Grey's Anatomy s22e07 Episode Script
Skyfall
1
[PLANET OF SOULS &
LILY PAPAS "ONE" PLAYS]
[GREY] Before operating,
a surgeon scrubs.
a modern illusion ♪
I'm feeling like we
have to prove that ♪
[GREY] We meticulously wash our hands
and forearms for several minutes,
and then dry with sterile towels.
Trying to find a
way to the answer ♪
'Cause nobody wants to
believe that we're all one ♪
[GREY] Technically, we do
this to prevent infection.
Caught up in a common delusion ♪
[GREY] But it's also a ritual.
I'm feeling like we have to
lose our right to feel love ♪
Trying to hide away
from the madness ♪
[GREY] It's a way to shut
out the rest of the world
and mentally prepare.
[LOUD BEEPING]
[STEADY BEEP]
[SONG CONTINUES]
[GREY] Because no matter
how experienced you are
it's never easy holding
someone's life in your hands.
[STEADY BEEP CONTINUES]
How's she doing?
Well, Ndugu says the heart
pump is doing its job,
but I won't feel better
until she's awake.
- And how are things going with you?
- I'm fine.
- Have you told Catherine?
- She's flying home tonight.
Uh, did you speak with your urologist?
He wants me to get new blood work,
and then we'll discuss a plan.
Oh. You have time
to do that today?
You should do that as soon as possible.
I got my biopsy results
not even 24 hours ago.
Can I have a minute to
wrap my head around it?
[STAMMERS] I just want to make sure
that you are taking care of yourself.
- [SIGHS]
- I mean, you should take the day.
[STAMMERS] I-I can cover your patients.
Well, it's not a terrible idea.
If that's your way of thanking me
- [PHONE BUZZES]
- it needs work.
Oh.
Okay, I have to check on a patient.
Hey, would you sit with
her until Link comes back?
I I just don't want her to be alone.
- Oh. Of course.
- Hmm.
[PA ANNOUNCER] Dr. Higgins to the ER.
Dr. Higgins to the ER.
They are beautiful.
They're so small.
But mighty. Do they have names?
Uh, we hadn't decided yet.
And if I name them without Jo,
I'll have a very short marriage.
[CHUCKLES] Smart man.
Do you know when they're
gonna be extubated?
Baby A's having
a CPAP trial later
today, and we don't
know about her sister.
They haven't been able to
decrease the vent settings.
[SIGHS] It hasn't even been 12 hours.
She'll get there.
- Dr. Lincoln, can I have a word?
- Oh. Dr. Kasliwal.
This is Ben Warren. He's one of the
doctors that helped deliver the girls.
You all did a great job.
They came out just in time.
So I examined them again.
No news on Baby A, which is good,
but I am picking up a
heart murmur on Baby B.
It can be normal, but since she needs
more oxygen, I'd like to do an echo.
Whatever you need to do.
If you wanna check on Jo, I'll
find you when we get the results.
[LINCOLN SIGHS]
My day-old baby is having an echo.
NICU is a different world.
Minute to minute and a
marathon at the same time.
Just pace yourself.
[LINCOLN SIGHS]
My usual and whatever she wants.
Just the coffee.
You sure? You burned a
lot of calories last night.
Hi. Uh, large coffee, please.
- Me, me, me.
- Make that two.
- You got it.
- Max host karaoke again?
No, I was just up late at Joe's.
I wasn't breaking the pact.
- I was just having a drink.
- Hmm.
[BARISTA] Here you go.
That'll be 5.50, please.
[MILLIN] I thought she hated him.
- [GRIFFITH] They hooked up last night.
- Gross.
- And she made him waffles.
- [SCOFFS]
- [CUSTOMER 1] Look.
- [CUSTOMER 2] Check it out.
- [CUSTOMER 3] Aw.
- [CUSTOMER 4] See that?
You think they changed their mind?
- Wouldn't be the first person.
- [CHUCKLES]
Millin. Hey, I'm sorry I
didn't make it last night.
Uh [BLOWS RASPBERRY] No problem.
- Rain check?
- I don't think that's a good idea.
Okay.
Uh, well, if you change your mind, I
will definitely need a drink tonight.
Yep.
You were trying to break the pact.
But I didn't. The pact is intact.
- Why? Are you trying to break the pact?
- Absolutely not.
[CURTAIN RATTLES]
How's my favorite patient?
Yeah, I bet you say that
about all your patients.
[STAMMERS] But you are the only one
that I am visiting on her
first day of her clinical trial.
Come on. You ready to kick cancer's
- I've already vomited twice today.
- [SIGHS]
But you are here.
[STAMMERS] Look, and you're young,
you're strong, and you can do this.
And the results for this immunotherapy
continue to be very promising.
- Hi.
- Oh. It's time to go?
Uh, almost. Uh
Can I Can I talk to you?
Sure. Hmm.
- Yes?
- Her medication is expired.
[STUTTERS] That's That's impossible.
It just got here.
I don't know. Maybe it's mislabeled?
[STAMMERS]
No, it's not worth the risk.
Okay, better move on to plan B.
- Which is?
- You tell me.
Uh [STAMMERS]
I-I can have them ship a new bag.
- It'll be here end of the week.
- [STAMMERS] Absolutely not.
No, I want her treatment to start today.
You wanted on the team?
Figure it out. Today.
Looks like a Monteggia fracture.
We need to page ortho
to get him admitted.
- Uh-huh.
- "We" as in "you."
- [SIGHS]
- [ALTMAN] Hey.
Hey. Can this wait? We're slammed.
Link's obviously out, and Webber gave
Bailey all his cases for some reason.
I'll make it quick.
Sound Science Magazine
wants to do an interview.
Oh. Congratulations.
It's about the ventral aorta,
so it would be a joint interview.
With Nora.
Oh, well, you don't need my
permission to do an interview.
Wasn't asking. I just
wanted to be transparent.
Yeah.
- Incoming trauma.
- Oh. I I need to go.
[SIREN BLARES]
Okay, what do we got?
Graham Clayton, 26-year-old
male in a small aircraft crash.
GCS 15, tachycardiac,
systolics in the 90s.
He's got a right leg fracture
and burns involving left-sided lower
and upper extremities, chest and back.
Damn, that does not look good.
I'll page the burns team.
Tell 'em 911.
Let's get him to trauma three.
Okay? Let's go.
- Whoa.
- Hey. What the
Hey, you can't park here.
Graham. That's my friend. Is he okay?
You gotta be okay, man. [PANTING]
He borrowed my uncle's plane
to propose to his girlfriend.
- She on the plane too?
- [FRIEND] No, she's at work.
So, Graham was the skywriter?
He has a pilot's license, but it
was his first time doing loops.
- Sir, you need to move your car.
- Take it. I don't care.
Unfortunately, her echo doesn't
show an increase in her EF.
[LINCOLN] Thought you
said the pump was working.
[NDUGU] It is working.
It's keeping her alive
and it's allowing her heart
a chance to recover
after the cardiomyopathy.
But all we can do is monitor her
and keep watching her EF,
look at the contractility.
So sit and wait?
What happens if it doesn't recover?
- Okay. Let's not go there yet.
- What happens?
We would need to consider
a more permanent solution,
possibly a heart transplant.
Can I have a minute?
Of course, but like Warren said, let's
not go to the worst-case scenario.
It's only been hours.
I need a minute alone with my wife.
[ADAMS] Dr. Bailey?
Uh. I'm late for my
next consult, so talk fast.
Okay, Harbor General in Tacoma.
It's a site for the same
clinical trial that Katie's enrolled in.
Liking the sound of this.
Yeah, they have the
medication, but the drug
[GRUNTS] There's always a "but."
Yeah, the drugs are already
mixed, so it's too unstable to transport.
Katie will have
to go there to get it.
Oh. Doesn't sound
like an issue to me.
Drive safe now.
[STUTTERS] Wait, you want
you want me to take her?
Well, she's in no shape to drive.
And if you think you're
going to stuff her into a rideshare
and call it a day, you clearly
don't understand the assignment.
Okay. [STAMMERS] Well, why
not send her with medical transport?
I have other patients.
Your interns can cover you.
That is what they're here for.
Katie is precious cargo. I
expect you to treat her as such.
[PA ANNOUNCER]
Dr. Brasington to Oncology
[SCOFFS]
Ooh. Got anything good?
Plane crash survivor, extensive
burns, possible internal bleeding.
- Shut up.
- Mmm.
He's an intern.
There's nothing going on.
[SMACKS LIPS] Trying
to convince me or you?
I've learned my lesson about
dating coworkers, unlike some people.
Why aren't you answering my page?
- Uh, you paged two minutes ago.
- Precisely.
And I heard you
were late for rounds.
[SIGHS] So was Millin.
Oh. Throwing your
co-resident under the bus and late.
Congratulations. You're
both on ureteral stent removals.
All day?
Six kidney transplant at
an hour each, plus documentation.
So unless you do
it in a time portal, yes.
There's nothing you need help
with that's more surgical?
Or less boring?
Uh, can can we get
in on that plane crash guy?
What color are my scrubs?
- Navy.
- Correct.
I'm an attending doing
a favor for your chief resident
who is with his friend in a coma.
You don't like your assignment?
Take it up with him.
[CHUCKLING] Or Bailey. Would
you like to talk to Dr. Bailey?
- Oh. We're good. We're good.
- Love stents.
- I suggest you be on time tomorrow.
- [ELEVATOR DINGS]
[RHYTHMIC BEEPING]
Excuse me. What have we got?
Full thickness burns to the
left, upper and lower extremities.
Some are circumferential.
Partial thickness burns to the
chest and abdomen.
[KAVITA] Hang another LR. Calculate
the modified Parkland formula.
Graham, I'm here, buddy.
Colin, call Fiona.
I need to intubate him now.
I need you to move back.
- Someone get him out?
- I'm not leaving him.
- We will update you when we know more.
- [HUNT] Let's go.
Yeah, I'm in.
There's free fluid
in the abdominal cavity.
[HUNT] Let's keep a close eye on it.
Let's get him ready to move
to the burn ICU to resuscitate.
Millin, prep the subclavian
line as soon as we get there.
I'll be placing the line.
- With all due respect
- You're a second-year resident.
I'm a fellow specifically trained
in burns. It needs to be done right.
It needs to be done ASAP.
Mohanty will place the line, okay?
Let's get ready to move him.
Okay, let's move.
Hey.
[CHUCKLES] Who sent you?
Warren or Ndugu?
Myself. I wanted
to see how you're doing.
Hmm.
How are the babies?
Uh, I guess they're
adjusting to the NICU.
I'm filling out their
birth certificate applications.
[PHONE BEEPS]
That's the NICU. They have the
results of one of the girls' echoes.
Why'd she need an echo?
- Oh. They found a murmur.
- Is it harsh systolic, holosystolic?
- I didn't ask.
- Wha Do you know where it is?
- You know where it's radiating?
- They didn't say.
Do you want me to go with you?
I'm not a neonatologist, but
I do know all the right questions.
- Yeah, that'd be helpful.
- Great.
[LINCOLN] I'll be back.
[PA ANNOUNCER]
Dr. Manuel to the stepdown unit.
[LINCOLN SIGHS]
Aw. They are so tiny and precious.
Hello, Lincoln and Wilson girls.
[KASLIWAL] You got here quick.
Dr. Altman, good to see you.
Did you find
anything on Baby B's echo?
She has a shunting
patent ductus arteriosus.
Sorry, it's been a long 24 hours.
That's, uh, aortic defect?
The opening between the pulmonary
artery and the aorta hasn't closed.
It puts strain on the heart.
All preemies have PDA to some degree.
It's just a question
of how symptomatic they are.
- Will she need surgery?
- She may.
But we'll start with multiple rounds
of indomethacin and
see how she responds.
What are the risks?
Most common side
effect is urinary retention,
which makes it
even harder to breathe.
But if that happens, we know what to do.
Okay, let's start her on the meds.
- Okay.
- [ALTMAN] Thank you.
She's in good hands.
What if she needs surgery?
- [SIGHS]
- Let's focus on one thing at a time.
Right now, we just
need this little lady to pee.
I can't focus on one thing.
I have to check
on Jo and Luna and Scout.
I haven't even
called out of work today.
Don't worry. We know.
Why don't you go call
the kids, and I'll stay here.
[SCOFFS] I can't leave.
They're gonna do a
CPAP trial on Baby A soon.
You need to take care
of the rest of your family too.
Okay.
- All right. If anything happens
- I will call you immediately.
Are we lost?
Well, the app says that the
highway is backed up. So
Wait, how does the hospital
have my immunotherapy?
I thought it was tailored to me.
Uh, it's tailored to your tumor.
Someone with the
same biomarkers as
you must have decided not to do it.
That, or they died before
they got the chance.
It It could be a lot of things.
You really think somebody
might decide not to do it?
It can cause
autoimmune-like inflammation
leading to pneumonitis or colitis.
Normally, it doesn't lead to hair loss.
- Well, too late for that.
- Also nephritis, rashes
Is that it?
Those are the big ones.
I'm joking.
- Oh.
- Were you actually hearing yourself?
It sounded like you
were reciting a-a recipe.
How How would
you like me to say it?
I don't know. Maybe like I'm a human
who's actually experiencing this stuff?
- [CRASHES]
- [TIRES SCREECH]
Okay. [SIGHS]
Sorry. I eat when I'm stressed.
How's Graham?
We can't give you too much
information because you are not family,
but, uh, his injuries are severe.
He's headed upstairs now.
Is there anyone else that we can call?
I think his dad lives in
[STUTTERS] Arizona.
I-I knew this was a bad idea.
He's only had his pilot's
license for four months.
- You can't blame yourself.
- I know, it's just
Graham, he always does everything fast.
He's only known Fiona for eight weeks.
And he proposed? Wow.
In his defense, we
work at a ropes course
for minimum wage,
and she's a lawyer.
Like, she went to law school.
So, needed to lock that down.
Uh, have you been able to reach her?
I haven't heard back from her.
She She might be in
court, or she hates me.
I'm sure it's not that.
She always cancels when we're
supposed to hang out together.
When it's just the two of them,
she she drops everything for him.
You have to fix him.
Please let us know when
you hear from her. Okay?
Okay.
Dr. Warren.
[SIGHS] Still no increase in EF.
- Where's Link?
- Upstairs in the NICU.
I think, collectively, this family's
had five echoes in the last 24 hours.
Okay. Well, I'm not worried yet.
How's her C-section site looking?
- Everything looks good.
- Okay.
Let's hope I never
have to do another one.
Really? I thought you might wanna
get double board certified after that.
No, I do not need that
kind of pressure in my life.
Well, that's a shame.
I thought we made a good team.
Uh. Page me when Link gets back.
So, um, you and Nurse
Iris, uh, teaming up?
[STUTTERS] It's just a saying.
- Is it?
- It is. I
Are you trying to wingman me outside
our intubated colleague's hospital room?
Oh, please. Wilson would love this.
Got it.
Thanks.
Roadside assistance is on their way.
[KATIE] Who doesn't keep a spare tire?
Well, it's my aunt's car.
So, I guess my aunt.
[KATIE SIGHS]
- You okay?
- I have cancer and the car broke down.
Not okay.
Got it. Uh
Do you Look, I know
having cancer must suck
You wouldn't know the first thing
about what I'm going through.
No, I mean I just meant that
I have patients who have cancer,
and between all the
treatment and the cancer
So you know that there
have been entire days
where I haven't gotten
off the bathroom floor?
Or that I can't have ice
cream, my favorite food,
because my mouth hurts so bad
because of the sores and the nerve pain?
No, no, no, I just
Or that my best friend of ten
years dumped me after my diagnosis,
or that my other friend disappeared
after I told her I had stage four?
They think that they
are giving me space,
but their absence sometimes hurts
worse than the cancer itself.
You may be a doctor, but
there is a lot you do not know.
[EXHALES SHARPLY]
Uh, can I ask your advice?
Um. Mrs. Arrington's
mesh looks infected.
So, would you remove it and
do a component separation
or wait until after we've
controlled the infection?
I'd remove it and
place a synthetic mesh.
Wait. Really?
No, and you'd fail your
boards with that answer.
Okay, that worried me for a second.
Are you checking up on me?
- No.
- I'm fine.
Okay, I just wanted to see if
you've gotten your labs yet.
That's between me and my doctor.
- Rich
- Don't you have some patients to see?
Don't you have my patients to see?
Okay, you are right.
I am sorry.
[DOOR CLOSES]
[RHYTHMIC BEEPING]
Hey, you're only on your third one?
[SIGHS] Griffith
has the first three,
and I'll make up
time in the last three.
Griffith will believe
that when she sees it.
Just don't forget to include
urology when you send in your notes.
What's the point of a promotion
when you're asked to do the same job?
[KWAN] You have about five millimeters.
- [GRIFFITH] I see that.
- [KWAN] Little to the left.
- Wanna do this one?
- I don't wanna do any of 'em.
[GRIFFITH] Neither of us would,
if your girlfriend didn't make us
late by making waffles this morning.
A, you ate some of those
waffles, and B, not my girlfriend.
Whatever. "Woman you're dating."
Not dating, just fun.
You can't just have fun with a coworker.
When you work with someone,
you see them every day.
That, in itself, is a relationship.
You sleep with them, you're
taking it to the next level.
We think differently.
Well, Mohanty is a grown-up.
So, you wanna keep seeing her, you
need to show her you're serious.
Am I serious?
You don't have to buy her jewelry.
Just some kind of nice gesture.
Buy her a drink after work.
Send flowers from the gift shop.
- The sick people flowers?
- I'm done.
- With the stent or this conversation?
- Both.
Stay superficial.
The goal is to release the burned skin
so the tissue underneath can expand.
Good.
[BRYANT] How do we
graft over all of this?
We'll have to do it in stages over
several months,
if he makes it that long.
All of this for a
two-month relationship.
Sometimes, when you know, you know.
She's not even here.
Maybe she was too busy
to check her messages.
- Epi-soak.
- [MILLIN] Or maybe he's delusional.
[KAVITA] I'm betting on a happy ending.
What do you think, Dr. Hunt?
Well, I think, uh, Graham
has a devoted friend,
and he's obviously lovable to someone.
But short courtship, mismatched
skills and interests
If I had to put money on
this, I'm going with Millin.
Suit yourselves.
We're almost done with this leg.
Hold on a second.
Yeah, compartment syndrome. We
need to switch to a fasciotomy.
- Should we confirm with a needle?
- No need. Dr. Hunt's right.
The limb's tense. He's got weak pulses.
Bryant, we're gonna
need more burn dressings.
[BRYANT] On my way.
All right, little lady.
Let's see what you can do.
Ninety-five. She's got this.
Well, we'll keep an eye on
her, but she looks great.
How long do you expect
to keep her on the CPAP?
Until she can maintain breathing
on her own, then we'll be able to
[MONITOR BEEPING RAPIDLY]
Her oxygen requirements are
outpacing the ventilator.
We need to put her on high-frequency
oscillatory ventilation.
- Do we need an ABG?
- I need you to call Dad.
[CLEARS THROAT]
[ELEVATOR DINGS]
Permission to come aboard?
[GRIFFITH CLEARS THROAT]
Thought you were on the plane crash guy.
Uh, they needed more burn dressings.
So, headed back up now.
How about you?
On my way to OR three to
remove my fourth ureteral stent.
Yikes. Sounds like fun.
God, I love live music.
There's this bar on Union Street
No.
- I didn't ask you anything.
- It was implied.
Kinda sure of yourself.
What if I just wanted
to talk about music?
Cool. We don't have to talk at all.
- [ELEVATOR DINGS]
- [SIGHS]
- That's not the OR floor.
- Yeah, I'm gonna walk.
[CHUCKLES]
[PA ANNOUNCER] Cardio tech to room 1215.
Oh, hey. How's she doing?
[SIGHS] No change.
Oh. But But But I really
need your help with something.
Uh With a case?
Uh. With hanging here
while I go to the bathroom.
- [STUTTERS]
- No, I just didn't wanna leave her alone.
Yeah, no, no, go. Uh,
I could use the break.
[CHUCKLES] You are the last person
I should say this to, but I am beat.
[CHUCKLES, SIGHS]
So I'm not supposed to tell anyone,
but, uh, I need to talk,
and you seem like a safe bet.
So, I
Richard
has [SIGHS]
prostate cancer.
He doesn't, uh, know what stage yet,
but, uh, it's never news
that you wanna get. So
between him and you,
and my ca cancer patient whose
meds were expired, I ju [CHUCKLES]
Yeah, I don't mean to make it all about
me, but it's, you know, a lot to
[MACHINE BEEPING]
Jo, you No, stop it.
Uh. Hey, hey! Uh, page Ndugu
and bring me an ultrasound.
Jo.
- What happened?
- Uh, she's in V-tach.
[STUTTERS] Thank you.
Thank you, thank you,
thank you, thank you.
Okay.
Is she okay?
Dr. Kasliwal just set her up.
You should prepare yourself.
Thought you said she was just
putting her on another vent.
This is it.
It looks rough, but she can handle it.
Dr. Kasliwal put her on
sedation to keep her comfortable.
It's normal to be upset. This is scary.
You didn't say she'd be sedated.
She was desatting.
There wasn't time to tell you.
I never should have left you in charge.
You can't be here all the time.
You did nothing wrong.
I didn't ask your opinion.
- [KAVITA] Fasciotomy's finished.
- [HUNT] Okay, leg looks softer.
- Okay, let's dress and wrap it.
- [BRYANT] Okay.
[HUNT] How's the arm?
You can see coagulated
veins through the fat.
- Is that the muscle?
- [KAVITA] Yep. Third, maybe fourth degree.
The patient's girlfriend is here.
[BRYANT CHUCKLES] You two were wrong.
- Sorry.
- [MILLIN] It's Fiona?
[NURSE] Yeah, she's
asking for an update.
- I can go talk to her.
- Always bet on love.
[BAILEY] Still runs of V-tach.
[STAMMERS] Have you found anything?
[NDUGU] The pump is working,
and it's in the correct place,
but the Swan catheter is
coiled in the right ventricle.
So I'm gonna need to inflate and
advance it into the pulmonary artery.
- [MONITOR BEEPING RAPIDLY]
- Would you grab that?
Got it. There we go.
Um, I can redress the catheter
and secure it in place.
Okay. Yeah. Um Just let
me know if there's any issues.
Absolutely.
[BREATHES SHAKILY]
I was trying I was trying
to make it go down, but it j
- It's okay. You're okay.
- It wouldn't go down
Listen to my voice.
Name five things that you hear.
- Your voice. My voice.
- [WARREN] Right. Okay. Okay. Okay.
The monitor. The monitor.
It's going It's going
What else What else do you hear? Shh.
Don't focus on the monitor, focus
on my voice. Focus on my voice.
- I'm trying So strong
- [WARREN] There we go.
It's okay. It's okay.
- Okay. Okay.
- Okay.
- Okay.
- Okay.
[PA ANNOUNCER]
Echo tech to Cardiology, bay three.
Echo tech to Cardiology, bay three.
Oh, thank you. You don't have to
sit with me if you don't want to.
Yes, but if I don't,
Bailey's gonna put me
on rectal exams for
an entire month. So
[CHUCKLES]
Yeah, sorry about
dumping my issues on you.
I just don't wanna worry my mom.
Uh, yeah. Listen, you were right.
I I do have a lot to learn.
Well, luckily, you seem
pretty smart. [CHUCKLES]
- Are you ready for lesson number two?
- Mmm.
Only way to get through an infusion
is by watching a romantic comedy.
[BLOWS RASPBERRY] I like rom-coms.
Well, Die Hard is not a rom-com.
Wait. Is that the one with Meg Ryan?
[SCOFFS]
Last chance to save yourself.
[CHUCKLES]
- Dr. Mohanty?
- Oh.
- Here you go.
- Thanks.
Oh. Nice flowers.
They're from your roommate.
That's thoughtful.
Yeah. He's got the wrong idea.
I mean, he's a nice guy.
But I'm not looking for a relationship.
I thought he'd understand,
being a surgeon too.
Guess I was wrong.
Can I leave these
until I finish my shift?
Thanks.
- Uh, Fiona? I'm Dr. Jules Millin.
- Is Graham okay?
I'm really not supposed to say
much other than we're treating him.
He was in a plane crash.
He suffered significant
burns and injuries.
I don't I don't understand.
How did this happen?
You. What did you do?
It was all Graham's idea. I swear.
He thought you'd see
it from your office.
See what? What are you talking about?
[BREATHING SHAKILY]
- How did he get a plane?
- It's my uncle's.
You let him fly your
uncle's plane and he crashed.
Get out. Get out.
He told me to look out the
window, but I was in a meeting.
I don't know what he was thinking. He
always gets these ideas in his head.
You know, you don't have to say yes.
Even with the crash.
What? What? No, no, I meant
He could have just taken
me to a nice restaurant
or-or asked me to go for a walk.
But this is this is so him.
You would have said yes?
Of course I would.
I love him.
Everyone thinks I could do better,
but I don't care what they think.
I-I don't need our relationship to
make sense to them or anyone else.
It makes sense to me.
To us. I I need to see him.
Where is he?
He's in a burn ICU.
You wait here, and I I will come
and get you when he's ready, okay?
["I DON'T WANT YOUR GARDEN" PLAYS]
Cleaning all my clothes
'til I dream again ♪
The sorry wasn't good,
but we wanna be friends ♪
Oh, uh
I'm, um, sorry to interrupt.
No. It's okay.
I don't even know what I'm doing here.
Well, looked like you were praying.
- No, I'm not religious.
- Mm-mmm.
That's not a requirement.
Sometimes I stop in just
to get away from things.
My daughter was sedated
and put on a medieval-looking vent,
and I wasn't there.
So she had to go through that alone.
So I guess I'm just looking
for some forgiveness.
- You feeling any?
- Nope.
That's a big ask.
Give it time.
Jo said she prayed for
me after the explosion.
She said it made her feel better,
but it just makes me angry.
[WEBBER] You know, I grew up in church.
And I still struggle to understand how
God allows certain things to happen.
But that's what having faith is about.
It's how prayer gives me peace,
even in times of doubt.
Well, I don't think it works for me.
There's a thing we say in recovery.
If you can't bring yourself
to believe in a higher power,
believe in the people in this room.
I'm biased, but you and Jo have
some great people around you.
In this time of doubt,
let them give you peace.
'Til it goes away ♪
I don't want your garden ♪
Come on. Come on.
[PANTING] Come on.
- Come on.
- What happened?
[HUNT] Charge to 200. Clear.
He went into V-fib.
- What about his potassium?
- I already corrected it.
- [SIGHS]
- [STEADY BEEP]
- Time of death
- No. No, no, no, no, no.
She's-She's-She's here. She's
here, and she's going to say yes.
Millin, we pushed six rounds of epi.
His kidneys are shutting down.
He's too acidotic to survive.
Time of death 19:23.
I don't want your garden ♪
I don't like the cold ♪
We don't see it coming ♪
But we know how this goes ♪
Okay, hot take. "Sleepless in
Seattle" is the worst rom-com ever.
Yeah, I mean, they don't even
meet until the last scene.
Yeah, but, ugh that
house on the water?
- Yes, please.
- Fair.
I mean, could you imagine waking
up to that view every morning?
I mean, I live, like, five
minutes from the water,
but I haven't been in months.
Neither have I.
What are you doing right now?
- I think you're taking me home.
- Let's go see the houseboats.
Don't you have to go back to work?
Yeah, we'll tell
Bailey that the infusion
took a little longer than expected.
Are you feeling okay?
Yeah.
Take the next left.
Hey.
I've already started the
notes for Patty Torres.
- Great. Not why I'm here.
- Yeah? Then talk.
I may have steered you in the
wrong direction with Mohanty.
What does that mean?
You and I may think differently,
but you and her think alike.
You're not dating.
I knew it. I knew it. I knew [SIGHS]
You owe me 50 bucks for
those stupid dumb flowers.
- Those flowers cost 50 bucks?
- What do I do now?
- I'm not gonna get involved.
- Wait
But there's no such thing
as a stapler for an aorta.
So we had to use a gastrointestinal one.
That doesn't sound like Goldilocks.
I'm sorry. I'll-I'll leave.
Just wanted to say good night
before I left for the evening.
You have nothing to apologize for.
I'm the one who's sorry.
You were just trying to help.
I get it. Truly.
I'm grateful to have
people that understand.
Because I don't even know how
to hold it together right now.
I'm here.
Whatever you need.
Try to get some sleep.
[SIGHS]
You know, I told your brother
and sister that you're here,
and they can't wait to meet you.
Of course I can't guarantee they
won't try to hit you when they visit.
They're toddlers.
That's how they show their love.
But you'll understand soon enough.
She peed. My daughter
My daughter peed.
She peed.
Yes.
When you can see ♪
Your way through the sorrow ♪
Hey. I-I'm-I'm sorry, but, uh,
these flowers were delivered
to the wrong person.
They're addressed to Dr. Mohanty.
Yeah, for the, uh
For the other Dr. Mohanty.
Dr. Sunil Mohanty?
The dermatologist who's
retiring next month?
Yeah.
"Thanks for a great night.
Let's do it again sometime."
He took a look at a rash for me.
On a patient.
You know what?
I'll send him chocolates tomorrow.
You keep these.
You coming?
[KNOCKS ON DOOR]
Oh, uh, Bailey. I just wanted to
I know you think I am overstepping,
but I don't give a damn.
You are a mentor, a friend,
and I care about you.
I know you think you have it all
covered because you're a doctor,
a smart man, but you are also stubborn.
And I refuse to let you get in
the way of your own care because
What are you doing?
I wanted to ask if you'd draw
some blood for my new lab test,
if you'd let me get a word in edgewise.
Of course. [SIGHS]
Sorry, I snapped at you earlier.
I have cancer.
How long are you gonna milk that?
Until the cows come home.
[SIGHS] Okay, here.
- Hey.
- Hey.
[SNIFFLES] Fiona called me and told me.
- She says it's my fault he died.
- That's not true.
Uh
My best friend is dead and he's the
only person I wanna talk to about it.
I'm sorry.
Yeah. Me too.
[SNIFFLING]
- Hey.
- Hey.
- How's Jo?
- Uh Same.
- Twins are hanging in, and Link
- Yeah.
- He'll get there.
- Yeah.
Oh, uh, don't forget
about Allison's, um
Dentist appointment tomorrow,
yeah. I saw it on the calendar.
Good luck with the interview.
What you did was amazing, and
the world should know about it.
Thank you.
Talked to Nora.
She told me that you guys broke up.
I mean, you could've told me.
I could've, but
[SIGHS] That would have been us
falling into our old patterns,
and I'm trying my
hardest to move forward.
So
Doesn't mean I'm not proud of you.
- Good night.
- Good night.
[GREY] When a surgeon
steps into the OR
Oh, I can almost taste it ♪
[GREY] there's no room
for self-doubt.
Feels like I have to chase it ♪
[GREY] You have
to silence that small
voice that says you aren't ready.
You gotta be kidding me.
'Cause it's here and now ♪
Why are you everywhere all the time?
I work here.
[SCOFFS] Is that gonna
be a problem for you?
It's here and now ♪
[GREY] Because if you wait to
make a move until you're ready
[BOTH PANTING]
[GREY] you might never
leave the starting gate.
'Cause it's here and now ♪
It's here and now ♪
[INDISTINCT CHATTER, LAUGHTER]
It's here and now.
Take my hand, don't look down ♪
[GREY] You simply have to trust that
you'll be able to weather the storm.
[WARREN] Contractility has improved.
Her EF has gone up 5%.
- Her heart's recovering?
- It's recovering.
I'll give you two some space.
- Well, hey. If you don't mind
- Checking on your girls?
Was already headed there.
[SIGHS]
I know it doesn't make any sense, but
Baby B looks just like Luna.
You'll see when you meet her.
Baby A, she's got this way
of, uh, scrunching up her nose,
like you do when you
think I'm talking too much.
Jo?
[GREY] Whatever that storm may be.
Show me what it's all about
It's here and now ♪
[PLANET OF SOULS &
LILY PAPAS "ONE" PLAYS]
[GREY] Before operating,
a surgeon scrubs.
a modern illusion ♪
I'm feeling like we
have to prove that ♪
[GREY] We meticulously wash our hands
and forearms for several minutes,
and then dry with sterile towels.
Trying to find a
way to the answer ♪
'Cause nobody wants to
believe that we're all one ♪
[GREY] Technically, we do
this to prevent infection.
Caught up in a common delusion ♪
[GREY] But it's also a ritual.
I'm feeling like we have to
lose our right to feel love ♪
Trying to hide away
from the madness ♪
[GREY] It's a way to shut
out the rest of the world
and mentally prepare.
[LOUD BEEPING]
[STEADY BEEP]
[SONG CONTINUES]
[GREY] Because no matter
how experienced you are
it's never easy holding
someone's life in your hands.
[STEADY BEEP CONTINUES]
How's she doing?
Well, Ndugu says the heart
pump is doing its job,
but I won't feel better
until she's awake.
- And how are things going with you?
- I'm fine.
- Have you told Catherine?
- She's flying home tonight.
Uh, did you speak with your urologist?
He wants me to get new blood work,
and then we'll discuss a plan.
Oh. You have time
to do that today?
You should do that as soon as possible.
I got my biopsy results
not even 24 hours ago.
Can I have a minute to
wrap my head around it?
[STAMMERS] I just want to make sure
that you are taking care of yourself.
- [SIGHS]
- I mean, you should take the day.
[STAMMERS] I-I can cover your patients.
Well, it's not a terrible idea.
If that's your way of thanking me
- [PHONE BUZZES]
- it needs work.
Oh.
Okay, I have to check on a patient.
Hey, would you sit with
her until Link comes back?
I I just don't want her to be alone.
- Oh. Of course.
- Hmm.
[PA ANNOUNCER] Dr. Higgins to the ER.
Dr. Higgins to the ER.
They are beautiful.
They're so small.
But mighty. Do they have names?
Uh, we hadn't decided yet.
And if I name them without Jo,
I'll have a very short marriage.
[CHUCKLES] Smart man.
Do you know when they're
gonna be extubated?
Baby A's having
a CPAP trial later
today, and we don't
know about her sister.
They haven't been able to
decrease the vent settings.
[SIGHS] It hasn't even been 12 hours.
She'll get there.
- Dr. Lincoln, can I have a word?
- Oh. Dr. Kasliwal.
This is Ben Warren. He's one of the
doctors that helped deliver the girls.
You all did a great job.
They came out just in time.
So I examined them again.
No news on Baby A, which is good,
but I am picking up a
heart murmur on Baby B.
It can be normal, but since she needs
more oxygen, I'd like to do an echo.
Whatever you need to do.
If you wanna check on Jo, I'll
find you when we get the results.
[LINCOLN SIGHS]
My day-old baby is having an echo.
NICU is a different world.
Minute to minute and a
marathon at the same time.
Just pace yourself.
[LINCOLN SIGHS]
My usual and whatever she wants.
Just the coffee.
You sure? You burned a
lot of calories last night.
Hi. Uh, large coffee, please.
- Me, me, me.
- Make that two.
- You got it.
- Max host karaoke again?
No, I was just up late at Joe's.
I wasn't breaking the pact.
- I was just having a drink.
- Hmm.
[BARISTA] Here you go.
That'll be 5.50, please.
[MILLIN] I thought she hated him.
- [GRIFFITH] They hooked up last night.
- Gross.
- And she made him waffles.
- [SCOFFS]
- [CUSTOMER 1] Look.
- [CUSTOMER 2] Check it out.
- [CUSTOMER 3] Aw.
- [CUSTOMER 4] See that?
You think they changed their mind?
- Wouldn't be the first person.
- [CHUCKLES]
Millin. Hey, I'm sorry I
didn't make it last night.
Uh [BLOWS RASPBERRY] No problem.
- Rain check?
- I don't think that's a good idea.
Okay.
Uh, well, if you change your mind, I
will definitely need a drink tonight.
Yep.
You were trying to break the pact.
But I didn't. The pact is intact.
- Why? Are you trying to break the pact?
- Absolutely not.
[CURTAIN RATTLES]
How's my favorite patient?
Yeah, I bet you say that
about all your patients.
[STAMMERS] But you are the only one
that I am visiting on her
first day of her clinical trial.
Come on. You ready to kick cancer's
- I've already vomited twice today.
- [SIGHS]
But you are here.
[STAMMERS] Look, and you're young,
you're strong, and you can do this.
And the results for this immunotherapy
continue to be very promising.
- Hi.
- Oh. It's time to go?
Uh, almost. Uh
Can I Can I talk to you?
Sure. Hmm.
- Yes?
- Her medication is expired.
[STUTTERS] That's That's impossible.
It just got here.
I don't know. Maybe it's mislabeled?
[STAMMERS]
No, it's not worth the risk.
Okay, better move on to plan B.
- Which is?
- You tell me.
Uh [STAMMERS]
I-I can have them ship a new bag.
- It'll be here end of the week.
- [STAMMERS] Absolutely not.
No, I want her treatment to start today.
You wanted on the team?
Figure it out. Today.
Looks like a Monteggia fracture.
We need to page ortho
to get him admitted.
- Uh-huh.
- "We" as in "you."
- [SIGHS]
- [ALTMAN] Hey.
Hey. Can this wait? We're slammed.
Link's obviously out, and Webber gave
Bailey all his cases for some reason.
I'll make it quick.
Sound Science Magazine
wants to do an interview.
Oh. Congratulations.
It's about the ventral aorta,
so it would be a joint interview.
With Nora.
Oh, well, you don't need my
permission to do an interview.
Wasn't asking. I just
wanted to be transparent.
Yeah.
- Incoming trauma.
- Oh. I I need to go.
[SIREN BLARES]
Okay, what do we got?
Graham Clayton, 26-year-old
male in a small aircraft crash.
GCS 15, tachycardiac,
systolics in the 90s.
He's got a right leg fracture
and burns involving left-sided lower
and upper extremities, chest and back.
Damn, that does not look good.
I'll page the burns team.
Tell 'em 911.
Let's get him to trauma three.
Okay? Let's go.
- Whoa.
- Hey. What the
Hey, you can't park here.
Graham. That's my friend. Is he okay?
You gotta be okay, man. [PANTING]
He borrowed my uncle's plane
to propose to his girlfriend.
- She on the plane too?
- [FRIEND] No, she's at work.
So, Graham was the skywriter?
He has a pilot's license, but it
was his first time doing loops.
- Sir, you need to move your car.
- Take it. I don't care.
Unfortunately, her echo doesn't
show an increase in her EF.
[LINCOLN] Thought you
said the pump was working.
[NDUGU] It is working.
It's keeping her alive
and it's allowing her heart
a chance to recover
after the cardiomyopathy.
But all we can do is monitor her
and keep watching her EF,
look at the contractility.
So sit and wait?
What happens if it doesn't recover?
- Okay. Let's not go there yet.
- What happens?
We would need to consider
a more permanent solution,
possibly a heart transplant.
Can I have a minute?
Of course, but like Warren said, let's
not go to the worst-case scenario.
It's only been hours.
I need a minute alone with my wife.
[ADAMS] Dr. Bailey?
Uh. I'm late for my
next consult, so talk fast.
Okay, Harbor General in Tacoma.
It's a site for the same
clinical trial that Katie's enrolled in.
Liking the sound of this.
Yeah, they have the
medication, but the drug
[GRUNTS] There's always a "but."
Yeah, the drugs are already
mixed, so it's too unstable to transport.
Katie will have
to go there to get it.
Oh. Doesn't sound
like an issue to me.
Drive safe now.
[STUTTERS] Wait, you want
you want me to take her?
Well, she's in no shape to drive.
And if you think you're
going to stuff her into a rideshare
and call it a day, you clearly
don't understand the assignment.
Okay. [STAMMERS] Well, why
not send her with medical transport?
I have other patients.
Your interns can cover you.
That is what they're here for.
Katie is precious cargo. I
expect you to treat her as such.
[PA ANNOUNCER]
Dr. Brasington to Oncology
[SCOFFS]
Ooh. Got anything good?
Plane crash survivor, extensive
burns, possible internal bleeding.
- Shut up.
- Mmm.
He's an intern.
There's nothing going on.
[SMACKS LIPS] Trying
to convince me or you?
I've learned my lesson about
dating coworkers, unlike some people.
Why aren't you answering my page?
- Uh, you paged two minutes ago.
- Precisely.
And I heard you
were late for rounds.
[SIGHS] So was Millin.
Oh. Throwing your
co-resident under the bus and late.
Congratulations. You're
both on ureteral stent removals.
All day?
Six kidney transplant at
an hour each, plus documentation.
So unless you do
it in a time portal, yes.
There's nothing you need help
with that's more surgical?
Or less boring?
Uh, can can we get
in on that plane crash guy?
What color are my scrubs?
- Navy.
- Correct.
I'm an attending doing
a favor for your chief resident
who is with his friend in a coma.
You don't like your assignment?
Take it up with him.
[CHUCKLING] Or Bailey. Would
you like to talk to Dr. Bailey?
- Oh. We're good. We're good.
- Love stents.
- I suggest you be on time tomorrow.
- [ELEVATOR DINGS]
[RHYTHMIC BEEPING]
Excuse me. What have we got?
Full thickness burns to the
left, upper and lower extremities.
Some are circumferential.
Partial thickness burns to the
chest and abdomen.
[KAVITA] Hang another LR. Calculate
the modified Parkland formula.
Graham, I'm here, buddy.
Colin, call Fiona.
I need to intubate him now.
I need you to move back.
- Someone get him out?
- I'm not leaving him.
- We will update you when we know more.
- [HUNT] Let's go.
Yeah, I'm in.
There's free fluid
in the abdominal cavity.
[HUNT] Let's keep a close eye on it.
Let's get him ready to move
to the burn ICU to resuscitate.
Millin, prep the subclavian
line as soon as we get there.
I'll be placing the line.
- With all due respect
- You're a second-year resident.
I'm a fellow specifically trained
in burns. It needs to be done right.
It needs to be done ASAP.
Mohanty will place the line, okay?
Let's get ready to move him.
Okay, let's move.
Hey.
[CHUCKLES] Who sent you?
Warren or Ndugu?
Myself. I wanted
to see how you're doing.
Hmm.
How are the babies?
Uh, I guess they're
adjusting to the NICU.
I'm filling out their
birth certificate applications.
[PHONE BEEPS]
That's the NICU. They have the
results of one of the girls' echoes.
Why'd she need an echo?
- Oh. They found a murmur.
- Is it harsh systolic, holosystolic?
- I didn't ask.
- Wha Do you know where it is?
- You know where it's radiating?
- They didn't say.
Do you want me to go with you?
I'm not a neonatologist, but
I do know all the right questions.
- Yeah, that'd be helpful.
- Great.
[LINCOLN] I'll be back.
[PA ANNOUNCER]
Dr. Manuel to the stepdown unit.
[LINCOLN SIGHS]
Aw. They are so tiny and precious.
Hello, Lincoln and Wilson girls.
[KASLIWAL] You got here quick.
Dr. Altman, good to see you.
Did you find
anything on Baby B's echo?
She has a shunting
patent ductus arteriosus.
Sorry, it's been a long 24 hours.
That's, uh, aortic defect?
The opening between the pulmonary
artery and the aorta hasn't closed.
It puts strain on the heart.
All preemies have PDA to some degree.
It's just a question
of how symptomatic they are.
- Will she need surgery?
- She may.
But we'll start with multiple rounds
of indomethacin and
see how she responds.
What are the risks?
Most common side
effect is urinary retention,
which makes it
even harder to breathe.
But if that happens, we know what to do.
Okay, let's start her on the meds.
- Okay.
- [ALTMAN] Thank you.
She's in good hands.
What if she needs surgery?
- [SIGHS]
- Let's focus on one thing at a time.
Right now, we just
need this little lady to pee.
I can't focus on one thing.
I have to check
on Jo and Luna and Scout.
I haven't even
called out of work today.
Don't worry. We know.
Why don't you go call
the kids, and I'll stay here.
[SCOFFS] I can't leave.
They're gonna do a
CPAP trial on Baby A soon.
You need to take care
of the rest of your family too.
Okay.
- All right. If anything happens
- I will call you immediately.
Are we lost?
Well, the app says that the
highway is backed up. So
Wait, how does the hospital
have my immunotherapy?
I thought it was tailored to me.
Uh, it's tailored to your tumor.
Someone with the
same biomarkers as
you must have decided not to do it.
That, or they died before
they got the chance.
It It could be a lot of things.
You really think somebody
might decide not to do it?
It can cause
autoimmune-like inflammation
leading to pneumonitis or colitis.
Normally, it doesn't lead to hair loss.
- Well, too late for that.
- Also nephritis, rashes
Is that it?
Those are the big ones.
I'm joking.
- Oh.
- Were you actually hearing yourself?
It sounded like you
were reciting a-a recipe.
How How would
you like me to say it?
I don't know. Maybe like I'm a human
who's actually experiencing this stuff?
- [CRASHES]
- [TIRES SCREECH]
Okay. [SIGHS]
Sorry. I eat when I'm stressed.
How's Graham?
We can't give you too much
information because you are not family,
but, uh, his injuries are severe.
He's headed upstairs now.
Is there anyone else that we can call?
I think his dad lives in
[STUTTERS] Arizona.
I-I knew this was a bad idea.
He's only had his pilot's
license for four months.
- You can't blame yourself.
- I know, it's just
Graham, he always does everything fast.
He's only known Fiona for eight weeks.
And he proposed? Wow.
In his defense, we
work at a ropes course
for minimum wage,
and she's a lawyer.
Like, she went to law school.
So, needed to lock that down.
Uh, have you been able to reach her?
I haven't heard back from her.
She She might be in
court, or she hates me.
I'm sure it's not that.
She always cancels when we're
supposed to hang out together.
When it's just the two of them,
she she drops everything for him.
You have to fix him.
Please let us know when
you hear from her. Okay?
Okay.
Dr. Warren.
[SIGHS] Still no increase in EF.
- Where's Link?
- Upstairs in the NICU.
I think, collectively, this family's
had five echoes in the last 24 hours.
Okay. Well, I'm not worried yet.
How's her C-section site looking?
- Everything looks good.
- Okay.
Let's hope I never
have to do another one.
Really? I thought you might wanna
get double board certified after that.
No, I do not need that
kind of pressure in my life.
Well, that's a shame.
I thought we made a good team.
Uh. Page me when Link gets back.
So, um, you and Nurse
Iris, uh, teaming up?
[STUTTERS] It's just a saying.
- Is it?
- It is. I
Are you trying to wingman me outside
our intubated colleague's hospital room?
Oh, please. Wilson would love this.
Got it.
Thanks.
Roadside assistance is on their way.
[KATIE] Who doesn't keep a spare tire?
Well, it's my aunt's car.
So, I guess my aunt.
[KATIE SIGHS]
- You okay?
- I have cancer and the car broke down.
Not okay.
Got it. Uh
Do you Look, I know
having cancer must suck
You wouldn't know the first thing
about what I'm going through.
No, I mean I just meant that
I have patients who have cancer,
and between all the
treatment and the cancer
So you know that there
have been entire days
where I haven't gotten
off the bathroom floor?
Or that I can't have ice
cream, my favorite food,
because my mouth hurts so bad
because of the sores and the nerve pain?
No, no, no, I just
Or that my best friend of ten
years dumped me after my diagnosis,
or that my other friend disappeared
after I told her I had stage four?
They think that they
are giving me space,
but their absence sometimes hurts
worse than the cancer itself.
You may be a doctor, but
there is a lot you do not know.
[EXHALES SHARPLY]
Uh, can I ask your advice?
Um. Mrs. Arrington's
mesh looks infected.
So, would you remove it and
do a component separation
or wait until after we've
controlled the infection?
I'd remove it and
place a synthetic mesh.
Wait. Really?
No, and you'd fail your
boards with that answer.
Okay, that worried me for a second.
Are you checking up on me?
- No.
- I'm fine.
Okay, I just wanted to see if
you've gotten your labs yet.
That's between me and my doctor.
- Rich
- Don't you have some patients to see?
Don't you have my patients to see?
Okay, you are right.
I am sorry.
[DOOR CLOSES]
[RHYTHMIC BEEPING]
Hey, you're only on your third one?
[SIGHS] Griffith
has the first three,
and I'll make up
time in the last three.
Griffith will believe
that when she sees it.
Just don't forget to include
urology when you send in your notes.
What's the point of a promotion
when you're asked to do the same job?
[KWAN] You have about five millimeters.
- [GRIFFITH] I see that.
- [KWAN] Little to the left.
- Wanna do this one?
- I don't wanna do any of 'em.
[GRIFFITH] Neither of us would,
if your girlfriend didn't make us
late by making waffles this morning.
A, you ate some of those
waffles, and B, not my girlfriend.
Whatever. "Woman you're dating."
Not dating, just fun.
You can't just have fun with a coworker.
When you work with someone,
you see them every day.
That, in itself, is a relationship.
You sleep with them, you're
taking it to the next level.
We think differently.
Well, Mohanty is a grown-up.
So, you wanna keep seeing her, you
need to show her you're serious.
Am I serious?
You don't have to buy her jewelry.
Just some kind of nice gesture.
Buy her a drink after work.
Send flowers from the gift shop.
- The sick people flowers?
- I'm done.
- With the stent or this conversation?
- Both.
Stay superficial.
The goal is to release the burned skin
so the tissue underneath can expand.
Good.
[BRYANT] How do we
graft over all of this?
We'll have to do it in stages over
several months,
if he makes it that long.
All of this for a
two-month relationship.
Sometimes, when you know, you know.
She's not even here.
Maybe she was too busy
to check her messages.
- Epi-soak.
- [MILLIN] Or maybe he's delusional.
[KAVITA] I'm betting on a happy ending.
What do you think, Dr. Hunt?
Well, I think, uh, Graham
has a devoted friend,
and he's obviously lovable to someone.
But short courtship, mismatched
skills and interests
If I had to put money on
this, I'm going with Millin.
Suit yourselves.
We're almost done with this leg.
Hold on a second.
Yeah, compartment syndrome. We
need to switch to a fasciotomy.
- Should we confirm with a needle?
- No need. Dr. Hunt's right.
The limb's tense. He's got weak pulses.
Bryant, we're gonna
need more burn dressings.
[BRYANT] On my way.
All right, little lady.
Let's see what you can do.
Ninety-five. She's got this.
Well, we'll keep an eye on
her, but she looks great.
How long do you expect
to keep her on the CPAP?
Until she can maintain breathing
on her own, then we'll be able to
[MONITOR BEEPING RAPIDLY]
Her oxygen requirements are
outpacing the ventilator.
We need to put her on high-frequency
oscillatory ventilation.
- Do we need an ABG?
- I need you to call Dad.
[CLEARS THROAT]
[ELEVATOR DINGS]
Permission to come aboard?
[GRIFFITH CLEARS THROAT]
Thought you were on the plane crash guy.
Uh, they needed more burn dressings.
So, headed back up now.
How about you?
On my way to OR three to
remove my fourth ureteral stent.
Yikes. Sounds like fun.
God, I love live music.
There's this bar on Union Street
No.
- I didn't ask you anything.
- It was implied.
Kinda sure of yourself.
What if I just wanted
to talk about music?
Cool. We don't have to talk at all.
- [ELEVATOR DINGS]
- [SIGHS]
- That's not the OR floor.
- Yeah, I'm gonna walk.
[CHUCKLES]
[PA ANNOUNCER] Cardio tech to room 1215.
Oh, hey. How's she doing?
[SIGHS] No change.
Oh. But But But I really
need your help with something.
Uh With a case?
Uh. With hanging here
while I go to the bathroom.
- [STUTTERS]
- No, I just didn't wanna leave her alone.
Yeah, no, no, go. Uh,
I could use the break.
[CHUCKLES] You are the last person
I should say this to, but I am beat.
[CHUCKLES, SIGHS]
So I'm not supposed to tell anyone,
but, uh, I need to talk,
and you seem like a safe bet.
So, I
Richard
has [SIGHS]
prostate cancer.
He doesn't, uh, know what stage yet,
but, uh, it's never news
that you wanna get. So
between him and you,
and my ca cancer patient whose
meds were expired, I ju [CHUCKLES]
Yeah, I don't mean to make it all about
me, but it's, you know, a lot to
[MACHINE BEEPING]
Jo, you No, stop it.
Uh. Hey, hey! Uh, page Ndugu
and bring me an ultrasound.
Jo.
- What happened?
- Uh, she's in V-tach.
[STUTTERS] Thank you.
Thank you, thank you,
thank you, thank you.
Okay.
Is she okay?
Dr. Kasliwal just set her up.
You should prepare yourself.
Thought you said she was just
putting her on another vent.
This is it.
It looks rough, but she can handle it.
Dr. Kasliwal put her on
sedation to keep her comfortable.
It's normal to be upset. This is scary.
You didn't say she'd be sedated.
She was desatting.
There wasn't time to tell you.
I never should have left you in charge.
You can't be here all the time.
You did nothing wrong.
I didn't ask your opinion.
- [KAVITA] Fasciotomy's finished.
- [HUNT] Okay, leg looks softer.
- Okay, let's dress and wrap it.
- [BRYANT] Okay.
[HUNT] How's the arm?
You can see coagulated
veins through the fat.
- Is that the muscle?
- [KAVITA] Yep. Third, maybe fourth degree.
The patient's girlfriend is here.
[BRYANT CHUCKLES] You two were wrong.
- Sorry.
- [MILLIN] It's Fiona?
[NURSE] Yeah, she's
asking for an update.
- I can go talk to her.
- Always bet on love.
[BAILEY] Still runs of V-tach.
[STAMMERS] Have you found anything?
[NDUGU] The pump is working,
and it's in the correct place,
but the Swan catheter is
coiled in the right ventricle.
So I'm gonna need to inflate and
advance it into the pulmonary artery.
- [MONITOR BEEPING RAPIDLY]
- Would you grab that?
Got it. There we go.
Um, I can redress the catheter
and secure it in place.
Okay. Yeah. Um Just let
me know if there's any issues.
Absolutely.
[BREATHES SHAKILY]
I was trying I was trying
to make it go down, but it j
- It's okay. You're okay.
- It wouldn't go down
Listen to my voice.
Name five things that you hear.
- Your voice. My voice.
- [WARREN] Right. Okay. Okay. Okay.
The monitor. The monitor.
It's going It's going
What else What else do you hear? Shh.
Don't focus on the monitor, focus
on my voice. Focus on my voice.
- I'm trying So strong
- [WARREN] There we go.
It's okay. It's okay.
- Okay. Okay.
- Okay.
- Okay.
- Okay.
[PA ANNOUNCER]
Echo tech to Cardiology, bay three.
Echo tech to Cardiology, bay three.
Oh, thank you. You don't have to
sit with me if you don't want to.
Yes, but if I don't,
Bailey's gonna put me
on rectal exams for
an entire month. So
[CHUCKLES]
Yeah, sorry about
dumping my issues on you.
I just don't wanna worry my mom.
Uh, yeah. Listen, you were right.
I I do have a lot to learn.
Well, luckily, you seem
pretty smart. [CHUCKLES]
- Are you ready for lesson number two?
- Mmm.
Only way to get through an infusion
is by watching a romantic comedy.
[BLOWS RASPBERRY] I like rom-coms.
Well, Die Hard is not a rom-com.
Wait. Is that the one with Meg Ryan?
[SCOFFS]
Last chance to save yourself.
[CHUCKLES]
- Dr. Mohanty?
- Oh.
- Here you go.
- Thanks.
Oh. Nice flowers.
They're from your roommate.
That's thoughtful.
Yeah. He's got the wrong idea.
I mean, he's a nice guy.
But I'm not looking for a relationship.
I thought he'd understand,
being a surgeon too.
Guess I was wrong.
Can I leave these
until I finish my shift?
Thanks.
- Uh, Fiona? I'm Dr. Jules Millin.
- Is Graham okay?
I'm really not supposed to say
much other than we're treating him.
He was in a plane crash.
He suffered significant
burns and injuries.
I don't I don't understand.
How did this happen?
You. What did you do?
It was all Graham's idea. I swear.
He thought you'd see
it from your office.
See what? What are you talking about?
[BREATHING SHAKILY]
- How did he get a plane?
- It's my uncle's.
You let him fly your
uncle's plane and he crashed.
Get out. Get out.
He told me to look out the
window, but I was in a meeting.
I don't know what he was thinking. He
always gets these ideas in his head.
You know, you don't have to say yes.
Even with the crash.
What? What? No, no, I meant
He could have just taken
me to a nice restaurant
or-or asked me to go for a walk.
But this is this is so him.
You would have said yes?
Of course I would.
I love him.
Everyone thinks I could do better,
but I don't care what they think.
I-I don't need our relationship to
make sense to them or anyone else.
It makes sense to me.
To us. I I need to see him.
Where is he?
He's in a burn ICU.
You wait here, and I I will come
and get you when he's ready, okay?
["I DON'T WANT YOUR GARDEN" PLAYS]
Cleaning all my clothes
'til I dream again ♪
The sorry wasn't good,
but we wanna be friends ♪
Oh, uh
I'm, um, sorry to interrupt.
No. It's okay.
I don't even know what I'm doing here.
Well, looked like you were praying.
- No, I'm not religious.
- Mm-mmm.
That's not a requirement.
Sometimes I stop in just
to get away from things.
My daughter was sedated
and put on a medieval-looking vent,
and I wasn't there.
So she had to go through that alone.
So I guess I'm just looking
for some forgiveness.
- You feeling any?
- Nope.
That's a big ask.
Give it time.
Jo said she prayed for
me after the explosion.
She said it made her feel better,
but it just makes me angry.
[WEBBER] You know, I grew up in church.
And I still struggle to understand how
God allows certain things to happen.
But that's what having faith is about.
It's how prayer gives me peace,
even in times of doubt.
Well, I don't think it works for me.
There's a thing we say in recovery.
If you can't bring yourself
to believe in a higher power,
believe in the people in this room.
I'm biased, but you and Jo have
some great people around you.
In this time of doubt,
let them give you peace.
'Til it goes away ♪
I don't want your garden ♪
Come on. Come on.
[PANTING] Come on.
- Come on.
- What happened?
[HUNT] Charge to 200. Clear.
He went into V-fib.
- What about his potassium?
- I already corrected it.
- [SIGHS]
- [STEADY BEEP]
- Time of death
- No. No, no, no, no, no.
She's-She's-She's here. She's
here, and she's going to say yes.
Millin, we pushed six rounds of epi.
His kidneys are shutting down.
He's too acidotic to survive.
Time of death 19:23.
I don't want your garden ♪
I don't like the cold ♪
We don't see it coming ♪
But we know how this goes ♪
Okay, hot take. "Sleepless in
Seattle" is the worst rom-com ever.
Yeah, I mean, they don't even
meet until the last scene.
Yeah, but, ugh that
house on the water?
- Yes, please.
- Fair.
I mean, could you imagine waking
up to that view every morning?
I mean, I live, like, five
minutes from the water,
but I haven't been in months.
Neither have I.
What are you doing right now?
- I think you're taking me home.
- Let's go see the houseboats.
Don't you have to go back to work?
Yeah, we'll tell
Bailey that the infusion
took a little longer than expected.
Are you feeling okay?
Yeah.
Take the next left.
Hey.
I've already started the
notes for Patty Torres.
- Great. Not why I'm here.
- Yeah? Then talk.
I may have steered you in the
wrong direction with Mohanty.
What does that mean?
You and I may think differently,
but you and her think alike.
You're not dating.
I knew it. I knew it. I knew [SIGHS]
You owe me 50 bucks for
those stupid dumb flowers.
- Those flowers cost 50 bucks?
- What do I do now?
- I'm not gonna get involved.
- Wait
But there's no such thing
as a stapler for an aorta.
So we had to use a gastrointestinal one.
That doesn't sound like Goldilocks.
I'm sorry. I'll-I'll leave.
Just wanted to say good night
before I left for the evening.
You have nothing to apologize for.
I'm the one who's sorry.
You were just trying to help.
I get it. Truly.
I'm grateful to have
people that understand.
Because I don't even know how
to hold it together right now.
I'm here.
Whatever you need.
Try to get some sleep.
[SIGHS]
You know, I told your brother
and sister that you're here,
and they can't wait to meet you.
Of course I can't guarantee they
won't try to hit you when they visit.
They're toddlers.
That's how they show their love.
But you'll understand soon enough.
She peed. My daughter
My daughter peed.
She peed.
Yes.
When you can see ♪
Your way through the sorrow ♪
Hey. I-I'm-I'm sorry, but, uh,
these flowers were delivered
to the wrong person.
They're addressed to Dr. Mohanty.
Yeah, for the, uh
For the other Dr. Mohanty.
Dr. Sunil Mohanty?
The dermatologist who's
retiring next month?
Yeah.
"Thanks for a great night.
Let's do it again sometime."
He took a look at a rash for me.
On a patient.
You know what?
I'll send him chocolates tomorrow.
You keep these.
You coming?
[KNOCKS ON DOOR]
Oh, uh, Bailey. I just wanted to
I know you think I am overstepping,
but I don't give a damn.
You are a mentor, a friend,
and I care about you.
I know you think you have it all
covered because you're a doctor,
a smart man, but you are also stubborn.
And I refuse to let you get in
the way of your own care because
What are you doing?
I wanted to ask if you'd draw
some blood for my new lab test,
if you'd let me get a word in edgewise.
Of course. [SIGHS]
Sorry, I snapped at you earlier.
I have cancer.
How long are you gonna milk that?
Until the cows come home.
[SIGHS] Okay, here.
- Hey.
- Hey.
[SNIFFLES] Fiona called me and told me.
- She says it's my fault he died.
- That's not true.
Uh
My best friend is dead and he's the
only person I wanna talk to about it.
I'm sorry.
Yeah. Me too.
[SNIFFLING]
- Hey.
- Hey.
- How's Jo?
- Uh Same.
- Twins are hanging in, and Link
- Yeah.
- He'll get there.
- Yeah.
Oh, uh, don't forget
about Allison's, um
Dentist appointment tomorrow,
yeah. I saw it on the calendar.
Good luck with the interview.
What you did was amazing, and
the world should know about it.
Thank you.
Talked to Nora.
She told me that you guys broke up.
I mean, you could've told me.
I could've, but
[SIGHS] That would have been us
falling into our old patterns,
and I'm trying my
hardest to move forward.
So
Doesn't mean I'm not proud of you.
- Good night.
- Good night.
[GREY] When a surgeon
steps into the OR
Oh, I can almost taste it ♪
[GREY] there's no room
for self-doubt.
Feels like I have to chase it ♪
[GREY] You have
to silence that small
voice that says you aren't ready.
You gotta be kidding me.
'Cause it's here and now ♪
Why are you everywhere all the time?
I work here.
[SCOFFS] Is that gonna
be a problem for you?
It's here and now ♪
[GREY] Because if you wait to
make a move until you're ready
[BOTH PANTING]
[GREY] you might never
leave the starting gate.
'Cause it's here and now ♪
It's here and now ♪
[INDISTINCT CHATTER, LAUGHTER]
It's here and now.
Take my hand, don't look down ♪
[GREY] You simply have to trust that
you'll be able to weather the storm.
[WARREN] Contractility has improved.
Her EF has gone up 5%.
- Her heart's recovering?
- It's recovering.
I'll give you two some space.
- Well, hey. If you don't mind
- Checking on your girls?
Was already headed there.
[SIGHS]
I know it doesn't make any sense, but
Baby B looks just like Luna.
You'll see when you meet her.
Baby A, she's got this way
of, uh, scrunching up her nose,
like you do when you
think I'm talking too much.
Jo?
[GREY] Whatever that storm may be.
Show me what it's all about
It's here and now ♪