Original subtitles

♪♪

♪♪

Meredith: Surgeons are the biggest hypocrites.

We tell our patients to rest as we work 100-hour weeks.

You don't want to be late.

You're on my service today.

I think I've been servicing you since last night.

You want me to stop?

♪♪

We tell residents to have good bedside manner.

Then we yell at them for the smallest mistakes.

You follow instructions well.

Well, I aim to please.

♪♪

And that's why breakfast is on me.

I'm starving.

This feels mildly transactional...

[ Chuckles ] ...but I'm not opposed.

Aren't you a vegetarian? Vegan, actually. Why?

Oh, you just ordered, uh, carnitas.

That was for a...coworker.

At 2:00 a.m.?

You're not the only one who eats breakfast.

♪♪

We tell our kids to chase their dreams

as we constantly question our life choices.

[ Phone rings ]

Hi! The answer is still no.

Addison: I consult on your patients.

When was the last time I referred you a patient?

What is a substitute for vanilla?

Are you doing a crossword? I'm baking.

Okay. You need to go back to work.

Patient's name is Emma.

She's five months pregnant, with severe headaches.

Yeah. I read your e-mails. So? What do you think?

Well, it could be anything. It could be migraine, CVST.

It's hard to say without imaging.

Uh, do you think I could use honey?

[ Knock on door ]

One second. There's someone at the door.

♪♪

What? [ Laughs ]

So...will you do her scans?

I am on sabbatical! Why are you here?

Because you cannot say no to this face.

Ohh!

No. Come on.

Emma's waiting for us at Grey-Sloan.

Go. Get dressed.

God!

Meredith: We love fixing everyone's problems.

But don't ask us to solve our own.

[ Yawns ] Big night?

And morning. There was a very hot shower.

Our house is nailing it right now.

Gross.

Who knew Kwan with a girlfriend would be more annoying

than Kwan without one? She's not my girlfriend.

Aww. Mohanty finally dump you?

No, but we are just not... exclusive.

You're both seeing other people?

He's not. You told me you weren't.

He thinks Mohanty might be. Okay.

You are not allowed to ride in the car with me anymore.

Yeah. Well, I'm exclusively seeing patients.

You on cardio today?

Cardio wants nothing to do with me, which is fine.

I'd invite you to Hunt's ambulance ride-along,

but it is a party of... one.

Which is also what it's like for you

when Mohanty's seeing other people.

Oh! [ Laughs ]

Hilarious.

Bailey: Yes.

Hey, did you already tell her?

Uh, no. We waited for you.

We don't get to do this nearly enough.

Come on. Katie: Okay, okay.

Just stop questioning it and take the job in Paris.

Okay. Uh, we'll talk Tuesday. Bye-bye.

Oh, my gosh. My client is great, but very stubborn.

Yeah, I think I know the type.

Uh, Katie, this is Dr. Warren. Hi.

He and Dr. Adams will be taking care of you

while I'm out today.

But before I go, we have some news.

So, we got your scans.

Your primary tumor reduced by 30%.

The treatment is working?

It appears that way.

Your CEA and CA 19-9

have decreased dramatically as well.

Oh, my go-- I'm sorry. I don't know what to say.

I mean, I know that you said that you would find a way,

but I didn't know that you actually could!

Never doubt her abilities.

And you're the husband, aren't you?

I am.

What did she say about me?

[ Stutters ] She is a professional couples' therapist.

She gives good advice. Yeah.

But as a pro, you know, just...

Mm. So I need to head out.

But you are in good hands, and I am glad you're feeling better.

Thank you.

Seriously, what did she say about me?

Hey. I've got good news and bad news.

Which would you like first?

Bad. Good.

Patient wins.

So, the bad news is

no more hospital breakfasts for you.

Because I'm being discharged?

Yes. [ Gasps ]

Your EF has normalized, and your dyspnea has resolved.

So you'll continue PT and surveillance echoes.

But you're ready. Oh!

I get to sleep in a normal bed and eat normal food.

[ Chuckles ] Thank you.

For everything. Oh, yeah. [ Chuckles ]

Happy to help.

Nurse will be in soon, all right? Okay.

Come here.

[ Cheers quietly ]

Okay.

Mm!

Are you sure you're okay with me seeing patients today?

Yeah! You've been waiting

to get back into the OR for months.

And I'm gonna spend the day with the girls

in the NICU anyway.

[ Sighs ] I get to come home.

You get to come home.

Good morning. Are you okay?

You have a headache or something?

It's preventative. I get motion sickness.

Oh. Would it help if you sat up front?

Mnh-mnh. Nope.

I want to experience the ride-along

like one of my residents

so I can accurately assess its merits.

Oh. I thought you were optimistic

about the ride-along program when I suggested it.

I kind of thought this was just a formality.

Well, money's tight,

and everybody has ideas for innovative rotations.

Oh. Is there something I can do to move the needle?

Send you some studies of other hospital programs?

No. Let's just see what the day brings.

Okay. Welcome to Grey-Sloan!

Thanks for having us. We were just meeting Dr. Kwan.

I don't have any first-responder experience,

so this will be great. Mm.

Well, meet Jackie and Greg.

They will be showing us how to triage

and stabilize in the field

and how they transfer patients to the hospital.

Greg: For everyone's safety, please wait for our instructions

and then follow them closely.

After you. Oh.

Watch your step.

There'll be no telling what the day will bring.

Except waiting.

There's always waiting. [ Chuckles ]

Greg: Which brings us to your first lesson,

arguably the most important.

Who knows how to play speed?

♪♪

[ Sighs ] Off to a great start.

Mrs. Tucker in bed five has been discharged,

and I hear there's another empty bed in the on-call room.

How can you think about that right now?

I think about it a lot. You just changed a wound vac

on a 92-year-old man.

Yeah, and it reminded me that life is short.

Okay, but we have to keep it professional here.

We're dealing with people's lives. It's serious.

[ Man whimpering ]

Hey. Hey. Uh, what happened?

I slipped on baby oil. I think I busted my hip.

Okay. Let's get you to a bed.

This way.

Yes. Work is very, very serious.

♪♪

You good? Yeah.

I thought I'd feel weirder after being gone for so long,

but it feels like I was just here.

Yeah. That never goes away.

Ah! Dr. Montgomery.

Dr. Shepherd. I didn't know you were back.

I'm not back. Well, I'm on scut all day today,

so if either of you needs a resident --

It's just a consult, Millin.

Emma, this is Dr. Shepherd,

who I've been wanting you to see.

Emma and I met on the road.

She's from Clark County, Idaho.

Dr. M's my birth-control hookup.

Or was.

I finally gave in to my husband. He's wanted a baby for years.

Well, it's very nice to meet you.

Tell me about your headaches.

Ah. They've been constant for two months.

My husband has had to take care of all of our animals.

Animals? Mm-hmm.

We run an animal sanctuary -- cows, horses, goats, alpacas.

I always thought fur babies were enough,

but now that I'm pregnant with a human baby,

I'm pretty attached to her too. Mm-hmm.

And all the cute onesies I can't stop buying.

Any numbness, tingling, or weakness?

Squeeze my fingers.

Uh, no, but the pain's gotten worse.

Okay. Tell me when you see my fingers.

I've seen my OB and been to the ER.

Everyone says it's hormones.

I see them now. Is that good?

♪♪

Millin, I need a stat MRI head without contrast

and a wheelchair. What's happening?

You've lost your peripheral vision.

What does that mean? It means we need imaging to see what's going on.

Jules: Okay.

♪♪

Speed. [ Groans ] Are you kidding?!

[ Laughs ] [ Sighs ]

So, Jackie, on an average day,

how many calls for EMT services do you get?

There isn't a typical day.

Some days you're on the go,

and others you're clobbering your partner at cards.

Oh, I'm winning this round. [ Chuckles ]

But you do agree that ride-alongs

help educate hospital staff on first responders' roles.

And the more they know, the better the communication.

And that improves patient care. Sure.

If they're paying attention.

Go. [ Laughs ]

[ Clears throat ] I'm married to a former first responder.

I know there's a lot of hurry up and wait.

-Yeah. -Dispatch to ambulance 22.

Injuries after a fall on the football field

at Seattle West Community College,

425 Castle Rock Road.

Here we go! Finally.

[ Engine starts, siren wails ]

What have we got?

This is Jeff, 28.

Pain in his right hip. Can't bear weight.

Looks like a posterior hip dislocation

due to the placement -- Man versus baby oil.

Fell off a pole. [ Groans ]

Jeff is a male erotic...movement professional.

"Stripper" is fine.

Okay. You mind if I take a look?

[ Groans ] So where do you...strip?

Hot Temptations.

I started last month working the early-bird special.

Money's not great, but it's good practice.

Hopefully soon... [ Groans ]

...I'll get to be dancing nights and weekends.

That's where you make it rain.

We'll get you back on that stage in no time.

Dr. Griffith and Dr. Bryant will make you comfortable,

and we'll get that hip back in place.

Should I page Dr. Young?

No need. Altman cleared me for surgery yesterday.

That's an impressive dislocation for your first one back.

I can't believe he got that pole dancing.

This will mean nothing to you,

but that hip looks like Bo Jackson in the '91 playoffs.

From the Bengals game? Yeah.

He was -- He was never the same after that.

Could have been a league legend.

Yeah. Well, he is in my house. My dad -- ultimate Raiders fan.

Get Jeff sedated for the reduction,

and we'll page you when he's ready.

Okay. Okay.

Why did you do that? We were having a moment.

In the words of John Wooden,

"Nothing will work unless you do."

♪♪

Dr. Evie Burkhart to the ER.

Dr. Evie Burkhart to the ER. What's Little Natalia's?

Oh, it's the restaurant

for Seattle's top-ranked New York cheesecake.

I made a reservation for next month.

Am I being too hopeful? Should I not celebrate?

I think you got scammed by advertising.

I know the restaurant with the best cheesecake.

Oh. When's the last time you went to a restaurant?

Yeah. Right. You don't get to vote.

Well, I'm just saying if you're gonna celebrate,

you should go bigger.

Get the best New York cheesecake in New York.

Yeah? Well, let me go pack. All right.

The original Junior's in Brooklyn.

You know, for a doctor, you have pretty bad judgment.

I can't go to New York.

Why not?

Because... I have my treatment.

Oh, it's just one weekend.

You'll be back in this room in no time.

Look, uh, what would you tell your clients

if they were sitting in that chair?

♪♪

I can't believe I'm actually considering this.

Um, but shouldn't we ask Dr. Bailey first?

Ask after you book the flight.

Then she can't say no. Ok-- Okay. [ Laughs ]

[ Siren wailing ]

♪♪

We got a call about a football injury?

Cheerleading, actually.

We usually practice in the gym with padded mats,

but we've got to get out in the field sometime.

That makes sense.

Okay. What happened?

[ Sighs ] We were practicing backflip rewinds, and --

And Butterfingers dropped me. You kicked your leg on the toss.

Freakin' knocked me out. You were out for two seconds.

You've been a suck-ass spotter all season.

Should I do a primary survey on her? I'm a fly on the wall.

Wait for Jackie's instructions.

She's not doing anything.

Kwan, get over here and help me triage.

When you arrive, you first assess for scene safety.

All right. Let me have a look.

-What's your name? -Rosie.

Simone: The drugs should take effect soon.

So, how did you get into...stripping?

It was my college major.

[ Laughs ]

I'm kidding.

I was bagging groceries,

and I started stripping on the side

to pay for my student loans.

Turns out it was everything I ever wanted in a job --

flexible hours, I was on my feet,

and I get to make a lot of people happy.

Aside from the flexible hours,

it doesn't sound all that different from surgery.

How do you do surgery?

How are we doing over here? Good.

Hey, when do the drugs start to kick in?

He's ready. [ Chuckles ]

Okay. Jeff, I'm gonna pull your hip back into its socket.

You shouldn't feel any pain. Just some pressure.

Bryant, will you secure his hips? Yep.

[ Clears throat ]

Hey, you've got a deep squat. You could be a stripper.

Thank you. I will consider it.

All right.

There's so much baby oil.

[ Grunts ] Yeah, I can't get a grip. He's like an eel.

Griffith, some towels, please? Okay.

[ Clears throat ] Okay.

All right. You ready, Jeff?

One, two... Yep.

...three. Oh! Aah! Aah!

You said there'd be no pain!

Ow! Ow! Yeah. I'm sorry.

I think it's pinching your sciatic nerve.

Are you okay? Yeah. I'm fine.

Let's, uh, let's get a CT so we can find out what's wrong.

I'll go grab it. Thank you.

♪♪

Emma: It's like a coffin in here. What? Where are the headphones?

She doesn't have headphones?

The music will distract her. Well, the scan's almost over.

I'll go and get her some headphones.

You're doing great, Emma.

You know, close your eyes. It helps.

Did not expect either of you in here.

Is this Montgomery's doing?

I may have called in a favor.

Just for today. Okay. Well, nice work.

I hope it sticks. It's good to see you both.

Uh, the scans --

scans are already up.

Is that a pituitary adenoma?

She must have had this tumor for a while.

And then she got pregnant and the hormones

made the tumor grow.

Emma: Dr. Montgomery, I opened my eyes.

Uh, that's okay.

We're gonna get you out of the...coffin soon.

That's not the problem. I can't see anything.

My vision -- I think it's all gone!

Okay. The tumor just ruptured. Let's get her out of there.

I will page Roberts. Roberts?

You're gonna make me spend four hours in an OR

with that old blowhard?

Well, I agreed to consult, not to operate.

Well, that was before I knew Emma needed surgery.

I am on sabbatical! Jake --

Jake's leaving me.

I don't want to talk about it.

I don't want you to ask any questions about it.

All I want is for Emma to get the best care possible.

And that's you.

I will get my privileges reinstated.

♪♪

Oh. Can you see what's blocking the reduction?

That bone fragment.

Posterior wall acetabular fracture.

Any nerve or vascular damage?

Not yet, but the longer we wait, the higher his risk.

Book an OR. Okay.

I checked the OR board on my way here.

There's a wait list, but I'm tight with the front desk.

So we'll get him in today. Do what you got to do.

All right.

What?

Just surprised you could see the board

with your head so far up Lincoln's --

Like you've never tried to get in good

with attendings while you were an intern?

I didn't have to. My skills spoke for themselves.

What kind of skills are we talking about?

Is your brain just alternating between sex and surgery all day?

I think it's a healthy balance.

Go sweet-talk the front desk. Okay.

I don't have 5 to 10 business days.

I need the glider today. [ Line disconnects ]

[ Gasps ] He just hung up on me!

What's going on?

Okay. Um, Dr. Kasliwal just told me

that the girls are doing really well.

They haven't needed the bili lights or supplemental oxygen.

Peyton's ASD is closing.

And that's a problem because?

[ Sighs ] They're being discharged today.

[ Infants crying in distance ]

Our whole family's officially out of the hospital.

Yes, but we -- we haven't finished the nursery.

I haven't hired a night nurse.

I'm -- I'm scheduled to be done painting this weekend.

And I thought we liked Samantha.

Well, she kept referencing true-crime documentaries.

We like true-crime documentaries.

Didn't seem like she was sympathizing with the victims.

[ Phone chimes ] I see your point.

Um, I have to get to surgery, but, hey,

it is gonna be okay.

I promise.

Okay.

Is it?

Amelia: Millin, before you scrub,

would you go in and help them set up the scope?

Absolutely. Mm-hmm.

What happened with Jake?

Addison: Emma's in her second trimester,

so her physiology is different than most patients.

Yeah. I'm not a resident.

What about Henry? Is he okay?

And anesthesia can be challenging.

We need to make sure both the mother and baby are safe.

[ Water running ]

All right, you used your personal life

to manipulate me into doing a surgery.

You're gonna have to tell me what the hell is going on.

Jake's done supporting my work on the PRT

and wants me to come home. Happy?

Addison... Emma's waiting.

Owen: Kwan, say your findings out loud

like you would in the trauma room.

Okay. Neck is non-tender.

Ow! My rib's got to be broken.

Should I be headed to a hospital?

Let us finish triaging, okay? I feel okay. Help Rosie.

We took her vitals. She's stable.

We need to finish your neuro exam.

Pupils are equal and reactive.

My side! I can't breathe!

If she's talking, she's breathing.

If she dies, she will haunt me from the grave.

Rosie: I heard that! Rosie, another team's here.

They'll take you to the hospital.

Kwan, grab that backboard. Okay.

♪♪

He's seizing! Okay, let's get him on his side!

♪♪

Jackie: Okay. Okay. You're okay. You're all right.

Hey, so if one of Bailey's patients

wanted to take a trip during her immunotherapy regimen...

I may have convinced Katie to book a flight to New York.

How much crap will I be in?

Come look at this e-mail. [ Sighs ]

"We write to inform you that we have made the decision

to discontinue the IM90 Protocol."

Wait, wait, wait. This is Katie's trial.

She's literally getting an infusion right now.

It might be the last one.

Okay. But what are we gonna do?

[ Sighs ] Nothing -- until we talk to Dr. Bailey.

♪♪

Jackie: Giving 5 mg of midazolam.

Does anyone know if he has a history of seizures?

I've never heard anything, and I've known him

since kindergarten.

Is he okay? We're figuring it out.

Okay. Yes. Bring the board.

Kwan, you call it. Okay.

Here we go. One, two, three!

Left pupil's blown. Looks like a brain bleed. Kwan?

In the hospital, I would page a neurosurgeon.

In the field? We could drill a burr hole to relieve the pressure.

I saw an IO gun in the ambulance. We're not drilling into his brain

if we can get him to a hospital. We'll send him with them

and follow up when we get back to Grey-Sloan.

Not to make this about me, but... We'll take you ourselves.

One, two, three.

Blue: Okay. Keep it steady.

Hey. You paged? Katie: Yeah.

Midtown or West village?

Oh, uh, you're already looking at hotels?

I got my flight.

Wait. Did Dr. Bailey find out?

No. Uh, no, no. I just...

Wow. You, uh, you move quickly.

Well, I haven't let myself

look forward to anything in so long.

I forgot how good it feels.

I even e-mailed my boss

to discuss seeing clients in person again.

Hey, look. You should probably not rush --

Relax. I'm not gonna start tomorrow.

[ Chuckles ]

Don't be sad.

I'll come and visit when I'm feeling better.

[ Phone chimes ]

They -- They need me for a consult.

Wait. Midtown or West Village?

Uh...the Village.

♪♪

Amelia: Approaching the skull base.

Addison: I bet Emma's husband's feeling real guilty

right about now. What'd he do?

Addison: She didn't want a baby. This was all him.

My dad didn't want kids.

That didn't work out so great for him.

Yeah. Well, Emma's on an operating table

with a camera and a curette up her nose,

so I don't think it worked out very great for her, either.

Um, your mom changed your dad's mind?

Oh, no.

She secretly stopped taking her birth control

and then hid the pregnancy

until she was too far along to terminate.

My dad got over it after he smoked a couple of joints.

Then they went on to have my brother,

and they do regret that one.

Emma said she's happy about the baby now.

What else is she gonna say? She's five months pregnant.

It seemed genuine.

All right, I'm removing the bone.

I'm in the sella now. Keep the camera close.

Successful marriages thrive on compromises,

not demands.

[ Monitors beeping rapidly ]

She's hypotensive. Push fluids.

♪♪

[ Suction gurgling ]

More traction, please.

On -- Got it.

Link: You know, I never really thought of stripping as a sport,

but I guess it ticks all the boxes.

It's definitely athletic. And apparently dangerous?

[ Grunts ] Either of you play any sports?

Oh, yeah. Basketball, football, baseball.

A little bit of tennis.

I was a competitive figure skater.

Seriously? Like, with the jumps and stuff?

Were you any good? My last competition I won silver in the free skate.

Link: Yeah. Skating is intense.

Some of the worst injuries I've ever seen. [ Grunts ]

You know what? It's not gonna budge.

Let's, uh, let's stop and we'll put in a distractor

and we'll try again.

[ Monitor beeping ]

[ Siren wailing ]

O2's a little low. Take a couple of deep breaths.

[ Breathes deeply ] I hope Tim's okay.

I know he's a decent spotter. I was just scared of Cammy.

Is that some kind of a stunt?

Cammy Lim. She's been on the squad for two months.

She's my backup

and throws roundoff double-backs like they're nothing.

Well, there's got to be more to being on the squad

than that roundoff thing. Roundoff double-back.

Do you know how hard that is?

Now I'm out, and they're gonna realize

she's 10 times better.

I-I get it. Yeah.

You're worried that they'll want her instead.

But you're there for a reason. [ Phone buzzing ]

And when you come out of this,

you'll remind everyone why that spot is yours.

You're right. I'm a flier.

Hey. I'm in the ambulance. What's up?

Canceled? W--

Did it say why? [ Gasping ]

I-I can't breathe. [ Monitor beeping rapidly ]

Okay. She's desatting. Uh, I got to call you back.

Okay. Yeah.

Decreased breath sounds on the left.

She needs a needle decompression.

Wait. Here? In a moving rig?

We do it all the time. Me?

It's your ride-along.

♪♪

[ Monitors beeping rapidly ] Owen: Whoa!

Sorry about that! No more turns for a while.

Let's make this quick.

Okay. Her sats aren't improving.

Let me try.

Okay.

♪♪

The needle decompression is not working. She's still retaining air in there.

Should I put in a chest tube? We'll do that at the hospital.

W-We're at least 10 minutes out.

This is field medicine.

The priority is to buy her time and get her to Grey-Sloan.

No. What do you mean, no?

No. The longer we wait, the more oxygen she loses,

the greater the chance of her developing a-a tension pneumo

and rapidly decompensating.

No. I don't want to take that chance with this young woman.

Not today. Give me a scalpel.

Bailey, what are you doing?

I will do a finger thoracostomy.

Awesome. That is not the priority.

This is a rig, not a trauma room.

Kwan, stop. Kwan, give me the damn scalpel.

She's the residency director.

♪♪

♪♪

[ Monitors beeping rapidly ] BP's still soft.

Amelia: Hang another bag of IV fluids.

Fluids aren't doing anything. It's got to be the anesthesia.

We need to counteract the vasodilation.

Push in pressors. Something is not adding up.

Are you seeing anything on your end?

[ Monitor beeping ]

Baby's decels are getting worse.

We need to act now. I am thinking.

Well, we don't have time for that.

Push more pressors. Wait.

I understand that she's your patient and you are worried,

but I am the one who is in her brain. Then do something!

Could it be from the bleeding?

She has not lost enough blood

to cause this big of a hemodynamic change.

But the hematoma was pressing against her pituitary.

It's disrupting the ACTH pathway.

She's in acute adrenal crisis.

Push 100 mg of IV hydrocortisone.

♪♪

[ Beeping slows ] Blood pressure's coming back up.

Baby's heart rate's improving too.

Page someone from OB to watch the fetal monitor.

Dr. Montgomery needs a minute.

[ Exhales sharply ]

Are you -- Are you kicking me out of the OR?

What if the baby needs to be delivered?

OB will handle it.

♪♪

Let's finish what we started.

Suction.

♪♪

Now that the fragment's out, it should reduce easily, right?

[ Drill whirring ] Wait. What was that?

Did it move? Well, it should.

[ Grunts ]

But we're getting nowhere.

So the Schanz pin gives you more control

of the femoral head, right?

Yeah. [ Grunts ]

I've never seen that before. Could I try?

Sure. Yeah, let's...trade.

♪♪

[ Exhales deeply ] Okay.

Make sure the knee's at a 90-degree angle. Yep.

♪♪

[ Grunts ] Ah! Finally.

As long as I'm here, would it be cool if I put the plate on too?

Great idea. It's a good teaching case.

I'll guide you through it. Can I have a K-wire, please?

Man: Yep.

Okay. Right down there. Looking good.

Yeah.

[ Door beeps ]

Richard: Addison? Hey.

Where are you?

Grey-Sloan. I've got a patient with Amelia.

How was your surgery? I'm sorry I'm late in calling.

I-I know you're busy. I'm doing fine.

That's good. Good to hear.

Addie, what -- what's going on?

Nothing. I'm just calling to check on you.

You're in a supply closet on the sixth floor.

I know my hospital.

I don't know.

I am somehow turning everyone who once supported me

into an enemy.

Amelia [sighs]

kicked me out of the OR.

Kicked you out? W-Why?

I may have raised my voice

in a surgery that I pressured her to do.

I mean, it's not as bad as it sounds.

Did you apologize? No.

There's nothing to apologize for.

Look, in AA, we say

the first step is often the hardest.

It's when we admit how powerless we are.

The same applies to relationships.

The first step is letting go of your pride

and then reaching out to the other person.

And then the rest will fall into place.

♪♪

You always know what to say.

[ Chuckles softly ]

Sometimes I start talking and see what comes out.

Thank you, Richard.

You take care of yourself.

You too.

[ Line disconnects ]

[ Siren wails ]

All right. What do we got?

Rosie Lang, 19 years old, GCS 15 after a six-foot fall.

Heart rate is in the high 90s.

Status post-needle decompression and finger thoracostomy.

You?

BP's stable, but she needs a chest tube right now.

Okay. Let's get her to Trauma 1.

Bailey, her sats were low,

but she was stable enough to make it here.

She needed a decompression. Not in the ambulance.

Well, you don't know how long she had.

If her condition had worsened, we were right there to fix it.

I'm trying to give these residents a better understanding

of the constraints around pre-hospital medicine.

You completely contradicted that.

Well, I'm not gonna do nothing if I can save a patient.

And if this ride-along teaches otherwise,

then I don't want it anywhere near my residents.

♪♪

The dislocation was worse than we initially expected,

but we were able to repair your hip.

Thank you so much.

You're gonna have to stay off of it for a while,

but with regular use and PT, you should regain full function.

Regular use should be easy at...Hot Temptations.

Well, maybe it's a sign I'm not meant to strip.

No.

Hey, don't let one setback derail your dream, okay?

You heal, recover, and practice your ass off.

Because...

...you belong on that stage.

♪♪

That pole -- That is yours for the taking.

You grab it, hold tight...

...and make it rain.

♪♪

You're right. This was a sign.

But the sign doesn't say stop grinding.

It says...

...grind a little slower.

Mnh-mnh. [ Grunting ]

Maybe you shouldn't 'cause...

Yeah. All right. Yeah!

[ Chuckling ] He-e-y.

You dug deep for that one, huh?

I've given a lot of pep talks to sad athletes,

but that was my first stripper speech.

You did great. [ Chuckles ] Well, so did you.

You...really stepped up.

Thank you.

Why'd you have to shark my spot?

You knew I was trying to get in with Lincoln.

Your spot? Yeah.

I pulled the strings to get us an OR.

And if not for me, you wouldn't have been there at all.

You think you're the only one who has a hook-up

at the front desk? I still put in the work.

It doesn't matter. I'm your boss.

Everything is mine until I give it to you.

And it's not just because I can. I know things you don't.

There were dynamics in that OR

you were oblivious to... Like --

...'cause you were trying to impress an attending.

And if you can't handle that,

I don't think we should be hooking up anymore.

S-- [ Clears throat ]

♪♪

Tell me you got someone on the damn phone.

We called 10 other trial sites.

They all got the same e-mail, same explanation.

Yeah -- "The trial no longer aligns

with the center's priorities." [ Sighs ]

Which means the government revoked the damn funding!

Yeah. I'm sorry, Miranda.

♪♪

Does she know?

No.

♪♪

♪ ...where space won't work out ♪

Katie: I mean, yeah, that is growth, okay?

[Chuckles] I am -- I am proud of both of you.

So I will see you next week.

Yes. In person. [ Chuckles ] Okay. Bye-bye.

You're working again?

Yeah. Well, it turns out I actually enjoy what I do.

And now that my tumors are shrinking,

I can do it a little longer.

♪♪

Maybe even...travel?

♪ ...if it was easy? ♪

Please tell me that... face is not about me.

Please tell me that you had a bad day with another patient.

♪♪

So [clears throat]

your clinical trial lost its funding

and has been canceled.

♪♪

But... I just had an infusion.

Yes, and as of now, that is the last one.

Look. I am at a loss too.

I am so sorry. But look. No, no.

Right now, your trajectory is positive.

And I promise you that I will do everything in my power

to keep it that way.

♪♪

Okay. So...

So i-if -- if I stop taking the medicine...

uh, does that mean that the tumors will come back?

I don't know.

♪ Carved our names in wood ♪

I am sorry. I am so sorry.

[ Voice breaking ] Okay.

♪ Got along but it never felt good ♪

[ Sobs ]

Okay.

Okay. Okay. Okay.

Come. Come. Oh, boy. Oh, boy.

I'm sorry.

[ Sniffles, sobs ]

♪ Hate I made it hard ♪ I'm so sorry.

Okay. Okay.

♪ Ooh-ooh, ooh-oh ♪

Okay. Okay.

♪♪

♪ Ooh-ooh, ooh-oh ♪

[ Katie sobbing ]

♪♪

Kavita: The look on his face after was priceless. [ Laughs ]

Oh. Uh, I'll catch you later.

Hey, want to get food and then head back to your place?

Who was that? Colin. Nurse in plastics.

We built a nose from a rib today.

Is, uh, Colin a burrito guy or...

I don't know. Haven't asked.

Why?

I'm not seeing other people.

I'm not seeing anyone else either.

So what about the carnitas?

Carnitas have been over for a few weeks.

Oh. [ Chuckles ] Okay.

So maybe you and I just...

Keep it a two-person meal?

Are we really gonna keep speaking in food?

Food is my love language.

[ Chuckles ]

[ Insects chirping, siren wailing in distance ]

Millin told me you were here.

She said Emma seems hemostatic.

No CSF leak.

Yeah. No. She's gonna be fine.

You know, Jake used to be in it with me.

He used to call me every morning when I was on the road

and give me these pep talks, tell me how brave I was

for doing work no one else would do.

Mm-hmm.

He'd send me these care packages

with birth control pills,

you know, talk through difficult cases with me.

He was...on my side.

But now he hardly calls.

And when he does, he complains about traffic on the 405

or Henry's school or...me.

'Cause he wants you home?

He says when I'm home, I'm barely there.

You know, and he's... he's right.

I'm not a good partner.

I forgot an anniversary. I forgot a birthday.

I am not the woman he married anymore.

[ Laughs ]

[ Voice breaks ] But nothing is what it used to be.

I don't even recognize science anymore.

Mm. No. Nobody does.

All I know is that I can't stomach

sitting on the sidelines and watching people die.

So I'm gonna choose work.

And if that blows apart my life, then...

I think if he's asking you to choose...

...something's probably already fundamentally broken.

I am...sorry...

if I rushed you back into an OR.

No. No. I-I'm not.

We saved Emma. [ Chuckles ]

And I was able to do that because of my time away.

If I had just kept powering through,

I don't know where I would be right now.

God.

I am a dumpster fire.

[ Both chuckle ]

For once, it's not me.

♪♪

[ Infants crying ]

♪ Lay me down ♪

You look like you just worked a double shift at Jimmy's

and you have to study for an o-chem final.

If only.

Are you still freaking out? A little.

But I got a few names of some nurse's aides

who are looking for part-time nanny work, so it's a start.

Baby steps.

Pun intended. Yeah.

You're really leaning into those dad jokes.

I've got four kids now.

Yeah.

How'd your surgery go?

The patient's doing well.

Um, I know we were gonna stagger our family leave,

but what if I just took it now?

Really?

We've both been through so much, and like you said,

we've got more kids than we know what to do with.

♪♪

♪ 'Cause it feels so healing ♪

Did you hear that, girls?

Daddy's coming home with us!

Daddy's coming home.

[ Chuckles ]

♪ Watch it glow ♪

If you're looking for an update on Rosie, she's stable.

Yeah, I-I saw that. Thank you.

And so is Tim.

I have a patient with advanced gastric cancer

who is in a clinical trial that was canceled today.

Was the trial working? It was.

[ Sighs ] It gets worse.

I treated this patient's grandmother

for gastric cancer when I was a resident.

She didn't make it.

Katie's poor mother might lose a parent

and a child to the same disease.

Same doctor.

It's genetics, Bailey. That's not you.

I know.

♪♪

I was overzealous today with Rosie.

I think I needed to feel like I could save her

right then and there -- but that's a me problem.

And I approved your program for a six-month trial period.

Wait. You did? Yeah.

I mean, it fulfilled all of my criteria and then some.

Most of all, it'll teach our residents

to handle circumstances beyond their control.

Thank you, Bailey.

♪♪

I mean, you've got to admit that...

finger thoracostomy was...

a thing of beauty. [ Laughs ]

I cannot argue with you there.

♪ Find the peace in the stillness of receiving ♪

Meredith: Sometimes hypocrisy catches up to us.

That's when things get interesting.

♪♪

Mm.

Mmm!

♪ Watch it glow ♪

Okay.

Mmm.

What do you think?

Mm.

♪ Glow ♪

Mm. Fine. I'll go back to work.

I want to like them.

But they're really...

really bad. [ Laughs ]

Will you stay the course...

I didn't have vanilla. [ Doorbell rings ]

...keep on keeping on, business as usual?

♪ Watch it glow ♪

May I come in?

♪♪

Talk fast. Yeah.

Uh, I want to apologize.

You know, you were right.

I need to respect you and respect

that when we're at work... you're my boss.

Thank you.

Yeah. No problem.

And there's one more thing.

Have a seat.

Thank you.

What are you doing?

[ Ginuwine's "Pony" plays ]

♪♪

[ Laughs ]

I find powerful women very, very, very sexy.

Now, watch this shoulder.

♪ I'm just a bachelor ♪ [ Laughing ] Ooh.

Left shoulder. Whoo!

Body roll.

♪ If you're horny, let's do it ♪ [ Laughing ]

♪ Ride it, my pony ♪ [ Grunts ]

♪ My saddle's waiting ♪ I mean...

Or take your own advice...

and change for the better. ♪ Come and jump on it ♪

♪♪

♪♪

♪♪

♪♪