All language subtitles for Greys Anatomy s21e05 You Make My Heart Explode.eng

Meredith: Every time
a surgeon operates,

it's for the first time
all over again.

? I'm feeling it now [ Sighs ]

? I rise above

? Nothing bringing me down

Ohh! Wha--
What are you doing?!

Huh?
I'm hiding from James.

I just saw his car
pull up.

I thought you liked him.

I did.
We had sex.

Oh.
Twice.

And then I find his
wedding album. To Ryan.

I had sex
with Ryan's husband.

- How did I miss this?
- This is not a problem.

He is a man of God
who cheats.

I'm pregnant with twins.[ Gasps ]

Hey.
I-- I can see you!

Can we talk?

- Whoa!
- Brought you tea!

Oh.
I can't hear you!

Ask him
if it's caffeinated.

Fine. I'll get coffee
from the cart.

Look, I know this is a lot,
but we'll figure it out.

We're gonna get
a night nurse.

My mom can move in
for a while.

? I'm moving up

- Where are we going?
- The other entrance.

Even if you've done hundreds
of kidney resections

or heart transplants,

you've never resected
this kidney

or transplanted this heart.

Past experience usually helps,

but for unique cases,
you fake it first.

No. Sorry.

Then who
are those for?

Me. I'm going to
put them in the fridge.

I don't have time
to come back here.

Hope you made time
for an EKG

after consuming
400 milligrams of caffeine.

I have taken two of
Yasuda's shifts this week.

Same. She and her sister
really appreciate it.

Well, not enough to share her
mom's cookies she sent her.

I'm just glad that Chloe
seems to be recovering well.

Woman: Excuse me. Have
you registered to vote?

- Already registered.
- Yeah, me too.

Same.
Not my thing.

You rehearse on replicas
for hours on end,

and hopefully when the real
patient is on the table,

you know what you're doing.

Lots of people put sex
on the calendar.

Marsha: When you're juggling
two busy schedules,

it's perfectly normal
to schedule intimacy.

Okay. You schedule
a haircut. [ Groans ]

I do not want to have to
schedule sex with my wife.

Why do you think
this bothers you?

It feels like she's not
trying to fix anything.

You know?
We are hemorrhaging,

and she's just reaching
for a Band-Aid.

So if I don't want
to fix our problems

the same way that you do, that
- means that I'm not trying? - No, no, no.

Unfortunately,
we have to stop for today,

but I want you
to see this through.

Have scheduled sex this week
and see how it feels.

It might not be what you think.
For either of you.

Well, I guess I'll see you
at 10:00 tomorrow night.

Um, would this be
a bad time to tell you

that I have to
reschedule?

[ Knock on door ]

Hey. Haven't seen you
in a while.

I know. Yeah. Sorry.
It's been... busy.

[ Both chuckle ]

Been meaning
to give this to you. Oh.

Yeah. Left it
at my place, so...

Yeah.
Oh!

Mm-hmm.
Ha-ha. Yeah.

I guess you have been really
busy. Because this is not mine.

[ Stammers ]
You sure?

[ Laughs ] Yeah.

It's a really nice color, though.

She has good taste.

Oh, my God.
I'm so sorry.

[ Door opens ]

Hey.
You needed a consult?

Uh, I have a patient
coming in

from Friday Harbor
with a head injury.

The local hospital's
sending in the scans.

Should I come back?
No.

I was just leaving.

I'm gonna go.

Have the nurses page me
when the scans are in. Heh.

Hm.

[ Door closes ][ Sighs ]

Ben: Schmitt is with
Dr. Beltran today,

so I've got
your assignments.

Let's do a lineup.
A lineup.

It's something we did
at the fire station to get the day started right.

Discipline, organization.

Or you can stay exactly
where you are. That works, too.

So, Yasuda's out
on PTO today.

But, Adams, you're with Schmitt
on Beltran's service.

Millin,
you're with me and Ndugu.

Griffith, with Lincoln.

Um, you forgot someone.

And you've forgotten
your dictations.

There are over 100 incomplete
records with your name on it.

Have fun staring at a computer
all day playing catch-up.

[ Groans ]

Woman on P.A.:
Orderly to 6 East.

Any available orderly
to 6 East.

Are you lurking?

Okay. Your--

Your evaluation forms
were sent out today.

I know. Ndugu
will be the first one

who will officially
assess me.

You know?
How do you know?!

Um, you left your laptop open
on the kitchen counter today.

Hey, hey, hey.
You lurk, I snoop.

Okay. Just-- Just-- Mnh.
Just be yourself!

I've never been
to Friday Harbor.

I went on a field trip
in seventh grade.

We picked apples.

Hey. Today you are
picking up Ofelia Lopez.

She's 10 years old.
She fell off a moving tractor.

Her vitals are stable,
but she's got

a bad leg injury
and a TBI,

so she needs
a higher level of care

than her community
hospital can provide.

I would go myself, but
I got a full patient roster.

I don't mind getting out
of the hospital.

- It's a nice drive.
- I'm sure it is.

But you're taking
a helicopter.

No!
Nice!

Taking an ambulance
would be more cost-efficient,

m-more environmentally
friendly.

And it's not
up in the sky.

Update me
when you arrive!

[ Button clicks ]

Morning, Mr. Riley.

No, no.
Left, right, left.

The other left,
Kenneth. Ugh.

Instructions go in one ear
and out the other

with this kid.

Maybe he's missing
his director, huh?

He's missing something,
alright.

[ Chuckles ]
Go ahead.

Uh, Darren Riley, 55,
presented with

antibiotic-resistant pneumonia
with a concern

for a rapidly progressing
necrotizing infection.

Was intubated
but couldn't oxygenate

despite maximal
ventilation settings.

Placed on VV ECMO
and was extubated last night.

Mr. Riley's X-rays
from this morning.

Left lung's
completely whited out.

Winston: Let's order him
a CT with contrast.

Mr. Riley, I'm gonna change
your cannula dressing.

Well, I can take care of that
as soon as I place this order.

We'll just meet you
in radiology.

That's not necessary.
I want to help with transport anyway.

Oh, but we can
handle that.

Moving a patient on ECMO
can be tricky,

so I'd like
to be there for it.

Okay.
Uh, great.

All risks and benefits
were explained

and patient agreed
to sign informed consent...

[ Groans ]
Hey. Are you okay?

Yeah. Yeah. Good.
Must have slept funny.

[ Chuckles ]

The patient was taken to an
operating room and placed...

[ Zayne groans ]

Hey. Are you sure
you're okay?

I could take a look
if you want.

[ Zayne grunting ]

Someone get me a gurney!

Mr. Wheeler,
how are you feeling?

Fit as a fiddle. Think
I'm about ready to go home?

Not quite yet.

I saw some fluid building
around your heart

on this morning's echo.

It's a common complication
after heart surgery.

We might have to do
a procedure to drain it,

in which case we'd have to
keep you a little bit longer.

Oh, no.
I can't stay longer.

I have to be home
next week.

It's my 40th
wedding anniversary.

Congratulations.
That's a big milestone.

Hey, why don't we
watch it and see if it resolves on its own

before we jump
into a new procedure?

Macie and I got engaged
when we were 19.

She wanted this
big church wedding,

but our parents didn't approve,
so we eloped at city hall.

[ Chuckles ]
We know how that goes.

We wanted to get married
in the park,

but we wound up
doing it in a bar.

Every year, we recreate
our wedding dinner--

hot dogs from the cart
on the corner.

You know, we should go
to Joe's for our anniversary.

It's the only place
we ever go.

Look, I want to run
another set of coags,

and we will take it
from there.

Get her flowers
on your way home.

Works every time.

- Thanks for the tip.
- Yeah.

Woman on P.A.: Dr. Horowitz,
6-2-9-6. Dr. Horowitz...

Thanks for making the trip.
She's got severe

left lower extremity
trauma,

extensive soft-tissue damage,
as well as vascular injury.

Suffered
some head trauma

with multiple contusions
and lacerations.

- Okay. Hi.
- Hi.

Levi: Her respirations
look a bit labored.

Her sats were in the 80s
when she arrived.

The oxygen's helped.

But you didn't
intubate?

Our only ventilator's
in use,

and we don't have the resources
to manually bag her

if we did RSI.Okay.

Nanette: We rushed her here
as soon as we could.

This doctor said you'll
be able to help her more?

Will her leg be alright? She
loves to play in the fields.

I'm Dr. Schmitt.
This is Dr. Adams.

We'll have a better idea
- once we examine her, okay? - Okay.

We temporized with
a splint and tourniquet.

Ischemia time
is about 45 minutes.

Um...

Hi. I'm Levi.

Your name's Ofelia, right?

My friend Lucas and I
are gonna help make you feel better, okay?

Okay.

Okay.
This is my number.

We're gonna get to
Grey-Sloan before you,

so once you get there,
give me a call.

Wait.
We can't go with you?

I'm so sorry. There's not enough
room in the helicopter.

But I promise we'll take
excellent care of her, okay?

- Okay.
- Okay.

Jose:
We love you, mija.

We're gonna have to
amputate the leg if we don't get back fast,

so let's intubate
for transport ASAP.

Okay.

[ Sighs ]
Back to the helicopter.

Dr. Kwan?
Aren't you supposed to--

Look, I know
I'm behind on charts...

and when I'm behind,
it becomes your problem,

and you don't like problems.

Uh, is that Zayne
from custodial staff?

Yeah, he, uh, collapsed

with a severe abdominal
and hip pain.

Mr. Johnson,
I see you took

that whole rack down
with you. You okay?

Pain started way before
that rack fell.

I've been managing it fine
for months now.

Alright, well, we need
to get you to the E.R.

to get you checked out.
Hospital rules.

I'll just take something
once my shift ends.

Let me save you the trouble.
You can fight her on this,

but you will lose.
We all do.

Can you make it quick?

I will make it
thorough.

Come on. Let's go.

You too, Kwan!

Doctor
should be in soon.

Okay.

We are never
going to fit

four car seats
in either of our cars.

Are we gonna have to
get a minivan?

You know what's transporting
those babies right now?

Me!

Every horrible pregnancy
symptom, double it!

Twice the-- the reflux,

the weight gain,
the exhaustion.

And then after all that,
I'm gonna return to work,

delivering
other people's babies,

taking care of not one,
but two newborns.

But, sure, by all means,
you go test-drive minivans.

How can I help?

I wish I could tell you,
but all the energy

that used to go
to my brain

is now being diverted
to my uterus.

[ Phone buzzing ]
You know what?

I really need this
to not take a long time.

I have a patient
who is 29 weeks

and she's about to
deliver triplets.

Three babies. Hmm?
[ Chuckles ]

Could be worse! Heh!

You want three?

[ Phone buzzing ]

[ Sighs ]
A consult in the E.R.

Just go.

I'm staying
for the ultrasound.

It's gonna show the same
as it did yesterday,

and then you're gonna smile
and say, "We've got this."

And right now
I really--

I frankly don't--
really don't need that.

[ Exhales heavily ]

[ Door opens and closes ]

Did you play?
Marching band?

No.

Cool. Me neither.

Oh, I didn't
do sports.

But it's band.

Do they
wear uniforms?

Then I didn't do it.

[ Beeping ]

Oh. Damn it.

His lung is
completely liquified

from all
the necrotic tissue.

[ Sighs ] What's
your recommendation?

Chest tube and
change the antibiotics.

Oh, a chest tube
won't drain this,

and the antibiotics
aren't penetrating,

so we'll need to completely
remove the source.

The source
is his lung.

Book an O.R.-- I'm gonna
get him off the table.

Well, don't you want us to
get him-- [Clears throat]

Does he normally have to
do everything himself?

Well, he let me sew
a patch graft angioplasty once.

Maybe it's you.

[ Door slides ]

Simone: When you say
it's "not your thing,"

you don't mean like
you never vote, right?

Like it's a recent thing?

What about in 2016?

What do we got?

Uh, Zayne Johnson, 32.

Diffuse pain, greatest
in his abdomen and right hip

after a supply rack
fell on him.

We're still
working on his history.

Do you take
any medication?

How much room do you have
on that thing? [Groans]

I take folic acid,
hydroxyurea, ibuprofen,

and tramadol
as needed.

- You have sickle cell?
- Yeah.

And I know about that new
gene therapy that cures it,

but my insurance
won't cover it

and I don't have
$3 million laying around,

so I still got it.

FDA approves a cure, and
nobody can afford to get it.

If I had three mill,
I wouldn't want to spend it on treatments.

I'd buy a boat and
sail around the world.

I was kind of in the middle
of another patient upstairs.

Yeah, I brought you here
for that hip.

The articular surface
is completely destroyed.

Griffith, take him
upstairs for an MRI.

And we should also
get an abdominal CT.

- No, no. I--
- Ah. It won't take long. Okay?

If there's anything you need,
you let these interns know.

Don't be shy.

[ Groans ]

[ Thunder crashes ]

Pilot: We've hit
a bit of rain and fog.

I'm trying to
steer us out of it.

Think about puppies.

Gravity blankets.
Wizards and adventure.

Well, either somebody died
or you're ghosting someone.

I am ignoring
a mistake.

And don't look
at my phone.

Is it the guy
from the hallway?

So what?
Does he hate dogs?

Puts the toilet paper
on wrong?

Does he not know
how to cook a real meal?

Do you?
I'm just saying.

Just because it's a bad match
doesn't mean it's a mistake.

You're right.
It wasn't a mistake.

It was a giant failure!

[ Thud ]

[ Rapid beeping ]
Oh, my God.

Her blood pressure spiked.
She might be herniating.

Okay.

[ Monitor beeping rapidly ]

Her pupils aren't blown.

Actually, they're pinpoint.

Her heart rate's
in the 50s.

- Okay.
- Okay. We got you.

Okay. We got you.
We got you.

She's diaphoretic, bradycardic.

Her eyes are tearing up.

We keep having to
suction her.

Her parents said that
she likes playing in the fields, right?

The farm probably
uses pesticides.

Are you thinking
organophosphate poisoning?

Yeah.
Let's get her on atropine.

Okay.
Oh. She's seizing!

Oh! Oh! Okay.

Damn it.
The tourniquet.

Did it come loose?

No.
The clasp is broken.

We have to
stop this bleeding!

Holding pressure!
Yeah, I got her leg!

Find the atropine!

[ Thunder rumbles ]

Hey, uh, Aurelio's
labs are back.

Okay. Great.
Thank you.

Can I get an ultrasound and
a pericardiocentesis kit?

I just need to finish
reviewing these scans.

Teddy, it's still
a small effusion.

He's coagulopathic.
I mean, we can either do

the pericardiocentesis now
or we can wait till he crashes

in the middle of the night
and do it then.

We don't know
that's gonna happen.

Didn't you accuse me
of-- what was it--

putting a Band-Aid on
a hemorrhage this morning?

What does that
have to do with this?

So now I am trying to
face this problem head on,

and that doesn't seem
to be good enough, either.

I mean, forget about
my years of experience

treating pericardial
effusions. Teddy--

[ Clears throat ] Uh, I was
just getting a cup of tea.

Oh, well, um--
Well, we were just, um--

We were just
discussing a patient.

Look, I can give it
another hour,

but then we're gonna
need another set of scans

and a repeat echo.

Okay.

Oh, you should try
the Moroccan Mint.

It's very, uh...
refreshing. Hm!

Simone: What about
local elections?

State propositions?
Or public surveys?

I send those
straight to spam.

Link: Griffith,
what are we looking at?

Studying
his abdominal CT.

His hip MRI
is about to come up.

You can relax, Zayne.

Pretend you're in
that $3-million boat.

That's not relaxing.
I get seasick.

But you want to sail
around the world?

No, but my son does,
and I'd do anything for him.

Simone: Is that his spleen?
It's so small.

Pretty much nonfunctional
at this point.

Also, those are iron
deposits in his liver.

Should we take care of
his gallstones, too?

The gallbladder wall's
not acutely inflamed.

[ Link sighs ]

The sickle cell has basically
ravaged his body,

including--His hip, which you all

would have seen if you
noticed his MRI was up.

He's got subchondral
collapse and flattening of the femoral head.

We're gonna have to
replace the whole joint.

Oh, he's not
gonna like that.

We don't have a choice--
if he wants to stop this joint

from completely
degenerating.

Hey. Did you get the films
from my transfer patient?

Schmitt and Adams
are worried about the leg.

My fellow will
need to take it.

Okay.

Hey. I took a look
at Ofelia's scans.

Minor subdural.
No swelling, no shift.

I'm not terribly worried,
but I will re-evaluate when they land.

Their ETA
is 25 minutes.

Okay. I'm gonna
check on a patient.

Text me if they
get here sooner.

Hey.
A-About earlier,

it wasn't exactly
what it looked like.

Uh, none of
my business.

Okay.

Lucas: The tourniquet's
completely broken.

I can't get it to hold
tight enough.

I'm gonna need
another one.

Oh, it looks like
there's an injury

to her superficial
femoral artery.

There's another tourniquet
in this bag.

Hold as much pressure
as you can. Got it.

[ Grunts ]
Here.

Alright.

Once we get a signal,
we need to update Beltran.

Got it.

Damn it.

It's basically
beyond repair.

She's gonna need
an amputation.

Well, we have I.V. tubing.

What if we make
a temporary shunt,

see if we can reconnect the
femoral artery with the tubing?

If the pilot
is re-routing,

it's gonna take us
a lot longer to get back.

The tourniquet's been on
for almost two hours.

The leg looks ischemic.

If we do nothing,
she'll lose it.

[ Thunder crashes ]

Okay. Yeah. I'm in.

Okay. Alright.

[ Siren wails ]

So, if you take my lung,
I'll be rid of this thing here?

Unfortunately, due to
your smoking history,

your other lung won't be
able to oxygenate your body

well enough by itself.

You'd have to
stay on ECMO

until we can get you
a lung transplant.

Any chance that happens before
the NorthPac Band Review?

Jules: We don't know.
It could be tomorrow.

It could be
weeks from now.

There will be
other performances.

I was thinking
about my alto sax.

First instrument
I ever picked up.

Thing was nearly
bigger than me.

But once I got the hang
of it, I fell in love.

I haven't been able
to play in weeks.

[ Breathing sharply ]

What if I can't
ever play again?

Or, worse...

...what if I can't teach?

The band's more
than just my job.

It's my life.

Well, music and teaching,
it's in your bones.

Losing a lung
won't change that.

Just might need a little
extra practice after surgery.

That's all.

Let's get you prepped.

Mr. Johnson?

Dr. Bailey and Dr. Lincoln
would like to talk to you.

I have to finish work
so I can get home

for dinner
with my son.

Uh, your scans show
something called

avascular necrosis
in your hip.

I'll make an appointment
to come back.

My son needs
extra attention,

and my sister's
had him all day.

Your pain is only
gonna get worse.

The sickled cells
in the joint cut off

the blood supply to the bone,
which is causing it to die.

But we can replace
the joint today,

and your insurance
covers it.

And then
I won't feel pain?

Well, we can at least help
with the pain in your hip.

So instead of
curing my pain,

they're gonna let
every joint and organ

in my body deteriorate and
then they'll pay to fix it?

I know. It doesn't make sense.
And the system sucks.

Maybe I shouldn't
say that, but...

I've been
through this before.

I know the frustration
of trying to fight a system

that doesn't care if you suffer
or even if you live or die.

They only see you
as a code or a cost

or some number
in a sea of numbers.

The system couldn't
care less about you.

But if you care about yourself,
you should get the surgery.

[ Exhales sharply ]

Simone:
Think about your son.

If you weren't able to walk
or continue to do your job,

it'll be a lot harder
to take care of him.

Okay.

What's next?

I'll go tell Dr. Lincoln.

Don't bother.
I'll do it.

[ Knock on door ]

Oh. Uh, I'm about to meet
with Balcom Medical.

You know, I've always
had a great relationship

with Ethan Chen,

so if there's anything
the hospital needs,

I'm your man.

Oh. Ethan is retired.

Oh.
Well, good for him.

Yeah, the new CFO
is Erika Desai.

She is great.

But her husband Nirav's

also very prominent
on the board,

and he only hears what he wants
to hear, which is himself.

Ooh. It sounds like
a communication issue.

And he often overlooks
how hard I am trying

to make
everything work!

And then he insinuates
that I only care about what is best for me,

regardless of what
anyone else wants.

You mean what's best
for the hospital.

This isn't about Balcom,
is it?

So... you want advice
or a pep talk?

Is there one that's less
irritating than the other?

You've already been
through a war together.

You can do this.

That's the least
irritating one?!

[ Sighs ]

Winston:
Tissue's very fibrotic.

Millin, suction?
Jules: Got it.

Ben: My mom really wanted me
to learn an instrument.

Then my fourth-grade class
got sent home with recorders.

My brother and I were
learning the accordion

- for a few months.
- Didn't stick with it?

Our teacher didn't want to be
paid in lemons from our yard.

[ Chuckles ]
I'm at the hilum.

You need
more retraction?

That'd be great.
Harrington, please.

Ben: Oh.

Could you hold that
right there, Warren?

- Uh-huh.
- Thank you, Bokhee.

With all due respect,
I may be on a trial basis,

but I'm coming in
as a fourth year resident.

I'm perfectly capable
of retracting

and prepping patients
for transport

and moving them
to the CT.

Hell, I'm capable of
a lot more than that.

Alright.
Specimen.

Here we go.

[ Drill whirring ]

How's he doing?

Simone: Feels like
this could have been

a much less extensive
surgery years ago.

Bailey: Well, seeking treatment
when you have sickle cell

is a minefield of stigmas
and misunderstandings.

That's not on Zayne.

Kwan,
careful with the drill!

This bone is like stone!

[ Drill whirring ]

You know--
I'll take over.

Bailey: Oh, let him give it
another try. Go again.

Easy this time.

[ Drill whirring ]

Put--
Put the drill down!

Bailey: If he doesn't try again,
he won't learn.

We're not doing
second chances right now.

This man is in constant,
agonizing pain.

And I'm just talking
literal physical pain,

not the hell of
suffering in silence

because nobody cares
or believes in him.

It's the only way
he can get by,

even though it causes more pain
and more suffering!

Damn it!

Someone get me
a new drill bit!

Bailey:
Are you done?

Yeah.
Whatever you're going through,

go through it
on your own time.

We are taking care
of Zayne right now.

I cannot take care
of you, too.

[ Monitor beeping ]

[ Drill whirring ]

Suction, please.
Adams! Suction!

I'm trying!

I just have
one more tie.

[ Thud ]

Oh! Oh, my God!
Ohh! Okay.

Whoa!

Let's do this fast.
Alright.

Okay.

Ah! Damn it!
Can't get it to stay.

Can you hold it, please?

Yeah.

Okay.
[ Grunts ]

I think that's it.
Okay.

Tourniquet coming off.

Okay. Okay.

It's holding.

[ Laughs ][Chuckling] We did it.

[ Thud ]

Ohh!
What's happening?!

I don't know!
I can't see anything!

Pilot: I can't
get around this storm!

I'm gonna attempt
an emergency landing!

Macie. Macie.

How long has he
been like this?

15 minutes.
Muffled heart sounds.

Low BP, JVD.

Cardiac tamponade. This
is why I wanted to do the procedure earlier.

He wasn't
- this symptomatic. - Alright.

We're gonna need to reopen
him and relieve the pressure.

We're doing a needle
aspiration bedside. We're already prepped.

It's much more controllable
in the O.R.

Macie: I'm his wife.
Let me through!

There's blood seeping
out of his incision already.

We don't have time.
Scalpel.

I'm right here, dear.

[ Macie screams ]
Oh, my God! Whoa!

I need a crash cart! Prepare
for open cardiac massage!

Someone get her
out of here, please!

[Crying] No!

[ Gasps ]

I feel so...
much better now.

- He's alive?!
- Aurelio: Ohh.

Owen: His vitals
have stabilized!

We need to get him
to the O.R. now!

What's happening?!
My husband's okay?!

It was a buildup of pressure
from fluid and blood,

but it was around the heart,
not the heart itself.

We're gonna know more
when we get him in there, but we need to move fast!

Let's go, let's go,
let's go, let's go! Let's go!

What would you do
with $3 million?

Fund voter-registration
drives.

How do you think
the system gets fixed?

Well, it's my game. You have
to spend it on yourself.

I'd hire
an at-home nurse,

and my granny wouldn't
have to live in a facility.

Pay off my loans.

Start a maternal-health
nonprofit.

Boring!

Let me guess. You'd buy
an obnoxious car.

Oh, for starters,
I'd get my own place

so I don't have to live
with you fools anymore.

I'd travel, and, yes,
buy an obnoxious car.

Mm-hmm.

But if I had a curable disease,
you'd be damn sure

I'd spend every penny
to heal myself.

What's crazy is he works
at a hospital...

and he can't even get the
treatment he needs covered.

And he'd probably be
a great candidate for it.

It's out there.
It's available.

We have everything we need
to cure his sickle cell.

Everything
except the money.

[ Thunder rumbles ]

Jose: What do you mean
we beat them here?

- It's a three-hour drive.
- When the weather is bad,

they often re-route
to get around the storm.

And how much longer
until they arrive?

And is Ofelia still okay?

This doesn't necessarily
mean anything,

but at the moment, we've
lost contact with them.

No. No.

I'm calling Dr. Schmitt
and Dr. Adams.

We will also keep trying them
until we get through.

We trusted your team
with our daughter.

They promised to take care
of our little baby!

Amelia: I know that
this is terrifying.

We are closely monitoring
the situation.

Dr. Beltran
has a whole staff

that is prepared
to treat Ofelia

as soon as she arrives.

Come on. Let's go take a seat.
Come on.

[ Knock on door ]

[ Thunder rumbles ]

Oh. Kwan, Griffith.

Yeah, yeah, sorry to bother
you, but this is important.

It's about a patient,
and it's urgent.

Can you page
another attending?

We need you--
or Dr. Altman,

but she's headed
to emergent surgery.

Our patient has
sickle cell disease,

and there's a new gene therapy
that could cure him,

but it's expensive and his
insurance won't cover it.

We know the hospital can't
treat everyone pro bono,

but this man
works here.

H-He walks
the same halls as us

and eats the same
cafeteria food.

How can we look him
in the eye

knowing we're not
gonna help him

just 'cause some idiot suit
in an insurance office

says we can't?

[ Woman sneezes ]

Doctors, these are
some of our partners

from Balcom Medical.

These are two of
our surgical interns...

who I believe
have rounds?

- We-- We do.
- Thank you for your time.

[ Kwan chuckles nervously ]

His chest tubes are
putting out minimal fluid,

and he's stable on ECMO.

[ Woman on P.A.
speaking indistinctly ]

Yeah, he knew he was sick
for a while,

but he's been trying
to work through it.

He said
if he's gonna drop,

he'd rather do it around people
than at home by himself.

And all I've done
since he showed up here

is give him bad news,
and he's had to take it all on by himself.

He doesn't have any family.
And his students can't visit.

So my personal interest in
providing Mr. Riley's care

has nothing to do
with anyone's capability.

I just don't want him
to feel alone.

? Break down

So, um, Millin,
put in the post-op labs.

- Of course.
- Great.

Warren, start to wean him
off sedation

and extubate him
when you think he's ready.

? Breathe in

You got it.
Alright.

? Breathe out again

? Clouds hangin'
over my shoulder ?

I...

? Feelin'� heavy now,
weighs me down... ?

Amelia:
Anything new?

Just my increased
blood pressure.

They should've connected
with an ambulance

when they made it down--
if they made it down.

[ Radio crackling]

[ Beep ]
Hello?

This is
Grey-Sloan Memorial.

Is there anyone there?
Come in.

[ Radio static]

? Let down again

I sent them. I specifically
sent Schmitt in my place.

I sent your nephew.
If something happens,

I'm gonna have to call
Schmitt's family

and tell them that I put him
on that helicopter.

And your family.

? Crash and burn again I'm really sorry.

I-I just had to go to the worst
case scenario in my head,

and it's really hard not to

when they're flying
right now over water

and other things
that could spell disaster.

Well, I've experienced
enough

that I always go to
the worst case scenario.

And sometimes you've just
got to accept the situation

at face value...

so you can keep
moving forward.

[ Thunder crashes ][ Phone buzzes ]

? Somebody tap me out

Hello?

[ Siren wails ]

? Wide asleep

? Playin' hide-and-seek

? Can you rescue me?

? Ohh, ohh, ohh

? Wide asleep

? Chasin' fever dreams

? Playin' hide-and-seek

? Can you rescue me?

? Before I

? Break down again

His heart exploded, and
now he's completely fine.

[ Chuckles ]

[ Laughing ]

[Laughing]
That poor wife!

She was covered!
Covered in blood.

It was...

[ Both laughing ]

This is terrible!
Ohh!

I can still feel it
in my socks.

[ Both laughing ]

Ohh!

Ohh...

Owen, we don't
have to schedule sex.

Well, technically,
it's now our homework,

and I have always been
a straight-A student, so...

We're gonna
get through this.

We have gotten through
a lot worse.

I'm not sure if you're talking
about Iraq or the kids.

[ Both chuckle ]

Teddy... can I take you
on a date?

Somewhere
that's not Joe's.

I'd really like that.

[ Thunder rumbles ]

[ Zayne moans ]

Is it over?

Oh, yes. Your surgery
went very well.

- How do you feel?
- Really tired.

Blue: The paid meds
are still working.

So, is this
Zayne Johnson?

Zayne: Either these pain meds
are really strong,

or you're not
Dr. Lincoln.

I'm Dr. Webber.
I have some good news.

There's a possibility you could
get sickle-cell gene therapy.

What? H-How?

We're doing it
pro bono?

No, my partners and I at
Balcom heard your story,

and we'd like to open
a discussion

about how you can apply
for a grant we have.

I can't believe this.
Thank you.

Thank your advocates. They
really made an impression.

Okay. We're talking
about that later.

Richard: If you get to go-ahead,
we need to get you started soon.

This whole process
could take almost a year.

- A year?
- Well, sometimes as soon as eight months.

You'll get blood transfusions,
then you'll stay in the hospital

to collect your stem cells.

And after gene therapy,
you'll be given chemo

and kept in isolation
for about a month

until your immune system
recovers.

? At night

I don't think
I could do that.

My son has special needs,
and I can't afford a caretaker

or to be away from him
for that long.

? Just past nine

Okay. Um...
Well, you think about it,

and, um, maybe you'll
figure something out.

? Shoulders get heavy
when mothers cry ?

The system
still sucks.

Yeah, if only
there was something we could do about it.

? ...turns the light

[ Monitor beeping ]

[ Thunder rumbles ]

? And we used to fly

? Hm, hm, hm, hm, hm

? Hm-hm, hm

Monica: She's still
in critical condition,

but she should be okay.

And-- And her leg?

We were able
to save it.

She'll likely
need more surgery,

but hopefully with
some physical therapy,

she'll regain function.

Thank you. Thank you.

Thank you.
Thank you, Doctors.

Dr. Adams
will take you in.

? And unlike your dad,
I hope you cry ?

[ Sighs ]

Do you think
peds was your calling?

You know I applied
for the fellowship.

I don't mean
your interest.

I've heard all about
your interest.

I mean,
do you truly believe

that it's what
you're meant to do?

[ Sighs ]

When I was a kid, I was
obsessed with helicopters,

so for my fifth birthday,

my mom splurged on
an aerial tour of Seattle.

Got to take pictures
with the pilot,

put on
the cool headphones.

Then we got up in the air,
and I freaked out.

I rode the entire trip
with my eyes closed.

That was my only helicopter
ride until today.

? And your heart...

I pretended to nap the whole
way to Friday Harbor,

but on the way back,
when she started to deteriorate,

all I could think about
was Ofelia.

Even when we were
going down in the storm,

I only wanted
to keep her safe.

I know peds
is my calling...

but I don't know how to
prove that to everyone else.

Well, I've never
been more certain

that a resident
belongs in peds.

? That I believe

[ Exhales sharply ]

I want to help.

I think that ship
has sailed.

Hm. For now.

But I have a lot of friends

who got their fellowship
after doing research.

And I have a colleague
in Texas

who's looking for help
with a clinical trial.

You interested?

Sure.
Great.

'Cause I already told
him you'd call him to schedule something.

You know more
than you think, Schmitt.

Trust yourself.

Check on Mr. Riley?

Yeah, he's stable
for now.

I asked the nurse to let us
know if anything changes.

Alright. Thanks.
If it does, I'll handle it.

Not because you can't.[ Both chuckle ]

I'll just be across
the street at Joe's, so...

Are you
meeting folks?

No. Just, uh,
grabbing some dinner.

Maybe watch the game.

I like the noise.

You ready?

I just told Tuck to put
the casserole in the oven

and Pru to clean up
her Play-Doh.

Actually, I think
I'm gonna head over

to Joe's with Ndugu.

Oh, I don't want
to go to Joe's.

Well, it's a good thing
you weren't invited.

Have a nice time.

I'll see you at home.[ Chuckles ]

Meredith:
The old saying goes...

fake it till you make it.

Because sometimes pretending
you have confidence

helps you find the real thing.

Okay.

You can go home. I can
stay and monitor Ofelia.

Are you still
avoiding that guy?

Just because we shared
a near-death experience

doesn't mean
I have to answer you.

Sure,
but he's following us.

- Oh, God.
- Hey, Levi. Hi. Can we talk?

I know about Ryan.

Okay.

I thought
what we had was real,

something deep.

I'm sorry
I didn't say anything.

I'm sure you are.

It's hard to know
when to tell people

about your
dead husband.

What?

Oh, I d--
I didn't realize.

I'm so sorry.

It'll be four years
this summer.

Um, I just haven't done
a lot of dating since then,

so this is all new
to me.

Yeah, yeah.

Wait. Did you think
I was cheating?

No! No.

I m-- I mean, may--
maybe a little bit.

[ Chuckles ]

I think what we have
is real.

Okay? You're kind of
the best thing

that's happened to me
in a really long time.

When it doesn't work,

when life doesn't give us
second chances

or dress rehearsals...

you can walk away...

or you can go all-in.

Hey. Ofelia's
vascular checks look good.

Mm. Nice.

Yeah.

Thanks for
your help today.

I just did a neuro exam.

No, I was freaking out,
and you calmed me down.

[Chuckling] Oh.

I'm being genuine!

No, I-- It's not you.
It's the irony...

that you would see
if you knew me better.

[ Chuckles ]

Listen.
The thing with Ndugu...

It's just casual. We were
just going through something similar.

You don't owe me
an explanation. Really.

You and I are good.

Good night.

We tell ourselves
we don't care.

Hey! Hey.

? Sometimes it's gotta fade
before it shines ?

Ultrasound showed
two strong heartbeats.

Equal fluid level.

DeLuca saw nothing
to worry about.

? When your heartbeat stops

Great.

? And the world won't spin

I'm sorry.

I was so freaked out over
one baby, and now it's...

And I'm exhausted.
You know, I worked

20 hours straight
last week.

I delivered eight babies
with no caffeine.

I told you you should rest
after that.

Are you mad at me?

? Oh, could the story end

You... locked me out of
your car this morning.

You kicked me out of
the ultrasound appointment.

I didn't kick you out.
I...

I was overwhelmed
and hormonal.

This is a high-risk
pregnancy!

The odds of making it full term
with two healthy babies?!

I'm scared!

Yeah, and you think I'm
just worried about cars?

No, I d--
I'm scared out of my mind!

I'm scared for them.
I'm scared about you.

? Every outcome
we envision ?

We're supposed to be
partners.

If we're falling apart just
thinking about having twins,

what's gonna happen
when we actually have them?

? Fall before you fly

[ Exhales heavily ]

? Sometimes it's gotta fade
before it shines ?

We can try to hide
our doubts and fears.

? When your heartbeat stops

? Ooh-ooh

? And the world won't spin

? Ooh-ooh

? When your time is gone

? Ooh-ooh

? Don't know where it went [ Chuckles ]

? Ooh-ooh

? Ohh, ohh

Or we can accept the unknown...

What's this?

...and dive in.

? Where we begin, whoa-oh

? Where we begin

? Ohh-ohh

? Where we begin

? Ohh-ohh

I've had...
an extremely long day.

I just wanted to
end it with you.

And a real meal.

Mm-hmm.

Are you hungry?

Starving.

[ Both laugh ]

? We can start again

The real thing
is better anyway.

? We begin

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