Grey's Anatomy s20e04 Episode Script

[GREY] Years ago, a New York
physician discovered a gene mutation
that causes congenital
insensitivity to pain
Have you seen my charger? I
thought I left it on the table.
or CIP.
I don't remember. Sorry.
[SIGHS] I will find it.
Coffee will help.
[SIGHS]
Sorry.
I'll make more. [CHUCKLES]
But you're kinda out.
It's an extremely rare condition
that blocks people from feeling pain.
Important meeting. Gotta go.
It sounds good in theory,
but pain is important.
It tells the body
when it's in danger,
and helps keep it alive.
[GASPS] Oh Oh, I'm so sorry I'm late.
I s-see your appointment went well.
X-rays show the bone's
healed, so Link cleared me.
The brace is off, and I
am fully back. [LAUGHS]
- Now, you you know I'm careful.
- [BAILEY STAMMERS]
I just can't keep
feeling like I'm letting
the station down by
not pulling my weight.
- You You're back.
- I'm back!
- You're back.
- [CHUCKLES, KISSES]
- Gotta run.
- N
Put your hand in fire, get burned,
and you learn not to do it again.
- [SIGHS, MOUTHING WORDS]
- Or put another way living hurts.
Were you aware when you intubated
Maxine Anderson that she was DNI?
Maxine didn't wanna
die on a ventilator.
- But I knew if I can get in through
- Yes or no, Dr. Kwan?
Ms. Anderson didn't wanna
die. I-I could see it in her eyes.
Could you see the giant orange
DNI sticker on her chart?
Max M-Ms. Anderson She's
not suing Dr. Kwan or the hospital.
You're listed as Ms. Anderson's
medical proxy. Why is that?
It was her choice. Why does it matter?
[INTERVIEWER 1] Because her son
has launched an inquiry into it.
Let's return to the other night.
Where were you when
Dr. Altman collapsed?
OR 1. We rushed Sam Sutton in
because his chest tube was
putting out liters of blood.
But you left Mr. Sutton
to attend to Dr. Altman.
Dr. Altman is our Chief of Surgery.
And Dr. Adams was with Mr. Sutton.
Don't you mean Dr. Adams
was opening Mr. Sutton?
Sam was dying.
He didn't have
minutes. He had seconds.
According to whom? You are a
You're a first-year
resident, correct? An intern.
I know what a dying
patient's vitals look like.
And what might those be?
The patient hardly had
a blood pressure reading,
high heart rate.
He was definitely bleeding out.
And you believed you and
Dr. Adams could save him?
- It all happened really fast.
- [INTERVIEWER 2] Dr. Griffith,
if you were in the OR by
yourself without Dr. Adams,
would you still have
opened up the patient?
- [PANTING] Hey.
- Hey.
I already did that twice.
Can you evict family?
Lucas is just crashing at my
place, and it's not ideal.
He's into all my stuff. His stuff
Every time I turn
around, there's more.
I mean, I know I am not the
easiest person to live with, but
- But you do pick up after yourself. Mmm.
- Is it so hard?
- We already did that.
- It's slow.
Oh. Maybe it just doesn't like you.
- I'm gonna take the stairs.
- Mmm. Okay.
[KWAN] How was your interview?
- Mine was pretty brutal.
- Don't talk to me.
Lawyers are paid to make
you feel badly, Kwan.
Shake it off. Just
focus on the work. Here.
Everyone's making progress.
One more chest tube, and
I am out of this dungeon.
Dr. Bailey, given that we're
close to finishing our logs,
would it make sense to focus on that
instead of wherever we're going?
It would make sense for you to trust
that anything I ask of you
will make you a better doctor.
There she is.
Oh. Dr. Bailey, just in time.
- Shall we begin?
- [BAILEY] Yes.
Take a seat and learn something.
Meet Vida Madera, 26 years
old, 30 weeks pregnant
with a history of vision loss.
[BAILEY] Dr. Wilson and I
met Vida through the clinic
when she learned she was pregnant
after suffering two miscarriages.
Two weeks ago, an ultrasound revealed
a vein of Galen malformation
in the fetus's brain.
- I'm I'm sorry. Uh, may I?
- Yeah, of course.
Okay. Uh, who can
tell me what a VOGM is?
A rare arteriovenous fistula.
An artery in the brain
connects to the vein directly,
causing dysregulated
blood flow into the defect.
Correct. And in utero, the
baby is typically sheltered
by mom and the placenta, but then
after delivery and the cord is clamped,
what happens? Yes.
The baby's heart and
lungs become overwhelmed
with a massive overflow of blood.
Which can lead to heart failure,
seizures, and possibly death.
Standard procedure has been
embolization after delivery,
but many babies do not survive.
And if they do, the child
often has major brain injury.
So that's when I called Dr. Robbins.
So a few months ago, I
started a clinical trial
with a team of interventional
neuroradiologists
in which we operate
on the baby's brain,
before delivery.
In-utero brain surgery. Sick.
Ugh. I hate babies.
Technically a fetus.
What did I say about talking to me?
- Yes.
- How many times has this been done?
[CLICKS TONGUE] Oh,
um, let me think, uh
None.
So who wants to make history?
Morning, Dr. Webber. [EXHALES SHARPLY]
Dr. Ndugu, do you have a minute?
Oh, no, I have a TAVR two, actually.
We still haven't filled Maggie's spot.
That's what I wanted to talk
to you about. I have a solution.
You coming back right
now is not the solution.
You don't know what I was gonna say.
But you're not wrong.
Altman, it's been barely four weeks
since your surgery.
But I have been practicing
in the skills lab.
I am strong, and I am more than ready.
To return to your desk,
not to the OR. All right?
It's about stamina not skills.
[EXHALES SHARPLY] "Stamina." Please.
[BAILEY] Come on in.
Quite a crowd you've
brought, Dr. Bailey.
So we have, uh, Dr.
Shepherd, Dr. Wilson,
world-renowned fetal
surgeon Dr. Robbins,
- and the surgical interns.
- Hey.
- [WILSON] Hi, Vida.
- Hi.
Dr. Robbins, we have been
Internet-stalking you,
and you are truly incredible.
We just read about the work you
did with twin-to-twin transfusions.
Yeah. Well, my field
has come a long way.
And thank you. Dr. Griffith.
Vida Madera, 26, history of
vision impairment, hear
[VIDA] Dr. Robbins.
W-We really appreciate
you coming all this way,
but I've given it some thought,
and I'm so sorry.
- Hey, what are you talking about?
- I've changed my mind.
I-I can't have the surgery.
'Cause it's never been done before?
Because I can't lose this baby.
Well, I-I assure you, Vida, that's
exactly what we're trying to avoid.
Do you know how many blind
and low-vision mothers have
social services called on them for
no reason other than their sight?
When this became a
successful, viable pregnancy,
I knew that I was going to have
to fight to protect this baby.
So the idea of a giant needle
being stuck into her brain
before I've even had the chance
to hold her myself, I I can't.
We've gone through so much to get
to this point. I just can't risk it.
And Dr. Shepherd She did say
that the baby would have a chance.
It is an extremely small chance, Vida.
And in that case,
the baby would likely have
significant neurological injuries.
But there's still a chance.
So I'm going with that.
World-class or not, Dr. Robbins,
I'm saying no. No surgery.
[MOUTHING WORDS]
[SIGHS] Here's the file. Here.
- Excuse me?
- Yeah.
- Hi.
- Hi.
Sorry to bother, but, um,
I'm waiting for Dr. Millin.
They said they sent out a page.
I'm sure Dr. Millin
will be down soon.
Can I help you? I'm also a doctor.
I'll wait for Dr. Millin.
Oh, uh
- Dr. Hunt. Hi.
- Yeah?
So as soon as I place a chest
tube, I'm back in the OR.
So anything that I can
do to make that happen
Ms. Timms in bed three
needs a rectal disimpaction.
And if she gets an accidental chest
tube, I'll know who to blame. Okay?
[ELEVATOR DINGS]
Hey, somebody paged me?
Oh, yeah. That guy was looking for you.
- Do I know him?
- I don't keep a log of who you know.
[SCOFFS]
[SIGHS] Hi.
I heard you were looking for me.
I'm Dr. Millin.
Uh, no, you're not.
- Joshy, my guy.
- Dr. Millin.
Hey. Uh.
Guess what. There's
another Dr. Millin.
Hmm. He is not a doctor.
But she is my sister.
[SIGHS]
Vida has asked to be discharged.
We can't let her leave.
She's just scared.
And when were you going to tell me
that my patient would be the
very first in this clinical trial?
It's a trial. Someone has to go first,
- and Vida's a perfect candidate.
- [PHONE BEEPS]
The fetal malformation is just
wide enough to justify the risk,
and there's no evidence
of brain damage so
And the parents have to be
completely on board. So this is done.
I have a patient to see. Robbins,
sorry this didn't work out,
but it was good to see you.
Travel safely home.
If you don't do this surgery,
that baby will not survive.
It is a statistical miracle that
she is still a viable candidate.
And if Vida changes
her mind in the future,
then it might be too late.
I know. I'm disappointed too.
But my hands are tied.
So [EXHALES SHARPLY] I'm sorry.
[ANNOUNCER ON PA] Dr. Man to
labor and delivery. Dr. Man
- [GROANING]
- Dorian. Dorian, it's okay.
- You're gonna rip out your A-line.
- [BAILEY] What's happening?
- Oh, when did he wake up?
- A few minutes ago.
His vitals look okay, but he's
weak, he's disoriented and combative.
- Don't touch me. [GRUNTS]
- Dorian. Dorian.
I'm Dr. Ndugu. Now, this is
Dr. Bailey, Schmitt, and Kwan.
You're at Grey-Sloan
Memorial in the ICU.
We need you to stop fighting us. Okay?
Just try to relax. Give him a second.
[BAILEY STAMMERS] Dorian. Dorian.
Hi. Do you remember
what happened to you?
Uh. I remember two guys, maybe a gun.
Okay. Kwan, make sure and alert
the police that he's awake.
- Okay.
- Do my parents know I'm here?
Yes. And they've been here
sitting by your side almost every day.
- [SUCKS TEETH, GROANS] Was I shot?
- Yes.
Technically, you died,
and then we opened up your chest
and your heart started to beat again.
Doctors Bailey and Ndugu repaired
your chest and your abdominal injuries,
removed some of your
bowels and spleen
Okay. That's enough, Kwan, for now.
- I'm due in the OR.
- Yes.
His white blood count is high, and
his heart rate has been increasing.
We need to do an infection workup.
Kwan, run a nutrition panel
and fix his A-line. Okay?
I have 200 emails, and you
page me 911 to what, exactly?
A mock OR.
I've helped dozens of
athletes get back after injury,
and not one has gotten back on the
field without playing a scrimmage first.
Uh, you'll operate, and I'll assist.
And I'll be your anesthesiologist,
your scrub nurse, circulating nurse.
Your patient is a 65-year-old
male with a history of tobacco use,
here for a four-vessel CABG.
My patient is a
30-pound lump of plastic.
[BEEPING]
Oh, no. He's gone
into cardiac arrest.
What? Should I push some meds?
- Push epi.
- You're losing him.
[BEEPING CONTINUES]
Push epi.
[ON PA] Dr. Nelson to dermatology.
Dr. Charlotte Nelson to dermatology.
Hey, uh, what did the lawyers ask you?
Same as everyone else.
"What happened that night?"
Yeah. W-What did you say?
Oh, I need to check
on Bailey's post-ops.
Uh
You took my car this morning.
- You said I could borrow it.
- Not without asking me first.
- Well, I left you a note.
- Under which pile of stuff?
Would this be a bad time to let you
know that I'm on your service?
- You have got to be kidding me.
- I'll go round on your patients.
[ON PA] Dr. Reynolds to
pediatrics. Dr. Ethel Reynolds
- [SIGHS]
- Intern woes?
Yeah, something like that.
The, um, fetal embolization is canceled.
- Mom got spooked.
- Well, it's a spooky surgery.
Not only are you inserting a needle,
but multiple metal coils into
their tiny, tiny baby's brain.
Well, this is the best
shot that baby has.
Doesn't make it any less terrifying.
[GRUNTS]
- Okay.
- All right.
Why do you have to invade
my workplace with your mess?
Joshy is not a mess. He's a
human being, and a subscriber.
Oh, God. Are you still
making those dumb videos?
I heal people, just like you.
- You are an influencer.
- A wellness influencer.
You went on one yoga retreat
and dated a Pilates instructor.
That does not make you a doctor.
It's branding, like
Dr. Dre or Dr. Seuss.
They don't wear scrubs
and tell people what to eat.
Hey, Dr. Millin?
- Yes.
- That's me.
Um. Kind of hurting here.
- Okay. Is the pain getting worse?
- Yeah.
- It's like I told the doc in my DM
- [MILLIN SIGHS]
it started as an ingrown
hair or something on my back,
but now it's swelled up.
I can't see. Is it bad?
[GROANS] That, um
That one's gonna be all you, Dr. Millin.
Mm-hmm.
- Thank you so much.
- There you go.
[VIDA'S PARTNER]
Dr. Robbins. Stop, please.
You can't leave.
I can't do the surgery
without consent or your trust.
You have mine, and, uh, I
think you'll have Vida's.
She just needs a minute.
Two weeks ago, we were debating
the cost of crib sheets, and
[EXHALES] today, well, we're here.
Look, our baby can't die.
If she dies, Vida won't survive that,
so please, just keep prepping
and planning what you need to do.
But whatever happens, Dr.
Robbins, just don't leave.
[ON PA] Dr call Oncology 2622.
- Hi. Could you help me with something?
- Ooh, is it a chest tube?
- No.
- Oh. Then no, thanks.
I'm trying to drain
this giant abscess,
and nothing is coming out.
Just call an attending.
- Hunt's around.
- I'd really rather not.
- You did know that guy.
- I didn't.
I know the guy he's with.
An ex-boyfriend? Someone you ghosted?
Ew. No, it's my brother.
And he is nothing but trouble.
He thinks he's a doctor, and I
would rather not involve anyone else
on a day when we've already been
interviewed by hospital lawyers. So
- Okay, I'm in.
- Thank you, thank you, thank you.
But I get to ask him as many questions
about your childhood as I want.
I
Dorian's prelim
culture came back negative,
except for the sample from
the subclavian central line.
Yeah. Well, he needs access.
DC the infected line and get
a new one on the opposite side.
Have you placed a
subclavian line before?
- Two.
- Well, time to make it three.
[CLICKS TONGUE] Now would be nice.
[EXHALES] I've never
done one without supervision.
Are you sure you don't
want me to wait for you?
It's a central line, Kwan.
You've seen it. You've done it.
Just trust your instincts.
Okay. Once the baby's in position,
I'll inject the paralytic,
then we'll start the clock with the goal
of finishing under 20 minutes. Why?
Rookies, I'm asking you.
Uh, more time means
more stress on the baby.
And the mom. She'll
be awake the entire time.
A prolonged procedure also
puts stress on the pregnancy.
So there's no room for error. None.
Are you going to be pacing in the OR?
Because if so, please
remind me to dis-invite you.
Okay. We're through the skull.
What are these, exactly?
Phantom skulls. They approximate different
possible densities of fetal skulls.
If this were the real thing, blood
would come through the needle,
but until then,
everything is hypothetical.
But it's not.
You're practicing on a
3D printed bone simulation.
- How is that even close to the real thing?
- Griffith
And why are we practicing at all
if the patient hasn't
agreed to the surgery?
Uh, shouldn't we be
in there talking to Vida,
explaining the consequences of
not going through with the surgery?
We don't convince anyone of
anything. That's not what we do.
Okay. Then should we be
recommending this procedure at all?
Okay. Both you and Griffith, out.
Wait.
He's not wrong.
Well, I mean, he he's kind of wrong.
But what I mean is,
is anyone good with a 3D printer?
So, what was Millin like as a kid?
- Kind of the same.
- Smart, cool, weirdly good skin?
I was gonna say mean.
Hey, Joshy.
You'll need to
hydrate after this. Okay?
Our bodies are 60% water.
Go back to the source, amigo.
- Thanks, Dr. Millin.
- Of course.
All right, I'm going
to make another incision.
You'll feel some pressure, and
then hopefully you'll feel better.
Hmm.
- [JOSHY GROANS]
- Nothing?
I swear I made a deep enough incision.
- We have to call Hunt.
- I'd really rather not.
And I'd really rather not get in trouble
for doing something without an attending
after already being in trouble
for something I didn't do.
I'd really rather not die,
so can someone please
call whoever Hunt is?
- I'm doing it.
- [JOSHY SIGHS]
Hey.
You listen carefully.
My boss is probably gonna come,
and I don't want you embarrassing
me with your "Dr. Millin" crap.
Okay. You are going to wait outside.
And don't talk to
anyone. Don't move.
I'd say don't think, but
you've already got that covered.
You are going to stay
where I can see you,
or, so help me God,
I will hire a bot farm to drag you on
every message board on the Internet.
Got it?
- [SCOFFS]
- Great.
Shepherd was annoyed with me, not you.
[GRIFFITH] This morning,
the lawyers asked if I would have opened
Sam up if you hadn't asked me to,
and I said no.
So you threw me under the bus.
- I defended myself. I just
- By slitting my throat.
You told me to tell
them the truth, so I did.
We didn't get a chance to
align our stories because you
walked away.
Where are you even living, Lucas?
- Lucas.
- We have to focus on work, remember?
So what does the spleen do, exactly?
[SCOFFS] Hell if I know.
How many times was I shot?
Come on. Just tell me.
There were three bullets.
One hit your lung, and two
went through your abdomen.
So, how long do I have to stay here?
[SIGHS] We'll know
more once we can confirm
that you're getting adequate nutrients
despite how much bowel was removed.
It's important for healing.
[INHALES, GROANS]
- The left side of my chest it hurts.
- [MONITOR BEEPS]
I need oxygen.
- [NURSE] On it.
- [GASPS]
- Is this normal?
- Page Dr. Schmitt.
Come on, come on. It's
okay. Breathe. Breathe.
It's okay. It's okay.
Hi, Vida.
I'm still not ready
to make any decision.
But And you don't have to.
My colleague, Dr. Herman, likes to
Well, if you've read about me, then
you've most certainly read about her.
She also has low vision,
and when we discuss a surgery,
she likes to walk through it.
So before you leave, I'd
like to discuss the surgery
and walk you through it the way
that I walk through it with her.
[WHISPERS] Okay.
So this is a 3D printed model
of your daughter's
ultrasound this morning.
And this is an MRI
of your baby's brain.
We're going to position
her facing downwards
so that we can access
and enter her head here.
We're gonna insert the catheter
and then deploy the coils
into the malformation.
I know that it's hard
when you can't hope based on
what others have done before you.
And it's one thing to
have faith for yourself,
but to have it for someone else, to
to have it for your child
[SIGHS] And no matter how
many times I tell you
that I know exactly what I'm
doing, you're still gonna be scared.
And I know that it's painful,
but this pain this pain has purpose.
This pain could have life
on the other side of it.
What happened?
[KWAN] I inserted the line,
then he went into distress.
The X-ray shows that he dropped
a lung. He needs a chest tube.
- So why are you just standing there?
- I was waiting for you.
Am I dying? Is this it?
It's a complication that
unfortunately can happen,
but you're gonna be okay.
Dr. Kwan is gonna insert a
chest tube to re-inflate the lung.
[DORIAN GRUNTS, GROANS]
Keep going.
[GROANING]
I can't. You should do it.
[GROANING]
- [GASPS]
- That's good.
[EXHALES]
I can breathe.
[SIGHS]
- [HUNT SIGHS] Hey. What do we got?
- This is Joshy.
He came in with a four-by-four
centimeter abscess.
We started the I and D, but made the
incision here, and there's no pus.
Mmm. Yeah, I see the problem. It's
likely loculated and deeper. Okay.
Palpate around the perimeter.
Okay. You made a good first incision,
but you need to use your finger
to get to the correct pocket.
Okay. Now, as you palpate, it's
you're gonna feel pressure.
- [JOSHY GROANS]
- You feel that?
- Yeah.
- Okay. Good. Uh, scalpel.
- [SQUELCHING]
- [YASUDA] All right. Let's get this here.
Now, cut deeper.
- [YASUDA] Wait one second.
- [MILLIN] Okay.
- [BOTH] Ooh!
- Oh, my God. Yes!
[GAGS]
Yeah. Unfortunately, you
never forget that smell.
- [SIGHS]
- [HUNT] You okay there, Joshy?
[WHIMPERING] Never felt better.
- Thank God for Dr. Millin.
- [HUNT] Nice work. Okay.
Let's wash out the wound,
pack it with iodine gauze,
and set him up with home
health for dressing changes.
Whoa! I need a gurney!
Does anybody know who this guy is?
Really? I think this is the same
model that I practiced on 20 years ago.
Are you ready or not for
phase two? Fine motor skills?
You need to do an anastomosis with
this perfect saphenous vein graft.
[GROANS]
- We can stop if you need to, you know.
- No, I'm good.
This patient needs a bypass,
and I am going to give him one.
Potts scissors. Right. Um.
- No.
- Um.
- Ugh.
- [SIGHS] You're no BokHee.
- Neither are you.
- [DOOR OPENS]
[NDUGU] Am I interrupting?
Dr. Ndugu.
I have been standing for multiple hours.
I have performed CPR, and
I've cracked a chest,
and now I am operating on a heart.
I can assure you that I have stamina.
Well, that's great.
But you're not cleared.
- I feel fine.
- Yeah, you feel fine today.
We both know recovery for
open-heart surgery is a month minimum.
If you came back early and
something happened to a patient,
I wouldn't be able to live
with myself, and neither would you.
- I'll take her to the OR.
- Dr. Webber.
I've been with her all day.
I know what she can do.
I'll observe her work, and then
I'll sign off on her return.
If he signs off, then I do too.
And then after that, I'm gonna need
labs on the Turner kid in room 1343.
- And make sure that
- You stole my intern?
- Your surgery was canceled.
- It's back on.
Okay. Well, if interns aren't
allowed in the OR anyway,
I could really use him on my post-ops.
- Yeah, I could use the hours in peds.
- Prep Vida.
Right now. He's occupied.
Clearly.
[ON PA] Dr. Faraji to
the SICU. Dr. Faraji
- I'm gonna prep Vida.
- Great. See you in the OR.
- I won't be there.
- I'll see Dr. Griffith?
- No, interns aren't allowed in the OR.
- Says who?
[BAILEY] Wha
You
- This used to be an office.
- Never.
It doesn't matter. What matters is
What happened, Bailey?
- Vida consented.
- No, no, no, no. Not to Vida, to you.
You once put an HIV virus in a kid
because you read two papers
that said it might cure his SCID.
Okay. It-It-It Had it
ever been done before? No.
But you did it anyways because
otherwise the kid might have died.
- [STAMMERING] Okay, Robbins
- [SHUSHES] I'm still going. Okay?
You got an award for teaching,
which is not surprising,
because you raised surgeons like
Cristina Yang and Meredith Grey.
And you were finally
recognized for that.
So can you imagine how
excited I was to come back here
and to stand next to
you and to teach? But
interns are not even allowed in the OR?
- [STAMMERS]
- I mean What Bailey.
[SIGHS]
We might fix a baby's
brain inside a womb.
That is magic.
And I don't know I don't know
what the interns did to
get themselves banned.
And I'm sure that it was awful.
But if you don't
let them see the magic,
then how will they be
motivated to get back in?
[CLICKS TONGUE]
[ALTMAN] I can't
remember the last time
I was this excited for a VATS procedure.
Maybe my first, but some of
the excitement was terror.
My attending stood over me
[MUFFLED] the entire time,
but I held it together,
and the procedure went fine.
I never think that
nerves are a bad thing.
[NORMAL] Ready?
- [WILSON] Spinal's been administered.
- [SHEPHERD] Great. Thank you.
Hi, Vida. It's Dr. Robbins.
Okay. I want to ask you one
more time if you're sure,
because you can still say no.
You are the one that's in control.
Yeah.
Yeah, I'm sure.
I'm ready.
Save my baby.
[ROBBINS SIGHS]
[BAILEY] Okay. Up against
the wall. All of you.
[ROBBINS] Okay. Let's do this.
Ultrasound, please.
Dim the lights.
All right, baby girl.
Here we go.
[ROBBINS] Okay, keep going.
We need the back of the baby's
head facing the mom's belly.
- [WILSON] I'm doing the best I can.
- [PHONE VIBRATES]
- She's being stubborn.
- Schmitt. Gotta go.
Doesn't Bailey outrank him?
[KWAN] It's been 20 minutes of this.
[ROBBINS] Maybe try the other direction.
[DOOR OPENS]
- [PHONE RINGING]
- [YASUDA SOFTLY] It's you.
[SIGHS] If that phone
belongs to one of you,
take it in this room, 'cause it's
the last time you'll be in it.
[ADAMS] It isn't mine.
[YASUDA] If we weren't
fired this morning, we are now.
- [GRIFFITH] Turn it off.
- I'm trying.
- It's Doug. [SIGHS]
- [DOOR OPENS]
[WILSON] We're close. I
almost have the head in position.
[ROBBINS] There. There.
Okay, Wilson, hold her there.
Injecting the paralytic and
anesthetic into the baby's thigh.
[WILSON] Needle is in.
[ROBBINS] Okay.
There she is.
She's still.
- Dr. Shepherd.
- [SHEPHERD] Start the clock.
Eighteen gauge, please.
Every second puts the mother
and baby in more danger,
so let's make them count.
- What is your problem?
- I woke up alone.
- I was in surgery.
- Okay. Calm down, Julie Jules.
- Dr. Millin.
- You're my sister.
- I don't make you call me that.
- You're not a doctor.
I have spent every dollar
and every ounce of my
energy to achieve that title.
I have fought, sweat and
scraped my way through mess,
and I am done with anyone who
tries to take that away from me.
- Do you hear me?
- [HUNT] Millin.
- What?
- Yes?
He didn't say doctor.
He just said Millin.
Dr. Millin can't treat you
because she's your sister.
We have strict rules about
family treating family.
But I assume you know that, being
a health care professional and all.
Listen, I know it can be hard
to take advice from family,
so I'm gonna say this to you.
Misleading others in their health
and wellness is questionable at best.
And as you saw today, it
can have severe consequences.
So I recommend you find other
ways to influence people.
And I hope you're proud
that you're related
to an excellent physician.
Now, you're free to go, okay?
- Do you want a juice for the road?
- Mmm.
[BAILEY] Okay, it's been 14 minutes.
[SHEPHERD] We're going
as fast as we can.
We need about three more coils.
Stop, Shepherd.
Stop right now.
Okay. I'm gonna
speak quietly and calmly,
and I would like for
everyone else to do the same.
The baby is moving slightly,
and I'm gonna administer
another round of paralytics.
- [WILSON] We're mid-coil.
- Yeah.
If the baby is moving when
we're inserting the coils,
we risk putting them in the wrong place.
Can we shift the ultrasound, so we
can visualize the baby's thigh?
Very, very carefully, because
there's a needle sticking out
- the back of this baby's head.
- Robbins.
[ROBBINS] Bailey, I
need you to trust me.
All right. Calm down, baby girl.
Calm down.
There. Okay.
Here we go.
[WILSON] How much more
time does this buy us?
[ROBBINS] It doesn't.
This is just tiding us over.
We have five minutes. Okay, she's still.
Show me her heart.
[BEATING]
It's strong. Back to her brain.
Dr. Shepherd, you need to
- Move fast.
- Yeah.
- Hey.
- Hmm.
How was the VATS?
Well, Beckman's doing it.
I've been away from the OR
about three weeks [SMACKS LIPS]
and I thought today was the day.
But when I started to glove and gown,
I saw the patient.
I smelled the room
and heard the monitors.
I used to be able to
take a break from the OR.
And no matter how long I was out,
it would immediately
come right back to me.
But today
I didn't feel it come back.
It's still there.
You were watching me all day,
but I was also watching you.
You had my back today. You always do.
So let me do the same for you. Trust me.
If I ever believe that
you do not belong in there,
I will tell you.
[SHEPHERD] Okay. All coils deployed.
Removing the needle now.
[ROBBINS] Can you load the
pre-op ultrasound, please?
[WILSON] Oh, my God.
[GASPS] It's gone.
It's not gone.
It's repaired.
Dr. Bailey.
[WHIMPERING] Magic.
[WHIMPERS]
[ROBBINS] Great work, Dr. Shepherd.
[SCOFFS]
Uh, I restarted his trickle feeds.
His parents have been updated,
and they're on their way.
Thanks.
I saw Maxine
in my head. I
Dorian was struggling to breathe,
and I could only see Maxine.
[STAMMERS] You met with the
lawyers this morning, didn't you?
You'll keep seeing Maxine.
That's just how it is.
The memorable complications,
the ones that we think will
affect our entire careers.
They follow you whether
it's a good or bad outcome.
Soon, it
- it'll start to dull, though.
- Will it go away?
No. But I'm not sure we want it to.
Vida, it's still early,
but the procedure went well.
And so far, your baby's doing great.
Her cardiac output is, uh,
decreasing, and it looks promising.
[CHUCKLES]
Oh, my gosh. Thank you so much.
Um. So, what now? We just wait?
No, we'll follow
closely with imaging.
And after you give birth,
we will take the baby to
the NICU, likely for a month.
- A whole month?
- We need to be extra careful.
And then we'll continue to monitor
you and the baby for the next two years.
- We'll We'll be in it together.
- [CHUCKLES]
[VIDA] Gosh.
Dr. Bailey.
Yeah Uh Yes, I'm-I'm here.
- [CHUCKLES]
- Thank you.
Thank you for the clinic,
for following up with me,
- for introducing us to Dr. Robbins
- [BAILEY CHUCKLES]
for everything.
- Thank you.
- You are welcome.
Mmm.
[WHISPERS] Crisps. C-3.
- Doug seems
- Don't say nice or charming, please.
I was gonna say spoiled.
Infuriating.
I may be projecting
my own brother issues.
Do you know how many times
I have had to bail him out?
I always hated it when my mom would say,
"It's the big sister's job to
watch after the younger kids."
No, I mean out of jail.
Always for dumb stuff like
trespassing and vandalism.
And you know, it's the
same thing with my parents.
- Mmm.
- Something goes wrong, call Jules.
And the dumbest part is
that I answer every time.
You know, Maxine's more
family to me than them.
And the lawyer said that
her son doesn't want me
to be her medical proxy anymore.
You know, honestly,
he should be grateful.
If it weren't for our mistakes,
his mom could still
be on a vent or dead.
That is a terrible thing to say.
Well, we might all be
named in lawsuits anyway.
Okay, but why you?
You didn't even do
anything wrong that night.
This is what I keep saying.
Finally.
Are my keys back there?
Adams texted me that
they were at the desk.
Okay. Yeah, I'm gonna kill him.
Would you page Adams and tell him
the chief of neuro needs a word?
Wow. You really have
it out for that intern.
You really sneak up on people.
Did he make a mistake
on one of your patients?
He's my nephew, and he's crashing
at my place, and he's a slob.
- Also, he has my car keys.
- Mmm. You need a ride home?
Uh. No, thanks.
Well, cut him some slack.
I mean, his aunt just performed
groundbreaking surgery,
and he can't even
enter labs correctly.
- He messed up your labs?
- Hmm. Horribly.
We were all interns once.
Congrats on your surgery.
It still smells the same in here.
[SCOFFS] You said you'd
make history, and you did.
We did.
Uh, look, the interns killed a patient
by opening his chest without
an attending being in the room.
So, I sidelined them.
They have to complete procedure
logs with all the basics
before being allowed back in the OR.
- They're almost finished.
- Mmm.
You know, going back to the basics
won't stop them from making mistakes.
They're interns. [CHUCKLES]
- Tiny surgeons.
- Mmm.
But you know this. [CHUCKLES] So I
Okay, last month, Ben
broke his arm on duty.
- Oh. I
- No, no, he was fine,
but he could only man the
desk or drive the trucks.
And then today, the brace came off.
So, now he'll be right
back to the calls and
- Danger.
- Yes.
- [ROBBINS] Ugh.
- [WHIMPERS] Yes.
It's so hard letting
them out of our sight.
[INHALES]
But you have to trust in
things you can't see.
Sometimes you just
gotta trust [SIGHS]
that it'll be okay.
Yeah, that, um, isn't
exactly easy for me. It's
Yeah, fair.
So, are you gonna let
'em back in the OR?
- Hell no.
- Bailey.
[STAMMERS] They didn't
even appreciate the magic.
Okay.
- There she is.
- What?
[GREY] As long as you're hurting,
you're living. We know this.
- Goodness.
- [ROBBINS] I missed you.
- [LAUGHS]
- Pain is an excellent teacher.
I did it.
I completed my log.
I'm going to the OR.
[SINGING] I beat all you people.
Let me see that.
You got lucky.
Or I work hard and I'm a good doctor,
unlike the rest of you, who
gravitate toward malpractice.
Are you rounding on Vida
in the morning or am I?
Whatever.
If you don't wanna talk to me, fine,
- but can you at least be civil?
- I didn't say anything.
Okay, could you two please not?
[BAILEY] I could say
the same to all of you.
Now, I gave you the opportunity
to watch medical history be made today,
and all you care about is which
one of you is doing what procedure,
how many or whose fault it is.
Everything in that OR today happened
because some of the best
surgeons put their heads together.
They communicated. They anticipated.
You wanna get back in the OR? You
need to learn to work together.
So, here's the new rule.
Nobody operates until every
procedure card is completed.
- But I just finished mine.
- Good for you.
You can help your
colleagues finish theirs.
Great.
And life is full of sayings
that remind us of its upsides.
Growing pains. Labor pains.
- Hey.
- [ADAMS] Hi.
Happy tears.
So good it hurts.
I, uh I bought more coffee.
Pain warns us.
It protects us.
Intern year is hard.
- I remember.
- [CHUCKLES]
Yeah, really?
Did you almost flame out
in your first few months?
If I'm being honest, yes.
Did you alienate all your friends?
Well, when I wasn't
sober. Definitely.
Did you have to live in
your family's shadow?
Wonder if you ever live
up to those expectations?
Your uncle Derek was a legend.
Well, you have no idea what it
was like working here with him.
I meant you.
Come here.
And most of all,
pain makes us appreciate
life's pleasures.
Cherish good company, good health.
What if I'm not cut out for this?
You'll find something else to do,
and the family legacy dies with me.
But I think you'll be fine.
Savor the moments after the hurting,
when you're all better, pain-free.
You're gonna watch with me?
Well, you're kinda on my bed.
At least for a while.