Grey's Anatomy s23e03 Episode Script
It's All Wrong, but It's All Right
1
["BITTER FRUIT" PLAYING ♪]
[GREY] Until recently,
Western medicine held
that our bodies have only
two circulatory systems.
The cardiovascular, which pumps blood,
and the lymphatic, which drains fluids.
But in 2021,
scientists discovered that tattoo
ink somehow travels from the skin
- down into the fascia.
- Oh.
- Hey.
- [GRUNTS]
Why are they still damp?
Well, we needed the dryer.
You were not home.
Yeah, because I was up late prepping
your elective cases for the week.
What was Lucy Miller's ICP this morning?
I'm not on the floor yet, so
She's also going to need a follow-up CT.
Wait, wait, are we rounding now?
Just, please, will you
try to read the notes?
Um, okay, last bites and sips.
- Mama
- Mm-hmm?
Can Daddy use the baby spray
on you so I can have a brother?
Yeah, I meant to tell you, uh, this
guy asked me where babies come from.
- And you went with baby spray?
- Yeah, yeah.
You know, like Spider-Man.
- [WHISTLES, CHUCKLES]
- [CHUCKLES]
Yeah, I was trying to work
with, uh, what he knows.
- I I'm gonna ICP? Got it.
- Mm-hmm.
[GREY] This finding suggested
a third circulatory system
connecting the skin to the
fascia and organs beneath.
Hey, how's your group paper going?
You'd think having more people
writing would make it easier.
It's due tomorrow though, right?
I'm just saying, at least it's over.
Mmm. If only I could finish my part.
- Hey, hey. I will take care of that.
- I
You just go on and
get back to work, okay?
- You just call me Dish Daddy.
- I most certainly will not.
What you know that silverware
won't get clean like that?
Uh, yes, it will, and I won't
stab myself when I go to unload it.
But Do you do it blindfolded?
See, this is why I do the dishes.
No, move over, but see, look,
this needs to be up like this, up.
And all those bowls need to come down.
[GREY] It's called the interstitium,
and the function is, well,
we're still figuring that out.
Hey, have you seen my tramadol?
Well, I threw it out.
Well, I thought that you
weren't in pain anymore.
Well, I just I get sore
after operating sometimes,
and I've got that spinal
tumor patient today.
- Okay.
- You wanna meet up after your meeting?
I wasn't planning on sticking around.
It's annoying that I
even have to go in at all.
When I said I quit, I meant it.
You spent years training.
They just want to
make sure you're sure.
[WILSON SIGHS]
I was sure two weeks ago.
You know, can you take over?
- I have to go change.
- Yeah.
- Okay.
- [GREY] But we know this much:
When it comes to support systems,
life is a lot more
complicated than we thought.
[INDISTINCT PA ANNOUNCEMENT]
Good morning.
They didn't have ginger, so I got you
mint and something called "rooibose"
or "roo-ee " I still
don't know how to say it.
- Thank you. [CHUCKLES]
- You're welcome.
You sure you shouldn't take the day off?
I'm fine. A little crampy, but that's
to be expected after the pills, you know.
Okay. And how are
you feeling about the
I'm okay. I'll be okay.
- I know it was the right decision.
- Okay.
- There you go.
- I can open my own door.
I don't know what to tell you.
I'm a gentleman, okay.
- I'm seeing you later, yes?
- Yes.
Okay.
What are you doing?
[SIGHS] Some people punch punching
bags, I stab suture trainers.
And now, on his first day back from
Central Michigan,
Benson Kwan. [CHEERING]
- You should take this.
- Mm-hmm.
Do you know any apartments for
rent not at a retirement home?
Then no.
Good morning, everyone. Good morning.
Uh, so for those of you
considering sub specialties,
it is time to look for
research opportunities.
If you want to be
competitive for fellowships,
you'll need to line something
up within the next few weeks.
I just posted open
positions to the portal.
If you have any questions or you need
anything at all, just come find me.
Let's have a good day.
Great. One more thing to do.
Still thinking cardiothoracic?
I'm thinking it's none of your business.
- She's just having a bad
- Personality? Yeah.
You want to cancel the
weekly chiefs' meetings?
If you do the math, 14
people in a two-hour meeting,
that's 28 man hours wasted each week
on something that could be an email.
- I'll, uh, I'll think about it.
- Okay.
Morning. It appears that I'm
on your service, Dr. Webber.
- Sir.
- He requested you.
Oh. Well, I saw that you had
a Whipple on your schedule.
I've been practicing my
hepatico-J technique at home and
Uh, that won't be necessary.
I've got a VIP patient that
needs post-op monitoring.
No problem. I-I can
I can do that before I scrub in.
I don't think you understand.
There is no scrubbing in.
You will not set a foot in my OR.
You will monitor my post-op
patient on the VIP floor.
End of assignment.
Give him time, or expensive
chocolate works too.
Dr. Shepherd, Dr. Adams,
meet Pauline Darnold.
Please call me Polly Dart.
- She is a Dolly Parton impersonator.
- You don't say.
Uh, what brings you in?
Oh. It feels like my
head's heavier than my hair.
- Can you be more specific?
- Worst headache of my life.
- When did it start?
- This morning during my sound check.
A tech company hired me
for their corporate retreat.
It hurt so much I could barely see,
but I'd already cashed the check
so I put on my lashes,
hiked up my boobs,
and sang the best I could.
Well, hopefully, we can
get to the bottom of this
and get you some relief.
Dr. Adams, why don't
you start on the exam?
Mind if I take a look? All right.
All right, a little slower.
All right, follow my finger.
- Extraocular muscles are intact.
- Mm-hmm.
Symmetric smile.
Puff your cheeks. Raise your eyebrows.
Any ringing in your ears?
- Not a peep.
- Okay.
Uh, cranial nerve seems
stable, no facial weakness
which rules out a stroke or a bleed.
Let's start with a non-contrast head CT.
- All right, call the order in.
- Okay.
- He's a keeper.
- [CHUCKLES]
The app says the water
purifying kits arrived yesterday.
Well, there's a village in Sierra Leone
who would argue otherwise.
- Will you
- So either I'm
- Sorry for interrupting.
- Don't be.
We're just talking about work.
Ken started a nonprofit that
brings clean drinking water
to developing countries.
I'm Jasmine, co-founder of said
nonprofit/Ken's ride/ex-wife.
We like to keep things complicated.
- Are you taking me to surgery?
- Soon.
Griffith. We're on a schedule here.
Ken Nguyen, 37, history of
osteosarcoma in the spine at L3,
here for a vertebral resection
and spinal reconstruction.
[LINCOLN] I will replace
the cancerous vertebrae
with a titanium cage filled
with bone graft material.
[WARREN] And then I will cover
it with paraspinous muscle
to make sure that the spinal
cord and implant are protected.
How long is the recovery? When
will he be back to his old self?
[KEN] What's that supposed to mean?
- It's a normal question.
- You mean, when can I get back to work?
- I didn't say that.
- [KEN] You didn't have to.
All you care about is work. You're
controlling and overbearing and
Okay, you need to be calm right now,
and clearly I'm an impediment to that.
So I'm gonna go answer some emails.
Call me if he croaks.
- Should I get him prepped?
- Yeah, feels right.
- [INDISTINCT PA ANNOUNCEMENT]
- [EXHALES SHARPLY]
Have you looked
- at the open research positions yet?
- Mm-mmm.
Saliman's studying mitral
regurgitation in dogs.
I could get paid to pet dogs,
which frankly, is something I could use.
- Something wrong?
- It's just cramps.
You shouldn't still be in this much
pain after a medication abortion.
- Have you followed up with your OB?
- When am I supposed to do that?
Hey, uh, are you okay?
- Fine, yeah, just a little discomfort.
- You're sure?
- Mm-hmm.
- Okay. Well, you missed an epic battle.
It's just like, why get a divorce if
you're gonna keep working together?
- Does it
- Oh, catch her, catch her.
- Oh. Simone.
- I'm I'm good.
- We need to get her to a room.
- I'm okay.
Come on, okay.
Let's go in here.
Ms. Bromley in room 1409
needs a bolus of LR, okay.
I'll be in the conference
room if anyone needs me.
Uh, Dr. Bailey, can I
ask you a quick question?
Besides that one?
[CHUCKLES]
Yeah, it's about the schedule.
Um, have you ever extended a rotation
to cover a request for
bereavement leave?
[CHUCKLES]
Rarely, uh, but let me see.
Wait, what am I looking at?
What what happened to my
spreadsheet that I gave you?
Oh, uh, a med school
friend recommended this app.
Residents input their requests,
and it optimizes the
schedule for everyone.
Mmm.
Well, does this magic app account for,
you know, who needs
protected time for research,
or who's behind on their case logs,
or whose uncle, coincidentally,
needs to be driven to dialysis
whenever the Mariners
make the play-offs?
- Probably not.
- Yeah.
See, no computer can optimize
better than a residency director
who knows her or his residents.
Try my spreadsheet.
You'll never go back.
I will take a look.
Here. If you're ever in an accident
or suspect you might have
been in an accident, call me.
Hey, you're that lawyer with the ads.
"If you're injured and you need
a pro called Lloyd Fazio, lawyer."
[CHUCKLES] Guilty. And you are Dr
Kwan. I am assigned to you today.
May I take a look at your incision?
I'd love an Arnold Palmer first.
Well, I'm a doctor, but I will
check with patient services.
Yesterday, the head doctor up
here mixed it for me himself.
I'll see what I can find.
But first, may I take a look?
- Fine, have at it.
- All right.
So how are you feeling?
Any pain?
Only the kind that comes with
having your stomach cut open.
[INHALES SHARPLY]
- Don't worry, I won't sue you.
- [CHUCKLES]
Fortunately, everything looks good.
[GROANS] Do you have to put that
back on? It's so uncomfortable.
It supports recovery.
You want it on. Trust me.
All right, I will be back.
- Sixty-forty.
- What?
60% iced tea, 40% lemonade.
Right.
[PHONE BUZZES]
Oh, it's Lincoln.
- You should go.
- But what about you?
I'm sure everything is fine,
and no offense, but I don't want
you here for this part anyway.
- You sure?
- Please just go.
- All right.
- Thank you.
[MILLIN] Okay.
- Scoot down.
- Do we really have to do this?
Make sure that you don't have any
residual tissue making you septic?
Yes, we do.
- Just kill me, you know.
- [CHUCKLES]
Get over it.
Light touch,
- and you'll feel a bit of pressure.
- [GROANS] Mm-hmm.
Aren't you in plastics today?
I told them I ate a bad salad
and maybe had that diarrhea thing.
- [CHUCKLES]
- Let's see what we have.
What is that?
I don't know.
- [INHALES SHARPLY]
- [MILLIN] It's not normal.
- We should get OB.
- [GRIFFITH] No.
We can figure it out.
Just get a textbook.
Please, I don't want more of my
coworkers looking inside of me.
- Okay.
- [SHUTTER CLICKS]
Don't go anywhere.
[EXHALES]
[SHEPHERD] How's she doing?
Mad. She did not want
to take this wig off.
[ADAMS] Yeah, I'm looking at
the application for your lab.
Where it says past experience,
does that just mean neuro
research or any research?
- You're applying to my lab?
- Yeah.
- Uh, is is that a problem?
- I'm just surprised.
I didn't.. I didn't realize
that you were still thinking
about switching to neurosurgery.
Yeah, I'm just keeping
my options open, yeah?
You know, it's not like casually
scrolling on a dating app.
It's a commitment. I mean,
neurosurgery is incredibly demanding.
You'd be starting over
at seven more years,
and there's just no
room for error or doubt.
You need to have the skill and the
desire, or you just can't make it.
- Thanks for the TED Talk.
- [STAMMERS]
I'm not saying you shouldn't do it.
I'm just, I'm just saying
Wait, is this because I told your kid
that human beings were
made with baby spray?
[YELLS] The scans are up!
Sorry, uh, the scans are up.
- You see that?
- [SIGHS] Damn it, grade-four AVM.
- What's the fix?
- Endovascular coiling.
That works for me. Okay, let's get
Polly out and give her the news.
- [LINCOLN] Bryant, you're late.
- [BRYANT] Sorry.
[LINCOLN] Hand me a
basin. Vertebra is removed.
Let's prep for the cage.
Take this.
[WARREN] Hey, here's a question:
If you're putting a
scalpel in the dishwasher,
would you put it in
handle side up or down?
[BRYANT] Why am I washing the scalpel?
[LINCOLN] I have a spine in my hands.
Let's cut the chatter.
[RHYTHMIC BEEPING]
[WARREN] Something wrong?
[LINCOLN] I've never seen this before.
[BRYANT] Is that more tumor?
[WARREN] Well, it's extended to the
vertebral bodies above and below.
You didn't see this in the scans?
[LINCOLN] The MRI was last month.
- It must've spread fast.
- Well, can't we just use a larger cage?
[LINCOLN] We can't replace a
defect this large with just a cage.
It's too big and it carries too high
a risk of not healing or failure.
[WARREN] What do you want to do?
[TENSE MUSIC PLAYING ♪]
[LINCOLN] I-I don't know yet.
[BRYANT]
Well, we already did the resection.
We can't just close him
and send him to the ICU
- [LINCOLN] You think I don't know that?
- [WARREN] Lincoln.
[LINCOLN] Look, we're not closing.
I just, um I just need a damn minute.
I have a tangle of blood
vessels in my brain?
Yeah, that's what's
causing your headaches.
I'm supposing it doesn't go
away with a couple of ibuprofen.
No.
And because it could
rupture at any moment,
I would urge you to
get it fixed right away.
I'm supposed to go to a
festival in Nashville tomorrow.
- Can I think about it?
- [ADAMS] Sure.
Uh, it's a lot to process.
If you need a little time,
we can give it to you,
let you consider all the options.
But I would strongly encourage
you to make a decision today.
AVMs are impossible to predict.
You could bleed out or
have a catastrophic stroke.
You could die.
The three of you would do my surgery?
Today, if you like.
I just might.
- Like the Dolly Parton song.
- Exactly. You a Dolly fan?
My mom, she used to make me sing
"Islands in the Stream" with her
at karaoke at the
You know, it-it wasn't
really appropriate.
- Book an OR. Mm-hmm.
- Yep.
- Hey, hey.
- Huh?
Do these look the same to you?
Uh, I don't know what part
of the body I'm looking at.
We're in OB. Take a guess.
What are you doing here?
My VIP patient wants
socks with fuzzy grips.
So you're stealing them from
pre and postpartum mothers?
No, Webber exiled me
to the Olympic Floor.
I think he's waiting
it out to see if I quit.
Hey, what do you know
about the new chief?
- Ivy League, great hair, loves money.
- [PHONE BUZZES]
Probably has a hobby where
he swims in a pool of cash.
Uh well, duty calls.
[GASPS] Oh, uh, Dr. Wilson, thank God.
Um, could I have you look
at something for me, please?
I don't work here anymore.
[MILLIN] But you have
your Grey Sloan ID badge.
Yeah, I'm about to hand it in.
Well, before you do, can
you please, please look?
Is this your patient?
It
It's Dr. Griffith. She made me
promise not to get anyone to help,
and I don't know what to do.
[SIGHS]
[WARREN] Anesthesia's wondering how
much longer you wanna keep Ken under.
[LINCOLN] If I knew, I'd be operating.
[WARREN] Just the messenger.
[LINCOLN] I keep staring at these
screens hoping for an answer.
You know, this guy brings safe
water to people all around the planet
while the rest of us destroy it.
Because of me, he could spend
the rest of his life sedated
and flat on his back.
[WARREN] Well, can you use
the cage you have and try chemo
- to shrink the remaining cancer?
- [LINCOLN] That's not a cure.
The cancer could spread even
more and then he's no better off.
- Yeah, clearly, it's spread fast before.
- [LINCOLN] Exactly.
No good options.
Damn it.
[WARREN] And this is why I like
plastics. Soft tissue.
We can move it around to
restore form and function.
[LINCOLN] Bones aren't skin.
It's harder to get them to
do the job of other bones.
[BRYANT] Well, don't we do
fibula grafts all the time?
[LINCOLN] A fibula's too small.
You'd need a much bigger
bone for a defect this
Bryant, run down and tell the nurses
to bring back a few frozen
cadaveric femoral grafts.
- On it.
- Isn't a femur too big?
Not if I can sculpt
it to the size we need.
Her temp is 38 and she's tachycardiac.
- I said get a textbook.
- [MILLIN] I know.
I'm sorry, but I
don't speak OB. And
Okay, okay. Dr. Millin
showed me your ultrasound.
You need to get checked out right away.
What'd you see?
- Okay, um
- [WHISPERS] Sorry.
- Do you see this?
- Mm-hmm.
We call that "The snowstorm sign."
What does that mean?
It's a molar pregnancy.
A mass of aberrant cells
where a fetus would be.
It's rare, but it does happen.
I was never actually pregnant?
Not with a viable pregnancy.
So when I was agonizing over
what to do about this baby
No baby?
No. I'm sorry.
What do we do now?
- May I feel? Okay.
- Mm-hmm.
[WILSON] So, the medication that you
took, mifepristone,
only targets pregnancy.
But you still have trophoblastic
tissue in your uterus
and you're getting septic.
- Okay. Ready?
- [GRUNTS]
- If we don't remove it
- [GRUNTS]
I could die.
[CLEARS THROAT, BREATHES HEAVILY]
Luckily, we've caught it early.
I'm gonna call someone
from OB to give you a D&C.
Oh, you can't you can't do it?
I'm not working today, but
Dr. Collins is, and she's very good.
[STAMMERS] Is there
any way you can do it?
I don't know, Dr. Collins,
but I'm comfortable with you.
Okay. Okay.
I'm gonna change into my scrubs.
- You get her prepped.
- Okay.
Thank you.
S-Sorry, it took me a minute
to find a warm blanket.
- I missed that day in medical school.
- [LLOYD] I appreciate that.
But does this look like a problem?
I need sterile towels.
Page Dr. Webber!
[SUSPENSEFUL MUSIC PLAYING ♪]
[MEADE] Do you all have a
favorite Dolly Parton song?
[SHEPHERD] "Jolene," obviously.
[ADAMS] What, you don't think
there's other good answers?
[SHEPHERD] It's a perfect song.
Make sure you pull back on the
syringe as you get close to the artery.
- What do you see?
- [ADAMS] Bright red blood. I'm in.
[SHEPHERD] Grab the guide wire at the
skin as soon as the needle comes out.
- You don't want to lose it.
- [ADAMS] Yeah, I know.
This isn't the first time
I've accessed a femoral artery.
[SHEPHERD] Just making sure.
- Now nick the skin and place the dilator.
- [ADAMS] Yep.
[SHEPHERD] All right.
All right, insert the sheath.
Make sure not to
advance too aggressively.
- [ADAMS] Do you want to do it?
- [SHEPHERD] Keep going.
[ADAMS] Some might say "9 to 5"
is a pretty perfect song too.
[MEADE] Isn't that from a movie where
they kill their overbearing boss?
[ADAMS] Huh. Imagine that.
[SHEPHERD] All right. You think
you wanna be a neurosurgeon?
Let's see how far you can get.
Just follow the femoral
artery and take your time.
[ADAMS] Fluoro.
These towels weren't warmed.
Your insides are on the outside.
The towels are the
least of your worries.
Kwan, do I need to remind you
that part of the draw to this floor
is that it's quiet? Shut the door.
The nurse said that you were screaming.
He removed his binder
and his incision dehisced.
Those things are uncomfortable.
- That's what I said.
- I paged Dr. Webber.
Webber's in surgery, so
you've got me. Can I see?
Mr. Fazio, you didn't have to go to
all this trouble to get my attention.
- Don't make me laugh.
- No, really, don't make him laugh.
We're gonna have to get you to the OR.
Kwan, prep the patient.
You heard what Webber said.
I'm not supposed to operate.
Webber's not here. Get him down there.
[SIGHS]
Ndugu. Glad I caught up with you.
You have a moment?
Uh, actually, I was about to
I just heard that you're
considering group feedback sessions.
Uh, yeah, my residency director did
them and they're, you know, interactive.
I found it useful to learn from peers.
Ah. [CHUCKLES]
'Cause personally, I find
that doing things in groups
can be more difficult than
doing them individually.
- Noted.
- [ELEVATOR DINGS]
To be continued.
Mm-hmm.
[SIGHS]
Uh, how you doing? You okay?
Just worried about a patient.
- What's going on?
- Can we not do this, please?
- Do what?
- This.
The thing where I tell you
my deepest, darkest feelings,
and then you look at you look
at me like that, like you care,
and then I feel like
everything's going to be okay
when in reality
everything's a nightmare.
I need this elevator
to move faster. [SIGHS]
- I do care about you
- Please don't.
[ELEVATOR DINGS]
[NDUGU] I hope your patient's okay.
Me too.
[MEADE] I changed my mind.
My favorite song is "My
Tennessee Mountain Home."
[SHEPHERD] Glad you cleared that up.
How's it going?
[ADAMS] I'm passing the left
internal carotid artery
- Contrast.
- [SHEPHERD] What do you see?
[ADAMS] I see the
middle cerebral artery.
I don't I don't think
I can make this turn.
[SHEPHERD] What are your options?
[ADAMS] Uh, I could keep
advancing the coil
[SHEPHERD] And risk her stroking
out if you damage the vessel.
[ADAMS] I could use
a more rigid catheter.
[SHEPHERD] Congratulations,
another stroke. Try again.
[ADAMS BREATHES DEEPLY]
Uh
[SHEPHERD] Dr. Adams?
Okay, I'll take over from here.
Okay, I'm gonna come around
through the anterior
communicating vessel
and catheterize the
AVM feeder retrograde.
[LINCOLN] It's too big.
[BRYANT] Looks
like a perfect fit to me.
[LINCOLN] No, his defect is too
big for a dead bone to heal in it.
It might stabilize him for now,
but the chances of failure are
too high without a blood supply.
- [BRYANT] So all form no function.
- [LINCOLN] Yeah.
[WARREN] It's too bad
we can't use a fibula.
It's got a great blood supply.
- It's Wright's to go-to.
- [LINCOLN] What if we could use it?
- I thought you said it's too small.
- [LINCOLN] No, no, what
What if we take Ken's fibula
and we put it inside the femur
to vascularize the graft,
throw in a little BMP.
[BRYANT] A bone in a bone
like an orthopedic turducken.
- [LINCOLN LAUGHS] Yeah.
- [WARREN] Yes.
[LINCOLN] Warren?
[WARREN] Well, I mean, it's
absurd, but it might work.
[LAUGHS]
[LINCOLN SIGHS] Okay.
[WHIRRING]
- Hey, is she ready?
- Uh, yeah.
Um, I'm just gonna make a call.
Can you have, um, anesthesia give a
second dose of antibiotics, please?
Sure.
- [BREATHES SHAKILY]
- [LINE RINGING]
[LINCOLN] Hi, you've reached Atticus
Lincoln. Leave a message. Thanks.
Okay, how can I help you?
Do you want to talk about it or
- do you want me to distract you?
- Distract me.
Okay.
Okay, this is a good one.
I looked into all of the
cardiothoracic research programs,
and the one that gives me the best chance
of getting a top fellowship is Ndugu's.
- [CHUCKLES] What about the dogs?
- I was lying to myself.
I'm a cat person.
Simone, how are you feeling?
The morphine's helping.
Okay, it'll be over soon.
Okay, let's have two
units of blood ready.
It's just a precaution.
It's been a while since
my med school OB rotation.
What are the chances
of uterine perforation?
Low. Less than 1%.
Molar pregnancy can
increase risk slightly,
but overall, it's very safe.
- And you've done a lot of these?
- Tons. I'm not worried.
[PENSIVE MUSIC PLAYING ♪]
Hmm. Okay.
If you're ready, we'll start sedation.
[BREATHES SHAKILY]
No, take it off! Take it off! I'm sorry.
I can't. I can't do this.
Please don't make me do this.
I can't do it.
Please don't make me do it.
Please, I can't, I can't. I can't do it.
- Okay. Okay.
- I can't, I can't.
I can't do it. [CRIES]
[LINCOLN] Femur's ready
for the fibular graft.
Can I get a brow wipe?
Okay. Take two.
- [WARREN CHUCKLES] Perfect alignment.
- [BRYANT] You did it.
[LINCOLN] It's not over yet.
Let's secure the spine, and then
we can begin the anastomosis.
[BREATHES DEEPLY]
[NORTON HUMMING, GRUNTS]
You know you want to.
[BOTH HUMMING]
- Lawyer.
- Lawyer. [CHUCKLES]
[NORTON] All right, fascia looks good.
Kwan, how about you help me
dissect the lateral plane.
[KWAN] Well, I probably shouldn't.
[NORTON] Are you still
worried about Webber?
[KWAN] Yeah, he's the
chief of the whole system.
[NORTON] Yeah, because
he's married to it.
This morning you said you wanted to cut.
Are you a surgical resident or not?
Bovie.
All right, release the external
oblique above the fascia. That's it.
That's right.
[WEBBER] What the hell is going on?
Kwan, I told you no surgeries.
Put that bovie down now.
Dr. Norton. I thought
I made myself clear.
My resident has been out of
commission for more than a month.
He needs time to work
his way back into the OR.
[NORTON] Dr. Kwan was there when
your VIP patient's bowel eviscerated.
He called for help and applied pressure
to keep it from further eviscerating
while you were occupied elsewhere.
I'd say he has worked his way back.
And by the way, he's doing an adequate
job with this sublay placement,
which is about as good of a
compliment as a resident gets from me.
- [WEBBER] I'll take over from here.
- [NORTON] Won't be necessary.
- I'm about ready to close.
- [WEBBER] I see my patients through.
You can step out.
[KWAN] Uh, do you still need me to
[WEBBER] Which residents
are on general today?
[KWAN] Baxter, Ford, Goodwin
[WEBBER] Page Baxter on your way out.
- Oh, Dr. Ndugu. Dr. Ndugu?
- Yes?
[STAMMERS] Yeah, so I was looking
at the residency portal, and I
Okay, if this is about me doing
away with resident office hours,
- let me stop you right now.
- I
I will meet with them by appointment,
but I don't have time
to sit in my office,
because in addition to doing my own job,
I'm covering for Altman, Hunt, and you.
You, you have no idea how much this
favor I'm doing for you has cost me.
So if you take issue
with how I'm doing things,
find someone else to do them.
Did you have something to tell me?
No, I [STAMMERS] I was
Carry on.
[SOMBER MUSIC PLAYING ♪]
- I can't do it.
- [MILLIN] Okay, just look at me.
All right? I got you. I got you, okay?
[EXHALES SLOWLY]
[WILSON] I know what it's like
to be the doctor on the table.
You know too much.
It's impossible to let
go, but I need you to try
so that I can be in control
and you can go to sleep.
But what if I don't wake up?
What if there's a complication?
If there is one, I'll
know how to fix it,
and if I need help, my
colleagues are right outside.
[BREATHES SHAKILY]
Okay.
- Okay?
- Okay.
Okay.
[MUSIC CONTINUES ♪]
- No, I can't, sorry.
- Okay.
[WILSON] Okay.
[GRIFFITH] I'm sorry.
- I can't. [CRIES]
- [WILSON] Okay.
Simone, you need this procedure.
I can't. I can't.
Okay. What if I did it
without general anesthesia?
Does that make any difference to you?
- I'd be awake?
- Is that safe?
It's usually more comfortable
for patients if they're asleep,
but we could use a local nerve
block if that's what you want.
You'll be awake and know what's
happening the entire time.
And I'll be with you the whole time.
- Yeah.
- Yeah?
Yeah. Yeah, I want that.
Okay.
All right, everyone, change of plans.
We're going to do a paracervical block.
I need 20 cc's of 1% lidocaine.
- I'm gonna go scrub.
- Thank you.
Okay.
- All right.
- Okay.
You'll be awake the whole time.
The torquer's tricky.
Don't beat yourself up.
You set me up to fail.
Well, I gave you an opportunity to try.
[LAUGHS] Is that how you see it?
You're a resident.
I didn't expect you to get
it right on your first try.
Yeah, you don't seem to expect
me to do anything right, ever.
That's not true.
I think you're very talented.
Yeah, but you don't think I have
what it takes to clean up my crap,
or-or answer your kid's questions,
or do my job, or be a neurosurgeon.
I didn't say that. The people who
have what it takes to pursue neuro
don't keep their options open.
They zero in.
They think about it
every minute of the day.
- Derek did. I did. You're not
- Because I'm not you. Or him.
And maybe I don't want to be, okay?
My way isn't wrong or defective just
because it's different from yours.
You know, for someone who claims
she was an underdog growing up,
you sure like to tear people down.
[KEN] It could be the drugs,
but it sounded like you
said the cancer has spread,
so I have a leg bone in my spine.
[CHUCKLES] We removed
all the cancer, but, um
Well, yeah, that's
basically what happened.
I'm still here, so, thank you.
I placed an order for physical therapy.
Now it'll take some
time and a lot of work,
but you should be able to walk again.
And we'll monitor you
for a couple more days
and keep a close eye on the pain,
and then you can get
back to saving the world.
Is there anyone else that
we should be speaking with?
No. Just me's fine.
[KNOCKING]
- You came back?
- I never left.
I know you.
You lash out when you're scared.
I forget you're doing it
every time until I remember.
King of the jungle to help
you with your strength.
You know I'm allergic to cats?
Just take the dumb stuffed
animal and say thank you.
We We'll give you some privacy.
- Yeah.
- Uh, thanks.
- What am I supposed to do?
- Can't you just say thank you?
- Is it that hard? Just, "Thank you."
- Come on.
How does clean water come
from such a toxic relationship?
No one knows how other
people's relationships work.
- True, true.
- Okay.
I've got to go handle something, but,
uh, I'll check on him in an hour or so.
Yeah.
It's a big win today.
[SCOFFS] We got lucky.
I should have scanned Ken yesterday.
I was stupid and careless.
- You still found a solution.
- [SIGHS]
You know, let's, uh,
let's grab a beer at Joe's.
Uh, no. I got to catch
up on some charts.
How long till I can get back on stage?
Oh, it'll be a few weeks. I'm sorry.
It'll give me time to work on my act.
Always room for improvement.
How do you work on your act?
Do you have to perfect
all of Dolly's mannerisms?
I did at first, but the
reviews were terrible.
Then finally, I realized audiences
think they want a good mimic
but what they really
want is a good character.
And that comes from me,
knowing who I am and
what I bring to the stage.
What do you bring?
I'm a kindergarten
teacher with roots, a mom,
I volunteer at the food bank,
and I've got killer gams.
[CHUCKLES] When you are recovered, I
would love to come and see you perform.
Now Dr. Adams is gonna to be in
shortly to take your post-op labs.
[WILSON] You did great.
We completely evacuated the molar
pregnancy with minimal bleeding.
Think I can go home soon?
Well, they are going to
monitor you overnight,
but you should be
discharged in the morning.
And I gave them strict
instructions, no unwanted guests.
Thank you.
And thanks for letting me stay awake.
It meant it meant more than you know.
My mom had a complication
here years ago.
I just
just needed to know
what was happening to me.
I get it.
- I'm glad it all worked out.
- [BREATHES DEEPLY]
- Get some rest.
- [GRIFFITH] Yeah.
Sorry you didn't get to
see the surgery through.
- I tried.
- It's okay.
- His JP output looks good though.
- Ah, that's what matters.
Hey, help me with this, will you?
- You know he can't tell that it's warm.
- He's VIP.
He gets what he wants
even when he's asleep.
- [KWAN] Sounds like one of his ads.
- [NORTON] I'll pitch it to him.
You think he'd be more successful
if he spent more time on his cases
and less time filming commercials?
You don't think he's successful?
The guy owns a ginormous house
in Laurelhurst, plus two boats.
He may be a tacky ambulance chaser
with an annoyingly catchy ad,
but he doesn't take a dime
unless his client wins.
You know, say what you will about
his tactics but he fights for them.
And gets them what they want.
- [SIGHS]
- [LINE RINGING]
Dr. Berse, it's Atticus Lincoln.
Well, I'm, uh [CLEARS THROAT]
I'm having some pain again and, uh
[BREATHES DEEPLY]
Yeah, I'm trying to
push through, but, uh
Could you
call in a refill?
Hey, Lucas.
Stop.
Just stop walking.
You're not a failure.
Is that an apology?
I was the underdog in my family.
What am I saying?
I don't have to tell you
that, you know the stories.
But now I am an accomplished surgeon.
And your mom and your aunts still treat
me like I can't get anything right.
You don't deserve that.
It is true.
You don't do things the way I would.
But that doesn't mean you wouldn't
make an excellent neurosurgeon.
I want to help you find your path.
Even if it doesn't end up being mine.
So come work in my lab.
I will be more open-minded, I promise.
- I'll think about it.
- Okay.
And I'm moving out.
It's time.
[STAMMERS] Dr. Webber.
Look, if you're here to make excuses
about what happened, don't bother.
I wasn't planning to.
I thought I made myself clear
about my expectations for you today.
- Yeah, you definitely did.
- Good. You're dismissed for the day.
Kwan, I just said you could go.
- I know, but the Chief said that
- The Chief
- The Chief?
- Chief Norton.
He said that I could scrub in
on his latissimus flap tomorrow
and to put my name under his.
["SIGNAL" PLAYING ♪]
Good night, Dr. Webber.
Ripple through the sound waves ♪
Time will go and time will change ♪
Simple but so hard to say ♪
Hi.
Hi.
- Everything go okay with your patient?
- [MILLIN] Yeah.
She's doing fine.
Good. I'm glad to hear it.
[GREY] Our lives are full of mysteries.
You could round a corner and
meet your soul mate or your death.
- [BAILEY] I'm home.
- How'd it go?
Well, the paper is done.
Plus, I got a reminder of what it's like
to cram five people
into a studio apartment.
- Did you at least get some cheap pizza?
- You know, I did.
[CHUCKLES]
And I'm sorry about this morning.
You have taken on more
around here to help me,
and I micromanaged the
way you were doing it.
- Whoa. [LAUGHS]
- I just Stop. No, look,
oh, just going back to school is making
me feel like I don't
know what I'm doing.
You know, viral disease trends,
descriptive epidemiology, like
everyone's speaking another language.
I'm just racing to catch up.
I think I just wanted to feel
like I was an expert at something.
When I should have just said thank you.
You're welcome.
Mmm. [CHUCKLES]
And I got something for you.
- For me?
- Mm-hmm.
Bam.
No children were involved in
the loading of this dishwasher.
Well then, how did you know
Because I am an expert
in you, Miranda Bailey.
Expert in me. [CHUCKLES]
[GREY] There's no way to predict
what's waiting around the bend.
[LINCOLN] Your meeting ran late?
The meeting never happened.
I got pulled into a D&C that was
more complicated than expected.
- Are you okay?
- No.
I'm sorry. You never should
have gone into that meeting.
You wouldn't have gotten pulled in
No, it's not that. I'm just
I'm really good at this.
I'm extremely skilled
at these procedures.
I listen to my patients, I treat
their heartbreak and their pain.
And this field needs every doctor
that they can get and I love it.
I really love what I do, but I
can't practice medicine anymore
without reliving something
that almost killed me.
Do you think it'll get better with time?
I don't know.
I just want to go home.
Yeah, let's get out of here.
[GREY] All you can do is put
one foot in front of the other
and lean on what supports you.
And trust it's there
- even when you can't see it.
- [SONG ENDS ♪]
["BITTER FRUIT" PLAYING ♪]
[GREY] Until recently,
Western medicine held
that our bodies have only
two circulatory systems.
The cardiovascular, which pumps blood,
and the lymphatic, which drains fluids.
But in 2021,
scientists discovered that tattoo
ink somehow travels from the skin
- down into the fascia.
- Oh.
- Hey.
- [GRUNTS]
Why are they still damp?
Well, we needed the dryer.
You were not home.
Yeah, because I was up late prepping
your elective cases for the week.
What was Lucy Miller's ICP this morning?
I'm not on the floor yet, so
She's also going to need a follow-up CT.
Wait, wait, are we rounding now?
Just, please, will you
try to read the notes?
Um, okay, last bites and sips.
- Mama
- Mm-hmm?
Can Daddy use the baby spray
on you so I can have a brother?
Yeah, I meant to tell you, uh, this
guy asked me where babies come from.
- And you went with baby spray?
- Yeah, yeah.
You know, like Spider-Man.
- [WHISTLES, CHUCKLES]
- [CHUCKLES]
Yeah, I was trying to work
with, uh, what he knows.
- I I'm gonna ICP? Got it.
- Mm-hmm.
[GREY] This finding suggested
a third circulatory system
connecting the skin to the
fascia and organs beneath.
Hey, how's your group paper going?
You'd think having more people
writing would make it easier.
It's due tomorrow though, right?
I'm just saying, at least it's over.
Mmm. If only I could finish my part.
- Hey, hey. I will take care of that.
- I
You just go on and
get back to work, okay?
- You just call me Dish Daddy.
- I most certainly will not.
What you know that silverware
won't get clean like that?
Uh, yes, it will, and I won't
stab myself when I go to unload it.
But Do you do it blindfolded?
See, this is why I do the dishes.
No, move over, but see, look,
this needs to be up like this, up.
And all those bowls need to come down.
[GREY] It's called the interstitium,
and the function is, well,
we're still figuring that out.
Hey, have you seen my tramadol?
Well, I threw it out.
Well, I thought that you
weren't in pain anymore.
Well, I just I get sore
after operating sometimes,
and I've got that spinal
tumor patient today.
- Okay.
- You wanna meet up after your meeting?
I wasn't planning on sticking around.
It's annoying that I
even have to go in at all.
When I said I quit, I meant it.
You spent years training.
They just want to
make sure you're sure.
[WILSON SIGHS]
I was sure two weeks ago.
You know, can you take over?
- I have to go change.
- Yeah.
- Okay.
- [GREY] But we know this much:
When it comes to support systems,
life is a lot more
complicated than we thought.
[INDISTINCT PA ANNOUNCEMENT]
Good morning.
They didn't have ginger, so I got you
mint and something called "rooibose"
or "roo-ee " I still
don't know how to say it.
- Thank you. [CHUCKLES]
- You're welcome.
You sure you shouldn't take the day off?
I'm fine. A little crampy, but that's
to be expected after the pills, you know.
Okay. And how are
you feeling about the
I'm okay. I'll be okay.
- I know it was the right decision.
- Okay.
- There you go.
- I can open my own door.
I don't know what to tell you.
I'm a gentleman, okay.
- I'm seeing you later, yes?
- Yes.
Okay.
What are you doing?
[SIGHS] Some people punch punching
bags, I stab suture trainers.
And now, on his first day back from
Central Michigan,
Benson Kwan. [CHEERING]
- You should take this.
- Mm-hmm.
Do you know any apartments for
rent not at a retirement home?
Then no.
Good morning, everyone. Good morning.
Uh, so for those of you
considering sub specialties,
it is time to look for
research opportunities.
If you want to be
competitive for fellowships,
you'll need to line something
up within the next few weeks.
I just posted open
positions to the portal.
If you have any questions or you need
anything at all, just come find me.
Let's have a good day.
Great. One more thing to do.
Still thinking cardiothoracic?
I'm thinking it's none of your business.
- She's just having a bad
- Personality? Yeah.
You want to cancel the
weekly chiefs' meetings?
If you do the math, 14
people in a two-hour meeting,
that's 28 man hours wasted each week
on something that could be an email.
- I'll, uh, I'll think about it.
- Okay.
Morning. It appears that I'm
on your service, Dr. Webber.
- Sir.
- He requested you.
Oh. Well, I saw that you had
a Whipple on your schedule.
I've been practicing my
hepatico-J technique at home and
Uh, that won't be necessary.
I've got a VIP patient that
needs post-op monitoring.
No problem. I-I can
I can do that before I scrub in.
I don't think you understand.
There is no scrubbing in.
You will not set a foot in my OR.
You will monitor my post-op
patient on the VIP floor.
End of assignment.
Give him time, or expensive
chocolate works too.
Dr. Shepherd, Dr. Adams,
meet Pauline Darnold.
Please call me Polly Dart.
- She is a Dolly Parton impersonator.
- You don't say.
Uh, what brings you in?
Oh. It feels like my
head's heavier than my hair.
- Can you be more specific?
- Worst headache of my life.
- When did it start?
- This morning during my sound check.
A tech company hired me
for their corporate retreat.
It hurt so much I could barely see,
but I'd already cashed the check
so I put on my lashes,
hiked up my boobs,
and sang the best I could.
Well, hopefully, we can
get to the bottom of this
and get you some relief.
Dr. Adams, why don't
you start on the exam?
Mind if I take a look? All right.
All right, a little slower.
All right, follow my finger.
- Extraocular muscles are intact.
- Mm-hmm.
Symmetric smile.
Puff your cheeks. Raise your eyebrows.
Any ringing in your ears?
- Not a peep.
- Okay.
Uh, cranial nerve seems
stable, no facial weakness
which rules out a stroke or a bleed.
Let's start with a non-contrast head CT.
- All right, call the order in.
- Okay.
- He's a keeper.
- [CHUCKLES]
The app says the water
purifying kits arrived yesterday.
Well, there's a village in Sierra Leone
who would argue otherwise.
- Will you
- So either I'm
- Sorry for interrupting.
- Don't be.
We're just talking about work.
Ken started a nonprofit that
brings clean drinking water
to developing countries.
I'm Jasmine, co-founder of said
nonprofit/Ken's ride/ex-wife.
We like to keep things complicated.
- Are you taking me to surgery?
- Soon.
Griffith. We're on a schedule here.
Ken Nguyen, 37, history of
osteosarcoma in the spine at L3,
here for a vertebral resection
and spinal reconstruction.
[LINCOLN] I will replace
the cancerous vertebrae
with a titanium cage filled
with bone graft material.
[WARREN] And then I will cover
it with paraspinous muscle
to make sure that the spinal
cord and implant are protected.
How long is the recovery? When
will he be back to his old self?
[KEN] What's that supposed to mean?
- It's a normal question.
- You mean, when can I get back to work?
- I didn't say that.
- [KEN] You didn't have to.
All you care about is work. You're
controlling and overbearing and
Okay, you need to be calm right now,
and clearly I'm an impediment to that.
So I'm gonna go answer some emails.
Call me if he croaks.
- Should I get him prepped?
- Yeah, feels right.
- [INDISTINCT PA ANNOUNCEMENT]
- [EXHALES SHARPLY]
Have you looked
- at the open research positions yet?
- Mm-mmm.
Saliman's studying mitral
regurgitation in dogs.
I could get paid to pet dogs,
which frankly, is something I could use.
- Something wrong?
- It's just cramps.
You shouldn't still be in this much
pain after a medication abortion.
- Have you followed up with your OB?
- When am I supposed to do that?
Hey, uh, are you okay?
- Fine, yeah, just a little discomfort.
- You're sure?
- Mm-hmm.
- Okay. Well, you missed an epic battle.
It's just like, why get a divorce if
you're gonna keep working together?
- Does it
- Oh, catch her, catch her.
- Oh. Simone.
- I'm I'm good.
- We need to get her to a room.
- I'm okay.
Come on, okay.
Let's go in here.
Ms. Bromley in room 1409
needs a bolus of LR, okay.
I'll be in the conference
room if anyone needs me.
Uh, Dr. Bailey, can I
ask you a quick question?
Besides that one?
[CHUCKLES]
Yeah, it's about the schedule.
Um, have you ever extended a rotation
to cover a request for
bereavement leave?
[CHUCKLES]
Rarely, uh, but let me see.
Wait, what am I looking at?
What what happened to my
spreadsheet that I gave you?
Oh, uh, a med school
friend recommended this app.
Residents input their requests,
and it optimizes the
schedule for everyone.
Mmm.
Well, does this magic app account for,
you know, who needs
protected time for research,
or who's behind on their case logs,
or whose uncle, coincidentally,
needs to be driven to dialysis
whenever the Mariners
make the play-offs?
- Probably not.
- Yeah.
See, no computer can optimize
better than a residency director
who knows her or his residents.
Try my spreadsheet.
You'll never go back.
I will take a look.
Here. If you're ever in an accident
or suspect you might have
been in an accident, call me.
Hey, you're that lawyer with the ads.
"If you're injured and you need
a pro called Lloyd Fazio, lawyer."
[CHUCKLES] Guilty. And you are Dr
Kwan. I am assigned to you today.
May I take a look at your incision?
I'd love an Arnold Palmer first.
Well, I'm a doctor, but I will
check with patient services.
Yesterday, the head doctor up
here mixed it for me himself.
I'll see what I can find.
But first, may I take a look?
- Fine, have at it.
- All right.
So how are you feeling?
Any pain?
Only the kind that comes with
having your stomach cut open.
[INHALES SHARPLY]
- Don't worry, I won't sue you.
- [CHUCKLES]
Fortunately, everything looks good.
[GROANS] Do you have to put that
back on? It's so uncomfortable.
It supports recovery.
You want it on. Trust me.
All right, I will be back.
- Sixty-forty.
- What?
60% iced tea, 40% lemonade.
Right.
[PHONE BUZZES]
Oh, it's Lincoln.
- You should go.
- But what about you?
I'm sure everything is fine,
and no offense, but I don't want
you here for this part anyway.
- You sure?
- Please just go.
- All right.
- Thank you.
[MILLIN] Okay.
- Scoot down.
- Do we really have to do this?
Make sure that you don't have any
residual tissue making you septic?
Yes, we do.
- Just kill me, you know.
- [CHUCKLES]
Get over it.
Light touch,
- and you'll feel a bit of pressure.
- [GROANS] Mm-hmm.
Aren't you in plastics today?
I told them I ate a bad salad
and maybe had that diarrhea thing.
- [CHUCKLES]
- Let's see what we have.
What is that?
I don't know.
- [INHALES SHARPLY]
- [MILLIN] It's not normal.
- We should get OB.
- [GRIFFITH] No.
We can figure it out.
Just get a textbook.
Please, I don't want more of my
coworkers looking inside of me.
- Okay.
- [SHUTTER CLICKS]
Don't go anywhere.
[EXHALES]
[SHEPHERD] How's she doing?
Mad. She did not want
to take this wig off.
[ADAMS] Yeah, I'm looking at
the application for your lab.
Where it says past experience,
does that just mean neuro
research or any research?
- You're applying to my lab?
- Yeah.
- Uh, is is that a problem?
- I'm just surprised.
I didn't.. I didn't realize
that you were still thinking
about switching to neurosurgery.
Yeah, I'm just keeping
my options open, yeah?
You know, it's not like casually
scrolling on a dating app.
It's a commitment. I mean,
neurosurgery is incredibly demanding.
You'd be starting over
at seven more years,
and there's just no
room for error or doubt.
You need to have the skill and the
desire, or you just can't make it.
- Thanks for the TED Talk.
- [STAMMERS]
I'm not saying you shouldn't do it.
I'm just, I'm just saying
Wait, is this because I told your kid
that human beings were
made with baby spray?
[YELLS] The scans are up!
Sorry, uh, the scans are up.
- You see that?
- [SIGHS] Damn it, grade-four AVM.
- What's the fix?
- Endovascular coiling.
That works for me. Okay, let's get
Polly out and give her the news.
- [LINCOLN] Bryant, you're late.
- [BRYANT] Sorry.
[LINCOLN] Hand me a
basin. Vertebra is removed.
Let's prep for the cage.
Take this.
[WARREN] Hey, here's a question:
If you're putting a
scalpel in the dishwasher,
would you put it in
handle side up or down?
[BRYANT] Why am I washing the scalpel?
[LINCOLN] I have a spine in my hands.
Let's cut the chatter.
[RHYTHMIC BEEPING]
[WARREN] Something wrong?
[LINCOLN] I've never seen this before.
[BRYANT] Is that more tumor?
[WARREN] Well, it's extended to the
vertebral bodies above and below.
You didn't see this in the scans?
[LINCOLN] The MRI was last month.
- It must've spread fast.
- Well, can't we just use a larger cage?
[LINCOLN] We can't replace a
defect this large with just a cage.
It's too big and it carries too high
a risk of not healing or failure.
[WARREN] What do you want to do?
[TENSE MUSIC PLAYING ♪]
[LINCOLN] I-I don't know yet.
[BRYANT]
Well, we already did the resection.
We can't just close him
and send him to the ICU
- [LINCOLN] You think I don't know that?
- [WARREN] Lincoln.
[LINCOLN] Look, we're not closing.
I just, um I just need a damn minute.
I have a tangle of blood
vessels in my brain?
Yeah, that's what's
causing your headaches.
I'm supposing it doesn't go
away with a couple of ibuprofen.
No.
And because it could
rupture at any moment,
I would urge you to
get it fixed right away.
I'm supposed to go to a
festival in Nashville tomorrow.
- Can I think about it?
- [ADAMS] Sure.
Uh, it's a lot to process.
If you need a little time,
we can give it to you,
let you consider all the options.
But I would strongly encourage
you to make a decision today.
AVMs are impossible to predict.
You could bleed out or
have a catastrophic stroke.
You could die.
The three of you would do my surgery?
Today, if you like.
I just might.
- Like the Dolly Parton song.
- Exactly. You a Dolly fan?
My mom, she used to make me sing
"Islands in the Stream" with her
at karaoke at the
You know, it-it wasn't
really appropriate.
- Book an OR. Mm-hmm.
- Yep.
- Hey, hey.
- Huh?
Do these look the same to you?
Uh, I don't know what part
of the body I'm looking at.
We're in OB. Take a guess.
What are you doing here?
My VIP patient wants
socks with fuzzy grips.
So you're stealing them from
pre and postpartum mothers?
No, Webber exiled me
to the Olympic Floor.
I think he's waiting
it out to see if I quit.
Hey, what do you know
about the new chief?
- Ivy League, great hair, loves money.
- [PHONE BUZZES]
Probably has a hobby where
he swims in a pool of cash.
Uh well, duty calls.
[GASPS] Oh, uh, Dr. Wilson, thank God.
Um, could I have you look
at something for me, please?
I don't work here anymore.
[MILLIN] But you have
your Grey Sloan ID badge.
Yeah, I'm about to hand it in.
Well, before you do, can
you please, please look?
Is this your patient?
It
It's Dr. Griffith. She made me
promise not to get anyone to help,
and I don't know what to do.
[SIGHS]
[WARREN] Anesthesia's wondering how
much longer you wanna keep Ken under.
[LINCOLN] If I knew, I'd be operating.
[WARREN] Just the messenger.
[LINCOLN] I keep staring at these
screens hoping for an answer.
You know, this guy brings safe
water to people all around the planet
while the rest of us destroy it.
Because of me, he could spend
the rest of his life sedated
and flat on his back.
[WARREN] Well, can you use
the cage you have and try chemo
- to shrink the remaining cancer?
- [LINCOLN] That's not a cure.
The cancer could spread even
more and then he's no better off.
- Yeah, clearly, it's spread fast before.
- [LINCOLN] Exactly.
No good options.
Damn it.
[WARREN] And this is why I like
plastics. Soft tissue.
We can move it around to
restore form and function.
[LINCOLN] Bones aren't skin.
It's harder to get them to
do the job of other bones.
[BRYANT] Well, don't we do
fibula grafts all the time?
[LINCOLN] A fibula's too small.
You'd need a much bigger
bone for a defect this
Bryant, run down and tell the nurses
to bring back a few frozen
cadaveric femoral grafts.
- On it.
- Isn't a femur too big?
Not if I can sculpt
it to the size we need.
Her temp is 38 and she's tachycardiac.
- I said get a textbook.
- [MILLIN] I know.
I'm sorry, but I
don't speak OB. And
Okay, okay. Dr. Millin
showed me your ultrasound.
You need to get checked out right away.
What'd you see?
- Okay, um
- [WHISPERS] Sorry.
- Do you see this?
- Mm-hmm.
We call that "The snowstorm sign."
What does that mean?
It's a molar pregnancy.
A mass of aberrant cells
where a fetus would be.
It's rare, but it does happen.
I was never actually pregnant?
Not with a viable pregnancy.
So when I was agonizing over
what to do about this baby
No baby?
No. I'm sorry.
What do we do now?
- May I feel? Okay.
- Mm-hmm.
[WILSON] So, the medication that you
took, mifepristone,
only targets pregnancy.
But you still have trophoblastic
tissue in your uterus
and you're getting septic.
- Okay. Ready?
- [GRUNTS]
- If we don't remove it
- [GRUNTS]
I could die.
[CLEARS THROAT, BREATHES HEAVILY]
Luckily, we've caught it early.
I'm gonna call someone
from OB to give you a D&C.
Oh, you can't you can't do it?
I'm not working today, but
Dr. Collins is, and she's very good.
[STAMMERS] Is there
any way you can do it?
I don't know, Dr. Collins,
but I'm comfortable with you.
Okay. Okay.
I'm gonna change into my scrubs.
- You get her prepped.
- Okay.
Thank you.
S-Sorry, it took me a minute
to find a warm blanket.
- I missed that day in medical school.
- [LLOYD] I appreciate that.
But does this look like a problem?
I need sterile towels.
Page Dr. Webber!
[SUSPENSEFUL MUSIC PLAYING ♪]
[MEADE] Do you all have a
favorite Dolly Parton song?
[SHEPHERD] "Jolene," obviously.
[ADAMS] What, you don't think
there's other good answers?
[SHEPHERD] It's a perfect song.
Make sure you pull back on the
syringe as you get close to the artery.
- What do you see?
- [ADAMS] Bright red blood. I'm in.
[SHEPHERD] Grab the guide wire at the
skin as soon as the needle comes out.
- You don't want to lose it.
- [ADAMS] Yeah, I know.
This isn't the first time
I've accessed a femoral artery.
[SHEPHERD] Just making sure.
- Now nick the skin and place the dilator.
- [ADAMS] Yep.
[SHEPHERD] All right.
All right, insert the sheath.
Make sure not to
advance too aggressively.
- [ADAMS] Do you want to do it?
- [SHEPHERD] Keep going.
[ADAMS] Some might say "9 to 5"
is a pretty perfect song too.
[MEADE] Isn't that from a movie where
they kill their overbearing boss?
[ADAMS] Huh. Imagine that.
[SHEPHERD] All right. You think
you wanna be a neurosurgeon?
Let's see how far you can get.
Just follow the femoral
artery and take your time.
[ADAMS] Fluoro.
These towels weren't warmed.
Your insides are on the outside.
The towels are the
least of your worries.
Kwan, do I need to remind you
that part of the draw to this floor
is that it's quiet? Shut the door.
The nurse said that you were screaming.
He removed his binder
and his incision dehisced.
Those things are uncomfortable.
- That's what I said.
- I paged Dr. Webber.
Webber's in surgery, so
you've got me. Can I see?
Mr. Fazio, you didn't have to go to
all this trouble to get my attention.
- Don't make me laugh.
- No, really, don't make him laugh.
We're gonna have to get you to the OR.
Kwan, prep the patient.
You heard what Webber said.
I'm not supposed to operate.
Webber's not here. Get him down there.
[SIGHS]
Ndugu. Glad I caught up with you.
You have a moment?
Uh, actually, I was about to
I just heard that you're
considering group feedback sessions.
Uh, yeah, my residency director did
them and they're, you know, interactive.
I found it useful to learn from peers.
Ah. [CHUCKLES]
'Cause personally, I find
that doing things in groups
can be more difficult than
doing them individually.
- Noted.
- [ELEVATOR DINGS]
To be continued.
Mm-hmm.
[SIGHS]
Uh, how you doing? You okay?
Just worried about a patient.
- What's going on?
- Can we not do this, please?
- Do what?
- This.
The thing where I tell you
my deepest, darkest feelings,
and then you look at you look
at me like that, like you care,
and then I feel like
everything's going to be okay
when in reality
everything's a nightmare.
I need this elevator
to move faster. [SIGHS]
- I do care about you
- Please don't.
[ELEVATOR DINGS]
[NDUGU] I hope your patient's okay.
Me too.
[MEADE] I changed my mind.
My favorite song is "My
Tennessee Mountain Home."
[SHEPHERD] Glad you cleared that up.
How's it going?
[ADAMS] I'm passing the left
internal carotid artery
- Contrast.
- [SHEPHERD] What do you see?
[ADAMS] I see the
middle cerebral artery.
I don't I don't think
I can make this turn.
[SHEPHERD] What are your options?
[ADAMS] Uh, I could keep
advancing the coil
[SHEPHERD] And risk her stroking
out if you damage the vessel.
[ADAMS] I could use
a more rigid catheter.
[SHEPHERD] Congratulations,
another stroke. Try again.
[ADAMS BREATHES DEEPLY]
Uh
[SHEPHERD] Dr. Adams?
Okay, I'll take over from here.
Okay, I'm gonna come around
through the anterior
communicating vessel
and catheterize the
AVM feeder retrograde.
[LINCOLN] It's too big.
[BRYANT] Looks
like a perfect fit to me.
[LINCOLN] No, his defect is too
big for a dead bone to heal in it.
It might stabilize him for now,
but the chances of failure are
too high without a blood supply.
- [BRYANT] So all form no function.
- [LINCOLN] Yeah.
[WARREN] It's too bad
we can't use a fibula.
It's got a great blood supply.
- It's Wright's to go-to.
- [LINCOLN] What if we could use it?
- I thought you said it's too small.
- [LINCOLN] No, no, what
What if we take Ken's fibula
and we put it inside the femur
to vascularize the graft,
throw in a little BMP.
[BRYANT] A bone in a bone
like an orthopedic turducken.
- [LINCOLN LAUGHS] Yeah.
- [WARREN] Yes.
[LINCOLN] Warren?
[WARREN] Well, I mean, it's
absurd, but it might work.
[LAUGHS]
[LINCOLN SIGHS] Okay.
[WHIRRING]
- Hey, is she ready?
- Uh, yeah.
Um, I'm just gonna make a call.
Can you have, um, anesthesia give a
second dose of antibiotics, please?
Sure.
- [BREATHES SHAKILY]
- [LINE RINGING]
[LINCOLN] Hi, you've reached Atticus
Lincoln. Leave a message. Thanks.
Okay, how can I help you?
Do you want to talk about it or
- do you want me to distract you?
- Distract me.
Okay.
Okay, this is a good one.
I looked into all of the
cardiothoracic research programs,
and the one that gives me the best chance
of getting a top fellowship is Ndugu's.
- [CHUCKLES] What about the dogs?
- I was lying to myself.
I'm a cat person.
Simone, how are you feeling?
The morphine's helping.
Okay, it'll be over soon.
Okay, let's have two
units of blood ready.
It's just a precaution.
It's been a while since
my med school OB rotation.
What are the chances
of uterine perforation?
Low. Less than 1%.
Molar pregnancy can
increase risk slightly,
but overall, it's very safe.
- And you've done a lot of these?
- Tons. I'm not worried.
[PENSIVE MUSIC PLAYING ♪]
Hmm. Okay.
If you're ready, we'll start sedation.
[BREATHES SHAKILY]
No, take it off! Take it off! I'm sorry.
I can't. I can't do this.
Please don't make me do this.
I can't do it.
Please don't make me do it.
Please, I can't, I can't. I can't do it.
- Okay. Okay.
- I can't, I can't.
I can't do it. [CRIES]
[LINCOLN] Femur's ready
for the fibular graft.
Can I get a brow wipe?
Okay. Take two.
- [WARREN CHUCKLES] Perfect alignment.
- [BRYANT] You did it.
[LINCOLN] It's not over yet.
Let's secure the spine, and then
we can begin the anastomosis.
[BREATHES DEEPLY]
[NORTON HUMMING, GRUNTS]
You know you want to.
[BOTH HUMMING]
- Lawyer.
- Lawyer. [CHUCKLES]
[NORTON] All right, fascia looks good.
Kwan, how about you help me
dissect the lateral plane.
[KWAN] Well, I probably shouldn't.
[NORTON] Are you still
worried about Webber?
[KWAN] Yeah, he's the
chief of the whole system.
[NORTON] Yeah, because
he's married to it.
This morning you said you wanted to cut.
Are you a surgical resident or not?
Bovie.
All right, release the external
oblique above the fascia. That's it.
That's right.
[WEBBER] What the hell is going on?
Kwan, I told you no surgeries.
Put that bovie down now.
Dr. Norton. I thought
I made myself clear.
My resident has been out of
commission for more than a month.
He needs time to work
his way back into the OR.
[NORTON] Dr. Kwan was there when
your VIP patient's bowel eviscerated.
He called for help and applied pressure
to keep it from further eviscerating
while you were occupied elsewhere.
I'd say he has worked his way back.
And by the way, he's doing an adequate
job with this sublay placement,
which is about as good of a
compliment as a resident gets from me.
- [WEBBER] I'll take over from here.
- [NORTON] Won't be necessary.
- I'm about ready to close.
- [WEBBER] I see my patients through.
You can step out.
[KWAN] Uh, do you still need me to
[WEBBER] Which residents
are on general today?
[KWAN] Baxter, Ford, Goodwin
[WEBBER] Page Baxter on your way out.
- Oh, Dr. Ndugu. Dr. Ndugu?
- Yes?
[STAMMERS] Yeah, so I was looking
at the residency portal, and I
Okay, if this is about me doing
away with resident office hours,
- let me stop you right now.
- I
I will meet with them by appointment,
but I don't have time
to sit in my office,
because in addition to doing my own job,
I'm covering for Altman, Hunt, and you.
You, you have no idea how much this
favor I'm doing for you has cost me.
So if you take issue
with how I'm doing things,
find someone else to do them.
Did you have something to tell me?
No, I [STAMMERS] I was
Carry on.
[SOMBER MUSIC PLAYING ♪]
- I can't do it.
- [MILLIN] Okay, just look at me.
All right? I got you. I got you, okay?
[EXHALES SLOWLY]
[WILSON] I know what it's like
to be the doctor on the table.
You know too much.
It's impossible to let
go, but I need you to try
so that I can be in control
and you can go to sleep.
But what if I don't wake up?
What if there's a complication?
If there is one, I'll
know how to fix it,
and if I need help, my
colleagues are right outside.
[BREATHES SHAKILY]
Okay.
- Okay?
- Okay.
Okay.
[MUSIC CONTINUES ♪]
- No, I can't, sorry.
- Okay.
[WILSON] Okay.
[GRIFFITH] I'm sorry.
- I can't. [CRIES]
- [WILSON] Okay.
Simone, you need this procedure.
I can't. I can't.
Okay. What if I did it
without general anesthesia?
Does that make any difference to you?
- I'd be awake?
- Is that safe?
It's usually more comfortable
for patients if they're asleep,
but we could use a local nerve
block if that's what you want.
You'll be awake and know what's
happening the entire time.
And I'll be with you the whole time.
- Yeah.
- Yeah?
Yeah. Yeah, I want that.
Okay.
All right, everyone, change of plans.
We're going to do a paracervical block.
I need 20 cc's of 1% lidocaine.
- I'm gonna go scrub.
- Thank you.
Okay.
- All right.
- Okay.
You'll be awake the whole time.
The torquer's tricky.
Don't beat yourself up.
You set me up to fail.
Well, I gave you an opportunity to try.
[LAUGHS] Is that how you see it?
You're a resident.
I didn't expect you to get
it right on your first try.
Yeah, you don't seem to expect
me to do anything right, ever.
That's not true.
I think you're very talented.
Yeah, but you don't think I have
what it takes to clean up my crap,
or-or answer your kid's questions,
or do my job, or be a neurosurgeon.
I didn't say that. The people who
have what it takes to pursue neuro
don't keep their options open.
They zero in.
They think about it
every minute of the day.
- Derek did. I did. You're not
- Because I'm not you. Or him.
And maybe I don't want to be, okay?
My way isn't wrong or defective just
because it's different from yours.
You know, for someone who claims
she was an underdog growing up,
you sure like to tear people down.
[KEN] It could be the drugs,
but it sounded like you
said the cancer has spread,
so I have a leg bone in my spine.
[CHUCKLES] We removed
all the cancer, but, um
Well, yeah, that's
basically what happened.
I'm still here, so, thank you.
I placed an order for physical therapy.
Now it'll take some
time and a lot of work,
but you should be able to walk again.
And we'll monitor you
for a couple more days
and keep a close eye on the pain,
and then you can get
back to saving the world.
Is there anyone else that
we should be speaking with?
No. Just me's fine.
[KNOCKING]
- You came back?
- I never left.
I know you.
You lash out when you're scared.
I forget you're doing it
every time until I remember.
King of the jungle to help
you with your strength.
You know I'm allergic to cats?
Just take the dumb stuffed
animal and say thank you.
We We'll give you some privacy.
- Yeah.
- Uh, thanks.
- What am I supposed to do?
- Can't you just say thank you?
- Is it that hard? Just, "Thank you."
- Come on.
How does clean water come
from such a toxic relationship?
No one knows how other
people's relationships work.
- True, true.
- Okay.
I've got to go handle something, but,
uh, I'll check on him in an hour or so.
Yeah.
It's a big win today.
[SCOFFS] We got lucky.
I should have scanned Ken yesterday.
I was stupid and careless.
- You still found a solution.
- [SIGHS]
You know, let's, uh,
let's grab a beer at Joe's.
Uh, no. I got to catch
up on some charts.
How long till I can get back on stage?
Oh, it'll be a few weeks. I'm sorry.
It'll give me time to work on my act.
Always room for improvement.
How do you work on your act?
Do you have to perfect
all of Dolly's mannerisms?
I did at first, but the
reviews were terrible.
Then finally, I realized audiences
think they want a good mimic
but what they really
want is a good character.
And that comes from me,
knowing who I am and
what I bring to the stage.
What do you bring?
I'm a kindergarten
teacher with roots, a mom,
I volunteer at the food bank,
and I've got killer gams.
[CHUCKLES] When you are recovered, I
would love to come and see you perform.
Now Dr. Adams is gonna to be in
shortly to take your post-op labs.
[WILSON] You did great.
We completely evacuated the molar
pregnancy with minimal bleeding.
Think I can go home soon?
Well, they are going to
monitor you overnight,
but you should be
discharged in the morning.
And I gave them strict
instructions, no unwanted guests.
Thank you.
And thanks for letting me stay awake.
It meant it meant more than you know.
My mom had a complication
here years ago.
I just
just needed to know
what was happening to me.
I get it.
- I'm glad it all worked out.
- [BREATHES DEEPLY]
- Get some rest.
- [GRIFFITH] Yeah.
Sorry you didn't get to
see the surgery through.
- I tried.
- It's okay.
- His JP output looks good though.
- Ah, that's what matters.
Hey, help me with this, will you?
- You know he can't tell that it's warm.
- He's VIP.
He gets what he wants
even when he's asleep.
- [KWAN] Sounds like one of his ads.
- [NORTON] I'll pitch it to him.
You think he'd be more successful
if he spent more time on his cases
and less time filming commercials?
You don't think he's successful?
The guy owns a ginormous house
in Laurelhurst, plus two boats.
He may be a tacky ambulance chaser
with an annoyingly catchy ad,
but he doesn't take a dime
unless his client wins.
You know, say what you will about
his tactics but he fights for them.
And gets them what they want.
- [SIGHS]
- [LINE RINGING]
Dr. Berse, it's Atticus Lincoln.
Well, I'm, uh [CLEARS THROAT]
I'm having some pain again and, uh
[BREATHES DEEPLY]
Yeah, I'm trying to
push through, but, uh
Could you
call in a refill?
Hey, Lucas.
Stop.
Just stop walking.
You're not a failure.
Is that an apology?
I was the underdog in my family.
What am I saying?
I don't have to tell you
that, you know the stories.
But now I am an accomplished surgeon.
And your mom and your aunts still treat
me like I can't get anything right.
You don't deserve that.
It is true.
You don't do things the way I would.
But that doesn't mean you wouldn't
make an excellent neurosurgeon.
I want to help you find your path.
Even if it doesn't end up being mine.
So come work in my lab.
I will be more open-minded, I promise.
- I'll think about it.
- Okay.
And I'm moving out.
It's time.
[STAMMERS] Dr. Webber.
Look, if you're here to make excuses
about what happened, don't bother.
I wasn't planning to.
I thought I made myself clear
about my expectations for you today.
- Yeah, you definitely did.
- Good. You're dismissed for the day.
Kwan, I just said you could go.
- I know, but the Chief said that
- The Chief
- The Chief?
- Chief Norton.
He said that I could scrub in
on his latissimus flap tomorrow
and to put my name under his.
["SIGNAL" PLAYING ♪]
Good night, Dr. Webber.
Ripple through the sound waves ♪
Time will go and time will change ♪
Simple but so hard to say ♪
Hi.
Hi.
- Everything go okay with your patient?
- [MILLIN] Yeah.
She's doing fine.
Good. I'm glad to hear it.
[GREY] Our lives are full of mysteries.
You could round a corner and
meet your soul mate or your death.
- [BAILEY] I'm home.
- How'd it go?
Well, the paper is done.
Plus, I got a reminder of what it's like
to cram five people
into a studio apartment.
- Did you at least get some cheap pizza?
- You know, I did.
[CHUCKLES]
And I'm sorry about this morning.
You have taken on more
around here to help me,
and I micromanaged the
way you were doing it.
- Whoa. [LAUGHS]
- I just Stop. No, look,
oh, just going back to school is making
me feel like I don't
know what I'm doing.
You know, viral disease trends,
descriptive epidemiology, like
everyone's speaking another language.
I'm just racing to catch up.
I think I just wanted to feel
like I was an expert at something.
When I should have just said thank you.
You're welcome.
Mmm. [CHUCKLES]
And I got something for you.
- For me?
- Mm-hmm.
Bam.
No children were involved in
the loading of this dishwasher.
Well then, how did you know
Because I am an expert
in you, Miranda Bailey.
Expert in me. [CHUCKLES]
[GREY] There's no way to predict
what's waiting around the bend.
[LINCOLN] Your meeting ran late?
The meeting never happened.
I got pulled into a D&C that was
more complicated than expected.
- Are you okay?
- No.
I'm sorry. You never should
have gone into that meeting.
You wouldn't have gotten pulled in
No, it's not that. I'm just
I'm really good at this.
I'm extremely skilled
at these procedures.
I listen to my patients, I treat
their heartbreak and their pain.
And this field needs every doctor
that they can get and I love it.
I really love what I do, but I
can't practice medicine anymore
without reliving something
that almost killed me.
Do you think it'll get better with time?
I don't know.
I just want to go home.
Yeah, let's get out of here.
[GREY] All you can do is put
one foot in front of the other
and lean on what supports you.
And trust it's there
- even when you can't see it.
- [SONG ENDS ♪]