Original subtitles

When my mother was diagnosed with Alzheimer's disease, her cousin said she

have gotten it because she didn't take fish oil.

I picked up everything on the list, except they ran out of Dijon, so I got

grain instead, which I know is inferior, but... Who are you? Hey!

Hey, you're...

Back early.

Yeah, I decided to do the groceries first and pick up your car after. Who's

this? I'm not that.

Aloy, the contractor I hired to baby proof her. These stairs aren't safe.

Naked sides.

Don't worry.

I can fix them. I told you I was going to do that.

Yeah, back when Scott and Luna were babies and now we have two more babies.

My patient with a myoelectric prosthesis was just brought into the ER in a

mountain bike accident.

I should go.

Wait, wait, wait. What about my car?

Ask Elroy.

Her neighbor thought it was because my mother, a world -renowned surgeon,

do enough crossword puzzles.

Is this your way of thanking me for the coffee?

I mean...

Stress throughout the M &M.

I am ready to help.

Shepard, I'm on our service.

You better go.

I'll ask her if I can sneak away to come watch, but if not, good luck.

I told them to shut it.

They always want to cast blame.

Something to fear and avoid.

But the only thing to blame is everything.

Bless you.

You didn't lift out the door so early. I figured you needed to pick me up.

Well, I thought keeping busy would take my mind off things, but it just means

I'm tired and hangry.

How's Katie doing?

I'm waiting for her labs, but I'm guessing she has carcinomatosis and a

obstruction. Well, how often are they draining her? Twice a day.

Okay, well, listen, if there's anything I can do, just, you know.

You with me?

Okay, go.

I'm okay.

Dr. Bailey? Welcome back.

First day back in the OR?

How's it feel?

Well, I'm working with my chief resident.

I have an M &M later today, and the cafeteria is serving shepherd's pie.

Feels like Christmas.

Well, where do you see our first consult?

Good morning.

Russell, this is Dr. Weber and Dr. Warren.

These are the headliners.

Russell's a community theater director.

Right now he's putting up a production of Hamlet. When sorrows come, they come

not single spies.

But in battalions.

Yes, okay.

You would demote my Claudius to an understudy.

Well, Hamlet's my favorite Shakespeare.

Dr. Mead? Much ado about nothing.

He wants you to present the case.

Right.

Russell West, 34, with history of beta thalassemia, with blood transfusions

every three months for anemia.

Admitted for splenic sequestration crisis two weeks ago. His abdomen has

getting increasingly distended.

We're consulting today for a splenectomy.

I thought I was just gaining a little weight, but then my stomach just kept

getting bigger and bigger.

Can I take a look? Yeah.

I'll call for an ultrasound.

Well, let's go old school while we wait.

When's the last time you did percussion?

You hear that? It's hollow. That's his lung.

Here? No, that's dull. That's a spleen.

From here... to here.

Your spleen extends from the left upper quadrant all the way to the right lower

quadrant. It's taking up your entire abdomen.

This needs to come out immediately.

I'm in the middle of tech week. I can't...

Won't it just shrink on its own?

It's unlikely in the case this severed. Plus, you'd run the risk of rupturing

it. Okay, that sounds bad.

Yeah, really bad.

Instant death.

You want to take care of this sooner rather than later? Dr. Mead can take you

for a CT scan so we can plan a surgical approach.

Yeah, could he do it instead?

Yeah, I'll go with you.

Well, it's a Saturday Christmas.

I have been compromised with an use for a vehicle.

You were setting a presentation.

You know how when you lie or your cheeks get flushed and your voice gets all

high? You do both of those things. And so do I when I give presentations. And I

also sweat and sometimes I faint.

Interesting case? Your external reconstruction patient.

Scott Hill?

Beckman's out. Someone has to check on him. Well, Dr. Wright is supposed to be

attempting another flap tomorrow.

Up it takes.

See you at the M &M.

It'll be fine.

Successfully avoided him after lying to help his patient. Oh, that was weeks

ago. He's probably forgotten.

You truly are a terrible liar.

Sorry for interrupting your parental leave.

Was Joe annoyed?

Yeah, but not because of that.

Oh, here they are.

Hey, John Ellison, 40 status post mountain biking accident. No LOC or

head trauma.

He has bruising on his chest and x -rays show multiple rib fractures. He had

targeted muscle re -innervation surgery a few months ago for an advanced arm

prosthesis. I know. I did it. After I amputated his arm. John?

Pauline?

What happened?

I was training at Tiger Mountain. The hand just let go. I lost my balance and

fell. He crashed straight into a boulder.

Tell them about the last time.

Yeah, it did the same thing last month. I sideswiped a tree and almost missed

qualifying for the world championships.

When's the competition?

Three months.

I can still compete, though, right? I'm up for sponsorships. Now, the nerve we

rerouted to your upper arm should be sending burst -by -signals to your hand.

We'll get some scans. We'll check it out.

Quan, call CT. Let him know we're coming.

What are we playing?

Five -card stud.

You play?

Not anymore.

But I ran a weekly poker night in med school.

Were you any good?

Graduated debt -free.

How you feeling today?

They drained another leader this morning. She's still nauseous. We asked

chips 30 minutes ago. Oh, I must have gotten lost in the morning handoff. I'll

get them myself.

Can you grab some for my mom, too?

She needs to chew.

You see how she treats me?

I'll get you those ice chips.

How bad?

Katie's creatinine's elevated, albumin low. Her ASC, ALP, and INR are through

the roof.

She's a multiple organ failure.

The TPN is too hard on her liver.

What's the only thing giving her nutrition?

Call palliative care.

I thought I was late.

Kaylee does not need another reason to yell at me.

Hey, how's Katie? Yes.

Her INR is getting worse. She needs two more units of FFP.

Correct.

Thank you.

Katie? Wait, is her liver failing?

What did the repeat scan show?

She doesn't know yet. We're going to tell her after the M &M. I want to be

there. You are not part of her care team.

Do I need to write you a reminder?

Hi.

Good morning, everyone. Are we ready to begin?

Dr. Mellon?

Yes.

Scott Hill, age 73, presented four months ago with shortness of breath and

pain.

See what I told you? The spleen has taken over the entire abdomen. It has

sequestered so much of his blood supply.

I mean, how would you even mobilize that?

You tell me.

Uh, well, um... If it were a smaller spleen, I would enter the lesser sac,

down attachments, and immediately rotate it to access the pedicle. But this...

Yeah, I have no clue.

Plus, once we're in there, one nick to the organ and Russell could bleed out in

seconds.

When I was a resident, I scrubbed in on a liver teratoma I thought was

impossible to resect.

But I had an attending Dr.

Rathbone who did a total vascular exclusion of the liver to create a

field. It was brilliant.

And it taught me to always keep an open mind.

I saved a piece of that tumor in a jar for years after.

Maybe after this you can save a piece of Russell's spleen, huh?

Do I have to?

Okay, let's take a page from Rathbone's playbook. Let's call IR, have them

embolize the splenic artery, then we'll open them up and see what we got.

What about the M &M? We're already late. No, M &Ms happen every week.

But a spleen like this?

It happens once in a lifetime.

We then used interrupted 4 -0 vicryl sutures to inset the mental flap.

I can see the healthy flap here.

Did his pre -op scans show any sign for concern about pedicle tension?

No. The team agreed that the distance between the epigastrium and the superior

sternum was acceptable.

And at this point, the team was... Me and Dr. Mahanty. You had finished

harvesting the omentum, and Dr. Wright and Dr.

Warren were needed on another case.

So the changes in the flap's appearance progressed rapidly post -op. As you can

see here, it is dark and swollen.

Did you check Doppler flow after inset? Yes, it was biphasic signal.

And which one of you did that?

We can both confirm that there was...

signal when we realized there was no blood flow to the flap i'm sorry so the

of you both heard the signal were rules clearly defined during the onset i

believe so you believe so who placed the stitch causing tension around the

pedicle look this patient my patient hasn't left the hospital in weeks

due to a gaping hole in his chest which i believed we had fixed He's still here

because of someone's negligence, and it sure as hell isn't mine.

So, who placed the stitch?

That's on me.

I should have watched my resident more carefully.

I take full responsibility as her supervisor.

He is all set.

Would either of you mind if I catch the last part of the M &M? We do. Start the

scan, Quan.

Everything okay? I'm a handy person.

Did I miss the first part of this conversation?

Joe's getting an estimate from a contractor to baby -proof our place,

though I told her I can do it. I want to do it.

Are you sure you still need me here? The babies can't even roll over on their

own. They're nowhere close to crawling. We have a minute before the stairs are

an actual risk.

So you'll just wait until Scout and Luna are teenagers.

Go on. Yes.

All right, three right -sided rib fractures. He has a small pneumothorax.

probably doesn't need a chest tube, but the muscle in the TMR looks good. All

right, admit him for observation, and then just do a follow -up x -ray with

later today.

Well, sorry you had to come in for rib fractures, but maybe now you can...

Go home and baby -proof.

Still check the signal to his bionic arm.

When there's no hematoma or bleeding around the nerves in the TMR, the signal

should be fine.

Yeah, but he's still falling off his bike.

Go on, get John back to his room and set up for EMG testing.

Yeah.

When a pedicle passes through narrow tunnels, we're essentially working

Dr. Mellon, when you placed the stitch, did you use a lot of tension?

Excuse me?

I asked you to use a lot of tension when you placed the stitch.

I didn't place the stitch.

Dr. Mahanty, did you or did you not allow Dr. Millen to place the stitch?

specifically asked to do some of the suturing. And you said no. This is a

miscommunication. Are you saying she's lying?

I didn't say that. But you are denying that it was you. If you're both saying

you didn't place the suture, one of you is not telling the truth.

I only closed the abdomen. I wasn't anywhere near the pedicle, Dr. Millen.

Admitting your mistakes is an important part to learning. If you can't own up to

them, you've got a much more serious problem.

What the hell was that?

Dr. Millen, you place that stitch and you know it.

Can we talk about this, please? Oh, I'm sorry. Do you not want to get dragged in

public? Sometimes M &Ms go south.

Everyone knows that that's supposed to be an apology. You're a resident.

Residents are supposed to make mistakes.

I didn't screw up. You lied, and I got scorched for it.

I have patience to see.

Okay, let me know if you feel any discomfort.

I'm used to it. Okay, John, I want you to imagine your phantom limb and start

opening and closing your hand.

That's a good sign, right? Yeah.

The muscles are receiving signal.

It's a really good sign.

How's the prosthesis treating you otherwise?

If I was wearing it, I'd give you a thumbs up.

Or the middle finger.

Depends on my mood.

Oh, he's painted the baby's room and started cooking again.

It's changed his life at home.

I just can't do the one thing I was really hoping for.

Well, your signals are good. The TMR is not the problem.

John, when you ride, do you experience a high level of stress?

He's dodging trees and jumping rocks and trying not to fall off the trail. I

actually find it relaxing. Right, but you're still encountering unexpected

obstacles and changes in terrain that could cause a reflexive reaction in the

muscles that send signal that could potentially make your hand do things you

don't intend, like let go of the bike. Exactly.

mountain biking is all about dealing with the unexpected if i can't do that i

can't ride and that means no sponsorships no prize money john without

we can't afford repairs to my gear my training time part of our mortgage i've

been working for months to qualify for this race how are you telling me i could

lose it all if you're getting more exercise your muscles are getting

they might be sending a stronger signal than the prosthesis needs let's take a

look at that and we'll go from there

Curtis, up for a visit?

From the chief?

Anytime.

How are you?

I told the nurses I was cancer roommates with Richard Weber.

Suddenly I got extra pillows and unlimited applesauce.

What's the fancy title for?

I just miss my wife and kids.

I wish you had met them.

I would have loved that too.

How old are your kids?

Trevor's eight. He's my bookworm.

And Mondi's five.

She's already running around on her bike like a bat out of hell.

She'll be trouble.

Now that's the hardest part of all this.

Leaving them behind.

I'd love to stay, Curtis, but we need it in surgery.

Thank you for stopping by, Dr. Weber.

Just Richard.

How long does she have?

If I give you an answer, it's just my best guess.

But I have more energy today.

We removed the NG tube. I ate a popsicle without throwing up. It's common to

have good days.

Our focus now is on keeping you comfortable so you can have as many good

possible. And if you do end hospital hospice, we can manage your symptoms and

pain here for as long as you need. No, I need to go home.

I need to...

Sleep in my own bed.

I need to eat my own food. And maybe if we work with the PT, I'll improve.

Then that's what we'll do.

We could arrange home health and PT, but you'd only have someone a couple of

hours a week, and you need more support.

If you do in -home hospice care, well, they'll send you someone 24 -7, but it

could take a week to get started.

I need to get out of here now.

I need to get better.

I'll take care of her until everything's arranged.

She needs a hospital bed, an oxygen concentrator, a Hoyer lift. I'll figure

out.

I did it with my mom.

If you do this, Katie will be leaving against medical advice. The insurance

won't cover everything she needs at home if she does that.

I've done.

Everything you've asked.

Every scan, every test, every infusion.

And here I am.

You don't know if I'm dying.

You don't know anything.

If I go home, I'll get better.

You'll see.

Sit.

Then I will talk with social work and we'll start the process.

Bailey, are you sure AMA is the right move for Katie? I certainly am not.

Don't make any moves yet. I know someone she might listen to.

Hey, I'm still here.

Did you read the estimate?

I've been with my patient.

Well, in order to fully baby -proof the balcony, we have to put up a higher

enclosure, which costs more than I can say without throwing up. I told you I

could do it. You know, I'm not even sure the HOA will allow it, so what do you

want to do?

Now you want my opinion?

Do you really want to get into it again?

I'm sorry. I should go.

Same.

Yeah, you better go. No, it's fine. Let's continue.

Okay. Okay, this...

Should test the grip.

And now finger rolls.

It's working well within normal EMG signals. And he says it works fine when

not biking.

This is stress.

Yeah.

He's done with competitive racing.

That was lunch.

My life is over.

Are your organs failing from stage four gastric cancer?

That'll work out.

I've been there.

You got kicked out of your last program.

Still worked out. I'm here.

And your girlfriend is not only a sloppy surgeon, she's a liar.

The M &M did not go well.

She blamed me for her crappy suture that killed our patient's flap, and now none

of the attendings will even look at me.

Kavita is not a liar. Both her parents are doctors.

And that makes her immune to being a horrible person?

She's not a horrible person. No, you...

told me to be nice to her, and I was. And look where that got me.

Thrown under the freaking bus.

You love the bus.

Quan, this isn't a joke.

This is my career.

And you know what makes it worse? Is that you're automatically taking her

Oh, some friend you are.

Where are you going? To fix this.

Hey. Anna Karenina?

This is what you want to read right now?

It's pretty depressing.

Oh, I'm making my way through a list.

A hundred books you should read.

Yeah, I've read these. You can skip them.

You've read all 100 books.

Uh, won't be dick. A bunch of men yelling on a boat. Oh, and there's a

Uh, war and peace.

A lot of war.

Little peace.

That's too off your list.

Let's get out of here.

Let's go look at the houseboats.

We can't just leave.

You're a patient.

I didn't stop you before.

You were my doctor then.

Yeah, it's not that simple.

You can't walk. We need portable oxygen.

You can't walk. Just give me your hand.

Look, Katie, we just...

Can you give me my bag?

I can't. I don't even know if I can get you in my car.

It's okay. It's okay. It's okay.

This isn't for me, isn't it?

I knew you wanted to go home.

I'm so sorry.

Going through the fascia?

Matt, your meat here has been doing some research. In fact, the largest spleen

ever recorded, 26 pounds and 17 inches.

And based on our estimates, this one could beat it, sir.

You ready to make history, Dr. Weber?

Oh.

Oh, my God. That is... Nothing but spleen.

Look. I don't want to hear another word about records or history until Russell

is on his later post -op. Okay, our focus should be on this patient, on this

surgery. You understood?

Loud and clear, boss. We've got a lot of work ahead of us, and I need full

visualization.

Tighten.

Okay.

All right, here we go.

She'll stay here until her in -home hospice is set up.

The social worker's on her way to get the process started.

Did you mention we're hoping they can rush this?

Yeah, and I might have dropped her name.

I will say if it helps.

So what?

Now you bring in the doctors with the sad smiles and quiet voices pretending

know what it's like to die before you're supposed to?

Our team will do everything to make her more comfortable.

They'll also move her into a room with more natural light.

Fewer machines.

And the chaplain will come too, right?

You had that same conversation 15 years ago about my mother.

And now you have the gall to have it again about my daughter?

She was doing better. I know.

I am so sorry. Stop saying you're sorry.

If this was one of your babies,

And their life -saving medication was discontinued and you had to watch the

drain from their bodies. What would you do?

I would fight.

But you didn't, did you?

Not for my baby.

Dr. Bailey?

Whoa. Come in. Make yourself at home. What is this?

I borrowed a few things from Dr. Sally. I wanted to see if adjusting the grip on

a body -powered prosthesis helps.

Don talked you into finding another solution?

I couldn't tell him that he can't use the robotic one.

Link. After his car accident, he went really dark when he couldn't ride. I

want him or Pauline to have to repeat that.

Damn it. Why can't I do this?

Last time I checked, you're not a prosthetist.

I have reconstructed fingers.

I've replanted amputated hands. I've replaced every joint you can name. I fix

things. It's what I do.

Sounds like you're trying to fix things at home in my lab.

My shoulder's still bugging me. You had a major injury.

That's going to take time. I know. I just... I felt pain the last time I was

the OR.

It's also why I'm behind on baby proofing. What does Jo think?

You haven't told her. She's got her own stuff.

I thought I was going to be back to normal by the time the twins came.

Instead, I'm just...

Icing my shoulder and hoping nobody face plants off the stairs.

You are very handy, and you can fix a lot of things.

But sometimes when you let go of expectations, you open yourself up to

possibilities.

Yeah, you're right. Does that mean I get my lab back? Soon.

You just gave me an idea.

Hey, I got your text. I'm sorry I missed the M &M.

That's all news.

Wright said that Jackson Avery called to check my references.

That's huge.

Boston's in the bag.

It gets even better.

Apparently, she told him that Grace Sloan wouldn't give me up without a

So you could stay here?

I don't have any formal offers yet, but as long as I don't majorly screw

anything up, I'm going to have options.

Wow.

Can I ask you something?

Would stitching over the pedicle in an omentum make your screw up? Why do you

ask?

Did you blame Jules for your suture in the M &M?

I have been in school or residency or fellowship my entire life. I'm so close

it finally paying off.

So you did lie.

Surgery is cutthroat, especially plastics.

Don't tell me you've never told a small mistruth to get what you needed. Yeah,

but it's more than just a little white lie.

Every M &M feels like the end of the world when you're a resident.

But you get past them, no one will even remember this case tomorrow.

And I'll figure something out to help Millen. If I take an attending job here,

can help her even more.

Yeah, I guess that makes sense.

So you're actually considering Grace Sloan over Boston?

Maybe.

As much as I love Boston.

Seattle's also growing on me.

16 inches.

So close.

Well, still pretty damn big.

Hey, stand next to the scale.

Well, shouldn't it be Dr. Weber?

Hey, what about it, Chief?

You want a picture with the mega spleen? No pictures for me.

We should weigh it. I mean, it's not the biggest ever, but it might be the

heaviest. Come on.

Here we go.

Got it?

Hold on. Let me help you.

That's a damn shame.

It looks even bigger on the floor.

Hey, you know what?

Get down. Get down.

Yeah, yeah. No, no, no. That's enough.

No more pictures or jokes or talking about bragging rights.

Today was not a success of medicine. It was a failure.

You think Russell wanted it to get that bad?

It's a miracle it didn't kill him.

You should be ashamed.

I know I am.

Clean this mess up.

I replay the steps in my head every night. Could I have operated earlier?

Could I have pushed oncology harder?

Could I have filed more appeals with the drug manufacturer?

You did everything you could.

I did everything I could 15 years ago for Katie's grandmother.

But immunotherapies didn't exist then. She died from actual cancer.

But Katie?

No, Katie's dying from bureaucratic stupidity.

Just years of hard work finally developed a medicine that was working.

instead of helping people access it, our government is dismantling science.

Just like that. Clinical trial gone. Not just Katie. Cancer.

Maternal health.

Diabetes prevention.

Substance abuse programs.

Space exploration is even on the damn chopping block.

Decades of ground breaking work without even a single thought

to its cost in human life.

I can't even give Katie a chance to spend her last moments outside of these

hospital walls.

Well, we're setting her up with in -home hospice care and she'll...

It'll be a miracle if she makes it that long.

Hey,

I spoke to... Now's not a good time.

Uh, Dr. Wright?

How is Scott doing?

Well, his heart's had minimal tissue coverage for two weeks. He's not great.

Can I help you?

I have worked really hard to build a good reputation for myself here, and I

can't stand by and watch it all go down the drain.

Dr. Mahanty lied in the M &M.

I didn't stitch over the pedicle. I wanted to sew around the pedicle, but

wouldn't let me, and I don't know why she lied, but I promise you, it wasn't

That's quite a thought story you've got there. I'm setting the record straight.

Look, hospitals are high school. Emotions are high. Status matters.

competitive and desperate and insecure.

I need my surgeons to be mature, to rise above, to not get sucked into the drama

and the politics that you have a good outcome or a bad one. That's all I care

about. Understood.

I will make sure that Scott has his labs in the morning.

You're not on his surgery anymore.

Hey, Quan, have you ever done a sternal reconstruction?

No.

You will tomorrow.

Come with me and I'll give you my notes on the case.

Did you figure it out? Making the bionic hand work for competitive mountain

biking?

No. So that's it. I'm done.

Not necessarily.

I've come up with another option.

Now, this is just a prototype, but the idea is that instead of your bionic hand

gripping the handlebar, we build an attachment to the bike and a terminal

that you'd wear only while biking.

Keep talking.

We'd make a custom activity -specific prosthetic that would snap into the bike

attachment. It'd be built so you could snap quickly out of the receiver for

safety. If you like it.

We could find a prosthetist to collaborate with, and maybe even a

help cover the costs.

This is, uh... This is amazing.

You made this? No,

no, this is all Dr. Lincoln. I know nothing about bikes.

Man, thank you.

I don't know what I would have done if... You're welcome.

I want to know what happens underneath.

Should I not ask?

Dr. Wright said that I was being dramatic, and she doesn't want to work

anymore.

I'm sorry.

I know the truth. I don't think you're being dramatic.

Everyone who knows and loves you feels the same.

I'm also sorry.

Hey, I need a favor. It's about Katie. You know, I can't disclose her medical

information, but nice job getting her to stick around. What if we took her to

your place?

To what? Die at my house?

You want her to die at my house? Okay, technically it's my Aunt Meredith's

house. She's going to go to her own home next week. She doesn't have that long.

You sure this is a good idea?

She's dying.

I'll ask for time off so I can take care of her myself.

No.

We'll take shifts.

Thank you.

Count Kwan in too. He owes me for putting up with Mohanty.

Hey, Chief, I just want to apologize.

I got excited about a flashy case, and I let things get out of hand.

A few weeks ago, a case like that would have made my year.

A spleen the size of a sandbag? I'd have taken photos, too.

But I'm feeling different now.

That different?

No, I try to push it down and return to work like nothing happens these days.

The patients that I can't stop thinking about are the ones we couldn't get to

and die.

And instead of addressing the problem, we're patting ourselves on the back

for removing a massive spleen.

But having a perspective shift after cancer, it's natural.

I've been there.

Well, what if I can't unsee this?

That'd be so bad.

Maybe it's time to start a new chapter.

Spoken like a younger man.

Just a guy who has a lot of experience starting over.

Look, I'm going to go check on our pictures.

It really was quite a spleen though, wasn't it? Lord have mercy.

Monitor her pain and oxygen requirements and page me if you need to take more

fluid off of her abdomen.

Hey, Dr. Bailey, can we run something by you?

Why do I feel like I'm not going to like this?

Well, Griffith offered to take Katie to her home.

We all know there's a good chance she won't make it to her own home if she

for hospice to be set up.

All she wants is to not die in a hospital.

Yeah, yeah. What do you think?

I think you two have lost your ever -loving minds.

Katie is not a stray cat to take in. She needs 24 -7 care.

Adam, Quan, and I would take shifts. Yeah, and her mom can stay in their

bedroom.

What about pain management? We can get her scripts filled and administer them

the house. Yeah, and I can drain her abdomen when needed.

Look, it's literally her dying wish.

I hear you.

But as her surgeon and a leader in this hospital, I cannot advise it.

She would need a hospital bed, an oxygen concentrator. Are you writing this

down?

Oh, yeah.

Finally. I was about to go to Saigon Palace by myself.

Yeah, I was looking over Dr.

Wright's notes for the serial reconstruction.

I heard you were joining the case.

I'll fill you in over. I can't do it. On me? Whatever. I'm starving. Let's go.

I told Wright to find another resident for the procedure tomorrow.

Why? Jules is my friend.

Turns out you and I aren't as alike as we thought.

I already told Ripe that I was committed to his ultimate tomorrow.

You didn't tell him about me.

I was going to give you a chance to do it yourself.

I hope you get the job in Boston.

We often place blame because it's easier than taking responsibility.

If you always look outward, you never have to turn inward.

Seriously?

I get to leave.

Yeah. We arranged medical transport, and Dr. Griffith is working to get you

discharged right now.

I'll stock the fridge, cook meals, whatever I need to do. That's not

We want to help.

Thank you.

None of this would have happened without you.

But progress only comes when you shine the light on yourself.

Didn't I fold all this laundry earlier?

Patty spit up everywhere, sort of Peyton. Luna got the ketchup bottle, and

know what?

I don't want to talk about it.

My shoulder still hurts.

I was hoping it'd get better and I'd go back to work and build the safest

staircase ever to exist, but obviously that hasn't happened.

What?

You don't have to fix everything yourself.

Yeah, I realize that.

But you might have to go back to work eventually so you can afford to pay

to do it.

I was wondering, what if Elroy didn't actually fix this place?

We've really pushed our luck already with these stairs.

The fireplace, the balcony, the glass doors.

What if we fix my rental instead?

You want us to move into the man cave?

It's in a great neighborhood, and it would be way easier to baby -proof.

This place has so many memories.

You know, movie nights on this couch, the Nicoletti takeout dinners on that

table. You proposed to me.

Right there.

I guess we'll have to make new memories.

What do you

think?

How do you feel?

What are you doing here?

Your front driver's side tire's looking a little low.

You're checking my tires?

Today sucked in a lot of ways, but the worst part is that it confirmed what you

think about me. Really? And I know that I've disappointed you, and you're not

wrong. I haven't always been honest with you. Like, sometimes when I'm too

tired, I don't dictate your op notes. My interns do it, and I know where you

keep your secret stash of protein bars at the nurse's station, and I'll sneak

one if I don't have time to get to the cafeteria.

And I coached your patient behind your back to get around his insurance so you

would have to operate on him that day.

He was in pain.

I didn't know what else to do, so I lied, but I didn't lie today.

I didn't sew over Scott's pedicle, and I wasn't trying to frame Mohanty or not

take responsibility. I just didn't do it, and I need you to know that.

It's not my department. I'm not the one. I don't care what anyone else thinks.

I don't believe you.

I'll see you tomorrow.

Ask the question.

And the answers might surprise you.