Grey's Anatomy s22e14 Episode Script
Wrecking Ball
1
["BLONDIE" PLAYING]
Blondie, slow down make
me sway like a willow ♪
[GREY] As an intern, I
did everything by the book.
Well, I tried.
[RADIO HOST] First
responders are on the scene
after a wrecking crew
demolished the wrong house
- [PHONE RINGING]
- trapping two people under rubble.
The two residents have been trapped
beneath debris for over three hours.
The rescue teams trying to reach them
[WRIGHT] Come on. [SIGHS]
[RADIO HOST] There's no foul
play suspected at this time.
You know Celine Talbot?
She's my ex-wife.
- [PHONE RINGING]
- I'm sorry.
You were married to someone who won a
Medallion for Scientific Achievement.
That is the highest
honor in all of medicine.
The medal's actually very small.
It's not that impressive.
[RINGING CONTINUES]
I should answer in case it's
about Zach. Don't go anywhere.
[GREY] But surgery is like
everything else in life.
You have to know the rules
in order to break them.
With time and experience, you learn
all the caveats and exceptions.
- Has he slept?
- Not more than an hour.
[BAILEY SIGHS]
I never wish people ill.
We all do the best we
can with what we've got.
But whoever decided to
cancel Katie's clinical trial,
I hope they suffer a
fate worse than this.
[GREY] When to keep a
trauma patient out of the OR
because you think their
bleeding will stop.
We got a liter out this time.
It's building up fast. Can we
increase the frequency of draining?
You can increase to every four
hours if it keeps her comfortable.
That's it? But the draining
makes her feel better.
Isn't that the whole
point of hospice care?
No, no. If you drain too much,
she could have severe electrolyte
shifts and can have more pain.
I'll update her chart.
[GREY] Or when it's better
to leave a ruptured appendix
until the infection clears.
Uh page me if you need anything.
Thank you.
[GREY] So you can break the rules,
but you better know what you're doing.
- It's just the clinic.
- I didn't know you were back already.
Yeah, seem a little premature to you?
[SIGHS] We're just
helping out for the day,
and I want to give our
nanny some practice runs
- before we go back to work full-time.
- But if you get tired
Get tired? I haven't slept more
than 90 minutes in two months.
- I'm fine. Go check some prostates.
- [SIGHS]
I'm helping Webber with his
prostate-screening initiative.
How you doing?
You still living in the trailer?
Yeah, it's just easier for now.
Well, you're putting one
foot in front of the other.
In my book, that's a win.
[ALTMAN] Copy that.
Okay, we'll have our trauma team
ready and waiting for your arrival.
Okay, thanks. Yeah, see you soon.
SPD. Did you hear about
the demolition crew
that knocked down the wrong house?
- Were there people inside?
- Two.
Fifteen minutes out.
Mmm. Plenty of time.
- I-I need my charger back.
- I'll get right on that.
Kavita took my other one to Boston.
She's taking a leave of absence.
Hmm. Liar and a thief.
She told Wright that she
placed the stitch, not you.
- Can you give her some credit?
- Nope.
- Hey.
- Hi.
Um, I'm not sure anyone told you.
Scott got his new flap on
his sternal wound yesterday.
I didn't know. How is he doing?
Seems to be feeling pretty good.
He, uh, was just giving me grief
about being a Celtics fan, so
You're a Celtics fan?
It's like I don't even know you.
Okay, what do you have against the
most successful team in NBA history?
- The obnoxious fans.
- [CHUCKLES] Oh, okay. Shots fired.
I just call 'em like I see 'em.
Dr. Millin, you're late for rounds.
Uh, I'm on neuro today.
Not anymore. My fellow's
out. I need more hands.
- You asked for me?
- Let's go.
Go get 'em.
You went all out.
Yeah, you don't think
it's too much, do you?
They say breast cancer
brings in the big bucks
because they have the best PR.
Not that people shouldn't
donate to breast cancer research.
I-I donate to breast cancer research.
I haven't slept in a long time.
Maybe leave the talking to me, and
you can pass out the literature, okay?
Whatever you need.
[SIGHS] I think it's great
that you're doing this.
Well, they said I was lucky I caught
my cancer early, but it wasn't luck.
I knew to get screened.
Not everybody does.
Okay, it's go time.
You man the registration table
and make sure that people sign in.
Okay.
- Nobody's on time to these things.
- Yeah.
Ooh. Danish.
Oh, I said you could see
patients with your eyes.
You will not be pushing
equipment around. Not on my watch.
I carry my kids around all day.
What you do in your
home is your business.
In this clinic, it is
mine, and you will go easy.
- Where am I taking this? Oh.
- Bed five.
What's more titillating,
stroke or caress?
- Caress.
- Um, is she sexting?
I'm writing a script
for a romance podcast.
- Uh, Love Blossoms at the Hoedown.
- Oh.
We're still workshopping the title.
Well, I'm no expert, but it
sounds good to me. Dr. Spencer?
Talia Stern, 35.
She's had abdominal pain since
her C-section three months ago.
Pelvic exam was normal.
Waiting on labs.
Okay.
Would it be okay if I just take a l
Dr. Bailey can take a look.
Okay.
I tried to come in a couple of
weeks ago, but the sitter flaked.
Okay. Let's see. Yeah.
Ooh.
Oh. Does it hurt when I press here?
Take a breath.
- [GROANS]
- Ah.
Okay. I'm gonna do a quick ultrasound.
How did you get into podcasts?
I wanted to be a playwright,
but I have five kids,
no time and a lot of bills,
so I write smut for
other tired moms instead.
- Bless you.
- Don't forget tired surgical interns.
I recognize your name. I'm actually
kind of a big fan. [GIGGLES]
Dr. Spencer, what do you see?
I think that's fluid
around the gallbladder?
A-Acute cholecystitis?
What does that mean?
Your gallbladder is inflamed.
It needs to come out.
Uh Like today?
Uh, let's wait and see
what the labs tell us, okay?
- Page me when the labs are back.
- Okay.
Do you know who Celine Talbot is?
She basically invented robotic surgery.
I have her textbook in my locker.
She hasn't been canceled?
We still love her?
- I've only heard good things.
- That's great. Good for her.
- [CAMERA SHUTTERS CLICKING]
- Oh. What is with all the cameras?
- Does Altman know?
- No idea. I haven't seen her.
Uh, are you waiting for the victims
from the demolished building?
Kwan, can you
Uh, ma'am, the ambulance bay is
for authorized personnel only, okay?
- [CAMERA SHUTTERS CLICKING]
- [HUNT] What do we got?
[PARAMEDIC 1] Casey Lee, 42, extricated
after three hours under debris,
positive LOC, GCS 13.
Crush injury to the right
hand. Received two liters of LR.
- Vitals stable on O2.
- You left out the part
where a wrecking ball
came through my wall.
We've been watching the news.
You've been through it. How's your pain?
It's everywhere.
Where's Dave? Is he okay?
Hang tight. We'll find out.
- Who's on hand call?
- Plastics is. I'll page 'em.
Let's get her inside
and call for backup.
- [CASEY COUGHING]
- What do we got?
[PARAMEDIC 2] Dave Morton, 45,
- extricated from beneath the rubble
- You coward!
- [KWAN] Ma'am, you can't be here.
- I'm sorry. I'm so sorry.
[HEATHER] We said in
sickness and in health,
and I find out that you're
having an affair on the news?
- We have kids!
- Trauma 1.
Okay. Right behind you.
- I hope you let him die.
- [GROANS]
We're not going to let
that happen, sir. Okay?
Stand back, everyone.
- FAST is negative.
- [NDUGU] All right.
Tell me if you feel
any pain where I press.
[GROANS] My home is gone.
All of Seattle knows I'm having
an affair with my direct report.
We work at a payroll company.
There was nothing else to do.
Which hand are we looking at?
Never mind. Found it.
- Do any of you believe in God?
- I do.
Do you think God is punishing me for
falling in love with a married man?
I don't know God to be vengeful.
If this was revenge,
my money's on the wife.
- Maintain c-spine when we roll?
- [SHEPHERD] On it.
Did you see how it's
split at the capitate?
- Could we use a volar locking plate?
- Good place to start.
- [CASEY GROANING]
- Talk to us, Casey. What hurts?
- [MONITORS BEEPING RAPIDLY]
- [SHEPHERD] Casey?
Left pupil is blown. Casey?
Casey, can you hear me?
Damn it, she's got a brain bleed.
I need to do a burr
hole decompression.
- Warren, please get a drill.
- I'll intubate.
I need a razor.
[RAZOR BUZZING]
[SHEPHERD] Betadine.
Gown and gloves.
- All right. I need cricoid pressure.
- I got it.
[NDUGU] All right, I'm in.
Hang on, Casey. Scalpel.
Hang another liter of fluids.
I'm gonna be a meme, aren't I?
Man cheats on wife and gets
hit with a wrecking ball.
Until something better comes along.
- Plate.
- Is Heather still here?
- I don't know.
- She hates me.
Not just today. It's all the time.
[PANTING] Look, I-I know
what I'm doing is wrong,
but Casey laughs at my jokes.
She cares what I have to say.
- Yeah, I wouldn't tell your wife that.
- How we doing in here?
Dave was rescued from under a
hundred thousand pounds of debris.
- Oh, so in a little pain.
- [DAVE] Yeah.
- Physical or existential?
- Chest X-ray looks clean.
Let's check the leg.
Comminuted fractures of the
tibia and fibula. Page ortho.
Okay. Leg is pale and tense.
Give me a pressure monitor.
You're doing great.
- [HUNT] Okay.
- [GROANING]
All right, 52. Kwan?
Acute compartment syndrome.
He needs a fasciotomy.
You'll be doing it. We're
gonna do an RSI. Suction.
Dave, we're gonna sedate you
and then we're gonna relieve
this pressure in your leg, okay?
Just give me a window seat.
Okay, here we go.
I'm in.
All right, Kwan, get ready to cut.
Okay, start with the
posterior lateral incision.
Go.
Hey, uh, can you get Angela
out of here for a while?
Her daughter is dying. What
I need I need to talk to Katie alone.
- What do you want me to say to her?
- I don't know.
Just see if she wants to take a walk.
Take a walk? These are the last
moments she'll ever have with her child.
Katie asked me to do something she
doesn't want her mom to know about,
- and I need to follow up.
- Lucas
Look, I wouldn't ask if it
weren't important to her. Please?
Fine, but I don't feel good about it.
Hey, yo, sir?
Sir, when was the last time
you thought about your prostate?
Oh. Fun fact, did you know that
prostates are the size of walnuts?
- Hey.
- Our first customer.
- Oh, hey. Welcome.
- Someone call in a security complaint?
That wasn't us. But while you're here,
you want some coffee, pastries?
- Do you have blueberry muffins?
- We do.
And with it comes a pamphlet
about prostate health.
Um
I should I should try to
figure out who-who made that call.
- Oh. Uh, y-you can come back.
- Yeah, we'll be here all day.
- Did we come on too strong?
- No. Maybe.
Look, you stay here. I'm gonna go to
my office and make some more flyers.
Uh, sir, do you have
blood in your urine?
No, man.
That was That was weird.
Talia, we got your
labs and scans back.
Is it bad?
Your faces look like it's bad.
Your gallbladder is necrotic
from the inflammation.
Yes, it needs to come out right away.
No, I-I can't have surgery right now.
My my babysitter's leaving at 4:00.
My husband doesn't get home until 6:00.
We can help you figure out childcare.
My kids were napping when I left.
[PANTING] I didn't say goodbye to them.
And I'm-I'm on a deadline,
and I have to take the dog to the vet.
No, no, no. This can't happen right now.
This has to wait.
Okay, I know this is overwhelming,
but we have to act fast.
If we don't treat the source of
infection, your sepsis will progress.
[PANTING] And then what? I-I could die?
- Uh If we don't intervene in time.
- [TALIA SOBBING]
Look, look, look. Right
now, I am driving this train.
If we wait, it'll run away, and
I won't be able to get it back.
Let us operate.
- [SOBBING] Okay.
- Okay.
I'll call the front desk, let
them know that we're coming.
Good. Shh. It's okay.
I got you. I got you.
You got everything?
Mm-hmm. Yeah, all of it.
Uh, the-the journals, the weed.
- It's medicinal.
- Hey, no judgment.
Uh, what do you want me
to do with everything?
Burn it.
I-I'm committing arson now?
I'm not asking you to burn down a house,
just my journals.
[SIGHS] What's in those journals?
My entire life.
Fights with my mom.
Nights out with friends.
Meeting you.
Are we really never
going to talk about this?
I'm in a hospital bed in your
ex-girlfriend's living room.
Simone was happy to do it.
It's not a big deal.
Even on your deathbed, men
are withholding and avoidant.
I don't know what you want me to say!
Do you really want to hear that
I have feelings for you right now?
That-That if we had
met in some other way,
if-if you weren't sick,
we would be together?
[SOMBER MUSIC PLAYS]
God, I'm not trying to be
withholding or avoidant.
I'm just I'm just
trying to keep it together
so that I can keep-keep taking care
of you like I promised, like I
Like you deserve.
[KATIE SNIFFLES]
- [ALTMAN] Dave's doing great.
- [SCOFFS] Of course he is.
The man hasn't suffered
a consequence in his entire life.
His leg is shattered in two places.
Ortho will take him down to the
OR soon and plate his broken bones.
In the meantime, he should rest.
[HEATHER] That won't be a problem.
He's great at sitting on his ass
while other people do everything.
Heather, it's been a long morning.
Maybe you should get some air?
Yeah, he would love that.
Well, they seem very happy together.
If he remains stable,
do you think I can scrub in
on the girlfriend's surgery?
- Sure, just let us know.
- Yeah.
Can you imagine being sound asleep
and a wrecking ball come
through your bedroom?
I don't get the sense
- that they were sleeping.
- [PHONE BUZZING]
- Oh, my lunch was canceled.
- You want to go to the cafeteria?
- I have a better idea.
- Oh, I'm kind of sick of Nicoletti's.
Yeah, I'm not talking about food.
Oh. Oh, uh, you know what?
I am not that hungry anymore.
- Hey.
- Hey.
Casey just went into the scanner.
She was lucky you were
there to decompress her.
Oh, it's not a big deal. Any
neurosurgeon could have done that.
Take the compliment.
Well, I can take a compliment,
but t-that was nothing.
You should see me resect a cavernous
malformation in a brain stem.
Any deviation could be instantly fatal.
I did not invent the
micro-surgical technique for that,
but you would be hard-pressed
to find someone more skilled
at staying in the precise plane.
Wow. Uh, I'm gonna go out on a limb.
Are you still thinking about Celine?
Um
- She's a living legend
- Right, yeah.
and you were married to her.
That is information I'm
gonna need to process.
And you didn't even online stalk
me before we started hooking up?
It seemed like the healthy choice
at the time. I regret it now.
My entire marriage was about Celine.
It's-It's why I left.
She took all the oxygen.
I'm having fun with you.
I want to keep having fun
with you, but I need air.
Have Millin page me when
Casey's out of the scanner.
Social media's raking
her over the coals.
Her company's putting her on leave.
And I'll bet there isn't a
peep about the married man.
Weirdly, there's not a
peep about the company
that demolished the wrong house.
I'm sure the guy's
getting judged plenty.
Is he getting put on leave?
She's his supervisor.
It's not the same.
Yeah, well, you take the risk,
you take the consequences too.
You're married to the
residency director.
Well, he was married to Dr. Pierce.
"Was" being the operative word here.
I, um, learned my lesson the hard way.
I thought the lesson
was to get a hotel room
when your neighbors are
demolishing their house,
- but maybe that's just me.
- [ELECTRONIC BEEPING]
Oh. Scans are up. I will go
get Dr. Shepherd and Dr. Wright.
Um Is that her entire stomach?
Oh, damn it. It's
herniated into her chest.
Let's get her out of there.
What if we had more time?
[CHUCKLES] What if we met in college?
[SCOFFS] No, I was an idiot in college.
You would have hated me.
[CHUCKLES] I doubt that. Med school?
All I did was study in med school.
We-We could have met in high school
when I was out here visiting my cousins?
Yeah, I would've been in the library,
trying to get away from
my parents' fighting.
You sure you weren't
- at a soccer field
- No.
- or a movie theater?
- No.
- Okay.
- Just the library.
[CHUCKLES]
All right. I, um
Yeah, yeah, I guess I could
have been at a library.
I was, um, working on an English
paper, and I forgot my book at home.
- What was the book?
- Beloved.
Oh, I have a weakness for
boys who read Toni Morrison.
[BOTH CHUCKLE]
Yeah, you offered to check it out for me
because the librarian wouldn't
let me use my aunt's card
- Mmm.
- so
Yeah, we spent the whole week together.
Just walking around the city.
- Talking about books.
- [LAUGHS WEAKLY]
And where are we now?
New York.
You have your own
therapy practice, and
and I'm doing a fellowship.
- I made it to New York.
- Yeah.
[GRUNTING, SWALLOWS HARD]
Are-Are you in pain?
Wait, yeah, hold on.
I'll get a canister.
[GROANS]
[GROANS]
Hey, how'd your top
secret conversation go?
- What are you doing?
- Katie's in pain.
Oh, no, no, we drained
her two hours ago.
Bailey said max Q four hours.
She's having trouble breathing.
- She's dying.
- Yeah, I know.
And I'm trying to keep her comfortable.
You heard what Bailey said.
If we drain her too much,
it could make her pain worse.
We could give her more morphine instead.
That's not gonna help with
the pressure on her lungs.
Lucas, I know this must
be hard for you, but we
- Yeah, I'm fine. I'm fine. I'm fine.
- No, it's not about
All right, thanks for the update.
Was that Dr. Adams?
Uh, he's with Katie Rogers today.
It's so sad.
Ooh.
All right, we'll take
it from here, Wilson.
Wait, I'm not scrubbing in?
You are still recovering
from major surgery.
My last EF was normal.
- Do you have a doctor's note?
- Do you want me to page Ndugu?
Oh, I'm-I'm happy to page him.
[SCOFFS] I want you to
go back to the clinic,
where I don't have to worry
about you having a cardiac episode
on top of all of the other things
I have to worry about right now.
[GROANS]
- BP's 80/50.
- Okay, she's decompensating. Let's move.
Uh-uh, Wilson, go back to the clinic.
Go!
They just took Casey
to the operating room.
Uh, she's gonna be okay?
We'll know more after surgery.
She sustained some
pretty serious injuries
Don't let me stop you.
Didn't stop him.
Dr. Millin was just
giving us an update
On his girlfriend?
Yeah, or-or his boss?
His boss that he's been boning while
I'm buying his kids soccer cleats.
- Heather
- [HEATHER] No!
Look, I don't care if you're so in love
that you've got rainbows
coming out of your vagina.
Get a prenup.
- I-I'm not in a relationship
- Promise me!
I promise. Promise.
What are the odds the next
time we see them on the news,
it's because she murdered him?
He shouldn't have said that
he wanted to be with her
if he didn't actually
want to be with her.
So you think he deserves to die?
Why do you always side
with the perpetrator?
- Are you ever gonna let this go?
- Uh, which part?
The part where your girlfriend
tried to sabotage my career,
or the part where I told you
about it and you didn't believe me?
Okay. I made her turn herself
in, and we broke up because of it.
Well, better off without her.
Okay, she's not an evil person.
She was under a lot of pressure
and she made a bad choice.
Now you're here and she's not.
You sound disappointed.
Huh? I told you they'd come.
They have. We have to
order more food. [CHUCKLES]
[CHUCKLES] I'm on it.
Dr. Webber, this spread
is out of control.
Did you sign in? We could schedule
your blood test for you right here.
Oh, and, Bridget, feel free to
take some literature to your husband
or any other men in your life.
Is this not a staff lunch?
It's a screening event
for prostate cancer.
- Mm-hmm. We knew that.
- Hundred percent.
Thanks for the doughnut.
Oh, my eyes must be deceiving me.
There can't be four surgical interns
standing around in
the middle of the day.
Sorry, Dr. Webber. We were just leaving.
They're not interested
in cancer screenings.
They're here for the free food.
It's not ideal, but they're
still here, learning by osmosis.
People!
Unless you want to learn about
prostate cancer, go back to work.
Should I cancel this food order?
[MILLIN] Dave's stable in the ICU.
He wants an update on Casey
when we're finished here.
- [NDUGU] He's not family.
- [SHEPHERD] They're in love.
- [NDUGU] She's his boss.
- [WRIGHT] Titles don't matter.
At the end of the day,
we're all just people.
[NDUGU] Well, not as
far as HR is concerned.
Warren, pull the stomach
back into the abdomen.
Do we have an ETA on Kwan joining us?
[MILLIN] He got held up.
How's it looking?
[WRIGHT] Debridement's almost done.
I need to stabilize these fractures,
- then work on the flexors.
- [MONITORS BEEPING RAPIDLY]
[NDUGU] I've got some bleeding
up here. Warren, how's your side?
[WARREN] Also bleeding.
Lap pads and Bovie.
- [NDUGU] Okay, I need more hands.
- [WRIGHT] I've got this.
Millin, help Ndugu.
[NDUGU] Thank you.
All right, hold pressure.
No. Here.
- [BEEPING STOPS]
- Good. 2-0 silk and suction.
I'm ready for heavy scissors.
Then we'll close the defect, and
Warren and I will be done here.
Cut this.
All right. Thank you.
[MILLIN] Is that everything
you need from me?
- [NDUGU] Yeah.
- [MILLIN] Great.
[SPENCER] I didn't actually
listen to Talia's podcast.
I was just being nice.
[BAILEY] And I will
pretend to believe that
- if that makes you feel better.
- [SPENCER SIGHS]
[BAILEY] Wilson, what
are you doing here?
[WILSON] Talia's husband's here.
He's asking for an update.
[SPENCER] Are those gallstones?
- There's hundreds.
- [WILSON] What happened?
[BAILEY] The gallbladder must
have ruptured from the necrosis,
and the stones spilled out.
- [SPENCER] Can we remove them?
- [BAILEY] Not all of them.
The ones we can't will be
sources of possible infection,
or her body will just try to spit
them out through the incision.
She'll be battling this
for the rest of her life.
[GROANS] This was supposed to be the
one thing I could fix today. [SIGHS]
[WILSON] Dr. Spencer,
what's the next step?
[SPENCER] Um
- Remove the gallbladder.
- [WILSON] That's right.
Gallbladder's the
priority, then the stones.
Okay, keep it dry. I'll scrub in.
Now I am hungry.
[BOTH LAUGH]
- [PHONE RINGING]
- [ALTMAN SIGHS]
Okay, okay.
[GRUNTS, SIGHS]
[CLEARS THROAT]
Oh, it's, uh, it's security.
This is Dr. Altman.
[GUARD] Dave Morton's wife
is making a scene in lot A.
She refuses to leave until she talks
- to her husband's doctor.
- [PHONE BUZZING]
Okay, okay. I'm getting another call,
but I will be down as soon as I can.
This is Dr. Altman.
[WOMAN] Hi, I'm calling
from Domnhall Tavern
to confirm your table for two
Table for two. [SIGHS] Important dinner?
I-It's just some friend of Lincoln's.
I mean, he's-he's new to town.
Wilson connected us.
Uh, kinda sounds like a date.
It's-It's not a date.
It's just two people
who want to expand their social circles.
And possibly sleep together.
[STUTTERS] Owen. I'm
sorry you heard that call.
I mean, it
We are divorced. I mean, I-I-I
am allowed to meet other people.
Yeah. You're right.
Listen, uh, don't worry about Dave's
wife. I'll deal with her, okay?
- Okay, great, yeah, thank you.
- Mm-hmm.
[SIGHS]
Hey, sweet pea.
[GRUNTING] You're still here.
Where else would I be?
Katie? What's happening?
- The fluid's pushing on her lungs.
- Help me.
Stay calm, stay calm, stay calm.
Look at me. Just look at me.
I can't breathe.
All right, I'll remove the fluid.
- I just need to grab a canister.
- Okay.
[SUSPENSEFUL MUSIC PLAYING]
Where are the canisters?
Katie can't breathe.
You drained her 90 minutes ago.
I'll prep morphine and lorazepam.
No, no, no, she doesn't want drugs.
She wants to stay lucid.
She wants to stay lucid,
or is that what you want?
Where are the canisters?
Where are they?
- You hid them?
- I'm her doctor
- So am I.
- This is why Bailey took you off the case.
- Your judgment is clouded.
- The drainage extends her life.
- That's not the goal anymore.
- You don't know what she wants.
- Lucas, she is suffering, and you
- So let me help her!
[ANGELA] It's okay. It's okay.
- [ADAMS CRIES]
- It's okay. Lucas.
[ANGELA] I got you, baby. Mama's here.
Give her the meds, and
tell her I'll be right back.
Where are you going? Lucas!
[ANGELA] Just hold on to me. It's okay.
[SPENCER] I didn't know OBs
could do cholecystectomies.
[WILSON] They can't.
[SPENCER] Um, okay.
Then should you be
[WILSON] I used to be a general surgeon.
[SPENCER] Oh, good.
So, you switched specialties?
[WILSON] I wanted more joy. [SIGHS]
This was before the government started
dismantling women's health care.
Now there's a lot less joy.
[BAILEY] Time to get the stones.
Specimen.
[SPENCER] How do we remove them?
[BAILEY] We will flood
the abdomen with fluid.
The gallstones will float to the top,
and we'll suction out as many as we can.
All right. Starting the irrigation.
[SPENCER] How does someone not know
they have thousands of gallstones?
[WILSON] Well, they increased one at
a time, taking years if not decades
to cause inflammation.
And when changes are that gradual,
it's hard to notice
until it's all you notice.
[PAGER BUZZING]
[NURSE] Dr. Spencer,
you're getting paged 911.
[BAILEY] Oh, we're okay here.
Go see what it is.
[WILSON] Also, can you
update Talia's husband?
Let him know she's gonna be okay.
[SHEPHERD] ICP is in place.
Time to close.
Dr. Millin, do you
want to do the honors?
That is, if Dr. Wright can spare you.
[WRIGHT] Go ahead.
Take my resident. Everyone does.
I'm kidding.
[MILLIN] Uh, I can-I can run
nylon for you.
[SHEPHERD] I'm actually gonna have
you do a vertical mattress stitch.
- [MILLIN] On a scalp closure?
- Where'd you learn that?
My brother.
Taught me that when the brain swells,
the vertical mattress best
off-loads tension from the edema.
What a legend. It must have been
so cool to come up after him.
[SHEPHERD] Yeah.
[MILLIN] My brother
thinks he's a doctor.
- [WRIGHT] What's his specialty?
- [MILLIN] Oh, snake oil.
[WRIGHT] Maybe he
knows my cousin Mark.
- [PHONE BUZZES, CHIMES]
- [ASSISTANT] Dr. Wright?
[WRIGHT] I'm sorry, Dr. Shepherd.
I spoke too soon.
I need Millin to go to the ICU
to check on a patient's flap.
Do you want me to see if someone
else is available to close?
[SHEPHERD] I'm happy to close.
Thank you.
Nylon.
- Whoa.
- Who needs new clubs?
Oh, I decided to get some
air after all. Great idea.
Heather, you can't just unload
your car in the parking lot.
Who likes music?
- Mrs. Morton
- Don't call me that!
I know that you're upset,
but this is not helping.
Oh, no, it felt really good
when that record player exploded.
Uh, oh, we got Rolling
Stones, AC/DC, Zeppelin.
- This is a hospital!
- I don't care!
He thinks he can do whatever he wants.
But I matter. I matter!
["HOPE IS A FLAME" PLAYING]
Hey.
- [ADAMS] Hi.
- I got everything you asked for.
- Thanks.
- Is that coffee?
- Gonna be able to sleep tonight?
- Nope. That's the point.
You're very committed
to your patients.
Yeah, some people think
that's a bad thing.
Well, I think it's noble.
Katie's very lucky to have you.
"Lucky" would be surviving cancer.
Look, if you need anything, I'm on
call, so I won't be sleeping either.
Don't tell Bailey I was here.
Thanks for your help today.
Well, it's my job, so.
It's gonna be weird now, isn't it?
- Is it weird now?
- Kinda, yeah.
- Yeah.
- It is. I feel it. I know.
You know, that M&M, it
could've really set you back.
- You're lucky your name was cleared.
- Yeah.
I don't want to risk it.
But if you weren't a resident,
and I wasn't chief of cardio
No, let's not do that.
Let's just call it what it is.
It's a poorly timed mutual attraction
that wouldn't have worked anyway
because you're a Celtics
fan, and I would never.
Friends?
Friends.
- Hey. Lucas, before you go in there
- What are you
- What is it?
- She didn't feel any pain.
Lucas.
No. No. No.
[SOBBING]
Hey, Dr. Webber. How'd your event go?
Uh
Oh, we have some leftovers. I
brought you a blueberry muffin.
- [CHUCKLES] Well, thank you.
- All right, have a good one.
Hey, D-Doc, wait, uh
- Can I ask you a quick question?
- Hmm?
So if I'm going to the bathroom
more than usual, is that bad?
Frequent urination could
mean a number of things.
Uh
Well, first, we should do
a simple blood test, uh,
but I'd like to ask you some
questions about your medical history.
[JIMMY] Okay.
[PHONE BUZZES, CHIMES]
- [LINCOLN] You ready to go home?
- Do we have to?
It's so quiet here.
Well, we could see if
Nardi can spend the night.
No. I miss my babies, but this
was a nice little vacation.
- Thank you, Dr. Bailey.
- Anytime.
- Yeah.
- Hey.
All right, take care.
You ready?
Katie died.
I'm sorry.
I'm sorry. Hey, hey.
Come here. Come here.
[SOBBING]
When did I stop fighting?
What are you talking about?
You you fight for your
patients every day.
[SCOFFS] Yeah. A lot of good it
does when all the systems are broken.
I mean, they're, like, attacking
us, and on every front. [CRIES]
It's-It's-It's death by
a thousand paper cuts.
We're-We're bleeding
from so many places
we don't even notice
when we get a new one.
Hey, hey, hey. You can't be
at DEFCON 1 every day, okay?
- That's not sustainable.
- Then how do we win? [CRIES]
I don't know. I don't know.
[BAILEY WHIMPERS]
Hey, I know visiting hours are over, but
we were hoping we could have a minute.
Yeah. Come on in.
She's been through a lot.
It'll be a few days before she
wakes up, but so far, so good.
Can she hear me?
We don't know for
sure, but doesn't hurt.
[DAVE] It's probably good
that you're asleep right now.
People are saying some awful
things about us. [SIGHS]
But they're wrong, babe.
God, I'm so in love with you, Case.
I want to be with you.
We could start over. Just you and me.
Forget everybody else.
He's delusional.
Hey. Did you give a talk tonight?
Take a seat.
And, uh, welcome to the first-ever
Toni Wright Appreciation Awards,
where we are honoring a very
special surgeon and, uh, person.
- Wait, what are you [CHUCKLES]
- It's not your turn yet.
Tonight's honoree is a
world-renowned neurosurgeon,
a Fox Award nominee for
her groundbreaking removal
of a formerly inoperable astrocytoma.
She's also made great strides in
Parkinson's and Alzheimer's research.
Also done considerable
work in brain mapping.
I was just about to say that.
[BOTH LAUGH]
Unlike you, I did some light
stalking after we got together.
I was extremely impressed.
But not as impressed as I was
today, when your resident left,
and you, the most senior
neurosurgeon at this hospital,
the chief of your department,
closed yourself, and enjoyed doing it.
That says more about you than any award.
Except maybe this one.
[SHEPHERD CHUCKLES]
"Best person, doctor and lover."
And
I'm-I'm really proud of this one.
- "Best ass." [LAUGHS]
- Yeah.
I don't want to be a consolation prize.
You're Amelia Shepherd.
There's literally no planet
where you're a consolation prize.
- You're it.
- [CHUCKLES]
["US AGAINST THE WORLD" PLAYING]
[GREY] Doing the wrong
thing for the right reason
doesn't always pan out.
- Hey.
- Hey.
How'd it go with the wife?
Oh, she calmed down eventually,
but if you want any old records
or a five-iron, take a walk
through lot A on your way home.
- [CHUCKLES] Thank you for doing that.
- Yeah, of course.
Shouldn't you be headed
off for your dinner?
It got canceled.
- I was just about to ask you.
- Oh.
I have a babysitter.
You want to grab a bite, and we can go
to your place after, get some fresh air?
[CHUCKLES] Um
I can't. I have a stack of patient
charts I need to get caught up on, so.
Oh.
Okay. Yeah, I should
probably do the same.
Yeah. I'll see you tomorrow.
- Yeah, have a good night.
- Okay.
[GREY] But it's not the end of the road.
You want some tea?
You really think that tea's
gonna make me feel better?
I didn't mean
It's just tea.
I shouldn't have left.
I shouldn't have left.
I should've been with her.
You can't blame yourself.
You're right.
I blame you.
[GREY] Keep going. Find a way.
Hey, hey, hey, wait up. Um
I'm sorry that I snapped at you today.
It sucks falling for the wrong person.
I know she made some bad choices,
but we had something good.
Then it all went up in smoke.
Well, do you want to order pizza
tonight and play Super Smash Brothers?
You want a rematch?
Hey, the only reason I lost that
one time is because I sneezed.
- You are such a sore loser.
- No
[NDUGU] Jules.
See you tomorrow.
What are you doing here?
I could get fired for
everything I'm about to say,
and I'm I'm not used to that at all.
I'm I'm an exemplary employee.
I follow every rule.
Like, I-I don't even take
home the hospital's pens.
But I can't shake the feeling
that even if the worst happens
it'll be worth it.
But if you need some time to
[GREY] One day, the stars will align.
["BLONDIE" PLAYING]
Blondie, slow down make
me sway like a willow ♪
[GREY] As an intern, I
did everything by the book.
Well, I tried.
[RADIO HOST] First
responders are on the scene
after a wrecking crew
demolished the wrong house
- [PHONE RINGING]
- trapping two people under rubble.
The two residents have been trapped
beneath debris for over three hours.
The rescue teams trying to reach them
[WRIGHT] Come on. [SIGHS]
[RADIO HOST] There's no foul
play suspected at this time.
You know Celine Talbot?
She's my ex-wife.
- [PHONE RINGING]
- I'm sorry.
You were married to someone who won a
Medallion for Scientific Achievement.
That is the highest
honor in all of medicine.
The medal's actually very small.
It's not that impressive.
[RINGING CONTINUES]
I should answer in case it's
about Zach. Don't go anywhere.
[GREY] But surgery is like
everything else in life.
You have to know the rules
in order to break them.
With time and experience, you learn
all the caveats and exceptions.
- Has he slept?
- Not more than an hour.
[BAILEY SIGHS]
I never wish people ill.
We all do the best we
can with what we've got.
But whoever decided to
cancel Katie's clinical trial,
I hope they suffer a
fate worse than this.
[GREY] When to keep a
trauma patient out of the OR
because you think their
bleeding will stop.
We got a liter out this time.
It's building up fast. Can we
increase the frequency of draining?
You can increase to every four
hours if it keeps her comfortable.
That's it? But the draining
makes her feel better.
Isn't that the whole
point of hospice care?
No, no. If you drain too much,
she could have severe electrolyte
shifts and can have more pain.
I'll update her chart.
[GREY] Or when it's better
to leave a ruptured appendix
until the infection clears.
Uh page me if you need anything.
Thank you.
[GREY] So you can break the rules,
but you better know what you're doing.
- It's just the clinic.
- I didn't know you were back already.
Yeah, seem a little premature to you?
[SIGHS] We're just
helping out for the day,
and I want to give our
nanny some practice runs
- before we go back to work full-time.
- But if you get tired
Get tired? I haven't slept more
than 90 minutes in two months.
- I'm fine. Go check some prostates.
- [SIGHS]
I'm helping Webber with his
prostate-screening initiative.
How you doing?
You still living in the trailer?
Yeah, it's just easier for now.
Well, you're putting one
foot in front of the other.
In my book, that's a win.
[ALTMAN] Copy that.
Okay, we'll have our trauma team
ready and waiting for your arrival.
Okay, thanks. Yeah, see you soon.
SPD. Did you hear about
the demolition crew
that knocked down the wrong house?
- Were there people inside?
- Two.
Fifteen minutes out.
Mmm. Plenty of time.
- I-I need my charger back.
- I'll get right on that.
Kavita took my other one to Boston.
She's taking a leave of absence.
Hmm. Liar and a thief.
She told Wright that she
placed the stitch, not you.
- Can you give her some credit?
- Nope.
- Hey.
- Hi.
Um, I'm not sure anyone told you.
Scott got his new flap on
his sternal wound yesterday.
I didn't know. How is he doing?
Seems to be feeling pretty good.
He, uh, was just giving me grief
about being a Celtics fan, so
You're a Celtics fan?
It's like I don't even know you.
Okay, what do you have against the
most successful team in NBA history?
- The obnoxious fans.
- [CHUCKLES] Oh, okay. Shots fired.
I just call 'em like I see 'em.
Dr. Millin, you're late for rounds.
Uh, I'm on neuro today.
Not anymore. My fellow's
out. I need more hands.
- You asked for me?
- Let's go.
Go get 'em.
You went all out.
Yeah, you don't think
it's too much, do you?
They say breast cancer
brings in the big bucks
because they have the best PR.
Not that people shouldn't
donate to breast cancer research.
I-I donate to breast cancer research.
I haven't slept in a long time.
Maybe leave the talking to me, and
you can pass out the literature, okay?
Whatever you need.
[SIGHS] I think it's great
that you're doing this.
Well, they said I was lucky I caught
my cancer early, but it wasn't luck.
I knew to get screened.
Not everybody does.
Okay, it's go time.
You man the registration table
and make sure that people sign in.
Okay.
- Nobody's on time to these things.
- Yeah.
Ooh. Danish.
Oh, I said you could see
patients with your eyes.
You will not be pushing
equipment around. Not on my watch.
I carry my kids around all day.
What you do in your
home is your business.
In this clinic, it is
mine, and you will go easy.
- Where am I taking this? Oh.
- Bed five.
What's more titillating,
stroke or caress?
- Caress.
- Um, is she sexting?
I'm writing a script
for a romance podcast.
- Uh, Love Blossoms at the Hoedown.
- Oh.
We're still workshopping the title.
Well, I'm no expert, but it
sounds good to me. Dr. Spencer?
Talia Stern, 35.
She's had abdominal pain since
her C-section three months ago.
Pelvic exam was normal.
Waiting on labs.
Okay.
Would it be okay if I just take a l
Dr. Bailey can take a look.
Okay.
I tried to come in a couple of
weeks ago, but the sitter flaked.
Okay. Let's see. Yeah.
Ooh.
Oh. Does it hurt when I press here?
Take a breath.
- [GROANS]
- Ah.
Okay. I'm gonna do a quick ultrasound.
How did you get into podcasts?
I wanted to be a playwright,
but I have five kids,
no time and a lot of bills,
so I write smut for
other tired moms instead.
- Bless you.
- Don't forget tired surgical interns.
I recognize your name. I'm actually
kind of a big fan. [GIGGLES]
Dr. Spencer, what do you see?
I think that's fluid
around the gallbladder?
A-Acute cholecystitis?
What does that mean?
Your gallbladder is inflamed.
It needs to come out.
Uh Like today?
Uh, let's wait and see
what the labs tell us, okay?
- Page me when the labs are back.
- Okay.
Do you know who Celine Talbot is?
She basically invented robotic surgery.
I have her textbook in my locker.
She hasn't been canceled?
We still love her?
- I've only heard good things.
- That's great. Good for her.
- [CAMERA SHUTTERS CLICKING]
- Oh. What is with all the cameras?
- Does Altman know?
- No idea. I haven't seen her.
Uh, are you waiting for the victims
from the demolished building?
Kwan, can you
Uh, ma'am, the ambulance bay is
for authorized personnel only, okay?
- [CAMERA SHUTTERS CLICKING]
- [HUNT] What do we got?
[PARAMEDIC 1] Casey Lee, 42, extricated
after three hours under debris,
positive LOC, GCS 13.
Crush injury to the right
hand. Received two liters of LR.
- Vitals stable on O2.
- You left out the part
where a wrecking ball
came through my wall.
We've been watching the news.
You've been through it. How's your pain?
It's everywhere.
Where's Dave? Is he okay?
Hang tight. We'll find out.
- Who's on hand call?
- Plastics is. I'll page 'em.
Let's get her inside
and call for backup.
- [CASEY COUGHING]
- What do we got?
[PARAMEDIC 2] Dave Morton, 45,
- extricated from beneath the rubble
- You coward!
- [KWAN] Ma'am, you can't be here.
- I'm sorry. I'm so sorry.
[HEATHER] We said in
sickness and in health,
and I find out that you're
having an affair on the news?
- We have kids!
- Trauma 1.
Okay. Right behind you.
- I hope you let him die.
- [GROANS]
We're not going to let
that happen, sir. Okay?
Stand back, everyone.
- FAST is negative.
- [NDUGU] All right.
Tell me if you feel
any pain where I press.
[GROANS] My home is gone.
All of Seattle knows I'm having
an affair with my direct report.
We work at a payroll company.
There was nothing else to do.
Which hand are we looking at?
Never mind. Found it.
- Do any of you believe in God?
- I do.
Do you think God is punishing me for
falling in love with a married man?
I don't know God to be vengeful.
If this was revenge,
my money's on the wife.
- Maintain c-spine when we roll?
- [SHEPHERD] On it.
Did you see how it's
split at the capitate?
- Could we use a volar locking plate?
- Good place to start.
- [CASEY GROANING]
- Talk to us, Casey. What hurts?
- [MONITORS BEEPING RAPIDLY]
- [SHEPHERD] Casey?
Left pupil is blown. Casey?
Casey, can you hear me?
Damn it, she's got a brain bleed.
I need to do a burr
hole decompression.
- Warren, please get a drill.
- I'll intubate.
I need a razor.
[RAZOR BUZZING]
[SHEPHERD] Betadine.
Gown and gloves.
- All right. I need cricoid pressure.
- I got it.
[NDUGU] All right, I'm in.
Hang on, Casey. Scalpel.
Hang another liter of fluids.
I'm gonna be a meme, aren't I?
Man cheats on wife and gets
hit with a wrecking ball.
Until something better comes along.
- Plate.
- Is Heather still here?
- I don't know.
- She hates me.
Not just today. It's all the time.
[PANTING] Look, I-I know
what I'm doing is wrong,
but Casey laughs at my jokes.
She cares what I have to say.
- Yeah, I wouldn't tell your wife that.
- How we doing in here?
Dave was rescued from under a
hundred thousand pounds of debris.
- Oh, so in a little pain.
- [DAVE] Yeah.
- Physical or existential?
- Chest X-ray looks clean.
Let's check the leg.
Comminuted fractures of the
tibia and fibula. Page ortho.
Okay. Leg is pale and tense.
Give me a pressure monitor.
You're doing great.
- [HUNT] Okay.
- [GROANING]
All right, 52. Kwan?
Acute compartment syndrome.
He needs a fasciotomy.
You'll be doing it. We're
gonna do an RSI. Suction.
Dave, we're gonna sedate you
and then we're gonna relieve
this pressure in your leg, okay?
Just give me a window seat.
Okay, here we go.
I'm in.
All right, Kwan, get ready to cut.
Okay, start with the
posterior lateral incision.
Go.
Hey, uh, can you get Angela
out of here for a while?
Her daughter is dying. What
I need I need to talk to Katie alone.
- What do you want me to say to her?
- I don't know.
Just see if she wants to take a walk.
Take a walk? These are the last
moments she'll ever have with her child.
Katie asked me to do something she
doesn't want her mom to know about,
- and I need to follow up.
- Lucas
Look, I wouldn't ask if it
weren't important to her. Please?
Fine, but I don't feel good about it.
Hey, yo, sir?
Sir, when was the last time
you thought about your prostate?
Oh. Fun fact, did you know that
prostates are the size of walnuts?
- Hey.
- Our first customer.
- Oh, hey. Welcome.
- Someone call in a security complaint?
That wasn't us. But while you're here,
you want some coffee, pastries?
- Do you have blueberry muffins?
- We do.
And with it comes a pamphlet
about prostate health.
Um
I should I should try to
figure out who-who made that call.
- Oh. Uh, y-you can come back.
- Yeah, we'll be here all day.
- Did we come on too strong?
- No. Maybe.
Look, you stay here. I'm gonna go to
my office and make some more flyers.
Uh, sir, do you have
blood in your urine?
No, man.
That was That was weird.
Talia, we got your
labs and scans back.
Is it bad?
Your faces look like it's bad.
Your gallbladder is necrotic
from the inflammation.
Yes, it needs to come out right away.
No, I-I can't have surgery right now.
My my babysitter's leaving at 4:00.
My husband doesn't get home until 6:00.
We can help you figure out childcare.
My kids were napping when I left.
[PANTING] I didn't say goodbye to them.
And I'm-I'm on a deadline,
and I have to take the dog to the vet.
No, no, no. This can't happen right now.
This has to wait.
Okay, I know this is overwhelming,
but we have to act fast.
If we don't treat the source of
infection, your sepsis will progress.
[PANTING] And then what? I-I could die?
- Uh If we don't intervene in time.
- [TALIA SOBBING]
Look, look, look. Right
now, I am driving this train.
If we wait, it'll run away, and
I won't be able to get it back.
Let us operate.
- [SOBBING] Okay.
- Okay.
I'll call the front desk, let
them know that we're coming.
Good. Shh. It's okay.
I got you. I got you.
You got everything?
Mm-hmm. Yeah, all of it.
Uh, the-the journals, the weed.
- It's medicinal.
- Hey, no judgment.
Uh, what do you want me
to do with everything?
Burn it.
I-I'm committing arson now?
I'm not asking you to burn down a house,
just my journals.
[SIGHS] What's in those journals?
My entire life.
Fights with my mom.
Nights out with friends.
Meeting you.
Are we really never
going to talk about this?
I'm in a hospital bed in your
ex-girlfriend's living room.
Simone was happy to do it.
It's not a big deal.
Even on your deathbed, men
are withholding and avoidant.
I don't know what you want me to say!
Do you really want to hear that
I have feelings for you right now?
That-That if we had
met in some other way,
if-if you weren't sick,
we would be together?
[SOMBER MUSIC PLAYS]
God, I'm not trying to be
withholding or avoidant.
I'm just I'm just
trying to keep it together
so that I can keep-keep taking care
of you like I promised, like I
Like you deserve.
[KATIE SNIFFLES]
- [ALTMAN] Dave's doing great.
- [SCOFFS] Of course he is.
The man hasn't suffered
a consequence in his entire life.
His leg is shattered in two places.
Ortho will take him down to the
OR soon and plate his broken bones.
In the meantime, he should rest.
[HEATHER] That won't be a problem.
He's great at sitting on his ass
while other people do everything.
Heather, it's been a long morning.
Maybe you should get some air?
Yeah, he would love that.
Well, they seem very happy together.
If he remains stable,
do you think I can scrub in
on the girlfriend's surgery?
- Sure, just let us know.
- Yeah.
Can you imagine being sound asleep
and a wrecking ball come
through your bedroom?
I don't get the sense
- that they were sleeping.
- [PHONE BUZZING]
- Oh, my lunch was canceled.
- You want to go to the cafeteria?
- I have a better idea.
- Oh, I'm kind of sick of Nicoletti's.
Yeah, I'm not talking about food.
Oh. Oh, uh, you know what?
I am not that hungry anymore.
- Hey.
- Hey.
Casey just went into the scanner.
She was lucky you were
there to decompress her.
Oh, it's not a big deal. Any
neurosurgeon could have done that.
Take the compliment.
Well, I can take a compliment,
but t-that was nothing.
You should see me resect a cavernous
malformation in a brain stem.
Any deviation could be instantly fatal.
I did not invent the
micro-surgical technique for that,
but you would be hard-pressed
to find someone more skilled
at staying in the precise plane.
Wow. Uh, I'm gonna go out on a limb.
Are you still thinking about Celine?
Um
- She's a living legend
- Right, yeah.
and you were married to her.
That is information I'm
gonna need to process.
And you didn't even online stalk
me before we started hooking up?
It seemed like the healthy choice
at the time. I regret it now.
My entire marriage was about Celine.
It's-It's why I left.
She took all the oxygen.
I'm having fun with you.
I want to keep having fun
with you, but I need air.
Have Millin page me when
Casey's out of the scanner.
Social media's raking
her over the coals.
Her company's putting her on leave.
And I'll bet there isn't a
peep about the married man.
Weirdly, there's not a
peep about the company
that demolished the wrong house.
I'm sure the guy's
getting judged plenty.
Is he getting put on leave?
She's his supervisor.
It's not the same.
Yeah, well, you take the risk,
you take the consequences too.
You're married to the
residency director.
Well, he was married to Dr. Pierce.
"Was" being the operative word here.
I, um, learned my lesson the hard way.
I thought the lesson
was to get a hotel room
when your neighbors are
demolishing their house,
- but maybe that's just me.
- [ELECTRONIC BEEPING]
Oh. Scans are up. I will go
get Dr. Shepherd and Dr. Wright.
Um Is that her entire stomach?
Oh, damn it. It's
herniated into her chest.
Let's get her out of there.
What if we had more time?
[CHUCKLES] What if we met in college?
[SCOFFS] No, I was an idiot in college.
You would have hated me.
[CHUCKLES] I doubt that. Med school?
All I did was study in med school.
We-We could have met in high school
when I was out here visiting my cousins?
Yeah, I would've been in the library,
trying to get away from
my parents' fighting.
You sure you weren't
- at a soccer field
- No.
- or a movie theater?
- No.
- Okay.
- Just the library.
[CHUCKLES]
All right. I, um
Yeah, yeah, I guess I could
have been at a library.
I was, um, working on an English
paper, and I forgot my book at home.
- What was the book?
- Beloved.
Oh, I have a weakness for
boys who read Toni Morrison.
[BOTH CHUCKLE]
Yeah, you offered to check it out for me
because the librarian wouldn't
let me use my aunt's card
- Mmm.
- so
Yeah, we spent the whole week together.
Just walking around the city.
- Talking about books.
- [LAUGHS WEAKLY]
And where are we now?
New York.
You have your own
therapy practice, and
and I'm doing a fellowship.
- I made it to New York.
- Yeah.
[GRUNTING, SWALLOWS HARD]
Are-Are you in pain?
Wait, yeah, hold on.
I'll get a canister.
[GROANS]
[GROANS]
Hey, how'd your top
secret conversation go?
- What are you doing?
- Katie's in pain.
Oh, no, no, we drained
her two hours ago.
Bailey said max Q four hours.
She's having trouble breathing.
- She's dying.
- Yeah, I know.
And I'm trying to keep her comfortable.
You heard what Bailey said.
If we drain her too much,
it could make her pain worse.
We could give her more morphine instead.
That's not gonna help with
the pressure on her lungs.
Lucas, I know this must
be hard for you, but we
- Yeah, I'm fine. I'm fine. I'm fine.
- No, it's not about
All right, thanks for the update.
Was that Dr. Adams?
Uh, he's with Katie Rogers today.
It's so sad.
Ooh.
All right, we'll take
it from here, Wilson.
Wait, I'm not scrubbing in?
You are still recovering
from major surgery.
My last EF was normal.
- Do you have a doctor's note?
- Do you want me to page Ndugu?
Oh, I'm-I'm happy to page him.
[SCOFFS] I want you to
go back to the clinic,
where I don't have to worry
about you having a cardiac episode
on top of all of the other things
I have to worry about right now.
[GROANS]
- BP's 80/50.
- Okay, she's decompensating. Let's move.
Uh-uh, Wilson, go back to the clinic.
Go!
They just took Casey
to the operating room.
Uh, she's gonna be okay?
We'll know more after surgery.
She sustained some
pretty serious injuries
Don't let me stop you.
Didn't stop him.
Dr. Millin was just
giving us an update
On his girlfriend?
Yeah, or-or his boss?
His boss that he's been boning while
I'm buying his kids soccer cleats.
- Heather
- [HEATHER] No!
Look, I don't care if you're so in love
that you've got rainbows
coming out of your vagina.
Get a prenup.
- I-I'm not in a relationship
- Promise me!
I promise. Promise.
What are the odds the next
time we see them on the news,
it's because she murdered him?
He shouldn't have said that
he wanted to be with her
if he didn't actually
want to be with her.
So you think he deserves to die?
Why do you always side
with the perpetrator?
- Are you ever gonna let this go?
- Uh, which part?
The part where your girlfriend
tried to sabotage my career,
or the part where I told you
about it and you didn't believe me?
Okay. I made her turn herself
in, and we broke up because of it.
Well, better off without her.
Okay, she's not an evil person.
She was under a lot of pressure
and she made a bad choice.
Now you're here and she's not.
You sound disappointed.
Huh? I told you they'd come.
They have. We have to
order more food. [CHUCKLES]
[CHUCKLES] I'm on it.
Dr. Webber, this spread
is out of control.
Did you sign in? We could schedule
your blood test for you right here.
Oh, and, Bridget, feel free to
take some literature to your husband
or any other men in your life.
Is this not a staff lunch?
It's a screening event
for prostate cancer.
- Mm-hmm. We knew that.
- Hundred percent.
Thanks for the doughnut.
Oh, my eyes must be deceiving me.
There can't be four surgical interns
standing around in
the middle of the day.
Sorry, Dr. Webber. We were just leaving.
They're not interested
in cancer screenings.
They're here for the free food.
It's not ideal, but they're
still here, learning by osmosis.
People!
Unless you want to learn about
prostate cancer, go back to work.
Should I cancel this food order?
[MILLIN] Dave's stable in the ICU.
He wants an update on Casey
when we're finished here.
- [NDUGU] He's not family.
- [SHEPHERD] They're in love.
- [NDUGU] She's his boss.
- [WRIGHT] Titles don't matter.
At the end of the day,
we're all just people.
[NDUGU] Well, not as
far as HR is concerned.
Warren, pull the stomach
back into the abdomen.
Do we have an ETA on Kwan joining us?
[MILLIN] He got held up.
How's it looking?
[WRIGHT] Debridement's almost done.
I need to stabilize these fractures,
- then work on the flexors.
- [MONITORS BEEPING RAPIDLY]
[NDUGU] I've got some bleeding
up here. Warren, how's your side?
[WARREN] Also bleeding.
Lap pads and Bovie.
- [NDUGU] Okay, I need more hands.
- [WRIGHT] I've got this.
Millin, help Ndugu.
[NDUGU] Thank you.
All right, hold pressure.
No. Here.
- [BEEPING STOPS]
- Good. 2-0 silk and suction.
I'm ready for heavy scissors.
Then we'll close the defect, and
Warren and I will be done here.
Cut this.
All right. Thank you.
[MILLIN] Is that everything
you need from me?
- [NDUGU] Yeah.
- [MILLIN] Great.
[SPENCER] I didn't actually
listen to Talia's podcast.
I was just being nice.
[BAILEY] And I will
pretend to believe that
- if that makes you feel better.
- [SPENCER SIGHS]
[BAILEY] Wilson, what
are you doing here?
[WILSON] Talia's husband's here.
He's asking for an update.
[SPENCER] Are those gallstones?
- There's hundreds.
- [WILSON] What happened?
[BAILEY] The gallbladder must
have ruptured from the necrosis,
and the stones spilled out.
- [SPENCER] Can we remove them?
- [BAILEY] Not all of them.
The ones we can't will be
sources of possible infection,
or her body will just try to spit
them out through the incision.
She'll be battling this
for the rest of her life.
[GROANS] This was supposed to be the
one thing I could fix today. [SIGHS]
[WILSON] Dr. Spencer,
what's the next step?
[SPENCER] Um
- Remove the gallbladder.
- [WILSON] That's right.
Gallbladder's the
priority, then the stones.
Okay, keep it dry. I'll scrub in.
Now I am hungry.
[BOTH LAUGH]
- [PHONE RINGING]
- [ALTMAN SIGHS]
Okay, okay.
[GRUNTS, SIGHS]
[CLEARS THROAT]
Oh, it's, uh, it's security.
This is Dr. Altman.
[GUARD] Dave Morton's wife
is making a scene in lot A.
She refuses to leave until she talks
- to her husband's doctor.
- [PHONE BUZZING]
Okay, okay. I'm getting another call,
but I will be down as soon as I can.
This is Dr. Altman.
[WOMAN] Hi, I'm calling
from Domnhall Tavern
to confirm your table for two
Table for two. [SIGHS] Important dinner?
I-It's just some friend of Lincoln's.
I mean, he's-he's new to town.
Wilson connected us.
Uh, kinda sounds like a date.
It's-It's not a date.
It's just two people
who want to expand their social circles.
And possibly sleep together.
[STUTTERS] Owen. I'm
sorry you heard that call.
I mean, it
We are divorced. I mean, I-I-I
am allowed to meet other people.
Yeah. You're right.
Listen, uh, don't worry about Dave's
wife. I'll deal with her, okay?
- Okay, great, yeah, thank you.
- Mm-hmm.
[SIGHS]
Hey, sweet pea.
[GRUNTING] You're still here.
Where else would I be?
Katie? What's happening?
- The fluid's pushing on her lungs.
- Help me.
Stay calm, stay calm, stay calm.
Look at me. Just look at me.
I can't breathe.
All right, I'll remove the fluid.
- I just need to grab a canister.
- Okay.
[SUSPENSEFUL MUSIC PLAYING]
Where are the canisters?
Katie can't breathe.
You drained her 90 minutes ago.
I'll prep morphine and lorazepam.
No, no, no, she doesn't want drugs.
She wants to stay lucid.
She wants to stay lucid,
or is that what you want?
Where are the canisters?
Where are they?
- You hid them?
- I'm her doctor
- So am I.
- This is why Bailey took you off the case.
- Your judgment is clouded.
- The drainage extends her life.
- That's not the goal anymore.
- You don't know what she wants.
- Lucas, she is suffering, and you
- So let me help her!
[ANGELA] It's okay. It's okay.
- [ADAMS CRIES]
- It's okay. Lucas.
[ANGELA] I got you, baby. Mama's here.
Give her the meds, and
tell her I'll be right back.
Where are you going? Lucas!
[ANGELA] Just hold on to me. It's okay.
[SPENCER] I didn't know OBs
could do cholecystectomies.
[WILSON] They can't.
[SPENCER] Um, okay.
Then should you be
[WILSON] I used to be a general surgeon.
[SPENCER] Oh, good.
So, you switched specialties?
[WILSON] I wanted more joy. [SIGHS]
This was before the government started
dismantling women's health care.
Now there's a lot less joy.
[BAILEY] Time to get the stones.
Specimen.
[SPENCER] How do we remove them?
[BAILEY] We will flood
the abdomen with fluid.
The gallstones will float to the top,
and we'll suction out as many as we can.
All right. Starting the irrigation.
[SPENCER] How does someone not know
they have thousands of gallstones?
[WILSON] Well, they increased one at
a time, taking years if not decades
to cause inflammation.
And when changes are that gradual,
it's hard to notice
until it's all you notice.
[PAGER BUZZING]
[NURSE] Dr. Spencer,
you're getting paged 911.
[BAILEY] Oh, we're okay here.
Go see what it is.
[WILSON] Also, can you
update Talia's husband?
Let him know she's gonna be okay.
[SHEPHERD] ICP is in place.
Time to close.
Dr. Millin, do you
want to do the honors?
That is, if Dr. Wright can spare you.
[WRIGHT] Go ahead.
Take my resident. Everyone does.
I'm kidding.
[MILLIN] Uh, I can-I can run
nylon for you.
[SHEPHERD] I'm actually gonna have
you do a vertical mattress stitch.
- [MILLIN] On a scalp closure?
- Where'd you learn that?
My brother.
Taught me that when the brain swells,
the vertical mattress best
off-loads tension from the edema.
What a legend. It must have been
so cool to come up after him.
[SHEPHERD] Yeah.
[MILLIN] My brother
thinks he's a doctor.
- [WRIGHT] What's his specialty?
- [MILLIN] Oh, snake oil.
[WRIGHT] Maybe he
knows my cousin Mark.
- [PHONE BUZZES, CHIMES]
- [ASSISTANT] Dr. Wright?
[WRIGHT] I'm sorry, Dr. Shepherd.
I spoke too soon.
I need Millin to go to the ICU
to check on a patient's flap.
Do you want me to see if someone
else is available to close?
[SHEPHERD] I'm happy to close.
Thank you.
Nylon.
- Whoa.
- Who needs new clubs?
Oh, I decided to get some
air after all. Great idea.
Heather, you can't just unload
your car in the parking lot.
Who likes music?
- Mrs. Morton
- Don't call me that!
I know that you're upset,
but this is not helping.
Oh, no, it felt really good
when that record player exploded.
Uh, oh, we got Rolling
Stones, AC/DC, Zeppelin.
- This is a hospital!
- I don't care!
He thinks he can do whatever he wants.
But I matter. I matter!
["HOPE IS A FLAME" PLAYING]
Hey.
- [ADAMS] Hi.
- I got everything you asked for.
- Thanks.
- Is that coffee?
- Gonna be able to sleep tonight?
- Nope. That's the point.
You're very committed
to your patients.
Yeah, some people think
that's a bad thing.
Well, I think it's noble.
Katie's very lucky to have you.
"Lucky" would be surviving cancer.
Look, if you need anything, I'm on
call, so I won't be sleeping either.
Don't tell Bailey I was here.
Thanks for your help today.
Well, it's my job, so.
It's gonna be weird now, isn't it?
- Is it weird now?
- Kinda, yeah.
- Yeah.
- It is. I feel it. I know.
You know, that M&M, it
could've really set you back.
- You're lucky your name was cleared.
- Yeah.
I don't want to risk it.
But if you weren't a resident,
and I wasn't chief of cardio
No, let's not do that.
Let's just call it what it is.
It's a poorly timed mutual attraction
that wouldn't have worked anyway
because you're a Celtics
fan, and I would never.
Friends?
Friends.
- Hey. Lucas, before you go in there
- What are you
- What is it?
- She didn't feel any pain.
Lucas.
No. No. No.
[SOBBING]
Hey, Dr. Webber. How'd your event go?
Uh
Oh, we have some leftovers. I
brought you a blueberry muffin.
- [CHUCKLES] Well, thank you.
- All right, have a good one.
Hey, D-Doc, wait, uh
- Can I ask you a quick question?
- Hmm?
So if I'm going to the bathroom
more than usual, is that bad?
Frequent urination could
mean a number of things.
Uh
Well, first, we should do
a simple blood test, uh,
but I'd like to ask you some
questions about your medical history.
[JIMMY] Okay.
[PHONE BUZZES, CHIMES]
- [LINCOLN] You ready to go home?
- Do we have to?
It's so quiet here.
Well, we could see if
Nardi can spend the night.
No. I miss my babies, but this
was a nice little vacation.
- Thank you, Dr. Bailey.
- Anytime.
- Yeah.
- Hey.
All right, take care.
You ready?
Katie died.
I'm sorry.
I'm sorry. Hey, hey.
Come here. Come here.
[SOBBING]
When did I stop fighting?
What are you talking about?
You you fight for your
patients every day.
[SCOFFS] Yeah. A lot of good it
does when all the systems are broken.
I mean, they're, like, attacking
us, and on every front. [CRIES]
It's-It's-It's death by
a thousand paper cuts.
We're-We're bleeding
from so many places
we don't even notice
when we get a new one.
Hey, hey, hey. You can't be
at DEFCON 1 every day, okay?
- That's not sustainable.
- Then how do we win? [CRIES]
I don't know. I don't know.
[BAILEY WHIMPERS]
Hey, I know visiting hours are over, but
we were hoping we could have a minute.
Yeah. Come on in.
She's been through a lot.
It'll be a few days before she
wakes up, but so far, so good.
Can she hear me?
We don't know for
sure, but doesn't hurt.
[DAVE] It's probably good
that you're asleep right now.
People are saying some awful
things about us. [SIGHS]
But they're wrong, babe.
God, I'm so in love with you, Case.
I want to be with you.
We could start over. Just you and me.
Forget everybody else.
He's delusional.
Hey. Did you give a talk tonight?
Take a seat.
And, uh, welcome to the first-ever
Toni Wright Appreciation Awards,
where we are honoring a very
special surgeon and, uh, person.
- Wait, what are you [CHUCKLES]
- It's not your turn yet.
Tonight's honoree is a
world-renowned neurosurgeon,
a Fox Award nominee for
her groundbreaking removal
of a formerly inoperable astrocytoma.
She's also made great strides in
Parkinson's and Alzheimer's research.
Also done considerable
work in brain mapping.
I was just about to say that.
[BOTH LAUGH]
Unlike you, I did some light
stalking after we got together.
I was extremely impressed.
But not as impressed as I was
today, when your resident left,
and you, the most senior
neurosurgeon at this hospital,
the chief of your department,
closed yourself, and enjoyed doing it.
That says more about you than any award.
Except maybe this one.
[SHEPHERD CHUCKLES]
"Best person, doctor and lover."
And
I'm-I'm really proud of this one.
- "Best ass." [LAUGHS]
- Yeah.
I don't want to be a consolation prize.
You're Amelia Shepherd.
There's literally no planet
where you're a consolation prize.
- You're it.
- [CHUCKLES]
["US AGAINST THE WORLD" PLAYING]
[GREY] Doing the wrong
thing for the right reason
doesn't always pan out.
- Hey.
- Hey.
How'd it go with the wife?
Oh, she calmed down eventually,
but if you want any old records
or a five-iron, take a walk
through lot A on your way home.
- [CHUCKLES] Thank you for doing that.
- Yeah, of course.
Shouldn't you be headed
off for your dinner?
It got canceled.
- I was just about to ask you.
- Oh.
I have a babysitter.
You want to grab a bite, and we can go
to your place after, get some fresh air?
[CHUCKLES] Um
I can't. I have a stack of patient
charts I need to get caught up on, so.
Oh.
Okay. Yeah, I should
probably do the same.
Yeah. I'll see you tomorrow.
- Yeah, have a good night.
- Okay.
[GREY] But it's not the end of the road.
You want some tea?
You really think that tea's
gonna make me feel better?
I didn't mean
It's just tea.
I shouldn't have left.
I shouldn't have left.
I should've been with her.
You can't blame yourself.
You're right.
I blame you.
[GREY] Keep going. Find a way.
Hey, hey, hey, wait up. Um
I'm sorry that I snapped at you today.
It sucks falling for the wrong person.
I know she made some bad choices,
but we had something good.
Then it all went up in smoke.
Well, do you want to order pizza
tonight and play Super Smash Brothers?
You want a rematch?
Hey, the only reason I lost that
one time is because I sneezed.
- You are such a sore loser.
- No
[NDUGU] Jules.
See you tomorrow.
What are you doing here?
I could get fired for
everything I'm about to say,
and I'm I'm not used to that at all.
I'm I'm an exemplary employee.
I follow every rule.
Like, I-I don't even take
home the hospital's pens.
But I can't shake the feeling
that even if the worst happens
it'll be worth it.
But if you need some time to
[GREY] One day, the stars will align.