edwards, I can't see a thing."
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"I'm trying. Ohh!"
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"- Ho! - Whoo!"
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"Wipe."
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"- Got it, got it. - Thank you."
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"Okay, let's get more lap pads in there."
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"Let's bring in another suction,"
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"and we're gonna need the cell saver."
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"Good evening, surgeons."
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"I heard we've got a good one."
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"I'm here to give you another set of hands."
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"Yeah, we could use it if you're available."
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"Available? I'm primed."
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"I napped all afternoon,"
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"ate a balanced supper,"
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"and just had a cup of coffee."
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"- Well, that's nice. - Did you?"
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"All right, someone tell me what we've got on our table tonight."
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"A mess, sir."
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"Uh, Grade IV liver lac,"
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"portal triad looks intact."
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"We've just packed all four quadrants."
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"Wow! That liver's..."
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"Destroyed. Like I said, a mess."
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"Okay, hematoma's tracking into Zone 2."
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"Edwards, let's right medial visceral rotation."
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"Got it. Medium clip, please."
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"How many units has he had?"
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"We've gone through at least a dozen."
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"He's bleeding out everything we pour into him."
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"- Clamp. - Okay, keep suctioning."
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"- Other lap. - Retractor."
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"Suction right there."
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"I need two more clamps."
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"You know, back in the day,"
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"I would always come into the hospital overnight,"
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"even if I wasn't on call."
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"That's when the most interesting surgeries came in."
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"Best learning opportunities, am I right?"
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"Yeah. Yes, sir. Bovie up."
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"I'll never forget this case"
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"back when I was a second-year resident."
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"It was about 3:00 in the morning,"
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"and I'd been on my feet for about 42 hours."
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"Right angle."
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"This fella came into the E.R. with terrible abdominal pains..."
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"claimed that an alien baby was inside,"
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"eating its way out."
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"That's funny."
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"Uh, Dr. Grey, do you see this?"
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"This kidney's cracked in half."
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"Exactly. It was his kidney."
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"Well, a kidney stone."
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"It was the size of a coconut."
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"It was six hours in the O.R."
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"Uh, this seems like a Grade 4 injury to me."
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"Any way we can salvage it?"
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"- No. - Yes."
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"If someone could clarify..."
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"Okay, it was the size of a dinosaur egg."
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"It almost glowed."
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"Actually, sir, I was talking about this."
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"This liver is shredded."
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"We don't have the time or the blood volume"
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"to spend an hour fixing a kidney."
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"We could better control the extra blood loss"
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"if we fix the kidney."
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"Well, there will be no blood loss"
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"if we just take the kidney out."
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"I'm very happy to keep discussing it,"
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"but really I think a final decision would be good."
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"Take the kidney out."
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"You know what, Grey?"
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"Le... Let's hold on for a minute, okay?"
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"The patient doesn't have a minute."
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"Should I clamp the hilum?"
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