Grey's Anatomy s22e03 Episode Script

1
[UPBEAT MUSIC PLAYING]
[GREY] For most of history,
doctors had no way to stop pain.
- Hey.
- Hi.
Hi.
I know I said you couldn't
have a chocolate croissant,
but they were out of
bagels, so you're welcome.
Thank you.
Is everything okay?
- [CAR HORN HONKS]
- Oh, look. Sam's mom is here.
- Have fun at camp.
- [MARSH] Yeah, see you later.
What was that about?
He'll tell you when he's ready.
Seriously?
[GREY] During surgery,
patients felt every cut and stitch
until they inevitably passed out.
[GIGGLING]
- What are you doing?
- It's my chief resident dance.
Oh, you know, this job
is nothing to dance about.
It is when you assign yourself a
cutting-edge transplant surgery.
Ah.
Oh, hey. I'm excited to
be working with you today.
- It is going to be groundbreaking.
- We'll see.
[WEBBER] Hey. Good morning.
Hey, looking forward to
joining you in the OR today.
- [CHUCKLES]
- Oh, is that why you're so chipper?
For sure.
I just parked in the
chief's parking space.
Isn't that the space
just next to your old one?
This one doesn't have
a dip in the asphalt.
Mm-hmm. It's the perks of being a chief.
- They are mighty fine.
- [BOTH LAUGH]
Yeah, I've done both those
jobs, so I know that chiefing
is mostly scheduling and HR issues
and being buried in paperwork.
Um, does the chief resident
still have his own desk?
Already got it stocked with snacks.
- That's what I'm talking about.
- [CHUCKLING]
I hit the bulk store and everything.
[GREY] All a surgeon could do
to minimize pain was work faster.
That all changed when the first surgery
was performed using ether as anesthetic.
Morning, benchwarmers.
He's just jealous because
he doesn't get to scrub in
on the double lung transplant today.
Au contraire, I am on plastics.
Since when were you interested in that?
Uh, huge scope and range
in terms of anatomy,
cutting-edge research
opportunities, high demand.
I think plastics might be the one.
I hope you and plastics
are very happy together.
[GREY] Now surgeons faced a new dilemma.
If a patient can't feel pain
- Excuse me.
- [GREY] when do you stop?
Are we assigned a cubby?
- Your first day?
- I-I missed the actual first day.
Preplanned vacation for my
grandparents' anniversary.
Bold for an autotroph.
Bottom of the food chain.
Intern locker room is down the hall.
- Sorry, but I'm not
- Hey, pro-tip excuses make it worse.
Your resident will thank me.
Oh, really?
Trust me. Who do you have?
Kwan.
Well, I guess I'll have to thank myself.
What'd you say your name was?
Mohanty.
Kavita Mohanty.
Yeah, I don't see you on my roster.
That's because you're on mine.
I'm the new plastics fellow.
You're on my service.
[CHUCKLES]
[SIREN WAILING IN DISTANCE]
[BRYANT] Dr. Griffith, hey, uh
how does an intern get in on this
insane double lung transplant?
I don't make the assignments.
Talk to Warren. Also, you're late.
But you can put in a good
word for me though, right?
No, you don't get to ask me favors.
Go make yourself useful.
Wow, what did he do to you?
- We need to make a pact.
- Uh-huh?
We're second years. We need to focus.
No sex, no relationships.
You with me?
- [GASPS] You had sex with him.
- I
- It was an accident.
- [CHUCKLES]
How? Did you fall on it?
The logistics don't matter. Are you in?
Oh, I'm not the one
sleeping with an intern.
[MUMBLES]
[ANNOUNCER OVER PA]
Dr. Padero to the NICU.
- Dr. Christina Padero to the NICU.
-
Hey. Hey. Do you know
anything about cars?
Should I get the extended warranty?
Well, I mean, it depends
on the car, your budget,
how long you plan on keeping it.
- My lease is up in 12 hours.
- Wow, you cut it close.
We need a bigger car,
but I hate negotiating.
I thought Link would
be out of the hospital,
and he could handle it, but
Well, I spent the last year negotiating
every penny for this hospital.
You just have to be patient and
clear on what your goals are.
Anything is possible.
You know, last month, I
got an MRI machine at cost.
Do you want to go with me?
[ALTMAN] Uh, I have patients, but
- Hey, you, it's been a minute.
- Hi.
- How is everything?
- Good, I'm-I'm great.
- What are you doing here?
- David left his wallet at home.
- How was your pineapple pizza?
- Uh, pizza?
Ran into Owen and the kids
last night picking up dinner.
I admit I was a little judgmental
when I heard your order.
Oh, yeah, I was working late.
Big big trauma. I just [STUTTERS]
I didn't get home before
they devoured everything.
- Oh.
- [CHUCKLES]
- Well, hi, we haven't met.
- Oh.
- I'm Jo Wilson.
- Hi. Cass.
Oh, yeah. Sorry, um Jo Wilson.
Um, Cass, um Beckman.
Um, she's just an
incredible trauma surgeon.
- Thank you.
- Uh, she's married to David.
Oh, yeah, I've worked with David.
He's great.
Can't remember his
wallet to save his life,
but he does an excellent CABG.
- [CHUCKLES]
- [ELEVATOR DINGS]
Um, this is me. Nice to meet you, Jo.
I'm really glad I ran into you.
So, we'll take your car?
Hey, hey, I hear we're playing
musical chairs with some lungs today.
Oh, shoot, I'm sorry, I
must have the wrong room.
I'm looking for Ryan Delgadillo.
He's about this high.
He loves airplanes.
- It's me.
- What? It's you?
You must have grown, like, 6 inches
since the last time I saw you.
[CHUCKLES] I'm in kindergarten.
You're in kindergarten?
Wow, that's big kid stuff right there.
Uh, you've all met Dr. Ndugu.
He recently pioneered a
breakthrough cardio surgery.
- We're lucky to have him.
- I'm happy to help.
- Uh, Dr. Griffith?
- Ryan Delgadillo.
Age six. Diagnosed with
bronchiolitis obliterans at age two.
He's been on ECMO for four weeks.
Today, we will be performing
a bilateral lung transplant
from living donors.
Each parent is donating one lower lobe.
Transplanted together, they
will act as Ryan's new lungs.
You're sure this is the right way to go?
We shouldn't wait longer for a
pair of lungs from a deceased donor?
- Are you having second thoughts?
- About me? No.
I'd give Ry all my lungs if I could.
- Can we have a moment?
- Of course.
We'll be right back.
Okay, and how is this?
Is it comfortable?
Yeah.
We just wanna make sure that
small pieces of our lungs
are as good as a full set
from someone his own size.
It's a valid concern.
Look, getting two lungs from a
deceased donor, it's preferable,
but we haven't found a match.
And Ryan's been on ECMO for weeks now,
and the risks of bleeding,
blood clotting, organ damage,
they've all quadrupled.
Our window to act is closing.
And, uh you think it'll work?
Based on the extensive workups
we've done on all of you, we do.
Once you sign the consent forms,
we can get you prepped for surgery.
[SIREN WAILING]
Okay, where do you want me?
There is fine.
[BAILEY] Hey, which one of
these rigs has my patient?
Who's your patient?
- Katie.
- Katie Rogers.
Twenty-seven. Auto versus tree.
Restrained passenger.
Negative LOC. GCS 15.
Moving all extremities.
Minor scrapes and bruises.
Dr. Bailey, can I still do chemo today?
Okay, we need to examine you first.
She also has stage two gastric cancer.
Look, if I can't, can you
still operate next month?
One step at a time.
Let's get her inside.
- [BAILEY] Oh!
- Hey, move.
- I'm all good.
- Out of the way.
My bag. I need my laptop.
Um, Adams, Bryant, go find it.
You can go in. I got this.
I don't mind taking a look at the rig.
- You're not on a tour.
- Did I do something to piss you off?
Yeah, you slept with my girlfriend.
Slept
[SIGHS]
- Cass Beckman seems nice.
- Yeah, she's great.
- What about something like this?
- Nah, it's small.
What was the big, big trauma?
I was on call last night.
I didn't hear about it.
Oh, it must have been another night.
What about the one outside?
[GASPS] Oh, wait!
Oh, this is perfect. [GASPS]
This is gonna be way out of your budget.
No, but you have all that negotiating
experience, and you said yourself,
"Anything is possible."
Please, don't make me drive a minivan.
Can I help you, ladies?
Can we test-drive this car?
BP's 122 over 68.
Heart rate is sitting
in the low hundreds.
- [KATIE] I feel dizzy.
- [BAILEY] Uh, you might be dehydrated.
Let's hang another bag of fluids
and give her something for the pain.
So, what happened?
My rideshare had a chance
encounter with a tree.
[CHUCKLES] These injuries don't
look as nice as that sounds.
I'm a couples therapist,
so I like to put
a positive flip on first meetings.
- Ow. [GRUNTS]
- She's she's tender.
Free fluid in the splenorenal recess.
That doesn't sound like a stop
on the road to Cancer-freeville.
- Should I be worried?
- What do I always tell you?
"Don't worry until you look worried."
Good. All right, uh, Adams, Bryant,
get her to CT and page
me when the scans are up.
Uh, Dr. Bailey, I can take her myself.
Bryant can go with you.
Uh, do I look like his resident?
Yeah, but he'll learn more with you.
Of course he will, but then
you won't learn to teach.
Mr. Lee, how are we doing today?
I'm the same as yesterday but
you don't look like Dr. Kayise.
He was pulled into an emergency case.
I'm Dr. Mohanty. This is Dr. Kwan.
We'll be your doctors today.
Ray Lee, 35, presenting after
scald injury while hiking
Technically camping. I
just finished Storm King.
Three percent TBSA partial thickness
burns affecting left forearm.
Status post-bedside debridement
and skin grafts post-op day one.
- Can we take a look?
- Be my guest.
Uh, no. Dr. Mohanty is the
plastic surgery fellow.
She is very experienced
and accomplished.
Sorry about that.
It's an honest mistake.
Anyone can make it.
She's so youthful.
In a good way, not that she's old.
I think he gets it.
Let's remove the dressing, shall we?
I'm guessing this makes the last time
I make mac and cheese on a camp stove.
- [KWAN] This was a cooking accident?
- [LEE CHUCKLES]
I'm the punch line in those jokes
about cooks who can't boil water.
[CELL PHONE BUZZES]
Looks like it's healing appropriately.
Dr. Kwan will redress it for
you, and I'll check back in a bit.
I forgot to ask if I
can have some crackers.
Can we page her?
Let's not bother her for a snack.
What do you want? Grahams or saltines?
All right. Starting your scans.
Hold still.
[BRYANT SIGHS]
- I didn't know.
- Whatever.
Hello? Is anybody there?
Yeah, we're here. Everything okay?
[KATIE] Yeah. It's just, it's quiet.
Seemed like a bad sign.
Everything's fine.
We're just waiting on your scans.
Okay. I'm used to listening
to people talk all day.
Cheating husband, wife who
resents giving up her career.
You know, it's my job to
help people communicate.
Like, in my work, talking is good.
Screaming, crying, it's all fine.
It's only when my clients go silent,
that's when I can't help them.
[CHUCKLES]
But I guess that doesn't happen here.
Nope.
- Hey.
- Yeah.
Griffith and Millin filled me in.
You want me on the dads?
Yeah, Kim's flight got canceled,
so now he's stuck in Florida.
Are you okay being my assist?
- Of course, but you owe me.
- Okay. Yes.
Does Bailey have a girlfriend?
- I'm not answering that.
- Boyfriend?
He asked me not to say anything.
- You want me to break his trust?
- I do. Yeah. I'm his mother.
- You're unbelievable.
- Okay.
- [NDUGU] Hey.
- Hi.
Webber and Warren got held up,
but we should get started without them.
Okay. What are we looking at?
- Three lungs.
- Yeah.
Two healthy, one with extensive
mosaic perfusion and air trappings.
Looks like bronchiolitis obliterans.
Technically true. Not the
answer I'm looking for.
In this first scan, we have
two nonspecific granulomas
We are looking at a family, okay?
That's who will be on our
operating tables today.
And look, I know it goes without
saying, but I want it on record.
There is no room for error. None.
One mistake and a whole family suffers.
But if you're this concerned, maybe
we should consider holding a beat.
I'm sorry [STUTTERS]
are you having cold feet?
No, no, but I've
always had reservations.
You know as well as I do this
is not the standard of care.
- Yeah, Ryan's not a standard case.
- Of course not,
but there's a reason that no one does
living-donor lung transplants anymore.
We're talking a much
higher mortality rate.
Post-op, Vivek and Steven are
at risk for bronchial stump leaks,
- bleeding, diminished lung capacity
- Yeah.
I'm sorry, haven't they
been made aware of the risks?
Yes, they have, but I'm
concerned that their
understandable desire to save their
son is clouding their judgment
Yeah, but of course it is.
They can't just sit back
and watch their kid die.
What happens if we do
this, and he still dies?
Look, I'm I just wanna make sure that
we're thinking this through. That's all.
I know, but if I knew
you weren't all in,
I would have gone to someone else.
You didn't really give me a
choice, and you'd be hard-pressed
to find a cardiothoracic surgeon that
can get behind a living lung donation.
Listen, I've been working with Ryan
and his parents for months now, months.
We are out of time. We have
to take a swing. That is it.
I'm the one who's been seeing his
health decline on ECMO every day,
calling UNOS multiple times.
Hold on, hold on. Let's
We can debate this all day long.
The only people who can really
make the decision are Ryan's dads,
so why don't I
we go speak to them?
- Okay.
- I'm coming too.
No, no, you should stay here,
get some air, and I will fill you in.
Okay.
- Switch services with me.
- [SCOFFS] No.
- The plastics fellow hates me.
- What did you do?
- Why do you assume I did something?
- Because it's you.
Well, I heard your boyfriend's
working with your other boyfriend.
You told Kwan before you told me?
- Listen, we live together.
- Yeah, yeah, yeah, I knew first.
You should be mad at her.
Hey, switch with me so
you don't work together.
- I'm not interested.
- I've got my own problems.
- Is it time?
- Not quite yet.
This is Dr. Grey. She'll be
joining your surgical team.
It's nice to meet both of you.
I know you've been made aware
of the risks of your surgeries,
but I'm new to the team,
so I just wanted to make sure that
we're all on the same page here.
We're in no matter the risks.
That's the page we're on.
Okay, you understand that you'll both
likely have diminished lung capacity
for the rest of your lives?
- I hate exercise.
- But you could have bleeding.
You could need more
surgeries, develop infections.
We have insurance.
- You could have a stroke.
- Nothing that could happen to me
would be worse than losing my son.
Ryan was two when we met.
You can't really explain,
"This is Daddy's boyfriend,"
to a two-year-old.
I was just a man who was around
sometimes and gave him snacks.
But one night the power
went out and Ryan panicked
and ran into my arms, and
I realized he trusted me.
He felt safe with me.
I couldn't tell you when
it happened or how, but
I was his dad.
I've felt helpless
watching him suffer.
If I can take that away, you're
giving me the greatest gift.
Well, he's lucky to have you both.
I'll let the team know
we're good to go. All right?
Okay.
Hey, I need to give you a heads-up.
If it's that I'm working with
the boyfriend you cheated on,
- you're too late.
- I I didn't cheat.
We were broken up then and now.
Yeah, well, he's acting like
the two of you are married,
and that he walked in on us at the bar.
We agreed that never happened.
Yeah, well, he didn't,
and he's pretty pissed
for somebody who you're not with, so
Wes, it's over.
I swear.
- That guy's a piece of work.
- Hey, where are you going?
I'm gonna go tell him I'm
done putting up with his crap.
[HIP-HOP MUSIC PLAYING OVER EARBUDS]
[ANNOUNCER OVER PA]
Dr. Reeves to pediatrics.
Dr. Carol Reeves to pediatrics.
[SIGHS]
- Um
- Oh.
[BOTH CHUCKLE]
Sorry. I I didn't
mean to creep up on you.
Oh, it's all right. I
was getting in the zone.
Do you always blast music
before your surgeries?
I used to, yeah.
Now I just kind of save
it for the scary ones.
You're nervous?
You know we're doing a living-donor
lung transplant today, right?
Yeah, but you built a new aorta.
You can do anything.
That was a little luck and a
lot of Dr. Altman. [CHUCKLES]
Do you really feel that way?
I know I'm good at my job.
I'm not fishing for compliments.
But when you sign on to a risky
surgery that you've never done before,
you don't really know
if you have what it takes
until you succeed or fail.
Yeah, I just I don't
want to fail today.
You're a terrible surgeon.
[CHUCKLING] Okay, thank you
for that vote of confidence.
- You didn't let me finish.
- [CHUCKLES] Do I want to?
You don't have a god complex
like every other surgeon.
Myself included.
You know your limits,
and you don't push it.
You hit a wall, you go around it.
And that's why you won't fail.
You're not in this to
prove something. You're
you're just trying to be a good doctor.
- That did get better. [CHUCKLES]
- Mmm.
I hope you're right.
[NDUGU SIGHS]
The reality is, is that no one
can tell you whether
or not to be together.
That is between you two.
Where's your intern?
I don't know. I've paged him twice.
Hey, we need to get straight
on something. I never knew
- There he is.
- [KATIE] Okay, yeah, I gotta go.
We will talk in our session next week.
All right, buh-bye.
I am so sorry. Client emergency.
Hope they work things out.
Well, honestly, they should call it,
but they can't quit one another, so
How are my scans?
They show bleeding in the spleen.
That was the fluid we
saw in the ultrasound.
Is there a spleen Band-Aid for that?
[CHUCKLES]
Unfortunately, no, we will
have to remove it surgically.
What about chemo? Is this gonna
interrupt my treatment schedule, or
You see my face?
- You're not worried.
- No,
but I will be if you don't
let us remove your spleen.
Okay, yeah, I was really hoping
chemo and I would work out.
Yeah, me too, but let's
take care of this first.
[GREY] Okay, there's a
lot of moving pieces today,
so let's go over the plan one more time.
[MARSH] Ndugu, Griffith and
Millin will be here on Team Ryan.
Once they've prepped him for the grafts,
Dr. Grey and I will open Vivek.
As we prep the right lobe,
Dr. Webber and Dr. Warren
will procure Steven's left lobe.
We'll all meet back here
at the end. Any questions?
- I'm ready. Let's go.
- Okay.
[WEBBER] Good luck, everybody.
[EXHALES] Scalpel.
A virtual personal assistant in the car?
Now, that's a car you can live in.
Stop talking about how
much you love this car.
You've got to, like, you know
Just play it cool.
I can do that. I can be cool.
Look how cool I'm being right now.
All right, you know what?
Let me do the talking.
- Here you are.
- Thank you.
Jo, what are you thinking?
Ready to move forward?
Definitely. It has everything we need.
The three rows are just so
But there are factors
that I'm factoring in.
[CLEARS THROAT] Let's talk brass tacks.
What's your bottom line?
My manager says I can
give you a $1,000 credit.
How
does this look to you?
We both know you can
do better than this.
- Jo is a loyal customer.
- Very loyal.
I mean, she's about to have twins.
She can't take on this
kind of car payment.
I don't know your financial situation,
but I can tell you, people
grossly under-budget for cars.
They think it's just rubber and metal,
and it's not worth the hard-earned
money, but this isn't just a car.
This is your children's lives.
It's their memories.
Family road trips.
Neighborhood carpool,
driving to soccer games
Your kids are gonna grow up in this car.
That's worth something, no?
I'm sorry, um [CLEARS THROAT]
I just I need a minute.
Uh, she's a surgeon. That's
probably a very important call.
I'll be right back. Sorry.
[SIGHS, BREATHES SHAKILY]
[SIGHS]
[SOBS]
[CRYING]
[SNIFFLES, BREATHES SHAKILY]
Ugh.
[WHISPERS] Hey, what's happening?
Is this a negotiating tactic?
Wow. You are so good.
We never took a family road trip.
I mean, we wanted to go
to Alaska with the kids,
but we just kept pushing it off.
- You could still go.
- But not as a whole family.
- Owen and I are getting a divorce.
- Oh, Teddy, I
I am so sorry.
No, it was my choice, but it's just
Now the kids will
never have that memory.
Instead they're bumping
into Cass Beckman
and eating strange pizza without me.
Well, what good are family
memories with a miserable mom?
Your kids deserve the
best version of you.
But I'm not. I'm n [CRIES]
I'm not the best version of me.
This morning, I was crying in the shower
just thinking about
selling the house and
and tonight, Owen is gonna be with
the kids while I'm in a hotel room
eating room service and
watching dumb reality TV.
That doesn't sound so bad. [CHUCKLES]
Well, it kind of loses its luster
after three nights in one week.
I've been divorced.
It's not like flipping a switch.
It takes time to find your footing.
But when you do, it is so worth it.
I'm happier now than I have ever been.
I don't know what
makes me happy anymore.
Well, you don't have to
transform your life overnight.
Start small.
Put yourself first for once and
then find one tiny moment of joy.
[WEBBER SIGHS]
- Any word from Marsh?
- Not yet.
You know, you could have
held off on scrubbing in.
Yeah, I'd rather get
the patient prepped.
Don't want to be the hold up. [SIGHS]
- [PHONE CHIMES]
- See? That him?
- [WATER RUNNING]
- Uh, no, that's yours.
Really? Um, do you mind?
"Follett lost her phone.
If you need her, text Barnes."
[SIGHS] Yeah.
- [PHONE CHIMES]
- [WARREN] Um
[CLEARS THROAT]
"Fukushima's great aunt passed.
She'd like next weekend off."
Whole weekend for a great aunt?
- I mean, I'm sorry for her loss
- [PHONE CHIMES]
- [SIGHS]
- You want me to check?
I want you to make it stop.
Well, that I can do.
- Silent.
- [CHUCKLES]
You know that doesn't make
the work go away, right?
Chief to chief?
It's called punting.
[BOTH CHUCKLE]
[MONITOR BEEPING STEADILY]
[ADAMS] Did you do a
post-op check on Alex Brokaw?
[BRYANT] She's on SBT.
She should be ready to wake up soon
and face reality, unlike other people.
What the hell is that supposed to mean?
I talked to Griffith.
She said you guys were over
then and now. Her words.
I'm not talking about this with you.
And I'm not gonna let your
bruised little ego ruin my career.
I don't need to get in your way.
You can ruin it all on your own.
[BAILEY] Ready to go?
Katie deserves all our focus.
[BRYANT SIGHS]
[GREY] Is Bailey worried
about soccer tryouts?
Is he fighting with a friend?
- Is it guy stuff?
- Meredith.
Okay, I'm just asking.
Uh, Ryan is on bypass and he's stable.
Thanks, Dr. Millin.
Let us know if there's any changes.
- Okay, here we go.
- [MARSH] Okay, scalpel.
We need to move quickly and efficiently.
Wait, he's febrile.
- [GREY] 102.1.
- [MARSH SIGHS]
What was his white blood
cell count from this morning?
- 11.1.
- Okay, it's borderline.
We can't remove part of his lung
if he's fighting an infection.
Let's reset the probe and
recheck his temp, please.
Well, it's not gonna matter if
his white count is borderline.
Ryan is running out of time.
Vivek would want us to
do everything we can.
Recheck the temp again, please.
- Still 102.1.
- [SIGHS DEEPLY]
We should postpone for a few days.
Let's hope Ryan has a few days.
Surgery's off. Get him out of here.
- She just needs a minute.
- I thought the car was for you.
It is, yeah. It's for me and my kids.
Um
- Do you have kids?
- No.
- Right.
- Back to the car.
- I thought you liked it.
- I loved it.
I uh, I think it's fine.
I wish the price was
more negotiable, but
All right, Dan. Can I call you Dan?
Uh, I prefer Daniel.
We are busy people, Dan, and I'm sure
that you've got a lot going on too.
So, let's make this quick.
She wants this car, but she also wants
to be able to pay for
college someday for her kids.
So if you want the sale, we
will take the car at MSRP,
no market adjustment fee,
no preparation fee,
and, uh, we're declining
the extended warranty.
I-I'm only authorized to
take the price down $1,500.
An hour ago that was 1,000, so
you can see why I'm skeptical.
Like I said, everybody wants this car.
Well, then you're just gonna
have to sell it to one of them.
Thank you so much for your time.
- Uh, I'm sorry.
- [MOUTHS WORDS]
- What are you doing?
- I am finding my joy.
I-I-I can run the numbers again.
Maybe there's a compromise.
We're listening.
[KWAN] You paged?
Mr. Lee's developed a hematoma.
I need you to book an OR so we can
drain and evaluate the skin graft.
- Another surgery?
- Dr. Kwan will get you prepped.
Wait, we're taking him now?
We have to control the bleeders
ASAP. You have a problem with that?
He just ate lunch.
He's NPO. He can't have anything.
- Who lifted the order?
- I did.
His surgery was done. It'd been hours.
He's on warfarin, which made
him a risk for a re-bleed.
That's why the NPO wasn't lifted.
You'd have known if you'd
bothered to ask.
Call anesthesia and see what
they're comfortable with.
This could be a long night.
[NDUGU] All right, this
is the worst-case scenario.
- [MARSH] I know.
- I got Ryan off ECMO,
got him intubated, put him on bypass,
and now I got to get him
off bypass and back on ECMO?
I told Webber the surgery's off.
Okay. Look, we'll push it a few days.
You suggested it yourself earlier
That was before we took him off ECMO.
Ryan is six years old.
Six. His lungs can't handle the
back and forth. He's too small.
What if he could live with
one lobe instead of two?
Well, his heart could fail if he
only has lung tissue on one side.
Are you thinking we split
Steven's right lower lobe into two?
Isn't that what you do with livers?
- This isn't the same.
- Yeah, but could you do it?
I mean, is it possible without
destroying the remaining lobe segments?
Uh, hold on. Um
Yeah, well, the ratio would
have to be less than 200%.
Yeah, the math checks out.
So, then I should tell
Webber the surgery's back on?
No, no. 'Cause that doesn't
mean that I can pull it off.
The-the orientation of the
vasculature would be reversed.
So, if we split the
lobe into two halves,
then the right side would
fit into the right side
of his chest cavity without
a problem, but for the left,
we would need to invert it
to match the anastomosis.
And that could work?
Yeah, that could work.
- Let's try it.
- Okay, great.
- Let's go.
- [NDUGU] Okay.
[BAILEY] Dissection looks good.
Her spleen is almost free.
I lost visualization.
[BRYANT] You can just tell me
when you want me to move it.
[ADAMS] That was easier.
[CLEARS THROAT] Uh, how about walking
your intern through the next steps?
[ADAMS] First, we identify the
splenic artery in the veins.
Then we clamp and divide them to
free up the spleen to send to path.
Then we ligate the vessels.
Ready for specimen.
That's your cue to hand me the Metz.
Right.
Okay.
[BAILEY] Okay. Make sure
you have good hemostasis.
[ADAMS] Suction is clogged.
[BAILEY] Use some
saline to clear the line.
Hang on. Bryant, will
you take the spleen
to path and put in a stat order for me?
- Got it.
- Mm-hmm.
[BAILEY CLEARS THROAT]
I'll take that and 2-0 silk, please.
- I'm not done.
- You are now.
Take over the retractor.
["WHERE IS MY MIND?" PLAYING ♪]
[EXHALES DEEPLY]
Good job, everyone.
We did it. We saved a family today.
[BAILEY] Good hemostasis
in the stump. All right.
So let's pack her and check the
other quadrants before we close.
Lap pads?
I don't know what is going on with
you and Bryant, but it has to stop.
- [ADAMS] Dr. Bailey
- What I do know is that you've already
been kicked out of an
OR once this month,
and whatever it is has been
impacting and affecting patients,
including this poor woman, who sure
as hell has been through enough.
I can't have it. Am I clear?
- Yes, but
- Am I clear?
It's Katie's liver.
Do these look like tumors?
Oh, no.
[SONG ENDS ♪]
[WILSON] You sure you don't want a ride?
I could use the air.
Well, thank you, again, and
it does get better, Teddy.
You just have to give yourself
permission to feel happy again.
["STAY WITH YOU" PLAYING ♪]
Is there anything else I can do for you?
How are you feeling?
[CHUCKLES] Tired. A little weak.
That makes sense. You have an infection.
You spiked a fever in the OR, and
we weren't able to take your lobe.
What about Ryan?
He's doing great.
We were able to make two lungs
from your husband's one lobe.
- He's gonna be okay?
- Mm-hmm.
[SIGHS] Thank you.
Thank you for saving my son.
[ADAMS] Did you put in an
order for the post-op labs?
Yep, for first thing in the morning.
We should get a set now.
Okay. Sorry, I can do that right now.
Look, I only ask 'cause I
got it wrong my first time.
[BAILEY] Ah. Look who's back.
[KATIE] How'd it go?
Was my spleen okay? Did you tell
her it wasn't her, it was me?
The operation went smoothly.
And, um, when can I get back to work?
Well, you've still got
to rest for a few days.
[BRYANT] Hopefully
your clients will understand.
[KATIE] Thank you.
This morning was pretty scary,
and I was kind of freaked
out by the whole spleen thing,
but I'm grateful that you
guys were able to fix it,
and I can get back to cancer treatment.
Oh, don't worry.
I know, it's one day at a time.
What's wrong?
Hmm.
So, while we were operating,
we found areas on your liver that
are concerning for metastasis.
The cancer's spreading.
I thought Dr. Sugihara, he
said that the chemo was working.
How bad is it?
[BAILEY] Well, okay, we won't know
until we get the biopsy results,
and we need new scans to re-stage you.
If you had to guess
Never mind.
I can see it on your face.
You're worried.
It's over, isn't it?
No.
As long as you're still here,
nothing's over.
He is right.
Get some rest and we'll
talk more tomorrow.
[MOUTHS] Okay?
[SONG ENDS ♪]
Anesthesia said Ray
should be ready by 9:30.
Great.
Your noodles look great.
I'm supposed to be on a date
at Nicoletti's right now.
Hey, uh, look, I think we
got off on the wrong foot.
And I admit it was totally
my fault, and I'm sorry.
But aside from the
occasional social faux pas,
I'm a pretty great resident.
I'm highly skilled, I'm
good at taking direction,
and I'm very interested
in a plastic specialty.
Tell me what I need to do
to have another chance to
impress you, and I will do it.
- Anything at all.
- Stop talking.
Copy that.
I'm in.
- In what?
- The-the pact. I'm in.
I thought you didn't need the pact.
Just, you know, being proactive.
Can't hurt.
Ryan's off pressors.
We'll be able to wean him
off ECMO in the next 48 hours.
- He's doing great.
- That's amazing.
Can you do a post-op
check on him before you go?
- Of course.
- [NDUGU] All right.
- Oh, uh, Millin.
- Hmm?
Thanks for the pep talk.
Anytime.
What pep talk?
It was nothing.
I'm gonna go check on Ryan.
[GREY] Anything can be a race
against the clock if you let it.
Waiting for a promotion, having a child,
eating the last yogurt
in your refrigerator.
[WARREN] Oh.
Hey, you
You okay?
I think my patient has
terminal cancer, and she's 27.
That's tough. I'm sorry.
Um, you gonna be a while.
[CHUCKLES] Looks that way.
[CHUCKLING]
- I will pick up Pru. Mwah.
- [WARREN SIGHS]
[BAILEY LAUGHS]
- Oh.
- [LAUGHS] T
Oh, and what brings you here?
Dropping off some items to Warren.
[SIGHS HEAVILY]
I'll see you at home. [CHUCKLES]
So what are those, intern payroll forms?
[WEBBER] Insurance reimbursements.
Aw. The chief resident
has to do insurance too?
No. Chief of surgery does.
- Oh.
- Is your wife always right?
I find it's always
easiest to assume yes.
[CHUCKLES]
[GREY] Sometimes you really
are running out of time.
Most of the time, it's all in your head.
- Hey.
- Turns out Vivek had a sinus infection.
- He's gonna be okay.
- Ah. Good.
Thank you for hanging
in there with me today.
You know I don't give up that easily.
That's an understatement.
And I don't need you to tell
me what's going on with Bailey.
What is this? Are you trying
reverse psychology now?
No, it is not.
I think it's great that
my kids trust you enough
- to share things with you.
- You know I love those kids.
I know.
- Come on. Let's go home.
- Okay.
[GREY] And when you let
go of all that fear
[CAR CHIMES]
Where are we going?
[GREY]
the possibilities are infinite.