Grey's Anatomy s21e16 Episode Script

1
[UPBEAT INDIE-POP SONG PLAYS ♪]
[GREY] Medical textbooks
from the Middle Ages
contained a chart called
the "Sphere of Life and Death."
- Doctors used it to predict health
-
outcomes based only on a patient's name.
- [MILLIN] Morning.
-
- What are you doing?
- I am practicing my running sutures
for my fem-pop bypass
with Ndugu today.
That's supposed to be my dinner.
And I'm also saving you from salmonella.
- You want a turn with Meryl Peep?
- I'm moving the spare key.
[GREY] The sphere was
based on numerology,
the zodiac, the moon and stars.
It's pseudoscience
compared to modern metrics.
But humans have
always craved certainty.
What about Cedar Valley Estate
with a fountain?
- Looks bucolic.
- I saw them.
Also saw they have a 250-person minimum.
[HUFFS]
- Wildwood Gardens?
- I thought you wanted a live band.
- They don't allow live music?
- No, not after 8:00 p.m.
[SIGHS] Well, what if we have a
small ceremony here at the chapel,
and then host dinner in
the back room at Nicoletti's?
Mmm, I don't know.
Well, we'd bring our own flowers
When someone hesitates and says,
"I don't know," it means
- "I don't want it."
- Copy that.
[GREY] Diagnosis, prognosis,
genetic predisposition,
they're all ways of placing
ourselves on the sphere.
We ask science to protect us
from the simplest fact of life.
It's full of surprises.
Do you know that the first
fem-pop bypass was performed
in 1948 on a patient with a foot ulcer?
I do, because I know everything
there is to know about this procedure.
[CLICKS TONGUE]
I postponed Mr. Hall's fem-pop.
His INR was too high.
Gotta wait for it to come down.
No, I sutured raw chicken
to prep for this.
Ah, I gotta check in with Dr. Webber.
Can you pull the chest tube
on Mrs. Babbitt?
Does she need a fem-pop?
- I will handle it.
- All right.
- [SIGHS] Hey, good morning.
- Good morning.
Listen, I know that you think
there's something going on
between me and Dr. Millin.
I said no such thing.
You did with your eyes,
and I just want to clear it up.
I'm her mentor, she's my student.
- Nothing more.
- Whatever you say.
Hey, heard you're not remediating.
Congrats on not being
a total reject.
Yeah, well, the attendings need
someone they can count on in the OR.
I thought I lost that mug.
Oh, I'm just keeping it warm
until you move back in.
Is that your way of saying
I'm never getting it back?
- You turned down Griffith?
- What are you talking about?
What are you talking about?
Wait, is Simone asking me to move in?
Kwan, I need an assist.
- No, I Say it.
- Gotta go. [SIGHS]
Uh, is this about the hernia repair?
I saw it on your schedule.
- I have bigger problems than a hernia.
- A lap chole? A colectomy?
I had the perfect
incoming class,
and now I have to hurry up and
fill a Lucas Adams-size hole,
and I need you to help me sell a
prospective intern on our program.
A vacancy will be a red flag to
interns looking to match next year,
and it means more work for you.
- You want more work, Kwan?
- Uh, I kind of want the hernia repair.
[STAMMERS] This is your hernia repair.
[SIGHS]
Dylan Gatlin, nine years old,
treated by Dr. Beltran and Dr. Griffith
for a right radial fracture
a few weeks ago.
I fell out of a tree
on my Silver Star campout.
- [PARENT 1] We were chaperoning.
- Not our finest parenting moment.
When they ran a CT to check
for her head trauma post fall,
they made the incidental finding
of a cavernous angioma
in her brain stem.
Which is, uh, Dr. Griffith?
A benign but abnormal cluster
of blood vessels in the brain.
Yeah, she's scheduled for a
resection of the angioma this afternoon.
- Are you ready?
- I'm an expedition scout.
- I'm always ready.
- Mmm. Good.
- I'm sorry.
- So is Dr. Shepherd.
She goes on expeditions
every day.
Does she have any badges?
- Oh. So many. She leaves them at home.
- Mmm.
What is that?
It's a trail map for
my next campout to Deep Lake.
I'm planning it now
to get my navigation badge.
I mapped four routes
and they're color coded.
Wow, I can barely get home
using my GPS.
[SHEPHERD] Guess what?
We are gonna make
a trail map of your brain.
How cool is that, bunny?
Pretty cool, I guess.
The brain stem is
about the size of a thumb.
It's where the right and left
motor neurons cross,
which makes access tricky.
Thanks to new MRI technology, we
will be able to map
Dylan's neural tracts,
which will be instrumental in
helping me reach the angioma.
Do I have to lie in that tube again?
It's gonna be over before you know it.
All right. I will see you two up there.
- Yes.
- See you in a bit.
- Yeah. You ready?
- Mm-hmm.
So then, it'll look like that.
- Nice, right?
- Looks great. [WINCES]
- Hi. Mariana, I'm so sorry I'm late.
- [GROANS]
I'm Dr. Wilson.
Hi, they sent me from the clinic.
This cramping, it's it's Ow.
Um, I have endometriosis,
so I'm used to the pain during
my period, but this is next-level.
- And you reported blood in your urine?
- Yeah, is that bad?
[WILSON] I'll run labs to find out more.
Okay.
- May I examine you? Okay.
- Mm-hmm.
- Do you want me to call your mom?
- No.
No. [SIGHS] She'll want to come over,
and then your mom will want to come
[STRAINING] over [GROANS]
then they'll start panicking about
the wedding and Grandpa Hector.
- We're getting married in four days.
- On a Thursday?
- Mm-hmm. On the date that our moms met.
- They're friends?
Yeah, they're best friends.
[SIGHS] They met here
in the OB ward.
Edgar and I were preemies
in the NICU together,
- so they bonded over worrying about us.
- [CHUCKLES]
Oh, my God, you're the NICU couple.
[EXCLAIMS]
I-I thought that you looked familiar.
I pass by your engagement photo
every day on the bulletin board.
- The bouquet What is that?
- [MARIANA CHUCKLES]
- Sweet peas. They're our flower.
- Yes.
- Okay, a little pressure.
- Okay.
Ow! Ow, ow, ow, ow, oh.
- [WILSON] Okay, doing great.
- Ooh. Okay, sorry.
Those flowers are also really
hard to find on place cards,
so we're making them.
Edgar is. I'm I'm I'm in
too much pain to help. [WINCES]
I told you I don't mind.
You deserve to have a perfect day.
[GROANS] Ow, ow, ow, ow, ow.
- Please stop.
- Are you okay?
If okay feels like someone is ripping
my insides apart, then yeah, I'm great.
Your initial imaging is
consistent with endometriosis,
but we will order labs
and an MRI to get a closer look
and we will get you something
for your pain.
- Okay.
- Okay?
- Thank you, Doctor.
- Of course.
[MARIANA GROANS]
- It's okay.
- Okay.
- This better be cooler than a bypass.
- You gotta let it go.
- Let what go?
- Nothing. What do we got?
Spencer Purdy, status post-MVC.
Restrained driver.
Rear-ended, then T-boned
on the driver's side.
GCS 15, hemodynamically stable.
Bad left chest injury.
[NDUGU] Spencer, you're at Grey-Sloan.
We got you, okay?
On my count.
One, two, three.
[GROANING] I feel I feel fine. I
I need to go home. I
I just got paid and the cash for
rent is in my wallet and
- w-we can't be late again.
- I'll find it.
[WEBBER] Is there
someone we could call?
- A-A parent?
- Uh, yeah, my dad.
Can you just tell him
that it's not my fault?
- [PURDY WINCING]
- Oh, my God.
His lung has herniated
right through his chest wall.
All right, I need X-ray in here,
a full trauma panel, and a FAST exam.
Yeah, I don't care
about the bypass anymore.
- [TENSE MUSIC PLAYS ♪]
- [BREATHING HEAVILY]
I know this whole intern thing
is a priority,
but if we finish early do you think
If you ask me one more time,
I'm going to give
that hernia repair to Adams
and make you watch it.
- [ELEVATOR DINGS]
- There she is.
Hello, Dr. West. Hi, I'm Dr. Bailey.
- This is Dr. Kwan.
- Hi.
- Everyone here calls me Blue.
- I don't.
- Welcome to Grey-Sloan.
- Ooh, I'm excited to be here.
It is colder than in Durham, though.
- Uh-huh.
- You went to Duke?
No, I went to med school
in Grenada,
but it's difficult to match in the
US from an international school,
so I'm doing a prelim year
to beef up my résumé.
I went to medical school in St. Kitts.
- Seriously?
- Yeah.
What a coincidence.
- Dr. Blue.
- Hmm?
Oh, yes, uh Well, let me show
you what this program has to offer.
- Okay.
- Come on.
- [DEVICE WHIRRING]
- Okay, FAST is negative.
Where's my soaked gauze?
What's taking so long?
X-rays up.
Uh, Millin, what what do you see?
Uh, left pneumothorax, a couple of
broken ribs, nothing on the right side.
Mediastinum looks good.
The soaked gauze is here. Can I?
Okay, I'll walk you through
reducing the lung into the chest.
- Spence?
- Dad? Dad, is that you?
I'm here.
What the hell happened?
Mr. Purdy, you're gonna
have to wait outside.
- [MILLIN] I need some light.
- [MR. PURDY] That looks serious.
Is he gonna need surgery?
Oh, God. Is-Is that my lung?
Oh, God. Oh, my God.
- You're okay. You're okay.
- Uh, his O2 is dropping.
- Breathe deep, son.
- We need to intubate.
- What's happening?
- Get him out of here.
[TENSE MUSIC PLAYS ♪]
[MACHINE BUZZING]
Thinking of becoming
an expedition scout?
[CHUCKLES]
I wish. My dad wouldn't let me.
He said he was afraid
I'd be mauled by a bear.
I think he just wanted me at home.
Uh, speaking of home,
uh, have you and Kwan decided
what you're gonna do
with Yasuda's room yet?
We're still figuring it out.
[DYLAN] Is it gonna hurt
when you cut my brain open?
Not even a little bit. You'll
be asleep the whole time.
You can relax now.
This is Dylan's brain
with diffusion tensor imaging.
What do the colors mean?
Blue are neural tracts
that go up and down,
green goes front to back,
and red goes side to side.
You've got to cut parallel to the
pathways so you don't sever them.
Well, someone came prepared.
And where everything crosses?
[GRIFFITH] It's the brain stem.
Due to its complexity, tiny errors
can cause catastrophic damage.
- Mmm, no pressure.
- Right. [SIGHS]
And ten years ago, this surgery
would have been impossible,
but these images give us a
clarity we have never had before.
How do you know
you're on course?
By mapping this
onto Dylan's brain in the OR.
It appears if I do
an extreme lateral approach,
I should be able to get deep enough
to get to Dylan's angioma right here.
Better than GPS.
Oh, a thousand times better.
And I checked Mr. DiBianca's
Dopplers, and they sound good.
Great, uh, let me know if
there's any decrease in signals.
- Okay.
- So much for the wedding.
Oh, we'll find a venue,
just not Prospect Estate.
A 30K deposit
builds resentment, not love.
No, not ours, Mariana and Edgar's.
Grey-Sloan's NICU couple.
They were here at the NICU together
26 years ago, and now they're engaged.
Mariana and Edgar.
Mariana and Edgar.
Saying their name over and over again
isn't gonna make me remember them.
Their whole story was
in the hospital newsletter.
It's like a real-life fairy tale,
and I'm about to crush it.
Look, her endometriosis
has taken over her pelvis
and implanted in her pubic synthesis.
- I've never seen anything like this.
- Me neither.
I've done a ton of excision surgeries,
I've never seen tissue
invade bone like this before.
When was she diagnosed?
A couple of years ago.
After a decade of symptoms.
Endometrial lesions must have
been growing out of control for years.
Mm-hmm. If we put as much money
into researching this
as we did erectile dysfunction,
millions of women would have less pain.
[LINCOLN] I don't see how you treat
this without shaving down the bone.
I know.
- Can you help?
- Thought you'd never ask.
Mr. Purdy, uh, Spencer's
on his way to a pre-op.
We will take excellent
care of him in surgery.
That kid has had a lead foot
since he was on a tricycle.
I keep telling him nothing is so
important that you
need to drive that fast.
Well, he said he had to pay rent.
And as someone who also lives paycheck
to paycheck, rent is pretty important.
I just can't believe this is happening.
I have a bag of his personal belongings,
and I thought you might want
to hold on to it.
Thank you.
[CHUCKLES] He always has
his Mariners hat on.
Nice to have
a little piece of him with me.
He's a good kid. No thanks to me.
Oh, I'm sure that's not true.
Why don't you head to the waiting room
and we'll come find you
once we have an update, okay?
- You gotta be kidding me.
- No, no. Leave it alone.
Spencer needs us more in the OR.
Come on.
You sure it won't hurt?
Oh, of course not.
This hospital has really good medicine.
You can even pick the flavor.
Bubble gum, peach or strawberry.
- Okay, everyone ready?
- It's about that time.
I wanna go home.
We will, sweetie, in a few days.
The doctors, they're just gonna
fix you up, okay?
I wanna go home now.
I wanna sleep in my tent
with my stuffies and my lantern.
You're gonna be home in
your tent so soon. I promise.
But what if the scans are wrong?
What if I don't need surgery?
I don't want surgery.
- I really don't want it. I'm scared.
- Okay, bunny.
- Okay.
- [PARENT 1] It's okay.
[GASPS] Please don't let
them take me anymore, Mommy.
Please don't let them take me.
I just wanna stay with you.
- It's okay.
- [PARENT 1] We're right here.
- [DYLAN SOBBING] -
[PARENT 2] You're gonna be okay.
She's calmed down a bit.
Hey, sorry, um, I don't know how
we're gonna get her to leave that room.
I've never seen her like this.
[BELTRAN] It's completely
normal for Dylan to be scared.
This happens all the time.
Um, maybe we should just wait,
give you guys all, like, a
couple of extra days to prepare.
There's only one possible
approach to her angioma,
which could be
compromised if it grows.
We should do it now.
And if we do nothing
She could live another
five to ten years.
- Mm-hmm.
- Or she could die sooner.
[PARENT 1] Could I
talk to you for second?
Uh-huh.
Five to ten years may not be
a long life, but it is a life.
I'm not giving up on her.
Neither am I.
This is a very, very, very big gamble.
The surgery could kill her,
you know that, right?
The surgery
could kill her, right?
It is very high-risk.
You asked me to find a way.
- This is what I found.
- Jenna?
If something happens to her
- I know, but
- You know.
Our daughter loves adventure.
And she loves hiking, and
camping, and swimming, and
I don't know how because you and I can't
find our way out of
a sleeping bag, but
Dylan needs to lead
a full and robust life.
- Don't you want that for her?
- Of course I do.
She just looks so small
in that bed right now.
I know.
I wish I could go in there with
her and hold her hand, but I
What if you could?
[WEBBER] It's not every day a patient
opens up his own chest for surgery.
[NDUGU] CT showed extensive
damage to the inferior lobe,
so it might be a long one.
[WEBBER] You update the father?
If you mean the jackass, yeah, we did.
That's not a term I would recommend
using for a patient's family members.
He stole money from his son.
We saw him take the cash
out of Spencer's wallet
and stuff it in his own pocket.
Well, maybe he took it for safekeeping.
Or maybe he's a dirtbag.
We should have said something.
If you had gotten up in that man's face,
it would have turned into an ugly fight.
That does not help our patient.
Neither is getting evicted
because he can't pay rent.
We are doing a wedge resection,
and then we are going to
figure out how to cover the defect.
- Everybody ready?
- [WEBBER] Right behind you.
So our residents typically
finish with over 1500 cases,
more than enough
to meet your requirements.
I just hit 175 procedures for the year.
Mmm, I'm at 230.
Uh, well, we are
a Level-1 trauma center,
so there's plenty of interesting cases.
Impalements, MVCs, severe burns.
- I mean, we see it all.
- Gosh. I
I wanted to be a trauma surgeon since my
mom and I were in an
MVC when I was five.
Shoot. Uh, I'm needed in the OR.
Keep going. Here.
And I'll find you.
I can show you the skills lab.
No, I wanna see
what this place is really like.
You wanna show me the insider's tour?
[STAMMERS] I can show you
whatever you want.
[SIGHS]
- We shouldn't be doing this surgery.
- Why not?
It's extremely risky,
and her dad doesn't want it.
No, he came on board.
Because his wife pushed him into it.
Should we ask Shepherd about it?
[SCOFFS] By "we," do you mean "you"?
Because I don't have a problem with it.
Last time I questioned her,
it didn't go that well.
Why didn't you ask me about moving in?
- How'd you
- Kwan slipped.
We were talking about
what to do with Mika's room,
and you moving in was one
option in a long list of options.
Great. So I'm on a list between
what, aquarium and game room?
[CHUCKLES] No.
Yeah, we haven't even
known each other for a year.
Can't we just enjoy
where we are right now
Are you enjoying this?
[ELEVATOR DINGS]
Almost done.
That's great.
[GROANS] Though, at this rate, they're
gonna have to wheel me down the aisle.
[WINCES] Ow.
- [CLEARS THROAT] Mariana.
- Hi.
Hi, this is Dr. Helm
and Dr. Lincoln.
He is the orthopedic surgeon who
will be helping me with your case.
Why do I need an orthopedic surgeon?
Well, your scans showed
something called
deep infiltrative endometriosis, or DIE.
- D-I-E? Like, die?
- It's not a great name.
Oh, no, it's also not fatal.
But it is very painful and affects up
to 15% of women with endometriosis.
It's where your tissue invades
your organs and in your case,
the top of your pubic bone.
The only way to treat it is
to remove it surgically.
[WILSON] So, the idea is
I will go in and remove the
lesions throughout your pelvis,
and Dr. Lincoln will shave
your pubic bone.
[BREATHES SHAKILY]
What about the wedding?
Don't worry about that right now.
No, you took a second job
to pay for it.
I wiped out my entire savings.
It's okay.
Will this surgery
actually stop the pain?
We're optimistic
that it will help.
Okay.
- Okay.
- [MARIANA] Okay.
Uh, this disease has been
a never-ending nightmare.
Ten years of lying
on the bathroom floor,
writhing in pain
with every period,
and doctors told me that it was normal.
One even thought I was exaggerating,
so that I could get painkillers.
And now it's in my bones?
I want it to stop.
I need it to stop.
What if we got married now
before you go into surgery?
I mean, I could get
the hospital chaplain, right?
Look,
I know it wouldn't
be our picture-perfect wedding,
but it is kind of perfect, right?
Two NICU babies getting married
in the hospital where they were born.
People would love that.
- What do you think?
- I, um
I don't know.
[EDGAR] Honey
I'm so sorry we do have
to get her to pre-op,
so we can get the paperwork started.
- To be continued.
- Yeah.
It was a dumb idea.
I love you.
I love you so much.
It's gonna be okay.
[SHEPHERD] Dylan, remember
the trail map I told you about?
There it is.
See?
[BELTRAN] Look at how beautiful
your brain is.
Doing hard things even when
we're scared is what makes us brave.
This is gonna be your
biggest expedition yet,
and I'm gonna be right here
waiting for you.
It's not goodbye, it's just good night.
You'll stay with me until I fall asleep?
Of course.
[SENTIMENTAL MUSIC PLAYS ♪]
[BREATHES SHAKILY]
Save my baby, please.
- [BELTRAN] I'll be right there.
- Okay.
[BREATHING DEEPLY]
I need a minute.
Listen, if I was in this OR
with any other neurosurgeon,
- I'd be scared out of my mind.
- You should be.
No other neurosurgeon has done this.
Including me.
I've seen you do the impossible,
- and this time you have a road map.
- Stop talking.
I don't need to hear how good I
am or how many successes I've had.
None of that has anything to do
with Dylan. She is nine years old.
She is their only kid.
And whether she lives or dies
is in my hands.
- You're not alone in there.
- I am the one who is slicing
into the part of her body
that controls all function.
I am the face they will remember
if something happens to their kid.
I am the one who will never
forget it if I kill her on the table,
so when I say I need a minute,
I need a damn minute.
[SHEPHERD SIGHS]
[SIGHS]
[WEBBER] All this lung is shredded.
I think most of it's salvageable though.
Lovelace.
- Retract more here.
- Yep.
I understand you have a problem with how
I chose to handle
our patient's situation.
- If by handle, you mean ignore?
- [WEBBER] Millin.
[MILLIN SIGHS]
My dad took me on a drug run
when I was ten.
He left me in the car
while he went and got high,
and then he made me drive him home.
[WEBBER] Um, well, I'm sorry
you went through that.
I survived, but I have a pretty
great radar for crappy dads.
I'll bet yours is
a wholesome sitcom dad.
Dr. Millin, are you too
preoccupied to be in here right now?
Are you kicking me out?
I'm asking, are you too
preoccupied to be in this OR?
No, I'm good.
[NDUGU] GIA stapler.
[WILSON] Just a couple lesions on the
rectum and bladder, and it is your turn.
[LINCOLN] Take your time.
I'm not going anywhere.
And I'm guessing she's in no
hurry to get back to her Romeo.
[HELM] Definitely trouble in paradise.
[SCOFFS] Clearly,
you two don't know them.
Do you? She hesitated.
Someone told me that means
she probably doesn't want it.
- She was in pain.
- In more ways than one.
[WILSON] The wedding
is going to be epic.
Everything is handmade.
Both their moms are officiating.
There's a photo booth and an oyster bar,
a string quartet, and a live band.
- [HELM] Sounds like a good time.
- No, it's more than that.
They're made for each other.
They're
Mariana and Edgar?
[HELM] I once went to a wedding
with fireworks,
aerial bartenders, and life-sized
ice sculptures of the bride and groom.
They annulled the marriage a week later.
- [LINCOLN] Ouch.
- Yeah, weddings are just a big party.
It has nothing to do
with what comes after.
Well, that may be true, but
I am still rooting for them.
Okay, I've excised and shaved
all the lesions that I can see.
You're up.
[LINCOLN] Periosteal elevator.
So this is the surgical ICU
where many of us have the
luxury of rotating on the night shift.
[CHUCKLES] I'm familiar.
The newest doctors keeping
the sickest patients alive.
While the attendings
get their beauty sleep.
- [ALERT BEEPING]
- [ANNOUNCER] Code blue.
- Surgical ICU.
- BP is crashing.
Do you need to help with that?
No. They got it.
- [ALERT BEEPING]
- [WEST] And what about that one?
- [DOCTOR 1] Get an epi ready.
- [ANNOUNCER] Code blue.
- [DOCTOR 2] We have V-fib.
- [DOCTOR 1] Get the paddles.
[ALERT BEEPING CONTINUES]
- Sats are plummeting.
- He's tachy.
Diminished breath sounds
on the right side.
ET tube is in place.
He needs a chest tube.
Okay. What can I do?
Open these for me.
I'll get a crash cart.
[SHEPHERD] Anyone know what's
along that red path there?
[ADAMS] The lateral lemniscus.
- Which controls?
- [GRIFFITH] Her hearing.
That's why we are steering clear.
According to our map, splitting
these blue paths is the safest corridor.
- Do you need more room?
- [ADAMS] I'm good. Thanks for asking.
Is that
A developmental venous anomaly.
Good eye.
Suction, Griffith. Now, please.
- Sorry.
- Don't apologize, just keep up.
- Damn it.
- What happened?
- There's bleeding.
- [ADAMS] I see it.
- Tell us what you need.
- It's not stopping.
I need suction and Gelfoam now.
Dylan, hang on.
[CLEARS THROAT]
Spencer's out of surgery.
The damage to his chest
and lung was extensive,
but we were able to remove the
injured lung and cover the wound.
Oh, thank God.
This day took a turn, didn't it?
We could take you
to his room if you like.
Is he awake?
Ah, he should be soon.
I know he wants to see you.
[STAMMERS] I don't wanna
bother him if he's sleeping.
I haven't eaten all day.
Do you have any, uh,
recommendations around here?
I believe it's chili day
in the cafeteria
or if you want some fresh air,
La Belle is popular on Maple.
I think I'll do that.
I'll come right back.
I don't trust anyone who
doesn't like the hospital chili.
Well, good thing you don't have to.
What are you doing?
Putting in a chest tube.
- Stop.
- I've done this before. It's fine.
Give me the scalpel.
Now.
[TENSE MUSIC PLAYS ♪]
[SCOFFS]
- [SHEPHERD] Gelfoam.
- It's right there on her hand.
[SHEPHERD] I can't see and I
can't take my eyes off the field.
Just pass it to me.
Got it.
Bipolar, now.
Turn the coag down to five.
- Because why?
- [GRIFFITH] Uh, because the higher
[ADAMS] We need energy
as low as possible
to prevent thermal injury to the brain.
Correct. Come on.
[SHEPHERD] Come on.
There.
Okay, bleeding has stopped.
All right, everyone, gather yourselves.
That bleed is over,
but we may encounter more
and we still have to
wrestle the angioma.
Slow and steady, shall we?
The patient's stable.
What were you thinking?
His vitals were tanking.
You weren't even supposed to be
in this part of the hospital.
I have done chest tubes before.
Did you screw them up too?
Because you almost cut
into that man's liver.
[SIGHS]
I counted down
to the 5th intercostal space.
- I was at the midaxillary line.
- You don't work here.
We have standards.
We put patients first,
and we definitely don't walk
in here like we own the place,
and if you can't figure that
out, you don't belong here.
You don't deserve to be here,
maybe anywhere.
Dr. Kwan.
- [KWAN GASPS]
- [WEST SIGHS]
- I have to go.
- [BAILEY] No. [STAMMERS]
- I will deal with you later.
- [SIGHS]
- How's he looking?
- Only ten cc's out of the chest tube.
Good. Keep checking every hour
and follow up on his labs.
[MILLIN] Mmm.
- [MUMBLES]
- Hey. Welcome back.
Your surgery went really well,
and you're doing great.
[GRUNTS]
- Just sit back.
- Uh, what time is it?
It's a little past 6:00.
Oh, no, no, no.
- Rent was due at 5:00.
- [NDUGU] Don't worry.
I can write you a very
compelling doctor's note.
Did you find my wallet?
I gave it to your dad.
Wha Is he here? My dad?
He didn't wanna disturb you
while you were asleep.
- He'll be back.
- [SIGHS]
[PURDY CRIES]
God, this is so embarrassing.
I swear I'm not a crier.
Well, sometimes we need our
parents, no matter how old we are.
And you just had
a very serious trauma,
so try to get some rest
and we'll be back in an hour
to check on you. Okay?
All right, call his dad and let
him know Spencer's awake.
Do you think that'll make him
come back from driving to Vegas?
Are you done?
Because I'm not your co-intern BFF.
I am chief of
the cardiothoracic department.
I don't get messy in my patients' lives,
and I don't gossip with my mentees.
I keep my head down, and I do my job.
And I suggest you do the same.
If I hear another word
about it, you're off my service.
[MELANCHOLY INDIE ROCK SONG PLAYS ♪]
Hey.
- You did great.
- Thanks.
We got through the scar tissue and
removed as many lesions as we could,
and I was able to save
your uterus and your ovaries.
That's amazing.
- Yeah.
- [INHALES DEEPLY]
We'll put you back on birth control
to slow the growth of the lesions,
but, as you know, endometriosis
is a lifelong journey.
Yeah. It can come back.
- Yes, but we will watch it closely.
- Mm-hmm.
And if it gets worse,
we'll be on top of it
and there are other hormonal
treatments that we can use, but
hopefully, your pain
should improve.
I just never thought much
about life without it.
- [BOTH CHUCKLE]
- Thank you.
- I'll tell Edgar you're awake.
- Oh, actually, could I have a minute?
Oh.
[SONG CONTINUES ♪]
Of course.
- You think I'm a monster?
- Absolutely not.
I feel like one.
Yeah, we've been destined
to be together since birth.
Our moms call us
their great love story.
But
it's not yours.
You know, he's
[CHUCKLES] He's wonderful.
- Yeah.
- And my best friend,
and I do love him. I do.
But I don't know if that's
because he's the one or
Because that's what you've always known.
- Yeah.
- He'll understand.
Eventually.
[INHALES DEEPLY, SIGHS]
You know, most of our guests
are already in town.
Everything's already paid for.
It's just a party.
Take it from someone who's
gotten married for the wrong reasons.
It always catches up with you.
- That's too bad.
- Yeah.
Livingston Manor would have
made for a beautiful wedding.
[SONG FADES OUT ♪]
Mr. Purdy, your son's
been waiting for you.
I'll be there in a minute.
If you want some, just ask.
Did you buy this
with your kid's rent money?
It's none of your damn business.
- The hell?
- Your son almost died today.
Do you realize that?
- Get off me!
- You're the parent!
You are supposed to take care of
him, provide for him, keep him safe.
You don't know
what you're talking about.
I know he's better off
without you. I know that.
You hear what I'm saying?
- He's alone by himself all day
- What are you doing?
- And you left him there.
- Get off him!
Dr. West withdrew her name
from consideration.
You had one job, Kwan, one job.
- I know.
- She had top scores.
- Grades aren't everything.
- She had glowing recommendations,
including one from the Chief
of General Surgery at Duke.
- I-I didn't know.
- Of course you didn't.
But even if you did, what on
God's green earth made you think
you could treat her like that?
I found her about to cut into
a patient to place a chest tube,
and if there's anything I learned
this year, it's that overstepping is
one of the biggest mistakes
an intern can make.
Except she was
about to cut into the liver
instead of the pleural cavity,
which is also a pretty big mistake.
And I am sorry I scared her off.
Well, I guess we dodged a bullet.
- We did?
- I've had enough rogue interns.
We'll find someone else.
So if I'm not in trouble, do you
think I could scrub in on your
No.
But nice job on that chest tube.
You've come a long way.
[MELANCHOLY POP SONG PLAYS ♪]
Hey, are you okay?
- [SIGHS] I Move.
- What happened?
I should've listened to you, and I
should have said
something to him earlier.
Well, I don't know about that
because then security would have
pulled you off him instead of me.
[INHALES SHARPLY, SIGHS]
I have a difficult dad too.
And usually,
I keep all that buried deep,
especially when I run
into people like that
who don't do right by their kids.
Turns out it's actually not
buried as deep as I thought.
Yeah, I get it. Trust me.
- All right.
- Uh, do you want to
Do you wanna
grab a cup of coffee?
Just decaf. It's been a
a long day and I feel like
we both need to decompress.
[INHALES SHARPLY] I think
maybe we both need sleep.
- I'll see you in the morning.
- Okay.
[SONG CONTINUES ♪]
[CAR LOCK BEEPS]
We are very pleased to present
you with our highest honor,
the Grey-Sloan Badge of Bravery.
- Yes.
- [PARENTS] Wow.
Easiest badge ever.
- I was asleep the whole time.
- [BOTH LAUGH]
- Thank you, Dr. Shepherd. Thank you.
- Mm-hmm.
You gave us our whole world back.
We're very grateful.
Dylan is an inspiration.
I can't wait to hear
about her adventures.
Yeah, now you gotta work on
your rest and recovery badge.
It requires a lot of sleep
and ice cream.
Oh, I think that could be
arranged, yes.
- Second easiest badge ever.
- [ALL LAUGH]
Oh, right back at you, dill pickle.
Get some rest, okay?
[SONG CONTINUES ♪]
I'm sorry for biting
your head off earlier.
I wasn't blowing smoke. I
really did believe you could do it.
Well, my brother couldn't.
He tried a few times,
and it freaked me out
'cause in my eyes,
he could do no wrong,
so if he couldn't do it,
what chance did I have?
Well, as someone
who's never met your brother
and who only compares you to you,
I can say with full confidence
that I would bet on you every time.
You were right. It was worth the risk.
Yeah, well, I'm only right
about 5% of the time,
so it makes sense
for you to question it.
Now I'm gonna try to take a risk.
I was gonna ask you
to move in the other night.
But when you started talking
about our future
- Just scared me.
- Why?
Last time I planned a future
with a boyfriend, my life exploded.
I had to leave it all behind,
rebuild from the ground up.
I'm just not sure I'm ready to
open myself up to that again.
I'm not Trey.
- I know.
- I love you.
I want a future with you.
I just need a little more time.
Yeah, okay,
why didn't you just say that?
Because you were excited
about getting back into the class.
I didn't want you to think my
feelings for you had changed.
So instead, you just let Kwan
make me feel like an idiot?
[STAMMERS] Let's go pick up dinner.
We can go home and talk.
I-I-I thought you
didn't know your schedule.
- Lucas n
- I'm on tonight anyway.
I'll see you tomorrow.
[SIGHS]
Mariana called off the wedding.
Aw, I'm sorry. How are you holding up?
Well, um, I'm sad for them,
but it's for the best.
I think I just saw us in them.
They've known each other
their whole lives.
They're best friends.
I didn't wanna believe
they weren't gonna make it.
- We're not them.
- We're not.
By the way, I found a perfect venue.
[EXHALES DEEPLY] Thank God. I was about
to suggest the taco stand on the corner.
- [CHUCKLES]
- All right. Uh
Livingston Manor. It's gorgeous.
There's plenty of parking,
it's reasonably priced
and it has a place for a live band.
- Sounds amazing.
- Right?
Do you think they'll have, uh,
availability in the next year?
They do, because
there was a cancellation.
Mariana and Edgar?
- No, no, no.
- Yes.
- No, listen to me.
- [LAUGHS]
We need a wedding venue, and
they have one that they're not using.
In four days.
No, we can't possibly
be ready in four days.
We-We need, uh,
invitations, food, drinks.
If my mom's coming, we need drinks.
Listen, I love you, and I can't wait to
marry you, and that's all that matters,
and-and the wedding is
just the icing on the cake.
And listen, if you and I can figure
out a way to relieve a woman's pain
after ten years of suffering,
we can throw a wedding in four days.
Okay. Okay. All right,
let's get married.
[GASPS, SCREAMS] Okay. Okay.
We're not gonna regret it.
It's gonna be amazing.
[GREY] We trust science
to predict the future.
But even so,
surprises are the only thing
we can count on.
Okay, if Adams isn't moving in,
my friend's uncle's boss's son
is looking for a place.
- We've been over this. No strangers.
- Are you secretly rich?
- Give me some of them fries.
- Uh-uh.
- She's hot.
- Yeah, it's the intern from today.
- Mmm.
- I should buy her a drink.
Mm-mmm. Seriously, you are
probably the reason she is drinking.
You said she was hot.
[GREY] Sometimes surprises are good.
They lift you up
and make life exquisite.
But then there's
the other kind of surprise,
when the bottom drops out.
Dr. Ndugu.
How are you doing this morning?
[SIGHS] Honestly,
I'm feeling a little burnt out.
I'm gonna take a day
and sit behind a desk, decompress.
Do you think you can take my intern?
Millin? Yeah, I'd be happy to.
Tell me we are doing
Mr. Honor's lobectomy today.
I stayed up all night
studying lung tissue.
You're with Dr. Webber today, all right?
Is he okay?
He's taking an administrative day.
- Oh.
- Hey, lucky for you.
I've got three feet of bowel
incarcerated in a man's groin.
Can't wait.
[GREY] However desperate you might be,
don't look to the stars.
Dr. Adams, uh, something's wrong.
[STAMMERS] She was fine when
she fell asleep last night.
- She woke up. She's not even
- She can't move. She can't speak.
Hey, hey, hey, Dylan, can you hear me?
[PARENT 1] Sweetie, answer him.
- Dylan. Dylan
- Can you do something, please?
[PARENT 1] Sweetie.
Why is she not talking?
- Dylan. Dylan.
- [PARENT 1] Why is she not moving?
Hey, Dylan, it's Dr. Adams.
Can you do me a favor and try to move?
Move anything, your fingers, your head.
[JENNA] Oh, my God.
- Code blue.
- [JENNA] Oh, my God.
- [ANNOUNCER] Code blue. Code blue.
- [FLATLINING]
[SIGHS]
[GREY] Because they can't help you now.
[ANNOUNCER] Code blue.