Grey's Anatomy s18e10 Episode Script
Living in a House Divided
Since the early 1900s,
morbidity and mortality
conferences, or "M&M" s,
have helped surgeons learn from cases
where there was a serious complication.
- Or a fatal outcome.
- No.
During M&Ms, we assess both systematic and personal errors.
We review every step, every decision.
We get to the bottom of what happened and how it happened.
Yeah? Room service.
Hi.
Thank you.
You, uh, get your kids to school? - I did.
- Good.
- They were five minutes early.
- Mm-hmm.
They're never five minutes early.
What's your day look like? Tedious.
I have a follow-up with Hamilton, and then I have to watch someone I really like get interrogated in an M&M.
- Anything good? - No, he avulsed the IMA right off the aorta during an ileostomy takedown.
Patient bled to death.
And there was no attending in the room.
Oof.
- Yeah.
- What time's your flight? I have to leave for the airport in about 20 minutes.
I wish you were staying.
I have 20 minutes.
We consider what we could have done better or differently Wow.
I know.
Oh, you were right.
This is fun.
and hope we never make the same mistake ever again.
Hey.
Hey.
How was Mr.
Yeyni's CABG? Oh, smooth.
Yeah.
Were you able to talk to Richard? No.
All he said when I asked him about it was, "Save it for the M&M.
" Well, I mean, he's not wrong.
We are a teaching hospital.
I know M&M's are essential, but I hate them.
Both things are true.
Dr.
Manner to the E.
R.
Dr.
Manner to the E.
R.
Grey! Here, take this.
A ventral hernia repair.
Patient's name is Franks.
1443.
Wait.
- Right now? - Yeah.
What about the M&M? A-Aren't I supposed to weigh in? No one else is available, and I need to run the M&M, so unless you're needed on a plane, I really need you in O.
R.
3.
- Okay.
I'm on it.
- Okay.
But, you know, go easy on Schmitt.
I'm sure he's suffering enough, and he's come a long way.
He's still not here yet.
Where is he? I don't know.
Doesn't he live with you? I don't put GPS locators on my roommates, do you? No need to be rude.
Do you think you'll have to go up there? Since you were in the room? Hey, where's Schmitt? - I don't know! - Okay.
Okay, we all have surgeries and clinic, so I'm gonna go ahead and get started.
Um, ask questions as they arise.
Keep them constructive.
We are a teaching hospital.
This is how we learn.
Dr.
Schmitt will be presenting Uh Okay, so, our first case is colorectal surgery service.
26 year-old male Dr.
Schmitt.
The case is a 26-year-old male with history of ulcerative colitis.
at which point, we were about ready to proceed with stapling the anastomosis, but I felt that I needed better exposure of the small bowel, so I reached into the cavity.
Questions are not encouraged They're required.
Dr.
Wright, ask a question.
Um Uh, had you observed any bleeding at that point? - No.
- Did you have good visualization on what you were putting traction on? I believed I did.
Okay.
At that point, everything was dry and ready for anastomosis.
As stated, the patient It's been so long since I've seen a waterfall in person.
Dr.
Schmitt? Dr.
Schmitt? Continue.
Um, everything was dry and, um the field was clean, so I asked for the GIA stapler.
But there was Um There, uh There was no indication of any abnormal anatomy or friable structures, right? That you could see, I mean.
What? Meaning you couldn't have predicted that the aorta was gonna rupture This is just the best.
Yeah.
I'm gonna stay here awhile, you guys.
It was an unanticipated complication.
Is there a question in there somewhere, Helm? I didn't think so.
Schmitt, go.
Uh, that that was the the f the field, it filled with blood, and, um I'm I'm sorry.
- You're Devon Gomez.
- Never knew I had a groupie.
It's nice to meet you, Dr.
Schmitt.
Schmitt, call it.
I killed Devon.
I, uh I just I killed him.
He's dead.
Dr.
Schmitt, look, we are here Dr.
Schmitt, no, no.
We are here to determine what ha and how to Hey, no, no, no! The M&M isn't finished.
Um, un-until Dr.
Schmitt returns, Dr.
Webber will take the questions.
If Dr.
Schmitt was the primary surgeon and you're the attending, who's in charge? The Webber Method dictates that a resident cannot go on to the next step in the procedure without an attending being present.
Yeah, I-I understand what the method is, sir.
I'm just not sure I understand the chain of command.
I beg your pardon? Well, I mean, the The Webber Method seems to rotate authority during surgery depending on which step you're on, which, with all due respect, sir, seems confusing.
Perhaps a little more time in our program would help clear up any confusion.
Alright, let's get back to the next question, please.
In a Webber Method surgery, can you just remind us what exactly happens if a complication arises, even if it's not at the predetermined step when an attending would need to be called? Well, an attending should be called anyway.
Right, but for all intents and purposes, your method sets up these senior residents as the attendings, right? Didn't you specifically use the word "attendings" when you first introduced the method? - "Today you will be the attendings.
" - you will be the attendings.
Welcome to the Webber Method.
Dr.
Webber, was there ever a meeting of department heads to discuss whether we should adopt this particular teaching style? Does that make a difference? Well, yes, I mean, we have meetings to discuss what brand of sutures we're going to buy.
Why not meet about this? Are other hospitals using this, Catherine? Other foundation hospitals? Dr.
Webber is your chief medical officer, Dr.
Fox.
The method's named after him.
You never considered that there would be negative consequences or a P.
R.
nightmare? Dr.
Lin, you recently promoted the Webber Method while recruiting new residents.
This is a teaching tool, my dear, not some risky cure for cancer.
It's a teaching tool that cost a patient their life.
Dr.
Bailey, you initially expressed reservations about the method.
What changed for you? Is the M&M on the patient or the Webber Method? Because the method didn't hold the scalpel.
Thank you.
Well, there are clearly residents who are not ready.
What about the American Board of Surgery? - Have they sanctioned it? - Everybody, just please.
Dr.
Webber is just prioritizing our education.
- We're here to learn.
- Okay, everyone.
Why would they weigh in on a method for general procedure? We need to get back to asking questions.
- What they need to approve - This hospital Here we go.
How's the pain? It's okay.
It's not terrible.
Good.
Listen, Owen, I-I know that you have gone through something horrible, and I've given it two days, but now I'm gonna sit here until you tell me what the hell is going on.
Noah's wife has called the house several times looking for you.
- Why? - Teddy Owen, after everything that we've been through, after 20 years, I deserve the truth.
What does Heather want? Why did Hayes quit? I know that something happened in the car.
Can you just tell me, please? You're right.
Something happened in the car.
But, Teddy, I'm asking you to trust me.
I can't tell you.
What about me? Don't I deserve the same? Doesn't trust go both ways? Of course, but Owen, it's me.
You can sit there as long as you want, okay? But I'm not gonna tell you.
I love you.
But I can't.
You can.
But you won't.
Okay, I won't.
Legal hasn't heard anything from the Gomez family.
- We may avoid a lawsuit altogether.
- Hmm.
But you still have some decisions to make.
I have some decisions to make? He's my husband, Dr.
Bailey, but this is your hospital.
The method was successful as long as the residents stuck to it.
But surgical residents are not known for their humility, so whether or not the method continues on after this suspension, it's up to you.
Dr.
O'Dell to the ICU.
Dr.
O'Dell Hey, ventral hernia's repaired.
How was the M&M? I want to check in on Richard before my VIP's scans.
The M&M was awful.
Richard needs space.
But I put you down for a Roux-en-Y hepaticojejunostomy in O.
R.
4.
Oh, well, I've already over-scheduled my own day.
I want to help you, but I can't Look at my face.
This is a desperate face.
This is a-a begging face.
I'm desperate and I'm begging, and I'm asking for your help, Grey.
Look, I'm down a trauma surgeon, a cardio surgeon, a peds surgeon, and now a resident 'cause Schmitt walked out.
And t-the rest of them are so traumatized that they'll probably need a safe space and a week off to feel their feelings.
Okay.
I can take the hepatico-J.
And I know someone who can do the hernia repair.
- Ideally, a surgeon.
- Uh-huh.
Hi.
Hey.
You okay? You kinda went after Richard in the M&M.
I went after the method.
Right, but the Webber Method is Richard.
Do you still stand by it? The Webber Method? After everything that we just heard? We don't use it in our department, so I'm not really sure that I can I know that you respect Richard.
We all do.
It's why I wanted to speak to him before the M&M.
Maggie, the method works.
- You just haven't been around to see it.
- Exactly.
I haven't been around, and I come back and Richard's new teaching method has gotten someone killed, and no one is being honest with him about it.
So, you respect him, but I love him, so I'm gonna keep telling him the truth.
- Okay? - Okay.
I gotta take this.
Alright.
Thank you, Carla.
Hey, um, have you seen Levi anywhere? No one has seen him since the M&M.
No, I've been swamped all morning.
Oh, uh, I might have a double arthroplasty later.
You want in? Films show major scar tissue, so it should be fun.
Things better with you and Shepherd? Uh, no.
But I feel great.
Dr.
Burkes to oncology.
Dr.
Burkes to oncology.
Hello.
I'm Dr.
Lincoln.
What seems to be going on? Uh, Ms.
Hanley.
Second grade science teacher.
Wish she had been mine.
Please, call me Lila.
Not even my students call me Ms.
Hanley.
Anyway, uh, my leg's numbed up again.
I've got shooting pains right below the knee.
But this time when it happened, I barely made it down the staircase at the IMAX.
Northwest Science Center.
We go every year during winter camp.
X-rays show some minimal changes indicative of osteoarthritis.
Okay.
Uh, you said "this time.
" This has happened before? It's happened a couple times.
Cortisone shot usually does the trick, but now my leg's a little off.
And no allergic reaction to the cortisone? No.
Okay.
Perez here will do a work-up on your knee, and we'll see if we can get you that shot.
Uh Morning, Francesca.
I would say it's good to see you, but I really wish I wasn't back here.
We're gonna figure out why.
Tseng? Francesca Lyons, 26.
Complains of continued pain in the lower back.
Treated for pain from mildly herniated discs with an epidural injection three weeks ago and another six weeks ago.
Do you mind if I take a look? Has the pain been consistent since your last injection? I felt great during the first week.
I hiked in Discovery Park, I biked around the waterfront, and I got back on Bumble.
Sounds very busy.
I started having sex again, but the pain just came back, same as the time before.
And now I am on my period, so I have horrible cramps and this.
Tseng, would you call for a GYN consult? Perfect.
Lady problems.
That won't be embarrassing to bring up with my new boyfriend.
- Hiker or biker? - Neither.
He's got a boat, which normally I hate because sharks are close to boats.
But I'd be willing to suck it up because he is so, so hot.
He is shark-risk hot.
He wants to cruise around Puget Sound next week, and I want to have sex on a boat.
We will see what we can do.
Hayes! Hey.
I've been looking for you.
Do you have a second? Sure.
So, I heard you quit.
I have some cases to hand off.
But, uh yeah.
Bailey can't lose you right now.
I know.
Well, I've been trying to call you.
It's been pretty hectic getting the boys packed up.
So, what? Your whole life flashed before your eyes and you realized you're unhappy here and need to quit? Something like that.
And your plan was to leave without saying goodbye? Yeah.
Why? Because if I said goodbye to you, Grey, I might not actually leave.
In all the years since Abigail died, you're the first person who got it.
You made me feel less alone.
You helped me believe there might even be life after Abigail.
Thank you for that.
Take care.
You too.
Hi, Francesca.
I'm Dr.
DeLuca, and this is Dr.
Wilson.
- Hi, there.
- Hi.
You're gonna stay with me, right? Of course.
Yeah, we're gonna figure this out together.
So, I treated Francesca for back pain and minor degenerative disc disease, but her pain coincides with her period, she's on oral contraceptives, and she has pain with sex.
Okay, yeah, okay.
Um, thank you, Dr.
Shepherd.
Francesca, would you mind if Dr.
Wilson examines you? - Go for it.
- Thank you.
Okay, um so how long have you been having severe pain with your periods? Since I was the girl sitting on the bleachers for half the month during P.
E.
Nothing like 30 eighth graders knowing your menstrual cycle.
Okay, you're gonna feel a little pressure, okay? Ahh! Ooh.
Has you ever been evaluated for endometriosis? It's when the cells that line the inside of the uterus grow outside the uterus, and in some cases, the tissue can accumulate in one space.
Now, that would also explain the back pain, if that's where the tissue built up.
A little pressure.
Okay, the good thing is, if it is that, then it is treatable.
When do we start, and how long is recovery? We'll schedule a diagnostic surgery, and if endometriosis is present, we'll do what we can to try and remove it when you're ready.
The sooner the better.
I've got things to do.
And by "things," I mean my new boyfriend.
Never underestimate the value of pain-free sex.
Let's see if we can get it done today.
Yeah.
Okay.
Privileges received.
Pays to have an in, I guess.
Thank for coming back.
Sure.
- You're saving our sanity.
- Yes.
- And a man's life, of course.
- Of course.
- Okay.
What do we got? - 45-year-old man with a right-sided direct inguinal hernia.
- Okay.
- Five months of pain.
Booked for an open repair.
Okay, got it.
And what do you have? Hepatico-J.
Sorta feels like you took the fun one.
- I would never do that.
- Never? Have fun.
You're going to O.
R.
3.
Okay.
O.
R.
3.
You're gonna need scrubs first.
Oh.
Thank God.
Nurse Hazard to the O.
R.
Nurse Hazard to the O.
R.
Construction accident.
Something with a circular saw.
I believe she just needs sutures, but there could be debris inside.
Okay, have we gotten an X-ray, cleaned out and examined the wound? No.
I'm waiting for the twist in the story as for why you haven't.
I-I thought you'd want to examine her first.
Just in case, you know? Or you could observe while I do the exam.
I-I wanted to make sure that I was doing it right.
Well, you haven't done anything, so how could it be wrong? - X-ray, irrigation, lap tray now! - Okay, yeah.
Wha Nurse Cline, extension 2219.
Perez, what's Lila still doing here? She wanted a cortisone injection.
Uh, that's why I paged you.
I think she also needs an MRI.
I was thinking it might be Um, Lila? Will you show me exactly where it hurts? It's along there.
The cortisone shot should help, but if you're looking for a more permanent solution, you might try losing a little weight.
I might try losing a little weight? Maybe start with some good walks with a friend and build up to more.
I've been on a diet since 1992, and I get a serious workout every day chasing 8-year-olds.
How am I supposed to take "good walks with friends" when I have shooting pains coming from my knee when I walk? All I'm saying is, you might be surprised what even 10 to 15 pounds can do to exacerbate joint pain.
Got it.
So if I just figure out how not to be fat, all my problems will magically go away.
Thank you.
Zero stars.
Lila Oh, I'm sorry, Lila.
Wait, uh It looks like you might have foot drop, - based on the way you're walking.
- Have what? Uh, a foot drop is something that losing a solid 10 to 15 pounds will not fix.
Would you like me to order the MRI now, sir? Walking there might help me build up to more.
Thank you.
Thank you.
- Hayes, please.
- Altman, I can't.
We almost died together, and y-you can't return a phone call? What happened? Please, can you just Can you just tell me? Talk to your husband.
I am talking to my husband, but he's not talking to me! There was something wrong with Owen even before he got in that car.
I felt it.
I feel it.
And if you've loved Owen as long as I have loved him, you feel when he's lying to you.
You You You feel your stomach turn to ice.
And now he's hurt, and I know he's in so much pain, but I have this horrible feeling in my whole body, so can you please tell me what happened in that car? He told me to get out first.
He told me to think about my kids.
And for that, I'll always be in his debt.
It's a miracle he survived.
I might not have.
Thanks to your husband, I got to get home to my kids.
Thanks to your husband, I I get to bring them back to my family in Ireland.
They get the chance to To build a new life.
But why? Why are you building a new life? Hayes, I see you at work.
It's not like you just to quit without notice.
So whatever he did or whatever he said to you must be so big that you're willing to uproot your whole life.
And for that, I am I am so sorry.
My kids and I have been uprooted long before I got in that car with you and Owen.
Your husband's alive.
Try to hold on to that.
Goodbye, Altman.
I'd like to be alone.
I know you would.
Richard, I know you know how traumatizing it is for a surgeon to lose a patient due to an honest mistake.
Yeah, I do.
So do you.
Do you remember what happened to my niece? Sabie? Yeah, you're right.
You're right.
Um it's because of Sabie that I know how agonizing it is for a family to lose a loved one due to a surgical error, especially one that could have been prevented.
You publicly humiliated me in the hospital where I've worked for over 30 years Richard, that was not my intention.
I was just trying to do my job.
I took an oath I took the same damn oath! Now, Schmitt didn't make a mistake.
Schmitt made a decision, okay? He chose to subvert my teaching method.
He chose to proceed without waiting, and then, somehow, you went after me?! I believe in systems, okay? I believe in scientific data, of running scenarios multiple times to ensure they work before we implement new procedures, and I-I don't believe that we have done that here.
We? W-W-W-Who is "we," Maggie? You haven't been here.
Neither has Meredith, so neither of you get an opinion.
So please leave me alone before I say something that I'll regret! What do the classic lesions of endometriosis look like? Most commonly, they have a blue-black appearance like right there.
Nice catch, Dr.
Wilson.
We'll get a biopsy to confirm.
Hey.
How's she doing? Hey.
I thought you had a consult.
I-I finished.
Wilson, can you pull the scope back? Yeah, sorry.
- Are those all lesions? - Yes.
Here and here by the uterosacral ligament, which explains the back pain and also why your epidurals didn't work.
We'll get a biopsy and send it to Path.
Menstruation, pregnancy, ovarian cysts, menopause, endometriosis I want to know what men get.
All the research.
Sounds like we make a good team.
Raaah! I'm worried about Richard.
Because of the method? You thought it was a good idea, right? It was.
For lap choles.
We had a two-month-long waiting list for patients in need.
Then he extended it to more complicated procedures.
I wasn't here, but he must have thought the residents could handle it.
Yeah, that's what he said.
He just screamed at me that you and I don't get to have a say because we weren't here.
How did I get dragged into this? Because I wasn't at the M&M? I did sign off on it, and then I wasn't there to defend it, so, yes, I'm sure he feels like I abandoned him.
He thinks we all did.
Hey.
Want some coffee? Thank you.
Did Owen run you out of the room already? He is the worst patient.
I remember this one time when he was 18 with the flu, I swear, the whining that was coming out of his mouth, it was guttural.
How's Farouk? He's so good.
They weaned him off a few lines already, and so far, he's tolerating the anti-rejection meds.
T-Teddy? What? Did did Owen say anything to you? Or Or Or Hayes about what happened in that car after I got out? Hayes came by to check on Farouk, and he said goodbye.
I think that near-death experience, - it made him want to - Owen's keeping something from me, and it is big.
For all I know, he's got a secret wife in another country.
I'm serious.
I mean Owen confessed something, Megan, to Hayes.
It wasn't a near-death experience that made Hayes quit.
It's whatever Owen said to him when he thought he was dying.
Owen did something, and if it's so big that he can't even tell me He probably did do something.
Come on.
It's Owen.
He's rash and stupid and almost always selfless.
All of you almost died to save Farouk.
But, Owen, he He literally put himself last in order for that heart to get here.
He He chose to end his life and went careening down a cliff for us Farouk, me, you And he would do it again, Teddy.
He always believes that he's making the right decision, so whatever he did, whatever he's doing it's Owen.
He must believe that it's his only option.
Rongeur? Chief.
Always a pleasure.
Hey, um, as soon as Perez is done in here, I need him with Garrison on an ex-lap in O.
R.
5.
I'm short on residents today.
- Not a problem.
Almost done.
- Okay.
Perez made a nice catch on this patient.
Caught a foot drop that I missed.
Spinal disc herniation.
Well, nice job, Perez.
You seem to be the only one who hasn't turned into a hapless intern after the M&M.
I caught it because I examined her thoroughly.
Excessive weight can cause damage on the joints.
True, but you looked at Lila and decided she was just a fat person.
Fat people know they're fat.
You do not need to tell them.
Of course not.
But if the weight might be making things worse Might.
Might be.
Obesity is a disease.
It's not as easy for some of us to lose weight as it is for you.
[Clears Sir.
Sorry.
I made a snap judgment based on her history and BMI.
Well, stop looking at the BMI.
Excuse me? It's stupid.
The Body Mass Index is a fancy title and formula that was developed like 200 years ago by a mathematician.
It doesn't account for differences in the density of bones or muscle tones or fat.
It looks at numbers, not distribution.
So stop looking at it and examine the patient.
So why is it even on the chart still? So insurance companies can rob us blind.
Hey, they charge higher premiums for higher BMIs.
Told you it was stupid.
Now, let's hurry up.
I need Perez.
Do you want to finish the discectomy? Um, yes.
Hey! So, I, um I just updated Francesca.
We are going to start her on a new low-dose, continuous birth control, and, um, then I know Link is really angry with me.
And I can hear in your voice, which goes up an octave every time I enter a room, that you are who he's talking to about it.
- He's actually not.
- It's okay.
You're his best friend.
I am grateful that he has someone to talk to.
But if it means that we can't work together effectively, I need for you to tell me that, because this was awkward today, and our first responsibility is to our patients.
Okay? Thank you for your help today.
So, my wife works 24-hour shifts.
If you want, we can get coffee and talk.
- You are my boss.
- Mm-hmm.
But you're also a very nice person who happened to study the female orgasm.
Casual sex is good, right? Oh, I'm very pro casual sex.
With friends? Yeah, casual sex with friends can be the best kind of casual sex.
A friend wants to take care of your body, make you feel safe, and please you all at the same time, so Oh, but it's not casual for you, is it? Okay.
Wilson, if you love him, you have to tell him, or you have to stop having sex with him.
Those are the only two choices you have to give this friendship a chance of surviving, okay? But before you do, check Wendy Costello's incision in 1202.
Helm? You know, I was so busy worried about what Schmitt did in that O.
R.
, but you were in there, too.
You're not okay, either, and I missed that.
I'm sorry.
I used to never raise my hand in class, even though I always had the right answer.
All through elementary school, I was so scared that people would hate me or call me a know-it-all, so I just didn't raise my hand.
I thought I outgrew it.
I should have said something to Levi.
I could have stopped him in that O.
R.
He would have listened to me.
I'm his best friend.
It can be very hard to speak up to people who are so sure of themselves.
But in that O.
R.
, Schmitt was the lead surgeon.
So he wasn't just your best friend, he was your boss.
Hmm? Yeah, I was kind of a know-it-all, too, you know? I know.
Hard to believe.
Okay.
I preach responsibility.
I encourage people to take the full consequences.
I try and live my life with personal accountability.
Even if my intent was good, it killed a man.
Your intent was good, Richard.
Lines can blur, and sometimes good intentions can cloud good judgment.
I'm sorry I wasn't here.
I was gone with good intentions.
You three are the The closest I have to, um Well, you know.
The thought of disappointing you is is unbearable.
I wasn't disappointed, Richard.
I was mad.
I was enraged.
Not at you or the Webber Method.
I mean, a little bit at you.
Mostly, I was enraged at myself.
Because, suddenly, I was right back there again, right there where Schmitt was.
And I have spent years struggling with the appropriate amount of accountability to take for Sabie's death on my table.
And, yes, the surgeon holding the scalpel is the one who is ultimately responsible, but if you discount all of the other factors at play, then how does that surgeon recover? How does that surgeon move forward and heal other people? How does that surgeon heal? What happened to Levi is devastating.
And to me.
And it deserves to be scrutinized from every single angle.
The world's changed.
Medicine's evolved.
These students are are unlike any I've ever taught.
And I just wanted to give them something to feel excited about practicing medicine.
But you are what's exciting about them practicing medicine.
They don't need a method.
They just need you.
Dr.
Eisenburg, 4673.
Dr.
Eisenburg, 4673.
Hey.
So, you're welcome.
Perfect technique, barely left a mark.
Might be my best work yet.
Maybe it's Seattle.
Maybe, or it's having my favorite resident back.
I'm not sure.
You want to grab some dinner? Celebrate my stellar work? Hi.
Hello.
Hi.
Sorry.
For what? Um, Amelia Shepherd and Maggie Pierce, this is Nick.
- These are my sisters.
- Oh.
Wow.
Hi.
- Nice to meet you.
- Mm-hmm.
Uh-huh.
Um, I'm from Minnesota.
Oh, are you on the secret project? I would've noticed.
He has a post-op.
- I do have a post-op.
- Yeah.
Very complicated hernia repair.
Okay.
Nice to meet you.
- I have a thing to go do.
- Hmm.
I like Minnesota.
It is full of surprises.
I have a thing, too.
- Hey.
- Hey.
We're home, and we brought falafel.
Oh, no.
I stopped by Nicoletti's.
Oh, we got enough food to feed a You? Maybe.
I guess we should talk next time before we do anything.
- So, I misread something at work today.
- I've been thinking about Oh.
- You first.
- You go ahead.
Link What is it? Link, I We shouldn't have sex.
Oh.
Okay.
Are you sure? Yes.
Okay.
I will be right back.
Do not eat all the garlic bread.
Can we talk? Yeah.
Come in.
I let you down.
When you introduced the Webber Method, I had concerns.
But I decided to trust in it, because it was you.
And I know I I should have been more vocal about it from the beginning.
I should have said something m-more.
I-I should have said m-more.
It's okay, Bailey.
You can say it.
Despite the physician shortage and the backlog of surgeries, I feel, strongly, that the Webber Method should not just be suspended temporarily, but permanently.
Understood.
Oh, and And for the record you did say something.
And I had my wife overrule you.
It wasn't right, and it wasn't fair, and I'm sorry I did it.
It's been said that a house divided against itself cannot stand.
Good night.
But conflict on the road to progress is inevitable.
Thanks, Mrs.
Schmitt.
Levi.
My mom shouldn't have called you.
Please go away.
Hey, look, we've We've all lost patients.
I know it's hard, but it's part of the job.
But you got to come back to work.
I'm not going back there.
What do you mean? If If If you don't come back, you're gonna lose your residency spot and Please go away.
Levi Please go away and don't come back.
We're done.
And at least some division is always a certainty.
Because we all want what we think is best for everyone.
Owen, I just Thank you, Dr.
Hunt.
Teddy No.
Teddy, just leave it, okay? I can't.
Teddy.
Teddy! And when we can trust at least that much to be true Hi.
Bad timing, bad hallway, bad sisters.
No, no, no, it was fun.
- Was it? - Yeah, it was.
- It was fun.
- Do you have to leave tonight? I don't want to leave you ever.
I'm sorry.
Was that weird? That's You know what? Screw it.
We're adults.
I don't care.
I-I don't like leaving you.
I want to be with you.
You know? Why don't you just come with me on the red-eye and spend a few days with me in Minnesota, and I'll come back with you.
As exhausting as that sounds, I have the kids.
And you know I used to know everything that went on in there.
And right now, I'm feeling pretty disconnected from some people that I'm very close to.
Hamilton is recovering, so I think I'm going to take advantage of that and just stay put for a while.
But for the record, I don't ever want to leave you, either.
And my children are asleep.
If you don't have to leave tonight I don't.
Then why are we still standing here? I don't know.
It's simply not realistic for any house to avoid some division.
But how much division can any house withstand Dr.
Altman.
Tell me what you just got out of my husband's car, or I'm gonna have to call the police.
before it finally falls?
- Or a fatal outcome.
- No.
During M&Ms, we assess both systematic and personal errors.
We review every step, every decision.
We get to the bottom of what happened and how it happened.
Yeah? Room service.
Hi.
Thank you.
You, uh, get your kids to school? - I did.
- Good.
- They were five minutes early.
- Mm-hmm.
They're never five minutes early.
What's your day look like? Tedious.
I have a follow-up with Hamilton, and then I have to watch someone I really like get interrogated in an M&M.
- Anything good? - No, he avulsed the IMA right off the aorta during an ileostomy takedown.
Patient bled to death.
And there was no attending in the room.
Oof.
- Yeah.
- What time's your flight? I have to leave for the airport in about 20 minutes.
I wish you were staying.
I have 20 minutes.
We consider what we could have done better or differently Wow.
I know.
Oh, you were right.
This is fun.
and hope we never make the same mistake ever again.
Hey.
Hey.
How was Mr.
Yeyni's CABG? Oh, smooth.
Yeah.
Were you able to talk to Richard? No.
All he said when I asked him about it was, "Save it for the M&M.
" Well, I mean, he's not wrong.
We are a teaching hospital.
I know M&M's are essential, but I hate them.
Both things are true.
Dr.
Manner to the E.
R.
Dr.
Manner to the E.
R.
Grey! Here, take this.
A ventral hernia repair.
Patient's name is Franks.
1443.
Wait.
- Right now? - Yeah.
What about the M&M? A-Aren't I supposed to weigh in? No one else is available, and I need to run the M&M, so unless you're needed on a plane, I really need you in O.
R.
3.
- Okay.
I'm on it.
- Okay.
But, you know, go easy on Schmitt.
I'm sure he's suffering enough, and he's come a long way.
He's still not here yet.
Where is he? I don't know.
Doesn't he live with you? I don't put GPS locators on my roommates, do you? No need to be rude.
Do you think you'll have to go up there? Since you were in the room? Hey, where's Schmitt? - I don't know! - Okay.
Okay, we all have surgeries and clinic, so I'm gonna go ahead and get started.
Um, ask questions as they arise.
Keep them constructive.
We are a teaching hospital.
This is how we learn.
Dr.
Schmitt will be presenting Uh Okay, so, our first case is colorectal surgery service.
26 year-old male Dr.
Schmitt.
The case is a 26-year-old male with history of ulcerative colitis.
at which point, we were about ready to proceed with stapling the anastomosis, but I felt that I needed better exposure of the small bowel, so I reached into the cavity.
Questions are not encouraged They're required.
Dr.
Wright, ask a question.
Um Uh, had you observed any bleeding at that point? - No.
- Did you have good visualization on what you were putting traction on? I believed I did.
Okay.
At that point, everything was dry and ready for anastomosis.
As stated, the patient It's been so long since I've seen a waterfall in person.
Dr.
Schmitt? Dr.
Schmitt? Continue.
Um, everything was dry and, um the field was clean, so I asked for the GIA stapler.
But there was Um There, uh There was no indication of any abnormal anatomy or friable structures, right? That you could see, I mean.
What? Meaning you couldn't have predicted that the aorta was gonna rupture This is just the best.
Yeah.
I'm gonna stay here awhile, you guys.
It was an unanticipated complication.
Is there a question in there somewhere, Helm? I didn't think so.
Schmitt, go.
Uh, that that was the the f the field, it filled with blood, and, um I'm I'm sorry.
- You're Devon Gomez.
- Never knew I had a groupie.
It's nice to meet you, Dr.
Schmitt.
Schmitt, call it.
I killed Devon.
I, uh I just I killed him.
He's dead.
Dr.
Schmitt, look, we are here Dr.
Schmitt, no, no.
We are here to determine what ha and how to Hey, no, no, no! The M&M isn't finished.
Um, un-until Dr.
Schmitt returns, Dr.
Webber will take the questions.
If Dr.
Schmitt was the primary surgeon and you're the attending, who's in charge? The Webber Method dictates that a resident cannot go on to the next step in the procedure without an attending being present.
Yeah, I-I understand what the method is, sir.
I'm just not sure I understand the chain of command.
I beg your pardon? Well, I mean, the The Webber Method seems to rotate authority during surgery depending on which step you're on, which, with all due respect, sir, seems confusing.
Perhaps a little more time in our program would help clear up any confusion.
Alright, let's get back to the next question, please.
In a Webber Method surgery, can you just remind us what exactly happens if a complication arises, even if it's not at the predetermined step when an attending would need to be called? Well, an attending should be called anyway.
Right, but for all intents and purposes, your method sets up these senior residents as the attendings, right? Didn't you specifically use the word "attendings" when you first introduced the method? - "Today you will be the attendings.
" - you will be the attendings.
Welcome to the Webber Method.
Dr.
Webber, was there ever a meeting of department heads to discuss whether we should adopt this particular teaching style? Does that make a difference? Well, yes, I mean, we have meetings to discuss what brand of sutures we're going to buy.
Why not meet about this? Are other hospitals using this, Catherine? Other foundation hospitals? Dr.
Webber is your chief medical officer, Dr.
Fox.
The method's named after him.
You never considered that there would be negative consequences or a P.
R.
nightmare? Dr.
Lin, you recently promoted the Webber Method while recruiting new residents.
This is a teaching tool, my dear, not some risky cure for cancer.
It's a teaching tool that cost a patient their life.
Dr.
Bailey, you initially expressed reservations about the method.
What changed for you? Is the M&M on the patient or the Webber Method? Because the method didn't hold the scalpel.
Thank you.
Well, there are clearly residents who are not ready.
What about the American Board of Surgery? - Have they sanctioned it? - Everybody, just please.
Dr.
Webber is just prioritizing our education.
- We're here to learn.
- Okay, everyone.
Why would they weigh in on a method for general procedure? We need to get back to asking questions.
- What they need to approve - This hospital Here we go.
How's the pain? It's okay.
It's not terrible.
Good.
Listen, Owen, I-I know that you have gone through something horrible, and I've given it two days, but now I'm gonna sit here until you tell me what the hell is going on.
Noah's wife has called the house several times looking for you.
- Why? - Teddy Owen, after everything that we've been through, after 20 years, I deserve the truth.
What does Heather want? Why did Hayes quit? I know that something happened in the car.
Can you just tell me, please? You're right.
Something happened in the car.
But, Teddy, I'm asking you to trust me.
I can't tell you.
What about me? Don't I deserve the same? Doesn't trust go both ways? Of course, but Owen, it's me.
You can sit there as long as you want, okay? But I'm not gonna tell you.
I love you.
But I can't.
You can.
But you won't.
Okay, I won't.
Legal hasn't heard anything from the Gomez family.
- We may avoid a lawsuit altogether.
- Hmm.
But you still have some decisions to make.
I have some decisions to make? He's my husband, Dr.
Bailey, but this is your hospital.
The method was successful as long as the residents stuck to it.
But surgical residents are not known for their humility, so whether or not the method continues on after this suspension, it's up to you.
Dr.
O'Dell to the ICU.
Dr.
O'Dell Hey, ventral hernia's repaired.
How was the M&M? I want to check in on Richard before my VIP's scans.
The M&M was awful.
Richard needs space.
But I put you down for a Roux-en-Y hepaticojejunostomy in O.
R.
4.
Oh, well, I've already over-scheduled my own day.
I want to help you, but I can't Look at my face.
This is a desperate face.
This is a-a begging face.
I'm desperate and I'm begging, and I'm asking for your help, Grey.
Look, I'm down a trauma surgeon, a cardio surgeon, a peds surgeon, and now a resident 'cause Schmitt walked out.
And t-the rest of them are so traumatized that they'll probably need a safe space and a week off to feel their feelings.
Okay.
I can take the hepatico-J.
And I know someone who can do the hernia repair.
- Ideally, a surgeon.
- Uh-huh.
Hi.
Hey.
You okay? You kinda went after Richard in the M&M.
I went after the method.
Right, but the Webber Method is Richard.
Do you still stand by it? The Webber Method? After everything that we just heard? We don't use it in our department, so I'm not really sure that I can I know that you respect Richard.
We all do.
It's why I wanted to speak to him before the M&M.
Maggie, the method works.
- You just haven't been around to see it.
- Exactly.
I haven't been around, and I come back and Richard's new teaching method has gotten someone killed, and no one is being honest with him about it.
So, you respect him, but I love him, so I'm gonna keep telling him the truth.
- Okay? - Okay.
I gotta take this.
Alright.
Thank you, Carla.
Hey, um, have you seen Levi anywhere? No one has seen him since the M&M.
No, I've been swamped all morning.
Oh, uh, I might have a double arthroplasty later.
You want in? Films show major scar tissue, so it should be fun.
Things better with you and Shepherd? Uh, no.
But I feel great.
Dr.
Burkes to oncology.
Dr.
Burkes to oncology.
Hello.
I'm Dr.
Lincoln.
What seems to be going on? Uh, Ms.
Hanley.
Second grade science teacher.
Wish she had been mine.
Please, call me Lila.
Not even my students call me Ms.
Hanley.
Anyway, uh, my leg's numbed up again.
I've got shooting pains right below the knee.
But this time when it happened, I barely made it down the staircase at the IMAX.
Northwest Science Center.
We go every year during winter camp.
X-rays show some minimal changes indicative of osteoarthritis.
Okay.
Uh, you said "this time.
" This has happened before? It's happened a couple times.
Cortisone shot usually does the trick, but now my leg's a little off.
And no allergic reaction to the cortisone? No.
Okay.
Perez here will do a work-up on your knee, and we'll see if we can get you that shot.
Uh Morning, Francesca.
I would say it's good to see you, but I really wish I wasn't back here.
We're gonna figure out why.
Tseng? Francesca Lyons, 26.
Complains of continued pain in the lower back.
Treated for pain from mildly herniated discs with an epidural injection three weeks ago and another six weeks ago.
Do you mind if I take a look? Has the pain been consistent since your last injection? I felt great during the first week.
I hiked in Discovery Park, I biked around the waterfront, and I got back on Bumble.
Sounds very busy.
I started having sex again, but the pain just came back, same as the time before.
And now I am on my period, so I have horrible cramps and this.
Tseng, would you call for a GYN consult? Perfect.
Lady problems.
That won't be embarrassing to bring up with my new boyfriend.
- Hiker or biker? - Neither.
He's got a boat, which normally I hate because sharks are close to boats.
But I'd be willing to suck it up because he is so, so hot.
He is shark-risk hot.
He wants to cruise around Puget Sound next week, and I want to have sex on a boat.
We will see what we can do.
Hayes! Hey.
I've been looking for you.
Do you have a second? Sure.
So, I heard you quit.
I have some cases to hand off.
But, uh yeah.
Bailey can't lose you right now.
I know.
Well, I've been trying to call you.
It's been pretty hectic getting the boys packed up.
So, what? Your whole life flashed before your eyes and you realized you're unhappy here and need to quit? Something like that.
And your plan was to leave without saying goodbye? Yeah.
Why? Because if I said goodbye to you, Grey, I might not actually leave.
In all the years since Abigail died, you're the first person who got it.
You made me feel less alone.
You helped me believe there might even be life after Abigail.
Thank you for that.
Take care.
You too.
Hi, Francesca.
I'm Dr.
DeLuca, and this is Dr.
Wilson.
- Hi, there.
- Hi.
You're gonna stay with me, right? Of course.
Yeah, we're gonna figure this out together.
So, I treated Francesca for back pain and minor degenerative disc disease, but her pain coincides with her period, she's on oral contraceptives, and she has pain with sex.
Okay, yeah, okay.
Um, thank you, Dr.
Shepherd.
Francesca, would you mind if Dr.
Wilson examines you? - Go for it.
- Thank you.
Okay, um so how long have you been having severe pain with your periods? Since I was the girl sitting on the bleachers for half the month during P.
E.
Nothing like 30 eighth graders knowing your menstrual cycle.
Okay, you're gonna feel a little pressure, okay? Ahh! Ooh.
Has you ever been evaluated for endometriosis? It's when the cells that line the inside of the uterus grow outside the uterus, and in some cases, the tissue can accumulate in one space.
Now, that would also explain the back pain, if that's where the tissue built up.
A little pressure.
Okay, the good thing is, if it is that, then it is treatable.
When do we start, and how long is recovery? We'll schedule a diagnostic surgery, and if endometriosis is present, we'll do what we can to try and remove it when you're ready.
The sooner the better.
I've got things to do.
And by "things," I mean my new boyfriend.
Never underestimate the value of pain-free sex.
Let's see if we can get it done today.
Yeah.
Okay.
Privileges received.
Pays to have an in, I guess.
Thank for coming back.
Sure.
- You're saving our sanity.
- Yes.
- And a man's life, of course.
- Of course.
- Okay.
What do we got? - 45-year-old man with a right-sided direct inguinal hernia.
- Okay.
- Five months of pain.
Booked for an open repair.
Okay, got it.
And what do you have? Hepatico-J.
Sorta feels like you took the fun one.
- I would never do that.
- Never? Have fun.
You're going to O.
R.
3.
Okay.
O.
R.
3.
You're gonna need scrubs first.
Oh.
Thank God.
Nurse Hazard to the O.
R.
Nurse Hazard to the O.
R.
Construction accident.
Something with a circular saw.
I believe she just needs sutures, but there could be debris inside.
Okay, have we gotten an X-ray, cleaned out and examined the wound? No.
I'm waiting for the twist in the story as for why you haven't.
I-I thought you'd want to examine her first.
Just in case, you know? Or you could observe while I do the exam.
I-I wanted to make sure that I was doing it right.
Well, you haven't done anything, so how could it be wrong? - X-ray, irrigation, lap tray now! - Okay, yeah.
Wha Nurse Cline, extension 2219.
Perez, what's Lila still doing here? She wanted a cortisone injection.
Uh, that's why I paged you.
I think she also needs an MRI.
I was thinking it might be Um, Lila? Will you show me exactly where it hurts? It's along there.
The cortisone shot should help, but if you're looking for a more permanent solution, you might try losing a little weight.
I might try losing a little weight? Maybe start with some good walks with a friend and build up to more.
I've been on a diet since 1992, and I get a serious workout every day chasing 8-year-olds.
How am I supposed to take "good walks with friends" when I have shooting pains coming from my knee when I walk? All I'm saying is, you might be surprised what even 10 to 15 pounds can do to exacerbate joint pain.
Got it.
So if I just figure out how not to be fat, all my problems will magically go away.
Thank you.
Zero stars.
Lila Oh, I'm sorry, Lila.
Wait, uh It looks like you might have foot drop, - based on the way you're walking.
- Have what? Uh, a foot drop is something that losing a solid 10 to 15 pounds will not fix.
Would you like me to order the MRI now, sir? Walking there might help me build up to more.
Thank you.
Thank you.
- Hayes, please.
- Altman, I can't.
We almost died together, and y-you can't return a phone call? What happened? Please, can you just Can you just tell me? Talk to your husband.
I am talking to my husband, but he's not talking to me! There was something wrong with Owen even before he got in that car.
I felt it.
I feel it.
And if you've loved Owen as long as I have loved him, you feel when he's lying to you.
You You You feel your stomach turn to ice.
And now he's hurt, and I know he's in so much pain, but I have this horrible feeling in my whole body, so can you please tell me what happened in that car? He told me to get out first.
He told me to think about my kids.
And for that, I'll always be in his debt.
It's a miracle he survived.
I might not have.
Thanks to your husband, I got to get home to my kids.
Thanks to your husband, I I get to bring them back to my family in Ireland.
They get the chance to To build a new life.
But why? Why are you building a new life? Hayes, I see you at work.
It's not like you just to quit without notice.
So whatever he did or whatever he said to you must be so big that you're willing to uproot your whole life.
And for that, I am I am so sorry.
My kids and I have been uprooted long before I got in that car with you and Owen.
Your husband's alive.
Try to hold on to that.
Goodbye, Altman.
I'd like to be alone.
I know you would.
Richard, I know you know how traumatizing it is for a surgeon to lose a patient due to an honest mistake.
Yeah, I do.
So do you.
Do you remember what happened to my niece? Sabie? Yeah, you're right.
You're right.
Um it's because of Sabie that I know how agonizing it is for a family to lose a loved one due to a surgical error, especially one that could have been prevented.
You publicly humiliated me in the hospital where I've worked for over 30 years Richard, that was not my intention.
I was just trying to do my job.
I took an oath I took the same damn oath! Now, Schmitt didn't make a mistake.
Schmitt made a decision, okay? He chose to subvert my teaching method.
He chose to proceed without waiting, and then, somehow, you went after me?! I believe in systems, okay? I believe in scientific data, of running scenarios multiple times to ensure they work before we implement new procedures, and I-I don't believe that we have done that here.
We? W-W-W-Who is "we," Maggie? You haven't been here.
Neither has Meredith, so neither of you get an opinion.
So please leave me alone before I say something that I'll regret! What do the classic lesions of endometriosis look like? Most commonly, they have a blue-black appearance like right there.
Nice catch, Dr.
Wilson.
We'll get a biopsy to confirm.
Hey.
How's she doing? Hey.
I thought you had a consult.
I-I finished.
Wilson, can you pull the scope back? Yeah, sorry.
- Are those all lesions? - Yes.
Here and here by the uterosacral ligament, which explains the back pain and also why your epidurals didn't work.
We'll get a biopsy and send it to Path.
Menstruation, pregnancy, ovarian cysts, menopause, endometriosis I want to know what men get.
All the research.
Sounds like we make a good team.
Raaah! I'm worried about Richard.
Because of the method? You thought it was a good idea, right? It was.
For lap choles.
We had a two-month-long waiting list for patients in need.
Then he extended it to more complicated procedures.
I wasn't here, but he must have thought the residents could handle it.
Yeah, that's what he said.
He just screamed at me that you and I don't get to have a say because we weren't here.
How did I get dragged into this? Because I wasn't at the M&M? I did sign off on it, and then I wasn't there to defend it, so, yes, I'm sure he feels like I abandoned him.
He thinks we all did.
Hey.
Want some coffee? Thank you.
Did Owen run you out of the room already? He is the worst patient.
I remember this one time when he was 18 with the flu, I swear, the whining that was coming out of his mouth, it was guttural.
How's Farouk? He's so good.
They weaned him off a few lines already, and so far, he's tolerating the anti-rejection meds.
T-Teddy? What? Did did Owen say anything to you? Or Or Or Hayes about what happened in that car after I got out? Hayes came by to check on Farouk, and he said goodbye.
I think that near-death experience, - it made him want to - Owen's keeping something from me, and it is big.
For all I know, he's got a secret wife in another country.
I'm serious.
I mean Owen confessed something, Megan, to Hayes.
It wasn't a near-death experience that made Hayes quit.
It's whatever Owen said to him when he thought he was dying.
Owen did something, and if it's so big that he can't even tell me He probably did do something.
Come on.
It's Owen.
He's rash and stupid and almost always selfless.
All of you almost died to save Farouk.
But, Owen, he He literally put himself last in order for that heart to get here.
He He chose to end his life and went careening down a cliff for us Farouk, me, you And he would do it again, Teddy.
He always believes that he's making the right decision, so whatever he did, whatever he's doing it's Owen.
He must believe that it's his only option.
Rongeur? Chief.
Always a pleasure.
Hey, um, as soon as Perez is done in here, I need him with Garrison on an ex-lap in O.
R.
5.
I'm short on residents today.
- Not a problem.
Almost done.
- Okay.
Perez made a nice catch on this patient.
Caught a foot drop that I missed.
Spinal disc herniation.
Well, nice job, Perez.
You seem to be the only one who hasn't turned into a hapless intern after the M&M.
I caught it because I examined her thoroughly.
Excessive weight can cause damage on the joints.
True, but you looked at Lila and decided she was just a fat person.
Fat people know they're fat.
You do not need to tell them.
Of course not.
But if the weight might be making things worse Might.
Might be.
Obesity is a disease.
It's not as easy for some of us to lose weight as it is for you.
[Clears Sir.
Sorry.
I made a snap judgment based on her history and BMI.
Well, stop looking at the BMI.
Excuse me? It's stupid.
The Body Mass Index is a fancy title and formula that was developed like 200 years ago by a mathematician.
It doesn't account for differences in the density of bones or muscle tones or fat.
It looks at numbers, not distribution.
So stop looking at it and examine the patient.
So why is it even on the chart still? So insurance companies can rob us blind.
Hey, they charge higher premiums for higher BMIs.
Told you it was stupid.
Now, let's hurry up.
I need Perez.
Do you want to finish the discectomy? Um, yes.
Hey! So, I, um I just updated Francesca.
We are going to start her on a new low-dose, continuous birth control, and, um, then I know Link is really angry with me.
And I can hear in your voice, which goes up an octave every time I enter a room, that you are who he's talking to about it.
- He's actually not.
- It's okay.
You're his best friend.
I am grateful that he has someone to talk to.
But if it means that we can't work together effectively, I need for you to tell me that, because this was awkward today, and our first responsibility is to our patients.
Okay? Thank you for your help today.
So, my wife works 24-hour shifts.
If you want, we can get coffee and talk.
- You are my boss.
- Mm-hmm.
But you're also a very nice person who happened to study the female orgasm.
Casual sex is good, right? Oh, I'm very pro casual sex.
With friends? Yeah, casual sex with friends can be the best kind of casual sex.
A friend wants to take care of your body, make you feel safe, and please you all at the same time, so Oh, but it's not casual for you, is it? Okay.
Wilson, if you love him, you have to tell him, or you have to stop having sex with him.
Those are the only two choices you have to give this friendship a chance of surviving, okay? But before you do, check Wendy Costello's incision in 1202.
Helm? You know, I was so busy worried about what Schmitt did in that O.
R.
, but you were in there, too.
You're not okay, either, and I missed that.
I'm sorry.
I used to never raise my hand in class, even though I always had the right answer.
All through elementary school, I was so scared that people would hate me or call me a know-it-all, so I just didn't raise my hand.
I thought I outgrew it.
I should have said something to Levi.
I could have stopped him in that O.
R.
He would have listened to me.
I'm his best friend.
It can be very hard to speak up to people who are so sure of themselves.
But in that O.
R.
, Schmitt was the lead surgeon.
So he wasn't just your best friend, he was your boss.
Hmm? Yeah, I was kind of a know-it-all, too, you know? I know.
Hard to believe.
Okay.
I preach responsibility.
I encourage people to take the full consequences.
I try and live my life with personal accountability.
Even if my intent was good, it killed a man.
Your intent was good, Richard.
Lines can blur, and sometimes good intentions can cloud good judgment.
I'm sorry I wasn't here.
I was gone with good intentions.
You three are the The closest I have to, um Well, you know.
The thought of disappointing you is is unbearable.
I wasn't disappointed, Richard.
I was mad.
I was enraged.
Not at you or the Webber Method.
I mean, a little bit at you.
Mostly, I was enraged at myself.
Because, suddenly, I was right back there again, right there where Schmitt was.
And I have spent years struggling with the appropriate amount of accountability to take for Sabie's death on my table.
And, yes, the surgeon holding the scalpel is the one who is ultimately responsible, but if you discount all of the other factors at play, then how does that surgeon recover? How does that surgeon move forward and heal other people? How does that surgeon heal? What happened to Levi is devastating.
And to me.
And it deserves to be scrutinized from every single angle.
The world's changed.
Medicine's evolved.
These students are are unlike any I've ever taught.
And I just wanted to give them something to feel excited about practicing medicine.
But you are what's exciting about them practicing medicine.
They don't need a method.
They just need you.
Dr.
Eisenburg, 4673.
Dr.
Eisenburg, 4673.
Hey.
So, you're welcome.
Perfect technique, barely left a mark.
Might be my best work yet.
Maybe it's Seattle.
Maybe, or it's having my favorite resident back.
I'm not sure.
You want to grab some dinner? Celebrate my stellar work? Hi.
Hello.
Hi.
Sorry.
For what? Um, Amelia Shepherd and Maggie Pierce, this is Nick.
- These are my sisters.
- Oh.
Wow.
Hi.
- Nice to meet you.
- Mm-hmm.
Uh-huh.
Um, I'm from Minnesota.
Oh, are you on the secret project? I would've noticed.
He has a post-op.
- I do have a post-op.
- Yeah.
Very complicated hernia repair.
Okay.
Nice to meet you.
- I have a thing to go do.
- Hmm.
I like Minnesota.
It is full of surprises.
I have a thing, too.
- Hey.
- Hey.
We're home, and we brought falafel.
Oh, no.
I stopped by Nicoletti's.
Oh, we got enough food to feed a You? Maybe.
I guess we should talk next time before we do anything.
- So, I misread something at work today.
- I've been thinking about Oh.
- You first.
- You go ahead.
Link What is it? Link, I We shouldn't have sex.
Oh.
Okay.
Are you sure? Yes.
Okay.
I will be right back.
Do not eat all the garlic bread.
Can we talk? Yeah.
Come in.
I let you down.
When you introduced the Webber Method, I had concerns.
But I decided to trust in it, because it was you.
And I know I I should have been more vocal about it from the beginning.
I should have said something m-more.
I-I should have said m-more.
It's okay, Bailey.
You can say it.
Despite the physician shortage and the backlog of surgeries, I feel, strongly, that the Webber Method should not just be suspended temporarily, but permanently.
Understood.
Oh, and And for the record you did say something.
And I had my wife overrule you.
It wasn't right, and it wasn't fair, and I'm sorry I did it.
It's been said that a house divided against itself cannot stand.
Good night.
But conflict on the road to progress is inevitable.
Thanks, Mrs.
Schmitt.
Levi.
My mom shouldn't have called you.
Please go away.
Hey, look, we've We've all lost patients.
I know it's hard, but it's part of the job.
But you got to come back to work.
I'm not going back there.
What do you mean? If If If you don't come back, you're gonna lose your residency spot and Please go away.
Levi Please go away and don't come back.
We're done.
And at least some division is always a certainty.
Because we all want what we think is best for everyone.
Owen, I just Thank you, Dr.
Hunt.
Teddy No.
Teddy, just leave it, okay? I can't.
Teddy.
Teddy! And when we can trust at least that much to be true Hi.
Bad timing, bad hallway, bad sisters.
No, no, no, it was fun.
- Was it? - Yeah, it was.
- It was fun.
- Do you have to leave tonight? I don't want to leave you ever.
I'm sorry.
Was that weird? That's You know what? Screw it.
We're adults.
I don't care.
I-I don't like leaving you.
I want to be with you.
You know? Why don't you just come with me on the red-eye and spend a few days with me in Minnesota, and I'll come back with you.
As exhausting as that sounds, I have the kids.
And you know I used to know everything that went on in there.
And right now, I'm feeling pretty disconnected from some people that I'm very close to.
Hamilton is recovering, so I think I'm going to take advantage of that and just stay put for a while.
But for the record, I don't ever want to leave you, either.
And my children are asleep.
If you don't have to leave tonight I don't.
Then why are we still standing here? I don't know.
It's simply not realistic for any house to avoid some division.
But how much division can any house withstand Dr.
Altman.
Tell me what you just got out of my husband's car, or I'm gonna have to call the police.
before it finally falls?