Grey's Anatomy s21e06 Episode Script
Night Moves
1
Baby, you should
know all these people ♪
MEREDITH: Despite its complexity,
the human brain can only focus
on about one thing at a time.
How about we share the pâté?
Teddy, I thought we said no screens.
I'm sorry. It is my last CABG patient,
and the nurses needed
an order for a bolus.
Maybe use an intern.
Tell them to call Beckman!
- Well, she is my patient.
- Hunt.
- Oh!
- Altman.
- How are you?
- Hi.
David, hi.
Of course, you remember
my incredible wife, Cass.
- We met at that boring dinner last year.
- Right.
That might have been the last time
we had a sit-down dinner together.
- [CELLPHONE VIBRATES]
- It might be.
- Oh, there's a trauma coming.
- Oh, yeah. Multiple victims.
Including this dinner.
Um. Hey, wait. Listen,
why don't you two stay?
- At least somebody can have fun.
- Oh
Please, take my seat.
[CHUCKLES NERVOUSLY] Um
- Why not?
- Sure. Yeah. Of course. Please.
- What?
- [WHISPERS] I'm sorry.
MEREDITH: Mono-tasking
reduces distraction,
sharpens attention, and allows us
to operate at peak performance.
All the problems we had ♪
MEREDITH: But surgical
residents don't have that luxury.
One thing? Try 30.
Luna's fever's still 100,
but thankfully, Scout
has taken some Pedialyte,
so that's something.
Maybe I should call and
tell him I can't make it in.
You think I can't handle two sick kids?
You're on call. Go.
Every time you come, come,
come to say that you don't ♪
- I thought I was charging my computer.
- Yeah, my phone was at 2%.
So you couldn't have used
one of the other 50 chargers
we have in the house?
Next time, I'll ignore the
vomiting kid to go find one.
Can you move your bag?
I'm trying to clean.
Can you see it? Have
a hard time believin' ♪
Thanks.
I was ready to leave, the
man you were once is gone ♪
MEREDITH: They order labs,
dictate notes, take vitals,
check drains,
make split second-decisions
while on the move.
It's chaos.
Fresh from the warmer.
- Chloe, how are you feeling?
- Like I got chemo today.
Hopefully you'll feel a little better
after a night's sleep.
- Thank you.
- Yeah.
- I brought one for you, too.
- Thanks.
I'm not sure who's
more tired, her or me.
You have been working a lot.
Yeah, well, making up
for the time I took off.
Thanks for that, too.
I'll swing by in a bit.
- And you had better be sleeping.
- Mm-hmm.
Can you see it? Have
a hard time believin' ♪
- She's quality.
- Shut up.
MEREDITH: But a brain can adapt
and thrive in just about
anything, even chaos.
Hey. I thought you
were on trauma tonight.
I am, but I've been
playing chess with Ophelia,
and it was my turn,
so I came to check in.
- Her leg looks good.
- Yeah. Her parents are on their way.
I heard it's pretty
backed up, but
hopefully she gets
moved into rehab tonight.
Yeah, she told me at least five times.
I said I'd come by and see
her again before she goes.
- She's very excited.
- Hey, speaking of excitement,
I heard you got the research
position with Wilkinson. Congrats.
Oh, I, um, I haven't
officially accepted yet.
That's smart. Take your time deciding.
You think that I shouldn't
take it? You told me about it.
No, no, it's a great opportunity.
It just it doesn't
guarantee a peds fellowship.
So I don't want you to feel resentful
if you spend a year in Texas
and it doesn't work out.
- [CELLPHONE VIBRATES]
- Um
It's Webber.
Um, if you were me, would you take it?
Yeah. But I really love Tex-Mex.
[ELEVATOR BELL DINGS,
ANNOUNCEMENT OVER P.A.]
[SCOFFS]
[SIREN WAILING IN DISTANCE]
Hey. I heard you're going home.
Yeah, yeah, I hit my 80 hours this week,
so Bailey tagged me out.
I'm just gonna crash
in an on-call room.
E.R. consults drunk
guy with an arm lac,
drunk guy with a head lac,
and drunk guy just drunk.
You can pick first.
- Have fun.
- Mm-hmm.
- I'll catch you in the morning, yeah?
- Yeah. Love you.
♪
[ELEVATOR BELL DINGS]
- Did that just happen?
- It's on replay in my head.
♪
[CLASSICAL MUSIC PLAYS]
Was I hearing things,
or were you listening to
the "Final Fantasy" theme yesterday?
Good ear. Yes.
I love how the instrumentation
gives the franchise
that bright, regal feel. [CHUCKLES]
- [COUGHS]
- How we doing, maestro?
Oh, teaching Dr. Millin
the joy of orchestration.
- Can you keep a beat, Dr. Ndugu?
- Of course.
- I'm a heart surgeon.
- [BOTH LAUGH]
- How's he doing?
- Uh, hemodynamically normal,
except for the past hour.
He's a little bit tachycardic,
in the low hundreds.
Chest tube put out 50 cc's overnight.
I did walk to a chair today,
but I can also use a new lung.
Well, how about I go get you one?
- Don't play with me, now.
- I'm going right now to procure it.
Dr. Millin will take care
of you until I get back.
Let's, uh, see how his heart
rate does on a 500 CC bolus.
And call me if you need me. You
got the whole floor tonight, okay?
Rest up. Okay? I'll be back.
♪
Am I in trouble?
We know about the peds
research position in Texas.
They called to get a
letter of good standing.
Oh.
Um I was going to tell you.
Well, actually, we're glad
they gave us a heads-up.
We'd like to extend an offer, as well.
General surgery attending.
I mean, you'd have to
finish your residency,
but we wanted to let you know now
- while you're making this decision.
- Okay.
Most attendings start at this salary,
but there's room to negotiate.
- [INHALES SHARPLY]
- Mm-hmm.
Uh, plus, there's seed
money for research,
a signing bonus, healthy
student loan repayment.
I, uh, I I really wasn't
expecting this. Um
- I'm not sure what to say.
- Think about it.
Uh, better yet, let's try it out.
You're on my service tonight
but as the attending.
Yeah? Okay. Let's go. [LAUGHS]
[SIGHS]
Oh, hey. My last surgery pushed
until tomorrow. How's Scout?
Still sick. He threw up on his bed.
- Oh, poor thing.
- He seemed better when I left.
I meant Jo. I'm going to go pick him up.
- That'd be great. Yeah.
- Okay.
Oh, but don't tell Jo I said that.
She's trying to do it all.
Okay. Yeah.
WOMAN: Doctors Luke to the E.R.
Doctors Tommy and Martha Luke.
What if I say it again but give
him more time to say it back?
Uh, I don't think lack
of time is the problem.
Is it going to be weird now?
Well, you told him you loved him
at work and he left you hanging.
- Yes is my answer.
- I hate everything.
Except Adams.
Kwan, Griffith, finish up and let's go.
Multiple traumas arriving.
- Uh, you go ahead first. I'll catch up.
- Okay.
Love you.
WOMAN: Dr. Laura to
the NICU. To the NICU.
Looks like someone promoted themselves.
Webber and Bailey offered
me an attending position.
What? That's amazing.
Did they say anything about me?
Well, it was an early offer
because they know about Texas.
I'm just doing a trial run tonight.
Where do I apply for a crappy
research job that I can leverage?
Well, it's clinical research.
I'd be with peds patients.
And how does James
feel about you chasing
your peds dreams in Texas?
I'm not sure.
He got paged to a code after I told him,
and that was the last time we talked.
I-I-I don't even know
what I'm going to do yet.
Well, you got two job
offers and a boyfriend.
You get zero sympathy.
BLUE: Trauma's here.
[SIREN WAILING]
- MONICA: Schmitt!
- Schmitt! Oh, he's with me.
Official business.
[SIREN CHIRPS]
- Navy scrubs. Kind of bold. Isn't it?
- Should I go change?
Scaffolding collapsed
at a concert venue.
17-year-old female,
GCS 15, unstable pelvis.
Binder was placed at the
scene. Vitals are stable.
Given four milligrams
of morphine en route.
I'm Dr. Beltran. Can
you tell me your name?
Joni. But where's
Vaughn? He was onstage.
We'll find him for
you. He's your friend?
My boyfriend. And incredibly talented.
Let's get her to trauma three.
Okay, Schmitt, whatever's in this rig,
- we're following your lead.
- Alright, let's go.
If you're giving away promotions,
- can I be a fifth-year?
- What do you think?
19-year-old male.
Penetrating abdominal injury
after a fall from a
two-story scaffolding.
GCS 15. Systolic in the low 100s.
Received two liters of fluid.
Well, that's going to
be tricky. Trauma one.
Get him inside. Let's go.
♪
Oh
I don't know what I want.
Thank goodness no one's asking.
Do you know what panisse is?
It comes with the lamb.
No, um, I don't.
Do you want me to look it up?
No. If it was any good,
they'd probably be more
upfront about it on the menu.
Honestly, I think the best
meal I've ever had is when
Owen and I shared a can of
re-fried beans on flatbread.
During the Great Depression?
We served in the Army.
It turns out, everything tastes
better after military rations.
You were in the military?
- Yeah, that's where we met.
- Wow.
You just look so poised and put together
in your boss-lady heels. Who knew?
Thanks. I would prefer a
t-shirt and combat boots,
and I would take a burger
over this menu any day.
Do you want to ditch this
place and go somewhere
that serves fries
instead of pomme frites?
- Yes. Please.
- Oh, great.
[BOTH LAUGH]
Wonderful.
Okay, just take a little No?
- No.
- Just a little sip?
Good job, good job, good.
- "Great job. You did so"
- [DOORBELL RINGS]
- Hey.
- Hey.
Oh, wow, I thought that
you had a late surgery.
Mommy!
Um, wait, did Link tell you to
come rescue me? [SCOFFS]
Uh, I was gonna ask
how everybody is doing,
but I think I got it.
- I'm fine.
- Hey, sweetie. I'm sorry you're sick.
I'm just gonna take you home.
Ooh! Hey, do you have his lovey?
I'm just gonna take him home.
Despite what Link may have
told you, I'm not incompetent.
Uh, no. He Uh, he
never said that you were.
You know, I just want to
take care of my sick kid.
Everything is under control.
I've got it. I'm fine.
Okay.
Well, I think we're just gonna go.
- [SCOUT VOMITS]
- Ooh!
Or maybe we will change first.
LUNA: [CRIES]
- I'm coming, sweetie.
- Mama!
- I'll run him a bath.
- [CRYING CONTINUES]
- Joni, I'm Dr. Lincoln.
- Have you seen Vaughn? W-Where is he?
- Vaughn is?
- Boyfriend. Trauma one.
He's got a pink stripe in his hair.
Ice-cold eyes.
The skull pinky ring that I gave him.
- He was performing at the concert.
- Clear.
No pneumothorax or
fractures in the chest X-ray.
What instrument does Vaughn play?
- Ugh! Air.
- She's on morphine.
Try and hold still.
No, he plays air guitar.
Tonight was the regional championship.
She's got a bad pelvic fracture.
The scaffolding from the performance
fell right [GRUNTS] into the crowd.
He was supposed to
make it to the finals.
He could have taken Scissor's title.
No, he would have.
Yeah, I'm sure he's great at air.
FAST was negative.
Systolics are stable at 110.
- All right, let's get her to CT.
- Parents are on their way.
Oh! Uh, they're they're
not the biggest fans of Vaughn.
Could you maybe not
mention that he's here?
Patient privacy laws. We
couldn't if we wanted to.
Griffith, would you put
in the trauma scan orders,
meet us in CT?
OWEN: What have we got?
Ah, this is Vaughn,
19-year-old male.
Thoracoabdominal impalement.
Systolics in the low hundreds.
Responding to fluids.
- Pleasure to meet you, sir.
- Try not to move. Save your energy.
Help get another IV.
Give 20 of fentanyl.
We need to type and cross
and hang two units of O-neg.
Schmitt's running point on this one.
Copy that. Where'd you need me?
Put in the orders for CT.
If we can stabilize him more,
we might be able to run him through
the scanner on the way to the O.R.
Can somebody get a message
to my girlfriend, Joni?
Try not to talk. Frankly,
It's a miracle you can even
- [MONITORS BEEPING]
- Uh, his pressure's tanking.
OWEN: There's blood
in the Foley catheter.
Change of plans. We need
to get him to the O.R. now.
[BEEPING CONTINUES]
- Am I good?
- Uh-huh.
Alright, let's go.
♪
We got here as fast as we could.
Where is she? Can we see our Joni?
She's on her way to radiology,
but I will let her know you're here.
Thank you so much.
My roommate's here.
Vaughn Bishop rad riffer, sick hair.
Gish?
Mr. and Mrs. F!
Dude, crazy night, right?
All those people in the crowd,
and Vaughn falls and
bloosh crushes Joni.
I mean, coincidence or true love?
How about true stupidity?
I'm going to strangle that kid.
Let's not invoke violence
in the emergency room.
It was my idea for him
to climb the scaffold.
I built them so he could
shred off the rafters.
If you're going to be cheesed
at anyone, it should be me.
I don't get it. She's a smart kid.
- Where did we go wrong?
- Sir, look.
No, this is gonna live
on the Internet forever.
Everyone will know she's the girl
who got crushed by an idiot guitar mime.
All due respect, air musician.
Why don't I show you both
to the family waiting area?
- And Gish?
- I got this guy.
Right this way.
I'll show you where the other
air musicians are waiting,
- uh, Mister
- Gish. Just Gish. Like Slash.
Yeah. Yep, that makes sense.
WOMAN: Dr. Stephanie Russell to
cardiology. Dr. Russell to cardiology.
[ELEVATOR BELL DINGS]
You're supposed to be sleeping.
Well, in a dumb moment of exhaustion,
I gave Mr. Donovan in
2114 my cellphone number,
and he texted me "911" times in a row.
- What did he want?
- A hot dog.
He called it a hot dog sandwich.
Also, um, every time I close my eyes,
I see the worst possible
outcomes for Chloe.
She's here. She's getting the best care.
And you being sleep deprived
won't change anything.
Also, isn't Mr. Donovan
on a liquids-only diet?
- [BOTH CHUCKLE]
- [ALARM BLARES]
WOMAN: Rapid response,
second floor, ICU.
Rapid response, second floor, ICU.
Rapid response, second floor, ICU.
Rapid response, second floor
- Mr. Riley, are you okay?
- You tell me.
Uh, the pump isn't working.
There's low flow in the circuit.
- We need a new pump ASAP.
- KAREN: On it.
We need to switch over to the
emergency hand crank, or he'll code.
Okay.
- Cannula flow.
- Am I Am I dying?
Just some technical difficulties.
That's all. Do your best to stay calm.
KAREN: Dr. Millin, I'm sorry.
Best-case scenario on a new
pump is a couple of hours.
The ECLS coordinator
accidentally left with the keys
- to the supply closet.
- What?
[CELLPHONE CHIMES]
Ugh! Dr. Ndugu's triple
A patient is tachy.
Yeah, and his quadruple bypass next door
has blood in the pleurovac.
Wait, you're both leaving?
Go. I can take over you.
You don't You're supposed
You need help. Chloe's down the hall.
I've got this.
[MONITORS BEEPING]
♪
Go.
[BREATHING RAGGEDLY]
So, I have to reconstruct
this guy's entire face,
which is barely a face after
busting through the back windshield.
- Insert seat-belt PSA here.
- Exactly.
I get home, and I just
want to crawl into my bed
Mm-hmm.
And David has taken apart
our kids' marble run,
and my son is freaking out,
so now I have to reconstruct that, too.
Of course you do.
And he wonders why I'm not in the mood.
Well, we're scheduling sex,
and it's going about as
well as you could imagine.
I'm sorry. That was
just way more information
- than you needed to know.
- No. You're fine.
We're not at work. You have
to get it out somewhere.
- Isn't that what therapy is for?
- Sure.
Listen, a few years back,
David and I went through
a really rough patch.
We couldn't talk without arguing.
The spark was gone.
I didn't know if we
were going to make it.
- So what did you do?
- We opened our marriage.
Opened as in ?
Yeah, we date and
sleep with other people.
- Oh!
- Mm-hmm.
I mean, with boundaries, of course.
And it's not for everyone,
but it worked wonders for us.
But you're a trauma surgeon at
Seattle Presbyterian with two kids.
How do you find the time?
Hot single tennis pro.
- You have time for tennis?
- [LAUGHS]
- I do.
- [BOTH LAUGH]
- Do you want another round?
- Yes, please.
Excuse me. Can we have another?
He's changed and bathed.
And I'm just going to let
him sleep for half an hour
before I take him, if that's okay.
- Yeah, sure.
- Also, thank you for your clothes.
Hey.
You can tell me where to shove it,
but, I mean, give yourself some grace.
It's impossible to do
it all on a good day,
let alone when there's a sick kid.
You know what? Forget the half-hour.
Clearly, you do not want
company. That's fine.
- I'm going to grab him.
- It's not you.
When Luna woke up sick this morning,
she started crying, and she asked
for Jessica, her daycare teacher.
Yeah.
That sucks.
I'm at the hospital
working 80 hours a week,
and I don't have time to
make the the cute lunches
or, um
take her to, you know,
story time at the library
or do any of the good things
that parents are supposed to do.
All I ever do is
feed her and clothe her and bathe her.
[SCOFFS]
Well, if it helps, we
don't even have the robust,
explicit memories until
about 7 years old.
[CHUCKLES, SNIFFLES]
I just
I really wanted to give her
the mother that I never had,
and instead, she's at daycare all day
developing a secure
attachment to Jessica.
And this is all while
I have just one kid.
What's going to happen
when I have two more?
You and Link ?
Oh, my God.
[LUNA CRIES]
- Do you want me?
- No, I've got it.
[CRYING CONTINUES]
Clamp.
Schmitt, you want to
ask Kwan what he sees?
I can just answer you.
Or wait to be asked.
Kwan, what do you see?
- Um, perforated small bowel.
- Right.
Kidney seems involved.
Maybe a small liver lac.
There's probably more.
How do you want to handle that?
Let's pack first, then
go quadrant by quadrant.
We'll save the scaffold for last.
Dr. Hunt, you can pull it out slowly.
And the rest of us will
attack any problems as we go.
Alright. You heard the man.
OWEN: Let's get packing.
I know it's basic,
falling for the musician.
He is not a musician.
My parents say I'm
making a fool of myself,
but they're just jealous.
I'm kissing my boyfriend
onstage at his concerts,
and they don't even hold hands anymore.
They're probably just worried.
They don't want you to have regrets.
He's Van Vaughn Bishop.
What would I regret?
Haven't a clue.
Type three pelvic fracture
with active extrapolation
of the contrast.
Yeah. She's bleeding.
We should embolize before you repair it.
Does anyone know about Vaughn?
I'm sorry I keep asking
about him. I just love him.
I love him so much, I'm even
willing to put up with Gish.
- What's gish?
- You don't want to know.
[PUMP WHIRRING]
How's it going?
Took me a while to find the right speed,
but now I'm in a groove and he's stable.
Well, I can take over for
you. You can go be with Chloe.
I want to stay.
Gives my mind something
useful to focus on.
Plus, you've done so much for me.
I'd like to do something for you.
Oh, I-I wanted to help you.
You don't owe me anything.
I know.
[CLEARS THROAT]
Uh, the pump is on its way.
I'm going to go do my rounds,
and I'll be back by
the time it gets here.
Are you sure you're good?
I'm single-handedly
keeping this guy alive.
What's better than that?
I'm almost done with the small bowel.
- Almost out of the abdomen.
- It's going to take weeks of recovery.
Should have climbed air scaffolding.
Okay, this isn't the time for judgment.
Would you go to an air
guitar concert, Dr. Bailey?
I don't do crowds, unless it's Beyoncé.
Alright, last serosal tear is repaired.
We can run the bowel again at the end.
You can continue pulling out the pipe.
Okay, here we go.
There we go.
BAILEY: Okay, he's hemorrhaging.
Looks like the rod went through
the kidney and his blood supply.
Alright, I need suction.
Lap pads. Kidney's shot.
OWEN: Well, luckily, he
can survive with only one.
Schmitt, do you want to do the honors?
Well, what if the other
kidney ever gets damaged?
What, do you want to try and salvage it?
If we did, he'd be open for longer.
If we can't save it, we'd be risking
him becoming
unstable for nothing.
[MUMBLING]
You can resect it or salvage it,
but you don't have much
longer to debate it.
Schmitt.
♪
Do you or Dr. Hunt want to step in?
- I want to salvage it.
- Are you sure?
Is he sure? Isn't the hilum injured?
We can repair the renal artery
and then do a renorrhaphy.
And you think that'll work?
I don't know, but it's the plan.
I'm still an attending, right?
You're damn right you are.
Alright. We're saving a kidney.
- 6-Oh prolene.
- [MONITORS BEEPING]
Beats the hell out of research.
♪
What's this?
Well, it was going to be the
best grilled cheese sandwich
you ever had, but I
couldn't find cheese,
so it's toast.
Thank you.
You're a mom and a resident.
That is two impossible
things at the same time.
I know it's going to be hard
in the beginning and the middle,
but I really want that big family.
And I want it for Luna,
too, for all of us.
I'm just I'm so worried
that I'm gonna mess it up.
Maybe I already have.
You haven't messed anything up.
Where's Link in all of this?
Can you lean on him more?
We haven't been in
the best place lately.
When he and I were together,
I would be lying if I said
that the years of friendship between
the two of you didn't bother me.
But I think it was Link who
was lying all along, to himself.
I think, underneath it all,
he always wanted you.
He proposed to you with three rings.
I had to listen for months about
how he was so in love with you.
Maybe.
Or maybe he was trying
to force us into something
because he was scared to leave.
I'm going to check on
Scout. You eat the toast.
You think there are air guitar teachers?
Why? You want lessons? Fluoro.
I'm just wondering
how you get good at it.
A lot of hours in front
of the bathroom mirror,
which, honestly, is
really where it belongs.
I don't know, I think it's sweet.
I mean, they know what they want,
and they're not holding back,
no matter how bonkers it is.
Alright, another bleeder down.
- Griffith, go for the next one.
- [MONITOR BEEPING]
Now, advance until you see the extrav.
Good.
Now flip the guide wire.
And advance again.
- Good.
- Deploying the coil.
- Ah, you make it look easy.
- Been practicing.
It shows. Go for the next bleeder.
- Okay. Thank you.
- Ah!
Well, the new pump is working.
I can't believe you
cranked that for so long.
I'm used to it. Grandma Servino
had an old-fashioned butter churn.
- [MONITORS BEEPING]
- [COUGHING]
His sats are dropping.
But the O2 on the ECMO
circuit's maxed out.
Call a rapid response.
We need to intubate.
WOMAN: Rapid response,
second floor, ICU.
- Rapid response, second floor, ICU.
- Okay, I know it's a little scary,
but this will help you to breathe.
- Rapid response, second floor, ICU.
- Okay. Oxygen.
Rapid response, second floor, ICU.
All right, we need X-ray in here.
1, 2. Okay.
- Careful. He only has one lung.
- Yeah.
♪
- Okay. Can you get the ambu ready?
- Mm-hmm.
I can see the cords. I I'm in.
We need to confirm placement.
I think we're okay.
[MACHINE WHIRRING]
[MONITOR BEEPING]
His pressures are dropping.
KAREN: I don't understand.
The pump's on,
but the flows keep cutting out.
Get us a visual of the chest.
I'm calling Dr. Ndugu.
[LINE RINGING]
Come on, answer, answer.
WINSTON: Millin, tell
me he's still alive.
He's still alive. But
we had to intubate him.
I think he's going to code.
There's not enough blood
moving through the ECMO machine.
Is that Yasuda?
- She's helping me.
- Pressures are plummeting.
♪
Alright. X-ray's up.
Okay. Damn it. His heart's herniating
into the right chest cavity
where his lung used to be.
- So what do we do?
- Alright. You'll need to
to to pump air, okay?
- What?
- Dr. Ndugu?
[CALL BREAKING UP]
Dr. Ndugu? I hate the night shift!
It's fine. We're fine.
He said to pump air
into the chest. Right?
- Chest tube.
- Right.
[MONITOR BEEPING]
- Okay, I have the syringe.
- Uh-huh.
Don't go anywhere.
Maybe you should
wait for an attending.
- Everyone's operating.
- If we wait, he dies.
She's going to need a new
image after every pump.
♪
Okay.
- Did it move?
- Uh, maybe a little. Go again.
[SPEAKS INDISTINCTLY]
- It moved! It moved! Pump again!
- Okay.
Pressure's coming up.
[SIGHS]
♪
He's stabilizing.
Oh, my God.
- We did it!
- Yeah.
- It's insane.
- I know!
I get more emails from my kids' school
than everyone else in
my life put together.
And Don't get me started
on the parent portals.
Oh, no, I lost my password.
I mean, who needs a portal
when you have all those emails?
[LAUGHING] This is crazy.
Mm!
I haven't had this
much fun in a long time.
Oh! Me neither.
When Owen got paged, my first
inclination was to go home
- and put on a pair of sweatpants.
- I'm glad you stayed.
Oh, me too. You know
what? At first, I felt like
maybe Owen and I needed
a break from the kids.
But maybe I just needed
a break from Owen.
Mm-hmm.
- Mm. Whoa. Um
- Oh.
Sorry. I misread.
Yeah. No.
I mean, your marriage might be open,
but me and Owen, it's it's we
- It's closed. It's very closed.
- Understood.
- Again, I'm I'm sorry.
- Yeah.
Let's forget it ever happened.
Mm, you know what?
It's late, so I think I'm just, um
- I'm just gonna get a ride home.
- Sure.
[DOOR OPENS]
- Hi! Were you in surgery?
- Hey!
No, I just like to wear the hat.
Okay. How'd it go?
I saved a man's kidney.
How's your night?
I spent it talking to an
adult leukemia patient.
The one that you were
going to see five hours ago?
Yeah. She was working
through some stuff.
Didn't want to leave.
So, have you thought
any more about Texas?
Actually
I'm thinking there might
be more for me here.
Really?
Webber offered me an attending position.
Oh, congratulations!
Also, there is this guy.
- Oh, a guy?
- Mm-hmm.
- Okay.
- He's very nice.
Okay. I like nice guys.
So as the pain meds wear off,
there's going to be
bad days and good days.
Stick with the P.T. It helps.
And maybe skip the air
guitar concerts for a while.
Hey, you hear that? Doctor's orders.
Will you order the labs for the morning
- and finish the post-op now?
- Okay.
- Get some rest, okay?
- [CELLPHONE RINGS]
Oh. Could you answer it for me?
Of course.
[CELLPHONE WHOOSHES]
Hey, babe. Are you okay?
I'm good. I was worried about you.
I dreamed about you during surgery.
- Can't dream under anesthesia.
- Aw, that's so sweet.
Chills me to the bone ♪
- Dude, what are you doing?
- It's mood music.
VAUGHN: I wish I could
play it for you right now.
- Oh, my God.
- Let's give them some privacy.
How do I get you alone? ♪
♪
How do I get you alone? ♪
I taught her that riff.
Oh, I bet you did.
Yeah, you did.
♪
WINSTON: Meet you in the O.R.
Good work, Millin.
I'd say 9 times out of 10,
that man would have died tonight.
Scrub in. You can do the
bronchial anastomosis.
- Really?
- After what you did tonight,
you deserve it.
Actually, there's there's
something I should tell you.
Uh, when Mr. Riley
Did I miss her?
You're in luck Transfer took
forever, so they're just packing up.
Okay. Hey.
Dr. Schmitt! I'm leaving.
Well, I'm glad you didn't
before I could say goodbye.
We couldn't have left.
She's been talking about
you the whole night.
I have something for you.
We can't thank you enough for
taking care of our daughter.
- Of course.
- Here.
That's you fixing my
leg on the helicopter,
so you always remember.
I love it. Thank you.
Hey, I-I wish I had
something to give you.
It's okay. I'll never forget you.
But I don't blame you anymore ♪
Thank you so much.
Thank you, Doctor.
For wasting all my time
and opening the door ♪
Now I know that
I'm not second best ♪
♪
I heard I might find you in here.
MIKA: And I heard I'm
here because of you.
You didn't have to give
up this surgery for me.
You said you were trying to
catch up on your case logs.
And you deserve it.
I'm gonna go home.
I miss you.
I miss us.
I mean, I don't even
know if we were an us.
But that thing we
started, it made me feel
♪
You shook me up.
In a good way. In a way I
didn't even know I needed.
And as much as I like your face,
it is pretty impossible to read,
so I'm gonna shut up now.
♪
Really wish you hadn't scrubbed in yet.
- You want your surgery back?
- No.
I really want to kiss you.
Right now, for a very long time.
Call it forgiveness ♪
But, um
♪
Rain check?
Hell yeah.
♪
I don't blame you anymore ♪
♪
While the world spins
circles 'round the sun ♪
We've been waking slowly one by one ♪
From other times ♪
From other memories ♪
From other lives ♪
We are letting go ♪
We say goodbye ♪
We are letting ♪
- WINSTON: Excellent work, Yasuda.
- Go ♪
MIKA: Thank you.
Years of reaching ♪
Schmitt, I heard you were
quite a hero last night.
Dr. Webber's patting himself on the back
for offering you the attending position.
It was both our idea. And
it was an excellent one.
I remember walking down these
halls as a sub-I with you,
dreaming that I might be
an attending here one day.
You've come a long way since then.
Thanks to both of you.
I think I would really like
being a general attending here.
But my love is peds.
I love the highs and the lows
and the goofy things they say,
and that when I save a kid,
I'm I'm not just saving a life.
I'm saving a lifetime.
And if I've learned
anything from the two of you,
it's to be passionate about your work.
So
I accepted the research
position in Texas.
♪
Then I guess the only
thing left to say is
congratulations.
♪
Go make us proud.
♪
How's Luna?
Did you get some sleep?
She's better. She's still down.
Good.
I know this isn't what you wanted.
What?
I don't want to force
you into something.
It's never going to be just us again.
It's going to be chaos, and I
I don't know. What if you leave me?
W-Why would you say that?
Everyone else has.
I don't want to do this alone.
That's what you think of me?
You You're gonna put me
in the same group as all
the other people in your life
that have been so awful to you?
Well, it's never been just us, Jo.
And the fact that you
think I would back out
just because we have two more?
[SIGHS]
MEREDITH: Scientists
call the conscious thought
needed to complete everyday tasks
"working memory."
[PRINTER BEEPS, WHIRS]
[GRUNTS SLEEPILY]
Oh, I'm sorry. Did I wake you?
I should get up.
- How was dinner?
- Oh, we ditched the restaurant
and went to the bar next door.
Get this Cass Beckman kissed me.
[CHUCKLES]
- What?
- Yeah, she'd had
a-a couple glasses of wine
I mean, we both had a couple.
Wait, so you both
You were both drunk? Did
you Did you kiss her back?
No. She just
She got the wrong idea, huh?
How?
- How?
- Yeah, how?
Do you think that I provoked this?
I don't know, Teddy.
Two minutes ago, I was asleep,
and now you're telling me
that some women kissed you?
You know what? I have to go do rounds.
- Owen, I [SIGHS]
- [DOOR SHUTS]
That memory is always there,
always busy, getting you
through the chaos of life
one task at a time.
- Morning.
- Is it time to go home?
This bed's really comfy.
- How was the chair?
- Irrelevant.
- I wound up working.
- Mm, I'm sorry.
Actually, I had a pretty great night.
Let's go home.
♪
In some ways, that's all life really is,
all the things we do strung together.
- Moonless tonight ♪
- [PHONE LINE RINGING]
Shattered the stars and
all that’s left behind ♪
MOLLY: Hi. You've
reached Molly's voicemail.
Please leave a message.
MEREDITH: This patient. This diagnosis.
- This procedure. This day.
- Is this a spark ♪
Or is it a hope we
find ourselves inside? ♪
Morning.
This night. This moment.
- How'd you sleep?
- Oh, great.
Some alarm kept going off
I'm normally self-assured, very poised.
I'm on fire when I'm in the O.R.
But when I'm around you,
my entire brain scrambles,
and sometimes I just say things.
You were tired and busy. It happens.
But I do love you, Lucas Adams.
I love you.
It's okay i-if it's too soon.
You don't have to say it back.
But that's how I feel.
♪
[CELLPHONE CHIMES]
Breathe in the glow
Crap. I'm late for rounds.
Orbiting slowly as the heavens sigh ♪
Oh, uh I love you, too.
The high and the low ♪
Balance is forming
as the stars align ♪
This connection. This
family. This friendship.
The best part about the night shift
is having breakfast like it's dinner.
Let's get fries at Joe's.
Oh, actually, I have to
round before I go home.
- Oh, sorry.
- Yeah.
- What are you doing here?
- Uh, waiting for you.
I have to tell you something.
I took the job in Texas.
Reflected like we are the light ♪
Hey, no, no, no, no.
Don't cry. Don't cry.
It's okay. We We
will text all the time.
And we can FaceTime and
watch our trashy TV shows.
And and you'll visit, and
I-I'll take you for Tex-Mex,
- assuming that I like it.
- [CHUCKLES TEARFULLY]
- Hey, hey.
- [CRYING] Damn it, Levi.
[SIGHS]
Do you know what I said
to to Bailey and Webber
in my residency interview?
That I-I wasn't here to make friends.
[BOTH LAUGH]
I was like a reality TV contestant.
I was I was focused and cutthroat.
Refract the light we're
blameless, hey, hey, ohhhh ♪
And then I met you.
Our colors bold ♪
You're my best friend.
Hey, we we will always be besties.
You do not need to be sad. I
I know, dummy, I know.
These are happy tears.
We're tiny islands in the night ♪
- So you're not mad?
- Of course not.
You're following your
dream, or whatever.
Okay, that's such a relief,
'cause I was I was
very nervous to tell you.
- Seriously?
- Yeah.
Well, I'm easy.
Think about how hard
it'll be to tell James.
[SIGHS]
We light up the sky as we rise ♪
And somewhere in all of that,
sleep and wake up. Sleep and wake up.
Can we stop for doughnuts?
I want powdered sugar.
Like, actually just the sugar.
Is that weird? Or a waffle.
Maybe we should get real breakfast.
That's healthier, right?
Mimi?
- Mimi.
- - Sleep and
- Mika!
- [HORN BLARING]
- [CARS CRASH]
- Wake up.
♪
♪
Baby, you should
know all these people ♪
MEREDITH: Despite its complexity,
the human brain can only focus
on about one thing at a time.
How about we share the pâté?
Teddy, I thought we said no screens.
I'm sorry. It is my last CABG patient,
and the nurses needed
an order for a bolus.
Maybe use an intern.
Tell them to call Beckman!
- Well, she is my patient.
- Hunt.
- Oh!
- Altman.
- How are you?
- Hi.
David, hi.
Of course, you remember
my incredible wife, Cass.
- We met at that boring dinner last year.
- Right.
That might have been the last time
we had a sit-down dinner together.
- [CELLPHONE VIBRATES]
- It might be.
- Oh, there's a trauma coming.
- Oh, yeah. Multiple victims.
Including this dinner.
Um. Hey, wait. Listen,
why don't you two stay?
- At least somebody can have fun.
- Oh
Please, take my seat.
[CHUCKLES NERVOUSLY] Um
- Why not?
- Sure. Yeah. Of course. Please.
- What?
- [WHISPERS] I'm sorry.
MEREDITH: Mono-tasking
reduces distraction,
sharpens attention, and allows us
to operate at peak performance.
All the problems we had ♪
MEREDITH: But surgical
residents don't have that luxury.
One thing? Try 30.
Luna's fever's still 100,
but thankfully, Scout
has taken some Pedialyte,
so that's something.
Maybe I should call and
tell him I can't make it in.
You think I can't handle two sick kids?
You're on call. Go.
Every time you come, come,
come to say that you don't ♪
- I thought I was charging my computer.
- Yeah, my phone was at 2%.
So you couldn't have used
one of the other 50 chargers
we have in the house?
Next time, I'll ignore the
vomiting kid to go find one.
Can you move your bag?
I'm trying to clean.
Can you see it? Have
a hard time believin' ♪
Thanks.
I was ready to leave, the
man you were once is gone ♪
MEREDITH: They order labs,
dictate notes, take vitals,
check drains,
make split second-decisions
while on the move.
It's chaos.
Fresh from the warmer.
- Chloe, how are you feeling?
- Like I got chemo today.
Hopefully you'll feel a little better
after a night's sleep.
- Thank you.
- Yeah.
- I brought one for you, too.
- Thanks.
I'm not sure who's
more tired, her or me.
You have been working a lot.
Yeah, well, making up
for the time I took off.
Thanks for that, too.
I'll swing by in a bit.
- And you had better be sleeping.
- Mm-hmm.
Can you see it? Have
a hard time believin' ♪
- She's quality.
- Shut up.
MEREDITH: But a brain can adapt
and thrive in just about
anything, even chaos.
Hey. I thought you
were on trauma tonight.
I am, but I've been
playing chess with Ophelia,
and it was my turn,
so I came to check in.
- Her leg looks good.
- Yeah. Her parents are on their way.
I heard it's pretty
backed up, but
hopefully she gets
moved into rehab tonight.
Yeah, she told me at least five times.
I said I'd come by and see
her again before she goes.
- She's very excited.
- Hey, speaking of excitement,
I heard you got the research
position with Wilkinson. Congrats.
Oh, I, um, I haven't
officially accepted yet.
That's smart. Take your time deciding.
You think that I shouldn't
take it? You told me about it.
No, no, it's a great opportunity.
It just it doesn't
guarantee a peds fellowship.
So I don't want you to feel resentful
if you spend a year in Texas
and it doesn't work out.
- [CELLPHONE VIBRATES]
- Um
It's Webber.
Um, if you were me, would you take it?
Yeah. But I really love Tex-Mex.
[ELEVATOR BELL DINGS,
ANNOUNCEMENT OVER P.A.]
[SCOFFS]
[SIREN WAILING IN DISTANCE]
Hey. I heard you're going home.
Yeah, yeah, I hit my 80 hours this week,
so Bailey tagged me out.
I'm just gonna crash
in an on-call room.
E.R. consults drunk
guy with an arm lac,
drunk guy with a head lac,
and drunk guy just drunk.
You can pick first.
- Have fun.
- Mm-hmm.
- I'll catch you in the morning, yeah?
- Yeah. Love you.
♪
[ELEVATOR BELL DINGS]
- Did that just happen?
- It's on replay in my head.
♪
[CLASSICAL MUSIC PLAYS]
Was I hearing things,
or were you listening to
the "Final Fantasy" theme yesterday?
Good ear. Yes.
I love how the instrumentation
gives the franchise
that bright, regal feel. [CHUCKLES]
- [COUGHS]
- How we doing, maestro?
Oh, teaching Dr. Millin
the joy of orchestration.
- Can you keep a beat, Dr. Ndugu?
- Of course.
- I'm a heart surgeon.
- [BOTH LAUGH]
- How's he doing?
- Uh, hemodynamically normal,
except for the past hour.
He's a little bit tachycardic,
in the low hundreds.
Chest tube put out 50 cc's overnight.
I did walk to a chair today,
but I can also use a new lung.
Well, how about I go get you one?
- Don't play with me, now.
- I'm going right now to procure it.
Dr. Millin will take care
of you until I get back.
Let's, uh, see how his heart
rate does on a 500 CC bolus.
And call me if you need me. You
got the whole floor tonight, okay?
Rest up. Okay? I'll be back.
♪
Am I in trouble?
We know about the peds
research position in Texas.
They called to get a
letter of good standing.
Oh.
Um I was going to tell you.
Well, actually, we're glad
they gave us a heads-up.
We'd like to extend an offer, as well.
General surgery attending.
I mean, you'd have to
finish your residency,
but we wanted to let you know now
- while you're making this decision.
- Okay.
Most attendings start at this salary,
but there's room to negotiate.
- [INHALES SHARPLY]
- Mm-hmm.
Uh, plus, there's seed
money for research,
a signing bonus, healthy
student loan repayment.
I, uh, I I really wasn't
expecting this. Um
- I'm not sure what to say.
- Think about it.
Uh, better yet, let's try it out.
You're on my service tonight
but as the attending.
Yeah? Okay. Let's go. [LAUGHS]
[SIGHS]
Oh, hey. My last surgery pushed
until tomorrow. How's Scout?
Still sick. He threw up on his bed.
- Oh, poor thing.
- He seemed better when I left.
I meant Jo. I'm going to go pick him up.
- That'd be great. Yeah.
- Okay.
Oh, but don't tell Jo I said that.
She's trying to do it all.
Okay. Yeah.
WOMAN: Doctors Luke to the E.R.
Doctors Tommy and Martha Luke.
What if I say it again but give
him more time to say it back?
Uh, I don't think lack
of time is the problem.
Is it going to be weird now?
Well, you told him you loved him
at work and he left you hanging.
- Yes is my answer.
- I hate everything.
Except Adams.
Kwan, Griffith, finish up and let's go.
Multiple traumas arriving.
- Uh, you go ahead first. I'll catch up.
- Okay.
Love you.
WOMAN: Dr. Laura to
the NICU. To the NICU.
Looks like someone promoted themselves.
Webber and Bailey offered
me an attending position.
What? That's amazing.
Did they say anything about me?
Well, it was an early offer
because they know about Texas.
I'm just doing a trial run tonight.
Where do I apply for a crappy
research job that I can leverage?
Well, it's clinical research.
I'd be with peds patients.
And how does James
feel about you chasing
your peds dreams in Texas?
I'm not sure.
He got paged to a code after I told him,
and that was the last time we talked.
I-I-I don't even know
what I'm going to do yet.
Well, you got two job
offers and a boyfriend.
You get zero sympathy.
BLUE: Trauma's here.
[SIREN WAILING]
- MONICA: Schmitt!
- Schmitt! Oh, he's with me.
Official business.
[SIREN CHIRPS]
- Navy scrubs. Kind of bold. Isn't it?
- Should I go change?
Scaffolding collapsed
at a concert venue.
17-year-old female,
GCS 15, unstable pelvis.
Binder was placed at the
scene. Vitals are stable.
Given four milligrams
of morphine en route.
I'm Dr. Beltran. Can
you tell me your name?
Joni. But where's
Vaughn? He was onstage.
We'll find him for
you. He's your friend?
My boyfriend. And incredibly talented.
Let's get her to trauma three.
Okay, Schmitt, whatever's in this rig,
- we're following your lead.
- Alright, let's go.
If you're giving away promotions,
- can I be a fifth-year?
- What do you think?
19-year-old male.
Penetrating abdominal injury
after a fall from a
two-story scaffolding.
GCS 15. Systolic in the low 100s.
Received two liters of fluid.
Well, that's going to
be tricky. Trauma one.
Get him inside. Let's go.
♪
Oh
I don't know what I want.
Thank goodness no one's asking.
Do you know what panisse is?
It comes with the lamb.
No, um, I don't.
Do you want me to look it up?
No. If it was any good,
they'd probably be more
upfront about it on the menu.
Honestly, I think the best
meal I've ever had is when
Owen and I shared a can of
re-fried beans on flatbread.
During the Great Depression?
We served in the Army.
It turns out, everything tastes
better after military rations.
You were in the military?
- Yeah, that's where we met.
- Wow.
You just look so poised and put together
in your boss-lady heels. Who knew?
Thanks. I would prefer a
t-shirt and combat boots,
and I would take a burger
over this menu any day.
Do you want to ditch this
place and go somewhere
that serves fries
instead of pomme frites?
- Yes. Please.
- Oh, great.
[BOTH LAUGH]
Wonderful.
Okay, just take a little No?
- No.
- Just a little sip?
Good job, good job, good.
- "Great job. You did so"
- [DOORBELL RINGS]
- Hey.
- Hey.
Oh, wow, I thought that
you had a late surgery.
Mommy!
Um, wait, did Link tell you to
come rescue me? [SCOFFS]
Uh, I was gonna ask
how everybody is doing,
but I think I got it.
- I'm fine.
- Hey, sweetie. I'm sorry you're sick.
I'm just gonna take you home.
Ooh! Hey, do you have his lovey?
I'm just gonna take him home.
Despite what Link may have
told you, I'm not incompetent.
Uh, no. He Uh, he
never said that you were.
You know, I just want to
take care of my sick kid.
Everything is under control.
I've got it. I'm fine.
Okay.
Well, I think we're just gonna go.
- [SCOUT VOMITS]
- Ooh!
Or maybe we will change first.
LUNA: [CRIES]
- I'm coming, sweetie.
- Mama!
- I'll run him a bath.
- [CRYING CONTINUES]
- Joni, I'm Dr. Lincoln.
- Have you seen Vaughn? W-Where is he?
- Vaughn is?
- Boyfriend. Trauma one.
He's got a pink stripe in his hair.
Ice-cold eyes.
The skull pinky ring that I gave him.
- He was performing at the concert.
- Clear.
No pneumothorax or
fractures in the chest X-ray.
What instrument does Vaughn play?
- Ugh! Air.
- She's on morphine.
Try and hold still.
No, he plays air guitar.
Tonight was the regional championship.
She's got a bad pelvic fracture.
The scaffolding from the performance
fell right [GRUNTS] into the crowd.
He was supposed to
make it to the finals.
He could have taken Scissor's title.
No, he would have.
Yeah, I'm sure he's great at air.
FAST was negative.
Systolics are stable at 110.
- All right, let's get her to CT.
- Parents are on their way.
Oh! Uh, they're they're
not the biggest fans of Vaughn.
Could you maybe not
mention that he's here?
Patient privacy laws. We
couldn't if we wanted to.
Griffith, would you put
in the trauma scan orders,
meet us in CT?
OWEN: What have we got?
Ah, this is Vaughn,
19-year-old male.
Thoracoabdominal impalement.
Systolics in the low hundreds.
Responding to fluids.
- Pleasure to meet you, sir.
- Try not to move. Save your energy.
Help get another IV.
Give 20 of fentanyl.
We need to type and cross
and hang two units of O-neg.
Schmitt's running point on this one.
Copy that. Where'd you need me?
Put in the orders for CT.
If we can stabilize him more,
we might be able to run him through
the scanner on the way to the O.R.
Can somebody get a message
to my girlfriend, Joni?
Try not to talk. Frankly,
It's a miracle you can even
- [MONITORS BEEPING]
- Uh, his pressure's tanking.
OWEN: There's blood
in the Foley catheter.
Change of plans. We need
to get him to the O.R. now.
[BEEPING CONTINUES]
- Am I good?
- Uh-huh.
Alright, let's go.
♪
We got here as fast as we could.
Where is she? Can we see our Joni?
She's on her way to radiology,
but I will let her know you're here.
Thank you so much.
My roommate's here.
Vaughn Bishop rad riffer, sick hair.
Gish?
Mr. and Mrs. F!
Dude, crazy night, right?
All those people in the crowd,
and Vaughn falls and
bloosh crushes Joni.
I mean, coincidence or true love?
How about true stupidity?
I'm going to strangle that kid.
Let's not invoke violence
in the emergency room.
It was my idea for him
to climb the scaffold.
I built them so he could
shred off the rafters.
If you're going to be cheesed
at anyone, it should be me.
I don't get it. She's a smart kid.
- Where did we go wrong?
- Sir, look.
No, this is gonna live
on the Internet forever.
Everyone will know she's the girl
who got crushed by an idiot guitar mime.
All due respect, air musician.
Why don't I show you both
to the family waiting area?
- And Gish?
- I got this guy.
Right this way.
I'll show you where the other
air musicians are waiting,
- uh, Mister
- Gish. Just Gish. Like Slash.
Yeah. Yep, that makes sense.
WOMAN: Dr. Stephanie Russell to
cardiology. Dr. Russell to cardiology.
[ELEVATOR BELL DINGS]
You're supposed to be sleeping.
Well, in a dumb moment of exhaustion,
I gave Mr. Donovan in
2114 my cellphone number,
and he texted me "911" times in a row.
- What did he want?
- A hot dog.
He called it a hot dog sandwich.
Also, um, every time I close my eyes,
I see the worst possible
outcomes for Chloe.
She's here. She's getting the best care.
And you being sleep deprived
won't change anything.
Also, isn't Mr. Donovan
on a liquids-only diet?
- [BOTH CHUCKLE]
- [ALARM BLARES]
WOMAN: Rapid response,
second floor, ICU.
Rapid response, second floor, ICU.
Rapid response, second floor, ICU.
Rapid response, second floor
- Mr. Riley, are you okay?
- You tell me.
Uh, the pump isn't working.
There's low flow in the circuit.
- We need a new pump ASAP.
- KAREN: On it.
We need to switch over to the
emergency hand crank, or he'll code.
Okay.
- Cannula flow.
- Am I Am I dying?
Just some technical difficulties.
That's all. Do your best to stay calm.
KAREN: Dr. Millin, I'm sorry.
Best-case scenario on a new
pump is a couple of hours.
The ECLS coordinator
accidentally left with the keys
- to the supply closet.
- What?
[CELLPHONE CHIMES]
Ugh! Dr. Ndugu's triple
A patient is tachy.
Yeah, and his quadruple bypass next door
has blood in the pleurovac.
Wait, you're both leaving?
Go. I can take over you.
You don't You're supposed
You need help. Chloe's down the hall.
I've got this.
[MONITORS BEEPING]
♪
Go.
[BREATHING RAGGEDLY]
So, I have to reconstruct
this guy's entire face,
which is barely a face after
busting through the back windshield.
- Insert seat-belt PSA here.
- Exactly.
I get home, and I just
want to crawl into my bed
Mm-hmm.
And David has taken apart
our kids' marble run,
and my son is freaking out,
so now I have to reconstruct that, too.
Of course you do.
And he wonders why I'm not in the mood.
Well, we're scheduling sex,
and it's going about as
well as you could imagine.
I'm sorry. That was
just way more information
- than you needed to know.
- No. You're fine.
We're not at work. You have
to get it out somewhere.
- Isn't that what therapy is for?
- Sure.
Listen, a few years back,
David and I went through
a really rough patch.
We couldn't talk without arguing.
The spark was gone.
I didn't know if we
were going to make it.
- So what did you do?
- We opened our marriage.
Opened as in ?
Yeah, we date and
sleep with other people.
- Oh!
- Mm-hmm.
I mean, with boundaries, of course.
And it's not for everyone,
but it worked wonders for us.
But you're a trauma surgeon at
Seattle Presbyterian with two kids.
How do you find the time?
Hot single tennis pro.
- You have time for tennis?
- [LAUGHS]
- I do.
- [BOTH LAUGH]
- Do you want another round?
- Yes, please.
Excuse me. Can we have another?
He's changed and bathed.
And I'm just going to let
him sleep for half an hour
before I take him, if that's okay.
- Yeah, sure.
- Also, thank you for your clothes.
Hey.
You can tell me where to shove it,
but, I mean, give yourself some grace.
It's impossible to do
it all on a good day,
let alone when there's a sick kid.
You know what? Forget the half-hour.
Clearly, you do not want
company. That's fine.
- I'm going to grab him.
- It's not you.
When Luna woke up sick this morning,
she started crying, and she asked
for Jessica, her daycare teacher.
Yeah.
That sucks.
I'm at the hospital
working 80 hours a week,
and I don't have time to
make the the cute lunches
or, um
take her to, you know,
story time at the library
or do any of the good things
that parents are supposed to do.
All I ever do is
feed her and clothe her and bathe her.
[SCOFFS]
Well, if it helps, we
don't even have the robust,
explicit memories until
about 7 years old.
[CHUCKLES, SNIFFLES]
I just
I really wanted to give her
the mother that I never had,
and instead, she's at daycare all day
developing a secure
attachment to Jessica.
And this is all while
I have just one kid.
What's going to happen
when I have two more?
You and Link ?
Oh, my God.
[LUNA CRIES]
- Do you want me?
- No, I've got it.
[CRYING CONTINUES]
Clamp.
Schmitt, you want to
ask Kwan what he sees?
I can just answer you.
Or wait to be asked.
Kwan, what do you see?
- Um, perforated small bowel.
- Right.
Kidney seems involved.
Maybe a small liver lac.
There's probably more.
How do you want to handle that?
Let's pack first, then
go quadrant by quadrant.
We'll save the scaffold for last.
Dr. Hunt, you can pull it out slowly.
And the rest of us will
attack any problems as we go.
Alright. You heard the man.
OWEN: Let's get packing.
I know it's basic,
falling for the musician.
He is not a musician.
My parents say I'm
making a fool of myself,
but they're just jealous.
I'm kissing my boyfriend
onstage at his concerts,
and they don't even hold hands anymore.
They're probably just worried.
They don't want you to have regrets.
He's Van Vaughn Bishop.
What would I regret?
Haven't a clue.
Type three pelvic fracture
with active extrapolation
of the contrast.
Yeah. She's bleeding.
We should embolize before you repair it.
Does anyone know about Vaughn?
I'm sorry I keep asking
about him. I just love him.
I love him so much, I'm even
willing to put up with Gish.
- What's gish?
- You don't want to know.
[PUMP WHIRRING]
How's it going?
Took me a while to find the right speed,
but now I'm in a groove and he's stable.
Well, I can take over for
you. You can go be with Chloe.
I want to stay.
Gives my mind something
useful to focus on.
Plus, you've done so much for me.
I'd like to do something for you.
Oh, I-I wanted to help you.
You don't owe me anything.
I know.
[CLEARS THROAT]
Uh, the pump is on its way.
I'm going to go do my rounds,
and I'll be back by
the time it gets here.
Are you sure you're good?
I'm single-handedly
keeping this guy alive.
What's better than that?
I'm almost done with the small bowel.
- Almost out of the abdomen.
- It's going to take weeks of recovery.
Should have climbed air scaffolding.
Okay, this isn't the time for judgment.
Would you go to an air
guitar concert, Dr. Bailey?
I don't do crowds, unless it's Beyoncé.
Alright, last serosal tear is repaired.
We can run the bowel again at the end.
You can continue pulling out the pipe.
Okay, here we go.
There we go.
BAILEY: Okay, he's hemorrhaging.
Looks like the rod went through
the kidney and his blood supply.
Alright, I need suction.
Lap pads. Kidney's shot.
OWEN: Well, luckily, he
can survive with only one.
Schmitt, do you want to do the honors?
Well, what if the other
kidney ever gets damaged?
What, do you want to try and salvage it?
If we did, he'd be open for longer.
If we can't save it, we'd be risking
him becoming
unstable for nothing.
[MUMBLING]
You can resect it or salvage it,
but you don't have much
longer to debate it.
Schmitt.
♪
Do you or Dr. Hunt want to step in?
- I want to salvage it.
- Are you sure?
Is he sure? Isn't the hilum injured?
We can repair the renal artery
and then do a renorrhaphy.
And you think that'll work?
I don't know, but it's the plan.
I'm still an attending, right?
You're damn right you are.
Alright. We're saving a kidney.
- 6-Oh prolene.
- [MONITORS BEEPING]
Beats the hell out of research.
♪
What's this?
Well, it was going to be the
best grilled cheese sandwich
you ever had, but I
couldn't find cheese,
so it's toast.
Thank you.
You're a mom and a resident.
That is two impossible
things at the same time.
I know it's going to be hard
in the beginning and the middle,
but I really want that big family.
And I want it for Luna,
too, for all of us.
I'm just I'm so worried
that I'm gonna mess it up.
Maybe I already have.
You haven't messed anything up.
Where's Link in all of this?
Can you lean on him more?
We haven't been in
the best place lately.
When he and I were together,
I would be lying if I said
that the years of friendship between
the two of you didn't bother me.
But I think it was Link who
was lying all along, to himself.
I think, underneath it all,
he always wanted you.
He proposed to you with three rings.
I had to listen for months about
how he was so in love with you.
Maybe.
Or maybe he was trying
to force us into something
because he was scared to leave.
I'm going to check on
Scout. You eat the toast.
You think there are air guitar teachers?
Why? You want lessons? Fluoro.
I'm just wondering
how you get good at it.
A lot of hours in front
of the bathroom mirror,
which, honestly, is
really where it belongs.
I don't know, I think it's sweet.
I mean, they know what they want,
and they're not holding back,
no matter how bonkers it is.
Alright, another bleeder down.
- Griffith, go for the next one.
- [MONITOR BEEPING]
Now, advance until you see the extrav.
Good.
Now flip the guide wire.
And advance again.
- Good.
- Deploying the coil.
- Ah, you make it look easy.
- Been practicing.
It shows. Go for the next bleeder.
- Okay. Thank you.
- Ah!
Well, the new pump is working.
I can't believe you
cranked that for so long.
I'm used to it. Grandma Servino
had an old-fashioned butter churn.
- [MONITORS BEEPING]
- [COUGHING]
His sats are dropping.
But the O2 on the ECMO
circuit's maxed out.
Call a rapid response.
We need to intubate.
WOMAN: Rapid response,
second floor, ICU.
- Rapid response, second floor, ICU.
- Okay, I know it's a little scary,
but this will help you to breathe.
- Rapid response, second floor, ICU.
- Okay. Oxygen.
Rapid response, second floor, ICU.
All right, we need X-ray in here.
1, 2. Okay.
- Careful. He only has one lung.
- Yeah.
♪
- Okay. Can you get the ambu ready?
- Mm-hmm.
I can see the cords. I I'm in.
We need to confirm placement.
I think we're okay.
[MACHINE WHIRRING]
[MONITOR BEEPING]
His pressures are dropping.
KAREN: I don't understand.
The pump's on,
but the flows keep cutting out.
Get us a visual of the chest.
I'm calling Dr. Ndugu.
[LINE RINGING]
Come on, answer, answer.
WINSTON: Millin, tell
me he's still alive.
He's still alive. But
we had to intubate him.
I think he's going to code.
There's not enough blood
moving through the ECMO machine.
Is that Yasuda?
- She's helping me.
- Pressures are plummeting.
♪
Alright. X-ray's up.
Okay. Damn it. His heart's herniating
into the right chest cavity
where his lung used to be.
- So what do we do?
- Alright. You'll need to
to to pump air, okay?
- What?
- Dr. Ndugu?
[CALL BREAKING UP]
Dr. Ndugu? I hate the night shift!
It's fine. We're fine.
He said to pump air
into the chest. Right?
- Chest tube.
- Right.
[MONITOR BEEPING]
- Okay, I have the syringe.
- Uh-huh.
Don't go anywhere.
Maybe you should
wait for an attending.
- Everyone's operating.
- If we wait, he dies.
She's going to need a new
image after every pump.
♪
Okay.
- Did it move?
- Uh, maybe a little. Go again.
[SPEAKS INDISTINCTLY]
- It moved! It moved! Pump again!
- Okay.
Pressure's coming up.
[SIGHS]
♪
He's stabilizing.
Oh, my God.
- We did it!
- Yeah.
- It's insane.
- I know!
I get more emails from my kids' school
than everyone else in
my life put together.
And Don't get me started
on the parent portals.
Oh, no, I lost my password.
I mean, who needs a portal
when you have all those emails?
[LAUGHING] This is crazy.
Mm!
I haven't had this
much fun in a long time.
Oh! Me neither.
When Owen got paged, my first
inclination was to go home
- and put on a pair of sweatpants.
- I'm glad you stayed.
Oh, me too. You know
what? At first, I felt like
maybe Owen and I needed
a break from the kids.
But maybe I just needed
a break from Owen.
Mm-hmm.
- Mm. Whoa. Um
- Oh.
Sorry. I misread.
Yeah. No.
I mean, your marriage might be open,
but me and Owen, it's it's we
- It's closed. It's very closed.
- Understood.
- Again, I'm I'm sorry.
- Yeah.
Let's forget it ever happened.
Mm, you know what?
It's late, so I think I'm just, um
- I'm just gonna get a ride home.
- Sure.
[DOOR OPENS]
- Hi! Were you in surgery?
- Hey!
No, I just like to wear the hat.
Okay. How'd it go?
I saved a man's kidney.
How's your night?
I spent it talking to an
adult leukemia patient.
The one that you were
going to see five hours ago?
Yeah. She was working
through some stuff.
Didn't want to leave.
So, have you thought
any more about Texas?
Actually
I'm thinking there might
be more for me here.
Really?
Webber offered me an attending position.
Oh, congratulations!
Also, there is this guy.
- Oh, a guy?
- Mm-hmm.
- Okay.
- He's very nice.
Okay. I like nice guys.
So as the pain meds wear off,
there's going to be
bad days and good days.
Stick with the P.T. It helps.
And maybe skip the air
guitar concerts for a while.
Hey, you hear that? Doctor's orders.
Will you order the labs for the morning
- and finish the post-op now?
- Okay.
- Get some rest, okay?
- [CELLPHONE RINGS]
Oh. Could you answer it for me?
Of course.
[CELLPHONE WHOOSHES]
Hey, babe. Are you okay?
I'm good. I was worried about you.
I dreamed about you during surgery.
- Can't dream under anesthesia.
- Aw, that's so sweet.
Chills me to the bone ♪
- Dude, what are you doing?
- It's mood music.
VAUGHN: I wish I could
play it for you right now.
- Oh, my God.
- Let's give them some privacy.
How do I get you alone? ♪
♪
How do I get you alone? ♪
I taught her that riff.
Oh, I bet you did.
Yeah, you did.
♪
WINSTON: Meet you in the O.R.
Good work, Millin.
I'd say 9 times out of 10,
that man would have died tonight.
Scrub in. You can do the
bronchial anastomosis.
- Really?
- After what you did tonight,
you deserve it.
Actually, there's there's
something I should tell you.
Uh, when Mr. Riley
Did I miss her?
You're in luck Transfer took
forever, so they're just packing up.
Okay. Hey.
Dr. Schmitt! I'm leaving.
Well, I'm glad you didn't
before I could say goodbye.
We couldn't have left.
She's been talking about
you the whole night.
I have something for you.
We can't thank you enough for
taking care of our daughter.
- Of course.
- Here.
That's you fixing my
leg on the helicopter,
so you always remember.
I love it. Thank you.
Hey, I-I wish I had
something to give you.
It's okay. I'll never forget you.
But I don't blame you anymore ♪
Thank you so much.
Thank you, Doctor.
For wasting all my time
and opening the door ♪
Now I know that
I'm not second best ♪
♪
I heard I might find you in here.
MIKA: And I heard I'm
here because of you.
You didn't have to give
up this surgery for me.
You said you were trying to
catch up on your case logs.
And you deserve it.
I'm gonna go home.
I miss you.
I miss us.
I mean, I don't even
know if we were an us.
But that thing we
started, it made me feel
♪
You shook me up.
In a good way. In a way I
didn't even know I needed.
And as much as I like your face,
it is pretty impossible to read,
so I'm gonna shut up now.
♪
Really wish you hadn't scrubbed in yet.
- You want your surgery back?
- No.
I really want to kiss you.
Right now, for a very long time.
Call it forgiveness ♪
But, um
♪
Rain check?
Hell yeah.
♪
I don't blame you anymore ♪
♪
While the world spins
circles 'round the sun ♪
We've been waking slowly one by one ♪
From other times ♪
From other memories ♪
From other lives ♪
We are letting go ♪
We say goodbye ♪
We are letting ♪
- WINSTON: Excellent work, Yasuda.
- Go ♪
MIKA: Thank you.
Years of reaching ♪
Schmitt, I heard you were
quite a hero last night.
Dr. Webber's patting himself on the back
for offering you the attending position.
It was both our idea. And
it was an excellent one.
I remember walking down these
halls as a sub-I with you,
dreaming that I might be
an attending here one day.
You've come a long way since then.
Thanks to both of you.
I think I would really like
being a general attending here.
But my love is peds.
I love the highs and the lows
and the goofy things they say,
and that when I save a kid,
I'm I'm not just saving a life.
I'm saving a lifetime.
And if I've learned
anything from the two of you,
it's to be passionate about your work.
So
I accepted the research
position in Texas.
♪
Then I guess the only
thing left to say is
congratulations.
♪
Go make us proud.
♪
How's Luna?
Did you get some sleep?
She's better. She's still down.
Good.
I know this isn't what you wanted.
What?
I don't want to force
you into something.
It's never going to be just us again.
It's going to be chaos, and I
I don't know. What if you leave me?
W-Why would you say that?
Everyone else has.
I don't want to do this alone.
That's what you think of me?
You You're gonna put me
in the same group as all
the other people in your life
that have been so awful to you?
Well, it's never been just us, Jo.
And the fact that you
think I would back out
just because we have two more?
[SIGHS]
MEREDITH: Scientists
call the conscious thought
needed to complete everyday tasks
"working memory."
[PRINTER BEEPS, WHIRS]
[GRUNTS SLEEPILY]
Oh, I'm sorry. Did I wake you?
I should get up.
- How was dinner?
- Oh, we ditched the restaurant
and went to the bar next door.
Get this Cass Beckman kissed me.
[CHUCKLES]
- What?
- Yeah, she'd had
a-a couple glasses of wine
I mean, we both had a couple.
Wait, so you both
You were both drunk? Did
you Did you kiss her back?
No. She just
She got the wrong idea, huh?
How?
- How?
- Yeah, how?
Do you think that I provoked this?
I don't know, Teddy.
Two minutes ago, I was asleep,
and now you're telling me
that some women kissed you?
You know what? I have to go do rounds.
- Owen, I [SIGHS]
- [DOOR SHUTS]
That memory is always there,
always busy, getting you
through the chaos of life
one task at a time.
- Morning.
- Is it time to go home?
This bed's really comfy.
- How was the chair?
- Irrelevant.
- I wound up working.
- Mm, I'm sorry.
Actually, I had a pretty great night.
Let's go home.
♪
In some ways, that's all life really is,
all the things we do strung together.
- Moonless tonight ♪
- [PHONE LINE RINGING]
Shattered the stars and
all that’s left behind ♪
MOLLY: Hi. You've
reached Molly's voicemail.
Please leave a message.
MEREDITH: This patient. This diagnosis.
- This procedure. This day.
- Is this a spark ♪
Or is it a hope we
find ourselves inside? ♪
Morning.
This night. This moment.
- How'd you sleep?
- Oh, great.
Some alarm kept going off
I'm normally self-assured, very poised.
I'm on fire when I'm in the O.R.
But when I'm around you,
my entire brain scrambles,
and sometimes I just say things.
You were tired and busy. It happens.
But I do love you, Lucas Adams.
I love you.
It's okay i-if it's too soon.
You don't have to say it back.
But that's how I feel.
♪
[CELLPHONE CHIMES]
Breathe in the glow
Crap. I'm late for rounds.
Orbiting slowly as the heavens sigh ♪
Oh, uh I love you, too.
The high and the low ♪
Balance is forming
as the stars align ♪
This connection. This
family. This friendship.
The best part about the night shift
is having breakfast like it's dinner.
Let's get fries at Joe's.
Oh, actually, I have to
round before I go home.
- Oh, sorry.
- Yeah.
- What are you doing here?
- Uh, waiting for you.
I have to tell you something.
I took the job in Texas.
Reflected like we are the light ♪
Hey, no, no, no, no.
Don't cry. Don't cry.
It's okay. We We
will text all the time.
And we can FaceTime and
watch our trashy TV shows.
And and you'll visit, and
I-I'll take you for Tex-Mex,
- assuming that I like it.
- [CHUCKLES TEARFULLY]
- Hey, hey.
- [CRYING] Damn it, Levi.
[SIGHS]
Do you know what I said
to to Bailey and Webber
in my residency interview?
That I-I wasn't here to make friends.
[BOTH LAUGH]
I was like a reality TV contestant.
I was I was focused and cutthroat.
Refract the light we're
blameless, hey, hey, ohhhh ♪
And then I met you.
Our colors bold ♪
You're my best friend.
Hey, we we will always be besties.
You do not need to be sad. I
I know, dummy, I know.
These are happy tears.
We're tiny islands in the night ♪
- So you're not mad?
- Of course not.
You're following your
dream, or whatever.
Okay, that's such a relief,
'cause I was I was
very nervous to tell you.
- Seriously?
- Yeah.
Well, I'm easy.
Think about how hard
it'll be to tell James.
[SIGHS]
We light up the sky as we rise ♪
And somewhere in all of that,
sleep and wake up. Sleep and wake up.
Can we stop for doughnuts?
I want powdered sugar.
Like, actually just the sugar.
Is that weird? Or a waffle.
Maybe we should get real breakfast.
That's healthier, right?
Mimi?
- Mimi.
- - Sleep and
- Mika!
- [HORN BLARING]
- [CARS CRASH]
- Wake up.
♪
♪