18x03 - Hotter Than Hell

Episode transcripts for the TV show "Grey's Anatomy". Aired: March 2005 to present.*
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A drama centered on the personal and professional lives of five surgical interns and their supervisors.
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18x03 - Hotter Than Hell

Post by bunniefuu »

When the body's
exposed to rising temperatures,

it has the ability to cool itself down.

We sweat, our blood vessels dilate,

and our heart rate increases...

Mom! Why don't we have air-conditioning?

Because we live in Seattle.

Please go get dressed.

...and our body releases
as much excess heat as it can.

I thought Gen Z was all about
climate conservation.

Well, they're all about
speaking their minds

and spot-on hashtags.

Oh, and calling you "bestie"
as an insult.

Do you know what the temperature
is in Minnesota right now?

degrees. No heat waves.

You're as bad as the kids.

Is it gonna be weird?

I can't do Minnesota

and be chief of general surgery

and be chief of the residency program.

Richard will have to understand.

Well, I'm not talking about Richard.

She's like my sister.
You're like my sister.

I just... I don't want it to be weird.

Then stop making it weird.

But when the temperature starts
to inch above degrees,

our bodies have to work overtime...

I have back-to-back craniotomies,

and then I have that video call
with Kai Bartley.

...leading to heat exhaustion.

I know... I can't tell anyone.

degrees, Mer.

Maybe we just move to Minnesota
and become lake people.

Moving to Minnesota? Great.

Not moving. Just might take
a few more trips there.

- Got it. Glad we discussed it.
- Mm.

Uh, kiddie pool?

Yes, thank you. Out back.

We become nauseated,
dizzy, and confused.

It's one of Link's lifelong
dreams to cure Parkinson's.

I know... I can't tell anyone.

And we fight like hell to cool
down before it's too late.

Hey. I got the last window unit,
and I installed it myself.

- Oh.
- More burn pits?

Yeah, I found some anecdotal accounts,

but no official documentation
about pulmonary fibrosis.

And Noah is still not answering.

Well, he was pretty clear that
he didn't want treatment.

Yeah, I know. I just...

I can't stop thinking about how
it could have been us, you know?

I know.

It's over degrees outside.

Did you not read my e-mail?

I mean, not only is today grand rounds,

but it is also Silly Hat Day!

Bailey said that she wanted
better morale around here.

I said that I agreed with her.

So she appointed me Ambassador of Fun.

You? Ambassador of Fun?

I'm fun!

Whoa. Teddy...

No. Okay.

Hey, Teddy, come on.

See?

Fun.

Who do you think it is?

Definitely someone big.

Maybe it's Pier Cristoforo Giulianotti.

He pretty much invented robotic surgery.

Hey, Dr. Wilson, do you know
who's doing our grand rounds?

Just because I have to slum it

in the residents' lounge with all of you

doesn't mean I can just give out
privileged information.

You don't know who it is, do you?

I have important work to do.

Did you know that excessive heat

presents huge risks in pregnant women?

Including Braxton-Hicks.

They announced who it is.

You've got to be kidding me.

Oh!

Mm!

Good morning.

- Welcome back, Grey.
- Hey!

Dr. Tracy Seip to Recovery.

How'd you know I was back?

- I had a feeling.
- Dr. Seip to Recovery.

I saw you getting out of
your car in the parking lot.

Oh.

You brought me coffee.

Hot coffee.

In triple-digit weather.

Iced coffee isn't really coffee.

It's just coffee-flavored water.

Not a fan of the heat, I see.

There's more sheep
than people in Ireland,

so I like weather
that goes with hats and gloves

and scarves and the like.

How's my friend Austin?

No idea, to be honest.

Literally everything's a secret on him.

Basically not even allowed to ask.

I'm a few years away from that,

but I'm definitely not
looking forward to it.

Well, enjoy your kids speaking
to you while you still can.

Well, they're really mad at me right now

because they're adjusting
to the idea that

I may spend half the week in Minnesota.

I'm adjusting to that idea, as well.

- Late!
- None of us like it.

Late! Excuse me! Late!

Cardio Tech Room .

- Cardio Tech Room .
- Have you, uh, told her yet?

No.

Webber?

No. And I don't like
this line of questioning.

Thank you for the coffee.

Have a great day.

It's locked. Why would it be locked?

Welcome to grand rounds.

This is not your typical grand rounds.

There's no lecture hall.

There are no slide-show presentations.

This is grand rounds on its feet.

What does that mean?

It means... you'll be coming with me.

Nice to meet everyone.

I'm Dr. Addison Montgomery.

And you must be the group

that's been screwing up the program.

Uh...

Kidding.

Oh, my.

Follow her, people!

- Oh, my God.
- Oh!

Mm.

Ohh.

Dr. Robinson to Nuclear Medicine.

Dr. Robinson to Nuclear Medicine.

Do I look like a batch
of raw cookie dough to you?

Why are you trying to bake me alive?

Let these a*t*matic doors close.

Dr. Mahoney to the ER.

Dr. Mahoney to the ER.

Chief?

Dr. Altman says that you put her
in charge of "fun"

and that I have to wear this.

I'm starting to think

the heat may have influenced
my decision-making.

Dr. Eisenberg, .
Dr. Eisenberg, .

Hold still, please.

Dr. Lin, how are you settling in?

Besides being told to wear a hat to work

on a -degree day, just fine.
Thank you.

Ow! Ow! Ooh!

Dare I ask?

Second-degree burns to
the buttocks and upper thigh.

Needs debriding.

My buddy dared me to fry an egg
on the sidewalk

for our web channel, NakedBroStuff.

And I fell on my butt.

- Naked.
- For more views.

And it worked, bro.
That egg got full-on fried.

Yeah, he also fried
through his epidermis.

Epic fail because of the burns
and the blisters,

but look at how many likes we got.

We're gonna go viral.

Dude, check this out.

Some chick gets sh*t off
the back of a Jet Ski

and the water went straight up her...

"Some chick?"

This will hurt a lot less
if you hold still

and stop referring to women
as baby birds.

Where are all of the residents today?

There's been monumental progress
made in infertility,

but there is much more work to be done.

With my background in obstetrics
and medical genetics...

And as one of the foremost

neonatal surgeons in the country.

...I will always endeavor
to find more options

for women who want to become mothers.

Why isn't her grand rounds for OB?

Damn it! Save me a spot.

I'll be back.

Fix your face.
It's Addison Forbes Montgomery.

Apparently, she and Grey
have a "history."

And whatever happened, I'm Team Grey.

I heard Dr. Grey cheated with
her husband, Dr. Shepherd.

You mean Dr. Grey's husband,
Derek Shepherd?

No. M-Maybe. I'm confused.

- Uh-huh.
- I heard he was married

to both of them.

Probably not at the same time.

Would you guys shut up?

You.

Middle left.

Yeah, you.

What's your name?

Schmitt?

- Is that a question?
- No?

Schmitt, what are the vessels
found in the broad ligament?

Um, blood vessels to the ovaries,

fallopian tubes, and uterus?

Uterus... Not a question.

Correct. Congratulations.

You're presenting.

Today's case is
a groundbreaking procedure

that has the potential
to change the game

for both fertility and childbirth.

I will be performing
Grey-Sloan Memorial's

first surgical uterine transplant.

Go ahead, Dr. Schmitt.

Oh, on my feet. Okay.

Um... Tovah Freedman, years old.

G- , P-zero.

Had a complete hysterectomy
two years ago this January.

Secondary to a placental abruption

in the second trimester.

Taking out the uterus was
unavoidable with the hemorrhage.

We couldn't save the baby,

but Tovah really wanted to be a mother.

I was the youngest of five, and, yet,

I was always the mom
when we played house.

And when I found out that
Jonathan was also one of five,

it was... b'shert.

"Meant to be."

In Yiddish.

I had my first miscarriage

about six months after we were married.

Then it was pretty much one a year

until we made it to
the second trimester,

and I had the abruption
and lost the baby.

And then it got worse.

Jonathan was diagnosed
with malignant mesothelioma.

And before he did chemo,
we froze his sperm.

When Jonathan passed away,

I couldn't imagine
being a parent without him.

But then I heard about
Dr. Montgomery's clinical trial

and I realized that

I could be the mom I was meant to be...

and maybe even bring
my and Jonathan's baby

into the world myself.

Tovah is the last patient in my trial,

and her family's here in Seattle,

so she has a solid support system.

If all goes well,
I will have met my criteria

to publish my first round
of patient results,

which means we're that much closer

to changing fertility
all over the world.

And one lucky resident will be credited

- when she publishes.
- Oh!

Dr. Schmitt, you'll be scrubbing
in to assist me today.

Good. Dr. Schmitt, start your pre-op.

Everyone else, let's file out.

Hi, hi, uh, Dr. Montgomery.

Are you an OB resident?

Yes! Dr. Wilson.

Great! Can you get me some coffee?

Black and sweet.

Say it again.

Rashida, a donor kidney has been found,

and it's on its way here
to Grey-Sloan for you.

Did y'all hear that?

Dr. Ndugu got it done.

Say hi, Dr. Ndugu!

- Hey, followers!
- Mm.

Mnh-mnh. Forget it, y'all.

He's married. Bye!

Is this really happening?

It's really happening.

Ohh!

I can't believe this.

I want to thank the donor.
I want to thank their family.

You can thank them by getting
well and living your best life.

Who's doing the transplant?

I am still confirming that.

But I'll be back soon, alright?

Hi.

- Oh, you're back.
- Yes.

Good, good. You know what?
I have so many ideas, you know?

Ideas?

Yeah, ideas, thoughts, proposals.

You and I are gonna update
this teaching program together.

Okay. Well, we should talk, because -

Oh, and not just grand rounds.

I think we should bring in
visiting surgeons each week.

And, also, we should start

video-recording the surgeries again.

I mean, it's the best way to learn.

They... They can see what went wrong

and how the team adapted.

Well, what do you think?

I...

It's a great idea.

Come on. Come on.

- Hi. Hey, Dr. Grey.
- Hi, Dr. Grey.

- Welcome back, Dr. Grey.
- Missed you.

Hunt. My man.

Hey.

You are a general surgeon.

Mm-hmm.

And you're skilled.

And you might be head of trauma,

but don't you ever
think to yourself like,

"Man, it sure would be cool to
not just do trauma"?

You sound like a person
who's about to ask for a favor.

I need you to do a kidney transplant.

- Hmm.
- Yeah, I know.

Webber's got grand rounds,
and... and Grey's got a surgery.

And I-I definitely can't ask Bailey.

Why not?

Well, because Bailey thought
there was no way

to get my patient on
the transplant list, and I...

came up with a way.

Would I be committing
some kind of a crime

if I did this favor?

No, no. Definitely not.

But I will owe you one.

- Okay.
- Alright.

- Thanks.
- Thank you.

What do we have?

-year-old female.

Hemodynamically normal.

Hydrostatic pelvic injury.

Water plowed up and cut through
her entire pelvic region.

What? How?

She fell off a Jet Ski.
Or was blasted off.

Apparently, it's all over the Internet.

No!

That video was for real?

Tovah, eyes on me.

Okay.

We have you, okay?

And the uterus?

It's being prepped as we speak.

I hope it works.

I'm going to do my absolute best.

And remember that whatever
happens is, um...

- B'shert.
- B'shert.

Mm-hmm?

I heard there were sex parties.

Greys, Shepherds, Yangs... All of 'em.

And they survived a plane crash
together.

What does that have to do
with Dr. Montgomery?

Pretty sure she was on the plane.

She wasn't.
It was the Seattle Grace Six.

Or Five. Definitely not Seven.

- No...
- Groundbreaking surgery happening

below us right now, so shut up!

Grand rounds on its feet means that

you will be asked questions
during surgeries.

All of you.

So maybe you want to put away the chips.

You ready?

Ready. Scalpel.

Why is the uterine transplant removed

after one or two healthy babies
are born?

Okay, if I don't get an answer
in five seconds,

I'm clearing the gallery.

You want to limit

the immunosuppressive dr*gs
on the patient.

Okay, Dr. Schmitt, is she right?

She is.

I swear, my -year-old listens
better than some of these guys.

You asked me for an OR.

I didn't tell you
it wouldn't come with a price.

Now, who can tell me where

the uterine arteries are branched from?

Ooh, ooh!

Hello, Lily. I'm Dr. Hayes.

How are you feeling?

Oh. Alright.

There we go.

- I feel like that.
- Mm-hmm.

Sorry.

Don't be. I'm used to it.

I've developed reflexes like a cat.

I'm seeing free fluid in the abdomen.

Mm-hmm. Pressure looks stable.

Lily, we need to get you
upstairs for a CT scan.

Are your parents here?

Lily!

Oh, my God. I'm so sorry.

I-I didn't even realize
she slipped off the back.

- Is she okay?
- Hey, are you a friend?

Yeah. I'm... I'm... I'm Micah.

Okay.

Micah, uh, we're going to
take care of her,

but Lily has had
the equivalent of a fire hose

blasted up her undercarriage,

so we need to get a hold of
her parents right away.

I need you to call them, and tell them

- to get down here right now.
- No!

She hates them, like, really hates them.

And, um... they don't know
she was meeting me IRL.

Understood. I still need you
to call them... IRL.

No!

Lily, your parents are going to
be worried sick about you.

Not if they don't know.

You're years old.
We have to call your parents.

Am I dying?

- No.
- Then I'm not calling them.

What is the benefit of using

a deceased donor uterus
versus a live one?

The larger vessels of the cadaver

can be used for the anastomoses,

simplifying the procedure.

Is he allowed to answer?

No.

I've never done one of these either.

Good dissection here.

Ready for the uterus.

Oh, come on!

- Shh!
- You shush!

Dr. Schmitt, can you point out
the uterine artery and vein?

What the hell was that?

Noah, this is Owen Hunt again.

I've left you a few messages.

Can you please call me back? Thank you.

Well... crap.

You heard that, too, right?

Air-conditioning system is overworked.

A bit like the rest of us,
Chief, you know?

Ugh.

Jet Skis.

Basically just motorcycles on water.

Nothing good ever comes out of them.

Except fun.

Is it just me or are all teenagers

losing their minds right now?

Teenagers don't have minds to lose.

Micah?

Micah?

He's in the waiting room, Lily.

Just try and hold still, okay?

You know, I have OCD.

I don't like germs.

I don't like disorder.

This world is full of both of them.

I wish I could
lock my kids in the house,

away from all of it.

But if you lock your kids up too tight,

you run the risk of
locking up their minds.

Their wildly immature,

under-developed, overly hormonal minds.

You know,
we've all been through a trauma

this past year and a half,

but the kids...

They don't even know
how to ask for help.

So they blast off on Jet Skis

with "friends" they met on the Internet.

She's got free air.

I suspect her rectum is perforated.

Let's book her for an ex-lap
immediately.

Optimum temperature in the OR, Schmitt?

Between and degrees?

Correct. But it's really the
surgeon's personal preference.

Oh, good. Then can we prefer
that we turn it down in here?

degrees, please.

The AC is out.

The whole hospital is down.

I need to start transferring surgeries.

Tseng, Ortiz, Chee, you'll help.

How long will it take you
to close Tovah?

I'm halfway through a complex

end-to-side vascular
anastomosis, Richard.

I can handle a little heat.

The HVAC system controls

the air filtration in the hospital.

You'll need to close her
as soon as possible

to prevent infection.

I'm not stopping Tovah's transplant.

She's been waiting months for this.

Then find a way to double your speed.

Find me a set of hands
who's experienced in

microvascular anastomosis
of the abdomen.

Get me Meredith Grey.

Get all available staff to put
portable AC units and fans

in the ICU and close any open window.

It's cooler in here
than it is out there.

For now.

- What's going on?
- The HVAC's out.

All surgeries are canceled or postponed.

We need to divert trauma.

I have a kidney transplant.
It's already en route.

Tell them to call
the next person on the list.

Our patient is down to her last
access point for dialysis.

She's at severe risk
for bacteremia or sepsis.

I just got approval
from the transplant board

to list her with
medically urgent status.

I'm sorry, Winston.

There is a protocol

for when and if
the hospital HVAC blows out.

I just never thought
we'd have to use it.

Nurse Kruger to the OR.
Nurse Kruger to the OR.

She can't wait for the next one.

She's getting sicker every day

because I made the decision
not to put in a permanent port.

- Why?
- It's complicated.

But she needs this kidney.

She needs it, and I need her to get it.

Okay.

Where are you going?
I'm gonna save your kidney.

Dr. Grey.

Dr. Montgomery. Congratulations.
Uterine transplant.

Congratulations to you, too.
Abdominal-wall transplant.

Dr. Grey also assisted on

an abdominal-wall transplant
that included the penis.

Yes, I read about that one, too.

She won a Catherine Fox award,

performed several ALPPS procedures,

and built mini-livers in the lab.

Yes, Helm, we got it. Thank you so much.

Have you prepared
the external iliac on my side?

I have. - Prolene.

Thank you.

Okay, so, I closed us to trauma.

I diverted the rigs to Seattle Pres.

Should we let the walk-ins know
about the situation?

What do you mean "outsourced"?

You manage the facilities. Uh...

Hello?

Apparently, our specialized
industrial HVAC company

is overwhelmed with calls
from all over the city.

You canceled my double-knee replacement?

It's degrees in OR .

Well, it was hotter in Iraq.
Honestly, this is balmy.

Yes, I'm still holding.

I should go check on Scout.

Oh, I was just in the daycare.

Everyone's good.
They've got a snow-cone guy.

Hopped up on sugar, but good.

I'm more worried about
the babies in the NICU.

Immunocompromised and unable
to regulate their temperature?

Yeah, should we consider
transferring them?

No ETA for our HVAC team.

I could take a look.

- Where is it?
- The HVAC?

I'm good at fixing things.

Oh, oh. I-I can assist.

I just installed a window unit
this morning.

- Wow. That's it?
- Yep.

You're gonna do my surgery
on a Mack Truck?

It's not a truck. Or it is,

but it's also a fully operational OR.

It was designed for emergency
surgeries in the field.

It's incredible.

I gotta warn you guys...
It's chilly in here.

Do you guys have jackets?

Ooh! Is he single?

Can I post live?

No and no.

- Thanks for coming.
- Hey...

But if the fire chief asks,

I did not drive this here.

And if your wife asks, same.

Are you serious?

The way I see it,
we're in a Grey-Sloan annex.

Let's go.

Okay.

Oh, my God.

Shepherd.

Dr. Bartley, hey!

I am so sorry that
I missed our call earlier.

What happened?

I had a complication in the OR,

and it took longer than I expected.

Your head. You hurt?

Oh, no. I'm fine.

Just incredibly hot.

Uh, historic Seattle heat wave.

Even the hospital is not
as cool as it should be.

Got it. I got the MRI scans
on the latest mice group.

- And?
- %

showed that the transplanted
cells are functional.

Oh, my God! That's fantastic news.

Meh. I see it as a need for
% improvement.

I want to start another group next week.

Can you get up here by then, do
some trouble-sh**ting with me?

- I would be thrilled. Absolutely, yeah.
- Thanks.

Close your eyes.

Um... Okay.

You're in Lake Superior in late fall,

right before it freezes over.

No wetsuit, no sunshine.

It's the type of cold that
makes your fingers ache

and your eyelashes frost.

Your whole body chatters,
not just your teeth.

Uh... are you trying to

guide-meditate me into feeling cool?

Did it work?

I mean, it didn't not work.

See you next week, Shepherd.

Doppler.

So, what's next, Dr. Grey?

Uh, just finishing up
this last stitch here.

No, I meant for you.

I will win the Fox award this
year for uterine transplants,

but what will earn you second place?

To be honest, I could give you
a run for first

if I could get my logistics and
responsibilities here sorted.

Have to have
some difficult conversations.

Richard.

- I'm not hearing a signal.
- What do you mean?

I don't hear anything on the Doppler.

Anastomosis looks perfect.

Damn it. There must be a clot
in the vessel.

Okay, we'll have to
reopen the anastomosis.

- You just finished.
- Well, it's all for nothing

if We don't get proper blood flow.

Let's re-open the anastomosis.
Now, Schmitt.

This is... not a window unit.

Nope.

NICU babies.

Let's give it a try, then.

Yeah.

Uh...

Hey, I'm... I'm... I'm sorry
about you and Amelia.

Well, I'm sorry I didn't make it
to the wedding.

Oh, please. It was impromptu.

I mean, years in the making,
but impromptu.

Oh, my God!

What is it, like, up here?

You know, my body adjusted to
extreme heat in Iraq.

I'm not even sweating.

That sounds more like dehydration.

So, what's the plan?

Still coming up with one.

How about that?

- Careful.
- Oh.

Uh, lap pads for Lily and my face.

Catheter.

I take it this isn't typical
summer weather in Seattle?

You didn't live here last summer?

I don't remember seasons
during the pandemic.

What is it about closing the ORs

that is so difficult to understand?

This patient should have
been transferred!

And I chose not to do that.


My patient, my call.

You're working with bowel.
The risk of infection...

Did not outweigh the need

for my patient to receive
immediate surgical care.

And the longer you stand there
arguing with me about it,

the longer it's gonna take
to get what you want,

which is no operating in this OR.

Have anything else to say about it?

Eh!

Didn't think that would work.

It works on my two teenage boys
every day.

- Vicryl.

Okay, we've got good inflow.

Heparinized saline.

Won't the graft die
if this doesn't work?

Not if Dr. Montgomery can
dissolve or dislodge the clot.

Still no flow.

We should use a Fogarty.
Fogarty Catheter.

Inflate the cuff slowly.

Pull back gently.

Yes!

Well done, team!

You okay, Schmitt?

Who? Me?

I actually enjoy a shvitz.

"Sweat" in Yiddish.

Yeah, I know.

Feels like old times...
You manning the anesthesia.

Don't get used to it.

Warren, I can't thank you enough.

I'm just happy that
somebody's using this thing.

Well, why'd it get benched?

There was an incident with my, um...

With a junkie with a g*n.

And the department didn't love
that there was

a traveling target for drug addicts

who were desperate enough
to hijack us for fentanyl.

Fair, but there must be a solution.

Trust me, I pled my case,
but, you know, no dice.

Now it's just a very expensive
piece of machinery

that sits out back of the firehouse,

waiting for the day when someone
will let me dust it off.

Hmm. Or some stubborn surgeon
asks you to borrow it.

And Grey-Sloan paid for it, alright?

Grey-Sloan can decide
what to do with it.

Plus, you know, no one ever

accused us of being rule followers.

Well, I generally am a rule follower,

unless the rules mean

my patient can't get
the kidney she deserves.

Wait, wait, wait. Is this
an illegal kidney transplant?

Okay, d-does my wife know that I'm here?

No, but she's the one who told me

to fight the broken system.

By breaking the rules?

- No.
- Yeah, I didn't think so.

Anyway, no, I didn't steal a kidney.

And even if we had,
it wouldn't matter now,

because there's urine in the Foley.

Rashida now has a functioning kidney.

Come on!

Damn it!

Sorry. I'm... hot...

and I just wanted to... fix something.

I just wanted to fix something!

Some things are harder to fix
than others.

I'm in love with her.
I'm in love with her

and I don't even think
she even thinks about me.

She's planning trips without me.

She's... She thinks I'm old-fashioned.

She...

I mean, I don't even know.

She thinks I'm trying to control her

because I want some...
Some commitment from her?

I mean, I don't get it.

I-I don't get it!

This is not what I wanted for my kid.

This is... This is...
This is what I had!

This is not what I want for Scout.

I've been there.

For whatever it's worth,
I have been right where you are.

I'm sorry. I'm just really hot.

I made people put on hats.

For fun on the hottest day of the year.

Yeah, you want to do fun today...

think cool.

Zander, they're coming.

So, what happened?

Shh, shh, shh!

Did they have it out in the OR?

No, but there was tension.

There was definitely tension.

We can hear you.

- Stairs.
- Yes!

Go, go!

Oh.

I thought...

...coming back here...

...to Seattle, to Grey-Sloan,

that, uh, he'd be here,

that I would be able to feel
that he was still here...

...in the city that he loved,

with the people he loved,

but he isn't.

And it's real.

He's not here.

And I'm really sorry
I'm doing this in front of you,

because you're the one who had
to actually go through it.

Addison...

...he is here.

And he's in his children.

And they are very real.

And I would love for you
to come and meet them.

Meredith...

...you've never been one
to shy away from

fighting for what you love.

So if you believe in
this next big thing,

fight for it.

Richard will understand.

Grey made her cry,

and I'm here for it.

Okay, thank you.

Congratulations.

So far, so good.

There's minimal output from her drains.

Doppler studies look good.

But the true success will be
when she gets pregnant

and, uh, we deliver a healthy baby.

I'm sorry about the HVAC.

It wasn't designed
to be pushed that hard.

The Earth wasn't designed
to push this hard.

And speaking of pushing hard,

your residents are almost there,
Richard.

You made it sound catastrophic.

Well, they aren't like
you and Derek back in New York.

I mean, I remember you two
were machines.

All this generation wants to do
is complain.

They're not complaining, Richard.

They're standing up for themselves.

They're not willing to be worked
to death by a system that,

frankly, should have been
considered inhumane.

I think that's progress.

Doctors are overworked.

You know, they're getting sick.
They're retiring early.

There's a reason for that.

You're saying it's our fault?

I'm saying that we can do better.

I'm saying...

there's always room for improvement.

And, okay, yeah...

sometimes they're a little whiny.

It's really good to see you, Addie.

It's good to see you, too, Richard.

She's not gonna die, right?

No.

But she's got some
pretty serious injuries

and a long road ahead of her.

So I need Lily's phone, Micah.

I need to talk to her parents.

Lily says her parents don't know her.

They just want to track her phone

and control everything she does.

Okay.

But, on the other hand,
if she doesn't talk to them

and if she keeps secrets from them,

how are they supposed to know her?

How are they supposed to feel safe?

How are they supposed to even breathe?

She says all they do is yell at her.

'Cause it's impossible.

Because you've loved them really
well all their damn lives,

and then, all of a sudden, they turn

and they don't want to have
anything to do with you.

And you can see that they're hurting.

You can see their pain
and their fear, their panic.

And they used to talk to you
about everything

and cling to your leg.

Now they just slam doors

and stare at their phones
and tune you out.

And, yeah, it's...

It's really hard being a teenager.

I remember it.

I remember how my father used to shout.

I remember how I used to
hate him sometimes.

But do you know what, Micah?

It's also really hard being
the parent of a teenager.

So if Lily's parents
have been controlling,

maybe they have a reason to be scared.

Alright, Micah,

Lily's gonna be crapping into
a bag for the next six months,

so unless you're gonna be
the one to help clean that up,

I suggest you unlock her phone.

Thank you.

There you are.

You saved the grand rounds surgery.

The HVAC team finally got here,

and the AC is on
in the ICU and the NICU.

The whole hospital should be back soon.

Thank God.

Can we talk about the residency program?

Yes! Ah!

And I hope I'm not stepping on any toes,

but I really think the two of us
can revamp this whole thing.

Except it won't be the two of us.

You're gonna take the job in Minnesota.

Yes and no.

I was offered an opportunity
that I just cannot turn down.

- Well, what is it?
- It's an opportunity

that I cannot turn down.

Oh, I see.

It is so good that
you can't even talk about it.

I'll split my time
between here and there.

And I'll stay on as
chief of general surgery,

but I do have to give up the residents.

It would not be fair to them.

And, quite honestly, Richard,
I think it's wrong

for anyone to have that job but you.

Yeah, you're just saying that
to make me feel better.

So?

So I will be honored
to stay in the role.

- I thank you.
- Uh, Meredith, uh, eventually,

you will tell me what it is, right?

Right?!

Her labs look incredible.

And she's got a full bag of urine.

Did...

Did it work?

Do I have a kidney?

It did.

Everything looks great, Rashida.

Ooh! Thailand, get ready.

Yeah, you deserve to celebrate.

And so do you with your doctor-wife.

And somewhere cool.

Well, unfortunately, she's out of town.

But I did score an invite to the
coolest place in the hospital.

Um... hello. Where?

Okay, it is definitely cooler down here.

The morgue?

We got invited to the morgue?
Unh-unh. No.

I got invited.

You just followed me.

Hey! Come on in!

Grab a snow cone, cool off.

Wow! This is weird.

But fun, right?

Sure. Thanks.

I delivered two babies today
in -degree heat.

I mean, it's not a competition,

but I did help out on
a successful uterine transplant.

"It's not a competition, but
I did help out on a" bleh-bleh!

Residents can feel like
they're being pulled

in a zillion directions.

You'll get in on the next cool thing.

Are you seriously telling me
how it feels to be a resident?

I tell you how it feels
to be a resident.

Oh, b-b-but if Dr. Montgomery comes back

to deliver Uterine Transplant's baby,

put a good word in for me
so I can get in on it?

- Mm.
- W...

Ambassador of Fun.

Yeah, nice job, Altman.

Creepy, but nice.

People are dying to get in here!

No.

They're not.

For me, the boiling point is more about

stuff bubbling up from the bottom.

Oh, my God.

Oh!

Oh, my God! I have been waiting
for this moment all day.

I was stuck over a brain when
the stupid AC went out.

- I was over a uterus.
- Oh.

Oh, good.

The air is back on just as
we're leaving for the day.

Typical of this place.

Oh!

So, where do you want to go for dinner?

Your place. Meredith invited me over.

- She did?
- Mm-hmm.

Is that weird?

Why would it be weird?

No reason.

Though I did hear that you guys
had a threesome one time.

I heard it was a foursome.

- Mm.
- So...

It's about stuff you haven't
thought about in a while.

It's about stuff that's been heating up

while you weren't even paying attention.

Hey. Listen, I know you're scared.

- No.
- Noah...

Noah, I know you're scared.

I know you're in pain.

But you should also know that
there are so many others

just like you who are also
scared and also in pain

because the m*llitary doesn't
want to take responsibility.

The only way to help all of you
is to at least try to fight,

because that is what we do.

We fight for what is right
for as long as we can.

And I will help you, Noah,
every step of the way.

The question is...

...how well can you contain things

before they boil over?

What do you need from me?

I need to know everything
that you know...

What the V.A. said to you,
your story, and everyone else's.

Okay.

Come in.

The thing is, even if things
don't boil over completely,

they can still simmer.

We're here!

Come meet somebody, guys.

Hi!

Hey. So, this is Zola and Bailey.

And the youngest one is Ellis.

She's upstairs, in a mood.

She gets it from me.

Hi.

- Hi.
- Hello.

Were you Daddy's friend?

I was, yes.

Uh, I'm, uh, I'm Addison.

But he... He called me Addie.

And as long as you're careful
how you handle yourself...

Want some ice cream, Addie?

I would. I would love that.

Oh, wow! Look at this.

Is this rainbow sherbet?

Yeah, and guess what...
Rainbow everywhere, too.

I mean, and a pizza.

And sprinkles.

Who doesn't like sprinkles?
I know, right?

Which topping do you like the best?

Um...

Mini chips.

- Yeah.
- Oh!

- Skittles?
- Psych.

...you won't get b*rned.

You guys, guess what.

I'm falling more in love
with you every second.

Thank you. Every stinkin' second.
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