All language subtitles for Greys.Anatomy.S22E15.XviD-AFG[EZTVx.to]

In order to be designated
a Level 1 trauma center,

hospitals must meet
a variety of requirements.

Ooh! What are you doing?
Get out of the way.
I'm almost to the next level.

I am cleaning up Katie's stuff.

Does it have to be right now?
I haven't played in days.

Oh, I'm sorry the dying patient
got in the way
of your video games.

Hey, can you
give this to Lucas?

Give it to him yourself.

They must maintain
usable ORs within 15 minutes,

employ a minimum number
of certified specialists...

No.

...and admit at least
1,200 trauma patients a year.

Hospitals in big cities
pass the test easily.

But the farther away you get...

Adams? Come on. It's morning.

Mmm.

I know Katie was a tough loss.
I'm feeling it too.

If you want me to find someone
else for your assignment...

No, I'm good.
I'm good. I'm going.

...hospitals
are Level 2, 3, even 4,

and sometimes all they
can do is transfer people
to get the care they need

and hope they hang on.

We shouldn't be doing this.
We have to stop.

Uh-huh.

Iris is back
from vacation today.
What if she walks in here?

Why would an L&D nurse
go into a CCU closet?

Um...

She... Listen.
She doesn't deserve
to be treated like this.

I have to break it off.

When are you
going to talk to her?

As soon as humanly possible.

Uh, we were just looking for...

- Gauze.
- Yeah.

I don't care.

Oh, I actually do need
to grab a Cordis kit.

I'll see you at rounds.

Okay.

I'm freezing my eggs.

Sill don't care.

Richard.
Hey, are you gonna change?

Uh, we're hitting the road
in a half an hour.

Oh, I'm heading out,
but not to Enumclaw.

- Why?
- Well, my schedule changed.

Didn't you see my email?

-No.
-Well, uh, I...

I forgot to hit send.

I told Cascade Hill I'm
bringing them four surgeons.

Well-Well, you will.
I got you a backup.

Oh, here she comes.

- Hey.
- Hey.

- Hey, hi.
- Um...

...have fun out there.

Thanks.

Listen,
if you're too busy for this,
I can just take the residents.

Oh, oh,
Richard asked for a favor.

I made time, but I...

-I mean,
if you don't want me to go--
-No, no, no, no.

These patients need
all the help they can get.

Right.

I love field trips.

-Are you excited?
-Not really.

Well, Dr. Hunt said last time
he volunteered at Enumclaw,

there was a guy
that was crushed by a horse.

Cool.

If you're not interested
in rural medicine,
then why did you volunteer?

I was looking
for some peace and quiet.

Adams, hi. Are you coming too?

-No.
-Hey, I texted you
about Katie...

Is he okay?

Clearly wouldn't know.

-Okay, did you pack up
all the supplies?
-Yes.

-All right, let's go.
-Oh, I made a playlist.

-I-I also brought earbuds, so.
-Great.

Okay.

-Hi.
-Planning a vacation?

If all goes well,
we're gonna take a road trip,
see some national parks.

Oh, Yosemite is one of
my favorite places on Earth.

- Mmm.
- I don't like nature.

He's warming up to the idea.

I'm gonna go get some food.

Hmm.

They say God made teenagers
so it's easier to let them go.

- Kwan.
- Quinn Durston, 43,

- with stage 4 hepatocellular carcinoma.
- -Mm-hmm.

He's had chemo and radiation.
Now presenting with biliary
stenosis.

He's scheduled
for an ERCP to place a stent.

Waiting to hear from the FDA
whether we can implant

a synthetic lymph node
for compassionate use.

So there's still no decision?

I'll be following up
right after this.

Do they know
that I'm a single dad,

and if this treatment
really could give me more time,

that'd be
life-changing for Logan.

Unfortunately,
they're only looking at
the medical facts of the case.

Let me worry about the FDA.

In the meantime, Dr. Kwan?

- I'll run pre-op labs
for the stent.
- Good.

Okay.
Right. Here we are.

- Dr. Hunt.
So good to see you.
- Dr. Braider.

- Come here.
- Oh.

This is Dr. Altman,
Dr. Griffith, Dr. Spencer.

This is Dr. Lorna Braider.
She is in family medicine.

And OB, orthopedic,
pediatric, geriatric,

basically anything
that comes in those doors.

Keeps things
exciting around here.

-Why don't you put us to work?
-Absolutely.

We've got a head lac in bed 3,
abscess in bed 2.

Everything should be easy
to find, but Dr. Hunt
knows his way around.

I can take the head lac.

Yeah, I'm on it.

Okay. All right, well, we've
got some supplies in the van.

-I'll go get them.
-You are a literal lifesaver.

- Oh. Hang on.
Hold on those supplies.

Incoming rig. Let's go.

May not be a big city, but
there is rarely a dull moment.

June Rojas, 23, fell
while rafting the Green River.

- Trauma to the left arm.
- Where's Keaton?

- Vitals stable.
- Where's Keaton?

-We dressed the injury
at the scene.
-You want to take the lead,

- see what it's like to be in charge here?
- -June?

I'm Dr. Hunt. This is
Dr. Braider and Dr. Altman.

-We're gonna
take care of your arm, okay?
-Have they found him?

-Who's him?
-Boyfriend.

He's not my boyfriend.
He's my soulmate.

Search and rescue's
looking now.

Keaton has to be alive.
I have to find him.

Take me back out there.

They're doing everything
they can to find him,
but I'm worried about your arm.

We're gonna get you inside
and clean you up, all right?

Accomplished trauma
surgeon with bedside manner.

Like I said, perfect
match for Cascade Hill.

Are you--
Were you offered a job here?

Hey, there's a range of
symptoms, and sometimes there
aren't symptoms at all.

That's why getting
screened is important.

Well, Dr. Adams?

I got a colonoscopy last year.

Yeah, those don't
detect prostate cancer.

Prostate cancer screenings

typically start with a physical
exam or a blood test.

But good for you on
the colonoscopy. Keep that up.

- I'll take one of those.
For my dad.
- Oh, take two.

Black men are more likely
to get it at a younger age.

Wanna ask your doctor
when you turn around 40.

-Any other questions?
-What if I just
don't want to know?

Well, that's your prerogative,
but it's very treatable
if it's caught early.

Uh, oh, excuse me.

Um, Adams.

Um, where do you think
you're going?

Uh, we've talked to everybody,
so I was gonna grab a coffee
next door.

Not quite everyone.

I think my barber, Jones, would
benefit from some conversation.

No. No, no, no,
we have an agreement, okay?

He gives me a clean shave,
and I keep my mouth shut
about medicine.

You know, church and state.

Fine, I'll give it to him.

No, wait a minute.
That's not gonna do anything.

You gotta find
an opening to talk to him.

You do remember
how to talk, right?

-Did you put in
Mr. Saks's pre-op orders?
-I did.

Okay, maybe
I should go review them.

Do you know
that cows hate bad weather?

They'll run away from it
until they get tired,

and then the storm
catches up with them.

-Why do you know this?
-But buffalo are brave.

-There's more.
-They run right into the storm,

so they get through it faster.

-I'm a cow in this analogy?
-Mmm.

- Dr. Ndugu.
- Run into the storm.

Hey, welcome back.

Thanks. Good to be back.

Yeah, um...

Do you
have a minute? Can we talk?

- Sure.
- Happy birthday!

- Happy birthday, Iris.
- You guys are so sweet.

Here you go, birthday girl.
- Thank you!

- Who planned this?
- Come here.

Oh, you guys.

- Thank you.
- Have a good day.

- Bye. Thanks.
- See you later, Iris.

So what was it that
you wanted to talk about?

Happy birthday.

-Thank you.
-Yeah.

Uh-huh.

It's like flour.

Or Maldon salt.

Except it took years
and millions to make.
Stop touching it.

Okay.

So we add a liquid diluent

and then deliver
percutaneously as close
as we can to the tumor.

There we go.

Ah. Damn near perfect.

Can I try?

Mmm.

So, after injection,
it'll form a gel.

A tiny blob training
an army of immune cells

to attack the tumor
without chemo side effects.

Huh, It's like
a secret lymph node.

Or spy node?

The rebel base on Yavin 4.

They trained to destroy
the Death Star?

So we're Jedis.

The Rebel Alliance.
Have I taught you nothing?

Here, let me see.

My life could have been very
different if this was around
when my mom was sick.

You and a lot of people.

But let's not get
ahead of ourselves.
Still in the testing phase.

Nice approach.

Okay, go prep Quinn.

-Hey.
-Hey.

Do you know if Lucas
has any food allergies?

Lucas Adams?

Yeah, I want to
order him some cookies.

-Cookies?
-Or maybe doughnuts are better?

I'm just trying to be nice.

Yeah, I was nice to him.
You know what it got me?

Hospice in my living room
and blame for something
that wasn't my fault.

-I don't have
to get the cookies.
-Everyone says

your coresidents are
your support system and they'll
look out for you.

You know who's actually
looking out for you?

-Attendings?
-You.

That's it.
Sooner you figure that out,
the better off you'll be.

Stop, please. It hurts.

I know, but we need
to remove the dressing
to check the wound.

No, I'm sorry, I can't.

Looks like it's adhered
to her arm. We're gonna
give you some meds,

then wet the gauze with saline
and try again, okay?

We shouldn't have tried
Class IV rapids on our own.

We were halfway
down before we capsized.

- I grabbed a branch,
but Keaton...
- I'm so sorry.

When we left this morning,
I never thought by the end
of the day he will be gone.

We don't know anything yet.
Let's just take it one step
at a time, okay?

We were called for a consult.

This is Patricia Kim.

She's transferred from OB post
C-section for spontaneous
pneumothorax.

She has a persistent air leak
in her chest tube.

Your name's Iris, right?

Is that your birthday cake
in the third floor break room?

-That's me.
-Love Funfetti.

-Happy birthday.
-Thanks.

What are you doing
to celebrate?

I'm going out tonight
with a few friends and, um,
this guy that I'm seeing.

The guy you're seeing?
How nice.

Assuming no one needs
a triple bypass later.

He's a cardiothoracic surgeon.

Sounds like a keeper.

Can you set up for bedside
talc pleurodesis, and...

page Dr. Ndugu.

Come on.
You'll bring your board.

We'll stop at all
the best skate parks.

That'll just make
the trip take longer.

Did you hear back?

They said no.

They did.
Quinn, I'm so sorry.

Did they give a reason?

No. They usually don't.

So what now?

Uh, we will place the stent
as planned and then back
to the drawing board.

Will I have to start
chemo again?

That'll be up
to your oncologist.

There's other
innovations in the pipeline,

and we will look into
every single one of them.

See? It'll be okay.

I'll take him upstairs
for the stent.

How's your pain?
You need more meds?

I'm okay. Nothing compares
to the pain in my heart.

-Chest pain?
-If Keaton's not in my life,

it's not worth saving.

Well, we're
gonna try anyway, okay?

- Whoa. Okay.
- She has pulsatile bleeding.

Right. The radial artery
is partially transected.

Let's check
collateral circulation.

The ulnar's not gonna
be enough. We're gonna
have to repair it.

I'm gonna place a tourniquet.
Let's hang a liter of LR.

Dr. Hunt, we could
use your help over here.

Griffith and Spencer,
take over here now, please.

Okay. I got a male.
Found him near the Green River.

He's got
multiple lacs and abrasions

with severe ecchymosis
on the left abdominal wall.

Airway's secure, GCS is 15,

and I got a body temp of 96.7.
We put every blanket we had
on him.

-On my count. Ready?
One, two, three, go.
-Right. Let me get in there.

Okay, we're gonna
check you out, Mr...?

-Uh, Keaton. Keaton Pathak.
-Keaton?

- June?
- No, no, no.

- Oh, my God, you're alive!
- No thanks to you.

You let go of my hand,
you crazy bitch!

-That's not what happened.
-You're gonna pull out your IV.

- Please calm down.
- He has it wrong.
He needs to know.

-Keep her the hell
away from me!
-Just stay down.

You're right,
never a dull moment.

- Um, Phillips-head.
- Phillips-head.

I got it. Is this like
what you do at the hospital?

Well, I'm a surgeon,
so usually I would be
the one using the tools.

Don't even think about that.

No one operates
on this chair but me.

I'm just here
for prostate cancer.

Uh-huh. Hex wrench.

Thank you.

- You know,
Richard is a good man.

I was happy to volunteer
my shop, and he's going
to help a lot of people.

Yeah. Uh, yeah.

Hey, so have you ever
had a prostate exam?

I beg your pardon?

I mean, I could, uh, set
up an appointment. We could--

Save it.

-Can you at least
read the pamphlet?
-No.

And tell Richard
I'm not interested.

Well, I know
he put you up to this.

You're the boss.

-He's not interested.
-I knew that.
You gotta keep trying.

Well, I've been
trying all morning.

Pupils equal and reactive.

Everything just
happened so fast.

I had a lot of
time to replay it in my head

while I was drowning in
the freezing-ass Green River.

Second IV's in. Let's push warm
fluids and four milligrams
of morphine.

One large contusion on the left
chest and one on the right arm.

-He needs X-rays
and a FAST exam.
-You know how much I love you.

And you decided to
let go of me, okay? I saw it.

And since you didn't die,
you're dead to me.

You don't mean that. Keaton!

- Try not to move.
- Okay,

-there's free fluid
around the spleen.
-We gotta get her out of here.

- BP keeps dropping.
- Let's push more fluids.

Dr. Braider, do you have
a procedure room we could use?

-Down the hall on your right.
-Thank you. Let's go.

No, I want to stay.

They'll bring you back
after they wash your arm out.

We need to evacuate him to
a Level 1 trauma center ASAP.

-He is not stable.
-Then we'll keep
pushing fluids.

Hopefully that'll tide him
over until we get the blood.

Spoken like a rural hospital
doctor. I'll call in the
transport order.

I'll get him prepped.
Thank you.

How'd it go?

Oh, the stent's in place.

So your biliary stenosis
symptoms should improve.

If you're looking for Logan,

I saw him
chatting up a volunteer
at the nurses' station.

He's a good kid.

He's going through a lot.

His mother left when
he was nine months old.

It's been just the two of us
ever since.

My dad and I took a national
parks trip the summer before
I went off to college.

I didn't want to go.

I was annoyed
that he woke me up at dawn

to go fly-fish in creeks
that were cold as hell,

but now I cherish
those memories.

It was our last hurrah
before I became my own person.

I wanted that for Logan.

There are other drugs
you haven't tried,

and we're still looking
for other compassionate care

and clinical trial options.

What are the odds that
Dr. Bailey finds something?

You only need one.

-Oof.
-Are you okay?

Yeah.
Uh, I'm just a little dizzy.

Okay, white counts are pretty
high. You have a fever. May I?

Yeah.

-Okay, any pain?
-A little bit up here.

Okay. I'm getting blood
cultures and taking you
up for scans.

Hey, how's it going in here?

We've clamped the chest tube
and we are ready to start
chemical pleurodesis.

Okay. All right.

Sorry to interrupt. I have the
patient's personal belongings.

Yeah, please, by all means.

The talc should help
sclerose the pleural cavity
to seal the air leak.

Dr. Ndugu, did you know
that it's Iris's birthday?

I did. Mm-hmm.

She is having dinner tonight
with her friends and the guy
that she's seeing.

I mean, you must know him.
He's a cardiothoracic surgeon.

Uh-huh.

Where are you going
for the big celebration?

Uh, I'm going to a sushi place
near my apartment.

They have killer omakase.

You know what separates
good omakase from bad?

Decisiveness.

You know,
actually, the best omakase
is about the right timing

and order of the food.

-Hmm.
-That is why I had cake
before lunch.

I admire
your conviction, Meade.

You said that you were going
to eat cake, so you ate cake.

All done here.
Enjoy your dinner.

Thanks, I will.

Dr. Michelle Ward to L&D.

Whatever this is,
he didn't need it.

He's getting sicker.
He's not gonna be able
to tolerate more chemo.

Well, we have to try.
He wants to try.

What is the point
of all our training

if some losers in an office
building can tell us what's
best for our patients?

People who don't even know him.
Do they care at all?

Yes, they do.

How can you say that?

You see what's happening. Katie
Rogers died in my living room.

Look, those losers
are career public servants.

People who show up
at the office every day

regardless of
who's leading the charge.

They show up because they care.

I-I have to believe that.
I've seen it.

And it's good that they
don't know Quinn 'cause
they can be objective.

Look, you cannot put
a treatment with an unknown
toxicity profile

into someone just
because they're dying anyway.

That is not medicine.
That is experimentation.

But it already worked
on some other patients.

It could buy him some time.

Or it could make things worse.

Four years of schooling
does not make you a god.

We need guardrails,
just like everybody else.

Oh.

His biliary tree's still
distended with an obstruction?

He has ascending cholangitis.

Okay, let's, uh, prep
for a percutaneous
cholangiogram with a drain.

Yeah.

Hey, hey, hey, hey,
it's her birthday.

So I heard.

-What do you want me to do?
-I want you
to break up with her.

-Okay, I-I hate
upsetting people.
-Oh, my God.

Once at Joe's, I found
a fingernail in my onion rings,

and I didn't want to tell
the server, so I ate around it,

and it wasn't even
that guy's birthday.

Okay, some stories
don't need to be told.

I just don't wanna be a jerk.

Well, the jerky thing
is to let Iris think
that everything is fine

when you have one foot
out the door and your mouth
on my mouth.

Yeah, I agree.
I'll do it tomorrow.

All right, you-you
can do whatever you want.

I'm just...
I'm just frustrated.

After months of wanting this,

I can't.

Not on your
girlfriend's birthday.

How's he doing?

He's holding up.

-Good. Medevac's en route.
-Okay.

- His repeat H&H dropped
by two points.
- Dr. Braider.

Owen, what are you doing here?

-I'm helping a community
that needs it.
-That's not what I meant.

Listen, I haven't
made any decisions yet.

This hospital shuttered
their ORs three years ago.

Because a bean counter decided
that it made financial sense.

- People didn't stop
needing surgery.

They want me to start
a regional surgical program,

rotate in specialists so
that folks can get the care
they need closer to home.

You're a trauma surgeon
at a Level 1 trauma center.

And I get to build this
program from the ground up.

-He's about to code.
-Bag him. Gonna need
an intubation kit.

All right.

- Got it?
- Yep.

So who else needs one of these?

You've been gone for a while.

Yeah, I just...
I just needed some air.

You know, I've known Jones
longer than I have my wife.

I'd really appreciate
it if you'd try it again.

He obviously
doesn't want to talk.

Yeah, but that doesn't mean
he doesn't want to listen.

And I know he's well overdue
for a screening.

I thought that
doctors weren't supposed
to pressure their patients.

Well, I just want
to make sure he understands
the risks and the benefits.

With all due respect, sir,

I was told I'll
just be handing out flyers
when I volunteered for this.

I-I think you need
to go back to the hospital.

-Because I don't wanna
strong-arm one man?
-I'm trying to save lives.

I don't need another
doctor getting in the way.

Look, I understand
that it's important.

-Not like I do.
-Well, I studied
the same facts.

I know the same risk factors,
the screening process...

But you haven't lived it.

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

Yeah.

You should go back
to Grey Sloan. I'm sure
they could use you there.

-Are you sure? I can...
I can stay. I...
-No, I got this covered.

You go ahead.

- Can't see the cords.
- -You want some cricoid pressure?

Wouldn't hurt.

- All right, I'm in.
- Okay.

All right.

-Bilateral breath sounds.
-His spleen is bleeding out?

-That's the most
likely explanation.
-BP's down to 75.

-Okay. How far is the medevac?
-I don't know.

If there's heavy fog,
it could take longer.

Can't wait. His spleen
needs to come out right now.

We're gonna need
one of those old ORs.

Does she
need a plastics consult?

- No.
- Even with tissue coverage,

-she'll have bad scarring.
-We'll do our best
to prevent that.

Brand me. I deserve a scar.

I was slipping and
I let go of my boyfriend
to grab another branch.

That's how you let him go?
That's gut instincts or reflex.

Lizard brain. Darwin.

What did he expect you to do,
sacrifice yourself
so you both died?

No, you did the right thing.

If he can't see that,
you were never meant to be.

The tourniquet's
been applied for too long.

-It's cutting off
her blood supply.
-Am I losing my arm?

No, no, but the artery
going to your hand

is compromised, and we
need to repair it right now.

-Spencer,
get 6-0 Prolene and a castro.
-Um, sure. Any idea where?

I was gonna look for it, but
shouldn't we get an attending?

June is our patient, and she
needs a simple primary repair.

And if we don't do it now,
she could lose her hand.

-Do you want that?
-No.

Then get it together
and help me.

Hey,
I-I've been looking for you.

You did it. Way to go.

Hey... You can't do that.

Look, I just need
your attention for 60 seconds.

-What's wrong?
-The stent didn't work.

Your dad's
developed an infection
called ascending cholangitis,

and the only way to clear it
is to place a drain

to remove the bile
buildup in the liver.

Okay. And then he'll
feel better after that?

I've been in your shoes.

You know, when you're in
and out of the hospital
so many times with someone,

it feels like the doctors
are saying the same thing
over and over again.

It's impossible to
tell if it's really serious

or just more of the same.

But this time
it's different, Logan.

Your dad probably only
has a few weeks to live.

He came in really, really sick,
and he's not getting better.

So if I were you,

I'd do everything in my power

to spend as much
time with him as you can.

It's been a minute.

Yeah.

-You want a little oil
on your scalp?
-Coconut?

You got it.

I think my nephew took
care of you the last time.

Yeah, he sure did.

Look, I... I know it's been
a minute since I've been
to see you.

Well, I thought you had left
for another shop.

Nah.

Well, actually, I...
I was home for a while.

I had surgery
for prostate cancer.

I'm sorry, I didn't know.

Are you doing chemo?

Yeah, it was an option,
but I elected to have my
prostate removed.

I was nervous,

but I did it.
I have no regrets.

I'm cancer-free,
and I feel great.

Oh, Richard.

No. Get the screening, Jones.

I'm not saying
this as a doctor.

But as a survivor
and as your friend.

If it means that much.

It does.

All right. then,
sit back and let me fix
what my nephew did to you

'cause you're holding up
my schedule.

Hey, can I gut check something
with you? It's a guy thing.

- No.
- Okay,

so say you had
a favorite sandwich shop,

and you go and get a sandwich
there every day and then
you find a salad spot--

Okay, I'm not gonna do
the whole complicated analogy,

so can you just say Ndugu?

Okay, fine. He...

He said he was going
to break up with this nurse
that he was dating,

and he didn't do it.

Okay, he's not into you.

Okay, at least not enough
to go through trouble

- of breaking up
with somebody else.

What is happening?

I'm on these hormones
from freezing my eggs.

So you have
to be gentle with me.

-Okay, you should've
opened with that.
-It's her birthday.

Does that change anything?

Have you cried like this
in front of him?

-Well, no.
-Definitely don't.

But it-it's still going
to-to be all right, right?

Maybe.

But if he doesn't keep
his promise to you, then
he's just a spineless wimp.

Ugh. He's not a bad person.

Well, he's got you crying
like a teenager,
so agree to disagree.

I said be gentle.

I know
it was my idea to start
a surgical program here,

but I did not mean today.

Do you see any other options?

-Do you even have
the right instruments?
-I got a chest tube tray.

And 11 blade isn't
usually my go-to for an ex-lap,

but I've operated with less.

I hope no one
gives birth today.

We stole every towel
and drape from the OB ward.

What about retraction?

Uh, specialty
from our military days.

- They're not Deavers,
but it works.

Systolic is down to 70.

Okay, Dr. Braider.

Do it.

I couldn't
do that without loupes.

I've been wearing glasses
since I was two.

Everyone in my family has
perfect vision, but my pupils
are just kind of--

Spencer, focus.

All right. I'm
just gonna unclamp the artery.

No leaks. We did it.

Of course we did.

-I'm going to live?
-Yes, and do you remember why?

-Because I looked out
for myself.
-That's right.

You did
what you had to do to survive.

Don't let anyone make you
feel guilty for it.

I know. And maybe
you're right. Maybe we
were never meant to be.

I just don't
want him to hate me.

All right, drain is in.
Send the samples for culture and sensitivities.

I spoke with Dr. Kuby.

She's going to start Quinn
on third line chemo

once the infection clears.

- Does she think it might work?
-She thinks it's worth trying.

His son hasn't
even graduated high school.

Are you sure we
shouldn't inject the
synthetic lymph node?

It would be against the law
to use an unapproved treatment

without FDA permission.

Okay, but the thing works.

Eighty percent of patients
had tumor shrinkage six months
after getting it.

Those are anecdotal results
based on ten patients.

We have no idea
if it would work for him.

We could just be giving his
body something new to tolerate

when he's already septic.

All right, I have
a hernia repair to get to.

Secure the drain,
and bring him back to his room.

We'll image in 24 to 48 hours
to make sure the drain worked.

Okay, I'll let you know
when the cultures are back.

Okay, fixation device.

All right, I see it.
Looks like a stage 4 splenic lac.

- I'm gonna need more towels.
- Yeah, I got you.

You two really have this down.
I didn't realize you were also a veteran.

She was chief at
MEDCOM in Landstuhl, Germany.

Don't let the fancy titles
fool you. I also did tours
in Afghanistan and Iraq.

-Isn't that where
you were stationed?
-That's where we met.

- Oh.
- You better work fast.

There's too much blood.
I can't visualize the pedicle.

- All right, let me try something.
-Yeah.

Yeah, I got it. All
right, follow with your hand.

Okay.

Got it. Clamp.

Another.

Scissors. Oh-vicryl. Times two.

Okay, when I'm done with this,

I'm gonna need sterile towels
for the temporary closure.

BP is holding steady
and pulse is stabilizing.

I cannot believe
you pulled this off.

Well, you both just
made my case for starting
a surgical rotation here.

Okay.

Well, the helicopter pickup
isn't too far.
He's gonna be fine.

Are you sure you're okay
driving the transport van back?

Yeah, as long as Spencer
keeps her playlist to herself.

And Griffith did an excellent
repair on June's arm.

I'll set up an outpatient
follow-up with plastics.

Oh, hey. Um, I'm sorry we
couldn't get to more patients,

but I'll come back next week.

No need to apologize,

but I will look forward
to seeing you again.

Okay. I'll keep you updated
on his status.

Great.

-Drive safe.
-Okay, yeah.

You're very lucky to have him.

But I really hope
he leaves you.

Maybe I shouldn't be so bold
about poaching him
from your hospital,

but you just seem like someone
who loves a challenge
as much as he does,

and you two
clearly have history.

If you'd put a good word in
for us here, I'd appreciate it.

Owen's gonna make up
his own mind.

Good luck filling the position.

Hey, how'd it go today?

Oh, I showed Chester Jones
how to message his PCP
from his portal.

Um...
...I'm not quite sure
what to think of that.

It's one of the best
days I've had in a while.

Maybe I saved some lives, and I
didn't have to cut anyone open.

Well, that sounds
like a good day.

I saw Adams came back early.

Yeah, he wasn't in
the right headspace
for community outreach.

I'm so sorry he wasn't helpful.

Well, actually, he was.

Until today, I was hesitant
to tell my own story.

But he reminded me
that sometimes people need
to hear from other patients

-just as much as doctors.
-Hmm.

Yeah.

Well, I'm glad
everything worked out.

I wish I could convince him
to get a haircut.

Hey.

Wh-Where's your dad?

Uh, Dr. Bailey told the nurses
to take him for a scan.

What kind of scan?

- I don't know.
- I meant did something happen?

-I don't think so.
-Oh.

Wait, wait.
Do you think it's bad?

No, no, no, I think it's fine.

Oh, good. You're still here.
I have something for you.

What is this?

A few of Katie's things
her mom didn't take.

Just thought
you might want them.

-You can't hate me forever.
-Don't be so sure.

Lucas, I'm sorry
for your loss. I...

She was your friend. I could've
been more sensitive to that.

What a relief.
I feel so much better now.

I know you're grieving.

You're looking for explanations
and saying things
you might not mean.

Who says I don't mean it?

Leave me alone.

Hey, I thought you were
gonna wait 24 to 48 hours
for Quinn's MRCP.

That is the protocol,
but you know,
he's been through so much.

I figured if the drain's not
working, better to know now.

How's it looking?

-The bile's moving.
-Hmm.

Hopefully, the antibiotic
will cool off the cholangitis.

I think we did it.

Great.

Um, so while I have you, can I
ask you about Mr. Elmer's labs?

Do you see that?

There's a fluid collection
adjacent to the tumor. What?

Uh... Okay, is it blood?
Or a bile leak?

It's not contiguous
with the biliary tree.

Uh... Oh.

I don't like what I'm seeing
'cause he could be bleeding
from this tumor.

All right, we need a repeat H&H
and, uh, coags and, uh,
set up an ultrasound.

It's hydrogel.

And how did it get there?

I injected it after you left.

It's... it is his best option,

and it was just sitting there
in the hospital.

It's his best option for you to
commit a crime on my patient

in my OR?

Okay. No one has to know.

What? Quinn has to know.

You can't put an experimental
treatment in someone's body
and not tell them.

- Okay. Okay...
- ...I can tell him.

No, stop.
You have done enough.

Hey. Can we talk?

Iris is a really nice person.

She doesn't deserve to have
her birthday ruined just
because I'm impatient.

And the fact that you care is
part of what I like about you.

So if you wanna wait
till tomorrow, it's-it's fine.

But if you're having
second thoughts about us,
will you just please tell me?

I ended it.

You were right.
She deserved the truth,
even on her birthday.

Uh. How did she take it?

- Mm-mmm. It...
- ...uh...

Well, I should stay off
the labor and delivery floor
for a while,

-but I'm single.
-Oh?

And I want to take you out.

Then I want to take you home.

Oh, no.
I'm-I'm freezing my eggs.

-Okay?
-Well, I can't have sex.

Because it could cause ovarian
torsion, which is, you know,
when the ovaries--

I know what it is.

So I probably
shouldn't go home with you.

Let's just do a movie
and chill.

I mean watch an actual movie
and actually chill.

I'd like that.

No matter how remote you
are or how isolated you feel,

there's hope.

And help is usually closer
than you think.

It's been a day,
and I need a drink.

And I'm just sitting here,
so I don't have to sit next
to that guy.

You know what, that's a lie.

I'm just sitting here
because I wanna sit here,

and if you don't like it,
you can move.

It's not always easy to ask.

But with a little courage...

if you look,
you'll find what you need.

Thank you for coming with us.

Oh, yeah. Yeah. It was a...

it was a good day.

Well, we removed a spleen
with a chest tube kit.

I have done a lot
of crazy things in my career,
especially with you,

but this was...
this was up there.

You're gonna take that job?

I turned it down.

You know,
it was nice to think about,
but the timing's not right.

Oh, thank God. I thought
you were gonna leave me.

I mean, you know, if...
if you had taken that job,

I would've had to find
a new chief of trauma

and hire them and train them
and just start over.

Yeah, it would've
been a hassle.

Your family, your friends,

your community...

I'm gonna go there
once a month though.

-Just to help out.
-Oh. Yeah.

We'll figure something out.

...lifting you up.