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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:07,398 --> 00:00:12,577 ♪♪ 2 00:00:12,621 --> 00:00:15,754 [ Whispering indistinctly ]Meredith: Homeostasis is our body's way 3 00:00:15,798 --> 00:00:20,324 of maintaining a consistent and steady internal state. 4 00:00:20,368 --> 00:00:24,720 ♪ Pushin' away only gets me closer ♪ 5 00:00:24,763 --> 00:00:27,288 ♪♪ 6 00:00:27,331 --> 00:00:28,941 ♪ Fallin' fast Nick? 7 00:00:28,985 --> 00:00:30,291 ♪ Can we move it slower? 8 00:00:30,334 --> 00:00:31,596 Hi. 9 00:00:31,640 --> 00:00:33,076 Hi. [ Chuckles ] 10 00:00:33,120 --> 00:00:35,557 Yes, sorry. 11 00:00:35,600 --> 00:00:38,777 This is a very old-fashioned way to ask a girl on a date. 12 00:00:38,821 --> 00:00:40,040 I know. I know. I'm sorry. 13 00:00:40,083 --> 00:00:42,172 I-I forgot to ask for your phone number, 14 00:00:42,216 --> 00:00:43,391 and then I-I didn't want to wake you. 15 00:00:43,434 --> 00:00:45,958 So...note. 16 00:00:46,002 --> 00:00:48,265 ♪ Throw me in the water 17 00:00:48,309 --> 00:00:50,050 So, what do you think -- should we get some dinner? 18 00:00:50,093 --> 00:00:52,922 I know a place that's great. It's, uh, right by the lake. 19 00:00:52,965 --> 00:00:54,402 Yes. 20 00:00:54,445 --> 00:00:56,186 Okay. 21 00:00:56,230 --> 00:00:58,319 I'll pick you up at 7:00. 22 00:00:58,362 --> 00:01:00,147 Okay. 23 00:01:00,190 --> 00:01:01,322 Okay. 24 00:01:01,365 --> 00:01:02,671 Okay. 25 00:01:02,714 --> 00:01:04,847 I'll see you at 7:00. Okay. 26 00:01:04,890 --> 00:01:09,243 ♪ I know I'm not getting out alive ♪ 27 00:01:09,286 --> 00:01:16,119 ♪ Why would I even wanna try? 28 00:01:16,163 --> 00:01:20,776 ♪ 'Cause I'm stuck to you 29 00:01:20,819 --> 00:01:23,170 Multiple systems work in sync 30 00:01:23,213 --> 00:01:26,173 to regulate factors like temperature, blood pressure, 31 00:01:26,216 --> 00:01:27,435 even sodium levels. 32 00:01:27,478 --> 00:01:30,133 ♪♪ 33 00:01:30,177 --> 00:01:31,700 ♪ Are we too far from the path we drew? ♪ 34 00:01:31,743 --> 00:01:34,050 Okay. I'm not going to tell you how to parent your son, 35 00:01:34,094 --> 00:01:35,573 but this not going in Luna's bag. 36 00:01:35,617 --> 00:01:37,184 [ Both laugh ] 37 00:01:37,227 --> 00:01:40,274 ♪ But I don't wanna be a fool for you ♪ 38 00:01:40,317 --> 00:01:44,843 ♪ No, I don't wanna be a fool for you ♪ 39 00:01:44,887 --> 00:01:47,498 These systems are designed to resist and combat 40 00:01:47,542 --> 00:01:49,761 anything that tries to throw our bodies off. 41 00:01:49,805 --> 00:01:53,069 ♪ I know I'm not getting out alive ♪ 42 00:01:53,113 --> 00:01:57,856 ♪ Why would I even wanna try? 43 00:01:57,900 --> 00:02:00,990 It's a continual loop with checks and balances. 44 00:02:01,033 --> 00:02:03,601 So, what time did you tell them? 45 00:02:03,645 --> 00:02:05,821 Ahh. Should be any minute now. 46 00:02:05,864 --> 00:02:07,127 [ Chuckles ] 47 00:02:07,170 --> 00:02:09,520 Feels like the old days. 48 00:02:09,564 --> 00:02:11,087 Finally. 49 00:02:11,131 --> 00:02:12,784 ♪ 'Cause I'm stuck to you 50 00:02:12,828 --> 00:02:15,439 Until something manages to break the cycle. 51 00:02:15,483 --> 00:02:17,789 ♪ 'Cause I'm stuck to you 52 00:02:17,833 --> 00:02:19,182 Hi-e-e-e! 53 00:02:19,226 --> 00:02:20,705 How are you so awake? 54 00:02:20,749 --> 00:02:22,359 Kombucha, girl. 55 00:02:22,403 --> 00:02:24,361 [ Yawning ] Remind me why we signed up to do this again? 56 00:02:24,405 --> 00:02:25,362 To save lives. 57 00:02:25,406 --> 00:02:26,711 Overrated. 58 00:02:26,755 --> 00:02:28,322 Hey, Ortiz, where's your mom? 59 00:02:28,365 --> 00:02:30,324 She transferred her residency 60 00:02:30,367 --> 00:02:32,587 to take a job with Dr. Avery and the foundation. 61 00:02:32,630 --> 00:02:35,111 Good for her. Better for us. 62 00:02:35,155 --> 00:02:36,286 More cases. 63 00:02:36,330 --> 00:02:37,853 Taryn: There's no statistical evidence 64 00:02:37,896 --> 00:02:39,855 that proves residents learn better at the crack of dawn. 65 00:02:39,898 --> 00:02:42,379 I checked. I think we need to stage a sleep-in. 66 00:02:42,423 --> 00:02:44,381 Who's with me?[ Clears throat ] 67 00:02:44,425 --> 00:02:47,254 [ Indistinct conversations in distance ] 68 00:02:47,297 --> 00:02:49,430 You finished? 69 00:02:49,473 --> 00:02:51,475 Big day. And a long one. 70 00:02:51,519 --> 00:02:52,607 Hope you ate breakfast. 71 00:02:52,650 --> 00:02:53,782 [ Quietly ] We didn't. 72 00:02:53,825 --> 00:02:56,001 Meet me in the skills lab, four minutes. 73 00:02:56,045 --> 00:03:00,223 [ Woman speaking indistinctly over P.A.] 74 00:03:00,267 --> 00:03:02,225 He said four minutes. It's at least an eight-minute walk. 75 00:03:02,269 --> 00:03:05,185 I'm with cardio today. They requested me. 76 00:03:05,228 --> 00:03:07,012 But have fun going back to day one. 77 00:03:07,056 --> 00:03:09,493 [ Chuckles ] 78 00:03:09,537 --> 00:03:12,061 Thanks for coming on such short notice. 79 00:03:12,104 --> 00:03:13,889 Well, I went down two wrong hallways, 80 00:03:13,932 --> 00:03:16,326 which feels like a metaphor for my life. 81 00:03:16,370 --> 00:03:17,936 [ Laughs ]But when somebody offers 82 00:03:17,980 --> 00:03:20,852 to pick you up in their private jet, you get on that jet. 83 00:03:20,896 --> 00:03:22,245 Meanwhile, Scout has decided 84 00:03:22,289 --> 00:03:24,247 it is no longer cool to sleep through the night, 85 00:03:24,291 --> 00:03:25,814 so I looked like crap when I dropped him off to Link, 86 00:03:25,857 --> 00:03:28,991 who has mastered quiet disappointment. 87 00:03:29,034 --> 00:03:30,384 But somehow looks so good doing it. 88 00:03:30,427 --> 00:03:32,429 I think you look great. 89 00:03:32,473 --> 00:03:37,260 ♪♪ 90 00:03:37,304 --> 00:03:40,307 Wait. Are you kidding? 91 00:03:40,350 --> 00:03:41,743 They're giving you a lab? 92 00:03:41,786 --> 00:03:44,746 Oh, you are definitely not coming back to Seattle. 93 00:03:44,789 --> 00:03:46,356 By the way, who actually sent the private jet -- 94 00:03:46,400 --> 00:03:48,445 Amelia. 95 00:03:48,489 --> 00:03:52,319 We're being offered millions of dollars to cure Parkinson's. 96 00:03:52,362 --> 00:03:53,668 Us? 97 00:03:53,711 --> 00:03:56,105 Well, me. But I'm asking you, so it's us. 98 00:03:56,148 --> 00:03:58,150 ♪♪ 99 00:04:09,771 --> 00:04:10,859 [ Children laughing ] 100 00:04:10,902 --> 00:04:13,165 Teddy: Leo says that Elsa needs a cape, 101 00:04:13,209 --> 00:04:15,994 but he shoved it in the dishwasher last night. 102 00:04:16,038 --> 00:04:17,822 Wasn't great.Well, even Snow Queens 103 00:04:17,866 --> 00:04:20,216 need to learn that actions have consequences.[ Whispering ] Thanks. 104 00:04:20,260 --> 00:04:22,436 So, is it, um, costume day or something? 105 00:04:22,479 --> 00:04:24,786 No. Leo's world. We just live in it. 106 00:04:24,829 --> 00:04:25,830 Oh.[ Cellphone chimes, vibrates ] 107 00:04:25,874 --> 00:04:27,136 Oh. Incoming trauma. 108 00:04:27,179 --> 00:04:28,180 Okay. I gotta go.Okay. 109 00:04:28,224 --> 00:04:29,486 Teddy. Yeah. 110 00:04:29,530 --> 00:04:32,272 Allison, Elsa. I love you. 111 00:04:32,315 --> 00:04:33,273 Bye. Bye. Bye. 112 00:04:33,316 --> 00:04:34,883 Bye. 113 00:04:38,234 --> 00:04:39,453 I'm sorry. Do you have a problem? 114 00:04:39,496 --> 00:04:41,759 'Cause you're staring at my kid. 115 00:04:41,803 --> 00:04:43,283 Oh, uh, I'm staring at his costume. 116 00:04:43,326 --> 00:04:45,633 No, I-I know, and I would really appreciate if -- 117 00:04:45,676 --> 00:04:47,156 Oh, my wife and I have been looking for that same one 118 00:04:47,199 --> 00:04:48,375 everywhere. 119 00:04:48,418 --> 00:04:50,072 Oh. Oh, yeah. 120 00:04:50,115 --> 00:04:51,856 I-I'll -- I'll ask my husband.Mm. 121 00:04:51,900 --> 00:04:53,118 Oh, uh, here. 122 00:04:53,162 --> 00:04:54,337 Thanks. Yeah. 123 00:04:54,381 --> 00:04:56,034 Hey. Hi. 124 00:04:56,078 --> 00:04:57,384 We're gonna get you a new cape, okay? 125 00:04:57,427 --> 00:04:59,821 Luna, it's important work, okay? 126 00:04:59,864 --> 00:05:02,389 Just stop being so cute for 5 seconds. 127 00:05:02,432 --> 00:05:04,216 Stop. Stop. 128 00:05:04,260 --> 00:05:06,480 I remember when Scout used to cry when I dropped him off. 129 00:05:06,523 --> 00:05:08,133 Now look at him. 130 00:05:08,177 --> 00:05:10,048 Basically ready for his first studio apartment. 131 00:05:10,092 --> 00:05:11,441 [ Whimpers ] 132 00:05:11,485 --> 00:05:12,573 Ow! 133 00:05:12,616 --> 00:05:14,749 Okay. Um, I'm on scut all day, 134 00:05:14,792 --> 00:05:16,446 so can you just, like, hop up here 135 00:05:16,490 --> 00:05:18,535 and check on her every 5 minutes? 136 00:05:18,579 --> 00:05:21,146 Nope. Webber roped me into a thing with the residents.Ugh. 137 00:05:21,190 --> 00:05:23,888 Luna's like a 36-second elevator ride away, 138 00:05:23,932 --> 00:05:26,021 if you need to see her. Plus, they text you pictures. 139 00:05:27,327 --> 00:05:28,415 Go. 140 00:05:28,458 --> 00:05:29,764 Go! Ugh. 141 00:05:29,807 --> 00:05:31,418 [ Siren wailing in distance ] 142 00:05:31,461 --> 00:05:33,071 Rashida Flowers, 34, 143 00:05:33,115 --> 00:05:35,770 chronic kidney disease secondary to diabetes, 144 00:05:35,813 --> 00:05:37,772 admitted for dialysis access insertion 145 00:05:37,815 --> 00:05:39,991 after a thrombosed AV fistula. 146 00:05:40,035 --> 00:05:41,123 Rashida: After two failed grafts, 147 00:05:41,166 --> 00:05:42,733 I'm back in the hospital, y'all. 148 00:05:42,777 --> 00:05:44,344 Have to have another procedure. 149 00:05:44,387 --> 00:05:47,129 But guess what? My new doctor is a brother. 150 00:05:47,172 --> 00:05:49,392 Mm! And he fly. [ Laughs ] 151 00:05:49,436 --> 00:05:51,829 Say hi, Dr. Ndugu! 152 00:05:51,873 --> 00:05:54,528 Hey. Do you mind not recording so I can examine you? 153 00:05:54,571 --> 00:05:56,051 Oh, right, of course. 154 00:05:56,094 --> 00:05:59,010 Gotta go, y'all. Kisses. [ Smooches ] 155 00:05:59,054 --> 00:06:01,273 Sorry. Gotta keep my followers happy. 156 00:06:01,317 --> 00:06:02,579 I used to be a travel influencer, 157 00:06:02,623 --> 00:06:03,580 ventured around the world, 158 00:06:03,624 --> 00:06:05,408 but now I'm DiabeticBae, 159 00:06:05,452 --> 00:06:08,411 which is way less exciting, so I gotta get content where I can. 160 00:06:08,455 --> 00:06:11,240 Well, today won't be too exciting, I'm afraid. 161 00:06:11,283 --> 00:06:12,937 I'll be inserting a catheter into your chest 162 00:06:12,981 --> 00:06:14,635 to help you start dialysis. 163 00:06:14,678 --> 00:06:15,984 How long have you been diabetic? 164 00:06:16,027 --> 00:06:18,029 Years now. But I was able to manage it 165 00:06:18,073 --> 00:06:20,815 until I was visiting Thailand, living my best life, 166 00:06:20,858 --> 00:06:22,251 and I got real sick. 167 00:06:22,294 --> 00:06:23,905 Hit my kidneys hard. 168 00:06:23,948 --> 00:06:25,950 And every time my doctors tried to get access for dialysis, 169 00:06:25,994 --> 00:06:27,343 my body wouldn't cooperate 170 00:06:27,387 --> 00:06:30,259 because -- plot twist -- I have a clotting disorder. 171 00:06:30,302 --> 00:06:31,521 But none of this was a shock. 172 00:06:31,565 --> 00:06:33,436 Both my mother and brother were diabetic, 173 00:06:33,480 --> 00:06:35,569 and they both died from kidney failure. 174 00:06:35,612 --> 00:06:36,918 Sorry to hear that. 175 00:06:36,961 --> 00:06:39,529 Were they able to get kidney transplants? 176 00:06:39,573 --> 00:06:42,445 They weren't even able to get on the list. 177 00:06:42,489 --> 00:06:43,620 And neither am I. 178 00:06:43,664 --> 00:06:45,143 You're not on the transplant list? 179 00:06:45,187 --> 00:06:47,015 Nope. 180 00:06:47,058 --> 00:06:48,625 Ortiz, set me up a consult 181 00:06:48,669 --> 00:06:50,801 with Rashida's nephrologist, Dr. Krause. 182 00:06:50,845 --> 00:06:52,455 Look, I know it's bad. 183 00:06:52,499 --> 00:06:54,022 But it's okay. 184 00:06:54,065 --> 00:06:56,764 That's really why I record everything. 185 00:06:56,807 --> 00:06:58,461 I want the world to know who I am 186 00:06:58,505 --> 00:07:01,551 before this disease... ends me. 187 00:07:01,595 --> 00:07:03,292 ♪♪ 188 00:07:03,335 --> 00:07:05,076 [ Sirens wailing ] 189 00:07:05,120 --> 00:07:06,687 Hey. Where's my resident? 190 00:07:06,730 --> 00:07:08,079 I'm not their keeper. 191 00:07:08,123 --> 00:07:09,603 What do we got?Paramedic: Noah Young, 35, 192 00:07:09,646 --> 00:07:11,126 auto vs. tree, restrained driver, 193 00:07:11,169 --> 00:07:13,998 denies loss of consciousness, O2 sats 89%, 194 00:07:14,042 --> 00:07:15,522 no visible chest trauma.Okay. 195 00:07:15,565 --> 00:07:17,306 Noah: My son! I need to find my son! 196 00:07:17,349 --> 00:07:19,743 Okay. We got Danny Young, 7, GCS 15, 197 00:07:19,787 --> 00:07:21,484 vital signs stable, bleeding facial laceration. 198 00:07:21,528 --> 00:07:23,486 Daddy!There's my big guy! 199 00:07:23,530 --> 00:07:25,270 I need to see my son, please! 200 00:07:25,314 --> 00:07:26,881 Okay. Let's get you both inside first, okay? 201 00:07:26,924 --> 00:07:27,925 I'm fine! I just need to -- 202 00:07:27,969 --> 00:07:30,972 [ Coughing, wheezing ] 203 00:07:31,015 --> 00:07:33,670 Trauma one, let's get a chest X-ray and a full trauma panel. 204 00:07:33,714 --> 00:07:35,933 Let's move! Somebody find me a resident! 205 00:07:37,369 --> 00:07:40,285 Becoming a skilled surgeon is like learning how to drive. 206 00:07:40,329 --> 00:07:42,070 The more you do it, the better you become. 207 00:07:42,113 --> 00:07:44,551 And over the last year, you have participated 208 00:07:44,594 --> 00:07:48,206 in fewer surgeries than any class of surgeon ever has. 209 00:07:48,250 --> 00:07:50,121 Which means that you are not 210 00:07:50,165 --> 00:07:52,950 where you're supposed to be, people. 211 00:07:52,994 --> 00:07:54,517 We woke up early to be shamed. 212 00:07:54,561 --> 00:07:55,866 [ Groans ] 213 00:07:55,910 --> 00:07:57,912 Today, you will embark 214 00:07:57,955 --> 00:08:02,264 on the toughest surgical workout you have ever experienced. 215 00:08:02,307 --> 00:08:06,224 Through a series of simulations and skill assessments, 216 00:08:06,268 --> 00:08:10,359 each of you will be evaluated in four areas -- 217 00:08:10,402 --> 00:08:11,882 laparoscopic, 218 00:08:11,926 --> 00:08:14,102 suturing, vascular skills, 219 00:08:14,145 --> 00:08:16,539 and endoscopic techniques. 220 00:08:16,583 --> 00:08:19,455 You will be graded on your proficiency and speed, 221 00:08:19,499 --> 00:08:21,501 judged by your attendings. Any questions? 222 00:08:21,544 --> 00:08:23,328 [ Whispering ] It's like the surgical Olympics. 223 00:08:23,372 --> 00:08:25,200 Or the Hunger Games. 224 00:08:25,243 --> 00:08:27,594 I thought Dr. Grey was running the residency program now. 225 00:08:27,637 --> 00:08:29,204 Who do you think taught Dr. Grey? 226 00:08:29,247 --> 00:08:30,640 [ Residents chuckle ]Oh, and one more thing. 227 00:08:30,684 --> 00:08:32,903 The resident with the highest score 228 00:08:32,947 --> 00:08:35,210 flies solo in the OR this afternoon 229 00:08:35,253 --> 00:08:37,473 with a surgery that's appropriate to their level. 230 00:08:37,517 --> 00:08:40,520 Laparoscopic skills start...now. 231 00:08:40,563 --> 00:08:41,738 Ah! 232 00:08:41,782 --> 00:08:44,567 ♪♪ 233 00:08:50,225 --> 00:08:53,097 Amelia: Relax your wrist for me.David: You know, back in my day, 234 00:08:53,141 --> 00:08:55,360 every neurosurgeon I worked with was an egotistical prick. 235 00:08:55,404 --> 00:08:57,232 So you can imagine my delight right now. 236 00:08:57,275 --> 00:09:00,714 You are brilliant and charming, Dr. Shepherd. 237 00:09:00,757 --> 00:09:02,933 Oh, except when I'm being an egotistical prick. 238 00:09:02,977 --> 00:09:04,544 [ Laughs ] Well, 239 00:09:04,587 --> 00:09:07,198 as my friend Stephen Sondheim said, 240 00:09:07,242 --> 00:09:09,287 "Nice is different than good." 241 00:09:09,331 --> 00:09:10,593 You're friends with Stephen Sondheim? 242 00:09:10,637 --> 00:09:12,073 Oh, I could be. 243 00:09:12,116 --> 00:09:13,465 Amelia: Okay. Follow my movements. 244 00:09:18,645 --> 00:09:21,865 So, Dr. Shepherd, what's your golden opinion? How do I look? 245 00:09:21,909 --> 00:09:23,693 Well, you only have a mild resting tremor 246 00:09:23,737 --> 00:09:25,216 and slight bradykinesia, which is good, 247 00:09:25,260 --> 00:09:26,914 but Parkinson's is unpredictable. 248 00:09:26,957 --> 00:09:29,917 Your dopaminergic neurons are degenerating gradually, 249 00:09:29,960 --> 00:09:31,875 and it's only a matter of time. 250 00:09:31,919 --> 00:09:33,442 Have you considered switching your meds 251 00:09:33,485 --> 00:09:34,617 or deep-brain stimulation? 252 00:09:34,661 --> 00:09:36,314 You know, 253 00:09:36,358 --> 00:09:38,186 I'm not interested in a Band-Aid. 254 00:09:38,229 --> 00:09:40,492 I need something that'll make me whole again. 255 00:09:40,536 --> 00:09:42,625 Dr. Hamilton, 256 00:09:42,669 --> 00:09:45,585 Parkinson's is not a condition that surgery can fix. 257 00:09:45,628 --> 00:09:49,197 Yet. A condition that surgery can't fix yet. 258 00:09:49,240 --> 00:09:53,027 Enter brilliant, charming, egotistical you. 259 00:09:53,070 --> 00:09:55,682 As long as we can convince your sister-in-law over here. 260 00:09:55,725 --> 00:09:59,642 ♪♪ 261 00:09:59,686 --> 00:10:01,165 Chest pain, no. 262 00:10:01,209 --> 00:10:04,429 Open fracture, too specialized. 263 00:10:04,473 --> 00:10:07,563 Oh, right upper quadrant pain -- now, that's promising. 264 00:10:07,607 --> 00:10:09,043 Dr. Bailey. 265 00:10:09,086 --> 00:10:10,653 Wong. 266 00:10:10,697 --> 00:10:13,438 Uh, Richard's holding the surgical Olympics. 267 00:10:13,482 --> 00:10:16,180 It's a slow day, so I'm looking for something good 268 00:10:16,224 --> 00:10:17,878 to be the solo. You got anything? 269 00:10:17,921 --> 00:10:21,185 Dr. Bailey, you've rescheduled our meeting twice now. 270 00:10:21,229 --> 00:10:22,709 You're avoiding me.No -- 271 00:10:22,752 --> 00:10:25,537 I had surgeries. Uh, important ones. 272 00:10:25,581 --> 00:10:26,887 He's also looking for judges, 273 00:10:26,930 --> 00:10:29,106 so if you'd prefer to help out that way... 274 00:10:29,150 --> 00:10:31,761 No, I'm here to tender my resignation, 275 00:10:31,805 --> 00:10:33,328 which I've been trying to do for days now. [ Sighs ] 276 00:10:33,371 --> 00:10:35,635 I know. I just didn't want you to. 277 00:10:35,678 --> 00:10:37,462 Chief, I'm retiring. 278 00:10:37,506 --> 00:10:39,682 I already bought a condo, picked out tile. 279 00:10:39,726 --> 00:10:43,338 Okay, what could you possibly want to do instead of surgery? 280 00:10:43,381 --> 00:10:44,687 Mystery novels. 281 00:10:44,731 --> 00:10:46,384 I'm sorry?I have a series of books 282 00:10:46,428 --> 00:10:49,823 where the main character is a PI and a surgeon. 283 00:10:49,866 --> 00:10:51,389 "Doc Undercover." 284 00:10:51,433 --> 00:10:52,782 [ Laughs ] 285 00:10:52,826 --> 00:10:56,438 Uh, sounds...n-nice. 286 00:10:56,481 --> 00:10:59,093 Wong, look, the hospital, t-the country -- 287 00:10:59,136 --> 00:11:01,008 we're in dire need of physicians with yo-- 288 00:11:01,051 --> 00:11:03,140 Miranda. 289 00:11:03,184 --> 00:11:06,491 Truthfully? It's just not fun anymore. 290 00:11:06,535 --> 00:11:08,537 I'll start your paperwork. 291 00:11:08,580 --> 00:11:14,195 ♪♪ 292 00:11:14,238 --> 00:11:17,502 Perfect suturing ensures proper wound closure, 293 00:11:17,546 --> 00:11:19,156 less bleeding, 294 00:11:19,200 --> 00:11:21,376 and a lower risk of infection. 295 00:11:21,419 --> 00:11:23,334 Excellence matters. 296 00:11:23,378 --> 00:11:25,510 This is an atraumatic tie. 297 00:11:25,554 --> 00:11:28,731 You will have 20 seconds to tie three square knots. 298 00:11:28,775 --> 00:11:32,387 Do not move the soda can. Any movement counts against you. 299 00:11:32,430 --> 00:11:35,346 And absolutely no air knots. 300 00:11:35,390 --> 00:11:38,610 On your mark, set... 301 00:11:38,654 --> 00:11:40,221 Go![ Stopwatch clicks ] 302 00:11:40,264 --> 00:11:42,876 ♪ Call me cynical, but original ♪ 303 00:11:42,919 --> 00:11:45,748 ♪ Tryin' to fit into a world that's so digital ♪ 304 00:11:45,792 --> 00:11:48,229 ♪ Came to let you know I left the pigeon hole ♪ 305 00:11:48,272 --> 00:11:49,709 Kinda sloppy, Tseng. 306 00:11:49,752 --> 00:11:50,884 ♪ Now I gotta find an edge, won't let it go ♪ 307 00:11:50,927 --> 00:11:53,408 ♪ I know my mind 308 00:11:53,451 --> 00:11:55,149 ♪ This could be our time 309 00:11:55,192 --> 00:11:56,759 Huh.What's that supposed to mean? 310 00:11:56,803 --> 00:11:59,762 It means, "Huh." 311 00:11:59,806 --> 00:12:01,895 Is that better? Nope. 312 00:12:01,938 --> 00:12:04,332 ♪ All I need 313 00:12:04,375 --> 00:12:07,074 ♪ It don't let me down, it don't let me down ♪ 314 00:12:07,117 --> 00:12:09,424 I'd start over if I were you. 315 00:12:09,467 --> 00:12:11,600 Opening with a compliment is customary. 316 00:12:11,643 --> 00:12:13,123 [ Stopwatch clicks ]Time's up! 317 00:12:13,167 --> 00:12:15,865 Lincoln, do we have a winner? 318 00:12:15,909 --> 00:12:18,085 Schmitt takes the gold.Yes! 319 00:12:18,128 --> 00:12:19,608 [ Grunts ]Is there a silver? 320 00:12:19,651 --> 00:12:22,785 ♪♪ 321 00:12:22,829 --> 00:12:25,440 [ Whistling "Twinkle, Twinkle, Little Star" ] 322 00:12:29,052 --> 00:12:30,314 Name that tune. 323 00:12:30,358 --> 00:12:31,794 [ Continues whistling ]I don't know. 324 00:12:31,838 --> 00:12:34,144 Um, how long did you say 325 00:12:34,188 --> 00:12:37,800 that you have been experiencing abdominal pain for? 326 00:12:37,844 --> 00:12:39,759 Uh, a few days. Okay. 327 00:12:39,802 --> 00:12:41,064 Whistling calms my nerves 328 00:12:41,108 --> 00:12:43,501 when someone's, you know, inspecting my hooha. 329 00:12:43,545 --> 00:12:46,417 [ Chuckles, continues whistling ] 330 00:12:46,461 --> 00:12:47,462 Ow. 331 00:12:47,505 --> 00:12:50,770 Sorry, but I-I feel something. 332 00:12:52,467 --> 00:12:54,208 It was "Twinkle, Twinkle, Little Star." [ Chuckles ] 333 00:12:54,251 --> 00:12:55,949 What?The song I was whistling. 334 00:12:55,992 --> 00:12:57,602 "Twinkle, Twinkle"? 335 00:12:57,646 --> 00:13:00,692 Oh. Technically, it's the same melody as the ABCs. 336 00:13:00,736 --> 00:13:01,563 And "Baa Baa Black Sheep." 337 00:13:01,606 --> 00:13:02,956 Ah. Who knew. 338 00:13:02,999 --> 00:13:04,827 Okay, I -- 339 00:13:04,871 --> 00:13:07,395 Yep, there's something in here -- 340 00:13:07,438 --> 00:13:08,962 I -- 341 00:13:09,005 --> 00:13:11,399 ♪♪ 342 00:13:11,442 --> 00:13:16,491 Robin, there was a strawberry lodged in your -- 343 00:13:16,534 --> 00:13:18,623 Ohhhh. 344 00:13:18,667 --> 00:13:20,625 Yep. That tracks. 345 00:13:20,669 --> 00:13:23,237 So would that explain my abdominal pain? 346 00:13:23,280 --> 00:13:25,369 Um, it shouldn't. 347 00:13:25,413 --> 00:13:27,719 Why? Is there something... 348 00:13:27,763 --> 00:13:30,287 strange in there, too? [ Chuckles ] 349 00:13:30,331 --> 00:13:31,549 Maybe? 350 00:13:31,593 --> 00:13:34,552 ♪♪ 351 00:13:34,596 --> 00:13:36,728 Danny.[ Woman speaking indistinctly over P.A.] 352 00:13:36,772 --> 00:13:37,860 How you feeling? 353 00:13:37,904 --> 00:13:39,340 Looks like you had quite the adventure. 354 00:13:39,383 --> 00:13:40,471 Yeah. 355 00:13:40,515 --> 00:13:41,864 Got to ride in an ambulance. 356 00:13:41,908 --> 00:13:43,997 And now you have superhero marks. 357 00:13:44,040 --> 00:13:45,737 Do they come with powers? 358 00:13:45,781 --> 00:13:48,740 Maybe, if you eat enough cherry Jell-O and popsicles. 359 00:13:48,784 --> 00:13:50,830 Owen's sister, right? 360 00:13:50,873 --> 00:13:52,614 Oh, uh, yeah. You're peds? 361 00:13:52,657 --> 00:13:53,920 Cormac Hayes.Oh. 362 00:13:53,963 --> 00:13:55,486 You coming to join our humble staff? 363 00:13:55,530 --> 00:13:56,879 [ Chuckles ] 364 00:13:56,923 --> 00:13:58,315 Bailey just asked me to help out, 365 00:13:58,359 --> 00:13:59,795 cover some of Grey's cases. 366 00:13:59,839 --> 00:14:01,318 Grey? Big shoes to fill. 367 00:14:01,362 --> 00:14:03,843 Eh. So she performed an abdominal-wall transplant. 368 00:14:03,886 --> 00:14:05,888 Big whoop. It was actually my idea 369 00:14:05,932 --> 00:14:08,021 to even need an entirely new abdominal wall 370 00:14:08,064 --> 00:14:10,588 so Grey could win the Fox award, so, who's the genius now? 371 00:14:10,632 --> 00:14:12,286 So you were the patient?Yep. 372 00:14:12,329 --> 00:14:15,028 Alright, Danny, I'll be back to check on you, okay? 373 00:14:16,377 --> 00:14:18,727 Where's my dad? 374 00:14:18,770 --> 00:14:20,511 Can I please go sit with him? 375 00:14:20,555 --> 00:14:22,209 He shouldn't be alone out there. 376 00:14:22,252 --> 00:14:25,429 We have contacted your wife, and she is on her way, okay? 377 00:14:25,473 --> 00:14:27,127 It was supposed to be a father-and-son weekend. 378 00:14:27,170 --> 00:14:28,824 Fishing, camping out by Deception Bay. 379 00:14:28,868 --> 00:14:30,652 I don't know what happened.Maybe you passed out. 380 00:14:30,695 --> 00:14:32,262 Your oxygen levels are very low. 381 00:14:32,306 --> 00:14:33,568 How long have you had shortness of breath? 382 00:14:33,611 --> 00:14:35,483 It -- It's nothing. 383 00:14:35,526 --> 00:14:36,788 Okay, let's do an X-ray, please? 384 00:14:36,832 --> 00:14:38,225 No! No X-ray!Hey. 385 00:14:38,268 --> 00:14:40,009 Look, I'm fine. 386 00:14:40,053 --> 00:14:41,750 Relieved that me and Danny are alive. 387 00:14:41,793 --> 00:14:42,925 Could you please let me out of here 388 00:14:42,969 --> 00:14:44,274 so I can try to salvage this weeken-- 389 00:14:44,318 --> 00:14:45,972 [ Coughing ] 390 00:14:48,191 --> 00:14:51,325 I, uh -- I saw your tattoo. Bassett Infantry? 391 00:14:51,368 --> 00:14:53,022 3rd generation, Bassett Infantry.Mm. 392 00:14:53,066 --> 00:14:54,110 You? 393 00:14:54,154 --> 00:14:55,633 Army trauma surgeon, two tours Iraq. 394 00:14:55,677 --> 00:14:57,070 Two tours Afghanistan, 395 00:14:57,113 --> 00:15:00,334 one Jordan, one Djibouti, two Iraq. 396 00:15:00,377 --> 00:15:01,944 And I've never been to Vancouver. 397 00:15:01,988 --> 00:15:03,641 Well, sounds like you need a new travel agent. 398 00:15:03,685 --> 00:15:06,340 [ Laughs, coughs ] 399 00:15:06,383 --> 00:15:08,864 [ Coughing ] 400 00:15:08,908 --> 00:15:10,431 [ Retching ] 401 00:15:10,474 --> 00:15:11,911 Let's put him on high-flow O2. 402 00:15:11,954 --> 00:15:14,304 Let's push 50 of fentanyl, and somebody page Altman! 403 00:15:14,348 --> 00:15:16,002 We're gonna get him up to CT! 404 00:15:16,045 --> 00:15:17,394 Okay? 405 00:15:17,438 --> 00:15:19,657 [ Continues coughing ] 406 00:15:19,701 --> 00:15:21,572 Okay.[ Gasps ] 407 00:15:21,616 --> 00:15:23,531 Dr. Krause, hi. 408 00:15:23,574 --> 00:15:25,489 Winston Ndugu, cardiothoracic surgery. 409 00:15:25,533 --> 00:15:27,013 Do you have a minute?Barely. 410 00:15:27,056 --> 00:15:28,362 I've been drowning in cases. 411 00:15:28,405 --> 00:15:29,972 My patients put off seeing me for months, 412 00:15:30,016 --> 00:15:31,365 and now I'm dealing with the backlog. 413 00:15:31,408 --> 00:15:32,975 What can I do for you?Yeah, I'm consulting 414 00:15:33,019 --> 00:15:34,672 on your patient Rashida Flowers. 415 00:15:34,716 --> 00:15:36,544 She mentioned that she's not on the transplant list. 416 00:15:36,587 --> 00:15:38,372 Yeah. Rashida, she's been through a lot. 417 00:15:38,415 --> 00:15:40,896 Unfortunately, she doesn't fit the transplant criteria. 418 00:15:40,940 --> 00:15:42,419 But Rashida's renal function tests 419 00:15:42,463 --> 00:15:44,247 seem to make her a prime candidate. 420 00:15:44,291 --> 00:15:46,380 Well, you would think, but Rashida's eGFR is high. 421 00:15:46,423 --> 00:15:48,382 It's over 20, disqualifying her from the list. 422 00:15:48,425 --> 00:15:49,992 Estimated.I'm sorry? 423 00:15:50,036 --> 00:15:51,951 It's an estimated number of what her kidney function should be, 424 00:15:51,994 --> 00:15:53,561 not what it really is.Dr. Ndugu, 425 00:15:53,604 --> 00:15:56,346 the eGFR is the standard clinical formula, 426 00:15:56,390 --> 00:15:58,566 used in the field for the past 20 years. 427 00:15:58,609 --> 00:16:00,742 It's what we use to determine care and qualification 428 00:16:00,785 --> 00:16:02,222 of kidney transplant. 429 00:16:02,265 --> 00:16:04,224 A transplant could save her from having to need dialysis 430 00:16:04,267 --> 00:16:05,703 in the first place, which we both know 431 00:16:05,747 --> 00:16:07,009 has high mortality rates, 432 00:16:07,053 --> 00:16:08,271 especially in the first three months. 433 00:16:08,315 --> 00:16:10,534 I'm aware, but Rashida just doesn't qualify. 434 00:16:10,578 --> 00:16:12,623 And believe me, I hate that, 435 00:16:12,667 --> 00:16:14,495 at least as much as you do. 436 00:16:14,538 --> 00:16:20,022 ♪♪ 437 00:16:21,502 --> 00:16:23,721 Meredith: So, what if we fail? 438 00:16:23,765 --> 00:16:25,114 How do we know you'll even survive it? 439 00:16:25,158 --> 00:16:26,550 I think we can both agree 440 00:16:26,594 --> 00:16:30,337 that you learn more in the attempt than the outcome. 441 00:16:30,380 --> 00:16:34,776 And I am under no delusion about how risky it is. 442 00:16:34,819 --> 00:16:36,386 But what's life without risk? 443 00:16:36,430 --> 00:16:38,040 Amelia: Meredith? 444 00:16:38,084 --> 00:16:39,650 Meredith. 445 00:16:39,694 --> 00:16:41,174 [ Chuckles ] 446 00:16:41,217 --> 00:16:43,219 Is this that robot arm that does cell culture? 447 00:16:43,263 --> 00:16:45,874 Dr. Bartley: It is. And please don't touch it. 448 00:16:45,917 --> 00:16:48,659 Dr. Grey, Dr. Shepherd, please meet Dr. Kai Bartley, 449 00:16:48,703 --> 00:16:51,836 a neuroscientist who accepted an offer they couldn't refuse. 450 00:16:51,880 --> 00:16:53,055 Meredith: It's great to meet you. 451 00:16:53,099 --> 00:16:54,752 I've been reading your stem cell research. 452 00:16:54,796 --> 00:16:56,145 Which is brilliant. 453 00:16:56,189 --> 00:16:57,799 I've been following it for years. 454 00:16:57,842 --> 00:17:00,541 Um, they were at Hopkins a couple years behind me. 455 00:17:00,584 --> 00:17:03,761 Um, o-okay. When you inject the cells into the brain, 456 00:17:03,805 --> 00:17:05,937 what about the risk of the cells developing tumors? 457 00:17:05,981 --> 00:17:08,549 That very question stalled my research for two years. 458 00:17:08,592 --> 00:17:09,811 But once I teamed up with David -- 459 00:17:09,854 --> 00:17:11,508 Once they took my funding. 460 00:17:11,552 --> 00:17:13,597 I uncovered a Chinese herbal compound 461 00:17:13,641 --> 00:17:16,557 that completely removes the undifferentiated cells. 462 00:17:16,600 --> 00:17:18,515 That's amazing. They're amazing. 463 00:17:18,559 --> 00:17:19,603 Excuse me, I have a conference call. 464 00:17:19,647 --> 00:17:21,040 But we'll talk more later? 465 00:17:21,083 --> 00:17:22,432 Meredith: Great to meet you.Thank you, Dr. Bartley. 466 00:17:22,476 --> 00:17:23,912 Thank you, David. 467 00:17:23,955 --> 00:17:25,522 So? 468 00:17:25,566 --> 00:17:26,784 What do you -- 469 00:17:26,828 --> 00:17:28,395 Yes. All the yeses. 470 00:17:28,438 --> 00:17:31,137 An opportunity to impact Parkinson's, change the world, 471 00:17:31,180 --> 00:17:32,573 with this equipment and this team? 472 00:17:32,616 --> 00:17:35,054 I am -- I'm in. 473 00:17:35,097 --> 00:17:36,577 Dr. Grey? 474 00:17:36,620 --> 00:17:38,361 Just say yes. 475 00:17:38,405 --> 00:17:40,146 ♪♪ 476 00:17:46,674 --> 00:17:48,110 [ Machine whirring ] 477 00:17:48,154 --> 00:17:49,198 Teddy: Hey. 478 00:17:51,113 --> 00:17:53,420 Should we shelve the Elsa costume? 479 00:17:53,463 --> 00:17:56,031 What?You know, put Leo in more... 480 00:17:56,075 --> 00:17:58,164 T-shirts and jeans? 481 00:17:58,207 --> 00:18:00,514 Just, is that the right parenting move? 482 00:18:00,557 --> 00:18:02,211 Did something happen?No, I just -- 483 00:18:02,255 --> 00:18:04,039 You know, none of the other kids at daycare 484 00:18:04,083 --> 00:18:07,347 are wearing costumes, so I just... 485 00:18:07,390 --> 00:18:09,436 What do we got?MVC with no visible trauma. 486 00:18:09,479 --> 00:18:11,916 A young vet who did several tours in Iraq. 487 00:18:11,960 --> 00:18:14,223 He has finger clubbing, cyanosis, dyspnea. 488 00:18:14,267 --> 00:18:16,182 He coughed up blood when he was downstairs. 489 00:18:16,225 --> 00:18:17,792 His chest X-ray does not look good. 490 00:18:17,835 --> 00:18:21,056 And I'm thinking it's some kind of respiratory illness. 491 00:18:21,100 --> 00:18:22,666 Are you sure nothing happened? 492 00:18:22,710 --> 00:18:24,755 ♪♪ 493 00:18:24,799 --> 00:18:27,497 Oh, my God. Owen... 494 00:18:27,541 --> 00:18:28,977 [ Sighs ] 495 00:18:29,020 --> 00:18:31,110 His lungs look like a war zone. 496 00:18:31,153 --> 00:18:34,417 ♪♪ 497 00:18:34,461 --> 00:18:36,027 Is Pierce taking a job in Boston? 498 00:18:36,071 --> 00:18:37,159 Is that why you paged me? 499 00:18:37,203 --> 00:18:39,161 Because if I lose one more surgeon -- 500 00:18:39,205 --> 00:18:40,989 No, her dad is having hip surgery. 501 00:18:41,032 --> 00:18:42,425 Oh. 502 00:18:42,469 --> 00:18:44,079 Well, now I feel badly. 503 00:18:44,123 --> 00:18:46,037 Uh, Chief, I have a patient, 34, 504 00:18:46,081 --> 00:18:48,301 Black woman with chronic kidney disease from diabetes. 505 00:18:48,344 --> 00:18:49,737 She hasn't been able to get on dialysis 506 00:18:49,780 --> 00:18:51,130 due to a clotting disorder. 507 00:18:51,173 --> 00:18:52,261 A candidate for transplant? 508 00:18:52,305 --> 00:18:54,220 Well, her eGFR is too high, 509 00:18:54,263 --> 00:18:55,830 according to her nephrologist. 510 00:18:55,873 --> 00:18:57,440 But look. 511 00:18:57,484 --> 00:18:59,268 Here's another patient on the transplant list. 512 00:18:59,312 --> 00:19:02,576 Almost the same age, weight, and health profile to my patient. 513 00:19:02,619 --> 00:19:05,796 The only real differentiating factor is that they're white. 514 00:19:05,840 --> 00:19:07,581 Sara: So their eGFR measures lower, 515 00:19:07,624 --> 00:19:10,236 making them better transplant candidates. 516 00:19:10,279 --> 00:19:12,412 When the estimated GFR was developed, 517 00:19:12,455 --> 00:19:15,893 it was assumed that Black people have higher muscle mass. 518 00:19:15,937 --> 00:19:17,939 It added a multiplier to account for that assumption, 519 00:19:17,982 --> 00:19:20,202 which then increases a Black patient's GFR 520 00:19:20,246 --> 00:19:22,117 and registers them as having less severe disease 521 00:19:22,161 --> 00:19:23,292 than other people. 522 00:19:23,336 --> 00:19:25,686 Making them ineligible for transplants. 523 00:19:25,729 --> 00:19:26,817 How does this even happen? 524 00:19:26,861 --> 00:19:28,341 Stems from a long line 525 00:19:28,384 --> 00:19:30,256 of "assumptions" about Black people 526 00:19:30,299 --> 00:19:32,606 that have snaked their way into medicine -- 527 00:19:32,649 --> 00:19:35,696 you know, that we have a higher tolerance for pain...Ah. 528 00:19:35,739 --> 00:19:38,394 ...different bone density, lower lung capacity. 529 00:19:38,438 --> 00:19:42,442 And yet these assumptions still exist in clinical formulas. 530 00:19:42,485 --> 00:19:46,837 I-I never even stopped to think about the eGFR. 531 00:19:46,881 --> 00:19:48,883 Is there any way around it, Chief? 532 00:19:48,926 --> 00:19:50,841 Uh, can I write an appeal to the transplant board? 533 00:19:50,885 --> 00:19:52,278 That only works 534 00:19:52,321 --> 00:19:55,585 if the patient qualifies for medically urgent status. 535 00:19:55,629 --> 00:19:57,979 Rashida might not have that kind of time. 536 00:19:58,022 --> 00:20:00,373 There's a lot of Rashidas, though. 537 00:20:00,416 --> 00:20:02,549 ♪♪ 538 00:20:02,592 --> 00:20:05,421 Fight for them, too. 539 00:20:05,465 --> 00:20:07,815 [ Cellphone vibrates ] 540 00:20:07,858 --> 00:20:09,773 The IR suite is ready for us. 541 00:20:09,817 --> 00:20:13,560 ♪♪ 542 00:20:13,603 --> 00:20:15,866 Sergeant Young, this is Dr. Teddy Altman. 543 00:20:15,910 --> 00:20:17,216 MajorTeddy Altman. 544 00:20:17,259 --> 00:20:19,305 Where's Danny?He's with Dr. Hayes. 545 00:20:19,348 --> 00:20:21,524 He's fine, but we need to do a head CT just to be sure. 546 00:20:21,568 --> 00:20:24,005 Teddy: Your scans reveal severe scarring in both your lungs. 547 00:20:24,048 --> 00:20:25,267 We'd like to admit you and -- 548 00:20:25,311 --> 00:20:27,965 I have pulmonary fibrosis. 549 00:20:28,009 --> 00:20:29,489 Mystery solved. 550 00:20:29,532 --> 00:20:32,622 That's why I didn't want any work-ups, no treatments. 551 00:20:32,666 --> 00:20:34,537 I know what I have, and I know there's no cure. 552 00:20:34,581 --> 00:20:36,496 Just a crap-ton of different ways to the poor house. 553 00:20:36,539 --> 00:20:38,193 When were you diagnosed, Sergeant? 554 00:20:38,237 --> 00:20:39,542 About a year ago. 555 00:20:39,586 --> 00:20:41,762 I started coughing after the second Iraq tour. 556 00:20:41,805 --> 00:20:43,198 I couldn't shake it. 557 00:20:43,242 --> 00:20:46,680 I started hearing from buddies about the burn pits, 558 00:20:46,723 --> 00:20:49,770 how they were linked to all these cancers 559 00:20:49,813 --> 00:20:51,075 and mystery illnesses. 560 00:20:51,119 --> 00:20:52,947 The VA's gotta cover these conditions. 561 00:20:52,990 --> 00:20:54,296 [ Chuckles, coughs ] 562 00:20:54,340 --> 00:20:55,645 Barely. 563 00:20:55,689 --> 00:20:57,560 They just started covering stuff like asthma. 564 00:20:57,604 --> 00:20:59,214 But I haven't heard of a single vet 565 00:20:59,258 --> 00:21:00,781 who's been covered for conditions like mine. 566 00:21:00,824 --> 00:21:02,783 All kinds of ways to twist it 567 00:21:02,826 --> 00:21:05,002 so you can't prove it was service-related. 568 00:21:05,046 --> 00:21:07,309 Cherry on top? I lost my job at the seafood plant 569 00:21:07,353 --> 00:21:09,746 'cause I was too weak to finish my shift. 570 00:21:09,790 --> 00:21:13,533 So I got no insurance, no job, and a stack of medical bills. 571 00:21:13,576 --> 00:21:15,622 Sergeant, look --Please, just call me Noah. 572 00:21:15,665 --> 00:21:18,102 Noah, would you sit down with one of our pulmonologists? 573 00:21:18,146 --> 00:21:21,149 We'll redo your workup, and we will get you in for some tests 574 00:21:21,192 --> 00:21:22,759 so that we can start some treatments -- 575 00:21:22,803 --> 00:21:25,414 Pass. No tests, no treatments. 576 00:21:25,458 --> 00:21:28,852 Nothing against you guys, but whatever time I have left, 577 00:21:28,896 --> 00:21:30,724 I'd like to spend it with my son. 578 00:21:32,378 --> 00:21:34,510 -Move. That's four. -I know, I know, I know! 579 00:21:34,554 --> 00:21:35,990 Pop these balloons, Tseng! Come on! 580 00:21:36,033 --> 00:21:37,861 If you lose to a second-year, 581 00:21:37,905 --> 00:21:39,385 you're cleaning the bathroom for six months! 582 00:21:39,428 --> 00:21:41,387 Get away from me!Hayes: Endoscopic proficiency 583 00:21:41,430 --> 00:21:43,084 is just as important as speed. 584 00:21:43,127 --> 00:21:45,304 One slip could mean you've perforated a colon. 585 00:21:45,347 --> 00:21:46,392 20 seconds! 586 00:21:46,435 --> 00:21:48,829 -Yes, yes, yes! -One more. 587 00:21:48,872 --> 00:21:50,221 What category are they on? 588 00:21:50,265 --> 00:21:51,614 Endoscopy. Mm. 589 00:21:51,658 --> 00:21:52,833 It's a trash fire. 590 00:21:52,876 --> 00:21:54,138 Mnh-mnh.You're a resident now. 591 00:21:54,182 --> 00:21:55,401 Sleep when you can, eat when you can. 592 00:21:55,444 --> 00:21:57,359 Nah, I'm on the scut diet. 593 00:21:57,403 --> 00:21:58,447 Rectal exams? 594 00:21:58,491 --> 00:21:59,666 Vaginas. 595 00:21:59,709 --> 00:22:01,189 Right. Pink. 596 00:22:01,232 --> 00:22:02,233 [ Residents shouting indistinctly ] 597 00:22:02,277 --> 00:22:03,322 The scrubs! 598 00:22:03,365 --> 00:22:04,932 [ Laughs ] 599 00:22:04,975 --> 00:22:07,195 I found a strawberry in my patient. 600 00:22:07,238 --> 00:22:08,936 [ Laughs ] Back in med school, 601 00:22:08,979 --> 00:22:11,199 I found a yam. 20 bucks on Tseng. 602 00:22:11,242 --> 00:22:12,766 Okay, I'll take Helm.Come on, come on, come on! 603 00:22:12,809 --> 00:22:14,333 Go, go! Taryn, it's right there, 604 00:22:14,376 --> 00:22:15,508 it's right there, it's right there! 605 00:22:15,551 --> 00:22:16,813 Go, go, go! Come on, come on, come on! 606 00:22:16,857 --> 00:22:18,859 Go, go.[ All cheering ] 607 00:22:18,902 --> 00:22:20,034 [ All shouting indistinctly ] 608 00:22:20,077 --> 00:22:22,428 -Done! -Finished, finished. Me. 609 00:22:22,471 --> 00:22:23,429 It's Tseng. 610 00:22:23,472 --> 00:22:25,866 [ All cheering ] 611 00:22:25,909 --> 00:22:28,608 [ Tseng laughs, sighs ] 612 00:22:28,651 --> 00:22:31,001 Today's winner of the competition... 613 00:22:35,049 --> 00:22:37,878 Schmitt, you will be flying solo today. 614 00:22:37,921 --> 00:22:39,749 I won. I won, I won! 615 00:22:39,793 --> 00:22:41,708 I won! Oh! 616 00:22:41,751 --> 00:22:43,579 Of course he won. There was no actual blood. 617 00:22:43,623 --> 00:22:45,407 Oh, come on! Wait, wait. What's the -- What's the -- 618 00:22:45,451 --> 00:22:47,148 What's the surgery? 619 00:22:47,191 --> 00:22:48,932 Find anything good?Wilson did. 620 00:22:48,976 --> 00:22:52,414 [ Clears throat ] Ex-lap on foreign-body extraction. 621 00:22:52,458 --> 00:22:53,894 Yes! Oww! 622 00:22:53,937 --> 00:22:55,025 Get it, get it! 623 00:22:55,069 --> 00:22:56,331 Oww! 624 00:22:56,375 --> 00:22:58,594 Yes! 625 00:22:58,638 --> 00:22:59,900 I love you! 626 00:22:59,943 --> 00:23:01,205 [ Laughs, claps hands ] 627 00:23:02,816 --> 00:23:05,166 Amelia: Hmm, let's think. 628 00:23:05,209 --> 00:23:09,170 Deep pockets, unlimited time, space, 629 00:23:09,213 --> 00:23:10,824 Kai Bartley's groundbreaking research, 630 00:23:10,867 --> 00:23:13,217 and a chance at curing a neurodegenerative disease. 631 00:23:13,261 --> 00:23:14,436 You're forgetting about the part 632 00:23:14,480 --> 00:23:17,091 where we have kids who need stability. 633 00:23:17,134 --> 00:23:19,528 And I have a job that I love that I just got back to. 634 00:23:19,572 --> 00:23:20,834 I don't want to abandon them. 635 00:23:20,877 --> 00:23:22,444 We're not abandoning anyone. 636 00:23:22,488 --> 00:23:24,446 We're revolutionizing medicine, 637 00:23:24,490 --> 00:23:27,318 and that's a great example to set for our kids. 638 00:23:27,362 --> 00:23:30,017 And Grey-Sloan, they're gonna be proud 639 00:23:30,060 --> 00:23:32,149 to have us be part of something so high-profile. 640 00:23:32,193 --> 00:23:35,283 Exactly. If this surgery works, it's huge. 641 00:23:35,326 --> 00:23:38,286 If it doesn't, we've killed an incredible surgeon 642 00:23:38,329 --> 00:23:40,462 and set the research back years. 643 00:23:40,506 --> 00:23:42,116 Give us more credit than that, Meredith. 644 00:23:42,159 --> 00:23:43,683 You asked me here for my opinion. 645 00:23:43,726 --> 00:23:45,772 I'm saying yes. 646 00:23:45,815 --> 00:23:50,211 Because people with Parkinson's need more than just hope. 647 00:23:50,254 --> 00:23:53,823 ♪♪ 648 00:23:53,867 --> 00:23:56,565 [ Monitor beeping ] 649 00:23:56,609 --> 00:23:59,481 Sara: Is this her last possible access port for dialysis? 650 00:23:59,525 --> 00:24:02,310 Winston: It is. We need to pull back the catheter just a bit. 651 00:24:02,353 --> 00:24:04,704 What about transhepatic or translumbar access? 652 00:24:04,747 --> 00:24:06,836 It'd be too dangerous, given her clotting disorder. 653 00:24:06,880 --> 00:24:09,143 Fluoro. This isn't how medicine should work. 654 00:24:09,186 --> 00:24:11,406 Anybody who needs life-saving care should get it. 655 00:24:11,450 --> 00:24:12,668 Heparinized saline. 656 00:24:14,148 --> 00:24:16,237 What if this port clots off and she loses it? 657 00:24:16,280 --> 00:24:17,804 You tell me. 658 00:24:17,847 --> 00:24:20,589 Waste will build up in her blood, leading to uremia, 659 00:24:20,633 --> 00:24:23,418 and her organs will start to shut down, one after the other. 660 00:24:23,462 --> 00:24:27,378 ♪♪ 661 00:24:27,422 --> 00:24:29,250 Secure the catheter with stitches on the wings and shaft. 662 00:24:29,293 --> 00:24:30,512 Get a chest X-ray. 663 00:24:31,774 --> 00:24:33,515 Where are you going? 664 00:24:33,559 --> 00:24:34,951 To get her a kidney. 665 00:24:42,350 --> 00:24:44,265 You don't need to escort me off the premises. 666 00:24:44,308 --> 00:24:46,180 [ Chuckles ] That's not what I'm doing. 667 00:24:46,223 --> 00:24:47,573 Go home to your baby.[ Vehicle door opens ] 668 00:24:47,616 --> 00:24:48,791 I just wanted to make sure that 669 00:24:48,835 --> 00:24:50,489 I'm not being completely ridiculous 670 00:24:50,532 --> 00:24:52,447 for even entertaining this. 671 00:24:52,491 --> 00:24:53,796 No, you're being ridiculous 672 00:24:53,840 --> 00:24:55,842 because you haven't accepted the offer yet. 673 00:24:55,885 --> 00:24:58,584 I mean, we're talking about curing Parkinson's, Meredith. 674 00:24:58,627 --> 00:25:00,542 Parkinson's. I mean, what is the matter with you? 675 00:25:00,586 --> 00:25:04,415 This -- This famous surgeon is basically throwing money at us 676 00:25:04,459 --> 00:25:08,463 to play with the most innovative equipment in the world. 677 00:25:08,507 --> 00:25:10,770 And not only that, he wants to give us his diseased brain 678 00:25:10,813 --> 00:25:12,206 as a testing ground! 679 00:25:12,249 --> 00:25:14,121 I mean, when you started your career, 680 00:25:14,164 --> 00:25:15,470 you wanted to go into neuro. 681 00:25:15,514 --> 00:25:17,733 This is your chance to get back to that. 682 00:25:17,777 --> 00:25:20,301 I mean, maybe this is what you're supposed to do. 683 00:25:20,344 --> 00:25:21,650 What we're supposed to do. 684 00:25:21,694 --> 00:25:25,219 And I-I -- I cannot, for the life of me, understand 685 00:25:25,262 --> 00:25:27,351 why you would walk away from something like this. I -- 686 00:25:27,395 --> 00:25:29,919 [ Sighs ] 687 00:25:29,963 --> 00:25:31,312 So don't. 688 00:25:31,355 --> 00:25:33,444 ♪♪ 689 00:25:33,488 --> 00:25:35,055 I will see you at home. 690 00:25:35,098 --> 00:25:43,019 ♪♪ 691 00:25:43,063 --> 00:25:44,630 I inserted Rashida's access point. 692 00:25:44,673 --> 00:25:46,545 Great. Thanks. 693 00:25:46,588 --> 00:25:48,590 Rashida needs to be on the transplant list. 694 00:25:48,634 --> 00:25:50,897 We found six cases of patients with similar clinical profiles, 695 00:25:50,940 --> 00:25:52,551 who are on the list. 696 00:25:52,594 --> 00:25:54,204 The only major difference is that these patients are white. 697 00:25:54,248 --> 00:25:55,554 Are those cases patients of mine? 698 00:25:55,597 --> 00:25:57,120 A few. [ Scoffs ] 699 00:25:57,164 --> 00:25:59,383 There's got to be more to it than that. The patients' eGFR -- 700 00:25:59,427 --> 00:26:01,385 Yeah, their eGFR is lower, which makes them eligible, 701 00:26:01,429 --> 00:26:02,778 but that's only because 702 00:26:02,822 --> 00:26:04,867 the formula unjustifiably uses race as a factor. 703 00:26:04,911 --> 00:26:06,303 Dr. Krause, we all know 704 00:26:06,347 --> 00:26:07,783 race doesn't play a role in kidney function. 705 00:26:07,827 --> 00:26:09,176 Dr. Ndugu --I know, you're busy, 706 00:26:09,219 --> 00:26:11,004 but if you look at Rashida's eGFR 707 00:26:11,047 --> 00:26:12,440 without accounting for her race, 708 00:26:12,483 --> 00:26:14,877 she falls below the criterion of 20. 709 00:26:14,921 --> 00:26:17,837 I don't understand. The eGFR is the field's standard. 710 00:26:17,880 --> 00:26:19,969 It's a tried and true formula. 711 00:26:20,013 --> 00:26:23,233 Yes. And it's time we start questioning our standards.[ Elevator bell dings ] 712 00:26:23,277 --> 00:26:25,453 Look, I have clinic right now, but I'll look into it. 713 00:26:25,496 --> 00:26:27,629 Rashida doesn't have other options for a dialysis port 714 00:26:27,673 --> 00:26:29,022 if this one fails.I hear you. 715 00:26:29,065 --> 00:26:31,502 I'll look into it, Dr. Ndugu. Thank you. 716 00:26:31,546 --> 00:26:34,331 ♪♪ 717 00:26:34,375 --> 00:26:36,725 Robin Jeter, 23, abdominal pain. 718 00:26:36,769 --> 00:26:40,033 X-ray shows a lodged crystal causing intestinal obstruction. 719 00:26:40,076 --> 00:26:42,818 I think you mean to say intestinal stone. 720 00:26:42,862 --> 00:26:44,385 No, I don't.No, she didn't. 721 00:26:44,428 --> 00:26:45,778 Robin: It's a yoni egg. 722 00:26:45,821 --> 00:26:48,084 Amethyst, specifically.Uh -- 723 00:26:48,128 --> 00:26:49,825 It's -- It's -- It's a crystal egg 724 00:26:49,869 --> 00:26:52,611 that is typically inserted into the vagin-- 725 00:26:52,654 --> 00:26:54,134 Got it. Huh? 726 00:26:54,177 --> 00:26:57,224 Uh, I was doing a ritual I saw on social media 727 00:26:57,267 --> 00:27:00,140 that was supposed to bring love and healing into your life. 728 00:27:00,183 --> 00:27:02,795 But, um, I was doing it so fast, I mixed it all up. 729 00:27:02,838 --> 00:27:04,492 I was supposed to eatthe strawberry 730 00:27:04,535 --> 00:27:06,625 and insertthe yoni egg. 731 00:27:06,668 --> 00:27:08,888 What did you do with the strawberry? 732 00:27:11,020 --> 00:27:14,720 Oh. Uh, I-I see. Um. 733 00:27:14,763 --> 00:27:16,199 [ Clears throat ] 734 00:27:16,243 --> 00:27:18,854 Oh! Right. I'm up. 735 00:27:18,898 --> 00:27:20,377 Hello, Robin. I'm Dr. Schmitt. 736 00:27:20,421 --> 00:27:23,990 I'll be doing your surgery today, uh, to remove, 737 00:27:24,033 --> 00:27:25,687 uh, the... 738 00:27:25,731 --> 00:27:26,470 The --Yoni egg. 739 00:27:26,514 --> 00:27:28,647 Mm-hmm. 740 00:27:28,690 --> 00:27:30,126 How old is he? 741 00:27:31,911 --> 00:27:33,826 Megan: Yeah, these symptoms sound familiar. 742 00:27:33,869 --> 00:27:36,437 I have treated dozens of soldiers exposed to burn pits. 743 00:27:36,480 --> 00:27:38,265 What are burn pits? 744 00:27:38,308 --> 00:27:42,399 Electronics, plastics, soiled uniforms, human waste. 745 00:27:42,443 --> 00:27:44,445 Douse it all with some jet fuel, light it with a match, 746 00:27:44,488 --> 00:27:47,187 then fwoosh -- I mean, what could possibly go wrong? 747 00:27:47,230 --> 00:27:48,797 I mean, some of these men have illnesses 748 00:27:48,841 --> 00:27:49,885 that we haven't even named yet. 749 00:27:49,929 --> 00:27:51,713 Others are in pain 24/7. 750 00:27:51,757 --> 00:27:53,193 They get nowhere with the VA. 751 00:27:53,236 --> 00:27:54,585 Owen: The guy did six tours of service. 752 00:27:54,629 --> 00:27:56,457 To protect us. 753 00:27:56,500 --> 00:27:57,763 Never questioning, never complaining. 754 00:27:57,806 --> 00:27:59,329 He just answered the call, 755 00:27:59,373 --> 00:28:00,722 and we need to do the same for him. 756 00:28:00,766 --> 00:28:01,810 Tomorrow, I'm gonna go down to the VA. 757 00:28:01,854 --> 00:28:03,159 I'm gonna demand answers. 758 00:28:03,203 --> 00:28:05,684 Okay, so after you defeat the US military, 759 00:28:05,727 --> 00:28:08,512 maybe grab some lunch, and then take on Putin?[ Chuckles ] 760 00:28:08,556 --> 00:28:10,210 How's his kid?Danny's gonna be fine. 761 00:28:10,253 --> 00:28:13,387 Head CT was clear. He can be discharged later today. 762 00:28:13,430 --> 00:28:16,216 Maybe Avery can help Noah through the foundation. 763 00:28:16,259 --> 00:28:18,740 He'll be dead before we even line up the votes on the board. 764 00:28:18,784 --> 00:28:20,524 We can't save Noah. 765 00:28:20,568 --> 00:28:22,831 He just needs immediate medical care just to be comfortable. 766 00:28:22,875 --> 00:28:25,747 And we can give him that. We'll figure out the details later. 767 00:28:25,791 --> 00:28:28,228 Look at you two, breaking rules and saving lives. 768 00:28:28,271 --> 00:28:30,404 Aren't you glad I got you to tie that knot? 769 00:28:30,447 --> 00:28:32,406 ♪♪ 770 00:28:32,449 --> 00:28:34,930 [ Danny speaking indistinctly ] 771 00:28:34,974 --> 00:28:37,454 ♪♪ 772 00:28:37,498 --> 00:28:38,673 [ Monitor beeping rapidly ] 773 00:28:38,717 --> 00:28:40,457 Winston: What happened?Her sats dropped, 774 00:28:40,501 --> 00:28:43,156 and her face and neck keep swelling more and more. 775 00:28:43,199 --> 00:28:45,419 Superior vena cava syndrome. 776 00:28:45,462 --> 00:28:47,726 The catheter must have blocked her SVC entirely. 777 00:28:47,769 --> 00:28:49,902 I'm taking it out.Can we take her back to the IR suite 778 00:28:49,945 --> 00:28:51,686 and reposition it?No. 779 00:28:51,730 --> 00:28:53,340 How else would she get dialysis? 780 00:28:53,383 --> 00:28:54,907 She wouldn't.Dr. Ndugu -- 781 00:28:54,950 --> 00:28:56,604 She's already clotted off multiple access points. 782 00:28:56,647 --> 00:28:57,910 Who's to say it wouldn't happen again? 783 00:28:57,953 --> 00:28:59,389 Page Dr. Krause! 784 00:28:59,433 --> 00:29:00,956 ♪♪ 785 00:29:06,832 --> 00:29:09,704 It's fine. Everyone's watching. That's what happens. 786 00:29:09,748 --> 00:29:11,967 People watch, you screw up, 787 00:29:12,011 --> 00:29:15,057 and then you quit and go find a rock to hide under. 788 00:29:15,101 --> 00:29:17,712 [ NEEDTOBREATHE's "Alive" plays ] 789 00:29:17,756 --> 00:29:19,279 Richard: You ready? 790 00:29:19,322 --> 00:29:20,367 ♪♪ 791 00:29:20,410 --> 00:29:21,411 Scalpel. 792 00:29:21,455 --> 00:29:30,333 ♪♪ 793 00:29:30,377 --> 00:29:32,248 ♪ Flashes of doubt that grow into a rage ♪ 794 00:29:32,292 --> 00:29:34,207 [ Cheers and applause] 795 00:29:34,250 --> 00:29:37,471 ♪ Locked out the truth, they keep your dreams at bay ♪ 796 00:29:37,514 --> 00:29:41,083 ♪ Don't stand there waitin' for the time to come ♪ 797 00:29:41,127 --> 00:29:45,305 ♪ C'mon, c'mon, catch me, we got miles to run ♪ 798 00:29:45,348 --> 00:29:48,656 ♪ We are alive, our skin is leaving these bones ♪ 799 00:29:48,699 --> 00:29:52,660 ♪ Fire in the wind, we're burning out of control ♪ 800 00:29:52,703 --> 00:29:55,750 ♪ We are the children chasing wondrous thrills ♪ 801 00:29:55,794 --> 00:29:59,841 ♪ Chasing a vision, baby, like we're running downhill, oh ♪ 802 00:29:59,885 --> 00:30:05,151 ♪♪ 803 00:30:05,194 --> 00:30:08,589 Nice extraction, Schmitt.Thank you. 804 00:30:08,632 --> 00:30:10,156 3-0 chromic, please. 805 00:30:10,199 --> 00:30:18,468 ♪♪ 806 00:30:18,512 --> 00:30:23,865 ♪♪ 807 00:30:23,909 --> 00:30:25,127 [ Monitor beeps ] 808 00:30:25,171 --> 00:30:26,650 ♪♪ 809 00:30:26,694 --> 00:30:28,348 Doppler. 810 00:30:28,391 --> 00:30:29,740 Relax, Schmitt. 811 00:30:29,784 --> 00:30:31,830 If you're calm, everyone else is calm. 812 00:30:31,873 --> 00:30:35,094 ♪♪ 813 00:30:35,137 --> 00:30:37,531 [ Suction gurgling ] 814 00:30:37,574 --> 00:30:38,967 ♪ Someday this body's gonna come to rest ♪ 815 00:30:39,011 --> 00:30:40,708 [ Sighing ] Oh, this can't happen. 816 00:30:40,751 --> 00:30:42,884 Come on, come on, come on, come on. Think. 817 00:30:42,928 --> 00:30:45,191 You can do this. Think. 818 00:30:45,234 --> 00:30:48,063 ♪ These hills take longer than we think to get down ♪ 819 00:30:48,107 --> 00:30:49,195 ♪ So I'll get used to living with my feet off the ground ♪ 820 00:30:49,238 --> 00:30:50,544 Bailey: I'm turning the speaker on. 821 00:30:50,587 --> 00:30:52,459 Help him out, people. 822 00:30:52,502 --> 00:30:54,635 Are you getting a good signal from the adjacent segments? 823 00:30:54,678 --> 00:30:56,463 Levi: Yes, both sides. 824 00:30:56,506 --> 00:30:58,291 Resect that segment. Do a hand-sewn -- 825 00:30:58,334 --> 00:30:59,466 End to end anastomosis. 826 00:30:59,509 --> 00:31:01,207 Uh, stapler. 827 00:31:01,250 --> 00:31:03,426 ♪ Fire in the wind, we're burning out of control ♪ 828 00:31:03,470 --> 00:31:04,950 ♪ We are the children chasing wondrous thrills ♪ 829 00:31:04,993 --> 00:31:07,039 To close, start bringing the bowel together 830 00:31:07,082 --> 00:31:09,084 with a vicryl suture, coming around the corner 831 00:31:09,128 --> 00:31:10,738 with a Connell stitch and --Taryn: And a 3 millimeter gap 832 00:31:10,781 --> 00:31:12,479 between every two sutures. 833 00:31:12,522 --> 00:31:13,654 Levi: Got it. 834 00:31:13,697 --> 00:31:15,177 [ Panting ] Suction, Taryn -- 835 00:31:15,221 --> 00:31:16,178 Dr. Helm. 836 00:31:16,222 --> 00:31:17,658 [ Suction gurgling ] 837 00:31:17,701 --> 00:31:27,015 ♪♪ 838 00:31:27,059 --> 00:31:28,234 What happened? 839 00:31:28,277 --> 00:31:29,975 There was a complication from the catheter, 840 00:31:30,018 --> 00:31:31,846 so I had to remove it.So you'll reinsert it? 841 00:31:31,890 --> 00:31:34,501 I won't. And because we couldn't gain access for dialysis, 842 00:31:34,544 --> 00:31:37,199 Rashida needs to be placed on the transplant list immediately. 843 00:31:37,243 --> 00:31:38,679 Rashida's been my patient for months. 844 00:31:38,722 --> 00:31:39,941 These aren't your decisions to make. 845 00:31:39,985 --> 00:31:41,464 Except that now she's also my patient. 846 00:31:41,508 --> 00:31:44,685 And she has suffered from multiple unnecessary procedures, 847 00:31:44,728 --> 00:31:46,078 so I'm not putting her through even more. 848 00:31:46,121 --> 00:31:47,209 This is not protocol. 849 00:31:47,253 --> 00:31:49,820 It's not. It's a life. 850 00:31:49,864 --> 00:31:51,387 Rashida's. 851 00:31:51,431 --> 00:31:55,696 ♪♪ 852 00:31:55,739 --> 00:31:57,045 Even if we list her, 853 00:31:57,089 --> 00:31:59,134 we don't know when a kidney will come through. 854 00:31:59,178 --> 00:32:01,441 It'll come faster than if we didn't. 855 00:32:01,484 --> 00:32:03,399 ♪♪ 856 00:32:03,443 --> 00:32:05,662 Oh, Hayes, uh, I'm looking for Danny and Noah. 857 00:32:05,706 --> 00:32:07,838 Uh, they left. 858 00:32:07,882 --> 00:32:10,972 What do you mean they left? I didn't discharge Noah. 859 00:32:11,016 --> 00:32:12,104 No, but I discharged his son, 860 00:32:12,147 --> 00:32:15,063 and he said he wanted to go home with him. 861 00:32:15,107 --> 00:32:17,196 So you just let him go? Without asking me? 862 00:32:17,239 --> 00:32:18,719 He said he declined all further testing, 863 00:32:18,762 --> 00:32:20,677 and then he signed an AMA. 864 00:32:20,721 --> 00:32:22,505 He has severe fibrosis in both lungs. 865 00:32:22,549 --> 00:32:25,030 He needs supplementary oxygen, a full pulmonary workup, 866 00:32:25,073 --> 00:32:26,379 an evaluation by a specialist, 867 00:32:26,422 --> 00:32:28,033 and we're gonna need to do more studies, okay, 868 00:32:28,076 --> 00:32:30,339 if we're gonna --Hunt, he's terminal. 869 00:32:30,383 --> 00:32:32,341 [ Sighs ]You know that, I know that, 870 00:32:32,385 --> 00:32:34,343 Noah knows that, and he's accepted that. 871 00:32:34,387 --> 00:32:35,475 Hayes, just --Which is very difficult to do 872 00:32:35,518 --> 00:32:36,693 when you've got a little one at home. 873 00:32:36,737 --> 00:32:38,478 Believe me. 874 00:32:38,521 --> 00:32:40,523 ♪♪ 875 00:32:40,567 --> 00:32:42,047 All those things you want to do for him, they take time. 876 00:32:42,090 --> 00:32:44,353 They take energy. 877 00:32:44,397 --> 00:32:45,964 They're two things Noah wants to give his son right now 878 00:32:46,007 --> 00:32:48,575 while he still can. 879 00:32:48,618 --> 00:32:51,012 Look, I'm sorry I didn't ask you, 880 00:32:51,056 --> 00:32:52,971 but I'm not sorry I let him go. 881 00:32:53,014 --> 00:32:58,628 ♪♪ 882 00:32:58,672 --> 00:33:00,761 [ Siren wailing, horns honking in distance ] 883 00:33:00,804 --> 00:33:07,028 ♪♪ 884 00:33:07,072 --> 00:33:13,295 ♪♪ 885 00:33:13,339 --> 00:33:15,558 You look amazing. 886 00:33:15,602 --> 00:33:18,692 But, yeah, you may want to change. 887 00:33:18,735 --> 00:33:20,346 [ Chuckles ] 888 00:33:21,956 --> 00:33:24,393 Sorry. 889 00:33:24,437 --> 00:33:25,786 It's okay. 890 00:33:31,879 --> 00:33:34,055 Listen. You hear that? 891 00:33:34,099 --> 00:33:36,579 [ Insects chirping ] 892 00:33:36,623 --> 00:33:39,843 Meredith: What?Exactly. 893 00:33:39,887 --> 00:33:43,804 I mean, this right here, this is why I pulled back on my hours. 894 00:33:43,847 --> 00:33:48,287 I was -- I was ignoring everything around me. 895 00:33:48,330 --> 00:33:49,549 You know? 896 00:33:49,592 --> 00:33:50,985 The perfect silence, 897 00:33:51,029 --> 00:33:53,031 the 2-mile hike through the woods behind my house, 898 00:33:53,074 --> 00:33:56,512 just sitting here, sitting, staring up at the stars. 899 00:33:56,556 --> 00:33:58,775 ♪♪ 900 00:33:58,819 --> 00:34:01,082 I don't stargaze much. 901 00:34:01,126 --> 00:34:02,388 I'm sorry, since when? 902 00:34:02,431 --> 00:34:03,737 Since ever. 903 00:34:03,780 --> 00:34:05,913 Ooh, we're gonna have so much fun. 904 00:34:05,956 --> 00:34:07,871 [ Chuckles ] I've got so much to teach you. 905 00:34:07,915 --> 00:34:11,397 [ Laughs ] 906 00:34:11,440 --> 00:34:14,922 Hey, tell me about this, um, top-secret project. 907 00:34:14,965 --> 00:34:16,924 Well, If I told you, it wouldn't be top-secret. 908 00:34:16,967 --> 00:34:18,578 Fine. Tell me one thing. 909 00:34:18,621 --> 00:34:21,494 You really struggle with the concept of secrets. 910 00:34:21,537 --> 00:34:23,539 I guess I do. 911 00:34:23,583 --> 00:34:25,802 [ Sighs ] 912 00:34:25,846 --> 00:34:27,674 I'm scared to say yes. 913 00:34:27,717 --> 00:34:29,110 Hm. 914 00:34:29,154 --> 00:34:32,113 And I am very rarely scared. 915 00:34:32,157 --> 00:34:36,857 ♪♪ 916 00:34:36,900 --> 00:34:39,338 What are you scared of? 917 00:34:39,381 --> 00:34:40,774 Failure. 918 00:34:42,167 --> 00:34:45,735 This project will cost millions of dollars, 919 00:34:45,779 --> 00:34:48,347 will be very risky, 920 00:34:48,390 --> 00:34:50,914 win or lose, will eventually be written about. 921 00:34:50,958 --> 00:34:52,568 And I'm just not sure 922 00:34:52,612 --> 00:34:55,615 that I want the first thing that I do after surviving COVID 923 00:34:55,658 --> 00:34:57,182 to be a public failure. 924 00:34:57,225 --> 00:35:00,359 And I know that's my ego. 925 00:35:00,402 --> 00:35:03,492 I have a very comfortable situation in Seattle. 926 00:35:03,536 --> 00:35:05,842 I have safety. I have comfort. 927 00:35:05,886 --> 00:35:08,410 And now you're gonna trade all of that in. 928 00:35:08,454 --> 00:35:10,847 You're gonna risk it all. 929 00:35:10,891 --> 00:35:12,806 Listen, you're not a safety person, Meredith. 930 00:35:12,849 --> 00:35:14,721 You're not a comfort person. 931 00:35:14,764 --> 00:35:16,505 It's not your nature.How do youknow? 932 00:35:16,549 --> 00:35:18,855 Because it's not mine, either. And it takes one to know one. 933 00:35:18,899 --> 00:35:20,379 [ Chuckles ] 934 00:35:20,422 --> 00:35:22,990 You're gonna risk it all, and win or lose... 935 00:35:23,033 --> 00:35:25,471 it's gonna be a hell of a ride. 936 00:35:25,514 --> 00:35:30,911 ♪♪ 937 00:35:30,954 --> 00:35:33,261 [ Sirens wailing in distance ] 938 00:35:33,305 --> 00:35:36,960 Winston: I'm really sorry to say this, Rashida. 939 00:35:37,004 --> 00:35:41,008 We couldn't gain access for your dialysis. 940 00:35:41,051 --> 00:35:45,534 But...you're on the transplant list, Rashida. 941 00:35:45,578 --> 00:35:49,582 [ Exhales sharply ] Wait, what? 942 00:35:49,625 --> 00:35:51,018 Are you serious? 943 00:35:51,061 --> 00:35:52,324 Yeah. 944 00:35:53,760 --> 00:35:56,154 [ Sighs ] Wow. 945 00:35:56,197 --> 00:35:58,373 ♪♪ 946 00:35:58,417 --> 00:36:01,159 [ Breathes deeply ] 947 00:36:01,202 --> 00:36:02,725 [ Voice breaking ] I honestly never thought 948 00:36:02,769 --> 00:36:04,684 I would see this day. 949 00:36:04,727 --> 00:36:07,730 You're not just saving my life. 950 00:36:07,774 --> 00:36:10,472 You're changing it. 951 00:36:10,516 --> 00:36:13,954 I can go back to who I was. 952 00:36:13,997 --> 00:36:15,651 I don't know how to thank you. 953 00:36:15,695 --> 00:36:17,436 [ Breathes deeply ] 954 00:36:17,479 --> 00:36:19,264 I can't wait to tell everyone. 955 00:36:19,307 --> 00:36:21,396 [ Breathes deeply ] Oh, and, Dr. Ndugu, 956 00:36:21,440 --> 00:36:24,051 when my followers find out how you helped me -- 957 00:36:24,094 --> 00:36:25,705 [ Sniffles ] Are you single? 958 00:36:25,748 --> 00:36:27,228 [ Chuckles ] I'm not. 959 00:36:27,272 --> 00:36:29,404 I'm actually married to another cardiothoracic surgeon 960 00:36:29,448 --> 00:36:31,493 at this hospital -- Dr. Pierce. 961 00:36:31,537 --> 00:36:32,538 And she fly. 962 00:36:32,581 --> 00:36:33,626 What? Mm-hmm. 963 00:36:33,669 --> 00:36:34,844 A cute doctor couple? 964 00:36:34,888 --> 00:36:36,194 Mm-hmm. Okay! 965 00:36:36,237 --> 00:36:38,152 [ Chuckles ]I gotta meet her ASAP. 966 00:36:38,196 --> 00:36:39,936 Ooh, have you guys ever thought about becoming influencers? 967 00:36:39,980 --> 00:36:41,938 The brands would come flocking. 968 00:36:41,982 --> 00:36:44,419 Influencers? For what? Health? 969 00:36:44,463 --> 00:36:46,247 Yeah, I mean, there are influencers for everything. 970 00:36:46,291 --> 00:36:48,684 Okay, movies, restaurants, plants. 971 00:36:48,728 --> 00:36:50,860 [ Chuckles ] There are dog influencers, too. 972 00:36:50,904 --> 00:36:54,168 Mm-hmm. Biggie the Pug has 2 million followers. 973 00:36:54,212 --> 00:36:56,605 Ha! Come on. Okay. We gotta go live. 974 00:36:56,649 --> 00:36:57,650 Hey! 975 00:36:57,693 --> 00:36:59,695 Hey. Ah! 976 00:36:59,739 --> 00:37:01,871 I haven't seen them this happy in months. 977 00:37:01,915 --> 00:37:05,440 [ Chuckles ] Helm's more thrilled than Schmitt. 978 00:37:05,484 --> 00:37:07,834 He let her keep the crystal.[ Chuckles ] 979 00:37:07,877 --> 00:37:10,053 And you seem to be the happiest of them all. 980 00:37:10,097 --> 00:37:12,882 Feels good to be back, in front of them. 981 00:37:12,926 --> 00:37:15,885 Well, Dr. Wong gave me his retirement notice today. 982 00:37:15,929 --> 00:37:17,626 Dr. Wong? He used to be a student of mine. 983 00:37:17,670 --> 00:37:18,584 Is something wrong? 984 00:37:18,627 --> 00:37:20,499 Healthy as a horse. 985 00:37:20,542 --> 00:37:22,588 And it's getting worse, Richard. 986 00:37:22,631 --> 00:37:26,069 Every day, someone retires or quits or moves to Minnesota... 987 00:37:26,113 --> 00:37:27,462 We don't know if that's happening. 988 00:37:27,506 --> 00:37:30,465 [ Sighs ] Whether it's burnout or exhaustion 989 00:37:30,509 --> 00:37:32,380 or just needing a change, 990 00:37:32,424 --> 00:37:34,817 these residents aren't the only ones that need to reset. 991 00:37:34,861 --> 00:37:37,951 This whole hospital needs to remember why we're here. 992 00:37:37,994 --> 00:37:40,301 COVID took that from us. 993 00:37:40,345 --> 00:37:42,999 You know, remember when we used to have, like, pizza night 994 00:37:43,043 --> 00:37:45,611 and retreats, and -- and residents would prank each other 995 00:37:45,654 --> 00:37:46,742 and --You hated that. 996 00:37:46,786 --> 00:37:48,309 But there was joy 997 00:37:48,353 --> 00:37:51,138 and the feeling that we were all in this together, 998 00:37:51,181 --> 00:37:52,792 for something bigger than ourselves. 999 00:37:52,835 --> 00:37:54,184 I want to make room for that. 1000 00:37:54,228 --> 00:37:56,012 I want to make space for that again. 1001 00:37:56,056 --> 00:38:00,495 You want people to remember the why. 1002 00:38:00,539 --> 00:38:02,497 So do I. 1003 00:38:02,541 --> 00:38:05,283 ♪ Feels just like we're dreaming wide awake ♪ 1004 00:38:05,326 --> 00:38:06,980 I got some ideas, Bailey. 1005 00:38:07,023 --> 00:38:07,850 ♪ And I know we're only going 1006 00:38:07,894 --> 00:38:08,851 ♪ Up, up, up 1007 00:38:08,895 --> 00:38:10,157 Big ones. 1008 00:38:10,200 --> 00:38:11,637 ♪ Here we go 1009 00:38:11,680 --> 00:38:13,203 ♪♪ 1010 00:38:13,247 --> 00:38:14,814 ♪ Oooh ♪ 1011 00:38:14,857 --> 00:38:18,992 ♪ And if that mockingbird don't sing ♪[ Scout crying ] 1012 00:38:19,035 --> 00:38:22,822 ♪ Daddy's gonna buy you a diamond ring ♪ 1013 00:38:22,865 --> 00:38:26,652 ♪ And if all of those rings don't work ♪ 1014 00:38:26,695 --> 00:38:29,785 ♪ Daddy's gonna feel like a big old jerk ♪ 1015 00:38:29,829 --> 00:38:34,137 Okay, you need to stop with the depressing lullabies. 1016 00:38:34,181 --> 00:38:35,965 Put him to sleep.[ Sighs ] 1017 00:38:39,099 --> 00:38:43,321 Link, I-I know that you are upset 1018 00:38:43,364 --> 00:38:48,021 and sad and grieving the future you thought you had. 1019 00:38:48,064 --> 00:38:50,371 Obviously, I have been there. 1020 00:38:50,415 --> 00:38:52,068 And what did you do? 1021 00:38:53,853 --> 00:38:58,074 I looked for joy anywhere that I could. 1022 00:38:59,337 --> 00:39:02,601 Then along came [sighs] OB... 1023 00:39:02,644 --> 00:39:04,080 and Luna. 1024 00:39:06,344 --> 00:39:10,870 I know that it sucks right now, but you're gonna be okay. 1025 00:39:10,913 --> 00:39:13,786 ♪ Ooh-ooh-ooh, ooh, ooh-ooh-ooh-ooh-ooh ♪ 1026 00:39:13,829 --> 00:39:15,570 ♪♪ 1027 00:39:15,614 --> 00:39:19,400 Something didhappen earlier with Leo. 1028 00:39:19,444 --> 00:39:22,969 I-I-I thought a parent was being judgy about his Elsa costume, 1029 00:39:23,012 --> 00:39:25,014 so I-I confronted him.Who was it? 1030 00:39:25,058 --> 00:39:27,016 No, no one. He wasn't being judgy. 1031 00:39:27,060 --> 00:39:30,193 I'm just -- Owen, I'm worried. 1032 00:39:30,237 --> 00:39:32,674 I -- 1033 00:39:32,718 --> 00:39:36,330 I-I want Leo to be okay in the world, 1034 00:39:36,374 --> 00:39:39,377 and I'm -- I'm -- I'm worried, what if we... 1035 00:39:39,420 --> 00:39:41,770 What if we let him be himself? 1036 00:39:41,814 --> 00:39:45,078 I'm worried that the world won't be kind. 1037 00:39:45,121 --> 00:39:47,123 I'm worried that it will be hard. 1038 00:39:47,167 --> 00:39:49,952 I'm worried that people will be cruel. 1039 00:39:49,996 --> 00:39:50,953 ♪ No, I don't wanna be so lonely... ♪ 1040 00:39:50,997 --> 00:39:52,433 And maybe they will be. 1041 00:39:52,477 --> 00:39:54,348 ♪ ...frozen 1042 00:39:54,392 --> 00:39:55,654 But we won't be. 1043 00:39:55,697 --> 00:39:57,960 Leo's happy. Let's -- 1044 00:39:58,004 --> 00:39:59,484 Let's just let him be happy, okay? 1045 00:39:59,527 --> 00:40:00,920 Okay. 1046 00:40:00,963 --> 00:40:02,487 Leo: Mommy!Oh, there he is. 1047 00:40:02,530 --> 00:40:03,966 Hey! Hey! 1048 00:40:04,010 --> 00:40:06,186 [ Chuckles ]Hey. How are you? [ Grunts ] 1049 00:40:06,229 --> 00:40:08,057 Look what I got.[ Both gasp ] 1050 00:40:08,101 --> 00:40:10,930 Whoa.A new cape for Elsa, 1051 00:40:10,973 --> 00:40:12,801 the Snow Queen. 1052 00:40:12,845 --> 00:40:13,802 You like it? 1053 00:40:13,846 --> 00:40:15,064 Yeah. 1054 00:40:15,108 --> 00:40:16,675 I love it. 1055 00:40:16,718 --> 00:40:18,720 [ Chuckling ] Hi! 1056 00:40:18,764 --> 00:40:19,547 You got her? Yeah. 1057 00:40:19,591 --> 00:40:21,419 I'll take him. Hi! 1058 00:40:21,462 --> 00:40:23,377 Hi! 1059 00:40:23,421 --> 00:40:24,726 Let's go home.Okay. 1060 00:40:24,770 --> 00:40:27,599 ♪ I have no one left to blame in the end ♪ 1061 00:40:27,642 --> 00:40:29,296 How was your day?Ah. 1062 00:40:29,339 --> 00:40:31,341 ♪ Yeah, I'm awake 1063 00:40:31,385 --> 00:40:35,215 Meredith: There is such a thing as predictive homeostasis. 1064 00:40:35,258 --> 00:40:36,695 Late night. 1065 00:40:36,738 --> 00:40:38,827 ♪ Ooh-ooh-ooh, ooh 1066 00:40:38,871 --> 00:40:40,133 ♪ I'm awake 1067 00:40:40,176 --> 00:40:41,482 You don't own me. 1068 00:40:41,526 --> 00:40:42,875 Mm, I know. 1069 00:40:42,918 --> 00:40:44,485 I need autonomy picking the team. 1070 00:40:44,529 --> 00:40:46,444 Absolutely. 1071 00:40:46,487 --> 00:40:49,185 I'd like any progress that we make from this process 1072 00:40:49,229 --> 00:40:52,493 to be public and accessible to everyone with Parkinson's. 1073 00:40:52,537 --> 00:40:54,495 Of course. 1074 00:40:54,539 --> 00:40:58,978 It's when our body anticipates responses to future challenges. 1075 00:40:59,021 --> 00:41:01,720 I'd like to move the whole project to Grey-Sloan. 1076 00:41:01,763 --> 00:41:04,418 Mnh. That I can't do. 1077 00:41:04,462 --> 00:41:06,942 It's -- It's expensive. 1078 00:41:06,986 --> 00:41:09,945 Frankly, I don't have the time. 1079 00:41:09,989 --> 00:41:11,947 We have everything we need here. 1080 00:41:11,991 --> 00:41:13,514 I can't move to Minnesota. 1081 00:41:13,558 --> 00:41:16,169 I need you here as much as possible. 1082 00:41:16,212 --> 00:41:17,431 ♪ I can't see the road I'm driving ♪ 1083 00:41:17,475 --> 00:41:18,650 ♪ I don't need to look behind me ♪ 1084 00:41:18,693 --> 00:41:20,956 I could set up a satellite lab in Seattle. 1085 00:41:21,000 --> 00:41:23,785 I could travel back and forth once a week. 1086 00:41:23,829 --> 00:41:26,527 That's the best I can offer. 1087 00:41:26,571 --> 00:41:28,398 ♪ I'm awake 1088 00:41:28,442 --> 00:41:30,096 Done. 1089 00:41:30,139 --> 00:41:33,055 It understands that change is inevitable... 1090 00:41:33,099 --> 00:41:35,057 Does this mean you're in?♪ I'm awake 1091 00:41:35,101 --> 00:41:37,320 ♪ Ooh-ooh-ooh, ooh, ooh-ooh-ooh-ooh-ooh ♪ 1092 00:41:37,364 --> 00:41:39,148 ♪♪ 1093 00:41:39,192 --> 00:41:40,628 It means I'm in.♪ Yah, I'm awake 1094 00:41:40,672 --> 00:41:41,847 ♪ Ooh-ooh-ooh, ooh, ooh-ooh-ooh-ooh-ooh ♪ 1095 00:41:41,890 --> 00:41:43,718 ...and doesn't have to be catastrophic. 1096 00:41:43,762 --> 00:41:45,241 ♪♪ 1097 00:41:45,285 --> 00:41:47,766 ♪ I'm awake 1098 00:41:47,809 --> 00:41:50,159 ♪♪ 1099 00:42:07,350 --> 00:42:16,272 ♪♪ 1100 00:42:16,316 --> 00:42:25,281 ♪♪ 1101 00:42:25,325 --> 00:42:34,073 ♪♪ 75477

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