07x08 - Something's Gotta Give

[bunniefuu]

Meredith: the human body is a highly pressurized system.

♪

The blood pressure measures the force of blood Pulsating through the arteries.

[ hisses ]

great.

What the hell am I gonna do now? ! It's important to keep this pressure regulated.

Damn it!

Damn it!

When a heart wasn't available, I opted to continue

With roy henley's lung transplant ... Low or inadequate pressure can cause weakness or failure.

It's all in your head.

My name isn't on the o. R. Board.

I checked the schedule. Nobody wants to work with me, 'cause I'm not on anybody's service. It's an oversight, okay? Just ... just ask around.

Do you know how many things I've screwed up in the last month?

Stop it. I'm serious. Just ask around and get on someone's service and get back to work.

Teddy: ... Suggested no pulmonary sepsis.

You smell like you're sweating booze.

Where have you been? I want the weekend you had.

What happens in vegas, you know?

Hey, who's stark? I'm supposed to be on stark's service today.

Oh, me, too. He's the new peds attending, Since Robbins left.

[ Alex whispers ] crap.

[ normal voice ] I can't handle a bunch of sick kids today.

I can't do it.

So was it a bachelor party or ... Shh. They're talking about Cristina. Oh.

It became clear to Dr. Yang

That they were gonna need to switch modalities.

The patient was put on ecmo ... It's when the pressure gets too high

That problems really occur.

And why did Dr. Yang

Opt to use the intra-aortic balloon pump over an r-vad?

I, um ... I can't answer for Dr. Yang.

And why isn't she here?

She, um ... [ feedback chirps ]

She quit.

She left the program.

I'm sorry. What? She what?

[ doctors murmuring ]

Dr. Yang cleared the balloon pump with Dr. Mcqueen ... [ cell phone ringing ]

Who agreed that it was the best ... Go back. Go back.

Yang quit the program? Yeah, where have you been?

Well, that's the first I've heard of it. [ beeps ]

Hunt, what the hell happened? She told the chief she quit.

Richard ... Teddy: if we could just finish the presentation, then ... Derek: I have a question. Can you tell us about

Your decision to put Dr. Yang in charge of this patient? Sorry?

[ door opens and closes ] but she didn't "quit" quit, right?

Grey.

You're joined at the hip. What'd she say?

Uh, she hasn't spoken to me about it.

If the pressure continues to increase, A closer examination is called for ...

Stop looking at me. Look up there.

Does Torres know anything about this?

I'm calling Torres.

[ keypad beeping ]

Can we please just ... Look, I guess I'm asking you, why did you choose

To put Dr. Yang under so much pressure that day? I didn't. I intended the opposite.

[ door opens ] I gave her a simple pre-op checklist

On a stable patient.

[ door closes ]

stable patient?

The patient almost d*ed twice. I couldn't have seen that coming.

♪

I'm sorry. Is this a, uh, a patient presentation

Or a postmortem on Dr. Yang?

Well, you saved the patient.

Because it's the best indicator

That something is going terribly wrong.

Captioned by closed captioning services, inc.

[ blows nose ]

[ objects clatter ]

[ sighs ]

[ box thuds ]

[ inhales deeply ]

[ exhales deeply ]

[ sighs ]

[ cell phone rings ]

[ ring ]

[ ring ]

[ sighs ]

[ beeps ]

Hey, Mark.

No, no, I was, um ... I was actually on my way out. What's up?

[ siren wailing ]

She what? !

I don't know what Shepherd's problem is.

What the hell was that? How is she doing? Is she ... Oh, we're ... I don't know. She's ... We're good. We're fine. It's like nothing has changed, Yet she refuses to talk about work.

I bring up work, and she goes blank. Altman, hunt.

Emergent patient ten minutes out.

Can you meet me in the v. I. P. Wing? V. I. P. Wing? Who is it?

Oh, you'll find out when we get there.

Listen, hunt, I'm required to send a letter

To the american board of surgery declaring that Dr. Yang

Has officially left the residency program.

I have to let 'em know. I'm asking you, Is there any reason I need to hold off on sending that letter?

Yes. Yes.

Please don't mail it.

Just give us a little more time.

Okay. Let's go.

Right.

Grey, who are you with today?

Shepherd.

Damn it. I've already blown it with Shepherd.

I can't ask him.

Uh ... Bailey. I haven't blown it with her yet.

He thinks no one wants to work with him.

Are they saying that or are you saying that? Here you go, doctor.

Who are you with again? Karev.

Uh, I mean stark. No, you meant Karev.

I ... and you don't want to go there.

You don't know where I'm going. He's right. You don't want to go there.

I'm not ... I'm not going anywhere.

He's not the guy for you. Okay? Trust me. [ laughs ]

And don't be paranoid. Trust me on that, too.

[ people speaking indistinctly ]

Oh, but it's okay for you to go there?

I'm a guy. I live there.

[ elevator bell dings ]

I gotta find Bailey.

[ sighs ]

[ metric ] ♪ slow it down, push it to the east coast ♪
♪ touch down, look around, everyone's the same ♪

Hello!

Cristina!

Oh, hey. Hello.

Hello!

[ loudly ] hello!

Oh!

[ pants ]

Uh ... What are you doing here?

I'm not back until next week.

Wait. So it's true?

You guys broke up? Uh, she's in africa?

Okay, Sloan told me that you quit.

Hey. What are you doing? !

This. Go away.

Okay, this is disturbing.

Hey, stop!

[ music stops ]

Look, I was unpacking, But then I didn't enjoy it.

What are you doing?

What do you mean? You don't have a job to go to. You don't have a girlfriend

Telling you you have to go to africa.

You're completely free. You can do whatever you want.

The world is your oyster. Make lemonade. I'm trying. I was gonna get my hair cut today, Like, make a radical change, but, uh, then I thought, Hmm, maybe you shouldn't do radical things

Right after a blonde woman

Has ripped your heart out of your chest and stomped on it. What are you ... [ gasps ]

Oh, my god! What are you doing? ! [ laughs ]

Are you insane? !

Let's make lemonade.

[ laughing ]

[ laughs ] oh, my god.

[ beeping ]

Oh, 97. 6

Stick out your tongue.

[ thud ]

Ow! Cut it out.

We'll have fun today.

Stark's a got a 4-month-old biliary atresia patient

Who just found a donor.

[ groans ] a liver transplant on an infant?

Enough with the damn ping-pong balls!

Jerkface!

Whoa. Inside voices here, please.

So you must be Dr. Karev.

You missed my rounds today.

Oh, sorry. I- I had car trouble.

Oh. Well, there's a classic.

So what, you're here just to kinda yell at my patients and ... Yeah, I'm sorry.

Look, d-Dr. Stark, I am feeling very sick today.

[ beeping ] so I think that, you know, well, let's see here.

[ pop, thud ] no fever. You don't seem to be vomiting.

You retaining control of your bowels? Ew.

Yes.

Well, since hangovers are not contagious, I'd say you're working.

And you can start by prepping my atresia kid.

She's only a few months old, so try not to be a jerkface.

[ ping-pong ball clatters on floor ]

Gimmie that!

[ woman speaking indistinctly over p. A. ]

Dr. Webber, ronald dace, state department.

We spoke on the phone. These your surgeons?

Uh, yes, this is doctor ... right now, we need to limit access to this area

To only essential personnel. Uh, why is that necessary?

No one can know this man is being hospitalized.

No one can know he's in the country.

[ men speaking foreign language ]

[ speaking foreign language ]

Owen: evee, e, e, thget e.

Teddy: board. Get me a reading.

Got it. Stand by where you are.

He's in v-fib. Charge to 200.

[ man speaking foreign language ]

And from a global perspective, It would be great if he didn't die. [ defibrillator whines ]

Clear.

[ thunks ]

Clear!

[ paddles thunk ]

They faxed more of his records.

[ monitor beeping erratically ]

these are all in arabic.

Clear!

[ thunks ]

It was a car accident? The emir's car

Was hit by a truck as he was leaving the meeting.

What's he doing in Seattle? He's not.

Let it suffice to say, if he dies, We've got a serious international incident. Well, not to mention, His people are supposed to see their first elections, right?

I'm not at liberty to d ... unless he dies, in which case, Then the door is open for al qaeda to move in, And then your secret meeting was for nothing. You don't just skip to the crossword, do you?

Well, I used to work in that neck of the woods. I know, Dr. Altman ... three years in baghdad, Two years in landstuhl. Wow. You guys are fast.

We are.

Listen, our best outcome here is that we get him stable enough

To be put on a plane home.

Our best outcome is we save him.

Man: he takes two medications ... One for high blood pressure, one for his cholesterol.

Uh, he was hospitalized late last year for exhaustion. Did he receive any treatment then?

No, just rest. Working too hard.

He works very hard.

Uh, he has a wife, four children ... Five, uh, if you count me.

He's more than my boss. He's been, um ... [ voice breaks ] he's given me everything, so please ... We'll do everything we can.

[ monitor beeping erratically ]

He's in v-fib.

All right, charge to 300.

Clear!

[ thunks ]

[ babies crying ]

We'll bring your baby up soon.

Lisa. Her name is lisa.

The donor was an adult, So the liver will actually be split between your baby ... Lisa. Sorry. We read that

If the doctor knows your baby's name, It helps you to kind of bond with her.

We read that's important. Will Dr. Stark be splitting the liver in situ?

We know that ex vivo takes less time, But we also read that in situ gives better results.

W- we're not trying to tell you how to do your job, we ... Oh, no, no, no, of course not. Please don't apologize.

We'll find out for you.

[ stark speaks indistinctly, video game sounds playing ] one second.

Yeah, you want to blow up as many of those guys as you can. Dr. Stark.

There you go. You got it. You got it.

Dr. Stark, uh, can you come talk to the collises, please?

Oh! They've got a lot of questions.

Yeah, I gotta check on that kid's harvest team.

Did you ever hang glide? What? I ... no.

It's apparently a very good way to become a liver donor.

Wait, sir, are you splitting the liver

In the body or ex vivo? The parents want to know.

Okay.

Those folks have been spending a little too much time

Consulting Dr. Internet.

Listen, just hold their hands, let them feel smart, And tell them I am busy getting their baby a liver.

Her name's lisa.

I said I don't need any help.

I've got an easy day ... two laparoscopic surgeries.

I can't use you. Yeah, well, maybe I can ... I'm sorry, ma'am. I can't admit you. Well, you don't need to admit me.

I'll just walk in there myself. I do it all the time.

Oh ... Uh, chief webber paged me in there.

I'm sorry, ma'am. Well, who's in there?

Is it the president or the vice president?

Is it bono? Bono?

Ma'am, I'm sorry. I cannot ... Bailey, can you take my patients today?

I got a situation in here. Oh, of course, sir.

Louise cortez is a readmit after surgery

For chronic pancreatitis. C.T. Showed a pancreatic fistula.

And she spiked a fever this morning.

Right. Uh, sir, you put in a drain?

Yes, just keep a close eye.

Okay. Sir.

[ bangs door ]

Is it bono?

[ elevator bell dings ]

Come on, avery.

I could use you.

[ whispers ] yeah.

Okay, but I don't understand. I'm on your service. I don't need you. The craniotomy's been canceled.

I don't have anything for the rest of the day. So what am I supposed to do now?

Go study. Study what?

I don't care, lexie. Go somewhere else. Wh ... Oh, my god. Mm.

How do we have time for this?

We have to make time for this. Mm.

Should I call her? Call who?

Cristina. Wh-wh-why?

Because she quit, and I feel like I

should do something. It's not your fault.

You didn't do anything wrong, no matter what she says.

Okay? You just need to make time for this.

But ... [ knock on door ]

oh, my god. Lexie.

What?

I'm looking for Dr. Meredith Grey.

What did you do?

[ woman speaks indistinctly over p. A. ]

[ scissors clicking ]

How's it going?

[ clicking continues ]

can I see?

Fantastic. Shut up.

Okay.

Hey, you know what you need

To, uh, get this place done?

You need to throw a housewarming party. [ clicking stops ]

Put a little pressure on yourself.

Oh, my god. We should totally throw a housewarming party. Mm-hmm. [ laughs ]

Oh, my god!

[ car blaring ]

Oh, my god, no. Tonight! I'll text everyone.

No! Yes! I have several credit cards and nothing to do.

Okay, that's not what I wanted. I look ... I-I look injured.

I mean, do you even cut hair? I need furniture.

Look at my hair! Yeah. I sorta can't believe you let me do that.

Cristina! It's okay. We'll go to the mall.

You might want a hat.

[ exhales ]

[ monitor beeps erratically, defibrillator whines ] clear!

[ paddles thunk, beeping normalizes ]

we need to get him to a cath lab.

Yeah, well, if he'd stop coding long enough.

I'm inserting a pacemaker. You paged?

Yeah, Grey, grab me a pacemaker kit. [ cell phone beeps ]

Hey, hunt, you're throwing a housewarming party tonight? Tonight? I am?

Well, your wife is. That's a good sign, right? It's a weird sign.

Well, but maybe it's an opportunity.

I mean, maybe I could talk to her. Wait. Better yet, maybe you could, Grey.

Well, we all could.

I mean, it's gonna be hard for her

To walk out of a room at her own party. How bad is it?

I'll tell you when I know. Maybe a little less party planning.

Hey, I don't tell you how to polish your sunglasses.

Look, between you and me, he's a good man.

And it'd be a shame if something like this

Screwed up what he was trying to do.

Wow. Every time I talk to you, I feel a little more relaxed.

The last thing Cristina wants is to talk to me.

I just have to give her some space. We don't have time to give her space.

She's gonna be locked out of this program, And I do not believe that that is what she wants.

I mean, do you think that's what she wants?

I'm asking you, Grey.

[ woman speaking indistinctly over p. A. ]

I still don't understand what I'm doing back here.

Dr. Webber said something about a fist.

A fistula.

It's a complication from your surgery

That's leaking pancreatic fluid.

The drain takes the fluid out of your body

So it won't go where it's not supposed to.

Okay.

Th-the pancreatic fluid

Is made to digest your food.

If it leaks in your body, It starts to digest your other organs.

Well, that wouldn't be good.

Exactly, but not to worry. Yours is looking just fine.

I just want to keep a close eye on you, okay?

Well, it seems like I just was home, and here I am again.

You know, I say that every morning. Dr. Bailey, o. R. 's ready.

Okay. Um, Mrs. Cortez, Your temperature is still a little high.

So you just rest, And we'll get you home in no time.

Okay.

Okay, you're not scrubbing in.

I'm not. No, watch Mrs. Cortez.

If the fluid in her drain changes color, you page me.

If her fever goes up one digit, you page me.

'cause the fever could be ... an abscess, early sepsis, pneumonia ... Any number of nasty things.

And remember your first rule of residency ... Eat when you can, sleep when you can ... [ both ] and don't screw with the pancreas.

[ sighs ] so much for my easy day.

Nice anastomoses.

No leaks.

How are we doing? We good?

It's not ... No, it's not quite fitting, is it? There's not enough room

In the peritoneal cavity for the graft. The liver's too big?

Uh, the baby is too small.

[ laughs ]

[ monitor beeping erratically ]

b. P. 64 over 40.

It's compressing the hepatic vessel. Sponge.

No, no, no. Larger, larger, larger. There we go.

Let's get this sponge tucked up under there, Take the pressure off the vessels, And ... Yeah, that's doing the trick there. [ beeping normalizes ]

All right. I think we're done.

But the liver's not gonna fit. We're not gonna be able to close her up today.

Just wrap her.

This happens with adult split livers.

You just gotta sit tight

Pe that the swelling goes down enough

So you can close her up. Well, how long will that take?

As long as it takes, Karev.

Thank you all. Great work.

[ monitor beeping rhythmically ]

[ sighs ] this graft is big.

The swelling ... it's gonna take a lot to go down.

How long can it stay like that, with that sponge in her?

I don't know. Isn't it just gonna start to deteriorate?

I mean, she could get infected.

And ... and what if the swelling doesn't go down enough?

The liver will die, and she'll be back on the donors' list.

Oh, jeez. How is this a solution? It's not.

[ beeping continues ]

Um, how can you not talk to Meredith about this?

She's your best friend. Ooh, I love that lamp.

You can't just cut yourself off from a person, Pretend your whole relationship never happened.

I mean, you can, But it makes you a heartless, soulless monster

Who I thought I knew, but really didn't.

With wheels on her shoes. Ugh. God, how was I okay with that?

I used to be a lot cooler than that.

I was a lot cooler when I was single.

You were hardly ever single.

[ laughing ] I know. I know.

Oh, I'm actually excited to spend time on my own.

[ sighs ]

Okay, I thought we were going to a hair salon.

Next. We're doing me now. Can I help you find something?

Yes, I will take that. That sofa?

That room. All of it. I'll take it.

Uh, you do same-day delivery, right?

Great.

[ unzips purse ]

So it went very well.

The baby looks good, liver looks good, And I think we can all exhale a little bit now.

When can we see her?

Soon. We'd like to keep an eye on her.

There's a little bit of swelling, and I want to see

That go down, but, uh, yeah, we'll let you know.

Thank you.

Thank you so much, Dr. Stark.

Just ... Thank you.

Yeah, my pleasure entirely.

You aren't gonna tell them any more than that?

What would you want me to tell them, Karev? Well, that there's a chance of infection, That if the liver doesn't actually conform ... [ pager beeps ]

They could be back on the donors' list.

I mean, they're smart people.

They want to know what could go wrong. And make them more worried than they already are?

I think you're not worried enough. Tell me a better solution.

I, uh ... Can you give me a better solution?

No.

Well, then keep your mouth shut and go do something you can do.

You can start with my post-ops.

[ k'naan ] ♪ yeah believe it or not ... ♪

You tried.

♪ what kept me alive is my dream ♪

Ow!

Okay, since when is it okay

To sh**t people in this hospital?

Now Bailey's given up on me, too.

You're on her service. Why are you still freaking out?

No. Bailey's in surgery. She trusts me

To watch her post-op drip fluid into a bag every ten minutes.

Ow! Okay, inappropriate.

Okay, you should relax. You get an easy day, you take it.

Shepherd didn't need me, So I took a nap in the research library.

Give me ... give it to me.

Jerkface. [ ping-pong ball clatters on floor ]

He's having a rough day. New Robbins is no Robbins.

Check this out ... armed escort to get a yogurt.

Okay, who is it? Is it bono? It's totally bono. It's all over the hospital.

It's not bono. Are you going to Cristina's tonight?

I don't know.

[ clatters ]

okay ... Not okay. [ laughs ]

okay, that's addicting.

Put it away before my guy wrestles you to the ground. Gimmie that.

No. Gimmie the ball.

No. G ... ♪ but I ain't the only one who got problems ♪

What's his problem? He's having a rough day.

Ahem.

Jeez, I'm coming.

♪ but still ♪

[ ball clatters ]

♪ I still know how to get down ♪
♪ I stino ♪

I'll check in. The emir's cath confirmed

That he does have a tear in one of his coronary arteries.

We've stabilized him with a balloon pump, but I am

Gonna have to perform open-heart surgery to repair the tear.

[ men speaking indistinctly ]

Man: doctor! Doctor!

Doctor! Doctor, please was the tear in his ... Quiet, please. Please. Was the tear in his artery

An injury sustained in the car accident?

There is no way of ... doctor, don't answer that.

There is no way of knowing if that was the cause.

[ man speaks foreign language ]

Can we have assurances that your finest surgeons

Will be operating on his highness? Richard: yes.

Uh, these are the chiefs of my cardiothoracic and trauma departments.

[ man speaks foreign language ]

[ man speaks foreign language ]

Sorry. He was asking your state department.

He didn't mean the finest surgeons in this hospital.

Which is why you might be more comfortable

Traveling to your own country, where he can ... [ men shouting in foreign language ]

All right. All right. Quiet. Quiet, please.

Quiet, please. Thank you.

I understand that there are a lot of concerns and agendas here.

But we all have the same goal, And that is to see this man live.

Now we are out of time, which means we are out of options.

I am your only sh*t, and you have to take me.

I can only say that if you knew me better ... [ speaking foreign language ]

You'd feel pretty good about your chances. [ sighs ]

Dr. Hunt and I

are going to operate, And we will update you as soon as we can.

[ men speaking indistinctly ]

Good luck.

[ taps files on desk ]

[ men continue speaking indistinctly ]

[ lowered voice ]

you have to tell them to stop.

Tell them they can't operate.

W- why? What's the problem?

[ whispers indistinctly ]

Come with me.

He didn't want anyone to know. He made me swear.

Just tell him what you told us.

Four months ago, the emir was diagnosed with

An unruptured cerebral aneurysm in his left temporal lobe.

Derek: he's in c. T. Now? Well, his first neuro came up clear, But now he's got a blown pupil. So we think it's burst.

The scan should be up by now. I swore to him, I wouldn't say anything till after the election.

I'm still not sure I should've told you.

I might be costing him everything. You're trying to save his life.

He's trying to save seven million lives, To make it so seven million people can walk the street

Without the fear of being m*rder*d by the extremists.

He doesn't, um ... He risks his life

Every time he steps out his door.

You're trying to protect him, too, And I'm sure he'll understand that.

He was headed to surgery?

Yeah, we're going in on a dissected coronary artery.

[ beeping ] oh, yeah, that aneurysm's blown.

Damn it. That's a huge bleed. Well, I'm not surprised.

He was shocked seven times and given blood thinner, Which is unfortunate. He presented like an m. I. I treated him appropriately.

I couldn't have seen this coming. Yeah, you've been saying that a lot today.

You know what, Shepherd? I don't need crap from you.

Apparently I hold the whole fate of the middle east in my hands. Apparently, now I do, too.

Book an o. R. We're gonna have to work simultaneously. Oh, can't wait.

[ beeps ]

Cristina's having a party? Cristina Yang?

Yeah, I know, but ... [ sighs ] I'm gonna go.

We're all gonna go and talk to her.

And you should come, too.

I mean, you quit once. You walked away and came back.

So maybe you have something to say that could help. No.

No? Do you remember

When you came out to talk to me about coming back?

Do you remember

When I hit your engagement ring with a baseball bat? Oh, that was a great day.

She's already lashing out.

Don't go and try to confront her.

No intervention on Cristina Yang.

Do you hear me? It's a bad idea.

[ door opens ]

What are you sterilizing?

[ air hisses ]

[ crinkles ]

You're kidding me?

What was so important?

Uh ... Sir, I was out of line earlier, But, uh, I think I found a solution

For lisa collis' liver.

What is that, a ping-pong ball?

It's the perfect shape to keep the liver

From compressing her blood vessels.

It's made of celluloid not plastic, So it won't break down like a sponge will.

It's gas sterilized, so there's little risk of infection.

I mean, you could leave it in there forever.

Her liver will just grow around it.

I mean, I think it's a ... You think it won't work.

No.

I was thinking, I left you to do my post-ops, And here I find you playing with balls.

I don't know, Karev.

Am I gonna have to talk to your chief about you?

Yeah, right.

[ clatters ]

[ muzak playing ]

Mm, I want it sort of, like, badass, you know?

A little dangerous, a little unpredictable.

Did you bring a picture?

Mm. It's more of a feeling.

What do they do all day ... the mall people?

Look at them. They move so slowly.

They all mosey. Look.

Yeah, I, uh, can't turn my head.

Do they just eat things and ... Buy things and complain about their breakups?

Yes.

Fantastic. Look at that lady.

She's just gonna eat that pretzel.

That's all she's gonna do. So what are you gonna do?

You're just gonna become a mall person, shop and eat? This yogurt's pretty good.

I'm serious.

♪

I'm getting a pretzel.

[ speaks indistinctly ]

Avery, how's our patient?

Oh, no change.

Oh, that's what I like to hear. I'm going into my chole.

So you ... you still don't want me to scrub in or ... no. I need you to watch ... Mrs. Cortez.

Right. Well, like I said, no change.

Avery, I need you where I need you.

I don't have time.

No, ma'am. That's fine.

I get it.

I'm saying, with this letter, there's a time frame now.

You're content to stand back and watch Cristina lose her spot in this program?

I'm saying an intervention is not a good plan.

Suction. Teddy: it's not an intervention, Shepherd.

We just thought, since we were all together ... torsades!

[ monitor beeping erratically ] damn it. He's in v-fib. All right, Shepherd.

I need you to stop. We have to shock him. No, wait. I'm right in the middle of ... Internal paddles. All right, charge to 10.

Hold on. Hold on!

[ beeping continues ]

Shepherd.

[ beeping continues ]

Okay. Clear.

[ defibrillator whines ]

[ thunks ]

[ monitor beeping rhythmically ]

Sinus tach.

[ sighs ]

Hey, did stark ever respond to my page?

He's got three discharges.

One of 'em has behe went back in since yesterdon lisa collis. What? Dr. Star

[ monitor beeping rhythmically ]

[ suction gurgling ]

Richard: it's a great idea.

It's so simple.

We'll see if it works.

It is the right shape, and it's celluloid, So it won't break down.

Richard: and the liver will conform to it.

It's a great idea.

Whose idea was it, Dr. Stark, originally?

Was it yours or Dr. Karev's?

Let's just see if it works.

[ suction gurgling ]

[ monitor beeping rhythmically ]

And I'm back, Mrs. Cortez. Did you miss me?

Would you please let the dog out?

He won't stop barking. She's delirious.

Pulse is thready. I think she's in shock.

Get me her vitals. Oh, no, no, no. Damn it!

All right. Get me a monitor in here. Call Dr. Bailey now!

Woman: right away, doctor. Come on.

I'm almost done here. Get her into an o. R.

Open her up and wait for me. I'll be there.

Open ... did you say

"open her up"?

[ monitor beeping rhythmically ]

No word from Dr. Bailey?

[ beeping continues ]

Okay.

10-blade.

[ azure ray ] ♪ young girl by ♪
♪ your side ♪

That artery is at the base of the heart.

Bypass would be so much better. No, I cannot manage this bleed on bypass.

Okay. Good. There. I can clip the aneurysm.

I need you stop doing what you're doing. I am trying to do a coronary graft

On a hemorrhaging heart. What do you suggest I do?

Do it faster. All right. I need you to stop making this my fault.

All right. Pack that. I tried everything I could for Yang.

I encouraged her into the o. R. I kept her out of the o. R.

I don't know what else I could've done differently.

All right. Hold pressure. More.

Okay, good. Go.

Yang was my student.

Don't you think that I wanted to help her?

I have no doubt that's what you wanted to do. But you're saying that I failed.

I'm saying that we all failed.

So now it's time just to back off. No, Shepherd, you need to back off. She's my wife.

And I'm not gonna give up on her yet. All right.

It's clear we all have the same goal. We want her back.

Done. I got it.

♪ that way ♪

I'm sorry.

♪ that way ♪

I have a personal stake in this, too.

I would not be standing here if it wasn't for her.

Right.

♪ now it's ... ♪

But you're asking us to do nothing, And we can't do that.

I can't do that.

Okay.

Let's start closing.

♪ still come here ♪

[ monitor emitting continuous tone ]

♪ shouldn't have loved ♪

Jackson: damn it!

Time of death ... 7:41.

[ tone continues ]

[ sighs ]

son of a bitch!

This is not my fault.

She's got a fistula. They get delayed hemorrhage.

Post-op pancreatectomies always get fistulas.

I didn't screw this up. Avery, I ... No, you listen. They always get fistulas, Then they get severe complications, D.

You told me to open her up, and then you weren't here.

I tried to fix it. Avery ... This is not my damn fault! Dr. Avery!

Step out of my o. R.

♪ ... Way ♪

[ tone continues ]

[ tone continues ]

♪

[ footsteps approach ]

We are awesome. I can't believe we did all this.

Uh, I-I did all this. You opened one bottle of wine.

Could you find where the napkins are, please? Hello.

Oh, damn it. Uh, not ready. Hi.

Hey, if you're here for the party, You're, like, way too early. I'm not here for the party.

Are you here to tell me to come back? No.

But a bunch of other people are coming to do that.

Oh, god.

Are you okay?

[ sighs ] I'm sorry.

I- I tried to find you.

He is awful.

He tried to take all the credit.

Well ... Is the kid okay? Is it gonna work?

Yeah, yeah. I mean, o- of course it's gonna work.

It's brilliant.

I- I'm ... I'm gonna talk to the chief ... Because it ... it is so unfair.

You did every single thing right today.

I mean, you covered that attending's ass, And you got ... you got crapped on every step of the way.

It ... the chief should know that. Oh, April ... No, no, no. You're so ... What you did today was so great.

You know, you don't deserve this. I just ... I wanted you to know that somebody knows that, That I know that.

Oh.

You know I'm a ... I've never, um ... This is my first time.

I know. You wanna stop?

No. No, I don't want to stop. I just ... no.

Can ... Can we ... can we just go a little slower?

What? Um, can you ... can ... Can we please just go a little s-slower?

I just ... I need ... I'm ... what ... what ... need?

What? What do you need? What ... what do you need from me?

You want to screw? Let's screw. Y- you don't? Then get out.

I'm not gonna hold your virgin hand and walk you through it, damn it. You're not a child.

I can't take care of you!

I can't take care of everybody in this friggin' place!

Oh.

[ door opens ]

[ door closes ]

[ exhales ]

[ siren wailing ]

[ people speaking indistinctly ]

Hi.

Hey.

Uh, I usually do a post-op exam right now.

Yeah. Well, he's on a c130

Halfway across the country by this time.

Oh, so I don't get to check on his recovery? He's being well taken care of.

You did a good job.

[ chuckles ]

I can tell you that.

What are you still doing hanging around?

Well, I wanted to say thank you.

And that it, uh ... Was nice meeting you.

♪

I'd say the same ... But you were never here.

♪

♪

Istinct conversations ]

♪

Mark: welcome.

Wine's on the table, beer's in the fridge.

I have a fridge?

And since you actually live here, I'll hand over the hosting duties to you.

Where's Cristina?

Haven't seen her, which is sort of rude.

Torres might know. Hang on.

[ indistinct conversations ]

Callie, Yang say where she was ... Oh, um ... Can I move in with you?

That might be the rebound talking.

[ laughs ] not like that. Not that.

Just until I can get rid of the subletter in my place.

I'm starting from scratch, and I don't ... [ sighs ] I don't want to do it alone.

Can't we be alone together?

Isn't it easier to be single in pairs?

This a riddle?

No. I'm drunk.

Come on. Can I?

Sure.

[ exhales ] yay.

Your hair ... Is hot.

Right?

[ laughs ]

[ laughs ]

[ indistinct conversations ]

Oh, hi.

Hey.

Um, uh, I'm sorry. I- I didn't ... I know I should bring a gift, like a-a housewarming gift, To things like this, but I didn't ... [ crying ] I didn't really have time to bring anything.

So I'm just really sorry.

It is really ... it's no problem.

[ crying ] Jackson: what happened? April?

Hey, hey. Come on. Come on.

[ continues crying ]

come on.

[ indistinct conversations ]

Has anybody seen Cristina?

♪

If you're asking my opinion, I think you should.

I think you absolutely have to.

You should keep ... And refinish the original floors.

Why do I have to?

I mean, like, I mean, you guys did what, Like bamboo or something?

We're building our house from scratch.

We can put down whatever we want.

You have original oaoodo I n't like it?

I mean, what if ... what if I hate oak?

It doesn't matter. You have to do it.

The building's historic.

Ugh. I know.

God. Okay.

Okay, but I mean ... [ inhales deeply ] okay.

Every pressurized system needs a relief valve ...

[ monitor beeping rhythmically ]

♪

[ beeping continues ]

There has to be a way to reduce the stress, The tension ...

I got there as fast as I could.

It was a grade-c fistula with a ruptured splenic artery.

You did everything you could. Avery, too.

Why don't you go home?

Yes, sir.

Bailey, look ... Why do we see so many post-op fistulas

After pancreas surgeries?

I mean, your operation is flawless. It doesn't matter.

We still we fistulas in, what, 20% of patients.

I think ... There's a way to bring that number down.

I just gotta find it. Miranda ... I needed a win, sir.

I- I've got a string of big losses, And ... I could use a win.

That's all.

Yang ... [ chuckles ]

Yang was the one I didn't have to worry about.

I know.

♪

I know.

Before it becomes too much to bear.

Look into the pancreatectomy patients.

Figure it out, And then let me know how I can help.

Uh, can I use avery?

He actually gave me the idea. He was great today.

Well, that's good to know.

You know Alex Karev saved a baby's life

With a ping-pong ball? A ping-pong ball?

Yes, he did.

[ chuckles ] Alex Karev.

There has to be a way to find relief ...

[ indistinct conversations ]

Because if the pressure doesn't find a way out ...

It'll make one.

Oh, listen. Let me talk to her.

[ guests murmuring ]

all right.

[ grunts ]

[ grunts ]

[ murmuring continues ]

Come here. Come on.

Here. Come on.

It will explode. Okay, okay.

Okay, okay. Let's go. Let's go. Outside.

♪

It's the pressure we put on ourselves

That's the hardest to bear ...

You think it was hard for Yang ... To quit, to ... To just walk away?

Oh, don't be stupid. You're not quitting.

Besides, you might have just gotten yourself fired

Or arrested, probably both.

Yeah, well, April is the only friend I have left here, so ... Don't be stupid.

♪

The pressure to be better than we are ...

What the hell were you thinking?

She's a virgin. Why would you do that? I know.

God ... ow! Ow.

I mean, if you needed it that bad, Alex, You should've gone back to vegas.

There's a whole industry there.

I didn't go to vegas. I went to iowa.

You went to iowa.

I went home.

My brother ... remember aaron?

Yeah.

The doctors said ... He got diagnosed schizophrenic, Just like my mom.

You know how they figured it out?

He tried to k*ll our little sister.

She's 16, she's a kid, And her brother tried to k*ll her.

And my mom didn't do anything

'cause she's off her meds, and ... Anyway, I was in iowa.

That's where I went, To my brother's commitment hearing.

I had to commit him. Whatever.

The pressure to be better than we think we can be ...

Well, it's good that you were there.

I wasn't there. I wasn't.

♪

I showed up, I held my sister's hand in the hospital

For, like, ten minutes, I shoved some pills down my mom's throat, I signed my brother into a nuthouse ... And I got the hell outta there as fast as I could.

I wasn't there.

I'm the ass who can't stand to be there.

It never ...

Ever lets up.

I should go down there.

Ugh. I have to go down there.

Yeah.

I should go.

[ man and woman ]

♪ sing me to sleep tonight ♪

You good?

Anything else you want to talk about?

♪ it's gonna be all right ♪

What are you doing for bathroom tile?

Oh, bathroom tile.

Uh, ooh. Uh ... [ speaking indistinctly ]

♪

It just builds and builds and builds.