Grey's Anatomy s19e14 Episode Script
Shadow of Your Love
1
It goes on and on ♪
The human body has three
systems of communication
The nervous, endocrine,
and immune systems.
It goes on and on ♪
Get away from me, yeah ♪
What we do for the people ♪
Trying to save you from your ego ♪
This world never stops ♪
Till you're [INAUDIBLE] ♪
free to find the [INAUDIBLE] ♪
Said you needed a hero ♪
When any of these systems
experience a malfunction,
it can wreak havoc on the body.
Try to copy me ♪
Try to steal my flair ♪
I go for love ♪
It's time to let it rain ♪
Effective communication
between surgeons in the OR
is just as essential.
Guess who took the red eye?
Guess who took the whole day off?
We're gonna get higher ♪
Tiptoe through fire ♪
We're gonna get high ♪
Till we find our way ♪
It goes on and on ♪
When a life is at stake,
there's no time or
space for body language
or carefully chosen words.
It goes on and on ♪
You're saying I should
crawl into a hole and hide?
No, I'm saying changing
your phone number
and email address isn't the worst idea.
- [PHONE BUZZES]
- I'm not gonna let them win.
- It's just a cell phone number.
- Just a cell phone number?
It's the only one I've ever had.
I've known that number
longer than I've known you.
I've been reading
I've been reading up on other
doctors who've been doxxed,
and it only gets worse from here.
Calls at all hours of the
night, email inboxes flooded,
people showing up at your door.
You want to move.
Look, we'll find an Airbnb.
- It'll just be six months, tops.
- Six months!
- Like a vacation
- Oh, no. No, this will blow over.
They'll get bored or find someone
- else to be outraged about.
- [PHONE BUZZING]
Mm-hmm, mm-hmm.
Look, I'll have an
intern babysit my phone.
It goes on and on ♪
But no matter how hard we try,
there's always a risk
of being misunderstood.
Or simply unheard.
You look like crap.
Yeah, I worked the closing shift
at Joe's. What's your excuse?
- Do we still have that thing tonight?
- Yes, cake tasting at 7:00.
Oh. Can't wait to see
what you do with floral
- arrangements, Adams.
- Remember when you fainted in the OR?
- So this is Pierce's last day?
- Oh, God, I hate that.
Apparently Ndugu's staying.
- I work at a bar. I hear things.
- Good for her.
You don't like Ndugu?
- Don't like marriage.
- What's wrong with marriage?
- It's a distraction.
- From what?
Meaningful career, making an
impactful contribution to the world,
fully-realized individual potential.
- Ready.
- Are you sure?
[ELEVATOR DINGS]
[GIGGLES] Sorry. Are you going
to get off work on time tonight?
Because I made us this reservation
at that pizza place
you keep talking about.
- Pizzageddon?
- Mm-hmm.
- It's impossible to get into.
- Well, I have an in with the manager.
I delivered his baby.
Did I forget? Is it my birthday?
- Is it your birthday?
- No, I just
I figured that we deserved a night out.
- Yeah.
- Yeah!
- All right.
- OK.
[BOTH CHUCKLE]
- Those two need to get a room.
- What, Link and Wilson?
Yeah, they basically just
had sex in front of us.
[SCOFFS] You remember
what sex is, right?
- I'm just saying. Messy.
- I don't know.
Hey, you remember when you
and me used to be like that?
- [ELEVATOR DINGS]
- Nope.
- Do you smell margaritas?
- It's me.
Joe's had a two-for-one
special last night.
Oh, maybe you should try soap next time.
Oh, maybe you should try
being the maid of honor
for someone you have feelings for who's
marrying someone else Oh, wait.
- Mission accomplished.
- We're just friends.
Don't care.
Oh, but can you bring
leftovers from the cake tasting?
- Ow. Ow!
- What do we got?
- William Hudson, 32. GCS 14.
Left upper extremity deformity
and abdominal contusion.
- Systolic's in the low 100s.
- Trauma three.
- OK. What happened?
- Am I bleeding?
He, uh, tried to mail himself
to his girlfriend in Florida.
- Excuse me?
- It's her birthday tomorrow.
Says he was trying to surprise her.
- Wait, you put yourself in a box?
- Ow!
And the box fell from the conveyor belt
while they were loading
it into the plane.
Yeah, maybe for the best.
He could have died in the cargo hold.
- He could still die here.
- What?
- I'll go page Hunt.
- You guys still use pagers?
[PA ANNOUNCEMENT]
Excuse me, excuse me.
Hi, are you doctors?
Uh, yes, we are. How can we help you?
We're here to speak
to Dr. Margaret Pierce.
- Do you have an appointment?
- Viv, this was not a good idea.
Can you just call Dr. Pierce?
Uh, her Her schedule is very busy.
But if you, um, give me
your information, I can
No, no, no, no. We
just drove 400 miles
in my 1994 roadie van,
without air conditioning,
so that my friend here
could be seen for the giant tumor
that is crushing her heart.
So can you two baby doctors
just pick up the phone
and call Dr. Margaret Pierce?
Because we are not leaving until you do.
- You packing up?
- Yeah.
I'm at that point where
I'm just throwing everything
into a bag because I don't
have time to decide whether
I want to keep it or not.
I know this is all
happening really fast.
Um, it's actually happening
a little quickly for me, too.
But this is just such
a huge opportunity.
I guess I thought this
place meant more to you
than just a stepping
stone for something bigger.
Richard, of course it does.
I mean, we just revived
the residency program.
- We just lost Meredith.
- I know.
And I told Teddy when I gave her
my resignation that I would
help interview new candidates
over video chat.
In my day, you accepted a
job after your fellowship,
then you worked there until you retired.
They taught you that loyalty mattered.
So out of loyalty, I should
not pursue research that would
save thousands of patients?
You've already started
doing that here with Winston.
I hate that you're upset, but
I'm not going to apologize
Dr. Margaret Pierce, can you
please come to the nurses' station
- on the first floor, please?
- I guess, um
- Dr. Margaret Pierce
- We'll talk later.
Can you please come to the
nurses' station on the first floor.
- Ma'am, you are not allowed
- Dr. Margaret Pierce, can you please
come to the nurses' station
Security is on their way,
and the longer we do this,
- the longer it will
- Oh, my God. I'm here.
Second floor please!
Why am I being paged
on repeat by someone
who doesn't even work here?
- We're so sorry, Dr. Pierce.
- She grabbed the phone.
- And we called security.
- Dr. Pierce! Um, big fan.
This is Nola. She has
mediastinal mass syndrome
due to the large thymoma which has
completely taken over her heart.
Uh, Dr. Griffith, uh, get
them upstairs in a room,
so I can do a proper
consult, but do not ever
come into a hospital that way again,
or you'll be quickly escorted out.
Uh, I thought you were leaving.
[SIGHS] I'm going to push my flight.
Next time, try listening to the patients
before you call security on them.
[GRUNTING]
I'm sorry.
- I know it's uncomfortable.
- Uncomfortable?
It hurts like hell.
[GRUNTS]
Can't you give him
anything for the pain?
We need to complete
the initial exam first.
Can I just get back
to playing "Minecraft"?
What mode are you playing?
- Survival.
- Mm.
Just nailed an enchanting table,
then you came in and
started trying to kill me.
- Ow!
- Sorry.
David.
- Oh hey, Daisy.
- Dr. Webber.
Well, look who we have here.
- Dr. Kwan?
- Grayson Friedman, 13.
History of ulcerative colitis,
which has previously been in clinical
- He knows already. He's my doctor.
- Hey. Sorry.
Dr. Webber diagnosed
Grayson when he was eight.
We've been managing
his condition with meds.
But this morning, the pain
was so bad he collapsed
on the floor in the bathroom.
Do you think he needs surgery?
- No.
- Last time you mentioned
- an ostomy.
- No, I know what that is.
It's not that bad.
Don't do surgery, please.
We won't do anything until
we find out what's going on.
We'll run some tests,
and then we'll get you
something for your pain.
- Thank you.
- I don't want surgery.
I don't even think I need it.
Order a CBC, CMP,
inflammatory markers with a CT.
Then put him on an IV steroid
with a PRN of morphine
to make him comfortable,
and page me when you get the scans.
Uh, Dr. Webber?
Do you think that maybe we
could find some time to talk?
Seems like we're doing
that now, Schmitt.
Well, I don't have my notes with me.
Right.
I've been thinking about fellowships
and attending positions,
and I would love to pick your brain
You haven't applied for
your fellowships yet?
I submitted my recommendations
for most candidates months ago.
I've been exploring options,
and I would love your suggestions.
You're a fourth-year resident, Schmitt.
My suggestion would be,
get your act together sooner than later.
Nola, we're really here.
You're you're really being examined
by Dr. Margaret Pierce.
I mean, the Dr. Margaret Pierce!
- Meeting you in person, it's like
- That time we met Stevie Nicks.
- I'm digging this more.
- I am flattered.
Oh, keep her elevated.
If she's flat, the tumor could further
compress the vasculature, which
could lead to more swelling.
Griffith?
Uh, Nola Marquez, 42.
Developed a mediastinal mass
with a tissue diagnosis of a thymoma.
The tumor grew alongside her heart,
putting pressure on
it and the vasculature,
causing SVC syndrome.
Symptoms include shortness of breath
and mental acuity issues.
- It's not that bad.
- No one believes you.
- Sisters?
- Close.
We're, uh, friends
since elementary school.
We met in chorus, and been
rocking together ever since.
- You're in a band?
- We are a band.
Double Helix.
Ever since Nola got diagnosed
she hasn't touched her guitar.
I can barely sleep, let alone perform.
Viv has dragged me
to every heart surgeon
in the Pacific Northwest.
No one will operate.
They all say it's too risky.
Bunch of cowards. But
now we have the best.
Dr. Pierce, she's she's not
pop rock, she's Led Zeppelin.
- Double Helix is back.
- All right, well, first things first.
Let's get some scans, see where we are.
Griffith, Millin.
Uh, she's been fasting, and
we've both been visualizing.
So she's ready for
surgery the minute you are.
Why didn't you show up with flowers?
That was all I'm saying.
It was supposed to be a
grand romantic gesture.
I surprised you in Germany.
- Yeah, but you came on a plane.
- Yeah, like a regular human person.
We need to check his upper
left extremity for a fracture.
- Order some AP and lateral films.
- OK.
What's the lesson here?
Romance can be fatal.
[CHUCKLES] Wouldn't be the first time.
- Or it can save lives and heal.
- Oh, please.
You're just trying to prove me wrong
because you didn't even know
that Jo and Link were an item.
No. No, Jo and I
are We're just friends.
Friends who have slept together.
Wait, you guys slept together?
- How do you know that?
- You know what?
Just, uh, page me
when the scans come in.
How much longer do I have to be in here?
Not long.
Just think like you have a health bar
that needs replenishing.
- It's a video game reference.
- I'm aware.
How do you not know if you're
doing general or sub-specialty?
- It's a fellowship reference.
- Wow.
You're really begging
for a pile of scut, Kwan.
No, I'm genuinely asking
how you got into your
fourth year of residency
- without a clear direction.
- Well, let's see.
Maybe it was the worldwide
pandemic that happened
in the middle of my residency,
or the program being
shut down last year.
Take your pick.
Well, I like to track each sub-specialty
I'm interested in with a spreadsheet
and monitor trends in each area.
I'm hot.
And it's really dark in here, guys.
I really want to get out.
Grayson, just, um, hum a song or sing.
Like what?
Anything inside your head.
[SINGING IN HEBREW]
You studying for your bar mitzvah?
Yeah. I sound terrible.
I've been practicing for
over 300 days in a row,
and I still sound awful, right?
- Yes.
- Keep chanting.
[SINGING IN HEBREW]
It's acute severe colitis.
[SIGHS]
[SINGING CONTINUES]
That smells delicious.
I was thinking after we
eat, we can go on a walk.
Um, I wanted to talk
Hey, what's wrong?
With Mer gone and Maggie leaving,
there's not going to
be any Sunday dinners.
Mm.
On Sundays, Maggie cooks,
and she puts enough
leftovers in my fridge
to get me to Wednesday.
So maybe it's time to learn how to cook.
I have a history of spiraling
when people leave me,
and a good old-fashioned
spiral does not leave
much time for cooking lessons.
What does it leave time for?
All kinds of fun things.
Uh, pulling away from people you love,
starting fights, lack of sleep,
spilling your worst instincts
to someone who just flew
halfway across the
country to cook for you.
You love your sisters.
This is a big change.
Anybody would be sad, Amelia.
How could I be sad with you here?
[PA ANNOUNCEMENT]
- Yasuda, I have a job for you.
- Oh, Dr. Bailey, thank you.
- At your service.
- Hey, I need you to hold on to this.
That is my lifeline, and
I'm entrusting it to you.
Do not answer it unless caller ID says
it's my husband Ben Warren,
or a hospital number.
Got it.
So Grey Sloan, your
husband, or Ben Warren?
My husband is Ben Warren.
Do I need to entrust
this to someone else?
Nope. I got this. Entrust me.
Hey, if you don't screw it up,
maybe she'll entrust you
to babysit her tablet next.
[PHONE BUZZES]
[CHUCKLES]
Do I need to get surgery?
We should really wait for your parents.
I can't get surgery.
My bar mitzvah's to be in 36 hours.
You haven't been taking your medication.
What? No, I have. Every day.
My parents set this, um,
annoying alarm. Um
Grayson, I have your urine results.
The labs don't lie, but
sometimes patients do.
Yeah, OK, I I stopped.
But just for a little bit.
I've been in these Hebrew classes,
and the pills and
infusions, they made me
They made me really
tired, so tired that I
I fainted one day, and everyone saw.
And then the the medications,
they dried my eyes out.
And then the eye drops, they burned.
And I got this gross-looking
rash on my neck
that Eloise Schurmann saw
Do you know how worried
your parents have been?
Dr. Webber
How much money they've
spent on your treatments?
- Now you need surgery.
- No. No surgery.
It doesn't even hurt that badly.
Just just give me some
steroids or infusions.
The Torah portion is only 25 minutes.
- I can make 25 minutes.
- No, you can't.
- Please.
- If you don't get
the surgery immediately, the
inflammation in your intestine
will get worse, spread further,
and lead to an incredibly
serious infection.
You would be in excruciating
pain, and you would die.
- Kwan!
- You know what? Dr. Kwan is right.
Grayson, you're not an adult,
and you're not a doctor.
I'm talking to your
parents, because clearly
you aren't mature enough
to understand how much
we care about you, and how much harm
you could have done to yourself.
OK, Hudson's X-rays are in.
- [PHONE DINGS]
- Uh, sorry. One sec.
It's Jo.
- [CHUCKLES]
- [MESSAGE BLIPS]
Um, it looks like a simple
mildly displaced humeral fracture.
Yeah, and a shattered spleen
with decreasing responses
- to fluids.
- [PHONE DINGS]
Teddy and I can take
him up for an ex-lap now.
And I will set and reduce
the fracture when you're done.
- Mm-hmm.
- [PHONE DINGS]
- [LAUGHS]
- [MESSAGE BLIPS]
I know what you're thinking
That I should tell Jo
I have feelings for her.
But listen, we built a
home together as friends.
Our kids are practically siblings.
If I make a move and she
doesn't feel the same way, it's over.
Saying something is not a good idea.
That is not at all what I was thinking.
- So you think it's a good idea?
- I have no opinion.
Plus, the last person I talked
to about their relationship
was Ndugu, and his wife
is moving to another state.
- Not to mention him and Altman.
- What was that, Yasuda?
Do you and Altman need us
to prep him for surgery?
Yes. And type and
cross two units of blood.
[LAUGHS]
- [MESSAGE BLIPS]
- [SIGHS]
[GUITAR TUNING]
And deep breath.
My parents toured with
the band for a minute.
They were called Blessed Wolf.
Well, I tried to name us
after our third grade teacher,
Mrs. Hatmaker, but Nola here nixed it.
Two women in a folk rock duo called
the Hatmakers might as well
sew up their vaginas forever.
Is Viv your only emergency contact?
My ride or die, since day one.
And you repay me by trying to die.
Think about all the songs you'll be
able to write about my death.
Oh, you're better off.
I mean, who needs a spouse
when you have a band-mate?
Well, we prefer the
term platonic soulmate.
Another excellent band name.
We're going to talk to Dr. Pierce,
and we'll be back to update you.
[GUITAR STRUMMING]
Thank you.
- OK, what is your problem?
- With what?
You're hating on marriage
to anyone who will listen,
when I'm about to get married.
Or I'm doing my job and
connecting with our patients.
Yeah, but you don't know Trey.
You don't know our relationship.
I know. Get married, don't
get married. I don't care.
But it's not a distraction.
I've been singularly focused on
becoming a surgeon since I was eight.
Griffith, I've already
said I don't care.
Who are you trying to convince?
Doctors? It's Nola. Something happened.
- [MONITORS BEEPING]
- We were talking and she gasped.
And then, um, this
machine started going off.
- I don't know.
- Grab a crash cart.
How's her airway?
Airway's patent and she's breathing.
She has JVD.
OK, we need to get her
oxygen, and page Dr. Pierce!
- [TENSE MUSIC]
- O2.
- What happened?
- Her BP dropped.
- JVD, muffled heart sounds.
- What does it mean?
- Cardiac tamponade.
- Someone tell me what that means.
Nola's tumor has caused fluid
to accumulate around her heart.
We need to relieve the
pressure by draining it,
by doing what's called
a pericardiocentesis.
18-gauge spinal needle.
- Griffith?
- [MACHINERY BEEPING]
Find your landmarks.
Find one centimeter inferior
to the left xiphocostal angle.
Yep.
Insert the needle at a 30-degree angle.
Good.
And slowly advance it toward
the left shoulder, while aspirating.
And you should start to see fluid.
- Good, there it is. Good.
- [BEEPING SLOWS]
She's stable, but we
don't have much time.
- Until what?
- Until the fluid builds up again.
Let's get her to the CCU,
and page Dr. Ndugu right now.
[MACHINERY BEEPING]
- [PHONE BUZZING]
- Do you hear something?
Don't worry about it, William.
- Maybe it's Rose.
- Who's Rose?
Oh, she's my girlfriend.
She's so pretty and smart.
Except for her teeth.
Don't worry about it,
William. It's not Rose.
- Oh, my God.
- It's not my fault.
[PHONE BUZZING]
Stop calling, asshat!
You're not harassing Dr. Bailey.
You are harassing me!
A poor, overworked,
tired intern who would really
appreciate it if you could
Hello? Hi Sorry.
I'll I'll tell her.
- [QUIRKY MUSIC]
- That was Dr. Bailey's optometrist.
Tuck's glasses are ready.
Do you need me to hold
the phone for a while?
No, thank you.
Do you need me to hold
the phone for a while?
[PHONE BUZZES]
- You in the Nether worlds now?
- [CHIPTUNE MUSIC PLAYING]
Do you play with friends, or
Do you think Dr. Webber will
still want to be my doctor after this?
- Of course he will.
- I disappointed him.
Well, if it makes you
feel any better, so have I.
Kids at school call me a defect,
because I'm always in the
nurse's office taking my meds.
I just wanted to be normal, you know?
You know, I tried for a really long time
to be what I thought was normal,
and then I decided to see
what would happen if I stopped.
- What happened?
- I liked myself a lot more.
OK.
I'm ready.
OK.
- [DOOR CLICKS]
- You paged?
I wasn't sure you'd answer it.
You're still my boss
till the end of the day.
Pushed my flight till tomorrow.
Looks like a large
thymoma in the mediastinum.
It's already starting to tamponade
with sympathetic fluid, so
I don't have a lot of time.
Tumor is shaped like a heart.
- You didn't notice?
- No.
I was more concerned
with how close it was
to the heart, not its shape.
Have you considered doing
a reconstruction of the SVC?
Yes. But I'm concerned
that the tumor involves
the innominate artery.
OK, what if you take the
entire SVC and left subclavian?
You'd have to resect the sternum,
the SVC, and all the pericardium,
but you'd get the entire tumor.
That's if she doesn't
decompensate first.
If I go into the wrong dissecting plane
even a tiny bit, she
bleeds out and dies.
She'll die if she continues
to have fluid buildup.
What if we use a bovine pericardial
patch for the reconstruction?
Maybe that would allow
us to have clear margins.
No interns. There's no margin for error.
- Just you and me.
- Just you and me.
[SNIFFLING]
- I'm sorry.
- It's OK.
We hardly get to see each other,
and I'm sitting here
crying like somebody died.
[LAUGHS]
[SIGHS]
Even though I'm scaring you,
I'm so glad that you're here.
Oh, it takes a lot
for this one to scare.
[CHUCKLES]
I've hidden parts of
myself in every relationship
I've ever had, except for this one.
It feels so freeing.
I just can be myself,
queen of spirals.
You can't be the queen of
something that's only, like,
- a tiny part of who you are.
- [CHUCKLES]
You are sweet and kind.
But I also think that
you are underestimating
my ability to fall off the deep end.
I'm not underestimating anything.
The Amelia I know is
a badass neurosurgeon,
an amazing mom.
She works hard on her sobriety.
She's a loving sister, a devoted friend.
The Amelia I know is inspiring.
She is not the queen of spirals.
She is just a queen.
[PEACEFUL MUSIC]
♪
Dr. Bailey, Dr. Altman, Dr. Fox.
All married surgeons
with stellar careers.
[MACHINE BEEPING]
Careful.
The tissue is very friable.
I'm aware, Dr. Pierce.
All right.
Specimen's coming out.
[MACHINERY BEEPING RAPIDLY]
[DRAMATIC MUSIC]
♪
Her blood pressure's soaring.
Uh, why aren't you doing anything?
[BEEPING STOPS]
Pressure is stabilized.
Pseudo tamponade effect.
The heart isn't used to all
that space without the tumor.
Now it's alone and happy.
Let's start the reconstruction.
Put her on bypass.
Dr. Hunt and I were able
to perform your splenectomy
without any complications.
- You should heal nicely.
- Same with your shoulder.
You're going to need a couple
of months of rehabilitation,
but then you should be able
to regain normal function.
Great.
- Thanks.
- Mm-hmm.
William, this is all good news.
Yeah. No, sorry. Um, Rose heard
what I did, and she dumped me.
- [SIGHS]
- You know
I fell for her the second I saw her
in line for Space Mountain.
Company retreat in Orlando.
I thought she was the love of my life.
How could I have been so wrong?
Listen, me and my wife,
we were friends for years
before we became a couple.
We met when we were
army surgeons together.
So just to get this
right, are you judging me
for meeting Rose at a theme park,
or for believing in love at first sight?
[CHUCKLES] Neither.
Listen, even though it took us
years to get together, I knew.
I knew from the moment that I saw her
emerging from a surgical
tent in 100 degrees heat,
having just repaired
an aortic dissection
and saving a soldier's life.
- I knew I wanted her in my life.
- Then what took you so long?
Well, I was
I was engaged, and then
I was married for a while,
and she was married.
Our timing was just never quite right.
But those relationships,
they came and went.
And our friendship outlasted them all,
even after she moved out of the country.
Then one day, I
I just realized that
she was the one person
that I wanted to talk to
at the end of a long day,
or a great day.
When I was reading a book or
watching a movie, I'd think,
man, she would love this, you know?
She just kept she would
constantly pop into my mind
until finally, I just
I got on that plane to Germany, and I
I just told her.
So if you feel that way about Rose,
if you know you want her in your life,
you should just try again.
Yeah.
I don't think Rose is it.
Excuse me.
- I got to be somewhere.
- Mm-hmm.
I mean, I did mail myself
in a box, but she's not it.
Thank you for that story.
Oh, look all of this
inflammation and necrosis.
I mean, this is almost the entire colon.
How long had Grayson's
symptoms been under control?
Oh, years.
The medication protocol worked wonders.
And now he's completely
turned that around.
Foolish to the point of stupid.
Dr. Kwan, do you even remember
what being 13 is like?
Because I do.
It was really, really hard.
You think Grayson doesn't already know
that he disappointed
everyone around him?
You think he doesn't
already feel stupid?
Believe me, he does.
Did you even hear him when
he was trying to tell us
that the medications
made him feel terrible,
worse than it already feels to be 13?
Did you listen to your patient?
Of course I did. But
Grayson has spent an entire
year working his butt off
on becoming a man, so
maybe stop chastising him
like a toddler and freaking
him out that he could die.
Sometimes being a good
doctor, or a parent,
or even a good mentor,
means listening to what
the other person needs.
[SIGHS]
Suction, Kwan.
[MILCK'S "ANIMAL"]
All right.
♪
What is it?
There's no back wall left
for the reconstruction.
I don't think the
patch is going to work.
Everything's alive
and wild and dying ♪
What if we access the jugulars
and use reverse cryoartery,
and drain into the right atrium?
Two incisions, end to
end, on the two jugulars.
- Yes.
- You think we can pull it off?
I think we're Nola's only option.
All right, let's do it. Right angle.
Vessel loop.
♪
Since I was a child ♪
I've been fighting ♪
I am an animal ♪
♪
My wild's undeniable ♪
♪
A miracle, a mess ♪
Ethereal, blood and flesh ♪
I am an animal ♪
♪
[VOCALIZING]
♪
The animal is in all of us ♪
[CHEERS AND APPLAUSE]
♪
[PHONE BUZZING]
I'm not saying I'm going
to throw it in the toilet.
But if you throw it in the
toilet, I would cover for you.
- Just shut it up.
- I can't.
[PHONE BUZZING]
[QUIRKY MUSIC]
What are you doing?
[BOTH SIGH]
- [PHONE BUZZING]
- Oh, my God!
What on Earth do you think you're doing?
Respectfully, Dr. Bailey, have
you considered just turning it off?
Uh, have you considered being a wife,
a mother, and a high-level
professional? Give me the phone.
- [SIGHS]
- [PHONE BUZZES]
[MELANCHOLY MUSIC]
OK.
♪
No.
No, no, no, no, no, no.
- No, no, no, no, no, no.
- Oh, no. No, no, Viv.
- I can't.
- She's OK, Viv.
Viv, she's alive.
She's in the ICU. We were able
to successfully remove the mass.
- Wait, what what?
- The tumor is gone.
She has a long recovery,
but she's stable.
[EXHALES]
I thought she was dead. I just
Your faces, those were not
"I just saved a life
against all odds" faces.
Yeah. We have a lot going on.
Thank you.
Dr. Pierce, I knew you
were the person. Thank you.
It was teamwork.
I could not have done
it without Dr. Ndugu.
Oh, thank you, thank you.
Carry you through when
there's no other way ♪
Hold you in my arms ♪
Like I know what to do ♪
- [GRUNTS]
- Hold you in my arms
How long?
How long do I have the ostomy for?
Well, a few months.
Your your parents went
to get something to eat,
but they've been with
you the whole time.
I didn't mean to worry
them or to make you mad.
I just didn't think
it'd be such a big deal.
You know, I remember your diagnosis
like it was yesterday.
It was a while ago.
I was in, uh, kindergarten.
And you were very worried about
missing your end-of-class party.
Yeah. I was worried about
missing the ice cream cake.
[CHUCKLES] I've known
you for a long time, son.
And I look forward to
seeing what's next for you.
I mean, your bar mitzvah,
high school graduation, college.
And when you make a decision
that puts your future at risk,
well, it's it's frustrating.
But I'm not mad at you.
And if it came off that way, I
- I'm sorry.
- I'm sorry, too.
Good.
Now that we've got that out the way,
I want you to do me a favor.
Now, when you heal up from the surgery,
I'm going to give you a prescription
for a new medication.
You want me to promise to take it?
I want you to tell me if
it gives you any problems,
if something's off, and we'll
We'll find a solution together.
- OK.
- OK.
All right, let's check that ticker.
[ELEVATOR DINGS]
Carry you through ♪
- Hey.
- Hey.
When there's no other way ♪
Hold you in my arms ♪
I have to hand it to
you, you really went for
your two favorite
things in that speech
Proving me wrong and getting laid.
I was just trying to make
our patient feel better.
- Uh-huh.
- Mm-hmm.
Did it work?
Didn't you see Link?
- I meant the other thing.
- [ELEVATOR DINGS]
And I'll carry you through ♪
Your mom's watching
the kids for the night.
♪
Dr. Mary Edwards Walker,
first female surgeon
in the United States, the second female
to graduate from medical school.
Married. Started a
practice with her husband.
Wow, you're still worried
about what I think of you?
The marriage isn't a distraction.
It's the damn wedding.
It's a pain in my ass.
It's the menu, and the seating chart,
and the dress shop is harassing me
because they want me
to come get measured.
But I am here from sunrise till sundown,
because I'm trying to
prove I'm just as good
as the rest of you.
Also, bridal shops are
open, like, three hours a day
or something, and I can't
ask Adams to measure me
because we all know why, and
my sister won't text me back.
So I'm not going to get measured,
so I'm not going to get married,
- so I'm not going to have a dress
- OK, OK, OK. Lift your arms.
- What?
- Lift.
What are you doing?
Well, we can't let
Adams near your inseam.
And again.
Thank you.
- You owe me a drink.
- [LAUGHS]
Jo, you are donuts in human form.
[LAUGHS] OK. No, no. All right.
You are you are twinkle
lights and yellow roses,
and although I hate most of
humanity, I do not hate you.
That oh, um.
Uh, in fact, you are the only person
I want to come home to for
the rest of my why
Why didn't I write a song?
Should have written a song.
[PHONE RINGS]
[SIGHS]
Hey, Jo.
- I canceled the
- [SOBS]
Whoa, whoa, whoa,
whoa. What happened?
- It's Luna. Something's wrong.
- Wait, wait, whoa. What's wrong?
The daycare think that That
there's a problem with her hearing.
I I need I need to
get her checked out.
- I'll be right there.
- No, no, no.
We're gonna we're
gonna come straight home,
so you stay there, OK?
- OK.
- OK.
[SIGHS]
[FRANKLIN CHENEY'S "THE
SEASON OF LEAVING WINTER"]
♪
When we don't feel heard or validated,
it can be very easy to forget
that we aren't actually alone.
Wait ♪
Let the colors flow ♪
The changing of the season ♪
Ain't enough to bring you home ♪
♪
Hey, there are my girls. [LAUGHS]
Hey, you ready to go home? [SMOOCHES]
Uh, we're not going
home. I got us a rental.
- What is this?
- It's a picture of Tuck in school.
I know it's a picture of
Tuck, but who sent it to you?
One of the numbers who's
called my phone over 40 times.
I know. I just changed the
number, changed the emails.
We're taking the kids out
of school for a few days.
And that there is a difference
between being alone,
and just feeling lonely.
Sometimes, being alone is the only way
we can hear our own hearts
trying to communicate
what it is that we actually want
I smell cake.
What we need, and who we love.
Oh, no fork.
So we can move through this world
with better communication
when we actually have
something important to say
Hey.
Hell of a way to go out today.
I could not have done
that surgery without you.
- You would have figured it out.
- No, I wouldn't have.
I wouldn't have figured out
a lot of things without you.
You push me to be better.
You challenge me.
You inspire me to never give
in on a challenging case.
And the way that you accessed
that jugular today, it was
- [CHUCKLES]
- It was what?
♪
So come on, bring the rain ♪
[VOCALIZING]
♪
Like a tidal wave when
you're tired of waking up ♪
♪
Oh, come on, bring the rain ♪
♪
Oh, come on, bring the rain ♪
And to be crystal clear when we do.
♪
- I had a great day.
- Me too.
Don't go back to Minnesota.
I'm not.
Um, the team wants me
to open up a lab in London.
I'd run it.
Triple the size, triple the staff.
I wanted to tell you earlier,
but you were already so sad.
You want to go?
Amelia, I accepted.
I am going.
[MELANCHOLY MUSIC]
♪
[RIDERS SCREAMING]
[GUITAR STRUMS]
- Fantastic.
It goes on and on ♪
The human body has three
systems of communication
The nervous, endocrine,
and immune systems.
It goes on and on ♪
Get away from me, yeah ♪
What we do for the people ♪
Trying to save you from your ego ♪
This world never stops ♪
Till you're [INAUDIBLE] ♪
free to find the [INAUDIBLE] ♪
Said you needed a hero ♪
When any of these systems
experience a malfunction,
it can wreak havoc on the body.
Try to copy me ♪
Try to steal my flair ♪
I go for love ♪
It's time to let it rain ♪
Effective communication
between surgeons in the OR
is just as essential.
Guess who took the red eye?
Guess who took the whole day off?
We're gonna get higher ♪
Tiptoe through fire ♪
We're gonna get high ♪
Till we find our way ♪
It goes on and on ♪
When a life is at stake,
there's no time or
space for body language
or carefully chosen words.
It goes on and on ♪
You're saying I should
crawl into a hole and hide?
No, I'm saying changing
your phone number
and email address isn't the worst idea.
- [PHONE BUZZES]
- I'm not gonna let them win.
- It's just a cell phone number.
- Just a cell phone number?
It's the only one I've ever had.
I've known that number
longer than I've known you.
I've been reading
I've been reading up on other
doctors who've been doxxed,
and it only gets worse from here.
Calls at all hours of the
night, email inboxes flooded,
people showing up at your door.
You want to move.
Look, we'll find an Airbnb.
- It'll just be six months, tops.
- Six months!
- Like a vacation
- Oh, no. No, this will blow over.
They'll get bored or find someone
- else to be outraged about.
- [PHONE BUZZING]
Mm-hmm, mm-hmm.
Look, I'll have an
intern babysit my phone.
It goes on and on ♪
But no matter how hard we try,
there's always a risk
of being misunderstood.
Or simply unheard.
You look like crap.
Yeah, I worked the closing shift
at Joe's. What's your excuse?
- Do we still have that thing tonight?
- Yes, cake tasting at 7:00.
Oh. Can't wait to see
what you do with floral
- arrangements, Adams.
- Remember when you fainted in the OR?
- So this is Pierce's last day?
- Oh, God, I hate that.
Apparently Ndugu's staying.
- I work at a bar. I hear things.
- Good for her.
You don't like Ndugu?
- Don't like marriage.
- What's wrong with marriage?
- It's a distraction.
- From what?
Meaningful career, making an
impactful contribution to the world,
fully-realized individual potential.
- Ready.
- Are you sure?
[ELEVATOR DINGS]
[GIGGLES] Sorry. Are you going
to get off work on time tonight?
Because I made us this reservation
at that pizza place
you keep talking about.
- Pizzageddon?
- Mm-hmm.
- It's impossible to get into.
- Well, I have an in with the manager.
I delivered his baby.
Did I forget? Is it my birthday?
- Is it your birthday?
- No, I just
I figured that we deserved a night out.
- Yeah.
- Yeah!
- All right.
- OK.
[BOTH CHUCKLE]
- Those two need to get a room.
- What, Link and Wilson?
Yeah, they basically just
had sex in front of us.
[SCOFFS] You remember
what sex is, right?
- I'm just saying. Messy.
- I don't know.
Hey, you remember when you
and me used to be like that?
- [ELEVATOR DINGS]
- Nope.
- Do you smell margaritas?
- It's me.
Joe's had a two-for-one
special last night.
Oh, maybe you should try soap next time.
Oh, maybe you should try
being the maid of honor
for someone you have feelings for who's
marrying someone else Oh, wait.
- Mission accomplished.
- We're just friends.
Don't care.
Oh, but can you bring
leftovers from the cake tasting?
- Ow. Ow!
- What do we got?
- William Hudson, 32. GCS 14.
Left upper extremity deformity
and abdominal contusion.
- Systolic's in the low 100s.
- Trauma three.
- OK. What happened?
- Am I bleeding?
He, uh, tried to mail himself
to his girlfriend in Florida.
- Excuse me?
- It's her birthday tomorrow.
Says he was trying to surprise her.
- Wait, you put yourself in a box?
- Ow!
And the box fell from the conveyor belt
while they were loading
it into the plane.
Yeah, maybe for the best.
He could have died in the cargo hold.
- He could still die here.
- What?
- I'll go page Hunt.
- You guys still use pagers?
[PA ANNOUNCEMENT]
Excuse me, excuse me.
Hi, are you doctors?
Uh, yes, we are. How can we help you?
We're here to speak
to Dr. Margaret Pierce.
- Do you have an appointment?
- Viv, this was not a good idea.
Can you just call Dr. Pierce?
Uh, her Her schedule is very busy.
But if you, um, give me
your information, I can
No, no, no, no. We
just drove 400 miles
in my 1994 roadie van,
without air conditioning,
so that my friend here
could be seen for the giant tumor
that is crushing her heart.
So can you two baby doctors
just pick up the phone
and call Dr. Margaret Pierce?
Because we are not leaving until you do.
- You packing up?
- Yeah.
I'm at that point where
I'm just throwing everything
into a bag because I don't
have time to decide whether
I want to keep it or not.
I know this is all
happening really fast.
Um, it's actually happening
a little quickly for me, too.
But this is just such
a huge opportunity.
I guess I thought this
place meant more to you
than just a stepping
stone for something bigger.
Richard, of course it does.
I mean, we just revived
the residency program.
- We just lost Meredith.
- I know.
And I told Teddy when I gave her
my resignation that I would
help interview new candidates
over video chat.
In my day, you accepted a
job after your fellowship,
then you worked there until you retired.
They taught you that loyalty mattered.
So out of loyalty, I should
not pursue research that would
save thousands of patients?
You've already started
doing that here with Winston.
I hate that you're upset, but
I'm not going to apologize
Dr. Margaret Pierce, can you
please come to the nurses' station
- on the first floor, please?
- I guess, um
- Dr. Margaret Pierce
- We'll talk later.
Can you please come to the
nurses' station on the first floor.
- Ma'am, you are not allowed
- Dr. Margaret Pierce, can you please
come to the nurses' station
Security is on their way,
and the longer we do this,
- the longer it will
- Oh, my God. I'm here.
Second floor please!
Why am I being paged
on repeat by someone
who doesn't even work here?
- We're so sorry, Dr. Pierce.
- She grabbed the phone.
- And we called security.
- Dr. Pierce! Um, big fan.
This is Nola. She has
mediastinal mass syndrome
due to the large thymoma which has
completely taken over her heart.
Uh, Dr. Griffith, uh, get
them upstairs in a room,
so I can do a proper
consult, but do not ever
come into a hospital that way again,
or you'll be quickly escorted out.
Uh, I thought you were leaving.
[SIGHS] I'm going to push my flight.
Next time, try listening to the patients
before you call security on them.
[GRUNTING]
I'm sorry.
- I know it's uncomfortable.
- Uncomfortable?
It hurts like hell.
[GRUNTS]
Can't you give him
anything for the pain?
We need to complete
the initial exam first.
Can I just get back
to playing "Minecraft"?
What mode are you playing?
- Survival.
- Mm.
Just nailed an enchanting table,
then you came in and
started trying to kill me.
- Ow!
- Sorry.
David.
- Oh hey, Daisy.
- Dr. Webber.
Well, look who we have here.
- Dr. Kwan?
- Grayson Friedman, 13.
History of ulcerative colitis,
which has previously been in clinical
- He knows already. He's my doctor.
- Hey. Sorry.
Dr. Webber diagnosed
Grayson when he was eight.
We've been managing
his condition with meds.
But this morning, the pain
was so bad he collapsed
on the floor in the bathroom.
Do you think he needs surgery?
- No.
- Last time you mentioned
- an ostomy.
- No, I know what that is.
It's not that bad.
Don't do surgery, please.
We won't do anything until
we find out what's going on.
We'll run some tests,
and then we'll get you
something for your pain.
- Thank you.
- I don't want surgery.
I don't even think I need it.
Order a CBC, CMP,
inflammatory markers with a CT.
Then put him on an IV steroid
with a PRN of morphine
to make him comfortable,
and page me when you get the scans.
Uh, Dr. Webber?
Do you think that maybe we
could find some time to talk?
Seems like we're doing
that now, Schmitt.
Well, I don't have my notes with me.
Right.
I've been thinking about fellowships
and attending positions,
and I would love to pick your brain
You haven't applied for
your fellowships yet?
I submitted my recommendations
for most candidates months ago.
I've been exploring options,
and I would love your suggestions.
You're a fourth-year resident, Schmitt.
My suggestion would be,
get your act together sooner than later.
Nola, we're really here.
You're you're really being examined
by Dr. Margaret Pierce.
I mean, the Dr. Margaret Pierce!
- Meeting you in person, it's like
- That time we met Stevie Nicks.
- I'm digging this more.
- I am flattered.
Oh, keep her elevated.
If she's flat, the tumor could further
compress the vasculature, which
could lead to more swelling.
Griffith?
Uh, Nola Marquez, 42.
Developed a mediastinal mass
with a tissue diagnosis of a thymoma.
The tumor grew alongside her heart,
putting pressure on
it and the vasculature,
causing SVC syndrome.
Symptoms include shortness of breath
and mental acuity issues.
- It's not that bad.
- No one believes you.
- Sisters?
- Close.
We're, uh, friends
since elementary school.
We met in chorus, and been
rocking together ever since.
- You're in a band?
- We are a band.
Double Helix.
Ever since Nola got diagnosed
she hasn't touched her guitar.
I can barely sleep, let alone perform.
Viv has dragged me
to every heart surgeon
in the Pacific Northwest.
No one will operate.
They all say it's too risky.
Bunch of cowards. But
now we have the best.
Dr. Pierce, she's she's not
pop rock, she's Led Zeppelin.
- Double Helix is back.
- All right, well, first things first.
Let's get some scans, see where we are.
Griffith, Millin.
Uh, she's been fasting, and
we've both been visualizing.
So she's ready for
surgery the minute you are.
Why didn't you show up with flowers?
That was all I'm saying.
It was supposed to be a
grand romantic gesture.
I surprised you in Germany.
- Yeah, but you came on a plane.
- Yeah, like a regular human person.
We need to check his upper
left extremity for a fracture.
- Order some AP and lateral films.
- OK.
What's the lesson here?
Romance can be fatal.
[CHUCKLES] Wouldn't be the first time.
- Or it can save lives and heal.
- Oh, please.
You're just trying to prove me wrong
because you didn't even know
that Jo and Link were an item.
No. No, Jo and I
are We're just friends.
Friends who have slept together.
Wait, you guys slept together?
- How do you know that?
- You know what?
Just, uh, page me
when the scans come in.
How much longer do I have to be in here?
Not long.
Just think like you have a health bar
that needs replenishing.
- It's a video game reference.
- I'm aware.
How do you not know if you're
doing general or sub-specialty?
- It's a fellowship reference.
- Wow.
You're really begging
for a pile of scut, Kwan.
No, I'm genuinely asking
how you got into your
fourth year of residency
- without a clear direction.
- Well, let's see.
Maybe it was the worldwide
pandemic that happened
in the middle of my residency,
or the program being
shut down last year.
Take your pick.
Well, I like to track each sub-specialty
I'm interested in with a spreadsheet
and monitor trends in each area.
I'm hot.
And it's really dark in here, guys.
I really want to get out.
Grayson, just, um, hum a song or sing.
Like what?
Anything inside your head.
[SINGING IN HEBREW]
You studying for your bar mitzvah?
Yeah. I sound terrible.
I've been practicing for
over 300 days in a row,
and I still sound awful, right?
- Yes.
- Keep chanting.
[SINGING IN HEBREW]
It's acute severe colitis.
[SIGHS]
[SINGING CONTINUES]
That smells delicious.
I was thinking after we
eat, we can go on a walk.
Um, I wanted to talk
Hey, what's wrong?
With Mer gone and Maggie leaving,
there's not going to
be any Sunday dinners.
Mm.
On Sundays, Maggie cooks,
and she puts enough
leftovers in my fridge
to get me to Wednesday.
So maybe it's time to learn how to cook.
I have a history of spiraling
when people leave me,
and a good old-fashioned
spiral does not leave
much time for cooking lessons.
What does it leave time for?
All kinds of fun things.
Uh, pulling away from people you love,
starting fights, lack of sleep,
spilling your worst instincts
to someone who just flew
halfway across the
country to cook for you.
You love your sisters.
This is a big change.
Anybody would be sad, Amelia.
How could I be sad with you here?
[PA ANNOUNCEMENT]
- Yasuda, I have a job for you.
- Oh, Dr. Bailey, thank you.
- At your service.
- Hey, I need you to hold on to this.
That is my lifeline, and
I'm entrusting it to you.
Do not answer it unless caller ID says
it's my husband Ben Warren,
or a hospital number.
Got it.
So Grey Sloan, your
husband, or Ben Warren?
My husband is Ben Warren.
Do I need to entrust
this to someone else?
Nope. I got this. Entrust me.
Hey, if you don't screw it up,
maybe she'll entrust you
to babysit her tablet next.
[PHONE BUZZES]
[CHUCKLES]
Do I need to get surgery?
We should really wait for your parents.
I can't get surgery.
My bar mitzvah's to be in 36 hours.
You haven't been taking your medication.
What? No, I have. Every day.
My parents set this, um,
annoying alarm. Um
Grayson, I have your urine results.
The labs don't lie, but
sometimes patients do.
Yeah, OK, I I stopped.
But just for a little bit.
I've been in these Hebrew classes,
and the pills and
infusions, they made me
They made me really
tired, so tired that I
I fainted one day, and everyone saw.
And then the the medications,
they dried my eyes out.
And then the eye drops, they burned.
And I got this gross-looking
rash on my neck
that Eloise Schurmann saw
Do you know how worried
your parents have been?
Dr. Webber
How much money they've
spent on your treatments?
- Now you need surgery.
- No. No surgery.
It doesn't even hurt that badly.
Just just give me some
steroids or infusions.
The Torah portion is only 25 minutes.
- I can make 25 minutes.
- No, you can't.
- Please.
- If you don't get
the surgery immediately, the
inflammation in your intestine
will get worse, spread further,
and lead to an incredibly
serious infection.
You would be in excruciating
pain, and you would die.
- Kwan!
- You know what? Dr. Kwan is right.
Grayson, you're not an adult,
and you're not a doctor.
I'm talking to your
parents, because clearly
you aren't mature enough
to understand how much
we care about you, and how much harm
you could have done to yourself.
OK, Hudson's X-rays are in.
- [PHONE DINGS]
- Uh, sorry. One sec.
It's Jo.
- [CHUCKLES]
- [MESSAGE BLIPS]
Um, it looks like a simple
mildly displaced humeral fracture.
Yeah, and a shattered spleen
with decreasing responses
- to fluids.
- [PHONE DINGS]
Teddy and I can take
him up for an ex-lap now.
And I will set and reduce
the fracture when you're done.
- Mm-hmm.
- [PHONE DINGS]
- [LAUGHS]
- [MESSAGE BLIPS]
I know what you're thinking
That I should tell Jo
I have feelings for her.
But listen, we built a
home together as friends.
Our kids are practically siblings.
If I make a move and she
doesn't feel the same way, it's over.
Saying something is not a good idea.
That is not at all what I was thinking.
- So you think it's a good idea?
- I have no opinion.
Plus, the last person I talked
to about their relationship
was Ndugu, and his wife
is moving to another state.
- Not to mention him and Altman.
- What was that, Yasuda?
Do you and Altman need us
to prep him for surgery?
Yes. And type and
cross two units of blood.
[LAUGHS]
- [MESSAGE BLIPS]
- [SIGHS]
[GUITAR TUNING]
And deep breath.
My parents toured with
the band for a minute.
They were called Blessed Wolf.
Well, I tried to name us
after our third grade teacher,
Mrs. Hatmaker, but Nola here nixed it.
Two women in a folk rock duo called
the Hatmakers might as well
sew up their vaginas forever.
Is Viv your only emergency contact?
My ride or die, since day one.
And you repay me by trying to die.
Think about all the songs you'll be
able to write about my death.
Oh, you're better off.
I mean, who needs a spouse
when you have a band-mate?
Well, we prefer the
term platonic soulmate.
Another excellent band name.
We're going to talk to Dr. Pierce,
and we'll be back to update you.
[GUITAR STRUMMING]
Thank you.
- OK, what is your problem?
- With what?
You're hating on marriage
to anyone who will listen,
when I'm about to get married.
Or I'm doing my job and
connecting with our patients.
Yeah, but you don't know Trey.
You don't know our relationship.
I know. Get married, don't
get married. I don't care.
But it's not a distraction.
I've been singularly focused on
becoming a surgeon since I was eight.
Griffith, I've already
said I don't care.
Who are you trying to convince?
Doctors? It's Nola. Something happened.
- [MONITORS BEEPING]
- We were talking and she gasped.
And then, um, this
machine started going off.
- I don't know.
- Grab a crash cart.
How's her airway?
Airway's patent and she's breathing.
She has JVD.
OK, we need to get her
oxygen, and page Dr. Pierce!
- [TENSE MUSIC]
- O2.
- What happened?
- Her BP dropped.
- JVD, muffled heart sounds.
- What does it mean?
- Cardiac tamponade.
- Someone tell me what that means.
Nola's tumor has caused fluid
to accumulate around her heart.
We need to relieve the
pressure by draining it,
by doing what's called
a pericardiocentesis.
18-gauge spinal needle.
- Griffith?
- [MACHINERY BEEPING]
Find your landmarks.
Find one centimeter inferior
to the left xiphocostal angle.
Yep.
Insert the needle at a 30-degree angle.
Good.
And slowly advance it toward
the left shoulder, while aspirating.
And you should start to see fluid.
- Good, there it is. Good.
- [BEEPING SLOWS]
She's stable, but we
don't have much time.
- Until what?
- Until the fluid builds up again.
Let's get her to the CCU,
and page Dr. Ndugu right now.
[MACHINERY BEEPING]
- [PHONE BUZZING]
- Do you hear something?
Don't worry about it, William.
- Maybe it's Rose.
- Who's Rose?
Oh, she's my girlfriend.
She's so pretty and smart.
Except for her teeth.
Don't worry about it,
William. It's not Rose.
- Oh, my God.
- It's not my fault.
[PHONE BUZZING]
Stop calling, asshat!
You're not harassing Dr. Bailey.
You are harassing me!
A poor, overworked,
tired intern who would really
appreciate it if you could
Hello? Hi Sorry.
I'll I'll tell her.
- [QUIRKY MUSIC]
- That was Dr. Bailey's optometrist.
Tuck's glasses are ready.
Do you need me to hold
the phone for a while?
No, thank you.
Do you need me to hold
the phone for a while?
[PHONE BUZZES]
- You in the Nether worlds now?
- [CHIPTUNE MUSIC PLAYING]
Do you play with friends, or
Do you think Dr. Webber will
still want to be my doctor after this?
- Of course he will.
- I disappointed him.
Well, if it makes you
feel any better, so have I.
Kids at school call me a defect,
because I'm always in the
nurse's office taking my meds.
I just wanted to be normal, you know?
You know, I tried for a really long time
to be what I thought was normal,
and then I decided to see
what would happen if I stopped.
- What happened?
- I liked myself a lot more.
OK.
I'm ready.
OK.
- [DOOR CLICKS]
- You paged?
I wasn't sure you'd answer it.
You're still my boss
till the end of the day.
Pushed my flight till tomorrow.
Looks like a large
thymoma in the mediastinum.
It's already starting to tamponade
with sympathetic fluid, so
I don't have a lot of time.
Tumor is shaped like a heart.
- You didn't notice?
- No.
I was more concerned
with how close it was
to the heart, not its shape.
Have you considered doing
a reconstruction of the SVC?
Yes. But I'm concerned
that the tumor involves
the innominate artery.
OK, what if you take the
entire SVC and left subclavian?
You'd have to resect the sternum,
the SVC, and all the pericardium,
but you'd get the entire tumor.
That's if she doesn't
decompensate first.
If I go into the wrong dissecting plane
even a tiny bit, she
bleeds out and dies.
She'll die if she continues
to have fluid buildup.
What if we use a bovine pericardial
patch for the reconstruction?
Maybe that would allow
us to have clear margins.
No interns. There's no margin for error.
- Just you and me.
- Just you and me.
[SNIFFLING]
- I'm sorry.
- It's OK.
We hardly get to see each other,
and I'm sitting here
crying like somebody died.
[LAUGHS]
[SIGHS]
Even though I'm scaring you,
I'm so glad that you're here.
Oh, it takes a lot
for this one to scare.
[CHUCKLES]
I've hidden parts of
myself in every relationship
I've ever had, except for this one.
It feels so freeing.
I just can be myself,
queen of spirals.
You can't be the queen of
something that's only, like,
- a tiny part of who you are.
- [CHUCKLES]
You are sweet and kind.
But I also think that
you are underestimating
my ability to fall off the deep end.
I'm not underestimating anything.
The Amelia I know is
a badass neurosurgeon,
an amazing mom.
She works hard on her sobriety.
She's a loving sister, a devoted friend.
The Amelia I know is inspiring.
She is not the queen of spirals.
She is just a queen.
[PEACEFUL MUSIC]
♪
Dr. Bailey, Dr. Altman, Dr. Fox.
All married surgeons
with stellar careers.
[MACHINE BEEPING]
Careful.
The tissue is very friable.
I'm aware, Dr. Pierce.
All right.
Specimen's coming out.
[MACHINERY BEEPING RAPIDLY]
[DRAMATIC MUSIC]
♪
Her blood pressure's soaring.
Uh, why aren't you doing anything?
[BEEPING STOPS]
Pressure is stabilized.
Pseudo tamponade effect.
The heart isn't used to all
that space without the tumor.
Now it's alone and happy.
Let's start the reconstruction.
Put her on bypass.
Dr. Hunt and I were able
to perform your splenectomy
without any complications.
- You should heal nicely.
- Same with your shoulder.
You're going to need a couple
of months of rehabilitation,
but then you should be able
to regain normal function.
Great.
- Thanks.
- Mm-hmm.
William, this is all good news.
Yeah. No, sorry. Um, Rose heard
what I did, and she dumped me.
- [SIGHS]
- You know
I fell for her the second I saw her
in line for Space Mountain.
Company retreat in Orlando.
I thought she was the love of my life.
How could I have been so wrong?
Listen, me and my wife,
we were friends for years
before we became a couple.
We met when we were
army surgeons together.
So just to get this
right, are you judging me
for meeting Rose at a theme park,
or for believing in love at first sight?
[CHUCKLES] Neither.
Listen, even though it took us
years to get together, I knew.
I knew from the moment that I saw her
emerging from a surgical
tent in 100 degrees heat,
having just repaired
an aortic dissection
and saving a soldier's life.
- I knew I wanted her in my life.
- Then what took you so long?
Well, I was
I was engaged, and then
I was married for a while,
and she was married.
Our timing was just never quite right.
But those relationships,
they came and went.
And our friendship outlasted them all,
even after she moved out of the country.
Then one day, I
I just realized that
she was the one person
that I wanted to talk to
at the end of a long day,
or a great day.
When I was reading a book or
watching a movie, I'd think,
man, she would love this, you know?
She just kept she would
constantly pop into my mind
until finally, I just
I got on that plane to Germany, and I
I just told her.
So if you feel that way about Rose,
if you know you want her in your life,
you should just try again.
Yeah.
I don't think Rose is it.
Excuse me.
- I got to be somewhere.
- Mm-hmm.
I mean, I did mail myself
in a box, but she's not it.
Thank you for that story.
Oh, look all of this
inflammation and necrosis.
I mean, this is almost the entire colon.
How long had Grayson's
symptoms been under control?
Oh, years.
The medication protocol worked wonders.
And now he's completely
turned that around.
Foolish to the point of stupid.
Dr. Kwan, do you even remember
what being 13 is like?
Because I do.
It was really, really hard.
You think Grayson doesn't already know
that he disappointed
everyone around him?
You think he doesn't
already feel stupid?
Believe me, he does.
Did you even hear him when
he was trying to tell us
that the medications
made him feel terrible,
worse than it already feels to be 13?
Did you listen to your patient?
Of course I did. But
Grayson has spent an entire
year working his butt off
on becoming a man, so
maybe stop chastising him
like a toddler and freaking
him out that he could die.
Sometimes being a good
doctor, or a parent,
or even a good mentor,
means listening to what
the other person needs.
[SIGHS]
Suction, Kwan.
[MILCK'S "ANIMAL"]
All right.
♪
What is it?
There's no back wall left
for the reconstruction.
I don't think the
patch is going to work.
Everything's alive
and wild and dying ♪
What if we access the jugulars
and use reverse cryoartery,
and drain into the right atrium?
Two incisions, end to
end, on the two jugulars.
- Yes.
- You think we can pull it off?
I think we're Nola's only option.
All right, let's do it. Right angle.
Vessel loop.
♪
Since I was a child ♪
I've been fighting ♪
I am an animal ♪
♪
My wild's undeniable ♪
♪
A miracle, a mess ♪
Ethereal, blood and flesh ♪
I am an animal ♪
♪
[VOCALIZING]
♪
The animal is in all of us ♪
[CHEERS AND APPLAUSE]
♪
[PHONE BUZZING]
I'm not saying I'm going
to throw it in the toilet.
But if you throw it in the
toilet, I would cover for you.
- Just shut it up.
- I can't.
[PHONE BUZZING]
[QUIRKY MUSIC]
What are you doing?
[BOTH SIGH]
- [PHONE BUZZING]
- Oh, my God!
What on Earth do you think you're doing?
Respectfully, Dr. Bailey, have
you considered just turning it off?
Uh, have you considered being a wife,
a mother, and a high-level
professional? Give me the phone.
- [SIGHS]
- [PHONE BUZZES]
[MELANCHOLY MUSIC]
OK.
♪
No.
No, no, no, no, no, no.
- No, no, no, no, no, no.
- Oh, no. No, no, Viv.
- I can't.
- She's OK, Viv.
Viv, she's alive.
She's in the ICU. We were able
to successfully remove the mass.
- Wait, what what?
- The tumor is gone.
She has a long recovery,
but she's stable.
[EXHALES]
I thought she was dead. I just
Your faces, those were not
"I just saved a life
against all odds" faces.
Yeah. We have a lot going on.
Thank you.
Dr. Pierce, I knew you
were the person. Thank you.
It was teamwork.
I could not have done
it without Dr. Ndugu.
Oh, thank you, thank you.
Carry you through when
there's no other way ♪
Hold you in my arms ♪
Like I know what to do ♪
- [GRUNTS]
- Hold you in my arms
How long?
How long do I have the ostomy for?
Well, a few months.
Your your parents went
to get something to eat,
but they've been with
you the whole time.
I didn't mean to worry
them or to make you mad.
I just didn't think
it'd be such a big deal.
You know, I remember your diagnosis
like it was yesterday.
It was a while ago.
I was in, uh, kindergarten.
And you were very worried about
missing your end-of-class party.
Yeah. I was worried about
missing the ice cream cake.
[CHUCKLES] I've known
you for a long time, son.
And I look forward to
seeing what's next for you.
I mean, your bar mitzvah,
high school graduation, college.
And when you make a decision
that puts your future at risk,
well, it's it's frustrating.
But I'm not mad at you.
And if it came off that way, I
- I'm sorry.
- I'm sorry, too.
Good.
Now that we've got that out the way,
I want you to do me a favor.
Now, when you heal up from the surgery,
I'm going to give you a prescription
for a new medication.
You want me to promise to take it?
I want you to tell me if
it gives you any problems,
if something's off, and we'll
We'll find a solution together.
- OK.
- OK.
All right, let's check that ticker.
[ELEVATOR DINGS]
Carry you through ♪
- Hey.
- Hey.
When there's no other way ♪
Hold you in my arms ♪
I have to hand it to
you, you really went for
your two favorite
things in that speech
Proving me wrong and getting laid.
I was just trying to make
our patient feel better.
- Uh-huh.
- Mm-hmm.
Did it work?
Didn't you see Link?
- I meant the other thing.
- [ELEVATOR DINGS]
And I'll carry you through ♪
Your mom's watching
the kids for the night.
♪
Dr. Mary Edwards Walker,
first female surgeon
in the United States, the second female
to graduate from medical school.
Married. Started a
practice with her husband.
Wow, you're still worried
about what I think of you?
The marriage isn't a distraction.
It's the damn wedding.
It's a pain in my ass.
It's the menu, and the seating chart,
and the dress shop is harassing me
because they want me
to come get measured.
But I am here from sunrise till sundown,
because I'm trying to
prove I'm just as good
as the rest of you.
Also, bridal shops are
open, like, three hours a day
or something, and I can't
ask Adams to measure me
because we all know why, and
my sister won't text me back.
So I'm not going to get measured,
so I'm not going to get married,
- so I'm not going to have a dress
- OK, OK, OK. Lift your arms.
- What?
- Lift.
What are you doing?
Well, we can't let
Adams near your inseam.
And again.
Thank you.
- You owe me a drink.
- [LAUGHS]
Jo, you are donuts in human form.
[LAUGHS] OK. No, no. All right.
You are you are twinkle
lights and yellow roses,
and although I hate most of
humanity, I do not hate you.
That oh, um.
Uh, in fact, you are the only person
I want to come home to for
the rest of my why
Why didn't I write a song?
Should have written a song.
[PHONE RINGS]
[SIGHS]
Hey, Jo.
- I canceled the
- [SOBS]
Whoa, whoa, whoa,
whoa. What happened?
- It's Luna. Something's wrong.
- Wait, wait, whoa. What's wrong?
The daycare think that That
there's a problem with her hearing.
I I need I need to
get her checked out.
- I'll be right there.
- No, no, no.
We're gonna we're
gonna come straight home,
so you stay there, OK?
- OK.
- OK.
[SIGHS]
[FRANKLIN CHENEY'S "THE
SEASON OF LEAVING WINTER"]
♪
When we don't feel heard or validated,
it can be very easy to forget
that we aren't actually alone.
Wait ♪
Let the colors flow ♪
The changing of the season ♪
Ain't enough to bring you home ♪
♪
Hey, there are my girls. [LAUGHS]
Hey, you ready to go home? [SMOOCHES]
Uh, we're not going
home. I got us a rental.
- What is this?
- It's a picture of Tuck in school.
I know it's a picture of
Tuck, but who sent it to you?
One of the numbers who's
called my phone over 40 times.
I know. I just changed the
number, changed the emails.
We're taking the kids out
of school for a few days.
And that there is a difference
between being alone,
and just feeling lonely.
Sometimes, being alone is the only way
we can hear our own hearts
trying to communicate
what it is that we actually want
I smell cake.
What we need, and who we love.
Oh, no fork.
So we can move through this world
with better communication
when we actually have
something important to say
Hey.
Hell of a way to go out today.
I could not have done
that surgery without you.
- You would have figured it out.
- No, I wouldn't have.
I wouldn't have figured out
a lot of things without you.
You push me to be better.
You challenge me.
You inspire me to never give
in on a challenging case.
And the way that you accessed
that jugular today, it was
- [CHUCKLES]
- It was what?
♪
So come on, bring the rain ♪
[VOCALIZING]
♪
Like a tidal wave when
you're tired of waking up ♪
♪
Oh, come on, bring the rain ♪
♪
Oh, come on, bring the rain ♪
And to be crystal clear when we do.
♪
- I had a great day.
- Me too.
Don't go back to Minnesota.
I'm not.
Um, the team wants me
to open up a lab in London.
I'd run it.
Triple the size, triple the staff.
I wanted to tell you earlier,
but you were already so sad.
You want to go?
Amelia, I accepted.
I am going.
[MELANCHOLY MUSIC]
♪
[RIDERS SCREAMING]
[GUITAR STRUMS]
- Fantastic.