Grey's Anatomy s18e19 Episode Script

1 MEREDITH: Metastatic.
Advanced.
Progressed.
All words no one wants to hear from their doctor.
I can't see anything.
There's too many adhesions.
Retractor.
Retractor! That seems a little basic, don't we think? I swear, this place has gone down the pipes.
It means despite everything you've done, every rule you've followed, you may be near the end.
I still don't have visualization.
Maybe if I can mobilize the liver ELLIS: Maybe? That's what everyone wants in a surgeon.
They maybe know what they're doing.
Always have a plan I told you that.
- [MONITOR ALARM.]
- Suction, Meredith! It's the moment when fear sets in.
You panic as you realize you may not survive.
You're losing control.
I know what I'm doing.
If you did, you would have done it already.
- Give me that.
- [THUNDER CRASHES.]
It's why people turn to experimental treatments and last-ditch efforts.
Things haven't changed here.
I have to do everything myself.
Clamp.
If you knew you were dying [GASPS.]
what would you do? If someone gave you a lifeline, would you take it? [THUNDER CRASHING.]
If it weren't for the accreditation council, I'd say that we should call in sick.
- Stay in bed all day.
- [CHUCKLES.]
Mmm.
What are you thinking? I should go to Boston.
I've called Nana Ante and my cousins, the few people I know Wendell still talks to.
They all think that he's back in Boston.
Winston I'm gonna get your money back.
Maybe you don't.
Maybe you just let Wendell have it and let him get out of whatever trouble he's in and and and we just go back to our lives.
My brother stole from you.
[SIGHS.]
My wife.
It's wrong, and he knows it, and I-I want to fix it.
- I need to fix it.
- No, no.
It's fine.
Just let it go.
I don't want you involved in whatever he is mixed up in.
It's not fine, Maggie.
It's not fine.
[THUNDER RUMBLES.]
Please don't tell me how to handle my brother.
Alright? You have sisters, but they're not What? They're not actually my sisters? You didn't grow up with them.
So that makes them less my sisters? No, I [SIGHS.]
That's not what I meant.
♪ Bailey's gonna lose it if we're late today.
♪ ZOLA: Ooh, that one has a sauna.
When have you been in a sauna? I read that it's good for circulation.
It is.
So's biking.
When have you ridden a bike? - [DOOR CLOSES.]
- [LAUGHS.]
[SIGHS.]
Gotta say, I am not gonna miss this rain.
You've only been here 30 days.
Yeah, and it's rained for like 26 of them.
[LAUGHS.]
True.
If the accreditation council okays the residency program today, does that mean we're leaving? Soon.
AMELIA: It's out.
It's out.
It's here.
Look.
Oh, it's out.
NICK: The Parkinson's treatment article? - Wow.
Nice.
- [ZOLA CLAPS.]
♪ Wow.
[THUNDER RUMBLING.]
[SIREN WAILS IN DISTANCE.]
You know, you don't have to walk us all the way to the door.
We can handle the rain.
Well, I'm a full-service guy.
As you know.
Last night was amazing.
It was.
So I'll see you tonight? Um, maybe.
It depends on work.
Alright.
- [LUNA CRYING.]
- [JO SIGHS.]
Aww, is she tired? Yeah, she, uh, didn't sleep well last night.
- Teething? - Todd.
Oh.
He's staying over now? First time.
Probably the last.
Things not going so well? Is he not so nice? Should I be worried? No.
He's nice, he's just We, uh We had sex for the first time and he told me he loved me.
Hmm.
Did you say it back? Love is a big word for me.
Right.
He also sings.
- Loudly.
- I sing.
Um, he sings when he's finished.
He woke up Luna.
O-Oh, oh! - Wow.
[CHUCKLES.]
- [SIGHS.]
[CLEARS THROAT.]
Is it show tunes? Jazz? '90s Seattle grunge? No.
It's more like one long note.
So like Do, re, mi, fa, Jo ♪ [LAUGHS.]
Are you gonna break up with him at lunch - or after work? - [ELEVATOR BELL DINGS.]
Just forget I even told you.
Goodby-y-y-ye ♪ KRISTEN: [LAUGHS.]
So you dropped your glasses in one patient and left a guide wire in the other one? Well, I have also had plenty of really great days, too, I swear.
- [LAUGHTER.]
- Yeah, they're just not as funny in the retelling.
[LAUGHTER.]
So, how are you feeling, Simon? Outstanding.
I might jump in that triathlon out in Bellingham this Saturday.
Unless my son shows up, but he's taking his sweet time.
Mm-hmm.
[CHUCKLES.]
Well, listen up.
Check your e-mails.
Many elective surgeries were postponed due to the acute blood shortage.
We're setting up a donation center.
In the meantime, Jamarah Blake returns today.
And, God willing, today's the day we'll get our program back.
- [SIGHS.]
Yes.
- Oh, thank God.
I'll donate.
Sign me up.
Oh, come on, I'm dying.
Someone laugh at my jokes.
[LAUGHS.]
- [CHUCKLES.]
- [CLEARS THROAT.]
[RESIDENTS CHUCKLE.]
[RADIO CHATTER.]
Can we mop up this area by the doors? Two kids have slipped already.
Hey, did the blood bank send out any more O-neg? They said there's no more left to send.
Oh.
[SIGHS.]
We're gonna have to consider closing to trauma unless something changes.
Can you bring the construction worker from trauma two upstairs, please? - Yep.
- WOMAN: Here you go, Doctor.
Thanks.
- JOHN: Dr.
Hunt? - Yeah? Dr.
Owen Hunt? Yes, can I help you? My wife.
She's a Marine, and she's really sick.
Heather Young said you could help us.
♪ Rosie did three tours in Iraq, and when she returned from the last one, she had this awful cough.
She did a couple rounds of steroids, but nothing really helped.
At first they diagnosed her with chronic bronchitis, but eventually - Pulmonary fibrosis.
- Yeah.
Well, Pirfenidone has been shown to slow down lung function decline.
Rosie couldn't tolerate the side effects.
Has she tried pulmonary rehab? We've tried everything.
I can tell you a little about the study that we're doing, but if Rosie would like to enroll, I'm gonna have to examine her in person.
I'm not here about the study.
♪ We live in Utah.
They don't have physician-assisted death, and my wife is in terrible pain.
She can't eat, she can't sleep.
She's dying.
She needs those medications you gave the other vets.
John, I don't know what Heather told you She doesn't want to feel like she's committing suicide.
She wants death with dignity.
She needs your help.
Please.
John I'm sorry, but I can't.
♪ If you don't give me the drugs for my wife, I'll report what you've done.
♪ BAILEY: Thank you for coming, everyone.
I'll get right to it.
So, you are all aware that blood has been in short supply since the pandemic.
With the weather being what it is and a few heavy traumas this past week, our supply has fallen to critical levels.
So I've asked the coordinators to reschedule all elective surgeries, and we've also called state blood banks and are working on getting an emergency delivery.
In the meantime, I want to see butts in seats, needles in arms.
Tell your friends.
Okay.
People's blood isn't gonna donate itself.
Ex Excuse me.
I'm the chief.
I'm first.
WOMAN: [OVER P.
A.
.]
Dr.
Bradford to labor and delivery.
Dr.
Bradford to labor and delivery.
I thought blood drives just give you one cookie, two tops.
- What's this? - Because I'm chief of general.
- It comes with perks.
- Ah.
Congrats on the article, Dr.
Grey.
Thank you, Karen.
Hey, take a look at this.
48-year-old female, CT shows a 12-centimeter pancreatic head tumor that involves the liver, the duodenum, and causing thrombosis of the portal vein.
- Wow.
- Yeah, the tumor's literally at the juncture of all her internal organs.
If it gets any larger, she'll be at risk for catastrophic bleeding, so it's bad.
Or obstruction.
Yeah, um, but you don't think a Whipple would work in this case, do you? Are you asking my opinion? Well, no.
I know you're famous and everything now, but I thought I might still have an in.
Well, you could try a traditional Whipple, but I don't even think you'd get clear margins.
Mm.
Can I meet her? Take a look? See? You fell right into my trap.
Lucky for you, it's my favorite trap.
♪ [EXHALES SHARPLY.]
Try not to pass out this time.
Ha, ha, very funny.
- Crap.
- What is it? I can't donate.
What? Why? Men who are sexually active with other men in the last three months are prohibited.
And I wasn't active, uh, the last time I donated.
I wasn't even out.
- But what about gay women? - They don't care.
That is the most asinine thing I have ever heard.
Shh! Please, it's fine.
You and your blood are being excluded for being gay.
You should say something.
Can I just keep my job, please? Plus, it's almost been three months since Nico and I broke up, so I'll just I'll do it then.
[SIGHS.]
Go.
WOMAN: Know anything yet? MAN: The doctor's in with her now, so hopefully we'll have some information soon.
Who's this guy? Glen Sandstone.
High-powered attorney.
NICK: And he's married to the blonde one here? No, no.
Audrey, the Spanish woman that has the twin sister.
Ah, a twist.
Didn't see that coming.
CORA: She needs help remembering her own name, but she has the entire town of Gladwell's family tree committed to memory.
Cora, I agree with Dr.
Marsh.
Yeah, normally I love hearing that.
We can try a Whipple procedure, but we won't be able to get 100% of the tumor.
But, i-it will help with your pain and maybe even give you some more time with your aunt.
Hopefully.
[CHATTER ON TELEVISION CONTINUES.]
I take care of her now, but Sally raised me.
My mom wanted to be a good mother, in theory.
But she had other priorities.
So when she would disappear for days on end with a new guy, Sally would come, make sure I was eating dinner, taking a bath, tuck me in at night, and tell me my mom had just called.
I'd just missed her.
But she called to tell me she loves me.
And it wasn't till my 20s that I realized that Sally was making it up.
And thank God she did, you know? Because it's better to miss your mom than to hate her.
And now she needs me.
She needs me to feed her and bathe her tell her someone loves her.
So I need something better than hopefully and maybe.
♪ So Heather is just walking around, advertising that that you're the military's concierge death doctor? Of course not.
I tried calling her, but she didn't answer.
Until then, I don't know what to do with this guy.
What do you mean, what to do? You tell him no.
[WHISPERING.]
Well, then then he reports me, and I go to jail.
Owen, we don't even know who this guy is.
He could be lying about his wife.
I saw medical records.
He could have fabricated them! He could be a drug-seeker, appealing specifically to you 'cause he heard what you did.
Listen, he called her on video-chat.
- We spoke.
- [SIGHS.]
Rosie's real, Teddy.
She's really sick and she just wants my help.
[SIGHS.]
Listen, I I can check the VA database, confirm that she is military.
- That make you feel better? - Yes.
And if he's telling the truth? We find another way to help.
♪ KRISTEN: Help! Help! - Dr.
Lincoln, hurry! - LINK: What happened?! Please, it's Simon.
He can't - He's not breathing! - Winston! I'm scared that he's dying! [MONITOR ALARM.]
[GASPING.]
♪ Sats are plummeting, despite his high-flow.
BP's dropping, too.
We're gonna have to intubate you, Simon.
No, I'm okay, just just keep the air coming.
Don't intubate.
Don't talk, babe.
Save your energy.
If they put in the tube, I may never wake up.
Our son - [COUGHS.]
- [MONITOR BEEPS.]
LEVI: Sats are in the 80s.
His O2's maxed out.
What do you want to do? Kristen.
Intubate him.
Get the intubation tray.
WOMAN: Coming through.
We need a size 8 ET tube.
Get suction ready.
♪ Give me some cricoid pressure.
[INDISTINCT CONVERSATIONS.]
Maybe if we close our eyes, it'll feel like we're at the spa.
Mm.
Spas smell like lavender and eucalyptus, not rubbing alcohol and plastic.
Also, people bring you things to put over your eyes.
This is not a spa.
- How are you? - Today should be one of the biggest celebratory days of my career.
Our article was published.
I might have gotten one step closer to surgically curing Parkinson's disease.
And all you can think about is Kai.
Have you heard from them? They texted, "Thinking of you.
" Which is sweet, but does nothing to soothe the intense ache that is consuming my body.
Breakups are hard.
Give it time.
Has Winston heard from his brother? No.
And, uh, he's mildly obsessing.
No not mildly.
He is obsessing.
And this morning I tried to get him to let it go, and he responded by telling me I don't know what it's like - to have siblings.
- Mm.
What? You agree with him? It's just No, it's just, it's different.
I mean, you and I are sisters in like the best and most adult ways, and I love you.
But my Shepherd sisters? When they get under my skin, I cannot get them out, and I love them, but I'm not sure that I like them.
And that is just based in, like, childhood stuff.
So you agree with him.
[CHUCKLES.]
I'm saying, don't try to help him stop obsessing.
It is only gonna make him obsess more.
Here I thought I knew my husband inside and out, and there's just a lo I mean Deep things, like this thing with his brother.
[SIGHS.]
A lot of stuff I didn't anticipate, a lot of stuff that I-I don't know.
[WHIRRING.]
Hey.
I, uh I heard about Simon.
You okay? [SIGHS.]
I'm just trying to distract myself from thinking about all the terrible things that are gonna appear on this screen in two minutes.
[SIGHS.]
You break up with Pavarotti? Really? You're thinking about Todd right now? No, I'm thinking about how I wish we had gone to karaoke the night the three of us went out drinking.
[LAUGHS.]
I hate you.
He's nice.
He's kind.
But he is also obsessed with his own PhD, and he narrates his life out loud.
Like, "And now, I'm making the coffee.
I'm putting the beans in the filter.
Now, I'm putting the water in the pot.
" [LAUGHS.]
That is Enraging.
Yeah, it is.
That plus the singing orgasm - It's a lot.
- Yeah.
But he's Oh, he's so nice.
Figaro ♪ Figaro ♪ Figaro, Figaro No! ♪ [LAUGHS.]
[COMPUTER CHIRPS.]
Oh, damn it.
♪ NICK: Okay, how about this? What if we resect her entire pancreas, extract the islet cells, and insert them into her liver so she can still make insulin? Well, we said bold swings.
That's a bold swing.
I have done an islet cell transplant before.
Of course you have.
Of course.
- Are you impressed? - I mean, impressed.
I'm turned on.
I'm impressed, I'm turned on [LAUGHS.]
I just wish there were a way to just get in there and cut around the tumor a little bit at a time, piece by piece.
But how do we do that during a critical blood shortage? Wait, she would lose a lot less blood if we didn't do the surgery inside the body.
You want to do an ex-vivo surgery? You've done one of those, too, haven't you? - [LAUGHS.]
- Right.
Well, if we were going to go that route, it would be helpful to have an extra set of hands.
So, basically, you want to do a Whipple, but outside the body on the back O.
R.
table? Exactly.
Remove everything involved the liver, the pancreatic head with the tumor, the intestines.
Remove it all en bloc, excise the tumor, and then transplant everything back into Cora's body.
And whose idea was this? Does it matter? No, it doesn't, because it's a bad idea.
I mean, it's too risky, and, frankly, today, it's irresponsible.
I mean, a surgery like this would take over 20 hours.
So we should, what, send her home to die? Jamarah Blake is on her way to decide whether or not this hospital can continue its training program, because I was too confident and tried to reinvent the wheel.
Today is not the day to go rogue.
[SIGHS.]
Maybe it isn't rogue, maybe it's cutting edge.
And maybe cutting edge is exactly what we need to do to save the program.
No, I'm sorry.
I'm not gonna do it.
♪ Okay, um well, we can keep her admitted.
I mean, we could do it in a few days.
Just because he screwed up doesn't mean Cora has to die.
I'm booking the O.
R.
Okay.
Not only did the existing lung mets grow, Simon now has more.
So can we resect them? Unfortunately, no.
Um, he already has too much tumor burden.
There won't be enough pulmonary reserve.
What about a bronchial stent? Well, it's not a problem of getting air into his lungs.
It's a problem of getting them to work at all.
His wife is 36 weeks pregnant.
We just need him to hold on long enough that she can have a safe C-section.
I told him he'd meet his kid.
Which, I know, I know, it was stupid.
[SIGHS.]
What about ECMO? ECMO's not medically indicated in this situation.
Would it work? Well, come on.
Would it buy him some time? There are protocols that we could follow in order to reduce the amount of blood products.
No, because what if he bleeds out? Just come meet Kristen.
Meet his wife.
We can go over these options together.
[SIGHS.]
Please.
♪ [SIGHS.]
[ELEVATOR BELL DINGS.]
Uh, Ms.
Blake, as, uh, director of the residency program, I want you to know that we have followed your recommendations very seriously.
Well, I'm glad to hear it.
[CHUCKLES.]
Just in the past three weeks, we've hired six new attendings, and teaching cases have risen 40%.
That's very impressive.
I also read the Parkinson's research of Doctors Grey and Shepherd.
It sounds like you've done some groundbreaking work.
Well, they have indeed.
[CHUCKLES.]
Well, this follow-up visit, it shouldn't take long.
I'll mostly be looking to confirm that the issues that I flagged have been addressed.
Which it seems that many of them have.
- You're almost done.
- Thank you.
Are these your residents? Hi.
Ms.
Blake, I am sure you are aware that the state the entire country, for that matter has been experiencing a serious blood shortage.
So we d-decided to take matters into our own hands.
By making your residents donate blood during a shift? It This is entirely voluntary.
Well, are you gonna shut us down for a nation-wide problem? [SCOFFS.]
[MONITOR BEEPING.]
So it moves the blood out of his body and oxygenates it so he doesn't have to use his lungs? That's right, it bypasses his heart and lungs.
Okay.
Um, let's do that, then.
Kristen, ECMO comes with its own complications.
Particularly, it comes with the risk of blood clots.
So, he could die more quickly.
Kristen, we usually use ECMO on patients so that their heart and lungs can rest and recover.
And Simon's lungs are not going to recover.
So what worries me about using ECMO in this case is that at some point We would have to unplug him.
At some point, yes.
And that might be harder than you It won't be.
It won't be harder.
I mean, honestly, it's all hard.
It's more than hard.
It's, um it's all impossible.
But here we are anyway.
Right? Simon wants me to be able to tell our son that they met.
Wait until the sun goes down ♪ That his dad loved him beyond the beyond.
We've talked about this for months.
And you can see the stars ♪ We've talked about everything, forever.
We're We're talkers, we're planners.
We had so many plans.
You know exactly where they are ♪ And we don't get to have them.
Even galaxies apart ♪ But if we could have this They'll stay forever ♪ Just know they're never too far ♪ I mean, obviously, we didn't talk about ECMO.
We didn't talk about this specific, impossible thing.
But I know my husband.
I know him better than I know myself.
I'm fine with the fact that it might be harder on me.
If I have to say goodbye and unplug him it will be just one more impossible thing.
♪ But at least he will have met his son.
It's the letting go that lets you fly ♪ Yes.
Lets you fly ♪ I say yes.
Okay.
Let's do it.
Let's try it.
Getting darker now ♪ Let's try.
♪ But the sky is full of lights ♪ NICK: Cora, we just want to make sure that you understand the surgery and how complicated it will be.
But you can't hold something bright ♪ [SIGHS.]
Even in the darkest night It's different when it's you.
I'm sorry? I'm so used to taking Sally to all her appointments and Just know they're never too far ♪ so many doctors and so many hospitals.
They'll keep us together ♪ When it's you, it's it's different.
Sharper focus.
More frightening.
Cora, we're gonna take great care of you no matter what you decide.
But I don't know what happens to Sally if I die.
I mean, she's confused if I'm gone for just five minutes.
I know this surgery sounds really risky.
But in my professional opinion, it is your only chance of survival.
Worst-case scenario? You could have organ damage.
You could bleed too much.
- You could die.
- And soon.
Cora, you've put off your own health for a really long time.
And I think if Sally could remember who you are, she would tell you that in order to take care of her, you have to first take care of yourself.
♪ Sally.
Oh, love.
That's for you.
Yeah.
It's the letting go that lets you fly ♪ Okay, yeah.
Let's do the surgery.
Yeah.
[SNIFFLES.]
Lets you fly ♪ - Good.
- Okay.
Yeah.
It's the letting go that lets you fly ♪ [THUNDER CRASHES.]
[SIREN WAILS IN DISTANCE.]
John.
We're going to help you.
Oh, thank God.
But it's, uh it's complicated.
First, we're going to relocate you and Rosie to Washington.
We're going to set you up with housing and vouch that you're current residents.
And then we'll file all the paperwork to show Rosie's service record and that she qualifies for physician-assisted death.
TEDDY: We're willing to help with the costs and make sure that Rosie has all the medications and care required to keep her as comfortable as possible.
Stop.
That's That's not why I came here.
That's not what I asked you for.
We understand that, but John, we haven't assessed your wife.
To give any medications to a patient that you haven't seen, it's just it's - It's not ethical.
- Not ethical to who? Some committee? Some spreadsheet that tells you what's allowed? - John - My wife is dying.
She's not going to relocate and fill out paperwork and be vouched for by strangers.
Rosie wants it to look like she just died in her bed.
She doesn't want our children to know she took pills.
That's what matters to her more than anything.
My wife is in pain and you're talking to me about ethics?! [THUNDER CRASHES.]
♪ Heather told me you're veterans.
What about honor? Let Rosie die with the dignity and honor she lived with, please.
♪ Please.
[SIGHS.]
- Maybe there's a way - No.
No, I am truly, deeply sorry, John.
I-I wish there was more that we could do, but to what you are asking, the answer is no.
We just can't.
♪ [THUNDER CRASHES.]
♪ [MONITOR BEEPING.]
Okay.
[SIGHS.]
And there it is.
It involves the entire hepatoduodenal ligament.
We sure we want to keep going here? [SUCTION.]
We can do this.
What other choice does she have? Let's mobilize the right colon first.
Okay.
Hyper vigilant on the suction, Helm.
We need to send every drop of blood Cora loses into the cell saver so we can transfuse it back into her.
♪ Wait, when Dr.
Webber said no, did he mean that he wouldn't do the surgery or that no one should do the surgery? Suction, Helm.
♪ [MACHINES HISSING, BEEPING.]
Hello, forever.
We used to live in this two-story town home that had an upstairs office that I was convinced was haunted.
And every time I would go upstairs to work, Simon would say, "Goodbye, forever.
" [CHUCKLES.]
It always made me laugh until his diagnosis.
I told him that I didn't want to hear that anymore, and suddenly instead of "Goodbye" it was "Hello.
" ♪ I'm ready.
♪ [SIGHS.]
["HOLD THE LINE" BY AG X DANIEL SAINT BLACK PLAYING.]
Start prepping him.
Let's move.
It's a hard thing ♪ To learn ♪ Growing up on your own ♪ MEREDITH: We should hang another unit of blood.
It's a river rising ♪ NICK: Okay, everything is clamped off and divided.
On my count.
One, two three.
Oh, my God, oh, my God, oh, my God.
I will hold the line ♪ Perfect.
Got it? Always hold the line ♪ Admit it.
Parkinson's seems boring after this.
When you're feeling down ♪ And the world's not right ♪ And I know in time ♪ It will be alright ♪ But until then ♪ I will hold the line ♪ Hold the line ♪ ♪ Hold the line ♪ ♪ I can't say I've got all the answers ♪ But I'm here all the same ♪ ♪ ♪ I can't say I've got all the answers ♪ But I'm here all the same ♪ LINK: You need to eat something.
Maybe we're outnumbered ♪ Am I selfish? And we don't have much time ♪ Putting him through this? Always hold the line ♪ When you're feeling down ♪ - And the world's not right ♪ - My son The first time I saw him, screaming his lungs out, it was like my heart left my body.
The amount of love I experienced in that second ♪ The line ♪ LEVI: His heart rate's increasing.
WINSTON: Some bleeding over here.
4x4.
MAGGIE: My incision is starting to ooze, too.
We need push half a dose of protamine.
BP's dropping.
LINK: I didn't care what happened to me for the rest of my life.
We need to work faster.
Without adequate access, there's no ECMO.
Tube.
The line ♪ Alright.
Remove the clamps.
Hold the line ♪ Come on, Simon.
Ooh ♪ - It's a river rising ♪ - Come on.
Come on.
A hundred stones ♪ You don't have ♪ That to face them alone ♪ That was enough.
I will hold the line ♪ ♪ Hold the line ♪ BAILEY: That blood should have been here over an hour ago! WOMAN: [OVER P.
A.
.]
Dr.
Mari Sellers 4619.
Dr.
Mari Sellers 4619.
It rains approximately 150 days a year.
Are you actually telling me that no one has had to drive a shipment of blood in the damn rain? What Okay, well, can I pick it up myself? My blood is just as helpful as anyone else's.
It has plasma and red blood cells and white blood cells and platelets and W Let me call you back.
[CELLPHONE BEEPS.]
I have donated blood to this hospital before.
Many times.
And I just saw units of blood circulating into an ECMO machine, and I know that we can use every drop we have.
And I can't help.
I can't help because of this prejudice.
This absurd, disgusting idea that my blood my sexually active gay blood is My blood is the same as it's always been.
It's I-I know.
And it is not right.
It is very, very wrong.
And if I were in charge of the rules, we wouldn't be having this conversation.
So can I help? No, Schmitt.
[SIGHS.]
I'm sorry.
But look, you help this hospital in so many other ways.
Okay.
Schmitt ♪ [SIGHS.]
Great.
[SIGHS.]
- [KNOCK ON DOOR.]
- JOHN: 'Scuse me.
Are you Chief of Surgery? Uh, y I am, but right now I'm in the middle of I need to report a crime one of your doctors committed.
♪ [TELEPHONE RINGS.]
Hey! I got a No.
Not a good time? Not a good bear? - [CHUCKLES.]
- Not a good match.
But we had sex.
We did.
And I-I'm so sorry, but y-you said that you loved me.
And I think I might see this as more casual than you do.
I'm so sorry, Todd, but, please, give the bear to your sister.
Well, it's a sex bear.
It's a "thank you for the excellent sex" bear.
Does it say that somewhere on it? Well, no.
Then maybe it's just a bear.
Okay, I'm sorry.
Um bye.
Hey, would you like a sex bear? Or just I guess it's a bear? [SIGHS.]
RICHARD: Only a few people at Grey-Sloan have successfully performed ex-vivo surgeries.
Well, then, you're lucky that Dr.
Marsh joined the team.
- [CHUCKLES.]
- And Dr.
Grey is amazing.
Oh, of course.
I'm so glad she decided to postpone leaving.
Um, oh If you watch Dr.
Marsh here anastomose Dr.
Grey is leaving? Since when? [SIGHS.]
MEREDITH: Okay, Helm.
We're done here.
You do the honors and bring the liver to Dr.
Marsh.
Absolutely, yes.
[MONITOR BEEPING.]
I approve.
What's that? Uh, you and Grey? Uh, Dr.
Grey.
I Sorry Never mind.
Here.
MEREDITH: Ready to do your thing? NICK: She's stable and ready.
Let's make this old liver new again.
♪ KRISTEN: Simon.
Hello, forever.
♪ How are you feeling? Better now that you're here.
Heart on the edge ♪ And I dreamed up a name for the baby.
It's bound to break ♪ Jamal.
- I love it.
- Mm-hmm.
After your uncle? There's silence in my head ♪ No.
After you.
It means "beauty.
" [CHUCKLES.]
♪ Oh, the stars are getting dark tonight ♪ Waters rising ♪ Fires dying ♪ And here we stand ♪ At the end ♪ MAGGIE: What's your blood type? What? I'm your wife, and I don't know your blood type, and I feel like that's weird.
O Positive.
A Positive.
Okay.
Noted.
At the end ♪ ♪ Sometimes I-I feel like I feel like we knew each other better before when our relationship was long distance.
Because of blood types? Because I'm constantly being surprised by things about you and decisions you make.
Like everything you never told me about your brother, and how it makes you angrier than I think you realize.
I'm not I'm not angry.
I Lying here in this hurt ♪ I-I am angry, but I'm not angry with you.
This morning, you implied that I don't know what it's like to have a sibling.
No, I didn't.
I didn't.
I said I said it was different.
It is different.
You can't see that? I guess I don't know what it's like to have a sibling who's a con artist.
It's the bed that we made ♪ Why are you making this a fight between us? - It's not a fight.
- It's not a fight.
Oh, the stars are getting dark tonight ♪ I guess I just feel like, um Waters rising ♪ like I don't know you.
At the end ♪ And that you don't really get me.
Oh, you know that you can't hide from time ♪ [SIGHS.]
Winston, I love you.
I And denied it ♪ I think maybe Here we stand ♪ At the end ♪ Maybe we got married too quickly.
♪ At the end ♪ ♪ [THUNDER CRASHES.]
Can you stop pacing and help me pack? I'm trying to call Heather again.
Heather made this mess.
She's not gonna get you out of it.
Well, maybe she can try.
Or maybe Maybe Maybe Maybe what? Maybe we can go back in time and help you not destroy your career? Well, maybe I can go to Utah and - Oh! - and I can help his wife.
She is a soldier, Teddy.
She served our country and she deserves help! Owen, I love you.
I love you and your stupid, giant heart and your your intense inability to see reality when you're busy believing your ideals.
I love every part of you.
But I am not gonna watch you go off to prison, and I am not gonna raise the kids alone.
- I'm not.
- So where are we going? What are we doing? We're running? Yes, we are running because that is the only option you left us.
At the end ♪ Please tell me a lunatic just entered my office and told me ridiculous lies about you.
Please, tell me I need to call the police on him, and not my own doctors.
♪ You can take the specimen to pathology.
Thank you.
We have reperfusion of the intestines and the liver.
Okay.
Where's this blood coming from? [MONITOR ALARM.]
It's the portal vein anastomosis.
She's lost too much.
We need to order more units.
Clamp.
The transfusions aren't keeping up.
BP's dropping.
You stole drugs from this hospital? I stand by my decision, Bailey.
You stand by your decision to steal drugs from my hospital? A hospital that's already crumbling? It was a while ago Oh! Well, that makes it better.
[CHUCKLES.]
Your criminal conduct on my watch was a while ago! MEREDITH: Okay, we still have to do the gastrointestinal reconstruction.
TARYN: Is there a plan? Of course there's a plan.
What's her latest ABG? DR.
KNOX: She's acidotic, and PaO2 is plummeting.
- What about pressors? - Maxed out.
Was it so long ago that it's outside the statute of limitations? - Bailey.
- [CELLPHONE RINGS.]
- D - [ENDS CALL.]
What is the statute of limitations on murder? Huh? D-Did you look that up before you committed your crimes? This wasn't murder, Bailey.
These were sick and dying soldiers.
They fought for their country, and I did right by them.
You did right by them.
Well, what about me? Did you think, even for one minute, about me? TARYN: Dr.
Grey, what are we doing? [MONITOR ALARM.]
ELLIS: That's what everyone wants in a surgeon.
Someone who maybe knows what they're doing.
Always have a plan.
I told you that.
NICK: Meredith.
Meredith.
[ALARM CONTINUES.]
♪ - We should stop.
- What?! We need blood.
We don't have it.
So we should stop.
[CELLPHONE RINGS.]
Is everything okay? I'm at an accident.
On Henderson.
Were you in the accident? No.
But you kinda were.
Her digestive tract still isn't completely connected.
We'll reconnect it once the blood arrives.
MEREDITH: We've all felt it, a moment where all is lost.
- What? - Whether it's in our jobs Your blood, Miranda.
It's trashed.
family, love - No.
- we fear everything will be taken.
- No! - We close our eyes - No! - we bite our lips No! No! and the adrenaline floods through our body.
- [SIREN WAILS.]
- But despite how hard you try, that last-ditch attempt still may not work.
No, no, no, no, no, no, no! [SIREN WAILING.]
♪ ♪ ♪