19x02 - Wasn't Expecting That

[bunniefuu]

♪ Got those blue skies up above ♪

MEREDITH: My mother always used to say

that you could tell the
difference between an intern

and a second-year resident
by their sutures.

Wait, ladybug, you forgot
your lunch again.

Made your favorite.

♪ Mm, mm ♪

♪ Oh, oh, oh ♪

My favorite.

Go back inside, Grammy.
Dad's getting your breakfast.

- Bye, baby.
- Love you.

♪ Ain't got no reason to complain ♪

♪ No, no, no ♪

One of the more common
mistakes an intern makes

is tying their sutures too tightly,

which causes tension.

♪ ...at all that's going down ♪

- Wow.
- Right? It's my first.

- Car?
- Place.

I installed a Wi-Fi hotspot
and a camper stove.

- Ah.
- And, no,

- you can't borrow it.
- [WATCH BEEPS]

The more tension, the longer
it takes the wound to heal.

It decreases blood flow,
increases scar formation,

and even necroses the skin.

- What are you doing?
- I worked till : a.m.

Thought I'd put on fresh underwear.

Please do not tell me
that you are living here.

I'm not. It's just a safe space

to put my stuff
till I find a permanent place.

Oh, my God.

Please don't say anything to my mom.

I don't even talk to your mom!

Ah, this whole sister hate thing
may work in my favor.

Okay, just come stay
at Meredith's for a few days.

If you're gonna survive internship here,

you're gonna need a night
or two of good sleep.

- Nope.
- You at least need to do laundry.

You're offering to wash my underwear?

We agreed. No special favors.

So even though they may have
technically closed the wound...

LUCAS: Hey.

...they may have opened
the door to even more problems.

- ♪ Yeah, yeah ♪
- We're late.

♪ Oh, it's a good, good day ♪

Whoa, whoa! Slow down!

My God. We almost just d*ed.

Have you seen these e-mails

about Nick Marsh's plans for
the residency program?

It's weird. The Residency Director

is e-mailing about the residents.

He wants to push pre-rounds by an hour,

set up a mixer with the nursing staff,

and wants to bring in a yoga instructor.

- Oh! When?
- When will they work?

I mean, he's doing exactly
what I thought he would,

but I just thought
he would, I don't know,

stop by my office or
send me an e-mail or call me.

Sounds like this is not entirely
about the way he does his job.

The job that you offered him.

I have no idea what you're
talking about. [ALL CHUCKLE]

So, I suppose I will
see you ladies tonight.

Did you forget? Zola's presentation

for the Pacific Northwest Scholars.

Her paper is a finalist for
their merit program.

What's the paper about?

Her hero. Dr. Ellis Grey.

- Twist.
- I don't care.

I'll show up for anything
that celebrates Zola.

- I'll see you tonight.
- See you.

WOMAN: [OVER INTERCOM] Nurse Krueger
to the O.R. Nurse Krueger to the O.R.

Hello. Listen up.

Dr. Schmitt is your chief resident.

- [QUIETLY]
- He's our only senior resident.

He's gonna be handing out
your assignments

while I'm doing a kidney transplant.

Who can name the top three causes

of end-stage renal disease?

Hypertension, diabetes,
glomerulonephritis.

He didn't raise his hand.

Yeah, I don't care about any of that.

- Am I correct?
- Yeah, you are.

- Do I get to scrub in?
- No, uh, you cannot.

Okay. Have fun, Schmitt.

♪♪

I haven't slept in two days.

I am answering pages
from six different services,

and I had a cupcake for
breakfast, so no one complain.

Adams, you're with Dr. Pierce.
Kwan's with Ndugu.

Yasuda, report to Owen Hunt.

And, uh, Millin and Griffith,
surgical consult in the pit.

Uh, two of us for one consult?

Two interns make a whole doctor.

Now, don't embarrass me or k*ll anyone

or drop anything inside a patient.

♪♪

This is the moment you go.

♪♪

Come on.

♪♪

Dr. Kwan.

- Yeah.
- Tell me what you see.

[EXHALES SHARPLY]

Pericardial effusion? That's right,

which is compressing
this patient's heart.

What would be your recommendation?

Hi! Remember Mr. Veras? He's back,

and his trach is infected.
Can you take a look?

Also, a new patient in needs an echo

and admissions orders for observation.

Are you talking to me or...

Always assume I'm not.

I have a VATS lobectomy in an hour.

I pushed that to this afternoon.

Maggie, I already rescheduled
that patient twice.

I double-checked his labs.

A few hours will not change his status.

Okay, uh, yeah, I will get it all done.

Thank you. I will check in with you

after my valve replacement.

We're doing a valve replacement?
What type of valve?

TAVR. But you are on scut.

- No special favors, right?
- Uh...

Uh...

All I did was put in a chest tube.

Was there an attending in the room?

It's the E.R., Teddy.
There's about three attendings

- in this area at all times.
- Was one specifically watching you?

One specifically has been
barking at me / ,

so, yeah, I assumed she was still here.

- Do you need something?
- Mika Yasuda,

reporting for Dr. Hunt's service.

I'm his intern today.

[LAUGHS]

You know, you might
want to find a new service.

Yeah, Dr. Hunt used to be
chief of trauma,

and then he lost his mind,
so now I'm chief of trauma.

Yeah, also, she's my lovely wife
and mother of my children.

Her favorite color is blue.

Did she really need to know that?

Yes. To humanize you!

According to the Washington
Medical Commission,

if he attempts to do anything
on his own,

he will be reported
and lose his medical license.

Understood?

Oh, so I'm supposed to...

Call an additional attending
for the following...

intubations, chest tubes,

surgical consults, I&Ds, NG tubes,

- lap repairs, washouts...
- [MAN VOMITING]

Pretty sure this isn't surgical.

Well, don't give up hope yet.

So, when did the, uh...
the vomiting start?

I can't remember.

Any alcohol last night? dr*gs?

We shared a few drinks
while playing "Barn Finders"

- at a friend's apartment.
- Oh.

It's a video game.

- You play?
- Sometimes.

Not at all.

Yeah, we got back at like : a.m.,

and, uh, we split
some leftover fried rice

I had in my fridge. It's from that place

across the street
from the student union.

We are never ordering from there again.

[VOMITING]

Any blood in your vomit?

I-I don't know. Here.

Okay, well, we'll get you both
started on some IV fluids,

and then we'll give you another run...

- [GASPING]
- Okay, just... Just stay calm.

Okay? Take a deep breath
for me if you can.

Uh, Dr. Griffith,

- we need some oxygen here, please.
- On it.

Okay.

What's happening to him?!

[GRUNTING]

Uh, hold on. Hold on.

[GROANING]

- What the hell is this?
- I don't know.

Well, find somebody who does!

[GROANING]

Okay. [GRUNTS]

Hi!

Hi, Pru! Luna, say hi!

Okay, healthy snacks, check.

Uh, sanitizer, check.

This is my kind of mom group.

No endless brunches,
no power walking in full makeup

and earrings and tight leggings.

Alright, waters, uh, baby wipes, yes,

and, uh, sunscreen.

You are organized.

Not my first rodeo.

Thank you so much for calling.
All I do is work

and watch Link bring home
half the women in Seattle,

which, you know, I'm not one
to judge a choice, but it...

Uh-huh. Okay. Look, if we hurry,

the girls can go down the slide
while it's still in the shade.

Oh. Uh, are we late?

Yes. Let's power-walk.

[SIGHING] Okay.

[ INDISTINCT ANNOUNCEMENT
OVER INTERCOM]

Did you page both of us?

- Uh, I paged Chief Grey.
- I paged Dr. Webber.

Did you happen to talk to
each other before doing that?

Uh, never mind. Never mind.
Uh, what do you got?

Um, -year-old male with
abdominal pain, vomiting, and chills.

He recently was experiencing chest pain,

shortness of breath, and a rash
on his abdomen and chest.

MEREDITH: Okay.

What about him?

College roommate.

They ate the same thing

four hours before both presenting
with food poisoning symptoms,

but he hasn't developed a rash
or shortness of breath.

It's on his legs and his arms, also.

Let's get blood cultures,
get a chest X-ray.

Put him on high-flow oxygen.
Admit him to the ICU.

Call internal medicine
and page us when you're done.

One of us.

♪♪

Excuse me. Hi.

Do I need all that stuff, too?

So, your intake form says that
you're experiencing

abdominal discomfort, Mr. Peters?

Harold, please.

But I may know what
the discomfort is from...

There you are! This hospital's a maze.

Sharon, I told you to wait in the car.

And I told you I thought
that was a stupid idea.

I still can't find my phone.

What if the kids call
and need something?

You won't be able to help
if you're on an operating table.

- What's wrong with him?
- I'm fine.

- Probably an ulcer or something.
- He says that

every time we're supposed
to go to my mother's.

Your abdomen is distended,

so I'm gonna have to do an ultrasound

to figure out how to proceed, okay?

I have three minutes.

And I'm not sure I'm gonna survive them.

Do I need to remind you
why I'm here, Dr. Hunt?

Well, it's been about minutes
since the last time,

so, sure, knock yourself out.

- Are you all doctors?
- Teddy, this is just an ultrasound.

So then it should go quick.
Hi, I'm Dr. Altman.

- Yes, we are all doctors.
- And you're all necessary?

No. You know what? Why don't
you just do this yourself?

Well, if I were to do everything myself,

then no one would learn. Would they?

We're a teaching hospital.

We should have gone to Seattle Pres.

LEVI: Oh, geez.

I'll be right back.

MIKA: Dr. Schmitt.

I was supposed to remove the drains

from Dr. Ndugu's patient an hour ago.

I have to go round on Webber's post-ops,

and the nurses keep
texting me angry emojis.

I can't work for Dr. Hunt
because it means

you're also working for Dr. Altman,

which means you're working
for velociraptors.

They're vicious, can snap in an instant,

but there is a mind-game component

going on between those two
that is so deep,

it might destroy all of civilization.

Short, succinct, clear sentences.

- What?
- I don't have time to pee,

and you just said so many words.

Can I be on your service
instead of Dr. Hunt's?

No.

Now get back in there and do your job.

[ INDISTINCT ANNOUNCEMENT
OVER INTERCOM]

- Thank you.
- Hey. I just asked Winston

if he could help on an anterior
approach for a spinal fusion,

and he said to check with you?

He's monitoring a few patients for me,

and I may need an assist on a TAVR.

Well, I can assist on the TAVR.

Out.

Is everything okay with Winston?

He seemed a little...
Was he doing his scissors talk?

I don't know what you mean.

When Winston gets irritated,
he talks like scissors...

Like, every word,
it sounds like snip, snip, snip.

He wants to yell, but he holds back,

so he just cuts the air with his words.

I thought he was mad at me.

No, he's mad at me. [SIGHS]

I pushed his surgery
because I'm a perfectionist

and I want perfection for my patients.

And there's no such thing
as perfection in interns,

and there are still no senior residents,

so I ask perfect Winston.

Yeah, well, I still need someone
to help on my spinal fusion,

so you need to work on all that.

[SIGHS]

We do have one senior resident.

Dr. Schmitt.

Page him.

And don't eavesdrop on my conversations.

[MONITORS BEEPING RAPIDLY]

What happened?
He became completely unresponsive,

and his pressure tanked.
The rash is now everywhere.

Let's start him on pressors.
Push sux, etomidate.

Get me an intubation tray.

[MONITORS CONTINUE BEEPING RAPIDLY]

Two of you, come around here.
Stand behind me.

Watch exactly what I'm doing.
You want to make sure

you have full visualization
of the vocal cords.

♪♪

Griffith, come around
and listen for breath sounds.

♪♪

- Bilateral breath sounds.
- Okay, great job.

Thank you.

♪♪

Uh, Chief Grey?!

♪♪

What the hell is wrong with this kid?

♪♪

♪ Well, your touch holds me c*ptive ♪

Hey, I need you
to come back to work now.

I make more money here.

You do not.

Uh, as a resident, I made
around K a year, before taxes,

when I regularly worked -hour weeks,

and weekends and holidays.

The math sucks, Levi. Not to mention

I didn't love the stress
that came with it.

If I make a mistake here, nobody dies.

Taryn, you are a surgeon.

I was a surgeon.

Now I'm a bartender

and you're on the vag*na squad.

- Was!
- I was on the vag*na squad.

Now I am chief resident,
general surgery.

Only because I'm not coming back.

Disagree.

So come back and prove me wrong.

No.

Grey wants you back.

Did she say that?

[CHUCKLES]

Meredith is straight,

and I have enough
self-esteem now to know

to only fall for women
who might love me back.

So, thanks, but no thanks.

Wow.

Bartending really is good for you, huh?

- Right?
- [SIGHS]

[FAKE SOBBING]
Please come back anyway.

- No!
- Oh!

[CELLPHONE CHIMES]

Ugh!

I'm coming, Dr. Pierce.

Bye.

♪♪

MEREDITH: Initially presented
like textbook food poisoning,

and then evolved into
septic shock within hours.

Do we have the source of infection?

Uh, no. Not yet.

His chest X-ray shows
bilateral pleural effusions,

and he's exhibiting signs of DIC.

The rash is non-blanching.
It could be petechiae.

I initially thought it was
Steven Johnson Syndrome,

but the rash doesn't peel with pressure.

Any case reports of Bacillus cereus

- and sepsis after eating rice?
- It's not Bacillus cereus.

It's not food poisoning at all.

Have any of you ever seen a
patient bleed from every orifice

after eating bad leftover rice?

- Well, then solve it.
- What?

You and Millin
and the rest of the interns,

hit the research and figure it out.

Before it's too late.

♪♪

Hello, Altman.

Well, I'm glad you and Hunt
decided to come back.

I imagine it's hard with everything
he has to go through right now.

Let me guess. Owen thinks that
I'm drinking too much,

so he asked you to intervene.

Thanks. I'm good.

I was just asking how you were doing.

Well, I have spent the last
six months on my feet

working locum tenens in L.A.

while Owen developed
an artistic penchant

for building sand castles,
which was fun for the kids,

but, honestly, the sand castles
were pretty basic.

And since his legal team bankrupted us,

Owen and I now have lengthy
arguments about important topics

like whether to buy name-brand
or store-brand shampoo.

Every time I look at his face,
I am filled with such annoyance

that I have to go outside
and pretend to garden

when, really, my kids are
just seeing me rip up plants.

The worst part of all of it is...

is that I still don't want to leave him

because he's the father of my kids,

and somewhere really deep down
inside, I still love him.

And wine helps me remember that,

so I drink three glasses a night.

But never at work.

And the kids are in bed by : ,

and I don't get behind the wheel.

I mean, the riskiest thing that I may do

is watch too many puppy videos at night.

Is that a problem for you, sir?

Always good to see you, Altman.

Hey! Adams.

Dr. Shepherd.

I wanted to run something by you.

About a patient.

I'll catch up.

♪♪

I found you some apartments to see.

Mom always said you were the best liar.

That was bad lying.

- Wait, is that a loft?
- Eh, kinda.

I think there's some creative
license with the advertising,

but it's near Meredith's.

Uh, great, send it to me.

You can visit, see the kids,
eat for free.

You won't see me cook,
but Meredith's pretty good,

and Maggie makes dinner on Sundays.

Hey, can you not walk so close?

What's wrong with you?

- You're hovering.
- I'm helping.

The more people see us together,
the easier it's gonna be

for them to figure out we're related.

I've already been designated
the screw-up.

Please don't make it worse. Bye.

You know, it could be
toxic shock syndrome.

That would explain the rash.

But there's no liver
or renal dysfunction.

Have you considered erythema multiforme?

- No one asked you.
- I asked him.

What? Chief Grey told us to.

I will ask everyone

if it prevents my name
going on a death certificate.

So, who's dying? How can we help?

It's a -year-old male,
ate leftover fried rice,

vomited for six hours,

a generalized, purple, star-shaped rash

all over his body, and is now
in full-blown septic shock.

Ah, he looks pretty dead already.

That's from bad rice?

I've never seen so much vomit,

and my parents did
a lot of hallucinogens.

And it was like a...
like a rainbow of vomit.

Like red-brown, yellow-green, bilious.

- I'm done.
- DRESS syndrome?

No. He doesn't take any meds,

and his eosinophil count is normal.

- Kawasaki disease?
- No.

- [CELLPHONE VIBRATES, CHIMES]
- [SIGHS]

Ugh. I have to go find an attending

to supervise my attending
so they can supervise

me learning nothing.

SIMONE: Have fun.

- Rickettsial disease?
- No.

It's not even your case.

Well, that should tell you
how wrong you are.

Harold, so, your ultrasound
didn't show any abnormalities,

so we're gonna do a CT scan
to get a better look, okay?

[QUIETLY] Is it possible
to get some privacy?

- You and I? Without...
- Oh, um, Dr. Yasuda,

can you take Mrs. Peters
to grab a coffee?

Yeah. Mrs. Peters,
if you would just follow me,

Oh! It's here.

I used the app to locate
my phone. It's in here.

Let me call it. Sharon, please...

Ah, Harold, give me two seconds,

and you can be alone all you want.

- I really need you to leave.
- [CELLPHONE VIBRATING]

Sharon!

Shh-shh-shh-shh.

[CELLPHONE VIBRATING]

Oh, for God's sake,
are you sitting on it?

It sounds like it's coming
directly from yo...

- Mm.
- Harold,

did you stick my phone up your ass?

Please say no.

You're always on the damn thing!

- Oh, my God.
- We don't even know

what your face looks like anymore

'cause you're glued to social media!

Unbelievable.

- Ow!
- Oh, my God!

Page Dr. Altman so I can retrieve

the [CLEARS THROAT] phone.

- Hang it up!
- Yeah. Oh, oh, God.

Okay. Okay. I...

BAILEY: So, are things at least
improving at Grey-Sloan?

- How are you doing it?
- Doing what?

Not breaking things

and sobbing uncontrollably
and screaming in public

every time you look at Pru's face

and think about the world
that she's growing up in?

I try to remember
she's already lost one parent,

and if I did something
to get myself arrested,

no one would be there

to read her
"The PoutPout Fish" at bedtime.

I mean, Ben, he just reads the words.

I do it with the rhythm.

[HUMMING RHYTHMICALLY]

Carina and I did extend our clinic hours

to accommodate the patients
from out of state.

Oh. Are you having to pick up
more hours in surgery,

or has that calmed down
now that the interns are back?

No!

- What?
- I thought you wanted

to be my mom friend.

- [CHUCKLING]
- I'm just making conversation.

You are using me for
information about the hospital.

You want me to be your Deep Throat!

- I prefer Delta Source...
- [SCOFFS]

...an Imperial intelligence source

during the early years
of the New Republic.

Well, you gonna talk or not?

[INDISTINCT CONVERSATIONS]

Alright, Harold, let me know

if you feel any discomfort, okay?

Physical or emotional?

Uh, we're gonna be fast.

Okay, Yasuda, I need you to press hard

on the lower left quadrant, okay?

Don't forget gloves.

I'm beginning to understand
why you did this, Harold.

- What?
- Okay, ready here.

Okay, here we go. Now, Harold,

I'm gonna need you to bear down.

No one should ever say that
to another human being.

And push.

[STRAINING]

Alright, try forceps
or a balloon catheter.

Push harder, Harold.

[GRUNTING]

Owen, if you can't grasp it,

he's gonna have to go
to the operating room.

[PHONE CLANGS]

[SIGHS] You wanna take that
to his wife?

Hmm?

♪♪

I'm the guy who k*lled
his college roommate.

They're gonna make podcasts about me.

He is not dead.

And I believe we can save him

once we know exactly how to treat him.

Can you tell me
anything you know about him?

Um, he's from Massachusetts.
Parents are divorced,

and I don't ask about it
'cause my parents are divorced

and I don't like talking about it.

Uh, he's a history major,

loves sports documentaries,
hates coffee, I mean...

Anything you know about his health.

Oh. Um...

He had syphilis once.

[SIREN WAILS IN DISTANCE]

[ INDISTINCT ANNOUNCEMENT
OVER INTERCOM]

Hello.

- Hey.
- Hi.

How was the, uh, kidney transplant?

Uh, well, it's making urine already,

- so, you know, on par.
- Good.

- Yeah.
- Good.

And you're liking the, um, new position?

I saw all the changes that you made.

Yeah. Uh, is there an issue?

Not at all.

Okay, good.

Where are you staying?

You know, same place on Union.

Oh. I like that place.

Yeah, you're acting a little weird.

- Excuse me. Chief Grey?
- Yes.

Um, it's Chase.

- Oh. Okay.
- Sorry.

- Good luck.
- Sorry.

LINK: His foot's cold,
and I can't get a Doppler signal

anywhere below the knee.
We don't make a move,

this leg could turn gangrenous.

Any family around?

His mother is on a plane as we speak.

Well, if she wants to see her son alive,

that leg's gotta go.

You have to amputate?

You do.

I'm sorry, what? Cutting something off

is way easier than reattaching it.

Get him prepped and upstairs.

♪♪

MAGGIE: Advance the guide wire
carefully to the aortic annulus.

LEVI: It's very angulated here.

I don't want to injure anything.

It's okay. Just go slowly.

- [DOORS SLIDE OPEN]
- There. Good.

WINSTON: Schmitt,
why aren't you in O.R. ?

Because I am trying really hard
not to injure

this man's vasculature in this O.R.

You prepped and studied
for my VATS lobectomy.

And if I remember correctly,
you begged to be my assist.

If you were supposed to be his assist,

then why are you in here being mine?

The schedule changed so much.

And you are chief of cardio.

And I play Dungeons & Dragons,
so I follow hierarchy.

And for the record, I'm very tired.

Please don't say that
with your hands in my patient.

I thought I was helping you.

By taking my assist to be yours?

Winston... Alright, you know what?

I'll reschedule the lobectomy again.

♪♪

Hi.

- Oh, uh, Marsh.
- Yeah.

What exactly is "mini Grand Rounds,"

and why was I invited?

Uh, we did them in Minnesota.

Interns take turns presenting
on cases to their class.

It helps their skills for rounds
and future lecture capabilities.

So it's good.

Well, what am I supposed to do?

Well, I thought you could be there

to help me provide feedback.

Look, is this gonna be a thing?

Someone questions me every time
I make a change to the program?

Because I kinda thought
that's why I was hired here.

Look, um, six months ago,

I was trying everything I could
to save this place.

My wife wasn't doing well.

I blamed you for Meredith
going to Minnesota.

I wasn't my best self.

I've already apologized
to Meredith about it.

And, um, well, you deserve the same.

I'm sorry.

I appreciate that,
Dr. Webber, I do, but...

it does kinda feel like
there's more here.

Oh, no. N...

[SIGHS] Well, okay, yes.

Um, it's none of my business,

and I'm not exactly sure what
happened between the two of you,

but, um, she's worth taking a job for.

If that's why you did it.

And I'd be honored
to join you for feedback.

Okay.

Oh, and, uh, Marsh, uh,

program's yours now.

["ARE YOU READY" BY KENNY SHARP
PLAYING]

♪ Ah, ah ♪

♪♪

♪ From my head to my toes,
from my heart to my soul ♪

♪ Feel my pulse, yeah,
it's racing electric ♪

I thought you were getting
to scrub in with Dr. Ndugu.

[SIGHS] His wife rescheduled it.

♪ Keep my spirit alive ♪

He's married to Dr. Pierce,
and there are clearly issues.

Ah, do they back-seat-drive
each other's rectals?

What is that a euphemism for?

Nothing. I literally just experienced
that with Dr. Altman and Dr. Hunt.

Why is everyone married to each other?

Because doctors have no lives

and no time to meet normal people.

- ♪ Are you ready? Mm-hmm ♪
- [CELLPHONE CHIMES]

Great. Everything sucks.

♪ Gonna have a good time ♪

♪ Tell me, are you ready? Mm-hmm ♪

♪ Tell me, are you ready? ♪

- ♪ Gonna have a good time ♪
- _

- ♪♪
- _

JULES: Are you flirting with me
on a sick patient's leg?

LINK: No. No, no, no. No, no, no. No.

- Crap. No.
- That is not me flirting.

That is me being an encouraging teacher.

Supportive.

In an appropriate way.

Uh, I didn't put a winky face
next to it or anything.

I-I genuinely don't want you
to cut off the wrong leg.

♪♪

♪ Tell me, are you ready?
Tell me, are you ready? ♪

Ten blade, please.

♪ Tell me, are you ready? ♪

♪ Gonna have a good time ♪

♪ Tell me, are you ready?
Tell me, are you ready? ♪

♪ Tell me, are you ready? ♪

♪ Gonna have a good time, good time ♪

♪ Mm-mm ♪

♪ Mm-mm, mm-mm ♪

- [MONITORS BEEPING RAPIDLY]
- [DOOR OPENS]

- What happened?
- He just started breathing really hard,

then he made this choking sound.

- Is he dead?
- He's in cardiac arrest.

- He needs to be intubated.
- Should I get Dr. Altman?

No, there's no time. Mrs. Peters,

- I need you to step outside.
- But Harold...

We're gonna take care of him, okay?

- Wait, you're gonna do it?
- Nope.

I'm gonna walk you through it now.

Switch with me.

[BREATHING DEEPLY]

Okay, don't over-think this, Yasuda.

Make sure you have everything
ready that you need.

Test the tube.

Tube looks good. Stylet.

Okay, grab the scope.

Okay. Other way.

- Ah, sorry.
- Visualize the cords.

- Okay.
- Ready?

- Okay. I can see them.
- Take the tube. Insert it.

We don't have much time here,
so one fluid motion.

Trust your instincts on the angle.

I got it through.

[BREATHING HEAVILY]

Cuffs up.

Let's start bagging.

Well?

Breath sounds on both sides.

- Breath sounds on both sides.
- Nice work, Yasuda.

Airway is secured.

All we need to do now is, uh,
get his circulation back.

Good job.

I requested a single room.

Grew up an only child

and have... or had... social anxiety.

Dreaded meeting new people,
large parties.

Anytime I got an e-mail
during orientation

with the word "mixer" in
the subject line, I-I panicked.

Then Student Services
assigned me a roommate.

And I almost dropped out.

Till I met Chase.

I know this is gonna sound really weird,

but you know those
emotional support animals

for people who can't handle
crowded places?

You're comparing him to... a dog.

[CHUCKLES] He fixed all my issues!

I mean, he... he showed me how
to walk up to a group of people

and actually talk to them.

We haven't gotten into a single fight,

and we basically live
on top of each other

inside of a crowded dorm.

I mean, we've had colds
together, flu, athlete's foot,

which I don't know if you've had, but...

Crowded dorm.

Do you know if Chase received

all of his childhood vaccinations?

I don't know. Why?

I-Is he gonna be okay?

I hope so!

I know this goes against
everything you've been taught,

but you need to cut harder.

All the way through the joint,
layer by layer.

[DOOR OPENS, SIMONE BREATHING HEAVILY]

- LINK: Griffith?
- SIMONE: The food poisoning

was a distractor.
Chase has meningococcus.

- His cultures came back?
- Not finalized,

but I checked his records.
He was never vaccinated for it,

and his gram stain is showing
gram-negative diplococci.

Meningococcus would explain
the septic shock.

- Not to mention, it's common
- in college... College dorms.

JULES: There's too much blood.
I-I can't control the bleeding.

Oh, God. He's not clotting
properly due to the DIC.

- Damn it.
- I did everything you told me to!

Clamp. Elevate the leg.

Turn up the tourniquet.

Clamp.

♪♪

So residents now get
free weekly lunch...

- Mm-hmm.
- ...attending mentors,

and an extra hour of sleep?

- Mm-hmm.
- And let me guess,

there's a pinball machine
in the locker room now, too?

- [LAUGHS] No.
- Oh, but I did hear a rumor

about monthly passes to a yoga studio.

[SCOFFS]

You think the program's gone soft.

No. I think it's finally headed
in the right direction.

I'm angry because I tried

to implement similar changes
at various times

and was always met with resistance.

You're allowed to change your mind.

If you miss it, you can come back.

I started a garden at Pru's preschool.

We planted daffodils and sunflowers

and talked about plant life cycles

and how when you plant a seed,

the roots have to grow first,
before anything else.

I wrote a sex education program
with a community clinic.

I'm answering phones
for a women's organization.

I am planting seeds.

Growing roots.

I-I think I'm following, but...

I'm still not ready.

- You're still not ready.
- No.

Okay.

♪♪

But, Wilson...

I do count you as a mom friend.

[CHUCKLES]

♪♪

Altman paged me. What do you got?

A central line. I can't do it on my own.

Alright, okay. You go ahead, Hunt.

Okay. Thank you.

I'm sure she loves every moment of this.

You know, she considers this payback

for the past six months
when I wasn't able to work.

I mean, I was miserable, Richard.

I'm a trauma surgeon
who was trained in the m*llitary.

I am wired to work.

So instead of sitting around drinking

and looking at people with hate,

I surfed to distract myself.

I built sand castles
to entertain my kids.

I wrote letters to Congress in
support of burn pit legislation.

And I maybe chose

the most expensive attorney
that I could find

to get my career back.
And you know what's hilarious?

She's the one who said
that we should run.

And I listened 'cause
she's my wife and I love her.

I love her despite the fact

that she highlights
our creditcard bill balance

and posts it on the fridge
just so I don't forget

that we're broke.

So now, not only am I

living with someone
who resents me at home,

she stands over me
every second here at work.

Line's in.

Um...

I-I suggest you find
some physical space.

Yeah. You got any ideas?

MAN: [OVER INTERCOM]

Dr. Gear to the E.R., stat.
Dr. Gear to the E.R., stat.

I'm sorry I messed up your schedule.

Today, or the past six months?

I know I've leaned on you,
and I-I'm sorry,

but you are so talented,
and I needed that in my O.R.

I needed to be able to trust
the person standing next to me.

And we didn't have any residents.

- Now we do.
- We have interns.

Okay. That makes it okay to treat me

the way you used to treat me
back when we were at Tufts?

As your resident?

Of course not.

[SIGHS] Why do you think
I'm so talented, Maggie?

Because you... you are. [CHUCKLES]

I mean, you've studied.

You've practiced. You work really hard.

I had a good teacher. That's why.

And you can't expect everyone
to be as good as you and me

unless you teach them.

Unless we teach them.

And I can't do that

if you're constantly
pulling me off my cases.

It's not fair to me.
It's not fair to my patients.

It's not fair to this next class.

Okay.

Okay?

[SIGHS] I really am
a good teacher, aren't I?

[LAUGHS]

Just don't let them
fall in love with you.

Because... [BOTH LAUGH]

["MYSELF" BY MARVIN BROOKS PLAYING]

♪♪

- He looks awful.
- ♪ Stony roads uphill ♪

MEREDITH: But he's alive.

- And he doesn't have a leg?
- From the knee down.

But you can live without a leg.
And he has that option now.

Due to Dr. Griffith's quick thinking.

The culture came back for meningococcus.

His mom should be here soon,
but you can go and sit with him

so long as we get you gowned and gloved.

- Thank you.
- Okay.

♪ Can anybody hear me? ♪

♪ Mama always said that ♪

We'll all need to be on
a four-day regimen

of prophylactic antibiotics
due to the exposure.

♪ 'Cause you might just burn yourself ♪

- How's Millin?
- I don't know.

Okay, well, Chase had
uncontrollable coagulopathy.

Any one of you would have
struggled to control that bleeding.

So be there for her, because when
it's you that makes the mistake...

- I won't.
- You will, and when you do,

those people are the only people
who will understand.

It's too early to go numb, Griffith.

What if I'm not the comforting type?

Surely there must be something
that makes you feel better

when you have a day like that.

♪ If this has a meanin',
then I will keep breathin' ♪

I have faith in you.

♪ As long as it takes ♪

♪ Where will I go now,
I don't need to know now ♪

♪ No weight on my shoulder,
the wind will tell ♪

Mmm.

It's the only place in
the hospital that smells good.

Like peppermint.

♪ 'Cause you might just burn yourself ♪

It's eucalyptus.

Stuffed animals are pretty soft, too.

♪ Oh, I ♪

♪ The more you inspire ♪

♪ The more you see yourself ♪

♪ Oh, ah ♪

- [KNOCK ON DOOR]
- MEREDITH: Come in.

- You paged?
- Yeah. I just, uh...

I wanted to go over this budget request

for the, um, "Lunch & Learns."

- What is a Lunch & Learn?
- Well, the department

provides the interns protected
time for lunch once a week,

and rotating attendings will lecture.

You really want
to talk about this right now?

Do you have somewhere else to be?

Why does it seem like you're mad at me?

I'm not.

You haven't said two words to me
since you've been here.

I thought, since you were here...

That's just it. Wha... You thought what?

I-I kind of need you
to say it here, Meredith.

You need me to say what?

Great, you're both here.

We're in the middle
of something right now.

I can't work for Teddy.

- It's been a day.
- It's been a week.

But anyway, I talked an intern
through an intubation today,

and I was pretty damn good at it,

so let me be a teacher
for these next six months.

That's how I can be helpful.

I won't keep attendings away
from their own services,

and Schmitt won't be
run into the ground.

Let me work for you. I'll teach labs,

skills, sutures, anything.
I'm your guy to teach.

Because I cannot stand in that E.R.

with my wife looking over my shoulder,

or only something terrible will happen.

So save my marriage, Nick Marsh.
Please, save me.

Okay?

- Oh. Sure.
- Okay. Thank you.

Thank you for your time.

Thank you. Yeah.

If you disagree with
any of the changes, let me know.

Nick. Nick!

Look, I don't have time for all
this back and forth, Meredith.

And based on the way
people just walk on in here,

neither do you.

Good night.

I went numb.

The program shut down,
and we lost a patient.

And you didn't have my back.

You know how many people
I've lost in my life.

And when I watched you walk away,

and I thought I lost you,
then I went numb.

That's why I didn't call you
for six months.

An then when I saw you
in the surgical corridor, I...

[SIGHS]

I could feel again.

I know I'm still in love with you.

- [SIGHS]
- I know my life is crazy.

And I know I can't stop people

from coming in the door
every five minutes

and interrupting
absolutely everything I do.

♪♪

But I do know that I love you.

So if that's what you need to hear,

I'll say it, as many times
as you need to hear it.

♪♪

Can I take you to dinner?

Let me take you to dinner.

No.

No?

But you can take me

to Zola's presentation

for the Pacific Northwest Scholars.

I'm in.

Okay.

See you tonight.

MEREDITH: Tension exists
throughout the entire body.

♪ Ooh ♪

How it affects you
depends on how you manage it.

- Why?
- It's a coping mechanism.

There was a study out of Amsterdam

that said when people touch
stuffed animals,

especially if they have low self-esteem,

it helps relieve anxiety.

I don't have low self-esteem.

I intubated a patient today.

Neither does Adams.

He's sleeping with Dr. Shepherd,
chief of neuro.

- What? I...
- Well, it makes me feel better.

I'm not. Why... Why... Why
would you think that?

Uh, I saw you two coming out
of the on-call room together,

whispering in the halls.

Unless you have a different explanation?

♪♪

- [SIGHS]
- Geez.

Oh, everyone owes me $
for the stuffed animals.

- Nope.
- Who gives people a present

- then asks them to pay for it?
- Hey.

♪ I will walk ♪

I'm more of a cat person.

Some people can self-regulate

by breathing, meditation, exercise.

They develop tools
that help them fight the stress

and reduce the pain it causes.

ZOLA: While at the Clinic in Minnesota,

Dr. Grey conducted
six different clinical trials

that helped lead to advances
in cellular regeneration

related to liver disease.

She began a seventh, but she
unfortunately never completed it

because she started exhibiting signs

of early onset Alzheimer's disease.

Early... [BREATHES SHAKILY]

Early onset Alzheimer's
disease can be a...

- [FEEDBACK]
- But not all people

- are wired that way.
- Be a...

♪ Where's the saving grace? ♪

Early onset Alzheimer's can be
a genetic illness in which...

ZOLA: [MUFFLED]
Alzheimer's can be a...

Um, it's genetic, which means...

MEREDITH: Some people feel
completely overwhelmed by it.

- Something's wrong.
- It's genetic. It means...

[VOICE BREAKING] It means my
mom and my aunt, they'll get it, too.

They'll get it. They're gonna
die, and I'll have no one.

My aunt and my mom are gonna die.

They're gonna die. They're gonna die.

And the tension freezes their bodies

until they can't move at all.

It's okay.

[ZOLA BREATHING SHAKILY]

♪♪