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October 20, 2022 49 mins

On this episode, Kay-B is joined by Superfan Connie (@ConStar24) to chat about GREY'S ANATOMY season 2 episode 17 "As We Know It." We discuss the finale of the epic 2-part, supersized Super Bowl episode that sees Meredith on the edge, McDreamy spiraling, Yang & Burke's DTR, and more!

Later, Kay-B chats with ER physician, Dr. Tish, about the cases that had to have inspired the writers of this episode, real-life traumas, emotion versus science when treating traumatic cases, and so much more! On-Call with Kay-B is an iHeart production with lead editing by Randie Chapman of Wordie Productions (@wordieproductions on IG). Please follow Executive Producer & Host, Kay-B, on Instagram & Twitter @TheLadyKayB.

For more information about the case highlighted in this episode, read it here: https://academic.oup.com/milmed/article-pdf/164/3/163/24220020/milmed-164-3-163.pdf

See omnystudio.com/listener for privacy information.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:14):
Hi everyone, and welcome to a brand new episode of
On Call with KP. I'm your host, Kap And for
those of you who may not know, On Call with
kb takes the wildest and craziest episodes of your favorite
medical TV dramas, and we talked to some experts about
whether or not they are scientifically and medically factual. So
for this brand new episode, I have the wonderful and
brilliant e R doct Dr Tish to talk about the

(00:37):
most legendary and arguably iconic episode of Gray's Anatomy, the
one with a man with a bomb inside his body cavity.
That's right, we are talking season two, episode seventeen, as
we know it. That's super size super Bowl episode. But
before Dr Tish and I dive into some science in

(00:58):
real life cases, I chat with my dear friend Connie,
who is also a brilliant social media manager and highly
renowned journalists in the entertainment space. Connie and I get
a chance to dive into this iconic episode, talk about
what we were doing, all of the surprises, and even
talk about meredith mental health state. Because my goodness, this

(01:19):
episode takes you on a journey, so you don't want
to miss stay tuned. Hi Connie, welcome, Hi Kabe, thank
you so much for having me on the show. I'm
very excited. Also, this concept is amazing and I'm just

(01:41):
so excited to get into one of my favorite medical dramas.
Oh my gosh, thank you so much. So yes, Um,
you know you and I have bonded over this show
many of times. Also, you know we have fallen out
over the show many of times. And just like that.
You know, Connie, you like to just dip from watching
and I'm a person who has to finish what I
start and sometimes we do not meet in the middle

(02:02):
because you're episodes and I'm like, listen, but we can
agree on this iconic episode for sure. Absolutely. Um, I
am a incompletest when it comes to Gray's Anatomy. I
think you know, some of our listeners will understand at
seventeen eighteen seasons or however many we're at now. Um,

(02:22):
the show has had its ups and downs, and I've
had its ups and my ups and downs with it. Um.
I think one of our mutual friends, Kayla, said that
it's her longest relationship and isn't an affe maybe, UM,
so listen, I adore. I still adore it, you know,
because I mean, no, no show is without you know,

(02:43):
um the highs and loads of life. And and I
think that that's mostly because you know, we get so
attached to certain characters and when they leave, and we
saw Heartbroken, and so that's happened a few times on Grades.
You know. I was watching this episode, yes and thinking, wow,
look how many people are literally not on the show anymore.
There's a line where George is like or someone I
think it was like Izzy or Alex were like and

(03:06):
again saying these names. It was like, oh, should we
call Merita's family? And George's like, we're a Merit's family,
and I'm like, none of you are left. So it
hurts so much to think about it, Like nobody from
the main cast except for Bailey and the Chief are left.
And I'm like, her family, she has new family, and
you know, it's all about the evolution and the growth.
But man, it was like crazy to watch, like go

(03:29):
back and watch this episode with classic characters, and you
know what I mean, It's natural, right after so many
seasons for actors should just kind of want to take
on new projects, to do new things. And so we
get that. But yes, in this current season, dr Addison
Montgomery Shepherd is back, so you know, it is nice

(03:49):
to have another familiar face in this season from seeing
this episode. So for us, this episode, as we know,
it is quite frankly what I will still call the
most iconic episode of Gray's Anatomy in the sense that
it was the first time in network television that we
got like a super size post super Bowl episode, and

(04:09):
it was a two part series and is about a
bomb and a bomb cavity, Like, excuse me, it's about
a bomb and a body cavity. So let me tell
you so in part one, you know, Meredith, I feel
like kind of jinks herself. I also feel like Shepherd
jinks himself. Like I feel like everyone just it's a
really kind of like superstitious type day because in part

(04:31):
one they're all like, oh, I have a terrible feeling
I'm gonna do She's like, the terrible feeling I'm gonna die.
And then everyone else is like there are no surgeries
on the board. That must mean this is gonna be
an awful day, which I was like, not, y'all be
it's so superstitious. That is like really out of control.
So I feel like they jinx themselves in part one,
and then in part two it almost feels like Meredith
is intentionally trying to commit suicide because she steps in,

(04:56):
you know, when Christina reaches character, which also shout out
to Christina reach because my girl has been acting. Shout
out to Christina Ricci, like, honestly, like they had amazing
guest stars in this episode along with Kyle Chandler, Like
those two guest stars were perfect for this double episode.
Let's just start there. I mean amazing SOCl Chandler. I

(05:16):
mean Friday Nightlights is in my top three favorite shows
of all time. And shout out to Kyle Chandler, you know,
for being our coach in that series and being amazing.
And I thought about this the other day because I
was watching Game Night. I thought, when we talk about range,
Kyle actually has ranged, like he has done so many
random things his character and Game Night is out of control,
so shout at him. But also Christine has been acting

(05:38):
since you know, she was a child, and she's one
of those kind of rare talents. Our Casper movie that
is the Casper movie. Okay, Caper movie is the one.
Can I keep you Okay, so let's talk about Let's
talk about icons that they chose. She's an icon, yes,
and and now she even has a new show on Showtime,
Yellow Jackets. So I'm like, just to see her trajectory

(05:59):
is amazing. But her she was really acting in this,
although her character high key was most annoying. So I
just want to say, listen, girl, I love you, I
truly do. But um, the way you just dipped out
after you put yourself in that position as a paramedic
to put your hand into this man without even knowing

(06:22):
what it was. And so you know, by the time
Careb and Burke and everyone kind of put the pieces
together that it is still an active, you know bomb.
Since he was, you know, playing around with his friend
and Bazuka, he just tiny, like a little small bazooka
nothing you know, crazy, um like right sir, Like why
are you guys even playing with this? And so once

(06:43):
they realized that, hey, the ammunition is still alive in
his body, girl gets out of here so quick. I mean,
she has like the biggest panic attack and just at
the wrongest moment, at the wrongest moment, like I can't
salt her. But like, man, that Wasna said no, Hannah
said good night, good Hannah said no. So she left

(07:07):
so quickly, and Marred Is just immediately stepped in. So
everyone thinks the bombs about to debt nate the hospital
is gonna blow up, and then they look like what's
going on? Oh right, it would hand in there, right, yeah,
Like you said, like she's feeling like superstitious, like you said,
she's like I just have a bad feeling, and you
were asking or like kind of alluding to her like

(07:27):
maybe being a bit suicidal, and like it's interesting because
they're not. This is not like the only episode like this.
I think later in season three there are several episodes
where it's like Meredith as a death wish, like and
I feel like this is maybe the first inch of it,
but it's not. I don't think she's like actively like
I want to die. I think she's just like in

(07:48):
such a dark place. And it's not like in this
part of the season, like Derek has gone back to Addison, Um,
you know, she's still an intern. She's trying to like
figure out her life and career her and she works
at a hell mouth like honestly, like this place has
already had so much stuff go wrong, and just like

(08:08):
that area of Seattle, I just feel like it's just cursed.
The whole hospital's curse, this whole neighborhood is cursed. So
you know what, I think that would also make me
feel a bit down. Um, And so I don't know
that she like has an active death wish at this time,
but I think it's the first like moment where she's
leading towards this like super dark place that they take

(08:29):
her to. I think like maybe in the next season
there's like an episode where she drowns and like sees
her mother and it's like it goes like to a
darker place, but I think this is definitely the first,
like wem Mareith, maybe we should seek help. Yeah, you know,
it's interesting because they don't actually talk about her being depressed,

(08:49):
but that's clearly what it is. Like She's in a deep,
dark depression and a lot of that is kind of
the reason why where everyone is pining over Derek and
everyone's pining over Shepherd. I'm like, the things that he
took these both of these women through the things that
he did to both of these women, and everybody is like, yeah,
and I'm one of people who really hate him, And

(09:10):
I get it because it is very easy to forget
that he toys with, like you said, both of these women,
back and forth, back and forth for like four seasons
before he's like finally just like solidified, like I'm gonna
just be remarrative, and then after that he's still kind
of like back and forth, back and forth with her.
But yeah, he's we we have to look past the swoop, guys,

(09:30):
we have to look past the salt and pepper swoop
and see like his true character and maybe it's not
the best. Like this is the relationship of this show,
and it's sort of you know, it's like so iconic
and you know, pick me, choose me, love me. But
why she had to do all that? She didn't. I mean,
at the end of the day, it is she she didn't.
But getting back to this episode, because she's in this

(09:51):
depression and so we I find that she just kind
of put her hand in there because she honestly is
just taking a chance, you know, a few things. So
what's your favorite episode? What's your favorite scene this episode?
I'm sorry, yeah, it's that part. I mean that is
pretty crazy. Um, it's sort of the beginning of the episode,
because she's like, why did I do that? Like she starts,
she's like, what did I do? What did I do?

(10:12):
What did I do? What I do? And I just
really relate to that. Um. Again, I don't think it's active,
but I think it's sort of like, well, if I
die today, who cares, you know, like it just if
it happens to happen, Like I don't, I don't, I'm
not worried about it. UM. For this particular, like for
later in the episode, like in the media of the episode,
I think one of it's hard to pick a favorite
scene because they're also great and rewatching it, I was

(10:33):
just like, oh wait this one, Oh wait, this one. UM,
But I think the one that I'm gonna choose is
George and Bailey. Like Bailey has is having her baby,
she's going into labor. George like it's behind her on
the bed because she's like refusing the push. Her husband's
also in brain surgery, and he's just like talking her
through it. And it's a really great like trajectory of

(10:54):
their relationship because George has been so timid and shine
like put down upon, and she's so in stern and
you know, like really trying to like wrangle these like
crazy interns together, and it's a really nice moment to
see like how they've like come together, and then she
names her baby after him, and it's all very sweet.
So I think that's the one, the favorite moment that

(11:15):
I'm going to pick for this episode. Yeah, you know,
there is such a beautiful evolution of George's character throughout
this series, to be honest, that we don't talk enough about,
but I do enjoy how he and Bailey grow um
And you know, Bailey is not one of those people
um in season one or season two, and to be
quite frank right now, in the latest season whom she's

(11:37):
very much not a woman who makes friends with the
people she works with. It's very obvious that, like she
she separates those two worlds. But this is when we
first see her kind of opening up to the idea
of these people becoming her family away from home. And
so with George, she trusts him because you know, the

(11:57):
entire reason that she doesn't want to um push and
she doesn't want to have the baby is because of
her husband. You know, he's having brain surgery. She doesn't
know if he's gonna live. She just thinks, if I
hold this baby in for one more day, his father
will be here not only to witness it, but maybe
maybe this will be the catalyst that will like push
him to survive this brain surgery. And um, she's trying

(12:20):
so hard, but George becomes that that strength and support
for her. But you know, Gray's is not Gray's if
you don't. I feel like Grace always has this thing
where the relationships mirror whatever is going on in the episode.
And so, you know, I will say, it's so interesting
how in this episode. You know, we start off with

(12:40):
Christina saying Burke tells her that he loves her in
his sleep, like I guess he thought she was sleeper.
It's something about them laying down, and you know, she's like,
I'm not gonna respond. I'm not gonna respond, but he's
telling me this, and you know she's telling me to
the story of Meredith is like, oh great, you love him,
you know, blah blah blah. But they're having this conversation.
Meredith hand is literally in this pant's gavity with this

(13:03):
momb But you know when Burke tells Christina, I cannot
have you in this room because I will not be
able to focus, and she is forced to leave, and
she's forced to leave with the man that she is
quote unquote loves because I high key this is going
to be controversial. Actually never, I never thought that she
really loved Burke, like even well before we could the

(13:24):
season continues and we see what happens with the relationship.
I think that she admired him and she respected the
work that he did, but she never truly loved him,
and she was always trying to make herself love him
because she thought that was the right thing to do,
or she thought it was what she needed to do.
And so you see her here toggling, and the reality

(13:45):
is it's so funny to me because Burke is so
kind of wrapped up and enthralled in the love that
he asked for her that he doesn't even notice that
she's not standing in this room because of him. She's
standing in this room because of Meredith. Yeah, that's so true.
It's like, this is sorry, this isn't even about you
at all at all, like not even close to being
about you. And so it's interesting because he's caring for

(14:08):
her in a way that I do think she needed
that relationship because she doesn't really know how to receive love,
and so he's caring for her in a way to
kind of open her up to receiving love. But she
is still so focused on the safety of her best
friend that she's like, I do not care. So that's
an interesting dynamic to have. And then too, you know,
she's trying to stay silent and not tell Shepherd because
he's operating on Miranda's husband, so she doesn't want to

(14:31):
distract him and be like it's Meredith. Meredith is holding
the bomb, but like, sir, why do you care because
you broke up with me to go back to your wife.
It's yeah, the intricacies there are so like fine and
like surgical. It's just like she can't tell Shepherd because

(14:52):
one it is Meredith, and Christina knows like the will
they won't they of their relationship. But then also like
you cannot distract the neuro surgeon working on your boss's husband.
Just just just can't do that. And then like it's
better for her probably intellectually, to be logical and not
think about the emotional impact of like her best friend,
you know, in another room with a bomb that could

(15:13):
explode all of them. And so there are just so
many little layers of why of how like she stays
she still stays there because she's like I need to
be close to this because that's my best friend and
like all of this stuff. But it's just so many
little layers just like right there, it's like the reasons
why we love the show, like those like little moments.
It is because you know, I do think that the

(15:34):
bomb is kind of representative of the relationships holding on
by a thread, right like at any moment, if you
move your hand, they could they could blow up. And
that is when essentially happens, Like most of the relationships
are like very fragile, and even Derek going back to
Addison is like just as fragile. I mean in this

(15:55):
episode is when Izzy and Alex first hook up, Like
that's very fragile. Um absolutely, which is so wild to
see because even their evolution as the show goes on,
you know, um, it's definitely not what I anticipated. So Okay,
every doctor, like literally every A List and I'm saying
a list doctor because we know who the all Star
team is here, almost every A List doctor is out

(16:17):
of commission this episode. I mean, we have Richard who
has a severe panic attack that they think is a
heart attack because he is struggling right like Shephard refused
to listen to him and is still doing this brain
surgery on Miranda's has been freaking. Burke is in here
trying to figure out how to get his live AMMO out.
He's trying to keep Merriedith the live. I mean, we
all know how he feels about Meredith, his daughter, basically

(16:37):
his surrogate daughter. Right then here we go, Miranda's out
here giving birth. The bomb is over a fault like
oxygen fault line or whatever, right, which will kill everyone
in the hospital. I'm telling you, this place is cursed
KB the hospital and Richard is struggling, and then which

(16:57):
his wife is there and Adela is like, oh, if
they tell you to sit down, my god, then you're
gonna sit down because she does not care about the
gravity of his job in that moment. She only heard
about him as her husband. And I am just thinking
who wrote this episode, because well, I know who wrote it,
but I'm just thinking in terms of I mean, they
truly packed all the drama in one episode. So do
you think that this episode was worth it? Absolutely? This supersize?

(17:23):
Did we need this extra time X absolutely. So here's
the thing. This was the first episode of Gray's Anatomy
I ever watched. I did not watch the first part
um this was this was the post super Bowl episode,
and so part one was Thursday night and then to
hook you, they got you into Sunday night after the
super Bowl. So this part two I had no context.

(17:43):
I've never seen Graysonnatomy before. I don't even know that
I knew what the show was because it was so
like it only been on for less than a year,
and so I was I remember very specifically. It was
at my father's house. They were watching the Super Bowl.
Anyone who knows me knows that I care nothing about
sports ball, and then you know, they do the post
of highlights or whatever, and then they do the news
and then they do whatever the show is, um the

(18:03):
post super Bowl show, and so we're all just like
sitting around talking or whatever, and we're watching the show.
And the moment that I remember was that I called it.
I was like, He's gonna blow up, and then five
second later and the whole room was like what. And
so it was absolutely worth it because I think it
was like the episode that got me hooked on the show.
I think I got millions of people hooked on the show.

(18:24):
It is like even rewatching it, it's like very iconic
of like the things that this show, especially during this time,
was about, like the all the relationships, like dramas and
the little intricacies of the relationships, like so many things
just from this episode last for so long, like Alex
and Izzy and Christina and Burke and the Christina and

(18:44):
Meredith of it all and then being her person and
like so much of this stuff is like iconic Gray's Anatomy.
But I think it worked so well and got so
many people hooked that absolutely it needed to be this
huge two part episode, and it was so successful that
that I think this episode is probably why it's still
on to Oh my goodness, you know that's wild. So
it um was not my first episode of going to

(19:04):
say I started in the very beginning. I started day
one with the pilot. Everyone who knows me knows I
actually don't like pilots. They're not enjoyable for me. To
be honest, I absolutely really adored this pilot. It's a
good one. So I was already heavily invested by the
time that this supersized episode came. You know, I do
think for as much drama as it had, it was

(19:25):
necessary to go a little bit beyond its time in
this episode, because there's no way we could have gotten
around all of the intricacies of the drama, Yather. Now,
I will say this from a scientific perspective. I cannot
wait to dive in um with our expert and our
later segment about this because having live ammunition and a

(19:48):
person's body cavity that will detonate if you don't keep
your hand on it and provide that pressure. Is is
this even possible? Like I don't know that a hand
is enough pressure, you know what I'm saying. Yeah, it
was unclear if it was like Okay, it needs the pressure.

(20:09):
But also I think you just couldn't move it. But
I also think you just couldn't, like jiggle it too much.
But the thing is that I think it would have
been maybe more sensible if they could have stayed in
that room. But they have to go from one like
surgical room to the other to get away from the
oxygen line. But I'm just imagining like your hand inside

(20:29):
like I'm sorry, like a gooey man and you've got
rubber gloves on. You've got rubber gloves on, which like
you know, doctors have to like be in them all day,
but you know it's still not comfortable necessarily and they
eventually get to take them off. Well it's a it's
a latex glove, which is a little bit more Yes, yes,
that's what I meant. Um, But then your hand goes numb,

(20:52):
especially because you can't move it. Like the point was that,
like you can't even like wiggle your fingers to like
get the like blood flowing bike in there. And I'm
just like her harm should hurt. Well, no, So here's
the issue. Here's the issue. Because Hannah, Hannah had mentioned,
you know, she put her hand in there to stop
the bleeding, right because it was beating profusely and she
wanted to do that. My thing is, you have to

(21:15):
somewhat based on where the wound is. In my opinion,
you would have to somewhat massage the organ, right, you
would have to move your hand in some capacity, Like
there's no way and like your hand can't Like how
big is the wound for her hand? And she's very tiny,
like she has very tiny hands, so like how big
is her hand? Well, it's like the wound. Right, it's

(21:37):
the bomb. It's a live AMMO. So for me, I'm
thinking how large is the ammunition because that's really the
thing that you have to cover your hand with. So
also the swap between Hannah and Meredith, Um, it wasn't
that clean. It wasn't that clean. There's no way it
was not that clean. So it was I mean, I
do believe, you know, I I believe that it would

(21:59):
have on off either way. So I'm glad that they
did write that into the show because I think that,
you know, it's kind of unrealistic to think it would
would have never detonated. So I appreciate that it did
detonate because I think that that was the most realistic thing.
Poor one out for Kyle Chandler, Poor one out because
I I just knew it, Like there was something in
my spirit, Like while I was watching this episode, I
was like fifteen or sixteen years old. I was a teenager,

(22:22):
and I was staring at it, like he ain't gonna
make it. But he's so calm and like, I don't know,
they think he's like a jerk, but he's not really,
Like he's just trying to like hold it together because
these people are freaking out, and he has to be logical,
Like he has to be the logical one in order
to get them emotionally through this moment. And you know,

(22:42):
when they're able to get the body the bomb out,
he takes it away from danger. And I'm just like
the backup people couldn't there was nothing they could bring
up to the floor to like wrap the bomb in
before he he was just like actually walking it out
of o R. And I was just like, they didn't
have none to to bring upstairs. So let me tell you.

(23:03):
Let me tell you so Kyle Chandler. You know, and
this is during I should mention that during the same
time of Friday Night Lights. And so this is during
the height of Friday Night Lights where people are just
getting introduced to UM, to the coach. So this is
iconic for him because you know, um people started to
grow and love Friday Night Lights slowly, like it happened

(23:25):
to had like it had a much slower kind of
cult following Um, I'd say, and it goes very just
as deep though I have not watched Friday Night Lights,
but I I know about it just because people are
so in love with it. Well, yes, let me tell
you as a Friday Night Lights expert. So it goes,
it goes kind of um, you know deep, and so
I think it's very interesting because Kyle has had such

(23:48):
an illustrious career that having kind of episodes air on
both of these shows, um, you know, kind of during
a portion of his career where people were really only
introduced to him from like the super fans of Gray's
weren't even really paying attention, you know, and to Friday
Night Lights until they were like, oh, that's that guy
from the bomb episode and oh you know, he's coming

(24:10):
back for a couple more episodes. Um of of grades
and like, oh, yeah, you know, it's really interesting, um,
just to kind of see how the fan base is
like really bonded over Kyle Chandler because again, he has
done some really like exceptional work and so um, for
me personally, he is not my favorite character of this episode,
where I will say my favorite character of both episodes

(24:31):
is going to be Hannah Christina Rigi, and I think
because she mostly um, you know, Kyle is doing his
job in the sense that this is his day to day,
so he knows every day when he wakes up if
he's going to get a bomb call, there's a high
probability that he may not make it. Um. Hannah is
a paramedic and she's not thinking of life that way.
And she says, you know in the episode you know,
and at the very end of episode one, before we

(24:53):
dive into episode two, I'm just twenty two. And so
when we catch her in the stairwell, this is early
in her life in her career, Like, she is not
in the same place that he is either age, and
so I think that she's doing, um, what she thinks
is the right thing to do by putting her hand
in there, because she's like, oh, I want to stop
the bleeding, and and honestly, it's a natural human response, right,
particularly in this line of work, to put your hand

(25:15):
in there. But when she realizes the gravity of what
it means, um, and everyone is kind of in her
ear and talking to her, and everyone is saying, they're like,
don't do it, don't do it, don't do it. The
worst way it's to deal with someone who has anxiety
and like it's super young, like she is, like, is
to have like seventeen people surrounding you like why did
you do that? What did you do? Like you're gonna die.

(25:36):
Somebody's gonna die, like this man is gonna die because
you did this, Like made this choice. Man, I have
anxieties thinking about it. So it's interesting because you know,
for me, she's my favorite character of the episode, and
particularly when she has her seeing the George, because you know,
George really responds to her in the most human of ways.
Everyone else is thinking about kind of the gravity of

(25:58):
the trauma aspects, which makes sense, but he understands her
fear just human to human and why she's kind of
in that stairwell crying with blood on her trying to
figure out like and she doesn't feel like a hero,
she doesn't feel like a hero in any capacity. But
he's still trying to let her know, actually, girl, the
work that you've done today was really great. So yes,

(26:19):
I was, you know, still like watching it, like okay, girl,
not you just running away though after you made this choice.
But also I know twenty minutes ago you were like, girl,
why did you make this choice? And you're now you're like,
but she was my favorite character of the episode. She
is she is, And I still think, girl, what are
you doing? Like I'm I'm I'm still stand by it,
like girl, you definitely made this choice, you know. But
I think that the layers and the humanity of her

(26:42):
character make her my favorite because she is exactly what
a normal human being would do life, you know, like
they would be like, absolutely no, this is too much pressure,
I gotta go. So I think her trauma response, um,
I think everyone has a different trauma response, and I
think in this episode we were trying to make Meredith
kind of the heroine for her trauma response, but a

(27:02):
lot of people would be like, well, meredith decision was
also as dumb as Hannahs in the first in the
first part, so you know, all things can be said, Well,
this episode truly iconic. I mean, um, truly one of
the best. And I can say that, you know, Connie,
your love with the show is limited. I can say

(27:26):
that as someone who has seen every episode. So let
me just go ahead and say that as someone who's
seen every episode, this is truly iconic. And you know,
because I've seen every episode, I mean that does in
fact make me an expert. Yeah yeah, yeah, yeah, yeah yeah. Okay,
but you know, you know, I'm not going to revoke
your super fan card. I'm not going to revoke you.

(27:48):
Thank you I go. I go way back with this show.
I have the first like four seasons or at first
three or four seasons on DVD, so I've rewatched them
so many times. Um and Grace always gets me back,
like they always, you know, somehow pull me back in. UM.
Right now, we're still on a break. But you know,
you never know, you never know when that time will happen,

(28:11):
when they will, UM call to my heart once again. Okay,
well not you're on a Ross and Rachel size break. UM,
what you medical jamas listen listen? Well, then that just
means that I will potentially have to have you back
for another season at another episode exactly. Well, thank you

(28:33):
so much for joining the show. I had a wonderful time.
Thank you so much for having me. I again, I
love this idea. I can't wait to hear with the
expert things UM, because we need to know like was
this possible? Right? Is this a medically possible? We'll be
back right after this quick break. I am joined by

(28:55):
the fabulous New York and California trained emergency medicine and
critical care physician Dr Tish. Welcome to on call with KB.
Thank you so much for having me. I am super
excited to be here. Thank you. K Yes, I'm so
excited that you're able to join us. I mean, listen,
I kind of feel like it was fate that we
met at that music festival and look what happened. Yes, yes,

(29:21):
So I asked Dr Tish to join today because of
her expertise in the emergency medicine space. UM, and you know,
she is genuinely one of the most fun people and
so you know that always helps when podcasting as well.
So it just made sense to have her on this
episode because this episode happens to be part two of

(29:42):
what I like to call one of the most extravagant um,
high octane, high pressure episodes of the entire series, and
it takes place in the chaotic e er of Grey's Anatomy,
and we're talking about the episode with the bomb and
the body cavity. So first I always like to ask
my guest Dr Tish, you know, tell me a little

(30:03):
bit more about your life, Like how did you get
into medicine. Was it, you know, with the personal connection
or did you just have like this this interest in
science like I did growing up. You know, how did
you get to where you are now? Yeah? For sure,
so I always knew what I wanted to be a physician. Always, Um,
I was super interested in science for sure. I remember

(30:24):
I actually had had an accident where I ran into
my sister when we're playing outside and I had um
an injury to my lip that I had to go
to the e R to get stitches. But then it
developed this like really terrible looking scar tissue, so I
had to go to the plastic surgeon. And I was
a kid that was like, can I save this car
tissue when I take it home? Please? It looked at

(30:45):
me like a psycho but um, but it was. But
I've always been interested in science. I've always been just
throwing tregued by how the body works. Um. And so
I always knew I wanted to be a physician. So
I started initially wanting to go into emergency medicine just
because it is so chaotic and it's so crazy, um
and every day is totally different. You don't know what

(31:05):
you're gonna walk into. And then I quickly realized that
the lifestyle of a trauma surgery was just not for me. Um.
And so from there I was like, you know what,
I think that e R is really where I need
to be uh And now since moving to California, essentially,
uh do I'm full time critical care take care of
post operative surgical patients, and I see you. I mean,

(31:27):
it is one of the most chaotic places. I will say,
almost similar to you. Actually had a very bad car
accident and I split my head open and so um.
It was like during that process that I learned two
things um, and I guess my parents did too. One
that I have an exceptionally high threshold for pale. They
were like, your child is not like even crying, it's

(31:49):
like oh. And then too that I was just so
interested in talking to them about what was happening. They
were like, girl, you were injured and you not just
like sit here and relax. And I'm like, yeah, yeah,
but what's gonna happen when you put the stitches in?
So I think that like we're kind of built a
little bit different than for sure, it's definitely calling. I agree.

(32:10):
For sure, you're like either you like science and medicine
or you do not. Either you can handle the gore
or you cannot. Like it's really definitely a self selective profession. Absolutely,
So I also have to ask, because you know, when
I have a lot of medical professionals here, I get
the gambit of individuals. So you know, I've had someone
who worked on Grace, so she obviously watched the show.

(32:32):
And then I had another version who had not seen
a single episode until we recorded, and I had watched
this episode. So for you, what is your connection to
Gray's Anatomy? Had you watched it prior to you know,
coming on this show. Sure, yeah, for sure. And it's
it's interesting because when this show aired, I was a
surgical intern, right, so I felt like I could at
that time really relate to the characters. Um. So I

(32:56):
watched Gray's religiously for the first several seasons, and then
once I kind of got any deep into residency, all
my television watching pretty much went to nowhere. So, um,
I definitely remember this episode. Its jog memories for me.
This is emotional episode, you know, jarring episode. Um. And
but you know, after the first several seasons of Grace,
I kind of was too busy to really really religiously

(33:19):
watched the way that you know I was able to perfore.
So when it first came out and you were a
surgical resident, was it kind of like everyone in your
program was kind of watching it and then having conversation
about it, like this is not realistic, or you know
this is realistic, or they are doing some wild things
to be surgical interns, because I truly was watching, like, now, y'all,

(33:40):
how do y'all have time to each have an affair
with someone in the hospital? So funny? You know, I
don't recall having conversations about this show, likely because yeah,
once you as an is because an intern is different
than a resident, right, because an intern you really like
the scut person. Right, You're doing what your resident tells
you to do. Your job is to make your resident

(34:02):
look good, and so you're running around doing a million
zillion things, super long days most days out of the week. Um.
So I really can't remember having conversations about Grace. Mostly
I was having conversations about how crazy life was, um,
when not having conversations about my patients. So so yeah,
so for you, I wanted to know, just from you

(34:23):
and your medical expertise, could he have truly lasted with
this you know bomb in his body cavity without it
going off, but also surviving because you know his blood
pressure is dropping, you know, the stats are not improving,
and also you do not with the whole hospital to
blow up. So it's kind I think that, you know,
the show kind of melds. So obviously you have a

(34:46):
large you know, uh, projectile weapon UM that penetrates you.
You know, if it's going to hit a major organ
or vessel, then you're you're you're pretty much gonna die,
you know, not quickly, essentially likely most likely. I think
it's impossible to know like how long some device like
that can remain in the body. Otherwise, you know, like

(35:09):
because you do likely have to worry about um metals
or toxins leaking into the body, that kind of thing.
You know. I did my own kind of research to
see if there were any case reports of that. I
found that there was one case report of a foreign
missile possibly in the rectum that basically that person absorbed
the majority of the blast and so it's highly unsuccessful. UM.

(35:34):
I don't think anyone knows the answer I was. I
don't know the answer to that question, but I would
imagine it would be an insanely risky um to have
a foreign body and dwelling in you for any kind
of significant amount of time, even if it weren't like
having caused injury to to an organ, That's what I
would would assume. Yeah, I'm like, it can't be more

(35:55):
than twenty four hours. I feel like that's being generous,
but I mean yeah, for sure. And then well then
and then even if they were, say hypothetically, to survive
the twenty four hours, and we're talking about an infection issue, right,
we're talking about after that, what's the effective infectious complications
of that which would be pretty significant? Um, even if
they were to survive having you know, that device in

(36:16):
them for that long? Yeah, and then what does that
mean for them long term? Right? Like? Can we get
the infection under control? Where does this means something else? Exactly?
I will say it was. I was shocked, to be
honest with you. I mean, this episode and the episode
prior where just fantastic, beautifully written. But I would say
I was. I was impressed after reading that. They really
really did their research to UM, so you know, kudos

(36:37):
to the writers. I remember, and honestly, I I watched
this episode. I remember exactly where I was because I
was actually an undergrad when this came on, so still
you know, my degrees in biology and chemistry, so still studying,
very interested in what was happening on the show. Um,
I remember, you know, it happened after the Super Bowl.
I did not care about the Super Bowl. I really
cared about the Super Suns episode. I'll be honest, And

(36:59):
I remember were saying to myself just watching it, I
just knew that man was going to die. There was
actually no the like if you would have told me
that by the end of the episode, you know, when
his wife comes up and she's like, oh, is my
husband alive? And you know, Dr Burke is like yes,
and she's like is he going to stay alive? And
you know, he's like yes. I would have bet money,

(37:20):
lots of money that the answer would have been. Now, Like,
I mean, just you know, the amount of time has
to be fair in this episode, in Seattle Grace hours,
it was less than twenty four hours, but it still
felt like an exceptionally long time for this man to
just have this in his body. I would think, you know,
in this case, you know, I would assume he would
have been extraordinarily lucky and that most people likely wouldn't

(37:44):
have only because we knew he was bleeding out right,
We knew there was a vessel that was compromised because
we were told, well, she's she's both holding the bazooka
and she's preventing him from bleeding out. So the odds
that you know, you're holding Bozuka and you know your
whole is where the arteries or the veins vessels bleeding,
you know, likely this person unless they had massive upon

(38:07):
massive upon massive um resuscitation efforts UM with blood products,
the likelihood is that this particular individual would not have survived.
And then, adding on to that, you had the E. M.
T played by Christina Ritchie right, who had her hand
in his body cavity, and she wasn't that hand wasn't
sterile um. So even if you were to survive that

(38:29):
particular operation, likely he would have gone on, I'm assuming
to develop some kind of infection, But that particular kind
of medical um quandary would have been more easy for
me to believe if he weren't actively bleeding UM, you know,
at the same time as they were trying to stabilize
or make sure that that bomb was didn't go off

(38:50):
in his chest cavity. So you know, it's interesting because
I do feel like this episode really is UM two
parts in that it is a very emotional episode, and
then you know, by the time we get to the
end and you know, the bomb team is doing what
they do, and just as Meredith thinks, oh, thank goodness,
then I mean she is just watching it happen, which

(39:12):
is also wildly traumatic. Um. I was just thinking to myself,
it is very heavy emotionally, because the whole time I
was thinking, you know, as soon as the bomb hits,
and obviously that's basically the end of the episode, but
I was thinking, Meredith, ghost of therapy. I mean, that's
like my immediately, and you know, it's like she avoids
therapy like the plague sometimes on this show. And so

(39:35):
I'm like, but that's you should be your first time.
I mean, you literally watched you people die like right
in front of you, but in a very like dramatic way,
and you're already dealing with death on like a just
a normal level as a physician where it's kind of
day to day, but then also they exploded in front
of you, well exactly, And that's kind of what you know,
we've experienced in healthcare through the pandemic because typically when

(39:56):
we treat patients, for the most part, there's you know,
minimal risk to your own health or own well being, right,
unless you're caring for someone with a communicabol you know,
there's you know, there's all kinds of diseases out there
that we have to take extra precautions for, um, but
the pandemic really, when you're caring for patients, there's a

(40:16):
real chance. And for a lot of health care workers
unfortunately you know, circcumbed to COVID nineteen UM and they're
in their caring for patients and that's just an added
layer of anxiety and added layer of fear. UM that yeah,
I think necessitates an added layer of just checking in
or well you know, and I agree, I think, you know,

(40:37):
after watching this episode, I was like, I'm hopeful that
she gets she talks too, she needs to talk to
and get the help that she needs, because again, that
stays with you. You know, even if your own safety
is not at risk, right, but her safety having been
at risk and the safety of others that she intimately
knows and works with and has relationships with, um. You know,
that's even a deeper level that that. I think again,

(41:00):
had that had been a real life scenario, I really
hope that the hospital would have forced people to seek
therapy because it's PTSD level experience. For sure. I was
gonna say, I forced you to take a leave of
absence just for a brief period of time of some sort,
because there's no way, you know, you can just move
on to the next patient and not constantly have that

(41:22):
image in your mind. I was thinking about that. I
was like, there's no way. So I appreciate that she
had her support system. You know, obviously she had you know,
um Izzy, and she had Christina there to kind of
help her. But I was like, girl, you need more
than this, and also leave Derek alone. We don't Hello Hello. Which,
by the way, that shower scene, how it was reworked
between the previous episode and this episode was just so magnificent.

(41:44):
So I mean, just really kudo see the writers for
that entire I mean, it was a beauty. Did they
win an Emmy from you know, I don't know, actually
have to look that up. I mean, you know, they
apart from even just being unheard of of having a
supersized episode after the Super Bowl. But I talk all
the time like the faith that ABC had in Shonda Rhimes,
you know, like from the beginning of the show and

(42:05):
when it catapulted even to this episode was wild, So
I mean she had great writing even truthfully whoever worked
as you know, kind of the set design and everything.
I just think it was almost poetic and that that
sounds terrible, but poetic. And how she walks out the
room and she's smiling and then the blast happens and
then you see kind of and everything's happening in slow

(42:27):
motion and there's like fire falling. The details in it
actually were really well done. From a television perspective. Shonda
Rhimes is the personification of black girl magic, right, I mean,
she's just phenomenal, such an inspiration. Um. Yeah, I would
say that that episode was just you know, the way
it foreshadowed itself, the way that you know, I mean

(42:49):
from even the beginning where it just didn't want to
come out of bed and you know, nothing to live for,
to the end where it's like, wow, this is um
you know, you realize the life is short and and
every day is precious. So life is were But Meredith, girl,
you don't need Derek. That's literally the whole time. That's
what I wanted here, like forget Derek leave. And the
more I rewatched the show, like specifically for this podcast,

(43:11):
because I'm still an avid watcher. I still watch, you know,
as the season's come on, I'm like, what were we doing?
Meredith and Arrek, y'all are not the relationship goals, so
now I'm rewatching, like, girl, please leave him, And even
when he shows up to her house, I'm like, go home, Derek,
you know, like, what is happening. I know it's unpopular
opinion because he's supposed to be the ideal standard, but

(43:34):
I was like, you know, it's interesting, and I'm probably
not the one to talk because honestly, like I primarily
watched Cartel shows. I love the like I love the drama.
I am watching all the Cartel shows. Okay, so you
know I could live without the romance. That's just me. Um.

(43:58):
So I'm just here for the drama and the and
the gore and the fighting and the underhanding and the
cunningness of it all. Listen, I'm not mad at it.
So for you, just as a viewer, do you feel like,
for maybe other people watching it who you know aren't
in the medical profession and don't have this background, do

(44:18):
you feel like it was a realistic depiction of this
particular trauma apart from you know, him bleeding out and
her just holding on with her hand and being like, now, girl,
I think you need a little bit more than that
to Yeah. You know, it's funny because when I first
watched the episode, and even when I rewatched it, I
was like that that wouldn't happen. But you know, after
actually like researching things and looking into it, Yeah, I mean, yes,

(44:41):
I mean Bazuka, Like I had to research a Bozuka.
What is that? You know, the missile itself doesn't necessarily
debnate on impact, right, It's designed to destroy tanks, and
so it typically detonates when it hits metal or something
really really hard, so it's not it's pretty believable then
that this guy could have been hit with the missile
and it not detonate, right, And so unless he's bleeding

(45:02):
out or again it strikes it an oregan or major vessel,
I mean, it's under the realm of possibility that this
could happen. Right. Um, there's certain things that, you know,
certain little nitpicky things that I could say, Okay, I
don't you know, maybe that wouldn't have happened in that way,
But overall, I think that it's something that you know,
it's not it's not super fantastical by any means, um

(45:24):
after having really thought about it, which again kudos to
the writers, because it takes a great deal of creativity
and and and knowledge you know about how how these
things work bazooka missiles and that kind of thing. Um.
So yeah, no, I think I yeah, yeah, I mean
I think it was as realistic as it could be

(45:45):
for a viewer. But I think the thing that sets
it apart is all of the drama. You know, like
I feel like the actors are bringing an extra level
of drama and care to this that just kind of
make you just gravitate towards this episode and everything that happens,
because this episode is not just about this bomb, right,

(46:05):
You've got all kinds of things. I mean, you've got
you know, this romance, their sex, there's you know, there's um,
just the anxiety of what's going to happen next, suspense,
there's everything. You're holding your breath and the majority of
this episode, and then just as you think you can
let that breath go, then it's like, oh my god,
you know, so it is, and it's it's incredible. You

(46:26):
go through the kind of the gamut of emotions in
this episode. It's multifaceted, it's it's multilayered, and it definitely
lived up to the hype of after the Super Bowl. Now,
one thing I will say is I do love Grays
because they are always giving you duality almost every single
episode if you truly pay attention. And it is almost
right when Bailey is giving birth right that these two

(46:49):
men lose their lives at the bomb detonates, and it's
kind of the depiction of the and that happens almost
every day in a hospital setting, right like you especially
in the e er. You know, women are coming in
every day, you know, like in labor, and people unfortunately
don't make it out sometimes, you know, when they come
to the d R. So it was kind of that

(47:11):
depiction that was layered. And then I would be remiss
if I didn't mention the adultery. Uh, you know, layers
that you see too, Because here's Adele with Richie and
you know, I know, right, and here she is, you know,
and here is Derek and he's like, where is she?
Where is she? And we all know that he's talking

(47:32):
about Meredith. And then he comes here comes Addison and
she looking like, no, you know that, and that's that
personal experience because she knew what it was like to
watch her husband have an affair with another woman that
he worked with, and it's the duality of that state.
I totally forgot about that. Yeah, So it's her absolutely

(47:55):
this and kind of knowing and her instincts kicking in
because of the personal experience she had with Richard and
seeing that happen in real time again with the woman
that Richard has a fair with daughter. So then it's
like the connection of it all. You know, she's seeing
this happen and I'm like, I mean, please, what is
going on? Giving it to us and just multiple fronts,

(48:16):
notustiple fronts, giving you a lot to think about and
a lot to talk about even years later. I know,
I know. I love it. Well. Dr Tish, thank you
so much for joining the show, and thank you guys
for listening to a brand new episode of On Call
with kab Thanks again everyone for listening to this episode

(48:41):
of On Call with Kabe. We hope you enjoyed it.
Next week, join us as we dive into Gray's Anatomy
season four episode thirteen, entitled Piece of My Heart. I
will be joined by the brilliant cardiologist Dr Dan to
talk about the feasibility of the baby's heart growing outside
of its chest and whether or not they can survive.
You'll have to tune in to find out more. Listen

(49:05):
to En Call with k B on the I Heart
Radio app, Apple Podcasts, or wherever you get your podcasts.
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Kay - B

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