Grey's Anatomy s21e12 Episode Script
Ridin' Solo
1
MEREDITH: If I learned anything
from growing up in a hospital,
it's that the standard of
care changes over the years.
Our meta-analysis
confirms the correlation
between the gut
microbiome and Alzheimer's.
Let's look at the data.
- Wait. What is this?
- I made some changes.
Because all these
institutions kept rejecting us.
So if we want to win this grant,
I thought we need more patient data.
Ellis broke the drawer!
- We just moved in.
- ELLIS: I didn't mean to!
It's okay. I-I can fix it.
Uh, make sure you triple proofread.
If Pitney is judging, he points out
every typo passive-aggressively.
Did Nick tell you he won the
Blaisdell Grant four years ago?
- AMELIA: You did?
- Yeah.
The judges are tough.
The competition's tougher.
You fire questions at each
other in the final round.
Alright. I am regretting
not studying on the plane.
A 373% increase in Alzheimer's diagnosis
among 30 to 44-year-olds?
Yeah, we had a 41-year-old
patient. University professor.
You should put it in your presentation.
Your patients are fire
compared to these slides.
Not as fire as getting
there on time. We should go.
Oh. Yeah.
- Love you.
- Good luck.
Thank you.
If you had a cold in the late 1800s,
your doctor would prescribe
heroin as a cough suppressant.
If you had schizophrenia in the 1930s,
your doctor would perform a lobotomy.
But despite the increase
in knowledge and research,
doctors still aren't perfect.
- So now that we're engaged
- Mm-hmm.
The real question is
DJ or cover band?
Cover bands are so cheesy.
I was kind of hoping that we
would have a really small wedding.
- Small like 50 guests?
- No. Like, um
you, me, the kids,
and a witness.
[CHUCKLES] We have to invite my parents.
Oh.
What about Schmitt?
Don't you want him there?
No, it's not that. I just
I, you know, have already
done the huge wedding.
I just I don't want
to make it a big deal.
So you just want to go
down to the courthouse
and sign the paperwork?
I've done that, too.
Even today, your doctor's not likely
to offer pain relief
for an I.U.D. placement,
even though it can be more
agonizing than a vasectomy.
We expect doctors to not make mistakes.
But the history of medicine
is a history of flawed judgment.
- Don't open your eyes.
- Nope.
And
I present to you
"Molly and Blue the greatest bites."
What is this?
Okay. Here we have the
third-date garlic sirloin
that led us to our very first time
You know what.
And the six-month anniversary
trip to San Francisco.
Crab cakes.
And the "I love you" bacon fried rice.
And how did you have the
time to do all of this?
Well Here we go.
I thought it'd be a fun way
for you to relive a little of your past.
You know? The tastes, smells.
You know, they're not
gonna make me remember.
Well, experimental
surgery might not, either,
but this is a lot less
risky, so why not try?
[CELLPHONE DINGING]
Let me guess. Dave again?
Look. I turned down
his marriage proposal.
I mean, it's hard to just cut
someone out of your life like that.
- [SIGHS] I'm late for pre-rounds.
- You should go.
♪
[DOOR OPENS]
I never liked her.
Shouldn't we like our therapist?
Who says I don't?
She clearly doesn't know who we are.
Do we?
I mean, isn't isn't
that why we see her?
[SIGHS]
She told us to try an
unconventional marriage.
Because we told her that sometimes
we are attracted to other people,
so she's trying to
help us solve the issue.
Oh, so you want an open marriage
- and sleep with other people?
- I didn't say that!
- You're not denying it.
- Owen! Owen! I am in love with you.
But if we continue like this
I don't want to lose you.
- But we both feel stifled and stuck.
- [SCOFFS] "Stuck."
I want to change this, but
it doesn't feel like you do.
[ENGINE STARTS]
[INDISTINCT CONVERSATIONS]
Oh, my grandma asked
where you were last night.
Well, she asked about Linus,
but I'm pretty sure that meant you.
LUCAS: Are they
Us. A year ago. They're
here for interviews.
They look so rested.
- We'll be in charge of them soon.
- Unless you're Adams.
No offense.
- Oh, no. No, no, no, no, no.
- SIMONE: Wait. You know someone?
Uh, the woman in the purple sweater.
We might have gone out last night
and I maybe might have
slept at her hotel.
What's she doing here?
We didn't talk details.
- Who's the kid?
- I don't know. But he wasn't there
when she was doing things to my neck
BAILEY: [CLEARS THROAT] Yes.
We've got prospective
interns visiting today.
And, yes, that means that you
You are about to be second
years, so act like it!
Stop standing around.
I want you to take some initiative.
Make me look good. Understand?
- Where the hell is Kwan?
- I'm here! Here. I'm here.
Late. And sloppy. You're on scut.
Yeah.
MAN: You'll be working
shoulder to shoulder
with the world's most
renowned surgeons attending.
Adams!
LUCAS: Melissa Walker, 52,
presented to the E.D.
three days ago with
abdominal pain, nausea, fatigue.
Ultrasound revealed gallstones.
She is now post-op day
two from a lap chole.
LFTs are all normal.
- That's the video I wanted to watch!
- No, that one's dumb.
- Mom!
- Mom!
Okay. Jenina, can you take
them to get something to eat?
[GASPS] Oh. Wait. Can we get something
from the gift shop, too?
Sure. Under $20.
[BAILEY CHUCKLES]
[GROANS]
Oh, oh, oh. Are you in pain?
Mnh. I'm trying to
keep it in for my girls.
I mean, I know they may
look like they only care
about the phone.
Ever since I've been in the hospital,
t-they're terrified that
they're gonna wake up
one day without me.
- Ohh. I-I understand.
- [GROANING]
Ohh. Okay.
I thought the surgery
was supposed to take away the pain.
Yeah. Uh, unfortunately,
it's probably inflammation
from the procedure,
but Dr. Adams will order
a CT just to make sure.
- Okay?
- Okay.
RICHARD: Hannah, how are you doing?
- Starving!
- [CHUCKLES]
How long till we get
this show on the road?
Her INR is a bit high.
I'm sorry. We should push
your hernia repair to
tomorrow just to be safe.
I'd like to see your
labs at a normal range.
Does that mean I can eat?
I'll get you a menu.
- Okay.
- [GROANS]
AMELIA: was closely
linked to the discovery
of amyloid-beta oligomers and plaques.
So with the correlation
to Alzheimer's confirmed,
our next steps are how and why.
Our proposal will significantly expand
our current data on the microbiota
of the descendants of
people with Alzheimer's.
[INDISTINCT CONVERSATIONS]
Is there a problem?
More of a question about
the veracity of your research.
W-We have data to support everything.
That's not our concern.
Another team presented
something similar this morning,
except they're several steps ahead.
- That's impossible.
- Who was that?
Where is he?
Grey! Shepherd!
Ohh! This is a surprise.
Welcome to my lab
where, uh, ahem, visits
are by appointment only.
- Tuesday mornings are good.
- Oh. Meet my vassal, Tommy.
I prefer protégé.
You're Tom and Tommy?
Well, my given name is Vincenzo.
I needed something I could remember.
I'm glad you're here.
I owe you a thank-you note,
and this saves me a stamp.
That abstract you published
was a gripping read.
Gripping enough to present
for a Blaisdell Grant?
Oh, no, no, no, no.
It was just a starting point.
You made it public, so
anyone could use it, right?
We weren't specifically
thinking about you, Tom.
And yet I'm the only one
who seems to have made
a groundbreaking discovery.
Unless you've also
used antibiotics in mice
to trigger a significant decrease
in Alzheimer's markers.
Hm? No? No.
Chins up. [CHUCKLES]
Only one of us needs
to find a cure. Right?
MEREDITH: Hm.
- The girls are at your brother's?!
- He was in town.
Because Vegas won't let him back.
The last time he babysat,
he used a credit card you gave him to
Hi, Dr. Wilson.
Mr. and Mrs. Kotwani.
- I expected to see you two weeks ago.
- So did we.
But this little guy is as forgetful
about dates as his father.
I apologized three times
for leaving them at home.
I've been eating dried dates
to induce labor naturally.
We've tried acupuncture,
sex, long walks.
Passive aggression.
O-Okay, well, um, you
are 14 days overdue,
so we will need to induce medically.
Can't those drugs cause complications?
You've reached the point where
you can have complications
if you don't deliver.
I wish we could keep trying.
Well, we need to run some tests,
but maybe you'll go
into labor before that.
WOMAN ON P.A: AJ Angstrum,
return to the admit desk.
AJ Angstrum, return to the admit desk.
Her name's Vivi. We've been talking,
but when I get home,
I'm gonna ask her to be my girlfriend.
Jules?
- You two know each other?
- We met last night.
Oh.
Convenient.
I'm getting a vibe.
Like Like when my homie Edgar
hooked up with Elena Alvarez
and then he got all weird around her.
How about we let the doctors talk?
- Great idea. Millin?
- Yeah. Right.
Um. Carlos Navarro, 16.
History of pectus excavatum.
Presents for the modified Nuss
procedure to raise the sternum.
No past surgical history.
I'm gonna do a quick
exam, Carlos, alright?
- Any, uh, shortness of breath?
- Mnh-mnh.
So is Carlos your son?
- I'm his patient advocate.
- Ah.
I work with foster youth in Texas.
When my caseworker finally
approved my surgery,
Adriana called Dr. Beltran.
They used to be married.
Yeah. Just not relevant to your case.
- Ndugu, how are we looking?
- Asymptomatic.
His echo was normal. Heart sounds great.
Great. That means we can move forward.
- Do you remember how this works?
- Uh, yeah.
You place a curved metal
bar under my rib cage
and then flip it over
to expand my chest.
And Vivi's not gonna be able
to resist me with my new pecs.
Well, right on the first part.
Can't help you on the second part.
Millin is gonna get you
prepped for surgery, okay?
- Millin?
- Yeah. Right. Right.
- What she said.
- See you soon.
[CHUCKLES SOFTLY]
♪
KORACICK: These mice
have a family history
of beta-amyloid plaque.
Now, thanks to your abstract, we know
that changes in the gut
microbiome can lead to
Which of my students knows the answer?
An inflammatory response
in the microglia?
Bingo! You're slow on the
buzzer today, Shepherd.
Not your student anymore.
Of course, microglia are
crucial to the formation
of beta-amyloid plaques, so I thought,
what if we use antibiotics
to change their microbiome?
To see if it led to
a reduction in plaque.
It did. By twofold.
Why do you even need grant money?
You have the Fox Foundation.
Oh, research funding
is like sex with me.
You can never have enough.
And if I'd had breakfast,
it'd be coming back up right now.
Okay. Who wouldn't
want a Blaisdell Grant?
It's not just about the money.
It's about prestige and notice.
Then you parlay that
into speaking engagements,
a book deal, and [CHUCKLES]
And maybe you could cure Alzheimer's.
Well, sure, but when my work
changes the face of medicine,
everybody wins.
Even you, Dr. Grey.
♪
Oh. I see you're keeping busy.
Does this mean you're feeling better?
It means I'm a procrastinator,
- and Bianca's school play is in a week.
- Oh.
- I hope I'm out of here to see it.
- Who's she playing?
A hot hors d'oeuvre.
In "Beauty and the Beast."
You know, I think she's secretly hoping
the feather duster gets
sick so she can step in.
Mm-hmm. [INHALES SHARPLY]
Oh. Okay. Your CT results were normal,
but we will give you
something for the pain.
But hopefully it will subside
as your body heals, okay?
Um, order repeat LFTs.
Now we're talkin'!
Two pieces of banana cake!
Ooh! Y-You want one?
Uh, I wish. I'm allergic to bananas.
Ever since menopause hit.
LUCAS: Yeah, well, allergies
can start at any time.
Did you develop any others
when you started menopause?
A few. Some cheeses. Nuts.
Plus the standard symptoms. [GROANS]
Hot flashes, night sweats, stomach pain.
But I guess that was the gallbladder.
Well, I ordered more pain meds.
We'll see if that does the trick.
Dr. Isenberg, 4-6-7-3.
I read something about amines
producing excess serotonin
in people with carcinoid syndrome.
Bananas, cheeses, nuts.
They're all high in amines.
Uh, you think my patient has
a one-in-a-million cancer?
- S-Should she get a PET scan?
- If Bailey asked me to.
Anna's surgery got pushed.
Do you mind if I do it?
Uh, knock yourself out.
If you're working on my patients,
- Mr. Follett needs a rectal exam.
- Hm. That's gonna be all you.
Hey. Where are Carlos' pre-op labs?
I haven't put in the order yet.
Ndugu had me discharge Miles Aina.
Okay, well, do you want to tell him
that you're delaying
his surgery or should I?
I will put the order in A.S.A.P.
Hey. Thank you for taking Carlos' case.
- The favor means a lot.
- You know I'm not doing it for you.
- Satellite Pharmacy, 2-1-2-7.
- [SIGHS]
Satellite Pharmacy, 2-1-2-7.
Can someone turn up the
heat in Carlos' room?
He says it's "cold as balls."
It's his words, not mine.
You didn't tell me your ex worked here.
I didn't know you worked here.
You didn't say that you
were in town for a patient.
You want my whole life story?
- Just be chill. Monica's cool with it.
- Cool or she doesn't know?
She knows.
Dr. Sarno, call Oncology, 2-6-2-2.
- [SIGHS]
- [ELEVATOR BELL DINGS]
- Hey!
- Hey.
I examined your patient with
pulmonary valve stenosis,
- and she's cleared for surgery.
- Great.
Whoa! Look at that rock!
- Did you get engaged?
- Yes.
Congratulations.
Link did great. Is there a date?
Uh, no. We're having a little,
um, debate about the wedding.
Oh, well, if yours
doesn't kill your priest,
you're one up on me and Owen.
Hm! Well, you guys don't
set the bar very high.
- Okay. Ready for your Pitoc Ohh!
- [ALL SCREAMING]
- You said you locked the door!
- I said it didn't have a lock!
Sorry! We were just trying to induce!
- ANAND: Aah!
- Oh, God!
- Oh! God!
- Oh, God. Oh, God. Oh, oh.
Is this the guy who fell upstairs?
Unh! I think I broke my ass! Ow!
He's got pain near the tailbone
after falling off his
wife and the hospital bed.
They were trying to induce labor.
Naturally.
She said she'd divorce me if I didn't!
Anand, Dr. Hunt is going to help you.
I'm going back to Shruti.
She just went on the Pitocin drip.
Okay, but this really hurts. Aah!
On a scale of 1 to 10, it's like a 47!
That is oddly specific.
And not something you should
tell your wife while she is in labor.
[ANAND GROANING]
- I'm needed upstairs.
- Okay.
Dr. Mousa to the NICU.
Dr. Jennah Mousa to the NICU.
Ah! Hey. What do you know
about bananas and menopause?
Doesn't matter. Nothing matters.
Whatever it is, it can't be that bad.
My one night stand is Beltran's ex-wife.
- How did you manage that?
- I saw a hot woman in a bar.
She's here with a patient from Texas.
So she'll be out of here soon. Lay low.
I'm on Beltran's service. And she knows.
- Oh, it is that bad.
- What do I do?
Get off the case.
[SIGHS]
MEREDITH: He's got my resources,
and now he's going to
get my grant funding.
And so you're upset he's using your work
to compete against you.
No. I'm upset his research is good.
- Yeah.
- I mean, Tom Koracick
has been doing this for five minutes,
and he's actually moving the needle.
- Yeah, that's what money does.
- And he wants more of it.
But he doesn't care about Alzheimer's.
He might as well be researching
genetically modified tomatoes.
Well, they are actually studying those
to see if they fight cancer.
- You know what I mean.
- I do know what you mean.
I mean, it's a game to him.
He's never had to search
for a grandmother who's gone missing
or taken car keys away from a dad
or look into the eyes of a mother
who's alive but not there.
Well, that's something
you have that he does not.
Passion.
I don't think the Blaisdell
Grant judges care about passion.
You say Koracick's got
the advantage right now,
so all you can do is
make a case for yourself.
That's all you can do.
Might be your last shot.
- You paged?
- Yeah. Possible broken coccyx.
He has swelling and bruising
at the base of the spine.
I'm just ordering the X-rays.
I didn't even need a boy!
Anand's wife is being induced upstairs.
Congratulations.
Whatever. Aah! I have
two teenage daughters.
Do you know how long it's been
since I've changed a diaper? Aah!
They got a lot more options now.
Ohh! My house has been
chaos for 17 years.
I've been counting the
days till an empty nest
since my youngest started high school.
In my mind, Shruti and I
were spending next summer
in Cinque Terre, drinking
prosecco and eating pesto,
but Shruti suddenly wanted a boy,
so now I've got a broken ass. Aah!
I still don't see how
those things are related.
You don't want to.
I had my first interview
with an intern candidate.
Very impressive.
Oh no. It's a strong group.
One of them interned at the
World Health Organization.
- Dr. Bailey, can I show you something?
- BAILEY: Mm-hmm.
I overheard Melissa Walker
talking about her symptoms.
They seem to be in line
with carcinoid syndrome,
so I took her for a PE
scan and sent some labs.
Uh, who asked you to
take her for a PET scan?
- No one, but I was taking in
- Dr. Griffith, you're on my service.
You can't go running
scans on whatever patients
you want to just because
Melissa has a neuroendocrine tumor.
1.5 centimeters on the
appendix. I'll be damned.
There's also a small spot on the liver.
- I thought her symptoms were menopause.
- Yeah, so did I.
RICHARD: Well, that makes sense.
The tumor is secreting
hormones into the bloodstream.
She needs an appy and a liver biopsy.
- Can Adams take over your service?
- Yeah, I suppose so.
Alright, then, Griffith, book an O.R.
for you and whoever you want to assist.
- To assist ?
- You. You found it. You take it out.
Uh solo surgery?
If you don't think you're ready
Oh, no, I'm r I can do it! Thank you!
Alright. See you in the operating room.
- Yeah. Hey.
- Congratulations.
OT Morell to the
3rd-Floor nurses' station.
Well, Carlos' pre-op
labs came back normal,
which, honestly, as the intern on
this case, you should be telling me.
Dr. Beltran, I-I swear. I had no idea.
If If you want me off the
case, I completely understand.
Talk me through the Nuss procedure.
Now would be good.
Uh, get thoracoscopic access
and perform cryoablation
on the intercostal nerves.
And then?
L-Lateral incisions
either side of the chest.
And then you pass the
tunneling bar under the sternum.
You're prepped. You're with me.
Unless you want off this case.
- No, no, no. I'll see you in the O.R.
- Okay.
[ELEVATOR BELL DINGS]
♪
[SIMONE GROANS AND SIGHS]
Oh!
Everybody's waiting ♪
I don't have time to wait in lines.
Uh, hey, have you ever read about
grid stimulations to recall memories?
It's only ever been done
successfully on animal models.
- Sounds cool.
- Or risky and dangerous
and not proven to work,
yet Molly wants it.
SIMONE: I really need to
eat something before surgery.
You never held a retractor
on an empty stomach?
She's not holding a retractor.
Bailey is letting me
take a lead on an appy.
Wait. You're getting a
solo surgery? I hate you!
Hm. You hate me or you love me?
Because Bailey said
I could pick an intern
to go in with me.
Beltran's not gonna
release me from her service.
So she doesn't know
you slept with her ex.
- What?
- BLUE: What?
So! It's an appy?
What about you? Technically,
she's your patient.
Um, I still have a bunch
of H&Ps to do for Webber,
but I know you'll do great.
Well, it looks like
it's just you and me.
Fine. Let's go.
Ooh-ooh-ooh-ooh ♪
Oh, I wanna lose control ♪
So she's operating on your patient?
- Who'd you sleep with again?
- [CRUNCH]
Ya, ya, ya ♪
SHRUTI: [GROANING]
Okay. You are 8 centimeters dilated.
And it's almost ready to push.
Where is that clumsy jerk?!
If you mean your husband,
he is waiting on a CT.
They want to scan his
pelvis and his spine
to make sure he doesn't
have an occult fracture.
[GROANS]
This is your first, right?
Um, well, my daughter's adopted,
but this is my first time carrying.
When I told my husband I
was pregnant with our first,
he was so happy, he cried.
This time, he barely
looked up from his phone
and said he'd get the
crib out of the garage.
Here. Let me make you
more comfortable, okay?
I know we've been
through this twice before,
but our son hasn't.
I want him to know
that he's special to us.
But now his dad is probably
gonna miss his birth!
I had to remind him about
that crib at least 10 times!
And crap! I forgot to
remind him about the car seat!
Where's my phone?!
Oh. Uh okay. Oh. Here, here, here.
- [CELLPHONE RINGS]
- ANAND: Shruti.
SHRUTI: Did you install
the car seat?! [SCREAMS]
- Oh, my God! Are you in labor?!
- What does it look like?!
So I did it! I induced you!
- My sex induced her.
- The Pitocin induced me.
Tell me that you remembered
to take the car seat
out of your trunk and
actually install it!
Okay. Of course I did.
Take a breath. You've got this.
- I love you.
- You're right. Thanks.
I love you. [GROANS]
I forgot the car seat.
Take me to the parking lot.
You shouldn't ignore
a possible fracture.
Are you married? Because my wife means
the world to me, and I
just want her to be happy,
so can you please take
me back to my car?!
Uh
SIMONE: Identify the right colon.
Follow the taenia coli along the cecum
to locate the appendix.
Use the grasper to clutch the tip
and hold it up towards
the lower right abdomen.
Could you talk to Molly? As a doctor?
I don't think she
understands that no one knows
how to precisely target
where lost memories are,
and her surgery is scheduled
with Shepherd in two days.
Okay. You cannot do this.
- Thank you.
- How do we tell Molly?
No. I mean you cannot do this.
I am about to perform
my first solo surgery.
- It's just an appy.
- It's my appy
from start to finish for the first time.
Melissa has two scared daughters.
If anything happens to her, it is on me.
So be my assist or get out.
Also, instead of talking
to me about Molly's surgery,
try talking to Molly.
- BAILEY: Okay. Are we ready?
- [EXHALES SHARPLY]
Scalpel.
♪
MONICA: Okay. We're
ready to start getting
thoracoscopic access.
Let's drop the lung.
I met Carlos when he was 12,
and he had a crush on Vivi back then.
Still hasn't realized
that she's been waiting
for him to make the first move.
Okay. Are we ready?
DR. KNOX: SATs look good
with one lung ventilation.
Okay. Millin, get the Veress needle.
Alright, so, because the lung is down,
the heart may have moved
from where it normally
Okay. Needle's in.
Oh. Damn it! He's bleeding.
Why is he bleeding?!
Because you may have
punctured his heart.
I did what?! We need to page Dr. Ndugu!
Okay, Millin, I need you to breathe.
Someone page Dr. Ndugu right now!
[BOTH GRUNTING]
Alright. You know what?
It's still loose. Here.
I'll hold it down. You pull.
Why is this always so hard?!
I think it's a test.
Survival of the fittest.
Yeah. Hey
Have you ever done
anything you didn't want to
in order to help your marriage?
Like what? Also not married.
Really? I mean, something
kind of unconventional.
- Did Jo talk to you?
- Why would Jo talk to me?
Because we just got engaged,
and I want a conventional
wedding, she doesn't.
- Oh, this is this is about you.
- Hm.
Oh. Uh, well, you know,
I'm always open to things.
You know? Relationships
are about give-and-take.
- That's what I learned from my parents.
- Uh-huh.
So, uh, how long they been married?
Not as long as they've
been divorced. [CHUCKLES]
First marriage, everything
was "my way or the highway."
Uh, but now they let
a lot of things slide.
Their second marriage seems
to be going a lot better.
Well, take it from
someone who's on his third.
It's a lot of hard work.
[CLICK]
Congratulations, by the way.
I'm sure you'll be very happy.
[VEHICLE DOOR CLOSES]
[DOOR SLIDES]
Alright. What happened?
I screwed up and I punctured his heart.
For all we know, I could have
torn a hole right through it.
MONICA: Vitals are stable for now.
Where are you going? Get back
in here and help fix this.
WINSTON: Let me see
the size of the needle.
Okay. How does that
compare to a 16-gauge?
It's about the same.
And we use those to do
intracardiac injections.
So what's your recommendation?
Uh, do a pericardial window
and then place a drain
so that it can heal itself?
Correct. We will take care of this.
And then you can help Dr. Beltran
finish the Nuss procedure.
If Dr. Beltran still wants me
If you ask me one more time
if I want you on this case,
I'm going to lose my mind.
Focus and stay in lockstep.
Are you ready?
Okay. Good. Let's see what's going on.
Make your way, steady always ♪
So how's it going?
♪
So far, so good. I was just
about to check on Mrs. Balaban.
Oh, you can, uh
You can wait a minute.
Miles away ♪
My first solo surgery was monumental.
I called my friends, my family.
If memory serves, I even
bought a new pair of shoes
for the occasion.
Now I can't tell you if it was
a cholecystectomy or a hernia repair.
First one's always a big deal.
- Then so is the second.
- [DOOR OPENS]
10th. 100th.
You got your whole career ahead of you.
Don't beat yourself up
over one lost surgery.
Ohh-ohhh ♪
SIMONE: Ah. First Endoloop is on.
- [CHUCKLES]
- Ready for the next one.
BAILEY: Not so scary, right?
Muscle memory is a powerful thing.
I wouldn't know.
With that attitude, you never will.
- Here.
- Thank you.
The resonance of the world outside ♪
Now, now, go slow.
SIMONE: Ah.
A dream, a doubt ♪
Uh it's caught in the port.
I need a new one.
Hold your fate ♪
It's still slipping.
My hands are big enough.
D-Do you think you have
smaller hands than me?
- No. Try again.
- Going again.
In the tide ♪
You know this. You've seen
it done a million times.
The world outside ♪
[SIMONE EXHALES SHARPLY]
A dream, a doubt, and a reason why ♪
Almost there.
♪
Got it!
Ohh-ohhh ♪
Scissors.
Oooh, ohh ♪
Separating the appendix from the cecum.
Endopouch, please.
Ohh, ohh-ohh-ohh ♪
Ooh-oooh ♪
Ohh, ohh-ohh-ohh ♪
♪
Yeah. Let's get it to path.
Well done.
[CHUCKLES] Yeah.
Melissa should be recovered in time
to see her daughter's school play.
♪
AMELIA: Before we close,
we would like to acknowledge
the 55 million people living
with Alzheimer's disease.
We feel passionately about
this work because of them.
And a Blaisdell Grant would not only
help us continue the next
phase of our research,
but you'd be contributing significantly
to our relentless pursuit of a cure.
We're happy to take any questions.
KORACICK: I got Hi. Hi. Yeah.
Are you proposing to test a hypothesis
- you've already confirmed?
- No.
No? I have a C-Can I Yeah.
Uh, theatrics aside,
this sounds like the study
your abstract was based on.
That involved 175 patients.
We would recruit thousands in order to
identify specific bacterial strains.
Yeah. Like I said,
more of the same, so
Can you talk about the people
you'll enroll in the study?
Ages, ethnicities, geographic locations?
Softball game's at the park, Marsh.
Look, if you want to make this personal,
let me tell you about Paul, hm?
John, George, and Ringo.
- The Beatles?
- Not Beatles. Mice.
I've also got Jermaine, Tito, Jackie,
Marlon, and Michael.
We're taking Alzheimer's
research to a new level.
[CHUCKLES] That's right. Um
Theatrics aside,
what about the female mice?
The Excuse me?
Alzheimer's affects twice
as many women as it does men.
So are you only studying male mice?
Of course. You put a few
female mice in a cage,
and pretty soon you have
a whole social hierarchy.
The young ones are
taking care of the oldest,
and they experience anxiety and stress,
sometimes resulting in hair loss.
And their hormone cycles
create fluctuations in behavior
that can render the
whole experiment useless.
Your inexperience in neurology
research is showing great.
Anyone in this field of study knows, hm,
female mice are problematic
Right?
[SPECTATORS MURMURING]
♪
So you're not studying female mice
because their reproductive systems
mess with your results?
- You catch on quick.
- That's pathetic.
And the most asinine excuse
for sexism I've ever heard.
No wonder no one's
ever cured Alzheimer's.
The men who have spent decades
trying to do it have ignored the
- patients who need it the most.
- [GROANS]
And what's worst of all
is no one in this room
seems interested in changing any of it.
How can we let this happen
knowing it directly affects us?
♪
Well, thank you all for your time.
♪
[INDISTINCT CONVERSATIONS]
♪
WOMAN ON P.A.: Dr. Binder to 3-West.
- Dr. Binder to 3-West.
- How's he doing?
Stable. Post-op labs look good.
[GROANS]
Oh. Hey.
Did it work?
It did. Thanks to Dr. Beltran.
Thank you.
I'm gonna be able to go
to pool parties, the beach.
[LAUGHS]
You can go with Vivi.
T-That's her name, right?
The girl you like?
Yeah, yeah, she's she's okay.
Uh, but now that I've got this new body,
I should play the field, right?
No. No.
When you find someone you
can't stop thinking about
and they make you feel things
you've never felt before
and you have a chance to be
with her, you should call her.
Do you hear me?
There's no one else ♪
Should I go after her?
♪
Millin!
I'm sorry. I'm sorry
if that was out of line.
And I'm sorry that I
punctured that kid's heart.
And I'm sorry that I
didn't strap a patient
onto the O.R. table properly.
Okay. I I'm not sure
about that last one,
but complications happen.
You're an intern.
You're gonna make mistakes.
Hell, I still do.
I slept with Adriana because
I'm going through a breakup.
I don't care.
I mean, I'm not thrilled,
but you know what?
Honestly, the less we
talk about it, the better.
But I am your attending
and I do care about
your surgical training.
And today, when it mattered most,
you froze and you got in your own way.
And I know this because I've been there.
So no matter how hard it is,
you cannot bring your
personal life into the O.R.
In particular, mine. Okay?
Yeah. Yeah.
When to start ♪
I'll be a fool ♪
For worse or better ♪
So let me in, let it begin ♪
[KNOCK ON DOOR]
Are you ready for a visitor?
- [BABY COOING]
- We both are.
- You want to hold him?
- Yeah.
Congratulations.
Tell me that I'm wrong ♪
Ooh-ooh-ohh ♪
Hey, buddy.
♪
I'm your dad!
- I broke my butt for you!
- [LAUGHTER]
In about five years,
you'll find that hilarious.
[LAUGHTER]
I'm so glad we did this.
I think everybody sees ♪
ANAND: Hey. There's Mom.
We were made just for each other ♪
So once we get the results
of your liver biopsy back,
we will work to ensure you
have the best treatment plan.
But your surgery went beautifully.
EMILY: I'm bored.
[GROANS] What did I tell
you about using that word?
You don't want to hear it.
Are we going home?
Your mom needs a little more rest.
She can go home soon.
- Can we sleep over?
- Is that okay?
Um, if you want.
But you have to let
your mom get some rest.
- Can you do that?
- We promise.
- Alright.
- We'll send up some games
from the peds floor.
Thanks.
♪
Well done.
You made me look good.
[BOTH LAUGH]
Dr. Bailey, thank you.
♪
Hm.
Tell me that I'm wrong ♪
So? How did surgery go?
Oh. It was okay. It was
Tell me that I'm wrong ♪
I can't lie. It was the coolest
30 minutes of my life.
[CHUCKLES]
You deserve it.
Jules and I are gonna get a drink.
Do you want to come?
Uh, uh, n
I still have to do
hand-off for next shift,
but, um, you should go.
- Okay. See you later.
- Yeah.
I could love you for forever ♪
If you tell me when to start ♪
♪
How's Shruti?
Doing better.
The dads are harder than the moms.
I don't need a big wedding.
I don't need the band
or the slideshow with photos
or a giant cake.
You're thinking about cake.
- I am.
- Yeah.
But the point is
I just want to be married to you.
I don't care about the rest.
I do.
I want the wedding.
I thought that I didn't because, well,
I've already done it before,
but I've never done it with you.
I want to.
♪
Can't wait to marry you!
[BOTH LAUGHING]
Truly unimaginable.
I think I insulted Lucas.
He will be fine.
You flew solo in the O.R. today.
You know, I think that
we should stop worrying
about relationships and
just focus on our careers,
which is why I have decided
swearing off sex for a while.
Yeah, I'm not doing that.
[INDISTINCT CONVERSATION]
O kay.
[INDISTINCT CONVERSATION]
- Okay.
- That makes sense.
Someone told me that I
need to put my head down
and focus on work.
I'm off the clock.
I'm looking for a mentor.
I'll do your progress notes.
I'll do your rounds.
I will do anything you want me to.
Don't hurt the ones you need ♪
I'm asking you, by the way.
I see the purple ♪
Alright. Um
Meet me for rounds at 7:00 a.m.
Great.
There's something strange ♪
Do you know who told
her to focus on work? Me.
And then she asks you to be her mentor?
Well, I think she's
terrified of you, actually.
Well, I can live with that.
[LAUGHS]
[RATTLING]
Hey. I I'm sorry.
I-I realized today I'm not coming off
as supportive and I am.
I'm behind you 100% with
whatever treatment you choose.
And I think I'm just
Well, I
I'm scared.
♪
I'm sorry, too.
♪
Hey.
What's he doing here?
MEREDITH: Beneath the white
coats and fancy titles,
medicine is just humans treating humans.
♪
I don't want us to feel stuck.
And I think I didn't want to admit it
because I had this idea of
what our lives should be,
and everything that therapist
said seems opposite to that,
- which is
- Kind of terrifying.
Yeah.
Tonight ♪
The weight of all the world ♪
Maybe it doesn't have to be.
It seems to crush you and I ♪
I'm willing to try
something new if you are.
Can we break the spell
and get it how it was? ♪
Sometimes it just takes
me a minute to get there.
And
To the days when ♪
it's a little weird picturing you
flirting with somebody else.
I am a terrible flirt.
- [CHUCKLES] You are.
- [CHUCKLES]
I don't want no space between ♪
Okay.
If we actually open this
I don't want to know any details.
Agreed.
And we check in regularly.
♪
And
we stay safe.
And our marriage comes first.
No serious relationships or feelings.
Of course.
Every breath ♪
Time stood still and
that morning chill ♪
Are we really doing this?
We were made for no one else ♪
The past is pulling heart strings ♪
Till they break ♪
The most brilliant surgeons
have made questionable choices.
No one has ever ♪
No one gets it right all the time.
So, as a doctor, what do you do?
There's only one choice
find your team
work shoulder to shoulder
let them help you when you falter.
Tom Koracick won the grant.
I don't want no space between us ♪
Can't stop seeing his smug face.
I don't want no space ♪
Who knew science was such
a male-dominated world,
even with rodents?
Ellis Grey knew.
She told me about it her whole life.
Now I can't stop seeing
her gloating face.
♪
What if Amelia and I
did Koracick's experiment
with female mice?
Mm. Okay.
- Who will fund it?
- I will.
I mean, I know we
just bought this house,
but I have some savings.
And I said this is personal, and it is.
Mm-hmm.
♪
What do you think?
Honestly, I think
I think it's a great idea.
♪
How do I become an investor?
Well, I can't let you do that
because we don't know if it'll work.
Look, if I'm gonna bet on anybody
it's you.
Between us ♪
Let them push you to make you better.
I don't want no space between us ♪
♪
♪
♪
MEREDITH: If I learned anything
from growing up in a hospital,
it's that the standard of
care changes over the years.
Our meta-analysis
confirms the correlation
between the gut
microbiome and Alzheimer's.
Let's look at the data.
- Wait. What is this?
- I made some changes.
Because all these
institutions kept rejecting us.
So if we want to win this grant,
I thought we need more patient data.
Ellis broke the drawer!
- We just moved in.
- ELLIS: I didn't mean to!
It's okay. I-I can fix it.
Uh, make sure you triple proofread.
If Pitney is judging, he points out
every typo passive-aggressively.
Did Nick tell you he won the
Blaisdell Grant four years ago?
- AMELIA: You did?
- Yeah.
The judges are tough.
The competition's tougher.
You fire questions at each
other in the final round.
Alright. I am regretting
not studying on the plane.
A 373% increase in Alzheimer's diagnosis
among 30 to 44-year-olds?
Yeah, we had a 41-year-old
patient. University professor.
You should put it in your presentation.
Your patients are fire
compared to these slides.
Not as fire as getting
there on time. We should go.
Oh. Yeah.
- Love you.
- Good luck.
Thank you.
If you had a cold in the late 1800s,
your doctor would prescribe
heroin as a cough suppressant.
If you had schizophrenia in the 1930s,
your doctor would perform a lobotomy.
But despite the increase
in knowledge and research,
doctors still aren't perfect.
- So now that we're engaged
- Mm-hmm.
The real question is
DJ or cover band?
Cover bands are so cheesy.
I was kind of hoping that we
would have a really small wedding.
- Small like 50 guests?
- No. Like, um
you, me, the kids,
and a witness.
[CHUCKLES] We have to invite my parents.
Oh.
What about Schmitt?
Don't you want him there?
No, it's not that. I just
I, you know, have already
done the huge wedding.
I just I don't want
to make it a big deal.
So you just want to go
down to the courthouse
and sign the paperwork?
I've done that, too.
Even today, your doctor's not likely
to offer pain relief
for an I.U.D. placement,
even though it can be more
agonizing than a vasectomy.
We expect doctors to not make mistakes.
But the history of medicine
is a history of flawed judgment.
- Don't open your eyes.
- Nope.
And
I present to you
"Molly and Blue the greatest bites."
What is this?
Okay. Here we have the
third-date garlic sirloin
that led us to our very first time
You know what.
And the six-month anniversary
trip to San Francisco.
Crab cakes.
And the "I love you" bacon fried rice.
And how did you have the
time to do all of this?
Well Here we go.
I thought it'd be a fun way
for you to relive a little of your past.
You know? The tastes, smells.
You know, they're not
gonna make me remember.
Well, experimental
surgery might not, either,
but this is a lot less
risky, so why not try?
[CELLPHONE DINGING]
Let me guess. Dave again?
Look. I turned down
his marriage proposal.
I mean, it's hard to just cut
someone out of your life like that.
- [SIGHS] I'm late for pre-rounds.
- You should go.
♪
[DOOR OPENS]
I never liked her.
Shouldn't we like our therapist?
Who says I don't?
She clearly doesn't know who we are.
Do we?
I mean, isn't isn't
that why we see her?
[SIGHS]
She told us to try an
unconventional marriage.
Because we told her that sometimes
we are attracted to other people,
so she's trying to
help us solve the issue.
Oh, so you want an open marriage
- and sleep with other people?
- I didn't say that!
- You're not denying it.
- Owen! Owen! I am in love with you.
But if we continue like this
I don't want to lose you.
- But we both feel stifled and stuck.
- [SCOFFS] "Stuck."
I want to change this, but
it doesn't feel like you do.
[ENGINE STARTS]
[INDISTINCT CONVERSATIONS]
Oh, my grandma asked
where you were last night.
Well, she asked about Linus,
but I'm pretty sure that meant you.
LUCAS: Are they
Us. A year ago. They're
here for interviews.
They look so rested.
- We'll be in charge of them soon.
- Unless you're Adams.
No offense.
- Oh, no. No, no, no, no, no.
- SIMONE: Wait. You know someone?
Uh, the woman in the purple sweater.
We might have gone out last night
and I maybe might have
slept at her hotel.
What's she doing here?
We didn't talk details.
- Who's the kid?
- I don't know. But he wasn't there
when she was doing things to my neck
BAILEY: [CLEARS THROAT] Yes.
We've got prospective
interns visiting today.
And, yes, that means that you
You are about to be second
years, so act like it!
Stop standing around.
I want you to take some initiative.
Make me look good. Understand?
- Where the hell is Kwan?
- I'm here! Here. I'm here.
Late. And sloppy. You're on scut.
Yeah.
MAN: You'll be working
shoulder to shoulder
with the world's most
renowned surgeons attending.
Adams!
LUCAS: Melissa Walker, 52,
presented to the E.D.
three days ago with
abdominal pain, nausea, fatigue.
Ultrasound revealed gallstones.
She is now post-op day
two from a lap chole.
LFTs are all normal.
- That's the video I wanted to watch!
- No, that one's dumb.
- Mom!
- Mom!
Okay. Jenina, can you take
them to get something to eat?
[GASPS] Oh. Wait. Can we get something
from the gift shop, too?
Sure. Under $20.
[BAILEY CHUCKLES]
[GROANS]
Oh, oh, oh. Are you in pain?
Mnh. I'm trying to
keep it in for my girls.
I mean, I know they may
look like they only care
about the phone.
Ever since I've been in the hospital,
t-they're terrified that
they're gonna wake up
one day without me.
- Ohh. I-I understand.
- [GROANING]
Ohh. Okay.
I thought the surgery
was supposed to take away the pain.
Yeah. Uh, unfortunately,
it's probably inflammation
from the procedure,
but Dr. Adams will order
a CT just to make sure.
- Okay?
- Okay.
RICHARD: Hannah, how are you doing?
- Starving!
- [CHUCKLES]
How long till we get
this show on the road?
Her INR is a bit high.
I'm sorry. We should push
your hernia repair to
tomorrow just to be safe.
I'd like to see your
labs at a normal range.
Does that mean I can eat?
I'll get you a menu.
- Okay.
- [GROANS]
AMELIA: was closely
linked to the discovery
of amyloid-beta oligomers and plaques.
So with the correlation
to Alzheimer's confirmed,
our next steps are how and why.
Our proposal will significantly expand
our current data on the microbiota
of the descendants of
people with Alzheimer's.
[INDISTINCT CONVERSATIONS]
Is there a problem?
More of a question about
the veracity of your research.
W-We have data to support everything.
That's not our concern.
Another team presented
something similar this morning,
except they're several steps ahead.
- That's impossible.
- Who was that?
Where is he?
Grey! Shepherd!
Ohh! This is a surprise.
Welcome to my lab
where, uh, ahem, visits
are by appointment only.
- Tuesday mornings are good.
- Oh. Meet my vassal, Tommy.
I prefer protégé.
You're Tom and Tommy?
Well, my given name is Vincenzo.
I needed something I could remember.
I'm glad you're here.
I owe you a thank-you note,
and this saves me a stamp.
That abstract you published
was a gripping read.
Gripping enough to present
for a Blaisdell Grant?
Oh, no, no, no, no.
It was just a starting point.
You made it public, so
anyone could use it, right?
We weren't specifically
thinking about you, Tom.
And yet I'm the only one
who seems to have made
a groundbreaking discovery.
Unless you've also
used antibiotics in mice
to trigger a significant decrease
in Alzheimer's markers.
Hm? No? No.
Chins up. [CHUCKLES]
Only one of us needs
to find a cure. Right?
MEREDITH: Hm.
- The girls are at your brother's?!
- He was in town.
Because Vegas won't let him back.
The last time he babysat,
he used a credit card you gave him to
Hi, Dr. Wilson.
Mr. and Mrs. Kotwani.
- I expected to see you two weeks ago.
- So did we.
But this little guy is as forgetful
about dates as his father.
I apologized three times
for leaving them at home.
I've been eating dried dates
to induce labor naturally.
We've tried acupuncture,
sex, long walks.
Passive aggression.
O-Okay, well, um, you
are 14 days overdue,
so we will need to induce medically.
Can't those drugs cause complications?
You've reached the point where
you can have complications
if you don't deliver.
I wish we could keep trying.
Well, we need to run some tests,
but maybe you'll go
into labor before that.
WOMAN ON P.A: AJ Angstrum,
return to the admit desk.
AJ Angstrum, return to the admit desk.
Her name's Vivi. We've been talking,
but when I get home,
I'm gonna ask her to be my girlfriend.
Jules?
- You two know each other?
- We met last night.
Oh.
Convenient.
I'm getting a vibe.
Like Like when my homie Edgar
hooked up with Elena Alvarez
and then he got all weird around her.
How about we let the doctors talk?
- Great idea. Millin?
- Yeah. Right.
Um. Carlos Navarro, 16.
History of pectus excavatum.
Presents for the modified Nuss
procedure to raise the sternum.
No past surgical history.
I'm gonna do a quick
exam, Carlos, alright?
- Any, uh, shortness of breath?
- Mnh-mnh.
So is Carlos your son?
- I'm his patient advocate.
- Ah.
I work with foster youth in Texas.
When my caseworker finally
approved my surgery,
Adriana called Dr. Beltran.
They used to be married.
Yeah. Just not relevant to your case.
- Ndugu, how are we looking?
- Asymptomatic.
His echo was normal. Heart sounds great.
Great. That means we can move forward.
- Do you remember how this works?
- Uh, yeah.
You place a curved metal
bar under my rib cage
and then flip it over
to expand my chest.
And Vivi's not gonna be able
to resist me with my new pecs.
Well, right on the first part.
Can't help you on the second part.
Millin is gonna get you
prepped for surgery, okay?
- Millin?
- Yeah. Right. Right.
- What she said.
- See you soon.
[CHUCKLES SOFTLY]
♪
KORACICK: These mice
have a family history
of beta-amyloid plaque.
Now, thanks to your abstract, we know
that changes in the gut
microbiome can lead to
Which of my students knows the answer?
An inflammatory response
in the microglia?
Bingo! You're slow on the
buzzer today, Shepherd.
Not your student anymore.
Of course, microglia are
crucial to the formation
of beta-amyloid plaques, so I thought,
what if we use antibiotics
to change their microbiome?
To see if it led to
a reduction in plaque.
It did. By twofold.
Why do you even need grant money?
You have the Fox Foundation.
Oh, research funding
is like sex with me.
You can never have enough.
And if I'd had breakfast,
it'd be coming back up right now.
Okay. Who wouldn't
want a Blaisdell Grant?
It's not just about the money.
It's about prestige and notice.
Then you parlay that
into speaking engagements,
a book deal, and [CHUCKLES]
And maybe you could cure Alzheimer's.
Well, sure, but when my work
changes the face of medicine,
everybody wins.
Even you, Dr. Grey.
♪
Oh. I see you're keeping busy.
Does this mean you're feeling better?
It means I'm a procrastinator,
- and Bianca's school play is in a week.
- Oh.
- I hope I'm out of here to see it.
- Who's she playing?
A hot hors d'oeuvre.
In "Beauty and the Beast."
You know, I think she's secretly hoping
the feather duster gets
sick so she can step in.
Mm-hmm. [INHALES SHARPLY]
Oh. Okay. Your CT results were normal,
but we will give you
something for the pain.
But hopefully it will subside
as your body heals, okay?
Um, order repeat LFTs.
Now we're talkin'!
Two pieces of banana cake!
Ooh! Y-You want one?
Uh, I wish. I'm allergic to bananas.
Ever since menopause hit.
LUCAS: Yeah, well, allergies
can start at any time.
Did you develop any others
when you started menopause?
A few. Some cheeses. Nuts.
Plus the standard symptoms. [GROANS]
Hot flashes, night sweats, stomach pain.
But I guess that was the gallbladder.
Well, I ordered more pain meds.
We'll see if that does the trick.
Dr. Isenberg, 4-6-7-3.
I read something about amines
producing excess serotonin
in people with carcinoid syndrome.
Bananas, cheeses, nuts.
They're all high in amines.
Uh, you think my patient has
a one-in-a-million cancer?
- S-Should she get a PET scan?
- If Bailey asked me to.
Anna's surgery got pushed.
Do you mind if I do it?
Uh, knock yourself out.
If you're working on my patients,
- Mr. Follett needs a rectal exam.
- Hm. That's gonna be all you.
Hey. Where are Carlos' pre-op labs?
I haven't put in the order yet.
Ndugu had me discharge Miles Aina.
Okay, well, do you want to tell him
that you're delaying
his surgery or should I?
I will put the order in A.S.A.P.
Hey. Thank you for taking Carlos' case.
- The favor means a lot.
- You know I'm not doing it for you.
- Satellite Pharmacy, 2-1-2-7.
- [SIGHS]
Satellite Pharmacy, 2-1-2-7.
Can someone turn up the
heat in Carlos' room?
He says it's "cold as balls."
It's his words, not mine.
You didn't tell me your ex worked here.
I didn't know you worked here.
You didn't say that you
were in town for a patient.
You want my whole life story?
- Just be chill. Monica's cool with it.
- Cool or she doesn't know?
She knows.
Dr. Sarno, call Oncology, 2-6-2-2.
- [SIGHS]
- [ELEVATOR BELL DINGS]
- Hey!
- Hey.
I examined your patient with
pulmonary valve stenosis,
- and she's cleared for surgery.
- Great.
Whoa! Look at that rock!
- Did you get engaged?
- Yes.
Congratulations.
Link did great. Is there a date?
Uh, no. We're having a little,
um, debate about the wedding.
Oh, well, if yours
doesn't kill your priest,
you're one up on me and Owen.
Hm! Well, you guys don't
set the bar very high.
- Okay. Ready for your Pitoc Ohh!
- [ALL SCREAMING]
- You said you locked the door!
- I said it didn't have a lock!
Sorry! We were just trying to induce!
- ANAND: Aah!
- Oh, God!
- Oh! God!
- Oh, God. Oh, God. Oh, oh.
Is this the guy who fell upstairs?
Unh! I think I broke my ass! Ow!
He's got pain near the tailbone
after falling off his
wife and the hospital bed.
They were trying to induce labor.
Naturally.
She said she'd divorce me if I didn't!
Anand, Dr. Hunt is going to help you.
I'm going back to Shruti.
She just went on the Pitocin drip.
Okay, but this really hurts. Aah!
On a scale of 1 to 10, it's like a 47!
That is oddly specific.
And not something you should
tell your wife while she is in labor.
[ANAND GROANING]
- I'm needed upstairs.
- Okay.
Dr. Mousa to the NICU.
Dr. Jennah Mousa to the NICU.
Ah! Hey. What do you know
about bananas and menopause?
Doesn't matter. Nothing matters.
Whatever it is, it can't be that bad.
My one night stand is Beltran's ex-wife.
- How did you manage that?
- I saw a hot woman in a bar.
She's here with a patient from Texas.
So she'll be out of here soon. Lay low.
I'm on Beltran's service. And she knows.
- Oh, it is that bad.
- What do I do?
Get off the case.
[SIGHS]
MEREDITH: He's got my resources,
and now he's going to
get my grant funding.
And so you're upset he's using your work
to compete against you.
No. I'm upset his research is good.
- Yeah.
- I mean, Tom Koracick
has been doing this for five minutes,
and he's actually moving the needle.
- Yeah, that's what money does.
- And he wants more of it.
But he doesn't care about Alzheimer's.
He might as well be researching
genetically modified tomatoes.
Well, they are actually studying those
to see if they fight cancer.
- You know what I mean.
- I do know what you mean.
I mean, it's a game to him.
He's never had to search
for a grandmother who's gone missing
or taken car keys away from a dad
or look into the eyes of a mother
who's alive but not there.
Well, that's something
you have that he does not.
Passion.
I don't think the Blaisdell
Grant judges care about passion.
You say Koracick's got
the advantage right now,
so all you can do is
make a case for yourself.
That's all you can do.
Might be your last shot.
- You paged?
- Yeah. Possible broken coccyx.
He has swelling and bruising
at the base of the spine.
I'm just ordering the X-rays.
I didn't even need a boy!
Anand's wife is being induced upstairs.
Congratulations.
Whatever. Aah! I have
two teenage daughters.
Do you know how long it's been
since I've changed a diaper? Aah!
They got a lot more options now.
Ohh! My house has been
chaos for 17 years.
I've been counting the
days till an empty nest
since my youngest started high school.
In my mind, Shruti and I
were spending next summer
in Cinque Terre, drinking
prosecco and eating pesto,
but Shruti suddenly wanted a boy,
so now I've got a broken ass. Aah!
I still don't see how
those things are related.
You don't want to.
I had my first interview
with an intern candidate.
Very impressive.
Oh no. It's a strong group.
One of them interned at the
World Health Organization.
- Dr. Bailey, can I show you something?
- BAILEY: Mm-hmm.
I overheard Melissa Walker
talking about her symptoms.
They seem to be in line
with carcinoid syndrome,
so I took her for a PE
scan and sent some labs.
Uh, who asked you to
take her for a PET scan?
- No one, but I was taking in
- Dr. Griffith, you're on my service.
You can't go running
scans on whatever patients
you want to just because
Melissa has a neuroendocrine tumor.
1.5 centimeters on the
appendix. I'll be damned.
There's also a small spot on the liver.
- I thought her symptoms were menopause.
- Yeah, so did I.
RICHARD: Well, that makes sense.
The tumor is secreting
hormones into the bloodstream.
She needs an appy and a liver biopsy.
- Can Adams take over your service?
- Yeah, I suppose so.
Alright, then, Griffith, book an O.R.
for you and whoever you want to assist.
- To assist ?
- You. You found it. You take it out.
Uh solo surgery?
If you don't think you're ready
Oh, no, I'm r I can do it! Thank you!
Alright. See you in the operating room.
- Yeah. Hey.
- Congratulations.
OT Morell to the
3rd-Floor nurses' station.
Well, Carlos' pre-op
labs came back normal,
which, honestly, as the intern on
this case, you should be telling me.
Dr. Beltran, I-I swear. I had no idea.
If If you want me off the
case, I completely understand.
Talk me through the Nuss procedure.
Now would be good.
Uh, get thoracoscopic access
and perform cryoablation
on the intercostal nerves.
And then?
L-Lateral incisions
either side of the chest.
And then you pass the
tunneling bar under the sternum.
You're prepped. You're with me.
Unless you want off this case.
- No, no, no. I'll see you in the O.R.
- Okay.
[ELEVATOR BELL DINGS]
♪
[SIMONE GROANS AND SIGHS]
Oh!
Everybody's waiting ♪
I don't have time to wait in lines.
Uh, hey, have you ever read about
grid stimulations to recall memories?
It's only ever been done
successfully on animal models.
- Sounds cool.
- Or risky and dangerous
and not proven to work,
yet Molly wants it.
SIMONE: I really need to
eat something before surgery.
You never held a retractor
on an empty stomach?
She's not holding a retractor.
Bailey is letting me
take a lead on an appy.
Wait. You're getting a
solo surgery? I hate you!
Hm. You hate me or you love me?
Because Bailey said
I could pick an intern
to go in with me.
Beltran's not gonna
release me from her service.
So she doesn't know
you slept with her ex.
- What?
- BLUE: What?
So! It's an appy?
What about you? Technically,
she's your patient.
Um, I still have a bunch
of H&Ps to do for Webber,
but I know you'll do great.
Well, it looks like
it's just you and me.
Fine. Let's go.
Ooh-ooh-ooh-ooh ♪
Oh, I wanna lose control ♪
So she's operating on your patient?
- Who'd you sleep with again?
- [CRUNCH]
Ya, ya, ya ♪
SHRUTI: [GROANING]
Okay. You are 8 centimeters dilated.
And it's almost ready to push.
Where is that clumsy jerk?!
If you mean your husband,
he is waiting on a CT.
They want to scan his
pelvis and his spine
to make sure he doesn't
have an occult fracture.
[GROANS]
This is your first, right?
Um, well, my daughter's adopted,
but this is my first time carrying.
When I told my husband I
was pregnant with our first,
he was so happy, he cried.
This time, he barely
looked up from his phone
and said he'd get the
crib out of the garage.
Here. Let me make you
more comfortable, okay?
I know we've been
through this twice before,
but our son hasn't.
I want him to know
that he's special to us.
But now his dad is probably
gonna miss his birth!
I had to remind him about
that crib at least 10 times!
And crap! I forgot to
remind him about the car seat!
Where's my phone?!
Oh. Uh okay. Oh. Here, here, here.
- [CELLPHONE RINGS]
- ANAND: Shruti.
SHRUTI: Did you install
the car seat?! [SCREAMS]
- Oh, my God! Are you in labor?!
- What does it look like?!
So I did it! I induced you!
- My sex induced her.
- The Pitocin induced me.
Tell me that you remembered
to take the car seat
out of your trunk and
actually install it!
Okay. Of course I did.
Take a breath. You've got this.
- I love you.
- You're right. Thanks.
I love you. [GROANS]
I forgot the car seat.
Take me to the parking lot.
You shouldn't ignore
a possible fracture.
Are you married? Because my wife means
the world to me, and I
just want her to be happy,
so can you please take
me back to my car?!
Uh
SIMONE: Identify the right colon.
Follow the taenia coli along the cecum
to locate the appendix.
Use the grasper to clutch the tip
and hold it up towards
the lower right abdomen.
Could you talk to Molly? As a doctor?
I don't think she
understands that no one knows
how to precisely target
where lost memories are,
and her surgery is scheduled
with Shepherd in two days.
Okay. You cannot do this.
- Thank you.
- How do we tell Molly?
No. I mean you cannot do this.
I am about to perform
my first solo surgery.
- It's just an appy.
- It's my appy
from start to finish for the first time.
Melissa has two scared daughters.
If anything happens to her, it is on me.
So be my assist or get out.
Also, instead of talking
to me about Molly's surgery,
try talking to Molly.
- BAILEY: Okay. Are we ready?
- [EXHALES SHARPLY]
Scalpel.
♪
MONICA: Okay. We're
ready to start getting
thoracoscopic access.
Let's drop the lung.
I met Carlos when he was 12,
and he had a crush on Vivi back then.
Still hasn't realized
that she's been waiting
for him to make the first move.
Okay. Are we ready?
DR. KNOX: SATs look good
with one lung ventilation.
Okay. Millin, get the Veress needle.
Alright, so, because the lung is down,
the heart may have moved
from where it normally
Okay. Needle's in.
Oh. Damn it! He's bleeding.
Why is he bleeding?!
Because you may have
punctured his heart.
I did what?! We need to page Dr. Ndugu!
Okay, Millin, I need you to breathe.
Someone page Dr. Ndugu right now!
[BOTH GRUNTING]
Alright. You know what?
It's still loose. Here.
I'll hold it down. You pull.
Why is this always so hard?!
I think it's a test.
Survival of the fittest.
Yeah. Hey
Have you ever done
anything you didn't want to
in order to help your marriage?
Like what? Also not married.
Really? I mean, something
kind of unconventional.
- Did Jo talk to you?
- Why would Jo talk to me?
Because we just got engaged,
and I want a conventional
wedding, she doesn't.
- Oh, this is this is about you.
- Hm.
Oh. Uh, well, you know,
I'm always open to things.
You know? Relationships
are about give-and-take.
- That's what I learned from my parents.
- Uh-huh.
So, uh, how long they been married?
Not as long as they've
been divorced. [CHUCKLES]
First marriage, everything
was "my way or the highway."
Uh, but now they let
a lot of things slide.
Their second marriage seems
to be going a lot better.
Well, take it from
someone who's on his third.
It's a lot of hard work.
[CLICK]
Congratulations, by the way.
I'm sure you'll be very happy.
[VEHICLE DOOR CLOSES]
[DOOR SLIDES]
Alright. What happened?
I screwed up and I punctured his heart.
For all we know, I could have
torn a hole right through it.
MONICA: Vitals are stable for now.
Where are you going? Get back
in here and help fix this.
WINSTON: Let me see
the size of the needle.
Okay. How does that
compare to a 16-gauge?
It's about the same.
And we use those to do
intracardiac injections.
So what's your recommendation?
Uh, do a pericardial window
and then place a drain
so that it can heal itself?
Correct. We will take care of this.
And then you can help Dr. Beltran
finish the Nuss procedure.
If Dr. Beltran still wants me
If you ask me one more time
if I want you on this case,
I'm going to lose my mind.
Focus and stay in lockstep.
Are you ready?
Okay. Good. Let's see what's going on.
Make your way, steady always ♪
So how's it going?
♪
So far, so good. I was just
about to check on Mrs. Balaban.
Oh, you can, uh
You can wait a minute.
Miles away ♪
My first solo surgery was monumental.
I called my friends, my family.
If memory serves, I even
bought a new pair of shoes
for the occasion.
Now I can't tell you if it was
a cholecystectomy or a hernia repair.
First one's always a big deal.
- Then so is the second.
- [DOOR OPENS]
10th. 100th.
You got your whole career ahead of you.
Don't beat yourself up
over one lost surgery.
Ohh-ohhh ♪
SIMONE: Ah. First Endoloop is on.
- [CHUCKLES]
- Ready for the next one.
BAILEY: Not so scary, right?
Muscle memory is a powerful thing.
I wouldn't know.
With that attitude, you never will.
- Here.
- Thank you.
The resonance of the world outside ♪
Now, now, go slow.
SIMONE: Ah.
A dream, a doubt ♪
Uh it's caught in the port.
I need a new one.
Hold your fate ♪
It's still slipping.
My hands are big enough.
D-Do you think you have
smaller hands than me?
- No. Try again.
- Going again.
In the tide ♪
You know this. You've seen
it done a million times.
The world outside ♪
[SIMONE EXHALES SHARPLY]
A dream, a doubt, and a reason why ♪
Almost there.
♪
Got it!
Ohh-ohhh ♪
Scissors.
Oooh, ohh ♪
Separating the appendix from the cecum.
Endopouch, please.
Ohh, ohh-ohh-ohh ♪
Ooh-oooh ♪
Ohh, ohh-ohh-ohh ♪
♪
Yeah. Let's get it to path.
Well done.
[CHUCKLES] Yeah.
Melissa should be recovered in time
to see her daughter's school play.
♪
AMELIA: Before we close,
we would like to acknowledge
the 55 million people living
with Alzheimer's disease.
We feel passionately about
this work because of them.
And a Blaisdell Grant would not only
help us continue the next
phase of our research,
but you'd be contributing significantly
to our relentless pursuit of a cure.
We're happy to take any questions.
KORACICK: I got Hi. Hi. Yeah.
Are you proposing to test a hypothesis
- you've already confirmed?
- No.
No? I have a C-Can I Yeah.
Uh, theatrics aside,
this sounds like the study
your abstract was based on.
That involved 175 patients.
We would recruit thousands in order to
identify specific bacterial strains.
Yeah. Like I said,
more of the same, so
Can you talk about the people
you'll enroll in the study?
Ages, ethnicities, geographic locations?
Softball game's at the park, Marsh.
Look, if you want to make this personal,
let me tell you about Paul, hm?
John, George, and Ringo.
- The Beatles?
- Not Beatles. Mice.
I've also got Jermaine, Tito, Jackie,
Marlon, and Michael.
We're taking Alzheimer's
research to a new level.
[CHUCKLES] That's right. Um
Theatrics aside,
what about the female mice?
The Excuse me?
Alzheimer's affects twice
as many women as it does men.
So are you only studying male mice?
Of course. You put a few
female mice in a cage,
and pretty soon you have
a whole social hierarchy.
The young ones are
taking care of the oldest,
and they experience anxiety and stress,
sometimes resulting in hair loss.
And their hormone cycles
create fluctuations in behavior
that can render the
whole experiment useless.
Your inexperience in neurology
research is showing great.
Anyone in this field of study knows, hm,
female mice are problematic
Right?
[SPECTATORS MURMURING]
♪
So you're not studying female mice
because their reproductive systems
mess with your results?
- You catch on quick.
- That's pathetic.
And the most asinine excuse
for sexism I've ever heard.
No wonder no one's
ever cured Alzheimer's.
The men who have spent decades
trying to do it have ignored the
- patients who need it the most.
- [GROANS]
And what's worst of all
is no one in this room
seems interested in changing any of it.
How can we let this happen
knowing it directly affects us?
♪
Well, thank you all for your time.
♪
[INDISTINCT CONVERSATIONS]
♪
WOMAN ON P.A.: Dr. Binder to 3-West.
- Dr. Binder to 3-West.
- How's he doing?
Stable. Post-op labs look good.
[GROANS]
Oh. Hey.
Did it work?
It did. Thanks to Dr. Beltran.
Thank you.
I'm gonna be able to go
to pool parties, the beach.
[LAUGHS]
You can go with Vivi.
T-That's her name, right?
The girl you like?
Yeah, yeah, she's she's okay.
Uh, but now that I've got this new body,
I should play the field, right?
No. No.
When you find someone you
can't stop thinking about
and they make you feel things
you've never felt before
and you have a chance to be
with her, you should call her.
Do you hear me?
There's no one else ♪
Should I go after her?
♪
Millin!
I'm sorry. I'm sorry
if that was out of line.
And I'm sorry that I
punctured that kid's heart.
And I'm sorry that I
didn't strap a patient
onto the O.R. table properly.
Okay. I I'm not sure
about that last one,
but complications happen.
You're an intern.
You're gonna make mistakes.
Hell, I still do.
I slept with Adriana because
I'm going through a breakup.
I don't care.
I mean, I'm not thrilled,
but you know what?
Honestly, the less we
talk about it, the better.
But I am your attending
and I do care about
your surgical training.
And today, when it mattered most,
you froze and you got in your own way.
And I know this because I've been there.
So no matter how hard it is,
you cannot bring your
personal life into the O.R.
In particular, mine. Okay?
Yeah. Yeah.
When to start ♪
I'll be a fool ♪
For worse or better ♪
So let me in, let it begin ♪
[KNOCK ON DOOR]
Are you ready for a visitor?
- [BABY COOING]
- We both are.
- You want to hold him?
- Yeah.
Congratulations.
Tell me that I'm wrong ♪
Ooh-ooh-ohh ♪
Hey, buddy.
♪
I'm your dad!
- I broke my butt for you!
- [LAUGHTER]
In about five years,
you'll find that hilarious.
[LAUGHTER]
I'm so glad we did this.
I think everybody sees ♪
ANAND: Hey. There's Mom.
We were made just for each other ♪
So once we get the results
of your liver biopsy back,
we will work to ensure you
have the best treatment plan.
But your surgery went beautifully.
EMILY: I'm bored.
[GROANS] What did I tell
you about using that word?
You don't want to hear it.
Are we going home?
Your mom needs a little more rest.
She can go home soon.
- Can we sleep over?
- Is that okay?
Um, if you want.
But you have to let
your mom get some rest.
- Can you do that?
- We promise.
- Alright.
- We'll send up some games
from the peds floor.
Thanks.
♪
Well done.
You made me look good.
[BOTH LAUGH]
Dr. Bailey, thank you.
♪
Hm.
Tell me that I'm wrong ♪
So? How did surgery go?
Oh. It was okay. It was
Tell me that I'm wrong ♪
I can't lie. It was the coolest
30 minutes of my life.
[CHUCKLES]
You deserve it.
Jules and I are gonna get a drink.
Do you want to come?
Uh, uh, n
I still have to do
hand-off for next shift,
but, um, you should go.
- Okay. See you later.
- Yeah.
I could love you for forever ♪
If you tell me when to start ♪
♪
How's Shruti?
Doing better.
The dads are harder than the moms.
I don't need a big wedding.
I don't need the band
or the slideshow with photos
or a giant cake.
You're thinking about cake.
- I am.
- Yeah.
But the point is
I just want to be married to you.
I don't care about the rest.
I do.
I want the wedding.
I thought that I didn't because, well,
I've already done it before,
but I've never done it with you.
I want to.
♪
Can't wait to marry you!
[BOTH LAUGHING]
Truly unimaginable.
I think I insulted Lucas.
He will be fine.
You flew solo in the O.R. today.
You know, I think that
we should stop worrying
about relationships and
just focus on our careers,
which is why I have decided
swearing off sex for a while.
Yeah, I'm not doing that.
[INDISTINCT CONVERSATION]
O kay.
[INDISTINCT CONVERSATION]
- Okay.
- That makes sense.
Someone told me that I
need to put my head down
and focus on work.
I'm off the clock.
I'm looking for a mentor.
I'll do your progress notes.
I'll do your rounds.
I will do anything you want me to.
Don't hurt the ones you need ♪
I'm asking you, by the way.
I see the purple ♪
Alright. Um
Meet me for rounds at 7:00 a.m.
Great.
There's something strange ♪
Do you know who told
her to focus on work? Me.
And then she asks you to be her mentor?
Well, I think she's
terrified of you, actually.
Well, I can live with that.
[LAUGHS]
[RATTLING]
Hey. I I'm sorry.
I-I realized today I'm not coming off
as supportive and I am.
I'm behind you 100% with
whatever treatment you choose.
And I think I'm just
Well, I
I'm scared.
♪
I'm sorry, too.
♪
Hey.
What's he doing here?
MEREDITH: Beneath the white
coats and fancy titles,
medicine is just humans treating humans.
♪
I don't want us to feel stuck.
And I think I didn't want to admit it
because I had this idea of
what our lives should be,
and everything that therapist
said seems opposite to that,
- which is
- Kind of terrifying.
Yeah.
Tonight ♪
The weight of all the world ♪
Maybe it doesn't have to be.
It seems to crush you and I ♪
I'm willing to try
something new if you are.
Can we break the spell
and get it how it was? ♪
Sometimes it just takes
me a minute to get there.
And
To the days when ♪
it's a little weird picturing you
flirting with somebody else.
I am a terrible flirt.
- [CHUCKLES] You are.
- [CHUCKLES]
I don't want no space between ♪
Okay.
If we actually open this
I don't want to know any details.
Agreed.
And we check in regularly.
♪
And
we stay safe.
And our marriage comes first.
No serious relationships or feelings.
Of course.
Every breath ♪
Time stood still and
that morning chill ♪
Are we really doing this?
We were made for no one else ♪
The past is pulling heart strings ♪
Till they break ♪
The most brilliant surgeons
have made questionable choices.
No one has ever ♪
No one gets it right all the time.
So, as a doctor, what do you do?
There's only one choice
find your team
work shoulder to shoulder
let them help you when you falter.
Tom Koracick won the grant.
I don't want no space between us ♪
Can't stop seeing his smug face.
I don't want no space ♪
Who knew science was such
a male-dominated world,
even with rodents?
Ellis Grey knew.
She told me about it her whole life.
Now I can't stop seeing
her gloating face.
♪
What if Amelia and I
did Koracick's experiment
with female mice?
Mm. Okay.
- Who will fund it?
- I will.
I mean, I know we
just bought this house,
but I have some savings.
And I said this is personal, and it is.
Mm-hmm.
♪
What do you think?
Honestly, I think
I think it's a great idea.
♪
How do I become an investor?
Well, I can't let you do that
because we don't know if it'll work.
Look, if I'm gonna bet on anybody
it's you.
Between us ♪
Let them push you to make you better.
I don't want no space between us ♪
♪
♪
♪