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These are the user uploaded subtitles that are being translated: 1 00:00:03,703 --> 00:00:06,695 [Meredith] How much can you actually accomplish in an hour? 2 00:00:07,540 --> 00:00:09,770 Run an errand, maybe? 3 00:00:09,843 --> 00:00:11,708 Sit in traffic. 4 00:00:11,778 --> 00:00:13,507 Get an oil change. 5 00:00:14,814 --> 00:00:18,215 When you think about it, an hour isn't very long. 6 00:00:18,251 --> 00:00:20,378 - [Clock ticking] - Sixty minutes. 7 00:00:20,420 --> 00:00:23,014 Thirty-six hundred seconds. 8 00:00:23,056 --> 00:00:24,421 That's it. 9 00:00:24,491 --> 00:00:28,222 In medicine, though, an hour is often everything. 10 00:00:31,364 --> 00:00:33,662 We call it "the Golden Hour". 11 00:00:35,969 --> 00:00:40,201 That magical window of time that can determine whether a patient lives... 12 00:00:42,008 --> 00:00:43,532 ... or dies. 13 00:00:45,245 --> 00:00:47,577 [Chattering] 14 00:00:48,681 --> 00:00:50,205 [Telephone ringing] 15 00:01:01,961 --> 00:01:03,622 Thank you, doctor. 16 00:01:04,697 --> 00:01:07,723 Are you gonna help me at all, or just sit there and eat potato chips? 17 00:01:09,602 --> 00:01:13,265 I performed four back-to-back fem-pop bypasses today. 18 00:01:13,339 --> 00:01:15,637 This is the first chair I've seen since 7 am. 19 00:01:15,708 --> 00:01:17,903 And this is the first food I've had since yesterday. 20 00:01:17,944 --> 00:01:20,435 - I choose potato chips. - [Phone continues ringing] 21 00:01:22,682 --> 00:01:23,910 You might wanna get that. 22 00:01:28,288 --> 00:01:31,883 - Seattle Grace Mercy West Emergency. - You brought this on yourself. 23 00:01:31,925 --> 00:01:34,257 - You volunteered to help run the ER. - Got it. 24 00:01:34,794 --> 00:01:37,627 We've got a suspected appy on a ten-year-old. Let's page Robbins. 25 00:01:37,664 --> 00:01:40,929 You know, I saw a need and I filled it, like any good chief resident candidate. 26 00:01:40,967 --> 00:01:44,300 Sadomasochistic chief resident candidate, maybe. 27 00:01:45,271 --> 00:01:46,397 What is up with you? 28 00:01:47,373 --> 00:01:51,469 - You're all perky and cheerful. - You know, it's the fertility drugs. 29 00:01:51,511 --> 00:01:54,378 We have stepped it up. I'm pumped full of hormones. 30 00:01:54,447 --> 00:01:56,608 - You know what's perky? - [Cristina speaks foreign language] 31 00:01:56,649 --> 00:01:59,812 My boobs. They're huge. Am I supposed to like big boobs? 32 00:01:59,886 --> 00:02:02,150 Oh, God, no. They'll make you fall over. 33 00:02:02,222 --> 00:02:03,814 So... 34 00:02:04,991 --> 00:02:08,358 Callie mentioned a thing. Or it may not be a thing. 35 00:02:08,428 --> 00:02:10,419 At least, I hope it doesn't become a thing. 36 00:02:10,463 --> 00:02:13,261 Hey, I got a patient with a headache, better after sumatriptan. 37 00:02:13,299 --> 00:02:15,324 He's ready to be discharged. Just need you to sign off... 38 00:02:15,368 --> 00:02:17,666 Is he neurologically intact? You did a CT? 39 00:02:17,737 --> 00:02:20,604 I did, it was negative. Most interesting thing about this guy 40 00:02:20,640 --> 00:02:23,006 is that he came into the ER for a glorified migraine, 41 00:02:23,042 --> 00:02:25,033 - with a girlfriend from hell. - Which one is she? 42 00:02:25,111 --> 00:02:26,703 Just point with your eyes. 43 00:02:26,779 --> 00:02:30,044 [Indistinct dialogue] 44 00:02:31,017 --> 00:02:32,450 [Cristina] Mmm-hm. 45 00:02:34,654 --> 00:02:36,451 - Here. - Thank you. 46 00:02:37,490 --> 00:02:39,890 - So Callie had a thing... - Yeah. 47 00:02:39,959 --> 00:02:41,586 - What kind of thing? - Grey, you paged? 48 00:02:41,661 --> 00:02:45,028 Yeah, we have a suspected appy on a ten-year-old, two minutes out. 49 00:02:45,098 --> 00:02:47,259 - An unexpected thing. - [Owen] Grey, call up. 50 00:02:47,333 --> 00:02:49,062 - Tell them to get an OR ready. - I already did. 51 00:02:49,135 --> 00:02:51,296 OR five is prepped and ready for you. 52 00:02:51,337 --> 00:02:53,567 Callie asked me to be her baby's godmother. 53 00:02:55,008 --> 00:02:57,033 Oh. 54 00:02:57,076 --> 00:03:00,773 Well, you said no to that, right? You gotta say no to that. 55 00:03:02,282 --> 00:03:03,749 Um... 56 00:03:06,019 --> 00:03:07,646 - EKG results. - Thank you. 57 00:03:07,687 --> 00:03:11,088 The guys at work overreacted and insisted I come to the ER. 58 00:03:11,157 --> 00:03:14,718 Sweetie, I had a big lunch. It hardly qualifies as chest pain. 59 00:03:15,695 --> 00:03:19,062 No, what I need are some antacids. I'll be there, I promise. 60 00:03:19,132 --> 00:03:22,932 Just tell Max to put on his jersey. I'll be out of here soon. 61 00:03:24,504 --> 00:03:27,371 Hi, I'm Dr. Grey. I'll be your doctor today. 62 00:03:27,407 --> 00:03:29,671 Oliver Richter. Sorry about the phone. 63 00:03:29,709 --> 00:03:32,143 I'm supposed to be picking up my son for the Huskies game right now. 64 00:03:32,212 --> 00:03:35,272 - I'm sure he'll understand. - [Scoffs] You don't know my son. 65 00:03:35,348 --> 00:03:38,078 Very few things more important to him than basketball. 66 00:03:38,151 --> 00:03:41,518 Big fan, huh? I'm just gonna take a quick listen. 67 00:03:43,489 --> 00:03:46,583 Biggest nine-year-old fan you ever seen. [Chuckles] 68 00:03:51,130 --> 00:03:55,191 OK. So it says here that you've been experiencing some chest pain. 69 00:03:55,235 --> 00:03:58,398 - When did that start? - [Exhales] An hour ago, maybe two. 70 00:03:58,438 --> 00:04:01,100 - But I'm already feeling much better. - You wouldn't just be saying that 71 00:04:01,174 --> 00:04:04,905 - to get discharged faster? - I got my son tickets to this game 72 00:04:04,944 --> 00:04:08,072 for his birthday. He's been marking off the days on his calendar for weeks. 73 00:04:08,114 --> 00:04:12,574 - I can't be the reason he misses it. - OK, well, your EKG looks normal, 74 00:04:12,619 --> 00:04:14,712 and your heart sounds good. But if there's one thing 75 00:04:14,754 --> 00:04:17,780 we don't take lightly around here, it's chest pain, so... 76 00:04:17,857 --> 00:04:19,757 Could we go back and just pretend I said heartburn? 77 00:04:19,792 --> 00:04:22,761 - Would that get me out any faster? - No, probably not. 78 00:04:23,730 --> 00:04:27,131 But Tyler is going to do a portable chest X-ray, 79 00:04:27,200 --> 00:04:29,566 and we're gonna do a chest pain work-up. 80 00:04:29,602 --> 00:04:32,765 And we will try to make it as quick as possible, OK? 81 00:04:32,805 --> 00:04:36,002 Thanks, Dr. Grey, so much. Thanks. 82 00:04:39,012 --> 00:04:41,173 [Woman on PA, indistinct] 83 00:04:41,247 --> 00:04:45,149 So, this is gonna be a thing. Why am I telling Callie no again? 84 00:04:46,252 --> 00:04:49,153 While you're here, I need a second opinion on this EKG. 85 00:04:49,222 --> 00:04:53,283 - Do you see anything? - No. Looks normal. 86 00:04:53,326 --> 00:04:54,816 What are you doing here? I thought you had the night off. 87 00:04:54,894 --> 00:04:57,658 Yeah, I do. I'm not here. What's Medical Records' extension? 88 00:04:57,730 --> 00:04:59,721 Looks like you're here to me, which is good, because we're swamped. 89 00:04:59,799 --> 00:05:02,666 Take your pick: Impacted bowel, suspicious rash 90 00:05:02,735 --> 00:05:05,101 - or a really smelly guy. - Forget it. I only came in 91 00:05:05,138 --> 00:05:08,266 because Medical Records called and said I had to sign all my unsigned charts 92 00:05:08,308 --> 00:05:11,368 - or they would suspend my privileges. - You're getting suspended? 93 00:05:11,444 --> 00:05:14,311 - Dibs on his solo splenectomy tomorrow. - I better be able to finish this crap 94 00:05:14,347 --> 00:05:16,975 before the game tonight. I told a patient yesterday he didn't have cancer, 95 00:05:17,016 --> 00:05:18,984 and he was so happy, he gave me two floor seats. 96 00:05:19,018 --> 00:05:22,545 - You took a gift from a patient? - Did you tell him you cured his cancer? 97 00:05:22,622 --> 00:05:24,453 [Pager beeps, vibrates] 98 00:05:24,490 --> 00:05:27,186 Oh. Colectomy time. I'm out. 99 00:05:27,226 --> 00:05:30,252 - [Boy whimpering] - Excuse me. Hi, I'm sorry. 100 00:05:30,330 --> 00:05:34,027 We were told that somebody would be by to set our son's leg. Nathan Englundar? 101 00:05:34,067 --> 00:05:36,797 It was a while ago, several hours, actually... 102 00:05:36,836 --> 00:05:39,202 No, I know, you've been here a while. I'm sorry. The problem is 103 00:05:39,272 --> 00:05:42,036 we just don't have enough ORs available for non-emergent cases. 104 00:05:42,108 --> 00:05:44,872 - An OR? Why would you need an OR? - Your pediatrician hasn't been by 105 00:05:44,944 --> 00:05:47,310 to speak to you yet? Your son has a broken femur, 106 00:05:47,347 --> 00:05:51,283 which is a severe break. It requires a full cast on the broken leg 107 00:05:51,351 --> 00:05:54,320 connected to a cast on the other leg to keep everything still 108 00:05:54,354 --> 00:05:57,346 - so the bones will heal properly. - Two full leg casts on a four-year-old? 109 00:05:57,390 --> 00:05:59,858 And because your son is so young, we can't set the bones properly 110 00:05:59,892 --> 00:06:02,292 - without putting him under. - Under, meaning anesthesia? 111 00:06:02,362 --> 00:06:07,265 And that requires an OR. I'm sorry. I know you've been waiting a long time. 112 00:06:07,333 --> 00:06:09,028 As soon as an OR opens up, I'll let you know. 113 00:06:09,068 --> 00:06:11,593 - Thank you. Thank you. - OK. 114 00:06:11,671 --> 00:06:13,502 The losers in Medical Records aren't answering. 115 00:06:13,539 --> 00:06:16,133 Are you sure you can't stay and help out with some of this stuff? 116 00:06:16,209 --> 00:06:17,870 Floor seats! 117 00:06:18,544 --> 00:06:22,071 I understand what you are suggesting. 118 00:06:22,148 --> 00:06:26,346 I know it is done by many medical professionals 119 00:06:26,386 --> 00:06:30,345 in this hospital. But I am not a medical professional 120 00:06:30,390 --> 00:06:33,882 - who would ever consider... - Maybe you should consider it. 121 00:06:34,894 --> 00:06:38,125 [Giggles] Eli Lloyd! Do not test me. 122 00:06:38,197 --> 00:06:40,188 Maybe you should consider the potential benefits. 123 00:06:40,233 --> 00:06:44,966 All the intensely exciting, toe-curling potential... 124 00:06:45,037 --> 00:06:46,561 ...benefits. 125 00:06:47,540 --> 00:06:48,802 Dr. Bailey. 126 00:06:52,311 --> 00:06:55,803 [Woman indistinct on PA] 127 00:06:55,882 --> 00:06:59,613 OK. This is gonna be for a prescription-strength migraine medicine. 128 00:06:59,685 --> 00:07:00,913 Just don't take it with alcohol. 129 00:07:00,953 --> 00:07:04,218 We're missing our anniversary dinner because you have a headache. 130 00:07:04,257 --> 00:07:06,953 A headache. Do you know how hard it is to get reservations at this place? 131 00:07:06,993 --> 00:07:09,018 I'm sorry, Gia. I am. But it really hurts. 132 00:07:12,265 --> 00:07:15,598 Hi, I'm Dr. Grey. I'll be... Mrs. Webber? 133 00:07:15,635 --> 00:07:18,160 - Hi, dear. How are you? - I'm fine. How are you? 134 00:07:18,237 --> 00:07:20,933 - Does the chief know you're here? - Please don't bother him. 135 00:07:20,973 --> 00:07:22,964 I had a little fall, is all. 136 00:07:23,042 --> 00:07:25,670 Got home from work, slipped off the step ladder... 137 00:07:25,745 --> 00:07:27,007 [winces] Ooh. 138 00:07:27,079 --> 00:07:30,173 ...landed on my wrist. It's basically nothing. 139 00:07:30,249 --> 00:07:34,117 - Well, it's not nothing. - I brought lots of magazines 140 00:07:34,153 --> 00:07:38,180 and a good novel, I am perfectly fine waiting until you make time for me. 141 00:07:38,257 --> 00:07:40,953 I know you have far more pressing patients. 142 00:07:40,993 --> 00:07:44,986 Well, you're the chief's wife. So that makes you my most pressing patient. 143 00:07:45,064 --> 00:07:48,431 - [Man]... they opened the doors for us. - Are you sure about that? 144 00:07:48,468 --> 00:07:51,301 We'll be in and out. But I can't believe you wouldn't let me drive. 145 00:07:51,337 --> 00:07:55,433 You're drunker than I am. I can't believe you tried to stiff the cabbie. 146 00:07:55,475 --> 00:07:57,875 Wow, it is bright in here. 147 00:07:57,944 --> 00:08:01,141 Hey, could somebody do something about this? 148 00:08:09,021 --> 00:08:11,649 - [Quiet chatter] - [Machine beeping] 149 00:08:14,994 --> 00:08:17,554 You're a little early. I thought our date was at 6:30. 150 00:08:17,630 --> 00:08:20,565 I'm here now because a guy just walked into the pit with a knife 151 00:08:20,633 --> 00:08:22,225 - sticking out of his head. - Sweet. 152 00:08:23,169 --> 00:08:26,366 - I mean, poor guy. - Is he stable? 153 00:08:26,405 --> 00:08:29,238 - He's neurologically intact, but... - All right. Well, I need to check 154 00:08:29,308 --> 00:08:32,471 on him sooner than later. So, Avery, take him down to CT. 155 00:08:32,512 --> 00:08:34,503 - Stay with him until I get there. - Will do. 156 00:08:34,547 --> 00:08:37,209 OK. So you'll be down to see knife guy when you're done? 157 00:08:37,283 --> 00:08:39,183 - I will. - And then we'll have our date? 158 00:08:39,218 --> 00:08:41,914 - Wouldn't miss it. - 6:30. Don't forget. 159 00:08:43,055 --> 00:08:44,750 How'd this guy get a knife in his head? 160 00:08:44,824 --> 00:08:47,884 Apparently, there was a brawl at a tailgate party. 161 00:08:47,927 --> 00:08:50,691 So you know how stupid guys get... Dr. Bailey! 162 00:08:50,730 --> 00:08:52,220 I'm taking a nap! 163 00:08:53,199 --> 00:08:58,000 [Stammers] I'm sorry. What I mean to say is, I'm going to use this room 164 00:08:58,037 --> 00:09:01,905 to take a nap. Because that's what people do in these rooms. 165 00:09:01,941 --> 00:09:04,774 When they are tired. 'Cause I have a child 166 00:09:04,844 --> 00:09:09,941 and a full-time job and work long hours, so I am just tired. 167 00:09:10,016 --> 00:09:12,883 Just very, very tired. [yawning] 168 00:09:16,722 --> 00:09:18,781 - [Meredith] OK. - OK. 169 00:09:18,858 --> 00:09:21,326 I was just gonna ask you, had you seen Dr. Altman? 170 00:09:21,394 --> 00:09:23,988 No! I have not seen Dr. Altman. 171 00:09:24,063 --> 00:09:26,623 Nor any other doctors or nurses. 172 00:09:26,699 --> 00:09:28,633 Because I will be in this room. 173 00:09:28,701 --> 00:09:31,169 Asleep. By myself. 174 00:09:32,438 --> 00:09:35,066 Actually, I see her now. Dr. Altman! 175 00:09:36,776 --> 00:09:38,368 [Yawning] 176 00:09:38,411 --> 00:09:40,436 I'm... I'm... 177 00:09:41,681 --> 00:09:43,945 Dr. Altman, do you have time for a quick consult? 178 00:09:44,016 --> 00:09:47,645 I was supposed to be off by six, but... OK. Sure. 179 00:09:47,720 --> 00:09:49,017 - Just walk with me. - OK, so... 180 00:09:49,088 --> 00:09:51,886 Damn it, he's early. Um... 181 00:09:51,924 --> 00:09:54,188 Just, Grey, gimme a second. 182 00:09:55,328 --> 00:09:57,762 - [Telephone ringing] - [Chattering] 183 00:09:59,465 --> 00:10:01,990 - Hi. William. - Hey. 184 00:10:02,068 --> 00:10:05,731 - It's, it's nice to see you. - Wow. You look amazing. 185 00:10:05,771 --> 00:10:07,636 - Oh. - And so official. 186 00:10:07,673 --> 00:10:10,471 I mean, I knew you were a doctor, but you... 187 00:10:10,543 --> 00:10:13,944 ...are a doctor. - Sorry, I didn't have time to change. 188 00:10:13,980 --> 00:10:17,211 - I'm just... - No, the scrubs are strangely sexy. 189 00:10:17,283 --> 00:10:19,376 Thanks. You know, I have a few things to wrap up. 190 00:10:19,452 --> 00:10:22,785 Do you mind hanging out for a few minutes? Like ten, tops. 191 00:10:22,822 --> 00:10:26,121 Yeah, no problem. Take your time. I'll just grab a seat here. 192 00:10:26,158 --> 00:10:27,955 Hey, stranger. 193 00:10:28,761 --> 00:10:33,858 Henry! [stammers] I didn't... I didn't know that you were here today. 194 00:10:33,933 --> 00:10:36,128 Yeah. They wanted to run a blood glucose test on me. 195 00:10:36,168 --> 00:10:38,033 So they gave me this nasty, orange Kool-Aid to drink. 196 00:10:38,104 --> 00:10:41,471 In about an hour, I gotta go give 'em some blood. Or pee. 197 00:10:41,507 --> 00:10:44,305 And we really don't need to talk about my bodily fluids. 198 00:10:44,343 --> 00:10:46,675 - Sorry to be rude. Hi. - Hey. 199 00:10:47,446 --> 00:10:52,179 Oh, sorry. Yeah... William, Henry. Henry, William. 200 00:10:52,218 --> 00:10:56,552 - Are you a patient of Teddy's? - Something like that. 201 00:10:56,622 --> 00:10:57,680 [Nervous chuckle] 202 00:10:58,958 --> 00:11:01,722 Anyway, I gotta go, but I'll be back. 203 00:11:01,794 --> 00:11:04,354 Soon. Promise. 204 00:11:06,032 --> 00:11:08,694 - All right, Grey, what do you got? - OK, 42-year-old male, 205 00:11:08,734 --> 00:11:13,364 complaining of midsternal chest pain. No cardiac risk factors, no angina, 206 00:11:13,406 --> 00:11:15,499 pain doesn't radiate. The EKG looks clean. 207 00:11:15,541 --> 00:11:18,635 These are his films. They're mostly clear, but... 208 00:11:18,678 --> 00:11:20,669 I don't know. Does the mediastinum look a little wide to you? 209 00:11:20,713 --> 00:11:22,874 Because I know sometimes that can happen with a portable X-ray. 210 00:11:22,915 --> 00:11:24,576 - You got cardiac enzymes? - Yes. 211 00:11:24,650 --> 00:11:27,016 - Hey, Kepner! - Yeah? 212 00:11:27,053 --> 00:11:28,714 How good are you at forging signatures? 213 00:11:29,722 --> 00:11:32,282 Even if I were good at forging signatures, I wouldn't do it. 214 00:11:32,358 --> 00:11:34,690 It's unethical and probably illegal, so I'm sorry, 215 00:11:34,727 --> 00:11:37,025 you're just gonna have to finish signing your charts on your own. 216 00:11:37,063 --> 00:11:39,190 I'll check on Mr. Richter right now. Call Radiology. 217 00:11:39,231 --> 00:11:41,927 Get him in for a PA and lateral films, and tell them to rush it, 218 00:11:42,001 --> 00:11:43,730 'cause I would really like to get out of here and go on my date. 219 00:11:43,803 --> 00:11:45,566 I mean, did you see that guy? 220 00:11:45,604 --> 00:11:47,538 No forging signatures, Karev! 221 00:11:47,573 --> 00:11:50,667 - Radiology, please. - Forgery? Why am I not surprised? 222 00:11:50,710 --> 00:11:53,338 Whatever. I just wanna get out of here so I can get to this game tonight. 223 00:11:54,146 --> 00:11:55,738 Wait, you have tickets? 224 00:11:55,815 --> 00:11:57,749 Tonight? It's the PAC-10 title game. 225 00:11:58,517 --> 00:12:00,576 - Yeah, I know. - Win this and the Huskies get 226 00:12:00,653 --> 00:12:04,350 - an automatic bid to March Madness. - Why do you think I'm powering through 227 00:12:04,390 --> 00:12:07,416 all these stupid charts. Hey, what are you doing? 228 00:12:07,493 --> 00:12:11,190 Of my ten patients in labor right now, none of them are past three centimeters, 229 00:12:11,230 --> 00:12:14,199 which means I have some time to kill, and you can't miss this game. 230 00:12:14,233 --> 00:12:17,066 - Hand me a pen. - I thought you thought I was a loser. 231 00:12:17,103 --> 00:12:20,436 You're a little less loser-y now I know you like college hoops. 232 00:12:27,546 --> 00:12:30,674 Hey. Where's the knife guy? Is it true he's walking and talking? 233 00:12:30,750 --> 00:12:32,980 - What about your colectomy? - Ah, postponed. 234 00:12:33,052 --> 00:12:36,715 The wife snuck him a cheeseburger and fries before surgery. 235 00:12:37,423 --> 00:12:40,824 So this thing with Callie. I mean, you know it's a bad idea, right? 236 00:12:40,893 --> 00:12:43,327 You don't want to be Callie's baby's godmother. 237 00:12:43,395 --> 00:12:45,761 - I don't? - No! 238 00:12:45,798 --> 00:12:49,495 Think of how many people have to die before you even get to step up. 239 00:12:49,568 --> 00:12:52,935 Mark, Callie and Arizona. 240 00:12:52,972 --> 00:12:56,567 - That's a lot of people. - It is. Yes. 241 00:12:56,609 --> 00:12:58,770 - A lot of dead people. - Right! 242 00:12:58,811 --> 00:13:01,746 Whereas, if you were my baby's godmother-in-waiting, 243 00:13:01,781 --> 00:13:04,978 it's only me and Derek. One wrong turn down a dark, twisty road, 244 00:13:05,050 --> 00:13:07,678 - boom, you're in. - [Elevator dings] 245 00:13:07,753 --> 00:13:11,849 OK, let's be clear. If I am ever a godparent to anyone's kid, 246 00:13:11,924 --> 00:13:15,951 it will be in name only. I will not be taking care of children. 247 00:13:15,995 --> 00:13:18,862 That's what boarding schools are for. Which way to Butcher Block? 248 00:13:18,931 --> 00:13:22,332 - Trauma two. - [Man 1] Feels like a roller, dude. 249 00:13:22,401 --> 00:13:24,995 - [Man 2] I've never seen... - I understand you might be thirsty, 250 00:13:25,070 --> 00:13:27,265 but I'm sorry, you cannot drink beer in here. 251 00:13:27,306 --> 00:13:30,036 - You're wasting it! - Cool. 252 00:13:30,943 --> 00:13:33,377 Oliver, did you see Dr. Altman? 253 00:13:33,445 --> 00:13:35,003 She's sending me off for another X-ray. 254 00:13:36,282 --> 00:13:37,874 I know you guys have to cover all your bases... 255 00:13:37,950 --> 00:13:40,214 I know, I'm sorry. But I put a rush on the X-ray, 256 00:13:40,286 --> 00:13:43,312 - so hopefully it'll be quick. OK? - [Richard] Grey! 257 00:13:43,355 --> 00:13:44,652 Excuse me. 258 00:13:46,058 --> 00:13:48,390 I was finishing a surgery just now, 259 00:13:48,460 --> 00:13:51,793 when a scrub nurse asked me how my wife was feeling. 260 00:13:51,831 --> 00:13:54,664 Because she'd heard Adele was in the ER, and I hadn't. 261 00:13:54,700 --> 00:13:58,067 Would you like to explain to me why I found out my wife was a patient 262 00:13:58,137 --> 00:14:00,697 in this hospital from my scrub nurse and not from you? 263 00:14:00,773 --> 00:14:04,334 Richard, hush. Let Meredith do her job. 264 00:14:04,376 --> 00:14:07,539 She hasn't even had a chance to examine me yet. 265 00:14:07,613 --> 00:14:09,205 - Is that true? - [Adele] Don't mind him, dear. 266 00:14:09,281 --> 00:14:13,718 He's just worried about me. He gets gruff when he's worried. 267 00:14:13,752 --> 00:14:17,188 I hurt my wrist. I was trying to get out the holiday decorations 268 00:14:17,223 --> 00:14:21,216 and I, ooh, I slipped off the step ladder. Stupid. 269 00:14:21,293 --> 00:14:25,354 I should have waited for Richard to get home. He's so much taller than me. 270 00:14:25,397 --> 00:14:28,059 [Meredith] I requested an X-ray and an ortho consult. 271 00:14:28,133 --> 00:14:31,534 I will call and make sure that they're coming down, but I... 272 00:14:31,570 --> 00:14:33,401 - [people shouting] - [Lexie] Don't touch that! 273 00:14:33,472 --> 00:14:37,738 - I think I better go see what that is. - You better. 274 00:14:37,810 --> 00:14:39,539 Is everything all right? 275 00:14:39,578 --> 00:14:41,239 - [Man 1] Yes. - [Lexie] No. 276 00:14:41,313 --> 00:14:44,578 I was just showing these guys how, when I scrunch up my eyebrows, 277 00:14:44,650 --> 00:14:46,550 - the knife moves, see? - Oh, my God! 278 00:14:46,585 --> 00:14:48,314 - Don't do that! - Stop! 279 00:14:48,387 --> 00:14:50,184 - Stop moving the knife! - OK, OK! 280 00:14:50,222 --> 00:14:54,420 You guys shoulda seen the brawl. Stew-ball kicked that other guy's ass! 281 00:14:55,327 --> 00:14:57,761 And now Stew-ball has a knife in his head. 282 00:14:57,830 --> 00:15:00,958 OK, let's focus. Stewart, how much is 14 plus four? 283 00:15:01,033 --> 00:15:03,297 - Eighteen. - Twenty-seven minus 13? 284 00:15:05,070 --> 00:15:07,732 - Fifteen? - No. One seventy-two minus 60? 285 00:15:07,773 --> 00:15:10,970 I have no idea, but it's not because of the knife. 286 00:15:11,043 --> 00:15:13,238 - It's just 'cause I'm so drunk. - No, actually, 287 00:15:13,279 --> 00:15:16,271 - it's just 'cause he's dumb. - Thanks, David. Really?! 288 00:15:16,348 --> 00:15:19,715 Unbelievable. His mental status is completely intact, 289 00:15:19,752 --> 00:15:21,617 if you don't account for his math skills. 290 00:15:21,654 --> 00:15:23,315 [Lexie] It's like the knife did no damage at all. 291 00:15:23,389 --> 00:15:26,950 So why don't you just pull the thing out? We've got a games to gets to! 292 00:15:27,026 --> 00:15:29,119 I'll drink to that! 293 00:15:29,194 --> 00:15:32,459 - No! No beer! - [Stewart] Buzz kill. 294 00:15:32,498 --> 00:15:34,966 - Uh-oh! Hey! - [Lexie] No! 295 00:15:35,000 --> 00:15:36,627 How many do you have? 296 00:15:38,671 --> 00:15:42,300 OK. Oliver's in X-ray, Stewart is stable and waiting for Derek, 297 00:15:42,374 --> 00:15:45,400 who should be here soon. Adele is waiting on Ortho. 298 00:15:45,444 --> 00:15:48,436 And can I get the discharges from the last hour, please? 299 00:15:48,480 --> 00:15:53,179 Oh, and the boy in bed seven with the broken leg, Nathan Englundar. 300 00:15:53,252 --> 00:15:55,982 Let's check on the status of the OR for him, please. 301 00:15:58,991 --> 00:16:00,925 Is this Lexie's patient with the headache? 302 00:16:00,960 --> 00:16:03,326 - [Tyler] Yeah. - Mitch Turner? 303 00:16:03,395 --> 00:16:05,761 - How long ago was he discharged? - Not long, a few minutes ago. 304 00:16:05,798 --> 00:16:08,096 Did he leave? Did he already leave? 305 00:16:13,906 --> 00:16:18,036 Mr. Turner! Mr. Turner, I need you to try to smile for me, please? 306 00:16:18,110 --> 00:16:21,637 - Who the hell are you? - I need you to try to smile for me. 307 00:16:23,716 --> 00:16:25,547 Can you lift your arms above your head like this? 308 00:16:26,318 --> 00:16:29,810 - Dr. Grey, is everything all right? - No, it's not. We got a code CVA. 309 00:16:29,855 --> 00:16:32,221 Let's get a stretcher out here stat! Can you repeat after me? 310 00:16:32,291 --> 00:16:34,191 "The dog chased after the cat." 311 00:16:34,226 --> 00:16:38,356 [Stammering] The... The dog chase... chased after... 312 00:16:38,397 --> 00:16:40,456 What's going on? What's happening to him? 313 00:16:40,499 --> 00:16:41,557 - [Meredith] I need you to help me. - What's happening to him?! 314 00:16:41,633 --> 00:16:45,034 - We need to get him on the ground. - The dog ch... 315 00:16:45,104 --> 00:16:48,164 OK. Get your purse under his head quickly, please, 316 00:16:48,207 --> 00:16:50,471 and help me secure his arm. Hold it like this. 317 00:16:50,509 --> 00:16:53,342 - OK, but why are we doing this? - Because he's having a stroke. 318 00:16:54,380 --> 00:16:56,507 [Sirens approaching] 319 00:17:00,652 --> 00:17:03,280 [Meredith] Unsteady gait, slurred speech, asymmetric smile. 320 00:17:03,355 --> 00:17:05,414 Symptoms started no more than 20 minutes ago. 321 00:17:05,491 --> 00:17:07,584 So we should be well within the golden hour. 322 00:17:07,659 --> 00:17:10,150 [Gia] I know, a stroke. Right in front of me. 323 00:17:10,195 --> 00:17:12,993 What if he'd been driving me in the car when it happened? 324 00:17:13,032 --> 00:17:15,865 - Hang on, here's the doctor. - Hi. So the stroke team 325 00:17:15,901 --> 00:17:18,233 is taking him up to CT. We're gonna see if he's eligible 326 00:17:18,270 --> 00:17:22,206 for the clot-busting medicine. We caught the stroke early, which is very good. 327 00:17:22,241 --> 00:17:24,072 So, on a scale of one to ten, 328 00:17:24,143 --> 00:17:27,237 ten being I might have to cancel our Aspen trip in a week, how is he? 329 00:17:28,547 --> 00:17:30,538 You should cancel the trip. 330 00:17:30,582 --> 00:17:33,551 [Sighs] You will not believe this. 331 00:17:33,585 --> 00:17:36,452 Looks like the blade landed in the maxillary sinus. 332 00:17:36,522 --> 00:17:39,787 Chances are the knife itself is tamponading any major bleeding. 333 00:17:39,858 --> 00:17:42,292 Probably best just to go ahead and open up the cranium. 334 00:17:42,361 --> 00:17:44,386 Or we could just take him to the OR and pull this thing out. 335 00:17:44,430 --> 00:17:46,455 [Mark] Really, Avery? Just pull it out? 336 00:17:46,532 --> 00:17:48,124 Let me guess. You wanna get out of here early 337 00:17:48,200 --> 00:17:50,896 to go to the game just like everyone else. 338 00:17:50,936 --> 00:17:54,099 Or, since it looks like the blade didn't hit any major arteries or veins, 339 00:17:54,173 --> 00:17:56,869 he knows that a controlled extraction would be both safer 340 00:17:56,909 --> 00:17:59,275 and less invasive than a complete craniotomy. 341 00:17:59,344 --> 00:18:02,108 [Mark] Is that true, Avery? That why you suggest we pull it out of his head? 342 00:18:02,147 --> 00:18:06,083 Yeah. And I want to get out of here early to get to the game. 343 00:18:06,118 --> 00:18:09,315 Me, too. I'm good with that. Let's just do what he said. 344 00:18:09,388 --> 00:18:12,585 Lexie, I need to speak with you. 345 00:18:14,426 --> 00:18:16,417 Thank you for getting me out of that room. 346 00:18:16,462 --> 00:18:19,954 I swear, it takes everything just to be civil to Mark lately. Such an ass. 347 00:18:20,032 --> 00:18:21,966 - What's up? - Take a look at this. Look closely. 348 00:18:22,034 --> 00:18:23,433 What do you see? 349 00:18:24,403 --> 00:18:27,895 This is the patient's admitting signature when he came in. 350 00:18:27,940 --> 00:18:29,771 And this is his signature when he was discharged. 351 00:18:29,808 --> 00:18:32,140 - Oh, no. - Mitch Turner, 352 00:18:32,211 --> 00:18:34,736 the patient you just discharged, is up in Radiology 353 00:18:34,780 --> 00:18:36,509 - being treated for a stroke. - Oh, God. 354 00:18:36,582 --> 00:18:38,812 I know you know the signs of a stroke. How did you miss this? 355 00:18:38,884 --> 00:18:40,943 Are you distracted by the Mark thing? Is that it? 356 00:18:40,986 --> 00:18:42,613 No! I checked the CT. 357 00:18:42,654 --> 00:18:45,122 He was having a classic migraine, he's had them before. 358 00:18:45,157 --> 00:18:48,285 There's no way that he was having a stroke when I treated him. 359 00:18:48,327 --> 00:18:52,821 Lexie, I know you know. This kind of headache can be a precursor to a stroke. 360 00:18:52,898 --> 00:18:54,331 When you said you needed an Ortho consult, 361 00:18:54,399 --> 00:18:55,957 you could have mentioned it was the chief's wife, Grey. 362 00:18:56,001 --> 00:18:58,595 I would have been down here a hell of a lot sooner. 363 00:19:02,407 --> 00:19:05,706 I am so sorry to keep you waiting, Mrs. Webber. You hurt your wrist in a fall? 364 00:19:05,777 --> 00:19:08,007 It was so silly. I'd just gotten home 365 00:19:08,080 --> 00:19:12,517 and I was trying to get some... [gasps] Oh! ...reach something on the top shelf. 366 00:19:12,584 --> 00:19:16,452 - I just landed wrong. - Her wrist absorbed all the impact. 367 00:19:16,488 --> 00:19:19,480 It looks painful. We'll get you some more pain meds to help with that. 368 00:19:19,525 --> 00:19:24,292 Your X-ray shows a hairline fracture. So it could have been a lot worse. 369 00:19:24,329 --> 00:19:27,492 We'll splint you up and get you out of here in no time, OK? 370 00:19:27,533 --> 00:19:29,160 [Pager beeping] 371 00:19:29,201 --> 00:19:31,761 You have me paged if you need anything, OK? 372 00:19:31,837 --> 00:19:33,668 OK. 373 00:19:39,678 --> 00:19:42,203 Thank you for covering for me before with the chief. 374 00:19:42,281 --> 00:19:44,749 - You didn't have to do that. - Excuse me? 375 00:19:44,816 --> 00:19:47,307 When you said I hadn't been by to examine you yet. 376 00:19:51,223 --> 00:19:54,989 So you said that you fell 377 00:19:55,027 --> 00:19:59,327 - when you got home... from work. - Yes, yes, that's right. 378 00:19:59,364 --> 00:20:01,059 Do you remember hitting your head when you fell? 379 00:20:01,133 --> 00:20:03,533 - Not that I recall. - [Tyler] Dr. Grey? 380 00:20:03,569 --> 00:20:05,503 I have the new X-rays for Oliver Richter. 381 00:20:05,537 --> 00:20:09,098 - OK. Let's get Mrs. Webber a head CT. - OK. 382 00:20:11,843 --> 00:20:14,403 Oh, damn it. 383 00:20:14,446 --> 00:20:15,743 Excuse me. 384 00:20:17,516 --> 00:20:19,507 [Chattering] 385 00:20:19,551 --> 00:20:20,779 [Telephone ringing] 386 00:20:20,852 --> 00:20:22,080 - Hey. - Hey. 387 00:20:22,154 --> 00:20:24,748 - Sorry to make you wait. - No. No problem. 388 00:20:24,823 --> 00:20:26,791 Really, Henry here's been keeping me company. 389 00:20:26,858 --> 00:20:29,122 Although, he's probably sick of me by now. 390 00:20:29,194 --> 00:20:30,718 I've been grilling him about the major leagues. 391 00:20:30,762 --> 00:20:32,389 You didn't mention he used to play pro ball. 392 00:20:32,431 --> 00:20:35,400 - I... I didn't know that he did. - [Henry] It's not a big deal, really. 393 00:20:35,434 --> 00:20:38,767 Although there is a baseball card out there with my face on it somewhere. 394 00:20:39,571 --> 00:20:42,438 I don't mean to hold you guys up. You probably have a reservation waiting. 395 00:20:42,507 --> 00:20:44,031 Excuse me, Dr. Altman. 396 00:20:44,076 --> 00:20:48,308 Mr. Richter, mediastinum looks borderline on the PA films. Take a look. 397 00:20:51,016 --> 00:20:52,608 OK, um... 398 00:20:53,819 --> 00:20:56,845 That reservation may have to wait just a little bit longer. I'm sorry. 399 00:20:56,922 --> 00:21:01,621 - If you want to reschedule... - No! Nonsense. I'm happy to wait. 400 00:21:01,693 --> 00:21:03,388 You are saving lives. 401 00:21:03,428 --> 00:21:05,988 The least I can do is take you out to dinner when you're done. 402 00:21:06,064 --> 00:21:07,964 Thank you. 403 00:21:09,034 --> 00:21:11,127 Did you ever pitch against Jeff Bagwell? 404 00:21:12,404 --> 00:21:14,395 Once. And it wasn't pretty. 405 00:21:14,439 --> 00:21:18,500 You were right. Get a CT to be safe. I'll stick around to look the results. 406 00:21:18,577 --> 00:21:21,011 At least somebody's having a good night. 407 00:21:21,079 --> 00:21:22,910 [Laughing] 408 00:21:22,948 --> 00:21:26,475 - [Alex] Tell me. - No, I can't possibly. 409 00:21:32,658 --> 00:21:35,024 - [Oliver] Good news? - [Sighs] 410 00:21:35,093 --> 00:21:36,321 Or not such good news. 411 00:21:36,361 --> 00:21:38,989 [Meredith] Oliver, your second X-ray is still concerning. 412 00:21:39,031 --> 00:21:42,831 Dr. Altman and I agree that you should have a CT to rule out anything serious. 413 00:21:42,901 --> 00:21:46,302 - And how long will that take? - [Cell phone rings] 414 00:21:47,072 --> 00:21:49,597 Ah, that's my son calling. He's worried we'll miss tip-off. 415 00:21:49,641 --> 00:21:52,269 What should I tell him? Do I need to tell him we're gonna miss this game? 416 00:21:52,311 --> 00:21:55,803 I wish I had an answer for you, but I think it's a safe bet you'll be late. 417 00:21:59,351 --> 00:22:03,287 Max, hey buddy. How's my little man doing? 418 00:22:03,322 --> 00:22:06,553 Oh, Daddy'll be fine. Don't you worry. Don't worry. 419 00:22:06,625 --> 00:22:09,116 You just worry about all that popcorn we're gonna be eating. 420 00:22:09,161 --> 00:22:13,325 Make sure he's on broad spectrum antibiotics. You booked an OR? 421 00:22:13,365 --> 00:22:15,833 Wow. It didn't hit any brain matter at all? 422 00:22:15,867 --> 00:22:16,959 [Lexie] Doesn't look like it from this. 423 00:22:17,002 --> 00:22:18,469 [Owen] How long till Shepherd gets down here to take a look? 424 00:22:18,503 --> 00:22:19,663 He should be out of surgery any minute. 425 00:22:19,705 --> 00:22:20,899 Good. 426 00:22:20,972 --> 00:22:23,839 The longer that thing stays in there, the higher the risk of infection 427 00:22:23,875 --> 00:22:26,036 or abscess formation. 428 00:22:27,312 --> 00:22:28,643 Ow! 429 00:22:35,153 --> 00:22:37,815 So now can we get out of here? 430 00:22:46,465 --> 00:22:47,557 [Owen] How is he, Grey? 431 00:22:47,632 --> 00:22:50,465 Pupils are equal and reactive, he's alert and awake. 432 00:22:50,535 --> 00:22:52,560 Can I get some more gauze for this wound, please? 433 00:22:52,637 --> 00:22:56,038 - Reflexes seem normal. - [Scoffs] Gimme that. 434 00:22:56,074 --> 00:22:58,668 [Stewart] I'm fine. It's just a little headache is all. 435 00:22:58,710 --> 00:23:01,873 - I've had hangovers worse than this. - What's the status on the blade? 436 00:23:01,913 --> 00:23:04,848 - Well, about that... - Yeah, there is no blade anymore. 437 00:23:04,883 --> 00:23:08,216 What happened? Sir, just lay back. Let me examine you, OK? 438 00:23:08,253 --> 00:23:10,687 [Crying] 439 00:23:10,722 --> 00:23:14,419 - Can you get a doctor, please? - [Derek] I wanna look at the CTs. 440 00:23:19,364 --> 00:23:21,958 - It's gonna be OK, Nathan. - [Mother] He's really hurting. 441 00:23:22,033 --> 00:23:24,695 OK. I'm gonna write an order for more pain meds. 442 00:23:24,736 --> 00:23:27,432 It's OK, monkey. I know you wanna go home. 443 00:23:27,506 --> 00:23:30,202 It'll just be a little while longer, OK? 444 00:23:30,242 --> 00:23:32,972 It will be just a little longer, right? 445 00:23:33,044 --> 00:23:36,013 - Tyler, where is the OR for Nathan? - I haven't heard back yet. 446 00:23:36,081 --> 00:23:38,572 OK, well, let's call them again, and let's call the Ortho team 447 00:23:38,617 --> 00:23:40,744 and make sure they're ready to go. OK? 448 00:23:40,786 --> 00:23:44,620 We will get to Nathan as soon as possible, I promise. 449 00:23:48,026 --> 00:23:50,358 - How's he doing? - The blade went through his skull, 450 00:23:50,429 --> 00:23:52,659 didn't hit any major nerves or arteries. He's gonna be fine. 451 00:23:52,731 --> 00:23:53,789 - Flesh wound? - Yeah. 452 00:23:53,865 --> 00:23:56,629 - That's the luckiest guy alive. - You're also pretty lucky, too. 453 00:23:56,701 --> 00:23:58,566 It's past 6:30, and we haven't had our date yet. 454 00:23:58,603 --> 00:24:00,332 I'm swamped. I can't leave. 455 00:24:00,405 --> 00:24:02,839 I have one patient in CT, another one waiting for an OR. 456 00:24:02,908 --> 00:24:04,842 - Your patient's CT isn't ready yet. - No. 457 00:24:04,910 --> 00:24:06,605 And the OR you're waiting for isn't either. 458 00:24:06,645 --> 00:24:10,843 So OK, I mean, maybe I do, right at this precise moment, 459 00:24:10,916 --> 00:24:13,612 - have one minute, but it's a minute. - That's perfect. That's all I need. 460 00:24:13,652 --> 00:24:15,415 Just a minute. I need a minute. 461 00:24:16,455 --> 00:24:18,013 Hey. 462 00:24:19,424 --> 00:24:22,325 - Wha? [screams] - Oh, sorry! 463 00:24:22,394 --> 00:24:24,021 - What?! - No one. It was nothing. 464 00:24:24,095 --> 00:24:26,154 That room is occupied. 465 00:24:26,231 --> 00:24:28,165 Never ask me what I might have seen or might not have seen in there. 466 00:24:28,233 --> 00:24:30,793 OK, well, if we can't go in there, where are we gonna go? 467 00:24:31,636 --> 00:24:33,763 I have an idea. 468 00:24:33,805 --> 00:24:35,864 [Upbeat pop music] 469 00:24:36,975 --> 00:24:39,273 - Where are we going? - Nowhere. We're gonna do it here. 470 00:24:39,311 --> 00:24:41,404 - We? No, we're not! - Come on. 471 00:24:41,480 --> 00:24:43,675 No! No way! Are you kidding me? 472 00:24:43,715 --> 00:24:45,444 - Drop your pants. - [Elevator rings] 473 00:24:45,484 --> 00:24:46,917 Come on, I'll be quick. I'll be in and out. 474 00:24:46,985 --> 00:24:50,682 Oh, my God! Eyes up here! Seriously, are you kidding me? 475 00:24:50,755 --> 00:24:52,586 I'm serious about this. Where is your sense of adventure? 476 00:24:52,657 --> 00:24:55,217 My sense of adventure is down on the first floor. 477 00:24:55,293 --> 00:24:57,386 - It's not in this elevator. - Come on. 478 00:24:57,462 --> 00:25:00,329 If not for me, then do it for your future baby. Come on. 479 00:25:00,365 --> 00:25:03,391 - Turn around. - I cannot believe I am doing this. 480 00:25:04,169 --> 00:25:08,697 This future, imaginary baby of ours better be worth it. 481 00:25:08,773 --> 00:25:10,365 OK, here we go. 482 00:25:12,010 --> 00:25:14,672 - Oh, there it is. - Ouch. 483 00:25:14,713 --> 00:25:17,978 - Ooh. There. I told you I'd be quick. - [Gasps] 484 00:25:19,651 --> 00:25:22,381 I can't wait to meet our future, fictitious baby. 485 00:25:22,454 --> 00:25:25,389 - [Elevator rings] - Me either. 486 00:25:25,423 --> 00:25:26,754 [Elevator dings] 487 00:25:26,825 --> 00:25:28,884 [Pop music continues] 488 00:25:31,162 --> 00:25:34,859 We got through those charts fast. Floor seats, here I come. 489 00:25:35,834 --> 00:25:38,029 So I just helped you get through three dozen charts 490 00:25:38,069 --> 00:25:40,765 in a fraction of the time it would have taken you to do on your own, 491 00:25:40,839 --> 00:25:44,366 basically ensuring you get to your floor seats on time. 492 00:25:44,409 --> 00:25:47,845 How long do I have to wait till you ask me to go to the game with you? 493 00:25:47,879 --> 00:25:49,870 Oh... [stammers] 494 00:25:49,915 --> 00:25:53,043 I mean, I was supposed to take Avery, but screw him. 495 00:25:54,019 --> 00:25:55,611 Sure. You wanna go? 496 00:25:55,687 --> 00:25:57,552 No, I'm on call tonight, actually. 497 00:25:57,589 --> 00:26:00,387 I just wanted to see if I could get you to ask me out. 498 00:26:00,425 --> 00:26:02,256 [Elevator dings] 499 00:26:02,294 --> 00:26:04,057 Excuse me. 500 00:26:11,703 --> 00:26:14,194 - Just admit it. You like her. - Shut up. 501 00:26:14,239 --> 00:26:16,298 I don't think you do understand, actually. 502 00:26:16,374 --> 00:26:18,638 This has been going on since yesterday. 503 00:26:18,710 --> 00:26:21,543 We took our son to an after-hours clinic, where he was misdiagnosed 504 00:26:21,580 --> 00:26:23,741 and then he was sent home without so much as a painkiller. 505 00:26:23,782 --> 00:26:27,479 He was up all night crying. This morning, our pediatrician sent us here 506 00:26:27,552 --> 00:26:31,750 and now we've been waiting around all day with our four-year-old son. 507 00:26:31,790 --> 00:26:34,623 Believe me, I understand a kid with a broken leg doesn't take precedence 508 00:26:34,659 --> 00:26:37,594 over a guy with a knife in his head, but my son is scared. 509 00:26:37,629 --> 00:26:41,861 And he is in pain. So could somebody please just get to his leg already? 510 00:26:41,933 --> 00:26:43,400 - Please. - [Nurse] Yes, sir. 511 00:26:46,571 --> 00:26:49,233 You still haven't helped that kid yet? He's four with a femur fracture. 512 00:26:49,274 --> 00:26:52,266 - You know how much that hurts? - I know, it's just one of those days. 513 00:26:52,310 --> 00:26:54,938 - Tyler, isn't that OR ready yet? - They're prepping it now. 514 00:26:54,980 --> 00:26:58,006 Grey! My wife was cleared by Dr. Torres. 515 00:26:58,083 --> 00:27:00,643 You ordered a head CT for a broken wrist? 516 00:27:00,719 --> 00:27:02,949 - I can explain. I have some... - Dr. Grey, they're calling from CT. 517 00:27:02,988 --> 00:27:04,819 - Your patient is coding in the scanner. - What?! 518 00:27:04,856 --> 00:27:06,153 They say he's coding! 519 00:27:17,502 --> 00:27:19,527 [Machine beeping rapidly] 520 00:27:20,972 --> 00:27:22,837 Hold CPR! 521 00:27:23,908 --> 00:27:25,535 V-fib! Page Altman! 522 00:27:25,610 --> 00:27:28,135 Give me the paddles now! Charge to 200! 523 00:27:28,647 --> 00:27:29,807 Clear! 524 00:27:34,653 --> 00:27:37,986 - [Machine beeping rapidly] - Charge to 300! Clear! 525 00:27:41,459 --> 00:27:43,518 - [Man] Got a pulse! - [Meredith] Yes! 526 00:27:43,561 --> 00:27:44,823 - Scans are up! - Grey, talk to me. 527 00:27:44,863 --> 00:27:47,195 He was coding when I got here. 528 00:27:47,265 --> 00:27:50,359 I defibrillated him three times, I gave him three rounds of epi, 529 00:27:50,435 --> 00:27:52,733 two of atropine, I loaded him up with amiodarone. 530 00:27:52,804 --> 00:27:55,238 But he's tachycardic now, he's barely hanging on. 531 00:27:55,306 --> 00:27:57,365 - He needs surgery. Book an OR. - [Meredith] OK. 532 00:27:57,409 --> 00:27:59,468 - I'll get a room prepped and ready. - No time. 533 00:27:59,511 --> 00:28:02,173 His aorta is dissecting as we speak. 534 00:28:02,213 --> 00:28:05,046 - He needs surgery right now. - They're saying all the ORs are booked. 535 00:28:05,083 --> 00:28:07,916 Well, tell them to bump someone because we're coming up either way. 536 00:28:07,986 --> 00:28:11,513 I have an OR. Tell them to bump mine and prep it for an emergency cardio. 537 00:28:11,556 --> 00:28:14,787 All right, here we go. Got it? Go. 538 00:28:14,859 --> 00:28:16,383 All right, let's clear it. 539 00:28:20,799 --> 00:28:22,391 Let's hold that elevator! 540 00:28:34,512 --> 00:28:38,209 - Come on, come on, come on! - Once these doors open, 541 00:28:38,249 --> 00:28:41,685 we're gonna have to get him in the OR and open him as soon as possible. 542 00:28:41,720 --> 00:28:44,280 - I know. - Even then, 543 00:28:44,355 --> 00:28:48,348 if that aorta tears, we may already be too late. 544 00:28:51,029 --> 00:28:53,896 - We're not gonna have time to scrub. - I know, I know. 545 00:28:55,867 --> 00:28:57,300 Thanks. 546 00:29:09,447 --> 00:29:10,778 [Elevator dings] 547 00:29:15,453 --> 00:29:17,717 [Teddy] Just pour the betadine straight onto the chest. 548 00:29:17,756 --> 00:29:20,224 It doesn't need to be pretty. We need to get in there. 549 00:29:29,534 --> 00:29:30,660 All right, plug me in. 550 00:29:36,975 --> 00:29:38,465 Scalpel. 551 00:29:40,378 --> 00:29:41,470 Cautery. 552 00:29:46,985 --> 00:29:50,477 Cauterizing now. Get in there quickly, Grey. Time is myocardium. 553 00:29:52,290 --> 00:29:53,348 All right, saw. 554 00:29:55,126 --> 00:29:56,821 Get that retractor ready. 555 00:29:58,763 --> 00:30:01,027 This guy thought he had a bad case of heartburn. 556 00:30:01,099 --> 00:30:03,363 He went from that to this in less than 45 minutes. 557 00:30:03,434 --> 00:30:05,368 That's how these work. How's his pressure? 558 00:30:05,436 --> 00:30:07,267 Seventies, and dropping. 559 00:30:08,506 --> 00:30:13,034 Retractor! Every beat of his heart rips this tear a little bit wider. 560 00:30:14,112 --> 00:30:15,443 All right. 561 00:30:15,480 --> 00:30:18,244 How many of these ruptured dissections have you caught in time to operate? 562 00:30:18,316 --> 00:30:21,114 - Forty, maybe 50. - How many have you been able to save? 563 00:30:21,152 --> 00:30:22,813 Three. 564 00:30:29,194 --> 00:30:30,991 All right, I'm in. 565 00:30:31,029 --> 00:30:32,690 [Machine beeping rapidly] 566 00:30:33,832 --> 00:30:35,732 - [Meredith] Oh, no, no, no, no! - [Teddy] Damn it! 567 00:30:35,800 --> 00:30:36,858 He's bleeding out! 568 00:30:37,702 --> 00:30:41,729 His aorta's wide open. Clamp! Come on, come on, come on! 569 00:30:42,774 --> 00:30:45,140 All right, Grey, let's try sucker bypass. 570 00:30:45,176 --> 00:30:46,473 OK. 571 00:30:47,011 --> 00:30:48,171 Cannulas! 572 00:30:54,619 --> 00:30:56,348 It's not working. There's too much blood. 573 00:30:56,387 --> 00:30:58,446 Once we get him on bypass, it'll be easier to control. 574 00:31:00,558 --> 00:31:02,321 Heart's fibrillating! 575 00:31:02,694 --> 00:31:03,752 [Teddy] All right, cardiac massage! 576 00:31:05,897 --> 00:31:09,697 - Paddles! - I've almost got him cannulated. 577 00:31:09,734 --> 00:31:11,031 Charge to ten. 578 00:31:12,170 --> 00:31:13,569 [Meredith] Clear! 579 00:31:18,076 --> 00:31:21,170 Damn it. He's bleeding out of his nose and ears! 580 00:31:21,212 --> 00:31:23,203 I've been loading him up with blood, FFP and Factor Vll, 581 00:31:23,248 --> 00:31:25,978 - but I can't keep up with the losses. - Foley's full of blood, too. 582 00:31:26,050 --> 00:31:28,143 DIC. His cannula sites are oozing. 583 00:31:28,219 --> 00:31:30,084 Let's push three of epi. Set me up for another shock. 584 00:31:36,327 --> 00:31:37,385 Clear! 585 00:31:40,932 --> 00:31:43,264 - [Teddy] Damn it! - Well, what can we do? 586 00:31:43,301 --> 00:31:46,099 - Just tell me what to do. - Nothing. His aorta is in shreds. 587 00:31:46,170 --> 00:31:49,105 - Well, what about? - There is nothing left to do. Call it. 588 00:31:51,376 --> 00:31:52,707 - Call it, Grey. - No... 589 00:31:52,744 --> 00:31:56,646 [Teddy] Grey, we got here too late. These are almost impossible to catch. 590 00:31:56,714 --> 00:31:59,182 There's nothing that we can do. I'm sorry. 591 00:31:59,250 --> 00:32:01,081 We need to call it. 592 00:32:01,119 --> 00:32:02,484 [Machines beeping] 593 00:32:13,564 --> 00:32:15,896 [Breathing heavily] 594 00:32:19,938 --> 00:32:22,270 Time of death, 18:52. 595 00:32:27,378 --> 00:32:29,175 [Baby cries] 596 00:32:45,630 --> 00:32:48,997 Hey. I heard you lost a patient. 597 00:32:49,767 --> 00:32:51,428 [Exhales] 598 00:32:59,310 --> 00:33:01,301 You know, it's not that I don't want to share you. 599 00:33:01,346 --> 00:33:04,543 I mean, I don't want to share you, but that's not the reason 600 00:33:04,615 --> 00:33:07,209 I don't want you to be Callie's baby's godmother. 601 00:33:07,285 --> 00:33:08,684 Oh... 602 00:33:09,253 --> 00:33:10,811 OK. 603 00:33:12,190 --> 00:33:15,216 It just seems like if you agree to be Callie's baby's godmother, 604 00:33:15,293 --> 00:33:18,524 you're saying that I'll never have a baby of my own. 605 00:33:19,530 --> 00:33:23,364 Meredith, you know I am in no way saying anything... 606 00:33:23,401 --> 00:33:26,302 I know. It just feels that way. 607 00:33:27,605 --> 00:33:30,199 - OK. - [Sighs] 608 00:33:42,687 --> 00:33:45,053 Well, I... 609 00:33:45,123 --> 00:33:48,388 ...have to go have a really uncomfortable conversation with Callie. 610 00:33:50,895 --> 00:33:53,090 How about you? What are you up to? 611 00:33:55,299 --> 00:33:58,757 I have to go contact Oliver's family. 612 00:34:01,572 --> 00:34:04,666 Oh, hey, wait. You've got... 613 00:34:04,709 --> 00:34:06,870 ...blood or something. 614 00:34:08,146 --> 00:34:09,443 [Whispers] All right. 615 00:34:10,381 --> 00:34:13,407 - Thank you. - You're welcome. 616 00:34:20,591 --> 00:34:21,819 Hey, chief. 617 00:34:24,228 --> 00:34:26,696 - About earlier... - It's all taken care of. 618 00:34:26,731 --> 00:34:29,393 I checked Adele's head CT myself. It was clean. 619 00:34:29,434 --> 00:34:31,425 Her wrist is in a splint, and I'm taking her home now. 620 00:34:31,502 --> 00:34:34,403 I still have some concerns. And if her CT was clean, 621 00:34:34,439 --> 00:34:36,407 - then I have even more concerns... - Thank you, Meredith, 622 00:34:36,441 --> 00:34:38,238 but I assure you, Adele is fine. 623 00:34:38,276 --> 00:34:40,904 Chief, she's been getting things very confused. 624 00:34:40,945 --> 00:34:43,812 Meredith, she is fine. And I'm taking her home right now. 625 00:34:43,881 --> 00:34:46,975 Why was she getting Christmas decorations down in February? 626 00:34:47,051 --> 00:34:49,417 - Good night, Meredith. - [Meredith] She said she'd just 627 00:34:49,454 --> 00:34:51,285 gotten home from work. Didn't she retire? 628 00:34:51,355 --> 00:34:53,118 - Meredith... - Chief, something isn't right. 629 00:34:53,191 --> 00:34:55,625 OK, that's enough. I know what you are implying, 630 00:34:55,660 --> 00:34:58,595 and while I appreciate your concern, that's enough! 631 00:34:58,629 --> 00:35:01,621 Adele had a scare today. She had a fall. 632 00:35:01,699 --> 00:35:04,964 Any number of things could account for her mixing up a couple of details, 633 00:35:05,002 --> 00:35:08,165 not the least of which is her being interrogated by you! 634 00:35:08,239 --> 00:35:11,675 If something bigger were wrong with my wife, I would know it. 635 00:35:11,742 --> 00:35:14,939 You've got Alzheimer's on the brain. 636 00:35:14,979 --> 00:35:18,915 You buy a car, you start seeing it everywhere you look. 637 00:35:18,950 --> 00:35:24,286 You've been working on this Alzheimer's trial 24l7, I get it. 638 00:35:24,322 --> 00:35:26,847 But Adele is not your mother, Meredith. 639 00:35:26,924 --> 00:35:28,323 She's my wife. 640 00:35:31,896 --> 00:35:33,659 Now, good night. 641 00:35:35,566 --> 00:35:39,161 [Door opens, closes] 642 00:35:40,805 --> 00:35:42,705 [Chattering] 643 00:35:44,976 --> 00:35:46,876 Hi. I am so sorry, 644 00:35:46,944 --> 00:35:50,209 I got pulled into an emergency surgery. 645 00:35:50,281 --> 00:35:53,808 - Where is Nathan? - Actually, a doctor came by to get him 646 00:35:53,851 --> 00:35:56,615 a little bit ago. He's getting his casts put on right now. 647 00:35:56,654 --> 00:35:59,316 Great. That's great news. 648 00:36:02,260 --> 00:36:05,388 Dr. Grey, we have a surgical abdomen in bed three... 649 00:36:05,463 --> 00:36:09,297 - Let's just get Oliver Richter's chart. - OK. 650 00:36:09,700 --> 00:36:11,998 [Oliver's cell phone rings] 651 00:36:28,819 --> 00:36:30,377 Hello? 652 00:36:33,090 --> 00:36:35,786 Hi, Max. 653 00:36:35,860 --> 00:36:40,058 This... No, it's your daddy's doctor. 654 00:36:40,131 --> 00:36:42,190 Is your mom around? 655 00:36:44,168 --> 00:36:46,033 [Meredith] An hour. 656 00:36:47,371 --> 00:36:49,236 One hour... 657 00:36:50,274 --> 00:36:52,640 ... can change everything. 658 00:36:55,713 --> 00:36:57,578 Forever. 659 00:36:59,383 --> 00:37:01,408 We'll have to keep you overnight for observation, 660 00:37:01,485 --> 00:37:05,216 - but your prognosis is very good. - Great! 661 00:37:05,256 --> 00:37:08,453 So maybe we don't have to cancel our Aspen trip after all. 662 00:37:10,895 --> 00:37:14,023 - I just had a stroke. - I know. 663 00:37:14,065 --> 00:37:16,056 And you're worried about our travel plans? 664 00:37:18,069 --> 00:37:19,468 It's a non-refundable trip. 665 00:37:22,707 --> 00:37:24,641 Cancel the trip. 666 00:37:24,709 --> 00:37:26,939 You know what? In fact, cancel all our trips. 667 00:37:27,011 --> 00:37:29,571 How have I put up with you for two years? 668 00:37:29,614 --> 00:37:31,104 I am done with this. 669 00:37:34,619 --> 00:37:37,850 We're done. Get out of here. 670 00:37:39,790 --> 00:37:42,782 Now, before you give me another stroke. 671 00:37:42,860 --> 00:37:44,794 Wait, wait. 672 00:37:47,665 --> 00:37:49,428 Can I see your keys? 673 00:37:51,802 --> 00:37:53,736 [Whispers] OK... 674 00:37:55,640 --> 00:37:57,039 Here. 675 00:38:03,114 --> 00:38:06,447 OK. Now you can go. 676 00:38:06,484 --> 00:38:08,145 [Mid-tempo pop music] 677 00:38:15,660 --> 00:38:18,060 [Meredith] An hour can save your life. 678 00:38:20,598 --> 00:38:24,694 So before he gets off the phone, and since I now have to go pee in a cup, 679 00:38:24,769 --> 00:38:25,997 I just have to say this. 680 00:38:26,070 --> 00:38:29,335 I basically spent the past hour on a first date with William myself, 681 00:38:29,407 --> 00:38:33,844 and I don't know how much you know about the guy, but this is what I know. 682 00:38:34,578 --> 00:38:36,773 He wears driving gloves. 683 00:38:36,814 --> 00:38:39,009 Yeah, and he doesn't live with his mother, 684 00:38:39,083 --> 00:38:41,313 but until recently, he lived above her house. 685 00:38:41,352 --> 00:38:44,810 And he used the word "shan't", and he wasn't being funny. 686 00:38:44,855 --> 00:38:48,222 And he's yet to tell me a story about himself in which he is not the hero. 687 00:38:48,292 --> 00:38:53,195 So, as your husband, I think we can do better. 688 00:38:53,264 --> 00:38:56,290 Good news. Not only was I able to push the reservation, 689 00:38:56,334 --> 00:39:00,862 but I also got us a table by the window. Black truffle gnocchi awaits. 690 00:39:00,938 --> 00:39:03,532 - Ready? - Ready. 691 00:39:03,607 --> 00:39:05,632 [Music continues] 692 00:39:12,616 --> 00:39:15,244 [Meredith] An hour can change your mind. 693 00:39:22,226 --> 00:39:24,057 OK. So when's your next break? 694 00:39:24,095 --> 00:39:27,064 [Stammers] OK, uh-uh, no... 695 00:39:27,131 --> 00:39:31,591 This will never happen again at work. 696 00:39:31,669 --> 00:39:34,103 - Understood? - Sure. 697 00:39:34,171 --> 00:39:35,433 OK. 698 00:39:38,309 --> 00:39:39,571 Until your next break. 699 00:39:39,643 --> 00:39:42,373 [Meredith] Sometimes an hour is just a gift we give ourselves. 700 00:39:42,413 --> 00:39:45,211 All right, Stewart, you're choosing to leave against medical advice, 701 00:39:45,249 --> 00:39:47,376 so you're free to go, but this is my number. 702 00:39:47,418 --> 00:39:50,683 If you experience any of the neurological symptoms on this sheet, 703 00:39:50,721 --> 00:39:53,747 you call me. Somebody should stay with you tonight, 704 00:39:53,824 --> 00:39:56,588 and have plenty of fluids. Not beer! 705 00:39:56,627 --> 00:39:59,653 - Not beer. - Will do, doc. 706 00:39:59,730 --> 00:40:00,719 [Engine starts] 707 00:40:00,765 --> 00:40:02,630 - [Stewart] Thanks, doc. - All right. 708 00:40:02,700 --> 00:40:04,930 [Meredith] For some, an hour can mean almost nothing. 709 00:40:05,002 --> 00:40:07,937 I can't believe he walked in with a knife in his head, 710 00:40:08,005 --> 00:40:10,701 and is walking out an hour later to go to a ball game. 711 00:40:10,741 --> 00:40:14,905 Speaking of which, any chance you wanna go to the game, too? 712 00:40:15,713 --> 00:40:18,409 Apparently, Karev didn't want his floor seats. 713 00:40:19,517 --> 00:40:21,314 So you interested? 714 00:40:23,220 --> 00:40:26,781 Actually, yes. Yes, I am. 715 00:40:26,857 --> 00:40:28,449 [Music continues] 716 00:40:30,127 --> 00:40:35,224 [Meredith] For others, an hour makes all the difference in the world. 717 00:40:35,266 --> 00:40:40,431 Now, Nathan, when you wake up, you're gonna have two big casts on your legs. 718 00:40:40,471 --> 00:40:43,634 But that's a good thing, because it means it's gonna 719 00:40:43,707 --> 00:40:45,698 make your leg better, OK? 720 00:40:46,944 --> 00:40:50,243 But right now, I have a very important question for you. 721 00:40:50,281 --> 00:40:54,183 And that is, what is your favorite color? 722 00:40:55,986 --> 00:40:57,044 Blue. 723 00:40:58,456 --> 00:40:59,980 Blue it is, then. 724 00:41:00,024 --> 00:41:03,016 Let's prep the blue casting material, please. 725 00:41:04,361 --> 00:41:07,159 All right, I'm gonna take this mask, Nathan. I'm gonna lower it. 726 00:41:07,231 --> 00:41:09,756 And you have to count... 727 00:41:18,642 --> 00:41:20,473 [Meredith] But in the end... 728 00:41:23,848 --> 00:41:26,214 ... it's still just an hour. 729 00:41:26,283 --> 00:41:28,342 [Music continues] 730 00:41:34,892 --> 00:41:37,190 One of many. 731 00:41:38,863 --> 00:41:40,990 Many more to come. 732 00:41:44,268 --> 00:41:46,793 Sixty minutes. 733 00:41:46,837 --> 00:41:48,896 Thirty-six hundred seconds. 734 00:41:51,842 --> 00:41:53,571 That's it. 735 00:41:58,415 --> 00:42:01,248 Then it starts all over again. 736 00:42:02,219 --> 00:42:05,711 Hi. I'm Dr. Grey. I'll be your doctor today. 737 00:42:06,524 --> 00:42:09,391 It says here you've been experiencing some abdominal pain. 738 00:42:09,426 --> 00:42:11,087 - When did that start? - [Clock ticking] 739 00:42:12,496 --> 00:42:15,897 [Meredith] And who knows what the next hour might hold? 62763

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