Grey's Anatomy s22e12 Episode Script

1
When I was a child ♪
[GREY] Until the 17th century,
scientists thought blood was
a one-way street.
Corban's labs are in.
[SIGHS] His white count's 22.
- [SIGHS]
- And his acidosis is getting worse.
He's septic.
All he wanted was to meet his nephew.
[GRIFFITH] Should we consider
comfort care measures?
No. Page Ndugu, and tell the OR desk
that I want the same team from
Nora Young's ventral aorta surgery.
You're doing the ventral
aortic reconstruction?
Between his sepsis and the
bleeding, it's our only option,
assuming that I can get
the consent from his sister.
[GRIFFITH] You want me to talk to her?
I was the one who convinced him
to do the TEVAR. It should be me.
[GREY] They believed blood
was produced by the liver
and consumed like food
by the body's tissues.
Until British physician William
Harvey published a treatise
so explosive, it was banned in England.
I spent a lot of time
imagining this in med school
instead of studying microbiology.
Mmm. Does the real thing measure up?
I wouldn't want to inflate your ego.
[SHEPHERD CHUCKLES]
Well [KISSES]
I'm a neurosurgeon,
so that ship has sailed.
[CHUCKLES]
Hey.
This is gonna sound crazy, but, um
Do you wanna, like, go on a proper date?
Get dinner tomorrow night?
Yeah, I'd love to, but I
have my s [INHALES DEEPLY]
Um
My sunrise hiking club,
uh, in the morning.
- You hike?
- [STAMMERS]
I just started, you know, there's
nothing like fresh air in the morning.
[WRIGHT] Right. Um
I should go. I should
probably change before rounds.
[GREY] He posited that blood
was part of a circulatory system
continuously pumped through the
body and recycled by the heart.
In other words, when it comes to
blood, what goes around comes around.
[CHUCKLING] Ooh. No. Okay. Why
Why do you have to leave so early?
I have to prep for a
sternal reconstruction.
Dr. Wright wants to work with
me more before she'll write me
a letter of recommendation for
that attending position in Boston.
You're still on this Boston thing?
- What do they have that we don't?
- My parents.
- Nieces and nephews.
- Mm-hmm.
- Cream pie.
- Oh, I forgot about the pie.
- [SCOFFS]
- [KWAN] Mmm.
- Uh, did you forget how to knock?
- The door was open.
Millin, you're on my service today.
Thought you'd be at work by now.
- I'll be in time for rounds.
- I expect you to bring your A game.
- It's an important case.
- I always do.
- I'll see you both later.
- Yeah.
[DOOR CLOSES]
- [MILLIN] Simone!
- Would it kill you to be nice?
She is trying to tell me what
to do before I've had coffee.
Where is Simone? We're supposed to be
going over fertility
stuff on the way in.
- Fertility stuff?
- Yeah, we're freezing our eggs.
Well, I mean, I am.
I can't speak for her.
- Pretty sure you just did.
- [GROANS]
Look, Simone never made it back
last night. Critical patient.
- [GASPS] Oh, then can I get a ride?
- Oh, me too. Please?
Do I look like a soccer mom to you?
[SIRENS WAILING IN DISTANCE]
[CHIMES]
- She is texting me.
- I didn't say anything.
[ADAMS] Look.
I muted her. Focusing
on my other patients,
- like you told me to.
- [SIGHS]
[LAUGHS] You must have
really handed it to him.
I gave him constructive feedback.
At least he knows where he stands.
It's the same with me and Dr. Wright.
I know what I need to improve on.
See, he thinks that I don't care,
but I've been searching high and low
for more infusion treatments for Katie.
Any luck?
Just a bunch of unanswered
emails and dead ends.
Sugihara wants to put her on
her prior immunotherapy regimen.
- That was [SIGHS] Yeah.
- Well, I'm sorry.
Hey, what's on your schedule today?
Um, consults, meetings, residency admin.
- Push 'em.
- Hmm?
Dr. Goldberg is out sick today and he
needs somebody to take his procedures.
Oh, come on.
Save some lives with me.
- Let's save some lives.
- [CHUCKLES]
Luna and Hattie are still napping.
Uh, the baby monitor's
on the coffee table.
All right, you already mentioned that.
Um, extra diapers are
upstairs in the linen closet,
and the the the pediatrician's
number is on the fridge.
- We're not going to Siberia.
- I know that.
And we need to find a dresser
big enough for the twins today.
I've been fasting in anticipation
for the Swedish meatballs,
so I would love to get there
- before I go into a hypoglycemic coma.
- [SIGHS]
If you have any issues at all,
please don't hesitate to call.
Will do.
Okay.
[BABY BABBLING]
I think you're supposed
to hand over the baby now.
- Oh, yeah. Okay. Okay, okay.
- [BABY GURGLES]
- Don't wake your sisters up.
- [NANNY CHUCKLES]
- Is it weird that we're
- [SIGHS]
handing our babies
over to someone else
for the first time
and all I feel is
- Unbridled joy?
- Mm-hmm.
- [PHONE CHIMES]
- [LINCOLN CHUCKLES]
No. There might be a leak
at my rental property.
Where I lived before I
moved in here with you.
Oh! Wow, I always forget
that you own that dump.
I installed a water sensor
when the last tenants moved out,
- and I should probably check on this.
- Well, just call a plumber.
Oh, no, they'll charge an arm
and a leg just for showing up.
- It won't take long to fix.
- Okay, I'll come.
[WILSON GRUNTS]
Are you sure you really
wanna hang out at that dump?
Yeah, I'll just, um, sit in the car.
First day of freedom.
- [CHUCKLES]
- [DOOR OPENS]
[HUNT] Hey, so I haven't gotten
to officially welcome you back yet.
You go somewhere tropical?
No, do Chicago or Boston count?
[CHUCKLES] Now, sabbatical
looks good on you.
What have we got?
42-year-old male, head trauma
after colliding with a glass door.
- [PHONE CHIMES]
- GCS 15. No LOC.
Presented with epistaxis
and a small forehead lac.
BP is 130 over 80.
Nasal bandage was applied at the scene.
Okay, sir, welcome to Grey Sloan.
- I'm Dr. Hunt. This is Dr. Shepherd.
- [PHONE CHIMES]
[PATIENT] Yeah, yeah,
do you have a safe?
- What are you doing?
- Sorry, I'm, uh I'm done.
Only my little brother could get
hospitalized running into a door.
It happens more than you think.
We were brunching with my work
buds. Finally got this VP promotion.
Hey, I I don't know what happened.
I must have blacked
out when I won the
Won what? [CHUCKLES]
Won biggest loser? [CHUCKLES]
[HUNT] We've got a
possible head trauma here.
[ADAMS] What's that?
It's a lottery ticket.
It says he won two million dollars.
What? You won two million dollars?
- Oh. He's out!
- Trauma 3 is free. Let's move!
- Hey, hey, hands off.
- Okay.
- [KNOCKS ON DOOR]
- [NDUGU] Hey.
Griffith said you're
doing the ventral aorta.
I said she must've misheard.
Yeah, first, I need
to come up with a plan
to present to Leticia, who
is understandably skeptical.
Wait, you said the TEVAR went well.
Well, it did.
And then he coded.
His pseudoaneurysm degenerated.
- How badly?
- [SCOFFS]
The aorta is unsalvageable.
Break glass in case of emergency.
The TEVAR could've worked. I had to try.
We should have done this
yesterday when he was more stable.
We don't have time for hindsight.
That's on you. You were so
afraid to try this surgery again
that you wasted his best shot.
Nora was just as bad, if not worse.
That was a miracle.
You said it yourself,
"If this doesn't work
on Corban, that's it.
We'll never try this surgery again."
Now you've made that
almost certain here.
What, do you want me to apologize
and say that I was wrong?
I made the right call with the
information that I had at the time,
and it was a bad outcome.
And now Corban is dying.
So either you can help me come up with a
plan to save him or
stop wasting my time.
[DRAMATIC MUSIC PLAYING ♪]
Dr. Millin. Mr. Hill didn't
wanna start without you.
[GASPS] Oh. [CHUCKLES]
[MR. HILL] I was starting
to think you abandoned me.
No, I was just finishing a chest tube.
I would never abandon my favorite
patient or his better half.
Oh, I bet you say that
to all the old fogies.
[MR. HILL CHUCKLES]
I didn't realize you
all knew each other.
I scrubbed in on Scott's CABG with
Dr. Beckman a couple months ago.
[WRIGHT] Then, by all
means, take it away.
Scott Hill, 73, status post-CABG
complicated by osteomyelitis.
Now status post multiple debridements
to the sternum and costal cartilage,
resulting in a
12-by-10-centimeter wound.
Today we are starting
his reconstruction.
I thought the CABG would help
me be more active in retirement.
We're in our "world-traveler
era," as the kids say.
Love that for you guys.
[MRS. HILL] We did have to
cancel our safari in Tanzania.
Fortunately, the tour
company let us reschedule.
[CHUCKLES] She did what you
told her to do, Dr. Millin.
What? You sweet-talked
them and then cried?
Mm-hmm. The tears did them in.
Well, that, or describing
this gaping hole in my chest.
We're gonna try and
close that up today, okay?
Millin, Mohanty, take him for a
repeat CT to confirm our surgical plan.
[MILLIN] You got the full refund, right?
Yes, the full refund.
[MILLIN] I told you it
works every time, every time.
- [MR. HILL CHUCKLES]
- [MRS. HILL] I was crying and crying.
Can't believe he won
two mil. It's almost
as much as I loaned the poor bastard.
You should wait outside.
Okay, let's get ready for
rapid sequence intubation.
I love his broke ass, but he's
a sad, bottomless money pit,
you know what I'm saying?
[HUNT] Whoa, whoa, hold the paralytic.
He's waking up. Shepherd.
- Hey, look right here.
- [PATIENT EXHALES]
[SHEPHERD] Okay, do you know
your name and where you are?
Jeremy. I'm I'm in the hospital.
Hey, I'm right here with you, bro.
- Anything of note happen today, Jeremy?
- Uh
[CHUCKLES] Yeah, my boy got paid, y'all.
Okay, let's do a FAST exam and
get that bleeding under control.
[SHEPHERD] I wanna get
a head CT right away.
- No, I can hold on to that.
- No, I think he's got it.
His sweat might melt
off the numbers, bro.
Okay, I'm not seeing any free fluid.
Yeah, we need to get him upstairs.
We'll update you when we can.
Can you please leave the room, sir?
Please. Thank you so much.
Goodbye. Thank you.
Thank you, Bryant.
Let's get him up to CT.
I gave your sex friend a
ride to work this morning.
You're welcome.
- I hope you were normal.
- Griffith, you have that?
I was. Yeah, we got it.
[SIGHS] Wish I could
say the same for Millin.
- Oh, crap, I was supposed to meet her.
- But you didn't.
And now Bryant may or may not think
that you're trying to have a baby.
- What?
- I'm just a messenger.
[ALTMAN] We will dissect away
the part of Corban's reconstructed
esophagus that's behind the sternum,
and that should give us
the access that we need.
- It should?
- It's hard for us to know,
given Corban's scar tissue.
He wanted the surgery yesterday.
You talked him out of it.
[ALTMAN] It was an
unnecessary risk then.
And now?
His aorta is too damaged.
It has to come out.
[LETICIA SCOFFS]
What do you think?
I know it's scary.
But this surgery is Corban's
only chance of survival.
And Dr. Altman and Dr. Ndugu are the
only surgeons who can and have done it.
Yeah, after they drew it on a napkin.
If it helps, I assisted
on the first one.
I've seen it save someone's life.
If I say yes and he dies, I
He will die for sure if you say no.
[SNIFFLES] Yeah.
Do it.
Please don't make me regret it.
[KAVITA] Did you check Scott for
scars at possible donor sites?
Lots of moles, but no sign of scarring
on the arms, back, abdomen or legs.
Did you measure the depth of his wound?
Same as when I staffed it
with you, 4 centimeters.
[WRIGHT] How's it looking, team?
The internal mammary arteries must have
been sacrificed in the debridements.
There's no local blood
supply to plug a flap into,
but we could connect it with
the axilla or lateral chest.
What about tunneling
omentum from the abdomen?
It's interesting. Mohanty, thoughts?
It's a nice idea in theory,
but a free flap offers thicker
soft-tissue coverage over the heart,
and it looks so much better.
Well, Scott doesn't care how it
looks. He just wants to go on safari.
He'll care when he sees it, trust me.
Maybe, but that's if he
survives a ten-hour surgery.
I mean, omentum must be less.
And it comes with a
built-in blood supply.
This is lifelong coverage. It's
what I would want on my chest.
- Sometimes
- [WRIGHT SIGHS]
the correct approach
just takes longer.
[WRIGHT] Yeah.
Okay, if Scott were a 20-year-old
bodybuilder, we'd do the free flap,
but omentum is the right call.
- Way to jump in, Millin.
- Thanks. [SIGHS]
- I'll page general surgery.
- That's the spirit.
What's your problem?
I don't have one now
that we're doing omentum.
You're a second year. I'm a fellow.
We're not even running the same race.
[WILSON] Hey, Nardi just fed
Hattie, and now Peyton's down.
I gotta pee. Ooh. How's it going?
The pipe is completely corroded.
Why don't you take the
car and you go without me?
God, your place is an explosion
of linoleum and wood paneling.
Yeah, well, you've been here before.
Who thought popcorn
ceilings were a good idea?
- Hmm.
- No wonder your tenants fled.
- [CHUCKLES]
- Wow.
- Isn't it crazy they left this?
- Oh.
What's with all the packages?
Oh, I, uh, ordered a few things
that got delivered here by mistake.
Uh-huh.
Um
Have you been spending time here?
Only when I have to check on something.
Okay.
When was the last time?
Ah [STAMMERS]
Tuesday?
When you went to get diapers
and you left me with
screaming twins for two hours?
I did stop here briefly.
I had to check on the mailbox, and then
I just needed a little
time to decompress.
[WHISPERING] Oh, yeah?
You really need to
stop talking right now.
- Jo.
- [NORMAL] You know what?
You wanna decompress?
You want a little space?
- Be my guest.
- [STAMMERS] Jo.
- [SIGHS]
- [DOOR CLOSES]
[CHUCKLES] Well, you
made that chole look easy.
I can't believe how quickly
you got the critical views.
[CHUCKLES] Yeah.
You still thinking about Katie?
I just feel like I failed her.
Mm-mmm, mm-mmm.
The federal government failed her.
Saving her life doesn't
align with their priorities.
- But I'm her doctor
- [PHONE CHIMES]
and I'm supposed to figure it out.
"Consult request for a
sternal reconstruction
for Dr. Wright."
Wright? Uh
You know, if you're not feeling up to
it, I'm sure they can
find somebody else.
[BAILEY SIGHS]
You know, I can't help Katie, but
I can help you get in with Wright.
- Let's show Plastics what you're made of.
- [CHUCKLES]
Put your hands down for me. Thank you.
Would you go out with
someone who has kids?
- Are you trying to set me up?
- Just answer the question.
- No, thanks.
- Hmm.
- Hey.
- You have kids.
- Mm-hmm.
- When do you tell people that
you're seeing about them?
Uh, only person I've dated so
far already knew about them.
- You two are useless.
- [HUNT CHUCKLES]
I told him security could hold on to
- his ticket, but he won't let go of it.
- Would you? [EXHALES]
All right, Jeremy, hold still.
Okay. Hey, while it's just us,
I'm sorry about my brother.
- No need. He's fine.
- He's a jerk.
I'd tell him off for you, but
he's been keeping me afloat
since I lost my job, and I
don't want him to cut me off.
Didn't you just win the lottery?
Yeah, I guess I did.
He has a small contusion
on the left temporal lobe.
- Bryant.
- Monitor him for any change
in clinical status and
give prophylactic Keppra.
I'll let you take it from here. Okay.
It's time.
You can go to the waiting room.
Can he hear me?
- He's heavily sedated.
- But it can't hurt to try.
[LETICIA SNIFFLES]
Hi.
I hope my son is just like you.
We've decided to name him Corban.
And if you don't want us to, make it
through surgery and tell me yourself.
Love you.
- The second that you know anything
- I will come and tell you.
Okay.
[LINCOLN] Can you come
out so I can explain?
How long has this been going on?
[EXHALES] I don't know. A few months.
What about your tenants?
I told you they moved out.
A few months ago?
My God, this is worse than I thought!
You've been cheating
on me with your house.
It's platonic, I swear.
Look, it's not like I
was coming here when
you were in the hospital with the girls.
Oh, how thoughtful of you.
We can't fit any of this stuff at
our place, and music is how I relax.
Cry in the shower like a normal person.
You know what? I'll go shopping
and you can stay here and jam.
Fine. I've got a new
reverb pedal I can try out.
Great.
[WATER RUNNING]
I'll call the plumber.
- [SIGHS] No, I can fix it myself.
- No, you've lost that privilege.
[LINCOLN SIGHS]
[WILSON EXHALES]
[KNOCKS ON DOOR]
I thought I saw signs of life in here.
Well, I'm not back to
work until next week.
I'm just grabbing a few things.
Aren't you supposed to be resting?
I'll rest when I'm dead, which
I'm not unless Catherine finds me.
- [WEBBER CHUCKLES]
- [CHUCKLES] Well, I won't tell.
Oh, um, tell Altman good luck for me.
The ventral aorta? I assumed
you knew they're doing it again.
[SIGHS]
Richard, Teddy and I, we
just signed divorce papers.
[CLICKS TONGUE] I'm sorry to hear that.
Honestly, I'm not sure
how we ended up here.
Well, sometimes things
just don't work out.
More often than not in my case.
Oh, you'll get back on your feet.
I'd stay for the surgery, but
Catherine's at the dentist.
If I'm not back before she
is, there'll be hell to pay.
You should go.
Yeah, I'll see if I have time.
It was good to see you, Richard.
[BAILEY] Oh.
Someone order a general surgeon?
- Oh, Dr. Bailey, thanks for joining.
- Mm-hmm. Mm-hmm.
Dr. Warren, good to see you again.
At your service, or
rather on your service.
- Her service actually.
- Okay.
So, I took a look
- at your patient's scans
- Uh-huh.
and, you know, it should be
relatively straightforward as long as
the right gastroepiploic vessel
is enough to supply the omentum.
Looks sufficient to me.
- We'll see you in the OR?
- Mm-hmm.
We're gonna harvest that
omentum like you've never seen.
Okay.
I panicked.
[STAMMERS] Oh, this is gonna be
harder than I thought. [GROANS]
[DOOR OPENS]
[HUNT] Oh, Kwan was right.
You are in the supply closet.
Why are you in the supply closet?
We're doing another ventral aorta.
I heard. Big day.
Can you watch the kids for me tonight?
Of course. I just
wanted to say good luck.
What if we can't do it again?
What if Nora was just an anomaly?
There was a lot of skill involved.
If this doesn't work out, then Corban
never meets his nephew, and I'm a fraud.
When you're backed into a
corner, that is when you rise.
I've seen it in war zones.
I've seen it in the OR.
I see it with our kids.
Don't put more pressure on me right now.
I am just saying you can do this.
You're just in your head.
- You need to take a breath
- Don't tell me what I need.
That's not your job anymore.
And frankly, it was
infuriating when it was.
Okay. Well, I'll, um
I'll get the kids from school.
And, uh, good luck.
- [MONITOR BEEPING]
- [BUZZING]
[WRIGHT] That was excellent technique
with the dermatome, Dr. Mohanty.
Wanna do the honors with the mesher?
[KAVITA] Absolutely. Thank you.
- [BAILEY CLEARS THROAT]
- [WARREN] Mm-hmm.
[BAILEY] Um, pull the
omentum through for me.
Okay, no twisting on its pedicle,
and the main vascular
arcade remains intact.
- Well done, Dr. Warren.
- [WARREN] Thank you.
[BAILEY] You're one of
our best and brightest.
I'd hate to lose you to Plastics,
but I know that's where your heart is,
especially with your interest in burn
patients and experience
as a firefighter.
[WRIGHT] Firefighter
and an anesthesiologist,
how many lives have you had?
I'd like to think they
all led me here. [CHUCKLES]
[BAILEY] Well, that should do it for me.
Thanks to Dr. Warren's dissection, your
flap should cover everything you need.
[WRIGHT] Hey, do you call
him Dr. Warren at home too?
[BAILEY CHUCKLES]
[WRIGHT] Okay, that looks great.
Now, we just need
- to finish the inset
- [PHONE RINGING]
- and get the graft on.
- [NURSE] This is OR 2.
Dr. Wright, they're asking for you
on an urgent burn case in the pit.
[WRIGHT] Warren, wanna join me?
- I'd love to.
- Great.
[WRIGHT] Dr. Mohanty, you and
Millin here good to finish up?
[KAVITA] Of course.
Come on now, y'all can't keep him here.
We gotta go pop some bottles, celebrate.
On him for once.
Yeah, no. Sorry, doctor's orders.
All right, let's talk dollars and cents.
Of course you're gonna hit me back
for the car and the back rent, right?
Millionaire. You're a millionaire,
you're a millionaire
Okay, why don't we table this until
after your brother's
out of the hospital?
- Yeah.
- Doc, J Dog would be facedown
in a ditch if it wasn't for me.
You know, I've hated that
nickname since I was eight.
Well, I've hated picking up
your tab for the last 12 months,
but that's what brothers are for, right?
Hey, if you don't wanna do it, I will.
- We got a problem here?
- Uh, that depends.
- Are you going to keep being a total
- [ADAMS] You should go.
- Him or me?
- Bryant, out. Now.
- [SHEPHERD] I'm sorry about that.
- Yeah, that's
- What's happening?
- All right.
- He's seizing.
- Adams, help roll him.
We need some diazepam and alert CT.
Oh. Hey, what you heard
this morning isn't true.
- Okay.
- I'm not actively trying to have a baby.
I'm just freezing my eggs
in case I want one someday.
- Got it.
- Which I might not want one.
- Just an insurance policy.
- Congrats. Also, none of my business.
Oh, I just didn't want you to think I was
withholding some critical information
- I don't. Yeah. Yeah.
- Great.
Because what we're doing
right now doesn't have to stop.
I mean, there might be a few days
here and there where we shouldn't
- Mm-hmm. Yeah.
- You know, but, overall, we can keep
- doing the thing that
- Understood, but, uh, right now,
I'm trying to do my job, and I'm
mostly failing, so I really can't talk.
Oh, how-how about a
drink at Joe's later?
- If they ever let me leave, sure.
- Okay.
Yeah. Okay, so
- Oh, sorry. Yeah.
- [BRYANT CLEARS THROAT]
Okay.
[MONITOR BEEPING]
- I can, uh, cut the sutures for you.
- [KAVITA] I've got it.
- [MILLIN] I really don't mind.
- [KAVITA] I said no.
Should I call for another resident since
you clearly don't want me to help you?
Not if your idea of helping is making me
look ridiculous in
front of our attending.
[MILLIN] You told me to be on my A game.
[KAVITA] So that I
can impress Dr. Wright.
I applied for an attending position
at the Fox Flagship in Boston.
It's perfect. Great benefits,
grant money, close to my family.
And I needed her recommendation, which
I was supposed to lock down today.
If you wanted me to make you look
good, you should have said so.
- [KAVITA] Right.
- [MILLIN] I'm serious.
I'll keep that in mind for next time.
[SIGHS]
Can I get in on those
lower inset sutures?
[KAVITA] Nope. Too close to the pedicle.
[ALTMAN] I know that we have
disagreed on Corban's care,
but I need to know that
you are fully on board
with the surgery and with me.
[NDUGU] I was on board
with the surgery yesterday.
- Still am.
- [ALTMAN] And me?
- [NDUGU] I'm a professional.
- [ALTMAN] That's not what I'm asking.
[NDUGU] It's not just that
you made the wrong call.
You flat out dismissed my opinion.
[ALTMAN] I didn't.
I considered it fully.
[NDUGU] Did you? 'Cause if
you'd set your ego aside,
we may not be in this mess.
[ALTMAN] Or Corban
would already be dead,
and then that would be on both of us.
[NDUGU] If something goes wrong in
there, I need to know you hear me.
[ALTMAN] I will.
You have my word.
- [NDUGU] Then I have your back.
- [ALTMAN] Let's go build an aorta.
Where is this guy?
- [WILSON] Hmm.
- [LINCOLN] What are you doing?
I just thought I'd see
what all the fuss is about.
[LINCOLN] Yeah, that's my Martin.
- Mm-hmm.
- So, be careful.
This song is called [EXHALES]
"This Is What Betrayal Feels Like."
Okay, I get your point.
Can we put it back now?
Not until you apologize.
- You know what? No.
- [GASPS]
What is wrong with me
grabbing a few minutes
of alone time, so I can be
better for you and the kids?
I had a heart pump keeping me alive
after delivering two other
bodies out of my body.
I can't breastfeed, which I know is
okay, but I still feel horrible about,
and hormones have turned me into someone
that I would avoid on the OB floor.
I am not okay!
I am not me.
I am a hideous shell of my former self,
- and you don't see it
- No.
because you're off in the man cave,
which is actually an
entire crappy house.
[KNOCKS ON DOOR]
Plumber's here.
[GROANS]
Here's a list of discharge summaries.
Stay away from Jeremy and don't leave
- until you get them done.
- You punishing me?
- You were out of line.
- That dude was walking all over
- our patient, man.
- It doesn't matter.
It's not our job to get
involved, and if you do it again,
I'll have to tell Bailey.
Got it. So don't
treat the whole person,
just be a robot checking boxes.
- Yeah. That's not what I said.
- I'd love to stay and chat, but I've
got a whole bunch of discharge summaries
I need to go through.
Thanks for the lesson, boss.
[JEREMY CHUCKLES]
Thank you. I thought that
Brent took it. [CHUCKLES]
You have a condition called SIADH.
It can happen after a head trauma.
Usually resolves on its own.
Low sodium levels caused the seizure.
You'll need IV fluids and
medication to correct it.
- Okay, thank you.
- [KNOCKS ON DOOR]
Boom. [CHUCKLES]
[BRENT] Don't ever say I
never did anything for you.
And I, um, also called Mom.
- Man get Stop!
- [SHEPHERD] You should let Jeremy rest.
No, I've been wanting to say
this to him for a long time.
I hate you. I mean, I love you.
You're my brother, and I wouldn't
have been able to get through
this last year without you,
but when you're mean about it,
it makes me hate you.
- We were just having fun.
- It's not fun.
- Not for me.
- Maybe we just take a breather.
I I just always thought
it rolled off your back.
[JEREMY SCOFFS]
- I'll lay off.
- Really? That's it?
Yeah, I'm not a monster.
[CHUCKLES] I guess I should
have said something years ago.
[EXHALES]
I'm gonna put in your orders.
[BRENT] You still gonna pay
me back for the rent though?
[JEREMY SCOFFS]
[ALTMAN] This scar
tissue is cemented in.
- [GRIFFITH] Worse than Nora's?
- [NDUGU] By a mile.
[KWAN] You know what else
is different this time?
- [GRIFFITH] Blood flow?
- All those people watching up there.
[ALTMAN] Stay focused.
[NDUGU] I don't know if we're gonna
be able to get through all this.
Altman.
[TENSE MUSIC PLAYS ♪]
[ALTMAN] If we give up now, he'll die.
- [NDUGU] All right, um, 15 blade.
- [ALTMAN] What are you
[NDUGU] Using these scissors
is like blunt dissection.
It isn't working.
I'm gonna try working layer by layer,
see if I can find the correct
surgical plane to orient myself.
[ALTMAN] Okay. I'm with you.
Thank you, BokHee.
Guess who aced his burn consult?
Okay, tell me everything.
Well, thanks to my
days as a firefighter
- Okay. [CHUCKLES]
- I knew to mix and put a laxative
on the burn.
Yeah, the polyethylene
glycol binds to the phenol
to stop the chemical
burn from getting worse.
- Impressive.
- And that is what Dr. Wright said.
- [CHUCKLES]
- Aw.
- Thank you for talking me up.
- Someone had to.
You weren't doing yourself any favors.
[CHUCKLES]
- Okay, what can I do to help you?
- Oh. [SCOFFS]
Yeah. Call more hospitals
about Katie's immunotherapy?
Handle bedtime so, you know,
you can look into more options?
Yeah, I don't need any of those things,
but, no, I appreciate the sentiment.
- [PHONE CHIMES]
- Hold on.
[MELANCHOLY MUSIC PLAYS ♪]
How's my favorite patient?
Well, nurse gave him
- some pretty strong pain meds.
- Uh-huh.
- So, he's a little loopy.
- [MILLIN CHUCKLES]
Love of my life over there.
I love her more than I love elephants.
Is something wrong?
Uh, the flap is dark and swollen.
I'm going to take a listen.
- Damn it.
- What's happened?
- Everything okay?
- There's no signal.
Just 'cause it's
gone it's not over ♪
I'll call the OR and page
Dr. Wright. Get him ready.
He needs to go to surgery again?
Well, there's no blood flow to his flap
so we need to get him to the
OR to see what's happening ASAP.
Don't go visit the zebras without me.
Excuse me.
All right, graft is completed.
It's time.
[ALTMAN] All right, let's
rapid pace the heart.
[NDUGU] All right, clamp's off.
GIA stapler.
[ALTMAN] All right.
Ready to staple off the aorta?
Staple line is well
approximated, looks intact.
We did it.
[DOCTORS APPLAUDING]
[ALTMAN] All right,
let's take him off bypass.
Clamps.
Where love and loss intersect ♪
Carry it like a ♪
It's amazing.
[NDUGU] All right, I am
gonna go update Leticia.
- You good? All right.
- [ALTMAN] Yep, ready to close.
- Whoa, whoa, whoa. Ndugu!
- [GRIFFITH] Oh, my God!
[NDUGU] Damn it! All right,
get me a gown and gloves.
[ALTMAN] All right, I've
got pressure on the defect.
Griffith, get in here and
suction around my hand.
[SUCTION TUBE GURGLING]
[ALTMAN] Come on.
[ALTMAN] All right, there.
A small defect on the leading
edge of the staple line.
We didn't fire the
staples all the way across.
Okay, put him back on bypass.
- [KWAN] Clamp on.
- [NDUGU] All right, I'm here.
- [ALTMAN] Okay, put your hand in here.
- [NDUGU] Yeah.
[ALTMAN] Suction. Hang
on, Corban. [SIGHS]
- Hang on.
- [SUCTION GURGLING]
[SIREN WAILING]
[GROANS]
Katie Rogers, 27,
stage-four gastric cancer.
I already know that part.
Short of breath. Satting 89%.
- Abdomen's distended.
- Dr. Bailey.
- I can't breathe. [GASPS]
- No, no. It's okay.
We've got you.
Well, don't just stand there.
Let's move.
[SONG ENDS ♪]
- [MONITOR BEEPING]
- [SUCTION GURGLING]
[WRIGHT] There's a stitch tied down over
the pedicle cutting
off its blood supply.
Nothing?
This is a serious mistake.
Warren and I left you to complete
the inset and place the skin graft.
I expected it to be done not
only successfully, but perfectly.
[MILLIN] The flap looked
viable when we left the OR.
[KAVITA] We didn't see anything
restrictive over the pedicle.
[WRIGHT] Save it. I don't
have time for excuses.
Our patient now has no
tissue coverage over his wound
and will most likely need many
surgeries he might not survive.
Just go.
I'll clean up the wound and get
the wound vac back on myself.
[NDUGU] Almost finished
closing this gap.
[ALTMAN] All right, last stitch.
[NDUGU] And right there.
- Done.
- [KWAN] Are we sure
the closure is going to be adequate?
- [GRIFFITH] Will the suture hold?
- [ALTMAN] After watching
so much of Corban's blood
volume spray all over this OR,
I am not sure of anything.
But I watched Ndugu tie these
sutures, and they look great.
So, let's take him off bypass.
- [DRAMATIC MUSIC PLAYS ♪]
- [MACHINE BEEPS]
[NDUGU] All right. Clamp's off.
We have a rhythm.
The pressures are coming up.
All right.
Altman, we did it.
Altman.
[ALTMAN] We did it.
["MISPLACED" PLAYING ♪]
Well done, everyone.
[DOCTORS APPLAUDING]
All right. Let's prep to close.
[SIGHS]
$400 and he has to come
back tomorrow with a part.
Should've fixed it yourself.
The love I had for you ♪
[LINCOLN CHUCKLES]
It used to keep me up at night ♪
You know, I'm sorry for
hiding all this from you.
I guess I was afraid that
you'd be madder if you knew.
It was hard to close my eyes ♪
Honestly, I'm more jealous than mad.
See, you need a place like this too.
You need someplace you
can go for peace and quiet.
A woman cave.
- I feel guilty even thinking about it.
- Why?
The patriarchy.
- Mm-hmm.
- [CHUCKLES]
You know, if we're
gonna get through this,
we have both got to
take care of ourselves.
- What would I even do in my
- She shed?
Not abandoned just misplaced ♪
- Dame den?
- Mm-mmm.
[CHUCKLES] Okay, I'll stop.
Lady lair.
All the love you had for me ♪
[CHUCKLES]
- [CHUCKLES]
- You could take guitar lessons.
- Yeah, but I'm already a musical genius.
- [LAUGHS]
And what should I do with
the love I have for you? ♪
[BOTH SIGH]
Was it ever mine to lose? ♪
Ooh, ooh, ooh ♪
Honey, you look like
you've seen a ghost.
Yeah.
The ghost of an omental
flap that died
at the hands of negligent residents.
You've got a lot going on.
We can chat tomorrow.
- I
- No, no. It's fine. Everything's fine.
It's all It's all fine.
What's up?
Um
I have a son, Scout.
He's five. He's adorable.
He splits his time between his
dad and me, and I have him tonight.
And that is why I couldn't hang.
You were nervous to
tell me about a cute kid?
It was kind of a deal-breaker in my last
relationship and that kind of broke me.
And if it is a
deal-breaker for you too,
I totally get it
[STAMMERS] But I would
rather know before starting something.
That would make me a hypocrite.
So
[GASPS]
- This is Zachary. He's seven.
- Oh, my
Obsessed with trash compactors and,
uh, synthesizers from '80s pop songs.
- Are you
- Single mom? Mm-hmm.
Uh, my sister lives with me.
She watches him when I
reconnect with an old crush.
Which happens all the time?
Not really.
Was it ever mine to lose? ♪
Rain check?
Rain check.
[SONG ENDS ♪]
His pressures are holding
without much inotropic support.
- That's great news.
- Yeah.
Do you think that we will ever do this
surgery without major complications?
- Third time's a charm.
- [BOTH CHUCKLE]
Somehow, I doubt it.
We're a team on this.
If we stay one, we could save way more
patients than just Nora and Corban.
- You've been here for two days.
- [CHUCKLING] Yeah.
[CHUCKLES] You should go home,
and I'll keep an eye on him.
Thanks.
[INDISTINCT PA ANNOUNCEMENT]
Poor thing. Must've had liters of fluid
in her abdomen pushing up on her lungs.
Okay, so we'll need to do a paracentesis
if you can get me set up for that.
Adams. Adams.
She called and texted.
And I didn't respond because I
was too busy following your rules.
This would have happened regardless.
No, she trusted me.
[STAMMERS] And she was
scared and alone and
[SIGHS] I wasn't there.
I think you need to take
a break from this case.
No, no, no. I [STAMMERS]
I will do whatever you need.
- I just need
- No, no. It's not a punishment.
I just I I think you
need to step back.
["SHELTER" PLAYING ♪]
Keep the storm behind me ♪
[GREY] Breaking new
ground is never easy.
Gimme peace through the heartache ♪
- Yo.
- Hey.
I just did the ventral
aorta with Altman and Ndugu.
It was freaking epic.
- It was historic.
- That's cool. I'm proud of you.
[CHUCKLES] Something happen today or
- My patient won the lottery.
- By having you as their doctor?
No, no. He literally won the
lottery, two million dollars.
Mmm. Did not see that coming.
[BOTH CHUCKLE]
So give me shelter ♪
I'm going out of town for a minute.
- Is everything okay?
- My brother's epilepsy's gotten worse.
And he's in a coma.
I'm sorry.
You want to talk about it?
No, no, no, I just didn't want you
wondering where your lap dances went.
Well, I mean, you sure? I've been told
- I'm a pretty good listener.
- I said I'm good.
[GREY] You have to pull the
rug out from under people.
Have a good night.
[GREY] Shatter their reality.
Ask more questions than you answer.
It takes what Dr. Harvey
called a love of truth.
And a whole lot of intestinal fortitude.
Take me to the other side ♪
Thank you for not saying anything.
You didn't have to do that.
Look, I could tell that the Boston
job is really important to you.
It is.
There will probably be an M&M soon.
I'll email you my op note
and photos from the OR.
They'll want to review
post-op imaging too.
Well, should I be worried?
'Cause the storm is coming ♪
The M&M will suck, but we'll be fine.
Get some sleep.
And I'm tired of running
when I need some cover ♪
[GREY] But it also requires faith.
That the world won't come
crashing down around you.
That you won't be burned at the stake.
Give me shelter ♪
How'd it go?
Oh, well, it wasn't smooth
sailing but our patient's stable.
That's great.
So, uh, Allison wanted to
fall asleep with the lamp on,
so just make sure to turn
it off before you go to bed.
Thank you for pinch-hitting.
I I really appreciate it.
Always happy to get
more time with the kids.
I'm sorry I bit your head off earlier.
You did nothing wrong. I
was just in a panic spiral,
and I couldn't see it.
Well, I stand by it.
You are at your best when you're
backed up against the wall.
A little mean sometimes. [CHUCKLES]
But brilliant.
You are never gonna stop
believing in me, are you?
Give me shelter ♪
Why would I?
Oh, oh, oh ♪
[GREY] And that this new
reality is going to be better.
Give me shelter ♪
Or at least truer than
the one that came before.
[SONG ENDS]