All language subtitles for Grey s Anatomy - 11x14 - The Distance.HDTV.x264-LOL.en

Previously on "Grey's Anatomy"...

Your tumor is smart. But
so am I. I can beat it.

Any one of these approaches
would likely kill the patient?

I refuse to spend the
last few months of my life

feeling like a pile of crap.

I am going to give you
more than a few months.

- Are you nervous?
- Nobody thinks that this can work.

No one understands it.

You get at my tumor, you get at
my knowledge, I get at my life.

Each card represents a fetus

that I'm gonna teach Robbins how to fix.

I'm not ready to take this over yet.

- Where's Dr. Herman?
- She stepped out.

- What do you need?
- It's Glenda Castillo.

- I need you to scan me.
- Let's go.

- I need Herman right now.
- Arizona, it's time.

Amelia?

I'll get the O.R. prepped.

You'll inform the patient?

In 1888, William Williams Keen

became one of the first surgeons

to successfully remove a brain tumor.

A big win. It's true.

You can look it up.

What's harder to find, however, are stories

of all the times old double-Billy K tried

to pull a tumor out of a brain and lost.

The losses must have happened.

A surgeon must always be prepared to lose.

And in neurosurgery, with the big tumors...

We lose those battles
as often as we succeed.

The key, though, win or
lose, is to never fail.

And the only way to fail is not to fight.

So you fight until you can't fight anymore.

Word's getting around.

You're gonna have a full gallery.

Everybody wants to see the show.

You feeling good, confident?

You're not worried, are
you? Are you worried?

This is where you leave me, Dr. Hunt.

Oh.

You okay? Do you need anything?

I'm fine. I'm great. I just...

Prep alone, so...

I will see you on the other side.

Okay.

Okay. Okay.

We are doing this, okay?

We're doing this.

If she's awake, she'll
tell you for the 15th time

to save her child's life, not hers.

Listen to her, let her say her piece,

then you do what needs to be done.

I don't think that I can
do... No, I know I can't.

You can.

- Nicole.
- You will.

Let's get you inside now, okay?

Okay, I have everything set up.

You will have all of your films,

your favorite scrub nurse...

What is happening?

I'm being a superhero.

O... Kay.

There's a scientific study that shows

that if you stand like
this in superhero pose

for just five minutes
before a job interview or...

A big presentation or a really hard task,

you will not only feel more confident,

you will perform measurably better.

Seriously?

Seriously.

You feel it?

We're superheroes.

We are superheroes.

Hold up your head and enter the arena

and face the enemy.

Fight until you can't fight anymore.

Never let go. Never give up.

Here's the plan.

We're gonna embolize the
tumor to see if we can reverse

the effects on mom's circulation.

And if not, then I'm afraid...

Where's Herman?

Never run.

Never surrender.

Glenda's platelet count is critically low,

so we need to give her
six packs of platelets

to avoid liver capsule bleeding.
And then we'll perform the fetoscopy

to reverse the cascade...

You keep saying "we," but I only see you.

- Where the hell is Herman?
- She's not coming.

What do you mean she's not coming?

Fight the good fight.

Start the clock, please.

You fight...

Ten blade.

Even when it seems inevitable...

That you're about to go down swinging.

Sync and corrections by Albanda
www.Addic7ed.com

Mnh-mnh. Mnh-mnh.

So...
This is a regular thing.

You all come up here
and you watch surgeries. Why?

Not just surgeries... the big
surgeries, the whale surgeries,

the rare ones,
the crazy ones.

I mean, you're on
the edge of your seat.

The patient could die.
This is life or death.

The adrenaline,
the rush...

Okay, so you watch, like,
the worst day

of a person's life
like a movie.

No, not like a movie.
That's insulting.

This is not
entertainment.

"Movie."

Oh, okay. This is where the

- good part starts.
- Shh.

Excuse me. Ah,
thanks for saving my seat.

I almost
got my arm torn off,

but, uh,
your timing is excellent.

Ah, the dye's coming in.

It's kickoff time.

Let's go ahead
and inject the dye.

Lights, please.

What does the dye do?

Oh, the dye makes
the whole tumor glow so that

we can see where the tumor ends
and where the brain begins.

Nice to see you face-to-face.

Now you have to go.

Bipolars, please.

This is my favorite part.

Yeah, I thought only the tumor
was supposed to glow.

That is the tumor.

Oh, we are not in Kansas anymore.

The baby's anemic.
Let's transfuse him.

40 milliliters
of irradiated PRBC.

Robbins, we need to get in and out.
Glenda's pressure is through the roof.

Well, if we don't stop this
bleeding, the baby will die.

And the idea is to save both of
them, and I think that I can do it.

Do you think, or you know?

I know I can.

Robbins, I respect you
and consider you a friend,

so it is with kindness
when I tell you

that you're only half
a fetal surgeon, not even.

- You're half a fellow.
- You brought this patient to me.

No, I brought this
patient to your boss.

I have spent the past
4 1/2 months getting everything

that Dr. Herman knows
pounded into my brain.

Do you hear yourself?
4 1/2 months?

You want her hands,
you have them right here.

- 22-gauge needle.
- Here you go.

Hey. Hey, Chief, any chance
you could lose me tonight?

What? No.

Oh, I just thought that
it's kind of quiet down here,

and now Dr. Herman's
surgery is happening.

Every other resident
is watching that surgery.

I'm sorry you pulled
the short straw,

- but I need someone down here.
- Oh, so, wait.

I'm gonna be the only
resident who's down here?

Just you. I'm counting on
you to hold down the fort.

- Can I do that?
- Yes. Absolutely.

I'm your girl. Thank you.

Hunt, you pushed
my meniscus tonight.

- What, uh... what gives?
- I needed the O.R.

Shepherd has taken
Dr. Herman up

for her brain surgery.

Wait, Dr. Herman's
going in now?

I thought she had
another month.

Okay. Right here.

It's invaded the chiasmatic
cistern a little.

Dr. Shepherd is examining

the margins of the tumor.

Who's subbing in
for you?

- I'm sorry?
- We're gonna be here

for another 14 hours,
probably more.

Definitely more.

You know the protocol...
Over 12 hours,

have another resident
sub in to replace you

so you can recharge,
rest, and return.

Who's subbing in
for you?

Hey, I have been planning
this for months.

There's kind of
no substitute for me.

Well, then there's no
substitute for me, either.

If you're here,
I am here.

We're superheroes.

I mean, I'd do the thing
with the hands on the hips,

but I can't break scrub.

Okay.

Retract here, please,
Edwards.

It's not working.

I can't embolize
all the vessels.

I handpicked you.
And you are letting me down.

- I need to open her up.
- Oh, absolutely not.

We'd have to increase
Glenda's anaesthesia, and...

He's got persistent decels.

I'm not just
questioning your abilities.

Now I'm questioning mine.

All right,
I could open her up,

exteriorize the uterus and
then resect the entire tumor.

The prolonged anaesthesia
could be catastrophic

to both mom and baby. If
you're gonna open her up,

- then you should go ahead and deliver.
- No. It's not an option.

This is mirror syndrome,
Robbins. You know that.

The sicker the baby gets,
the sicker Glenda gets.

We deliver,
Glenda will get better.

I said it's not an option.
He's not far enough along.

He won't survive.

Page Alex Karev.

Okay. Wait, stop.
What are you doing?

We're delivering
this baby.

It's not gonna be easy, but Karev may be
able to keep him alive once he's out.

No. Put that phone down.

Bailey, I can do this.

Arizona, your mentor
is on an O.R. table right now

with her skull open

and you think
you have something to prove.

Well, I'm not gonna let you
do that with this patient.

You want to open her up?

Well, do it, but we are
delivering this child.

Page Dr. Karev.

Okay.

Dr. Shepherd is now

cutting the tumor away
from the gyrus rectus.

Gyrus rectus?

The area responsible
for our sense of smell.

Shh.

I thought Arizona
would be here.

She's in surgery.

- Wait, fetal surgery? By herself?
- Shh!

Oh, relax. It's not the
ballet or whatever.

Though... though it is
a kind of a dance.

There's grace, a rhythm...
An elegance.

Oh. Oh, okay.

I got shushed,
but the purple prose is fine.

Shh!

Okay.

She is gonna pull it off,
though, right?

Yes. Yeah, she will.

Dr. Shepherd
is now clearing the tumor away

from the midbrain structures...

The fornix, the thalamus.

It shouldn't
be taking this long.

We're behind. Already.

Uh, using extreme care
not to violate

the interior commissure.

Dr. Shepherd calls this
the dream box.

Dr. Grey, I'm sorry,
but "dream box"?

Where we create dreams

and memories
and discern shapes and colors.

Read a book,
for God's sake.

Webber, you okay?

Oh, I'm fine.

Her shoulders are tense.

Something's bothering her.

Maybe you'll get lucky and
you'll snip out the part

that makes her
kind of bitchy.

Why would you say that?

- I was... it was a joke.
- Well, you're right.

I screw this up, Nicole Herman
will no longer be bitchy.

She'll no longer be able to
laugh, either, or be a surgeon.

She will no longer be
Nicole Herman.

She won't be anything
anymore,

and you want to make jokes
about that?

No, I'm...
You're right.

- Damn it. Damn it.
- What is it?

I can't
get around the fornix

without hitting
the hypothalamus.

Well, can you move
laterally to avoid it?

There's not enough carotid
to mobilize.

I'm trapped.

Her sats are dropping.
She's hypoxic.

Robbins, it's not
going to get better.

Okay, okay.
There we go.

Oh, crap. It's stuck.
The tumor's too big.

Hey, sorry.
I would have been here sooner.

- But I was already at home.
- Well, you should have stayed at home.

- What?
- Nothing. She's pouting.

I can't get it from this the angle.
If I force it, it ruptures.

I need... I need
to widen the incision.

You have to widen it anyway.
Karev's here.

- We're delivering.
- We're not delivering. He's not viable.

I can do this.
It'll be just like last time.

What do you mean
last time?

We did
one of these before.

Herman wasn't available,
so we decided

to deliver
and remove the mass after.

I knew it.
I knew it.

- That was entirely different.
- Sounds the same to me.

You're trying to prove
that you're Herman.

I thought you had something.
I thought you were special.

Just do the "C," Robbins.
I'll keep him alive.

I thought you would be better
and in less time.

But today?
Today, you embarrassed me.

Excising the tumor.

- Gonna need lots of kellies.
- Robbins, listen to me.

Do the right thing.

- Deliver this child.
- I don't have time for you to catch up.

I don't have time for three strikes.

Something
like this happens again, you're out.

Stop it. Stop talking.
Stop it right now!

You're right, Dr. Bailey.
I am not Dr. Herman.

I am Dr. Robbins, and
I am the fetal surgeon here.

And I have chosen
to do this procedure,

and there was a point at which
you could no longer

be on board,
but that point is long gone.

I am in the middle
of a woman's uterus.

And any slip
I might make could result

in catastrophic
blood loss.

And... and if I slip, it will
be because you were screaming

in my ear and not because
I don't know what I'm doing.

You either need to
get on board and shut up

or you need to
get the hell out.

I mean, she sounds
like Dr. Herman.

She hasn't moved a muscle
in 15 minutes.

- What do you think it is?
- I don't know.

But her game face
is slipping.

- Yeah, maybe I should...
- Hmm?

April.

I'm not working. I'm... I'm just...

I'm not ready
to work yet.

No, no, no, it's fine.
I'm just... I'm glad to see you.

I'm just gonna sit.

Dr. Herman was with me
on my worst day.

I just wanted to
be with her for hers.

How's this going?

Uh, she's trying to dissect
around the fornix.

But she still
has a long way to go.

So, why are
they not operating?

Dr. Shepherd.

If I go any further posteriorly,
I violate the hypothalamus.

If I take a lateral approach,
I hit the carotids.

If I go inferiorly and
I wreck her optic apparatus...

- You could...
- I am lost here.

I am lost in the forest.
There is no clear path.

Just pick a path,
and you will be fine.

I am trying to find a way
to keep her whole, Edwards.

I can't move without letting
a piece of her go.

Dr. Shepherd.

Dr. Webber.
What do you need?

I thought I could help,
maybe be a sounding board.

We could work through whatever
it is you're stuck on.

Kill the intercom, please.

Dr. Webber,
step over here, please.

Edwards, would you mind
taking a step back?

You can be a big help.

I need you to call
my brother.

Tell him
he needs to get on a plane.

He's in D.C., so if he
goes now, he could be here in,

- what, six hours, seven?
- I'm not sure that's the best idea.

I am in over my head.

I made a mistake.

I took on
an impossible task,

and my hubris
is going to kill her.

Please.
Get him on the phone.

Get him on a plane.

Get him here.

Now.

This is taking way
too long.

Uh, mom needs increased
ventilatory support.

Robbins, come on.
That baby's right there.

- I've got this. Let me have him.
- Ligating the last artery.

We've lost the fetal pulse.
Is the cord compressed?

No.
He's in cardiac arrest.

Put your hands under him
just like this.

Good. Now apply pressure
on the wound.

Harder.
He won't break, okay?

Just hold him there
and keep his chest up.

Good, good, good.
Just like that.

All right,
push five micrograms of epi

while I start
compressions.

Oh, dear lord.

Careful.

You know
what you're doing.

Please just call him.

I'm not even
halfway through.

If I can't get past
this step...

You have it in your head
that he's better than you.

But it isn't true.

I've seen him standing
exactly where you are now,

staring at an impossible
spinal tumor, terrified,

unsure where to go next.

I know that tumor.

He's got it hanging
on their bedroom wall.

A drawing,
not the actual tumor.

- He found a way.
- Yes.

Which is why
I need him here.

Shepherd, I can tell you
right now what would happen

if I called
your brother.

He would hop on a plane, and
seven or eight hours from now,

if she hadn't already herniated,
Derek would come in here

and he would take this surgery,
your surgery, away from you.

Then he would
kill her.

Because
this is your plan.

He wouldn't know where
you've already been

or where
you need to go next.

You are
on your own here.

No one can help you,

and you do not
need them to.

He's not here.

You are.

Now what's next?

Robbins,
he's not coming back.

Karev,
shut your damn mouth.

It's okay. It's okay.

Come on, baby.
Oh, come on.

You can let go now,
Bailey.

It's time to put him
back in.

Uh, uh...

- He's not even...
- I held him in my hands.

He's not even born,
and I held him in my hands.

I know that feeling.

It's privilege,
great privilege.

Navigation probe.

Edwards, you're on.

Intercom, please.

Dr. Shepherd
is identifying

the lamina terminalis
so that she can go around

the commissure,

laterally dissecting away
from the perforated arteries.

Bipolars.

Can you avoid splitting
the fornix?

- I sure as hell hope so.
- So far, so good.

Keep going.
Find your way out.

How you feeling,
Edwards?

Good. I'm good.

You sure?

I can try and find someone
if you need a break.

Nope. You're not gonna find
a better assist than me.

I earned this spot.

If Dr. Shepherd is here,
I am here.

This is the point
of no return.

Once we start this,
we don't stop

until the last
of this tumor is gone.

Are you ready?

- Are you?
- Smartass.

Here we go.

Glenda's
not out of the woods,

but her numbers
were definitely improving.

I'm gonna head up to the ICU
and keep an eye on her.

You did good, Robbins.

I wasn't trying
to pick a fight in there.

It's just,
from where I was standing...

Six months ago, I would have
picked the same fight.

Well,
for what it's worth,

Herman picked the right person
to pass the torch to.

She's not passing anything.
She hasn't gone anywhere.

I think...

I cleared
the optic nerve.

There.
That wasn't so hard.

No comments
from the peanut gallery.

Okay. We are going
radioactive, folks.

Let's get this room
turned over.

All non-essential personnel,
hit the street.

Non-essential means you, Dr. Webber.

I appreciate you coming
down here. You have no idea.

I'm happy to stay.

Edwards and I have it
from here.

Right, Edwards?

Edwards?

- Whoa. Oh.
- Oh!

I'll get the O2.
Hold her head.

Or maybe
you could scrub in.

All she has to do now is
place her radioactive seeds.

They'll kill whatever
tumor cells are left behind

and keep them
from coming back.

Well, I'm happy to help.
I'm just saying, "why me?"

She needs an assist who she
doesn't have to worry about.

And if I remember
correctly,

you were this close
to specializing in neuro.

Well, I haven't been that
resident in a very long time.

Have her back.

She just needs to feel you're
there. She'll do the rest.

Damn it! Damn it!

I just got here. I haven't had a
chance to screw anything up yet.

I need to be able to place
these seeds precisely

if I'm gonna prevent the tumor
from recurring.

I had a pre-op map
to help identify my landmarks.

But with a tumor this big,
everything will move

after you resect, like
a mudslide or an earthquake.

Yeah. I didn't count on
this much intracranial shift.

I'm gonna have to use the
ultrasound to map out the shift

and then morph it back
into the pre-op plan.

Okay, so you're pretty much
eyeballing it.

Yeah, pretty much.

Sounds like a plan.
Let's do it.

How long
have they been at it?

Six minutes.

They've only
placed three seeds.

Even with the gloves
and the vests,

they can only be exposed
to that level

of radiation for, what,
another 20 minutes?

She needs
to move faster.

I need to move faster.

These gloves are so thick,
I can't feel what I'm doing.

You're doing fine.
It's not a race.

Except that it is.

Amelia,
what are you doing?

- Shepherd, what are you doing?
- It's so much easier like this.

You're exposing yourself
to direct radiation.

You need to put that glove
back on right now.

- Amelia.
- It's fine.

I got it.
I got it.

Robbins, you're not gonna
hear this from me too often,

so savor it.

You did very,
very well in there.

Oh, I'm so touched,
I could cry.

Ugh.
I am exhausted.

You'd think a tumor would give
you extra energy or something.

Mm, I wouldn't.

Mm, maybe not.

Here.

We're getting down to it,
Robbins... the final stretch.

After those dozen cards,
that's it, we're done.

You'll have completed
a yearlong fellowship

in less than six months,

and I'll have
kicked the bucket.

Don't.

I knew I picked the right horse
when I picked you.

Yeah, please
don't call me a horse.

It really
is an accomplishment.

Not just to do it, but to become
as good as you have become.

It's a real exercise
in perseverance.

Really something
to be proud of.

Thank you.

I'm not talking about you.
I'm talking about me.

You were a complete disaster
when we started.

But I persevered, and
after all of my hard work,

you are actually
becoming a fetal surgeon.

I deserve a medal.

Arizona?

Hey.

You okay?

Yeah.

I heard you flew solo
tonight.

I did.

How did it go?

- Great.
- That's...

Congratulations.

Thank you.

I looked for you
in Shepherd's gallery.

She's... still at it
if you want to head up.

- I can't go up there.
- Okay.

I want to, but I can't watch.
I just can't.

Over the past four months,

that woman beat the hell
out of me, trying to shove

every piece of knowledge
and experience

into my head, and she did.

It's there, all of it.

She's in my head.

But I'm...

I'm not ready for my head to be
the only place that she exists.

Grey, stop her.

She needs to put that
glove back on right now.

She's almost done. She has a
20-minute window. It's only been 15.

Without the glove, she's cutting
her exposure time in half.

She's over her limit.
Shepherd!

Hunt, if I don't place
these seeds, the tumor recurs,

and everything I have done
for her counts for nothing.

You're gonna
make yourself sick.

Amelia, he's right.
The tumor could recur anyway.

But it won't be
because of me.

Shepherd,
put on the glove!

Amelia.

Done. I'm done.

Get this gear out of here,
bring back the troops.

It's time to close.

- That was...
- Really dumb?

No, badass.

Hey, um, I've got

a post-op abdominal-wall
reconstruction in the ICU.

Do you mind if I run up and check
on him before we head home?

Yeah, sure. I'll just...
I'll hang here.

- I'll be fine. Go.
- Okay.

Hey,
you've been out for hours.

God.

Wait, what?

Congratulations,
Dr. Edwards.

You were in surgery
13 straight hours.

Doesn't really happen anymore
with hospital regulations.

Your class
doesn't get a chance

to build up
that kind of stamina.

- I missed it? It's over?
- Oh, no, no. It's not over.

They're... They're still closing.
Uh, no.

Now, you... you lay back.
Let me get you some water.

Pickups.

Juice.

Thank you.

How are you doing?

Just need to get the dura closed
with a watertight seal.

This is the easy part.

Which anyone else can do,

so why don't you let
someone else take this?

Dr. Shepherd, I'm here. I'm... I'm back.

I'm good to go.

Just please tell me
it's not too late.

No, Edwards. You're just in time.

You can finish closing.

Really?

You started this with me.
You should finish it.

Don't let Edwards
screw up the stitch, okay?

I don't want Herman
seeing a big ugly scar

every time she looks
in the mirror.

Not a problem.

Hey, Glenda. You just about ready to go?

Oh, my God. So ready.

And no offense, but I am so done
looking at this boring room.

Well, enjoy the fresh air
while you can.

I will see you in a month
for your post-op checkup.

In the meantime, rest.
Take it easy, eat well.

Thank you so much.

Well, don't hug me.

Dr. Robbins saved both
your life and your son's.

Um... I don't know if you guys
can tell me, but...

How's Dr. Herman?

Dr. Shepherd
is identifying

the lamina terminalis so that

she can go around
the commissure.

Stop. Go home.

I need to
figure this out.

No, you need to take
a break.

There's no swelling,
no edema.

I don't know why
she's not awake.

It could be any number
of reasons.

Don't tell me
what it could be.

Don't you think I know every
possible thing it could be?

I'm sorry.

I just need...

I know.

You need it to be over.

I need her to wake up.

Is that...

What?

I don't know. It's... it's
probably nothing. It's tiny.

What?

Is that a small lacunar
infarct right there?

Did she have a stroke?

Good work, Edwards.

She's gonna wake up.

She might.

But if she doesn't, I'm gonna
have to make some decisions.

And you did this for Mark.

I did.

But you're not gonna
have to, okay?

I can't do this
by myself.

I can't make that call.

And I know what she wants.

But I don't think
that I can make that call.

Hey.

Hey, you are not
by yourself, okay?

You're not alone,
do you hear me?

It's okay.

Oh.

Nicole.

Mommy?

Is that you, Mommy?

God, I'm fine.

I'm fine.

Do you know where
you are?

- The same place I always am.
- What's your name?

Uh, that hasn't changed,
either.

Squeeze my finger.

Good.

And here.

Good.

Gross motor functions
intact.

Follow the light,
okay?

- How are you feeling?
- Shh.

Hey, it's all right.
It's okay.

I'm okay.

You got it all,
didn't you?

Edwards,
did she get all of it?

Yeah. She got all of it.

Hey, no crying in here.
Crybabies out.

Dr. Hunt. Dr. Webber.

Gentlemen, looking good.

So are you.

So far, so good.

Oh, we're glad to hear it.
Dr. Shepherd did an amazing job.

Yeah, yeah.
I brought the tumor.

That made her
look pretty good.

Give us a second, would you?
Robbins and I have some work.

Yeah. Why don't we step outside,
give them a moment?

I will be back soon.

- We will need a full work-up.
- Yes, ma'am.

Good to have you back.

Tell me about
Glenda Castillo.

Um...

Glenda is recovering well,
and, uh, she's still pregnant.

The baby's doing well,
too.

I knew
I picked the right horse.

Please stop
calling me a horse.

Uh, I knew it.

I knew you would
not let me down.

I had no doubt.

Can you see anything?

Anything at all?

No.

Nothing.

Completely blind.

- You better not be crying.
- I'm not.

Are you all right?

I don't know.

It'll take a while
to sink in.

I don't think
you're gonna want to

be around me
when it does.

That will be ugly.

I will be.

If you want me to,
I'll...

You're missing the point.
You're so thick, Robbins.

You're always just
to the left of the point.

The point is I'm going to
get to figure it out.

Something is
going to happen next.

The point is...

I'm alive.

And I wouldn't be
if you hadn't been

such a pain in my ass.

I picked the right horse.

Why do we even try
when the barriers are so high

and the odds are so low?

Why don't we just pack it in
and go home?

It'd be so, so much easier.

It's because, in the end,

there's no glory in easy.

We were so close.

We were more than close,
Edwards.

Dr. Herman lost her sight
to her tumor.

We took revenge on the tumor
by killing it,

by tearing it out
and decimating it

and decreasing its odds
of killing Nicole by 100%,

by sending death running
like a crying bitch,

by telling death
to screw himself...

That is the battle.

And it is the only battle
worth fighting.

You should be
on a high right now.

And you should be
chasing that high

for the rest
of your life.

You defeated death.

Mere mortals cannot do that.
Only we can.

No one remembers easy.

Only superheroes.

They remember the blood
and the bones

and the long, agonizing
fight to the top.

Only freaking superheroes.

And that is how you become...

Legendary.

Sync and corrections by Albanda
www.Addic7ed.com