Grey's Anatomy s18e08 Episode Script

The way kids feel at Christmas is a pretty close equivalent to the way surgeons feel walking into an OR.
It's a complicated mix of anxiety and excitement that makes it almost impossible to sleep.
The anticipation is the best and worst part.
Will this go my way? Will I get what I want? Will my patient live? Will they heal? Is Santa real? Stepping into an OR is its own kind of magic.
The possibility that on this day, you might save a life - I'm going to Minnesota.
- or end it.
In one hour.
I have to talk to Amelia, and it can't wait another day.
I want to be with her on Christmas.
I want our family together on Christmas morning, so I have to I have to tell her I love her and that I don't need her to marry me right this second.
Right? I have to go? You have to go.
Yeah, um, I will watch Scout.
Thank you.
Oh, hey.
You won't be alone on Christmas.
You and Luna will be invited.
Always! You will always be invited.
I do not like waiting, especially for David Hamilton.
Well, I've learned he doesn't really care what people like.
Oh, there they are.
They've cleaned up the place since I've been here last.
Not as drab.
Webber, it's nice to see you again.
David.
Richard, this is Kai Bartley, the lead neuroscientist on the project.
Pleasure to meet you, Dr.
Bartley.
Thanks for accommodating our team and making Grey-Sloan available on such short notice.
The project's already using my surgeons.
Might as well use my operating room.
You know how it is.
Famous patient, trailblazing neurosurgery, futuristic equipment.
Not to mention the great Meredith Grey walking the halls.
The people of Minnesota were asking questions.
It threatened the work.
Well, I hope it works, for your sake and science.
I wish you could observe, but we can't compromise the secrecy of the technology.
It's essential personnel only.
I have residents to teach.
And I've got pre-op bloodwork to do, so, Dr.
Bartley, Dr.
Shepherd, I'll see you at game time.
Thanks again, Webber.
Dr.
Brooks to oncology.
Dr.
Brooks to oncology.
Famous patient? He's not Bono.
In Minnesota, he's about as close as you can get.
Prince was from Minnesota.
Excuse me.
Hey.
Excuse me, but only doctors who actually work in this hospital are supposed to be in the lounge.
Security risk.
So, we've all been told to stay away from OR 2.
I suppose that's where the super-secret project is happening? Can't say.
Security risk.
It's good to see you.
It's good to see you.
How are you doing? Oh.
The holidays are hard, I know.
My wife loved Christmas.
Like collected nutcrackers kind of loved it.
This time of year for the boys, we just We miss her so much, you know? I'm so sorry.
Hm.
You know she might still love Christmas.
So this is going to sound completely ridiculous and very unscientific, and I always thought of myself as an atheist, and I did believe that we start and end with the body, but when I was sick, I had a dream Or what I thought was a dream.
I dreamt about Derek on a beach, and it felt so real.
It felt like it wasn't a dream.
I mean, it felt like he's here.
Like he's been with me this whole time.
Like he might be here with me now.
And today I'm doing this groundbreaking surgery.
And it's exactly the type of thing that he would have loved to do.
And in the past, that would have made me sad, but somehow, I think he might just be here, hovering over me, watching the whole thing, soaking it all in.
And that makes me happy.
And please don't tell anyone I'm telling you this, because I am acutely aware of how ridiculous it sounds.
No, not crazy.
Kind.
It's very kind of you to share that with me, Grey.
You know, I could hear you on the beach, too.
Were you talking to me about my children? I was.
I heard you, and it helped.
PICU.
Good luck with whatever you're doing today, Grey.
Thank you.
And, um, thank you, Grey.
Maybe I'll go pick up a nutcracker after work or something.
- Bye.
- Bye.
What, you scheduled the lawyer - for Friday morning? - Mm-hmm.
Oh, I have a sleeve gastrectomy, and then I'm supposed to have clinic.
I'm still on shift on Thursday morning.
Oh, can you get a sub? It's the holidays.
No.
Um, Monday? That's next week.
Okay, how are we supposed to fight for Pru if we can't even fit it into our calendars? Miranda, we are doing our best in a world of uncertainty.
Mm.
And I will look into getting a sub.
Thank you.
But if I do, will you at least consider - taking it easy at work? - What? I just think we need to go spend some time as a family.
We could go look at lights or ice-skate.
Come on.
Dean loved Christmas.
Oh, oh.
We could go caroling.
We are not going caroling, Benjamin.
Yeah, as soon as the words left my mouth, I knew you were gonna give me that look.
Chief Bailey.
Oh, Dr.
Wright.
Hey.
Happy First Day.
Hey, thank you.
This is my husband, Ben Warren.
- Hey.
- Morning.
Oh.
Okay, sorry.
Coffee? Regular or decaf.
I wasn't sure which one you wanted, so I got one of each.
They also had this holiday candy cane thing, but I felt that was a bit risky.
Yeah, well, I have my morning smoothie, so thank you, but I'm sure someone around here wants it.
Like me.
Regular? I fight fires.
I need this.
Well, I don't want to keep you.
I just wanted to tell you how happy I am to finally learn from you in person.
- So, uh, see you in there? - Mm-hmm.
Okay.
Still got it.
Get out of here.
How are you holding up? Megan, maybe you should take a break.
Get outside, maybe take a walk, grab a nap.
I can sit with him for a while.
If he doesn't make it, neither do I.
If Farouk dies, I go with him.
I'm not sticking around.
Not interested in surviving another chapter of earth-shattering pain.
I've survived enough in this life.
I'm not willing to survive this.
Megan I'm sorry I said that to you.
I-I just I needed to say it to someone, and it can't be my brother and it can't be my mother and it can't be Teddy.
I just wanted someone to know that I've loved this life.
Or parts of it.
I've loved parts of this life.
But I'm just not willing to survive this.
Noah's service was nice.
Packed.
Yeah.
You know, some of the guys from the support group are gonna buy a Christmas tree and some decorations for Danny.
I mean, we we could contribute some gifts.
Yeah, sure.
Yeah.
Owen, Heather and Danny, eventually, they will be ok I know.
I know, okay? I think there's already some relief for Heather, knowing that he's out of pain.
Winston.
911.
Yeah.
What happened? 15-year-old MVC, suffered a catastrophic brain injury.
He's been declared brain dead.
Oh, my God.
I don't understand.
Is he here? Do we know him? - Megan? - No, no, he's in Tacoma.
He's an organ donor.
UNOS just called.
The heart is a match for Farouk.
Oh, my God.
Oh, my God.
He's gonna be He's gonna be okay.
Oh, my God.
Oh, my God.
Oh, my God.
My baby.
Wait.
Wait, wait, wait, wait.
Oh, thank you.
Oh.
You're supposed to be in Minnesota.
I came back early for a surgery.
Hello, my sweet boy.
What a happy surprise.
Yeah.
Link went to, um, get a Christmas tree, so I said I would take the kids to daycare.
Got it.
Okay.
Well, I-I've got him from here.
Yeah, of course.
Um Can I ask you, how is Link doing? Things have been a little How is he? He's fine.
Okay.
Okay.
Um, a-are you coming to daycare? No.
Yes.
I just, um I have to, uh, grab her binky from the car.
Okay.
And I have to call him now, right? Because whatever these feelings are, they are new and stupid and need to go back to whatever dark hole of desperation they crawled out of.
Okay.
Hey, I'm almost to the airport.
Amelia's in Seattle.
Uh, no, she's in Minnesota.
Dude, I was just in the elevator with her in Seattle, so if you want to see her, do not get on the plane.
The "dude" was a little much, right? Winston is starting Farouk on the induction therapy now.
As soon as we're en route with the donor heart, he'll bring him to the OR and get him ready.
Tacoma's close by.
We'll have plenty of time.
Wait.
Both of you are going? Yeah, I want to put eyes on the heart myself, make sure they don't screw it up in Tacoma.
My mom's on her way to take care of Megan.
Well, I'm coming, too.
My patient.
And we've got things to discuss.
Are you in pain? No.
I was praying.
Mm.
Well, don't sound so ashamed.
Well, I've never been entirely sure what it is I believe in, so it's it's It's all very confusing, this part where I might die now.
Well, you're not going to die.
Oh, anything can happen in there.
You know that.
I hope I don't die today, but I left notes for my wife and kids and grandkids.
They're saved in the In the draft file of my e-mail.
The passwords are on a Post-it on the computer.
I didn't want to send the notes.
If everything goes perfectly, I don't want to have put them through all that for no reason.
I've been awful to you, Dr.
Grey.
I've been the very worst parts of myself, and before you put me under, I want to be sure you know both how sorry I am for my behavior and how grateful I am to you.
I may have written those notes to the kids and the grandkids just to remind you that I'm a dad and a grandad, not just a megalomaniac.
So as you're cutting into my brain today, please try to remember there are people who love me, even if you're not one of them.
Well, I appreciate the apology.
I assure you, I have absolutely every intention of making history today.
And if this works, you will not only live, you will heal.
You're sure you're not in pain? Only the existential kind.
Okay.
I'll see you soon.
Last time I checked, Dr.
Webber and I deserved the respect of punctuality.
It was his fault.
Someone was supposed to wake me up.
Before we hand out assignments, we'd like to introduce our new fourth-year resident, transfer from Minnesota, Jordan Wright.
Do you mind, sir? Um Alright.
The floor is yours.
Excuse me.
Um, wow.
Hey, folks.
I would like to say an official hello and tell you how excited I am to be here.
Grey-Sloan's my Yankee Stadium, so here I am, facing current legends, Chief Bailey, Dr.
Webber, and, uh, future legends.
Okay, um, that's all I got.
Alright.
Good.
- He likes sports.
- Gross.
Alright, assignments.
Listen up.
Some of you will fly solo using the Webber Method, and some of you will not.
Tseng, Merry Christmas.
You are on cardio for a heart transplant.
Perez, you have an appy in OR 5.
Schmitt and Helm, you will be doing an ileostomy takedown in OR 4.
Dr.
Wright Dr.
Wright, we're assigning you a solo laparoscopic sigmoidectomy for diverticulitis.
I'm not sure, a-are you familiar with my method I'm I'm familiar with it, sir, and with your blessing, I'll take a rain check.
A rain check? Yeah.
On which part? I-I'm more than happy to do the bowel resection, but respectfully, I'd prefer not to use the Webber Method.
I'm here to learn from Chief Bailey, so I'd like the opportunity to learn from Chief Bailey.
Guess I'm scrubbing in.
Hey.
Koracick's called me like 10 times wanting to know if we've started.
They're moving Hamilton up to pre-op.
Okay.
You okay? Come inside.
It's cold.
Okay, I'm just gonna say it.
I think we'll both feel better if I just say it.
We are drilling a hole into a renowned surgeon's head using a piece of equipment we just invented to inject a cellular solution that has never been tested on a human being before to cure what has heretofore been considered an entirely incurable disease.
You're right.
That made me feel much better.
Let's go.
The Webber Method only works on specific procedures that have maybe one or two crucial points that require supervision.
The resident operates to a predetermined point - Any resident? - Only those residents who've shown that they can independently and competently open the patient and then dissect to where they need to be.
I'd love to see that list.
Once they get to the difficult part of the procedure, they pause.
They wait for their attendings to arrive, and then they continue.
Okay, so this is just for general surgery, right? As for now, but we're hoping to implement it across all specialities.
Hmm.
No.
No.
Not mine.
Not cardio.
No hearts in baby surgeons' hands.
No.
I Come No, sorry.
You busy? I have a lobectomy in a few hours.
Great, so you can come with me and watch how the method works in action.
If everything goes smoothly, this heart will be the best Christmas gift for Farouk.
Maybe we can even get him home by New Year's.
What about Megan? What about her? She's not alright.
I've been sitting here for the last half-hour trying to figure out how to talk to the two of you about her without overstepping.
Her son is on ECMO and they're awaiting a new heart.
She's sleep-deprived and anxious, like any parent would be.
I've dealt with a lot of anxious and depressed parents over the years, but this is different.
Look, Hunt, I know she's your sister.
This is hard for you to hear, but Listen.
Megan is tougher than you think, and she's been through way worse than we could even imagine.
I'm aware, and I'm still telling you that she needs serious help.
She is not alright.
Hayes, this is a good day.
We have a heart for Farouk, and when he's okay, she'll be okay.
And what if he's not okay? There's still a million things that can go wrong here.
Hayes.
I know you guys want to celebrate, but I need you to understand what your sister just said to me, and I'm not sure that it's cured even with a heart transplant for her son.
She is profoundly depressed.
Um, uh, we're five minutes out.
Devon, an ileostomy takedown's fairly straightforward.
We'll just start with an incision around the stoma, and then through that, we'll extract the part of the intestine that Do what you have to do.
I'll just be stoked to get some quality time outdoors again.
After my ulcerative colitis diagnosis and the surgery, recovery, and now surgery to recover from the recovery The wound from this procedure should heal in a month or so.
Too much time stuck to a bed, your mind goes to some ugly places.
I'm sorry, I Have we met? Don't think so.
Your voice, it's so familiar.
No, I feel like we've Oh, my God.
You're Devon Gomez.
I-I listen to your podcast.
How about that? Small world.
What podcast? He hosts a show called "On Foot with Devon" where he he basically just takes a walk and records it.
Every week I go somewhere I've never been before.
Bonus if it's far from a city or there's a body of water.
I just take a walk with my microphone and talk about what I'm seeing, and I post it online, and if people dig it, that's cool, and if not, I have a record of a nice day in my life.
It's like, um I don't know, like a meditation.
- It kind of is.
- Yeah.
Or it was.
I stopped making episodes after my last surgery because walking was too painful, but I'm hoping that this surgery lets me get back to it.
Mr.
Gomez, we'll be back to prep you when the OR is ready.
And it will be an honor.
And a privilege.
Never knew I had a groupie.
It's nice.
It's nice to meet you, Dr.
Schmitt.
Yes.
Why aren't you in pre-op? - They couldn't take him.
- Why? Is there a problem with the equipment? I checked everything last night.
It looked fine.
The equipment is not the problem.
David is the problem.
Dr.
Bartley, I'm fine.
If you were fine, you wouldn't be asking me to keep it a secret.
It's one degree.
- Keep what secret? - What? Fever.
He has a low-grade fever.
99.
6 is not a fever.
99.
6 is nerves.
I am in charge of this project.
I am paying your salaries - Oh, my God.
- It's a cramp! Existential pain.
And I believed you! Existential pain, my ass.
- Ooh! - Your abdomen is rock hard.
He needs a CT.
Megan, it's Teddy.
I got the heart.
It's perfect.
We're on our way back now.
It's going to be okay.
I love you.
Okay, bye.
Farouk is prepped, and Winston's gonna bring him up to the OR any minute.
Megan's gonna be okay.
Okay.
It's a beautiful and healthy heart.
It's perfect.
And for the record, Megan does get help.
She goes to therapy.
She's living with us while she's here and When's the last time she actually spent a night at home? 'Cause every morning when I'm doing pre-rounds, she's sitting there in that uncomfortable chair in the PICU, looking like she hasn't closed her eyes all night.
Sir, are you okay? What's happening, Owen? He's passed out! Aah! Aah! Oh, my God.
Teddy! Teddy! Yes.
I'm fine! I'm fine! There's Nothing's broken! - Hayes? - I'm okay.
I'm okay.
Sir? Sir, sir? Can you hear me? He has a blown pupil.
He must have had a massive stroke.
- The cooler! - I got it.
I got it.
- Okay.
- No cracks or dents.
Alright, phones.
We need We need to try to call for help.
Yeah.
Mine's Mine's no good.
I can't get a signal.
Alright, hang on.
I got it.
I-I have one bar.
Let me try.
No, it won't go through.
I got to try to figure out how to get out and maybe find some better reception or maybe No, no, no.
Wait, wait.
Don't move.
We seem to be in a ditch.
- What? - Hayes, what can you see? Nobody bloody move.
They're about 25 minutes out with the heart, so we're going to get him on the table and start immediately.
Okay.
Megan, I-I think you should sit this one out in the waiting room.
She will.
I'll be with her.
- Okay.
- Okay.
Bye, baby.
I'll see you soon, okay? Okay.
Alright, let's go.
Hey, Mr.
Gomez.
Any questions before we begin your anesthesia? Call me Devon.
And I'm ready.
On Dasher, on Dancer, right? Hey, would you mind if I listen to your podcast while I operate? Most surgeons like to listen to music while they work, but I always try to imagine that I'm outside, not stuck under these fluorescent lights.
Keeps me grounded, focused.
Absolutely.
I'd be honored.
Helm, he's ready.
Okay, Devon.
Here we go.
Count backwards from 10.
10 9 8 7 Hey, folks.
Welcome to "On Foot.
" Thanks for joining me on my walk today.
Uh, so my buddy told me there's a waterfall about a quarter mile north of here.
Uh, let's make our way to it.
I'm gonna go scrub.
Some cricoid pressure, please.
Oh, wow.
It's Schmitt and Helm.
Wow.
Feels like just yesterday he was dropping his glasses into an abdomen.
Uh, how are you so calm? Schmitt's come a long way.
They all have.
Oh.
Perez is getting ready to do his endoloop for his appy in OR 5.
That is insane.
I-I mean, not literally.
You know, just exciting.
Wow.
Wow.
Aha.
Any observations, Dr.
Bailey? No.
No, no.
You're doing great.
As a matter of fact, flawless.
Thank you, and next, I'll walk down this dissection inferiorly.
Dr.
Wright, clearly, this isn't your first sigmoidectomy.
Oh, no, no, no, I've done probably 40, give or take.
Trust me when I say I'm happier here in the OR than at my desk doing paperwork, but your work is thorough and your technique is at an expert level.
Before every surgery, I sketch it.
I draw the anatomy and I draw what I will do to it.
I even sketch out every step and even every possible complication, and then I will draw the solutions.
You're right.
I do know this surgery from start to finish.
Then why didn't you want to do it on your own? I study every move my attendings make so I can anticipate what they need.
I'm not here to learn this surgery, Dr.
Bailey.
I'm here to learn you.
Then carry on.
But I prefer blunt dissection when you're in this area, just so you know.
Thank you, Dr.
Bailey.
Okay, Wilson, one hand by the fetus's head, the other one by the buttocks.
- Lower.
Good.
- Okay.
Now push down and try the forward somersault technique.
I am so sorry! You were doing it right.
Sylvia, I know this is uncomfortable, but if you still want to have a vaginal birth, we need to try and turn the baby around, okay? - Okay.
- Wilson? Okay.
Should we try more gel? No, it's Uh, yeah.
We'll take a break.
Oh, thank God.
I swear part of OB is just torturing women.
Did you talk to Amelia? When I was going to Minnesota, I knew exactly what I was gonna say, but now that I'm in Seattle The city makes a difference? Just listen.
I love you.
I love you so much, and nothing else matters to me except you and Scout.
You two are my life, and I don't care about being married anymore.
I just need you.
And I'm sorry it took me so long to see it from your side.
But I'm not perfect.
Neither are you.
We We've both made mistakes, but now we're both here, perfect for each other at the right time.
I love you now and I have always loved you.
So let's be together.
Let's try.
However it needs to be, however it works, let's be together right now.
Something like that? Uh-huh.
Yeah, it's, um It's perfect.
Okay.
Okay, thanks.
I'm gonna go find her.
Did you read the research Dr.
Bartley provided about the relationship between anxiety, stress, and Parkinson's pain? Multiple articles have been written.
They are very interesting.
Please stay still.
I-I'm merely suggesting that the abdominal pain could be psychosomatic.
And I'm merely suggesting you stay still.
We have a 72-hour window the FDA has provided us to get this surgery accomplished.
David, I swear to God.
I'm holding still.
He lied to you about his pain on the day of a surgery that has cost him tens of millions of dollars.
- Who does that? - He's stubborn and he doesn't want a setback.
Free air.
His bowel's perfed.
We need to do an immediate ex lap.
So that's it.
We're We're done.
We're not done.
We can't inject the cells in the FDA window Not if he needs an emergent surgery.
The impact of the anesthesia alone is Okay, so we'll get a new window from the FDA.
So we're not done, we're delayed.
I've had enough patients to know the results should be in by now.
They'll try to contact us, and then when they don't hear from us, they'll send a rescue unit.
We just have to wait.
No, we can't wait.
Not if we want to save Farouk.
By the time they get here, that heart won't be viable.
Ah! Hayes, can you Can you open your window? No, it's not working.
Okay.
Let me see.
Hold on.
Hold on.
- Okay, let me see.
- What do you have? Okay, okay.
Use this.
Use that end to smash the bottom.
It'll shatter the glass, okay? - Okay.
- Hit it hard.
Don't tap.
- Cover your eyes.
- Yep.
- You okay? - Okay, good.
Hayes, you go, and we'll follow, unless somebody has a better plan.
- Okay.
Take this.
- Okay.
I'm gonna go on three, okay? Ready? One, two Aah! Aah! Okay, don't don't don't Don't move! Don't move.
Okay, they must have put out a distress call.
Somebody's coming.
- When? - I don't know.
So what, we just do nothing until then? I don't I don't know, Teddy.
How will they even know where to look? I don't know! I don't have answers right now, but they must know that we're in this area, so somebody will be coming to find us.
What we can do, all we can do is try to stay alive till then.
No, that's not all we can do.
We're here because a child died and the family had the grace to give this heart to us.
We're here for Farouk, so this car may fall, but we cannot let this heart fall.
We've got about three hours before this heart stops being viable, so two of us are gonna stay in the car.
Lean on opposite sides, that'll stabilize the weight.
One of us can climb out with the cooler.
What about the other two? Stay in the car and wait till help comes.
Well, Teddy should go first.
She can climb out, take the heart, flag down a car, and call for help, okay? Owen, he's a single parent.
His kids have already lost their mother.
Listen, he goes and this car slips, then our kids lose both their parents.
Look, we've all got kids we want to be there for.
We all have lives we want to keep, so we're all getting out of this car alive.
Just need to Wait, wait, wait! Nobody move.
Do you hear that? I think the car's pulling the tree out of the ground.
What? Aah! Aah! Hey, I just watched Perez ask a scrub nurse whether he should use 2-oh Vicryl or 3-oh Vicryl - to close an appy.
- Better her than us.
When was the last time you did an appy? I go away for a few weeks, now the residents are attending? This place falls apart without you.
I almost just had a panic attack in the gallery just now.
How is Bailey okay with this? It's progress, Maggie.
The residents are excited in a way they have not been in a long time.
You plan on letting them cut into brains without you? - Oh, absolutely not.
- Yeah.
I What are you doing here? I thought you had your big, super-secret surgery today? I did, and then I didn't, so I thought I would find you and tell you about my new crush, but somehow the vibe does not feel right.
I'm I'm gonna find you later.
Yeah.
You can't report this to the FDA.
Just repair the bowel and tell them we had an equipment malfunction.
I cannot lie to the FDA.
I'm gonna tell them everything, and they'll just give us a new window.
Do you know how long that will take? I'll lose weeks! You're a rule-breaker, Grey, so break the rules! I cannot compromise this project.
You're compromising my only chance at getting my life back.
You're not the only one with Parkinson's.
There are 10 million people living around the world with this disease.
They don't have your money or your access to healthcare.
They still live.
They travel.
They spend time with their families.
They work as long as they can.
Their lives are as productive and as meaningful as anyone else's.
The only thing stopping you from living with this disease is your own ego.
Is that what you said to your mother? What does my mother have to do with this? Oh, come on, Meredith.
If our procedure is even a little successful, it'll have huge ramifications for the treatment of other neurodegenerative diseases.
The funding will pour in.
You know that.
You never wanted to cure me.
You want to cure Alzheimer's.
You know, this is my favorite time of day.
The sun burns the fog that settled overnight, - so there's water vapor - A little more traction.
Okay.
I get it.
His footsteps are like ASMR, which puts people to sleep.
You really shouldn't play this while your hands are in someone's body.
And when you're lead surgeon, you can choose.
- Suction.
- And you look up, and the light hitting the leaves looks like stained glass.
Okay.
Page Dr.
Webber, please.
And walking through it is just, well, so peaceful.
Dr.
Schmitt, according to the method, we are supposed to wait to continue until he arrives.
This dissection is routine for me at this point.
I'll get it started, and Webber will be here soon.
So wherever you are listening, I hope that you're feeling this peace, too.
I should have put on the holiday one from last season.
He trudges through the snow.
He's bleeding.
From where? Aah! I can't see! Suction! Where is it? Where is it?! We don't have much time.
Altman, tell my kids to call their aunt.
Tell them I love them.
Tell them they'll be okay.
Listen.
We'll stabilize the car.
Just get back to the road and bring help.
I love you.
I love you.
Go.
Okay.
Okay.
I'm out.
I'm out.
Get the cooler.
Save Farouk.
Teddy, go! Hey.
He's headed into surgery now.
How long will it take? A few hours.
Depends.
Look, I know this complication is frustrating, but we made it this far, and it's still gonna happen.
How can you be so sure? - Close your eyes.
- Why? Fine.
You are on Peaks Island off the coast of Maine in late summer.
You're standing on the beach, which is also surrounded by huge, amazing trees.
It's nighttime, so it's cool, but the breeze is warm.
And when you look up stars forever and ever.
Hearing the waves a calm exists like no other.
Did you just guide-mediate me? Did it work? It didn't not work.
- Irrigation.
- Irrigation.
Urgent page from OR 4.
They're calling anyone available.
- Anyone? - Any attending.
Go ahead.
I'm good to close up.
Okay.
Dr.
Grey! He's hypotensive! Okay.
It's definitely close.
I can hear the water.
It's getting louder, and I think we'll be there soon, folks.
Initiate the massive transfusion protocol, right now! I'm coming down! Yeah, I think Ah! Ah, there it is.
Holy moly.
Holy moly.
Wow! It's been so long since I've seen a waterfall in person.
Oh, this is just the best.
Yeah, I'm gonna stay here a while, you guys.
- I'm gonna stay here a while.
- Turn that off.
I need to know what happened, now.
We were doing the dissection.
Everything looked good.
Uh, Dr.
Schmitt put traction on the IMA.
Why did you not call for an attending? We did, but, um, Levi Dr.
Schmitt started the dissection instead of waiting.
He thought he could just get it started, but then there was a bleed.
Uh, Dr.
Schmitt identified it was coming from the base of the IMA at the aorta.
We attempted to control it, but, um, it was too late.
Schmitt? Call it.
- The time of death - No.
You call it, Schmitt.
This is your patient, your OR, your hands that operated.
Call it.
Time of death, 1:19.
I often ask my kids do they prefer Christmas Eve or Christmas Day? This is on you.
I go back and forth on that question.
As a person, I prefer Christmas Eve, when life is all possibility falling asleep with unopened presents under a tree, filled with excitement for tomorrow.
But as a surgeon, I prefer Christmas Day the point where possibility meets reality.
Wait, wait! Stop! You've tried your best.
You call to close.
You finish the surgery with the proper suture.
Hayes, just go! Tell Teddy and Megan and my kids that I love them.
- And my mom.
- No, no.
- Tell them I love them all so much.
- Absolutely not! No child deserves to grow up without a parent.
- I'm not listening.
- I'll be right behind you! When the car tips, there'll be a few seconds.
- I might just make it.
- No, the weight won't be enough.
- We can go together.
- It won't work.
It won't work.
You're closest to the window.
This is the only way, okay? I'm not leaving you.
Think of your kids, Hayes, okay? Please.
If I don't make it, just I need you to do something for me, okay? I gave Noah Young the drugs that he needed to die, and I promised him that I would give the same drugs to three other dying soldiers.
It's the right thing to do, Hayes.
I already have the meds.
They're in my truck, glove compartment.
Call Noah's wife, Heather.
She has their names.
She'll help you, okay? And soon Okay?! you'll see if it all worked.
Move.
Move before it takes us both! Move! Go! But whichever you prefer Go! I can promise you this.
No! Hunt! eventually, the holiday is over.