Grey's Anatomy s22e16 Episode Script

1
- ["DO IT LIKE THIS" PLAYS ♪]
- [DOORBELL RINGS]
[GREY] Before the 20th century,
drug safety studies were not required.
[STAMMERS, CHUCKLES]
What, did you come
straight from the airport?
How was your flight?
And how’s your brother?
I’m sorry, I’m super tired.
Can we talk later?
Yeah.
[CHUCKLES] I thought
you said you were tired.
Yeah, too tired to talk.
- Uh-huh.
- Mm-hmm.
Uh-huh.
[GREY] Narcotics were
sold over the counter.
Teething babies were given
serums laced with morphine.
A medicine for strep
was made with antifreeze.
Do you think that we should clean
up in case your aunt comes home?
Don’t worry about it.
Mmm. I’m a little worried about it.
- Are you having a good time?
- Yeah.
Yeah?
So don’t stress.
[GREY] No one was responsible for
distinguishing between
medicine that healed
and medicine that harmed.
Have fun with Mom, okay?
And I love you. Come here.
- I love you.
- Bye, Daddy.
Yeah.
Um Pizza’s in the fridge
and laundry’s in the dryer.
Thanks. [SIGHS] We’ll
call you in the morning.
- [LEO] I want that one.
- [ALLISON] Okay.
Look, Mommy.
All right.
[GREY] No one studied side
effects or adverse reactions.
[WHISPERING] The twins are
fed, changed and asleep.
Did you sing them
"Twinkle, Twinkle" again?
- "Highway to Hell."
- Whatever works.
Thank you for doing that.
You need your rest before
your first official day back.
[INHALES, EXHALES DEEPLY]
You excited?
I am. Yeah, I mean,
it’s a lot right now,
with the kids, studying for
exams and being a fifth year,
but it’s only a few more months and
- I got this.
- You’re like Wonder Woman.
Can Wonder Woman deliver
a baby in under 60 seconds?
- Damn.
- Yeah.
No, forget Wonder Woman.
- You’re Dr. Jo Wilson.
- Mm-hmm.
No, no, no, no, no, no.
[GREY] All you could
do was roll the dice.
[SONG ENDS ♪]
Thanks again for letting
me crash at your place.
Thank you for, um
You know.
Uh, I would offer to host tonight,
but my nephew/roommate is partying
and sleeping his way through
the intern class. [CHUCKLES]
That’s great.
Is everything okay?
Uh My ex wants to get lunch.
That doesn’t sound so bad.
The last time this
happened, she tried
to stop me from signing divorce papers.
Wh Uh She wanted to stay together?
She didn’t really want
it to be her fault.
It, uh it got messy at the end.
Well, you don’t have to get
lunch. You can just say no.
I’m overreacting. She probably
just wants to convince me
to send Zach to summer camp
or something. It’ll be fine.
- I’ll find you later?
- Mm-hmm.
[PA ANNOUNCER] Dr. John to the ER.
Dr. Christopher John to the ER.
[ELEVATOR BELL DINGS]
[PERCUSSIVE MUSIC PLAYING ♪]
Good morning.
Are there security cameras in here?
I don’t think so.
Yeah, okay. No kissing in the elevator.
Probably shouldn’t be kissing
anywhere in the hospital.
What about on-call rooms?
On-call rooms are fine
if we lock the door
and stagger our entrances and exits.
Yeah, I’d say no flirting in public.
And when I’m on your service, we should
be three feet apart and no eye contact.
Won’t that be a little weird?
Then a professional
amount of eye contact.
Okay. Yeah.
Uh, Dr. Ndugu, I will get on
pulling Mr. Azab’s chest tube.
Thank you, Dr. Millin.
[PA ANNOUNCER]
Dr. Whiteway to front desk.
Dr. Preston Whiteway to front desk.
[BAILEY] Don’t even think about it.
I was, uh I was just passing by.
Wanted to see how he was doing.
You don’t go anywhere near
patients, especially Quinn.
Y-You don’t even look
in his general direction.
Look, I’ve already done a week
of pre-ops. Isn’t that enough?
You injected a man with a treatment
the FDA specifically said not to, so no.
What can I do to change that?
- You can do what I tell you.
- Okay.
[STAMMERS]
There are discharge summaries with
your name written all over them.
- Mm-hmm.
- Go.
Hey, um, when can I put
him back on regular service?
Mmm. When I say so.
Yeah, but we’re stretched pretty thin.
Oh. [STAMMERS] Well, let me help. Um
Here, I can, uh, discharge
Quinn Durston myself.
All right? So take that off your list.
- Um Whatever you say.
- [CHUCKLES]
[PA ANNOUNCER] Dr. Burkhart to ortho.
Dr. Kim Burkhart to ortho.
Good morning, Bailey.
Were Were you with my patient, Quinn?
I consulted on his
case earlier this year.
I thought I’d stop by and say hi.
- He’s a nice guy.
- Yeah.
You, um, want to fill
me in on your secret?
Secret?
Oh, judging by how his
infection’s healing,
you worked some kind of miracle.
Keep up the good work.
[PA ANNOUNCER 2] Dr. Peeka to the OR.
Dr. Peeka to the OR.
and that’s why
Josefa Ortiz de Domínguez
is one of Mexico’s unsung heroes
of the revolution.
- Good morning, you two.
- Dr. Wilson. You’re back.
It’s my first day back.
Sorry for interrupting
the history lecture.
She’s already got our
daughter halfway to a PhD.
Oh, she’s a lucky girl to
have two professors as parents.
She’s our first kid.
I’ll lower my expectations
on the second or third.
Let’s get through
this pregnancy first.
So you’ve got abdominal
pain, nausea, vaginal bleeding.
How long have you had
the shortness of breath?
Since yesterday.
A-at first I thought it
might just be the pregnancy.
- Okay. May I?
- Mm-hmm.
Okay.
[PATIENT WINCES]
Is is our baby okay?
Based on your high blood pressure,
I am concerned about preeclampsia.
I’d like to get some
more labs to be sure.
- Is that bad? Can you fix it?
- Should I be scared?
It’s okay to be scared.
Just know that I will be by
your side every step of the way,
whatever it is, we will handle it.
- Okay.
- I’ll be back.
- Hey, can I ask you something?
- Mm-hmm.
You and Owen are divorced.
Do you get lunch?
Mmm, not usually.
He’s divorced from you.
Do you get lunch?
No.
- Should I be worried?
- About lunch?
Dr. Shepherd? Paramedics called.
They’re bringing in a
code stroke. Female, 75.
- Uh, hold that thought. How far out?
- Unloading now.
They picked her up around
Lake Union slurring her words.
Okay, notify CT. The patient
is gonna need a scan ASAP.
And make sure the
endovascular lab is on standby.
[BRYANT] Okay.
- [SHEPHERD] Oh, my God.
- [GROANING]
- [SLURRING] Owen, Owen.
- Oh, my God.
75-year-old female.
She’s been asking
- Evelyn.
- You know her?
- Page Owen Hunt.
- Is there a trauma injury?
- [SLURRING] Owen?
- This is his mother.
- Hey, Dr. Kwan.
- Hey.
I was starting to think that
you’ve forgotten about us.
No way. Uh, it’s
just been really busy,
but I hear you’re getting discharged.
Yep, we’re gonna go home, get
some rest, and then hit the road.
First stop, Glacier National Park.
You talked Logan into the trip?
He’s actually the one
that started planning it.
I don’t know what
happened. After my surgery,
he became a regular John Muir.
Who knows how long those
glaciers will be there, right?
Hey, Mr. Durston.
Uh, Dr. Kwan, I thought
you were supposed to be
I-I was just saying
goodbye. Safe travels.
Dr. Warren, his sats
are at 93 on room air
and heart rate is trending
to the low one hundreds.
- What does that mean?
- It could be nothing,
but we can’t discharge your
dad until we check him out,
so set up a chest X-ray and an EKG.
It’s just a few tests.
We’ll be out of here soon.
Um, are you gonna go with him, Dr. Kwan?
Of course. Yeah, uh, I will update
you as soon as we know anything.
Cool.
Tonya Orvis, 56, seven
months post heart transplant.
Admitted with shortness
of breath and chest pain.
It’s always good to see you, but
I’m sorry you’re not feeling well.
[GROANS] It’s okay. I never feel well.
Well, hopefully we can get this
figured out and that’ll change.
Can you make me a healthy 25-year-old
with big boobs and beachy waves?
That’s not technically my specialty.
Then I think this is
just how I’m gonna feel.
I’m running on a used
engine. What’d you expect?
It’s kind of a miracle.
[STAMMERS] I mean, I’ve
never had a heart transplant,
but I would think you’d
feel better than before.
[SCOFFS, CHUCKLING]
You would think that.
- What’s that supposed to mean?
- You’re young, handsome.
Give it 15 years, some hair
loss and 20 cholesterol points.
Uh, let’s send for a Prograf
level, CT and an EKG, all right?
- We’ll be back.
- Can’t wait.
- She is
- Charming, and you’ll love her.
Evelyn, hey, it’s Teddy.
Owen’s on his way down.
Hang in there. Anything?
- DTRs 2+ and equal bilaterally.
- It looks like you had a TIA,
- which is a mini stroke.
- I know what it means.
I may be old, but I’m still a nurse.
[EVELYN, SHEPHERD CHUCKLE]
It’s nice to see you though, dear.
- How’s that baby of yours?
- Five and full of energy.
I came as fast as I could.
Are you okay? Any pain or dizziness?
[CHUCKLES] Oh, Lord. I’m fine.
Just call my regular doctor.
No need to fuss.
She’s moving all her extremities.
No more facial drooping or slurring.
It’s likely a TIA.
Atrial fibrillation on her EKG.
It’s intermittent on the monitor.
Have you had any heart palpitations
or felt your heart racing?
- I don’t think so.
- Okay, she needs a head CT, an echo,
carotid duplexes, and
she needs to be admitted.
- As in now.
- Owen, watch your tone.
We’ve already ordered
the CT and the echo.
Once those are done,
we’ll go from there, okay?
Tell radiology that she
has a history of a triple-A.
She should be near
the front of the line.
- They’re waiting for her now.
- Okay.
[PA ANNOUNCER] Dr. Velhert to peds.
Dr. Mandy Velhert to peds.
[STAMMERS] What’s going on?
I told you I would discharge
Mr. Durston myself.
Oncology needed the room and
his paperwork was in order, so
[STAMMERS]
And I was just saying a quick
goodbye and then his sats dropped.
Then you should have paged me.
Where are you taking him?
Radiology. CT is waiting on us.
Don’t worry, they’re
doing a good job.
[STAMMERS] That may be, but
they have other things to do.
I will take it from here.
- You’re taking him to CT?
- Yeah, you said it yourself.
We’re stretched thin.
You said elevated liver enzymes,
low platelets and high LDH?
[WHIMPERS] We don’t speak doctor.
Does that mean I have preeclampsia?
- Not exactly.
Your lab results and physical
exam indicate something related.
- HELLP syndrome.
- That sounds worse.
It is a rare pregnancy complication
of your blood and liver.
So what do we do now?
Give her medication?
[MONITOR BEEPING]
- What is that? What’s happening?
- Your baby is in distress.
Let’s get you on your
side to see if that helps.
[BREATHING HEAVILY, WHIMPERING]
- Okay, ready?
Okay, we need some help in here.
Okay, Irene, change of plan.
The best way to take
care of you and your baby
is to get you to the
OR for a C-section.
What You’re taking her now?
I’m not I’m not
due for another six weeks.
Your baby is 34 weeks.
She should be just fine.
We have an amazing NICU team, but we do
need to get her out as soon as possible.
- You got this. I love you.
- I love you too.
You have to make sure both
of them are okay, please.
I’ll do everything I can.
Hey.
I just did my first
A-line without supervision,
and the patient is still alive.
Do you want to go out to dinner?
To celebrate. I mean,
last night was so fun,
and the night before that and
twice the night before that.
But don’t you ever get hungry?
Sounds great.
[PHONE BUZZES, BEEPS]
Uh Bailey.
I’ll see you tonight.
I thought you were sad.
- He found something to make him happy.
- Shut up.
Trust me, no judgment here.
You know, like, Millin’s having,
like, a full-on affair with
Have you heard from your family?
Is your brother doing better?
I’d rather not get into it.
- [PHONE BUZZES]
- [KWAN GROANS]
It’s the medical records
office with another dumb question
on another dumb discharge summary.
Should I just throw in the towel?
Become a mechanic?
Yes.
You don’t know what’s going on.
Just speaking from the heart.
[KWAN GROANS]
No, no. They just finished imaging her.
No, just hold tight, okay? I gotta go.
Megan. She’s trying to decide
if she needs to get on a plane.
Does she need to get on a plane?
Good news, imaging was negative,
so there’s no active stroke.
But we did see signs of
bilateral carotid stenosis,
which is not unusual due to her history.
I’m gonna start her on anticoagulants
to reduce risk of further strokes,
and then we’re just gonna
keep a really close eye on her.
She’s in good spirits.
I’ll give you an update once
she’s settled in the room.
Okay.
I, uh I can cancel my day to
help you out with whatever you need.
- I mean, your mom, you.
- Yeah, you don’t need to do that.
- Are you sure? It is not a problem.
- I-I have it under control.
Okay. Bye.
[PA ANNOUNCER] Dr. Bush to the NICU.
Dr. Justin Bush to the NICU.
[BABY CRYING]
[WILSON] There she is. Cut the cord.
Okay, sweet girl.
Okay, hang two more units of blood.
- I thought we called for backup.
- We did. Twice.
Where the hell are they? More traction.
Heard you needed hands. What do we have?
Just delivered the baby via
crash C-section. Looks like HELLP.
Based on her labs,
the baby had prolonged
bradycardia, so we had to deliver.
- Hell of a first day back.
- How much blood have you given?
Three units.
Need more lap pads. Send a TEG.
Are you gonna help me
control the bleeding or not?
Okay, take this.
Suction. More lap pads.
[SIGHS]
- Hey, how was lunch?
- Hey. Uh, fine.
We talked. Actually, Celine
did most of the talking,
which is pretty typical for her.
About Zachary or
- Um
- I mean, you don’t have to tell me.
She’s your co-parent.
It is not my business.
- She wants to get back together.
- Oh.
I didn’t expect any of the
words that came out of her mouth,
and I was going to wait and
talk to you about it tonight,
but I don’t want to
keep anything from you.
[STAMMERS] Are you
- Do you want to get back together?
- No.
I don’t know. I don’t think so.
Can we go somewhere?
Talk about this, not in the hallway?
I don’t know what
there is to talk about.
I’ve never met Celine,
and I’ve never met Zachary.
I-I mean, I don’t even know how
long you guys have been divorced.
- Nine months.
- That’s not long.
You know, and we haven’t
really defined this thing, like,
- I-I really don’t get to weigh in.
- Amelia.
I have this really important patient
that I need to give all of
my attention to right now,
so I’m going to focus on that.
You just let me know what you decide.
[CT MACHINE WHIRRING]
- Hey.
- Hey.
- I said I had this under control.
- Yeah, and I heard you.
I’m not here to help. I’m
here on a wild goose chase.
Novack-Myers wants their hydrogel back
since the FDA denied Quinn’s request,
but I can’t find it and
no one knows where it is.
Have you seen it?
We have a floor full of patients,
and you’re looking for a vial?
- It’s worth a half million dollars.
- [STAMMERS] Let it go.
Our drug storage protocol
should be airtight.
You think this is an acceptable
way to run a hospital?
No, but look, we’re busier
than we’ve been all year,
and you are our chief resident.
- Yeah, I know, I’m
- You have to do triage,
and if you do it right, wild
goose chase will not make the cut.
Copy that.
Pulmonary embolism in
the right lower lobe.
Oh, no.
Damn it.
All right, let’s get
him on a heparin drip.
He is not going home today.
- [RAPID RHYTHMIC BEEPING]
- [HELM] Still bleeding.
[WILSON] How many units have we used?
[MILLIN] Eight so far.
We need more laps.
[HELM] The TEG doesn’t look good.
She’s too unstable.
We just need to stop the bleeding.
No, I’m more worried about
correcting her acidosis,
and we maxed her out on pressors.
Millin, what’s the standard of
care for damage control in surgery?
We pack the patient and then we
resuscitate her with IV fluids
and blood products in the ICU,
and then bring her back to
the OR once she’s stable.
[HELM] Okay, good. Wilson?
[WILSON] No. No, no, no.
Something isn’t right.
Was there something wrong with her labs?
No, it’s just
I just have this feeling.
You said it yourself,
there’s a lot of bleeding.
You just cut into her
uterus and pulled out a baby.
Of course there’s a lot of blood.
Wilson, she’s too sick. If
we keep going, we will lose her.
[BEEPING CONTINUES]
Okay, let’s get her to the ICU.
That’s precision. I can tell
you’re an excellent surgeon.
Okay, Mom.
Okay. Ms. Hunt, you need anything
at all, you have me paged.
- All right? Bye.
- Bye, Dr. Bryant.
Okay, let’s dial back on
flirting with the residents, please.
You’re no fun.
- You’ve just had a stroke.
- A TIA.
Barely counts.
- Are you okay?
- I’m fine.
[CHUCKLES] Oh.
You sound just like your father.
That man kept everything
inside until the day he died.
When you were six,
there was a week where he seemed down.
But he insisted he was fine.
Then I ran into Sheila Skeeland
at the pharmacy, you remember her?
Dad’s secretary?
She told me one of their co-workers
had keeled over dead,
in your father’s office.
He did CPR for 20 minutes.
I wish he would have told me things.
You feel you would have known
him better if he’d let you in?
[CHUCKLES] Oh.
I knew exactly who that man was.
No, he would have felt better
if he’d let it out on a
[SLURRING]
- Mom? Mom. Mom.
- Owen. Owen.
- Code stroke. Code stroke in 3121.
- [BEEPING]
- Mom, it’s okay.
- Owen.
- Hey, hey, hey. I’m here.
- Owen.
- It’s okay.
- Page Shepherd.
[GROANING]
[PA ANNOUNCER]
Dr. Viola to the psych ward.
Dr. Margaret Viola to the psych ward.
Just finished my laminectomy.
- Have you eaten anything?
- Uh No time.
I’m trying to figure out why
my patient is circling the drain.
You want to bounce ideas?
I know slightly more than nothing about
differential diagnoses with HELLP.
All her labs point to HELLP syndrome,
but after I did the crash C-section,
she never stopped bleeding.
Maybe she just needs
more time to resuscitate.
[SIGHS] You sound like Helm.
She was with me in the OR.
I’m pretty sure she thinks I’ve lost it.
- Is that your patient?
- Irene.
Her wife keeps running back and
forth between here and the NICU.
Hmm.
Tell her to take the stairs
by the vending machines.
There’s fewer people, plus
you avoid that chatty nurse.
Can I bring you a sandwich?
No, I’m going to keep working.
- You need to eat.
- I need to figure this out.
Are you okay?
I’m just worried about my patient.
I will talk to you later.
- Okay.
- Okay.
[PA ANNOUNCER] Dr. Anezi to ortho.
Dr. Ali Anezi to ortho.
Tonya.
- It’s Dr. Adams.
- I’m in the middle of something.
- Is this important?
- Uh, yeah.
[STAMMERS] Yeah, kinda.
[SIGHS]
Dr. Ndugu asked me to take your blood.
Sorry to interrupt your, uh
I was practicing for when I’m dead.
Okay.
I know there’s no skill involved,
I just get panic attacks sometimes.
Pretending I’m dead helps me remember
there’s nothing to worry about.
I’ll be dead.
I think you’ll live another
15 or 20 years with this heart.
Or I could be hit by a bus tomorrow.
Wait. This isn’t
even about your heart?
I’m a pragmatist.
Yeah, I don’t think
that’s what that means.
Whatever it is, works for me.
Does it?
You don’t know me.
No, but I know that life
is mostly a nightmare.
And you can choose to fixate
on it and be miserable,
or you can ignore it,
- and have fun.
- [SCOFFS]
I’m in a hospital. How am I
supposed to have a good time?
Well, the gift shop.
It has these puzzles.
And sometimes, the kids from Peds,
they like to prank call the front desk.
So that’s fun.
And Andy, the nurse,
single, ready to mingle.
I’ll get right on it.
Oh, at least order the pancakes
from the cafeteria tomorrow morning.
They’re surprisingly good.
Are you done?
Yeah. Yeah, I am.
[TONYA SIGHS]
- [CT MACHINE WHIRRING]
- [SHEPHERD] What happened?
She started slurring her speech
and lost mobility in her left side.
She became obtunded, so we intubated.
Owen, you should not be in here.
I’m not going anywhere.
There. Do you see that?
A clot in the first segment
of the middle cerebral artery.
We’re lucky that you were with her,
and that you caught it right away.
This stroke has a
high rate of mortality.
Should we push thrombolytics?
Well, she’s already on anticoagulation.
Our best bet is to remove it.
Why don’t you prep for an
endovascular thrombectomy.
I will take care of
her like she’s my own.
I checked her chart on her way up.
She hasn’t updated her advanced
directive in over a decade.
Do you know if her wishes would’ve
changed if anything were to happen?
I’m not worried. It’s you.
With the carotid stenosis
Get in there and do
what you need to do.
- We need to prepare for the worst
- We’re losing time!
I will call you with updates.
Helm wanted you to see
Irene’s latest ABG results.
Her labs are improving.
That’s good, right?
Except her hemoglobin is still dropping.
She’s still bleeding.
Could it be dilutional?
I don’t know. I just I
I think it might not be HELLP.
Maybe she just needs more time?
If the bleeding’s not
coming from her uterus,
she may not have time. So I
I-I think that we go back into
the OR and we find the source.
Or w-we could get a scan first?
[RAPID BEEPING]
She’s crashing.
Change of plans.
I’m reopening her here.
Uh Hold on. Let me page Helm.
Do whatever you need to
do, but Irene can’t wait.
I need a cut down tray!
[RAPID BEEPING CONTINUES]
Uh. You know, you gotta jump
a millisecond after it feels like
it’s a little too late. Now.
Doctors play video games?
Oh. Surgeons have dexterity, bro.
Uh, do you have Quinn’s results?
Uh. Your dad has a pulmonary embolism.
It’s a small blood clot in his lungs.
We’ll give him
medicine to clear it up.
I-I know. He’s had one before.
Um, wh-when is the experimental
drug supposed to start working?
There must be some confusion.
Your dad didn’t end up
getting the experimental drug.
[STAMMERS] Dr. Bailey said he did.
The FDA or whatever changed their mind.
[KWAN] Hmm.
- Can you excuse us for a minute?
- Yeah.
[CLEARS THROAT] You
know anything about this?
You should talk to Dr. Bailey.
I don’t see anything in his chart.
Should I update it?
Just record the PE. I’ll talk to
Dr. Bailey about the oversight.
And you, stay the hell out of this case.
[RHYTHMIC BEEPING]
What happened?
Did she throw another clot?
I can’t operate on Owen’s mom.
If anything happens to her,
he will never forgive me.
You can ask someone else to
do it, he’ll understand.
If she loses all cognitive
function on someone else’s table,
I’ll never forgive myself.
She and my mom are a lot alike.
You know, both military nurses
and raised kids on their own.
But I had a [EXHALES] a
complicated relationship with my mom.
So, having Evelyn as
a mother-in-law kinda
you know, felt like a second chance.
Hmm.
You know what she’d say right now?
[CHUCKLES]
"Suck it up and get in there."
[CHUCKLES]
And she’d be right.
You can do this.
Feel free to say no, but
can I go in there with you?
Of course.
What the hell are you doing?
She was about to code.
I had to open her.
[HELM] She’s probably
bleeding from the uterine
incision, or the
incision you just created.
She’s not.
She’s bleeding from somewhere else.
- Oh, my God.
- Ultrasound.
- [HELM] Holy hell.
- [MILLIN] Whoa.
There. She’s bleeding from the liver.
She has a hemorrhage from a ruptured
liver mass, probably an adenoma.
So the bleed was coming
from the mass the whole time?
You were right.
We need to embolize it in the IR
suite. Millin, inform her wife.
[PANTS] Are you two with me?
[HELM] Let’s pack and go.
[SCOFFS]
You know it’s a bad day when I’m having
my morning green juice after 3:00 p.m.
Did you give Quinn Durston
the experimental hydrogel
without the FDA’s approval?
No.
- Did Kwan?
- [SIGHS]
Yeah, that’s why he’s
been doing paperwork all week.
Miranda, you lied to my face.
No, no, no.
I’m trying to protect you. Right?
- Keep you out of it.
- Yeah, well, he’s my patient too now.
We are supposed to report the PE to the
IRB and the clinical trial sponsor
- This could blow up.
- I know that.
Okay, look.
It wasn’t you, so you
could tell them that Kwan
No, I’m not turning Kwan in.
Okay, he was he was just trying to
help, and we had a treatment that could.
How many times you been on
my case about going rogue?
That’s just it, right?
We’ve all done things we shouldn’t
have, but we’re still here.
[SCOFFS] Look, he’s
paying for his mistake
with notes and-and-and orders.
It doesn’t need to upend his training.
You could get fined, lose your license.
It’s way less likely
to happen to me than him.
I hope you’re right.
[MUMBLING]
[SHEPHERD] Advancing the catheter.
[BRYANT] What kind
of nurse was Ms. Hunt?
She was a scrub nurse in Vietnam.
[BRYANT] That tracks.
Yeah, she seems like a hospital corners,
- count the instruments kind of gal.
- [SHEPHERD] Very much so.
All right. Push the contrast. Fluoro.
Damn it. The carotid is narrower
than it looked on the scans.
Yeah, it looks 100% blocked on the left.
Does that mean you can’t get the clot?
I can do it.
But if I knock against
the wall of the artery,
I could shower blood
clots into her brain.
When will we address the stenosis?
I could do a carotid endarterectomy
when she’s recovered
from the thrombectomy.
Someone get Dr. Hunt on the phone.
[PHONE RINGS]
How’s it going?
Do you have a clear path?
[SHEPHERD] The stenosis
is worse than expected.
It’s about 95% occluded
on the right side.
- But I can make it work.
- Okay.
[HUNT] So what are you
gonna do about the stenosis?
Teddy and I just talked it through.
Her brain tissue is
too unstable right now.
I could do an endarterectomy
in a few weeks.
A few weeks? She’ll have more strokes.
Can we place the stent now?
That would increase her risk of
converting to a hemorrhagic stroke.
I think that’s a risk we need to take.
Owen, we’ve already
lost a lot of time.
This is my recommendation.
It’s too dangerous.
If she has more strokes, she’ll
lose even more brain tissue.
And if I placed the stent and it
becomes hemorrhagic, she could die.
I know my mom, okay?
And she would rather die on that table
than to live every day with
the risk of a massive stroke
taking away her independence.
Amelia, I know what
I’m asking you to do.
And if anything happens,
it’s on me, not you.
Okay. I’ll do it.
Okay, everybody. We’ve got to move.
I’m going to perform the
thrombectomy and place the stent.
I know I said this was a bad idea
before, but we need to forget that.
If we’re going to do
this, we need to operate
as though we cannot fail.
- [GRIFFITH] I’m with you.
- [BRYANT] We got your back.
[SHEPHERD SIGHS]
Aspiration catheter.
[SOFT MUSIC PLAYING ♪]
Caught in a moment ♪
A door that was closing on me ♪
I didn’t notice ♪
Oh, I didn’t notice ♪
All of it faded ♪
Shifting and changing ♪
I didn’t notice ♪
Wish that I noticed ♪
Oh ♪
Oh ♪
Oh ♪
Wait now ♪
One more second to touchdown ♪
Call my name say it out loud ♪
[RAPID BEEPING]
- [BEEPING CONTINUES]
- I need you to jump in.
What the hell happened?
I was just talking to her.
- Adams, get in here right now. Come on.
- Okay.
[DOOR OPENS]
- Is she
- She’s headed to recovery.
[SIGHS]
Wake up call my
name, say it out loud ♪
So I can still turn around ♪
[SPENCER] Hey.
- What sounds better, burgers or Thai?
- Neither.
I just lost a patient.
Sudden cardiac death
from transplant rejection.
Oh.
I’m so sorry. Do you want
to go back to your place?
I need to get caught up on notes.
Don’t waste your time.
He’s using you.
["FLICKER" PLAYS ♪]
We’ve all been there.
It sucks.
Show me the light
you flickering darkness ♪
How is she doing?
Stable. She’s tough.
- And how are you doing?
- I’m fine.
Apple doesn’t fall far from the tree.
[CHUCKLES]
She says that I’m like my dad.
That may be true, but
you’re also a lot like her.
All right, Evelyn.
We have started to
wean you off sedation.
Let’s see how you’re doing.
Holding my ground with
my back to the wall ♪
Okay, please squeeze my fingers.
Flying birds scraping heaven ♪
They are leading me home ♪
[GASPS, CHUCKLES]
- [CHUCKLES]
- Excellent work, Evelyn.
Show me the light
you flickering darkness ♪
Okay.
I’ll let her rest and then
we’ll wean her off some more.
- Thank you.
- Of course.
Not just for that.
I know I pushed you to take a risk
that you weren’t comfortable with.
You were right.
It was worth it.
Holding my ground
with my back to the wall ♪
It’s been a really long day.
I almost lost a patient.
Can we just
Welcome home.
Can I crawl into bed with my shoes on?
As long as you don’t
mess up the laundry.
[SONG ENDS]
[SIGHS]
Did your patient, uh
[SIGHS] It wasn’t HELLP.
It was a ruptured hepatic adenoma.
We embolized. She’s in recovery.
That’s great. You were right.
Yeah.
Hey.
Listen, you saved a mom and her
baby, and honestly, the other mom too.
That family is going to be just fine.
Maybe.
Or maybe months from
now, Irene will still panic
when she feels pain in her side, or
feel terrified when she
gets a headache, or
hate herself when she
looks at her daughter
and all she can think about is
the time that she almost died.
[EXHALES HEAVILY] Oh. Is this
Jo.
I had no idea.
Why didn’t you say anything?
I just wanted to move on.
I didn’t want to worry you.
I really love our girls.
Oh, I know. I know.
Of course you do.
[WILSON SOBS]
Hey.
Sorry, I-I don’t want to bother you.
I just wanted to see how
she was doing before I left.
She’s slowly coming off sedation,
and responding to basic commands.
Great.
If you need anything,
just just let me know.
Would you want to sit
with us for a little while?
I’m sure she’s sick of
the sound of my voice by now.
[BOTH CHUCKLE]
Yeah. Yeah, sure.
I’ve got some time before
the nanny has to leave.
Yeah.
[GREY] Recommendations,
rules, guidelines.
Ideally, they exist to save
you from unnecessary pain.
If it’s falling out of place ♪
[GREY] Have fun, and
stay safe while doing it.
A-Are you using me?
What? Why would you just say that?
You were gone for three weeks to take
care of your brother, who’s in a coma.
- Yeah?
- You haven’t said a word.
You just wanna hook up.
And I’m not looking for
more than that, but I care.
I want to know what’s
going on in your life.
I want to know you’re okay.
It’s not you. It’s just I’m not
ready to talk about
my brother to anyone.
But when the time comes, you’ll be
the first person I dump my trauma on.
Deal?
Deal.
[GRUNTS]
[CHUCKLES]
[GREY] But rules only
work if you follow them.
[PANTING] I wish I’d kissed you
that night in med school.
[PANTING]
Did you run here?
[LAUGHS] Yeah.
I, uh I might have looked for
you in, like, three other places.
Don’t go back to Celine.
I know it’s complicated.
You’ve got Zach, and
you’ve got years of memories
that will always be with you,
and it probably seems like
the easier, safer option.
But that doesn’t mean it’s better.
You had your reasons for leaving.
And they’re not going to go away
just because you decide to start over.
Probably not.
And you and I are so new, we
don’t even know what we are.
Yeah.
But what I do know is
we’re great together.
And we’ve known each
other and liked each other
since before you met Celine.
That’s got to count for something.
It counts for a lot.
Good.
Because this isn’t
just a crush anymore.
No?
Not for me.
[GREY] And sometimes the
rules you’ve been following
turn out to be flawed.
Carry on ♪
[GREY] All bets are off.
Dr. Bailey.
Warren knows.
Yeah, you’re a few hours too late.
- Is he going to turn me in?
- No.
He understands. But
And between you and me, he doesn’t
want to sleep on the couch tonight.
[CHUCKLES]
Um Look, I know I went rogue again,
and I know that I should be fired.
But if I haven’t
already said it, thank you.
It’s going to take a minute
before I can look at you
without blinding anger.
- Dr. Bailey.
- [STAMMERS]
Thank you.
Just get some rest. [CHUCKLES]
So sorry it took me so
long to answer your page.
It’s been one of those days.
Uh, something wrong?
Spencer came to see me this
afternoon about Quinn Durston’s PE.
She [SCOFFS] never should’ve
bothered you with that. Uh
I’ll make sure she knows
you’re not on the team,
you-you just consulted that one time.
Oh, she knows.
She was following protocol, so
I could report the complications
to the IRB and the FDA,
since Quinn was given an
experimental treatment.
- Okay, I can explain.
- I hope so.
The institutional review
board will want every detail.
They’re launching an investigation.
[GREY] You’re completely on your own.