Grey's Anatomy s22e15 Episode Script

1
[UPBEAT MUSIC PLAYING ♪]
[GREY] In order to be designated
a Level 1 trauma center,
hospitals must meet a
variety of requirements.
Ooh! What are you doing?
Get out of the way.
I'm almost to the next level.
I am cleaning up Katie's stuff.
Does it have to be right now?
I haven't played in days.
Oh, I'm sorry the dying patient
got in the way of your video games.
Hey, can you give this to Lucas?
Give it to him yourself.
[GREY] They must maintain
usable ORs within 15 minutes,
employ a minimum number
of certified specialists
No.
[GREY] and admit at least
1,200 trauma patients a year.
Hospitals in big cities
pass the test easily.
But the farther away you get
Adams? Come on. It's morning.
Mmm.
I know Katie was a tough loss.
I'm feeling it too.
If you want me to find someone
else for your assignment
No, I'm good. I'm good. I'm going.
[GREY] hospitals
are Level 2, 3, even 4,
and sometimes all they can do is
transfer people to
get the care they need
and hope they hang on.
We shouldn't be doing
this. We have to stop.
Uh-huh.
Iris is back from vacation today.
What if she walks in here?
Why would an L&D nurse
go into a CCU closet?
Um
She Listen. She doesn't
deserve to be treated like this.
I have to break it off.
When are you going to talk to her?
- As soon as humanly possible.
- Uh-huh.
Uh, we were just looking for
- Gauze. [CHUCKLES]
- Yeah.
I don't care.
Oh, I actually do need
to grab a Cordis kit.
- I'll see you at rounds.
- Okay.
Till it's mine ♪
Till it's mine ♪
- I'm freezing my eggs.
- Still don't care.
Richard. Hey, are you gonna change?
Uh, we're hitting the
road in a half an hour.
Oh, I'm heading out,
but not to Enumclaw.
- [STAMMERS] Why?
- Well, my schedule changed.
Didn't you see my email?
- No.
- Well, uh, I
[SIGHS] I forgot to hit send. [SCOFFS]
[SIGHS] I told Cascade Hill
I'm bringing them four surgeons.
Well-Well, you will.
I got you a backup.
Oh, here she comes.
- Hey.
- [WEBBER] Hey.
- Hey, hi.
- [WEBBER CLEARS THROAT] Um
[STAMMERS] have fun out there.
- Thanks.
- [CHUCKLES]
Listen, if you're too busy for
this, I can just take the residents.
Oh, oh, Richard asked for a favor.
I made time, but I
- I mean, If you don't want me to go
- No, no, no, no.
These patients need all
the help they can get.
Right.
I love field trips.
- Are you excited?
- Not really.
Well, Dr. Hunt said last time
he volunteered at Enumclaw,
there was a guy that
was crushed by a horse.
Cool.
If you're not interested
in rural medicine,
then why did you volunteer?
I was looking for some peace and quiet.
Adams, hi. Are you coming too?
- No.
- Hey, I texted you about Katie
- Is he okay?
- Clearly wouldn't know.
- Okay, did you pack up all the supplies?
- Yes.
- All right, let's go.
- Oh, I made a playlist.
- I-I also brought earbuds, so
- Great.
[BAILEY] Okay.
- Hi.
- Planning a vacation?
[SIGHS] If all goes well, we're gonna
take a road trip, see
some national parks.
Oh, Yosemite is one of my
favorite places on Earth.
- [KWAN] Mmm.
- I don't like nature.
[CHUCKLES] He's warming up to the idea.
I'm gonna go get some food.
[BAILEY] Hmm.
They say God made teenagers
so it's easier to let them go.
- Kwan.
- [KWAN] Quinn Durston, 43,
- with stage 4 hepatocellular carcinoma.
- [BAILEY] Mm-hmm.
He's had chemo and radiation.
Now presenting with biliary stenosis.
He's scheduled for an
ERCP to place a stent.
Waiting to hear from the
FDA whether we can implant
a synthetic lymph node
for compassionate use.
So there's still no decision?
I'll be following up right after this.
Do they know that I'm a single dad,
and if this treatment really
could give me more time,
that'd be life-changing for Logan.
[BAILEY] Unfortunately, they're only
looking at the medical
facts of the case.
Let me worry about the FDA.
In the meantime, Dr. Kwan?
- I'll run pre-op labs for the stent.
- Good. [CHUCKLES]
[CHUCKLES]
Okay. [SIGHS] Right. Here we are.
Dr. Hunt. [CHUCKLES] So good to see you.
Dr. Braider.
- Come here.
- Oh. [CHUCKLES]
This is Dr. Altman, Dr. Griffith,
Dr. Spencer.
This is Dr. Lorna Braider.
She is in family medicine.
And OB, orthopedic,
pediatric, geriatric,
basically anything that
comes in those doors.
Keeps things exciting around here.
- Why don't you put us to work?
- Absolutely.
We've got a head lac in
bed 3, abscess in bed 2.
Everything should be easy to find,
but Dr. Hunt knows his way around.
- [HUNT CHUCKLES]
- I can take the head lac.
Yeah, I'm on it.
Okay. All right, well, we've
got some supplies in the van.
- I'll go get them.
- You are a literal lifesaver.
- [HUNT CHUCKLES]
- Oh. Hang on. Hold on those supplies.
Incoming rig. Let's go.
May not be a big city, but
there is rarely a dull moment.
[BOTH CHUCKLE]
June Rojas, 23, fell while
rafting the Green River.
- Trauma to the left arm.
- [JUNE] Where's Keaton?
- [PARAMEDIC] Vitals stable.
- Where's Keaton?
- We dressed the injury at the scene.
- You want to take the lead,
- see what it's like to be in charge here?
- [HUNT] June?
I'm Dr. Hunt.
This is Dr. Braider and Dr. Altman.
We're gonna take
care of your arm, okay?
Have they found him?
- Who's him?
- Boyfriend.
He's not my boyfriend. He's my soulmate.
Search and rescue's looking now.
Keaton has to be alive.
I have to find him.
Take me back out there.
They're doing everything they can to
find him, but I'm
worried about your arm.
We're gonna get you inside
and clean you up, all right?
Accomplished trauma
surgeon with bedside manner.
Like I said, perfect
match for Cascade Hill.
Are you Were you offered a job here?
Hey, there's a range of symptoms, and
sometimes there aren't symptoms at all.
That's why getting
screened is important.
Well, Dr. Adams?
I got a colonoscopy last year.
Yeah, those don't
detect prostate cancer.
[WEBBER] Prostate cancer screenings
typically start with a
physical exam or a blood test.
But good for you on the colonoscopy.
Keep that up.
- I'll take one of those. For my dad.
- [WEBBER] Oh, take two.
Black men are more likely
to get it at a younger age.
Wanna ask your doctor
when you turn around 40.
- Any other questions?
- What if I just don't want to know?
[ALL LAUGHING]
Well, that's your prerogative, but
it's very treatable
if it's caught early.
Uh, oh, excuse me. Um, Adams.
Um, where do you think you're going?
Uh, we've talked to everybody,
so I was gonna grab a coffee next door.
Not quite everyone.
I think my barber, Jones,
would benefit from some conversation.
No. No, no, no, we
have an agreement, okay?
He gives me a clean shave, and
I keep my mouth shut about medicine.
You know, church and state.
Fine, I'll give it to him.
No, wait a minute.
That's not gonna do anything.
You gotta find an
opening to talk to him.
You do remember
how to talk, right?
[ADAMS SIGHS]
Did you put in
Mr. Saks's pre-op orders?
I did.
Okay, maybe I
should go review them.
Do you know that
cows hate bad weather?
They'll run away from
it until they get tired,
and then the storm
catches up with them.
- Why do you know this?
- But buffalo are brave.
- There's more.
- They run right into the storm,
so they get through it faster.
- I'm a cow in this analogy?
- Mmm.
- [IRIS] Dr. Ndugu.
- Run into the storm.
- Hey, welcome back.
- Thanks. Good to be back.
Yeah, um
[CLICKS TONGUE] Do you have a minute?
Can we talk?
- Sure.
- [CHEERING] Happy birthday!
- Happy birthday, Iris.
- [IRIS] You guys are so sweet.
- [NURSE 1] Here you go, birthday girl.
- Thank you!
- [IRIS] Who planned this?
- [NURSE 1] Come here.
Oh, you guys.
[APPLAUDING]
- [IRIS] Thank you.
- [NURSE 2] Have a good day.
- [IRIS] Bye. Thanks.
- [NURSE 3] See you later, Iris.
So what was it that
you wanted to talk about?
Happy birthday. [CHUCKLES]
- Thank you.
- Yeah.
Uh-huh.
It's like flour.
Or Maldon salt.
Except it took years and millions
to make. Stop touching it.
Okay.
So we add a liquid diluent
and then deliver percutaneously
as close as we can to the tumor.
There we go.
Ah. Damn near perfect. [CHUCKLES]
- Can I try?
- Mmm.
So, after injection,
it'll form a gel.
A tiny blob training
an army of immune cells
to attack the tumor
without chemo side effects.
Huh, It's like
a secret lymph node.
Or spy node?
The rebel base on Yavin 4.
They trained to
destroy the Death Star?
So we're Jedis.
The Rebel Alliance.
Have I taught you nothing?
Here, let me see.
My life could have been very different
if this was around when my mom was sick.
You and a lot of people.
But let's not get ahead of ourselves.
Still in the testing phase.
Nice approach.
Okay, go prep Quinn.
[DOOR OPENS]
[JUNE SOBBING]
- Hey.
- Hey.
Do you know if Lucas
has any food allergies?
Lucas Adams?
Yeah, I want to
order him some cookies.
- Cookies?
- Or maybe doughnuts are better?
I'm just trying to be nice.
Yeah, I was nice to him.
You know what it got me?
Hospice in my living room and
blame for something
that wasn't my fault.
- I don't have to get the cookies.
- Everyone says
your co-residents are your support
system and they'll look out for you.
You know who's
actually looking out for you?
- Attendings?
- You.
That's it. Sooner you figure
that out, the better off you'll be.
[SOBBING, GROANING]
Stop, please. It hurts.
I know, but we need to remove
the dressing to check the wound.
[SCREAMS] No, I'm sorry, I can't.
Looks like it's adhered to her arm.
We're gonna give you some meds,
then we're gonna wet the gauze
with saline and try again, okay?
We shouldn't have tried
Class IV rapids on our own.
We were halfway down before we capsized.
I grabbed a branch, but Keaton
[CRYING]
I'm so sorry.
When we left this
morning, I never thought
by the end of the day he will be gone.
We don't know anything yet.
Let's just take it one
step at a time, okay?
We were called for a consult.
This is Patricia Kim.
She's transferred from OB post
C-section for spontaneous pneumothorax.
She has a persistent air
leak in her chest tube.
Your name's Iris, right?
Is that your birthday cake
in the third floor break room?
- That's me.
- Love Funfetti.
- Happy birthday.
- Thanks.
What are you doing to celebrate?
I'm going out tonight with a few friends
and, um, this guy that I'm seeing.
The guy you're seeing? How nice.
Assuming no one needs
a triple bypass later.
He's a cardiothoracic surgeon.
Sounds like a keeper.
Can you set up for bedside
talc pleurodesis, and
page Dr. Ndugu.
[QUINN] Come on.
You'll bring your board.
We'll stop at all the best skate parks.
That'll just make the trip take longer.
Did you hear back?
They said no.
[BAILEY] They did. Quinn, I'm so sorry.
Did they give a reason?
No. They usually don't.
So what now?
Uh, we will place the stent as planned
and then back to the drawing board.
Will I have to start chemo again?
That'll be up to your oncologist.
There's other innovations
in the pipeline,
and we will look into
every single one of them.
See? It'll be okay.
[CHUCKLES]
I'll take him upstairs for the stent.
How's your pain? You need more meds?
I'm okay. Nothing compares
to the pain in my heart.
- Chest pain?
- If Keaton's not in my life,
it's not worth saving.
Well, we're gonna try anyway, okay?
- [ALTMAN] Whoa. Okay.
- She has pulsatile bleeding.
Right. The radial artery
is partially transected.
Let's check collateral circulation.
The ulnar's not gonna be enough.
We're gonna have to repair it.
[HUNT] I'm gonna place a
tourniquet. Let's hang a liter of LR.
Dr. Hunt, we could use
your help over here.
Griffith and Spencer,
take over here now, please.
Okay. I got a male.
Found him near the Green River.
He's got multiple lacs and abrasions
with severe ecchymosis on
the left abdominal wall.
Airway's secure, GCS is 15,
and I got a body temp of 96.7.
We put every blanket we had on him.
On my count. Ready? One, two, three, go.
All right, can we get in there?
- We're gonna check you out, Mister
- Uh, Keaton. Keaton Pathak.
Keaton?
- [STAMMERS] June?
- No, no, no.
- Oh, my God, you're alive!
- [KEATON] No thanks to you.
You let go of my hand, you crazy bitch!
- That's not what happened.
- You're gonna pull out your IV.
- [SPENCER] Please calm down.
- He has it wrong. He needs to know.
- Keep her the hell away from me!
- Just stay down.
[JUNE, KEATON GROANING]
You're right, never a dull moment.
[JUNE GROANING]
[SHAVER VIBRATES]
[JONES] Um, Phillips-head.
Phillips-head. [STAMMERS]
I got it. Is this like
what you do at the hospital?
Well, I'm a surgeon, so usually I
would be the one using the tools.
Don't even think about that.
No one operates on this chair but me.
I'm just here for prostate cancer.
Uh-huh. Hex wrench.
Thank you.
- [SIGHS]
- You know, Richard is a good man.
I was happy to volunteer my shop, and
he's going to help a lot of people.
Yeah. Uh, yeah.
Hey, so have you ever
had a prostate exam?
I beg your pardon?
I mean, I could, uh, set up
an appointment. We could
[STAMMERS] Save it.
- Can you at least read the pamphlet?
- No.
And tell Richard I'm not interested.
Well, I know he put you up to this.
[SCOFFS] You're the boss.
- He's not interested.
- I knew that. You gotta keep trying.
Well, I've been trying all morning.
Pupils equal and reactive.
Everything just happened so fast.
[KEATON] I had a lot of
time to replay it in my head
while I was drowning in the
freezing-ass Green River.
Second IV's in. Let's push warm
fluids and four milligrams of morphine.
One large contusion on the left
chest and one on the right arm.
- He needs X-rays and a FAST exam.
- You know how much I love you.
[KEATON] And you decided to
let go of me, okay? I saw it.
And since you didn't
die, you're dead to me.
You don't mean that. Keaton!
- Try not to move.
- [HUNT] Okay,
there's free fluid around the spleen.
We gotta get her out of here.
- [ALTMAN] BP keeps dropping.
- [HUNT] Let's push more fluids.
Dr. Braider, do you have a
procedure room we could use?
- Down the hall on your right.
- Thank you. Let's go.
No, I want to stay.
They'll bring you back
after they wash your arm out.
We need to evacuate him to
a Level 1 trauma center ASAP.
- He is not stable.
- Then we'll keep pushing fluids.
Hopefully that'll tide him
over until we get the blood.
Spoken like a rural hospital doctor.
I'll call in the transport order.
I'll get him prepped. Thank you.
[BREATHING HEAVILY]
How'd it go?
Oh, the stent's in place.
So your biliary stenosis
symptoms should improve.
- [SIGHS]
- If you're looking for Logan,
I saw him chatting up a
volunteer at the nurses' station.
[CHUCKLES]
[SIGHS] He's a good kid.
He's going through a lot.
His mother left when
he was nine months old.
It's been just the two of us ever since.
My dad and I took a national parks trip
the summer before I went off to college.
I didn't want to go.
I was annoyed that he woke me up at dawn
to go fly-fish in creeks
that were cold as hell,
but now I cherish those memories.
It was our last hurrah
before I became my own person.
I wanted that for Logan.
There are other drugs you haven't tried,
and we're still looking
for other compassionate care
and clinical trial options.
What are the odds that
Dr. Bailey finds something?
You only need one.
- Oof.
- Are you okay?
Yeah. Uh, I'm just a little dizzy.
Okay, white counts are pretty high.
You have a fever. May I?
Yeah.
- Okay, any pain?
- A little bit up here.
[GROANING]
Okay. I'm getting blood cultures
and taking you up for scans.
Hey, how's it going in here?
We've clamped the chest tube and we
are ready to start chemical pleurodesis.
Okay. All right.
Sorry to interrupt. I have the
patient's personal belongings.
Yeah, please, by all means.
The talc should help sclerose the
pleural cavity to seal the air leak.
Dr. Ndugu, did you know
that it's Iris's birthday?
I did. Mm-hmm.
She is having dinner tonight with her
friends and the guy that she's seeing.
I mean, you must know him.
He's a cardiothoracic surgeon.
Uh-huh.
Where are you going
for the big celebration?
Uh, I'm going to a sushi
place near my apartment.
They have killer omakase.
[MILLIN] You know what
separates good omakase from bad?
Decisiveness.
You know, actually, the best
omakase is about the right timing
and order of the food.
- Hmm.
- That is why I had cake before lunch.
[MILLIN] I admire
your conviction, Meade.
You said that you were going
to eat cake, so you ate cake.
All done here. Enjoy your dinner.
Thanks, I will.
[PA ANNOUNCER] Dr. Michelle Ward to L&D.
[SIGHS] Whatever this
is, he didn't need it.
He's getting sicker. He's not gonna
be able to tolerate more chemo.
Well, we have to try. He wants to try.
What is the point of all our training
if some losers in an office building
can tell us what's
best for our patients?
People who don't even know him.
Do they care at all?
[STAMMERS] Yes, they do.
How can you say that?
You see what's happening.
Katie Rogers died in my living room.
Look, those losers are
career public servants.
People who show up at
the office every day
regardless of who's leading the charge.
They show up because they care.
I-I have to believe that. I've seen it.
And it's good that they don't know
Quinn 'cause they can be objective.
Look, you cannot put a treatment
with an unknown toxicity profile
into someone just because
they're dying anyway.
That is not medicine.
That is experimentation.
But it already worked
on some other patients.
- It could buy him some time.
- Or it could make things worse.
Four years of schooling
does not make you a god.
We need guardrails,
just like everybody else.
- [MACHINE CHIMES]
- Oh.
His biliary tree's still
distended with an obstruction?
He has ascending cholangitis.
[SIGHS]
Okay, let's, uh, prep for a
percutaneous cholangiogram with a drain.
Yeah.
- Hey, hey, hey, hey, it's her birthday.
- So I heard.
- What do you want me to do?
- I want you to break up with her.
- Okay, I-I hate upsetting people.
- Oh, my God.
Once at Joe's, I found a
fingernail in my onion rings,
and I didn't want to tell the
server, so I ate around it,
and it wasn't even that guy's birthday.
Okay, some stories
don't need to be told.
I just don't wanna be a jerk.
Well, the jerky thing is to let
Iris think that everything is fine
when you have one foot out the
door and your mouth on my mouth.
Yeah, I agree. I'll do it tomorrow.
All right, you-you can
do whatever you want.
I'm just I'm just frustrated.
After months of wanting this,
I can't.
Not on your girlfriend's birthday.
[SIGHS]
- How's he doing?
- He's holding up.
- Good. Medevac's en route.
- Okay.
- His repeat H&H dropped by two points.
- [NURSE 1] Dr. Braider.
Owen, what are you doing here?
- I'm helping a community that needs it.
- That's not what I meant.
[SIGHS] Listen, I haven't
made any decisions yet.
This hospital shuttered
their ORs three years ago.
Because a bean counter decided
that it made financial sense.
- People didn't stop needing surgery.
- [SIGHS]
They want me to start a
regional surgical program,
rotate in specialists so that folks can
get the care they need closer to home.
You're a trauma surgeon
at a Level 1 trauma center.
And I get to build this
program from the ground up.
[MACHINE BEEPING]
- He's about to code.
- Bag him. Gonna need an intubation kit.
All right.
- Got it?
- [ALTMAN] Yep.
[BELL DINGS]
So who else needs one of these?
You've been gone for a while.
[SHAVER VIBRATES]
Yeah, I just I just needed some air.
You know, I've known Jones
longer than I have my wife.
I'd really appreciate
it if you'd try it again.
He obviously doesn't want to talk.
Yeah, but that doesn't mean
he doesn't want to listen.
And I know he's well
overdue for a screening.
I thought that doctors weren't
supposed to pressure their patients.
Well, I just want to make sure he
understands the risks and the benefits.
With all due respect, sir,
I was told I'll just be handing out
flyers when I volunteered for this.
[SIGHS, SMACKS LIPS]
I-I think you need to
go back to the hospital.
Because I don't wanna
strong-arm one man?
I'm trying to save lives.
I don't need another
doctor getting in the way.
[SCOFFS] Look, I understand
that it's important.
- Not like I do.
- Well, I studied the same facts.
I know the same risk factors,
the screening process
But you haven't lived it.
I'm so sorry. I I-I didn't know.
Yeah.
You should go back to Grey Sloan.
I'm sure they could use you there.
Are you sure? I can I can stay. I
No, I got this covered. You go ahead.
[DRAMATIC MUSIC PLAYS ♪]
[ALTMAN] Can't see the cords.
- [HUNT] You want some cricoid pressure?
- Wouldn't hurt.
[MACHINE BEEPING]
- [ALTMAN] All right, I'm in.
- Okay.
All right.
- Bilateral breath sounds.
- His spleen is bleeding out?
- That's the most likely explanation.
- BP's down to 75.
- Okay. How far is the medevac?
- I don't know.
If there's heavy fog,
it could take longer.
Can't wait. His spleen
needs to come out right now.
We're gonna need one of those old ORs.
[SPENCER] Does she
need a plastics consult?
- No.
- [SPENCER] Even with tissue coverage,
- she'll have bad scarring.
- We'll do our best to prevent that.
[JUNE] Brand me. I deserve a scar.
I was slipping and I let go of my
boyfriend to grab another branch.
That's how you let him go?
That's gut instincts or reflex.
Lizard brain. Darwin.
What did he expect you to do,
sacrifice yourself so you both died?
No, you did the right thing.
If he can't see that, you
were never meant to be.
[JUNE YELPS]
[GRIFFITH] The tourniquet's
been applied for too long.
- It's cutting off her blood supply.
- Am I losing my arm?
No, no, but the artery
going to your hand
is compromised, and we
need to repair it right now.
- Spencer, get 6-0 Prolene and a castro.
- Um, sure. Any idea where?
[SPENCER] I was gonna look for it,
but shouldn't we get an attending?
June is our patient, and she
needs a simple primary repair.
And if we don't do it now,
she could lose her hand.
- Do you want that?
- No.
Then get it together and help me.
Hey, I-I've been looking for you.
You did it. Way to go.
Hey You can't do that.
Look, I just need your
attention for 60 seconds.
- What's wrong?
- The stent didn't work.
Your dad's developed an infection
called ascending cholangitis,
and the only way to clear
it is to place a drain
to remove the bile buildup in the liver.
Okay. And then he'll
feel better after that?
I've been in your shoes.
You know, when you're in and out of
the hospital so many times with someone,
it feels like the doctors are saying
the same thing over and over again.
It's impossible to tell
if it's really serious
or just more of the same.
But this time it's different, Logan.
Your dad probably only
has a few weeks to live.
He came in really, really sick,
and he's not getting better.
So if I were you,
I'd do everything in my power
to spend as much time
with him as you can.
- It's been a minute.
- [CHUCKLES] Yeah.
- You want a little oil on your scalp?
- Coconut?
- You got it.
- [CHUCKLING]
I think my nephew took
care of you the last time.
Yeah, he sure did.
Look, I I know it's been a
minute since I've been to see you.
Well, I thought you had
left for another shop.
Nah.
Well, actually, I
I was home for a while.
I had surgery for prostate cancer.
I'm sorry, I didn't know.
Are you doing chemo?
Yeah, it was an option, but I
elected to have my prostate removed.
I was nervous,
but I did it. I have no regrets.
I'm cancer-free, and I feel great.
- Oh, Richard.
- No. Get the screening, Jones.
I'm not saying this as a doctor.
But as a survivor and as your friend.
[SIGHS]
- If it means that much.
- It does.
All right. then, sit back and let
me fix what my nephew did to you
'cause you're holding up my schedule.
[BOTH CHUCKLING]
[WEBBER GROANS]
Hey, can I gut check something
with you? It's a guy thing.
- [SIGHS] No.
- Okay,
so say you had a favorite sandwich shop,
and you go and get a
sandwich there every
day and then you find a salad spot
Okay, I'm not gonna do the
whole complicated analogy,
- so can you just say Ndugu?
- [SHUSHES]
Okay, fine. He
He said he was going to break up
with this nurse that he was dating,
and he didn't do it.
Okay, he's not into you.
Okay, at least not enough
to go through trouble
- of breaking up with somebody else.
- [SOBS]
What is happening?
I'm on these hormones
from freezing my eggs.
So you have to be gentle with me.
- Okay, you should've opened with that.
- It's her birthday.
Does that change anything?
Have you cried like
this in front of him?
- Well, no.
- Definitely don't.
[MILLIN SNIFFLES]
But it-it's still going
to-to be all right, right?
[SIGHS] Maybe.
But if he doesn't keep his promise to
you, then he's just a spineless wimp.
Ugh. He's not a bad person.
Well, he's got you crying like
a teenager, so agree to disagree.
I said be gentle.
[MACHINE BEEPING RAPIDLY]
[BRAIDER] I know it was my idea
to start a surgical program here,
but I did not mean today.
Do you see any other options?
- Do you even have the right instruments?
- I got a chest tube tray.
[HUNT] And 11 blade isn't
usually my go-to for an ex-lap,
but I've operated with less.
[ALTMAN] I hope no
one gives birth today.
We stole every towel and
drape from the OB ward.
[BRAIDER] What about retraction?
Uh, specialty from our military days.
- They're not Deavers, but it works.
- [MACHINE BEEPS]
[ALTMAN] Systolic is down to 70.
Okay, Dr. Braider.
Do it.
[SPENCER] I couldn't
do that without loupes.
I've been wearing
glasses since I was two.
Everyone in my family has perfect
vision, but my pupils
are just kind of
[GRIFFITH] Spencer, focus.
[GRIFFITH] All right. I'm
just gonna unclamp the artery.
But I still breathe ♪
No leaks. We did it. [CHUCKLES]
Of course we did.
- I'm going to live?
- Yes, and do you remember why?
- Because I looked out for myself.
- That's right.
[GRIFFITH] You did what
you had to do to survive.
Don't let anyone make
you feel guilty for it.
I know. And maybe you're right.
Maybe we were never meant to be.
I just don't want him to hate me.
Where do we go? ♪
When it all turns grey ♪
[BAILEY] All right, drain is in.
Send the samples for
culture and sensitivities.
I spoke with Dr. Kuby.
She's going to start
Quinn on third line chemo
once the infection clears.
- [KWAN] Does she think it might work?
- She thinks it's worth trying.
[KWAN] His son hasn't
even graduated high school.
Are you sure we shouldn't
inject the synthetic lymph node?
It would be against the law
to use an unapproved treatment
without FDA permission.
[KWAN] Okay, but the thing works.
Eighty percent of patients had tumor
shrinkage six months after getting it.
Those are anecdotal results
based on ten patients.
We have no idea if
it would work for him.
We could just be giving
his body something
new to tolerate when
he's already septic.
All right, I have a
hernia repair to get to.
Secure the drain, and
bring him back to his room.
We'll image in 24 to 48 hours
to make sure the drain worked.
[KWAN] Okay, I'll let you know
when the cultures are back.
Okay, fixation device.
[HUNT] All right, I see it.
Looks like a stage 4 splenic lac.
- I'm gonna need more towels.
- [ALTMAN] Yeah, I got you.
[BRAIDER] You two really have this down.
I didn't realize you
were also a veteran.
[HUNT] She was chief at
MEDCOM in Landstuhl, Germany.
Don't let the fancy titles fool you.
I also did tours in
Afghanistan and Iraq.
- Isn't that where you were stationed?
- That's where we met.
- [MACHINE BEEPS]
- [BRAIDER] Oh. You better work fast.
[HUNT] There's too much blood.
I can't visualize the pedicle.
- [ALTMAN] All right, let me try something.
- Yeah.
[ALTMAN] Yeah, I got it.
All right, follow with your hand.
[HUNT] Okay.
[HUNT] Got it. Clamp.
Another.
Scissors. Oh-vicryl. Times two.
Okay, when I'm done with this,
I'm gonna need sterile towels
for the temporary closure.
[ALTMAN] BP is holding steady
and pulse is stabilizing.
[BRAIDER] I cannot believe
you pulled this off.
Well, you both just made my case for
starting a surgical rotation here.
[HUNT] Okay.
Well, the helicopter pickup isn't
too far. He's gonna be fine.
Are you sure you're okay
driving the transport van back?
[CHUCKLES] Yeah, as long as Spencer
keeps her playlist to herself.
And Griffith did an excellent
repair on June's arm.
I'll set up an outpatient
follow-up with plastics.
[ALTMAN STAMMERS]
Oh, hey. Um, I'm sorry we
couldn't get to more patients,
but I'll come back next week.
[BRAIDER] No need to apologize,
but I will look forward
to seeing you again.
Okay. I'll keep you
updated on his status.
Great.
- Drive safe.
- Okay, yeah.
You're very lucky to have him.
But I really hope he leaves you.
[CHUCKLES]
Maybe I shouldn't be so bold about
poaching him from your hospital,
but you just seem like someone who
loves a challenge as much as he does,
and you two clearly have history.
If you'd put a good word in
for us here, I'd appreciate it.
Owen's gonna make up his own mind.
Good luck filling the position.
[CHUCKLES]
[BAILEY] Hey, how'd it go today?
Oh, I showed Chester Jones how to
message his PCP from his portal.
Um [CHUCKLES] I'm not
quite sure what to think of that.
[CHUCKLES] It's one of the
best days I've had in a while.
Maybe I saved some lives, and I
didn't have to cut anyone open.
Well, that sounds like a good day.
I saw Adams came back early.
Yeah, he wasn't in the right
headspace for community outreach.
I'm so sorry he wasn't helpful.
Well, actually, he was.
Until today, I was hesitant
to tell my own story.
But he reminded me that sometimes
people need to hear from other patients
- just as much as doctors.
- Hmm.
- [PHONE BUZZES]
- Yeah.
Well, I'm glad everything worked out.
I wish I could convince
him to get a haircut.
[BOTH CHUCKLES]
[KWAN] Hey.
Wh-Where's your dad?
Uh, Dr. Bailey told the
nurses to take him for a scan.
What kind of scan?
- [STAMMERS] I don't know.
- I meant did something happen?
- I don't think so.
- Oh.
[STUTTERS] Wait, wait.
Do you think it's bad?
No, no, no, I think it's fine.
Oh, good. You're still here.
I have something for you.
What is this?
A few of Katie's things
her mom didn't take.
Just thought you might want them.
- You can't hate me forever.
- Don't be so sure.
Lucas, I'm sorry for your loss. I
She was your friend. I could've
been more sensitive to that.
What a relief.
I feel so much better now.
I know you're grieving.
You're looking for explanations and
saying things you might not mean.
Who says I don't mean it?
[DRAMATIC MUSIC PLAYS ♪]
Leave me alone.
Hey, I thought you were gonna wait
24 to 48 hours for Quinn's MRCP.
That is the protocol, but you
know, he's been through so much.
I figured if the drain's not
working, better to know now.
- How's it looking?
- Hmm
- The bile's moving.
- Hmm.
Hopefully, the antibiotic
will cool off the cholangitis.
[STAMMERS] I think we did it.
Great.
Um, so while I have you, can I
ask you about Mr. Elmer's labs?
Do you see that?
There's a fluid collection
adjacent to the tumor. What?
Uh Okay, is it blood? Or a bile leak?
It's not contiguous
with the biliary tree.
Uh Oh.
I don't like what I'm seeing 'cause
he could be bleeding from this tumor.
All right, we need a repeat H&H and,
uh, coags and, uh, set up an ultrasound.
- It's hydrogel.
- [STAMMERS]
And how did it get there?
I injected it after you left.
It's it is his best option,
and it was just sitting
there in the hospital.
It's his best option for you
to commit a crime on my patient
in my OR?
Okay. No one has to know.
What? Quinn has to know.
You can't put an experimental treatment
in someone's body and not tell them.
[BAILEY BREATHING HEAVILY]
Okay. Okay [STAMMERS]
I can tell him.
[STUTTERS]
No, stop. You have done enough.
[HUFFS]
[SIREN WAILING IN DISTANCE]
Hey. Can we talk?
Iris is a really nice person.
She doesn't deserve to have her birthday
ruined just because I'm impatient.
And the fact that you care is
part of what I like about you.
So if you wanna wait till
tomorrow, it's-it's fine.
But if you're having second thoughts
about us, will you just please tell me?
I ended it.
You were right. She deserved
the truth, even on her birthday.
Uh. How did she take it?
Mm-mmm. It [SUCKS TEETH] uh
Well, I should stay off the labor
and delivery floor for a while,
- but I'm single.
- Oh?
And I want to take you out.
Then I want to take you home.
Oh, no. I'm-I'm freezing my eggs.
- Okay?
- Well, I can't have sex.
Because it could cause ovarian torsion,
which is, you know, when the ovaries
I know what it is.
So I probably shouldn't
go home with you.
Let's just do a movie and chill.
I mean watch an actual
movie and actually chill.
I'd like that.
[GREY] No matter how remote you
are or how isolated you feel,
there's hope.
And help is usually
closer than you think.
Time, time, is it over yet? ♪
Till you wanna keep me but
then there's nothing left ♪
It's been a day, and I need a drink.
And I'm just sitting here, so I don't
have to sit next to that guy. [CHUCKLES]
You know what, that's a lie.
I'm just sitting here
because I wanna sit here,
and if you don't like it, you can move.
[GREY] It's not always easy to ask.
Oh oh oh oh oh ♪
[GREY] But with a little courage
if you look, you'll find what you need.
Thank you for coming with us.
Oh, yeah. Yeah. It was a
it was a good day.
Well, we removed a spleen
with a chest tube kit.
[CHUCKLES]
I have done a lot of crazy things
in my career, especially with you,
but this was this was up there.
You're gonna take that job?
I turned it down.
You know, it was nice to think
about, but the timing's not right.
Oh, thank God. I thought
you were gonna leave me.
I mean, you know, if
if you had taken that job,
I would've had to find
a new chief of trauma
and hire them and train
them and just start over.
- Yeah, it would've been a hassle.
- Mmm.
[GREY] Your family, your friends,
your community
I'm gonna go there once a month though.
- Just to help out.
- Oh. Yeah.
We'll figure something out.
[GREY] lifting you up.