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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