14x07 - Who Lives, Who Dies, Who Tells Your Story

[bunniefuu]

[THE WIND AND THE WAVE'" "YOUNG FOLKS" PLAYS]

♪

MEREDITH: Surgeons are scientists trained to believe only in that which we can see and touch.

But that training doesn't always take.

♪ If I told you things I did before ♪

♪ Told you how I used to be

♪ Would you go along with someone like me? ♪

♪ If you knew my story word for word ♪

♪ Had all of my history

♪ Would you go along with...

How was it? Was he happy for you?

No. He was jealous.

It's the Harper Averys.

We're all jealous.

[LAUGHS]

♪ It didn't lead nowhere

♪ I would go along with someone like you ♪

♪ It doesn't matter what you did ♪

♪ Who you were hanging with

OWEN: Oh, good. [CHUCKLES]

♪ We could stick around and see this night through ♪

Oh, my God! I'm so sorry!

I left some things here, and I thought that you were at the hospital.

- It's no problem, Dr. Shepherd.
- [CLEARS THROAT]

I'll just go put some panties on, si?

Probably a good idea, yeah. Yeah.

Si.

♪ Talkin' 'bout the old style, too ♪

[BOTH LAUGH]

Yeah, I should probably give these keys back, huh?

Mm.

- Phew!
- [CHUCKLES]

♪ All we care about is talking

Wow. That French toast smells good.

You know, it's really good.

Yeah.

- Right?
- I'm gonna... I'm gonna take it to go.

I'll get the plate later.

- You can finish that first.
- Okay.

[MUFFLED] It's good. It's good.

♪

See? See? You're mad.

I am not mad.

Then why are you taking the train...

I support public transit.

...when you can just ride with me?!

Because I can't count on you

- giving me a ride home, that's why.
- Ohh!

Look, I need to depend on something in this world.

Miranda, just get in the car.

No, you do your thing.

♪ I can tell there's something goin' on ♪

I'm gonna take care of myself.

BEN: Wh... Wh... Wh...

♪ Everyone is leaving, I'm still with you ♪

As long as you're not mad.

♪ And we don't care about their own faults ♪

♪ Talking about our own style

♪ All we care about is talking

♪ Talking, only me and you

♪

♪

♪ Talking, only me and you

[SIREN WAILS IN DISTANCE]

♪ Talking, only me and you

I don't even know what day it is.

I don't know the last time I changed my underwear.

Use the panty liners in the women's room.

They help.

The other day, I almost peed in a supply closet.

Like, just for fun?

I couldn't find the bathroom.

[CHUCKLES]

Been here two weeks, and I still don't know my way around.

[INTERNS CHUCKLE]

[PAGERS VIBRATING, RINGING]

- [GRUNTS]
- SAM: Oh, God, I want to die.

[CUP CLATTERS]

You're welcome!

[GRUNTS]

ALEX: It's a private jet.

But private jets are bumpier than regular planes.

All right, so pretend like it's a roller coaster.

Or take a pill if you have to, but you're going to that ceremony.

You're very bossy.

It seems like five seconds ago, we were the intern hiding in the tunnels.

Now you're about to win a Harper Avery.

What if I don't win a Harper Avery?

Then you're no better than the interns.

- Don't say that.
- Hey!

W... Slow down!

Sorry! Big trauma incoming!

Ooh. Trauma in the pit.

No, you have a plane to catch.

Aren't you curious?

Mer! Stop! Come on!
You're going to the awards!

[TELEPHONE RINGS]

[INDISTINCT CONVERSATIONS]

How long do you think you can pretend I'm invisible?

Well, it worked for you for years.

Blocked me on social media.

Yeah, because you moved across the country, and you didn't say goodbye.

Because you broke into my apartment.

Because you kidnapped my dog.

Because you wouldn't return my calls.

[SIREN WAILING IN DISTANCE]

Look, Sam, we wreck each other every time.

- I know.
- So what are you doing here?

You think I followed you here?

God. You give yourself a lot of credit.

[SIREN APPROACHES]

Dean Parson, s male.

Status post blunt trauma to the chest and abdomen, shielded some kids when a roller-coaster car came loose.

GCS of , follows commands but nonverbal.

Pulse s, stable pressure.

Roller coaster? How are the kids?

Not a scratch. This guy's a hero.

Threw himself between the kids and the car.

Okay, let's get him inside.
You two, come with me.

Hang in there, Dean.

Go, go, go.

What happened?

Rusty roller-coaster car broke off the ride, flew into a crowd at a county fair.

There's multiple injuries en route.

"Pretend the plane is like a roller coaster," you said!

That's what you said to me!

♪

Gregory Williams and Cleo Kim, both , stuck in a crushed roller-coaster car.

Tried to extricate in the field, but we suspect Greg has some unstable crush injuries, so we opted to do it in a more controlled environment.

I told you I didn't want to ride that ride.

I told you it was a rusty death trap.

Yes, Cleo. You were right, okay?

You're always right.

Now you're just stating the obvious.

I think I'm hallucinating.

Are you seeing what I'm seeing?

Seeing what?

George and Cristina.

What?

Are you seeing this?

How are you? Are you okay?

CLEO: Get me out of this!

Get me out of this thing so I can k*ll her!

I did not make you ride, Cleo.

"Ride for me. I'm too pregnant.

Let me live vicariously through you."

Seriously?
You're gonna blame me for this?

Seriously?

♪ Nobody knows

♪

[INDISTINCT CONVERSATIONS]

Oh, why are you gowning?

A major trauma just came in.

No, no, no. We have plenty of surgeons that don't need to be in Boston, Meredith.

What... O'Malley and Yang.

What's that?

Baby O'Malley and Baby Yang.

And there's a baby Izzie Stevens, who's having a baby.

I mean, I definitely cannot go anywhere right now.

What's the deal? She's afraid to fly?

Yeah, and afraid to lose.

I called your parents. They're flying in.

They wouldn't take, "We don't know yet," for an answer, so I made up some medicine.

What did you go with?

Minor blunt-force trauma with no L.O.C. on the scene.

That's good. Sounds cool. Means nothing.

Are you guys doctors?

We're interns at Seattle Pres.

CLEO: We are no longer interns and haven't been for two weeks, Greg.

We are second years. Try to keep up.

- I see another one of me, I'm leaving.
- [CHUCKLES]

[INDISTINCT P.A. ANNOUNCEMENT]

See, she seems stable.
Can't we get her out first?

No, not without jarring him.

I think we can open up his side of the car and just be ready for crush syndrome symptoms.

All right, assess the damage and get me a timeline for extrication.
- All right, Doctor.

All right, let's, uh, set up a crash cart, get another I.V. going, get him hooked up to our monitors.

Let's be prepared when he comes out of this thing.

- Okay.
- [SIGHS]

Uh, wh-what are you seeing so far, Kepner?

Uh, cuts and bruises, couple broken bones, some burns from the oil that went flying when the roller-coaster car hit the funnel-cake booth, which perfectly describes a recurring nightmare I used to have as a child.

Uh, all right, let's re-route everything minor to the clinic.

- Supervise the interns.
- Okay.

Make yourself available for quest...

- Ah...
- What?

Actually, Kepner, you stay here.

- We might need you on this.
- Okay, who's gonna...

Is that a roller-coaster car?

Yeah, it is, but we need you in the clinic.

Uh, there were multiple injuries when the car flew off the track.

Interns can't handle all that.

There is a major trauma in here, and you want me to go stitch up a clown's face?

Uh, clowns bring joy to children.

Scarred clowns lead to traumatized children.

Go.

Dr. Bailey, how's that contest coming?

Hmm?

You know, I gave you over $ million about a week ago.

[SCOFFS]

I don't know if you maybe got a name,some judges, anything?

- Did you know?
- Know what?

When you handed me $ million and asked me to organize a contest so that you could play, too?

- I know.
- Did you know that my husband had secretly started training to intentionally put his body inside of burning buildings?

[INDISTINCT CONVERSATIONS]

Right. So, uh, we'll talk this over later, then.

Thanks.

[RECEIVER CLICKS]

[MONITOR BEEPING STEADILY]

You see that?

Free fluid in his left upper quadrant.

Splenic laceration?

Seems likely. Shepherd?

Pupils are equal and reactive.
He follows commands.

Okay, call the OR.
Tell them we're coming.

I want a head CT.

You just said there are no focal deficits.

Probably just in shock.

We need to deal with his life-threatening problem first.

Dr. Shepherd, I need a consult on a head injury in the clinic.

Dean, I know that you're scared.

I know you want to talk, and you can't, but we've got you.

He saved kids. He's a hero.

Get me that head CT.
Run ahead and book it.

Prep him to move! Let's go!

No. I'm fine.

Greg and Cleo are hurt.

No, Mom, the roller coaster did not hit me.

Hey, um, would you let an intern set a dislocated patella?

It's Izzie.

What?

You always ask about Izzie, what she was like.

Well, that... that girl right there.

That... That's what Izzie was like.

Seriously?

Please don't say that word.

Oh, um, she's pretty.

Yeah.

And perky.

Yep.

Are you okay?

Yeah, it's just... weird.

Hey. Hi.

You were taking care of my friends, right?

Yeah.

N-No, I mean, we just...

♪ Who made up all the rules?

Your friends are okay.

They are? Like, okay okay?

No, I mean, they're...

they'll... they're like they were.

The same.

Oh, okay.

Well... I'm...

Ooh.

I just... I don't, um...

- Wait, do you need to sit down?
- Yes, please.

Oh, my gosh. Uh, we need a gurney!

- Page Robbins!
- ♪ I'm sorry ♪

MAGGIE: Sorry I'm late.

I have Mer's dress and my dress

and Zola's dress and Zola.

Where's my mom?

That is an excellent question.

- Hey.
- Hi.

Well, the party is all here, except the guest of honor.

Yes, there's a trauma in the pit.

And?

And Meredith felt the need to get involved.

Wow. You totally called it.

My mom doesn't like to fly.

♪ I'm sorry, so sorry

Right. I will go get her.

♪ I'm sorry it's like this

- ♪ I'm sorry... ♪
- Crush syndrome can cause arrhythmias and renal failure, so we need calcium, bicarb, and albuterol.

CLEO: Look at them.
The way they're looking at you.

That's the "You're gonna die" face.

GREG: Shut up, Cleo.

That really isn't helpful.

We know that face. We use that face.

It's perfectly composed, gives nothing away.

You should call your mom, let her hear your voice one last time.

- I hate you.
- Hate won't get you into heaven.

You don't believe in heaven.

I'm not the one they're looking at like that.

[STRAINED] I-I can't... I can't breathe.

We need to get him out of there.

He's turning blue! Somebody do something!

His muscles are reperfusing.

Get ready to intubate and code.

Open up the airway kit.

No, no, wait, wait. It's not reperfusion.

It's his neck. He needs traction.

I got it. Got it.

♪ I'm sorry, so sorry

[GASPING]

♪ I'm sorry we do this

♪

Yeah, it's his neck.

♪

GREG: Oh, God.

They really are all staring at me.

Am I gonna die?

It's not... unlikely.

They're staring at you, too!

Yeah, but I'm not the one who has a lady doctor attached to my cranium.

You're not gonna die unless you keep talking and moving unnecessarily.

Now, hold still.

GREG: Why are they all staring at us like that?

Because you look exactly like our friends... people we were interns with.

You look exactly like them.

- Both of us?
- Both of you.

Well, this is creepy, and now I'm uncomfortable.

Even more uncomfortable, if that's possible.

What's he like?

The... The guy that... that I remind you of?

His name was George. He was a hero.

Was?!

Stop, Greg. What are you doing?

I don't want to be a trigger for your memories.

I want to be me and him to be him, so let's do that.

Stop looking at us!

We are not your friends!

It is uncanny, though.

Right?

I'm almost weeks. It's a boy.

His name's Jasper, and he's perfect.

He was perfect at his -week ultrasound.

So I think I just passed out, like, maybe from stress.

- You see that?
- Yeah.

What? Oh, my God, what is it?

So, Liza, you have a chorioangioma, which is a...

A tumor. On my placenta?

Exactly. Are you a doctor?

A resident.

I've gone to every prenatal appointment.

I've had every ultrasound.
I've taken every vitamin.

They grow really quickly.

And at this size, they can be very dangerous.

I think that you passed out because you're having mirror syndrome.

So I'm mirroring the symptoms of my baby.

Yes.

So, he's... he's what? He's in distress?

He has hydrops.
His, uh, heart is struggling.

- Oh, my God.
- I think that we can remove the tumor without delivering the baby, but we need to do it right away.

And the good news is if I do have to deliver, you're at / weeks, so the survival rate's really high.

Do you want us to call anyone?

No. I'm having this baby alone.

And my mom would just freak out.

And my birthing partner's trapped in a roller coaster that I made him ride.

[INHALES DEEPLY] So...

Will you stay?

Will you stay with me?

[CLEARS THROAT]

Little weird, but I'm gonna roll with it.

Hmm.

[SAW WHIRRING]

Grey, come on.

I'm a little busy here, Avery.

CLEO: She can't move, or my friend's spinal cord will get severed by the fracture.

- Cleo! Shut up!
- Thank you!

I'm not your friend, remember?
You can't talk to me like that.

Except I can because I'm holding his head in my hands, and, by extension, the air in his lungs.

It's hard. I'm hot. It hurts.

So please shut up so I can be still and concentrate.

Hold on a second. I'm gonna come up there and help, all right?

I'm just gonna relieve some of this pressure.

Okay, lean back into me.

Rest your arms. Okay? There we go.

Are we gonna miss the awards?

- Yeah, it's looking that way.
- What awards?

Wait, are you going to Harper Averys?

Wait. Oh, my God.

Grey? Is she Meredith Grey?

Yeah, and that's Jackson Avery.

Oh, my God, Greg!

You have surgical royalty tractioning your head right now.

- Really?
- Bottom third of his class.

Whatever. Ignore him.

You're gods to me.

[CLEARS THROAT]

♪

♪

Dr. Warren, I have a patient with intermediate partial thickness burns from the funnel-cake oil that flew when...

I don't need all the details, Dr. Bello.

Right. Um, we're out of xeroform.

Well, it's in the supply closet.

It's not. I checked.

Then you have to go to central supply.

Which is where?

He's trying not to scar my face!

Could you kindly support him in that?!

[TELEPHONE RINGS]

DeLuca.

Show Bello where central supply is?

♪

How'd you get the idea for the abdominal wall transplant?

From a hole in my bedroom wall.

You should not say that in your speech if you win.

People, if we're not wheels up in minutes, we will miss the show, and we are the show.

We're almost there, Catherine.

Oh, my God, is that Catherine Avery?!

Oh, please.

Dr. Webber, we're good.

Okay.

Okay?

Okay, people, listen up.

We've got the traction tongs and the pins ready to go.

We have access to remove this patient.

We are gonna lift him slowly onto the gurney while Dr. Grey continues to secure his neck.

Once he is down, I am going to start to add on the weights.

Do we understand?

- Mm-hmm.
- MEREDITH: Yes.

Now, on my count.

One, two, three.

Easy. Easy.

Okay. Easy.

I'm out of the roller coaster.
I'm out of the roller coaster!

Shh, shh, shh.

Tightening the screws now.

RICHARD: Adding the weights now.

Meredith, you can release your hands.

All right. He's breathing.

GREG: Thank God.

Okay, let's roll him for the CT.

Let's go, people!

Okay, I need a second.
I can't feel my arms.

I need a minute. Cleo, how are you doing?

All right. Removing the lap bar now.

Oh, my God, a puncture wound.

I need some gauze and a non-rebreather now, please!

I didn't even know that was there.

My BP's plummeting. I'm losing volume.

Dr. Grey.

Call the OR! Let's hang some O-neg while we check for type and cross.

JACKSON: Tell them she got penetrating trauma to the right flank.

Okay, go. I have this.

No, no, no. You're the one nominated.

- You should go.
- I'm not gonna go anywhere.

If I win, just make a nice speech.

Where is that blood?!

Dr. Shepherd?

How's our guy?

Um, his wife is here with their kids, and I-I don't know what to tell her.

Uh, well, was the CT clear?

Uh...

Um...

"Um," what?

[SUCTION GURGLING]

- You skipped his CT?
- He was bleeding out.

If you were gonna skip a CT, you should have paged me.

I made a call, Amelia, and it was the right call.

His liver was actively bleeding.

I threw his spleen in the trash, and he's still...

- Dr. Hunt?
- What?

She left.

It's a trauma.

I can page Owen if I need some help.

I'm saying you can still go win your Harper Avery.

Pretend I'm your friend.

What?

I have too much promise to die.

- I've got you.
- You're not Meredith Grey.

I want to grow up to be you, so pretend I'm your friend, the one I remind you of, because you know her and you love her, and I'm just the girl who's been annoying you all day.

Please, Dr. Grey.
Save me like I'm your friend.

[SIGHS] All right, let's go.
She's not coming.

What do you mean she's not coming?

Well, she wants to stay here and save lives.

Of course she does.

[SIGHS]

Zola, sweetie, you tell your brilliant mama that she's a big pain in Dr. Catherine's behind.

[CHUCKLES]

How about you? Are you coming or staying?

Zola and I have work to do here.

Say hi to Boston for me.

Are you ready for your first coronary bypass, Dr. Grey-Shepherd?

Yes, I am.

[CHUCKLES]

We've almost got this, Liza.

You're doing great.

This is kind of a miracle.

What is?

That I was here when I passed out.

If this had happened anywhere else, I might have just thought I was overheated or overtired and ignored it.

Then I might have d*ed or the baby might have d*ed, so it's like my own little miracle.

It's your own little miracle that a roller-coaster car flew off its rails and crashed into a group of people and crushed your friends inside of it?

When you put it like that, I sound like an ass.

[CHUCKLING] Yeah. A little bit.

See that? Small subcapsular hematoma.

We can keep an eye on that.

NURSE LINDA: Dr. Hunt?

Nurse Linda? Amelia, what the hell?

Put this on.

You'll need it to protect you from the radiation.

What radiation?

Skipping a head CT is not your call.

It is mine.

So you've left me no choice but to bring the CT in here.

- Is this about this morning?
- What?

You seemed fine.
You ate the French toast.

Stop talking.

Amelia, there is no indication that there's a head injury.

Zero.

I heard she had a brain tumor.

You think they didn't get it all?

I heard that.

Uh, CT shows beading of a mesenteric vessel, which means something's bleeding.

We'll find out exactly what when we get in there.

And my neck?

You have a C fracture dislocation.

Now, as soon as we take care of that abdominal bleeding, Dr. Shepherd will do a spinal fusion.

And my friends?

They're both in surgery.

[SIGHS]

It was my idea to go to that carnival.

"Let's do something stupid," I said.

"We can't just work every day of our lives," I said.

I pushed them, and now Cleo could die.

And Liza could die, and, God, Liza's baby.

And I could die, too, which no one probably cares about, but...

No one's dying today, Greg.

We'll take you up in a minute.

[SNIFFLES]

[BREATHING SHAKILY]

♪

♪

- I know.
- Sir.

I know how you felt about O'Malley.

Oh, these are not O'Malley tears.

I cried all of my O'Malley tears over the real O'Malley.

I cried every day for the better part of a year silently in the shower.

No, these are [GROANS] tears of rage... marital rage.

[SLOW POUNDING ON WALL]

Okay, um, do you want to talk about it?

- [POUNDING QUICKENS]
- [GROANS]

What is that?!

Uh, I think we both know what that is.

In the skills lab?

Th-This door doesn't even lock.

Hi.

I, uh, was just, um...

uh, g-g-getting a, um... so I could... so I could practice... things.

Okay, back to the pit.

Yeah, you need a plastic skull in the pit?!

Do you, Dr. Bello?!

[SIGHS]

Don't you have a job to do, DeLuca?!

Uh, uh...

What the...?

I really hope there's not a third one in there.

[CT WHIRRING]

[MONITOR BEEPS]

AMELIA: Almost done.

You see how easy that is?

He would have bled out if we had waited for the CT.

And you're reading too much into this man because...

It's okay. You can say it.

Dr. Hunt thinks my decision-making is clouded because my brother d*ed under similar circumstances.

- [MOUSE CLICKS]
- But he's wrong.

- Am I?
- You are.

He has an expanding epidural hematoma.

Wait. What?

♪

Wow.

Okay, let's get this thing out of here!

Prep for a craniotomy!

MAN: Monitors are on.

[WATER RUNNING]

[SIGHS] Pit's clear.

You need an extra hand in here?
I could scrub in.

Uh, if you want to be helpful, you can go find Shepherd and tell her we need her in here to make sure this patient's not permanently paralyzed.

I'm a general surgeon, not a neurosurgeon.

And sometimes it's a good idea to just do the job you're trained for.

[DOOR SLIDES OPEN]

[DOOR SLIDES CLOSED]

[SPEAKING ITALIAN]

- I know.
- Right.

You came into my flat and didn't get up off the sofa for three weeks.

I know. [SIGHS]

You still love her?

How did she find you?

She got matched here.
It's a... coincidence.

Oh, Andrea, you're still such an innocent bambino.

See there?

It's a simple procedure, but not doing it would have k*lled him.

All this fuss for something as little as one, two, three.

[CHUCKLES] Okay.

"I told you so" is unbecoming on you.

Also, he'd be dead if I'd done it your way.

Fair enough.

He's alive. That's what matters.

Go tell his wife and kids. Thank you.

Shepherd, uh, you're needed in OR Three.

Mm.

Amelia, I'm sorry if I implied that...

No. It's okay. You were right.

I mean, not about this morning.

French toast was excellent this morning.

But about Derek.

He was in my head.

He saved this guy.

He was that good.

♪

[SIGHS]

You know, one could argue I'm kind of saving him, too, but I'm gonna let it go.

Yeah. I'm letting it go.

APRIL: Suction.

I said suction, not retract.

I-I'm sorry. Here?

Where the blood is coming from.

R-Right. Got it.

Do we ligate or primary repair?
What do you think?

I think you should have gone to Boston.

What?

We're gonna ligate 'cause it's safer, and it's a thing I could have done myself

while you went to Boston.

Kepner.

God, you're like Jackson.

He grew up with so much money he never had to balance a budget or check a price tag, and he just takes it all for granted.

And you're like that with your talent.

You're... You're missing the Harper Avery Awards 'cause you take for granted that there's just gonna be another one.

You take your talent for granted, and, you know some of us work really hard, and we're just average.

You think I'm taking it for granted?

I'm not taking anything for granted.

I want that award so bad I could pick you up and throw you out a window, especially right now because my best friend's image is splayed out in front of me.

Cristina Yang is the only one who gets just how badly I want that award.

[SUCTION GURGLING]

And, Kepner, you're not average.

[MONITOR BEEPING]

[SUCTION GURGLING]

[ALARMS RINGING]

- Baby's having prolonged bradycardia.
- All right. Damn it.

Liza, we tried, but baby says he wants to come out today, okay, so I'm gonna convert to a C-section, and I need Dr. Karev to get his NICU team ready.

It's gonna be okay.

Oh, I'm scared. I'm scared.

Wilson, hold her hand.

I'm way past that.

I need someone to talk to me.
Please talk to me.

Okay, uh, what do you want to talk about?

Anything. Have you done this before?

- Are you a mom?
- Oh, God, no.

I mean, um...

Liza, I am. I'm a mom.

I have a... I have a daughter.

She's years old, and she's on a plane right now coming back to live with me.

So she lives with her dad sometimes?

Uh, she's with her other mom sometimes.

Her dad, um...

What... What about her dad?

He d*ed.

[SIGHS]

And I miss him all the time, which is actually kind of unexpected [CHUCKLES] because I didn't really like him in the beginning.

I resented him because he was perpetually relaxed.

But he could make me laugh.

He could make me laugh when I was afraid or freaked out or annoyed,

which actually is really, really annoying.

[CHUCKLES]

If he was here right now, he would say, "Relax, Robbins.

Your kid's coming here.

It's gonna be the greatest thing ever, and you're freaking out about paint colors.

You're gonna... You're gonna take her to ice cream and you're gonna let her pick three different flavors, and it'll be the best thing ever."

And he would be right.

Okay.

- Jasper is out, Liza.
- Aah.

- ♪ The storm is coming ♪
- [BABY CRYING WEAKLY]

♪ But I don't mind

♪ People are dying

MAGGIE: Okay, good.

Now show me the inferior vena cava...

- Mm-hmm.
- ...and the aorta.

[TOUCH SCREEN BEEPS]

[GASPS] Wow. You are a natural.

You must get it from your mom.

My daddy, too.

I'm gonna be a brain surgeon like him.

You are?

♪ I want to change the world

[SIGHS]

I miss him.

Do you miss your mom?

♪ I want to believe in more

Every day.

Want to know what my mom would say?

She would say,

"Even though your mom's not here, she's always with you."

♪ I'm breathing

♪ All I can do is keep breathing ♪

[CHUCKLES]

♪ All we can do is keep breathing ♪

♪ Now

O'Malley's got a long road ahead.

- This isn't O'Malley, sir.
- I know.

And call me sentimental, but it's nice to think of him.

Most of the interns just blur together over the years, but O'Malley... I can't forget.

And it'll be good to be able to save him, to save this O'Malley.

♪

- ♪ All that I know is I'm breathing ♪
- Is he okay?

How you doing over there?

He's doing well on % O .

So he's okay?

Yeah, he's gonna need some oxygen and spend some time up in the NICU, but you can hold him for a minute if you want before I take him up.

You ready?

Here he comes.

♪ All we can do is keep breathing ♪

♪ All we can do is keep breathing ♪

♪ All we can do is keep breathing ♪

♪ All we can do is keep breathing ♪

♪ Now

Thanks.

[SIGHS]

You think he's gonna make it?

I do.

I think he is going to make it.

[SCOFFS]

Oh, no. So, you're threatening me now?

Is... Is that how you're gonna do this?

[SCOFFS] You turned away from a career in anesthesiology because you were bored and you wanted to be a surgeon.

Now you're bored again.

Starting to sound like a man with commitment issues.

[SIGHS] Can't you just... Look.

Can't you just think of it like I'm taking a fellowship year, learning something new, something that makes me happy?

You were my front runner for Chief Resident!

Can't that make you happy?

I want a job where all this adrenaline that's coursing through me is a good thing.

I-I'm not saying I don't love surgery, and I'm not saying that I won't come back to it someday.

I'm saying that while I'm young enough, I want to try this because I don't want to live with a ghost, and neither do you.
- A ghost?

Yeah, the ghost of who I might have been if I'd been brave enough to try.

[RICHARD CLEARS THROAT] Miranda?

Jackson called. Do you have a minute?

I do.

[INDISTINCT P.A. ANNOUNCEMENT]

[BABY COOING]

Alex, if you want to know how she is, you should just call her.

You should call Izzie.

[SCOFFS] No.

No, it's okay.

No.

I mean, I-I-I don't need to call her.

I know how she is.

I mean, she's, uh... she's married with three kids, and she lives somewhere, I think, uh, kind of woodsy?

[CHUCKLES]

And she's a surgeon and she goes to work every day, so she refuses to hire help, so her house is always a mess.

And it has Christmas decorations all over it because she won't let her husband take them down.

It smells like muffins, and she's... she's smiling.

♪

When I picture her, she's always smiling.

I don't need to call her because I want it to stay that way.

I picture her as happy as I am with you.

You imagined a whole life for her?

Oh, yeah. It's way better than wondering.

Mm-hmm.

♪

[SIGHS]

All right, well, how is she?

She's good. She lost a lot of blood, but we had to ligate her transected IVC...

They were superheroes. Both of them.

I've never seen anything like it.

- Nobody asked you to talk.
- Right.

We're done here.
You can take her to recovery.

Hey, how's Baby George?

[CHUCKLES] He's in recovery.

And Baby Izzie?

Oh, Baby Izzie has a baby.

Oh, that's so good!

[LAUGHS]

Um, the Harper Averys
are about now, Dr. Grey.

I know. I know.

Well, we thought you might like to be there.

What is going on?

♪ I am thinking it's a sign

♪ That the freckles in our eyes ♪

♪ Are mirror images and when

WOMAN: Please welcome Dr. Catherine Avery.

- ♪ And I have to speculate ♪
- [APPLAUSE]

CATHERINE: Thank you so much.

Good evening, ladies and gentlemen.

It is my distinct privilege and honor to award this year's Harper Avery for Surgical Innovation.

This award is named for my dear friend, who we lost this year

which makes this award ever more meaningful.

Harper Avery was a very complicated man.

[CHUCKLES]

But his love for medical innovation was pure, and that describes this year's winner.

So, without further ado, the Harper Avery for Surgical Innovation goes to... Dr. Meredith Grey!

[CHEERS AND APPLAUSE]

♪ They will see us waving from such great heights ♪

♪ "Come down now" they'll say

♪ But everything looks perfect from far away ♪

♪ "Come down now"...

Here to accept on her behalf...

Dr. Jackson Avery.

Thank you.

Incredible.

Knowing very well that she might win tonight, Dr. Grey opted to stay in Seattle.

A trauma came in, and she knew that she was the right doctor for the job.

That's one of the many reasons that I'm so very, very proud to call her my colleague and my friend.

Now, Dr. Grey has experienced more loss in her life than I think most of us would deem fair.

She lost her little sister, Lexie Grey, who I know would love to be here tonight with us.

She lost her husband, Dr. Derek Shepherd, who knew with total certainty that this night would happen.

And she also lost her mother, Dr. Ellis Grey, who won this award twice... once as a resident... and probably would have won a few more if she hadn't been taken from all of us so young.

The most amazing thing about Meredith, though, is that she takes all that pain, all that loss, and she turns it into drive... drive to save lives, to make things better, and despite all that she's lost, she continued to find joy in her work as a surgeon, as a teacher, as a mother.

And she managed to share that joy through her spirit of discovery and of possibility and of hope right in the face of darkness.

I am profoundly grateful... for the lessons that I have learned from Meredith Grey, and it is my distinct honor to accept this award on her behalf.

Congrats, Meredith!

[APPLAUSE]

[CHEERS AND APPLAUSE]

♪ Oh, oh, oh, oh, oh-oh

♪ Oh, oh, oh, oh, oh-oh

♪ Everything looks perfect from far away ♪

♪ "Come down now," but we'll stay ♪

[SIGHS]

Listen, I know that you said green, but I couldn't... I couldn't pick out which green.

So I think that you should pick it out, and then we can paint it together, okay?

[SIGHS]

Okay?

I miss Mama.

Oh, I know.

I do, too.

But I am so, so happy that you are home.

- And you know what I got?
- What?

Three different flavors of ice cream.

[CHUCKLES] Come on.

Okay. Stand there.

All right. One, two...

The third one... It's all for me.

- This one's all for me.
- [GASPS]

That one's not for you.

We're good.

[SIREN WAILING]

Oh, my God, you're everywhere.

Fine, Andrew.
I'll... I'll go somewhere else.

No, no, no, stop. Just, Sam...

You swear you didn't follow me here?

Andrew.

We're bad for each other.

We both know that.

[DOOR SLAMS]

[RILO KILEY'S "PORTIONS FOR FOXES" PLAYS]

♪

- Really?
- No.

You don't see the similarity?

[CHUCKLING] No.

You're just being stubborn.

Maybe I should text Burke and send him her picture.

Meredith, there's no one like Cristina.

No one.

Fair enough.

MEREDITH: Scientist or not,

most of us who've been at this a while are forced to acknowledge the mysteries of life.

♪ 'Cause I've been biting my tongue all week ♪

- ♪ I keep on talkin' trash ♪
- Keys, please.

♪ But I never say anything

You're driving?

I'm driving myself.

- ♪ And the talkin' leads to touchin' ♪
- You can take the fire truck.

♪ And the touchin' leads to sex ♪

♪ And then there is no mystery left ♪

[ALL GROAN] This day was epic.

I'm so tired I can't feel my teeth.

I almost stitched my finger to a person.

- [LAUGHS]
- Scram.

Yeah. You heard her. Scram.

This is our beach.

We are forced to acknowledge that certain kinds of magic exist.

- [CELLPHONE VIBRATING]
- Someone's calling.

♪ Bad news

- Ooh! Look who's calling!
- Uh-oh.

♪ Baby, I'm bad news

Hey, you're just in time for the champagne.

Ready? Wait for it.

- [CORK POPS]
- Whoo!

[BOTH LAUGH]

Yes! Yes!

What did she say?
Yes. She asked me if I feel different.

Damn straight, she does!

And that history and memory and the ghosts of our past are sometimes just as tangible as anything we can hold in our hands.