Grey's Anatomy s21e18 Episode Script
How Do I Live
1
♪
MEREDITH: When training for a marathon,
a runner's body composition
physiologically changes.
Guess the wedding wasn't a cash bar.
Where's Adams?
- I really screwed up.
- Hey.
- You two aren't exclusive, are you?
- Nope.
Okay. Great. Listen.
Last night was fun.
I put my number in your phone in
case you ever want to have more,
uh fun.
Breakfast. Alright.
Who cares what they talk about? ♪
Way to close out your intern year.
I think I'm gonna throw up. [GROANS]
I, I'm finally letting this go ♪
- [ELEVATOR BELL DINGS]
- With consistent exercise,
the heart improves its efficiency
to send oxygen to the muscles.
[BOTH MOANING]
Me, myself, and I ♪
- That was your floor.
- I don't care.
[BOTH MOANING]
Oh, we need a honeymoon. I'm thinking
- beach.
- Beach. Yeah.
- [ELEVATOR BELL DINGS]
- Have a good day.
I'm really tryin',
I don't want to be the same ♪
No matter what I say, it hurts ♪
Fake friends, the worst ♪
It's me, I'm cursed ♪
- [GRUNTS]
- I finally figured it out ♪
It's me who's missing out ♪
Who cares what they talk about? ♪
Yeah, life is better now,
life is better now ♪
Eww!
Muscles adapt to storing
and using energy
while bone density increases
to make bones stronger.
[SIGHS]
Oh! Um I I'm I'm so sorry.
- I should have knocked.
- No. I-I should have locked the door.
Uh
- Um, did did you sleep in here?
- I was up late.
I was working on Nora Young's case.
- Mm-hmm.
- Yeah.
I know that something's gotta change ♪
'Cause people pleasin'
never got me anything ♪
- Uh, Millin?
- Oh! Yeah.
[CLEARS THROAT]
Maybe don't come out right after me.
- Somebody might get the wrong idea.
- Yeah, yeah.
On average, the process
takes around 20 weeks
of mental and
physical dedication,
stamina,
and complete exhaustion
to compete in a race
that's over in a day.
♪
After I tell you
what happened to me,
you're gonna have to tell me
what's going on there.
Out of my way, people! G Move!
Goodness! Okay. Alright.
You are all one shift away
from completing your intern year.
Tomorrow, you will be second-years.
You will wear coats
with your names on it.
- Stop!
- Hm.
And you will help me
teach a new group of liabilities.
When are the new interns arriving?
They will be here onboarding all day.
In the meantime,
I have a gift for you.
- Everyone gets to scrub in today.
- [CHEERS AND APPLAUSE]
Yeah, so Adams, you're with Beltran.
Kwan, Ndugu.
Griffith, Shepherd.
Millin, Altman.
And Collins, Webber.
- I got your page. What's up?
- That's ev
Okay, so, Altman's office
will be reaching out
to set up a meeting
by the end of the day.
She will not be recommending
to permanently bring you on board.
- I do not know the details.
- Where do you need me today?
I just wanted you to hear it from me.
Miranda, if this is my
last day, I want to work.
Uh, there's an MVC patient
from last night in the ICU.
Carter Samuels. He is status
post ex-lap with a shattered liver.
- Keep an eye on him.
- You got it.
[GROANS SOFTLY]
LUCAS: Dylan Gatlin. Nine years old.
Day five post-op from resection of a
cavernous angioma of the brainstem.
Diagnosed with locked-in syndrome
following complications of surgery.
Repeat MRI shows no change
of the small hematoma.
- We get it! Nothing's changed!
- Swelling hasn't gone down at all?
Unfortunately, the bleeding
has not reabsorbed like we hoped.
So what now?
I know this is difficult to hear,
but we'd still like to wait.
- No.
- Jenna.
- No more waiting.
- AMELIA: Mrs. Gatlin.
Do you have kids?
- No.
- I have a son.
Imagine him trapped like this.
He can't tell you
he's cold or hungry.
He can't walk. He can't move.
There must be
something you can do.
Please.
Dr. Shepherd, Ms. Alvarado's
surgery will be in O.R. 2.
I have to go, but I will come back
and check on her as soon as I can.
WOMAN ON P.A.: Dr. Morrissey to the OR.
Dr. Nicholas Morrissey to the OR.
I saw Boston on the schedule
for later this month.
Important business?
- Very. Harriet's dance recital.
- Oh, wow! Okay!
Meredith?
Wha I-I thought you were
coming tomorrow.
You still plan
to meet the new class?
- I already told them you were coming.
- I am.
- And I have a meeting with Catherine.
- Uh, wha
My Alzheimer's research with female mice
is yielding significant
preliminary results.
Oh, congratulations.
Whatever. Can we just get to it?
- Get to what? [MUTTERS]
- I'm selling my hospital shares.
What, you're cutting ties
with Grey-Sloan?
Not at all. I'm pursuing my research.
But I can't bankrupt
my family while doing it.
Amelia and I would apply
for federal funding,
but our research
is focused on women.
- And we all know how that would go.
- You grew up here.
And t-this hospital
is part of who you are.
Part of who I was.
We will build you a new aorta
out of a synthetic graft
that connects the ascending aortic arch
to your abdominal aorta.
And this would eliminate blood
flow in the infected area.
And once the graft is in place,
we'll staple off the old graft
and remove it.
Why not try what you did before?
- What was it? A kind of bypass.
- I told you, Mom It
I don't love you
being a guinea pig!
The last time that we tried to
do a bypass, her heart stopped.
We were essentially
bypassing an artery
the diameter of a golf ball
with something the width of a straw.
At this point, any
extra anatomical bypass
could do more harm than good
because she's hypercoagulable.
- What does that mean?
- JULES: Her blood's more likely
to clot because of the sepsis.
Owen, is this true?
I've known you for years.
Don't sugarcoat it.
I'm afraid so. We were
lucky to get her back.
Are you sure you want to do this?
They don't even know if this will work.
And if it doesn't
NORA: I think it's my only chance.
Do I have time to see my kids?
OWEN: Teddy. Hey. Hey.
Are you sure
this is a good idea?
Stapling the largest artery
in the human body
goes against everything that
I know about heart surgery.
A stapler doesn't even exist
for this type of thing!
So, no, I am not sure
that it's a good idea,
but it's the only one that I have.
So why not wait a beat,
look at other case studies?
Who are you concerned about, Owen?
Me or Nora?
You came up with this procedure
ten hours ago on a cocktail napkin.
I saw you last night.
With Nora.
- [EXHALES SHARPLY]
- Was there a trauma?
Or did you just lie
so that you could spend
quality time
with your girlfriend?
My girl [SCOFFS]
Teddy, she is dying. And she has no one.
Seems like she has you.
- Are you in love with her?
- Teddy. I told you.
I told you. Sleeping
with her meant nothing.
I'm not talking
about that night.
I am talking about right now.
Are you in love with her?
Teddy, I am married to you.
That's not what I asked.
- I have to go prep.
- [DOOR OPENS]
They're bringing Ms. Alvarado up.
- Are you okay?
- Absolutely.
I'm prepped on
the patient's aneurysm.
I've studied her scans,
memorized the steps.
That's not what I'm asking.
I always know when
something is off with Lucas.
I know that relationships
at work are never
I'm good.
Dr. Shepherd, I'm focused.
I'm clear-headed.
I would never put
Ms. Alvarado in danger.
Stop talking.
- Jenna, what are you doing?
- This tank is full of acetylene.
One exploded at my husband's work site,
and it took down half the building.
- Okay. Why don't we take it outside?
- [FLINT SPARKS]
You're gonna put
your phone on the counter.
And then you're gonna operate on Dylan.
And you're gonna fix her.
And if you don't
if you don't save her
I'm taking everyone down with me.
♪
WOMAN ON P.A.:
Dr. Beverly Lux to Radiology.
Hey. Have you seen Dr. Beltran?
I don't know. Try the peds floor.
She's not there, and she's not
responding to my pages.
[CELLPHONE RINGS]
Hey. Have you seen Dr. Beltran?
AMELIA: I need you to bring Dylan Gatlin
up to the corridor outside of O.R 2.
I'll pick her up from there.
- Wait. Why?
- I'm gonna operate.
- But the hematoma is stable.
- Don't argue. Just do it. Now.
Wait. Where Where's Griffith?
Hel Hello?
Alright. Well, I got to run
a patient up to the O.R.
If you see Dr. Beltran, can you
please tell her to answer my page?
Nope.
He's bleeding from
the wound vac, by the way.
♪
BEN: Page Dr. Bailey and
book an O.R.! [SIGHS]
I love you, and I'm gonna
see you when I wake up, okay?
- All of you.
- We love you, too, mom.
- It's gonna be fine.
- Yeah.
SARAH: Come on, kids.
Okay. Give me a hug
Let's go.
Okay. Alright.
I'm I'm gonna be out very soon.
I don't want to go.
It's okay. It's okay, honey.
I'll be out.
I'll be out very soon.
Okay?
Okay. Go with Nana.
I'll be out soon, okay?
Bye.
It's okay.
- Mom, wait.
- I want to
- I'll see you after your surgery.
- Okay.
[SNIFFLES]
- I can't do this.
- Yes, you can.
What if that was the last time
I see my kids?
- Hey.
- NORA: Hi.
Let's tell transport it's time.
- I'll see you in there.
- Okay.
Hey.
Hi.
When I told you
I loved you last night,
I thought I was dying.
And I know that I still could die.
But if Teddy's plan works,
then I want you to know
that if you're not there
when I wake up, I understand.
- And if it doesn't work
- Nora.
Just please watch over my mom.
My ex will take care
of the kids,
but I my mom
doesn't have anyone, so
- I will. Okay?
- Okay.
- Yeah?
- Mm-hmm.
And, Nora, you are going to
make it to the other side.
- Okay?
- Okay. Mm-hmm.
- Okay. Okay?
- Yeah.
- You're good.
- Yeah?
Yeah.
♪
[DOOR OPENS]
AMELIA: Lucas! You were supposed
to leave her outside and go!
But thank you!
We've got it from here!
LUCAS: Did you see something
new on Dylan's scans?
I don't know where Dr. Griffith is,
but Ms. Alvarado's husband's pissed.
What the hell is happening?
Dr. Shepherd is gonna
save my daughter,
- right, Dr. Griffith?
- Hey. Let her go.
[FLINT SPARKS]
Stop!
Jenna, the first time
we operated on Dylan,
I had an entire team
for neuromonitoring and imaging
that helped guide me.
Going back into her brain
without that
is extremely dangerous.
Let us go, and we will
talk about her options.
♪
No one's leaving.
Not until you fix my daughter.
♪
[SIMONE GASPS]
LUCAS: Alright. Let's
transfer her to the table.
♪
[SIMONE WHIMPERS]
You have a pre-surgery ritual?
Does scrubbing count?
Yeah, if it gets you
in the zone, sure.
We are about to attempt
a Hail Mary.
I'm not sure what kind
of mindset I should be in.
There's only one, right?
Go big or go home.
We hold people's lives
in our hands every day.
We can do this.
[WATER RUNNING]
[WATER SHUTS OFF]
- You okay?
- Let's go.
AMELIA: Cottonoid.
[SUCTIONING]
- She can't feel it.
- I know.
AMELIA: Okay, we need
to retrace our steps
and find the bleed.
Lucas.
LUCAS: We need to call for help.
Acetylene is highly flammable.
- What is she sets that thing off?
- Keep your voice down.
I cannot do this
without your help.
- Can you do this?
- Yes. We'll go slowly.
We will look for the gel foams
that we placed earlier.
Those will be our markers.
♪
Can you talk?
Well, I have a consult for
a physician who works here.
It's not personal. It's just business.
Oh, you want to
talk business? Okay.
Your move to Boston
cost this hospital
thousands of research dollars
and potential surgeries.
Who knows how many
top-tier interns
decided to look elsewhere?
Like it or not,
people come to Grey-Sloan
because of Meredith Grey.
So should we just forget
about the millions of people
who are suffering from the
disease that I'm trying to end?
I am not saying that
your work isn't invaluable.
This hospital shouldn't
be one of its costs.
Dr. Webber, I think there's
a hostage situation in O.R. 2.
- A hostage situation?
- It looked like the patient's mom
was holding
an explosive to Griffith.
- And Shepherd and Adams are operating.
- You call 911.
We're gonna have to evacuate
this whole O.R. floor.
OPERATOR: 911.
MONICA: Hi. Yes. I'm
at Grey-Sloan Hospital
- [ELEVATOR BELL DINGS]
- Hey. Oh. How's Carter doing?
His bleeding picked up.
He's responsive to blood products,
but he gets tachy between units.
So he needs a takedown washout
and re-exploration.
Mm-hmm. Can I scrub in?
I'd like to see him through.
- Of course.
- [ELEVATOR BELL DINGS]
Whoa! You need to take
your patient back.
- This floor is locked down.
- I just booked an O.R.
There is a potential hostage
situation in progress.
The police are on their way.
We're trying to evacuate this
floor and divert all traumas A.S.A.P.
Anything that is emergent
needs to go to the ICU.
Okay. I'll get the word
out to our residents.
OWEN: Okay. Thank you.
That's it? We just let him
bleed out in the ICU?
Uh, no. We'll bridge with blood and FFP.
What if he gets acidotic?
Look, when the O.R.s reopen,
he'll be first in line.
[SIGHS]
[DOOR OPENS]
Hey! Thought you had an arthroscopy.
Got moved.
Apparently, they're
evacuating the O.R. floor.
Hospital-wide page just went out.
- Do we know why?
- Probably nothing.
Last time, the "suspicious package"
turned out to be a nurse's lunchbox.
[CHUCKLES]
They're gonna page me
when things resume.
Probably an hour.
Interesting, because
I just have to round
before my C-section at 4:30.
So we have time.
- We have time.
- [MOANS]
Who the hell is this woman?!
How did she get on my O.R.
floor with a gas cylinder?!
She's the mother of
a nine-year-old patient
that Dr. Shepherd and I
have been treating.
Until we can confirm what
that mother actually has,
we're evacuating floors
above and below.
And we're turning off
the ventilation system
as a precaution since we're
working with an unknown gas.
I want a direct line to that O.R.
I need to know
if my doctors are okay.
- Meredith, you don't have to stay.
- That's my family in there.
[KEYPAD BEEPING]
[TELEPHONE RINGS]
[TELEPHONE RINGS]
- Ignore it. Keep going.
- [TELEPHONE RINGS]
AMELIA: There's a lot of
swelling from the first procedure.
- I don't know where I am.
- Suction.
LUCAS: Is that the superior colliculi?
Derek always said if you're lost,
find the normal anatomy, a touchstone.
- I need a North Star.
- [TELEPHONE RINGS]
- There's the facial nerve fibers
- [TELEPHONE RINGS]
the floor of the fourth ventricle.
I cannot continue to work
in your daughter's brain
- while that phone is ringing!
- [TELEPHONE RINGS]
[LINE RINGING]
[POLICE RADIO CHATTER]
[LINE RINGING]
- JENNA: What do you want?
- Uh, Mrs. Gatlin, this is Dr. Webber.
I need you to tell me
if my doctors are okay.
- They're in the middle of surgery!
- Are they okay?
AMELIA: We're okay.
OFFICER BRUNO:
Can you tell us the substance
that you have with you?
It's acetylene from my husband's truck.
If anyone comes in here,
I'm gonna light it up.
Mrs. Gatlin, look. I know you're
worried about your daughter,
but I need to send a team
in there to take that tank.
They can continue to work.
AMELIA: There. I see the pathway
back to where the angioma was.
I know where I am.
Irrigation.
- RICHARD: Mrs. Gatlin?
- Unplug it.
- Now!
- [SIMONE GASPS]
Go back to where you were.
No more calls.
We need to talk to that husband.
If it is truly acetylene,
SWAT needs to get in here now.
- Well, hold on. Wait a second.
- Let's go.
That mother's not in a rational state.
If you send officers in
there right now, it's over.
Amelia has already
started the surgery,
so the safest thing
for us to do right now
is to let her finish.
Is now a good time to mention
that she is operating
without a neural monitoring team
or any imaging?
It's Amelia. She can do it.
What is the case?
TEDDY: Fully dissected around
the supraceliac aorta.
Kwan, what's next?
- BLUE: Vessel loop for control.
- Good. Vessel loop.
OWEN: Didn't you see the page?
- You were supposed to have evacuated.
- We are mid-procedure.
Damage control and close. Now.
WINSTON: Do we know what's going on?
There's a disgruntled
family member with some
kind of explosive in the O.R.
next to this one.
You all need to leave!
TEDDY: We have already isolated
the ascending and supraceliac aorta.
Her pressures aren't good.
If we close now Nora is dead.
♪
You should go.
- Teddy, you can't stay.
- Owen, please. Go.
♪
WINSTON: If anyone else wants
to leave, they should go.
No judgment.
[SOFT MURMURING]
♪
BLUE: I'm staying.
JULES: Me too.
♪
[SUCTIONING]
- [RAPID BEEPING]
- 100 cc's in five minutes.
His bleeding's doubled
in the last hour.
- Where the hell is that ABG I ordered?!
- Sorry. It just came in.
Lactate's higher. Hemoglobin's down.
- He's getting acidotic. Damn it!
- [RAPID BEEPING]
♪
We have to reopen his ex-lap.
Get me a gown and gloves,
a surgical tray, and a bovie.
No. You need to call an attending.
There's no time, not if we don't
get this bleeding under control.
Alright. Let's move!
Floor sex is not comfortable
when you're pregnant with twins.
- [CHUCKLES] Sorry.
- Mm-hmm.
The O.B. supply closet
is not the ideal place for a honeymoon.
[INHALES SHARPLY] Hm.
Was someone here before us?
- It's for the ultrasound machine!
- [BOTH LAUGH]
You hear that, though?
- What, you get a text?
- No.
It's the waves crashing on the shore
outside of our beachfront hotel room.
- Mmm!
- [CHUCKLES]
I can hear it.
And the seagulls flying overhead.
Hm. The palm leaves
flapping in the trade winds.
- Mm.
- [CHUCKLES]
♪
[SIREN WAILS IN DISTANCE]
BEN: No bleeding
in the upper quadrant.
And how's everything
going in here
Ben Warren, tell me you
are not operating on a man
in the middle of
the intensive care unit!
- I can't do that.
- Wha
He started deteriorating, and
I can't get him to the O.R.,
so I brought the O.R. to him.
You do not cut a patient open
outside of the O.R.
unless he's about to die!
Yeah, what are they gonna do? Fire me?
Well, they're not afraid to fire me.
They've done it before.
Which is why I left you
out of it. Vistaseal.
♪
Okay. You're gonna
need help with that liver.
Just Give me a damn gown!
♪
Your parents must be
so proud of you.
When Dylan was five,
she wanted to be a doctor.
AMELIA: There you are.
What do you mean?
What's happening?
[SOFTLY] I've reached
the hematoma.
- LUCAS: [SOFTLY] Yeah. It's pretty big.
- I'm aware.
- Talk so I can hear you!
- Preparing to suction.
♪
Here we go, Dylan.
- Has anybody heard from Hunt?
- No.
This looks impossible to access.
Shepherd will make it through this.
She has before.
She has a stake in this hospital.
She's here every day.
You really want to do this now?
I've cleared all the O.R.s
except for one.
Teddy won't leave.
Ndugu, Kwan, and Millin
are with her.
- Send the police in.
- Thank you.
Well, hold on! What happened
to giving Amelia time?
This mother doesn't
want to hurt anyone.
She wants to save her kid.
Her daughter has very little
chance of survival.
Everyone else up there does.
- You just said Amelia can do this.
- Dr. Grey.
Dylan's morning labs just came in.
- WINSTON: Alright. Millin, suction.
- JULES: Mm-hmm.
Anastomoses are complete.
Excellent job. All that's left
to do is staple the aorta.
We don't need you for that.
Time to go.
You want me to leave?
What about Kwan?
- BLUE: What about Kwan?
- TEDDY: He's leaving. too.
WINSTON: We are your attendings,
and we're responsible for you.
We've put you in enough
danger today, so get out.
Let's go. Now!
♪
WINSTON: [SIGHS] Alright.
Moment of truth.
You ready to staple?
♪
No.
Why did I think
that this could work?
This isn't the time for second-guessing.
The moment that
we staple her aorta,
the pressure from her heart
could blow the staple line
and she'll die.
We always knew this was a possibility.
But if we do nothing, she dies.
This floor could blow up,
and we all die.
But if this surgery goes wrong,
it'll be my hands that kill her.
♪
LUCAS: You've got it. Almost there.
AMELIA: She keeps oozing.
Dr. Shepherd, her labs just
came back from this morning.
♪
Damn it. We need FFP.
- We don't have it.
- What are you talking about?!
AMELIA: Dylan has
started bleeding.
We can help her, but we need
to give her blood products.
JENNA: You must have done something!
You made her bleed again?!
AMELIA: We always knew this
was a risk if I went back in.
- [SIMONE GASPS]
- Fix her!
I want to save your daughter.
I have never wanted to do
anything but save your daughter!
I should have never let you
operate on her the first time!
She'd be fine! She'd be awake!
She'd be happy!
She'd be quizzing me
on the names of trees!
- She can still do that!
- LUCAS: She won't stop oozing.
She's nine, and I took that from her!
You fix her!
[FLINT SPARKS]
Not everything can be fixed!
You did nothing wrong!
All you did is love your daughter.
No one could have
predicted this.
But we can still
fight for her if you
- Lucas, no!
- Don't come any closer!
MEREDITH: Stop! Stop!
Are you a cop?
No. I'm a surgeon.
I'm here to help.
Dylan's coagulopathic,
which means
her blood can't clot well.
We can treat it.
This is FFP.
It's fresh frozen plasma.
It's got proteins
with clotting factors.
AMELIA: If we don't give it to
her, she will continue to bleed,
and we will not
be able to close.
MEREDITH: I'm a mother, too.
I actually had my son
in this very O.R.
I know we we would
do anything for our kids.
We feel our kids' pain
as deeply as they do, if not more.
- And we live to protect them.
- [RAPID BEEPING]
Give her the FFP right now.
O-Okay. Go ahead.
JENNA: Dylan w-was a breech baby.
For the last eight weeks
of my pregnancy,
her head was shoved
up under my ribs.
Even after she was born,
she would climb up
on my chest and
nuzzle her head in there.
Made her feel safe.
Even at nine, she does it.
She trusts me.
She trusted me to keep her safe,
and I didn't.
What did I do to her?
[JENNA CRYING]
MEREDITH: Come on. Come on.
Come on. Come on.
- [SIGHS]
- Is your surgery back on?
Not yet. You think that's weird?
Uh, maybe your patient bailed.
[CHUCKLES] He's 82 and pretty psyched
to get back to his
ballroom dance class.
Mrs. Simril hasn't paged me
for any more ice,
so there's that.
The second we open this door,
honeymoon's over.
I think we just proved the
honeymoon is wherever we are.
- [BOTH CHUCKLE]
- Hm.
Okay.
- [INDISTINCT CONVERSATIONS]
- [POLICE RADIO CHATTER]
Wait.
♪
Hey. W-What's What's happening?
Uh, there's a hostage
situation on the O.R floor.
Yeah, the ICU's packed,
so we're moving
overflow patients to OB.
What rock did you crawl out from?
If you want me to try to
do this by myself, I will,
but this is a two-person job,
and the O.R. floor is locked down.
Neither one of us should.
It's too risky. We need more time.
Alright, Let's just slow down
a second a-and take a breath.
[EXHALES DEEPLY]
Okay. What if we slow Nora down?
If we lower her blood pressure
and fibrillate the heart
before we staple?
Yeah, yeah, t-the staples have
a better chance of holding
while the blood is diverted
to the new aorta.
[SIGHS] Alright.
Let's finish what we started.
Yeah.
Alright.
Ready when you are.
- TEDDY: Induce v-fib.
- [CLICKING]
[RAPID BEEPING]
Okay. Her pressure is coming down.
This will give us
the best chance.
Alright. Clamps off.
Alright. GIA stapler.
TEDDY: Let's go, let's go.
♪
- Ready?
- I'm ready.
♪
TEDDY: Come on.
- WINSTON: Oh, my God.
- [RAPID BEEPING]
SIMONE: Is it working?
MEREDITH: Let's just
give it some time.
AMELIA: Come on, Dylan.
Come on. You can do this.
Baby mine ♪
AMELIA: Come on.
Dry your eyes ♪
BEN: The bleeding's
coming from the
BAILEY: Mesentery. I see it.
Hemostat. And I also need
- Oh-silk on a passer.
- Exactly.
- And then you have
- Mayo scissors.
Never to part ♪
Baby of mine ♪
TEDDY: Alright. Let's get
her pressure back up.
Let's pace her again.
Come on. Come on. Come on.
She's not capturing. Paddles!
Come on, Nora.
Don't you mind ♪
- Charge to 20. Clear!
- [PADDLES THUMP]
- Nora, give us a rhythm.
- [RAPID BEEPING]
Let those eyes ♪
[STEADY BEEPING]
My God.
Sparkle and shine ♪
Never a tear ♪
- There we go.
- Yep, yep.
Baby of mine ♪
The staple line is holding.
- We did it!
- [GASPS]
[CHUCKLES] We actually did it!
Let's close and
get the hell out of here.
♪
AMELIA: Irrigation.
♪
LUCAS: Did it stop
AMELIA: Don't talk.
She is no longer bleeding.
♪
- Is it over?
- It's over.
- [JENNA SOBBING]
- [MEREDITH GASPS]
[JENNA SOBBING]
It's empty.
It's always been empty.
I'm sorry.
♪
I'm sorry.
I'm so sorry!
Baby mine ♪
Oh, God!
Don't you cry ♪
JENNA: Oh, my God!
[SOBBING]
- Baby mine ♪
- [INDISTINCT SHOUTING]
Dry your eyes ♪
♪
Rest your head ♪
Close to my heart ♪
Never to part ♪
Baby of mine ♪
♪
Baby ♪
Baby of mine ♪
[POLICE RADIO CHATTER]
Are you okay?
- I'm sorry. I'm sorry.
- We should talk.
I don't want to be apart, Simone.
All I want is to be with you.
That whole time
in the O.R.,
all I could think about
is what I would do
- if something were to happen to you.
- I'm okay.
If we can make it through that,
the rest, it we'll figure it out.
The rest doesn't matter.
♪
You did it.
You and Altman. You did it!
I want back on your service!
I need to be back on your service.
I told you that
I need to make sure
the other interns are
hitting their case numbers.
Well, Kwan's already hit his,
and he's still on your service.
I mean, do you think I'm not
good enough or something?
No.
Because you can tell me.
In fact, I would rather you tell me.
You are a very
competent surgeon.
Do you find me annoying then?
- No.
- What is it? Just
Just tell me what it is,
and I will fix it.
You can't fix it, alright?
I Just please let it go.
I carried you then ♪
No. No. I'm not going to let it go
until you tell me the truth.
♪
Okay.
We were spending a lot
of time together, and I
The lines were getting blurry, right?
Did you not feel that?
I'm not sure ♪
The lines might have
been blurry for you
but they were very clear to me.
Well, I just did what I felt
was right, given the situation.
Denying me opportunities to learn
was the right thing to do?
- I'm not the only cardio surgeon.
- No, you're not.
Suspend us ♪
But you are the best one.
From the ceiling ♪
I'm floating ♪
[POLICE RADIO CHATTER]
Here some ♪
Oh, look. You can see the
Northern Cross really well tonight.
You know, some cultures say
it represents the connection
between heaven and earth.
Thanks to you, that patient will stay
firmly on the earth side tonight.
I Ugh!
I should have stood up
for you more
- No. No.
- And protected you.
No. Miranda, if I was
gonna get my job back,
I needed to do it on my own.
Miranda, I Hey.
I have no regrets.
By myself ♪
I stand behind my choices
to save lives.
Every time.
♪
I've been in your light ♪
Offer ♪
[SIGHS] You'll
find another program
- somewhere better for you.
- [CELLPHONE DINGING]
Suspend us ♪
- Ahh.
- Go.
Go. I'll I'll be okay.
♪
That's right. You will.
Here some ♪
♪
I love you.
♪
[SIRENS WAILING]
How's Amelia?
Very rattled. But okay.
Are you going home like this?
The O.R.s are starting up again.
- Your arthroscopy patient?
- He says the Foxtrot waits for no man.
- Do you mind?
- Yes.
But I understand.
Ow. [INHALES SHARPLY]
- Ooh!
- You okay?
- Mnh. Yeah. It's just a kick.
- Oh.
Maybe the girls
are trying the Foxtrot.
Did you say girls?
Did I?
♪
- [LAUGHS] We're having girls?!
- [LAUGHING]
- Did you forget to tell me?!
- I was busy on the beach!
I didn't even know there
was a hostage situation.
[CHUCKLES]
Okay. Go.
♪
[LAUGHS]
♪
Jenna's in custody.
Paramedics are taking her vitals,
and then Seattle PD will book her.
- Dylan's INR looks good.
- Yeah.
Poor girl's gonna wake up, and
she won't have her mom here.
When you moved
to Boston for Zola,
I thought just maybe once
she graduated from high school,
you you'd come back.
Well, we're a few years
away from that still.
The point is that I just
thought that when I retired,
Bailey and you would be at the helm.
I'm gonna call
your bluff on that
because you've been
threatening to retire
- since Bailey and I were residents.
- [CHUCKLES] That's fair.
You need to do
what's right for you.
But just know
that you and your work
will always have a home here.
Dr. Grey. Your paperwork
is ready for signature.
♪
[EXHALES HEAVILY]
You know, I've been thinking.
It's been a while since
I spent any time in O.R 2.
I mean, today doesn't count.
But I just I don't see the inside
of the operating rooms
much anymore and
Are you hinting you want
your old job back?
No, I just I don't know. Maybe
Maybe you could give me
lab space in Boston,
and I could spend my summer here
and work as a general surgeon.
Well, we already have
a chief of general.
Well, that's great,
'cause I don't want that.
I just want to operate,
and my kids could come here
and spend their summers with
their family and their friends.
And, of course,
I I would be available
- for consults during the year.
- It's a deal.
If it's okay with you.
♪
Deal. [CHUCKLES]
So much for a celebratory last day.
I don't know. It almost
went out with a bang.
Fine. Too soon.
[SCOFFS]
Heh-heh-heh! Yeah!
- Ooh. You know you want to.
- Yeah, fine.
Feel different now?
I do feel better.
- Dr. Adams?
- None of your business.
WOMAN: You'll each be assigned
to individual lockers.
[CHATTER]
- Oh, my God.
- [CHUCKLES] Well, think of it this way.
At least you already know
I'm good, right?
[CHUCKLES] I'll be seeing you.
Yep. It's definitely your business.
WOMAN ON P.A.: Dr. Foster to Neurology.
Dr. Elizabeth Foster to Neurology.
She's still intubated,
but her pressor requirements
are coming down.
I need to go check in with Webber,
- but you can go in and sit with her.
- I am here to see you.
Teddy.
You changed what
was possible today.
You changed medicine.
And yet I still lose.
I do. I do have feelings for her.
But I do not want to be with her.
When she leaves here, I will
never speak to her again.
I only want to be with you.
I am in love with you.
You are the mother
of our children,
and you are my best friend.
From the moment the moment I met you,
you made my world feel whole.
I changed my career,
I moved continents
because being without you
felt impossible.
But sometimes what we think
is impossible is just
It's just failure
of imagination.
There is no invisible force
keeping us together.
It was a choice.
Picking you every time.
And I'm not sure I want
to make that choice again.
You're giving up on us?
♪
I'm choosing me.
♪
MEREDITH: When people
cross the finish line
or complete an impossible task,
they often report feeling empty.
Dylan's stable,
but we'll know a lot more
when she wakes up.
I'm sorry.
I can't tell you how sorry I am
for what my wife put you through.
I should have, uh Thank you.
Should have been there.
I was at a work site.
I got here as fast as possible.
- It's not your fault.
- Yeah.
Ever since the diagnosis,
things have been rough,
but, no, Jenna knows how
flammable those cylinders are, so
Thank God the tank was empty.
- Why do you think it was empty?
- Well, she told us it was.
She didn't mean to hurt anyone.
I don't have any
empty tanks on my truck.
But the police said it was
empty when they checked.
don't believe in ♪
Did Jenna ever open the valve?
- Is anybody still up there?
- Find Webber.
Keep your eyes on the sky ♪
Anticipation and motivation
become replaced
with apathy and disappointment.
Um, excuse me.
Can I scrub in on your
intussusception today?
Bailey, that okay with you?
Uh, she's all yours.
Have you seen Altman?
Not for hours.
Won't you hold ♪
Science will tell you
it's due to a drop
in dopamine levels.
Hold on tight ♪
Run into the last good fight ♪
Cautery, please.
But, personally,
I think it's because
we're suddenly faced
with the fear
of not knowing what's next.
- [EXPLOSION]
- [INDISTINCT SHOUTING]
- WOMAN: Oh, my gosh!
- BEN: Out of the way!
WOMAN #1: Oh, my God!
WOMAN #2: Oh, my God!
Keep your eyes on the sky ♪
♪
I won't let you be afraid ♪
♪
♪
MEREDITH: When training for a marathon,
a runner's body composition
physiologically changes.
Guess the wedding wasn't a cash bar.
Where's Adams?
- I really screwed up.
- Hey.
- You two aren't exclusive, are you?
- Nope.
Okay. Great. Listen.
Last night was fun.
I put my number in your phone in
case you ever want to have more,
uh fun.
Breakfast. Alright.
Who cares what they talk about? ♪
Way to close out your intern year.
I think I'm gonna throw up. [GROANS]
I, I'm finally letting this go ♪
- [ELEVATOR BELL DINGS]
- With consistent exercise,
the heart improves its efficiency
to send oxygen to the muscles.
[BOTH MOANING]
Me, myself, and I ♪
- That was your floor.
- I don't care.
[BOTH MOANING]
Oh, we need a honeymoon. I'm thinking
- beach.
- Beach. Yeah.
- [ELEVATOR BELL DINGS]
- Have a good day.
I'm really tryin',
I don't want to be the same ♪
No matter what I say, it hurts ♪
Fake friends, the worst ♪
It's me, I'm cursed ♪
- [GRUNTS]
- I finally figured it out ♪
It's me who's missing out ♪
Who cares what they talk about? ♪
Yeah, life is better now,
life is better now ♪
Eww!
Muscles adapt to storing
and using energy
while bone density increases
to make bones stronger.
[SIGHS]
Oh! Um I I'm I'm so sorry.
- I should have knocked.
- No. I-I should have locked the door.
Uh
- Um, did did you sleep in here?
- I was up late.
I was working on Nora Young's case.
- Mm-hmm.
- Yeah.
I know that something's gotta change ♪
'Cause people pleasin'
never got me anything ♪
- Uh, Millin?
- Oh! Yeah.
[CLEARS THROAT]
Maybe don't come out right after me.
- Somebody might get the wrong idea.
- Yeah, yeah.
On average, the process
takes around 20 weeks
of mental and
physical dedication,
stamina,
and complete exhaustion
to compete in a race
that's over in a day.
♪
After I tell you
what happened to me,
you're gonna have to tell me
what's going on there.
Out of my way, people! G Move!
Goodness! Okay. Alright.
You are all one shift away
from completing your intern year.
Tomorrow, you will be second-years.
You will wear coats
with your names on it.
- Stop!
- Hm.
And you will help me
teach a new group of liabilities.
When are the new interns arriving?
They will be here onboarding all day.
In the meantime,
I have a gift for you.
- Everyone gets to scrub in today.
- [CHEERS AND APPLAUSE]
Yeah, so Adams, you're with Beltran.
Kwan, Ndugu.
Griffith, Shepherd.
Millin, Altman.
And Collins, Webber.
- I got your page. What's up?
- That's ev
Okay, so, Altman's office
will be reaching out
to set up a meeting
by the end of the day.
She will not be recommending
to permanently bring you on board.
- I do not know the details.
- Where do you need me today?
I just wanted you to hear it from me.
Miranda, if this is my
last day, I want to work.
Uh, there's an MVC patient
from last night in the ICU.
Carter Samuels. He is status
post ex-lap with a shattered liver.
- Keep an eye on him.
- You got it.
[GROANS SOFTLY]
LUCAS: Dylan Gatlin. Nine years old.
Day five post-op from resection of a
cavernous angioma of the brainstem.
Diagnosed with locked-in syndrome
following complications of surgery.
Repeat MRI shows no change
of the small hematoma.
- We get it! Nothing's changed!
- Swelling hasn't gone down at all?
Unfortunately, the bleeding
has not reabsorbed like we hoped.
So what now?
I know this is difficult to hear,
but we'd still like to wait.
- No.
- Jenna.
- No more waiting.
- AMELIA: Mrs. Gatlin.
Do you have kids?
- No.
- I have a son.
Imagine him trapped like this.
He can't tell you
he's cold or hungry.
He can't walk. He can't move.
There must be
something you can do.
Please.
Dr. Shepherd, Ms. Alvarado's
surgery will be in O.R. 2.
I have to go, but I will come back
and check on her as soon as I can.
WOMAN ON P.A.: Dr. Morrissey to the OR.
Dr. Nicholas Morrissey to the OR.
I saw Boston on the schedule
for later this month.
Important business?
- Very. Harriet's dance recital.
- Oh, wow! Okay!
Meredith?
Wha I-I thought you were
coming tomorrow.
You still plan
to meet the new class?
- I already told them you were coming.
- I am.
- And I have a meeting with Catherine.
- Uh, wha
My Alzheimer's research with female mice
is yielding significant
preliminary results.
Oh, congratulations.
Whatever. Can we just get to it?
- Get to what? [MUTTERS]
- I'm selling my hospital shares.
What, you're cutting ties
with Grey-Sloan?
Not at all. I'm pursuing my research.
But I can't bankrupt
my family while doing it.
Amelia and I would apply
for federal funding,
but our research
is focused on women.
- And we all know how that would go.
- You grew up here.
And t-this hospital
is part of who you are.
Part of who I was.
We will build you a new aorta
out of a synthetic graft
that connects the ascending aortic arch
to your abdominal aorta.
And this would eliminate blood
flow in the infected area.
And once the graft is in place,
we'll staple off the old graft
and remove it.
Why not try what you did before?
- What was it? A kind of bypass.
- I told you, Mom It
I don't love you
being a guinea pig!
The last time that we tried to
do a bypass, her heart stopped.
We were essentially
bypassing an artery
the diameter of a golf ball
with something the width of a straw.
At this point, any
extra anatomical bypass
could do more harm than good
because she's hypercoagulable.
- What does that mean?
- JULES: Her blood's more likely
to clot because of the sepsis.
Owen, is this true?
I've known you for years.
Don't sugarcoat it.
I'm afraid so. We were
lucky to get her back.
Are you sure you want to do this?
They don't even know if this will work.
And if it doesn't
NORA: I think it's my only chance.
Do I have time to see my kids?
OWEN: Teddy. Hey. Hey.
Are you sure
this is a good idea?
Stapling the largest artery
in the human body
goes against everything that
I know about heart surgery.
A stapler doesn't even exist
for this type of thing!
So, no, I am not sure
that it's a good idea,
but it's the only one that I have.
So why not wait a beat,
look at other case studies?
Who are you concerned about, Owen?
Me or Nora?
You came up with this procedure
ten hours ago on a cocktail napkin.
I saw you last night.
With Nora.
- [EXHALES SHARPLY]
- Was there a trauma?
Or did you just lie
so that you could spend
quality time
with your girlfriend?
My girl [SCOFFS]
Teddy, she is dying. And she has no one.
Seems like she has you.
- Are you in love with her?
- Teddy. I told you.
I told you. Sleeping
with her meant nothing.
I'm not talking
about that night.
I am talking about right now.
Are you in love with her?
Teddy, I am married to you.
That's not what I asked.
- I have to go prep.
- [DOOR OPENS]
They're bringing Ms. Alvarado up.
- Are you okay?
- Absolutely.
I'm prepped on
the patient's aneurysm.
I've studied her scans,
memorized the steps.
That's not what I'm asking.
I always know when
something is off with Lucas.
I know that relationships
at work are never
I'm good.
Dr. Shepherd, I'm focused.
I'm clear-headed.
I would never put
Ms. Alvarado in danger.
Stop talking.
- Jenna, what are you doing?
- This tank is full of acetylene.
One exploded at my husband's work site,
and it took down half the building.
- Okay. Why don't we take it outside?
- [FLINT SPARKS]
You're gonna put
your phone on the counter.
And then you're gonna operate on Dylan.
And you're gonna fix her.
And if you don't
if you don't save her
I'm taking everyone down with me.
♪
WOMAN ON P.A.:
Dr. Beverly Lux to Radiology.
Hey. Have you seen Dr. Beltran?
I don't know. Try the peds floor.
She's not there, and she's not
responding to my pages.
[CELLPHONE RINGS]
Hey. Have you seen Dr. Beltran?
AMELIA: I need you to bring Dylan Gatlin
up to the corridor outside of O.R 2.
I'll pick her up from there.
- Wait. Why?
- I'm gonna operate.
- But the hematoma is stable.
- Don't argue. Just do it. Now.
Wait. Where Where's Griffith?
Hel Hello?
Alright. Well, I got to run
a patient up to the O.R.
If you see Dr. Beltran, can you
please tell her to answer my page?
Nope.
He's bleeding from
the wound vac, by the way.
♪
BEN: Page Dr. Bailey and
book an O.R.! [SIGHS]
I love you, and I'm gonna
see you when I wake up, okay?
- All of you.
- We love you, too, mom.
- It's gonna be fine.
- Yeah.
SARAH: Come on, kids.
Okay. Give me a hug
Let's go.
Okay. Alright.
I'm I'm gonna be out very soon.
I don't want to go.
It's okay. It's okay, honey.
I'll be out.
I'll be out very soon.
Okay?
Okay. Go with Nana.
I'll be out soon, okay?
Bye.
It's okay.
- Mom, wait.
- I want to
- I'll see you after your surgery.
- Okay.
[SNIFFLES]
- I can't do this.
- Yes, you can.
What if that was the last time
I see my kids?
- Hey.
- NORA: Hi.
Let's tell transport it's time.
- I'll see you in there.
- Okay.
Hey.
Hi.
When I told you
I loved you last night,
I thought I was dying.
And I know that I still could die.
But if Teddy's plan works,
then I want you to know
that if you're not there
when I wake up, I understand.
- And if it doesn't work
- Nora.
Just please watch over my mom.
My ex will take care
of the kids,
but I my mom
doesn't have anyone, so
- I will. Okay?
- Okay.
- Yeah?
- Mm-hmm.
And, Nora, you are going to
make it to the other side.
- Okay?
- Okay. Mm-hmm.
- Okay. Okay?
- Yeah.
- You're good.
- Yeah?
Yeah.
♪
[DOOR OPENS]
AMELIA: Lucas! You were supposed
to leave her outside and go!
But thank you!
We've got it from here!
LUCAS: Did you see something
new on Dylan's scans?
I don't know where Dr. Griffith is,
but Ms. Alvarado's husband's pissed.
What the hell is happening?
Dr. Shepherd is gonna
save my daughter,
- right, Dr. Griffith?
- Hey. Let her go.
[FLINT SPARKS]
Stop!
Jenna, the first time
we operated on Dylan,
I had an entire team
for neuromonitoring and imaging
that helped guide me.
Going back into her brain
without that
is extremely dangerous.
Let us go, and we will
talk about her options.
♪
No one's leaving.
Not until you fix my daughter.
♪
[SIMONE GASPS]
LUCAS: Alright. Let's
transfer her to the table.
♪
[SIMONE WHIMPERS]
You have a pre-surgery ritual?
Does scrubbing count?
Yeah, if it gets you
in the zone, sure.
We are about to attempt
a Hail Mary.
I'm not sure what kind
of mindset I should be in.
There's only one, right?
Go big or go home.
We hold people's lives
in our hands every day.
We can do this.
[WATER RUNNING]
[WATER SHUTS OFF]
- You okay?
- Let's go.
AMELIA: Cottonoid.
[SUCTIONING]
- She can't feel it.
- I know.
AMELIA: Okay, we need
to retrace our steps
and find the bleed.
Lucas.
LUCAS: We need to call for help.
Acetylene is highly flammable.
- What is she sets that thing off?
- Keep your voice down.
I cannot do this
without your help.
- Can you do this?
- Yes. We'll go slowly.
We will look for the gel foams
that we placed earlier.
Those will be our markers.
♪
Can you talk?
Well, I have a consult for
a physician who works here.
It's not personal. It's just business.
Oh, you want to
talk business? Okay.
Your move to Boston
cost this hospital
thousands of research dollars
and potential surgeries.
Who knows how many
top-tier interns
decided to look elsewhere?
Like it or not,
people come to Grey-Sloan
because of Meredith Grey.
So should we just forget
about the millions of people
who are suffering from the
disease that I'm trying to end?
I am not saying that
your work isn't invaluable.
This hospital shouldn't
be one of its costs.
Dr. Webber, I think there's
a hostage situation in O.R. 2.
- A hostage situation?
- It looked like the patient's mom
was holding
an explosive to Griffith.
- And Shepherd and Adams are operating.
- You call 911.
We're gonna have to evacuate
this whole O.R. floor.
OPERATOR: 911.
MONICA: Hi. Yes. I'm
at Grey-Sloan Hospital
- [ELEVATOR BELL DINGS]
- Hey. Oh. How's Carter doing?
His bleeding picked up.
He's responsive to blood products,
but he gets tachy between units.
So he needs a takedown washout
and re-exploration.
Mm-hmm. Can I scrub in?
I'd like to see him through.
- Of course.
- [ELEVATOR BELL DINGS]
Whoa! You need to take
your patient back.
- This floor is locked down.
- I just booked an O.R.
There is a potential hostage
situation in progress.
The police are on their way.
We're trying to evacuate this
floor and divert all traumas A.S.A.P.
Anything that is emergent
needs to go to the ICU.
Okay. I'll get the word
out to our residents.
OWEN: Okay. Thank you.
That's it? We just let him
bleed out in the ICU?
Uh, no. We'll bridge with blood and FFP.
What if he gets acidotic?
Look, when the O.R.s reopen,
he'll be first in line.
[SIGHS]
[DOOR OPENS]
Hey! Thought you had an arthroscopy.
Got moved.
Apparently, they're
evacuating the O.R. floor.
Hospital-wide page just went out.
- Do we know why?
- Probably nothing.
Last time, the "suspicious package"
turned out to be a nurse's lunchbox.
[CHUCKLES]
They're gonna page me
when things resume.
Probably an hour.
Interesting, because
I just have to round
before my C-section at 4:30.
So we have time.
- We have time.
- [MOANS]
Who the hell is this woman?!
How did she get on my O.R.
floor with a gas cylinder?!
She's the mother of
a nine-year-old patient
that Dr. Shepherd and I
have been treating.
Until we can confirm what
that mother actually has,
we're evacuating floors
above and below.
And we're turning off
the ventilation system
as a precaution since we're
working with an unknown gas.
I want a direct line to that O.R.
I need to know
if my doctors are okay.
- Meredith, you don't have to stay.
- That's my family in there.
[KEYPAD BEEPING]
[TELEPHONE RINGS]
[TELEPHONE RINGS]
- Ignore it. Keep going.
- [TELEPHONE RINGS]
AMELIA: There's a lot of
swelling from the first procedure.
- I don't know where I am.
- Suction.
LUCAS: Is that the superior colliculi?
Derek always said if you're lost,
find the normal anatomy, a touchstone.
- I need a North Star.
- [TELEPHONE RINGS]
- There's the facial nerve fibers
- [TELEPHONE RINGS]
the floor of the fourth ventricle.
I cannot continue to work
in your daughter's brain
- while that phone is ringing!
- [TELEPHONE RINGS]
[LINE RINGING]
[POLICE RADIO CHATTER]
[LINE RINGING]
- JENNA: What do you want?
- Uh, Mrs. Gatlin, this is Dr. Webber.
I need you to tell me
if my doctors are okay.
- They're in the middle of surgery!
- Are they okay?
AMELIA: We're okay.
OFFICER BRUNO:
Can you tell us the substance
that you have with you?
It's acetylene from my husband's truck.
If anyone comes in here,
I'm gonna light it up.
Mrs. Gatlin, look. I know you're
worried about your daughter,
but I need to send a team
in there to take that tank.
They can continue to work.
AMELIA: There. I see the pathway
back to where the angioma was.
I know where I am.
Irrigation.
- RICHARD: Mrs. Gatlin?
- Unplug it.
- Now!
- [SIMONE GASPS]
Go back to where you were.
No more calls.
We need to talk to that husband.
If it is truly acetylene,
SWAT needs to get in here now.
- Well, hold on. Wait a second.
- Let's go.
That mother's not in a rational state.
If you send officers in
there right now, it's over.
Amelia has already
started the surgery,
so the safest thing
for us to do right now
is to let her finish.
Is now a good time to mention
that she is operating
without a neural monitoring team
or any imaging?
It's Amelia. She can do it.
What is the case?
TEDDY: Fully dissected around
the supraceliac aorta.
Kwan, what's next?
- BLUE: Vessel loop for control.
- Good. Vessel loop.
OWEN: Didn't you see the page?
- You were supposed to have evacuated.
- We are mid-procedure.
Damage control and close. Now.
WINSTON: Do we know what's going on?
There's a disgruntled
family member with some
kind of explosive in the O.R.
next to this one.
You all need to leave!
TEDDY: We have already isolated
the ascending and supraceliac aorta.
Her pressures aren't good.
If we close now Nora is dead.
♪
You should go.
- Teddy, you can't stay.
- Owen, please. Go.
♪
WINSTON: If anyone else wants
to leave, they should go.
No judgment.
[SOFT MURMURING]
♪
BLUE: I'm staying.
JULES: Me too.
♪
[SUCTIONING]
- [RAPID BEEPING]
- 100 cc's in five minutes.
His bleeding's doubled
in the last hour.
- Where the hell is that ABG I ordered?!
- Sorry. It just came in.
Lactate's higher. Hemoglobin's down.
- He's getting acidotic. Damn it!
- [RAPID BEEPING]
♪
We have to reopen his ex-lap.
Get me a gown and gloves,
a surgical tray, and a bovie.
No. You need to call an attending.
There's no time, not if we don't
get this bleeding under control.
Alright. Let's move!
Floor sex is not comfortable
when you're pregnant with twins.
- [CHUCKLES] Sorry.
- Mm-hmm.
The O.B. supply closet
is not the ideal place for a honeymoon.
[INHALES SHARPLY] Hm.
Was someone here before us?
- It's for the ultrasound machine!
- [BOTH LAUGH]
You hear that, though?
- What, you get a text?
- No.
It's the waves crashing on the shore
outside of our beachfront hotel room.
- Mmm!
- [CHUCKLES]
I can hear it.
And the seagulls flying overhead.
Hm. The palm leaves
flapping in the trade winds.
- Mm.
- [CHUCKLES]
♪
[SIREN WAILS IN DISTANCE]
BEN: No bleeding
in the upper quadrant.
And how's everything
going in here
Ben Warren, tell me you
are not operating on a man
in the middle of
the intensive care unit!
- I can't do that.
- Wha
He started deteriorating, and
I can't get him to the O.R.,
so I brought the O.R. to him.
You do not cut a patient open
outside of the O.R.
unless he's about to die!
Yeah, what are they gonna do? Fire me?
Well, they're not afraid to fire me.
They've done it before.
Which is why I left you
out of it. Vistaseal.
♪
Okay. You're gonna
need help with that liver.
Just Give me a damn gown!
♪
Your parents must be
so proud of you.
When Dylan was five,
she wanted to be a doctor.
AMELIA: There you are.
What do you mean?
What's happening?
[SOFTLY] I've reached
the hematoma.
- LUCAS: [SOFTLY] Yeah. It's pretty big.
- I'm aware.
- Talk so I can hear you!
- Preparing to suction.
♪
Here we go, Dylan.
- Has anybody heard from Hunt?
- No.
This looks impossible to access.
Shepherd will make it through this.
She has before.
She has a stake in this hospital.
She's here every day.
You really want to do this now?
I've cleared all the O.R.s
except for one.
Teddy won't leave.
Ndugu, Kwan, and Millin
are with her.
- Send the police in.
- Thank you.
Well, hold on! What happened
to giving Amelia time?
This mother doesn't
want to hurt anyone.
She wants to save her kid.
Her daughter has very little
chance of survival.
Everyone else up there does.
- You just said Amelia can do this.
- Dr. Grey.
Dylan's morning labs just came in.
- WINSTON: Alright. Millin, suction.
- JULES: Mm-hmm.
Anastomoses are complete.
Excellent job. All that's left
to do is staple the aorta.
We don't need you for that.
Time to go.
You want me to leave?
What about Kwan?
- BLUE: What about Kwan?
- TEDDY: He's leaving. too.
WINSTON: We are your attendings,
and we're responsible for you.
We've put you in enough
danger today, so get out.
Let's go. Now!
♪
WINSTON: [SIGHS] Alright.
Moment of truth.
You ready to staple?
♪
No.
Why did I think
that this could work?
This isn't the time for second-guessing.
The moment that
we staple her aorta,
the pressure from her heart
could blow the staple line
and she'll die.
We always knew this was a possibility.
But if we do nothing, she dies.
This floor could blow up,
and we all die.
But if this surgery goes wrong,
it'll be my hands that kill her.
♪
LUCAS: You've got it. Almost there.
AMELIA: She keeps oozing.
Dr. Shepherd, her labs just
came back from this morning.
♪
Damn it. We need FFP.
- We don't have it.
- What are you talking about?!
AMELIA: Dylan has
started bleeding.
We can help her, but we need
to give her blood products.
JENNA: You must have done something!
You made her bleed again?!
AMELIA: We always knew this
was a risk if I went back in.
- [SIMONE GASPS]
- Fix her!
I want to save your daughter.
I have never wanted to do
anything but save your daughter!
I should have never let you
operate on her the first time!
She'd be fine! She'd be awake!
She'd be happy!
She'd be quizzing me
on the names of trees!
- She can still do that!
- LUCAS: She won't stop oozing.
She's nine, and I took that from her!
You fix her!
[FLINT SPARKS]
Not everything can be fixed!
You did nothing wrong!
All you did is love your daughter.
No one could have
predicted this.
But we can still
fight for her if you
- Lucas, no!
- Don't come any closer!
MEREDITH: Stop! Stop!
Are you a cop?
No. I'm a surgeon.
I'm here to help.
Dylan's coagulopathic,
which means
her blood can't clot well.
We can treat it.
This is FFP.
It's fresh frozen plasma.
It's got proteins
with clotting factors.
AMELIA: If we don't give it to
her, she will continue to bleed,
and we will not
be able to close.
MEREDITH: I'm a mother, too.
I actually had my son
in this very O.R.
I know we we would
do anything for our kids.
We feel our kids' pain
as deeply as they do, if not more.
- And we live to protect them.
- [RAPID BEEPING]
Give her the FFP right now.
O-Okay. Go ahead.
JENNA: Dylan w-was a breech baby.
For the last eight weeks
of my pregnancy,
her head was shoved
up under my ribs.
Even after she was born,
she would climb up
on my chest and
nuzzle her head in there.
Made her feel safe.
Even at nine, she does it.
She trusts me.
She trusted me to keep her safe,
and I didn't.
What did I do to her?
[JENNA CRYING]
MEREDITH: Come on. Come on.
Come on. Come on.
- [SIGHS]
- Is your surgery back on?
Not yet. You think that's weird?
Uh, maybe your patient bailed.
[CHUCKLES] He's 82 and pretty psyched
to get back to his
ballroom dance class.
Mrs. Simril hasn't paged me
for any more ice,
so there's that.
The second we open this door,
honeymoon's over.
I think we just proved the
honeymoon is wherever we are.
- [BOTH CHUCKLE]
- Hm.
Okay.
- [INDISTINCT CONVERSATIONS]
- [POLICE RADIO CHATTER]
Wait.
♪
Hey. W-What's What's happening?
Uh, there's a hostage
situation on the O.R floor.
Yeah, the ICU's packed,
so we're moving
overflow patients to OB.
What rock did you crawl out from?
If you want me to try to
do this by myself, I will,
but this is a two-person job,
and the O.R. floor is locked down.
Neither one of us should.
It's too risky. We need more time.
Alright, Let's just slow down
a second a-and take a breath.
[EXHALES DEEPLY]
Okay. What if we slow Nora down?
If we lower her blood pressure
and fibrillate the heart
before we staple?
Yeah, yeah, t-the staples have
a better chance of holding
while the blood is diverted
to the new aorta.
[SIGHS] Alright.
Let's finish what we started.
Yeah.
Alright.
Ready when you are.
- TEDDY: Induce v-fib.
- [CLICKING]
[RAPID BEEPING]
Okay. Her pressure is coming down.
This will give us
the best chance.
Alright. Clamps off.
Alright. GIA stapler.
TEDDY: Let's go, let's go.
♪
- Ready?
- I'm ready.
♪
TEDDY: Come on.
- WINSTON: Oh, my God.
- [RAPID BEEPING]
SIMONE: Is it working?
MEREDITH: Let's just
give it some time.
AMELIA: Come on, Dylan.
Come on. You can do this.
Baby mine ♪
AMELIA: Come on.
Dry your eyes ♪
BEN: The bleeding's
coming from the
BAILEY: Mesentery. I see it.
Hemostat. And I also need
- Oh-silk on a passer.
- Exactly.
- And then you have
- Mayo scissors.
Never to part ♪
Baby of mine ♪
TEDDY: Alright. Let's get
her pressure back up.
Let's pace her again.
Come on. Come on. Come on.
She's not capturing. Paddles!
Come on, Nora.
Don't you mind ♪
- Charge to 20. Clear!
- [PADDLES THUMP]
- Nora, give us a rhythm.
- [RAPID BEEPING]
Let those eyes ♪
[STEADY BEEPING]
My God.
Sparkle and shine ♪
Never a tear ♪
- There we go.
- Yep, yep.
Baby of mine ♪
The staple line is holding.
- We did it!
- [GASPS]
[CHUCKLES] We actually did it!
Let's close and
get the hell out of here.
♪
AMELIA: Irrigation.
♪
LUCAS: Did it stop
AMELIA: Don't talk.
She is no longer bleeding.
♪
- Is it over?
- It's over.
- [JENNA SOBBING]
- [MEREDITH GASPS]
[JENNA SOBBING]
It's empty.
It's always been empty.
I'm sorry.
♪
I'm sorry.
I'm so sorry!
Baby mine ♪
Oh, God!
Don't you cry ♪
JENNA: Oh, my God!
[SOBBING]
- Baby mine ♪
- [INDISTINCT SHOUTING]
Dry your eyes ♪
♪
Rest your head ♪
Close to my heart ♪
Never to part ♪
Baby of mine ♪
♪
Baby ♪
Baby of mine ♪
[POLICE RADIO CHATTER]
Are you okay?
- I'm sorry. I'm sorry.
- We should talk.
I don't want to be apart, Simone.
All I want is to be with you.
That whole time
in the O.R.,
all I could think about
is what I would do
- if something were to happen to you.
- I'm okay.
If we can make it through that,
the rest, it we'll figure it out.
The rest doesn't matter.
♪
You did it.
You and Altman. You did it!
I want back on your service!
I need to be back on your service.
I told you that
I need to make sure
the other interns are
hitting their case numbers.
Well, Kwan's already hit his,
and he's still on your service.
I mean, do you think I'm not
good enough or something?
No.
Because you can tell me.
In fact, I would rather you tell me.
You are a very
competent surgeon.
Do you find me annoying then?
- No.
- What is it? Just
Just tell me what it is,
and I will fix it.
You can't fix it, alright?
I Just please let it go.
I carried you then ♪
No. No. I'm not going to let it go
until you tell me the truth.
♪
Okay.
We were spending a lot
of time together, and I
The lines were getting blurry, right?
Did you not feel that?
I'm not sure ♪
The lines might have
been blurry for you
but they were very clear to me.
Well, I just did what I felt
was right, given the situation.
Denying me opportunities to learn
was the right thing to do?
- I'm not the only cardio surgeon.
- No, you're not.
Suspend us ♪
But you are the best one.
From the ceiling ♪
I'm floating ♪
[POLICE RADIO CHATTER]
Here some ♪
Oh, look. You can see the
Northern Cross really well tonight.
You know, some cultures say
it represents the connection
between heaven and earth.
Thanks to you, that patient will stay
firmly on the earth side tonight.
I Ugh!
I should have stood up
for you more
- No. No.
- And protected you.
No. Miranda, if I was
gonna get my job back,
I needed to do it on my own.
Miranda, I Hey.
I have no regrets.
By myself ♪
I stand behind my choices
to save lives.
Every time.
♪
I've been in your light ♪
Offer ♪
[SIGHS] You'll
find another program
- somewhere better for you.
- [CELLPHONE DINGING]
Suspend us ♪
- Ahh.
- Go.
Go. I'll I'll be okay.
♪
That's right. You will.
Here some ♪
♪
I love you.
♪
[SIRENS WAILING]
How's Amelia?
Very rattled. But okay.
Are you going home like this?
The O.R.s are starting up again.
- Your arthroscopy patient?
- He says the Foxtrot waits for no man.
- Do you mind?
- Yes.
But I understand.
Ow. [INHALES SHARPLY]
- Ooh!
- You okay?
- Mnh. Yeah. It's just a kick.
- Oh.
Maybe the girls
are trying the Foxtrot.
Did you say girls?
Did I?
♪
- [LAUGHS] We're having girls?!
- [LAUGHING]
- Did you forget to tell me?!
- I was busy on the beach!
I didn't even know there
was a hostage situation.
[CHUCKLES]
Okay. Go.
♪
[LAUGHS]
♪
Jenna's in custody.
Paramedics are taking her vitals,
and then Seattle PD will book her.
- Dylan's INR looks good.
- Yeah.
Poor girl's gonna wake up, and
she won't have her mom here.
When you moved
to Boston for Zola,
I thought just maybe once
she graduated from high school,
you you'd come back.
Well, we're a few years
away from that still.
The point is that I just
thought that when I retired,
Bailey and you would be at the helm.
I'm gonna call
your bluff on that
because you've been
threatening to retire
- since Bailey and I were residents.
- [CHUCKLES] That's fair.
You need to do
what's right for you.
But just know
that you and your work
will always have a home here.
Dr. Grey. Your paperwork
is ready for signature.
♪
[EXHALES HEAVILY]
You know, I've been thinking.
It's been a while since
I spent any time in O.R 2.
I mean, today doesn't count.
But I just I don't see the inside
of the operating rooms
much anymore and
Are you hinting you want
your old job back?
No, I just I don't know. Maybe
Maybe you could give me
lab space in Boston,
and I could spend my summer here
and work as a general surgeon.
Well, we already have
a chief of general.
Well, that's great,
'cause I don't want that.
I just want to operate,
and my kids could come here
and spend their summers with
their family and their friends.
And, of course,
I I would be available
- for consults during the year.
- It's a deal.
If it's okay with you.
♪
Deal. [CHUCKLES]
So much for a celebratory last day.
I don't know. It almost
went out with a bang.
Fine. Too soon.
[SCOFFS]
Heh-heh-heh! Yeah!
- Ooh. You know you want to.
- Yeah, fine.
Feel different now?
I do feel better.
- Dr. Adams?
- None of your business.
WOMAN: You'll each be assigned
to individual lockers.
[CHATTER]
- Oh, my God.
- [CHUCKLES] Well, think of it this way.
At least you already know
I'm good, right?
[CHUCKLES] I'll be seeing you.
Yep. It's definitely your business.
WOMAN ON P.A.: Dr. Foster to Neurology.
Dr. Elizabeth Foster to Neurology.
She's still intubated,
but her pressor requirements
are coming down.
I need to go check in with Webber,
- but you can go in and sit with her.
- I am here to see you.
Teddy.
You changed what
was possible today.
You changed medicine.
And yet I still lose.
I do. I do have feelings for her.
But I do not want to be with her.
When she leaves here, I will
never speak to her again.
I only want to be with you.
I am in love with you.
You are the mother
of our children,
and you are my best friend.
From the moment the moment I met you,
you made my world feel whole.
I changed my career,
I moved continents
because being without you
felt impossible.
But sometimes what we think
is impossible is just
It's just failure
of imagination.
There is no invisible force
keeping us together.
It was a choice.
Picking you every time.
And I'm not sure I want
to make that choice again.
You're giving up on us?
♪
I'm choosing me.
♪
MEREDITH: When people
cross the finish line
or complete an impossible task,
they often report feeling empty.
Dylan's stable,
but we'll know a lot more
when she wakes up.
I'm sorry.
I can't tell you how sorry I am
for what my wife put you through.
I should have, uh Thank you.
Should have been there.
I was at a work site.
I got here as fast as possible.
- It's not your fault.
- Yeah.
Ever since the diagnosis,
things have been rough,
but, no, Jenna knows how
flammable those cylinders are, so
Thank God the tank was empty.
- Why do you think it was empty?
- Well, she told us it was.
She didn't mean to hurt anyone.
I don't have any
empty tanks on my truck.
But the police said it was
empty when they checked.
don't believe in ♪
Did Jenna ever open the valve?
- Is anybody still up there?
- Find Webber.
Keep your eyes on the sky ♪
Anticipation and motivation
become replaced
with apathy and disappointment.
Um, excuse me.
Can I scrub in on your
intussusception today?
Bailey, that okay with you?
Uh, she's all yours.
Have you seen Altman?
Not for hours.
Won't you hold ♪
Science will tell you
it's due to a drop
in dopamine levels.
Hold on tight ♪
Run into the last good fight ♪
Cautery, please.
But, personally,
I think it's because
we're suddenly faced
with the fear
of not knowing what's next.
- [EXPLOSION]
- [INDISTINCT SHOUTING]
- WOMAN: Oh, my gosh!
- BEN: Out of the way!
WOMAN #1: Oh, my God!
WOMAN #2: Oh, my God!
Keep your eyes on the sky ♪
♪
I won't let you be afraid ♪
♪