Grey's Anatomy s14e01 Episode Script
Break Down the House
1 Previously on "Grey's Anatomy" APRIL: Jackson.
He likes you.
He has feelings for you.
You should just tell him.
You want to go have some overly tired sex? I just got fired.
OWEN: Two soldiers came to the house today.
They said they found Megan.
They said that she's alive.
MEREDITH: Remember the dream where they come back to us? - Megan's alive? - Megan's alive.
If this were Derek, I would already be gone.
[HELICOPTER BLADES WHIRRING.]
MEREDITH: A painful irony for doctors is that we often have to make you sicker in order to heal you.
Megan? Megan.
Who Who are you? Sorry.
[LAUGHS.]
I had to do it.
[BOTH LAUGH.]
Will you unstrap me from this thing so I can hug your ridiculously pale body? Yeah.
[BELT CLICKS.]
Come here.
If a bone has healed unevenly, we have to rebreak it.
If a scar is too thick, we have to scrape it off and create a new wound.
We break you down to rebuild you.
MEGAN: I was not kept in that hole.
I was tossed in the hole when the bombing started.
They were trying to protect me.
Trauma surgeons aren't easy to come by in Iraq.
- So all these years, you - I was treated really well.
They'd just, you know, kill me if I left.
Your wife is really pretty.
I'm really happy to meet you.
Me too.
[CHUCKLES SOFTLY.]
Hey, stranger.
[CHUCKLES SOFTLY.]
[SOBBING.]
[INHALES SHARPLY.]
I'm so sorry.
Shh.
Babe, it's okay.
It's okay.
I'm okay.
I'm Okay, ow.
You're gonna have to Ow.
- What hurts? - What's wrong? There was a bombing six months ago.
I took some shrapnel.
There were post-op complications.
It didn't heal so well.
Okay.
Um, all right, everyone! Listen up, please! Uh, first, I want to thank you all for keeping your heads during the events of last night.
Thanks to you, there were very minimal injuries, and the firefighters were able to contain the blaze quickly.
There was some damage, however, that will need to be repaired.
Uh, the neuro ICU, the cath lab, and pulmonary clinic [CLEARS THROAT.]
[HUSHED VOICE.]
She fired Eliza.
[HUSHED VOICE.]
Oh, yeah.
I heard.
Just give her some room.
Getting fired is humiliating.
How much room? Like, hours or days? and endoscopy suites I've never been fired.
These stations will be off-limits to pedestrian foot traffic.
Stephanie's gone.
She was airlifted to a burn center in Texas.
So until further notice, ORs 3 through 6 are nonfunctional.
Hunt, your sister's here? Yeah, Riggs is taking her to CT.
Uh, Riggs and I, we're gonna need to take some leave.
Understood.
I'll update Bailey.
Uh, your sister will be our first priority - as soon as we're done here.
- Okay.
Thanks.
To recap, we are to avoid ORs 3 through 6 and the entire neuro wing, as they are unstable.
[CLATTER.]
[INDISTINCT SHOUTING.]
And also avoid fourth-floor nurses station until further notice.
[TELEPHONE RINGS.]
Hey.
- Hey.
- You're working? Yeah, I'm gonna work.
How's Megan? Uh, she's alive.
And well, not quite well, but she's funny and sharp and very much alive, which is, you know, energizing.
I mean, this miracle happened, and it makes me aware that I have the ability to make that miracle happen for someone else's family, so yeah.
I'm gonna work.
You don't think you should be with Owen today? You know what I'm super-good in a crisis, but the crisis is over.
[CABINET DOOR CLOSES.]
[DOOR CLOSES.]
[WHIRRING.]
And you've been here for how long? Couple years now.
And have you met anyone you know, significant? Hey.
Oh, h-hang one sec, Meg.
- Hey.
- Hey.
How is she doing? Oh, she's, um, got a frozen abdomen, but You know, all things considered, she's pretty okay.
That's great.
And how are you? Yeah, all things considered, pretty okay.
You? Same.
Hey, sorry, Meg.
Where were we? I was asking if you met anyone, and you were buying time to come up with an acceptable answer.
- I wasn't buying time.
- Liar.
Look.
Uh I-I did meet someone.
And? And she's not you.
Smooth.
Right? [BOTH LAUGH.]
The southwest wing of the second floor has been cleared, so all of the patients in beds 3 through 10 can be transported back upstairs, okay? - DeLuca, what do you got? - Beau Martinez, 14 years old.
Presents with intense jaw pain and recurrent left-sided headaches.
Beau, can you follow my finger? Good.
- When did the pain start? - A few months ago.
They took these X-rays last month.
They saw nothing.
They gave him pain pills that don't work, and now they won't give him any more 'cause They treat him like he's a drug addict or something.
That's not my kid.
He can't even play baseball anymore.
He says it's a stabbing pain in the jaw and mastoid area.
Thought maybe we should get a head, cervical, maxillofacial CT.
Agreed.
Beau, I've got you.
I know this pain is real, and I am not gonna rest until we find out what it is and how to fix it.
You have my word.
You both do.
Okay.
Is this Megan Hunt? Yeah.
Nastiest abdominal wound I've ever seen.
Massive hernia, giant fistula.
The abdominal layers have scarred and fused to each other.
Her small bowel and colon are just One big blob.
And there's not enough healthy skin to properly close the wound.
I think we just optimize her nutrition, vac the wound, and wait.
I mean, it'll close eventually.
She wants us to reverse the colostomy.
I can't see a way to make that happen.
Well, I can.
And you taught it to me.
So, I would like to reapproximate the abdominal wall a little bit at a time.
Put in tissue expanders to stretch the skin and then pull the abdomen back together slowly.
And then we'll go back in, take down the fistula, reverse the colostomy, and I'll close with a component separation surgery.
Which means what? Which means she's my new favorite person.
Who are you? I'm Meredith Grey.
Thank you for your service, Dr.
Hunt.
Well, I admit I've been out of the O.
R.
for a while, but this sounds like a risky surgery.
BAILEY: It most definitely is.
And there's no guarantee that it'll work.
Yeah, which is why Dr.
Bailey and I would recommend a more conservative approach.
Thank you, but I just came back from being presumed dead.
I'm not about to play it safe.
Also, it's really hard to live with an open abdominal wound in Iraq.
What do you mean, "in Iraq"? [SIGHS.]
Yeah, I was trying to figure out how to tell you this.
As soon as I'm well, I have to go back to Iraq.
My child is there.
His name is Farouk.
His parents were Syrian insurgent fighters.
They both died in combat.
I took him in when he was 4.
He's 10 now.
I'm the only parent he has, and he is the main reason that I stayed sane all these years.
I'm a grandmother? [LAUGHS.]
And you couldn't bring him with you? You're a national hero.
Tell that to the U.
S.
immigration laws.
If your surgery works, I'll have a functioning bowel? That's the plan.
Then that's what we're doing.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Meredith? I'm sorry I would never have asked you to consult on Megan's case.
Oh, you didn't ask me.
Well, is you working on Megan the best idea? I mean, family and all, conflict of interest.
She's not my family.
[HUSHED VOICE.]
Well, I get that, but I am the best person for this job.
Just let me help.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Are you crying about the empty board? Did you see Steph last night? Oh.
um, yeah.
Yeah, look, we She was hurt, but we got to her in time.
It was kind of unbelievable.
I mean, it was, uh It was thrilling, actually.
You know? It was a rush.
Who am I gonna talk to now? Who am I gonna compete against? W-Who's gonna tell me when I'm being ridiculous or or when I stink and need a shower? Way to make Stephanie's life-changing injuries about you.
You called it a rush! Yeah, I guess.
Oh, and, uh, you do.
Do what? Need a shower.
[SCOFFS.]
- Hey.
- Oh.
Hey.
You busy? Uh, have you seen the board? Come with me.
Hey, looking good, Max.
Feeling good, Dr.
Alex.
- Hey, Max, this is, uh, Dr.
Wilson.
- Hi.
She's gonna read me your chart, okay? Max Spencer, 7 years old.
Has had intermittent abdominal pain and vomiting for months.
Upper GI found evidence of malrotation due to the presence of bands.
Needs a Ladd's procedure, which is scheduled for As soon my gastric emptying study comes back normal.
[LAUGHS.]
Exactly.
Wow.
You're pretty smart, huh? Look! Allora the Warrior Queen! Is that you?! Max, don't blow her cover.
She's gonna be doing your surgery.
Uh Are you serious? You're gonna let me do a Ladd's procedure? By myself? Think you can handle it? Handle it? I'm a frickin' warrior queen! [CHUCKLES.]
[CELLPHONES BUZZING, CHIMING.]
- You paged? - Sub-I's.
[CLEARS THROAT.]
What? As if we didn't have enough to deal with today, Minnick's new sub-I's are here.
- Sub-I's? - The sub-interns.
The group of fourth-year med students she's been courting to be potential interns? They're here for a six-week rotation.
She didn't talk to you about this? Well, she may have mentioned it, but I got pretty good at ignoring her.
[SCOFFS.]
Well, they're here.
And they're yours.
And they're all in the top 10% of their programs.
So they're completely socially inept? Probably.
[GRUMBLES.]
- [KNOCK ON DOOR.]
- [CELLPHONE CHIMES.]
Dr.
Hunt.
- Fistulagram? - Exactly.
Are you sure you want to put yourself through all this? It's a tube in my belly, with some dye.
This is nothing.
- Well, I don't need to see it.
- [CHUCKLES.]
I'll be back tomorrow bright and early, sweetheart.
[DOOR CLOSES.]
You don't get to see this, either.
- Yeah, I'll take your mom home.
- Okay.
[CHUCKLES.]
- Goodbye, Meredith.
- Goodbye, Evelyn.
So, you and my mom are on a first-name basis? Well, I was in both of Owen's weddings, so Both of them? Ho-ho-ho.
This is exciting.
Give me the scoop.
Which of Owen wives did you like better, and why? I couldn't possibly answer that question.
Ugh.
Fine.
Don't talk about Owen.
Talk about Nathan.
Who was he dating, when, and for how long? Okay, Megan, will you let Dr.
Grey just focus on her job, please? - Buzzkill.
- [CHUCKLES.]
Take a deep breath.
All right.
Uh, here is the ER.
We are entering the ER.
As you probably know, we are a level-one trauma center.
We are a level-one trauma center.
Dr.
Webber, what is the trauma volume for Grey Sloan? - Okay, the ER sees 120,000 cases a year.
- The ER sees 120,000 cases a year.
- Of which 5,000 are - 5,000 - related to trauma.
- are related to trauma.
- 22% penetrating trauma.
- 22% penetrating trauma.
Uh, your name, again? Candace Warner.
Uh, Candace, uh it might be a good idea to put away the phone.
I find the voice-to-notes app the most efficient way to record the tour.
And I find it the most annoying way for you to do the tour.
[DOORS OPEN.]
BEN: Coming through! Oh! Okay.
What do you got? Pedestrian versus SUV.
Multiple open fractures.
Arrested en route.
APRIL: Let's get set up for an ED thoracotomy.
Mind if we observe? Long as you stay out of my way! Chest tray, size 6 1/2 gloves.
Ready? On my count.
One, two, three.
Glove me.
Betadine his chest.
Someone take over bagging.
All right.
Hey, Candace, if you were busy dictating all of this into your mobile device, you'd miss all of the Aaaaaaahhh! Aaaaaaaaaaaaaaaahhhhhhh! - Aaaahh! - Dr.
Webber? Okay, look, everybody out! Let's go! - Everybody out! Out, out! Everybody out! - Aaaaaah! - Aaaaaaaaahhhh! - Get him up.
He's 35? Maybe now he's 38.
- And a fireman? - Mm-hmm.
Oh, ho ho! - Get it, Mom.
- [BOTH LAUGH.]
You know, I didn't like it at first.
Yeah, I still don't like it.
But it makes her happy, so [LAUGHS.]
I never should've stopped looking for you.
Ohh.
Owen, look at me.
I'm okay.
There were some beatings in the beginning to make sure I didn't try to escape.
But after a while, I made friends and played cards and did surgery and raised my kid, and I was okay.
I didn't want you to waste your life looking for me.
I used to pray every night that you had gone home to Mom and married anyone but Beth.
[CHUCKLES.]
I wanted you to be happy.
I still want you to be happy.
And this guilt, it's it's worse than useless.
And there's something I really need you to do.
Anything.
When I eat, it comes out through the fistula, like, instantly.
It's disgusting.
So I'm gonna need you to get me an ice-blended mocha while Nathan's driving Mom home.
Are you serious? Ice-blended mocha, stat.
Extra whipped cream.
- [KNOCK ON DOOR.]
- Eliza? Hey, come on.
Come on.
I've given you all the time that I can.
Now you you have to let me help you lick your wounds.
Wow.
That sounded dirtier than I meant it to.
Eliza! Come on.
[INDISTINCT CONVERSATIONS.]
Coffee after 5:00 p.
m.
? You are never gonna sleep tonight.
Teddy? - Hi! - Teddy! - What are you doing here? - Well, Megan's home.
You didn't think I'd come and see how you're doing? [BOTH LAUGH.]
[SHIP HORN BLOWS.]
[POUNDING, DRILL WHIRRING.]
[INDISTINCT TALKING.]
BEN: So, what's going on here? It's hard to say.
We're still in pre-op.
Yeah, I'm pretty sure that's the lead surgeon.
- Yeah.
- Oh, and that over there? Yeah, I think that's his best scrub nurse.
Huh.
- Is he hot? - Well, he's not un-hot.
But it's only been a few dates, so - [LAUGHING.]
Ow! - Sorry.
Just a few more of these shots to relax the oblique muscles, create a little more laxity.
Yeah, well, when you're done with that, you think you can put a little of that Botox right there? [LAUGHTER.]
That brow has not unfurrowed since I got home.
Well, it's a brother's job to worry.
- Thank you.
- Wrong! It is a mother's job to worry.
It is a brother's job to entertain.
Oh, so you want me to tap dance or? No, but if you could dig out - the kilt and bagpipes - Ohh.
that would definitely make me feel better.
Okay, you play the bagpipes? For one summer in the eighth grade, and she'll never let me live it down! Oh, my God! I want to see that so badly.
Me too.
Look.
Can I turn around now? ALL: No! Avery.
You almost done here? I-I'm doing a tumor board presentation, and it's kind of pointless without you there.
Amelia, this is Teddy.
She came all the way from From Germany, right.
Um, we spoke on the phone.
- Yeah.
It's so nice to meet - Yes, yeah, good to meet you.
Um I'm sorry.
I'm distracted.
I have a kid with an osteoblastoma, so You're presenting him.
I totally get it.
JACKSON: You know what? I'm done here.
I'll just check back in on you later.
No straining those abdominal muscles, please, okay? Yes, sir.
[DOOR CLOSES.]
What? I've been meaning to ask.
How's married life? [CHUCKLES SOFTLY.]
How's your colostomy bag? [LAUGHS.]
Our patient is a 14-year-old in constant and increasing pain.
DeLuca? On MRI, he was found to have a large osteoblastoma involving the temporal bone, the mandible, and the mastoid.
It encases the 7th and 8th cranial nerves.
We managed to obtain a biopsy through the ear, and it is benign.
I can resect it from a sub-occipital approach, but I will need assistance with a jaw reconstruction and temporalis muscle flap.
That tumor's inoperable.
I'm not a big believer in inoperable.
God, yes.
Unicorns, possibly.
Inoperable, no.
Then start hunting unicorns.
Your chances are better.
You don't hunt unicorns.
What's the matter with you? You should treat it with radiation.
Which won't help much.
If you go in, you'll cut - the cranial nerves.
- No, I won't.
You try to resect along the zygomatic arch, you could send this kid home with no lower jaw.
What, so we just send him home to die? No.
You don't send him home to die.
You Send him home to suffer in miserable pain for the rest of his miserable life.
I was gonna say send him to a pain clinic.
Mine is more accurate.
He's letting you do a pediatric Ladd's procedure? Like, the whole thing? Solo? [INHALES SHARPLY.]
Is that a bad reason to fall back in love with someone? [SCOFFS.]
Seems as good a reason as any to me.
Mm it's a bad idea.
Like, bad bad.
Like "it ends with ruined lives and someone going to prison" bad.
- It's - No.
- [CLEARS THROAT.]
- "No," what? No, I will not be your new Stephanie.
Y She had way more patience for all of your Yeah, no.
No.
All right, and this is the skills lab.
Uh, Dr.
Wilson, have you met our new sub-interns? I didn't know that was a thing.
- [CHUCKLES.]
- Hm.
This is Dr.
Wilson.
She's a senior resident.
You want to show the kids what you're working on, Wilson? Yes.
Uh, well, this is a virtual dissection table.
- So, for this case - [CELLPHONES CLICKING.]
I'm going to lift the omentum and then run the bowel from the ligament of Treitz to the ileocecal valve.
[CLICKING CONTINUES.]
Look up from your notes, people! Sir, if I may, this is why No, you may not.
Can't keep my hands to myself She ghosted you.
What? What's that? No text? No note? Just disappeared? She ghosted you.
People do that? Like, often enough that it has its own term? It's cruel and awful, and no one should do it to anyone ever, and I am so sorry.
Might be over now, but I feel it still Well, at least she was crystal-clear about her intentions.
She didn't confuse you with a whole Montana situation and then just linger.
What's a Montana situation? Is that another term that I've never heard of? I feel so old.
Surprise.
[GASPS.]
Oh, my God! Oh my God! You're here! Callie left me, and she went to New York, and she took Sofia, and I managed to find love again, but then she got fired, and I've been meaning to call you forever, and I'm so sorry.
Did I ghost you? 'Cause I'm I'm I'm so sorry.
I'm a terrible friend, and I'm so glad you're here! [BOTH LAUGH.]
I been feeling it since 1966 Hey.
What? I got something on my face? No.
No, your face is perfect.
I mean I have to I have a What's that? This was great, but I have, uh [CLEARS THROAT.]
Ooh-ooh, I'm a rebel just for kicks, now I been feelin' it since 1986, now Might be over now, but I feel it still Can you hear me? Yeah.
I don't think you should be up there.
Why not? Because what you are about to see is decidedly unsexy.
Blood guts.
Nah, you look good in anything.
[LAUGHING.]
Shut up.
- Hi.
- Hi.
Do you have any questions before we get started? - Can I see the expanders? - Of course.
Bokhee? Wow! That is Wow.
That's big.
We'll deflate them to put them in, and then we will slowly reinflate them with saline.
We're gonna need as much space as we can get.
You know what we'd say in the Army right now? What? - Say it with me, Nathan! - Mm.
- Hooah! - Hooah! - Hooah! - Hooah! - Hooah! - Hooah! Let's do this thing, Dr.
Grey.
Let's do it.
Okay.
[MONITOR BEEPING.]
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
[INDISTINCT CONVERSATIONS.]
[HYPERVENTILATING.]
Okay, all right.
Okay.
All right.
Look.
Hey.
This is a minor surgery.
She'll be fine.
This stage is nothing.
[BREATHING RAPIDLY.]
All right.
You know what? You You need to put your head between your knees.
No.
Head between your knees, Major! Sit down.
[BREATHING RAPIDLY.]
All right.
That's it.
All right.
Breathe.
I can't lose her again, Teddy.
I know.
I lost 10 years.
She doesn't even look the way I remember her.
I lost her even in my memory.
And now she's back.
And I can't lose her again.
I know.
It's okay.
Listen, you have a plane to catch.
I'm not going anywhere.
[BREATHING SLOWLY.]
[POUNDING, DRILLS WHIRRING.]
[INDISTINCT TALKING.]
Ortho docs? BAILEY: Only louder! [POUNDING, WHIRRING CONTINUE.]
MEREDITH: Okay, you're gonna feel a little pinch.
It shouldn't hurt that bad, okay? That's it.
You good? Mm-hmm.
Meredith, I was so sorry to hear about Derek.
Oh.
Thanks.
Me too.
Who's Derek? I-It's a long story.
[CELLPHONE CHIMES.]
Oh.
This is for you.
[GASPS.]
It's Farouk! Mm.
He's a selfie master.
[LAUGHTER.]
That's an impressive snout.
- Yeah, excellent work.
- Where is he now? Ah, he's with U.
S.
Military in Baghdad.
I haven't been able to legally adopt him, and he's a Syrian refugee.
It'll take years before I can get him here, if ever.
I just want to get back to him.
Hey, Nathan, are you planning on moving with Megan, uh, looks like you could use some air.
Meredith, is it okay if we take her outside? Oh, my God.
Outside? Yes, please.
- I got it! [LAUGHS.]
- You all right? So this is what it feels like to be a robot.
[BOTH LAUGH.]
I don't know about robot.
I'm thinking more alien? You think? Or, like, strange sea creature, maybe? [SHRIEKING.]
There you go.
That's it.
That's it.
- [SHRIEKING CONTINUES.]
- [LAUGHS.]
You got a little weird when I asked about Nathan moving with Megan.
You still upset with him? Nathan and Meredith were a thing.
Right up until we got the call about Megan.
And we don't want her to know.
Wait.
Are you Are you kidding? Owen, are you kidding me? Meredith is Megan's surgeon, and you don't want her to know? You ready? Okay, you're gonna go to sleep now.
When you wake up, you're gonna be A warrior king! [LAUGHS.]
Exactly! Okay.
[MONITOR BEEPING.]
All right.
You're gonna do great, Max.
[DOOR OPENS.]
RICHARD: And this is the O.
R.
Dr.
Karev, mind if we observe? Um It's up to you.
It's your case.
It's fine.
Let's scrub.
Okay, great.
Let's go.
Hey.
Meredith? Meredith, you have a minute? Hi.
Yeah.
Did you read this article that Cristina published on ex vivo lung perfusion? It's It's not appropriate.
To read Cristina's article? No, for you to operate on Megan Hunt.
Oh.
She chose the surgery.
She's aware of the risks.
But she doesn't know about your history with her fiancé.
I mean, that's a serious conflict of interest.
You have to step away from this case.
- Well, I - You don't get to talk to her like that.
- Amelia.
- Excuse me? - Okay, you're not Megan's doctor, - Amelia.
So if Meredith has decided that she is equipped to handle a surgery, - you don't get to just show up here - I can fight my own battles.
like you own the place and talk to her like that.
I shouldn't have to.
Megan is Owen's sister, and you're Owen's wife, so I shouldn't have to advocate for Megan and Owen, who have been through hell and back a hell which I've personally witnessed.
I shouldn't have to show up here and advocate for them, because that's your job.
But you're not doing it.
I have barely seen you.
Because I have a patient.
You also have a husband.
I'm sorry.
Is it 1952? Should I put on my apron and mix him a gin and tonic? All right.
It's not appropriate for you to be Megan Hunt's surgeon not when she doesn't have the whole history.
Who is she? That's Owen's person.
I have a patient.
Bovie.
[EXHALES SHARPLY.]
Wow.
That's more bands than I expected.
RICHARD: Mind if we take a closer look, Dr.
Wilson? Be my guest.
Okay.
Uh, not you, Candace.
Oh, and not you, either.
Two at a time.
I want you to see what a malrotated bowel looks like.
ALEX: Normally the Cecum is in the right lower quadrant.
JO: But in this case, there are abnormal fibrous bands in the right upper quadrant, causing compressions of the duodenum.
- [GASPS.]
- [GASPS.]
LEVI: Oh, my God! - RICHARD: Oh, my God.
- JO: Oh, my God! ALEX: Step away from the table, Wilson.
Dr.
Karev, my patient, my surgery.
Linda, sponge stick, please.
Okay.
JO: Okay, we're gonna need to change out the contaminated instruments for new ones.
We'll need antibiotic solution, several liters.
And, Dr.
Webber, please remove your students from my O.
R.
If you don't mind, sir.
I-Indeed, Dr.
Wilson.
Let's go.
Out, out.
Let's go.
Out, out, out! Out! - How's his pressure? - Holding steady.
Great.
Irrigation, please.
You paged Avery? Yeah.
He's coming.
When? Dr.
Shepherd, have you slept? Well, you stand in this room staring at this tumor, and I don't see you eat, I don't know when you sleep.
Look, I made a promise to this kid.
And I made a promise to his father.
Also, my husband's sister came back from the dead, and my brother didn't.
So sleep is not really my thing right now.
[DOOR OPENS.]
Avery.
Good.
I'm thinking if we resect the tumor and reconstruct the jaw using a portion of the temporal bone, we may be able to get ahead of This is Kathleen Sampson.
She was 17 when this picture was taken.
And this was her tumor.
That look familiar? I did a sub-occipital approach and a partial tumor resection, and then she looked like that.
But she was still in pain.
I hadn't gotten the whole thing, so it began to grow back.
So I had to go in after it again.
Then again.
You know what Kathleen looks like now? There's Kathleen.
I'm not taking that boy's jaw apart.
Please stop summoning me.
[KEYS CLACKING.]
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
[CELLPHONE BUZZING, CHIMING.]
- Dr.
Webber? - Ah.
Karev.
Uh, you know, I was very impressed with how Wilson handled A situation she never should've had to handle? Yeah, so was I.
We're here to talk about the sub-I's, Dr.
Webber.
The utterly inept Bottom-of-the-barrel med students you keep recklessly hauling around the hospital.
Oh, oh.
So you two think you were any better than them? Karev, you scraped in by the skin of your teeth thanks to an essay you wrote on testicular cancer that I have since found was a lie! Kepner, you failed your boards and got fired twice! I raised you two.
I grew you into the surgeons you are now.
So you don't get to tell me who I will and won't teach and how I should or shouldn't do it! Now, I will thank you to walk away.
Minnick's sub-I's can't be taught! They weren't meant to be surgeons.
I'm not sure they were meant to be doctors.
Maybe they can be researchers in some lab, and even that's questionable! Teddy, it is over with Meredith, all right? It was over the minute I heard Megan was alive.
Well, then, why not tell her? If it's so over, why are you keeping it a secret? OWEN: Maybe because she's been through enough pain for one lifetime? Exactly! Look, there's no reason to put her through it.
That is such B.
S.
I am sorry, but I have been there with you.
I have been the person that found out too late that there was a thing with Meredith, and it just makes everything worse for everyone.
Okay, we were just trying to protect you.
Well, I didn't need your protection.
I needed information.
Thank you.
I am Meredith's sister, so if there are sides to be taken here, I am on hers.
Just tell your fiancée the truth, Nathan.
'Cause she doesn't want your pity or your protection.
What she wants is your respect.
- [DOOR OPENS.]
- Wait.
You had a thing with Meredith's sister, too? Teddy Altman thinks I'm wrong to do Megan's surgery.
Well, since when do you care what Teddy Altman thinks? - [BICYCLE BELL DINGS.]
- Well I don't.
But she thinks I'm wrong, and Amelia's on my side, and Amelia is a little crazy.
No one asked me to do it.
I did insert myself.
Why did I do that? Because you're trying to be the surgeon you wish Derek had had.
[SHIP HORN BLOWS.]
You need to tell Jo that you hired someone to find that husband of hers.
Why? You're trying to win her back, giving her solo surgeries, right? Wait.
You heard about that? Everybody heard about it.
Glasses? [BOTH LAUGH.]
It was insane.
But she handled the hell out of it.
Anyway, if you want to build a future with her, you really should tell her the truth.
She deserves the dignity of the whole story.
Yeah.
I really just don't know why you didn't get your own lunch.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Hey.
Hey.
I was avoiding you.
Is that what that was? - I just figured you were a little - What? Odd.
Little odd sometimes.
That's all.
[INHALES SHARPLY.]
I hate when people don't tell me things.
So, um the night of the fire, April said something to me about me being into you and you being into me, and it was weird, and I didn't know what to do with it, so I I was odd.
So April said what? Crazy, right? I know.
Um great.
Glad we're on the same page.
[CHUCKLING.]
Yeah.
[OWEN SIGHS.]
Who's gonna do the talking? I'll do it.
But if I don't come out in 10 minutes, call the police.
[CHUCKLES.]
Can you wait outside? Please? We need a minute.
Are you in love with him? I had one great love in my life, and he died.
Are you a mother? I am.
I need to get back to my son.
And I want to do everything I can to make sure that happens.
Nathan has excellent taste in women.
He certainly does.
[CHUCKLES.]
Ortho wrapped up yesterday.
Then vascular came in, did some work on the walls.
This is The plastics posse.
Precisely.
Mm.
[SLURPING.]
Stop worrying.
Dr.
Grey is a bigger man than either of you.
She'll forgive us eventually, right? Huh.
[CHUCKLES.]
AMELIA: It'll be a long surgery.
We'll have to take apart his jaw and then take out the tumor slowly and carefully to avoid damaging the nerves.
And we will have to wean him off some of his painkillers.
But you think you can do it? You can take the tumor out? Yes.
I think I can.
[MONITOR BEEPING.]
Okay, just one more time.
We'll start by lysing the adhesions to free up the bowel.
And then take down the EC fistula.
After which, we'll reverse the colostomy.
Phew! More nervous than I expected.
Well, that's not a bad thing.
Just means you care.
[WATER RUNNING.]
Excuse me.
Excuse me.
Hey.
Oh.
Thanks.
She's gonna do great.
10 blade.
[LOWELL'S "WAR FACE" PLAYS.]
Ooh Ooh Love fades like a wave Changing seasons Pull up my sleeves and I got my bourbon I got my Jack and [ITALIAN ACCENT.]
You drinking alone? I was ghosted by my girlfriend.
Mm.
Do you know what that means Ghosted? Si.
She disappeared.
Why am I the only person that doesn't W-When did this become something that people do to other people? I think it's because of the Internet.
We yell to our friends and family on Facebook in ways we would never do across a dinner table.
We become, um, uh rude.
Unsensitive.
- "Insensitive.
" - Insensitive.
[CHUCKLING.]
Forget it.
I like your way better.
Ooh, ooh You left me bleedin' Got away with treason I led the battle into the trenches I learned my lesson I count my blessings You had me howlin' You had me howlin' You had me howlin' at the moon Oh, yeah, I'm howlin' Oh, yeah, I'm howlin' Oh, yeah, I'm howlin', but not for you Ooh-ooh-ooh I wear my war face I wear my war face I wear my war face And I'm never gonna take you back again I wear my war face, I wear my war face [BELLS JINGLE.]
I wear my war face Hey.
Can I talk to you? [SIGHS.]
Please don't.
Don't? I'm still in love with Alex.
And I know that he hurt you, and I know that he's volatile, and I know that I can't be with him, but I can't be with you, either.
And we work together, so can we just Can we please just not make it awkward? I wanted to talk about the fact that I'm worried about Dr.
Shepherd.
But yeah, let's not make it awkward.
[BELLS JINGLE.]
Put us back together again I would like to pay for your drink.
Oh, my By way of apology? [EXHALES DEEPLY.]
For your surgery the other day? Yes! I remember.
You should probably buy contact lenses.
Already put in the order.
And for whatever it's worth, you handled that like a boss.
My friend moved away.
And that surgery she would've been so impressed with me.
Mm.
[LAUGHING.]
And we would've laughed really hard - at your expense.
- [LAUGHS.]
I will totally laugh with you at my own expense.
And then she would've reminded me of all the reasons it's a terrible idea to do the one thing that I really, desperately want to do.
Which is what? and all of my men Couldn't put us back together again [EXHALES DEEPLY.]
What's taking so long? Well, we knew it'd be a long wait.
MEREDITH: We go to medical school because we want to learn how to fix what's broken.
- Where's Amelia? - What? Where's your wife, Owen? Hey, it's done.
Meredith did it.
She's getting ready to close.
Ha! [LAUGHING.]
Yes! - [LAUGHS.]
- Come on.
But we quickly learn that we often have to make things worse before we can make them better.
[SIGHS.]
Ohh! [LAUGHS.]
Sorry.
Andrea? Carina? [SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[BOTH SHOUTING IN ITALIAN.]
[SHOUTING CONTINUES.]
[GASPS.]
Oh! Sorry.
[SIGHS.]
Maybe just, um, take them off? It's risky and it's frightening for surgeons and for patients, but usually, it's worth it.
You get a second chance at life, and we get to be the architects of your second chance.
[MONITOR BEEPING.]
It's win-win.
What's going on? [BEEPING CONTINUES.]
- When it works.
- Meredith! There isn't enough tissue.
I can't close.
[BEEPING CONTINUES.]
Damn it! [BEEPING CONTINUES.]
He likes you.
He has feelings for you.
You should just tell him.
You want to go have some overly tired sex? I just got fired.
OWEN: Two soldiers came to the house today.
They said they found Megan.
They said that she's alive.
MEREDITH: Remember the dream where they come back to us? - Megan's alive? - Megan's alive.
If this were Derek, I would already be gone.
[HELICOPTER BLADES WHIRRING.]
MEREDITH: A painful irony for doctors is that we often have to make you sicker in order to heal you.
Megan? Megan.
Who Who are you? Sorry.
[LAUGHS.]
I had to do it.
[BOTH LAUGH.]
Will you unstrap me from this thing so I can hug your ridiculously pale body? Yeah.
[BELT CLICKS.]
Come here.
If a bone has healed unevenly, we have to rebreak it.
If a scar is too thick, we have to scrape it off and create a new wound.
We break you down to rebuild you.
MEGAN: I was not kept in that hole.
I was tossed in the hole when the bombing started.
They were trying to protect me.
Trauma surgeons aren't easy to come by in Iraq.
- So all these years, you - I was treated really well.
They'd just, you know, kill me if I left.
Your wife is really pretty.
I'm really happy to meet you.
Me too.
[CHUCKLES SOFTLY.]
Hey, stranger.
[CHUCKLES SOFTLY.]
[SOBBING.]
[INHALES SHARPLY.]
I'm so sorry.
Shh.
Babe, it's okay.
It's okay.
I'm okay.
I'm Okay, ow.
You're gonna have to Ow.
- What hurts? - What's wrong? There was a bombing six months ago.
I took some shrapnel.
There were post-op complications.
It didn't heal so well.
Okay.
Um, all right, everyone! Listen up, please! Uh, first, I want to thank you all for keeping your heads during the events of last night.
Thanks to you, there were very minimal injuries, and the firefighters were able to contain the blaze quickly.
There was some damage, however, that will need to be repaired.
Uh, the neuro ICU, the cath lab, and pulmonary clinic [CLEARS THROAT.]
[HUSHED VOICE.]
She fired Eliza.
[HUSHED VOICE.]
Oh, yeah.
I heard.
Just give her some room.
Getting fired is humiliating.
How much room? Like, hours or days? and endoscopy suites I've never been fired.
These stations will be off-limits to pedestrian foot traffic.
Stephanie's gone.
She was airlifted to a burn center in Texas.
So until further notice, ORs 3 through 6 are nonfunctional.
Hunt, your sister's here? Yeah, Riggs is taking her to CT.
Uh, Riggs and I, we're gonna need to take some leave.
Understood.
I'll update Bailey.
Uh, your sister will be our first priority - as soon as we're done here.
- Okay.
Thanks.
To recap, we are to avoid ORs 3 through 6 and the entire neuro wing, as they are unstable.
[CLATTER.]
[INDISTINCT SHOUTING.]
And also avoid fourth-floor nurses station until further notice.
[TELEPHONE RINGS.]
Hey.
- Hey.
- You're working? Yeah, I'm gonna work.
How's Megan? Uh, she's alive.
And well, not quite well, but she's funny and sharp and very much alive, which is, you know, energizing.
I mean, this miracle happened, and it makes me aware that I have the ability to make that miracle happen for someone else's family, so yeah.
I'm gonna work.
You don't think you should be with Owen today? You know what I'm super-good in a crisis, but the crisis is over.
[CABINET DOOR CLOSES.]
[DOOR CLOSES.]
[WHIRRING.]
And you've been here for how long? Couple years now.
And have you met anyone you know, significant? Hey.
Oh, h-hang one sec, Meg.
- Hey.
- Hey.
How is she doing? Oh, she's, um, got a frozen abdomen, but You know, all things considered, she's pretty okay.
That's great.
And how are you? Yeah, all things considered, pretty okay.
You? Same.
Hey, sorry, Meg.
Where were we? I was asking if you met anyone, and you were buying time to come up with an acceptable answer.
- I wasn't buying time.
- Liar.
Look.
Uh I-I did meet someone.
And? And she's not you.
Smooth.
Right? [BOTH LAUGH.]
The southwest wing of the second floor has been cleared, so all of the patients in beds 3 through 10 can be transported back upstairs, okay? - DeLuca, what do you got? - Beau Martinez, 14 years old.
Presents with intense jaw pain and recurrent left-sided headaches.
Beau, can you follow my finger? Good.
- When did the pain start? - A few months ago.
They took these X-rays last month.
They saw nothing.
They gave him pain pills that don't work, and now they won't give him any more 'cause They treat him like he's a drug addict or something.
That's not my kid.
He can't even play baseball anymore.
He says it's a stabbing pain in the jaw and mastoid area.
Thought maybe we should get a head, cervical, maxillofacial CT.
Agreed.
Beau, I've got you.
I know this pain is real, and I am not gonna rest until we find out what it is and how to fix it.
You have my word.
You both do.
Okay.
Is this Megan Hunt? Yeah.
Nastiest abdominal wound I've ever seen.
Massive hernia, giant fistula.
The abdominal layers have scarred and fused to each other.
Her small bowel and colon are just One big blob.
And there's not enough healthy skin to properly close the wound.
I think we just optimize her nutrition, vac the wound, and wait.
I mean, it'll close eventually.
She wants us to reverse the colostomy.
I can't see a way to make that happen.
Well, I can.
And you taught it to me.
So, I would like to reapproximate the abdominal wall a little bit at a time.
Put in tissue expanders to stretch the skin and then pull the abdomen back together slowly.
And then we'll go back in, take down the fistula, reverse the colostomy, and I'll close with a component separation surgery.
Which means what? Which means she's my new favorite person.
Who are you? I'm Meredith Grey.
Thank you for your service, Dr.
Hunt.
Well, I admit I've been out of the O.
R.
for a while, but this sounds like a risky surgery.
BAILEY: It most definitely is.
And there's no guarantee that it'll work.
Yeah, which is why Dr.
Bailey and I would recommend a more conservative approach.
Thank you, but I just came back from being presumed dead.
I'm not about to play it safe.
Also, it's really hard to live with an open abdominal wound in Iraq.
What do you mean, "in Iraq"? [SIGHS.]
Yeah, I was trying to figure out how to tell you this.
As soon as I'm well, I have to go back to Iraq.
My child is there.
His name is Farouk.
His parents were Syrian insurgent fighters.
They both died in combat.
I took him in when he was 4.
He's 10 now.
I'm the only parent he has, and he is the main reason that I stayed sane all these years.
I'm a grandmother? [LAUGHS.]
And you couldn't bring him with you? You're a national hero.
Tell that to the U.
S.
immigration laws.
If your surgery works, I'll have a functioning bowel? That's the plan.
Then that's what we're doing.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Meredith? I'm sorry I would never have asked you to consult on Megan's case.
Oh, you didn't ask me.
Well, is you working on Megan the best idea? I mean, family and all, conflict of interest.
She's not my family.
[HUSHED VOICE.]
Well, I get that, but I am the best person for this job.
Just let me help.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Are you crying about the empty board? Did you see Steph last night? Oh.
um, yeah.
Yeah, look, we She was hurt, but we got to her in time.
It was kind of unbelievable.
I mean, it was, uh It was thrilling, actually.
You know? It was a rush.
Who am I gonna talk to now? Who am I gonna compete against? W-Who's gonna tell me when I'm being ridiculous or or when I stink and need a shower? Way to make Stephanie's life-changing injuries about you.
You called it a rush! Yeah, I guess.
Oh, and, uh, you do.
Do what? Need a shower.
[SCOFFS.]
- Hey.
- Oh.
Hey.
You busy? Uh, have you seen the board? Come with me.
Hey, looking good, Max.
Feeling good, Dr.
Alex.
- Hey, Max, this is, uh, Dr.
Wilson.
- Hi.
She's gonna read me your chart, okay? Max Spencer, 7 years old.
Has had intermittent abdominal pain and vomiting for months.
Upper GI found evidence of malrotation due to the presence of bands.
Needs a Ladd's procedure, which is scheduled for As soon my gastric emptying study comes back normal.
[LAUGHS.]
Exactly.
Wow.
You're pretty smart, huh? Look! Allora the Warrior Queen! Is that you?! Max, don't blow her cover.
She's gonna be doing your surgery.
Uh Are you serious? You're gonna let me do a Ladd's procedure? By myself? Think you can handle it? Handle it? I'm a frickin' warrior queen! [CHUCKLES.]
[CELLPHONES BUZZING, CHIMING.]
- You paged? - Sub-I's.
[CLEARS THROAT.]
What? As if we didn't have enough to deal with today, Minnick's new sub-I's are here.
- Sub-I's? - The sub-interns.
The group of fourth-year med students she's been courting to be potential interns? They're here for a six-week rotation.
She didn't talk to you about this? Well, she may have mentioned it, but I got pretty good at ignoring her.
[SCOFFS.]
Well, they're here.
And they're yours.
And they're all in the top 10% of their programs.
So they're completely socially inept? Probably.
[GRUMBLES.]
- [KNOCK ON DOOR.]
- [CELLPHONE CHIMES.]
Dr.
Hunt.
- Fistulagram? - Exactly.
Are you sure you want to put yourself through all this? It's a tube in my belly, with some dye.
This is nothing.
- Well, I don't need to see it.
- [CHUCKLES.]
I'll be back tomorrow bright and early, sweetheart.
[DOOR CLOSES.]
You don't get to see this, either.
- Yeah, I'll take your mom home.
- Okay.
[CHUCKLES.]
- Goodbye, Meredith.
- Goodbye, Evelyn.
So, you and my mom are on a first-name basis? Well, I was in both of Owen's weddings, so Both of them? Ho-ho-ho.
This is exciting.
Give me the scoop.
Which of Owen wives did you like better, and why? I couldn't possibly answer that question.
Ugh.
Fine.
Don't talk about Owen.
Talk about Nathan.
Who was he dating, when, and for how long? Okay, Megan, will you let Dr.
Grey just focus on her job, please? - Buzzkill.
- [CHUCKLES.]
Take a deep breath.
All right.
Uh, here is the ER.
We are entering the ER.
As you probably know, we are a level-one trauma center.
We are a level-one trauma center.
Dr.
Webber, what is the trauma volume for Grey Sloan? - Okay, the ER sees 120,000 cases a year.
- The ER sees 120,000 cases a year.
- Of which 5,000 are - 5,000 - related to trauma.
- are related to trauma.
- 22% penetrating trauma.
- 22% penetrating trauma.
Uh, your name, again? Candace Warner.
Uh, Candace, uh it might be a good idea to put away the phone.
I find the voice-to-notes app the most efficient way to record the tour.
And I find it the most annoying way for you to do the tour.
[DOORS OPEN.]
BEN: Coming through! Oh! Okay.
What do you got? Pedestrian versus SUV.
Multiple open fractures.
Arrested en route.
APRIL: Let's get set up for an ED thoracotomy.
Mind if we observe? Long as you stay out of my way! Chest tray, size 6 1/2 gloves.
Ready? On my count.
One, two, three.
Glove me.
Betadine his chest.
Someone take over bagging.
All right.
Hey, Candace, if you were busy dictating all of this into your mobile device, you'd miss all of the Aaaaaaahhh! Aaaaaaaaaaaaaaaahhhhhhh! - Aaaahh! - Dr.
Webber? Okay, look, everybody out! Let's go! - Everybody out! Out, out! Everybody out! - Aaaaaah! - Aaaaaaaaahhhh! - Get him up.
He's 35? Maybe now he's 38.
- And a fireman? - Mm-hmm.
Oh, ho ho! - Get it, Mom.
- [BOTH LAUGH.]
You know, I didn't like it at first.
Yeah, I still don't like it.
But it makes her happy, so [LAUGHS.]
I never should've stopped looking for you.
Ohh.
Owen, look at me.
I'm okay.
There were some beatings in the beginning to make sure I didn't try to escape.
But after a while, I made friends and played cards and did surgery and raised my kid, and I was okay.
I didn't want you to waste your life looking for me.
I used to pray every night that you had gone home to Mom and married anyone but Beth.
[CHUCKLES.]
I wanted you to be happy.
I still want you to be happy.
And this guilt, it's it's worse than useless.
And there's something I really need you to do.
Anything.
When I eat, it comes out through the fistula, like, instantly.
It's disgusting.
So I'm gonna need you to get me an ice-blended mocha while Nathan's driving Mom home.
Are you serious? Ice-blended mocha, stat.
Extra whipped cream.
- [KNOCK ON DOOR.]
- Eliza? Hey, come on.
Come on.
I've given you all the time that I can.
Now you you have to let me help you lick your wounds.
Wow.
That sounded dirtier than I meant it to.
Eliza! Come on.
[INDISTINCT CONVERSATIONS.]
Coffee after 5:00 p.
m.
? You are never gonna sleep tonight.
Teddy? - Hi! - Teddy! - What are you doing here? - Well, Megan's home.
You didn't think I'd come and see how you're doing? [BOTH LAUGH.]
[SHIP HORN BLOWS.]
[POUNDING, DRILL WHIRRING.]
[INDISTINCT TALKING.]
BEN: So, what's going on here? It's hard to say.
We're still in pre-op.
Yeah, I'm pretty sure that's the lead surgeon.
- Yeah.
- Oh, and that over there? Yeah, I think that's his best scrub nurse.
Huh.
- Is he hot? - Well, he's not un-hot.
But it's only been a few dates, so - [LAUGHING.]
Ow! - Sorry.
Just a few more of these shots to relax the oblique muscles, create a little more laxity.
Yeah, well, when you're done with that, you think you can put a little of that Botox right there? [LAUGHTER.]
That brow has not unfurrowed since I got home.
Well, it's a brother's job to worry.
- Thank you.
- Wrong! It is a mother's job to worry.
It is a brother's job to entertain.
Oh, so you want me to tap dance or? No, but if you could dig out - the kilt and bagpipes - Ohh.
that would definitely make me feel better.
Okay, you play the bagpipes? For one summer in the eighth grade, and she'll never let me live it down! Oh, my God! I want to see that so badly.
Me too.
Look.
Can I turn around now? ALL: No! Avery.
You almost done here? I-I'm doing a tumor board presentation, and it's kind of pointless without you there.
Amelia, this is Teddy.
She came all the way from From Germany, right.
Um, we spoke on the phone.
- Yeah.
It's so nice to meet - Yes, yeah, good to meet you.
Um I'm sorry.
I'm distracted.
I have a kid with an osteoblastoma, so You're presenting him.
I totally get it.
JACKSON: You know what? I'm done here.
I'll just check back in on you later.
No straining those abdominal muscles, please, okay? Yes, sir.
[DOOR CLOSES.]
What? I've been meaning to ask.
How's married life? [CHUCKLES SOFTLY.]
How's your colostomy bag? [LAUGHS.]
Our patient is a 14-year-old in constant and increasing pain.
DeLuca? On MRI, he was found to have a large osteoblastoma involving the temporal bone, the mandible, and the mastoid.
It encases the 7th and 8th cranial nerves.
We managed to obtain a biopsy through the ear, and it is benign.
I can resect it from a sub-occipital approach, but I will need assistance with a jaw reconstruction and temporalis muscle flap.
That tumor's inoperable.
I'm not a big believer in inoperable.
God, yes.
Unicorns, possibly.
Inoperable, no.
Then start hunting unicorns.
Your chances are better.
You don't hunt unicorns.
What's the matter with you? You should treat it with radiation.
Which won't help much.
If you go in, you'll cut - the cranial nerves.
- No, I won't.
You try to resect along the zygomatic arch, you could send this kid home with no lower jaw.
What, so we just send him home to die? No.
You don't send him home to die.
You Send him home to suffer in miserable pain for the rest of his miserable life.
I was gonna say send him to a pain clinic.
Mine is more accurate.
He's letting you do a pediatric Ladd's procedure? Like, the whole thing? Solo? [INHALES SHARPLY.]
Is that a bad reason to fall back in love with someone? [SCOFFS.]
Seems as good a reason as any to me.
Mm it's a bad idea.
Like, bad bad.
Like "it ends with ruined lives and someone going to prison" bad.
- It's - No.
- [CLEARS THROAT.]
- "No," what? No, I will not be your new Stephanie.
Y She had way more patience for all of your Yeah, no.
No.
All right, and this is the skills lab.
Uh, Dr.
Wilson, have you met our new sub-interns? I didn't know that was a thing.
- [CHUCKLES.]
- Hm.
This is Dr.
Wilson.
She's a senior resident.
You want to show the kids what you're working on, Wilson? Yes.
Uh, well, this is a virtual dissection table.
- So, for this case - [CELLPHONES CLICKING.]
I'm going to lift the omentum and then run the bowel from the ligament of Treitz to the ileocecal valve.
[CLICKING CONTINUES.]
Look up from your notes, people! Sir, if I may, this is why No, you may not.
Can't keep my hands to myself She ghosted you.
What? What's that? No text? No note? Just disappeared? She ghosted you.
People do that? Like, often enough that it has its own term? It's cruel and awful, and no one should do it to anyone ever, and I am so sorry.
Might be over now, but I feel it still Well, at least she was crystal-clear about her intentions.
She didn't confuse you with a whole Montana situation and then just linger.
What's a Montana situation? Is that another term that I've never heard of? I feel so old.
Surprise.
[GASPS.]
Oh, my God! Oh my God! You're here! Callie left me, and she went to New York, and she took Sofia, and I managed to find love again, but then she got fired, and I've been meaning to call you forever, and I'm so sorry.
Did I ghost you? 'Cause I'm I'm I'm so sorry.
I'm a terrible friend, and I'm so glad you're here! [BOTH LAUGH.]
I been feeling it since 1966 Hey.
What? I got something on my face? No.
No, your face is perfect.
I mean I have to I have a What's that? This was great, but I have, uh [CLEARS THROAT.]
Ooh-ooh, I'm a rebel just for kicks, now I been feelin' it since 1986, now Might be over now, but I feel it still Can you hear me? Yeah.
I don't think you should be up there.
Why not? Because what you are about to see is decidedly unsexy.
Blood guts.
Nah, you look good in anything.
[LAUGHING.]
Shut up.
- Hi.
- Hi.
Do you have any questions before we get started? - Can I see the expanders? - Of course.
Bokhee? Wow! That is Wow.
That's big.
We'll deflate them to put them in, and then we will slowly reinflate them with saline.
We're gonna need as much space as we can get.
You know what we'd say in the Army right now? What? - Say it with me, Nathan! - Mm.
- Hooah! - Hooah! - Hooah! - Hooah! - Hooah! - Hooah! Let's do this thing, Dr.
Grey.
Let's do it.
Okay.
[MONITOR BEEPING.]
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
[INDISTINCT CONVERSATIONS.]
[HYPERVENTILATING.]
Okay, all right.
Okay.
All right.
Look.
Hey.
This is a minor surgery.
She'll be fine.
This stage is nothing.
[BREATHING RAPIDLY.]
All right.
You know what? You You need to put your head between your knees.
No.
Head between your knees, Major! Sit down.
[BREATHING RAPIDLY.]
All right.
That's it.
All right.
Breathe.
I can't lose her again, Teddy.
I know.
I lost 10 years.
She doesn't even look the way I remember her.
I lost her even in my memory.
And now she's back.
And I can't lose her again.
I know.
It's okay.
Listen, you have a plane to catch.
I'm not going anywhere.
[BREATHING SLOWLY.]
[POUNDING, DRILLS WHIRRING.]
[INDISTINCT TALKING.]
Ortho docs? BAILEY: Only louder! [POUNDING, WHIRRING CONTINUE.]
MEREDITH: Okay, you're gonna feel a little pinch.
It shouldn't hurt that bad, okay? That's it.
You good? Mm-hmm.
Meredith, I was so sorry to hear about Derek.
Oh.
Thanks.
Me too.
Who's Derek? I-It's a long story.
[CELLPHONE CHIMES.]
Oh.
This is for you.
[GASPS.]
It's Farouk! Mm.
He's a selfie master.
[LAUGHTER.]
That's an impressive snout.
- Yeah, excellent work.
- Where is he now? Ah, he's with U.
S.
Military in Baghdad.
I haven't been able to legally adopt him, and he's a Syrian refugee.
It'll take years before I can get him here, if ever.
I just want to get back to him.
Hey, Nathan, are you planning on moving with Megan, uh, looks like you could use some air.
Meredith, is it okay if we take her outside? Oh, my God.
Outside? Yes, please.
- I got it! [LAUGHS.]
- You all right? So this is what it feels like to be a robot.
[BOTH LAUGH.]
I don't know about robot.
I'm thinking more alien? You think? Or, like, strange sea creature, maybe? [SHRIEKING.]
There you go.
That's it.
That's it.
- [SHRIEKING CONTINUES.]
- [LAUGHS.]
You got a little weird when I asked about Nathan moving with Megan.
You still upset with him? Nathan and Meredith were a thing.
Right up until we got the call about Megan.
And we don't want her to know.
Wait.
Are you Are you kidding? Owen, are you kidding me? Meredith is Megan's surgeon, and you don't want her to know? You ready? Okay, you're gonna go to sleep now.
When you wake up, you're gonna be A warrior king! [LAUGHS.]
Exactly! Okay.
[MONITOR BEEPING.]
All right.
You're gonna do great, Max.
[DOOR OPENS.]
RICHARD: And this is the O.
R.
Dr.
Karev, mind if we observe? Um It's up to you.
It's your case.
It's fine.
Let's scrub.
Okay, great.
Let's go.
Hey.
Meredith? Meredith, you have a minute? Hi.
Yeah.
Did you read this article that Cristina published on ex vivo lung perfusion? It's It's not appropriate.
To read Cristina's article? No, for you to operate on Megan Hunt.
Oh.
She chose the surgery.
She's aware of the risks.
But she doesn't know about your history with her fiancé.
I mean, that's a serious conflict of interest.
You have to step away from this case.
- Well, I - You don't get to talk to her like that.
- Amelia.
- Excuse me? - Okay, you're not Megan's doctor, - Amelia.
So if Meredith has decided that she is equipped to handle a surgery, - you don't get to just show up here - I can fight my own battles.
like you own the place and talk to her like that.
I shouldn't have to.
Megan is Owen's sister, and you're Owen's wife, so I shouldn't have to advocate for Megan and Owen, who have been through hell and back a hell which I've personally witnessed.
I shouldn't have to show up here and advocate for them, because that's your job.
But you're not doing it.
I have barely seen you.
Because I have a patient.
You also have a husband.
I'm sorry.
Is it 1952? Should I put on my apron and mix him a gin and tonic? All right.
It's not appropriate for you to be Megan Hunt's surgeon not when she doesn't have the whole history.
Who is she? That's Owen's person.
I have a patient.
Bovie.
[EXHALES SHARPLY.]
Wow.
That's more bands than I expected.
RICHARD: Mind if we take a closer look, Dr.
Wilson? Be my guest.
Okay.
Uh, not you, Candace.
Oh, and not you, either.
Two at a time.
I want you to see what a malrotated bowel looks like.
ALEX: Normally the Cecum is in the right lower quadrant.
JO: But in this case, there are abnormal fibrous bands in the right upper quadrant, causing compressions of the duodenum.
- [GASPS.]
- [GASPS.]
LEVI: Oh, my God! - RICHARD: Oh, my God.
- JO: Oh, my God! ALEX: Step away from the table, Wilson.
Dr.
Karev, my patient, my surgery.
Linda, sponge stick, please.
Okay.
JO: Okay, we're gonna need to change out the contaminated instruments for new ones.
We'll need antibiotic solution, several liters.
And, Dr.
Webber, please remove your students from my O.
R.
If you don't mind, sir.
I-Indeed, Dr.
Wilson.
Let's go.
Out, out.
Let's go.
Out, out, out! Out! - How's his pressure? - Holding steady.
Great.
Irrigation, please.
You paged Avery? Yeah.
He's coming.
When? Dr.
Shepherd, have you slept? Well, you stand in this room staring at this tumor, and I don't see you eat, I don't know when you sleep.
Look, I made a promise to this kid.
And I made a promise to his father.
Also, my husband's sister came back from the dead, and my brother didn't.
So sleep is not really my thing right now.
[DOOR OPENS.]
Avery.
Good.
I'm thinking if we resect the tumor and reconstruct the jaw using a portion of the temporal bone, we may be able to get ahead of This is Kathleen Sampson.
She was 17 when this picture was taken.
And this was her tumor.
That look familiar? I did a sub-occipital approach and a partial tumor resection, and then she looked like that.
But she was still in pain.
I hadn't gotten the whole thing, so it began to grow back.
So I had to go in after it again.
Then again.
You know what Kathleen looks like now? There's Kathleen.
I'm not taking that boy's jaw apart.
Please stop summoning me.
[KEYS CLACKING.]
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
[CELLPHONE BUZZING, CHIMING.]
- Dr.
Webber? - Ah.
Karev.
Uh, you know, I was very impressed with how Wilson handled A situation she never should've had to handle? Yeah, so was I.
We're here to talk about the sub-I's, Dr.
Webber.
The utterly inept Bottom-of-the-barrel med students you keep recklessly hauling around the hospital.
Oh, oh.
So you two think you were any better than them? Karev, you scraped in by the skin of your teeth thanks to an essay you wrote on testicular cancer that I have since found was a lie! Kepner, you failed your boards and got fired twice! I raised you two.
I grew you into the surgeons you are now.
So you don't get to tell me who I will and won't teach and how I should or shouldn't do it! Now, I will thank you to walk away.
Minnick's sub-I's can't be taught! They weren't meant to be surgeons.
I'm not sure they were meant to be doctors.
Maybe they can be researchers in some lab, and even that's questionable! Teddy, it is over with Meredith, all right? It was over the minute I heard Megan was alive.
Well, then, why not tell her? If it's so over, why are you keeping it a secret? OWEN: Maybe because she's been through enough pain for one lifetime? Exactly! Look, there's no reason to put her through it.
That is such B.
S.
I am sorry, but I have been there with you.
I have been the person that found out too late that there was a thing with Meredith, and it just makes everything worse for everyone.
Okay, we were just trying to protect you.
Well, I didn't need your protection.
I needed information.
Thank you.
I am Meredith's sister, so if there are sides to be taken here, I am on hers.
Just tell your fiancée the truth, Nathan.
'Cause she doesn't want your pity or your protection.
What she wants is your respect.
- [DOOR OPENS.]
- Wait.
You had a thing with Meredith's sister, too? Teddy Altman thinks I'm wrong to do Megan's surgery.
Well, since when do you care what Teddy Altman thinks? - [BICYCLE BELL DINGS.]
- Well I don't.
But she thinks I'm wrong, and Amelia's on my side, and Amelia is a little crazy.
No one asked me to do it.
I did insert myself.
Why did I do that? Because you're trying to be the surgeon you wish Derek had had.
[SHIP HORN BLOWS.]
You need to tell Jo that you hired someone to find that husband of hers.
Why? You're trying to win her back, giving her solo surgeries, right? Wait.
You heard about that? Everybody heard about it.
Glasses? [BOTH LAUGH.]
It was insane.
But she handled the hell out of it.
Anyway, if you want to build a future with her, you really should tell her the truth.
She deserves the dignity of the whole story.
Yeah.
I really just don't know why you didn't get your own lunch.
[WOMAN SPEAKING INDISTINCTLY ON P.
A.
.]
Hey.
Hey.
I was avoiding you.
Is that what that was? - I just figured you were a little - What? Odd.
Little odd sometimes.
That's all.
[INHALES SHARPLY.]
I hate when people don't tell me things.
So, um the night of the fire, April said something to me about me being into you and you being into me, and it was weird, and I didn't know what to do with it, so I I was odd.
So April said what? Crazy, right? I know.
Um great.
Glad we're on the same page.
[CHUCKLING.]
Yeah.
[OWEN SIGHS.]
Who's gonna do the talking? I'll do it.
But if I don't come out in 10 minutes, call the police.
[CHUCKLES.]
Can you wait outside? Please? We need a minute.
Are you in love with him? I had one great love in my life, and he died.
Are you a mother? I am.
I need to get back to my son.
And I want to do everything I can to make sure that happens.
Nathan has excellent taste in women.
He certainly does.
[CHUCKLES.]
Ortho wrapped up yesterday.
Then vascular came in, did some work on the walls.
This is The plastics posse.
Precisely.
Mm.
[SLURPING.]
Stop worrying.
Dr.
Grey is a bigger man than either of you.
She'll forgive us eventually, right? Huh.
[CHUCKLES.]
AMELIA: It'll be a long surgery.
We'll have to take apart his jaw and then take out the tumor slowly and carefully to avoid damaging the nerves.
And we will have to wean him off some of his painkillers.
But you think you can do it? You can take the tumor out? Yes.
I think I can.
[MONITOR BEEPING.]
Okay, just one more time.
We'll start by lysing the adhesions to free up the bowel.
And then take down the EC fistula.
After which, we'll reverse the colostomy.
Phew! More nervous than I expected.
Well, that's not a bad thing.
Just means you care.
[WATER RUNNING.]
Excuse me.
Excuse me.
Hey.
Oh.
Thanks.
She's gonna do great.
10 blade.
[LOWELL'S "WAR FACE" PLAYS.]
Ooh Ooh Love fades like a wave Changing seasons Pull up my sleeves and I got my bourbon I got my Jack and [ITALIAN ACCENT.]
You drinking alone? I was ghosted by my girlfriend.
Mm.
Do you know what that means Ghosted? Si.
She disappeared.
Why am I the only person that doesn't W-When did this become something that people do to other people? I think it's because of the Internet.
We yell to our friends and family on Facebook in ways we would never do across a dinner table.
We become, um, uh rude.
Unsensitive.
- "Insensitive.
" - Insensitive.
[CHUCKLING.]
Forget it.
I like your way better.
Ooh, ooh You left me bleedin' Got away with treason I led the battle into the trenches I learned my lesson I count my blessings You had me howlin' You had me howlin' You had me howlin' at the moon Oh, yeah, I'm howlin' Oh, yeah, I'm howlin' Oh, yeah, I'm howlin', but not for you Ooh-ooh-ooh I wear my war face I wear my war face I wear my war face And I'm never gonna take you back again I wear my war face, I wear my war face [BELLS JINGLE.]
I wear my war face Hey.
Can I talk to you? [SIGHS.]
Please don't.
Don't? I'm still in love with Alex.
And I know that he hurt you, and I know that he's volatile, and I know that I can't be with him, but I can't be with you, either.
And we work together, so can we just Can we please just not make it awkward? I wanted to talk about the fact that I'm worried about Dr.
Shepherd.
But yeah, let's not make it awkward.
[BELLS JINGLE.]
Put us back together again I would like to pay for your drink.
Oh, my By way of apology? [EXHALES DEEPLY.]
For your surgery the other day? Yes! I remember.
You should probably buy contact lenses.
Already put in the order.
And for whatever it's worth, you handled that like a boss.
My friend moved away.
And that surgery she would've been so impressed with me.
Mm.
[LAUGHING.]
And we would've laughed really hard - at your expense.
- [LAUGHS.]
I will totally laugh with you at my own expense.
And then she would've reminded me of all the reasons it's a terrible idea to do the one thing that I really, desperately want to do.
Which is what? and all of my men Couldn't put us back together again [EXHALES DEEPLY.]
What's taking so long? Well, we knew it'd be a long wait.
MEREDITH: We go to medical school because we want to learn how to fix what's broken.
- Where's Amelia? - What? Where's your wife, Owen? Hey, it's done.
Meredith did it.
She's getting ready to close.
Ha! [LAUGHING.]
Yes! - [LAUGHS.]
- Come on.
But we quickly learn that we often have to make things worse before we can make them better.
[SIGHS.]
Ohh! [LAUGHS.]
Sorry.
Andrea? Carina? [SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[SPEAKING ITALIAN.]
[BOTH SHOUTING IN ITALIAN.]
[SHOUTING CONTINUES.]
[GASPS.]
Oh! Sorry.
[SIGHS.]
Maybe just, um, take them off? It's risky and it's frightening for surgeons and for patients, but usually, it's worth it.
You get a second chance at life, and we get to be the architects of your second chance.
[MONITOR BEEPING.]
It's win-win.
What's going on? [BEEPING CONTINUES.]
- When it works.
- Meredith! There isn't enough tissue.
I can't close.
[BEEPING CONTINUES.]
Damn it! [BEEPING CONTINUES.]