Grey's Anatomy s21e13 Episode Script
Don't You Forget About Me
1
[DAVE] You said that you
wanted to leave the house.
[GREY] On average, the fastest
your heart should beat per minute
is 220 minus your age.
[DAVE] Yeah, but what
about your feelings for me?
Why is this guy still in Seattle?
Well, he won't leave without her,
and she wants to wait him out.
What do you want to do?
Well, I want to deck the guy,
but I'm not as patient as she is.
Are those Molly's scans?
[GRIFFITH] Gotta be on my game.
After flying solo, there's
nowhere to go but down.
I'm assisting on your girlfriend's
surgery. You want me to slack off?
- Carry on.
- Yeah.
[GREY] But, ideally, vigorous exercise
is between 70 and 85% of
your maximum heart rate.
Did you pack Allison's blanket?
Your mom says it's not in the bag.
- It's in the backpack. [SIGHS]
- Oh.
What are you gonna do with
the whole house to yourself?
- Well, with any luck, sleep.
- [SIGHS]
I'm jealous. The conference
agenda is jam-packed.
Well, you should skip something,
you know, get a massage or
do something else for yourself.
[GREY] Exceeding your maximum
heart rate can result in
- dizziness, chest pain, or even fainting.
- [HORN HONKS]
- Okay. Okay.
- Yeah.
- You got that?
- Yeah. Here.
[HUNT] Okay.
You two have fun. You know, what
happens in Vegas stays in Vegas.
- We're going to Oakland.
- That too.
Bye.
[GREY] So listen to your body
and don't push your limits.
[SPEAKING INDISTINCTLY]
Hey, I didn't know you were here.
I'm helping Dr. Webber
with one of my old patients.
Is it weird, you're
kind of like my boss now?
[CHUCKLES] No. I invested in her
and Meredith's Alzheimer's research.
I'm a silent partner. That's it.
Are you going to Boston?
Because I'll take Griffith on my service.
He's salty because she's
been helping me prep
for an experimental procedure all week.
I needed our best intern for the case.
- Griffith's someone to watch, huh?
- Yeah.
- How's Adams doing?
- Well, he's with us today. You tell me.
- Okay.
- If your schedule changes, I
She's still mine.
[STAMMERS]
Do you know how
lucky you are you
don't have to worry
about vaginal tears?
And good morning to you too.
[SIGHS] I just sewed a third-degree
tear encroaching on the sphincter,
and that's after the mom labored
for 24 hours with a nine-pound baby.
You know, men have their share of
Yeah, that sounds awful.
Oh, Wilson, hey. While you were in L&D,
Mrs. Badgley started bleeding.
Okay, well, I will tell
Kincade she needs
to move her myomectomy
to this morning.
Oh. Already on it.
I-I figured you
three wouldn't want
to be on your feet
for a long surge.
Dr. Kincade already
approved it, so we're set.
Um, did Jo Wilson
just let a guy who
calls surgery a
"surge" shark her?
- He saved my babies.
- Oh. Come on.
That's all I can think
about when I see
his overachieving,
stupid prodigy face,
and if you tell anyone
that, I will punch you.
Hey, not for you.
Have you exported
your cases into the
spreadsheet yet?
- What spreadsheet?
- [GROANS]
Uh, our case logs for our meeting with
Bailey at the end of the year.
- Sorry.
- It's fine.
[SIGHS] Well, if it's any
consolation, I'll be able to help you
- with your case logs next year.
- Thanks.
- Uh, good morning.
- Good morning. What What's this?
It's a thank-you for saying you would
help me get my first solo surgery.
- I promise I won't let you down.
- [CLICKS TONGUE]
All right, lesson number one always
under-promise and over-deliver. Yeah?
[OWEN SIGHS] Hey, Nora.
- Hi, I just got your text.
- Sorry for bugging you. This is
Liz. Hi, can we
make this quick? I
have a high school
reunion to pull off.
[CHUCKLES] I'll do my best. Follow
me. Um, how far along are you?
Uh, 19 weeks.
It's been an easy pregnancy
until a couple days ago.
I started to have indigestion,
shortness of breath,
some pressure in my chest. Um,
- I have an OB appointment next week.
- Okay.
She has preexisting mitral valve
prolapse, so I kidnapped her here.
Yeah, I have to be at this reunion
tonight. I'm the committee chair.
Liz runs a tight ship. She got
the boosters to repaint the gym.
Finally. There's no way that
'70s paint wasn't full of lead.
[CHUCKLES]
I was a senior when you were a freshman.
- Owen Hunt.
- Megan Hunt's brother.
- Megan has a brother?
- [CHUCKLES, SIGHS]
Okay, I'm gonna page cardio and OB.
While we wait, I'm gonna
run some labs and an EKG.
- Sound good?
- I'm pregnant.
- Only snacks and baths sound good.
- [CHUCKLES]
Thank you, and it's
good to see you again.
Yeah.
Allan Lewis, 50,
developed PTLD after his
third kidney transplant,
had eight rounds of rituximab to reduce
the tumor burden in his retroperitoneum.
Here to debulk the residual
tumor before resuming chemo
and to alleviate the
bowel obstruction symptoms.
Not the kidney's fault.
Don't blame the kidney.
No one's blaming anyone.
That's right. PTLD is a real
complication caused by
A weakened immune system that
triggers the Epstein-Barr virus.
Of course, Allan is in the less
than 1% of all people who get this.
Now it feels like you're blaming me.
Okay. Shelby is Allan's sister
and the donor of his third kidney.
I wouldn't have asked if I
weren't such a hard match.
My other two organ
donors came through UNOS.
Which donor drove you to chemo?
Oh. The one who "inherited"
Mom's 1969 Mercedes convertible.
I took care of her all those years.
Where were you?
Working in Singapore.
She came through for me
when I needed a kidney,
but there was a time when
Shelbs and I weren't speaking.
- They don't need to know this.
- Look, okay, it's my medical history.
Okay, let's get some new scans
and we'll go from there, shall we?
- Mm-hmm.
- Bye.
[ALTMAN] Cass, I didn't
know you'd be here.
Oh. Teddy, hi.
- I will catch up with you later?
- Sure.
Friend of yours?
We sometimes plan to
attend the same conferences,
balance the snoozefest panels
with extracurricular activities.
Oh.
- [CASS CHUCKLES]
- Is David here?
I believe he's covering his chief's
cases while she's at a conference.
- Right.
- What about Owen?
- No. Nope. Just me.
- Oh.
[BAILEY] Altman.
- Oh, okay. Can you help me? Please.
- Oh, yeah. Yeah. What
- Hi.
- Hi.
[SHEPHERD] Griffith, present.
Molly Tran, 33, experiencing
grand mal seizures.
Currently refractory to
anti-epileptic medication.
Here for placement of DBS
to suppress seizure activity.
We'll make a small hole in your skull
to implant the device in your brain,
then place the pulse generator
under your collarbone.
It's like a pacemaker for your brain.
And what about getting my memory back?
[SHEPHERD] Let's take
it one step at a time.
Once we place the DBS, I
will put a grid on your brain
and then stimulate
each section one by one,
but we're only doing that because I will
already be in that part of your brain.
It's never been proven to retrieve
memories lost to retrograde amnesia.
Will the extra stimulation
induce seizures?
It's possible, but my hope is
that the device will prevent that.
Are you sure you want to do this?
What did your parents say about it?
Um, they were nervous
until I sent them Dr. Shepherd's bio.
Hmm.
I want my memories.
I just didn't realize so
many people would be watching.
[SHEPHERD] It's a big case.
Excuse me.
All right, so you can see the device
will be implanted in the crown.
It's one thing to show up at my
house, but to come to hospital
- Hey. Back off.
- She doesn't wanna talk to you.
Look, I don't wanna talk to her.
I need to talk to you.
Molly hasn't told you
everything you need to know.
But when I did the test
run in the auditorium,
the slides looked like they
were in a fun house mirror.
Well, they must be
formatted to the wrong size.
- Right.
- That's what Ron, that AV guy, says,
and apparently the only way to fix
it is to redo the whole damn thing.
Well, how long did the first one take?
- No idea. I paid Tuck to do it.
- [BOTH SCOFF]
Dr. Bailey is presenting on her
program training OB-GYN residents
from states with abortion bans.
[CLICKS TONGUE]
So important. Now more than ever.
Well, how am I supposed to inspire other
hospitals to start programs like ours
if they can't read my slides?
Well, Cass is actually
amazing at slideshows.
[STAMMERS] Sorry, I don't know
why I said "actually."
She's just She's amazing.
- Uh, can you work fast?
- For this cause, it would be my honor.
- Thank you. Thank you.
- Oh, thank you.
[SHIP HORN HONKS]
All right, are you ready?
Yes, aligning the MRI and CT images to
create a 3-D representation
of the brain.
- Which approach would you suggest?
- Transfrontal.
Good thought.
We are gonna go with frontal temporal.
[GRIFFITH] Uh.
- Target?
- Oh, that area of gliosis on the MRI.
All right, divide it into three
separate targets, so I have options.
What if we trigger a seizure and
have to put her in a barb coma?
Isn't the whole procedure a wash?
I don't let myself think like that.
Yeah. [SIGHS]
You really are the one to watch, huh?
Just been lucky. Get on amazing cases.
Don't do that. You're a woman surgeon.
There are enough people out
there who want to dismiss you.
Don't be one of them.
Now, our patient will be awake.
So it is crucial that you follow
my lead, keep your voice neutral.
As far as Molly is concerned,
everything is fine.
- No problem.
- Mmm.
[NDUGU] Your labs are normal.
Same with your EKG and echo,
and your mitral valve looks stable.
Great. See? Told you,
just regular old pregnancy.
So, can I get back to
reunion planning now?
While your symptoms are
common, they are new for you,
and we would like to
run a few more tests.
Okay, fine. Um, where's my phone?
Do you have someone we should call?
Uh, nope. Just a second-in-command
who can't alphabetize
name tags to save his life.
[SIGHS] Come on, Bobby.
M comes before O.
Liz is having this baby on her
own. She's my personal hero.
[LIZ] It wasn't always the plan,
but I've been on at least one date
with every age-appropriate bachelor
in the greater Seattle area,
and some not so age-appropriate.
But none of them were the one,
and I'm not getting any younger,
so I'm going it alone.
[PHONE VIBRATES]
Liz, how long have you
had that lump on your neck?
- What lump?
- May I?
Millin, can you grab the
ultrasound? Thank you.
She's about to go to the OR.
Make it quick.
You can't let her do the
experimental part of surgery.
I respect her decision.
Because if she gets her memories back,
it absolves you of what you did?
You don't know what
you're talking about.
When the accident happened,
she tried everything she
could to get her memories back.
Psychotherapy, hypnotherapy,
Vietnamese herbs.
Her parents said that she
spent everything she had,
and when none of it
worked, she spiraled.
Not eating, not sleeping. They
finally talked her into getting help.
She never told me any of this.
Okay, and why would she?
You think she wants you to know?
Look, I love her, and I wanna
be able to live with myself
- if anything bad happened to her.
- [SIGHS]
Coming to Seattle, the sudden
breakup, the experimental brain surgery
just to get her memories back. It
It just feels like the
on-ramp to another crash.
- She picked me. Get over it.
- [SCOFFS]
[SIGHS] Hey.
[NORA] There's pens and extra card
stock in the bag under the welcome table.
No, under the welcome table.
Call if you need anything.
- Great.
- Thanks.
- [NORA] Oh, my God.
- Hey, you okay?
Just Bobby, our class secretary
who doesn't know how to CC people,
is now the one in charge.
It's like a
designated survivor situation.
Well, if no one took this seriously,
there would be no reunions
and no one would
reconnect with old friends,
- and I guess life would just go on.
- [SIGHS]
Reconnecting can be
can be pretty great.
Mm-hmm.
Uh, so far so good with Liz, by the way.
[SIGHS]
Should I have taken Liz somewhere else?
Why?
Well, the last time I saw you,
you didn't want to be a
part of my care team.
And now we're sharing a bench.
[SIGHS] Well, you know You
brought in a friend for medical care,
so this is this is an
above-board bench-sharing situation.
In that case, can you
sit a little longer?
It's just hitting me that
my friend might be sick.
Sure.
There's the two native kidneys,
the two nonfunctioning
transplanted kidneys.
That's the working one right there.
Have you ever seen a scan of five
kidneys inside of one patient before?
- Is that the mass?
- Yeah, that's it right there.
Is it kinking the vasculature
of the working kidney?
No, it's close, but fortunately, no.
Yeah, we should debulk enough
that the chemo has a shot at
killing the remaining cells.
Should we remove the native kidney?
I could help with the
retroperitoneal lymph node dissection.
Mmm. It's not necessary.
We still have good access
to the paracaval lymph nodes
but good to know you're
thinking ahead. Book us an OR.
[CHUCKLES]
That was pretty bold to ask to do
a nephrectomy and a
lymph node dissection.
You never know if you don't ask.
- Can you do his pre-op paperwork?
- Nope, but good try.
Poor Liz.
She worked so hard on her reunion,
and now some bumbling wannabe gets
to be there for the big moment.
- Probably just trying to help.
- Is he?
Is he? Or is he a man who is
threatened by a woman in power
and he's stealing it in
the name of generosity?
For the record, I'm a feminist.
This morning,
my co-resident stole my surgery
so that I didn't have
to "be on my feet."
- Did you punch him?
- No, he saved my babies.
Well, he didn't save my babies.
What's his name?
- [NDUGU] Scans are up.
- [WILSON SIGHS]
[NDUGU CLEARS THROAT]
Oh. That's not something
you see every day.
[LIZ] Is it cancer?
No. Your thyroid, larynx
and lymph nodes are all fine.
It appears you have a rare condition
called achalasia with megaesophagus,
- which is aggravated by your pregnancy.
- Which means?
You have a fair amount of undigested
food sitting in your esophagus.
Um, how long has it been there?
It's hard to tell without knowing
how much you eat in one sitting.
I had fish tacos yesterday.
Ugh, stupid Bobby gave me a strawberry
smoothie for breakfast. [GASPS]
It's all right. Don't worry.
We're gonna run a scope down there
- and clean it all out, okay?
- Yeah.
Oh.
[SIGHS]
- [GRIFFITH] Yeah. Yeah.
- Yeah, bit nervous, but
Your vitals are strong.
Hey, going to OR one.
You know, the next time I see you,
I-I could have all my memories back.
You know, the odds of this
working are almost impossible.
I just want to make sure
you'll be okay if it doesn't.
There must be other
experimental treatments, right?
If this one doesn't work, I
mean, we'll try another one.
Dave came to the hospital.
Oh. Uh. Well, what did he say?
[SIGHS]
He just wanted to make
sure that you'll be okay.
I am.
I will be.
- You'll be here when I get out, right?
- Of course.
Okay.
- [MOLLY] Okay.
- [KWAN] Yeah.
Okay. Don't let Shepherd
push it in there.
We've seen her go overboard,
especially with difficult cases.
You know I can't control that.
You're on top right now.
You have more influence than you think.
I got you.
Oh, there you are.
I was starting to get
flashbacks to that party
where you ditched me to
make out with Scott Jonas.
- We just We got some air.
- [NORA] Tell me that lump's benign.
- As benign as chicken pot pie.
- Oh, thank God. What is it?
Chicken pot pie.
Yeah, that was yesterday's lunch.
My throat's full of food.
What? How?
The sphincter connecting her stomach
and her esophagus won't relax,
so food's getting stuck.
Is this gonna be for
the rest of my pregnancy?
No, we can remove the food with a scope
and then inject Botox
into the lower sphincter.
So it looks young and wrinkle-free?
No, so it relaxes and food
can get into your stomach.
Okay, so this is gonna take a while.
Will you please make sure that
someone steams the tablecloths?
- I'm on it.
- A nurse will get you prepped, okay?
- Thank you.
- Okay. I gotta go back to work. Okay.
[SIGHS] Brush up on your
EGDs in the skills lab.
I thought we had Mr. Oden's CABG today.
I am doing Mr. Oden's CABG.
You were gonna brush up on your EGDs
so you can do Liz's
esophageal disimpaction.
I'll go practice.
Can you just cut and paste?
The graphics, yes, but not the text.
- Will you read me those bullet points?
- Oh, sure. Um, okay.
"All trainees come from the more
than one-third of US counties
that are maternity care
deserts with no OB providers,
hospitals, or birth centers."
That's bleak.
Didn't you win a Catherine
Fox Award for your program?
I did. Felt like an accomplishment then.
Now, feels like I'm trying
to bail water with a thimble.
I get it, but programs like
yours are a beacon of hope.
Thank you.
Now let's just make sure your
presentation is as great as you are.
Next bullet, please. Teddy.
Oh. Yeah. [CHUCKLES]
Oh, sorry. Uh, "following Dobbs"
[SHEPHERD] DBS is in place.
How are you doing, Molly?
Pretty well, considering my
head's basically in an Erector Set.
Are you feeling more discomfort?
I don't feel a thing, but I can hear
tools clinking and things buzzing.
- Are we almost there?
- [SHEPHERD] Yes.
Griffith, we are ready to
connect to the stimulation panel.
- And that should stop the seizures?
- It should.
[SIGHS] Wow. Wait, that's incredible.
Thank you.
And are you starting with
the memory part too now?
In a minute.
Dr. Shepherd, I see epileptiform waves.
All right, adjust the frequency.
- [GRIFFITH] They're improving.
- [SHEPHERD] Okay.
All right, Molly, now it is time to
place the grid for memory retrieval.
I'd nod, but, um, I can't move my head.
Grid, please.
Here we go.
It's not that bad.
You were just moaning like a dead
animal. Let him check you out.
Urine output's low. Hang on.
Let me take a quick
look with the ultrasound.
Are you wearing perfume?
'Cause it smells like feet.
Remember when I gave you a kidney
and you promised to be nicer?
This is how all of our fights end now.
[CHUCKLES] Do you have a sister?
- I have four.
- Oof. I thought one was a lot.
Kidney.
I learned early on that I'm
better off not fighting back.
Oh, look at you now. You're a surgeon.
See what happens when you learn
how to go with the flow? To adapt?
I'm the senior VP of human
resources at a giant tech company.
- [GROANS] Kidney.
- It only works when I do it.
No. My kidney. It really hurts.
Damn it, we need to move.
- What's happening?
- Am I dying?
Allan's kidney's thrombosed.
A clot's cutting off his blood supply.
If we don't get him to surgery
right now, he could lose it.
Tell Webber and Marsh
to meet me in the OR.
- [SCREAMS, SUCKS TEETH]
- [SHELBY] Okay, breathe.
I did it.
- You You You did it?
- Uh-huh.
Thank you.
Uh [STAMMERS]
You were right. She's amazing.
She's also very hungry.
Would you hand me those chips?
- [PHONE VIBRATES]
- Uh, you can have whatever you want.
- Thank you.
- Uh, I'll be right back.
- Okay.
- 'Kay.
Well, you saved the day.
Well, this saved me from having to go
to my boss's panel on change management.
Where is her thumb drive?
Do you wanna skip the
afternoon lectures?
Well, we clearly have
seen Bailey's presentation.
I'm supposed to
meet up with Phil later.
So meet up with me instead.
You said to let you know
when I have figured it out,
and I have figured it out.
You are all set.
Oh.
Um Would you keep
it until we get there?
My luck today, I'd drop
it down the elevator shaft.
Y You are coming, right?
Oh, I've been having stress dreams all
week about showing up to an empty room.
- [BAILEY] Yeah.
- Wouldn't miss it.
- [BAILEY] Okay. Here.
- Mm-hmm.
[MARSH] Okay, the renal artery is
tortuous. IR never would've worked.
Agreed. Fogarty catheter.
[ADAMS] Will the kidney be okay?
I don't know, but it's
got a shot thanks to you.
- [WEBBER] The embolectomy is complete.
- [MARSH] Heparin. Thank you.
- [ADAMS] Now what?
- [WARREN] We wait for it to pink up,
then we go after the tumor.
- [MARSH] Okay.
- [ADAMS] Nothing's happening.
[MARSH SIGHS]
- It's still ischemic.
- [MARSH SIGHS]
Yeah, the clot caused too much damage.
The kidney's dead.
- Let's prep for a nephrectomy.
- Yeah.
But he has to be in remission before
he can go back on the transplant list.
- That could take months.
- It's our only option at this point.
He got lucky three times.
Maybe it'll happen again.
So that's it? You just tell him
good luck and send him on his way.
Well, what if we give it more time?
Try papaverine?
You know that's not gonna work.
Adams, you want to
suture ligate this vessel?
You found the clot. You want it or not?
[ADAMS] 0 silk.
Okay, nice and easy. Good.
[PHONE BUZZES]
Oh, Mr. Oden's in the ICU.
We did his CABG off-pump.
It's actually really exciting. You
should review the surgical tape.
Wilson, quick update.
Ms. Badgley had a massive
uterine hemorrhage mid-surge
You did a hysterectomy? On my patient?
Technically, Kincade's patient.
But yep. Good luck with your, um
- Esophageal disimpaction.
- Mm-hmm.
I'm gonna tear him limb from limb.
Millin, you are flying through this.
At the rate you're going, we'll
be out of here in 15 minutes.
My parents never sent me to summer camp.
They just dropped me off
at the arcade every day,
and I played the claw machine
for six hours straight.
You know how to work those?
- Mm-hmm.
- What have you won?
Strawberries and fish tacos.
[SHEPHERD] Stimulate S-5.
- [GRID HUMMING]
- Molly, remember, if you see anything,
no matter how faint the
image, just let me know.
Nothing yet.
All right. Let's increase
the frequency to 180 hertz.
[HUMMING INTENSIFIES]
If it gets uncomfortable,
let me know and I can stop.
Okay. Let's bump it up to 200 Hz.
[HUMMING INTENSIFIES]
Dr. Shepherd, she's starting
to get D waves again.
Sporadic episodes. We still have
time before a potential seizure. W-5.
[TENSE MUSIC PLAYS ♪]
Decrease the amplitude
to two millivolts.
How you doing, Molly?
Still fine. Just just waiting.
The waves are increasing
in frequency and amplitude.
I'm keeping my eye on it. X-5.
- [GRIFFITH] I'm stopping.
- Griffith,
you will press that
button if I tell you to.
- Y-5.
- She's going to seize.
If we have to put her in a coma, she
Dr. Griffith, I need you to
trust me or get out of my OR.
I see something.
[SHEPHERD] Can you tell me what you see?
I'm outside. I'm walking near a lake.
I see I see mountains.
It's, it's beautiful here.
[HUMMING STOPS]
Wait, wait, it's all gone.
Because I stopped stimulating.
That was absolutely amazing.
Is it time to close?
That's not why I stopped.
Hand me the control panel.
We need to verify that the stimulation
is provoking the memory.
Her seizure activity is
becoming more unstable.
Restarting. See anything now?
I'm still at the same place and
there's someone else here.
- A man.
- Do you know who it is?
No, he's too far ahead, but
he's wearing a red jacket.
I think we're here together.
- Wait, did you stop again?
- I did.
- All right.
- [MOLLY SIGHS]
How about now?
I'm still here. I'm-I'm taking
something out of my pocket.
It's, uh it's a map.
It says, "The Beehive Basin Trail."
It's Big Sky.
All right, we are going to reduce
the frequency back to 140 hertz
and one millivolt, terminating the
stimulation and removing the grid.
Wait, no, no.
Wait, why are you stopping please?
We can't risk more seizure activity,
but, Molly, you did great.
- Would you like me to close?
- I've got it.
[MILLIN] The EGD went well.
We were able to clear your esophagus
and administer the Botox
to relax your sphincter.
And once we confirm
everything's going down okay,
you'll be good to eat whatever you want.
Just need to take it
easy for a couple of days.
- I'll take it easy after the reunion.
- No, wait, you need to rest.
Otherwise, you'll wind
up back here in a week.
[SIGHS] Two years of hard work, and
Bobby's about to
undo it all in two hours?
Well, why doesn't Nora go?
Make sure he doesn't mess things up.
- Okay, you need to fire him.
- We don't pay him.
Look, we can't just let Bobby have
what he wants because he means well.
You need to go down there
and tell him that he is out.
Well, um, the good news is we were
able to debulk a lot of the mass.
So there is bad news again.
Yes, so we couldn't revive your
working kidney, so we had to remove it.
Back to dialysis.
More hours of my life wasted.
Once you're in remission, we can put
you back on the transplant list again.
I've already had three.
I'm a hard match. I won't find another.
You never know.
Before my first transplant,
I made a bucket list of all the
things I wanted to do before I died,
you know, like climb the Great Wall
or drive on the Autobahn.
Oh, see the Rockettes.
[CHUCKLES] I mean, I thought
I'd be lucky to do half.
I did all of 'em. Organ donors
gave me a second chance on life,
and then a third and a fourth.
And I'm happy with what I did with them.
So, if this is it this is it.
Or you could call Gary.
We're not calling Gary.
- Wait. Gary is
- Our brother.
Well, I'll be damned.
I'd rather live the
rest of my life in a box.
By box do you mean coffin?
It'd be better than calling Gary!
She loved Big Sky.
We went a couple of times.
I can't believe she actually
remembered something.
All the way down to your red jacket.
I'll check on her in a bit.
- Hey. How are you feeling?
- Hmm.
[CLEARS THROAT] Tired.
Hey. They said I had a memory.
[SIGHS]
I just wish my brain
could hold on to
them when it's not
being stimulated.
Does, uh, Dave have a red jacket?
He has a lot of jackets.
Did you ever go to Big Sky with him?
A couple of times. Why?
Is that what I remembered?
[SIGHS] But that was a memory
from after the accident.
You don't need to remember anything
for us to have a future together.
You know, it's all in my brain.
It's all in there. We just
have to find a way to unlock it.
Hey, maybe there's a clinical trial.
No, you No, no, no, no,
you don't let people dig into
your brain when you're healthy.
I'm worried about you.
[SIGHS] The worst has already happened.
I lost my life. [CRIES]
No, you didn't. You're here. [STAMMERS]
You should rest.
We can talk about this later.
[SIGHS]
- Okay. All right. Thank you.
- [HUNT] Hey.
So Liz is being discharged.
She is. But she needs to rest,
so she's sending me to go make sure
this reunion doesn't fall apart.
Mmm.
I wish Megan wasn't chaperoning
your nephew's camping trip.
Yeah. I can go with you if you want.
I'd love to see the
new paint in the gym.
Seriously? Teddy won't mind?
[SIGHS]
We've agreed to
We've agreed that we
could see other people.
- Oh.
- Yeah.
- Okay.
- [CHUCKLES]
So I'll go home, and I'll
change and come pick you up.
I'll text you my address.
- Okay.
- Yeah.
[SIGHS]
[BAILEY] So, the program
is a 16-week rotation,
but we operate on a rolling basis.
The trainees request start dates,
based on where it fits
within their home curriculum.
So at any given time,
we have 20 to 30 trainees
from 13 different states,
but still that's not nearly enough
to address the patient demands
across the country.
You know, somebody recently said
that programs like this are a
beacon of hope in a dark time.
Well, I hope that you will join
me in lighting the way. Thank you.
[BOTH PANTING]
[KISSING, MOANING]
- Are you okay?
- Yeah. Yeah.
- Are you sure?
- Yeah, yeah, yeah. I'm good.
I'm good. Come here.
Wait. Wait. Um
I'm sorry, it's just dumb.
It's not you. It's just I, um
I feel like I'm cheating on my husband.
Is this what it felt like when
you first opened your marriage?
Our marriage was suffocating us.
Being with someone else [SIGHS]
felt like finally breathing fresh air.
You really are amazing.
So I'm told.
But this this
is not gonna fix my marriage.
- I'm so sorry.
- Me too.
It's okay.
I checked on Liz, and a smoothie went
down and is in her
stomach safe and sound.
You handled that disimpaction
like an experienced surgeon.
You didn't need a surgeon for that.
Any teenager in an arcade
could've figured it out.
Maybe just take the compliment.
Where are you going?
To update Liz's chart.
Oh, you thought today was just about
learning to disimpact an esophagus?
What else would it be about?
Your first transesophageal
echocardiogram.
- Really?
- Yeah, come on up.
- So you You want me to
- Find the heart.
It's just like the EGD, okay?
Insert the scope, flat side
facing the floor of the mouth.
Good, slowly feed it down the esophagus.
Good, good. Now adjust the angle.
There. I-I might be
biased, but every time
I see that, it feels
like the first time.
It's incredible.
[SOMBER MUSIC PLAYS ♪]
- Her EEG looks stable.
- Mm-hmm.
I'm sorry for challenging you.
Kwan was in your head.
Yes.
Your star may be on the rise,
but that is not the
same as having years
of experience with
hundreds of patients.
Whatever you know about the
patient's family, their loved ones,
you keep it out of my OR or
you do not step foot inside it.
It won't happen again.
Okay. Now get started on a
write-up for grand rounds.
You're gonna present
this at grand rounds.
We are. Congratulations.
Wilson, hey, about that surge.
No. Marcus, I am grateful to
you for saving my pregnancy,
but that does not mean that
you get to walk all over me.
- I'm sorry?
- I'm not your patient.
I'm your colleague.
Sharking my surgeries doesn't help me.
It undermines my authority
and limits my training.
- I was just trying to help.
- Don't flatter yourself.
- I can advocate for myself.
- I'm sorry.
And it's "surgery," not "surge."
- [SIGHS]
- This some sort of OB showdown?
The three of us decided it
was time for a little talk.
Well, he earned it.
Do you want to go for a burger?
As long as I don't have to
talk about vaginal tears.
- Okay. [CHUCKLES]
- Good deal.
- I love those crackers.
- Yeah. You never let me throw them away
when we got soup from
our neighborhood deli.
[SNIFFS] What kind of soup?
You liked their Manhattan clam chowder.
- I called your parents.
- What?
- Why?
- I was worried.
And then I found out that they
had no idea about your surgery
or that we're back together.
Well, I didn't want
them to freak out.
Okay, but you lied to me about it.
I think you know you're
on a slippery slope.
This isn't like last time.
Yeah, which you also didn't tell
me about. I found out from Dave.
Okay, look, I am so
close to remembering.
No one with retrograde amnesia has
ever gotten their memories back.
What makes you think you're different?
I don't know. But that day
that I saw you in the ER,
I mean, that was the first time
I felt like a piece of my old
life was trying to resurface.
I do. I wanna remember my grandparents
and-and family vacations
and my college graduation.
I don't feel whole.
I want to.
I need to.
Because I don't know what
will happen if I don't.
Are you only with me
because you think it might
help get your memory back?
I, um
I don't know.
- Hey, um
- Yeah.
So I reviewed Allan's post-op labs.
- Everything looks good.
- Great, thank you.
And great catch with the thrombosis.
He could have gone septic and died.
Yeah, I don't understand why
he won't just call his brother.
He'd have a kidney tomorrow.
Yeah, sometimes people are
their own biggest obstacles.
Hey, uh, do you think I
need to repeat intern year?
You said that all internships
should be longer, but they're not.
The rest of my class
is already moving on.
If I have to remediate,
that'll go on my record.
Competitive specialties and
fellowships will be off the table.
My surgical skills are
as good as my classmates,
but my career is going to suffer
because I tried to save a patient
who was going to die anyway.
You're right, but that's
up to Catherine Fox.
Do you think I can change her mind?
I'm not sure,
but I know someone who might.
[ADAMS] So, if you have any
suggestions on how I could approach her
or what to say, I'd
really appreciate it.
You want advice on how
to persuade my wife?
Yes, sir.
Couple of years ago, I surprised
her with a trip to the Maldives.
Booked one of those bungalows
that's over the water,
a five-star restaurant,
sunset yacht cruises.
It sounds really nice.
Oh, it was paradise. You know
what she said the best part was?
- Yeah, I don't
- It was a little coffee pot in our room
that was stocked with
Seattle roaster coffee.
Said she never found anything better.
You understand what I'm saying?
You could've saved a lot of money
and gone to the café next door?
[SCOFFS] No. I'm saying that once
she makes up her mind about something,
she needs a really good
reason for her to change it.
And you don't have it.
Sorry.
[GREY] When you want something badly,
it's hard to know if or
when to throw in the towel.
A glass of the house white,
and his next drink is on me.
I'm presenting at grand rounds!
It's over. Me and Molly.
I'm so sorry. Was it Dave?
Hey. It took me longer to get out
of there than I thought it would.
- Did someone die?
- Blue and Molly broke up.
Oh, sorry. Did she go back to Dave?
[INHALES DEEPLY] I just did my
first transesophageal echocardiogram.
- [ADAMS] Read the room, Millin.
- Blue and Molly broke up.
- Don't ask about Dave.
- Who's Dave?
Can you not talk
about me in front of me?
Nobody wants to talk about you.
Could I just get a rum and
coke and whatever he wants?
Hey, hey, what about me?
I'll buy you a drink when
you and Griffith break up.
- So, never.
- [GRIFFITH GRUNTS]
- Hey, can I get
- Shh, shh, shh.
[KNOCKS ON DOOR]
[GREY] So we push the limits.
Hoping if we put in a little more time,
more effort, maybe it'll all work out.
[STAMMERS] You're not a margherita
flatbread with a side salad.
Um, Ben, Teddy's here.
Yeah, I'll call you later.
Uh, did you want, uh, mini red,
mini white? The mini bourbon's mine.
Uh, mini gin and tonic.
Ah, only if you, uh, want
it served in a giant glass.
Okay.
Uh, congratulations
on your presentation.
Thanks. [CHUCKLES]
Uh, I didn't see you and Beckman after.
Oh. Yeah, we, uh
we left and ended up
You know, I don't need to know.
I work with both your husbands.
We ended up going to the
environmental health panel.
That's not what I expected.
Honestly
me neither.
- Cheers.
- Ah.
Take it right out of the
Okay. Get you some pretzels.
Uh
[GREY] Or you could crash and burn.
Taking everything you
love down with you.
But you won't know until you try.
[THEME MUSIC PLAYS]
[DAVE] You said that you
wanted to leave the house.
[GREY] On average, the fastest
your heart should beat per minute
is 220 minus your age.
[DAVE] Yeah, but what
about your feelings for me?
Why is this guy still in Seattle?
Well, he won't leave without her,
and she wants to wait him out.
What do you want to do?
Well, I want to deck the guy,
but I'm not as patient as she is.
Are those Molly's scans?
[GRIFFITH] Gotta be on my game.
After flying solo, there's
nowhere to go but down.
I'm assisting on your girlfriend's
surgery. You want me to slack off?
- Carry on.
- Yeah.
[GREY] But, ideally, vigorous exercise
is between 70 and 85% of
your maximum heart rate.
Did you pack Allison's blanket?
Your mom says it's not in the bag.
- It's in the backpack. [SIGHS]
- Oh.
What are you gonna do with
the whole house to yourself?
- Well, with any luck, sleep.
- [SIGHS]
I'm jealous. The conference
agenda is jam-packed.
Well, you should skip something,
you know, get a massage or
do something else for yourself.
[GREY] Exceeding your maximum
heart rate can result in
- dizziness, chest pain, or even fainting.
- [HORN HONKS]
- Okay. Okay.
- Yeah.
- You got that?
- Yeah. Here.
[HUNT] Okay.
You two have fun. You know, what
happens in Vegas stays in Vegas.
- We're going to Oakland.
- That too.
Bye.
[GREY] So listen to your body
and don't push your limits.
[SPEAKING INDISTINCTLY]
Hey, I didn't know you were here.
I'm helping Dr. Webber
with one of my old patients.
Is it weird, you're
kind of like my boss now?
[CHUCKLES] No. I invested in her
and Meredith's Alzheimer's research.
I'm a silent partner. That's it.
Are you going to Boston?
Because I'll take Griffith on my service.
He's salty because she's
been helping me prep
for an experimental procedure all week.
I needed our best intern for the case.
- Griffith's someone to watch, huh?
- Yeah.
- How's Adams doing?
- Well, he's with us today. You tell me.
- Okay.
- If your schedule changes, I
She's still mine.
[STAMMERS]
Do you know how
lucky you are you
don't have to worry
about vaginal tears?
And good morning to you too.
[SIGHS] I just sewed a third-degree
tear encroaching on the sphincter,
and that's after the mom labored
for 24 hours with a nine-pound baby.
You know, men have their share of
Yeah, that sounds awful.
Oh, Wilson, hey. While you were in L&D,
Mrs. Badgley started bleeding.
Okay, well, I will tell
Kincade she needs
to move her myomectomy
to this morning.
Oh. Already on it.
I-I figured you
three wouldn't want
to be on your feet
for a long surge.
Dr. Kincade already
approved it, so we're set.
Um, did Jo Wilson
just let a guy who
calls surgery a
"surge" shark her?
- He saved my babies.
- Oh. Come on.
That's all I can think
about when I see
his overachieving,
stupid prodigy face,
and if you tell anyone
that, I will punch you.
Hey, not for you.
Have you exported
your cases into the
spreadsheet yet?
- What spreadsheet?
- [GROANS]
Uh, our case logs for our meeting with
Bailey at the end of the year.
- Sorry.
- It's fine.
[SIGHS] Well, if it's any
consolation, I'll be able to help you
- with your case logs next year.
- Thanks.
- Uh, good morning.
- Good morning. What What's this?
It's a thank-you for saying you would
help me get my first solo surgery.
- I promise I won't let you down.
- [CLICKS TONGUE]
All right, lesson number one always
under-promise and over-deliver. Yeah?
[OWEN SIGHS] Hey, Nora.
- Hi, I just got your text.
- Sorry for bugging you. This is
Liz. Hi, can we
make this quick? I
have a high school
reunion to pull off.
[CHUCKLES] I'll do my best. Follow
me. Um, how far along are you?
Uh, 19 weeks.
It's been an easy pregnancy
until a couple days ago.
I started to have indigestion,
shortness of breath,
some pressure in my chest. Um,
- I have an OB appointment next week.
- Okay.
She has preexisting mitral valve
prolapse, so I kidnapped her here.
Yeah, I have to be at this reunion
tonight. I'm the committee chair.
Liz runs a tight ship. She got
the boosters to repaint the gym.
Finally. There's no way that
'70s paint wasn't full of lead.
[CHUCKLES]
I was a senior when you were a freshman.
- Owen Hunt.
- Megan Hunt's brother.
- Megan has a brother?
- [CHUCKLES, SIGHS]
Okay, I'm gonna page cardio and OB.
While we wait, I'm gonna
run some labs and an EKG.
- Sound good?
- I'm pregnant.
- Only snacks and baths sound good.
- [CHUCKLES]
Thank you, and it's
good to see you again.
Yeah.
Allan Lewis, 50,
developed PTLD after his
third kidney transplant,
had eight rounds of rituximab to reduce
the tumor burden in his retroperitoneum.
Here to debulk the residual
tumor before resuming chemo
and to alleviate the
bowel obstruction symptoms.
Not the kidney's fault.
Don't blame the kidney.
No one's blaming anyone.
That's right. PTLD is a real
complication caused by
A weakened immune system that
triggers the Epstein-Barr virus.
Of course, Allan is in the less
than 1% of all people who get this.
Now it feels like you're blaming me.
Okay. Shelby is Allan's sister
and the donor of his third kidney.
I wouldn't have asked if I
weren't such a hard match.
My other two organ
donors came through UNOS.
Which donor drove you to chemo?
Oh. The one who "inherited"
Mom's 1969 Mercedes convertible.
I took care of her all those years.
Where were you?
Working in Singapore.
She came through for me
when I needed a kidney,
but there was a time when
Shelbs and I weren't speaking.
- They don't need to know this.
- Look, okay, it's my medical history.
Okay, let's get some new scans
and we'll go from there, shall we?
- Mm-hmm.
- Bye.
[ALTMAN] Cass, I didn't
know you'd be here.
Oh. Teddy, hi.
- I will catch up with you later?
- Sure.
Friend of yours?
We sometimes plan to
attend the same conferences,
balance the snoozefest panels
with extracurricular activities.
Oh.
- [CASS CHUCKLES]
- Is David here?
I believe he's covering his chief's
cases while she's at a conference.
- Right.
- What about Owen?
- No. Nope. Just me.
- Oh.
[BAILEY] Altman.
- Oh, okay. Can you help me? Please.
- Oh, yeah. Yeah. What
- Hi.
- Hi.
[SHEPHERD] Griffith, present.
Molly Tran, 33, experiencing
grand mal seizures.
Currently refractory to
anti-epileptic medication.
Here for placement of DBS
to suppress seizure activity.
We'll make a small hole in your skull
to implant the device in your brain,
then place the pulse generator
under your collarbone.
It's like a pacemaker for your brain.
And what about getting my memory back?
[SHEPHERD] Let's take
it one step at a time.
Once we place the DBS, I
will put a grid on your brain
and then stimulate
each section one by one,
but we're only doing that because I will
already be in that part of your brain.
It's never been proven to retrieve
memories lost to retrograde amnesia.
Will the extra stimulation
induce seizures?
It's possible, but my hope is
that the device will prevent that.
Are you sure you want to do this?
What did your parents say about it?
Um, they were nervous
until I sent them Dr. Shepherd's bio.
Hmm.
I want my memories.
I just didn't realize so
many people would be watching.
[SHEPHERD] It's a big case.
Excuse me.
All right, so you can see the device
will be implanted in the crown.
It's one thing to show up at my
house, but to come to hospital
- Hey. Back off.
- She doesn't wanna talk to you.
Look, I don't wanna talk to her.
I need to talk to you.
Molly hasn't told you
everything you need to know.
But when I did the test
run in the auditorium,
the slides looked like they
were in a fun house mirror.
Well, they must be
formatted to the wrong size.
- Right.
- That's what Ron, that AV guy, says,
and apparently the only way to fix
it is to redo the whole damn thing.
Well, how long did the first one take?
- No idea. I paid Tuck to do it.
- [BOTH SCOFF]
Dr. Bailey is presenting on her
program training OB-GYN residents
from states with abortion bans.
[CLICKS TONGUE]
So important. Now more than ever.
Well, how am I supposed to inspire other
hospitals to start programs like ours
if they can't read my slides?
Well, Cass is actually
amazing at slideshows.
[STAMMERS] Sorry, I don't know
why I said "actually."
She's just She's amazing.
- Uh, can you work fast?
- For this cause, it would be my honor.
- Thank you. Thank you.
- Oh, thank you.
[SHIP HORN HONKS]
All right, are you ready?
Yes, aligning the MRI and CT images to
create a 3-D representation
of the brain.
- Which approach would you suggest?
- Transfrontal.
Good thought.
We are gonna go with frontal temporal.
[GRIFFITH] Uh.
- Target?
- Oh, that area of gliosis on the MRI.
All right, divide it into three
separate targets, so I have options.
What if we trigger a seizure and
have to put her in a barb coma?
Isn't the whole procedure a wash?
I don't let myself think like that.
Yeah. [SIGHS]
You really are the one to watch, huh?
Just been lucky. Get on amazing cases.
Don't do that. You're a woman surgeon.
There are enough people out
there who want to dismiss you.
Don't be one of them.
Now, our patient will be awake.
So it is crucial that you follow
my lead, keep your voice neutral.
As far as Molly is concerned,
everything is fine.
- No problem.
- Mmm.
[NDUGU] Your labs are normal.
Same with your EKG and echo,
and your mitral valve looks stable.
Great. See? Told you,
just regular old pregnancy.
So, can I get back to
reunion planning now?
While your symptoms are
common, they are new for you,
and we would like to
run a few more tests.
Okay, fine. Um, where's my phone?
Do you have someone we should call?
Uh, nope. Just a second-in-command
who can't alphabetize
name tags to save his life.
[SIGHS] Come on, Bobby.
M comes before O.
Liz is having this baby on her
own. She's my personal hero.
[LIZ] It wasn't always the plan,
but I've been on at least one date
with every age-appropriate bachelor
in the greater Seattle area,
and some not so age-appropriate.
But none of them were the one,
and I'm not getting any younger,
so I'm going it alone.
[PHONE VIBRATES]
Liz, how long have you
had that lump on your neck?
- What lump?
- May I?
Millin, can you grab the
ultrasound? Thank you.
She's about to go to the OR.
Make it quick.
You can't let her do the
experimental part of surgery.
I respect her decision.
Because if she gets her memories back,
it absolves you of what you did?
You don't know what
you're talking about.
When the accident happened,
she tried everything she
could to get her memories back.
Psychotherapy, hypnotherapy,
Vietnamese herbs.
Her parents said that she
spent everything she had,
and when none of it
worked, she spiraled.
Not eating, not sleeping. They
finally talked her into getting help.
She never told me any of this.
Okay, and why would she?
You think she wants you to know?
Look, I love her, and I wanna
be able to live with myself
- if anything bad happened to her.
- [SIGHS]
Coming to Seattle, the sudden
breakup, the experimental brain surgery
just to get her memories back. It
It just feels like the
on-ramp to another crash.
- She picked me. Get over it.
- [SCOFFS]
[SIGHS] Hey.
[NORA] There's pens and extra card
stock in the bag under the welcome table.
No, under the welcome table.
Call if you need anything.
- Great.
- Thanks.
- [NORA] Oh, my God.
- Hey, you okay?
Just Bobby, our class secretary
who doesn't know how to CC people,
is now the one in charge.
It's like a
designated survivor situation.
Well, if no one took this seriously,
there would be no reunions
and no one would
reconnect with old friends,
- and I guess life would just go on.
- [SIGHS]
Reconnecting can be
can be pretty great.
Mm-hmm.
Uh, so far so good with Liz, by the way.
[SIGHS]
Should I have taken Liz somewhere else?
Why?
Well, the last time I saw you,
you didn't want to be a
part of my care team.
And now we're sharing a bench.
[SIGHS] Well, you know You
brought in a friend for medical care,
so this is this is an
above-board bench-sharing situation.
In that case, can you
sit a little longer?
It's just hitting me that
my friend might be sick.
Sure.
There's the two native kidneys,
the two nonfunctioning
transplanted kidneys.
That's the working one right there.
Have you ever seen a scan of five
kidneys inside of one patient before?
- Is that the mass?
- Yeah, that's it right there.
Is it kinking the vasculature
of the working kidney?
No, it's close, but fortunately, no.
Yeah, we should debulk enough
that the chemo has a shot at
killing the remaining cells.
Should we remove the native kidney?
I could help with the
retroperitoneal lymph node dissection.
Mmm. It's not necessary.
We still have good access
to the paracaval lymph nodes
but good to know you're
thinking ahead. Book us an OR.
[CHUCKLES]
That was pretty bold to ask to do
a nephrectomy and a
lymph node dissection.
You never know if you don't ask.
- Can you do his pre-op paperwork?
- Nope, but good try.
Poor Liz.
She worked so hard on her reunion,
and now some bumbling wannabe gets
to be there for the big moment.
- Probably just trying to help.
- Is he?
Is he? Or is he a man who is
threatened by a woman in power
and he's stealing it in
the name of generosity?
For the record, I'm a feminist.
This morning,
my co-resident stole my surgery
so that I didn't have
to "be on my feet."
- Did you punch him?
- No, he saved my babies.
Well, he didn't save my babies.
What's his name?
- [NDUGU] Scans are up.
- [WILSON SIGHS]
[NDUGU CLEARS THROAT]
Oh. That's not something
you see every day.
[LIZ] Is it cancer?
No. Your thyroid, larynx
and lymph nodes are all fine.
It appears you have a rare condition
called achalasia with megaesophagus,
- which is aggravated by your pregnancy.
- Which means?
You have a fair amount of undigested
food sitting in your esophagus.
Um, how long has it been there?
It's hard to tell without knowing
how much you eat in one sitting.
I had fish tacos yesterday.
Ugh, stupid Bobby gave me a strawberry
smoothie for breakfast. [GASPS]
It's all right. Don't worry.
We're gonna run a scope down there
- and clean it all out, okay?
- Yeah.
Oh.
[SIGHS]
- [GRIFFITH] Yeah. Yeah.
- Yeah, bit nervous, but
Your vitals are strong.
Hey, going to OR one.
You know, the next time I see you,
I-I could have all my memories back.
You know, the odds of this
working are almost impossible.
I just want to make sure
you'll be okay if it doesn't.
There must be other
experimental treatments, right?
If this one doesn't work, I
mean, we'll try another one.
Dave came to the hospital.
Oh. Uh. Well, what did he say?
[SIGHS]
He just wanted to make
sure that you'll be okay.
I am.
I will be.
- You'll be here when I get out, right?
- Of course.
Okay.
- [MOLLY] Okay.
- [KWAN] Yeah.
Okay. Don't let Shepherd
push it in there.
We've seen her go overboard,
especially with difficult cases.
You know I can't control that.
You're on top right now.
You have more influence than you think.
I got you.
Oh, there you are.
I was starting to get
flashbacks to that party
where you ditched me to
make out with Scott Jonas.
- We just We got some air.
- [NORA] Tell me that lump's benign.
- As benign as chicken pot pie.
- Oh, thank God. What is it?
Chicken pot pie.
Yeah, that was yesterday's lunch.
My throat's full of food.
What? How?
The sphincter connecting her stomach
and her esophagus won't relax,
so food's getting stuck.
Is this gonna be for
the rest of my pregnancy?
No, we can remove the food with a scope
and then inject Botox
into the lower sphincter.
So it looks young and wrinkle-free?
No, so it relaxes and food
can get into your stomach.
Okay, so this is gonna take a while.
Will you please make sure that
someone steams the tablecloths?
- I'm on it.
- A nurse will get you prepped, okay?
- Thank you.
- Okay. I gotta go back to work. Okay.
[SIGHS] Brush up on your
EGDs in the skills lab.
I thought we had Mr. Oden's CABG today.
I am doing Mr. Oden's CABG.
You were gonna brush up on your EGDs
so you can do Liz's
esophageal disimpaction.
I'll go practice.
Can you just cut and paste?
The graphics, yes, but not the text.
- Will you read me those bullet points?
- Oh, sure. Um, okay.
"All trainees come from the more
than one-third of US counties
that are maternity care
deserts with no OB providers,
hospitals, or birth centers."
That's bleak.
Didn't you win a Catherine
Fox Award for your program?
I did. Felt like an accomplishment then.
Now, feels like I'm trying
to bail water with a thimble.
I get it, but programs like
yours are a beacon of hope.
Thank you.
Now let's just make sure your
presentation is as great as you are.
Next bullet, please. Teddy.
Oh. Yeah. [CHUCKLES]
Oh, sorry. Uh, "following Dobbs"
[SHEPHERD] DBS is in place.
How are you doing, Molly?
Pretty well, considering my
head's basically in an Erector Set.
Are you feeling more discomfort?
I don't feel a thing, but I can hear
tools clinking and things buzzing.
- Are we almost there?
- [SHEPHERD] Yes.
Griffith, we are ready to
connect to the stimulation panel.
- And that should stop the seizures?
- It should.
[SIGHS] Wow. Wait, that's incredible.
Thank you.
And are you starting with
the memory part too now?
In a minute.
Dr. Shepherd, I see epileptiform waves.
All right, adjust the frequency.
- [GRIFFITH] They're improving.
- [SHEPHERD] Okay.
All right, Molly, now it is time to
place the grid for memory retrieval.
I'd nod, but, um, I can't move my head.
Grid, please.
Here we go.
It's not that bad.
You were just moaning like a dead
animal. Let him check you out.
Urine output's low. Hang on.
Let me take a quick
look with the ultrasound.
Are you wearing perfume?
'Cause it smells like feet.
Remember when I gave you a kidney
and you promised to be nicer?
This is how all of our fights end now.
[CHUCKLES] Do you have a sister?
- I have four.
- Oof. I thought one was a lot.
Kidney.
I learned early on that I'm
better off not fighting back.
Oh, look at you now. You're a surgeon.
See what happens when you learn
how to go with the flow? To adapt?
I'm the senior VP of human
resources at a giant tech company.
- [GROANS] Kidney.
- It only works when I do it.
No. My kidney. It really hurts.
Damn it, we need to move.
- What's happening?
- Am I dying?
Allan's kidney's thrombosed.
A clot's cutting off his blood supply.
If we don't get him to surgery
right now, he could lose it.
Tell Webber and Marsh
to meet me in the OR.
- [SCREAMS, SUCKS TEETH]
- [SHELBY] Okay, breathe.
I did it.
- You You You did it?
- Uh-huh.
Thank you.
Uh [STAMMERS]
You were right. She's amazing.
She's also very hungry.
Would you hand me those chips?
- [PHONE VIBRATES]
- Uh, you can have whatever you want.
- Thank you.
- Uh, I'll be right back.
- Okay.
- 'Kay.
Well, you saved the day.
Well, this saved me from having to go
to my boss's panel on change management.
Where is her thumb drive?
Do you wanna skip the
afternoon lectures?
Well, we clearly have
seen Bailey's presentation.
I'm supposed to
meet up with Phil later.
So meet up with me instead.
You said to let you know
when I have figured it out,
and I have figured it out.
You are all set.
Oh.
Um Would you keep
it until we get there?
My luck today, I'd drop
it down the elevator shaft.
Y You are coming, right?
Oh, I've been having stress dreams all
week about showing up to an empty room.
- [BAILEY] Yeah.
- Wouldn't miss it.
- [BAILEY] Okay. Here.
- Mm-hmm.
[MARSH] Okay, the renal artery is
tortuous. IR never would've worked.
Agreed. Fogarty catheter.
[ADAMS] Will the kidney be okay?
I don't know, but it's
got a shot thanks to you.
- [WEBBER] The embolectomy is complete.
- [MARSH] Heparin. Thank you.
- [ADAMS] Now what?
- [WARREN] We wait for it to pink up,
then we go after the tumor.
- [MARSH] Okay.
- [ADAMS] Nothing's happening.
[MARSH SIGHS]
- It's still ischemic.
- [MARSH SIGHS]
Yeah, the clot caused too much damage.
The kidney's dead.
- Let's prep for a nephrectomy.
- Yeah.
But he has to be in remission before
he can go back on the transplant list.
- That could take months.
- It's our only option at this point.
He got lucky three times.
Maybe it'll happen again.
So that's it? You just tell him
good luck and send him on his way.
Well, what if we give it more time?
Try papaverine?
You know that's not gonna work.
Adams, you want to
suture ligate this vessel?
You found the clot. You want it or not?
[ADAMS] 0 silk.
Okay, nice and easy. Good.
[PHONE BUZZES]
Oh, Mr. Oden's in the ICU.
We did his CABG off-pump.
It's actually really exciting. You
should review the surgical tape.
Wilson, quick update.
Ms. Badgley had a massive
uterine hemorrhage mid-surge
You did a hysterectomy? On my patient?
Technically, Kincade's patient.
But yep. Good luck with your, um
- Esophageal disimpaction.
- Mm-hmm.
I'm gonna tear him limb from limb.
Millin, you are flying through this.
At the rate you're going, we'll
be out of here in 15 minutes.
My parents never sent me to summer camp.
They just dropped me off
at the arcade every day,
and I played the claw machine
for six hours straight.
You know how to work those?
- Mm-hmm.
- What have you won?
Strawberries and fish tacos.
[SHEPHERD] Stimulate S-5.
- [GRID HUMMING]
- Molly, remember, if you see anything,
no matter how faint the
image, just let me know.
Nothing yet.
All right. Let's increase
the frequency to 180 hertz.
[HUMMING INTENSIFIES]
If it gets uncomfortable,
let me know and I can stop.
Okay. Let's bump it up to 200 Hz.
[HUMMING INTENSIFIES]
Dr. Shepherd, she's starting
to get D waves again.
Sporadic episodes. We still have
time before a potential seizure. W-5.
[TENSE MUSIC PLAYS ♪]
Decrease the amplitude
to two millivolts.
How you doing, Molly?
Still fine. Just just waiting.
The waves are increasing
in frequency and amplitude.
I'm keeping my eye on it. X-5.
- [GRIFFITH] I'm stopping.
- Griffith,
you will press that
button if I tell you to.
- Y-5.
- She's going to seize.
If we have to put her in a coma, she
Dr. Griffith, I need you to
trust me or get out of my OR.
I see something.
[SHEPHERD] Can you tell me what you see?
I'm outside. I'm walking near a lake.
I see I see mountains.
It's, it's beautiful here.
[HUMMING STOPS]
Wait, wait, it's all gone.
Because I stopped stimulating.
That was absolutely amazing.
Is it time to close?
That's not why I stopped.
Hand me the control panel.
We need to verify that the stimulation
is provoking the memory.
Her seizure activity is
becoming more unstable.
Restarting. See anything now?
I'm still at the same place and
there's someone else here.
- A man.
- Do you know who it is?
No, he's too far ahead, but
he's wearing a red jacket.
I think we're here together.
- Wait, did you stop again?
- I did.
- All right.
- [MOLLY SIGHS]
How about now?
I'm still here. I'm-I'm taking
something out of my pocket.
It's, uh it's a map.
It says, "The Beehive Basin Trail."
It's Big Sky.
All right, we are going to reduce
the frequency back to 140 hertz
and one millivolt, terminating the
stimulation and removing the grid.
Wait, no, no.
Wait, why are you stopping please?
We can't risk more seizure activity,
but, Molly, you did great.
- Would you like me to close?
- I've got it.
[MILLIN] The EGD went well.
We were able to clear your esophagus
and administer the Botox
to relax your sphincter.
And once we confirm
everything's going down okay,
you'll be good to eat whatever you want.
Just need to take it
easy for a couple of days.
- I'll take it easy after the reunion.
- No, wait, you need to rest.
Otherwise, you'll wind
up back here in a week.
[SIGHS] Two years of hard work, and
Bobby's about to
undo it all in two hours?
Well, why doesn't Nora go?
Make sure he doesn't mess things up.
- Okay, you need to fire him.
- We don't pay him.
Look, we can't just let Bobby have
what he wants because he means well.
You need to go down there
and tell him that he is out.
Well, um, the good news is we were
able to debulk a lot of the mass.
So there is bad news again.
Yes, so we couldn't revive your
working kidney, so we had to remove it.
Back to dialysis.
More hours of my life wasted.
Once you're in remission, we can put
you back on the transplant list again.
I've already had three.
I'm a hard match. I won't find another.
You never know.
Before my first transplant,
I made a bucket list of all the
things I wanted to do before I died,
you know, like climb the Great Wall
or drive on the Autobahn.
Oh, see the Rockettes.
[CHUCKLES] I mean, I thought
I'd be lucky to do half.
I did all of 'em. Organ donors
gave me a second chance on life,
and then a third and a fourth.
And I'm happy with what I did with them.
So, if this is it this is it.
Or you could call Gary.
We're not calling Gary.
- Wait. Gary is
- Our brother.
Well, I'll be damned.
I'd rather live the
rest of my life in a box.
By box do you mean coffin?
It'd be better than calling Gary!
She loved Big Sky.
We went a couple of times.
I can't believe she actually
remembered something.
All the way down to your red jacket.
I'll check on her in a bit.
- Hey. How are you feeling?
- Hmm.
[CLEARS THROAT] Tired.
Hey. They said I had a memory.
[SIGHS]
I just wish my brain
could hold on to
them when it's not
being stimulated.
Does, uh, Dave have a red jacket?
He has a lot of jackets.
Did you ever go to Big Sky with him?
A couple of times. Why?
Is that what I remembered?
[SIGHS] But that was a memory
from after the accident.
You don't need to remember anything
for us to have a future together.
You know, it's all in my brain.
It's all in there. We just
have to find a way to unlock it.
Hey, maybe there's a clinical trial.
No, you No, no, no, no,
you don't let people dig into
your brain when you're healthy.
I'm worried about you.
[SIGHS] The worst has already happened.
I lost my life. [CRIES]
No, you didn't. You're here. [STAMMERS]
You should rest.
We can talk about this later.
[SIGHS]
- Okay. All right. Thank you.
- [HUNT] Hey.
So Liz is being discharged.
She is. But she needs to rest,
so she's sending me to go make sure
this reunion doesn't fall apart.
Mmm.
I wish Megan wasn't chaperoning
your nephew's camping trip.
Yeah. I can go with you if you want.
I'd love to see the
new paint in the gym.
Seriously? Teddy won't mind?
[SIGHS]
We've agreed to
We've agreed that we
could see other people.
- Oh.
- Yeah.
- Okay.
- [CHUCKLES]
So I'll go home, and I'll
change and come pick you up.
I'll text you my address.
- Okay.
- Yeah.
[SIGHS]
[BAILEY] So, the program
is a 16-week rotation,
but we operate on a rolling basis.
The trainees request start dates,
based on where it fits
within their home curriculum.
So at any given time,
we have 20 to 30 trainees
from 13 different states,
but still that's not nearly enough
to address the patient demands
across the country.
You know, somebody recently said
that programs like this are a
beacon of hope in a dark time.
Well, I hope that you will join
me in lighting the way. Thank you.
[BOTH PANTING]
[KISSING, MOANING]
- Are you okay?
- Yeah. Yeah.
- Are you sure?
- Yeah, yeah, yeah. I'm good.
I'm good. Come here.
Wait. Wait. Um
I'm sorry, it's just dumb.
It's not you. It's just I, um
I feel like I'm cheating on my husband.
Is this what it felt like when
you first opened your marriage?
Our marriage was suffocating us.
Being with someone else [SIGHS]
felt like finally breathing fresh air.
You really are amazing.
So I'm told.
But this this
is not gonna fix my marriage.
- I'm so sorry.
- Me too.
It's okay.
I checked on Liz, and a smoothie went
down and is in her
stomach safe and sound.
You handled that disimpaction
like an experienced surgeon.
You didn't need a surgeon for that.
Any teenager in an arcade
could've figured it out.
Maybe just take the compliment.
Where are you going?
To update Liz's chart.
Oh, you thought today was just about
learning to disimpact an esophagus?
What else would it be about?
Your first transesophageal
echocardiogram.
- Really?
- Yeah, come on up.
- So you You want me to
- Find the heart.
It's just like the EGD, okay?
Insert the scope, flat side
facing the floor of the mouth.
Good, slowly feed it down the esophagus.
Good, good. Now adjust the angle.
There. I-I might be
biased, but every time
I see that, it feels
like the first time.
It's incredible.
[SOMBER MUSIC PLAYS ♪]
- Her EEG looks stable.
- Mm-hmm.
I'm sorry for challenging you.
Kwan was in your head.
Yes.
Your star may be on the rise,
but that is not the
same as having years
of experience with
hundreds of patients.
Whatever you know about the
patient's family, their loved ones,
you keep it out of my OR or
you do not step foot inside it.
It won't happen again.
Okay. Now get started on a
write-up for grand rounds.
You're gonna present
this at grand rounds.
We are. Congratulations.
Wilson, hey, about that surge.
No. Marcus, I am grateful to
you for saving my pregnancy,
but that does not mean that
you get to walk all over me.
- I'm sorry?
- I'm not your patient.
I'm your colleague.
Sharking my surgeries doesn't help me.
It undermines my authority
and limits my training.
- I was just trying to help.
- Don't flatter yourself.
- I can advocate for myself.
- I'm sorry.
And it's "surgery," not "surge."
- [SIGHS]
- This some sort of OB showdown?
The three of us decided it
was time for a little talk.
Well, he earned it.
Do you want to go for a burger?
As long as I don't have to
talk about vaginal tears.
- Okay. [CHUCKLES]
- Good deal.
- I love those crackers.
- Yeah. You never let me throw them away
when we got soup from
our neighborhood deli.
[SNIFFS] What kind of soup?
You liked their Manhattan clam chowder.
- I called your parents.
- What?
- Why?
- I was worried.
And then I found out that they
had no idea about your surgery
or that we're back together.
Well, I didn't want
them to freak out.
Okay, but you lied to me about it.
I think you know you're
on a slippery slope.
This isn't like last time.
Yeah, which you also didn't tell
me about. I found out from Dave.
Okay, look, I am so
close to remembering.
No one with retrograde amnesia has
ever gotten their memories back.
What makes you think you're different?
I don't know. But that day
that I saw you in the ER,
I mean, that was the first time
I felt like a piece of my old
life was trying to resurface.
I do. I wanna remember my grandparents
and-and family vacations
and my college graduation.
I don't feel whole.
I want to.
I need to.
Because I don't know what
will happen if I don't.
Are you only with me
because you think it might
help get your memory back?
I, um
I don't know.
- Hey, um
- Yeah.
So I reviewed Allan's post-op labs.
- Everything looks good.
- Great, thank you.
And great catch with the thrombosis.
He could have gone septic and died.
Yeah, I don't understand why
he won't just call his brother.
He'd have a kidney tomorrow.
Yeah, sometimes people are
their own biggest obstacles.
Hey, uh, do you think I
need to repeat intern year?
You said that all internships
should be longer, but they're not.
The rest of my class
is already moving on.
If I have to remediate,
that'll go on my record.
Competitive specialties and
fellowships will be off the table.
My surgical skills are
as good as my classmates,
but my career is going to suffer
because I tried to save a patient
who was going to die anyway.
You're right, but that's
up to Catherine Fox.
Do you think I can change her mind?
I'm not sure,
but I know someone who might.
[ADAMS] So, if you have any
suggestions on how I could approach her
or what to say, I'd
really appreciate it.
You want advice on how
to persuade my wife?
Yes, sir.
Couple of years ago, I surprised
her with a trip to the Maldives.
Booked one of those bungalows
that's over the water,
a five-star restaurant,
sunset yacht cruises.
It sounds really nice.
Oh, it was paradise. You know
what she said the best part was?
- Yeah, I don't
- It was a little coffee pot in our room
that was stocked with
Seattle roaster coffee.
Said she never found anything better.
You understand what I'm saying?
You could've saved a lot of money
and gone to the café next door?
[SCOFFS] No. I'm saying that once
she makes up her mind about something,
she needs a really good
reason for her to change it.
And you don't have it.
Sorry.
[GREY] When you want something badly,
it's hard to know if or
when to throw in the towel.
A glass of the house white,
and his next drink is on me.
I'm presenting at grand rounds!
It's over. Me and Molly.
I'm so sorry. Was it Dave?
Hey. It took me longer to get out
of there than I thought it would.
- Did someone die?
- Blue and Molly broke up.
Oh, sorry. Did she go back to Dave?
[INHALES DEEPLY] I just did my
first transesophageal echocardiogram.
- [ADAMS] Read the room, Millin.
- Blue and Molly broke up.
- Don't ask about Dave.
- Who's Dave?
Can you not talk
about me in front of me?
Nobody wants to talk about you.
Could I just get a rum and
coke and whatever he wants?
Hey, hey, what about me?
I'll buy you a drink when
you and Griffith break up.
- So, never.
- [GRIFFITH GRUNTS]
- Hey, can I get
- Shh, shh, shh.
[KNOCKS ON DOOR]
[GREY] So we push the limits.
Hoping if we put in a little more time,
more effort, maybe it'll all work out.
[STAMMERS] You're not a margherita
flatbread with a side salad.
Um, Ben, Teddy's here.
Yeah, I'll call you later.
Uh, did you want, uh, mini red,
mini white? The mini bourbon's mine.
Uh, mini gin and tonic.
Ah, only if you, uh, want
it served in a giant glass.
Okay.
Uh, congratulations
on your presentation.
Thanks. [CHUCKLES]
Uh, I didn't see you and Beckman after.
Oh. Yeah, we, uh
we left and ended up
You know, I don't need to know.
I work with both your husbands.
We ended up going to the
environmental health panel.
That's not what I expected.
Honestly
me neither.
- Cheers.
- Ah.
Take it right out of the
Okay. Get you some pretzels.
Uh
[GREY] Or you could crash and burn.
Taking everything you
love down with you.
But you won't know until you try.
[THEME MUSIC PLAYS]