Grey's Anatomy s21e09 Episode Script

1
[GUNSHOT]
[GREY] In a rare instance
when a patient died
while hooked up to brain monitors,
doctors saw an increase
in brain activity
right before and after
his heart stopped.
Pulse of the earth ♪
Rushing wildly ♪
Sunlight it burns ♪
Shining brightly ♪
Call 911.
Turning the page ♪
[ADAMS] Come on. [PANTING]
It never fades ♪
- [ADAMS] Come on.
- [DISPATCHER] What's your emergency
[GREY] The brain waves that surged
were associated with dreaming,
- information processing and memory recall.
- [MONITOR FLATLINES]
- [NDUGU] Push another epi.
- [SHEPHERD] Please, Jackie.
Falling freely ♪
- Still nothing.
- [FLATLINE CONTINUES]
[NDUGU] Someone get me a TEE right now.
[GREY] It confirms what we often hear
when we revive a patient
in cardiac arrest,
that right before their heart stopped,
they saw their life
flash before their eyes.
After everything we've been through,
I thought this was impossible.
Me too. Not that I
remember it all, but
[CHUCKLES]
[PHONE DINGING, BUZZES]
- [KWAN GROANS]
- [MOLLY SIGHS]
ER. I have to go.
Can you stay?
I'll look for you as soon as I can.
I have nowhere else to be.
Running wild ♪
Running wild ♪
Ah.
Bailey, have you seen Yasuda?
I paged her ten minutes ago, nothing.
It's because she doesn't
work here anymore.
- She quit the program.
- What happened?
Just being back here
where her sister died.
It was too hard.
[SIGHS] It's just unthinkable.
I wish there was more I
could've done to help her.
Uh, she's tough, all right?
She'll she'll find a way.
Not so sure about the others.
Millin isn't handling it very well.
First year of residency,
your fellow interns are all you got.
- Mmm.
- I'll keep an eye on her.
- [PHONE BUZZES]
- Thank you.
[BAILEY STAMMERS]
- [SIRENS WAILING]
- I thought we were closed to trauma.
[WARREN] Bring it in this way.
All right, hold it right there.
Watch yourself. Watch yourself.
Watch your backs, folks.
Watch your backs.
Make room for the emergency vehicles.
What the hell happened?
Warren left us open to trauma,
so you're looking at the consequences.
Look, I was going to set
up an additional triage tent
then I was gonna come up
with some work-arounds.
I was chief of staff of
the Army Medical Command.
This is not a work-around.
This is a fireable offense.
So if you get the urge
to make another decision
without consulting me, don't.
Uh, this is Altman. Go ahead.
- What did you do?
- Not the time.
- Ben!
- [WARREN] All right.
That's the last one!
We are closing to trauma!
- Adams!
- I I'm okay. It's not all mine.
[PARAMEDIC] Jo Wilson,
38-year-old female.
- Wilson!
- [WARREN] Jo.
I'm gonna have to call you back.
- What happened?
- Got a gunshot wound over here.
Yeah. His name is
Damian, 28-year-old male,
GSW to the right chest. No exit
wound. Intubated on the scene.
- He was with you?
- He held up the store.
All right, I'll go. Stay with Wilson.
Let's get her inside.
[STAMMERS] She's bleeding.
- [STAMMERS] You were shot?
- No. I
[BREATHES HEAVILY] I'm pregnant.
I got you.
[BREATHES HEAVILY]
I really appreciate you
taking me to my hotel.
I know they need you at the hospital.
Teddy hired a bunch of
outside doctors to pitch in.
She has plenty of help.
I can't believe
you still drive a truck.
- [CHUCKLES]
- What was it that you used to drive?
An old Silverado?
I just remember it took
up two parking spaces.
[CHUCKLES] Yeah. And it didn't
go over 45 miles an hour.
And only one of the handles worked.
It was not what you'd
call a chick magnet.
You could've driven an
RV and I would've thought
it was the sexiest truck on earth.
[CHUCKLES] What? Youyou hated me.
I was madly in love with
you. I thought you knew.
Hold on.
Okay, you were mean to me.
You were my best friend's older brother,
and I was a teenage girl who didn't know
how to tell a boy I liked him.
- Wha Wow.
- [GASPS, GROANS]
- Are you okay?
- [EXHALES SHARPLY]
Yeah, I'm fine. It's just, um
It's pain where I had the surgery.
It happens sometimes.
You had the surgery weeks ago.
- I'm running you back to the hospital.
- That's not necessary.
Any amount of pain could
indicate a complication.
We're not taking any chances.
Beautiful day, isn't it? [EXHALES]
It's 108 degrees.
Sun is out.
Everyone's working together
towards a common goal
Mika quit.
What? Why?
Well, her sister died
here, and she almost died.
And I think she wasn't into the weather,
but that's just an observation.
You okay? You two were close.
I didn't come here to make
lifelong friends. Did you?
No.
People come and go. And
I still have a job to do.
- [STEADY BEEP]
- [SHEPHERD] Do you see anything?
What's going on? Why won't
her heart start? Ndugu?
Right there. The aortic root aneurysm
dissected and extended down,
occluding the left coronary artery.
[GRIFFITH] The blockage is
keeping her heart from starting?
[NDUGU] It's the tear. It
caused a massive infarction.
We need to revascularize
her coronary artery
to restore blood flow,
then put in an aortic graft.
Let's prep for a sternotomy.
I know you wanted to
take care of this first,
but I maintain that
this was the right call.
She could have dissected no matter what.
At least she did it in the safest place
where we can treat it.
[NDUGU] An aortic
dissection is never safe.
Jackie's already been under for hours.
We need to move faster. Let's go.
- [NURSE] Dr. Shepherd.
- Whatever it is, it's gotta wait.
[NURSE] It's Dr. Adams. He
wants you to know he's okay.
[STEADY BEEP CONTINUES]
[RAPID BEEPING]
[WEBBER] Get us up to speed.
[ALTMAN] Single GSW to the right chest.
No exit wound.
He's hypoxic. He has a right hemothorax.
His FAST exam on his heart was negative.
We need to prep for a chest tube.
Bullet fragments are
localized in the right chest.
Let's order a type and
cross and trauma panel.
- Can I do the chest tube?
- Get her sterile gloves.
His sats are dropping so
we need to move quickly.
I bet when he walked out of
the house with a gun today,
he didn't expect to be
the one getting shot.
- Ready?
- [MILLIN] Mm-hmm.
[ALTMAN] All right. You're
gonna make an incision
between the fourth and fifth rib space.
[RAPID BEEPING CONTINUES]
Now you're gonna pop through the pleura.
Mm-hmm. Good. And now
dilate by opening the clamp.
Time for the tube. Yeah, keep going.
All right. He's putting
out a lot of blood.
We need to call up to the OR.
Nice work, Millin.
Her BP is 105 over 65.
[BAILEY] That's good. Uh,
how many weeks are you?
Sixteen weeks. I, uh, had
an appointment a week ago
and everything looked fine.
Have you paged OB? I can do it.
No, you will not. You
will get yourself checked.
- Dr. Warren.
- Come on, you heard her. Let's go.
I was just grazed. It can wait.
Do you think your colleague wants you
to see me do her ultrasound?
No. Go. Now.
- Don't let him out of your sight.
- Wait, wait. Adams.
Thank you.
Come on. Let's go.
Bailey, I need to see for myself.
[STAMMERS] You are not your doctor.
- Okay? We paged OB. In the meantime
- [EXHALES SHARPLY]
All right. The placenta looks great.
Hey, no abruption.
- And where is the
- We have a strong
- heartbeat right there.
- [HEARTBEAT THUMPING]
[BAILEY] Mmm.
What about the other one?
There's an "other one"?
Okay, let me see.
[BAILEY STAMMERS, GASPS] Oh.
There it is.
- Oh, beautiful.
- [CHUCKLES]
- [BAILEY CHUCKLES]
- [HEARTBEATS THUMPING]
It's just these two, right?
[CHUCKLES] As far as I'm aware. Yeah.
[WINCES]
- You okay?
- Mmm.
- [GASPS, GROANING]
- No. Okay.
All right. Someone help me get
her to OB. And where is Lincoln?
- [GROANING]
- All right. Hold on. Thank you.
- We were finishing a surgery.
- Are you okay?
It's just superficial abrasions.
Steri-Strips and I'm good.
I've got psych coming down for an eval.
- I don't need that.
- Hospital policy.
You have to be cleared before
you can go back to work.
It's important. You gotta process.
You called your mom?
- Want me to call her?
- I really do not.
Oh. They just extubated Jackie.
Yeah, uh, go check on
your patient, all right?
There's already too many
people standing around this bed.
[SIGHS] All right. You stay with him.
Kwan can cover post-op.
[WARREN] Okay.
And, uh, I also have to
go check on something.
- What happened?
- Wilson and I went
to the convenience store to get ice.
A guy tried to rob it.
I got lucky. He's on
his way up to the OR.
Thank God you're okay.
[EXHALES SHARPLY]
Griffith, I need you to help Millin
transport this patient up to the OR.
That's him.
That's No, I can't. No.
Yeah. You can. He's
just another patient.
- Except he tried to shoot you.
- But he didn't.
- Just another patient.
- Mmm.
I have to do a consult.
Have him prepped by
the time I get up there.
Chief, I'm on Ndugu's service
It's all hands on deck.
And if he's got a problem with
that, frankly, I don't care.
So Dr. Marcus is on his way.
No. Absolutely not.
Literally anybody else. [SIGHS]
Uh, well, DeLuca is in Italy,
Patel's on leave, Kincade's in the OR.
Isn't, um, Dr. Marcus
the chief OB resident?
It's doesn't matter.
He's not taking a trip down there.
- Okay. I know it can be difficult
- [GROANS]
to be the patient with
someone you usually work with,
but you need somebody in
Wilson. God, I I just heard
what happened. Are you okay?
- You're [SNORTS] Marcus?
- [WILSON SIGHS]
Yes, I finished med school.
Undergrad only took me two
years. It's Bailey, right?
[SOFTLY] I apologize.
Wow, twins? It's a party.
- [BAILEY CHUCKLES]
- So, based on the initial workup,
it's likely stress that's
causing the bleeding.
Okay. Okay. That's good.
- [STAMMERS] Uh
- That's good.
She's also having acute back pain.
Wilson, next steps.
[CHUCKLES] Kidding.
Uh, pain and bleeding
could also indicate
other complications, so I'd like to
I was just getting the kids settled.
I came as fast as I could.
It's okay. I'm okay.
[SIGHS] What about the bleeding?
It's slowed down, but I'm
I'm feeling heaviness below.
- I'd like to do a pelvic ultrasound.
- Mmm.
I'm assuming you're Dad.
Oh, God.
So, let's give them a minute.
Mm-hmm. [CLEARS THROAT]
- No, you're right there.
- [HUNT] Hey, uh
Do you need a minute or
My son is throwing a tantrum,
and my ex wants me to calm him down.
- Tell me you have good news.
- Well, your EKG is normal,
but your white blood cell count
is elevated, which means
I know what that means.
Last time I needed surgery.
Is that what's happening?
Do I have to go through
this all over again?
It could just be a mild infection.
Or even stress, or dehydration.
Let's not worry until there's something
- to worry about, okay?
- Okay.
- [KNOCKS ON DOOR]
- Hey, what's happening?
Uh, just some chest pains
and hopefully a disproportionate
amount of anxiety.
Her EKG's normal but
she has leukocytosis
and she's slightly febrile.
Uh, we're still waiting
on blood cultures.
All right. Let's admit her.
Start her on broad spectrum antibiotics,
get a chest X-ray and CT with contrast.
Is now a good time to worry?
It's just It's been such a day.
You know, why don't you go with her?
I can get Cass to
come down and help out.
It'll help with the scans going
much quicker if you're there.
As long as you and
Beckman have it covered.
- [ALTMAN] Yeah.
- [CLEARS THROAT]
[INDISTINCT PA ANNOUNCEMENT]
- [MOLLY] Yes.
- [BREATHES SHARPLY]
[MOLLY] No, I know.
No, I I do still love you.
I just I just needed some space.
And like a minute away from school.
[GROANS] I'll I'll call you tomorrow.
Dave?
Uh, yeah. He He called like
eight times. I had to pick up.
I just I didn't know what to say.
I didn't want him to
know that I was here,
so I just I just tried to
pretend like everything was normal.
- It's It's fine.
- It's anything but fine.
[PHONE VIBRATES, DINGS]
I didn't think this
through, and you're slammed.
I I shouldn't have just
showed up out of nowhere.
- No, it's really okay.
- At some point,
I need to give Dave an answer.
It's not his fault that this is
this is what it is.
[PHONE VIBRATES, DINGS]
[SIGHS] I really need to answer this.
But I want a chance to talk about this.
Hang out at my place,
and we'll talk all about this tonight.
If you need to go home, you'll go home.
I will never understand
how a person can point
a loaded gun at a stranger.
Well, people can hurt each
other in all kinds of ways.
I'm sure it's killing
Yasuda having to leave you
Don't.
I'm sorry. I didn't mean to bring it up.
When you wanna talk about
it, we will talk about it.
I won't be talking about it with you.
- Did I do something?
- I'm just sick of pretending
like we all mean
something to each other.
I get that intern year is hard
and that we're all
trauma bonded or whatever,
but we're just coworkers.
I don't need you to comfort
me or to understand how I feel.
I can take care of myself.
I've been doing it my entire life.
How's it going in here?
- [SIMONE] Great.
- [JULES] Fine.
[RAPID BEEPING]
[ALTMAN] He's about to code.
All right. Griffith, strap
him in. Millin, prep him.
[GRIFFITH] Can you grab
the other side of the belt?
[MILLIN] Yeah, I got it.
[WEBBER] Did anybody
contact the blood bank
to activate the MTP?
[MILLIN] I'm not sure. I can check it.
[ALTMAN] You are the
intern on this case.
[ALTMAN] You need to make sure
that you're on top of orders.
[MILLIN] I'll do it right now.
[RAPID BEEPING CONTINUES]
[ALTMAN] All right, he can't wait.
[WEBBER] We need to scrub in right now.
[ALTMAN] Yeah.
I was able to successfully
clip the posterior aneurysm,
but we ran into a complication
when we tried to wean her off bypass.
Uh, so what happened?
- Jackie's stable.
- [SKY] Mm-hmm.
But she had an aortic dissection,
which caused a heart attack.
My 17-year-old
had a heart attack?
I opened her chest,
and I put in a graft.
And thankfully, she's an athlete,
so her heart was able
to recover from the MI.
I I don't understand.
Uh, why do these
complications keep happening?
Well, we knew her heart was at risk
due to the root aneurysm
- Her brain was at greater risk.
- At the time.
- Her post-op labs came in.
- Thank you, Dr. Kwan.
How long does the anesthesia last?
Hey, baby.
You still feeling groggy?
In my feet.
[STAMMERS] Your feet?
And my legs.
Dr. Kwan, would you
get me a needle, please?
Yeah.
All right, Jackie, let me know
when you start to feel this.
Did you start yet?
Why can't she feel her legs?
- [WILSON BREATHES SHARPLY]
- There's no written rule on it,
but people usually
stand on the other side
during a pelvic exam
to respect the area.
Right. Sorry.
I need you to relax, Wilson.
Okay.
You heard about Kincade's
uterine sarcoma case?
Poor woman's second recurrence.
She got four kids and a death sentence.
You should see the scans. They're awful.
Honestly, it's like a horror movie.
Puppies. Mmm. They're
adorable and calming.
I'm thinking about getting one for Pru.
So, your cervix is 18 millimeters.
So, an imminent risk for preterm labor.
But you're just 16 weeks.
She's 16 weeks.
Which is why I'd recommend
a cervical cerclage.
It's placing a suture around
the cervix to keep it closed.
- He's a doctor.
- Aw.
Hospital babies. Are you
gonna name 'em Grey and Sloan?
[SIGHS, STAMMERS]
What are the risks of the cerclage?
Um, well, I could get an infection,
or it could cause damage to my cervix
like, um, scarring or stenosis.
Other options, please.
This is the option besides
terminating the pregnancy.
Cervical cerclage is very safe
and it is the absolute best
way to preserve the health
of Dr. Wilson and the babies right now.
But if you'd like, I could give
you some time to think about it.
- No. Give me the consent forms.
- [LINCOLN] That'd be great. Thanks.
My four-year-old listens
better than you do.
Yeah, well, unless your
toddler is also a surgeon
during a record-breaking heat wave,
I don't think that's a fair comparison.
You shouldn't be seeing patients.
I'm still on the schedule
and the ER is over capacity.
Okay. Let me rephrase.
I can't let you treat
patients right now.
[CHUCKLES] I'm fine. All right?
I see life and death every
single day. Business as usual.
All right. You know what?
Fine. If you want a job to do,
why don't you head over
to the clinic and help out
with the cooling center.
Mrs. Long in bed six
needs more stool softener.
[STAMMERS]
- Do you see anything?
- [SHEPHERD] Not yet.
You championed me.
- What?
- You told Sky I could do this.
You told me I could do this.
Now I'm sitting here silently panicking
about what I've done
to this young woman,
- and you're hardly saying a word.
- You don't think I'm panicking?
You're not the only
one who operated on her.
I should have said no. From
the second you brought me in,
- I had a bad feeling about this.
- Why didn't you say anything?
Because you prematurely
accepted the case.
You knew it had a
cardiothoracic component to it,
but you accepted it before
getting my opinion on it.
She was admitted before I even saw her.
No. No. Do not put this on me.
You could have said no right
after you walked out the door.
Maybe you didn't because of
how you treated her mother.
Nurse Connie said a
cold front's coming in.
The heat should break soon.
[BEEPING TONES]
At least there's that.
Scans are up. Kwan, what do you see?
Uh, head CT is negative for stroke.
But the CTA shows the dissection flap
propagating into the
descending aorta. Which means
Blood flow to the spinal
cord is compromised.
- I think it's
- [BED RATTLING]
- Okay, is this this the way?
- Hey.
Radiology's a little backed up.
We'll get you in there
as soon as we can.
You don't have to babysit me.
Remember how annoyed you would get
when your mom would make
you watch me and Megan
when she went to the store?
Yeah, but that was a chore. This is
An excuse?
You made that face
earlier with Teddy.
- What face?
- Thought I sensed some tension.
[GRUNTS]
Um, sorry. You don't
have to answer that.
I I I think my surgical
complications removed my filter.
Or maybe it was my divorce,
or I don't know, sorry.
It's fine. Marriage is
Marriage is complicated.
But I can't let this happen any longer.
- I
- Are you trying to go up or down?
- Up. I'm [CHUCKLES]
- Up? Okay.
- Damsel in distress. I hate myself.
- No, it's okay.
- Yeah. Yeah.
- There.
- [BED WHIRRING, RATTLING]
- [NORA] Oh.
[HUNT] There.
Hi.
Hi.
[PHONE VIBRATES]
Um. Radiology's ready for you, so, um
Oh.
[CLEARS THROAT]
- I'll go find a orderly. Okay?
- Okay. Good idea.
Yeah.
Why don't we just first
start you on progesterone
and increase your monitoring?
Why can't you trust I'm
making the right decision?
I'm a pregnant OB-GYN.
I want a cerclage.
I'm getting a cerclage.
Yeah, well, you can't wave your
specialty in front of my face
every time we have a disagreement.
I've done hundreds of these.
I do them all the time.
But you don't get them all the
time. And what about Marcus?
How many has he done?
Shouldn't we be waiting
for somebody born before TikTok?
- [MONITOR BEEPING]
- He's in my year.
I have T-shirts older than him.
- Link, you're
- Your heart rate's elevated.
Um, maybe some deep breaths.
God, I wish Dr. DeLuca was here.
First of all, I would never have
had Marcus's hands inside of me.
And second of all, she would
tell you how safe a cerclage is.
And maybe she could tell you
that this isn't just your decision.
She would never tell me that.
- Are you thinking clearly?
- What?
You witnessed a shooting today.
You could've been seriously hurt
- [MONITOR BEEPING]
- Okay. Time-out.
Okay. You are now the one
who is seriously hurting her.
Her BP is 140 over 90,
and that's too damn high.
For her and for me.
Add to that a 18-millimeter cervix,
and you are tripling her
chances for contractions.
- Take a walk.
- Okay. I'm sorry.
- I was just trying to
- I am not asking!
- Look at me.
- [SIGHS]
- In and out.
- [BREATHES SHARPLY]
- Good. In. Out.
- [BREATHES SHARPLY]
[ALTMAN] I've exposed
the damaged tissue.
He's gonna lose an entire lobe
of his lung due to one bullet.
GIA stapler.
[GRIFFITH] His bullet.
That he loaded into his gun.
We should invite the lawmakers
voting against background checks
to assist on these surgeries.
[MILLIN] Well, violent crime
rises along with the temperature.
I read a story about a guy who
drove his truck into a hardware store
during a heat wave.
It killed four people.
[WEBBER] Well, there's some
bleeding at the staple line.
[ALTMAN] All right. 2-0 PDS.
- [ASPIRATOR SLURPING]
- [ALTMAN] Thank you, BokHee.
Damn it. I can't get
visualization. Suction.
[ASPIRATOR SLURPING]
No. All right, Griffith,
Millin, what do we do?
- [MILLIN] Tilt it more.
- [GRIFFITH] Tilt the table.
[ALTMAN] Exactly. All
right, team, you heard them.
Anesthesia when you're ready.
[BED WHIRRING]
- [GRIFFITH] Oh, my God.
- [ALTMAN] Why is he moving?
- [RAPID BEEPING]
- [ALTMAN] All right, stop, stop!
[WEBBER] Watch his line!
[GROANS] Secure the airways
and lines. Page some orderlies!
[ALTMAN] Let's assess him and get
him back on the table right now!
[ALTMAN] Gently, gently.
[WEBBER] Let's keep him on Ambu until
we can get him back on the table.
Where are those orderlies?
[ALTMAN] Damn it, his
central line has come out.
Shut off all the lines.
- [WEBBER] Got it.
- [ALTMAN] Lap sponge!
[ALTMAN] All right,
keep pressure on his IJ.
[GRIFFITH] Should we
pack the thoracotomy?
[ALTMAN] No. Here you go.
All right, Millin, get me a wet towel.
Millin!
[ALTMAN] All right, take this.
How the hell did this happen?
Must not have been
completely strapped in.
[ALTMAN] Millin, hold here.
If your wife finds out, she's
gonna fire me all over again.
Keep applying pressure.
Bring in the orderlies!
[WEBBER] Come on, fellas.
[ALTMAN] We're gonna carefully
lift him back on the table.
Everyone set? On my count.
One, two, three.
[SKY] You wanna puncture her spine?
We'd place a small tube
in Jackie's lower back
to drain the excess fluid
around her spinal cord.
There is a chance that it could
reverse Jackie's paralysis.
This morning you assured us
that you could take
care of her aneurysms.
You seemed so certain about it.
That was before I saw
the larger aneurysm.
She is my only child.
When did you know that
this was going south?
Was it when you had to open her skull?
Or when you had to stop her heart?
Or when you noticed there was
- something wrong with her spine?
- [SHEPHERD] Sky
I mean, I need to know! I need to know.
Did you ever think that
you could save my child?
Or was I just a fool for believing it?
I did think that I
could save your child.
And she is alive and aneurysm-free.
I do not make false promises
because I have seen
too many bad outcomes.
This is not a bad outcome.
Not yet. You trusted
me once, trust me again.
We have to act fast.
Okay.
I will trust you.
Mostly because I don't
have any other option.
[BREATHES SHAKILY]
All right, her BP has settled down.
What do you think you're doing?
Jo clearly doesn't want me
in the room, neither do you,
so I thought I'd help
with an ex-fix in OR 3.
Well, you thought wrong.
Well, what the hell am
I supposed to think then?
Ever since we found out
it was twins, Jo has
She's shut me out.
And I'm usually pretty
good at carrying on,
but today I can't.
Come here. [BREATHES SHARPLY]
[CHUCKLES]
When I was in labor with my son,
his father was getting
emergent brain surgery.
Now, I initially didn't know about it
because my OB never
let it show on her face.
She knew that I was
at my most vulnerable,
and she supported me with a strength
that I will never forget.
Jo has to do that on a daily basis.
She treats those at their
most vulnerable and stays calm.
Right, they could be bleeding
or have a prolapsed cord.
She stays strong and encouraging.
Because that's her job.
But today, it should be yours.
She's terrified.
So pull yourself together,
so she can fall apart.
[SIGHS]
[WEBBER] Okay, central line's back in.
There's no signs of bleeding
or expanding hematoma.
[ALTMAN] Well, there's some
bleeding from the intercostals,
probably from the fall.
2-0 silk.
I gave you specific instructions
to strap the patient in on the table.
- [WEBBER] Now is not the time
- [ALTMAN] Let me finish.
Your mistake was extremely dangerous
and completely unacceptable.
We give our patients the very best care
that we are capable of giving,
no matter who the patient
is or what he has done.
And if we can't, then we leave
before our personal
distractions kill someone.
I should kick you out of this OR,
but instead, I'm gonna
make you stand there
and watch these repairs,
which shouldn't even
be happening in the
first place. Am I clear?
Hey.
Yeah, once the temperature
started to drop,
people started leaving.
- [CHUCKLES]
- Do you know where the fans go?
You've worked here longer than me.
Well Uh, so you don't know
where they keep the extra ice packs?
Just pack it up. Someone
will figure it out.
- Who?
- Don't ask or it'll be you.
[METAL CLANGS]
[DAMIAN, ECHOING] Don't move!
[WILSON, ECHOING] Lucas, no! [SCREAMS]
[WARREN, ECHOING] I hope there's
not another heat dome anytime soon.
[ECHOING] That's probably just
wishful thinking at this point
[ECHOING] Adams?
- [PHONE RINGING]
- [NORMAL] Adams? Okay. Okay.
All right. Come here. Come here.
Come here. Just take a seat.
Take a seat.
Hey. You feel the
ground under your feet?
Do you feel the ground under your feet?
Good. Good. Just keep looking at me.
Keep looking at me. Right here.
You're in the clinic. You're not alone.
And you're safe.
You are safe.
- [WARREN BREATHES DEEPLY]
- [ADAMS BREATHING SHAKILY]
Just breathe.
I just came down to say a prayer,
and I can't get the words out.
- May I?
- Yeah.
Yeah. Jackie's always
been so full of life.
Yeah, seeing her in that bed just
It just breaks my heart.
She's strong and resilient.
Whatever happens, she'll keep
kicking ass and taking names.
- [CHUCKLES]
- There's no doubt in my mind.
Yeah.
I'm not a very observant Jew.
But I've always been so moved
watching people stand during services
and give a Mi Shebeirach
for their loved ones.
It's the prayer for healing.
It's a mouthful, I know. [CHUCKLES]
No, it sounds beautiful.
[SPEAKING HEBREW]
[KWAN] You okay?
Can't feel a thing, so no.
We're hoping to change that.
[SHEPHERD] All right. I'm
going to insert the drain.
My mom's scared that this
is gonna make things worse.
She tries to act all cool around me,
but deep down I know she worries.
Are you scared?
Not really. I was scared at
first when I got diagnosed.
But now, I don't know.
I feel like if I think
too much about it,
I'll be too scared to do anything.
Kinda like what Coach says
about overthinking free throws.
You just gotta shoot your shot.
[SHEPHERD] All right. The drain is in.
I'll let you rest, and I
will check back in a bit.
Cool. If I'm not here when you get back,
it's 'cause it worked and I walked away.
There you go.
[SIGHS] Sorry. Uh,
that was embarrassing.
No apologies necessary.
- Yeah, I'm not really a feelings guy.
- Yeah, no kidding.
I can't tell if I'm enraged,
or sad, or freaked out.
Probably all of the above, you know?
There's no one way to feel
about this sort of thing.
- So what do I do?
- As far as I know,
there's no rule book, but
I know where you can start.
Yeah. You wanna page psych or should I?
Yeah, I'll do it. When I feel ready.
All right.
Uh, but in the meantime, back to work.
Really?
Yeah. You had a panic
attack, not a heart attack.
But I'll tell you what, I'll, uh
I'll figure out where all this
stuff goes so you don't have to.
Thank you.
Hey.
Is that for good behavior
or for you to soften the blow
for whatever you're about to tell me?
Your scans are reassuring.
The stent is not infected.
Oh, my God. That's
[CHUCKLES] Thank you.
Your white count is still elevated,
so we wanna keep you in for a
few more doses of the antibiotics.
- If that's okay with you.
- Yeah. Of course.
Why do I think there's
more you wanna tell me?
[HUNT SIGHS]
I don't think I should be
on your care team anymore.
I'm sorry. The freshman me resurfaced.
Or at least the part that had a crush
on her friend's older brother.
I I shouldn't have tried to kiss you.
It's not only you.
- Oh.
- Yeah.
So, uh, I'll have Teddy check in on you.
All the things have come to pass ♪
Looking back on what we had ♪
I'm just going to check
his vitals. I'll be quick.
He's a good guy. He just
is going through some stuff.
Move slow ♪
Hold on a little longer ♪
We both lost our jobs.
And then his friend Eddie got sick.
And then he just shut down.
He stopped hanging out with his friends
and stopped talking to me.
I just I don't know why he
thinks he needs to do it alone.
Well, let's hope this
is a wake-up call.
I'll be back in the morning.
You should get some rest.
The city looks so bright tonight ♪
[KNOCKING]
Hope you're all right ♪
I'm getting the cerclage.
Good.
[EXHALES SHARPLY]
I'm sorry.
It's just a couple of hours ago,
I found out that you were
involved in a shooting.
Ten minutes later, I'm
hearing imminent labor.
I mean, our whole world was in danger,
and I I freaked out.
But I just wanna do
whatever will keep you safe
and whatever keeps them safe.
If that means Marcus and a cerclage
[SIGHS] If I have to get a cerclage
[CHUCKLES] Stop saying "cerclage."
I know you and I have been
[SIGHS] It's been rough.
But I just wanna be here for you,
for them.
Just tell me what you need.
Keep Marcus from talking
during the procedure.
[KNOCKING]
Okay then. All four
of you ready for this?
Do you play tennis?
You'll have your own
built-in game of doubles now.
Marcus, I'm gonna need
you to keep all chatter
to medically-relevant information.
I love you.
I love you.
[JACKIE] How does the drain look?
- It's draining.
- How you feeling?
[SIGHS] Same as when you last checked.
I'd say, there go my WNBA dreams,
but those were already in the trash.
Well, I'm guessing you'll
have new dreams to chase.
Maybe. But basketball will
always be my true love.
There's gotta be a way
to keep it in my life.
Jackie, your toes are moving.
- They are?
- [KWAN] Yeah.
Oh, my God! They are. [CHUCKLES]
Mom, look. It's working.
The drain's working.
Queue one hour neuro checks.
This is good.
Thank God.
Thank God you're okay.
Update me on her progress.
You're gonna keep going, aren't you?
Impossible cases.
I'm never gonna be able
to look somebody in the eye
and tell them I'm not
gonna try to help them.
I mean, if that's a problem for you
No. I'm not scared of
a challenge, Amelia.
All right, I I take in
the miracle. I always have.
But what you did today was reckless.
I don't do reckless. So,
if you need a miracle,
okay, give me all of
the information up front,
or find another surgeon.
Hey. How you feelin'?
Cerclage went well. No complications.
Babies are still
inside, so I'll take it.
But, um, I'll I'll need
to take a few days off.
[CHUCKLES] Yes, you do.
- [BAILEY CHUCKLES]
- [WILSON] Hey, um
[BAILEY] Hmm?
Thank you for staying with me.
It really meant a lot with, um
with Link and Marcus.
Oh, God, Marcus.
I can't stop picturing
him between my legs.
- I might have to quit.
- [CHUCKLING]
He saved your babies.
Just think about that.
Okay? Get some rest.
[STAMMERS] Uh
And him. [CHUCKLING]
[LINCOLN] Uh, sitter's all set.
How are you doing? You hungry?
Can I get you some food?
I, uh
I've been making decisions
on my own my whole life.
And being in a functional relationship
and allowing someone else
to weigh in on everything,
- I I'm I'm still
- I know.
- And I love you so much.
- I love you.
[CHUCKLES]
And Harry and Fanny.
That's my favorite great aunt and uncle.
- What do you think?
- [MONITOR BEEPING]
- Is that your BP? Mmm.
- Yeah.
Should I get you a juice?
[CHUCKLES] Yeah. I'll take orange juice.
- Thank you.
- Okay.
Uh, Dr. Webber.
Millin, you okay?
It was me. I didn't
strap Damian to the table.
I thought I did, but I
I must've gotten distracted.
And then when Dr. Altman
called Griffith out, I froze.
I should've taken responsibility
for it then and I didn't,
so I'm taking responsibility
for it now. I'm sorry.
I appreciate that.
But I'm not the one
who needs an apology.
[SIGHS]
Hey, go easy on that arm.
I've had worse injuries playing soccer.
Are you okay?
You know, I wasn't sure if
this might have brought up
some memories for you.
Yeah. A few. I mean, that
day shaped my whole life.
Probably Derek's too.
You were his favorite, you know?
He always saw something in you.
- Oh, and you didn't?
- Oh, I found you infuriating.
But Scout and I love having you around.
You coming home tonight?
Uh
That's okay. I'll see you tomorrow.
Hey, Chief, uh, you got a minute?
No, but you're already here.
Um
So, uh, about today.
I'm sorry. I was
I was only trying to help.
You said that the hospital
doesn't have emergency plans
for heat domes.
Well, turns out that we
don't have ones for wildfires,
tsunamis and a few
other natural disasters.
And they're only increasing
with climate change.
So I wanna put together a
committee to fill in the gaps.
With with your permission, of course.
Permission not granted.
Uh, can I ask why not?
As much as you can't seem to grasp this,
you are a resident.
On a trial basis.
You have no business devising
protocols that you can't follow.
If I were you, I would
spend less time assuming
that you have a permanent position here
and more time proving
that you should have one.
We're done here, Dr. Warren.
Hey, you busy?
Well, a patient fell off
the OR table, so yeah.
Um, do you mind getting the kids?
- Uh, sure. Sure, yeah.
- Um
Could you check in on Nora Young
before you leave?
Yeah. Of course.
After all these years,
she still gets under
your skin, doesn't she?
Yeah. Yeah, I guess she does.
[GREY] What happens in our brains
in the moments before we die
has puzzled scientists for centuries.
While we have some evidence
of our lives flashing before our eyes,
there are still many questions.
Temperature dropped 21
degrees in two hours.
I wish I had the words to say ♪
How's Adams?
He's okay. He's okay.
I'm used to seeing patients
come off rigs every day.
Hundreds of 'em. Some worse than others,
but I can handle it. Always have.
But if one more
resident comes off a rig,
I don't think I can.
You talked to Altman?
[SIGHS] Not yet.
[GREY] No one knows
exactly why it happens.
Some people think it's biology.
Others believe it's spiritual.
[ADAMS] Simone.
- [GRIFFITH] Hey.
- [ADAMS] Hey.
There are people around.
I don't care. It's been a long day.
[GREY] What we know for sure is
that you can try to look away,
pushing down all the
uncertainty and pain.
You and me
it feels like such a long shot.
I mean, you're here,
and I'm in California.
And it's it's already so messy.
Stop, stop, stop, stop.
Don't don't overthink it.
I have to "sort-of-think" it.
Then think about this.
I've never stopped loving you.
What if that's enough?
- Blue.
- Say no to Dave.
Turn down his proposal.
Look, I I I don't
wanna get this wrong.
If you and I start something
without breaking it off with him,
it it'll feel wrong.
So go home and tell him.
And when you come back
I am never losing you again.
So say no.
[GREY] But your life will
catch up with you in the end.