[voice over] Tension exists throughout the entire body. How it affects you depends on how you manage it. Some people can self-regulate by breathing, meditation, exercise. They develop tools that help them fight the stress and reduce the pain it causes. But not all people are wired that way. Some people feel completely overwhelmed by it. And the tension freezes their bodies until they can't move at all.
[voice over] One of the more harrowing parts of complex heart surgeries is the moment we wean the patient off the cardiopulmonary bypass machine. We start slowly warming the patient. As the patient's temperature rises, we check to make sure all of the air has been removed from the heart. Once the aortic cross-clamp is removed, all eyes are on the heart for that moment of truth. Will it start to beat?
[voice over] Acceptance letters, medical scans, the next morning's news. We all have moments in which we want to hide from the results. But instead of closing your eyes and delaying the inevitable find someone to hold your hand and face it with you.
[voice over] On average, a healthy person can hold their breath for up to a minute. After that, carbon dioxide in your blood starts to dramatically rise. Eventually, a reflex is triggered. And if you resist the urge to let it all out, you pass out and you don't know all the damage you could have caused.
[voice over] If you do the work, you can train yourself to hold anything inside without negative consequences. But most people don't have that discipline or time. They just bury it inside and hope it stays there. Run through the fire Let it out. Be loud. Make everyone hear you. Because if you don't it will eat you up inside.
[voice over] The brain stores a single memory in millions of neurons. There's a neuron that holds the smell of your prom date's cologne. Another neuron contains the sound of your dress being zipped up. And one for your favorite song you danced to that night. To remember the whole evening, you need all of these neurons to communicate with each other to make a complete picture. But when the brain experiences trauma, these neurons can be starved of oxygen and die. Instead of complete memories, you're left with glimpses. A smell, a taste, a feeling. And once you start losing bits of memory there's no way to get them back.
[voice over] There are some memories we probably wouldn't mind losing. The deaths, the breakups, the hard times. But memories, like neurons, work together to make you who you are. If all we remembered were the good times our friendships wouldn't be as strong and our loves wouldn't be as sweet. So cling to the bad along with the good. One day you'll be glad you did.
I have five rules. Memorize them. Rule number one: Don't bother sucking up. I already hate you. That's not gonna change. Trauma protocol, phone list, pagers. Nurses will page you, you answer every page at a run. A run! That's rule number two! Your first shift starts now and lasts 48 hours. You're interns, grunts, nobodies, bottom of the surgical food chain. You run labs, write orders, work every second night until you drop, and don't complain! On-call rooms. Attendings hog them. Sleep when you can where you can, which brings me to rule number three. If I'm sleeping, don't wake me unless your patient is actually dying. Rule number four: The dying patient better not be dead when I get there. Not only will you have killed someone, you would have woke me for no good reason. We clear?
You know, my parents tell everyone they meet that their son's a surgeon. As if it's a big accomplishment. Superhero or something... If they could see me now.
Meredith
When I told my mother I wanted to go to medical school, she tried to talk me out of it. Said I didn't have what it takes to be a surgeon, that I'd never make it. So the way I see it, superhero sounds pretty damn good.
They're everywhere. All the time. Izzie's all perky and George does this thing where he's helpful and considerate. They share food, and they say things, and they move things, and they breathe. Ugh, they're like, happy.