All language subtitles for Greys.Anatomy.S22E04.WEB

In 1952,
Dr. F. John Lewis

performed the first
successful open-heart surgery
using hypothermia.

Oh, the, um, risk
management workshop got moved

-to the third floor
lec... lecture hall.
-Mmm.

- Mm-hmm.
- Oh.

Not worth the interruption.

I don't know.
We're gonna, um...

We're gonna be
late if we don't go soon.

We'll take the carpool lane.

This week has been great.

-I mean, really, really great.
-Mmm.

But I work with your husband.

Is it gonna be weird
if we show up together?

No.

People carpool for
all kinds of reasons.

Hmm?

I mean, it is better
for the environment.

By inducing
a hypothermic state,

the surgical team created
a window of several minutes

to close a hole in the heart
of a five-year-old girl.

The predominant perforator
should be in the medial row.

He's still got it.

-You want eggs?
-Uh, I'm not hungry.

I have to tell my
patient she's stage four.

I'm sorry.

-Wanna talk about it?
-No.

Want pancakes?

-Yes.
-Yeah.

That one surgery
changed the entire course
of human history.

Were you here late last night?

Max and Irvin had
an engagement party.

Booze and bingo,
and I lost both.

-Maxine's getting married?
-Yes.

And I am a bridesmaid.

I have to choose my dress
today, so if anybody
wants to weigh in.

Hell, yeah,
I'll be too busy working
with Jackson Avery.

Wait, you're scrubbing in on
the DIEP flap reconstruction?

I've been asking to be
on that for a week now.

Oh, well, if it helps,
it comes with a plastics fellow
who rage-hates me.

That does help.

But as
they watched her tiny heart,

desperate for it to beat
again, it could have gone
either way.

All they could do was hope.

-You don't have
to wait with me.
-I'm just here for the chair.

Take it.
I am over recovery.

Yeah, don't forget
PT and a lot more rest.

Tell that to my kids.

Hey, look who it is.

Morning.

Hi.

Uh...

-Are you... Are you, uh--
-I'm officially discharged.

Congratulations.

Hi. Cass Beckman.

-I remember.
It's nice to see you again.
-Likewise.

Yeah.

We're going to
the risk management class.

-Yeah. That's why we carpooled.
-Mm-hmm.

-Hmm.
-Well, you know,
we should get going.

- Gotta get those CME hours in.
- Yeah.

-Well, um,
enjoy being home, Link.
-Hmm.

Didn't realize you lived
close to the Beckmans.

Yeah. Not sure we do.

Did Ann Schroeder's
chole get rescheduled?

Oh, we did that yesterday.

Well, I should say
Kwan did most of it.

He did a good job.
Patient did well also.

Teresa Gomez's hernia repair?

Well, now that OR two is back,
we can fit her in on Wednesday?

-Well, she'll be happy.
-Okay.

You know, I want you to know
how grateful I am that you're
back here.

I mean, between the surgeries
and the teachings...

Happy to do it.

I know you are. But thanks.

-You've gotta be kidding me.
-What? Is everything okay?

Our water bill doubled this
month. Irvin likes long
showers.

Have you suggested
he and Maxine shower together?

Move in with us.

Free rent. We split utilities.

You want me to live
with you? Thanks, but no.

All right. Step it up.

A patient from an equestrian
accident just came in.

Now, a horse can inflict
severe injuries on a person.

-Jonah Nolan?
-Yeah.

I hear you fell off your horse
during a competition?

Me and Vince were
warming up together.

-Vince is your horse?
-No, it's me.

My horse caught a fence and
went down. Jonah was right
behind me.

Gashed his head on Mojo's
bridle. Mojo's his horse.

All right. Let me take a look.

-Yeah.
-Thanks.

-And what about you?
Are you feeling okay?
-Just a little sore.

Uh, I'm gonna finish
competing once Jonah's okay.

You should
still get checked out.

I mean, falling off a horse can
do serious damage. They're
powerful animals.

No, Carrot's very gentle.

That's the horse you fell off?

Uh, let me guess,
the other one is Mojo?

Yeah. Thank God
they're both okay.

Yeah. Um... Okay. Well,
it looks like it's just
lacerations and abrasions.

So, you're gonna be fine.

I'm feeling a little dizzy.

Oh. Well, um, Millin,
let's request a neuro consult
just to be safe. Okay.

-I'll close him
and clean them up.
-Thanks.

Um, dressage starts in 20
minutes. Do you think we can
make it back by then?

I'm gonna say neigh.

Remember when Avery gets
to the venous anastomosis--

He likes to use an anastomotic
coupler. You've mentioned
it twice.

I applied for
an attending position

in his department in
Boston after this fellowship.

You and
probably a hundred others.

My parents live near there, and
they could really use my help.

So this is my
chance to impress him.

I won't let you screw this up.

Happy to work
with you again too.

Oh. Did you invite
the whole hospital?

We don't get to see
a lot of DIEP flaps.

Patient's cool with it though.

Good morning. Who can
walk me through a Millard
repair on a cleft lip?

Use a curvilinear
incision with the rotation flap

from the medial lip element

and the advancement
flap from the lateral element.

-That's correct, Dr. um--
-Mohanty.

Kavita Mohanty,
plastics fellow.

And a fellow. Perfect.

I got a five-year-old
in OR four who's gonna
be very lucky to have you.

-I'm sorry?
-I ran into Dr. Camden
in the lounge

and he needs an assist.
So, enjoy.

Everybody else,
you're with me. Let's go.

Dr. Emily
Richards, call Recovery.

-Morning, Perry.
-Good morning.

Looks like
you brought the surgical army.

Well, they'll mostly observe.

Well, the more the merrier.

And you must be
the infamous Dr. Avery.

Well, I understand you're
the one with the reputation.

Training firefighters
is very impressive.

Oh. Not officially.
A few of them take my cycle
warriors spin class.

She's being modest.

Half the department's only in
shape because she kicks
their butts.

- Okay, well,
please don't kick mine.

All right, Warren,
you wanna do the honors?

Yeah. Perry Onikul, 50.

With past medical history

of ER/PR-positive, invasive
lobular carcinoma of
the left breast.

Status post
bilateral mastectomy:

Completed
chemotherapy and radiation.

Disease in remission.

Here today for a deep inferior
epigastric perforator flap for
breast reconstruction.

Sorry.
I'm just very happy to hear those words.

Well, so are we.

-Do you know how
this is all gonna work?
-I was kinda hoping you did.

Fair enough.

All right, well, we will
begin by removing pieces

of your skin, fat and blood
vessels from your lower
abdomen here,

transplanting
those up into your chest.

Who can tell me
where we connect the flap?

- You connect it to the internal mammary.
- -That's correct.

Not all plastic
surgeons do this.

-You're in very good hands.
-He's right.

You ready?

For a new rack and
a tummy tuck in one surgery?

Bring it on.

All right, we'll get
you started with some new
scans right away.

-Dr. Grey.
-Dr. Grey.

Morning.

You let Koracick publish
his Alzheimer's results?

Technically that was The
Journal of American Medicine.

It's good to
see you, by the way.

He only studied male mice.

I did the same
experiment with female mice

and when I gave them
antibiotics, there was no
decrease in Alzheimer's.

Mer, don't
start with me, please.

So, now because
he's gone public,

people will assume that what's
true for male mice is true for
all mice.

This is exactly the kind of
thinking that I'm trying to
change.

Yet your lab is apparently
completely unused and
you haven't published anything.

Why is that, Meredith?

-That's a cop-out.
-Okay.

So then why don't
you explain it to me?

Why is it that antibiotics
don't work on female mice?

I'm still working on my
hypothesis. I don't know yet.

Maybe instead of hiding out
here all summer,
you could be figuring this out.

I have a surgery.
Have a nice day.

So you...

So you race hobby horses?

Well, not just race. Um...

Show jumping,
hunter/jumper, puissance.

Piaffe.

Passage.

- You on a team?
It's an individual sport.

Pretty niche. Mostly girls.

A lot
of the competitions,

Vince and I were, like,
the only guys, so eventually
we became friends.

Neuro is on their way. They
were busy with another patient.

Did you tell them there's
a championship trophy
on the line?

- I did not.
- I'll be fine.

You should go back before
Evie wins first in dressage.

She'll be insufferable.

No,
it's not that. It's my chest.

-Oh, my God.
-Oh, we need some help.

How can I be stage four?

My scans, I thought
the tumors were shrinking?

Yeah. Right,
unfortunately, sometimes...

...tumors learn
how to evade chemotherapy.

Okay, well, if my cancer wants
to fight, I'll fight harder.

So, what now?

Well, first things first, um,
you have to recover from
your splenectomy.

And then we will
start a new chemo regimen.

Great. Really
wasn't a fan of the old one.

And-And we'll also
look into clinical trials.

There's a lot of new
promising therapies out there.

-Mm-hmm.
-Uh, w-we just have
to find the right one.

Okay. Sounds good to me.

I haven't seen anyone visit.

Have you told friends, family
that you're in the hospital?

If I tell them,
they'll get upset.

And then I'll get
upset and I just need to fight.

Oh.

Well, I... I don't know
your mom, but I am a mom.

And we are really
good at fighting too.

Yeah.

Once we know more,
I will tell her.

- I promise.
- Mmm.

All right. I'll be back.

I need your full
attention on Katie Rogers.

I thought we were
just advancing her diet?

-Full fluids, right?
-No, she needs
a clinical trial.

Um... And I don't have time
to search a database today,

so I need you to find options.

See what's active and then call
around to see what's
in the pipeline.

Okay. I was gonna observe
Dr. Avery's surgery

but I can carve out
some time after.

Meade will check on her
every half hour.

You can "carve out some time"
for our patient with
metastatic cancer?

How generous of you.

You keep telling me to teach

and you told all of us to
study Dr. Avery's DIEP flap.

Katie is giving this her all,
so we need to give our all.

Do you think taking
a break and watching a surgery

is giving
it your all, Dr. Adams?

I'll skip it.

Leave no stone unturned.

Okay, what is taking so long?

All right, Avery's gonna want
those scans to evaluate
perforators.

You work with him before?

Yeah, yeah, I can read
and anticipate him pretty well.

I used to be
part of his, uh...
his Plastics Posse.

I don't know what that is,
but I want in.

You interested in plastics?

I don't have
the extra three years.

Too many things on
my plate right now. Just...

- Yeah, I just enjoy
every case that I can.

Oh. The scans are in.

How do you anticipate
Avery's gonna feel about
his DIEP flap patient

having an inguinal hernia?

There he is.

Hey. I read
Koracick's article. Bold.

Yeah, his study
yielded interesting results.

-I meant bold on your part.
-So I've been told.

Hey, are you busy?

I've got a patient CT showing
a right-sided inguinal hernia.

-Is it reducible?
-It is, yeah.

Simple, fat containing.
Hoping you could do it.

Uh, wish I could,
but I'm in budget
meetings all day.

-Okay. Anybody else...
-Um... Good luck.

Don't...

-Hey.
-No.

-It's for a patient.
-Call Tom Koracick.

She's a breast cancer
survivor, Mer. All right?
And she's got a hernia.

As long as she has that hernia,

I can't give her the breast
reconstruction that she needs.

Now, I can come back another
time and I can do the flap,

but she needs the repair
done, like, ideally today.

Call someone else.

She's
had a year from hell.

Today was supposed to
be her first step back.

She deserves the best
and you can help her a lot
better than I can. Please.

Send me the scans.

-What happened?
-He was complaining

of increasing chest pain and
now he requires four liters
nasal cannula.

I was supposed to take gold
in dressage. Where's Carrot?

What are you doing here?

One of Jo's patients
went into premature labor.

She's upstairs checking on her.

I didn't wanna wait in
the car. You need a consult?

You can't consult.
You can't even work yet.

I haven't approved it.

His vitals are stable,
I was going to check his spine.

Yeah, let's go.

Let me know if anywhere hurts.

Can't you just give me meds
for the pain so I can go back
to competing?

Like they do in the Olympics.

-What's the competition?
-Not the Olympics.

The Washington
Hobby Horse Open.

Well, I work with
professional athletes,
and I wouldn't advise it.

- Ow. Ow, ow!
- Okay, around T4,
and no step-off.

Let's take that X-ray.

Or, you know,
whatever Hunt wants.

Okay. All right.
Clear for X-ray.

Okay, yeah. Ribs four to six
are fractured on the left side.

Some haziness,
probably a lung contusion.

No one asked you.

Maybe you should. The guy said
he worked with pro athletes.

We need to scan you
to get a better idea
of what's going on. Okay?

Well, then, can he come?
This is my last shot at state
before college

and if I'm gonna have a chance
at competing, I want the best.

Guess I'm back.

Okay.

Sorry to page you
out of the seminar.

Oh, please. I've never been
closer to napping in public.

Okay. Well, the patient's
complaining of chest pain.

She asked for Ndugu, but
your name's also in her chart.

Okay, great. Thank you.

Nora, hey.

What's going on?

Um, I woke up with some
chest pain and I thought
it might go away,

but it hasn't,
and I'm really freaked out.

Okay.

Uh, is it sharp,
or does it feel like pressure?

It's more like a dull ache.

Okay, let's work you up.

- The reconstruction is off?
- Postponed.

Dr. Grey will repair the hernia
today, and then once
you're healed up,

-I'll come right back
and do the flap.
-Can't you just do both today?

It's a much longer and
more complicated procedure.

You'll recover quicker
if we do them separately.

Depends on
how you define "recover."

What do you mean?

I'm not ashamed of how I look,
but at work,
I am surrounded by mirrors.

And when I see my reflection,
it is a constant reminder

of all the pain and waiting
and exhaustion of not knowing
if I'd live.

I won't be fully recovered

until I can look in the mirror
and see me, not my cancer.

-We understand, but--
-We'll do both surgeries today.

-Will we?
-She'll go
under anesthesia once,

which is not a bad idea
considering all her body
has been through.

But that is much
more time under anesthesia.

And I'm concerned
about the post-operative pain.

I will gladly take on the risk

if it means waking up tomorrow
and feeling like myself again.

I'll prep.

Hey, you hear about the fellow
who got kicked off
the DIEP flap?

How would I hear that?

Guess who gets to scrub in
on a DIEP flap and a hernia
repair now.

I'm gonna go with Warren.

Well, you still
gonna come check it out?

Bailey put me on
research while she's in the OR.

- So she's demoted you back
to an intern?

-Tracks.
-That's her. I gotta go.

-You would wanna live
with me, right?
-I do live with you.

I don't have, like,
a smell or a weird habit?

Am I a loud chewer?

-What is this about?
-I asked Jules
to move in with us.

Without asking me? You yelled
at me when I did that.

Doesn't matter. She said no.

That doesn't
let you off the hook.

Why wouldn't she wanna live
with me? I'm a good roommate.

Maybe she doesn't
wanna live with me.

No, she specifically said
"live with you," meaning me,

-then she took a hard pass.
-Hmm.

Wait, I'm not
done freaking out.

Maybe the two of you just
aren't as close as you thought.

Trauma team
to ICU. Trauma team to ICU.

Hey, you need something?

Yeah, I just had
a question for Dr. Bailey.

Well, she's in surgery.
You can try me.

Do you think
I'll be healed enough

to start my new chemotherapy
before I'm discharged?

It'll be more like three weeks.

A month with no treatments?

Well, we wanna give your body
time to heal after surgery.

But Dr. Bailey and Dr. Sugihara
will meet later to talk
next steps,

and I'll be
looking at clinical trials.

You're in charge of
finding clinical trials?

Is that a problem?

I thought we were okay.

Well, when you were checking my
incision, that was one thing.

But clinical trials have
serious ramifications for me,

and I don't know
anything about you.

What do you wanna know?

Where did you go
to medical school?

Cornell.

- Did you get good grades?
I'm a surgeon, so yeah.

Did you ever kill anybody?
By accident, I mean.

If you murdered someone,
I'd rather not know.

Look, we can do this all day,

but it's in your best interest
if I'm researching
therapies, so...

I'll be out there.

And if you need something other
than my social security number,
give me a shout.

All right, what do we got?

Uh, X-ray shows a hemothorax
and some broken ribs.

What's the mechanism?

Hobby horse injury.

Hey, didn't I just sign
off on your discharge papers?

Yeah, don't ask.

Okay. All right. Uh...

-Hobby horse,
like a stick horse?
-No, you can't call--

A stick horse is for children.
Hobby horsing is far more
sophisticated.

There's a whole league,
apparently.

And you cannot call it stick
horsing. It's very offensive.

Hmm.

I looked it up in the elevator.

Okay. Uh...
Just a little longer, Vince.

Guess I'm missing
the barrel race.
I know it sounds weird.

-No, no.
-Seems fun.

Most people don't get it, but
that's what's cool about it.

Being part of a community
that loves something

and doesn't care
what anybody else thinks.

But I'm going to college in
Colorado, and there's no hobby
horsing there.

So, pretty soon,
I won't be part of anything.

I'll just be a guy who fell
off a fake horse and failed.

His systolic's in the sixties.

-His sats are tanking.
-He's gonna code.

Okay, let's get a chest tube
tray and prepare to intubate
right now.

I'll notify the OR.

Getting ready
to secure the mesh
to the shelving edge.

Dr. Kwan,
hold tension on my suture.

- Okay. How's that?
- Good.

I am scrubbed and
ready. Hope you're happy.

Last time I checked, I was doing you a favor.
You're welcome.

You encouraged
her to take a bigger risk.

No, I listened to her.
There's a difference.

With all due respect,
I spend the majority
of my clinic hours

listening to female patients.

- Oh.
Do a lot of DIEP flaps?
- Fair amount.

Let me guess:
Not as many as you'd expect.

Well, no, because most
people don't know that the law

requires insurance companies
to cover breast reconstruction
after cancer.

Yet somehow everyone
knows you can get a vasectomy.

You see a pattern here,
Dr. Avery?

I see several,
Dr. Grey. You made your point.

Too bad you can't publish that.

I'm done here, Dr. Kwan.
You can close the fascia.

So, this should just take a few
minutes. Try to hold still.

I am not going anywhere.

And then I'd like to review
your daily routine, your diet,

just to make sure that you're
not inadvertently putting
any strain

on the repair.

Hey. We're on a break.

-Do you wanna grab
a bite after this?
-Oh, now's not a good time.

-Are you okay?
-Yeah, I just...

I have a really
complicated patient.

Well, I'm happy to
bounce some ideas around.

You want me to consult?
Or just support?

You know what, um...

The scan should be coming up
soon. You should probably go.

Is this because
we ran into Owen earlier?

- No.
- Are you sure?

Because you seemed fine
at the hotel. More than fine.
And now...

And now I am treating
an extremely risky patient
who requires my full attention.

And I'm not in a hotel bed.
I am at work.

-Well, then I will
leave you to it.
-Okay.

He has a lower lobe injury.

I'm seeing multiple
lacerations of his lung.

- I'll do a wedge resection.
- -How much do you have to take?

Can someone page Wilson
and see how much longer she's
gonna be?

You know, I had
a hobby horse when I was a kid.

It scared the crap out of me.

I couldn't sleep
unless it was facing the wall.

You know, I wasn't
gonna say anything,
but it's weird, right?

It's a bunch of people
jumping around on toy animals.

There's a website
where you can customize
your horse's head.

Enough. We're not here
to judge. We're here to fix.

If you can't just focus
on the job, then you should go.

This kid loves his sport,
and after today, he might not
be able to do it anymore.

Haven't you ever
loved something and lost it?

- Let's show some respect.
- I'm sorry.

- Me too.
- Suction.

This is lining up perfectly.

Dr. Warren, why don't you go
ahead and grab that clamp.

Beautiful. Very nice.

Is there something you need,
Dr. Mohanty?

I am done with
the Millard repair.

I thought I'd see if
you need more hands here.

- Oh, we're good, but thank you.
-Understood.

Warren, when I'm done
with the arterial anastomosis,

you wanna give me a hand
with the venous coupling?

Absolutely.

Dr. Avery, may I be excused?

I'm really not feeling well.

You were fine ten seconds ago.

I think I might have had
questionable leftovers
for lunch.

Might come out of both ends.

No need to elaborate,
Dr. Kwan. Mohanty,
looks like it's your lucky day.

-I'll go scrub.
-Okay.

Dr. Avery just finished
the microvascular anastomosis

and made it look easy.

-It's insane.
-Meade?

-Yeah?
-Go somewhere else.

Oh. Okay.

You need something?

Yes. What is PD-L1?

Programmed cell death ligand.

It's a protein that helps
your cells more effectively
kill cancer cells.

Okay, and CTLA-4?

It's an immune
checkpoint inhibitor.

Another mechanism
that clinical trials

are exploring for
treating cancers like yours.

-Why?
-Yeah, no, I'm searching
clinical trials.

It's all fairly overwhelming.

Yeah, most of the possible
side-effects aren't that bad.

"May cause dry mouth,
nausea, or death." Yeah,
death seems pretty bad.

Yeah, that's just lawyers
making sure nobody gets sued.

Oh, that doesn't
make me feel any better.

-Ouch.
-You okay?

No, my leg hurts.

-I'm not used to being
on my feet.
-Yeah. Let me take a look.

-Ow. Stop. Please.
-Grab a wheelchair.

-Right away, Dr. Adams.
-Wait. What's going on?
What's happening?

I think you have
a blood clot. Let's get you
back to your room.

We need to
ultrasound your leg ASAP.

Sorry, I know that you said
no screens with a concussion.

I just wanted to watch
Vince in last year's puissance.

-Whoa. How high is that bar?
-Four feet.

They raise it
after every round.

-That's pretty impressive.
-It's not even his best event.

People don't realize how much
strength and precision
it actually takes.

-Hmm.
-When I would tell
the other kids,

they would just laugh,
so I stopped talking about it.

I would just say that my mom
wouldn't let me go
to the movies

instead of saying
that I had practice.

But then I met Vince.
I didn't have to lie anymore.

Everything changed.

He got me.

-I'll put this away.
-Actually, neuro cleared you.
You can go.

-Really?
-Mm-hmm.

We might make
it back for hunter/jumper.

That's Vince's best event.
He's gonna be so psyched.

Actually, Vince can't go.
He's in surgery.

-For real?
-I can't say more
because of privacy laws,

but it shouldn't be more than--

You can't see him yet, but I'll
let you know when he's out.

I have to make it
back to the competition.

I finally have a shot
at winning hunter/jumper.

Your friend is in surgery.

Vince would want me to go.
Can you shut the curtain
so I can change? Thank you.

What is wrong with people?

Hey, am I interrupting?

-My five-year-old lost a tooth.
-Cute.

Well, it's because his brother
knocked him off his swing,
but still cute.

-He's fine.
-That makes two of you.

I'm okay?

All your tests came back clear.

Oh, my God. Okay. Thank you.

So, the pain is...

I'm guessing indigestion,
so I'm gonna put you
on an antacid.

I can't believe
I bothered you with this.

No, it's okay.

I am still your doctor.

You know, I used
to be one of those moms

who would put a handwritten
note in her kids' lunches
every day.

And since the divorce,
and then the surgery...

I'm lucky if I can
get them to school on time

in clothes that they didn't
also wear to bed.

Can't seem to get myself
to the right place and the
right time anymore,

and I'm sorry
I dragged you into it.

I get it more than you know.

Owen
and I are looking at divorce.

Oh. I'm so sorry.
I-I-I didn't know.

-Are you okay?
-It's taking some
getting used to.

If I had anything
to do with this--

No, it was all us. It's okay.

I mean, it-it will be okay.
We're not there yet.

I definitely
have a long way to go,

but I'm just-- I'm just hoping
that we both have a chance

to find what makes us happy.

Yep, there it is. A small clot
in the distal popliteal vein.

Does it mean I'm gonna have,
like, a stroke or something?

Well, we'll still need
to scan you to make sure

you don't have one in
your lung, but it looks like
we caught it early.

I'll put in an order
for a heparin drip, and then
I'll update Dr. Bailey.

It's always something.

Cancer unfortunately makes
your blood more prone to clots.

I haven't told any of
my friends that I'm here.

They wouldn't get it.

Their biggest problems are
passive-aggressive coworkers

and where to get
drinks on a Thursday night.

I'm not mad. I want that too.

I want to hang
out in wine bars,

go to Europe, watch my friends
get married and have kids.

And, um, this
might sound really dumb,

but I really wanna try
a slice of New York cheesecake.

Well, I'm from New York.

- I bet I could help
you with that.

Mostly, I just wanna fight,
but there's nothing I can do

except sit here and think about
my cancer cells multiplying
until I die.

And I really don't want to die.

All right,
let's prep for the venous
anastomosis, please.

We need the hockey stick.

Already got it.

I like the teamwork.

Mohanty, why don't you do
the venous coupling?

-You ever done one before?
-Of course.

Wait, look at the other flap.
Does it look like it's
turning blue?

It looks like congestion
in the venous outflow.

Well, what do we do?
The flap's not viable without
good outflow.

And we don't have many options
in terms of the reconstruction.

Was there bleeding
when Grey repaired the hernia?

Uh-huh. So she probably
sacrificed the superficial
epigastric vein.

Perry's probably
superficial dominant,
so the vein's too short.

That would explain the
decreased outflow to the flap.

All right, how are
we gonna resolve this?

It's too short to connect
to the retrograde IMV,

so a cephalic turndown would
give the buildup of blood
a place to go.

Very good. So, we will begin
by isolating the cephalic vein.

I'll do the turndown,
and then we can get back
to work on the other flap.

Nice work. Welcome
to the Plastics Posse, Mohanty.

I asked Millin to update me
on Vince's recovery tomorrow.

- Hope you don't mind.
- Sure.

I kinda got
a soft spot for the guy.

I really wanted to compete
in the national marble
tournament when I was a kid.

Crushed me when
I lost my lucky hazer.

-You okay?
-I'm fine.

Jo told me about you and Teddy.
If you ever want to talk...

About what, Link?
You're gonna help me process
the end of my marriage,

get over the loss of my wife
and my best friend?

And you say, you what,
you can relate because
you lost a marble once?

-I'm just here to support.
-You shouldn't be here at all.

Well, unless that mouse
needs an appendectomy,

this is not official
hospital business.

-How's Perry?
-She's great.

I mean, I did have to perform
an entire cephalic turndown
thanks to you, but...

Me?

-Oh, the superficial
epigastric. Sorry.
-Nah, it's fine.

It's pretty standard
during a hernia repair.

I should have
expected it, honestly.

Look, I am sorry, Mer. You were
right. It was the right move.

Perry is super happy.
And after all she's been
through with chemo,

and hormone therapy and
radiation, she deserves it.

-She does.
-Thank you.

-It's the estrogen, you know.
-You and Perry have
estrogen. Yes.

No, the difference between
the male and female mice.

Why the antibiotic
affects one and not the other.

-How do you figure that?
-I don't know that yet.

I'll have to revise the study
and measure the hormone levels.

-Okay.
-Anyway.

You want
a ride back to Boston?

Sure. I have to go
take care of something first.

- Hey.
- How'd I do?

We were able to stop
the bleeding in your chest.

-You're going to be fine.
-What about the broken ribs?

Don't I need
a cast or something?

They're just gonna take some
time to heal. No more hobby
horsing for a while, okay?

It's okay. I probably
outgrew it a while ago.

I'll still miss
it in college. And Jonah.

I'm thinking
of trying ultimate frisbee.

Sounds like fun.

Or theater.
Or the college newspaper.

I'm looking forward
to trying something new.

That's a good attitude.

Your mom and dad are in
the waiting area. I'll go tell
them that you're up, okay?

Hey. I found
a clinical trial for Katie.

A new immunotherapy targeting
checkpoint inhibitors.

Oh, that could be promising.

Yeah, I'll read
the fine print tonight. Hmm.

Uh, her right leg was swollen
earlier so I got an ultrasound
and it showed a DVT.

But, uh, no PE on the CT, so I
started her on a heparin drip.

It's gonna be an uphill battle.

I'd like to see her case
through, if that's okay.

Um, that might mean
missing more big surgeries,

facing more
paperwork duty, more me.

Um... That's okay.

I, um... I think I need more
experience in surgical
oncology.

All right,
I'll let everyone know.

Your hand's unstable.

You just made
me kill my patient.

How'd the surgery go?

Perry's got new breasts,
and I was inducted

into Avery's Plastics Posse...
...for whatever
that's worth.

Wow, sounds like you impressed.

-What did you eat for lunch?
-Chips.

You got food
poisoning from chips?

Chips and a sandwich.

A... A vending machine
sandwich.

The vending
machines have sandwiches?

They... shouldn't.

Well, thank you.

I now know to stay
away from the sandwiches.

The trick with microsuturing
is finding something
to stabilize your hand.

Uh, could you please tell
your hobby horse patient that
his friend wants to see him?

I would, but his supposed
friend ditched him to go back
to the competition.

-Okay.
-Why don't you want
to live with me?

-What?
-I'm neat, considerate,
responsible.

I'm a catch. Plus,
I thought we were friends.

Oh. Uh...

I'm a really hard sleeper.
Do you know what that means?

Every morning I wake up
to three alarms on my phone
at full volume,

I have a-a vintage clock radio
across the room as a backup.

I've not only been kicked out
by roommates,
but I've lost friends over it,

and the only reason
that it works with Max

is because she can't
hear anything without
her hearing aids in.

It's not that I don't
want to live with you.

It's just...

historically,
I haven't had a lot of friends,

and I don't want
to risk that with you.

You wanna come over
and watch trash TV tonight?

And miss watching High Noon
for the 18th time with Max
and Irvin?

Hell yes.

Hey, hey. Um... Can we talk?

Can't. Apparently, I'm
only capable of pillow talk.

Okay, that was deserved.
Listen, I am really sorry
about earlier.

You were pretty harsh.

I know. And I lied.

Running into Owen this
morning, it-it rattled me,

and then I had this particular
patient come back in,

-who I have
saved multiple times--
-Teddy, it's fine.

No, it's not. Listen.

When I was stationed in Iraq,
there was once this competition

that they held for the most
precise hospital corners,
bedsheet corners.

Guess who won first place.

If I had my way, I would run my
whole life like a tight ship.

Order and stability and having
control give me comfort,
always have.

But right now,
I am as far away from that

in my personal life and-and-and
at work than I have ever been.

But when you and I are alone,
I forget what a mess
everything is.

And I think I'm scared
being out of our bubble
will take that away.

It could.

Or it could give you more
space to claim as your own.

I like that.

It might take me
a little while to get there,

so I'll understand
if you have to move on.

I would but I think
I need to see those tight
bedsheet corners.

Maybe we could find
an empty patient room.

Oh.

I was thinking we'd
just go to your hotel.

When you encounter
a new beginning, there's no
announcement on a loudspeaker.

Blink and you could miss it.

I ran into Jackson.
He said you excelled today.

Well, actually, he said you
kicked ass, but I interpreted.

Oh. It was an amazing case.
It had everything I love
about surgery.

Um, abdominal tissue
and microvascular suturing?

Challenging anatomy.
Teamwork. Meaningful outcome
for our patient.

-You're beaming.
-What? Aren't I always
a bright light?

So, why aren't you doing
a plastics specialty?

It's three more years
of residency.

Three years of you doing the
lion's share of work at home.

Three years that would
be worth every second

if plastics lights you up
like this.

-Really?
-What, you need it in writing?

-Yes.
-Uh...

You know, sometimes I feel like
you understand me before I do.

But you know what else
would really light me up?

-What?
-Give me 15 minutes to change

and I'll take
you home and show you.

Or worse, ignore it.

-Hey.
-I didn't see
any more patients.

I'm just waiting for Jo.

I owe you an apology.

I've been feeling
lost, and that's not on you.

You might actually be
the only person who's asked
how I'm doing, so...

We've all been there.

And hey, I'm around
if you want to talk,
grab a beer...

Yeah.

But not right now, because
Jo's pulling the car around,

and she wants ice cream.

Yeah. Don't let me stop you.

-Hey, stranger.
-Nora? Nora, what are you...

-What are you doing here?
Are you--
-I had chest pain.

Turns out I have plain old
indigestion like everyone else.

Okay. So, you're...
I mean, you're good?

Just trying to figure out
this whole new normal.

I talked to Teddy. Sounds like
you're doing the same thing.

Yeah. You know, taking it
one day at a time.

Yeah.

Would you--
I mean, do you wanna talk
and get a coffee? Or...

I don't think
that's a good idea.

I mean, if I have coffee now,
I won't sleep for two days.

Dinner?

That would be...

-That'd be really great.
-Yeah?

New beginnings can be scary.

But they can also
be deeply fulfilling.

I think I've made
a breakthrough in my research.

Oh. That's wonderful.

And I know I said
I would stay awhile,
but the longer I stay here,

the longer it is until
I get to the root
of Alzheimer's Disease.

There are too many people
counting on me, so I think it's
time I go back to Boston.

-What are you doing?
-I'm finishing rescheduling
your patients.

The second I read
Koracick's article,

I knew it would be only
a matter of time before
you decided to go back.

-And you should.
-Thank you.

Oh, and Meredith?

Give 'em hell.

So let go, and dive in.