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

"It's too friable."
Grey's Anatomy
"We need to take him up to ICU"
Grey's Anatomy
"until we find a more permanent solution."
Grey's Anatomy
"That won't work!"
Grey's Anatomy
"According to chapter 21 of "Hemostasis and Thrombosis"..."
Grey's Anatomy
""Hemostasis and Thrombosis.""
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"Dr. Grey, if we close him,"
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"he's gonna get worse."
Grey's Anatomy
"Okay, push bicarb."
Grey's Anatomy
"You know what Nurse Paula would say."
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"Owen, he can't handle any more."
Grey's Anatomy
"She'd yell, "If you got something to say"..."
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"I-I think he can. I think..."
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"... "speak up!""
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"I think I'm gonna watch you kill this patient."
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"Okay, stop, all of you! Listen to me!"
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"Something you needed to say?"
Grey's Anatomy
"Repairing the azygos won't stop his bleeding at all."
Grey's Anatomy
"And you can take him to the ICU, but he's still deteriorating."
Grey's Anatomy
"This patient has an autoimmune disease,"
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"specifically idiopathic thrombocytopenic purpura."
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"I.T.P. is extremely rare."
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"According to a study in Ko..."
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"Kuwait."
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"...Kuwait,"
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"there's an incidence of 125 cases"
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"per 1 million people per year."
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"It's more common than we think."
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"Edwards, the body is shutting down because of the trauma."
Grey's Anatomy
"- Talk fast. - That is because"
Grey's Anatomy
"the trauma is the only thing you see,"
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"because trauma is all that you are used to seeing."
Grey's Anatomy
"I see a body that's attacking itself from the inside,"
Grey's Anatomy
"and every time we give him blood,"
Grey's Anatomy
"his body chews up the platelets one by one."
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"It's like we're filling a giant tank"
Grey's Anatomy
"with a hole in it,"
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"and the only thing we need to do to stop it"
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"is to give him steroids, a lot of them"
Grey's Anatomy
"as soon as possible."
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"- He doesn't have a liver. - Thanks to you."
Grey's Anatomy
"If we administer steroids,"
Grey's Anatomy
"then without being able to metabolize,"
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"- it could become toxic. - And before you argue"
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"about how risky it is,"
Grey's Anatomy
"let me just say we have very little time,"
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"and you should listen to me,"
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"because I know all about this stuff."
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"If I were on the table, I'd want the risky thing."
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"I'd want to survive."
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"Yes."
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"Where did you get all this again?"
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"When you're stuck in a bed for your whole childhood,"
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"you kind of get obsessed"
Grey's Anatomy
"with the thing that put you there."
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"I read... a lot."
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"Good catch, Edwards."
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"Thank you."
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"Send up a blood sample"
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"and give him a gram of prednisone."
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"This is a reach."
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"Well, then you and Webber should be all over it."
Grey's Anatomy
"And we'll need some more platelets."
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"Dr. Grey, we might have an I.D."
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"A woman came in, said her husband was working late,"
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"then he never came home."
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"She saw the news."
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"Go ahead."
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"He's in V-tach."
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"I mean, this really hurts."
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"This isn't normal, is it?"
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"And it's not just my back."
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"I can barely get a pulse."
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"Push 300 of amiodarone."
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"Did we push the steroids?"
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"It won't matter. It's because of his liver,"
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"or the fact that he doesn't have one."
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"Okay, internal paddles on stand by."
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"Look, we still have time."
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"Go find out if he belongs to them."
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"Something's wrong..."
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"really wrong."
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"He's in V-fib! Starting heart massage."
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"Okay, internal paddles?"
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"Saline! Charge to 20."
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"Okay, clear."
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"No change."
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"Ah, push one of epi. Let's charge to 30."
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"Clear!"
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"Ah, damn it! Push another epi."
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"It's him!"
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"The wife confirmed the I.D. from the photo."
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"What's his name?"
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"Carl. Carl Henley."
Grey's Anatomy
"Are we done with Gail? Is Gail Carl now?"
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"Are there children?"
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"A little boy and a girl."
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"They're with her downstairs in the lobby."
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"Okay, charge to 50!"
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"Clear!"
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"Still no pulse."
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"The shunt put too much strain on his heart."
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"The liver's only been out for 20 minutes."
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"The shunt will bypass everything for at least another hour."
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"And then what? We still have no donor."
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"Not to mention, Carl probably has I.T.P."
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"And how was I supposed to know that?"
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"Edwards didn't have a problem figuring it out."
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"Can Edwards not be involved?"
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"Every step of the way you and Webber just took over."
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"Grey, what is your problem?"
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"My problem?"
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"Ever since I walked into this O.R.,"
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"you've been negative at every step,"
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"shooting down every approach."
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"What do you think I'm doing right now,"
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"massaging this heart for exercise?"
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"Dr. Grey, you've been doing that for a while."
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"You want me to take over?"
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"No! Go again at 50."
Grey's Anatomy
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