Grey's Anatomy s22e18 Episode Script

1
[GREY] James Harrison,
an Australian blood donor,
was nicknamed
"the man with the golden arm."
His blood contained a rare antibody,
necessary to make a
lifesaving medication.
Anti-D.
[SIREN WAILING IN DISTANCE]
[HUNT] We have kids.
Did you forget about them?
Or have you just made up your mind,
and now I have to be the bad
guy to tell you not to go?
- That's not what's happening.
- The Royer Bridge collapsed.
Assumed you'd need everybody.
Do whatever you want like you always do.
Chief?
I'm-I'm-I'm sorry, I just need a-a
minute to take care of something.
Want me to have the desk send out
an alert to all available personnel?
That'd be great, uh, thank you.
Wait, do you have eyes on that bridge?
Probably. Why, you need something?
- Owen takes that bridge to work.
- Hopefully, he wasn't on it.
I'll ask my contacts,
and I'll keep you posted.
Thank you.
[TENSE MUSIC PLAYING ♪]
[SPLUTTERING]
[GREY] Anti-D injections were
given to pregnant mothers,
whose blood wasn't compatible
with their unborn babies.
[GRUNTING, GASPING]
[GREY] James donated over 1,000 times.
What he could survive without
saved over two million lives.
- [MUSIC FADES]
- [SIREN WAILING IN DISTANCE]
[ELEVATOR BELL DINGS]
I checked with the lab.
The mice are still pubescent.
I do not envy them.
That was a rough time in my life.
[GREY CHUCKLES]
So, while they mature, we should focus
on the estrogen receptors in the brain.
And Nick is kind enough to call
over to the head of
radiology at Fox Boston
and see if they'll let
us use their FES-PET scanner.
Oh, tell him I said thank you.
You can tell him yourself.
He's on his way here.
[WRIGHT]
Yeah, no, maybe no ice cream.
We had ice cream when
we told him about the divorce.
No, I know it's good news, it's
Can we talk tonight?
Hey, Amelia.
- [MILLIN] Good morning.
- Why are you smiling like that?
You know when you
want something really badly
that it can't
possibly meet expectations,
but then it actually exceeds them?
- I slept with Lucas.
- What? No.
- [EXHALES] What'd I miss?
- She hooked up with Adams.
- Hey.
- I'm sorry. It just came out.
Wait, last night?
I thought that was Bryant.
- Was he there too?
- Aren't you fired?
[SIGHS] The alert said
whoever's available, and I'm available.
- You were fired?
- Webber was angry.
But I'm gonna save a few
lives, get back in his good graces,
and get my job back
by the end of the day.
Do you have to?
I didn't realize
you were working in here.
Uh-huh.
- Is it all right if I get some tea?
- Oh, go ahead.
Copilot.
Summarize this bloated,
self-indulgent, word salad
into three paragraphs.
Ah.
Much better.
People sending me
60-page compliance reports.
- I don't have time for that nonsense.
- Hmm.
Apparently, I do.
I heard you got benched.
I'm sorry it came to that.
You know we cannot
fool around with the IRB.
I know. [SIGHS]
But doesn't it bother you
that they're trying to
tell you how to run your hospital?
[SCOFFS] Nobody tells me anything.
Everything is a negotiation.
Must be nice having
a seat at the table.
It's hard work is what it is.
I had to learn epidemiology,
data analytics, management theory.
[SCOFFS]
And somebody's got to do it.
[PUNCHING KEYS]
Good morning.
It's not a good morning.
A bridge collapsed.
- Am I still smiling?
- A little bit, yeah.
Sorry, I had a really good night.
- Me too.
- [ALTMAN] Listen up, everyone.
SFD estimates that there
were over 60 cars on that bridge.
We are setting up triage outside
and another area upstairs for
patients who just need observation.
This is an all-hands-on-deck-situation,
people, so if you need help, ask.
If you see a need, jump in.
All right, let's go to work.
You were in bed
pretty early last night.
- What? Uh
- No, I texted and called.
- I figured you were asleep
- I forgot to turn my phone off silent.
- Sorry. Yeah.
- Yeah, no, it's all good.
Just like old times.
- Just be fired.
- Shut up.
- [ALTMAN] Cass?
- Hey.
- Are you doing okay? Is-Is David okay?
- We're okay.
I just can't get to Seattle
Pres because of the bridge.
You need extra hands?
- How many do you have?
- [SCOFFS]
[GRUNTING, BREATHING HEAVILY]
[PANTING]
[DRAMATIC MUSIC PLAYING ♪]
[PANTING] Damn it.
Help! We need help, please!
We need help!
- Hey.
- Please!
I'm Owen Hunt. I'm chief of
trauma surgery at Grey Sloan Memorial.
- What's your name?
- Josh.
My family, we're trapped.
- What's your name?
- Uh, I'm Hank. That's Laney.
All right, I'm gonna help you.
Yeah.
[PANTS]
- What do we got?
- [PHONE RINGING]
A 30-year-old female injured in
a multi-car pileup near the bridge,
intubated on the scene.
Paramedics put on a pelvic binder.
All right, everybody, stand back.
[PHONE RINGING CONTINUES]
All right, Dr. Bryant,
what do you see here?
Uh, a few right rib
fractures, but no pneumothorax.
That is correct. All right, I'm
getting paged to another trauma.
Get the pelvic X-ray,
and I'll be right back.
- Okay.
- [PHONE RINGING]
Someone's probably worried about her.
Anyone mind if I get it?
Be my guest.
[BRYANT] Hello.
This is Dr. Bryant at
Grey Sloan Memorial.
Sir, listen, your wife
has been in an accident.
We are assessing her
injuries as we speak,
but I need to know, is she on any
medication? Has she had any
- Page OB.
- What?
Page OB.
- [BRYANT] She's pregnant.
- I need OB down here!
- [MILLIN] Was it weird?
- I don't remember.
- Are you two getting back together?
- No, it was a one-time mistake.
Griffith, Millin, we're up.
[PARAMEDIC] 48-year-old male,
MVC secondary to bridge collapse.
GCS 15, systolic 105,
tachycardia in the 120s.
Oh, my God.
- Dr. Marsh.
- [GRUNTS]
Tell Dr. Grey that I made it.
[PARAMEDIC] All right. Let's move.
[GRIFFITH] We got you, Dr. Marsh.
[HUNT] Are you able to move at all?
Laney, is your leg
numb or are you in pain?
Laney? Hey, hey, hey, Laney, look at me.
- Why won't she talk?
- [JOSH] Hank, give the doctor a minute.
Laney, sweetie? Is she okay?
What's happening?
I can't tell the extent of the
damage to her leg from out here,
but it looks like it's stuck
between the door and this metal.
Josh, has your wife been
unconscious this entire time?
- Yeah. Yeah.
- Okay.
Okay, hold on.
Is Mom dying?
Are Mom and Laney gonna die?
[HUNT GRUNTS]
[GRUNTING]
Hold on, sweetie.
All right. All right.
There's bruising on her neck.
Most likely something
hit her during impact.
Josh, she can't breathe.
I'm gonna have to place a
tube in the skin of her throat,
it's gonna look scary, but it's
gonna save her life, all right?
- Hank, check on your sister.
- Dad
For God's sake, turn around
and check on your sister.
[LANEY WHEEZING]
- [JOSH GROANS]
- [HUNT] Okay.
- All right. Okay.
- [SIRENS WAILING IN DISTANCE]
[GRUNTS]
Breathe.
Come on. Come on, breathe.
Okay.
- [MILLIN] Evidence of abdominal trauma.
- [CASS] Start the FAST exam.
[MARSH] Millin, I'm any other patient.
Start at the tenth intercostal space
- and begin to Yeah. [GROANS]
- Upper right quadrant.
[GREY] Nick, I'm here.
- Hey.
- What happened?
- Is he your husband?
- Yes.
What does his FAST show?
[CASS] He's got free fluid in
the abdomen, but he's stable.
We're gonna need a CT with contrast.
He has a transplanted kidney,
but his renal function is good.
Okay, call radiology and
tell them we're on our way.
Let's prep to move.
So, I'm your husband?
Is that what you're
focused on right now?
- [CHUCKLES]
- [MACHINE BEEPS]
- BP is dropping.
- Hang another unit.
Mer, I love you.
I need you to know that I love you.
I love you too.
- [CASS] We need to intubate.
- Okay, come on, let them do their jobs.
Come on, Mer. Come on.
Sorry it took me a minute.
- How are the CREOGs?
- Um, okay, I think.
- Get me up to speed.
- [ADAMS] This is Morgan Lewis.
She has complex pelvic fractures
which has resulted in locked symphysis.
- And she's 32 weeks pregnant.
- Let me take a look.
[LINCOLN] Let us know what you need.
Well, I need to do a pelvic exam, so
You said she's 32 weeks pregnant?
That's what her husband said, yeah. Why?
Because I see two feet sticking out.
Get me an ultrasound.
Okay.
Okay.
Okay, I can see a heartbeat.
Crap. Baby's shifted further down into
the pelvis, now I can't see anything.
Okay, let me try something.
Okay.
Come on. Come on.
Okay, the pelvic fracture is making
it impossible for me to move the baby.
- It's stuck.
- Can't you do a C-section?
It's too far down. That's why
I'm trying to push it back up.
[PANTS]
If we don't make room for me
to get the baby out, it'll die.
What if I place
percutaneous pins to open
the pelvic ring?
It could make some space.
- You think that can work?
- We can try.
- Okay.
- [LINCOLN] Get me two pins and a drill.
[SIRENS WAILING]
Hey, Chief.
- Did someone see Owen?
- Not yet,
- but the dive team found his truck.
- Where? Was he in
He-He wasn't in it,
but the driver's side
window was broken.
That's a good sign.
Okay. We got a female, 63, hypotensive,
lacerations on her head and arms.
Trauma two.
- Warren, let's go.
- All right. You okay?
Male, 42, dislocated shoulder,
possible femur fracture.
Okay, trauma one.
I could use some help here.
- Where do you need me?
- Uh, visitor's area. You don't work here.
- Uh, but everyone else is busy.
- [SIGHS]
Don't make me regret this.
[HUNT] She's moving air on her own,
but you need to load and go.
[CAPTAIN] She'll be taken to Grey Sloan.
[HUNT] Okay, how are we doing?
[HANK] Laney's breathing funny.
She's severely tachycardic, sats
are low, her abdomen's bruised
- and she's lost a lot of blood.
- [HUNT] Can I take a look?
[GRUNTS]
[MACHINE BEEPING]
She's about to code.
They'll have jaws of life
here in a couple minutes.
She doesn't have that. [PANTS]
[RAPID BEEPING]
Okay, I'm gonna need an
intubation kit, a tourniquet,
and do we have a
reciprocating saw down here?
- Get me a new blade.
- What's going on?
Josh, in order to save Laney, we need
to free her from the car right now.
If we wait for the rescue tools, she'll
lose too much blood and she'll die.
So, what are you gonna do?
- I need to amputate her leg.
- [EXHALES SHARPLY]
Okay?
Yeah.
- Okay.
- [EMT] Saw's here.
What's the saw for?
I'm gonna get your sister out of here.
I need the tourniquet.
[TENSE MUSIC PLAYING ♪]
- [SIRENS WAILING]
- [MACHINE BEEPING]
[JOSH] Laney's gonna be okay, buddy.
Dr. Hunt just needs to get her
out first, but you can't watch,
so I need you to close your eyes, Hank.
- Buddy?
- You hear your dad?
She would want you to do it.
Laney, she doesn't get scared.
Do you?
I still think you
should close your eyes.
Maybe turn around.
Go ahead, turn around.
Good.
You play baseball?
- Yeah.
- What position do you play?
Outfield. I'm not very good.
[HUNT] Hey, outfield's important.
You can see the whole game from there.
Tell me about your last game, okay?
Play-by-play.
I need you to talk really loud.
Can you do that?
It was on Sunday.
We played the A's.
We were the home team.
Shaan was sick, so Miles had to pitch.
He was really nervous because
he usually plays shortstop.
[LINCOLN] There we go. Adams,
place the T holder on that one.
- Got it.
- Clock's ticking.
I'm acutely aware. Okay, done.
I need you to
manipulate the pelvic ring
just enough for me to
get the baby out, but
Not so much that I rip her pelvic veins
and she bleeds out and dies. Understood.
- How do you know how much is too much?
- Short answer, I don't.
- You ready?
- Uh-huh.
[GRUNTING]
Oh, damn it.
- You okay?
- Yeah, I'm fine.
- [BRYANT] Any progress?
- [WILSON] Hang on.
Okay, come on. Push, push, push. Yeah.
Okay, the baby's coming.
And okay, he's out.
- Scissors.
- [GRUNTS]
- Good work, everyone. [PANTS]
- That was insane.
[LINCOLN] All right, it's not over yet.
- [BABY CRYING]
- [MACHINE BEEPS]
- Wait, she's bleeding!
- Bryant, Adams,
help me get this pelvic binder on.
We're gonna get her ready for the OR.
We gotta move.
[BABY CRYING]
Hey, I just heard. How is he?
Can you come to this side?
Yeah?
What's going on? What do you
Dr. Marsh was one of the few who,
um, believed in us at the beginning.
Listen, no one will hold it
against you if you want to bow out.
No, I I can do it.
I just, um, I just need a minute.
[PHONE BUZZING]
It's Dr. Beckman. I gotta go.
Hey.
You got this.
He's bleeding from his liver and spleen.
We'll need to keep his pressors up
to give the kidney graft
its best chance at survival.
He's on his way to the OR now.
How familiar are you with kidney grafts?
I'm an excellent surgeon,
but I know what I don't know.
I'm gonna have another
doctor monitor his kidney.
I will do it.
I would normally jump at the
chance to operate with you,
but I don't feel comfortable
I've operated on Nick before.
It'll be fine.
You think it'll be fine if
he decompensates? If he codes?
No one will be as vigilant as I will.
I know that you're scared, but we have
an excellent general surgery department.
You trained most of them.
Where are you going?
Her husband, uh
Her first husband died because
of incompetent surgeons.
Oh, my God, that's awful.
Yeah. It really was.
[BRYANT] Hey.
- How's your apocalypse going?
- Intense.
Wilson just delivered a baby
trapped under her pelvis, feet first.
Then Lincoln opens up her hip bones
like he's bending metal or something.
You saw it.
I'm sorry. I'm coming at you hot.
It's just, I-I get a little bit,
uh, amped when I'm stressed, so
I'm just tired.
I was up late last night.
- Studying.
- What were you studying?
[ELEVATOR BELL DINGS]
Uh, uh, wait, Lucas, um
Uh, you go ahead. I'll catch up.
Okay, for sure. Hey, keep
your phone on later, yeah?
Yeah.
- Are you two still
- Has anyone told you Marsh is here?
Yeah, he had a conference.
He was in the bridge collapse.
[STUTTERS] Is he gonna be okay?
He has some internal bleeding, but
his renal transplant looks stable.
[PHONE CHIMES]
I-I gotta go, but can you let me
Of course, we're
taking good care of him.
Thanks.
Dr. Altman, our shoulder
dislocation has been reduced.
Heading upstairs for a femoral splint.
You want me to take the arm injury?
Yes, thank you, and,
uh, head lac in bed two.
[WEBBER] Kwan?
- What the hell are you doing?
- [ALTMAN] I asked him to help.
I don't know how I can make this
any clearer, you don't work here.
- But the ER's backed up.
- [WEBBER] Go clear out your locker,
turn in your badge, and leave.
We don't need your help.
I do. I need his help.
Don't go anywhere.
- He doesn't have privileges.
- I don't care.
There are dozens of patients waiting
to be seen, and more on the way.
I need hands.
And if he happens to inject someone
with an experimental drug today,
which I really don't think
he'll do, you can blame me.
Bed nine, go.
[TENSE MUSIC PLAYS ♪]
Hey.
So, it's mayhem out there.
You're in here doing paperwork?
I was benched from surgery.
Well, that's a problem
because I need you in OR two.
Well, unless you want to return past
favors and fight for
my medical license
It's Nick. He was on the bridge.
He's hypotensive, needs an ex lap.
- He may lose his kidney.
- Well, you should have led with that.
Okay, I need his full
medical history on the way.
I won't leave until he does, okay?
[JOSH] I'm okay, buddy.
I'll see you at the hospital.
Don't get into trouble.
- Okay.
- [HELICOPTER WHIRRING]
- Let's go.
- [RADIO CHATTER]
[GRUNTS]
My kids won't see, right?
When they lift this thing off me?
I'm not an idiot.
I know what might happen.
Josh, you need to hold on.
We're going to get you out of here.
You know, I drive this bridge every day.
I don't even think I notice it anymore.
Between yelling at my kids
to stop fighting, and my
my wife going over the shared
calendar a hundred times.
[HUNT CHUCKLES]
You know, hell is a shared
calendar in your 40s, right?
[CHUCKLES]
You got one?
I do.
[FIREFIGHTER]
Dr. Hunt, we're ready here.
Okay.
Thank you.
Thank you for getting my family out.
- They're my life.
- Yeah.
And I need you to tell them that.
Josh, listen
Could you, uh
Could you take my wedding ring?
Get it to Sam.
- Please?
- Josh.
Please?
Okay.
[MELANCHOLY MUSIC PLAYS ♪]
Okay.
- Thank you.
- Of course.
[FIREFIGHTER] Now.
[MACHINERY REVS]
[RAPID BEEPING]
[HUNT] Damn it, come on, Josh. Hang on.
- [LINE RINGING]
- Come on, come on. Pick up.
[HUNT] You reached Owen Hunt.
I'm not available right
Altman?
Are you okay?
I'm just, uh, stressed.
Oh, about something besides
the influx of patients?
Look, you've mobilized
this hospital in minutes.
I've also seen you deal with
much bigger catastrophes.
Owen was on the Royer Bridge,
and I haven't heard from him.
Every time I call him, it
goes straight to voicemail.
Maybe he just forgot
to charge his phone.
The fire department found
his truck in the water.
And we had this huge fight last night
over a job offer, and it just
seems so dumb now. [SOBBING]
- Hey, now. Hey, hey, it is early.
- Mm-hmm.
So, don't give up hope.
Look, if you need some time to
yourself, I-I can hold things down here.
I just I just need
to keep busy. Thank you.
You okay?
Yeah, it's just a headache.
- You okay?
- I'm fine.
You sure?
That was a difficult delivery
and Mom's in rough shape.
Jo, you can talk to me about this stuff.
Our patient is bleeding internally
after her traumatic birth,
and I have to be the one to stop it.
So, no, I can't actually
talk about it right now
because if I start thinking
about how terrifying it is,
I won't be able to do my job.
And my job is to save this woman's life.
- [ALTMAN] What do we got?
- Sam Greene, 44,
car crash in the bridge
collapse, systolic is in the 90s,
sats 96%, criked on the scene.
Someone did a crike in the field?
Yeah, it's one of
those key chain things.
Some survivalist whack job probably
discovered it on the Internet.
You have to be a medical provider
to buy it. Let me in there.
[RAPID BEEPING]
[GASPS]
That's from Dr. Hunt's key chain.
I have the same one.
When I said survivalist
whack job, I-I-I meant
Okay, you know what? Um, let's, uh
[CLEARS THROAT]
let's get X-ray in here.
We will formalize the
tracheotomy once we
get a better look at her other injuries.
[EXHALES, CHUCKLES]
[SHEPHERD]
Nelson is covering for me on the floor,
but depending on a patient's
CT, I might be needed in OR 3.
Are you sure you want to be up here?
They can't stop the bleeding,
and he's maxed out on pressors.
I'm not going anywhere.
[CASS] I need two clamps
followed by a stick tie.
[PHONE CHIMES]
- [BAILEY] More traction.
-
[SIGHS]
I threatened him when
you two got together.
What did you say?
I asked him to fill your
life with love and joy.
[GREY] And if he didn't?
[SHEPHERD] The threat was
implied, but trust me, he got it.
Turns out I had nothing to worry about.
[CASS] I'm getting control over here.
And the way you two love
and support each other
it's really beautiful.
- So you want me to threaten Toni?
- [CHUCKLES]
No, she wants to be with her ex.
I can't get in the way of that.
They have a kid. They were married.
So what if they were?
They also got divorced.
[SHEPHERD] I've been married
and I've been not married.
It's not the same.
The level of commitment I had with
Owen compared to anyone else
It just felt more intentional.
It was a choice.
She has that with Celine, not me.
[BAILEY] Send a TEG.
[KNOX] Dr. Bailey.
[BAILEY] Oh, no.
The urine bag is empty.
How long since it was placed?
An hour.
[SIGHS] His kidney's shutting down.
[BAILEY] Looks like the
bleeding is under control.
Now to figure out the anuria
We're gonna need some help out here!
- Josh Greene, 43.
- Hunt! What the hell happened?
He needs an ED thoracotomy.
Chest was pinned by the steering wheel.
Lost pulses and intubated on the scene.
No available trauma rooms.
I can get straight into an OR though,
but you're going to need
to get that lac assessed.
I'm seeing him through.
Somebody page Altman!
Maybe it's something simple,
but recheck the foley.
[KNOX] No kinks and no
signs of obstruction.
- I should be down there.
- No, you should not.
[MILLIN] The renal graft
looked healthy on the CT.
There was no sign of
bleeding, no sign of trauma.
[CASS] I don't want to make
another incision to check it
because that alone
might risk injuring him.
[GRIFFITH] Could the decreased output
be just from sustained hypotension?
Well, that could've explained it
before, but now that he's stable,
he should be putting out more urine.
[GREY] Look for a clot in
the renal artery or vein.
He had one six weeks
after his transplant.
I did the thrombectomy myself.
Okay, I need an ultrasound right now.
[AVERY] I came as soon as I heard.
Dr. Bailey. My God.
Dr. Bailey, you're not
supposed to be operating.
[BAILEY] I would've asked for
permission, but there wasn't time.
[AVERY] If the IRB gets wind
If the IRB gets wind of
it, have them talk to me.
I asked her to scrub in. I needed
someone I could trust down there.
[BAILEY] There's absent Doppler flow.
Must be a renal artery thrombosis.
So much for not wanting
to make another incision.
Page Ndugu or anyone from vascular.
We need them in here now.
I'll let this slide,
but rules are rules,
even if you're an experienced surgeon.
If you need anything, just say the word.
Thank you.
[TENSE MUSIC PLAYING ♪]
- [KWAN] Okay, I am in.
- [ALTMAN] Okay.
Actually, this might be my last surgery.
Do you think I could
do the wedge resection?
- Okay.
- [KWAN CHUCKLES]
All right. Demarcate where
you're gonna do the wedge.
[KWAN] Uh-huh.
Good. Clamp distal to that line.
- [ALTMAN] Mm-hmm.
- [KWAN] Okay, GIA stapler.
[ALTMAN] Right, now make sure that
you staple across the lung tissue
so that there's a good seal.
Wait, wait, wait. There's edema.
If you staple now, the line could
fail, and you could have air leaks.
You need to wait for a few seconds
for the fluid to leave the area.
Okay, go ahead.
[CLICKS]
[KWAN] Staple line looks good. Saline.
[ALTMAN] Inflate the lung, please.
Congratulations, Dr. Kwan.
You are good to close.
[NURSE] This is OR 2.
Dr. Altman, they're requesting
you on a case next door.
- Okay, I'll be right there.
- She'll be there shortly. Thanks.
[ALTMAN] It's easy to see
residents as replaceable.
You are all at the same
point in your training.
It's hard to stand out.
Tell Dr. Webber specimen
what makes you someone
he needs at this hospital.
[KWAN] You really think that'll work?
[ALTMAN] I think you've got
the skills to back it up.
[KWAN] Thank you.
[ALTMAN] Mm-hmm.
["AFTER THE FLOOD" PLAYS ♪]
[BAILEY] Ndugu.
[NDUGU] Where are we?
[BAILEY] A clot in the renal
vessels of the transplant.
[CASS] I need more laps.
But I do it better now ♪
This time ♪
[SIGHS]
After the flood ♪
[NDUGU] Inserting the Fogarty.
I didn't want to drown you ♪
[NDUGU] Inflating the balloon.
Blood's out. Suction.
Let's get proximal and
distal control again.
Full of fear and pride ♪
I just wanna feel ♪
[NDUGU] Moment of truth. Clamp's off.
Alive ♪
[NDUGU] Come on, man. Let's pink up.
Come on. Pink up.
After the flood ♪
[NDUGU] Pink up.
After the flood ♪
[MILLIN EXHALES]
[SIGHS, LAUGHS]
Oh, my God.
After the flood ♪
[HUNT] Hang another unit.
- [ALTMAN] What have we got?
- [HUNT] Dr. Altman.
[RAPID BEEPING]
I could really use some help here.
[ALTMAN] Whatever you need.
I'm right here.
After the flood ♪
After the flood ♪
[FOOTSTEPS APPROACHING]
[GRIFFITH] What are you doing?
Hiding from Adams.
Why?
I needed a minute, you know?
Today was rough.
Hmm.
News said 13 people died.
I'd love to say days like this
get easier, but not a good liar.
- Still horrific.
- Intern year sucks.
It's the hours. It's the yelling.
It's the feeling stupid,
the disimpactions.
So many disimpactions. [SIGHS]
I just feel like this year,
it doesn't belong to me,
like it's being dictated by someone
else, and I have no say in the matter,
except for when I'm with you.
Those parts I like.
Me too.
Let's get dinner.
Let's hang out somewhere
that isn't the bed
or the OR [CHUCKLES] for once.
- Okay.
- Okay.
Oh, I gotta go. Okay.
I will text you later, okay?
[BRYANT CLEARS THROAT]
- Hey.
- Hey.
[SIGHS] So, Marsh is stable.
How you doing? You all right?
Watching Dr. Grey stand there while
we had Dr. Marsh's life in our hands
If something were to
happen to either one of us,
no one would know that we
meant anything to each other,
and, you know, no one would call.
And
I would want them to call me
if something happened to you.
I feel the same way.
["BLUE LIGHT ESCAPE" PLAYS ♪]
[WEBBER] You knew I
pulled Bailey off surgery.
I was angry too, but
it's what Meredith wanted.
The residency program is
barely back on its feet.
We can't have management decisions
just to make Meredith Grey feel better.
Let me handle the IRB.
I can be very persuasive.
Dr. Webber, may I have a word?
Dr. Fox.
I am sorry for putting
the program in jeopardy,
but until then, my record
has been impeccable.
I'm quick under pressure and
technically skilled beyond my year
[WEBBER] Your badge.
That-That patient might
still be alive because of me.
Today, patients are alive because of me.
Isn't that why we're here?
To-To save lives?
What you did today doesn't
change what you did before.
If I see you again, I'll call security.
Telling me what to think ♪
I just wanna go home ♪
But I can't remember the way ♪
Back to you ♪
Coffee this late?
- It's decaf.
- Ah.
I didn't take the CREOG.
That's okay.
Take it next time.
More time to study.
I don't know if there's
gonna be a next time.
I don't even know if I can
practice medicine anymore.
It's okay. All right?
Whatever decision you
make, I will support you.
And if you don't want to be an OB,
if you don't want to be a surgeon,
if you want to take more
time off, whatever it is,
I will take care of us, I promise.
- Can we go home now?
- Of course.
- Meet back here in ten?
- I love you.
But I can't remember the way ♪
Back to you ♪
[DOOR CLOSES]
The way back ♪
To you ♪
The way back ♪
Hey.
To you ♪
[SONG ENDS ♪]
[DOOR CLOSES]
[CHUCKLING]
Oh, you are not gonna
believe what I just saw,
and you're not gonna like it.
Oh, well, can it wait till tomorrow?
Are you okay?
Mmm. Richard benched
me from surgery
- Hmm.
- and I operated anyway
- on Nick Marsh.
- Mmm.
[STAMMERS, CHUCKLES]
And this all happened today?
- Amidst the bridge collapse.
- [EXHALES]
SFD said that bridge was
supposed to be under repair,
- but, you know, funding fell through.
- Mm-hmm.
[EXCLAIMS] You know, does every
generation look back at the one before
and wonder, "What the
hell were they thinking?"
Where's the foresight?
Where's the common sense?
The world would be
a much better place if
there were more
Miranda Baileys in charge.
No, having a voice in
hospital policy and change
requires more expertise
than I have to give.
Why? You're a surgeon.
I don't have the
background in public policy,
communication, epidemiology.
Oh, what? You're supposed to run out
and get a master's in public health?
What if I did?
Get a master's in public health?
Wait, you want to go back to school?
If it's what I need to
get a seat at the table.
I just I can't keep doing things
the way they've always been done.
Oh.
You know I'm all in.
Hmm.
[SIGHS]
Mom and daughter are stable in the ICU,
and Hank's grandmother just arrived.
They're all going to be okay.
Thanks to you.
[ALTMAN BREATHES HEAVILY]
I choose us.
I needed some time to figure
out what I wanted for myself,
and what I want is you and our kids.
I want us.
I'm not gonna go to Paris.
I have lived all over the
world, and the only thing,
the only thing that makes
me feel like home is you.
- It's a great opportunity.
- There will be others.
You're going to Paris.
You are taking that job.
Oh.
Oh [STUTTERS] okay.
I guess I misread.
No.
'Cause we're coming with you.
[LAUGHS] Oh, God. You have a concussion?
I've never been clearer.
- Do you even like France?
- [CHUCKLES]
You were right.
You've moved continents for me.
You have changed jobs.
It's my turn to go with you.
I don't want to live in a
world where we're apart anymore.
["LOVE PAINS" PLAYS ♪]
I have spent my whole
life chasing adventure,
but the best thing I've
ever done is our family.
I would do anything
for the three of you.
You're my life.
I love you.
I love you too.
I love you.
- [HUNT SNIFFLES]
- [CHUCKLES]
- [MARSH] I dreamed about you.
- [GREY] Oh.
[MARSH CHUCKLES]
- Good dream, I hope.
- Very good dream.
It's always a good
dream when you're there.
When I wake up, it's even better.
[CHUCKLES] That may be the
cheesiest thing I ever said.
- I must be on a lot of drugs right now.
- [CHUCKLES]
Marry me.
How badly was I hurt?
Bad enough to make me think
about all the people I've lost.
And I really don't want to lose you.
It turns out me not being married to
you isn't protecting me from anything.
And I love you, and I
love our life together.
I don't want my fear to get
in the way of that anymore.
- Do you want a wedding?
- You are getting carried away.
[CHUCKLES]
No flowers or white dresses or poems.
Is it okay?
Do you still want to marry me?
You kidding?
I wanted to marry you since
the last time I was in this bed.
- Hey, are you asleep?
- [CHUCKLES]
I was just resting my eyes. [CHUCKLES]
- Heard Marsh is awake.
- He's gonna pull through.
- Thank you.
- For what?
Uh, you've taken care of a lot of
people that mean something to me.
- I really didn't do much today.
- I'm not just talking about Marsh.
You opened your home to Katie,
and I was, uh, pretty awful to you.
It's okay.
I need a drink.
- You want to get out of here?
- I don't know if we should.
Don't want to do anything we'd regret.
What if I don't regret it?
[BRYANT] Hey.
- Hey.
- [BRYANT] You ready?
- Yeah. Uh, I'll see you tomorrow.
- Yeah, I'll see you tomorrow.
- [BRYANT] Hey. You okay?
- [GRIFFITH] Weird day. [SIGHS]
[EXHALES]
- Celine wants to move to Seattle for me.
- What?
- For our family. [STAMMERS]
- Toni
This is the first time that she's ever
considered what anybody else might want.
I don't know what's changed,
but she wants to upend
her life to be with me.
That's okay.
To be honest, I think I knew
that we would end this way.
It's not even really about her.
It's about Zach.
He's my whole world,
but it's not healthy for him to see
his parents in a terrible marriage.
Like, I was miserable.
I felt invisible.
I felt more seen with
you in the last month
than I did in the last
ten years of my marriage.
I told Celine it's over.
I'm falling in love with you.
["FALLING THROUGH
ALL OF THIS TIME" PLAYS ♪]
[CHUCKLES] Wow.
- I really got this wrong.
- Toni.
[GREY] What we find important to
keep in our lives changes over time.
Things break.
Hobbies age.
And dreams evolve.
- Teddy Altman.
- [YANG] I've never heard of you.
I've never heard of you either,
so I guess that makes us even.
So have faith ♪
I'm not G.I. Jane.
I'm Attachment Barbie.
But I do know you
better Than anyone, you ♪
She appointed me ambassador of fun.
And me falling through
all of this time ♪
And you don't need
to tell me you're fine ♪
Somehow out of all of this ♪
So take your heart out of the
cage you built around it so tight ♪
And just let go ♪
[GREY] You learn from experience
to narrow down what really matters.
And it's all right ♪
Thank you.
Be not afraid to
drown in this light ♪
- You trached this guy with an ink pen?
- So?
So have faith ♪
In somebody for
once and don't brace ♪
Like you're tearing
apart at the seams ♪
[HUNT] Welcome to Trauma Certification.
No, I don't need to
know what this means ♪
Trauma's a team sport.
You don't have to be the hero,
you just you just have
to go where you're needed.
But you don't need
to know how it beats ♪
[GREY] And who you want standing
by your side at all times.
Hey.
Her loneliness is lovely now ♪
Let's go home.
Because it looks just like yours ♪
[GREY] And once you do, you
hold on as tightly as you can.
Be not afraid to drown in this light ♪