18x15 - Put It to the Test

[bunniefuu]

[COLD w*r KIDS' "DIRT IN MY EYES" PLAYS]

[CAR HORNS HONK]

♪ Whoa-oh, whoa-oh, whoa-oh-oh ♪

[SIREN WAILS IN DISTANCE]

MEREDITH: Surgeons are
put through rigorous tests

just to get in the game.

We endure decades of
anxiety-provoking acronyms...

SAT, MCAT,

USMLE, ABSITE.

[SIGHS]

And if we pass that gauntlet...

♪ We were not meant to be ♪

...we are rewarded with the
need to log surgeries

and take an -hour
multiple-choice and oral exam.

There's almost no time
to take in the victory...

or even a nap.

Oh. [LAUGHING] I didn't really peg you

for the private jet and limo type.

[CHUCKLES] Don't worry.

I will never send you
a private jet or a limousine.

- Okay.
- Catherine Fox sent both,

but thank you for doing this here.

Well, you found me
the perfect recipient,

so I should be thanking you.

And I've never been in a stretch
limo, so it's a win/win.

Is that it?

- Hey, Dr. Miranda Bailey.
- Mm-hmm.

- Meet Dr. Nick Marsh.
- Hi.

I'm not a hugger, but I'm gonna hug you.

- May I hug you?
- Yeah, of course.

- Oh. Thank you.
- [CHUCKLES]

- We need this.
- Yes.

Grey-Sloan needs this.

- Thank you!
- [CELLPHONE VIBRATES]

They're ready to do the ICU conversion.

Oh, and are the residents
prepped and ready?

They are ready but not prepped.

Good. I like an element of surprise.

♪ You just keep on kicking
dirt in my eyes ♪

Why are we standing out here?

That's a live organ.

- Let's move!
- Right.

♪ Tell me your lies ♪

♪ Ooh-ooh, ooh-ooh, ooh-ooh, ooh-ooh ♪

[SIGHS] Ow!

Mom, what... What are you doing here?

What is this?

Your mail.

- It's been piling up.
- [SIGHS]

You need to come in
for the residency review today.

Yeah, I got the e-mail. I'm busy.

So you're just good that our program

is being slaughtered on social media?

What are you talking about?

- #GSM sucks its residents dry.
- [SIGHS]

#GSM should be #ashamed.

#GSM is abusive and will m*rder you.

Ow.

But you may not have seen them,

but I'm pretty sure the Medical
Accreditation Council did.

Oh, my God.

- Levi...
- [SIGHS]

I know you've been hurting,
but I've worked too hard.

I have worked too hard
to let them come in

and just shut down our program.

So please, if you have any fight in you,

any at all, get up.

And come to work just for one day!

If not for yourself,
then for me, please.

[FOOTSTEPS DEPARTING]

[DOOR OPENS, CLOSES]

No.

[ECHOING] Mom!

Now, I can't tell you what to say

to the accreditation council,

but they will be assessing
the attendings

as well as the residents,

so if they do question you,

keep your answers short and sweet,

focused on the success of the program.

LINK: Do we know what questions
they're going to ask?

It's a complaint-driven site visit,

so they'll want to check our case logs,

[SIGHS] observe our residents,

review our curriculum...

...and verify we are all staying
on top of our certifications.

Do we know who complained?

No, and we're not allowed to ask.

WINSTON: Well, how are we
supposed to show our teaching skills

with the residents on grand rounds today

with Grey and Marsh?

Grand rounds today is a miracle.

[CHUCKLING] Groundbreaking medicine,

visiting surgeons,

extraordinary teaching opportunities...

See, that's what makes
Grey-Sloan Grey-Sloan.

And what happens if they're not
as impressed with us as you are?

OWEN: Well, the program
goes onto probation

and potentially could be shut down.

And that record would be
visible to the public.

So we could lose our residents
and our patients.

- Yes.
- No.

Because we are going to
show them who we really are...

One of the top five teaching
hospitals in the country

with a world-renowned surgical program.

So, go fill in your departments
and your fellow attendings.

Now go impress somebody!

♪

[DOOR OPENS]

[SIGHS] Ay-ay-ay-ay.

Oh, no. You are scheduled
to be first interviewed.

Uh, well, it's not gonna work.

And why not?

My physician assessment
is in half an hour.

You're doing that today?

Inconvenient timing but I'm not
in control of the schedule.

W...

MEREDITH: I think you're
all gonna see something

- you haven't seen before.
- [CROWD MURMURING]

- Hi.
- Hi.

So, this is Mason Taylor.

He was declared brain dead after
being struck by a drunk driver.

We're just procuring organs?

How is this a grand rounds?

Do you two have questions?

Um... Um...

Uh, oh, yeah, uh, if he's the donor,

then what's in the cooler?

Oh, I'm sorry. Did I not mention

that Mr. Taylor
will also be the recipient?

We're giving him a kidney.

We're donating a kidney
to a brain-dead recipient?

Did the kidney donor family
consent to this?

[MONITOR BEEPING]

The kidney donor is a pig...

Farm-raised, genetically modified.

[GASPS] We're doing a xenotransplant.

You're putting a pig kidney
into a human man?

- That's right.
- A brain-dead human man?

That's right.

- I...
- Perez?

I'm just so confused.

[ALL CHUCKLE]

[BREATHES SHARPLY]

Um, how do I explain to the team
reviewing our residency

that you are unavailable?

Just tell them the truth.

Look, I am the director
of the residency program.

I requested this assessment myself.

That speaks highly of the standards

to which we hold ourselves,

and the residency council
will appreciate that.

Will they?

I hope so. [SIGHS]

You can hope, or you can
postpone the assessment!

Look, I see your worry... Okay?

And I understand it.

But we have flown a world-class surgeon

and a neuroscientist here
according to their scheduling.

I went out of my way to find
someone who doesn't like me

and won't be biased,
which wasn't easy to do

because I'm pretty popular.

Okay, let's just take
a deep breath, Bailey, okay?

- You are my residency director.
- [BREATHES DEEPLY] Ah.

Our program is being assessed
as to whether or not

it should be allowed to continue.

Now, what if you don't pass?

HAMILTON: Richard Webber.

Uh, uh, David, yeah.
Thank you for coming.

Wait, he's your evaluator?

I wanted someone
as unbiased as they come.

Plus, I'm an expert at judging people.

I can spot a tremor from a mile away.

He doesn't have any tremors.

KAI: Well, we're also looking for

any intellectual tremors, if you will.

Less obvious than the physical
but equally significant.

He doesn't have any of those either.

Dr. Bartley is as good a neuroscientist

as you will find in these
contiguous United States.

And together, we will be
the judge of that.

Chief Bailey.

Jamarah Blake,
Medical Accreditation Council.

- Yes.
- Yikes.

Busy day.

Shall we?

- Shall we?
- Yeah.

♪

[CHUCKLING] Mnh.

Hey! Richard.
I just wanted to wish you luck.

- And how'd you know?
- I said nothing.

I grew up with an extremely
withholding mother.

I can squeeze information
out of "good morning."

Thank you, but I don't...
I don't need any luck.

[DOOR OPENS]

Just a time machine.

[TELEPHONE RINGS IN DISTANCE]

Cool.

Way to poke holes in his trust in me.

Well, he doesn't have to trust you,

he has to trust himself.

And I have been helping him do that

in his weakest moments for years.

- Mm-hmm.
- He has to pass this test.

[SIGHS LIGHTLY] I-I am not saying
don't be truthful.

I'm just saying he's important
to this hospital and to me.

[TIGGS DA AUTHOR'S "NEW DAY" PLAYS]

HAMILTON: How long have you...

I'll show you the skills labs,
simulators, residents' lounge,

as well as our lecture hall

where we hold our didactics
and grand rounds.

But when do you have us scheduled

to speak with the residents directly?

I was hoping to start with Dr. Schmitt.

They are, uh, actually observing

a groundbreaking
medical innovation today.

♪ Temperature cool ♪

Okay, everyone say, "Thank you, Mason."

♪ So tell me ♪

Mason here wanted to donate his organs,

but UNOS ruled it out due to
his history of cancer.

So instead, his wife consented
to donating

his whole body to research.

Listen, people die each and every day

waiting for a kidney transplant.

If this works, we could say goodbye

to long transplant lists
in just a few years.

So...

- TOGETHER: Thank you, Mason.
- Good.

Alright. Now, what does this one do?

- Oh, whoa, okay. Wha... Oh, I got it. Okay.
- [BEEPING]

♪ "If you love me, give me mula" ♪

[BEEPING CONTINUES]

♪ Man, I had nothing,
so it shocked my head ♪

MABEL: Is this the first time
anyone's done this?

Yep. Who can tell me why
we're working on a dead man?

JORDAN: First, do no harm.

Exactly. We can't experiment

with a xenotransplant on anyone
who has anything to lose.

And why are we attaching
the kidney to the groin?

So that you can see the kidney

while you're assessing its performance.

We'll actually see the kidney
darken if rejection happens.

TARYN: Also, the groin is
close to the bladder,

which provides a good blood
supply through the iliac artery.

- Wow. Correct.
- Mm.

I don't care what
Dr. Grey says about you...

You guys are a pretty sharp group.

♪ The sound got me cruisin' ♪

You have one minute to make
that side look like that side.

Well, I'm not a toddler.

Again, we'll be the judge of that.

- And go.
- [STOPWATCH BEEPS]

♪ You wanna rock, rock, rock your mind ♪

♪ You wanna slide, slide,
I'll slide to your side ♪

It's impressive that

you're still bringing in
innovative cases

when you've lost... Let me see... um...

seven physicians recently?

Well, we've had a lot
of retirees this year.

- Ah.
- Mm-hmm.

So did Dr. Hayes, chief of peds, retire?

Actually, he moved back to Ireland.

I was told it was a family matter.

- Yeah.
- Huh.

We have urine. He peed!

[ALL CHEERING]

We got urine!

[LAUGHING] Oh, my God!

Okay, I'm gonna give them this.

Dr. Bailey, we have urine.

Yeah! So we heard!

Uh, D-Dr. Grey,

this is the team from
the accreditation council.

It's nice to meet you.
Uh, it's a big deal.

So, obviously the residents
are very excited.

Th-The residents are always enthusiastic

when they work with Dr. Grey.

Well, I would imagine so.

And it seems like a rare
opportunity these days.

You're a busy woman, Dr. Grey.

I am.

I actually have
a liver biopsy to get to.

It's a pleasure to meet both of you.

- I'll see you soon.
- Nice to meet you.

[INDISTINCT CONVERSATIONS]

- Mm. So, Dr. Bailey?
- Yeah.

Who's next?

Yes. [CHUCKLES]

[SIREN WAILS, HORNS HONK IN DISTANCE]

LEVI: What about this one?

"When #GSM residents #suffer,
patients suffer."

When was the last time you knew me

to do anything right on a computer?

Mom, you can't just criticize
my workplace...

And with so many unnecessary hashtags!

So now it's your workplace again?

Oh, Mom!

I do not need you to fight my battles.

Sweetheart, you walked out of your job,

you broke up with your boyfriend,

you sit down here all day and all night

playing video games. [SIGHS]

You don't go outside.

You need help, Levi.

And how does it help me

for you to trash-talk
my training program?

You never should have been in
that operating room by yourself.

They never should have
put you in a situation

where you could
single-handedly k*ll a man.

Every surgeon eventually
loses someone on the table.

- Keyword being "eventually."
- [SIGHS]

Not before you're prepared.

You're never prepared!

- Not before you're trained!
- [SIGHS]

They experimented on you!

That is how medicine evolves, Mom.

That is how teaching techniques evolve.

They experiment.

I am the one who failed
the Webber method,

not the other way around!

- You are still a student.
- Oh, Mom.

- You were holding a scalpel
- I... [SIGHS]

without a teacher in the room!

And you don't have to think
that that's wrong, but I do!

I do, and I have the right
to warn others!

Oh, God.

Mom!

Oh, my God. Mom.

Oh, my God, Mom.

Mom. Hey.

Oh, my God. Oh, my God.
Oh, my God. Oh, my God.

Okay.

[LINE RINGING]

[BREATHING HEAVILY]

WOMAN: . What's your emergency?

Hi, yes. My mom... she f-fell
down a-a flight of stairs,

and she's unconscious, unresponsive,

and her respiratory rate's around .

- What's the address?
- North side Drive.

She, uh, also has shortening

and internal rotation of the left leg,

which means a possible
femoral neck fracture.

Just hurry up, please!
[BREATHING QUICKLY]

Mom? I'm so sorry, Mom.

It's gonna be okay, okay?

I'm sorry. Just stay with me.

- Purple.
- [DEVICE BEEPING]

Green.

Uh, yellow.

Orange.

Uh, bl... red... I mean, blue!

Uh, uh, I missed one.

Uh, may I try it again?

On a good day, I miss three.

Our brains don't like
incongruent information.

That's why this test is a good indicator

of attention capacity
and processing speed.

And you actually did quite well.

We have decades of muscle memory
in our brains,

and this damn Stroop test
is asking us to ignore it.

Of course, as surgeons,

we have to process a lot of information

in a short amount of time as we operate.

I know this.

And I know that there's a difference

between slowing down a bit
and being a danger in the OR.

I appreciate that.

Aging as a surgeon is
a special kind of humiliation.

We watch doctors
with half our experience

whipping through procedures

with their agile hands
and their nimble brains.

Then part of our job is to find
and recruit the next you,

which can be a fun challenge,

but can also be a real ego-buster

while you're waiting
for them to determine

your footsteps are worth following.

Sounds as if you're speaking
from experience.

Well, uh, I... I... I...

I imagine it would be hard.

♪

I knew it.

I knew it!

I said it from the first time
you brought her to Minnesota!

You're trying to poach Meredith Grey!

A+ on the reasoning skills section.

♪

Yes, I did my residency at Tufts,

where I became an attending.

Well, Tufts is one of the nation's

most renowned institutions.

What brought you back to Grey-Sloan?

Also a renowned institution.

Well, yes, that, and my former teacher

- is one of the chiefs of cardio here.
- Mm.

And I've always wanted
to work with her again.

There's no one like her.

- Dr. Pierce?
- Yes.

Also your wife.

Do you make a habit
of dating your students,

or was your husband the first?

Excuse me?

Was your relationship
on record at Tufts?

No, we didn't ha... Wait.

I'm sorry. I don't see how this

is relevant to our residency program.

MARYANN: There have been some
reports that there is a history

of inappropriate sexual conduct
here at Grey-Sloan,

so we have to be thorough.

Well, I can assure you
that our relationship

is in no way inappropriate.

MAGGIE: Are we done here?

Did you know Dr. Pierce
was a child prodigy?

[BREATHES SHARPLY]

♪

Dr. Hunt, your mobility looks good.

I heard about your accident.

Now, we have an excellent PT department.

Oh, so, when do you think
you'll be able to operate again?

- Soon.
- Soon. Uh.

- A few more sessions of PT.
- Okay, great.

Uh, Dr. Hunt's experience
as a m*llitary surgeon

has been a huge asset
to our level trauma center.

And, uh, he's been overseeing a study...

In burn pit illnesses
in m*llitary veterans.

Yes, I've read about that.

Now, a few of the patients
involved with the study

d*ed recently.

You're still able to move forward?

There were... There were...
There were... There... There...

There were some deaths.

There... There were several deaths,

but that's because
burn pits k*ll people.

I-I-I-I thought we were here

to talk about the residency program.

♪

It's a great program.

I left a job with the Seattle Mariners

to work at Grey-Sloan.

[CHUCKLES] That was a big change.

Turned my life upside down, you know?

I used to live life on the road,
free and easy.

Now I have a baby and, uh,

a completely shattered heart,

and an apartment with no furniture.

I'm sorry. What was the question?

♪

Okay, get the biopsy, call me
when the results come in.

I want to see those cells myself.

WOMAN OVER PA: Satellite pharmacy .

Satellite pharmacy .

[TELEPHONE RINGS IN DISTANCE]

Excuse me, are... A-are you Dr. Marsh?

- Yes.
- Yeah, we spoke on the phone.

I'm Jan Taylor.

I-I-I came straight from the airport.

- My husband, Mason...
- Yes.

I'm very sorry for your loss.

I need to see him. Is he still...

- Can I see him?
- Unfortunately, no.

I'm sorry. We can't risk exposure.

No. I-I don't accept that.

- He's my husband.
- Whoa.

- No, no, no. I need to see my husband!
- It's okay, it's okay.

It's okay, it's okay. Jan, listen.

You can see him.
You can absolutely see him.

Um, you can say goodbye.
Just not right now.

No, no, please.

Please let... let me see him.
Let... L-Let me see him.

- Jan...
- He's my husband.

Listen to me.

Listen, l-listen, listen.
Listen to me, okay?

[EXHALES SHARPLY] Remember
what we're doing here, okay,

what you consented to.

If this works, it could save
thousands of lives...

- Thousands.
- [CRYING, SNIFFLING]

And I know you've lost everything.

And I can't imagine what
you're feeling right now,

but if you go barging
into the room, it is done.

- It is over.
- He b*at cancer!

[CRYING] He b*at cancer.

And he gets himself k*lled
crossing the street!

- I understand.
- [SOBBING] Oh, my God.

Oh, my God.

Oh, my God.

[SOBBING]

♪

- Oh, my God!
- Mm.

♪

I know. And I'm sorry.

Oh, my God.

[SNIFFLES]

[CRYING]

[SIGHS]

♪

Oh, no. Oh, no, no, no.

Okay, okay. ABCs.

"A"... airway...

Not obstructed,

but definitely having trouble
with "B"... breathing.

[BREATHING QUICKLY]

♪

Increased resonance on the right side.

[BREATHING QUICKLY]

Jugular venous distention.

Oh, my God.

Her trachea's deviated.

Mommy, you have a tension pneumothorax.

I need help!

Where's the ambulance?

Where are they?

Oh, God. Okay.

Okay.

Hey, Mom, it's okay.
They're on their way.

I'm right here, okay?

Okay. Exactly what is the point
of this one?

This tests your ability
to ignore distraction

while maintaining neuromuscular control.

Just remember you're controlling
the cursor with your movement.

Look, I'm trying!

But you just told me you were
stealing my top surgeon.

No stealing about it.

The offer nearly broke
the clinic's budget.

And you had the nerve to mention it

while I'm in the middle
of my assessment.

I didn't mention it, you inferred.

Our residency program is being evaluated

on its teaching ability.

If they find out that our top
teacher's considering leaving...

Oh, you know what? Uh...

Uh, you know what? Respectfully,

you're gonna have to start this
over again, all right?

A-Are you mad that I told you,

or are you mad that she may accept?

It's an incredible opportunity
for her, Richard,

and she's a Grey!

She is bigger than just one hospital.

[CELLPHONE VIBRATES]

[SIGHS]

[CLICKS, VIBRATING STOPS]

Schmitt, I'm in the middle...

LEVI: Dr. Webber, it's my mom.

Oh, God. Mom, stay with me.

She fell down the stairs.

The ambulance is taking
forever to get here.

RICHARD: Schmitt, talk to me.

- Did you find...
- I found a Kn*fe!

Can you sterilize it with something?

Um... yes. I have alcohol wipes.

Okay.

[BREATHING HEAVILY]

♪

Schmitt?

[SHUDDERED BREATHING]

Uh, Dr. Webber, I don't...
I don't think I...

That I can s-s*ab my mom with a Kn*fe.

It is not a Kn*fe.
It is a makeshift scalpel.

And you are not stabbing her.

She is a patient who needs
a thoracostomy.

I've seen you do dozens of them.

Okay. Okay.

Um.

Okay. [BREATHING QUICKLY]

Okay.

I'm sorry, Mom.

Um.

♪

[GRUNTS] All right.

Um, all I have are...
Are some little scissors

to get into the chest wall.

Okay. That'll do.

- [GRUNTS]
- [EXHALES]

All right, I'm in... I'm in.

Okay. She's breathing better now.

RICHARD: Nice job, Schmitt.

Oh, my God. Oh, no. Oh, my God.

What is it?

Uh, it's a hemopneumothorax,
not just a tension pneumo!

- Schmitt, I need you to stay calm.
- Okay.

[KNOCK ON DOOR]

- MAN: Seattle Fire Department!
- Oh, thank God.

- I'm down here!
- [DOOR OPENS]

♪

- Ah, Dr. Wilson.
- Yeah.

Hey, these are members of the
Medical Accreditation Council.

- See here.
- Oh. Uh, well...

There is, um, no better
residency program

and no better chief than Dr. Bailey.

Then why did you leave?

My husband left me, and then
I had a nervous breakdown...

Not in that order...
And then there was a pandemic.

So I just needed a change.

Okay. Did Dr. Bailey try to
dissuade you from this decision?

Um...

- she absolutely did.
- Oh.

You did five years
of surgical residency,

a fellowship with Dr. Bailey,

uh, two years as
a general surgery attending?

That's right.

And just threw it all away
to start over again?

[TELEPHONE RINGS IN DISTANCE]

I use my surgical training
in my current residency

all the time.

It's where I learned
to think on my feet,

make tough choices under pressure,

pivot when circumstances change.

And respectfully, there is
an arrogance and superiority

that surgeons have
when discussing obstetrics.

I feel it reflected
in this line of questioning,

and I resent it.

But in summation,

there is no better residency program,

and there is no better chief
than Dr. Bailey.

Excuse me.
I have a mom at centimeters.

[BOTH SIGH]

Okay.

Uh, next on my list
is Dr. Richard Webber.

♪

Yes, um...

Why don't, uh, uh,
you two take your break?

- And I will go get him.
- Mm.

Did they start a line?

LEVI: Oh, my God. Oh, my God. Mom?

They put her on O ?

Yeah.

Did they bandage the wound?

Yes, sir. ETA's about minutes.

Could you call cardio and ortho?

Have a chest-tube tray set up
and portable X-ray.

Yeah, I got it, Schmitt.

Thank you, sir.

Hey, ugh, it is not going well.

Please tell me you passed because...

Levi Schmitt's mom took
a bad fall down the stairs.

Hemopneumothorax, possible hip fracture.

He's on his way with her here now.

Why do I get the sense you're
not telling me the whole story?

Has Meredith spoken to you yet?

♪

Hey.

Blood pressure... fwwt! Plummeting.

Oh.

The blood flow's not strong
enough to perfuse the kidney,

so he's not making urine anymore.

I sent the residents
out for labs and coffee,

but, really, I sent them away
so I wouldn't scream at anyone.

Did you try a bolus?

Multiple. Plus atropine.

I maxed out on dopamine.

Epi?

Maybe. I don't know.

I don't know.

I just... I need this to work.

[BREATHES SHARPLY]

His wife's waiting to see him,
and among other things,

it'd be really nice
to give her some good news.

[SIGHS]

[BREATHES DEEPLY]

The worst part about this job
is telling families

that their person didn't make it.

And you have that, on some level,

in every single case.

[CHUCKLES SOFTLY]

Yeah.

Unless this works.

If this works, maybe in a few years...

I don't know.

I don't know, I don't know,
I don't know.

[CLICKS TONGUE]

I think it's why
you shake in your sleep.

[CHUCKLES]

I do?

Just a little bit.

I put my hand on you, and it stops.

No one's ever told me that before.

[CHUCKLES]

MEREDITH: Hey.

You let me hug you.

You're taking that job in Minnesota.

Couldn't even tell me yourself?

Couldn't give me that much respect?

[SCOFFS]

No, I haven't even made a decision yet.

This program raised you!

I raised you, taught you
all that you know.

T-Then made all the concessions
that you needed

so you could split your time
between here and...

And... and David Hamilton.

And... And then, even with all
of that, you'd be so selfish

as to leave in the middle of
a historic physician shortage

with the residency program hanging on...

[COUGHS]... by a thread?!

[COUGHING]

Bailey.

Y-You're j... Yeah, no,
you're that girl, huh?

[SNIFFLES]

That same [SIGHS] little girl

that's following her handsome attending

all around the hospital, right?

Breaking all the rules.
Having sex in cars.

No one and nobody else matters.

It doesn't matter that he's your boss,

not that he's already married!

- No, enough! Enough now!
- And d...

Yeah, okay, okay. Let's just
take a minute here, okay?

Stop! I already know where you stand.

No, you stop!

Don't you speak to him that way!

Why are you speaking to me this way?!

[CLEARS THROAT]

He's here doing us a favor!

Bailey!

NICK: Whoa. I got her, I got her.

- Okay. Sit down. Uh-huh.
- Yep.

- Let's page cardio.
- Okay.

- Bailey?
- Huh?

[MONITOR BEEPING, RESPIRATOR HISSING]

I need Bailey to be okay.

She got in your head.

She's been in my head since
I was an intern.

Never seen her go off on me
like this before.

- Not on anyone.
- Mm-hmm.

Now she's got you re-thinking Minnesota.

Yeah, well, she had a heart
att*ck when she heard about it.

That looked more like panic to me.

I hope you're right,
because I need her to be okay.

Because I... I... I do love her.

I do not like her very much right now,

but I do love her.

I know.

So, your... your...
Your husband was married

when you first met him?

Don't really remember
that part of the story.

It was a lot more complicated than that.

But she just told the truth
about how she sees me.

She put a finger on what I couldn't.

You can't stay at the place
you did your residency forever

because that's how people see you...

They see you for who you were,

not as the person you've become.

- Dr. Marsh.
- Yeah.

Mason's catheter... It's full.

- EKG looks good.
- [SIGHS]

No ST or T-wave changes.

Your rapid troponin is negative,

so this was not a cardiac event,

but, Bailey, you are obviously
very stressed out.

You need to slow down.

I'll slow down tomorrow.

Today, I have
a residency program to save.

Why is this all falling on you?

Where is Richard?

Having an unnecessary assessment!

- What?
- Oh.

This is how today's gonna go?

People accidentally
telling people things

that they should have already known?

Whoa, whoa, whoa! But, Bailey, Bailey!

- What?
- Calm down!

- [SIGHS]
- Come on. Deep breaths.

[SIGHS]

Ah.

You are marching steadily
toward another M.I.

You need to do...

- Do less. I know.
- Mm-hmm.

But that's not an option.

[VOICE BREAKING] This program
is falling apart on my watch.

I know. I'm... I'm stretched too thin,

and then we took thin even thinner

with the addition of
a toddler to our family.

[BREATHES SHARPLY]

And then I heard
Meredith might be leaving,

and I lost it on her,

which may or may not
have been fair to...

Wait, wait, wait. Meredith what?

Oh, you've got to be kidding.

- [SIREN WAILS IN DISTANCE]
- [DOOR OPENS]

[SIGHS] Hey. How's it going?

I can't tell you
how he's doing on the test.

Mm.

But do you think...
he maybe has dementia?

Or a drinking problem?

No. Very much no.

Why?

Because he walked out of his assessment.

He took a phone call, and he left

without a word of explanation,

which was disrespectful, at best.

It also showed a lack of judgment,

which is not a great sign.

Yeah, I've done a lot of things
that lacked judgment.

[CHUCKLES]

Hi.

Seriously?

What, I'm not allowed to laugh
at funny things anymore?

What did I say that was so funny?

Hi. I'm Kai Bartley.

You must be Scout's dad.

Link. Atticus Lincoln.

Wait. You've met Scout?

Your name is Atticus?

- Don't.
- Excuse me.

Don't protect me.

No, I'm not protecting you.

I'm protecting myself
from having to watch

another one of your hissy fits.

- My hissy fits?
- Mm-hmm.

[CHUCKLES] Dr. Webber, why are you...

- Uh.
- [SIREN WAILING]

♪

[BRAKES SQUEAL]

♪

- Schmitt?
- years old,

status post-fall
down a flight of stairs,

sustaining a tension hemopneumothorax

with a flail chest and likely
a femoral neck fracture.

Pneumo relieved by
a home thoracostomy but...

Okay, trauma one's ready.
Move, move, move.

We were just i-in a fight,
and then she slipped,

and she fell down the stairs,

and I-I feel like it's all my fault.

What... No. Schmitt, no.

You saved her life.

Now let Altman and Link
finish what you started.

Dr. Webber, I want to go with my mom.

You absolutely cannot go.

Richard, you need to finish
what you started.

Dr. Webber, I can't just wait
and do nothing.

Uh, can I finish?

I'd recommend it.

Okay.

My mom wrote those things.

She wrote that
this program breaks people

because I was broken,

and then we got into a fight,
and s-she fell,

and... and now she might die
just like Devon did,

and all of it's my fault.

All of it. It's all my fault. [SNIFFLES]

[CRYING] It's all my fault.

It's all... It's all my fault!

It's all... It's... It's...
It's all my fault.

It's all my fault!

♪

[SOBBING] It's all my fault!

♪

[SIREN WAILS IN DISTANCE]

[HORN HONKS IN DISTANCE]

[DISTORTED THUMP ECHOES]

[SIREN WAILING IN DISTANCE]

[HORN HONKS IN DISTANCE]

[BRANDI CARLILE'S
"WHEN YOU'RE WRONG" PLAYS]

You said five rules. That was only four.

♪

♪ Don't go borrowing trouble ♪

- ♪ That's what you used to say ♪
- [BEEPS]

♪ But we don't keep in touch
the way we used to nowadays ♪

♪ Your eyes are not as bright ♪

- ♪ As I remember them to be ♪
- [POWER THUMPING ON]

♪ The light inside's grown dim ♪

♪ And that's hard for me to see ♪

[SIGHS] Richard Webber, general surgeon,

Fox Foundation chief medical officer,

and residency director at Grey-Sloan.

♪ The white stripe
running through your bangs ♪

♪ A long, twisted spire ♪

Levi Schmitt, fourth-year, um, resident.

Grey-Sloan has been a training ground

for hundreds of successful surgeons.

♪ I understand why you stay ♪

♪

♪ You may be here today ♪

I started as a sub-I under Dr. Webber.

♪ But, tomorrow, you're a ghost ♪

My f-first day wasn't, uh,

exactly stellar.

Meredith Grey.

Miranda Bailey.

Hell, I trained here myself.

When I was a resident,
I thought saving a life

was the highest calling to aspire to.

Then I started teaching.

♪ Someone strong enough
to love you when you're wrong ♪

My... My glasses fell into a patient.

But I learned, and I got better.

Because Dr. Webber didn't give up on me.

There's something uniquely fulfilling

about training future
generations of surgeons.

He taught me how to do lap choles

and the importance of a square knot.

You see them show up wide-eyed.

You nurture and nudge them.

You watch them achieve and stumble

and grow and soar.

He also taught me how to persevere

and learn from my mistakes.

I know that this review is
supposed to determine whether

he's a competent surgeon
or effective teacher.

I'm sure the methodology
behind it is well-tested.

I asked for an evaluation
to see if it was time

for me to put down my scalpel.

Years ago, I took an oath... Do no harm.

I stand by it.

♪

I don't want to retire.

I love being a surgeon.

And I love teaching.

You all know what you're doing.
Just don't k*ll anyone.

I'm done!

But I also know that Richard Webber

helped me save my mom's life today.

♪

♪ You'll be wrong if you were thinking ♪

[BREATHING SHARPLY] Or I... I hope so.

♪ Like dewdrops in the dawn ♪

I hope that we saved her life.

But even more, I believe in the power

of medicine and science.

I don't even want to think about

what could've happened without him.

So if I need to step down
in order for future generations

to keep training here...

♪ When you're wrong ♪

♪ Someone strong enough to love you ♪

...then I will.

♪ When you're wrong ♪

♪

[BEEPS]

♪ When you're wrong ♪

♪

♪ Ooh, ooh, ooh ♪

♪ When you're wrong ♪

[POWER THUMPS OFF]

♪

♪ Ooh, ooh-ooh-ooh ♪

♪ Oooh, oooh ♪

♪ Oooh, ooh, oooh ♪

♪ Oooh, oooooooh! ♪

♪

[DEEP BREATH ECHOES]

I appreciate you letting me finish.

And for taking the statement
from Schmitt.

Oh, it certainly can't hurt.

KAI: It's also not necessary.

You passed.

Flying colors.

- Congrats, Webber.
- [DOOR OPENS]

Mrs. Schmitt's head CT was negative.

- Oh. Uh-huh.
- Teddy and Link are almost done.

She's gonna make it.

Wow.

Thank you. I...

Well, thank you.

Well, don't thank me.
You're the one who passed.

- He passed?
- Mm-hmm.

- [LAUGHS]
- You passed!

- [LAUGHS]
- Oh.

- [LAUGHING]
- Oh!

[BREATHES SHARPLY]

Not everyone gets another chance
in the OR.

♪

Take advantage.

♪

I'm sorry about earlier. [SIGHS]

I was worried about him.

That's okay. I get it.

He's your David.

♪

Mm.

♪

[SIGHS, SNIFFLES]

Hi. Uh, so, I can show you more things.

Um, our plant room, which...

Actually, Dr. Bailey, we've seen enough.

Okay.

Please.

We have reviewed hundreds
of these residency programs,

and we can usually tell pretty quickly

when they're not working,

and that's even when the doctors
and the residents

are very well-prepped for my visit.

I see.

And based on my visit today,
I can unequivocally say

that when it comes to
resident well-being,

that Grey-Sloan's
surgical department is...

well, one of the best that I've seen.

Despite long hours and hard work,

the residents seem genuinely
excited about their work.

And your attendings...
They care enough to be nervous

about these meetings,
which is a good sign.

The sense of community,
the sense of family

is completely palpable.

And Dr. Webber?

Well... he's impressive.

- He is.
- Mm.

What I saw in person today

was almost enough to override
what I see on paper.

But not quite.

As caring as you of all are,

you simply do not have enough surgeons

to maintain
an effective teaching program.

D-Dr. Bailey, it, um...

it hurts me to say this,
but I am going to have to

place Grey-Sloan's
residency program on probation,

effective immediately.

We will provide a list
of specific improvements

that need to be made, and we'll be back

for another review in a few weeks.

A few... A few weeks?

We always give hospitals time
to rectify matters

before we shut down
their residency programs.

[FELIX RAUBER'S "APRÈS MINUIT
[FEAT. SCHLINDWEIN"] plays]

Good luck, Dr. Bailey.

MEREDITH: Researchers studied why
some people perform better on tests.

Okay.

♪

They found that it's not necessarily

related to intelligence.

Some people become anxious
during exams...

and divert mental energy toward anxiety

instead of expending it
on finding the right answers.

[INDISTINCT CONVERSATIONS]

Others have a better grasp
of how tests work.

♪ I'm standing at the riverside ♪

They use process of elimination
and other techniques

to help them make better choices.

♪ I'm longing for the other side ♪

♪ Where does the river flow? ♪

Some people study harder.

They start early, make flashcards...

♪ Where does the water lead? ♪

...rely on repetition
to retrieve answers

when they need them.

- ♪ The place inside of me ♪
- [WHISPERS INDISTINCTLY]

♪ Where I will never be alone again ♪

Well, you were right.

Bailey's okay.

Okay, good.

I spoke to Maggie.

She didn't know about the offer,
either, so...

Can I bring her in?

Yeah. Um, one second.

Maybe this will cheer you up.

- Wow!
- Yes, wow.

cc.

- Epi... it works.
- [SIGHS]

Thank you, Mason.

Look at you,

changing the face of
transplant medicine.

[CHUCKLES] No, no, no, no. Look at us.

- You needed that win.
- I did.

♪ Where does the water lead? ♪

- Bring her in.
- Okay.

Yeah.

- ♪ Me and my sorrows ♪
- Hi. Ready?

♪ The place inside of me ♪

- Okay.
- [SNIFFLES]

It's okay.

[SIGHS]

[BREATHING SHAKILY] Oh, my love.

- Okay.
- [SNIFFLES]

Did... Did it work?

The organ thing, did... Did it work?

It worked. It was a minor miracle,

but Mason here, he... he made it happen.

♪ Floating away ♪

Please.

- ♪ Along with the sea ♪
- [SNIFFLING]

♪ I find my way home ♪

- ♪ Après minuit ♪
- [SNIFFLES]

You hear that, babe?

♪

You made it happen.

[SNIFFLES]

It's okay.

♪

[VOICE BREAKING] I'm gonna be okay.

♪

[SNIFFLES]

[CRYING]

♪ I'm drifting down the riverside ♪

♪

[CRYING CONTINUES]

♪ I'm drifting down the riverside ♪

[EXHALES SHARPLY]

♪ No weight, no gravity ♪

I am...

♪ Like a child in a mother's womb ♪

I'm ready to... I'm just...

I'm ready to... start over.

- I'm definitely ready.
- ♪ I let the water take ♪

♪ Me to the other side ♪

I'm gonna take that offer.

- Really?
- Yes, really.

- ♪ Where I'll never be alone again ♪
- [SIGHS]

Tests don't always measure
how much you know.

♪

They measure how well you take tests.

♪

[DISTORTED ECHOES]

♪

And tests certainly don't
measure your worth.

♪

But knowing that
doesn't make it hurt less

when you don't succeed.

♪

♪

♪

♪