Grey's Anatomy s23e02 Episode Script

1
["KEEP TALKING" PLAYING ♪]
[GREY] When I was growing up,
the dominant school of parenting
could be summed up in one
sentence, "Because I said so."
Homesick been a while distant by ♪
[GREY] Now we know that fearing
your parents leads to diminished
self-confidence and a stronger
need for external validation.
[KWAN] Hey, I need to ask you something.
[GAGS]
What is the weird thing
that, uh, Bailey likes
- to put in her green juice?
- Mm-mmm.
- Is it arugula or
- [RETCHING, COUGHING]
What is going on with you?
It's like the third time you've
- [SPITS]
- Wait, you're not
[SONG CONTINUES ♪]
You and Bryant?
- Adams?
- [WHIMPERS] I don't know.
- [CRIES]
- You don't know who.
[GREY] Whereas authoritative,
responsive parenting encourages
gray-matter growth and
synaptic connections.
How are the costumes coming?
Well, I've delivered a breech baby
through an opening the
size of a grapefruit,
but I can't thread this stupid machine.
Maybe it's time to
call in a professional?
I'm a stay-at-home mom.
I am the professional.
It's just you've been going
nonstop since you quit.
But you got this.
- You can do anything.
- Yeah.
[GREY] This type of parenting centers
on addressing the thoughts and fears
underneath a child's behavior.
It's a lot of work.
[WRIGHT]
Scout's favorite color is orange?
Yes.
When you say he likes beetles,
is that the bug or the band?
There's not gonna be a pop quiz.
I know. I just want him to like me.
He's five. He loves
burps and hates pants.
[CHUCKLING] There's no logic.
You can't take it personally.
- I can burp on command.
- You see? He's gonna love you.
[GREY] And what's your reward
for all of this hard work?
Bad behavior, back talking and stress.
Gray matter doesn't develop overnight.
But the data shows that
if we stay the course,
one day our kids will soar.
The consent forms for Charlie
Ramos, have they come in?
Because I have called
the judge's office twice.
You, uh, remember Dr. Norton?
Hi.
- I'll come back.
- [NORTON] Wait a second, Grey.
Richard and I were just talking and
we could really use your expertise
- on the VIP floor.
- You know I don't live here.
Stay in Boston.
Come for the occasional case.
We're finding that what most VIP
patients want are VIP surgeons.
- A Fox Award winner's a big draw.
- I'm not interested.
Uh, M-Meredith, wait.
Uh, what-what if she could upgrade
a few patients to VIPs each year?
- Pro bono.
- Well, I don't see why not.
Grey?
Okay, I need to sign a reduction
for Charlie Ramos today.
- Is that possible?
- I'll have Spencer move him right now.
- Does this mean you'll consider it?
- One thing at a time.
[INDISTINCT PA ANNOUNCEMENT]
- [EXHALES DEEPLY] Good morning.
- Oh, thank you.
No problem.
You feeling okay?
Oh, yeah, fine. Ah, I need
to talk to Jules. Sorry.
- All right.
- [GRIFFITH] Excuse me.
Hey. So my aunt's gonna
be out of town next week
- if you wanna come over and, uh
- No.
Good morning, everyone.
Um, as you may have heard, Dr. Bailey
appointed me interim residency director.
So I got some big shoes to
fill, but I will do my best.
All right.
Anybody have any questions for me?
Okay, well, you know
where to find me if you do.
Let's have a great day, everybody.
[SUCKS TEETH] Uh, Millin. A word?
I'll text you.
I just wanted to check in and see
how you're feeling about all this.
I'm good.
And we're both consenting adults,
and our relationship started
before you became my direct boss,
so it's a non-issue.
- Good. Yeah, I, uh I think so too.
- [KNOCKS ON DOOR]
Dr. Millin, uh, you gonna
join us for rounds today?
I'm on my way.
I know what you're gonna say.
You don't, because
I'm staying out of it.
This?
This is the face of neutrality.
Neutral.
Good, because we are
It's under control.
- Seriously, we-we're, uh
- Neutral.
[KNOCKS ON DOOR]
Hi, can we bug you for a minute?
Like no is an option?
[GREY] We'll be quick.
This is Dr. Webber, Dr. Adams,
and you know Dr. Spencer.
We pulled some strings to
get you on the VIP floor.
I hope you're enjoying
the amenities. [CHUCKLES]
Same crap, different blanket.
How are we doing on those consent forms?
They just came through.
- Great. Then let's get started.
- Charlie Ramos, 17,
post-op day seven from
umbilical hernia repair,
and post-op day four
- from a diagnostic laparoscopic
- [PHONE BUZZING]
Sorry, it's one of
my other VIP patients.
She can wait. [CHUCKLES]
Charlie has a history of
pseudomyxoma peritonei.
It's a rare condition where
mucus-producing tumors spread into
I know all this.
Right. Cytoreduction surgery
today followed by HIPEC.
- Do you have a Switch up here?
- [CHUCKLES] We do not, unfortunately.
And this is supposed to be VIP?
He makes a great point.
We should get some games up here.
I'll make sure to tell the
chief about your complaint.
Let's send a type and cross
and replete his electrolytes.
We'll get ready to do this.
- Yeah.
- [PHONE BUZZING]
Hey, uh, you want me to
handle his pre-op paperwork?
- I know you're slammed with all the
- I got it.
She hates you.
[NDUGU] Dr. Bryant, present.
Patricia Roth, 63, with a
history of Crohn's disease
and esophageal cancer
requiring radiation
and reconstruction
with a gastric conduit.
Presented with difficulty
swallowing and coughing after eating.
Imaging confirmed a
tracheoesophageal fistula.
We attempted stenting,
but it was unsuccessful.
And a GJ tube has been placed with
IR and plans are for discharge today.
I thought we were going back
to the, uh the drawing board.
Unfortunately, we are out of options.
But you always have ideas.
You removed my tumor when
nobody else would touch it.
The tissue in your neck is
too damaged from the radiation,
and the bowel we'd use for
reconstruction is affected
by the Crohn's.
But she can't eat.
She's getting her
nutrition through a tube.
We will do everything we can
to make you more comfortable.
It's never occurred to me how
much I find comfort in-in-in food.
Ice cream after a heartbreak.
Soup when I'm sick. [BREATHES SHAKILY]
And now I've gotten some of
the worst news in my life,
and I can't eat anything. [CHUCKLES]
Can you put pinot grigio
in my tube? [CHUCKLES]
- [PATRICIA BREATHES SHAKILY]
- Can you give us a minute?
Of course.
[GENTLE MUSIC PLAYING ♪]
- That was brutal.
- [SIGHS] Yeah.
But she's resilient, you know?
She'll adapt.
And she gets to be there for
her husband and grandkids.
Well, a partial loss still isn't a win.
- [STUDENTS CLAMORING]
- And this would have
Hi, thanks for meeting me.
Uh, no, thanks for meeting me here.
I've got about an hour before
[CHUCKLES] my next class.
So, how are you doing?
Any luck looking into
other residency programs?
- [STUDENTS CHEERING]
- Um, I've called everywhere,
and it seems that no one wants
a fired second-year resident.
Well, then you have to
wait until the match.
- [CHEERING CONTINUES]
- I'm considering family medicine.
You know, there's always a need, and
I could start tomorrow if I wanted.
If you're looking for my
blessing, you're not getting it.
It's a waste of your surgical talents.
What the hell?
- [CHEERING]
- [KWAN] I guess things could be worse.
Alcohol and underdeveloped
frontal lobes,
that's a dangerous combination.
- [STUDENT 1 GROANS]
- [STUDENTS GASP]
Oh, my Come on, come on, come on.
[KWAN] All right, let's back up.
- Back up. Back up.
- Excuse me, excuse me.
Hey. Just call 911.
- [GROANING]
- Hey.
Hey, give me some damn scissors.
Okay, no, no, no, no,
don't move your head there.
- [KIDS LAUGHING]
- [WILSON] Scout is out back
with Nardi and the kids.
They are making bubbles.
Are you sewing?
Trying to, but the, uh,
bottom thread won't catch.
Oh, let me take a look.
What? You know how to
use a sewing machine?
My mom was a home ec teacher.
If you ever want a shoddy
apron, I'm your gal.
Okay. [SIGHS]
- Yeah.
- Yeah, see that?
[WILSON] Mm-hmm.
Done. Your bobbin thread was too short.
Now, you should be good.
- That was it?
- Yeah.
I've been troubleshooting
for over an hour.
[GASPS] Wait, uh, do you
know how to sew a zipper?
- Um
- Oh, um
- W-we have a few minutes.
- Okay.
- Okay. [SIGHS]
- [SHEPHERD] Yeah.
All right, so the first thing you need
to know about zippers is, uh, they suck.
- Mm-hmm.
- [WILSON CHUCKLES]
[KIDS CHATTERING, GIGGLING]
Oh! Gentlemen, hold on to your hats.
What is this?
A case study on an
anterolateral thigh free flap
to salvage a section of the esophagus.
- How'd you find this?
- I have my ways.
[WARREN EXHALES] They rolled the flap
into a tube to replace
the necrotic section
of the reconstructed esophagus.
So if we use the vessels outside
the radiated area, it could work.
Well, it sounds great in theory,
but if the new flap fails,
she could be worse off.
Tube feeds for life, spit fistula.
And not to mention the flap
would be taken from her thigh.
Okay, but if it does work,
she gets her life back.
She'll be able to eat.
You're not even gonna tell her about it?
She might think it's worth the risk.
If anything can work, it's this.
Let's talk to her.
Can I be an author on the
paper when you publish?
If this works, you can be first author.
Oh.
[INDISTINCT PA ANNOUNCEMENT]
[BABY COOING]
[BAILEY] Page ortho.
Tripp McBride, 18, fell down multiple
stairs wrapped in plastic wrap.
- What?
- [KWAN] Long story, doesn't matter.
[TENSE MUSIC PLAYING ♪]
- [BAILEY] Okay.
- [KWAN] Thank you.
All right, let me know when you're set.
- [KWAN] And set.
- On my count, one, two, three.
[GROANING]
Okay, they gave
him a liter en route
and systolics have
been in the 110s.
- Heart rate in the low 100s.
- [SCREAMS]
[KWAN] Okay. Right leg is
shortened and externally rotated.
- Clear breath sounds bilaterally.
- Okay, I'll do a FAST exam.
No, you won't. You're all done here.
Right. Um, I got carried away.
- Yeah.
- Good luck.
Hey, no, don't go far, 'cause I
wanna continue our conversation.
- [GROANS, BREATHES HEAVILY]
- Lower abdominal tenderness.
- Uh
- [GROANS]
FAST is negative.
[TRIPP] My dad's gonna be so mad.
I'm-I'm a legacy, fourth generation,
and I can't even make
it through pledge week.
I'm sure he'll be glad you're okay.
- What do we got?
- Fraternity hazing mishap.
Hip is flexed, externally
rotated and shortened.
[SCREAMS, BREATHES HEAVILY]
- [LINCOLN] Let me take a look.
- [MACHINE BEEPS]
Got an acetabular fracture
and femoral dislocation.
You don't see that everyday.
Okay, we're gonna take you
up to CT for a better look.
I-If any of the guys come
[BREATHES HEAVILY]
can you make it sound
like-like I was tough?
Like, don't tell them I cried
in the ambulance, please.
Yeah. I'm not telling them
anything if I can help it.
All right, let's get him upstairs.
Hi. Okay, I'm gonna sit you up, okay?
You can slow down.
Nobody's going anywhere.
Can we not make this a teaching moment?
I've got, like, 50 things to
do in the next two minutes.
- Yeah, we're all busy.
- Yeah, looks like it.
- What the hell?
- Oh.
Sorry, we just need labs before
we take you back for surgery.
No, you're not sticking
me with any needles.
It's okay. It'll be quick. Some
people like to close their eyes.
I said don't touch me!
Get away from me! Get out, all of you!
Okay, okay, get out. Adams, you too. Go.
What are you still doing here? Go!
It's okay. It's over.
Don't tell me it's okay. You don't
know anything about me! [PANTING]
[BREATHES HEAVILY]
Slow, deep breaths.
In and out.
I know how to breathe.
There.
[BREATHES DEEPLY]
- So, you're a gamer?
- Sometimes.
What do you play?
Anything that makes me feel
like I'm somewhere else.
Do you wanna tell me what happened?
It wasn't a big deal.
The doc just grabbed me out
of nowhere and I-I freaked out.
It felt
You just can't grab people like that.
[GENTLE MUSIC PLAYS ♪]
I understand. And I'm sorry, she
should have talked to you first.
Unfortunately, we do
need the blood work.
How about if I walk you through it?
Whatever.
They haven't replaced
your electrolytes yet,
so I do have to put that order in,
and then we can start the blood work.
- But you're gonna do it, right?
- Of course.
It'll be a piece of cake.
[NORTON] Dr. Bailey,
glad you came in today.
Do you have a minute?
Um, I'm, uh, with a patient.
Can I find you later?
- [TRIPP IMITATING RACE CAR]
- Dedication equals
high patient satisfaction.
- As you were.
- [BAILEY] Okay.
- [TRIPP IMITATING RACE CAR]
- Uh
Tripp, what are you doing in there?
I-I'm luging. [CHUCKLES] For initiation.
Um, stop moving. You can luge,
uh, after the scan is done.
- [MACHINE CLICKS]
- [WHIMPERS]
- He and I go to the same university.
- [CHUCKLES]
Norton's trying to recruit you too?
Oh, yeah, that man is relentless.
I don't even know how he found me.
I took the day off.
I was meeting with Kwan,
and then this genius [CHUCKLING]
flew down a flight of stairs.
How is Kwan? Did he find a new job?
No luck yet.
He broke the rules, so it's
hard to get around that.
[MACHINE BEEPS]
[BAILEY] Hmm.
Is the femoral head in
His rectum. Yes, it is.
I went back to school
to broaden my horizons.
Mission accomplished.
Well, we're gonna have
to reduce the femur,
repair the rectum, and plate the pelvis.
We?
He's your classmate.
- Don't you wanna see this through?
- [BAILEY GRUNTS]
[LINCOLN CHUCKLES]
[PATRICIA] You wanna create
an esophagus from my leg?
Yeah, well, your-your thigh.
[NDUGU] It's a novel approach.
It has worked for other patients, though
that doesn't guarantee
it'll work for you.
- [SIGHS]
- So, what do you think?
I'm worried this is another
situation where I get my hopes up,
only to be disappointed.
We know that you've been
through so much already,
but this could dramatically
improve the quality of your life.
What if it fails and then we're having
the same conversation
we had this morning?
We might. Or it works,
and this nightmare is over.
But listen, only you can
decide if the risk is worth it.
Hey, honey.
I know we've had a lot of
bad luck these last few years,
but sometimes things work out.
We got married two weeks after we met.
- Everyone thought we'd lost our minds.
- [BOTH CHUCKLE]
But look at us
You've been my wife for 36 years.
Take another chance with me.
How do I say no to that?
- Okay.
- [MR. ROTH SIGHS]
[INHALES DEEPLY] Let's try it.
Okay. All right, Millin, book the room.
All right.
Hey, how much longer do
you think Bailey's gonna be?
- I don't want Webber to see me.
- A while.
Tripp's femur ended up in his rectum.
Huh.
Normally when you
pull stuff out of butts,
- it's because people put them in there.
- Yeah.
Do you think I should be
a family medicine doctor?
I don't know.
Do you think I should have this baby?
You're thinking about keeping it?
I just always wanted to be a mom.
Yeah, but now you wanna have a baby?
You work, like, 80 hours a week.
Well, there's a day care in
the hospital. I don't know.
Okay, well, what are you,
like, six-weeks pregnant?
I mean, you probably have
time to think about it.
[GRIFFITH] Yeah.
You're pregnant?
[DRAMATIC MUSIC PLAYING ♪]
[STAMMERS]
I'm sorry.
[MUSIC STOPS ♪]
[MACHINE WHIRRING]
- [WRIGHT] Don't tug. Just guide.
- Okay.
[ALARM RINGS]
- Oh. The mac and cheese.
- And you're making dinner, too?
For tomorrow night. [SIGHS]
Now that I'm not a resident,
I have all this time to take
care of the kids and the house.
It is a full-time job.
There's nothing harder than
being a stay-at-home parent,
and I know this goes without saying,
but this is coming from a neurosurgeon.
I'm getting the hang of it.
I'm in a rhythm with the laundry,
the closets are organized,
the calendar's up to date.
I aspire to be a mom who judges as
opposed to one who is judged, but
[WHIRRING]
- Okay, stop.
- Yeah.
Stop right there.
Now back it up.
- Like this, right?
- [WRIGHT] Mm-hmm.
- Perfect.
- [WILSON] All right.
Mmm.
Okay, and this.
And then
[SIGHING] Okay.
[INHALES DEEPLY]
It looks like roadkill.
No, it's like a
It's like a really cute, um, skunk.
What? It's supposed to be a raccoon.
- Yeah. Yeah.
- Very similar animals.
Is something burning?
Oh, my God, the mac
and cheese. [SIGHS]
- Yeah. No, I-I got it.
You know what?
It is okay. We can fix this.
Okay, you know what?
This is such a stupid idea!
Thank you so much, but
you guys can go. Thank you.
Wes.
I'm so sorry you found out like that.
Were you gonna tell me?
I'm not sure if you're, um
We weren't exclusive when it happened.
Got it.
I mean, it-it-it could be yours.
I mean, uh
[SIGHS] If it is, do you
have feelings about it?
[BREATHES DEEPLY]
Do you wanna keep it?
It's not a simple decision.
I-I have ovarian insufficiency,
so the fact that this
happened at all is a miracle.
- And it could be my only chance to
- Yeah, yeah. It's just
I don't know if you can
speak another language.
You know, I haven't even met your dad,
and we're having a conversation
about a baby.
Well, if I decide to keep it, you can be
as involved as you want,
and we can do
What? No, no.
No, I don't do things halfway,
especially not with a kid.
Okay, so let's talk about it.
I don't know what to say.
I don't know what to say, Simone.
[GENTLE MUSIC PLAYING ♪]
I'm an intern.
You know, I worked my
ass off to be here.
I've done everything by the book
You think it's different for me?
I didn't plan this, Wes.
You asked me how I felt.
You're right. I did.
I have to prep a patient for the OR.
[SCOFFS]
And after we've placed the flap,
then we confirm blood flow and close.
Hey. My apologies, I had
to follow up on a patient.
We were just finishing up. Uh, could
you make sure the consents are complete?
[MILLIN] Mm-hmm.
Yeah.
Oh, uh, Millin, could you make sure the
room has that small retractor I like?
Well, I can do that.
Uh, you can check the chest
tube output for Gonzalez.
Hey, if this is about me being
late, it won't happen again.
No, you're an intern, and this is
a surgery we've never done before
on a patient who's already
been through the wringer.
- I need everything to be perfect.
- Understood.
[CLEARS THROAT]
You You see what you're doing, right?
No, I don't I don't know what
this is, but it doesn't feel neutral.
[CHUCKLES]
You-You-You're favoring Millin.
It's not favoritism to
want the job done well.
Why do you think that Millin
would do any better than Bryant,
- who's actually on your service?
- She's a second-year.
Is that why, or is it because
she's your girlfriend?
You're married to Miranda Bailey.
But I was in a different
department when we got together.
All right, all I can tell
you is that Bryant was late,
and Jules walked through
the whole operation with us.
You mean Dr. Millin.
Just be careful.
[INDISTINCT PA ANNOUNCEMENT]
[NORTON] You're not going
to believe this case.
Oh, I helped bring it in.
With Dr. Bailey?
You know her well?
- Professionally.
- Oh.
I'm, uh, trying to get her to
join my team if you got any ideas.
- She likes green juice.
- [CHUCKLING]
I think I'm gonna need something a
little more convincing than juice.
- You also a general surgeon?
- I
haven't decided on a specialty.
You know, this is a great
place to figure it out.
Everyone's at the top of their field.
Yep.
[BAILEY]
All right, a little more retraction.
Sponge stick.
[GRIFFITH] Who covers
themselves in plastic wrap
and baby oil and slides
downstairs in public?
[BAILEY] I'm choosing to
believe he's a smart kid
who made one stupid mistake.
Hopefully, his one stupid
mistake doesn't have
- lifelong repercussions.
- [BAILEY] Hmm.
- Okay, ready when you are.
- [LINCOLN] All right.
- [BAILEY] Ah.
- [LINCOLN GRUNTS]
- [GRIFFITH] Oh, something's bleeding.
- [MACHINES BEEPING]
- Where is it coming from?
- [BAILEY] You tell me.
[GRIFFITH] I can't see.
I need more suction.
Dr. Bailey, do you wanna switch with me?
[BAILEY] No, you got this.
Think of the anatomy. Where are we?
[GRIFFITH] I need lap pads.
[GREY] Deploy the stapler.
- Good.
- [PHONE RINGS, BUZZES]
[SPENCER] Can I step out
to check on a patient?
It's my other VIP patient, and
she's very particular about things,
ice cubes, pillowcases,
how she berates me.
[GREY] Norton's VIP patient can wait.
Dr. Norton is a fine surgeon.
If you like the one
nose job he gives people.
[WEBBER] Hiring one doctor you
don't like doesn't change who we are.
We still provide excellent patient care
and a first-class
education for our residents.
If you disagree, you
don't have to be here.
[ALARM BEEPING]
[KNOX] We've got peaked
T waves and widening QRS.
- [ADAMS] He's going to V-fib.
- [GREY] Let's protect the field.
[ALARM CONTINUES]
[GREY] Start CPR. Go.
Charge to 120.
[DEFIBRILLATOR WHIRRING]
- [GREY] Clear.
- [DEFIBRILLATOR ZAPS]
Come on, Charlie.
[TENSE MUSIC PLAYING ♪]
- [GREY] Charge to 200.
- [DEFIBRILLATOR WHIRRING]
- Clear.
- [DEFIBRILLATOR ZAPS]
- [ALARM CONTINUES]
- [WEBBER] Are his blood gases back?
[KNOX] Potassium is 8.1.
- [GREY] Charge again.
- [DEFIBRILLATOR WHIRRING]
- Clear.
- [DEFIBRILLATOR ZAPS]
[ALARM STOPS]
[WEBBER] All right. Let's
push calcium gluconate
and start insulin with dextrose.
[GREY] I only ordered
one bag of potassium.
How is it 8.1?
[SPENCER] I may have
ordered him another bag.
- [ADAMS] May have?
- I gave the nurse a verbal order,
and then I was gonna chart it
later, but I was running around.
I'm-I'm so sorry.
[PHONE CHIMES]
[NURSE] Dr. Spencer, it's the VIP floor.
You got another page from Ms. Conley.
[SPENCER] Please tell them that I can't.
You can go. You've done enough here. Go.
No, it was.
- This is, like, burnt all the way.
- This is unsalvageable now.
[WRIGHT] I'm so sorry.
I thought I could just
scrape off the top,
but I've made, yeah,
an even bigger mess.
No, I'm sorry, I ruined your whole day.
The ferryboats were
probably a terrible idea.
He would've had fun for five minutes,
and then he'd have been bored.
It would've been an epic fail.
[SCOFFS] It is okay.
You can just order a box of
mac and cheese for delivery,
and it'll be done in 20 minutes.
I'm trying so hard to make
up for all the time we lost
after the twins were born, but the
truth is I don't know what I'm doing.
You can't get it right all the time.
My washer's broken.
Zach's been out of clean
underwear for over a week,
and at first, I just
turned them inside out,
and then I bought him men's compression
shorts in the hospital gift shop,
and he's been wearing them like boxers.
- [SHEPHERD CHUCKLES]
- You get a pass. You're working moms.
- [WRIGHT GRUNTS]
- A pass for what? Perfection?
Some impossible ideal of motherhood?
That's not real.
It's a social construct that is
made to sell cleaning products
and make us feel bad about ourselves.
All we can do is our best, and
sometimes that means we're doing great,
and sometimes it means we are
drowning, but it's always good enough.
- I probably could be doing better.
- [ALL CHUCKLING]
[MILLIN] I wish they would put photos
of tracheoesophageal
fistulas on cigarette packs
so people have to see the
risks before they light up.
[WARREN CHUCKLES]
You'd have loved my mom.
[MILLIN] Was she anti-smoking?
[WARREN] Uh, she was pro
scare-the-crap-out-of-people.
When our neighbor got into
an accident on his motorcycle,
my mom took me and my sisters
to the hospital to see him
so we would be afraid to get on a bike.
- [BRYANT] Did it work?
- [WARREN] Nope, but she won in the end.
I had to clean up my act when I got
married and, you know,
became a dad.
[BRYANT] Yeah.
Should I, uh, update Patricia's husband?
- [NDUGU] Yeah, go ahead.
- [BRYANT] Yeah.
- [NDUGU] We got a bleeder. Right angle.
- [ALARM BEEPING]
A 2-0 silk on a passer to Millin.
[WARREN] I got it. Go.
[NDUGU] That doesn't
look like a square knot.
- Give her another.
- [MILLIN] It is a square knot.
[NDUGU] Not definitively, which means
it could slip, and she could bleed.
Try again.
- Okay, now, you got an air knot.
- [MILLIN] It's fine.
- I'll just cinch it down.
- [NDUGU] Is the goal fine or perfect?
Hold the right angle. Tie.
And that is how you do a square knot.
- [MILLIN] Understood.
- [NDUGU] Scissors?
[LINCOLN] Released the
capsule and reduced the head.
- How's it going?
- [GRIFFITH] I've got distal control.
- [BAILEY] More suction.
- [GRIFFITH] Mmm.
[BAILEY] Oh, there it is.
A tear in the iliac vein.
What's your plan?
[GRIFFITH] The edges look
clean, and it's a small defect.
- Primary repair?
- [BAILEY] Works for me.
4-0 Prolene for Dr. Griffith.
[GRIFFITH]
I-I-I've never done one of these.
[BAILEY] Have you seen one?
- Yes.
- [BAILEY] Time to do one.
Mm-hmm.
That's my friend under the
mask. She is beaming with pride.
I used to get excited about doing
complex surgeries as
a plastics resident.
Now I almost strictly do cosmetics.
More lucrative?
Less stress, you know.
Patients are healthy, and
complications are few and far between.
What, you don't wanna see sick patients?
Oh, I mean, I'll do it,
but it's not my preference.
If I was starting over, dermatology.
Yeah, but it's not as surgical.
Exactly. Hours are better,
- money's great, you know.
- [CHUCKLES]
You're less likely to kill
someone freezing a mole.
Chief Norton. They're asking
for you on the Olympic Floor.
Be right there.
All right. Duty calls.
Hey. Dermatology. Think about it.
["SAD AND BEAUTIFUL" PLAYING ♪]
How's Charlie?
- Um, he's back in recovery.
- He-He-He didn't code again?
- No. No, he didn't.
- Oh, thank God.
- I am so sorry.
- Now you know, even if you're busy,
everything needs to be documented, okay?
Dr. Spencer, Ms. Conley needs ice chips.
She's been waiting
for nearly 20 minutes.
There were complications
with Charlie Ramos.
- I just wanted to check in
- That can wait. She's VIP.
Her husband is the CEO of an
aerodynamics firm. Top priority.
But, uh, Charlie Ramos is VIP.
He's just pro bono.
I understand, Richard,
but you know how it is.
People expect to get what they pay for.
- Of course. It won't happen again.
- Please.
Love me now or never ♪
Burn my heart down take it all ♪
[BRYANT] Okay, updated Mr. Roth.
Hey. If you were taking a bite
for the first time in months,
- what would it be?
- Bacon and eggs.
- [MILLIN] Oatmeal.
- [NDUGU] Seriously?
[MILLIN] Are you criticizing
my choice of food now too?
And the end is never known ♪
[WARREN] All right. We're ready to
start the final closure. Doppler.
Where we can play pretend ♪
[BUZZING FAINTLY]
[NDUGU] No signal?
[WARREN] The flap is
congested and swelling,
but there's a
good signal in the artery,
which means there isn't
good outflow in the vein.
- Think it's a clot?
- [WARREN] Must be.
- Call Dr. Metzner. 911. Scissors.
- [NURSE] Copy that, Dr. Warren.
[WARREN] Heparinized saline.
Come on, Patricia. You got this.
Burn my heart down take it all ♪
- [NDUGU] Anything?
- [WARREN] Not yet. Still congested.
Another flush.
- Still nothing.
- [NDUGU] Damn it.
[WARREN] Let's try papaverine
to relax the vessels.
Come on. We're losing it.
Where's Metzner?
[MILLIN] Dr. Ndugu.
[WARREN] Let him go. Another flush. Now!
Come on, Patricia. Come on.
[MUSIC STOPS ♪]
[INDISTINCT PA ANNOUNCEMENT]
Kwan. Oh, I am so sorry.
The day, it-it-it got away from me.
[STAMMERS] We will talk, okay?
I promise you.
- Whenever. Yeah, I'm not busy.
- [CHUCKLES]
Have a good night.
Hmm.
Uh, I'm assuming that you all
are here for Tripp McBride?
Is he gonna be okay?
Uh, well, you're not family.
So, all I can say is your
friend had a pretty big surgery.
It'll be a while before he
recovers, but he should be okay.
[CHUCKLING] I mean,
can we reject him now,
or do we have to wait
till the end of the week?
[STUDENTS LAUGHING]
Uh, you better not be laughing.
Right now, your friend could have died
today trying to get
into your stupid club,
which, Lord, help him,
is his lifelong dream.
And if you don't give
him a second chance
after making a dumb
mistake, then [STAMMERS]
well, it just makes you
small-minded and shortsighted and mean.
Everybody deserves a second chance.
Well, maybe not you.
[INDISTINCT PA ANNOUNCEMENT]
Hey. You kicked ass in the OR.
It felt so good. [CHUCKLES]
You'll get back there somehow.
I got a 520 on my MCAT.
I scored in the 83rd
percentile on the ABSITE.
I am the smartest person in my family.
- Is that a high bar?
- We're not attendings.
We should be allowed to make mistakes
without getting our asses handed to us
in front of an entire operating room.
We're still learning.
- Rough day?
- I don't wanna talk about it.
[CHUCKLING] Max is
getting an earful tonight.
[CHUCKLING] Yeah.
I'll see you at home.
- Excuse me. Where's the elevator?
- Uh, you're close.
It's just down the hallway. [CHUCKLES]
She's beautiful. [CHUCKLES]
[CHUCKLES] She's exhausted.
We spent ten hours
in the emergency room.
And after all that, just
an ear infection. [CHUCKLES]
You must be exhausted too.
I'm okay. It's all a gift.
- Even the long days.
- [CHUCKLES SOFTLY]
- Thank you.
- Yeah, yeah, yeah.
- [BABY COOS, BABBLES]
- It's okay. Oh. You're okay. [CHUCKLES]
- Yeah. You're okay.
- [BABY CRIES]
- Yeah.
- [SOMBER MUSIC PLAYING ♪]
We were unable to reestablish blood flow
and the flap became unsalvageable.
Surgery didn't work?
We tried everything.
So, you had to make that hole
in her neck to drain the saliva?
We did. I'm sorry we didn't
get the outcome we hoped for.
[SOBBING] I shouldn't have
convinced her to do the surgery.
You can't beat yourself up for hoping.
[SOBBING] I should have
listened to you. I'm so sorry
- How's he doing?
- Hi.
He was waking up a minute ago.
There he is.
You gave us a scare.
I did?
Your heart stopped during
surgery, but we brought you back.
The rest of it went very smoothly.
We removed all the visible cancer.
As soon as you're healed,
we'll start you on chemo
to target any cells
that were left behind.
So Dr. Webber is going to
take very good care of you.
I have to jump on a plane, but I can
be back in half a day if you need me.
You're leaving?
I have to go home.
Where's that?
Boston.
You flew across the
country for my surgery?
Of course I did.
You're my VIP.
And
[CHUCKLES]
- I stole it from peds.
- [CHUCKLES]
When you're feeling better.
I'm gonna see you very soon.
[SMACKS LIPS] You might be right.
We could have a problem with Dr. Norton.
Oh.
What are you gonna do about it?
I wish I knew.
Everything I thought I knew ♪
is going away ♪
Uh, Chief. Can I have a minute?
Uh, I'm actually in
the middle of something
No, no. It'll be quick.
I-I can't sleep at night because
I'm replaying surgeries in my head,
and I practice knots in the
air while I'm waiting in line.
And no shade to dermatology,
but I don't wanna freeze
moles for the rest of my life.
[STAMMERS] I was fired
for making a mistake.
And I learned the lesson.
So if I get a second
chance, I won't do it again.
Great. You start on Monday.
[GENTLE MUSIC PLAYING ♪]
Really?
That worked?
You had some good points but no.
No, it wasn't enough.
Now, Dr. Bailey's
speech, that was a winner.
Welcome back.
Oh.
[SIGHS]
["WILD BEAUTY" PLAYING ♪]
Hey. [STAMMERS] Whatever it is I did
- [SIGHS]
- or didn't do, I'm sorry.
No. Why are you here now?
Why couldn't you have
come, like, two beers ago?
Sorry. [STAMMERS] Uh, does it matter?
Yes, yes, it matters because
now I am a little bit drunk,
and I'm going to say the
thing that I don't want to say.
Okay. [CHUCKLES]
You made me like you.
You led me on when you just
wanted things to be casual,
which I would have been fine
with if you had just said
that that's what you
wanted, but you didn't.
You made me like you, and now I
gave a patient too much potassium,
and I think I mixed up my
laundry with my roommates
because I'm pretty sure I'm
wearing her bra right now.
[LAUGHS] Um
- Don't laugh. It's not funny.
- [STAMMERS, CHUCKLES] No, I
It's not. I
Look, I didn't mean to lead you on.
Things between us are
It's-It's-It's not just casual.
Dani, I like you.
And, um
when you're sober, I'm gonna
ask you out, okay? For real.
Fine.
But you have to take
me to a restaurant
with at least two-dollar signs.
Not one.
Two.
[MUSIC STOPS ♪]
[BRYANT] Simone, hey.
Uh. [SIGHS]
Sorry I lost my cool earlier.
It's a pretty big bomb to drop on you.
Yeah, but that wasn't
right, and I know that.
I should have asked you
how you were feeling,
and then I should have listened.
I know this is a lot to handle
right now, but I care about you.
["TO RICHMOND" PLAYING ♪]
I'm not walking away.
[GRIFFITH SIGHS]
[GREY] Parenthood, partnership, career.
Often, the most meaningful things in
life are also the most challenging.
Kids deserve to be a
hundred percent wanted.
Mm-hmm.
And right now, more than
anything, I wanna be a surgeon.
Which might mean
I never carry a baby.
But there are other ways
to have a family, and
when the time is right, I'll
I'll figure it out.
[SOFTLY] Yeah.
It's okay. You can be relieved.
I'm not.
It's complicated.
I know it's heavy for
where we are right now.
I'm wherever you are.
[GREY] It's all but guaranteed
you'll be tempted to give up.
Hey.
Are you ready?
Okay.
- [SIGHS]
- I mean, it's incredible.
What is it?
A dog?
You are sweating so hard right now.
I really don't wanna get this wrong.
- It's a raccoon.
- I almost guessed raccoon!
You are such a liar.
I also almost guessed squirrel and rat,
but raccoon was definitely on the list.
You were right.
I should have never
signed up to make costumes.
[LINCOLN CHUCKLES]
- I'm sorry it didn't work out.
- It's okay.
I found this amazing seamstress named
Nancy, and she is going to help me out.
- That's great.
- Yeah.
And now you don't
have to sew all night.
- Mm-hmm.
- You get to hang out with me.
Are you sure it's not a possum?
Are you serious?
I told you what it is. Stop guessing.
[GREY] But the reward
comes when you push through,
when you work hard and stay the course.
- [WRIGHT SIGHS] How'd he go down?
- He's amped.
Hopefully, he falls
asleep before midnight.
I'm sorry. I knew I shouldn't do
my T. rex impression before bed,
but I really wanted to seal the deal.
Well, it worked.
He asked if my friend could
play after school tomorrow.
I have to reschedule a free
flap, but, yeah, I can play.
All right.
[SIGHS] Sorry our day got derailed.
Are you kidding?
I got to spend the whole day with you.
It was perfect.
[SHEPHERD] Mmm.
[GREY] If you fall off track,
hopefully, you can find your way back.
Come to teach me square knots?
I'm sorry.
- I should have backed off.
- You embarrassed me.
Warren called me
out for favoring you.
Is he right?
[SMACKS LIPS] I don't know. [CHUCKLES]
- That's not an answer.
- It's the truth.
Listen, you're great at your job, but
I also wanna help you in your career.
Probably more than any other resident.
I don't want you to
treat me any different.
It goes both ways, right?
Would you have argued with me
in the OR if we weren't together?
Arguing is not the same
as preferential treatment.
No, arguing is preferential treatment.
You're a second-year resident.
If we weren't in a relationship,
you wouldn't be important
enough to argue with.
[SOMBER MUSIC PLAYING ♪]
Okay, I-I'm [SIGHS]
That's not
I'm sorry, okay? I'm
This is what I was afraid of.
[SIGHS]
This was never gonna work, was it?
I really wanted it to.
Me too.
[GREY] But sometimes, all
you can do is cut your losses
and hope everything works out.