Grey's Anatomy s07e06 Episode Script

- [Siren wailing.]
- [woman on radio.]
Incoming, car versus motorcycle.
Carjumped the rails, hit the cyclist head on.
37 year-old male, unconscious and unresponsive with an idioventricular rhythm.
Obvious head trauma, brain matter evident on the scene, 15 minutes out.
You heard 'em.
Somebody page Shepherd.
Let's move! - [Woman.]
Got it.
- We're on trauma rotation.
So it's our job to take point and assess each medical emergency as it comes in.
- [Woman.]
Let's get X-ray in here! - [Man.]
Retractor.
- Talk to me, Grey.
- [Meredith.]
Peripheral IV's blown, - pressure's plummeting.
- [Cristina.]
Running a code can be chaotic.
Sometimes the best thing you can do is know when to get out of the way.
- [Man.]
Someone page Dr.
Shepherd! - V-tach! - [Owen.]
No pulse.
Push one of epi.
- Starting compressions! - Give me those paddles! - [Woman.]
are wide open.
I was paged down to assess the patient's head trauma.
When they stabilize him, I'll go in, I'll do my stuff.
- Let's see what we have.
- [Meredith.]
Got a rhythm.
[Woman speaking.]
That's it.
He's basically brain dead.
Um, excuse me one second.
[Derek.]
We're still gonna have to cross match him.
- Yeah, of course.
- [Mark.]
Hey.
Hey, look at this.
Blood type's a match, skin's a match.
Age, size, gender, all matching.
- We got our guy.
- We got our guy? We got our guy.
You picked a good night to start filming.
- Yeah.
- This is gonna be fun.
[Man.]
We just got a call from Dr.
Sloan.
He said to hurry over, - so we got out of bed and came in.
- [Woman.]
Right in.
I was in such a hurry, I forgot my shoes.
Look, I still got my slippers on.
Ha! We've been waiting for this for so long.
Today's the day.
Today is my transplant day.
- Yay, Transplant Day! - I'm gonna get me some arms.
[Theme music plays.]
[Narrator.]
Seattle Grace Mercy West Hospital.
Home to some of the finest, most influential doctors in the country.
Several months ago, a gunman roamed these halls, leaving 11 people dead and even more injured.
Today, we visit the survivors, their patients, their triumphs and their disappointments.
This is Seattle Medical: Road to Recovery.
[Richard.]
Things have changed since the shooting, sure.
For one thing, over the last month, we have installed a number of new, uh, security measures.
We're trying to make it safer for the hospital, the doctors and the patients.
- [Lexie.]
Come on! - So, what We go through this every morning.
It's me.
I swear.
I just I have a different hair color, that's all.
It's Chief! Chief, would you please Would you come tell them that I'm me? Please? Um - Excuse me.
What's going on? - I just Every day.
[Laughs.]
Uh, we are fourth-year surgical residents.
And, uh, we're friends.
Good friends.
It's pretty impossible to work this closely and not become good friends.
[Woman.]
Can we call Respiratory to get a vent down here? He's tachycardic and hypotensive.
Decreased breath sounds on the left.
Let's get a chest tube.
- His blood pressure's dropping.
- Let's make sure [Cristina.]
Sure, going through something like that, it's brought us closer.
Not that we weren't close before.
I mean, ask anyone.
We're close.
Dr.
Yang and my wife sometimes have sleepovers.
In my bed, with me in it.
[Cristina.]
So, yeah.
Yes.
It's brought us closer for sure.
- He needs a thoracotomy.
- Right, right.
- Yes, please.
- [Man.]
I'll work the OR.
[Cristina.]
Where's that ABG? Sterile drape.
- Here.
Take over compressions.
Great.
- I'll get it.
[Alex.]
It's, uh, 7 am.
I've been here two hours.
My interns, they got here before that.
They check on the patients and report to me before I check on the patients, report to my attending.
Lily! I told you already.
- [Pop music plays.]
- Turn it down or put in the headphones.
The rest of us don't have Bieber fever.
- Whatever that is.
- [Turns music down.]
How have I changed since the shooting? Um I don't know.
Oh, I got this.
Today, I'm going back to Seattle Grace for my colostomy reversal.
Oh.
Babe, did we remember my robe and my fuzzy socks? Yes and yes.
If by "we," you mean me.
- Because you forgot.
- [Laughs.]
[Mary.]
I was supposed to get this surgery months ago but, well, the shooting happened instead.
- You have the parking ticket? - Yeah, in my pocket.
[Mary.]
I haven't been back to the hospital since that day.
I don't know how it will feel to be back.
That's right, it's Portman.
P- O-R-T-M-A-N.
And can you tell me where I can get this validated? - [Woman.]
I'll take care of it.
- Thanks.
[Mary sighs.]
[Mary.]
Hey, Dr.
B.
Oh! [laughs.]
Yeah, I don't generally make it a habit to hug my patients.
[Arizona.]
Yeah, well, when you get paged 911, you don't walk.
You never walk.
- OK, talk.
- [Rapid beeping.]
OK.
God, I can't get past the obstruction.
Damn it.
How long? - Five minutes.
- Damn it! Yes.
Yes, do it now.
[Rapid beeping.]
[Siren wailing.]
[Arizona.]
No, no, no.
Lily, Lily, I know, I know this is scary.
You stopped breathing.
And so we had to take you to the OR and put a tube in your neck to help get you air.
No, no.
You can't talk, OK? But we called your mom at work, and she's on her way.
Lily was admitted with respiratory distress last night.
She has a growth on her windpipe.
It's benign, except for there's nothing benign about something that's blocking your airway.
She's had surgeries to remove it in the past, but it's aggressive.
It keeps recurring, and, obviously, it's gotten worse.
- Much worse.
- [Alex.]
This is the nurse's button.
If you need anything, you push it.
I mean, push it a lot.
Don't worry about being annoying.
Push it till they come in here.
It's OK.
It's all right.
Here.
Not too loud, OK? [Alex.]
It happens more than you'd think, having to do a procedure on a kid with no parents around.
Some of these kids are in here for weeks.
Their parents usually can't take off that much work.
But, I mean, we try to help out.
We have these beds, we call them parent cots, for the parents to sleep in.
But a lot of these kids spend a lot of time alone.
Just works out that way.
Doesn't mean they're bad parents, they're just busy parents.
I found out last night that he had been in an accident.
Just before the phone rang, I had this sinking feeling.
Motorcycles.
[Sobbing.]
Donor cycles.
Isn't that what they call them? They called me in here because even though Sam is a donor, they need special consent for something like this.
I know Sam would want to donate whatever he could so, of course, yes.
They can They can take his arms.
Absolutely.
I have no problem with that.
Although it's hard.
The thought of somebody else [sobs.]
holding his hand.
See that? That could be a problem.
What if we try a bypass instead? [Mark.]
Derek and I? We go way back.
We grew up together, we went to med school together.
He's he's kinda like my better half.
Not the better-looking half, mind you.
[chuckles.]
So when I heard he got shot Every day we give bad news to patients.
We tell them their loved ones are hurt, or dying, or dead.
And for the first time in my life, I understood what that feels like.
Feels like [bleeped out.]
No, no.
You're thinking like a nerve guy.
- I am a nerve guy.
- It goes blood supply, then nerves.
Actually, it's tendons, then blood supply, then nerves.
Um, hello? What about the bones? [Mark.]
That's certainly something to take into consideration Um, we estimate the surgery will take anywhere from 15 to 20 hours.
We'll have two ORs going at once.
There'll be five teams of surgeons.
One team for each arm, and then a fifth just to harvest veins from the leg.
You know there's only been one successful bilateral arm transplant - in the country.
In the world.
- In the world.
I wouldn't go so far as calling us medical titans, but - [Owen.]
We are.
- [Mark.]
Not the first time I've been called a titan.
- [Laughter.]
- Uh, right now I am prepping the donor body to extract antibodies from his blood.
This is all in preparation for later, when we'll remove, uh, bone marrow from the donor.
And then we'll infuse the marrow into Zack to reduce the chances of his body rejecting the arms, which is huge.
More than huge.
[laughs.]
I mean, I'm no medical Titan, but [laughs.]
still, it's pretty damn cool.
Uh, yeah, Zack lost his arms four years ago.
It was an accident at work.
He is uh, he was a logger.
So it could have gone either way.
I mean, this thing could have come between us, or it could have brought us closer together.
And for us, I think it's brought us closer.
Literally.
I have to wipe his [bleeped out.]
for him.
- [Laughter.]
- OK, really? That's what you want to talk about in front of everyone right now? - I do.
- I'm sorry.
I'd cover my face, but I don't have any hands.
[Laughter.]
[Bailey.]
You been good since I last saw you? [Mary.]
Busy.
Bill and I left town right after the shooting, and pretty much never looked back.
So far, we've been to Paris, Morocco, Alaska, a cruise through the Baltic.
- What? - Blew through our savings, but, - hey, life is short, right? - Sure is.
Is there anything I'm looking forward to once my surgery is done? Babies.
Lots and lots of babies.
[laughs.]
Deep breath.
Another.
- [Alarm blares.]
- [PA.]
Enter security access code.
[Mary.]
[Bailey.]
- [Mary.]
You're sure? - [Bailey.]
I'm sure.
I'm sure.
I'm sure.
- I'm sure.
- [PA.]
Enter security There are some kinks with the new security system.
But there are always kinks when something new.
- [Alarm stops.]
- But we're working them out.
[Cristina.]
We got this, um, new state-of-the-art like, lockdown system [Meredith.]
To isolate different areas of the hospital in case of an emergency.
'Cause, um, supposedly, the last emergency, there were some people wandering around.
Even with the kinks, I think people feel safer, which is important.
- [Knocking.]
- [Door opens.]
Uh, sorry to interrupt, chief.
I just I got your page, - but, hey, I can come back.
- [Richard.]
Oh, nonsense.
Congratulations.
I just heard the big news, and I am so proud of you.
- Ah - Uh, our very own Dr.
Robbins here has been awarded the prestigious Carter Madison Grant.
[Arizona.]
Yeah, I haven't told that many people yet.
A Carter Madison Grant? Nobody wins those.
I mean, nobody normal.
Just those brainy scientist types who are from Germany and Sweden.
- Oh, my God! You won! Are you kidding? - Nope.
She is not kidding.
- Come here! - Oh, thank you.
[Arizona.]
No, I didn't apply for the grant because of the shooting.
There are major gaps in the care of children in developing countries.
Global health initiatives exist for things like malaria, uh, infectious diseases, immunizations, but not for pediatric surgery.
With this grant, I could start to change that.
Well, I applied for this thing two years ago.
I was a completely different person.
I was new here, um, a surgical fellow, single.
[laughs.]
But now I have people here, important people.
Which complicates things.
But this is bigger than me.
This is the opportunity of a lifetime.
So, yeah.
Of course I'm accepting the grant.
That just means I'm [sighs.]
moving to Africa.
[Narrator.]
Coming up on Seattle Medical.
[Teddy.]
How long has he been coding? [Lexie.]
Dr.
Torres? Have you seen this? [Gasps.]
Oh, no! Oh, no, no, no! [April.]
Something like this could ruin everything.
I mean, not just anyone is a good arm donation candidate.
Not every candidate wants donated arms.
Most amputee patients opt to continue using prosthetics.
Think about it.
We're attaching two cadaver arms to another living person's body.
That's the kind of thing that could really mess with someone's head.
Not to mention the rehabilitation time.
Recovery from something like this? - It takes years.
- The screening process is extensive.
We have to ensure that the recipient is stable, mentally and physically, determined, patient very patient.
And that's all before you can begin looking for an arm.
In this case, we've been looking for arms for Zachary for over two years.
It's been a long time coming.
- Um, Dr.
Torres? - Hm? Uh, you've probably seen this, but have you seen this? [Sighs.]
[Gasps.]
Oh, my God, no.
Oh, no, no, no, no.
OK, um, page Sloan.
Right now.
[April.]
A tattoo? It's just so unfair that something like this could ruin everything.
[Jackson.]
Hi.
Is it true? You guys are scrubbing in on the double arm transplant? [Laughs.]
- [Lexie.]
What's wrong with you? - Nothing.
What's wrong with you? Oh, no, yeah, it's a very real concern, actually.
The patient could easily reject the arms, not just physically, but emotionally.
The first ever hand transplant recipient ultimately asked to have the hand removed.
He said he couldn't connect to it, that it felt like dead weight sewn onto his body.
That the hand wasn't, and never would be, his.
Imagine looking at a tattoo of your donor's wife's name every day to remind you that these aren't your arms.
You're making me nervous.
What's wrong? Is there a problem with the arms? [Woman.]
Oh, God.
There's a problem with the arms.
Well maybe.
[Callie.]
Um There's a tattoo on one of the arms, of the name Nicole.
- I love the name Nicole.
- Me, too.
I love it.
- Couldn't love it more.
- I say we rename our dog Nicole.
I'm gonna name myself Nicole.
[Laughs.]
Change my name.
If it means I can still get those arms, Nicole is my new favorite name.
Yeah, [laughs.]
I was not expecting that.
He got that tattoo exactly one year after we met.
He took me to the tattoo shop and told me he was gonna get this tattoo to show me just how much he loved me, which is when I'm pretty sure I called him an idiot, or something worse.
You don't declare your love for someone by getting a tattoo.
You do normal things, like plan a nice date, or write a poem or, hell, drop down on one knee and propose.
You don't brand yourself with another person's name.
[Sobbing.]
Which is when Sam said, "OK.
" And he got down on one knee, pulled out a ring and proposed.
On the spot.
After that, every time, even if we were fighting or I was mad at him 'cause he forgot to take the garbage cans out or I'd catch a glimpse of that tattoo and I'd remember: This guy loves me.
Even if the garbage is gonna smell up the yard for a week.
He loves me.
Loved me.
[Alex.]
I don't even like kids.
Come on.
[Groaning.]
[Alex.]
Pediatric surgery has nothing to do with liking kids.
All right, Lily.
I need you to stay still, OK, or you'll mess up the test.
I'm gonna be right over there in that booth.
And that's how it goes.
[Sighs.]
Lily, you can't have this in the machine, OK? - [Whimpers.]
- I'm sorry.
Hey, look, guys, why don't you back off for a little while, OK? Hey, it's gonna be OK.
[Machine clacking.]
[Alex.]
You go into Peds because it's elite, hardcore, the best of the best.
[Humming, singing.]
[Alex.]
Did you know that there are only 38 pediatric surgery fellowship spots in the country? The country.
I mean, uh, to compare, cardiothoracic has 120.
Pediatric surgery is the elite of the elite.
So yeah, I'd consider specializing in pediatric surgery.
For sure.
But not because of the kids.
[laughs.]
Definitely not because of the kids.
[Singing.]
- [Man.]
Airway is clear.
- [Meredith.]
The truth is that it's actually a good thing that the shooting happened here instead of somewhere else, because we are better equipped to handle trauma.
We see trauma every day.
It's ourjob.
- [Meredith.]
We got a stab wound there.
- Yeah, I got it.
- [Man.]
My monitor.
- [Meredith.]
Oh, wow.
- Uh, he needs surgery.
- [Meredith.]
OK.
Let's pack it, - stabilize him and get him upstairs.
- [Cristina.]
Right.
Um There's another incoming trauma on his way in.
So I'm just gonna stay down here and handle that.
[Cristina.]
Yeah, I mean, trauma is a part of ourjob.
So improvising and thinking on our feet, that's what we're trained to do.
No, it's not strange Dr.
Yang isn't coming with me.
I was available, so I'll take this guy.
She'll take the next one.
It's first come, first serve.
Everyone wants to get in that OR.
We're surgeons.
We live to cut.
It's who we are.
It's not too late, you know.
We could move up our next trip.
Skip outta here and then just catch a plane tonight.
You've been fine this long without the surgery, you'll be fine a little longer.
[Bailey.]
Colostomy reversal is a very basic surgery.
On a typical day, I might do two or three in a row.
Uh, this was the surgery I was supposed to perform on Mary that day, the day That, um Anyway Um, medically speaking, she was getting a little stoma prolapse and some electrolyte imbalances, so it's good that we're doing the surgery now.
It's good to get it over with.
So we just got Lily's labs back, and I'm taking them to Dr.
Robbins.
They don't, uh - At least you could be happy.
- Well, I thought we were happy! - [Arizona clears throat.]
- Uh, should I come back? No, whatever.
We're done, anyway.
Uh, you have Lily's results? Well, it's her decision, obviously.
[Laughs.]
It's an incredible opportunity.
I mean, you don't just, uh, turn down a Carter Madison Grant.
Nobody turns down a Carter Madison Grant.
I I know that.
I understand that, I do.
I mean, if the situation were reversed [sighs.]
Actually, no.
You know what? No.
If the situation were reversed, I would turn the thing down.
I wouldn't even consider moving to another continent right now.
But I'm not her.
So, uh, like I said, it's an incredible opportunity.
[Callie.]
Hope you've got that bone saw ready, 'cause I am really in the mood to cut off some arms.
[Arizona.]
Unfortunately, because of her prior surgeries, Lily has fistulas that make removing her tumor that much more difficult.
The tumor is now so large that it's impinging on her airway and esophagus.
Removing the tumor would mean removing Lily's entire trachea, which means Lily wouldn't be able to breathe.
- At all.
- [Alex.]
The other thing that's changed for me most since the shooting is that now I feel like there's always something that we can do.
'Cause I should've died.
I was shot point-blank.
So, uh, there's always something that we can do.
[Sobbing.]
So you're saying that if you operate, it's a death sentence.
And if you don't operate, it's a death sentence.
So, in a few minutes, we'll be ready to completely detach the arms - from the donor.
- Why use zigzag incisions? - [April.]
To get maximum exposure.
- Good.
See what I'm doing here? I'm tagging each vessel, artery and vein so we know exactly how to hook them up to the recipient.
It's kind of like the back of your TV.
You need to know which connection goes where or you wind up with sound and no picture, or picture and no sound.
[laughs.]
[Saw whirring.]
[Callie.]
The minute we remove the arms from the donor, the tissue starts to die.
So we have to work fast, really fast.
We have a very limited window to complete this part of the surgery.
[Owen.]
OK.
OK, let's get started.
You don't understand.
I was sent to get coffee for Dr.
Sloan because he needs his caffeine.
Right now.
To get through the most amazing surgery that is happening right now in OR 2.
So I'm pretty sure it's not OK to be late for the making of medical history, so you need to let me through, OK, to get to that surgery, to get Dr.
Sloan his caffeine, to witness medical history being made.
- I My ID is valid, I promise! - [Man.]
Let me take a look.
She swiped it a couple of times and it didn't go through.
- [Man.]
Go! - [Alarm blaring.]
- [PA.]
Enter security access code.
- [Man.]
Hey! Hey! - [Alarm blaring.]
- [Man.]
It's yours now.
[Jackson.]
Nurse! Come here! Call maintenance! [Nurse.]
Dr.
Avery, Dr.
Avery, your patient! [PA.]
Enter security access code.
[Coughing.]
- Enter security access code.
- [Nurse.]
Dr.
Avery, hold on! Dr.
Avery! [PA.]
Enter security [April.]
So we're about nine hours in.
Dr.
Torres has finished attaching the donor arm bones to the recipient with titanium plates and screws, and now they are beginning to attach the tendons.
[Mark.]
[Owen.]
I'm on it.
[Derek.]
[Callie.]
[Derek.]
[April.]
Look that that! - Where have you been? - [Lexie sighs.]
[Derek.]
How's getting shot changed me? Um, I don't think I love my job any more or any less.
Um, I don't think, um I'm a better doctor, or worse.
Uh, if anything, it's made me grateful to be here.
So, yeah, getting shot has changed me in the sense that I feel lucky.
[Mark.]
We've reconnected the arteries and veins.
But we need to check the circulation before we continue.
[Derek.]
What we're gonna do now is release the tourniquets, one arm at a time, and then look to see if the blood flows into vessels.
- [Callie.]
OK.
Moment of truth.
- [Mark.]
Releasing the tourniquet.
- [Callie.]
Arm's pinking up! - [Derek.]
Good.
[Applause.]
[Mark.]
The commute's tough.
We've been coming here since Lily's tumor got diagnosed three years ago.
It's just the two of us, just Lily and I.
We live over three hours away, so it makes it difficult for me to come more than twice a week and weekends.
I hate leaving her for that long, but I just want what's best for her.
I want her to live.
Dr.
Robbins came to me and she said there might be something they could do for Lily after all, something experimental.
Um, that's why you come to a place like this, you know? Because even if it is a commute, three hours on the road, it's nothing if it'll save Lily's life.
[Arizona.]
We've completed a stent to temporarily help Lily breathe, and now we're gonna remove part of her twelfth rib.
[Richard.]
[Alex.]
[Richard.]
[Alex.]
See? It's just one more example of how our doctors here rise.
First, a Carter Madison Grant winner, and now, cutting-edge regenerative medicine.
[Arizona.]
Well, there's no artificial replacement for a trachea.
We know that.
Then I remembered a study and I thought, "Well, what if it isn't artificial?" We're gonna use some of Lily's own cells to manufacture her a new trachea.
Grow it in the lab.
Remove the damaged organ, replace it with a newer model.
Outstanding.
Absolutely outstanding, Dr.
Robbins.
Let me in there.
Move.
Avery, Avery! Avery, look I was waiting in radiation.
How's the patient? Damn it! How long has he been coding? [Jackson.]
Avery, you're gonna break his ribs.
[Jackson.]
OK, OK.
OK.
OK.
The new security system? Yeah, I'm not a fan.
Compressions only last for so long.
So you call whoever you need to call, you override whatever you need to override, and you open the [bleeped out.]
door before I report you for the wrongful death of a patient! Avery.
Avery, it's OK.
Just hang in there, OK? Avery You can stop now.
Someone else can take over.
[Voice fading.]
Avery, look at me.
Look at me.
You can stop now.
Avery, Avery.
It's OK, it's OK.
[Jackson.]
It's been, uh hard since the shooting.
I, uh I lost some friends that day.
[Woman.]
You learn to think about things differently.
Like, um, buttoning a button.
You can't do that, you know, even with the hooks, so you know, I just buy Zack t-shirts and hoodies.
He can usually get those on by himself, by using his hooks and his feet.
I help him bathe in the morning, and brush his teeth and shave.
It took me a long time to get the hang of that.
[laughs.]
But it's all in the wrist, I've learned.
[Sighs.]
And it's late.
I thought I would have an update by now.
So, what's the big deal? You'll visit her, she'll visit you.
- It's just a plane ride.
- Can we not talk about this right now? [Owen.]
Arm's getting cyanotic.
[Mark.]
The vessel attachments are all good.
[Derek.]
[Callie.]
Picture.
We got picture and no sound.
[Mark.]
Excuse me? [Callie.]
Move over.
Just move over.
Any update? - What? Just tell me.
- Um There was a possible complication with one of the arms.
Complication? There's a clot and they're trying to restore blood flow, but He could lose it, couldn't he? One arm is better than none, right? - [Derek.]
Do you need help? - [Mark.]
I could retract that for you.
- You want me to patch that? - [Callie.]
Gimme a second.
- Are you sure you don't want me - Give me a second! I know what I'm doing.
I just need a second.
Everybody shut up.
[Callie.]
OK.
All right.
There.
Picture and sound.
I think.
[Indistinct chatter.]
[Callie.]
- [Derek.]
That's good.
Nicely done.
- [Mark.]
Perfect.
[Alex.]
Basically, we break the cartilage down to a cellular level and turn it into a protein liquid.
We build a scaffolding to hold the liquid.
And we cook it in an incubator to let it grow.
This is the incubator.
We're gonna grow the trachea in here first.
Then, once it's big enough, we're gonna insert it into Lily's abdomen till it gets stronger.
It'll be there a few months.
Then we'll take that new trachea and replace her old one.
Some might say that a shooting would set people back, then you look at residents like Dr.
Karev, and attendings like Dr.
Robbins, and you see their innovative thinking, their resilience.
You see them becoming reinvested in medicine.
It's inspiring, isn't it? [Bailey.]
I've mobilized the two intestinal segments, and I've stapled, and that's it.
Textbook.
In and out in an hour.
Time to close.
It went well.
Mary's being wheeled into recovery right now.
- So it's over? - It's over.
Oh, God.
- Oh, thank you.
- Oh! Thank you.
Thank you.
- [Gasps.]
- Oh! [Bailey.]
This is one surgery I am happy to have finished.
Tonight? I may very well take the night off.
Go out.
Maybe have a drink.
[Laughs.]
Who knows? [Sighs.]
Oh! Gentlemen and lady, we gave a man arms today.
- All right.
- I think of it more as I gave a man arms today, the rest of you just helped.
Another round for everybody but my friend here.
That's a nice shirt, by the way.
Where'd you get that? - The special Titan store? - You saw the way she saved that arm today? You wanna hear something funny? She hooked up my TV, I'm still only getting sound out of one speaker.
[Laughter.]
[Alex.]
So I'll have to irrigate the trachea with this protein mixture a few times a day every day for the next few weeks.
Which means I'll pretty much be living in this hospital to make sure it gets done right.
That's my priority, is to make sure this trachea grows.
And it's my focus.
I'll basically be eating, breathing and sleeping trachea for the next month.
Do people treat me differently now, after the shooting? Uh, well Um, I mean, yeah.
You're here filming me, so I mean, people like to say what I did was heroic, but it wasn't.
It was just a thing I had to do.
I think people like to have a hero.
[Stammers.]
And it makes them feel better, to think that there in the middle of all that horror, that there's someone special working medical miracles.
But I I mean, I don't have super surgical powers.
I mean, I'm I did what Cristina is a hero.
Especially to me.
The truth is, is most surgeons could not have done what she did that day.
- If you had seen - Stop it.
- If you had seen - Stop.
Please, just can you Can you just stop this? Can we cut? [Richard.]
Just doing a little construction.
Things are always evolving around here.
For the better.
Always for the better.
- [Man.]
Whoa! Hey! - [Crashing.]
- How'd you let that happen? - I don't know.
- You get it cleaned up.
- You guys all right? Hey, let me give you a hand.
Yeah, he already has some feeling at the tops of his new arms.
Look.
Ow! Watch this.
Not bad, huh? Look, right there.
You can barely even see a scar where they put the tube in last month.
And now I'm back today to get my new trachea sewn into my belly.
Dr.
Karev calls me the human incubator.
He's been sending me photos from the lab of my new trachea.
See? Look at that right there.
It's really grown.
See, right there I always figured I'd grow up to be a rock star, but I might consider being a doctor now, too.
I mean, Dr.
Karev is pretty cool.
Check it out.
Home-grown trachea.
Whatever you do, just don't screw around and mess up my trachea, OK? I mean it.
I know you think you're a rock star, but no mosh pits or crowd surfing.
I mean, Lilith Fair is OK, but No drinking or drugs or smoking or driving drunk or giving your number out to guys you don't know.
Um - You get that I'm nine? - [Chuckles.]
[Soft music playing.]
[Arizona.]
Well, I really can't believe it.
[laughs.]
The big move to Africa is really just around the corner.
Yes, I would say things are better between us now.
And yes, we worked it out, even with Arizona moving to Africa.
The fix was, uh, pretty simple, actually.
I'm going with her.
[Clears throat.]
Got you some new flowers.
Um Yellow ones today, um, don't ask me what kind.
I have no idea.
They're, uh they're pretty, though.
Just like you.
It's rare, but sometimes patients do not wake up from surgery.
With every surgery, there is a risk.
In this case, the post operative CT showed no sign of stroke, no acute bleed.
We've run PET scans, MRls, tried fluids, pressors.
Basically, that's what I have to go and talk to Bill about today.
Mary has been in a coma since her surgery.
There's no sign of brain activity, and now she's septic.
Her organs are failing.
Best-case scenario um, she'd regain some function and wakes up with extreme deficits, mentally and physically.
But the chance of her waking up at this point It's hard.
To imagine someone surviving a crazy gunman, and then not to survive such a simple surgery.
[Bailey.]
I have to go and tell Bill that it's time.
He has a decision to make.
Hi.
We went through the scariest thing a person can go through, and we survived.
So now, every day is just a gift.
And we're all just blessed.
Blessed to be here, blessed to be doing what we do best, which is saving lives.
Every day.
One life at a time.
We're healed, so we can continue healing others.
[Man.]
Is there any one thing you'll take away from all of this? Being a hero has its price.