All language subtitles for Greys.Anatomy.S22E12.WEB

Until the 17th century,
scientists thought blood
was a one-way street.

Corban's labs are in.
His white count's 22.

- And his acidosis
is getting worse.

He's septic.

All he wanted was
to meet his nephew.

Should we consider
comfort care measures?

No. Page Ndugu,
and tell the OR desk

that I want the same team
from Nora Young's
ventral aorta surgery.

You're doing the ventral
aortic reconstruction?

Between his sepsis
and the bleeding,
it's our only option,

assuming that I can get
the consent from his sister.

You want me to talk to her?

I was the one who
convinced him to do
the TEVAR. It should be me.

They believed blood
was produced by the liver

and consumed like food
by the body's tissues.

Until British physician
William Harvey
published a treatise

so explosive,
it was banned in England.

I spent a lot of time imagining
this in med school

instead of studying
microbiology.

Mmm. Does the real thing
measure up?

I wouldn't want
to inflate your ego.

Well...

...I'm a neurosurgeon,
so that ship has sailed.

Hey.

This is gonna sound crazy,
but, um...

Do you wanna, like,
go on a proper date?

Get dinner tomorrow night?

Yeah, I'd love to,
but I have my s--

Um...

My sunrise hiking club, uh,
in the morning.

You hike?

I just started, you know,
there's nothing like fresh air
in the morning.

Right. Um...

I should go. I should
probably change before rounds.

He posited
that blood was part
of a circulatory system

continuously pumped
through the body
and recycled by the heart.

In other words,
when it comes to blood,
what goes around comes around.

Ooh. No.
Okay. Why... Why do you
have to leave so early?

I have to prep
for a sternal reconstruction.

Dr. Wright wants to work
with me more before
she'll write me

a letter of recommendation
for that attending position
in Boston.

You're still
on this Boston thing?

-What do they have
that we don't?
-My parents.

-Nieces and nephews.
-Mm-hmm.

-Cream pie.
-Oh, I forgot about the pie.

Mmm.

-Uh, did you forget
how to knock?
-The door was open.

Millin, you're on my service
today. Thought you'd be
at work by now.

-I'll be in time for rounds.
-I expect you to bring
your A game.

It's an important case.

I always do.

-I'll see you both later.
-Yeah.

- Simone!
- Would it kill you to be nice?

She is trying
to tell me what to do
before I've had coffee.

Where is Simone?
We're supposed to be going over
fertility stuff on the way in.

-Fertility stuff?
-Yeah, we're freezing our eggs.

Well, I mean, I am.
I can't speak for her.

Pretty sure you just did.

Look, Simone never made it back
last night. Critical patient.

- Oh,
then can I get a ride?
- Oh, me too. Please?

Do I look like
a soccer mom to you?

-She is texting me.
-I didn't say anything.

Look.

I muted her.
Focusing on my other patients,

like you told me to.

You must have really
handed it to him.

I gave him
constructive feedback.

At least he knows
where he stands. It's the same
with me and Dr. Wright.

I know what
I need to improve on.

See, he thinks that
I don't care, but I've been
searching high and low

for more infusion treatments
for Katie.

Any luck?

Just a bunch of unanswered
emails and dead ends.

Sugihara wants
to put her on her prior
immunotherapy regimen.

- That was... Yeah.
- Well, I'm sorry.

Hey, what's on
your schedule today?

Um, consults, meetings,
residency admin.

-Push 'em.
-Hmm?

Dr. Goldberg is out sick today
and he needs somebody
to take his procedures.

Oh, come on.

Save some lives with me.

Let's save some lives.

Luna and Hattie
are still napping.

Uh, the baby monitor's
on the coffee table.

All right,
you already mentioned that.

Um, extra diapers are upstairs
in the linen closet,

and the... the...
the pediatrician's number
is on the fridge.

-We're not going to Siberia.
-I know that.

And we need to find a dresser
big enough for the twins today.

I've been fasting
in anticipation for
the Swedish meatballs,

so I would love to get there

- before I go into
a hypoglycemic coma.

If you have any issues at all,
please don't hesitate to call.

Will do.

Okay.

I think you're supposed
to hand over the baby now.

Oh, yeah. Okay. Okay, okay.

Don't wake your sisters up.

Is it weird that we're...

...handing our babies over
to someone else for the first
time and all I feel is--

-Unbridled joy?
-Mm-hmm.

No. There might be a leak
at my rental property.

Where I lived before I moved
in here with you.

Oh! Wow, I always forget
that you own that dump.

I installed a water sensor
when the last tenants
moved out,

-and I should
probably check on this.
-Well, just call a plumber.

Oh, no, they'll charge
an arm and a leg
just for showing up.

-It won't take long to fix.
-Okay, I'll come.

Are you sure you really wanna
hang out at that dump?

Yeah, I'll just, um,
sit in the car.

First day of freedom.

Hey, so I haven't gotten
to officially welcome
you back yet.

You go somewhere tropical?

No, do Chicago or Boston count?

Now,
sabbatical looks good on you.

What have we got?

42-year-old male,
head trauma after colliding
with a glass door.

GCS 15. No LOC.
Presented with epistaxis
and a small forehead lac.

BP is 130 over 80.

Nasal bandage was applied
at the scene.

Okay, sir, welcome
to Grey Sloan.

- I'm Dr. Hunt.
- This is Dr. Shepherd.

Yeah, yeah,
do you have a safe?

-What are you doing?
-Sorry, I'm, uh... I'm done.

Only my little brother
could get hospitalized
running into a door.

It happens more than you think.

We were brunching
with my work buds.
Finally got this VP promotion.

Hey, I... I don't know
what happened. I must have
blacked out when I won the...

Won what?

Won biggest loser?

We've got
a possible head trauma here.

What's that?

It's a lottery ticket. It says
he won two million dollars.

What? You won
two million dollars?

Oh. He's out!

Trauma 3 is free. Let's move!

Hey, hey, hands off.

Okay.

Hey.

Griffith said
you're doing the ventral aorta.

I said she must've misheard.

Yeah, first,
I need to come up with a plan

to present to Leticia, who
is understandably skeptical.

Wait, you said
the TEVAR went well.

Well, it did.

And then he coded.

His pseudoaneurysm degenerated.

How badly?

The aorta is unsalvageable.

Break glass
in case of emergency.

The TEVAR could've worked.
I had to try.

We should have
done this yesterday
when he was more stable.

We don't have time
for hindsight.

That's on you.
You were so afraid
to try this surgery again

that you wasted his best shot.

Nora was just as bad,
if not worse.

That was a miracle.
You said it yourself,

"If this doesn't work
on Corban, that's it. We'll
never try this surgery again."

Now you've made
that almost certain here.

What, do you want me
to apologize and say
that I was wrong?

I made the right call
with the information
that I had at the time,

and it was a bad outcome.

And now Corban is dying.

So either you can help me
come up with a plan to save him
or stop wasting my time.

Dr. Millin.

- Mr. Hill didn't wanna
start without you.
- Oh.

I was starting
to think you abandoned me.

No, I was just finishing
a chest tube.

I would never abandon
my favorite patient
or his better half.

Oh, I bet you say that
to all the old fogies.

- I didn't realize
you all knew each other.

I scrubbed in on Scott's
CABG with Dr. Beckman
a couple months ago.

Then, by all means,
take it away.

Scott Hill, 73,
status post-CABG
complicated by osteomyelitis.

Now status post multiple
debridements to the sternum
and costal cartilage,

resulting in
a 12-by-10-centimeter wound.

Today we are starting
his reconstruction.

I thought
the CABG would help me
be more active in retirement.

We're in our "world-traveler
era," as the kids say.

Love that for you guys.

We did have to cancel
our safari in Tanzania.

Fortunately, the tour company
let us reschedule.

She did what you
told her to do, Dr. Millin.

What? You sweet-talked them
and then cried?

Mm-hmm. The tears did them in.

Well, that, or describing
this gaping hole in my chest.

We're gonna try
and close that up today, okay?

Millin, Mohanty,
take him for a repeat CT
to confirm our surgical plan.

- You got the full refund, right?
-Yes, the full refund.

I told you it works
every time, every time.

- I was crying
and crying.

Can't believe he won two mil.
It's almost as much as I loaned
the poor bastard.

You should wait outside.

Okay, let's get ready
for rapid sequence intubation.

I love his broke ass,
but he's a sad,
bottomless money pit,

you know what I'm saying?

Whoa, whoa,
hold the paralytic.
He's waking up. Shepherd.

Hey, look right here.

Okay, do you know
your name and where you are?

Jeremy. I'm... I'm
in the hospital.

Hey, I'm right here
with you, bro.

-Anything of note
happen today, Jeremy?
-Uh...

Yeah,
my boy got paid, y'all.

Okay, let's do
a FAST exam and get
that bleeding under control.

I wanna get
a head CT right away.

-No, I can hold on to that.
-No, I think he's got it.

His sweat might melt off
the numbers, bro.

Okay, I'm not seeing
any free fluid.

Yeah, we need
to get him upstairs.

We'll update you when we can.
Can you please leave
the room, sir?

Please. Thank you so much.

Goodbye. Thank you.

Thank you, Bryant.
Let's get him up to CT.

I gave your sex friend
a ride to work this morning.

You're welcome.

-I hope you were normal.
-Griffith, you have that?

I was. Yeah, we got it.

Wish I could say
the same for Millin.

Oh, crap,
I was supposed to meet her.

But you didn't.

And now Bryant
may or may not think that
you're trying to have a baby.

What?

I'm just a messenger.

We will dissect away

the part of Corban's
reconstructed esophagus
that's behind the sternum,

and that should give us
the access that we need.

-It should?
-It's hard for us to know,

given Corban's scar tissue.

He wanted
the surgery yesterday.

You talked him out of it.

It was
an unnecessary risk then.

And now?

His aorta is too damaged.

It has to come out.

What do you think?

I know it's scary.

But this surgery is Corban's
only chance of survival.

And Dr. Altman and Dr. Ndugu
are the only surgeons
who can and have done it.

Yeah, after they drew it
on a napkin.

If it helps,
I assisted on the first one.

I've seen it save
someone's life.

If I say yes and he dies, I...

He will die for sure
if you say no.

Yeah.

Do it.

Please don't make me regret it.

Did you check Scott for scars
at possible donor sites?

Lots of moles, but no sign
of scarring on the arms,
back, abdomen or legs.

Did you measure
the depth of his wound?

Same as when I staffed it
with you, 4 centimeters.

How's it looking, team?

The internal mammary arteries
must have been sacrificed
in the debridements.

There's no local blood supply
to plug a flap into,

but we could connect
it with the axilla
or lateral chest.

What about tunneling omentum
from the abdomen?

It's interesting.
Mohanty, thoughts?

It's a nice idea in theory,

but a free flap offers thicker
soft-tissue coverage
over the heart,

and it looks so much better.

Well, Scott
doesn't care how it looks.
He just wants to go on safari.

He'll care
when he sees it, trust me.

Maybe, but that's if
he survives a ten-hour surgery.

I mean, omentum must be less.

And it comes
with a built-in blood supply.

This is lifelong coverage.
It's what I would want
on my chest.

Sometimes...

- ...the correct approach just takes longer.
- -Yeah.

Okay, if Scott
were a 20-year-old bodybuilder,
we'd do the free flap,

but omentum is the right call.

- Way to jump in, Millin.
- Thanks.

-I'll page general surgery.
-That's the spirit.

What's your problem?

I don't have one
now that we're doing omentum.

You're a second year.
I'm a fellow. We're not even
running the same race.

Hey, Nardi just fed Hattie,
and now Peyton's down.

I gotta pee.
Ooh. How's it going?

The pipe is
completely corroded.

Why don't you take the car
and you go without me?

God, your place is an explosion
of linoleum and wood paneling.

Yeah, well,
you've been here before.

Who thought popcorn ceilings
were a good idea?

-Hmm.
-No wonder your tenants fled.

Wow.

-Isn't it crazy they left this?
-Oh.

What's with all the packages?

Oh, I, uh, ordered
a few things that got
delivered here by mistake.

Uh-huh.

Um...

Have you been spending
time here?

Only when I have
to check on something.

Okay.

When was the last time?

Ah...

Tuesday?

When you went to get diapers

and you left me with
screaming twins for two hours?

I did stop here briefly.

I had to check on the mailbox,
and then I just needed
a little time to decompress.

Oh, yeah?

You really need
to stop talking right now.

- Jo.
- You know what?

You wanna decompress?
You want a little space?

Be my guest.

Jo.

Well, you made
that chole look easy.

I can't believe how quickly
you got the critical views.

Yeah.

You still thinking about Katie?

I just feel like I failed her.

Mm-mmm, mm-mmm.

The federal government
failed her.

Saving her life doesn't align
with their priorities.

But I'm her doctor...

...and I'm supposed
to figure it out.

"Consult request for
a sternal reconstruction...

for Dr. Wright."

Wright? Uh...

You know, if you're not
feeling up to it, I'm sure
they can find somebody else.

You know, I can't help Katie,
but I can help you get
in with Wright.

- Let's show Plastics
what you're made of.

Put your hands down
for me. Thank you.

Would you go out with someone
who has kids?

-Are you trying to set me up?
-Just answer the question.

-No, thanks.
-Hmm.

-Hey.
-You have kids.

Mm-hmm.

When do you tell people
that you're seeing about them?

Uh, only person I've dated
so far already knew about them.

You two are useless.

I told him security
could hold on to his ticket,
but he won't let go of it.

Would you?

All right, Jeremy, hold still.

Okay. Hey, while it's just us,
I'm sorry about my brother.

-No need. He's fine.
-He's a jerk.

I'd tell him off for you,
but he's been keeping me afloat

since I lost my job, and
I don't want him to cut me off.

Didn't you just win
the lottery?

Yeah, I guess I did.

He has a small contusion
on the left temporal lobe.

-Bryant.
-Monitor him for any change

in clinical status
and give prophylactic Keppra.

I'll let you take it
from here. Okay.

It's time. You can go
to the waiting room.

Can he hear me?

-He's heavily sedated.
-But it can't hurt to try.

Hi.

I hope my son is just like you.

We've decided
to name him Corban.

And if you don't want us to,
make it through surgery
and tell me yourself.

Love you.

-The second that
you know anything...
-I will come and tell you.

Okay.

Can you come out
so I can explain?

How long has
this been going on?

I don't know.
A few months.

What about your tenants?

I told you they moved out.

A few months ago?
My God, this is worse
than I thought!

You've been cheating
on me with your house.

It's platonic, I swear.

Look, it's not like
I was coming here when you were
in the hospital with the girls.

Oh, how thoughtful of you.

We can't fit any
of this stuff at our place,
and music is how I relax.

Cry in the shower
like a normal person.

You know what? I'll go shopping
and you can stay here and jam.

Fine. I've got
a new reverb pedal
I can try out.

Great.

I'll call the plumber.

No, I can fix it myself.

No, you've lost that privilege.

I thought I saw signs
of life in here.

Well, I'm not back to work
until next week.

I'm just grabbing a few things.

Aren't you supposed
to be resting?

I'll rest when I'm dead,
which I'm not unless
Catherine finds me.

Well, I won't tell.

Oh, um, tell Altman
good luck for me.

The ventral aorta?
I assumed you knew
they're doing it again.

Richard, Teddy and I,
we just signed
divorce papers.

I'm sorry to hear that.

Honestly, I'm not sure
how we ended up here.

Well, sometimes
things just don't work out.

More often than not in my case.

Oh, you'll get back
on your feet.

I'd stay for the surgery,
but Catherine's at the dentist.

If I'm not back before she is,
there'll be hell to pay.

You should go.

Yeah, I'll see
if I have time. It was
good to see you, Richard.

Oh.

Someone order
a general surgeon?

-Oh, Dr. Bailey,
thanks for joining.
-Mm-hmm. Mm-hmm.

Dr. Warren,
good to see you again.

At your service,
or rather on your service.

-Her service actually.
-Okay.

So, I took a look

-at your patient's scans...
-Uh-huh.

...and, you know,
it should be relatively
straightforward as long as

the right gastroepiploic
vessel is enough
to supply the omentum.

Looks sufficient to me.

-We'll see you in the OR?
-Mm-hmm.

We're gonna harvest
that omentum like
you've never seen.

Okay.

I panicked.

Oh, this is gonna be
harder than I thought.

Oh, Kwan was right.

You are in the supply closet.
Why are you in
the supply closet?

We're doing
another ventral aorta.

I heard. Big day.

Can you watch the kids
for me tonight?

Of course. I just wanted
to say good luck.

What if we can't do it again?
What if Nora was just
an anomaly?

There was
a lot of skill involved.

If this doesn't work out,
then Corban never meets
his nephew, and I'm a fraud.

When you're backed
into a corner, that is
when you rise.

I've seen it in war zones.

I've seen it in the OR.
I see it with our kids.

Don't put more pressure
on me right now.

I am just saying
you can do this.
You're just in your head.

-You need to take a breath--
-Don't tell me what I need.

That's not your job anymore.
And frankly, it was infuriating
when it was.

Okay. Well, I'll, um...

I'll get the kids from school.

And, uh, good luck.

That was excellent technique with the dermatome, Dr.
Mohanty.

Wanna do the honors
with the mesher?

Absolutely. Thank you.

Mm-hmm.

Um, pull the omentum
through for me.

Okay, no twisting
on its pedicle,

and the main vascular arcade
remains intact.

- Well done, Dr. Warren.
- Thank you.

You're one
of our best and brightest.

I'd hate to lose you
to Plastics, but I know
that's where your heart is,

especially with your interest
in burn patients and experience
as a firefighter.

Firefighter
and an anesthesiologist,

how many lives have you had?

I'd like to think they all
led me here.

Well,
that should do it for me.

Thanks to Dr. Warren's
dissection, your flap should
cover everything you need.

Hey, do you call him
Dr. Warren at home too?

Okay,
that looks great.

- Now, we just need
to finish the inset...

- ...and get the graft on.
- This is OR 2.

Dr. Wright,
they're asking for you on
an urgent burn case in the pit.

Warren, wanna join me?

-I'd love to.
-Great.

Dr.
Mohanty, you and Millin here good to finish up?

Of course.

Come on now, y'all
can't keep him here. We gotta
go pop some bottles, celebrate.

On him for once.

Yeah, no.
Sorry, doctor's orders.

All right, let's talk dollars
and cents. Of course
you're gonna hit me back

for the car
and the back rent, right?

Millionaire.
You're a millionaire,
you're a millionaire...

Okay, why don't we table this
until after your brother's
out of the hospital?

-Yeah.
-Doc, J Dog would be facedown

in a ditch if it wasn't for me.

You know, I've hated that
nickname since I was eight.

Well, I've hated
picking up your tab
for the last 12 months,

but that's what brothers
are for, right?

Hey, if you don't
wanna do it, I will.

-We got a problem here?
-Uh, that depends.

- Are you going
to keep being a total--
- You should go.

Him or me?

Bryant, out. Now.

I'm sorry about that.

Yeah, that's...

-What's happening?
-All right.

-He's seizing.
-Adams, help roll him.

We need some diazepam
and alert CT.

Oh. Hey, what you heard
this morning isn't true.

-Okay.
-I'm not actively
trying to have a baby.

I'm just freezing my eggs
in case I want one someday.

-Got it.
-Which I might not want one.

-Just an insurance policy.
-Congrats. Also,
none of my business.

Oh, I just didn't want you
to think I was withholding
some critical information--

-I don't. Yeah. Yeah.
-Great.

Because what
we're doing right now
doesn't have to stop.

I mean, there might be
a few days here and there
where we shouldn't...

-Mm-hmm. Yeah.
-You know, but,
overall, we can keep

-doing the thing that--
-Understood, but,
uh, right now,

I'm trying to do my job,
and I'm mostly failing,
so I really can't talk.

Oh, how-how about
a drink at Joe's later?

If they ever
let me leave, sure.

Okay.

Yeah. Okay, so...

Oh, sorry. Yeah.

Okay.

- I can, uh, cut the sutures for you.
- -I've got it.

- I really don't mind.
- I said no.

Should I call for another
resident since you clearly
don't want me to help you?

Not if your idea of helping
is making me look ridiculous
in front of our attending.

You told me to be
on my A game.

So that
I can impress Dr. Wright.

I applied
for an attending position
at the Fox Flagship in Boston.

It's perfect.
Great benefits, grant money,
close to my family.

And I needed
her recommendation, which I was
supposed to lock down today.

If you wanted me
to make you look good,
you should have said so.

- Right.
- I'm serious.

I'll keep that in mind
for next time.

Can I get in on
those lower inset sutures?

Nope.
Too close to the pedicle.

I know
that we have disagreed
on Corban's care,

but I need to know
that you are fully on board

with the surgery and with me.

I was on board
with the surgery yesterday.

- Still am.
- And me?

- I'm a professional.
- -That's not what I'm asking.

It's not just that
you made the wrong call.

You flat out dismissed
my opinion.

I didn't.
I considered it fully.

Did you?
'Cause if you'd set your ego aside,

we may not be in this mess.

Or Corban
would already be dead, and then
that would be on both of us.

If something
goes wrong in there,
I need to know you hear me.

I will.

You have my word.

- Then I have your back.
- -Let's go build an aorta.

Where is this guy?

- Hmm.
- What are you doing?

I just thought I'd see
what all the fuss is about.

Yeah,
that's my Martin.

-Mm-hmm.
-So, be careful.

This song is called...
..."This Is
What Betrayal Feels Like."

Okay, I get your point.
Can we put it back now?

Not until you apologize.

You know what? No.

What is wrong with me
grabbing a few minutes

of alone time, so I can be
better for you and the kids?

I had a heart pump
keeping me alive

after delivering two
other bodies out of my body.

I can't breastfeed,
which I know is okay, but
I still feel horrible about,

and hormones have
turned me into someone that
I would avoid on the OB floor.

I am not okay!

I am not me.

I am a hideous shell
of my former self,

-and you don't see it...
-No.

...because you're off in
the man cave, which is actually
an entire crappy house.

Plumber's here.

Here's a list
of discharge summaries.

Stay away from Jeremy
and don't leave

-until you get them done.
-You punishing me?

-You were out of line.
-That dude was walking all over

-our patient, man.
-It doesn't matter.

It's not our job
to get involved,
and if you do it again,

-I'll have to tell Bailey.
-Got it. So don't treat
the whole person,

just be a robot checking boxes.

Yeah. That's not what I said.

I'd love to stay and chat,
but I've got a whole bunch
of discharge summaries

I need to go through.
Thanks for the lesson, boss.

Thank you. I thought
that Brent took it.

You have a condition
called SIADH.

It can happen
after a head trauma.

Usually resolves on its own.

Low sodium levels
caused the seizure.

You'll need IV fluids
and medication to correct it.

- Okay, thank you.

Boom.

Don't ever say
I never did anything for you.

And I, um, also called Mom.

- Man get... Stop!
- You should
let Jeremy rest.

No, I've been wanting
to say this to him
for a long time.

I hate you. I mean, I love you.

You're my brother,
and I wouldn't have been
able to get through

this last year without you,
but when you're mean about it,

it makes me hate you.

-We were just having fun.
-It's not fun.

-Not for me.
-Maybe we just take a breather.

I... I just always thought
it rolled off your back.

I'll lay off.

Really? That's it?

Yeah, I'm not a monster.

I guess I should
have said something years ago.

I'm gonna put in your orders.

You still gonna pay me
back for the rent though?

This scar tissue
is cemented in.

- Worse than Nora's?
- By a mile.

You know what else
is different this time?

- Blood flow?
-All those people watching up there.

Stay focused.

I don't know
if we're gonna be able
to get through all this.

Altman.

If we give up now, he'll die.

- All right, um, 15 blade.
- -What are you--

Using these scissors is like blunt dissection.
It isn't working.

I'm gonna try working
layer by layer,

see if I can find
the correct surgical plane
to orient myself.

Okay. I'm with you.
Thank you, BokHee.

Guess who aced
his burn consult?

Okay, tell me everything.

Well, thanks
to my days as a firefighter...

- Okay.
- ...I knew to mix
and put a laxative

on the burn.

Yeah, the polyethylene
glycol binds to the phenol

to stop the chemical burn
from getting worse.

-Impressive.
-And that is what
Dr. Wright said.

Aw.

-Thank you for talking me up.
-Someone had to.

You weren't doing
yourself any favors.

- Okay, what can I do to help you?
- -Oh.

Yeah. Call more hospitals
about Katie's immunotherapy?

Handle bedtime so, you know,
you can look into more options?

Yeah, I don't need
any of those things, but, no,
I appreciate the sentiment.

Hold on.

How's my favorite patient?

Well, nurse gave him

-some pretty strong pain meds.
-Uh-huh.

So, he's a little loopy.

Love of my life over there.

I love her more
than I love elephants.

Is something wrong?

Uh, the flap
is dark and swollen.

I'm going to take a listen.

-Damn it.
-What's happened?

-Everything okay?
-There's no signal.

I'll call the OR and page
Dr. Wright. Get him ready.

He needs to go
to surgery again?

Well, there's
no blood flow to his flap

so we need to get him to the OR
to see what's happening ASAP.

Don't go visit the zebras
without me.

Excuse me.

All right, graft is completed.

It's time.

All right,
let's rapid pace the heart.

All right, clamp's off.

GIA stapler.

All right.

Ready to staple off the aorta?

Staple line is well
approximated, looks intact.

We did it.

All right,
let's take him off bypass.

Clamps.

It's amazing.

All right,
I am gonna go update Leticia.

- You good? All right.
- Yep, ready to close.

- Whoa, whoa, whoa. Ndugu!
- Oh, my God!

Damn it! All right,
get me a gown and gloves.

All right, I've got
pressure on the defect.

Griffith, get in here
and suction around my hand.

Come on.

All right, there.

A small defect
on the leading edge
of the staple line.

We didn't fire the staples
all the way across.

Okay, put him back on bypass.

- Clamp on.
- All right, I'm here.

- Okay, put your hand in here.
- -Yeah.

Suction.
Hang on, Corban.

Hang on.

Katie Rogers, 27,
stage-four gastric cancer.

I already know that part.

Short of breath. Satting 89%.

-Abdomen's distended.
-Dr. Bailey.

I can't breathe.

No, no. It's okay.

We've got you.

Well, don't just stand there.
Let's move.

There's a stitch
tied down over the pedicle
cutting off its blood supply.

Nothing?

This is a serious mistake.

Warren and I left you
to complete the inset
and place the skin graft.

I expected it to be done not
only successfully,
but perfectly.

The flap looked viable
when we left the OR.

We didn't see anything
restrictive over the pedicle.

Save it.
I don't have time for excuses.

Our patient now has
no tissue coverage
over his wound

and will most likely
need many surgeries
he might not survive.

Just go.

I'll clean up the wound
and get the wound vac
back on myself.

Almost finished
closing this gap.

All right, last stitch.

And right there.

- Done.
- Are we sure

the closure is going
to be adequate?

Will the suture hold?
- After watching

so much of Corban's blood
volume spray all over this OR,

I am not sure of anything.

But I watched Ndugu
tie these sutures,
and they look great.

So, let's take him off bypass.

All right. Clamp's off.

We have a rhythm.

The pressures are coming up.

All right.

Altman, we did it.

Altman.

We did it.

Well done, everyone.

All right. Let's prep to close.

$400 and he has to come back
tomorrow with a part.

Should've fixed it yourself.

You know, I'm sorry
for hiding all this from you.

I guess I was afraid that
you'd be madder if you knew.

Honestly,
I'm more jealous than mad.

See, you need
a place like this too.

You need someplace you can go
for peace and quiet.

A woman cave.

-I feel guilty even
thinking about it.
-Why?

The patriarchy.

Mm-hmm.

You know, if we're gonna
get through this,

we have both got to
take care of ourselves.

-What would I even do in my--
-She shed?

-Dame den?
-Mm-mmm.

Okay, I'll stop.

Lady lair.

You could take guitar lessons.

- Yeah, but I'm already
a musical genius.

Honey, you look like
you've seen a ghost.

Yeah.

The ghost of an omental flap
that died at the hands
of negligent residents.

You've got a lot going on.

We can chat tomorrow.

-I...
-No, no. It's fine.
Everything's fine.

It's all... It's all fine.

What's up?

Um...

I have a son, Scout.

He's five. He's adorable.

He splits his time
between his dad and me,
and I have him tonight.

And that is why
I couldn't hang.

You were nervous
to tell me about a cute kid?

It was kind of a deal-breaker
in my last relationship
and that kind of broke me.

And if it is a deal-breaker
for you too,

I totally get it...
But I would rather know before starting something.

That would make me a hypocrite.

So...

-This is Zachary. He's seven.
-Oh, my...

Obsessed with trash compactors
and, uh, synthesizers
from '80s pop songs.

-Are you...
-Single mom? Mm-hmm.

Uh, my sister lives with me.

She watches him when
I reconnect with an old crush.

Which happens all the time?

Not really.

Rain check?

Rain check.

His pressures are holding
without much inotropic support.

-That's great news.
-Yeah.

Do you think that
we will ever do this surgery
without major complications?

Third time's a charm.

Somehow, I doubt it.

We're a team on this.

If we stay one,
we could save way more patients
than just Nora and Corban.

- You've been here for two days.
- Yeah.

You should go home,
and I'll keep an eye on him.

Thanks.

Poor thing. Must've had
liters of fluid in her abdomen
pushing up on her lungs.

Okay, so we'll need
to do a paracentesis

if you can get me
set up for that.

Adams. Adams.

She called and texted.

And I didn't respond
because I was too busy
following your rules.

This would have
happened regardless.

No, she trusted me.

And she was scared
and alone and...

I wasn't there.

I think you need to take
a break from this case.

No, no, no. I...

-I will do whatever you need.
I just need...
-No, no.

It's not a punishment.
I just... I...

I think you need to step back.

Breaking new ground
is never easy.

-Yo.
-Hey.

I just did the ventral aorta
with Altman and Ndugu.

It was freaking epic.

-It was historic.
-That's cool.

- I'm proud of you.
- Something
happen today or...

-My patient won the lottery.
-By having you as their doctor?

No, no. He literally
won the lottery,
two million dollars.

Mmm. Did not see that coming.

I'm going out of town
for a minute.

-Is everything okay?
-My brother's epilepsy's
gotten worse.

And he's in a coma.

I'm sorry.

You want to talk about it?

No, no, no, I just
didn't want you wondering
where your lap dances went.

Well, I mean, you sure?
I've been told

-I'm a pretty good listener.
-I said I'm good.

You have to pull
the rug out from under people.

Have a good night.

Shatter their reality.

Ask more questions
than you answer.

It takes what Dr. Harvey
called a love of truth.

And a whole lot
of intestinal fortitude.

Thank you
for not saying anything.
You didn't have to do that.

Look, I could tell
that the Boston job is
really important to you.

It is.

There will probably be
an M&M soon.

I'll email you my op note
and photos from the OR.

They'll want to review
post-op imaging too.

Well, should I be worried?

The M&M will suck,
but we'll be fine.

Get some sleep.

But it also requires faith.

That the world won't come
crashing down around you.

That you won't be burned
at the stake.

How'd it go?

Oh, well,
it wasn't smooth sailing
but our patient's stable.

That's great.

So, uh, Allison wanted to fall
asleep with the lamp on,

so just make sure to turn it
off before you go to bed.

Thank you for pinch-hitting.

I... I really appreciate it.

Always happy to get
more time with the kids.

I'm sorry I bit
your head off earlier.

You did nothing wrong.
I was just in a panic spiral,

and I couldn't see it.

Well, I stand by it.

You are at your best
when you're backed up
against the wall.

A little mean sometimes.

But brilliant.

You are never gonna stop
believing in me, are you?

Why would I?

And that this new reality
is going to be better.

Or at least truer
than the one that came before.