23x01 - Collide

[bunniefuu]

[♪ UPBEAT MUSIC PLAYING ♪]

[GREY] When patients leave the hospital,

they're often taking home a
brand-new regimen of medication:

physical therapy and aftercare.

- We really... should go.
- Should we though?

No.

- Wait, wait, wait. Damn it.
- What?

We used the last condom last night.

[GREY] In our dreams, every patient
would do exactly as they're told.

- Don't move.
- Yes, ma'am.

[GREY] But reality is a different story.

Kwan, if you use the
last condom, buy more.

You are unemployed.
You have no excuse to...

Morning.

Not Kwan.

- Nope.
- Nope.

- Can you pass me a towel?
- Yep.

[GREY] Too often medication costs,
memory lapses,

and poor health literacy
impede patients' recovery.

You are gorgeous. You know that?

- What time is it?
- I've set an alarm.

Don't you worry.

- [GASPS] What?
- No. We have time.

No, you have time.

I am a resident. I should
have been there an hour ago.

_

[GREY] And as their surgeon, there's

not a whole lot you can do about it.

- [PHONE CHIMES]
- [GREY] In other words,

- _
- you can lead a horse to water,

but you can't make it drink.

[♪ MUSIC ENDS ♪]

Wow.

We should be forced
to dress up more often.

Have you seen Bubbles?

Nardi can't find him in Luna's stuff.

No. But if you wanna sneak off
to our room for a few minutes...

These things never start on time.

Wait. This is it. Hang on.

No, this is my "I almost died" box. Hmm.

I'm fine.

My therapist just said
that I should toss anything

that reminded me of
my birth trauma, so...

- I'll take care of it tonight.
- Okay.

You told Joey to pick
Pru up from school, right?

You know I did.

And can you please remind people
that I am not chief resident anymore?

With Wright back from family leave,

I gotta put all my focus on plastics.

As soon as I register for school.

But they just accepted your application.

Yeah, as a last-minute
admission, right?

Final registration's today.

Miranda Bailey.

MD, FACS, MPH.

Mmm, that's a lot of letters.

I am unbenched from surgery,
I'm getting my master's.

Watch out, world. She's coming for you.

And she is talking about
herself in third person.

If only we didn't have to spend
all morning at this PR circus.

- [MILLIN GRUNTS]
- [WARREN] Oh.

Good morning, Dr. Bailey.

- Good morning.
- Ndugu. Millin.

[CHATTER]

[PHONE RINGING]

Where are you?

I thought you were gonna
be here half an hour ago.

It's total gridlock by the airport.
No one's moving.

Catherine told them the surgeon
whose name is on the building

- would be here for the photo.
- [GREY] I know.

Tell Catherine I'm sorry.

I'll be there as soon as I can.

[LINE BEEPS]

All right. Who's ready to see
Grey Sloan's new crown jewel?

Follow me.

[♪ "WHERE YOU BEEN" PLAYING ♪]

Welcome to the Olympic Floor.

Welcome to paradise.

Oh, my God.

We made it. We made it.

What is this?

Oh, my God.

- [font color="#D81D1D"]Synced and corrected by ChrisKe[/font] -
-- [font color="#138CE9"]for www.addic7ed.com[/font] --

With the addition of the
Olympic Floor, Grey Sloan joins

the leading hospitals in this
country by offering a VIP wing.

The Seahawks are gonna love this.

Mm-hmm. Espresso
machines, seven o'clock.

We are very fortunate to
have developed our VIP program

with Dr. Seth Norton, CEO
of Olympic Regent Health.

Let's give him a warm welcome.

Thank you.

That guy looks like this floor.

- What, slick?
- Rich.

It's like dogs and their owners.

- At least the food is good.
- [NORTON] Good morning.

I am thrilled to raise
the bar on Grey Sloan's

already stellar reputation.

Patients will have private suites with

high-level security,
hotel-quality bedding

and meals tailored to their
health needs by a gourmet chef.

I've been covering for Hunt and Altman,

but we have money for a gourmet chef?

[CHUCKLES] I should
have asked for a raise.

[NORTON] It will no
longer be a hospital stay.

It will be a luxury experience.

Mmm. We should vacation here.

[NORTON] But all of these
amenities pale in comparison

to the unparalleled
access patients will have

to the hospital's most
important asset, you.

From fast-tracking through
the ER to 24-7 post-op access,

your patients will
not doubt for a single

second how much you care about them.

All right. Enough talk.
Let's cut the ribbon.

Come on, Dr. Shepherd.

Join us. All right, come on.

- Join us. Join us.
- All right.

Here we go.

[PHONES BEEPING]

[ATTENDEES CLAMORING]

[NDUGU] Two planes collided
on the runway at the airport.

- We're about to get slammed.
- [SIGHS] All right.

That's enough celebrating for me.
I'll send everyone down.

Come on.

All right. Everyone, stay calm.

Hey. Sorry about this morning.
I probably should have locked the door.

That's okay.
We don't need to talk about it.

- Kwan and I were up late playing games.
- Still talking about it.

We're good? It's nothing you
haven't seen before, right?

This place looks like a dump
compared to the new floor.

Took you long enough.

Between that dog-and-pony show and this

trauma, the whole day is thrown off.

Most elective classes...
I mean, cases... are pushed.

So go where you're needed.

Millin, I saw what
happened this morning.

I don't tolerate t*rd
in my residency program.

- It won't happen again.
- Hmm.

[SHEPHERD] Meredith, you made it.

Just in time for the chaos, I see.

- Yeah.
- How mad is Catherine?

Uh, are you staying to help?

Well, it'll probably make up
for missing the big unveiling.

- Yeah. It couldn't hurt. Mm-hmm.
- I'll go change.

Excuse me. Hey, hey.

Hey!

What do you need?

Do you work here?
I've already been here six hours.

Okay. There's a big
emergency that's just come in.

I have to run upstairs.

I will check on you
when I get back, okay?

Hey. Good thing you
weren't flying in today.

Also, hi.

How was, uh, visiting
your mom in Wisconsin?

Uh, it was my dad in Michigan.

Right. Yes. I did know that. Uh...

What are you doing after work?
You wanna grab food and talk?

- You're kidding, right?
- You're still mad?

- We've been texting.
- Yeah, we work together.

I can't exactly ignore you.

Bree Wong, 31. Status, post-plane crash

on the tarmac. GCS 15. Vitals stable.

Has facial bruising and
one episode of epistaxis.

Nasal packing inserted.

She also had episodes of
intermittent paralysis.

[WONG] I don't know what
happened. [MOANS]

The sound, the crunching metal, screams.

- You were on one of the planes?
- I'm the pilot.

Today's my first day as captain.

- How many passengers?
- [PARAMEDIC] 212. Full flight.

- And that's just one of the planes.
- Okay. Let's go Trauma 1.

Anyone who's not down here already
needs to report to the ER now.

- I'll get the word out.
- All right.

Hell of a time to be
down three surgeons.

Uh, my name is Benson.

[SPEAKS FRENCH]

I am a doctor.

[SPEAKS FRENCH]

Nope.

Je ne suis pas médecin because
médecincan kiss my derrière.

Yeah.

[INSTRUCTOR SPEAKS FRENCH]

[IN ENGLISH] Let's pick up from last

week by practicing our names and jobs.

Benson.

[SPEAKING FRENCH]

- Self-employed.
- Ah! [SPEAKING FRENCH]

[IN ENGLISH] Yeah, it is.

[SPEAKS FRENCH]

[INSTRUCTOR] Monica.

[AVERY] Your mother's told me
so much about you, Ms. Annabelle.

- How is your mother?
- Uh, stuck in Milan.

- She sends her love.
- [CHUCKLES] Nice.

How do you like our new VIP floor, huh?

Almost as nice as Mount Sinai.

Is it okay to examine you, Ms. Chase?

[DOG WHINES]

- Not him.
- [AVERY] Of course not. [CHUCKLES]

Uh, Dr. Spencer.

Oh. Hmm.

Oh, uh. Does he bite or...

Uh, you were, um,
diagnosed with gallstones.

I was at a conference in Aspen for my

dog rescue when I started feeling pain.

I went to the emergency room.
They said I needed surgery.

[AVERY] Mmm.

- Any tenderness here?
- No.

But I want them gone today.

Um... You know, let's do some labs,
and then we'll get an ultrasound,

and then we'll take it from there.

Would you like a warm
blanket while you're waiting?

Could I get two? I
forgot Prince's sweater.

[CHUCKLES] Of course.

- Spencer...
- Of course.

[CATHERINE] Isn't he cute? Hello.

[WONG GROANING]

- What'd I miss?
- Captain Wong was flying

one of the planes in the collision.

Both pupils are equal and reactive.

- Excuse me.
- Nasal packing is fully saturated.

I need to visualize the source
to control the hemorrhaging.

- Squeeze my fingers.
- This isn't gonna feel very good.

- I'm sorry.
- [WONG SCREAMING]

Yeah. It looks like a LeFort fracture.
She has maxillary instability.

I'm gonna call for a CT Max/face.

We were about to touch down when I
heard the tower clear another plane

for the intersection departure.

[SHEPHERD] Okay, she's neuro intact now,

but there's midline tenderness
and intermittent motor deficits.

I need a stat CT head and C-spine.

[WONG] Uh, I couldn't go around.
It was too late.

My wing clipped the
nose of the other plane.

I need to check on a
patient in the next room.

Page me when scans are up.

No, not so fast. We need to
stabilize these facial fractures

and stop the bleeding
before she goes anywhere.

- Okay, I'll go get an MMF kit.
- [WONG SOBBING]

[WRIGHT] It's okay.

Uh, so sorry about all this chaos today.

Reminds me of my med school
rotation at LA County.

Dr. Grey, I'd like to introduce
you to Dr. Seth Norton,

who is the founder/CEO
of Olympic Regent Health.

We missed you this morning.

Can't exactly control a mass trauma.

But it's a pleasure to
finally meet you, sir.

- Yes.
- I take it it went well this morning.

I'd be happy to give you a private tour.

Oh. Good idea.

Hey, why don't you two
get to know each other?

I'm gonna go find Ndugu, give him a

piece of my mind about all this mess.

My afternoon's booked, but
I could squeeze you in now.

Um, I'm pretty busy, and, you know,

I don't really need the sales pitch.

You're not skeptical about a VIP floor?

Well, most private hospitals
in big cities have them.

- They're just trying to keep up.
- I love a pragmatist.

Uh, excuse me. I have a patient.

I make an excellent tour guide.
I'm here all day.

Hey. Where are you going?

To get my mom and dad.

When they realize I
still haven't been seen,

- they're gonna be pissed.
- Okay.

Bryant, let's get him in an
exam room and find his parents.

- We're gonna get you seen.
- All right. Just have a seat right here.

Hey, Ndugu. Heads up. [SIGHS]

Supply's out of MMF kits, and
Dr. Fox is looking for you.

- So, I would hide.
- [SIGHS] All right.

Running the ER is not my job.

And check the cart by
Trauma 3, all right?

Okay. Oh. Um...

I saw you and Millin this morning.

In the elevator.

With the coffee cups.

Okay, I also saw the two of you

coming out of an on-call room together.

About a month ago?

Promise it's not what
you're thinking, okay?

Ha. Okay. Yeah, fine.

But just in case it is
exactly what I think it is,

I'm telling you, as a friend,
come clean and get ahead of it.

- Hey. OB sent me down here to help...
- Okay.

- ... and now I see why.
- Yeah.

- [NDUGU] Bed two. Thank you.
- Yeah.

Okay, sir, sir, you are at the
hospital, so try to calm down.

- We're gonna help you.
- All right. What do we got?

Larry Turner, 44. Acute chest pain
radiating from the back, dyspnea.

BP, 170 over 100. Heart rate, 112.

- Ninety-three percent sats.
- I'm so sorry. I'm so sorry.

Okay, let's do a chest X-ray, CBC,

BMP, troponins and an EKG, all right?

- Just try to breathe, sir. Okay?
- I can't. It's all my fault.

I was the controller in the tower.

I told them they were clear to land.
It's all my fault.

- Okay. Trauma 3. Let's go.
- Yeah.

[BAILEY] Okay, okay.

You sure we shouldn't go to CT first?

Shepherd's not gonna like this.

- Yeah, well, Shepherd's not here.
- Why isn't she in CT?

We were worried her facial fractures
could compromise her airways,

so we're doing fixation now.

Before seeing if she has a head
bleed or a serious spinal fracture?

We need to get a full
picture of what we're...

How do you propose we stop her
facial bleeding in the meantime?

Just repack her, hope for the best?

If she has a brain injury,
nothing else matters.

Nothing else matters
besides neuro. That tracks.

If that is how you feel, then maybe

you should have stayed in Wisconsin.

- Michigan.
- Same difference.

You're right.

You clearly have it under control.
Do what you want.

[SHEPHERD] What?

Okay. Let's move her.

[INSTRUCTOR] There are
three ways to ask questions.

[SPEAKS FRENCH]

[IN ENGLISH] Inversion.

Intonation.

[KWAN] Are you feeling okay?

[INSTRUCTOR SPEAKS FRENCH]

Okay. [SPEAKING FRENCH]

[IN ENGLISH] It's just a headache.

[SPEAKS FRENCH]

[IN ENGLISH] Do you have
any other symptoms? Are you...

- Okay, I-I'm a doctor. -
[INSTRUCTOR SPEAKS FRENCH]

[IN ENGLISH] I can't
do medicine in French.

I've had a... a small fever

for a few days and foggy vision,

and, um... c'est bizarre.

[STAMMERS] Touching
my hair is p-painful.

Okay, madame, this could be
a medical emergency, okay?

You need to go to Grey
Sloan Memorial right now.

[SPEAKS FRENCH]

[IN ENGLISH] Okay, well, class is over.
Everyone sign off.

[SPEAKS FRENCH]

[IN ENGLISH] I will see
you at the hospital, okay?

Okay.

There's an NTSB officer at the
desk. He's looking for Larry.

- This is not a good time.
- He asked for my manager.

[STAMMERS] I'll deal
with that in a minute.

I've been working in
that tower for 11 years.

My record is spotless.

Are-Are the pilots here?
Are they alive?

We can't disclose that information.
I'm sorry.

My brother is a pilot. So is my dad.

I-I know how much they depend on us.

Films show a widened mediastinum.

- How's the EKG?
- Uh, normal.

We've been understaffed, so
I've been working night shifts.

I haven't been sleeping.
My neighbor Martha,

she called the police
to do a welfare check

because she hasn't seen
me in so long. [PANTING]

[SIGHS] Look, I'm gonna step outside.

- I can call your brother.
- I've had nightmares about this happening.

- It was so much worse.
- Go.

We'll order a CT angio, chest and

abdomen, and we'll set up for an echo.

Take some deep breaths.
Now, sit back for me, okay?

Cough.

You first.

[COUGHS]

You have an umbilical hernia.

I can operate on it today, but
I'll need consent from your parents.

- Dr. Grey.
- [GREY] Yes.

- Oh. You must be Charlie's dad.
- [BRYANT] Not exactly.

A social worker, DCYF.
Charlie is a ward of the state. [SIGHS]

It got me into a room, didn't it?

He has a hernia, and I can
operate on it, but I need consent.

- How quick can you get it?
- Depends.

If I put a rush on it...

[STAMMERS] I'll put a rush on it.

Great.
They're gonna take you to CT soon.

Thank you.

Okay.

Dr. Grey is the best.

- All right?
- We'll see.

Your ultrasound confirms gallstones.

Uh, there is no evidence
of acute inflammation,

and, uh, your labs are clear.

So we'd like to schedule
surgery for next week.

- But I cleared my afternoon.
- Did you hear about the plane crash?

Next week, I have our annual
fundraising gala for all our top donors.

I can't miss it.

I thought this was the VIP floor.

You don't pay first
class just to board last.

I'll get you in.

And I want Grey or Sloan.

[STAMMERS] There are also
plenty of world-class surgeons...

Dr. Grey will be very
happy to do your surgery.

[CHUCKLES] Richard, a word?

His first day or something?

I'm a catch, right?

I don't think I should answer that.

I am officially on the market.

Do you have anyone to set me up with?

Oh, I do. We meet up to skateboard...

I'm gonna stop you right there.

Is your shoulder still bugging you?

It's just stiff.

Pain's better, though.

How you doing, Bree?

[WONG] I'm second-guessing
everything that

I've learned in a decade of... [COUGHS]

- [MONITOR BEEPING]
- Damn it.

- [LINCOLN] She's hypoxic.
- The bleeding's asphyxiating her.

[ADAMS] Wait, wait, wait, wait.

Her CT head is clear, but her
C-spine, she has an AO dissociation.

There's nothing holding
her head onto her body.

The impact from the collision must have

completely severed her alar ligaments.

[LINCOLN] I don't remember the last

time I saw an internal decapitation.

I do, and it didn't end well.

We need to intubate, but
we cannot move her C-spine.

Page Wright, call a code
blue and get a crash cart.

[AUTOMATED VOICE] Code blue.

Labs are up. Troponins are elevated.

If only the officer could
help with this unruly ER.

[NDUGU] Okay, wait, wait, right there.

Okay, Larry, when was
your last physical?

[LARRY] Uh...

I had to push it a couple of times.

Could you roll onto your back
for me? Your echo is showing

a thoracic aortic aneurysm.

It's usually asymptomatic
until it starts to expand.

I had pain this morning, but
we're already down so many people.

- That's comforting.
- [NDUGU] What's happening with CT?

They've been full for the last hour.

Let's go and I'll make them fit us in.

I shouldn't have gone to work.
I should've just gone to the doctor.

Larry, Larry, look at me.
Hey, you're gonna be okay.

- Just try to calm down.
- [NDUGU] Let's move.

- Let's move.
- All right.

[GRIFFITH] ... as quickly as possible.

I am aware that your brother is inside.

We will connect you as soon as
we are able. The room is full

of patients we have not yet seen.

Simone. Hey, I'm looking for
a patient. Uh, Madame Sylvie.

Last name?

I... I don't know.

She's French.

I'm sorry you're bored at home,
but unless your French teacher was

on the nonstop from Denver, there's

absolutely no way I can see her today.

Okay, I'm actually really
enjoying unemployment right now,

but Madame Sylvie might be
having a stroke. There, there.

No. Excuse me, but
I was here before her!

I was here before him.

Stick her in an exam room,
do the initial workup.

- I will be there when I can.
- We got here at the same time.

- I was in front of you on the bus.
- No, that is not true.

- That is not true.
- Hey, get off me!

- Knock it off.
- [LARRY] All these people from the planes?

- They're all hurt?
- We're focused on you.

Watch out for the gurney.
Watch out for the gurney.

Hey, watch out for the gurney, please.

- [MILLIN] Security!
- No!

- Security!
- [CLAMORING]

- What's the matter with you?
- You okay? Hey, hey.

- Whoa, hey, hey, stop.
- [GRIFFITH] Knock it off!

Everyone, stop.
This is an emergency room.

We are processing
patients as fast as we can,

but if we don't help the people with

severe injuries first, they could die.

So sit down, and we'll be with
you when we can, all right?

[PASSENGER] All right.

- Hey!
- Hey, hey, I said sit down!

Sit down!

Okay.

Fine.

[BAILEY SIGHS]

[SIGHING] Hey.

Oh. Tell me an expectant mother
wasn't injured in the collision.

No, I'm just raiding
the OR for supplies.

[MONITOR BEEPING]

[NDUGU] Damn it, he's coding.

Uh, it's an aneurysm.
Must have ruptured.

- We need to do a thoracotomy now.
- Here? You can't be serious.

- He is serious.
- Turn up the flow and hyperventilate.

- You're gonna make the incision.
- [STEADY BEEPING]

Okay. One more.

Yeah. Yeah.

[GRUNTING]

Come on.

All right, Millin, stick your hand in

there and feel for the area of rupture.

[GRUNTS]

Okay, I got.

All right, now hold pressure distally
and proximally and do not move.

Jamie...

Jamie is...

[AVERY] Oh.

Well, we'll just take the next one down.
It's-It's all fine.

All right, start cardiac
massage with the other hand

and don't stop until the OR.

Come on, Larry, hang in there.

- A little more pressure.
- This is what I was worried about.

- What are you doing?
- We're trying to intubate,

but we can't hyper-extend
her neck because she...

- The AO dissociation. I heard.
- Yes.

I need a scalpel. We gotta crike her.

I will stabilize the C-spine.
You make the incision.

- Okay.
- Get a bougie and a 6-tube ready.

- A little pressure here.
- This neck is not going anywhere.

[WRIGHT] More pressure.

And tube.

We're in.

All right, bilateral chest
rise and color change.

- We've got an airway.
- Great job, everyone.

For now. We still need to get her to the

OR without paralyzing
her or k*lling her.

We can do this.

I will keep holding her, and we
will just move slowly and carefully.

- Is everybody ready?
- OR floor is at capacity.

They're gonna have to make room.

- I can't. I already have a patient.
- Well, now you have two.

If the VIP lab chole is so
important, have Norton do it himself.

You were specifically requested.

I don't even work here.

Catherine's under a lot of pressure.

This is day one of the VIP floor.
It needs to impress.

Who would do my hernia?

No one. I gave the OR to your lab chole.

The quicker you finish, the
quicker you can get to your hernia.

- [SIGHS] How's it going?
- Benson has been very attentive,

but I-I think this is an overreaction.

Physical exam showed very
large arteries in the scalp

and loud pulses in
the subclavian artery.

Blood work just came in.

You put it under my name?

Je m'appelle Griffith.

Elevated ESR, platelets, liver enzymes.

Oh, you gotta see this.

- Halo sign.
- Halo sign. Yeah.

Sylvie, you have a condition
called giant cell arteritis,

which causes inflammation
in the arteries.

[GASPS] Everything just
went dark in my left eye.

- [PANTING]
- Yeah.

Okay, we need to start her
on IV steroids immediately.

Put in the order.
Yes, you can use my name.

That's okay. Sylvie,
just deep breaths for us.

Just temporary. Don't worry.

[GREY] Care to step in and help?

[SPENCER] Dr. Norton says
that VIP patients pay too much

to have interns operate.

[GREY] This is a teaching hospital.

[MEADE] You want us to tell him that?

[GREY] No, but I
want you to step in here

and see what I'm doing, pay attention.

There's a hundred accident
victims downstairs,

and patients whose surgeries
have been rescheduled,

but God forbid a VIP patient
waits for a lab chole.

- [BRYANT] Well, money talks.
- [GREY] Spencer, finger.

[NURSE] I've got Charlie
Ramos's CT results.

[GREY] Spencer, you're closing.

- Dr. Norton said that...
- You're more than competent to do this.

Bryant, you're with me.

I am very sorry to keep you waiting.
We should go over these...

[SCREAMING]

- What happened?
- He vomited and can't sit up.

- Okay.
- Where the hell were you?

I want another doctor.

I need to see your stomach.
Your bowel could be incarcerated.

That means it's trapped, and it's dying.

It's a very serious situation.

- Please let me take a look.
- [RAMOS GROANING]

- Bryant.
- I'll book an OR.

- [GREY] Let get him cleaned up.
- [WHIMPERS]

- How's it coming in here?
- Almost done with the C2 pedicle screws.

[LINCOLN] First day as captain.

How do you recover from
something like this?

[SHEPHERD] She was acting on
the information she was given.

This was not her fault.

[LINCOLN] I'm not saying it
was, but people still got hurt.

- [ADAMS] I listened back to the feed.
- [SHEPHERD] You can do that?

[ADAMS] Even if she wanted
to stop it, she couldn't.

By the time they cleared the other
plane, it was already too late.

[SHEPHERD] Well, at least
it wasn't too late for Bree.

Last screw's in.

- [LINCOLN] How are the signals?
- [ADAMS] Still look good.

[SHEPHERD] I'm gonna
stay and monitor her.

[WRIGHT] Do what you need to do.

[WARREN] We should get sterile.

The medication will reduce swelling
and prevent further complications.

Thank you so much, Dr. Kwan. I
feel so lucky you're my student.

[KNOCKS ON DOOR]

Dr. Webber.

Can I help you?

Well, I'm just checking on the overflow.

- Catch me up.
- Oh, we've...

I've-I've-I've got it
covered, and you're so busy.

- A-Any day now, Griffith.
- Right.

Sylvie Bernard, 52,
presented with headaches

and temporal tenderness with one episode

of left-sided transient vision loss.

Her labs are notable
for elevated ESR and CRP.

Whoa, whoa, whoa, whoa. That's...
You don't need to rush. Diagnosis?

Bedside ultrasound was consistent
with giant cell arteritis.

You sure it isn't a migraine?

A migraine wouldn't have
elevated inflammatory markers,

and there's no visual
scintillation, no aura.

I've started her on
high-dose methylprednisolone,

and I'll schedule a
rheumatology follow-up

and a confirmatory
temporal artery biopsy.

Nice catch, Griffith.

You're in the hands of one
of our best and brightest.

[SIGHS]

- [SIGHS]
- [SYLVIE] Do I want to know?

Non.

Hey, I shouldn't have taken credit.
I'll tell Dr. Webber

- you made the diagnosis.
- Don't bother.

Why not? If he knows
it was you, maybe...

He's gonna rehire me?

I-I don't work here anymore,

and every second that I'm
here, it gets harder to accept.

I-I have to... move on.

See you at home.

Nicoletti's tonight? My treat.

Are we celebrating something
that I totally forgot about?

No, but I just did a flawless
spinal fusion on one of the pilots.

God, every time this job starts
to feel thankless or routine,

something happens to
remind me why we do this.

Mm-hmm.

- I get my own garlic bread.
- [PHONE VIBRATES]

Won't make that mistake twice.

[CLEARS THROAT] Ugh. Another consult.

Hey, you okay? You seem a little...

Hungry. So, thanks for that.

Go to your consult. I'll see you later.

[SIGHS]

[NDUGU] All right, Dacron graft, please.

Take these. All right, Dr. Millin,

it is time to finish what you started.

You'll be assisting in the anastomosis.

[MILLIN] Happy to as
long as it's in here.

[NDUGU CHUCKLES]
Not a fan of the elevator?

All right, start on the proximal end.
Use 4-0 Prolene.

Ndugu, you sure you don't want to do it?

[NDUGU] No, she's got it.
I'm right here.

Wow, feel this calcification.

Aneurysm or not, he's lucky
he hasn't collapsed from an MI.

- [MILLIN] Or the job.
- [BAILEY] Or both.

I mean, how do you expect people

not to mess up when they're
overworked and underpaid?

- Just sheer stupidity, if you ask me.
- [MONITOR BEEPING]

- V-fib.
- Damn it. All right.

- Irrigation.
- [NURSE] Here.

- [BAILEY] Millin, start cardiac massage.
- [NDUGU] Come on now.

Come on, Larry. You made
it through the elevator.

Don't do this here. Come on, now.

Ah. You're awake. How are you feeling?

Did you fix the thing?

Surgery went well.

[SIGHS] Great. Then you can go.
I'm good.

- Can we have the room, please?
- [STAMMERS] He's only 17.

He'll be 18 in two months.
I checked the chart.

I'll update you thoroughly.

[DOOR CLOSES]

Charlie, during surgery, we noticed an

abnormal buildup of
mucus in your abdomen.

What does that mean?

Well, could mean a few different things,

and I did send some concerning
nodules to pathology.

Could it be bad?

Like... cancer?

Possibly, and if it is,
you would need more tests

and surgery and possibly
chemotherapy treatment.

You have a... a foster
parent listed in your chart.

- Shall I call her?
- I've been with her 13 days.

You need to start all of this ASAP.

And based on today, that'll
be in, what, six months?

I'm sorry about today.

I hate that I let you
down, but I'm here now.

And if you agree to
let me be your doctor,

I promise I will not let
you fall through the cracks.

[SIGHS]

[♪ MELANCHOLY MUSIC PLAYING ♪]

I want to be alone.

Okay.

We'll be right outside.

[WRIGHT] Stitches look great.
Just repack and then we'll redress.

- [WARREN] You got it, boss.
- [SHEPHERD] Signals are dropping.

[WRIGHT] She's brady, and now v-fib.

[WARREN] Starting compressions.

[SHEPHERD] The spinal fusion
was perfect. Checking the drains.

No, it's not a bleed.

Okay, this has gotta
be spinal cord edema.

Push 20 of steroids and mannitol now.

[NDUGU] Push lido.

[BAILEY] Internal paddles.

- Charging to 20. [SIGHS]
- [DEFIBRILLATOR WHIRRING]

- [DEFIBRILLATOR BEEPING]
- Clear.

- [STEADY BEEP]
- Okay, uh, how many units has he had?

Okay, charging to 30.

[DEFIBRILLATOR WHIRRING]

- And clear.
- [DEFIBRILLATOR ZAPS]

- [SHEPHERD] Charge to 200.
- [DEFIBRILLATOR WHIRRING]

- Clear.
- [BEEPS]

[DEFIBRILLATOR ZAPS]

- [WRIGHT] Nothing.
- [SHEPHERD] Charge again.

[WHIRRING]

- [BEEPS]
- [SHEPHERD] Clear.

[DEFIBRILLATOR ZAPS]

- [WRIGHT] Still nothing.
- [SHEPHERD] Damn it.

Not today, Bree.

[♪ MUSIC CONTINUES ♪]

[RHYTHMIC BEEPING]

[BAILEY SIGHS]
Pressure's coming back up.

[STEADY BEEP]

[WARREN] Dr. Shepherd.

She was just getting started.
I'm not giving up.

- [WRIGHT] It's time.
- [SHEPHERD] No.

[WRIGHT] Amelia.

[STEADY BEEPING CONTINUES]

[WRIGHT] Time of death...



[♪ MUSIC ENDS ♪]

Hey. His pressures are
miraculously holding.

Pilot didn't make it.

Oh, man.
He's never gonna forgive himself.

Mmm.

Oh, no. Ugh.

I missed my registration deadline.

[STAMMERS] I'm... I'm getting
a master's in public health.

Or... I was.

With everything going on
today, I forgot about school.

Just call. Tell them you were
saving someone's life. [CHUCKLES]

You know, today has shown me that
maybe I should rethink going at all.

'Cause you missed a deadline? [SNIFFLES]

Full-time surgeon, residency
director, the clinic,

being a wife, full-time mom.

If I add more, I mean, something
other than a deadline will suffer,

or-or-or someone.

Well, look, Larry made a mistake

because he's working in a broken system.

[STAMMERS] So are we.

Yeah, so I was hoping, with
a degree, I could help fix it.

So ask for help. Delegate something.

You know, let other people step up.

Yeah, you can do this. We got you.

[MUMBLES]

Why is your shirt always off?

I am literally in a place
where people get dressed.

I need boundaries.

Okay, look, I know that the time
we were drunk was a one-time thing

and you're with Bryant now.

Yes, I'm with Bryant now, so I
can't see you in the shower naked.

It's... distracting.

I need to move on, you know?

[WHISPERS] I will keep my clothes on.

[WHISPERS] It's not... [CHUCKLES]
... only the clothes. It's, I...

I just need a little space.

Understood.

[♪ GENTLE MUSIC PLAYING ♪]

Hey. Sorry I couldn't give you a ride.

I needed to make sure I
spoke to Larry's brother.

It's probably best we
don't travel together.

- Less eyes on us.
- Yeah, um...

Ben knows.

- How?
- Guess he's seen us a couple times.

I-I don't know. I-I denied it,
but he didn't buy it.

Does Bailey know?

- I don't think so.
- Are you sure?

Pretty sure, yeah. She, uh...

She made me residency director.

- Wait, what?
- Yeah, um...

She said she needed something
off her plate and-and she thought

I did a great job teaching you today,
and she thinks it's a great fit.

And you accepted?

We can still save this.

Zach's asleep inside.

- Sleeping with Cass was a huge mistake.
- Amelia...

- I was sure...
- I can't...

... that you were
getting back with Celine.

- I can't deal with this.
- I was totally shattered.

And how do you think I felt when
I came to your door and saw her?

It nearly destroyed me.
I had to leave town.

I have a penchant
for self-destruction.

Okay. Okay.

I spent every day since wishing
I could take it back because I...

I've spent a long time
waiting to feel this way.

Like, when I'm with
you, everything's right.

Everything is exactly
where it should be. I'm...

I'm exactly where I should be.

You said that you loved
me. I love you too.

I'm desperately, madly,
dizzyingly in love with you,

so if you're done with me,
I will learn to accept it.

But if there's any part of you
that still feels the way you did...

I'm begging you not to let this die.

I'm not done.

[GREY] It's easy to judge
people for their actions,

but you don't always
know what's driving them.

[KWAN CHEERS] Look at that.
Hurricane slice.

[BRYANT] Are you hitting Y
when you're pressing that?

- Don't worry. Hurricane slice!
- I don't know how you're doing that.

- Okay, wait.
- Who's winning?

- Don't talk.
- Just one sec.

Come on. Come on. No, no,
no, no, no, no, no, no!

- [GRUNTS]
- What the hell was that?

That's a mega fireball. I
unlocked it in the dungeon.

- The mega...
- Yeah.

- Okay, we need another round.
- Another round? Another round?

Another, uh, uh... Let's...
I'm actually kind of tired.

- No, you just don't want to lose.
- It's okay.

It gives me time to review
my notes for tomorrow.

Sure? Okay, okay. All right, cool.

It'll only take me a minute
to beat him again anyway.

- Whup your butt.
- Check this out right now.

- Bam!
- I keep letting him get this move off.

That's it.

[GREY] You don't know
what they were born into,

struggles they've faced.

[BREATHES DEEPLY]

[♪ "CALL IT LOVE" PLAYING ♪]

[BREATHING SHAKILY]

[GREY] Sometimes we make rash
decisions with no idea why.

[AVERY GASPS] Meredith.
Beautiful, isn't it?

We were just talking about you.

You were so wonderful today
with Annabelle Chase. Thank you.

Well, do you still want my opinion?

I don't know. Do I?

Well, I have worked here
since I was an intern,

and this hospital has
seen a lot of changes.

Name changes, financial
crises, tragedies.

The one thing that has never
changed is our standard of care.

It has always been excellent.

It never needed to be tiered.

- Meredith, if you just give him...
- Today, I gave inadequate care.

My patient suffered, and I lost his
trust, and that is not who we are.

And it is day one, sir.

Meredith, you might want to know that

Dr. Norton is our new chief of surgery.

He's gonna be with us every day.

Unlike you.

Oh. Excuse me.

[GREY] But often it's fear pulling
the strings behind the curtain.

Fear of failure...

Meredith.

... of being let down, or, one of
my old favorites, fear of happiness.

You could have told me you were
considering hiring him as chief.

You never wanted to be
involved in the search.

I didn't think I needed to, but now

I am second-guessing that decision.

Annabelle's mother donated
$100,000 to this hospital.

Well, that just makes me feel dirtier.

Look, Grey Sloan has lost
a huge amount of funding.

- Every hospital has.
- No, we're not like all hospitals.

We staff highly sought-after surgeons.

We publish groundbreaking research.

Our overhead is massive, Meredith.

If we want to be the
same state-of-the-art

institute we've always been,

then we need a plan, and Norton has one.

So you need to get on board.

This will implode.

[ELEVATOR DINGS]

[GREY] It's all too easy
to be your own worst enemy.

[DOOR OPENS]

Hi.

[LINCOLN] Hey.

My miracle AO patient died.

[SIGHS]

I quit.

[GREY] And the damage we inflict
can take a lifetime to undo.