Grey's Anatomy s14e18 Episode Script
Hold Back the River
1 Previously on "Grey's Anatomy" - Ollie.
- Hi, Richard.
You got me sober, Ollie.
You walked me through it, and I'm gonna walk you through this.
I have my polymer, and I have your science.
The mini livers will be known as the Cerone method.
Hello, good morning, how ya doing? MEREDITH: Life doesn't owe us a thing.
It just is.
OJ with a champagne tune up Hell yeah, it's a new hallelujah Popping like the top off a bottle And I ain't stopping, yeah Baby, it's a brand-new day Ain't no clouds hanging over me Something doesn't feel the same The rest of my life gonna start today Good morning Na-na-na-na-na Good morning Na-na-na-na-na Good morning Na-na-na-na-na Like a river, it goes where it goes.
Calling out the ocean, this is evolution, can I Grow into another animal? A next level I'm spreading wings and I just wanna sing I got a present for you.
What? A present? What for? In the future, now the past can't harm me Forget about yesterday, Paul McCartney Oh, my God.
What is this? I'm feeling like a Beatle on stage And the whole wide world's gonna know my name Baby, it's a brand-new day It's for your your heart pills, your statins, all that.
Now you can take them anywhere and no one needs to know.
The rest of my life gonna start today Good morning Na-na-na-na-na Good morning Na-na-na-na-na You can try to fight against the current The rest of my life gonna start today Ladies and gentlemen, this part right here is very simple It goes like this - I've been up - Been up - I've been down - Been down But I got the feeling right now - I've been up - Been up - I've been down - Been down Or you can learn to ride it.
But I got the feeling right now Na-na-na-na-na Good morning As surgeons, we dedicate ourselves to an endless fight against the current.
Jimi Hendrix died.
No! That happened kind of a while ago.
No, Jimi Hendrix is a liverless mouse.
Hmm.
I thought he was a guitar genius.
We're trying the seven different polymers that I found to see if any of them can be used instead of Cerone's.
And we named the mice.
It's easier than numbers.
And now Jimi Hendrix is dead and Elvis is Has left the building.
Anyway, Hellmouth is watching them now.
You have the next shift.
I mean, we really have to come up with something - if we're gonna - Beat Marie Cerone! No.
Save lives! If we're going to save lives, Wilson.
You can't give up that easily.
It's been four days.
You can call her.
It isn't easy, and Teddy doesn't want to hear from me.
Can't you just trust my judgment on this? What are you - No, no, no, no, no! - [RINGING.]
Dr.
Altman! Amelia Shepherd, did I catch you at a good Great.
So I'm standing here with Owen and - [SIGHS.]
- Uh-huh.
Uh-huh.
Totally.
I would just like to add Uh-huh.
Uh-huh.
[SCOFFS.]
Yeah, good talking to you.
Yeah, that's not happening.
Sorry.
- Hmm.
- Hey! Oh, my God, I never got to ask you how it went with Teddy.
It went great! Well, at least it didn't go badly.
[SIREN WAILS.]
WOMAN: [SPEAKS INDISTINCTLY.]
MAN: Okay.
I'm gonna let the ER know.
Hey, lookin' good, Warren! - Feelin' good, Dr.
Webber! - Uh-huh.
67-year-old female, collapsed at an AA meeting.
We bagged her, got her breathing again.
Then discovered her DNR bracelet.
- Uh-oh.
- Yeah, she was not happy.
Anyway, she asked for you said you were her personal physician.
Hey, Richard, don't worry, I haven't been drinking.
Cross my heart and hope to die.
Ollie? So, just to be clear, these ultrasound waves, they go right through the skull and everything? You don't cut him open at all? Exactly, right.
The waves meet directly on Noah's tumor.
All the energy is focused there.
Imagine it like using a magnifying glass to burn a hole in a leaf.
Okay.
And the risk? I mean, I know I keep asking, but Well, there's always a risk, but since the procedure's completely non-invasive It's very dangerous.
It's difficult to control the heat that is generated, so the procedure is slow and risky.
But it's also his one real chance.
In the next few weeks, the laughing fits are going to increase as the tumor presses against his brain stem.
In better news, we are excellent at what we do.
And we want this to work almost as badly as you do.
[LAUGHS.]
[SIGHS.]
That was harsh.
And I was thinking it wasn't harsh enough.
I didn't tell her that her son is basically a guinea pig.
Well, I'm gonna tell Kimmie it's on.
- Don't oversell it! - Wait, is that a yes? - We're on.
- Okay, you know, important decision what are we calling this? I'm thinking "The Koracick Method, featuring Amelia Shepherd.
" You're distastefully cheerful.
Uh, because this is the frontier! I could scoop out brain tumors like I'm balling melons, which is my second favorite kind of balling.
Look, we're so far out on the edge of medicine, no one's ever been there before.
Aren't you pumped? This is like crack for you.
Or melon balling for me.
Wait, where's, uh, Bello and Blandrew? I gotta [SIGHS.]
So, this is good news? It's amazing news.
I mean, look, I-I don't want to get anyone's hopes up too high, but this procedure today is a really big step towards getting Kimmie back out there and singing her face off.
Won't I just be back in here in nine months with a new tumor? I mean, it's not a cure, right? You know what, let's take this one step at a time, Kimmie.
I'm I'm so sick of hospitals.
I just want to go back to school, see my friends.
Do the spring musical.
Oh, sweetie.
Kimmie, I need you to Did I tell you my friend invited me to go with her family to New York this summer? They're getting "Dear Evan Hansen" tickets.
I mean, maybe I could last that long [SIGHS.]
Isn't this below your pay grade? I hope you're not giving me special treatment because I'm your sponsor.
Okay, here's the deal my liver has survived much longer than it ever should have.
There are multiple options for combating liver failure.
Did you see my nice fat ankles, Richard? And my lovely ghostlike complexion? Surely you heard it in my heart.
I have cardiomyopathy.
My dying liver is killing my heart and my heart is killing me.
I have reached my expiration date.
When did you decide on the DNR? [SIGHS.]
Eight months ago, along with an advance directive.
- No intervention.
- Eight months! We talk three times a week.
Sometimes three times a day! How could you not tell me this? I wanted to, many times.
But you know how this works something goes bad for you, you call me.
Something goes bad for me and I call my sponsor.
And here I thought we were friends.
Give me a break.
You're acting like a pouting teenager.
We're more than friends, Richard.
I I didn't know how to sponsor you through my death.
Good news you're not gonna have to.
Because I'm not gonna let you die.
WOMAN ON PA: Maintenance to 4 West nurses' station.
Peggy, Dayna, hi! Oh, hey, Dr.
Robbins.
Hi.
Hey, what's going on? Is the baby okay? Oh, yeah, she's fine.
That one, not so much.
Oh, I'm a mess.
[SOBS.]
Peggy was driving and Dayna She puked all over me.
Like power-puked.
And then I swerved and You hit a tree at 30 miles an hour.
All the airbags went off except for Dayna's.
Ouch.
Did you hit your head? No.
My ribs feel a little sore.
[CRYING.]
- It's okay.
It's very common to have a release of emotion after an accident.
Especially once the body knows it's out of harm's way.
[LAUGHS HARSHLY.]
"Out of harm's way.
" Babe.
I have stage 2 breast cancer and I just had my second round of chemo.
That's why I got sick.
So, the harm is most definitely still in the way.
[ELEVATOR BELL DINGS.]
MAN: Uh, yes.
Uh, are you sure this is your stop? Well, maybe not.
JACKSON: Maybe not, huh? Sorry I haven't been able to get free.
Harriet's, uh, teething and, you know, April's still Please do not apologize for taking care of the people you love.
[ELEVATOR BELL DINGS.]
[CLEARS THROAT.]
[SIGHS.]
Thank you very much.
Okay.
Have you talked to her yet? I'm gonna try again today.
Koracick.
April.
Please, we had sex.
Call me Dr.
Koracick.
Um Um, can I talk to you? I'm I need to say something to you, and it is not easy for me.
Oh.
Well, l-let's make it easy.
Just picture me naked.
[CHUCKLES.]
Tom, I, um what I was trying to say is that I was horrible to you.
And you were kind, and you were vulnerable and I was Just using me for sex? Yes, I was just using you for sex.
And I am sorry.
I am sorry for that.
Look, no.
I love being used for sex, Dr.
Kepner.
You can use me for sex, uh, any time you No, I didn't I No.
Oh, you you made up with God? Well, for whatever it's worth, uh, I'm almost certain God approves of you using me for sex.
[CHUCKLES.]
I don't know why I'm so upset.
Dr.
Hanson told me I'd be nauseous.
Remember what else Dr.
Hanson said stay positive, because you're gonna get through it.
He promised.
Promised, did he? Yeah, he has the proof to back it up.
His success rates are amazing.
He cured my friend Lucille without surgery.
You must know him Dr.
Scott Hanson Ow! - Sore there? - Ohh.
Uh, afraid I don't know him.
Oh, my God, you need to be sending people to him! He sounds amazing.
Let's get Dayna up for a CT.
And, Peggy, we have a waiting room for you to relax with the baby, okay? Okay.
If I ever hear you use the word "cure" and "promise" when speaking with a cancer patient, your medical career will be - as short as you are.
- Yes, sir.
Call Dr.
Hanson's office, get me her medical records, okay? [MONITOR BEEPING.]
So we monitor from inside the room with him? - Mm-hmm.
- This is so cool.
We're at the edge of the cutting edge.
And hopefully we don't melt Noah's brain stem.
[SIGHS.]
This is exciting.
It's incredibly exciting.
It's why we do this, right? [KNOCKS ON GLASS.]
Come on! You You know I love doing that, too.
"Important" isn't quite a big enough word.
But, I mean, normally, I would take care of this personally, but, uh she's more like family to me.
- We get it.
- Of course.
Hey, you! Yeah, you, the old one.
Get in here.
Uh, give me a minute, will you? Uh, how you feeling? I need your advice on something.
When your physician refuses to honor your request for "no medical intervention," what's the protocol? Do I ask to speak to his superior? Well, I'm married to the head of the hospital.
And I mentored the chief, so good luck with that.
Okay, so I guess I'll have to resort to more extreme measures.
Mm-hmm.
And what might those be? How does "recovering drunk" go over in the medical community? Good? Because I will break your anonymity to any doctor you send in here.
Uh, this is Dr.
Meredith Grey, and this is Dr.
Maggie Pierce.
- So nice to meet you.
- The famous Meredith and Maggie.
I can't tell you what it means to meet you both.
I've asked them both to come up with every possible option to take care of you.
And like you, I trust and respect these two women completely.
So, anything you have to share with them, you have my complete blessing.
[MACHINE WHIRRING.]
Are those sound wave readouts? KORACICK: They're microphones inside the helmet listening for popping sounds.
SAM: What would popping sounds mean? They would mean that his brain is boiling.
It's getting hotter.
Hold off.
How long? Until it stops getting hotter! Okay, we're getting awfully close to a cavitation event.
If we go much longer, he will develop hyperemia.
Yeah, but if we don't separate the tumor from the brain stem, he may never wake up again.
- Well, what what should we - Stop! Stop! It's too hot! [WHIRRING FADES.]
Okay.
All right, th-there's nowhere for the h-heat to disperse.
This This could take a while.
OWEN: Schmitt, when I ask you to get Dayna's medical records, it means come back with her medical records! I'm not sure what to do.
They just said they couldn't release them Just Just call call again, and make sure they know it's emergent, and also make sure they know it's Grey-Sloan.
Ah.
Don't take it out on the poor interns, Owen.
- Wait, what? - I talked to Teddy.
Look at this scan.
I can't believe you.
What were you thinking? You double dipped within 24 hours of - Would you just look, please?! - Ugh! There's no broken ribs, and I don't see any internal injuries.
What else don't you see? Wait, what? Exactly.
Well, show me the sagittal views.
Now, I will bet my license this woman does not have cancer.
You know, when a person's been sober a long time, and they lose their sponsor, it's hard it's hard to get a new one.
It's hard on the ego to even have to ask.
And recovering drunks, as a rule, we're not all that fond of change.
But Richard will need a new sponsor.
Let's not get ahead of ourselves.
All right, we still have a few more tests to run.
Don't give up hope just yet.
Oh, honey, I'm all hope.
Hope of moving out of this old, broken shell of a body, into whatever comes next.
Hope of feeling like I did when I first got sober.
"Happy, joyous, and free.
" I don't need hope.
I need acceptance.
From Richard.
I need to know that he's gonna get through this without a bottle.
Can you work that up for me? Dr.
Midvad to Cardiology.
Dr.
Midvad to Cardiology.
Owen.
Hey.
I saw you admitted my rule-out appy I'm sorry.
Why? What happened? I, um Owen, I want to apologize for my behavior lately.
At trauma cert day, and actually a lot of days.
I was, uh I was going through a thing.
And I-I'm really sorry that I worried you.
Hmm.
Well, I forgive you.
Completely.
Because you're a good person, April, a very good person, and you don't deserve to be crucified for one bad move.
Great.
Thank you.
- Sure.
- Thank you so much.
My pleasure.
- Hey, April, you got a sec - No, I'm sorry! Busy! You've got to be kidding me.
They said their systems are down.
All medical records unavailable.
[SIGHS.]
Okay.
All right.
I'll take it from here.
Thank you.
Dr.
Ryan to the ER.
Dr.
Harry Ryan to the ER.
Hey.
I talked to Dayna.
She was referred by a friend in the exact same situation inconclusive mammogram, and then she needed a second opinion.
And did you tell her that she is cancer free? No.
No.
We have one scan and we don't have any of her prior records.
Two chemo treatments? That really would be a miracle cure.
This guy there's something really wrong here.
Well, maybe she was just misdiagnosed.
Sometimes good doctors make mistakes.
Why are you defending this guy? Why are you attacking this guy? You have been so angry all day long.
Maybe it has something to do with the fact American Society of Clinical Oncology.
Yeah? Guess who is not a member? [SIREN WAILS IN DISTANCE.]
[GROANS.]
I am tore up from the floor up.
I mean beat up from the feet up.
- Come here.
- Ohh.
I don't think I'm even gonna put anything on.
Oh, here, let me get the light.
Oh, yeah.
Okay.
Uh, here, maybe I can, um help sooth some of your tore up? [SNORES.]
Ben? Uh [SIGHS.]
[MACHINE WHIRRING.]
Vitals? Stable, but the skull temperature is spiking again.
We're approaching the upper limit.
Okay, that's it.
We're done.
No.
I want to let it cool off again and then do another round, - make sure the tumor's all gone.
- We have to stop now before we turn the inside of Noah's head into stew.
- No, one more round.
- Dr.
Shepherd, let it go! Time, it takes some time But when that's all you got, it eats At the corners of your mind - But we might have saved him, right? - Words Well, we'll know as soon as the kid wakes up.
Spoken low If he wakes up.
Whispered quietly as if Welcome to the frontier of medicine.
They're in a language only you and I could know We have reviewed every option.
And, um, there are some things that we could try, but honestly, Richard, Ollie doesn't Ollie has had enough for today.
So, I think what we should do is, let's get her hydrated overnight, and we can run some more tests in the morning.
Um, okay.
Right.
Uh, I'm gonna keep an eye on her, and don't you two go far, either, okay? Nope.
We'll be right here.
Tell me you see what's happening here.
We cannot go against Ollie's wishes, even if it upsets Richard.
The last time he fell off the wagon, he nearly lost everything his career, his marriage.
Um, - I can't even picture him drunk.
- [CELLPHONE RINGS.]
- Trust me, you don't want to see it.
- Where's Catherine? - In Boston.
Maybe we can get her back by the morning.
Can you get on that, please? Jerry Garcia needs me.
Won't let go of me [MOUSE SQUEAKS.]
[SIGHS.]
Jerry? We have three left.
And big companies like Cerone's always move slowly, so For the last time, this isn't about Cerone! It's about Olive Warner.
And all the other Ollies that we could save if we could just work faster.
Damn it.
You two should go home.
I have to stay here tonight anyway.
No, no, no.
I'm staying if you're staying.
Me, too.
Deep in the ground Can't bury it down I let it go but it won't let go of me Won't let go of me Nothing? No change.
What did we do to him? Come on, kid.
[CELLPHONE VIBRATES.]
Noah? He's still not awake.
- [GROANS.]
- Damn it.
You just assume, since you're working with the great Amelia Shepherd, it's all gonna work out.
Hey, there's still time, okay? Ohh.
We spent the night here.
Gross.
I don't know.
It's not so bad.
[SCOFFS.]
Oh, my God.
What? I've I've never been to your place.
You You You never talk about your place.
Uh, well, what No, no, no! What are you doing? No, no, no.
Sam, stop! Stop! What the hell, Andrew? Okay, you got me.
I'm in between places, that's all.
I was staying with Dr.
Robbins, and then she started sleeping with my sister.
So then I moved in with Dr.
Hunt, but then he started sleeping with my sister.
[LAUGHS.]
Now you're laughing at me.
Great.
You're living in the on-call room.
Yes.
Move in with me.
A-Are you serious? - Hi.
- Hi.
Hi.
Arizona Hunt.
This is my husband, O-Otis.
Um, I called this morning? Fill this out and we'll call you when Dr.
Hanson is ready.
- Great.
Awesome.
- Thanks.
Suddenly we're a married couple? With an appointment? What happened to "good doctors make mistakes"? His Yelp reviews are all five stars.
Well, that sounds like a good thing.
No, it's too good to be true.
People go to Yelp to complain.
Nobody gets five stars.
I don't get five stars.
You sure don't.
So now this is your idea and it all makes sense to you.
You You really are like my other wives.
I figure if he doesn't know that we're doctors, he's likely to give more away.
Hmm.
Nicely done, Mrs.
Hunt.
[CHUCKLES.]
You know, I'm just gonna You get three and a half stars.
- What? - Same as my dry cleaner.
Wow.
Dr.
Teller, extension 2219.
Dr.
Teller, extension 2219.
[KNOCK ON DOOR.]
Hey, you okay? I just spoke to Catherine, and she wanted me to Oh, so Catherine's asking you about me.
You'd like it if Ben asked me about you? Ben Warren can stick it in his pill box.
I've spoken to Ollie nearly every day for the past 20 years.
More than I've spoken to anyone else in my life.
More than my parents, Adele, Catherine.
She's the keeper of my secrets.
She's She's how I feel God's presence.
You've got an awfully big village of people here.
You know that.
Yeah, I know I do.
Dr.
Kepner? Can I place an art line in Trauma 4? - Yes.
- Thanks.
Also, I am sorry.
What? Um, I was not entirely fair to you on trauma cert day.
Your work was particularly impressive, and I may not have made that clear on the day in question.
Thank you.
I just I just thought you might be, you know I might be what? Um, you know, like, having a nervous breakdown? Oh.
Oh, uh, I didn't take it personally.
Good.
Great.
Great.
Thanks for that.
- And we will not speak of this again.
- Right.
Schmitt.
I'm sorry! What? For what? What? I I don't know.
I'm just really sorry.
Uh apology accepted.
[CHUCKLES.]
The truth is we don't have any good options.
We could put you on liver dialysis, but that would cause a real strain on your heart.
Mm-hmm.
We could try an LVAD, but the long-term prognosis is very poor.
Who saw this coming? Hey, it's better to have a chance at a good result than a guarantee of a bad one.
By whose definition? Do you think that when I found out I was dying, I was just, "Oh, well, that's life for you"? Coming to terms with this was the second hardest thing I have ever done in my life, and now I'm at peace.
Or at least I was.
The one thing the only thing stopping me from moving on to whatever comes next is one childish, stubborn, nagging problem.
You are driving me to drink, Richard Webber, and I'll be damned if I don't leave this world sober! Well, if I'm the only thing that's keeping you alive, then I guess I'm doing my job! Please tell me you have good news for me.
My mom's Boston patient had post-op complications, so she had to stay back and see it through.
Dr.
Ryan, call the psych unit.
Dr.
Ryan, call the psych unit.
I'm the one who's gonna have to tell him, aren't I? [SIGHS HEAVILY.]
How do you tell somebody something that they already know? I mean, this isn't rational, it's just pure emotion.
Hmm.
How can I What can I say that would possibly change his mind? Believe it or not, - I know exactly how that feels.
You do? Mm-hmm.
That's how I felt when your mother was dying.
Look, I can go with you.
Be there with you when you tell him.
Let me help.
You helped.
I have to say how refreshing it is to have a couple come in together.
You'd be surprised how many husbands don't even want to come into the office, much less the exam room.
- Hmm.
- Yeah, yeah.
It's just we're we're really close.
Right, honey? - Mm-mm-hmm.
- Mm-hmm.
Well, right breast looks nice and healthy.
- It's not - Oh, okay.
any problem there at all.
Yeah, more often than not, these inconclusive mammograms turn out to be nothing.
But, you know, better safe than s Yeah, this looks slightly less than good.
Unfortunately, I am seeing a solid lesion in the left breast.
Hmm.
So, I I definitely have breast cancer, huh? Hey, uh, can you show us what that looks like on that machine there, Doc? Yeah.
You see this area right here? And that's the lesion.
And then there's a small one right there.
That's That is really there.
I have breast cancer?! MAN: Let's go.
Hey.
Oh, I've been looking for you.
I think I owe you Come with us.
Right now.
Did she page you, too? Is it bad? NOAH: [GIGGLING.]
[LAUGHTER.]
[GIGGLES.]
APRIL: You're showing up clean.
You're 100% sure? Look, they look totally clean! See for yourself.
Um, she's like Oh, we're way past that.
You're okay.
[SNIFFLES.]
I'm okay.
He fakes the ultrasounds.
He is poisoning completely healthy women, probably just to charge them for the chemo.
- No.
- What he does to these women, what he puts these families through - We need to stop him.
- No.
We need to destroy him.
Owen You told me not to take it out on the interns.
You figured out a way to get Ollie more time? Otherwise, it's just You know who you remind me of? Don't care.
Me.
When my mom was dying.
[SIGHS.]
I worked so hard, looking for anything that would give her more time.
And I didn't even think about it.
I just instinctively knew it was what I had to do.
Yeah, but she was your family.
More than blood.
She shaped me.
More than anyone else, she made me who I am.
How could it be wrong to do everything in my power to save her? For fifty-one reasons not to lose our souls? Because you weren't doing it for her.
And it's not that you're not the one I'd give anything for another chance to do it again.
And it's not that you're not the one Just to be there with her and then give her the ending that she wanted.
Do you feel a little broken? That experimental protocol that I made her do - Do you feel a little broken? - all that suffering putting her through all that pain when all she wanted was peace Do you feel a little broken? and to know that I would be okay.
Do you feel a little broken? It's my only regret.
Tell me where we're going so fast Never used to run when we were young JACKSON: Hey.
I, uh, assumed I was still getting her.
- And I'm running out of words - Yeah, I, um I would really like to if that's okay.
I I I'd really like to.
How you doing? You okay? Yes, I am I am totally fine to take her.
I promise.
I'm good.
You? You, though? You okay? Um And leave behind what you don't want no more Um I lost God.
I-I lost Matthew's Taylor's wife.
I lost her in childbirth.
And then this little boy died for no earthly reason, and God was nowhere to be found.
I lost him.
And that's never happened to me before, and I got scared and, uh, really angry.
And all during our marriage, I just I wanted you to know God the way that I did, and you never wanted to.
And so, when I lost him, it felt like, I don't know, you've won or something.
And I hated that.
Do you feel a little broken? I hated you.
Yeah, well, I was just trying to help.
I know, I know, I got it.
You did.
Oh, my God, you did.
Things got really rough, and I just I needed to be sure that Harriet was okay.
And of course she was because of you.
And I'm I'm good now.
I, uh I found Him again.
[CHUCKLES.]
He and I are, like, tighter than ever.
- [CHUCKLES.]
- So you know.
But I realize that even when it felt like He wasn't there Do you feel a little broken? you were.
So thank you.
Do you feel a little broken? Thank you.
I'm really sorry.
Do you feel a little broken? KORACICK: Give Kimmie a standard course of chemo and radiation.
Shrink the tumor enough to get her to summer.
AMELIA: That could work.
By then, I'll be able to take the three, maybe four weeks of vacation time I'm due, and then I'll just take Kimmie and her grandmother to New York and we'll hit every Broadway show we can.
What's going on? Alex Noah made it.
He's good.
Noah is doing okay, but I cannot tell you why.
That procedure was like skiing down a mountain blindfolded.
We should have crashed a thousand time.
- All right, hold on, hold on.
Amelia? - No, he's he's right.
We ran into a dozen things that we never even saw coming.
And this was supposed to be the easy one.
I mean, Kimmie's tumor is much more dangerous.
Yeah, with a lot more tests, a lot more practice, we'll be able to save more kids with Noah's tumor, but Kimmie's procedure is years away.
- Kimmie doesn't have years.
- I know.
No, no.
No, no, no, no, no, no.
I do not accept this, because you saved Noah, so you can I will do everything I can to make sure that Kimmie treasures the time she has left, but I will not perform that procedure on this girl.
All right, fine.
Um, Dr.
Shepherd can do it without you.
- Alex, I I'm not gonna be able to - No, no.
No.
No, listen to me.
- Listen to me, okay? Listen.
- The technology is not there.
Kimmie has only one chance to live, and you are the only doctors that can do this in the world! We're not gonna do I'm asking you as as a colleague, as a friend - Do you have children, Karev? - Please, I will not, I cannot watch her die on my table - Alex! No, Alex! - at my hands! [GLASS SHATTERS.]
[BREATHING HEAVILY.]
Do what you got to do.
[CLATTER.]
I'm okay? I'm really okay? Yes.
Your scans came back clear.
Dayna, you do not have cancer.
[CRYING.]
Oh, my God! Oh, my God, babe.
Oh, my God.
Oh, this is a miracle.
I have to tell Dr.
Hanson.
Uh, actually Dr.
Hunt is telling Dr.
Hanson right now.
- [SOBBING.]
- Oh, my God.
[CHUCKLES.]
Oh, my God.
Hey, Doc.
You got a minute? Mr.
Hunt, um, actually, we're closed, if you don't mind coming back tomorrow.
You know, I have heard such amazing things about your chemo, like it's smoother and milder.
Almost makes it sound good.
What's the secret, Doc? You know, it's no secret.
It's just, uh, finding ways to make it less painful.
You know? Do I know? I guess I don't know.
So, walk me through it.
When you give a patient chemotherapy, what's the process? - Uh, I mean, I - Let's see.
So, it comes through here.
Right? No, no, no, wait, wait, wait, wait.
Wait, first first No.
No.
Ah.
Here we go.
You know Doc I think I'm getting the hang of this.
Mr.
Hunt, this is making me very uncomfortable.
I bet it does.
You as uncomfortable as your patients and their families? What's next? What is next? Oh, I know.
This is the fun part.
- What are you - Roll up your sleeve.
You're not serious? Roll up your sleeve.
I'm not doing that.
Why not, hmm? Why not? Because you're not sick.
Hmm? 'Cause only a psychotic would pump that poison in a completely healthy person just to make a few extra bucks? Come on, Doc.
That's never stopped you before.
[SIREN WAILS.]
Don't worry.
They're with me.
[WAILING STOPS.]
[DOOR OPENS.]
[DOOR CLOSES.]
What's on your mind, Shepherd? [SIGHS.]
What I really need is to get as far away from my mind right now as possible.
I got to admit, I'm feeling that need pretty bad.
[ARROW BENJAMIN'S "LOVE VENDETTA" PLAYS.]
Oh, oh, oh-oh-oh - Oh, oh, oh-oh-oh - Come on.
Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Really? You brought another doctor? No, Ollie.
I brought you a meeting.
I'm not over you [CHUCKLES.]
What? I'm not Oh, oh, oh-oh-oh Whatever I say - I'm Amelia.
- Nice to meet you.
My heart has hit a wall Um And if it's okay with you, I'd like to open the meeting with the Serenity Prayer.
Now my armor's broke Thank you.
Bleeding everything that I fear God ALL: God, grant me the serenity to accept the things I cannot change, the courage to change the things I can't, and the wisdom to know the difference.
'Cause this fight was rigged from the beginning All the tears I've cried MEREDITH: All day, every day, we fight against the current.
Sometimes we lose.
Oh, oh, oh-oh-oh Here.
Here, here, look.
Oh, oh, oh-oh-oh It's growing.
[SIGHING.]
Okay.
It's growing a liver.
A new liver that is 60% of normal size.
So, this is Janis, right Janis Joplin? No, no, no, she didn't make it.
This is David Bowie.
No, no, Bowie is the one that we injected straight into without the polymer, so it can't possibly be Bowie, - because - Yeah, exactly.
The liver cells migrated completely by themselves.
We never needed the polymer.
Are you serious? Mm-hmm.
- That means - We're gonna save a lot of lives.
We are gonna beat Marie freakin' Cerone! - Yes! - [LAUGHS.]
- Okay, stop all that.
- [LAUGHS.]
Sometimes we win.
[THUNDER CRASHING.]
Oh.
Oh, no.
You said it was urgent.
I thought I was gonna find you lying on the floor.
God, Miranda, you can't say it's urgent if it's not urgent.
Now, you listen to me, Ben Warren, and you listen good.
[SIGHS.]
I know I gave you a real scare, but you have been scared long enough.
I am not dying.
My heart is strong and powerful just like me.
I'm very much alive, and so are you.
And it is urgent.
It is urgent that we celebrate being alive right here, right now, naked.
So, you've taken it all from me [GRUNTS.]
Will you sell me back my world and leave me be? [SIGHS.]
Strange [LAUGHS.]
Sometimes the current carries us exactly where we need to go.
Oh, crap, I left my keys.
Um, I'll be right back.
Okay.
I bet you thought that I Would lose my reflection in the sea You let me drown APRIL: Hey.
Uh, I have been apologizing for the last two days, and I finally got the hang of it.
So, if you'll let me, I just I want to tell you how sorry I am.
Sorry for what? I was so awful to you at your game-night thing.
Like, so awful.
And I'm really sorry.
No, please, please, you were the least of my problems at that party.
Clive was married.
I was sleeping with a married man.
Even though I didn't know, I still can't shake the shame of that.
Oh, my God, no.
I so relate.
I slept with an intern the douchey one.
- Oh.
- Yeah.
[CHUCKLES.]
And then I slept with Tom Koracick.
[CHUCKLING.]
What? And then I jumped my ex-husband in a closet, so, you know, I was just, like, a total mess.
[HARRIET FUSSING.]
Anyway, I got to I got to get this little girl home.
But, um, I'm sorry.
- And thank you.
- Mm-hmm, yeah.
Sorry.
Let's go, let's go.
Won't get no tears from me Oh, God.
Ready? And sometimes it slams us right into the rocks.
- Hi, Richard.
You got me sober, Ollie.
You walked me through it, and I'm gonna walk you through this.
I have my polymer, and I have your science.
The mini livers will be known as the Cerone method.
Hello, good morning, how ya doing? MEREDITH: Life doesn't owe us a thing.
It just is.
OJ with a champagne tune up Hell yeah, it's a new hallelujah Popping like the top off a bottle And I ain't stopping, yeah Baby, it's a brand-new day Ain't no clouds hanging over me Something doesn't feel the same The rest of my life gonna start today Good morning Na-na-na-na-na Good morning Na-na-na-na-na Good morning Na-na-na-na-na Like a river, it goes where it goes.
Calling out the ocean, this is evolution, can I Grow into another animal? A next level I'm spreading wings and I just wanna sing I got a present for you.
What? A present? What for? In the future, now the past can't harm me Forget about yesterday, Paul McCartney Oh, my God.
What is this? I'm feeling like a Beatle on stage And the whole wide world's gonna know my name Baby, it's a brand-new day It's for your your heart pills, your statins, all that.
Now you can take them anywhere and no one needs to know.
The rest of my life gonna start today Good morning Na-na-na-na-na Good morning Na-na-na-na-na You can try to fight against the current The rest of my life gonna start today Ladies and gentlemen, this part right here is very simple It goes like this - I've been up - Been up - I've been down - Been down But I got the feeling right now - I've been up - Been up - I've been down - Been down Or you can learn to ride it.
But I got the feeling right now Na-na-na-na-na Good morning As surgeons, we dedicate ourselves to an endless fight against the current.
Jimi Hendrix died.
No! That happened kind of a while ago.
No, Jimi Hendrix is a liverless mouse.
Hmm.
I thought he was a guitar genius.
We're trying the seven different polymers that I found to see if any of them can be used instead of Cerone's.
And we named the mice.
It's easier than numbers.
And now Jimi Hendrix is dead and Elvis is Has left the building.
Anyway, Hellmouth is watching them now.
You have the next shift.
I mean, we really have to come up with something - if we're gonna - Beat Marie Cerone! No.
Save lives! If we're going to save lives, Wilson.
You can't give up that easily.
It's been four days.
You can call her.
It isn't easy, and Teddy doesn't want to hear from me.
Can't you just trust my judgment on this? What are you - No, no, no, no, no! - [RINGING.]
Dr.
Altman! Amelia Shepherd, did I catch you at a good Great.
So I'm standing here with Owen and - [SIGHS.]
- Uh-huh.
Uh-huh.
Totally.
I would just like to add Uh-huh.
Uh-huh.
[SCOFFS.]
Yeah, good talking to you.
Yeah, that's not happening.
Sorry.
- Hmm.
- Hey! Oh, my God, I never got to ask you how it went with Teddy.
It went great! Well, at least it didn't go badly.
[SIREN WAILS.]
WOMAN: [SPEAKS INDISTINCTLY.]
MAN: Okay.
I'm gonna let the ER know.
Hey, lookin' good, Warren! - Feelin' good, Dr.
Webber! - Uh-huh.
67-year-old female, collapsed at an AA meeting.
We bagged her, got her breathing again.
Then discovered her DNR bracelet.
- Uh-oh.
- Yeah, she was not happy.
Anyway, she asked for you said you were her personal physician.
Hey, Richard, don't worry, I haven't been drinking.
Cross my heart and hope to die.
Ollie? So, just to be clear, these ultrasound waves, they go right through the skull and everything? You don't cut him open at all? Exactly, right.
The waves meet directly on Noah's tumor.
All the energy is focused there.
Imagine it like using a magnifying glass to burn a hole in a leaf.
Okay.
And the risk? I mean, I know I keep asking, but Well, there's always a risk, but since the procedure's completely non-invasive It's very dangerous.
It's difficult to control the heat that is generated, so the procedure is slow and risky.
But it's also his one real chance.
In the next few weeks, the laughing fits are going to increase as the tumor presses against his brain stem.
In better news, we are excellent at what we do.
And we want this to work almost as badly as you do.
[LAUGHS.]
[SIGHS.]
That was harsh.
And I was thinking it wasn't harsh enough.
I didn't tell her that her son is basically a guinea pig.
Well, I'm gonna tell Kimmie it's on.
- Don't oversell it! - Wait, is that a yes? - We're on.
- Okay, you know, important decision what are we calling this? I'm thinking "The Koracick Method, featuring Amelia Shepherd.
" You're distastefully cheerful.
Uh, because this is the frontier! I could scoop out brain tumors like I'm balling melons, which is my second favorite kind of balling.
Look, we're so far out on the edge of medicine, no one's ever been there before.
Aren't you pumped? This is like crack for you.
Or melon balling for me.
Wait, where's, uh, Bello and Blandrew? I gotta [SIGHS.]
So, this is good news? It's amazing news.
I mean, look, I-I don't want to get anyone's hopes up too high, but this procedure today is a really big step towards getting Kimmie back out there and singing her face off.
Won't I just be back in here in nine months with a new tumor? I mean, it's not a cure, right? You know what, let's take this one step at a time, Kimmie.
I'm I'm so sick of hospitals.
I just want to go back to school, see my friends.
Do the spring musical.
Oh, sweetie.
Kimmie, I need you to Did I tell you my friend invited me to go with her family to New York this summer? They're getting "Dear Evan Hansen" tickets.
I mean, maybe I could last that long [SIGHS.]
Isn't this below your pay grade? I hope you're not giving me special treatment because I'm your sponsor.
Okay, here's the deal my liver has survived much longer than it ever should have.
There are multiple options for combating liver failure.
Did you see my nice fat ankles, Richard? And my lovely ghostlike complexion? Surely you heard it in my heart.
I have cardiomyopathy.
My dying liver is killing my heart and my heart is killing me.
I have reached my expiration date.
When did you decide on the DNR? [SIGHS.]
Eight months ago, along with an advance directive.
- No intervention.
- Eight months! We talk three times a week.
Sometimes three times a day! How could you not tell me this? I wanted to, many times.
But you know how this works something goes bad for you, you call me.
Something goes bad for me and I call my sponsor.
And here I thought we were friends.
Give me a break.
You're acting like a pouting teenager.
We're more than friends, Richard.
I I didn't know how to sponsor you through my death.
Good news you're not gonna have to.
Because I'm not gonna let you die.
WOMAN ON PA: Maintenance to 4 West nurses' station.
Peggy, Dayna, hi! Oh, hey, Dr.
Robbins.
Hi.
Hey, what's going on? Is the baby okay? Oh, yeah, she's fine.
That one, not so much.
Oh, I'm a mess.
[SOBS.]
Peggy was driving and Dayna She puked all over me.
Like power-puked.
And then I swerved and You hit a tree at 30 miles an hour.
All the airbags went off except for Dayna's.
Ouch.
Did you hit your head? No.
My ribs feel a little sore.
[CRYING.]
- It's okay.
It's very common to have a release of emotion after an accident.
Especially once the body knows it's out of harm's way.
[LAUGHS HARSHLY.]
"Out of harm's way.
" Babe.
I have stage 2 breast cancer and I just had my second round of chemo.
That's why I got sick.
So, the harm is most definitely still in the way.
[ELEVATOR BELL DINGS.]
MAN: Uh, yes.
Uh, are you sure this is your stop? Well, maybe not.
JACKSON: Maybe not, huh? Sorry I haven't been able to get free.
Harriet's, uh, teething and, you know, April's still Please do not apologize for taking care of the people you love.
[ELEVATOR BELL DINGS.]
[CLEARS THROAT.]
[SIGHS.]
Thank you very much.
Okay.
Have you talked to her yet? I'm gonna try again today.
Koracick.
April.
Please, we had sex.
Call me Dr.
Koracick.
Um Um, can I talk to you? I'm I need to say something to you, and it is not easy for me.
Oh.
Well, l-let's make it easy.
Just picture me naked.
[CHUCKLES.]
Tom, I, um what I was trying to say is that I was horrible to you.
And you were kind, and you were vulnerable and I was Just using me for sex? Yes, I was just using you for sex.
And I am sorry.
I am sorry for that.
Look, no.
I love being used for sex, Dr.
Kepner.
You can use me for sex, uh, any time you No, I didn't I No.
Oh, you you made up with God? Well, for whatever it's worth, uh, I'm almost certain God approves of you using me for sex.
[CHUCKLES.]
I don't know why I'm so upset.
Dr.
Hanson told me I'd be nauseous.
Remember what else Dr.
Hanson said stay positive, because you're gonna get through it.
He promised.
Promised, did he? Yeah, he has the proof to back it up.
His success rates are amazing.
He cured my friend Lucille without surgery.
You must know him Dr.
Scott Hanson Ow! - Sore there? - Ohh.
Uh, afraid I don't know him.
Oh, my God, you need to be sending people to him! He sounds amazing.
Let's get Dayna up for a CT.
And, Peggy, we have a waiting room for you to relax with the baby, okay? Okay.
If I ever hear you use the word "cure" and "promise" when speaking with a cancer patient, your medical career will be - as short as you are.
- Yes, sir.
Call Dr.
Hanson's office, get me her medical records, okay? [MONITOR BEEPING.]
So we monitor from inside the room with him? - Mm-hmm.
- This is so cool.
We're at the edge of the cutting edge.
And hopefully we don't melt Noah's brain stem.
[SIGHS.]
This is exciting.
It's incredibly exciting.
It's why we do this, right? [KNOCKS ON GLASS.]
Come on! You You know I love doing that, too.
"Important" isn't quite a big enough word.
But, I mean, normally, I would take care of this personally, but, uh she's more like family to me.
- We get it.
- Of course.
Hey, you! Yeah, you, the old one.
Get in here.
Uh, give me a minute, will you? Uh, how you feeling? I need your advice on something.
When your physician refuses to honor your request for "no medical intervention," what's the protocol? Do I ask to speak to his superior? Well, I'm married to the head of the hospital.
And I mentored the chief, so good luck with that.
Okay, so I guess I'll have to resort to more extreme measures.
Mm-hmm.
And what might those be? How does "recovering drunk" go over in the medical community? Good? Because I will break your anonymity to any doctor you send in here.
Uh, this is Dr.
Meredith Grey, and this is Dr.
Maggie Pierce.
- So nice to meet you.
- The famous Meredith and Maggie.
I can't tell you what it means to meet you both.
I've asked them both to come up with every possible option to take care of you.
And like you, I trust and respect these two women completely.
So, anything you have to share with them, you have my complete blessing.
[MACHINE WHIRRING.]
Are those sound wave readouts? KORACICK: They're microphones inside the helmet listening for popping sounds.
SAM: What would popping sounds mean? They would mean that his brain is boiling.
It's getting hotter.
Hold off.
How long? Until it stops getting hotter! Okay, we're getting awfully close to a cavitation event.
If we go much longer, he will develop hyperemia.
Yeah, but if we don't separate the tumor from the brain stem, he may never wake up again.
- Well, what what should we - Stop! Stop! It's too hot! [WHIRRING FADES.]
Okay.
All right, th-there's nowhere for the h-heat to disperse.
This This could take a while.
OWEN: Schmitt, when I ask you to get Dayna's medical records, it means come back with her medical records! I'm not sure what to do.
They just said they couldn't release them Just Just call call again, and make sure they know it's emergent, and also make sure they know it's Grey-Sloan.
Ah.
Don't take it out on the poor interns, Owen.
- Wait, what? - I talked to Teddy.
Look at this scan.
I can't believe you.
What were you thinking? You double dipped within 24 hours of - Would you just look, please?! - Ugh! There's no broken ribs, and I don't see any internal injuries.
What else don't you see? Wait, what? Exactly.
Well, show me the sagittal views.
Now, I will bet my license this woman does not have cancer.
You know, when a person's been sober a long time, and they lose their sponsor, it's hard it's hard to get a new one.
It's hard on the ego to even have to ask.
And recovering drunks, as a rule, we're not all that fond of change.
But Richard will need a new sponsor.
Let's not get ahead of ourselves.
All right, we still have a few more tests to run.
Don't give up hope just yet.
Oh, honey, I'm all hope.
Hope of moving out of this old, broken shell of a body, into whatever comes next.
Hope of feeling like I did when I first got sober.
"Happy, joyous, and free.
" I don't need hope.
I need acceptance.
From Richard.
I need to know that he's gonna get through this without a bottle.
Can you work that up for me? Dr.
Midvad to Cardiology.
Dr.
Midvad to Cardiology.
Owen.
Hey.
I saw you admitted my rule-out appy I'm sorry.
Why? What happened? I, um Owen, I want to apologize for my behavior lately.
At trauma cert day, and actually a lot of days.
I was, uh I was going through a thing.
And I-I'm really sorry that I worried you.
Hmm.
Well, I forgive you.
Completely.
Because you're a good person, April, a very good person, and you don't deserve to be crucified for one bad move.
Great.
Thank you.
- Sure.
- Thank you so much.
My pleasure.
- Hey, April, you got a sec - No, I'm sorry! Busy! You've got to be kidding me.
They said their systems are down.
All medical records unavailable.
[SIGHS.]
Okay.
All right.
I'll take it from here.
Thank you.
Dr.
Ryan to the ER.
Dr.
Harry Ryan to the ER.
Hey.
I talked to Dayna.
She was referred by a friend in the exact same situation inconclusive mammogram, and then she needed a second opinion.
And did you tell her that she is cancer free? No.
No.
We have one scan and we don't have any of her prior records.
Two chemo treatments? That really would be a miracle cure.
This guy there's something really wrong here.
Well, maybe she was just misdiagnosed.
Sometimes good doctors make mistakes.
Why are you defending this guy? Why are you attacking this guy? You have been so angry all day long.
Maybe it has something to do with the fact American Society of Clinical Oncology.
Yeah? Guess who is not a member? [SIREN WAILS IN DISTANCE.]
[GROANS.]
I am tore up from the floor up.
I mean beat up from the feet up.
- Come here.
- Ohh.
I don't think I'm even gonna put anything on.
Oh, here, let me get the light.
Oh, yeah.
Okay.
Uh, here, maybe I can, um help sooth some of your tore up? [SNORES.]
Ben? Uh [SIGHS.]
[MACHINE WHIRRING.]
Vitals? Stable, but the skull temperature is spiking again.
We're approaching the upper limit.
Okay, that's it.
We're done.
No.
I want to let it cool off again and then do another round, - make sure the tumor's all gone.
- We have to stop now before we turn the inside of Noah's head into stew.
- No, one more round.
- Dr.
Shepherd, let it go! Time, it takes some time But when that's all you got, it eats At the corners of your mind - But we might have saved him, right? - Words Well, we'll know as soon as the kid wakes up.
Spoken low If he wakes up.
Whispered quietly as if Welcome to the frontier of medicine.
They're in a language only you and I could know We have reviewed every option.
And, um, there are some things that we could try, but honestly, Richard, Ollie doesn't Ollie has had enough for today.
So, I think what we should do is, let's get her hydrated overnight, and we can run some more tests in the morning.
Um, okay.
Right.
Uh, I'm gonna keep an eye on her, and don't you two go far, either, okay? Nope.
We'll be right here.
Tell me you see what's happening here.
We cannot go against Ollie's wishes, even if it upsets Richard.
The last time he fell off the wagon, he nearly lost everything his career, his marriage.
Um, - I can't even picture him drunk.
- [CELLPHONE RINGS.]
- Trust me, you don't want to see it.
- Where's Catherine? - In Boston.
Maybe we can get her back by the morning.
Can you get on that, please? Jerry Garcia needs me.
Won't let go of me [MOUSE SQUEAKS.]
[SIGHS.]
Jerry? We have three left.
And big companies like Cerone's always move slowly, so For the last time, this isn't about Cerone! It's about Olive Warner.
And all the other Ollies that we could save if we could just work faster.
Damn it.
You two should go home.
I have to stay here tonight anyway.
No, no, no.
I'm staying if you're staying.
Me, too.
Deep in the ground Can't bury it down I let it go but it won't let go of me Won't let go of me Nothing? No change.
What did we do to him? Come on, kid.
[CELLPHONE VIBRATES.]
Noah? He's still not awake.
- [GROANS.]
- Damn it.
You just assume, since you're working with the great Amelia Shepherd, it's all gonna work out.
Hey, there's still time, okay? Ohh.
We spent the night here.
Gross.
I don't know.
It's not so bad.
[SCOFFS.]
Oh, my God.
What? I've I've never been to your place.
You You You never talk about your place.
Uh, well, what No, no, no! What are you doing? No, no, no.
Sam, stop! Stop! What the hell, Andrew? Okay, you got me.
I'm in between places, that's all.
I was staying with Dr.
Robbins, and then she started sleeping with my sister.
So then I moved in with Dr.
Hunt, but then he started sleeping with my sister.
[LAUGHS.]
Now you're laughing at me.
Great.
You're living in the on-call room.
Yes.
Move in with me.
A-Are you serious? - Hi.
- Hi.
Hi.
Arizona Hunt.
This is my husband, O-Otis.
Um, I called this morning? Fill this out and we'll call you when Dr.
Hanson is ready.
- Great.
Awesome.
- Thanks.
Suddenly we're a married couple? With an appointment? What happened to "good doctors make mistakes"? His Yelp reviews are all five stars.
Well, that sounds like a good thing.
No, it's too good to be true.
People go to Yelp to complain.
Nobody gets five stars.
I don't get five stars.
You sure don't.
So now this is your idea and it all makes sense to you.
You You really are like my other wives.
I figure if he doesn't know that we're doctors, he's likely to give more away.
Hmm.
Nicely done, Mrs.
Hunt.
[CHUCKLES.]
You know, I'm just gonna You get three and a half stars.
- What? - Same as my dry cleaner.
Wow.
Dr.
Teller, extension 2219.
Dr.
Teller, extension 2219.
[KNOCK ON DOOR.]
Hey, you okay? I just spoke to Catherine, and she wanted me to Oh, so Catherine's asking you about me.
You'd like it if Ben asked me about you? Ben Warren can stick it in his pill box.
I've spoken to Ollie nearly every day for the past 20 years.
More than I've spoken to anyone else in my life.
More than my parents, Adele, Catherine.
She's the keeper of my secrets.
She's She's how I feel God's presence.
You've got an awfully big village of people here.
You know that.
Yeah, I know I do.
Dr.
Kepner? Can I place an art line in Trauma 4? - Yes.
- Thanks.
Also, I am sorry.
What? Um, I was not entirely fair to you on trauma cert day.
Your work was particularly impressive, and I may not have made that clear on the day in question.
Thank you.
I just I just thought you might be, you know I might be what? Um, you know, like, having a nervous breakdown? Oh.
Oh, uh, I didn't take it personally.
Good.
Great.
Great.
Thanks for that.
- And we will not speak of this again.
- Right.
Schmitt.
I'm sorry! What? For what? What? I I don't know.
I'm just really sorry.
Uh apology accepted.
[CHUCKLES.]
The truth is we don't have any good options.
We could put you on liver dialysis, but that would cause a real strain on your heart.
Mm-hmm.
We could try an LVAD, but the long-term prognosis is very poor.
Who saw this coming? Hey, it's better to have a chance at a good result than a guarantee of a bad one.
By whose definition? Do you think that when I found out I was dying, I was just, "Oh, well, that's life for you"? Coming to terms with this was the second hardest thing I have ever done in my life, and now I'm at peace.
Or at least I was.
The one thing the only thing stopping me from moving on to whatever comes next is one childish, stubborn, nagging problem.
You are driving me to drink, Richard Webber, and I'll be damned if I don't leave this world sober! Well, if I'm the only thing that's keeping you alive, then I guess I'm doing my job! Please tell me you have good news for me.
My mom's Boston patient had post-op complications, so she had to stay back and see it through.
Dr.
Ryan, call the psych unit.
Dr.
Ryan, call the psych unit.
I'm the one who's gonna have to tell him, aren't I? [SIGHS HEAVILY.]
How do you tell somebody something that they already know? I mean, this isn't rational, it's just pure emotion.
Hmm.
How can I What can I say that would possibly change his mind? Believe it or not, - I know exactly how that feels.
You do? Mm-hmm.
That's how I felt when your mother was dying.
Look, I can go with you.
Be there with you when you tell him.
Let me help.
You helped.
I have to say how refreshing it is to have a couple come in together.
You'd be surprised how many husbands don't even want to come into the office, much less the exam room.
- Hmm.
- Yeah, yeah.
It's just we're we're really close.
Right, honey? - Mm-mm-hmm.
- Mm-hmm.
Well, right breast looks nice and healthy.
- It's not - Oh, okay.
any problem there at all.
Yeah, more often than not, these inconclusive mammograms turn out to be nothing.
But, you know, better safe than s Yeah, this looks slightly less than good.
Unfortunately, I am seeing a solid lesion in the left breast.
Hmm.
So, I I definitely have breast cancer, huh? Hey, uh, can you show us what that looks like on that machine there, Doc? Yeah.
You see this area right here? And that's the lesion.
And then there's a small one right there.
That's That is really there.
I have breast cancer?! MAN: Let's go.
Hey.
Oh, I've been looking for you.
I think I owe you Come with us.
Right now.
Did she page you, too? Is it bad? NOAH: [GIGGLING.]
[LAUGHTER.]
[GIGGLES.]
APRIL: You're showing up clean.
You're 100% sure? Look, they look totally clean! See for yourself.
Um, she's like Oh, we're way past that.
You're okay.
[SNIFFLES.]
I'm okay.
He fakes the ultrasounds.
He is poisoning completely healthy women, probably just to charge them for the chemo.
- No.
- What he does to these women, what he puts these families through - We need to stop him.
- No.
We need to destroy him.
Owen You told me not to take it out on the interns.
You figured out a way to get Ollie more time? Otherwise, it's just You know who you remind me of? Don't care.
Me.
When my mom was dying.
[SIGHS.]
I worked so hard, looking for anything that would give her more time.
And I didn't even think about it.
I just instinctively knew it was what I had to do.
Yeah, but she was your family.
More than blood.
She shaped me.
More than anyone else, she made me who I am.
How could it be wrong to do everything in my power to save her? For fifty-one reasons not to lose our souls? Because you weren't doing it for her.
And it's not that you're not the one I'd give anything for another chance to do it again.
And it's not that you're not the one Just to be there with her and then give her the ending that she wanted.
Do you feel a little broken? That experimental protocol that I made her do - Do you feel a little broken? - all that suffering putting her through all that pain when all she wanted was peace Do you feel a little broken? and to know that I would be okay.
Do you feel a little broken? It's my only regret.
Tell me where we're going so fast Never used to run when we were young JACKSON: Hey.
I, uh, assumed I was still getting her.
- And I'm running out of words - Yeah, I, um I would really like to if that's okay.
I I I'd really like to.
How you doing? You okay? Yes, I am I am totally fine to take her.
I promise.
I'm good.
You? You, though? You okay? Um And leave behind what you don't want no more Um I lost God.
I-I lost Matthew's Taylor's wife.
I lost her in childbirth.
And then this little boy died for no earthly reason, and God was nowhere to be found.
I lost him.
And that's never happened to me before, and I got scared and, uh, really angry.
And all during our marriage, I just I wanted you to know God the way that I did, and you never wanted to.
And so, when I lost him, it felt like, I don't know, you've won or something.
And I hated that.
Do you feel a little broken? I hated you.
Yeah, well, I was just trying to help.
I know, I know, I got it.
You did.
Oh, my God, you did.
Things got really rough, and I just I needed to be sure that Harriet was okay.
And of course she was because of you.
And I'm I'm good now.
I, uh I found Him again.
[CHUCKLES.]
He and I are, like, tighter than ever.
- [CHUCKLES.]
- So you know.
But I realize that even when it felt like He wasn't there Do you feel a little broken? you were.
So thank you.
Do you feel a little broken? Thank you.
I'm really sorry.
Do you feel a little broken? KORACICK: Give Kimmie a standard course of chemo and radiation.
Shrink the tumor enough to get her to summer.
AMELIA: That could work.
By then, I'll be able to take the three, maybe four weeks of vacation time I'm due, and then I'll just take Kimmie and her grandmother to New York and we'll hit every Broadway show we can.
What's going on? Alex Noah made it.
He's good.
Noah is doing okay, but I cannot tell you why.
That procedure was like skiing down a mountain blindfolded.
We should have crashed a thousand time.
- All right, hold on, hold on.
Amelia? - No, he's he's right.
We ran into a dozen things that we never even saw coming.
And this was supposed to be the easy one.
I mean, Kimmie's tumor is much more dangerous.
Yeah, with a lot more tests, a lot more practice, we'll be able to save more kids with Noah's tumor, but Kimmie's procedure is years away.
- Kimmie doesn't have years.
- I know.
No, no.
No, no, no, no, no, no.
I do not accept this, because you saved Noah, so you can I will do everything I can to make sure that Kimmie treasures the time she has left, but I will not perform that procedure on this girl.
All right, fine.
Um, Dr.
Shepherd can do it without you.
- Alex, I I'm not gonna be able to - No, no.
No.
No, listen to me.
- Listen to me, okay? Listen.
- The technology is not there.
Kimmie has only one chance to live, and you are the only doctors that can do this in the world! We're not gonna do I'm asking you as as a colleague, as a friend - Do you have children, Karev? - Please, I will not, I cannot watch her die on my table - Alex! No, Alex! - at my hands! [GLASS SHATTERS.]
[BREATHING HEAVILY.]
Do what you got to do.
[CLATTER.]
I'm okay? I'm really okay? Yes.
Your scans came back clear.
Dayna, you do not have cancer.
[CRYING.]
Oh, my God! Oh, my God, babe.
Oh, my God.
Oh, this is a miracle.
I have to tell Dr.
Hanson.
Uh, actually Dr.
Hunt is telling Dr.
Hanson right now.
- [SOBBING.]
- Oh, my God.
[CHUCKLES.]
Oh, my God.
Hey, Doc.
You got a minute? Mr.
Hunt, um, actually, we're closed, if you don't mind coming back tomorrow.
You know, I have heard such amazing things about your chemo, like it's smoother and milder.
Almost makes it sound good.
What's the secret, Doc? You know, it's no secret.
It's just, uh, finding ways to make it less painful.
You know? Do I know? I guess I don't know.
So, walk me through it.
When you give a patient chemotherapy, what's the process? - Uh, I mean, I - Let's see.
So, it comes through here.
Right? No, no, no, wait, wait, wait, wait.
Wait, first first No.
No.
Ah.
Here we go.
You know Doc I think I'm getting the hang of this.
Mr.
Hunt, this is making me very uncomfortable.
I bet it does.
You as uncomfortable as your patients and their families? What's next? What is next? Oh, I know.
This is the fun part.
- What are you - Roll up your sleeve.
You're not serious? Roll up your sleeve.
I'm not doing that.
Why not, hmm? Why not? Because you're not sick.
Hmm? 'Cause only a psychotic would pump that poison in a completely healthy person just to make a few extra bucks? Come on, Doc.
That's never stopped you before.
[SIREN WAILS.]
Don't worry.
They're with me.
[WAILING STOPS.]
[DOOR OPENS.]
[DOOR CLOSES.]
What's on your mind, Shepherd? [SIGHS.]
What I really need is to get as far away from my mind right now as possible.
I got to admit, I'm feeling that need pretty bad.
[ARROW BENJAMIN'S "LOVE VENDETTA" PLAYS.]
Oh, oh, oh-oh-oh - Oh, oh, oh-oh-oh - Come on.
Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Oh, oh, oh-oh-oh Really? You brought another doctor? No, Ollie.
I brought you a meeting.
I'm not over you [CHUCKLES.]
What? I'm not Oh, oh, oh-oh-oh Whatever I say - I'm Amelia.
- Nice to meet you.
My heart has hit a wall Um And if it's okay with you, I'd like to open the meeting with the Serenity Prayer.
Now my armor's broke Thank you.
Bleeding everything that I fear God ALL: God, grant me the serenity to accept the things I cannot change, the courage to change the things I can't, and the wisdom to know the difference.
'Cause this fight was rigged from the beginning All the tears I've cried MEREDITH: All day, every day, we fight against the current.
Sometimes we lose.
Oh, oh, oh-oh-oh Here.
Here, here, look.
Oh, oh, oh-oh-oh It's growing.
[SIGHING.]
Okay.
It's growing a liver.
A new liver that is 60% of normal size.
So, this is Janis, right Janis Joplin? No, no, no, she didn't make it.
This is David Bowie.
No, no, Bowie is the one that we injected straight into without the polymer, so it can't possibly be Bowie, - because - Yeah, exactly.
The liver cells migrated completely by themselves.
We never needed the polymer.
Are you serious? Mm-hmm.
- That means - We're gonna save a lot of lives.
We are gonna beat Marie freakin' Cerone! - Yes! - [LAUGHS.]
- Okay, stop all that.
- [LAUGHS.]
Sometimes we win.
[THUNDER CRASHING.]
Oh.
Oh, no.
You said it was urgent.
I thought I was gonna find you lying on the floor.
God, Miranda, you can't say it's urgent if it's not urgent.
Now, you listen to me, Ben Warren, and you listen good.
[SIGHS.]
I know I gave you a real scare, but you have been scared long enough.
I am not dying.
My heart is strong and powerful just like me.
I'm very much alive, and so are you.
And it is urgent.
It is urgent that we celebrate being alive right here, right now, naked.
So, you've taken it all from me [GRUNTS.]
Will you sell me back my world and leave me be? [SIGHS.]
Strange [LAUGHS.]
Sometimes the current carries us exactly where we need to go.
Oh, crap, I left my keys.
Um, I'll be right back.
Okay.
I bet you thought that I Would lose my reflection in the sea You let me drown APRIL: Hey.
Uh, I have been apologizing for the last two days, and I finally got the hang of it.
So, if you'll let me, I just I want to tell you how sorry I am.
Sorry for what? I was so awful to you at your game-night thing.
Like, so awful.
And I'm really sorry.
No, please, please, you were the least of my problems at that party.
Clive was married.
I was sleeping with a married man.
Even though I didn't know, I still can't shake the shame of that.
Oh, my God, no.
I so relate.
I slept with an intern the douchey one.
- Oh.
- Yeah.
[CHUCKLES.]
And then I slept with Tom Koracick.
[CHUCKLING.]
What? And then I jumped my ex-husband in a closet, so, you know, I was just, like, a total mess.
[HARRIET FUSSING.]
Anyway, I got to I got to get this little girl home.
But, um, I'm sorry.
- And thank you.
- Mm-hmm, yeah.
Sorry.
Let's go, let's go.
Won't get no tears from me Oh, God.
Ready? And sometimes it slams us right into the rocks.