20x09 - I Carry Your Heart

[bunniefuu]

[GREY] Research suggests
that up to 40% of our day

is spent acting out existing habits...

[WILSON] Smells amazing.
What are you making?

Celebratory arrabbiata for your
last day as a general surgeon.

[GASPS]

... rather than making new decisions.

Mmm. It's so good. The
kids are gonna love it.

Mmm. Well, they'll
have to love it tomorrow

'cause they've already been
fed, bathed and put to bed.

- It's just you and me?
- It's just you and me.

[GREY] From sleep to personal
hygiene to diet and exercise.

So this is my curriculum description

of my Bleeding Intervention Program.

I wanna show it to every chief
of trauma surgery in the country.

Yeah, it's good.

- Clear.
- Mm

So, hey, um, you had a chance
to look at the budget, or...

[GREY] Some of our habits serve us well.

Come here.

Hmm? Oh.

Okay.

Others can be more complicated.

You want to change a habit?

Behavioral scientists
suggest starting small.

Incoming.

- Hey.
- Hey.

- Do you wanna go grab a bite?
- I wish, but I'm waiting on labs.

It'll go faster if you go
down there and ask in person.

You have your way, I have mine.

Fair.

I'm gonna go grab something to eat.

- See you tomorrow?
- Yeah, definitely.

Make one minor adjustment over time.

- Time of death... 20:24.
- [SNICKERS]

We're still in a rough patch,

but we talked and
we're gonna keep trying.

[MILLIN] Well, you know, she is right.

If you go down there yourself,
it'll be much faster.

- Great.
- [GREY] It creates a domino effect

that helps us make bigger
changes down the line.

Dr. Fox. Uh, what brings you
to my little corner of the hospital?

Natasha here is just
taking me on a little tour.

I wish I'd known. I would
have prepared a presentation.

You don't have to
put on a show for me.

I just like to pop in from time to time

and see where my money's going.

Well, uh, if you have
any questions, I'm...

Ah. I think I've seen
everything I needed to see.

Good night, Dr. Shepherd.

[SIGHS]

Make a radical change,

and you've set
yourself up for failure.

- We have a problem.
- [THUNDER RUMBLING]

[SIREN WAILING]

[ELEVATOR BELL DINGS]

[SIGHS]

[SIGHS]

Well, you are a sight
for sore eyes. [CHUCKLES]

- Hi.
- Hey.

Oh...

You came all the way
back here for one patient?

You are some doctor, Maggie Pierce.

Well, I've been
with him for a long time

and he's getting bad news today,

so thought it should come from me.

- Hi. How are you?
- Good.

- How was your flight?
- Bumpy, and there weren't any snacks.

But I made it here, so
I guess it did its job.

Guess it did, yeah.

Well, I gotta prep
for a surgery, so...

Of course.

- We'll catch up later.
- Yeah, all right.

[BOTH CHUCKLE]

[DOOR OPENS]

[BAILEY] Dr. Altman.

Yes. Please, uh, come in. Have a seat.

Thanks.

Dr. Adams, we would like to follow up

on the investigation of
Sam Sutton's death.

The family has decided to
settle with the hospital.

And our GME Council is recommending

that you remediate your intern year.

Wait, I have to start over?

The Council just gave a recommendation.

Catherine Fox will
make the final decision.

Her office will be reaching
out to set a meeting with you.

Uh, but does this recommendation say

what I should have done instead?

While I had a patient bleeding out

and there was no attending in the room?

That was a unique situation,

and I am sorry that my medical
crisis left you alone in the OR.

But after the investigation,

the Council is not confident
that you will be ready

to move forward with
your surgical training.

I wasn't the only
intern who operated on him.

But it was your decision to cut.

Your judgment is in
question, not your skills.

Look, I know repeating your intern year

sounds like a big price to pay...

Adams.

Thanks for letting me know.

I'm not giving you my
grandmother's banana bread recipe.

- [NDUGU] Good morning.
- I gave you my car.

Yes, because the judge made you.

All right. Time-out. We
need to make this quick.

I have an important
surgery to prepare for.

Sorry, Dr. Ndugu. Just
give me the recipe.

- Not happening.
- Dr. Griffith.

Mason Peterson, 16 years old

with idiopathic pulmonary hypertension.

Admitted for new onset
congestive heart failure.

Do you have any big plans for today?

What do you think? Thought
I'd run a marathon.

Go for a swim after. Lift some weights.

I think you're gonna
need new lungs for all that.

- Did she say...
- He's getting new lungs?

- And a heart. We just got the call.
- [LAUGHING]

Oh, my God. Baby.

I'm gonna go with the
team to procure the organs,

and Dr. Ndugu here will get you prepped

for the operating room, okay?

Oh, baby.

Schmitt, who's on my service?

What multiverse are we in?

Adams, you're with me.

Oh, he's actually in the pit.

She doesn't care.

Dr. Pierce. I can't believe you came.

Always.

- Dr. Adams, this is Brady...
- Brady Hauser. Forty-two,

had a heart transplant four years ago.

Readmitted last week after an MI IVUS

shows chronic cardiac
graft vasculopathy.

He's on IV steroids
and antithymocyte globulin.

Uh, I skimmed his chart
as fast as I could.

Mm-hmm.

Brady was one of my
first patients in Seattle.

And you must be Ian.

I've heard so much about you.
I mean, not so much about you.

I don't know your Social Security
number or anything like that.

But I know that you're a
history teacher and you guys met

when you accidentally
picked up his matcha latte

at the coffee shop. Yeah.

- Ian. Right? It's Ian?
- Yeah, it's okay.

He knows I'm madly in love with him.

Better be. We just moved in together.

Yeah. I wanna spend as
much time together as we can

in case, um...

Don't go there.

So it's bad, right?

I mean, you wouldn't come all
the way out here to say hello.

Chronic rejection is
causing your heart to fail.

We need to put you back
on the transplant list.

We should plant the tulips that you want

and see the Space Needle.
You've never done that.

Should we get married? We
should get married, right?

- Brady.
- No. No, you're right.

That was a terrible proposal.

I take it back.

How long can I make it with this heart?

With medications, a few months.

But Ian is right. Don't go there.

We're gonna talk to UNOS.

Don't lose hope.

I can't find my gloves.

- Oh, uh, buddy, they're in your hands.
- Not these ones.

He wants the ones with the stripes

'cause Mia said they're cool.

Well, if Mia said they're cool,
go look in your basketball bag.

Is this how you hold a 10 blade?

Keep it at a 45-degree
angle. Yeah. And let it glide.

[GREY] Hold it strong. There you go.

So there's this house

that just came in the
market in Chestnut Hill.

It's four bedrooms.
It's got a big yard.

I mean, I don't know.
We could get a dog.

- Can we? Please.
- Don't listen to him.

- How... Did you hear that?
- Dog.

The dog's negotiable.
What do you think?

- [DOORBELL RINGS]
- Who is that?

- Amelia.
- Amelia?

You didn't tell me she was coming.
I would have rearranged my day.

You made good time.

How long are you staying?

I brought hard drives,
papers, everything.

I couldn't risk leaving them
there. Catherine's all over us.

Dorian has requested orange Jell-O.

Turns out he's a Cleveland fan. Yeah!

Well, he passed his swallow study,

so we can finally advance him

from full liquids to a soft food diet.

Look, his white count is elevated again.

It's barely above the normal range.

He doesn't show any
signs of wound infection

or peritonitis or nothing.

- How are his CRP and PCT?
- Normal.

His progress is remarkable.

Yeah, we should still order
additional labs, cultures,

and a chest X-ray just
to rule out infection.

I heard about Adams.

Uh... [SIGHS] Let me know
when the labs are back.

I don't know if
Catherine knows about us,

or if she is just sniffing
around everyone's labs.

But either way, it is not good.

We need more time. Can you stall?

Catherine has access to
the hospital finances,

so if she doesn't know by now
it's just a matter of time.

Wait, you didn't cook the books?

I'm funding research,
not a mafia hit.

[GREY] If Catherine pulls the plug,

no one will fund us off of
a hunch and some raw data.

We need time to finish
analyzing everything.

-All right. How much time do you need?
-A few weeks.

A few weeks? You've had months.

[GREY] We're trying to
find a cure for Alzheimer's.

Did you think that was gonna
happen in a couple of months?

I mean, this is a cross-sectional
observational study

with just the two of us.

We don't have analysts, coordinators,

techs, assistants, nothing.

And this is Catherine Fox.
You better find a way to speed it up.

If we powered through and
didn't take any breaks,

it would still take four days.

- Who's on your service today?
- Kwan and Millin.

Do we trust them?

Oh. Sorry.

I can go somewhere else if
you're trying to get some rest.

Brady Hauser's back
on the transplant list.

I'm sorry.

I really missed this couch.

It's a great couch.

Do you still have that hideous recliner?

Why do you have to be like
that? It's a great chair.

- It's definitely a chair.
- [CHUCKLES]

- Thank you.
- You're welcome.

[CLEARS THROAT]

Um, is there any chance you could
assist on a heart-lung transplant?

Altman was supposed to do it,

but she got pulled into
some chief emergency.

It's an old patient
of ours, Mason Peterson.

Oh, my God.

- Mason's getting a new heart and lungs.
- Yeah.

[PIERCE] That's amazing.

I would love to scrub
in. Thank you for asking.

All right. Um... Yeah.
I'll put us on the board.

Uh, I'm... I'm sorry that I
haven't signed the papers yet.

- I meant to, but...
- No, it's okay. It's no rush.

I mean, my lawyers wanted
them, like, a month ago,

but I told them, "You'll
get them when you get them."

- Well, sure you did.
- What's that supposed to mean?

Well, just that, you know,
sometimes you can be a little...

Careful now.

Direct. Some might say bossy.

- You said you loved that about me.
- Because I didn't wanna have

- to sleep on this couch.
- [CHUCKLES]

I'll see you in the OR.

[KWAN] Are we working on
vascular anastomosis today?

I need help with a very important,

highly confidential project.

Nobody can know what
you're working on.

Can I trust you?

- Of course.
- Absolutely.

These are gut microbiome sequences.

I need you to enter
them into the database.

So the very important
project is data entry?

Can you handle this?

- Absolutely.
- Great. Thank you.

We're just allowed back in the OR

and now we have to code literal crap?

You wanna fight the chief, be my guest.

I'm gonna get to work.

Have you guys seen Adams?
He's not answering my texts.

- Haven't seen him.
- Nope.

- What are you doing in here?
- Give me your spot on

the heart-lung transplant
and I'll tell you.

I don't care that much.

- [SCOFFS]
- What? She said no.

Hey, Link. Link. Link,
do you have a minute?

I just got scans back
for one of my OB patients.

She's 17 weeks.

Her prenatal ultrasound showed
a cystic mass behind the uterus,

but I say we just
watch it closely, right?

About ten centimeters.

You see that, Yasuda? A tailgut cyst.

It is benign, but it carries the
risk of malignant transformation,

- so I'd recommend removing it.
- That makes sense.

But the chances of it becoming
malignant are extremely rare,

and she's asymptomatic, so
I say we just watch and wait.

- That also makes sense.
- Right.

- It's a decent-sized tumor.
- It's an incidental finding.

- You asked my opinion.
- If we operate,

one misstep, she could
lose her pregnancy,

she could lose the function
of her leg, her bladder.

And if it becomes
malignant, she could die.

But you're right.

Transformation is unlikely,

- so we could watch and wait.
- Right.

But watch it carefully. An
MRI every two months at least.

Great. Thank you for the consult.

Is everything okay?

Um... [SIGHS]

You know how Brady
casually dropped marriage?

Funny story. I had already
been thinking about that,

and I have my grandpa's ring.

But I didn't know if it would fit,

so I put it on him when he fell asleep,

which was a really bad idea.

His heart failure is
causing his hands to swell.

Let's see.

Let's try this.

Thank you.

When are you gonna propose?

Uh, haven't decided yet.

You probably think I'm crazy.

He has congestive heart failure,
and I'm planning a wedding.

I think you two love each other a lot.

- [MONITOR BLARING]
- What's that? What's happening?

- Out of the way.
- Oh, my God, Brady.

Code blue. Fourth floor.
Cardiac arrhythmia.

Oh, please, help.

Code blue. Fourth
floor. Cardiac Care Unit.

Page Dr. Pierce!

- [ADAMS] Charge to 180. Clear.
- [NURSE] Charged.

Why isn't it working?

Somebody get him out of the ICU.

Two hundred. Clear.

Give him one of epi.

- And charge to 250. Clear.
- Charged.

What's happening?

We got a rhythm, but
the HemoSphere is showing

his ejection fraction is 15.

All right. We need to get
him on ECMO immediately.

Update UNOS. They need to know
that he is in critical condition.

- [GROANS] This upload is taking forever.
- Shut up.

Is this a group project where I do
all of the work and you do none...

This is a group project in which
you will do none of the work

because I have written a code
that will do the work for us.

It'll even send the
file when it's done.

- You know how to write code?
- Yeah.

- I taught myself in high school.
- And you did this for fun?

No, I did it for survival.

I mean, if I needed a Reiki session,

my parents had me covered,
but real-life survival stuff?

I was on my own. So,
I learned how to code

so I could rig online sweepstakes.

[WHISTLES] That's diabolical.

I got a Jacuzzi once, but
we had nowhere to put it.

So, now you can enjoy a hot
soak if you're ever near

- the spiritual center of the desert.
- Unlikely.

Could you optimize my dating apps?

It's kinda like a contest.

I am not writing code
so you can get laid.

Too hard? Can't figure it out?

- All right.
- Too hard. Give me your phone.

Hey. I'm on my way
to assist in the OR,

but I wanna know how your meeting went.

Can't talk right now.
Trying to help Dr. Pierce.

Do you wanna come over
to the house after work?

You know what's going on?

They're making me repeat intern year

because of what
happened with Sam Sutton.

I told the lawyers I wouldn't
have operated if you weren't there.

- This is my fault.
- No, it's not your fault.

It was my decision. I made the cut.

I will talk to Dr. Fox. I will
request a hearing with the board.

- We were all there. We can defend you.
- And then what?

Just let it go, Simone.

Could I get the MRN for Ms. Patel?

No. Why?

Dr. Lincoln asked me to
schedule her procedure,

so I need to order her pre-op labs.

We decided we weren't
doing the surgery.

You were there.

I was, and we did.

But then Lincoln talked
to DeLuca about it,

and now the patient
decided to remove the cyst.

Why wasn't I told about this?

All due respect, that is
way above my pay grade.

And... yours too, apparently.
So sorry. My filter's broken today.

- I don't believe this.
- So the pre-op labs. Could...

Tell Dr. Lincoln to take
his pre-op labs and shove it.

[SCOFFS] Yeah, I'm not doing that.

[NDUGU] Where's Pierce?

[BELTRAN] She had to
put a patient on ECMO.

They're finishing up
the organ procurement.

[GRIFFITH] I know he needs a new heart

so he can adapt to the new lungs,

but isn't Mason's heart
technically fine for somebody else?

Why won't UNOS accept it as a donor?

Well, it's adapted to
Mason's pulmonary hypertension.

So to work for someone else,

it would not only have to be a match

but also have similar
physiological conditioning.

Hey, page Schmitt. He can
cover for you in the OR.

- I need you to check on something for me.
- Okay.

[SHEPHERD] Things seem good here.

The kids look happy, you seem settled.

Yes.

- What are you fishing for?
- Nick moved in yet?

No.

Hand me that data-set.

Well, whatever we find in
the data, I hope it is strong

so that when we present it to Catherine,

she... can't turn it down.

We're not presenting it to Catherine.

We're sticking to the original plan.

We're publishing an
abstract based on our findings.

We've already gone behind her
back once. If we do it again...

[GREY] We can't risk
her pulling the plug on us.

We need independent funding.

What if I say no?

Meredith, you might not
care about your relationship

with the Fox Foundation, but I do.

They are still funding
my other research.

They are the majority stakeholder

at the hospital where I work.

I can't lose my job, Meredith.

No one's talking
about that happening.

We are erasing him.

Derek.

And if we are right about this,
it makes his work obsolete.

No one is gonna read it.

No one is gonna reference it ever again.

Why are you doing this now?

I thought that I would
have more time to process.

And now you're talking
about being days away

from his entire contribution
to this field just disappearing.

And he would understand
that because new discoveries

replace existing
theories every single day.

I'm not saying that it's rational,

but it doesn't change the
fact that when we do this,

we are burying my brother
deeper in the ground.

And I would think that you of
all people would understand that.

I do understand that.

I also think I've come
too far to throw the towel in.

And I seriously hope
you feel the same way.

Okay.

[SHEPHERD SIGHS]

[SNIFFLES]

Being on ECMO is not ideal,
but it buys us some time.

- Well, can I go sit with him?
- Yeah, of course.

I gotta go check on some patients in
Chicago and then I'll come back...

- We might have a heart for Brady.
- UNOS called with a match?

Dr. Ndugu's preserving
the cardiac graft

from a heart-lung transplantation.

The heart is salvageable,
and it's a match.

- It was only failing because of pulmon...
- Pulmonary hypertension.

Okay. I don't wanna get
the boyfriend's hopes up.

This is Mason's heart.

What about screening
for infectious diseases?

- All negative.
- Valvular function?

Good for transplantation.

You found one? A heart for Brady?

- I have to get back to surgery.
- Okay.

There is another transplant patient

whose heart might be a match,

but we don't wanna
get ahead of ourselves.

This is not something we do regularly.

A lot of stars have to
align for this to work.

But they... they could, right?

Okay. Let me check with
UNOS, put eyes on the heart,

and then we'll go from there.

Come on.

- Hey.
- What's going on?

I need to talk to you.
Chief to former chief.

That doesn't not turn me on.

Okay. So remember when I was promoted

and I wanted to get those shoes
that said, "I'm in charge"?

Yeah. The ones that
I told you not to buy

'cause we had a mountain
of legal debt and you secretly

bought them anyway with
our emergency savings.

Ahem. How can I help?

I used discretionary budget

to fund Meredith's
Alzheimer's research

after Catherine shut it down,
and I think she's onto me.

What made you think
that was a good idea?

Because it's a potential
cure for Alzheimer's disease.

And it's not like I stole something.

And regardless, Catherine
has 30 hospitals.

I didn't think that she
would notice one small line item.

Listen...

[SCOFFS] I didn't
wanna keep pestering you

about funding my Bleed
Program, so I went to Catherine.

And she said that she'd
look into your budget.

You went behind my back?

Owen, I told you I was working on it.

You're accusing me, and you're
the one who's misappropriating funds?

Like you have never bent
the rules around here.

- I'm trying to help you.
- Oh, God.

Okay. Okay. Okay, listen.

Go to Catherine. Tell her the truth.

Better to come clean than to get caught.

She will respect you
for doing the hard thing,

and then you can figure it out together.

Okay. I can do that.
I can do the hard thing.

- Okay. Yeah.
- Thank you.

[SIGHS]

[NDUGU] All right. Aortic
anastomosis is complete.

-Let's get this heart beating. Schmitt?
-Coming off bypass.

- [PIERCE] Where's the heart?
- Back table.

Glove me, please.
Have you done a domino

- heart transplant before?
- No, never.

Sounds like we should
all buy lottery tickets today.

[NDUGU] If this works, it's
huge. But it doesn't change the fact

that I've got four
patients on the floor right now

who might not make it through the
week. So, yeah, miracles are great,

but we wouldn't need them if
more people were organ donors.

Come on, Mason. Come on. Come on.

[SIGHS] Starting cardiac massage.

Come on.

[NDUGU] Come on, Mason.

Come on. Come on.

- All right. Internal paddles.
- [GRIFFITH] Yeah.

How's it looking back there, Pierce?

- The heart is healthy, but...
- [NDUGU] Clear.

... the SVC... it's too narrow.

Won't fit.

Can we stent it?

It's a good thought,
but it won't be enough.

[NDUGU] Clear.

Come on, Mason.

Again. Clear.

It's incredible.

Yeah, never gets old. You good to close?

- Yeah. Go ahead. We got you.
- All right.

How's it looking?

[PIERCE] So Brady's SVC is
scarred from prior surgeries.

We need a bigger diameter to
allow for proper blood flow.

[NDUGU] We can get a bigger diameter
if we excise the fibrotic area.

The scarring's too extensive.

There won't be enough
tissue to make it work.

Okay. Then we reconstruct the SVC

with a bovine pericardial patch.

Come on. We've done
difficult reconstructions before.

We've even done a
partial heart transplant.

We can handle some scar tissue.

[PIERCE] All right. I'm
gonna need a pair of loops.

What is it that you're looking for?

Do you want, like, casual
dating or a relationship or sex?

No one uses apps for relationships.

I met my ex-girlfriend on an app.

Were you looking for a relationship

or were you looking for sex?

- What about her?
- [GRUNTS]

- She's a financial security analyst.
- I don't know what that means.

You are just like every other guy.

- You just want a dumb trophy wife.
- Oh, you're jealous.

- You are sorely mistaken.
- Oh, really?

Because I'm pretty sure
you told me that you loved me.

Okay. That was a moment of weakness.

- That doesn't sound like a denial.
- Ooh!

Fine. I have a tiny crush on you.

But you know what? I'm hot,
I'm single. I'm a damn doctor.

You're...

You're like a cold.

I have it, I'll get over it

and then it'll be
like it never happened.

Hey, what's up? What's going on?

Catherine may have found
out about everything,

so we just need to move
up the timeline to publish.

I thought you said you
and Amelia were careful.

We were very careful, but Catherine

does have access to Teddy's budget,

so we just need to move a lot faster.

If Catherine knows, that's it.
It's done. You cannot publish.

I can't afford not to. You're
the one who said, "Find a way."

- Yeah, and you got caught.
- So what should I do?

Just throw everything I've done away?

Okay.

When you get fired from the Fox
Foundation, what happens then?

I will continue the work somewhere else.

You think I'm fine with that?

I mean, you can't expect
me to keep uprooting my life.

I... I moved to Seattle.
I followed you to Boston.

Now you're back and forth to Seattle.

I'm living in a glorified dorm room.

But I said I wanted to move in with you.

Yeah, months ago. And I don't
pay lip service here, okay?

When I say I wanna move
in with you, I mean it.

I want family dinners every night

and camping trips with the kids.
And I wanna take care of you

when you're sick and lift
you up when you're sad.

I mean, my God, you don't get
it. I wanna marry you, Meredith.

- You do?
- I do.

And you can't even be
bothered to ask if I'm on board

before you burn it all to the ground.

[MARSH SIGHS]

[ELEVATOR BELL DINGS]

[YASUDA CLEARS THROAT]

I thought we were watching and waiting.

I know, but I had reservations.

So you went over my head to my boss?

I was working with
DeLuca on another case.

- I just brought it up.
- Not your place.

I brought you in. You
should have paged me.

There wasn't time. DeLuca
got paged to deliver a baby.

- That's convenient.
- It's the truth.

Maybe, but clearly he didn't
care what I had to say.

The patient seemed pretty worried
about the cyst growing bigger.

I should have been consulted.

Jo, I value your opinion,
but... you're a resident.

It was a rare tumor.
I wanted to talk with

somebody who had
more experience. That's it.

Open. Open. Open.

Can we talk about this later?

- I have patients to check on.
- You're an attending.

Just have your resident do it.

[NDUGU] This tissue is
more dense than I thought.

Can you help me
clean out these edges?

I can give you some traction.

[ADAMS] If this doesn't
work, what happens to Brady?

[PIERCE] He stays on ECMO,
and we wait for another donor.

- [GRIFFITH] Could take months.
- He's got a lot to live for.

I have to believe that he will hang on.

- How's Mason?
- He's doing great.

Dr. Schmitt did an excellent
job placing the sternal wires.

[PIERCE] Can I get a ray tech?

[ADAMS] What
sutures are you gonna use

to attach the pericardial patch?

- 4-0 GORE-TEX?
- Exactly.

Well, unless you're Dr. Pierce.

She uses a 5-0 with
the eyelid retractor.

- You remember that.
- Oh, I remember.

We don't.

Well, I find that I have more
control with a smaller suture,

but it is not the norm.

So I normally don't
have a resident assist me

when I'm placing a patch.

I don't wanna teach bad habits.

But sometimes you get an overachiever

who insists on being in the OR with you

and learning all your secrets.

[NDUGU] All right. I hit healthy tissue.

All right. Dr. Pierce,
what do you think?

I think...

[CHUCKLES] ... we still got it.

- Brady's getting a new heart.
- All right.

Let's prep the
patient for transplant.

I won a trip to the Bahamas once.

Sounds fun.

Yeah, it was right
after my mom got cancer.

I moved back home, and there was
this townie bar near her place.

They had this promotion where
for every drink you bought,

you got an entry to win a
trip for two to the Bahamas.

And I was there more
than I care to admit.

Racked up a bunch of entries,

and... I won.

So, you abandoned your
mom to go on vacation?

The opposite.

I convinced them to extend the deadline

so I could bring her.

She really wanted to go.

I thought we would go
after she got better,

but that is obviously not what happened.

She died, and I needed an escape.

- So my girlfriend and I went instead.
- Well, how was it?

She got sun poisoning
and I broke my arm.

It sounds like you need a redo.

Uh, we should get out of here
before someone tries to come in.

Uh, what I said earlier...

- This Isn't... Like, we aren't...
- Uh, no, I... [SIGHS]

I just don't think
it's the right time...

- Oh, no.
- ... to get in a relation...

Stop.

I don't want you to
have the satisfaction

of being the one to cut this off.
So, I'm good.

- We're... We're good.
- Just a cold, right?

Yeah. Yeah, just a cold.

Hey. I'm just headed to the airport.

Had to grab my stuff.

Do you have a minute?

Millin and Kwan just
uploaded their last data-set.

- Wait, does that say...
- 95% confidence.

[CHUCKLES]

There is a definite correlation
between gut microbiomes

and Alzheimer's disease progression.

Even before patients have symptoms.

I mean, this might mean that
people could be diagnosed

before they're symptomatic.

And if we could alter
the gut microbiome,

maybe we could prevent
the disease altogether.

Oh, my God.

I thought about Derek.

But mostly I've
thought about my mother.

This disease robbed her
of her entire identity.

I know how personal it is for you.

I just didn't want
the world to forget him.

This is as much your
research as it is mine,

so if you don't wanna
publish, we can find another way.

I mean, they would want us to
push through no matter the cost.

That is how we honor them.

Well, then I guess we
have an abstract to write.

- Oh, my God.
- [GREY CHUCKLES]

He did great.

- Can we see him?
- He's being transferred

to the CCU now, but once
he's settled, you can.

I have to head back into surgery,
but we'll check in tomorrow,

and we'll talk about
plans for recovery.

What about the person who got his heart?

- Are they okay?
- Unfortunately,

we can't share any
information about the recipient.

Um, excuse me?

I'm sorry, but did your
son donate a heart today?

Yes, he did.

Thank you.

Thank you.

Adams.

Impressive work today.

- It was a rush.
- Yeah, we got really lucky.

Yeah.

Do you like it here?

Does anyone like being an intern?

We have a categorical
position at the Heart Center.

You would train at the
University of Chicago

and do your research with us.

I think you should consider it.

I think you'd do really well there.

I always thought I'd do neuro.

Why? Because you're a Shepherd?

There are worse things
than being a neurosurgeon,

but cardio is pretty great.

Just think about it.

I can't believe you remember me

teaching you pericardial patches.

That was, like, a million years ago.

Yeah. Donna Barton.

We did her transplant my
second year of residency.

Same complications, same fix,

- but not exactly outside her body.
- No.

I remember everything
that you taught me.

Oh, my God. Um... I'm...
I'm... I'm so sorry.

- Yeah, no. It's okay. Um...
- [CLEARS THROAT]

You make an amazing save in the
OR, and then celebrating after.

It's what we do.

What we did.

Right. [CLEARS THROAT]

Yeah.

I think it's time... for us to... let go.

I signed 'em.

♪ Soft rain ♪

Yeah.

♪ I can see it through
the window pane ♪

♪ I've been carefully placed ♪

Until the next miraculous surgery.

Goodbye, Maggie Pierce.

♪ You won't find me in the spotlight ♪

♪ Somehow it doesn't feel right ♪

♪ Have I made a mistake? ♪

- ♪ Put me back in the wild ♪
- [CAR ENGINE STARTS]

♪ Where I was perfect all along ♪

♪ Give me the eyes of a child ♪

♪ Who never knew that
anything was wrong ♪

♪ Am I ever gonna get to
see the seasons change... ♪

Pierce offered me a
position at her hospital.

In Chicago?

Yeah. I'd be a designated
cardiothoracic resident.

Working on groundbreaking
surgeries like we did today.

Every day.

- Sounds like a great opportunity.
- Yeah.

And I'm considering it.

Dorian's repeat labs and
scans are all normal. Hmm.

He's been through it more
so than most, but he's okay.

He made it.

Okay. Thank you for double-checking.

The ABSITE results come
in tomorrow, don't they?

I asked Millin how it went, and her
answer was, "I think I finished."

- [CHUCKLES]
- What... I mean, Yasuda said it was easy.

Kwan gave a half groan, half laugh.

I learned not to ask.

I mean, they've come really
far in the last few months.

They're finally
where I need them to be.

And if any of the rest of
them have to start over...

- You've come to care for them.
- They're interns.

They're your interns.

There will come a moment
when their pain is your pain.

Their success is your success.

Trust me. I get it.

Hey.

Did you finish
Lincoln's post-op orders?

- I can't do this anymore.
- What?

You're breaking up with me?

Here?

You know, you are one of the most
incredible people I've ever known.

- Don't patronize me.
- I'm... I'm not.

When I... I first met you,

I was so stressed
because I had no money.

I mean, I was working all the time.

I didn't even sleep. I barely ate.

And then one day, I walked into a bar,

and you smiled at me.

And for a moment, everything was okay.

But now you are my boss.

You literally get paid
to tell me what to do.

And as much as I wish that
I could just put that aside,

I... I don't think that either of us

have strong enough
feelings to prioritize

this relationship over everything else.

- So you're choosing work.
- Wouldn't you?

[ALTMAN] I used my discretionary budget

for Meredith Grey's
Alzheimer's research project.

There is no excuse for
going behind your back.

It was disrespectful, and I am sorry.

Dr. Altman, we all make
mistakes at every level,

but not everyone is honest about it.
That takes courage.

Tells me you're a
woman of great principle.

[ALTMAN] Thank you.

I knew that you would understand.

I didn't say I understand.

- [POP PLAYING OVER SPEAKERS]
- [PEOPLE CHATTERING]

Hey, can I get a beer,
please? One for him too.

We're celebrating.

We saved two lives today.

Ah. Yeah, right.

You say that like it
happens all the time.

Well, technically, it is our job.

Technically, things
don't always go our way.

Unless they do for you.
In which case, this beer is also mine.

Cheers.

I'm sorry.

I could have handled
everything better today.

I'm sorry too.

Going back to being a resident

is harder than I thought it would be,

and I took it out on you.

[GREY] The principle
of the domino effect

is a double-edge sword...

[LINCOLN] Then tell me what I can do.

I think that we should
keep work and home separate,

and only work together
when absolutely necessary.

And just keep it professional.

- Okay.
- Okay.

And under this new arrangement,
can I do this at work?

That would be highly inappropriate.

- [WILSON] Mm-hmm.
- What about this?

... it can help us build healthy habits,

but it can lead to
destructive tendencies as well.

Wait, you... you got
on the gurney with him?

- I didn't know what else to do.
- Oh, my gosh.

- Yeah.
- [LAUGHING]

I'm sorry. Maybe
it's not that funny.

No, sorry. I, um...

I signed divorce papers today.

[CHUCKLES]

Oh, God. [LAUGHING]

I'm not... I'm...

I'm laughing with you.
I'm not laughing at you.

- I'm not laughing.
- No, no.

It's just... I just got divorced too.

And we rented doves.

- When you got divorced?
- No, no, no, no.

When we got married. [LAUGHS]

We should have rented 'em for the
divorce. That would have been fun.

I even built a tent, though,
on the be... on the beach.

Oh, really? We had a live band.

We had custom sand sculptures.

- Ew. Why? [LAUGHS]
- [LAUGHS]

Oh, no. [SIGHS]

This is gonna suck for
a while, isn't it?

Yeah. [SIGHS]

[GREY] One small misstep
becomes one bad habit.

Of course, none of us is perfect.

And so much is out of our control.

- Hey. The kids asleep?
- Yeah. Yeah.

They were exhausted.

I got your favorite.

- Where are you going?
- I'm gonna go sleep in my own bed.

You're right. I'm terrible
at being in relationships.

And if it makes you feel any better,

I've always been this way.

You know, it really... it
really, really doesn't.

You know you're the most
important person in my life

besides my children.

I don't know that I can marry you.

I did that once before. I don't
know that I can do that again.

But I know I love you so much.

And I love going to sleep with you,

and waking up and seeing your face.

I can promise to love you forever.

Or... as long as I can remember you.

Mer, I love you too. That's
not the issue. You know that.

The issue is that I put work before
you, and you're right, I do.

But just right now.

That's not forever.

And if you love me, then
you'll support me.

And if you support
me, then I can do this.

Are you in?

[PHONE CHIMING]

You should take that.

[GREY] All you can do is make the
best choices available to you...

[CHIMING CONTINUES]

Teddy. Is everything okay?

Catherine just fired me.

... and hope they don't
come back to bite you.