Grey's Anatomy s07e05 Episode Script

[Pop music playing.]
[Meredith.]
They train doctors.
Slowly.
They watch us practice on frogs and pigs and dead people, and then live people.
They drill us relentlessly.
They raise us like children.
And eventually, they take a cold, hard boot and they kick us out of the nest.
I have great faith in you.
Great faith.
I can because I chose you.
I trained you.
I've watched you work.
I know what you can do.
That's why today's different.
The training wheels are coming off, people.
I'm throwing down the gauntlet today, people.
I've got a million dollar surplus, and one department gets it.
You know what you need and I know what you need.
Now, I want to know what you want.
And I'm gonna keep the residents busy.
Very busy.
So that'll give you time to put your best foot forward.
- Navy scrubs? - Attending scrubs.
You are attendings today.
Run the cases.
Take point.
But don't be a fool.
If you get in over your head, cry "uncle.
" Until then, congratulations.
You've just been promoted.
[Indistinct chatter.]
Um, Chief Webber? Sorry.
I-I didn't get any scrubs.
This is for fourth-year residents only, Grey.
It's just a regular day for you.
Fine.
If they're gonna be attendings, that makes me chief resident.
- That makes you our scut monkey.
- No, it doesn't.
Does Does it? It doesn't! [Song continues.]
The attendings aren't going anywhere.
We're basically just playing dress-up.
Yeah.
[Chuckles.]
- [Nurse.]
Here you go.
- Thank you.
- Are you sure this is a good idea? - Of course it is.
We all did it.
It's the evolution of the craft.
The passing of the torch.
The lifeblood of the training process.
[Both chuckling.]
[Nurse.]
Here you go.
Here you go.
[Richard sighs.]
Pray, people.
We want God in the building today.
- What time are we pitching you? - Yeah, is there an order? You people are adults.
You decide the order.
I decide whose department gets the million dollars.
I love a good dogfight.
He can be intimidating.
Once you get in the room.
- Really? - [Callie.]
Oh, yeah.
When I pitched my cartilage research last year, he was all ticked off 'cause I had a typo in my table of contents.
- You had a table of contents? - Yeah.
[Giggles.]
What? I love a good dogfight, too.
Ruff! It's my case.
You gonna hand me over the chart? What factors would lead a patient to want breast reduction surgery? Neck pain, back pain, balance issues.
- Hand it over.
- Keep trying.
I don't know.
Maybe she's a prude.
Doesn't want everyone staring at her all the time.
Maybe she's embarrassed.
No.
But you're getting warmer.
- Hi, I'm Dr.
Karev.
- Mindy Gruberman.
- Nice to meet you.
- I can work with that.
She's not the patient.
Dr.
Robbins.
You'll be on my service, too, huh? Dr.
Karev's gonna be our team leader today.
Excuse me.
Honey, quit futzing with the gown and come out here.
The doctors want to see you.
What's up? Ms.
Radigan, you're still having these headaches and ringing in the ears? All day long.
It's driving me crazy.
It's caused by a build-up of fluid in your skull.
So, what we will do is insert a shunt, and that will relieve the pressure on your brain.
What do you mean "we"? You're doing the actual tube part in the brain, right? - Not them? - [Mrs.
Radigan.]
Excuse her.
She's a school teacher, she talks to everyone like they're hiding gum behind their back.
It's all right.
She can ask questions.
Dr.
Grey and Dr.
Avery are residents, they're very talented.
One of them will be performing the procedure, - and I will be observing.
- A trainee? Cutting into Ellie's brain? No.
[Derek.]
I know it sounds like a leap, but these doctors study and assist for years.
At some point, we have to let them operate.
- It's how we make new surgeons.
- Let them learn on someone else.
Who? Someone who's too scared to interrogate the doctors? They have to learn on someone, might as well be an old lady.
You're my old lady.
This should be my call.
I won't let them move a muscle without my direction and approval.
You're a teacher, Joanne.
Let the kids learn.
She's my life.
She has been my life for 40 years.
Do you hear me? I hear you.
[Woman on PA.]
Radiology, contact - Who gets to cut? - I want to get a look at both of you with a drill before I decide who gets the shunt.
Skills lab seems like a fair way to go.
Competing with the wife.
Like that's not a stacked deck.
Well, it's a game, really.
So all you have to do is win.
Which you won't.
I don't like the idea of teenagers getting plastic surgery.
If the growths were on his face, you wouldn't have a problem - with him wanting them removed.
- Yeah, but I might have a problem - with Karev removing them.
- I'll give you that.
- Oof! What happened? - Karev's about to do a gynecomastia - surgery on a 13-year-old.
- Oh, Karev's fine.
He's done way bigger procedures than that.
You two would just rather worry about him than about your, uh, presentations - to the chief.
- Oh! I'm not worried.
The money's going to the tiny humans.
No one ever says no to the tiny humans.
Oh.
OK.
- What? - Well You're not gonna cry, 'cause you find the chief intimidating? - [Laughs.]
No! - Good! - Good.
OK.
- I have work to do.
[Callie.]
Bye.
[Sighs.]
What, are you trying to psych her out? Ortho needs the money.
She and the friggin' tiny humans have all the help they need already.
- I'm getting the money.
Let it go.
- [Chuckles.]
Oh, OK.
- [Laughs.]
Why wouldn't I? - Well, because you never prepare for anything, you think you'll get by on your good looks and charm and the brilliance that pops off the top of your head.
Yeah, 'cause it always works.
Mm Uh-huh.
[Sighs.]
[Chuckles.]
Roy Henley, 57, was admitted two days ago with severe wheezing from pulmonary hypertension.
- Which basically means - I can't breathe for crap.
We're gonna run some tests that should help us decide how to proceed.
You can run all the tests you want.
But what I need is new lungs.
[Panting.]
My doctor said I was gonna need 'em one day, but I was too healthy for it.
[Coughing.]
I bet I'm not too healthy now.
[Chuckles.]
Dr.
Yang? We'll run some tests.
Uh, Mr.
Henley, you listed your daughter as your emergency contact.
- Is she here with you today? - No, she lives over in Aberdeen.
- I don't want to trouble her.
- Is there anyone here with you? I'm a tough old dog.
I don't need a chaperone.
Sir, your condition is serious.
It might be time to trouble your daughter.
- We think he's a transplant candidate? - Do we? At this point, I don't think there's anything else we can do.
Right? Dr.
Yang? Do you agree? I don't know.
- You don't know if you agree? - [April.]
He'd have to be approved by the transplant team before going on the waiting list.
- Do we convene a panel? - Yang, do we? I couldn't say.
[Scoffs.]
He's running out of time.
I say we convene the panel for today.
OK, convene the panel.
And then what? I get some interns to order Mr.
Henley's tests.
On it.
Dr.
Yang.
"I don't know"? I'm here, I am trying, but taking point I am not asking you to be in an OR.
I am asking you to say something.
To participate.
We're at a crossroads, Yang.
A crossroads where you either get in the game or I tell Richard it's time to send you home.
[Clears throat.]
Lmagine.
Seattle Grace.
The hospital that made heart surgery obsolete.
That's a big claim.
If the five million Americans who suffer from heart failure could simply just regenerate their own damaged hearts It sounds like magic, but it's possible.
It's happening.
Dr.
Altman, stem cell research is on the cutting edge of every field of medicine.
Why cardio? [Clears throat.]
Well, Cardio and Neuro are the beacons of this hospital.
They're what put you on the map.
But you know what? You can't give this money to Neuro.
Neuro isn't even really a department.
It's just one strong surgeon.
You're better off putting your money onto a deeper bench.
- What do you mean? - Well, Shepherd, he's like a charismatic cult leader.
He's very appealing and he's got a bunch of people hiding in his shadows.
But Don't get me wrong, he is a great surgeon.
And he can pull off a flashy procedure.
But is he cultivating talent? Is he taking the time to teach your residents, knowing when to push and dishing out tough love when they need it? That's the hard part.
I don't know, maybe Shepherd just doesn't like competition.
He tried to fire me.
Not that I'm holding a grudge or anything.
Well, not much of one, anyway.
[Laughs.]
I'm, uh I feel like I should have stuck to my notes.
[Machine whirring.]
- Is Teddy saying you could be fired? - Sounded that way.
Well, is she trying to scare you? Is it working? - I don't think so.
- [Jackson.]
Oh! Damn it.
- What's his problem? - Derek's got us competing for a brain shunt insertion.
The egg is the skull.
You can break the shell, but you can't break the membrane.
- Damn it! - [Meredith.]
I feel bad for him.
- He's kind of losing it.
- [Tapping fingers.]
I shouldn't be in charge of anybody.
Just put one foot in front of the other.
Just get through the day.
Grey! You broke my concentration.
Sorry.
Um, hey.
Post-ops look good, so if there's nothing else Oh, could you discharge 1224? And his chart needs to be dictated.
Uh, yes.
It's gonna have to wait until after I check on Torres' knee girl, turf the window jumper to Psych, remove a june bug from some kid's ear in the pit, write meds for screaming kidney stones guy and then deliver labs - to my goiter lady.
- Stop bragging.
I can't.
I was born for this kind of day.
[Clicking pen.]
No.
Stop.
Seth.
No.
- OK? This can wait a couple years.
- [Seth.]
Mom! You said this was my decision! You said after my bar mitzvah, I'd be a man and I could decide.
That is because we thought by 13, you'd make the mature decision.
You can't cut off the parts of your body that you don't like, all right? I don't like my thighs or my saggy arms or my chin, but if we all cut off the parts we don't like, - we'd all have nothing left.
- Mom! Seth! Your father has the exact same chest as you, and nobody thinks he's a woman.
Would you please talk to her? I'm calling your father.
They call me Booby at school.
Man-boobs, Double D.
Some kid keeps hanging a bra on my locker.
I'm starting high school in a year.
It's gonna be all new people.
I just wanna start over.
I wanna be normal like everyone else.
Why can't we just skip the panel? We know I need the lungs.
Not everyone makes a good transplant candidate.
If someone can't reliably take their anti-rejection meds - I can.
or has severe disease - in another organ - I don't.
There are just a lot of indicators as to whether a person is strong enough - to survive the surgery.
- I wanna know what she thinks.
The one with the sourpuss on her face.
I don't have a sourpuss.
This is just my face.
It's true.
It is just her face.
You think I'll pass the panel? - I couldn't say.
- [Wheezes, chuckles.]
Cheer up, sourpuss.
You're young, you got your health.
I think you're doing all right.
Both of you.
Practically kids, and doctors, no less.
I bet your dads are really proud.
I'm from a small town.
A farm, actually.
So yes, my dad was over the moon - when I became a doctor.
- What about you? Karev.
Seth's mother just came by saying she wants to pull the plug on the kid's procedure.
- That your idea of taking point? - I'm gonna talk to her.
I spent two hours consulting with this family last month.
Ten minutes with you, they're ready to walk.
Pediatric surgery is 80 percent parent management, Karev, you know that.
I'm handling it.
Megan, hi.
I'm Dr.
Grey.
Just checking in to see how you're feeling.
[Man.]
Megan.
Meg! She doesn't hear well when she's texting.
I can hear her.
Where's the other doctor? Dr.
Torres.
Oh, I'll be checking you today.
How's your knee? - Is the, uh, pain any better? - Look, you seem really sweet, but this whole, like, super busy, messy-hair, running like a banshee thing you have going doesn't exactly inspire confidence.
I mean, you don't even know my case.
Meg Whealon.
Age 28.
Tibial plateau fracture caused by a bicycle accident.
At least, that's what you told the ER, but you told Dr.
Torres that you were going 30 miles an hour, which makes me think that you were on your boyfriend's motorcycle.
I'm gonna guess he has a license for it - and you don't.
- This is off the top of your head? I memorized your chart.
Your fracture was fixed with elevation and percutaneous screw fixture.
You are allergic to penicillin.
Currently on blood thinners to make sure you don't develop DVT, and if you'd just talk to me about your knee, I could adjust your pain meds - and be out of your hair.
- [Clicks pen.]
She's good.
- You're good.
- I'm busy.
But I can handle it.
Every doctor in this hospital needs trauma training.
Disaster training.
You've got a strong department.
No, not just my staff, everyone.
Eleven people died in that shooting.
Eight of them never had a chance.
But the other three could have been saved.
Charles Percy had a gunshot wound to the abdomen.
Miranda Bailey did everything that she was trained to do.
She gave him fluids, controlled the bleeding, applied pressure.
Then she tried to get him to an OR.
But she couldn't.
And so he died.
A doctor with disaster training would have been able to assess that environment more quickly and known an alternative escape route.
Dr.
Bailey was not trained to do that.
Neither are 90 percent of the doctors on your staff.
She'll remember him dying in her arms the rest of her life.
And I'll remember it.
And you'll remember that we could have saved him.
We failed her.
And we failed Charles Percy.
One of our own doctors.
I can't face that.
[Sighs.]
I can't face that ever again.
Can you? [Indistinct chatter.]
I'd like to expand the burn unit at Seattle Grace.
Make us the go-to destination for serious burn victims.
I'd also like to upgrade us to a real nationally renowned center - for cosmetic reconstructive surgery.
- Two sub-specialties? The revenue from the cosmetic center helps support the burn unit.
One hand scratches the other.
It's a nice idea, and an awfully ambitious plan for a million dollars.
And a tremendous amount of work.
I'm not seeing anyone right now.
I'm not sleeping with nurses.
Residents, attendings Nobody.
So I'm an untapped source of raw power.
I'm telling you, I have the energy of ten men, so with your million dollars and my untapped stores, we can move mountains.
Are you excited? I'm excited.
Leave.
Right now.
Just - Just - [clears throat.]
- [Groans.]
- [Alex.]
Mrs.
Gruberman, every surgery has its risks, but this one is pretty simple.
It'll make your son feel a whole lot better about himself.
If the surgery is really a good idea, I would like to hear it - from Dr.
Robbins and Dr.
Sloan.
- Look, I'm No.
I will speak to Dr.
Robbins and Dr.
Sloan.
Cristina! Cristina, Roy's labs.
He's got fungal pneumonia and his creatinine clearance is dangerously low.
If it gets any worse, we're looking at renal failure.
I'm surprised he was sitting up and talking.
After surgery, couldn't the immunosuppressants kill him? - Maybe.
- Well, OK.
[Stammers.]
If we don't recommend him, he dies.
But, uh, if we recommend someone who won't survive, then it's just a waste of an organ that could have gone to someone else.
- What do you think? - I don't know.
You need to know.
We have to have an opinion, we called the stupid panel! [Voice becomes muffled.]
We have to stand up in front of Teddy, and the chief and a room full of doctors and recommend whether this guy lives or dies.
And it's right down the middle with this guy.
Like a trick question.
It's a trick [normal voice.]
Fine.
Forget it.
The right opinion, the only opinion that matters, is Teddy's.
So I will just figure out what she thinks, and I will say that.
OK.
[Chuckles.]
Don't you care at all? Come on, you gotta care.
[Pop music playing.]
- No, you did not say that to the chief! - [Callie.]
Oh, God.
It's your fault, you know.
You psyched me out.
- What? All I ever do is support you.
- Oh, look at that face.
That's her game face.
She's in it to win it.
- Huh? - Oh! Hey, Karev! Did you talk to Seth's mother? She's thinking about it.
She may wanna talk to you guys again.
- Way to handle it.
- I can't force her to listen to me.
Keep your face in that book.
It'll inspire confidence.
[Teddy, laughing.]
Oh, my God.
OK, that's getting in someone's head.
I'm just honest.
- Um, I'm up with the chief.
I gotta go.
- Knock him dead.
Oh.
Wait, here.
I brought you tissues, just in case.
Thanks.
- You have a sickness.
You do.
- Hm? Oh.
OK, 30 seconds.
If neither one of you breaks the membrane, I'm gonna have to judge you on precision, so make sure your initials are clean and clear.
- Dr.
Shepherd? - Yes.
Stop talking! Five, four, three, two, one, time.
What do you got? Oh.
Not bad.
What about you, Dr.
Avery? - I just wish I had more time.
- [Derek.]
Oh, really? [Blows.]
- You did your whole name.
- What?! [Derek laughs.]
You conned me! I don't know what you're talking about.
He hustled me! He went through two dozen eggs and made me think I didn't have to practice.
If you didn't practice, Meredith, you were over-confident.
Dr.
Avery, congratulations.
You have the surgery.
And then I would take the remaining money and invest it in resources for less invasive pediatric cancer surgeries.
Even the smallest change could dramatically improve the lives of so many children.
Wouldn't that be amazing? That is a very compelling and very focused presentation, Dr.
Robbins.
- You seem surprised.
- No.
Not at all.
Did you think I was going to cry? - Yeah.
- Yeah.
[laughs.]
Um Torres suggested that I was going to cry as well.
I think that we should all try to wipe the crying thing out of our memories.
It happens very rarely, it's embarrassing, and, frankly, I think I've got it under control.
And the fact that my colleagues see me as the type of person who would burst into tears in the middle of an important professional situation, well, that doesn't make me weepy, that makes me mad.
Like, violent.
It makes me want to punch someone.
And, you know, I'm the daughter of a Marine, sir.
So I was taught to hit as a child, I was taught to hit fast and hit hard, so you only have to hit once.
Now, I feel like hitting a person or a wall.
No, a person! Mm Let's just circle back to the sweet little children.
[Clears throat.]
- Here you go.
- [Nurse.]
Thank you.
I like the dark blue scrubs on you.
You look good.
You OK? My patient deserves a doctor.
You don't have to cut.
Nobody's asking you to.
I know that.
I know what's being asked of me and I'm doing it.
OK.
I got an idea.
And I think it's gonna help.
You and me, we're gonna go outside into the alley behind the hospital and you're just gonna kick my ass.
You're gonna knock the living crap out of me.
[Laughs.]
There you are.
I knew you were in there somewhere.
At the end of this day, good or bad, we're gonna go home together.
Whatever it takes to get him home.
I just wanna get him home.
- Um, two to three more - Thirteen is young for plastic surgery.
But your kid's not gonna grow out of it.
He's already gone through puberty, and his father's had the same condition his entire life.
If he had weight to lose, I would advise diet and exercise.
But your kid doesn't have a weight problem.
He has breasts.
He needs excision of the glandular tissue.
And yeah, it could wait till he's older.
But he's a dude with breasts and he's headed for high school and there's no reason he should be subjected to the psychological damage that comes from years of taking schoolyard crap.
You want your kid to be a man? Let him make his own decisions.
Any other questions? - Hey.
I got a page.
Is everything OK? - Something's wrong.
First, she had a headache and then I can't see.
Everything is blurry.
- OK, look right here.
- I am freaking out.
Tell me I don't need to freak out.
The left side of my body feels weird.
I thought it was because I fell asleep on it, but it's tingling.
- OK, squeeze my hand.
- She had knee surgery.
- What the hell is going on? - I don't know yet, but I'm gonna order a head CT, and I'm going to page for a Neuro consult.
Looks like you're gonna get to see another doctor today after all.
The minute I hand you this drill, you're on your own.
You may have hustled Dr.
Grey, but you better not have hustled me.
This is not a game.
This is a real brain.
I got it.
I'm ready.
[Drill whirring.]
Dr.
Shepherd, Lexie Grey is paging you for a consult repeatedly.
I'm in surgery.
Dr.
Grey? Well, are you sure? I wouldn't want to be over-confident.
- Cardio is not my thing.
- What? [Sighs.]
Neuro is my focus.
And this is cardiothoracic and I've had relatively little experience with cardiothoracic, and I'm pretty sure I'm gonna walk in there today and humiliate myself.
Or humiliate you.
Or Teddy, or the chief.
Really, anyone who could possibly be humiliated by my failure is gonna be humiliated today.
He was admitted two days ago.
Teddy could've convened a panel yesterday, but she didn't.
[Sighs.]
- She doesn't think he's a candidate.
- No, she doesn't.
So just say that, and you'll be fine.
Everyone will be fine, except for Roy, who will be dead.
Wow.
Way to kill a happy moment.
[Beeping.]
Where's Shepherd? I paged Shepherd.
- You got me.
- You her boss? There's something seriously wrong here.
I need you to go to the waiting room right now.
Right now.
[Nurse.]
Sir, come with me.
OK, um, she's post-op day two from a tibial plateau fracture.
She was fine all day, fine.
Then ten minutes ago, she started complaining of headache, blurred vision and tingling on the left side of her body.
I ordered a stat head CT.
I cannot believe that you're the Neuro consult! - Is she on blood thinners? - Yes, for DVT prophylaxis.
She's got a brain bleed.
Let's book an OR.
- How didn't I see this coming? - Did you check her platelets? - Yes.
- And everything was normal? - Until now, yes.
- OK.
You checked her platelets, you got a CT, you called Neuro, you did everything right.
The only thing you're doing wrong is standing around talking about it wasting time while we should be getting her to the OR.
You totally sounded like an attending.
Right? Let's page Shepherd 911.
- Great.
- [Pager beeping.]
Dr.
Shepherd, it's Dr.
Grey again.
Meredith Grey.
Just passing the ventriculostomy tube now.
- Almost there.
- Take your time, Dr.
Avery.
- You wanna make sure - Damn it! Damn it, damn it, damn it! Are you kidding me? Are you kidding me? What did you do? [Tube sucking fluid.]
And that is why the future of Ortho is in xenografting.
[Laughs.]
You think I'm nuts.
You're thinking, "I don't want some cow ligament in my leg.
- That sounds wacky!" - Is that supposed to be my voice? No.
That's the voice of the average baby boomer.
[Sighs.]
I was hoping for something more inspirational.
For For example, Dr.
Robbins suggested that we take Oh, yeah.
The tiny humans.
- What? - Arizona is nicer than I am.
- I'm sorry - She's more patient.
She went to Hopkins, she's more renowned in her field, she's a much better lesbian.
I mean, I was sort of a late bloomer in that area.
But she's got this whole circle of lesbian friends.
It's like this sub-culture.
And, uh, I'm always just I'm always just a little bit left out.
Just a little bit talked down to, because I have a long history of enjoying sex with men, which I don't think is something I have to apologize for.
Whatever, I'm just She's just She's - She's just better.
- So you want me to give Ortho a million dollars to level the playing field in your relationship? Also, for the xenografting.
Which, as I mentioned, is the future of sports medicine.
[Groans.]
Can I ask you something? Are you one of those, uh, you know, what do you call 'em When someone's really smart, like a genius, but they're a little different? Like they don't know how to talk to people? - Are you asking me if I'm autistic? - That's the word.
[Chuckles.]
Oh, come on.
You barely said three words all day.
Don't be offended.
You're a tough nut to crack.
I like that about you.
My daughter's the same way.
- Were you able to make contact? - Yeah.
She's not coming.
I'm not all that surprised.
Messy divorce, she sided with her mom.
I hate it, but I get it.
And life goes on.
So it's just you and me, sourpuss.
Dr.
Yang, the, uh, panel is gathering now.
- Yeah, I'll be right there.
- [Roy coughing.]
Hold on one second.
Hold on.
Here you go.
[Coughing.]
Thank you.
This is gonna go my way, right? They just don't send people home to die.
I want to live.
We'll let you know.
- Is there anything I can do? - I don't know, Avery.
Is there anything you can do? Thank you.
- [Meredith.]
Where are you? - [Derek.]
We're having a problem.
- I'm fixing it now.
- I've got a post-op Ortho patient on DVT prophylaxis with a subdural hematoma.
- Derek, she's got a blown pupil.
- I'm not gonna be there for a while, - so take care of it yourself.
- What? You wanted a solo surgery today? Now's your chance.
Take point.
- I need loops and a headlight.
- [Nurse.]
Here you go, doctor.
OK.
Scalpel.
[Pop music playing.]
If I root against him, that make me a bad guy? The patient's a child, Mark.
All right, Karev.
You got this.
If you don't, we're right here.
[Alex.]
All right, people, here we go.
Ten blade.
- [Song continues.]
- [Drill whirring.]
[Coughing.]
OK.
You're letting Kepner lead the transplant panel? Yang's been useless.
She's no better than an intern.
- Did you just stop that bleeder? - Uh-huh.
How did you even know to do that? - Hey.
Sorry I'm late.
- [Meredith.]
It's OK.
Lexie made a good call, I've got it under control.
- What do we got? - Let me finish, Derek.
I got this.
Yes, you do.
- I'm gonna find a cure for Alzheimer's.
- The cure for Alzheimer's.
- With a million dollars.
- With a million dollars, - it's a start.
- You're talking about a clinical trial? - A clinical surgical trial? - Yes.
Start-up costs alone, never mind the FDA, Derek Today, I watched Meredith perform an emergency craniotomy by herself.
She was perfect.
She's got her mother's talent.
She's got her mother's looks, Richard.
What if she has her mother's disease? Ellis was young when it started.
Every time Meredith forgets her keys or asks what day of the week it is, I When that million dollars runs out, investors are gonna throw money my way for the same reason I'm gonna throw everything I've got at this trial.
Because their dad has it.
Or their wife.
Breakthroughs don't happen because of the medicine.
Real breakthroughs happen because someone is scared to death to stop trying.
[Sobbing.]
They're gone? Well, there's some swelling, but that should go down with some time.
I don't have boobs.
- I don't have boobs? - You don't have boobs.
[Mother sobbing.]
- Mom? - She was scared.
Now, she's just happy you're OK.
- You're the man.
- No, you're the man.
Roy Henley has end-stage pulmonary hypertension.
He has reached the point of no return, and, at this point, nothing short of a lung transplant will save him.
Unfortunately Unfortunately, his cultures revealed that he has fungal pneumonia, his liver enzymes are worrisome, and on top of everything else, his creatinine clearance is only 75, which means that he is on his way to kidney failure.
The immunosuppressants after surgery could very likely kill him.
And so, with regret, I conclude that he does not belong on the waiting list.
Dr.
Kepner, if you don't believe he's a candidate, why in the world would you convene a panel today? That is a very good question, chief.
I did think that he was a candidate, earlier in the day, but the longer I looked at his criteria, - the more glaring it became.
- It became glaring, the more you looked at it? Well, also, uh, new facts came to light.
Um The patient has no support system.
No one to take him for post-op visits or make sure he complies with his meds.
Earlier in the day, he said he had a daughter, but later it came out that they're estranged.
- That's not a reason.
- [Teddy.]
Dr.
Yang? Do you have something to add? No.
You don't believe that having a support system in place is an important factor in this decision? It's one factor.
But this guy is borderline, that's why we're here.
We could talk about his criteria all day.
His creatinine clearance is low but not critical, and his fungal pneumonia is bad but treatable.
I mean, he's borderline.
But I've been involved in 27 transplant surgeries.
And every time, the patient's will to fight is just as telling and Roy has it.
If we give him the lungs, it won't be a waste, 'cause he will live.
I know it.
So how am I? What am I supposed to say to her? That I botched the insertion and then I punctured the vessel? - Or maybe that an error was made? - You don't tell her anything.
You made a mistake.
It happens all the time.
I had to yell at you because that's my job.
My job now Our job now is to go in there with smiles on our faces and tell her the surgery was a success, because it was.
- [Derek.]
Hey! How are we? - [Joanne.]
There they are! Our heroes! The ringing stopped.
It stopped! - That's fantastic news.
- And the kid did good, right? The kid did good.
I'm kissing you now.
'Cause I was wrong, but in this moment, I am in love with you.
Oh! Thank you.
[April.]
We were supposed to be a team today.
You told me what to say and then you just turned on me? I didn't plan it.
[Sighs.]
I'm not used to failing.
Neither am I.
You OK? All right.
I know you think recommending him was the wrong decision.
I'm sorry, but I just didn't agree.
Cristina, in a case like this, the right decision is making a decision.
That's what we do, that's the job.
You formed an opinion and you argued for it.
And you weren't alone.
The panel voted to put him on the list.
Congratulations.
You were a doctor today.
[Sighs.]
Talk to me.
Um, there is a broken CT machine in the basement.
Next to it is a broken argon laser and a broken fluoroscope.
I think a million dollars would repair all three of them.
And there might even be enough money left over to put a new nurse on the night shift, which is what our patients really need.
That's it? That's what you got for me? That's your best idea? This assignment couldn't have been clearer.
Inspiration.
Good old-fashioned competition, not you coming in here telling me I need to fix what's old and broken.
Um, I would love to go to Paris.
But you don't see me sitting around, planning my Parisian vacation.
It sounds nice, but I am a mother, and what I really need to do is get my kid to preschool, get the laundry done, put food on the table.
I can do a big tap dance here about how I'm gonna change the face of medicine with a million dollars, but you can't do anything with a million dollars.
A million dollars is nothing.
That's a dream.
This is real life.
Preschool.
Laundry.
Food.
I'm realistic.
Change the face of medicine.
We need to fix the medicine that we already have.
We need a new night nurse.
We need these broken machines repaired.
Let's not go to Paris.
Let's go to the grocery store, chief.
And while we're being honest, why are you wasting our time with this exercise anyway, when you and I both know you don't have a million dollars.
Well, things may be a little different around here in the next few weeks.
[Soft music playing.]
[Wheezing laughter.]
Look at that.
Now, I can't call you sourpuss anymore.
Give me your arm, Roy.
I have to draw some blood.
[Meredith.]
We all want to grow up.
We're desperate to get there.
To grab all the opportunities we can.
To live.
We're so busy trying to get out of that nest we don't think about the fact that it's gonna be cold out there.
Really freakin' cold.
Thank you, sir.
Congratulations.
Good job.
[Meredith.]
Because growing up sometimes means leaving people behind.
- Congratulations, doctor.
- Thanks.
[Meredith.]
Oh, damn it.
Where are my keys? - They're in your hand.
- Oh! [Meredith.]
And by the time we stand on our own two feet we're standing there alone.