19x06 - Thunderstruck

[bunniefuu]

[THUNDER CRASHES]

♪ ♪

MEREDITH: The human body
is full of energy.

Sprinting at full speed,
it produces enough wattage

to power anything in your house.

♪ Let me in on all the secrets ♪

♪ That shattered you to pieces, yeah ♪

♪ How did you survive? ♪

- ♪ You came out alive ♪
- [THUNDER CRASHES]

♪ So much stronger than you know ♪

Your cells are built
to move charged ions

through the cellular membrane.

- [THUNDER CRASHES]
- ♪ You need a shoulder ♪

♪ To lean on ♪

♪ I'll be your bridge
over dangerous waters ♪

[CELLPHONE CHIMES]

♪ If you need somebody ♪

And the nervous system is a highway

- of electrical signals...
- You better check your e-mail.

... zapping through
your muscles and brain.

Okay, alright, everyone,
let's try to stay inside

during lightning flurries.

I noticed a lot of people wandering out

during the last storm.

We're here to treat patients,
not become them.

Here's one more.

Hi!

How are you this morning?

Uh, great.

I wasn't asking you.

[CLEARS THROAT] Did you read this?

Your body runs on positive
and negative charges,

all obeying a basic law of physics...

♪ Call on me ♪

[THUNDER RUMBLES]

... opposites attract.

Going for casual at the clinic?

What's the point in even going in?

There's a massive storm
on the clinic's opening day,

I just got Meredith's e-mail
that she's leaving,

and, oh, right, none of Luna's clothes

fit her any more.

So those are three omens,
all telling me to stay home.

Luckily, women only need
abortions in pleasant weather.

- [SCOFFS]
- I could put up a sign...

"Come back when the sun's out".

Okay, you eat.

I'll go find some of
Scout's clothes for Luna.

Get a plate.

[THUNDER RUMBLES]

What are you doing here?

I took the day off work
to help you pack.

Where are your plate protectors?

I mean, I don't know
what those things are.

But I have movers and packers
coming this weekend.

I have said this.

Yes, but will they treat your things

with as much love and respect as I will?

I just... Let me do this, please.

- Fine.
- [SIGHS]

Hey, uh, your e-mail
was good, short and sweet.

Efficient.

It needed to be.

I don't have a whole lot
of time this morning,

so if you want to come,
I have a Whipple with Nick.

How's he taking the news?

Uh, we're not talking about it.

I'm avoiding Winston so that
we don't have to talk

about his whole
switching specialties thing.

So maybe you could stay home
and we could avoid

and pack together.

That actually sounds amazing, but no.

Bye.

[SIGHS]

[THUNDER CRASHES]

- It's fine.
- [ELECTRICITY CRACKLES]

Oh, everything's fine.

[THUNDER CRASHES]

Hey, sorry I'm late.
I brought sparkling cider.

I figured this called for a celebration.

Or not. Yeah, no, this is serious work.

Forget the cider.

- You should've brought something stronger.
- Right.

Wilson, we're not opening yet.

Accreditation hasn't come through.

Bureaucracy.

This red ribbon might
as well be red tape,

and neither one of 'em
is getting cut today.

It's a national crisis.
We scheduled patients.

I can try to take them
upstairs, pro-bono.

Bless you.

Happy opening day, everybody!

I brought some almond
croissants to celebrate.

Opening's postponed.

Uh, bureaucracy?

- How do you know?
- It always is.

There may be a silver lining.

Bailey, I could use your help
with a sigmoid resection.

And with this storm,
the ER's gonna be packed.

- [THUNDER CRASHES]
- Oh, shut up!

[ELEVATOR BELL DINGS]

Good morning, Lucas.

I can tell from your face

that you have not told anyone the truth.

Actually, yes, I have.

- Hmm?
- Griffith knows.

How about Kwan and everyone else?

I... Well, I've been busy, uh,
studying for this Whipple...

- [ELEVATOR BELL DINGS]
- ... so I... It's just been this whole...

- [CLEARS THROAT]
- And anyway, Dr. Shepherd,

I'll, uh... I'll get right
on that thing for you.

I'll let Dr. Marsh know
he can reassign the Whipple

because you have a... thing.

[ELEVATOR BELL DINGS]

Stop.

This is over.

Follow me.

Now.

Geez, come on, people.

[EXHALES DEEPLY]

I'm not really a to-the-minute guy,

but there is something
called on time here.

Sorry, the storm backed up
traffic from First and Columbia.

I know, I know, but everyone
else got here except for Adams.

Where's Adams?

My fault, Dr. Marsh.

I'm sure you're swamped,

but Dr. Adams has
an announcement to make.

Okay. Okay, make it fast.

♪ ♪

[EXHALES DEEPLY]

Some of you have gotten
the wrong idea about me,

so I need to clear things up.

Uh, the truth is, D-Dr. Shepherd is...

her sister's my mom, so she's my aunt.

I'm a Shepherd.

And yeah, that's it.

Disturbing on so many levels.

AMELIA: Just to be very clear,
we are not now

and have never been
having sex with each other.

Yeah, that would be really weird
if he's your nephew.

Mm-hmm.

Thank you, Dr. Adams.

Okay, so if you're related
to half the hospital,

do you know why Grey is deserting us?

She's the reason
this program is running.

I ju... Should we be
looking for other options?

Okay, hold on, hold on. Take a seat.

Okay. About Dr. Grey's news,

you're scared, that's understandable.

And I want to answer every
question you might have.

But right now, there are
patients about to go into

O.R.s who are far more concerned

with whether they're living or dying.

They don't care about the career
moves of individual surgeons.

They don't. So today we're
gonna save lives, okay?

Griffith, Adams, you're scrubbing in

with me and Grey on the Whipple.

Yasuda, Kwan, Millin, you're in the pit

with Altman and Schmitt.

Let's go.

Okay.

♪ ♪

Okay, hold up, hold up,
hold up, hold up.

Take a seat, please, sit.

Surgical excellence,
it takes more than one person.

This program is more than one person.

You are the program.

It ain't going anywhere.

Okay?

Let's go.

♪ ♪

- [THUNDER CRASHES]
- God help us all.

[SIREN WAILING]

MIKA: Here I am! Sorry, weird meeting.

Apparently, even more
people in this place

are related than I thought.

LINK: Let's focus, Yasuda.

Alright, Ben Warren called ahead

and said we're gonna need a lot
of extra hands on this one.

- [THUNDER CRASHES]
- That's cryptic. He say why?

Jonathan Bright, -year-old
male, local TV reporter.

Survived a crash while
reporting on the storm,

and the helicopter
was struck by lightning.

Third-degree burns, possible
spinal injury and neuro deficits.

The bottom of the seat
fractured upon impact

and impaled him through the right thigh.

We couldn't safely
extricate him from the chair

without risking further injury.

Is my wife here? If I'm gonna die,

I really want to see my wife.

Hi Jonathan. I'm Dr. Altman.

We are gonna work very hard to see to it

- that you don't die.
- Where do you want him?

- Altman?
- Alright, Trauma three.

Go get us some help.

Okay.

- Alright, slowly, slowly.
- BEN: Nice and easy.

[THUNDER CRASHES]

[WIND WHISTLING]

- WINSTON: Hey.
- [GASPS]

[DOOR CLOSES]

Wh... Uh, why aren't you at work?

I'm not on until tonight.

I thought I'd join you and lend a hand.

Also, I think you're avoiding me,

so I thought I'd ruin that plan.

I'm not avoiding you. I...

Um, I-I mean... I am a little bit.

[CHILDREN SHOUTING]

Um, also, I want to spend
time with the children

who are moving across country.

I can leave, but I'd rather
stay and talk.

Or, you know, we don't have to talk.

I can just, uh, help.

I brought peanuts.

[LAUGHS] Yeah, help me upstairs.

- Alright.
- Um, Meredith is purging,

and she is not one for sentimentality.

Oh, hey, save what you want now

before she chucks
it all into a dumpster.

Yeah. Hey, Zola.

Uh, yeah?

Zola, we're gonna go
start upstairs in the attic.

Can you keep an eye on those maniacs?

And, um, stay inside.

The odds of being struck by lightning

are only in , .

Exactly.

Don't give it a chance.

[SCOFFS]

Okay, Zola, Bailey, and Ellis.

Is that all of them?

Yes, thank you, Ms. Hobbes.

- Thank you.
- No, it's Tessa, please.

Wait, uh, you don't want an inscription?

I already have some.
We've met before, actually.

My mother used to
take me to see you read

at the Seattle library.

The character of Tessa is the reason

I wore red sneakers
all through third grade.

[LAUGHS] Oh.

Uh, Dr. Griffith, please.

Tessa Hobbes, ,
diagnosed months ago

with chronic pancreatitis.

All medical and endoscopic

attempts at treatment
have been ineffective.

Today, she will undergo
a Whipple procedure

to resect the damaged parts
of the pancreas,

and I'm a huge fan, too.

Oh.

Tessa, I do feel it necessary
to reiterate,

this is a very risky surgery.

Well, I have to live through it.

I still have a story to tell.

It's tickling my fingers
and the back of my throat.

I even have a title for it...
"Tessa and the Rising Sun".

Sure you don't want to postpone

the surgery and write the book?

Oh, gosh no.

I am so sick.

I can't write. I sleep all day.

I can barely think.

NICK: We just want to make sure

that you're prepared
for every outcome here.

Yeah, I'm prepared for every outcome.

But my readers are not.

Every year, for over years,

I've written a Tessa book.

My readers deserve an end to her story.

You and your kids
deserve an end to her story,

so do your best to save my life, okay?

♪ ♪

RICHARD: I hate this new board.

- Ah, Webber.
- I'm getting rid of this.

So I hear this hospital
is in need of a new chief.

Oh, why? Have someone in mind?

Oh, yeah.

Me.

I need this.

I need to be useful again.

I was chief for five years.

I-I have the experience and the skills,

and I will move mountains for you.

Who could be better?

Someone who doesn't have
a suspended license.

Hunt, this program
has gone through a lot.

We're just now finding
our footing again.

I mean, promoting you...

Hey, you're a great teacher, Hunt.

Uh, if you need something to do,

I've been asking all of
the attendings to help Schmitt.

- Okay?
- Okay.

We need him out of this chair

in order to assess his spine fully.

Wait, he's hypotensive.
We need to put in another line.

He may be in neurogenic shock.

Alright, collapsed lungs on both sides.

He needs bilateral chest tubes.

Okay, it's hard to see,
but it looks like

there's a deformity in the mid cervical

and high thoracic spine.

The impalement is near
his femoral fracture.

We're gonna need a CT.

- Jonathan?
- Paola.

Yasuda, I need you to put in an IO line.

On it.

I'm so sorry I went up there.

It was awful and gorgeous and...

then I just fell straight down.

Why aren't you getting him out?

- We're working on it.
- I'm so glad you came.

I didn't know if you'd
make it before I...

Wait! Wait, is he dying?

- We need to cut him out of this thing.
- Please don't let him die.

Hang on. Hang on. I need
everyone to let me ensure

he's getting oxygen into his lungs

because without it, he's gonna go into

respiratory arrest before
we can even turn a saw on.

I need a chest tube tray
and someone to page

Dr. Owen Hunt right now!

We are a level one trauma center
in a lightning storm.

You will see gnarly injuries.
You do not have time to gawk.

Well, we probably won't see anyone

struck by lightning today.

Check your tablet, Kwan.

The patient intake log disagrees.

Most people who are struck by lightning

aren't actually hit.

They're standing next
to something that is.

Current enters wires, pipes, the ground

until a body, and then boom.

You also don't have time
for random lightning facts.

Hey, Doctor, are you here
for us, the Smiths?

Uh, Heather, Logan, and Paige?

Yeah, my wife and kids.

Uh, they were in our backyard,

and, uh, lightning struck

the basketball hoop, and...
and they got zapped.

Did anyone lose consciousness?

No, but they were very disoriented.

[SHOUTING] I once got
a concussion when a volleyball

hit me in the face,
and it was just like that!

I think the shock did something

- to her hearing.
- [CELLPHONE CHIMES]

So now she's even more annoying.

Um, I have to, um...

Go, Dr. Schmitt.

- We've got this.
- Excuse me.

Uh, page me if you need me.

Uh-huh.

Uh, let's get a full set of labs...

CBC, troponins, a comprehensive
metabolic panel.

Also -lead EKGs to check
for arrhythmias.

Wait, wait, what?

Um, most complications happen
within an hour of injury,

but we just want to be safe.

Okay. Alright, thank you, Doctor.

Mm-hmm.

Hey, I was gonna say all that.

Then why didn't you?

[THUNDER CRASHES]

Antioxidants for the pancreas,
sugar for energy,

and it's a long surgery,
so we should eat.

Just one second.

What's that?

I made it up to organize
the Whipple steps.

It's anatomical designed,
so you start clockwise

with : with the events...

SMV, Kocher, portal dissection,
bah, bah, bah.

And then counterclockwise
for anastomosis.

- Oh.
- Tessa's like Seattle royalty.

Man, I grew up on her stories.

I used to go to her
midnight book releases

with my dad and grandma.

Now I'm part of her story
in a tiny way, but still...

You feel better now
that the secret's out?

Uh...

different, not better.

So... Shepherd, Shep is your nickname?

Yeah, it's my middle name.

You want us to call you that?

No. No.

You know, most people go to work
to avoid their families.

Heard.

Uh, oof, I-I-I should check in
with Marsh.

It's almost time.

Mm-hmm.

[SIGHS] You okay?

Oh, yeah, it's just my childhood
on the operating table.

No pressure or anything.

[BOTH LAUGH]

Yeah.

Uh, I'll see you up there.

- Alright.
- Alright.

♪ ♪

There's a small amount of fluid
in the upper left quadrant.

The CT will give us a better picture.

Sats back in the s.
Alright, let's go over the plan.

I'll hold his head to keep
the cervical spine

- in a neutral position.
- Link and I will hold

his legs until after
the chair's been detached

to prevent any shift
in the spinal fractures.

Yasuda, help Altman
steady the chest tubes.

Why does it sound like
you've all done this before?

- We have.
- Yep.

LINK: I haven't.

Paola, we're gonna need you
to step outside

while we cut him out.

Wait, just one second.

I've been an ass.

I love you.

I gave up my dream for you,
and then I blamed you for it.

And if I live through this,

I will spend every day
making it up to you.

Paola, I love you. Please forgive me.

Alright, yep. We're good to go.

Okay. Ready? Let's do this.

Very, very slowly.

- [SAW WHIRRING]
- We got you.

[WHIRRING]

Hey, uh, have you seen Dr. Altman?

I'm jumping in down here.

Trauma , but she's not
handing out assignments.

Who is?

Oh, you've got to be kidding me.

Are you here stealing supplies?

'Cause the clinic can have them.

No, I'm here to help.

No, I-I said that I don't need supplies.

Well, you do if you're gonna
see the head lac in bed

and the ankle injury in .

Okay, uh, well, thank you, Dr. Wilson.

I really appreciate your help.

Thank you, thank you, thank you.

Is that supposed to be sincere?

Yes, but for the rest of
the day, gratitude is implied.

Her pancreatitis formed
a pseudoaneurysm of the GDA.

See? Right there.

So you're gonna have to be very careful

with the Kocher maneuver.

Right.

You okay?

Yeah.

There's nothing you can do we can't fix.

Alright? And you did the work, yeah?

- Yeah.
- Yeah, so you did the work.

You trust your instincts.

You trust your work.

Okay?

And, Adams,

you're good enough
to make your own name.

Believe me.

Uh, Marsh, can I have a word?

Yes, please, come in.

If this is about Meredith,
I've already informed

the interns that their program
is in good hands here.

No, it's not about them.

Uh, to put it directly,
should I anticipate

any goodbye e-mails from you?

Ah. No.

Uh, well [CHUCKLES]

I don't know.

I mean, to be honest, I've been so busy

with the residency and my caseload,

I haven't had time to think about it.

And if I had, I wouldn't
have thought for very long

because trying to think the right way

to the right answer with Meredith is...

She's not easy, I know,

but there's also no one like her.

And when she leaves,
this place will feel it,

so I just need to make sure that

I'm prepared across the board.

Understood.

Okay.

Please keep me posted.

[DOOR OPENS]

[EXHALES DEEPLY]

♪ ♪

SIMONE: Ms. Hobbes, it's time.

Ready?

- Sure am.
- Mm.

Are you?

We all are.

But before I take you...

Oh!

This is a real collector's item.

Meant a lot to me growing up.

My childhood was...
I-I grew up without a mom.

And this helped me to...

helped me to see Tessa's life
wasn't perfect either.

Kids need messy stories.

Kids need messy stories.

That should be my epitaph.

[CHUCKLES] Except
you're not dying today.

I might. Let's be honest.

I don't want to, but I might.

You have another story to tell.

Dr. Griffith, don't do that.

I don't do fairy tales, never have,

so let's not start now.

I tell children the truth

in a way that helps them hear it.

Mm-hmm.

And I expect them to do the same,

even when they're no longer children.

I do have another story to tell.

I don't want to die.

I have asked my surgeons
to do their very best.

But I might not make it.

That's the truth.

So...

since this might be my last signature,

let's make it a good one.

They're ready for you, Tessa.

Okay.

[SIGHS] Here I come.

[SIGHS]

Hey.

Hey.

Did you tell Lucas about
the pseudoaneurysm?

Mm-hmm. He's seen the scans.

I need him to appreciate
everything that could go wrong.

Why? Because he's Derek's nephew?

Glad I could find out
when everyone else did.

He asked me to keep
his family connection private.

- I respected that.
- Great.

And he knows about the pseudoaneurysm.

I wasn't gonna blindside him.

I don't know what to do either.
I want to fight for us.

I want to try, but every
answer feels bad.

Yeah, because there isn't a good one.

If I ask you to stay, I'm being a jerk.

And if I follow you,
I'm deserting this class...

your class.

But I haven't asked you to do

- either one of those things.
- Yeah, exactly.

You... You haven't asked me
to do anything. Nothing.

You don't consider me part of your life.

Of course you're part of my life.

You took the Boston job
without even talking...

without even thinking of talking to me.

And I get it. I do, I get it.

Your family needs it, but it sucks.

It sucks, and I'm being supportive

because there is no other answer.

Well, maybe there is. What do you want?

I just... I want to do this surgery.

It's one thing we can fix.

That's all I want from you right now.

[WATER RUNNING]

Yeah, she has a perforated
eardrum which explains

the hearing loss.

Uh, it's common in
lightning strike victims.

It should heal on its own.

[SHOUTING] Am I okay?!

Can I keep reading?!

Will he be able to walk?

Uh, it's important he does.

This might hurt, but it helps
prevent infections, no crutches.

I just got new Jordans.

It's like the lightning
wanted my sneakers.

It wanted your sweat.

That's why you've got burns
in your armpits

and the backs of your knees,

on your elbows, and on your feet.

It turned it to steam.

So his feet were sweating
so much his shoes exploded?

- Mom!
- Will that happen to me?!

[SHOUTING] No, no, no, no.
You have something different!

[WHIRRING]

Jonathan, you okay?

- The noise...
- We're almost there.

Once he's detached,
we need to use the board

to keep him flat and level.

And everyone moves
at the same time, okay?

Hold him tight, and we move
at the same time.

Remember, any movement
of his spine could paralyze him.

Let's get ready. He's almost through.

[WHIRRING]

TEDDY: Get in here, Julius. Let's go.

Alright, on my count... one, two, three.

- [JONATHAN SCREAMS]
- Wait, watch the lines.

Slow, slow, keep it straight.

[SCREAMING]

- Get this out of here.
- Okay, nice work.

Let's get him up to CT.

Damn it. He's lost his airway.

Someone get me
an intubation tray right now!

Come on, Jonathan.

Alright.

[THUNDER CRASHES]

Oh, wow! [GASPS]

I haven't seen this in years.

Remember I told you about this?

This is the Post-It note
that Meredith and Derek

wrote their vows on.

Oh, yeah.

Ugh, it's one of my favorite stories.

Ugh. I'm going to hold on to this.

No way I'm letting her
accidentally throw it away.

I feel weird.

It's like... I know that
I'm going to miss Meredith,

and I'll probably be diving
into a pint of Rum Raisin

very soon, but right now,
I'm just excited.

For Meredith's next chapter
and for Zola.

Yeah, well, um, as long as
we're on new chapters,

I did some research.

Turns out Grey-Sloan has a fellowship

for vascular surgery.

And I don't want this
to turn into a fight...

Me neither. Maybe we can revisit it

after Meredith has moved
and things calm down.

I'm filling out the application.

Nick and Teddy gave me references,

and, actually, it looks
really promising.

Okay, sure.

- For now.
- For now?

- What is that supposed to mean?
- It means, honestly,

I think you're going
to change your mind.

You've worked extremely hard in cardio,

and I know that the last
few months have been rough...

Maggie, would you stop
for one second, please?

We just got the program
back up and running,

and it's really not an ideal
time to find a replacement.

For you. It's not an ideal time for you.

What about me?

What about us?

WOMAN OVER P.A.: Dr. Dahanne to
the ER. Dr. Colette Dahanne to the ER.

Is he...

He's on his way to surgery.

We had to put in a breathing
tube, but he is stable.

[EXHALES DEEPLY]

God, that man is not capable
of letting me rest easy.

He turned down being
a w*r correspondent for me.

That was his dream.

He wanted to risk his life
every day in a literal w*r zone,

and I wanted him to not
do that because I just...

I just want to be able to breathe.

And then he goes up
in a lightning storm.

I don't know what I'll do
if he doesn't make it.

And if he does make it,
I think I'm gonna k*ll him.

Paola, we are gonna do
everything we can.

And we'll keep you updated.

Okay.

[SOBS]

Okay, I'm going to start mobilizing

the ligament of Treitz.

- I can take it.
- It's okay, I got it.

I'm right here.

Adams, why don't you mobilize it for us?

- Right angle.
- W... Is he ready for that?

Dissect right in between my right angle.

Don't go deeper than
what I show you, yes.

And, Griffith, why do we
dissect the ligament?

To give better mobility to the duodenum.

Correct. Okay.

Okay, what's next?

- The Kocher maneuver.
- You keep this up, you can do the chole.

Okay, well, when we get to that.

Yes. Not yet. Obviously.

Okay.

[ELEVATOR BELL DINGS]

Hey. Can you see if
Mr. Vizcaino's scans are...

Are you shopping?

Yeah. Luna's outgrown everything.

Oh, you should see her. She is huge!

Yeah. She's gigantic.

Just like our backlog
of patients in the ER.

I just need five minutes.

Is Luna cold? No.

Is she naked? No.

Is she suffering? No.

But you know who is?

Ms. McGregor in bed four.

- No.
- No, what?

No, you're not gonna let
the tiny bit of power

you've had for five minutes
go to your head.

You're chief resident?
Ooh, congratulations.

Guess what? You're still a resident.

And in the world of general
surgery, I'm still an attending.

I can do surgeries by myself. Can you?

Didn't think so.

I'm down here helping you
out of the kindness

of my warm, fuzzy little heart.

- Mm.
- So you can say it.

Thank you.

Gratitude is implied
for the rest of the day.

[SIGHS]

WOMAN OVER P.A.:
Dr. Williams to Peds ICU.

Dr. Cody Williams to Peds ICU.

Uh, I need to show you
something on a patient.

Can you take a look?

Dr. Kwan, are you asking
me for a consult?

No.

I already told him it's jewelry.

Thank you, Heather, I know it's jewelry,

but we just need some more
details on why it's...

Well, that's bronze.

It's copper now, but
the jewelry was bronze.

Bronze is just copper and tin together,

and tin has a lower burning temperature.

So the tin vaporized, and the copper

embedded itself in your skin,

so you just clean with
chlorhexidine and then debride.

Good consult.

I'll be right over there
if you get stumped again.

♪ ♪

What did the CT find?

Unilateral facet fracture at C

and a compression fracture at T .

There's also an epidural hematoma.

I will decompress the spinal
cord and stabilize

the spine as fast as I can.

I saw extrav from the femoral
artery on the imaging.

Alright, I'll help you
with the vascular repair,

and stand by in case
there's abdominal bleeding.

Dr. Shepherd, um, can I assist you

on the decompression and fusion?

Sure. Stand over there.

But I-I can't reach the field from here.

I know.

Jonathan needs an extremely delicate

and complicated procedure.

You're most useful
if you don't touch anything.

It's been a dramatic case,
Yasuda. You're doing great.

Ten blade.

Adams?

Uh, what'd I do?

Nothing. That's just the problem.

You have to follow me.

I cannot work if I cannot
visualize the field.

- Okay, on it.
- Don't worry about

what happened this morning.
None of that matters in here.

In here, it's perfect. Okay?

Okay.

Where are we?

Uh, o'clock. Still on
the Kocher maneuver.

Kocher maneuver. Which is what?

Mobilizing the duodenum and
pancreatic head off of the IVC.

Good.

Okay. Focus it where I'm dissecting.

Okay. Easy with the retractor.

Okay, that's enough. Stop.

This isn't working.

Griffith, step in here. We
need a fresh set of hands.

- I've got it.
- Yeah, you don't have to do this.

- Can you see the portal vein, Dr. Marsh?
- I can.

One nick to her abdominal
aorta, and it's over.

This is not a skills lab.
He's clearly tired.

He keeps spacing out.
He's done for the day.

You're free to observe.
Griffith, step in, please.

- It's okay.
- Where am I, Griffith?

SIMONE: You've dissected
to the left lateral border

- of the aorta.
- Good. Let's go.

You're switching specialties
to get away from me.

How could I not be worried?
How are you not worried?

Because that's not what this is!

You gotta come see the lightning!

- Oh, not now, sweetie.
- We'll be right down

there, alright, buddy?

[SIGHS]

I never tried to dodge you.

You dodged me this morning.

You came here to get away from me.

I just needed some space.

I just wanted to have
some control over something,

even if it was just
putting junk into boxes.

Maggie. Maggie. Maggie.

If we keep working together,
we're not gonna make it.

Okay? I love cardio.

But I love you more, and I'm...
I'm willing to give it up.

That is the dumbest thing
I've ever heard.

I thought you'd be flattered!

That you'd be willing to give up
your career goals for me?

- Yes.
- No. No! No!

That is the opposite of what I want.

That is the opposite of what I would do.

I would never give up cardio.

I would never, ever give up
my passion for you.

You are my passion, Maggie!

[SIGHS]

I... guess I'm not sure
that I respect that.

[THUNDER CRASHES, GLASS SHATTERS]

[CHILD SCREAMING]

ZOLA: Maggie! Winston!

♪ ♪

♪ ♪

♪ Long way from the middle ♪

Sats are dropping.

Tube is still connected.

Vent pressures are through the roof.

There's no bleeding in
the field. What do you hear?

No breath sounds on the right side.

There's no movement of air.

The chest tube must be blocked.
He's got a tension pneumothorax.

Scissors.

Come on, come on, come on.

[MONITORS BEEPING]

♪ Oooo, oooo, oooo, oooo ♪

Okay.

Oh, my God.

Okay. Alright, you can continue.

♪ ♪

Alright, good.

♪ On the other side ♪

♪ Oooo, oooo, oooo, oooo ♪

You read her books?

Hm, yeah.

"Tessa and the Upside Down Garden"

was one of my favorites.

Read it in one sitting.

Then I went out and spent
my whole allowance on a cactus.

Ah. Oh, and thanks for your help.

You know, I had forgotten how nice it is

operating with you.

Was that a backhanded
compliment about my time off?

You're an excellent surgeon, Bailey.

I mean, it's been a while.
I'm just stating facts.

Then I accept.

Y-You know, it's nice to bring
in new people,

and the attendings
that Meredith hired are...

are good, but there's
really no substitute

for institutional knowledge.

Uh, the short hand.
I mean, it's efficient.

- It is...
- No.

N-No?

No, I will not take over as
chief now that Grey is leaving.

I didn't ask you to.

But no one can run this place like you.

J... I have a clinic to open,

and flattery will not distract me.

Honestly, I resent it.

- Bailey...
- No. Nope.

- Ba...
- Ah!

You tried to butter me up
with almond croissants.

- Uh. [GROANS]
- [CELLPHONE RINGS]

[LAUGHS]

Ben?

Everything okay?

♪ ♪

MEREDITH: No leaks.

Pancreatojejunostomy is patent.

Yeah, she's gonna make it.

Oh. Yes. Almost there, Tessa.

Dr. Grey, I need a moment.

Okay, well, I can't step away right now.

I need you to take your
hands out of the field

right away, Meredith.

I got a call from Ben Warren.

There's a report of a fire
at your address.

I tried calling Winston and Maggie,

but they didn't answer.

- [HEART b*ating]
- Station is on the way.

- I'll take you now.
- My kids?

I've told you everything I know.

Go. Go. We got it.

♪ ♪

It's okay. Keep going.
You're in it now. Keep going.

Concentrate now. Good.

What are you doing?
You can't come through here.

BEN: Meredith! Meredith! Hey! Hey!

- I live here!
- I-It's her house, man, alright.

Let her through. Alright, it's okay.

E-Everything's fine.
The kids are right here.

What happened?

Oh, my God.

- Hi.
- Mom!

- What has happened?
- Uh, we were upstairs,

and lightning struck the house.

We got the kids, we came down,

got outside as quickly as we could.

I need an inch and a half line here.

Dr. Grey, I'm... I'm so sorry.

I know this is hard, but you got to keep

a safe distance, alright?

- [SIREN WAILING]
- Okay. Okay.

We wanted to go back in and
take some boxes, but the fire.

It's okay. It's... You're okay.

That's all I care about.

It's just stuff.

NICK: Yeah, I'm still concerned
about the JP output.

So monitor closely
and make sure to call me

and transfuse if it dips below .

- Of course.
- Okay?

Yeah.

Any news on Dr. Grey's house?

All I've heard is the kids are okay,

and that's all that matters.

Griffith, you did great today.

It was a rough surgery for many reasons.

You were not one of them. Good job.

[IMIE TAALA'S "LOOK AT THE SKY" PLAYS]

♪ ♪

♪ Our love was born ♪

Will he be okay?

The recovery will be long.

His injuries are extensive and severe,

but he made it through today.

Thank you. Thank you all so much.

You can go in and see him if you want.

♪ To the place where it resides ♪

Shepherd will want neuro
checks every half-hour.

And keep an eye on his oxygen.

Copy that.

♪ No matter the time ♪

Dr. Altman...

there are nine kids in my family.

I-I promise I have a point,
and I will talk faster.

Um, my parents always wanted a boy,

and they kept having kids
until they got one.

And our parents always
told me and my sisters

that we could be anything we wanted,

but it was kind of hard
to ignore the subtext,

you know... girls aren't enough.

And on almost every level,
I know that it's not true,

but they cooked it into me pretty good.

And today you uncooked it.

Watching you work today, you changed me.

You are a badass boss lady surgeon,

and I want to be you when I grow up.

- Yasuda, I'm...
- Sorry. Is it...

Is it disrespectful to call you
a badass or a boss lady?

No. I... It's much appreciated.

♪ ♪

If you're gonna cr*ck a joke
about me being more bossy

than a boss lady, I already
have it in my head.

Actually, I was gonna
say maybe you should

apply to be chief.

We kind of need the money, so...

[LAUGHS]

♪ And no words to speak ♪

♪ This isn't goodbye ♪

♪ If you need my love ♪

♪ Look to the sky ♪

♪ Mm, mm ♪

Let me show you how it's done.

Spare me.

So, are you gonna tell me

how you know so much about lightning?

Were you struck by lightning as a child?

Because that would explain a lot.

Well, I'll tell you if you tell me
how you happen to know

the melting points of precious metals.

Oh, that's easy.

My mom used to make jewelry.

And my brother and I would
sell it at the farmers' market

as a cover while my dad
sold weed under the table.

Wow. Your parents sound...

fun.

Hmm.

Honestly?

I spent most of my childhood

just wishing they would disappear.

- And did they?
- Nope.

They are still here.

And still high.

Okay, your turn.

Well, I spent a few years
in Saint Kitts,

where lightning is a fact of life.

- You grew up there?
- No.

I went there for...

I went there for medical school.

Because I didn't get into
medical school in the U.S.

But your nickname is Blue Ribbon,

- so I'm a little confused.
- [CHUCKLES]

My nickname is just Blue

because I was a valedictorian
in high school,

all state track and field, and
a national chess champion.

But then in college, my mother got sick,

my grades took a nosedive,

and Saint Kitts became my only option.

And your mom, is she okay?

No.

She got really sick,

and then she d*ed.

But on a brighter note,

we'd make a hell of a trivia team.

- Hey.
- Hey.

Oh, I was kind of craving

that little Italian place on the corner.

Uh, yeah, no.

I wouldn't eat what's in that bag.

It's not the eco-friendly
stuff that you love,

but it will get you through the week.

What, you didn't like Scout's Elsa shirt

cinched at the waist with a headband?

- I'm more of an Anna guy.
- [LAUGHS]

Thank you. I really... I really
appreciate you helping me.

Yeah, of course.

[SIGHS]

[JEREMY LISTER'S "ONE STEP" PLAYS]

[CHUCKLES] Yeah,
you know, I just... I...

I knew that it was a rough day

because of the clinic not opening.

- Yeah.
- So, hey, why don't we, uh,

- go get takeout at the Italian place?
- [CELLPHONE CHIMES]

MEREDITH: There's lightning in everyone.

[DOOR OPENS]

You get a better offer?

Opposite charges finding each other.

They connect. They spark.

And as long as they
do, your life goes on.

Yeah, okay. Put the scissors
on the ribbon,

but do... but don't cut.

- I'm...
- Gotta...

Does three people make
this a grand opening?

Oh, many great things
start small, Wilson.

This clinic will be one of them.

Flash or no flash?

Just take the picture, Lincoln!

Your cells keep multiplying.

Your brain keeps thinking.

- Alright.
- Okay, I'm gonna cut.

- Okay. Alright.
- Cut, cut, cut!

- [CHEERING]
- ♪ When all I know is that I'm feeling ♪

- ♪ Numbed out, run down, made of stone ♪
- Right! Right!

Oh, yes. We have earned the good stuff.

Alright.

[LAUGHS]

♪ There is something telling me that ♪

- Elena Bailey?
- Oh, my mom.

♪ All I need to do is keep moving on ♪

[SIGHS] She spent her life
fighting to make sure

I had every opportunity,
every freedom I deserved.

She was complicated...

our relationship was complicated,

but she loved me with her entire heart.

♪ Take it one breath at a time ♪

And that took courage.

Elena Bailey lived with love
and courage.

Now it's our turn.

- Oh, it is.
- Yeah.

- Alright, pull that off.
- Oh, oh, oh.

Alright, everybody back.
Back it up. Back it up.

Back that thing up. Back that up.

- Ah.
- [CORK POPS]

- [CHEERING]
- ♪ Take it one step at a time ♪

There it is. There it is.
That's the good stuff.

There it is right there. Ooh, look.

Your body wants to move,
so it moves, because it can.

Tessa is awake. That was amazing!

We just assisted
on a successful Whipple.

We just assisted on a successful
Whipple in our first year!

Damn, there is no job better than this.

You assisted.

I botched the portal dissection
and got benched.

I failed.

You started strong.

Plus, Grey and Marsh
were out of sync today.

I-It could have happened to any of us.

Yeah? Would Kwan have lost focus?

Or Millin? Hm?

Did you?

Lucas, you had a bad day.
It's not the end of the world.

Stop being nice! Tessa could have d*ed!

If... If Tessa had d*ed
and your little book

was the last thing she ever signed,

would you be in here trying
to make me feel better?

Why are you yelling at me?
I stepped in and saved your ass.

- You should be thanking me.
- Thank you!

Well, you're welcome!

♪ I take it one step at a time ♪

I'm sorry. I can't.

♪ Mountain in front of me ♪

♪ Hangs over everything ♪

I can't.

Um... why not?

Because I can't.

Life is electricity.

Positive and negative.

Creation and destruction.

♪ Put one foot in front of the other ♪

♪ One breath after another ♪

It's too early to say anything for sure,

but we're trying everything.

Thank you.

♪ Take it one step at a time ♪

[SIGHS]

Winston found this earlier.

♪ Take it one step at a time ♪

Uh, it fell when the lightning hit it.

It was all I managed to take.

Destruction, sometimes for the better,

sometimes for the worse.

♪ One foot in front of the other ♪

♪ One breath after another ♪

♪ I still take it one step at a time ♪

But we're all storms inside.

♪ Take it one step at a time ♪

[MEREDITH SIGHS]

♪ ♪