Original subtitles

Meredith: Researchers and patient safety experts

are still trying to answer this important question--

How many people die every year from medical mistakes?

♪ My bones, my bones

Mistakes include misdiagnoses,

hospital-acquired infections,

medication errors, patient falls,

and discharging patients too early.

Happy Halloween.

♪ I don't know if I'll ever come down ♪

Ugh.

♪ Because my body can't hold you ♪

As terrifying as it can be for patients

to think they might die from a medical error,

it's also terrifying for doctors.

Oh, Schmitt, Ms. Rose needs an N.G. tube.

I already put that in. She pulled it out.

That is the third time she...

I will reinsert it and bridle it this time. Mm-hmm.

Um, you also need to get the family's consent

for the PEG tube in 1204.

Uh, consent, right. [ Cellphone chimes ]

Uh, is that it? Is that it?

Schmitt.

[ Laughing ] Come on. Princess Leia?

Also Senator and General.

Pru is on her way

to go trick-or-treating around the hospital.

She's gonna be an Ewok.

It's her third costume of the day.

It's cute, right?

It's so cute.

♪ Things that you do

Yes. Oh, no. That's, um...

Yes. Ah, better.

[ Laughs ] Hey, and don't forget

Webber's pumpkin-carving contest, Dr. Schmitt.

I wasn't invited to that.

♪ I'm praying for a sign

Even if our mistakes are innocent,

they become etched onto our souls like tombstones.

And if you never do anything to process these memories,

they will come back to haunt you when you least expect it.

What are y'all watching?

Oh, "First Year Scrub Room Freak Out."

Someone posted it this morning. It's all over the place.

Oh! Ooh! Ohhh!

Now Bamm-Bamm's throwing stuff.

♪

"The Flintstones."

What is she doing with that box of--

Ah!

[ Laughs ] Out the window. Nice.

Well, maybe she lost a patient?

Well, she lost something.

Her privacy.

Richard: Focus.

Creativity.

Surgical dexterity.

All qualities an amazing surgeon must master

to be a success in the O.R.

Welcome to the Grey-Sloan Memorial

Pumpkin Carving Contest.

I already hate this. Do we get a prize?

Pumpkin carving is an excellent way

to practice delicacy and precision.

The more elaborate the vision, the better.

[ Cellphone chimes ]

Uh, Dr. Pierce needs an intern in the pit.

♪

Griffith, you go.

We'll save you one.

All right, who's ready to choose a gourd?

♪

Woman over P.A.: Dr. Wagner to radiology.

Oh, hey, uh, Mr. Jancy's chest X-rays looked clear,

so I just discharged him.

I think he wanted to get home for trick-or-treating.

I see you're scheduled for vascular procedures tomorrow.

Yeah, Dr. Param is still out on paternity leave,

so I just offered to help out.

Is that a problem? No.

No, I just... Hey.

Hey. I'm headed out.

I'm gonna take the kids trick-or-treating.

Do not bring them candy from the lounge. They have enough.

How am I supposed to maintain my favorite-auntie status?

Okay. Boom. We got 'em. Bodies.

You got 'em? Yeah, we got 'em.

Winston: Bodies? Yes.

Freshly deceased, releases signed,

ready to get hooked up to the machines and everything.

Okay, so we're doing this tonight?

Yes. Fresh tissue decomposes quickly. We have to.

Okay, so you go find the interns.

Okay. I will find Owen.

Hey, can one of you stay and help?

I find this conversation disturbing.

Nick: Are you in? Yeah.

Let's go. Okay.

Woman over P.A.: Dr. Andorka to the NICU.

Dr. Mary Andorka to the NICU.

[ Clears throat ] Ta-da!

Hey. [ Laughs ]

Ooh. We get anything good?

No, oh, we are all waiting until after dinner, Uncle Link.

What are you doing for your cancerversary tonight?

I was thinking... you, me, dinner, foot rub...

[ Laughs ] Okay.

Or just dinner.

Or... nothing?

They asked me to take an extra shift. I'm sorry.

Yeah. No problem.

No, really, don't feel bad.

These are the exact moments for... Tinder.

Tinder? On Halloween? What's your costume?

Businessman?

Sexy doctor. Ha! Okay.

Oh, perfect for this sexy nurse, huh?

That's sexist.

We could start a sexy practice.

What is wrong with you? [ Chuckles ]

Oh. Oh, there's a lot of them.

No. [ Laughs ]

Bye.

♪

How far out?

Any minute. [ Cellphone chimes ]

Please say that Webber sent me more than one intern

for Halloween night.

[ Siren wailing ] I'm actually with Dr. Pierce.

You remember how this night is for cardio.

A lot of jump scares, a lot of heart attacks.

♪

What do we got?

16-year-old male, fall from 30 feet

with blunt trauma to chest, negative LOC,

possible left upper extremity fractures.

Hypotensive. Tachy in the 130s.

Sats 92%. Do we know what happened?

He and his buddy took a flying leap off a roof

trying to land in a swimming pool.

This one missed. Friend's in the other rig.

All right, take him to trauma one.

♪

What do we got?

16-year-old male, fall from height,

no loss of consciousness.

He landed in water.

No visible injuries, heart rate's 130.

Jarah? We flew!

We flew, man.

They both took LSD.

All right, trauma one.

Why do they always think that they can fly?

♪ Confidence drippin'

♪ Game never slippin'

♪ On my vibe till we started talking ♪

♪ Cartoon trippin'

♪ Cargo pants rippin'

♪ Oh, my God

♪ So embarrassing

♪ Everybody else thinks I play it real cool ♪

♪ Walk into the party like I own the room ♪

Oh, nice job, Adams.

Classic.

♪ Everybody else thinks I play it real smooth ♪

They ate too much.

[ Exhales sharply ]

What? I'm scared of pumpkins.

The smell, the texture, everything.

Pumpkin spice? Bread?

Candles?

What did I ever do to you?

[ Cellphones vibrating and chiming ]

It's Dr. Marsh. Trauma alert.

It just says "Sim Lab."

There's a trauma in the sim lab?

♪

[ Sighs ] You'd better go.

♪ Rather be uncool next to you ♪

♪ Tonight

It shouldn't take you five minutes

to respond to a trauma page.

Where's the trauma?

Ever since we moved towards more minimally invasive techniques

in nonsurgical management,

interns have had less and less opportunity

to train on open traumas.

Right, that's blunt trauma, penetrating trauma, open wounds.

Every hospital may not see them everyday,

but you still need to learn them.

And you will. Starting tonight.

Every year, Dr. Hunt runs a trauma training session,

usually in the parking lot with dummies.

This year...

Fresh tissue cadaver.

Real body, fake blood.

You're welcome. Happy Halloween.

Owen: Okay, 32-year-old male, stab wound to the left chest,

B.P. is 90/40, tachy in the 120s, sats in the high 80s.

Oh, w-what are we supposed to do?

Save him.

Come on. Uh, okay.

Sorry. That's mine.

Ow! Sorry, sorry.

He has a hemothorax. Prep for a chest tube.

[ Man gasping ]

Dr. Pierce.

Flail chest. Tell me why.

Because he has five broken and displaced ribs,

which disrupted the stability of the chest wall.

After we stabilize him, we have to get him to C.T.

Jarah! Oh, God, that's my son!

What happened to him?

Mr. Al-Hasan, I'm Dr. Pierce. This is Dr. Griffith.

Your son has had a serious fall

and sustained severe injures to his chest.

He went to a friend's house to study and watch a scary movie.

The EMTs said they found evidence

that they may have taken LSD.

No. That's-- That's not possible.

Jarah and River, they're A.P. students.

They're lab partners. They don't do drugs.

[ Coughing and gasping ]

Oh, God! [ Alarm beeping ]

Jarah! Please, do something!

His sats are dropping. I need an intubation tray!

Get that chest tube ready!

Get him out of here.

Sir, if you could just come with me.

We'll keep you updated.

♪

Deep breaths.

Good.

Did they take Jarah? They did.

That's why we jumped off the roof.

The bats were looking for us.

The paramedics took him for medical treatment.

He's my best friend.

I couldn't let the bats take him.

River, you are extremely lucky.

You only hit water.

He's severely injured.

I told him it was safe.

Well, you're a teenager.

Your prefrontal cortex isn't fully formed.

And you combine that with LSD, and nothing is safe.

Someone's gonna come take your blood.

Don't move, okay?

Okay, we need access to give him blood.

Okay, let's prep for an I.J.

No, that's where he's cannulated!

He needs a femoral line. Consider an airway secure.

Femoral line has been placed.

Move on. What about the entry wound?

B.P.'s 60/40 now.

Beep. Beep. Beep! Beep! Beep! Beep!

Come on! Lucas: Got it.

Fully intact fresh tissue cadavers are rare.

Be mindful. They can cost up to $10,000.

That's more than my house! You live in a van.

Exactly! Okay, what's his name?

He's a cadaver. He's a patient!

Knowing their names humanizes them.

Oh, my God, just call him Chris.

Whoever uses the best critical-thinking skills

on Chris will scrub in with me on an ax-fem bypass tomorrow.

BP's 60/40 still.

Scalpel. Scalpel. I'm gonna do an emergency thoracotomy!

Not if I do it first!

No, no!

Ah.

[ Doorbell rings ]

Nick: Boo! [ Laughter ]

Hi, Nick. Oh, okay.

That's funny. All right.

Okay, everyone pee.

But I'm really looking at you, Ellis.

Zola: I'm gonna go get my bag.

Okay.

What?

You need to work on your scare game.

What, you don't-- you don't think I'm scary?

I-- You know, it's not about me.

Well, maybe it's the sheet.

I'm a lot scarier without the sheet.

Mm-hmm.

Okay, you're sure you don't mind if we go?

Bailey and Ellis will crash from all that sugar in minutes.

You guys just drop Zola off at her slumber party

and then go have a night.

Yeah. Are you okay?

I mean, we can stay.

No, she just hasn't spent the night out, you know,

since the episodes started, so...

Okay. Yeah. I mean, she seems like she wants to go.

All her friends will be there,

and you will be a phone call away.

Exactly. I'm ready.

Okay, great. Do you have your phone?

Mm-hmm. Okay, let's go.

Let's go.

See ya. Okay. Bye!

Woman over P.A.: Dr. Williams to labor and delivery.

Hey! [ Gasps ]

Baby girl!

Are you ready to be an Ewok?

Yeah! Yeah, let's go get changed.

Miranda, she-- she's really tired.

Oh, we won't be out late.

I heard Nurse Stacy

has a bowl full of real goblin guts!

Uhh!

No, it's just cold spaghetti.

Oh. You sure you can't stay for a bit?

It's a busy night, you know, but I-I'll see you at home.

Okay. Hey, be safe.

Yeah.

All right, let's go get some candy!

Yeah! [ Laughing ] Yes.

[ Indistinct conversations ]

All right, beds 1, 2, and 5

are all kids with abdominal pain.

The interns should be done pumpkin carving by now.

They moved to trauma training.

What about the real traumas?

It was a time-sensitive exercise. Go.

Oh, e-excuse me, my son, River. Someone brought him in.

Oh, uh, yes, um, follow me.

Is River hurt?

S-Someone said that they jumped off my roof?

Well, apparently they were aiming for the pool,

but you should know that River and his friend were both--

Where the hell is my son?

♪

[ Sighs ]

Hey, Lucinda, it's Link.

I'll see you over at Joe's bar in a few.

Jo: This way, Isla. Just sit right here.

Oh! Do you need a hand?

Just find my jerk of a husband.

River: Look, I'm just like the bat.

I can do it. I can do it.

Oh, hey, hey, buddy, that-- that's not a good place to be.

Watch me fly.

No. No, no. No, no, no, no, no!

Whoo! No!

Damn it.

[ Groans ]

Jo, are you okay? Are you all right? Yeah.

I am fine. My patient barely made it to the elevator

before giving birth,

but mom and baby boy are doing good.

Are you wearing cologne?

Aftershave.

And that's what you're worried about?

You're a surgeon who might have a broken wrist.

I will get an X-ray.

Please just-- just go take care

of the tripping teen with the shattered leg.

[ Sighs ]

A.P. lateral left wrist for Jo Wilson. Thanks.

Hey, excuse me, a-are you one of the doctors

who's working on River Epley?

Can-- Can you just tell me if he's gonna be okay?

Sir, just go back to the waiting room.

No one is telling me anything.

All right, we'll give you an update as soon as we can.

Negative LOC, alert but disoriented,

head lac, films show a tibial fracture.

Oh, and he's on LSD.

That tracks.

Did you enjoy the flight, River?

Uhh...

You know, half a foot further,

he could have killed Jo and Jo's patient.

And Jo's patient's baby.

Who has a baby? What baby?

Yeah, you're not gonna be feeling so good

once those drugs wear off.

Was it worth it? You okay?

Is the baby okay? Who has a baby?

Look, I don't know if he's still tripping

or he's got a brain injury from the fall.

You mean the jump?

Good signal. Blood flow's intact.

Okay, great. Let's bring him up to C.T.

Oh, crap. I got to cancel a date.

How long ago were you supposed to meet her?

45 minutes. Oh, she already hates you.

Let's go.

Okay.

Got to get-- get in...

Ugh, just open it.

And trick-or-treat! Trick-or-treat.

Ah... Ah, we'll go to dermatology.

Yes.

Owen: Okay, Chris is losing a lot of blood!

Retractor! I'm not your scrub nurse.

If we want a chance at actually seeing the bleeder...

Here! Thank you.

Geez!

Oh, man. This is fun.

What, watching interns fail?

It's just kind of nice to step off the cardiothoracic floor

and not check in with the chief.

Your wife?

Listen, Ndugu, this is a safe space.

I could not work for Teddy for more than one day.

Okay, hold this. Hold this. Go, go.

I mean, I'm not a resident, you know?

I-I paid my dues at Tufts.

I paid a lot of those dues while working under Maggie.

And for the past six months,

it feels like I'm right there again.

Except now she's not just my smart, beautiful attending,

she's my wife.

My wife who not only has comments

on my surgical technique, but every aspect of my life.

Y-Yesterday she told me that I put something

in the microwave wrong.

W-Was it metal?

It was water.

Yeah, I heated up a mug of water for 45 seconds.

She told me it should be 44 seconds,

because at 44 seconds you don't have to move your finger over.

Right. Yeah, so, one second doesn't make a difference heatwise.

So 44 seconds is, in fact, more efficient.

Hmm. Yeah.

This is happening at my home, all right.

Yeah. Wow. Mm-hmm. [ Indistinct arguing ]

Mika: I let you go in. Just don't--

Hey, want to go boss them around?

Yes.

Okay, Chris is getting more hypotensive.

Come on, let's go.

There! Lac in the lower left lobe!

Um, lobectomy? Looks like he's coding.

No, he's not. We found the bleed.

Okay, do we use a-a patch?

On his lung? Uh, I mean, is that a thing?

No! Owen: Your patient is coding!

Winston: He's flat-lining. Do something!

Get in there! Soak up the blood? I told you...

[ Indistinct arguing ]

Beeeeeeeep!

What? No, no, no, no, no, no, no.

Starting cardiac massage, okay?

[ Panting ]

♪

Owen: Mnh-mnh.

Time of death-- 23:45.

We're sorry, Chris.

[ Flatline ]

[ Sighs ]

Oh, uh, Dr. Lawson was looking for you. No.

No... what?

I can't insert another line or tube

into any more attendings' patients.

I-I-I physically can't. No one can.

Uh, Dr. Altman and Dr. Pierce both--

Find someone else!

I have been called into two surgical consults,

three wound checks, and a chest tube removal,

all in the last 15 minutes

because the interns are constantly at lunch

or-- or sex ed or pumpkin carving

or in the lab with Hunt.

And who does all the work, Stacy?

Me!

So, if you could put a little bit more effort

into finding someone else--

Dr. Schmitt.

You better come with me.

Yeah, I mean, look, we already knew

Griffith had the most clinical experience and it shows,

but Kwan's suturing techniques, they're precise, they're quick.

It's-- It's almost comparable to a second year.

How's Adams?

[ Chuckles ] Uh, Adams?

Yeah, I mean, is he the next Catherine Fox Award winner?

No, he's not. But he's got time.

You really want to know about the interns,

or are you just distracting yourself

so you don't have to text Zola at her slumber party?

Can't both things be true? I guess.

It's very nice. Yeah.

Yeah, it is nice. It is.

I mean, I was happy to just go to your new place.

Aw, no, no, it's all open boxes, and there's not furniture,

no bathtub, it smells like new paint,

and I wanted you to have something special for tonight.

♪

What do you say?

Uh, very expensive but totally worth-it room service?

What do you think?

♪

Where you going?

I'm going to take a bath.

You coming or not? [ Chuckles ]

♪

Griffith.

Jarah? W-Where is he? Is-- Is he...

[ Sighs ] All right, he's losing

too much blood through his chest tube,

so we are taking him to the O.R. right now.

I'll send Dr. Griffith down with some updates soon.

He should be arrested.

His kid gave my kid drugs,

and now-- and now he's got a broken leg

and God knows what else.

My kid? They were at your house.

Jarah doesn't know the first thing about drugs!

And River does?

Jarah brought a backpack. Yeah, for books!

Okay, guys, let's just take some deep breaths and maybe go to separate rooms right now, okay?

Were you even home? Were you even watching them?

They're 16! Hey.

My son would never do something like this! Get security.

Your son brought drugs into my house! Your son gave my son drugs!

Where'd he get them? Guys, hey! Hey!

He's on his death bed right now! Bailey: Hey!

My name is Dr. Miranda Bailey!

And d-despite how I look, I do work here.

I'm also a mother, and, look, parenting is hard.

Teenagers are hard. And parenting a teenager?

I mean, one minute they're little babies in Ewok costumes

and you can control them,

and-- and the next minute they--

they have impulses and access and phones

and they're doing all the things that we worked so damn hard

to keep them from ever doing.

Look, last week, I took my son's phone

when he wasn't looking me in the eye.

And he finally admitted that there are emojis

that the dealers use now to tell kids where to get drugs.

So, look, it doesn't matter whose fault it is.

It only matters that we keep our kids alive.

We cannot turn on each other.

'Cause we-- look, we-- we need all the help we can get.

♪

Thank you.

You good?

♪

[ Voice breaking ] Please save my son.

Would you... please?

Please just save my son.

I can't lose him.

♪

Who put in this stitch?

I did.

You left an air knot.

You also didn't take the time to do a proper assessment.

You all just zoomed in on the obvious injury.

It's kind of hard to ignore a knife in the chest.

In the real world, you would be on your way

to inform the family.

It would be done. No do-overs.

But this is trauma training. Ndugu?

Mika: Huh? Blue: What?

Is there someone walking around Seattle today

stabbing hot guys in the chest?

Yasuda, it's a training exercise.

Oh.

Wow, that's dark.

Wait, you stabbed them?

This is-- This is what happens? You stab them?

Both of my parents and my uncle,

who lives with us when he's not in jail,

decided that they wanted to donate their bodies to science.

And, yes, they were high when they came up with this idea,

but it was a beautiful and-- and generous idea,

so I got all the paperwork together

and I filed it for them.

And my family, who is not known

for ever doing anything beautiful or generous,

is planning to give this very generous gift in death,

and-- and if I had known that you would just stab them

in the chest, I would never--

Millin, we are not monsters, we are doctors.

Penetrating injuries were simulated

using ultrasound guidance.

That came after release forms were signed.

Prayers were said.

Moments of silence were given.

There is no more generous gift

than someone donating their body to doctors

so that lives can be saved.

Understood?

Ndugu?

What's happening?

Round two. Let's go.

Oh, my...

Can someone get me some gauze?

Kwan: Okay, let's, uh...

♪

Maggie: All right, suction, please.

[ Suctioning ]

Third rib punctured right through the lung.

[ Cellphone chimes ]

Dr. Griffith, it's yours.

I'll check it later. Thank you.

[ Chimes ]

Still yours. [ Chimes ]

Do you have somewhere else to be, Griffith?

[ Monitor alarm ] Damn it.

The pulmonary artery is lacerated.

I need exposure!

[ Chimes ] Someone silence that damn phone!

Dr. Pierce, I'm sorry. I don't need you to be sorry.

I need your finger. Right here.

I am holding the pulmonary artery

of a 16-year-old in my hand,

and I can feel the blood pumping out.

So whatever's going on with you, I need you to put is aside.

This kid made a stupid call. It's gonna ruin his life.

But it doesn't have to end his life if we can help it.

I'm here, Dr. Pierce.

All right, right angle.

[ Alarm continues ]

Hang two more units.

♪

[ Sighs ]

Chevron incision on the top, Pfannenstiel on the bottom.

Uh, i-is the one on the right a Lanz?

Yes. Are-- Are we done now?

Um...

This one.

Just for fun.

Respectfully, Dr. Webber, I--

I-I don't have time for this.

You know, Catherine and I

visited several museums on our trip.

I mean, we saw thousands of paintings and-- and sculptures,

classics and modern works.

And thinking of the techniques and the choice of colors was--

you know, that was restorative for me.

And necessary.

Could you just say the thing I need to hear?

You need to take a break, Schmitt.

I mean, leave the hospital. Take a walk.

Because if you continue to scream at nurses,

your chief resident job will be short-lived.

If I take a break, things won't get done and patients will die.

And if I lose someone

that I could have saved-- again-- I...

♪

I don't think that I could come back from that.

♪

I need to go back to work.

♪

Stay still, River.

Do you remember being a teen?

[ Sighs ] Do I have to?

I remember older guys buying beer and cigarettes.

I remember a joint being passed around.

I do not remember LSD in high school.

Did the whole world change without me knowing?

Yes.

Did something change between you and Jo?

Why?

Well... River: Jarah?

Where's Jarah?

River...

Jarah's being treated for his injuries.

As soon as we know something, we'll let you know, okay?

[ Crying ] Did I kill him? I'm sorry.

I'm so sorry.

I'm so stupid.

He was supposed to play on the finals

with his soccer team next week.

And take his ACT.

Is he gonna be okay?

Hey, River, you-- you need to try to calm down, okay?

[ Gasps ]

Is my dad here? I really want my dad.

We need him to stay still.

Otherwise, we're not gonna get an accurate scan.

Yeah, I'm on it.

[ Breathing heavily ]

Please. I need my dad.

Hey. Hey, River.

Hey, buddy, listen, we're gonna get your dad, okay?

But we need you to stay still so we can run this scan, okay?

I don't think I can.

Y-- N-No, you can.

You can, all right? Hey, listen...

Okay, I found the laceration. Uh, forceps? On sutures.

No, we sutured last time.

Clamping the pulmonary hilum to control the bleeding.

It's like watching children

stick their fingers into electrical sockets.

Patient's still hypotensive. Why?

'Cause he's bleeding from a four-centimeter laceration to his lung.

But would that make him that hypotensive?

Look, we already failed.

We just got to work harder, push through,

a-and open up our minds before we lose him.

Did you dad teach you to side coach like that

so you'd take the winning shot every time?

Never had a dad, but thank you for bringing my personal pain

into this training exercise.

Wait, wait wait. Found it!

Pinprick hole in the pericardium.

We need to do a pericardial window.

Metz. No, you screwed up the repair last time.

Can someone just do it before the patient dies?!

Kwan, how fast can you do it?

Already on it.

Okay.

♪

You suffered a minor concussion,

and we'd like to observe you overnight.

Dr. Lincoln will operate on your leg fracture tomorrow.

♪ Time was a friend

Your friend made it through the surgery.

Oh, thank God. Thank you, God.

Can I see him?

Not for a while. No, his injuries are extensive.

He has a long road to recovery ahead of him.

♪

His dad's gonna be so mad.

He's not gonna let us be friends anymore.

His dad is here.

His dad loves him just like I love you.

It's okay.

You both are all right, and we will, uh--

we'll find a way through this, okay?

♪ It's the strangest feeling to watch your hope leaving ♪

♪ And not even put up a fight ♪

What happened? I've seen your work.

I know that you are the intern to watch.

I also know that you were asked to leave your last program.

I was on the, uh-- the intern selection committee.

Dr. Pierce, I-- What I'm saying is,

I know that the stakes are really high for you here,

and I know that you wouldn't get that distracted or preoccupied

unless something happened.

♪ I'll run to the flames

I w-- I was a model resident all the time,

even when...

I made a point on a case and was told I was wrong,

and then a white colleague made that same point,

and that white colleague got to scrub in.

Or how I was the only one denied requested rotations,

or how I had to endure a certain faculty member

regularly making hostile comments

about patients of color.

Or how, when I finally raised concern

about how a Black patient was being treated,

I was told maybe I would be happier at a different program.

Apparently I was perceived as-- Aggressive?

Aggressive, angry, all the things, yeah.

So, after you were asked to leave, did you contest it?

Did you file an official complaint?

I didn't get the chance. Why not?

Because after they told me to leave, I did get angry.

And I was sleep deprived and I...

♪

...kind of broke.

I acted inappropriately,

and I just found out this morning

that security footage of it got leaked,

so I've been trying to get it taken down all day,

which is why my phone has been going off.

♪

I'm so--

♪

♪ Well, once a year there's a hellish night ♪

♪ Full of ghosts and ghouls and fright ♪

Claws that grab... ♪

Taryn: Dr. Webber.

Should you be drinking while on shift?

Oh, I'm not here for a drink.

Mm. Mm.

Is that the aorta?

Yeah, I-- I did that.

Look. It beats.

[ Both chuckle ]

Helm, you-- y-you don't belong here.

800. Excuse me?

$800. That's how much cash

I will be walking out of here with tonight.

And I won't be stuck with severed tendons

or kids vomiting or chemical burns from cheap makeup.

I know Levi is drowning. I live with him.

But when the program closed,

no one found me a residency in another department.

I walked out and... nothing.

I appreciate you coming here, Dr. Webber,

but it's gonna take a lot more than that

to convince me to come back.

And not just money.

But money would help.

We do need you.

So do all these people.

Happy Halloween, Dr. Webber.

♪ The break-dancers break their spines ♪

And the DJs... ♪

[ Sighs ]

Maybe she's having too much fun to text.

I hope so. Yeah.

How-- How'd your meeting with the principal go the other day?

Oh, he wants her to skip two grades.

Mm. Which Maggie did and hated.

And the prep school by the marina, how was that?

Well, they focus on kids who are excelling academically.

Right. And she is so much more.

She's empathetic, imaginative, intensely curious.

Yeah, she needs a whole-human approach.

I don't want to cause her more anxiety.

Mm. You know, when I was 12, my dad left us.

I told you that, yes? Mm-hmm.

Up to that point, my-- my parents,

our neighborhood, had been my whole world,

and it felt like the whole world fell apart

[snaps fingers] just like that.

But then one day my mom came home with this ancient R.V.

she bought off one of her coworkers.

And, uh, it was huge and beige and it smelled weird,

and, uh-- but over that spring break

we drove it all the way down to the Grand Canyon.

And up until then, I'd never been outside of Minnesota.

And it made me realize there was this really big,

this really beautiful world where no one knew,

and no one cared that I was a kid whose dad left him.

And I never would have learned that

if it weren't for my mom showing it to me.

[ Cellphone vibrating ]

Oh, look out.

[ Gasps ] Oh.

Zola. [ Crying ] Mom.

Hi. Mom.

What happened?

I'm sorry.

It's okay. It's okay.

I can't breathe. Take a deep breath.

Okay. I will come and pick you up.

Okay. Don't get off the phone.

Okay, I will stay on the phone with you.

Okay. Okay, I'll drive.

[ Sighs ]

I used to love Halloween, but tonight was enough

to make me dread letting my kids grow up.

Same.

Only, you know, it's not just Halloween.

Like, the whole world is stupid and cruel.

Those kids, those are good kids.

Mm. Smart kids.

But one bad night, one stupid impulse...

It never stops.

Hm?

It's not just teenagers.

One stupid impulse can ruin your life at any stage of the game.

[ Sighs ]

I'm kind of crazy about Jo.

Yeah, I ki-- I kinda caught on to that.

Okay. [ Laughs ]

She was my best friend.

Right? Oh.

Like, it wasn't an option,

and then, suddenly, it was.

And I was hung up on Amelia.

And I was confused, and I was scared,

and, like, I didn't want to ruin the friendship,

so I...I blew it.

I missed my moment, and now--

It's-- It's for the best. I'm sorry, what?

Just keep sleeping with other women till those feelings pass.

Wh-- Wait, you're-- you're serious?

Yeah. Yeah, I'm serious.

Owen and I were best friends.

I mean, I-I would have been the person

that he would have called for advice

when he ruined his life, and now we're married,

so when he ruins his life, he also ruins mine.

And there's nothing like ruining each other's lives

to ruin a friendship.

Have a good night.

Owen: B.P.'s steady, strong heart rate, responsive to stimuli.

He's a cadaver.

Do you want your good news, or not?

Your patient is stable.

So, who will be scrubbing in with Dr. Ndugu?

I did a pericardial window.

Yeah, and I did the chest tube.

After I gave you appropriate visual field with my retraction.

What about you, Adams? You saw the hole in the heart.

♪ Running for the sunrise

Right, but I only saw it

because Millin was such a beast with the suction.

Which Kwan was constantly reminding her about

after Yasuda widened the incision.

So, without any of that, I wouldn't have had a clear view.

You used all the hands around you.

Congratulations, you will be scrubbing in

on an ax-fem bypass.

Uh... can't we all do it?

♪ Swan dives through the planet ♪

♪ Run circles like we planned it ♪

Sure. Yeah, yeah.

I'll e-mail you the case details in a few hours.

Go get some sleep, all right?

♪ All this

All right, I'm gonna do a lap

around the CCU for Maggie before we take off.

Sure.

Hey, do you still, uh, love her?

My wife? Yeah.

Yeah, of course.

♪ ...in me

Don't reach the point where the resentment takes over.

♪ Beautiful and growing

♪ Future history

Oh, ooh.

[ Laughs ]

Are you trying to rip the whole sink off the wall?

I don't know what I was doing.

Oh, no.

Okay. All right, all right.

Look, I get it. I get it.

We are held to a different standard.

Right? We are expected to always be on exemplary behavior.

And you had a bad day.

After many bad days.

Now my bad day lives on the Internet forever.

Oh, please. Tomorrow it will be somebody else's meltdown.

Look, this is a great program.

And you deserve a great program because you're a great doctor.

We see you.

You don't have to let that haunt you anymore.

Excuse me. Hi.

Um, my son would like to apologize

to his friend's father.

Is that okay?

Of course. We just-- we can't let you inside.

I'll help you.

♪ ...plant seeds

♪ All things in me

♪ Beautiful and growing

I'm so sorry.

I-I didn't mean for any of this to happen.

I know you didn't.

And I appreciate you saying that.

I'm glad you're okay.

♪ ...history

♪

This is my last patient, then I'll sleep.

We failed you, Schmitt.

You're carrying the workload for your whole class.

A class this program failed.

We failed your class and we are serving these new interns,

but we failed you again.

And no amount of me telling you to rest is gonna fix that.

Dr. Webber, I'm chief resident.

I was expecting a heavier workload, so...

This is a new program, Schmitt.

We're still working out the kinks.

And we have to own it when we get it wrong.

We got this wrong.

Starting now, I'm going to ask all attendings

to pick up the slack left by our senior residents.

And I'm first. Give me half of the patients on your shift.

Dr. Webber-- Watching that program fail once was enough for me.

I'm not about to do it again.

I mean, technically, this is my last patient.

Just give me the tablet, Schmitt.

Now, get out of here.

♪

[ Clears throat ]

♪

Hey. Mm.

Oh, hey.

[ Both laugh ]

I-I checked on all of our patients, and, um, changed.

Then I packed my bag and then I sat down.

Yeah, I could sleep for like three days straight.

Yeah.

Shall we? Yes.

But, um...

What's wrong?

♪

Well, I've been doing more vascular procedures

because I'm considering changing specialties.

♪

I love you, Maggie. And I love being married to you.

But if I want it to stay that way,

I think I need to leave cardio.

♪

[ Speaks indistinctly ]

Doesn't even hurt.

Oh, wait, of course it hurts,

but it's nothing compared

to my three patients in labor right now.

Rest, ice, compression, elevation.

Please! Dr. Lincoln,

tell me how to take care of a sprained wrist.

Oh, I, um-- I have something for you.

I already threw out everything with raisins.

[ Chuckles ] It's just the good stuff.

Happy cancerversary.

This...

Thank you.

Thank you for worrying about me.

I'll see you at home? Yeah!

Yeah, save me a sour gummy.

[ Sighs ]

[ Inhales sharply ] Mm.

Hey.

What?

Do you remember that year in Baghdad

we had that nine-month stretch where we missed

Valentine's Day, Easter, the Fourth of July?

Mm-hmm. I remember you complaining

that you missed those holidays more that Christmas.

Yeah. I did.

And then on Halloween you gave me an Easter egg hunt.

Red, white, and blue plastic eggs. Yeah.

With Valentine's conversation hearts.

Mm-hmm. All the holidays in one.

Mm-hmm.

I mean, how did you get all that stuff?

I don't know, but I remember it being hard.

[ Chuckles ]

[ Chuckles ]

That was my favorite Halloween.

[ Snores ]

Meredith: It's never easy to face our demons.

Huh? What? What...

[ Door opens, closes ]

♪

There it is.

Okay, so we got your suit.

[ Gasps ] All your candy.

And then we're gonna...

Most of us would prefer to focus on the light.

♪ The final stay

But when we own our shadows,

when we name our secrets,

when we claim all of who we are...

That's you?

Yes. You're Bamm-Bamm.

I could think of better names, but yes.

I would have taken the whole sink off the wall.

I bet you you couldn't.

I would have busted that window.

Or ripped the whole shelf down.

Oh, I did. The video cuts out that part.

Jules: Nice.

Does anyone want to grab breakfast?

Ooh. Like, together?

No, the four of us at a booth and you at the counter.

Ha ha, funny.

♪ You never fail to blossom

...it sets us free.

When we lean into what scares us...

I'm sorry.

Oh. For what?

That you and Nick had to come pick me up.

And it's so late.

Zola, I'll pick you up anytime from anywhere.

Always.

♪ Ah, ah-ah-ah-ah

Why don't you tell me what happened?

Layla and Hannah and everyone were just... I don't know.

Were you feeling left out?

It was okay.

We got into our sleeping bags. I just laid there.

I was thinking about you, Aunt Maggie, Alzheimer's,

and I couldn't sleep.

And I couldn't breathe.

Why is this happening to me?

When is it gonna get better?

It will get better. It will.

We just need to find you the right school,

the right teachers.

Even if we have to look a little further than Seattle, okay?

♪

Come here. Give me a hug.

It's okay.

...light comes in.

♪ You never fail to blossom

♪

- Captions by VITAC--

♪