Grey's Anatomy s16e21 Episode Script
Put on a Happy Face
Unless you're paid to be there,
no one ever wants to go into an O.
R.
It's freezing, you're naked, and a stranger will be cutting into your body with knives.
This is not it.
It's not on here, okay? But what patients don't know and what we try to keep them from knowing is Why shouldn't that be on there? sometimes it's just as terrifying for us.
What? Traumas, heart surgery, anything to do with the pancreas.
Any surgeon who says they're not afraid of those is lying.
You just wrote that.
But no matter how risky the surgery no matter how scared you might be your job is to reassure your patient and tell them, "Everything is going to be okay.
" Whether you believe it or not.
Uh, hey.
Has Has Richard been getting the hiccups lately? I don't know.
Why? Could be a symptom of Creutzfeldt-Jakob's disease.
Less than 350 Americans get it each year.
There's no 1-hertz spikes on the EEG.
The RT Quick Panel come back yet? Um ugh.
Not sure.
My tablet just died.
Okay.
I'm gonna get another one.
I'll be right back.
Permission slip.
Zola's field trip to the zoo.
Oh.
Well, that's next week, but This is next week.
Oh.
Has DeLuca been sleeping? I don't know.
You're okay with that? Are you here to help? When my mom was sick, I was so blinded by my need to cure her that I couldn't accept the fact that she was dying.
And instead of caring for her, I put her through all this unnecessary testing, and I hurt her.
That's what you told me.
Right, but she had an actual diagnosis.
It's Alzheimer's, Meredith.
I do not believe that it is.
Well, Amelia and Koracick do.
So Catherine's taking Richard home today.
Oh, hey, Mommy.
Nope.
Unh-unh.
You call me Baby Daddy.
And now I will never do that again.
Did you already finish up your arthroscopy? Yeah.
Cruised through it.
Still have clinic and some post-ops, but how 'bout an early movie? Then Angelini's.
Take advantage of still being a party of two.
I have a DBS, and I'm hoping to fit in a corpectomy.
You had contractions last week over an open brain.
So? So, don't you think it's time to lighten the load? I am.
Well, you can return to surgery whenever you want after this baby is born.
My body won't come back so fast, so I gotta squeeze in as much as I can.
Dr.
Shepherd, O.
R.
3 is ready.
All right.
I will be there in a minute.
Might be more like ten.
Shut up! And let me know if there's any increase in Mr.
Rojas' chest tube output.
You got it, Dr.
Altman.
And, um, congratulations, about tonight.
Even though marriage is an outdated concept, I still think it's neat.
- I've been busy.
- Thanks.
But it's a simple request, Tom.
- Y-You need to calm down.
- Calm down? What the hell is wrong with you? I should've known.
Known? Known what? What's What's wrong? He said he didn't see the e-mail requesting time off.
I saw the subject line.
It didn't seem urgent.
Y-You're getting married, what, in a few months? It's tonight, Tom.
It's just a It's a last-minute thing, you know? Some family members for a backyard party.
"Last-minute thing.
" Well, that sounds elegant, Hunt.
Well, it's exactly what Teddy wanted.
So, the time off, please? Sure.
Whatever you need.
Thank you.
- I'll see you.
- Yeah, okay.
Thanks for the heads-up.
- Tom, I - No, no, no.
I'm I couldn't be happier for you.
Morning, Daya.
How you doing today? I'd be better if I had a smiling photo for this dating app.
His, not mine.
She signed me up against my will.
And you can see how happy it makes me.
Oh, right.
You can't.
Fun! Daya Burman, 13, presents with Moebius syndrome, a rare neurological condition that inhibits facial expression and And leaves me with resting bitch face 24-7.
Not true.
And language.
You'd swear, too, if you could only express your emotions through Bitmojis.
Well, fortunately, we're gonna change all that.
Dr.
Avery? Yes, we are, because today, we are doing a bilateral gracilis transfer, which means we're taking the muscles and nerves from your legs Mm-hmm.
implanting them onto your face.
- Sorry to interrupt - Mm-hmm.
but we know the surgery.
We've bailed on it four times in the last year.
And by "we," I mean But I think he's finally ready, and I want to get going before he chickens out again.
Last time, I barely got into a gown when he changed his mind.
Because you don't need this surgery.
You're beautiful just the way you are.
You've been scared of hospitals since Mom died.
But I start high school next year, and I want to have friends.
Friends I can laugh and cry with and who understand me.
Because right now, no one understands me.
I do, and I think you're perfect.
Now we're talking.
Look out, single ladies.
- Hey, just - Promise not to chicken out again and I won't post it.
21-year-old male.
Took a baseball bat to the chest.
- Blunt trauma? - Not exactly.
Oh, my God.
You should see the other guy.
He's totally fine.
Okay, you Look, you don't understand.
All right? You're making a huge mistake.
DeLuca, this doesn't concern you.
Yes, it does concern me, okay? R-Richard's my friend.
You've had weeks and have found nothing.
I'm taking my husband home.
Even if it means you're gonna kill him? 'Cause that's what you're doing.
You know that, right? - You - Andrew! Take a walk.
I'm sorry, Catherine.
He's exhausted.
We're all exhausted.
This is hard enough without the accusations.
But But I told him not to come up here.
Yeah, 'cause he's so great at following the rules.
Okay, I-I'm not a child! I-It won't take long.
Just to the exit.
I'm taking you home, sweetheart, remember? Look, I want to walk.
Okay.
Okay.
- Ooh! Man.
- Ooh.
- Damn it! - All right, you just slipped.
My leg fell asleep because you people keep me in this bed.
Are you okay? I just need a minute, okay Okay.
'Til I can get the feeling back in my toes.
What do you mean you have no feeling in your toes? Your feet have never fallen asleep? Humor me.
They're They're numb and tingly.
Meredith, he just slipped.
Well, what about your fingers? Are your fingers numb? Mm.
I'm gonna check your calf, okay? Mm! - Ohh! - Okay.
Tingling in the extremities and sensitivity to touch are not signs of Alzheimer's.
Definitely should do an EMG to test his nerves.
You really think that's warranted, Grey? I do, because if I'm right, then it gives us some hope.
And if you're wrong, then it's torture.
I don't need any more tests! Catherine I know you don't want to see him in pain.
I don't want to see him in pain.
But are we really willing to ignore this? Do it.
Ugh.
Baby, we have to.
We have to.
Let's type and screen him.
Let's get a chest X-ray and a CT trauma series.
Schmitt, let's get the ultrasound so we can assess the extent of this damage.
Catcher called for heat.
Next thing I know Boom.
Shards came at me like a boomerang.
Let's page cardio.
- It's in my heart? - We don't know.
That's why we paged cardio, all right? - I-I can take that for you.
- Yeah.
Cascades, huh? Yeah.
My dream's to go to the Mariners.
Seems to be everybody's dream these days.
Okay, ultrasound's unclear.
We're gonna get you up to CT, and let's book an O.
R.
- An O.
R.
? - Trust me you do not want to be awake when I pull this thing out of you, okay? You're gonna be fine.
Okay, let's move.
Let's go.
So, you noticed sensory deficit and an increased sensitivity to pain, which means The nervous system is like an electrical grid.
By sending a small charge to certain areas, we can see if all those lines are connected.
Or if a power line is down.
The shock of this should send all ten of his little piggies squealing.
From one chief to another, sorry.
Oh! Ohh.
Ohh.
Adding more juice.
- Aah! - Yeah.
Ohh! No motor output going to the legs.
The test confirmed what we saw with the fall, which is he has severe acute onset motor and sensory nerve degeneration, which is inconsistent with an Alzheimer's diagnosis.
I'd like to hear from my neurosurgeons.
Grey's right.
It's a fantastic catch.
I'm also withdrawing my Alzheimer's vote.
I It's not just his mind that's failing him.
It's his body.
Not Alzheimer's? Oh, my God.
That That's fantastic.
Well, what is it? Where does that leave us? In neuroscience, the official term is square one.
We keep hunting.
Right.
Then we should start with a sural nerve biopsy and re-check his pan-scan to rule out a an occult tumor and just try to determine what exactly is destroying his nerves.
Agreed.
Aw, damn it.
Trauma consult.
Please keep me posted.
And thank you, Meredith.
Thank you all.
Okay, I am, uh, clearing the rest of my schedule today.
I'll meet you in the O.
R.
, Grey.
Uh, let Koracick know what you find.
I'm gonna let him take over.
Oh, you don't have to tell me I'm better than you, Shepherd.
- I know I am.
- You're not.
But my water just broke.
Oh.
Uh you want a wheelchair? You're gonna walk? You do Richard.
I'm good to walk.
Sorry about the floor.
I'm gonna call Link.
- Oof.
- Good luck! Are we there yet? To the line you can't cross unless you're a patient or doctor? Uh, no.
Why? Wait! Doctors! That's why.
Just keep going.
He already gave consent.
He's your dad, Daya.
Uh, did you have a last-minute question? It's happening again.
Dad, breathe.
Remember? Please breathe.
Daya, I'm sorry.
I love you.
I can't lose you.
And you're perfect.
You're perfect.
You don't need to change.
I do.
I do need to change.
Dad, I need this change.
Mom wanted this for me.
She wanted me to be able to smile.
She She wanted to be able to make me smile.
She wanted this, and she's gone, and you're using her death as a reason to not let me have what she and I both wanted for me.
That is just Okay, you have to breathe.
Do you need one of those bags? No, he's okay, right? Nice and easy.
Just breathe, okay? Look, Mr.
Burman, we know that her condition is not life-threatening, but it is a very serious challenge.
We all depend on nonverbal communication every day.
You're doing it right now.
You're not talking, but we all can see that you are terrified and you're panicked, all because you're scared for your daughter.
But we have good news.
We know what she has, and we know exactly how to fix it.
We just need you to let us do that for her.
Let us do that for you.
I want to smile, Dad.
I want to be able to smile.
Please.
Okay.
Promise me you'll swipe right at least once while I'm in surgery.
All right.
Daya, you ready? Are you kidding? Look at this face.
I am pumped.
All right.
We got her.
I heard about Richard's EMG.
That's big news.
Yep.
Talk of the hospital.
- Well, that and your spontaneous wedding.
- Tom.
Did my invitation for tonight get lost in the mail, or? Let's not make this harder than it already is.
Oh, you're referring to your impending nuptials as "hard.
" - That's a good sign.
- I love Owen.
And you love me.
Now you're racing off to the altar to try to convince yourself you can live without me.
Spoiler alert.
You can't.
This wedding is happening.
You know, I've seen a few shotgun weddings, Teddy, but usually, it's not the bride holding the gun.
Oh.
Oh, hey.
What'd I miss? Just the initial pelvic exam that shows that's Amelia's at five centimeters.
- Huh? - Already? - Mm-hmm.
- "Huh"? You didn't feel any contractions? Nope.
Maybe a little.
They started at 9:00 this morning.
What? You put yourself on the board for five surgeries.
Well, I thought they were still Braxton Hicks.
No, no, no, no.
You're definitely in active labor.
- Ugh.
- I'm gonna go get the fetal monitor so we can check on the baby.
What, are you skipping town? 'Cause now is not the right time to tell me.
No, that's our go-bag.
I packed Bluetooth speakers, a deck of cards, trashy magazines, peanuts.
- I hate peanuts.
- No, those are for me.
Oh.
Oh, I-I-I'll go get you some French fries and and the biggest chocolate bar I can find.
No.
S-Stay.
Please? I'm not going anywhere.
Oh! Ooh! Ah.
Ah.
It's not in your chest, okay? You don't feel pain when you see something violent? Like, all over? No.
Hey.
I'm here.
Sorry.
I was with Richard.
Oh.
Um, how's he How's he doing? We're making some progress, I think.
I hope.
- Ouch.
- Yeah.
See? Okay, baseball bat splintered, went into his chest, obviously.
Yeah, it did.
He has blood in the pericardial sac, and that looks dangerously close to the left atrial appendage.
Uh, you need to put him on bypass to fix it? - Unlikely, but I will if it tears.
- Okay.
He's a baseball player? Pitcher in the minors.
- About to get called up to the majors.
- Yeah.
- Not anytime soon.
- Yeah.
Ohh.
Gosh.
Again, Schmitt, this is not happening to you, okay? He worked his whole life for this! Do you think her dad will swipe right, like she asked? Maybe.
Is that my only hope now? A stupid algorithm that claims to know who to pair me with? I don't even know what I'd put in my profile.
I hate everything.
Well, except mac and cheese from a box.
You know, this looks like the appropriate size.
Now we just need to tether the muscle to the oral commissures right here and here.
We'll be able to eliminate that constant frown.
What about you, Jackson? Do you use a dating app? Wait, what's your profile picture? A shirtless selfie of you on your yacht or on your jet? You have a jet? No.
I mean, my family The Like, the foundation, I guess, has a jet.
What about you, Hayes? Definitely not a jet.
No dating profile, either.
Right, 'cause you have your own personal matchmaker.
What's that supposed to mean? Ready to close.
Vicryl.
Dr.
Goldberg to L&D.
Dr.
Rachel Goldberg to L&D.
Any word? They're still in the O.
R.
You know, Tom, I'm I'm a very proud woman, but I'm not too proud to admit the mistakes I've made in my life.
And this year oof this year, I've just screwed up everything.
Uh Uh, I don't know.
Remember that one summer you came to visit me at my lake house? You borrowed my car, and you forgot to put the parking brake on.
As we had dinner, I had to watch my Saab 99 Turbo roll down the hill and sink to the bottom of Lake Habeeb.
You said it was the that was the first time you'd seen me cry.
Oh, Tommy.
Tommy.
Well, listen, depending on what we find out from this biopsy I might be coming to ask you to play a bigger role in the foundation.
- Oh.
- Eh, Jackson's my first choice, but I just don't want to pressure him into doing something that makes him unhappy.
Kit Cat, the foundation is your life.
Not as long as Richard needs me.
Mnh-mnh.
I gave up on him once.
I'm never doing that again.
Oh.
I already informed pathology to put a rush on the report.
You okay? I'd say we should bring in someone who isn't family That person doesn't exist.
Let's go.
Ten blade.
Hey, hey! Hey, stop! Wait! Don't cut! Okay? - Damn it, DeLuca! - Just stop, okay? I-I'm sorry, but I found something.
I was going over Dr.
Webber's history again, and he got a hip replacement three years ago in Boston.
Richard Webber is sedated on the table.
You need to step away from the sterile field and wait outside! And you can tell us about it when we're finished.
- No, no, no.
How about now? Huh? - Are you Gonna listen to me now? That's it.
You're done.
Get out.
- Uh, we need to re-sterilize.
- Bailey.
- No, no, no.
- B-Bailey, listen to me, okay? Look, you don't need to do the biopsy, all right? His hip replacement was made out of cobalt.
We did a heavy metals test.
Wh It came back negative, right? Not for cobalt.
That test is mercury, arsenic, and lead.
We wouldn't see that.
Right.
And if that hip is deteriorating, Bailey, cobalt poisoning would explain the dementia, the depression, hallucinations, tremors everything, okay? And every second that it stays in his body, he's he's getting sicker.
Bailey, please trust me.
Change of plans.
We need to draw some blood.
D DeLuca, run this down to the lab.
Tell them the chief says move this to the front of the line.
- Run! - Okay.
Okay.
You really think a hip replacement - could've caused all this? - Mm-hmm.
It's a metal-on-metal joint, which means it's entirely possible that the friction caused the hip to wear away over time.
I-I confirmed it with the hospital in Boston today.
They used a chromium cobalt alloy for his surgery.
Cobalt in his blood stream would explain the neurotoxic symptoms.
Okay, so, cobalt level's - 200? - Oh.
The average level in a healthy adult male is around 8.
That's 25 times more than it should be.
How permanent is this damage? - I-It's not.
It shouldn't be.
- You don't know that.
First step is we have to get that cobalt out of him and replace it.
Well, go, go! Get that thing out of him now! - Right.
- All right, Taryn, find an empty O.
R.
- and prep Dr.
Webber.
- Hey, I want to scrub in.
And I want a house in Hawaii.
Go home.
Chief, any resident who found what I found would get the privilege to scrub in.
Please.
Y-You can't discriminate against me because you think I have a problem.
Lord, I'm sick of you.
Dr.
Bailey he doesn't have to touch Richard, but he's right.
It's his diagnosis.
It's a career defining moment.
He should get to be there.
Not a finger.
Thank you.
Scout's honor.
Got to go find Atticus Lincoln.
Well, he's with Amelia, and they're having a baby.
Right.
Well, not anymore.
Hey, Mer.
Thank you.
Don't make me regret this.
- I won't.
- Amazing catch.
Sorry, sorry, sorry, sorry, sorry, sorry, sorry, sorry.
Ah, doesn't hurt a bit.
Ah.
Actually, you sh squeeze harder, actually, because, uh, because I'm feeling nothing here.
You're progressing very nicely, Amelia.
Really? Because it feels epically slow.
D Oh.
Dr.
Lincoln, uh, we need you in O.
R.
1, explantation and replacement of a hip prosthesis.
Kind of in the middle of something here.
It's for Richard.
He tested positive for cobalt toxicity.
It's his hip.
Webber's got a cobalt hip? Yeah, which is leaching more cobalt into his blood the longer we speak.
I I would not ask, but he needs the best we have, and he needs it now.
Okay.
I think we're almost done here.
No, you're still only six centimeters.
- You have hours.
- What? - Still? - Yeah.
Oh.
Okay.
Go.
- You sure? - Yeah.
Yeah, it's Richard.
Go.
Go.
Mm.
Mwah.
Okay, go.
No, w-wait.
Wait, do that again.
Mm.
Mm.
Mm.
That really does help with the pain some.
I told you! Okay, go, go! I'm pretty madly in love with you, you know.
Me, too! Go! - Bailey! - Huh? Huh? Oh, uh, no, I'm gonna help prep Richard.
You stole the father of my baby while I'm in active labor.
Uh Ha Uh Oh.
- Oh! - What? - Aah! - Aah! No tension.
Perfect coaptation.
Just need to anchor the muscle proximally and we get to close her up.
I saw a survey that said 98% of women have been told to smile more at work.
Why is there so much pressure to smile all the time? It's not like it makes us better at our jobs.
The only people that smile all the time are clowns and sociopaths.
Dr.
Avery, are you almost done? Why? You need my O.
R.
? No, but thank you.
Chief Bailey wanted me to tell you we're taking Dr.
Webber to the O.
R.
because he has a hip made of cobalt, which has been slowly poisoning him.
- Wait, what? - I know.
Dr.
DeLuca figured it out.
DeLuca? Jackson, go.
We can finish and close.
- Got it? - Yep.
Score one for DeLuca.
The way he's been acting, I'm amazed anyone listened to anything he had to say, least of all Grey.
You seem very interested in who Meredith Grey listens to.
Do I? I hadn't noticed.
Hmm.
Schmitt, bovie.
What are the odds that that thing would just shatter like that? Well, maple bats splinter easily.
Why are they allowed? Well, they're trying to phase them out, go back to ash.
Oh, good.
Schmitt, can you get that, please? Oh, but then I wouldn't be sterile.
I know.
Okay.
Some guy named Winston says - that he can't stop thinking about you.
- No, no, no, no.
Not that one.
Okay.
Grey texted, too, and Bailey and Helm.
Well, what did they say? Ooh, it's a lot.
I'm reading.
Dr.
Webber has cobalt poisoning from a hip replacement, and they're rushing him into surgery to replace it.
They think that it explains everything that's wrong with him.
Pierce, we can we can page Altman if you need to No.
No.
I'm I'm okay.
I just need a second.
Okay.
Bovie.
You're the one who paged.
Mm.
I'm driving across the Key Bridge in Baltimore one night, early June, sunset, weather's gorgeous, slight breeze, sailboats on the water.
There was a crimson sky.
- Tom.
- A-And I see this guy, 20-something, on his phone, looking distraught, his face all tightened up in anguish, and he's leaning way out over the railing.
And before I know what I'm doing, I slam on my brakes, I run to him "Don't do it! Don't" Cars lined up behind mine, people leaning on their horns, but I had to stop him.
I-I At least try.
I couldn't let him throw his life away.
So, what happened? - Did you talk him down? - Oh, no.
It turns out he was just calling into a radio station for some free concert tickets, and the reception was better out over the water.
I just wanted to tell a story to illustrate my point.
Don't throw your life away, Teddy.
I hate that I have dragged you into this.
I hate that I'm hurting you.
Because you love me.
I am marrying Owen.
And I love you, too.
Which means I'm not giving up on you.
So, tonight, I'll be in my car.
Lot B, 7:00.
Waiting to take you wherever you want to go.
You want to go out to your place? Hmm? Explain things to Hunt? Fine.
You want to run away, go down the coast, spend a weekend figuring things out? I'll be there.
7:00.
Tom.
We can't do this.
Say it.
- I love you, too.
- Mm.
Mm.
They ended your suspension? Temporarily.
Yeah.
Okay, everyone.
We've done this a thousand times.
We know what to do.
Ten blade.
What is all that? Mostly sludge.
I've never seen this much tissue damage from a hip replacement before.
Look at this gluteus medius tendon.
I can't believe that was all inside of him.
Not just him.
These hips were the new standard for a while.
Surgeons used to beg their hospitals to invest in them, but, uh, if this is happening to other people it's gonna be a game-changer, DeLuca.
Can someone get me an update on Amelia? Ooh.
Okay.
Oh.
How are we doing? Uh, contractions are less than three minutes apart.
She's doing great.
- Ooh.
- Good.
Can I take a look? Uh-huh.
Ooh! I feel like my organs are in a vice.
Aah! Hey, I know you said no medications, but There's fentanyl in the epidural.
Nobody advertises that, but Aah! Women are smart.
We are evolved.
We are critical-thinking.
How did the first woman ever have a baby and then decide to have another one? Aah! Or let another woman have one? Oh.
How do humans exist? Why do we do this? You do this because you're so in love with someone that the two of you can't contain it all.
So you make another person out of that love.
Oh, God.
Bailey I am so sorry.
I'm awful.
I was not thinking about it.
You can go.
I ju I deserve to have this baby on my own.
D No.
Now, that would go against the rules of pregnancy club.
The surgery went well, and the bandages should be able to come off soon.
Recovery will be slow.
You'll need rehab and speech therapy.
See, Dad? Everything was fine.
- I came as fast as I could.
- Hi.
How is she doing? Um uh we're great.
Ms.
Scott? Why are you here? I I was in the neighborhood, and I thought maybe you might want to catch up on your homework.
Oh, my God.
Dad, you're dating my algebra teacher? Um only kind of.
It's just We have the same dentist.
She set us up.
I didn't know she was your teacher at the time.
We didn't want to tell you until after the school year was over and you weren't in my class.
Oh, honey.
Please.
Don't be upset.
I'm not upset.
I'm trying to smile.
Okay.
Well, now we know why the dad never swiped right.
God, I hate set-ups.
But if it makes them happy So, this lack of interest in dating it's it's only in regards to yourself, right? I mean, just because I'm miserable doesn't mean everyone else has to be.
Okay.
So, I'm not wrong, then? 'Cause I get the feeling people are having conversations about my personal life that I'm not privy to.
You know, you should smile more.
Hmm.
- Ohh! - Okay, it's time to push.
- Okay.
- No, I ca I can't push anymore! - I can't! I can't! - Oh, yes, you can.
No, I can't! I'm done! I'm dying! I can't! Okay, okay, but but think of all those women you were talking about, the women that do this every day.
No, I hate those women! And they all have drugs and masturbation and and then C-sections, and I don't even have Link! Ohhh! Uh, okay.
Okay, here.
Sit up.
I can't! I can't! I can't do this! Okay.
Tucker's father wasn't with me, either.
- So, move.
- Why? What are you doing? - Ah.
Okay.
- Okay.
Oh, my God.
I can't do this.
Okay.
Okay.
- Okay.
- Now - All right.
- let's have a baby.
- Okay.
One, two, three.
- Okay.
Push! One more, one more, one more.
Good.
All right.
Clip.
This atrial appendage clip should contain the bleeding.
I thought these clips were only used for a-fib.
Mnh.
Schmitt.
Um Oh, Dr.
Webber's out.
He's stable.
Yes! Sorry.
Pierce, you can you can go if you need to.
What? No.
No, I do my best work when I am profoundly relieved.
Now, what about you? Don't you have a wedding to get to? Ah, there's plenty of wine to keep people happy.
Oh, Schmitt, could you? Oh.
I'm doing yours now, too? Great.
Great use of my medical degree.
A voicemail from Dr.
Altman.
Oh, it's probably about tonight.
- Could you just, uh, put it on speaker? - Yep.
- Thanks.
- Oh.
Mm.
Oh.
Oh, God.
Oh, God.
- Schmitt? - Oh, yes! - Schmitt.
- Yep.
Yep.
- Schmitt! - Yep, yep, yeah! I'm trying, I'm trying, I'm trying, I'm tr Okay.
S-Sorry, everyone.
Clearly, that was meant for me.
You know, Teddy's idea of a wedding gift.
Yeah.
Yeah, that's a good one.
- Yeah.
- Yeah.
Um suc Um Suction.
Was that another false alarm? Where's Carina? Are you okay? I'm okay.
Everything's okay.
Atticus Lincoln come meet your son.
Oh, my God.
Oh, my God.
Hi.
Oh.
Hi.
Oh, oh.
He's so small.
Don't say that to the person who just pushed him out.
He's beautiful.
Isn't he? You both are.
Oh.
Is he, uh doing o He's stable.
Came off his vents easily.
We won't know more 'til he wakes up, but that implant was basically rotted inside of him.
It was, uh awful.
Okay.
When he wakes up, make sure his pain's controlled and walk him through his recovery.
And tell him he missed his chance at the majors and his dream is dead.
Schmitt, you're not the one who's suffering here.
He is.
So put on a game face, suck up your feelings, 'cause that's what we do.
If you can't do that, if you can't do your job consider a new career.
Oh, God.
Oh, God.
Oh, yes.
Oh! God! Oh! Oh.
Mm.
Mm.
Oh, God.
Oh.
Let's not wait 'til 7:00.
Let's leave now.
No, I can't.
I can't leave with you.
I c I'm I am marrying Owen.
This was This was goodbye.
Okay.
Mm.
Mm.
How's that? Ah.
Thank you, Maggie.
It's so nice to hear you say my name.
Do you know who this is? Mm.
You mean, um Jackson? Hey, Richard.
Do you know where you are? Grey-Sloan Memorial? If this is a quiz, you might want to ask some tougher questions.
Fair enough.
Okay, um, hold out your hand for me.
Oh, sweetheart.
The nurses are gonna bring in a bed so I can stay the night with you.
It's Catherine.
It's It's Mom.
I know who it is.
What is she doing here? Sweetheart.
I've been with you this whole time.
Is your mind playing tricks on you again? Did you stand by me while I was being fired, you buy my hospital to humiliate me, or is that my mind playing tricks, too? Richard, calm down.
Get out.
- Richard.
- Okay, Mom, let's go.
Let's give him a little - little bit of time.
Okay? - Richard.
Sometimes, surgeries go better than planned.
Grey.
Heard about Webber.
Oh, yeah.
Incredible catch.
Yeah, it was not all me.
It was an army and mainly DeLuca.
Mm-hmm.
Want to grab a drink? Celebrate? Yes.
Except I'm so exhausted.
Will you ask me another time? Of course.
See you later.
Bye.
Hey.
Andrew? Andrew, it's over.
Maggie said she'll call us if there are any changes.
I don't I can't, uh I don't know what's going on.
Okay, okay.
Can we just go home? Let's go home, okay? Come on.
There's no better gift you can give someone than saying you saved the person they love.
It went okay, I think.
I look forward to those moments.
Unfortunately, those perfect outcomes are rare.
You would think it gets easier, but it doesn't.
Each one hurts just as much as the last one.
So, we hope for the best and prepare for the worst.
Hey, Teddy.
I'm so sorry, honey.
We'll reschedule.
Alison just fell asleep, and I'll get that guy down.
Why are we rescheduling? Owen got pulled in for a last-minute surgery.
Said to send everyone home.
He didn't call you? No.
Oh, well, seems he barely had time to tell me.
I mean, trauma well, you know better than anyone.
Right.
Because the worst has a nasty way of finding you.
R.
It's freezing, you're naked, and a stranger will be cutting into your body with knives.
This is not it.
It's not on here, okay? But what patients don't know and what we try to keep them from knowing is Why shouldn't that be on there? sometimes it's just as terrifying for us.
What? Traumas, heart surgery, anything to do with the pancreas.
Any surgeon who says they're not afraid of those is lying.
You just wrote that.
But no matter how risky the surgery no matter how scared you might be your job is to reassure your patient and tell them, "Everything is going to be okay.
" Whether you believe it or not.
Uh, hey.
Has Has Richard been getting the hiccups lately? I don't know.
Why? Could be a symptom of Creutzfeldt-Jakob's disease.
Less than 350 Americans get it each year.
There's no 1-hertz spikes on the EEG.
The RT Quick Panel come back yet? Um ugh.
Not sure.
My tablet just died.
Okay.
I'm gonna get another one.
I'll be right back.
Permission slip.
Zola's field trip to the zoo.
Oh.
Well, that's next week, but This is next week.
Oh.
Has DeLuca been sleeping? I don't know.
You're okay with that? Are you here to help? When my mom was sick, I was so blinded by my need to cure her that I couldn't accept the fact that she was dying.
And instead of caring for her, I put her through all this unnecessary testing, and I hurt her.
That's what you told me.
Right, but she had an actual diagnosis.
It's Alzheimer's, Meredith.
I do not believe that it is.
Well, Amelia and Koracick do.
So Catherine's taking Richard home today.
Oh, hey, Mommy.
Nope.
Unh-unh.
You call me Baby Daddy.
And now I will never do that again.
Did you already finish up your arthroscopy? Yeah.
Cruised through it.
Still have clinic and some post-ops, but how 'bout an early movie? Then Angelini's.
Take advantage of still being a party of two.
I have a DBS, and I'm hoping to fit in a corpectomy.
You had contractions last week over an open brain.
So? So, don't you think it's time to lighten the load? I am.
Well, you can return to surgery whenever you want after this baby is born.
My body won't come back so fast, so I gotta squeeze in as much as I can.
Dr.
Shepherd, O.
R.
3 is ready.
All right.
I will be there in a minute.
Might be more like ten.
Shut up! And let me know if there's any increase in Mr.
Rojas' chest tube output.
You got it, Dr.
Altman.
And, um, congratulations, about tonight.
Even though marriage is an outdated concept, I still think it's neat.
- I've been busy.
- Thanks.
But it's a simple request, Tom.
- Y-You need to calm down.
- Calm down? What the hell is wrong with you? I should've known.
Known? Known what? What's What's wrong? He said he didn't see the e-mail requesting time off.
I saw the subject line.
It didn't seem urgent.
Y-You're getting married, what, in a few months? It's tonight, Tom.
It's just a It's a last-minute thing, you know? Some family members for a backyard party.
"Last-minute thing.
" Well, that sounds elegant, Hunt.
Well, it's exactly what Teddy wanted.
So, the time off, please? Sure.
Whatever you need.
Thank you.
- I'll see you.
- Yeah, okay.
Thanks for the heads-up.
- Tom, I - No, no, no.
I'm I couldn't be happier for you.
Morning, Daya.
How you doing today? I'd be better if I had a smiling photo for this dating app.
His, not mine.
She signed me up against my will.
And you can see how happy it makes me.
Oh, right.
You can't.
Fun! Daya Burman, 13, presents with Moebius syndrome, a rare neurological condition that inhibits facial expression and And leaves me with resting bitch face 24-7.
Not true.
And language.
You'd swear, too, if you could only express your emotions through Bitmojis.
Well, fortunately, we're gonna change all that.
Dr.
Avery? Yes, we are, because today, we are doing a bilateral gracilis transfer, which means we're taking the muscles and nerves from your legs Mm-hmm.
implanting them onto your face.
- Sorry to interrupt - Mm-hmm.
but we know the surgery.
We've bailed on it four times in the last year.
And by "we," I mean But I think he's finally ready, and I want to get going before he chickens out again.
Last time, I barely got into a gown when he changed his mind.
Because you don't need this surgery.
You're beautiful just the way you are.
You've been scared of hospitals since Mom died.
But I start high school next year, and I want to have friends.
Friends I can laugh and cry with and who understand me.
Because right now, no one understands me.
I do, and I think you're perfect.
Now we're talking.
Look out, single ladies.
- Hey, just - Promise not to chicken out again and I won't post it.
21-year-old male.
Took a baseball bat to the chest.
- Blunt trauma? - Not exactly.
Oh, my God.
You should see the other guy.
He's totally fine.
Okay, you Look, you don't understand.
All right? You're making a huge mistake.
DeLuca, this doesn't concern you.
Yes, it does concern me, okay? R-Richard's my friend.
You've had weeks and have found nothing.
I'm taking my husband home.
Even if it means you're gonna kill him? 'Cause that's what you're doing.
You know that, right? - You - Andrew! Take a walk.
I'm sorry, Catherine.
He's exhausted.
We're all exhausted.
This is hard enough without the accusations.
But But I told him not to come up here.
Yeah, 'cause he's so great at following the rules.
Okay, I-I'm not a child! I-It won't take long.
Just to the exit.
I'm taking you home, sweetheart, remember? Look, I want to walk.
Okay.
Okay.
- Ooh! Man.
- Ooh.
- Damn it! - All right, you just slipped.
My leg fell asleep because you people keep me in this bed.
Are you okay? I just need a minute, okay Okay.
'Til I can get the feeling back in my toes.
What do you mean you have no feeling in your toes? Your feet have never fallen asleep? Humor me.
They're They're numb and tingly.
Meredith, he just slipped.
Well, what about your fingers? Are your fingers numb? Mm.
I'm gonna check your calf, okay? Mm! - Ohh! - Okay.
Tingling in the extremities and sensitivity to touch are not signs of Alzheimer's.
Definitely should do an EMG to test his nerves.
You really think that's warranted, Grey? I do, because if I'm right, then it gives us some hope.
And if you're wrong, then it's torture.
I don't need any more tests! Catherine I know you don't want to see him in pain.
I don't want to see him in pain.
But are we really willing to ignore this? Do it.
Ugh.
Baby, we have to.
We have to.
Let's type and screen him.
Let's get a chest X-ray and a CT trauma series.
Schmitt, let's get the ultrasound so we can assess the extent of this damage.
Catcher called for heat.
Next thing I know Boom.
Shards came at me like a boomerang.
Let's page cardio.
- It's in my heart? - We don't know.
That's why we paged cardio, all right? - I-I can take that for you.
- Yeah.
Cascades, huh? Yeah.
My dream's to go to the Mariners.
Seems to be everybody's dream these days.
Okay, ultrasound's unclear.
We're gonna get you up to CT, and let's book an O.
R.
- An O.
R.
? - Trust me you do not want to be awake when I pull this thing out of you, okay? You're gonna be fine.
Okay, let's move.
Let's go.
So, you noticed sensory deficit and an increased sensitivity to pain, which means The nervous system is like an electrical grid.
By sending a small charge to certain areas, we can see if all those lines are connected.
Or if a power line is down.
The shock of this should send all ten of his little piggies squealing.
From one chief to another, sorry.
Oh! Ohh.
Ohh.
Adding more juice.
- Aah! - Yeah.
Ohh! No motor output going to the legs.
The test confirmed what we saw with the fall, which is he has severe acute onset motor and sensory nerve degeneration, which is inconsistent with an Alzheimer's diagnosis.
I'd like to hear from my neurosurgeons.
Grey's right.
It's a fantastic catch.
I'm also withdrawing my Alzheimer's vote.
I It's not just his mind that's failing him.
It's his body.
Not Alzheimer's? Oh, my God.
That That's fantastic.
Well, what is it? Where does that leave us? In neuroscience, the official term is square one.
We keep hunting.
Right.
Then we should start with a sural nerve biopsy and re-check his pan-scan to rule out a an occult tumor and just try to determine what exactly is destroying his nerves.
Agreed.
Aw, damn it.
Trauma consult.
Please keep me posted.
And thank you, Meredith.
Thank you all.
Okay, I am, uh, clearing the rest of my schedule today.
I'll meet you in the O.
R.
, Grey.
Uh, let Koracick know what you find.
I'm gonna let him take over.
Oh, you don't have to tell me I'm better than you, Shepherd.
- I know I am.
- You're not.
But my water just broke.
Oh.
Uh you want a wheelchair? You're gonna walk? You do Richard.
I'm good to walk.
Sorry about the floor.
I'm gonna call Link.
- Oof.
- Good luck! Are we there yet? To the line you can't cross unless you're a patient or doctor? Uh, no.
Why? Wait! Doctors! That's why.
Just keep going.
He already gave consent.
He's your dad, Daya.
Uh, did you have a last-minute question? It's happening again.
Dad, breathe.
Remember? Please breathe.
Daya, I'm sorry.
I love you.
I can't lose you.
And you're perfect.
You're perfect.
You don't need to change.
I do.
I do need to change.
Dad, I need this change.
Mom wanted this for me.
She wanted me to be able to smile.
She She wanted to be able to make me smile.
She wanted this, and she's gone, and you're using her death as a reason to not let me have what she and I both wanted for me.
That is just Okay, you have to breathe.
Do you need one of those bags? No, he's okay, right? Nice and easy.
Just breathe, okay? Look, Mr.
Burman, we know that her condition is not life-threatening, but it is a very serious challenge.
We all depend on nonverbal communication every day.
You're doing it right now.
You're not talking, but we all can see that you are terrified and you're panicked, all because you're scared for your daughter.
But we have good news.
We know what she has, and we know exactly how to fix it.
We just need you to let us do that for her.
Let us do that for you.
I want to smile, Dad.
I want to be able to smile.
Please.
Okay.
Promise me you'll swipe right at least once while I'm in surgery.
All right.
Daya, you ready? Are you kidding? Look at this face.
I am pumped.
All right.
We got her.
I heard about Richard's EMG.
That's big news.
Yep.
Talk of the hospital.
- Well, that and your spontaneous wedding.
- Tom.
Did my invitation for tonight get lost in the mail, or? Let's not make this harder than it already is.
Oh, you're referring to your impending nuptials as "hard.
" - That's a good sign.
- I love Owen.
And you love me.
Now you're racing off to the altar to try to convince yourself you can live without me.
Spoiler alert.
You can't.
This wedding is happening.
You know, I've seen a few shotgun weddings, Teddy, but usually, it's not the bride holding the gun.
Oh.
Oh, hey.
What'd I miss? Just the initial pelvic exam that shows that's Amelia's at five centimeters.
- Huh? - Already? - Mm-hmm.
- "Huh"? You didn't feel any contractions? Nope.
Maybe a little.
They started at 9:00 this morning.
What? You put yourself on the board for five surgeries.
Well, I thought they were still Braxton Hicks.
No, no, no, no.
You're definitely in active labor.
- Ugh.
- I'm gonna go get the fetal monitor so we can check on the baby.
What, are you skipping town? 'Cause now is not the right time to tell me.
No, that's our go-bag.
I packed Bluetooth speakers, a deck of cards, trashy magazines, peanuts.
- I hate peanuts.
- No, those are for me.
Oh.
Oh, I-I-I'll go get you some French fries and and the biggest chocolate bar I can find.
No.
S-Stay.
Please? I'm not going anywhere.
Oh! Ooh! Ah.
Ah.
It's not in your chest, okay? You don't feel pain when you see something violent? Like, all over? No.
Hey.
I'm here.
Sorry.
I was with Richard.
Oh.
Um, how's he How's he doing? We're making some progress, I think.
I hope.
- Ouch.
- Yeah.
See? Okay, baseball bat splintered, went into his chest, obviously.
Yeah, it did.
He has blood in the pericardial sac, and that looks dangerously close to the left atrial appendage.
Uh, you need to put him on bypass to fix it? - Unlikely, but I will if it tears.
- Okay.
He's a baseball player? Pitcher in the minors.
- About to get called up to the majors.
- Yeah.
- Not anytime soon.
- Yeah.
Ohh.
Gosh.
Again, Schmitt, this is not happening to you, okay? He worked his whole life for this! Do you think her dad will swipe right, like she asked? Maybe.
Is that my only hope now? A stupid algorithm that claims to know who to pair me with? I don't even know what I'd put in my profile.
I hate everything.
Well, except mac and cheese from a box.
You know, this looks like the appropriate size.
Now we just need to tether the muscle to the oral commissures right here and here.
We'll be able to eliminate that constant frown.
What about you, Jackson? Do you use a dating app? Wait, what's your profile picture? A shirtless selfie of you on your yacht or on your jet? You have a jet? No.
I mean, my family The Like, the foundation, I guess, has a jet.
What about you, Hayes? Definitely not a jet.
No dating profile, either.
Right, 'cause you have your own personal matchmaker.
What's that supposed to mean? Ready to close.
Vicryl.
Dr.
Goldberg to L&D.
Dr.
Rachel Goldberg to L&D.
Any word? They're still in the O.
R.
You know, Tom, I'm I'm a very proud woman, but I'm not too proud to admit the mistakes I've made in my life.
And this year oof this year, I've just screwed up everything.
Uh Uh, I don't know.
Remember that one summer you came to visit me at my lake house? You borrowed my car, and you forgot to put the parking brake on.
As we had dinner, I had to watch my Saab 99 Turbo roll down the hill and sink to the bottom of Lake Habeeb.
You said it was the that was the first time you'd seen me cry.
Oh, Tommy.
Tommy.
Well, listen, depending on what we find out from this biopsy I might be coming to ask you to play a bigger role in the foundation.
- Oh.
- Eh, Jackson's my first choice, but I just don't want to pressure him into doing something that makes him unhappy.
Kit Cat, the foundation is your life.
Not as long as Richard needs me.
Mnh-mnh.
I gave up on him once.
I'm never doing that again.
Oh.
I already informed pathology to put a rush on the report.
You okay? I'd say we should bring in someone who isn't family That person doesn't exist.
Let's go.
Ten blade.
Hey, hey! Hey, stop! Wait! Don't cut! Okay? - Damn it, DeLuca! - Just stop, okay? I-I'm sorry, but I found something.
I was going over Dr.
Webber's history again, and he got a hip replacement three years ago in Boston.
Richard Webber is sedated on the table.
You need to step away from the sterile field and wait outside! And you can tell us about it when we're finished.
- No, no, no.
How about now? Huh? - Are you Gonna listen to me now? That's it.
You're done.
Get out.
- Uh, we need to re-sterilize.
- Bailey.
- No, no, no.
- B-Bailey, listen to me, okay? Look, you don't need to do the biopsy, all right? His hip replacement was made out of cobalt.
We did a heavy metals test.
Wh It came back negative, right? Not for cobalt.
That test is mercury, arsenic, and lead.
We wouldn't see that.
Right.
And if that hip is deteriorating, Bailey, cobalt poisoning would explain the dementia, the depression, hallucinations, tremors everything, okay? And every second that it stays in his body, he's he's getting sicker.
Bailey, please trust me.
Change of plans.
We need to draw some blood.
D DeLuca, run this down to the lab.
Tell them the chief says move this to the front of the line.
- Run! - Okay.
Okay.
You really think a hip replacement - could've caused all this? - Mm-hmm.
It's a metal-on-metal joint, which means it's entirely possible that the friction caused the hip to wear away over time.
I-I confirmed it with the hospital in Boston today.
They used a chromium cobalt alloy for his surgery.
Cobalt in his blood stream would explain the neurotoxic symptoms.
Okay, so, cobalt level's - 200? - Oh.
The average level in a healthy adult male is around 8.
That's 25 times more than it should be.
How permanent is this damage? - I-It's not.
It shouldn't be.
- You don't know that.
First step is we have to get that cobalt out of him and replace it.
Well, go, go! Get that thing out of him now! - Right.
- All right, Taryn, find an empty O.
R.
- and prep Dr.
Webber.
- Hey, I want to scrub in.
And I want a house in Hawaii.
Go home.
Chief, any resident who found what I found would get the privilege to scrub in.
Please.
Y-You can't discriminate against me because you think I have a problem.
Lord, I'm sick of you.
Dr.
Bailey he doesn't have to touch Richard, but he's right.
It's his diagnosis.
It's a career defining moment.
He should get to be there.
Not a finger.
Thank you.
Scout's honor.
Got to go find Atticus Lincoln.
Well, he's with Amelia, and they're having a baby.
Right.
Well, not anymore.
Hey, Mer.
Thank you.
Don't make me regret this.
- I won't.
- Amazing catch.
Sorry, sorry, sorry, sorry, sorry, sorry, sorry, sorry.
Ah, doesn't hurt a bit.
Ah.
Actually, you sh squeeze harder, actually, because, uh, because I'm feeling nothing here.
You're progressing very nicely, Amelia.
Really? Because it feels epically slow.
D Oh.
Dr.
Lincoln, uh, we need you in O.
R.
1, explantation and replacement of a hip prosthesis.
Kind of in the middle of something here.
It's for Richard.
He tested positive for cobalt toxicity.
It's his hip.
Webber's got a cobalt hip? Yeah, which is leaching more cobalt into his blood the longer we speak.
I I would not ask, but he needs the best we have, and he needs it now.
Okay.
I think we're almost done here.
No, you're still only six centimeters.
- You have hours.
- What? - Still? - Yeah.
Oh.
Okay.
Go.
- You sure? - Yeah.
Yeah, it's Richard.
Go.
Go.
Mm.
Mwah.
Okay, go.
No, w-wait.
Wait, do that again.
Mm.
Mm.
Mm.
That really does help with the pain some.
I told you! Okay, go, go! I'm pretty madly in love with you, you know.
Me, too! Go! - Bailey! - Huh? Huh? Oh, uh, no, I'm gonna help prep Richard.
You stole the father of my baby while I'm in active labor.
Uh Ha Uh Oh.
- Oh! - What? - Aah! - Aah! No tension.
Perfect coaptation.
Just need to anchor the muscle proximally and we get to close her up.
I saw a survey that said 98% of women have been told to smile more at work.
Why is there so much pressure to smile all the time? It's not like it makes us better at our jobs.
The only people that smile all the time are clowns and sociopaths.
Dr.
Avery, are you almost done? Why? You need my O.
R.
? No, but thank you.
Chief Bailey wanted me to tell you we're taking Dr.
Webber to the O.
R.
because he has a hip made of cobalt, which has been slowly poisoning him.
- Wait, what? - I know.
Dr.
DeLuca figured it out.
DeLuca? Jackson, go.
We can finish and close.
- Got it? - Yep.
Score one for DeLuca.
The way he's been acting, I'm amazed anyone listened to anything he had to say, least of all Grey.
You seem very interested in who Meredith Grey listens to.
Do I? I hadn't noticed.
Hmm.
Schmitt, bovie.
What are the odds that that thing would just shatter like that? Well, maple bats splinter easily.
Why are they allowed? Well, they're trying to phase them out, go back to ash.
Oh, good.
Schmitt, can you get that, please? Oh, but then I wouldn't be sterile.
I know.
Okay.
Some guy named Winston says - that he can't stop thinking about you.
- No, no, no, no.
Not that one.
Okay.
Grey texted, too, and Bailey and Helm.
Well, what did they say? Ooh, it's a lot.
I'm reading.
Dr.
Webber has cobalt poisoning from a hip replacement, and they're rushing him into surgery to replace it.
They think that it explains everything that's wrong with him.
Pierce, we can we can page Altman if you need to No.
No.
I'm I'm okay.
I just need a second.
Okay.
Bovie.
You're the one who paged.
Mm.
I'm driving across the Key Bridge in Baltimore one night, early June, sunset, weather's gorgeous, slight breeze, sailboats on the water.
There was a crimson sky.
- Tom.
- A-And I see this guy, 20-something, on his phone, looking distraught, his face all tightened up in anguish, and he's leaning way out over the railing.
And before I know what I'm doing, I slam on my brakes, I run to him "Don't do it! Don't" Cars lined up behind mine, people leaning on their horns, but I had to stop him.
I-I At least try.
I couldn't let him throw his life away.
So, what happened? - Did you talk him down? - Oh, no.
It turns out he was just calling into a radio station for some free concert tickets, and the reception was better out over the water.
I just wanted to tell a story to illustrate my point.
Don't throw your life away, Teddy.
I hate that I have dragged you into this.
I hate that I'm hurting you.
Because you love me.
I am marrying Owen.
And I love you, too.
Which means I'm not giving up on you.
So, tonight, I'll be in my car.
Lot B, 7:00.
Waiting to take you wherever you want to go.
You want to go out to your place? Hmm? Explain things to Hunt? Fine.
You want to run away, go down the coast, spend a weekend figuring things out? I'll be there.
7:00.
Tom.
We can't do this.
Say it.
- I love you, too.
- Mm.
Mm.
They ended your suspension? Temporarily.
Yeah.
Okay, everyone.
We've done this a thousand times.
We know what to do.
Ten blade.
What is all that? Mostly sludge.
I've never seen this much tissue damage from a hip replacement before.
Look at this gluteus medius tendon.
I can't believe that was all inside of him.
Not just him.
These hips were the new standard for a while.
Surgeons used to beg their hospitals to invest in them, but, uh, if this is happening to other people it's gonna be a game-changer, DeLuca.
Can someone get me an update on Amelia? Ooh.
Okay.
Oh.
How are we doing? Uh, contractions are less than three minutes apart.
She's doing great.
- Ooh.
- Good.
Can I take a look? Uh-huh.
Ooh! I feel like my organs are in a vice.
Aah! Hey, I know you said no medications, but There's fentanyl in the epidural.
Nobody advertises that, but Aah! Women are smart.
We are evolved.
We are critical-thinking.
How did the first woman ever have a baby and then decide to have another one? Aah! Or let another woman have one? Oh.
How do humans exist? Why do we do this? You do this because you're so in love with someone that the two of you can't contain it all.
So you make another person out of that love.
Oh, God.
Bailey I am so sorry.
I'm awful.
I was not thinking about it.
You can go.
I ju I deserve to have this baby on my own.
D No.
Now, that would go against the rules of pregnancy club.
The surgery went well, and the bandages should be able to come off soon.
Recovery will be slow.
You'll need rehab and speech therapy.
See, Dad? Everything was fine.
- I came as fast as I could.
- Hi.
How is she doing? Um uh we're great.
Ms.
Scott? Why are you here? I I was in the neighborhood, and I thought maybe you might want to catch up on your homework.
Oh, my God.
Dad, you're dating my algebra teacher? Um only kind of.
It's just We have the same dentist.
She set us up.
I didn't know she was your teacher at the time.
We didn't want to tell you until after the school year was over and you weren't in my class.
Oh, honey.
Please.
Don't be upset.
I'm not upset.
I'm trying to smile.
Okay.
Well, now we know why the dad never swiped right.
God, I hate set-ups.
But if it makes them happy So, this lack of interest in dating it's it's only in regards to yourself, right? I mean, just because I'm miserable doesn't mean everyone else has to be.
Okay.
So, I'm not wrong, then? 'Cause I get the feeling people are having conversations about my personal life that I'm not privy to.
You know, you should smile more.
Hmm.
- Ohh! - Okay, it's time to push.
- Okay.
- No, I ca I can't push anymore! - I can't! I can't! - Oh, yes, you can.
No, I can't! I'm done! I'm dying! I can't! Okay, okay, but but think of all those women you were talking about, the women that do this every day.
No, I hate those women! And they all have drugs and masturbation and and then C-sections, and I don't even have Link! Ohhh! Uh, okay.
Okay, here.
Sit up.
I can't! I can't! I can't do this! Okay.
Tucker's father wasn't with me, either.
- So, move.
- Why? What are you doing? - Ah.
Okay.
- Okay.
Oh, my God.
I can't do this.
Okay.
Okay.
- Okay.
- Now - All right.
- let's have a baby.
- Okay.
One, two, three.
- Okay.
Push! One more, one more, one more.
Good.
All right.
Clip.
This atrial appendage clip should contain the bleeding.
I thought these clips were only used for a-fib.
Mnh.
Schmitt.
Um Oh, Dr.
Webber's out.
He's stable.
Yes! Sorry.
Pierce, you can you can go if you need to.
What? No.
No, I do my best work when I am profoundly relieved.
Now, what about you? Don't you have a wedding to get to? Ah, there's plenty of wine to keep people happy.
Oh, Schmitt, could you? Oh.
I'm doing yours now, too? Great.
Great use of my medical degree.
A voicemail from Dr.
Altman.
Oh, it's probably about tonight.
- Could you just, uh, put it on speaker? - Yep.
- Thanks.
- Oh.
Mm.
Oh.
Oh, God.
Oh, God.
- Schmitt? - Oh, yes! - Schmitt.
- Yep.
Yep.
- Schmitt! - Yep, yep, yeah! I'm trying, I'm trying, I'm trying, I'm tr Okay.
S-Sorry, everyone.
Clearly, that was meant for me.
You know, Teddy's idea of a wedding gift.
Yeah.
Yeah, that's a good one.
- Yeah.
- Yeah.
Um suc Um Suction.
Was that another false alarm? Where's Carina? Are you okay? I'm okay.
Everything's okay.
Atticus Lincoln come meet your son.
Oh, my God.
Oh, my God.
Hi.
Oh.
Hi.
Oh, oh.
He's so small.
Don't say that to the person who just pushed him out.
He's beautiful.
Isn't he? You both are.
Oh.
Is he, uh doing o He's stable.
Came off his vents easily.
We won't know more 'til he wakes up, but that implant was basically rotted inside of him.
It was, uh awful.
Okay.
When he wakes up, make sure his pain's controlled and walk him through his recovery.
And tell him he missed his chance at the majors and his dream is dead.
Schmitt, you're not the one who's suffering here.
He is.
So put on a game face, suck up your feelings, 'cause that's what we do.
If you can't do that, if you can't do your job consider a new career.
Oh, God.
Oh, God.
Oh, yes.
Oh! God! Oh! Oh.
Mm.
Mm.
Oh, God.
Oh.
Let's not wait 'til 7:00.
Let's leave now.
No, I can't.
I can't leave with you.
I c I'm I am marrying Owen.
This was This was goodbye.
Okay.
Mm.
Mm.
How's that? Ah.
Thank you, Maggie.
It's so nice to hear you say my name.
Do you know who this is? Mm.
You mean, um Jackson? Hey, Richard.
Do you know where you are? Grey-Sloan Memorial? If this is a quiz, you might want to ask some tougher questions.
Fair enough.
Okay, um, hold out your hand for me.
Oh, sweetheart.
The nurses are gonna bring in a bed so I can stay the night with you.
It's Catherine.
It's It's Mom.
I know who it is.
What is she doing here? Sweetheart.
I've been with you this whole time.
Is your mind playing tricks on you again? Did you stand by me while I was being fired, you buy my hospital to humiliate me, or is that my mind playing tricks, too? Richard, calm down.
Get out.
- Richard.
- Okay, Mom, let's go.
Let's give him a little - little bit of time.
Okay? - Richard.
Sometimes, surgeries go better than planned.
Grey.
Heard about Webber.
Oh, yeah.
Incredible catch.
Yeah, it was not all me.
It was an army and mainly DeLuca.
Mm-hmm.
Want to grab a drink? Celebrate? Yes.
Except I'm so exhausted.
Will you ask me another time? Of course.
See you later.
Bye.
Hey.
Andrew? Andrew, it's over.
Maggie said she'll call us if there are any changes.
I don't I can't, uh I don't know what's going on.
Okay, okay.
Can we just go home? Let's go home, okay? Come on.
There's no better gift you can give someone than saying you saved the person they love.
It went okay, I think.
I look forward to those moments.
Unfortunately, those perfect outcomes are rare.
You would think it gets easier, but it doesn't.
Each one hurts just as much as the last one.
So, we hope for the best and prepare for the worst.
Hey, Teddy.
I'm so sorry, honey.
We'll reschedule.
Alison just fell asleep, and I'll get that guy down.
Why are we rescheduling? Owen got pulled in for a last-minute surgery.
Said to send everyone home.
He didn't call you? No.
Oh, well, seems he barely had time to tell me.
I mean, trauma well, you know better than anyone.
Right.
Because the worst has a nasty way of finding you.