All language subtitles for Greys.Anatomy.S22E13.1080p.x265-ELiTE

Meredith: When my mother
was diagnosed

with Alzheimer's disease,
her cousin said

she must 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 whole grain instead,

which, yeah, I know
is inferior, but --

Who are you?
Jo: Hey!

Hey.
You're back early.

Yeah. I-I decided to do
the groceries first

and pick up your car after.
Who's this?

Um, that's Elroy,

the contractor I hired
to baby-proof for us.

These stairs aren't safe.

Naked sides.

Don't worry.
I can fix them.

I told you
I was gonna do that.

Yeah, back when Scout and Luna
were babies,

and now we have
two more babies.

[ Cellphone chimes ]

My patient
with a myoelectric prosthesis

was just brought into the E.R.
Mountain bike accident.

I should go.

Wait, wait,
what about my car?

Ask Elroy.

♪♪

Her neighbor thought
it was because my mother,

a world renowned surgeon,

didn't do enough
crossword puzzles.

♪ Just where I'm gon' go ♪

♪ I feel it in my blood ♪

♪ Feel it in my soul ♪

Is this your way
of thanking me for the coffee?

I'm stressed
about the M&M.

Well, I am ready to help.

♪ Under the pressure
they say I'm gon' break ♪

♪ Time will tell,
time will tell ♪

[ Cellphone chimes ]

Uh, Shepherd.
I'm on her service.

♪ Tryna get something worth
having, ain't gon' happen here ♪

You better go.

I'll ask her if I can sneak away
to come watch.

But if not, good luck.

♪ Wish you well ♪

I told them to shove it.

We always want to cast blame.

Something to fear and avoid.

But the only thing to blame...

♪ I wish you well ♪

...is everything.

[ Gasps ]
Bless you. Oh.

You left out the door
so early,

I figured you needed
a 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?

Uh, I'm waiting
for her labs,

but I'm guessing
she has carcinomatosis

and a partial obstruction.

Well, how often
are they draining her?

Twice a day.
[ Sighs ]

Okay, well, listen,
if there's anything I can do,

just -- you know --
Richard: Warren?

You're with me.
[ Sighs ]

Okay, go. I'm okay.

Dr. Bailey.
Welcome back.

First day back in the O.R.
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.
[ Both laugh ]

Well, wait till you see
our first consult.

Good morning.

Oh, Russell, this is
Dr. Webber and Dr. Warren.

Ah, 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.

Mm.
Um, Dr. Meade?

"Much Ado About Nothing."

He wants you
to present the case.

Right. Sorry, um...

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 been
getting increasingly distended.

Uh, 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.

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

What was the last time
you did percussion?

Uh...

[ Hollow tapping ]

Uh, you hear that?
It's hollow. That's his lung.

Here, no, that's dull.
That's his spleen.

From here...

[ Dull tapping ]

...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-I'm in the middle
of tech week.

I can't -- Won't it just
shrink on its own?

It's unlikely
in a case this severe.

Plus, you run the risk
of rupturing it.

Okay, that sounds bad.

Yeah, really bad.
Instant death.

[ Clears throat ]

Y-You want to take care of this
sooner rather than later.

Dr. Meade can take you
for a C.T. scan

so we can plan
a surgical approach.

Yeah, could he
do it instead?

Yeah, uh,
I'll go with you.

Well?
It's better than Christmas.

[ Chuckles ]

...had been compromised.
We then used

4-0 vicryl --
vicryl sutures to inset --

You reciting
your presentation?

You know how
when you lie,

your cheeks get flushed,
and your voice gets all high?

Mm?
You do both of those things,

and so do I
when I give presentations,

and I also sweat,
and sometimes I faint.

[ Elevator bell dings ]

Person: [ Over intercom ]
Dr. Riefle to Neurology.

Dr. Jennifer Riefle
to Neurology.

Interesting case?

Your sternal
reconstruction patient.

Scott Hill?

Beckman's out.
Someone has to check on him.

Well, Dr. Wright is supposed
to be attempting

another flap tomorrow.

Hope it takes.
[ Elevator bell dings ]

See you at the M&M.

It'll be fine.
[ Elevator bell dings ]

I've 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 Jo annoyed?

Yeah, but
not because of that.

Oh, here they are.

Okay, Jon Ellison, 40, status
post mountain biking accident.

No LOC
or signs of head trauma.

He has bruising
on his chest,

and X-rays show
multiple rib fractures.

He had targeted
muscle reinnervation surgery

a few months ago
for an advanced arm prosthesis.

I know. I did it.

After I amputated
his arm.

Jon. Pauline.
What happened?

Jon: 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.

Well, the nerve
we rerouted to your upper arm

should be sending
precise signals to your hand.

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

Kwan, call C.T.,
let them know we're coming.

Yeah.

Dr. Ryan to Pathology. Dr. Lisa
Ryan to Pathology.

What are we playing?

Five-card stud. You play?

Uh, not anymore.

But I ran a weekly
poker night in med school.

Were you any good?
Graduated debt-free.

[ Angela chuckles,
Katie coughs painfully ]

How you feeling today?

They drained another liter
this morning.

She's still nauseous.

We asked for ice chips
30 minutes ago.

Oh, it must have gotten lost
in the morning hand-off.

I'll get them myself.

Can you grab some
for my mom, too?

She needs to chill.

You see how she treats me?
[ Both chuckle ]

X-ray tech to nurses station.
X-ray tech to nurses station.

Uh, I-I'll get you
those ice chips.

How bad?
[ Sighs ]

Katie's creatinine's elevated,
albumin low.

Her AST, ALT, and INR
are through the roof.

She's in multiple
organ failure.

The TPN is too hard
on her liver.

But it's the only thing
giving her nutrition.

♪♪

Call palliative care.

♪♪

[ Indistinct conversations ]

I thought I was late.

Bailey 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? What, is --
Is her liver failing?

What did
the repeat scans show?

She doesn't know yet. We're
gonna tell her after the M&M.

I want to be there.

Bailey: You are not part
of her care team.

Do I need to write you
a reminder?

Toni: Hi.

Good morning, everyone.
Are we ready to begin?

Dr. Millin?

Yes.

Uh, so, Scott Hill, age 73,
presented four months ago

with shortness of breath
and chest pain.

Richard:
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,
take down attachments,

and medially 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 bloodless 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.

Oh.
Do I have to?

Okay, let's take a page
from Rathbone's playbook.

Let's call I.R., have them
embolize the splenic artery.

Then we'll open him up
and see what we got.

Uh, what about the M&M?
We're already late.

Oh, 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 omental flap.

You 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 --

Uh, me and Dr. Mohanty.

You had finished
harvesting the omentum,

and Dr. Wright and Dr. Warren
were needed on another case.

So, the, uh -- the changes
in the flap's appearance

progressed rapidly post-op.

As you can see here,
uh, it is dark and swollen.

Did you check doppler flow
after inset?

Yes, there was
biphasic signal.

And which one of you
did that?

Uh, well, we can both confirm
that there was a signal.

When we realized there was
no blood flow to the flap, we --

I'm sorry. So, the two of you
both heard the signal?

Were roles clearly defined
during the inset?

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.

♪♪

[ Spectators murmuring ]

♪♪

[ Cellphone chimes ]

He is all set.

Would either of you mind if I
catch the last part of the M&M?

We do.
Start the scan, Kwan.

[ Cellphone chimes ]

[ Scoffs ]

Everything okay?
I'm a handy person.

Did I miss the first part
of this conversation?

Jo's getting an estimate
from a contractor

to baby-proof our place,

even 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 till Scout
and Luna are teenagers.

Kwan.
Yes. Alright.

Three right-sided rib fractures.

He has a small pneumothorax.

He probably doesn't need
a chest tube,

but the muscle in the TMR
looks good.

Alright.
Admit him for observation

and then just do a follow-up
X-ray with him later today.

I'm sorry you had to come in
for rib fractures,

but maybe now you can go home
and baby-proof.

Should still check
the signals to his bionic arm.

I mean, 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.

Kwan, get Jon back to his room
and set up for EMG testing.

Yeah.
Mm-hmm.

When a particle passes through
narrow tunnels,

we're essentially working blind.

Uh, Dr. Millin,
when you placed the stitch,

did you use a lot of tension?

E-Excuse me?

I asked
if you used a lot of tension

when you placed the stitch.

I-I didn't place the stitch.

Dr. Mohanty,
did you or did you not

allow Dr. Millin
to place the stitch?

She specifically asked
to do some of the suturing.

And you said no. Uh, the --
This is a huge miscommunication.

Uh, are you saying
she's lying?

I-I didn't say that.

But you are denying
that it was you.

Winston: If you're both saying
you didn't place the suture,

one of you
is not telling the truth.

[ Voice breaking ]
I only closed the abdomen.

I wasn't anywhere near
the pedicle.

Dr. Millin,
admitting your mistakes

is an important part
to learning.

If you can't own up to them,

we've got a much more
serious problem.

What the hell was that?

Dr. Millin --
You placed 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 this.

Is that 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 patients to see.

[ Scoffs ]

Okay, let me know
if you feel any discomfort.

Oh, I'm used to it.

Okay, Jon, I want you
to imagine your phantom limb

and start opening
and closing your hand.

Pauline:
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.

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

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

Jon, 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's all about
dealing with the unexpected.

If I can't do that,
I can't ride.

And that means no sponsorships,
no prize money.

Jon --
No, without that money,

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.

Now you're telling me
I could lose it all?

If you're getting
more exercise,

your muscles
are getting stronger.

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?

[ Chuckles ]
From the chief?

Anytime.

How are you?
Ah,

I told the nurses
I was cancer roommates

with Richard Webber.

Suddenly I got extra pillows
and unlimited applesauce.

What's a fancy title
for, huh?

You just missed
my wife and kids.

Really wish you would
have met them.

Yeah, I would have
loved that, too.

How old are your kids?

Trevor's 8.
He's my bookworm.

And, um, Amani's 5.

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

[ Both chuckle ]
She'll be trouble.

[ Chuckles ]

You know, that's the hardest
part of all this,

is, uh...

leaving them behind.

[ Cellphone chimes ]

Look, I'd, uh --
I'd love to stay, Curtis,

but I'm needed in surgery.

Thank you for stopping by,
Dr. Webber.

Just Richard.

♪♪

♪♪

Angela:
How long does she have?

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

But I have
more energy today.

We removed
the N.G. tube.

I ate a popsicle
without throwing up.

Yeah, it's common
to have good days.

Our focus now is
on keeping you comfortable

so you can have
as many good days as possible.

And if you do
in-hospital hospice,

we can manage
your symptoms and pain here

for as long as you need.

No, I-I need to go home.

I need to sleep in my own bed.

I need to eat my own food.

And m-maybe if we work
with the P.T., I'll improve.

Then that's
what we'll do.

Uh, we --

We can arrange
home health and P.T.,

but you'd only have someone
a couple 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 it 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, so...

You don't know
if I'm dying.

You don't know anything.

If I go home,

I'll get better.

You'll see.

♪♪

Ju--

Okay. 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 most certainly am not.

Look, don't -- 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?

You really want
to get into it again?

I'm sorry. I should go.

Same.
[ Baby crying ]

[ Sighs ]
[ Cellphone beeps ]

Amelia: You gotta go?
No. It's fine. Let's continue.

Okay.
Okay. This should test the grip.

Mm-hmm.
Hmm.

And now finger rolls.

It's working well
within normal EMG signals,

and he says it works fine
when he's not biking, so...

It's the stress.
Yeah.

He's done with
competitive racing.

That was lunch.

My life is over.

Are your organs failing
from stage 4 gastric cancer?

It'll work out.
I've been there.

You got kicked out
of your last program.

Still worked out. I'm here.

Hey, 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?

Hey, wait, 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.

Kwan.

This isn't a joke.
Hey, this is my career.

And you know
what makes it worse

is that you're
automatically taking her side.

Oh, some friend you are.

Where are you going?

To -- To fix this.

Lucas: Hey.

[ Mouths words ]

[ Chuckles ]
"Anna Karenina"?

This is what you want to read
right now?

It's pretty depressing.

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

100 books you should read.

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

You've read all 100 books?

Uh, "Moby Dick," a bunch
of men yelling on a boat.

Oh, and there's a whale.
Uh, "War and Peace,"

a lot of war, a little peace.
[ Chuckles ]

That's two off your list.

Let's get out of here.
Let's go look at the houseboats.

[ Sighs ]

We can't just leave.
You're a patient.

Didn't stop you before.
You were my doctor then.

Yeah, it's not that simple.
You can't walk.

We'd need portable oxygen --

I can walk.
Just give me your hand.

Look, Katie, we just --

Can -- Can you get my bag?

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

Aah!
[ Gasps ]

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

I got you.

This is it for me, isn't it?

I really wanted to go home.

I'm so sorry.

♪♪

[ Monitor beeping ]

Richard: Okay.
Going through the fascia.

Metz.
Ben: You know, Meade here

has been doing
some research.

Fact -- the largest spleen
ever recorded,

26 pounds and 17 inches.

Harrison:
And based on our estimates,

this one could beat it, sir.

You ready to make history,
Dr. Webber?

[ Laughing ] Oh, my God.

That is...
Nothing but spleen.

[ Laughs ]
Look.

I don't want to hear another
word about records or history

until Russell is
on his way to post-op. Okay,

our focus should be on this
patient and on this surgery.

Understood?
Loud and clear, boss.

We got a lot of work
ahead of us.

And I need full visualization.

Titan.

Okay.
Alright, 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 your name.

Mm. Alright.
We'll see if it helps.

Oh.

So, what?
Now you bring in the doctors

with the sad smiles
and quiet voices

pretending to 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 this 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 life
drain from their bodies,

what would you do?

I...would fight.

But you didn't, did you?

Not for my baby.

[ Both sigh ]

♪♪

♪♪

Dr. Bailey?

♪♪

♪♪

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

I borrowed a few things
from Dr. Salley.

I wanted to see
if adjusting the grip

on a body-powered
prosthesis helps.

Amelia: Jon 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-I don't want him or Pauline
to have to repeat that.

[ Sighs ]

Damn it!
Why can't I do this?

Uh, 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.
I mean, that's gonna take time.

I know, I just, I --

I felt pain the last time
I was in the O.R.

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-I thought I was gonna
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.

[ Sighs ]

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 other possibilities.

Yeah, you're right.

Does that mean
I get my lab back?

Soon.
Mm-hmm.

You just gave me an idea.

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

That's old 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 Grey-Sloan wouldn't
give me up without a fight.

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 gonna have options.

[ Both sigh ]

Wow. Um,
can I ask you something?

Would stitching over
the pedicle

in an omentum
be a major screw-up?

Why do you ask?

Uh, did you blame Jules
for your suture in the M&M?

I've been in school

or residency
or fellowship my entire life.

I'm so close
to 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 this is 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 Millin.

If I take an attending job here,
I can help her even more.

Yeah,
I guess that makes sense.

So you're actually considering
Grey-Sloan over Boston?

Maybe.
As much as I love Boston,

Seattle's also...
growing on me.

♪♪

[ Sighs ]
16 inches. So close.

Well, it's still
pretty damn big.

Stand next to it
for scale.

Oh, uh,
shouldn't it be Dr. Webber?

Oh, yeah.
Hey, what about it, chief?

You, uh -- You want a picture
with the mega spleen?

Uh, no pictures for me.

We should weight it. I mean,
it's not the biggest ever,

but it might be the heaviest.
Come on.

Here we go.

Got it?
Got it.

Hold on. Let me --
Let me help you.

You can just put it --

That's a damn shame.

It -- It looks even bigger
on the floor.

I --

Hey, you know what?
Get down. Get down.

Okay.

Yeah, yeah.
Hey, hey, no, no.

No, look, that's enough.

Now, 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.

♪♪

You know, I-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?

No, 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.

And instead of helping
people access it,

our government
is dismantling science.

Just like that.
Clinical trial, gone.

Not just Katie or cancer.
It's maternal health,

diabetes prevention,

substance abuse programs.

Space exploration is even
on the damn chopping block.

Just, decades
of groundbreaking work.

Without even a single thought
to its cost in human lives.

I can't even
give Katie a chance

to spend her last moments
outside of these hospital walls.

Uh, 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.

♪ Stay ♪

♪ And I will ♪

Hey, I spoke to Kavita --
Now's not a good time.

♪ Hold you close ♪

Uh, Dr. Wright?

♪ And I will ♪

How is Scott doing?

Well, his heart's had minimal
tissue coverage for two weeks.

He's not great.

♪ And I will ♪

Can I help you?

I have worked really hard

to build a good reputation
for myself here,

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

Dr. Mohanty lied
in the M&M.

I didn't stitch
over the pedicle.

I wanted to sew
around the pedicle,

but she wouldn't let me.
And I don't know why she lied,

but I promise you,
it wasn't me.

That's quite the sob story
you've got there.

I'm setting
the record straight.

Look, hospitals
are high school.

Emotions are high.
Status matters.

People are 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.

Did 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, Kwan, have you ever done
a sternal reconstruction?

Blue: 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 device 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 sponsor
will help cover the costs.

This is, uh --

This is amazing.

You made this?
How?

No, no,
this was all Dr. Lincoln.

I know nothing about bikes.

Man. Thank you.

I don't know what I
would have done if, uh --

You're welcome.

♪ I wanna know
what happens underneath ♪

Should I not ask?

Dr. Wright said
that I was being dramatic,

and she doesn't want
to work with me 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 not so sure.

Hey, 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.

Well, okay, technically,
it's my Aunt Meredith's house --

She's gonna go to
her own home next week.

She doesn't have
that long.

♪ I feel the dance
of the willow trees ♪

You sure
this is a good idea?

She's dying.

I-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.

♪ Oh ♪

[ Knock on door ]

♪ Oh-oh ♪

Hey, uh, chief?
Look, um,

I just wanted
to apologize.

I-I got excited
about a flashy case,

and I-I let things
get out of hand.

Well, 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.

Bad different?

I tried to push it down

and return to work
like nothing happened.

These days, the patients
that I can't stop thinking about

are the ones
we couldn't get to in time.

And instead of
addressing the problem,

we're patting ourselves
on the back

for removing
a massive spleen.

Having a perspective shift
after cancer,

it's -- it's natural.

I mean, I've been there.

Well, what if
I can't unsee this?

Would that be so bad?

Maybe it's time
to start a new chapter.

Spoken like a younger man.

[ Chuckles ] No, uh,

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

♪ Light a fire ♪

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

♪ Till I'm home again,
oh, rushing water ♪

It really was quite a spleen,
though, wasn't it?

Lord have mercy.
[ Both chuckle ]

♪ Gonna follow the moon
till I'm home again ♪

Monitor her pain
and oxygen requirements,

and page me if we 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 gonna like this?

Well, uh, 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 waits 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.

Adams, Kwan, and I
would take shifts.

Yeah, and -- and her mom
can stay in their spare bedroom.

[ Sighs ]
Sorry.

What about
pain management?

We can get
her scripts filled

and administer them
at the house.

Yeah, and I can drain
her abdomen when needed.

Look, it's literally
her dying wish.

I-I hear you.

But as her surgeon
and a leader in this hospital,

I cannot advise it.

Okay, she would need
a hospital bed,

an oxygen concentrator --
Are you writing this down?

Oh.
Yeah.

[ Sirens wailing ]

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

Yeah, I was looking over
Dr. Wright's notes

for the sternal
reconstruction.

I heard you were
joining the case.

I'll fill you in over pho.

I can't do it.
Bánh mi?

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 Wright
that I was committed

to assist Altman tomorrow.

You didn't tell her
about me.

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

I hope you get the job
in Boston.

[ Gem Club's
"Spirit & Decline" playing ]

Meredith: 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 --

No, that's -- that's not
necessary. We, uh --

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.

♪ Hushed ♪

Didn't I fold
all this laundry earlier?

Hattie spit up everywhere.
So did Peyton.

Luna got
the ketchup bottle and --

You know what?
I don't want to talk about it.

♪ Struck your shoulder ♪

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.

Well, you don't have to
fix everything yourself.

Yeah, I've realized that.

But you might have to go back
to work eventually

so we can afford
to pay Elroy to do it.

[ Laughs ]

[ Chuckles ]

You know, I-I was wondering...
Mm-hmm?

...what if Elroy didn't
actually fix this place?

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

The -- The fireplace,
the balcony, the glass doors --

What if we fixed
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.

♪ To lose focus ♪

This place just has
so many memories.

You know, movie nights
on this couch,

the Nicoletti's take-out dinners
on that table.

You proposed to me
right there.

♪ Your spirit rise ♪

Yeah.

Guess we'll have to make
new memories.

♪♪

We will.

♪♪

♪♪

What do you think?

How do you feel?

Millin.
What are you doing here?

Uh, 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.
Millin --

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.
I make my interns do it.

And I know where you keep your
secret stash of protein bars

at the nurses' station.
And I'll sneak one

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

♪ Watched for the point ♪

And I coached your patient

behind your back
to get around his insurance

so you would have to operate
on him that day.

♪ When you'd wake ♪

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-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 you need to convince --

I don't care
what anyone else thinks.

♪♪

I believe you.

♪♪

I'll, uh --
I'll see you tomorrow.

Ask the questions, and
the answers might surprise you.

♪♪

♪♪

♪♪

♪♪