Grey's Anatomy s22e01 Episode Script

1
- [CLAMORING, SCREAMING]
- [BYSTANDER 1] What was that?
- [BYSTANDER 2] Don't push!
- [BYSTANDER 3] Oh, my God.
- [BYSTANDER 4] Hurry up!
- [BYSTANDER 5] Get away from the building!
- [CLAMORING AND SCREAMING CONTINUE]
- ["SUN MEETS SHADOW" PLAYS]
[GREY] When a patient
consents to surgery,
they're not just trusting
their lives to a surgeon.
- [ALARM SOUNDING]
- [URGENT CHATTER]
[GREY] They're trusting an entire team.
[URGENT CHATTER CONTINUES]
[GREY] An anesthesiologist must
continually monitor sedation,
respiratory and heart
rate, blood pressure.
- [RADIO CHATTER]
- Let's go! Let's go! Come on.
Hustle, hustle, hustle.
- [FIREFIGHTER] Be careful.
- [WARREN] Clear. Come on. Get out.
- [FIREFIGHTER 2] Sir, you can't enter.
- You don't understand.
You need to evacuate now!
You need to evacuate now!
- No! Go back!
- [GREY] A first assist
suctions and returns,
helping with every suture and staple.
[COUGHING]
[GREY] A scrub tech organizes
and hands over surgical tools,
saving valuable seconds
and blood spilled.
[COUGHING CONTINUES]
[GREY] And circulating
nurses document the case,
keeping track of who touches the
patient, what's used and when.
[DEBRIS CLATTERS]
[ELECTRICAL CRACKLING]
Help! Help us!
We need some help in here! Help!
Somebody help us! We need help!
[MEREDITH] Every member
of the team shares
responsibility in the
patient's survival.
If someone's not there
you're in trouble.
- [FLAMES CRACKLE]
- [SIRENS IN DISTANCE]
- [INDISTINCT CHATTER]
- If you don't sit still for one damn
- Dr. Webber!
- [WEBBER] The elevators are shut down.
This department exits
through the east stairwell.
- Sir.
- [PEOPLE GASPING]
Everybody stay calm.
That's the generators kicking in.
People, keep your phones on
for updated evacuation alerts.
- Has anyone gotten through to the
- Dr. Webber.
- What?
- It's the acetylene tank.
It wasn't empty. It was
leaking gas the entire time.
Oh, my God.
I need to speak to that
fire chief right now.
You're going nowhere but downstairs
so we can evaluate that head.
We don't have time. I need to
lock this hospital down again.
You're gonna do it on the way. Come on.
[ALTMAN] All patients on
the 3rd floor and above will
be moved to a secure area.
We need full cooperation from everyone.
Do not leave the marked safe zones.
Seattle Fire is working quickly
to assess the structural integrity
of the north side of the building.
If we remain calm, our
patients will. Thank you.
[KWAN] How can I help?
We're evacuating the CCU,
that includes Nora Young.
She's too critical to stay here, so I
want to transfer her to Seattle Pres.
- Teddy.
- Head upstairs.
Uh, that woman was my patient's mother.
We don't know that it's related.
If Dylan's outcome had been better
If If I had been better, I
- Amelia.
- Put me somewhere I can help.
I will evacuate patients,
triage, whatever you need, please.
Okay, Richard has sustained a head lac.
He is heading down to the ER.
He will need a neuro evaluation.
Here you go. Thank you.
[GREY] Hi, Nick, it's me.
Listen, something
happened at the hospital.
And you're gonna hear
about it on the news,
but just know that I'm okay.
- I love you.
- [SECURITY GUARD] Can't let you in.
ER's completely full.
Fire department's orders.
Okay, well, I'm Meredith
Grey, and I work here.
Badge, please.
I've worked here for a really
long time. I am a surgeon.
My name's on the building
- Meredith Grey.
- Badge, please.
You know, can you just call
Teddy Altman or Richard Webber?
Is your phone broken?
There's people out
here that are injured.
- Fire department says
- Where are they supposed to go?
Some transfers are
going to Seattle Pres,
otherwise we need to
wait for beds to clear.
What if they don't have that time?
- Fire department says
Yes, you've said it. I understand.
- What [SIGHS]
- [SIRENS WAILING IN DISTANCE]
- Are Do you all work here?
- Uh, in eight hours, we do, yeah.
We just finished our intern orientation.
[STAMMERS] We wanna help,
but the guy won't let us in
u-until we are officially activated.
[GREY] Oh, good. Someone
who knows what she's doing.
- Okay, follow me.
- [GRIFFITH] Yeah.
- The rest of you try to find gurneys.
- Uh, where are the gurneys?
- Where's your fancy white coat?
- Not the time.
- It's locked.
- What?
Give me that IV pole.
[STAMMERS] You need it for
a patient or something? Okay.
Stand back.
Oh!
[LOCK CLICKS]
Whoo! Clinic's open.
All right. That's one way to
do it. Come on, guys. Come on.
[HUNT] Patients need to
be evacuated from the OR.
Stretchers are over here.
We go in in teams of four.
If anybody gets lightheaded
or has shortness of breath,
say something immediately.
Hunt, Hunt, have you seen Miranda?
Normally, she texts me when
she's headed into surgery,
but maybe she got pulled into something.
By the time I got up here,
SFD had already started moving.
Well, I heard the blast was
in OR 2. Was anyone in there?
We can check the OR schedule.
I'm not going anywhere until I find her.
[FIREFIGHTER] Keep the hose line
steady at the stairwell door.
[FIREFIGHTER SHOUTS INDISTINCTLY]
[PANTS] Ben.
[SIGHS, WHISPERS] Come here, baby.
[SIGHS, WHIMPERS]
You okay? You're okay?
I'm I'm okay, but
Lincoln is not. Come.
- [FIREFIGHTER] Extra manpower! Stretchers!
- [BAILEY] Come on.
[FIREFIGHTER]
The two-and-and-a-half inch!
[BAILEY] Damn.
- [LINCOLN GRUNTS]
- [WARREN] There he is.
[GROANS]
[BAILEY] It's okay.
Jo Jo was going home.
She went home, right?
She wasn't in the building?
No, I saw her leave.
She's safe. Do you want me to call her?
No, no. She'll wanna
come here. It's not safe.
Her blood pressure and the babies.
We'll call her when we have to.
Obvious blunt trauma to the
chest, systolics in the high 90s.
- Heart rate's been hovering in the 110s.
- Okay.
Link. Link, does it
hurt more on one side?
It's pretty excruciating
across the board,
but, um, I can't feel my
right arm, so start there.
[BAILEY] Yeah, Ben.
[HUNT] Okay, okay. [GRUNTS]
- [BAILEY] Okay.
- [HUNT] Here we go. [GRUNTS]
- [BAILEY] No, stop. We need to stop.
- Why? What's happening?
Somebody say something.
I think a piece of the ceiling
has penetrated below your clavicle.
Well, you gotta get it out.
Please g-get it out.
- Stay calm.
- Try not to panic.
- You gotta get it out.
- [HUNT] Link, try not to panic.
Get this thing off me.
[BELTRAN GRUNTING]
[MILLIN GRUNTS]
- It's too heavy.
- [STRAINING] No kidding. [GRUNTS]
Help! Hello!
[STAMMERS] Um. Okay, so are
you having trouble breathing?
No. No, I just I think
part of my pelvis is shattered.
I'm more worried about Parker.
[BELTRAN BREATHING HEAVILY]
Your patient needs you. Go.
Uh
Okay, no burns, um,
no shrapnel injuries.
Good. How are his vitals?
They're holding steady for now.
There's no bleeding
- at the port site.
- [FIREFIGHTER] Hello! Anyone in there?
- Yes! Help!
- Yes! We're in here, help!
[FIREFIGHTER] We're working on
getting you out! Just stay calm!
- [MONITOR BEEPING]
- O2's tanking. We need, uh
How are we going to keep Parker
alive if we don't have anesthesia?
We can't panic. Not yet.
Tell me there's news.
Fire chief said he doesn't
know the extent of the fire,
the damage, or how long
until it's contained.
- Fatalities?
- At least one.
- Hmm.
- A patient on the OR floor.
- I wanna call the family myself.
- Of course.
- How are you feeling?
- I keep telling everyone I'm fine.
There's no sign of TBI or
concussion on physical exam,
but we should still scan you to
rule out intracranial bleeding.
It can manifest up to ten
hours after the impact.
Look, I'll take my chances, okay?
- Get me out of here.
- Where do you think you're going?
- This hospital is on fire.
- And you think you're gon' put it out?
You can manage this from here.
She's right. The scan will
only take a few minutes.
All right, please keep your phone on.
I will call you with any updates.
Uh, uh, Dr. Altman.
Where do you need me?
Uh, help Kwan upstairs with evacuations.
I've got to call Jackson.
If you get out of that bed,
there'll be hell to pay, Richard Webber.
- [SIGHS]
- [PA ANNOUNCER] Rapid response teams,
report to CCU for immediate
Hey. I had to sneak in through
the maintenance entrance.
- Are you okay?
- [STAMMERS] It's just a scratch.
Okay. Have you seen Link?
He's not answering his phone.
He was heading into surgery and
Where is he?
He's on the OR floor.
They're bringing him down
as fast as they can, okay?
He's with Hunt and Bailey.
[GASPS, SIGHS]
- [GROANS]
- [NDUGU] All right.
There's a rig standing by
to take him to Seattle Pres.
Oh, my God.
Ndugu, tell these guys
I need more morphine.
It's on the way. Oh. We need that blood.
- Here, here, here.
- You're thinking subclavian injury?
No telling what else. We need
to extricate him to fully assess.
We need to give the blood
and fluid a chance to work
We need to get off this floor ASAP.
We don't know it's structurally stable.
This piece could be
tamponading something.
If we remove it too
quickly, he could bleed out.
- [MONITOR BEEPS]
- BP's still unstable.
He's not responding to
blood alone. Hunt's right.
- We're running out of time.
- Okay, okay.
[HUNT] Okay. Ready?
Okay, on my count. [STRAINED]
Okay, one, two, three.
[ALL GRUNTING]
- [BAILEY GRUNTS] Pressure.
- [HUNT] We need to clamp.
[NDUGU] On it. All right, move,
move, move. Go, go, go. Go.
- [GROANS]
- [NDUGU] Let me get in here.
[NDUGU] All right. Do you see anything?
Yep, got it.
If I'm going to Seattle
Pres, we better start moving.
Guys, the elevators are out.
Then we take the stairs.
[SIGHS, PANTS] Okay.
Talk to me.
I'm only getting breath
sounds on the right-hand side.
Maybe a left pneumothorax?
Okay, are there any
signs of blunt trauma?
Um, I don't see anything.
[SIGHS] Then I'm betting the ET tube
got pushed further into his bronchus
with the blast.
I could try repositioning it?
Okay. Yeah, jus-just keep bagging
and pull the tube back
slowly, and then listen.
Okay.
[MILLIN] Uh
I have bilateral breath sounds.
- And his O2 sats improving.
- Nice work, Millin.
[SIGHS] How's your pain?
- Oh, I can barely feel it.
- We need to get you out of here.
We need to get Parker out of here
before his anesthesia wears off.
We need to get you both out of here.
[SHOUTS] What is taking so long?
Th They're-They're working on it.
For now, we need to get
his incisions closed up.
And by we, I mean you.
[CLATTERING IN DISTANCE]
Hey, Altman sent me to help.
I'm glad you're not dead.
Nora Young. Altman and Ndugu built her
a new aorta out of
nothing two hours ago.
Her MAPs need to be above 65 and
below 80 for the entire transport.
- What happens if they don't?
- Too low, she dies.
Too high, her new aorta
blows, and she dies.
[INHALES DEEPLY] Fun.
Hey, have you seen Simone?
She's not answering my texts.
Uh, not since the locker room.
Also, I haven't seen Millin.
So, are you and Simone back together?
- Yeah.
- Yep. Great. Good for you.
[MONITOR BEEPS]
She's a bit tachy.
Let's give her another
bolus before we move.
[PA ANNOUNCER] Code red, 6th floor.
Evacuate all patients
and staff via stairwell.
I'm sure she's fine.
[PA ANNOUNCER] Code red, 6th floor.
Evacuate all patients
and staff via stairwell.
[SIGHS] Yeah.
- [GREY] Are we clear?
- [BOTH] Yes.
Okay.
[GRIFFITH] Start with the left side.
Hey, uh, Dr. Grey told
me to find a Griffith.
Point me to Griffith.
It's Dr. Griffith.
Doc Okay. [CHUCKLES] When was there
time for me to learn that last night?
Go. G Assess the woman in bed 3.
Okay.
- Baseball cap, I need a Doppler.
- Right. Doppler.
- Uh
- Right here.
[GREY] Six
Hey, um, I think maybe you can
just ask me for stuff from now on.
Why is that?
Uh I just I mean
- [RUBBER GLOVES SQUEAK]
- [MUTTERS]
- Oh, sorry.
- Right. Okay, interns.
Everyone over here. Quickly, please.
Okay, listen up.
Okay, I'm not asking
anyone to perform a Whipple.
Put patients in beds,
take down information.
It's basic triage. You've all
matched with Grey-Sloan for a reason.
Show me why. Do we have any questions?
Um
Hi. Hi. Um I'm Dani, Dani Spencer.
- Dr. Spencer.
- Right. Right. Um
What if you have a patient who
sustained blunt trauma to the abdomen
and is now experiencing
some delayed pain?
Which patient is that?
Me. [BREATHES SHAKILY]
- Let's get her in a bed.
- [SPENCER GRUNTS, GROANS]
[FIREFIGHTER] Come on, let's move,
let's move. Get them out. Get them out.
- [LINCOLN GRUNTING]
- [BAILEY GRUNTS]
- [GROANING]
- [WARREN] Careful. Watch his lines.
Uh [STAMMERS] H-Have you
picked out names for the girls?
Jo told you before me, didn't she?
- Uh No. [CHUCKLES]
- Your twins are girls?
- [WARREN] Yikes.
- Congratulations.
Oh, those girls are gonna have you
wrapped around their little baby fingers
- before you've even blinked.
- [GROANS] I can't wait.
- [MONITOR BEEPS]
- Stop, stop. We need to stop. Okay.
Uh
Shoot. Okay, so we need a plan B.
We just need to keep moving.
And I just need you to look at
all the blood on the damn stairs.
Think he's really gonna
make it to Seattle Pres?
Well, the CCU is one floor
down. We could operate there.
- They evacuated it.
- I'm waiting for a better idea.
[FIREFIGHTER]
Let's go. Come on, come on.
Let's go. Be careful. Go
with care, but we gotta go.
[CLATTERING]
If you clip my heels one more time
Nora's pump will get to
Seattle Pres before she does.
She's the chief's miracle patient.
I'm not trying to kill her.
[VENTILATOR BEEPING]
Uh [STAMMERS] Tube's still in.
Nothing's out of place.
The screen says "high volume."
What do you know about ventilators?
What do you know about ventilators?
Okay, uh, the pressure control has
a set inspiratory pressure, right?
Yeah, but tidal volume can vary.
Okay, maybe we switch the
setting to volume control?
Or maybe we just call a
resident from Anesthesia.
- Screw it.
- [BEEPS]
[BEEPING STOPS]
[SIGHS]
[EXHALES, CHUCKLES]
How did you know that would work?
I didn't. [BREATHES DEEPLY]
Let's go.
[PA ANNOUNCER] Attention, Engineering.
Report to the East Lobby.
- Some bruising on the right flank.
- Mm-hmm.
She said a gurney slammed into her.
Not here. On the sixth floor.
It happened during the blast, or
explosion, or whatever that was.
And you didn't tell anyone about it?
Um Technically, I wasn't
supposed to be up there.
[STAMMERS] I wanted a selfie in an OR.
Um, we finished onboarding,
and I just wanted to take a
picture and show it to my dad
because he's so proud of me.
He's ironed my white coat,
like, three times for tomorrow.
I can still start tomorrow, right?
Well, we have to make sure the
hospital's still standing first.
- Right.
- Ultrasound.
Uh, can I do it? Just for,
you know, learning purposes.
[CLEARS THROAT]
Not unless you're gonna go in vaginally.
This is normally a reproductive clinic.
This is beyond humiliating.
Well, half the battle of intern year is
standing out from
the rest of your class.
So you're ahead of the game.
[GRIFFITH] Okay, ready?
Right, tell me what you see.
[GREY] Take your time, go slow.
[SPENCER] Yeah.
There's some free fluid
in Morrison's pouch.
Yeah, but nowhere else.
She seems stable.
Okay. As soon as we have access to
the hospital, she will need a scan.
Until then, keep a
very close eye on her.
Welcome to Grey-Sloan.
[EXHALES SHARPLY]
Okay, I've completed the
periumbilical incision.
- Now what?
- Now you close the lateral port sites.
- [FIREFIGHTERS SHOUTING IN DISTANCE]
- [RAPID BEEPING]
He's getting more
hypertensive and tachycardic.
- [MILLIN] Oh, God. Is he waking up?
- [BELTRAN] Is he distended?
Oh [BREATHES SHARPLY] Okay.
Okay, he might be bleeding internally.
He wasn't bleeding from the incisions.
But the move from the blast
could've nicked something. [GROANS]
[STRAINED] It could've been
building slowly. [GROANS]
[PANTING] You're gonna
have to open him up.
Absolutely not. We're
running out of anesthesia.
[BELTRAN] Yeah, that's
why you have to move fast.
I I-I haven't done a solo procedure
on an adult, let alone a six-year-old.
Millin. We always do this.
You always panic spiral, and
I always snap you out of it,
and we really don't have
time for that right now.
So unless you wanna see
that sweet little boy die,
I suggest you open him up. Right now.
[RAPID BEEPING CONTINUES]
[CLEARS THROAT] Scalpel.
[EXHALES SHARPLY]
Keep the second trauma bay open.
We may have to reroute
more post-op criticals.
Should I transfer Dylan Gatlin?
This wasn't her fault, and I don't
want her to become the headline in this.
All right. Well
[SIGHS] we can try,
but Seattle Pres has already
taken 15 of our CCU patients.
I hear that they're triaging
patients in the hallways.
Did we confirm if we lost any
more patients on the OR floor?
I can't share that
information with you right now.
Richard's scan came back negative.
There's no clinical change.
That's a good thing.
I'll take that. And I'm still
waiting to hear about Link's status.
Link. What happened to Link?
Trauma two needs to be
transferred to Seattle Pres.
We could see if they need some help.
I thought you said your wife
said you couldn't get out of bed.
Do you see my wife?
- [PHONE RINGS, BUZZES]
- [CHUCKLES]
Bailey?
[LINCOLN] Hi. Before you say anything,
I sound way worse than I am.
Where are you? I wanna find you.
That's not safe.
If anybody lets you up here,
I'm gonna take 'em out. [CHUCKLES]
Or maybe start a rumor or something.
I don't know. I know dirty stuff.
I love you. [CHUCKLES]
I love you, and I love our kids.
And I feel I feel pretty damn stupid
it took me so long to get my
crap together to tell you that.
Just tell me when you come down here.
Yeah.
- [WHISPERS] We need to keep moving.
- We will.
Hey, it's gonna be okay,
but, um but just in case,
my password book is in the
second left drawer of my desk.
- What?
- And get a dog.
Link, what are you doing?
It'll drive Amelia crazy
because we keep telling Scout no,
- but get a damn dog.
- Can you stop?
And find one with big paws
'cause, uh 'cause big
paws means it's a big dog.
- It's protection for my girls.
- [MONITOR BEEPS RAPIDLY]
- Link?
- [HUNT] Okay. Start compressions.
- [BAILEY] Come on.
- Bailey? Bailey? [CRYING]
- Someone tell me what's happening. Link?
- [LINE DISCONNECTS]
[CRYING]
Okay. This is the last unit.
- [HUNT] He's in hemorrhagic shock.
- Something else is going on.
Maybe his rib fractures
caused a lung injury.
Could be a tension pneumo as well.
Yeah, let's decompress him.
You have a 14-gauge angiocath in there?
- [WARREN] Yeah, I got you.
- [BAILEY] Okay, I'll hold his arm. Okay.
- Could you hold that for me?
- Yeah.
- There's a weak pulse.
- Yeah, but he's still really hypotensive.
He needs a chest tube. Let's
get him to CCU right now.
I'll stabilize the angiocath.
Can someone grab his legs?
- [HUNT] Yep.
- [BAILEY] All right.
I'll help at the head.
- Ready.
- [HUNT] One, two, three.
[GROANS]
[MILLIN GROANS] I can't find
where the bleed is coming from.
I'm gonna have to tell
the mother of this kid
- that I killed her child
- Come on, Millin. Focus.
I think it's coming from the
mesentery, but I'm not sure.
Okay, clamp it and then look
around for bleeding in another area.
Okay. All right. Okay.
[JACKHAMMERING IN DISTANCE]
Clamp is in place.
[BELTRAN] You know, I had my
first solo surgery on a kid
when I was a second-year like you.
My attending just handed me a scalpel
and left to take a nap
in the OR next door.
Please tell me that this
story has a happy ending.
[BELTRAN] The patient's
name was Demetrius.
He was four years old,
and he loves Spider-Man.
I mean, he, uh he asked me to
surgically implant webs into his wrists.
- That was the surgery?
- [CHUCKLES] No, it was a bowel resection.
Poor guy had an obstruction,
but he did great.
And, uh, I did great.
I was so terrified. I almost passed out.
[SIGHS] But then I then I got
to tell his parents he was okay.
There is nothing better than the
hug you get from a grateful mom.
I mean, that that makes
you feel like a superhero.
- Bleeding stopped.
- [BEEPING STEADIES]
[BREATHES SHARPLY]
His vitals are improving.
Uh, what stitch do I use to ligate?
What do you think?
Um, 3-0 silk?
See? You don't even need me.
[BREATHING SHARPLY]
[EXHALES HEAVILY]
140 over 90.
Yeah, it's still a little high.
Just keep taking deep breaths.
We've only been married 36 hours.
Link's tux is still on the bathroom
floor. His parents were just here.
His parents.
Do I call them? What do I even say?
We see miracles here every day.
I haven't given up hope
yet, and neither should you.
He's the only family that I have.
Now, you know that's not true.
[PA ANNOUNCER] Dr. Lloyd to the ER.
Dr. Emily Lloyd to the ER.
- We work well together.
- What we did was wrong.
And it wouldn't have ever
happened if I had known that you
- You were my boss?
- Eh!
- What?
- Say it louder.
I'm really tired.
Intern year gets better, right?
It's just like a really bad first day?
Well, no one has a good first day.
- She's really hypotensive.
- I can see that.
- I'm what?
- [RAPID BEEPING]
She decompensating!
- What happened?
- Uh, BP's dropped to 70s over 40s.
Heart rate's 130, up
from the low 100s before.
- [GROANS] Ow!
- Abdomen is more distended.
Bruising around the flank
and now the belly button.
What do we call this?
Grey Turner sign and Cullen's sign.
They can indicate
retroperitoneal bleeding.
Excellent deduction, Dr. Spencer.
We're gonna intubate you
and prep you for an ex-lap.
- Okay.
- Does that mean I get to go to the OR?
Something like that. Yeah.
I need an intubation
kit and a surgical tray.
You wanna do it here? In the clinic?
Do you want to kill an
intern on their first day?
- Not this one.
- Then get me a surgical tray.
[GROANING]
Simone's helping other
patients, I'm sure. Just like us.
How'd you know we broke up?
What?
Did she tell you last night?
Was she upset or
[RAPID BEEPING]
Hold her down.
Uh, I don't know what's wrong.
Do we increase her sedation drip?
No, won't her pressure drop too low?
- I think we should risk it.
- Do it.
[STAMMERS]
M-Me? Me? It's It's your idea.
I don't know how to do it.
The nurse normally does it.
What makes you think
that I know how to do it?
- Uh, she's waking up.
- Oh. Oh, no. No, no, no.
Uh, should we Should we extubate?
I-I mean, worst-case scenario
is that we reintubate.
No, no, no, worst-case scenario is
that she rips her chest open
from coughing and bleeds out.
[HUNT] The chest tube is in.
[NDUGU] All right,
dissect a little farther.
[BAILEY] I'm trying, but
the man has so much muscle.
Okay, there.
- Oh, my God.
- What's his status?
[WARREN] Penetrating trauma to the
chest, injuries to the
subclavian vessels,
multiple rib fractures
with pneumothorax.
Sustained cardiac arrest,
resuscitated with CPR
and eight units of blood.
We needed all the hands we could get.
[SHEPHERD]
He's A-neg. He needs to be scanned.
- We need to rule out a brain bleed.
- [RAPID BEEPING]
- BP's tanking. Pushing epi.
- No, he needs blood.
- Okay, we know. We got it.
- Then do something.
- Get her out of here right now.
- No, I'm fine.
- Amelia, why don't you take a breath?
- No.
Get off me. No, it's fine. I'm fine.
Altman, take over.
- I'm okay. Calm down.
- [NDUGU] Amelia.
- I'm calm. No, I'm fine. No.
- Come on. Hey.
- Do not touch me. I'm fine.
- Come on. Please.
- Amelia, let's go! Right now. Come on!
- No. I wanna stay!
I need to be in there!
Please! I wanna help!
[ALTMAN SIGHS HEAVILY]
[RAPID BEEPING CONTINUES]
[GREY] I need retraction.
- We don't have a Bookwalter.
- We don't need one.
- Dr. Bryant.
- Yes.
Grab one of those towels
and come over here.
- Put your hands where mine are.
- Okay.
It's a hell of a way
to start intern year.
I don't mind being a human retractor.
I meant for her.
[GREY] Well, she'll learn what
it feels like to be a patient.
It takes some interns years
to learn bedside manner.
- Okay, don't put too much pressure.
- Okay.
But don't let her bowel slip out.
That's the dopest thing I've ever seen.
Griffith, what's next?
Uh, in an OR, I'd use a Bovie to
carefully divide the
white line of Toldt.
Once in the retroperitoneum,
I'd isolate the IVC
[GREY] I'm in.
You dissected the
retroperitoneum with your finger?
It's the one tool we always have.
- Oh, my God.
- Got it.
Nope, I lied. That is the
dopest thing I've ever seen.
[GREY] Okay, let's ligate the lumbar
and close her up as soon as we can.
- [RAPID BEEPING CONTINUES]
- We gotta pull the tube out.
It's the only way to keep her alive.
Yeah, I thought that
once about a patient,
and it almost cost me my residency.
I've already seen her die once.
I'm not gonna watch it again.
All right.
[COUGHING]
Don't drop. Don't drop.
Good breath sounds.
Check her incision for bleeding.
- [STEADY BEEPING]
- It's all right. Okay.
[NORA COUGHS]
[KWAN] Hi, Nora.
It's Dr. Kwan.
I know. I heard you guys the whole time.
Why are we in the hallway?
We'll catch you up on the way.
- [ALTMAN] All right, graft is in.
- He's still hypotensive.
[HUNT] I can't see any more
bleeding and there's minimal blood
in the pleurovac. Why
isn't he stabilizing?
I made the wrong call. I should've
taken him to Seattle Pres.
No, we didn't lose him on the
stairwell, we're not
gonna lose him here.
Don't think about what we
didn't do or should've done.
Think about what we can do.
[HUNT] Okay, let's do a thoracotomy
and check the chest cavity for injuries.
With minimal blood in the
pleurovac, there's no indication.
We should resuscitate him, take him
to Seattle Pres for a full exploration.
- He might not make it.
- He certainly won't
if we cut his chest open.
It is textbook. Trauma to the
chest, rib fractures, hemothorax.
- You do a thoracotomy.
- In a controlled environment.
This is too risky.
Altman, look, I have
driven a rig from here
to Seattle Pres at
least a hundred times.
- [BAILEY] Ben
- With lights and sirens and God on
your side, minimum eight minutes.
Now, Link is bleeding
out from somewhere.
You really want to risk eight minutes?
[HUNT] Chest tube was clogged.
He's bleeding out into his
chest. Still wanna pack him?
[EXHALES SHARPLY]
Okay. All right, where's the scalpel?
[HUNT] I've got it. Here we go.
- [BAILEY] You got it.
- [ALTMAN] All right.
- [HUNT] Let's go.
- [BAILEY] Chop-chop-chop.
[HUNT] Okay.
[MILLIN] The bleeding stopped.
The ligating worked.
[BELTRAN] Try not to sound
so surprised next time.
Okay, so now irrigate
and pack it with a wet sterile
towel as a temporary closure.
Uh, and then what?
Well, then we wait for them
to get us the hell out of here.
And we hope everybody else is okay.
I, uh
hate babies. [CHUCKLES]
Birth, their dependency,
and the tiny little organs
that are impossible to suture.
I'm not really a big fan of kids either,
but, you know, Parker [SNIFFLES]
he might've broken through to me.
You know? He might
be my my Demetrius.
Dr. Beltran?
Dr. Beltran?
[BREATHES SHAKILY] No. No. No, no,
no, no, no, no, no, no, no, no, no.
[STAMMERS] Damn it. Okay. Dr. Beltran,
I need you to open your eyes, okay?
Wake up.
You have to wake up.
I need you to wake up.
Come on. Come on.
I lost my dad when I was a kid.
It's been [INHALES SHARPLY]
the defining fact of my life.
Just this, like
unrelenting absence.
I don't want that for Scout.
And Jo. [EXHALES SHARPLY]
My dad's death wrecked my mom.
Probably forever.
- [EXHALES SHARPLY]
- He'll pull through.
If he doesn't, it'll be my fault.
And I will never forgive myself.
[HUNT GRUNTS]
- [ALTMAN] Anything?
- [HUNT] Still looking.
[GRUNTING]
[WHISPERING]
Okay. Come on. Come on. Come on.
There. Yeah, intercostal artery.
And a lung lac.
- You can do the repair.
- Okay.
[ALTMAN] I feel it. All right, stapler.
[HUNT] Yep. Here you go.
[FIREFIGHTER] Stand back! Coming in!
You're too late.
She's gone.
[SNIFFLES]
Yeah.
So we were finally able
to get him into a scanner.
The repair to the lung and
the subclavian is holding,
and apart from the chest wall,
there are no other injuries.
But, Jo [EXHALES SHARPLY]
this could be a tough road ahead.
He has lost a lot of blood.
[GASPS]
[WHISPERING] I love you.
[BREATHES SHAKILY] I love you so much.
I haven't seen anyone pull
through like that in a long time.
That man did not want to leave you.
He's been my best friend for 20 years.
He means everything to me.
So, thank you. Thank you so much.
Okay, so you have a half an hour,
and then you need to get
a blood pressure check.
- Really, I'm fine.
- Dr. Webber's orders.
[WILSON SIGHS]
Okay, uh, so check his
CBC and coags in an hour.
- [WARREN] Mm-hmm.
- Warren.
I'll see you at home.
I'm sorry. I wasn't
trying to question you.
- I was
- Backing up Owen on the thoracotomy
was the right move.
We would've never made
it to Seattle Pres. And
And Link would've died.
I used to be a lot like you.
I used to take risks and make
decisions based on instinct.
I didn't second-guess everything.
But now I'm a suit, and I
have become more cautious,
and I shouldn't put that on you.
Tomorrow, I am gonna call the ACGME
and I'm gonna tell them that you're
gonna finish your
residency at Grey-Sloan.
[STAMMERS, CHUCKLES] Um
Thank you. Thank you.
You won't regret it.
But if I say that we're
closed to trauma
Got it, Chief. [CHUCKLES]
- ["SUN IS GONE" PLAYS]
- Yes!
Sorry. Sorry.
Parker is stable.
Um, we will need to bring him
back for a permanent closure,
- but until then you can see him in
- Thank you.
Oh, what have you done? ♪
Thank you so much.
We're running out of time ♪
You have a very tough little boy.
Millin. Millin.
[BREATHING HEAVILY, SNIFFLES]
- Hey. I heard you were with Beltran.
- [BREATHES SHARPLY, SNIFFLES]
You okay?
[SOBBING]
Another sudden
season's passed you by ♪
On this sullen road ♪
All these things unknown ♪
Millin. Millin.
Oh, sun is gone ♪
Oh, sun is gone ♪
[GROANS] No.
Are you in pain?
I was really hoping this
was just a bad dream.
You tore your lumbar vein.
We repaired it.
- [SIGHS]
- You're gonna be okay.
I am never going to live this down.
If you were me, would
you transfer programs?
Being a surgeon is hard.
I mean, you're gonna
have days where you feel
like everything you do is a mistake.
That won't change no
matter where you are.
So you've you've worked
here for a long time?
Long enough to know that
if you stay, it's worth it.
Even without the ORs?
The ORs don't make you a surgeon.
The teachers and the patients do.
- Thank you, Dr
- Dr. Grey.
[STAMMERS] As in, like,
you're you're Meredith Grey?
I am. Still doesn't seem to
get me in the building, but
[SIGHS]
Oh, my God.
[ELEVATOR BELL DINGS]
[PA ANNOUNCER] Dr. Hara to Radiology.
Dr. Erica Hara to Radiology.
[BRYANT CLEARS THROAT]
Why are you still here? Your shift
doesn't start for another hour.
Mmm. I don't know. I thought
I'd shower, get cleaned up.
No. No. No.
- What?
- No smiling. No flirting.
- None of that.
- [CHUCKLES] Okay.
We are strangers who met
for the first time today.
- Yeah. Fresh start. No problem.
- [ELEVATOR BELL DINGS]
After you, stranger.
After you. [EXHALES DEEPLY]
[EXHALES SHARPLY]
- Hey.
- Hey. [CHUCKLES]
Do you wanna go home, sleep for
three days, and then eat greasy food?
I don't think we should
get back together, Lucas.
We said a lot of things to
each other the other night.
Well, I took them back.
Because we almost died
in a hostage situation.
That's not real life.
I think we just both need to
take some time, focus on work.
If we find our way back to each other
Well, I don't wanna take time.
Simone, I love you.
And, um [CHUCKLES]
I mean, we always work it out.
I slept with someone.
[GREY] When something's been
in your life for a long time,
you can often forget it's there.
Whether it's a person or a place,
sometimes you can take it for granted.
- Hey.
- Hey. [SIGHS]
Thank you for last night. [CHUCKLES]
Link is stable, so I'm gonna pick up
Scout and I'm not
letting him go for hours.
I just gotta text Dylan Gatlin's
latest labs over to Beltran,
and then I am gone.
What?
Is it Link?
Wha What happened?
It's Beltran.
Monica, she
she was trapped on the OR floor.
No.
She didn't make it, Amelia.
Monica's dead.
[GREY] You never consider that
you won't walk in that door again
or hear that voice.
[SIREN BLARES, WAILS]
- Nora?
- On her way to Seattle Pres.
Sats are strong, incision looks great.
She looks like a different
person already after that surgery.
- Thanks, Kwan.
- Yeah.
Hospital's been cleared
of security threats
and has been deemed structurally sound.
They need me in a press briefing.
Do you think we'll ever
- be what we were?
- [SIGHS]
- Best friends?
- I don't know.
I don't know if I know who I am anymore.
I'll check on the kids and then I'll
I'll look for a hotel room.
[GREY] But yet it happens every day.
People experience unexpected loss.
And, as impossible as it may seem
don't give up.
[SIGHS] Engineering says this
floor might not be usable for weeks.
I know you said you missed the OR and
that you'd stay for surgeries, but
this
I'm here. Whatever you need.
What are we gonna do, Mer?
What we always do.
We're gonna rebuild.
[GREY] You have to believe
you'll find hope again.