1 00:00:02,795 --> 00:00:08,353 In 1963, Dr. Thomas Starzl performed the first five liver transplants. 2 00:00:08,387 --> 00:00:11,528 [Shepherd] We know it is a departure from existing Alzheimer"s research, 3 00:00:11,563 --> 00:00:13,427 but we believe it is worth pursuing. 4 00:00:13,461 --> 00:00:16,154 Evidence already suggests that changes in the gut"s microbiome 5 00:00:16,188 --> 00:00:17,672 is correlated with Parkinson"s. 6 00:00:17,707 --> 00:00:19,743 If the same proves true for Alzheimer"s, 7 00:00:19,778 --> 00:00:22,263 it could completely transform the search for a cure. 8 00:00:22,298 --> 00:00:24,748 One patient bled to death on the operating table. 9 00:00:24,783 --> 00:00:28,028 - Uh. We"re happy to answer questions. - [investor] Not necessary. 10 00:00:28,062 --> 00:00:30,696 In fact, I"m sorry we dragged you all the way from Boston for this. 11 00:00:30,720 --> 00:00:34,034 But it"s just that our board will ask if we met Dr. Grey in person 12 00:00:34,068 --> 00:00:35,628 when we recommend they fund the project. 13 00:00:35,656 --> 00:00:37,451 The other four died within days. 14 00:00:37,485 --> 00:00:39,256 - You are asking for money, right? - [Grey] Yes. 15 00:00:39,280 --> 00:00:41,282 We didn"t expect an answer so soon, but... 16 00:00:41,317 --> 00:00:44,527 [investor] The board still has to vote. But frankly, it"s more of a formality, 17 00:00:44,561 --> 00:00:47,057 especially given Dr. Grey"s affiliation with the Fox Foundation. 18 00:00:47,081 --> 00:00:50,222 Should we set up a meeting with Dr. Fox to discuss next steps? 19 00:00:50,257 --> 00:00:52,224 [pop music playing] 20 00:00:52,259 --> 00:00:56,194 As a result, the operation was considered too dangerous to be performed on humans 21 00:00:56,228 --> 00:01:00,888 and liver transplantation was suspended worldwide for the next four years. 22 00:01:00,922 --> 00:01:03,591 [panting] Hey, you almost hit me when you pulled into the parking lot. 23 00:01:03,615 --> 00:01:05,824 Maybe you should consider running against traffic. 24 00:01:05,858 --> 00:01:07,412 [pants] Thanks for the tip. 25 00:01:07,446 --> 00:01:09,586 "♪ Know why you" re Running under sheet ♪ 26 00:01:09,621 --> 00:01:11,657 I need to do a wound vac change before rounds. 27 00:01:11,692 --> 00:01:13,590 - I"ll see you inside. - Yeah. 28 00:01:13,625 --> 00:01:16,248 I"m still mad at you for getting us banned from the OR. 29 00:01:16,283 --> 00:01:17,836 I didn"t ask for your thoughts. 30 00:01:17,870 --> 00:01:20,321 Can you not be a tool right now? I"m trying to be nice. 31 00:01:20,356 --> 00:01:22,151 - This is you being nice? - Yes. 32 00:01:22,185 --> 00:01:24,429 I"m declaring a momentary truce. 33 00:01:24,463 --> 00:01:26,510 You got us in trouble, but you"re still my roommate, 34 00:01:26,534 --> 00:01:29,468 kind of my friend and you were just dumped so... 35 00:01:30,262 --> 00:01:32,092 - Are you okay? - I wasn"t dumped. 36 00:01:32,126 --> 00:01:35,302 - Mutual breakup, whatever. But... - [Adams] I"m fine. 37 00:01:35,336 --> 00:01:37,856 You are making it really hard to be Team Skywalker! 38 00:01:37,890 --> 00:01:42,102 "Wasn" t exactly an auspicious start for a surgery that has saved countless lives. 39 00:01:42,136 --> 00:01:44,863 [Grey] From now on, I"m waiting in the car when we do these meetings. 40 00:01:44,897 --> 00:01:48,280 Everybody knows my affiliation with Catherine, and somebody will talk. 41 00:01:48,315 --> 00:01:52,595 Should we give up now? Or can we hold out until one thing in my life is on track? 42 00:01:52,629 --> 00:01:56,599 My flight is not until 6:00, so I can make some calls from your lab. 43 00:01:56,633 --> 00:01:57,841 Our lab. [Sighs] 44 00:01:57,876 --> 00:02:00,982 - Ooh, space. - [Grey] I think she"s waiting. 45 00:02:01,017 --> 00:02:03,951 - Uh, or she"s on her phone. - What about Westerly Science? 46 00:02:03,985 --> 00:02:07,851 They"re small and new, but they have deep research pockets. 47 00:02:08,887 --> 00:02:10,199 Did you get a cat? 48 00:02:11,372 --> 00:02:13,271 I"ve given up on finding a human soulmate. 49 00:02:13,305 --> 00:02:14,444 - Oh. - [horn honks] 50 00:02:14,479 --> 00:02:16,136 Hey, I was waiting for that spot. 51 00:02:16,170 --> 00:02:19,069 - Well, you were on your phone. - Answering an important text. 52 00:02:19,104 --> 00:02:20,554 On your phone. 53 00:02:21,210 --> 00:02:24,144 There"s an overflow lo... [sighs] 54 00:02:24,178 --> 00:02:25,800 [elevator dings] 55 00:02:25,835 --> 00:02:28,631 [announcer on PA] Dr. Lewis to oncology. Dr. Lewis to oncology. 56 00:02:28,665 --> 00:02:31,392 Hey. Uh, and you can erase Dorian"s abdominal washout. 57 00:02:31,427 --> 00:02:36,328 - How"s he doing? - Uh. He"s stable for now. The poor kid"s got a ways to go. 58 00:02:38,675 --> 00:02:40,574 - Okay. Let"s hear it. - What? 59 00:02:40,608 --> 00:02:44,716 You"ve been complaining about my changes to the residency program nonstop. 60 00:02:44,750 --> 00:02:47,167 So, I"ve got time before my next surgery. 61 00:02:47,201 --> 00:02:49,376 Maybe get all that negativity out now 62 00:02:49,410 --> 00:02:52,310 instead of sprinkling it throughout my day, like you"ve been doing. 63 00:02:52,344 --> 00:02:53,587 [Ndugu] No negativity today. 64 00:02:53,621 --> 00:02:55,347 I"m going on vacation. 65 00:02:56,383 --> 00:03:00,594 Seems early in your new position to be... 66 00:03:01,422 --> 00:03:03,528 Going someplace warm? 67 00:03:03,562 --> 00:03:04,494 Chicago. 68 00:03:04,529 --> 00:03:05,909 Oh. Say hello to Maggie for me. 69 00:03:05,944 --> 00:03:08,188 I will. I will. But, uh, when I get back, 70 00:03:08,222 --> 00:03:10,535 I do wanna discuss an idea for the interns. 71 00:03:10,569 --> 00:03:12,226 Don"t you have a plane to catch? 72 00:03:12,261 --> 00:03:15,056 - [phone rings] - [siren wailing] 73 00:03:15,091 --> 00:03:17,197 Griffith, Millin, take the pit. 74 00:03:17,231 --> 00:03:20,234 I"m visualizing a multi-car crash or a construction accident. 75 00:03:20,269 --> 00:03:22,409 - I need chest tubes. - I need intubations. 76 00:03:22,443 --> 00:03:24,514 And I need a foot massage. 77 00:03:24,549 --> 00:03:27,276 - Kwan, you"re with Beltran. - The new peds attending? 78 00:03:27,310 --> 00:03:30,865 Yeah, you know what they say about peds without the OR? Babysitting. 79 00:03:30,900 --> 00:03:33,903 Don"t care. Beltran was on the team that pioneered single-port surgery. 80 00:03:33,937 --> 00:03:36,388 [sighs] Way to brag about reading the hospital newsletter. 81 00:03:36,423 --> 00:03:39,046 - Just trying to stay ahead. - Yasuda, Adams, ICU. 82 00:03:39,080 --> 00:03:41,876 Uh. Millin, wanna trade? There are a lot of chest tubes in the ICU. 83 00:03:41,911 --> 00:03:45,225 - I already have most of those... - No trading, negotiating or complaining. 84 00:03:45,259 --> 00:03:48,262 Unless one of you picked up a vanilla latte on the way? 85 00:03:49,574 --> 00:03:50,816 Didn"t think so. 86 00:03:51,645 --> 00:03:52,818 Go! 87 00:03:53,302 --> 00:03:54,510 [Griffith sighs] 88 00:04:04,416 --> 00:04:05,762 [children giggling] 89 00:04:07,039 --> 00:04:08,178 [Shepherd] Hmm. 90 00:04:08,213 --> 00:04:09,904 [Kwan] This won"t hurt, okay? 91 00:04:09,939 --> 00:04:11,251 [Shepherd] Good morning. 92 00:04:11,285 --> 00:04:13,667 I"m Dr. Shepherd. You must be Malan. 93 00:04:13,701 --> 00:04:15,151 I"m her mom, Maria Flor. 94 00:04:15,185 --> 00:04:17,464 - It"s nice to meet you both. - Nice to meet you. 95 00:04:17,498 --> 00:04:21,157 Good morning. I"m Dr. Beltran, pediatric surgeon. I"m sorry I'm a little late. 96 00:04:21,191 --> 00:04:24,022 I had an unexpected delay. 97 00:04:24,056 --> 00:04:27,336 - Who"s presenting? - I"m the chief of neurosurgery. 98 00:04:27,370 --> 00:04:29,269 Good for you. 99 00:04:29,303 --> 00:04:31,650 Uh, Malan Vasconcelos, eight years old, 100 00:04:31,685 --> 00:04:35,205 diagnosed with congenital hydrocephalus at birth. 101 00:04:35,240 --> 00:04:37,691 She"s had five VP shunts to control the CSF build up. 102 00:04:37,725 --> 00:04:39,762 All vitals look good. No signs of infection. 103 00:04:39,796 --> 00:04:44,974 She"s here today because her mom says that Malan"s not acting like herself. 104 00:04:45,802 --> 00:04:47,942 [Shepherd] Would you mind if I take a look? 105 00:04:47,977 --> 00:04:50,369 [Beltran] Miss Vasconcelos, have you noticed any change in her motor skills? 106 00:04:50,393 --> 00:04:56,330 No, she"s just, um, she's just tired, like something"s off. Something"s not right. 107 00:04:56,365 --> 00:05:00,300 She"s normally full of energy, running around the house dancing and kicking. 108 00:05:00,334 --> 00:05:03,164 Not dancing and kicking. It"s ginga and meia-lua. 109 00:05:03,199 --> 00:05:06,236 - [Maria Flor] She does Capoeira. - I got my orange belt last month. 110 00:05:06,271 --> 00:05:07,859 [gasps, softly] Yeah. 111 00:05:07,893 --> 00:05:09,826 Dr. Shepherd, do you see anything? 112 00:05:09,861 --> 00:05:12,622 - [Shepherd] No... - But that doesn"t mean anything. 113 00:05:12,657 --> 00:05:15,315 Well, it means I wasn"t finished with my sentence. 114 00:05:15,349 --> 00:05:18,007 Uh, Maria Flor, I"d like to take her for some scans. 115 00:05:18,041 --> 00:05:21,079 She"s already gone through four shunt revisions and they all malfunctioned. 116 00:05:21,113 --> 00:05:23,195 I don"t want her to have to go through another surgery. 117 00:05:23,219 --> 00:05:26,740 No, I know. I know, but let"s hold off worrying until we see the scans. 118 00:05:26,774 --> 00:05:29,812 Agreed. No need to exacerbate an already stressful situation. 119 00:05:29,846 --> 00:05:35,196 [smacks lips] Kwan, uh, why don"t you get her to radiology for a shunt series? 120 00:05:35,231 --> 00:05:36,508 Okay. 121 00:05:37,509 --> 00:05:38,935 Hey, big trauma coming into the back lot. 122 00:05:38,959 --> 00:05:40,661 I need everyone that does not have a patient. 123 00:05:40,685 --> 00:05:42,514 - Let"s grab gowns. - Dibs on the airway. 124 00:05:42,549 --> 00:05:44,240 Chest tube. 125 00:05:44,274 --> 00:05:46,494 Uh, how big? I have to leave for the airport in a couple hours. 126 00:05:46,518 --> 00:05:47,875 I "ll take what I can get. Let" s go. 127 00:05:47,899 --> 00:05:49,832 - [firefighter] Steady. - Wow. 128 00:05:49,866 --> 00:05:52,524 - [Ndugu] What is this thing? - [paramedic] Nate Ardilla, 34. 129 00:05:52,559 --> 00:05:55,251 His watercraft was hit by a container ship. 130 00:05:55,285 --> 00:05:57,712 He"s got crush injuries to his pelvis and right upper extremity. 131 00:05:57,736 --> 00:06:01,533 Couldn"t fully extricate at the scene, but Jaws of Life are on the way. 132 00:06:01,568 --> 00:06:02,845 [fireman] Easy. Easy. 133 00:06:02,879 --> 00:06:04,191 [Hunt] Is this part of a boat? 134 00:06:04,225 --> 00:06:06,883 No, it"s a self-propelled floating bubble. 135 00:06:06,918 --> 00:06:09,679 - I made it myself. It"s cool, right? - That"s one word for it. 136 00:06:09,714 --> 00:06:12,682 Mr. Ardilla, I"m gonna need to check your injuries, okay? 137 00:06:12,717 --> 00:06:15,305 [groans] Steel rims seemed like a good idea at the time, 138 00:06:15,340 --> 00:06:17,687 but now, not so much. [Groans] 139 00:06:17,722 --> 00:06:19,655 You can get me out of this, right? 140 00:06:23,728 --> 00:06:25,385 Let"s take a look at you. 141 00:06:37,189 --> 00:06:39,444 I"ve been working around the clock to keep this kid alive, 142 00:06:39,468 --> 00:06:43,782 and I"ve got a full day in the OR, so try not to disappoint me. 143 00:06:43,817 --> 00:06:46,440 - [Yasuda clears throat] - [sighs] Yasuda. 144 00:06:46,475 --> 00:06:50,789 [Yasuda] Dorian Cardenas, post-op day six from ex lap with splenectomy. 145 00:06:50,824 --> 00:06:53,240 Small and large bowel repair and ostomy creation. 146 00:06:53,274 --> 00:06:57,106 In stable condition after abdominal washout and closure today. 147 00:06:57,140 --> 00:07:01,559 Keep track of his coags, acid-based electrolytes and renal functions. 148 00:07:01,593 --> 00:07:04,354 And what ventilator alarms are we watching for? 149 00:07:04,389 --> 00:07:05,908 Elevated peak and plateau pressures. 150 00:07:05,942 --> 00:07:08,151 And if only the peak pressure alarm goes off? 151 00:07:08,186 --> 00:07:09,498 Tubes dislodged, or kinking. 152 00:07:09,532 --> 00:07:11,051 Which means? 153 00:07:11,707 --> 00:07:14,572 Don"t page me. Fix it yourself. 154 00:07:14,606 --> 00:07:16,815 Wait, so you just want us to monitor him? 155 00:07:16,850 --> 00:07:22,442 Oh, you want something less boring than keeping an entire unit of patients alive? 156 00:07:22,476 --> 00:07:25,859 Including a young man recovering from multiple gunshot wounds? 157 00:07:25,893 --> 00:07:27,975 I meant you also want us to log procedures so that we... 158 00:07:27,999 --> 00:07:30,622 It "s-It's good. We" re good. Thank you. 159 00:07:33,729 --> 00:07:34,833 - Truce is off! - Ow! 160 00:07:34,868 --> 00:07:36,490 What the hell was that? 161 00:07:36,525 --> 00:07:39,735 Don"t be a smart-ass to the person who holds all the cards. 162 00:07:40,252 --> 00:07:41,599 Literally. 163 00:07:41,633 --> 00:07:44,325 Um, truce back on. 164 00:07:44,360 --> 00:07:45,982 What"s the MRN for the chart? 165 00:07:47,846 --> 00:07:50,021 I really thought I was gonna make it this time. 166 00:07:50,055 --> 00:07:52,644 - You"ve done this before? - Fourth try. 167 00:07:52,679 --> 00:07:56,648 - Where were you headed? Bainbridge? - [pants] Hong Kong. [Groans] 168 00:07:58,236 --> 00:08:03,068 [pants] It needs to sound more impressive than Rich Doyle"s record. [Inhales] 169 00:08:03,103 --> 00:08:05,899 He set a solo record rowing from San Francisco to Hawaii. 170 00:08:05,933 --> 00:08:07,970 Wait, Rich Doyle the, uh, tech billionaire? 171 00:08:08,004 --> 00:08:11,180 Didn"t he fund that floating clinic in Tanzania? Is he your boss or something? 172 00:08:11,214 --> 00:08:13,158 My wife"s ex-boyfriend. [groans] - [metal creaking] 173 00:08:13,182 --> 00:08:15,322 And to be clear, she would say he"s a non issue, 174 00:08:15,356 --> 00:08:17,196 but I know she thinks about him. I mean, I would. 175 00:08:17,220 --> 00:08:19,164 I"d think every day about what my life would be like 176 00:08:19,188 --> 00:08:22,053 if I married a billionaire adventurer rather than a pharmacist 177 00:08:22,087 --> 00:08:24,883 with a 401[k] and ten days of paid vacation. 178 00:08:24,918 --> 00:08:26,057 - [Hunt] Nate. - [groans] 179 00:08:26,091 --> 00:08:28,231 Am I almost out? This really hurts. 180 00:08:28,266 --> 00:08:30,648 It"s definitely a vascular injury in the upper extremity. 181 00:08:30,682 --> 00:08:33,409 If we don"t get him out of there soon, he"s gonna lose that arm. 182 00:08:33,443 --> 00:08:35,653 Assuming he doesn"t have massive internal hemorrhage. 183 00:08:35,687 --> 00:08:37,551 [groaning] Okay, I"m ready to get out now. 184 00:08:37,586 --> 00:08:39,173 Get me out of here. Please get me out. 185 00:08:39,208 --> 00:08:42,522 Nate, Nate. Hey, hey, Nate, look at me, look at me. 186 00:08:42,556 --> 00:08:43,913 - I"m Dr. Hunt, okay? - Uh-huh. Okay. 187 00:08:43,937 --> 00:08:45,466 Now, the pressure from these metal bars 188 00:08:45,490 --> 00:08:47,699 might be the only thing stopping you from bleeding out. 189 00:08:47,734 --> 00:08:49,366 So we need to be mindful how we get you out. 190 00:08:49,390 --> 00:08:51,841 We stopped the bleeding in your arm with the tourniquet. 191 00:08:51,876 --> 00:08:54,292 Next, we need to remove this bar from your pelvis. 192 00:08:54,326 --> 00:08:58,538 Then we"re gonna get you straight to an OR, but I need you to stay still, okay? 193 00:08:58,572 --> 00:08:59,687 - [Nate breathes shakily] - Good. 194 00:08:59,711 --> 00:09:01,195 Millin, Griffith, put another IV. 195 00:09:01,230 --> 00:09:02,863 We"re gonna need a gurney and trauma supplies. 196 00:09:02,887 --> 00:09:05,545 - On it. - Can someone call my wife? Please. 197 00:09:05,579 --> 00:09:07,270 Just tell her I"m here. 198 00:09:07,305 --> 00:09:10,204 But maybe don"t mention the part about the bars or the bleeding. 199 00:09:10,239 --> 00:09:11,102 Yeah. 200 00:09:11,136 --> 00:09:13,553 - [metal grinding] - [Nate groans] 201 00:09:17,971 --> 00:09:20,387 - Do you hate me? - Sometimes. 202 00:09:20,421 --> 00:09:23,045 - What? Why would you say that? - Why would you ask me that? 203 00:09:23,079 --> 00:09:26,738 Because when certain people show up at the hospital, 204 00:09:26,773 --> 00:09:28,602 I"d think you'd give me a heads-up. 205 00:09:28,637 --> 00:09:30,121 You get the hospital alerts. 206 00:09:30,155 --> 00:09:32,917 Plus if we hurry, we can probably still see him. 207 00:09:32,951 --> 00:09:34,332 What are you talking about? 208 00:09:34,366 --> 00:09:36,334 - The insane guy with the pedal boat. - [sighs] 209 00:09:36,368 --> 00:09:39,233 Guy tried to paddle across the Pacific and then he trashed his appa... 210 00:09:39,268 --> 00:09:42,720 - Wait, what are you talking about? - Well, I was talking about Nico. 211 00:09:42,754 --> 00:09:46,102 - Who? - Nico. My ex. 212 00:09:46,137 --> 00:09:47,942 I saw you having a whole conversation with him. 213 00:09:47,966 --> 00:09:49,381 - [Wilson sighs] - Why is he here? 214 00:09:49,865 --> 00:09:51,176 I can"t tell you. 215 00:09:51,211 --> 00:09:53,627 - Because it"s about me? - Because HIPAA. 216 00:09:53,662 --> 00:09:56,250 Look, I gotta go. Just stop freaking out. 217 00:09:56,285 --> 00:09:58,908 HIPAA? He"s your patient? [Gasps] 218 00:09:58,943 --> 00:10:00,979 Oh. You"re in black scrubs. 219 00:10:02,118 --> 00:10:06,329 Why does Nico need an ob-gyn, Jo? 220 00:10:06,364 --> 00:10:08,297 - [elevator dings] - Bye. 221 00:10:08,987 --> 00:10:11,231 [Schmitt stutters, pants] 222 00:10:14,648 --> 00:10:15,856 Meredith. 223 00:10:16,650 --> 00:10:18,134 - Hey. - Hey. 224 00:10:18,169 --> 00:10:20,274 [both laugh] - I"m so surprised to see you here. 225 00:10:20,309 --> 00:10:23,553 Well, I could say the same for you. Are you back already? 226 00:10:23,588 --> 00:10:25,763 [groans] Physical therapy. 227 00:10:25,797 --> 00:10:27,488 But I"m feeling so much better. 228 00:10:27,523 --> 00:10:30,526 - Are you here for a consult? - Uh, yeah, something like that. 229 00:10:30,560 --> 00:10:31,872 No one tells me anything. 230 00:10:31,907 --> 00:10:34,979 Ndugu has locked me out of the cardio charts, 231 00:10:35,013 --> 00:10:38,879 and Owen refuses to tell me that Leo is acting up 232 00:10:38,914 --> 00:10:40,788 - even though I am on the same emails. - [Grey chuckles] 233 00:10:40,812 --> 00:10:44,298 And Richard... Well, he"s telling me that I should hang in there 234 00:10:44,333 --> 00:10:46,542 even though I have offered to help with admin. 235 00:10:46,576 --> 00:10:48,164 He says that I-I need to rest. 236 00:10:48,199 --> 00:10:50,132 Well, you know, Richard"s usually right. 237 00:10:50,166 --> 00:10:53,480 Yeah, well, no one seems to be minding me walking on a treadmill 238 00:10:53,514 --> 00:10:55,344 for a mind-numbing hour. 239 00:10:55,724 --> 00:10:56,966 I"d do it. 240 00:10:57,001 --> 00:10:59,279 I no longer have time to walk or be bored. 241 00:10:59,831 --> 00:11:01,661 You should come with me. 242 00:11:01,695 --> 00:11:02,972 - To PT? - [Altman] Yeah. 243 00:11:03,007 --> 00:11:04,871 You can get in your steps, I can get in mine, 244 00:11:04,905 --> 00:11:07,459 and you can catch me up on life in Boston. 245 00:11:08,288 --> 00:11:10,014 - You"re busy. I get it. - Yeah. 246 00:11:10,048 --> 00:11:13,017 - It"s always such a pleasure to see you. - Yeah. 247 00:11:14,604 --> 00:11:17,055 - You know what? I would love to come. - Great. 248 00:11:17,090 --> 00:11:18,712 - Yes. - [Altman chuckles] 249 00:11:18,747 --> 00:11:20,172 [Kwan] You were at UT Medical Center? 250 00:11:20,196 --> 00:11:21,888 Is that where you did your residency? 251 00:11:21,922 --> 00:11:24,718 [Beltran] Nope, that was Penn. Also where I went to medical school. 252 00:11:24,753 --> 00:11:28,032 [clicks tongue] I was lured to Texas by the promise of good weather. 253 00:11:28,066 --> 00:11:29,999 Dr. Shepherd, you were in LA? 254 00:11:30,034 --> 00:11:31,449 Uh, for private practice. 255 00:11:31,483 --> 00:11:34,555 Residency was in Baltimore and med school was Boston. 256 00:11:34,590 --> 00:11:38,836 Just say Harvard. They think if they say Boston it sounds less pretentious. 257 00:11:38,870 --> 00:11:40,630 - Where"d you go? - St. Kitts. 258 00:11:40,665 --> 00:11:42,529 Hmm. Balmy. 259 00:11:42,563 --> 00:11:45,059 - [Shepherd smacks lips] Scans are up. - [Beltran] Mom was right. 260 00:11:45,083 --> 00:11:46,706 Malan"s shunt is no longer working. 261 00:11:46,740 --> 00:11:49,363 - We"ll have to replace it. - Well, it"s not working. 262 00:11:49,398 --> 00:11:51,469 She"s too active, and she"s gonna keep growing. 263 00:11:51,503 --> 00:11:53,861 - It"s gonna keep getting disconnected. - That"s the standard of care. 264 00:11:53,885 --> 00:11:57,337 But we can talk to the mom about Malan"s level of physical activity. 265 00:11:59,097 --> 00:12:01,237 What about an endoscopic ventriculostomy? 266 00:12:01,272 --> 00:12:03,930 You insert a scope into the ventricles of the brain 267 00:12:03,964 --> 00:12:05,794 and create a shunt using a balloon. 268 00:12:05,828 --> 00:12:08,589 It "s far less invasive, and there" s nothing to get disconnected. 269 00:12:08,624 --> 00:12:09,901 No, I know what it is, 270 00:12:09,936 --> 00:12:11,661 but I also know that she is not a candidate. 271 00:12:11,696 --> 00:12:14,872 She"s had ventriculitis, and she has an aberrant basilar artery. 272 00:12:14,906 --> 00:12:17,253 So getting a scope in would be near impossible. 273 00:12:17,944 --> 00:12:19,739 Why don"t you take a minute then? 274 00:12:20,360 --> 00:12:21,499 Excuse me? 275 00:12:21,533 --> 00:12:23,570 If you can"t figure it out, take a minute. 276 00:12:23,604 --> 00:12:27,160 Well, it"s not about figuring it out. The procedure won"t work. 277 00:12:27,194 --> 00:12:29,231 And I can explain that to you four different ways, 278 00:12:29,265 --> 00:12:33,407 but I have three other consults, a meningioma to remove 279 00:12:33,442 --> 00:12:34,788 and a research meeting. 280 00:12:34,823 --> 00:12:38,067 - Ah. So, impatience is your thing. - [Kwan] Should I leave? 281 00:12:38,102 --> 00:12:39,793 [Beltran, Shepherd] No. 282 00:12:39,828 --> 00:12:42,796 I have a colectomy for an eight-year-old, 283 00:12:42,831 --> 00:12:45,143 "a Wilms" tumor consult for a 14-year-old, 284 00:12:45,178 --> 00:12:47,283 and a palliative care visit for a baby in the NICU. 285 00:12:47,318 --> 00:12:48,629 You wanna swap? 286 00:12:49,838 --> 00:12:53,048 I "ll tell Malan's mom you" re gonna look into another option. 287 00:13:02,298 --> 00:13:05,612 He is stable and alert, but please call back as soon as you get this. 288 00:13:05,646 --> 00:13:07,476 We"re already out of lap pads? 289 00:13:11,652 --> 00:13:13,137 Nice hair, by the way. 290 00:13:13,827 --> 00:13:15,035 Needed a change. 291 00:13:15,070 --> 00:13:16,590 Yeah? What happened with you and Adams? 292 00:13:17,486 --> 00:13:21,145 We"re roommates, because apparently I"m selfish. 293 00:13:22,663 --> 00:13:25,125 This is where you say, "He doesn"t know what he"s talking about." 294 00:13:25,149 --> 00:13:26,909 Oh, I shouldn"t speak for him. 295 00:13:27,876 --> 00:13:29,394 What happened with you and Kwan? 296 00:13:29,429 --> 00:13:31,500 - You knew about that? - Everyone knew about that. 297 00:13:32,915 --> 00:13:35,987 You know, we don"t have to do this. We"ve got everything. Let's go. 298 00:13:36,505 --> 00:13:37,989 You asked first. 299 00:13:39,439 --> 00:13:42,131 NaCl. Right. 300 00:13:42,166 --> 00:13:43,995 [announcer on PA] Dr. Wells to peds ICU. 301 00:13:44,030 --> 00:13:46,377 - Dr. Robin Wells to peds ICU. - [exhales] 302 00:13:47,171 --> 00:13:49,138 [machine beeping steadily] 303 00:13:49,173 --> 00:13:51,037 They look like a nice family. 304 00:13:52,555 --> 00:13:54,903 You have sisters, right? 305 00:13:54,937 --> 00:13:56,421 We don"t have to talk. 306 00:13:58,285 --> 00:14:01,979 I know we don"t have to talk, but I was just thinking that... 307 00:14:02,013 --> 00:14:03,497 Where are you going? 308 00:14:03,532 --> 00:14:04,567 Uh. To do anything else. 309 00:14:04,602 --> 00:14:06,880 Bailey gave us explicit instructions to... 310 00:14:06,915 --> 00:14:09,089 Sit here and do math? 311 00:14:09,124 --> 00:14:11,229 Well, she also said to do about a zillion procedures 312 00:14:11,264 --> 00:14:14,060 if we ever want to set foot in the OR again, so... 313 00:14:14,094 --> 00:14:15,164 Yeah, I"ma do that. 314 00:14:15,199 --> 00:14:16,856 Well, I"m not leaving him. 315 00:14:16,890 --> 00:14:19,179 Well, I"m not letting Kwan get back in the OR before I do, 316 00:14:19,203 --> 00:14:21,377 so, uh, page me if he codes. 317 00:14:23,034 --> 00:14:25,554 - [sirens wailing] - [Millin] Gurney coming through. 318 00:14:26,210 --> 00:14:27,394 You need to head to the airport? 319 00:14:27,418 --> 00:14:29,006 No, let"s just get this guy out. 320 00:14:29,040 --> 00:14:30,811 - Splint looks good. - Okay, everybody get ready. 321 00:14:30,835 --> 00:14:32,181 We need a intubation tray, 322 00:14:32,216 --> 00:14:34,390 - blood and bicarb on standby. - [Millin] On it. 323 00:14:34,425 --> 00:14:37,083 Nate, it"s time to try extricating you now. 324 00:14:37,117 --> 00:14:40,086 Okay. Everybody, on my count. One, two... 325 00:14:40,120 --> 00:14:42,019 - Wait! Wait. - Hold up. 326 00:14:42,053 --> 00:14:44,159 Tell me what happens when you lift the bar. 327 00:14:45,160 --> 00:14:47,645 [sighs] We can"t be totally sure, Nate. 328 00:14:47,679 --> 00:14:50,613 But we have a whole team of people ready for almost anything. 329 00:14:50,648 --> 00:14:51,925 What if I die? 330 00:14:51,960 --> 00:14:53,237 [Nate pants] 331 00:14:53,271 --> 00:14:54,731 What if I die without ever getting to... 332 00:14:54,755 --> 00:14:56,723 You"re never getting to Hong Kong in a bubble. 333 00:14:56,757 --> 00:14:58,449 All you succeeded in doing 334 00:14:58,483 --> 00:15:00,737 is taking away resources from the coast guard when they rescued you. 335 00:15:00,761 --> 00:15:03,568 Not to mention the paramedics. Not everyone gets to go where they wanna go. 336 00:15:03,592 --> 00:15:06,422 I was gonna say, "Without ever getting to see my wife again." 337 00:15:07,078 --> 00:15:08,597 I wanna talk to her. 338 00:15:09,115 --> 00:15:10,633 I need to talk to her. 339 00:15:11,807 --> 00:15:14,051 - Is she here? - She didn"t answer. I left a voicemail. 340 00:15:14,085 --> 00:15:17,123 - [Ndugu] We don"t have much time. - [Hunt] Can wait a few minutes. 341 00:15:19,021 --> 00:15:20,747 - [Nate exhales] - Try her again. 342 00:15:20,781 --> 00:15:21,955 [Griffith] Okay. 343 00:15:25,476 --> 00:15:26,408 Dr. Kwan. 344 00:15:26,442 --> 00:15:28,237 Uh, Dr. Beltran will be back soon. 345 00:15:28,272 --> 00:15:30,999 No... Malan"s extremely sensitive to hospital sounds. 346 00:15:31,033 --> 00:15:32,966 Would it be possible to get her some headphones? 347 00:15:33,001 --> 00:15:35,106 The ones that block out the noise, you know? 348 00:15:35,141 --> 00:15:37,074 Sometimes the radiology department has those. 349 00:15:37,108 --> 00:15:40,077 - [chuckles] They don"t loan those out. - I"m sure we can find them. 350 00:15:40,111 --> 00:15:42,942 If it"ll make Malan more comfortable, then it"s no problem. 351 00:15:42,976 --> 00:15:45,151 - [sighs] Thank you so much. - Yeah. 352 00:15:45,185 --> 00:15:47,463 Uh, radiology doesn"t let those out of their sight. 353 00:15:47,498 --> 00:15:50,190 - It"s a thing. - I guess you"re gonna have to ask nicely. 354 00:15:50,225 --> 00:15:51,951 That won"t make a difference. 355 00:15:51,985 --> 00:15:53,998 That woman"s daughter is going through something terrifying. 356 00:15:54,022 --> 00:15:56,507 If she thinks headphones will help, then get her headphones. 357 00:15:56,541 --> 00:16:00,062 And after you do that, find Shepherd. I need an update. 358 00:16:01,374 --> 00:16:02,409 [sighs] 359 00:16:07,932 --> 00:16:09,175 Everything okay? 360 00:16:10,866 --> 00:16:13,351 These are not hospital pencils. I bring them from home. 361 00:16:14,145 --> 00:16:15,526 I"ve had worse habits. 362 00:16:15,560 --> 00:16:18,046 Well, sometimes I pop Bubble Wrap. 363 00:16:20,186 --> 00:16:22,257 Wanna tell me what"s bothering you? 364 00:16:22,705 --> 00:16:23,741 No. 365 00:16:26,019 --> 00:16:30,127 This new ped surgeon is pushing me to consider an alternate procedure 366 00:16:30,161 --> 00:16:32,025 to the one that I already know works. 367 00:16:32,060 --> 00:16:33,647 Will the alternate work? 368 00:16:33,682 --> 00:16:34,855 [stammers] 369 00:16:34,890 --> 00:16:36,592 I me... It"s more risk than I"d recommend. 370 00:16:36,616 --> 00:16:38,859 - But will it work? - It"s beside the point. 371 00:16:38,894 --> 00:16:42,553 Are you irritated with the suggestion or the suggester? 372 00:16:44,072 --> 00:16:46,591 Beltran aggravates a lot of people. 373 00:16:46,626 --> 00:16:47,661 How do you know? 374 00:16:47,696 --> 00:16:48,662 I hired her. 375 00:16:48,697 --> 00:16:50,699 She was known as a boundary pusher. 376 00:16:51,872 --> 00:16:53,391 Kinda like you. 377 00:16:56,084 --> 00:16:57,257 [door opens] 378 00:16:57,292 --> 00:16:59,259 - [phone ringing] - Hey. 379 00:16:59,294 --> 00:17:01,675 - Levi. - Nico. Hi. 380 00:17:01,710 --> 00:17:03,160 How are you? 381 00:17:03,194 --> 00:17:06,887 - [stammers] Good. - How"s, uh, work going at the hospital? 382 00:17:06,922 --> 00:17:09,590 You"d think a hospital vending machine would have healthier options. 383 00:17:09,614 --> 00:17:11,513 - Here. - Ah. He doesn"t like raisins. 384 00:17:11,547 --> 00:17:13,342 - I know. - They"re not for me. 385 00:17:13,377 --> 00:17:16,069 - Oh. - They"re for our surrogate. [Chuckles] 386 00:17:16,104 --> 00:17:17,933 He"s a stickler about her diet. 387 00:17:17,967 --> 00:17:20,867 Can"t bring myself to think what he"s gonna feed our son. 388 00:17:20,901 --> 00:17:23,559 Our kitchen"s already full of baby food gadgets. 389 00:17:24,112 --> 00:17:26,459 - Oh. - I"m Jason. 390 00:17:26,493 --> 00:17:29,082 Are... Did you and Nico work together? 391 00:17:29,117 --> 00:17:31,981 Um, yeah. Yeah. 392 00:17:32,016 --> 00:17:33,362 [stammers] 393 00:17:33,397 --> 00:17:35,399 - I"m Levi. - Nice to meet you. 394 00:17:35,433 --> 00:17:37,263 Are you also in ortho? 395 00:17:37,746 --> 00:17:39,230 No. No. 396 00:17:39,265 --> 00:17:43,752 I"m, uh, I'm general surgery chief resident. 397 00:17:43,786 --> 00:17:46,065 - Oh, wow. - Okay. Cool. 398 00:17:47,652 --> 00:17:49,171 [stutters] 399 00:17:50,448 --> 00:17:52,001 - Uh... We should go. - [Nico] Yeah. 400 00:17:52,036 --> 00:17:54,659 [Jason] Erin"s probably wondering what happened to us. 401 00:17:55,695 --> 00:17:57,662 - It was nice seeing you. - Mm-hmm. 402 00:17:59,319 --> 00:18:01,114 Nice meeting you, Levon. 403 00:18:02,184 --> 00:18:03,910 Levon? 404 00:18:03,944 --> 00:18:06,395 [Altman] I mean, it"s almost easier coming to work. 405 00:18:06,430 --> 00:18:09,778 I mean, try explaining to a four-year-old why Mommy can"t carry him. 406 00:18:09,812 --> 00:18:10,848 [Grey chuckling] Right? 407 00:18:10,882 --> 00:18:12,470 And Owen has been a champion, 408 00:18:12,505 --> 00:18:14,817 but he"s had extra trauma shifts. 409 00:18:14,852 --> 00:18:16,405 His mom"s helping out, 410 00:18:16,440 --> 00:18:18,590 but she"s not really the type to play the floor is lava. 411 00:18:18,614 --> 00:18:21,997 She"s more into giving them a snack and turning on the TV. 412 00:18:22,031 --> 00:18:24,862 I remember during COVID, a very smart doctor once told me 413 00:18:24,896 --> 00:18:27,520 to get some rest and ask for help when I needed it. 414 00:18:27,554 --> 00:18:30,488 Look at you throwing my words back at me. 415 00:18:30,523 --> 00:18:32,732 - [phone beeps] - [treadmill whirring] 416 00:18:33,215 --> 00:18:34,665 How"s Boston? 417 00:18:35,355 --> 00:18:37,254 - Oh! - Teddy! 418 00:18:37,288 --> 00:18:39,290 Teddy, are you okay? 419 00:18:41,085 --> 00:18:42,959 Dr. Lincoln said to tell you he"s scrubbing in. 420 00:18:42,983 --> 00:18:45,607 - Millin"s helping him prep. - Is Jessica on her way? 421 00:18:45,641 --> 00:18:48,644 - She"s still not answering. - He"s getting more hypotensive. 422 00:18:48,679 --> 00:18:51,440 [sighs] Nate, the longer you"re up here, 423 00:18:51,475 --> 00:18:53,649 the more likely you are to have a complication. 424 00:18:53,684 --> 00:18:56,283 If you wanna give yourself the best shot at seeing your wife again, 425 00:18:56,307 --> 00:18:57,860 we should go now. 426 00:18:57,895 --> 00:19:00,380 Tell me. Whatever you wanna say to her, say it to me. 427 00:19:00,415 --> 00:19:02,348 I"ll tell her as soon as she arrives. 428 00:19:03,832 --> 00:19:05,178 [Nate grunts] 429 00:19:05,213 --> 00:19:06,421 I love her. 430 00:19:07,007 --> 00:19:08,181 That"s all that matters. 431 00:19:08,216 --> 00:19:10,010 I love her so much. 432 00:19:10,045 --> 00:19:13,704 Everything I do is for her. All of this was for her. 433 00:19:13,738 --> 00:19:17,052 I know she married me and not Rich, but I want her to be proud of me. 434 00:19:17,086 --> 00:19:18,812 Tell her that I know she has doubts, 435 00:19:18,847 --> 00:19:21,194 and I don"t want her to spend another second of her life 436 00:19:21,229 --> 00:19:22,816 questioning her choosing me. 437 00:19:22,851 --> 00:19:27,338 Tell her that I"ll never give up trying to do right by her. 438 00:19:27,856 --> 00:19:29,444 - I will. - Okay. 439 00:19:30,203 --> 00:19:33,517 [panting] Okay then. I"m ready. 440 00:19:34,518 --> 00:19:35,588 Okay. 441 00:19:35,622 --> 00:19:39,039 Okay. On my count. One, two, three. 442 00:19:39,074 --> 00:19:40,800 [metal grinding] 443 00:19:43,596 --> 00:19:44,942 [Hunt] Okay, he"s bleeding out. 444 00:19:44,976 --> 00:19:47,013 Prepare to intubate. Come on, come on, come on. 445 00:19:47,047 --> 00:19:49,025 - Hang two units of blood. - [Ndugu] Let"s go. Get him on the gurney. 446 00:19:49,049 --> 00:19:51,086 Okay, let"s pack the wound and apply pressure. 447 00:19:51,120 --> 00:19:52,960 Let"s make sure we have a clear path to the OR. 448 00:19:52,984 --> 00:19:55,194 He"s not gonna make it to the OR. Give me your shears. 449 00:19:55,228 --> 00:19:56,367 Bring me a REBOA. 450 00:19:56,402 --> 00:19:57,748 We"ll slow the bleeding, 451 00:19:57,782 --> 00:19:59,508 and it"ll buy us some time to transport. 452 00:19:59,543 --> 00:20:01,210 Come on, Nate. Come on. Stay with me now. Stay with me. 453 00:20:01,234 --> 00:20:03,409 All right. Glove me. Let "s go, let's go, let" s go. 454 00:20:03,443 --> 00:20:05,376 Stay with us, Nate. Come on now. 455 00:20:09,760 --> 00:20:11,693 [Schmitt] He didn"t know who I was. 456 00:20:11,727 --> 00:20:15,352 You guys dated for a really long time. He"s faking. 457 00:20:15,386 --> 00:20:17,630 Not Nico. Jason. 458 00:20:17,664 --> 00:20:20,046 They live together. They"re having a baby. 459 00:20:20,080 --> 00:20:21,979 Surely they"ve discussed... 460 00:20:22,013 --> 00:20:23,360 You? 461 00:20:23,394 --> 00:20:25,534 Significant prior relationships. 462 00:20:25,569 --> 00:20:27,295 - [sighs] - It"s like I didn't exist. 463 00:20:27,329 --> 00:20:30,090 Do you wanna get back together with Nico? 464 00:20:30,125 --> 00:20:33,301 I"m not sure I know him anymore. 465 00:20:33,335 --> 00:20:35,579 He never talked about kids when we were together. 466 00:20:35,613 --> 00:20:37,719 He didn"t even want a fake Sims family. 467 00:20:37,753 --> 00:20:40,100 But apparently it"s different with Jason. 468 00:20:40,135 --> 00:20:43,449 You haven"t mentioned Nico in months, and now all of a sudden you"re all, 469 00:20:43,483 --> 00:20:45,278 "Oh, why didn"t he do that with me?" 470 00:20:45,313 --> 00:20:47,453 [clicks tongue] I don"t sound like that. 471 00:20:47,487 --> 00:20:50,076 - Well... - And I don"t wanna get back together. 472 00:20:50,110 --> 00:20:52,078 - I... [sighs] - Okay. 473 00:20:52,112 --> 00:20:55,530 Then you"re just upset that his life has moved further along than yours. 474 00:20:55,944 --> 00:20:56,945 I am? 475 00:20:58,187 --> 00:21:01,570 He is living with someone. They"re having a kid together. 476 00:21:01,605 --> 00:21:03,020 You"ve barely dated. 477 00:21:03,054 --> 00:21:05,574 You"re living in a loft with your coworker 478 00:21:05,609 --> 00:21:08,267 with a twin sheet hanging between your beds for privacy. 479 00:21:08,301 --> 00:21:09,440 You really do hate me. 480 00:21:09,475 --> 00:21:10,855 No, I"m just... 481 00:21:10,890 --> 00:21:13,479 There are two main reasons that people get upset 482 00:21:13,513 --> 00:21:14,756 when they run into an ex. 483 00:21:14,790 --> 00:21:17,586 And yours is, "I am losing at life." 484 00:21:17,621 --> 00:21:20,279 - Are you trying to make this worse? - I"m just saying. 485 00:21:20,313 --> 00:21:23,523 You talk about wanting to meet someone, and you deleted your dating apps. 486 00:21:23,558 --> 00:21:28,114 You talk about wanting to get into peds, and you haven"t turned in the application. 487 00:21:28,148 --> 00:21:29,978 - [scoffs] - You wanna win? 488 00:21:30,461 --> 00:21:31,669 Get in the game. 489 00:21:35,880 --> 00:21:37,330 [sighs] 490 00:21:40,091 --> 00:21:41,369 [Shepherd] Finally. 491 00:21:41,403 --> 00:21:43,129 You do know we were waiting for you, right? 492 00:21:43,163 --> 00:21:44,682 You told me to take a minute. 493 00:21:44,717 --> 00:21:47,064 - All right. Show us what you got. - Okay. As you can see, 494 00:21:47,098 --> 00:21:50,343 Malan"s aberrant basilar artery at the floor of the third ventricle 495 00:21:50,378 --> 00:21:52,345 is a huge problem. 496 00:21:52,380 --> 00:21:54,071 And why is that, Dr. Kwan? 497 00:21:54,105 --> 00:21:56,325 Because in order to insert the sheath into the third ventricle... 498 00:21:56,349 --> 00:22:00,042 No, no, no. Start again but like you"re explaining it to a parent. 499 00:22:01,527 --> 00:22:03,367 Malan has a blood vessel that is blocking the way, 500 00:22:03,391 --> 00:22:06,635 which would make it difficult to pass the balloon into that area 501 00:22:06,670 --> 00:22:08,016 to create the shunt. 502 00:22:08,050 --> 00:22:09,821 [Shepherd] Now, difficult is an understatement. 503 00:22:09,845 --> 00:22:11,468 The vessel is positioned such 504 00:22:11,502 --> 00:22:14,160 that a fraction of a millimeter left or right 505 00:22:14,194 --> 00:22:16,818 could result in major bleeding, stroke or worse. 506 00:22:16,852 --> 00:22:18,923 But you"ve found an alternative route? 507 00:22:18,958 --> 00:22:23,480 No... [sighs] ...but we might be able to combine this computer system 508 00:22:23,514 --> 00:22:27,518 with the intraoperative imaging technology that we use for mapping brain tumors. 509 00:22:27,553 --> 00:22:32,281 We would program it to provide us with a real-time guide, with ultra precision in the OR. 510 00:22:32,316 --> 00:22:36,596 So it"s like a GPS system of Malan"s brain to make sure you"re on the right path? 511 00:22:36,631 --> 00:22:38,184 The safest path. 512 00:22:38,218 --> 00:22:40,945 - And she wouldn"t need a VP shunt. - [Beltran] Hmm. 513 00:22:40,980 --> 00:22:44,604 - How long would it take you to build this technology? - Me? Forever. 514 00:22:44,639 --> 00:22:47,849 But I talked to our tech team and they have it working now. [Inhales sharply] 515 00:22:47,883 --> 00:22:50,127 I would be willing to try it [sighs] 516 00:22:50,161 --> 00:22:51,784 if the mom agrees. 517 00:22:54,407 --> 00:22:55,684 What are you thinking? 518 00:22:55,719 --> 00:22:56,730 I "m thinking you" re much more effective 519 00:22:56,754 --> 00:22:58,446 when you take your time. 520 00:22:59,723 --> 00:23:02,381 Find another elevator! We have a trauma coming! 521 00:23:02,415 --> 00:23:04,624 Move out! Make way for the gurney! 522 00:23:04,659 --> 00:23:07,869 Either hug the wall or get out of the hall! 523 00:23:07,903 --> 00:23:09,422 - We found his wife yet? - Not yet. 524 00:23:09,457 --> 00:23:10,734 - Let"s try again. - Yeah. 525 00:23:10,768 --> 00:23:12,114 Let "s go, let's go, let" s go. 526 00:23:12,149 --> 00:23:13,909 - [Griffith] You take over pressure? - Yep. 527 00:23:13,944 --> 00:23:15,922 Type and cross him. Let"s get the blood cooler in here. 528 00:23:15,946 --> 00:23:18,165 Let"s raise the temp in this room and find this man"s wife. 529 00:23:18,189 --> 00:23:20,295 [Ndugu] Gown and glove me. No time to scrub. 530 00:23:20,916 --> 00:23:22,884 [Lincoln] All right. On three. 531 00:23:22,918 --> 00:23:24,920 One, two... [grunts] ...three. 532 00:23:24,955 --> 00:23:27,233 Let"s get this wet suit off of him now. 533 00:23:27,267 --> 00:23:28,441 [Ndugu] Let"s run a TEG. 534 00:23:28,476 --> 00:23:29,684 Somebody find his wife. 535 00:23:30,270 --> 00:23:31,444 Let"s go, let's go. 536 00:23:33,377 --> 00:23:37,519 Yeah. "Small dark lesions of the lips and oral mucosa." 537 00:23:38,106 --> 00:23:39,314 Abdominal pain. 538 00:23:39,348 --> 00:23:42,351 CT scan shows small bowel mass with concentric rings. 539 00:23:42,386 --> 00:23:47,805 "What is the most likely cause: Intestinal lipoma or hamartomatous polyp?" 540 00:23:48,392 --> 00:23:49,807 Thoughts? 541 00:23:49,842 --> 00:23:50,981 Dorian? 542 00:23:51,015 --> 00:23:52,258 [monitor beeping] 543 00:23:52,292 --> 00:23:55,192 Oh. Is your tube dislodged? 544 00:23:55,226 --> 00:23:57,850 Hey, don"t be embarrassed. It happens to the best of us. 545 00:23:57,884 --> 00:24:01,440 [beeping increases] - Oh, no. Wait, no, no, no, no, no. 546 00:24:02,958 --> 00:24:04,926 No, no, no, no, no, no, no. Dorian? 547 00:24:04,960 --> 00:24:07,273 Hey, I-I need help in here. 548 00:24:07,307 --> 00:24:09,517 [Altman] It"s just a bad sprain. 549 00:24:09,551 --> 00:24:11,588 - It can"t hurt to take a look. - [sighs] 550 00:24:11,622 --> 00:24:14,314 Injured during PT? I"m a cliché. 551 00:24:14,349 --> 00:24:16,316 - [Grey] All right. - [sighs] 552 00:24:16,351 --> 00:24:17,559 - All right. - Okay. 553 00:24:19,009 --> 00:24:20,389 [Grey] Oh, crap. 554 00:24:20,424 --> 00:24:21,943 [Avery] What happened? Are you okay? 555 00:24:21,977 --> 00:24:24,048 Oh, I"m fine. I just misstepped. 556 00:24:24,083 --> 00:24:25,222 [Avery] Take it easy. 557 00:24:25,256 --> 00:24:27,535 Dr. Grey, I didn"t know you were in town. 558 00:24:27,569 --> 00:24:30,123 Well, it"s just a quick trip. 559 00:24:30,158 --> 00:24:31,193 For a consult? 560 00:24:32,643 --> 00:24:33,851 [Grey stammers] 561 00:24:34,818 --> 00:24:37,061 Yeah. I-I asked her, uh, 562 00:24:37,096 --> 00:24:38,960 for a second opinion on one of my old patients. 563 00:24:38,994 --> 00:24:40,858 And you had that thing with the house, right? 564 00:24:40,893 --> 00:24:43,551 Yes. Uh... Insurance issues. [Groans] 565 00:24:43,585 --> 00:24:45,622 Well, it"s always good to have you here. 566 00:24:45,656 --> 00:24:49,729 And I am really looking forward to hearing the update on your research next month. 567 00:24:49,764 --> 00:24:52,214 - Take care, Altman. - [Altman] Thank you. 568 00:24:54,354 --> 00:24:57,496 So it"s probably nothing, but we should have it x-rayed. 569 00:24:57,530 --> 00:25:00,395 I"m gonna have to run. I can have a nurse take you to radiology. 570 00:25:00,429 --> 00:25:04,192 I"m good. But I do wanna hear why you"re actually here. 571 00:25:11,371 --> 00:25:12,832 [suction gurgling] - [Ndugu] I see multiple serosal tears. 572 00:25:12,856 --> 00:25:16,860 [Millin whispering] Would you rather marry a soulless tech millionaire 573 00:25:16,894 --> 00:25:20,173 or the eccentric pharmacist? 574 00:25:20,208 --> 00:25:21,347 Neither. 575 00:25:21,381 --> 00:25:22,797 No, you have to pick one. 576 00:25:24,592 --> 00:25:26,007 [Hunt] Lap pads. 577 00:25:26,041 --> 00:25:27,146 [door shuts] 578 00:25:29,700 --> 00:25:31,771 [Ndugu] We have an expanding retroperitoneal... 579 00:25:31,806 --> 00:25:33,566 [phone buzzing] 580 00:25:33,601 --> 00:25:34,809 [sighs] 581 00:25:35,741 --> 00:25:37,225 [door opens] 582 00:25:38,226 --> 00:25:39,710 [shuts] 583 00:25:39,745 --> 00:25:42,068 [whispering] I don"t have that much tension with my roommates. 584 00:25:42,092 --> 00:25:44,370 [sighs] Your roommate is a hundred. 585 00:25:44,404 --> 00:25:46,786 Maxine is a young 82. 586 00:25:50,341 --> 00:25:52,102 - Levi. - Hey. [Sighs] 587 00:25:52,136 --> 00:25:53,586 - You"re still here. - Uh, yeah. 588 00:25:53,621 --> 00:25:55,484 Erin might have gestational diabetes, 589 00:25:55,519 --> 00:25:57,210 - so they"re testing her. - [sighs] 590 00:25:57,245 --> 00:25:58,626 How far along is she? 591 00:25:59,247 --> 00:26:00,248 Twenty-three weeks. 592 00:26:00,282 --> 00:26:02,595 - [sighs] Have you picked a name? - Yeah. 593 00:26:03,665 --> 00:26:04,770 - Levon. - [scoffs] 594 00:26:04,804 --> 00:26:06,288 - Really? - [chuckles] 595 00:26:06,323 --> 00:26:08,808 - No, I"m just kidding. [Laughs] - [chuckling] Okay. 596 00:26:09,913 --> 00:26:11,880 - [sighs] - Hey, I"m sorry about earlier. 597 00:26:11,915 --> 00:26:14,642 I corrected him in the elevator. He felt awful about it. 598 00:26:14,676 --> 00:26:16,126 He seems nice. 599 00:26:16,989 --> 00:26:18,715 Have you been together long? 600 00:26:18,749 --> 00:26:21,165 - Nine months. - Oh. 601 00:26:21,200 --> 00:26:23,720 If he had in his dating profile that he was in the process 602 00:26:23,754 --> 00:26:26,723 of interviewing surrogates, I probably wouldn"t have swiped. 603 00:26:26,757 --> 00:26:28,587 When he told me, I freaked out. 604 00:26:28,621 --> 00:26:31,900 I literally snuck out the back at Parkside Pizza in the middle of dinner. 605 00:26:31,935 --> 00:26:33,592 You left the pizza? 606 00:26:33,626 --> 00:26:35,352 [chuckles] I was really freaked out. 607 00:26:37,147 --> 00:26:40,253 I think I never realized that I wanted to be a dad. 608 00:26:40,288 --> 00:26:43,187 Maybe I felt that I wasn"t ready for it, 609 00:26:43,222 --> 00:26:46,087 but Jason knew all along that he wanted to have kids. 610 00:26:46,121 --> 00:26:48,330 And the thought of not having him in my life... 611 00:26:48,365 --> 00:26:49,849 I... [sighs, chuckles] 612 00:26:49,884 --> 00:26:52,541 I"ve never met anyone in my life like him. 613 00:26:52,576 --> 00:26:54,751 He sees light in everything. 614 00:26:54,785 --> 00:26:58,168 And these days no one does, you know? 615 00:26:59,963 --> 00:27:04,381 Losing him just seemed a lot scarier than the idea of having a family with him. 616 00:27:04,415 --> 00:27:05,624 So. 617 00:27:06,832 --> 00:27:09,075 - Here we are. - [sighs] 618 00:27:10,870 --> 00:27:12,320 I"m happy for you. 619 00:27:14,184 --> 00:27:15,219 Good luck. 620 00:27:15,703 --> 00:27:16,876 Thanks. 621 00:27:17,670 --> 00:27:18,844 - You too. - Hmm. 622 00:27:23,987 --> 00:27:25,723 [Altman] Just so I"m clear... You told the woman 623 00:27:25,747 --> 00:27:27,518 whose name is on the building of where you work 624 00:27:27,542 --> 00:27:30,131 that you stopped doing research at her request, 625 00:27:30,165 --> 00:27:32,340 - but you"re still doing it? - Trying to. 626 00:27:32,374 --> 00:27:33,893 I am bored at home, 627 00:27:33,928 --> 00:27:36,965 and you are living in... in, like, a medical thriller book. 628 00:27:37,000 --> 00:27:38,415 And no one else knows? 629 00:27:38,449 --> 00:27:40,659 - Except Amelia. - Amelia? 630 00:27:40,693 --> 00:27:43,144 We"re not actually... [laughing] in a medical thriller. 631 00:27:43,178 --> 00:27:45,318 It"s just so bold and exciting. 632 00:27:45,353 --> 00:27:47,424 - And about to be over. - You found a cure? 633 00:27:47,458 --> 00:27:50,703 [inhales sharpy] - I might still be in a medical thriller. 634 00:27:50,738 --> 00:27:52,671 [laughs] No, we, um... 635 00:27:52,705 --> 00:27:54,017 We have no money. 636 00:27:54,051 --> 00:27:55,674 We had a plan and it fell through. 637 00:27:55,708 --> 00:27:59,263 Was it Seagrade Tech? They are pulling back on everything. 638 00:27:59,298 --> 00:28:02,335 No, actually, and it doesn"t even matter who we ask 639 00:28:02,370 --> 00:28:04,890 because that"s the problem with secret research. 640 00:28:04,924 --> 00:28:06,546 Everybody wants to talk about it. 641 00:28:07,375 --> 00:28:09,377 - Well, I wouldn"t. - You wouldn"t what? 642 00:28:09,411 --> 00:28:13,208 Talk about it. Not that I have many people to talk to these days. Thanks. 643 00:28:14,451 --> 00:28:18,179 Listen, Grey-Sloan has a discretionary fund. 644 00:28:18,213 --> 00:28:20,422 It wouldn"t be enough to fund your whole project, 645 00:28:20,457 --> 00:28:24,841 but you could publish an initial report, and that would open more doors. 646 00:28:24,875 --> 00:28:26,739 You would do that? But... I mean, 647 00:28:26,774 --> 00:28:29,476 don"t you have to say where the money is going? What about Catherine? 648 00:28:29,500 --> 00:28:32,883 A breakthrough in an Alzheimer"s cure would go down in medical history, 649 00:28:32,918 --> 00:28:35,575 like a smallpox vaccine or antibiotics. 650 00:28:35,610 --> 00:28:38,889 You just have to get far enough along that she couldn"t deny its value, 651 00:28:38,924 --> 00:28:41,409 and I"m willing to take that risk on you. 652 00:28:49,831 --> 00:28:51,730 - [Beltran] Oh. You go ahead. - Um, you go. 653 00:28:51,764 --> 00:28:53,145 [Beltran] Really, it"s okay. 654 00:28:53,179 --> 00:28:54,767 [Shepherd] I will grab another one. 655 00:28:54,802 --> 00:28:56,320 - [Beltran] Okay. - [sighs] 656 00:28:58,840 --> 00:29:00,877 [Kwan] Dr. Shepherd, Dr. Beltran. 657 00:29:00,911 --> 00:29:03,155 I know I can"t scrub in, but can I observe? 658 00:29:03,189 --> 00:29:06,641 - [Beltran] Sit with her mother. - You"re letting her mom watch the surgery? 659 00:29:06,675 --> 00:29:07,780 [Beltran] No. 660 00:29:07,815 --> 00:29:09,092 Oh. 661 00:29:10,438 --> 00:29:11,439 [sighs] 662 00:29:11,473 --> 00:29:13,003 [Shepherd] Maybe we should let him watch. 663 00:29:13,027 --> 00:29:14,280 Even if it"s just from the gallery. 664 00:29:14,304 --> 00:29:16,478 I don"t do this surgery very often. 665 00:29:16,513 --> 00:29:19,896 [Beltran] He"s on my service. You can let him watch when he"s on yours. 666 00:29:19,930 --> 00:29:22,795 ["Always On Your Side" playing] 667 00:29:23,934 --> 00:29:25,764 [monitor beeping] 668 00:29:25,798 --> 00:29:27,075 Where have you been? 669 00:29:27,110 --> 00:29:28,708 Peak and plateau alarms are both going off. 670 00:29:28,732 --> 00:29:30,779 - You checked for obstructions? - I did. It"s clear. 671 00:29:30,803 --> 00:29:32,978 And that wouldn"t explain elevated plateau pressure. 672 00:29:33,012 --> 00:29:34,531 Uh... [stammers] BP"s plummeting. 673 00:29:34,565 --> 00:29:36,267 - Should we start pressors? - [beeping continues] 674 00:29:36,291 --> 00:29:39,294 Low urine output, elevated peak and plateau pressures, 675 00:29:39,329 --> 00:29:42,608 low BP, increased bladder pressure. 676 00:29:42,642 --> 00:29:44,092 [panting] 677 00:29:44,127 --> 00:29:45,611 It"s abdominal compartment syndrome. 678 00:29:45,645 --> 00:29:47,509 Are you sure he"s not bleeding out somewhere? 679 00:29:47,544 --> 00:29:48,856 We need a cut down tray. 680 00:29:49,857 --> 00:29:51,962 Don "t let him die while I" m gone. 681 00:29:53,343 --> 00:29:55,138 [Adams] Come on. Stay with me, Dorian. 682 00:29:56,484 --> 00:29:59,187 [Bailey] Okay, if you pulled me out of the OR for a dislodged tube... 683 00:29:59,211 --> 00:30:00,878 I think it"s abdominal compartment syndrome. 684 00:30:00,902 --> 00:30:03,456 Uh, low urine output, uh, elevated peak and plateau pressures, 685 00:30:03,491 --> 00:30:05,493 BP falling, increased bladder pressure. 686 00:30:05,527 --> 00:30:07,633 Should I book an OR? 687 00:30:07,667 --> 00:30:10,118 - No. He"ll die before he gets there. - [monitor alarm rings] 688 00:30:10,153 --> 00:30:11,982 We need to open him up right here. 689 00:30:12,017 --> 00:30:13,708 Crash cart! 690 00:30:13,742 --> 00:30:15,744 [Yasuda panting] 691 00:30:15,779 --> 00:30:18,482 Well, thank you for joining us, Yasuda. Sorry if we"re interrupting your break. 692 00:30:18,506 --> 00:30:21,164 - Oh, no. Dr. Bailey, I was just asking... - Not now, Yasuda. 693 00:30:21,198 --> 00:30:23,028 Adams, gown and glove. 694 00:30:27,032 --> 00:30:30,069 ♪ I am always on your side ♪ 695 00:30:30,104 --> 00:30:32,071 [Bailey sighing] Okay. 696 00:30:33,417 --> 00:30:36,420 - [audio echoing] - [Hunt] More lap pads. 697 00:30:36,455 --> 00:30:39,078 - [Lincoln] I need suction. - [suction gurgling] 698 00:30:49,468 --> 00:30:54,369 ♪ I am always on your side ♪ 699 00:31:00,548 --> 00:31:05,346 ♪ I am always on your side ♪ 700 00:31:05,380 --> 00:31:10,869 ♪ When all of the voices Are getting louder ♪ 701 00:31:10,903 --> 00:31:16,903 ♪ And it feels like hope Is a fading flower ♪ 702 00:31:16,944 --> 00:31:18,738 [monitor flatlining] 703 00:31:18,773 --> 00:31:20,326 [singer vocalizing] 704 00:31:25,228 --> 00:31:26,919 [Ndugu] He"s crashing. 705 00:31:27,816 --> 00:31:29,035 [Lincoln] Starting compressions. 706 00:31:29,059 --> 00:31:30,302 Come on, Nate. 707 00:31:31,924 --> 00:31:34,720 - [Ndugu] Come on, Nate. - [Lincoln] Come on, come on, come on. 708 00:31:34,754 --> 00:31:36,964 [mumbling] 709 00:31:40,450 --> 00:31:44,040 ♪ Just keep holding on ♪ 710 00:31:44,074 --> 00:31:46,732 "♪ It" s only time ♪ 711 00:31:46,766 --> 00:31:51,461 ♪ I "m on your side I" m on ♪ 712 00:31:51,495 --> 00:31:55,154 ♪ Just keep holding on ♪ 713 00:31:55,189 --> 00:31:57,812 "♪ It" s only time ♪ 714 00:31:57,846 --> 00:32:02,955 ♪ I "m on your side I" m on ♪ 715 00:32:02,990 --> 00:32:06,200 - [monitor flatlining] - [singer vocalizing] 716 00:32:07,856 --> 00:32:10,100 [Ndugu] Time of death: 18:45. 717 00:32:12,137 --> 00:32:13,345 [Hunt sighs] 718 00:32:13,828 --> 00:32:15,450 [Lincoln sighs] 719 00:32:20,352 --> 00:32:25,115 ♪ I am always on your side ♪ 720 00:32:30,879 --> 00:32:33,641 [Maria Flor praying in Spanish] 721 00:32:36,126 --> 00:32:37,714 - [door opens] - [breathes deeply] 722 00:32:37,748 --> 00:32:39,129 [speaking Spanish] 723 00:32:39,164 --> 00:32:42,236 [praying continues] 724 00:32:44,686 --> 00:32:46,516 Is... Is she... 725 00:32:46,550 --> 00:32:48,656 - Is my... Is my baby... - She"s okay. 726 00:32:48,690 --> 00:32:50,979 [exhales deeply] - [Shepherd] We will need to monitor her, 727 00:32:51,003 --> 00:32:52,453 but we were able to create a space 728 00:32:52,487 --> 00:32:55,007 for the fluid to drain without putting in a new shunt. 729 00:32:55,042 --> 00:32:56,319 [speaking Spanish] 730 00:32:56,353 --> 00:32:58,286 - And the old shunt? - [Beltran] I removed it. 731 00:32:58,321 --> 00:33:00,989 - She"ll be able to go back to Capoeira without it. - [exhaling] Thank you. 732 00:33:01,013 --> 00:33:03,395 - [Beltran] After she recovers, of course. - Okay. [Laughs] 733 00:33:03,429 --> 00:33:05,052 Thank you. Thank you so much. 734 00:33:05,086 --> 00:33:08,020 I mean, all of you. Thank you. Really. 735 00:33:08,055 --> 00:33:10,505 Can... Can I see her? 736 00:33:10,540 --> 00:33:12,680 - [Beltran] Dr. Kwan, can you... - Absolutely. 737 00:33:15,441 --> 00:33:17,685 You two are a wonderful team. 738 00:33:19,376 --> 00:33:22,000 ♪ We were warm enough ♪ 739 00:33:23,415 --> 00:33:25,934 - Hmm. That was pretty great. - [door shuts] 740 00:33:25,969 --> 00:33:28,558 ♪ Such a long time ♪ 741 00:33:30,180 --> 00:33:31,906 ♪ A new dawn breaks ♪ 742 00:33:31,940 --> 00:33:33,435 - [Ndugu] Mrs. Ardilla? - [softly] Hey. 743 00:33:33,459 --> 00:33:36,152 I"m Dr. Ndugu. This is Dr. Hunt, Dr. Griffith. 744 00:33:36,186 --> 00:33:38,775 We were part of the team that cared for your husband. 745 00:33:39,879 --> 00:33:41,571 We are so sorry. 746 00:33:41,605 --> 00:33:44,160 No. Please... [sobbing] Please don"t say... 747 00:33:44,194 --> 00:33:48,233 [Ndugu] Once we removed the bars from his watercraft, he started to bleed. 748 00:33:48,267 --> 00:33:52,444 - We rushed him to the operating room, but it was too late. - [Jessica sobs] 749 00:33:52,478 --> 00:33:54,584 We did everything in our power to save your husband. 750 00:33:54,618 --> 00:33:57,863 [Jessica sobs] No. No, that "s not... that" s not possible. 751 00:33:57,897 --> 00:34:01,073 You know, I-I"m... I'm making salmon and rice for dinner. 752 00:34:01,108 --> 00:34:02,523 Uh, he"s supposed to come home. 753 00:34:02,557 --> 00:34:04,387 Like, he always sets sail in the morning 754 00:34:04,421 --> 00:34:07,045 and then... and then by lunchtime something"s gone wrong 755 00:34:07,079 --> 00:34:08,805 and he... and he comes home. 756 00:34:08,839 --> 00:34:10,324 He always comes home. 757 00:34:12,740 --> 00:34:14,259 [sobbing] 758 00:34:14,293 --> 00:34:17,538 You know, I spent all this time calling him ridiculous and paranoid 759 00:34:17,572 --> 00:34:20,127 when I should"ve just been telling him that I loved him. 760 00:34:20,161 --> 00:34:22,405 You know, I"ve-I've always loved him. 761 00:34:23,130 --> 00:34:25,132 I didn"t want Rich Doyle. 762 00:34:25,166 --> 00:34:27,203 I"ve-I've always wanted Nate. 763 00:34:27,237 --> 00:34:29,067 I-I should"ve done something. 764 00:34:29,101 --> 00:34:32,070 I-I should"ve convinced him that... that all that mattered was us. 765 00:34:32,104 --> 00:34:33,657 And it"s all my fault. 766 00:34:33,692 --> 00:34:35,635 It"s... It's all my fault that he"s gone. [Crying] 767 00:34:35,659 --> 00:34:36,660 No. No. 768 00:34:36,695 --> 00:34:38,593 - [Jessica sobbing] - [Griffith] He knew. 769 00:34:38,628 --> 00:34:40,906 He knew that you loved him. He told me. 770 00:34:40,940 --> 00:34:43,391 He said the floating to Hong Kong in the bubble, 771 00:34:43,426 --> 00:34:45,462 none of that was about you. 772 00:34:45,497 --> 00:34:47,809 He wanted to prove to himself he could do it. 773 00:34:47,844 --> 00:34:49,466 And he told me if he didn"t make it 774 00:34:49,501 --> 00:34:52,469 to tell you that he loved you so much. 775 00:34:52,504 --> 00:34:53,608 [sobbing] 776 00:34:53,643 --> 00:34:55,507 [Griffith] It"s no one's fault. 777 00:34:56,163 --> 00:34:57,440 He loved you. 778 00:34:59,131 --> 00:35:01,168 You loved him. That"s what matters. 779 00:35:01,202 --> 00:35:03,618 [sobbing continues] 780 00:35:04,205 --> 00:35:07,588 ♪ Broken arrows ♪ 781 00:35:07,622 --> 00:35:11,385 ♪ Conscience narrows ♪ 782 00:35:12,627 --> 00:35:16,286 Dr. Beltran, I finished inputting your progress notes. 783 00:35:16,321 --> 00:35:19,289 I need another post-op check on Clayton Yung. 784 00:35:20,739 --> 00:35:22,154 Okay. [Sighs] 785 00:35:25,053 --> 00:35:26,227 Yale. 786 00:35:27,159 --> 00:35:29,955 I went to Yale. Almost a full year. 787 00:35:29,989 --> 00:35:33,614 And then my mom got sick, I moved home and then one thing led to another. 788 00:35:33,648 --> 00:35:35,547 Look, I-I may not have the fancy pedigree, 789 00:35:35,581 --> 00:35:39,620 but I can assure you I am a quick study, I work hard and I aim to be the best. 790 00:35:39,654 --> 00:35:41,518 When you"re not suspended from the OR. 791 00:35:41,553 --> 00:35:44,314 I am capable of more than hand-holding a patient"s mom. 792 00:35:44,349 --> 00:35:45,878 If you think that assignment was punitive 793 00:35:45,902 --> 00:35:48,042 because of where you were educated, you"re wrong. 794 00:35:48,076 --> 00:35:49,388 It wasn"t punitive? 795 00:35:49,423 --> 00:35:51,183 Of course it was. 796 00:35:51,218 --> 00:35:54,393 Do you know who really saved Malan from severe complications today? 797 00:35:54,428 --> 00:35:58,363 - [keyboard clacking] - Dr. Shepherd. You. 798 00:35:59,329 --> 00:36:01,020 You and Dr. Shepherd? 799 00:36:01,055 --> 00:36:04,679 Malan"s mom knew that something was wrong and brought her here. 800 00:36:04,714 --> 00:36:06,992 Whether they have a medical degree or not, moms know. 801 00:36:07,026 --> 00:36:09,305 You never bet against them. 802 00:36:09,339 --> 00:36:11,169 I don"t care where you went to school. 803 00:36:11,203 --> 00:36:13,595 What matters is how you treat patients, and in peds, their families. 804 00:36:13,619 --> 00:36:16,829 I"m gonna need you to understand that if you"re gonna be on my service tomorrow. 805 00:36:16,864 --> 00:36:20,730 [stammers] Well, they don"t make the assignments until the morning. 806 00:36:21,248 --> 00:36:22,525 I requested you. 807 00:36:22,559 --> 00:36:24,423 See you tomorrow, Dr. Kwan. 808 00:36:31,050 --> 00:36:33,225 [sirens wailing in distance] 809 00:36:37,747 --> 00:36:38,782 [Ndugu sighs] 810 00:36:39,818 --> 00:36:40,888 [Hunt] Rough day. 811 00:36:42,096 --> 00:36:43,270 I was going to the airport 812 00:36:43,304 --> 00:36:44,926 because I was supposed to meet Maggie. 813 00:36:45,962 --> 00:36:47,446 But she canceled on me. 814 00:36:49,379 --> 00:36:52,624 And then I took it out on a patient, and he died. 815 00:36:52,658 --> 00:36:55,523 We did everything we could, Winston. 816 00:36:55,558 --> 00:36:56,869 - [sighs] - And we both knew 817 00:36:56,904 --> 00:36:58,433 from the second we saw those bars crushing him 818 00:36:58,457 --> 00:37:00,735 this was never going to be an easy case. 819 00:37:02,081 --> 00:37:03,566 I"m sorry about Maggie. 820 00:37:05,602 --> 00:37:08,260 We were supposed to talk about what"s next for us. 821 00:37:08,295 --> 00:37:13,438 Just like we were supposed to do last week and the week before. 822 00:37:13,472 --> 00:37:19,472 But there"s always a consult, or a class, paper. 823 00:37:24,103 --> 00:37:26,658 At what point do I stop trying? 824 00:37:26,692 --> 00:37:29,247 I"m not sure there's a good answer to that question, 825 00:37:29,281 --> 00:37:32,422 but maybe the better question is, "Why?" 826 00:37:32,974 --> 00:37:34,597 Why are you trying? 827 00:37:35,425 --> 00:37:37,531 That might tell you what you need to know. 828 00:37:41,431 --> 00:37:42,639 Good night. 829 00:37:44,986 --> 00:37:46,609 [Ndugu sighs] 830 00:37:57,516 --> 00:37:59,863 [pants] That ex lap was mine. 831 00:38:00,968 --> 00:38:02,003 - Hey! - [bangs] 832 00:38:02,901 --> 00:38:04,316 I made the diagnosis. 833 00:38:04,351 --> 00:38:06,042 You didn"t even know what it was. 834 00:38:06,076 --> 00:38:07,595 Is there a rule that says 835 00:38:07,630 --> 00:38:09,642 the person who makes the diagnosis does the procedure? 836 00:38:09,666 --> 00:38:11,496 - Not that I know of. - Shut up! 837 00:38:11,530 --> 00:38:12,945 [Yasuda panting] 838 00:38:12,980 --> 00:38:15,293 I was trying to be a good friend to you, 839 00:38:15,327 --> 00:38:17,778 and you repaid me by lying to Bailey? 840 00:38:17,812 --> 00:38:19,780 - I didn"t tell her anything. - Exactly. 841 00:38:19,814 --> 00:38:22,334 You could"ve told her I was looking for the cut down tray 842 00:38:22,369 --> 00:38:26,338 or that I sat by Dorian"s bedside all day like she told us to 843 00:38:26,373 --> 00:38:27,960 while you went looking for procedures! 844 00:38:27,995 --> 00:38:31,136 Maybe give him a chance to explain before you rip into him. 845 00:38:31,170 --> 00:38:33,138 He sharked me. No explanation. 846 00:38:33,172 --> 00:38:37,315 It "s his fault that we" re all stuck in the ICU and not in the OR anyway. 847 00:38:37,349 --> 00:38:38,971 You know? And why are you defending him? 848 00:38:39,006 --> 00:38:41,733 - He was a jerk to you too. - All right. Stop! Just stop. 849 00:38:41,767 --> 00:38:44,460 I"m tired of the blame and the finger-pointing. 850 00:38:44,494 --> 00:38:46,358 It is all our faults. 851 00:38:46,393 --> 00:38:48,395 I was there too. So were you. 852 00:38:48,429 --> 00:38:50,155 Kwan didn"t do us any favors. 853 00:38:50,189 --> 00:38:51,812 We all screwed up. 854 00:38:51,846 --> 00:38:56,334 There"s nothing we can do except put it behind us and move on. 855 00:38:57,127 --> 00:38:58,370 We are all trying. 856 00:38:58,405 --> 00:39:00,510 - Why can"t you? - [Yasuda scoffs] 857 00:39:04,203 --> 00:39:07,379 I"m done. I don't wanna be your friend anymore. 858 00:39:07,414 --> 00:39:09,001 Find another way home. 859 00:39:09,036 --> 00:39:10,209 ["Changes" playing] 860 00:39:10,244 --> 00:39:11,935 [Grey] Progress doesn"t happen overnight. 861 00:39:11,970 --> 00:39:14,248 And setbacks are all but inevitable. 862 00:39:14,282 --> 00:39:16,354 - [Millin sighs] - I need a drink. 863 00:39:16,388 --> 00:39:17,872 Yeah, me too. 864 00:39:18,425 --> 00:39:19,840 Your idea. You"re buying. 865 00:39:19,874 --> 00:39:22,187 Sometimes it can make you feel like Sisyphus... 866 00:39:22,221 --> 00:39:23,671 Let"s go. [Sighs] 867 00:39:23,706 --> 00:39:26,294 endlessly pushing the same boulder up the same hill. 868 00:39:26,329 --> 00:39:29,090 - [Beltran sighs] Okay. - Dr. Beltran. I"m Levi Schmitt. 869 00:39:29,125 --> 00:39:31,852 Oh. Are you the person I talk to about assigned parking? 870 00:39:31,886 --> 00:39:34,372 Um, no. I"m chief resident. 871 00:39:34,406 --> 00:39:35,925 I"m applying for a peds fellowship. 872 00:39:35,959 --> 00:39:38,893 I-I wanted to see if I could maybe buy you coffee sometime. 873 00:39:38,928 --> 00:39:39,963 Pick your brain. 874 00:39:40,826 --> 00:39:42,241 [Beltran] I can"t right now. 875 00:39:42,276 --> 00:39:44,209 But can you still help me with that parking pass? 876 00:39:44,243 --> 00:39:47,868 [Grey] But where would we be if Dr. Starzl hadn"t persevered 877 00:39:47,902 --> 00:39:49,801 to perfect the liver transplant... 878 00:39:49,835 --> 00:39:50,940 [Yasuda] Ah. 879 00:39:50,974 --> 00:39:53,045 If he had let the setbacks win? 880 00:39:53,080 --> 00:39:54,219 Johnny? 881 00:39:54,253 --> 00:39:56,946 - [speaks indistinctly] - Jaden. Jared? Jaden? 882 00:39:56,980 --> 00:39:58,810 Can I, uh, please have another one? 883 00:39:59,742 --> 00:40:01,882 And her too. [Sighs] 884 00:40:01,916 --> 00:40:04,988 It"s his card, okay? Thank you. 885 00:40:05,023 --> 00:40:07,922 [Grey] As tempting as it can be to throw in the towel... 886 00:40:24,525 --> 00:40:28,253 ♪ And I wanna feel My knees... ♪ 887 00:40:28,287 --> 00:40:29,461 [sniffs] 888 00:40:30,186 --> 00:40:31,429 [sighs] 889 00:40:32,844 --> 00:40:35,847 ♪ On a land you would reveal ♪ 890 00:40:35,881 --> 00:40:39,022 sometimes you have to take the obstacles as they come... 891 00:40:39,057 --> 00:40:41,300 ♪ Fade under the veil ♪ 892 00:40:41,335 --> 00:40:44,027 ♪ Oh, oh, oh ♪ 893 00:40:46,892 --> 00:40:49,654 Hey. I got your text. What"s happening? 894 00:40:49,688 --> 00:40:51,828 [sighs] We have to keep going. 895 00:40:51,863 --> 00:40:53,174 How many of these have you had? 896 00:40:53,209 --> 00:40:54,693 [chuckles] Maybe one too many. 897 00:40:54,728 --> 00:40:56,488 But I still don"t think we should quit. 898 00:40:56,523 --> 00:40:59,629 Look, I know that it is gonna be hard for us to find the money, 899 00:41:00,906 --> 00:41:02,770 but what if we could find a cure? 900 00:41:02,805 --> 00:41:04,185 We gotta keep trying. 901 00:41:04,220 --> 00:41:05,784 I"m happy to hear you say that because I think 902 00:41:05,808 --> 00:41:07,810 I may have found us some money. 903 00:41:09,881 --> 00:41:11,054 So, I just left Teddy... 904 00:41:11,089 --> 00:41:16,784 ♪ The trickles we hoped in ♪ 905 00:41:16,819 --> 00:41:22,480 ♪ Decided our fortune ♪ 906 00:41:22,514 --> 00:41:27,519 "♪ I" m needing changes ♪ 907 00:41:27,554 --> 00:41:29,072 Lucas, you awake? 908 00:41:29,107 --> 00:41:30,142 Can we talk? 909 00:41:30,177 --> 00:41:33,180 ♪ I feel the changes coming ♪ 910 00:41:34,457 --> 00:41:36,252 - Lucas? - [knocks] 911 00:41:36,286 --> 00:41:39,048 "♪ It" s coming ♪ 912 00:41:40,083 --> 00:41:43,949 ♪ I feel the changes coming ♪ 913 00:41:44,536 --> 00:41:46,676 ♪ Coming ♪ 914 00:41:47,228 --> 00:41:49,576 ♪ Coming ♪ 915 00:41:55,892 --> 00:41:58,343 and find a new path forward. 916 00:41:58,377 --> 00:42:02,865 ♪ Mmm, mmm ♪ 917 00:42:02,899 --> 00:42:05,695 ♪ Mm-mmm ♪