Grey's Anatomy s18e09 Episode Script

1 Previously on "Grey's Anatomy" This dissection is routine for me at this point.
- I need to know what happened.
- Dr.
Schmitt started the dissection instead of waiting.
Time of death, 1:19.
- Why aren't you in pre-op? - He has a low-grade fever.
- Dr.
Grey, he's hypotensive! - Jo, you're right.
I've been holding on to a fairytale.
We don't have to get married now.
I just need her, right? What happened? The heart is a match for Farouk.
It's a beautiful and healthy heart.
It's perfect.
How are you holding up? If Farouk dies, I go with him.
- She is not alright.
- What's happening, Owen? Nobody bloody move.
Take the cooler.
Save Farouk.
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.
Move, before it takes us both! Is that it? Yeah.
You're sure? I've never been more sure about anything in my life.
- And Heather knows? - She does.
We made a plan, and I can take better care of Danny from the other side.
I feel good about my life and I feel good about where I'm going.
I did my best, and I think that's pretty damn good.
Yeah.
Hey, Dr.
Hunt? I don't want to abandon the guys in my unit.
They need your help, too.
We We need your help.
Please.
Here! I'm here! The vagus nerve is the longest and most complex of the cranial nerves.
It transmits information to or from the surface of the brain to tissues and organs elsewhere in the body.
Wait! Stop! Stop! Wait, wait! When a body sustains an extended period of stress or trauma, the vagus nerve becomes hyperactive.
We think of stress and trauma as primarily emotional Why didn't you wait? but the real impact is on the body.
That's not the Webber Method! When the vagus nerve is triggered, it fights to slow the heart.
Blood pressure drops, and you can experience nausea, tunnel vision ringing in the ears, low blood pressure, an irregular heartbeat.
And when the mind suffers, the body suffers, and it can be difficult to undo the damage.
- There was an accident.
- Yeah, I heard.
You okay? I will be as long as the heart is.
- Ndugu? - The heart's bruised.
It must have hit the side of the cooler when the car Can you still use it? Page Dr.
Pierce.
Please page Dr.
Pierce to OR 3.
Owen.
Owen, can you hear me? Hayes, I already have the meds.
Okay?! Aah! It's me.
It's Amelia.
Link is here, too.
There you are.
You were in an accident.
Do you remember? They gave you morphine on the way here for the pain.
You're in trauma one.
I know your leg hurts, but can you wiggle your toes? Feel anything? Good.
Okay.
Can you feel this? - A little.
- Good.
That's good.
We are gonna get you scanned and we're gonna get you into Amelia.
Amelia.
Teddy.
Farouk's heart? Teddy's okay.
She's outside.
Farouk is in surgery.
They got the heart here in time.
Okay.
Hayes? I haven't seen him, but I will see what I can find out.
Amelia.
Don't tell Megan that I'm hurt, okay? - Owen - Please.
Not until after Farouk's alright.
Please.
Teddy.
Do you need to sit down? - Is he? - He's in a lot of pain, which right now is a good thing.
Preliminary assessment shows extensive fractures - to the left leg.
- His neuro exam? He's conscious, and he's following commands.
His motor and sensory exams seem to be intact.
Will he walk again? We'll know a lot more after a scan.
Teddy, he's alive.
He's still here.
You can go in and see him.
Has anyone checked youout yet? I'm fine.
I'm I-I just, um I just I think I need a minute.
I-I'm not sure I I just I-I need a minute.
You got it.
You should get checked out, Teddy.
He got me out of the car first, and I went to call for help and and then I-I heard the car fall, and I rode all the way here with Farouk's heart in my hands, and I I thought Owen was dead.
And it's just I feel like my insides are like, lead, or like, you know, like Like ice, and I just I just need them to thaw before I-I go Before I go inside and see him.
You've gone hard.
Your nervous system is protecting you.
But he is alive.
And he needs to see you.
I know that.
Hi, Teddy.
I thought you were gone.
Me too.
Can you come over here, please? Hey.
I'm still here.
I love you.
I know.
Dr.
Radford to 2-6-2-2.
Hey.
I think we just do a pan scan and cover all our bases.
I don't want to take a chance of being blindsided in the OR.
Couldn't agree more.
No one likes being blindsided.
Link? Dr.
Goldberg to the ICU.
Link, are you alright? Link, Owen means a lot to me, to everyone, so whatever is going on with you I have work to do.
I'll, uh, meet you in radiology.
This is not about the Webber Method, Bailey! It's about one surgeon One surgeon who overstepped.
If we canceled a teaching method every time a surgeon made a mistake, there wou A preventable mistake.
It was preventable.
I am suspending the Webber Method immediately and indefinitely.
You absolutely will not.
I won't accept it.
Now, you may be the chief of this hospital, but I'm the chief of chiefs.
I will call the medical board, Richard.
You want to pull rank on me? I will report you! - Bailey! - There should have been an attending in that room! I am done arguing! Schmitt, stop wasting water.
Your hands are clean.
I don't know.
I don't think so.
If we don't do this, we have to put him back on ECMO, with risks of him bleeding or throwing a clot causing a stroke, or worse.
I don't know if he could survive long enough to get another heart.
And if this heart fails because it was bouncing around a cooler, he goes into immediate cardiac arrest.
You called me here for my opinion, and I think you need to wait for a new heart.
Okay, everyone.
Let's incise the right atrium.
Dr.
Ndugu Dr.
Pierce, I know the risks, but it is a miracle that Hunt and Altman and Hayes are alive.
It's a miracle that this heart is in front of us right now.
And it is a miracle that we have the privilege to see if it will beat inside Farouk's chest, bruised or not.
So I'm gonna take the miracle and trust my gut.
And I'm asking you to help me do this quickly and well.
Okay.
Scalpel.
- What do you mean he lied? - He had a bowel obstruction and he tried to hide the pain from us until it got so bad he nearly perfed.
He was septic.
I almost lost him on the table.
What an idiot.
"Idiot" doesn't begin to describe it.
"Megalomaniac" maybe.
Hey.
You know what? - I've got a crazy idea.
- Yeah? There's a jet leaving for Seattle, a critical care transport.
I'm not I'm not working, so I wasn't gonna go, but now I'm thinking I don't know I hitch a ride and take you out to drown your sorrows.
- Seriously? - You hate this idea? I love this idea.
Okay.
In that case, I gotta go.
Hey.
Hayes, what happened to your head? There was, uh There was an accident.
What kind of accident? My whole life My whole bloody life flashed before my eyes.
I saw Abigail and my boys and It was just a lot.
It was a lot.
- Have you been checked out? - I'm fine.
I'm fine.
Well, I'll be the judge of that.
Let's go inside.
Come on.
Pupils look good.
Was there any loss of consciousness? No.
I'm alright, Grey.
Scale of one to ten, how bad does your head hurt? It doesn't hurt.
Just let me take your blood pressure, and then we can agree that you're okay.
What's your opinion on mercy killings? Whoa.
You've gone dark.
No, I'm serious.
What is your opinion on mercy killings? And not on me.
I believe in death with dignity, if that's what you're asking me.
No, I'm asking what you would think of a doctor who took that decision into his own hands, who killed a man, a man who wanted to die, a man who was gonna die soon anyway.
I would say first do no harm.
Yeah.
That's what I thought.
Something you want to tell me? Listen.
Altman and Hunt were in that car with me.
Hunt was hurt.
How badly? Bad enough he might need a great general surgeon.
I came as soon as I heard.
What are we looking at? L1 burst fracture.
We'll need to go in and remove any bone fragments before stabilizing it with a cage.
Open femoral fracture needs a wash-out, and we'll use a nail to fixate it.
Left leg also has a tibial plateau fracture.
We'll have to wait a few days for the swelling to go down before repairing it.
Is that a splenic lac? Yeah, looks like a Grade One.
Let's monitor it with labs.
Yeah, the leg's in much worse shape.
You think he'll be able to walk again? The sooner we get in, the sooner we'll know.
- Shepherd? - There is some retropulsion into the spinal canal.
But he's got some movement and feeling, which is a good sign, but we'll have to get in quick, and we'll need to be perfect.
Perfect or he's paralyzed? Yeah.
Okay.
Whatever OR you need, it's yours.
- What about Schmitt? - What about him? He's the best resident.
Can we have him? Schmitt's unavailable.
- Do you want me? - You want to be our resident? Well, I'm just saying, if you need hands.
Mer, we got him, but if that changes, - you'll be our first call.
- Okay.
Our patient is awake.
I have to go yell at him.
I'm here if you need me, okay? Total room disinfection in process.
You're supposed to be writing an operative report.
Hey, I don't know what you think you're scrubbing in on, but don't.
You're in no condition.
Total room disinfection in process.
Look, a surgeon who's never lost a patient hasn't done enough surgeries.
It happens, even to the best of us.
Take a break, Schmitt.
Take a walk, feel your feelings and then write that report.
I'll start on your burst fracture, and then Link and Nico will start in - on your femoral fracture.
- The other way around.
Femoral fracture first, then spine.
We always start with the spine.
Yes, when the spinal fracture's more unstable with motor and sensory deficits.
In this instance, the leg is shattered with an open wound and he has decreased PT and DP pulses, so it takes priority if he wants to keep it.
We could actually compromise here.
We position Hunt on his side, we both go in laterally You in through the lumbar spine, and I'll go in through the side of the femur.
We do the repairs simultaneously.
Owen, the risks here are you lose your leg or you lose the ability to use your legs.
I really think that we want to - Where's Hayes? - Hayes? Yeah.
I need to see him.
We need to get you into the OR as soon as possible.
Owen, listen.
You can talk to Hayes after your surgery.
No, no.
No.
No.
I need to talk to Hayes, and it can't wait.
I will see if he can meet you in pre-op.
Okay.
And we will go in simultaneously.
Okay? Ndugu.
We know anything yet? I'd like to give his mother an update.
There's no way to know just yet.
We still have a couple more vessels to anastomose.
But for what it's worth I have a good feeling.
Dr.
Sellers.
Dr.
Mari Sellers.
4-6-1-9.
Dr.
Mari Sellers.
4-6-1-9.
My God.
Look at you.
Could have been much worse.
Yeah.
Could have been me.
Thank you, Hunt.
I don't know what else to say.
Thank you.
You could thank me by forgetting what I told you.
If I do that then I'm an accessory to a crime.
Hayes, Noah was dying.
You know that.
He qualified for physician assisted death.
Then why do you want me to forget about it? 'Cause his friends don't come from states that allow death with dignity.
I made him a promise, and he made them a promise.
So you stole drugs and plan to pass them out like candy? I plan to show those soldiers the respect that our country hasn't.
I plan to keep my promise to those men, okay? You saved my life, and I need to spend what's left of it looking after my boys.
- I can't go to prison.
- That's not gonna happen.
You stole life-ending drugs that you plan to dispense to men who do not qualify.
Come forward, tell Bailey what you've done, what you plan to do next.
The longer you hold this secret inside, the worse it's gonna get.
Tell the truth so I don't have to.
I fell off of a cliff so you didn't have to.
If not prison, I'd almost certainly lose my license to practice medicine for knowing about this and failing to report it.
Hayes, come on.
Hunt, I'm grateful to you for getting me out of that car, but I can't make you any promises.
I need to think this through.
- Hey.
Farouk's heart? - We don't know yet.
Okay.
Thank you.
Hey.
- I'm sorry.
- No.
No, I'm not sorry? I'm not interested in your apology.
I'm honestly not super into it, either.
Dr.
Bartley worked two years on this protocol, and you nearly ruined it.
S-Stupid.
Way worse than stupid.
David, you were septic.
You almost died.
We don't have another patient with Parkinson's who will volunteer to let us experiment on his brain, and even if we did, the FDA only approved you.
You're it.
Our time is a non-renewable resource.
I have children here in Seattle that I am missing days with that I will not get back.
So if you pull a stunt like this again, I will quit, and if I quit, the FDA will kill this project.
And then I will have wasted two years of Dr.
Bartley's time.
We'll get over it, but you won't, because you will die with Parkinson's.
Understood? Understood.
Yeah.
I'm walking out, too.
But only 'cause I need more coffee.
Hey.
Bailey told me what happened.
She thought you might still be in here, so she sent me to take you home.
Levi, it's the worst, and we've all been there.
Levi, your hands! Levi.
Okay.
You need to stop Levi! Megan.
I wanted to give you an update.
Your mother said you were here.
I came here to pray, and I don't pray.
But I came here to pray because no one will tell me anything.
No one's told me anything for hours.
I haven't seen Teddy.
I haven't seen Owen.
I haven't seen you.
No one will give me an update.
How bad is it? Megan, I need to know your plan.
What plan? I need to know your plan for how not to kill yourself.
Maybe it's medication.
Maybe it's inpatient treatment.
Maybe it's just talking to your family, letting them know how you feel and then letting them take over.
Whatever it is, I need to know your plan for living.
My wife died a few years back.
Did you know that? No.
I tried to move on.
I couldn't.
I blamed it on my son's panic attacks, but the truth is I'm not over Abigail.
I don't know if I'll ever get over her.
I desperately don't want to leave my boys, but I'm desperate to see Abigail again.
What I'm saying is, I know how it feels to want to live and not want to live.
I know the depth of that grief.
I know the impulse to want to leave the planet.
But if I'm gonna give you more bad news, I need to know that I'm not handing you a bottle of pills that I'm not taking you out.
I took a sedative.
That helped.
You can watch me call my therapist.
And I'll e-mail my psychiatrist and CC you.
Just please If you'll please just tell me.
Tell me everything.
There was an accident.
Car went off the road.
The heart was bruised.
Ndugu thinks it's still functional, so they're working on Farouk right now.
Owen was injured.
His injuries are not life-threatening, but his leg was shattered.
He is also in surgery.
Wow.
When it rains, it pours, huh? Yeah.
Alright.
Let's make that call.
Have you got your phone? Yeah.
Hey.
How's it going? Ahh.
I can't imagine Owen Hunt unable to stand over an operating table.
Is that where we are? Eh, I don't know.
It's slow going.
Heard about Schmitt? No.
He had a tough loss.
Young guy in his 20s.
He bled out in Schmitt's OR.
And I should be comforting him, but I am just so angry because he was at the anastomosis with the stapler - and he didn't wait for the attending.
- Oh.
Put too much traction on the IMA, and it avulsed at the aorta.
Just hubris.
Just pure and simple.
I wouldn't have waited.
If you had been teaching this way when I started, I would have been drunk on it.
Cristina wouldn't have waited.
Alex wouldn't have waited.
O-Okay.
I got it.
Thanks.
I'm just saying No, you're saying that Bailey was right.
You're saying we should kill the Webber Method completely.
No, that's not what I'm saying.
I'm I am just saying that I am sorry for Schmitt.
Exposing the endplate.
Drill, please.
Hold the drill for a second.
Nico's checking his anastomosis.
Tell me when.
Strong signal.
The primary repair worked.
I'm not seeing any other neuro-vascular issues.
More irrigation, please.
Shepherd, go ahead.
Can we clear the gallery, please? What? I need to focus.
And I I'm asking to clear the gallery.
Can we clear the gallery, please?! Rongeur.
Now to clean some of this dead tissue.
Nice work, Nico.
Now I need you to Debride and then do a wet-to-dry dressing.
I got it.
Owen, we are almost done.
Nurse Kaiser to the OR.
Nurse Kaiser to the OR.
- Oh! Sorry! - Whoa.
Whoa.
You okay? Um, I need your help.
It's Levi.
Our friend needs our help.
- Oh, my God.
- Levi.
It's been hours.
You have to stop.
Uh Schmitt.
I heard what happened, man, and I've been there.
The first patient I lost, I went running.
I went running for five hours until my legs gave out and my friends found me collapsed on the side of the street, unable to move.
I get it.
I know how you feel.
But you have to stop, okay? Um, listen.
Step back.
Look, um It's gonna be okay.
You have to step back, though.
And the water will turn off.
Just step back.
I've got you, buddy.
It's alright.
- No! - It's alright.
It's alright.
- Levi.
- It's alright.
- Watch out! - It's alright.
It's alright.
Levi.
- It's okay.
- Alright.
- It's okay, Levi.
- You're okay.
You're okay.
- It's alright.
- You're okay.
- It's okay.
- Let him up.
It's okay.
I'll get him up to the ICU.
When do you want the first post-op labs? As soon as he arrives.
And I want them doing regular neuro-vascular checks.
Got it.
Dr.
Rymock to the Psych Unit.
Dr.
Rymock, call the Psych Unit.
You spent the day punishing me because you saw me kissing someone else? You brought all of that All of that into Owen's surgery.
You don't think maybe a conversation before we're cutting into someone I love? Are you kidding me? You think youget to be upset? Are you serious?! I'm over here pining for you, Amelia, head-over-heels, can't-think-straight pining, because you told me you loved me.
You told me over and over and over.
We were building a life together, and suddenly, you say, "No, thanks.
" And while I'm torturing myself trying to convince myself that I don't need to be married, I just need you.
- Since when? - Since now.
Since today.
And I came to tell you this, but instead, I find you kissing someone else in the hospital where I work! You You just moved on.
You just You just moved on like the last year and a half didn't matter.
Okay.
I am not a person who just moves on.
I had to think and process and go through every scenario in my head and every feeling in my body, and it was exhausting.
And you know that I spent a year in A.
A.
meetings trying to figure out what I needed, and you did not want to hear that I was losing myself in something that I did not That I could not want.
You demanded that I marry you, and now once again, you want to gaslight me into thinking that I played you? You keep using that word "gaslight.
" That's when you pretend that someone else's experience, their their, uh, reality isn't real, right? Like when you pretend that we didn't make an amazing baby together, raise four kids, or love each other really damn well.
When you pretend that we weren't in love because you're ready to move on with some random woman.
They're non-binary.
Oh.
Okay.
T-That makes it better.
Congratulations.
I hope you're really happy.
Okay, everyone.
We're gonna try to get this heart going.
If it doesn't beat, I need everybody ready to go back on bypass.
Okay.
Taking off clamp.
Here we go.
You're gonna go home, and you're gonna sleep and hydrate and eat if you can and cry if you can, and, little by little, you will feel like you can breathe again.
I have to take this.
Don't wrap it too tight.
Hey.
Don't leave him alone.
- Call me if you need me.
- Yeah.
What happened? You okay? Hey.
What happened to him? Levi? What What is going on here? - Let's, um - Yeah, yeah.
I got it.
Let's take a walk, Nico.
Yeah? What's going on? Alright, man.
We are done here.
Everything's gonna be alright.
His heart is beating, and it's beating well, Megan.
Thank you.
Thank you.
Thank you.
Thank you.
Dr.
Ndugu made sure the graft was perfect, and he'll be up any minute.
What What about, uh, Owen? Is he out of surgery yet or? We will get an update to you as soon as we can.
Right now, I just want you to take this in.
Farouk's heart is beating in his chest.
He's okay.
And it's okay to To take in the miracle.
Dr.
Bailey, can I have a word? Yeah, just let me Oh, your head.
Uh, any update on the Hunt family? Farouk's heart transplant was a success.
Oh.
And Owen? I, uh I haven't heard.
Well, I need him to be okay.
That family has been through so much.
They've lived lives of service.
The mother was an Army nurse.
Did you know that? No.
Whole military family.
Owen Hunt is one of the best men I know.
He cares and he fights and he He's gonna be okay.
I'm just gonna decide that right now.
Owen Hunt is gonna be okay! You hear me? Oh, this day.
Did you hear about Schmitt? Dr.
Bailey.
I have to give you my notice.
- What? - I'm sorry.
My kids, they're not thriving here.
They're not happy.
We have to go.
W-Where? Back to Ireland.
O-kay.
I I I d I don't suppose there's anything I can do to convince you to stay? Support for the boys.
No.
I'm sorry.
The decision's been made.
Um, my hmm head of trauma is still in surgery and could need months of recovery, uh, so can you at least give me until he's well? I mean, at this rate, I'm hemorrhaging surgeons.
I just can't.
I truly am sorry.
I've loved my time here.
But I got to do what's best for my family.
I'll hand off my cases.
This will be my last shift.
I'm sorry.
So, are we celebrating with drinks at Joe's or pajamas in bed? Grey-Sloan Memorial.
How can I What What was that look for? "Take in the miracle.
" You're a person who takes in miracles.
- I didn't know that about you.
- What, you don't? I take in science, data, reason calculated risk.
And today, you jumped in and had my back when I decided to leap.
You were right there Every stitch, every move.
Meaning? Meaning we both showed up.
We were a team.
Owen and Teddy and Hayes, they're alive, and they kept that heart alive.
The two of us, we were a team.
We gave that boy a heart.
So call it a miracle Or skill, precision, hard work.
Okay.
Either way.
That boy's brand-new heart is beating in his chest.
His heart is beating in his chest.
Hmm.
Pajamas.
We're definitely celebrating with pajamas.
Meredith! Hi.
I thought you'd never get here.
What do you mean? I'm right on time.
I know.
How you doing? - Bad day, huh? - Yeah.
What's up? My friend got into a car accident.
- Oh, no.
- Yeah.
My other friend quit.
Oh, no.
And then my favorite resident flamed out.
Geez.
This place really falls apart without you, doesn't it? Well, I got us a reservation at a nice restaurant not too far from here.
I thought that might be your reaction, so I also got a hotel with amazing room service.
Yes, better.
Much better.
Hey.
Hi.
Fries? Yeah.
Please.
Strangely, there's nobody else around How did the surgery go? Uh, well, the patient has a long road to recovery, but he's alive and he's not paralyzed.
And he is my ex-husband.
And, uh, the surgeon who operated with me is my son's father, - so, you know family reunion.
- Got it.
Oh.
Got it.
So he cleared the gallery because I came in? He saw us kissing.
My life, uh, is messy.
And I would totally understand if you don't want anything to do with that mess.
Hear your voice Tell me, is your type always hot, square-jawed men? Lately, it appears my type is hot, square-jawed you.
Touché.
What about you? Do you have a type? No, but I'm sharing my fries.
That's not a small thing.
I still see you The sunlight on your face in my rearview Is that your kid? That's Scout.
His dad sends a goodnight photo of him every night that he has him.
Even if we're fighting.
He's a good man.
I hate that I broke his heart, and I hate that he made me break it all over again.
You want me to grab you a drink? Yes.
But, no, because I don't drink.
Thank you.
When you go away I still see you Thank you.
I don't want to feel all this again.
Then don't.
Helpful.
Thank you.
I'm saying, don't.
I'm saying life is hard enough, and sometimes on bad days, we kill people and wash our hands until they bleed.
Maybe don't suffer any more than you have to.
Is it that easy? Maybe.
Amelia is a good mom and a great surgeon and a decent human being, I guess, but she doesn't want what you want.
And you you are Atticus Lincoln.
You are the best ortho surgeon, the best bartender, the best father I know, and you're also just, like, really hot.
I'm serious! You're the hottest guy that everyone knows.
Let's just not pretend that that's not true.
There are other women who would love to love you, Link.
I ama catch.
There's no denying it.
You already mourned her.
You already suffered, so maybe just don't suffer anymore.
This is a bad idea.
Is it? Recent studies suggest that when we experience physical sensations related to intense emotions, it comes back to the vagus nerve.
We think of the pain of a broken heart as being outside of our control.
But science suggests that if we laugh instead of cry if we sing instead of ache we might just heal faster.
Ahh.
Okay, okay.
Hey.
Okay.
Here.
Press this if you need some more, okay? Yep.
Give it a second.
Okay.
Okay.
Okay.
Phew.
The surgery? It went well.
- I'll walk? - Yes.
It'll take time, but yes.
Ohh.
Bailey just stopped by to check on you.
She told me that Hayes quit.
Says he wants to go back to Ireland.
What happened in that car, Owen? Of course, when we're hurting What are you not telling me? sometimes it's just easier to keep hurting than to try to heal.