[00:02.24]So, I have done a lot of research on this,
[00:05.20]and Dr. Burke has been kind enough to help me.
[00:07.51]And I understand my responsibility in what I've done wrong here.
[00:11.79]However, I do think the patient's history is significant in this case.
[00:16.42]She still weighs 200 pounds,
[00:18.54]which is why no one even noticed it.
[00:20.56]But, with that kind of a weight drop, it doesn't matter how much you weigh --
[00:23.66]technically, you're anorexic.
[00:25.40]Along with all that fat, she was losing heart muscle.
[00:28.60]That certainly could be the reason for a small poke to become a large tear.
[00:31.90]That still doesn't change the fact, though.
[00:33.82]The poke wasn't reported at the time of the occurrence.
[00:36.93]- And if I could change that... - And you can't.
[00:39.82]You've left yourself and the hospital open to a tremendous amount of liability.
[00:43.12]- Not if the weight loss caused the problem. - I'm sorry, I've no choice... -
[00:46.51]I've spoken to the husband, and I believe as long as his wife remains stable --
[00:51.14]I can't take your beliefs to the bank, Dr. Burke.
[00:54.62]- Dr. Grey made a huge error here. - And she reported it. - Grey
[00:57.04]Too late.
[00:57.95]And in front of the patient's husband.
[00:59.88]But she reported it. She spoke up.
[01:05.66]Five years ago, as a C.T. fellow,
[01:07.98]I had a nagging feeling that I didn't check the body cavity
[01:10.53]of a lung patient closely enough before I closed.
[01:13.37]The patient seemed fine post-op, and I was in a hurry.
[01:18.08]And yesterday you and Dr. Bailey pulled a towel out from under that patient's lung.
[01:23.23]Why didn't I report it at an appropriate time?
[01:26.07]Maybe because I was afraid that I would be called
[01:28.94]into a meeting where some hospital lawyer's fear of liability could end my career.
[01:34.79]Even great doctors make mistakes, and when we do,
[01:38.20]we've got to have a chance to speak up without fear of retribution.
[01:42.63]Or everyone suffers.
[01:44.54]Dr. Grey spoke up. Grey

So, I have done a lot of research on this,
and Dr. Burke has been kind enough to help me.
And I understand my responsibility in what I've done wrong here.
However, I do think the patient's history is significant in this case.
She still weighs 200 pounds,
which is why no one even noticed it.
But, with that kind of a weight drop, it doesn't matter how much you weigh --
technically, you're anorexic.
Along with all that fat, she was losing heart muscle.
That certainly could be the reason for a small poke to become a large tear.
That still doesn't change the fact, though.
The poke wasn't reported at the time of the occurrence.
- And if I could change that... - And you can't.
You've left yourself and the hospital open to a tremendous amount of liability.
- Not if the weight loss caused the problem. - I'm sorry, I've no choice... -
I've spoken to the husband, and I believe as long as his wife remains stable --
I can't take your beliefs to the bank, Dr. Burke.
- Dr. Grey made a huge error here. - And she reported it. - Grey
Too late.
And in front of the patient's husband.
But she reported it. She spoke up.
Five years ago, as a C.T. fellow,
I had a nagging feeling that I didn't check the body cavity
of a lung patient closely enough before I closed.
The patient seemed fine post-op, and I was in a hurry.
And yesterday you and Dr. Bailey pulled a towel out from under that patient's lung.
Why didn't I report it at an appropriate time?
Maybe because I was afraid that I would be called
into a meeting where some hospital lawyer's fear of liability could end my career.
Even great doctors make mistakes, and when we do,
we've got to have a chance to speak up without fear of retribution.
Or everyone suffers.
Dr. Grey spoke up. Grey