Grey's Anatomy s22e06 Episode Script

1
[POP MUSIC PLAYING ♪]
[GREY] When the risk of a procedure
is greater than the possible benefit,
we watch and wait.
If the symptoms progress
- Good morning.
- Good morning.
Then we pick up a scalpel.
- [KNOCKS ON DOOR]
- [SIGHS]
Who's that? We're in
the middle of nowhere.
Probably some camper
who forgot toilet paper.
- [KNOCKS ON DOOR]
- I'll be right back. Okay. Coming.
Okay.
- [GROANS]
- Hey,
the kids wanted to bring you
the pancakes that they made.
Whoa, whoa, whoa.
- [LEO] Who are you?
- [ALLISON] Where are your clothes?
You should have called first.
[ALTMAN] Okay, you know what?
Uh, we-we gotta go,
or we're gonna be late.
Um, all right, come on.
Say goodbye to Daddy.
- Bye, guys.
- You should leave your ringer on.
Yeah. [SIGHS]
[SIGHS]
- I'm so sorry.
- No. She was just surprised.
Listen, why don't you just relax,
and I'll go get us some coffee, okay?
Okay.
[GREY] Sounds easy,
but doing nothing is one of the
hardest things a surgeon has to do.
[MUSIC CONTINUES ♪]
[GREY] We're trained to
act, to remove, to fix.
Restraint isn't in our DNA.
[NURSE] Babies look good.
- And the cerclages are still in place.
- That's good.
Good would be my water breaking seven
weeks from now when I'm full term.
- [BREATHES DEEPLY]
- You might make it all the way.
It's possible. Babies are healthy.
There's no sign of infection.
Now. If I deliver early,
they're at risk of sepsis,
have underdeveloped lungs,
have trouble feeding as [SIGHS]
It's a choose-your-own-adventure
newborn hellscape.
But you're right. I
could make it seven weeks.
Yeah.
[BREATHES HEAVILY]
- You okay?
- I'm having shortness of breath.
- Can you page cardiology?
- What do you What do you think it is?
Do you think it's a heart
thing or a lung thing?
Do you have any pain? Is it sharp, dull?
It's probably nothing.
I just want to practice what I
preach, get it all checked out.
- Okay. I'll call upstairs.
- Okay.
[GREY] In the end, all you
can do is hope for the best.
And trust you're making the right call.
[MUSIC ENDS ♪]
Meade? Where Where do
you think you're going?
Miranda. Webber canceled
the surgical lecture series.
- I assumed you knew. [CHUCKLES]
- Well, do I look like I knew?
- [STAMMERS] Not Not particularly.
- [SIGHS]
Well, who cancels someone else's
lecture and doesn't tell them?
Well, maybe he forgot.
Did he forget that I am
the residency director?
No. Ever since he took over as chief,
he's been making changes to my
program without consulting me.
Like there's no rhyme or
reason to how I do things here.
- I'm just the messenger.
- [STAMMERS]
How's this for a message?
I've had it.
Yeah.
[SIREN WAILING IN DISTANCE]
Did you see Dr. Webber's email?
How are we supposed to increase
our cases by ten percent?
Where are we supposed to
find all these extra cases?
[SIGHS] You seem calm.
You're not behind?
I'm trying to finish this,
because in five minutes, I'll
never have free time again.
I didn't know you knit. Cool.
- It's crochet.
- You two back together?
- Uh, I-I am not with anyone right now.
- [MILLIN] We made a pact.
We are focusing on
ourselves and hobbies.
Is that a bowel movement?
It's a spleen.
[PA ANNOUNCER]
Dr. Leone, call the blood bank.
Dr. Leone, call the blood bank.
[SIGHS]
[ENGINE ACCELERATING]
[TIRES SCREECHING]
[VEHICLES CRASH]
- [PASSERBY] Oh, my God.
- [PASSERSBY CLAMORING]
[PASSERBY 2] Someone call 9-1-1.
[CYCLIST] Help! I need help.
Help.
- Help's here. Where are you?
- [CYCLIST] Down here.
- [PEOPLE CLAMORING]
- [CYCLIST] Help. [GRUNTS]
- [BREATHING HEAVILY]
- What's your name?
Maisie.
Maisie, I'm Owen. I am a doctor.
I am calling 911, and we're
gonna get you out of there.
- All right?
- Okay.
- [HUNT] Okay.
- [GRUNTS]
[911 OPERATOR]
911, what's your emergency?
Make sure none of this is yours.
It's getting donated
at the end of the day.
[GASPS] Ooh. This is a good one.
Oh. I've been looking for that.
Hey, how was your trip?
Uh, I was in the south of France [SIGHS]
but I had to study and
take my oral boards,
so kinda canceled each other out.
I, uh, put in the orders to
replace Mr. Litton's electrolytes.
Thank you.
No prob. Um, if he needs
a chest tube, can I do it?
No.
Bryant's on your service? Stay strong.
- Trust me, not gonna be a problem.
- Mm-hmm.
Yeah, hi, I have a
three-vehicle pileup incoming,
and one is a bus with
at least 30 passengers.
Oh, finally some good news.
[STAMMERING] For our-our case logs,
I mean, I'm sorry that
there was a car accident.
Have I said welcome back yet? No?
[FIREFIGHTERS, PARAMEDICS CLAMORING]
- We got them, Dr. Hunt.
- Okay, I'll see you at the hospital.
- Hey.
- Thanks for coming.
A car blew a tire, then hit
another car which then hit a bus,
and the bus hit a cyclist.
I knew you were close by since you
showed up unannounced this morning.
[ALTMAN SIGHS]
I don't want to talk about this here.
Where do you need me?
Under the bus.
SFD's concerned that we might
need to amputate the cyclist's leg
to get her out of there.
A paramedic could assist, but
I'd much rather have a surgeon.
- Owen, is that you?
- I'm right here. This is Maisie.
She has pain in her left leg and
pelvis, and she has some bleeding,
but I can't reach her, so I have
no idea where it's coming from.
[ALTMAN] Right.
Hi, Maisie. I'm Teddy. I'm a doctor too.
- Are they getting close?
- [HUNT] They're evacuating the bus
and there's one more patient
to come out of one of the cars,
and then we're gonna get you out, okay?
Maisie, is there anyone that you
want us to call while we wait?
I was gonna say that you can call
my boyfriend, but I remembered that
- he's not my boyfriend anymore.
- [ALTMAN] I'm sorry.
We got into a stupid fight because he
didn't want to go on a stupid cruise
for my parents' anniversary,
which is perfectly reasonable.
You know how cold it
is in October in Alaska?
I can imagine.
I wanted to take it back,
but he won't pick up my calls.
Maybe if you tell him I'm trapped
under a bus, he'll pick up.
First, we are gonna get you out of here,
and then we can call
your boyfriend, okay?
- Okay.
- [MAISIE SNIFFLES, GRUNTS]
Were you going to tell me that
you canceled my lecture series?
Oh, I [CHUCKLES] I thought I did.
[STAMMERS] Yeah, I got here at 5:45
to print handouts and set up
the conference room for fun.
- [SIREN WAILING]
- Oh.
My mistake, you know,
with all the construction
and the residents who
are behind in their cases,
it was all-hands-on-deck situation.
With all due respect,
this is not your deck.
Hey, come on.
- Oh.
- [WEBBER] Whoa.
- [BAILEY] Oh, my God. [GASPS]
- [PARAMEDIC] Aaron!
He's autistic, he's nonspeaking
and sustained a head lac.
- The patient is his aide.
- Oh. Go after him!
Glen Kelly, 53, GCS 3T,
MVC with a city bus at high
speed, restrained driver.
Unknown past medical history,
intubated on the scene.
- How long did you administer CPR?
- Ten minutes.
Doesn't look good.
Well, not if I can help it.
Let's take him to trauma three.
- [HUNT] Maisie, how you doing?
- It's cold under here.
I can't catch my breath.
[BREATHES HEAVILY]
She's losing a lot
of blood from her leg.
They're working on the second car.
[ALTMAN] All right, stay
with me, Maisie. Hang on.
Where are they with
stabilizing the bus?
- What are you doing?
- I can't control internal bleeding,
but I can try and stop the blood
from pouring out of her leg.
- Dr. Hunt, they can't get an airway.
- Go. I got this.
- [HUNT] Okay.
- Ma'am, you can't go under there.
It's Doctor, and she needs
a tourniquet on her leg, now.
All right, I'm just
gonna put this on you
and then I gotta get this
tourniquet on you, okay? [GRUNTS]
- Okay. Deep breaths.
- [SAW WHIRRING]
You good? Teddy.
Teddy, we still haven't
stabilized the bus.
[ALTMAN] You called me
here. I'm gonna do my job.
- Is it time? Are they getting me out?
- Not yet.
I need to work on your leg.
I need to tighten this to stop
- the bleeding. Okay, here we go.
- [GROANING]
I know, I know it hurts.
Keep breathing.
We're gonna get you some
medicine for the pain
Teddy, they need you to move right now.
Just give me a minute.
Are you going back out?
- Teddy!
- I'm gonna stay right here with you.
- Keep breathing.
- [GRUNTING]
Come on, Maisie.
Stay with me. Come on.
Dr. Adams?
Hi, I'm Dani Spencer. I'm your intern.
It's my first day. Well,
actually, it's my second day.
My first day, Meredith Grey gave me an
ex-lap in the
reproductive health clinic.
[CHUCKLES]
So, here I am. [CHUCKLES]
- How caffeinated are you?
- Oh, I don't drink coffee.
[KAVITA] Good morning.
A patient's flap went down.
I'm taking him to the
OR to try and salvage it.
- I need
- Can I get in on that?
No, I need someone to keep
up with my dressing changes.
How about you get in on that?
[SIGHS] Yep.
- Come.
- [SPENCER CHUCKLES]
- I heard you have a TRAM flap.
- I already have an assist.
No, you you owe me and you know it.
You had diarrhea. That's not on me.
I got you face time in
front of Jackson Avery,
and if you get that job in
Boston, I should be getting 10%.
I just told Adams no.
If I give it to you just because
you asked, what will people think?
I don't care what people think.
Frank Nelson, room 3256.
He has a bad sacral decub ulcer.
No one's been able to
get a wound vac on it.
- It's too close to the anus.
- Ouch.
The only option left
is to give him an ostomy
and hope that rerouting his bowels keeps
the ulcer clean long enough to heal.
But he's in his 80s and he's a
vasculopath with high surgical risk.
So if you can place the wound vac,
I'll let you assist in the surgery.
Consider it done.
[SIGHS] Hey, hey, how we doing in here?
You called the chief of
cardiothoracic surgery?
- He's a friend.
- [SIGHS]
[SIGHS, WHISPERS]
I told you to page cardiology.
Hi, I'm Winston Ndugu.
Chief of cardiothoracic surgery.
Nice to meet you.
Iris, chief of this room.
- [WILSON, LINCOLN WHISPERING]
- I told you
- [INHALES DEEPLY] Deep breaths.
- [BREATHES DEEPLY]
I hate everybody.
That's not true. You love me.
I didn't page the chief of cardiothoracic
surgery without telling you.
- Mmm.
- I know better.
Okay if I take a listen? I hear
you're having some
shortness of breath.
Yeah, it's nothing concerning.
It's just standard third
trimester labored breathing.
I'm sure you're right, but as you know,
there's a lot of overlap between
pregnancy symptoms and cardiac symptoms,
so I just want to get
an EKG just to be safe.
- Yeah, whatever you need.
- Okay.
Okay, I'll be back to do the EKG.
[BREATHING HEAVILY]
It's gonna be fine. You'll see.
At least we're meeting
our deductible this year.
[BOTH LAUGH]
The tube is in. There's a lot of blood.
- [BAILEY] Another push of Epi.
- [MEADE] Resuming compressions.
Dr. Webber.
I've got an unstable
patient, nowhere to put him.
Have Griffith and Bryant found their
patient yet? We've got his aide.
- Not that I've heard of.
- I'll be right back.
[MEADE] How long do we keep at it?
At this point, he's only
coming back with a miracle,
and that is not in our control.
Okay, time for a pulse check.
Stop compressions.
[PANTING]
Hey, Meade [SIGHS] call it.
- Time of death, 8:24
- What in God's name
- I was gone for a minute.
- She told me to do it.
- We've done multiple rounds of CPR
- That doesn't mean it's over.
Restart compressions right now!
Wait, so he's not dead?
[STAMMERS]
This was a blunt traumatic injury.
He's had CPR, bilateral chest tubes.
What, we're just gonna keep
resuscitating him indefinitely?
Should we open his chest?
Get a thoracotomy tray.
Not everyone wants to give up.
[BRYANT, GRIFFITH PANTING]
[BRYANT] That's him.
[GRIFFITH SIGHS] Okay.
[BRYANT EXHALES SHARPLY, CLEARS THROAT]
I'll talk to him. You stay here.
I don't want to overwhelm him.
- [PANTING] Aaron.
- I I don't know.
I don't wanna I don't wanna know.
- I'm Dr. Griffith. I'm here to help.
- I don't know.
I don't know. I don't know.
I don't know. I don't want to
I see you have a cut on your
forehead. We can fix it for you.
We just have to go inside the hospital.
No, no, no, no, no, no, no, no.
- We don't have to go right now.
- No, no, no.
- You want me to sit with you?
- No, no, no, no, no.
- I'll give you some space.
- No, no, no, no, no, no, no.
- Yeah, you got this.
- Let's just give him a minute.
No, no, no, no.
Mr. Nelson, I am Dr. Kwan.
- How are you doing today?
- Peachy.
I'd like to take a look at
your wound if that's okay.
I've got nothing better to do.
I took a look at your chart,
so you've been here a while.
First I fell down the stairs,
then I got pneumonia and a DVT.
Now this ulcer won't heal. I wish
you people would just let me die.
You're not dying.
We just need to place a wound vac.
No, I'm done. Give me the ostomy.
[SIGHS] With your medical issues,
if we can avoid another surgery
I don't wanna hear it.
I'm sick and tired of you
bleeding heart do-gooders
and your positive attitudes.
I want to be left alone.
- I'm not doing this for you.
- You're not?
Dr. Mohanty said if I can
get this wound vac on you,
she'd let me into a surgery
that I haven't seen before.
All this so you can be
second fiddle in a surgery?
More like fourth fiddle but yeah.
[CHUCKLES] You're not like the others.
You're a selfish dirtbag just like me.
- I wouldn't characterize myself as
- Okay, you can try.
Okay, I'll go find someone to assist me.
- [MAISIE] I'm really tired.
- Take deep breaths for me.
- If only Sam had answered my calls.
- I know the feeling.
I'm so sick of fighting
about everything.
But he's he's still the only person
I want right now. [BREATHING HEAVILY]
Can we call him?
- Oh, my God!
- [HUNT] Teddy.
- [FIREFIGHTER SHOUTING]
- Teddy!
[HUNT] Teddy, are you okay?
You hurt? Teddy.
- We're fine. What happened?
- The cribbing shifted.
We need to reinforce it so
we can get them out of there.
What is taking so long?
[FIREFIGHTER] We're almost
ready to inflate the bag.
Maisie. Maisie.
Damn it. She lost consciousness.
- Okay, let's get an intubation kit.
- We need to get her out now.
[ALTMAN] Let's go. Let's go.
[ALTMAN] Come on, Maisie. Stay with us.
We found this at the nurses' station.
I think it's his.
Okay. Thank you.
We need to wash out that lac
and assess how deep it is.
How do you plan on getting him inside?
I'll go get supplies.
We can clean him up and
figure out next steps here.
Okay, cool. Wait, wait, what about me?
What should I do?
Make sure he doesn't go anywhere.
"Make sure he doesn't go
anywhere." Okay. All right.
This yours?
- [GRUNTS]
- It's a good-looking bag, man.
[ELECTRONIC VOICE] Where is Glen?
Uh, Glen is in our emergency room.
Doctors are helping him.
You, uh You want to go inside?
- Mm-mmm. Mm-mmm. Mm-mmm. Mm-mmm.
- Okay. All good.
Have you had bad
experiences at hospitals?
- [ELECTRONIC VOICE] Yes.
- Yeah.
Yeah, me too.
You know, my brother has epilepsy,
and, uh, spent a lot of time
in the hospital as a kid.
I hated it.
So I understand.
- You ball?
- Mmm.
You ball for real?
- Let me see. May I?
- Mmm.
Okay, okay, let's see here. Let's
see if I still got it, you know.
All right, one, two.
- Okay, a little crossover.
- [GIGGLING]
Ooh. Ooh. Ooh.
Between the legs.
Jump shot.
[LAUGHS] Okay, let's go. You
wanna play for real, let's do it.
Oh. [CHUCKLES] Okay.
Okay, jump shot, jump shot.
And he makes it!
I know I've got a good
ass, but nobody ogle.
Gross, gross, gross.
- [FRANK GRUNTS]
- [WHIRRING, BEEPING]
- There's still an air leak.
- Okay, let's do it again.
[FRANK] You have other patients, right?
I can't lay here all day
while you try and win a prize.
- I want to watch Judge Judy in peace.
- [CHUCKLES]
I don't know what he's talking about.
You said if you got this on me,
Dr. Mohanty would hand you a surgery.
Okay, it's a little
more nuanced than that.
You know, I'd love to hear more,
but, uh, I think the ER
needs some extra hands,
so I'm gonna go help out
of the goodness of my heart.
- You're up.
- Uh, technically, I'm with Dr. Adams.
- Come over here.
- Okay.
[PHONE BUZZING, CHIMES]
You're getting paged a lot.
[WHISPERS] Oh, God.
- [SIGHS]
- [FRANK] Oh!
Well, you got your wish.
I was just paged to
the emergency room.
- You're leaving?
- You can watch your TV in peace.
Clean up.
- [DOOR OPENS, CLOSES]
- Ow.
- Sorry.
- You think he'll come back?
- Uh, I don't know.
- You can try if you want.
Uh, it's not really a one-person job.
That's okay. [BREATHING HEAVILY]
An ostomy doesn't scare me.
Not like I go anywhere these days.
[SIREN WAILING IN DISTANCE]
[WEBBER] Keep massaging the heart.
- You want to switch out?
- I'm fine.
Meade, inject epi.
No, into the myocardium.
If you have a direct route
for the drug, you take it.
Heart it is.
[MILLIN] Insert the
needle into the ventricle.
Not my hand. Ventricle.
Come on, Glen.
How much longer are we going
to put him through this?
- [BEEPING]
- [MILLIN, MEADE LAUGH]
[MEADE] We did it.
- No.
- Sorry.
Okay [STAMMERS] let's not just
stand here. Let's get him to the OR.
[LINCOLN] Here, let
me help out with that.
I got it. [SIGHS]
[BREATHING HEAVILY] Hey, can you go
to the gift shop and get me some socks?
My feet are freezing.
You're wearing socks.
Well, ankle socks.
They're not very warm.
You're really gonna argue
with your pregnant wife?
- Any socks?
- The purple fuzzy ones
with the grippy bottoms.
They're by the register,
not the slippers.
I'll be right back.
- I have my phone if you need me.
- Okay.
[WARREN] You really know your
way around that gift shop.
My patients love socks.
There's a lot of metal stirrups in OB.
[CHUCKLES] You are so calm.
On the outside.
On the inside, I'm a train wreck.
Don't put on a show for my benefit.
I'm trying to stay calm for Link.
I've seen a lot of
partners in his position.
I don't want him to be scared when
there's nothing that he can do.
But I bet he'd rather be scared than
know that you're suffering without him.
Stay in your lane, Warren.
- Okay.
- [CHUCKLES]
Trust me, we got you.
On my way in here, I ran into eight
nurses reading the twins' strips
at the nurses' station.
[SIGHS]
- How does it look?
- You don't want me to read this.
But whatever it says, you're
the toughest person I know.
- You're gonna get through this.
- Yeah.
Pull the 12-lead, please.
Page Dr. Ndugu. 911.
- You know what this is?
- No.
So you don't know how
long this is gonna take?
You have somewhere more important to be?
I'm just trying to get on a TRAM flap.
Well, I'm not in France right now,
but five minutes ago, I had my
hands in a bloody abdominal cavity.
- You can't have it all.
- [SIREN WAILING]
Maisie Lawrence, 27, pinned under
a bus, intubated in the field,
crush injury to the
abdomen, left leg laceration.
We placed a tourniquet.
She needs blood, imaging and an OR.
I'll let you three take over from here.
All right, let's go.
[HUNT] Hey, I'll be
right there, okay? [PANTS]
Hey, are you, uh are you
trying to get away from me?
I have patients to see, and Maisie
doesn't need two trauma surgeons.
Is this about what
happened this morning?
[SIGHS]
Let's just do our jobs
and forget about it, okay?
[SPENCER] Dr. Adams?
[SIGHS] Did you finish
putting in Ms. Lewis's orders?
Yeah.
Can you help me with something?
I know that you're trying
to increase your cases,
but Dr. Kwan was just
paged to meet a rig,
and we were so close to
getting that wound vac on Frank.
Not my patient, not my problem.
They're gonna give him an ostomy,
and he's old and has a
bunch of comorbidities.
Did Dr. Kwan promise you a
spot on Mohanty's TRAM flap?
- No. No, I swear.
- I thought you didn't like Frank.
Is he a gross old man who makes
me vaguely uncomfortable? Yes.
But he is also a person who deserves
the best care we can provide.
Dr. Adams, I took an
oath to help the sick.
What kind of a doctor am I if
I break my promise on day one?
Okay, let's go put a wound vac on Frank.
- Uh How did you
- Because I'm clutch. Right here, bud.
Let me set this over here for you.
[CLEARS THROAT]
[BRYANT] All right, this way.
[BRYANT] Good?
- All right, let's see. I'm gonna
- Mm-mmm.
- I'm gonna just
- [WHIMPERING]
[MUMBLES]
Foul on the play, dude, okay?
You gotta work with me.
[ELECTRONIC VOICE] No. Thank you.
- Yeah, real clutch.
- Well, what do you expect, okay?
I'm poking at him right above his eye.
As long as he can see my
hands coming, he's gonna move.
What if he can't see your hands?
Great idea. Let me just grab
my invisibility cloak, and then
Wasn't that bad of a joke.
[CLEARS THROAT]
Giving up, going on vacation?
We need to look at the
cut on your forehead.
Do you want to wear this?
Then you can keep playing
your game while we clean it up.
Mmm.
Nice.
Yeah, don't strain your
neck looking up to me.
[MONITOR BEEPING]
Somebody please say something.
Well, the good news is
we have options. [SIGHS]
[LINCOLN] I come bearing gifts.
- What happened? Did something change?
- You might want to sit down.
I don't want to sit down. What's wrong?
Winston was about to give
me the results of my echo.
Is she okay?
You have peripartum cardiomyopathy.
Your heart muscle is
weakening and getting bigger.
Well, how do we treat it?
Do we have to deliver the babies?
We can start with medication,
but if that doesn't work,
then we will need to deliver the babies,
or place a pump called an Impella,
and it sits within the ventricle
and it gives continuous flow
to support the heart's function,
giving you a chance to recover,
which will also allow more
time for the babies to develop.
[BREATHING HEAVILY]
[SMACKS LIPS] So what do you want to do?
The babies need as
need as much time as they
can get, so I'll do the pump,
if it comes to that.
But the medication could work.
- It could work, yes. It could.
- Okay.
I have a consult and then
I will check back in, okay?
Let's start her on Dobutamine
and place an A-line.
[LINCOLN BREATHES DEEPLY]
- Oh. You forgot your tablet.
- Hey, no
- I think it was already
- I'll be right back.
Okay.
Okay.
Hey, I'm trying to
stay calm, so she
stays calm, but
be honest with me.
How scared should I be?
[GRUNTS] Her heart is failing.
[BREATHES SHAKILY]
- Why? Why is this happening?
- No one knows why.
If it's genetic or the hemodynamic
shifts of a twin pregnancy.
But we're on top of it, and
we have options at this point.
You you got to watch her like a hawk.
An echo every 30
minutes if you have to.
I was just telling Warren that
he's exclusively on Jo today.
She will have 100% of my attention.
Listen, man, I know that it's difficult,
but we can only take it one
step at a time right now.
Anxiety could only make it worse for Jo.
- Okay.
- Okay.
Dr. Webber, Dr. Freeman's been
trying to get a hold of you.
Scott Freeman, the urologist?
Uh, we have the same patient.
- Uh, it must be urgent.
- Oh. Then go, go. We have enough hands.
Hey, look, I know we disagreed
earlier, but I'm in this now.
That's not it. I'm
Then go. Handle your
emergency and let me do my job.
[MONITOR BEEPING]
He's tanking.
Go. We've got this. Come on,
let's get him to the OR now.
I have zero faith in you.
- Yeah, thanks, Frank.
- [SCOFFS]
Can I try? 'Cause I learned a
couple of things from Dr. Kwan.
No, I want to do this fast so
I can get into an actual OR.
- So you're Dr. Spencer and you're Dr
- Adams.
- A-D-A-M-S?
- Yep.
I'm gonna sue you people
when all this is over.
You're gonna want to include
Kwan in that. K-W-A-N.
What if you move
it a little to the right
and then lay it down from the bottom up?
No. Not like that.
Stop telling me how to do
something you don't know how to do.
You're barely a doctor.
Sorry.
[WHIRRING]
- Zero faith, you said.
- It worked?
I'll take the ostomy off the board.
[CLEARS THROAT]
I might leave her out of the lawsuit.
She's a good kid.
You sure we can't just suture it?
It's superficial. He
just needs some Dermabond.
Okay. Hey, bud.
So I'm gonna close up your cut,
but it may sting a little bit.
So if you need a break at any
time, you just give me one of these,
I'll stop right away, okay?
- Okay.
- Okay, good.
- [CHIMES]
- [AARON CHUCKLES]
You won again?
- [LAUGHING]
- [CHUCKLES] What's your secret?
[ELECTRONIC VOICE] I'm not telling you.
- Ouch, that hurts.
- [LAUGHS]
[ELECTRONIC VOICE] I'll tell her.
Oh, so you hate me now?
- No, he just likes me more.
- [CHUCKLES]
They need a chest tube in trauma three.
You go. I'll finish up here.
No, it's okay. I'd rather stay.
You know I said chest tube, right?
Yeah, I heard you.
It's just that if he's not gonna tell
me his secrets, I
gotta keep a close eye.
[CHUCKLES]
- Page me if you need anything.
- Will do.
[HUNT] We're starting with an ex-lap
and a vascular repair to the left leg.
I'll take the ex-lap. Helm,
you take the lead on the leg.
- Welcome back.
- [HELM] Feels like I never left.
[POP BALLAD PLAYS ♪]
Some force greater than us wants
to keep this man alive today.
Let's do our best not to get in the way.
- [BAILEY] Got it.
- [MILLIN] Okay.
[BAILEY] Now, stapler.
[MILLIN] Yeah.
Right in.
- Uh, here?
- [BAILEY] Good, good, good.
- Metz.
- [BAILEY] Ready for the specimen.
[MILLIN] Okay. That it?
[BAILEY] Good, good, good.
[BALLAD CONTINUES ♪]
[HELM] I need loupes.
- I need more lap pads.
- How's the leg?
It's a good thing you got a
tourniquet on in the field.
There's a huge defect in the femoral.
[MONITOR BEEPING]
[HUNT] Send a TEG and hang another unit.
[HUNT GRUNTS] More lap pads.
[HELM] Okay.
Please, her name is Maisie.
The police said that she is here.
All of her family lives out of state.
I am the only one that she has.
- Excuse me. Are you Sam?
- Yeah, I
Are you one of Maisie's doctors?
Is she okay? [BREATHING SHAKILY]
She is here, but I-I can't
disclose any more information.
I'm-I'm so sorry.
I never should have
walked out of that door.
[SOBS] I'm sorry.
Here, um [STAMMERS]
Why don't you sit down?
Talk to us.
My BP is dropping. My O2 sat's at 85.
- Don't panic. We got you.
- [SOBBING]
[IRIS] Deep long breaths, okay?
There's decreased cardiac contractility.
All right, Jo, we're
gonna place the Impella,
so we're gonna take you to the cath
lab while you're still stable, okay?
- Luna's puppy is missing
- [WILSON] Link [SOBBING]
- Did her EF drop?
- [WARREN] It's too low.
She's gonna need the heart pump.
It's gonna be okay. It's gonna be okay.
Winston's done this hundreds of times.
I won't, but I could do it
with my eyes closed. All right?
And I'll be right here
waiting for you, okay?
I love you. Do you hear me?
Do you hear me? I love you so much.
This won't take long. We'll let
you know when she's done, all right?
[WARREN] Clear!
[SONG ENDS]
Hey.
I did a thoracotomy today, on my
own, and brought the patient back
- with cardiac massage.
- Nice.
- He arrived DOA, but
- I don't mean to cut you off,
- but I really gotta
- Oh, no, no. Go.
I do want to hear though.
I'm going to have a drink at Joe's
tonight to celebrate
if you want to join.
- I'll see you there.
- Okay.
[KAVITA] Adams, impressive
work on that wound vac.
You did what a fellow and two
plastics residents couldn't.
What can I say? I guess I
really want in on that TRAM flap.
Don't be late.
Dr. Mohanty.
Dr. Spencer was instrumental
in placing the wound vac.
Can she, uh, scrub in too?
Sure. See you up there.
You didn't have to do that.
I know I didn't really help, so
You got me in the room.
When I was an intern, I hated when
senior residents would dismiss me.
Now I know they were just in a rush
and everybody is scared of messing up.
It's not personal.
But it's also not a good excuse either.
Make sure to review his
imaging before we start.
Well, what was your snack today?
Oh, yeah? [LAUGHS] Yum.
Oh, hang on, Daddy's here.
- Want to say good night? It's Allison.
- Yeah.
Hey. Hey, Allie, how was your day?
No, no, no more naked ladies.
[CLEARS THROAT]
No, we're gonna talk
about that tomorrow, yeah.
Okay, I love you. Good night.
Hey, I'll be home before
- And she hung up.
- [CHUCKLES]
Listen, Maisie is in the ICU.
We saved her leg, but
we had to keep her open,
so we're doing a washout tomorrow.
Good.
Okay. I'm ready. Let me have it.
All day I have stopped myself
from picking a fight with you,
and now you are literally asking for it.
I don't want to. I am
so sick of fighting.
And the truth is, I have no business
having feelings about
who you're sleeping with.
But still, it it was
It was hard seeing
you with someone else.
Especially someone who
you have a history with.
[HUNT] Yeah. [SIGHS]
I don't love seeing
you with Cass either.
Fair.
This morning when you were under
that bus, I was I was worried. [SIGHS]
I
I was thinking maybe
we're rushing all of this.
Don't you wish that we could just
fast-forward to where we
have it all figured out.
[HUNT CHUCKLES]
[CHUCKLES] And miss the look
on your face this morning?
- Yeah, that would have been great.
- [CHUCKLES]
I don't think we're rushing it.
It's it's complicated.
But we'll figure it out.
Yeah.
- Good night.
- Good night.
[SIGHS]
We'll get access through the femoral,
feed it up to the left ventricle,
check our placement under
fluoro, secure it in place,
and then we're out of here.
- [MONITOR BEEPING]
- [WARREN] What now?
[IRIS] I'm not getting any
fetal heart tones on baby A.
- Her cardiac reserve is collapsing.
- [IRIS] No tones on baby B.
Is Jo stable enough for a section?
- At the moment, yes. Page OB.
- [IRIS] We just did.
I can't stand here just doing nothing.
I'm gonna go see if I can find someone.
Mr. Dominguez in bed four
is ready for discharge.
I'll go check on him.
You did good today.
- What was that?
- [CHUCKLES]
- You heard me.
- [CHUCKLES]
Mmm. A compliment from Dr. Griffith.
I didn't think you had it in you.
You prioritized a
patient over a procedure.
Not everyone would.
Thank you.
- We should grab a drink later.
- That wasn't an opening.
I was giving you constructive
feedback in a professional setting.
- We're in a supply closet.
- [SIGHS]
I should go check on Mr. Dominguez.
Or you could stay here.
With me.
I can't.
[SUCKS TEETH] All good.
I'll see you. [CLEARS THROAT]
[SIGHS]
Adams got the surgery.
I got a trauma.
You can't have it all.
Besides, there'll be more.
- You sound awfully sure about that.
- I know myself.
If I want something bad enough, I'll
do everything in
my power to get it.
And what you want is a TRAM flap.
Yep.
Is that all you want?
[BUTTON CLICKS]
[ELEVATOR MOTOR STOPS]
[SORROWFUL MUSIC PLAYING ♪]
[GREY] The hardest thing about
waiting is knowing when to stop.
Instinct may tell you one thing,
and experience tells you another.
Nora?
Hey, what are you what
are you doing here?
[SONG CONTINUES ♪]
You okay?
I can't do this.
[HUNT STAMMERS] Do w-what, us?
If this is about this morning, Teddy
and I, we talked, and she's okay.
And I'm not.
Teddy's more than my surgeon.
She saved my life with
a procedure she invented.
If I get a cold, I can't
just go to urgent care.
I have to call Teddy because she's
the only one who understands my body.
I text her when I have a fever.
I call her when I want
to take an ibuprofen. I
You're trying to divorce yourself from
her, but I'm getting more entangled.
I see.
I want to believe that we can
make it work too, but I just
I don't I don't see how.
We found ourselves
together a second time.
Maybe we'll get a third.
[HUNT] Yeah.
[GREY] All you can do is pay attention.
[SONG CONTINUES ♪]
Glen's out of surgery. He's hanging on.
You were right to push.
I'm glad to hear it.
This may not be the time,
but I want to talk to you about
reinstating my lecture series.
Now I know you have your
reasons for canceling it,
but I had my reasons for starting it.
My reasoning may not stand.
I've been a little distracted.
Dr. Freeman and I don't share a patient.
I am the patient.
What?
He gave me my biopsy results.
I have cancer.
- [NDUGU] Where's OB?
- On the other side of the hospital
and have multiple emergent
deliveries right now.
- What are you doing?
- We have to deliver these babies.
We? Look, I haven't done a
C-section since med school.
You know where the uterus is?
- Yes, I-I-I do.
- Then you can do this.
[GREY] And hope that when
the time finally comes
Now.
- [SIGHS]
- [MONITOR BEEPING]
[SIGHS]
[NDUGU] Okay. All right.
Stay with me, Wilson.
Come on. Stay with me.
[GREY] you'll be ready.
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