Private Practice s03e19 Episode Script
Eyes Wide Open
I'm here, I'm here.
You paged me.
Why do you have that baby in my hospital? It's Lucas.
Pete's son.
He had a child, remember? You were there.
- Why do you have that baby? - He is taking over for Nai.
You paged 911, I was looking after Lucas.
The nanny is meeting me here any minute.
Now, come on, what is up? Kayla Lindy.
The coma mama? Her husband's bringing in the big guns.
- Which big guns? - Dr.
Geraldine Ginsberg.
He's flying in Ginsberg? He wants to wake his wife up from the coma.
You gonna keep playing mommy or you gonna get in there? Okay.
Here.
Take the baby.
Take the baby, Charlotte.
Take the baby.
Okay? Yeah.
The nanny will be here in about ten minutes.
Okay? Here you go.
Take it.
Be good.
Hello.
I'm Charlotte.
Please don't drool on me.
Drew got a triple, slid into third and scraped the hell out of his ankle, but you know Drew, he didn't care.
You'd have been really proud of him.
Hey.
So Dr.
Montgomery's here.
And Dr.
Ginsberg will be here any minute now.
I know you think she can't hear me.
But maybe she can.
And when Dr.
Ginsberg gets here and wakes her up, I just want her to know that I didn't give up on her.
Eddie, I need to talk to you.
Dr.
Ginsberg is an extremely accomplished neurosurgeon, but Kayla has been She's been in a coma for six weeks.
I just don't want you to get your hopes up.
You know Ginsberg revived a patient who was comatose for 17 years? I'll get my miracle.
We'll get our miracle.
I mean, she's gonna wake up.
I don't know why you have to be so negative.
- Why can't you just believe? - Eddie I'm sorry.
It's just I unplugged the love of my life and she didn't die.
She didn't die.
That's gotta mean something, you know? And I'm Dr.
Ginsberg.
This is my team.
- Which one are you? - Oh, hello.
Dr.
Montgomery or Dr.
King? Dr.
Montgomery.
Pleasure to meet you.
This is Eddie.
Kayla's husband.
Thank you so much for coming all this way.
I prefer that family members wait outside during the diagnostic process.
- Dr.
Ginsberg - No, no.
It's That's fine.
Whatever it takes.
Okay, patient is Kayla Lindy, Surrogate mother, pregnant with triplets.
During the pregnancy, complications led to a pulmonary I'm familiar with the file.
All right, I'm gonna need a complete exam along with a repeat EEG, an MRI, and a cerebral blood flow study.
Come on.
Go, people.
Go.
Oh, so nice of you to join us, Dr.
Shepherd.
I assume you didn't plan on making a decision without reviewing the radionuclide cisternogram.
Amy? Hey, Addie.
It's a long time no see.
- You two know each other? Yes.
Yes.
I was married to her brother.
Will give us some sort of clarification Don't worry.
Ginsberg is a beast, but she's also a genius.
Amy, why didn't you tell me you were coming? - And what, spoil the surprise? - You knew I was here? Your name is all over Kayla's records.
- Amy - Amelia.
Derek is the only one who calls me Amy these days.
Amelia.
But Derek didn't tell me that you were one of Ginsberg's fellows.
Yeah, shocker.
Did he even tell you that I went into neurosurgery? Is that the Geraldine Ginsberg? My God.
Sam Bennett.
You stayed hot.
Amelia Shepherd? What? The last time I saw you, you were like 14 years old.
- What happened? She's a fancy neurosurgeon.
Ah.
There you are.
- Take your kid.
Nanny was a no-show.
- Oh.
- Oh, what is it? - I have to get to the office.
He spit up on me.
I'm sending you a dry-cleaning bill.
Okay, apparently there are a lot of things that Derek does not say.
Oh, no, no, no.
He's not mine.
He's my boyfriend's son.
Dr.
Shepherd? Uh Duty calls.
We will talk later.
- I missed you guys.
See you later.
Hurricane Amelia made good.
What kind of family is it where the black sheep ends up being a neurosurgeon? Oh, what, huh? - How you doing? - You gonna be a doctor too? Is that what you're talking about, huh? Yeah, that's Sam.
That's Sam.
- You're so good with him.
- I think you are.
Thank you.
Listen, I gotta get him back to the nanny.
Can you tell Ginsberg I'll be right back? - Mm-hm.
All right.
- Thank you.
- Say bye-bye.
Say bye-bye.
Bye.
- See you later.
Say bye-bye.
Bye.
If she can help her Well, it's asking a lot, but anything's possible, right? Right, you know this isn't your fault? Look.
Hey, look at me.
Just look at me.
This is not your fault.
It is.
But thank you for saying it isn't.
Oh, Charlotte.
Good.
I'm glad you're here.
I can't do the sex-ed seminar at the retirement home tonight.
You are not bailing on me.
Well, not by choice.
I have a patient.
We're doing an intervention.
It's a thing.
Great.
What am I supposed to do about the male point of view? Well, actually, I have a pitch for that.
You know, what about Cooper? - No.
- He's great with people.
He's great with 5 year olds.
Come on, Charlotte.
You've been sitting on your hands for a month now.
How do you expect to win him back if you don't just reach out there? Who said I wanted him back? You are never gonna have what you really want if you don't put yourself out there and go for it.
You really do give crappy advice.
No.
Actually, I'm kind of brilliant.
Application for the FDA approval for the next stage of my ALS study.
Naomi usually reviews the data before we submit it, but with her gone and leaving you in charge, it's your job now.
Oh, thanks.
Looks like a fun read.
Being in charge is not my idea of fun.
I mean, I'm glad that William finally told her about his ALS, but I didn't know she was gonna run off to Switzerland to be with him.
- Any word from them? - I heard from Naomi a few days ago.
I guess he hasn't seen any improvement.
Did Naomi say when they're planning on coming back? No.
Then move that to the top of the pile, so they have a reason to.
Come on, Charlotte, sex ed for seniors? It's a little out of my wheelhouse.
Actually, they're not all that different from horny teenagers.
They got too much time on their hands, minimal supervision, almost zero regard for the consequences of reckless sexual behavior.
- Grannies Gone Wild.
- It's a real problem, Cooper.
STDs are spreading through the eldercare community like a brushfire.
The women can't get pregnant, the men are all hopped up on PDE-5 inhibitors.
Everybody's screwing everybody else, nobody's taking any precautions.
As much fun as that sounds, it's old people, Charlotte.
I'm a pediatrician.
I need a man.
- A male.
- Oh.
The male residents are often uncomfortable broaching sexual matters with female medical staff.
- Why me? - I'm coming to you as a physician, fellow partner of this medical practice.
Put away your fear of age spots, help me out.
Kayla's repeat EEG shows diffuse slowing consistent with a permanent vegetative state.
Surgery won't help.
Kayla is not a viable candidate.
I'm sorry, Eddie.
No, there must be something else you can at least try.
- She can't just stay like this.
- I'm afraid I can't help.
What about cannulating the aqueduct of Sylvius? Passing a stent to drain the fluid buildup? Dr.
Shepherd.
Her CSF study show a slowing of flow, not a complete obstruction.
It could work.
- You know how to wake her? - She doesn't.
She's referring to an experimental procedure that has shown little success.
In your wife's case, it will not work.
I assisted on two of the procedures.
Do it or don't, but don't say that it can't work.
- Amelia It's a bad idea.
If she thinks it can work She is a teaching fellow, who is not qualified to make this call.
I graduated top of my class at Harvard, I did my residency at Johns Hopkins, I have done dozens of procedures in the third ventricle.
I am more than qualified.
That's why you hired me.
Well, clearly I made a mistake.
You're fired, Dr.
Shepherd.
And it goes without saying that just because the risk of pregnancy is gone, the risk of contracting sexually transmitted diseases isn't.
In fact, in a place of this size, where many of you are so So lucky to be enjoying considerable leisure time.
- Exactly.
- Yeah.
In a situation like this, transmission rates can be very high.
Which is why, if you're going to have intercourse, we'd like to urge you to flash back to high school and start using condoms again.
Alternatively, there are many ways to be intimate and safe, short of actual penetration.
Can anyone name a way to get pleasure without penetration? I just feel so awful for the husband.
You know, he's gonna have to watch her wither away, hooked up to a feeding tube, when it doesn't have to be that way.
It's a crime.
I mean, it's a crime of medical omission.
In fairness, even Derek said that this isn't doable.
I e-mailed the scans, he said it's a no-go.
Derek is just like Ginsberg.
I mean, if he hasn't seen it, it ain't so.
This is just new.
This is a cutting-edge surgical procedure.
The University of Wisconsin did a study on a series of 11 patients.
I've seen it.
I mean, I could do it.
I'm just saying, I trained for it.
You realize we're talking about a woman with babies inside her? And you realize that Kayla has a husband and two children? Addie, what do you think? L Oh, can we pause? - For a moment, please? - Here.
I'll get it.
I'll get him.
- Yeah? - Yeah.
I should get out of here.
Go pick up Vanessa.
Vanessa? - His girlfriend.
Yeah.
Thank you.
- All right.
I'll see you guys later.
- See you.
Have fun.
Have fun.
Okay, so you and Sam.
What is with the tension? - There's no tension.
- I was sitting right here.
I mean, you barely looked at him.
There was a thing.
- With you and Sam? - With me and Sam.
And Naomi did not take it well and now I'm with Pete and Sam is with Vanessa and it's fine.
It's very adult.
Sounds very messy.
No, it's not, actually.
It's great.
My life is working.
Addison.
I mean, this is me you're talking to.
I caught you with my brother's best friend and I kept your secret.
I mean, you can talk to me.
You used to trust me.
I chose Pete.
I choose Pete.
He's great.
And we're great and I can't have kids.
And Pete has Lucas.
So that's sort of this amazing icing on the cake.
Except for the fact that Pete's still in love with Lucas' mother, which is Oh, Addie.
So anyway, cheers.
I missed you.
You know, you were always a better sister than the ones I had.
And you were way better than my brother.
Are things okay between you two? He's the golden child.
Everything's always okay with him.
- That was painful.
- At least they took some condoms.
Huh.
Do you have any questions or want some more condoms? Actually, I do have a question.
For the gentleman, if that's all right? The gentleman.
Of course.
I'll be waiting.
Hello.
How can I help? I don't really know how to say this.
It's somewhat embarrassing.
No, I'm a doctor, I've heard it all.
Okay, well, Nora and I, we've been dating for several months.
She's a really lovely woman.
Really lovely.
And our intimate time has been very good.
Except lately, it's been difficult for me to Oh, you know, as men get older, it's very common for them to have difficulty, as you say, getting - Trying to - No, it's not that.
- I'm still able to perform.
- Oh, okay.
Oh, good, good, good.
It's just become uncomfortable.
My pelvis is sore, it doesn't wanna move the way it used to, so I don't find myself getting, uh, - in the mood.
- Oh.
So I was hoping you would have some pills to help with the libido.
Given your discomfort, I think you should have a complete exam before we prescribe anything.
And you can do that? I can make an appointment with you and you can check me out? It's my associate's specialty, not mine.
I can bring her up to speed on everything we've talked about, but you really should make an appointment to see her.
With a lady? She's no lady.
You all kept me up until 3:00 this morning.
- Oh, God, I'm sorry.
- No, I'm kidding.
- I'm glad she's here.
- Me too.
It's nice.
I forgot how much I like having someone to talk to.
You can talk to me.
- No, I can't.
- It's - Sam, I can't.
- I know.
Oh, boy.
Amelia? Eddie wanted to hear more about the surgery, so we started talking and one thing led to another and And what? And he asked me to do the surgery.
And I said yes.
I can do the surgery and save the babies.
I just need you in there to keep an eye on them.
And Sam to maintain the cardiovascular function.
- This can work.
- It's reckless.
Well, how would this work? Just for Eddie's sake.
I wanna know how this would work.
Mm-hm.
I would relieve the obstruction by placing a stent in the aqueduct and then as the pressure drops, the activity in the brain stem will return and Kayla wakes up.
And if it works, what state will she be in? Will she be able to function? I don't know.
But if we don't do it, we will never know.
I'm against this.
Two neurosurgeons said no to this.
One being your mentor, the other being your brother.
Derek looked at an e-mail of a scan.
I mean, he didn't even see the patient.
Which ultimately doesn't matter because Eddie Lindy made a decision to save his wife.
He asked me to do it and I can do it.
Now, will you give me privileges here? - Yes.
Great.
I'll get you an OR for tomorrow.
Addison.
- What are you going to do to stop her? - Nothing.
Look, I was wrong.
I made a bad call.
I admit that.
We're both on the same side with this.
We wanna give those babies a chance.
You think I can talk her out of it? I couldn't talk you out of it.
- I think you could try talking to her.
- Eddie wants this.
Amelia is set.
And she just got sanctioned by the chief of staff.
You know her.
You know this is wrong.
So stop her.
- Have you reviewed the application? - Not yet.
Overnight it to Naomi.
Really? You don't think she has enough on her plate? Why are you rolling around here with this gigantic chip on your shoulder? You should never told me about William's ALS.
You know, I get it.
You're upset your study isn't going fast.
I'll read the application This isn't about the damn application.
I slept with Naomi.
And then I told her about William.
You You told Naomi that William has ALS? Why? I don't know.
I wanted more from her and I thought it was the right thing to do.
Or that she'd be pissed at him for withholding.
I don't know.
Doesn't matter.
She's gone.
Prostate cancer? I came in for loss of libido, pain from arthritis.
Discovery of prostate cancer is often an incidental finding.
You don't find it if you don't look.
And then it's too late.
What is the treatment? In your case, I recommend radiation therapy.
Either external or with an implantable radioactive seed.
What about? What about my Johnson? Will it still work after? About half of all patients do experience erectile difficulty following radiation.
And there are no alternative treatments? Well, given your circumstances, not that I recommend.
But there are things we can do if impotence occurs as a side effect of the radiation.
Injections, pumps.
If I don't have the treatment, how long do I have? Four, maybe five years.
It's been lovely talking to you.
Thank you for your time.
Mr.
Schmitt.
He's a man and you're talking about him losing his manhood.
- I get that.
- You can't.
You're a woman.
You couldn't possibly know how something like that would make him feel.
And you're a man, so of course you do.
Yes, that's right.
I mean, is the guy even making the wrong decision? Prostate cancer's pretty slow-growing.
He's 80.
If he wants to live the life he has on his terms and not have to talk to you about sex, who are we to tell him no? - Just let him die? - That's not what I'm saying.
He's in extraordinarily good health.
And this cancer is aggressive.
His Gleason level's a seven.
And if he's made it to 80, statistically he's got a good shot of making it to a hundred.
- Now he's got a woman that he loves.
- That he wants to be able to love.
He doesn't wanna be emasculated, Charlotte.
Is it so hard for you to see that? Are we talking about Oscar or are we talking about you? Excuse me? Emasculation seems to be your catch phrase for me.
I wasn't talking about you, but truth? Yeah.
You like to be tougher than everyone else and that makes some people pull away.
I thought we were past this.
You brought it up.
I came to you for help.
Well, maybe that wasn't such a good idea.
Clearly.
Dr.
Shepherd? This is Angie and Simon McConnell.
They're the parents that Kayla's surrogate for.
They wanted to meet you.
Well, I'd shake your hands, but Dr.
Montgomery told us what's happening.
Eddie doesn't wanna hear this, but our babies are barely viable.
No, he's well aware.
We know this is horrible to ask after all that Kayla's been through, but please don't do this.
We are so close to having our family.
Would you talk with me outside for a minute? Excuse us.
You thought if I saw the parents with their sad faces, what, I was just gonna back down? Look, I'm doing the right thing.
Not for the babies.
The risk is too high.
The Addison Montgomery I know would wade through fire for a patient.
She wouldn't whine about the risks.
I mean, she'd go all superwoman on me, trying to convince me to do the surgery.
What is it? You're settling in your life, so you're willing to settle with your patients? - I am not.
- You have feelings for someone else.
Pete has feelings for his kid's mom.
You say it's great.
You don't seem great.
You have no idea what you're talking about.
You seem sad, Addison.
- And you should be.
- Okay, you are way out of line here.
You should want more.
More for yourself.
And more for Kayla.
I can't decide if it's worse if she chooses William and he dies or if she chooses me and he lives.
- You don't want him to die.
- Right.
Because then I got to compete with his ghost.
Yeah, but he lives, you gotta compete with all that money.
It's lose-lose either way, right? Yes.
Which is why we're here.
Move on.
Move on.
Move on.
Brings us back to Cooper's dilemma.
Would you rather have ten to 15 years of life or four years of sex? - Sex.
- Sex.
That's not the dilemma.
The dilemma is how do I continue working with Charlotte? Maybe that's why we're here.
Maybe it's you who needs to move on.
I already moved on from Charlotte.
I just can't move away from her and her emasculating ways.
Right, right.
Because offering standard medical treatment to a patient is clearly emasculating.
Hey, you're not allowed to defend her.
That's against the rules.
What, you guys have rules? - All guys have rules, dude.
- And he thinks Charlotte has the problem.
- Hey.
Hey.
- Hey.
- Hey.
Hey.
Hey Don't "hey" me.
This is what you guys do for fun, huh? What? So what, now you're leaving? I'm moving on.
Hey Wow, that guy's a piece of work.
What? I'm just drinking here.
You think it's my fault too? I was not wrong.
What you're trying to say is I overreacted and I wanted to pick a fight.
I'm just drinking here.
Oh, man.
- All right, another round? - No, I'll pass.
Re Why? I don't need to move on.
You're here late.
Am I an emasculating bitch? I assume this isn't a trick question.
Heh.
Is this a Cooper thing or? My sex-ed seminar turned up a patient with prostate cancer.
He's old, thinks his life will be over without sex.
He won't even listen to treatment options.
And I think I could help him, but he won't take my calls.
Cooper thinks I don't understand men.
I think you know he's wrong.
We therapists are good at helping people talk through their problems.
Heh.
I don't like talking.
Yeah, well, maybe that's your problem.
Things I tell you are privileged? Of course.
Addison's patient, the one in the coma? I left her husband alone in the room.
I knew he might end things.
Why did you do it? Well, he was there staring at a woman who wouldn't wake up.
It seemed so cruel.
I'm backing a surgery to save her.
Three babies are at risk.
I'm putting my faith in some 20-year-old kid because l Because you wanted forgiveness.
I wanna believe I didn't do the wrong thing for the wrong reasons.
Well, maybe you did the wrong thing for the right reason.
This thing with me and Cooper Why did you push me back to him? Because it's what you want.
Hey.
Hey.
When did I become the man that other men tell their problems to? Can you tell me that? Maybe the question is, when did all the men I know become women? Because really it's - Amelia is gonna operate on Kayla.
- Okay.
And she thinks I'm settling.
I'm not settling.
- Are you mad? - Yes, I'm mad.
- I'm mad.
- Tell me what it's about.
You said, "I love you, Violet.
" To me.
You said it to me.
- L What? I said - When you were sick and you had a fever.
And I know it shouldn't upset me, but, you know, I'm here babysitting, playing peekaboo with your kid, you know? And you said "I love you, Violet.
" You've been carrying this around for six weeks? I'm busy.
I have a job.
I run a practice.
I have things to do.
I'm trying, okay? I'm trying here, Pete.
And I just need to know if you don't wanna do this.
Then I won't get too attached.
Babe.
I will always love Violet.
- She's the mother of my child.
- Okay.
Good.
I'm glad that we cleared that up.
So I can get my stuff.
Addison.
It doesn't mean I don't love you.
I love you.
I love you.
I'm not sitting around waiting for Violet.
I have moved on and I'm happy I've moved on.
- Yeah? - Yeah.
- Okay.
- Okay? Yeah.
Are you here to talk me out of this again? Because I'm here for my patients.
Ventriculoscope is in place.
I'm moving down to the aqueduct.
So far, so good.
You're doing great.
Keep going.
All right.
I am in the aqueduct.
Guide is in place.
Preparing the stent.
Almost there.
All right.
Heart rate's up to 130, 140.
- She's desaturating.
- She's thrown another clot.
I'm gonna keep going.
The babies are in distress.
Sam? All right, I'll need time to remove the clot.
Fetal heart rates are in the 80s.
Let's prep the belly.
I'm cutting her open.
Amelia, step back.
I can do this, Addison.
Just give Sam a chance.
- So long as the babies are in there, she's gonna keep throwing clots and they will not survive.
I need to deliver the babies now.
Amelia, step back.
Scalpel.
Baby number one.
Call NICU.
Get three vents and a central line set up.
That's okay.
Baby number two.
Come on.
Got it.
Why wasn't I paged? - I have a full team here.
I'm an attending on this case.
You could have used me.
Number three.
Sam, you're clear to go.
She's floppy.
No spontaneous respiration.
I can't feel a heartbeat.
- Let me assist you.
- I got it.
Set up an intubation tray.
- Let me help you.
We are here because of you.
This baby is like this because of you.
The best thing that you can do right now is back off.
Give me an ET tube.
All right, suction.
She's aspirated.
Is she all right? I'm almost there.
Almost there.
Got it.
Okay.
Hold CPR.
There's no pulse.
Resume CPR.
Okay.
Come on.
Come on.
- Come on, baby.
Hold on.
Good.
We've got a rhythm.
And a pulse.
All right, let's get her into NICU.
Call an ECMO unit.
This baby needs to be on bypass.
Have the techs meet us at the unit.
Let's go.
Is she gonna be okay? Sam, you got this? Yeah.
Apparently, you've spoken to Dr.
King.
Yes.
I told her that you had the right to refuse medical treatment.
- Which is true.
- Thank you.
But I also think it's wrong.
Impotence is not an inevitable side effect of radiation.
She said I have a fifty-fifty chance of losing function.
And if you come down on the wrong side of that, you have a woman that loves you.
But I won't be able to love her back.
Well, maybe not in the way that you can now.
But with the help of Dr.
King It's not the same.
Well, you're right.
It would be different.
But these options that Dr.
King mentioned, they don't have to They don't make you less of a man.
Do you know what it's like to get old? People start doing things for you.
They stop letting you do things for yourself.
Like work a job, or live in a house, or drive your own car down the street.
I lost my wife, my kids have lives of their own.
I'm stuck here.
But there's one thing that I can still do for myself.
One thing that makes me feel whole.
And I'm not about to let that be taken away or have it made uncomfortable or unnatural.
Well, I admit I don't know what it's like to get old.
When it comes to sex, I get that.
And when you can't do it I mean, that is Look, it happens.
It happens to every guy.
I was with a woman I loved and we were fighting a lot and I was stressed out and that made it difficult to perform.
- And it was humiliating.
- Oh.
It was.
And so I pushed her away and I treated her badly.
Because I was feeling like I was less of a man.
I was wrong.
I was wrong.
Mr.
Schmitt, I can't promise you that there will be no side effects if you do this treatment.
But I do know that you'll be alive.
And you will get to continue to love Nora for a long time to come.
You will be the man in her life.
And that's the most important thing.
- Sam? - Almost there.
Thirty-cc syringe.
And the clots are dissolving.
Vitals are stabilizing.
The rest is up to you, Dr.
Shepherd.
I almost killed her, Sam.
- And those babies They're in Addison's hands.
What am I doing? You're doing surgery.
On a woman's brain.
A surgery you said only you could do.
A surgery you fought for.
Stop standing there and start acting like a surgeon.
You sound like Addison.
No, I sound like you before you started losing confidence in yourself.
Amelia, can you do this? Can you wake this woman up and bring her back to her family? Or were you just spouting a bunch of mess because you like to cut? - I can do this.
- Okay, then.
Go.
We don't have all day.
Adjust the scope, set up the catheter for the stent.
Let's show your brother he's not the only Shepherd who can make magic.
Attagirl.
It didn't work.
You don't know that.
The other patients were at least marginally responsive by now.
I freaked out, Sam.
Maybe I took too long, maybe I should have stopped.
Maybe Addison was She's in pain.
Is that good or bad? That's not pain response.
Whoa, neither is that.
Sweetheart? Pupils are equal and reactive, positive doll's eye response.
Is she waking up? Her brain stem reflexes are improving.
- She's waking up.
She's waking up.
- Baby? She's waking up.
She's waking up.
Application looks good.
I'm sending it in.
Of course it looks good.
I wrote it.
That was some pretty good game you were throwing last night.
You get her number? Yeah.
I got her number.
Gonna call her? No, don't think so.
- Why? - Not interested.
Not ready to move on.
Naomi will come back.
I'm going to wait.
- Addison, it worked.
I was right.
No.
No, you were not right.
You overreached and you overstepped and you forced me to take out those babies way too early.
- They all could've died.
- But they're okay.
They survived.
They're stable, at least for now.
But don't kid yourself, you got lucky in there.
- No, that wasn't - You could be a great surgeon.
Right now, you're not half as good as you think you are.
And I say that as a doctor with far more experience than you.
But as your sister-in-law Your former sister-in-law.
Look at that.
She's up, she's awake.
That's a family and you did that.
Those kids have a mother.
He's got the woman he loves, so Celebrate that.
It's a miracle.
Glad to see you both back here.
I decided to go with the treatment.
Nora and l We just came in to get some advice for after.
I'm glad.
- Why don't you two get settled inside? I'll be in in a minute.
Thank you for talking to him.
For getting him to come back.
I'm sorry.
I was an ass to you.
Yeah.
You were.
But maybe we can work together after all.
Not kill each other.
Maybe we can.
I'm gonna go do work.
Hey, what do you say to a drink after work? I don't think so.
You afraid to be friends, Cooper? I'm not afraid.
Then what? I don't know.
Hey.
Big win.
Kayla's awake.
The babies survived.
Good stuff, huh? Look at how much he loves her.
God, they've been through hell.
And no matter how it turns out, they have each other.
That's how they got through this.
Why didn't you stand up for me? In the OR, with Addison.
She shut me out and you didn't say a word.
What are you talking about? If you're sleeping with Addison, say it.
If I'm just a pit stop, say it.
Stop wasting my time.
Addison is not a factor here.
What does that even mean? Do you love her? That's what I thought.
How is it that a woman can be woken up from the dead and I can't even be friends with Cooper? Addison's patient woke up? Yeah.
Crazy, right? Maybe you did the right thing after all.
See, I told you.
No.
I did the wrong thing with her and it turned out okay.
I did the wrong thing with Cooper and it turned out badly.
Still no word from your patient? The opposite.
Cooper got him to come in, he agreed to do treatment.
Then he wouldn't even have a drink with me.
But you worked together with good results, right? I mean, it's a start.
Stop getting my hopes up.
How long did that man wait for his wife to wake up? Oh, he'll come around.
In the meantime, you come have a drink with me.
I mean, you and Cooper might not be there yet, but you and I can still be friends, right? Right? Yes.
Aaam - Hey.
- Oh, there you are.
Oh.
Thank you for letting me stay here tonight.
Amelia's at my house and I just I just wanted it to be us tonight.
Just you, me - and Lucas.
- That sounds good to me.
Hey.
You okay? Yeah.
Yeah.
Hi, baby.
Oh.
Heh.
Kayla woke up.
Wow.
That's incredible.
Yeah.
Yeah, it is.
I love you too.
- I ordered us some Chinese.
- Mm.
Yum.
Hi, buddy.
Hi.
Okay.
Ready? Oh.
Oh.
Hi.
Violet.
I came straight from the airport.
And Uh I wanna see Lucas.
You paged me.
Why do you have that baby in my hospital? It's Lucas.
Pete's son.
He had a child, remember? You were there.
- Why do you have that baby? - He is taking over for Nai.
You paged 911, I was looking after Lucas.
The nanny is meeting me here any minute.
Now, come on, what is up? Kayla Lindy.
The coma mama? Her husband's bringing in the big guns.
- Which big guns? - Dr.
Geraldine Ginsberg.
He's flying in Ginsberg? He wants to wake his wife up from the coma.
You gonna keep playing mommy or you gonna get in there? Okay.
Here.
Take the baby.
Take the baby, Charlotte.
Take the baby.
Okay? Yeah.
The nanny will be here in about ten minutes.
Okay? Here you go.
Take it.
Be good.
Hello.
I'm Charlotte.
Please don't drool on me.
Drew got a triple, slid into third and scraped the hell out of his ankle, but you know Drew, he didn't care.
You'd have been really proud of him.
Hey.
So Dr.
Montgomery's here.
And Dr.
Ginsberg will be here any minute now.
I know you think she can't hear me.
But maybe she can.
And when Dr.
Ginsberg gets here and wakes her up, I just want her to know that I didn't give up on her.
Eddie, I need to talk to you.
Dr.
Ginsberg is an extremely accomplished neurosurgeon, but Kayla has been She's been in a coma for six weeks.
I just don't want you to get your hopes up.
You know Ginsberg revived a patient who was comatose for 17 years? I'll get my miracle.
We'll get our miracle.
I mean, she's gonna wake up.
I don't know why you have to be so negative.
- Why can't you just believe? - Eddie I'm sorry.
It's just I unplugged the love of my life and she didn't die.
She didn't die.
That's gotta mean something, you know? And I'm Dr.
Ginsberg.
This is my team.
- Which one are you? - Oh, hello.
Dr.
Montgomery or Dr.
King? Dr.
Montgomery.
Pleasure to meet you.
This is Eddie.
Kayla's husband.
Thank you so much for coming all this way.
I prefer that family members wait outside during the diagnostic process.
- Dr.
Ginsberg - No, no.
It's That's fine.
Whatever it takes.
Okay, patient is Kayla Lindy, Surrogate mother, pregnant with triplets.
During the pregnancy, complications led to a pulmonary I'm familiar with the file.
All right, I'm gonna need a complete exam along with a repeat EEG, an MRI, and a cerebral blood flow study.
Come on.
Go, people.
Go.
Oh, so nice of you to join us, Dr.
Shepherd.
I assume you didn't plan on making a decision without reviewing the radionuclide cisternogram.
Amy? Hey, Addie.
It's a long time no see.
- You two know each other? Yes.
Yes.
I was married to her brother.
Will give us some sort of clarification Don't worry.
Ginsberg is a beast, but she's also a genius.
Amy, why didn't you tell me you were coming? - And what, spoil the surprise? - You knew I was here? Your name is all over Kayla's records.
- Amy - Amelia.
Derek is the only one who calls me Amy these days.
Amelia.
But Derek didn't tell me that you were one of Ginsberg's fellows.
Yeah, shocker.
Did he even tell you that I went into neurosurgery? Is that the Geraldine Ginsberg? My God.
Sam Bennett.
You stayed hot.
Amelia Shepherd? What? The last time I saw you, you were like 14 years old.
- What happened? She's a fancy neurosurgeon.
Ah.
There you are.
- Take your kid.
Nanny was a no-show.
- Oh.
- Oh, what is it? - I have to get to the office.
He spit up on me.
I'm sending you a dry-cleaning bill.
Okay, apparently there are a lot of things that Derek does not say.
Oh, no, no, no.
He's not mine.
He's my boyfriend's son.
Dr.
Shepherd? Uh Duty calls.
We will talk later.
- I missed you guys.
See you later.
Hurricane Amelia made good.
What kind of family is it where the black sheep ends up being a neurosurgeon? Oh, what, huh? - How you doing? - You gonna be a doctor too? Is that what you're talking about, huh? Yeah, that's Sam.
That's Sam.
- You're so good with him.
- I think you are.
Thank you.
Listen, I gotta get him back to the nanny.
Can you tell Ginsberg I'll be right back? - Mm-hm.
All right.
- Thank you.
- Say bye-bye.
Say bye-bye.
Bye.
- See you later.
Say bye-bye.
Bye.
If she can help her Well, it's asking a lot, but anything's possible, right? Right, you know this isn't your fault? Look.
Hey, look at me.
Just look at me.
This is not your fault.
It is.
But thank you for saying it isn't.
Oh, Charlotte.
Good.
I'm glad you're here.
I can't do the sex-ed seminar at the retirement home tonight.
You are not bailing on me.
Well, not by choice.
I have a patient.
We're doing an intervention.
It's a thing.
Great.
What am I supposed to do about the male point of view? Well, actually, I have a pitch for that.
You know, what about Cooper? - No.
- He's great with people.
He's great with 5 year olds.
Come on, Charlotte.
You've been sitting on your hands for a month now.
How do you expect to win him back if you don't just reach out there? Who said I wanted him back? You are never gonna have what you really want if you don't put yourself out there and go for it.
You really do give crappy advice.
No.
Actually, I'm kind of brilliant.
Application for the FDA approval for the next stage of my ALS study.
Naomi usually reviews the data before we submit it, but with her gone and leaving you in charge, it's your job now.
Oh, thanks.
Looks like a fun read.
Being in charge is not my idea of fun.
I mean, I'm glad that William finally told her about his ALS, but I didn't know she was gonna run off to Switzerland to be with him.
- Any word from them? - I heard from Naomi a few days ago.
I guess he hasn't seen any improvement.
Did Naomi say when they're planning on coming back? No.
Then move that to the top of the pile, so they have a reason to.
Come on, Charlotte, sex ed for seniors? It's a little out of my wheelhouse.
Actually, they're not all that different from horny teenagers.
They got too much time on their hands, minimal supervision, almost zero regard for the consequences of reckless sexual behavior.
- Grannies Gone Wild.
- It's a real problem, Cooper.
STDs are spreading through the eldercare community like a brushfire.
The women can't get pregnant, the men are all hopped up on PDE-5 inhibitors.
Everybody's screwing everybody else, nobody's taking any precautions.
As much fun as that sounds, it's old people, Charlotte.
I'm a pediatrician.
I need a man.
- A male.
- Oh.
The male residents are often uncomfortable broaching sexual matters with female medical staff.
- Why me? - I'm coming to you as a physician, fellow partner of this medical practice.
Put away your fear of age spots, help me out.
Kayla's repeat EEG shows diffuse slowing consistent with a permanent vegetative state.
Surgery won't help.
Kayla is not a viable candidate.
I'm sorry, Eddie.
No, there must be something else you can at least try.
- She can't just stay like this.
- I'm afraid I can't help.
What about cannulating the aqueduct of Sylvius? Passing a stent to drain the fluid buildup? Dr.
Shepherd.
Her CSF study show a slowing of flow, not a complete obstruction.
It could work.
- You know how to wake her? - She doesn't.
She's referring to an experimental procedure that has shown little success.
In your wife's case, it will not work.
I assisted on two of the procedures.
Do it or don't, but don't say that it can't work.
- Amelia It's a bad idea.
If she thinks it can work She is a teaching fellow, who is not qualified to make this call.
I graduated top of my class at Harvard, I did my residency at Johns Hopkins, I have done dozens of procedures in the third ventricle.
I am more than qualified.
That's why you hired me.
Well, clearly I made a mistake.
You're fired, Dr.
Shepherd.
And it goes without saying that just because the risk of pregnancy is gone, the risk of contracting sexually transmitted diseases isn't.
In fact, in a place of this size, where many of you are so So lucky to be enjoying considerable leisure time.
- Exactly.
- Yeah.
In a situation like this, transmission rates can be very high.
Which is why, if you're going to have intercourse, we'd like to urge you to flash back to high school and start using condoms again.
Alternatively, there are many ways to be intimate and safe, short of actual penetration.
Can anyone name a way to get pleasure without penetration? I just feel so awful for the husband.
You know, he's gonna have to watch her wither away, hooked up to a feeding tube, when it doesn't have to be that way.
It's a crime.
I mean, it's a crime of medical omission.
In fairness, even Derek said that this isn't doable.
I e-mailed the scans, he said it's a no-go.
Derek is just like Ginsberg.
I mean, if he hasn't seen it, it ain't so.
This is just new.
This is a cutting-edge surgical procedure.
The University of Wisconsin did a study on a series of 11 patients.
I've seen it.
I mean, I could do it.
I'm just saying, I trained for it.
You realize we're talking about a woman with babies inside her? And you realize that Kayla has a husband and two children? Addie, what do you think? L Oh, can we pause? - For a moment, please? - Here.
I'll get it.
I'll get him.
- Yeah? - Yeah.
I should get out of here.
Go pick up Vanessa.
Vanessa? - His girlfriend.
Yeah.
Thank you.
- All right.
I'll see you guys later.
- See you.
Have fun.
Have fun.
Okay, so you and Sam.
What is with the tension? - There's no tension.
- I was sitting right here.
I mean, you barely looked at him.
There was a thing.
- With you and Sam? - With me and Sam.
And Naomi did not take it well and now I'm with Pete and Sam is with Vanessa and it's fine.
It's very adult.
Sounds very messy.
No, it's not, actually.
It's great.
My life is working.
Addison.
I mean, this is me you're talking to.
I caught you with my brother's best friend and I kept your secret.
I mean, you can talk to me.
You used to trust me.
I chose Pete.
I choose Pete.
He's great.
And we're great and I can't have kids.
And Pete has Lucas.
So that's sort of this amazing icing on the cake.
Except for the fact that Pete's still in love with Lucas' mother, which is Oh, Addie.
So anyway, cheers.
I missed you.
You know, you were always a better sister than the ones I had.
And you were way better than my brother.
Are things okay between you two? He's the golden child.
Everything's always okay with him.
- That was painful.
- At least they took some condoms.
Huh.
Do you have any questions or want some more condoms? Actually, I do have a question.
For the gentleman, if that's all right? The gentleman.
Of course.
I'll be waiting.
Hello.
How can I help? I don't really know how to say this.
It's somewhat embarrassing.
No, I'm a doctor, I've heard it all.
Okay, well, Nora and I, we've been dating for several months.
She's a really lovely woman.
Really lovely.
And our intimate time has been very good.
Except lately, it's been difficult for me to Oh, you know, as men get older, it's very common for them to have difficulty, as you say, getting - Trying to - No, it's not that.
- I'm still able to perform.
- Oh, okay.
Oh, good, good, good.
It's just become uncomfortable.
My pelvis is sore, it doesn't wanna move the way it used to, so I don't find myself getting, uh, - in the mood.
- Oh.
So I was hoping you would have some pills to help with the libido.
Given your discomfort, I think you should have a complete exam before we prescribe anything.
And you can do that? I can make an appointment with you and you can check me out? It's my associate's specialty, not mine.
I can bring her up to speed on everything we've talked about, but you really should make an appointment to see her.
With a lady? She's no lady.
You all kept me up until 3:00 this morning.
- Oh, God, I'm sorry.
- No, I'm kidding.
- I'm glad she's here.
- Me too.
It's nice.
I forgot how much I like having someone to talk to.
You can talk to me.
- No, I can't.
- It's - Sam, I can't.
- I know.
Oh, boy.
Amelia? Eddie wanted to hear more about the surgery, so we started talking and one thing led to another and And what? And he asked me to do the surgery.
And I said yes.
I can do the surgery and save the babies.
I just need you in there to keep an eye on them.
And Sam to maintain the cardiovascular function.
- This can work.
- It's reckless.
Well, how would this work? Just for Eddie's sake.
I wanna know how this would work.
Mm-hm.
I would relieve the obstruction by placing a stent in the aqueduct and then as the pressure drops, the activity in the brain stem will return and Kayla wakes up.
And if it works, what state will she be in? Will she be able to function? I don't know.
But if we don't do it, we will never know.
I'm against this.
Two neurosurgeons said no to this.
One being your mentor, the other being your brother.
Derek looked at an e-mail of a scan.
I mean, he didn't even see the patient.
Which ultimately doesn't matter because Eddie Lindy made a decision to save his wife.
He asked me to do it and I can do it.
Now, will you give me privileges here? - Yes.
Great.
I'll get you an OR for tomorrow.
Addison.
- What are you going to do to stop her? - Nothing.
Look, I was wrong.
I made a bad call.
I admit that.
We're both on the same side with this.
We wanna give those babies a chance.
You think I can talk her out of it? I couldn't talk you out of it.
- I think you could try talking to her.
- Eddie wants this.
Amelia is set.
And she just got sanctioned by the chief of staff.
You know her.
You know this is wrong.
So stop her.
- Have you reviewed the application? - Not yet.
Overnight it to Naomi.
Really? You don't think she has enough on her plate? Why are you rolling around here with this gigantic chip on your shoulder? You should never told me about William's ALS.
You know, I get it.
You're upset your study isn't going fast.
I'll read the application This isn't about the damn application.
I slept with Naomi.
And then I told her about William.
You You told Naomi that William has ALS? Why? I don't know.
I wanted more from her and I thought it was the right thing to do.
Or that she'd be pissed at him for withholding.
I don't know.
Doesn't matter.
She's gone.
Prostate cancer? I came in for loss of libido, pain from arthritis.
Discovery of prostate cancer is often an incidental finding.
You don't find it if you don't look.
And then it's too late.
What is the treatment? In your case, I recommend radiation therapy.
Either external or with an implantable radioactive seed.
What about? What about my Johnson? Will it still work after? About half of all patients do experience erectile difficulty following radiation.
And there are no alternative treatments? Well, given your circumstances, not that I recommend.
But there are things we can do if impotence occurs as a side effect of the radiation.
Injections, pumps.
If I don't have the treatment, how long do I have? Four, maybe five years.
It's been lovely talking to you.
Thank you for your time.
Mr.
Schmitt.
He's a man and you're talking about him losing his manhood.
- I get that.
- You can't.
You're a woman.
You couldn't possibly know how something like that would make him feel.
And you're a man, so of course you do.
Yes, that's right.
I mean, is the guy even making the wrong decision? Prostate cancer's pretty slow-growing.
He's 80.
If he wants to live the life he has on his terms and not have to talk to you about sex, who are we to tell him no? - Just let him die? - That's not what I'm saying.
He's in extraordinarily good health.
And this cancer is aggressive.
His Gleason level's a seven.
And if he's made it to 80, statistically he's got a good shot of making it to a hundred.
- Now he's got a woman that he loves.
- That he wants to be able to love.
He doesn't wanna be emasculated, Charlotte.
Is it so hard for you to see that? Are we talking about Oscar or are we talking about you? Excuse me? Emasculation seems to be your catch phrase for me.
I wasn't talking about you, but truth? Yeah.
You like to be tougher than everyone else and that makes some people pull away.
I thought we were past this.
You brought it up.
I came to you for help.
Well, maybe that wasn't such a good idea.
Clearly.
Dr.
Shepherd? This is Angie and Simon McConnell.
They're the parents that Kayla's surrogate for.
They wanted to meet you.
Well, I'd shake your hands, but Dr.
Montgomery told us what's happening.
Eddie doesn't wanna hear this, but our babies are barely viable.
No, he's well aware.
We know this is horrible to ask after all that Kayla's been through, but please don't do this.
We are so close to having our family.
Would you talk with me outside for a minute? Excuse us.
You thought if I saw the parents with their sad faces, what, I was just gonna back down? Look, I'm doing the right thing.
Not for the babies.
The risk is too high.
The Addison Montgomery I know would wade through fire for a patient.
She wouldn't whine about the risks.
I mean, she'd go all superwoman on me, trying to convince me to do the surgery.
What is it? You're settling in your life, so you're willing to settle with your patients? - I am not.
- You have feelings for someone else.
Pete has feelings for his kid's mom.
You say it's great.
You don't seem great.
You have no idea what you're talking about.
You seem sad, Addison.
- And you should be.
- Okay, you are way out of line here.
You should want more.
More for yourself.
And more for Kayla.
I can't decide if it's worse if she chooses William and he dies or if she chooses me and he lives.
- You don't want him to die.
- Right.
Because then I got to compete with his ghost.
Yeah, but he lives, you gotta compete with all that money.
It's lose-lose either way, right? Yes.
Which is why we're here.
Move on.
Move on.
Move on.
Brings us back to Cooper's dilemma.
Would you rather have ten to 15 years of life or four years of sex? - Sex.
- Sex.
That's not the dilemma.
The dilemma is how do I continue working with Charlotte? Maybe that's why we're here.
Maybe it's you who needs to move on.
I already moved on from Charlotte.
I just can't move away from her and her emasculating ways.
Right, right.
Because offering standard medical treatment to a patient is clearly emasculating.
Hey, you're not allowed to defend her.
That's against the rules.
What, you guys have rules? - All guys have rules, dude.
- And he thinks Charlotte has the problem.
- Hey.
Hey.
- Hey.
- Hey.
Hey.
Hey Don't "hey" me.
This is what you guys do for fun, huh? What? So what, now you're leaving? I'm moving on.
Hey Wow, that guy's a piece of work.
What? I'm just drinking here.
You think it's my fault too? I was not wrong.
What you're trying to say is I overreacted and I wanted to pick a fight.
I'm just drinking here.
Oh, man.
- All right, another round? - No, I'll pass.
Re Why? I don't need to move on.
You're here late.
Am I an emasculating bitch? I assume this isn't a trick question.
Heh.
Is this a Cooper thing or? My sex-ed seminar turned up a patient with prostate cancer.
He's old, thinks his life will be over without sex.
He won't even listen to treatment options.
And I think I could help him, but he won't take my calls.
Cooper thinks I don't understand men.
I think you know he's wrong.
We therapists are good at helping people talk through their problems.
Heh.
I don't like talking.
Yeah, well, maybe that's your problem.
Things I tell you are privileged? Of course.
Addison's patient, the one in the coma? I left her husband alone in the room.
I knew he might end things.
Why did you do it? Well, he was there staring at a woman who wouldn't wake up.
It seemed so cruel.
I'm backing a surgery to save her.
Three babies are at risk.
I'm putting my faith in some 20-year-old kid because l Because you wanted forgiveness.
I wanna believe I didn't do the wrong thing for the wrong reasons.
Well, maybe you did the wrong thing for the right reason.
This thing with me and Cooper Why did you push me back to him? Because it's what you want.
Hey.
Hey.
When did I become the man that other men tell their problems to? Can you tell me that? Maybe the question is, when did all the men I know become women? Because really it's - Amelia is gonna operate on Kayla.
- Okay.
And she thinks I'm settling.
I'm not settling.
- Are you mad? - Yes, I'm mad.
- I'm mad.
- Tell me what it's about.
You said, "I love you, Violet.
" To me.
You said it to me.
- L What? I said - When you were sick and you had a fever.
And I know it shouldn't upset me, but, you know, I'm here babysitting, playing peekaboo with your kid, you know? And you said "I love you, Violet.
" You've been carrying this around for six weeks? I'm busy.
I have a job.
I run a practice.
I have things to do.
I'm trying, okay? I'm trying here, Pete.
And I just need to know if you don't wanna do this.
Then I won't get too attached.
Babe.
I will always love Violet.
- She's the mother of my child.
- Okay.
Good.
I'm glad that we cleared that up.
So I can get my stuff.
Addison.
It doesn't mean I don't love you.
I love you.
I love you.
I'm not sitting around waiting for Violet.
I have moved on and I'm happy I've moved on.
- Yeah? - Yeah.
- Okay.
- Okay? Yeah.
Are you here to talk me out of this again? Because I'm here for my patients.
Ventriculoscope is in place.
I'm moving down to the aqueduct.
So far, so good.
You're doing great.
Keep going.
All right.
I am in the aqueduct.
Guide is in place.
Preparing the stent.
Almost there.
All right.
Heart rate's up to 130, 140.
- She's desaturating.
- She's thrown another clot.
I'm gonna keep going.
The babies are in distress.
Sam? All right, I'll need time to remove the clot.
Fetal heart rates are in the 80s.
Let's prep the belly.
I'm cutting her open.
Amelia, step back.
I can do this, Addison.
Just give Sam a chance.
- So long as the babies are in there, she's gonna keep throwing clots and they will not survive.
I need to deliver the babies now.
Amelia, step back.
Scalpel.
Baby number one.
Call NICU.
Get three vents and a central line set up.
That's okay.
Baby number two.
Come on.
Got it.
Why wasn't I paged? - I have a full team here.
I'm an attending on this case.
You could have used me.
Number three.
Sam, you're clear to go.
She's floppy.
No spontaneous respiration.
I can't feel a heartbeat.
- Let me assist you.
- I got it.
Set up an intubation tray.
- Let me help you.
We are here because of you.
This baby is like this because of you.
The best thing that you can do right now is back off.
Give me an ET tube.
All right, suction.
She's aspirated.
Is she all right? I'm almost there.
Almost there.
Got it.
Okay.
Hold CPR.
There's no pulse.
Resume CPR.
Okay.
Come on.
Come on.
- Come on, baby.
Hold on.
Good.
We've got a rhythm.
And a pulse.
All right, let's get her into NICU.
Call an ECMO unit.
This baby needs to be on bypass.
Have the techs meet us at the unit.
Let's go.
Is she gonna be okay? Sam, you got this? Yeah.
Apparently, you've spoken to Dr.
King.
Yes.
I told her that you had the right to refuse medical treatment.
- Which is true.
- Thank you.
But I also think it's wrong.
Impotence is not an inevitable side effect of radiation.
She said I have a fifty-fifty chance of losing function.
And if you come down on the wrong side of that, you have a woman that loves you.
But I won't be able to love her back.
Well, maybe not in the way that you can now.
But with the help of Dr.
King It's not the same.
Well, you're right.
It would be different.
But these options that Dr.
King mentioned, they don't have to They don't make you less of a man.
Do you know what it's like to get old? People start doing things for you.
They stop letting you do things for yourself.
Like work a job, or live in a house, or drive your own car down the street.
I lost my wife, my kids have lives of their own.
I'm stuck here.
But there's one thing that I can still do for myself.
One thing that makes me feel whole.
And I'm not about to let that be taken away or have it made uncomfortable or unnatural.
Well, I admit I don't know what it's like to get old.
When it comes to sex, I get that.
And when you can't do it I mean, that is Look, it happens.
It happens to every guy.
I was with a woman I loved and we were fighting a lot and I was stressed out and that made it difficult to perform.
- And it was humiliating.
- Oh.
It was.
And so I pushed her away and I treated her badly.
Because I was feeling like I was less of a man.
I was wrong.
I was wrong.
Mr.
Schmitt, I can't promise you that there will be no side effects if you do this treatment.
But I do know that you'll be alive.
And you will get to continue to love Nora for a long time to come.
You will be the man in her life.
And that's the most important thing.
- Sam? - Almost there.
Thirty-cc syringe.
And the clots are dissolving.
Vitals are stabilizing.
The rest is up to you, Dr.
Shepherd.
I almost killed her, Sam.
- And those babies They're in Addison's hands.
What am I doing? You're doing surgery.
On a woman's brain.
A surgery you said only you could do.
A surgery you fought for.
Stop standing there and start acting like a surgeon.
You sound like Addison.
No, I sound like you before you started losing confidence in yourself.
Amelia, can you do this? Can you wake this woman up and bring her back to her family? Or were you just spouting a bunch of mess because you like to cut? - I can do this.
- Okay, then.
Go.
We don't have all day.
Adjust the scope, set up the catheter for the stent.
Let's show your brother he's not the only Shepherd who can make magic.
Attagirl.
It didn't work.
You don't know that.
The other patients were at least marginally responsive by now.
I freaked out, Sam.
Maybe I took too long, maybe I should have stopped.
Maybe Addison was She's in pain.
Is that good or bad? That's not pain response.
Whoa, neither is that.
Sweetheart? Pupils are equal and reactive, positive doll's eye response.
Is she waking up? Her brain stem reflexes are improving.
- She's waking up.
She's waking up.
- Baby? She's waking up.
She's waking up.
Application looks good.
I'm sending it in.
Of course it looks good.
I wrote it.
That was some pretty good game you were throwing last night.
You get her number? Yeah.
I got her number.
Gonna call her? No, don't think so.
- Why? - Not interested.
Not ready to move on.
Naomi will come back.
I'm going to wait.
- Addison, it worked.
I was right.
No.
No, you were not right.
You overreached and you overstepped and you forced me to take out those babies way too early.
- They all could've died.
- But they're okay.
They survived.
They're stable, at least for now.
But don't kid yourself, you got lucky in there.
- No, that wasn't - You could be a great surgeon.
Right now, you're not half as good as you think you are.
And I say that as a doctor with far more experience than you.
But as your sister-in-law Your former sister-in-law.
Look at that.
She's up, she's awake.
That's a family and you did that.
Those kids have a mother.
He's got the woman he loves, so Celebrate that.
It's a miracle.
Glad to see you both back here.
I decided to go with the treatment.
Nora and l We just came in to get some advice for after.
I'm glad.
- Why don't you two get settled inside? I'll be in in a minute.
Thank you for talking to him.
For getting him to come back.
I'm sorry.
I was an ass to you.
Yeah.
You were.
But maybe we can work together after all.
Not kill each other.
Maybe we can.
I'm gonna go do work.
Hey, what do you say to a drink after work? I don't think so.
You afraid to be friends, Cooper? I'm not afraid.
Then what? I don't know.
Hey.
Big win.
Kayla's awake.
The babies survived.
Good stuff, huh? Look at how much he loves her.
God, they've been through hell.
And no matter how it turns out, they have each other.
That's how they got through this.
Why didn't you stand up for me? In the OR, with Addison.
She shut me out and you didn't say a word.
What are you talking about? If you're sleeping with Addison, say it.
If I'm just a pit stop, say it.
Stop wasting my time.
Addison is not a factor here.
What does that even mean? Do you love her? That's what I thought.
How is it that a woman can be woken up from the dead and I can't even be friends with Cooper? Addison's patient woke up? Yeah.
Crazy, right? Maybe you did the right thing after all.
See, I told you.
No.
I did the wrong thing with her and it turned out okay.
I did the wrong thing with Cooper and it turned out badly.
Still no word from your patient? The opposite.
Cooper got him to come in, he agreed to do treatment.
Then he wouldn't even have a drink with me.
But you worked together with good results, right? I mean, it's a start.
Stop getting my hopes up.
How long did that man wait for his wife to wake up? Oh, he'll come around.
In the meantime, you come have a drink with me.
I mean, you and Cooper might not be there yet, but you and I can still be friends, right? Right? Yes.
Aaam - Hey.
- Oh, there you are.
Oh.
Thank you for letting me stay here tonight.
Amelia's at my house and I just I just wanted it to be us tonight.
Just you, me - and Lucas.
- That sounds good to me.
Hey.
You okay? Yeah.
Yeah.
Hi, baby.
Oh.
Heh.
Kayla woke up.
Wow.
That's incredible.
Yeah.
Yeah, it is.
I love you too.
- I ordered us some Chinese.
- Mm.
Yum.
Hi, buddy.
Hi.
Okay.
Ready? Oh.
Oh.
Hi.
Violet.
I came straight from the airport.
And Uh I wanna see Lucas.